HealthNet

[J.R.]

Gov't stepping in isn't necessarily a bad thing. Let's take a look at the late 1800's to the early 1900's and look at how private companies operated without any regulation.

The gov't stepped into private industry with minimum wage and labor laws. If not, then people would be working for $1.50 an hour for 60 hour weeks.

Although not direct analogies to what we're discussing my point is just because the gov't steps in doesn't make it a bad thing.

This analogy is good, but who decides what the definition of "good" "fair" and "bad" should be. I'm all for personal responsibility and agree with everything said thus far.

I would also go as far as to say that when we have access to medical records (I cannot figure out why this hasn't happened yet) people who lie or try to commit insurance fraud should have that listed on their MIB or a similar record. This means that ALL insurance carries report to the MIB and people are held responsible for their actions.

 

[J.R.]

Read up on Walmart;

Work off the clock or you're fired. Ohhh...that's illegal? When then take what you're making from $6.25 an hour and go sue us.

Happened to me and I lost a job over it. When I was a teenager I worked for Color Tile basically doing whatever they needed me to do. After my shift one day I had punched out - my manager then tells me he needs some help but it has to be off the clock - throws "team work" and "loyality" in my face.

I said no and left. Guess what my schedule looked like the following week?

However, in those case I "could" have sued. Imagine no regulation.

Yes, but normally the people who go above and beyond have a better chance of going further than those who clock out at exactly 5pm when the shift ends.

 

[moonlightandmargaritas]

I would also go as far as to say that when we have access to medical records (I cannot figure out why this hasn't happened yet) people who lie or try to commit insurance fraud should have that listed on their MIB or a similar record. This means that ALL insurance carries report to the MIB and people are held responsible for their actions.

JR, most of this is being done now.

Click here for more info.

 

[somarco]

5 years max in my opinion should be the look back

So take on strokes, MI and any cancers? If it happens, look for rates to jump significantly and possibly fewer carriers in the market.

No more rescinds,

Rescissions are uncommon except in the most blatant situations. They get a lot of press but reality is, it almost never happens.

 

[TXINSURANCE]

Rescissions are uncommon except in the most blatant situations. They get a lot of press but reality is, it almost never happens.

Most carriers in my market are rescinding 1 to 2% annually. Multiply that by 1,000,000 policies or more and you have a sticky situation.

 

[somarco]

Most carriers in my market are rescinding 1 to 2% annually.

And your source is?

How many of those were for fraud?

 

[TXINSURANCE]

I am no where near that - but yes I have had rescinds. You can do everything right and still have policies rescinded if the carrier wants to weasel out of the claim.

 

[somarco]

policies rescinded if the carrier wants to weasel out of the claim.

They better have proof of fraud, and in almost every case they do.

In addition to being illegal, it is just plain stupid to rescind policies in a cavalier manner.

I have had one in the last 4 yrs. The lady filed a fraudulent application, KP rescinded.

 

[J.R.]

JR, most of this is being done now.

Click here for more info.

Thanks Paul, the key word being "most." I should have been clearer.

There needs to be a central company that tracks things, such as, previous insurance, medications, declines, rate-ups, etc.

 

[somarco]

There needs to be a central company that tracks things, such as, previous insurance, medications, declines, rate-ups, etc.

Some of that info is available to participating carrierss from MIB. There is at least one company (can't recall the name) who tracks prescribed meds for the last 5 years. Carriers like Humana & Aetna check MIB and (the Rx source) and compare results against your app to see if you lied or not.