Would anyone jump in and just explain the general concept? I know that the bidding process is involved, but I am just looking for the overall explanation of what this is. Any help is appreciated...
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My husband recently quit his job and we intend to go on Cobra for as long as we can. Then we will have to find our own insurance as my husband will be working from home with his own little busine...
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I wanted to drop a line on getting long term disability from a private insurer. My work provides 15 weeks of short term disability and at 17 weeks it goes over to a private insurer for disability...
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I have health care in the U.S. through my job, and I don't understand some fundamental things about how it works. So I'd like to ask two questions:
-- Where can I find a basic FAQ about what I...
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The copays on these make me ashamed to be part of the health insurance industry. Yes, I know they keep premiums down, but what are premiums for if not to give people peace of mind? If you get seri...
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My daughter is disabled, she was going to get reg SS & medicare since she had problems as a child. Last minute they cahnged it to SSI & medicaid saying no proof of childhood problem. The t...
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Lying with statistics (or, how did this get to be today's news?):
Quote:
Reports Shows How Many People Are Likely to Die in Each State Due to Lack of Health Coverage WA...
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I work with a small group health LOB and we're trying to spur some sales in South Dakota. An agnecy pointed me to the following on the state DOI website:
http://www.state.sd.us/drr2/reg/insu....
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Quote:
Accident and Health Working Group of the Life and Health Actuarial Task Force
Saturday, March 29, 2008.
...
Discussed modifications to the Actuarial Opinion s...
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My company uses an HSA (Health Savings Account) for our insurance payments.I'm allowed $1250 yearly,which is divided into 4 quarters,every 3 months $315.I used all of my $1250 last year (2007) tow...
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I am working on Chiropractic benefit pricing. Our company uses the Milliman model and populate our own data. Since the Milliman model doesn't do a good job for the Chiropractic benefit pricing, I ...
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Recently I had a serious emergency; and, as a result, my urologist had to perform various procedures on me in the local hospital operating room. I'd give more details of all of that, but it's real...
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Hi there - I'm in desperate need of where i can receive the Industry-wide closed with pay rate of litigated BI claims
anyone able to help?
...
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I am an independent consultant (my diagnosis has made this career a natural fit). I recently applied for both a life and long-term disability policy with a major carrier. After the physical exams...
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I work on the P&C side. A colleague of my wife is looking for some help. He is part of a research program that is looking for a health actuary for a project trying to estimate lifetime chanc...
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I'm not an actuary. And I didn't stay at a Holiday Inn Express last night. But I do have a question.
Assume a capitated health insurance plan is willing to pay a certain amount (say $1.00/mo)...
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Is there anything I can do about a previous caseworker telling lies about my living situation?
I am a single mother without a job and no money. At this time I am getting by with the help of fa...
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We were refused authorization for an IVF procedure as Horizon blue cross has now set an age limit for its coverage and part of the procedure will be taking place after the 1st of april 2008 since ...
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I am wondering what's the difference between health insurance company and health maintenance organization or PPO?
can an insurer be HMO or HMO be an insurer?
...
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Has anybody attended these in the past? Any opinions on the experience to share? Are they worthwhile? I'm just trying to decide how to best use continuing education hours this year.
...
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Thanks a lot.
...
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Does anybody know if we can still get access to the 2006 and 2007 plan benefit data and formulary data at the CMS website? Now only 2008 data is available at http://www.medicare.gov [http://www.m...
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Health Care plans for EVERYONE!
Includes Doctors, Rx. Dental, Vision + more!
Under $13 per week
Covers ENTIRE ...
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Have been finding large claim experience (eg 75k and up) diverging between our aso and insured business, much more than random and more than I would expect. Did this by comparing large bloc of bus...
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Patsy Bates found a lump in her breast several months after getting a new health care plan. her insurance company canceled her policy and refused to pay the $125,000 claim. She sued and Judge Sam ...
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