BlueCross BlueShield of Oklahoma has released a statement reminding its clients that generic drugs can contribute to lowering the overall costs of health insurance, especially for patients. But make no mistake, the end game of the NAIC is too strangle this marketplace in every way it can and limited encroachments left unchecked will likely lead to more existential threats. Most everything else is really just white noise” with regard to the captive insurance marketplace.
Some health care providers are innovating in a quest to provide higher quality care while controlling costs. We had heard rumors that Insurance Commissioner Dave Jones was developing proposed legislation with a $40,000 minimum specific attachment point requirement.
While the push to restrict the ability of smaller employers to obtain stop-loss insurance continues to play out in California (see two previous blog posts), the feds are taking a closer look at how the availability of stop-loss insurance facilitates the growth of the self-insurance marketplace, and what that means for health care reform implementation.
Payment of your claim will be under the rules and table of benefits of the health insurance plan, subject to any changes agreed with the Policyholder that apply to you at the time you receive the treatment. Of the 26 states that currently regulate stop-loss attachment points, only a few have adopted the model act without variation.
Legislation is now moving through the California State Legislature that would impose new regulations on stop-loss insurance in such a way that would effectively eliminate the ability of companies in that state with 50 or fewer employees from self-insuring their group health plans.