Wednesday 15 August 2012

scared about health insurance overhaul

Coverage costs for her company, the Norfolk-based ship agent and broker T. Parker Host, would increase by just 7.9 percent, despite new requirements under the national health care overhaul.

It was the company's smallest rate bump since 2005.

"We were very pleased," said Jenkins, who is T. Parker Host's senior vice president for administration.

Many employers, like Jenkins, anticipated big changes as they developed insurance plans for the first time since the passage of the new health law.

For 2011, the law requires coverage for more people and, in many cases, mandates preventive services without extra charge to individuals - benefits that come with a price tag.

However, South Hampton Roads insurers, consultants and employers said the overhaul won't increase rates more than 4 percent next year, largely because many plans already came close to meeting the requirements.

Overall, including other climbing expenses, local group health insurance costs are rising between 6 and 12 percent - a range comparable to recent years, they said.

For employees, that means more of the same.

"What we've seen is a trend where employers continue to offer less benefits and pass on more of the cost to the employees," said John DeGruttola, senior vice president of sales and marketing for Optima Health, the insurance arm of Sentara Healthcare. "It's really just in response to the double-digit medical inflation that occurs and continues to occur."

Several provisions of the health care law take effect for plans renewed after Sept. 23, six months after the legislation was passed.Insurers also can't establish limits on how much they will pay for covered benefits during the entire time an individual is enrolled in a plan. Plans can no longer terminate coverage retroactively due to honest mistakes on applications.

Other rules are contingent on how much employers change their health plans. Among them is a requirement for plans to cover certain preventive services, such as flu shots and some cancer screenings, without charging copays or co-insurance.

Companies can avoid that and some other mandates by basically freezing their plans as of March. To receive "grandfathered" status, a plan cannot significantly raise employees' responsibility for health costs or substantially reduce benefits. Insurers found that few companies chose this option, though.

Dennis Wance was considering it for his Norfolk-based law firm, Vandeventer Black.

Because of some serious illnesses, health insurance costs would spike next year if his firm chose to grandfather its current plan, he said. However, a new plan probably would mean employees pay a larger portion of their medical bills and receive slightly reduced benefits, he said.

The choice promised to be difficult for a company that prides itself on generous health coverage for its 170 employees.

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