Wednesday, November 27, 2019

Want to live longer? Surround yourself with plants


The lead author of a sweeping study on the health benefits of greenery, David Rojas, advises that “where you are, increase and support more green-ness around your home.”
BY MARK WILSON 11.25.19
If you want to live longer, live around green space.
That’s the simple conclusion of the largest analysis ever performed on the relationship between the environment and human longevity—ever. Eight million people. Seven countries. One simple finding: “When you are exposed to greenery or greenness around your home, your probability to die . . . is less compared to those with less green-ness around their home,” says David Rojas, researcher at the Barcelona Institute for Global Health and Colorado State University, and lead author of the study, which was published in The Lancet Planet Health (PDF) in collaboration with the World Health Organization. Specifically, the research team found that for every 10% increase in vegetation that’s within 1,600 feet of your home, your probability of death drops by 4%.
Those hard numbers are the result of a large metastudy analyzing nine separate longitudinal studies about health and green space that looked at how and how long people lived over long periods of time. Subjects were from countries around the globe, too: Australia, Canada, China, Spain, Italy, Switzerland, and the U.S.
As Rojas explains, in every country, the finding was the same. People who lived near more green space lived longer than people who lived near less. This green space can be grass, trees, or gardens. It can be public or private space. The study didn’t discriminate, nor did it have the data fidelity to claim that some plants were better for our health than others. (Satellite imagery was used to accurately measure vegetation around homes.)
Why do people with access to more green spaces live longer? Rojas doesn’t claim to know. He posits there are several possibilities, and perhaps they are even working in concert. Just looking at plants is known to lower stress, which decreases damaging cortisol in our blood. Touching plants might impact the microbiome on our skin and strengthen our immune system. There’s also the benefit of air quality: A single tree pumps out enough oxygen for four people to breathe. Rojas even points out that greenery helps cool the urban island heat effect, making some areas of cities cooler and more comfortable than others. Plants just do a whole lot of measurable good. It’s almost as if humans evolved to be around them or something!
So what should we do with this information? “Maybe the more straightforward recommendation is not to move to where there’s more green, but where you are, increase and support more green-ness around your home,” says Rojas. “That would be the easiest thing to conclude and be the most applicable to everyone.”
Rojas suggests urban planners need to be placing low-maintenance, native plants wherever they can and stretching budgets as necessary to make that happen. “Less concrete, more green,” he says. “If you have a small space in the street you can substitute some grass for concrete . . . or any tree or plant will start to produce this change.”
He also suggests that you bring more plants into both your home and office. The study didn’t study indoor plant life, but Rojas is confident that it would make a positive impact on your well-being. (Again, there is evidence that plants are beneficial to indoor air quality, which is more atrocious than even many scientists ever realized).
Next, Rojas wants to learn how to optimize green space to boost these demonstrable health benefits. Perhaps some plants do provide more longevity than others. Maybe a single 40-foot tree planted in a sidewalk could have the same effect as a half acre of manicured lawn. Right now, we simply don’t know. And until we do, there’s a simple rule of thumb to follow: Go as green as you reasonably can. Because your life literally depends on it.

What’s the difference between Medicare Advantage and Original Medicare?

Updated November 22, 2019 Chance Rueger is a Medicare sales agent licensed to sell in 50 states
By far the most common thing I get asked is to compare and contrast the differences between Medicare Advantage and Original Medicare, or similarly, people will often question the difference between Medicare Advantage and Medicare Supplement.
The Basics
Original Medicare = Parts A & B
·         Original Medicare is what many people associate with the “government covered” portion of Medicare
·         This generally covers 80% of your costs
·         You are responsible for the other 20%. And it is important to note that there really is no cap or limit on how high this 20% can be
·         This does not cover prescription drugs
I strongly recommend getting additional coverage to fill in this 20%. And for this, there are basically two options:
Medicare Advantage = Part C
·         Medicare Advantage replaces Original Medicare.
·         The coverage is at least as good as what Original Medicare provides
·         Medicare Advantage has cost sharing, i.e. deductibles, copays, and coinsurances. There is a maximum out-of-pocket limit.
·         Medicare Advantage plans generally have low premiums – some of these plans even have $0 monthly premium
·         These plans have networks of doctors that you need to stay within. This is often the most important thing for people to learn and understand.
·         Many plans include prescription drugs coverage
·         Even though you are technically “replacing” Original Medicare with a Medicare Advantage plan, you still need to pay the Part B premium
Medicare Supplement = Medigap
·         Medicare Supplement works with Original Medicare
·         These plans supplement Original Medicare to fill in the 20% gap (which is also why they are commonly referred to as ‘Medigap’ plans)
·         There are very little or even $0 out-of-pocket expenses when you receive care
·         Medicare Supplement plans typically have more expensive monthly premiums, on average about $150-$300 per month
·         You can see any doctor who accepts Original Medicare; unlike Medicare Advantage plans that have limited networks
·         Does not include prescription drugs coverage – you need to buy another policy for that
·         You still need to pay the Part B premium
The Trade Offs
Cost
·         Medicare Advantage: though the monthly premiums are very low, you will have to pay when you receive care. You also still need to pay the Part B premium. So if you go to the doctor frequently, the costs for Medicare Advantage can add up.
·         Medicare Supplement: you’ll pay more in monthly premium, but very little when you receive care. You also still need to pay the Part B premium.
Doctor Network
·         Medicare Advantage: you need to stay in your plan’s network.
·         Medicare Supplement: you can see any doctor who accepts Medicare.
Prescription Drugs
·         Medicare Advantage: included.
·         Medicare Supplement: not included.
Plan Variety
·         Medicare Advantage: plans vary dramatically, there is no standardized structure to them.
·         Medicare Supplement: the plans – in terms of what they cover – are standardized by government. In other words, for example, what Plan G covers is identical no matter which company you buy it from.
Which is better?
There is no easy answer to this as it really depends on your personal situation. Medicare Supplement works great for some people. Medicare Advantage is great for some people.
If you twist my arm…
I’d say go with Medicare Supplement. Your costs are much more predictable and you can (for the most part) see any doctor you like.
In the worst case scenario here, let’s say you’re really healthy, and therefore just paid more premium than you would have liked. To me, this is much better than the alternative situation of being tempted by the less expensive monthly premium option that a Medicare Advantage plan might offer, only to then spend a lot of money on copays, deductibles, and coinsurances if you make lots of trips to the doctor.
That’s how insurance works––you pay money for something you hope you never use!

https://www.considermedicare.com/medicare/whats-the-difference-between-medicare-advantage-and-original-medicare/?utm_source=postup&utm_medium=email&utm_campaign=DNL-112719

ACA Enrollment Report: Average Individual Premiums Down 4%, Deductibles Up 5%


PR Newswire November 25, 2019 
Today eHealth, Inc. (NASDAQ: EHTH) (eHealth.com) released a snapshot analysis of costs and trends among consumers purchasing Affordable Care Act (ACA) plans through eHealth without the aid of government subsidies during the first half of open enrollment season.
Average monthly premiums for individuals and families
The ACA's nationwide annual open enrollment period for 2020 coverage began on November 1 and is scheduled to continue through December 15, 2019. eHealth's Half-Time report covers the period from November 1 through November 20, 2019.
Report highlights:
·         Average premiums show modest declines: Average premiums for individual coverage declined 4% compared to last year (from $477 to $456), while family premiums declined 2% (from $1,154 to $1,134).
·         Average deductibles increased: Average deductibles for individual coverage are up 5% compared to last year (from $4,064 to $4,263); family premiums are up 4% (from $7,620 to $7,893).
·         More people are selecting EPO plans: 31% of individuals and families selected EPO-style plans, compared to 25% during last year's open enrollment; 49% selected HMO-style plans, compared to 56% last year.
Read the full report.
eHealth will continue to monitor consumer behavior and plan selection patterns through the remainder of the ACA open enrollment period and publish additional insights as they become available.
About eHealth
eHealth, Inc. (NASDAQ: EHTH) owns eHealth.com, a leading private online health insurance exchange where individuals, families and small businesses can compare health insurance products from brand-name insurers side by side and purchase and enroll in coverage online and over the phone. eHealth offers thousands of individual, family and small business health plans underwritten by many of the nation's leading health insurance companies. eHealth (through its subsidiaries) is licensed to sell health insurance in all 50 states and the District of Columbia. eHealth also offers educational resources, exceptional telephonic support, and powerful online and pharmacy-based tools to help Medicare beneficiaries navigate Medicare health insurance options, choose the right plan and enroll in select plans online or over the phone through Medicare.com (www.Medicare.com), eHealthMedicare.com (www.eHealthMedicare.com), GoMedigap (www.goMedigap.com) and PlanPrescriber.com (www.PlanPrescriber.com).

Variable Annuities Show Slight Gains In 3Q, Wink Reports

By Staff Reports  November 26, 2019 
Variable annuity sales in the third quarter were $21.2 billion, an increase of 1% as compared to the previous quarter, according to Wink’s Sales & Market Report.
Annuity sales were down across most product lines in the third quarter, Wink reported.
Variable annuities have no floor, and potential for gains/losses that are determined by the performance of the subaccounts that may be invested in an external index, stocks, bonds, commodities, or other investments.
Third-quarter sales for all deferred annuities were $55.2 billion, a decline of 5.2% when compared to the previous quarter.
Noteworthy highlights for all deferred annuity sales include Jackson National Life ranking as the No. 1 carrier overall with a market share of 10.3%. AIG followed in second place, while Allianz Life, Lincoln National Life, and Nationwide rounded-out the top five carriers in the market, respectively.
Jackson National’s Perspective II Flexible Premium Variable & Fixed Deferred Annuity, a variable annuity, was the No. 1 selling deferred annuity, for all channels combined in overall sales for the third consecutive quarter.
Courtesy of Wink’s Sales & Market Report
Third-quarter non-variable deferred annuity sales were $29.2 billion; down 11.8% when compared to the previous quarter and 1.9% when compared to the same period last year. Non-variable deferred annuities include the indexed annuity, traditional fixed annuity, and MYGA product lines.
Noteworthy highlights for non-variable deferred annuity sales in the third quarter include AIG ranking as the No. 1 carrier overall for non-variable deferred annuity sales, with a market share of 9.7%. Allianz Life moved into second place, while Jackson National Life, Athene USA, and Global Atlantic Financial Group rounded-out the top five carriers in the market, respectively.
Allianz Life’s Allianz 222 Annuity, an indexed annuity, was the No. 1 selling non-variable deferred annuity, for all channels combined, in overall sales for the fourteenth consecutive quarter.
Third-quarter variable deferred annuity sales were $25.9 billion; an increase of 3.4% when compared to the previous quarter. Variable deferred annuities include the structured annuity and variable annuity product lines.
“Some may be surprised to see that variable-type products are increasing in sales where fixed product types are not; this is due to structured annuities -- the rising star of deferred annuity offerings,” said Sheryl J. Moore, president and CEO of both Moore Market Intelligence and Wink, Inc.
Noteworthy highlights for variable deferred annuity sales in the third quarter include Jackson National Life ranking as the No. 1 carrier overall for variable deferred annuity sales, with a market share of 14.4%.
AXS US took second place as Lincoln National Life, Prudential and Brighthouse Financial rounded-out the top five carriers in the market, respectively.
Jackson National’s Perspective II Flexible Premium Variable & Fixed Deferred Annuity, a variable annuity, was the No. 1 selling variable deferred annuity, for all channels combined, in overall sales for the third consecutive quarter.
Indexed annuity sales for the third quarter were $18.6 billion; down 5.1% when compared to the previous quarter, and up 5.5% when compared with the same period last year. Indexed annuities have a floor of no less than zero percent and limited excess interest that is determined by the performance of an external index, such as Standard and Poor’s 500®.
“This was the second strongest quarter ever for indexed annuity sales, despite continued low interest rates and pricing challenges as a result of the market,” Moore said. “That said, I will guarantee that 2019 is going to set an unbelievable record for indexed annuity sales!”
Noteworthy highlights for indexed annuities in the third quarter include Allianz Life retaining their No. 1 ranking in indexed annuities, with a market share of 12.5%. Athene USA held the second-ranked position while AIG, Nationwide, and Jackson National Life rounded-out the top five carriers in the market, respectively.
Allianz Life’s Allianz 222 Annuity was the No. 1 selling indexed annuity, for all channels combined, for the twenty-first consecutive quarter.
Traditional fixed annuity sales in the third quarter were $785.1 million; down 20.1% when compared to the previous quarter, and down 13.6% when compared with the same period last year. Traditional fixed annuities have a fixed rate that is guaranteed for one year only.
Noteworthy highlights for traditional fixed annuities in the third quarter include Modern Woodman of America ranking as the No. 1 carrier in fixed annuities, with a market share of 12.3%.
Jackson National Life ranked second while, Global Atlantic Financial Group, Great American Insurance Group, and OneAmerica rounded-out the top five carriers in the market, respectively. Forethought Life ForeCare Fixed Annuity was the No. 1 selling fixed annuity for the second consecutive quarter, for all channels combined.
Multi-year guaranteed annuity (MYGA) sales in the third quarter were $9.7 billion; down 21.7% when compared to the previous quarter, and down 13% when compared to the same period last year. MYGAs have a fixed rate that is guaranteed for more than one year.
Noteworthy highlights for MYGAs in the third quarter include AIG ranking as the No. 1 carrier, with a market share of 13.1%. New York Life moved into the second-ranked position, as Global Atlantic Financial Group, Jackson National Life, and Delaware Life rounded-out the top five carriers in the market, respectively.
Jackson National Life’s JACKSON RateProtector 3-Year was the No. 1 selling multi-year guaranteed annuity for the quarter, for all channels combined.
Structured annuity sales in the third quarter were $4.7 billion; up 15.8% as compared to the previous quarter, and up 60.7% as compared to the previous year. Structured annuities have a limited negative floor and limited excess interest that is determined by the performance of an external index or subaccounts.
“Structured annuity sales continue to set records," Moore said. "It is no wonder that we continued to see companies enter this line of business each quarter when you consider that this product mirrors indexed annuities when evaluated at the same point in the product life cycle.”
Noteworthy highlights for structured annuities in the third quarter include AXA US ranking as the No. 1 carrier in structured annuities, with a market share of 27.2%. Brighthouse Life’s Shield Level Select 6-Year was the No. 1 selling structured annuity for the seventh consecutive quarter, for all channels combined.
Wink currently reports on indexed annuity, fixed annuity, multi-year guaranteed annuity, structured annuity, variable annuity, and multiple life insurance lines’ product sales. Sales reporting on additional product lines will follow at some point in the future, Moore said.
Sixty-two indexed annuity providers, 50 fixed annuity providers, 68 multi-year guaranteed annuity (MYGA) providers, 11 structured annuity providers, and 47 variable annuity providers participated in the 89th edition of Wink’s Sales & Market Report for the third quarter 2019.

https://insurancenewsnet.com/innarticle/variable-annuities-show-slight-gains-in-3q-wink-reports?utm_source=Newsletter&utm_medium=email&utm_content=subscriber_id:&utm_campaign=DailyNL20191127#.Xd72EuhKiUk

Defining What Good Customer Experience Looks Like Is Crucial: LIMRA


Targeted News Service (Press Releases) Courtesy of LIMRA  November 15, 2019 
We all know good customer experience when we see it. For life insurance and annuity carriers, however, it is often hard to define and measure good customer experience. A new report by LIMRA and NEOS, Next-Level Customer Experience: How Do Insurers Get There?, looks at the challenges and opportunities these carriers face and how they manage and measure their customers' experiences.
"Today's consumers are comparing the experiences they have with financial services companies with the ones they have with tech firms, like Amazon, Apple and the like," said Todd Silverhart, Ph.D., corporate vice president and director of LIMRA Insurance Research. "Before embarking on building a customer experience program, it is important that leaders identify the goals for the program and determine the necessary steps to achieve them."
The study found the three top objectives for customer experience programs at life insurance and annuity companies center on customer needs -- improving service practices to meet customer needs, aligning company goals with customer needs and increasing employee awareness of customer needs. But executives also seek to improve customer experience in an effort to produce higher revenue, improve efficiency and reduce expenses, and differentiate the company from its peers (Chart 1) (https://www.limra.com/en/newsroom/news-releases/2019/defining-what-good-customer-experience-looks-like-is-the-first-step-toward-achieving-it/).
With the goals identified, LIMRA and NEOS outlined three high-level themes on how life and annuity carriers can improve their customer experience capabilities:
Move from a reactive to a proactive approach. The study's researchers suggest that companies invest in activities and tools such as customer journey maps, self-service capabilities and voice-of-the-customer mechanisms.
In total, 82% of survey participants use reactive moments--like complaints and escalations--to obtain information about policyholders, while almost 20% are not using any external benchmarking organizations (such as LIMRA, Forrester, or J.D. Power) to compare their customer experience, tools or processes to their competitors.
Inform and determine actions based on defined metrics and tools: The study found that 79% of participants are investing in tools that capture feedback during critical moments of a customer's journey. Using customer relationship management tools, customer experience tools and marketing tools. Seventy-seven percent of participants are investing in CRM tools to better understand and serve customers, while 41% say the lack of these tools is an obstacle to an optimized customer experience. In addition, 66% of participants note that working with legacy systems is an obstacle to customer experience initiatives.
Centralize the customer experience program for greater success: More than half (56%) of participants have a centralized customer experience approach, allowing companies to optimize their program at every level of the company. The study uncovers three key features of optimized customer experience programs 1) a customer-focused mindset and company philosophy ingrained throughout every aspect of the company; 2) a program managed end-to-end across the entire organization; and 3) managed throughout the entire customer journey.
"Customer experience is a product. It is the responsibility of every employee," said Karna Trautman, head of strategy and transformation at NEOS. "As competition for consumers' mindshare and wallet increases, it is critical that life insurance and annuity companies focus on their customers' experiences at every point of the customer journey. When done right, the experience is so natural, your customers will choose to stay with you."
About LIMRA
Serving the industry since 1916, LIMRA helps to advance the financial services industry by empowering nearly 600 financial services companies in 64 countries with knowledge, insights, connections and solutions. Visit LIMRA at www.limra.com.
About NEOS
NEOS is a recognized leader in helping global insurance and financial services organizations drive transformative change. Specializing in life, annuities, retirement, employee benefits, and wealth management, NEOS provides management consulting and delivery services that enable clients to solve strategy, distribution, operations, data and technology challenges. For more information about NEOS, visit www.neosllc.com.