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Medical Bills: Insurance Discrepancies Can Harm Credit

Medical bills are a major problem for many families.

It is well documented that medical debt is one of the leading causes of consumer bankruptcy . This is true in San Antonio, throughout the Rio Grande Valley, and across the country.

But even for people who try to pay their bills on time, discrepancies concerning medical bills and insurance payments can leave a bad mark on credit ratings.

Consider the recent case of a Texas family whose 9-year-old son had to go to the emergency room after running into the branch of a tree on his bike.

The boy's family was insured, but the insurer failed to pay the $200 ambulance bill, despite months of follow-up calls by the insured party, Ray White.

Finally, Mr. White paid the bill out of his own pocket. But damage to his credit reports was already done. Nearly six years after the accident, when he tried to refinance the mortgage on his house, he found out that the unpaid ambulance bill had cost his credit score about 100 points.

San Antonio Foreclosure Data and the National Economy

The real estate meltdown has affected different parts of the country in very different ways.

In over-built areas like Phoenix or Miami, the drop in values, and the high rate of foreclosure, remains acute. Yet there are other regions of the U.S. where prices and home ownership have remained more stable.

Even in more stable regions, however, bankruptcy filings to prevent foreclosure are a common occurrence.

What about San Antonio and other parts of Texas, including Austin, Killeen and the Rio Grande Valley?

Statistics released late last month from CoreLogic and RealtyTrac show that foreclosure rates in San Antonio and New Braunfels declined in February of this year compared to February of last year.

The decline was slight, though, from a rate of 1.34 percent of mortgage loans in February 2011 to 1.3 in February 2012.

The rate of mortgage loans in delinquency was up. In the San Antonio area, the percentage of such loans that were 90 days or more delinquent was 4.71. This was up from 4.62 in February of last year.

In Texas as a whole, the delinquency rate was 4.78 in February of this year. This was down from a statewide figure of 4.93 in the same month last year.

Consumer Debt Grows Along With Income Inequality

Studies have shown that people spend much more when paying with credit rather than cash. And as time goes on, there is a cumulative effect to this. The balance starts to grow, and suddenly someone may be facing credit card harassment from bill collectors.

For many people, however, living off of credit doesn't necessarily mean they're on a spending spree. It may mean they've lost a job or suffered an illness or injury that led to large medical debt.

The old saying used to be that "The rich get richer, the poor get poorer." Today, after the Great Recession, a variation goes like this: The very rich still get richer; everyone else must fight against going deeper in debt.

Since 1983, the debt-to-income ratio for people whose incomes are below $160,000 per year has escalated to $1.48 for every $1 in income. Research by economists at the International Monetary Fund showed that in 1983, the comparable ratio for people in the bottom 95 percent was 62 cents in debt for every dollar of income.

The top 5 percent, by contrast, are thriving. The debt-to-income ratio for this group has actually fallen since 1983, from 76 cents on the dollar to 64.

Medical Debt and the Problem of Phony Insurance

If you have health insurance, do you still need to worry about medical debt? In theory, the answer should be no; after all, the main purpose of having insurance is to cover the medical costs when you or a close family member gets sick.

In practice, however, the answer is quite different. After the co-pays and premium hikes have been factored in, the increasing out-of-pocket cost of healthcare can be a burden even for someone with health insurance.

This, in turn, can be a factor in filing for bankruptcy in San Antonio, the Rio Grande Valley or elsewhere in Texas.

The National Center for Health Statistics recently released the results of a survey on payment of medical bills. In 2010, one of every five families in the U.S. reported having trouble paying medical bills. By last year, the percentage had gone up sharply to nearly one in every three.

To be sure, problems with medical debt are more frequent for people without insurance. Among the uninsured, nearly half report problems with paying medical bills.

The real surprise is how many people with insurance also have problems. The survey showed that 30 percent of the people with private insurance reported problems with paying their medical bills. For those with public insurance, the percentage was 40 percent.

Rebuilding Credit After a Texas Bankruptcy Filing

There are many misconceptions about bankruptcy law.

Eight years after the law was revised, many people are still under the impression that the requirements may be too difficult for them to meet.

When you talk with a consumer bankruptcy attorney, however, you will better understand the big picture. It's true that the law, as amended in 2005, has a few more hoops to jump through, such as a means test and credit counseling.

But for most people genuinely in need of debt relief, these hoops are not really high hurdles.

Another misconception is that a bankruptcy filing will make it overly hard to get credit after the bankruptcy. To be sure, bankruptcy does typically cause credit ratings to take a short-term hit.

Keep in mind, though, that it genuinely possible to repair your credit rating substantially after that initial hit. This post will discuss some of the ways to begin doing that.

Tax Debt: Beware of Liens and IRS Levies

Tax debt is a recipe for trouble - unless you respond proactively to the problem.

Don't just let your wages become the object of an IRS tax levy. Here are some things to think about, as you consider filing for bankruptcy and other debt relief options.

First, let's consider the word "levy" and distinguish it from the related concept of a "lien."

A levy involves a seizure of property that is done with legal authority. A lien is somewhat different; it is filed as a form of security. For example, an IRS lien against your house can prevent you from selling it until your tax debt is resolved.

A good example of a levy is a state or federal action directed at your wages. The IRS or a state revenue agency can go after a portion of your paycheck to satisfy tax debt.

Wage garnishment is only one type of levy. There are also others, including levy against a bank account. Another is levy against federal payments that may be due to you, such as a tax refund.

There are very specific notice requirements that the IRS or state revenue agency must meet before collecting money through such levies

Underwater Mortgages, Bankruptcy and Other Debt Relief Options

Homeowners who have fallen behind on their mortgage payments face difficult choices.

In theory, a modification of the payment amount is possible. Lenders and mortgage servicers are often unwilling to agree to a mortgage modification - despite financial incentives from the government for them to do so.

Bankruptcy is another possible way to stop lawsuits against your home. A bankruptcy filing brings about an automatic stay in foreclosure proceedings.

This week, federal housing regulators said the government may do more to help at least some homeowners facing foreclosure. The agency that regulates Fannie Mae and Mac may force the two huge companies to reduce the value assigned to principal on mortgages they hold.

Fannie and Freddy are government-sponsored but publicly traded companies that handle mortgage-backed securities.

The Federal Housing Finance Agency (FHFA), which regulates Fannie and Freddie, has up to now refused to let them reduce principal on underwater mortgages. Those are mortgages where the mortgage debt exceeds the current value of the house.

Bankruptcy and Taxes: Rebates Can Help Finance a Filing

Bankruptcy and taxes can go together in a couple of different ways.

For people in search of debt relief, bankruptcy can potentially allow the discharge of income tax debt. This could include stopping an IRS tax levy.

There's another way as well. New research shows that many Americans who are short of cash are using their tax rebates to pay for a bankruptcy filing.

Jialan Wang, a business finance professor at Washington University in St. Louis, collaborated with colleagues at two other schools on the research. The focus was on the connection between tax rebates and bankruptcy filings. The study examined two different years: 2001 and 2008.

Those years were chosen because they were years in which many people received rebates.

In 2001, bankruptcy filings increased by two percent after rebate checks were issued. In 2008, the increase was even greater: seven percent.

As Prof. Wang pointed out in her published paper, the 2005 overhaul of federal bankruptcy law significantly increased the cost of filing for bankruptcy. Legal and administrative rose substantially. The amended law also imposed a new requirement of credit counseling, which the bankruptcy filer had to pay for.

Beware of Debt Collectors Who Try to Collect Old Debts

Debt collectors don't get to do whatever they want. There are rules they are supposed to abide by - starting with the Fair Debt Collection Practices Act.

Credit card harassment and other illegal tactics are therefore not acceptable. And they are still widespread. Last year, the Federal Trade Commission received a record number of complaints about the tactics used by debt collectors. The total number of complaints was nearly 181,000.

Bill collector calls at odd hours are not allowed.

Debt collectors are also not supposed to try to collect on which the statute of limitations has already expired. Gallingly, however, there are debt collection companies that try to do just that.

ABC News recently highlighted a case of an Ohio man who was sued by a collection company called Asset Acceptance over an old credit card debt - 14 years old, to be exact.

The FTC finally cracked down on this company for threatening to sue on expired debts and reporting them to credit bureaus. Asset Acceptance was fined $2.5 million for these improper actions.

Feds Investigate 'Robosigning' in Credit Card Debt Collection

"Déjà vu all over again" is a phrase commonly attributed to the baseball great Yogi Berra. It can apply in many contexts - most recently in allegations of widespread improper conduct by credit card debt collectors at JP Morgan Chase.

To a consumer bankruptcy attorney, this seems a lot like what Time magazine called "robosigner redux." After all, state and federal regulators have only just filed the massive $25-billion settlement with five of the largest mortgage services over flawed foreclosure procedures. The problems were symbolized by the phenomenon of "robosigners."

The term refers to fraudulent practices such as mass production of mortgage foreclosure documents. This was often done by low-level employees who did not even review what they were signing.

JPMorgan Chase was one of the banks that were part of the settlement concerning these improper foreclosure practices.

Now comes the déjà vu: Chase is being investigated for robosigning again. This time, the allegations involve the use of improper procedures in the collection of credit card debt.

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Board Certified Texas Board of Legal Specialization

Joseph W. Shulter is certified in consumer bankruptcy law
Fred Cludius is certified in Personal Injury Law

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