Short-Term Health May Go Major

Northeast Agent

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Pennsylvania
An NCOIL Republican is suggesting that the minimum annual benefit limit could be $2 million.

Jeff Smedsrud, president of Pivot Health, a coverage program manager, said he believes that concerns of short-term health insurance issuers rejecting applicants with health problems have been exaggerated, according to the draft minutes.

Issuers are now taking about 90% of the applicants, he said.

Pivot Health has seen about 70,000 claims, and allegations of material misrepresentation led to fewer than 50 policy rescissions, Smedsrud said.

Many states let an issuer look back five years for evidence of material misrepresentation, but the issuers themselves are now trying to be friendlier toward consumers by limiting the lookback period to two years, Smedsrud said.

Smedsrud said one obstacle to increasing the minimum annual benefits maximum is that issuers might keep premiums low by increasing the deductibles to very high levels, such as $20,000.
 

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