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    WHAT IS COMMERCIAL INSURANCE??

    Commercial insurance protects a company’s financial assets, intellectual property, physical property and liability from a covered loss. There are many risks that a business is susceptible to, including fire, theft, lawsuits, property damage, injuries, loss of income and more.

     

    Most Common Types of Commercial Insurance policies:

     

    Business Owners Policy (BOP) -Combination of property coverage and liability coverage.  The property coverage works like homeowners’ insurance.  If the business is broken into, robbed, or vandalized, it will be covered to replace and repair the property to its original condition.  If tools or equipment are stolen or destroyed by a covered loss, they too will be replaced.

     

    General Liability– Protects the business owner against accidents, injuries, or property damage on the business premises or due to the business operations.  Policy covers costs if a claim is filed against your business for bodily injury or property and advertising damage. If you do not have general liability insurance, you would have to pay for your own defense.

    Many factors affect general liability rates, including the type of business operations, your experience in the industry, the location of the business, and claims history.

    This policy is often confused with workers compensation policy.  General Liability does NOT provide coverage if an employee is injured.

     

    Workers Compensation– Provides compensation to an employee due to an accident, injury, or illness caused by the job.  These policies are rated based on the type of business operations, and employee payroll.  Business owners can opt out of the policy to reduce the rate. 

    These policies are audited so it is important to provide accurate numbers when estimating payroll.  If you use subcontractors in your business, it is important to obtain proof of insurance, otherwise their pay will be calculated in your payroll resulting in higher premiums.

     

    Commercial Auto- Provides liability and physical damage coverage for vehicles used for business purposes.

    Commercial auto insurance is for any vehicle, that is used for business purposes. The number of vehicles you insure, as well as your employees driving record(s) will impact your rate.

    If you are in an accident while driving to see a client or delivering goods, for instance, your personal auto insurance may not cover your losses.  If you are unsure if you need commercial auto coverage, contact your personal lines insurance agent first.  They should be able to tell you if the type of business operation you are handling can be covered under your personal policy. 

    Understanding Health Insurance Claims Process

    Health Insurance Explained

    The number one complaint I receive about health insurance is how confusing it is.  Below are some tips to help explain the process.  I will start with a brief explanation of some of the key terms.

    CO-INSURANCE is often confused with co-payment. A co-payment is typically a fixed dollar amount, while the co-insurance is a percentage that you pay after the deductible has been met. 

    OUT OF POCKET MAXIMUM is the amount you pay before the carrier is responsible for 100% of your medical expenses.  The out-of-pocket maximum is a combination of your deductible, co-pays, and co-insurance.

    DEDUCTIBLE is a fixed amount you are responsible for before the carrier begins to pay their share.  A higher deductible means lower health insurance premiums.

    CO-PAYMENT is a fixed amount you are responsible for a particular service.  Typically, a visit with the primary care physician has a lower co-pay than a visit with a specialist. 

     

    Tips to Filing a Claim

    1. Know Your Network. 

    You should have an idea before needing to use the coverage of who is in network vs out of network.  While you can go out of network on a PPO plan, co-pays and deductibles are significantly higher for an out of network provider.  HMO plans do not allow coverage for out of network providers.  This means you are responsible for 100% of the charges.

    You can keep this simple by sticking with the same medical group (i.e. Advocate, Duly Health, Northwestern Medicine, UIC, etc.).

    *If treated for an emergency, ALL services are covered as in network regardless of the location*

     

    1. Know Your Plan Coverage Limits.  While I do not expect you to know everything, having a general idea of your co-pays and deductible is helpful.  This eliminates any surprises in the end and alleviates stress when something major occurs.

     

    1. Urgent Care vs Emergency Room. Pay attention to the location of the urgent care facilities in your area.  The wait is much shorter than the emergency room AND the cost is much less.  It is common to see a $1,000 copay for the emergency room vs a $40 copay for the urgent care.

     

    1. Wellness Visit vs Follow Up. While wellness visits are typically covered at no cost, if the doctor codes the visit as a follow-up, you will be responsible for the payment.  The service itself is typically shorter and less involved if it treated as a wellness visit.

     

    1. Additional Charges. As a reminder, each service renders a separate bill.  For example, if a service requires additional testing, it is common to receive a separate charge for each service (i.e. labs, x-rays, etc.).  This is the same for hospitalization or surgery.  You can expect to receive a bill for the location, the doctor’s time, and whatever additional testing was required at the time.

     

    1. Consult an agent with any questions or issues. Many assume we are alerted every time someone files a claim, but we are NOT.  Your agent can help set expectations, obtain answers, and fight if need be.  While we are not able to discuss your claim with the carrier (HIPAA requirement), we can help you through the process.
    Questions
    Questions

    Feel free to email or call me with any questions or comments about my services or if you have any insurance related inquires.

    Contact
    Contact

    Phone: 708.444.0050
    Email: kelly@kellyburkeinsurance.com

    Availability
    Availability

    Monday - Friday: 10am - 5pm
    Evening and weekends
    available upon request