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State House director of political affairs Machel Waikenda has allegedly joined Deputy President William Ruto’s United Democratic Alliance (UDA) party.

The allegations were made by DP Ruto’s aide Dennis Itumbi on Friday September 17, 2021.

Itumbi through his social media accounts posted a campaign poster bearing the image of Dr. Waikenda and the UDA logo and colors.

According to the poster, Waikenda will be vying for the Kiambu County Senatorial seat on a UDA ticket come 2022.

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State House director of political affairs Machel Waikenda.

Itumbi welcomed him to DP Ruto’s camp, noting that it was a home of the ‘hustler nation’.

“Alaaar. State House Director, @MachelWaikenda welcome to @UDAKenya the home of #HustlerNation,” Itumbi posted.

The post has stirred mixed reactions, with a section of netizens claiming that Waikenda might have been part of the team that has been leaking President Uhuru Kenyatta’s intelligence briefs to Itumbi.

Itumbi through his famous Hustler Nation Intelligence Bureau (HNIB) has been leaking details of high profile meetings through his social media accounts.

DP Ruto and President Kenyatta fell out in 2018 after the head of state’s handshake with ODM leader Raila Oding.

The rift between the two leaders has been widening, with the clergy recently calling them to reconcile.

On Thursday, Ruto said he is ready to bury the hatchet with President after Catholic Bishops offered to broker a truce.

Speaking at his home in Nairobi, Ruto said he is ready to face Uhuru unconditionally.

The second in command blamed his falling-out with Uhuru on what he termed gossip fed to the President by outsiders who joined government. It was an apparent reference to ODM leader Raila Odinga and his brigade.

Ruto said the reconciliation should be fast-tracked to avoid plunging the country into further crisis and deepening hostility.

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Just hours after the Football Kenya Federation (FKF) announced in a statement that it had parted ways with Jacob ‘Ghost’ Mulee as Harambee Stars head coach, the Radio Jambo presenter has come out to clear the air on the matter.

On Wednesday, September 15, the FKF issued an official statement stating that the radio journalist had left the national team.

Speaking this morning during the famous Radio Jambo morning show dubbed Giddi na Ghost asubuhi, Mulee stated that he decided to resign due to the state of his brother’s health.

“I have been going through a tough time. I was in India for two months with my brother who is ailing. After returning from India, a lot of things changed personally,” he stated.

Mulee further stated that he was having a difficult time and he believed that he could not carry out his coaching duties effectively.

“I had plans for the team. I think I would be doing the country injustice if I remained to be the head coach yet I have personal issues affecting me,” he added.

During the show, Mulee, who doubles up as a radio journalist, also revealed that he desired to resign earlier but he could not do so because of the games Harambee Stars had to play.

“We were just about to start the World Cup qualifying games and in that situation, it is very difficult for a coach to resign,” Mulee revealed.

He went further to narrate how he sat down with the football governing body to find a solution after Kenya’s games against Rwanda and Uganda. 

“After the draw against Rwanda and Uganda, I sat down with the FKF and we all saw it fit that I hand over to someone else.”

FKF in the statement said ‘Ghost’ Mulee will be leaving effective immediately alongside his assistant Twahir Muhidin and Goalkeeping Coach Haggai Azande.

According to FKF, the decision to part ways was reached on a mutual consent.

Assistant coaches Ken Odhiambo and William Muluya have survived.

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Mulee was appointed in October last year on a three-year deal, replacing Francis Kimanzi who had parted ways with the team.

The tactician was officially unveiled with the task of leading Kenya back to the Total Africa Cup of Nations (AFCON) Cameroon 2021.

Mulee (52) had four previous spells as Harambee Stars coach, with the highlight of his career being leading Kenya to the 2004 Africa Cup of Nations in Tunisia. He also led them to various CECAFA Senior Challenge Cup triumphs.

Nicknamed “Ghost”, he also coached Tusker FC with whom he won three league titles, as well as Rwanda’s APR and Tanzania’s Young Africans.

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Harambee stars head coach Jacob ‘Ghost’ Mulee has been sacked by the Football Kenya Federation (FKF).

The federation in a press statement issued on Wednesday September 15, 2021 says ‘Ghost’ Mulee will be leaving effective immediately alongside his assistant Twahir Muhidin and Goalkeeping Coach Haggai Azande.

According to FKF, the decision to part ways was reached on a mutual consent.

Assistant coaches Ken Odhiambo and William Muluya have survived.

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Mulee was appointed in October last year on a three-year deal, replacing Francis Kimanzi who had parted ways with the team.

The tactician was officially unveiled with the task of leading Kenya back to the Total Africa Cup of Nations (AFCON) Cameroon 2021.

Mulee (52) had four previous spells as Harambee Stars coach, with the highlight of his career being leading Kenya to the 2004 Africa Cup of Nations in Tunisia. He also led them to various CECAFA Senior Challenge Cup triumphs.

Nicknamed “Ghost”, he also coached Tusker FC with whom he won three league titles, as well as Rwanda’s APR and Tanzania’s Young Africans.

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Juliana Whonge Cherare has been unanimously elected as new vice-chairperson of the Independent Electoral and Boundaries Commission (IEBC).

IEBC in a statement issued on Wednesday September 15, 2021 said Cherare was unanimously elected during a plenary meeting held at the Commission Boardroom on Tuesday.

The electoral body further assured all stakeholders and the public of its commitment to delivering a free, fair and credible general election in 2022.

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“The commission takes this opportunity to congratulate Cherera on her appointment,” reads the statement in part.

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IEBC has been without a chairperson since the resignation of Connie Maina in 2018. 

The statement came just moments after the Catholic Bishops urged the Commission to move with speed and put in place in good time the necessary systems and processes to ensure free and fair elections.

In particular, the bishops urged the commission to hire a new CEO.

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Deputy President William Ruto and Orange Democratic Movement (ODM) leader Raila Odinga will jail each other after the 2022 electioneering period, Kakamega Senator Cleophas Malala has claimed.

Malala who was speaking on Wednesday September 15, 2021 during an interview on a local radio station stated that whoever will become the fifth president between Raila and DP Ruto, will jail the other.

He argues that Raila will send Ruto to prison immediately after clinching power, and Ruto will do the same to Raila should he also succeed President Uhuru Kenyatta.

This, according to Malala, is because the two leaders have deep-rooted enmity and bitterness that if either of them gets the top seat, they will seek to punish the other.

Malala who is rooting for a Musalia Mudavadi presidency argues that should Raila win the 2022 general election, half of the country will gladly welcome that win while the other half will frown over it.

As a result, he argued, the country will remain divided. The same outcome would be expected if Ruto becomes the next president.

The ANC lawmaker argues that for the country to avoid the looming division that will be brought about by Raila and Ruto, a neutral leader must be given a chance.

In his appeal to ODM leader and Ruto, he urged them to compromise their candidacy for the sake of the country, arguing that the nation needs healing from all manners of political intolerance.

He says that Kenyans should elect a leader who will not hold any grudge against another leader.

Malala insisted that the anger and bitterness that exists between DP Ruto and the former Prime Minister is beyond just politics, therefore, risks hurting the entire nation.

Raila who has not yet declared his 2022 presidential candidature is on the record saying that he will send all the thieves to prison should he become the next president.

Ruto on the other hand has been accusing Raila of causing Jubilee government’s failure to deliver on its promises to Kenyans.

The second in command has been accusing Raila of killing Jubilee party through his handshake with President Kenyatta.

Ruto has hence abandoned Jubilee and is now focusing on popularizing United Democratic Alliance (UDA) which he will use as his vehicle to presidency in 2022.

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Just hours after a video clip showing Murang’a Senator Irungu Kang’ata allegedly addressing the senate from a bar went viral, the former senate majority whip has come out to clear the air.

The video clip shows Senate speaker Kenneth Lusaka giving Kang’ata permission to address the senate but shortly after the lawmaker joined virtually, he was dismissed for being out of order.

A background sound of an unknown lawmaker is heard insisting that Kang’ata was at the popular Sabina Joy in Nairobi CBD drinking.

The lawmakers are heard agreeing, with Kang’ata insisting that he was in his office, but Lusaka responds by denying that the place did not look like an office.

The clip could later attract mockery from senator Kang’ata’s political opponents who took to social media to make fun about it.

But through his social media account, Kang’ata dispelled the claims as false maintaining that he is a leader of high integrity and moral standards.

He went ahead to argue that no single drop of alcohol has ever passed through his throat.

Kang’ata blamed his political opponents for creating a fake background sound and attaching it to his address to the Senate with an aim of diverting attention from the issues he was raising.

He termed the voice insertion as fake, false, and malicious, further indicating that he has never been intoxicated in his life.

The lawmaker argued that he was addressing the plight of Murang’a milk farmers, who are yet to be paid despite making deliveries to the county’s milk processing plant.

Kieleweke bloggers – no single drop of booze has ever passed via my mouth. That voice insertion into my today’s Senate contribution is fake and false. The true question that I asked in Senate was about Muranga farmers unpaid milk delivered to county factory,” he wrote.

Lusaka on Tuesday, September 14 afternoon, blocked Kang’ata from continuing with his address to the house after he described the Senator’s location as not meeting the standards set to contribute to the proceedings.

“We can now see you, but where are you?” Lusaka posed.

“I’m in my office, Mr. Speaker,” Kang’ata retorted. 

“No, no, no, no, that’s not an office, Senator Kang’ata. I’m sorry, we cannot allow that, the rules are very clear on where you should be, so you are out of order,” Lusaka ruled.

Eventually, Kang’ata made it to the Senate and issued an apology to the house before continuing with his submission.

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Deputy President William Ruto has reaped big after the Mwangi Kiunjuri-led The Service Party (TSP) Deputy Secretary General, Njogu Barua ditched the party for United Democratic Alliance (UDA).

Speaking in his Gichugu home on Sunday, September 12, Barua announced that he has relinquished his position in the TSP party to join DP Ruto’s UDA.

“I have been the Deputy Secretary General of TSP. We have agreed and have resolved that with immediate effect, I cease being the Deputy Secretary General of The Service Party,” the defecting DSG stated.

The former Gichugu Member of Parliament stated that he would be seeking to recapture the seat on a UDA party ticket.

Barua explained that the decision was guided by the residents of Gichugu constituency.

A File Image of Former TSP Deputy Party Secretary General Pushing a Man on a Wheelbarrow

He stated that the people had already made a decision that Ruto was their preferred candidate for the 2022 General Election.

“Their preferred presidential candidate is none other than William Samoei Arap Ruto,” he reiterated.

The outgoing DSG added that he would not be distracted by anybody, and he and other leaders would seek political positions, especially parliamentary seats through the DP-affiliated outfit.

Barua also rubbished the meeting by Kiunjuri, Narc Kenya party leader Martha Karua and Gatundu South MP Moses Kuria, stating that it had been overtaken by events.

Kiunjuri, who was an ally of the Deputy President, fell out with the former over differences in political opinion.

The former CS openly rejected the idea of other parties in the Mt Kenya region dissolving and joining UDA.

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Orange Democratic Movement (ODM) Secretary General Edwin Sifuna has condemned Amani National Congress (ANC) leader Musalia Mudavadi for storming out of the consecration event of Bishop Rose Okeno in Butere, Kakamega County on Sunday September 12, 2021.

Mudavadi alongside his Ford Kenya counterpart Moses Wetang’ula and devolution Cabinet Secretary Eugine Wamalwa walked out of the event after Archbishop Jackson Ole Sapit barred politicians from speaking.

The event that was held at Butere Girls’ High School was also attended by ODM leader Raila Odinga, COTU boss Francis Atwoli and Kakamega Governor Wycliffe Oparanya.

Sifuna through his official Twitter account has said that it was shameful and disrespectful for Mudavadi to walk out when the first woman Bishop of the Anglican Church was giving her maiden speech.

Whilst a section of media had earlier reported that Raila was part of the political class that stormed out of the event, Sifuna has dismissed the claims, arguing that Raila stayed to the end.

“Very shameful and disrespectful conduct. Worse still they stormed out when the first woman Bishop of the Anglican Church was giving her maiden speech,” Sifuna tweeted while responding to a video clip showing politicians leaving the event.

The storming out of the event by the political class has ignited mixed reactions from netizens, with some arguing that a section of politicians had attended the event to politick.

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Kenyan musician Kennedy Ombima, popularly known as King Kaka has moved Kenyans after sharing his first photo after mysterious illness that made him lose weight.

Taking to his official social media accounts on Saturday September 11, 2021 while donning a Manchester United’s home jersey for the 2021/2022 season, the ‘Dundaing’ hit maker opened up on how he has been in and out of hospital.

About a week ago, King Kaka had opened up about misdiagnosis and illness that made him lose 33kgs.

The rapper in his recent post reiterated how being in hospital was really boring, asking his fans to always pray for good health.

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King Kaka’s first photo after illness. PHOTO/COURTESY/KING KAKA.

“Hospitali Ceilings are really boring always pray for good health. Kwa sasa analyzing the possibility of Ronaldo scoring 3 goals today against Newcastle!!!” he tweeted.

King Kaka has in recent weeks expressed optimism that he will bounce back and has often thanked those who have reached out to him.

King Kaka went into the details of how he has struggled to eat and was only taking porridge and eating fruits for the three months that he has been sick.

He also revealed that his wife Nana Owiti has always stood by him throughout the trying moment.

His recent post moved Kenyans who flocked his social media to wish him a quick and full recovery.

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Lloyd’s of London reported pre-tax profit of £1.4 billion (US$1.9 billion) for the first half of 2021 compared to a £400 million (US$550.8 million) loss during H1 2020.

The market’s profit was driven by a “substantially improved” underwriting result of £1 billion ($1.4 billion), compared to an underwriting loss of £1.3 billion ($1.8 billion) in H1 2020.

Lloyd’s combined ratio of 92.2% was described as a “solid improvement” over H1 2020 when it reported a combined ratio of 110.4%. (A combined ratio below 100% indicates an underwriting profit).

The market has paid €2.2 billion ($3.04 billion) in COVID-19 claims, which represents 80% of the notified validated gross claims, according to Burkhard Keese, Lloyd’s CFO, during a media briefing to discuss the results. “The majority of the losses are first party property and event cancellation.”

During H1, Lloyd’s paid £9.4 billion ($12.9 billion) for overall claims.

Gross written premiums increased to £20.5 billion, (US$28.2 billion), compared to £20.0 billion ($27.5 billion) in H1 2020.

The growth in GWP was attributed to an increase in premium rates, high customer retention and new growth for the first time in four years.

During H1, premium rates increased by 9.9%, continuing the trend of 15 consecutive quarters of positive rate movement.

Improvements to the combined ratio were driven by notable reductions to both the attritional loss ratio and the expense ratio, said Lloyd’s.

An attritional loss ratio of 50.5% (H1 2020: 52.6%), is a 2.1 percentage point reduction from the ratio reported for the first six months of 2020.

The expense ratio of 35.8% (H1 2020: 37.7%) is a 1.9 percentage point improvement, and 3.7 percentage points improvement since 2017, said Lloyd’s, noting that the reduction in operating expenses remains a focus of its digital transformation program.

Lloyd’s said it maintains strong capital and solvency positions, with net resources increasing by £2.6 billion ($3.6 billion) to £36.5 billion ($50.3 billion), with central solvency and market solvency ratios of 218% and 170%, respectively. (Full-year 2020: 209% and 147%).

“Lloyd’s has successfully repositioned the market for sustainable, profitable growth as evidenced in this strong set of financial results,” said John Neal, Lloyd’s CEO, in a statement.

“I am encouraged to see that market performance has improved as a result of our ongoing remediation efforts. This, as well as our exceptionally strong balance sheet, brings Lloyd’s performance in line with our global peer group,” he added.

“Alongside performance, we are making great strides on all our strategic priorities which focus on improving the culture in the market, the Future at Lloyd’s digital transformation, and sustainability, climate and inclusion which underpin our purpose,” he said.

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Although there are many factors that may affect coverage for flood claims under the Standard Flood Insurance Policy (“SFIP”) forms, coverage issues typically fall into two categories: 1) is the property for which a claim is being made considered “covered property” under the policy; and 2) has there been “direct physical loss by or from flood.

Determining whether property is considered “covered property” under the SFIP is a matter of verifying the list of covered property in Section III of the SFIP.

While Section III sets forth the list of covered property, policyholders should be aware that there are some specific provisions which function to exclude or limit coverage based on the property’s location, age, and even design.

The second category, determining whether there has been “direct physical loss by or from flood,” carries the most potential for policy interpretation disputes.

The SFIP defines “direct physical loss by or from flood” as being “[l]oss or damage to insured property, directly caused by a flood.”

Generally, definitions which use or restate the phrases that they define are not particularly helpful—and this SFIP definition is no exception.

The SFIP further explains, however, that in order for there to be “direct physical loss by or from flood,” “[t]here must be evidence of physical changes to the property.”

The fact that the SFIP stops short of defining “physical changes” should not scare policyholders. Rather, the open-ended definition allows policyholders to make the argument in favor of coverage using other National Flood Insurance Program (“NFIP”) resources such as the NFIP Claims Manual.3

The NFIP Claims Manual is designed to “improve clarity of claims guidance” for the benefit of policyholders.

In fact, FEMA intends for the NFIP Claims Manual to “assist NFIP insurers, adjusters, vendors, and policyholders apply applicable statutory and regulatory requirements, as well as the terms and conditions of the Standard Flood Insurance Policy.”

 So, does the most recent publication of the NFIP Claims Manual clarify what is considered “evidence of physical changes?”

The answer is…not entirely. The May 2020 NFIP Claims Manual does, however, include a variety of factors that adjusters must generally consider in determining coverage for flood claims.

Two factors are particularly helpful in assisting adjusters and policyholders apply the SFIP “direct physical loss by or from flood” language.

First, the NFIP Claims Manual acknowledges that certain materials are not salvageable once they have come in contact with floodwaters. For instance, the NFIP Claims Manual classifies certain types of perimeter wall sheathing based on the amount of damage presumed once the sheathing has come into contact with floodwaters.

 Specifically, the NFIP Claims Manual indicates that Class 1 or 2 Sheathing is “damaged directly by contact with floodwaters” and thus “is not salvageable.”

Although this guidance is for specific types of wall sheathing, a more general application of the principle—focusing on the type of material that was damaged—provides policyholders and adjusters with the clarity that the NFIP Claims Manual is designed to achieve.

Second, the NFIP Claims Manual recognizes the effect that floodwater contact has on the useful lifespan of certain items.

The NFIP Claims Manual provides adjusters with guidance on calculating depreciation and instructs them to remember that “[b]uilding materials and personal property have a certain useful life or life expectancy.”

 Notably, this instruction falls within Section 5 of the Claims Manual, which is titled “Claims Adjustment.” Section 5 states that an adjuster “must understand what factors may be involved with the claim that may or may not affect the covered scope of loss and the dollar amount to repair or replace an item . . . .”

A proper adjustment of a flood claim requires an adjuster to assess the “useful life” or “life expectancy” of an item not just for purposes of calculating “the dollar amount to repair or replace an item,” but also as a factor which affects “the covered scope of loss.”

If you are a policyholder uncertain as to whether your claim under such a policy was wrongfully denied, reach out to an attorney at Merlin Law Group to take a look.

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AXIS Insurance, the specialty insurance business segment of AXIS Capital Holdings Limited (“AXIS Capital”) (NYSE:AXS), has announced three appointments within its US Renewables team, effective immediately.

Becky Nace-Grover joins AXIS as a Senior Underwriter, Kamran Hameed joins as a Cross-Class Underwriter, and German Torres joins as an Underwriter.

Their responsibilities will include strengthening new and existing broker and partner relationships, as well as developing new business opportunities to continue delivering high-level customer service.

“Given the continued growth of wind, solar and battery energy storage projects in the United States, we are expanding the size of our underwriting team to meet the needs of our insureds and broker partners alike. With their combined industry knowledge and expertise, Becky, Kamran and German will play a vital role in helping us meet the demands of the growing renewable energy market. I am delighted to welcome them to the team,” said Sam Walsh, Head of US Renewable Energy.

Ms. Nace-Grover was previously President of Niche Underwriting at ProSight Specialty Insurance where she oversaw various specialty portfolios, including the Solar Contractor program.

Prior to that, she spent six years at GCube Insurance Services as an Underwriter focusing on Wind and Solar clients. She will be based in New York and report to Mr. Walsh.

Mr. Hameed was most recently a Senior Underwriter at Alta Risk LLC, where he worked with an array of renewable energy contractors.

Prior to that, he was an Underwriter at AIG for six years. In his new role, Mr. Hameed will be based in Kansas City and report to Mr. Walsh.

Mr. Torres is transferring internally from the AXIS Property and Energy team, where he has underwritten property, political risk and renewable energy business based in Latin America.

Prior to joining AXIS in 2019, Mr. Torres was a Property Underwriter at Hannover Re for five years. He is based in San Francisco and also reports to Mr. Walsh.

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The USDA’s Risk Management Agency (RMA) will soon offer a new insurance option for ‘conservation-minded’ corn farmers who split-apply nitrogen.

Split-application is done throughout the growing season rather than a single treatment before or during planting.

RMA Acting Administrator Richard Flournoy says the Post Application Coverage Endorsement will provide payments for the projected yield lost when farmers are not able to apply the in-season nitrogen.

“This is important. A lot of folks are already doing this at least to lower input costs. And also cover the environmental side to help prevent nutrient runoff into waterways and ground water. And so we think it’s really good for producers as well as good for the environment.”

It’s for corn farmers with non-irrigated acreage.

“It’ll be available for the 2022 crop year. There will be more details that will come out here in the next couple of months.”

Flournoy says the coverage option was submitted by Illinois Corn Growers, National Corn Growers, Ag-Analytics Technology Company and Meridian Institute and was recently approved.

He says it builds on RMA’s efforts to encourage use of conservation practices including cover crops – through pandemic assistance –  and irrigation practices.

“You know, we came out with a new rice coverage, alternate wetting and drying to cover that type of irrigation practice in rice.”

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The state Department of Insurance has approved an average rate hike of 5.6% for individual health plans in 2022.

The carriers had requested an average increase of 8.6%.

For small group policies, the insurance department authorized an average rate hike of 6.7%. The insurers had asked for 12.9%.

State Insurance Commissioner Andrew Mais said Friday that his department had saved consumers a collective $76 million next year by approving smaller rate hikes.

“Working on behalf of consumers, the department was able to reduce the health insurance rate increase requests … but we need to work to address the skyrocketing health care costs these premiums cover,” he said in a statement.

“The unit cost of hospital inpatient and outpatient care has historically risen about 10% per year. Prescription drug prices have risen even higher. I will continue to work collaboratively with all stakeholders to find long-term solutions that promote access and eliminate barriers to coverage here in Connecticut.”

Anthem Health Plans and ConnectiCare Benefits Inc., which sell individual and small group policies on the state’s Affordable Care Act exchange, Access Health CT, both sought higher rates.

Anthem asked for an average increase of 12.3% for individual plans that cover 28,071 people. The insurance department approved an average hike of 5.8% (the increases range from -.55% to 15.61%, depending on the plan).

Anthem also proposed an average rate hike of 11.5% on small group policies that cover 25,529 people. The state signed off on 2.9%.

ConnectiCare requested an average increase of 7.4% for individual plans that support 81,852 residents. The state authorized 5.5% (the increases range from -.6% to 14.8%, depending on the plan).

The company also suggested an average hike of 13.6% on small group policies. The state approved 10.3%.

Ten insurers are also selling policies off the exchange. The approved increases vary by plan.

“The department has exercised its authority as intended under state statute. The carriers may not concur with all the final determinations, but they respect the process,” said Susan Halpin, executive director for the Connecticut Association of Health Plans, which lobbies on behalf of insurers.

“Ultimately, premiums merely reflect underlying healthcare costs, and we couldn’t agree more with the Commissioner’s call for continued work by all stakeholders to lower the unit costs of care.”

The rate hikes drew criticism from several state officials.

“I’m disappointed,” said Comptroller Kevin Lembo, a former state health care advocate. “The cost of health insurance is going to go up for so many … at a time when people can least afford it.”

“The requested rate increases were completely unjustified and intended only to extract more money from Connecticut families and small businesses. … The rate review process is not sufficiently protecting consumers and needs to be completely rewritten.”

Even though the insurance department approved lower increases than those requested, Health Care Advocate Ted Doolittle said they still are high.

“The fact that the insurance department had to make big cuts to some of the requested rates does not inspire confidence that the carriers have all the tools they need to hold down medical costs,” he said. 

“The carriers are right that high medical prices are driving premium hikes. But that just leads to the question of why the carriers are not able to negotiate better prices.”

“If our insurers are not able to negotiate fair, sustainable medical prices, this is something the state needs to know about, and help with.”

Attorney General William Tong called the higher rates “one more strain” on residents during an already challenging time.

“While I recognize that the Connecticut Insurance Department did not give insurers all that they asked for, these rate hikes are still far too high,” he said.

“I am not convinced that any increase was warranted based on trends we are seeing in our own state and nationwide.”

The rate hikes are larger than those approved last year by the insurance department. In 2020, the department kept the rates essentially flat for carriers on the exchange.

In 2019, Anthem had asked for a 15.2% average increase on individual policies. The department authorized 6.5%.

The same year, ConnectiCare proposed a 4.9% hike on individual plans. The department signed off on 2%.

The carriers have cited several reasons for seeking higher rates, including rising demand for medical services and the swelling cost of prescription drugs, among other trends.

They also pointed to an increase in morbidity and expected severity of claims because of delays in care during the pandemic.

Insurers said recent legislation, such as a bill adopted last year that caps a 30-day supply of insulin at $25, was also behind the recommended hikes.

“What we consider to be the most significant challenge facing the market [is] the increasing cost of health care,” Steven Ribeiro, regional vice president of sales for Anthem Blue Cross and Blue Shield, told state officials at a public hearing last month.

“One of the key factors driving up the overall cost is the ever-escalating cost of prescription drugs, particularly new drugs and those that treat serious conditions. While Anthem appreciates their importance, these extraordinary, expensive treatments, like cell and gene therapies, bring additional costs into the health care system that must be reflected in our premiums.”

At the same hearing, residents, advocates and lawmakers asked the state to reject the proposed increases.

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Now that a significant portion of the public has been vaccinated for COVID-19, insurance companies are reconsidering their stance on fee waivers.

Early in the pandemic, insurance companies waived fees associated with treating the virus.

Now, with the availability of vaccines and the belief those who continue to go unvaccinated will remain unvaccinated into the future coupled with the high costs of COVID-19 treatments, has caused many in the industry to reconsider their previous stance.

Healthcare Costs

In 2020 most insurers waived out of pocket fees associated with hospitalization for COVID- 19. The fee waivers had different expiration dates depending on the provider.

Those costs, on average, have been determined to range between twenty thousand dollars to over twenty-two thousand dollars per patient with complications.

The CARES Act passed in March 2020, provided for testing as well as reimbursement to health care providers for the costs of hospitalization for low income individuals.

Vaccination

With the development of effective vaccines, the hope was to reach herd immunity before variants could circulate through the populace.

While the definition of herd immunity–the point at which a large enough percentage of the community becomes immune to a pathogen, varies.

According to some, the percentage needing to be vaccinated to reach herd immunity can be as low as “..seventy percent of the world-wide population…”

COVID- 19 variants and the breakthrough infections they spread have caused those numbers to be reconsidered.

Herd immunity is based on the infectious nature of the disease–how easily transmitted it is– and the development of natural immunity through exposure and natural immunity.

Breakthrough infections complicate the ability to determine immunity thresholds. Breakthrough infections are infections which occur in individuals who have been vaccinated against previous forms of the disease.

Mutations

Mutations or changes which occur in the virus which can render vaccines designed to control infection in previous forms, less or not effective. These changes in the form of the virus may be contributing to vaccine resistance.

The most recent variant of concern is the Mu variant. Mu, which is under observation, may  “avoid certain antibodies” which include those created by current vaccines which still are effective against the virus and the Delta variant.

Although the Mu variant has been identified in several states,  the Delta variant is currently the most prevalent variant in the United States.

The growth and spread of variants continues to cause much concern for public health officials.

There are groups who have the potential to be made seriously ill by breakthrough infections including the immunocompromised, elderly and transplant patients.

The current recommendation is that these groups consider receiving booster shots.

Vaccine Hesitancy

On September 7, White House COVID-19 Data Director Cyrus Shahpar marked a vaccination milestone in a tweet, which stated the country “just hit” 75 percent of adults with at least one shot.

Even with this achievement still only about 53 percent of the nation’s population is fully vaccinated. 

In the second year of the pandemic, it is becoming clear that some will not be vaccinated, making the idea of herd immunity unfeasible. 

Those who are currently being hospitalized for COVID-19 are overwhelmingly unvaccinated. With the cost of hospitalization becoming more expensive many insurance companies have discontinued fee waivers.

Each insurer has their own policy for waivers. For example, Aetna’s waiver program was in effect until the end of January this year, while Blue Cross Blue Shield ended its fee waiver program at the end of February

In mid August, the Kaiser Family Foundation reported about 72 percent of large health insurance plans were no longer providing waivers as of August, and another 10 percent were expected to eliminate waivers by the end of October.

The best way to know which costs are covered and which waivers are in effect is to contact your insurance provider.

 

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Detectives from the Directorate of Criminal Investigations (DCI) have seized consignment concealing over Sh60 million in fake US dollar currency destined for Muscat in Oman.

This is from a money laundering syndicate that has been under investigation.

According to a statement issued by DCI on Friday September 10, 2021, the 460 US dollar notes in denominations of 100 seized on Thursday evening were packaged in 12 bundles, which were declared as marketing flyers for a non-existing African Global Food Supplies.

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Acting on a report from Express Kenya security manager, police rushed to the transport logistics facility located at Lusaka Rd within Industrial Area, seizing the consignment bound to Muscat International Hotel in Oman.

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Investigations by our detectives has so far established that the consignor, one Belmont Joseph, is a member of a larger suspected criminal syndicate operating from Kajiado’s Ngong area.

Meanwhile, Interpol’s intervention has been sought to facilitate the arrest of the Oman-based consignee – Hamood Abdullah Hamood – as manhunt for the local suspect and his gang intensifies.

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