article Selective insurance, or the insurance that allows the company to charge an inflated premium based on the age of the insured, has been a major issue for some insurance companies for decades.

Insurers that use selective insurance are known as “premium gougers” because they charge higher premiums for older, sicker consumers, and they use the money to pay higher premium rates for younger consumers, according to the Insurance Information Institute.

Some insurers, like Blue Cross and Blue Shield of California, have been penalized by state and federal regulators.

But the companies that use this method of paying higher premiums to older, less healthy consumers are the most profitable, according the Institute, which studies insurance markets.

While selective insurance is common in the United States, it’s not a widespread problem, said Andrew J. Berg, a senior vice president at the Institute.

It’s particularly prevalent in the states that have the lowest rates of insuredness and in states that are most dependent on Medicare for most of their health care spending.

“It’s not just a problem for the insurers,” Berg said.

“It’s a problem of the people in these states, and it’s a really big problem for these states.”

The Institute estimated that the cost of selective insurance in the Blue Cross Blue Shield system in California alone is $2 billion a year.

That is more than half of the costs of the entire national insurance market, the Institute said.

In some states, including New York and California, the problem is worse, because these policies can also be used to charge higher premium prices for individuals over 65, who tend to be more expensive than younger consumers.

The problem is particularly acute in states with higher percentages of elderly residents, which is why selective insurance premiums in these populations are particularly high, according a report released last year by the Kaiser Family Foundation.

The problems with selective insurance have not been limited to the Blue Shield plans that are used by Blue Cross.

The Kaiser Family found that a number of other insurance companies, including Anthem, Humana and UnitedHealth, have used selective insurance to charge premium rates that are significantly higher than for other plans.

This practice has come to light as the Affordable Care Act has expanded coverage to people with pre-existing conditions, as well as to people who are under age 65 and to people in rural areas.

The Insurance Information Initiative estimated that selective insurance costs Blue Cross $1.6 billion a month in Medicare claims.

This is nearly three times the $5.3 billion that Blue Cross has spent on premiums, which are based on a mix of the age, health status of the consumers and how much the insurance company is reimbursing the insurers for claims.

The problem isn’t limited to just Blue Cross plans, either.

Blue Cross, Anthem and Humana all have other policies that allow them to charge a higher premium for older and sicker customers.

When consumers who are older or sicker have to pay premiums, these policies typically have higher deductibles and other out-of-pocket expenses that are also higher than those for younger and healthier consumers.

The cost of these policies is not insignificant, the institute found.

In fact, it is estimated that some of the highest-cost insurers have the highest deductibles.

The Institute estimates that in some states there are between 2,500 and 5,500 out- of-pocket costs that the insurers do not pay for, which would amount to $1 billion a day.

Berg said these high deductibles, which result in lower benefits for people with medical problems, are particularly prevalent for people in the elderly and the chronically ill.

People with medical conditions can often live for several years without seeing a doctor, he said, and the deductibles in some out-group plans can exceed $1,000 a month.

It’s difficult for people to pay these out-out-of pocket costs when they have to be covered by Medicare or Medicaid.

At the same time, the out-in-group plan is typically considered more stable, meaning that older and healthier people can afford it.

Berg also noted that some insurers do have an incentive to increase premiums for younger people, as the premiums are typically higher because of government subsidies that can be used for lower-income people.

But in the last five years, premiums have declined in states where the government has offered financial incentives for younger, healthier people to enroll in plans, the report found.

For example, the cost for a 65-year-old with an income of $25,000 has decreased from $7,500 to $5,500, and premiums have decreased in states such as California, Ohio, Nevada, New York, Ohio and Pennsylvania.

The issue has been particularly acute for people who have chronic conditions, such as diabetes, that are more expensive to treat, according.

And the higher premiums, the more expensive it is for people.

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