If nothing happens, you’re actually better off all round. Let’s start off with the most vital question. What’s going to happen to your group health plan? All this time, you’ve been sheltered from the hard world of personal health insurance . What are you entitled to receive? Leaving to one side the questions of your severance pay, unemployment compensation and whether your employer will pay for outplacement services to help you find your next job, look at health insurance coverage through COBRA (Consolidated Omnibus Budget Reconciliation Act of 1985).

Wellness plans, life insurance, savings accounts and disability plans are excluded. So long as your employer had twenty or more employees, and terminates you without a justification of gross misconduct, the rights will probably apply. Your employer should have sent you and your spouse a notice about your rights. If your spouse and children are covered under the plan, they have separate rights to claim COBRA coverage. You all have sixty days from the date coverage under the plan ends to elect for coverage under COBRA. You must make your first premium payment within forty-five days and thereafter at regular monthly intervals. You will lose coverage if you miss a payment. Use this breathing space to find new employment, secure in the knowledge that your health insurance needs are covered. That is, assuming you have laid the money by like Aesop’s ant.

Now, ignoring the politics and focussing on the practical realities, there are two reactions. You can give up on the search for affordable health insurance and wait until the problem becomes sufficiently severe to justify treatment at your local emergency room. It is pointless making any judgemental comments about exposing yourself and others to the risk of more serious injury by delaying treatment. If the premiums demanded by the health insurance industry are always going to be outside your budget, this is not your fault. If anyone or anything is to blame, it is the political system that permits a for-profit system to operate in the health market. Once you introduce the profit motive into any service, costs rise to maintain or maximise profits. Numbers in the accounts maintained by the hospitals and insurance companies do not translate into the faces of the children who are denied treatment. Most CEOs sleep well at night. Alternatively, you can use this site and others like it to get comparative quotes.

The rates are usually less than for equivalent cover under a permanent policy. This means spending time actually talking with the health insurance companies and their agents. Only when you talk to people and ask the right questions about discounts and the different types of plan and policy, do you begin to find something affordable. The more passive you are, the more impossible it becomes to get access to lower rates. As one of the middle class, you may come more easily to this process. But no matter what your background, you need to overcome your fears and start negotiating the best deal for your family. If this is too daunting, do not let pride get in the way. Ask at your local church or a charity for someone to help.