Private Health Insurance Reform Legislation: Hearing Before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, One Hundred Second Congress, Second Session, on H.R. 2121 ... H.R. 1565 ... H.R. 3626 ... March 12, 1992, Том 4U.S. Government Printing Office, 1992 - Всего страниц: 262 |
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Стр. 9
... term ' core benefits ' means benefits which are the same benefits as are provided under title XVIII of the Social Security Act to individuals entitled to benefits under part A , and enrolled under part B , of such title . “ ( 2 ) ...
... term ' core benefits ' means benefits which are the same benefits as are provided under title XVIII of the Social Security Act to individuals entitled to benefits under part A , and enrolled under part B , of such title . “ ( 2 ) ...
Стр. 11
... term ' child ' means an individual who has not attained age 23 . " ( D ) PREGNANCY - RELATED SERVICES.— " ( i ) IN GENERAL . - In the case of a pregnant woman , benefits under the plan shall include entitlement to have payment made for ...
... term ' child ' means an individual who has not attained age 23 . " ( D ) PREGNANCY - RELATED SERVICES.— " ( i ) IN GENERAL . - In the case of a pregnant woman , benefits under the plan shall include entitlement to have payment made for ...
Стр. 12
... term ' preg- nant woman ' means a woman who has been certified by a physician ( in a manner specified by the Secretary ) as being preg- nant , until the last day of the month in which the 60 - day period ( beginning on the date of ...
... term ' preg- nant woman ' means a woman who has been certified by a physician ( in a manner specified by the Secretary ) as being preg- nant , until the last day of the month in which the 60 - day period ( beginning on the date of ...
Стр. 13
... The requirements of this subsection are met with respect to any applicable ac- cident and health contract if , under the terms and operation of the contract , the following requirements are met : 1 2 3 4 5 6 7 8 9 10 HR 2121 IH 13.
... The requirements of this subsection are met with respect to any applicable ac- cident and health contract if , under the terms and operation of the contract , the following requirements are met : 1 2 3 4 5 6 7 8 9 10 HR 2121 IH 13.
Стр. 15
... term ' cause ' " ( I ) includes nonpayment of pre- miums , fraud or misrepresentation , noncompliance with plan provisions ( including participation requirements ) , or misuse of network provisions , but " ( II ) does not include any ...
... term ' cause ' " ( I ) includes nonpayment of pre- miums , fraud or misrepresentation , noncompliance with plan provisions ( including participation requirements ) , or misuse of network provisions , but " ( II ) does not include any ...
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102nd Congress actuarial adverse selection affordable amended ance apply average bill block of business Blue Cross Blue Shield carrier Chairman STARK Committee community rating CONGRES CONGRESS THE LIBRARY cost containment deductible effect employer groups employer health benefit enactment enrollment established federal GRADISON guaranteed issue health benefit plan health care costs health insurance market health insurance plan Health Insurance Reform health maintenance organization health status HIAA high-risk HMOs individual legislation LIBRARY OF CONGRESS limit managed care mandates McGEADY MedAccess plan medical underwriting Medicare MOLEY NAIC NFIB offer paragraph payment percent ployer preexisting conditions premium rates Principal Financial Group private health insurance problem proposals purchasing rate increases rating bands rating practices rehabilitation reinsurance mechanism renewal requirements risk risk pools Rostenkowski Secretary self-insured small businesses small employer health small group insurance small group market Subcommittee subparagraph subsection term underwriting uninsured
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Стр. 75 - RoSTEXKOWsra introduced the following bill; which was referred jointly to the Committees on Ways and Means and Energy and Commerce...
Стр. 193 - ... own costs. This meant that for the first time, lower-risk groups could purchase coverage from another carrier at premiums that more closely reflected the costs of their own employees. This phenomenon occurred first in the large group insurance market, and it represented the first step toward segmentation of the health insurance market and the loss of subsidies for the less stable parts of the insurance market. The practice also developed in response to employers increasing unwillingness to subsidize...
Стр. 190 - Mr. Chairman, and members of the committee, I am Mary Nell Lehnhard, Senior Vice President of the Blue Cross and Blue Shield Association. The Association is the coordinating organization for the 69 independent Blue Cross and Blue Shield Plans throughout the nation.
Стр. 75 - The statement that we wish to present with respect to the proposals to amend the Social Security Act and the Internal Revenue Code of 1954 has the endorsement of the State Chambers of Commerce which are listed at the end of our statement.
Стр. 4 - GBADISON) introduced the following bill; which was referred to the Committee on Ways and Means A BILL To amend the Internal Revenue Code of 1954 to assure access to health insurance, and for other purposes.
Стр. 2 - However, any individual or organization not scheduled for an oral appearance may submit a written statement for consideration by the Committee and for inclusion in the printed record of the hearing. BACKGROUND: The percentage of uninsured children has remained relatively stable since 1988.
Стр. 224 - NSBU is a volunteer-driven association of small businesses from across the country, founded from a merger of the National Small Business Association and Small Business United. NSBU serves over 60,000 individual companies with members in each of the 50 states, as well as local, state, and regional associations.
Стр. 221 - NFIB members receive COBRA premium checks not from the individual beneficiary but rather from the new employer, which many times is a competitor. This situation clearly defeats the transition purpose COBRA was intended to serve. The notice and look-back requirements of COBRA are extremely burdensome on a smaller business. Many times, an insurance carrier requires the employer to pay the COBRA premium prior to an election being made which results in a cash flow problem. The look-back provisions encourage...
Стр. 180 - Rising costs have also resulted in a growing number of Americans without adequate health coverage, or none at all. One of the major reasons for the increase in the number of uninsured persons is a reduction in the number of individuals and their families covered by employment-related insurance. This is because, in recent years, there has been an increase in the number of persons employed in businesses that don't offer health insurance, or offer inadequate or unaffordable insurance. The sad fact is...