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Group Insurance

Group insurance is a type of coverage that provides benefits to a defined group of people, typically employees of a company or members of an organization, under a single master policy. Instead of each person purchasing an individual policy, the group is insured collectively, which allows members to access broader coverage at lower rates. The employer or organization acts as the contract holder, while individual participants receive a certificate of insurance outlining their specific benefits.

Group insurance commonly includes health, dental, life, disability, and accidental death coverage. Premiums are often shared between the employer and employees, and eligibility is based on employment status rather than medical history. Because risk is spread across many members, group insurance can offer guaranteed coverage with minimal or no medical underwriting.

Example:

If your employer provides a group benefits plan that includes extended health, dental, and life insurance, you and your eligible dependents are automatically covered once you meet the plan’s eligibility requirements, such as completing a three-month waiting period.

What to Watch For:

Review your group benefits booklet to understand what coverage is included, how much the employer pays, and what portion you contribute. Coverage generally ends when employment terminates, but you may have the option to convert to an individual policy within a specific time frame. Keep your contact and dependent information up to date to avoid claim issues.

Related Terms

Member

A member is an individual who is enrolled and covered under a group insurance plan, typically through their employer, association, or organization. The member is often referred to as the insured employee or plan participant and receives coverage for benefits such as health, dental, life, and disability insurance. The member may also extend coverage to eligible dependents, such as a spouse or children, under the same plan.

Optional Benefit / Rider / Add-On

An optional benefit, also called a rider or add-on, is an additional feature that can be purchased to enhance your existing health, dental, life, or disability insurance plan. Optional benefits allow you to customize coverage by adding protection that suits your personal needs, rather than relying only on the base plan design.

Grace Period

A grace period is the additional time granted after a premium payment is due during which an insurance policy remains active, even though payment has not yet been received. It provides policyholders with a short window to make late payments without losing coverage. The grace period ensures continuity of protection and helps prevent accidental policy lapses caused by missed or delayed payments.

Conversion of Benefits

Conversion of benefits is the option that allows an individual to transfer or “convert” their group insurance coverage into a personal plan when they lose eligibility under their employer’s group policy. This typically occurs when someone leaves a job, retires, or loses coverage due to a change in employment status. The conversion option ensures continuity of protection without requiring new medical evidence of insurability, as long as the application is submitted within a specific eligibility window, usually 60 to 90 days.

Plan Member

A plan member is an individual who is enrolled in and eligible to receive benefits under a group insurance plan. Typically, the plan member is an employee of a company or a member of an organization that sponsors the group policy. The plan member is covered for the benefits outlined in the plan - such as health, dental, life, and disability insurance - and may also extend coverage to eligible dependents, including a spouse or children.

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