Archive for December, 2008

A Glance at Fee-for-Service and PPO Insurance Plans

By Art Gib

In today’’s world, where even the most basic necessities of life have become startlingly inflated–especially medical care–it is crucial to be sure that you and your family have health coverage that will ensure that you receive any medical care you need without hefting you off to the poorhouse afterward. Without it, seeing a medical professional can cost upwards of a hundred dollars–and that is not to mention emergency room visits, expensive prescriptions, extensive treatments, or major accidents.

But how do you know which health insurance plan is right for your family’’s unique situation? Let’’s take a look at two types.

The more traditional plan is called indemnity insurance, or “fee-for-service.” It operates much the same at automotive insurance does: each month, you pay into the cache, but in the event that you need medical treatment, you pay a certain deductible. The insurance covers the rest of the cost.

In the case of a visit to a doctor’’s office, this deductible is usually fixed. But when it comes to paying for a surgery or an emergency room visit (or anything along those lines), the payment is proportional to the total bill. Often, the patient is responsible for about twenty percent of the cost, while the insurance supplements the remaining eighty percent.

However, it is important to be mindful that the eighty percent generally does not get paid until the insured has provided the deductible amount. Sometimes the patient is even required to pay the bill in full and simply apply for a reimbursement, in which case he or she may have to cope with high out-of-pocket expenses before they receive the financial assistance they need.

But one of the most appealing aspects of “fee-for-service,” insurance is that the insured has the privilege of selecting their own doctors, hospitals, and specialists. They also do not require a referral from a primary care physician to see a specialist. This does provide more freedom and flexibility and cuts down on wasted time and expense.

Preferred Provider Organizations, or PPOs, are insurance plans which have negotiated a fixed low price for services with a certain network of physicians and health care providers. This does restrict the options for the insured, but the advantage is that a patient generally only pays about ten or fifteen dollars for a wide variety of services–even medical care with a specialist. Another perk is that patients do not need a primary care physician’’s recommendation to see a specialist in their network.

But if the insured stray outside of the network, then they must pay the bill out of their own pocket and apply for an eighty percent reimbursement from their PPO. There are even some times of PPOs–called EPOs, or Exclusive Provider Organizations–which will not reimburse you at all if you choose to seek care outside of the network.

There are a number of other options available to health insurance seekers, so as you look, be sure to be realistic about your family’’s needs and carefully study the advantages and disadvantages of each plan so you can best select the one that is right for you.

About The Author

To find the best health insurance for Texas residents, be sure to check out Ferriulo & Associates (http://usquotehunter.com/). Art Gib is a freelance writer.

Workers Compensation Top Settlements Require Top Attorneys

By Art Gib

If you are hurt on the job, it is important that you seek legal advice regarding compensation. The nature of the job is not of importance here: you can be injured in an office situation or in a warehouse or on a construction site. It is the standard that all employers provide compensation to injured employees, whether or not the accident was the employer’’s fault. However, there are specific actions that a worker must take in order to obtain workers compensation benefits. In order to ensure that you can pay your bills during the time you are unable to work, you should search for an attorney to guide you as soon as possible after the event.

In addition to ensuring that the injury is related to the place of business, an experienced lawyer will direct you as to the documentation required to file for disability benefits, and the deadlines for such filing. Usually these disability monies are paid throughout the period of recovery until such time as you return to work. If, on the other hand, you sustained a provable permanent disability, your attorney will represent you in obtaining a lump sum settlement.

In each step, your employer or their insurance company may dispute your claim. They might argue that the accident was not work-related or that the injury sustained is not permanent. Proof of how, when and where the accident occurred is obviously quite important, and your attorney will also work closely with your physicians and any physical therapists you may need to visit. Your claim can be refuted in its entirety or as to the amount of compensation you are seeking, again pointing out the need for competent legal representation so that your rights (both legal and administrative) are filed in a timely manner.

Most people are unaware of the legal experts in the field of workers compensation, and usually start the process of hiring an attorney by going through the yellow pages. In addition to that, you can use the internet to pinpoint lawyers in your area of the country. A specific search term, with the type of law you need expertise in, and the town or city you live in, should come up with a list of websites you can visit for purposes of research. Therefore, instead of typing a phrase like “attorney Tennessee” into a search engine, drill down to something very specific. Therefore, searching for Workers Compensation in Murfreesborough, for example, should be pretty easy for you.

Once you have read through the sites thoroughly, you can then set up initial consultations with two or three that seem to get the results you are looking for.

About The Author

Craft & Sheppard (http://www.craftsheppardlaw.com/) is a law firm providing advice for workers compensation in murfreesborough. Art Gib is a freelance writer.

Insurance Company Solvency And Policyholder Protection

By Robert Underdown

With the near collapse of AIG, the world’’s largest insurance company many people are asking questions about the financial soundness of a variety of insurance companies. Here is a potential backstop based on the Guarantee funds that operate in each state in the US.

What To Look For

All insurance companies” public comments indicate they are well capitalized and have plenty of funds in reserve. Such statements, as we have seen, can be self-serving if not downright false.

The purpose of this article is to clarify an important fact for insurance policyholders. It is the exposure presented by the use of Non-Admitted (also know as unauthorized insurers) insurance versus Admitted carriers for your insurance company.

The information that follows deals with the protection provided by the state guarantee funds for property and casualty insurance companies who write policies in a given state. The issue of Non-Admitted insurance companies can apply to all lines of coverage from auto and homeowners for personal or commercial policies.

Admitted

The distinction here is between the two different categories of insurance companies typically doing business in each state. First are the “Admitted” insurance companies. They are the more closely regulated by the state insurance departments. Most insurance companies are Admitted carriers. For an admitted carrier to do business in a state they are required to file their rates and forms with the state insurance department and many states have the right of prior approval of the rates and forms filled by an insurance company.

The benefit of purchasing your policy from an Admitted insurance company is that the state guarantee fund will step in if there is insolvency and pay claims to policyholders and claimants. Generally, the funds pay up to the policy limits subject to certain caps which are set by state law. The limit varies from $300,000 to $1 million.

Non-Admitted

Alternatively, some insurance company groups like AIG and other large insurance groups have a combination of Admitted and Non-Admitted insurance companies in their group. For example, AIG has several (sixteen at last count) different insurance companies in their group and some of the companies may not be licensed as Admitted in every state in the US and so they operate as a Non-Admitted company. Thus, the parent group has an alternative company that can quote rates and terms different from their Admitted companies. This is a proven way to provide marketing flexibility for the Insurance Group and to give the policyholder more choice.

In some states, there may not be an alternative to select an Admitted company for certain lines of coverage such as specialty risks like earthquake, flood and some types of professional liability among others. However, with the buyers market we are presently experiencing, this is the optimum time for finding Admitted companies for a broader range of lines of coverage.

Here is a standard disclaimer from a state insurance department regarding oversight of Non-Admitted insurance companies. “The Director of the Department of Insurance is not required to determine the actual financial condition or claims practices of any unauthorized insurer.” This is a very clear indication of the lack of any oversight on the part of the state insurance department.

Protection For Policyholder And The Public

For the Admitted insurance companies, each state operates a guarantee fund that provides a level of protection for policyholders (first party claims, fire etc.) and the public (third party claimants, vehicle liability claimants against policyholders).

As an insurance expert having some experience handling claims against a guarantee fund, I can attest that it is a time consuming and arduous task to secure your payment either as an insured or first party or as a liability claimant or third party.

In addition, I have testified as an expert witness in cases when an insurance broker recommended a non-admitted company to their client without clearly explaining the potential consequences of the lack of a state’’s guarantee fund protection.

Summary

In the past, a general recommendation was that the best method to know the financial heath of an insurance company is to consult the independent rating agencies such as A.M. Best, Fitch and Moodys. With the volatility in today’’s financial markets, an insurance companies rating can change very quickly so I propose the idea of the state insurance guarantee funds as a backup position.

For the insurance purchaser, it is important to know if your policy is written with a Non-Admitted company and thus you are not covered by the state guarantee fund. The Admitted status should be a question during the purchase phase of your insurance policy.

You can tell if your insurance policy is written with a company that is Non-Admitted by looking at the first page of the policy where the insurance company name appears. If your policy was written with a Non-Admitted insurance company, there will be a stamped notice that indicates an Excess and Surplus Lines tax and fee charge for the policy.

Therefore, if you are renewing an insurance policy and have the option to choose between an Admitted company versus a Non-Admitted company, you can make an informed decision based on any difference in premium and the solvency risk you may be assuming.

About The Author

Robert E. Underdown, AIC, ARM, is an Insurance Consultant based in Scottsdale, Arizona with a nationwide practice. He serves corporations in the area of risk management and serves the legal community as an expert witness in insurance litigation. Find out more at http://www.Insurance-Expert.com.

Letting Agents; The Key Responsibilities

By Thomas Pretty

Letting property as an investment can be rewarding, both emotionally and financially; many landlords choose to follow the private route although with the use of letting agents the process can be made far easier. Choosing letting agents however can be difficult, with a myriad of considerations to be made, care should always be taken not to use the first agent that comes along. Often agents will happily state how they will be able to get numerous people to look round the property within a week, take these promises with a pinch of salt and always take a detailed look at any contractual agreements.

It is always advisable to contact many letting agents and ask them to look at the property and give an idea of potential rents. By getting many agents round it is possible to build up a decent average rental price. By obtaining all of these estimates in writing it is possible to draw direct comparisons and make a decision based on hard facts. Remember that the highest rent does not always relate to the best service, ultimately evaluating the service in its entirety is the best course of action.

When utilising letting agents there are a number of responsibilities that they must fulfil; firstly it is essential that the agent conducts an in depth study of the property; it is impossible for anyone to value a property over the phone or from photographs. Secondly agents will normally want to know the motives for renting, it is important to let them know the circumstances, they are acting in your interest so giving agents an idea of the bigger picture can be beneficial.

Letting agency services should also provide essential advice and assistance when it comes to landlord responsibility; part of this is to assist the landlord with the production of an EPC (Energy Performance Certificate), now a legal necessity. An agent should also be able give information on health and safety regulations such as fire extinguishers and the importance of legitimate gas and electric connections.

Once a number of agents have visited the property and set out a rental schedule it is usually time for the laborious and somewhat uninteresting paperwork. As with anything related to property there is a plethora of forms that must be filled in. At this stage it is vitally important to read any contracts carefully, it is too easy to become disenchanted with these legalities but remaining focussed on exactly what is being signed and what clauses are involved is precisely what needs to be done.

The contracts will undoubtedly contain information on the level of management the agents will provide. This is ultimately down to personal preference as some landlords like to have a great deal of input whereas others do not. The level of the management should relate to the price although this is not always the case.

Fundamentally an agency can completely manage a property, employing contractors to carry out work, inspecting the property on a regular basis and only ever contacting the landlord in an emergency. This form of all encompassing service is ideal for many landlords although understandably some prefer to take a more active role in the management of their property.

It is hoped this article has outlined the role of letting agents and how landlords can make best use of them. These key responsibilities are necessary should the rental period be successful, it is only through a detailed research method that the right agents can be found, helping landlords to earn revenue from their property portfolio.

About The Author

Property expert Thomas Pretty looks at how landlords can select letting agents and secure a great service. To find out more please visit http://www.haart.co.uk/

How To Lower Your Insurance Premiums

By Matt Chang

For many people, it’’s getting difficult for them to keep their health insurance. The cost for health insurance increases year after year, with no end in sight. If this keeps up, soon very few people will be able to keep their insurance coverage. However, it doesn”t have to be all doom and gloom with paying for insurance. There are things you can do to improve the cost of your health insurance.

If you have a job, you may have the opportunity to get health insurance three or company. Quite often company sponsored health insurance plans are cheaper because there are more people in the higher volume provides a lower cost per person.

You just have to shop around to see where you can find lower priced premiums that will provide the health coverage you need. There is a light at the end of the tunnel–you can find lower premiums for health insurance and still get good coverage.

There are some things you need to know about health insurance when you”re looking for premiums that are reasonably priced. The premiums are based on your age. The younger you are, the less you will have to pay for your health insurance premium. Of course, if you are older, you will have to pay more.

The reason why insurance changes with age is because of risk. When you are younger typically you are healthier. As you get older the odds that you will have medical complications increases, and those increases cause a higher premium.

When looking for low priced premiums, look for the most efficient way to get one so that you can save money. What you can do when you”re looking for premiums is to see which options you need. The options that you don”t need, you should leave out. You may find out that you may not need as much as you think. This can help you cut costs with your health insurance.

The more riders you have what you”re insurance policy to hire their premium will be. The other thing you can do is increase your deductible. The higher the deductible to lower the premium. If you”re very healthy or have few medical conditions the higher deductible may be a good choice for you.

There are some surgeries and body replacements that you may need later on. You can find a health insurance plan that will allow you to pay for those services when the time comes. Ask your insurance provider the best way to do this. In addition to that, find out what payment options you have to pay for your premium. They will be able to advise you on the best way to pay your health insurance premiums.

Make sure to check out as many health insurance premium plans as you possibly can. It’’s always a good idea to check out more than one. This way, you will be able to determine what will be the best coverage for you. You may be surprised at what you find.

If you want to do a simple search online, type in where you live along with “health insurance”.

About The Author

For more information, visit http://thehealthinsuranceshop.com for details about major medical health insurance and cheap health insurance quotes.

What To Do To Prevent Becoming A Victim To Identity Theft

By Matthew Stanton

Anyone can be a victim of identity theft. That is a reality today. Identity theft is also a growing crime that victimizes up to millions of people each year. It is a crime that is dreadful to contemplate, for imagine yourself being called one day and asked to buy for something you never did buy. To say lightly, identity theft is a major inconvenience for anyone who is victimized by it. With this kind of crime, you bear the consequences and the burden of another persons actions, a person unknown to you, but who uses your identity for vested interests.

What is identity theft?
Identity theft is the act of any document that contains the personal information of another person. These document/documents are then used to pretend to be someone else, or impersonate someone else, so that one can benefit from that persons financial resources or hide behind that persons identity. Have you recently thrown documents containing personal information in your trash can? Fishing through your garbage is one of the ways that a criminal can get hold of your identity. They then use this to take out loans from financial institutions or to escape from authorities, if they know that they are to be arrested or questioned. There are many ways by which an identity thief can take advantage of your identity, but one thing is for certain, you would not want to be a victim of identity theft.

What do I do to protect myself from being a victim?
Identity thieves usually see opportunities to take hold of your personal information when you are not careful with how you handle them. Thus, to prevent identity theft from happening to you, you need to keep in mind these points.

Shred before you shed.
Remember the example of the document thrown in the trash and how it can be accessible to identity thieves? Well, if you throw any document that contains your personal information, the criminal can merely fish through your trash to obtain it. This is why it is important to shred any documentation of your personal information before you throw it in the trash.

Carry important documents only when necessary.
Your birth certificate, passport, social security card, these are all important documents. When a criminal gets hold of these, you will surely be a victim of identity theft. Thus, to prevent this from happening, you should not carry around these documents around much, except when it is absolutely necessary. Why? Because chances are, you would drop one of them unnoticed.

Be wary of the bogus.
Identity thieves can also attempt to obtain personal information from anyone by placing bogus offers on ads, like job offers. In this situation, when you answer to their ads, they will then ask for your personal information for the supposed job. Thus, make sure that the ads that you answer to are real before you actually go through with them. This will prevent identity theft from occurring.

The ways mentioned above are just some of the things you can do to prevent being a victim of identity theft. You can also cater to companies specializing in identity theft protection.

About The Author

Matthew Stanton writes an article about Prevent Identity Theft which provides you with information on what you should do during instances of identity theft. Simply visit this website at http://www.identitytheftlabs.com/blog/

Injured on the Job: How to Handle a Work Related Accident

By Art Gib

We all go to work every day, banking on the fact that we”ll be safe within our workspace. But what if an accident happens on the job? What if that accident injures you in some way? What should you do if you are injured on the job?

There are a few preliminary steps you”ll want to take when an accident happens on the jobsite. First, check to see if you or any of your co-workers are in fact injured. If you are, make sure you alert your supervisor immediately. He or she will have information on further steps to take. If injured so badly on the job that you will have to miss days of work due to those injuries, you”ll probably want to apply for, if you live in Pennsylvania, for example, Pennsylvania worker’’s compensation. Each state administers its own programs. This requires further steps on your part to apply and be approved by your state’’s worker’’s compensation fund.

You”ll first need to be examined by an employer-authorized doctor. This is because if you are approved for worker’’s compensation, your employer will need to pay for all related medical costs through their own insurance, and must use a doctor that is approved through that insurance. Once examined, the medical professional will report back to your place of work with your condition and his or her recommendations. If approved, you are entitled to around 70% of your gross weekly pay at the time of your injury through Temporary Disability Benefits. You may not apply for Unemployment Benefits while receiving Temporary Disability Benefits through the worker’’s compensation fund at your work. Once your injury heals, you can return to work and your Temporary Disability Benefits will end, and you can go back to working at full capacity and at full pay.

After you return to work, if you still feel that you are entitled to a monetary settlement further than what you were offered through Temporary Disability Benefits, you are eligible to submit a claim as a third party action. If this third party action claim is accepted, you are eligible to receive extra monetary compensation, such as for your pain and suffering, as well as other financial distress you may have suffered as a result from your work-related injury.

Above all, remember to be safe at work and obey all posted signs and instructions about your safety. No one wants to be injured on the job, but if you are, rest assured that there is hope through the local worker’’s compensation fund that you will recover, both bodily and financially.

About The Author

Einbinder & Dunn (http://www.ed-lawfirm.com/) is a law firm that focuses on Business law, including Pennsylvania workers compensation Art Gib is a freelance writer.

9 Simple Tips For Keeping California Insurance Rates Low

By Ross Gordon

Unsafe driving causes car insurance rates to rise. You can do your part to ensure cheap California auto insurance is available to all of us by following some simple, safe driving rules. Keep these tips in mind whenever you get in your car to drive.

1) Turn on your headlights and buckle up. Even in daylight your headlights can help other drivers see you approaching.

2) Avoid driving during rush hours if possible. Stress and road rage can cause accidents - even if you are a patient driver, others may not be. The risk isn”t worth it if you can avoid it.

3)Holiday driving is especially dangerous. Give yourself plenty of time to arrive at your destination and if possible, drive only on the days before and after the holiday rush.

4)Don”t drive at night if you can help it. Poor visibility and fatigue can affect your and other drivers ability to drive safely.

5)Don”t drive too fast or too slowly. We all know that speed kills - it can also prevent you from qualifying for cheap California auto insurance if you get traffic tickets. But sometimes driving too slowly can be as dangerous as speeding. If you must drive under the posted limits make sure you stay in the right-hand lane.

6)Practice defensive driving by yielding the right-of-way and watching out for drivers that do not. Even if you are in the right, an accident is never worth arguing over.

7)Stay in your lane. Do not weave back and forth between lanes or change lanes near intersections. Be sure that you never straddle two lanes even if you”re looking to pass.

8)Be careful in parking lots. Most of us think of accidents happening on the road, but many of them happen in parking lots. Try to stop in well-lighted areas and pick places with good visibility for backing out of your spot.

9)Driving during bad weather is unsafe and can be fatal. Wait out a storm that impacts visibility or causes roadways to become flooded. Even strong winds can cause serious accidents. It’’s better to wait and be late than to never arrive at all.

Always practice safe and defensive driving. Memorize the tips above and follow them every time you get behind the wheel. Having access to cheap California auto insurance isn”t a right. Every one of us on the highways needs to be a safe driver - if not, more than our money will be at risk.

About The Author

http://CaliforniaAutoInsuranceGuide.com is a free resource that informs California drivers of laws that will help them save on Auto insurance.

Home Buyers Different Insurance Options

By Evan Sage

Home insurance varies greatly, there is no single coverall insurance solution for home owners, it really depends on the individual requirements and tolerance for risk. Outlined in this article is an overview of many different types of insurances related to homeownership some of which may apply to you and some may not. Insurance may seem like a burden when you do not have a claim but the minute an issue arises you will be extremely glad that you have it.

Homeowner’’s insurance is a must have for any home owner. It is the car insurance of the real estate world. This insurance protects you against such things as fire, smoke, wind, hail, vandalism and slips/falls. It is typically just the house that gets insured and not the land.

This insurance is usually required by the lender in order to cover the mortgage value should the property be destroyed. I do highly recommend that my clients get this insurance and get a policy with full replacement cost, this is as opposed to the typical coverage which is replacement minus depreciation. It is hard to give an estimated cost as it really depends on the value of your home.

It is usually also a good idea to include contents in your home insurance. This protects the stuff in your house and sometimes even personal stuff stolen out of your car. If you are a non smoker and have an alarm you can typically get a discounted rate.

Mortgage life insurance covers the value of your mortgage should you die. This is not usually required by most lenders. It is recommended if you have a young family and you are the main earner. Premiums are usually quite manageable and vary depending on your age and the value of your mortgage.

Mortgage insurance is sometimes referred to mortgage loan insurance or mortgage default insurance, this is offered through CMHC and covers the lenders when a borrower has less than 20% down payment. This insurance covers the lender should you default on your payments, this is not for your benefit but is a requirement should you want a high ratio mortgage.

Home warranties will insure against the operating systems of the house. It may cover things such as the heating system, central air, electrical, plumbing, and large appliances. I usually tell my clients that if it is an older home than it may be worth it, but not to bother with it should it be a new home.

Title insurance covers your land. This is your assurance that the property you buy remains yours even if someone makes a claim against your property. If you get this insurance it is worth ensuring your coverage includes defense costs, so all legal expenses are covered. I will typically recommend this insurance when we are pushing through a deal quickly, as that can sometimes cause some things to be missed.

As you have read there are many different insurance options. I always steer my clients to a knowledgeable insurance broker to get the complete picture and to figure out all of their options.

About The Author

Evan Sage is an award winning Toronto Real Estate Agent specializing in working with clients who are downsizing their homes in Toronto. Evan works hard to instill in his clients the confidence to make the right purchase or sale decision. Visit http://evansage.com for a wealth of free articles.

Tips For Getting the Right Home Insurance

By Art Gib

For most of us, our home is our most valuable asset, and will not be supplanted any time in the near future, regardless of what the real estate market does. If a windstorm blows your roof off, or have a pest infestation, you”re going to need to have the best insurance coverage available to protect your most valuable asset. To provide that protection, you need to find an agent you trust with your family’’s financial asset, and the shelter that protects their physical well-being. A homeowners policy will wrap several types of coverage into one convenient package.

In order for you to find the right insurance, your search may start online. If you”re looking for New York home insurance, for example, the Internet is a great place to start the search. You will be able to find the right coverage, the right agent, and the right place, with very little extra effort on your part.

Your first step, however, is to make an analysis of the value of your home as a structure, and the value of your personal property contained within it. To do this, you should calculate how much it would cost you to re-build your home exactly as it is, and exactly where it is, in the event of some catastrophic loss. The number you come up with will be used as a reference point for the insurance company, who will also do a physical inspection of your home, to make sure your estimate is in line with theirs.

Some people make a periodic video of their home’’s contents. If you do, make sure that all your cupboard doors and drawers are open to show the contents. This way, you have an inventory of everything you have, not just the larger things that are “out.” When you”re doing the video, you can also provide a voice-over commentary at the same time, describing things that may not be readily recognizable from the video. If you have a safe deposit box, it’’s a good idea to list these and other “off-site” items as well. Store your video away from your home. It won”t do you any good if it goes up in flames with the rest of your home in an unfortunate accident.

These are just a few of the things you should do as you consider your New York home insurance needs, and there are others to be sure. But this is a good start, and will get you off on the right foot, alleviating the chance for surprises down the road.

About The Author

Community Brokerage (http://www.01insurance.com/home-insurance/ ) offers full New York home insurance services. Art Gib is a freelance writer.