Phia Group Russo & Minchoff

U.S. Denies Bids by Kansas, Oklahoma for Health Law Waivers

cmonfils | January 5, 2012

Health insurers in Kansas and Oklahoma can’t take more than 20 percent of the revenue they collect in premiums for overhead and profit, after the U.S. today denied requests from the states for more generous limits.

The government now has rejected requests by eight states for waivers from a provision of the 2010 health-care overhaul that requires insurance companies to spend at least 80 percent of premium revenue on care, called a medical loss ratio. Seventeen states have asked for an adjustment to the requirement that would allow their insurers to spend less.

Employers tackle the cost of smoking

cmonfils | December 26, 2011

SHAWNEE, Okla. — Local businesses are taking initiative in the health of their employees by offering healthy options to those willing to change. According to the Center for Disease Control and Prevention, the annual health-related economic losses of smoking costs $96 billion in direct medical costs and approximately $97 billion in lost productivity totaling $193 billion a year. With the cost of smoking, employers took initiative and are reconstructing their health insurance policies to help their employees maintain a healthier lifestyle. 

State Health Care Reform Update – Oklahoma

cmonfils | May 31, 2011

www.hr.cch.com

CCH® BENEFITS — 05/25/11

Oklahoma. Governor Mary Fallin has turned down a $54 million early innovator grant from the Department of Health of Human Services (HHS) to help the state develop a health insurance exchange. Earlier this year, the HHS allocated $241 million in early innovator grants to help build the infrastructure needed to support health insurance exchanges under the ACA. Oklahoma was one of seven states who received a portion of those funds. Local Republicans criticized Ms. Fallin for accepting the funds, but are now commending her rejection of the funding. Ms. Fallin still plans to implement the health insurance exchange. For more information, visit http://www.ok.gov/governor/.

Amicus Committee Update

cmonfils | March 7, 2011

www.subrogation.org

NASP testifies in South Dakota: Committee Rejects HB 1184

South Dakota’s House Bill 1184 was voted down in the Senate Judiciary Committee on February 24, 2011 by a 4-3 vote.  Daran Kiefer, NASP’s Vice President, and Kammy Poff, NASP’s Amicus Chair, testified in front of the Senate Judiciary Committee last Thursday on behalf of NASP as to the impact the bill would have on the subrogation industry and consumers.  John Foster with State Farm and past President of NASP, also testified on behalf of his company as to the detrimental impact of the bill.  NASP was quoted by the Associated Press in opposition to this bill. The article can be found HERE. (more…)

SIIA Legislative Update – 08/24/10

Adam V. Russo | August 25, 2010

SIIA, www.siia.org

Oklahoma Tax on Paid Claims Ruled Unconstitutional

This afternoon, a recently enacted tax that would have applied to all claims paid in Oklahoma by health plans, was struck down by the Oklahoma Supreme Court.

Earlier this summer, the Oklahoma State Legislature passed a measure, subsequently signed into law by the Governor, which would have assessed a 1% tax on all health claims paid within the State. TPAs of self-insured health plans as well as stop-loss providers were to be taxable entities. (more…)

Relinquished UIM Subrogation Rights In Oklahoma

Adam V. Russo | July 1, 2008

As found in multiple cases in Oklahoma, an insured who quickly settles with a liable third party (tort-feasor) will eliminate any and all opportunities for its UIM carrier to subrogate or seek reimbursement for paid claims, against third party policy limits.  (more…)