Devils Corner - Where I get to indulge a bit of devilish advocacy

Wednesday, December 22, 2010

THANK YOU, Robert C, for the wonderful review!

Here're some kind words a client posted about us on Yelp!

Milani Insurance Sevices

16708 La Maida St, Encino, CA 91436
Reviewed by Robert C.
Bonnie Milani is by far one of the sweetest people I've met here in Los Angeles. She takes the time to get to know her clients and really is passionate about making sure they get the best rate plan.

The first time I called her she gave advice on which plans would best suit my healthcare needs. She is a broker for both Anthem and Blue Shield of California. She knows the plans inside and out so you can trust her advice!

When I needed to fill out papers for Blue Shield of California Bonnie met with me at a Starbucks so that we could go over the best insurance option for me. The first thing she did when I met her in person was give me a great big hug so she's really outgoing and beyond friendly!

The best part about Bonnie is you can call or email her whenever you have a question or concern. She's there for you and never too busy! She has great energy so definitely get in touch with Milani Insurance if you're in need of healthcare coverage!

A thought for the faithful

Glenn Schiffman gave me this quote.  It's one I find myself re-visiting often. 

Glenn tells me it was 'paraphrased from the TaoTe Ching #38 as translated by Steven Mitchell": 

When the Tao is lost, there is goodness.
When goodness is lost, there is morality.
When morality is lost, there is ritual.
Ritual is the husk of true faith,
the beginning of chaos.

In another translation (Ursula LeGuin) this verse reads thus:
So when we lose the way we find power;
losing power we find goodness;
losing goodness we find righteousness;
losing righteousness we're left with obedience.
Obedience to law is the dry husk of loyalty and faith.
Opinion is the barren flower of the Way, the beginning of ignorance.

Okay, the opinion part I've got down pat...

Associated Press quoted me, too!

From the Sentinel Record, Ocober 14, 2009

CDHPs & HSAs?

The ABCs of health insurance by Thomas Murphy, AP

More workers are likely to be offered a health insurance option that offers a lower premium, but could mean higher out of pocket costs, when open enrollment begins at many companies in coming weeks. Here are some tips for evaluating these new plans, called consumer directed health plans, and the alphabet soup of options this open enrollment season.

What’s a consumer-directed health plan?

This is insurance that typically carries a premium lower than traditional coverage, but the trade-off is accepting a deductible that tops $1,200 and can stretch as high as $10,000 for some family plans. Typically, that deductible must be paid before insurance coverage starts.

That can mean paying for bills for blood tests, X-rays or a doctor’s office visit in full instead of the usual $20 co-pay many have become accustomed to. Consumer-directed plans are paired with a special account to help manage these expenses. The most common are health reimbursement arrangements (HRAs) and health savings accounts (HSAs).

How do I tell an HRA from an HSA?

HRAs are an employer-funded account that helps pay out-of-pocket expenses. That money belongs to the company and stays with it if the employee leaves.

In contrast, customers own health savings accounts, which allow people to set aside pretax dollars for medical expenses. They can keep unused money in the accounts and earn interest.

How do I know if it’s right for me?

The plans can vary widely from employer to employer, so a lot depends on what’s offered.

Financial planners say these plans generally work best for people who use little health care. Those customers can pay a smaller premium, receive a tax break on money they put in their HSA and build up that account.

The plans are a poor match for those who struggle to save money.

“For people that are really on a tight budget and are close to being in financial trouble, that risk could push them over the edge,” said Jon Beyrer, vice president of wealth management for Blankinship & Foster, a Solana Beach, Cailf.-based financial advisory firm.

People with chronic conditions like diabetes might wind up draining their savings accounts and being stuck with a high deductible every year. But they also may benefit, depending on the plan’s specifics. Many high-deductible plans come with a lower limit for how much the customer has to spend out of pocket each year. In those cases, such a plan helps someone who uses a lot of health care.

How do I know what my medical needs will be?

You never know for certain what your needs will be, but it can help to figure out coverage for worst-case scenarios, said Bonnie Milani, an independent insurance broker in Encino, Calif.

Look in the plan’s benefits summary for its lifetime coverage maximum and how it might cover a hospital stay. Check whether the annual out-of-pocket maximum is lower than what you currently have or the other options available.

But remember that deductibles and out-of-pocket maximums reset every year. Think about the challenge that might impose.

If you’re diagnosed with cancer late in the year, could you handle paying a high deductible for that year and then paying another deductible a few months later, as your treatment continues?

Several Web sites offer expense calculators, including www.planforyourhealth.com, which was created by the managed care company Aetna Inc. and the Financial Planning Association.

How should I evaluate a consumer-directed plan?

Start by comparing it to your current insurance coverage, something you should do anytime you consider a new plan.

Check for differences in premium payments and deductibles, which are listed in the benefits summary. Compare the co-insurance as well, because this can lead to big out-of-pocket costs. This is the percentage your insurer will pay for a bill after you meet your deductible.

Say you need a medical test that costs $3,000, and you have coverage that pays 80 percent after you meet your $1,000 deductible. If you’ve paid nothing yet toward that deductible, that means a bill totaling $1,400.

Consider whether your employer contributes to the HSA and look for any fees that may be charged to maintain that account.

“There’s a lot of nickel-and-dime fees that you see HSA account providers charge,” Beyrer said.

If I start a plan with an HSA, should I make regular contributions to that account?

Absolutely. People should never sign up just for a premium discount.

Out-of-pocket expenses can pop up quickly, even with generous coverage. For starters, there’s that high deductible. Many insurance plans, even those that don’t involve a consumer-directed option, also pay less for care performed by providers outside their network of doctors and hospitals.

“It can get nasty because you can go out of network and find that you have a whole separate, independent deductible to meet that’s much higher,” said Bonnie Milani, an independent insurance broker in Encino, Calif.

How much can I contribute to an HSA?

For 2010, customers will be able to set aside as much as $3,050 in HSAs for individual coverage and $6,150 for family plans. Account holders over age 55 can make increased payments until they reach Medicare eligibility, usually at age 65. Money can be taken from your paycheck before taxes.


Tuesday, December 21, 2010

I've been quoted in the Los Angeles Times!

First Day of Winter, First Post, and a first-time quote in the Los Angeles Times!!   What a great ego boo!

Assuming, of course, that my personal e-gremlin decided to take the day off and actually let the link work...

December 20, 2010 L.A. Times Money Makeover

Free-spirited actress needs to focus on material things

Tamika Lamison, who has worked sporadically over the years, now has a full-time job at a museum. But she has no health insurance and is in default on a student loan.

MONEY MAKEOVER

December 19, 2010|By Kelly Barron
Tamika Lamison is a show business triple threat — actress, writer and director. She has appeared on television shows and commercials, written short films that have gotten awards and appeared in numerous plays, including the long-running "Shear Madness" at the Kennedy Center in Washington.
But like many in the field, Lamison, 41, has worked sporadically over the years, and her income has fluctuated wildly. She has sometimes lived off unemployment benefits, and one year her income was only $12,000.

It has been a struggle, but Lamison stuck to it.  "I was always on a carousel of working for three months and then being unemployed," Lamison said. "It was stressful. But I wasn't interested in the alternatives."

Until she hit her 40s.

Lamison recently landed a full-time job outside show business — she's working as a gallery educator for the California African American Museum.  "For some reason, when I turned 40 years old, my left-brain, Virgo side kicked in," said Lamison, laughing and casually flipping a bright green and yellow scarf over her shoulder.  Her patchy financial past, however, has followed her. She is in default on a student loan that started out at $5,000, but with unpaid interest has mushroomed to $15,000. She has $10,000 in savings, but none of that in retirement accounts. And she has no health insurance.

Saving and preparing for the future does not come naturally to Lamison.  "One of the hard things about being an actor is that we're taught to be in the moment," she said, "and it's sometimes difficult to think about the future."  But it's time for her to quit ignoring the financial bind she's gotten herself into, said Jennifer Hartman, a certified financial planner with Greenleaf Financial Group in Los Angeles who reviewed Lamison's finances.
The museum job is a good first step.

"At her age she can't just get by living on $12,000 a year anymore," Hartman said.  Overall, this will be a relatively good year for Lamison. She'll earn about $45,000 in her new job and $5,000 in residuals from appearances in television commercials.   Nibbling on fries at a Chick-fil-A fast-food restaurant during a two-hour lunch meeting, Lamison listened to Hartman tell her she needed to use her income to repay her student loan, create an emergency savings account, stash money away for retirement and get health insurance.
It's a big undertaking, but Hartman noted that Lamison had shown persistence in the past. Even when down on her luck financially, Lamison founded the nonprofit Make a Film Foundation to give children with life-threatening illnesses a chance to make short movies.

"You're a strong-willed and determined person," Hartman said. "You need to put those qualities toward your finances."  Getting Lamison to focus on money will take an attitudinal shift. Free-spirited and ethereal, Lamison — who either wears a fedora or her hair in pigtails — has not been much concerned about material things.  She has to think for a while before naming the make of her car (a used Dodge Stratus). She doesn't have credit cards, at least partly because she couldn't get credit while in student loan default. She also didn't file her income taxes for five years.

Recently, Lamison asked a friend to help her with her taxes. Luckily she owed only $200.  Lamison said that information about finances "never stuck to her," adding that her father tried unsuccessfully to teach her about money management. Her mother was horrified when Lamison, as a college student at American University, switched her major from journalism to performing arts.  "My mother is still worried about me," Lamison sighed.   Even with the money she has managed to save, Lamison has taken risks. Recently she invested $5,000 in an upcoming one-man play staring Tom Sizemore, who is trying to resurrect his career after a bout with drug addiction.

"That should not be considered an investment," Hartman said. "If it pays off, pat yourself on the back. But that's like going to Vegas."  Instead, the planner said, Lamison needs to focus on the long-languishing student loan.  "She needs to take the bull by the horns and pay off that debt," Hartman said.  Hartman advised Lamison to contact her lender and try to renegotiate the amount she owes or get on a payment plan. Any extra income she earns from acting in commercials, as well as $100 a month from her museum salary, should go toward paying down the student loan.

The planner told Lamison to develop a household budget and pare her already low expenses. Lamison pays $1,000 a month for rent and spends about $400 on food. She rarely buys new clothes.   "You now have the opportunity to make decisions with your money," Hartman told Lamison. "The question is, which way will you go?"   Hartman told Lamison that after paying off the loan, she needs to create emergency savings that are equivalent to 12 months of her income.

"People in the entertainment business need to have bigger emergency savings because they can go for long periods without employment," Hartman said.  While she establishes the emergency savings, Lamison needs to start saving for retirement. As much as 20% of her income should go into a money market account that is set up in a Roth IRA. In a dire situation, that account could be used as an emergency fund because Roth IRA contributions that are withdrawn before retirement age aren't penalized (earnings on that account, however, may be penalized if withdrawn too early).   Once Lamison has sufficient emergency savings, the IRA could be instead invested in a mutual fund that has a mixture of 60% stocks and 40% bonds.  

Getting health insurance is crucial too.   "It's not real to her how fast things can go bad," insurance broker Bonnie Milani said when asked about Lamison's situation. "The hospital will save your life. Then it will ruin it financially if you can't pay your bills."

A high-deductible plan covering catastrophic illnesses as well as annual physical exams would cost Lamison about $165 a month, Milani said.   But Lamison balked at buying health insurance. Despite her recent fast-food lunch, she said, she takes care of herself by eating right and exercising. Nonetheless, by the end of the meeting Lamison said she might look into a healthcare plan.

One thing she will definitely do is make good on her student loan. "I want to get that monkey off my back," she said.  Overall Lamison, who wears a pendant inscribed with the word "Hope," is optimistic about reordering her finances and her future. Her job at the museum gives her some freedom to pursue other opportunities to earn money. She recently went on an audition for a national Toyota commercial. And there are prospects for her to eventually draw a small salary from her nonprofit foundation.

"All possibilities are in flux," Lamison said.

Do you need a money makeover? Each month the Sunday Business section gives readers a chance to have their financial situations sized up by a professional advisor at no charge. To be considered, send an e-mail to makeover@latimes.com. You also can send a letter to Makeover, Business Section, Los Angeles Times, 202 W. 1st St., Los Angeles, CA 90012. Include a brief description of your financial goals and a daytime phone number. Information you send us will be shared with others.