Affordable Health Insurance Options in Ohio: An Interview With Ohio Department of Insurance Director Ann Womer Benjamin

According to the United , 87.7 percent of Ohioans had some form of health insurance coverage during 2005, while 12.3 percent were not insured at any time during the year. Additionally, 14 percent of residents under the age of sixty-five did not have during 2005.


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Most Ohioans who have are covered by either employer based plans or government programs. What are available for individuals who do not have access to such coverage? of Director, Ann Benjamin, references the “increasing number of with Savings Accounts. There may be a person, or a family, generally comfortable paying for care costs, but wants a high deductible policy. Also, for fairly young, fairly healthy individuals, an HSA coupled with a High Deductible Plan could really work.”


Savings Accounts are not feasible for everyone. residents who are not interested in HSAs should try to take advantage of alternative plans and programs. “ has an Open Enrollment Program that takes (uninsured individuals) regardless of pre-existing conditions, but is likely costly”, Benjamin explains.


CARE COVERAGE LEGISLATION


There are currently two bills in the Legislature, Senate Bill 272 and House Bill 5 / Senate Bill 5 that are generally supported by the of as methods of expanding access to coverage.


Senate Bill 272 would repeal the Open Enrollment Program, as well as the Open Enrollment Reinsurance Program. In its place, the would be created to provide care coverage to individuals who are unable to obtain care coverage in any other manner. This would eliminate the annual periods of open enrollment that sickness and accident insurers, corporations, and multiple arrangements (MEWAs) are currently required to hold. “The would provide a state fund for those without coverage. We would support this concept and have various suggestions for funding. We would theoretically be able to reach ten times more individuals than the Open Enrollment Program does currently”, says Benjamin.


House Bill 5 / Senate Bill 5 would permit small employers to offer care plans that do not provide benefits otherwise required by law. The bill provides for the operation of savings accounts that are consistent with federal law, and places a limit on an insured’s liability for co-payments and deductibles under a benefit plan. ODI Director Benjamin asserts that the bill “would provide more for small businesses, and we are hopeful that that will pass”.


THE MASSACHUSETTS EXAMPLE


On April 4, 2006, Massachusetts House Bill 4850 was overwhelmingly passed by the state legislature. All Massachusetts residents will be required to obtain coverage by July 1, 2007. The state’s plan dictates that businesses with more than ten employees that do not provide coverage will be charged a fee of as much as $295 a year for each employee. Government subsidies to private plans will provide to a greater number of the working poor, and individuals who can afford private plans will be penalized on their state income taxes if they do not have coverage. Should consider a similar plan in order to achieve nearly universal coverage? of Director Ann Benjamin says that we need to “watch Massachusetts and evaluate the plan’s success and funding”. “ has a larger number of uninsured individuals and is different than Massachusetts, politically.”


Ohioans have a large selection of carriers and government programs to choose from. Regardless of the provider, it is extremely important for individuals to obtain a health insurance plan. Director Benjamin emphasizes that she is “concerned with people who don’t think they need coverage”.


About The of


The of (ODI) is an informative resource for those seeking information regarding in the state. ODI asserts that its mission is to be “responsive to and safeguard consumer interests through education and vigilance while promoting a stable and competitive marketplace among providers”. The of can help uninsured persons sort through their , depending on their individual circumstances. For more information, call the ODI Consumer Hotline at 1-800-686-1526.


The is headed by Director Ann Benjamin, who was appointed in January of 2003, and is the first woman to hold this position. Prior to this appointment, Benjamin served in the House of Representatives for eight years.

Erin Shaughnessy is a freelance writer of political and consumer advocacy articles, and is a frequent contributor to Fast Health Insurance.

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