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Don Levit
11/17/2008 01:47 PM
Brian:
What about small, inadvertent and innocent misstatements on policies that had no claims?
I guess BCBS is okay with that.
By the way, my family's individual BCBS policy (my wife and 3 kids, not me) has had pretty substantial premium increases over the years.
In 1995, we paid $550 a quarter. Twelve years later, we're at $2,400 a quarter. I wonder what kind of "protection" we're receiving from BCBS justifying its remewal premiums?
Don Levit
Brian S. King
11/17/2008 01:47 PM
It's a funny thing about rescissions and health insurers. You generally don't see them cancelling policies until claims come through the door! On the other hand, they argue that until a claim comes is made, there is no reason for them to even suspect any misreps on an application. But that also illustrates the core problem: the time to perform a competent underwriting is when the application is presented. It is fundamentally unfair for an insurer to get the application, stamp it "approved," collect the premium and than perform a reasonable underwriting of the policy only if signficant claims come in within the first year or two of coverage. This is the precise practice, retrospective underwriting, that Shernoff and others are complaining about.
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