System and method for offering and guaranteeing renewal of...

Data processing: financial – business practice – management – or co – Automated electrical financial or business practice or... – Health care management

Reexamination Certificate

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C705S002000

Reexamination Certificate

active

08032396

ABSTRACT:
A system and method are described whereby a healthcare consumer purchases a suspendable plan while having group coverage and is able to suspend the benefits until group coverage becomes unavailable. When group coverage is not desired or is not available, the consumer can activate the benefits under the suspendable plan. Similarly, a healthcare consumer can buy a suspendable plan while not covered by a group plan and activate the benefits under the plan when not employed. The health plan organization, in turn, guarantees renewal of one or more benefits suspended under the plan throughout the life of the policy at the underwriting status determined when the consumer initially applied for suspendable coverage and, most likely, was in better health. When the consumer chooses to suspend one or more benefits under the plan, the healthcare plan organization reduces the plan premium to a residual premium reflecting the risk associated with providing a renewal guarantee.

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http://www.opm.gov/fedregis/2002/66-0041305-a.pdf.
http://www.umsystem.edu/ums/departments/hr/benefits/military.shtml#.

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