Group conversion

Right of an individual covered by an employer’s group insurance policy to convert to coverage under an individual insurance policy (different benefits and rates) and pay premiums directly to a health plan. Usually there is continuity of insurance, and it is not necessary for the individual to take a physical examination. This option may be made available when a person leaves the group, benefits are downgraded or terminated for a specific class, or when the group policy is terminated.

Group coverage

Insurance agreement between a health plan (contracting entity) and an employer (certificate holder) that gives coverage to all employees (group members) of the plan. The group members receive an identification card to show they have health insurance coverage. Under the Health Insurance Portability and Accountability Act (HIPAA), insurance portability is tied to employer-group plans in which an employee changes jobs.