Biden Administration Softens Final Health Regulations

Duaine

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The U.S. Department of Labor is part of a three-department Biden administration team that today backed off from the tougher provisions included in draft health insurance regulations released in July.

The final version of the regulations, which is set to appear in the Federal Register April 3, would cap the maximum duration of a short-term health insurance policy from one corporate family to four months.

The final version would also add tougher notice requirements for short-term health insurance policies and “fixed indemnity” health insurance policies, or policies that pay a set amount of cash when people get sick, suffer injuries or go to the hospital.

The departments suggested that they could come back and add tougher regulations later.


But the final regulations would continue to allow the sale of both short-term health insurance and fixed indemnity coverage, would not impose any new marketing rules; and would not change the benefit design or underwriting rules. Healthy clients who want to try to cut premium costs by using short-term health insurance as their main medical coverage could simply line up short-term coverage from a different corporate family every four months.

The fixed indemnity product category includes products that pay fixed amounts when people have health problems.

That category could also include critical illness insurance, cancer insurance and other products that pay benefits when people suffer specified illnesses or injuries, but the regulation-writing team decided to keep that out of the new final regulations.

[EXTERNAL LINK] - Biden Administration Softens Final Health Regulations | ThinkAdvisor
 
Short Term Health no more advanced commissions for policies less than (5) months.

As a UnitedHealthOne contracted agent through AHCP, you may be aware that advance commissions have been available on all short term medical plans with terms of two months or more. This email is to inform you that as of May 1, 2024, we will no longer pay advance commissions on short term medical plans with purchased terms of five months or less. This change is being made to benefit you by increasing your potential net commissions and reducing the potential for chargebacks on shorter term plans.
 
What I am wondering is, how will this effect captive agents like the over 4,000 captive USHA agents who only sell 2 products owned by United Healthcare under Freedom Life Insurance Company? The 3 agents who I know which have been with that organization for over 5 years each did not even know about this new CMS ruling and of course, nobody has brought it to the attention. They currently sell a medically underwritten plan that runs perpetually with no required renewal and a GI plan that works the same. The medically underwritten plan which is their big commission paying plan, requires the insured on the plan to pay a HUGE fee to upgrade if they need to use major medical. Seems like their entire product has to be restructured just to meet the CMS guidelines as it can't run perpetually any longer and has to be less than 3 months in duration come 9/1/2024. Unless of course United Healthcare spends some of their trillions on health lobbying and lawyering...
 
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