Happy Holidays from Great Lakes Insurance
Great Lakes Insurance Management Holiday Office Hours
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The holidays are quickly 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.
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Special H1N1 Vaccine Benefit
Assurant Health to mail information by November 9th!
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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.
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.
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2010 Medigap Changes
Changes in 2010 Medicare Supplement Plans Could Affect Millions
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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.
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Code Blue Health Provisions in the Economic Stimulus Package
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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.
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Important HIPAA Privacy Regulations
Your Responsibility as a Business Associate of Assurant Health
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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.
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An Open Letter From American Community
President and CEO, Michael Tobin
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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
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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.
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.
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A
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. |
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SAND, SUN & FUN!!
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Sun drenched beaches await qualifying agents for a week of fun with Great Lakes/Brokers Health!
THERE IS STILL TIME TO QUALIFY FOR OUR TRIP! As well as for the American Community, Assurant, World and Colonial Life's trip.
Great Lakes/Brokers Health is the only brokerage where you can earn double credit.
SIGN UP TODAY - We're leaving sooner than you think
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