Insurance Porting Group Health Policy: A Guide to Transitioning from Group to Individual Plans

Understanding the Process of Insurance Porting Group Health Policies

Insurance porting group health policies to individual plans is crucial for employees shifting to independent health coverage. Porting ensures you maintain accrued benefits without disruption. Below are the essential steps to facilitate this transition.

Notify the Insurer

• The policyholder must notify the insurer of intent to port from group to individual.
• This notification should occur 45-60 days prior to policy expiration.
• A written portability request detailing the existing policy must be submitted.

Fill the Forms

• The insurer provides required portability and proposal forms.
• Forms will gather personal information, previous policy details, and claims history.
• Accurate and complete filling of these forms is essential.

Submit Documents

• Documents like ID proof, address verification, and medical history must be presented.
• These are necessary for the insurer's risk assessment and continuity coverage.

Underwriting Assessment

• The insurer assesses the application based on medical history and claims.
• Additional tests may be required for a thorough evaluation.
• This determines if an individual policy can mirror group policy terms.

Issuance of Policy

• Upon approval, the individual health policy is issued.
• It maintains waiting period continuity from the group plan.
• The policyholder pays premiums as specified by the insurer.

Points to Note

• Policyholders should carefully review terms and conditions.
• Verify that benefits from the previous group policy are accurately ported.