Wyoming (WY)
Individual Health Insurance Regulations

Learn more about Wyoming Individual Health Insurance

Health insurance is the best solution when it comes to securing your family’s physical well-being. In the event of unforeseen circumstances, suitable health coverage can save you from unexpected medical bills. Shopping for a health insurance policy is tedious and needs evaluation of family’s medical needs and finances. If you are a Wyoming resident, you can choose from wide range of health insurance alternatives. The Wyoming Insurance Department regulates the laws under which the Wyoming health insurers can sell private health insurance to individuals and families.

The State of Wyoming does not require health insurance carriers to offer standardized health plans. Although the law does require that certain benefits be offered, each plan design will be unique in the benefits that it provides. Wyoming insurance regulations also provide for the medical underwriting of individual health policies. Medical underwriting provides the insurers an opportunity to obtain and review past and present medical history on each applicant. Based upon the findings of the underwriters, the insurance carrier may opt to provide coverage with full benefits, offer a modified version of coverage, citing specific limitations and exclusions; or deny coverage based upon the applicant's health history. Although the law requires applicants receive credit for prior creditable coverage, those applicants lacking prior creditable coverage may be subject to a 6 month look back, 12 month exclusionary period on pre-existing medical conditions. Coverage may also be modified by the use of elimination riders. An elimination rider is used to temporarily or permanently eliminate the coverage of specific medical conditions. Because there are differentiating factors used when determining rates, the premiums for individual health plans may vary.

Request Wyoming Individual Health Insurance Quotes from any of our multiple providers.

Wyoming (WY)
Small Group Health Insurance Regulations

For purposes of obtaining employer-sponsored medical coverage, the State of Wyoming defines a small group as a group of employees numbering 2 to 50. Wyoming insurance regulations, in accordance with the Health Insurance Portability and Accountability Act of 1996, require that group health benefits must be offered on a guarantee issue basis. Issuance of coverage under this process provides that no group may be declined medical insurance coverage based upon the past or current health status of the group or individual employee. Group applicants lacking prior creditable coverage or whose prior coverage has a break of more than 63 days, are subject to a 6 month look back, 12 month exclusionary period on all pre-existing medical conditions. The process of medical underwriting is permitted in the determination of group health premium rates and may cause for a variation of plus or minus 30 percent of the indexed group rates.

Small business owners can request quotes for Wyoming group health insurance from any of our listed providers.

Wyoming COBRA and Continuation Coverage

Federal COBRA laws apply to any company that has 20 or more employees. Under federal COBRA, an employee may remain on the employer sponsored plan for 18 months following the termination of their group health coverage. Wyoming has a mini-COBRA regulation which applies to groups of less than 20 employees. The Wyoming mini-COBRA regulation allows an employee to remain on the group health plan for an additional 12 months. Election of your continuation of coverage must be made within 31 days of the termination of your group health plan coverage. Under Wyoming's mini-COBRA law, cost for the continuation of coverage is the sole expense of the beneficiary. The Wyoming Health Insurance Pool offers guaranteed issue medical coverage for persons exhausting their COBRA benefits that are not eligible for standard issue individual coverage.