Zein Insurance Services Inc.

General

At ZIS Insurance we walk our clients through the complex maze that is the insurance market. Here are some of our customer’s most frequently asked questions

General

Why do I need an agent?

Insurance is a highly complex financial product which is based upon a large number of factors. Even for our clients with dedicated financial departments, they very often do not have the valuable knowledge and experience of negotiating with insurance carriers that ZIS has by doing this on a daily basis.

Very often our clients either are not fully aware of what their current policy does/does not provide, or the level of coverage they require. At ZIS we are independent agents, meaning we do not work for the carrier’s, we work for you – our clients. We only offer our clients the policies that will provide them the protection and peace of mind that should always come with an insurance policy. Let us work for you and click at the top of the page for a quote

What if my insurance rejects a claim?

ZIS Insurance Services offers a dedicated support staff that is available to all of our customers. Often it can be a simple error by an adjuster that we can easily identify and correct. We work with you for the full duration of your insurance policy for the simple reason we want you to remain a customer.

Can I trust a carrier I've never heard of before?

For some individuals with special circumstances, they may not qualify with a larger, more well-known, carrier either for reasons of cost or not offering a specific product. Or a policy through a larger carrier may be impractical for a variety of reasons.

At ZIS we leave no rock unturned when looking for your insurance options. And we deal exclusively with carrier’s who maintain a Better Business Bureau (BBB) of A or higher AND whose financial health has been independently audited and verified

ZIS only offers policies and carriers which best suits our clients needs. Therefore it is important to note that if this carrier was proposed by one of our staff then it is for this very reason. Our staff is always available to communicate to you in greater detail any information or questions you may have. And if available we can provide you the comparative quote with a larger carrier and communicate what you lose/gain between them.

Health Insurance

What if my insurance rejects a claim?

ZIS Insurance Services offers a dedicated support staff that is available to all of our customers. Often it can be a simple error by either by the insurance carrier or with the healthcare provider. Our staff can quickly identify and correct these issues on your behalf. We work with you for the full duration of your insurance policy for the simple reason we want you to remain a customer.

What if I received this policy as part of a group policy

All beneficiaries of any health insurance group policy offered by ZIS can access our dedicated support staff who will assess your situation. Simply call 818-887-8780

Which policies with cover my doctor? / Which doctors does my policy cover?

You may use our online tool to find a doctor or see which doctors are covered. FIND A PROVIDER

Ultimately although the answer to this specific question is impossible to give a definite answer to. Each healthcare provider specifies which insurance carrier they will accept / not accept. Knowing this fact alone is still not a reliable method. The healthcare provider can choose to accept only certain networks that the carrier offers to customers.

This is where ZIS can help. We always verify whether or not your doctor accepts the policies available for you — it’s why we’re here. Call us at (818) 877-8780 to have an agent discuss with you your health options.

Do I need an individual policy if I have group insurance at work?

Possibly. Many factors must be considered, such as: Do I plan to remain at my current job? Do I feel secure in my current job? What current benefits does my employer provide, and do I feel they are sufficient? Are there certain benefits that are not provided, or limited in a way I feel leaves a gap to be filled in my coverages? Are there members of my family who are not adequately covered, or are ineligible, for my group benefits?

Discuss these issues with us, at ZIS, or with your health insurance agent and he or she can make a recommendation as to the best choices to assure your medical coverages are adequate for your needs.

How does a health insurance deductible work?

A deductible is the amount you must pay before the insurance company begins to pay on your bills. This is an annual amount per insured person, although typically there will be a maximum amount of deductibles you will have to pay in a given year.

For example, if your “per person” deductible is $500, and you have five people in your family covered under your health insurance, the maximum “family” deductible will usually be $1,500. Once three of the people in your family have paid out a $500 deductible, no more deductibles will apply to any member of the family for the remainder of the year. This can vary, so be sure to discuss the specifics of your policy with your ZIS agent or with your insurance agent.

What does “coinsurance” mean in a health insurance policy?

In a health policy, coinsurance represents the percentage of the medical bills the insured will be responsible to pay after the deductible is met.

For example, if your policy is “80% coinsurance”, then once the deductible is met, the insurance will pay 80% of covered medical bills and you pay 20%. Typically there will also be a provision called a “stop-loss”, which is basically a maximum amount you will ever have to pay out of your own pocket for covered medical bills.

Let’s say your policy states it is “80% coinsurance, with a $1,000 stop-loss.” Once you’ve paid your deductible, your covered medical bills are $7,000.

Here’s how that would work:

First, the coinsurance provides the carrier will pay 80% of the $7,000 ($5,600) and you will pay 20% ($1,400). But, your “stop-loss” says your maximum payable for this claim is $1,000! So you only pay the $1,000, and the additional $400 comes from your insurance company. Notice this provision gets more valuable as the claim gets larger—no matter how large the final claim, or what percentage of coinsurance you’ve purchased, your stop-loss says your share of the covered expenses will never exceed $1,000.

Please note some polices refer to “stop-loss” as “maximum out-of-pocket”. And many polices include the amount of the deductible in determining when you hit your maximum, also a helpful provision.

What is a PPO?

This stands for “Preferred Provider Organization”. Basically, this is a network of health care providers who have agreed to provide certain services at agreed-upon costs for individuals whose coverage is a part of the network. (Some suggest it is best described as a discount-buying club for medical care.) You are free to use any medical provider within the network, and all will honor the agreed services and fees.If you choose to use a provider who is not an approved member of the network, your coverage may be diminished, your personal cost higher or, in some cases, benefits for non-emergency services may be totally denied. Be sure to discuss with your Trusted Choice® agent if your coverage will utilize one or more PPOs, who are the current approved providers, and how utilizing an out-of-network provider will affect your coverage.Learn more about PPO.

What is an HMO?

This stands for “Health Maintenance Organization”. Unlike a PPO network of independent care providers, HMOs are typically fixed facilities, and benefits are designed to cover services obtained at the HMOs facilities and supplied by HMO personnel. HMO coverage plans must specify how and under what circumstances services may be obtained from non-HMO providers, and this information is crucial to determining the value of the HMO under your particular circumstances.Our expert team of health insurance professionals at ZIS or your insurance agent can assist you in determining whether there are good HMO options available in your area, their benefits and any limitations for you to consider in making your final medical coverage choices. Learn more about HMO.

What if I want to go to any doctor or hospital I choose?

You can buy health insurance which basically says “go to whomever you want and have them send us the bill” (often referred to as “indemnity” coverage), but it lacks the negotiated cost discounts and overview of services (meant to dissuade providers from over treating and over billing) that PPOs and HMOs utilize to try and keep costs lower.Thus an indemnity policy may be readily available to you, but may be significantly more expensive than a coverage plan utilizing a PPO or HMO. Ask us at ZIS or ask your insurance agent for your options and possible premiums, and then choose the coverage method that best meets your personal preferences and needs.

Commercial Business

Can my business pay the lump-sum premium in monthly payments?

At ZIS we understand that pre-paying a year of premium could have an unacceptable impact on a business’s monthly cashflow. ZIS offers its commercial business customers the ability to pay their workers compensations or general liability insurance in monthly installments

Personal Auto

What level of liability should I have? Can I just get the minimum?

We strongly recommend against the minimum level of liability for individuals who either have high levels of income or a high personal net-worth. It doesn’t take much to exceed the minimum property liability of $5,000 and injury liability of $15,000/$30,000. In the event of an insurance claim, any excess liability you incur will come directly from your personal assets and/or your personal wages.

For young people beginning their careers this can be exceptionally damaging. Along with future wage garnishments, failure to pay the excess liability can result in a revoked driving license which could severely limit their ability in finding gainful employment. Our recommended level of liability is based upon many factors such as: wages, assets, miles driven, age, your commute route, and how much you want to shield your wealth/wages from

Residential Property

Can my business pay the lump-sum premium in monthly payments?

At ZIS we understand that pre-paying a year of premium could have an unacceptable impact on a business’s monthly cashflow. ZIS offers its commercial business customers the ability to pay their workers compensations or general liability insurance in monthly installments

Specialty Insurance

What does a disability income policy do?

Disability insurance is a form of health insurance that is designed to provide you with an income during the time you are unable to work due to illness or injury.

What does “disability” mean?

In its simplest sense, it means you are unable to work. But it’s important you realize the definition of the term under a given disability income policy will be specified by that policy. The broader the definition of disability, the higher the cost and increased limits to the underwriting restrictions.

For example, some policies will define “disability” to mean “the inability to reasonably perform the duties of your occupation,” while another will define it as “the inability to reasonably perform the duties of any occupation”. How significant is this difference of a single word?To use an extreme example, if you were a highly trained surgeon, the first policy would pay you if you were sufficiently injured that you couldn’t perform surgery. The second would refuse to pay if you could perform any job—even sweeping floors or answering phones. Despite the obvious loss of income when going from surgeon to receptionist, the policy definition of disability will determine whether you will receive benefits for specific policy.

As you might guess, the second policy is likely to be great deal less expensive. Also, you can see your current occupation is the single most important factor in determining what type of disability policy and coverage options you will be eligible for.