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  • Explaining Association Group Health Insurance Policies – A cool Visual

    Posted by newagentsolutions on August 9, 2008

    This past week I had a health agent contact me about the difficulty he was having explaining the benefits of association group health insurance coverage to a potential health client.  He ended up losing the sale to a individual health policy that was only $10 cheaper on the monthly premium.

    I know that a majority of our readers are health agents who write health insurance policies for the large captive agencies that offer association group health insurance policies, so I wanted to share a cool visual that really helps a potential health client to fully understand the benefit of association group health policies.


    In most states , when presenting an association group health policy, the health insurance must present the association group first.  The biggest benefit to association group health insurance protection offers is that the member’s premiums are determined by the usage of the entire group (risk pool) whereas an individual policies premium is determined by the individuals claims.

    The way that health insurance premiums are determined is:

    rate (regulated by state DOI) x  risk pool (there can be up to seven on individual policies, only one on association group) = premium.

    Ever had a health insurance prospect unable to grasp this?

    Here is a good visual to add into your presentation to give your health insurance prospect a much better way of understanding the benefit that association group health insurance will have to them over the long term.

    First pull out the book that contains the association benefits and place it to the side but in the health insurance prospect’s immediate view.  Proceed to tell your prospect about the association and that it offers many valuable benefits outside of the health insurance but the greatest benefit is in the group health protection that the association offers the ask this question exactly this way:

    What is your understanding about how group protection works?

    Most will answer “I don’t know.” Any answer is good though.

    Now pull out Seven of your business cards and place them on the table longways side by side and ask the health insurance prospect if they know about risk pools.  After they answer tell them:

    rate (regulated by state DOI) x  risk pool (there can be up to seven on individual policies, only one on association group) = premium.

    Then ask them what risk pool they start out with and point to the first card.  Ask the health insurance prospect witch one they would be placed in if they had a major ($50,000) claim.  Point out the fifth card and ask if they would be willing to pay five times as much for their insurance.

    Now stack up the seven cards and tell them that this represents the protection of association group health insurance.  There is only one risk pool.  Ask them the same question, which one would they be placed in for a $50,000 claim.  Point at the stack.  A $100,000 claim? Point at the stack. A million dollar claim? Point at the stack.

    You will see that they really get the point.

    Then hand them the stack and tell them if they know of anybody they know of would like the same sort of protection that they are about to get (remember to assume the sale) you would love to hear from them, because you are there to help.

    You will be surprised at how this closes your sales from the start and also generates great referrals.

    Good Luck


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