A nonprofit publication of the Kentucky Center for Public Service Journalism

State approves nearly all health insurers’ rate hike requests for plans on exchange


Health insurers get almost all of the rate hikes they requested for plans on exchange; some get more than requested.

The state Department of Insurance has largely approved the rate increases that health-insurance companies requested for individual and small-group plans that will be sold through the federal health-insurance exchange for 2017.

The major exceptions were a 5.6 percent hike for individual policies sold by Aetna Inc., which asked for an overall 7.6 percent increase; and CareSource Kentucky Co., which asked for a 20.55 percent increase on its individual policies, but was assigned a higher rate of 29.3 percent.

Insurance Commissioner Brian Maynard

Insurance Commissioner Brian Maynard

The Insurance Department concluded that the requested rate wouldn’t produce enough money to pay the claims likely to be filed, Public Protection Cabinet spokesman Doug Hogan told the Kentucky Progress blog. CareSource will offer individual policies in 61 counties.

Baptist Health Plan also got a higher individual-policy increase, 27.9 percent, than what it requested, 26.7 percent. It will offer individual plans in 20 counties. Humana Inc. got the largest increase for individual plans on the exchange, 31 percent, after requesting 33.7 percent. It will offer individual plans in nine counties. Aetna will offer individual plans in 10 counties.

UnitedHealth Group Inc. announced in April that it would no longer sell individual insurance plans in Kentucky, leaving many counties with only one insurer on the exchange. As a result, Anthem Health Plans of Kentucky Inc. will be the only company offering individual policies in every county through the exchange in 2017. It will be the only choice on the exchange in 54 counties. Anthem was given a 22.9 percent increase on its individual plans, what it requested.

“The Department of Insurance carefully reviewed each request to ensure its compliance with Kentucky law, pushed back where possible and sought to ensure each request was properly supported,” Insurance Commissioner H. Brian Maynard said in a news release from the cabinet.

KyInsuranceRates2017nohed

He blamed the increases on federal health reform and the failure of the still-in-liquidation Kentucky Health Cooperative, created under the reform law.

“Obamacare has infused our state’s health-insurance market with unnecessary volatility and uncertainty,” Maynard said. “Far from helping to lower health-care costs, Obamacare is driving up costs and burdening our citizens. That’s reflected in the filings the department reviewed.”

As expected, insurers asked for higher rates because they expected to absorb the 50,000 co-op customers, most of whom were high-risk.

The cooperative attracted many of the state’s unhealthiest people, causing it to pay out much more than expected in claims. It announced in October 2015 that it was closing, but said it could have survived if Republicans in Congress had not greatly reduced funding for the “risk corridor” program, which subsidizes insurers who take on high-risk customers.

The co-op, which had a deficit of $50 million in 2014, was expecting a risk-corridor payment of $77 million but got only $9.7 million.

Only seven of the 23 state-based, non-profit cooperatives, created under health reform to compete with for-profit insurance companies and hold down premiums, are still operating, according to Healthinsurance.org.

Maynard encouraged Kentuckians to shop around and compare premiums before signing up for health insurance during the next open enrollment period, noting that rates are just one part of the equation insurance companies use to calculate individual premiums for Kentucky consumers. Other factors include age, where you live, tobacco use, whether it is an individual or family plan and the category of plan chosen.

Click here to see the 2017 health rate filings. Click here to see the plans offered in each county.

Kentucky Health News is an independent news service of the Institute for Rural Journalism and Community Issues, based in the School of Journalism and Media at the University of Kentucky, with support from the Foundation for a Healthy Kentucky.


Related Posts

Leave a Comment