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Zinser Benefit Service - Small Business Insurance

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Individual Medical

Modified Community Rating

Zinser · May 25, 2013 · Leave a Comment

This week’s Business First of Louisville had an article about Modified Community Rating.  Director of Government Relations Lawrence Ford is quoted throughout the article.

Here’s the link:

http://www.bizjournals.com/louisville/print-edition/2013/05/24/modified-community-rating-system-is.html

Mr. Ford does a good job of explaining how this will impact Kentuckians rates.  He highlights two issues.  The first is younger people subsidizing the older population.  Insurance companies aren’t going to bring down older folks rates, they’re going to push the young population up to help offset the older population claims.  He also talks about the lack of a substantial penalty for those who don’t enroll.

Still something needs to be done about letting individuals buy whenever they get ill.  The way it’s currently set up that is what could happen.  I know there are talks about it, but we need something done soon before Jan 1, 2014.

The Cost of Health Care

Zinser · May 9, 2013 · Leave a Comment

On the front page of the Louisville Courier-Journal this morning (and the first story I heard this morning on CNN), the headline reads “The Cost of Health Care”.  Apparently hospitals try to make money, who knew?

In all seriousness, this is something that we’ve been talking to our clients about since 2003.  This is a huge problem that I’ve believed in for the last ten years.  Hopefully with this new published information, this will start us in the right direction in getting pricing out in public.  The medical industry is the only industry in the USA where you have no idea what something costs.  When you ask someone at the hospital/doctor’s office, you get a bewildered look, as in why are you asking, or how would I know?  It’s insane.  We as a society should have been demanding this time of open information for the last twenty years, it took the government to pass a over-reaching law to finally get this type of information.

Now, I could ramble on for the next twenty minutes about this, but I’m trying to keep it at a minimum.  I would like to know why hospitals charge what they charge.  Why does heart failure cost $10,000 at Baptist Hospital, but $16,000 at Norton’s?  What does that extra $6,000 get me?  Am I more likely to survive at Norton’s, or is it simply better food at Norton’s?

Here’s a link to the article:

http://www.courier-journal.com/article/20130508/BETTERLIFE05/305080118

Remember, especially for those with Health Savings Accounts, ask for a cost before having anything done to you.  You can do the same thing for prescriptions, call around to a few places before making a purchase.

Key Provisions of the Affordable Care Act

Zinser · February 11, 2013 · Leave a Comment

Below is a link to the U.S. Small Business  Administration Home Page.  The SBA does a good job of breaking down some of the key components of PPACA and how they apply based on the size of your business.

Let me know if you have any specific questions.

 

http://www.sba.gov/healthcare

Flow Chart for Employers

Zinser · December 12, 2012 · Leave a Comment

Below is a flow chart for all sized employers.  The flow chart is an easy configuration to determine whether or not your employer will pay a penalty if they don’t offer affordable coverage.

Remember, your employer doesn’t have to offer coverage, the employer can still decide that it’s in their best interests to pay the fine than to offer coverage.

PPACA FLOW CHART

November Diabetes Awareness Month

Zinser · October 29, 2012 · Leave a Comment

Here’s a calender that Anthem put together to help diabetics treat their condition.

Anthem Diabetes Calender

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Zinser Benefit Service - Small Business Insurance

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