Clipping of news on Brazilian Culture, Law and Citizenship
07/16/2013
This article was translated by an automatic translation system, and was therefore not reviewed by people.
Plans have 5 million customers and are 77% of the total, said entity.
Adjustments of 61 plans ranged from 6.31% to 43.25%.
Group health plans with up to 30 people, who are the majority among the collective, had increases between 6.31% and 43.25% in May this year to April 2014, according to a survey by Idec and released on Wednesday Thursday (11). On average, the adjustment was 11.9%, according to research.
The group plans have no limit adjustment determined by ANS (National Health Insurance), as with individuals.
According Idec, collective plans for up to 30 lives cover about 5 million consumers, representing 77% of the plans sold in the country and 85% of the collective.
According to research Idec, the two operators who performed the largest increases in such plans were Admédico, up 32.17%, and St. Dominic Health, 43.25%. See list of adjustments raised by Idec.
The G1 searched the companies that made the biggest rejustes. The Santo Domingo Health says that the adjustment of 43.25% will not be performed by the operator but others around 20% to 25%. The Admédico not commented.
Results
The research raised the increases of 61 operators and found that the highest are performed by small businesses - with up to 20,000 users at all levels. The Saint Dominic, who imposed the largest increase, less than 12 000 beneficiaries.
The percentage increase was found at site 59 of the 61 operators, two companies not disclosed to the general public, so the Institute enlisted the help of users of these operators to have access to information channels for customer service.
Change adjustment calculation
For Idec, changing rules of ANS to calculate the annual adjustment of these plans - which are grouped and have a single adjustment - "is insufficient to protect users increases too high."
The agency has adopted specific rules for calculating the annual adjustment of these plans (Normative Resolution 309/2012) stating that from May this year operators must collate all contracts 30 lives and calculate a single percentage increase for them. The idea is to spread the cost of plans among a larger number of users.
"The ANS Idec warned that the mere grouping of contracts for the adjustment calculation would not solve the problem of users plans 30 lives when the proposal was put on the NSA public consultation (CP 48/2012), and argued that the agency establish a ceiling on the annual increase, as it does with individual plans, "says a note from IDEC.
"These plans are required to meet needs and have partial coverage temporary, as individual plans rather than collective agreements 'typical'. On the other, subject to unilateral termination by companies and adjustments freely set by the market. It is the worst case scenario for the consumer, "explains lawyer Idec and responsible for research, Joana Cruz.
Source: G1 - News
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This article was translated by an automatic translation system, and was therefore not reviewed by people.