Category: Newsroom

SAHU_Omnibus

Congress Passes End-of-Year Omnibus That Includes NAHU-Supported Provisions

At the end of 2022, Congress passed a $1.7 trillion omnibus package that avoided a government shutdown. The massive spending package includes two major NAHU-supported provisions regarding telehealth and long-term care. Individuals will now be able to use existing retirement accounts to pay for long-term insurance. More specifically, the provision will permit individuals to pay up to $2,500 each year for long-term care insurance with their 401(k)s, 403(b)s and IRAs without a 10 percent early withdrawal penalty tax.

The package also includes a two-year extension of telehealth-related regulatory flexibilities put in place during the pandemic. In 2021, the CARES Act provided temporary relief during the pandemic by allowing HSA-qualified high-deductible health plans to cover telehealth services before reaching the deductible. It also allowed patients to choose and purchase telehealth services outside their HDHP without impacting their eligibility for an HSA. Prior to today’s bill, these flexibilities were set to expire at the end of 2022. Now, these waivers will remain in place through December 31, 2024. “As an insurance agent, it is important to be aware of how these legislative updates affect our clients. SAHU, CAHIP, and NAHU give agents the opportunity to be in the know and part of the change as it happens,” says Antonette Vanasek, SAHU Media Chair.

Other major health policies include a bipartisan deal to end the Medicaid policy that provided states with additional funding and barred them from kicking people off federally funded insurance, setting a new end date of April 1, 2023, instead of July 2023. This date change will have an impact on what has been dubbed the “Medicaid unwinding,” when nearly 85 million people enrolled in Medicaid will have their eligibility redetermined at the end of the public health emergency, triggering a high risk of coverage loss of eligible individuals.

In addition, the omnibus bill includes $1.5 billion in state grants for substance abuse prevention and treatment and several key investments to expand access to mental health, including grants for maternal mental health, the Community Health Service Block Grants and the Substance Use and Prevention, Treatment and Recovery Block Grants.

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For over 30 years, SAHU has worked to improve our members’ ability to meet the health, financial and retirement security needs of all Californians and Americans through education, advocacy, and professional development. For more information, please visit: sahu-ca.com. 

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SAHU_Lasik

Lasik Surgery May Be More Dangerous Than Previously Thought

A recent study has shown that LASIK surgery may be more dangerous than previously thought. A recent investigation by the FDA found that there have been several complications reported after LASIK surgery. These complications include dry eyes, halos around lights, and starbursts.

The president of the Sacramento Association of Health Underwriters, Rosamaria Marrujo, stated that “LASIK is not as safe as we were once led to believe” and urged people to do their research before getting the surgery. This is not the first-time concerns have been raised about the safety of LASIK surgery; a class action lawsuit was filed against the makers of LASIK devices in 2016. Despite these concerns, many people continue to undergo the procedure each year.

Lasik eye surgery is a popular vision correction procedure that involves reshaping the cornea. To ensure patients are informed of all potential risks associated with this treatment, the FDA mandates medical professionals to go over every possible outcome – including those for individuals living with diabetes who may suffer from long-term complications at an increased rate compared to non-diabetics.

Despite the high cost and lack of insurance coverage, Lasik eye surgery remains a popular procedure for 500,000 Americans annually. However, surgeons are not pleased with the FDA’s new regulatory requirements.

Lasik eye surgery is an important decision, and it is up to the individual whether they pursue it. To help people make a well-informed choice that works for them, the FDA has put together a comprehensive document outlining all the essential facts regarding this procedure.

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For over 30 years, SAHU has worked to improve our members’ ability to meet the health, financial and retirement security needs of all Californians and Americans through education, advocacy, and professional development. For more information, please visit: sahu-ca.com.

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SAHU Newsletter | November 2022

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SAHU-PDPChanges

Vast Changes to Medicare Part D Plans in 2023

Medicare beneficiaries can rejoice for the first time; there will now be a cap on their out-of-pocket costs for prescriptions each year. This brand-new provision is part of the Inflation Reduction Act of 2022, including limits to out-of-pocket insulin payments and making vital vaccines accessible. 1.3 million people spent over $2K in 2020 without this protection based on Part D plans – highlighting how critical these changes are going forward! Plus, all will roll out gradually via staggered implementation as with many other parts of this law – so keep an eye open if you’re eligible soon enough!

In 2024, Medicare beneficiaries will no longer have any out-of-pocket costs once they enter what Medicare calls catastrophic coverage. The way catastrophic coverage worked in 2022 is that once an enrollee’s out-of-pocket costs reached $7,050, they must pay 5 percent of their prescription drug costs, with no limit. But beginning in 2024, that 5 percent coinsurance requirement will be gone, and enrollees won’t have to pay anything for their prescription drugs for the rest of the year.

Beginning in 2025, Part D prescription drug out-of-pocket costs will be capped at $2,000 annually. This applies to stand-alone plans with original Medicare or private Medicare Advantage plans, which also cover prescription drugs. It should be noted that this cap may change over time due to inflation and other factors affecting the healthcare industry landscape. These cost savings are expected to begin rolling out gradually until then so beneficiaries can start planning for their future healthcare needs accordingly!

Also, in 2025, Medicare drug plans are introducing a new feature to alleviate the burden of large drug bills. Smoothed cost-sharing allows enrollees to spread out their out-of-pocket costs over an entire year and protect those who may have difficulty covering one lump sum payment for medication expenses. “This is a great benefit for our Medicare Beneficiaries,” says SAHU Medicare Chair, Kerri Sanford.

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For over 30 years, SAHU has worked to improve our members’ ability to meet the health, financial and retirement security needs of all Californians and Americans through education, advocacy, and professional development. For more information, please visit: sahu-ca.com.

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New Law Requires Licensees to Include Their License Number on Emails

NOTICE FROM THE CALIFORNIA INSURANCE COMMISSIONER
RICARDO LARA

New Law Requires Licensees to Include Their License Number on Emails

Starting January 1, 2023, a new law will require most types of insurance producers, as well as independent insurance adjusters, public insurance adjusters, and analysts, to include their license number on emails. (California Insurance Code section 1725.5, as amended by Senate Bill 1242 [Committee on Insurance, Chapter 424, Statutes of 2022]) This Notice answers some of the most common questions about the new law.

Which types of insurance license does the law apply to?

The law applies to individuals and organizations* licensed as:
Property broker-agents
Casualty broker-agents
Life agents
Accident and health or sickness agents
Personal lines agents
Limited lines automobile insurance agents
Surplus lines brokers
Independent insurance adjusters
Public insurance adjusters
Life and disability insurance analysts

*Insurance Code section 1628 defines “organization” as meaning any legal entity other than a natural person. The term “organization” includes corporations, partnerships, Limited Liability Companies, and unincorporated associations that hold a license.

Does the law apply to all emails?

The law applies to every email, regardless of where the email is sent from or to, that involves an activity for which a person must hold one of the above types of license. Examples of emails that involve an activity for which a person must hold one of the above types of license include, but are not limited to, emails that:

Advertise a producer’s insurance business in general, or that advertise a specific policy offered by the producer;
Convey a premium quote or mention any other provision of a current, past, or potential policy;
Request rating or underwriting information from an insured or prospective insured;
Request payment of premium;
In the case of an independent adjuster or public adjuster, ask a claimant for claim information, or provide information about a claim or about filing a claim.

Does the license number need to be a minimum size?

Yes. The license number must be in a type size that is no smaller than the largest of any street address, email address, or telephone number of the licensee. For example, if an email includes a 10-point street address, an 11-point email address, and a 12-point telephone number, then the license number must be at least 12-point.

Does the license number need to be in a specific location on the email?

Yes. The license number of an individual licensee must appear adjacent to or on the line below the individual’s name or title. The license number of an organization must appear adjacent to or on the line below the organization’s name.

If an individual licensee sends an email while working for a licensed agency, and both the individual’s and the agency’s names appear on the email, which license number should be included on the email – the individual’s or the agency’s?

Both.

If an individual licensee sends an email while working for two or more licensed agencies, but only one of the agencies is involved in the transaction to which the email relates, does the license number of the other agency also need to be included on that email?

Yes. An email must include the license number of every agency whose name appears on an email.


Please direct questions to the Producer Licensing Bureau by Live Chat at Agents & Brokers Overview, email at cdilicensing@insurance.ca.gov, or telephone at (800) 967-9331.

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SAHU Newsletter | October 2022

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SAHU Newsletter | September 2022

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SAHU Newsletter | August 2022

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SAHU Newsletter | July 2022

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Roe v. Wade overturned could impact fertility treatments and IVF

FOR IMMEDIATE RELEASE
Date: July 15th, 2022

Overturning Roe v. Wade could have certain implications for fertility treatments and in vitro fertilization (IVF). It could lead to decreased access to affordable treatments, with restrictions on reproductive rights varying state by state. Additionally, states may ban specific critical medical interventions for successful IVF cycles, such as embryo freezing or genetic testing. These measures would effectively limit patients’ options for managing their fertility care and accessing the treatment they need. Furthermore, it could mean that insurance plans could refuse to cover fertility treatments or provide inadequate coverage levels due to a lack of regulation at a federal level.

Experts have warned that the broad language in specific state-level abortion bans could potentially infringe upon access to assisted reproductive technology such as IVF, despite Roe v. Wade not necessarily prohibiting access on its own.

In some states, the language of their laws is unintentionally impeding access to assisted reproductive technologies (ART) due to its failure to capture and represent biological reality or address topics beyond abortion.

Additionally, overturning Roe v. Wade could decrease available fertility clinics and providers, as laws regulating the practice of reproductive health care would be made at the state level rather than federally. This would limit patient access to specialized care and have potentially devastating implications for those seeking fertility treatments. Furthermore, states may also attempt to regulate the content and type of information provided to patients regarding their fertility options, which could further limit the effectiveness of reproductive health services.

If Roe is overturned, some states’ laws that grant fetuses, embryos, and fertilized eggs rights similar to those of children could change the landscape of IVF. These “personhood” bills could make disposing or freezing excess embryos legally questionable.

Ultimately, overturning Roe v. Wade could create a patchwork of state laws and regulations that would disproportionately impact people who rely on reproductive health services and fertility treatments. Such an outcome would be detrimental to those seeking to build families and access the necessary care. It is, therefore, critical to ensure that Roe v. Wade remains intact so that people can continue to make decisions about their reproductive health with dignity and autonomy.

Sacramento Association of Health Underwriters is watching to see how insurance carriers adapt to this legislation and how it will affect costs and benefits.

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For over 30 years, SAHU has worked to improve our members’ ability to meet the health, financial and retirement security needs of all Californians and Americans through education, advocacy, and professional development. For more information, please visit: sahu-ca.com.

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