Serving Insurance Professionals in Florida and the Southeast
[ Home ]    [ Back ]    [ The Marketplace ]  [ FREE Subscription ]

FEBRUARY 2001

Florida AGENT - Life & Health News Headlines

 

 

Here are the stories making news in February 2001

Special Issue: Health

This month's focus is on health insurance. Guest columnist Jeff Nasser, vice president of marketing for International Medical Group Inc, writes that nearly four million U.S. citizens currently live abroad, and more than 30 million non-U.S. citizens arrive in the U.S. each year. How many of them do you insure?

Today, the demand for international insurance products is greater than ever due to the increasing mobility of business people as well as leisure travelers. This type of coverage is aimed at both U.S. citizens living abroad or traveling for business or pleasure, and non-U.S. citizens worldwide.

As an agent, it is your job to find a company and plan for these individuals and groups that will go well beyond what would be expected from a domestic carrier. Domestic insurance coverage is not able to keep up with these travelers because it usually does not cover them when they leave their home country. Even if their current plan offers international coverage, usually it is for a very limited time and offers very minimal benefits.

Before jumping into the international health market, you need to consider several factors. Jeff discusses those factors in this month's issue.

Privacy, Mandated Benefits Will

Dominate State Legislatures

The most prevalent health insurance-related issues state legislatures will debate this year are a range of privacy initiatives and a host of bills mandating that health insurance cover specific services, according to a new state legislative forecast released by the Health Insurance Association of America.

HIAA's legislative forecast also identifies expanding prescription drug coverage, imposing additional "prompt payment" requirements for health insurers and health plans, and reviewing previous state market "reforms" as emerging state health insurance-related issues. The forecast also finds that extending antitrust waivers to doctors and other health care providers, and expanding liability against health insurers and health plans, are key ongoing state issues.

Job-Based Benefits Increase

The percentage of Americans with job-based health insurance coverage increased between 1998 and 1999, while the ranks of the uninsured went down after years of growing, according to recent research by the nonpartisan Employee Benefit Research Institute.

The article reports that nearly 66 percent (158.4 million) of Americans under age 65 were covered by employment-based health insurance in 1999, up from 64.9 percent (154.8 million) in 1998.

This expansion continued a longer-term trend that began in 1993.

Breaking a long-term upward trend, the percentage of uninsured Americans under age 65 fell from 18.4 percent in 1998 to 17.5 percent in 1999 (42.1 million people in 1999, down from 43.9 million the year before) -- primarily as a result of a strong economy and tight labor market.

"It is notable that the expansion in employment-based health insurance and the decline in the uninsured occurred at a time when health insurance costs were rising," said Dallas Salisbury, EBRI president and chief executive. "Moreover, employers have not been shifting the cost increases to employees."

House Committee Chairs Named

Several relatively new state lawmakers will move into House committee chairmanships this year, with term limits having depleted the Florida Legislature of many of its long-serving members.

Carole Green, R-Fort Myers, just starting her second term, will be in a high profile position during the two-month legislative session that starts March 6, as chairwoman of the Elder and Long-term Care Committee.

Leslie Waters, R-Seminole, an insurance committee executive, will chair the Insurance Committee.

The chairmen and chairwomen, all Republicans, were named by incoming House Speaker Tom Feeney. The GOP has a 77-43 lock on the House.

Florida Business

Lauds LTC Reform

Associated Industries of Florida responded favorably to Gov. Jeb Bush's proposals to assist Florida's elders.

"Gov. Bush's Elder-Friendly Initiative will go a long way to improving the quality of care provided to nursing home residents," said Jon L. Shebel, AIF's president chief executive. "At the same time, his plan will help resuscitate the state's failing long-term-care industry."

Included among Bush's reforms is a proposal that would conform nursing home litigation to the medical malpractice laws that apply to all other health care providers. Shebel called the explosion in litigation against nursing homes and assisted-living facilities the greatest threat to the industry.

AIF's interest in LTC is sparked in part by the anticipated explosion in the costs to government of providing this care. Many employers would like to add LTC insurance to their menu of employee benefits, a move that would lessen the burden on taxpayers for funding this care.

Palm Beach Policyholders

Seek $1 Billion From Pru

Fifteen Palm Beach County residents have accused Prudential Insurance of using deceptive sales tactics and are seeking $1 billion in damages.

County Circuit Judge Peter Blanc was to begin hearing pretrial motions in the case in January. Jury selection is set for Feb. 1 and the trial is expected to last at least 10 weeks.

The residents filed their own lawsuit after deciding a national class action would not get them the damages they wanted, said David Sheller, a lawyer representing the plaintiffs.

Prudential settled the national lawsuit in 1997, agreeing to pay customers $2.4 billion, an average of roughly $220 for each of the 10.7 million policies it sold from 1982 through 1995.

Attorneys for the 15 plaintiffs said Prudential agents falsely promised customers that policies they purchased would be paid for in a few years. In reality, contracts required policyholders to make premium payments for life or risk having the policy lapse.

The lawsuit accuses agents of misleading policyholders by persuading them to upgrade to more expensive policies by promising the upgrades wouldn't cost more.

Former Execs Admit Defrauding MetLife

Two former executives of a MetLife subsidiary have confessed to swindling the company out of $2.4 million in one of the largest fraud cases ever prosecuted in Eastern Washington.

Howard Dale Kartchner and Jeffrey K. McLean pleaded guilty in U.S. District Court in Spokane to mail fraud and conspiracy.

Kartchner and McLean both face 46 to 57 months in federal prison when they are sentenced March 30 by Judge Frem Nielsen. They also will settle a civil lawsuit by MetLife by repaying $2.4 million.

Kartchner, 55, of Houston, and McLean, 49, of Wenatchee, are both free without bond.

They confessed to setting up their own dummy companies and submitting phony bills that were paid by MetLife subsidiary companies.

Bringing Prospects To Your Web Site

With thousands of new Web sites popping up each month, you're probably wondering how to give your Web site presence above all others. How do you ensure that potential customers find your site as they surf the Net?

Victoria Hall Smith tapped the wisdom of three Internet experts for ideas that will help you stand out in the crowd. The Web gurus are Richard Seltzer, a Boston-based Internet marketing consultant and co-author of The Alta Vista Search Revolution (Osborne/McGraw-Hill); Vince Emery, best-selling author of How to Grow Your Business on the Internet (Coriolis Group Books) and director of his own Web site at www.emery.com and Gautam Godhwani, who helped found Register It!, one of the growing number of online registration services. Together, these influential leaders compiled 10 suggestions to promote your Web site.

Guest columnist Jack Fries, of Fries & Fries consulting, discusses those in this month's issue.

 

[ Top ]