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Archive for September, 2010

Dallas Employers Brace for Increased Texas Health Insurance Costs

Tuesday, September 28th, 2010

texas health insurance costsAcross the state, individuals, families and even businesses are bracing themselves for increased Texas health insurance costs.  Though it’s not the only culprit, health care reform plays a large part in increasing costs.  Several insurers have raised rates to comply with the new health laws, and these costs—passed down employers—are eventually absorbed by the Texas workforce.

From the Dallas Morning News

Higher medical claims, an aging workforce and reverberations from a new health care law will lead to an expected 9 percent health care cost increase for Dallas employers next year, according to a study released Monday. Dallas will experience its highest health care cost increase in more than nine years, according to Hewitt Associates, a human resources company.

In 2010, Dallas health care costs have increased 3.7 percent, as compared to a 4.2 percent increase in 2009. Next year, however, Hewitt projects an 8.7 percent average rate increase.  While federal legislation is certainly guilty of raising health care costs, Texas is also contending with an aging workforce.  Older employees often survive layoffs due to their experience, but they typically require more medical care than younger workers, which further increases costs for businesses.

As affordable Dallas health insurance becomes exceedingly difficult to obtain from employers, more consumers are exploring their individual Texas health insurance options, or opting for less traditional plans, like health savings accounts.  Such alternatives to traditional employer-subsidized plans put more control in the hands of consumers. Individual plans—unlike many group plans—allow the insured to pick and choose the coverage options they need, while HSAs give individuals direct control over how their money is spent.

Changes to Texas health insurance are upon us, with certain changes instituted last week and many more being rolled out over the next several years.  Whether it’s pairing a health savings account with a high deductible health plan, or enlisting the free services of a Texas health insurance broker, consumers should do what they can to keep costs down while remaining insured.

Changes to Texas Health Insurance Coming This Week

Tuesday, September 21st, 2010

texas health insuranceDespite all of the discourse surrounding ObamaCare and the political maneuvering of the past six months, most health care reforms haven’t yet been implemented. Instead, changes to Texas health insurance are slowly rolling out over the next several years, with many not occurring until 2014 or later. But this week many important provisions of the health care act do go into effect, which could mean significant changes for consumers.

The following Texas health insurance changes go into effect on September 23, 2010:

- Most Texas health insurance policies currently have a maximum lifetime payout of $1 million or more, plus a maximum out of pocket amount per calendar year.  But beginning September 23, insurers cannot limit one’s lifetime maximum.

- All health plans will be prohibited from dropping an individual’s coverage because he gets sick.  This will provide peace of mind for many consumers who become ill or are diagnosed with a condition.

- Children under 19 years of age with pre-existing conditions cannot be denied coverage.

- New Texas health insurance plans will be required to cover preventative services.

- Employer health plans will be prohibited from establishing any eligibility rules that, in effect, discriminate against lower wage employees.

- Health insurance plans must allow young adults to remain on their parents’ health plans until their 26th birthday, unless they have access to coverage on their own health plan.

- Consumers will receive more freedom to select their physicians.

The above reforms will play a significant role in shaping health care and the Texas health insurance market.  While some consumers will feel the benefits of ObamaCare, others will find their affordable Texas health insurance in jeopardy of price hikes and reduced coverage.  As reforms continue to roll out over the next several years, the most important thing is to remain covered throughout the process.  There’s no better investment than the health of you and your family.

Affordable Texas Health Insurance Comes to Small Employers

Friday, September 17th, 2010

affordable texas health insuranceSmall employers looking for affordable Texas health insurance may be in luck.  The Texas legislature recently established a statewide program designed to provide Texas health insurance programs for small business owners and their employees.  This comes at a time in which nearly six million Texans do not have health insurance, and many small employers don’t have the resources to provide employees with health benefits.

In fact, only 32 percent of our state’s small businesses offer Texas health insurance to employees, as opposed to 89 percent of our large employers. The program, called Healthy Texas, helps combat this issue by providing “eligible small employers with the option of purchasing an affordable benefit plan that is compliant with the benefit requirements of federal health insurance reform.”

According to the Insurance Journal, “eligible employers that purchase coverage for employees and their dependents through an approved participating private health plan can save, on average, up to one-third on premiums.”  That’s a huge boon to small businesses currently thwarted by a down economy and shaky federal health care legislation.

Healthy Texas does not provide a premium subsidy to small employers. Instead, it utilizes both public and private funds to address claims costs and to pay participating health insurers for costs that fall within a defined range. The program’s success hinges upon its ability to strategically target state dollars to where they are most needed and can do the most good – in this case, low income, uninsured employees of small businesses.

To enroll, employers can apply directly through participating health plans, Celtic Insurance Company and United Healthcare, or apply through a Texas health insurance broker.  Healthy Texas considers the following requirements when determining program eligibility:

  • - The employer must qualify as a small business with 2-50 employees
  • - An employer must not have provided group insurance 12 months prior to HealthyTexas application
  • - At least 30 percent of employees must receive annual wages at or below 300 percent of the federal poverty level
  • - The employer must pay at least 50 percent of the premium costs for employees
  • - At least 60 percent of eligible employees must elect to participate in the program

The Healthy Texas program provides a means for small businesses to offer affordable Texas health insurance to their employees and is a big step in our state’s quest to insure more residents.

ObamaCare Forces Texas Health Insurance Companies to Close

Friday, September 10th, 2010

Texas health insurance company closesAs the ObamaCare veil continues to be lifted, it’s further exposed as a cavalier, irresponsible piece of legislation wrecking havoc on Texas health insurance.  From its severely high costs to negative results like doctors dropping Medicaid and insurers being forced to close up shop, health care reform has already caused more pains than gains.

And these unfortunate consequences are hitting close to home.  According to the Dallas Morning News, “Grand Prairie-based National Health Insurance Co. said it could no longer offer individual accident and health insurance policies. It blamed its decision on the company’s inability to meet requirements of the health care overhaul signed into law this year.”

Starting January 1st, the law requires that health insurers meet a specific medical loss ratio, which is the percentage of an insurer’s premiums spent on medical services for its customers versus administrative costs.  The law views certain tasks—like liaising with doctors, protecting patient information and preventing insurance fraud—as administrative even though they significantly improve quality of health care and lower costs.  As a result, costs for insurers will rise, the quality of health care will fall, and quality Texas health insurance companies will struggle to stay afloat.

Jared Wolfe, executive director for the Texas Association of Health Plans, believes that “there are a number of plans who won’t be able to meet this requirement and will simply exit the market.”  Many health economists say that more small insurers like local National Health Insurance Co. may soon buckle under the weight of the law’s mandates.

The individual Texas health insurance market has higher administrative costs for insurers than the large group market, so as small Texas health insurance companies fight to stay in business, consumer options will be reduced.  ObamaCare was supposed to increase access to health care, not decrease it.  It’s just one more example of why the pains are not worth the gains.