Health insurance for children has been changed for the better

As soon as President Obama took control of the White House, the combined majorities in both chambers were used to enact the Children’s Health Insurance Program Reauthorization Act of 2009. As has become the norm, the Republican party opposed the law. So, now that we have one year of experience, it’s interesting to revisit the Act to see whether this allegedly socialist measure has worked for good or the evil predicted by the GOP. The purpose was to help the millions of children whose parents had fallen on hard times and could no longer afford private family health plans. In effect, the recession was creating an underclass of children who were potentially uninsured. By making an immediate transfer of funds to individual states, local governments were able to expand their own medical coverage programs to admit more families in need. The current estimate is that about 2.5 million children were allowed into either Medicaid or the Children’s Health Insurance Program. This was achieved by a simple change.

All but two of the 50 US states have used the additional federal funding to cover a family of four where the parents earn up to $48,000. This is significantly more than the national poverty level and allows more people into the state schemes albeit, in all but nineteen states, the parents must pay a small monthly premium and some out-of-pocket expenses. Despite increasing the family income threshold, the extent of the coverage has actually reduced in fifteen states. The politics of entitlement is always a complicated affair. The Children’s Health Insurance Program Reauthorization Act process has required some states to dismantle some of their bureaucratic barriers. Fast track or express lane procedures have been put in place to avoid long waiting lists and delays. With streamlined enrollment, children have been added to the programs on the basis of immediate need, with the follow-up work of verifying family status and income being completed later. The President’s wish to make the children the main focus of attention has been respected.

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Protect yourself – auto insurance company coming

There are so many different versions of the idiom. Try, “Expect the worst. Hope for the best.” or “Expect the worst and you’ll never be disappointed.” or “Prepare for the worst. Plan for the best.” You get the idea, particularly when it comes to dealing with your insurance company. It’s a strange reality but, no matter where you go, insurance companies always seem to have a reputation that, as a policy holder making a claim, you will end up like something the cat dragged in. The problem we all face is the profit motive. Although it would be great if every large corporation was full of the milk of human kindness, the directors and executives are driven by the desire for more wealth. They seize every opportunity to take the extra dollar for giving us less. In the case of insurance, the companies are rather like the big bad wolf that blows your house down rather than paying to repair the leaking roof. So you always have to plan on the basis you will be in for a fight if you make a claim. That means opening and keeping an up-to-date file on everything you say to the insurer about the policy and any claims you might make. The more comprehensive your records the better. If you must speak to a representative of the company, whether in the flesh or on the phone, get a name and always write a letter confirming what was said and what, if anything, was agreed. Yes, it will take up a few minutes of your time. But you should always be able to produce contemporaneous records – a day-by-day record of representations, promises and action.

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Life insurance and the annuity option

Looking around the news in United States, there is a story that the insurance regulators from five US states have just agreed a $2 million settlement with two Nationwide Life companies for failing to properly supervise the sale of annuities through one of their agents. This raises two questions. What exactly are annuities? and What can go wrong with them? An annuity is a variation on the traditional life insurance policy. As with any permanent policy, you pay a premium which is invested to build up a cash value. But, depending on the terms of the contract, you can receive payment of a lump sum or, more usually, a regular income from the insurance company before your death.

For most people it’s the same as saving for retirement, except you buy a pension that pays out after you retire. To ensure the maximum control over annuities, they can only be bought through life insurance companies. In every US state, there is a Department or Office of Insurance to regulate local insurance companies. As you will understand from the news story, if an insurance company acts against the interests of its policyholders, the states can step in to fine the company and order the company to pay compensation to the policyholders affected. In the case of annuities, this is particularly important because the premiums are usually deductible from income before tax. The states therefore have a direct interest in ensuring annuities are not used for unlawful tax avoidance purposes.

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Let’s buy health insurance plans across state lines

Let’s leave the politics of healthcare reform to one side and focus on a proposal to change the law to allow free market competition between insurers in different states. A policy consistently mentioned by the Republican party is to break the state monopolies in the insurance market. Since the 1800’s, the individual states have claimed the sole right to regulate the sale of insurance within their own borders. Each state has asserted the right to license insurance companies and to set the terms on which they can conduct business. This has led to a patchwork of different sets of regulations with each state creating unique laws. In turn, this forces an insurance company to set up separate subsidiaries to trade in each state. No licensed company can sell a policy to someone who has a residence in another state. There was a brief moment in 1944 when a decision of the Supreme Court allowed the possibility of federal supervision. But the lawmakers in Washington immediately changed the law to retain state control. Why is this a bad thing? The national insurance companies have divided up the states between them and choose not to compete against each other. This keeps the number of insurance companies in each state artificially low and, because there is no real competition, premium rates are higher than they should be for weak policy terms.

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Post-accident to-do list

The weather conditions should not affect anything. Of course, it is clear to everybody that in winter accidents are more frequent, but you also have to remember that avoiding an accident is much more valuable than knowing how to recover from it. But in case you did end up in an accident please know what to do. Let us try to explain everything you will require to understand while finding yourself a victim on the road. Here are a few very strong advices that will definitely help you to get through a difficult time of your life.

We would want you to read these points carefully and if you have an opportunity to print the information given below please do and make sure you keep it not to far away.

First of all it is important to take a deep breath and not to panic. Analyze the situation and determine the equivalent of losses. The damage can be significant or slightly important. In any case you have to consider that it is easy to make the situation even worse than it is. In any case, what you must know is that sometimes medical assistance is what you need to think of in the first place. Smallest details count.

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