| Corporate Sponsors |
| DIAMOND 
EMERALD 
RUBY
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| Our Mission |
To educate our membership, represent consumer interests, influence legislation and promote fair and ethical business practices through the association of health and disability insurance professionals.
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| Prevent 'Surprise' Medical Bills |
Legislation that would offer Californians protection against "surprise" medical bills has cleared both state houses It passed by a huge margin with bipartisan support, unlike a similar bill last year which s
talled by three votes on the last day of the 2015 legislative session. Surprise medical bills happen when patients seek care from a facility within their health insurance network but then unknowingly receive services from an out-of-network provider, such as an anesthesiologist, who's not covered by their insurance. The California Assembly passed AB 72 on August 31
st. The bill heads next to Gov. Jerry Brown's desk.
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Bill to Alert Consumers of 'Unreasonable' Health Plan Rate Hikes Heads to Governor
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Source: KPCC
Under existing law, the California Department of Managed Health Care and the California Department of Insurance review rate hikes proposed by the insurers and health plans each regulates.
When the agencies conclude that an increase is unjustified, they can ask the insurer to rescind the increase, but the company is not legally obligated to comply. The two departments' only recourse is to post the information on their websites.
SB 908, by Sen. Ed Hernandez (D-West Covina), would require the insurer to send a written notice to policyholders telling them that regulators found a price hike "unreasonable or not justified."
To give consumers time to shop for a new plan, the measure would require insurers to send that notice to consumers at least 60 days before the policy renewal date, or 10 days before the start of the next health insurance open enrollment period.
"Frankly, most consumers aren't looking over a Department of Managed Health Care or Department of Insurance website," Anthony Wright, executive director of bill sponsor Health Access California, told KPCC when Hernandez introduced the bill in January.
"And even if they did, it would be hard for them to figure out whether the plan they're in has the unreasonable rate," he said.
America's Health Insurance Plans, the Association of California Life and Health Insurance Companies and the California Association of Health Plans oppose the bill.
Association of Health Plans spokeswoman Nicole Kasabian Evans suggested in a January interview with KPCC that the legislation was unnecessary.
Noting that regulators already post information about rates that are deemed "unreasonable" online, she argued that "we already have a pretty good system out there."
The governor has not indicated whether he will sign the legislation.
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| Why SDAHU? |
- Top speakers at monthly luncheons
- Continuing Education credits
- Staying informed with top industry publications
- Legislative impact in Sacramento and Washington DC
- RHU and REBC professional designations
- Network of peers
- NAHU protects your right to serve your client's needs
- Our mission demonstrates your commitment and professionalism.
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BROKER RANT By: Barry Cogdill
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The summer month's pass so quickly. I am penning these thoughts on the flight home from Cancun. Whether an effect of the low pressure tropical lifestyle, the distance from the states, or the quality of the tequila, health insurance has not been on my mind. That is, only a little on my mind, as I have perused articles over the internet about our country, and our state, and think about the transition to the dreaded 4
th quarter.
I am doing my best to put this process off until after Labor Day, but the work actually started prior to this vacation trip, strategizing my December group clients, certifying for Medicare Advantage and Part D, and staying tuned into the ACA market changes.
So, what has happened in my brief absence? HHS has sent out a new slew of regulatory changes for the individual market, trying to stem the adverse special enrollment issues with carriers, and reconsidering risk corridor payments to protect those same insurers from losing too much money.
Read more.
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Demystification of the Healthcare Exchanges
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Chris Patton
Covered CA SHOP
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Michael Payton
CHOICE Administators
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Chris and Michael will be sharing their thoughts regarding state ofexchanges in California, updates on how Covered California for Small Business is doing, 4th quarter anticipation and beyond, focus on multi-carrier choice in the marketplace (agents role and technology).
Event Details
Thursday, Sept. 15th
Handlery Hotel
950 Hotel Circle North
San Diego 92108
Cost to Attend:
Member or First Time Guest: $20
Non-Member: $45
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Exercise - A Vital Component of Cancer Recovery
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North Cou
nty
Cancer Fitness (NCCF) promotes wellness and strength for those who are newly diagnosed, undergoing treatment, recovering from treatment, and/or living with cancer. Our program of fitness, education, referral and support is designed to improve how you feel, help you deal with treatment and practice a healthier lifestyle.
Designed for both women and men, their cancer fitness program focuses on those in treatment as well as cancer survivors. Whether you have been active in the past or are just beginning, physical activity can help you feel better in many ways. Their cancer fitness program is safe and it is tailored especially for you. Medical studies show that a fitness program helps cancer survivors feel better,
lead healthier lives and reduces the risk of recurrence.
North County Cancer Fitness, located in North San Diego County, CA, is here to help. Find out more about NCCF's approach to cancer fitness.
SLOW ... STEADY ... SAFE ... STRONG
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