Insurance Fraud

Insurance Fraud

After tax evasion, insurance fraud is considered the highest-ranked among white-collar crimes. The original concept of insurance, as a for-profit endeavor, was to collect funds from a large number of people to pay for damages and accidents that involved a small percentage of the population that paid premiums. Insurance fraud is an ever-growing problem. Solving or eliminating this problem requires the resources and knowledge of individuals or associations with expertise ranging from not only insurance, but also law enforcement, legal issues and the social sciences. The concept of insurance fraud, both, by an individual and a corporation, has become so pervasive in today's society that the general population has learned to tolerate and condone these crimes.

Various organizations, funded by state and federal governments, and supported by the insurance company, are trying to increase the awareness of this problem among the general population. Annually, an average American family…… [Read More]

Insurance Policies the Tragic Circumstances

However, as Schwarcz notes, the reasonable expectations doctrine fails in practical use for several reasons. hie th doctrine may have widespread support from insurance law commentators, "Only a handful of state courts follow the rule, and the case law endorsing it is confused and inconsistent. Moreover, contract law scholars have largely debunked the contracts-of-adhesion argument on which the reasonable expectations doctrine was originally justified. They have established that neither consumer assent nor government regulation is necessary to lead firms to design efficient standard forms when market forces work sufficiently well" (Schwarcz para. 5). Because the doctrine has a record of stunted evolution in the courts and because there has been an academic undermining of its core rationale, many view it to be both antiquated and largely irrelevant. Still, the reasonable expectations doctrine has served as the primary theoretical and doctrinal construct for the judicial regulation of insurance over the past…… [Read More]

Insurance Answers to Basic Questions

All workers in the United States are covered by the Workers' Compensation Law. When an employee dies or becomes injured while working, the worker's compensation law requires that worker's compensation insurance be paid to the person or his or her surviving spouse and/or dependents. The insurance only applies to injuries and disabilities related to one's job ("What is Worker's Compensation?" 2008) Liability insurance, on the other hand, simply protects a firm from being held responsible for the other party's losses -- whether financial, physical, or otherwise. Liability insurance, unlike worker's compensation insurance, is not required by law ("What is Liability Insurance" 2008).

Occurrence claims policies and claims-made policies are two kinds of liability insurances that can be purchased by an individual or small company. Occurrence claims policies require insurance companies to pay for claims that occur during the period of coverage, regardless of when the claim occurred, while claims-made policies…… [Read More]

Insurance PPO's Is it Possible

If a patient who approaches the doctor is subjected to a deductible for going outside the PPO network, then the cost incurred would be applied to the deductible. If this amount were to satisfy the deductible, then the rest would automatically be reimbursed, and this would be done at the out of network benefits plan. All insurance companies would require a valid prescription from the attending physician, along with explanations about the necessity of the plan, before they would reimburse the amount agreed upon. The patient receipt and the prescription must both be produced when the individual is billing for health care insurance under the PPO. If the insurer is a government employee, then his PPO insurance may not be able to cover this particular procedure. (Health Insurance Coverage, are the scans covered by my insurance?)

The typical costs for this type of relatively new form of insurance known as…… [Read More]

Insurance While There Are Abundant

Ace, too, bears some liability. Although they told Perfect Products plc, ostensibly in good faith, that their situation was hopeless and liquidation was the only answer, when Perfect Products decided to ignore their advice and attempt to avoid voluntary liquidation, Ace failed to use diligence in making the case for liquidation; later, when they are notified in writing that Perfect Products intends to cancel insurances, lay off workers and generally attempt to struggle along despite the opinions of two of its own directors that it cannot survive, the accountants fail to respond. In this respect, they are also failing to exercise diligence in carrying out their role as accountants to the company. Indeed, the accountants' liability would have been minimized at that point had they made a second written representation of their findings and recommendation, even recommending strongly against the hopeless efforts the Chairman was almost forcing the company to…… [Read More]

Insurance Minimizing Net Claims Payments

So, with these very expensive claims related costs, it is essential that carriers surrogate as many of these costs as possible and because of the inherent relation to the claims process, claims management offices and functions should be fully responsible for investigating and implementing the subrogation process. Claims managers have the authority to oversee settlements and to point claims adjusters in the right direction for initiating any necessary investigations in regard to subrogation.

Conclusion

In conclusion, this report aimed to discuss how to minimize net claims payments through the process of pursuing subrogated recoveries and how this should be a central claims management responsibility. The objective of the report was to provide insights into why it is critical for carriers to understand the inherent costs of business fire claims including the ever expensive business interruption principles of subrogation. It must be emphasized that the responsibility of claims management be responsible…… [Read More]

Insurance Summary as Insurance Companies Go the

Insurance Summary

As insurance companies go, the particular organization that was the subject of this study -- i.e. The place of employment for the team members involved in the research and analysis -- was fairly standard. Several different departments existed in one large room of cubicles in a building owned and wholly occupied by the company, several other departments existed in separate rooms and executives offices were on the top of the third floor building. This physical structure of the organization largely reflected the organizational structure of authority and decision making power, with this power very much concentrated at the top and command highly centralized. Though this is not generally the recommended structure for organizations involved in many industries, and particularly for manufacturing concerns that deliver more tangible products to consumers, this top-down organization and high degree of rigid hierarchy actually seems to serve the organization fairly well in many…… [Read More]

Insurance Discrimination the Number of People Who

Insurance Discrimination

The number of people who need a liver transplant is currently far greater than the number of donor livers available. Unfortunately, this can lead to discrimination by insurance companies against alcoholics who they believe have caused their own ill health and are, therefore, less deserving of the liver than other individuals. However, medical principles should guide treatment procedures not prejudice. Alcoholics should have the same access to health care as anyone else.

The discrimination against alcoholics occurs because insurance companies fail to recognize the disease nature of addiction. According to the National Council on Alcoholism and Drug Dependence and the American Society of Addiction Medicine, "Alcoholism is a primary, chronic disease with genetic, psychosocial, and environmental factors influencing its development and manifestations."

This definition recognizes alcoholism as a disease, i.e., as an involuntary disability and accepts a genetic vulnerability in some people. Thus, to discriminate against alcoholics because…… [Read More]

Insurance Sales Using an Independent Sales Force

Insurance Sales

Using an independent sales force vs. A career sales force produces immediate and obvious advantages. Independent salespeople quickly provide more 'feet on the street,' for a company desiring to expand. They are hungry for a commission, unlike more complacent career salespeople with already established salaries and networks within the company's traditional reach. Independent salespeople bring more diverse experiences and an array of new business networks and sales connections originally inaccessible to the company.

The advantages and disadvantages of using commission vs. career sales are also relatively obvious -- the use of commission sales encourages salesmen and women to use high-pressure sales techniques to secure their salaries. However, this also encourages a high turnover rate and low company loyalty, as salaries are not secure. Fly by night rather than respectable individuals are attracted to the workforce. But career salespeople with built-in salaries tend to stick to their territories, as…… [Read More]

Insurance Company Customer Care Center

While it could also be accomplished in group training formats, that approach is much less flexible with respect to accommodating corporate cultural nuances (George & Jones, 2008; obbins & Judge, 2009).

The optimal implementation of customer service training would comprise various stages, all of which would be conducted on-site. The first stage would be orientation; it would consist of a direct guided observation of Citizen's customer service call center agents handling communications. The observation would be guided in the sense that trainers will provide narrative guidance followed by the opportunity to connect that narrative to the actual performance of existing call center representatives.

That stage would be followed by direct one-on-one observation whereby representatives in training observe trainers conduct actual customer service interactions. The calls are discussed and the trainee takes actual calls under the supervision of the trainer. In the last stage, the trainee is allowed to perform a…… [Read More]

Insurance Industry Analysis

Introduction
The industry on which this paper will focus is the insurance industry, which has the NAICS code of 524133. The insurance industry is divided among a number of subsections. These subsections function roughly the same way. An insurance company identifies the risks associated with something, and then offers up insurance against the negative event. The customer pays the insurance company based on what the insurance company expects to pay out, plus whatever markup the insurance company pays. The basic premise is that if the insurance company prices risk properly, it will be profitable, but if it misprices risk, it will not be profitable.
Critical Problem
The insurance industry's critical problem is pricing risk. There are a few interesting elements, though. One is that the insurance business is heavily regulated, and that can create specific situations that challenge the firms in the industry. An example would be the uncertainty that…… [Read More]

Risk Management and Insurance

Q1
Annuities account for a great part of the protection one affords self against death. They do not follow the application of the law of large numbers as the law is traditionally utilized in life insurance. It has, therefore, been referred to as “upside-down life insurance.” When an annuitant passes away during the period of accumulation, their beneficiaries are paid a death benefit. The common treatment of annuities is to account for gross premium returns excluding interest or to account for the cash value, whichever is greater. The principle is for the principal sum to be liquidated over the annuitant’s lifetime regardless of the means of accumulation.
Q2
Annuities can fall under various classes. Traditionally, the following classifications have been used to differentiate annuities:
i. Individual vs. group annuity
ii. Fixed-dollar vs. variable annuity
iii. Deferred annuity vs. immediate annuity
iv. Installment annuity vs. single-premium annuity
v. Single life vs.…… [Read More]

Globalization of Insurance

While the U.S. enjoys the largest insurance market, U.S. companies no longer own the majority of the insurance market share in the country. Foreign companies do with 74% (Vaughan & Vaughan, 2013). This goes to show the extent to which foreign companies have grown in the insurance industry thanks to the globalization of insurance but also to the spread of wealth throughout the world. Insurance companies and finance go together as the former depends upon the latter for return on investment (ROI). Part of the problem with the globalization of insurance is that everything has been globalized—right down to investable markets. Since 2008, central banks around the world have lowered rates to the point that it is impossible for insurance funds to obtain a targeted ROI without investing in risk assets. Likewise, regulatory bodies have gone global as well with organizations like the Common Framework for the Supervision of Internationally…… [Read More]

Insurance Contracting Strategy

The other necessary element in this process is procedure cost vs. reimbursement evaluation and proactive search of strong reimbursement for future volume. Analysis of the first element is crucial because it helps in ensuring that reimbursement documented in existing contracts is being effectively recorded. The information obtained during this stage can be used at any time of renegotiations or contribute to the development of effective alternative approaches. The assessment of the second element helps to determine how insurance contracts compare and to ensure reimbursement expectations are established within competitive market ranges. The third element can be used for defense in validating the need for higher reimbursement than the current offer.

Second Students' esponse:

As the use of managed care plans have increased in the past few years, there is an increased need for appropriate insurance contracting strategy. The existing managed care plans are primarily based on demand management through co-payments.…… [Read More]

Insurance Agent for State Farm Insurance Success

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…… [Read More]

Insurance Dilemma in Health Care

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…… [Read More]

Insurance Companies Charge You More

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.

orks Cited

Auto Insurance Resources. (2007). Official ebsite. Retrieved 27 Sept 2007. at: http://insurance.freeadvice.com/insurance_center/auto… [Read More]

Insurance Services Organization ISO Is

Moreover, because the organization heavily promotes its commitment to global and local ecological and environmental responsibility, the proposed change only lends further support to these values and demonstrates broader commitment to achieving the desired outcome through every means possible. That is equally important from the perspective of maximizing internal "buy-in" and from the perspective of presenting a comprehensive and consistent public policy externally (obbins & Judge, 2009; Stevens, 2008).

Evaluation and Conclusion

The recommended change for the organization is inherently testable by comparing the objective data of employee performance before and after implementing the suggested policy change on a case-by-case basis. Successful and productive implementation of trusted (i.e. senior) employees would provide the basis for extending the same opportunity to others. Likewise, the success of this communications initiative is also imminently testable because its success would correspond to a specific change in organizational policy according to the recommendations outlined in…… [Read More]

Insurance Company When Most People

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.

ibliography

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).…… [Read More]

Insurance Providers and American Healthcare

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…… [Read More]

Provisions on Various Insurance Policies

Insurance Considerations

Discuss the basic types of homeowners policies that are used today. When is each type most appropriate?

Homeowners insurance policies are for people who own or are buying their own home and for people who rent a home or apartment. A homeowners policy can also include a personal liability policy, often referred to as an umbrella policy, that extends the liability limits of other policies in case a court awards higher amounts than a policyholder's limits. Personal property riders for expensive property can be added to a homeowners policy to cover items and belongings that are higher risk for damage or theft. Special riders can also be purchased to cover natural disasters that may be excluded from homeowners policies, such as earthquake, flood, or tornado; minimally, a homeowner should be sure that their property is not underinsured.

Discuss the pros and cons of purchasing the rental car damage…… [Read More]

Relationship Risk Insurance 2 Determine Ethical Concerns

relationship risk insurance. 2. Determine ethical concerns health care management / administrators professionals contend resulting supply demand insurance. 3.

elationship between risk and insurance

isk is defined as the potential of a certain activity or action that would lead to any loss occurring Seog, 2010.

The term risk can also express the probability of a particular outcome occurring following a particular exposure. The potential losses that might occur due an unfavorable cause are also referred to as risk. The probability that damage, liability, loss, injury, or another negative occurrence that is mostly caused by internal or external vulnerabilities, and can be avoided by taking some preemptive actions is also referred to as risk. In insurance terminology, risk is defined as the situation where there is some probability of an action that is known occurring, but when it might occur in unknown. For example, a person might fall sick, but when…… [Read More]

Community Rating in Insurance Under Which Pricing

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…… [Read More]

Property and Life Insurance Are Complex Issues

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.

Property insurance

Example hotel

Co-insurance clause refers to a splitting or spreading of risk among multiple parties in…… [Read More]

Actuarial Science Applying Frequency-Based Experience Rating No Claim Discount Scheme to Health Insurance

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…… [Read More]

Building Insurance Coverage Each Year

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.…… [Read More]

Marine Insurance

Marine Insurance

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…… [Read More]

Risk and Insurance Management Risk Is Believed

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…… [Read More]

Texas Department of Insurance

Texas Department of Insurance illustrates why and when the Texas Department of Insurance was formed and how much it has accomplished since the time it was established. This paper highlights the number of people employed by the TDI, their annual budget and their board of governors.

The Texas Department Of Insurance

The prime purpose of the Texas Department of Insurance is to efficiently manage files on all the insurance carriers in Texas. These files are categorized by their respective types and region and are provided to other school districts upon request. The Texas Department of Insurance is divided in such a way that each group governs each insurance type. "For example, property and casualty, life and health, and workers' compensation are each separate departments with teams of experts capable of answering inquiries and complaints about each of those specific types of insurance" (Texas Comptroller Of Public Accounts, Purchase School District…… [Read More]

Corporate Risk Management Insurance Currently

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.

Captives are…… [Read More]

Title Insurance Covers Both the Buyer and

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,…… [Read More]

Do Most People Know Everything About Their Health Insurance Plans

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…… [Read More]

HC Econ Journal Insurance Eligibility

"

Though the study used computer and camera equipment to measure "elevated gravitational-force events," or g-force events, researchers said what may be most important is that monitoring and feedback happen at all -- whether they come from a device or a person.

"In a way this reminds us how important it is that parents monitor their young person's early driving, and have some sense of how they're doing," Shope said.

Researchers led by Bruce Simons-Morton from the Eunice Kennedy Shriver National Institute of Child Health and Human Development in Bethesda, Maryland, outfitted the cars of 42 new teen drivers in Virginia with equipment to record high g-force events, such as quick starts and sharp, screeching turns.

They monitored the drivers for 18 months, also keeping track of any crashes or near crashes the teens had.

For every 100 miles of driving, the equipment recorded from close to zero to about…… [Read More]

Is Life Insurance a Good Investment

Life Insurance a Good Investment?

Life insurance may be grouped into two basic categories: term and whole life insurance. The primary difference between term and whole life insurance is that a term policy is life coverage only. In the case of death of the insured, term insurance pays the face amount of the policy to the named beneficiary. Term insurance may be purchased for periods of 1 to 30 years. Whole life insurance combines a term policy with an additional investment component. The investment may be comprised of bonds, money-market funds, or stocks (Feldpausch, 2004). This type of policy builds cash value that one may borrow against. The three most common types of whole life insurance are traditional whole life policies, universal and variable. Whole life and term insurance policies allow one to lock in the same monthly payment over the life of the policy.

Overall, whole life insurance carries…… [Read More]

obamacare pros and cons and mandated insurance

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…… [Read More]

Risk and Insurance Over the

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…… [Read More]

FHA'S Default Insurance Program Strategically

2. Second, the deductibility of mortgage interest and property tax payments serves to lower the after-tax cost of homeownership, also contributing to owners' ability to increase savings or consumption. Many low-income owners may not benefit from these provisions, however, because the standard deduction often exceeds interest and property tax

3. Third, homeownership allows a borrower to tap into secured lending against his or her home, which, all else equal, is often at a lower rate of interest than unsecured lending. All these financial benefits are possible but in no way assured. As discussed in the following text, the proper way to view homeownership is as an investment that carries with it significant risks and uncertainties. For any number of reasons, homeowners can end up losing money on their homes or earn less of a return than if they had rented over some period." (Herbert and elsky, 2008, p. 9)

A…… [Read More]

Project Management Insurance Companies Enjoy Large Profit

Project Management

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…… [Read More]

Cityplus Insurance Intelligence Seeks to Illuminate the

CityPlus Insurance

Intelligence seeks to illuminate the unknown. y definition, intelligence analysis deals with highly ambiguous situations. Despite maximum striving for objectivity, the intelligence analyst's own preconceptions are likely to exert a greater impact on the analytical product than in other fields where an analyst is working with less ambiguous and less discordant information.[footnoteRef:1] [1: http://www.au.af.mil/au/awc/awcgate/psych-intel/art5.html ]

In this specific case, CityPlus Insurance has approached with a number of suspicious automobile accident claims. It has gathered and obtained all the relevant information: injured parties, witnesses, vehicle descriptions, license plates, Vehicle Identification Numbers and registered owners, and dates and locations of the incidents.

The injured parties are all claiming soft tissue injuries and filing medical claims through a select group of chiropractors. There also seems to be a particular group of attorneys involved in this process acting on behalf of the injured parties.

In the above situation, to know about the…… [Read More]

Flow Inc Insurance Settlement Proceeds Are Treated

Flow Inc.

Insurance settlement proceeds are treated as operating cash flows under ASC 230. Thus the receipt of the $20 million would be operating. The investment of the $20 million into the company's pension fund would also be an operating cash flow. hile normally investing money into the market is considered an investment flow, that is only when the beneficiary in the corporation. In this instance, the beneficiaries are the company's employees and the defined-benefit plan is a form of employee compensation. All employee compensation is considered an operating cash flow under ASC 230.

The flow should not be classified as an investing cash flow for two reasons. The first is that all insurance disbursements are classed as operating flows. The second is that employee benefits are also operating flows. If the funds were used to rebuild the facility, then that spending may be classed as an investing flow. However,…… [Read More]

Humana Insurance

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).…… [Read More]

Inventory Capacity and Whether Insurance and Costs

Inventory apacity and Whether Insurance and osts of Storage Increase as Inventory Increases

At least $6,010.00, again this number may change depending on how many orders the company places per year.

Generally, $1,000 depending upon whether this number increases to meet a larger inventory capacity.

couldn't answer it…turned in early so the client would have enough time to answer it himself.

The earliest due date rule requires the job with the earliest due date to be selected. The job with the earliest due date is selected first. The user inputs the number of jobs along with their names, processing time and due dates of each job or the use the data values given at the starting point. Next one sorts out the earliest due date among the jobs. Then calculate each jobs flow time by using the processing time; the flow time is the accumulations of processing time for each…… [Read More]

What Do Insurance Companies Cover

Coin: Heads

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…… [Read More]

Children's Health Insurance Plans Regardless

" (National Conference of State Legislatures Forum for State Health Policy Leadership, 2007). However, regardless of state, the applicants have to meet certain qualifications. First, applicants have to be both uninsured and not eligible for Medicaid for other forms of state sponsored insurance. In addition, not all S-CHIP recipients have to be children; states can get waivers to use S-CHIP funds to cover adults. These other recipients are generally adults who are responsible for S-CHIP eligible children, and/or pregnant women. However, "at the end of 2005, four states had waivers to use SCHIP to cover childless adults, and nine states cover unborn children who will be eligible for SCHIP at birth as well as prenatal and childbirth services for the mother of the child." (National Conference of State Legislatures Forum for State Health Policy Leadership, 2007). The fact that states have chosen to do this reaffirms the concept that the…… [Read More]

Employee Health and Life Insurance Benefits

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…… [Read More]

Should the Healthy Employee Pay Less Insurance Premium

Healthy Employee Pay Less for Insurance Premiums?

Statement of the Issue

The objective of this work is to examine whether the healthy employee should contribute less towards their health insurance premium than employees who are less healthy. Employers are more often offering wellness and health promotion programs focused on promoting good health among their employees and employee's families. Driving this movement is the rising cost of health insurance, as well as disability leave and sick leave benefits. Added to these cots are those associated with lost productivity due to employees being off from work. The position of this writer prior to examining this issue is that employers would benefit from reducing health insurance costs for employees who are healthy and who follow a good health program.

Background of the Issue

The position taken and supported in this work in writing is that immediate actions should be taken by expanding public…… [Read More]

Life Insurance and Derivatives

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…… [Read More]

Combining Life Insurance With Trusts to Provide Greater Family Financial Protection

Combining Life Insure With Trusts to Provide Better Family Financial Security

Summery: Life Insurance and Trusts are two financial arrangements which provide security to the family and living relatives of the owner of property or trust. In this article, we look at insurance, trusts and how these can be used for better financial security and risk management. The article contains six references.

Financial risk management is an important concept in the field of management. A person with an established business, occupation or source of income can suddenly take ill, resulting in the loss of that income which depended on him to generate. This can be a serious loss for him and others who depend on the income.

There are two financial instruments which are available which can continue to provide to him or his dependents financial compensation or income based on his previous investments. For monetary investments which had been…… [Read More]

New Jersey Offers Choice No-Fault Insurance

Risk Management and Insurance -- New Jersey's Choice No-Fault Insurance

hat is no-fault insurance and what states have no-fault insurance?

No-fault insurance is very much what it sounds like it is: when a driver is insured with No-Fault insurance and has an accident, the insurance company pays for the damages no matter who is at fault. This eliminates the need for a driver whose car has been damaged by another driver to fight with the other driver's insurance company. There are twelve states that offer No-Fault insurance (including New Jersey). Choice No-Fault is very different.

Choice No-Fault insurance is offered in New Jersey, Kentucky and Pennsylvania; "Choice No-Fault" means that the automobile owner has a choice; he or she can go with the state's No-Fault policy, or go with traditional insurance. If the driver does go for traditional car insurance that means he or she can file a liability claim…… [Read More]

Comparison of Health Insurance Plans

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…… [Read More]

Social Media Marketing for Insurance Services

Social Media Marketing for Insurance Services

Marketing is one of the functions where social media can be of great value to insurance companies. Social media can be used to reach out to new customers, engage consumers on a more individual level, promote insurance products, and reinforce brand messages. Thus, deployment of social can be a useful tool to generate positive outcomes such as greater brand awareness, increased customer base, improved customer satisfaction, and revenue growth.

An important objective for any organization from a marketing perspective is to increase awareness of its new and existing offerings. For insurance companies, social media can be a useful tool in this regard. Twitter, Facebook, Youtube, Linkedin, and other popular social networks can be used to educate or familiarize consumers with the various types of insurance covers and their benefits, discount plans, promotions, as well as newly introduced covers and benefits. Such awareness can influence…… [Read More]

The Construction Industry Bonding & Insurance

Bonding & Insurance

Miller Construction is a corporation that has been in business for 50 years and enjoys a good reputation. The majority of the company's business is in road works, and Miller Construction has been steadily profitable. The company was built by the elder Miller, who passed away a few years ago. Since that time, the business has been run by his son, Jacob. In two weeks, Jacob's brother Kenneth will be returning from military duty with the intention of joining the family business.

Since taking over from his father two years ago, Jacob has come to the realization that he is not as savvy at running a business as his father was. In particular, Jacob is weak with financial management. Jacob had accumulated personal debt, and to manage this he borrowed against the company's payables. Jacob also has some personal issues. He once filed a false insurance claim…… [Read More]

Benefits of Guardian Life Insurance

Executive Summary
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.
Mission and…… [Read More]

Healthcare Insurance -- Future Implications

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…… [Read More]

Fraud Specifically Health Insurance Fraud

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…… [Read More]

Young Adults Without Health Insurance

3)."

The implication of this situation is, as employers look to defer more and more of the cost of health insurance to the employees, and as those jobs that provide healthcare benefits to employees become more scarce, the young people in America will not have access to care, and will suffer the physical neglect of that situation.

"In 1994, Congress failed to act on employer-mandated health insurance coverage. This insurance would have benefited mostly poor, working Americans -- those working in small businesses that did not provide health insurance. Medicare and Medicaid, for the most part, cover the older population and those on public assistance. Large businesses cover virtually all their employees. With few exceptions, people who are uncovered are employed by small businesses. Each year since 1994, over 1 million additional American workers, virtually all in small businesses, lost their health insurance coverage. This trend will continue because the…… [Read More]

Affordable Health Insurance the Need for State

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…… [Read More]

Cobra Health Insurance Health Insurance How Cobra

OBRA Health Insurance

Health Insurance

How OBRA Works

Davis was terminated from his employment because of long absence from work and not because he voluntarily resigned or any gross negligence on his part. Therefore, he and his family are eligible for health insurance coverage under the onsolidated Omnibus Budget Reconciliation Act (OBRA) provided his company maintains its group health plan and still has 20 or more employees for which they currently have 100. If his former employer were to have fewer than 20 employees, then he might still be eligible for what is called mini-OBRA. The OBRA Act was put into law in 1986 in order to provide continuation of group health coverage for workers who have lost their jobs. The Act allows for the unemployed individual to avoid any gaps in coverage that would prevent them from having pre-existing conditions excluded once they were able to obtain group health…… [Read More]

Communication Memo - Protest of Health Insurance

Communication Memo - Protest of Health Insurance Fees

What is the purpose of your memo?

This memo presents the position of the Campus WHATEVER Club that single employees should not be charged the same insurance fees as married people paying for family coverage.

Describe your primary audience.

The primary audience is the president of the University.

Is there a secondary audience for the memo?

The memo could also be sent to the Board of Trustees, Vice President for Administration and the head of the Human Resources department, who are all responsible for decisions regarding employee insurance benefits.

Brainstorm for a few moments, jotting down points to be covered in the memo.

The proposal discriminates against single employees.

Married people with those with family coverage will incur more medical expenses and should be asked to pay additional premiums per family member. The proposal causes low morale among single employees. Some may…… [Read More]

Comparing Health Insurance Policies

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,…… [Read More]