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sasha031

(6,700 posts)
Thu Jul 26, 2012, 11:31 PM Jul 2012

Obamacare rebate checks coming to Florida: Republicans say what?

Today I got two insurance letters in the mail. One from my daughter’s Cigna insurance reporting that, because the insurance company spent 74.7% of premium Dollars on health care, which is below the 80% requirement, it will be issuing a rebate of 5.3% of the health care premium. The other letter is from United Healthcare and has similar content but does not specify the amount yet, and anyways, that rebate check goes to the small business that employs me and pays 100% of my health insurance.
What does this mean? It means that people like me, who currently have private insurance, will experience a measurable monetary benefit thanks to the new health care reform law. It also means that owners of small business who care to insure their employees will also have a reason to be more appreciative of the new law.

Floridians can expect to receive $149 million in health-insurance rebates this year from more than a dozen insurance companies, according to a report from the Kaiser Family Foundation released Thursday. The rebates come from health insurers that spent more on administrative expenses and profits than allowed under health-care overhaul laws that took effect last year.
In the Sunshine State, 1.75 million enrollees will divvy up the rebates. Among those who pay for their own health insurance without the help of an employer, 38 percent should get some money back, an average of $153 per covered member, according to the Kaiser analysis.
That means, in a family of four where everyone is covered, the rebate could exceed $600, said Gary Claxton, co-author of the Kaiser report.

http://www.dailykos.com/story/2012/07/26/1114076/-Obamacare-rebate-checks-coming-to-Florida-Republicans-say-what

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Obamacare rebate checks coming to Florida: Republicans say what? (Original Post) sasha031 Jul 2012 OP
Wonder how many anti-"Obamacare" GOPers will send the check back? nt nanabugg Jul 2012 #1
I have a little history with Cigna Mopar151 Jul 2012 #2
It flips the calculus upside down, but they are still profit-driven. eomer Jul 2012 #3

Mopar151

(9,992 posts)
2. I have a little history with Cigna
Fri Jul 27, 2012, 01:31 AM
Jul 2012

There must be blood on the floor of the boardroom, when the news hit that they would have to (gasp!) give money back to policyholders. The equations that determine how many claims they randomly deny have gone up in flames!

Every dollar they spend to deny a claim, they gotta pay out $5.33 in claims! Oh, the humanity......

eomer

(3,845 posts)
3. It flips the calculus upside down, but they are still profit-driven.
Fri Jul 27, 2012, 05:33 AM
Jul 2012

So they will just work the new calculus to maximize their profits. Now they must increase claim payments in order to increase profits. In some ways this may be a benefit to us but not necessarily since they will still be trying to game the system.

In other words, the real solution is to get profits out of the equation altogether and until we do we can expect to get screwed one way or another.

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