By April A. Morris  

APRIL 12, 2012 1:57 p.m. Comments (8)

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With arguments just completed in the U.S. Supreme Court in the challenge to the federal Patient Protection and Affordable Care Act, consumers and businesses are paying close attention to changes in the way health care is accessed and funded.

If the massive law is upheld, among the changes promised for 2014 are an expansion of Medicaid and the advent of government health care “exchanges,” where uninsured consumers can choose an insurance plan. Gov. Nikki Haley believes a state-sponsored exchange will be too expensive for South Carolina, preferring to leave it to the private sector to brainstorm ideas.

From that brainstorming has emerged South Carolina’s first health insurance cooperative, a two-year-old nonprofit group that gives non-related small businesses the opportunity to purchase health insurance as one entity.

The South Carolina Health Cooperative is targeted at small-business owners who struggle to afford health coverage because they don’t qualify for the discounts that larger businesses enjoy, said founder and CEO Cooper Littlejohn.

The cooperative was formed after insurance agent Steve Nuttall challenged Littlejohn to find a way to offer affordable health insurance to businesses with two to 50 employees, Littlejohn said.

By joining, member businesses increase their buying power with health insurance companies, therefore lowering their premium costs, Littlejohn said. “My favorite thing about the co-op is that the members own it. It’s like a homeowners’ association,” he said.

A health insurance co-op is a novel offering in South Carolina, said David Slade, vice president of employee benefits at Rosenfeld Einstein agency. With other new health insurance options like exchanges on the horizon in 2014, consumers will have to determine where a co-op option fits in the spectrum. Slade said it still may be a challenge to find an insurance carrier willing to assume the risk for a group of small businesses.

The cooperative is currently underwritten by Lloyd’s of London, approved by the state’s Department of Insurance.

The South Carolina Health Cooperative will be holding open enrollment and information meetings across the state throughout April, with meetings in Greenville and Spartanburg on April 19.

“Small businesses are the lifeblood of the community. Their most trusted asset is their employees; they’re like extended families. It’s a privilege to serve them,” said Littlejohn.

In Greenville, co-op representatives will hold informational meetings at 9 a.m. on April 19 at Cline Hose and Hydraulics, 601 Buncombe St. In Spartanburg, meetings will be held at 12:30 p.m. and again at 3 p.m. at Spartanburg St. Matthew’s Episcopal church, 101 St. Matthew’s Lane.

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Jeremy Engdahl-Johnson  - Co-ops   |2012-04-13 05:26:28
CO-OPs should focus on provider network, attracting members, licensing,
developing polices by October 1, 2013.
http://www.healthcaretownhall.com/?p=4961
Jennifer  - Read the fine print!!!   |2012-04-30 06:13:49
I hope businesses are reading the fine print before they sign the
paperwork.

#5 on the South Carolina Health Cooperative Membership agreement
states "Member agrees to personally pay all claims for benefits covered
under the plan which are incurred by his or her covered employees and their
covered dependents, but which the plan has failed to pay..."

So if they
decide not to pay a claim for a COVERED BENEFIT the business owner is
repsonsible. Who in their right mind would take that risk????? FAIL.
Glenn Paciaroni  - President   |2014-02-27 03:16:25
At first we thought this coop with save us money, that has not happened. There
is confusion when claims are made for basic Healthcare check ups. Now my wife
need minor surgery and no one can answer simple costs questions. I have not been
happy with this choice and feel like I'm stuck for another 3 years.
Elizabeth  - This is a MEWA   |2014-03-06 07:27:32
This is not a federally sponsored co-op or insurance plan. It's a MEWA.
The
state requires that clause above #5 because it's not fully insured. Agree
w/Jennifer. FAIL.
Sumur Bell  - A great alternative   |2014-03-21 05:07:03
This Co-op is undergoing a restructure. The co-op will not not pay claims that
are covered. They have to put that clause in there. Also it is a less expensive
option to Obamacare. Healthcare is not cheap, and the business owners own our
business. Come to the meetings and vote. Thanks. Sumur Bell Communications
Director
Janice  - Owner   |2014-05-21 10:58:19
I would be careful before deciding to use SC Health Coop for your company group
insurance. They have recently slowed in paying claims... over a year in some
cases and you now have fewer choices in Doctors and Hospitals that accept their
coverage. I'd would highly suggest you pay a little more and use the Obamacare
group plans. It would be more costly getting stuck with SC Health Coop for
their mandatory 5 year membership and not having your employees claims paid.
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Jackie  - bankrupt in three years   |2014-10-24 09:27:04
The company is now being audited by the dept of insurance and has a multimillion
dollar shortfall to cover claims from three months ago. They either going to
have to try to lure a buyer or close. Some Providers who filed claims after
July are not even receiving responses. The employers will have to cover these
bills. This company calls itself a cooperative, but it is NOT one of the co-ops
licensed as part of the ACA programs. There is only one of these in SC.
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