Archive for November, 2010

Government Amendment to Grandfathered Health Plans is going backward, but in the Right direction!

Wednesday, November 17th, 2010

The purpose of the grandfather regulation is to help people keep existing health plans that are working for them. Under the old rule this was maybe intended, but not being allowed if you changed insurance company’s for the same plan.

This amendment furthers that goal by allowing employers to offer the same level of coverage through a new issuer and remain grandfathered, as long as the change in issuer does not result in significant cost increases, a reduction in benefits, or other changes described in the original grandfather rule.

Here is the release today in the federal register click here

Here is the release from yesterday

Health Care Legislation, may cause more to be uninsured…

Wednesday, November 17th, 2010

The intent of the Patient Protection and Affordable Care Act (PPACA) was to get more people covered and drive down health care costs.  According to Texas officials and an article in the NY Times the PPACA may already be doing just the opposite in addition to the increased costs and reduced benefits already being seen by consumers on individual and company health plans right now.

TEXAS: Several Republican lawmakers are proposing an unprecedented solution to the state’s estimated $25 billion budget shortfall: dropping out of the federal Medicaid program. The Heritage Foundation, a conservative think tank, estimates Texas could save $60 billion between 2013 and 2019 by opting out of Medicaid and the Children’s Health Insurance Program, dropping coverage for acute care but continuing to fund long-term care services. With 3.6 million children, people with disabilities and impoverished Texans enrolled in Medicaid and CHIP, the Texas Health and Human Services Commission will release its own study on the effect of ending the state’s participation in the federal match program.

Currently, the Texas program costs $40 billion per biennium, with the federal government footing 60 percent of the bill. As a result of federal health care reform, millions of additional Texans will become eligible for Medicaid as the government plan expands the number of people eligible for the plan over the next few years coming to 2014.

Mold Coverage & You…

Wednesday, November 10th, 2010

Just had one of my insureds trying to decide whether to have mold coverage or not, so I think that ‘mold’ and the coverage of such may require a little further explanation.

  • On most policies mold coverage can be added, but it is usually excluded to begin with.
  • Mold includes wet rot, rust, mildew and possibly other variations as a result of prolonged moisture in an area (think of the indoor pool at the gym).
  • A home insurance policy that offers or has an option for mold coverage will will have limits stated in the policy.  The amount of coverage can vary and it depends on the type of policy and any endorsements that have been added and it will cost additional premiums to add it.

Mold can be caused from many sources where water is present or allowed to stand. A broken water pipe, a leaky roof, or other type of water damage, but preventing mold can be done by good maintenance and clean-up!  When water damage occurs  cleaned up not only the water, but make sure the whole area is completely dry. If you home fits any of the symptoms, has had past problems with moisture, humidity consistently over 70% or a water leak that was not fixed or not fixed properly you might want to check to see if you have mold.

If you think you might want or need mold coverage on your policy the insurance company may require your home to be inspected by a licensed plumber, insurance adjuster or someone else before allow you to added the coverage.

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