Some $30 million old claims for retirement health insurance remain unprocessed, according to the NMI Retirement Fund.<\/p>\n
In a report to the Legislature, the Fund said these claims were made even prior to the entry of a third party administrator, Hawaii Pacific Medical Referral, in 2001.<\/p>\n
These claims are both from on-island providers totaling $29,840,492 and off-island providers reaching $482,027.<\/p>\n
Data showed that the Commonwealth Health Center has the biggest unprocessed claim totaling $28.6 million.<\/p>\n
Other providers are PHI Pharmacy ($617,667), Marianas Eye Institute ($69,486), Queens Medical Center ($187,209), St. Francis Medical Center ($93,473), Guam Memorial Hospital ($89,429),Rehab Hospital of the Pacific (33,877), Kapiolani Medical Center ($24,773), Pacific Cardiology ($20,790), and Castle Medical Center ($1,228).<\/p>\n
Further, the Fund said that it has some $6.2 million in unpaid medical claims by HPMR itself, whose contract with the agency expires next month.<\/p>\n
In its report, the Fund said it needs to get appropriation to retire or liquidate old medical claim liabilities \u201cto restore the credibility\u201d of its Group Health and Life Insurance program.<\/p>\n
The Fund told the Legislature Tuesday that it posts an average monthly shortfall of $436,064.<\/p>\n
At the same time, its uncollected outstanding obligations from the CNMI government amounts to over $84.4 million.<\/p>\n
The Fund reported that it disburses some $51.274 million to pay out various vendors and consumers. This include $39.2 million for retirement pensions; $3.7 million for survivor payments; $1.2 million for disability payments; $3.4 million for refunds of contributions, and a total cost of administrative operations that amount to $1.4 million.<\/p>\n
Meantime, the CNMI government\u2019s total outstanding obligation to the Fund reached $84.410 million, including $70.1 million in total employer share payments; $8.4 million due from Public Law 11-41; $1.4 million in total appropriations for FY2003; $780,733 in Trust Territory Prior Service costs; and $3.54 million representing the 30 percent bonus paid by the Fund.<\/p>\n
The Fund said that it receives total funds of $46 million annually but it disburses $51.2 million on a yearly basis. <\/p>\n
Further, the Fund cited a $70.1 million in outstanding employer contribution from the CNMI government and $9.8 million in outstanding annual appropriation. <\/p>\n","protected":false},"excerpt":{"rendered":"
Some $30 million old claims for retirement health insurance remain unprocessed, according to the NMI Retirement Fund.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-81596","post","type-post","status-publish","format-standard","hentry","category-local-news"],"_links":{"self":[{"href":"https:\/\/www.saipantribune.com\/index.php\/wp-json\/wp\/v2\/posts\/81596","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.saipantribune.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.saipantribune.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.saipantribune.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.saipantribune.com\/index.php\/wp-json\/wp\/v2\/comments?post=81596"}],"version-history":[{"count":0,"href":"https:\/\/www.saipantribune.com\/index.php\/wp-json\/wp\/v2\/posts\/81596\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.saipantribune.com\/index.php\/wp-json\/wp\/v2\/media?parent=81596"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.saipantribune.com\/index.php\/wp-json\/wp\/v2\/categories?post=81596"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.saipantribune.com\/index.php\/wp-json\/wp\/v2\/tags?post=81596"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}