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Brokers Health Insurance
     Great Lakes Insurance Newsletter
Managing Agent for Individual, Group
& Senior Products
December 2009
Happy Holidays from Great Lakes Insurance
Great Lakes Insurance Management Holiday Office Hours

      The holidays are quicklyAmericanCommunityLogo
approaching, below is a listing of
the holidays our office will
be closed.

Thanksgiving
Closed November 26 & 27th.

Christmas
Closed December 24 & 25th.

New Years
Closed December 31st & January 1st.
Special H1N1 Vaccine Benefit
Assurant Health to mail information by November 9th!
     Assurant Health is mailing a communication to your customers informing them of a special H1N1 vaccine benefit for those who receive their H1N1 immunization at Walgreens.Walgreens

  Assurant Health is paying for the administration fee for
vaccinations received at any Walgreens pharmacy or Take Care Clinic (located in select Walgreens) where the vaccine is available. This means THE FEE FOR THE VACCINE IS NOT SUBJECT TO DEDUCTIBLE, COINSURANCE, OR COPAY, and customers won't be billed.

     Individual Medical and Small Group customers simply present their
Medco prescription drug card to the certified health care professional
at the time of service. Short Term Medical, Student Select and any
other customers without a drug card, will receive Vaccine Vouchers ?
one per covered family member along with the letter. The vouchers
are used as cash and redeemable at Walgreens at the time of service.
The vaccine benefit will be available through March 31, 2010.

     If your customers get the vaccination at a location other than a
Walgreens or a Take Care Clinic, they present their Assurant Health ID
card. The charge will be covered according to their plan's provisions.

     Follow this link for a copy of the customer letter being sent out. The letters to Individual Medical and Small Group customers are scheduled for mailing beginning Monday November 9, 2009. The Short Term Medical and Student customer letters will be mailed on Monday November 16. New customers will receive the letter and offer throughout the flu season.
 
For questions or more information please contact Bev Gough
or phone  (269)983-0633 or (800)782-8190.
 
2010 Medigap Changes
Changes in 2010 Medicare Supplement
Plans Could Affect Millions

Changes to 2010 Medigap      There are several changes coming to the current standardized Medigap (Medicare Supplement) insurance policies in 2010, changes that will affect future coverage options and premiums. These changes will apply to all companies offering Medicare supplement insurance policies.

      The coming changes were brought
                                                  on by the Medicare Prescription Drug Improvement and Modernization Act of 2003 (MMA), in which the National Association of Insurance Commissioners (NAIC) was asked to modernize review the current Medigap plan coverage. The idea was for the NAIC to determine if changes needed to be made to the standardize plan benefits to reflect changes that have occurred in the marketplace since the standardization of Medicare Supplement plans in 1990.

      Upon completion of the review, the NAIC recommended several changes which have since been approved and will go into effect on June 1, 2010. The primary changes are listed below:

Two New Medigap Plans To Be Added:
Two new Medigap options will now be available - plan letters M and N. These plans will introduce additional cost-sharing for Medicare recipients, such as co-pays, and small coinsurance exposure in exchange for slightly lower premiums than the traditional plans.

Three Medigap Benefits Will Be Changed or Eliminated:
The commission concluded that the "excess charges" benefit should be changed to only offer 100% coverage, and suggested the removal of two other benefits cut due to the coverage being historically underutilized and inconvenient to use. As a result, the "preventative care not otherwise covered" and "at home recovery" benefits will no longer be offered with new Medigap plans sold after June 1, 2010.

As a result of these changes, four current Medigap plan designs - E, H, I and J - will no longer be available. If a Medicare Supplement recipient is currently using one of these plans they will be allowed to keep it, however these plans just will not be sold after June 1, 2010.

With these four plans not being offered after June, most advisors are recommending their clients avoid these policies. Since no new clients will be able to purchase plans E, H, I or J, those that remain on these plans could well find themselves facing large rate increases in two to three years as the claims cost for those covered by these old plans will continue to raise over time. Given this fact, it makes the most sense to obtain coverage with a Medicare Supplement insurance plan that will still be available for purchase in future years, such as the popular Medicare supplement plan F.

For questions or assistance in finding the best Medicare Advantage or Medicare Supplement insurance for your situation, email Brian Kavanaugh at Brian@GreatLakesIM.com, or call him today at (269)983-0633 or (800)782-8190.
Code Blue
Health Provisions in the Economic
Stimulus Package
      Action Alert
The Senate just passed its version of economic stimulus legislation and so leaders in the House and Senate will soon begin reconciling the Senate measure with the bill passed by the House earlier this year.  NAHU knows that many of our members and many Americans generally have concerns over the size, scope and structure of this spending bill, and NAHU has not taken a position on the bill as a whole.  However, this legislation is going to conference committee now, and there are provisions in both the House bill and the Senate bill that would dramatically impact private health insurance coverage.  NAHU strongly prefers the health insurance provisions in the Senate Bill instead of the House Bill, and we need all NAHU members to contact their representatives and explain why the Senate provisions should be retained in any conference report. 
 
Even if you and/or your member of Congress opposes the economic recovery legislation generally, it is still very important that the health provisions in the bill are as private-market friendly as possible.  So please send an email urging the Congress to retain the health provisions in the Senate version of the bill in the upcoming conference committee.
 
Here is a quick overview as to why, relatively speaking, NAHU likes the Senate provisions much more than the House bill:
 
House Bill: Extends COBRA coverage for older and tenured workers beyond the 18 months provided under current law.  Specifically, workers 55 and older, and workers who have worked for an employer for 10 or more years will be able to retain their COBRA coverage until they become Medicare eligible or secure coverage through a subsequent employer. 
 
Senate Bill:  Does not extend COBRA eligibility beyond the terms of the current law.
 
House Bill:  Contains a subsidy administered through the employer for the first 12 months of COBRA coverage for eligible persons who have lost their jobs on or after September 1, 2008 at a 65% rate.
 
Senate Bill:  Contains an identically administered subsidy, but for 50% of the premium rate.
 
House Bill:  Only allows the subsidy to be used to purchase COBRA coverage.
 
Senate Bill:  Also allows the subsidy to be used for state continuation coverage, allows workers the ability specially elect a less expensive coverage option if available and allows employers 30 days to begin subsidy administration.
 
House Bill:  Expands Medicaid coverage to individuals (and their dependents) that are receiving unemployment benefits or have exhausted those benefits and have no health insurance coverage.  Optional coverage groups would be individuals (and their dependents) who are involuntarily unemployed and uninsured and whose family income does not exceed 200% of poverty, and unemployed uninsured individuals who are receiving food stamps.  The Congressional Budget Office estimates that these changes will cause 1.2 million people to drop private health insurance coverage!
 
Senate Bill: Does not expand Medicaid to unemployed individuals. 
 
 
We would like to encourage all NAHU members to contact their Senators today to urge your Members of Congress to retain the Senate's health provisions in the final legislation when these two versions of the economic recovery act go to conference this week. 
 
Thank you!
 
 
For more information Email Bev Gough at Bev@GreatLakesIM.com, or call her today at (269)983-0633 or (800)782-8190.
 
Important HIPAA Privacy Regulations 
Your Responsibility as a Business Associate of Assurant Health
      At Assurant Health, our customers trust us to protect their personal financial and health information. We take this obligation seriously and maintain our customers' confidence by keeping their information safe and secure.

     As Assurant Health's valued business associate and trusted advisor to your customers, we want to make you aware of some recent changes in the Health Insurance Portability and Accountability Act (HIPAA) laws and regulations that may impact the way you do business with regard to customer information.

      As you may recall, you signed a Group Producer Agreement to conduct business on our behalf. In that Agreement is business associate language, which is required under the HIPAA privacy regulations. When you signed the Agreement, you agreed to become our HIPAA business associate and abide by the applicable HIPAA privacy and security regulations.

      Recently, these HIPAA regulations were amended with the enactment of the American Recovery and Reinvestment Act, which includes the Health Information Technology for Economic and Clinical Health Act (HITECH). HITECH has expanded the obligations of business associates. While you have always been contractually obligated to comply with HIPAA, this new law will legally require you to be compliant with HIPAA.

So what does that mean for you?

Here are some of the additional privacy and security obligations under HITECH:

Effective September 23, 2009

Federal Security Breach Notification Rules
Notify us immediately if you discover a security breach of unsecured Protected Health Information. You must comply with both the new federal requirements as well as applicable state law requirements. Contact Judy Titera, Assurant Health Privacy Officer, at 414-299-1140 or at judy.titera@assurant.com 
Penalties may be levied from the Department of Health and Human Services (HHS) for non-compliance.

Effective February 17, 2010
Assessment and implementation of a robust security program
Compliance with various privacy provisions
Penalties may be levied by HHS for non-compliance


For more information Email Bev Gough at Bev@GreatLakesIM.com, or call her today at (269)983-0633 or (800)782-8190.
 
An Open Letter From American Community
President and CEO, Michael Tobin
In my role as President and CEO of American Community, and previous to that as a Board member, I've always been impressed with the commitment and loyalty of our agent partners. You are our sole distribution channel - nothing happens at American Community until an agent sells a piece of business. You have played a tremendous role in our success over the years, and we're committed to keeping you informed on the state of the company.

Like many other carriers, American Community has experienced its share of financial challenges in recent months. While our surplus and reserves remain adequate, we feel it is necessary to act to improve our profitability. Some of the steps we are taking include: Fine-tuning our product portfolio
We recently announced that we would stop marketing our Triple Tier™ and Coverage on Demand™ products for effective dates of November 1 and later as they were not meeting our goals.

Additionally, effective immediately, we will no longer accept proposal requests in the large group segment (51 or more employees). We have struggled in recent years to compete effectively in this market. The action we are taking will allow us to better align our resources to focus on our core business in the individual and small group markets.
 
Furthermore, because of the claims experience in our large group segment, we will be making across-the-board rate adjustments for all large group customers effective as follows:
 
In-Force Large Group Rate Adjustments
    Date of Rate Adjustment:     States:
    December 1, 2009              Illinois, Iowa, Missouri and Nebraska
    January 1, 2010                 Arizona, Indiana, Michigan and Ohio

We will be notifying affected agents and employer groups in the coming weeks by postal mail.

Adjusting small group rates
We will increase new business rates in all states where we market small group products (Arizona, Illinois, Indiana, Iowa, Michigan, Missouri, Nebraska and Ohio) effective January 1, 2010. The small group quoting system will be updated with the new rates in early November. Watch for a Field Bulletin with further details.
 
In addition, our in-force small group business in Arizona, Illinois, Iowa, Missouri and Nebraska will be subject to an off-anniversary rate increase as noted in the chart below:
 
In-force Small Group Business
In Arizona, Illinois, Iowa, Missouri and Nebraska
    Effective Month of Group, Any Year    Date of Rate Adjustment
    January, February, March, April          January 2010
    May, June, July, August                     February 2010
    September, October, November,         March 2010
    December  

     Agents and customers will be informed of these adjustments by postal mail in accordance with state regulations for rate increase notifications. Watch for an agent Field Bulletin with further details.  

     We understand the impact the above actions will have on our group business as well as yours and we appreciate your  continued patience as we work through this transition.

Eliminating advance commissions on Individual business
     Because advances directly impact our surplus, we are unable to continue this practice. For individual new business with application signature dates of December 1, 2009 or later, we will no longer fund advances. Agents who are currently receiving advances from American Community will be formally notified by postal mail in early November. Please check with your BGA to see what other advance options may be available to you to sell American Community business.

Reducing administrative expenses
     We have significantly reduced our administrative expenses in recent months. However, to improve our bottom line, we are taking additional actions as follows:
Eliminating our payment of agent appointment fees - Effective January 1, 2010, we will no longer pay new agent appointment fees, renewal fees, and non-resident appointment fees. We will be working with the BGAs in the coming weeks to ensure a smooth process for payment of fees.
 
Reducing our workforce - Unfortunately, some of the administrative reductions we have made included involuntary separation of about 12 percent of our employees, including several of our Marketing Directors. However, it's important to note that these staff reductions did not impact areas central to servicing our policyholders and agents. We have reorganized our Marketing Directors, Senior Account Managers and National Sales Office staff to ensure that we continue to support you. For your convenience, click here for a list of key marketing contacts by state.
Many of you have been writing business with American Community for years. You have supported us through challenging times before and because of your backing we emerged stronger as a result. While difficult, we believe these actions we are taking are necessary given the challenges we face. With your help we will build upon the strengths of American Community and continue to deliver the kinds of individual and small group products and services you have come to expect.

Sincerely,

Michael Tobin
President and Chief Executive Officer
Tipping During the Holidays
Who do you tip, and how much?
    
     Who do you tip - and how much? That's a tricky decision even in good economic times. It's one that may get harder in these tough economic times. However, the December issue of Consumer Reports offers up some timely advice.AmericanCommunityLogo
     
     The magazine asked a nationally representative sample of almost 1,900 U.S. residents what they gave last Christmas season when the economy was already starting to unravel, and the results showed few differences from the year before.
     
     The big recipients were house cleaners, with 65 percent of those who employ them tipping them last year. They also received a larger gratuity than other service providers, averaging about $50 or an equivalent gift per tip.
     
      Child-care providers also were among the most likely to receive a tip and got the second largest average gratuity amounts -- about $38 per cash tip or gift equivalent.

      Consumer Reports found 12 other services providers included in the survey received, on average, between $15 and $25 per gift. These amounts are roughly consistent with findings from past surveys.

      "While many families will be looking for ways to tighten belts and reprioritize their spending this year, they still want to thank the people they depend on," said Tobie Stanger, senior editor at Consumer Reports. "Cash may still be a popular option, but there are other ways to sincerely show your appreciation."

      Rounding out the list of service providers who typically receive holiday tips in the survey: child's teacher, hairdresser, manicurist, newspaper carrier, barber, building superintendent, pet-care provider, mail carrier, lawn-care crew, school-bus driver, fitness instructor, and sanitation worker.
If the tipping budget is tight this upcoming season, Consumer Reports experts recommend that those wanting to express their gratuity allocate tips in the following ways:

· Give cash to the people you believe need it most. In many cases an extra week's pay or the cost of one session is appropriate.
Avoid bank-issued gift cards. They might expire or have fees. Even retail cards can be useless if the store goes bankrupt. Give small gifts. For others, consider giving soaps, candles, or baked goods. Unless you know them well, avoid alcohol or food that might be inappropriate or cause allergic reactions.

· For those you tip regularly, like a barber or a hairdresser, a small gift or a card is usually an appropriate way to say thanks.

· Be aware of the rules. Mail carriers aren't allowed to take cash or gift cards that can be exchanged for cash. The U.S. Postal Service says they can accept non-cash gifts or gift cards worth $20 or less. School districts may also frown on cash gifts to teachers.

· For the really tight budget. A hand written thank you note is always appropriate and can go a long way.

AmericanCommunityLogoA Managing General Agent (MGA) and General Agent (GA), providing assistance to independent Agents and Agencies throughout the Midwest with products and services which increase their sales and market growth in the individual, group and senior insurance markets.

Great Lakes Insurance Management began company operations back in the early 1970's in St. Joseph, Michigan. We provide services to agents via a staff of experienced and trained insurance professionals.
In This Issue
Tipping Guidelines
Quick Links
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