Uncategorized – Risk Managers

BCBSTX 2025 Rate Filing

Texas BCBSTX individual risk pool 2023 performance – $4.8 billion in revenue, 95% loss ratio, $290.70 pmpm cost……………..

Best Dental Insurance Companies With No Annual Maximum

MetLife has the best dental insurance plans with no annual maximum benefit. Our research found it offers the lowest premiums and the best coverage for major dental care.

Coalition For Education Funding Annual Conference

“The Largest Funded HRA In The Country”

OneBridge Benefits administers tax-free health benefit solutions for organizations across the country backed by first-of-its-kind technology, outstanding customer service, and a commitment to shared values.

Individual Health Insurance Statistics

“They say a picture is worth a thousand words. Well, data visualization is worth at least that much. Paragon Pic makes health policy easier to see and understand by demonstrating with images what researchers would normally try to explain with a lecture or text.”

Cost Of Paying Claims

Self-funded? Curious about how much it costs to pay a claim?

Small Business Health Insurance Plans

eHealth offers 1,300 small business health insurance plans from over 70 carriers

Eliminate the Health Insurance Time Bomb on Your Balance Sheet

“ICHRAs allow businesses to permanently separate their health insurance costs from the health status of their employees.”

Fundamental Care® Value Plan

Fundamental Care® Value Plan is an innovative Voluntary Health Plan designed specifically for hourly and part-time employees. As healthcare costs continue to rise, this plan offers a budget-friendly alternative that can make a significant impact on your clients’ workforce.

Bavvy For Brokers

Win clients with Bavvy.

If you’re not talking to clients about Bavvy, someone else is.
It’s flexible. It’s easy. It’s Bavvy.

This Is Why Direct Primary Care Is Becoming More Popular Than Ever

$249 Oral Semaglutide Prescribed Online

Pill or Injection?

Tablet dosing of Semaglutide delivers the medication in a pleasant, easy, mint-flavored dissolving tablet.

ATTN Brokers – Insource Your ICHRA Instead of Outsourcing To Competitors

“We built ICHRAOS, to enable our resellers to in-source their ICHRA offerings instead of outsourcing to their ICHRA administrator/broker competitors.” — Michael Pires. Co-Founder & CEO

$297 Semaglutide Prescribed Online

Become A Loser – Join The Diet Without Dieting Crowd (Don’t let dieting crowd your life style)

Insurance – Warren’s Greatest Investment

“GEICO is Warren Buffett’s greatest investment of all time, and the returns are stunning.”

Insurance: All About Float

SOURCE: Insurance: All About Float | The Motley Fool

The insurance industry makes billions by taking in premiums and investing the money in short-term bonds and stock portfolios.

Dylan Consulting

We help independent brokers and agency owners to grow their businesses, be more profitable and more efficient. Welcome to the new way of doing business in the health insurance industry.

Fallacy: ICHRA Networks Are Inadequate

An attorney called us several months ago. He represents a Texas brokerage active in the Texas school district market. The brokerage apparently felt threatened by our ICHRA marketing efforts for Texas school districts struggling for solutions to high cost health insurance.

2024 Health Insurance Broker Bonus Programs

Years ago while on a flight to Dallas I passed the time reading the Braniff magazine I found in the seat pocket in front of me. “Two Best Ways To Become A Millionaire” caught my attention. One was real estate and the other was insurance. The article didn’t resonate at the time as I was leasing my skills and services to Blue Cross earning a monthly salary of $840 (before taxes). Years later I ended my leasing career by becoming my own monopoly. That’s when the relevance became apparent as I set out to prove it.

Got The Wrong Health Plan?

By Craig Gottwals

Got the wrong health plan?

Then your shoulder MRI may cost NINETEEN (19) TIMES what others pay if you happen to go to UC Davis Medical Center (UCDMC) in Sacramento.

Sound like a scam?

Yeah, that’s because it is.

Everything Marketplaces

SOURCE: Everything Marketplaces

We’re a community for marketplace founders & leaders

Building, launching, and scaling a marketplace startup is challenging. We’re a community for learning about best practices, sharing insights, and getting help from others that know marketplaces best.

Happy Labor Day

ATTN. BROKERS: Instant Access To Hundreds From Carriers In All 50 States

Benefit Sculptor is not just a benefits solution — it’s an expansive conduit that brings a universe of plan options to every broker’s fingertips. With our solution’s vast array of choices, experience an impartial perspective that will give you unparalleled reach.

Labor Day 2024 – Mattress Mack Keeps Selling While In Hospital

“Mattress Mack is currently recovering at St. Luke’s ER, but the Labor Day Super Sale at Gallery Furniture is still going strong!

IOA Re + Rockport + Sequola = Carbon

I’m thrilled to announce that IOA Re, Rockport and Sequoia are officially uniting under a new brand: Carbon Stop Loss Solutions.

As you may know, we became part of the NSM Insurance Group family as separate organizations in early 2023. Since then, we have been working to create a unified sales and service platform — fueled by a deep bench of experts — to deliver more value for you and all our stakeholders.

Uncle Sam Re

Uncle Sam Re: “The program allows insurance carriers to shift high-cost claims to government-administered programs. In other words, Uncle Sam subsidizes healthcare spending for the highest-cost individuals who buy a plan through the ACA markets.”

Attention Providers – Design A Custom Community Health Insurance Product In Under 90 Days

Diversify healthcare provider’s revenue and create more value for local employers.

Employee Attains Room Temperature While Working

Little did her co-workers know that Denise had assumed room temperature in the comfort of her office cubicle four days earlier.

‘If I Have A Heart Attack Tomorrow, Why Should I Stay Dead?

A British woman who developed hypothermia while hiking in Spain in 2019, whose heart stopped for six hours while rescue teams tried to locate her was revived…..

Curative Expands Groundbreaking Health Plan to Georgia with an Innovative $0 Copay, $0 Deductible* Benefits Solution

AUSTIN, Texas–(BUSINESS WIRE)–Aug 29, 2024–

Curative Insurance Company, a pioneering healthcare services company, is excited to announce the expansion of its first-of-its-kind health plan to businesses headquartered in Georgia. This marks a significant milestone as Curative brings its $0 copay, $0 deductible solution to Georgia.* The plan is designed to remove barriers to care, prioritizing member well-being, preventative care, and long-term health while reducing overall costs. Georgia is now the third state, along with Texas and Florida, where Curative is available to employers with 51 or more employees for their entire workforce regardless of the employee’s state of residence.

Reference Based Pricing Benchmarks – Why Pay More When You Can Pay Less?

What’s the best Medicare pricing benchmark plan sponsors should use? Is it 100%, 120%, 150% or 200% of Medicare? Is there a material difference in balance billing issues between these tiers? The answer may surprise you.

Helping Hospitals Solve the Balance Billing Issue With Reference Based Pricing Plans

ATTENTION HOSPITALS: Rejoice and be Happy! The Reference Based Pricing battle has been won! You have been so successful in putting the Fear of God among local plan sponsors considering Reference Based Pricing that it’s had the intended effect.

Allstate Exits Voluntary Benefits Business

“Allstate Corp. has agreed to sell its employer voluntary benefits business to StanCorp Financial Group Inc. for $2 billion, with plans also underway to divest its individual and group health sectors. This move is part of a broader strategy to focus more intensely on its core personal liability and protection services.”

94% Reject Reference Base Pricing

It’s been seventeen years since we placed our first client on a Reference Based Pricing model. The results were compelling with first year savings exceeding 44%. Subsequent years proved equally successful with continued savings and no reduction in benefits.

Greg Lindberg

Greg Lindberg bought over 100 insurance companies and loaned out carrier reserves to the tune of billions of dollars winning a seven year all-expense paid sabbatical at taxpayer expense.

BestOne Dental Coverage Now Available

BestOne Dental – $25 per visit co pay

Affordable Dental Coverage – 12 Month Rate Guarantee!

Choice Plan ($3,000 or $5,000)
Economy Plan ($1,500)

The Doctor Will See You Now

Have you ever…

Needed a doctor in the evenings or on the weekends?
Needed a prescription called in to your pharmacy?
Needed to talk to a doctor about a non-emergency illness?

MDhotline is a nationwide network of medical physicians who provide medical advice and issue non-narcotic prescriptions (when sufficient medical history is available) to expedite hassle-free treatment. MDhotline staffed with licensed, registered nurses to speak to members regarding their medical needs and to arrange consultations with MDhotline Doctors 365 days a year / 24 hours per day / 7 days per week.

Enrichly – “Prepare to Crush Your Competition”

The market is changing, awareness and adoption of alternative program designs are growing, but many brokers and employers have yet to implement programs that really deliver meaningful impacts to the end consumers, the employees because they lack the tools to effectively manage them across large populations.

Enrichly delivers a turnkey platform that makes it easy for you and your firm to win in the quickly evolving health and benefits game — from marketing and lead generation to sales and support. Our Network Partner Program allows you to launch fast and kick your competition to the curb., if that doesn’t interest you this is not the program for you or your firm.

Group vs Individual Health Insurance

THE GREAT DEBATE: Group Health Broker vs Individual Health Broker

“Because the ACA requires minimum levels of coverage and prohibits insurance companies from denying people coverage because of pre-existing conditions, individual plans are better and easier to get. Plus, they’re often more affordable than comparable group plans.” – On Exchange vs Off Exchange – Individual vs Group Health Plans .

Why do Health Plans Need a Comprehensive Solution to Offer ICHRA Plans?

August 8, 2024

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The small group market is the backbone of every health plan. Yet, this market is undergoing unprecedented levels of disruption.

ICHRAs, Disintermediation, and the Opportunity for Brokers

“Some brokers will do everything that they can to deflect client requests to evaluate an ICHRA program to replace their group model. That approach is fraught with danger, particularly when unlicensed sellers can deliver a solution.” – Bill Stuart

The $362.50 Defined Contribution Health Plan

The “Tack Hammer Penalty”

ATTENTION LARGE EMPLOYERS: Here’s How The Government Makes It Possible To Limit Your Health Plan Cost To $362.50 PEPM starting in 2025:

Uncle Sam Insurance

Meet Uncle Sam, your new health insurance broker. With his assistance you can shop for health insurance all by yourself in a few short New York minutes. And the good news is your new best friend may help pay part or all of the cost if you qualify.

Even better news for American workers! Uncle Sam says your employer can help pay all or part of the cost too if they adopt ICHRA, the newest employer sponsored health plan that’s gaining rapid market share across the Fruited Plains, from East to West, from North to South.

RFK Explains Why Americans Are The Sickest People On Earth

An honest discussion by RFK on American health care every plan sponsor should share with their plan members.

The Stop Loss Waiting Game

In a hurry for a stop loss quote? Get ready. The stop loss waiting game can take weeks and weeks of grueling back and forth effort often leading to dreams of an early retirement to a warm and sunny beach with plenty of umbrella drinks on hand……

Fidiciary Liability Insurance

Did you know “In Texas, there is no formal fiduciary duty between an insurance agent and an insured.

Medical Conditions That Dogs Can Sniff Out

Dogs possess an extraordinary ability to detect certain medical conditions through their keen sense of smell. From detecting cancer to identifying low blood sugar levels, these remarkable animals offer invaluable support by alerting humans to potential health issues early.

Plumb Life Insurance Company

How to become a Plum Partner and start earning BIG BUCKS…..

Uncle Sam Health Insurance

Meet Uncle Sam, Your New Best Friend & Health Insurance Broker

Buying health insurance has never been easier. Meet Uncle Sam, your new health insurance broker. With his assistance you can shop for health insurance all by yourself in a few short New York minutes. And the good news is your new best friend may help pay part or all of the cost if you qualify.

Still better news is……(DRUM ROLL)…………. Uncle Sam says your employer can help pay all or part of the cost too if they adopt ICHRA, the newest employer sponsored health plan that’s gaining rapid market share across the Fruited Plains, from East to West, from North to South.

Open Enrollment

Billy Eats Your Medical Bills

BILLY helps take a bite out of opaque healthcare pricing, making it easy to compare prices across facilities before scheduling care, or to review what a usual and customary charge really should be on your bill.

Alamo Heights ISD Accepts Low Bid

“It all comes down to cost……….”

Auto Insurance: Overpriced

Just because you have to renew your auto insurance every 6 months does not mean you have to Over Pay!

Charlie Munger Opines On Insurance

This Blog Entry Stolen From Taylor Rogers’ Linkedin Post – Charlie Munger would teach you to buy as little insurance as you can afford to.

Risky Risk Pools Plague Texas School Districts

“How can a superintendent or school board, as fiduciaries of taxpayer funds, jeopardize a district’s assets by participating in a risk pool, when they have no idea as to the pool’s financial ability to pay losses?” – Robert Reim

Replacing Your District Health Insurance Contribution with Federal Dollars

With increases to public school funding seemingly frozen by the state’s leadership as the result of a fight between the legislature and the Governor over vouchers, public school districts are being forced to find creative ways to balance their budgets, including discovering new and innovative cost cutting measures.

What The Heck!

ICHRA Sales

Not all ICHRA administrators treat insurance agents the same. Many administrators “own” the account and can terminate the agent at will. And they keep all commissions as Agent of Record and pay the broker nickels and dimes and other strange things. Others, like the one described below, treat agents better.

How To Calculate ICHRA Affordability

The cost of health insurance for an employee must not exceed 9.12 percent of the employee’s income.

Market Saturation Plagues Barnum & Bailey Talent Pool

Two thirds of the American population could have made it big in the circus had they lived back in the day. Now the other third can.

E&O For Insurance Agents

E&O Insurance and Benefits for Agents, Agencies, RIAs and Financial Planners. Apply online in minutes and receive instant proof of insurance.

TRS ActiveCare Or ICHRA?

Can the TRS ActiveCare (TRSAC) government health insurance program for Texas school districts effectively compete with ICHRA? Which is better? It’s up to the reader to decide.

TSHBP Member Districts Hit With $18,519,802.78 Funding Deficit

The bankrupt TSHBP is attempting to collect millions from member Texas school districts to pay for uninsured losses for plan year 2024-2024.

Risk Pooling: How Health Insurance in the Individual Market Works

ICHRA’s – The Power of Risk Pooling

“The Affordable Care Act (ACA) requires that insurers use a single risk pool when developing premiums. The single risk pool incudes all ACA-compliant plans inside and outside of the marketplace/exchange within a state. In other words, insurers must pool all of their individual market enrollees together when setting the prices for their products. This means that the costs of the unhealthy enrollees are spread across all enrollees.” – American Academy of Actuaries