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Archive for March 2nd, 2010

The profit was in spite of losses on individual business.  Under 65 individual business posted a loss of $94 million and Over 65 MEDIGAP business posted a loss of $186 million. The losses were offset by interest earnings on their investment portfolio and earnings in their group business. The surplus currently stands at $2.56 Billion. [...]

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CMS placed Fox Insurance which sells Medicare Part D Prescription Drug Plans in 21 states on a Marketing and Enrollment Suspension until they can resolve issues surrounding complaints by members and physicians. Here is the full story from CMS.

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This story is from the National Underwriter.

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Here is an update from the WSJ Blog. Essentially, by delaying the processing of claims for 10 days, it gives Congress 14 days to put a fix in place.

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We have more approvals for June 1st Modernized Medicare Supplement plans in the states of  AL, ID, KS, MI, MO, NE, NM, OH, OK, SD and UT. To access the rate sheets, visit our RESOURCES PAGE and follow these instructions: Company Name:  Loyal American State:  Select any of the approved states above Product:  Medicare Supplement [...]

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We’ve dealt with Maximus when appealing Late Enrollment Penalties which are applied to either Part D or MAPD premiums.  They’re pretty good to work with. Now they will also be handling appeals for Coverage Determinations for Part D. Here is where you can find the article on this.

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