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Sep
29

Just the Facts, Ma’am: Annual Health Insurance Coverage Limits

written by ar-admin

Did you know…

  • As a general rule, employers are not permitted to place annual coverage limits that are less than $750,000 for health benefits considered essential, such as hospital services, drugs, emergency services and/or maternity leave and newborn care?
  • By 2014, these coverage limits will be gone?
  • By September 23rd of this year, more regulations will be put into effect for new plans either offered by employers or bought by individuals since March 23rd? These include (but are not limited to) insurers: covering the entire cost of preventive services with the highest recommendation of the U.S. Preventive Services Task Force, allowing women to see an OB-GYN sans referral and not making plan members pay higher co-payments/coinsurance for out-of-network emergency services.
Sep
28

Dependent Health Insurance 101: Preexisting Medical Conditions

written by ar-admin

Catch up on the beginning of this health insurance for children discussion here.

We wanted to add one additional piece of information regarding this topic, and that is regarding preexisting medical conditions.

Unlike in previous years, employer plans are no longer allowed to refuse coverage to children under age 19 because of a serious medical condition. Unfortunately, although the new law permits children to remain on their parents health plan until the age of 26, they may be refused coverage due to a preexisting medical condition if they are applying after they reach the age of 19. A ban on coverage exclusions for adults that is similar to the one for children is planned to take effect by 2014.

Sep
27

Dependent Health Insurance 101: Some Tips

written by ar-admin

Fall is a time for new beginnings (not to mention warm clothes and pumpkin spice lattes!). So what better time to purchase health insurance coverage for children, especially for your children? Since Obama’s new health care plan, children under the age of 26 are allowed to remain on their parents’ plans, regardless of marital or financial status. This is good news! Here are a few helpful hints to guide you along the way.

First, be sure that the child doesn’t have a coverage offer from his or her employer. Otherwise, this option might not be an option after all. Parents wishing to enroll their child or children on their health plan are able to during a specified enrollment period that both insurers and employers are required to notify their customers of. While plans are not permitted to charge more for adult children than those under age 19, they can up the cost of family coverage. For many companies, if they can…they will! So be aware of this possibility. In addition, many employers are now more likely to have their employees verify dependents’ eligibility for coverage. A potential roadblock of eligibility is divorce, in that the child may not be financially dependent on the parent that qualifies.
Sep
16

A Nursing Shortage Turned Around (Part II)

written by ar-admin
Catch up on the first part of this discussion on nursing here.

According to the article, “CSU records show that its 23 campuses already graduate most of the state’s nurses. This bill would address a big part of the problem that has led to the nursing shortage.”

A medical school at UC Merced is in the works, further proof that the push for more nurses is crucial.

It is evident that this bill, created by Juan Arambula and Pedro Nava, would greatly improve the California health care system. There are never enough medical professionals, especially right now. Let’s hope that this bill passes smoothly and swiftly!

Sep
15

Tuxedos…On the Beach?

written by ar-admin

Improv Everywhere is slowly but surely becoming our new favorite group of comedians. This is their latest “mission,” and we think it’s adorable.

Black Tie Beach

Sep
14

A Nursing Shortage Turned Around (Part I)

written by ar-admin

Interesting and hopeful news on the California health care front: if California lawmakers and Governor Schwarzenegger stand behind a bill (being dealt with for a year now) that would allow the CSU school system to offer a doctorate in nursing, the state nursing shortage just may be reduced.

The nursing shortage has been an issue for nearly a decade, and should it continue, is expected to hit 116,000! This is why the CSU doctorate program would be a welcome addition to the school system, and additional faculty members would help to solve the problem.

We’ll talk more about this on Thursday.

Sep
13

Life Insurance Has Taken a Backseat

written by ar-admin

Did you know that 30% of households in the U.S. have absolutely no life insurance? This is what Francine Knowles revealed in her insurance article.

Life insurance numbers sure have dwindled from years past, and what a vast difference it is. In just 6 years, a million fewer individual life insurance policies have been issued, and this is mainly due to financial issues such as more important bills.

What do you think? Is there any reason that life insurance should ever go on the back burner?

Sep
9

CA Takes Step Toward Health Rate Pre-Approval (Part II)

written by ar-admin

Catch up on the first part here.

Under new health care law, such as the federal Patient Protection and Affordable Care Act, rate increase proposals seen as unreasonable will not be permitted to fly under the radar. Instead, they must be justified, both by state regulators as well as the U.S. Department of Health and Human Services. And each state may receive backing (to the tune of $1 million!) to get started on this. Some states are a bit further ahead than others.

David A. Paterson, Governor of New York, signed legislation just 3 months ago that will bring back prior approval for health plans and premiums there. And a month later, Insurance Commissioner Steve Poizner declared that all California health insurance filings for the individual market will be publicized on the DOI website for consumers to view as they please.

Sep
8

Animal Affection

written by ar-admin

We literally squealed upon seeing this video. Try not to when you see it. We dare you.

Otters Holding Hands

Sep
7

CA Takes Step Toward Health Rate Pre-Approval (Part I)

written by ar-admin

A bill that has been in the works to impose mandatory rate reviews on California health plans took a step forward when the Appropriations Committee handed it to the full Senate, who voted 7-4. Should this bill pass, health insurers will be required to abide by the same rules that automobile and homeowners insurance policies follow.

Assemblymen Dave Jones had the following to say.

“In California, we’ve had positive experiences in 22 years of rate regulation,” Jones said. Given “excessive, double-digit” increases in recent years, rate review is “one of the most critical missing pieces from the national health care reform legislation,” he said.

More to come on Thursday.

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