Blue Cross and Other Private Health Insurance for the Elderly: Washington, D.C. April 27, 1964. 59 pU.S. Government Printing Office, 1964 |
Common terms and phrases
65 plans accepted for coverage age and older and/or benefit changes April 15 Available in policy average age basic hospital Benefits and premiums Blue Cross Connecticut 65 Constantine CONTINENTAL CASUALTY CO December 31 different persons Elderly estimated exhibit expense insurance Fund 65 group insurance group policies Health Insurance Association health insurance coverage health insurance premiums hospital expense included indicated individual and family individual policies Insurance Company Coverage Item July Loss ratio major medical expense March March 31 Massachusetts 65 medical expense coverage MUTUAL OF OMAHA nonrenewal number of different number of persons Option PAT MCNAMARA persons 65 persons age 65 persons at ages persons insured policy form described polio premium and/or benefit Premiums earned private health insurance questionnaire rates regular medical expense reported riders or waivers room and board senior citizens statistics Subcommittee on Health surgical expense survey Texas 65 total number type of coverage U.S. Senate underwriting York 65
Popular passages
Page 303 - There have been several significant developments during the past few months which should further affect both the extent and quality of coverage among the aged. Two are particularly worthy of note. In July 1961, retired employees of the Federal Government who retired prior to July 1, 1960, became eligible for health insurance coverage on a group basis written by insurance companies. Under the uniform Government program the benefits may be basic hospital and surgical expense coverage, major medical...
Page 299 - More than half of the aged with surgical expense insurance (53 percent) have maximum surgical benefits of over $200. The remainder have such benefits for $200 or less (most usually $200) . (13) About a third of the aged with regular medical expense insurance have coverage for physicians visits in home, office, and hospital. The remaining twothirds have coverage for nonsurgical physicians visits while hospitalized. (14) As of mid-1961, several insurance companies were making available coverages which...
Page 299 - ... percent of hospital confinement.5 More than two-fifths of the insureds (41 percent) had hospital expense coverage for more than 70 days per year. An additional 25 percent had benefits providing coverage for 32 to 70 days per year. The remaining third (34 percent) had policies which provided benefits for 31 days, and in a few instances, for less than 31 days. An evaluation of the relative effectiveness of these findings may be obtained from a review of US National Health Survey data.
Page 261 - CONSTANTINE: Attached is our response to the questionnaire which has been prepared by our staff in Omaha. Reference is made in the questionnaire to policy bulletins and certain other printed matter. As of this writing (5:05 pm, Friday) I have not received the carton shipped to me from Omaha which is now being traced by the Air Express officials. As explained to you previously by other officials of our company, we regret our inability to be more prompt in our reply to your questionnaire. As you have...
Page 257 - ... applicants. C. Underwriting subsequent to policy issuance or filing or payment of claims. 1. Copies of all restrictive riders or waivers employed. 2. Number of riders issued and number of those to whom riders or waivers were issued who received or filed for a benefit. 3. Cancellation and/or number terminated (nonrenewal) by type of policy and indicating how many of these had received a benefit. 4. Copies of administrative directives to claims personnel relative to company policy on cancellation,...
Page 297 - Include jail coverage for surgical charges incurred due to both sickness and accident. (c) Regular medical expense. — Include coverage (except major medical expense) for any type of nonsurgical medical expense where the benefit is payable in event of both accident and illness without limitation as to the type of sickness or accident (ie, exclude accident only, polio, etc.). This category is intended to include medical expense coverages that cover physicians' hospital calls only as well as those...
Page 247 - ... June} 1963 campaign. 5. As a consequence of the adjusted estimates of 1962 loss experience as viewed on July 29, 1963, the Actuarial Department first began close scrutiny of 1962 results suspecting that this loss experience might have been inaccurately evaluated in earlier analyses. By October 1963, it was apparent that the July 29 analysis was substantially correct and this, in addition to the rising loss ratios developing for 1963 experience, was responsible for the rate increases which were...
Page 255 - Information regarding the cause of lapse is not available. However, during 1961 we maintained counts of those policies no longer active due to reported deaths. These totaled 18,517. Since notification of death is not required, we have no means of knowing how many additional lapses were due to unreported deaths. C. We have no available data with which to obtain the number of those no longer insured who had received a benefit under Golden 65 policies. D. Reinstatement information is impossible to supply....
Page 283 - March 1, 1964. We took this action in order that these people fully understood the type of health insurance protection they had with the opportunity to make this change if it better fitted their needs. In answer to your third question, we wish to advise that the initial enrollment was from October 1-31, 1963, with the coverage going into effect on November 1, 1963. The number of persons still insured as of March 1, 1964, is as follows: In answer to question 4, the average age of the Texas 65 certificate...
Page 297 - ... in part II. Kindly indicate by footnote the part in which you have included your franchise and blanket coverages. Coverage under mass enrollment plans and conversions from group policies should also be shown in part I. 3. The following instructions apply with respect to benefit classifications: (a) Hospital expense. — Include all coverage which provides or pays hospital benefits for confinement due to both sickness and accident.