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Posted: 9:03 a.m. Wednesday, March 24, 2010

THIS ONE WILL TAKE SOME STUDY 

By Neal Boortz

And maybe some of my listeners can help me here. Read this portion of the ObamaCare bill our wonderful president signed into law on Tuesday:




(A) REQUIREMENT- Beginning not later than January 1, 2011, a health insurance issuer offering group or individual health insurance coverage (including a grandfathered health plan) shall, with respect to each plan year, provide an annual rebate to each enrollee under such coverage, on a pro rata basis, if the ratio of the amount of premium revenue expended by the issuer on costs described in paragraphs (1) and (2) of subsection (a) to the total amount of premium revenue (excluding Federal and State taxes and licensing or regulatory fees and after accounting for payments or receipts for risk adjustment, risk corridors, and reinsurance under sections 1341, 1342, and 1343 of the Patient Protection and Affordable Care Act) for the plan year (except as provided in subparagraph (B)(ii)), is less than-

(i) with respect to a health insurance issuer offering coverage in the large group market, 85 percent, or such higher percentage as a State may by regulation determine;

(ii) with respect to a health insurance issuer offering coverage in the small group market or in the individual market, 80 percent, or such higher percentage as a State may by regulation determine, except that the Secretary may adjust such percentage with respect to a State if the Secretary determines that the application of such 80 percent may destabilize the individual market in such State.

Now I'm reading some blogs out there which claim that this ObamaCare provision pretty much guarantees that most private health insurance companies will go out of business within two or three years after ObamaCare becomes law. Some experts believe that this section pretty much robs private health insurance companies of the ability to set aside needed funds for administrative expenses and other contingencies. It will take someone smarter than me to figure out.

 
 

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