Insurance regulation (41 - 50 of 70 items)
Health Insurance Regulation: Variation in Recent State Small Employer Health Insurance Reforms
HEHS-95-161FS: Published: Jun 12, 1995. Publicly Released: Jul 12, 1995.
Pursuant to a congressional request, GAO provided information on state legislation to improve portability, access, and rating practices for the small-employer and individual health insurance markets.GAO found that: (1) no state entirely adopted the National Association of Insurance Commissioners' (NAIC) model small-employer health insurance act; (2) the states did not consistently define small emp...
Health Care Reform: Considerations for Risk Adjustment Under Community Rating
HEHS-94-173: Published: Sep 22, 1994. Publicly Released: Oct 25, 1994.
Pursuant to a congressional request, GAO reviewed various issues regarding risk adjustment under health care reform, focusing on: (1) how the government's past experience with risk adjustment is relevant to recent health care reform initiatives; and (2) the features of health care reform that could affect risk adjustment and selection bias.GAO found that: (1) the goal of community rating may be co...
Insurance Ratings: Comparison of Private Agency Ratings for Life/Health Insurers
GGD-94-204BR: Published: Sep 29, 1994. Publicly Released: Oct 7, 1994.
Pursuant to a congressional request, GAO reviewed private agency ratings for life and health insurers, focusing on: (1) the rating systems of the five major raters of life and health insurers; and (2) which raters were first to report the vulnerability of financially impaired or insolvent insurers between August 1989 and June 1992.GAO found that: (1) insurer ratings could not be easily compared, s...
Blue Cross and Blue Shield: Experiences of Weak Plans Underscore The Role of Effective State Oversight
HEHS-94-71: Published: Apr 13, 1994. Publicly Released: May 9, 1994.
Pursuant to a congressional request, GAO reviewed Blue Cross and Blue Shield health care plans, focusing on the: (1) extent of financial weaknesses among the plans; (2) factors that contributed to the plans' weak financial conditions; and (3) measures taken by the plans, the association, and states to address weaknesses.GAO found that: (1) 53 of 64 plans are rated in fair to excellent financial co...
Medigap Loss Ratios, First 2 Years
HEHS-94-131R: Published: Apr 4, 1994. Publicly Released: Apr 4, 1994.
Pursuant to a legislative requirement, GAO reviewed Medigap policies' loss ratios, focusing on the: (1) appropriate loss ratio percentages if the refund and credit provision is extended for the first 2 years a policy is in effect; and (2) National Association of Insurance Commissioners' (NAIC) methodology for calculating refunds or credits. GAO noted that: (1) NAIC uses a cumulative loss ratio met...
Health Insurance Regulation: Wide Variation in States' Authority, Oversight, and Resources
HRD-94-26: Published: Dec 27, 1993. Publicly Released: Jan 11, 1994.
Pursuant to a congressional request, GAO provided information on how states regulate health insurance, focusing on state insurance departments': (1) role in regulating health insurance; (2) standards and regulatory responsibilities; (3) budget and staff resources; and (4) oversight activities.GAO found that: (1) although state insurance departments are responsible for overseeing health insurers an...
Health Care Reform: Supplemental and Long-Term Care Insurance
T-HRD-94-58: Published: Nov 9, 1993. Publicly Released: Nov 9, 1993.
Pursuant to a congressional request, GAO discussed provisions of the proposed Health Security Act, focusing on existing problems with private long-term care and supplemental health insurance. GAO noted that: (1) the administration's proposal for long-term care insurance provides consumer protection against unfair or deceptive marketing practices; (2) most existing health insurance policies do not...
Health Insurance: How Health Care Reform May Affect State Regulation
T-HRD-94-55: Published: Nov 5, 1993. Publicly Released: Nov 5, 1993.
GAO discussed states' regulation of health insurance and how proposed health care reforms could affect state health insurance regulation. GAO noted that: (1) only about 24 percent of U.S. national health expenditures are paid by state-regulated health insurers; (2) state insurance agencies commit 4 to 57 percent of their budgets to health insurance regulation; (3) many states cannot estimate the n...
Long-Term Care Insurance: High Percentage of Policyholders Drop Policies
HRD-93-129: Published: Aug 25, 1993. Publicly Released: Sep 3, 1993.
Pursuant to a congressional request, GAO reviewed consumer protection standards for long-term care insurance policyholders who allow their policies to lapse, focusing on the percentage of: (1) lapsed policies; and (2) policyholders' premiums that are paid as sales commissions.GAO found that: (1) at least 50 percent of long-term care policyholders are expected to allow their insurance policies to l...
Long-Term Care Insurance: Tax Preferences Reduce Costs More for Those in Higher Tax Brackets
GGD-93-110: Published: Jun 22, 1993. Publicly Released: Jul 23, 1993.
Pursuant to a congressional request, GAO provided information on the potential effect of applying various insurance premium proposals on long-term care insurance, focusing on how: (1) various tax incentives would affect long-term care policies, lifetime benefits, and individual costs; and (2) consumer age, tax bracket, and private or company-provided insurance would affect premiums.GAO found that:...