insurance

Making Part D of Medicare brighter

By Mary Krueger, Medicare Specialist

As many of you on Medicare know, October 15 to December 7 is the Annual Election Period for Medicare Part D and Medicare Part C (Medicare Advantage). This often coincides with a flurry of research needed and concerns expressed by client recipients and this year was no exception.

For many, a prescription drug deductible is an easy choice, but the issue of very expensive prescriptions is a familiar plea. Therefore, searching for solutions is top priority.

One of those requests came from a physician and his wife who had vastly different prescription needs. One was taking a simple generic drug that would not meet the deductible but the other needed to find a way to reduce the cost of their estrogen cream and heart medication.

In this case, the best option was prescription discount cards (GoodRx and SingleCare) along with their Medicare Part D plans. These discount cards are a great way to research costs online to find more economical ways to get prescription medications. In this case, the savings amounted to more than $72 per month on one and $31 per month on the other medication.

Additionally, I assisted a family that saved more than $8,210 in a year for experimental MS drugs using a discount card.

Free discount cards have been a great help for many of my customers and are worth exploring in addition to the Part D plans. Not only can these cards help you personally, but they can be a great resource for your patients.

If you need assistance with your Medicare choices, let me know. We are here to help you! Contact Mary Krueger at 715.760.1350 or mary.krueger@wismedassure.org.

Note: This article is for informational purposes only and should not be considered as insurance advice related to your specific policy or situation. Please consult with a qualified insurance advisor or professional before making any policy decisions. Full disclaimer and contact information.

Protecting your most important asset can be a daunting task

By Lisa Koerner, Insurance Advisor

What is your most important asset? It’s your ability to earn an income. When choosing disability programs to protect your income, there are a number of different companies and benefits. It’s often a task that takes time and research, along with several discussions with an insurance agent. Sometimes, the biggest challenge is finding an agent who is willing to work with you at the times that you’re available. Many of the people I work with are surprised when I respond to phone calls, emails and text messages after 5 p.m. and on the weekends. I know the schedules for students, residents and physicians can sometimes be challenging so I try my best to accommodate them.

A resident I recently worked with scheduled several meetings with me after 6 p.m. so we could discuss the different benefits available in the quotes I had shared, how they worked and the different costs. As we worked out the best benefits, the premium still came in a little high for his budget. The insurance provider I worked with offered an option to pay a lower premium in the beginning, then increase it over time with an option to level out the payments after he started his fellowship and increased his income. He was very thankful that we were able to get him the benefits that were important to him with payments that were affordable.

I once had a client tell me that I don’t act like an insurance agent because of the way I try to explain things. That was the best compliment I’ve ever gotten. I try to explain things in a way that I would want them explained to me.

Our goal is not just to sell you a policy, but to provide guidance in helping you find solutions for you for now and for the future. The greatest gift we have to offer is the gift of education.

Reach out to Lisa Koerner or the WisMed Assure team at insurance@wismedassure.org, complete this quick online form or call 608.442.3810 for help with your insurance needs.

Note: This article is for informational purposes only and should not be considered as insurance advice related to your specific policy or situation. Please consult with a qualified insurance advisor or professional before making any policy decisions. Full disclaimer and contact information.

Should I convert my term life insurance policy?

By Tom Strangstalien, Insurance Advisor

As we celebrate the holiday season, we’re especially thankful for our loved ones. It’s the most popular time of year to reflect on our life insurance needs to determine whether we have the right coverage and enough coverage to protect our loved ones. The most common form of life insurance protection is term life, and a planning tool that often gets overlooked is the potential to convert your term life insurance coverage to some form of permanent life insurance, without any medical underwriting requirement. Unlike term insurance which either disappears or substantially increases in cost at the end of each term, permanent life insurance provides you with the peace of mind of knowing that it will be there for as long as you pay the premiums.

As with so many of our clients, I am the trusted insurance advisor for Katie, John and their family (names changed to protect confidentiality). One day I received a call from Katie because John’s mother, Anna, had suffered a severe and debilitating stroke. Anna and her husband had purchased a $1,000,000 term life policy from an agent several years ago to provide protection for their family. Katie indicated that in doing research into Anna’s finances she discovered that the term policy was about to expire. She asked if I could look into the coverage to make sure it could be in place for Anna’s lifetime as she was now completely uninsurable. Upon doing so, I unfortunately discovered that the conversion option had expired a few years ago. Furthermore, the policy was not guaranteed renewable and was about to expire within a year. Anna passed away a couple of years later and rather than receiving the intended $1,000,000 income-tax-free benefit, they received nothing. Had the policy been converted to a permanent plan during the allowed timeframe, the insurance benefit would have been available as desired for the family.

This is just one example of why you should at least explore your term life conversion options. You can consider whole life, universal life or even index universal life coverage if offered by the insurance company. These policies will be more expensive but have a cash component that can be utilized if the need for protection diminishes in the future. So why else would you consider converting your policy?

Do you want to provide a legacy for your family and loved ones in the form of an income-tax-free benefit? Perhaps your estate planning needs include a life insurance policy or some charitable planning by leaving a legacy to a treasured institution, scholarship fund or community entity? This type of planning has the potential of also providing a significant tax benefit. No matter what your future holds, if your policy contains a current conversion privilege, you can make the change, regardless of our current health or health history.

Early in his career as a physician, Brad (pseudonym for privacy) had purchased an inexpensive term life policy in the amount of $5,000,000. Brad experienced a significant change in health and contacted me to determine what options may exist for life insurance protection, since leaving an income-tax-free gift to his family was extremely important to him. He was now uninsurable, however his term life insurance policy did contain a conversion option. We did extensive planning, and though we did reduce the life insurance amount somewhat, we were able to provide a whole life policy that would be paid up requiring no further premium payments at retirement. Brad is so thankful that the coverage will be guaranteed for his family as he had originally planned!

Now is the perfect time to research your life insurance coverage and your options. This is exactly what my team at WisMed Assure does! We are dedicated experts with our allegiance solely to you and your loved ones. Please reach out to us with no expectations or obligations and take care of your life insurance planning, especially to determine if converting your current term life policies makes sense in your life.

Contact the WisMed Assure team at insurance@wismedassure.org, complete this quick online form or call 608.442.3810.

Note: This article is for informational purposes only and should not be considered as insurance advice related to your specific policy or situation. Please consult with a qualified insurance advisor or professional before making any policy decisions. Full disclaimer and contact information.

Consolidation leads to $600,000 student loan forgiveness – a case study

By Mark Ziety, CFP®, AIF®, Financial Advisor, WisMed Financial

Good financial planners do much more than help with investments. They look at the entire financial picture, which includes debts too. Today’s case study shows how a unique rule, available until December 31, is facilitating more than $600,000 in student loan forgiveness.

First, the rule

When consolidating federal student loans, according to the FAQ section on the Federal Student Aid website, “Assuming your repayment history overlaps for each loan, the consolidation loan will be credited with the longest amount of time in repayment of the loans that were consolidated.”

How we applied the rule

A resident physician is a career changer with more than $600,000 of student loan debt. Some of the debt was from undergrad loans from the early 2010s before she changed careers to become a physician. By consolidating her old and most recent loans together, her new consolidation loan will use the payment count of her oldest loans.

The $600,000 loan forgiveness benefit

Those who work for a non-profit, government or other qualifying employer can have any remaining balance of their student loans forgiven after making 120 qualifying monthly payments through the Public Service Loan Forgiveness program. And the loan forgiveness is tax free! Since this borrower will have 120 qualifying payments on the oldest loans, her consolidation loan will also be credited with 120 qualifying payments, and her entire loan balance will be forgiven!

The rule changes in 2024

Next year, a consolidation loan will have a pro-rated payment count based on the payment count of the loans being consolidated. That makes 2023 an ideal time to review your loans to see if a consolidation would benefit you too.

For personalized help eliminating debt, investing smart and securing retirement, please contact Mark Ziety, CFP®, AIF® 608.442.3750.

Mark Ziety, CFP®, AIF®

WisMed Financial, Inc. part of the Wisconsin Medical Society

Note: This article is for informational purposes only and should not be considered as financial or tax advice. Please consult with a qualified financial advisor or tax professional before making any financial decisions. Full disclosures.

Innovation and improvements 

By Chris Noffke, GBDS, CSFS, Vice President of Employee Benefits

Chris Noffke

June marked my eighteenth year in the insurance industry; my entire career has been focused on employee benefits and helping clients save money and improve employee confidence in benefits. When I was asked to join the WisMed Assure team, I was given the chance to be innovative and truly build something the way I felt it should be and that’s exactly what my team and I are doing!

When I was hired in 2016, I was asked to help strengthen our employee benefits programs and services. At that time, we did not offer many services, nor did we provide a lot of in-depth consulting regarding health insurance. Now we have launched a new pooled Dental insurance plan with Delta Dental of Wisconsin, a pooled disability plan, an association health plan with WPS and The Alliance and added a dozen new services and assessments. We continue to add services and programs to provide the best coverage for our clients.

I am very excited to announce our next innovation. WisMed Assure will be adding a second Association Health Plan eligible for all health care companies in the Madison/Dane County area. Our new Association Health Plan will offer Group Health Cooperative (GHC) of South-Central Wisconsin as the insurance carrier, providing access to GHC clinics and all the UW Health clinics in Dane County plus UW hospital. This benefit offering will be available starting on September 1, 2023. We are proud to have an additional plan option that will better serve our clients in Dane County and surrounding areas.

This option provides HMO rates to our members and those of the health care community. If you’ve ever thought, “We’re a low utilizing group, we don’t really use our health care,” this is a great opportunity to explore. These plans are medically underwritten and can provide a glimpse into your company’s utilization.

If you would like to see how our rates look, please email me at chris.noffke@wismedassure.org or call 608.442.3734. Wishing you the best of your remaining summer!

Note: This article is for informational purposes only and should not be considered as insurance advice related to your specific policy or situation. Please consult with a qualified insurance advisor or professional before making any policy decisions. Full disclaimer and contact information.

You bet your life

By Mary Krueger, Medicare Specialist

Most of us don’t spend our time concerned about our life insurance because it’s “set up” already through our employer, parents, bank or other sources. Have you really investigated how life insurance works? Is term insurance the best purchase or should you look at long term cost averaging?

Over the years, I have watched clients who are over 60 years old try to figure out what to do now that their term insurance is coming to an end and want to “just extend it.” When the option of paying dramatically increasing premiums doesn’t look very good for the budget, what to do is a significant concern.

So, what are the options other than term insurance at a young age? Consider a universal life or whole life policy. The costs are averaged over your lifetime instead of just a specified number of years. This idea takes the surprises out of trying to find coverage at an older age or at a time when your health has changed and you’re not eligible for coverage any longer. Ideally, doing a combination of both a term and universal/whole life makes sense if you’re looking to save more money in the long run.

To discuss your options, contact Mary Krueger at 715.760.1350 or mary.krueger@wismedassure.org.

Note: This article is for informational purposes only and should not be considered as insurance advice related to your specific policy or situation. Please consult with a qualified insurance advisor or professional before making any policy decisions. Full disclaimer and contact information.

Worker’s Compensation rate decreases

By Brian Fowler, WisMed Assure Account Director

Starting October 1, 2023, for the eighth consecutive year, Worker’s Compensation rates in Wisconsin will drop. Worker’s Comp rates in Wisconsin are set by the state and are the same for every insurance carrier. Overall, we’re seeing a decrease of 8.4% across all employee classifications. Physician rates remain low and competitive, with no change to the rates this year. Rates have decreased for physicians within hospital systems and hospital employees other than professional employees.

WisMed Assure also works with dentists and non-physician owned medical professional offices, like chiropractors, therapists and others; many of which share this same classification (8832) (see the chart below).  

The following chart shows the current and new rates for the listed class codes (rates are per $100 of payroll):

CodeDescriptionCurrent RatesNew Rates 10/1/2023Change
8832Physician & Clerical0.280.28 0%
8833Hospital Professional Employees0.820.76– 7%
9040Hospital All Other Than Professional4.243.61– 14.9%

This year there is no change to minimum premiums for experience rating. We see approximately a $4,000 increase in annual remuneration to calculate premiums for sole proprietors and partners and roughly a $7,000 increase in the maximum annual remuneration used for executive officers.  

Because Wisconsin sets the rates, premiums should be the same regardless of the insurance carrier, the differentiator in overall costs between carriers comes down to who is offering the most competitive dividend plan. When employees are injured, good claims services and getting employees healthy and back to work is the key benefit to any Worker’s Compensation program.

Another difference in how Worker’s Compensation is governed in Wisconsin is there is not a set fee schedule for medical services provided. The Wisconsin Medical Society has long advocated to keep Wisconsin from adopting a Worker’s Comp fee schedule.

Mark Grapentine, Wisconsin Medical Society Chief Policy and Advocacy Officer, serves as a medical liaison to the Worker’s Compensation Advisory Council, a group made up of representatives of management and employees and charged with recommending changes to the state’s Worker’s Compensation system on a two-year basis. 

He noted the rates are “certainly good news for businesses” and that they are happening at a time when Wisconsin leads the nation in getting workers back on the job. Injured workers in the state are satisfied with how quickly they can get access to high-quality health care, he said.

“It’s really no wonder why so many folks in other states look very jealously at how Wisconsin’s work comp. system performs,” he wrote in an email to Wisconsin Health News.

If you have questions about Worker’s Compensation coverage rates and dividend programs for your practice, please contact Brian Fowler, WisMed Assure Account Director, at brian.fowler@wismedassure.org 608.442.3718.

Note: This article is for informational purposes only and should not be considered as insurance advice related to your specific policy or situation. Please consult with a qualified insurance advisor or professional before making any policy decisions. Full disclaimer and contact information.

The power of planning: a physician’s journey to financial wellness

By Mark Ziety, CFP®, AIF®, Financial Advisor, WisMed Financial

Mark Ziety

With uncertainties and change a constant, financial planning stands as a beacon of security and peace of mind. Today, we bring you a remarkable story that sheds light on how a dedicated physician and her family reaped the rewards of a well-structured financial plan, proving that even the busiest of physicians can find stability and fulfillment through proper financial planning.

Meet Sarah Thompson, MD (alias, of course), known for her compassionate care and unwavering commitment to her patients. Outside the exam room, however, Dr. Thompson faced the same financial challenges that many of us do – managing student loans, planning for retirement and ensuring her family’s future stability.

The Initial Challenge

Upon completing her medical education, Dr. Thompson was burdened with significant student loan debt. Balancing her medical practice while managing these loans was no easy feat. She often found herself conflicted between her passion for healing and the pressure of financial obligations. As her family grew, so did her responsibilities, making her realize the need for a comprehensive financial plan.

The Turning Point: Seeking Professional Guidance

Dr. Thompson decided to take a proactive step and sought the guidance of a Certified Financial Planner™ Professional. This move marked a turning point in her journey towards financial wellness. The financial planner analyzed her situation, considering her income, expenses, outstanding loans and future goals. They collaboratively created a customized plan that addressed her specific needs, aligning her financial strategy with her life aspirations.

The Plan in Action

  • Debt Repayment Strategy: The financial planner helped Dr. Thompson switch to her ideal repayment plan for her student loans. She made consistent progress in reducing her debt without compromising her family’s daily needs.
  • Investment and Retirement Planning: With a steady income and a solid debt repayment plan in place, Dr. Thompson could now focus on long-term financial security. The financial planner introduced her to a diversified investment portfolio and guided her through retirement planning, ensuring she could enjoy her retirement years without financial stress. “In my experience, those who save smaller amounts consistently tend to save more over time than those who try to save everything at once,” Mark Ziety, CFP, founder of WisMed Financial notes in this CBS News article.
  • Family Protection: Recognizing the importance of safeguarding her family’s future, Dr. Thompson also secured:
    •  life insurance
    • disability insurance
    • estate documents
    • college accounts
    • an emergency fund

This provided a safety net in case of unforeseen circumstances and offered peace of mind to her and her loved ones.

  • Tax Strategy: The largest lifetime expense for physicians is often taxes, and Dr. Thompson was no exception. Through yearly tax strategy, her deductions were maximized and taxable income shifted to save hundreds of thousands of dollars of lifetime tax.

The Outcome: A Life Transformed

As the years went by, Dr. Thompson’s commitment to her financial plan began to yield remarkable results. She saw her debt steadily decrease, her investments grow and her family thrive with the knowledge that their future was secure. This transformation didn’t just impact her financial health – it positively influenced her overall well-being. The reduction of financial stress allowed her to focus more on her patients, her family and even take time for her own personal growth and hobbies.

Key Takeaway

Dr. Thompson’s story is typical for physicians and underscores the incredible potential that a well-crafted financial plan holds. Regardless of your profession or life circumstances, careful financial planning can pave the way to stability, allowing you to navigate challenges with confidence and pursue your dreams without compromise.

For personalized help eliminating debt, investing smart and securing retirement, please contact Mark Ziety, CFP®, AIF® 608.442.3750.

Mark Ziety, CFP®, AIF®

WisMed Financial, Inc. part of the Wisconsin Medical Society

Note: This article is for informational purposes only and should not be considered as financial or tax advice. Please consult with a qualified financial advisor or tax professional before making any financial decisions. Full disclosures.

When and why to schedule a life and disability insurance policy review with your agent

By Lisa Koerner, Insurance Advisor

Many people think that once they have a life insurance or disability policy in place, they can file it away and forget about it. However, as your life changes, your needs often change as well. The policies that you took out when you were young, single and starting your career may not still cover your needs after you get married, buy a house, have children and start your dream job. As your life changes, it’s a good idea to review your policies.

One of the biggest changes that people often overlook throughout the years is updating the beneficiaries on their life insurance policies. When people are single, they often choose a parent or sibling as their beneficiary. It’s good to change your beneficiaries when you get married, get divorced or if your beneficiary passes away.

It’s also important to alert your insurance agent of contact information changes. If you move to a new home, city or state and don’t update your address you might miss important updates from your insurance company. I recently attempted to contact a client whose term life policy was coming to an end. The phone numbers we had on file were all unavailable, the email address was undeliverable and the letter I mailed to the address came back undeliverable.

The other thing to keep in mind is whether your Disability Policy is keeping up with your income. When you have a significant increase in income, it’s important to review your benefits to make sure you’re covered in the event of a serious injury or illness. If you only have enough disability insurance to cover half of your income, would you still be able to keep up with your bills and expenses if you’re not able to work for a long period of time?

Most people think that the only reason an insurance agent wants to talk to them is to sell them something, so they avoid scheduling a policy review. A good insurance agent will review with you where you are in your life and what your current needs are. When you’re younger, you may need to add coverage as you build your family and career. Meanwhile, you may need to reduce your insurance coverage as you move into retirement or change from term policies to permanent policies. As you approach retirement, it’s also a good time to start researching Medicare, long-term care and wealth transfer ideas. That’s what our Income Defense team at WisMed Assure is here to help you out with.

You may not feel that you need an insurance review every year, but don’t forget to review your policies when you have a significant change in your life.

Reach out to Lisa Koerner or the WisMed Assure team at insurance@wismedassure.org, complete this quick online form or call 608.442.3810 for help with your insurance needs.

Note: This article is for informational purposes only and should not be considered as insurance advice related to your specific policy or situation. Please consult with a qualified insurance advisor or professional before making any policy decisions. Full disclaimer and contact information.

Group disability insurance can coordinate with individual policies 

By Chris Noffke, GBDS, CSFS, Vice President of Employee Benefits

Chris Noffke

Planning for the unexpected is the only way to protect yourself, your family, your business and your finances. Unfortunately, the death of a loved one or becoming disabled are often unexpected. If you no longer had an income, how would you and your family fare?

In 2023, the social security disability income payment is $914 monthly for individuals and $1,371 monthly for couples. Be aware that these benefits have a five month waiting period and processing times can be slow! Could your family manage for six months without income, or after the six months, would $1,371 even be enough? How long can you and your family live at these low income rates? 

Many physicians are good at making sure to buy an individual disability policy before finishing residency. This is a fantastic time to get a $5,000 disability benefit because you’re the youngest and most likely the healthiest you may ever be. But, when your income surges to more than $10,000 a month you would still be missing more than 50% of your standard income if you became disabled. Group policies can coordinate and offer additional reassurance that your income is protected. Plus, there are ways to make these disability income dollars tax free!

We have a variety of products exclusive to WisMed Assure that other agents don’t know about. Plus, we have experience protecting physicians. You would be surprised how often I find policies sold to physician groups that don’t protect you as a specialist or insure you for your exact physician role.

Please contact me at chris.noffke@wismedassure.org or call 608.442.3734 if you would like to learn more.