OIC seeks innovator who wants to help implement ACA statewide

OIC has a unique job opening in our Rates and Forms Division as a Health and Disability Insurance Forms/Contracts Manager (WMS Band 3). The position reports to the Deputy Commissioner for Rates and Forms, which is the division that reviews insurance plans and rates.

This is an exciting opportunity for someone who wants to work on the cutting edge of Affordable Care Act implementation in Washington state. We need someone who can lead a team of expert staff; work closely with people in the division who review rates and provider networks; and who understands insurance and contracts. The person in this position needs to be innovative and adaptable.

Here are a few of the position’s duties, as outlined in the job announcement:

• Serves as the statewide expert on health and disability forms filings.
• Plans and directs the review and approval or disapproval of health and disability contracts submitted by regulated entities; analyzes filing data to discover complaint trends or patterns of unfair, inequitable or unlawful insurance practices; prepares files and recommends referral of such practices for enforcement action.
• Attends and participates in assigned and agency training to enhance requisite skills and knowledge needed to supervise professional staff.
• Represent the OIC on a local and national level, attending NAIC events, speaking on behalf of the agency, and providing leadership on work groups and task forces.

We are requiring:

• A bachelor of arts or bachelor of science degree.
• Expert knowledge of insurance products.
• Expert knowledge of the insurance code and related rules and case law related to insurance products.
• Extensive experience analyzing contracts, and providing effective oral and written communication.
• Five years' supervisory experience of professional-level staff.

The salary will depend on qualifications, with a maximum of $80,000 per year.

Read more about the job and how to apply. 

Consumer tip: Don’t toss notices from your lenders

If you get a notice in the mail from one of your lenders – whether it be auto, boat, home or any other item you are paying for with a loan – make sure you read it. Lenders can require you to prove the item they’ve paid for is insured against damage or loss with an auto, homeowner or other applicable policy.

If you fail to prove the item is insured, the lender has the right to apply its own insurance policy, called “force placed” or “vendor’s single interest (VSI),” to your loan. The policy doesn’t protect you against property loss or liability—its sole function is to pay the lender the loan balance if you default on the loan. These policies are very expensive, they are added to your loan balance and you pay interest on them. One consumer was charged $2,680 for a policy on a $15,000 loan—that’s nearly 18 percent of the loan, not counting the interest the consumer paid.

The good news is that lenders typically allow you to drop the policy once you prove you have your own insurance on the item.

Don’t get stuck with a huge insurance cost that could have been prevented. When you get notices in the mail from a lender, read them. 

If you have questions, contact our consumer advocates at 1-800-562-6900 or through our website.

Did a medical provider refuse service based on your plan? We want to hear from you!

Our consumer advocates in recent weeks have heard from a handful of consumers that medical providers have refused to see them because they purchased health insurance through Washington Healthplanfinder, our state’s health benefit exchange. The consumers reported a couple of scenarios:

• They scheduled an appointment with a medical provider. The provider’s office later canceled the appointment because they say they are not accepting insurance that was purchased through the Exchange.
• Consumers contact providers listed as being in their network to find out if new patients are being accepted, and are told yes. The provider’s office later calls the consumer and tells the consumer they aren’t accepting plans purchased through the Exchange. In most cases, the insurance plans are confirming the providers are in the plan’s network.

We’ve heard of this happening with several plans and in several areas of the state. If you experienced one of these scenarios or something similar, please contact our consumer advocates at 1-800-562-6900 or file a complaint online. We regulate insurance companies and we want to make sure consumers receive the services they are entitled to in their insurance policies. 

Career opportunity for a financial examiner

Do you have experience with auditing or accounting and want to work in the Olympia area? We are hiring a Financial Examiner 2 (Assistant Financial Analyst) position in our Company Supervision division at our Tumwater headquarters. Financial examiners review insurance companies' financial statements to make sure they are following state rules and laws that exist in part to make sure they remain financially solvent and able to serve Washington consumers. 

 

This is what the person in the job will do:

• Examine and analyze insurance company and health carrier filings to discern financial condition, difficulties, trends, and compliance.
• Read and interpret applicable laws, regulations, and standards to ensure analyses and examinations are appropriately conducted. 
• Assess analysis-examination risk, materiality, and other matters by reviewing and analyzing regulated entity's history and OIC Priority Rating, biographical affidavits of its key staff, and qualifications of its management and accounting personnel, as well as current filings for the entity, prior analysis reports, and file information.
• Prepare and complete analysis-examination procedures in accordance with accreditation standards.
• Read and analyze the regulated entity’s filings, documents, and other information to assess the entity’s financial condition, statement assertions, and compliance with insurance laws, regulations, and standards.
• Prepare analysis-examination reports for assigned regulated entities, including updating the risk assessment, profile summary, and supervisory plan.
• Write correspondence to regulated entity personnel to obtain documents and information and to explain determinations.
• Analyze Charitable Gift Annuity (CGA) issuers' and other auxiliary lines entities' Annual Reports and accompanying additional documentation, audited financial statements, and IRS Form 990s (if applicable) for statutory compliance.
• Other duties as assigned. 

We will start reviewing applications on May 2. Read more about the job and how to apply.

Kreidler remembers former State Auditor Bob Graham

Former Washington State Auditor Bob Graham passed away this week at the age of 93. Insurance Commissioner Mike Kreidler got to know Graham after he was first elected to the state House of Representatives in 1976. At that point, Graham had been state auditor for 12 years.

“Bob was highly respected and dedicated to public service,” said Kreidler. “I always enjoyed interacting with him. He was a real gentleman and a professional. I give my condolences to Bob’s wife Lloydine and his children.”

Graham was state auditor for 28 years, from 1965 until 1993.  Read more about Graham’s life and service on the Secretary of State’s blog and The Olympian.  

Kreidler, other insurance commissioners meet with President Obama this morning

Insurance Commissioner Mike Kreidler had an experience this morning that few people get--an hour with the President of the United States at the White House.

Kreidler shared that time with 43 other state insurance commissioners, whom the White House invited on short notice to discuss the progress of and the challenges ahead for the Affordable Care Act. The legislation is often referred to as President Barack Obama’s “signature” achievement during his tenure.

Vice President Joe Biden and key members of the White House staff also joined the discussion.

"It was a remarkable experience to spend an hour with the leader of the free world," Kreidler said. “The president was fully engaged.”

Key topics for the hourlong discussion were potential premiums for 2015, the adequacy of medical provider networks and changes at the U.S. Department of Health and Human Services, which oversees many of the national regulations of the Affordable Care Act. The agency is undergoing a change in leadership with the departure of former Secretary Kathleen Sebelius.

 

Kreidler said the president was scheduled to talk with representatives of the insurance industry in an afternoon meeting.
The National Association of Insurance Commissioners (NAIC) shared details about the visit in a news release and also posted a photo from the nation's capital of the insurance commissioners who participated.

This morning, we shared a photo of Kreidler in front of the White House as our inaugural Instagram post.

Wildfire season starts today

Today is the official start of wildfire season in Washington state (hat tip to Tom Banse with KUOW). While forecasters expect a “normal” fire season, it’s a good idea for people who live in areas prone to or near areas that are prone to wildfires to take some precautionary steps.

Photo courtesy of Washington Department of Natural Resources

• If you live in an area that could be near a wildfire, you should catalog your home’s belongings in case you need to make an insurance claim. The National Association of Insurance Commissioners has a printable home inventory checklist or you can try free iPhone/iPad or Android apps.
  
• Check your policy to make sure damage from wildfires is covered. Some policies include some coverage for emergency shelter, such as a hotel, if a home is uninhabitable.
• If you live in an area that’s prone to wildfires, read some tips to prepare and protect your home.
• Review your policy to make sure you have enough coverage. Things like fine art, jewelry and computer equipment may have limited coverage under a standard policy. But you can buy special coverage that gives you more protection for those types of items, called a rider. Contact your insurance agent or broker to ask about supplemental policies.
• You can help protect a rural home and limit the danger by clearing a natural fire break between your home and surrounding trees, brush and uncut fields. The Federal Emergency Management Agency has information on how to protect yourself and your home before, during and even after a wildfire.
• Have an emergency kit and a family communication plan. Know the location of your valuable papers, including insurance policy and contact information, mementos and anything you can't live without, so you can evacuate with them, if needed.
• Here's a list of recommended emergency supplies to keep on hand in the case of an evacuation.
• Don’t forget about planning for your pets. Ready.gov has tips for pet owners.

The Washington Department of Natural Resources has the most recent fire information available on its website and through the @waDNR_fire Twitter feed.