Archive for July 13th, 2011

I got this message from NAHU today regarding news reports on a “vote” taken by the Executive Committee of NAIC in regards to broker commissions being excluded from Minimum MLR calculations for individual and small group health insurance.

The Florida Insurance Commissioner posted a response to these news reports here.

NAHU remains actively engaged in this subject at all levels:  Legislatively and Administratively at HHS as well as NAIC.

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I was reading this story from the Washington Post and it seemed to be a pretty good summation of everything I’ve read and heard about the debt ceiling debate.  Until I got to the last 2 sentences of the article.  Generally, I pretty much “zone out” by the end of an article, but my ears “perked up” when I read this:

” A major likely savings is restricting the Medigap policies seniors buy to supplement their regular Medicare, which fuel Medicare spending by making seniors less cost-conscious. Seniors who want the “first dollar” coverage that Medigap plans provide could instead be required to pay a supplemental Medicare premium.

The use of first dollar coverage is pretty widely accepted in the insurance community as a poorly designed insurance policy.  The impact on consumer behavior is generally not favorable to the insurance company, nor a cost effective means of paying claims.  Generally, you’d see deductibles for small claims and full insurance for larger claims.  That’s why I like the design of the new Plan N. . .it seems to make sense in terms of insurance theory.

Although I’d read about a Senate Finance committee hearing on the impact of Plan F on consumer behavior, I hadn’t seen any concrete talk about restricting Medicare beneficiaries access “Plan F”-type coverage.  I’m not sure if the author is talking about a penalty on Plan F solely or on Medigap generally.

I’ll keep on the lookout for more articles around this subject.  If you see anything related, please post in comments!

UPDATE:  Here is a little more detail on the Medigap story from Robert Pear at the New York Times.  I’d still like to see the full proposal with respect to how Medigap might be impacted.

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