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Burkina Faso profile

Categories: Uncategorized  |   -

A poor country even by West African standards, landlocked Burkina Faso has suffered from recurring droughts and, until the 1980s, military coups.

A major challenge to the status quo came in 1983, when Capt Thomas Sankara seized power and adopted radical left-wing policies. He renamed the country, previously Upper Volta. Its present name which translates as "land of honest men".

In 1987 Mr Sankara was overthrown and killed in a coup by his erstwhile colleague Blaise Compaore, who went on to re-introduce a multi-party system.

Burkina Faso has faced domestic and external concern over the state of its economy and human rights, and allegations that it was involved in the smuggling of diamonds by rebels in Sierra Leone.

Troubles in neighbouring Ivory Coast have raised tensions, with Ivory Coast accusing its northern neighbour of backing rebels in the north and Burkina Faso accusing Ivory Coast of mistreating expatriate Burkinabes.

© 2011 BBC News (www.bbc.co.uk)

High Pump Prices’ Other Victim: the Gas-Station Owner

Categories: Business  |   -

The pain at the pump is hitting not only consumers but also the owners of the U.S.’s roughly 100,000 independent gas stations. Sarah Needleman looks at the new economics of being an independent station owner. Photo: Brandon Sullivan/WSJ

The pain at the pump is hitting not only consumers but also the owners of America’s roughly 110,000 independent gas stations.

U.S. gas consumption is estimated to be at an 11-year-low, at around 8.4 million barrels a day, down 4.3% from a year ago.

In the face of sharply declining demand for gas, Robert Fisher of Phoenix said it’s increasingly difficult for him to make a profit.

“There have been times in the past month when I’ve been losing money for every gallon of gas I sell,” said the 28-year-old, who co-owns four Chevron gas stations and convenience stores in Arizona, Oregon and Washington with his father, brother and sister. “It’s a very tough industry,” he said.

Lower convenience-store sales and hefty credit-card processing fees are also hurting the economics of gas-station ownership, many owners say.

“The less traffic we have on the outside translates to the less traffic we have on the inside,” said Steve Cohen, who has owned a Mobil gas station and convenience store in a residential part of Elmont, N.Y., for three decades. The amount of gas he sells on average per month is down by about 80,000 gallons from a year ago. Sales of candy, beer and other items are down by about 25% over the same period. “The volume is just slowly fading away,” he said.

Before fuel-efficient cars existed, and back when gas prices were relatively low, it was fairly easy for owners of stations with convenience stores in prime locations to make money. In the 1980s and 1990s, gas prices and rents were low and oil wholesalers offered incentives for station owners, said Mr. Cohen. “They used to offer rebates if you sold X amount of gas by the end of each month,” he said.

Until the past five years or so, many gas stations were, in fact, owned by the big energy companies. But most have since sold off their portfolio of stations to focus on more profitable areas, such as wholesale fuel sales.

Since 2008, for instance, Exxon Mobil Corp.

has sold more than 95% of the roughly 2,000 stations it owned, and it plans to sell the rest by year-end. Chevron Corp.

had 491 company-owned stations at the end of 2011, down from 1,348 in 2001.

Most U.S. gas stations are owned by tens of thousands of individual operators, many of whom have one or more locations. These independent station owners typically buy their fuel from distributors for the major fuel wholesalers like Exxon Mobil and Chevron. The regional distributors own or hire tanker trucks that go from the so-called racks at gasoline terminals to storage tanks at the individual stations.

The station owners, in turn, set their gas prices for consumers so that the average markup, or gross margin, on gas is typically around 15 cents or 16 cents a gallon.

Brandon Sullivan for The Wall Street Journal

Phoenix gas station co-owner Robert Fisher says there has been increased competition from large chain outlets with gas pumps.

Because consumers these days use plastic even for spontaneous small purchases such as gas, snacks and smokes, the station owners say their margins are eroding. Card-processing fees are typically a percentage of sales—ranging on average from 1% to 3% depending on the card—plus a flat fee of about 10 cents per transaction.

Whenever the price of gas rises, as it recently has to about $4 a gallon, an owner’s profit margins become slimmer. If the bill for a tank of gas comes to $50 and the fee is 1% of the sale price plus 10 cents per transaction, an owner pays about 60 cents to the card processor. But if the price of gas goes up, and you have to charge your customer $60 for the same amount of gas, the fee is now 70 cents.

Frank Reluzco, owner of an Exxon station, auto-repair business and convenience store in Frederick, Md., said that roughly 90% of his sales are paid by credit card today, compared with about 75% five years ago. “It costs so much to fill a tank right now; no one’s going to carry around that much cash,” said Mr. Reluzco.

“I’m definitely hurting,” said Carl Betz, owner of a Getty station and auto-repair shop in downtown Madison, N.J., since 1988. He said the amount of gas he sells today is down about 25% from a year ago. Due to a licensing agreement, he’s required to buy his fuel from Getty Petroleum Marketing Inc. of East Meadow, N.Y., which he said sometimes charges him more than what his competitors down the street pay for gas from other brands.

“This is the worst business has ever been,” said Mr. Betz, who blames the high price of fuel for the difficult conditions he’s facing.

Getty Petroleum Marketing filed for bankruptcy in December, and the CEO of its landlord, Getty Realty Inc.,

recently indicated the company anticipates that future rents will be lower from the roughly 800 gas stations it expects to take back from its tenant at the end of this month.

Getty Petroleum Marketing didn’t return calls for comment.

About 83% of gas stations in the U.S.—92,100—have convenience stores, according to IBISWorld Inc. Their ranks have declined by about 4.5% from five years ago, and their typical profit is about 2% of overall revenue, it said.

Groceries account for about 12% of sales; beer and other alcohol make up about 4%, and cigarettes account for about 7% of sales, according to IBIS. Except for tobacco, these all traditionally tend to have higher profit margins than gasoline, station owners said.

Most owners already have tried to boost the efficiency of their stations by installing self-serve pumps. Gas stations with convenience stores employ roughly 687,000 workers, down from 714,264 in 2007, IBIS said.

Increased competition from supermarkets and warehouse clubs is also a challenge. Issaquah, Wash.-based Costco Wholesale Corp.

added its first gas pumps alongside one of its stores in Tucson, Ariz., in 1995. Today 380 of its 516 locations in the U.S. and Canada sell gas. About 30% of customers who fuel up at Costco also shop at its stores, according to a spokesman for the chain.

“Five years ago, [large chain outlets with gas pumps] were essentially nonexistent,” said Mr. Fisher of Phoenix, whose business employs 125 workers now, down from 200 in 2010. “Today they’re all over the place.”

Some station owners say that the stiffer competition, combined with declining gas consumption, is making it harder for them to upgrade and pay the rent or mortgage on their properties. FedReceiver Inc., a Los Angeles firm that specializes in taking over distressed businesses in California, Arizona and Nevada, has seen a 30% increase in gas-station defaults over the past two years, according to Stephen J. Donell, its president.

Greg Kalajian, owner of an Exxon Mobil station in Pasadena, Calif., since 1983, said his rent goes up by about $1,000 every year, but that his monthly gasoline sales have dropped off by about 60,000 gallons over the past five years. He currently pays about $12,800 in monthly rent for his property, which spans about 30,000 square feet.

“There’s no money in this business,” he said.

Write to Sarah E. Needleman at sarah.needleman@wsj.com

A version of this article appeared April 5, 2012, on page B4 in the U.S. edition of The Wall Street Journal, with the headline: Pain at Pump Is Hitting Gas Stations.

© 2011 Wall Street Journal (www.wsj.com)

‘President Romney’s’ First Day In Office: All About Reversing Obama Per Ad

Categories: Uncategorized  |   -

Story By: by Frank James

Challenging an incumbent president means finding ways to narrow the stature gap between the Oval Office occupant and would-be president.

Mitt Romney’s image makers attempt to do just that in what his campaign calls the first ad of the general campaign called “Day One.” The ad’s ostensible purpose is to show how busy the all-but-official Republican nominee would be on his first day in the Oval Office.

It sounds like he would mainly be preoccupied with actions aimed at reversing President Obama’s agenda. Approve the Keystone XL pipeline, check. Recommend tax-cut legislation, check. Begin the repeal of the Affordable Care Act, check.

Obama made his own day-one promises to reverse the policies of President George W. Bush. In fact, presidential candidates have made such commitments long before the advent of YouTube.

Worth noting in the Romney ad is how it attempts to attune listeners’ ears to the words “President Romney.” The narrator utters those two words no less than three times. Meanwhile, the current president is referred to only as “Obama.”

Here’s the script:

“What would a Romney presidency be like? Day One, president Romney immediately approves the Keystone Pipeline creating thousands of jobs that Obama blocked. President Romney introduces tax cuts and reforms that reward job creators, not punish them. President Romney issues an executive order to begin replacing Obamacare with commonsense healthcare reform. That’s what a Romney presidency will be like.”

CBRE Taps New Vein From Old Deal

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CBRE Group Inc.’s

top-of-the-market acquisition of Trammell Crow Co. has turned out to be the deal that keeps on giving.

While the 2006 deal valued at $2.2 billion saddled CBRE with a huge debt load two years before the economy hit the skids, it also vaulted CBRE into the top ranks of the property-management business, giving it a steady stream of income to weather the downturn.

[cbre]

CBRE

Incoming CEO Robert Sulentic said his goal is to continue to expand.

Now, CBRE has made official another benefit it gained in the deal: its next chief executive. The company announced last week that former Trammell Crow Chief Executive Robert Sulentic, who served in several high-level executive roles for CBRE CEO Brett White since the acquisition, will succeed Mr. White at the end of the year.

The accession of Mr. Sulentic, 55 years old, comes at a time when global real-estate companies like CBRE are dealing with stormy economies in many of their markets. With investors concerned about the sovereign-debt crisis in Europe and slower-than-expected leasing in the U.S., CBRE’s stock has declined 38% since its 52-week closing high on May 19. CBRE is the world’s largest real-estate-services firm, with 34,000 employees and 2011 revenue of more than $5.9 billion.

“My goal for the company is to continue to grow, continue to be the best in the world at what we do in serving our customers,” Mr. Sulentic said in an interview.

[CBRE]

The decision by Mr. White, 52, to step down surprised many analysts and investors. He joined the company as a sales trainee in 1984, took the top job in 2005, and put his strong imprint on the company culture. The company’s stock has declined 5% since it announced the CEO change last week, closing Tuesday down 33 cents, or 1.9%, to $16.68, in 4 p.m. New York Stock Exchange composite trading.

But Mr. White is making sure that the transition is smooth. He said in an interview that he decided to step away after building CBRE into an industry leader and grooming his successor. Vacating the CEO office also will allow him to leave behind a relentless travel schedule to spend time with his three children, he said.

Moreover, Mr. White is staying on the board and isn’t stepping down as chief executive until the end of the year. Management specialists said the change of command represents the type of methodical succession planning that many companies talk about but rarely practice.

“How many CEOs would like to have a successor behind them who has been a CEO of one of their public competitors, who has worked side by side with them for five years?” Mr. White said. “It’s a really effortless and elegant handoff.”

A graduate of Iowa State University and Harvard Business School, Mr. Sulentic joined Trammell Crow in 1984 as a leasing agent for industrial space after working at PricewaterhouseCoopers LLP. CBRE employees and competitors describe him as a “nuts-and-bolts” operations guy.

One of his challenges will be to retain and attract top brokers. During the depths of the downturn, this wasn’t too hard because brokers didn’t move much.

But as the economic recovery gains traction poaching is expected to increase. “Brokers and firms that perhaps were not doing as well during the downturn or didn’t have the ability to stay in business [now have] a lot of room to stay afloat,” said Anthony Paolone, an analyst with J.P. Morgan Chase & Co.

CBRE has gained market clout by expanding through acquisitions. CBRE has refinanced, extended or paid down much of the $2 billion in debt it took on to buy Trammell Crow, though it later added debt from another big acquisition to put its net debt at $1.9 billion.

“Brett White did pay all cash at the top of the market for Trammell Crow,” said Will Marks, an analyst with JMP Securities who tracks real-estate companies. “But the transaction was successful in that [CBRE] eliminated costs and gained an entrance into a business where the company never really had succeeded. It not only brought CBRE its next CEO but some really seasoned and solid employees, too.”

In another major deal, CBRE last year paid $940 million for ING Groep NV’s real-estate investment-management business in Europe and Asia.

Now, the company likely needn’t make more big acquisitions, Mr. Sulentic said. Instead, it can continue to expand organically around the world.

“For the time being, we believe that the product footprint that we have is right and that the headroom for growth is good within this footprint,” he said.

CBRE’s announcement of the CEO change was timed partly so the news would come out during the brokerage’s annual shareholder meeting on May 8, according to a person familiar with CBRE. Mr. White “had plans to kind of move on with his life for some time” and retiring at the end of this year helps him to achieve those plans, this person said.

—Joann S. Lublin contributed to this article.

Write to Kris Hudson at kris.hudson@wsj.com

A version of this article appeared May 16, 2012, on page C10 in the U.S. edition of The Wall Street Journal, with the headline: CBRE Taps New Vein From Old Deal.

© 2011 Wall Street Journal (www.wsj.com)

Dubai boy battles for life as bills mount for family

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Dubai: An eight-year-old Dubai pupil is battling for his life, after being diagnosed with a brain tumour, and his family is uncertain about their ability to settle his growing medical bills.

After three surgeries within two weeks, Saurav Sunil, a grade three pupil at the Indian High School, remains on the ventilator in the Intensive Care Unit at Rashid Hospital.

Devastated by Saurav’s condition, father Sunil Kumar, 39, and mother Vijayalakshmi, 35, who is expecting, are hoping for the best. So are Saurav’s classmates and his teachers at the school.

With the father being the sole breadwinner of the family, earning Dh4,800 a month working as a salesman, Saurav’s growing medical bills are a major concern for the family. The bills have exceeded Dh70,000, according to the family. "He was a hyperactive eight-year-old boy, just like any other boy of his age. It is heartbreaking to see him confined to his hospital bed this way," said Kumar.

Article continues below

© 2011 Gulf News (www.gulfnews.com)

Facebook Stock Priced At $38 A Share Ahead Of Friday IPO

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Story By: by Elise Hu

The Facebook thumb.

When Facebook makes its initial public offering Friday on the NASDAQ, the stock will be priced at $38 per share, a price that’s expected to bring in between $16 billion and $18.4 billion to the company. CNBC reports:

“[The price makes] it one of the most lucrative offerings the Street has ever seen. With that valuation taken into consideration, Facebook goes public with the highest valuation — in the $100 billion range — of any company on record at the time of its IPO.”

The price is on the higher end of analysts’ expected range of $34 to $38.

Facebook CEO Mark Zuckerberg, who just turned 28 this week, wrote a frank letter to potential investors to affirm the company’s social mission even as it prepares to ask Wall Street for billions. Zuckerberg said, “[Facebook] was built to accomplish a social mission—to make the world more open and connected.”

What does a company’s public offering with one of the highest valuations in history mean for you? Slate’s technology writer Farhad Manjoo says to expect more ads. A lot more ads:

“To justify Facebooks’ $100 billion valuation, investors are going to expect amazing growth in its revenues—something on the order of 25 to 30 percent per year, according to analysts. At the moment, Facebook makes nearly $5 in revenue per user per year, and just $1 in profit per user per year. Because it will be difficult for Facebook to attract far more than a billion users—there are only so many Internet-enabled people on earth—its revenues must grow by selling each user for more money to advertisers.”

Not every investor will be eligible to purchase Facebook stock tomorrow. Most of the big underwriters have minimal account requirements that must be met to place a buy during the IPO phase.

“Most shares will go to big institutional investors or wealthy brokerage customers instead of retail investors,” reports the Los Angeles Times.

Três deixarão o J.P. Morgan por causa do prejuízo

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Três executivos de alto escalão no epicentro do gigantesco fiasco de investimento da J.P. Morgan Chase & Co. devem deixar a firma esta semana, segundo pessoas a par da situação, e as perdas resultantes das operações aumentaram.

JP Morgan Chase/Bloomberg News

Ina R. Drew, aqui numa foto não datada, chefiava desde 2005 o grupo de gestão de risco que gerou o prejuízo da JPMorgan Chase & Co.

Está prevista a saída, já na segunda-feira, de Ina Drew, que chefiou desde 2005 o grupo de gestão de risco ligado ao prejuízo; Aquiles Macris, responsável pela divisão de Londres que realizou as questionáveis operações; e o operador Javier Martin-Artajo.

Até quinta-feira passada, o banco havia perdido US$ 2,3 bilhões em operações equivocadas de derivativos de crédito, mas a quantia estimada aumentou em cerca de US$ 150 milhões na sexta-feira, segundo uma pessoa a par do assunto. Os executivos da J.P. Morgan estão preparados para sofrer mais US$ 1 bilhão em possíveis perdas no trimestre devido a essas operações, bem como mais US$ 1 bilhão em possíveis perdas ao longo do próximo ano, segundo uma pessoa próxima à situação. Isso significaria um possível prejuízo de mais de US$ 4 bilhões no total, apesar de que as operações em questão também podem recuperar o valor, reduzindo as eventuais perdas, observou a pessoa.

Drew, Macris e Martin-Artajo estão saindo devido ao seu envolvimento direto com os erros que levaram às perdas. Drew definia as estratégias de operação da divisão, e Macris e Martin-Artajo eram responsáveis por implementar as instruções dela e supervisionar o problemático portfólio.

De início, Drew descartou os temores quanto às posições negociadas, disseram pessoas a par do assunto. Mas, quando o montante das perdas ficou evidente para muitos na empresa, ela apresentou sua demissão, que deverá ser aceita pelo diretor-presidente James Dimon já na segunda-feira.

Outro executivo a sair será provavelmente o operador Bruno Michel Iksil, apelidado de “Baleia de Londres” devido às vultosas aplicações que fez nos mercados de crédito em nome da divisão de investimentos. Mas ainda não está claro quando Iksil deixaria a firma, disseram pessoas a par da situação. Iksil era subordinado a Martin-Artajo e a Macris, segundo pessoas a par do assunto.

Através da firma, todos os quatro recusaram solicitações de comentários.

(Colaboraram Robin Sidel, Joann S. Lublin e Carolyn Cui.)

© 2011 Wall Street Journal (www.wsj.com)

UPDATE 1-Mexico’s Slim eyeing Telekom Austria stake-report

Categories: Business  |   -


Fri May 18, 2012 2:59pm EDT

* Mexican tycoon already eyeing bigger stake in Dutch firm

* Slim’s America Movil declines comment

VIENNA May 18 (Reuters) – Mexican billionaire Carlos Slim
is eyeing a stake in Telekom Austria and is believed to have
held initial talks with its two biggest investor groups,
Austrian magazine Format reported, without citing sources.

It said Slim had been in touch with Ronny Pecik – who with
partner Naguib Sawiris has built a 20 percent stake in Telekom
Austria – and Austrian state holding company OeIAG, Telekom
Austria’s biggest shareholder with a 28.4 percent stake.

The report – the second to mention Slim as a potential
white-knight investor for Telekom Austria AG – could
not be confirmed independently.

An America Movil spokeswoman in Mexico City declined to
comment on the report.

With little left to shop for in Latin America, where it
already operates in 16 countries, plus the United States,
America Movil is turning its attention to Europe,
where several telecoms hurt by the world economic crisis are
emerging as buyout targets.

Last week, America Movil offered some $3.5 billion to boost
its stake in Dutch telecoms company KPN NV to as much
as 28 percent.

The company, which will formally submit the 8
euros-per-share bid to KPN shareholders in June, could pay for
the KPN deal fully in cash and still have close to $1 billion
left to make more acquisitions.

America Movil is a well-received commodity in the debt
market, where its paper sells fast even in markets like China
and Japan, suggesting it would have no problem in raising
additional cash if the opportunity arises.

AUSTRIA BATTLE

Tough conditions in Europe and fierce competition pushed
core earnings at Telekom Austria down nearly 9 percent in the
first quarter but the company stuck to its 2012 outlook.

The Austrian company faces a battle with Pecik and Sawiris
who want seats on an expanded supervisory board at Telekom
Austria.

Pecik has made his mark on other companies in which he built
stakes with partners before selling again at a profit. Sawiris
is one of Egypt’s richest men who built a fortune in the mobile
phone business and is now a liberal politician.

Both entrepreneurs may end up holding their stake in Telekom
Austria for up to two years before selling to a strategic
investor, Format reported, citing unidentified sources.

© 2011 REUTERS (www.reuters.com)

Judge Suspends War Crimes Trial Of Ratko Mladic

Categories: Uncategorized  |   -

Story By: by The Associated Press

A judge suspended Ratko Mladic’s genocide and war crimes trial indefinitely Thursday after prosecutors failed to disclose thousands of documents to the former Bosnian Serb military chief’s defense team — a ruling that could delay the trial for months.

Presiding Judge Alphons Orie said he was delaying the Yugoslav war crimes tribunal case due to “significant disclosure errors” by prosecutors, who are obliged to share all evidence with Mladic’s lawyers.

The announcement is a significant setback for the court in one of its highest profile cases, its final trial to focus on atrocities committed during the 1992-95 Bosnian war, which left over 100,000 dead.

Orie said judges will analyze the “scope and full impact” of the error and aim to establish a new starting date “as soon as possible.” The presentation of evidence was supposed to begin later this month.

Prosecutors had already acknowledged the errors and did not object to the delay. Mladic’s attorney has asked for a six-month delay.

Mladic is accused of commanding Bosnian Serb troops who waged a campaign of murder and persecution to drive Muslims and Croats out of territory they considered part of Serbia. His troops rained shells and snipers’ bullets down on civilians in the 44-month siege of the Bosnian capital, Sarajevo.

He has refused to enter pleas, but denies wrongdoing. If convicted, he faces a maximum sentence of life imprisonment.

Court spokeswoman Nerma Jelacic told The Associated Press that much of the material that the defense did not get focused on witnesses who prosecutors had intended to call to testify before the court takes a three-week summer break beginning in July.

Prosecutors acknowledged that the error “could impact on the fairness of the trial to the accused,” Jelacic said.

The tribunal published a letter Thursday from prosecutors to Mladic’s lawyer that explained the missing documents were not uploaded onto an electronic database accessible to defense lawyers. “We sincerely apologize for the inconvenience that these missing materials … may have caused to you,” the May 11 letter says.

Earlier Thursday, prosecutors wrapped up their opening statement in the trial by recounting in painstaking and chilling detail the systematic murder by Bosnian Serb forces commanded by Mladic of thousands of Muslim men and boys in Bosnia’s Srebrenica enclave in July 1995, Europe’s worst massacre since World War II.

“In a period of only five days, from July 12-16, 1995, the armed forces of (Bosnian Serb leader) Radovan Karadzic and Ratko Mladic expelled the civilian population of Srebrenica and murdered over 7,000 Srebrenica men and boys,” prosecutor Peter McCloskey said. Other estimates range up to 8,000 dead.

Mladic’s army “carried out their murderous orders with … dedication and military efficiency,” he added.

Mladic, the 70-year-old former commander of the Bosnian Serb army, showed no emotion on the second day of his genocide trial as McCloskey showed judges a fleeting video of what he said were the bodies executed Muslim men piled in front of a bullet-riddled wall.

On the first day of the trial Wednesday, the court’s public gallery was crowded with victims’ relatives who had angrily exchanged hand gestures with Mladic through the bulletproof glass separating them.

On Thursday, most of the survivors had left and videos showing a bullish Mladic strutting through the deserted streets of Srebrenica and berating the commander of Dutch U.N. peacekeepers were greeted largely with silence and occasional murmurs.

One woman, Hatidza Mehmedovic, wept in the court’s lobby during a break in the proceedings.

“I buried both of my sons and my husband. Now I live alone with memories of my children,” she said. “I would never wish even Mladic to go through what I go through. Not Mladic or Karadzic. Let God judge them.”

McCloskey outlined how, after overrunning Srebrenica, Mladic’s forces summoned buses and trucks from across Bosnia to transport women and girls out of the enclave. The men and boys were then driven to remote locations and gunned down by firing squads, their bodies plowed into mass graves.

McCloskey said the remains sometimes no more than a couple of bones of 5,977 victims have been exhumed so far. He showed photographs of an exposed mass grave to underscore the point that the victims were not war casualties.

One photo showed a skull, its teeth exposed and its eyes covered by a blindfold. Another showed a pair of hands bound with a strip of cloth behind a body’s back.

Mladic fled into hiding after the war and spent 15 years as a fugitive before international pressure on Serbia led to his arrest last year.

Delays are not unusual in complex international trials that often take years to complete., but are a major concern in trials with elderly defendants who, like Mladic, have a history of health problems.

The trial of former Yugoslav President Slobodan Milosevic dragged on for four years due to delays mainly related to his poor health. He then died of a heart attack in 2006 before judges could deliver their verdict on charges that he masterminded conflicts across the Balkans throughout the 1990s.

The recently finished trial of former Liberian President Charles Taylor also was delayed by months after he fired his defense team on the trial’s opening day.

Getting CEO Help on Insurance Claims

Categories: Business  |   -

Consumers at their wits’ end over a health-coverage problem sometimes try reaching out to the company’s chief executive. In a surprising number of cases, it works.

Billy Rogers of Dallas says he struggled for months last year to get Anthem Blue Cross & Blue Shield to process bills of around $1,350 from doctor visits. The holdup came because the company was investigating whether Mr. Rogers fully disclosed his medical condition when he bought his policy, he says. The 47-year-old political consultant says he was healthy, though one check after he was insured showed somewhat elevated blood sugar that he says quickly dropped in later tests.

Fed up, Mr. Rogers fired off an email with the subject line “Horrible Anthem Coverage.” It went to Chief Executive Angela Braly and a public-relations official at Anthem parent WellPoint Inc.

He also sent it to several reporters and documentary filmmaker Michael Moore. Within hours, Mr. Rogers says, he got an email from the WellPoint spokesman, and days later the claim went through. The tactic “sends a signal that you’re not going to give up on this,” says Mr. Rogers. “I was really, really angr

[dearceo]

iStockphoto

Who Is In Charge?

Read company information on executives at:

More

WellPoint and other insurers say they don’t bend their rules just because a consumer carps to a top official. Indeed, companies say that only a tiny share of customer-service matters result in appeals to high-level executives and that such appeals are often unsuccessful. But in general, health-plan officials say they take such missives seriously, partly because they may reflect broader service breakdowns that need to be fixed.

“We want people to know we are very responsive to our members,” says Sam Nussbaum, WellPoint’s chief medical officer. He says he reads written individual complaints sent to him, and sometimes personally calls other company officials to help decide a response. WellPoint says it isn’t able to comment on Mr. Rogers’s specific situation because of federal privacy law.

Many health plans have special procedures for handling consumer issues that come in via their executive suites, though they usually don’t publicize them. These complaints often get reviewed by higher-level officials, rather than shunted back to front-line customer-service representatives. Cigna Corp.

says it refers such communications to a “specially trained service team that is staffed by people who are experts in resolving complex issues.” Humana Inc.

says its chief executive, Mike McCallister, “makes an effort” to read emails sent to him by members.

Reading Every Letter

Aetna Inc.

Chief Executive Ron Williams says he does “read every one personally,” and “when I see a letter that is particularly concerning for whatever reason…I will ask to see the response to really understand the issue.” Aetna has an executive resolution team that draws on internal experts to work out complex member problems that come in to top executives and board members. But the company says these officials “don’t have any extra authority” to alter its rules.

Mr. Williams says that in one incident, a consumer contacted him to protest that coverage through a former employer was mistakenly being cut off just before a major medical procedure. It turned out that because of a glitch in data from the employer, the person’s termination date was recorded incorrectly. The procedure was covered, Mr. Williams says.

Of course, consumers also lodge complaints with top officials in other industries. Airline passengers have received compensation for lost baggage and bumped and delayed flights after reaching out to company CEOs, says Thomas Hinton, chief executive of the nonprofit American Consumer Council. And the Consumerist.com blog is pocked with examples of people who have sought to resolve problems by contacting leaders of firms ranging from computer makers to rental-car companies. “It definitely can work to go straight to the top,” says Alison Southwick, a spokeswoman for the Better Business Bureau.

Trying to resolve problems with a health insurer can be frustrating. A recent consumer-satisfaction survey on health coverage by J.D. Power & Associates found that around 9% of more than 33,000 insured people polled had required three or more calls to resolve a service issue with their health insurer in the past year. Asked about their most recent contact with their health plans, 39% of the respondents said they’d had to repeat the same information to more than one person, and a quarter said they hadn’t gotten promised callbacks.

If you’re thinking of trying the executive-appeal route for a health-insurance issue, here are some strategies to improve your chances.

First, make sure you’ve exhausted all the standard customer-service approaches and appeals. Also, closely document your interactions and the results. If you don’t, you risk being brushed off and sent back to square one. “Stay on the phone until you get the answer that you need” from customer service, including requesting a supervisor, says Jerry Coy, senior vice president for customer service at Kaiser Permanente, the big nonprofit health system. Elevating something to high levels of a company is “for those things that need escalation, that can’t be resolved in that [lower] channel,” he says.

If your health benefits are through your workplace, and the employer has self-funded coverage, the ultimate decision maker may be there, not with the insurer that administers the plan. You may want to check with your human-resources department.

Nancy Davenport-Ennis, chief executive of the nonprofit Patient Advocate Foundation, says self-insured employers sometimes will make exceptions or change their rules. For instance, she says, one schoolteacher whose stem-cell treatment for breast cancer was being denied by her plan appealed to her community’s school board, which voted to start covering such procedures.

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Prepare your case and be ready to document it, as you would for a formal insurance appeal. In the case of a denied claim, you’ll want to be ready with the history, including names of the doctors and other health-care providers you’ve seen, dates of services and other details, and records of your interactions with the health plan. You may also want to research scientific or other evidence for the treatment you seek. Consider sending a letter that includes the documentation, even if you plan to start with a phone call. This will help officials research your case more quickly.

Robert Skole, 80, a journalist in Boston, says he fought with Aetna for about seven months over a $1,650 bill for removing a cyst from his wife’s breast several years ago. The insurer said she wasn’t covered under his retiree benefits, though his former company assured him that she was. Finally, Mr. Skole sent a letter to Aetna’s then-CEO, including copies of several of his emails and other documents. A few days later, he got a check for the full amount. “I couldn’t believe it,” Mr. Skole says.

An Aetna spokeswoman says Mr. Skole “did not receive the level of service we expect to deliver, but we were pleased to have the opportunity to fix the problem.”

Strike the Right Tone

Think about the tone you want to take in your letter, email or call. Insurance executives say they give the same treatment to consumers regardless of their attitude. Still, says Jackie Jennifer, senior vice president for service at Horizon Blue Cross Blue Shield of New Jersey, “the more pleasant, I think, the more people are inclined to feel, ‘I really want to help you.’ ”

After Blue Cross of California declined to issue a policy to her husband a few years ago, Becky Castle contacted WellPoint, the insurer’s parent. Ms. Castle says her husband had had a soft-tissue cancer near his ankle eight years earlier that hadn’t returned, as well as a heart condition that was corrected through surgery. She believed he should be able to get coverage because his conditions were in the past.

Ms. Castle, a 39-year-old fundraising consultant in Pasadena, Calif., went online to find the name of WellPoint’s chief medical officer, Dr. Nussbaum, and then made her way through the switchboard to his assistant. The assistant listened closely to Ms. Castle’s concerns, asked her to fax documentation, and promised to look into the matter. Within a week, her husband was issued a policy, though it included higher-than-normal premiums. “You just have to be dogged and not give up, and be polite,” Ms. Castle says.

Although WellPoint says it can’t comment on Ms. Castle’s case because of privacy law, Dr. Nussbaum says the company’s “goal is to try to find a way to cover” people. Sometimes a decision can be altered if a consumer presents new information, he says.

Write to
anna wilde mathews at anna.mathews@wsj.com

© 2011 Wall Street Journal (www.wsj.com)