Posts Tagged - ‘individual health insurance’

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Rate Hikes for Health Insurance Plans Requested in North Carolina

Thursday, August 19th, 2010
health insurance plans

In North Carolina, Blue Cross Blue Shield has asked to increase the monthly premiums of its health insurance plans by an average of 7 percent.

However, the rate hikes aren’t across the board. Some of the 300,000 individual health insurance customers in the state may actually end up saving money through cheaper rates, while a handful of others will experience severe premium jumps of 40 or 50 percent.

The insurer blames rising medical costs for the increase, and says that it would have been even higher without the limitations imposed by healthcare reform. It remains to be seen if the state will approve their proposal.

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Utah Individual Health Insurance Rates Go Up

Friday, July 9th, 2010

Image: debaird under CC 3.0

Similar to those in other states, Utah health insurance companies are raising their premiums. They blame the Obama administration’s healthcare reform law for forcing them to prepare for decreased profits later.

Although state law allows insurers to charge as much as they believe the market will bear, some consumer advocates are worried that filings for rate increases are considered proprietary business information and kept secret. Therefore, few health insurance buyers know what they’re getting into. Most rate changes aren’t known of unless a policyholder speaks out and complains to the media, as they did in this case.

The federal government is looking to states to strengthen their enforcement and prevent “rate creep”, which makes Democrats look bad in the mid-term election season. Humana has raised Utah individual health insurance rates by 29%, while Regence Blue Cross Blue Shield has increased some Medicare Advantage premiums by 48%.

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Healthcare Reform Complicates Tax Reporting

Thursday, July 8th, 2010

As most know, the healthcare reform law includes an affordable individual health insurance mandate, intended to bring more people into the pool and make health care less expensive for all.

According to the provision, the IRS is responsible for enforcement of the medical insurance mandate. Non-exempt individuals or employers who violate it will charged penalties on their tax returns. However, there are doubts that the Internal Revenue Service is up to the task.

The requirement also creates more complications for business and nonprofit accountants when filing tax returns. In an attempt to reduce underreporting of income (which would reduce federal funding for medical insurance reform), they will now be responsible with keeping records of the 1099 forms they will have to have for all transactions over $6,000, as of 2012.

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Health Insurance Company Harvard Pilgrim Agrees To Lower Rates

Monday, July 5th, 2010

Image: Guerilla Billboards

Regulators have been facing off with health insurance companies over proposed premium increases that the former consider excessive, and the latter think are necessary to continue doing business.

Apparently, compromise is possible. Harvard Pilgrim Health Care agreed to a settlement with the state of Massachusetts that limits their individual and small group health insurance rate increases. The decrease is insignificant: their initial requests ranged from 8% to 12%, while the new deal has increases of 7% to 11%.

Since earlier caps on premiums set by the state were rejected on appeal, the insurer could’ve kept fighting. However, they chose to move on instead–although they will still lose money under the agreement. Thankfully for consumers, Harvard Pilgrim (the second-largest insurance provider in the state) also agreed not to retroactively bill policyholders since April for the higher rates.

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Virginia Health Insurance Company Abandons Patients

Wednesday, June 30th, 2010

Individuals in one state now have one less option for health care. UniCare has decided to pull out of the Virginia health insurance market, due to competitive pressure from larger insurers.

Some of their nearly 3,000 patients are eligible to switch to Anthem Blue Cross Blue Shield, but others don’t live in Anthem’s coverage area. They will need to search for new health insurance coverage by January 1st, when UniCare’s plans will expire.

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Will Healthcare Reform Help Part-Time Employees?

Tuesday, June 29th, 2010

Image: The Consumerist under CC 3.0

Many supporters of healthcare reform have pointed to the benefits that it can bring to part-time workers. In most cases, companies do not offer health coverage to employees who work under a certain number of hours per week. Some businesses even intentionally schedule employees just under the threshold, in order to deny them health care.

During the recession, many people have been juggling multiple part-time jobs. Although they end up working full-time hours or longer, they are eligible for health benefits from none of them.

Affordable individual health insurance is the solution in this case, but it may not be available to everyone. The exchange markets that the law establishes in 2014 are hoped to help in this regard.

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Math Errors Torpedo California Health Insurance Rate Increases

Friday, June 25th, 2010

The state of California has been a battleground for health insurers recently. First, WellPoint was heavily criticized for proposed small group and individual health insurance increases of over 30%. The highest premium jumps were later withdrawn after the insurance commissioner found mathematical errors. (Smaller increases were eventually approved.)

Now, it looks like history is repeating itself. Aetna had asked for increases that averaged nearly 20% for its California health insurance customers. It has withdrawn its request upon discovering a “human error” in its calculations.

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Did Group or Individual Health Insurance Premiums Rise More In ‘09?

Tuesday, June 22nd, 2010

Image: TheTruthAbout under CC 3.0

According to the Kaiser Family Foundation, those buying individual health insurance have experienced far greater increases in their premiums recently.

Their findings:

  • 77% of those buying health insurance on their own were presented with a price hike
  • On average, those proposed hikes were 20%
  • 16% of those presented with proposed rate increases switched to less generous–and less expensive–health plans, either through the same or a different insurer. Many of the others didn’t switch due to pre-existing conditions that would make finding a different plan difficult.
  • Altogether, the average rate increase (including those who changed plans) was 13%.
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COBRA Health Insurance Subsidy Expires

Friday, June 11th, 2010

Image: clementine gallot under CC 3.0

COBRA is a law that allows laid off or otherwise unemployed employees to retain their group health insurance coverage. Unfortunately, many people are unable to utilize it due to the high cost. Former employees must pay the full cost of the premium (as opposed to having it partially covered by the company), plus an administrative fee.

A subsidy of up to 45%–included in last year’s stimulus package–allowed those who lost their jobs between September of 2008 until this May to more easily afford health insurance coverage. That help expired on June 2nd. Some may choose individual health insurance instead, but similarly priced plans on the individual market include less coverage, and are still able to reject people with pre-existing conditions until 2014.

Democrats in Congress are currently trying to reinstate the subsidy, since unemployment rates are still high (despite the official end of the recession). However, many are worried that the expense is too high to add onto an existing budget deficit, so its chances of passing are relatively remote.

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Massachusetts Health Insurance Company Settles On Increase

Monday, June 7th, 2010

After initially asking for an 11% increase in its small group and individual health insurance rates, Neighborhood Health Plan has reached a settlement that allows them to raise those premiums by about 7%.

Neighborhood was one of six major Massachusetts health insurance companies that appealed and sued the state’s insurance commissioner when their proposals were denied in April. Now, they have bowed out of those efforts.

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