Charles Gaba's blog

via the New Jersey Dept. of Banking & Insurance:

New Jersey Department of Banking and Insurance Issues Guidance to Insurance Carriers to Ensure Nondiscriminatory Health Coverage to Transgender Individuals

  • Addresses obligation to follow laws against discrimination based on gender identity, gender expression or on the basis that an individual is a transgender person

TRENTON — Department of Banking and Insurance Acting Commissioner Justin Zimmerman today issued a bulletin providing guidance to insurance carriers concerning health coverage for transgender individuals to ensure all New Jersey residents have equal access to health coverage and health care.  

The guidance follows Executive Order No. 326 signed by Governor Phil Murphy in April protecting gender-affirming health care in New Jersey. 

via Nevada Health Link:

State Agencies Work Together to Keep Nevadans Insured

  • Nevada Health Link, Nevada Medicaid and Division of Welfare and Supportive Services (DWSS) continue to engage Nevadans whose health coverage may be impacted by the Public Health Emergency ending

(CARSON CITY, Nev.) – Nevada Health Link, Nevada Medicaid and the Division of Welfare and Supportive Services (DWSS) are working together to ensure Nevadans enrolled on Medicaid are informed about the Medicaid renewal process that has resumed as a result of the Public Health Emergency (PHE) ending. The state agencies are working to keep Nevadans insured by encouraging them to fill out their redetermination packets in the mail and if they are no longer eligible for Medicaid, to seek affordable health insurance coverage through the state marketplace, Nevada Health Link.

During this springs Congressional kabuki theater regarding raising the federal debt ceiling, one of the biggest points of contention was House Republicans insistence on tying work requirements (w/stringent reporting) to Medicaid eligibility.

"Work requirements" is as old a saw for Republican politicians as "selling insurance across state lines," and it's just as ineffective and counterproductive (as well as simply being cruel). This debate has been held numerous times before, and the upside of such requirements has been debunked repeatedly, but here he go again:

As Joan McCarter of Daily Kos put it way back in 2015:

State of the States Webinar w/Charles Gaba

 

Update: The full webinar is now available to watch via YouTube, and you can download the slideshow below.

Hosted by ACA Consumer Advocacy (disclosure: I'm on their advisory board):

Join us for an online update on what is going on in states around the country for health care reform from renowned ACA guru, Charles Gaba.

Please register and the link will be sent to you prior to the event.

If you have any state-specific questions for this event, please send them to acaconsumeradvocacy@gmail.com.

Thank you!

Tuesday, June 27, 2023 at 8:00 PM ET

This is a virtual event

via the Minnesota Commerce Dept:

Individual Market PROPOSED Average Rate Changes

The summary table below provides an overview of the proposed average rate changes from 2023 in the individual health insurance market, as reported by the insurers. 

These rate changes do not reflect the impact of federal premium tax credits that are available to eligible Minnesotans who purchase their coverage through MNsure.

It is important to note these are the initial rates proposed by the insurers and filed with the Departments. Rates are subject to review and approval by the Departments and the final approved rates may vary from these proposed rates for many reasons. 

Additionally, the actual rate change a consumer will experience in 2024 can vary from the average – with factors such as specific plan, geographic rating area, age, and federal premium tax credits playing a major role. 

Small Group Market Proposed Average Rate Changes

via the Maine Insurace Dept:

Each year insurers that sell Individual and Small Group plans in Maine's pooled risk market must submit their proposed forms and rates to the Bureau of Insurance, using the System for Electronic Rate and Form Filing (SERFF). Details of the filings submitted to the state since June 10, 2010 can be viewed in the system.

To see details of a filing, click on the Search Public Filings button below and paste or type in the relevant SERFF Tracking Number listed in the table (no need to complete the rest of the form).

Anthem Health Plans of Maine:

Drivers of Rate Increase

Note: The rule below actually doesn't apply to health insurance carriers, who I presume are bound by other federal and state transparency provisions in the ACA and other laws/regulations; it's primarily focused on auto and homeowner's insurance policies. I found it noteworthy enough to include here regardless, given my annual ACA rate filing project.

via the Washington Insurance Dept.:

Rule adopted requiring insurers to tell you why your premium is going up

OLYMPIA, Wash. — Washington state Insurance Commissioner Mike Kreidler has adopted a rule that requires insurance companies to explain premium increases to their policyholders in language they can understand. 

Last week, I reported that the Republican-controlled House Ways & Means Committee had passed a bill which would codify Individual Coverage Health Reimbursement Arrangements, or ICHRA for short. As Louise Norris explains:

An individual coverage health reimbursement arrangement (ICHRA) is a new type of health reimbursement arrangement in which employers of any size can reimburse employees for some or all of the premiums that the employees pay for health insurance that they purchase on their own...ICHRAs represent a departure from previous ACA implementation rules that forbid employers from reimbursing employees for individual market premiums....

A few weeks ago, I reported that both Nevada and Oklahoma had placed insolvent insurance carrier Friday Health Plans under receivership, leaving just two states left to do so (North Carolina and Colorado, which happens to also be the home to Friday's corporate headquarters).

It turned out that I was correct about Oklahoma, but had jumped the gun slightly re. Nevada; the insurance commissioner had petitioned the court to put Friday into receivership, but hadn't actually done so yet.

Well, it turns out my error re. Nevada has been rendered moot as of yesterday; via the Nevada Division of Insurance:

JUNE 21, 2023 - Court orders receivership for Friday Health Plans of Nevada

FOR IMMEDIATE RELEASE – June 21, 2023

After the recent news about Friday Health Plans in Texas, Georgia, Colorado, New Mexico, Nevada & Oklahoma, this isn't terribly surprising, but...

via the North Carolina Dept. of Insurance (email; no link yet):

Insurance Commissioner Causey places Friday Health Plans of North Carolina Inc. into receivership

RALEIGH – North Carolina Insurance Commissioner Mike Causey announced today that Friday Health Plans of North Carolina Inc. (FHP-NC) has consented to being placed into receivership to protect North Carolina policyholders due to its reported insolvency and inability to raise additional funds from outside investors. 

The petition for receivership is expected to be filed with the Wake County Superior Court today and the receivership order will be posted on the North Carolina Department of Insurance website after the order is signed.   

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