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Before you blame the insurance companies for being “greedy”, it’s important to note, there is a clause in the Affordable Care Act that is called the Medical Loss Ratio (MLR).
This Medical Loss Ratio states that insurance companies must pay a minimum of 80-85% of all the dollars they collect in premiums towards medical bills they receive (claims). In other words, if an insurance company collects $100 in a premium, $80 to $85 MUST pay a medical claim.
If at the end of the year they have collected too much from their members, they must send their members back a “rebate” check or give the members a credit for a future premium. So that leaves the insurance company the remaining 20% to pay all of their expenses (employees, buildings, marketing, broker costs etc). Within the 80-85% ratio’s, the insurance company can also spend money on things that improve healthcare quality. This medical loss ratio requires all insurance companies to send detailed reports to the Government about money being spent. The reports are a big responsibility and are very time consuming for the insurance companies to comply with.
When you hear someone talk about their Premiums Going up, have them read this definition and explanation.
We read an article a while back stating that the residents in Florida, almost 1 million customers, received a $65 refund because of this rule. The insurance company collected too much money in premiums and had to refund their customers the overage collected. Here in Nevada, we’ve had many customers receive a medical loss ratio refund too.
Health insurance is very expensive these days. Your ACA qualified health insurance plan must cover these 10 “essential health care benefits”.
All of these services alone are very expensive, but ACA Qualified health plans must cover all of them. Prescription coverage alone accounts for a huge percentage of your premium.
Debunking Common Auto Insurance Myths. The auto insurance industry can be confusing, and a lot of misinformation gets passed around. Not only can this make it difficult to understand your insurance coverage, but it can also end up costing you money.
Collision and Comprehensive Insurance are two types of coverage that you can add to your auto insurance policy. While these two separate types of coverage can be easy to confuse, they each cover different types of claims.
Knowing when to file a claim and understanding how it could affect your monthly premium is essential in making the best decision in the event of an accident.
4260 W. Craig Road #150-A
N. Las Vegas, NV 89032
Navigating through the many options of insurance can be confusing and chaotic, but speaking with a locally licensed insurance agent will help you obtain the right coverage. You’ll have the peace of mind knowing that you are adequately insured when life complications arise. We work hard to find the most competitive quotes for your needs. Contact us today to begin the process of finding the best insurance plan for your family.
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Your car breaks down. Things inevitably just seem to happen, and usually at the worst possible time. A flat tire, your engine won’t start, or your car overheats. Here are a few tips that hopefully, may someday help, if you ever experience a breakdown with your car.
In Nevada, if you accrue a certain number of demerit points within a 12-month period, your license is automatically suspended for six months. If this happens, you may wonder what happens with your auto insurance policy.
When choosing the best health insurance coverage, it is important to consider your expected medical expenses. Depending on your income and the plan you choose, you may qualify for premium tax credits and cost-sharing reductions, making robust health insurance coverage even more affordable.
Risky behavior, such as driving under the influence of drugs or alcohol, is a big red flag to auto insurance companies and usually results in a significantly higher monthly premium. While your auto insurance company cannot drop you as a customer after you receive a DUI, they can decide to not renew your policy after your term is up.