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Thursday, January 28, 2010

Health Insurance Reform in State of the Union in U.S

Everyone's weighing in on the State of the Union address in which President Obama chose his words very carefully when discussing health care.

Obama called it "Health Insurance Reform"-- not health care reform. And he was candid about the political drama that has unfolded since he championed overhauling the nation's health care system: "And by now it should be fairly obvious that I didn't take on health care because it was good politics," he said.

One of the bills could include a measure to repeal the antitrust exemption for insurance companies, a provision included in the House health care bill but left out of the Senate version. State from paying increased Medicaid expenses, and a 40 percent excise tax on Insurance Companies that provide the most expensive health insurance coverage.

The White House has negotiated with labor leaders to modify the tax plan for expensive health policies by exempting many health plans covering union workers until 2017.

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Friday, January 22, 2010

Amid rising rates, workers' compensation reform urged Insurers seek 23 percent premium hike

Workers' compensation insurance rates are expected to increase by about 4 percent this year on average. California law requires employers to have Workers' Compensation Insurance.

All California employers must provide Workers' Compensation Insurance benefits to their employees under California Labor Code Section 3700. There are five basic types of Workers' Compensation Insurance benefits - medical care, temporary disability benefits, permanent disability benefits, vocational rehabilitation services, and death benefits.

Workers' Compensation coverage is offered under Part One of a Workers' Compensation Insurance policy. In Part one, the insurance company agrees to promptly pay all benefits and compensation due to an injured worker. Employers Liability insurance can provide important coverage in addition to Workers' Compensation Insurance. Employers Liability is offered under Part Two of a Workers' Compensation and Employers Liability Insurance policy. Employers Liability Part Two protects the employer against instances where an employee's injury or disease is not considered work related.

In California, almost all employers, whether large or small, are required to have coverage for their employees with Workers' Compensation Insurance. An employee does not have to be full-time, or employed by only one employer for any number of months or days. In addition, there is no need for a written employment contract and employees can include legal and illegal aliens, minors and prisoners. Under certain circumstances; i.e., a home owner, you may be required to have workers' compensation if you hire someone to perform gardening, maintenance, house cleaning, etc.

The RAND/Navigant study recommended 29 changes in the workers' compensation insurance program, including:
-- Requiring the state Department of Insurance to appoint and pay the actuaries who certify that insurers have set aside adequate reserves for expected claims.
-- Directing the Workers' Compensation Insurance Rating Bureau of California to publicly release the quarterly reports that compare the rates insurers charge with their expected claims costs.
-- Increasing the capital workers' compensation that insurers must hold to protect against adverse events.

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Monday, January 11, 2010

Children's Healthcare Program in California lay on the line

The health of an entire generation of children is prone to risk in California.

The advocacy group Children Now reported that California ranks an appalling 36th in the nation in the percentage of children with health insurance. More than 1 million of the state's 9 million children are uninsured. And Gov. Arnold Schwarzenegger's finance director has already said to "expect the worst" in the upcoming budget year regarding the prospects for the state's Healthy Families program, which funds health care for poor kids.

"The worst" would mean devastating cuts to the program in the 2010-11 budget proposals. In 2009, that calamity was avoided at the last minute only because the federal government and the state's First 5 program came to the rescue with an additional $196 million in funding. The state shouldn't expect that temporary fix to be available in 2010.

The Children Now report shows cutting children's health care is a poor fiscal move, too. The average cost of treating a child for a preventable hospitalization is $7,000. In California, the cost of providing health coverage for a child is roughly $1,200. It doesn't take a math wizard to figure out that this investment in children's health is in the best interests of all Californians.

California falls further behind in the competition to have the healthiest, best educated work force in the nation, whenever it decides to underfund (or not fund at all) programs to bring the state closer to universal coverage for children

Unlike other programs,California's Healthy Families program provides an easy target for the Legislature. It is because its funding is not secured by the state constitution. Finding a steady, feasible funding stream for children's health care should be one of the top priorities for the governor,the Legislature and Californians in 2010.

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