As the Rate Applications for 2018 demonstrate, insurers claim that their rate requests primarily reflect increasing costs including escalating medical costs due in significant part to rapidly increasing drug costs as well as hospital and doctor consolidation, an aging population, and provider network expansion. Additionally, insurers have noted the federal insurer fee (which was suspended by Congress for 2017, but remains for 2018 and adds approximately 1% to 2% to rates).
In addition, to prepare for potential changes to the Affordable Care Act, DFS requested that insurers provide estimates as to how the impact of a potential repeal of the individual mandate and the loss of Cost Share Reduction (CSR) funding would affect rates. Of those that provided numerical estimates, on average, insurers estimated that a full repeal of the federal individual mandate would increase rates by an additional 32.6% and the loss of CSR funding would increase rates an additional 1.3%.
If you are seeking information about a rate application that applies to you, select your Company Name from the listing in the Navigation Pane to the left.
From there, in the window directly below this one, you will be able to navigate to the application you're interested in by selecting the following options, each of which will lead you to the next:
- Pending, Withdrawn, or Approved Application
- Implementation Date
- Market Segment
Once you find the application you're seeking, you will find all documents related to that application.
Legend - Market Segments
- SG = Small Group
- LG = Large Group
- HMO = Health Maintenance Organization
- POS = Point-of-Service
- IND or DP = Individual Direct Pay
- Med Supp = Medicare Supplemental
- Approved Applications (by Effective Date)
- Effective June 1,2017
- Effective May 1, 2016
- Effective April 1, 2016
- Effective March 1, 2015
- Effective April 1, 2013
- Effective September 1, 2011