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2nd Quarter of 2012 - Michigan Movers Association
2nd Quarter of 2012 - Michigan Movers Association
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HEALTH INSURANCE<br />
INDUSTRY IN TURMOIL<br />
BY CHUCK POMERLEAU<br />
INDUSTRIAL INSURANCE SERVICES, INC.<br />
Group medical insurance coverage is nothing like it used to be.<br />
The multitude of healthcare insurance companies, providers and<br />
arrangements that employers use to have has vanished, perhaps<br />
never to return. The few carriers and providers still offering employer<br />
sponsored coverage has dwindled to just a few to say the<br />
least. Will the presumed healthcare exchanges, if enacted, save<br />
premiums dollars and deliver the quality of healthcare that we all<br />
are accustomed to? Doesn’t it seem that all the meddling the government<br />
has done over the past few years in healthcare has just<br />
cost us more than we ever expected? Is there a future for employer<br />
sponsored group medical coverage on a private basis?<br />
Our mainstream medical insurance providers can be counted on<br />
one hand in today’s Michigan marketplace. Providers such as Blue<br />
Cross Blue Shield of Michigan and Blue Care Network, Health<br />
Alliance Plan and Alliance Health and Life, Priority Healthcare,<br />
McLaren Health Plan and Total Healthcare make up most of all<br />
of Michigan’s “managed care” providers. The commercial insurance<br />
companies left like United Health Care and Humana and a<br />
few others still use “medical underwriting” to qualify applicants<br />
with good health in order to issue coverage. A healthcare agent<br />
can help employers determine the best arrangement possible for<br />
their employees.<br />
through all the changes in order to effectively advise their clients.<br />
Finding an agent that is qualified and well informed is getting<br />
more difficult. There are less agents out there specializing in group<br />
health as the market continues to dismantle and escalate in cost.<br />
Other employer sponsored benefits continue without regulatory<br />
issues. Benefits such as group Term Life, Disability, Dental, Vision<br />
and various other medical ancillary products are still being sold<br />
on a competitive basis. A good agent is who you can lean on for<br />
the best advice and direction when it comes to these benefits for<br />
your employees. The future for the group insurance agent has<br />
become broader. Whether or not an agent can afford to continue<br />
to specialize in group medical care is yet to be seen.<br />
My opinions are self observant and reflective on the pasty twenty<br />
years of specializing in group medical care. I suspect that there<br />
will always be a need for a well informed health insurance agent<br />
who has the desire to help their clients and the employees that<br />
work for them obtain quality benefits at affordable prices.<br />
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Will the state’s future “healthcare exchange” offer employees and<br />
employers a substantial premium dollar savings and deliver a<br />
quality healthcare arrangement? Only time will tell, but history<br />
shows us an escalating healthcare cost pushed by governmental<br />
regulations. Why would anyone suspect that the newly developed<br />
exchange plans be any less costly? I believe that cost will increase<br />
for medical care in one form or another. Any premium savings<br />
will be short lived as plans mature and claims are incurred. The<br />
healthcare exchanges are developed for Michigan and if enacted<br />
go into effect on January 1, 2014.<br />
The role of the group healthcare agent has changed. Today’s agent<br />
takes on the role of a consultant who informs employers and individuals<br />
of their options. The agent needs to be able to navigate<br />
SECOND Quarter 2012 7