Wednesday, April 30, 2014

OIC seeks innovator who wants to help implement ACA statewide

OIC has a unique job opening in our Rates and Forms Division as a Health and Disability Insurance Forms/Contracts Manager (WMS Band 3). The position reports to the Deputy Commissioner for Rates and Forms, which is the division that reviews insurance plans and rates.
This is an exciting opportunity for someone who wants to work on the cutting edge of Affordable Care Act implementation in Washington state. We need someone who can lead a team of expert staff; work closely with people in the division who review rates and provider networks; and who understands insurance and contracts. The person in this position needs to be innovative and adaptable.
Here are a few of the position’s duties, as outlined in the job announcement:
  • Serves as the statewide expert on health and disability forms filings.
  • Plans and directs the review and approval or disapproval of health and disability contracts submitted by regulated entities; analyzes filing data to discover complaint trends or patterns of unfair, inequitable or unlawful insurance practices; prepares files and recommends referral of such practices for enforcement action.
  • Attends and participates in assigned and agency training to enhance requisite skills and knowledge needed to supervise professional staff.
  • Represent the OIC on a local and national level, attending NAIC events, speaking on behalf of the agency, and providing leadership on work groups and task forces.
We are requiring:
  • A bachelor of arts or bachelor of science degree.
  • Expert knowledge of insurance products.
  • Expert knowledge of the insurance code and related rules and case law related to insurance products.
  • Extensive experience analyzing contracts, and providing effective oral and written communication.
  • Five years' supervisory experience of professional-level staff.
The salary will depend on qualifications, with a maximum of $80,000 per year.

Thursday, April 24, 2014

Consumer tip: Don’t toss notices from your lenders

If you get a notice in the mail from one of your lenders – whether it be auto, boat, home or any other item you are paying for with a loan – make sure you read it. Lenders can require you to prove the item they’ve paid for is insured against damage or loss with an auto, homeowner or other applicable policy.

If you fail to prove the item is insured, the lender has the right to apply its own insurance policy, called “force placed” or “vendor’s single interest (VSI),” to your loan. The policy doesn’t protect you against property loss or liability—its sole function is to pay the lender the loan balance if you default on the loan. These policies are very expensive, they are added to your loan balance and you pay interest on them. One consumer was charged $2,680 for a policy on a $15,000 loan—that’s nearly 18 percent of the loan, not counting the interest the consumer paid.

The good news is that lenders typically allow you to drop the policy once you prove you have your own insurance on the item.

Don’t get stuck with a huge insurance cost that could have been prevented. When you get notices in the mail from a lender, read them. 

If you have questions, contact our consumer advocates at 1-800-562-6900 or through our website.

Tuesday, April 22, 2014

Did a medical provider refuse service based on your plan? We want to hear from you!

Our consumer advocates in recent weeks have heard from a handful of consumers that medical providers have refused to see them because they purchased health insurance through Washington Healthplanfinder, our state’s health benefit exchange. The consumers reported a couple of scenarios:
  • They scheduled an appointment with a medical provider. The provider’s office later canceled the appointment because they say they are not accepting insurance that was purchased through the Exchange.
  • Consumers contact providers listed as being in their network to find out if new patients are being accepted, and are told yes. The provider’s office later calls the consumer and tells the consumer they aren’t accepting plans purchased through the Exchange. In most cases, the insurance plans are confirming the providers are in the plan’s network.
We’ve heard of this happening with several plans and in several areas of the state. If you experienced one of these scenarios or something similar, please contact our consumer advocates at 1-800-562-6900 or file a complaint online. We regulate insurance companies and we want to make sure consumers receive the services they are entitled to in their insurance policies. 

Monday, April 21, 2014

Career opportunity for a financial examiner

Do you have experience with auditing or accounting and want to work in the Olympia area? We are hiring a Financial Examiner 2 (Assistant Financial Analyst) position in our Company Supervision division at our Tumwater headquarters. Financial examiners review insurance companies' financial statements to make sure they are following state rules and laws that exist in part to make sure they remain financially solvent and able to serve Washington consumers. 
 
This is what the person in the job will do:
  • Examine and analyze insurance company and health carrier filings to discern financial condition, difficulties, trends, and compliance.
  • Read and interpret applicable laws, regulations, and standards to ensure analyses and examinations are appropriately conducted. 
  • Assess analysis-examination risk, materiality, and other matters by reviewing and analyzing regulated entity's history and OIC Priority Rating, biographical affidavits of its key staff, and qualifications of its management and accounting personnel, as well as current filings for the entity, prior analysis reports, and file information.
  • Prepare and complete analysis-examination procedures in accordance with accreditation standards.
  • Read and analyze the regulated entity’s filings, documents, and other information to assess the entity’s financial condition, statement assertions, and compliance with insurance laws, regulations, and standards.
  • Prepare analysis-examination reports for assigned regulated entities, including updating the risk assessment, profile summary, and supervisory plan.
  • Write correspondence to regulated entity personnel to obtain documents and information and to explain determinations.
  • Analyze Charitable Gift Annuity (CGA) issuers' and other auxiliary lines entities' Annual Reports and accompanying additional documentation, audited financial statements, and IRS Form 990s (if applicable) for statutory compliance.
  • Other duties as assigned. 
We will start reviewing applications on May 2. Read more about the job and how to apply.

Friday, April 18, 2014

Kreidler remembers former State Auditor Bob Graham

Former Washington State Auditor Bob Graham passed away this week at the age of 93. Insurance Commissioner Mike Kreidler got to know Graham after he was first elected to the state House of Representatives in 1976. At that point, Graham had been state auditor for 12 years.

“Bob was highly respected and dedicated to public service,” said Kreidler. “I always enjoyed interacting with him. He was a real gentleman and a professional. I give my condolences to Bob’s wife Lloydine and his children.”
Graham was state auditor for 28 years, from 1965 until 1993.  Read more about Graham’s life and service on the Secretary of State’s blog and The Olympian 

Thursday, April 17, 2014

Kreidler, other insurance commissioners meet with President Obama this morning

Insurance Commissioner Mike Kreidler had an experience this morning that few people get--an hour with the President of the United States at the White House.

Kreidler shared that time with 43 other state insurance commissioners, whom the White House invited on short notice to discuss the progress of and the challenges ahead for the Affordable Care Act. The legislation is often referred to as President Barack Obama’s “signature” achievement during his tenure.

Vice President Joe Biden and key members of the White House staff also joined the discussion.

"It was a remarkable experience to spend an hour with the leader of the free world," Kreidler said. “The president was fully engaged.”

Key topics for the hourlong discussion were potential premiums for 2015, the adequacy of medical provider networks and changes at the U.S. Department of Health and Human Services, which oversees many of the national regulations of the Affordable Care Act. The agency is undergoing a change in leadership with the departure of former Secretary Kathleen Sebelius.
 
Kreidler said the president was scheduled to talk with representatives of the insurance industry in an afternoon meeting.
The National Association of Insurance Commissioners (NAIC) shared details about the visit in a news release and also posted a photo from the nation's capital of the insurance commissioners who participated.

This morning, we shared a photo of Kreidler in front of the White House as our inaugural Instagram post.





Tuesday, April 15, 2014

Wildfire season starts today

Today is the official start of wildfire season in Washington state (hat tip to Tom Banse with KUOW). While forecasters expect a “normal” fire season, it’s a good idea for people who live in areas prone to or near areas that are prone to wildfires to take some precautionary steps.


Photo courtesy of Washington Department of Natural Resources
  • If you live in an area that could be near a wildfire, you should catalog your home’s belongings in case you need to make an insurance claim. The National Association of Insurance Commissioners has a printable home inventory checklist or you can try free iPhone/iPad or Android apps.
  • Check your policy to make sure damage from wildfires is covered. Some policies include some coverage for emergency shelter, such as a hotel, if a home is uninhabitable.
  • If you live in an area that’s prone to wildfires, read some tips to prepare and protect your home.
  • Review your policy to make sure you have enough coverage. Things like fine art, jewelry and computer equipment may have limited coverage under a standard policy. But you can buy special coverage that gives you more protection for those types of items, called a rider. Contact your insurance agent or broker to ask about supplemental policies.
  • You can help protect a rural home and limit the danger by clearing a natural fire break between your home and surrounding trees, brush and uncut fields. The Federal Emergency Management Agency has information on how to protect yourself and your home before, during and even after a wildfire.
  • Have an emergency kit and a family communication plan. Know the location of your valuable papers, including insurance policy and contact information, mementos and anything you can't live without, so you can evacuate with them, if needed.
  • Here's a list of recommended emergency supplies to keep on hand in the case of an evacuation.
  • Don’t forget about planning for your pets. Ready.gov has tips for pet owners.
The Washington Department of Natural Resources has the most recent fire information available on its website and through the @waDNR_fire Twitter feed.

Friday, April 11, 2014

Planning for retirement: What is an annuity?

This week is National Plan for Retirement Week. Some people use annuities as part of a retirement strategy because they can provide a steady income after retirement, but they can be confusing.

Annuity basics
An annuity is a contract in which an insurance company agrees to make a series of payments in return for a premium (or premiums) that you have paid. Many consumers buy annuities to have a regular income after they retire. An annuity is an investment and shouldn’t be used to reach a short-term financial goal.

How annuities work
  • You pay either one premium or make payments for a set period of time in exchange for future income.
  • Annuities should increase in value over time and income taxes are deferred until you withdraw dividends. People who withdraw money before age age 59½ can be subject to a 10 percent income tax penalty
  • You can request to receive payments in a lump sum or in periodic fixed amounts.
  • A popular payout option is "lifetime income with 10 years certain." This means the annuity pays a monthly income for the life of the annuitant or for 10 years, whichever is longer.
  • Annuities also pay a death benefit.
There are three types of annuities:
  • Fixed annuities: Your money - minus any applicable charges - earns interest at rates set by the insurer, as specified in the annuity contract.
  • Variable annuities: The insurer invests your money - minus any applicable charges - in a separate account. The company invests your money in stocks, bonds or other investment funds you choose, based upon how much you're willing to risk. If the fund doesn't do well, you may lose some or all of your investment.
  • Equity-indexed annuities: The insurer offers a guaranteed minimum return, plus it offers a variable rate based on the return of a specific index. During the accumulation period, the insurer credits you with a return based on interest earned plus or minus changes in the index, subject to participation rates, caps, charges and other restrictions. The most commonly used index is Standard & Poor’s 500 Composite Stock Price Index (S&P 500).
Buying an annuity
Washington state law requires applicants to undergo a suitability analysis before the sale or replacement of any annuity. The analysis includes an evaluation of your financial position, income needs and the cost of liquidating any assets. This can help you determine which annuity is right for you.

As with other major purchases, it’s a good idea to shop around and compare information for similar products from several companies. While you do your research, keep detailed records and get all quotes and key information in writing.

When you are ready to purchase an annuity, carefully review the contract with your agent or broker. Ask for an explanation of anything you don’t understand. Be sure you are aware of all of the terms and conditions such as surrender charges and/or cancellation penalties.

Washington state has a 10-day “free look” period. Washington consumers have 10 days after purchasing an annuity to cancel for a full refund.

Protect yourself
Some insurance agents or brokers use inappropriate sales practices in an attempt to take advantage of uninformed consumers. Red flags include relentless sales pitches that pressure you into buying a product quickly or a deal that seems too good to be true.

The best way to protect yourself is to research the agent and company you’re considering,
More information

Tuesday, April 8, 2014

Thank you to our SHIBA volunteers!

In honor of National Volunteer Week, Insurance Commissioner Mike Kreidler recognizes more than 400 people across Washington who volunteer their time and effort to help people access health care.

Statewide Health Insurance Benefits Advisors (SHIBA) provide free, unbiased counseling and outreach about Medicare and other health care choices. In 2013, SHIBA volunteers contributed nearly 86,000 hours to helping more than 54,000 citizens, representing $2 million in labor costs.

"During National Volunteer Week, we celebrate the accomplishments of our dedicated volunteers and we recognize their contributions to their communities,” said Kreidler. “Volunteers are an invaluable resource and we appreciate their dedication and support.”

You can find a SHIBA office near you or learn about becoming a SHIBA volunteer.
SHIBA volunteers help sign up people for Medicare this year.
 

Monday, April 7, 2014

OIC website redesigned for insurers, producers

Today, the Insurance Commissioner launched a redesigned industry user section of our website, the final phase in our website redesign that started in January 2013.

Two new sections—one for producers and one for insurers—enable visitors to navigate more quickly and easily to the information they need. We also improved navigation on mobile devices, updated the Producers and Insurers homepages, and converted our laws and rules page to an A-to-Z format. We worked with industry professionals to help us determine ways to make the site more usable and easy to navigate.


If you have bookmarks to pages that used to be available under the Industry Professionals tab, please update them with links to our new site.

We invite producers and insurers to submit feedback about our redesigned website

View the site at www.insurance.wa.gov.

Wednesday, April 2, 2014

How do I know if my health plan meets federal requirements?

More than half a million people enrolled for coverage through our state’s exchange, Washington Healthplanfinder, before the 2014 enrollment ended (for most people) on March 31. Now the question consumers are asking is whether their plans meet federal requirements and therefore exempt them from paying the tax penalty for people who lack health insurance. You can read more about the tax penalty and exemptions to it on our March 28 blog post.

The Affordable Care Act requires people to have a plan that includes “minimum essential coverage.” The following types of plans meet that requirement:
  • Employer-sponsored health insurance, including self-insured plans, COBRA and retiree plans.
  • Plans purchased in the individual market, including a qualified health plan offered by Washington Healthplanfinder, our states’ health benefit exchange.
  • Medicare Part A coverage and Medicare Advantage plans.
  • Most Medicaid coverage.
  • Children's Health Insurance Program (CHIP).
  • Certain veterans health plans administered by the Veterans Administration.
  • Most types of TRICARE coverage for member of the military.
  • Coverage provided to Peace Corps volunteers.
  • Coverage under the Nonappropriated Fund Health Benefit Program.
  • Refugee Medical Assistance supported by the U.S. Administration for Children and Families.
  • Self-funded health coverage offered to college students for plan or policy years that began on or before Dec. 31, 2014 (for later plan or policy years, sponsors of these programs may apply to HHS to be recognized as minimum essential coverage).
  • State high-risk pools for plans or policy years that began on or before Dec. 31, 2014 (for later plan or policy years, sponsors of these program may apply to HHS to be recognized as minimum essential coverage).
  • Other coverage recognized by the Secretary of HHS as minimum essential coverage.
There are circumstances that allow people to enroll in or change their health plan during 2014, called a special enrollment. Find out if you qualify for a special enrollment.

If you have questions about whether your plan meets the minimum requirements, you can contact our Consumer Advocates at 800-562-6900 or online.