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7 Tips for Baby Boomers Turning 65 in 2011

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The oldest baby boomers have begun to turn 65 this year. High on their agenda should be signing up for Medicare. Boomers also have important Social Security and career choices to make. Here are seven tips for making retirement decisions at age 65:



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Sign up for Medicare on time. You can first sign up for Medicare during a seven-month window beginning three months before the month you turn 65. Sign up during the months leading up to your 65th birthday if you want your coverage to begin the month you turn 65. (If your birthday is on the first day of the month, your coverage can start as early as the first day of the prior month.) If you don't sign up for Medicare Part B during this initial enrollment period, your premiums may increase by 10 percent for each 12-month period that you delay enrollment. If you are still working and covered by a group health insurance plan at work, sign up within eight months of leaving the insurance plan to avoid the penalty.

Schedule your free physical. Beginning this year, Medicare provides a one-time free physical exam within the first 12 months you have Part B coverage by a doctor who agrees to be paid directly by Medicare. The visit may include a review of your health, vision and blood pressure screenings, education and counseling about preventive care services covered by Medicare, and referrals for treatment you may need. Other preventative services you may be able to get at no out-of-pocket cost include cardiovascular and breast cancer screenings, bone mass measurements, and flu shots.

Delay Social Security until next year. While Medicare eligibility for 1946-born baby boomers begins this year, they still will not qualify for the full amount of Social Security benefits they are entitled to. Boomers will have to wait another year, until age 66, if they do not want their entitlement checks to be reduced. Retirees who claim Social Security this year when they turn age 65 will get about 93.3 percent of their full monthly benefit, because they will be getting payments for an additional 12 months. Social Security payouts further increase for each year boomers delay claiming up until age 70.

[See 10 Ways Baby Boomers Will Reinvent Retirement.]

Develop a retirement spending strategy. Before you plunge into retirement, develop a plan for how you will spend down your assets. Recognize that you will need to pay income tax on withdrawals from traditional 401(k)s and IRAs and withdrawals from those accounts become required after age 70½. Retirees who don't withdraw the correct amount will face a 50 percent tax penalty on the required withdrawal amount. Also, consider adding some inflation-fighting investments to your portfolio, such as Treasury Inflation-Protected Securities (TIPS), or some exposure to the stock market, commodities, or real estate. "You are probably better off trying to work a little bit longer, recover some of the losses in your retirement plan, and let the market do a little bit of the work," says Robert Baxter, CEO of Dryden Mutual Insurance Company in Dryden, N.Y., and a 1946-born baby boomer who will turn 65 in August 2011. "If you think about retirement at 65, you may end up living 20 or 25 more years and could outlive your income."

Keep your job skills sharp. Baby boomers who haven't saved enough to retire may need to spend several more years in the workforce. Make sure you stay on top of training and computer skills and continue to pursue new projects and opportunities at work. You don't want to get pushed out of the workforce before you are a ready to retire. Also consider offering to mentor younger employees and pass along your skills to upcoming workers within your organization. "We have all of this great experience and knowledge in a lot of different industries and everyone is going to retire and we're not passing it on to anyone," says Andrew Seybold, a 1946-born baby boomer in Santa Barbara, Calif., who runs his own mobile wireless industry consulting business. "I think we owe it to people following us to try to pass some of that information on to them."

Negotiate a new work schedule. Instead of retiring completely, many baby boomers are interested in working a more flexible and less demanding schedule. When asked about the life changes they have planned for the next few years, more than half (55 percent) of employed baby boomers turning 65 this year say they are interested in cutting back on their work hours, according to a recent AARP survey of 801 adults born in 1946. And about 15 percent of the retired baby boomers plan to go back to work. "People are going to use the guise of retirement to get a break, rest up, and essentially get ready for a new phase of life," says Marc Freedman, founder and CEO of Civic Ventures and author of the upcoming book The Big Shift: Navigating the New Stage between Midlife and Old Age. "Retirement is becoming a transition, rather than a destination. True retirement is going to get deferred to much later in life."

[See 10 Key Retirement Ages to Plan For.]

Plan your new life. Develop a plan for the activities you would like to try next. Baby boomers turning 65 this year say their top priorities for the next few years are maintaining their physical health (84 percent) and spending time with family (81 percent), AARP found. Other popular planned retirement activities include interests and hobbies (76 percent), doing things you have always wanted to do (74 percent), and travel (61 percent). Although you may need a rest after decades in the workforce, eventually you will want to channel your energies and abilities into a new project.

Since retiring in 1998, Doug Stanard, former CEO of bowling alley chain AMF Bowling, stays busy visiting his grandchildren and running a hobby farm in Columbia, S.C., where he hunts and has a pond stocked with fish. "Most people who stay active don't see themselves as growing old," says Stanard, who will turn 65 in November 2011. "It's only when you get out of the shower and you look in the mirror that you see yourself as 65."

CALL ME FOR A FREE APPOINTMENT AND SEE WHAT YOUR OPTIONS ARE FOR PART D&MEDICARE SUPPLEMENTS AVAILABLE IN YOUR AREA!

Pamela Booker

Booker Benefits & Agape Insurance
5204 Jacquelyn Lane
Suite #5
Bartlesville Ok 74006

918-338-9502


http://money.usnews.com/money/retirement/articles/2011/01/10/7-tips-for-baby-boomers-turning-65-in-2011?PageNr=2










CALL ME FOR A FREE APPOINTMENT AND SEE WHAT YOUR OPTIONS ARE FOR PART D&MEDICARE; SUPPLEMENTS AVAILABLE IN YOUR AREA! 918-338-9502 The oldest baby boomers have begun to turn 65 this year. High on their agenda should be signing up for Medicare. Boomers also have ... Read More

Apr 06, 2011

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We've just published a new edition of our newsletter! You can check it out on our website and get the latest information from BookerBenefits. Let us know what you think! Read It Now Here Read More

Nov 16, 2010

What Your Group Clients Need to Know About Grandfathered Health Plans

Health Care Reform Update: Grandfathered Plans

As your resource for employee benefits, our goal is to provide you with the information you need to navigate the Patient Protection and Affordable Care Act (PPACA.) In this special report, I will cover what we know as of today regarding grandfathered plans, and how they will impact you and your clients going forward.

President Obama went to great lengths to promise the millions of Americans who liked their current plans that they would be able to keep them under the new regulations. These reassurances helped achieve the necessary support to pass the legislation, and many Americans sighed with relief when the regulations were written to include provisions for grandfathering the plans that were in existence on the day he signed the bill into law.

We now know that the reality is that very few group plans will be able to maintain their grandfathered status over the next two years. This is because the rising cost of healthcare in a struggling economy will force changes to be made to these health plans that will cause them to lose their status. Now that we have the written guidelines for grandfathered plans, what does that really mean? And should we be concerned?

First, let's look at what it takes to be a grandfathered plan:

In order to qualify as a grandfathered plan, the plan must have been in place on March 23, 2010. Any group who has changed their health insurance carrier since that time, even if they made no changes whatsoever to their benefits, has already lost this status and their plan must comply with all of the regulations under the PPACA according to the implementation timeline. It is important to note that the rules do state that self insured plans are allowed to change administrators, as long as the plan itself and any insurer remains the same.

The following changes will also disqualify a group plan from maintaining its status as grandfathered:

Raising Co-Insurance Percentages:

For example, an employer cannot modify the benefits to reduce the plan's coinsurance from 90% to 80%, even if he also modifies the stop loss to keep the maximum out of pocket the same.

Raising Co Raising Co-Payments "Significantly"

Compared with the copayments in place on March 23, 2010, grandfathered plans will be able to increase doctor's office copays by no more than the greater of $5 (which will be adjusted annually for medical inflation) or a percentage equal to medical inflation plus 15 percentage points. According to the Department of Health and Human Services (HHS,) medical costs have risen an average of 45% annually over the last few years. Assuming that remains consistent, this would mean that in the course of one year, a copayment of $30 could increase by no more than 20% (5% plus 15%) or $6.00 in order to maintain grandfathered status.

Increasing Deductibles "Significantly":

Compared with the deductible in place as of March 23, 2010, grandfathered plans can only increase the plan's deductible by a percentage equal to medical inflation plus 15 percentage points. Using the 5% medical inflation above, this formula would allow deductibles to go up, for example, by 20% between 2010 and 2011. Since this is cumulative, using the same 5% annual medical inflation numbers, the plan's deductible could go up by no more than 25% between 2010 and 2012.

Let's look at what that would mean for a plan with an April 1, 2010 renewal, that on March 23, 2010 had a $1,000 annual deductible, but made no plan change in 2010. Let's also assume a 5% medical inflation in each of the next two years. So with the 15% you may add to the medical inflation, the following limits would apply:

 The maximum increase allowable on the plan's next renewal, April 1, 2011 would be 20% of the deductible that was in place on March 23, 2010. ($1,000 times 20% = $200, so the maximum allowable plan deductible would be $1,200.)

 The maximum increase allowable on April 1, 2012 would be 25% of the deductible that was in place on March 23, 2010, or $250. This means that if the plan had in fact increased its deductible to $1200 in 2011, the maximum allowable increase in 2012 would be $50, due to the cumulative restriction.

Realistically, how many plans will offer the incremental deductibles that would be necessary to keep the increases below the required thresholds? While it is possible that carriers will modify their portfolios to include more options, given all of the other changes that they are being forced to make, it is unlikely that they will have the available resources that would be necessary to administer the number of options that would be required to allow groups to maintain their status.

The same formulas apply to overall out-of pocket on the plans, leading me to my conclusion that these two restrictions are the ones most likely to cause groups to lose grandfathered status over the next two years.

"Significantly" Lowering Employer Contributions:

An employer who wishes to maintain his plan's grandfathered status cannot decrease contributions towards the group health plan by more than five percentage points. This is calculated by tier, not overall contribution and is once again based on the plan as it stood on March 23, 2010. (In the case of a self funded plan, the contribution rate is based on the COBRA valuation of the premium.) This means that if an employer was paying 80% of his employees' premium, and 60% of their dependents' premium on March 23, 2010 and subsequently decreases his contribution for dependent premium to 50% (a change of 10%,) the plan would no longer be grandfathered. This is true even if the employer simultaneously increases his contributions to the employees portion of the premium. Once again, given that the employers' hands are virtually tied with plan design, and knowing that premiums have to rise in order to implement the newly required benefits to all plans, how can an employer be expected to make no changes to his contributions to the plan over the next few years? 3

Adding or Tightening an Annual Limit:

This is an area that the fully insured employer has no control over; which would be for the plan to reduce the annual benefits for certain covered services by placing a lower dollar limit on the benefit. In addition, plans that do not have annual dollar limits for covered charges cannot add new ones, unless they are replacing a lifetime dollar limit with an annual dollar limit that is at least as high as the lifetime limit. In other words, the inside limits on a plan cannot be reduced in order to maintain grandfathered status of the plan. Additionally, the plan may not remove a benefit that previously existed, which means that if the insurance carrier were to move the employer to a plan with an additional exclusion, regardless of the fact that all other benefits remained exactly the same, the plan would lose grandfathered status.

Fact or Fiction – if you like your plan, you can keep it!

The Department of Health and Human Services (HHS,) as posted on the www.healthreform.gov website, estimates that between 58% and 80% of all small employers will remain covered under grandfathered plans through 2011. These estimates fall to between 20% and 51% by 2013. I disagree, and believe the actual numbers will be much lower, much sooner. This is because, based on the rules outlined above, almost every step an employer currently takes to control his healthcare costs will be prohibited in order to maintain grandfathered status.

The real question:

The real question is does that matter? Will the employer or his employees lose much when they lose grandfathered status? In most cases, the answer is no, because so much of the regulation pertains to all plans regardless of grandfathered status.

Let's walk through what must be included in all plans, regardless of grandfathered status, when they renew on or after September 23, 2010, and the impact this is expected to have on premiums going forward:

Lifetime limits must be removed:

Most group health plans currently have innetwork lifetime limits of $2,000,000 or more, and very few insured individuals ever exceed these amounts. Therefore, this should have a nominal impact on the premium for plans where the PPO utilization is strong.

Annual limits must be removed:

This provision states that there may be no monetary caps on benefits that the HHS considers to be essential benefits, which have not yet been clearly defined. We have already seen some carriers conclude that a cap on the number of visits is allowable, and many have initiated the process to modify their plans accordingly. We expect that there will be little or no impact on the premium for plans that are able to make these changes. If the annual cap on visits is deemed unacceptable, and/or if the definition of essential benefits is more expansive than anticipated, this could have an impact on the plans' premiums. Unfortunately, we are all still waiting to learn more about this one, as so many of the rules are yet to be written for so much of the new law. 

Rescission:

This is really very similar to the regulations that are already on the books with HIPAA and various state insurance laws regarding guaranteed renewability and restrictions governing policy rescissions. In most cases today, a plan may only rescind coverage for fraud or intentional misrepresentation of a material fact. The new legislation tightens up the language, and adds new notification requirements.

Coverage of preexisting conditions for children up to age 19:

This is fairly self explanatory for groups; on the individual side there is also a provision for guaranteed issue for new applicants who meet this age criterion, which is a change.

Keep in mind that in 2014, this "protection" extends to all individuals for plan years beginning on or after January 1, 2014. Carriers are still trying to determine the impact this will have on their claims costs, therefore the impact it will have on premiums going forward.

Not only do the penalties for noncompliance appear to be much too low, several states are challenging the constitutionality of such a mandate to purchase insurance. One way to help ease those concerns would be a provision to add an annual open enrollment period, which would be the only time each year that the insurance carriers would be required to issue coverage to all applicants with no preexisting condition limitations. (This would be in addition to all of the current requirements to accept timely enrollees on group plans.) Otherwise, there is valid concern that individuals will simply jump on and off of health insurance as they need medical services, which would spell disaster for private and public insurance plans alike. This is already happening in Massachusetts. Can you imagine being able to modify your automobile insurance policy from liabilityonly coverage to add comprehensive coverage the day after you were at fault in an accident that totaled your car? And have it retroactively cover the damages? The ability to pay a very small penalty until you have a need for the coverage would amount to the same thing. Here is a link to a great article from CNN Money that discusses exactly what is happening in Massachusetts and what we can all expect once these provisions are in place under the PPACA.

http://money.cnn.com/2010/06/15/news/economy/massachusetts_healthcare_reform.fortune/index.htm



Extension of eligibility for adult children:

The law mandates that adult children remain eligible for coverage on their parent's plans until they are 26 years old, regardless of their marital, student, or dependent status. Plans who have had a covered adult child "age out" under the current eligibility rules in the six months leading up to the enactment of this provision will be required to allow those individuals to come back on to the plan at that time.

For the first three years, the only criterion that a plan may use to determine eligibility of an adult child will be whether or not they have group health insurance available to them through their own employer or through their spouse. As of 2014, non

grandfathered plans will have to offer coverage regardless of whether or not the adult child has group coverage available to them through another source, while grandfathered plans will be able to continue to deny that small subset of adult children. Health Care Reform Update: Grandfathered Plans By Lauri L Beck, President and Chief Operating Officer Insurance Network America 18004567999 5

The following are provisions of the act that only apply to nongrandfathered cases, as they issue or renew on or after September 23, 2010:

Preventive Care Services:

Preventive care services, which have yet to be clearly defined, must be covered with no cost sharing on the part of the insured. This means no copays, no deductibles, no coinsurance, and no caps. The impact this will have on premiums will depend on the plan's current benefit structure for preventive care services, and which services are included in the final regulations.

Emergency Services:

Plans will not be allowed to require precertification and will no longer be able to apply outofnetwork benefit levels to emergency care, regardless of the network affiliation of the hospital's emergency room facility and medical personnel. Most of the plans we represent already provide this level of benefit in a true emergency. The real change lies in the way that usual and customary expenses can be handled going forward on these plans. The regulations require that covered charges for the emergency services must be the greater of three amounts: 1) the median of negotiated innetwork rates, 2) the generally applicable out of network cost, or 3) the Medicare rate. Once the greater of the three has been used to establish the plan's covered charges, the plan may apply innetwork levels of coinsurance to determine the plan's benefits. Ultimately I believe that the primary expense to the plans due to this regulation will be the administrative requirement to determine these three amounts for every emergency service. An additional concern in this category will be the final definition of emergency care.

New Appeals Procedures:

New procedures must be implemented for both internal and external appeals for claims. Internally, all group plans will be required to incorporate the U.S. Department of Labor's claims and appeals procedures, and update them to reflect standards that will be established by the Secretary of Labor. Individual plans will be held to standards which will be established by the Secretary of the HHS. Externally, at a minimum, the plans will be required to comply with consumer protections which are included in the NAIC Uniform Review Model Act.

Primary Care Physician

Plans that require an insured to choose a primary care physician will be required to allow more flexibility for an insured member to choose a pediatrician, obstetrician, or gynecologist. This is going to apply primarily to HMO plans, and the majority of those plans already allow for these providers to be considered a primary care physician, so the impact is expected to be minimal.

Non-Discrimination Testing:

Under the PPACA, nongrandfathered plan may not "discriminate in favor of highly compensated individuals" with respect to eligibility for, or benefits under, the plan using nondiscrimination rules similar to those described in the United States Internal Revenue Code at 26 U.S.C. § 105(h.) This provision will cause the great concern for certain groups, as it prohibits management carve outs. This means that if you have a client who is currently carving out his management team for health benefits, he must keep his grandfathered status, or he will lose the ability to do so. It also means that if an employer is currently contributing different levels of premium by class of employment, he could be forced to change these practices. There are also implications that relate to multiple plan options, even if each employee has the right to choose from either plan. I will go through this one in more detail later. 

There are other provisions that apply in 2014 to non

There are other provisions that apply in 2014 to non-grandfathered and grandfathered groups which do not apply to grandfathered groups. These include community rating (a nightmare,) limits on plan deductibles, outofpocket cost sharing, and restrictions on waiting periods for benefit eligibility. The real question is whether any groups will remain grandfathered by that time. I just don't see how there will be, given the rules as we know them today. Individual policies perhaps, but groups?

In any event, as you can see, for the next three and a half years, the benefits to an employer of maintaining grandfathered status will mostly come down to a couple of benefit changes and the impact to the fully insured employers who will have to apply the 105(h) nondiscrimination rules to their fully insured plans.

These rules require that a plan not discriminate in favor of "highly‐compensated individuals" with regard to both contributions and benefits. For purposes of these rules, a "highlycompensated individual" is an employee who 1) is one of the 5 highestpaid officers, 2) owns more than 10% of the value of the employer's stock, or 3) is among the highest 25% of employees ranked by pay. Accordingly, roughly 25% of employees (including most closelyrelated domestic affiliates) will be classified as "highly compensated" under this definition, regardless of how much compensation they earn.

Having different waiting periods for different classes of employees, or varying employer premium contributions for different classes of employees could cause a plan to fail its annual 105(h) nondiscrimination test. A plan with two or more benefit options could fail nondiscrimination testing if the highly

compensated individuals tend to elect the benefit option with the better benefit and the nonhighlycompensated individuals elect the other option. If any of these circumstances apply to a plan, compliance with the 105(h) nondiscrimination rules could have a significant impact. 

In conclusion:


Those employers who wish to continue to use health benefits to attract key employees without having to offer similar coverage to all employees will be forced to take whatever measures possible to absorb the increases in cost over the next few years without making changes that will cause them to lose their grandfathered status. I don't envy them the challenge.

Health Care Reform Update: Grandfathered Plans By Lauri L Beck, President and Chief Operating Officer Insurance Network America

Health Care Reform Update: Grandfathered Plans As your resource for employee benefits, our goal is to provide you with the information you need to navigate the Patient Protection and Affordable Care Act (PPACA.) In this special report, I will cover what we know as of... Read More

Sep 28, 2010

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Nov 11, 2008

Whimsical Tales is glad to be connected

It's good being connected with different businesses. I appreciate knowing you and your business. If I know anyone who benefit from your business, I will pass your name along. Please check out our website at www.whimsicaltales.com if you have a special child in your life. Find out about our special writing kits for children 5-12

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Sep 28, 2008

Good Information Led Me to A Good Product Choice

I recently decided to purchase Life Insurance and I was not happy with my Dental rates. After talking to Ms Booker I scheduled an appointment. When I got to her office, I was astonished at how many choices were available to me. It very well could have been overwhelming ...to say the least, but Ms Booker was very well informed on everything that she showed me, and was able to explain the products in a way that made it all very easy to understand. Another thing that I liked was that she did not try to sell me something I did not need or want. She gave me all of the information that I needed to make a choice that was in my budget and still exactly what I needed. I would recommend her "friendly service with a smile" to anyone. I could have left the appointment with a headache - instead I left with a smile! -Janet Street, Bartlesville, Oklahoma