September 2010 - Susman
Home / Blog

Blog

50 Mile Walk for MS

The time has come! A big thank you to all of my friends and followers who sponsored me for the 50 Mile Walk to fight MS.

Thanks to all of you, I reached my goal and am able to participate in the walk, and help to fight MS. Tomorrow I will be walking 20 miles, the next 20 another 20 miles and then Sunday the final 10 miles. I will be posting updates on my progress on Twitter and Facebook, and a daily update on Westside Gadget Guy.

Thanks again!

Karl Susman

    

Anthem Blue Cross and Blue Shield Individual Business to Suspend Child-Only Coverage Effective 9/23/10

Anthem Blue Cross and Blue Shield is committed to offering a broad range of products and services that meet customer needs in the changing health insurance market, and to implementing the new health care reform legislation in a way that benefits our customers and members.

We have reviewed the rules regarding the provisions of the Patient Protection and Affordability Care Act (PPACA) limiting the application of pre-existing condition exclusions for children under 19. Unfortunately, there remains a great deal of uncertainty as to how the rules will be implemented and what the impacts might be on participating insurers. 

While some carriers may continue to offer child-only policies, other carriers have dealt with this lack of clarity by choosing to discontinue new business sales of their child-only policies.  Some have cited the lack of an effective mandate for individuals to obtain coverage, as well as ongoing market uncertainty.  Unfortunately,  this has created an unlevel competitive environment.  As a result, Anthem has decided to suspend the sale of child-only policies indefinitely, beginning  September 17, 2010.

We will continue to monitor the situation and provide additional details on any changes to our process and policies as they become available.

Please Note: This decision has no impact on any existing child-only policies.  In addition, we will continue to accept children on family policies as long as the primary subscriber is 19 or older.

Why is Anthem suspending the sale of new child-only policies?

Anthem is committed to offering a broad range of products and services that meet customer needs in the changing health insurance market, and to implementing the new health care reform legislation in a way that benefits our customers and members.

We have reviewed the rules regarding the provisions of the Patient Protection and Affordability Care Act (PPACA) limiting the application of pre-existing condition exclusions for children under 19. Unfortunately, there remains a great deal of uncertainty as to how the rules will be implemented and what the impacts might be on participating insurers. 

While some carriers may continue to offer child-only policies, other carriers have dealt with this lack of clarity by choosing to discontinue new business sales of their child-only policies.  Some have cited the lack of an effective mandate for individuals to obtain coverage, as well as ongoing market uncertainty.  Unfortunately,  this has created an unlevel competitive environment.  As a result, Anthem has decided to suspend the sale of child-only policies indefinitely, beginning  September 17, 2010.

When will Anthem stop selling these polices?

Due to ongoing uncertainty, Anthem  has made the decision to suspend the sale of child-only policies and policies where the primary subscriber is under 19 years of age, for effective dates of 9/23 or later. Quoting capability for child-only policies will begin being removed on September 17, 2010.

Will Anthem’s family plans be offered to children 18 and under?

Anthem will continue to offer family policies that have dependent coverage to subscribers who are 19 years of age or older. 

Will Anthem participate in an "open-enrollment period" for child only plans? 

No, Anthem has made the decision to suspend the sale of child-only policies and policies where the primary subscriber is under 19 years of age, for effective dates of 9/23 or later.

Will this impact all states in which Anthem’s affiliated health plans are currently providing Individual Child-only plans?

The suspension of child-only plans will apply to all states unless a particular state requires the offering of child-only policies.  Based on state specific requirements, we will continue to offer Child-only plans in Maine and New York, and in open enrollment periods in Ohio and Virginia. Child-only plans will also be offered in those states requiring such policies for conversion and HIPAA eligible individuals.  Existing policyholders will not be impacted by this action and they may continue in their current coverage.

Technorati Tags: ,

Los Angeles area cult?

According to ABC News, and I quote –
Authorities say five adults and eight children from a “cult-like” group from the Palmdale area have been reported missing by their families.

Los Angeles County Sheriff’s Department officials said the group disappeared Saturday and left behind evidence that they were awaiting the rapture or some catastrophic event.

“They left behind a significant amount of personal belonging and written notes,” sheriff’s spokesman Steve Whitmore told members of the media.

Sheriff’s Cpt. Mike Parker said the husbands of two of the missing adults from the group was asked to keep a purse, and inside it found identification, personal papers and letters suggesting the group was awaiting the end of the world.

Parker says the group’s leader, Reyna Chicas of Palmdale, is among the missing.

“It is an offshoot of a religious group, but not affiliated with anybody,” Whitmore said. “It’s a group of religious beliefs in and of itself.”

Whitmore said it does not look like they’re planning a trip.

The children, six boys and two girls, rage in age from 3 to 17.

The Associated Press contributed to this report.

The Great California ShakeOut

Are you ready for the next earthquake? If not, you need to practice! Remember to join in the 2010 Great California ShakeOut, the annual statewide earthquake drill. Register here and then remember to set a reminder to Drop, Cover and Hold on!

You think you know it all? You think, hey, I’ve lived in California all my life, and I’m still here. I must know what I’m doing. Think again. Take the Quake Quiz and see just how much you need to learn. You can also follow the Great California Shake Out on Twitter and Facebook.

Plan, and prepare. We’re all in this together.

Karl Susman

Health Insurance – update on fighting infection

Fighting Infection

Concern over the threat of infection often increases in the fall as the weather begins to change and school sessions begin. This month we pass along research findings, articles and tips to help keep you informed and your kids healthy. The best way to fight infection is to be aware of preventive measures and, whenever possible, get all available immunizations for yourself and your children.

Whooping Cough Outbreak: Immunize for Protection
Currently, California is reporting a state-wide epidemic of pertussis, or whooping cough. Whooping cough is very contagious and can cause serious illness, especially in infants too young to be fully vaccinated. Take action to make sure your infants and young children get their recommended five shots on time. Adolescent and adult vaccination is also important, since the immunity from the vaccine or the illness itself can wear off over time. The Tdap booster is recommended for pre-teens at age 11-12; women of childbearing age, before, during, or immediately after pregnancy; adults age 65 and older; and adults who will be around infants.

Superbugs
MRSA, commonly known as "staph," is a common bacteria that can cause serious infection, especially if you are ill or if your immune system is weak. Learn more about MRSA, including causes and symptoms.

Invasion of the Microorganisms
Infections are inevitable. Some are more serious than others, but you can reduce your risk by building up a strong immune system. Learn some preventive measures, along with holistic suggestions for healthier living.

The information in this newsletter is not intended to be a substitute for professional medical advice. Please consult your healthcare provider with any concerns you may have.  Thanks to Blue Shield for this helpful information!