To: Larry S. who wrote (90273 ) 9/10/2009 12:10:27 PM From: puborectalis Respond to of 94695 From 2008......... Purchasing insurance across state lines: a good idea? Is it a good idea to let Americans buy health insurance across state lines – something that isn’t allowed currently? Sen. John McCain thinks so and said so last night in the presidential debates. Giving consumers more choices will help them find affordable policies that meet their needs, according to the Arizona senator. It’s a proposal that makes a lot of sense, intuitively. If I can buy a car or a college investment account in another state, why can’t I purchase a health insurance policy in Alabama or Alaska? Today, I asked Sandy Praeger to share her perspective on the issue. Praeger is insurance commissioner for Kansas and president of the National Association of Insurance Commissioners. Praeger told me she was against lifting restrictions on the sale of insurance across state lines. If the change was implemented, here’s what she predicts will happen: Insurers will set up shop in states with few regulations and market low-cost policies to people across the country. These policies will offer minimal coverage and appeal primarily to younger consumers. “It will be a race to the bottom,” Praeger said, and there will be “very few consumer protections. … You’ll have plans that don’t cover the benefits that people need. … And healthy people are going to buy those less costly plans, because they don’t think they need [the protection].” That may be a good deal for young people who don’t have health problems, but it would probably become a bad deal for everyone else, Praeger said. The policies that sell comprehensive coverage would draw a sicker, older customer base, becoming more and more expensive. The end result will be a segmenting of the insurance market into the “haves and have nots,” Praeger said. One segment of the market will become more affordable, but the other segment will become less so, disadvantaging those who need coverage most. How would a national insurance marketplace be regulated, I asked the insurance commissioner. It’s confusing, she admitted. As an example, she talked about a hypothetical consumer from Kansas who might buy a health insurance policy in New Jersey. “Does my Kansas consumer who buys that product have to go back to the New Jersey commissioner [of insurance] if they aren’t getting the benefits they think they’re entitled to? Do I have the authority to intervene on their behalf?” Consumers may end up being referred to federal authorities if they have complaints, as is already the case for people who get health insurance from companies that are exempt from state regulation. Large companies that fund their own health plans rather than purchasing insurance fall in this category. But the reality is that regional offices of the U.S. Department of Health and Human Services aren’t set up to handle consumers’ insurance concerns in a timely fashion, Praeger said. “It’s very difficult for consumers to get their complaints dealt with,” she said. newsblogs.chicagotribune.com/triage/.../purchasing-insu.html