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Archive for the ‘Tennessee’ Category

Ritter Insurance Marketing is committed to providing our agents with information about the insurance industry. Below are links to the lasted news in your state. (Must be logged into ritterim.zendesk.com/ to view forums)
 

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Ritter Insurance Marketing is committed to providing our agents with information about the insurance industry. Below are links to the lasted news in your state. (Must be logged into ritterim.zendesk.com/ to view forums)

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This story is covered by the Chatanoogan. Gale Arden’s role as Vice President and General Manage of the Senior Care division at Blue Cross Blue Shield of Tennessee will be to oversee their Medicare products, including Medicare Advantage, Stand Alone Medicare Part D products and Medicare Supplement products.
BCBS of TN is in a transition year, moving it’s PFFS business to network based business (PPO).  The company had about 44,000 Medicare Advantage members as of 11/10 with enrollment approximately evenly split between PFFS and PPO.  In 2011, BCBS of TN is reducing it’s PFFS footprint from 95 Tennessee counties to only 5 counties and expanding it’s PPO footprint from 65 counties to 95 counties.

Their 22,800 PFFS members actually ranked them 11th nationally in terms of PFFS enrollment (as of 11/1/2010) which is significant since they only sell PFFS in one state.  There are only 2 other PFFS players who operate in 1 state or limited states that ranked higher (BCBS of Michigan and Harvard Pilgrim who both happen to be eliminating PFFS plans in 2011).

This creates an interesting dymanic in TN with all of the PFFS business falling off the books and a challenge for Ms. Arden to try and retain their membership.

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Look for New Medicare Supplement (Medigap) plans on the Medicare Quote Engine in the coming week and look for lower premiums.  I just heard that some plans in Pennsylvania (PA), Tennessee (TN) and Texas (TX) are taking rate REDUCTIONS and some new options are being added.  Look for the new rates around August 16th!

For more details, CONTACT US.

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Health Made Simple, an Under Age 65 Individual Health Product from New Era Life Insurance Company, is no longer accepting new business after June 15th, 2010.  The annual or lifetime limits, dependents to age 26, acceptance of children with pre-existing conditions and the Medical Loss Ratio seem to be the key mandates that are influencing the organization’s decision to no longer accept new business.  This will not affect current members of the plan, as they will be in grandfather status.  We expect New Era Life Insurance Company to administer the grandfathered plans with the same strong service commitment they have given their members since 1924.   A representative of the company has stated a new offering is in the works and will be released before the end of 2010.   Please contact Don Mazza or April Lippert, our under age 65 Health Division team, with further questions.

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Tennessee state hospitals could lose a half billion dollars under the cumulative effect of Gov. Phil Bredesen’s proposed TennCare cuts.

Last year legislators approved cuts and when combined with the governor’s proposed 2010-2011 budget,  hospitals stand to lose as much as $526 million in state and federal funding. The cuts could be devastating.

Click here for full story.

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Facing budget issues, Tennessee’s Medicaid program is seeking approval from CMS to cut services to it’s Medicaid members.  Cuts would limit benefits for inpatient hospitalizations to $10,000 per year, limit the number of non-emergency hospital and primary care doctor visits to 8, eliminate physical, occupational and speech therapy and eliminate hospice care.

If approved, the cuts would take effect on June 1st, 2010.

You can find the complete article from the Chattanooga Times Free Press here.

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United Healthcare has issued a “Broker Use Only” alert for those agents seeking to market their Special Needs plans in the following states:  MI, NY, PA, TN and CA.

The alert is posted in the “Agent Use Only” section of our website in our “Resource Center”.  To view, Click here, then log in and enter the following:

  • Company = United Healthcare
  • State = (Any of the above)
  • Product = Medicare Advantage
  • Resource = Agent Use Only Bulletin

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I saw 2 stories which covered Aetna’s announcement today.  One from the Pennsylvania Business Journal and one from Trading Markets.

The coverage will take effect on 1/1/10.  Previously, the state retirees were covered by Coventry Healthcare on a PFFS product.  The Aetna plan is a combination HMO/PPO Medicare Advantage model.

If you are an agent in Pennsylvania or any of the 19 states where Aetna offers Individual Medicare Advantage (Arizona, California, Colorado, Connecticut, Delaware, Florida, Georgia, Illinois, Maine, Maryland, Nevada, New Jersey, New York, Ohio, Oklahoma, Pennsylvania, Tennessee, Texas, Virginia or Washington DC) and you have Small Group Retiree Clients/Relationships (active employees under 51 lives) or Middle Market Medicare Retiree Group Clients/Relationships (active employees from 51 to 3000 lives), contact Don Mazza in our office to get a quote for your 1/1/2010 Medicare Retiree Groups.

Many Small and Middle Market Retiree groups are facing large rate increases due to changes in MA funding.  As a result, they may be very receptive to getting a competitive quote on their Medicare Retiree Group coverage.  This is especially true for Medicare Retiree Groups which were written in 2009 on a Private Fee for Service Platform (800 Series Medicare Advantage or True Group MA PFFS Plans).  Converting now to a PPO/HMO Platform has significant advantages!

Having recently secured the PA State Retiree account, Aetna may look more attractive to Governmental Entities (like City or County retiree groups).  In some states outside of Pennsylvania, School Districts may be shopping as well for their retired teachers (in PA Teachers are covered under State Retiree benefits and would not be prospects).

The window is closing on quoting these groups for a 1/1/2010 effective, so don’t delay!  Contact Don to find out what you need to get started!

Finally, keep in mind that the CMS marketing regulations on Group Medicare are very different than Individual Medicare Advantage, so you DO NOT NEED to be pass AHIP to sell Small or Middle Market Group Medicare to Retiree Groups!  You will need to review study materials and, of course, be appointed to sell with Aetna.

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Genworth will be hosting Webinars on September 29th, October 5th, 22nd and 26th to review their Continental Care Hopitial Indemnity Product.  (We will be updating our Events page shortly to accept your registration.)

The product is available in AL, AR, CO, GA, ID, IL, IN, KY, LA, MI, MN, MO, MS, NC, NE, NM, NV, OH, OK, SC, TN, TX, UT, WV and WY.

For more details on the product, visit our Continental Care webpage.

To get licensed to sell this product, visit our licensing page.  Select Continental Life from the dropdown menu.

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