According the new health reform bill, if an American insurance company is to take part in the government insurance exchange, the firm is required to spend at least 85 cents out of each dollar it makes from large group plans directly on health care costs. They are required to spend 80 cents from money collected from small group plans or individuals. If the companies can’t meet those numbers each year, they are supposed to refund the amount left over to policy holders.
However, a lot of people feel giving the big firms just 15 or 20 cents out of each dollar to run their businesses isn’t quite realistic. This is because they have to pay salaries, office supplies, building maintenance, marketing, advertising, actuarial research, commissions, stockholder profits, and more out of that money.
No one would argue that as much money as possible should be going directly to health care and nobody wants to see anybody denied coverage. But there are a lot of people in the American insurance game who are arguing that some companies won’t be able to carry on with such a small percentage left for overhead.
These people point to the low profit margins that American insurance companies make to state their case. The health insurance business isn’t really rolling in money as its profit over expenses stands at just 3.3 percent. Out of 100 major industries this ranks 86th.
When compared to the profits that gas, electric, and beer companies make as well as the software industry, and medical lab services, the health insurance industry appears to be suffering. The low profit margin is generally due to the amount of work and research that goes into developing insurance plans. The costs add up very quickly as it’s a long and involved process.
Opponents to the bill say that there are hardly any other types of businesses in America that operate on such a small overhead percentage as the health care insurance companies are being asked to do, including non-profit organizations.
Only time will tell if the amount is too low for American insurance companies to survive on.