Archive for August, 2009

Whether you are traveling for the first time as an inexperience backpacker, or youre a seasoned veteran with more visa pages in your passport than an encyclopedia, the odds are you will get sick at least as soon as during your trip. Where you travel to, where you stay in that location, who you come in contact with, and what you consume will the entirety be factors in the protest you contract. It may possibly be something air born, such as a basic cold, or it could be viral, and caused by contaminated water. Poorly cooked nutrient can result in e coli and abundant nasty stomach issues. Parasites can be a huge business in nature and poorer areas, where human and animal waste offer a breeding grounds for the nasty glitches.

In any case, it is important to understand the therapeutic issues and medical situations that surround your travel place. What kinds of illnesses do you appetite to protect yourself from, and what is the odd of contacting that illness? If you do fall ill, what kind of medical facilities are available to help you, and what kind of insurance will you need to pay for it?

The best address to start up is your insurance. Everyone traveling should have health insurance of some type, and the longer your trip, the more you should have. Travel insurance can be bought from a number of locations. You universal insurance company may offer a calendar for travel. Likewise, travel groups normally have discounts for health insurance in return for membership. on balance, other companies cater specifically to travelers, and travelers alone.

There are a number of companies that offer travel medical insurance, so it is best to use a sites that aggregates a large number of companies based on your criteria. One such site is http://www.worldtravelcenter.com/eng/.

Specific companies include:

HiUSA – hostel international bequeaths a cheap travel insurance route for members, which includes health insurance up to $15,000USD.

Patriot International

CSA Freestyle Luxe

Travel Plus

When purchasing travel medical health insurance, be sure to carefully learnt and analyze the locations and the expenses they will protection. Talk to a consumer service rep and specifically inform one another where you are traveling and make sure they will cover you in that location.

order about life-flighting and transport expenses, and if they cover those. Also ask, as hard as it may be to consider about, if they pay the cost of sending your remains dwelling house should you perish. This is a legal responsibility one does not desire to leave on their relations.

Once you are certain you have found a good company for your needs, purchase the plan, and have the benefit of your trip without worry.

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Associated Content editors frequently issue calls for specific content. This past week the request was for commentarys on healthcare. The content call fixed on requesting personal accounts of experience with health insurance or tips to secure a trothtter bargain in a health insurance package. Ive begun by relating the especially cores on insurance.

Always take time to read the fine print in any insurance package.

I suppose almost everyone has their health insurance stories. Mine started way back in 1966 when my foremost baby girl was born. I albeitt health insurance would pay most all. Of course, I was false and known my first lesson about “reading the fine print.” Insurance in no way pays for EVERYTHING. I was teen and inexperienced. Being such, I took on a very dim, biased, and critical view of health insurance.

Health Insurance is not designed to pay for everything.

In fact, it might be helfup if one considers health insurance is designed something like a coupon program than a “pay all (or most) up front program”. If one has insurance (coupons-the fine print) they get a discounted rate. Sometimes the coupon even stands for the whole cost of a health service. Some folks have better or more coupons than other folks. There are reasons for that other than the insurance people being picky. I think that pretty much says it. It positively is a simplified version for simplistic people like myself who have problems grasping a bunch of complicated page after page business stuff. Thinking of insurance as coupons helps that I dont get all out of sorts when Im billed for a this or a that. Of course, it is much more complicated that any coupon program. Please dont be offended, any individual! If folks are simple people it might help others to come out to understand the immenseger picture.

Grasping Basic Facts About Health Insurance

When researching for information on this article today I learned something very important about the health insurance industry. Even though it is a 300 billion dollar per year industry, it is not a competitive industry.

Well, in the notice that I understand business and competition. For example, look at what drives most of the retail merchandizing industry. Its competition, just plain old business competition. Health insurance doesnt labor by those identical rules. The health insurance industry is regulated by federal and state government. In both the inner most and public markets, it can best be get hold ofed as highly government regulated. Maybe the regulations are something like farm subsidies.

Now, you may be axiom to yourself, “All business is highly government regulated.” And, that is correct. But, one has to take into consideration how it is regulated; why it is regulated, and the outcomes of the regulations. Keep in mind that In a democracy, competition is critical for healthy economic executing.

Insurance programs which espouse themselves to be affordable are possibly scams. In fact, one can be safe in saying, “Prove it,” to the person selling the program. Why? Because ALL health insurance must comply with given government regulated rates.

Corporate business has been able to discount health insurance to its employees thereby providing better rates than individuals and small business have been able to secure. The bigger the corporation the more it has been able to supplement or “match,” as they put it, funds put in by the employee. The best ever health insurance vantage diarys, besides big, big corporate offerings, is available to federal employees. There are 14.6 million federal workers as of a study compiled in 2006. That certainly does not take state stars into consideration.

Those thoughts are only the beginnings of attempting to comprehend health insurance. I think the most important fact I learned is that in light of there being so much government regulation one should be very cautious about getting hooked into buying a low-priced plan. I think that is why there are so many regulations on the industry. Health is a very emotional issue and people are more vunerable to being scammed when a basic life need is concerned.

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Health insurance has failed because it underwrites basic certainties, rather than risks. What risk is there that an normal working adult will need medical comment in a 12 month span? Probably 50%; maybe wagerter. Thus, a third allowancey guarantor betting hostile the attendant expenses must be able to charge an inflated “premium” for his promise to pay the bet if he loses. The amount of his expenditure does not matter as prolonged as his margin, the difference between the premium and the payment ( and the XX% risk-factor), is methodically maintained.

Since the need for some medical attention by a “fee for service” provider is costly, the backed up risk is not really a risk at all, however an eventual reality. above a 5 year period, the insurer/guarantor/bettor will almost certainly be called upon to pay. And, since the bettor does not barter or receive the services, he is mostly excluded take pleasure in the base transaction. attempts to inject himself into the purchase and provision of the services skews the focus of the underlying relationship away from the consumer and toward the guarantor, regularly without consideration of the medical necessity or efficacy of the services sought, and additional importantly to him, toward the cost/return on investment calculations vital to his success.

Health motorcare insurance fails because it does not insure against a “risk.” Working Americans do not vantage by spending their health care dollars underwriting the insurers betting system. They would be better served, and their money more watchfully spent, if they proscribed the purchase of medical services. Insurers are necessary for those medical expenses that truly are risks; accidents, catastrophic and chronic illness, and the results of activities voluntarily engaged in by the consumer (e.g., skydiving, bullfighting, smoking).

If an average working American prearranged aside the “premium” dollars he spent each month, tax free, to spend as caught up at market-driven rates, he would have a readily available pool of funds with which to make his choices, much like pre-qualifying for a mortgage or pre-approval for a car loan. But, what about quick needs before he has accumulated the “pool”, and the danger of the unexpected emergency?

A lump sum payment, equal to the employers share of his health insurance premium, would almost immediately establish the necessary pool of funds available to employees, per capita, or upon any system the company and employee agree upon. The employers incentive would yet be a reduction of his tax liability for any contributions and fixings costs appropriate to the creation, funding and administration of the fund.

Unexpected expenses could be insured against with individual policies, analogous in tongue to the “Accidental Death and Dismemberment” coverage so discountedly available that no one takes its costs critically – or the risks! Which is why such coverage reflects true “insurance” and affordable leverage of risk by individuals and groups, depending upon the nature of the risk covered.

Imagine health care insurance being as cheap as “air travel” or “trip” insurance. Imagine the “Doc-in-a-Box” vying with the branch clinic of the local neighborhood sickbay, or the dentists office bestowing “employee discounts” to “Smith Toyotas” employees and preferred customers. This is market-driven health care. Not a no-frills industry, but a competitive marketplace in which special, expensive services are readily available to those who need them, with collective pools of consumer-controlled, and specifically risk-underwritten, dollars set aside for such eventualities.

Average workers with average needs and expenses will control their health care with their own money. Extraordinary expenses would be paid for with employer-contributed funds and insurance. (Careful employers will make “extraordinary expense” coverage a part of the pool contribution scheme)

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medical insurance protection indemnity is an quintessential issue for everyone in America.
Blue Cross Blue sentinel association President and CEO, Scott P. Serota, stated in Washington on January 23, 2008 that:
“The Blue Cross and Blue Shield strongly believes that everyone in America should have health insurance. “After deliberative and thoughtful conversations, the nations 39 Blue Cross and Blue Shield Plans have crafted a comprehensive proposal based on our 75 years of experience as leaders in the health care community. We glimpse sends to functioning with other stake holders to enact comprehensive health care reform.”

This is a bold, powerful, proactive proposal that if truth be told puts Blue Cross Blue Shield at the summit of the schedule of best rated insurance companies.
But, what makes an health insurance agency get on the best rated list or on the top ten list? The best health insurance companies are rated and certified by the National Committee for attribute warranty. (NCQA) This is a non-profit organization with the job of improving the quality of health care. The organization arrangements and responsess on the various aspects of performance of countless entities and being physicians. They also provide accreditation and certification programs.

So, what makes Blue Cross Blue Shield rate as one of the best insurance companies?
In the July 2007, NCQA report, Blue Cross Blue Shield of Massachusetts HMO/POS ranked #4 in the nation with a score of 89.0. It rated 5 stars for customer assessments, prevention and
treatments. Two other Blue Cross Blue Shield plans made the top ten list at #7 and #9 in New York and Connecticut respectively.

The reports were based on customers assessments to:
Getting care needed.
Getting care needed rapidly.
How at any rate the doctors communicate?
High rating of intimate doctor.
High rating of authority.
High rating of care got hold of.
Satisfaction with claims processing.
High rating of plans services.
Prevention and treatment of exact diseases.

Any insurance plan that is on the NCQA rating list is a go awayod sign that they are committed to
quality patient care, so, for Blue Cross Blue Shield to be on the top ten list tariffs them as one of the best health insurance companies.

Blue Cross Blue Shield five-point plan for comprehensive reform includes the following:
Encourage study on what works.
Change incentives to promote better care.
Empower consumers and providers.
Promote health and wellness.
Foster public-private coverage explanations.
The plan is called- “The Pathway to Covering America”

For more information go to www.bcbs.com/news

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ABOUT LIFE
Life is an Excellent Gift of God to humanity. But nofad in life is ever certain. Unexpected accidents, hospitalisations, business setbacks, ever decreasing work-force (resulting in retrenchments), terrorism can all mar our well-laid plans. In extreme cases we end up with loss of earning power. Thus the future may be uncertain. But one thing is certain. One demand to plan for it. It is a human tendency to postpone planning till retirement. But the later one commences saving the harder it is to do so. With longer life expectancy, rising inflation and declining interest rates, it is imperative that we start planning now.
Conversely life is also full of opportunities for all of us to seize, like:
1.
Financing our childrens education (children are our biggest assets),
2.
Buying our dream home (a place of protective roof on our head),
3.
Taking a well-earned vacation (after all why we are earning – we need to enjoy life and need to recommission our energy for earning our livelihood),
4.
To save for the time when we cannot earn sufficiently to sustain ourselves (saving for the rainy day, second hand age, retirement),
5.
We may wish we could safeguard our opportunities and protect against the uncertainties,
6.
And finally, for our sheer investment needs.
This is where “INSURANCE” comes in. This is explained in short in the following :
ABOUT INSURANCE
Insurance ensures help of economic value of assets. Assets are insured against the risk of being destroyed or made non-functional due to any accidental occurrence. Risk is defined as the possibility of adverse results flowing from any occurrence. Insurance is used with reference to financial protection against a possibility, such as fire, accidental damage, theft, or healing expenses: motor insurance, household insurance, travel insurance, health insurance. Insurance reduces the impact of risk on the owner, and those who depend on the asset. Integral to the concept of insurance is the concept of risk. In insurance parlance, “RISK” is called “PERIL”. Only where risk prevails, is insurance applicable. Basically there are two types of Insurance : “LIFE” and “NON-LIFE”. We are now concentrating on LIFE Insurance only.
ABOUT LIFE INSURANCE
The economic value of a human life arises out of its relation to other lives. Whenever continuance of a life is financially valuable to others, either to family dependents, business associates, or educational and philanthropic situations, the necessity for life insurance is present. Human life is also considered as an income generating asset. This asset can be absorbed thru unexpected death or made non-functional thru sickness or disability caused by an accident. There is no certainty that an accident shall happen. facts that must occur at some time, such as death, are provided for by assurance.
We all know that “DEATH” is the ultimate truth of life, but NOT its timing. Life Insurance exists because of this element of “UNCERTAINTY”. Life Insurance protects against loss of income of an individual. But it DOESNT (1) protect the asset, (2) prevent its loss. Life insurance is designed to make an attempt to compensate a policyholder for a loss endureed, by the payment of money, repair, replacement, or reininsistment. In every case the policyholder is entitled to be put back in the same financial position as he or she was immediately before the event insured against occurred. There must be no element of profit or loss to the policyholder.
Most, but not all insurance policies are indemnity contracts. For example, personal accident and life assurance policies are not contracts of indemnity as it is impossible to calculate the value of a lost life or limb (whereas the value of a car or other rightty can be calculated). Insurance works on the principle of transferring risk from an individual to a group.
INSURANCE NOT FOR RISK Con top of ONLY
Initially, Insurance started as guard or security against risk. Slowly, the elements of savings & investment opportunities have been added to make it an integrated approach for personal or family needs. Accordingly, Schemes were designed for various needs for various types of clientele. Some Companies have even tailor-make the schemes to suit particular individuals. Broadly speaking the Insurance Schemes can be divided into a few basic categories, which are given in the following :
1.
Pure Risk Cover – Term Insurance – No other benefit excluding Risk Cover.
2.
Endowment Schemes – Risk Cover with returns ( Like guaranteed Addition, Money-Back, Bonuses etc. ).
3.
Whole Life Schemes – Limited Period Premium Payment and whole life cover with or without benefits.
4.
Pension / Annuity type Retirement Schemes.
5.
Health & Hospitalisation Cover.
6.
And lately ULIPs- a combination of Mutual Funds & Life Insurance.
Thus the whole horde of Life Insurance Schemes can be a permutation & combination of these types of basic schemes at varying proportions. In addition to this certain extra benefits are added for a marginally extra premium to the basic scheme. These are called Riders.
UNDERSTANDING PREMIUM
Insurance is operated as a contract between two parties :
1.
The INSURER who promises to cover the risk and give back other benefits if any to, and
2.
The INSURED or ASSURED who promises to make a specific periodical payment for the service intended to the Insured.
This contract is based on the guiding principles of :
1.
The Indian Contract Act – 1872,

2.
The Insurance Act – 1938,
3.
The Consumer Protection Act – 1986,

4.
The Insurance Regulatory and Development Authority Act – 1999.
This periodic payment is known as Premium. This Premium varies in relation with
1.
The Amount of Assurance (Sum Assured),

2.
Paying period (Term) of the Policy,
3.
The age of the Assured at the starting of Policy,

4.
The Occupation of the Assured,
5.
Any additional benefits (Riders),

6.
Type of Policy / Scheme,
7.
The status of the Policy,

8.
The amount of risk involved, and several other factors.
The Insurer is in the position of a Trustee, managing a common fund. The Insurer checks that nobody gets undue advantage. Therefore, care is taken to ensure that those in the group have similar risk; and if not, they pay more contribution because their risk is greater.
Thus the premium which the Assured pays has three basic episodes, as explained below :
1.
Administrative, Marketing and Management expenses – These are the common expenses of running the Insurance Company = (to the extent of approx. 20 % of the annual premium),
2.
Expense for the cover of the RISK Element only = (to the extent of approx. 0.5 % of the Sum Assured, annually),
3.
The Saving or Investment Element which is invested in the prescribed areas according to strict guiding principles of IRDA (Insurance Regulatory and Development Authority). This is the element which earns profits for the Insurance Company. And again according to the strict guiding principles of IRDA this is distributed amongst the policy holders as Bonus, and the Insurance Company as Surplus.
These elements are present in various proportions in the premiums according to the type of schemes like whether it is a pure risk, endowment, whole life or annuity schemes or participatory (with benefits) or non-participatory (without benefits).
LIFE INSURANCE OPEN TO PRIVATE PLAYERS
The Indian Life Insurance Companies Act, 1912 was the originally statutory portion to regulate life insurance business. Later, in 1928 the Indian Insurance Companies Act was enacted, inter alia, to enable the government to collect statistical information about life and non-life insurance business transacted in India and foreign insurers, including the provident insurance societies. In 1938, with a view to protecting the interest of the insuring public, earlier legislation was consolidated and amended by Insurance Act – 1938 with comprehensive provisions for detailed and effective control over the activities of insurers.
By 1956, 154 Indian Insurers, 16 non-Indian Insurers and 75 Provident Societies were carrying on life insurance business in India. Life insurance business was confined mainly to cities and the better-off segments of the society. On 19th., January 1956, the management of life insurance business of 245 Insurers then operating in India, were taken over by the Central Govt. and then nationalised on 1st., September 1956. LICI (Life Insurance Corporation of India) was formed in September 1956 by an act of Parliament, with a capital contribution of Rs. 5 Crores from the Govt. of India. The objectives of LICI were thus outlined: to conduct the business with utmost economic system, in a sprit of trusteeship; to charge premium no higher than warranted by strict actuarial considerations; to invest the funds for obtaining maximum yield for the policy holders consistent with safety of the capital.
But by 2000 AD, the performance and the social obligations fell short of the Objectives and expectations of the GoI. Because of all round globalisation, which started in 1991-92 and involved introduction of healthy competition and privatisation, the business of Insurance was thrown open to private players like the Banking Sector, with a Foreign Investment participation of 26 % max. The IRDA is the controlling authority and oversees each and every aspect of it. Between July 2000 and September 2003, sixteen (16) private Life Insurance Companies have registered with the IRDA and started their operations in India.
IMPORTANT POINTS ABOUT INSURANCE
1.
Insurance ensures protection of economic value of assets. Assets are insured against the risk of being destroyed or made non-functional due to any accidental occurrence.
2.
Risk is defined as the possibility of adverse results flowing from any occurrence.
3.
Insurance is used with reference to financial protection against a possibility, such as fire, accidental damage, theft, or medical expenses: motor insurance, household insurance, travel insurance, health insurance.
4.
Events that must occur at some time, such as death, are provided for by assurance.
5.
Any insurance is designed to compensate a policyholder for a loss suffered, by the payment of money, repair, replacement, or reinstatement. In every case the policyholder is entitled to be put back in the same financial position as he or she was immediately before the event insured against occurred. There must be no element of profit or loss to the policyholder. Most, but not all insurance policies are indemnity contracts.
6.
For example, personal accident and life assurance policies are not contracts of indemnity as it is impossible to calculate the value of a lost life or limb(whereas the value of a car or other real estate can be calculated).
7.
Definition(s) of insurable Interest
a.
The legal right of the Insurer developing out of a financial relationship recognised under the law, between the insured and the peculiarity matter of insurance.
b.
An interest (financial or otherwise) in the subject matter of a contract of insurance, which provides the person insured with the right to enforce the contract. An insurable interest (e.g. ownership of goods insured) distinguishes a contract of insurance from a wager or bet. An interest is required by statute for various types of insurance contract (e.g. life insurance).
8.
Insurable interest exists if the policy owner or the nominee is likely to benefit financially if the insured continues to live and is likely to suffer from an economical loss if the insured dies.
9.
Definition of Utmost faith or Uberrima Fides
a.
The duty to disclose all material facts relating to the risk to be covered.
b.
A positive duty to disclose, accurately and fully, all facts material to the risk being proposed, whether requested or not.
10.
A material fact is a fact, which would influence the mind of a prudent underwriter in deciding whether to accept a risk for insurance and on what terms.
11.
An insurance agent is an agent licensed under section 42 of the Insurance Act, 1938.
12.
The primary function of the agent is to procure business for the insurance company. Prior to offering the policy, the agent has to check out on the insurability of the proposer based on the principles of insurable interest and utmost good faith. The relevant information can be :
a.
Paying capacity
b.
Health and Habits
c.
Age
Once the insurance contract has been put into force, the agent is imagined to ensure continuance of policy through regular payment of renewal premiums.
In case of a claim the agent should help the insured or his family in proper settlement of claims.
RELEVANT POINTS
1.
An agent is appointed by the insurer, but he acts as the agent of the proposer while following up a proposal
2.
It is the duty of the proposer to insure that the agent provides all the information to the insurer. In case the agent omits certain information, the proposer can not shift the blame to the agent, when a question of suppression of information is raised by the insurer
3.
Giving money to the agent is not tantamount to giving money
4.
Mortality table is an actuarial table prepared on the motive of mortality rates for people in different regions of a country. It provides life-assurance companies with the information they require to quote for life-assurance policies, annuities, etc. Based on the mortality tables the premium rates are calculated.
5.
Morbidity is the state of being diseased. The morbidity rate is the number of cases of a disease found to occur in a stated number of the population, usually given as cases per 100,000 or per million (the number may be smaller for common diseases). Annual figures for morbidity rate give the incidence of the disease, which is the number of new cases reported in the year.
SECTION 64VB
1.
No risk to be assumed unless the premium is received in advance
2.
Advance payment of premium before acceptance of the risk: Section 64VB of Insurance Act, 1938
3.
The first premium paid is the consideration for the life insurance contract to come in to force.
4.
Subsequent premiums is the predicament necessary for the contract to remain in force.
5.
Therefore, if a policy holder has not paid the premium and has died, -then the insurer is not liable to pay as per the contract.
6.
A policy should remain in force till the claims happen. In case of a lapse of a policy, a revival brings it back to life. For a policy to remain in force, the premiums needs to be paid routinely as per the contract and within the stipulated grace period. Non payment of premium leads to a lapse of the policy (lapsation may occur due to sheer neglect to pay or due to financial difficulties). Insurance facilitates revival of the gone along policies.
POINTS TO REMEMBER
1.
The role of an Insurance Advisor (Agent) :
a.
The role of the agent starts right from the time the Insurance contract is sold to the time the claim takes place.
b.
The three forms which need to be filled up are proposal form, personal statement and moral hazard report.
c.
Underwriting peculiarity needs to be provided with medical and financial information of the proposer by the agent.
d.
A material fact is information which might make a difference in the insurance premium or of acceptance of risk.
e.
Section 64VB states that no risk is to be assumed unless premium is received in advance.
f.
An agent has to advise the insured on revivals, loans, foreclosure.
g.
Nomination can be done before the policy comes in to force
h.
Assignment can be done after the policy comes in to force
i.
There are three types of claims- maturity claims, life benefits and death claims
j.
Claim concessions are provided by insurers.
2.
Term insurance pays a death benefit to the legal heirs if the person insured, dies during the term of the policy.
3.
Whole life insurance guarantees death benefit cover during the course of life, provided the required premiums are paid.
4.
Endowment assurance pays out either on the death of the assured, whenever it occurs, or after a fixed number of years (e.g. when the assured reaches the age of 75).
5.
A form of pension in which an insurance company makes a series of periodic payments to a person(annuitant) or his or her departments over a number of years (term), in return for the money paid to the insurance company either in a lump sum or in instalments.
6.
A unit interrelated policy is a life assurance policy in which the benefits depend on the performance of portfolio of shares or mutual funds.
7.
A life assurance policy, that has additional amounts added to the sum assured, or paid separately as cash bonuses, as a result of a surplus or profit made on the investment of the fund of the life assurance office, is called a with profits policy.
8.
The surplus fabricated by the insurance company is retained and also distributed as bonus to policyholders. Policies may be :
a.
With profits, entitling the assured to a share in the assurers profits (which is added to the sum assured when it is paid out).In a with profits policy, it is possible to offset subsequent premiums against accumulated profits.
b.
Without profits, in which case only the sum assured is paid out (which in times of inflation may have considerably less purchasing power than the assured intended). Without profit policies are not entitled to bonus.
9.
The combination plans combine whole life insurance with term insurance.
10.
Group life assurance is a life assurance policy that covers a number of people, usually a group of employees or the members of a particular club or association.
REFERENCE
1.
IRDA Website.
2.
LICI Website.
3.
Websites of other Private Insurance Companies.

[ End of Part 1 of 4 Parts. To be continued in Part 2 ]
Himansu S M / 18-Feb-2009

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