Jones, Donna wrote:
> 
> I'm not sure if that's true. If you're paying hundreds of dollars a
> month in premiums, is it better to pay that or to put that money into a
> personal account that you use to pay for health-related costs? Add up
> the premium, copay, and deductibles for COBRA or any other policy with
> extensive coverage. You may find that you're better off with a
> high-level policy somewhere that covers only major hospitalization costs
> and footing the rest of the bills yourself.
> 

As others have said, rules and programs vary from state to state. But 
here's something I haven't seen mentioned in this thread (not that I 
haven't mentioned it previously in other venues).

Call a _commercial_ insurance agent--someone who sells group plans to 
businesses and represents more than one insurance carrier. As an 
independent business (sole proprietor, Schedule C), you may or may not 
be able to establish a "group" plan for your business with one member. 
In Connecticut, we were able to do this (my wife and I are both 
self-employed and we set up the plan under her business rather than mine 
for technical reasons). In New York, I believe the group has to have at 
least two members. Other states may have different requirements, and it 
may also be necessary to incorporate (an S corp or an LLC should work).

In any case, doing this provides some flexibility. Once you are a member 
of a group, you can switch plan types every year just by making an 
election. And if you do hire an employee, that person can choose a 
different plan. Typically, preexisting conditions are a non-issue 
(because you're an employee joining a group rather than an uninsured 
person getting a new policy).

We ended up with a high-deductible policy and a health savings account. 
The latter is with a bank unrelated to the insurance company, but the 
policy was written in a way that required us to establish one somewhere.

HTH,

Dick


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