Zane Benefits Publishes New Information on Health Care Reform for Individuals and Families

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Seven Steps to Prepare for the October 1, 2013 Opening of Health Insurance Marketplaces

Today, Zane Benefits, Inc. published new information on Health Care Reform for Individuals and Families. Zane Benefits, which provides comprehensive and flexible alternatives to traditional employer sponsored health benefits, is the leader in defined contribution and health reimbursement arrangements.

According to Zane Benefits’ website, the new Health Insurance Marketplaces will give individuals and families increased choice with health insurance. Starting October 1st, 2013, health insurance marketplaces will open (for coverage starting January 1st, 2014). Zane Benefits outlines seven steps individuals and families can take to prepare for the October 1st, 2013 open enrollment.

Step 1: Confirm if your employer will offer group health insurance post-2014.

There are two primary categories of health insurance:

1. Individual Health Insurance
Individual health insurance plans are health insurance plans purchased by individuals to cover themselves or their families. Anyone can apply for individual health insurance. In 2014, insurance companies will no longer be able to decline individuals for individual health insurance based on a pre-existing medical condition. Also, starting in 2014, there are new special tax incentives available to businesses and employees when employees purchase individual health insurance.

2. Group Health Insurance
Group health insurance plans are a form of employer-sponsored health coverage. Costs are typically shared between the employer and the employee, and coverage may also be extended to dependents. In certain states, self-employed persons without other employees may qualify for group health insurance plans.

According to Zane Benefits’ website, many small businesses are expected to terminate group health insurance in 2014, in favor of individual health insurance.

Step 2: Learn about different types of health insurance. The four types to be familiar with are:

1. PPO Health Insurance Plans
PPO or “Preferred Provider Organization” plans are the most common. Employees covered under a PPO plan need to get their medical care from doctors or hospitals on the insurance company’s list of preferred providers in order for claims to be paid at the highest level.

2. HMO Health Insurance Plans
HMO stands for “Health Maintenance Organization.” HMO plans offer a wide range of health care services through a network of providers that contract exclusively with the HMO, or who agree to provide services to members. Employees participating in HMO plans will typically need to select a primary care physician (“PCP”) to provide most of their health care and refer them on to HMO specialists as needed.

3. HSA-Qualified Health Insurance Plans
HSA-qualified plans are typically PPO plans designed specifically for use with Health Savings Accounts (HSAs). An HSA is a special bank account that allows participants to save money – pre-tax – to be used specifically for medical expenses in the future. Health Reimbursement Arrangements (HRAs) are often used in place of HSAs due to their advantages for employers (see HRAs vs. HSAs for more information).

4. Indemnity Health Insurance Plans
Indemnity plans allow members to direct their own health care and generally visit any doctor or hospital. The insurance company then pays a set portion of the total charges. Employees may be required to pay for some services up front and then apply to the insurance company for reimbursement.

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About Zane Benefits
Zane Benefits was founded in 2006 to provide a revolutionized SaaS (Software-as-a-Service) administration platform ("ZaneHRA") for Health Reimbursement Arrangements (HRAs) and defined contribution healthcare. The flagship software provides a 100% paperless administration experience to employers and insurance professionals that want to offer better health benefits without a traditional group health insurance plan at lower costs. For more information about ZaneHRA, visit

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Ryan Knapp
Zane Benefits
800-391-9209 6709
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