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lundi 24 mars 2014

Sankey diagrams with googleVis

Sankey diagrams are great for visualising flows from one set of data values to another. Although named after Irish Captain Matthew Henry Phineas Riall Sankey, who used this type of diagram in 1898 to show the energy efficiency of a steam engine, the best know Sankey diagram is probably Charles Minard's Map of Napoleon's Russian Campaign of 1812, which he actually produced in 1869.

Thomas Rahlf: Datendesign mit R

The above example from Thomas Rahlf's book Datendesign mit R shows that Minard's plot can be reproduced with base graphics in R. Aaron Berdanier posted in 2010 the SankeyR function and Erik Andrulis published the riverplot package on CRAN that allows users to create static Sankey charts as well.

Interactive Sankey diagram can be generated with rCharts and now also with googleVis (version >= 0.5.0). For my a first example I use UK visitor data from VisitBritain.org. The following diagram visualises the flow of visitors in 2012; where they came from and which parts of the UK they visited. This example illustrates the key concept already. I need a data frame with three columns that explains the flow of data from a source to a target and the strength or weight of the connection.




My next example uses a graph data set that I visualise in the same way again, but here I start to play around with the various parameters of the Google API.




As stated by Google, the Sankey chart may be undergoing substantial revisions in future Google Charts releases.

For more information and installation instructions see the googleVis project site and Google documentation.

Session Info

R version 3.0.3 (2014-03-06)
Platform: x86_64-apple-darwin10.8.0 (64-bit)

locale:
[1] en_GB.UTF-8/en_GB.UTF-8/en_GB.UTF-8/C/en_GB.UTF-8/en_GB.UTF-8

attached base packages:
[1] stats graphics grDevices utils datasets methods
[7] base

other attached packages:
[1] googleVis_0.5.0-4 igraph_0.7.0

loaded via a namespace (and not attached):
[1] RJSONIO_1.0-3 tools_3.0.3

Sankey diagrams with googleVis

Sankey diagrams are great for visualising flows from one set of data values to another. Although named after Irish Captain Matthew Henry Phineas Riall Sankey, who used this type of diagram in 1898 to show the energy efficiency of a steam engine, the best know Sankey diagram is probably Charles Minard's Map of Napoleon's Russian Campaign of 1812, which he actually produced in 1869.

Thomas Rahlf: Datendesign mit R

The above example from Thomas Rahlf's book Datendesign mit R shows that Minard's plot can be reproduced with base graphics in R. Aaron Berdanier posted in 2010 the SankeyR function and Erik Andrulis published the riverplot package on CRAN that allows users to create static Sankey charts as well.

Interactive Sankey diagram can be generated with rCharts and now also with googleVis (version >= 0.5.0). For my a first example I use UK visitor data from VisitBritain.org. The following diagram visualises the flow of visitors in 2012; where they came from and which parts of the UK they visited. This example illustrates the key concept already. I need a data frame with three columns that explains the flow of data from a source to a target and the strength or weight of the connection.




My next example uses a graph data set that I visualise in the same way again, but here I start to play around with the various parameters of the Google API.




As stated by Google, the Sankey chart may be undergoing substantial revisions in future Google Charts releases.

For more information and installation instructions see the googleVis project site and Google documentation.

Session Info

R version 3.0.3 (2014-03-06)
Platform: x86_64-apple-darwin10.8.0 (64-bit)

locale:
[1] en_GB.UTF-8/en_GB.UTF-8/en_GB.UTF-8/C/en_GB.UTF-8/en_GB.UTF-8

attached base packages:
[1] stats graphics grDevices utils datasets methods
[7] base

other attached packages:
[1] googleVis_0.5.0-4 igraph_0.7.0

loaded via a namespace (and not attached):
[1] RJSONIO_1.0-3 tools_3.0.3

Important information about landslide insurance

Gov. Jay Inslee has declared a state of emergency in Snohomish County after a large landslide hit the town of Oso on March 22. Tragically, at least eight lives were lost and several people were injured. Searches underway for more than 100 people who are still missing. The Office of the Insurance Commissioner�s thoughts are with the families, emergency responders and communities affected by the landslide.

In addition to the human toll, the slide destroyed at least 30 homes and 20 other structures, and caused a backup in the Stillaguamish River, sparking concerns about flooding. The landslide destroyed an area of at least one square mile, including Highway 230 and parts of neighboring Darrington. FEMA announced today it will assist with the landslide response.

People who lost or suffered damage to property as a result of the landslide can contact the Insurance Commissioner�s consumer advocates with questions about their options at 800-562-6900 or online.

In general, homeowner policies do not cover landslides or land movements caused by rain runoff. That type of coverage would be covered by a separate policy. If you think you purchased such a policy�or you would like to�contact your insurance agent or broker.

Read more information about homeowner insurance and landslides.

Gov. Inslee has a webpage with information about the landslide and the state Emergency Management Division has a page with updates and resources.

dimanche 23 mars 2014

Reminder: Abstract submission for the 2014 'R in Insurance' conference will close this Friday

Don't forget, this is the final week you can submit an abstract for the second R in Insurance conference.
For more details see http://www.rininsurance.com and perhaps for inspiration review last year's programme.

Reminder: Abstract submission for the 2014 'R in Insurance' conference will close this Friday

Don't forget, this is the final week you can submit an abstract for the second R in Insurance conference.
For more details see http://www.rininsurance.com and perhaps for inspiration review last year's programme.

jeudi 20 mars 2014

Be on the lookout for Medicare red flags

The Insurance Commissioner’s SHIBA program has received reports that some Washington Medicare subscribers are receiving calls from a person claiming they’re selling Medicare Supplement (Medigap) insurance. Medigap plans are sold by insurance companies and fill the gaps that Medicare parts A and B don’t cover, like copayments, coinsurance and deductibles.

The reports are that a solicitor is cold-calling consumers and setting up an appointment to come to consumers’ homes to talk about Medigap coverage and costs. When the solicitor schedules the appointment, they ask for personal information, including Social Security numbers and consumers’ home addresses. A company representative shows up for the appointment without any identification or proof they represent the insurance company; during the meeting they ask consumers for money to buy additional coverage.

Whenever a salesperson calls you unsolicited, you should proceed with caution. Consumers should never give personal information over the phone, including Social Security numbers, bank account numbers, credit card numbers, or anything that could be used to defraud you or steal your identity.

It’s also a good idea for consumers to find out if an agent is licensed to sell insurance in our state before meeting with them or giving them money. Consumers can also call the Insurance Commissioner’s consumer advocates at 1-800-562-6900 to verify someone is licensed to sell insurance in Washington or to report suspected Medicare or insurance fraud.

Obamacare Deadline March 31st; Important Points to Remember

March 31 is just around the corner and it is the deadline of Affordable Care Act open enrollment. If you missed the deadline and have not purchased health care coverage you may be penalized (tax penalty) on your 2014 taxes filed in 2015. You will also have to wait for the next open enrollment period.

If you have already insurance from your work, Medicaid, Medicare, or others you will not be penalized as long as it have the minimum standards under the Affordable Care Act.

Under the ObamaCare Act everyone is required to have health insurance or if you don't you will have to pay a tax penalty (in 2015 when 2014 taxes are filed). However, there are exemptions.

- The household income of your family is less than the IRS income tax filing requirement ($10,000 if you are single, $20,000 if you are married and filing jointly).
- If you are a member of ministries or religious sects, or of a federally recognized Native American tribe.
- If you are uninsured for less than three consecutive months in a year.
- If you can't afford to get an insurance because of financial difficulties or the lowest premium is more than 8% of your household income.
- If your insurance plan was recently cancelled and you can't afford a marketplace plan.
- If your health insurance does not meet minimum coverage standards, but your state insurance commissioner allows your insurer to continue to offer out of date plans until the October 1st, 2016 additional grace period.
- If you are 26 yearsold and below you can opt to stay on or be added to your parents' health insurance plan, even if you don't live with them.

Subsidies for the cost of health insurance - you can check if you are eligible for financial assistance from the US government, through subsidy. It will be determined based on your household income and family size. You easily check if you qualify for a tax subsidy by using the health care calculator from TurboTax. The subsidy can go directly to your health insurance provider when you purchase insurance if you are qualified. If you qualified you will pay a lower monthly health insurance premium.

Penalties:

In 2014 the amount of one-time penalty is $95 per adult, or 1% of your total income depending on your income. For uninsured children in your household, the penalty is $47.50 per child with a maximum family penalty of $285.

Visit HealthCare.gov to apply for health insurance, you can also compare plans, and enroll online. You can also apply by phone or get in-person help with your application.

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mercredi 19 mars 2014

Do you still need health insurance? Open enrollment ends March 31

Open enrollment for health insurance for this calendar year ends in less than two weeks. If you do not have a qualified health plan, you will be subject to a tax penalty when you file your 2014 taxes. The penalty for the first year is up to $95 per adult and $47.50 per child, or 1 percent of family income, whichever is greater.

  • To be covered starting April 1, you must apply, select and pay for a health plan by 5 p.m. on March 23.
  • To be covered starting May 1, you must apply, select and pay for a health plan by 11:59 p.m. on March 31.

Those who qualify for Washington Apple Health (Medicaid) may continue to enroll throughout the year. There are also certain events that allow you to enroll or change your enrollment throughout the year. Read more about qualifying events.

If you qualify for free or subsidized health care, enroll through Washington Healthplanfinder at www.wahealthplanfinder.org.  People qualify for help if their income is less than 400 percent of the federal poverty level ($45,960 for an individual and $94,200 for a family of four in 2013). If your income exceeds that threshold, you may wish to contact an insurance broker or agent directly.

Open enrollment for 2015 starts Nov. 15, 2014 and ends Feb. 15, 2015.  

 

mardi 18 mars 2014

Special Investigations Unit hiring an Administrative Assistant

The Office of the Insurance Commissioner is hiring a full-time, permanent Administrative Assistant 4 in our Special Investigations Unit (SIU), located in Tumwater. SIU investigates insurance fraud in Washington state and has the authority to conduct criminal investigations, arrest suspects and submit fraud cases to prosecutors. The unit works with federal, state and local law enforcement; insurance companies' investigators; and regulatory agencies. Read more about SIU's work.

This position is the principle administrative support for the SIU Director and works closely with a staff of seven criminal analysts and detectives to support of the unit’s mission to combat criminal insurance fraud.

Duties include:

  • Providing administrative support to the Director and the Special Investigations Unit.
  • Scheduling meetings, preparing agendas and taking meeting minutes.
  • Transcribing interviews.
  • Preparing spreadsheets, charts and graphs.
  • Managing and directing incoming assignments; monitoring deadlines and projects.
  • Coordinating travel for division employees.
  • Correspondence with citizens, stakeholders and partners.
  • Records retention and gathering records requested under the Public Records Act. 
  • Providing administrative support to various stakeholder groups, including the SIU Advisory Board, and other internal and external groups.

Applicants must be able to pass a fingerprint-based background check and must maintain confidentiality about criminal investigations.

The job closes on March 31. View the full job posting and application instructions


View all of the jobs that are currently open at OIC.

Timeline charts with googleVis

Last year at the Google I/O conference Mitchell Foley presented new developments of the Google Chart Tools API and one of the new features he mentioned were timeline charts (about 6 min into the talk).



Timeline charts are a great way of visualising different dates/events over time and are now also supported by googleVis from version 0.5.0 onwards (currently only available from GitHub). Here is an example, showing classroom allocation in the afternoon. The exact times and durations are given when you hover over the bars.



I can swap around the bar and row labels to show the rooms by languages:



Here is another example, inspired by Jason Bryer's timeline package, showing the US presidents and UK prime ministers during World War II. For gvisTimeline I have to remove the line breaks in Jason's data.



And finally a more complex example from the Google Chart Tools API documentation showing the terms of the first US presidents with various options set to change the colours and fonts:
Read more �

Timeline charts with googleVis

Last year at the Google I/O conference Mitchell Foley presented new developments of the Google Chart Tools API and one of the new features he mentioned were timeline charts (about 6 min into the talk).



Timeline charts are a great way of visualising different dates/events over time and are now also supported by googleVis from version 0.5.0 onwards (currently only available from GitHub). Here is an example, showing classroom allocation in the afternoon. The exact times and durations are given when you hover over the bars.



I can swap around the bar and row labels to show the rooms by languages:



Here is another example, inspired by Jason Bryer's timeline package, showing the US presidents and UK prime ministers during World War II. For gvisTimeline I have to remove the line breaks in Jason's data.



And finally a more complex example from the Google Chart Tools API documentation showing the terms of the first US presidents with various options set to change the colours and fonts:
Read more �

vendredi 14 mars 2014

Do some leg work before you purchase an auto warranty

We receive a number of complaints from consumers regarding auto warranties, warranty premium refund guarantees, and loan gap waivers sold by car dealerships. Unfortunately, we get the calls after consumers encounter a problem with the warranty they purchased.

Generally these types of products are offered at the time of the vehicle’s sale and consumers may feel pressured to buy these types of warranties without really understanding what they are getting. The cost of these types of warranties is often added to the loan amount, which increases the amount you borrow, your monthly payment and the warranty price because you interest on it over the life of the loan.

While we are not finance experts, we do recommend that consumers contact their insurance agent or our consumer advocates before deciding to buy these products. Consumers can call or email us to discuss the product; consumers can see whether or the warranties are properly registered to sell plans in Washington by searching our company or agent lookup.

Remember, you have 10 days under state law to revoke your purchase of any warranty and receive a full refund. After 30 days, the company may prorate your refund.

Many consumers don’t know that you can request your insurance agent add a debt waiver or loan balance payoff coverage to your insurance policy when you buy a new car. This type of insurance protects you if your car is “totaled” (called a “total loss” by your insurer) and you owe more than its current market value. If you are in the market for a vehicle, it’s always a good to discuss your insurance options with your agent before you buy anything.

Read more about auto insurance.

Read more about warranties and service contracts.

mercredi 12 mars 2014

Truth is stranger than fiction -- these life insurance questions prove it

Life insurance can be confusing under the best circumstances. Our Consumer Advocates shared some questions they’ve received about life insurance benefits under unusual circumstances:

My ex-husband died and the life insurance company won’t give me the money, even though I’m still listed as the beneficiary on his life insurance policy. Can they do this?

Yes, they can. In fact, state law requires it. Under Washington probate law, divorce automatically cancels an ex-spouse’s standing as beneficiary on a life insurance policy. What if someone still wants their ex-spouse to be the beneficiary after the divorce? After the divorce is final, they should fill out and submit a new beneficiary form listing the ex-spouse (again) as beneficiary.

I’m in the midst of a divorce and I want to remove my soon-to-be ex-spouse as the beneficiary on my life insurance policy. Do I need to wait until the divorce is final?

The answer to this depends on a few things.

Does it look like the divorce decree will list this life insurance policy as one of the marital assets? If so, you should wait until the divorce is final, because the divorce decree might dictate what you can do with the policy. If you’re sure the divorce decree won’t list this life insurance policy as a marital asset, you could remove your wife as beneficiary for up to 50 percent of the policy.

While the marriage is still in effect, though, state community property laws make people list their spouse as beneficiary for 50 percent of the policy unless the spouse agrees in writing to do otherwise. The moment a divorce becomes final, state probate law automatically cancels the ex-spouse as beneficiary on the policy. As a result, even if you never remove your ex-spouse as the beneficiary, the insurance company won’t give your ex the life insurance money.

For obvious reasons, though, most people choose to fill out a new beneficiary form after a divorce is final.

I briefly dated someone and after we broke up, she told people that she bought a life insurance policy for me while we were still together. Is that even possible?

As odd as this may sound, we hear this question regularly. The answer: It’s unlikely that someone could buy a life insurance policy on your behalf without your knowledge and consent. Washington state law says that people need to have an “insurable interest” before they can buy a policy on someone’s life, and only a close relative such as a spouse or parent would meet this standard.

Also, before selling a life insurance policy, most insurance companies send a representative to meet you, check your identification and take a sample of your blood for testing.

If you are genuinely concerned in a situation like this and fear for your safety – something we’ve heard from many consumers – we advise you to contact your local police department.

Find more information about life insurance on our website.

lundi 10 mars 2014

googleVis code development moved to GitHub

After nearly 4 years of developing googleVis on Google Code with SVN we decided to move to GitHub. The main reason was that Google stopped the facility of hosting pre-CRAN builds of the package for user testing. The devtools package on the other hand makes it really easy to install packages from source hosted on GitHub. Additionally, we hope that GitHub will make collaboration with others more effective. Thus, bookmark http://github.com/mages/googleVis.

Screen shot of some of the new features in googleVis 0.5.0-1.

There are some exciting new features in the development version of 0.5.0-1 of googleVis, reflecting the enhanced Google Chart Tools API:

New Features

  • New functions gvisSankey, gvisAnnotationChart, gvisHistogram, gvisCalendar and gvisTimeline to support the new Google charts of the same names (without 'gvis').
  • New demo Trendlines showing how trend-lines can be added to Scatter-, Bar-, Column-, and Line Charts.
  • New demo Roles showing how different column roles can be used in core charts to highlight data.
  • New vignettes written in R Markdown showcasing googleVis examples and how the package works with knitr.

Changes

  • The help files of gvis charts no longer show all their options, instead a link to the online Google API documentation is given.
  • All googleVis output will be displayed in your default browser. In previous versions of googleVis output could also be displayed in the preview pane of RStudio. This feature is no longer available with the current version of RStudio, but is likely to be introduced again with the release of RStudio version 0.99 or higher.

I will post about the new features and changes in the coming weeks. Please feel free to test the development version already. Visit our GitHub project page for installation instructions and further details.

For the impatient (you will require R >= 3.0.2):
install.packages(c("devtools","RJSONIO", "knitr", "shiny", "httpuv"))
library(devtools)
install_github("mages/googleVis")

googleVis code development moved to GitHub

After nearly 4 years of developing googleVis on Google Code with SVN we decided to move to GitHub. The main reason was that Google stopped the facility of hosting pre-CRAN builds of the package for user testing. The devtools package on the other hand makes it really easy to install packages from source hosted on GitHub. Additionally, we hope that GitHub will make collaboration with others more effective. Thus, bookmark http://github.com/mages/googleVis.

Screen shot of some of the new features in googleVis 0.5.0-1.

There are some exciting new features in the development version of 0.5.0-1 of googleVis, reflecting the enhanced Google Chart Tools API:

New Features

  • New functions gvisSankey, gvisAnnotationChart, gvisHistogram, gvisCalendar and gvisTimeline to support the new Google charts of the same names (without 'gvis').
  • New demo Trendlines showing how trend-lines can be added to Scatter-, Bar-, Column-, and Line Charts.
  • New demo Roles showing how different column roles can be used in core charts to highlight data.
  • New vignettes written in R Markdown showcasing googleVis examples and how the package works with knitr.

Changes

  • The help files of gvis charts no longer show all their options, instead a link to the online Google API documentation is given.
  • All googleVis output will be displayed in your default browser. In previous versions of googleVis output could also be displayed in the preview pane of RStudio. This feature is no longer available with the current version of RStudio, but is likely to be introduced again with the release of RStudio version 0.99 or higher.

I will post about the new features and changes in the coming weeks. Please feel free to test the development version already. Visit our GitHub project page for installation instructions and further details.

For the impatient (you will require R >= 3.0.2):
install.packages(c("devtools","RJSONIO", "knitr", "shiny", "httpuv"))
library(devtools)
install_github("mages/googleVis")

OIC expands online services through NIPR

The OIC has expanded the types of applications we can accept online through our partnership with the National Insurance Producer Registry (NIPR) to new and renewing insurance licenses for: �

  • Washington resident insurance producers (full lines only) �
  • Washington surplus lines brokers �
  • Out-of-state surplus lines brokers

Through our partnership with NIPR, an applicant or licensee can submit multiple applications or renewals to more than one state simultaneously. In today’s marketplace, many insurance professionals hold licenses in multiple states. View a list of applications that may be submitted to OIC through NIPR.

vendredi 7 mars 2014

Protect your identity to prevent Medicare fraud

During National Consumer Protection Week, OIC is offering tips to help protect insurance consumers in Washington.

Medicare is the national health care plan for all U.S. citizens age 65 and older. It also covers people younger than age 65 who receive Social Security Disability Income and people diagnosed with specific conditions.

Medicare is a $585 billion program with approximately 48 million enrollees. That number will grow as more baby boomers become eligible for Medicare. Medicare fraud can be hard to track, but some estimate that Medicare fraud accounts for up to 10 percent of its annual budget.

We all pay a price for Medicare fraud, waste and abuse, which contributes significantly to rising health care costs. Here are some red flags to watch for:

  • Check your monthly statement for services or equipment you didn’t receive or for prices that seem higher than you expect or were told.
  • Never give your Medicare number (which is your Social Security number) in exchange for “free” testing, screening, products or services. Never give your Medicare number to anyone who calls or solicits you. Medicare will never call you.
  • A medical provider should never charge you for billing Medicare on your behalf or for filling out forms.
  • Medical providers should never who waive your coinsurance or deductible.

View more Medicare fraud tips on our website.

If you suspect Medicare fraud or have questions about your bill, call OIC’s Statewide Health Benefits Insurance Advisors (SHIBA) at 1-800-562-6900 or contact a local SHIBA office.

SHIBA also holds Medicare fraud prevention workshops throughout the state

jeudi 6 mars 2014

Are you covered for flood damage? The answer may surprise you

This month has been the soggiest March on record in the Seattle area, according to the Associated Press, and some areas of the state are experiencing heavy rain that may cause flooding today and tomorrow. Here are some things that are good to know about floods and insurance:

  • Homeowner policies typically do not cover flood damage. Flood damage is not on standard homeowner policies and most commercial policies, although many people assume it is. That can be a costly assumption. Your mortgage lender may require you to have flood insurance if your home is located in a flood-prone area, also known as a "special flood hazard area." You can estimate your property's flood risk online.
  • Most people buy flood insurance through the government’s National Flood Insurance Program, which is run by the Federal Emergency Management Agency (FEMA). These policies are sold through local insurance agents and brokers, which you can locate online. As with most policies, there are limits to what is covered.
  • Flood insurance rates are in flux. In July 2012, Congress passed the Biggert-Waters Flood Insurance Reform Act, which changed the way the National Flood Insurance Program is run. Among those changes were premium rate increases to make the program more financially stable. However, a new bill is being heard in Congress that would slow the premium increases for certain policyholders. That bill, call Grimm-Waters, passed the U.S. House of Representatives on March 4.
  • If your vehicle is damaged in a flood, your auto policy’s comprehensive coverage typically will cover it. However, you should verify you have that type of coverage with your insurance agent or broker. Read more about auto insurance.

You can read more about flood insurance on OIC’s website. 

OIC�s SHIBA can help consumers find health benefits

During National Consumer Protection Week, OIC is offering tips to help protect insurance consumers in Washington.

The Office of the Insurance Commissioner oversees Washington’s Statewide Health Insurance Benefits Advisors (SHIBA). SHIBA offers free, unbiased and confidential assistance with Medicare and other health care choices.

SHIBA can help you:

  • Understand your health care coverage options and rights.
  • Determine your general eligibility for health care coverage programs.
  • Evaluate and compare health insurance plans.

In 2013, our 570 SHIBA volunteer advisors helped 54,000 people understand their health insurance. Advisors are available in communities throughout the state;.

For people who are about to turn or recently turned 65, we host Medicare events around the state. You can also find information about Medicare on our website. 

Are you interested in becoming a SHIBA volunteer? Find out more.

mercredi 5 mars 2014

Important tips for insurance consumers

Editor's note: During National Consumer Protection Week, OIC is offering tips to help protect insurance consumers in Washington.

Today, we are sharing tips with Washington insurance consumers based on questions and complaints we’ve received over the years. These tips are general and are intended to help you avoid common insurance pitfalls.

  • If you are having a problem with your insurance company or agent that you can’t get resolved, we recommend that you call us about it as soon as you are having the problem. We do get calls from people who wait years (yes, years) before they call us. By that time, it’s very hard to untangle the issues. We will try, but it’s significantly more difficult. Contact us at 1-800-562-6900 or on our website. The sooner you contact us, the sooner we can determine how we might be able to help.
  • Do an annual review of your policies and what possessions you are covering. A lot can happen in 12 months—did you remodel your home? Buy a car? Sell a car? Buy a boat? Have a birthday? Any of these things could affect your insurance premium. For homeowner or renter insurance policies, the National Association of Insurance Commissioners (NAIC) has a home inventory checklist available as a PDF or as an app.
  • Many people have their auto and home policies with the same insurer. However, many do not. If you change address or have any other issue that might involve both policies, be sure to contact both insurers to discuss your situation and make any needed changes to policies.

It’s important to be an informed consumer, and we are here to help. OIC’s website has a wealth of information about auto, home, health and life insurance for Washington consumers at www.insurance.wa.gov. Our consumer site is tablet- and mobile-friendly.

mardi 4 mars 2014

Consumers have rights to appeal claim denials

Editor's note: During National Consumer Protection Week, OIC is offering tips to help protect insurance consumers in Washington.

Sometimes, insurance companies deny claims for reasons that vary as widely as there are claims. Here is some information about insurance claim denials and your appeal rights.

Health insurance

Most health plans are required to comply with a very specific appeal process. However, this requirement doesn’t apply to some health plans, such as Medicare or Apple Health (Medicaid) plans.

Other types of insurance, such as long-term care or disability insurance, are required to provide an appeal process but can create their own process.

If you want to file an appeal with your health plan, contact them and ask: “What do I need to do to file an appeal?” After that, you’ll need to collect materials that support your appeal, such as:

  • The health problems that can or will arise if the company doesn’t pay for this treatment, plus an estimate of the cost of treating those problems.
  • Any medical journal articles or studies that show the treatment’s effectiveness.
  • Letters from your doctors describing why you need this treatment.

After you send your appeal materials to the health plan, be persistent. Most people don’t win at the first level of appeal, but the odds of winning increase as you reach higher levels of appeals. The chance of winning is highest when your health plan appeal reaches the final level, called an “Independent Review Organization.”

For more tips, please visit the appeals section of our website.

Property and casualty insurance

With property and casualty insurance—such as homeowner, renter and auto insurance—consumers generally can use the appraisal provision of their auto or home policy or the arbitration provision for personal injury protection (PIP) and under- or uninsured motorist (UIM) claims on auto policies. Appraisal provisions are used for disputes of claim value, and arbitration provisions are generally used when the application or availability of coverage is being questioned.

More information

lundi 3 mars 2014

Review: K�lner R Meeting 26 Feburary 2014

Last week's Cologne R user group meeting was all about R and databases. We had three talks from a generic overview on how to connect R to databases, to a specific example with kdb+ and perhaps the future with ArangoDB, a NoSQL database.

Connecting R with databases

Diego de Castillo's talk focused on the use of relational databases, such as PostgreSQL, SQLite and Oracle. For all these databases dedicated R drivers exist on CRAN that can be used in a generic way via the DBI package. This allows for a consistent approach to connect, query and return data to R. A popular alternative on Windows to the DBI framework is the use of the ODBC (Open Database Connectivity) API via RODBC or RJDBC.


R and kdb+

Kim Kuen Tang gave an overview of kdb+, a proprietary database that appears to be popular for time series data. kdb+ comes with its own expressive query language, q. Kim demonstrated how he could analyse large amount of stock market data stored in a kdb+ database using R and q all via sublime.

ArangoDB

Michael Hackstein and Claudius Weinberger introduced us to ArangoDB, a NoSQL (Not only SQL) database. ArangoDB is an open source document database. This means that data is stored as documents, which are similar to JavaScript objects, in so-called "collections". Their slides presented nicely the different concepts outside the traditional relational databases, such as key values stores, document stores and graph data. Claudius mentioned that they had received several requests from users who wanted to connect R to ArangoDB. Although a native driver does not exist for R yet, ArangoDB can be accessed by R using the HTTP-API via the packages bitops, RCurl and RJSONIO.


Next K�lner R meeting

The next meeting is scheduled for 23 May 2014. This will be our 10th meeting, clearly something we need to celebrate!

Please get in touch if you would like to present and share your experience, or indeed if you have a request for a topic you would like to hear more about. For more details see also our Meetup page.

Thanks again to Bernd Wei� for hosting the event and Revolution Analytics for their sponsorship.

Review: K�lner R Meeting 26 Feburary 2014

Last week's Cologne R user group meeting was all about R and databases. We had three talks from a generic overview on how to connect R to databases, to a specific example with kdb+ and perhaps the future with ArangoDB, a NoSQL database.

Connecting R with databases

Diego de Castillo's talk focused on the use of relational databases, such as PostgreSQL, SQLite and Oracle. For all these databases dedicated R drivers exist on CRAN that can be used in a generic way via the DBI package. This allows for a consistent approach to connect, query and return data to R. A popular alternative on Windows to the DBI framework is the use of the ODBC (Open Database Connectivity) API via RODBC or RJDBC.


R and kdb+

Kim Kuen Tang gave an overview of kdb+, a proprietary database that appears to be popular for time series data. kdb+ comes with its own expressive query language, q. Kim demonstrated how he could analyse large amount of stock market data stored in a kdb+ database using R and q all via sublime.

ArangoDB

Michael Hackstein and Claudius Weinberger introduced us to ArangoDB, a NoSQL (Not only SQL) database. ArangoDB is an open source document database. This means that data is stored as documents, which are similar to JavaScript objects, in so-called "collections". Their slides presented nicely the different concepts outside the traditional relational databases, such as key values stores, document stores and graph data. Claudius mentioned that they had received several requests from users who wanted to connect R to ArangoDB. Although a native driver does not exist for R yet, ArangoDB can be accessed by R using the HTTP-API via the packages bitops, RCurl and RJSONIO.


Next K�lner R meeting

The next meeting is scheduled for 23 May 2014. This will be our 10th meeting, clearly something we need to celebrate!

Please get in touch if you would like to present and share your experience, or indeed if you have a request for a topic you would like to hear more about. For more details see also our Meetup page.

Thanks again to Bernd Wei� for hosting the event and Revolution Analytics for their sponsorship.

March 2-8 is National Consumer Protection Week

You may have seen that this week is National Consumer Protection Week. The Washington state Insurance Commissioner has an entire unit devoted to helping consumers who experience trouble with their insurance policies or companies. In 2013, we responded to more than 5,000 inquiries from consumers and helped recover $8.4 million in insurance billings, refunds and other claims-related issues.

Our consumer advocates can help:

We also share information of interest to insurance consumers on this blog and through our social media channels. Many of our posts are generated by questions our consumer advocates receive from Washington citizens. Consumers can reach us by phone at 1-800-562-6900 and online via our web form. Read more about consumer advocacy at OIC.

jeudi 27 février 2014

What if I need to see a provider that's not in my health plan's network?

Many of  the health plans for sale in Washington's new Exchange - Wahealthplanfinder - have narrower provider networks. This trend helps keeps premiums down, but it can be confusing and upsetting to consumers who are used to seeing certain providers.

If you don't qualify for a subsidy and you want a broader selection of providers, you may want to consider buying a health plan outside of the Exchange. You can do so by contacting a health insurer directly or an insurance agent can help you. Here's a list of all plans available inside and outside the Exchange by county. Make sure you check the plan's provider directory before you sign up.

Consider these tips on network issues to consider before signing up for coverage.

If you need medical care that cannot be provided by a provider or facility in your plan's network, your health plan must allow you to see the out-of-network provider network at no greater cost than if they were a contracted provider. Read more about your rights to see certain providers.

If you believe you're being treated unfairly by your insurance company, file a complaint with us - we'll look into if for you and make sure your health plan is following the rules.

Want to get more involved? We're currently working on new rules about provider networks. One of the goals is to increase transparency - so you know which providers are covered by your plan and how to access care you need, if they're not. Join our listsev to get updates on this new rule.

Want to work at OIC? We are hiring!

The Office of the Insurance Commissioner has three positions open in its Tumwater office. All are open until filled.

  • Financial Examiner 4 (Senior Financial Analyst) to examine and analyze insurance companies and health carrier filings to discern financial condition, difficulties, trends and compliance. This position also supervises three financial examiners in our Company Supervision division. 
  • Investigator 4 (Supervisor) to investigate complaints against insurance companies, agents and brokers. This position also supervises seven investigators in our Legal Affairs division. 
  • Human Resource Consultant Assistant 2 to help with all things human resources, including working in the state’s Human Resources Management (HRMS) system.

OIC is a small state agency – just over 200 employees statewide – and our mission is to protect consumers, the public interest, and our state’s economy through fair and efficient regulation of the insurance industry. Read more about our agency on our website.

mercredi 26 février 2014

Kreidler orders insurance loan seller to stop doing business in Washington

Washington state Insurance Commissioner Mike Kreidler issued a cease and desist order against Insurance Finance Corp., headquartered in Des Moines, Iowa. The company has been illegally financing insurance premiums in Washington and charging consumers more than allowed under state law.

Essentially, Insurance Finance Corp. sells loans to people who purchase insurance and can’t or don’t want to pay the full premium up front. This type of loan is typically sought by people who purchase commercial insurance policies. Individual policies, including homeowner, renter and auto insurance, typically allow consumers to pay a monthly premium rather than making large yearly or twice-yearly payments.

Kreidler ordered Insurance Finance Corp. to stop doing business in Washington because it violated two state laws – it’s not licensed to do business in Washington and it is overcharging Washington customers. State law limits service charges to $10 per $100,000 per year, and a one-time acquisition charge of $10 per loan.

We identified 429 Washington customers who have purchased loans totaling more than $630,000 from August 2010 through July 2013. However, there could be more customers that we have not identified. We are unable to determine the total amount of overcharges to Washington customers until we can identify all of its customers and loans. Customers may have been referred to the firm by insurance brokers and agents. Washington insurance agents and brokers can help by not referring clients to Insurance Finance Corp. while the cease and desist order is in place.

Insurance Finance Corp. has 90 days to appeal the cease and desist order.

Anyone who sells insurance or insurance products to people in Washington must be licensed by OIC. You can look up a company’s licensing status and see if a company has complaints on our website.

mardi 25 février 2014

Highest and Lowest Insurance for 2014 Vehicle Model

Highest and Lowest Insurance for 2014 Vehicle Model, 2014 car insurance, insurance, car insurance
Insure.com has released the survey for the highest and lowest insurance rates for the 2014 model cars. They use information from the 6 leading insurance companies in all 50 states.

Jeep Wrangler Sport topped the cheapest 2014 models to insure at $1,080 annually while the Nissan GT-R Track Edition is the priciest 2014 model to insure at $3,169.

By states, the highest average insurance rates are Michigan which is number 1 then followed by West Virginia, Georgia, Washington, D.C. and Rhode Island. While the five states with the cheapest average rates is headed by Ohio followed by Maine, New Hampshire, Idaho and Iowa.

Cheapest 2014 models to insure:


  1. Jeep Wrangler Sport - $1,080
  2. Honda Odyssey LX  - $1,103
  3. Jeep Patriot Sport - $1,104
  4. Honda CR-V LX - $1,115
  5. Jeep Compass Sport - $1,140
  6. Chrysler Town & Country Touring - $1,140
  7. Subaru Outback 2.5i - $1,144
  8. Dodge Journey SE - $1,149
  9. Honda Odyssey EX - $1,149
  10. Dodge Grand Caravan SE - $1,158

Priciest 2014 models to insure:


  1. Nissan GT-R Track Edition - $3,169
  2. BMW M6 - $3,065
  3. Mercedes-Benz CL550 4Matic AWD - $3,019
  4. Mercedes-Benz SLS AMG GT - $2,986
  5. Porsche Panamera Turbo S - $2,970
  6. Audi R8 5.2 Spyder Quattro - $2,917
  7. Mercedes-Benz G63 AMG - $2,887
  8. Audi A8 L 6.3 Quattro - $2,869
  9. Jaguar XKR Supercharged - $2,854
  10. Jaguar XK - $2,610

10 States with the Lowest average auto insurance rates:

  1. Ohio ($926)
  2. Maine ($964)
  3. New Hampshire (963)
  4. Idaho ($1,053)
  5. Iowa ($1,058)
  6. North Carolina ($1,060)
  7. Wisconsin ($1,087)
  8. Virginia ($1,114)
  9. Vermont ($1,149)
  10. New York ($1,173)


Source: Insure.com

lundi 24 février 2014

Next K�lner R User Meeting: 26 February 2014

The next Cologne R user group meeting is scheduled for tomorrow, 26 February 2014. We are delighted to welcome:
  • Diego de Castillo: R and databases
  • Kim Kuen Tang: Hands on using R and kdb+ together
  • Frank Celler: ArangoDB (Lightning Talk)
Further details and the agenda are available on our K�lnRUG Meetup site.

Please sign up if you would like to come along. Notes from past meetings are available here.


The organisers, Bernd Wei� and Markus Gesmann, gratefully acknowledge the sponsorship of Revolution Analytics, who support the Cologne R user group as part of their vector programme.


View Larger Map

Next K�lner R User Meeting: 26 February 2014

The next Cologne R user group meeting is scheduled for tomorrow, 26 February 2014. We are delighted to welcome:
  • Diego de Castillo: R and databases
  • Kim Kuen Tang: Hands on using R and kdb+ together
  • Frank Celler: ArangoDB (Lightning Talk)
Further details and the agenda are available on our K�lnRUG Meetup site.

Please sign up if you would like to come along. Notes from past meetings are available here.


The organisers, Bernd Wei� and Markus Gesmann, gratefully acknowledge the sponsorship of Revolution Analytics, who support the Cologne R user group as part of their vector programme.


View Larger Map

mercredi 19 février 2014

R in Insurance 2014 Conference Poster

Here is the poster for the 2nd R in Insurance conference on Monday 14 July 2014 at Cass Business School in London:

R in Insurance 2014 conference poster. Download PDF version

Important dead lines to keep in mind:
For all further information see: www.rininsurance.com.

The programme and the presentation files of the first R in Insurance conference have been published on GitHub.

R in Insurance 2014 Conference Poster

Here is the poster for the 2nd R in Insurance conference on Monday 14 July 2014 at Cass Business School in London:

R in Insurance 2014 conference poster. Download PDF version

Important dead lines to keep in mind:
For all further information see: www.rininsurance.com.

The programme and the presentation files of the first R in Insurance conference have been published on GitHub.

mardi 18 février 2014

Hearing Feb. 25 on consolidation of Western United Life Assurance company


Insurance Commissioner Mike Kreidler is holding a hearing at noon on Feb. 25 to consider a consolidation request from Western United Life Assurance Company in Spokane.

This request involves two entities--Investors Consolidated Insurance Co., a New Hampshire-based company, and Western United Life Assurance Co., both subsidiaries of Central United Life Insurance Company and Harris Insurance Holdings, Inc. in Houston. 
Investors Consolidated wants to change its domicile�base of operations�to Spokane from New Hampshire. Immediately thereafter, Investors Consolidated and Western United Life, which is already based in Spokane, want to merge and retain the corporate name of Western United Life Assurance Co.

Anyone who is interested in weighing in on the relocation and merger may submit comments and may also attend the hearing in person or by telephone.
Hearing location:

Office of the Insurance Commissioner5000 Capitol Blvd.Tumwater, WA 98501
To participate by phone, call (877) 668-4493, followed by access code 231 993 38.

Submit comments to: kellyc@oic.wa.gov
For more information:
View the Notice of Hearing, which includes advice on how to participate in the hearing process.
View all documents filed in this matter under Western United Life #14-0004.

Self Insure or Pay for Insurance

Is it wise to self insure for long-term care or just buy insurance? Manisha Thakor founder and chief executive of Santa Fe, N.M. based MoneyZen Wealth Management LLC said on her article on Wall Street Journal, that Long-term-care insurance is a new product and it don't have the history of dealing with claims payment like home and auto insurance.

She also said that young people have the power to choose, right to choose to self insure themselves, �By taking the money you would have put in long-term-care premiums and investing them in a low cost 60/40 balanced index fund, you can create your own pool of funds to draw on down the road if need be�and avoid the dreaded �claim denied� scenario,� she said.

But self insuring will take a lot of discipline and majority of Americans I believe will not be able to keep on investing every month and put it on 60% stocks and 40% bonds. The plus side to self insuring is if you don't need long term care you can keep the money to yourself or give it to your heirs.

However, if we take into consideration the inflation rate, it can be costly the price of health care will considerably increase by the time you need it. The plus side of having a good insurance is it can protect you against inflation.

According to the American Association for Long-Term Care Insurance there are more or less 8 million Americans that have long-term care insurance. The premiums costs for single males have decrease while the premiums for females increased.

If a 55yo male who is single bought a new long-term care insurance protection in 2014, he will pay about $925 per year for $164,000 of benefits American Association for Long-Term Care Insurance said. He would pay $1,765 for coverage that increases the benefit pool to $365,000 at age 85, a 14.5% decline from last year�s average.

If a 55yo single woman pay an average of $1,225 every year for the same level of benefits available to a single man for $925.

lundi 17 février 2014

Adding labels within lattice panels by group

The other day I had data that showed the development of many products over time. I grouped the products into categories and visualised the data as line graphs in lattice. But instead of adding an extensive legend to the plot I wanted to add labels to each line's latest point. How do you do that? It turns out that panel.groups is there to help again.

Here is my solution:

R code

Read more �

Adding labels within lattice panels by group

The other day I had data that showed the development of many products over time. I grouped the products into categories and visualised the data as line graphs in lattice. But instead of adding an extensive legend to the plot I wanted to add labels to each line's latest point. How do you do that? It turns out that panel.groups is there to help again.

Here is my solution:

R code

Read more �

vendredi 14 février 2014

260,000 Vehicles recalled by Toyota US

Vehicles recall, Toyota recall, Prius recall

NEW YORK - After recalling Prius hybrids last Wednesday Toyota are now recalling another 260,000 cars and pickup trucks in the United States Friday because of electrical problems that may caused faulty breaks.

This will affect Lexus RX350s and Toyota Tacomas for the model years 2013 and 2012, also included are Rav4 2012 stated in the report by the US National Transportation Safety Board.

The faulty electrical component of the brake actuator in the brake system of the vehicles has the tendency to malfunction that would turn on warning lights for the stability control, braking and traction control systems.

If that happens the system will malfunction and will no longer operate that can cause crash.

Last Wednesday February 12, 2014 Toyota notify owners in Japan that they will recall 1.9 million Prius hybrid cars after the uncovering some problems with software used to control a power converter.

After you put a ring on it, think about insurance changes

Love is in the air on Valentine’s Day and it’s a popular time of year to pop the question or get married. If you are a taking the plunge soon, here are some insurance matters you will need to address.

Jewelry rider

The first step in getting engaged is typically purchasing an engagement ring. The average cost of an engagement ring this year is nearly $3,500—does your homeowner or renter insurance policy cover the cost of replacing engagement and wedding rings that may exceed $5,000 for both bride and groom? If not, you may be able to purchase a jewelry rider, which is a supplemental policy that covers jewelry that has a value that exceeds the standard policy. Many riders require an appraisal or documentation that may come with your new jewelry purchase.

Homeowner or renter insurance

Combining households also means combining your belongings. Make an inventory of all of your belongings—including wedding gifts -- to determine how much coverage you'll need. It will also make filing a claim easier in the event of a loss or disaster. The National Association of Insurance Commissioners (NAIC) offers a free home inventory app for iPhones and Android phones; you can also download a PDF version. High-value items like artwork, collectables or jewelry may need a personal property rider in addition to your homeowners policy.

If you are moving into a new residence, remember that its location, size of the home and construction type are factors that determine your insurance premium.

Don't immediately cancel a policy on a residence that you are vacating. There is a higher risk of unforeseen damage, such as burst water pipes, fire or theft that can be costly to remedy without the insurance coverage. Ask your insurance agent about a supplemental endorsement that will provide coverage on the home if it is vacant for an extended period of time.

Auto insurance

Married couples have the option of combining their auto insurance policies, but most newlyweds don't discuss their spouse's driving record before getting married. A poor driving record could increase the cost of your premiums. If that affects you, talk to your insurance agent about a named driver exclusion. Other factors that affect your premium are make, model and age of the vehicle.

As a newlywed, you may be eligible for discounts. Some insurance companies consider married couples a lower risk, which could result in lower rates. You may be eligible for discounts if you combine your auto policies or buy auto coverage from the same company that carries your homeowner or renter policies.

Health insurance

When deciding what to do about your health insurance, evaluate your current and future health care needs. You will also want to compare the cost of adding your spouse to your policy against keeping your own health insurance.

If you have health insurance through an employer, you are allowed to add your spouse to your plan outside of the open enrollment period. Contact your company's benefits administrator to find out what you need to do.

For individual plans, contact your insurance agent or company for specific enrollment requirements for spouses. Insurance companies are no longer allowed to deny coverage for pre-existing conditions, nor can they charge more based on medical history. You will need your spouse's Social Security number and income information to add him/her to your plan.

Life insurance

It's never easy to talk about life insurance, especially during such a happy time, but it may help secure your family's financial future. To calculate your needs, consider future income, the cost of raising children and any large outstanding debts such as school loans or mortgage payments. If either or both of you have life insurance, check with your agent about updating your beneficiary information. Remember to check with your employer about any life insurance benefits offered through work.

More information

jeudi 13 février 2014

Consumer question: Don�t my agent and insurance company have to make sure I�m getting their best rates and coverage?

Although you’d think that would be a good way to keep you as a customer, the answer is “no.” The best time to ask about the most cost-effective coverage is at the time of application. It’s always good to ask your agent to offer multiple options for the type of coverage you are looking for.

You can always ask questions about your rates and coverage during the policy period and you are free to change insurers anytime you wish to. Choosing insurance is not like choosing a cell phone plan, where they lock you in for two years.

Generally speaking, you want to be the one asking questions about how to save money or improve coverage on your insurance policies. Most insurers are not going to offer up ways for you to save money once you’ve bought a policy. Think of it this way: You are the custodian of your policies, and it’s up to you to be aware of what they cover and to ask questions when you need clarification and help. You also have the freedom to find other coverage.

Remember, if you feel like your insurance company is not doing its job, you can call our consumer experts at 800-562-6900 or file a complaint online.

It's always a good idea to make sure your insurance agent or broker is licensed to sell insurance in Washington.

 

mercredi 12 février 2014

Registration for the 2014 'R in Insurance' conference has opened


The registration for the second conference on R in Insurance on Monday 14 July 2014 at Cass Business School in London has opened.

This one-day conference will focus again on applications in insurance and actuarial science that use R, the lingua franca for statistical computation. Topics covered may include actuarial statistics, capital modelling, pricing, reserving, reinsurance and extreme events, portfolio allocation, advanced risk tools, high-performance computing, econometrics and more. All topics will be discussed within the context of using R as a primary tool for insurance risk management, analysis and modelling.

The intended audience of the conference includes both academics and practitioners who are active or interested in the applications of R in insurance.

Invited talks will be given by:
  • Arthur Charpentier, D�partement de math�matiques Universit� du Qu�bec � Montr�al
  • Montserrat Guillen, Dept. Econometrics University of Barcelona together with Leo Guelman, Royal Bank of Canada (RBC Insurance division)
Attendance of the whole conference is the equivalent of 6.5 hours of CPD for members of the Actuarial Profession.

We invite you to submit a one-page abstract for consideration. Both academic and practitioner proposals related to R are encouraged. The submission deadline for abstracts is 28 March 2014.

Details about the registration and abstract submission are given on the dedicated R in Insurance page at Cass Business School.

Sponsors

The organisers, Andreas Tsanakas and Markus Gesmann, gratefully acknowledge the sponsorship of Mango Solutions, Cybaea, PwC and RStudio.



Last year's programme, abstracts and talks are available online.