Medicare Advantage in Dallas

Posted by on Sep 10, 2014 in Blog

Medicare Advantage in Dallas

 MEDICARE ADVANTAGE INSURANCE If this is your first time or you have heard about Medicare Advantage in Dallas,  you have come to the right place. Medicare is a federal health insurance program that provides health care benefits for people who are 65 and older. It also pays for health care for people who are eligible because of a disability or qualifying health condition. Medicare Advantage plans are generally required to cover the same services that Original Medicare covers. Some may also cover prescription drugs and dental or vision care.  Medicare Advantage plans may give you some discounts or pay for services that Original Medicare may not cover. A Medicare Advantage Plan is offered by private health insurance companies that are approved by Medicare and have a contract to provide you with Medicare benefits. Medicare Part A (hospital coverage): A Medicare Part A (hospital coverage) pays for inpatient hospital services, skilled nursing facility care after a hospital stay, home health care, hospice care, all but the first three pints of blood each calendar year. Medicare Part B (medical coverage): A Medicare Part B (medical coverage)pays for Medical expenses, clinical laboratory services and tests  outpatient hospital treatment, Medical equipment and supplies, preventive health services, including exams, lab tests, health screenings, and shots. Medicare Part C (Medicare Advantage): A Medicare Part C (Medicare Advantage) provides the same benefits as original Medicare parts A and B and is another way to get your Medicare coverage. Medicare Part D (prescription drug coverage): A Medicare Part D (prescription drug coverage) pays for generic and brand-name prescription drugs. You can get prescription drug coverage either by joining a stand-alone prescription drug plan or by buying a Medicare Advantage plan that includes drug coverage. If you have group health coverage that provides prescription coverage ask your plan whether you need Medicare Part D. Only private insurance companies approved by Medicare may offer Part D coverage. People get Medicare parts A and B benefits through either original Medicare or Medicare Advantage plans.  Original Medicare is sometimes called traditional Medicare or Medicare fee-for-service.  You may go to any doctors or hospitals in Dallas you want, as long as they accept Medicare patients. Medicare Advantage in Dallas is an alternative to original Medicare. It’s sometimes called Medicare Part C.  If you join a Medicare Advantage in Dallas plan, the plan will provide your Medicare parts A and B benefits.  If you are in a Medicare Advantage in Dallas plan, you are no longer in original Medicare but still have the same rights and protections as people with original Medicare. Understand your plan Medicare Advantage in Dallas plans must give you a member handbook when you enroll. Read your member handbook or evidence of coverage to know what and how services are covered and what out-of-pocket costs you will have to pay. Make sure you understand how the HMO or PPO...

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General Liability Insurance Dallas

Posted by on Sep 9, 2014 in Blog

General Liability Insurance Dallas

General Liability Insurance in Dallas General Liability Insurance (GL) is coverage that can protect you from a variety of claims including bodily injury, property damage, personal injury and others that can arise from your business operations. General Liability Insurance in Dallas is often combined with property insurance in a Business Owners Policy (BOP) Liability Insurance Liability Insurance is designed to offer specific protection against third party insurance claims, i.e., payment is not typically made to the insured, but rather to someone suffering loss. In general, damage caused intentionally as well as contractual liability are not covered under General Liability Insurance Policies in Dallas. When a claim is made, the insurance carrier has the duty (and right) to defend the insured. The legal costs of a defense normally do not affect policy limits unless the policy expressly states otherwise; this default rule is useful because defense costs tend to soar when cases go to trial. Who Needs General Liability Insurance in Dallas? As a contractor or small business owner, you need some form of general liability insurance to safeguard your livelihood. A single accident could result in a lawsuit that you might not be able to handle. Some employers might also require you to carry a certain amount of General Liability Insurance before you can work for them. General Liability Insurance Can Help Protect Your Business from the Unknown. With the day-to-day uncertainties of small business management, general liability insurance is something you cannot do without. Accidents happen – on site, off site, with employees and with customers – no matter how much you’ve planned. Liability Insurance can help cover medical expenses, attorney fees and damages you are legally responsible for. It can also offer protection against situations that may not have even crossed your mind. For example, any individual or business providing an opinion, making recommendations, designing solutions or offering a service is at risk for a professional liability lawsuit. Nationwide can help with defense costs, regardless of fault. And we offer protection for judgments, court costs and more. You can learn more about General Liability Insurance in Dallas by contacting Lou Zettler at www.louzettler.com  ...

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Texas Professional Liability

Posted by on Sep 5, 2014 in Blog

Texas Professional Liability

Professional Liability If you’re searching for a better understanding or knowing what of Texas Professional Liability is all about, you have come to the right place. Professional Liability Insurance (PLI), also called Professional Indemnity Insurance (PII) but more commonly known as Errors & Omissions (E&O) in the US, is a form of liability insurance that helps protect professional advice- and service-providing individuals and companies from bearing the full cost of defending against a negligence claim made by a client, and damages awarded in such a civil lawsuit. Texas Professional Liability focuses on alleged failure to perform on the part of, financial loss caused by, and error or omission in the service or product sold by the policyholder. These are potential causes for legal action that would not be covered by a more general liability insurance policy which addresses more direct forms of harm. Texas Professional Liability coverage sometimes also provides for the defense costs, including when legal action turns out to be groundless. Coverage does not include criminal prosecution, nor a wide range of potential liabilities under civil law that are not enumerated in the policy, but which may be subject to other forms of insurance. Texas Professional Liability insurance is required by law in some areas for certain kinds of professional practice (especially medical and legal), and is also sometimes required under contract by other businesses that are the beneficiaries of the advice or service. Texas Professional Liability Insurance may take on different forms and names depending on the profession. For example, in reference to medical professions it is called malpractice insurance, while Errors and Omissions (E&O) insurance is used by insurance agents, consultants, brokers and lawyers. Other professions that commonly purchase Professional Liability Insurance include accounting and financial services, construction and maintenance (general contractors, plumbers, etc., many of whom are also surety bonded), and transport. Some charities and other nonprofits/NGOs are also professional-liability insured. What Texas  Professional Liability covers Texas Professional Liability Insurance policies are generally set up based on a claims-made basis, meaning that the policy only covers claims made during the policy period. More specifically, a typical policy will provide indemnity to the insured against loss arising from any claim or claims made during the policy period by reason of any covered error, omission or negligent act committed in the conduct of the insured’s professional business during the policy period. Claims which may relate to incidents occurring before the coverage was active may not be covered, although some policies may have a retroactive date, such that claims made during the policy period but which relate to an incident after the retroactive date (where the retroactive date is earlier than the inception date of the policy) are covered. Coverage does not include criminal prosecution, nor all forms of legal liability under civil law, only those specifically enumerated in the policy. Cyber Liability, covering data breach and...

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Boomers a.k.a. Baby Boomers and the missing Sea Scrolls

Posted by on Aug 26, 2014 in Blog

Boomers a.k.a. Baby Boomers and the missing Sea Scrolls

Boomers a.k.a. Baby Boomers and the missing Sea Scrolls   Who are the baby boomers, They are people just like you & me; born between the years of 1946 and 1964. Approximately 76,000,000 adults fall into that uniquely named category of “Boomers”. Various reports would lead us to believe this represents one third of America’s population and controls 76% of the economy. I suspect that this 76% represents what we spend every year versus what we save for the mythical retirement years… FYI – Generation X is comprised of all those middle aged people born between 1965 and 1982 and Generation Y was born between 1977 and  2001, most likely the children and grandchildren of the Boomers. According to a 2011 Associated Press survey, 60% of the Boomers lost value in their investments because of the economic crisis, 42% are delaying retirement, and 25% claim they will never retire.  I guess that means they expect to work until they drop dead. Lastly, as it was reported, Boomers avoid discussions and planning about their demise and universally avoid any long-term planning. Let’s hope the survey was wrong! Planning for the future is a simple and straight forward form of mental exercise, I personally use a timeline. Imagine if you will; a  horizontal line drawn on a whiteboard; the beginning of the line is not as important as certain places along this timeline. Anyone over the age of 60 needs to be aware of three very important dates, age 62 is your first opportunity to make an informed decision about your Social Security benefits, regardless of the news media and predictions of its ultimate bankruptcy, the Social Security Act will provide the most reliable form of supplemental income for most Americans. If you elect at age 62 to accept Social Security, it will be a reduced benefit. Or,  you can wait until age 63 for a slightly larger benefit or larger at 64, or even larger at 65 etc. In many cases age 66 is when you reach full retirement age (FRA) and would receive the full benefit.  If however;  you can wait, you will receive extra credits for waiting till 67, 68, 69 or 70 & get the largest SS check possible for yourself. Coordinating spousal benefits is exceptionally important and potentially profitable. 65 is also the date in which you need to make decisions about Medicare, if you wait the penalties are ridiculous! You can exercise your right to elect Medicare three months before you turn 65. So work that line and start making timeline marks at 62, 65, 66  & 70. At 70 you are required to take an RMD; (Required minimum distribution of your 401(k), IRA, SEP, anything that remotely looks like tax-deferred/qualified money. If you don’t start taking the required withdrawals from your pensions, the penalty is outrageous! Imagine this horizontal line with lot’s of specific marks. Begin to fill...

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Alternative to Workers Compensation – Texas Non Subscription

Posted by on Aug 20, 2014 in Blog, Texas Non Subscription, Workers Compensation

Alternative to Workers Compensation – Texas Non Subscription

Alternative to Workers Compensation – Texas Non Subscription Nonsubscription aka Non-subscription aka the “Alternative” to Workers Compensation – Dallas – Texas   If you’re searching for a better understanding of Texas Non-subscription or are interested in comparing the costs of Workers Compensation versus Texas Non-subscription, you have come to the right place. Let’s discuss an Alternative to Workers Compensation – Texas Non Subscription. Non-subscription is essentially an opportunity, an opportunity. It’s an opportunity for a business owner to choose between traditional statutory Worker’s Compensation or alternative methods to transfer the financial risk, should one of their employees be hurt at work. Traditional statutory Worker’s Compensation provides very generous benefits to the injured employee and insulates the employer from financial exposure (deductibles) and contributory negligence litigation! The cost of traditional statutory Worker’s Compensation, like the Alternatives, is based upon payroll and a specific percentage applied against the payroll which varies depending upon the risk inherent in the job of your employees. Clerical and administrative staff would pay a much smaller fee than a welder or truck driver. Everything is relative, the higher the risk, the higher the cost. Any insurance product that has zero deductibles and unlimited benefits will be expensive! If you’ve been successful and lucky to have few workplace injury claims, then you’ll receive additional credits when your traditional statutory Worker’s Compensation renews. However if you have had accidents and incurred claim expenses, the insurance company will increase your costs proportionately. In Texas and Oklahoma you have a choice and can compare the alternatives to traditional statutory Worker’s Compensation insurance. Alternatives offering deductibles of $1000 and higher, in addition to variable policy limits allow you to customize an alternative to workers compensation. A custom suit will always fit better than the one you buy at the Needless Markup department store… You should consider a Alternative to Workers Compensation – Texas Non Subscription. In addition to policy limits that are custom designed for your business, intelligent loss control and forensic examination of claims, always reduces questionable claims and eliminates outright fraud, thereby dramatically reducing the cost of your insurance. The Alternatives to workers compensation also enable you to access expert medical providers, so your employees receive the absolute best medical care available. Claim adjusters are typically assigned to each injured employee and follow their progress with the providers so your employees are made whole and return to work ASAP. Traditional workers compensation is a fine product and works very well for approximately 60% of all employers in the state of Texas. Hundreds of Texas employers change from traditional workers compensation to the alternative and vice versa, every year, as they closely examine their insurance needs and costs. Many are looking for a Alternative to Workers Compensation – Texas Non Subscription. Converting traditional workers compensation to the alternative is a simple and straightforward matter, notifying the former insurance company, notifying your employees with written...

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Lou’s in the News

Posted by on Jul 31, 2014 in Blog

Lou’s in the News

The Independent Insurance Agents of Dallas (IIAD) published a interview with Lou, Agency Spotlight: Lou Zettler G.A. Non-subscription With over 28 years of experience in the DFW Metroplex, Lou Zettler brings a wealth of knowledge to our industry Background and Work Experience My grandfather and father were executive officers of the Metropolitan Life Insurance Company, when I began my career as a third generation insurance professional, my father started me on a Debit1 route a long long time ago. If your readers are unfamiliar with a debit route, agents were assigned an exclusive territory and a book, (Book of Business) this book had a single page for every policyholder within the agents territory. On the back of each page is where the agent collected & recorded premium payments (typically made on a weekly basis). The Debit agent would work his route much like an old fashion milkman or bread man in the cities and urban areas of America. A Debit agent’s job was to visit and collect premium, (many times I collected $1.25 per week) that afforded an agent the opportunity to visit with their clients on a much higher frequency than today and fine-tune your prospecting skills. In America this was known as industrial insurance, in England it was typically fire insurance, an interesting historical note, in the late 1680s, Edward Lloyd opened a coffeehouse on Tower Street in London, this became a popular with shipowners & merchants that eventually led to the establishment of the insurance market we all know as Lloyd’s of London. Captive Agent History My experience as a (former) captive agent, lead me to the independent agency industry. Working as an independent General Agent affords me the freedom to choose unique products, such as non-subscription and identity theft solutions. Furthermore the freedom to serve other independent agents and support their clients. Agency Description My independent general agency is the “One Stop Shop” for Texas Non-subscription2, a sophisticated comprehensive alternative to Texas Worker’s Compensation insurance. For 20+ years I have assisted independent agents throughout the state of Texas with access to quality A & A+ rated carriers, expert attorneys for ERISA plan design, loss control and marketing support, (inclusive of free leads). Of all the services we provide, my favorite activity is to go on a joint call with an agent and assist in the presentation. To fully inform a business owner that they have choices, dispel any urban myths, educate the insured and give them the opportunity to make an informed decision. Marketing Techniques I market my business through supporting industry associations, soliciting new agents and asking for referrals! A core element of success is maintaining a profitable and efficient relationship with my independent agents, turning around Quote requests ASAP, accompanying them on sales calls anytime, anywhere, intervening directly with the insurance company if there is a billing/claim problem. Responding to their phone calls, voice...

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