WWW.CAR-DIR.COM - BUY A CAR, BUY USED CAR, BUY NEW CAR, BUY CAR ONLINE, BUY USED CAR CHEAP, BUY CAR ENGINE. - First the competitiveness of Blue Cross and Blue Shield was limited by the fact that their nonprofit status required that they community rate their policies.
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  • Under a system of community rating insurance companies charge the same premium to sicker people as they do to healthy people. Since they were not considered to be nonprofit organizations commercial insurance companies were not required to community rate their policies.
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  • Instead commercial insurance companies could engage in experience rating whereby they charged sicker people higher premiums and healthier people lower premiums. Buy Classic Car. As a result commercial companies could often offer relatively healthy groups lower premiums than the Blue Cross and Blue Shield plans and gain their business.
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  • Thus the commercial health insurance business boomed as shown in Figure 2. Figure 2: Enrollment in Commercial Insurance Plans v. Buy Car India. Blue Cross and Blue Shield Source: Source Book of Health Insurance Data 1965.
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  • Figure 2 illustrates the growth of commercial insurance relative to Blue Cross and Blue Shield. So successful was commercial insurance that by the early 1950s commercial plans had more subscribers than Blue Cross and Blue Shield. Best Buy Car Speaker. In 1951 41.5 million people were enrolled in group or individual hospital insurance plans offered by commercial insurance companies while only 40.9 million people were enrolled in Blue Cross and Blue Shield plans (Health Insurance Institute 1965 Source Book p.
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  • Growth in Demand: Government Policies that Encouraged Health Insurance Offering insurance policies to employee groups not only benefited insurers but also benefited employers. Buy Classic Car. During World War II wage and price controls prevented employers from using wages to compete for scarce labor.
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  • Under the 1942 Stabilization Act Congress limited the wage increases that could be offered by firms but permitted the adoption of employee insurance plans. In this way health benefit packages offered one means of securing workers. Buy Classic Car. In the 1940s two major rulings also reinforced the foundation of the employerprovided health insurance system.
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  • First in 1945 the War Labor Board ruled that employers could not modify or cancel group insurance plans during the contract period. Buy Classic Car. Then in 1949 the National Labor Relations Board ruled in a dispute between the Inland Steel Co. and the United Steelworkers Union that the term wages included pension and insurance benefits.
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  • Therefore when negotiating for wages the union was allowed to negotiate benefit packages on behalf of workers as well. This ruling affirmed later by the U.S. Supreme Court further reinforced the employmentbased system.5 Perhaps the most influential aspect of government intervention that shaped the employerbased system of health insurance was the tax treatment of employerprovided contributions to employee health insurance plans. Buy Classic Car. First employers did not have to pay payroll tax on their contributions to employee health plans.
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  • Further under certain circumstances employees did not have to pay income tax on their employers contributions to their health insurance plans. The first such exclusion occurred under an administrative ruling handed down in 1943 which stated that payments made by the employer directly to commercial insurance companies for group medical and hospitalization premiums of employees were not taxable as employee income (Yale Law Journal 1954 pp. While this particular ruling was highly restrictive and limited in its applicability it was codified and extended in 1954. Buy Classic Car. Under the 1954 Internal Revenue Code (IRC) employer contributions to employee health plans were exempt from employee taxable income.
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  • As a result of this taxadvantaged form of compensation the demand for health insurance further increased throughout the 1950s (Thomasson 2003). Buy Classic Car. The 1960s: Medicare and Medicaid The AMA and the Defeat of Government Insurance before 1960 By the 1960s the system of private health insurance in the United States was well established. Best Buy Car Speaker. In 1958 nearly 75 percent of Americans had some form of private health insurance coverage. Best Time To Buy A Car. By helping to implement a successful system of voluntary health insurance plans the medical profession had staved off the government intervention and nationalized insurance that it had feared since the 1910s. Buy Classic Car. In addition to ensuring that private citizens had access to voluntary coverage the AMA also was a vocal opponent of any nationalized health insurance programs suggesting that such proposals were socialistic and would interfere with physician income and the doctorpatient relationship.
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