All posts by Debbie Sears

Health Insurance Has Never Been More Important

It’s a real different time that we are in with health and health care. In my lifetime I have not witnessed a health crisis that compares to our environment today. It’s never been more important to take every precaution that we are advised to follow and to maintain your health care coverage. I am going to share some valuable and creditable resources for you on my website and through my weekly blogs.

Small business owners came to me immediately. I have many friends and clients that own small businesses and employ some loyal employees. Some have been shut down to try to protect themselves and their customers. During this time of closure, some arrangement must be made to  maintain health insurance. This could be an arrangement between the employer and the employee to keep that existing insurance in place. This could be a marketplace individual policy or a short term plan to bridge a gap between this life-altering event and resuming business as usual as we know it. I am here to help you.

Let me explain the options in the individual market. If you want to explore the marketplace options we can accomplish this together online. A broker-assisted application is highly recommended so that you minimize the possibility of providing information that will result in a large penalty or a subsidy that you will have to return. There will be over a dozen options for plan designs and premiums with Medica and Wellmark. Together, we choose the plan that best suits your family’s needs and budget. Enrollment from there is easy and I’m happy to assist.

If you want a short term plan, intended to bridge a gap, they provide up to 36 months coverage. These plans do have health questions and are not guaranteed issue but are great options to consider. Again, we can offer benefit choices and tailor this to your family’s needs. This is completed online and over the phone.

We can take care of all of your needs over the phone and the internet. This will help with time management and be compliant with the requests of the authorities and health care providers in
not exposing each other.

I am sharing some links to helpful information for your reference concerning the COVID-19:

The Healthiest State Initiatives
info@iowahealthieststate.com This provides information that can be used personally to educate yourself on COVID-19.

Davis Brown Law Firm
https://www.davisbrownlaw.com/coronavirus-resources.aspx The article that Davis Brown made available is an excellent source for individuals and businesses.

Telehealth
During the Coronavirus pandemic, telemedicine can increase access to health care at a time when many patients, like older adults, are being advised to stay home. Keeping potentially infected people out of crowded waiting rooms and away from health care providers such as doctors, nurses, physician assistants and others can reduce the risk of spreading COVID-19 further.

This week, the Trump administration announced expanded Medicare telehealth coverage to allow beneficiaries to receive a wider range of health care services without the need to travel to a health facility. Clinicians will be reimbursed for providing telehealth services to beneficiaries throughout the U.S.

There are limits to telemedicine. In emergencies such as severe injuries or if you have shortness of breath or experience chest pain or pressure, or when a hands-on physical exam or procedure is
necessary, patients will still need to receive in-person care.

Wellmark members now have $0 cost share from home. Until June 16, 2020, Wellmark will cover the member cost share for all virtual visits with your personal doctor and other in-network providers. You and your covered dependents can get medical and behavioral health care at home at no cost to you with phone or video visits. Please visit DoctorOnDemand.com for instructions.

We also have a treasure in our community with Dr. Jon Van Der Veer at ExemplarCare – https://www.exemplar.care – Please check out his website to learn more about him and the services that he can offer. I feel that his services are a perfect fit for someone who understands the benefits of a HDHP (high deductible health plan). The first several thousand dollars are yours to pay before you have met your maximum out of pocket expenses. He can provide quality, one-on-one medical advice and care at an affordable price. When you are paying your own out-of-pocket expenses, you become a better consumer and can price shop things such as MRIs, etc.Check him out. This is not a recommendation that you forego health insurance, but this is a way for you to maximize your dollars
and your time.

We are all in this pandemic together – follow the advice of our leaders – stay safe and healthy. We are here to help you in any way that we can. Please continue to check out my website at Searsinsurance.info for my newsletter and blogs. Our Facebook page – Sears Insurance – will have more frequent postings that we feel you will benefit from reading. We appreciate your business – call us if we can help.

CARES Act: Key Provisions for Small Businesses

On March 27, 2020, President Donald Trump signed into law a $2 trillion bipartisan package called the Coronavirus Aid, Relief, and Economic Security Act or ‘‘CARES Act.” The act is designed to inject stimulus into the economy and provide relief to individuals and businesses impacted by COVID-19.

The legislation includes new and expanded loan programs, unemployment insurance benefits, tax relief and many other provisions. It also includes:
• $100 billion to support health care providers and hospitals.
• $27 billion to develop vaccines and purchase critical health care supplies.
• $45 billion for the Federal Emergency Management Agency Disaster Relief Fund.

Overview of some of the legislation’s key elements:

Establishment of the Paycheck Protection Program (Sec. 1102): Provides nearly $350 billion in low interest small business loans designed to encourage job retention. Loans can be made for up to $10 million and a portion of the loan may be forgiven if the small businesses (businesses with up to 500 employees) retain workers and use funds for payroll—including payment of health care premiums, utilities, and mortgage/rent payments.

This provision may help with employee group health premiums.

Expanded unemployment benefits (Sec. 2104, 2105, 3605): Broader access and increasing unemployment benefits in anticipation of vastly more job losses. In addition the legislation expands the Family and Medical Leave Act (FMLA) for businesses with up to 500 employees.

Business tax provisions (Sec. 2302): A payroll tax credit of 50% for wages paid during the COVID-19 crisis while delaying payment of payroll taxes.

Relief for distressed industries (Sec. 5001): In addition to providing relief for the airline, air cargo and national security industries, the legislation creates a $500 billion Coronavirus Relief Fund to provide financial support to other struggling industries.

Add Convenience With A Virtual Visit Benefit

Business owners can give your busy employees 24/7 access to care at a lower overall cost.

This benefit is called Doctor+ on Demand. Everybody would benefit from the convenience and cost-effectiveness of virtual visits. It helps people with tight schedules and short lunch breaks, people that live in rural locations that may have limited access, busy adults with children or aging family members, people with high deductible health plans (HDHP) or for people that often travel for their job.

There are no costs involved, you pay only for the care you use, the claims are seamless with quarterly reporting and there’s plenty of employee communications support. With this benefit, you can connect face-to-face with a doctor from virtually anywhere using a smartphone, tablet or computer.

This might save you some expensive trips to the doctor or emergency room. Some of the most common conditions that they can help with include colds, flu, bronchitis and sinus infections, urinary tract infections, sore throats, allergies, fevers, headaches, mental health conditions, etc.

There are more than 1400 board certified physicians and 300 psychologists in all 50 states. They can also prescribe medication if needed. If you do not currently have this, please ask your employer to give us a call at Sears Insurance.

Looking Ahead…

As we near the end of our first quarter of 2020, we need to look back one quarter so we can project forward for the balance of the year.

What I mean is that in the group market, which is our small and large employers, you’ve probably gone through your renewal process, either last year or early 2020. Your settled, you’re done, you’re looking forward to getting your taxes done, etc.

However, now is the time that you need to be marketing yourself for your upcoming insurance needs. You’re settled, your rates are in place, your plan’s in place, now is the time to shop for the next round.

Our quoting is free. There’s no reason not to reach out and be proactive for your employees. They are your greatest asset; they are also your largest overhead. This is an investment in your own business. We come in, look at your benefits and the demographics of your group. We run our quotes, show you apples-to-apples where we line up on price and benefits. And then we make appropriate suggestions to better fit the broadening age-band of our employees and generally speaking, in doing so, lower your overall cost, protecting your cash flow. This allows extra funds each month for expansion of your employee benefits.

Exemplar Care

Whether you are on an individual plan or a group plan, if you opt for a high-deductible which could save you premium dollars and could offer you personal tax savings (if you have an HAS account), most people are intimidated and hesitate because of the out of pocket expense they would incur getting to their max out of pocket.

I invite you to look at “Exemplar Care” founded by Jon Van Der Veer D.O. Please visit his website to learn more. This is exciting news. He’s the first in our area to do this and it’s going to save you a bundle of money. You will get faster service than going through our usual channels at a highly reduced cost. I highly recommend Dr. Van Der Veer.

Before You Leave For Spring Break…

Whether you are on a single plan, a group plan through an employer or a Medicare supplement plan, you should know how to access providers when you leave for Spring Break.

BEFORE you leave…If you download your Wellmark app, you will find the MyWellmark. This is personalized for your plan specifically. This will allow you to know your coverage inside and out, keep tabs on your claims and spending, give you information for informed decisions 24/7. When you log in to the app, you’re going to see 12 resources. This is anything from your ID card to 24/7 help.

Permanent Life Insurance

Permanent life insurance is also referred to as whole life.

Whole life is by no means the least costly, but it is insurance that you cannot outlive. The goal with any insurance is to buy it young and buy more than you need because we can’t turn the hands back on the clock for age, but also generally speaking, younger people are healthier and slimmer.

As opposed to term insurance, if I had term insurance for 30 years and lived to the 31st year, my family would have no benefits. That is the offset of the low premiums in comparison to whole life insurance.

Within the category of life insurance, there is accelerated whole life, which results in a quicker application process. There is increasing whole life, which is designed to help cover final expenses, costs associated with funerals and burials and keeps up with inflation.

If you feel a specified amount is appropriate for your needs today, years from now, that amount will not be adequate.

We also have child riders that are very inexpensive. There is continuous pay, which means you pay your premium indefinitely and there is single premium, so if you had excess funds to invest, outside of your growth portfolio, this would be an option to consider.

There are riders that you can apply to your life insurance policy such as a disability income rider which covers your income while you’re living. Call me for your free quoting with an array of different companies and let’s see what’s a “good fit” for your needs and budget.

Term Life Insurance

Is just that.

It has a start and an end date. Term insurance is used for specific intentions such as covering a mortgage or seeing a child through college years. Term insurance can also be used for business succession planning, buy/sale agreements, short-term notes, etc. It is relatively easy to get. There are underwriting requirements and it’s usually the least costly life insurance available.

We pride ourselves as independent agents and we “shop your insurance for you” by getting quotes and/or submitting applications to various companies to get you the most value for your premium dollars. Please call us, our quotes are free. See my next blog post on Permanent Life Insurance.

Get Your Valentine a Belated Gift From the Heart with Life Insurance

Let me explain why. Life insurance is not for you. It’s for those that you love. And we all need it.

As our life changes from being so poor that ramen noodles is a delicacy, to “making it”, children are raised and deaths are at an all-time low. There is a place for the proper insurance.

When you are young, it is intended, in most cases, to cover debt, such as mortgage, raise and educate your children, etc. When your kids are off to school, or off to college, the purpose changes to possibly taking care of each other and cleaning up any debt left and leaving the surviving spouse in a “better financial position”.

If we are past those life events, life insurance is always a part of any above-average to affluent client’s portfolio to avoid taxation and an immediate growth surge for the inherited funds. There are many kinds of life insurance. Term insurance and permanent insurance. Please follow my next blog post and I will explain the differences.