Residential mental-health services now on par with medical coverage

Insurance Commissioner Mike Kreidler has clarified to insurance companies in Washington that mental-health services must now be offered in parity with medical services.

The commissioner updated rules on mental-health parity in 2014 and asked insurers to review previous mental-health claims that had been denied under a blanket exclusion. He asked insurers to rectify those denials.

The need for clarification arose after a consumer filed a complaint with our office after being denied for residential mental-health treatment. The individual said this violated federal laws regarding mental-health parity.

The federal Mental Health Parity and Addiction Equity Act of 2008 requires insurers in Washington to provide residential mental-health benefits to consumers on par with similar medical health benefits.

Most insurers were already providing the mental-health services on par with medical services. The consumer complaint prompted further clarification.

Better access to mental-health treatment continues as a top public policy priority in Washington. Consumers with concerns can contact the commissioner’s office at any time for information. Consumer advocates are also available to take calls toll-free at 1-800-562-6900.

Read more about mental-health parity. 

OIC hiring six temporary customer service specialists

The Office of the Insurance Commissioner (OIC) is hiring for six part-time, non-permanent Customer Service Specialist 1 positions. The positions are located in our Tumwater headquarters and are expected to work 20-30 hours per week. The expected duration of the appointments is four months, starting September 2015.

The positions provide customer service and technical assistance to the Statewide Health Insurance Benefits Advisors (SHIBA) staff and volunteers surrounding the annual Medicare open enrollment period. The positions also assist in answering phone calls and consumer questions regarding their Medicare Part D options.

Duties of the positions include, but are not limited to:

• Assisting consumers by telephone or email regarding technical questions or concerns regarding Medicare enrollment, coverage and options. 
• Explaining to consumers available outreach, workshop and public media events in their communities.
• Providing information about services available through the OIC, especially consumer advocacy. 
• Resolving consumer concerns and issues with a thorough analysis and research and provide unbiased impartial information. 

The deadline to apply is Aug. 19.

To apply, or for more information, visit careers.wa.gov

Gallup poll: Washington ranks 5th among states with drop in uninsured rate

According to a Gallup poll released today, Washington is one of five states to exceed a 10 percent drop in the number of uninsured people.

Seven of the 10 states with the biggest reductions have two things in common: they expanded Medicaid (called Apple Health in Washington) and established a state-based health exchange (ours is called Washington Healthplanfinder).

Washington state has seen record-low rate requests from health insurers in the past two years. Insurers proposed an average 5.4 percent increase for 2016. These plans are now under review and the average rate increase is likely to be lower.

For 2015 plans, insurers proposed an average rate increase of 8 percent. Insurance Commissioner Mike Kreidler eventually approved an average 1.5 percent rate increase.

"I'm pleased to see the health insurers show an increased interest in the individual market and to see rates continue to come in relatively low,” Kreidler said when the 2016 rates were submitted in May of this year.

Open enrollment for 2016 health plans begins on Nov. 1.

Consumer alert: Life insurance mail scam still alive in Washington

Some Washington residents are receiving mailers from National Processing Center advertising a “state-regulated life insurance program to pay Final Expenses for just pennies a day…  Return this card today and you will receive the latest information on how this Special Program will pay 100% of all funeral expenses not paid by government funds, up to $25,000 (TAX FREE), for each Washington citizen covered.”

This is a mail phishing scam and we are alerting consumers to not return the card or provide any personal information.

Here’s what the mailer looks like:

Here are some red flags we identified in this mailer that consumers should be aware of:

• The mailer doesn’t identify the name of the insurance company.
• The mailer doesn’t give an agent or broker to contact.
• The card gets returned to “National Processing Center,” which is not an insurance company.
• The mailer gives no information about the policy.

The Virginia Better Business Bureau issued a consumer alert about the mailings in 2013.

A handful of companies are authorized to sell final-expense life insurance policies in Washington, which typically are purchased to cover funeral expenses. Before you buy any insurance, you should make sure the person or company selling the policy is licensed to do business in this state. If you are interested in finding one of the companies that sells final-expense life insurance, you can contact our consumer advocates at 1-800-562-6900 for a list.

Read more about life insurance and what to consider before you buy it.

Think your driving habits are the basis for your insurance rates? Think again

Consumer Reports recently reported on auto insurance premiums and rates, and is doing a social media campaign to raise awareness of the issue. They found that auto insurers use factors like your credit score, shopping habits and a loyalty penalty –your tolerance for rate hikes--when setting your insurance rates. The publication is urging consumers to contact state insurance regulators like Commissioner Kreidler to voice their support for premiums that are based on driving behavior.

Kreidler has long advocated for abolishing credit scoring, which is the practice of using consumers’ credit scores to set rates. In 2002, it was his top legislative priority; the state Legislature did not support a complete ban on credit scoring but it did restrict the use of consumers’ credit history in personal insurance rates. However, the use of credit history by insurers is not illegal and was in fact authorized by the federal government in the 1970 Fair Credit Reporting Act.

More recently, Kreidler issued an advisory to insurance companies about price optimization, which he calls a loyalty penalty because it penalizes consumers who don’t shop around for lower rates. “This practice discriminates against people who don’t shop around, and discriminatory pricing is against state law,” said Kreidler. “It’s hard to root out loyalty penalty pricing, but our actuaries are actively watching for it.”

We’ve also seen reports that insurers are using consumers’ social media posts as a factor in setting rates. The practice is called social media risk scoring and it looks at things like if you post vacation plans, thereby leaving your home vacant and primed for burglary. But why stop there, who’s to say pictures of happy hour at the bar won’t result in higher premiums for your auto insurance? Or photos of you smoking while skydiving won’t result in increased life insurance premiums?

Our consumer experts have fielded more calls on this topic since the Consumer Reports information was posted, and we encourage people to keep contacting us. Our advice on this topic is to shop around. That’s really consumers’ best option until state and federal lawmakers take on credit scoring and other factors that are not directly related to consumers’ rates.

Do you have questions about this? Contact our insurance experts: http://bit.ly/consumerhelp