California insurance regulators are pushing for new legislation that would institute limitations on a controversial form of health insurance that is targeting small businesses. This coverage is a type of self-insurance that is designed for businesses with 25 or fewer employees. Regulators claim that these policies are being used by health insurers to find companies with the healthiest workers, lowering their risk of costly payouts. Insurance Commissioner Dave Jones is concerned that these policies undermine one of the key principles of the Affordable Care Act: Lowering premiums by allowing insurers…
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Department of Health and Human Services says that health insurance rates are too high in nine states
The Department of Health and Human Services (HHS) has announced that health insurance rates in nine states are far too high to be reasonable. HHS Secretary Kathleen Sebelius has determined that these rates are excessive under the authority granted to the agency by the Affordable Care Act. The law gives federal and state insurance regulators the authority to review health insurance rate increases of 10% or higher and determine whether they are necessary. The insurance companies in these nine states will be requires to justify their rates or make changes…
Read MoreReport shows that more insurers are looking to automate their underwriting process
Strategy Meets Action (SMA), a research and consultancy firm serving the insurance industry, has released a new report concerning underwriting practices in the industry. The report, “Underwriting Automation: Insurer Plans and Trends,” notes that insurance companies are making a move to completely automate their underwriting process. The report draws upon data collected by SMA from 144 insurance professionals throughout the industry. This trend may be a result of insurers being unable to meet underwriting goals due to flaws in their systems. Of those participating in the survey, 21% claimed that…
Read MoreGender gap continues to play an important role in health insurance premiums
According to the latest research issued in a report by the research and advocacy group, the National Women’s Law Center, women continue to pay higher premiums than men for the same health coverage. In 2014, when the new healthcare laws are fully implemented, the discrepancy between what men and women will pay for health insurance will cease, but at the moment, many states continue to see significant gaps between the premiums of men and women without any indication that the insurers intend to shrink them. The report will become available…
Read MoreNew guidelines concerning federal Insurance Verification law published by federal agencies
The Department of Labor, Department of Health and Human Services, and the Internal Revenue Service have released new guidelines for the federal “Insurance Verification” law that will be enacted in September of this year. The law, often referred to as “One Nation, One Verification,” aims to make verifying health insurance less problematic. The law exists to augment to Affordable Care Act. The federal health is meant to make attaining insurance coverage easier for Americans, but this ease of access could create administrative nightmares as consumers purchase policies that will allow…
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