We are also very fortunate to have the commissioner of insurance for the state Louisiana Jim O'Donnell in and I thank you so much sir for giving us call what to do. I don't know if you've had an opportunity to listen because on -- so busy that we've really been updating. The process. And both of these gentlemen have said that things are getting a little easier are you finding meant. Yes -- -- in all war. Consumer outreach efforts. I would say yes those two or are trying to access web site or being a more successful than it worked thirty days ago no doubt. Still things can be confusing to people what has changed as of January 1. What are all. Several very significant things overall like. I'll guarantee issue is now the law of the land home and and what lifetime limits have been removed. Well great to suppression has kicked -- and follow and the subsidies tracks such as well I guess would be called. Insurance subsidies subsidies. Done through the prior arrests. Or in effect now. For those between 100 -- order to -- that the federal poverty level. So for people who do not -- health insurance right now what's gonna happen -- them. Well. For individuals. If you don't have insurance in place by march 31. -- your going to be penalized. Through the -- rest. To the extent of 85 dollars. Of this city probably problem. 995. Dollars or 1% of your income whichever is greater. And and and that takes you on March the first put those two individuals who wore uninsured. And but the if they continue an -- -- heard people say you know what I'm gonna pay the 95. I'm not gonna do it but the next year -- -- higher. It is that goes to follow. And two and a half percent -- When he sixteen. And what military here except probably -- -- 9 -- or up to 1% of income whichever is greater and -- to. Problem -- any or two and a half percent have been trumped by January 12060. Do you think. Do you think this is gonna work. I think it's very. Much open a year. Ultimately. The federal government -- the money so you would think that they would be able to do whatever is necessary. To make it work. Having said that there's seems to be any new. Fiscal conservatives. Mine fit to. At least. To the degree of want to hang out all the congress. A divided as it is that -- pre -- to. More money's being put into the program. In order to make itself would keep itself but all more and more likely. Keep it affordable. All of because. We have no statistical data to basis on at this point. But the common understanding. Amongst regulators here -- That did the millions of folks who have access to insurance. Through the marketplace. Or at the -- less healthy and older population. On the problem with that it -- that is if you don't. Young healthy. Folks in the polls to account balance. Goes higher risk more expensive. Policyholders. Then you. Are likely. To drop the cost up to those who wore in the pool. Because overall. Getting more benefits then that their tank. It can go to a point of creating a death spiral. Where. Those buckets will be -- insult -- those pockets of policyholders. That got a lot more expensive. Not counterbalanced. By healthier. Better risk individuals. -- you -- have any comment to that but to make comment on that Jim out of the hundreds of policies that we've sold over the last 45 days. Our average age is around 5051. We've only done about -- we've only completed maybe three or four people under the age of thirty. And and that's and that's a real problem and and it's not good from from the anecdotal. Information on getting from my colleagues. I'm not surprised to hear that. Well one of the problems we have to be Affordable Care Act and you would you which states. -- commissioner applies probable. It has sake capital -- we -- want. All in the range of premiums. From the less the least healthy in oldest person is the youngest most -- In other words those least healthy old -- can only be charged -- it three times what. The young help these can beat George. It started out be Affordable Care Act that 61. But my understanding is that in the process of passage through the congress. The AA RPC. Who signed on and supported it initially. Doctor having lots of push back feedback from their membership. It went to the White House conceded we need a further contraction. Because we're getting too much. -- from our membership and the concession they got was lowering that. Cap from 61 down the -- -- or would you do that. Somebody's got to make up that difference and right now -- young people or make the old celtics'. But it's further exacerbated. By the fact that the president came in and instead. At the last minute back in November. You can keep your coverage. And this time it included not just folks who. Got grand faltered -- protection. But those who had non compliance policies that they lie. But war. Not. And providing all of the benefits that and he qualified -- AC ate up the affordable care obamacare -- policy. Called for. And ultimately. The the federal agency. She saw failed. Ordained that they would keep two different sets of books ultra premium purpose which won for those new policies that -- just described. That the folks who target the millions of folks around the country who are getting coverage. In in the new marketplace. As opposed to those young healthy to have high deductible or. The limited benefit plan and that -- were allowed to keep them yet about a year all of those things are interconnected. And when you get one bought another. Pops up typical. And so would you give more benefits there is more close to be -- by some. And in that gets back to your question Angela. Will this ultimately. Succeed. And but my answer is I'm not sure that there's. There was a recent article where you comment I do think it's a very good idea. To have these health savings accounts to think they will help control cost. Absolutely. I've been any supporter promoter of health savings account so for the week. Well I guess it's about ten years that there have been around. Published they had been faster quicker take up on -- I think it may have. Addressed some of the issues that -- that led to the the creation of the Affordable Care Act the presage other. In the end it's sort where for me. Empowering. Consumers. With with making that choice themselves. But how much coverage they want. And that what policemen were going to play golf for that coverage. Come to wait health savings account works it is similar to deny -- -- you can put money aside pretax. To be used. To all sit deductibles are full page that you made curve for. Health insurance and I felt. -- -- That are not covered by your health insurance. And in -- or should it have been growing in popularity. They do you make. Consumers. Aware of what they're praying for their health care. And and they helped them make informed choices as to whether or not they want to actually pay for that. Cadillac of call Rachel are. They may be satisfied with. But shovel ready level of coverage. And pay the difference out of their pocket hole in the coverages in the insurance market and pay the difference out of the pocket more. Shopper rattled one doctor to another off hospital to another to get the better price. Patrick. Jim. And 75 to 80% the policies that we sell or are related to health care savings accounts of the -- Qualified high deductible health plans. And two things solve it absolutely benefit the consumer is number one the math. The math almost always works when you look at the premiums than what's spent on the deductible at the end of the year. The president out of pocket expenses are almost always. Considerably less than a co pay plan. The other thing it's very beneficial to the consumers is the fact that these -- PPO plans are not HMO point of service plans of -- -- have a much greater network of doctors and hospitals to two to attend so. And this is where people put in money every month. Yes and they will -- up the savings account and if somebody's health thing in everything alike can do that all of a sudden they're not healthy. Then they've got to go through you really it's a learning process. But how much do I have to have I don't know what the next rate costs I don't know what to CT scans cause I don't know whether my leg breaks when it's gonna cost. But I'm gonna have to know those things. It's currently it's going to make you aware of those things you may not have to know it but it's going to make you -- Obama will say the one another benefit this is that. When you go see a doctor -- say it simply cross. Not. High deductible plan. When you go to doctor's office you're not going to pay useful right you get paid a contractual discounted rate it may not be as low as a co pay. But it's not going to be that much greater than a co pay for just the doctor visit charts now the X rays in the blood tests and all that other stuff. But it does make you aware of which are spending. Mr. O'Donnell in the somebody called an earlier in -- asked the question who who's paying for these subsidies. Well. There they're -- they're being paid for out of the actual the general fund of the United States out of the treasury however. Also part of the affordable care Iraq or approximately. Eight new disease control urges. That are imposed upon ensure missed. But. That that that's sounds okay because nobody loves insurance companies -- -- about they're taxed that liability except. That those taxes or a hundred cents on the dollar pass through expenses. To the premium cost that date passed on to consumers. And in fact that's one of my biggest objections to be Affordable Care Act. It's the fact that it imposes for the first time in our country's history they premium tax on health insurance. Although it's in all of our history up until now. Premium taxes have been left to the jurisdiction in the purview. Of the states that week here at the department of insurance collectible 400 million dollars a year. In premium taxes for the state of Louisiana. Hasn't electronically -- over to the general -- We're now getting competition. For premium taxes from the federal government. First time in history and that is estimated to cost. Policyholders. Ten billion dollars over the next ten years the fees and taxes included the affordable care to. So the answers were all paying for this. Okay Jim this is gave -- said the question for you when it comes to these. The US treasury actually writing a check to the insurance carries what does -- time -- that they have to actually get their money in the insurance Kerry's hands because. I'll look in that a lot of these policies that we've sold on the exchange in these premiums or heavily subsidized. And I just have a concern. -- -- -- I'm just wondering how timely these teams will be made the insurance to do they have any restrictions or timeframe seek to use the funds to the insurance carriers. No -- -- and and by the way let me back up -- -- -- Yeah actually ten billion are meant to say if I didn't our hundred billion over ten years ten billion per year. Plus before brand name drugs. Which will bring in another 34 billion. In these taxes however you wanna call it. To the federal government. But no and -- that and HHS says that made it. That there computer. Be able to bear they're -- capability. To transform our. The funds necessary. From the federal government to the insurance. To pay for these subsidies. Would not be ready by January 1 it was stocks and they have not yet. Given the companies pay estimated all win that technology when that capability. Would be available. Well what remains to be seen as will they -- -- Paper statements are important monthly or quarterly basis right now they're just telling that. The company's trust us we're gonna get the money to you -- eventually.