The Iowa Insurance Commissioner recently submitted a petition for an Order of Rehabilitation for CoOportunity Health. Under this Order, CoOportunity Health is no longer offering new policies on the Iowa Health Insurance Marketplace for 2015. Susan Daniels, Chief Financial Officer at Cass County Health System, is contacting area residents who purchased this insurance product last year to be sure they are aware of the order and how it may affect their insurance coverage.

Consumers have until February 15, 2015, to make a change if they are currently CoOportunity Health customers. Those who would like assistance with their health insurance decision are encouraged to meet with the certified marketplace navigators available at Cass County Health System until February 15, 1015. The private appointments will be held at Cass County Health System in Conference Room 6, which is accessible from Parking Lot C. For more information or to make an appointment, please call either Melissa Namanny at 712-243-2850 ext. 4111 or Nancy Templeman at 712-243-3250 ext. 3411.

The Iowa Insurance Commissioner’s office has provided responses to some frequently asked questions about CoOportunity Health Insurance, which are reprinted below….

CoOportunity Health Insurance Frequently Asked Questions

1. Will I still have insurance through CoOportunity Health on January 1, 2015?
• Yes, if you enrolled on or before December 15, 2014, and you continue to make your premium payments.
• No, if you signed up on December 16, 2014 or later you will not have coverage with CoOportunity Health. You have until the end of open enrollment, which ends February 15, 2015, to enroll in another plan.

2. What is changing with my CoOportunity Health insurance policy?
• Watch for important information you may receive from CoOportunity Health, healthcare.gov, or the Iowa Insurance Division.
• Tax subsidy eligibility and amounts may change if you keep your CoOportunity Health plan. For additional information, contact www.Healthcare.gov at 1-800-318-2596, TTY 1-855-889-4325. The call center is open 24 hours a day, 7 days a week.
• If CoOportunity Health is not able to be rehabilitated and an order of liquidation is entered, your coverage may be limited. State statutes create a safety net to protect policyholders when insurers go out of business. Those statutes cap coverage at $500,000 per life.

3. What does rehabilitation mean?
The Iowa Insurance Division determined that CoOportunity Health is in a hazardous financial condition. On December 23, 2014, Insurance Commissioner, Nick Gerhart, applied for and the Polk County District Court issued an order appointing the Commissioner as rehabilitator of CoOportunity Health. The company will continue in existence, but the Commissioner, as rehabilitator, is granted authority to manage the company. The Commissioner will:

• Assume management of the company.
• Attempt to correct existing problems.
• Continue operations.
• Maintain policyholder accounting.
• Develop a plan of rehabilitation or petition the court for liquidation.
Most policyholders may find it in their best interests to find other coverage before the end of open enrollment, which ends February 15, 2015.
4. If I want to remain in the marketplace and change insurance companies, where do I go?
Contact www.Healthcare.gov at 1-800-318-2596. The call center is open 24 hours a day, 7 days a week. You can also consult an agent, broker, navigator or certified application counselor.

A Pottawattamie County woman was trapped in her vehicle Tuesday following an accident in Shelby County. The Shelby County Sheriff’s Department reports 22-year old Elizabeth Jacquard, of Avoca, suffered non-life threatening injuries when her vehicle went out of control at around 2-p.m. on 450th Street in Shelby County, near the intersection with Maple Road.

Her vehicle entered a ditch and came to rest on its side, trapping the woman inside until she could be extricated by Avoca Rescue. She was transported to Myrtue Memorial Hospital for treatment of her injuries. No charges have been filed at this time.

Officials at Cass County Health System have reported higher than normal influenza activity so far this year, which is in keeping with state and nationwide trends. “We have had over 50 cases of influenza so far this year and have seen mostly influenza A, as has the rest of the state,” said Dr. Tricia Goodemote, Chief Medical Officer. “We want the public to be aware and take appropriate precautions to help control the spread of influenza and other illnesses.”

Dr. Goodemote noted while most of the patients were able to be treated as outpatients several have required inpatient care. She stressed the importance of hand-washing and self-isolation in controlling the spread of the flu. “If people are ill, they should stay home from work, school and other activities. Hand-washing continues to be the most effective tool in preventing the spread of germs, and it is not too late to get a flu vaccine.”

Cass County Health System limits visitors to inpatients during flu season, asking anyone with flu-like symptoms to stay home. Parents are asked not to bring young children and infants to visit inpatients throughout the flu season, typically until the end of March, as it increases the child’s risk and the patient’s risk for influenza.

Atlantic Medical Center offers influenza vaccines in the Patient Services Center located in the clinic. The cost of Influenza vaccination is covered by most health insurances and financial assistance is available for those without insurance who cannot afford the $30 charge. The Patient Services Center is open from 8:30 – 11:00 and 1:30 – 4:00 pm. No appointment is necessary, and vaccine is still available.

COUNCIL BLUFFS, Iowa (AP) – The Council Bluffs Library is celebrating the upcoming fifth anniversary of Teen Central, a place where youths can study and socialize. A library worker tells The Daily Nonpareil that Teen Central has increased how many programs it offers since opening in 2010. She says Teen Central began hosting between three and four programs a year. It now holds about four a week.

Teen Central is housed on the library’s second floor. The Teen Services manager says it was created to fill a needed gap in providing an educational area specifically for teenagers.  The center is open seven days a week and officials say about 60 youths visit daily during the school year. Around 500 teens participate each month in the weekly programs.

An administrator from one of the two institutions in Iowa that educates medical doctors says there’s an “extreme shortage” of physicians in the state and the problem could worsen because many Iowa doctors may retire soon. Sue Huppert is vice president for institutional advancement at Des Moines University. “At least 44 percent of our Iowa practicing physicians are over 50,” Huppert says. “And we know from surveys that as physicians age, they would prefer to ease into retirement.”

Access to a doctor is an issue in many rural parts of the state and there are shortages of doctors in certain specialties, like obstetrics and emergency trauma care. Iowa currently ranks 44th among the states in the ability of residents to easily get care from a direct care physician. “We have an extreme shortage of physicians today,” Huppert says. “If you look at our 99 counties, 73 of them currently need more family physicians.” Huppert made her comments during a budget hearing in the governor’s office.

She’s urging Governor Branstad and legislators to provide four-million dollars in state support next year to finance forgiveable loans to medical students at Des Moines University and the University of Iowa. About 150 students are accepted into the University of Iowa Medical School each year. Des Moines University accepts about 500 students per year. A handful at each school would be eligible for the state-backed forgiveable loan program Huppert hopes will expand next year.

According to the Iowa Board of Medicine, over 68-hundred doctors worked in Iowa last year. That’s two percent more than the year before and the number of doctors working in Iowa has been growing faster than the state’s overall population. Between 2006 and 2013 there was a 12 percent increase in the number of physicians practicing medicine in Iowa.

(Radio Iowa)

The Cass County Board of Supervisors received good news during their meeting Wednesday morning in Atlantic, with regard to Workers Compensation and Liability Insurance through the Iowa Communities Assurance Pool, or ICAP. The County’s Insurance representative Kipp Harris said a report from the IMWCA (Iowa Municipalities Workers’ Compensation Association) shows claims filed by County workers has dropped significantly over the past five-years, allowing the County to save $90,000 on the cost of premiums.

He says that equates with “Good department heads that hire the right people, and people that are conscious of not having injuries and doing the right things while they’re out there working.” Harris said the Board should congratulate the Department Heads and employees, because it is “A direct reflection on them.” The cost is further affected by claims that have dropped-off over the years.

The net premium to the County for Property/Casualty (Liability) Insurance, according to Harris, was about $160,000. That’s down more than $20,000 because of a voucher that was applied.

Three people were arrested over the past week in Mills County. Sheriff’s officials say on Sunday, 35-year old Philip Michael Eshelman, of Red Oak was arrested for Driving Under Suspension, following a traffic stop at around 8-p.m. His bond was set at $300.

On Christmas Day, 21-year old Rocky Alan James Runyon, of Hastings, was arrested at a location on Mahaffey Road. Runyon was taken into custody at around 6:10-p.m. on a Possession of Drug Paraphernalia charge. His bond was set at $300.

And at around 11-p.m. on Dec. 23rd, 18-year old Colton Isaiah Story, of Henderson, was arrested at the Mills County Sheriff’s Office on charges of OWI/1st Offense, and Failure to Maintain Control. His bond was set at $1,000.

Sheriff’s Deputies in Mills County also investigated seven separate accidents over the past week, two of which resulted in persons being injured. Late Monday evening, an accident on Eastman Road took place when a car went out of control on the snow and ice and entered a ditch before hitting a tree. Daniel Robbins, of Council Bluffs, was driving the 2012 Nissan. He was transported to Jennie Edmundson Hospital in Council Bluffs, by Glenwood Rescue.

And, the morning of Dec. 27th, Jennifer Wake, of Glenwood, was driving a 2005 Pontiace, when the car went out of control on an icy Ingrum Avenue. The vehicle skidded across the center line of the road and left the roadway before rolling over at least once and coming to rest on its wheels on the southbound lane of travel, just south of 250th Street. Wake was also transported to Jennie Edmundson Hospital by Glenwood Rescue.

Five residents in a four unit apartment complex in Adair were safely evacuated from the structure during a fire that took place just before 8-a.m. today (Wednesday) Adair-Guthrie County Emergency Management Coordinator Bob Kempf told KJAN News the fire happened at 802 3rd Street. The Red Cross was assisting the occupants with housing and clothing arrangements.

Firefighters from Adair and Casey responded to the scene. Kempf said two units in the building sustained “fairly significant damage”, while the two other units sustained minor damage. Adair Fire Chief Jordan Smith has said the cause of the fire remains under investigation, but a preliminary assessment indicates it may have begun in a closet area where a boiler was located.

No injuries were reported.

Cass County Sheriff Darby McLaren presented Deputy Corey Larsen with an Outstanding Achievement award this (Wednesday) morning during a meeting of the County Board of Supervisors. The award was “For his excellent response while performing his duties on Nov. 26th, 2014.”

Cass County Sheriff’s Deputy Corey Larsen (Left) is presented with a plaque by Sheriff Darby McLaren.

McLaren said “While he was responding to a personal injury accident east of Marne, Larsen came across a van that had slid into the ditch. A 16-year old girl had severe injuries to her arm (and was bleeding profusely).” McLaren said the girl was likely in danger of losing her arm. Larsen applied a tourniquet and “most likely saved her arm.”

Lily Elliott w/Deputy Corey Larsen

The girl he helped save, Lily Elliott, of Marne, was in the Board Room when Larsen was presented with the award.

A traffic stop on Washington Street in Exira Tuesday night, resulted in the arrest of a local man on drug charges. The Audubon County Sheriff’s Office reports 24-year old Joel Roger Nelson, of Exira, was charged with Possession of Marijuana and Possession of Drug Paraphernalia. Nelson was being held in the Audubon County Jail Wednesday morning.