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Peeking at Your Genes Can Raise Red Flags for Life Insurers

Original source: https://news.bloomberglaw.com/employee-benefits/peeking-at-your-genes-can-raise-red-flags-for-life-insurers

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Bloomberg Law (05/15/19) Alexander, Ayanna

Businesses, such as 23andMe Inc., increasingly allow people examine for genetic markers that may foreshadow significant ailments later, which can be a boon for scientific research and patient attention. When it’s time but ignorance may be bliss. Employers and health insurers by law cannot discriminate on the basis of a candidate’s genetic makeup, but the same rules do not apply to life and long-term-care carriers like Prudential Financial Inc., Northwestern Mutual, and MassMutual Inc.”Fear of insurance discrimination is a major barrier for the execution of life-saving genomic medicine and genomic analysis,” says Robert Green, a medical geneticist at Brigham and Women’s Hospital…. Read More

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Original source: https://news.bloomberglaw.com/employee-benefits/peeking-at-your-genes-can-raise-red-flags-for-life-insurers

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Bloomberg Law (05/15/19) Alexander, Ayanna

Businesses, such as 23andMe Inc., increasingly allow people examine for genetic markers that may foreshadow significant ailments later, which can be a boon for scientific research and patient attention. When it’s time but ignorance may be bliss. Employers and health insurers by law cannot discriminate on the basis of a candidate’s genetic makeup, but the same rules do not apply to life and long-term-care carriers like Prudential Financial Inc., Northwestern Mutual, and MassMutual Inc.”Fear of insurance discrimination is a major barrier for the execution of life-saving genomic medicine and genomic analysis,” says Robert Green, a medical geneticist at Brigham and Women’s Hospital…. Read More

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House Votes to Extend Flood Insurance Program

Original source: https://thehill.com/homenews/house/443716-house-votes-to-extend-flood-insurance-program

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The Hill (05/14/19) Brufke, Juliegrace

The U.S. House passed a Statement May 14 by voice vote to extend the National Flood Insurance Program (NFIP) through Sept. 30, the end of This Financial year.

Congress has passed 10 short lived extensions because the authorization died in 2017. House Minority Whip Steve Scalise (R-La.) Praised the passing of the bill. “With hurricane season quickly approaching, the House took significant action today to avoid a lapse at the NFIP, that will be essential to millions of families and little businesses across the country, including about 500,000 policyholders in Louisiana alone,” he said. “I will continue working with members on both sides of the aisle supporting a long-term reauthorization of the NFIP that concentrates on affordability, enhanced mapping and mitigation, protects citizens, and promotes more choices so families may have choices if purchasing flood insurance” It’s uncertain whether the Senate will include an extension of the NFIP at an emergency relief package it is working on. Related Stories: Baton Rouge Advocate; Politico Pro (subscription)… Read More

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Original source: https://thehill.com/homenews/house/443716-house-votes-to-extend-flood-insurance-program

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The Hill (05/14/19) Brufke, Juliegrace

The U.S. House passed a Statement May 14 by voice vote to extend the National Flood Insurance Program (NFIP) through Sept. 30, the end of This Financial year.

Congress has passed 10 short lived extensions because the authorization died in 2017. House Minority Whip Steve Scalise (R-La.) Praised the passing of the bill. “With hurricane season quickly approaching, the House took significant action today to avoid a lapse at the NFIP, that will be essential to millions of families and little businesses across the country, including about 500,000 policyholders in Louisiana alone,” he said. “I will continue working with members on both sides of the aisle supporting a long-term reauthorization of the NFIP that concentrates on affordability, enhanced mapping and mitigation, protects citizens, and promotes more choices so families may have choices if purchasing flood insurance” It’s uncertain whether the Senate will include an extension of the NFIP at an emergency relief package it is working on. Related Stories: Baton Rouge Advocate; Politico Pro (subscription)… Read More

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Statutory Interest Series: Michigan

Original source: http://feeds.lexblog.com/~r/propertyinsurancecoveragelaw/YZft/~3/M4cY3NEpqmg/

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Legislation are significant to a policyholder’s rights to recoup insurance benefits after a wrongful denial or delay in payment of a property damage case. Prompt-pay laws differ from state to state. The execution of statutory legislation is essential to your policyholder’s healing following a loss. A policyholder’s entitlement to prejudgment interest on…… Continue Reading
Read More

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Original source: http://feeds.lexblog.com/~r/propertyinsurancecoveragelaw/YZft/~3/M4cY3NEpqmg/

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.
Legislation are significant to a policyholder’s rights to recoup insurance benefits after a wrongful denial or delay in payment of a property damage case. Prompt-pay laws differ from state to state. The execution of statutory legislation is essential to your policyholder’s healing following a loss. A policyholder’s entitlement to prejudgment interest on…… Continue Reading
Read More

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Private Investors Encroach on Fannie and Freddie's Domain

Original source: https://www.wsj.com/articles/private-investors-encroach-on-fannie-and-freddies-domain-11552132801

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Wall Street Journal (05/09/19) Eisen, Ben

More mortgages that meet the standards for Fannie and Freddie to buy are rather flowing into the private economy, in which banks and other financial institutions pool them into bonds and sell them to investors without government financing, a indication of the changing dynamics in the $11 trillion mortgage industry. A number of those securities have a significant amount of Fannie- and loans inside them. In the past year or so, investors have shown increasingly keen buy mortgage bonds, suggesting they have grown comfortable shooting risk for prospective yield and to forgo the standard government backstop. The simple fact that investors want to buy these securities means businesses and banks can package these prices profitably…. Read More

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Original source: https://www.wsj.com/articles/private-investors-encroach-on-fannie-and-freddies-domain-11552132801

We access the net nonstop to make you to understand to the importance of getting a Public Adjuster there to assist you. Take a few seconds to read this web post we located.

Wall Street Journal (05/09/19) Eisen, Ben

More mortgages that meet the standards for Fannie and Freddie to buy are rather flowing into the private economy, in which banks and other financial institutions pool them into bonds and sell them to investors without government financing, a indication of the changing dynamics in the $11 trillion mortgage industry. A number of those securities have a significant amount of Fannie- and loans inside them. In the past year or so, investors have shown increasingly keen buy mortgage bonds, suggesting they have grown comfortable shooting risk for prospective yield and to forgo the standard government backstop. The simple fact that investors want to buy these securities means businesses and banks can package these prices profitably…. Read More

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Insurance Reimbursement for Storm Damage Came Slowly for Some

Original source: https://www.nbcconnecticut.com/news/local/Insurance-Reimbursement-for-Storm-Damage-Came-Slowly-For-Some-509723731.html

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NBC Connecticut (05/13/19) Jones, Sandra

Some homeowners in Connecticut that are engaged in cleaning and renovations continue to confront insurance holdups after severe storms struck regions of this state one year past. Insurance companies do not cover tree removal, however only tree damage. “In a situation such as a tornado there is no accountability,” explains Gerard O’Sullivan, manager for consumer affairs at the Connecticut Insurance Department. He states there’s coverage if a tree hits structure and a house, but homeowners must expect delays. “If you register for homeowners insurance, then the agent or the provider is going to walk through a renovation analysis of your home to determine exactly how much is going to cost for your house to be reconstructed if there’s a fire or a catastrophic reduction like a tornado or a hurricane,” O’Sullivan says…. Read More

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Original source: https://www.nbcconnecticut.com/news/local/Insurance-Reimbursement-for-Storm-Damage-Came-Slowly-For-Some-509723731.html

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NBC Connecticut (05/13/19) Jones, Sandra

Some homeowners in Connecticut that are engaged in cleaning and renovations continue to confront insurance holdups after severe storms struck regions of this state one year past. Insurance companies do not cover tree removal, however only tree damage. “In a situation such as a tornado there is no accountability,” explains Gerard O’Sullivan, manager for consumer affairs at the Connecticut Insurance Department. He states there’s coverage if a tree hits structure and a house, but homeowners must expect delays. “If you register for homeowners insurance, then the agent or the provider is going to walk through a renovation analysis of your home to determine exactly how much is going to cost for your house to be reconstructed if there’s a fire or a catastrophic reduction like a tornado or a hurricane,” O’Sullivan says…. Read More

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Blog: The Relationship Between Network Adequacy and Surprise Billing

Original source: https://www.brookings.edu/blog/usc-brookings-schaeffer-on-health-policy/2019/05/10/the-relationship-between-network-adequacy-and-surprise-billing/

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Brookings Institution (05/10/19) Young, Christen Linke; Adler, Loren Adler; Ginsburg, Paul B.; et al..

As policymakers address the issue of surprise out-of-network statements, some are examining network adequacy regulation as a potential solution. Network adequacy criteria demand network plans to demonstrate they’ve contracted during their service region with sufficient providers. Back in 1996the National Association of Insurance Commissioners adopted its Network Adequacy Model Act, which has formed the basis for many regulation. Network adequacy policies are agnostic about which provider is in-network, and their goal is to make sure that customers can get the services their insurance plan claims to pay. Other potential strategies to curb balance billing comprise”billing regulation,” which places a minimum rate for out-of-network services which insurers are required to pay to providers, along with”contracting law,” which prohibits facility-based emergency and ancillary suppliers from billing separately to insurers or patients and instead receive payment directly from the facility…. Read More

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Original source: https://www.brookings.edu/blog/usc-brookings-schaeffer-on-health-policy/2019/05/10/the-relationship-between-network-adequacy-and-surprise-billing/

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Brookings Institution (05/10/19) Young, Christen Linke; Adler, Loren Adler; Ginsburg, Paul B.; et al..

As policymakers address the issue of surprise out-of-network statements, some are examining network adequacy regulation as a potential solution. Network adequacy criteria demand network plans to demonstrate they’ve contracted during their service region with sufficient providers. Back in 1996the National Association of Insurance Commissioners adopted its Network Adequacy Model Act, which has formed the basis for many regulation. Network adequacy policies are agnostic about which provider is in-network, and their goal is to make sure that customers can get the services their insurance plan claims to pay. Other potential strategies to curb balance billing comprise”billing regulation,” which places a minimum rate for out-of-network services which insurers are required to pay to providers, along with”contracting law,” which prohibits facility-based emergency and ancillary suppliers from billing separately to insurers or patients and instead receive payment directly from the facility…. Read More

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Georgia Gets Anthem to Pay Disputed Bill, Still Plans Hearing on Complaints

Original source: https://www.wabe.org/georgia-gets-anthem-to-pay-disputed-bill-still-plans-hearing-on-complaints/

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WABE.org (05/14/19) Miller, Andy

Georgia officials have declared that Anthem Blue Cross and Blue Shield has agreed to pay the $87,000 in exceptional medical bills of a Newnan cancer patient, who had surgery to remove a tumor in an kidney. Late last year when she signed up for this coverage, piedmont Newnan Hospital was listed as part of the network of this insurance plan, along with the Anthem site revealed Piedmont Newnan within her network as recently as a month past. But, Anthem initially refused to cover her expenses, saying that Piedmont Newnan was not a network centre and that her operation was not a crisis. Georgia Insurance Commissioner Jim Beck stated,”It’s always satisfying when we could help a consumer break through bureaucracy and find the life-saving therapy they want and deserve. I’m especially proud of Matthew Padova, one of our latest Consumer Services Researchers, whose decision to see the consumer treated rather was a significant element of the successful outcome.” Associated Story: Marietta Daily Journal… Read More

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Original source: https://www.wabe.org/georgia-gets-anthem-to-pay-disputed-bill-still-plans-hearing-on-complaints/

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WABE.org (05/14/19) Miller, Andy

Georgia officials have declared that Anthem Blue Cross and Blue Shield has agreed to pay the $87,000 in exceptional medical bills of a Newnan cancer patient, who had surgery to remove a tumor in an kidney. Late last year when she signed up for this coverage, piedmont Newnan Hospital was listed as part of the network of this insurance plan, along with the Anthem site revealed Piedmont Newnan within her network as recently as a month past. But, Anthem initially refused to cover her expenses, saying that Piedmont Newnan was not a network centre and that her operation was not a crisis. Georgia Insurance Commissioner Jim Beck stated,”It’s always satisfying when we could help a consumer break through bureaucracy and find the life-saving therapy they want and deserve. I’m especially proud of Matthew Padova, one of our latest Consumer Services Researchers, whose decision to see the consumer treated rather was a significant element of the successful outcome.” Associated Story: Marietta Daily Journal… Read More

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Pennsylvania Planning Switch to State-Based Exchange

Original source: http://news.ambest.com/newscontent.aspx?refnum=217037

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BestWire (05/10/19) Darragh, Timothy

Talking before Pennsylvania’s House Insurance Committee, Insurance Commissioner Jessica Altman advised lawmakers it is possible to operate a state-based health insurance exchange, cut premiums by 5 percent to 10%, and spend only what the federal government spends to run it today. Altman said,”Since 2014, one thing has fundamentally shifted: the access to already-developed and proven technology” She also added that Pennsylvania can learn from the experiences of New Jersey, New Mexico, Oregon, and Nevada, which can be transitioning to their exchanges. Altman stated Pennsylvania insurers are sending roughly $88 million a year to the national government to run the trade, along with a conservative estimate suggests its currency could run . The section used a study modeling the effect of a reinsurance plan by management consulting company Oliver Wyman on the market…. Read More

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Original source: http://news.ambest.com/newscontent.aspx?refnum=217037

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BestWire (05/10/19) Darragh, Timothy

Talking before Pennsylvania’s House Insurance Committee, Insurance Commissioner Jessica Altman advised lawmakers it is possible to operate a state-based health insurance exchange, cut premiums by 5 percent to 10%, and spend only what the federal government spends to run it today. Altman said,”Since 2014, one thing has fundamentally shifted: the access to already-developed and proven technology” She also added that Pennsylvania can learn from the experiences of New Jersey, New Mexico, Oregon, and Nevada, which can be transitioning to their exchanges. Altman stated Pennsylvania insurers are sending roughly $88 million a year to the national government to run the trade, along with a conservative estimate suggests its currency could run . The section used a study modeling the effect of a reinsurance plan by management consulting company Oliver Wyman on the market…. Read More

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Arbitration Provision In Insurance Policy Applies Because Federal Arbitration Act Supersedes State Law Making Such Clauses Illegal

Original source: http://feeds.lexblog.com/~r/propertyinsurancecoveragelaw/YZft/~3/sHhAf6oIXW4/

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“Oh, Boy!” Was my initial thought after reading a situation which holds those arbitration agreements requiring policyholders to arbitrate in far-away places could not be halted by law. This should prevent, and say legislators should write those insurance carriers who sell policies that are such to be banned by laws. Let us be honest and agree…… Continue Reading

. Read More

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Original source: http://feeds.lexblog.com/~r/propertyinsurancecoveragelaw/YZft/~3/sHhAf6oIXW4/

I run around the world wide web everyday to make you to realize to the betterment of having a Property Damage Adjustment Consultant there to assist you. Read this web post we located.

“Oh, Boy!” Was my initial thought after reading a situation which holds those arbitration agreements requiring policyholders to arbitrate in far-away places could not be halted by law. This should prevent, and say legislators should write those insurance carriers who sell policies that are such to be banned by laws. Let us be honest and agree…… Continue Reading

. Read More

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Blog: Mississippi Hospitals Pushing for a Plan to Reform Medicaid

Original source: http://www.mpbonline.org/blogs/news/2019/05/14/mississippi-hospitals-pushing-for-a-plan-to-reform-medicaid/

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Mississippi Public Broadcasting (05/14/19) Ellis, Jasmine

The Mississippi Hospital Association is pushing for a strategy, Mississippi Cares, that could reform Medicaid from the nation, allowing the working poor to acquire more powerful accessibility to health care and participants to cover about $20 a month or less premiums. But, Mississippi Insurance Commissioner Mike Chaney says that he has not been able to talk with anyone noting the association hasn’t been obvious about where the money would come in to pay the costs. “It is ill-timed for them to come out with a proposal with a fresh legislature being chosen and a without a new governor in office,” said Chaney. “The legislature is the one that must give permission to this Mississippi Cares group to form a company that could offer insurance for $20 a month.”… Read More

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Original source: http://www.mpbonline.org/blogs/news/2019/05/14/mississippi-hospitals-pushing-for-a-plan-to-reform-medicaid/

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Mississippi Public Broadcasting (05/14/19) Ellis, Jasmine

The Mississippi Hospital Association is pushing for a strategy, Mississippi Cares, that could reform Medicaid from the nation, allowing the working poor to acquire more powerful accessibility to health care and participants to cover about $20 a month or less premiums. But, Mississippi Insurance Commissioner Mike Chaney says that he has not been able to talk with anyone noting the association hasn’t been obvious about where the money would come in to pay the costs. “It is ill-timed for them to come out with a proposal with a fresh legislature being chosen and a without a new governor in office,” said Chaney. “The legislature is the one that must give permission to this Mississippi Cares group to form a company that could offer insurance for $20 a month.”… Read More

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