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Friday, January 30, 2015

Life Insurance: The Basics

by Richard F. O’Boyle, Jr., LUTCF, MBA

Life insurance policies are contracts between individuals and insurance companies to pay a set dollar amount on the death of the individual covered by the policy. Most people first buy life insurance when they start a family and take on a large expense such as a mortgage since they don’t want to leave their spouse and kids with a stack of bills and only one income. Individuals in later life see the value of life insurance as part of their retirement and estate planning.

Obviously, life insurance proceeds can be used to pay for final expenses such as probate taxes and funeral costs. But life insurance can also provide retirees with additional options. For example, the cash values in permanent life insurance plans can be used to supplement retirement income on a tax-favored basis. A life insurance plan may allow a retiree to elect a more generous pension option, knowing that the life insurance will pay out to their surviving spouse. Finally, having a life insurance plan late in life gives the retiree the comfort in knowing that she can spend down her assets and savings and her children and grandchildren will have a financial legacy.

Types of Life Insurance

Term Life Insurance will pay your beneficiaries a set amount as long as the policy remains in effect, which is generally 5, 10, or 20 years. If you choose a longer term, the premium will be higher, all other things being equal. The rate will increase at these time increments, and ultimately become unaffordable or simple terminate.

Many term plans offer the option of converting to a permanent plan at a future date with no evidence of insurability, that is, no new medical exam. You get to keep the same rating or classification, even if your health has deteriorated, and the length of coverage can be extended.

Permanent Life Insurance, such as Whole Life or Universal Life, has a higher premium, but some money is set aside in a conservatively invested account for the medium- or long-term. The premium on the permanent plan does not increase over time. There are other variants of permanent insurance such as Variable Life (where the money is invested in stock-type accounts) or Return of Premium plans which act a lot like Universal Life plans.

Keep in mind, that once you get life insurance, the rate will increase only by the specified amount (if a term plan) or not at all (if a permanent plan). These rates are locked in even if your health deteriorates over time.

Whole Life Insurance is permanent life insurance designed to last through your life expectancy. The premium remains fixed and level as long as you own the policy. The policy’s cash value grows at a guaranteed rate and may also accumulate dividends.

Universal Life Insurance is permanent life insurance with a flexible premium and a cash value that grows based on current market interest rates. The policy owner may choose to pay higher or lower premiums depending on his own income cycles.

Term Life Insurance is temporary coverage designed to last for a specified time frame – usually five, ten or twenty years. Premiums will increase on a set schedule after the initial term expires. No cash value accumulates, although many plans offer a conversion rider that allows the owner to convert the plan into a permanent policy.

Customizing Your Policy with Life Insurance Riders

Disability Waiver of Premium: If you are unable to work due to illness or injury for six months or more, the insurance company will pay your life insurance premiums. Whole Life plans will continue to accrue all scheduled cash values and dividends; Universal Life plans will generally not accumulate additional cash values, but will remain in force during the period of disability.

Conversion: You can convert your term policy “without evidence of insurability,” e.g., without a medical exam, into one of the permanent plans offered by your insurer. The insured must pay the new premium based on their age at the time of conversion.

Accelerated Death Benefit: You may take up to 80% or 90% of the death benefit while still alive if diagnosed with a terminal illness.

Family and Child Insurance: The spouse and/or dependent children of the primary insured may be covered at a percentage of your death benefit.

Book Review: "The Big Short: Inside the Doomsday Machine"

by Richard F. O’Boyle, Jr., LUTCF, MBA

In Michael Lewis’ expose of the origins of the 2008-2009 credit meltdown, “The Big Short: Inside the Doomsday Machine,” we see how greed and ignorance created the perfect storm that brought on the worst financial crisis since the Great Depression. As a financial professional who helps families and businesses plan for their retirements, I help implement insurance and planning strategies. When we put in place these plans we are often relying on third party ratings of insurance companies and products to give us the confidence that the plans can be fulfilled.

If anything, the experience of the last three years must give us pause when taking for granted the ratings of companies such as Moody’s and Standard and Poor’s. I’m not saying that we should jettison these ratings altogether – instead we should consider them carefully as a piece of the overall picture of financial strength. These agencies went wrong when they got involved in rating very complex derivative products while relying almost entirely on the data supplied by the companies that created those same products.

Lewis’ account of the development mortgage bonds and the evolution of derivative financial products such as credit default swaps is a readable insider’s view of Wall Street’s money machine. Things went awry when rating agencies gave their stamp of approval on these products for sophisticated investors such as hedge funds and institutions. Shockingly, the creators of these products – Citigroup, Goldman Sachs, Merrill Lynch and other banks – often weren’t so sure of the value of the home loans that were the foundation of the underlying bonds.

The basic problems were that the mortgages that formed the foundation of the bonds after 2005 were increasingly low-quality subprime loans and the rating models of the agencies did not take into account that property values might decline. Furthermore, the banks creating the products tailored their submissions to the agencies so that the credit risks of the underlying bonds were not truly diversified and thus riskier than they appeared. In effect, very risky bonds were given super-safe AAA ratings.

Here’s how the products were constructed and what went wrong:
1. Individual mortgages are lumped together into mortgage bonds. Investors in these asset-backed bonds get paid off as the individual mortgages are paid off.
2. Mortgage bonds are rated for financial stability by rating agencies based on their assumptions about default rates by individual mortgagees. The underlying home values and FICO scores are two key measures that they look at.
3. Investors in the bonds buy insurance called “credit default swaps” against the risk that these mortgage bonds will not pay off as expected (that they will default). The price of this insurance is based on the rating that the mortgage bonds received.
4. Big banks package thousands of these bonds and savvy investors trade in the swaps. Some banks generated so many of the bonds that they couldn’t sell them all right away so they held onto them in their own accounts.
5. When adjustable rate mortgages began to reset in 2007 and 2008, the new higher rates forced many individual mortgagees to default. The cascade effect of high defaults and sinking home values triggered the credit default swap insurance plans.
6. Banks were forced to pay out on the insurance and devalue the bonds held on their own books. Ultimately, the banks were forced to come up with more cash to shore up their finances or go bankrupt.

While I walked away after reading this book with a clearer understanding of how Wall Street works, I’m not sure that this knowledge makes me any more confident with the abilities of the various players. Lesson learned: be careful of the herd mentality in all forms of investing. Even the most sophisticated investors can get into trouble when they get greedy and rely too heavily on someone else to do their own homework.

“The Big Short: Inside the Doomsday Machine” is available from Amazon.com

The Life Insurance Medical Exam

by Richard F. O’Boyle, MBA, LUTCF

When applying for life insurance, the company bases it’s underwriting decision on a slew of data, including a past medical treatments, personal history, financial profile, motor vehicle record and current medical examination. If you are applying for over $1,000,000 of coverage or if you are over age 60, the medical requirements will be a bit more thorough.

The medical exam usually consists of a series of medical questions, blood pressure and pulse readings, and blood and urine samples. The insurance company will have a nurse collect copies of your medical records from your doctors. Additional tests may be requested, most often an EKG if you have a history of serious heart disease.

Read the complete article...

Longshore and Harbor Workers' Compensation Act - Permanent Total Disability Benefits - Maximum Compensation Rate for Claimant Receiving "Newly Awarded Compensation"

Brett Mason from Breazeale, Sachse & Wilson, LLP, provides an update on a permanent total disability benefit issue under the Longshore and Harbor Worker's Compensation Act that is now before the U.S. Supreme Court.
W. Brett Mason is a Martindale AV-rated partner in the Baton Rouge office of Breazeale, Sachse & Wilson, L.L.P. He represents clients in maritime casualties, toxic tort defense, and class action litigation. Brett has particular experience in limitation of liability actions and class actions involving chemical exposure and catastrophic accidents.
On November 16, 2011, the U.S. 11th Circuit Court of Appeals (which encompasses Florida, Georgia and Alabama) held that the maximum compensation rate for a claimant receiving "newly awarded compensation" for permanent total disability benefits pursuant to the Longshore and Harbor Workers’ Compensation Act ("LHWCA") is governed by reference to the national average weekly rate in effect on date when he received his award.[1] The question presented on appeal was whether the date on which disability occurred, or the date on which the injured employee was awarded benefits for such disability - determines the maximum weekly rate of compensation for a permanently totally disabled employee who is "newly awarded compensation."

Bernard Boroski worked for DynCorp International in Tusla, Bosnia, as a sheet metal mechanic from January 2000 to April 2002. Boroski was exposed to various chemicals during his employment and stopped work on April 20, 2002, after his vision had become severely impaired. Boroski is now legally blind in both eyes and has been permanently and totally disabled since April 20, 2002. DynCorp contested that it was the cause of Boroski’s blindness.

Boroski timely applied for workers compensation benefits under the LHWCA, which applied to him by operation of the Defense Base Act.[2] Boroski’s claim was adjudicated before an administrative law judge ("ALJ") who held that Boroski was entitled to compensation for permanent and total disability beginning April 20, 2002 (the "Compensation Order"). He ordered DynCorp to pay permanent total disability compensation to Boroski from April 20, 2002, and continuing at the maximum compensation rate. The ALJ did not specify the maximum compensation rate that was applicable or calculate the amount owed to Boroski.

DynCorp and its insurer took the position that the maximum compensation rate applicable to Boroski was determined by reference to the date when the benefits became payable, and not by reference to when the benefits were awarded to him. The District Director agreed and Boroski appealed to the Benefits Review Board of the United States Department of Labor. The Benefits Review Board affirmed the decision of the ALJ. Boroski appealed to the United States District Court for the Middle District of Florida. The district court affirmed the ruling of the Benefits Review Board. Boroski appealed to the United States Court of Appeal for the Eleventh Circuit.

The Eleventh Circuit rejected the district court's reliance on a Ninth Circuit case, Roberts v. Director, Office of Workers' Compensation Programs[3] and followed the holding of a Fifth Circuit case, Wilkerson v. Ingalls Shipbuilding, Inc.[4] The Eleventh Circuit was persuaded that an employee is "newly awarded compensation" at the time of a formal compensation order and held that the maximum compensation rate for a claimant receiving "newly awarded compensation" for permanent total disability benefits pursuant to the LHWCA is governed by reference to the national average weekly rate in effect on date when he received his award.

Thus, a claimant in the Eleventh Circuit (Florida, Georgia and Alabama) or Fifth Circuit (Texas, Louisiana, and Mississippi) who receives "newly awarded compensation" for permanent total disability benefits pursuant to the LHWCA will have his/her maximum compensation rate governed by reference to the national average weekly rate in effect on date he/she receives an award. A claimant seeking similar benefits in the Ninth Circuit (California, Arizona, Alaska, Nevada, Oregon, Idaho, Montana, Washington) will have his/her maximum compensation rate governed by reference to the national average weekly rate in effect on the date of the onset of the disability.

This split between the circuits has yet to be addressed by the Supreme Court. However, at the end of Q3 the Supreme Court granted a writ in the Roberts case to resolve this issue.[5] Oral argument is scheduled on January 11, 2012. Thus, the dichotomy between the circuits should be resolved in 2012. Stay tuned for additional updates as things unfold.



1Boroski v. Dyncorp International Insurance Company of the State of Penn., No. 11-10033 (11th Cir. 11/16/11), 2011 WL 5555686.
2. 42 U.S.C. §§ 1651-55 (2006).
3. 625 F.3d 1204 (9th Cir. 2010), petition for cert. granted sub nom. Roberts v. Sea-Land Services, Inc., ___ U.S. ___, 132 S.Ct. 71, 180 L.Ed.2d 939, 80 U.S.L.W. 3179 (Sept. 27, 2011) (No. 10-1399).
4. 125 F.3d 904 (5th Cir. 1997).
5. 132 S.Ct. 71, 180 L.Ed.2d 939, 80 U.S.L.W. 3179 (Sept. 27, 2011) (No. 10-1399).

Tuesday, January 27, 2015

Cavalcade of Risk No 149 - Pop Quiz, Hotshot

The Notwithstanding Blog hosts the 149th edition of the Cavalcade of Risk, which includes a "single best answer" multiple choice quiz for participants.

The Cavalcade of Risk is a biweekly rotating collection of articles and links (also known as a "blog carnival") from insurance and other risk related sources that provides some great information and insight about risk and risk management.

Some highlights:
  • Emily Holbrook at Risk Management Monitor investigates the recent data breach at Zappos.com;
  • Dr. Jaan Sidorov at the Disease Management Care Blog discusses Health Insurance Exchanges (HIEs) and a recent Kaiser Health News commentary; and
  • Jason Shafrin at the Healthcare Economist reports on Medicare's new value-based purchasing initiative that aims to reduce payment to "low-quality" doctors.
To read these articles and many more on a variety of risk-related topics, check out the latest edition of the Cavalcade of Risk here.
 

Friday, January 23, 2015

Louisiana Department of Insurance Issues Notice of Intent Regarding Regulation 100: Coverage of Prescription Drugs through a Drug Formulary

Proposed Regulation 100 drafted by the Louisiana Department of Insurance requires three different and distinct types of notice by health insurance plan issuers to enrollees with respect to coverage of prescription drugs through a drug formulary, and requires approval by the Department of certain modifications to prescription drug coverage.
The Louisiana Department of Insurance has released a Notice of Intent in the January edition of the Louisiana Register proposing Regulation 100 pertaining to the recently enacted Coverage of Prescription Drugs through a Drug Formulary Subpart of the Louisiana Insurance Code. Proposed Regulation 100 includes provisions intended to clarify and implement the Drug Formulary Subpart, which establishes certain restrictions and requirements for health insurance companies issuing health benefit plans that cover prescription drugs and that use one or more drug formularies to indicate the prescription drugs covered under such plans.

For more information, read the full article on Louisiana Insurance Regulatory Law.

Thursday, January 22, 2015

Intro To Insurance: What Is Insurance?


Insurance is a form of risk management in which the insured transfers the cost of potential loss to another entity in exchange for monetary compensation known as the premium.

Insurance allows individuals, businesses and other entities to protect themselves against significant potential losses and financial hardship at a reasonably affordable rate. We say "significant" because if the potential loss is small, then it doesn't make sense to pay a premium to protect against the loss. After all, you would not pay a monthly premium to protect against a $50 loss because this would not be considered a financial hardship for most.

Insurance is appropriate when you want to protect against a significant monetary loss. Take life insurance as an example. If you are the primary breadwinner in your home, the loss of income that your family would experience as a result of our premature death is considered a significant loss and hardship that you should protect them against. It would be very difficult for your family to replace your income, so the monthly premiums ensure that if you die, your income will be replaced by the insured amount. The same principle applies to many other forms of insurance. If the potential loss will have a detrimental effect on the person or entity, insurance makes sense.


Everyone that wants to protect themselves or someone else against financial hardship should consider insurance. This may include:
  • Protecting family after one's death from loss of income
  • Ensuring debt repayment after death
  • Covering contingent liabilities
  • Protecting against the death of a key employee or person in your business
  • Buying out a partner or co-shareholder after his or her death
  • Protecting your business from business interruption and loss of income
  • Protecting yourself against unforeseeable health expenses
  • Protecting your home against theft, fire, flood and other hazards
  • Protecting yourself against lawsuits
  • Protecting yourself in the event of disability
  • Protecting your car against theft or losses incurred because of accidents
  • And many more

Car Insurance – California, Do You Have Auto Coverage?

Car Insurance – California, Do You Have Auto Coverage?

Trying to find an alternate route to work when nearly 280,000 other commuters are scrambling to find their way into the city can definitely increase the odds of getting involved in a fender-bender. San Francisco Bay area interstate travelers will be the first to tell you that you cannot predict accidents or catastrophes. Whether you are involved in a natural disaster, auto accident or other catastrophe, insurance plays an important role in securing your funds for the future. Californian or not, it’s always important to see what auto insurance coverage your state suggests or requires.
There’s a long stretch of road between Redding and San Diego, California – which means many opportunities for unexpected auto accidents to occur. The Bay Bridge between Oakland and San Francisco, for example, is a hotbed of confusion and congestion that travelers are trying to navigate and conquer.
Between the excitement of summer and trying to secure your vacation plans, preparing for an auto disaster is probably the last thing on your mind. But the summer heat and unexpected bumps in the road can both wreak havoc on your auto and put you in jeopardy if you’re not prepared. If something happens while you’re driving down that long California interstate, are you covered? Let’s sift through your car insurance policy to consider your options:
What coverages are included in an auto insurance package?
When you purchase auto insurance, you usually have several options – you can purchase medical, liability, property and under/uninsured motorist coverage.
Medical coverage in an auto insurance package will take care of treating injuries to those in the policyholder’s automobile. Medical coverage will be provided if the person is a passenger or hit as a pedestrian.
Liability is your financial responsibility to someone for damage you cause – whether the damage is to another person or to someone’s property. When you purchase liability coverage, the insurance company agrees to defend you in court and/or reimburse the other party for damages you cause.
California state laws require motorists to purchase the following liability insurance amounts.
$15,000 - bodily injury liability for one person injured in an accident
$30,000 – bodily injury liability for all injuries in one accident
$5,000 – property damage liability for one accident
Covering property damage includes comprehensive and collision insurance.
Comprehensive coverage insures accidental damage to the auto including fire, wind, sleet, theft, vandalism and similar damages.
Collision coverage reimburses for damage caused by colliding with another object, regardless of who or what is at fault.
What happens if the person that hits you is uninsured or does not have proper coverage to take care of your entire loss? Purchasing uninsured and/or underinsured motorist coverage will cover both of those situations.
If you have not glanced through your auto insurance policy in awhile, it’s time to consider reviewing it. The warm summer weather means your air conditioning will be running longer and your engine will be working harder. It’s important to take time right now and make sure you will be covered if you find yourself stuck on that long stretch of California road between Redding and San Diego.

Home-Based Business Owners, You Need Insurance Coverage

Home-Based Business Owners, You Need Insurance Coverage

When you start a home-based business, buying insurance may not be your first priority, but you cannot afford to ignore it either. When the unexpected happens -- and it will -- having insurance coverage may mean the difference between the success and failure of your home-based business.
You may not require all types of insurance listed here, but taking some time now to consider your insurance needs can save you money and headaches in the future. Ultimately, after reading this article, the best way to determine your complete needs is to consult with your insurance agent. Explain to them the details of your home-based business and he or she should be able to determine the best insurance coverage for you (and any employees).

Health Insurance

Health insurance should be the first consideration for yourself and any employees you may have. If you have just left your current job to start your own business, you may be eligible for COBRA, which will provide temporary interim coverage. This will keep you covered while you search for the best health insurance policy.

Disability Insurance

Disability insurance will guarantee that you have some income should you suddenly become unable to work because of injury or illness. Having this extra peace of mind is almost always well worth the extra money you pay.

Life Insurance

Life insurance will help ensure that your family has the money it needs should you meet with an untimely death. Some lenders require that you have life insurance before they'll issue a loan; this guarantees that the loan will be repaid if you meet with an untimely end.

Business Property Insurance

Business property insurance helps protect you against loss of inventory or equipment. If your business equipment or inventory is damaged in a flood, fire, or other disaster, this type of insurance will allow you to recoup your losses.

General Liability Insurance

Comprehensive general liability insurance is necessary for your home-based business if you plan on having clients or customers visit your home. Whether you plan to hold meetings, allow customers to pick up merchandise, or have members of the public enter your home for any other reason, this insurance will protect you if someone is injured while on your property. This insurance will typically pay for your legal defense should you face a lawsuit as the result of a fall or other damage that occurs on your property.

Business Interruption Insurance

Business interruption insurance will help your business recover from natural disasters. It will cover you for income lost during the disaster, and will pay for operating expenses that continue to accrue, even though your business isn't up and running.

Workers’ Compensation Insurance

Workers' compensation insurance is an absolute necessity if you plan on having employees working out of your home. Without workers' comp, you'll be responsible for any medical expenses arising from injuries employees sustain while working for you. Many home-based business owners mistakenly believe that this type of insurance is only required by businesses that have a retail or separate location, but that's not the case. Another mistake is assuming that only ‘dangerous’ employers (such as construction or movers) need this type of insurance. But what if your employee slips on the stairs or their chair breaks? While those are both unlikely, they are possible and the less risky your business, the cheaper the insurance will be.
These insurance plans can help ensure that you are prepared to face any eventuality that might occur while you are running your own business. Disasters, accidents, and crises can strike at any time. By preparing now, you may be saving you and your company significant financial loss, wasted time, and difficulty.

Saturday, January 17, 2015

The Insurance Guaranty Association System: A Safety Net for Policyholders

The state-based insurance guaranty association system provides a safety net to provide benefits, subject to statutory restrictions, to policyholders of impaired and insurance companies.
Few people are aware that most insurance companies in the United States are members of at least one guaranty association which provides a safety net for insurance policyholders if their insurance company becomes financially troubled.

Generally, insurance can be defined as a contract in which the insurance company promises, in exchange for the premium, to provide financial assistance to the policyholder in the event that the policyholder experiences some loss, such as a car accident, a medical emergency, or even a liability lawsuit.

Who protects the policyholder if an insurance company becomes financially impaired?
But what happens if an insurance company suffers loss? What if a significant amount of an insurer's financial investments take a negative hit because of a sudden economic downturn? What if an insurance company finds itself financially impaired, or even insolvent? Does that insurance company's promise to the policyholder ultimately become worthless? Who protects the policyholders from that kind of loss?

The answer to those questions is: the insurance guaranty association system. Each of the 50 states, as well as the District of Columbia, has one or more insurance guaranty associations that provide a safety net to protect policyholders in the event that their insurance company becomes impaired or insolvent.

State guaranty associations are made up of insurance companies doing business in that state.
Significantly, these state-based guaranty associations are generally made up of all the insurance companies doing business in each state, and each of these "member insurers" provides a reasonable level of protection for one another's policyholders in the event of an insurance company insolvency. While the guaranty associations are generally authorized, empowered and regulated by state law, most of them are much more comparable to private member-based organizations than true state agencies. In fact, many of the state laws that enable guaranty associations specifically provide that they are not state agencies and that their debts are not state debts.

This is important because it means that the assets that are used by a guaranty association to protect the policyholders of an impaired or insolvent insurer do not, generally, come from state coffers. Instead, guaranty associations and the policyholder protection they provide are funded by the member insurers – the insurance companies themselves.

In other words, with the authorization of and regulation by the state, the insurance companies that do business in each state come together to provide funds and resources to establish a safety net that provides protection for policyholders if their insurance company fails.
Put simply, guaranty funds provide an essential safety net for policyholders, one that meets the needs of those least able to deal with losses should their insurance company fail.[1]
Insurance companies that experience financial difficulties are not treated like typical corporations or other businesses. Insurers have their own state-based financial solvency laws, regulations and even their own insolvency procedures. Rather than entering the federal bankruptcy system like most non-insurance companies, a financially failing insurer is directed by state insurance regulators into a state court insolvency proceeding under the laws of the state in which that insurer is domiciled.[2]

When a state court, upon the motion of a state insurance regulator, issues an order stating that an insurance company is insolvent, generally the applicable state insurance guaranty system is "triggered" and steps forward to protect that insurer's policyholders.
Insurance guaranty associations provide protection to consumers; they do not provide rescue or “bailout” financing for financially troubled companies. The fundamental responsibility of an insurance guaranty association is to assure the provision of insurance protection to consumers, up to a statutorily established maximum level of guaranteed protection, once the duties of the guaranty association have been “triggered” by a judicial determination that an insurer is insolvent and should be liquidated.[3]
The protection provided by the guaranty associations is not limitless.
The protection provided by the guaranty associations is limited by the maximum amounts of coverage established under state law. In other words, state law provides certain "caps" on the amount of benefits that a guaranty association can pay to any one policyholder and/or under any one policy. Other conditions apply, such as residency restrictions and other limitations.



Friday, January 16, 2015

Holden Coupe 60 Concept






White House Extends Deadline for States to Set Up Health Insurance Exchanges While Health Insurance Premiums Rise

As the White House grants more time for the states to establish health insurance exchanges, health insurers are seeking (and receiving) double-digit rate increases.
The White House has agreed to give states more time to set up the health insurance exchanges mandated under the Obama administration's health care law.

The HHS is waiving or extending the January 1, 2013, deadline for states to set up health insurance exchanges.
The deadline to establish a viable health insurance exchange under the law was January 1, 2013, but the Secretary of the federal Health and Human Services Department, Kathleen Sebelius, has indicated that "she will waive or extend the deadline for any states that expressed interest in creating their own exchanges or regulating insurance sold through a federal exchange," according to the New York Times.[1]
The exchanges are a crucial element of President Obama’s health care law. Every state is supposed to have one by October, and most Americans will be required to have coverage, starting in January 2014. The federal government will run the exchange in any state that is unwilling or unable to do so. It now appears that federal officials will have the primary responsibility for running exchanges in at least half the states — far more than expected when the law was passed in 2010.[2]
Thusfar, the HHS has given "conditional approval" to 17 state-created health insurance exchanges even though some of those states had not granted clear legislative authority or funding to actually run the exchanges.[3]

The Obama administration has indicated that, rather than determining whether these 17 state-run exchanges are viable as of the deadline set in the law, the federal government will continue to work with the 17 states to set "timelines and milestones for progress toward creation of an exchange."[4]

HHS has suggested that states could operate a health exchange "in partnership with the federal government" despite the lack of authority for such a partnership in the health care law.
HHS continues to encourage other states that have not yet created an exchange to cooperate with the White House, granting states until February 15, 2013, to file an application to operate an exchange "in partnership with the federal government." But some have argued that the health care law does not authorize either "conditional approval" of an exchange or an "exchange partnership" with the federal government as the HHS seems to be promoting.[5]

Federal officials are also allowing extra time to other states that might cooperate with the White House to some degree. Ms. Sebelius told states they had until Feb. 15 to file applications to operate exchanges “in partnership with the federal government.”[6]
A political benefit of this strategy is that it allows the administration to keep working with even the most recalcitrant states. Administration officials said they were trying to persuade such states to share the work of running an exchange, supervising health plans and assisting consumers.[7]
While the federal and state governments continue to negotiate on health insurance exchanges, health insurance premiums for consumers may continue to rise.

Health insurers are seeking and winning doubt-digit increases in premiums for some customers.
The New York Times reported last week that health insurance companies "across the country are seeking and winning double-digit increases in premiums for some customers, even though one of the biggest objectives of the Obama administration's health care law was to stem the rapid rise in insurance costs for consumers."[8]
Particularly vulnerable to the high rates are small businesses and people who do not have employer-provided insurance and must buy it on their own.[9]
At least one health insurer in California has proposed rate increases of up to 26%, while other insurers have proposals for increases up to 22% and 20%.[10]
In other states, like Florida and Ohio, insurers have been able to raise rates by at least 20 percent for some policy holders. The rate increases can amount to several hundred dollars a month.[11]
Some people may be delaying health care treatment because of the weak economy.
The Times article points to evidence that the increase in overall health care costs appears to have slowed in recent years, "increasing in the single digits annually as many people put off treatment because of the weak economy." The insurers, on the other hand, argue that medical costs for certain policyholders are rising much faster than the overall average.[12]

Federal regulators suggest that, although health insurance premiums may be increasing, the increase would be even higher without the health care law, in part because it "sets limits on profits and administrative costs and provides rebates if insurers exceed those limits."[13]

Some health insurers may be more afraid of losing money by charging inadequate premiums than having to refund some of that money.
While some consumer advocates suggest insurers may be seeking large rate increases in spite of the refund provisions – "they may be less afraid of having to refund some of the money than risk losing money" – even some state insurance regulators agree that rising health care costs are driving the rate increase requests. This is in part because of the process of medical underwriting, which also limits the availability of health insurance to those with pre-existing conditions, according to the Times.[14]
…[B]ecause insurers now take into account someone’s health, age and sex in deciding how much to charge, and whether to offer coverage at all, people with existing medical conditions are frequently unable to shop for better policies.[15]
As the Times article notes, however, the health care law will prohibit insurers from considering the health of a prospective policyholder before offering coverage, or deciding what rate to charge, in 2014.[16]


Nice cars






Thursday, January 15, 2015

Online Degrees Just like some other field



On-line Degrees Just like some other field, there are many options available for you on the subject of on the web college diplomas. To start with, you'll be able to choose a college diploma inside education. You can become a trainer in any college through earning that diploma plus a certificate inside training. Generally your own higher education significant can make a decision which in turn topic you will definitely train. Once you have acquired some sort of college diploma inside education, you'll be able to more choose a masters diploma inside education. This specific diploma can come inside actual useful for many who want to improve their vocation.

Different Areas in the Field of Education : The training field is made of different specializations that is included in primary education, earlier years as a child education, supervision, advanced schooling, second education along with midst classes. Every one of these specializations requires a specific academic qualification along with qualification intended for to become trainer.

On-line Bachelor's inside Schooling: To get started on a job inside training, you have to acquire some sort of college diploma inside Schooling. Your program composition in this on the web diploma software involves organizing lessons, controlling self-discipline connected issues, mindsets of finding out along with ensuring students usually do not experience any problem inside knowing concepts. You can earn involving $25, 000 along with $30, 000 as being a 1st season trainer having an on the web college diploma inside education.

On-line Masters inside Instructing: Certified instructors can achieve offers and also shell out lifts by using on the web some sort of masters inside training diploma. One more good thing about that diploma software is usually who's allows instructors a lot more possibilities inside individual educational institutions along with universities. Upon graduation you may also sign up for some sort of PhD inside education Program


Educational facilities giving On-line Schooling Degrees:

Western Governors or university: Regionally approved through the Northwest Commission rate about Colleges and universities, Western Governors  university presents Bachelor inside Schooling, Advanced schooling, Secondary Schooling along with Exclusive Schooling.

Ashford  University: Regionally approved through the Greater Mastering Commission rate of the Northern Middle Association of Colleges along with Educational facilities, Ashford College or university presents Relate, Bachelor along with Get better at college diplomas inside training. A few of the programs done through Ashford College or university usually are Bachelor inside Schooling, Advanced schooling, Beginning Youth Schooling, Secondary Schooling along with Simple Schooling.

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Tuesday, January 13, 2015

Insurance Regulation 2012: Reading the Tea Leaves

Insurance industry auguries expect insurance regulation to be a significant issue in the coming year.
Insurance industry insiders predict that insurance regulation will take center stage in governmental affairs in 2012, and expect that insurance regulatory issues will have an increasing effect on business in the new year.

Mark A. Hofmann of Business Insurance, for instance, expects that regulators will dominate government affairs during 2012 as lawmakers focus on election-year politics with limited risk management and insurance issues on the congressional agenda. He points to the new Federal Insurance Office's report on insurance regulation modernization, due to Congress this month, as the "first major item on the regulatory agenda."[1]
Other regulatory issues include ongoing implementation of provisions of the Dodd-Frank Wall Street Reform and Consumer Protection Act. And although almost certain to be focused on election-year politics, Congress nonetheless will have a role to play in the National Flood Insurance Program.[2]
Regulators will be "dominating the governmental affairs scene."
To those who think the 2012 elections and congressional gridlock will keep the government occupied, both Jimi Grande, senior vice-president of the National Association of Mutual Insurance Companies, and Joel Wood, senior vice-president of the Council of Insurance Agents & Brokers in Washington, disagree. Wood says regulators will be "dominating the governmental affairs scene" in the insurance industry in 2012, and Grande suggests that the regulatory part of the federal government "will be working feverishly" despite the election year or legislative gridlock.[3]

The FIO's report could be a critical event for the insurance industry.
The FIO's insurance regulation modernization report could be a critical event for the insurance industry, potentially setting the stage for "interaction among the FIO, the National Assn. of Insurance Commissioners and the states for years to come," according to Wood, as reported by Business Insurance.[4]

Tom Litjen, vice-president of the Property Casualty Insurers Association of America, agrees that the report will provide significant insight into "the direction the FIO is setting for itself."[5]

Risk management issues are expected to be important points on many state government agendas, as well, including risk assessments and natural catastrophe-related matters, according to another recent Business Insurance article.[6] Those points include:
  • A push to create a New York state Office of Risk Assessment to "integrate comprehensive risk management into the state's operations";
  • The possibility of legislation involving Florida's hurricane catastrophe fund and/or the Florida Citizens Property Insurance Corporation;
  • Ongoing regulatory implementation regarding the Texas Windstorm Insurance Association;
  • The possibility that regulators may look to increase the relatively small market penetration of California's Earthquake Authority; and
  • The potential for further legislation in the risk management area related to last year's Hurricane Irene and the Virginia earthquake.[7]
Future insurance regulation will not only address catastrophe concerns and risk assessments, but regulatory developments are expected to have an increasing impact on businesses, particularly small business, in 2012.
The insurance industry has seen four states recently pass legislation defining construction defect claims as occurrences under commercial liability policies—a trend likely to continue in some places, experts say.[8]
In the same vein, Insurance Regulatory Law expects to see more states moving to adopt the recent amendments to the National Association of Insurance Commmissioners model act and regulation relative to insurance holding companies, especially as the NAIC appears to be moving forward with incorporating those amendments into its state accreditation standards. The NAIC has also been moving forward with initiatives on suitability in annuity transactions as well as reinsurance credit.

Paychex, a leading provider of payroll, human resources and employee benefit services, suggests that regulatory issues could require small business owners to change the way they operate.[9]

Health care reform has already begun to fundamentally change the health care and health insurance industries.
Among those changes are the potential legislative and regulatory impacts of the Affordable Care Act. Even though the Supreme Court has recently agreed to hear challenges to the implementing legislation, health care reform has already begun to fundamentally change the health care and health insurance industries, and many state and federal agencies are continuing implementation, all of which will impact businesses going forward.[10]

The NAIC, for example, recently adopted three (3) new white papers to assist state regulators with the implementation of the Affordable Care Act's health insurance exchange, including white papers on governance, adverse selection and the role of navigators/producers.

In 2012, "several states will be enacting stricter legislation to more heavily fine companies for misclassified workers," which could impact both workers' compensation insurance coverage and premiums. [11]

Changes in security and privacy laws, financial reform and employment law regulations could also affect small businesses and the insurance industry in indirect ways.[12]



1Insurance regulation takes center stage, Mark A. Hofmann, Business Insurance, January 1, 2012.
2Insurance regulation…, Id.
3Insurance regulation…, Id.
4Insurance regulation…, Id.
5Insurance regulation…, Id.FN3
6 Risk management concerns on state agendas for 2012, Mike Tsikoudakis andRodd Zolkos, Business Insurance, January 1, 2012.
7 Risk management concerns…, Id.
8 Risk management concerns…, Id.
912 Laws That Will Affect Your Business in 2012, David Mielach, BusinessNewsDaily, December 28, 2011.
10Supreme Court Agrees to Hear Health Care Reform Challenges, But Health Care Reform Already Fundamentally Changing the Health Care and Health Insurance Industries, Van R. Mayhall, III, Insurance Regulatory Law, November 15, 2011.
1112 Laws…, Id.
1212 Laws…, Id.

Monday, January 12, 2015

Insurance Industry 2012: More Crystal Ball Gazing

Ernst & Young expects a continuing negative trend for the property and casualty insurance industry while A.M. Best predicts a more stable outlook for the health insurance sector.
Ernst & Young's new Property and Casualty Insurance Industry Outlook predicts continuing economic uncertainty and instability that will, more likely than not, prolong the negative performance trend in the property and casualty insurance industry.[1]

Insurers must anticipate, understand and address the impact of new regulations.
In order to improve their performance, Ernst & Young advises that property and casualty insurers must "anticipate, understand and address the impact of prospective... new regulations and accounting changes prior to implementation." Insurers must "employ flexible strategic responses in terms of capital and resources" in order to best position themselves in the current market conditions, according to David Hollander, Global Insurance Advisory Leader for Ernst & Young.[2]
They should consider enhancing the sophistication, articulation and deployment of their risk management standards and related systems, as compared to their current regulatory and reporting environments. Insurers that fail to appreciate the impact of regulations and new accounting standards could find that a potentially higher cost of capital may derail their competitive strength.[3]
In contrast, however, A.M. Best Co. has revised its outlook for the health insurance sector from negative to stable for 2012.[4]

Last year's negative outlook was concerned with new regulatory requirements.
Last year, "A.M. Best affirmed its negative outlook on the health insurance sector, mainly due to concerns over the industry's ability to implement and manage the various requirements of the Patient Protection and Affordable Care Act (PPACA), as well as the potential for margin compression."[5]

Yet, A.M. Best is forecasting a stable outlook for the health insurance sector in 2012, citing factors such as:
  • The margin compression that was expected did not materialize, and results were favorable for most health insurers through 2011;
  • The health insurance industry effectively implemented the 2011 requirements of PPACA, including minimum medical loss ratios and rate review requirements; and
  • A "trend of broad-based moderation in utilization" that has generally kept operating earnings favorable.[6]


Friday, January 9, 2015

SeriousHP’s Turbo Kit can Nearly Double the Ferrari 360 Modena’s Horsepower

The Ferrari 360 Modena is out at the picture from quite some time now (ever since 2005), but we are pretty sure that some of you are driving one and want to upgrade its output level. For those of you interested, Texas-based tuner, SeriousHP, has developed a turbo kit that will almost double the engine’s output.
Your stock Ferrari 360 Modena is powered by a 3.6-liter naturally aspired V-8 engine that delivers a total of 405 horsepower. SeriousHP’s turbo kit increases the output up to an astounding 791 horsepower. That’s a monstrous 95.3-percent horsepower increase.
In order to obtain this outrageous bump, the tuner will install a new turbocharging system, forged pistons, an upgraded fuel system, Pro-Efi 128 engine management, ceramic coated 67-66 Precision Turbo billet and a reinforced transmission.
With the extra power, the 360 Modena will run the quarter mile in just 10 seconds and will be capable o hitting a top speed of 190 mph. If you want to order this amazing tuning kit, you will have to shell out $38,000. For the upgrades it includes, we think that’s a bargain.
Hit the jump to watch the Ferrari 360 Modena by SeriousHP on dyno.

Monday, January 5, 2015

How an Insurance Policy Works

How an Insurance Policy Works - Insurance policy can be identified to a lot folks revealing challenges associated with loss envisioned from a expected accident. Right here, the price of the loss will be borne by every one of the insurance firms.

How an Insurance Policy Works
For example, in the event that Mr. Adam purchases a fresh vehicle and wants in order to ensure your vehicle against any envisioned incidents. He'll almost certainly buy insurance through a insurance firm with the insurance agent or insurance professional by paying out a unique sum of money, named premium, towards the insurance firm.

As soon as Mr. Adam pay out the actual premium, the actual insurance company (i. age. the actual insurance coverage company) issue insurance, or deal document, in order to him or her. On this insurance plan, the actual insurance company examines just how it will eventually cover all or the main damages/losses which will take place about Mr. Adam's vehicle.

On the other hand, just as Mr. Adam is able to buy insurance and is also paying out in order to his or her insurance company, plenty of other folks with countless numbers will also be performing the same thing. Almost any one of them those who are covered by insurance by the insurance company is referred to as covered by insurance. Commonly, these types of folks will never have any sort of incidents so because of this you will see zero requirement for the actual insurance company to pay these individuals any sort of pay out.

In case Mr. Adam as well as a not many other folks features any sort of accidents/losses, the actual insurance company can pay these individuals depending on the insurance plan.

It should be noted that the overall prices compensated by these many covered by insurance can be a lot more than the symptoms towards the damages/losses accrued by some number of covered by insurance. That's why, the actual big left-over dollars (from the actual prices gathered right after paying out the actual compensations) can be employed by the actual insurance company as follows:

1. Some usually are kept as a income water tank.

3. Some are used since purchases intended for more earnings.

3. Some are used since working expenses with sort of rent, items, incomes, personnel contentment etc.

5. Some usually are given out in order to banking institutions since repaired debris intended for more earnings etc. etc.

Apart from the auto insurance coverage considered by Mr. Adam about his or her new auto, he is able to additionally plan to ensure herself. This is extremely diverse given it will involve a new man lifestyle and is also so termed Life insurance coverage or Warranty.

Life insurance coverage (or assurance) will be the insurance coverage against against assurance or a thing that is certain to take place including death, instead of a thing that could possibly occur including loss in or destruction of property.

The problem associated with a life insurance policy is usually a very important one particular given it considerations the actual security associated with man lifestyle and company. Life insurance coverage offers true safeguard for your company and it in addition gives some sot associated with drive for virtually any skilled workers whom chooses in order to to become listed on your organization.

Life insurance coverage insures everything of the insurance plan dish and pays off good results towards the assignee. This specific assignee can be your company with regards to a key personnel, lover, or co-owner. In some cases, the actual assignee could possibly be someone's up coming associated with family member or a in close proximity to or far-away regards. This assignee is just not tied to one person; it depends on the insurance plan dish.

Life insurance coverage guidelines exist with 3 types:

• Expereince of living insurance coverage

• Time period Insurance policy

• Endowment insurance coverage

• Expereince of living Insurance policy

In whole Life insurance coverage (or Full Assurance), the actual insurance firm pays off a arranged sum of money (i. age. value assured) about the actual death of the person in whose lifestyle can be covered by insurance. Because up against the logic associated with term, Expereince of living Insurance policy can be good also it proceeds in existence as long as the actual prices of the insurance plan members usually are compensated.

When a person communicate his or her want with taking a Expereince of living Insurance policy, the actual insurance company will probably think about the model's present get older and well being standing and take advantage of this info in order to opinions extended life stock chart which often forecast the individual's lifestyle duration/life-span. This insurance company subsequently current a new monthly/quarterly/bi-annual/annual stage premium. This specific premium being compensated depends on an individual's current get older: younger anybody the bigger the actual premium and the older anybody the bottom the actual premium. On the other hand, the actual intense large premium getting compensated by way of a more radiant person will probably lower slowly fairly together with get older during the period of decades.

When you are planning a a life insurance policy, the actual insurance company is the very best location in order to inform you on the variety it is best to consider. Expereince of living insurance coverage prevails with 3 types, since comply with: varying lifestyle, general lifestyle, and variable-universal lifestyle; and they are good options for your own workers to take into account or with your particular personal program.

Time period Insurance policy

In Time period Insurance policy, everything of the policy-holder can be covered by insurance for just a unique time frame if anybody dies within the time the actual insurance firm pays off the actual assignee. Or else, in the event the policy-holder life for a longer time than the time frame expressed within the insurance plan, the actual insurance plan isn't for a longer time good. In the straightforward word, in the event that death isn't going to take place inside established time, the actual policy-holder will get absolutely nothing.

For example, Mr. Adam uses a lifestyle insurance plan for just a amount of definitely not later as compared to age 60. In case Mr. Adam dies inside age under 60 years, the actual insurance firm can pay the actual value assured. In case Mr. Adam's death isn't going to take place within the expressed time within the lifestyle insurance plan (i. age. Mr. Adam life as much as 61 years and above), the actual insurance firm pays off absolutely nothing irrespective of the actual prices compensated on the term of the insurance plan.

Time period peace of mind can pay the actual insurance plan dish provided that death takes place in the "term" of the insurance plan, which can be as much as 35 years. Further than the actual "term", the actual insurance plan can be null and void (i. age. worthless). Term life insurance guidelines usually are in essence associated with two varieties:

o Amount term: On this one particular, the actual death benefit stays continual over the timeframe of the insurance plan.

o Lessening term: Right here, the actual death benefit lowers because the course of the actual policy's term advances.

It should be remember that Term life insurance can be utilized in a very debtor-creditor circumstances. A collector may decide to ensure everything associated with his or her debtor for just a time around that the debt settlement can be supposed to always be done, to ensure in the event the debtor dies in this particular time, the actual collector (being the actual policy-holder) will get compensated by the insurance firm for that value assured).

Endowment Life insurance coverage

In Endowment Life insurance coverage, everything of the insurance plan dish can be covered by insurance for just a unique time frame (say, 35 years) if anybody covered by insurance is living following insurance plan features timed out, the actual insurance firm pays off the actual policy-holder the actual value assured. On the other hand, in the event the person assured dies within the "time specified" the actual insurance firm pays off the actual assignee.

For example, Mr. Adam got a Endowment Life insurance coverage intended for thirty five years as soon as this individual has been 30 years of age. In case Mr. Adam can be fortunate to realize age 60 (i. age. 30 + 35), the actual insurance firm can pay the actual policy-holder (i. age. whoever can be paying out the actual premium, possibly Mr. Adam in the event that they are normally the one paying out the actual premium) the actual value assured. On the other hand, in the event that Mr. Adam dies in age fifty nine years before filling out the actual assured time period associated with thirty five years, his or her value assured will be compensated in order to his or her assignee (i. age. policy-holder). In case of death, the actual value assured can be compensated in the get older which often Mr. Adam dies.

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