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Obviously an insurance company need to be able to "pay out" in the case of a valid claim. Therefore the funds ultimately needed are those needed to cover the entire risk.

The way it works is the risk is spread amongst a large pool of underwriters (who can afford to lose the amount staked), who for putting their money up for the risk get a percentage return each year from the client premiums.

One also needs a team of assessors to look at claims and make sure there is no fraud going on.

Thus an insurance business needs to have a handle on the risk relating to the insurance policies and a pool of underwriters, it is a complex business to get into and not just "an amount of money" need to start a business.

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How can I dispute a health insurance claim?

To dispute a health insurance claim, you can start by contacting your insurance company and providing any necessary documentation or information to support your case. You can also request a review of the claim by a third-party organization if needed. Be sure to keep detailed records of all communication and documentation related to the dispute.


How do you find old insurance company named United Life Insurance Company Jacksonville FL?

To find information about the old United Life Insurance Company in Jacksonville, FL, you can start by searching online databases and archives for historical insurance companies. Websites like the National Association of Insurance Commissioners (NAIC) or state insurance department resources may provide details about the company's history and status. Additionally, local libraries or historical societies in Jacksonville may have records or archives related to the company. Lastly, using social media or online forums focused on insurance history can connect you with individuals who might have more information.


What is the difference between a rejected claim and a denied claim in the context of insurance coverage?

A rejected claim is when the insurance company determines that the claim does not meet the policy requirements from the start, so it is not processed at all. A denied claim is when the insurance company processes the claim but decides not to pay for it, usually due to not meeting specific coverage criteria.


How can I effectively negotiate my medical bills with insurance to lower my out-of-pocket costs?

To effectively negotiate your medical bills with insurance to lower your out-of-pocket costs, you can start by reviewing your insurance policy to understand your coverage and benefits. Then, communicate with your healthcare provider and insurance company to discuss payment options, inquire about discounts or payment plans, and appeal any denied claims. It's important to be persistent, keep detailed records, and consider seeking help from a medical billing advocate if needed.


Can you explain how family deductibles work in health insurance plans?

A family deductible in a health insurance plan is the total amount that a family must pay out of pocket for covered medical expenses before the insurance company starts to pay for any costs. Once the family meets the deductible, the insurance company will typically start covering a portion of the costs, with the family responsible for any remaining copayments or coinsurance.

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