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Unconscionable Math « Taunter Media
The House hearings on rescission - the retroactive cancellation of individual health insurance policies - were over a month ago, but after its initial run through Daily Kos it seems to have waited a bit before popping up on Baseline and Slate.  James Kwak at Baseline described the practice as rare, affecting only 0.5% of the population.
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If the top 5% is the absolute largest population for whom rescission would make sense, the probability of having your policy cancelled given that you have filed a claim is fully 10% (0.5% rescission/5.0% of the population).  If you take the LA Times estimate that $300mm was saved by abrogating 20,000 policies in California ($15,000/policy), you are somewhere in the 15% zone, depending on the convexity of the top section of population.  If, as I suspect, rescission is targeted toward the truly bankrupting cases - the top 1%, the folks with over $35,000 of annual claims who could never be profitable for the carrier - then the probability of having your policy torn up given a massively expensive condition is pushing 50%. One in two.  You have three times better odds playing Russian Roulette.


"Dieu se rit des hommes qui se plaignent des conséquences alors qu'ils en chérissent les causes" Jacques-Bénigne Bossuet
by Melanchthon on Mon Aug 3rd, 2009 at 02:55:43 PM EST
[ Parent ]
unconscionable math: In other words, you don't need no steekin algebra to discover the probability your policy may be cancelled.

Who here remembers the shocking scene in the first Indiana Jones flick, when the professor is confronted by a crazed, Berber-wrapped, Islamofascist, knife- wielding dervish in a market? He pulls out his gun.

A gun: Read your contract. Even in a lawless state, you need to read your contract. Even if your coverage is negotiated by your employer --so all you receive is a certificate of coverage envelope, containing 1,000pages of benefit terms and claims instructions-- get hold of the group's master policy. It may be turned against your ignorance. You will be looking for mandatory clauses, that are notices such as "free-look" period, guaranteed insurability or "future increase option", and renewability provisions required by state commissions. There are five, mutually exclusive mechanisms that determine lawful termination of a policy, irrespective of mandates governing insurers' obligations in the event of (mis)representation of "pre-existing conditions" and their purported mind-boggling expenses.

  1. noncancelable. Not even SSI is noncancelable.
  2. guaranteed renewable. Not even SSI is guaranteed renewable.
  3. conditionally renewable. SSI and Medicaid for example.
  4. renewable at option of insurer. Coverage is conditionally renewable or cancelable for any reason on policy anniversay or premium due-date, e.g. bi-monthly payroll. Very popular.
  5. nonrenewable (a/k/a "term"). Like, travel insurance and funeral insurance on children. Very inexpensive.

Know what is possible before you advocate for a "universal" health insurance menu.


Diversity is the key to economic and political evolution.
by Cat on Tue Aug 4th, 2009 at 12:10:03 PM EST
[ Parent ]
That scene was supposed to be a long and involved fight, but Harrison Ford had a terrible hangover and didn't want an energetic day, so he pleaded "how about I just shoot him instead ?"

Cue best moment in film.

keep to the Fen Causeway

by Helen (lareinagal at yahoo dot co dot uk) on Tue Aug 4th, 2009 at 01:53:56 PM EST
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