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How an Association Health Plan Can Protect Us from Obamacare — Webinar July 10

Because of rising healthcare costs due to provisions of Obamacare, having an Association Health Plan (AHP) can help protect you from these effects.   Join Ralph Weber and special guest Rick Holder from RH Administrators on Tuesday, July 10 for this important discussion.

Reserve your Webinar seat now at:  https://​www3.gotomeeting.com/​register/632275350

 

There are many advantages to having an AHP. These benefits include:

1. The plan will function like REAL insurance, not simply the pre-paid third party plans commonly available.
2. Risk pooling would be done for the entire group for catastrophic claims, not routine expenses like typical plans do. While large claims are pooled, each practice may establish its own self-funded plan using tax effective funding. This means that each practice participates in the reinsurance, but will still be rated on its own claims experience.
3. Under Obamacare, the Medical Loss Ratio (MLR) rule says that traditional insurance must pay 80 percent in medical care. That means up to 20 percent is lost to overhead. An AHP is governed by the participants, and cannot make or retain profit. Therefore, it pays out 100% of its moneys, after administrative fees, for medical care.
4. Pre-Paid Third Party Payer plans commonly available cover things you and your employees may not want or need, such as substance abuse, contraception, wigs, acupuncture, etc, which drive up costs. Under an Association Health Plan (AHP), any participating office may decide not to cover anything it deems unnecessary. Real insurance would never cover such things as wigs or substance abuse treatment.
5. Plans falling under State Departments of Insurance rules must follow state mandates for coverage, so they are very wasteful. Coverage ends up costing more than the “benefit” is worth. This would be an ERISA (Employee Retirement Income Security Act) plan, overseen federally by the Department of Labor, not by the state Department of Insurance. That allows our Association Health Plan to be much more efficient with your dollars.
6. For the first $5,000-10,000, transactions would be in cash, meaning there are no silent “Preferred Provider Organizations.” Cash transactions allow direct contracting, which cuts costs dramatically.
7. There is no community rating, so we won’t be subsidizing other industries.
8. Because of the number of people we anticipate will want to participate in the Association Health Plan, Medicare will become the second payer, and the plan will be primary payer. Most individual practices would not qualify for a “Medicare second payer plan”, because of the number of participants.
9. Participants may also select $10,000 worth of Critical Illness Insurance and/or accident insurance, both of which will be guaranteed issue (no health questions). In other words, upon diagnosis of one of 14 critical illnesses, you receive $10,000 to help you pay out-of-pocket costs.

Reserve your Webinar seat now at:  https://​www3.gotomeeting.com/​register/632275350



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