Health - BCI Individual Services

Health Care Reform and the Individual Insurance Mandate

With the passage of health care reform, all legal residents of the US will be required to carry some form of health insurance or pay a penalty for not doing so.

We understand your clients’ employment situation can change quickly. When it does, they’ll need a plan that will keep them and their family safe at an affordable cost. Whether they've recently lost their health care benefits due to reduced hours or a loss of employment, BCI’s individual services department can find a plan that's right for their specific needs and budget.

Is your client eligible for COBRA insurance but they want to explore other health insurance options?

There are two main reasons why an individual/family health benefit plan through BCI might be a better choice: affordability and customized benefit selection.

Affordability - They can find the plan that strikes the perfect balance between cost and benefits.

Customized Benefit Selection - Unlike a group or COBRA health insurance plans, individual health plans allow them to pay only for benefits they need.

    Let us leverage our long-standing relationships with major insurance carriers across the country to provide your clients
    with alternatives to high-cost COBRA insurance plans.

Producer Information
Producer Name
Company
Phone
Fax
Email
Best Time to Contact	AM PM

Client Information
Plan Type
Primary Insured's Name
Date of Birth	/ / (MM/DD/YYYY)
Gender	Male Female
Address
City
State
Zip Code
Email
Best Time to Contact
Tobacco Use	Yes No
Height	ft. in.
Weight	lbs.
Medical Conditions & Medication

Client Spousal Information (if applicable)
Spouse's Name
Date of Birth	/ / (MM/DD/YYYY)
Gender	Male Female
Tobacco Use	Yes No
Height	ft. in.
Weight	lbs.
Medical Conditions & Medication

Client Dependent 1 Information (if applicable)
Dependent 1 Name
Date of Birth	/ / (MM/DD/YYYY)
Gender	Male Female
Full Time Student	Yes No
Height	ft. in.
Weight	lbs.
Medical Conditions & Medication

Client Dependent 2 Information (if applicable)
Dependent 2 Name
Date of Birth	/ / (MM/DD/YYYY)
Gender	Male Female
Full Time Student	Yes No
Height	ft. in.
Weight	lbs.
Medical Conditions & Medication

Client Dependent 3 Information (if applicable)
Dependent 3 Name
Date of Birth	/ / (MM/DD/YYYY)
Gender	Male Female
Full Time Student	Yes No
Height	ft. in.
Weight	lbs.
Medical Conditions & Medication