All posts by Debbie Sears

Sears Insurance Forms Alliance with Principal Senior Financial Services Representative

There has been a recent alliance formed between Sears Insurance and a Senior Financial Services Representative with Principal that is very exciting.

The Senior Financial Services Representative works with business owners or executives of corporations to develop a plan and/or strategy for their insurances and their monetary assets as they retire from the business world.

Having this plan in place allows an individual to determine at various junctures in their time-line where they can afford to live, how they can enjoy their hard-earned dollars with vacations, etc. How their funds should be invested and managed so they maximize their dollars and minimize their taxation.

This person relies on Sears Insurance to work as a team member to put into place proper health insurance, proper life insurance (for not only estate planning, but possibly successorship planning), long-term care insurance protection and fixed annuities where applicable.

With us working together with the same values and number of years of experience, we feel confident that we can offer you the highest quality and best-managed portfolio for yourself and your family. I will be sharing more information as it becomes available but please know you can call us any time. It is always better to call 6 months or even a year before your retirement date. This allows all of us an opportunity to analyze your needs and your wants and develop a plan.

Affordable Care Act Timeline of Provisions

A good benefits administrator will know and understand what a business is faced with on the ACA time-line of provisions.

Since 2010 (the inception of the ACA), through 2018, there are different provisions that kick in each year. I like to be very proactive and know what these are. We’re certified and trained to keep you as a business owner compliant. Non-compliance can come with a very heavy price.

I would also like to mention that anyone in our industry that is working with you, your insurances and your assets, has a fiduciary responsibility to make mention of this. If this is not their specialty, they should definitely ask you to contact the person of your choice so that you can educate yourself on what you need to do as a business owner to be compliant. This is a federal law. It is important. If you are direct with an insurance carrier and you have your internal HR person responsible for this, shame on you.

This area of insurance demands training and certifications and ongoing and continuing education to remain current. This is not something you should expect of a non-insurance licensed or actively working person to know. You would look foolish at the end of the day if this was your expectation. Therefore, you need an agent involved to work in your best interest as a benefits manager. Please call me.

Stay Safe this Fourth of July!

Everybody is looking forward to the Fourth of July. Family, fun, cook outs, laughter, on and on. Please be careful. Instruct your little ones. Here’s a quick and fun fireworks quiz. Be sure everybody in your family takes the quiz until they get it right. I recommend you take this quiz prior to lunch so the rest of your day can continue to be fun. And when the sun sets, you will already be prepared.

 

Do You Have Employees Aged 60 and Older?

Let’s talk about employees aged 60 and older that are typically looking forward to retirement. They have spent the majority of their life doing the job that they were hired to do and undoubtedly did it well, but they are going to walk out the door with a whole new assignment.

The new assignment that will be so foreign to them is how to take care of their health insurance, their dental insurance, their 401(k) and things that have been provided through their employment as benefits. It’s like walking onto the stage without your script – you’re lost!

Sears Insurance would like to serve as your transition partner in taking your quality employee out from under your wing and securing their position going forward. We will run quotes for them, discussing the pros and cons of all options for their health insurance for themselves and possibly their family and we can roll the 401k into an IRA (Individual Retirement Account).

One of the key components to advising folks on their retirement assets is to have a discussion with both the husband and the wife as to their overall picture. We talk about their asset to debt ratio and where their funds would grow safely.

Generally speaking, a retired person’s allocations for the investment of their funds should be safer leaning more towards the conservative side than the high risk side. The investment that we suggest here would offer guaranteed principal, a minimum rate of return, tax deferral and access to their funds. Outside of that, we recommend that plenty of reserve is left in your local bank for unexpected needs and luxuries that you so well deserve and a portion “in the market”.

When I say “in the market”, I mean stocks, bonds, mutual funds, i.e. high risk, non-guaranteed investments, so we can still appreciate market gain safely if we are more tethered to guaranteed and conservative funds. We do not want to lose principal at this stage of our lives as we do not have the mortality left to absorb significant losses.

So, our role here does not start and stop with your group benefits. We offer to continue to serve the needs of your employees as they venture into their retirement. Again, please know our consultations are free and we’re here to help.

Are You a Business?

Whether you are a small business owner or whether you a re a corporation, you should have an account manager or an employee in house that takes care of your group health benefits for your employees.

We are seeing more compliance and regulatory demands than I can ever remember. We are constantly being updated and educated to stay current so that we can keep all of the accounts we’re responsible for compliant. If I were your employee, not a licensed insurance broker, I would spend the majority of my day working on compliance and regulatory issues in an effort to keep you compliant.

Another option you may consider would be having Sears Insurance as your benefits account manager. I would work hand-in-hand with your employee to accomplish the same goal, but that person’s time wouldn’t be dominated and in the end, it would be a cost-savings for you as well as assuring that you are compliant.

The role of an account manager has become increasingly important since the passage of the ACA. It is the account manager that keeps the processes moving forward through the service provided to Clients (you would be considered a Client of an insurance company).

Account managers have taken on many more duties and are critical in the compliance effort. These professional services provide successful compliance and piece of mind that things will be taken care of very skillfully. We have an understanding of the complex and critical role this plays in the health and benefits arena. We understand the key technical components of benefit plans and are prepared to counsel you on various products as well as assist with your compliance.

Please call me, my consultations are free and let’s see if balancing the responsibilities for your HR people makes sense for your organization.

Do you have an HDHP?

No, I’m not talking about a diagnosis. I’m talking about your high deductible health care plan.

Sometimes these are also called HAS (health savings accounts). I have touted these for years as being a way to participate with the highest quality carriers, the highest quality network of providers and offset your monthly premium with a high deductible.

HAS plans also have some tax advantages. So, the mentality was, you get your free preventative/wellness exam once per year and outside of that, you pay for your doctoring out of pocket until you have reached your deductible/maximum out of pocket. Years go by and you “win” on this theory by having a lower premium than insuring with a low deductible and if you choose to participate in an HAS account, some tax advantages.

However, with the environment the way it is presently, there are some hospitals that are asking the patients to pay for their high deductibles up front. The purpose for this is that the hospitals are trying to reduce the probability for accounts receivable as they continue to struggle with low reimbursements for their services. Nationwide, we have seen more health insurance companies participate in mergers and acquisitions than ever before. This was done because their reserves were not adequate enough to support the tidal waves of extremely high dollar Clients. Understandably so, but the result of that reduced the number of companies in the marketplace making competition less than it was before…driving rates up.

If you have an HDHP, my suggestion is, you’re going to pay now or pay later, so if you are astute about your budgeting and your financial planning, you indeed would have an HAS account set up, you would contribute to it and if you were ever asked by a hospital system to pay for your deductible in advance, you would be prepared and this would not be a challenge for you and you would still enjoy the benefits of an HDHP.

Please call me for a review of your current position, we will analyze your options, provide you with choices and you will know best what is a good choice for your family.

Individual Insurance Policy Rate Hikes

In case you haven’t heard, individual health insurance policies are scheduled for a substantial premium increase starting in January 2017.

The reason that these increases have been approved by the State Insurance Commissioner is because the big losses that have been suffered by insurance carriers need to be absorbed.

A year or so ago, our State’s leading health insurance carrier, Wellmark, was publicly criticized for the amount of dollars they had in reserves. Well, as it turns out, thank goodness for all of us (particularly if you were a patient receiving services) because Wellmark was able to sustain and pay all of our providers. Providers are hospitals, urgent care facilities, doctor’s offices, laboratories and every specialty of the medical field you can imagine, ambulance, air ambulance, prescription drugs and the list is endless.

However, if you remember several years back, prior to the Affordable Care Act (ACA), becoming a law in 2010, Americans were promised that they would not have to change doctors and that the average family would have a premium savings of approximately $2,500 per year.

What this means for consumers is that insurance carries are asking for sharp price increases after suffering big losses on exchanges in the last two years. One of the underlying problems that presented a huge liability was an expiration of the re-insurance program under the Affordable Care Act that was intended to offset some of the losses due to sicker customers who racked up high medical bills.

Open enrollment is at the end of the year for January effective dates. My suggestion to you would be to call me any time this summer so that we can develop a strategy. I will look at your current plan and the choices you had at that time and see if this plan is working as well for you as you wanted to, what your other choices look like at the time and try to figure out all of the details that are important to you. So, in fourth quarter when I have access to 2017 rates, we’ve got a general idea of what you’d like to do.

If any of you happen to be business owners, we might want to contemplate the pros and cons of looking at group insurance and stepping out of the individual insurance arena. We do have options, there’s always more than one way to look at anything, so please call me, I’m here to help.

Thank You to our Veterans!

As we celebrate Memorial Day weekend, I think of our veterans all through the year and thank them for our freedom and the privileges that are so easily taken for granted. Their sacrifices are untold and their rewards should be uncounted. There are so many things to see and so many things to do within our state that I have attached a link from Travel Iowa that provides you with a list of all of the possibilities. This would be a good opportunity for the family to get out and have some history lessons and have a lot of fun. This link will allow you to sort by region for various activities. Have a fun and safe weekend!

If you’re in the Des Moines area and choose to stick close to home, please don’t forget Camp Dodge.

 

It’s time to call it summer and let’s go play!

The Des Moines Corporate Games is sponsored by small, medium and large companies and the Greater Des Moines Partnership. This 8-week event enables and supports teamwork, company pride and corporate wellness through healthy competition. If you click the Events tab, you’ll see all kinds of fun things to do. The registration tab will take you to the registration portal. I think you’ll find something for everyone.

The Des Moines Corporate Games is a company based competition, starting June 1 and ending July 31, that enables and supports teamwork, company pride and corporate wellness through healthy competition. There are twenty-one sports offered that include both competitive and non-competitive sports and events. All events will be held in the evenings and on the weekends.

Register for myWellmark!

It is graduation time! It is vacation time! And we’re all ready to be on the move.

I strongly suggest that all of my Wellmark Clients register for myWellmark. This is where you can find information to manage your health, your health plan and your health care costs all in one place.

This link will take you to the myWellmark registration page and it will provide you with the 7 reasons why you should register. Everything to do with your insurance, your health care, questions you may have, prices for your prescriptions, member discounts, etc. It is all right at your finger tips. If you’re planning a vacation or have children off on an internship, please have this available. Illness and injuries are not scheduled. We’re here to help!

 

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