Why do health insurance companies pay out so little in benefits?

The “loss payout ratio” for health insurance companies is less than 75 cents for each dollar in premiums with the rest going for administrative costs and profits. How do they manage to keep their profits so high? Why hasn’t the market forced insurance companies to compete with each other and lower premiums?
John J S: You’re thinking of life insurers (who must have a reserve), not health insurers.
Enzyte: Where’d you make up your statistic from?

Long time no see

Insurance companies — internationally operate on the same basic criminal scheme

To us a person it is criminal — to the law — not so much –

In order to take on an insurance company — you have to make a statement of claim — now that goes before several levels of court no matter the nation — the names change but in reality the beuarcacy does not

As a trick — any settlement — no matter how stretched out it is — is not part of the official records of the court –because settlements are made to keep something out of the court

The insurance company uses this as a statistical racket —- 100 cases brought before the courts (statement of claim) resulted in 2 judgments against the company — it therefore appears they won the other 98 cases which is no where near true

An insurance company only allows cases to get to court if it believes it will win — the others are settled — leaving a record of claim but no record of victory or loss — the insurance company does not lie — it merely misinforms and allows you to believe that which is false — legal but criminal in the eyes of the peoples

By offering settlement the stats are lost — the dictates of the company of non disclosure mean that no one in the future may benefit from the statement of claim made — The insurance company uses this to produce a void in the stats which it allows the public to fill in

Most cases end up being proven as fraudulant claims against the company and thus it is we need to raise our rates — Hmmm sure — except that — of the 100 cases only 2 were allowed to go to court and of that 2 only one was proven fraud — but that means the stats show — 50 % of all concluded cases were fraudulant claims

None of that has anything to do with monetary intake vs out go — but this justification of raised rates is often used and none of the uninformed public questions it

Lets take into account what it is an insurance company does

It is an odd taker — similar to the house in a casino it plays the odds — and it only plays when the odds are in its favor

It also argues aggressively all claims backed up by multi million dollar lawyers who play the odds

If you are simply old they will drag it out knowing the stats say you will likely die — an estate case is 1/2 in value of a living person — they view that in and of itself as a win

A % will simply go away if dragged out long enough — another win

The list of dirty tricks used is endless

You are dealing with a rich — powerful — loan shark — playing the odds

Insurance is a protection racket

The sicker you are the less time you have — the more they drag it out the higher the % of you kicking the bucket — a statistical win

Drag it out for 4 months and half the claims for kidney failure will die — drag it out for 6 months and 90 % will die — meaning no claim at all

Criminal in the eyes of the public — legal in the eyes of the state — thus the lies the media controlled coverage and the bent stats

Health Markets – Cadiz, OH

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