Closing a book of business

LewB

Expert
83
Inquiring minds want to know? Why do Medicare Supplement companies close a book of business and then come out with a new plan? Can someone explain the logic in it to me?
 
Because the current book of business has people who have become older and therefore have more lllnesses meaning more claims. They close that book and raise the rates to cover the increasing losses. Then, they open a new book with younger, healthier folks and charge a lower premium do to lower claims ratios. After a couple of years, rinse and repeat.
 
Because the current book of business has people who have become older and therefore have more lllnesses meaning more claims. They close that book and raise the rates to cover the increasing losses. Then, they open a new book with younger, healthier folks and charge a lower premium do to lower claims ratios. After a couple of years, rinse and repeat.

I tried to avoid the companies that did that. The longer I am in this business, the more I dislike drug companies, insurance companies, and politicians. If life were fair, all fifty states would have a birthday rule.
 
Wow, I have never thought about that but it makes sense, thanks for the lesson Rousemark
The problem is that it penalizes theirvlong term policyholders whose health prevents them from going elsewhere. Once they close the book and are no longer sdding new healrhy people, the rates begin to go up. Those that healthy and can pass underwriting go elswhere which accelerates the adverse claim ratio as there are none left but the sick people. Then, the rates really begin to skyrocket. I wish every state would pass the birthday rule where folks can buy any plan without underwriting within 30-60 days of their birthday. Would put a crimp in the game companies play.
 
We used to have a ba. .ss Insurance Commissioner in Oklahoma. If a company closed a book they couldn't come back into the state with a new block for 3 years.
That's probably been 20+ yrs ago. Stopped a lot of this foolishness and kept the client from getting these wild swings in price.
 
Please no birthday rule.

Carriers responsible for covering risks should not be required to ignore risks.

Underwriting is not the enemy.

<Points to ACA -- asks the audience: "see that over there?">

Case closed.
 
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