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	<title>Comments on: Dangerous Bill To Be Aimed at the Individual Market</title>
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	<link>http://www.healthinsurancecolorado.net/blog1/2008/09/22/dangerous-bill-to-be-aimed-at-the-individual-market/</link>
	<description>Research and discussion of the Colorado health insurance industry and the healthcare crisis in America.</description>
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		<title>By: SJ in Colorado</title>
		<link>http://www.healthinsurancecolorado.net/blog1/2008/09/22/dangerous-bill-to-be-aimed-at-the-individual-market/comment-page-1/#comment-14238</link>
		<dc:creator>SJ in Colorado</dc:creator>
		<pubDate>Wed, 20 Jan 2010 20:35:19 +0000</pubDate>
		<guid isPermaLink="false">http://www.healthinsurancecolorado.net/blog1/?p=611#comment-14238</guid>
		<description>Todd writes: &quot; I think it’s good that Cover Colorado participants pay a portion of the costs. It probably holds down fraud levels.&quot;

I just checked out CoverColorado on behalf of a friend of mine. This is an extremely high cost plan; *in addition* to the high monthly premiums, my understanding is that the policy holders pay around 30% of the total cost of treatment, too. 

I do wonder why the program can&#039;t fund itself, without tacking on fees to people who don&#039;t use it. It would be interesting to have a better understanding of how the program is set up. For example, do they use the premiums to invest in the market, and thus, generate more capital like traditional insurance companies do?</description>
		<content:encoded><![CDATA[<p>Todd writes: &#8221; I think it’s good that Cover Colorado participants pay a portion of the costs. It probably holds down fraud levels.&#8221;</p>
<p>I just checked out CoverColorado on behalf of a friend of mine. This is an extremely high cost plan; *in addition* to the high monthly premiums, my understanding is that the policy holders pay around 30% of the total cost of treatment, too. </p>
<p>I do wonder why the program can&#8217;t fund itself, without tacking on fees to people who don&#8217;t use it. It would be interesting to have a better understanding of how the program is set up. For example, do they use the premiums to invest in the market, and thus, generate more capital like traditional insurance companies do?</p>
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		<title>By: Todd</title>
		<link>http://www.healthinsurancecolorado.net/blog1/2008/09/22/dangerous-bill-to-be-aimed-at-the-individual-market/comment-page-1/#comment-13104</link>
		<dc:creator>Todd</dc:creator>
		<pubDate>Fri, 10 Apr 2009 21:24:29 +0000</pubDate>
		<guid isPermaLink="false">http://www.healthinsurancecolorado.net/blog1/?p=611#comment-13104</guid>
		<description>Bartz,

Point well taken.  I can see how unemployment fees and Cover Colorado fees could both be looked at as an insurance.  Though, I don&#039;t think there&#039;s any need to refer sarcastically to the &quot;exorbitant&quot; $3 amount... since we are discussing the principal of the tax, not the amount.  We&#039;ve been subjected to huge amounts of tax over the years, that have been implemented slowly over time in small amounts.  Every time some group wants a new tax, they assure us that it will only cost the average family $12/yr or something like that.  But it adds up... I think we have to decide whether certain taxes are right or wrong, regardless of how small the amount.  Every small tax represents to me a small amount of my freedom.

I guess my fear with govt &quot;systems&quot; (as long as we&#039;re comparing them to insurance, which you could almost do with ANY govt program from welfare to military to law enforcement etc) is somewhat similar to my concerns of insurance in general.  We go down a road of paying for a potential service that we MAY need someday, if things happen to go wrong in some area of our lives.  But, I always fear where (or if) that road will end.

At some point, I feel like we need to learn to weigh the odds and maybe take our chances.  Sacrifice a little security, to keep some additional freedom (to keep what we earn).

But... with my limited knowledge of Cover Colorado, I won&#039;t debate where that falls.  I&#039;m not even sure where I believe the unemployment program falls.  We sure do see it taken advantage of a lot.  I think it&#039;s good that Cover Colorado participants pay a portion of the costs.  It probably holds down fraud levels.

Todd</description>
		<content:encoded><![CDATA[<p>Bartz,</p>
<p>Point well taken.  I can see how unemployment fees and Cover Colorado fees could both be looked at as an insurance.  Though, I don&#8217;t think there&#8217;s any need to refer sarcastically to the &#8220;exorbitant&#8221; $3 amount&#8230; since we are discussing the principal of the tax, not the amount.  We&#8217;ve been subjected to huge amounts of tax over the years, that have been implemented slowly over time in small amounts.  Every time some group wants a new tax, they assure us that it will only cost the average family $12/yr or something like that.  But it adds up&#8230; I think we have to decide whether certain taxes are right or wrong, regardless of how small the amount.  Every small tax represents to me a small amount of my freedom.</p>
<p>I guess my fear with govt &#8220;systems&#8221; (as long as we&#8217;re comparing them to insurance, which you could almost do with ANY govt program from welfare to military to law enforcement etc) is somewhat similar to my concerns of insurance in general.  We go down a road of paying for a potential service that we MAY need someday, if things happen to go wrong in some area of our lives.  But, I always fear where (or if) that road will end.</p>
<p>At some point, I feel like we need to learn to weigh the odds and maybe take our chances.  Sacrifice a little security, to keep some additional freedom (to keep what we earn).</p>
<p>But&#8230; with my limited knowledge of Cover Colorado, I won&#8217;t debate where that falls.  I&#8217;m not even sure where I believe the unemployment program falls.  We sure do see it taken advantage of a lot.  I think it&#8217;s good that Cover Colorado participants pay a portion of the costs.  It probably holds down fraud levels.</p>
<p>Todd</p>
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		<title>By: Bartz</title>
		<link>http://www.healthinsurancecolorado.net/blog1/2008/09/22/dangerous-bill-to-be-aimed-at-the-individual-market/comment-page-1/#comment-13103</link>
		<dc:creator>Bartz</dc:creator>
		<pubDate>Fri, 10 Apr 2009 17:02:15 +0000</pubDate>
		<guid isPermaLink="false">http://www.healthinsurancecolorado.net/blog1/?p=611#comment-13103</guid>
		<description>Todd- I don&#039;t see a difference there.  People who pay into the unemployment &quot;insurance fund&quot; don&#039;t have the option to &quot;&lt;i&gt;vote or select &#039;yes&#039; to support the program&lt;/i&gt;&quot; either.  You could characterize Cover Colorado as an &quot;insurance fund&quot; just as easily as unemployment.  And I don&#039;t think it&#039;s accurate to say Cover Colorado &quot;&lt;i&gt;take[s] money from taxpayers to cover benefits for those who don’t (by choice or otherwise) pay.&lt;/i&gt;&quot;  I checked out the rates for Cover Colorado and the HSA they have is way more than what I pay for my HSA plan through Blue Cross, so it&#039;s no free lunch.  Also, I think people who are able to pay that much to get Cover Colorado have probably paid into the insurance fund with the exorbitant $3/month fee while they had previous coverage elsewhere.

And I think the health insurance companies would surely rather have the extra $3 charge to have the right to pick and choose only the profitable healthy people while turning away unprofitable unhealthy people to public programs.</description>
		<content:encoded><![CDATA[<p>Todd- I don&#8217;t see a difference there.  People who pay into the unemployment &#8220;insurance fund&#8221; don&#8217;t have the option to &#8220;<i>vote or select &#8216;yes&#8217; to support the program</i>&#8221; either.  You could characterize Cover Colorado as an &#8220;insurance fund&#8221; just as easily as unemployment.  And I don&#8217;t think it&#8217;s accurate to say Cover Colorado &#8220;<i>take[s] money from taxpayers to cover benefits for those who don’t (by choice or otherwise) pay.</i>&#8221;  I checked out the rates for Cover Colorado and the HSA they have is way more than what I pay for my HSA plan through Blue Cross, so it&#8217;s no free lunch.  Also, I think people who are able to pay that much to get Cover Colorado have probably paid into the insurance fund with the exorbitant $3/month fee while they had previous coverage elsewhere.</p>
<p>And I think the health insurance companies would surely rather have the extra $3 charge to have the right to pick and choose only the profitable healthy people while turning away unprofitable unhealthy people to public programs.</p>
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		<title>By: Todd</title>
		<link>http://www.healthinsurancecolorado.net/blog1/2008/09/22/dangerous-bill-to-be-aimed-at-the-individual-market/comment-page-1/#comment-13102</link>
		<dc:creator>Todd</dc:creator>
		<pubDate>Fri, 10 Apr 2009 15:58:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.healthinsurancecolorado.net/blog1/?p=611#comment-13102</guid>
		<description>Bartz...

I&#039;m not sure that&#039;s totally accurate to say Jessie is already using the system by being on unemployment.  Unemployment benefits come from an &quot;insurance&quot; fund that employers pay for on employees&#039; behalf.  It&#039;s no more &quot;using the system&quot; than collecting on any insurance benefits when an event makes them due.  This is a service that Jessie has essentially paid for (through employer fees).

That&#039;s a little different than systems that take money from taxpayers to cover benefits for those who don&#039;t (by choice or otherwise) pay.

Todd</description>
		<content:encoded><![CDATA[<p>Bartz&#8230;</p>
<p>I&#8217;m not sure that&#8217;s totally accurate to say Jessie is already using the system by being on unemployment.  Unemployment benefits come from an &#8220;insurance&#8221; fund that employers pay for on employees&#8217; behalf.  It&#8217;s no more &#8220;using the system&#8221; than collecting on any insurance benefits when an event makes them due.  This is a service that Jessie has essentially paid for (through employer fees).</p>
<p>That&#8217;s a little different than systems that take money from taxpayers to cover benefits for those who don&#8217;t (by choice or otherwise) pay.</p>
<p>Todd</p>
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		<title>By: Bartz</title>
		<link>http://www.healthinsurancecolorado.net/blog1/2008/09/22/dangerous-bill-to-be-aimed-at-the-individual-market/comment-page-1/#comment-13100</link>
		<dc:creator>Bartz</dc:creator>
		<pubDate>Thu, 09 Apr 2009 17:04:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.healthinsurancecolorado.net/blog1/?p=611#comment-13100</guid>
		<description>Jessie - You&#039;re already USING THE SYSTEM by being on unemployment!  I own my own business and have paid a lot into the unemployment system and have never used it, never plan on using it either.  I&#039;m not going to complain about people like you who do need it though.  These programs always seem like a waste to the people who don&#039;t need them, until they need them.</description>
		<content:encoded><![CDATA[<p>Jessie &#8211; You&#8217;re already USING THE SYSTEM by being on unemployment!  I own my own business and have paid a lot into the unemployment system and have never used it, never plan on using it either.  I&#8217;m not going to complain about people like you who do need it though.  These programs always seem like a waste to the people who don&#8217;t need them, until they need them.</p>
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		<title>By: Jay</title>
		<link>http://www.healthinsurancecolorado.net/blog1/2008/09/22/dangerous-bill-to-be-aimed-at-the-individual-market/comment-page-1/#comment-13094</link>
		<dc:creator>Jay</dc:creator>
		<pubDate>Wed, 08 Apr 2009 17:37:35 +0000</pubDate>
		<guid isPermaLink="false">http://www.healthinsurancecolorado.net/blog1/?p=611#comment-13094</guid>
		<description>Jessie:
#1 - The extra $3/month you&#039;re paying on your health insurance premium to help pay for Cover Colorado is a tax.  Taxpayers usually don&#039;t vote or select &quot;yes&quot; to individual government programs.  How it works is... you vote for the politicians you think will run the government in a way that you agree with.  On top of that, you can contact them to let them know how you feel.  So, about this $3/month, you can:
- contact your representative to let them know how you feel about the extra $3/month you&#039;re paying for Cover Colorado.  
- vote for a politician that doesn&#039;t support the program (&lt;i&gt;although I&#039;ve never seen one on either side of the isle that doesn&#039;t support it&lt;/i&gt;).
- move to one of the red states that doesn&#039;t offer a risk pool.

#2  Cover Colorado is a &lt;a href=&quot;http://www.healthinsurancecolorado.net/wiki/index.php?title=Glossary#Risk_pool&quot;  rel=&quot;nofollow&quot;&gt;risk pool&lt;/a&gt;.  A risk pool isn&#039;t for people that &quot;&lt;i&gt;can&#039;t afford their bills&lt;/i&gt;&quot; - that&#039;s Medicaid.  Cover Colorado is for people with serious health conditions that can&#039;t get coverage in the private health insurance market and have no option for guarantee issue coverage through an employer.  And it&#039;s not cheap, they usually pay about double (or more) for that coverage.

A story: I got a call from a lady in Arizona a little while ago.  A couple years back, she&#039;d been diagnosed with MS and couldn&#039;t work anymore.  Because she couldn&#039;t work anymore, she took COBRA.  She called me because her COBRA was running out in a couple months and couldn&#039;t find anybody in Arizona who could help her.  She couldn&#039;t get a job because of her condition, so she couldn&#039;t get guarantee issue group coverage.  She didn&#039;t qualify for individual coverage.  And Arizona doesn&#039;t offer a risk pool.  She was willing to pay whatever she needed to pay to get coverage, there were just no options.</description>
		<content:encoded><![CDATA[<p>Jessie:<br />
#1 &#8211; The extra $3/month you&#8217;re paying on your health insurance premium to help pay for Cover Colorado is a tax.  Taxpayers usually don&#8217;t vote or select &#8220;yes&#8221; to individual government programs.  How it works is&#8230; you vote for the politicians you think will run the government in a way that you agree with.  On top of that, you can contact them to let them know how you feel.  So, about this $3/month, you can:<br />
- contact your representative to let them know how you feel about the extra $3/month you&#8217;re paying for Cover Colorado.<br />
- vote for a politician that doesn&#8217;t support the program (<i>although I&#8217;ve never seen one on either side of the isle that doesn&#8217;t support it</i>).<br />
- move to one of the red states that doesn&#8217;t offer a risk pool.</p>
<p>#2  Cover Colorado is a <a href="http://www.healthinsurancecolorado.net/wiki/index.php?title=Glossary#Risk_pool"  rel="nofollow">risk pool</a>.  A risk pool isn&#8217;t for people that &#8220;<i>can&#8217;t afford their bills</i>&#8221; &#8211; that&#8217;s Medicaid.  Cover Colorado is for people with serious health conditions that can&#8217;t get coverage in the private health insurance market and have no option for guarantee issue coverage through an employer.  And it&#8217;s not cheap, they usually pay about double (or more) for that coverage.</p>
<p>A story: I got a call from a lady in Arizona a little while ago.  A couple years back, she&#8217;d been diagnosed with MS and couldn&#8217;t work anymore.  Because she couldn&#8217;t work anymore, she took COBRA.  She called me because her COBRA was running out in a couple months and couldn&#8217;t find anybody in Arizona who could help her.  She couldn&#8217;t get a job because of her condition, so she couldn&#8217;t get guarantee issue group coverage.  She didn&#8217;t qualify for individual coverage.  And Arizona doesn&#8217;t offer a risk pool.  She was willing to pay whatever she needed to pay to get coverage, there were just no options.</p>
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		<title>By: Jessie</title>
		<link>http://www.healthinsurancecolorado.net/blog1/2008/09/22/dangerous-bill-to-be-aimed-at-the-individual-market/comment-page-1/#comment-13092</link>
		<dc:creator>Jessie</dc:creator>
		<pubDate>Mon, 06 Apr 2009 17:06:46 +0000</pubDate>
		<guid isPermaLink="false">http://www.healthinsurancecolorado.net/blog1/?p=611#comment-13092</guid>
		<description>RATE INCREASE for Cover Colorado
I just received a notice telling me that I will be paying an extra $3.00/month on top of my insurance premium to help pay for Cover Colorado.

I don&#039;t recall getting a chance to vote or select &quot;yes&quot; I am willing to pay extra insurance premiums to assist this program.

It&#039;s not that I don&#039;t think the program is valueable and serves a purpose, its the idea that I didn&#039;t have a choice and it is being forced upon me and everyone else.

I see this as a &quot;foot-in-the-door&quot; for the government to continue to do as they please with our money.

Does anyone know how I can defend my money and but still have insurance?

By the way- I was recently laid-off from my job, rented out my townhome and moved in with my aunt and uncle.  I am on unemployment and still paying my own insurance premiums.  I can barely afford my own bills, why should I have to cover other people&#039;s bill&#039;s that they can&#039;t afford.  This is causing ME to want to &quot;USE&quot; the system.  

Advice? Comments?

Thanks,
Jessie</description>
		<content:encoded><![CDATA[<p>RATE INCREASE for Cover Colorado<br />
I just received a notice telling me that I will be paying an extra $3.00/month on top of my insurance premium to help pay for Cover Colorado.</p>
<p>I don&#8217;t recall getting a chance to vote or select &#8220;yes&#8221; I am willing to pay extra insurance premiums to assist this program.</p>
<p>It&#8217;s not that I don&#8217;t think the program is valueable and serves a purpose, its the idea that I didn&#8217;t have a choice and it is being forced upon me and everyone else.</p>
<p>I see this as a &#8220;foot-in-the-door&#8221; for the government to continue to do as they please with our money.</p>
<p>Does anyone know how I can defend my money and but still have insurance?</p>
<p>By the way- I was recently laid-off from my job, rented out my townhome and moved in with my aunt and uncle.  I am on unemployment and still paying my own insurance premiums.  I can barely afford my own bills, why should I have to cover other people&#8217;s bill&#8217;s that they can&#8217;t afford.  This is causing ME to want to &#8220;USE&#8221; the system.  </p>
<p>Advice? Comments?</p>
<p>Thanks,<br />
Jessie</p>
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		<title>By: Don Levit</title>
		<link>http://www.healthinsurancecolorado.net/blog1/2008/09/22/dangerous-bill-to-be-aimed-at-the-individual-market/comment-page-1/#comment-11771</link>
		<dc:creator>Don Levit</dc:creator>
		<pubDate>Wed, 24 Sep 2008 20:21:01 +0000</pubDate>
		<guid isPermaLink="false">http://www.healthinsurancecolorado.net/blog1/?p=611#comment-11771</guid>
		<description>Rick:
My point about the value of underwriting is that it is a good way to assess risk today, and its value extends for about 2 years.
What that means is that a good number of people who are declined for coverage or charged higher than standard premiums would either not be able to get coverage at all, or not be able to obtain coverage at affordable rates, in the current system.
My idea is to get all comers into the pool that want to, regardless of health or income status.
In order to maximize the benefits, however, the vast majority of participants need to be in good current health.
By not providing benefits until year 3, those in poorer health at the start will not use benefits immediately, but will have the same opportunity as those in good health to do so in year 3.
While coverage would not start until year 3, all the benefits that build in the first 2 years would be available in year 3, so all the payments &quot;count.&quot;
This system may not appeal to you, for you seem to be comfortable with the way things are.
Don Levit</description>
		<content:encoded><![CDATA[<p>Rick:<br />
My point about the value of underwriting is that it is a good way to assess risk today, and its value extends for about 2 years.<br />
What that means is that a good number of people who are declined for coverage or charged higher than standard premiums would either not be able to get coverage at all, or not be able to obtain coverage at affordable rates, in the current system.<br />
My idea is to get all comers into the pool that want to, regardless of health or income status.<br />
In order to maximize the benefits, however, the vast majority of participants need to be in good current health.<br />
By not providing benefits until year 3, those in poorer health at the start will not use benefits immediately, but will have the same opportunity as those in good health to do so in year 3.<br />
While coverage would not start until year 3, all the benefits that build in the first 2 years would be available in year 3, so all the payments &#8220;count.&#8221;<br />
This system may not appeal to you, for you seem to be comfortable with the way things are.<br />
Don Levit</p>
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		<title>By: Rick Anderson</title>
		<link>http://www.healthinsurancecolorado.net/blog1/2008/09/22/dangerous-bill-to-be-aimed-at-the-individual-market/comment-page-1/#comment-11770</link>
		<dc:creator>Rick Anderson</dc:creator>
		<pubDate>Wed, 24 Sep 2008 19:05:42 +0000</pubDate>
		<guid isPermaLink="false">http://www.healthinsurancecolorado.net/blog1/?p=611#comment-11770</guid>
		<description>@Don - you said &quot;The value of underwriting wears off after a few years.&quot;
Well, yeah.  That is the point of &quot;insurance&quot; like Jay said.  They get to assess the current RISK and make a decision.  Underwriting &quot;running out&quot; in a couple years is the main part of the insurance business defined as RISK.
I&#039;m 53 years old with no current health conditions.  If I sign up for health insurance I want to know that I don&#039;t have to wait 2 years. I&#039;m in my 50&#039;s and there is not a 0% chance that something might happen to me soon.  If I don&#039;t have a break in coverage, haven&#039;t been trying to cheat the system, the insurance company can assess the risk now and if they want to cover me at the start of next month that risk will be worked into the premiums.
And for someone starting the coverage in their 50&#039;s, I don&#039;t want to have to start &quot;building my benefits like an IRA.&quot;  I&#039;ve been paying for insurance for a long time and not using it.  I&#039;m going to pay for the amount of coverage that I think I may need in the event of somethig happening on the first day of coverage.</description>
		<content:encoded><![CDATA[<p>@Don &#8211; you said &#8220;The value of underwriting wears off after a few years.&#8221;<br />
Well, yeah.  That is the point of &#8220;insurance&#8221; like Jay said.  They get to assess the current RISK and make a decision.  Underwriting &#8220;running out&#8221; in a couple years is the main part of the insurance business defined as RISK.<br />
I&#8217;m 53 years old with no current health conditions.  If I sign up for health insurance I want to know that I don&#8217;t have to wait 2 years. I&#8217;m in my 50&#8217;s and there is not a 0% chance that something might happen to me soon.  If I don&#8217;t have a break in coverage, haven&#8217;t been trying to cheat the system, the insurance company can assess the risk now and if they want to cover me at the start of next month that risk will be worked into the premiums.<br />
And for someone starting the coverage in their 50&#8217;s, I don&#8217;t want to have to start &#8220;building my benefits like an IRA.&#8221;  I&#8217;ve been paying for insurance for a long time and not using it.  I&#8217;m going to pay for the amount of coverage that I think I may need in the event of somethig happening on the first day of coverage.</p>
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		<title>By: Don Levit</title>
		<link>http://www.healthinsurancecolorado.net/blog1/2008/09/22/dangerous-bill-to-be-aimed-at-the-individual-market/comment-page-1/#comment-11738</link>
		<dc:creator>Don Levit</dc:creator>
		<pubDate>Tue, 23 Sep 2008 21:50:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.healthinsurancecolorado.net/blog1/?p=611#comment-11738</guid>
		<description>Louise:
I can appreciate your wanting to cover people fully from day 1.
We have 2 obstacles which seem to preclude that posibility.
First, people are not proving health, so we still want to attract those in good health.
The vast majority must have low claims in order for the system to work.
Secondly. people are paying what they can afford, so the benefits are based on contributions; they are not fixed benefits as in a typical individual policy; rather, the benefits build as in an IRA.

IMO, 2 of the primary goals are to attract all comers, without detering those in good health to participate.
And, secondly to skew the higher benefits over time, as we age, when typical higher medical expenses are expected.
Don Levit</description>
		<content:encoded><![CDATA[<p>Louise:<br />
I can appreciate your wanting to cover people fully from day 1.<br />
We have 2 obstacles which seem to preclude that posibility.<br />
First, people are not proving health, so we still want to attract those in good health.<br />
The vast majority must have low claims in order for the system to work.<br />
Secondly. people are paying what they can afford, so the benefits are based on contributions; they are not fixed benefits as in a typical individual policy; rather, the benefits build as in an IRA.</p>
<p>IMO, 2 of the primary goals are to attract all comers, without detering those in good health to participate.<br />
And, secondly to skew the higher benefits over time, as we age, when typical higher medical expenses are expected.<br />
Don Levit</p>
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