November 15, 2024

Bucks Blog: How to File an Auto Insurance Claim

Richard L. Harbus for The New York Times

The Consumer Federation of America estimates that more than 325,000 auto accidents will occur during this year’s holiday travel period, resulting in more than 200,000 claims filed with the nation’s insurance companies.

To help drivers navigate the claims process, and avoid getting underpaid, the federation has published a new guide, “Navigating the Auto Claims’ Maze: Getting the Settlement You Deserve.”

The guide and an accompanying claims checklist were written by Mark Romano, the federation’s director of insurance claims projects and a former insurance industry professional.

Often, he said, people traveling during the holidays are on unfamiliar roads, which contributes to accidents. The new guide offers tips for filing a claim with the other driver’s insurance company if you aren’t at fault and how to seek help from regulators if you’re unsatisfied with your treatment.

“People tend to buy an insurance policy and then stick it in a drawer and never look at it—until something happens,” said Mr. Romano. “So we’re trying to educate people in advance.”

Have you had difficulty filing an auto claim after an accident? Tell us about your experience.

Article source: http://feeds.nytimes.com/click.phdo?i=a727da37f1ff942cccca06d185336275

Bucks Blog: IncomeAssure: Our Review of its Private Unemployment Insurance

Job seekers at an employment center in Hauppauge, N.Y., in early September.Getty ImagesJob seekers at an employment center in Hauppauge, N.Y., in early September.

With unemployment hovering around 9 percent, many Americans are relying on government unemployment benefits to make ends meet. Now, a new, private option is available that can help replace, at least temporarily, more of the income forfeited when you lose your job.

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Evaluating new financial products and services.

IncomeAssure is a supplemental unemployment insurance policy that, when combined with public unemployment insurance, can help temporarily replace up to half of your lost wages. Leslie Nylund, chief executive of the Assura Group of NY Ltd., which introduced the offering this summer, says she believes her firm is the only company currently offering such coverage.

The main barrier to such offerings before has been overcoming the problem of adverse selection, an industry term referring to the propensity of people who most need a certain type of insurance to buy a lot of it, concentrating risk and making it difficult to offer coverage profitably.

Ron Lieber wrote about this problem with private unemployment insurance in a 2009 column.

But Ms. Nylund says the Assura Group thinks it has a workable formula, which includes a hefty waiting period (six months) before initial coverage begins, to avoid a rush to buy policies when a big layoff occurs or seems imminent, and a link of the private insurance to public jobless benefits. With high unemployment looking like a long-term feature of the economy, she says, supplemental insurance should be an attractive offering.

Public unemployment insurance, Ms. Nylund says, initially was meant to replace half of one’s income, on a weekly or monthly basis. But since most states have imposed dollar caps on benefits they pay out — $400 or so a week is the typical maximum — benefits don’t stretch that far for workers earning upwards of about, say, $50,000. So, IncomeAssure aims to sell insurance coverage to make up that difference.

The premiums for the coverage, which are based on the state where you work, your salary, and the industry in which you work, as well as unemployment statistics, range from 0.5 to 2 percent of your wages.

So, for instance, if you earn $100,000 working in manufacturing in Ohio, your premium would be about $130 a month. If you lost your job, you would receive $1,677 per month in state unemployment benefits. Using that as a base, IncomeAssure would pay $2,500 a month, bringing your monthly total to $4,177 a month. That’s the monthly equivalent of $50,000 a year — half of your former annual pay.

But it’s important to realize that the payments don’t continue for a year; rather, they track state unemployment benefits, which typically run for 26 weeks. IncomeAssure payouts are triggered by the initiation of state unemployment benefits, so you must first file and receive approval for your state jobless claim before payments from IncomeAssure begin. There is then a two-week delay before payments begin, and they continue for a maximum of 24 weeks. While the federal government has funded the extension of public unemployment benefits beyond 26 weeks as a result of the sluggish economy, IncomeAssure payments stop after six months.

So, in the above example, you’d be paying about $1,560 a year to receive a maximum payout of just over $15,000.

Ms. Nylund notes that the current unemployment rate also is factored into the premiums, so they would very likely drop as unemployment falls (or, increase as unemployment rises).

The Web site offers a form that can give you a quick estimate, but it has a few glitches to iron out. I typed in a request for a hypothetical poultry industry executive in Georgia (using the “agricultural” classification) earning $80,000 a year, and it told me the estimated payout — $1,903 a month, on top of the state benefit of $1,430 — but not the premium. However, I was able to get that information quickly from “Katie” using the site’s online chat function.

Katie told me the premium would be $107.28 per month, or $1,287 for a year, which could be paid monthly or quarterly. But if it were paid in a lump sum, it would be eligible for a discount of almost 9 percent, which would reduce the annual premium by $115.

That doesn’t sound too bad, but there are some caveats. First, if you’ve already lost your job, you’re out of luck; you have to be employed to buy the insurance in the first place, and then you have to wait six months to become eligible to collect. (If you buy a policy and are laid off two months later, the company refunds your premiums, Ms. Nylund said.)

The coverage is available for salaries up to $250,000. If you make more than that, you can buy coverage, but only up to that amount.

The policy is renewable every 12 months. The only likely reason the company wouldn’t renew, Ms. Nylund said, would be if the worker changed jobs and became employed in a state where the Assura Group isn’t authorized to sell insurance. IncomeAssure, which is underwritten by the Great American Insurance Company of Cincinnati, currently is available in 34 states and the District of Columbia, and is pending approval in additional states.

Policy holders can, of course, choose not to renew — if, for example, the premium offered rises and they decide they don’t want to pay it, or if they think their employment has become more stable.

But Ms. Nylund is betting that people will hold onto coverage even if economic conditions improve, for peace of mind. The extra payments can help avoid depleting savings and cover monthly expenses, she says, while job seekers regroup and search for a position that’s a good fit. “This is something you should buy for a good night’s sleep,” Ms. Nylund said.

Do you think buying additional unemployment insurance is worth it?

Review

Evaluating new financial products and services.

Article source: http://feeds.nytimes.com/click.phdo?i=656fd7ebd872b1dcc8285e2f899f96e3

Bucks: How Tuition Refund Insurance Works at Your School

In this weekend’s Your Money column, I write about Sallie Mae’s entry into the world of tuition refund insurance. Parents buy these policies in case their child needs to withdraw from college (or private nursery, primary or secondary school) for medical reasons sometime during the school year.

Many schools for the 18-and-under set require parents to purchase tuition refund insurance policies, though apparently only one college does. (Anyone know which one? The company, A.W.G. Dewar, which underwrites the policy at that school, wouldn’t name it.)

Sallie’s policy, meanwhile, covers withdrawals for physical illness or injury at 100 percent but pays only 75 percent when students with full coverage must leave school because of a mental illness. Is this discriminatory, or just good underwriting? Have your say in the comments below.

Meanwhile, I’m also interested in hearing how you decided whether to buy this coverage when the come-on arrived with the tuition bill. Or did your school make you buy it, and if so, how did it justify forcing your hand? And who among you has made a mental health claim on a tuition refund insurance policy — and what kind of process did you have to go through?

Article source: http://feeds.nytimes.com/click.phdo?i=99b75165b34e7afa76195b2dc30368e5

Bucks: 7 Steps in Appealing a Health Insurance Denial

It’s unsettling to receive a letter from your insurance company telling you that your request for medical care, or for payment of care you’ve already received, has been denied. But there are some steps you can take to help boost the odds of filing a successful appeal.

Martin Rosen, a co-founder of Health Advocate, a business that helps people who get their insurance through their employer navigate dealings with their insurance company, says the key to avoiding a denial in the first place is knowing the details of your insurance policy before you seek treatment. (The company also offers advocacy services, for a fee, through Patient Advocate Foundation can provide guidance for free. Fee-based services like Health Proponent are also an option. The service has been experimenting with different fee structures and is joining with affinity groups, like alumni associations and the American Automobile Association, to broaden its membership.

Health Proponent charges $29.95 a year for individuals and their families to join and charges additional fees, depending on the type of service it provides. If you have a claim denied, for instance, it will research the problem for a flat fee of $99. (That means using the service for claims of less than that amount doesn’t make sense.)

If you have uncovered medical bills totaling at least $400, the company will attempt to negotiate a reduced bill (there’s no upfront charge for the service, beyond the annual membership fee). The service previously charged an hourly rate for this service, Mr. Rosen said, but has switched to a percentage fee. If the company can’t negotiate any savings, you pay nothing to Health Proponent; if it does get the bill reduced, you pay 25 percent of the savings as a fee. (Say you are billed $10,000 which is not covered by your insurance, and the company negotiates the amount down to $5,000 — half the total. You pay $5,000 to the provider, plus a fee of $1,250 to Health Proponent. So you pay a total of $6,250, a savings of about 38 percent.)

Have you appealed a denied health insurance claim, with or without paid assistance? What was the outcome?

Article source: http://feeds.nytimes.com/click.phdo?i=8e4c2f89a49b285d3cba5717555840fe