One of the services you may offer as a life and health agent is assisting your clients with the claims process. They may call you after they receive that rather large emergency room bill and question why one of the doctors they saw was out-of-network when the hospital was in-network. You can offer the typical advice, such as matching up the explanation of benefits with the itemized bill, but did you know that you can suggest mediation for certain out-of-network claims?
Browsing: Industry News
Below you will find news and information relating to the health insurance industry.
The Department of Labor’s Employee Benefits Security Administration has updated its Affordable Care Act web page.
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On June 17th, the Departments of Health and Human Services, Labor, and the Treasury (the Departments) issued the “grandfather” regulation which, by addressing how health plans can retain a “grandfathered” exemption from certain new requirements, helps protect Americans’ ability to keep their current plan if they like it. At the same time, Americans in grandfathered plans will receive many of the added benefits that the new law provides. The regulation also minimizes market disruption and helps put us on a path toward the competitive, patient-centered market of the future.
LPRT is a premier program for top Health, Disability, Long Term Care, and Worksite Marketing Insurance providers. LPRT members recieve exclusive membership benefits, access to LPRT events and much more.
The Texas Department of Insurance (TDI) is excited to announce that it has signed contracts with Celtic Insurance Company and United Healthcare to be participating health plans for the Healthy Texas program. Once enrollment begins, interested employers will make application directly to one of these participating plans, or apply through an insurance agent.
John Hancock Life Insurance Company is telling distributors it plans to raise rates for in-force long term care insurance policies 40%. Hancock, Boston, also is suspending sales of group long term care insurance (LTC) policies as it undertakes a review of claims in that market, says Marianne Harrison, president of John Hancock Long Term Care, a division of Manulife Financial Corp., Toronto (NYSE:MFC).
understandably, there has been a lot of concern and many questions and a bunch of worry over the NAIC’s recent decision to not make a pronouncement in its current recommendations about how NAIC thinks agents commissions should be treated for the purposes of a carrier complying with the new medical loss ratio requirement.
NAHU is asking all members to weigh in with their state insurance commissioners, urging them to exempt “pass-through” fees from Medical Loss Ratio (MLR) calculations, as well as to adhere to the statutory language of the health reform law in exempting most federal taxes from the MLR equation. Contact Your Insurance Commissioner About MLR Today!
I know that long-term care planning can be a difficult subject for people to discuss. But it doesn’t have to be. We know your clients are looking to their advisors for information about long-term care and this presents a tremendous opportunity for you.