The projected population consists of expected retention of existing policies and new sales. The sources of new entrants include the previously uninsured population, grandfathered and transitional policies voluntarily migrating to ACA-compliant plans, and previously insured populations from other markets or carriers. The morbidity adjustment reflects projected Anthem and market changes in morbidity, including changes driven by economic conditions and from the expiration of the enhanced ACA premium tax credits available under The American Rescue Plan Act (ARP) as of December 31, 2022. Membership projections reflect contraction similar to pre-ARP population in 2021. Exhibit E shows the morbidity factor.
Maine Health Insurers File Proposed Rates for 2023 Plan Year
Health insurance carriers in Maine's Individual and Small Group markets have filed proposed rates with the Maine Bureau of Insurance (the Bureau) for the 2023 plan year. June 27, 2022 was the deadline for the initial filing of plans and rates, but insurers may revise their filings through July 20, 2022.
The bad news is they don't include the number of enrollees for each carrier, and even the SERFF database filings don't include that information...yet. Fortunately, MNsure does provide a carrier breakout of the individual market...but this only includes on-exchange enrollment, which means PreferredOne (which only offers ACA plans off-exchange) isn't listed, nor are any off-exchange enrollees for the other five exchange carriers.
As for the small group market, the most recent hard enrollment data I have for that is from 2021, which means it's likely not terribly accurate anymore (especially since PreferredOne appears to be dropping out of the MN small group market entirely next year). In addition, UnitedHealthcare scrapped all of their sm. group offerings last year and replaced them with new ones, so I have no clue how many enrollees they have at the moment.
Insurers File Proposed Rates for 2023 District of Columbia Health Plan Offerings
Wednesday, May 25, 2022
Washington – The District of Columbia Department of Insurance, Securities and Banking (DISB) has received 208 proposed health insurance plan rates for annual review in advance of open enrollment for plan year 2023. The proposed rates were submitted for DC Health Link, the District of Columbia’s health insurance marketplace, from Aetna, CareFirst BlueCross BlueShield, Kaiser Permanente and United Healthcare.
The proposed rates are for individuals, families and small businesses for the 2023 plan year. Overall, the number of plans submitted for 2022 is up by 51 from those submitted for 2022.
No formal press release from the Rhode Island Insurance Dept. yet, but according to the SERFF database, here's the preliminary rate filings for 2023 for their individual & small group markets.
Blue Cross Blue Shield of Rhode Island:
CY 2021 Experience Period
We did not adjust the 2021 experience period for Covid‐19. We also did not make any adjustments due to the end of the expanded federal subsidies under the American Rescue Plan Act (ARPA) or the end of the federal public health emergency.
CY 2023 Projection Period
We included a Covid‐19 factor in Other to adjust CY 2023 to reflect a 50% decrease in anticipated Covid‐related spend for the CY 2023 projection period compared to the level in the CY 2021 experience period.
The New York Dept. of Financial Services hasn't issued a formal press release yet, so it's conceivable that a few more filings will be added, but as far as I can tell, the spreadsheet below contains the preliminary unsubsidized 2023 premium change requests for every carrier offering ACA-compliant individual and small group market healthcare policies.
I've poked around the actual actuarial nattative summaries for several of the carriers with the higher market share (Excellus, Fidelis, etc) and while I see a couple of references to the set-to-expire expanded American Rescue Plan subsidies being set to expire at the end of 2022, this isn't listed as a significant factor in the rate filings (at least the ones I've looked at).
Assuming these rate hikes are approved of as is (which is no sure thing; New York tends to cut them down somewhat), unsubsidized individual market enrollees will be looking at average premium increases of 18.8%, while small group market policyholders will see a 16.3% average increase.
Fourteen insurers request average 7.16% rate increase for 2023 individual health insurance market
OLYMPIA, Wash. – Fourteen health insurers filed an average requested rate increase of 7.16% for Washington's individual health insurance market. The plans and proposed rates are currently under review and final decisions will be made this fall.
"More than two hundred thousand people in Washington state get their health coverage through our individual market,” said Insurance Commissioner Mike Kreidler. “It’s critical they have choices for meaningful and affordable coverage. Fourteen insurers have filed plans for next year, and while the choices vary depending on where you live, our market is thriving. I know that premiums and cost-sharing are still high for many, especially those who don’t qualify for subsidies, and we need to do more to address the underlying costs drivers of health care.”
Salem – Oregon consumers can get a first look at requested rates for 2023 individual and small group health insurance plans, the Oregon Department of Consumer and Business Services announced today.
In the individual market, six companies submitted rate change requests ranging from an average 2.3 percent to 12.6 percent increase, for a weighted average increase of 6.7 percent. In the small group market, nine companies submitted rate change requests ranging from an average 0 percent to 11.6 percent increase, for a weighted average increase of 6.9 percent. Our initial review has found that insurers have identified inflation, medical trend, and enrollment changes as factors in the proposed increases. See the attached chart for the full list of rate change requests.
