Carey Williams




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GAP Plans

Employers today are faced with the dilemma of how to contain rising health care costs while continuing to offer affordable coverage to their employees.


To curb premium increases, consideration is given to higher deductibles, larger co-pays & coinsurance...leading to legitimate concerns about the additional financial burden placed on their employees. A GAP Plan can help employees adjust to their new health plan by coveraging these increased Out-of-Pocket expenses



How Does a GAP Plan Work?

A GAP plan is Secondary Coverage that will COMPLIMENT and MIRROR your Primary Coverage Benefits provided by your Health Insurance Carrier. 


It will pay 1st Dollar Benefits to help cover your out-of-pocket expenses...applied 1st to your deductible, then to your co-insurance obligations:


  • Inpatient Hospital Confinements
  • Outpatient Hospital Procedures and Diagnostics
  • Testing & Procedures From Doctor Office Visits
  • Ambulance Services
  • Emergency Room


GAP plans DO NOT provide coverage for out-patient prescription drugs.




Implementation Strategy

  • Do not accept the Renewal Offering for your Current Plan that will have large premium increase.
  • Renew with a New Plan that has larger deductible and out-of-pocket coinsurance limits...resulting in SIGNIFICANT premium savings
  • Then, use these new savings and choose a GAP plan. I recommend implementing a GAP plan that is "100% Employer Paid" to avoid individual underwriting that may be required with a "voluntary" plan.  This way all insureds will be accepted by the carrier.
The impact of this solution is 2 fold:
  1. Overall premiums are stabilized to a level very close to your current premium level
  2. Overall benefits are kept as close as possible to current levels

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