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Around the PIA Western Alliance States

Posted By Administration, Tuesday, March 27, 2018

Arizona — Natural Disaster Areas: The U.S. Department of Agriculture has re-designated 12 Arizona counties as nature disaster areas. Drought is the reason. The counties now have eight months to apply for emergency loans to help with damages.

Source link: Insurance Journal

 

California — Work Comp Board: The California Workers’ Compensation Institute has elected a new board of directors. Berkshire Hathaway’s Rose Barrett is the new chair.

 

Also elected:

Martin Brady of Schools Insurance Authority, an associate member

Susan Gordon, Zurich North America

David Mitchell, Republic Indemnity Company of America

Rob Shatsnider, CompWest Insurance Co.

Vernon Steiner, State Compensation Insurance Fund

Matthew Zender, AmTrust North America.

 

Those elected to serve on CWCI’s 2018 board are:

Sharon Thaler, AIG

Roger Moseley, Alaska National Insurance Co.

Paul Ziegler, Allianz Global Corporate and Specialty

Justin Boardman, CHUBB

David Macy, EMPLOYERS

Gretchen Thompson, The Hartford Insurance Group

Amanda Granger, ICW Group

John Dickey, Liberty Mutual Insurance

Kris Mathis, Pacific Compensation Insurance Company

Eric Hansen, Preferred Employers Group

Eric Belk, Travelers

Diana Harrelson, Zenith Insurance Co.

Kevin Confetti, University of California, an associate member.

 

CWCI members include 24 insurer groups and close to 200 underwriting companies.

 

Idaho — Prepare Now for Flood Season in Idaho: Spring is here and with it comes the potential for flooding. The Idaho Department of Insurance reminds consumers that flood damage caused by rising water, including snow melt, is not covered by homeowner’s insurance. Flood policies typically have a 30-day waiting period, so now is the time to look into obtaining coverage. Information about flood risks and protection measures can be found on the Federal Emergency Management Agency (FEMA) website here.

“After every flood, we hear about homeowners who did not realize they needed to protect themselves with flood insurance or that their homeowner’s coverage doesn’t coverage floods,” said Department Director Dean Cameron. “We urge consumers to meet with their agent and review their coverage now and make sure they have the protection they need.”

Information about flood insurance is available on the Department of Insurance website. Flood insurance can be purchased through your insurance agent or by calling the National Flood Insurance Program (NFIP). at 800-427-4661.

Flood insurance provides coverage for buildings, but contents coverage is optional. The Department recommends homeowners discuss insuring personal property with a licensed agent. According to the NFIP, the average flood insurance policy – including building and some contents – costs about $700 per year.

 

New Mexico — DWI Fatalities Down: Governor Susana Martinez said the state’s DWI fatalities have dropped 16% from 2016 to 2017. The number fell from 173 to 145 and she says the don’t drink and drive campaign the state launched in 2016 is working.

The number of crashes involving drinking also fell from 2,073 in 2016 to to 1,805 in 2017.

Source link: Insurance Journal

 

Oregon — Updated Product Standards: The Division has updated the following product standards:

440-4978 – Standard Provisions for Exchange Certified Pediatric Dental Forms (ACA Compliant/ Group and Individual) (Updated 3-20-18)

Updated to correct discrepancies between the current version of the Oregon Health Plan Children’s Health Insurance Plan and OAR 836-053-0012(2)(f).

 

Washington — Fines: The Office of the Insurance Commissioner (OIC) fined Coordinated Care Corp. (Coordinated Care) $100,000 for failing to follow the compliance plan it agreed to on Dec. 15, 2017 regarding its provider network deficiencies and other ongoing issues.

The OIC issued a cease and desist order Dec. 12 for the company to stop selling individual health plans in Washington state because it failed to maintain an adequate network of medical providers. The company was fined $1.5 million with $1 million suspended, pending no further violations over the next two years.

In particular, Coordinated Care admitted to not having enough anesthesiologists in King, Snohomish, Pierce and Spokane counties. According to the company’s own data, its provider network was seriously deficient in other categories of providers, including immunology, dermatology and rheumatology.

With the consent order in place, the order instructing the company to stop all sales was canceled.

Since agreeing to the compliance plan, Coordinated Care has not met all of the milestones it agreed to in order to resolve its ongoing issues. For example, it has: 

 

  Failed to meet deadlines it committed to in the compliance plan;

  Submitted provider contracts with illegal arbitration clauses; and

  Failed to meet state requirements to show its provider networks are adequate. 

 

The OIC remains committed to working with Coordinated Care to correct its outstanding issues and will continue weekly discussions with the company to review its progress. If the company continues to violate the compliance plan it agreed to, some or all of the remaining $900,000 fine may be imposed.

Tags:  Around the PIA Western Alliance States  Insurance Content  Insurance Industry  Insurance News  Weekly Industry News 

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