Group Health Insurance Plan

This current, accurate and detailed industry guide for financial service professionals examines life and health insurance "simultaneously from the viewpoints of the buyer, the advisor, and the insurer"--providing a comprehensive and unbiased treatise on individual and group life; a forthright appraisal of life and health insurance industry products with careful consideration of the environment; and a complete examination of life insurance company operations and regulation. Bases financial treatment of life insured operations on modern financial theory, and devotes entire chapters to the economics of life and health insurance; individual life and health insurance policies; life and health insurance evaluation; the uses of life and health insurance in personal and business planning; government and employee benefit plans; and the management, operation, and regulation of life insurance companies. Offers a strong global orientation, supporting fundamental concepts with an extensive integration of economic and financial theory and international comparisons, and examines how today's health insurance products fit into a broad framework from a contractual, cost, and performance viewpoints. New chapters on the tax treatment of life and health insurance address such areas as estate planning, retirement planning, and the business uses of life and health insurance. For financial planners, salesmen, actuaries, investment managers, attorneys, CPAs, and other financial service professionals.

Jonathan Engel traces the policy debates over healthcare delivery, and the ways of paying for it, that were conducted during the second quarter of the twentieth century in the United States. Examining the views advanced by doctors, including those unallied with the American Medical Association's position, as well as by "reformers" -- academics, public health officers, philanthropists, foundation executives, and independent scholars -- Engel displays how the discussion involved much more than the legislative efforts of New Deal Democrats regarding health insurance. Under discussion were group care, industrial health plans, nationalized hospitals, and public dispensaries. Engel's attention to the letters and other writings of key participants in the debates enriches his account, with the papers of Morris Fishbein, the president of the AMA, Michael Davis, a researcher for the Julius Rosenwald Foundation, and I. S. Falk, the research director for the Social Security Administration, adding concrete detail. His investigation demonstrates that physicians' reactions to legislative remedies were not monolithic. It also shows that foundation leaders were instrumental in enlisting organized labor, farmers, and liberal legislators in the improvement of the "world's best" medical care, and that the discussion was more than a debate between political foes. Participants in the debates discovered no simple solution to the challenges they explored, however, and their positions above all foreshadow the debate of succeeding decades.

Ontario Health Insurance Plan - The Ontario Hospital Insurance Plan (OHIP) is the government-run health plan for the Canadian province of Ontario. More recently it has been referred to as the Ontario Health Insurance Plan, but the official name uses the term Hospital rather than Health due to legal questions related to the coverage of prescription drugs.

Comprehensive health insurance (Maine) - In June of 2003, the Maine, USA Legislature passed a comprehensive health insurance plan, granting low-cost coverage available to all state residents by 2009. Through a semi-private agency, the state will provide coverage to uninsured residents, small businesses and municipalities and the self-employed.

Federal Employees Health Benefit Plan - The Federal Employee Health Benefit Plan is a system of "managed competition" though which employee benefits are provided to full-time permanent civilian employees of the United States Government. It allows insurance companies and employee associations such as labor unions to develop health, dental, and allied plans to be marketed to governmental employees.

Health insurance fraud - Health insurance fraud is described as an intentional act of deceiving, concealing, or misrepresenting information that results in health care benefits being paid to an individual or group.

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