It's the same with all things in life, we don't think about things until we need to and it's the same with health insurance as most people don't give it any serious consideration until they are faced with a urgent health crisis. Is it any surprise than that the majority of us are caught unawares when an emergency occurs and it is only then we realize the insurance we purchased many years ago is now out of date and doesn't provide sufficient cover for our present situation.

There are a bewildering array of options available when deciding on which insurance plan but one basic to remember is that all insurance is only as good as the insurance underwriters and the company behind it. Here are 9 points we should all consider before choosing our next insurance company.

1. Tell the truth

Full disclosure of the facts applies whether it's health, household, auto or personal insurance because withholding vital facts can and does invalidate insurance cover if you fail to reveal the truth with your application. When purchasing an individual health insurance policy for example an underwriter will look at your medical history before offering health insurance cover, see pre existing conditions. In order to make valid comparisons it is vital to note the questions asked on each form as this will enable you to compare like with like. This exercise is also useful in that it can highlight areas of concern to an insurance company and also alert you if one company seems unconcerned by factors other find unacceptable, in that case you may need to ask more questions before making a decision.

2. Pre-Existing Conditions

It is essential that pre existing conditions are fully disclosed as most Insurance companies will not insure a pre-existing condition. You may be able to get cover for some pre existing conditions but only after a lengthy waiting period. Still others are legally mandated to carry guaranteed issue policies. Before signing an agreement clarify what is considered a pre-existing condition, any exclusionary period, and the level of coverage provided once the exclusion period ends.

3. Speak to an insurance agent

Speaking to a fully licensed independent insurance agent can save many hours of fruitless investigation. An insurance agent is able to provide independent feedback from other clients about a given health insurance company and their insurance products.

4. Think to the future

Remember that your needs will change over time so it is essential that any insurance policy can change as your needs and requirements change. A company that has a limited policy growth potential will probably be of little use to you very quickly.

5. It's your choice

It is important that the insurance policy you choose will work for and with you therefore, you should fully think through your requirements and needs when it comes to coverage. With a health insurance plan for example ask yourself how important it is that you pick your own doctors? Perhaps it doesn't matter to you in which case an HMO policy may be a cost-saving choice. On the other hand, if you have a favorite doctor and wish to continue consulting this physician rather than picking someone else, you may wish to consider the pricier PPO.

6. Extra's

It's not unusual for an insurance company to bundle their products with other offers like short- and long-term disability, prescription drug coverage, dental and vision coverage.

7. Extra Expenses?

Make sure to look at the small print, how much are co-pays and is there an annual cap on the co-pays? Are these caps per calendar year or any 365-day period? In addition to co-pays, what is the percentage of coverage?

8. Contacting the insurance company

It should be an easy exercise contacting your insurance company, do they have extended office hours and a toll-free number. It's easy enough to check these things out by simply making a call to get a feel for their average hold times, times of operation, and just what services are offered by phone.

9. Insurance company rating

The Better Business Bureau rates every insurance company, any company that has too many unanswered complaints is probably best avoided.