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Self-employed and alive three jobs, Tim Ray expects his bloom allowance to assure him all day continued – not aloof on nights and weekends.

So he was afraid to apprentice that Group Health, his longtime allowance carrier and one of Washington’s largest, absitively this year to stop accoutrement workplace-caused affliction and abrasion in its alone and small-group plans.

With alone canicule to go afore the March 31 borderline to acquirement 2014 bloom insurance, Ray switched from Group Bloom to an alone action from Premera Blue Cross. Premera, Ray said, told him it will awning abode bloom issues.

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Now, Ray will accept to acquisition a new doctor, one on Premera’s list. But at $421 a ages his new, added absolute Premera action will amount him $8 beneath than Group Bloom would accept answerable for a action that excludes abode issues, he said.

“If we’re activity to accept bloom affliction at all we charge to accept bloom affliction all hours of the day and not be excluding the time back I’m alive on the job,” he said.

Ray, 59, has a circuitous workday: He teaches cross-country skiing, owns rental houses and programs computer-controlled automated acid machines. After hours he enjoys woodworking and tinkering with cars. The accessible injuries from his hobbies are no altered from the injuries he could acquaintance while he’s at work, he said.

Group Health’s accommodation is one added reminder, he said, that bodies arcade for bloom allowance advantage affliction to argue an allowance agent and abstraction the accomplished book afore they buy.

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On that point, the allowance industry and the government admiral who adapt it are in agreement.

Unfortunately for self-employed consumers like Ray, advantage of abode abrasion and affliction rarely comes up in the continuing civic uproar over bloom affliction reform.

For best Americans, bloom advantage comes from a large-group plan, offered by their employers. Advantage of abode abrasion or affliction is handled separately, by workers’ advantage behavior that ample administration about are appropriate to provide.

For the self-employed, however, a workers’ advantage plan is alternative beneath Washington accompaniment law.

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Group Bloom alone this advantage from its alone affairs because the costs from abode injuries and rehabilitation accept been so high. Rick Henshaw, Group Health’s administrator of alone and ancestors sales, said Group Bloom was accident money on that aspect of its annual package.

Requirements of the Affordable Affliction Act fabricated bloom advantage added big-ticket to provide, he said, so to accumulate its ante aggressive Group Bloom had to bead the benefit. There are rumors in the industry, Henshaw added, that added carriers ability be advancing to do the same.

Ray said it wasn’t bright to him what the acumen is, amid the medical issues Group Bloom would awning during his continued workdays and the issues it wouldn’t.

Henshaw explained it this way: “If you were accomplishing article for the annual of your employer or applicant and you were afflicted or became ill as a result, again your abrasion or affliction is assignment related.” As an example, he cited a architecture artisan who removes asbestos from barrio and affairs a abiding lung ache from inhaling the asbestos fibers.

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Workers’ advantage coverage, Henshaw acicular out, is accessible for self-employed bodies to buy from the Washington accompaniment Administration of Labor and Industries.

Ray said he knows about workers’ advantage coverage, from years ago back he managed a accouterments store; it’s costly, he said, and what he wants now is basal bloom coverage.

But workers’ advantage covers a abundant accord added than medical bills, said Rena Shawver, a backer for the department. It additionally pays accomplishment absent while an ill or afflicted artisan is off the job, pays for rehabilitation and pays for abstruse counseling if the artisan becomes disabled and has to accept addition career.

The amount of workers’ advantage varies, because it’s based on the risks complex in anniversary worker’s trade. According to the state’s 2014 rates, an underground miner would pay $4 per hour worked; a florist, 71 cents; a janitor, $1.29. For Ray’s three careers, Shawver said, the ante ability be: $2.05 for skiing guide, $1.12 for acreage administration and 12 cents for software design.

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Applicants for workers’ allowance advantage charge to argue with a accompaniment annual administrator to amount out their rate, Shawver said.

Stephanie Marquis, a backer for the accompaniment allowance commissioner’s office, said it’s no abruptness and aural the rights of an allowance carrier to bead advantage of abode issues as Group Bloom has absitively to do. Advantage of work-caused maladies is acceptable beneath accepted amid alone bloom policies, she said, and allegedly is actuality larboard to the state’s workers’ advantage system.

Ray said he finds the bearings to be affirmation that U.S. bloom affliction ameliorate didn’t go far enough. It’s a problem, he said, “when you acquiesce (insurance companies) to blooming aces what they’re activity to cover.”

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