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My name is Mr. X and my Stateside insurance policy number is 123123. I have been a loyal policyholder for five years. This letter addresses rejected claim xyz, regarding the damage done to my Chevy Impala on December 18, 2011.
I contacted Stateside immediately upon the night of the accident to file a claim, and there is a record of my claim in your database. I issued a sworn, recorded statement over the phone to a Stateside insurance representative identified as Lisa, one of your claims handlers. However, I recently received a letter from your organization, informing me that my claim was rejected. I am writing this letter to appeal the decision.
As I informed Stateside at the time, I was driving home from the movie theater that night when the accident occurred. The night was very cold, and the roads had not been adequately salted. My car…
It is recommended that CoverAll Insurance Company purchase the Cisco WS-C2950-24 for $350 to increase the speed of its existing network. Depending on the number of connections to the Internet, there would need to be one of these Cisco Switches at each inbound Internet location in the company. It is assumed that there is a single Internet connection that CoverAll Insurance Company relies on today. The following table provides the specifications of the Cisco WS-C2950-24.
CISCO WS-C2950-24 SPECIFICATIONS
Cisco Catalyst 2950-24 - switch - 24 ports
Switch - stackable
External - 1U
17.5 in x 9.5 in x 1.7 in Weight
16 MB SDAM
24 x Ethernet 10 Base-T, Ethernet 100 Base-TX
Data Transfer ate
Data Link Protocol
Ethernet, Fast Ethernet
emote Management Protocol
SNMP, MON, Telnet
Borri, M Casoni, ML Merani. "Effectiveness and issues of congestion control in 802.11g wireless LANs. " Wireless Networks 14.2 (2008): 171-182. ABI/INFORM Global. ProQuest. 12 May. 2008
Venkatesh Obanaik, Lillykutty Jacob, AL Ananda. "Secure performance enhancing proxy: To ensure end-to-end security and enhance TCP performance over IPv6 wireless networks. " Computer Networks 50.13 (2006): 2225.
ABI/INFORM Global. ProQuest. 22 May. 2008
Bruce Potter. "Wireless vulnerability assessment. " Network Security 2005.6 (2005): 14-15. ABI/INFORM Global. ProQuest. 20 May. 2008
Insurance in Illinois
Hurricanes and Insurance Burdens & Considerations
The insurance industry in the United States is a major economic force in the country, but is the largest commercial entity regulated at a state, rather than a federal level. This has been the case since the McCarran-Ferguson Act of 1945. An insurance policy company mush go through regulation on a state-to-state level, where policies and practices often differ. While outsourcing has been a major business force in most other financial markets, insurance companies are largely American-owned and traded due to the obstacle that state by state regulation poses on foreign influences (Lehrer 2010).
Due to the fact that Illinois in an inland state, it is geographically protected from most major hurricanes, although tropical system remnants that move in from the Gulf of Mexico and the Atlantic Ocean do move up onto the area occasionally. The majority of data regarding the…
Associated Press (2008). "Thousands Still Without Power in Illinois." WTHI-TV. http://www.wthitv.com/Global/story.asp?S=9009105&nav=menu593_2 .
Angel, James, R. (2005) Tropical storms reduced drought in Illinois in 2005. Transactions of the Illinois State Academy of Science July, 2006 Volume: 99 Source Issue: 3-4.
CBS/AP (2008). "Millions Still In Dark Over Ike Recovery." CBS News. http://www.cbsnews.com/stories/2008/09/18/national/main4457061.shtml . Retrieved 2008-09-30.
Changnon, Stanley A. (1996)
In terms of the second component of the motivational strategy at the Allstate Insurance Company, the Quarterly Leadership Measurement System however, I feel that this is a technical business tool aimed at a numerical and factual understating of people, operations and workplace settings. Additionally, I feel that when under the pressure of a quarterly examination, the motivation and drive for work would be replaced by anxiety. However the fact that the research is conducted quarterly, rather than annually like it is in most firms, translates into a higher managerial ability to really observe and understand the particularities and performances of each individual staff members.
On the long-term however, I think that these two motivational strategies are insufficient and that new elements ought to be added in order to maintain the employees satisfied and motivated.
All in all, the Allstate Insurance Company is a reputable presence within the American insurance industry.…
Cassacchia, C., 2008, American Association of Justice ranks Allstate No. 1 among nation's worst insurers, Business Journal, http://www.bizjournals.com/phoenix/stories/2008/07/07/daily50.html last accessed on July 21, 2010
Wemple, E., Allstate gets spanking, Washington City Paper, http://www.*****/blogs/citydesk/2008/07/09/allstate-gets-a-spanking / last accessed on July 21, 2010
2006, In tough hands at Allstate, Business Week, http://www.businessweek.com/magazine/content/06_18/b3982072.htm last accessed on July 21, 2010
2010, Allstate Insurance Company Website, http://www.allstate.com last accessed on July 21, 2010
American life insurance company and Metlife Inc. merger
Acquisition refers to when a company takes over another company and the taken over company loses its identity to the acquiring company. It can either be vertical or horizontal, forceful or friendly. American Life Insurance Company (ALICO) is a member of the American Insurance Group according to business Global Times (2011). ALICO has been one of the largest and most diversified international life and health insurance companies in the world. It was founded in 1921 and has been a leading life insurer operating in more than 50 countries dealing in life insurance, retirement and wealth management issues.
Metlife inc. is the largest life insurer in the United States and Mexico. It is a leading insurance; annuities and employees benefit programs serving in over 60 countries with a customer base of over 90 million. It hoped to strengthen its presence in Europe…
Andrew Ross Sorkin, (2010). A.I.G. To Sell a Major Life Insurance Unit to Metlife. Retrieved August 10, 2011 from http://dealbook.nytimes.com/2010/03/07/a-i-g-is-set-to-sell-a-life-insurance-unit-to-metlife/
Find Discount Insurance, (2011). AIG Sells American Life Insurance to MetLife. Retrieved August 10, 2011 from http://www.finddiscountinsurance.com/news/life/aig-sells-american-life-insurance-metlife
Global Times, (2011). Metlife to Acquire Life Insurance Unit from AIG For $15.5 Billion.
Retrieved August 10, 2011 from http://business.globaltimes.cn/world/2011-04/511059.html
Norton v. Argonaut Insurance Company, there was a staffing shortage on a pediatric ward of Baton ouge General Hospital. An administrative nurse was filling in for the regular pediatric nurse, and carried out the physician's order which read, "Give 3.0 cc lanoxin today for one dose only." The nurse did not contact the physician to confirm the directions and her previous experience had been with injectable Lanoxin only. She gave the dose intramuscularly instead of orally, as intended, and the infant died. The nurse was found negligent for administering medication in which she was unfamiliar and for neglecting to clarify the order the prescribing physician. The nurse questioned two physicians who were not treating the infant, but failed to mention that the order was written for elixir of Lanoxin. The nurse, the original physician and the hospital were found liable (Norton v Argonaut, 1962).
Mistakes in the Situation- Nurses have…
Norton v. Argonaut Insurance Company. (1962). 114 So. 2d. 249, Court of Appeal of Louisiana,
First Circuit. Retrieved from: http://www.leagle.com/xmlResult.aspx?page=1&xmldoc =1962393144So2d249_1357.xml&docbase=CSLWAR1-1950-1985&SizeDisp=7
Aetna, (2012). Avoiding Medication Errors. Aetna.com. Retrieved from:
Northwestern Mutual Life Insurance Co
Insurance business in modern day has adopted a differential approach to dealing with policy issues and consumer behavior yet some companies like Northwestern Mutual Life retain their original course of actions with clear mission and core values to provide exceptional service to their consumers. The following report is an analysis of such exceptional quality and distinguishable positioning of the company.
Whether one is a business entity, a healthcare organization or an individual living in society, the uncertain encompass great risks. As people are cautionary in nature, they often tend to adopt trends or behaviors that prevent them from becoming prey to such risks. To eliminate risks civilized society such as ours has developed a complex financial system that pays for the damages incur should there be accidents or sudden deaths. Life insurance is thus all about saving money for loved ones in case of sudden…
Leslie Haggin Geary and Michael J. Powe Tables compiled by Tara Kalwarski and Derek Manson Additional reporting by Megan Johnsto, Corporate America's Best Benefits., Money, 12-01-2001, pp 140+.
Fortune® "Most Admired" Corporation in the life and health insurance industry, 1983-1995, 1997-2001 (industry not rated in 1996).
Northwestern Mutual Life Insurance Official Website, accessed on 6-4-03 at http://www.nmfn.com/tn/aboutnet -- pg_nm_intro
Author not available, American Dream or Financial Fantasy, Northwestern Mutual: News and Media: Studies and Reports. 2003.
Progressive Insurance Company is one of the most profitable and successful firms in the insurance industry. This considerable success can be attributable to its business philosophy, which is to approach insurance in an innovative way unlike any other firm in this sector. Through this business philosophy, Progressive Insurance Company has helped shaped industry standards while realizing significant achievements across its operations. One of the most important events in the history of this company was its decision to change the focus of its claims to offer an improved overall experience for every party engaged in the claim since early 2000s. Generally, Progressive Insurance Company has grown tremendously throughout the years with results that are usually better than those of its competitors.
Progressive Insurance Company operates in a hyper-competitive insurance industry that is characterized by the existence of many companies that compete for relatively similar customers. The extremely…
Bailey-Huang et al. (2003). Progressive Corporation: Upside Remaining. Retrieved from Yale School of Management website: http://analystreports.som.yale.edu/reports/PGR.pdf
Leveque, J. (2013, April 16). Progressive. Retrieved March 3, 2016, from https://prezi.com/3yi0hfw0ccf3/progressive/
Morningstar. (2016). Progressive Corp PGR. Retrieved March 3, 2016, from http://financials.morningstar.com/ratios/r.html?t=PGR
As a result, Fidelity has taken up more of the marketshare than they previously owned by expanding into commercial sectors where their formerly was no market. Another key competitor is the PMI Group, which has gained increased marketshare because of their strong software development. he company sells a model that helps predict default risks for consumers with different credit histories, this information service helps banks price their loans more effectively. Competition within this sector is unique because it takes place on both the local and national level. On the local level, First American must compete with small players within the market for the title insurance market share as well as the larger companies. However, on the national level, First American must manage a strong information service that focuses on more commercial and professional services in order to negotiate partnerships on a national level. In both cases the inevitable result is…
The company is organized through a top to bottom approach. First American has a headquarters office which issues the general strategy and approach of the company. It also negotiates major national level clients and approach institutions with First American services. Title insurance however has its primary profitability come from local branch offices, which are located in every major and mid sized city. These offices operate almost independently from the national office as they are keys in providing services on the local level. http://www.streetauthority.com/cmnts/pt/2004/09-14.asp http://www.prnewswire.com/cgi-bin/stories.pl?ACCT=ind_focus.story&STORY=/www/story/03-01-2007/0004537329&EDATE=THU+Mar+01+2007,+08:32+AM
Cigna is an insurance company in the United States that has faced its share of financial hard times due to the increased government regulatory environment and competition from its competitors. Although the company is the fourth largest insurer in the United States, it has faced its share of financial difficulties. In 2002 the company reported a $500 million dollar net loss for the year which resulted in a 40% drop in equity value. The company stock was not the only thing getting hammered that year, the company was also under pressure from doctors who were suing the company due to late reimbursements.
The problem facing Cigna was a threefold dilemma. First of all, was the above mentioned lawsuit by doctors who contended that Cigna was purposefully withholding and/or delaying payments for reimbursements and patient care. The doctors were not at all happy with Cigna (and other insurers) accusing…
The reasons for this greater statistical likelihood might be due to the fact that dark-colored cars are more difficult to see at night, hence people get into more accidents, or that people who buy dark colored cars, like red and black (as opposed to brown and white) drive more recklessly and get into more accidents. Regardless of the reason, or even if the statistical differential has nothing to do with recklessness or accidents, but is merely arbitrary and due to consumer buying habits (perhaps dark-colored cars are more popular this year) it does not matter to the company. All that matters to the insurance company is that if a driver with a certain kind of car is more likely to crash that car, his or her premium will be higher.
Auto Insurance Resources. (2007). Official ebsite. Retrieved 27 Sept 2007. at: http://insurance.freeadvice.com/insurance_center/auto
Auto Insurance Resources. (2007). Official Website. Retrieved 27 Sept 2007. at: http://insurance.freeadvice.com/insurance_center/auto
This information is then rated and scored, to determine the take home pay of the manager. Where, those who perform poorly on this index will see a 25% reduction in their pay. This is significant, because it shows how the system that All State uses; helps with goal setting and to promote diversity work. Where, the employee will be selected because of their talents. Then, to maintain motivation and diversity, the company will ask employees for their thoughts on these issues. Over the course of time, this will change the atmosphere of the company, as they are able to quickly address various employee and customer issues quickly.
Ashby, F. (1999). Leadership Development as a usiness Strategy. Effective Leadership Programs. (pp. 11 -- 31) Alexandria, VA: American Society for Training and Development.
Cochraine, A. (2010). All State. Retrieved July 18, 2010 from est Practices Institute website: https://bestpracticeinstitute.org/members/articles/allstate-insurance.html
Hillriegel, D. (2007).…
Ashby, F. (1999). Leadership Development as a Business Strategy. Effective Leadership Programs. (pp. 11 -- 31) Alexandria, VA: American Society for Training and Development.
Cochraine, A. (2010). All State. Retrieved July 18, 2010 from Best Practices Institute website: https://bestpracticeinstitute.org/members/articles/allstate-insurance.html
Hillriegel, D. (2007). Individual in Organizations. Organizational Behavior. (pp. 164 -- 167). Mason, OH: Thomoson.
Hillriegel, D. (2007). Individuals in Organizations. Organizational Behavior. (pp. 172 -- 173). Mason, OH: Thomason.
Insurance companies enjoy large profit margins in the insurance industry. A reason for these margins would be the project management ability of firm employees to effectively management risk. Project management tools enable managers to effectively manage inherent risk with project implementation and management.
An example of a project management issue at an insurance firm is provided by Pula & Stone (2003), "The authors' research shows that customer relationship management (CM) projects can achieve higher rates of return by work on data quality. Existing and new data need to be integrated and shared, with updates synchronised among many different systems. These systems (including operational, analytical and customer contact applications and databases) were rarely designed to work together and the data they collect and use are not normally collected, structured or quality-assessed for the CM purposes for which they are eventually used." (Pula, Stone, 2003)
The block quote is to…
Chase-Jacobs-Aquifano: Operations Management for Competitive Advantage, 11th Edition. The McGraw Hill Companies, 2005
Lind, D., Marchal W., Wathen S. (2010). Statistical Techniques in Business & Economics. 14th Edition. McGraw-Hill Irwin
Pula, E.N., Stone, M., & Foss, B. (2003). Customer data management in practice: An insurance case study. Journal of Database Marketing & Customer Strategy Management, 10(4), 327. Retrieved fromhttp://search.proquest.com/docview/233337595?accountid=13044
I'm sickened and saddened by what I've become, and I'm staggered by the speed at which I've fallen" (Grisham, 1996, p. 140). Much of the book is realistic, but any good work of fiction takes license in some areas, and this work does, as well. A lawyer getting so involved with a client that he kills an abusive husband would probably be disbarred just about anywhere in the country, and yet udy looks like a hero when the story is finished. That is certainly not realistic.
Grisham supports his thesis against insurance companies throughout the work, by portraying the company and its representatives as greedy, uncaring, and only out for one thing - profits. Grisham writes, "So this is how the uninsured die. In a society filled with wealthy doctors and gleaming hospitals and state-of-the-art medical gadgetry and the bulk of the world's Nobel winners, it seems outrageous to allow…
Grisham, J. (1996). The rainmaker. New York: Dell.
Insurance options available to the patient depend upon the policy held by the patient and what is covered by the insurer. Some insurance companies will cover life-saving operations, while others will not (oizen, 2015). Yet even if the operation is covered, there may be a substantial deductible that will have to paid out of pocket; again, this all depends on the type of insurance coverage that the individual possesses. In a time like this, it is difficult to think of finances especially when a loved one's life is at stake. Fortunately, even if the deductible is high, or -- in a worst case scenario -- the insurance company will not cover the operation, there are hospitals that will provide financial aid to applicants.
At the same time, government insurance options are available, such as Medicare and Medicaid. If the patient is 65 years of age or older, he…
Durden, T. (2016). Obamacare update: Insurance premiums set to explode higher in
2017. ZeroHedge. Retrieved from http://www.zerohedge.com/news/2016-05-09/obamacare-update-insurance-premiums-set-explode-higher-2017
Roizen, M. (2015). Will my insurance cover my liver transplant cost? Sharecare.
Retrieved from https://www.sharecare.com/health/digestive-health/transplant-cost-liver-insurance
Company's Compensation And Benefit Package
A number of factors determine how a company compensates its employees. These factors may include economics, psychology and even sociology. To an economist compensation is viewed as a labor market determinant (Filer, Hammermesh, & ees, 1996). As a human resource manager for Vanguard Industries I have been entrusted with the responsibility of explaining to the Chief Executive Officer (CEO) that guided my development of the company's compensation and benefit plan. I will specify economic factors I considered while coming up with the company's compensation and benefit packages, the manner in which they do so and the relative and absolute importance of each. Before coming up with a compensation and benefit scheme, it is imperative that matters pertaining employees' skill level, age, gender and minority and majority status are factored as they affect an individual's reward preferences and their view on what they contribute to an…
Filer, R., Hammermesh, D., & Rees, A. (1996). The Economics of Work and Pay 6th ED., New
York: Harper Collins.
Landes, W.M. (1968). The Economics of Fair Employment Laws. Journal of Political
Economy, 76: 507-52.
Insurance for Nurses
Most of us probably see the issues of overtime and insurance as being entirely separate from each other. But for nurses, there is a clear connection between the two - one that is becoming clearer all of the time. Nurses have throughout the past decades found themselves working more and more hours, often being forced to take overtime shifts. This has resulted in a decreased quality of life for the nurses themselves and often results in poorer care for patients. One of the roles that nurses have always provided is the kind of extended personal care that patients need and that doctors cannot economically provide. This is being compromised by ever-increasing patient loads and by nurses who themselves are increasingly stressed.
So what has the issue of mandatory overtime to do with insurance? Quite a lot, actually. Nurses are being used more and more often to perform…
Hartnet, Johnette. (1993). Grief in the Workplace: Forty Hours Plus Overtime. Philadelphia: Good Mourning.
A www.ahealthyme.com www.aclu.org www.buildingbetterhealth.com www.calurse.org www.dhmh.sate.md.us www.newstimes.com www.nursingworld.org www.prairielaw.com www.qnv.org.au www.telegram.com www.vhihealthe.com
Yates, Michael. (1994) Longer Hours, Fewer Jobs: Employment and Unemployment in the United States. New York: Monthly Review Press.
A www.telegram.com www.calnurse.org www.qna.org.au www.nursingworld.org (www.mlis.state.md.us).
Insurance Agent for State Farm Insurance
Success as an independent insurance agent does not come easy. In this industry, success has largely got to do with hard work and an exceptional ability to handle occasional rejections. However, the benefits for those who succeed in this case are immense.
In my opinion, I would say that my success as an effective independent insurance agent for State Farm Insurance has largely been founded on not only my personal character but also my past achievements and business related experience. To begin with, I have always been a hard worker. I believe in the power of effort especially when it comes to getting things accomplished. Further, I would say I am rather talkative. I also regard myself an effective communicator. Effective communication skills are important in the insurance business largely due to the need to keep in constant contact with the public. In addition…
Q1.Why has the attractiveness of the pharmaceutical industry declined so much since the 1980’s? What are the implications of those changes in industry structure for firm strategy?
Despite the tremendous profits garnered by large pharmaceutical companies for so-called blockbuster drugs, pharmaceutical companies must make huge investments in R&D to produce profitable medications. The vast majority of drugs which are developed and tested never go to market. Additionally, once companies produce valuable drugs, they have a limited window on which to capitalize upon a drug’s profitability before its compounds can be sold in the form of a much cheaper generic. The FDA shortened the patient life of drugs from 11-12 years from 17-20, thus vastly reducing the financial ability of companies to cash in on valuable non-generics (Collis & Smith, 2007, p.5).
The industry structure also changed significantly, as more and more companies began to enter into the fray of developing…
Features of Third-Party Payers:
How reimbursement and coding affects the healthcare system
The healthcare services market is a very unique entity from the perspective of an economist. Unlike conventional markets, where consumers can very easily compare prices, patients face a very opaque market where costs are largely concealed from them. This is further complicated by the fact that the majority of consumers do not pay for their healthcare directly; rather this payment is mediated through third-party payers in the form of for-profit or not-for-profit private health insurance companies or, in the case of Medicaid and Medicare, state and federal agencies ("Chapter 3," n.d., p. 64). Some patients obtain their care through Health Management Organization (HMOs) and Managed Care Organizations (MCOs) (both of which usually created by insurance companies), which use a system of rationed services and gatekeeping to manage costs within their network. The theory is that by integrating preventative…
Chapter 3: Paying for health services. (n.d.). ACHE. Retrieved from:
We are also building relationships with suppliers at this stage, and those relationships need to proceed as smoothly as possible.
We will create economies of scale here in Kava. Doing so means stimulating local economies, which is ultimately in our best interest. For instance, a local transportation company will not only truck in raw materials for our company but for other companies on the island and possibly off the island too. Local service industries will grow as we bring in more people from around the globe. Thus as we grow in Kava, so too will unassociated companies that might indirectly benefit from our growth. The more we help community small business development in Kava, the more likely we are to succeed here in the long run.
Working with the government of Kava, we can have access to the country's great wealth of human resources. Recruiting students from high…
community rating in insurance?
Under which pricing system do insurers have an incentive to engage in preferred risk selection?"
Health insurance providers use the rating system to calculate the charge for their insurance. ating systems such as community rating and experience rating use difference statistical method to estimate the amount a given individual or a group will pay for the healthcare insurance. Using the rating system, health insurance providers have been able to determine the amount an individual or a group will pay for their insurance.
Experience rating is defined as the practice of setting a rate for an individual or a group based on the benefits paid on behalf of that group, and experience rating adjusts future premium based on benefit utilization and experience. In insurance, experience rating is based on the traditional insurance concept, which base the premium of a group individual on the probability of the loss…
Enthoven, A.C. (1980). Health Plan: The Practical Solution to the Soaring Cost of Medical Care. Beard Books. USA.
Feldstein, .P.J. (2011). Health Care Economics. Cengage Learning, USA.
Follmann, J.F. (1962). Experience Rating vs. Community Rating. The Journal of Insurance. 29,(3): 403-415.
Mahdavi, G. (2008). Adverse Selection vs. Advantageous Selection in Life Insurance Market. Graduate School of Economics, Kyoto University, Yoshida-Honmachi, Sakyo-ku, Kyoto.
Humana was founded in 1961, and was originally a nursing home company (Investor, 2013). David A. Jones, Sr. And Wendell Cherry were the founders (Investor, 2013). In the beginning, the company was called Extendicare (Investor, 2013). In the early 1970s the company moved into purchasing hospitals, and had become the largest hospital company in the world by the 1980s (Investor, 2013). In 1974 the Humana name was taken by the company, and in 1978 the size of the company was doubled because it took over American Medicorp (Investor, 2013). A fast-track plan was used throughout the 1970s, and during that time the company was opening one hospital every month (Investor, 2013). That is much faster than the norm for the industry, and Humana did something else very significant during that time. It developed a design for hospitals that used a double corridor instead of just a single one (Investor, 2013).…
Home Page. (2013). Humana. Retrieved from https://www.humana.com/ .
Humana Annual Report. (2011). Humana.
Investor Relations. (2013). Humana. Retrieved from http://phx.corporate-ir.net/phoenix.zhtml?c=92913&p=irol-irhome
Medicare Coverage. (2013). Humana. Retrieved from http://www.humana-medicare.com/
Health Insurance Consumer Knowledge
Do most people know everything about their health insurance plans?
The two plans investigated for this assignment are Blue Cross Blue Shield and Humana, two of the most widely used and recognized health insurance companies in the United States.
Do you think that in general most people know everything about their health insurance plans?
The healthcare reform act of 2009 sought to make the healthcare system in the United States more navigable for Americans and to prevent health insurance companies from taking advantage of their customers. It seems, however, that the dense amount of legal and financial information embedding in the policies published by most companies is beyond the comprehension of most Americans (Gabel et al. 1987). Most people probably are aware of their emergency and primary care coverage but might not know about other less publicized and critical elements of insurance coverage plans which may…
Anthem. (2011)Anthem Connecticut Health Plans. Retrieved from: http://www.anthem.com/health-insurance/plans-and-benefits/health-insurance-plan/CT
J Gabel, C Jajich-Toth, K Williams, S Loughran and K. Haugh. (1987). "The commercial health insurance industry in transition" Health Affairs, 6, no.3:46-60
Humana. (2011). Individual Insurance Plans from Humana. Retrieved from: http://www.humana.com/ individual_insurance/insurance_products/humanaone_medical_plans.aspx
United States Government. (2011). Healthcare.gov. Retrieved from: www.Healthcare.gov
Property and life insurance are complex issues with details that are relevant to any policy holder and invaluable for all policy holders to look into. There comes a point in time when it is important for a person to buy life, or property insurance. This is particularly so for a single parent who wants to care for her children in the eventuality of her death or for a business owner who wants to insure his property in the event of accident. The terminology and details of both property and life insurance are, however, complex and mathematically abstruse. The following essay takes up some concerns of both and vivifies, as well as teaches certain aspects of life insurance, via examples.
The first section concerns property insurance. The second exercise talks about life insurance.
Co-insurance clause refers to a splitting or spreading of risk among multiple parties in…
Investopedia Life Insurance Clauses Determine Your Coverage http://www.investopedia.com/articles/pf/06/lifeinsuranceclauses.asp#axzz2NucL9nQm
Investopedia.com Needs approach http://www.investopedia.com/terms/n/needsapproach.asp#ixzz2Nud2Pexf
Discount Scheme for Health Insurance
No Claim Discount (NCD) Schemes are Frequency-rating systems and are commonly used in insurance. NCD schemes represent an attempt to categorize policyholders into relatively homogeneous risk groups who pay premiums relative to their claims experience. Those who have made few claims in recent years are rewarded with discounts on their initial premium, and hence are enticed to stay with the company (Boland, 2006). Depending on the rules in the scheme, new policyholders may be required to pay the full premium initially and then will obtain discounts in the future as a result of claim free years. The general insurance actuary modeling an NCD scheme would frequently use Markov chain methods to investigate how premiums and movements take place over time.
No Claims Discount scheme is a form of frequency rating used in health insurance; the practice is to consider the number of years since the…
Boland, P.J. (2006). Statistical Methods in General Insurance. Dublin: National University of Ireland.
Denuit, M., Marechal, X., Pitrebois, S., & Walhin, J.-F. (2007). Actuarial Modeling of Claim Counts: Risk Classification, Credibility and Bonus-Malus Systems. New York: John Wiley & Sons Limited.
MONETOS. (2012). No Claims Discount / NCD. Retrieved September 10, 2012, from www.monetos.co.uk: http://www.monetos.co.uk/insurance/car-insurance/cost/cutting/ncd/
Pinquet, J. (2012). Experience Rating in Non-Life Insurance. Paris: Universite Paris.
Under Anglo-American common law, Ungern-Sternberg (2004) reports that, "When a property has changed owner, it is quite possible that no insurer is liable for subsidence damage, even though it has been permanently insured. Many homeowners suffer from the illusion that their building insurance will automatically pick up the whole bill but some have found this an expensive pipe dream" (p. 49). In reality, when consumers purchase a new home, it is carefully inspected and all known faults are identified, but unknown faults are also inherited in the transaction (Ungern-Sternberg, 2004).
Consequently, the experiences of many homeowners to date have been encounters with previous policyholder's insurance company disavowing responsibility for such damage as well as the new insurance company that will argue the damages are the result of pre-existing conditions. This nebulous area of building insurance remains controversial, and Ungern-Sternberg (2004) emphasizes that the practice continues to adversely affect building purchasers.…
Are you fully insured? (2011, March). Society of Chartered Surveyors. Retrieved from http://www.scsi.ie/publications/Downloadreport/hri2011 .
Black's law dictionary. (1991). St. Paul, MN: West Publishing Co.
Bonato, D. & Zweifel, P. (2002). Information about multiple risks: the case of building and content insurance. Journal of Risk and Insurance, 69(4), 469-471.
Hoffman, a.V. (2003). House by house, block by block: The rebirth of America's urban neighborhoods. New York: Oxford University Press.
The concept of Marine insurance is something that has been developing at a fast rate of late. (Marine Insurance: Barlow, Lyde and Gilbert) What exactly is insurance and how long has the concept been recognized? Insurance can be defined as a form of provision of a safety net for the distribution of risks. This is generally made in the form of a financial provision that is meant to protect against losses that may occur due to certain unavoidable reasons. Insurance works like this: a person who wishes to insure an object or possession or belonging of his will pay a certain amount of money that has already been fixed by the insurance agent in order to offer the security of the money to distribute the risks when the insurer happens, by misfortune, to lose his possession or damage it because of an unavoidable reason. The insurer, by the…
Admiralty Law.com" Retrieved at http://www.admiraltylaw.com/papers/2000.htm. Accessed on 19 September, 2004
Averagium" Retrieved at http://harvey-ashby.co.uk/Averagium%20-%20Winter%202002.pdf. Accessed on 19 September, 2004
Commercial Hull" (2004) Retrieved at http://www.veromarine.co.nz/dirvz/marine/marine.nsf/content/ProductsHullCommercialHullAccessed on 19 September, 2004
English Marine Insurance Act 1906" Retrieved at http://www.solarnavigator.net/english_marine_insurance_act_1906.htm . Accessed on 19 September, 2004
Another alternative for companies with uninsurable risks is mutualization. However, this category of insurance carries further risks that may not be suitable for all companies. The main problem is that mutual insurers require participants to be from a homogenous population, making this alternative unviable for a variety of clients. Some companies are however working on overcoming such problems to make mutualization less problematic for their investors.
Some insurance companies now recognize the main concern of organizations for cash flow in the event of a major loss. These insurers then offer such organizations solutions that guarantee cash flow in the form of a possible loan alternative, which is then to be repaid at a later time, when the company has mitigated its loss. Cash flow insurance can then be based upon income factors such as future royalties or rental income, that are generally not shown on current income statements.
To rebuild their image, the company would try a number of different strategies, none of which would prove to be successful. This would hurt the market share of Gap to the point that many analysts now believe that it may be advantageous to spin off the company's: Old Navy, anana Republic and Gap stores. What this shows, is how a company can begin to lose its way when it is not focused on adjusting to changes in consumer tastes and trends. In the case of Ann Taylor, they need to be aware of this hazard, as it can have an adverse impact on the long-term viability of their business. (Reingold)
A second challenge that Ann Taylor can be wrestling with is a lack of focus on the part of management. In this case, managers must understand the role that their decisions will have on their organization. Where, executives must clearly…
10Q. Ann Taylor, 2010. Print.
Ann Taylor Stores. Yahoo Finance, 2010. Web. 31 Oct. 2010
Ann Taylor Stores. Yahoo Finance, 2010. Web. 31 Oct. 2010
Ann Taylor Stores. Yahoo Finance, 2010. Web. 31 Oct. 2010
isk and Insurance Management
isk is believed to be a newly coined word of assurance (for example, Ewald, 1991: 198). One of the broadly shared suppositions regarding insurance is that it spins around an instrumental concept of risk. Possibility and the amount of influence make up a technical concept of hazard/risk and hazard administration is chiefly worried about reviewing these possibilities and influences (for an overview see Gratt, 1987). For instance, external profits of financial or political occurrences lay down thresholds for the availability of associated risk guesstimates or reckonings (Huber, 2002).
So, the range of the risk groups cannot be clarified by risk judgment single-handedly; peripheral circumstances that could be political, financial or inclusive of image, arts and manners, are also required to be taken into account. Therefore, if risks are not be present, per se, but are deliberately selected, we can go a step ahead and presume them…
Douglas, M. And Wildavsky, A. (1982) Risk and Culture. An Essay on the Selection of Technical and Environmental Dangers. Berkeley: University of California Press.
Evers, A. And Nowotny, H. (1987) Uber den Umgang mit Unsicherheit. Die Entdeckung der Gestaltbarkeit von Gesellschaft. Frankfurt / Main: Suhrkamp.
Ewald, F. (1991) 'Insurance and Risk' in Burchell, G., Gordon, C. And Miller, P. (eds.) The Foucault Effect: studies in governmentality . London: Harvester Wheatsheaf.
Gratt, L.B. (1987) 'Risk Analysis or Risk Assessment: a proposal for consistent definitions' in Covello, V. And Lave, L. (eds.) Uncertainty in Risk Assessment, Risk Management and Decision Making, Advances in Risk Analysis (4). New York: Plenum Press.
Title insurance covers both the buyer and the mortgage company from a number of defects in title. The many benefits of title insurance includes better protection than a lawyer's opinion, at a similar price, piece of mind, and protection from unforseen claims on title. However, title insurance can have some disadvantages, including a slightly higher cost than a lawyer's opinion. Title insurance enables constructive notice, and is useful to reduce workload and liability in a legal environment.
Title Insurance is simply an insurance product like many others. In the simplest possible terms, the insured pays money (a premium) to an insurance company in exchange for an insurance policy that quarantines that the insured has a valid, marketable title to the insured property.
Title insurance does not absolve the insured (or at least the insured's layers) from needing to conduct a number of title searches, as specified by the insurer. However,…
California Land Title Association.
Bulletin 03/04-26, September 2, 2003. CLTA News
Express. 21 http://www.clta.org/News/NewsExpress/bull0304-26_LatestLegalDevelopments.htm
Eyton-Jones, Charles. How we work - Questions and Answers. 21 November 2003. http://www.my14law.com/howwework.html
How do these companies provide care?
Aetna provides care by being a health insurance company that offers a range of services in the field of medical, pharmaceutical, dental, behavioral group, long-term care, and plans for those who are disabled. Humana is also a health insurance company that offers its services in numerous states. United Health Group operates two businesses, known as United Healthcare and Optum, and similar to the two aforementioned companies, it offers health insurance to individuals, which includes seniors.
What types of plans do they have?
Aetna offers various types of plans under its various insurance, which as mentioned before, include medical, dental, vision, medicare, disability, pharmacy, life, student, behavioral health, health expense funds, and wellness products and discounts. Under medical insurance, a person can get a quote via state, which may include individual HMO health benefits plan or QPOS individual advantage health benefits and health…
Aetna - Health Insurance, Dental, Pharmacy, Group Life and Disability Insurance. (n.d.). Aetna - Health Insurance, Dental, Pharmacy, Group Life and Disability Insurance. Retrieved December 19, 2011, from http://www.aetna.com
HUMANA - Guidance when you need it most. (n.d.). HUMANA - Guidance when you need it most. Retrieved December 19, 2011, from http://www.humana.com/
UnitedHealth Group - Featured News - Products & Services. (n.d.). UnitedHealth Group - Featured News - Products & Services. Retrieved December 19, 2011, from http://www.unitedhealthgroup.com
functions should be outsourced at your company (Insurance Company), how and why?
Which principles of elimination of waste and lean supply chain can you apply at your company (Insurance Company)? How and why?
Outsourcing and Lean Supply Chain Management for Insurance
The insurance industry provides an interesting test case for whether outsourcing and traditional supply-chain strategy can work for a product that is not a manufactured good at any stage. Even compared to the software or financial industries, insurance products are "virtual" and participate in few of the traditional supply-chain dynamics. However, certain patterns that obtain in manufacturing also apply to insurance, such as the "bullwhip effect" and the usefulness of outsourcing segments of the decision tree (Chase, Jacobs, & Aquilano, 2005). In particular, claims processing outsourcing has been a tremendous cost saver for medical and personal insurance. I will discuss this development, and strategic capacity management as it impacts…
Chase, R., Jacobs, F.R., & Aquilano, N. (2005). Operations Management for Competitive Advantage. Boston: McGraw-Hill.
Mayer, M., John, D., & Carafano, J. (2009). Principles for Reform of Catastrophic Natural Disaster Insurance. Heritage Foundation White Papers, Backgrounder #2256.
ValueNotes Database (2006). Insurance Outsourcing: India Gains Momentum as Offshoring Intensifies. SourcingMag.com, accessed March 5, 2011. http://www.sourcingmag.com/content/c061127a.asp
In an ideal world, every single person would be able to afford the medical care and attention they need throughout their lifespan. The Affordable Care Act, colloquially called Obamacare, set as its goal eventual universal healthcare coverage. Unfortunately, Obamacare has not promoted the ultimate goal of providing affordable healthcare for all Americans. Mandating healthcare insurance does help reduce disparities in access to affordable and necessary interventions, tests, and treatments. As idealistic as Obamacare is, the policy has not reduced the costs of healthcare but it does represent a step in the right direction towards distinguishing between the profit motive in healthcare insurance and the ethical obligation to create a more caring and egalitarian society.
The Affordable Care Act used mandated insurance coverage as its main policy initiative for several reasons, both fiscal and humanitarian. As Gruber (2012) points out, about 12 million employed Americans were not receiving coverage from their…
" Of these respondents, over 50% of them stated that they lack a disaster recovery plan (Anthes, 1998). However, most of the problems stem from the lack of communication at the corporate level. (Hawkins, et al., 2000).
Business Continuity Plans (BCP) and other forms of strategic planning are no longer a luxury, but a must-have factor and an important element of any organisation's risk management system. Organisations are increasingly dependent upon it systems and infrastructure and eventually subjected to many risks, so business is inherently risky. How long can your organisation afford system downtime? How long does it take to recover a disaster; and, what does it cost? These kinds of questions are the ones that have to be addressed for BCPs. Also important, however, is using strategic planning to look toward the future and determine where a business wants to be at a specific point, so that plans to…
Bolman, LG & Deal, TE (1997). Reframing Organisations: Artistry, Choice and Leadership, 2nd ed, Jossey-Bass, San Francisco.
Bowden, P (1985). Organisation and Strategy, McGraw-Hill, Roseville.
Byrne, JA. (1996, August 26). Strategic Planning. BusinessWeek. http://www.businessweek.com/1996/35/b34901.htm .
While the first chapter was brief, it is important to explain what will be studied and then move forward into the literature review.
In Chapter 2, the literature review provides a review of academic literature by way of journals and textbooks. This information is placed into separate sections which allow for ease of understanding. An introduction is made to capital structure, and information is given on the Indian capital structure specifically.
Chapter 3, the data methodology, provides the methodology that was used for the data. The reasons behind the methodology and what was studied are both discussed.
Chapter 4, data analysis and findings, is the chapter in which the results of the data analysis are presented.
Chapter 5, the conclusion, provides not only a conclusion to the research that was conducted in this paper but questions that are left and areas for further research in the future.
Baral, K.J. (2004). 'Determinants of Capital Structure: A Case Study of Listed Companies of Nepal'. The Journal of Nepalese Business Studies, Vol. 1(1).
Baral, K.J. (2004). 'Determinants of capital structure: A case study of listed'. The Journal of Nepalese Business Studies, Vol. 1(1).
Bauer, P. (2004). 'Determinants of Capital Structure Empirical Evidence from the Czech Republic'. Czech Journal of Economics and Finance .
Bellalah, M. & Wu, Z (2009). "An intertemporal capital asset pricing model under incomplete information." International Journal of Business. 1st January 2009. Downloaded from http://www.highbeam.com/doc/1G1-192485625.html as at 17th September 2009.
Yet, today, they sell only about 47% and this market share loss has accelerated over the past decade (Sullivan, 2008). The major issue, according to Sullivan, is the inability of the ig Three to effectively compete with their more efficient and market savvy Japanese rivals, even on their home turf. Opponents of the auto industry bailout feel that placing more money into a failed business strategy makes no sense and that everyone is better off if the free market, not the federal government, choose the winners and the losers in the economy (Moran, 2008). The end result of the auto bailout could well result in a return to protectionism which could unfairly impact other American industries' ability to compete in a global market. A policy analyst at the German-Marshall Fund voices a common concern that a bailout of the auto industry has the potential "to be the torch that lights…
Abouhalkah, Yael T. "The Big Three Bailout vs. Big Bank Handouts for AIG, CitiGroup." Kansas City Star 4 Dec. 2008. http://voices.kansascity.com/node/2983
"1979 Chrysler Bailout Holds Lessons" The Washington Times 24 Nov. 2008. http://www.washingtontimes.com/news/2008/nov/24/1979-chrysler-bailout-holds-lessons/
Grossman, Andrew M. And Gattuso, James L. "TARP: Now a Slush Fund for Detroit?" 12 Dec. 2008. http://www.heritage.org/Research/Economy/wm2170.cfm#_ftn2
Kiley, David. "Auto Bailout Hung Up in the Senate." BusinessWeek 10 Dec. 2008. http://www.businessweek.com/bwdaily/dnflash/content/dec2008/db20081210_152585.htm
Despite the company's name Horace Hagedorn and his family controlled the business. By 1995, Miracle-Gro became America's leading brand name in gardening.
The Hagedorn family emerged as Scotts' leading shareholders, holding over one-third of the stock. In 1996, CEO Theodore Host was ousted by Horace Hagedorn and the Scotts' board of directors. Host was replaced by Charles M. Berger, a former Miracle-Gro director, who was also made president and chairman of the board of Scotts. Horace Hagedorn's son, James, was promoted to the head of all U.S. business.
In recent years Scotts has been aggressively expanding its LawnService business and has began to explore the possibility of expanding its brands into other segments such as potted plants, pottery, watering equipment and garden tools. The threat of EPA suits brought against the company by large governmental entities is very real and diversification is important to steady the high risk…
Corporate Watch, Scotts: A Corporate Profile. 2006. Website http://www.corporatewatch.org.uk/?lid=367.
Cuomo, Andrew. The Secret Hazards of Pesticides. Office of the New York State Attorney General, Environmental Protection Bureau, (Audit Report E1EPF1-05-0117-1100378, Sept. 27, 1991) 1996.
Pederson, J.P. The Scotts Company, International Directory of Company Histories, 22:474-476. 1998.
AFLAC 100 companies work . We investigate firm's human resource polices discuss special organization. What H polices make excellent place work ? Identify discuss .
Human esources Policies
Human resources represent the most important resource that companies can use. The value they contribute with to the products and services of the company allows them to create competitive advantage and determines their success. In other words, companies' activity depends on the human resources they recruit, select, train, motivate, and manage. In order for the personnel to perform on high quality standards, it is important to develop and implement proper human resources strategies. These strategies must be based on identifying the type of personnel of each company, their needs, their stimuli, and to develop techniques that are able to motivate them into improving their work.
The policies in different companies regarding their human resources vary in accordance with the size of the…
1. Shen, L. (2009). Aflac Profit Rises 20% on Japanese Currency Strength. Bloomberg. Retrieved March 2, 2011 from http://www.bloomberg.com/apps/news?pid=conewsstory&refer=conews&tkr=AFL:U.S.&sid=aAKpYxJb6IRU .
2. Jackson, S. et al. (2009). Managing Human Resources. Cengage Learning. Retrieved March 3, 2011 from http://books.google.ro/books?id=gpimdMwZuwsC&pg=PA65&lpg=PA65&dq=implications+for+hr+policies&source=bl&ots=c7k_i7AnIf&sig=bWBkub9KU05FchNeXc4lerdxB9c&hl=ro#v=onepage&q=implications%20for%20hr%20policies&f=false .
3. Our Approach to Social Responsibility (2011). Nordstrom. Retrieved March 3, 2011 from http://shop.nordstrom.com/c/nordstrom-cares-approach .
4. Strategic Partnering Puts Aflac HR at the Business Table (2005). HR. Retrieved March 3, 2011 from http://www.hr.com/en/communities/organizational_development/strategic-partnering-puts-aflac-hr-at-the-business_ead38odr.html .
They include the Investment Corporation, company employees, and institutional investors.
Apart from a handful of firms, the articles provide inadequate or incomplete information in their prospectuses. I can acquire essential data for purposes of my estimation in my research. The magnitude of under-pricing is estimated at different levels in the secondary markets. For all the articles, the degree of under-pricing appears to be high than the degree of average pricing at different intervals. When an IPO is selling as per the premium public information, it implies that there will be a high demand for its shares and initial allotment in the secondary market. Clearly, these articles will be of utter importance in the course of my research study (Quayes & Hasan, 2008).
These articles provide an empirical base for my research in the markets for new IPOs in Tokyo, Shanghai, New York, and London. The articles have used different samples…
Dharmapala, D. & Desai, M. (2010). Do strong fences make strong neighbors? 63(4 part 1), 723-740
Quayes, S. & Hasan, T. (2008). Does dual listing affect underpricing of initial public offering? Evidence from Bangladesh capital market. 4 (5-8).
Ramchand, L., Chaplinsky, S. & Bruner, R. (2009). U.S.-Bound IPOs: issue costs and selective entry. University Park, Pa: Pennsylvania State University Press.
Employee Health and Life Insurance Benefits
What is the footing of private businesses owned by families when confronted with the issue of providing employee health benefits while we surmount the millennium threshold? What is methodology employed for optimizing the benefits while at the same time putting a check spending on employees? In what way do they draw and prevent attrition of valuable professional in a competitive workforce market? In which way do they take the better of amendments of legal rules in competent strategies since the past several years? The appropriateness of these aspects and other issues will continue to challenge family managed business owners. Since the last several years remarkable governmental amendments have equipped the owners of family run businesses opportunities for planning that would by no means have been considered probable. There are no more restrictions on the quantity a company can make a payment for a staff…
Gabel, J; Long, S; Marquis, S. (December, 2002) "Employer-Sponsored Insurance: How Much Financial Protection Does It Provide" Medical Care Research and Review. Volume: 59; No: 4; pp: 440-454
Iglehart, K. (19 September, 2002) "Changing Health Insurance Trends" The New England Journal of Medicine. Volume: 347; No: 12; pp: 956-962
Lee, Mie-Yun. (1 July, 2002) "Increase Benefits without Decreasing Your Funds
Offer your employees group life insurance -- an added benefit for them at a low cost to you" Retrieved from http://www.entrepreneur.com/article/0,4621,301309,00.html Accessed on 20 October, 2004
Berkshire Hathaway is one of the most interesting cases of successful investments. Under the inspirational leadership of Warren Buffett, the company's evolution is a great object of study for both scholars and investors. This paper aims at pointing out the key points in Berkshire's history, Buffett's influence, how the company's structure was built, what is its current financial status and whether an investor should consider buying its stock.
In a 1999 article from Business Week, Warren Buffett, the force behind the Berkshire Hathaway Business, was described as follows: "If Buffett had a business card, it would identify him as chairman and chief executive of Berkshire Hathaway Inc. But he is far better known -- indeed, world-famous -- as the greatest stock market investor of modern times. The figures, though often cited, still astound: Had you put $10,000 into Berkshire when Buffett bought control of it in 1965, you'd have $51…
1.Mergent online financial information service www.mergent.com
2. Gale online financial information service www.hoovers.com
3. Bianco, Anthony, "Warren the Buffett You Don'tknow; Ace stockpicker, of course -- and now, an empire-builder" Business Week. New York: July 5, 1999., Iss. 3636; pg. 54
4. Berkshire Hathaway's history -- part 1 and 2
conventional wisdom has always stated that hedging strategies and life insurance are ill-matched partners. The belief has always been that the philosophical motivation behind employing one is diametrically opposed to that of the other. Insurance companies have traditionally shunned the use of derivatives as a hedging strategy because the insurance industry is all about risk management and hedging instruments required too much specialized knowledge and too many risks to be utilized as suitable strategies, especially when there were conventional investments that could guarantee a significant long-term return one's capital investment. During prosperous -- or at least non-volatile times -- very few investors or managers questioned this way of thinking. However, ultimately, whether one is talking about life insurance, pensions or playing the market, it's all about winning, and over the last few years as the market made a mockery of mutual funds and other traditional investment tools, the only ones…
Guardian Life Insurance Co. ranks #239 on the Fortune 500 list with revenues of $12.4 billion in 2017 and profits of $455 million. It currently owns $75 billion in assets and is one of the premier insurance and investment companies in the U.S (Fortune, 2018). The goal of Guardian in the near future is to sustain its position and “to endeavor to be valued as an industry leader in client satisfaction, sales growth, product performance, financial strength and profitability” (Guardian Life Insurance, 2018).
This paper provides an overview of Guardian Life Insurance. It examines the products and services that the company offers, the types of investment services and products offered, the practices that drive the company and the manner in which the company motivates employees. By discussing the company in this manner, the overall view of what Guardian Life Insurance has to offer can be seen.
Medicare and Medicaid Services (CMS), previously the Health Care Financing Administration (HCFA), that by the time 2011, health care expenditure will arrive at $2.8 trillion, as well as it will bill for 17% of the Gross Domestic Product. As a result, it is no revelation that white-collar offenders observe health care deception as a rewarding effort. Certainly, the General Accounting Office ("GAO") quotes that such deception accounts for up to 10% of entire health care expense (3).
As health care deception outlays taxpayers almost $100 billion a year, federal, as well as state agencies have given health care fraud tribunal a key center of attention. All through her term, Attorney General Janet Reno made impeaching health care fraud a top precedence at the Department of Justice ("DOJ"), subsequent only to brutal offenses (3).
The government focuses its pains to perceive, as well as take legal action against health care fraud…
(1) Adelaide Few & Jay Trezevant, Fighting the Battle Against Health Care Fraud & Federal Enforcement Actions, 72 FLA. B.J. 34, 34-6 (1998)
(2) Alice A. Love, Leniency Offered Health Care Providers that Admit Federal Fraud, S.D. Union Trib., Oct. 22, 1998
(3) Andy Bunds, The results of the Health Insurance Regulations on Health Care Fraud and Abuse, 72 Mont L. Rev. 63, 72 (2001)
(4) Brian A. Kaset, Sailing Without Safe Harbors: Physician Recruitment and the Law of Fraud and Abuse, 9 Healths Span. 9, 9 (1992)
Affordable Health Insurance
The Need for State Participation in Health Care Insurance Exchanges to Provide for Affordable Health Care for Millions of Americans in Need
In the United States, we have basic rights to life and liberty. Yet, many major health care companies are infringing on those rights because they are exploiting health care insurance rates, which has left millions of Americans either underinsured or not insured all together. This puts their lives directly at risk with limited access to essential care. In order to best provide for their uninsured or underinsured citizens, states need to work with the regulations of the Affordable Care Act and open up exchanges to provide for affordable health insurance to the millions of Americans who are currently in need under the ineffective system that is operating today.
In the current situation, there is a lack of affordable health insurance options.
Moreover, health insurance companies…
Health Care for America Now. (2009). Health Insurance Company Abuses: How the Relentless Drive for Profit Endangers Americans. Web. Retrieved November 26, 2012 from http://hcfan.3cdn.net/48b73f19dac6bc9fa7_vzm6iijoh.pdf
Paddock, Catherine. (2007). 47 million Americans without health insurance, census report. Medical News Today. Web. Retrieved November 26, 2012 from http://www.medicalnewstoday.com/articles/80897.php
State of California. (2012). Stakeholders. California Benefit Exchange. Web. Retrieved November 26, 2012 from http://www.healthexchange.ca.gov/StakeHolders/Pages/Default.aspx
The White House. (2012). Affordable Care Act: The New Health Care Law at Two Years. Care Act. Web. Retrieved November 26, 2012 from http://www.whitehouse.gov/sites/default/files/uploads/careact.pdf
Commercial Insurance, Medicaid, and MEDICARE
Commercial health insurance provides coverage to individual's medical expenses and groups. An example of individual medical expenses is private health insurance whereas an example of group health insurance is employer group health insurance. However, these insurance programs have varying premiums and benefits depending on the specific kind of plan. Moreover, individual private health insurance plans are usually more costly than group health insurance. There are several commercial insurance companies and plans that offer health insurance to individuals and groups such as Aetna and TRICARE respectively. Aetna is a group of TriWest Healthcare Alliance and Blue plans that differs from TRICARE insurance plans.
One of the similarities between Aetna and TRICARE is their purpose of providing health insurance to individuals and groups. Similar to TRICARE, one of the products and services provided by Aetna is health insurance coverage at low, reasonable prices. However, the commercial insurance…
Evaluate their product mix, features, prices, distribution and financial performance information
• Identify 2 strengths and two weaknesses for each brand
• Recommend at least two ways that Liberty Mutual can improve sales and profitability for its car insurance business.
Please could you add another weakness for Geico
Expand more in Liberty Mutual
Add and compare prices for both.
And include features
Auto insurance isn't the easiest thing to understand and when choosing which insurance to go to, it is hard to find which company is best suited for you. Geico and Liberty Mutual are two of the biggest names in insurance. Both companies are widely trusted. In order for one to pick an insurance to go with you must evaluate their features, product mix, discounts, services and customer rating that benefits and matters most to you.
GEICO was founded in 1936 and is the second-largest private…
Polish Companies Reacted to Ethical Issues and Changes in usiness Standards Since the Fall of Communism in 1989?
Poland's Economy Pre-Communism's Fall
Poland's Natural Resources
Minerals and Fuels
The Polish Economy Under Communism
The Centrally-Planned Economy
Establishing the Planning Formula
Retrenchment and Adjustment in the 1960s
Reliance on Technology in the 1970s
Reform Failure in the 1980s
Poland's Economy After the Fall of Communism
Poland After the Fall of Communism
Fall of Communism
Marketization and Stabilization
Required Short-Term Changes
Section 2.3.2. The Shock Strategy
Section 2.3.3. Initial Results
Section 2.3.4. Long-Term Requirements
Section 2.4. Macroeconomic Indicators for 1990-91
Section 2.4.1. Price Increases
Section 2.4.2. Impact on Productivity and Wages
Section 2.4.3. Statistical Distortions
Section 2.4.4. Agricultural Imbalances
Section 2.4.5. Causes of Decline
Section 2.5.The Polish Post-Communism Privatization Process
Section 2.6. Structure of Poland's Economy: Post-Communism
Section 2.6.1. Fuels and Energy
Bowie E. (1999) Business Ethics a Kantian Perspective Oxford: Blackwell
Ciszewska B. (1998) Unethical behaviour Warszawa: Rzeczpospolita
Cryssides G.D.; Kaler J.H. (1999) Introduction to the ethics of business. Warszawa: PWN
Davies W.F. (1997) Current issues in business ethics London: Routledge
HCC Life Insurance vs. Coventry
Purpose of the INSUANCE COMPANY: The purpose of HCC Life Insurance Company is to provide Short-Term Health Insurance for a period of six months. Applicants must reapply for a policy every six months. The purpose of Coventry Health Care of South Florida is to provide Health Insurance that fulfills the Patient and Affordable Care Act (Coventry, 2015). It provides insurance for a period of 12 months, after which the insured must reapply for a new policy.
Benefits offered: Urgent Care, Hospital oom and Board, Local Ambulance, Intensive Care, Physical Therapy, Mental and Nervous Disorders, Home Health Care, Extended Care. Primary Care, Specialist Care, Other Practitioner Care, Preventive Care, Screening, Immunizations, Diagnostic Tests, Imaging, Drugs, Facility Fees (Outpatients and Hospitals), Surgeon/Physician Fees, Emergency oom Services, Emergency Medical Transportation, Urgent Care, Mental Behavior Health, Substance Use Disorders, Prenatal and Postnatal Pregnancy Care, Home Health Care, ehabilitative Services,…
Coventry Health Care. (2015). Federal health care reform. http://www.coventryhealthcare.com Retrieved from http://www.coventryhealthcare.com/federal-health-care-reform/index.htm
HCC Medical Insurance Services. (2015). Short-term medical insurance. http://www.hccmis.com Retrieved from
Meanwhile, without any competition, such as n the form of a public healthcare insurance system, the private healthcare insurance industry also continually increases premium fees virtually at will (Kennedy, 2006; eid, 2009). Furthermore, by refusing policies to high-risk patients, private health insurers essentially "cherry pick" the lowest risk patients while leaving the most expensive medical services to be furnished at the public's expense by public funds available to provide healthcare for low-income individuals (Kennedy, 2006; eid, 2009). That is why, at the very least. The future of American healthcare insurance must include a public option (Kennedy, 2006).
The Issue of Government Healthcare Insurance Lobbying
The principal way that the private healthcare insurance industry maintains its control over American healthcare is through political lobbying of government representatives (Kennedy, 2006). In fact, there are approximately six healthcare industry lobbyists in Washington for every publicly elected representative. Throughout the 2009 negotiations in Washington…
Kennedy, E. (2006). America: Back on Track. Viking: New York.
Reid, T. (2009). The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care. New York: Penguin Group.
Turning the Tide on Insurance Rates: Issues to Consider
Whereas it may seem that utilizing credit reports is a fair and effective method of determining rate structures for potential consumers, it may have some drawbacks that prove to be very costly. According to the Conning & Company study, auto insurers now employ credit scores as an accurate predictor of a person's risk profile and subsequent driving acumen. Although a person's budgetary history may shed some light on his/her spending habits, there is no direct correlation to that person's driving record and his/her chance of making a claim. In lieu of a distinct and direct causative link between credit history and auto insurance risk, auto insurers must take the following factors into consideration: age at the onset of credit history and a built-in institutional bias based on race and culture.
In contemporary America, more than half of all college-aged students possess…
You paid for a single page speech. This company writes 275 words per page. You received a document of 313 words--more than you were allotted--with examples in the first two paragraphs.
If you want more examples, more points, and some format which you did not specify in the additional instructions, I suggest you contact the administration about additional pages for this assignment, or purchase a new order.
New instructions, such as this format you\\\\\\\'re now talking about and which wasn\\\\\\\'t in the original instructions, require a new order or additional pages.
Patient and Affordable Care
Opener: I know people whose health care insurance rates tripled in 2014, when all the components of the Patient and Affordable Care Act were enacted into law. It is worth noting that one person in particular (my neighbor) was in perfect health, had no pre-existing conditions, and had not even utilized his health care plan…
There are several criteria by which the company can establish acceptability for the eCube system of EM that is available from Fresenius. The first stakeholder group consists of the patients, who will benefit from the enhanced functionality that comes from the eCube system, in particular the superior health outcomes that come from having accurate medical histories available to physicians and other practitioners while they are working with the patient. Management must strike a balance between business objectives and patient outcomes, and therefore there are multiple different acceptability measures that are possible, both based on profit and patient outcomes. Management will also want to know that the system is relatively easy to install, that there is training available from the vendor for the staff, and that the vendor will deliver full support of the system if there are any problems.
Another stakeholder group consists of the owners/shareholders of the health…
Jena, A., Seabury, S., Lakdawalla, D. & Chandra, A. (2011). Malpractice risk according to physician specialty. New England Journal of Medicine. Vol. 365 (7) 629-636.
Kalathil, R. (2011). Data management: New products: eCube combines clinical and billing applications. Neprhology News & Issues. Retrieved November 6, 2013 from http://www.nephrologynews.com/articles/data-management-new-products-ecube-combines-clinical-and-billing-applications
Self, D. & Schraeder, M. (2009). Enhancing the success of organizational change: Matching readiness strategies with sources of resistance. Leadership and Organizational Development Journal. Vol. 30 (2) 167-182.
For instance, any retraining measures should focus primarily on the Medical Provider Network and the Independent Medical Evaluator as these issues will be where a majority of client questions will come in. When a potential client calls with a question regarding getting medical treatment for a work injury, a staff member must be capable of both providing accurate information and in convincing the caller that professional legal services are needed. To do this, all staff involved in the workers' compensation process must be trained on the new rules and policies and procedures of Senate ill 899.
Penalties for Noncompliance
In order to limit corruption and profiting from the system, Senate ill 899 has included strict compliance regulations and stiff penalties for noncompliance. Thus, staff training becomes even more important. Training a legal assistant or associate attorney in compliance and giving them the job of compliance assurance will be beneficial as…
California Division of Workers' Compensation. (2005): "Workers' Compensation Reforms Under Senate Bill 899: First Annual Report of Progress. www.dir.ca.gov/dwc/SB899/SB899Review2005.pdf.
Nuckols, Teryl K. And Barbara O. Wynn. (2005): Evaluating Medical Treatment Guideline Sets for Injured workers in California. RAND Corporation.
Pace, Nicholas, Galway, Lionel and Robert Reville. (2003): Improving Dispute Resolution for California's Injured Workers. RAND Corporation.
Peterson, Mark a., Berth, Peter S., Reville, Robert T. And Rachel K. Stern. (2005): Compensating Permanent WorkPlace Injuries: A Study of the California System. RAND Corporation.
Forming a ank Holding Company - Structure, Governance, and Regulations
Forming and Expanding a ank Holding Company
Financial Holding Company Requirements
Capital uilding Options for ank Holding Companies
Pros and Cons of Forming a ank Holding Company
Stocks and Governance
Corporate Governance and anking Law
The Role of ank and Holding Company Audit Committees
Data Gathering Method
Database of Study
Summary, Conclusions and Recommendations
Forming a ank Holding Company - Structure, Governance, and Regulations
This research paper describes the process of forming a bank holding company in the United States. The behavior of a bank holding company is strongly linked to the success of the banks it holds. Therefore, if business leaders can pinpoint how to set up a successful holding structure, they may have a better chance of successfully progressing their business.
Chapter 1 - Introduction
Statement of the Problem
Over the past few decades,…
Adams, Renee. Mehran, Hamid. (April 2003). Is Corporate Governance Different for Bank Holding Companies? Economic Policy Review, Volume 9, Number 1.
Bankers Online. (2003). Regulation Y. Retrieved from the Internet at http://www.bankersonline.com/regs/225/225-82.html .
Baxter, Thomas. (March, 2003). Governing the Financial or Bank Holding Company: How Legal Infrastructure Can Facilitate Consolidated Risk Management. Federal Reserve Bank of New York: March 2003, Volume 9, Number 3.
Clodfelter, Mark. (February 27, 2003). U.S. Department of State.
Cross Cultural elations
Cultural influences perceptions about gender roles in a number of ways. The first is through socialization. Being in a culture one sees how gender roles are typically manifested in that culture, and one thus will tend to adopt similar views. The structure of the culture is therefore highly influential simply because being in a culture leads one to adopt the gender roles in that culture (no author, 2015).
The second method is through enforcement. People in a culture will learn gender roles when those roles are enforced. People in positions of authority (parents, teachers, etc.) will specifically enforce gender roles on children in a society in the sense that when somebody steps out of the norms for that society, there will typically be negative consequences. Similarly, there are usually positive consequences for people who follow gender norms in a society most closely. Enforcement is not only through…
No author (2015). Gender and sociology. Boundless.com. Retrieved November 1, 2015 from https://www.boundless.com/psychology/textbooks/boundless-psychology-textbook/gender-and-sexuality-15/gender-414/gender-and-sociology-296-12831/
Assessing the ability of these individuals to perform basic tasks in their daily lives can also have much significance (Marshall, Warren, Hand, Xie, & Stumbo, 2002). Many older Americans are able to feed and clothe themselves without apparent problems, but others are not as fortunate (Marshall, Warren, Hand, Xie, & Stumbo, 2002). If they are unable to do these things correctly without help, their nutritional status will often suffer (Marshall, Warren, Hand, Xie, & Stumbo, 2002). Patients who are older should be assessed for their ability to do these simple tasks, and also for their ability to perform slightly more complex tasks such as fixing their own meals, cleaning their house, and balancing their checkbook (Marshall, Warren, Hand, Xie, & Stumbo, 2002). Sometimes cognitive impairment will lead to a lack of nutrition, and when this is the case, it often shows up in forgetfulness and an inability to perform even…
Bartholomew LK, Parcel GS, Kok G, & Gottlieb NH. 2001. Intervention Mapping: Designing Theory and Evidence-Based Health Promotion Programs. Mountain View, CA: Mayfield Publishing Company.
Collinsworth, R., & Boyle, K. 1989. Nutritional assessment in the elderly. Journal of Gerontological Nursing 15(12): 17-21.
Gambrell, K.A. 2003. White House rolls out Medicare reform plan. United Press International.
Industry Group 91, 2000. President Clinton releases new state-by-state report demonstrating urgent need for Medicare reform. Regulatory Intelligence Data.
Total revenue represents all the company income. Total revenue is calculated by multiplying the price of products with the quantity sold. Typically, total revenue is calculated as follows:
Total revenue = price x quantity
Where price (P) and quantity (Q).
As being revealed in Table 1, total revenue is calculated by multiplying price with quantity, when firm produces 2 quantities of goods, firm's total revenue is $10, however, when a firm produces 3 quantities of goods, its total revenue is $15.
Marginal revenue is an additional revenue that a firm generates when a firm sells additional unit of output. The marginal revenue plays an important role in the perfectly competitive firm where a perfectly competitive firm maximizes its profit when marginal revenue is equal to marginal cost. The formula used to calculate marginal revenue is:
Marginal revenue= Change in total revenue/Change quantity.
The average revenue is calculated…
Aderton, (1977).Economics. Pearson Education
Sloman, A and Sutcliffe, M (2004). Economics for Business. Prentice Hall.