Document Detail


The effect of state regulations on the quality and sale of insurance policies to Medicare beneficiaries.
MedLine Citation:
PMID:  3295008     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This paper examines the effects of state regulations on the quality of insurance policies sold to Medicare beneficiaries and on the amount of sales abuse reported in the sale of such policies. State regulations regarding such policies relate to policy content and format, minimum rates of return, sale of these policies related to disclosure requirements, consumer information activities, and penalties for agent and company abuse. This paper examines the impact of specific regulations on the ratio of the expected policy benefits per premium dollars and on the number and kind of abusive sales practices reported by purchasers and nonpurchasers in agent and mail sales. The study finds that loss ratio floors, minimum benefit standards, and the development of states of consumer information guides for prospective policyholders have a positive impact on the quality of the policies purchased. In addition, the study finds that the amount of abuse reported is less when insurance companies routinely issue press releases concerning agent or company misrepresentation and when consumer guides are developed and available from the state.
Authors:
N McCall; T Rice; A Hall
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of health politics, policy and law     Volume:  12     ISSN:  0361-6878     ISO Abbreviation:  J Health Polit Policy Law     Publication Date:  1987  
Date Detail:
Created Date:  1987-06-26     Completed Date:  1987-06-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7609331     Medline TA:  J Health Polit Policy Law     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  53-76     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Consumer Advocacy*
Female
Government*
Humans
Insurance, Health / legislation & jurisprudence,  standards*
Male
Medicare*
Socioeconomic Factors
State Government*
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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