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Welcome
Happiness is the highest form of health. There’s no better way to preserve your health and your family’s health than with a health insurance policy from Sunrayz Insurance Solutions.
Health Insurance
Individual Health Insurance
The Affordable Care Act (ACA) has made significant changes to how individual insurance policies are rated and the benefits that these policies provide. Individual insurance policies and provisions are also regulated by the state where the policy is purchased.
Individual policies are often purchased with the advice of a professional insurance producer due to the complexity of coverage offerings and the premium cost.
Pre-existing medical conditions are no longer a factor when purchasing individual coverage. Enrollment is limited to Open Enrollment once per year and limited opportunities during the year as a result of a special enrollment right. A qualifying life event that triggers the special enrollment right is typically marriage, divorce, birth or adoption of a child or a change in income, among others. It is not a voluntary loss of employer coverage.
All policies must cover the same set of Essential Health Benefits. The essential health benefits include:
- Ambulatory patient services
- Emergency services
- Hospitalization
- Maternity and newborn care
- Mental health and substance abuse disorder services
- Prescription drugs
- Laboratory services
- Preventive and wellness services
- Pediatric services
- Rehabilitative and habilitative services and devices
The richness of the benefits under the plan is defined by tiers. These are based on the percentage the plan pays of the average overall cost of providing essential health benefits to members:
- Platinum plans are the most generous and more expensive. These are designed to pay as much as 90% of medical expenses
- Gold plans are designed to pay 80% of medical expenses
- Silver plans are expected to pay 70% of medical expenses
- Bronze plans are expected to pay 60% of medical expenses
It’s important to note that these tiers reflect what the plans will pay on average. These percentages are not the same as coinsurance, which calls for an individual to pay a specific percentage of the cost of a specific service.
How are Premium Rates Determined?
Premium rates both on and off of the marketplace are determined by the age of each individual who will be covered by a plan, whether or not they use tobacco, where a person lives (zip code) and the level of plan (metal tier) that they select.
Individuals may be eligible for government subsidies (tax credits) to help pay for premiums. Subsidies are available only for coverage purchased through the Marketplace. Subsidies are calculated based on the modified adjusted gross income for the year and the household size. Subsides may be available to individuals with incomes between 100% of the Federal Poverty Level (FPL) and 400% of the FPL.
Individuals may also qualify for savings on out-of-pocket costs when they obtain medical care. These savings are called "cost-sharing reductions." Cost-sharing reductions reduce the amount an individual pays for out-of-pocket costs such as deductibles, coinsurance and copayment. They are available for Silver plans purchased through the exchange for individuals with incomes no higher than 250% of the FPL.
Common Health Insurance Terms
When discussing health insurance with an agent, it helps to understand some of the common terms you’ll hear. Below you’ll find definitions to some of the most common health insurance terms.
- Deductible - The amount of money you pay toward medical bills before your insurance coverage begins.
- Co-pay - A specified amount of money you pay upfront for doctor visits and prescription refills.
- Coinsurance - The percentage of medical bills you pay after meeting the deductible.
To learn more about your options, please contact us. We’ll guide you toward a more secure future.
If you prefer to self-enroll, please click the link below:
Life Insurance
Having the right life insurance is pivotal in planning for the future of you and your loved ones. Life insurance can help you fulfill promises you’ve made your family when you are gone.
Don’t leave the future of you and your loved ones to chance. Sunrayz Insurance Solutions can help you find the right life insurance coverage for you, and help ensure that your policy continually meets your needs.
Life Changes. So Should your Policy.
For each of our neighbors in Florida, the right life insurance will be unique and dependent on personal and financial needs. As your life changes, your life insurance coverage may need to change in order to adapt to your current needs. Some life transformations that may require a policy “tune-up” include:
- You recently married or divorced
- You have a new child or grandchild
- You have opened or expanded a business
- Your health or your spouse’s health has deteriorated
- You are providing care or financial assistance to a parent
- Your child or grandchild requires assistance or long-term care
- You recently purchased a new home
- You are planning for a child or grandchild’s education
- You are concerned about retirement income
- You have refinanced your home mortgage in the past six months
- You or your spouse recently received an inheritance
- You have a sizable estate
What you Need to Know
Sunrayz Insurance Solutions can help you select the best life insurance coverage for your needs. There are several different types of life insurance products available – the most common include:
- Term Life Insurance
Term life insurance provides protection for a specified period of time. If you do not currently have life insurance, term can be a good place to start. It’s generally less expensive than permanent (whole) life insurance, and is available in varying time periods with fixed premiums from a one year (annual renewable term) to 20-year (level term) period.
Furthermore, term life insurance is sometimes convertible to permanent coverage, providing you with flexibility as your needs change.
- Whole Life Insurance
Whole life insurance is a form of permanent life insurance that remains in force for your entire lifetime, provided premiums are paid as specified in the policy. Whole life insurance can be an investment opportunity, as many whole life insurance policies also build cash value over time.
- Universal Life Insurance
Universal life is a form of permanent life insurance characterized by its flexible premiums, face amounts and unbundled pricing structure. Universal life can build cash value, which earns an interest rate that may adjust periodically, but is usually guaranteed not to fall below a certain percentage.
About Us
Protecting Futures
Sunrayz Insurance Solutions specializes in providing comprehensive health insurance services for individuals, both on and off the marketplace, ensuring personalized solutions for every need. At Sunrayz, we are committed to helping businesses thrive and individuals find peace of mind through tailored financial and insurance strategies.
Assessing Need
Many financial experts will tell you some unforeseen events and a lack of the right kind of insurance can spell trouble quickly. Call us today, and we'll analyze your insurance needs and get you covered quickly at the right price.
Building Relationships
Everyone has different insurance needs. Call us today for a personalized individual assessment and find out how we can help protect your hard-won assets.