HumanaOne Drops a Bomb

[somarco]

MHPAEA may or may not apply to individual plans. Everything I have seen on that act indicates it seems to apply to groups of 50+. That act specifically may not apply, but Humana is of the opinion that the ban on annual and lifetime caps applies to DAMN coverage.

 

[Crabcake Johnny]

If it doesn't apply to mini-meds we're gonna see them start coming out of the woodwork.

 

[somarco]

Some mini med marketers are saying plans that pay a fixed benefit, $500/day for hospital as an example, are exempt while those that pay a percentage of the bill will have to comply as early as next month.

 

[Crabcake Johnny]

Well there's an easy fix.

 

[djs]

Some mini med marketers are saying plans that pay a fixed benefit, $500/day for hospital as an example, are exempt while those that pay a percentage of the bill will have to comply as early as next month.

I think this is wishful thinking on somebody's part.

 

[IndividualHealthGuy]

Does this also mean that the STM plans are going to exist outside of MLR?

 

[TXINSURANCE]

Every carrier I have spoke with is in agreement that STM is not subject to MLR. Plenty of indemnity "min meds" will dance the health bill as well.

 

[Crabcake Johnny]

Just as a point - many of the fly by night outfits couldn't care less what the legislation says. They'll chug on until someone files a lawsuit.

 

[Dowejonez]

Well...they've found a way to handle it in Iowa. I received a letter this week stating they're pulling out the 23rd.

 

[sman]

I've used that method successfully for years.

they're pulling out