Around the PIA Western Alliance States

Idaho — A Bill Covering Workplace Vaccine Problems: The Idaho House of Representatives has seen the introduction of a bill that will compensate a worker for vaccination related accidents or injuries.

The bill is HB 0698 also says it shall be construed in the light most favorable to an employee with respect to a claim for compensation for any accident or injury.”

Source link: Business Insurance — https://bit.ly/3tEfT34

Washington — Kreidler orders Senior Health Insurance Company of Pennsylvania (SHIP) to stop interfering with the rights of Washington policyholders: Insurance Commissioner Mike Kreidler has ordered the insolvent Senior Health Insurance Company of Pennsylvania (SHIP) , of Pennsylvania, to immediately stop soliciting signatures from Washingtons 1,200 plus policyholders for unapproved benefit and rate changes.

SHIPs appointed rehabilitator sent letters to policyholders in Washington and other states containing a Coverage Election Package” that requires they choose a reduced benefit or premium increase by March 15, 2022, with an effective date as soon as April 1. Neither the premium increases nor benefits changes have been approved by Kreidlers office, as required by state law.

SHIP sold long-term care insurance policies to seniors throughout Washington. The financially troubled company was placed into rehabilitation by Pennsylvanias Commissioner of Insurance in January 2020. A rehabilitation plan for the company was approved by the Pennsylvania Commonwealth Court in August 2021. Kreidler, along with commissioners from Maine and Massachusetts, appealed the rehabilitation plan, claiming it was unfair to policyholders. Their appeal is pending before the Pennsylvania Supreme Court. Twenty-seven other insurance regulators signed an amicus brief in support of the appeal.

In the meantime, any SHIP policyholder who has already received a Coverage Election Package from SHIP must select an option and postmark their response to the company by March 15 if they want to keep the reduced policy.

Im hopeful the Pennsylvania Supreme Court will see the facts of this case and grant our appeal,” said Kreidler. The average SHIP policyholder is 86 years old. Its critical they have the best option possible in the face of this companys demise. The rehabilitators plan puts the burden of filling a $1.2 billion funding gap entirely on elderly consumers who put their faith in the company to be there when they needed them.”

Individual states have the sole authority to approve or deny rates and forms for companies doing business in their jurisdiction. Kreidler and the other objecting regulators believe the rehabilitation plan disproportionately puts the burden of the companys insolvency unfairly onto policyholders and ignores their rights under statesguaranty fund associations. State guaranty associations are set up in each state to pay claims when an insurer is placed in liquidation. Washingtons guaranty association pays claims up to $500,000 for a policyholder of a liquidated insurer. This provides some limited protection for policyholders but is no panacea. SHIP will not recover from its financial insolvency, but liquidating the company and triggering the statesguaranty associations will offset some of the impact on policyholders. The rehabilitator letter directs SHIP policyholders to select one of five coverage options, with an accompanying premium change:

    Downgrading your policy

    Converting to a basic policy

    Converting to an enhanced basic policy

    Converting to an enhanced paid-up policy

    Keeping your current policy

But two of the options—downgrading your policy and keeping your current policy—advertise that the Maximum Lifetime Benefit is unlimited.” Kreidlers office found this claim to be misleading at best, because the company will not have the funds to fulfill this promise. The package also requires policyholders to attest that any selection they make is voluntary, however if someone does not select an option, one is made for them. 

Given that the March 15 deadline is pending, and we cannot wait for the court to decide, Im encouraging all SHIP policyholder who have received notice from the company to make the best decision they can for their own situation,” said Kreidler. If youre confused by the notice youve received, contact your agent or file a complaint with our office.” 

About PIA Western Alliance

The Professional Insurance Agents Western Alliance is a membership organization promoting and enhancing the success of independent agencies seeking to grow, learn and be heard within the industry.


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