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'LAST DAY' pup no longer greets anyone - too sad to acknowledge them, he doesn’t want to exist anymore

Top 10 health insurance companies in the US In the US, there are a host of private healthcare insurance specialists. However, life/annuity and property/casualty insurers also write this coverage, often referred to as accident and health insurance, as outlined by the Insurance Information Institute. In 2018, the accident and health insurance industry’s direct written premiums reached $1.1 trillion, up by 57.3% from 2009. The largest 10 insurers collectively wrote 51.8% of the total US market, according to the National Association of Insurance Commissioners (NAIC). Listen in: Sign up for our IB Talk podcasts to get the most in-depth insurance discussions Based on NAIC’s 2018 data, here are the top 10 accident and health insurance groups: 1. UnitedHealth Direct Written Premiums: $156.9 billion Market Share: 14.2% A diversified health and well-being company, UnitedHealth Group’s core capabilities are clinical expertise, advanced technology, and data and health information. UnitedHealth Group serves clients and consumers in the US and more than 130 other countries through two distinct platforms: UnitedHealthcare provides healthcare coverage and benefits services, while Optum provides information and technology-enabled health services. The group invests more than $3.5 billion in technology and innovation and processes approximately 1.1 trillion transactions annually. 2. Kaiser Foundation Direct Written Premiums: $93.2 billion Market Share: 8.5% Kaiser Foundation Health Plan, Inc. operates as a non-profit healthcare organization. The organization offers allergy, audiology, cardiology, dermatology, oncology, hospice, laboratory, nephrology, occupational therapy, pain management, pediatric rehabilitation, and pharmacy services. The company serves patients in the US. 3. Anthem, Inc. Direct Written Premiums: $67.2 billion Market Share: 6.1% Anthem, Inc. is a health benefits company that is committed to improving lives and communities and making healthcare simpler. Anthem, through its affiliated companies, serves more than 78 million people, including over 41 million within its family of health plans. It aims to be the most innovative, valuable, and inclusive partner. The group’s affiliated health plans have created various HMOs, PPOs, network-based dental products, various hybrid and specialty products, and health plan services that combine the attributes consumers find attractive with effective cost control techniques. Individual members and employer groups can select from basic and comprehensive plans to meet their specific needs. A wide range of related specialty products and other services is also available, including flexible spending accounts and COBRA administration. 4. Humana Direct Written Premiums: $56 billion Market Share: 5.1% Humana’s cultural foundation is aligned to helping members achieve their best health by providing personalized, simplified, whole-person healthcare experiences. Recognizing that each person, family, and community’s healthcare needs continue to evolve, Humana creates innovative solutions and resources to help people live their healthiest lives on their terms – when and where they need it. 5. CVS Direct Written Premiums: $55.4 billion Market Share: 5.0% CVS Health is a healthcare innovation company with a purpose to help people on their path to better health. Through its health services, plans, and community pharmacists, it pioneers a new approach to total health. CVS has more than 9,800 retail locations, nearly 1,100 walk-in medical clinics, a pharmacy benefits manager with about 93 million plan members, a diversified healthcare benefits company serving about 22.2 million medical members, a dedicated senior pharmacy care business serving more than one million patients per year, expanding specialty pharmacy services, and a standalone Medicare Part D prescription drug plan. 6. HCSC Direct Written Premiums: $36.9 billion Market Share: 3.4% Health Care Service Corporation (HCSC), a mutual legal reserve company, is the largest customer-owned healthcare insurance company in the US. The company serves more than 16 million members across five states – Illinois, Montana, New Mexico, Oklahoma, and Texas – and employs more than 23,000 people in over 60 local offices. HCSC offers a wide variety of life and health insurance products and related services through its affiliates and subsidiaries, including Dearborn Group, Dental Network of America, HCSC Insurance Service Company, Medecision, Availity, Prime Therapeutics, and TriWest Healthcare Alliance. 7. Centene Corp Direct Written Premiums: $36.3 billion Market Share: 3.3% Centene Corporation, a Fortune 500 company, is a diversified, multinational healthcare company providing a portfolio of services to government-sponsored healthcare programs, focusing on uninsured and underinsured individuals. It operates in 32 states and three international markets and has more than 15 million managed care members. Centene operates local health plans and provides a range of health insurance solutions. Also, it contracts with other healthcare and commercial organizations to offer specialty services, ranging from behavioral health, dental benefits, life and health, and pharmacy benefits management to care management software, correctional healthcare services, in-home health services, managed vision, specialty pharmacy, and telehealth services. 8. Cigna Health Direct Written Premiums: $29.3 billion Market Share: 2.7% Cigna Corporation is a global health service organization with more than 165 million customer and patient relationships in over 30 countries and jurisdictions. Its insurance plans and products include healthcare insurance for individuals and families, dental insurance plans, Medicare plans, Medicare supplemental plans, other supplemental insurance, and international health insurance. 9. WellCare Direct Written Premiums: $20.5 billion Market Share: 1.9% WellCare Health Plans, Inc. focuses on delivering government-sponsored managed care services to individuals, families, children, and seniors with complex medical needs primarily through Medicaid, Medicare Advantage and prescription drug plans, as well as individuals in the health insurance marketplace. WellCare serves about 6.4 million members nationwide as of Sept. 30, 2019. 10. Molina Healthcare, Inc. Direct Written Premiums: $18.5 billion Market Share: 1.7% Molina Healthcare, a Fortune 500 company, exclusively focuses on government-sponsored healthcare programs for qualified individuals and families. The company contracts with state governments and serves as a health plan providing a wide range of quality healthcare services to individuals and families. Molina provides health plans in California, Florida, Illinois, Michigan, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Washington, Wisconsin, and Puerto Rico. The company also offers a Medicare product and has been selected in many states to join in dual demonstration projects to manage the care for those eligible for Medicaid and Medicare.

URGENT LAST DAY IS MONDAY 7/26/21

This poor boy Bear Bear will break your heart he was surrendered at 8 yrs old and he is terrified he also doesn’t do well on a leash and NO small dogs or cats for him!! please call the shelter to come meet him he needs someone to show him everything is going to be ok he is an 8 yr old lab mix he has been neutered by the shelter vet!
Call To Schedule An Appointment
A127455 Bear Bear
Lab Mix, Owner Male, 8 yrs old
Available 7/12/2021
Last Day Available For Adoption 7/26/2021

We are NOT the City Shelter to where pictures were taken. FOR MORE INFO ON THIS PET please contact: Rowan County Animal Shelter at +1 704-216-7768 Pet Adoption and Protection Center Shelter address: 1465 Julian Rd, Salisbury, NC 28146 Ask for information about animal ID number #A127455



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S.t.a.r.v.e.d puppy looks bony after not eating for weeks, makes incredible recovery with love and care

When a s.t.a.r.v.i.n.g puppy was brought into a Spanish animal rescue center in Granada, Spain, one day, the volunteers at the center were worried that the puppy wouldn’t make it.


This puppy was so s.t.a.r.v.e.d that her bones were sticking of out her skin. To make matters worse, her organs were almost failing. She had so little muscle that she had trouble walking or standing.


Fortunately, not all hope was lost. Eduardo Rodriguez, the kind-hearted owner of the center, refused to give up on this s.t.a.r.v.i.n.g and decided to take her in.


Eduardo named the s.t.a.r.v.i.n.g puppy Barilla spaghetti because of how thin she was. When Eduardo had spaghetti examined by a vet, the vet told Eduardo that there was significant chance that spaghetti wouldn’t make it. Still, Eduardo refused to give up on her and let her d.i.e.

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Eduardo told the Daily Mail,

“She’d been so s.t.a.r.v.e.d of food and water when we took her in that all she could move was her head and her tail. She didn’t have any muscle mass. I’ve been rescuing dogs since I was a child and I’m used to seeing them in a bad way but I’ve never seen an animal in such a terrible state as Barilla.

The vet said we were lucky we got her when we did because she might not have survived another night. We put her on a drip for six hours before we started feeding her. We made her a type of harness to help her walk so she could gain muscle mass because she couldn’t support her own weight.”

Because spaghetti weighed only 16 pounds, she had to be placed on a drip to make sure she didn’t suffer from an organ failure. Spaghetti could only move her head and wag her tail as she fought for her life.


After some time, however, spaghetti gained enough strength to be able to stand up and drink some water.

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Staff at the center believed that spaghetti had been locked up and s.t.a.r.v.e.d since birth.


Slowly, but surely, however, spaghetti started to gain weight by eating from a basket where she could eat without needing to stand up.


Soon enough, spaghetti started eating 5 to 6 times a day and was even able to stand — all thanks to the wonderful staff at the animal rescue center.

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Seven weeks later since she was found, spaghetti has made a miraculous recovery. Eduardo reckons that spaghetti has eaten more food in the past several weeks than the entire 10 months she had a.b.u.s.e.d since birth.


What was next for spaghetti? Well, Eduardo bonded with spaghetti so much throughout her transformation that he decided to adopt her. Eduardo said,

“Her will to live was amazing and I felt a connection with her the moment I saw her. We’re inseparable now. She’s so intelligent and obedient. The first day I saw her I told my colleagues I was going to keep her and that’s the way it’s been.”


Spaghetti now lives with Eduardo, Eduardo’s wife Carolina, their 14 year old daughter, and their 5 other dogs. What a heartwarming ending to an incredible story of a dog that refused to d.i.e and a kind-hearted man that refused to give up.


What did you think about the story of Spaghetti’s miraculous recovery? We want to hear your thoughts. Let us know in the comments below!

Please SHARE Spaghetti’s transformation with your friends and family.
Top 10 health insurance companies in the US In the US, there are a host of private healthcare insurance specialists. However, life/annuity and property/casualty insurers also write this coverage, often referred to as accident and health insurance, as outlined by the Insurance Information Institute. In 2018, the accident and health insurance industry’s direct written premiums reached $1.1 trillion, up by 57.3% from 2009. The largest 10 insurers collectively wrote 51.8% of the total US market, according to the National Association of Insurance Commissioners (NAIC). Listen in: Sign up for our IB Talk podcasts to get the most in-depth insurance discussions Based on NAIC’s 2018 data, here are the top 10 accident and health insurance groups: 1. UnitedHealth Direct Written Premiums: $156.9 billion Market Share: 14.2% A diversified health and well-being company, UnitedHealth Group’s core capabilities are clinical expertise, advanced technology, and data and health information. UnitedHealth Group serves clients and consumers in the US and more than 130 other countries through two distinct platforms: UnitedHealthcare provides healthcare coverage and benefits services, while Optum provides information and technology-enabled health services. The group invests more than $3.5 billion in technology and innovation and processes approximately 1.1 trillion transactions annually. 2. Kaiser Foundation Direct Written Premiums: $93.2 billion Market Share: 8.5% Kaiser Foundation Health Plan, Inc. operates as a non-profit healthcare organization. The organization offers allergy, audiology, cardiology, dermatology, oncology, hospice, laboratory, nephrology, occupational therapy, pain management, pediatric rehabilitation, and pharmacy services. The company serves patients in the US. 3. Anthem, Inc. Direct Written Premiums: $67.2 billion Market Share: 6.1% Anthem, Inc. is a health benefits company that is committed to improving lives and communities and making healthcare simpler. Anthem, through its affiliated companies, serves more than 78 million people, including over 41 million within its family of health plans. It aims to be the most innovative, valuable, and inclusive partner. The group’s affiliated health plans have created various HMOs, PPOs, network-based dental products, various hybrid and specialty products, and health plan services that combine the attributes consumers find attractive with effective cost control techniques. Individual members and employer groups can select from basic and comprehensive plans to meet their specific needs. A wide range of related specialty products and other services is also available, including flexible spending accounts and COBRA administration. 4. Humana Direct Written Premiums: $56 billion Market Share: 5.1% Humana’s cultural foundation is aligned to helping members achieve their best health by providing personalized, simplified, whole-person healthcare experiences. Recognizing that each person, family, and community’s healthcare needs continue to evolve, Humana creates innovative solutions and resources to help people live their healthiest lives on their terms – when and where they need it. 5. CVS Direct Written Premiums: $55.4 billion Market Share: 5.0% CVS Health is a healthcare innovation company with a purpose to help people on their path to better health. Through its health services, plans, and community pharmacists, it pioneers a new approach to total health. CVS has more than 9,800 retail locations, nearly 1,100 walk-in medical clinics, a pharmacy benefits manager with about 93 million plan members, a diversified healthcare benefits company serving about 22.2 million medical members, a dedicated senior pharmacy care business serving more than one million patients per year, expanding specialty pharmacy services, and a standalone Medicare Part D prescription drug plan. 6. HCSC Direct Written Premiums: $36.9 billion Market Share: 3.4% Health Care Service Corporation (HCSC), a mutual legal reserve company, is the largest customer-owned healthcare insurance company in the US. The company serves more than 16 million members across five states – Illinois, Montana, New Mexico, Oklahoma, and Texas – and employs more than 23,000 people in over 60 local offices. HCSC offers a wide variety of life and health insurance products and related services through its affiliates and subsidiaries, including Dearborn Group, Dental Network of America, HCSC Insurance Service Company, Medecision, Availity, Prime Therapeutics, and TriWest Healthcare Alliance. 7. Centene Corp Direct Written Premiums: $36.3 billion Market Share: 3.3% Centene Corporation, a Fortune 500 company, is a diversified, multinational healthcare company providing a portfolio of services to government-sponsored healthcare programs, focusing on uninsured and underinsured individuals. It operates in 32 states and three international markets and has more than 15 million managed care members. Centene operates local health plans and provides a range of health insurance solutions. Also, it contracts with other healthcare and commercial organizations to offer specialty services, ranging from behavioral health, dental benefits, life and health, and pharmacy benefits management to care management software, correctional healthcare services, in-home health services, managed vision, specialty pharmacy, and telehealth services. 8. Cigna Health Direct Written Premiums: $29.3 billion Market Share: 2.7% Cigna Corporation is a global health service organization with more than 165 million customer and patient relationships in over 30 countries and jurisdictions. Its insurance plans and products include healthcare insurance for individuals and families, dental insurance plans, Medicare plans, Medicare supplemental plans, other supplemental insurance, and international health insurance. 9. WellCare Direct Written Premiums: $20.5 billion Market Share: 1.9% WellCare Health Plans, Inc. focuses on delivering government-sponsored managed care services to individuals, families, children, and seniors with complex medical needs primarily through Medicaid, Medicare Advantage and prescription drug plans, as well as individuals in the health insurance marketplace. WellCare serves about 6.4 million members nationwide as of Sept. 30, 2019. 10. Molina Healthcare, Inc. Direct Written Premiums: $18.5 billion Market Share: 1.7% Molina Healthcare, a Fortune 500 company, exclusively focuses on government-sponsored healthcare programs for qualified individuals and families. The company contracts with state governments and serves as a health plan providing a wide range of quality healthcare services to individuals and families. Molina provides health plans in California, Florida, Illinois, Michigan, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Washington, Wisconsin, and Puerto Rico. The company also offers a Medicare product and has been selected in many states to join in dual demonstration projects to manage the care for those eligible for Medicaid and Medicare.