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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

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