Guaranteed Issue for Children Under 19
Under the health care reform children under 19 can not be denied or pre x on health insurance. This law is now in place and the carriers have developed strategies on the law. The first thing the carriers have done is completely with drawn from the stand alone children’s policy. So now in this country you […]
Medical Loss Ratio Explanation From Anthem
The new Medical Loss Ratio will have a huge impact on health insurance companies. There is major concern in the industry that we could see some carriers pull of certain markets. The market that creates the most concern is the Individual market. This segment of insured represent a small portion of the overall block of […]
Employee Health Insurance
Indianapolis based companies are having less options for group health insurance. In the last year we have seen multiple carriers pull out of the health insurance market. Principal recently announced that they will no longer provide group health insurance in the state of Indiana and the rest of the country. Humana has chosen to no […]
Health Insurance Exchange
Right now the state has taken the federal grant to explore setting up a state base exchange vs a federal exchange. This is very important on the future of health insurance and health care in the state of Indianapolis. If it is a state based exchange then we should see competition within the carriers operating […]
New Indiana Grandfather Rules for Health Care Reform
New Rule for Grandfathered Plans Under the Patient Protection and Affordable Care Act (PPACA), health plans that existed on March 23, 2010 are generally considered “grandfathered plans.” Grandfathered plans are exempt from some of the health care reform requirements, including coverage of preventive care services with no cost-sharing and patient protections such as guaranteed access […]
Small Group Employees Gaming Health Insurance
Small group health insurance can be difficult. The last few years has created a lot of shifting on to the employee in both cost and risk. This has mainly been because of the price of health plans and the economy. If small a company revenues are off its difficult for them to absorb a rate increase on […]
Health Savings Accounts
This will be the 7th year since Health Savings Accounts have been available. We have seen a few different plan designs since inception but the principles have stayed the same. The Health Savings Accounts in Indiana have been much more popular than other states. There are few theories on why this is but I think […]
Update On Health Insurance
As we enter the 4th quarter of 2010 we have seen major changes in health insurance. Most of this is do to the health care reform. In the individual health insurance markets we have seen a decline in carrier competition. There are less plans to choose from and this is a direct result of health […]
Indiana’s State Government Lowers Expected Cost of Health Care Reform
A new estimate has lowered the expected cost of the federal health care overhaul to Indiana’s state government to perhaps $2.6 billion over the next decade — $1 billion less than an initial projection made last spring. With health care reform we are going to see an expansion of medicaid. This expansion is going to […]
Indiana Small Group Health Insurance Max Loads
In the past few years I have seen an alarming trend of max loaded small group health cases in Indiana. Under the laws a group plan has to be taken by a carrier (guaranteed issue) but the premium can be almost doubled. We are seeing about 75% of small group health plans (under 50 lives) […]