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Market Wrap: Stocks Slip as Oil Pushes Energy Sector Lower

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Financial Markets Wall Street
Richard Drew/AP
By STEVE ROTHWELL

NEW YORK -- A slump in energy prices pushed the stock market back from record levels on Tuesday.

Energy stocks slid as the price of oil resumed its descent. Traders speculated that member nations of the oil-producing group OPEC would fail to agree on production cuts at an upcoming meeting in Vienna on Thursday. Oil has now dropped almost a third from a peak in June.

While lower oil prices are a long-term boon to consumers and industrial companies, they are a drag on stocks in the near term because energy companies account for about 10 percent of the overall market's profits.

Despite the losses, the major indexes remain close to all-time highs.

Stocks have been drifting gradually higher this month, having rebounded sharply from a slump in October, as investors have grown more confident that actions from central banks around the world will help bolster the global economy. The gains are likely to continue for now, said Jim McDonald, chief investment strategist at Northern Trust.

"People's sentiment is still pretty conservative," McDonald said. "That means that the slow-and-steady market can continue longer than people anticipate."

The Standard & Poor's 500 index (^GPSC) fell 2.38 points, or less than 0.1 percent, to 2,067.03. The Dow Jones industrial average (^DJI) dropped 2.96 points, or less than 0.1 percent, to 17,814.94. The Nasdaq composite (^IXIC) gained 3.36 points, or 0.1 percent, to 4,758.25.

Stocks started the day with small gains after a report showed that the U.S. economy grew at a solid 3.9 percent annual rate in the July-September period, faster than the 3.5 percent that was initially reported. The upward revision was due to higher estimates of spending by consumers and businesses, the Commerce Department said.

That positive report was tempered by news that U.S. consumer confidence fell in November. The Conference Board says its consumer confidence index fell to 88.7, down from a seven-year high of 94.5 in October. The decline primarily reflected less optimism in the short-term outlook as consumers expressed less confidence in current business conditions.

Among individual stocks, Pall (PLL), a company that makes filters for the food and health care industries, was the leading gainer in the S&P 500. The company's stock jumped $3.31, or 3.5 percent, to $98 after its earnings beat the expectations of Wall Street analysts.

Energy stocks slid along with oil prices following reports that the world's biggest producers are unwilling to cut production to help stop a slump in the price of crude. The sector dropped 1.6 percent and is now down 3.2 percent for the year. It's the only one of the 10 industry sectors in the S&P 500 that is down for the year.

Representatives from Venezuela, Saudi Arabia, Mexico and Russian state oil giant OAO Rosneft met Tuesday ahead of a meeting of the Organization of the Petroleum Exporting Countries in Vienna and didn't announce any immediate plans to cut output, The Wall Street Journal reported.

Benchmark U.S. crude fell $1.69 to close at $74.09 a barrel on the New York Mercantile Exchange. Brent crude, a benchmark for international oils used by many U.S. refineries, fell $1.35 to close at $78.33 a barrel on the ICE Futures exchange in London.

In metals trading, the price of gold rose $1.40 to $1,197.10 an ounce. Silver rose 18 cents to $16.55 an ounce and copper fell four cents to $2.96 a pound.

U.S. government bond prices rose. The yield on the 10-year Treasury note fell to 2.26 percent from 2.31 percent Monday. The dollar fell to 117.94 yen from 118.28 yen late Monday. The euro rose to $1.2472.

In other energy futures trading on the NYMEX:
  • Wholesale gasoline fell 0.1 cent to close at $2.032 a gallon
  • Heating oil fell 0.1 cent to close at $2.395 a gallon.
  • Natural gas rose 13.1 cents to close at $4.282 per 1,000 cubic feet
What to watch Wednesday:
  • At 8:30 a.m., the Labor Department releases weekly jobless claims; the Commerce Department releases reports on durable goods, and personal income and spending -- both for October.
  • At 10 a.m., Freddie Mac releases weekly mortgage rates; the National Association of Realtors releases pending home sales index for October; and the Commerce Department releases new home sales for October.

 

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Suze Orman Leaving CNBC for New Daily Series

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AOL's BUILD Speaker Series: In Conversation With Suze Orman
Jenny Anderson/WireImage
Personal finance guru Suze Orman is leaving CNBC after 14 years to develop a daily series with Warner Bros. Television Group's Telepictures, according to Variety.

No word out yet whether the new show, "Suze Orman's Money Wars," will be distributed via first-run syndication or through cable outlets, Variety says. The new show, planned for five times a week, will focus on how money disputes affect families, friends and couples, TV Newser says.

"The Suze Orman Show," the Saturday night date for 3 million viewers eager to hear Orman's advice on spending and saving money, reportedly will wrap March 28. Orman, a two-time Emmy winner, is CNBC's longest-tenured program host.

In a memo to staffers, CNBC president Mark Hoffman called Orman "one of the leading voices in personal finance." "For 14 years and 621 episodes to date, Suze has been a member of the CNBC family as a preeminent advocate for financial independence teaching viewers the importance of personal empowerment when it comes to money," he wrote. "Her motto 'People first, then money, then things' resonates not only through our hallways but through the universe."

 

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Week's Winners, Losers: Authors Sign for Barnes & Noble

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Hillary Clinton Los Angeles
Nick Ut/APHillary Rodham Clinton has signed copies of her book for Barnes & Noble.
There were plenty of winners and losers this week, with the last major bookstore chain landing some star power to make its holiday sales ring up and a renter of movies and games on discs playing Grinch with a seasonally silly price hike. Here's a rundown of the week's smartest moves and biggest blunders.

Twitter (TWTR) -- Loser

It seems that a week doesn't go by without a company making a social media mistake, usually in the form of posting a controversial or insensitive tweet. This week it was Twitter itself that blew it.

Twitter CFO Anthony Noto posted a public tweet on Monday that apparently was intended as a private direct message to somebody. "We should buy them," he writes, likely discussing an unnamed acquisition target, and pointing to a mid-December meeting. "We will need to sell him," he concludes. "I have a plan."

It's good to know that even Twitter is human.

Apple (AAPL) -- Winner

It's a safe bet that Apple's going to be selling plenty of iPads, Macs, and iPhones this holiday shopping weekend, and at least one analyst wants to get in ahead of the customers.

Susquehanna's Chris Caso is raising his price target on Apple from $120 to $135, encouraged by the improving production and sales trends of the pricier iPhone 6 Plus. The larger smartphone sells for $100 more than the comparable iPhone 6, but it doesn't cost that much more to make. In other words, Apple scores a larger profit from the iPhone 6 Plus than the iPhone 6.

Redbox -- Loser

It's going to cost a little more to check out a DVD, Blu-ray, or video game from a Redbox machine. Parent company Outerwall (OUTR) announced this week that it's raising its rates. The daily-rental rates will go from $1.20 to $1.50 for DVDs, from $1.50 to $2 for Blu-ray discs, and from $2 to $3 for video games.

The market applauded the move by sending the stock higher on the announcement, but are we forgetting that Redbox was having a hard time growing its rental business at the old rate? Outerwall's latest quarter found Redbox rentals declining 13.7 percent over the prior year's period. Making rentals even more expensive is only going to drive more video buffs to digital and on-demand rentals.

Barnes & Noble (BKS) -- Winner

Leave it to the last remaining major book superstore chain to come up with a novel way to drum up traffic. Barnes & Noble is making Black Friday interesting by offering 500,000 signed editions of more than 100 books available exclusively at its stores.

We're talking about famous authors including Dan Brown and Anne Rice, but also celebrity writers including Amy Poehler, George W. Bush, Hillary Rodham Clinton, and Joel Osteen. This should bring some serious buzz back to the booksellers that normally sit out the early days of the holiday shopping season.

Barbie -- Loser

Barbie's reign atop the National Retail Federation's annual survey of most coveted toys has come to an end. Mattel's (MAT) Barbie has topped the list since it began tracking parent holiday purchasing intentions 11 years ago, but this time the pole position belongs to Disney's (DIS) "Frozen" franchise.

One in five parents plan to buy "Frozen" items for their daughters, beating out Barbie, which will be on the shopping list of 17 percent of parents. Let's just hope that we never have to buy a Malibu Anna or an Elsa Beach House.

Motley Fool contributor Rick Munarriz owns shares of Walt Disney. The Motley Fool recommends Apple, Mattel, Twitter, and Walt Disney. The Motley Fool owns shares of Apple, Barnes & Noble, Twitter, and Walt Disney. Try any of our Foolish newsletter services free for 30 days. Want to make 2015 your best investing year ever? Check out The Motley Fool's one great stock to buy for 2015 and beyond.

 

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U.S. Consumer, Business Spending Point to Slowing Growth

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Durable Goods
Paul Sancya/APFord F-150 production in Dearborn, Michigan.
By Lucia Mutikani

WASHINGTON -- U.S. consumer spending rose modestly in October and a key measure of business spending plans fell for a second straight month, suggesting some slowing in the pace of economic growth.

But the economy remains resilient in the face of faltering global demand. Other data on Wednesday showed consumer confidence approaching a 7-1/2-year high in November and new home sales rising for a third straight month in October.

"We think growth will moderate in the fourth quarter. I'm not reading anything incredibly negative into this," said Michael Gapen, a senior economist at Barclays in New York.

Consumer Spending Up Just a Bit

The Commerce Department said consumer spending, which makes up more than two-thirds of U.S. economic activity, increased 0.2 percent last month after being flat in September. Still, the steady gains in consumer spending, supported by falling gasoline prices, should help to prop up growth in the fourth quarter.

In a second report, the Commerce Department said non-defense capital goods orders excluding aircraft, a closely watched proxy for business spending plans, declined 1.3 percent last month. That followed a 1.3 percent fall in September. The drop in the so-called core capital goods orders suggested that a sturdy pace of spending on equipment set in both the second and third quarters ebbed early this quarter.

The lackluster reports suggest growth has moderated from the third quarter's brisk a 3.9 percent annual rate. Fourth quarter GDP estimates range between a 1.4 percent and 3.0 percent rate.
There is, however, reason for optimism. The Thomson Reuters/University of Michigan consumer sentiment index rose to 88.8 this month, the highest reading since July 2007, from 86.9 in October.

A third report from the Commerce Department showed single- family home sales gained 0.7 percent to a seasonally adjusted annual rate of 458,000 units in October.

The dollar was trading near session lows against the euro on the data, while prices for U.S. Treasury debt rose. U.S. stocks were trading lower.

Increased Caution

Core capital goods shipments, which are used to calculate equipment spending in the GDP measurement, fell 0.4 percent last month, reversing September's gain.

"We believe that the slowing in orders reflects companies' increased uncertainty about the impact of slower global growth and stronger dollar on their demand outlook, leaving many to approach capital expenditure plans with increased caution," said Gannadiy Goldberg, an economist at TD Securities in New York.

A separate report showed the Institute for Supply Management-Chicago Business Barometer declined to 60.8 this month from 66.2 in October.

Jobless Claims Grew, Too

A sixth report from the Labor Department showed initial claims for state unemployment benefits increased 21,000 to a seasonally adjusted 313,000 for the week ended Nov. 22.

The four-week moving average of claims, considered a better measure of labor market trends as it irons out week-to-week volatility, remained below 300,000 for an 11th straight week, a sign that the jobs market was improving.

Despite better labor market conditions, income growth remains tepid. Income rose a modest 0.2 percent in October after a similar gain in the prior month, the Commerce Department report on consumer spending showed. With income growth matching consumer spending, the saving rate was unchanged at 5.0 percent.

The moderate pace of consumer spending, combined with falling gasoline prices, kept inflation under wraps. A price index for consumer spending edged up 0.1 percent after a similar gain in September.
In the 12 months through October, the personal consumption expenditures price index rose 1.4 percent after advancing by the same margin in September.

Excluding food and energy, prices rose 0.2 percent after gaining 0.1 percent in September. The so-called core PCE price index increased 1.6 percent in the 12 months through October, the largest gain since December 2012.
Both price measures continue to run below the U.S. central bank's 2 percent inflation target.

 

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The 7 Best Things to Buy in December

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Just try to get through December without buying something. It's the time when everyone's hustling and bustling to shop for gifts, hosting supplies, food and beverages. While you're bound to spend more this month compared to other months, rest easy knowing there are some decent deals to be had.

 

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5 Troubling Secrets of Cyber Monday Shopping

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woman's hand entering data...
Vladimir Gerasimov/Shutterstock
By Jennifer Calonia

Black Friday has been the most anticipated shopping event of the year, but with ads leaked weeks ago and people already in line for crack-of-dawn doorbusters, Americans have their attention (and wallets) locked on to the next big spending event: Cyber Monday. For nearly a decade, the first Monday after Thanksgiving has marketed itself to eager online shoppers hoping to add another layer of savings to their holiday shopping budget.

This year, Adobe forecasts Cyber Monday sales to reach $2.6 billion, a 15 percent increase over 2013. While there might be a few deals that would coax even the most conservative spenders to reach for their wallet, shoppers should be aware of potential catches in the largest online shopping day of the year.

1. You Won't Be Seeing Many Cyber Monday Ads -- and That's Bad

By the second week of November, some big box retailers had already "leaked" their upcoming Black Friday deals and doorbusters to showcase the discounts customers can plan for on the big day. But the same transparency can't be found with Cyber Monday specials. Amazon's website encourages proactive shoppers to "make sure to bookmark this page today so you won't miss a thing for Cyber Monday 2014," and Walmart invites its customers to "Sign up for Walmart emails, where you'll find the latest updates on Cyber Monday sales and Cyber Week specials" -- but no deals posted.

GOBankingRates asked Mark LoCastro, spokesman at DealNews, why Cyber Monday deals are so hard to find in advance. "Retailers typically do not advertise Cyber Monday sales days or weeks before the actual event [like they do for Black Friday] because they cannot afford to take the spotlight away from their Black Friday sales," LoCastro said. "Retailers release their Black Friday deals one or two days prior to the actual event, and the same will occur with Cyber Monday. ... This slightly harms consumers because they are unable to properly research products of interest, create a shopping plan and benchmark prices before the shopping event."

2. Cyber Monday Discounts Aren't That Great

Compared to standing in line with a food coma on Black Friday, shopping online on Cyber Monday is generally a lot more convenient. In exchange for this convenience, shoppers should know that markdowns might not be that competitive compared to other holiday shopping days. Adobe Systems Inc.'s 2014 Digital Index Online Shopping Forecast predicts that the average discount on on Cyber Monday will be 20 percent; compare that with Black Friday and Thanksgiving, cheaper days to shop with average discounts of 23 percent and 24 percent, respectively.

While Cyber Monday is the most popular online shopping day in the U.S., Adobe's report shows that Black Friday is quickly catching up. Online sales are expected to reach $2.48 billion on Black Friday 2014, a growth of 28 percent, compared to Cyber Monday's expected 15 percent increase.

3. Your FOMO Is Helping Their Bottom Line

With Black Friday and Cyber Monday taking place nearly one month before Christimas, it's easy for shoppers to feel pressured to "buy now" to avoid the last-minute spending pinch. The fear of missing out (what the kids and New York Times call FOMO) on post-Thanksgiving sales, however, might cause frugal shoppers to actually miss out on the much better deals that crop up closer to Christmas.

For example, "Green Monday," an online shopping day growing in popularity, usually takes place somewhere between the second Monday of December and 10 days before Christmas. According to ComScore, Green Monday sales in 2013 were as high as $1.4 billion.

4. You'll See an Influx of Spam and Scams

The National Retail Federation reports that 43.3 percent of Cyber Monday shopping last year took place during the early morning hours. Retail stores are fully aware of these statistics, too, which is why shoppers can expect a flurry of Cyber Monday ads spamming their inboxes well before morning alarms go off. In addition to legitimate email advertisements, Cyber Monday also attracts its fair share of email phishing scams that pose as authentic ads or deal messages.

The increased purchasing activity on this day is appealing to thieves hoping to capture your credit card or personal information -- so keep that in mind as you sift through the endless Cyber Monday junk mail you'll receive.

5. Your Purchase Will More Likely Be Out of Stock

Shoppers who come across a good deal on Cyber Monday have another beast to contend with: limited inventory. According to Adobe, "out of stock" messages are expected to increase by 400 percent on Cyber Monday. Shoppers will need to wait longer to have their purchases processed, in addition to the wait time for standard ground shipping that's typically free -- unless, of course, they pay more to expedite shipping orders. But that would just negate the money they saved on Cyber Monday discounts.

 

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I Ate Thanksgiving Dinner With My Identity Thief for 19 Years

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Courtesy of Axton Betz-Hamilton
By Adam Levin

Nineteen a minute: That's how quickly people become identity theft victims in the U.S. Estimates vary, but somewhere between 10 and 16 million Americans are defrauded each year in this way.

Thanksgiving can be an awkward time of year for some victims, since family members account for more than 30 percent of the identity thieves. Axton Betz-Hamilton knows this firsthand.

Raised in a middle-class home -- her mother Pamela was a tax preparer, her dad a department manager for a grocery store -- her identity theft story is both a family affair and exponentially stranger than fiction. "We lived on hobby farms -- one in Portland, Indiana, and then another in Redkey," Betz-Hamilton told me. Thanksgivings were with family. Her paternal grandfather moved in during the '90s. (He had been a welder at a tractor factory.) Together, they were a small family unit that looked like many others, though in reality they were ensnared in a mind-boggling circle of financial fraud.

"Nineteen Thanksgivings came and went, and [my mother] cooked those dinners for us -- me and dad and my grandfather after he moved in in 1995. We were getting robbed by the hand that fed us the entire time," she said.

The Damage

Betz-Hamilton's identity theft story started in 1993. The charges on credit cards that were acquired using her Social Security number amounted to about $4,000, but the damage rippled out, impacting every aspect of her financial life. Betz-Hamilton first discovered that she had been victimized when, as a 19-year-old college student, she was moving off-campus, and the utility company asked for a $100 deposit. The reason: bad credit.

My credit report was 10 pages long, and my credit score was 380.

She ordered a copy of her credit report (while important for everyone, this is a crucial step for anyone who has been a victim of identity theft). She assumed there would be a one-pager featuring a couple student loans. Instead, a large manila envelope arrived. She then contacted the Identity Theft Resource Center, a nonprofit organization dedicated to helping victims of identity theft. They told her to file a police report. She did that, and waited as nothing happened. When she disputed the accounts with one of the credit card companies, she was told that her story did not hold up. "There had been two payments before the account was maxed out."

This was earlier in the evolution of identity theft, so all the various tactics were still unknown, but it is not uncommon for an identity theft to try to extend the value of a target by making things appear to be as normal as possible. "My credit report was 10 pages long, and my credit score was 380," she said.

The consequences Betz-Hamilton faced will be familiar to anyone who has ever struggled with a bad credit history. "I had to pay higher interest rates for my car loan and the credit cards I legitimately obtained. My first car loan was 18.23 percent, and my first credit card had a 29.9 percent APR. I've had to pay deposits for electric, phone and cable. I had to pay higher insurance rates through 2009."

The lifetime cost of identity theft is staggering, since bad credit can impact so many pieces of your financial life, as Betz-Hamilton discovered. You can see how your credit scores stack up for free on Credit.com.

Anatomy of Family Fraud

In 1993, Betz-Hamilton's parents were victims of identity theft. When she found out that her identity had been stolen, the most logical assumption was that whoever had stolen her parents' identities had stolen hers as well. Another 18 percent of identity theft victims are defrauded by friends, neighbors and in-house employees. It took 20 years and a fluke discovery for her to learn the truth.

Pamela Betz died of cancer in 2013, and the details of her secret life emerged. She had stolen her daughter's identity. She had stolen her husband's identity. She compromised her father-in-law for around $1,500. And of course she herself had mountains of debt.

Betz-Hamilton's father made the discovery after finding a blue plastic file-box in one of the outbuildings on their farm. Inside, there was a 12-year-old credit card statement. The account was in his daughter Axton's name. It was overdue, and so he called his daughter to give her a hard time about this hidden bit of past ignominy. She told him the card never existed. Upon closer inspection, the account had a card in his wife's name. The 20-year fraud began to unravel.

Dissertation Written on Child Identity Theft

"She had a lot of purses and backpacks, and that's where she stored the paper trail," Betz-Hamilton recalled. "It was also between dresser drawers. Papers were folded and shoved into books. We didn't know my grandfather's identity had been stolen until I found a credit card statement in one of those purses, and I still don't know how far back that goes."

Questions arose. Was there another house somewhere, cars or perhaps another life? On her deathbed, an alarm rose when Betz-Hamilton's father noticed that his wife's wedding ring was missing. "We think she pawned it," Betz-Hamilton told me. "I have no idea what she was up to. Maybe she had a second life. She had been using multiple names. I'm still looking."

Dr. Axton Betz-Hamilton is now a professor at Eastern Illinois University where she teaches courses on personal finance and consumer issues. She wrote her Ph.D dissertation on child identity theft; how people experience it, looking specifically at victims under the age of 18 who learn about their situation later in life.

"My mother's last wishes were to be cremated, and we respected that. She wanted her ashes to be with me. I'm sitting next to my mother right now," she told me over the phone. "Sometimes I yell at her. And sometimes I shake the box she's in. We just don't know who mom was. It's hard to grieve for her. To change things up and start new traditions, I had Christmas at my house last year. Mom was here on the shelf. It was awkward."

 

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Walmart Workers Start Early Protests With D.C. Sit-Down

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The union-backed groups that have organized Black Friday strikes at Walmart (WMT) locations the past two years are gearing up for a third -- and things have started early.

According to the group OUR Walmart, workers have already walked off the job or started protesting at stores in Washington, D.C., Virginia, and in various cities and towns in Illinois, Wisconsin, Texas, Maryland, Oregon, Minnesota, California, Florida, Louisiana, Massachusetts and Pennsylvania.

Employees started a sit-down strike in a new D.C. store on H Street NW.

Walmart spokesman Kory Lundberg told DailyFinance that the company had heard only of the D.C. store sit-down and that it lasted approximately 15 minutes. "We recognized people [among the protesters] from various stores, including that one," Lundberg said, although he claimed they were "not the majority" of the protesters.

More Protests on Black Friday?

OUR Walmart did not make someone available for an interview before publication. Twitter posts using the hashtag #walmartstrikers purported to show images from protests at other stores, including ones in Arlington, Texas and Dallas.

Walmart workers had already submitted formal strike notices in at least six states in anticipation of actions on Black Friday, according to the Huffington Post.

OUR Walmart has publicly said that the main protests are timed for Black Friday, although it seems likely that the group will try to do something on Thanksgiving Day, as most of the stores will be open all day on Thursday as they have since 1988, according to Huffington Post.

The group has said that it plans to hold strikes and protests at 1,600 of Walmart's roughly 5,000 U.S. locations on Friday. However, it is unclear how many stores they will actually visit.

Lundberg claimed that last year protesters appeared at only approximately 300 stores in "made-for-TV" events. However, he did admit that there were "big demonstrations" at some locations that disrupted business.

 

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Western World's First Gene Therapy Drug to Cost $1.4 Million

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By Ludwig Burger and Ben Hirschler

The Western world's first gene therapy drug is set to go on sale in Germany with a 1.1 million euro ($1.4 million) price tag, a new record for a medicine to treat a rare disease.

The sky-high cost of Glybera, from Dutch biotech firm UniQure and its unlisted Italian marketing partner Chiesi, shows how single curative therapies to fix faulty genes may upend the conventional pharmaceutical business model.

After a quarter century of experiments and several setbacks, gene therapy is finally throwing a life-line to patients by inserting corrective genes into malfunctioning cells -- but paying for it poses a challenge.

The new drug fights an ultra-rare genetic disease called lipoprotein lipase deficiency that clogs the blood with fat. The medicine was approved in Europe two years ago but its launch was delayed to allow for the collection of six-year follow-up data on its benefits.

Pricing Filed With German Agency

Now Chiesi has filed a pricing dossier with Germany's Federal Joint Committee, which will issue an assessment of the drug's benefits by the end of April 2015. The company is seeking a retail price of 53,000 euros per vial, or 43,870 euros ex-factory.

That equates to 1.11 million euros for an typical LPLD patient, averaging 62.5 kg in clinical trials, who will need 42 injections from 21 vials. This price will be subject to a standard 7 percent discount under Germany's drug pricing system. Under German rules, the launch price for a new drug is valid for the first 12 months.

A Chiesi spokeswoman confirmed the launch price, in response to inquiries from Reuters, prompted by information from health insurance sources. She added that a final figure would be set after the G-BA gives its verdict and negotiations are held with statutory health insurance funds. "First commercial treatments are expected in the first half 2015," she said.

UniQure, which will get a net royalty of between 23 and 30 percent on sales, said EU pricing was a matter for its Italian partner, although the Dutch firm does plan to discuss Glybera pricing during an investor meeting in New York on Dec. 1.

Benchmark Product

With only 150 to 200 patients likely to be eligible for Glybera across Europe, the impact on healthcare budgets will be small, even at a very high price -- but this case will be watched closely as a benchmark for future gene therapies.

UniQure also has plans to seek approval for Glybera in the United States, which it hopes to get in 2018. Although there is already a gene therapy for cancer on the market in China that drug has not been rolled out to other countries, making Glybera a first for the Western world.

Proponents of the gene-fixing technology insist it stacks up as a cost-effective treatment, despite the high cost, since it could permanently cure many patients.

In the case of Glybera, Chiesi said the annualized cost was no more than that charged for some expensive enzyme replacement therapies used in other rare diseases, taking into account the drug's proven benefits of at least six years.

How the Drug Works

The drug consists of a harmless modified virus that carries a corrective gene into the body's cells. UniQure is also working on gene treatments for hemophilia and has an early-stage project in heart failure, which would take gene therapy beyond the rare disease space.

Assuming trials are successful, analysts expect gene medicines treating more common conditions to cost less, since manufacturers should be able to recoup their research and development investment from a larger patient group.

Rivals in the gene therapy market include privately owned Spark Therapeutics, which has an eye drug in late-stage clinical tests, and Bluebird Bio, which is working on drugs for neurological and blood disorders.

Bluebird Bio and UniQure both staged successful floats on the Nasdaq market in the past 18 months, reflecting growing investor interest in the field.

 

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Health Insurance Signups Start Smoothly, Head to Malls

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By Carla K. Johnson

The Obama administration will promote health insurance coverage at shopping malls starting on Black Friday and continuing through the busiest shopping days of the holiday season, officials announced Wednesday. They said more than 462,000 people selected a private insurance plan in the first week of 2015 enrollment through the online marketplace HealthCare.gov.

The government's enrollment push with Westfield Shopping Centers will involve setting up outreach tables at malls in Florida, Illinois, New Jersey, Connecticut, Maryland, New York and Washington state. Westfield will post information about enrollment services on its website.

Report Card on First Week

The administration released what it called a snapshot of signups for the first week of the enrollment period, which started Nov. 15. U.S. Department of Health and Human Services Secretary Sylvia Burwell said 462,125 people chose a health plan in the 37 states using the federal website.

Of those, 48 percent are new customers, including enrollees in Oregon and Nevada, which turned over their troubled insurance markets to the federal government. The figures don't include states running their own insurance markets. The numbers represent only the choice of a plan, and not whether consumers paid their first month's premium -- a requirement for coverage to start.

"We're off to a solid start but we've got a lot of work every day between now and Feb. 15," the last day of the enrollment period, Burwell said in a conference call with reporters. About 1 million people phoned the enrollment site's help line, she said, and roughly an additional 100,000 callers chose to speak with a Spanish-speaking representative. Burwell said the administration is sticking with its previously announced goal of signing up 9.1 million consumers for coverage in 2015.

Unlike last year, the website suffered no outages in the first week, officials said, and it's ready to handle 250,000 users at a time during anticipated surges around deadlines. Consumers must sign up by Dec. 15 for coverage to start on Jan. 1.

Partnerships With Two Groups

The figures announced Wednesday don't include dental plans, Burwell stressed. Last week, the administration acknowledged it had been over-reporting the number of enrollees by double-counting about 400,000 who had both medical and dental plans. Burwell said she has directed her staff to find out how the double-counting happened.

Burwell promised a weekly update on enrollment along with more thorough monthly reports that will include what's happening in state-based markets.

Along with the shopping mall campaign, HHS announced marketing partnerships with the National Community Pharmacists Association and the XO Group, a company that runs websites targeting brides, new mothers and homeowners. The pharmacists group will get enrollment information to its members and pharmacy customers, officials said. The XO Group will post blog content on its sites.

 

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Stress-Free Tips on How to Shop for Thanksgiving Groceries -- Savings Experiment

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Buyer's Guide: Thanksgiving Groceries
Whether you've been shopping for weeks or are waiting until the last minute, buying groceries for Thanksgiving can be an expensive and stressful endeavor. Here are some tips to help you get the most out of your time and money.

First, get to the store before 10 a.m. to avoid crowds. You'll also have the benefit of shopping restocked shelves. When it comes to your shopping strategy, start in middle save perishables for last so they can get home in mint condition.

Ready-made pies care budget killers. If you just don't have the time or the skills to bake your own, buy pre-made pie crust. It's still more expensive than making it yourself, but will still be cheaper than buying a ready-made pie. Remember, one 9-inch pie usually serves about six to eight people.

The bar is most expensive aspect of throwing a dinner party. To avoid over-purchasing, buy one bottle of wine for every three guests, and plan on serving two to three beers per person.

Turkeys are costly and leftovers lose appeal quickly. Make sure you have 1.5 pounds of turkey per guest, and consider buying separate breasts and legs instead of an additional bird to save money.

In-season vegetables are the way to go. Not only will they be easy on your wallet, but they'll taste delicious. When it comes to mashed potatoes, plan on purchasing three golden potatoes per person. For maximum flavor, buy fresh herbs in bulk. They're cheaper than dried herbs and can be frozen for later use.

Hosting Thanksgiving is a lot of work, but if you use these tips to navigate your grocery list, you'll be able to shop like a pro without breaking the bank.

 

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What to Buy on Black Friday -- Savings Experiment

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Buyer's Guide: Black Friday
Black Friday is known for its deep discounts, but you can save even more money by knowing how to shop. Here are a few tips on how to separate the deals from the duds.

The best Black Friday deals are at big box stores, and pricey electronics are always a go-to holiday purchase. Keep an eye out for extras that you can get with a purchase. Target is running an iPad special this year, so depending on which iPad you want, you can walk home with an additional Target gift card worth $100 or $140. The Nikon Coolpix L330 digital camera is another great deal from the retailer. Target's black friday price is only $99, which is a big markdown from the usual $229.99 price tag.

If you have a music lover on your shopping list, Best Buy has a good deal on Beats by Dre. The Beats Solo headphones are on sale for about $80 and retail for nearly $170. Meanwhile, the Beats Studio headphones are about $100 cheaper than usual. Keep an eye out for stocking stuffers, too. For instance, you can get a 12 GB flash drive, which retails for $139, for just $27.

Walmart is offering tons of discounts on things like TVs, but you have a better chance scoring deals on the less popular items. The retailer has Roku devices for $28 (they're usually $48), as well as amazing deals on housewares. For instance, a 5-quart crock pot on Black Friday can be found for less than $10.

Walmart is rolling out their Black Friday sales in waves -- they have three events: 6 p.m. and 8 p.m. on Thanksgiving and 6 a.m. on Black Friday. Different items are on sale at different times so do your research.

The best way to tackle Black Friday is to have a shopping schedule and stick to it. Decide what you want ahead of time and target-shop for your priorities. This is not the time to browse. Know the layout of each store and don't be afraid to ask employees where things will be set up. Keep these tips in mind so you can save without getting caught up in the moment.

 

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Cyber Monday Dos and Don'ts -- Savings Experiment

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Buyer's Guide: Cyber Monday
When it comes to holiday shopping, Cyber Monday has fast become a major retail event. Purchasing gifts over the internet allows you to avoid long lines and crazy parking lots, while you can easily compare prices on competitive sites. But before you checkout, keep a few key tips in mind to stay safe while you save.

Be wary of suspicious looking coupons. Hackers are known to disguise malware as coupons that look great, but are fake so you don't want to download them. Also make sure that the web address looks correct. For instance, if you're on Shopping.Target.com, you're not on Target.com. If you suspect that your account has been compromised, alert your credit card company and bank immediately.

Another way to make sure you're getting legitimate deals is to shop on aggregate sites. CyberMonday.com and Dealio.com have great reputations and will save you the hassle of comparing prices on your own.

This season, go ahead and use coupons, but be careful not to fall victim to a scam. Use social media for coupons and discounts, but know that they may not always be the best deals. Use shopping apps, but don't provide your personal info unless your browser is in secure mode.

Cyber Monday is a great time to cash in on savings, but nothing ruins the holidays faster than being hacked. Use these tips to shop safely.

 

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Does That Defrosting Tray Seen on TV Really Save Time?

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During holiday prep time, every minute counts. So I couldn't wait to try Kagan's Rapid Defrosting Tray ($19.95 to $29.99), which promises to thaw frozen food lickety split. Visions of thawing my Thanksgiving turkey in hours, not days, danced through my head.

The tray, an 8x13-inch sheet of aluminum with a nonstick skin, is made by Kagan Unlimited, a Chicago company. Kagan says the tray cuts defrosting time "in half." AsSeenOnTV.com ups the claim and says the tray "can thaw a frozen steak in just minutes" -- though it doesn't say how many minutes.

So, I tested.

First, I remembered from middle school science class that aluminum is a great conductor that transfers heat to food from the surrounding air much faster than wood or granite or most other countertop materials. So, I laid frozen burger patties and butter sticks on the tray, on a wood cutting board (simulating a countertop), and on an aluminum cookie sheet I've had for 20 years.

I also tested the steak claims, but just compared the defrostring tray to the wooden cutting board because I only had two steaks I wanted to thaw for dinner.

Results in a Nutshell

The Rapid Defrosting Tray does cut thawing time of butter, burgers and steaks by about a quarter, the same as my old aluminum cookie sheet. The tray defrosted the 1-inch steaks in about three hours, compared to four hours on the wood - not exactly "rapid."

The advantage of the Rapid Defrosting Tray is that it's handsome, smaller and easier to store than a cookie sheet. And, if you're microwave-phobic, the trays lets you thaw food naturally and faster than if it sat on your countertop all afternoon.

Tip: Unwrapped food that can sit flat on the tray will defrost faster than packaged, lumpy food.

 

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Market Wrap: Record Highs for Dow, S&P 500

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By Rodrigo Campos

U.S. stocks rose on Wednesday boosted by tech shares, with the S&P 500 (^GPSC) and Dow industrials (^DJI) closing at records, while the energy sector was once more the largest weight on the market as crude prices continued to flirt with multi-year lows.

Apple (AAPL) led S&P 500 gains, closing up 1.2 percent at $119 per share. Seven of the top 10 points gainers in the index on Wednesday were in the tech sector. Hewlett-Packard (HP) Apple and chipmakers were among the largest advancers, with the PHLX semiconductor index closing up 2.1 percent to its highest since June 2001. Analog Devices (ADI) jumped 5.5 percent to $54.56, leading the sector a day after posting results. Hewlett-Packard rose 4.1 percent to $39.16 the day after reporting fourth-quarter earnings.

Trading was relatively light, with 4.8 billion shares changing hands compared to the daily average this month of about 6.3 billion. The stock market will be closed on Thursday, while Friday will be a half-day session with the close at 1 p.m.

Mixed Signals on the Economy

U.S. consumer spending rose modestly in October and a measure of business spending plans fell for a second straight month, but consumer confidence was near a 7-1/2-year high suggesting the economy remains resilient in the face of faltering global demand.

"On balance, data was still supportive of reasonable strength in the economy," said Peter Jankovskis, co-chief investment officer at OakBrook Investments in Lisle, Illinois. He said the optimism on holiday shopping was a reason behind gains in chipmakers. "PC sales have been a drag and there may be some hope we see a pick-up."

By the Numbers

The Dow Jones industrial average rose 12.81 points, or 0.07 percent, to 17,827.75, the S&P 500 gained 5.8 points, or 0.28 percent, to 2,072.83 and Nasdaq composite (^IXIC) added 29.07 points, or 0.61 percent, to 4,787.32.

The S&P's energy sector fell 1.1 percent, taking the declines in the past three sessions to 3.4 percent. Crude prices fell as after OPEC increased signals that it would hold off making any major production cuts this week.

U.S.-traded Seadrill (SDRL) shares tumbled 22.8 percent to $15.99 after it stopped dividend payments to help it weather a slump in offshore drilling rig market rates.

NYSE advancers outnumbered decliners 1,903 to 1,159, for a 1.64-to-1 ratio; on the Nasdaq, 1,644 issues rose and 1,047 fell for a 1.57-to-1 ratio favoring advancers.

The S&P 500 posted 54 new 52-week highs and 3 new lows; the Nasdaq Composite recorded 104 new highs and 35 new lows.

What to watch Thursday:
  • Thanksgiving Day -- U.S. financial markets will be closed.

 

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Accumulation Trumps Allocation in Your Retirement Portfolio

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A lot of millennials don't always realize that simply increasing the amount of money they are saving and investing could have a huge impact on their net worth and overall financial situation.

Bo Hanson, co-host of The Money-Guy Show, is a certified financial planner like myself, and we had the pleasure of hanging out at FinCon Expo in September. We both learned a lot from the financial bloggers we met. He gave this great example about accumulation vs. allocation: "If you have $250,000 invested and you experience a 10 percent loss, then you've lost $25,000." This is half a year's salary to the average American. "However, if you only have $10,000 invested and you experience a 10 percent loss, you've only lost $1,000." A $1,000 loss won't have nearly as big of an impact.

Sticking with the $10,000 example, he explained how if you make $50,000 a year and invest 10 percent of your income, you're saving $5,000. This would increase your portfolio by 50 percent, therefore having a much bigger impact than the 10 percent that investment returns alone would produce.

Hanson emphasized that people should focus more on their savings rate and less on their rate of return in the early stages of investing of their retirement plan. This is especially important for members of Gen Y, who are generally new to investing.

I totally agree, and I think these examples illustrate this issue of investing for millennials perfectly. It's so easy to get caught up in what the stock market is doing instead of getting in the habit of consistently investing each month through dollar cost averaging.

Focus On What You Can Control

You can't control the stock market, but you can control how much you're saving, so the best way to secure your financial future is to simply save more. It's not sexy, it's not glamorous, but it's the truth.

When we had this conversation about savings rates, Hanson and I discussed how we both recommend that people take full advantage of the company match if their employers offer one and then invest in Roth individual retirement accounts if they qualify. On how to invest those funds? Hanson explains that "for people just starting out, index funds are your friends."

For people who don't know a lot about asset classes and asset allocation, Hanson suggests target date retirement funds. These portfolios get more conservative as you get closer to the target date, so they don't require you to rebalance each year. The mutual fund manager does that for you.

"People look at investing as the solution. The key solution to financial independence is saving," says Hanson.

When to Hire a Financial Planner

How do you know when you're ready for more financial guidance? "When your financial situation becomes more complex, when you have over $300,000 in investable assets, or when you don't have time to handle your financial situation," suggests Hanson.

At that point, it's a great time to bring a fee-only financial planner. He directs many young accumulators to the XY Planning Network to find a planner that specializes in working with Gen X or Gen Y clients.

Hanson said many Money-Guy podcast listeners need professional help to "optimize their portfolios, develop a consistent savings plan, as well as control costs and tax planning." If this sounds like you, it could be a great time to find a financial planner.

If you're new to investing: just start. Start a Roth IRA, increase your 401(k) contributions by 1 percent or open your first brokerage account. When you look back in 10 years, regardless of what you're investment returns have been, you'll be glad that you started your portfolio 10 years ago and have consistently invested through the ups and downs of the stock market.

Sophia Bera is a virtual financial planner for millennials and the founder of Gen Y Planning. She is location-independent but calls Minneapolis home. She offers a free Gen Y Planning newsletter.

 

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The 3 Most Successful IPOs of 2014 (So Far)

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Now that it's nearly over, we can definitively say that 2014 has been one of the best years for initial public stock offerings in history. In terms of proceeds raised from IPOs, 2014 will challenge or even exceed the year 2000. Which is saying something: That was the height of the dot.com frenzy, when seemingly every new company with a website felt compelled to list on the stock exchange.

As can be expected of a busy IPO year, some of 2014's new stock market titles have been runaway hits soaring above their issue price, while others have belly-flopped. Since we're heading into the most optimistic time of the year, we'll shine a light on the three best performers. In order of stock price appreciation, they are:

GoPro (GPRO)

2014's current IPO front-runner is this company, maker of the popular action photography camera -- the one that's usually responsible for those hairy point-of-view videos posted on Facebook (FB) and other online sharing sites. GoPro's stock hit the market at the end of June priced at $24, and as if this writing it now stands at $70.72 for a muscular 195 percent total return.

Although that's impressive, it should be noted that the current price is quite a bit lower than the stock's high of nearly $94, which it touched in early October. But then the camera was effectively blamed for the horrific accident that befell Formula One racing star Michael Schumacher -- although the journalist making the allegation later recanted -- and the shares cratered.

The stock recovered after the company reported strong third-quarter earnings, and all seemed well again... until GoPro decided to float a secondary issue of stock. It'll sell 10.3 million fresh shares on the market, adding to the nearly 126 million currently outstanding. When secondary share issues are announced, a company's stock often takes a hit, since investors aren't too crazy about their existing stakes being diluted.

Regardless, on a fundamental basis GoPro is a popular, if niche, product, while the company's revenues are growing and its bottom line is well in the black.

Immune Design (IMDZ)

Who isn't eager to find a cure for cancer? That's the thrilling potential of this newly public biotech firm, which develops technologies that help the body's immune system produce cells that battle forms of the illness, in addition to other ailments.

The upside of success in the cancer fight, it goes without saying, is enormous. This is likely one major reason that Immune Design's shares have zoomed up 184 percent less than four months after the company's late July IPO. From an issue price of $12 per share, the company's stock now trades at over $34.

Since it went public, the few news items coming from the company have been rather positive. Mere days after the IPO, it announced that it was licensing its GLAAS discovery platform, which aims to develop treatments for food allergies, to global pharmaceutical giant Sanofi (SNY). Shortly thereafter, the latter's vaccines unit Sanofi Pasteur entered into a collaboration with Immune Design to develop therapies for the herpes simplex virus.

Immune Design's recently released third-quarter results are also helping to support its rising stock price. Thanks to Sanofi, it was able to book its first significant revenue ($3.5 million, to be exact), boding well for its future.

Radius Health (RDUS)

Close on the heels of Immune Design is this biotech company, a developer of women's health products. In particular, Radius Health has its hopes pinned on abaloparatide, a treatment for the bone disease osteoporosis. This ailment is more likely to afflict women.

The company describes the market for osteoporosis as "large and underserved," and it seems the investing public agrees. The stock floated at $8 per share in late July and recently closed at $22.22, for a total return of 178 percent.

That IPO, which saw the company raise $52 million, was actually its second attempt at going public. It originally filed to do so in early 2012 but withdrew the application later in the year, ascribing its decision to "market conditions and volatility." Considering how well the shares have done in the early part of their lives this year, that was a wise move.

As with many newly public biotechs, Radius Health is still deeply in the red, with no revenue to speak of and research and development expenses well in the millions of dollars (almost $14 million for the third quarter, in this case).

But the company's optimism has clearly struck a chord with investors: It hopes to submit abaloparatide for approval to the Food and Drug Administration and European regulators next year; a product launch should follow soon thereafter.

Motley Fool contributor Eric Volkman owns shares of Facebook, his last meaningful IPO investment. The Motley Fool recommends Facebook and GoPro and owns shares of Facebook (FB). Try any of our Foolish newsletter services free for 30 days. Will this be your most successful investment of 2015?: Check out The Motley Fool's one great stock to buy for 2015 and beyond.

 

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Staples Struggles to Supply a Changing Business World

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Selling office supplies hasn't been a very smart business decision these days. Shares of Staples (SPLS) may have popped nearly 7 percent higher after the company posted a larger-than-expected profit a few days ago, but it's still in a bit of a funk.

Quarterly sales fell for the seventh quarter in a row. Profitability improved, but largely on the closure of 127 underperforming stores, with another 43 or so to go before the year is over. Yes, fewer stores will naturally hold back overall sales growth, but it's important to point out that comparable-store sales at Staples in North America still fell a problematic 4 percent during the period.

There's no "Easy" button to escape what the trend is telling investors.

Business Before Pleasure

This should be a great time for a superstore selling office supplies. The economy's improving. Unemployment rates are heading lower. Interest rates are low, making it easier for entrepreneurs to finance new ventures.

The climate of the industry itself should also be faring well. Office Depot (ODP) completed the merger with OfficeMax, combining the industry's second- and third-largest players to give everybody else one fewer price-slashing competitor to worry about.

Unfortunately, it wasn't just the cutthroat ways of Office Depot and OfficeMax holding Staples back. Amazon.com (AMZN) continues to become a retail juggernaut, and the popularity of speedy, reliable and cost-effective Prime deliveries to corporations of all sizes is on the rise. There's also the challenge of traditional big-box discount department store chains that are loading up on business essentials. Let's also not forget the telecommuting and contractor trends that translate into companies not having to stock as many supplies as they used to.

Calling in Sick to Work

Wall Street pros know that this isn't going to be a near-term turnaround. They see sales and earnings declining this holiday quarter relative to last year's showing. They see sales declining slightly next year, too, and every year after that through at least 2018.

Growing profitability will also be a challenge. Closing underperforming stores can only do so much, and it's hard to grow the bottom line when the top line isn't cooperating. Analysts don't see Staples coming close to what it earned last year in any of the next few years.

Staples is expanding its product offerings, and that includes offering more merchandise as well as new services -- including postal services and 3-D printing. It's putting more muscle into its online platform and local warehousing infrastructure, and that makes sense, since half of its orders are being placed online these days.

It's still hard to be optimistic. The European restructuring that Staples announced two years ago is finally having a positive impact on Staples' bottom line, but the overall company itself is slipping. Digital delivery, cloud computing, and telecommuting are trends that are eating away at the replenishment levels of office supplies, and if Staples continues to find itself at the wrong end of sales growth, even its beefy 3.4 percent yield may be endangered.

Motley Fool contributor Rick Munarriz has no position in any stocks mentioned. The Motley Fool recommends Amazon.com and owns shares of Amazon.com and Staples. Try any of our Foolish newsletter services free for 30 days. Want a great stock? Check out The Motley Fool's one great stock to buy for 2015 and beyond.

 

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This 401(k) Mistake Could Cost You Your Match

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Most workers understand that when their employer offers them free money as an incentive to participate in their 401(k) retirement plan, it makes good sense to accept it by participating and making contributions to their accounts. But for those who are anxious to save as much as they possibly can through an employer-sponsored retirement account, another potential pitfall could reduce the full amount of matching contributions you're entitled to receive.

Jumping the Gun on Contributions (and Missing the Match)

Most 401(k)s and other employer-sponsored retirement plans work in a similar way. Your employer will set a limit on how much of your contributions it will match, typically either dollar-for-dollar or with a 50-percent match. For instance, one common standard has the employer match every dollar you contribute up to 6 percent of your salary with $0.50 of the employer's money. Consequently, if you earn $50,000, all it takes to max out your match is to contribute $3,000, to which your employer will add $1,500 on your behalf.

For many employees, coming up with $3,000 to contribute can be the biggest challenge they face. But for higher-earning workers, another potential pitfall comes into play. If you contribute too high a percentage of your overall salary early in the year, you can end up maxing out the $17,500 annual limit on 401(k) contributions too early -- and thereby cost yourself some matching funds in the process.

Take an example: A worker who earns $10,000 each month saves 20 percent of earnings in a 401(k) for which the employer matches dollar-for-dollar up to 6 percent of earnings. That means that in the ideal situation, the worker would receive 6 percent of $120,000, or $7,200, in matching contributions. But by saving $2,000 each month, the worker will hit the $17,500 limit after just nine months. As a consequence, that worker might only get credit for nine months' worth of matching contributions, or $5,400, giving up $1,800 in potential matching contributions on the worker's behalf.

The situation can be even tougher in cases involving a bonus payment. Many employers pay bonuses early in the year, and if you arrange to have a large portion of that bonus set aside in a retirement account, it can go a long way toward covering your total allowable 401(k) contributions for the year. If by doing so, you max out your 401(k) early in the year, then you might effectively give up your matching for the months in which you weren't able to make contributions.

What You Can Do to Avoid Losing Your Match

Fortunately, some 401(k) plans have provisions that prevent the loss of your match from happening in the first place. These so-called "true-up" provisions ensure that the employer considers all of your earnings from throughout the entire year in calculating the matched amount, rather than just the months in which you made contributions. So in the example above, the true-up provision would result in the employer adding back the missing $1,800 to reflect your year-long contributions. The point at which the true-up occurs varies from plan to plan, but it typically happens near year-end when it's obvious what each participant has done.

Even if your employer's plan doesn't have a true-up provision, though, there's another way you can make sure you get every penny of matching contributions you deserve. If you monitor your matching to have an equal fraction of the 401(k) contribution limit taken from each regular paycheck and contributed to your 401(k) account, then you'll make sure that you make a contribution each and every month and get the full amount of the match throughout the year.

As hard as it is to save for retirement, you can't afford to miss out on free money your employer provides you. By being smart about your matching, you can make sure that you don't leave any of your hard-earned benefits sitting on the table unclaimed.

Motley Fool contributor Dan Caplinger always has trouble not jumping the gun at races. You can follow him on Twitter @DanCaplinger or on Google+. To read about our favorite high-yielding dividend stocks for any investor, check out our free report.

 

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How to Select Health Insurance If You Travel Frequently

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By Lacie Glover

Of the factors to consider when choosing health insurance, your lifestyle is one of the most important. For the modern-day explorer or business road warrior, your frequent travel should be top of mind.

Learning about new cultures and unexpected adventures are part of the thrill of travel, but they also come with risks. Sometimes your destination is not medically equipped, and the unexpected can turn into illness or injury in just the place where you don't have coverage. If you travel frequently for business, getting caught in an unfamiliar city with a medical issue can leave you with a huge bill. Here's how to prevent that by shopping smart during insurance season.

Domestic Travelers

One of the most important considerations for travelers is the insurance network, or group of providers that your insurance company agrees to cover. For those who tend to travel only within the United States, a national provider network is key, especially if you travel to multiple locations across the country.

"You want to be able to stay in-network wherever you travel to," says Cindy J. Holtzman, director of Medical Refund Service in Marietta, Georgia, who's also an insurance agent and patient advocate.

If you normally travel to the same locations, make sure your plan includes network providers in those locations. For domestic travelers, this is the best way to save on health care in general, not just emergency care. When you're out of town and have just a mild concern, it's a lot cheaper to visit an independent clinic or urgent care in-network and avoid the emergency room all together.

It's important to note that there may not be network providers in every city you visit. In that case, "check out how any plan covers providers outside the network," Holtzman says.

Some plans cover a portion of costs if you need health care out of their network, but many plans cover none, except in some emergencies. If you have to go out of your network for care, plans that will cover at least a portion of that care are beneficial for travelers.

International Travelers

If you travel abroad frequently, you might already be aware that health insurance works differently outside the U.S. In emergencies, some plans may cover a portion of costs, but most cover none at all.

"The easy way to address this is to call the health insurance provider and ask them if they will cover health expenses incurred abroad," says Mahmood Peshimam, a travel medicine specialist in Orange County, California. If not, ask if they have a separate plan specifically for travel.

Don't confuse traveler's health insurance with regular traveler's insurance

Supplemental health insurance that covers international travel is available from some health insurers. It's temporary insurance that covers only the length of one trip and may be cheaper through your main health insurer thanks to member discounts. This is a great question to ask any potential insurer when choosing among plans. Don't confuse traveler's health insurance with regular traveler's insurance, which covers incidents such as cancelled reservations and lost baggage.

Evacuation insurance, also for Americans abroad, can be long-term or short-term and covers transportation to adequate medical care. This type of insurance can help cover charges if you need to be urgently transferred for medical care from a remote area. Plans often cover air rescue expenses and emergency returns back home.

Some evacuation insurance policies also cover emergency health care abroad. Evacuation insurance is available from many health insurers, as well as from independent providers. "Ask your travel agent for companies that will provide overseas health insurance coverage," Peshimam says. He also recommends finding medical facilities in your destination before leaving and carrying that information on your trip.

Adventure Travel

Thrill seekers, there are special health insurance considerations for you. Evacuation insurance is probably a good idea for when you climb Mount Everest or go on that skydiving trip, but don't stop there. Take a look at any long-term health insurance plans you're considering for two features: emergency care and high-risk exclusions.

The reason for emergency care is obvious, and for all Affordable Care Act-era plans, it's covered as an essential health benefit. How much emergency care is covered is as variable as the plans themselves. Whether you travel a short distance or across the globe to seek your adrenaline rush, make sure your health insurance plan has comprehensive emergency coverage.

Less obvious is the need for a plan with few high-risk exclusions, probably because you don't know they exist. Many health insurance plans don't cover emergency services due to risky activity or injuries incurred doing activities such as rock climbing and snowboarding. This may not be disclosed on an information sheet when you sign up for insurance, so call your insurer's customer service to ask.

 

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