by LAS
Please see the latest column from Wendell Potter, the insurance industry whistle-blower, on the pages of PR Watch, a watchdog and consumer service at PR Watch dot org. Potter discusses what provisions of the new healthcare reform bill are worrying insurance industry execs and why, and how they hope to pull the teeth from the new law. Take for example the Medical Loss Ratio (aka MLR).
To quote Mr. Potter: The insurance industry tried unsuccessfully to strip the minimum medical-loss ratio provision from the bill. It wanted to have the freedom to keep spending less and less on medical care because every dollar not paid out in claims is a dollar that can be used instead to increase profits and to pay CEOs millions of dollars every year. Having lost the battle on Capitol Hill, the insurers are now turning their attention to the NAIC, which Congress gave the responsibility of determining the nitty-gritty details of how insurers will have to comply with the law.
Rest assured that the insurers will be pulling out all the stops to persuade the insurance commissioners to make it easy for them to meet the requirements of the new law by manipulating the definition of medical care. One of the things insurers will try to do, for example, is to get the NAIC to let them shift a lot of what insurers now count as administrative expenses into their medical expense category. If that happens, the insurers will look like they're suddenly spending more on medical care without changing anything at all.
The devil is ever in the details. And if you let the devil define all the terms of the law's provisions, then the industry will have gutted the law without seeming to have lifted a finger to do so.
So keep an eye peeled for shifty little maneuvers like this. And more power to Mr. Potter. Read the last column of his at http://www.prwatch.org/node/8977.
Showing posts with label insurance carriers. Show all posts
Showing posts with label insurance carriers. Show all posts
Thursday, April 1, 2010
Friday, July 3, 2009
Florida Bill Regulating Annuities Dies in Committee
by L.A.S.
A proposed bill that would require annuities sold to seniors to provide a 60-day “free-look” period died in committee. The bill was labeled SB 724 with the companion House bill labeled HB 141.
Even though the billed died in this session of the state congress, it could be resurrected in the next legislative session.
Provisions of the bill include not only the above clause, but also: would allow return premiums on said annuity sale for 60 days after purchase; no surrender charges after the fifth year of an annuity contract; bars family members of an insurance agent from being beneficiaries of an insurance policy.
The bill also would tighten standards of conduct for insurance agents by: expanding grounds for suspension or revocation of a license; in cases of “twisting” or “churning” of policies belonging to clients age 65 or more, such practices would become third degree felonies.
A proposed bill that would require annuities sold to seniors to provide a 60-day “free-look” period died in committee. The bill was labeled SB 724 with the companion House bill labeled HB 141.
Even though the billed died in this session of the state congress, it could be resurrected in the next legislative session.
Provisions of the bill include not only the above clause, but also: would allow return premiums on said annuity sale for 60 days after purchase; no surrender charges after the fifth year of an annuity contract; bars family members of an insurance agent from being beneficiaries of an insurance policy.
The bill also would tighten standards of conduct for insurance agents by: expanding grounds for suspension or revocation of a license; in cases of “twisting” or “churning” of policies belonging to clients age 65 or more, such practices would become third degree felonies.
Class-Action Suit Fines Insurers for Concealing LTC Increases
BY L.A.S.
Three companies were fined for concealing planned rate increases on long-term care policies in the state of Missouri. The companies were: Mutual of Omaha, American Heritage Life, and Wakely & Associates (a third-party administrator).
Under the court settlement of the class-action suit, Mutual of Omaha will have to maintain benefits on current policies with a value of $8.5 million. American Heritage will have to provide benefits to lapsed policies valued at $2.5 million. Wakely has paid a $4 million fine.
Wakely had helped American Heritage with the design, marketing and sale of the long-term care policies.
Those affected included 1670 people in Missouri who bought long-term care insurance policies between 1995 and 2000.
Three companies were fined for concealing planned rate increases on long-term care policies in the state of Missouri. The companies were: Mutual of Omaha, American Heritage Life, and Wakely & Associates (a third-party administrator).
Under the court settlement of the class-action suit, Mutual of Omaha will have to maintain benefits on current policies with a value of $8.5 million. American Heritage will have to provide benefits to lapsed policies valued at $2.5 million. Wakely has paid a $4 million fine.
Wakely had helped American Heritage with the design, marketing and sale of the long-term care policies.
Those affected included 1670 people in Missouri who bought long-term care insurance policies between 1995 and 2000.
Thursday, May 7, 2009
An Alphabetical List of Insurers Offering Supplemental Insurances
by L.A.S. --
The following is a list of the major insurers offering supplemental insurances which employers may choose to offer instead or as an alternative to standard group coverage. You may also wish to investigate other companies such as AdminiStaff, which offers supplemental insurance in addition to payroll services.
AEGIS ADMINISTRATIVE SERVICES INC.
888-881-2307
www.mini-meds.com
Offered as Limited Health Benefit Plans. Offered in ALL states. Issue ages 18-65. No deductible. Guaranteed issue. Details: defined benefits for inpatient hospital, surgery, outpatient, office visits, pharmacy, dental.
AIGILIS CORP.
407-324-3921
www.Rethink-Healthcare.com
Offered as eHealth Companion. Offered in ALL states. Issue ages not stated, but available to all employees. No deductible. Details: intended to be a personal health care management system to help you transition to a Consumer Directed Health Plan. Compatible with HSA, HRA.
AIGILIS CORP.
ALSO offers another plan called Way2SaveRx which is a discount pharmacy card. Minimum age 18. Available in all states. No deductible. Over 53K participating pharmacies. No enrollment or membership fees.
ALTERNET BENEFITS
877-815-2121
www.Alternetbenefits.com
Offered as Fusion. Offered in all states EXCEPT ID, MN, NY, VT, WA. Issue ages 18-70. Deductible $750 to $15,000 on catastrophic medical. Guaranteed issue. Details: Voluntary major medical.
AMERICAN FIDELITY ASSURANCE CO.
877-967-5748
www.afadvantage.com
Offered as Hospital GAP Plan. Offered in all states EXCEPT ID, MD, MN, NH, NJ, NY, ND, WA. . Issue ages 18-69. Details: supplemental coverage to cover your out-of-pocket costs. Not portable.
AMERICAN PUBLIC LIFE INSURANCE CO.
800-256-6736
www.ampublic.com
TWO PLANS: One is offered as Hospital Indemnity. Available in all states EXCEPT NJ, NY, VT. Issue ages 17-64. NO DEDUCTIBLE. Details: includes Rx discount, flexible plan designs, options for surgery, outpatient, emergency, wellness, etc.
The other is offered as MEDlink. Issue ages 18-69. No deductible on inpatient. This is not portable.
AMERICAN WORKER PLANS INC.
866-215-9300
www.theamericanworker.com
Offered as The American Worker Plan. Available in all states EXCEPT HI, MA, NY. Issue ages 18-70. Not portable. Limited benefit, critical illness, dental, disability, mini-med.
EQUITABLE LIFE & CASUALTY
800-352-5121
Offered as EquiChoice. Available in states EXCEPT AK, CA, CT, DE, DC, FL, GA, HI, ME, MD, MA, MN, NH, NJ, NY, RI, VT, WA, WI. Issue ages 65 and up. Guaranteed renewable. Designed as a Medicare Supplement.
GREAT AMERICAN SUPPLEMENTAL BENEFITS GROUP
866-459-4272
www.gasbinsurance.com
Offered as Medicare Supplement Plans. Offered in all states EXCEPT AK, DC, HI, MA, NJ, NY. Issue ages 65-99. Guaranteed issue, with pharmacy discount card.
HARBOR INSURANCE MARKETING
866-424-2167
THREE PLANS, first is Offered as the Gap Plan. Offered in all states EXCEPT CA, CT, FL, MN, MT, NJ, NY, ND, VT. Issue ages 18-70. No deductible. Not portable but can be continued under COBRA. Details: hospital benefit, fills gaps, flexible with several optional riders like surgery, outpatient surgical facility, office visits, diagnostics, wellness, ambulance, ER, accident, Rx card, etc.
Second plan is called Hospital Indemnity. Issue ages 18-64. No deductible. Covers expenses up to $1000 per day. Optional riders include AD&D, diagnostics, emergency, ICU, outpatient, private duty nursing, surgical, wellness, etc.
Third plan is called The Answer Plan. Issue ages 0-63. No deductible on inpatient. Covers medical expense inpatient and outpatient up to $250,000 per covered person per injury.
HEALTHPLAN SERVICES
800-545-6441
www.healthplan.com
Offered as Golden Rule Medicare Supplement. Available in AK, AR, CO, IL, IN, IA, LA, MD, MI, MS, MO, NE, OH, OK, SC, TN, TX, VA, WV. Issue ages 65 plus. Deductible varies.
KEY BENEFIT RESOURCES
877-907-5511
www.keybenefitresources.com
Offered as Keygap and KeySelect. Available in all states EXCEPT CA, CT, DE, FL, MA, NH, NY, WA. Issue ages 18-no limit. COBRA eligible. One is a group supplemental policy, the other is a limited benefit group plan.
MAGNA BENEFITS SOLUTIONS INC.
616-949-1199 or 800-278-2323
www.magnabenefits.com
Offered as Retiree Group Health and Prescription Drug Plans. Available in ALL states. Issue ages 65 unless already retired and Medicare eligible. Options include dental, vision, identity theft.
TRANSAMERICA WORKSITE MARKETING
800-400-3042
www.transamericaworksite.com or transchoiceplus.com
Offered as TransChoice Plus. Available in all states EXCEPT CA, CT, HI, NH, NJ, NY, VT, WA. No age restrictions for issue. No deductible. Limited group benefit for full or part-time employees. Options include diagnostics, surgical, inpatient, wellness, ambulance, hearing, pharmacy, etc.
UNUM
207-575-4942
www.unum.com
Offered as MedSupport. Available in all states EXCEPT CT, FL, KS, MA, MN, NJ, NY, WA. Issue ages 17-64 and spouse. No deductible. Inpatient confinement and outpatient surgery, diagnostics, ER.
The following is a list of the major insurers offering supplemental insurances which employers may choose to offer instead or as an alternative to standard group coverage. You may also wish to investigate other companies such as AdminiStaff, which offers supplemental insurance in addition to payroll services.
AEGIS ADMINISTRATIVE SERVICES INC.
888-881-2307
www.mini-meds.com
Offered as Limited Health Benefit Plans. Offered in ALL states. Issue ages 18-65. No deductible. Guaranteed issue. Details: defined benefits for inpatient hospital, surgery, outpatient, office visits, pharmacy, dental.
AIGILIS CORP.
407-324-3921
www.Rethink-Healthcare.com
Offered as eHealth Companion. Offered in ALL states. Issue ages not stated, but available to all employees. No deductible. Details: intended to be a personal health care management system to help you transition to a Consumer Directed Health Plan. Compatible with HSA, HRA.
AIGILIS CORP.
ALSO offers another plan called Way2SaveRx which is a discount pharmacy card. Minimum age 18. Available in all states. No deductible. Over 53K participating pharmacies. No enrollment or membership fees.
ALTERNET BENEFITS
877-815-2121
www.Alternetbenefits.com
Offered as Fusion. Offered in all states EXCEPT ID, MN, NY, VT, WA. Issue ages 18-70. Deductible $750 to $15,000 on catastrophic medical. Guaranteed issue. Details: Voluntary major medical.
AMERICAN FIDELITY ASSURANCE CO.
877-967-5748
www.afadvantage.com
Offered as Hospital GAP Plan. Offered in all states EXCEPT ID, MD, MN, NH, NJ, NY, ND, WA. . Issue ages 18-69. Details: supplemental coverage to cover your out-of-pocket costs. Not portable.
AMERICAN PUBLIC LIFE INSURANCE CO.
800-256-6736
www.ampublic.com
TWO PLANS: One is offered as Hospital Indemnity. Available in all states EXCEPT NJ, NY, VT. Issue ages 17-64. NO DEDUCTIBLE. Details: includes Rx discount, flexible plan designs, options for surgery, outpatient, emergency, wellness, etc.
The other is offered as MEDlink. Issue ages 18-69. No deductible on inpatient. This is not portable.
AMERICAN WORKER PLANS INC.
866-215-9300
www.theamericanworker.com
Offered as The American Worker Plan. Available in all states EXCEPT HI, MA, NY. Issue ages 18-70. Not portable. Limited benefit, critical illness, dental, disability, mini-med.
EQUITABLE LIFE & CASUALTY
800-352-5121
Offered as EquiChoice. Available in states EXCEPT AK, CA, CT, DE, DC, FL, GA, HI, ME, MD, MA, MN, NH, NJ, NY, RI, VT, WA, WI. Issue ages 65 and up. Guaranteed renewable. Designed as a Medicare Supplement.
GREAT AMERICAN SUPPLEMENTAL BENEFITS GROUP
866-459-4272
www.gasbinsurance.com
Offered as Medicare Supplement Plans. Offered in all states EXCEPT AK, DC, HI, MA, NJ, NY. Issue ages 65-99. Guaranteed issue, with pharmacy discount card.
HARBOR INSURANCE MARKETING
866-424-2167
THREE PLANS, first is Offered as the Gap Plan. Offered in all states EXCEPT CA, CT, FL, MN, MT, NJ, NY, ND, VT. Issue ages 18-70. No deductible. Not portable but can be continued under COBRA. Details: hospital benefit, fills gaps, flexible with several optional riders like surgery, outpatient surgical facility, office visits, diagnostics, wellness, ambulance, ER, accident, Rx card, etc.
Second plan is called Hospital Indemnity. Issue ages 18-64. No deductible. Covers expenses up to $1000 per day. Optional riders include AD&D, diagnostics, emergency, ICU, outpatient, private duty nursing, surgical, wellness, etc.
Third plan is called The Answer Plan. Issue ages 0-63. No deductible on inpatient. Covers medical expense inpatient and outpatient up to $250,000 per covered person per injury.
HEALTHPLAN SERVICES
800-545-6441
www.healthplan.com
Offered as Golden Rule Medicare Supplement. Available in AK, AR, CO, IL, IN, IA, LA, MD, MI, MS, MO, NE, OH, OK, SC, TN, TX, VA, WV. Issue ages 65 plus. Deductible varies.
KEY BENEFIT RESOURCES
877-907-5511
www.keybenefitresources.com
Offered as Keygap and KeySelect. Available in all states EXCEPT CA, CT, DE, FL, MA, NH, NY, WA. Issue ages 18-no limit. COBRA eligible. One is a group supplemental policy, the other is a limited benefit group plan.
MAGNA BENEFITS SOLUTIONS INC.
616-949-1199 or 800-278-2323
www.magnabenefits.com
Offered as Retiree Group Health and Prescription Drug Plans. Available in ALL states. Issue ages 65 unless already retired and Medicare eligible. Options include dental, vision, identity theft.
TRANSAMERICA WORKSITE MARKETING
800-400-3042
www.transamericaworksite.com or transchoiceplus.com
Offered as TransChoice Plus. Available in all states EXCEPT CA, CT, HI, NH, NJ, NY, VT, WA. No age restrictions for issue. No deductible. Limited group benefit for full or part-time employees. Options include diagnostics, surgical, inpatient, wellness, ambulance, hearing, pharmacy, etc.
UNUM
207-575-4942
www.unum.com
Offered as MedSupport. Available in all states EXCEPT CT, FL, KS, MA, MN, NJ, NY, WA. Issue ages 17-64 and spouse. No deductible. Inpatient confinement and outpatient surgery, diagnostics, ER.
Subscribe to:
Posts (Atom)
Posts
