Golden Rule/ United Healthcare Won't Be in the Exchange

Ugh. I listed to the whole hour and a half video!

They start out weak and end up strong, in my book. Their first point is a marketing idea they have to get brokers to write as much business in 2013 as possible, under the reasoning that UH1 can continue to renew those policies year after year without changing them to QHB plans. Their reasoning is weak. It is based on a speech Obama made after the Supreme Court ruling saying people can keep their current plan. Obama's speeches are not law. Personally, I think this is a marketing push for 2013 business, and I wonder if it will stand up in 2015 and beyond!

At the 49 minute mark, he begins talking about UH1 planning to have compliant QHB's outside the exchange, but also that they "have a game plan" for limited benefit (possibly fixed indemnity?) plans, but they are working with the govt now to make sure those plans are compliant before they release them. I want to keep my eye on this, because if a quality carrier designs a fixed indemnity plan that is NOT severely limited in benefits (like the fixed indemnity plans we see on the market now), then this is a major alternative for those who can't afford Obamacare. Note that he also said some of them may be underwritten.

Beginning at the 54 minute mark is when they really discuss UH1's decision to not participate in the public exchanges. Note that he specifies that it is Golden Rule/UnitedHealth One. United Health Group owns a lot of carriers, so perhaps some of them will participate on the exchange. At the 1:12 mark, he reiterates that UHC and GR/UH1 are separate entities even though UHC owns GR/UH1.

As a part of the previous discussion, and especially at the 58 minute mark, they seem to make a distinction between what HIX participating carriers can do vs carriers who are not participating on the HIX public exchanges. A quote from the 58.05 minute mark is, "So again, the bottom line is if someone is on the public exchange and, as far as we know, on renewal or sooner for interim health sales, you will be pushed out of your current plan and you will have to purchase a guarantee issue metal plan. I know of no exception to that." BTW when he says, "if SOMEONE is on the exchange", he means if a CARRIER is on the exchange. Also, their term "interim health sales" means sales that are not grandfathered, but that are before 1/1/2014. Again at just before the 1 hr 5 min. mark, he restates that UH1 is NOT going to be immune to Obamacare rules like MLR, but they have more flexibility if they don't participate on the public exchange at all. They reiterate in following discussions that UH1/Golden Rule is not going to be on the public exchange.

At about the 1 hour mark he makes a point that I've made repeatedly. People who get subsidies will still often pay as much for their health insurance as they pay now. That's because the premiums will spike, and also because they may have to pay up to 9.5% of their income for their share of the premium. Granted, they will be getting a better health plan, but not everyone wants to spend almost 10% of their income on a richer health insurance plan.

At the 1:03 minute mark - UH1 reiterates that the under 400% of FPL market is not the majority of their business today. It is the small business owner, professional, and the over 400% crowd.

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EDIT: While I was listening to the 1 1/2 hour video and typing my post above, AllenChicago saw that the video has been removed from the internet. So...... at least we know where GR/UH1 is headed, and that gives us a lot of insight!
 
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What is all this is a red herring, with each carrier (UHC in this case) floating a trial balloon to see which way the wind blows and what other carriers might be doing?

I think there is going to be a lot of posturing over the next few months and probably some heavy handedness from the queen bee at HHS.

Regardless, it will be interesting.
 
what are these guys doing with a video on the internet and friggin getting rid of it? Unbelievable. Conspiracy theories will abound.
 
There is no requirement to offer inside the exchange. If you do, a similar plan outside the exchange must have the same price.

I see others following the king, and this thing imploding. Only the Blues will play in the sandbox, others are taking their ball and going home.

I haven't seen a commitment from our Blue....the only commitment I am aware of in Iowa is a co-op that was born from PPACA. If they are the only players, they surly will be bankrupt by AEP 2015.
 
what are these guys doing with a video on the internet and friggin getting rid of it? Unbelievable. Conspiracy theories will abound.

After reflecting on the content and presentation of the webcast, I'm now of the belief that this was hosted and conducted by the HealthPlanExpress (HPE) nationwide consortium of agents and brokerages. (ref: Health Insurance Agents :: State by State Directory :: Contact Health Plan Express )

The 3 people hosting the webcast rarely used the word "we" when referring to UHC and/or Golden Rule. If this were an actual GR-UHC presentation, wouldn't UHC headquarters use the secure agent's area of the corporate website?

That being said, I hope that what they said about the 2013 plans is true and that they merely "let the cat out of the bag" by revealing insider info prematurely...before UHC-GR was ready to release it. (A UHC insurance-forums mole may have forced HPE to take the link down.)

If Golden Rule is truly going to keep 2013 plans active indefinitely, with the Essential Health Benefits being added in 2014 (to make policies "Qualified") with a projected 15% price increase, I'll renew my agent status and begin selling these puppies. Will need to see it in writing first however.
-ac
 
If Golden Rule is truly going to keep 2013 plans active indefinitely, with the Essential Health Benefits being added in 2014 (to make policies "Qualified") with a projected 15% price increase, I'll renew my agent status and begin selling these puppies. Will need to see it in writing first however.
-ac

They actually said they were planning to keep the 2013 plans WITHOUT upgrading them to EHBs in 2014. That's what I thought was really odd. The UHC speaker referred to his children's Disney stories and said they were planning to renew them "to infinity and beyond".

BTW, I agree with you Allen, about everything you wrote in the post above.
 
What makes the idea of these policies so attractive vs the ones inside the exchange from a consumer point of view? Rates? If rates, why would these rates be less money? Less benefits? It's all still GI right?
 
What makes the idea of these policies so attractive vs the ones inside the exchange from a consumer point of view? Rates? If rates, why would these rates be less money? Less benefits? It's all still GI right?

On the webinar the presenters said that the 2014 Golden Rule plans will not have to conform exactly with the "Metal" plan restrictions. (i.e. not as robust).

Also, to sell on the exchanges, carriers will have to pay a fee to the exchange (and maybe to HHS?) for each plan sold.

And, people who buy non-exchange plans will be higher income...which statistically translates into healthier applicants...people who eat better, exercise more, smoke less, etc..

Less Robustness + No Fees + Healthier Applicants = Plans that cost significantly less than Exchange-based policies.
 
I listened to it.

1. I was part of a different GR webinar, with a regional sales rep, and it was not a secure UHC site, it was like a Go To Meeting link up.

2. If they set up plans in Dec 13', to renew in Dec 14'......EHB's do not need to be added until Dec 14'. Of course, earlier renewal dates will be upgraded sooner.

3. "infinity and beyond" is referencing the GI pool. Most of the premium shock will come from being mixed into the GI pool. I was under the impression, that plans sold in 13', are underwritten, and will never be mixed in with the GI pool for plans sold in 14', therefore keeping prices lower for a longer period vs GI risk pool plans that must be sold on/off the exchange.

Humana webinar tomorrow AM should be interesting.
 
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