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Annual [updated] open letter to Health Net CEO, Jay M. Gellert

March 04, 2010 by Bill Strong

Ahhhhhhh, the New Year! January 1 brings so many things every year -- resolutions, new beginnings, fresh starts, renewed optimism. Apparently, care of Health Net President and CEO Jay M. Gellert and his cohorts, my family can add egregious private health insurance premium increases to that list. How much? Oh, just another 35% this year or a two year increase of 82% -- yes 82%! And get this. In one breath Health Net increases our 2010 health insurance premiums another 35% -- 82% in the past two years -- and in the other they just reported financial results and, well whad'ya know, a sweet 18% increase in adjusted net income for 2009. Lovely Mr. Gellert. Just plain lovely.

The good news is that I don't have to waste any energy on drafting another open letter to Mr. Gellert -- I can just re-post the one from last year and update a few numbers.

P.S. I'd also encourage Mr. Gellert to read my post from January 27, 2009 regarding last year's 35% premium increase and the things I don't understand about all of this. Unfortunately, they all still apply.

P.S.S. I'd also add one more ridiculous item to that list -- the vicious cycle effect: The recession, coupled with insurers like Health Net continuing to increase health insurance premiums, has resulted in policyholders dropping their coverage which, in turn, forces those insurers to spread these ever increasing costs and risk among a smaller pool of customers. And what does this lead to? Yup, you guessed it! Even further increased health insurance premiums for those that remain. It's an ugly, sad vicious cycle.

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February 11, 2010

Mr. Jay M. Gellert

President and Chief Executive Officer

Health Net, Inc.

21650 Oxnard Street

Woodland Hills, California 91367

Dear Mr. Gellert:

As the President and Chief Executive Officer of Health Net, I think you should be made aware of something that your company is doing and the impact it will have on the well-being of your members. My family has a Health Net PPO insurance policy. In January 2010, we received a form letter from your company informing us that our policy premiums would be increasing 35%. The letter cited our age, type of coverage, dependent status, address, and the cost of providing health care as contributing factors. Its ironic because we received a similar letter from Health Net in January 2009 citing the same contributing factors for the same exact increase: 35%. In just two years, Health Net has increased our private health insurance premiums a whopping 82%. To me, this is unfathomably egregious and immoral.

My wife and I have a 28-month-old daughter, Gwendolyn. Gwendolyn was born perfectly healthy in October 2007, but was diagnosed with the motor neuron disease Spinal Muscular Atrophy (SMA) at 6-months. Her mind is no different from that of any other healthy baby, but her body is failing her. She is completely paralyzed and requires constant 24-hour care. Based on statistics, Gwendolyn is an outlier.

As you can imagine, our situation is extremely challenging. I dont tell you this to ask for your sympathy, I tell you this to explain that an unexpected premium increase of this magnitude is financially catastrophic and, given the uninsurability of our family due to Gwendolyn's disease, is immoral. Im certain that, as one of the largest health insurance providers in California, your decision to increase premiums to this extent is negatively impacting thousands of members in similar circumstances. According to a Harvard University study, more than 50% of household bankruptcies are related to medical debt and more than 75% of those had health insurance. No doubt Health Nets decision to increase premiums at this rate will only increase this appalling statistic.

As the President and Chief Executive Officer of Health Net, Im formally asking that you reconsider your premium increase policy for these types of situations not only for my family, but for all families that have been impacted by life-altering medical circumstances. I understand that the economics of the health care industry are squeezing all parties involved and I realize that it may not help you make your quarterly or annual earnings estimates, but its the right, just, and moral thing to do.

I thank you in advance for your time and consideration and would be more than happy to speak with you if you would like more information.

Kind regards,

Bill Strong

Santa Barbara, California

strongbill@gmail.com

Talk About It

[...] – 9.75% annual increase in our health insurance premiums. Not too shabby compared to the 35% annual increase last year and 35% annual increase the year before. Now, if you add all of those up we’re talking about [...]
Posted by Another Health Net Insurance Premium Increase — Gwendolyn Strong | Gwendolyn Strong on 2010-12-18 12:14:11

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