Summary of Actions - Premium Requests Summary of Actions - Premium Requests

The following tables represent the average percentage changes in premiums across all New York rating regions for individual and small group markets.

2015 INDIVIDUAL MARKET RATE ACTION - OVERALL SUMMARY

Company Requested Average Change Approved Average Change Reduction 
Aetna Life Insurance Co. +19.96% +5.32%  -14.64%
Affinity Health Plan*    -12.58%  -15.21%  -2.63%
CDPHP* +6.69% +0.15%  -6.54%
Emblem-HIP* +9.81% +6.72%  -3.09%
Empire BlueCross BlueShield HMO* +18.40% +7.37%  -11.03%
Excellus*   +19.59% +9.23%  -10.36%
Fidelis*    +7.14% +3.23%  -3.91%
Health Republic Insurance of New York* +15.35% +13.04%  -2.31%
Healthfirst*       -9.67%  -11.95%  -2.28%
HealthNow*  +7.24% +1.41%  -5.83%
Independent Health Benefits Corp.* +5.44%  -2.01%  -7.45%
MetroPlus Health Plan* +17.78% +6.90%  -10.88%
MVP Health Care* +18.31% +11.97%  -6.34%
Care Connect (North Shore LIJ)*   -1.24%  -3.22%  -1.98%
Oscar*      +6.28% +3.88%  -2.40%
Oxford Health Plan +1.08%  -9.41%  -10.49%
UnitedHealthcare of NY*     -5.85%  -15.32%  -9.47%
All Companies +12.50% +5.70%  -6.80%

* Companies that offer individual coverage on the NY State of Health Individual Marketplace

(Note: Freelancers Insurance Company, Crystal Run Health Plan, Montefiore Insurance Company, and Wellcare of NY* are new entrants to the market and are selling new products with new premium rates, and therefore did not request rate increases. Accordingly, their premium rates are not shown in the above chart.)

2015 SMALL GROUP MARKET RATE ACTION - OVERALL SUMMARY

Company Requested Average Change Approved Average Change Reduction 
Aetna Health, Inc. +22.27% +7.98%  -14.29%
Aetna Life Insurance Co. +25.81% +10.19%  -15.62%
CDPHP +13.49% +8.92%  -4.57%
CDPHP Universal Benefits, Inc. *     +11.24% +7.46%  -3.78%
Emblem-HIP*     +11.88% +10.32%  -1.56%
Empire HealthChoice Assurance +23.34% +12.53%  -10.81%
Empire BlueCross BlueShield HMO      +22.62% +11.87%  -10.75%
Excellus *   +16.45% +12.20%  -4.25%
Health Republic Insurance of New York*  +5.89% +3.36%  -2.53%
HealthNow*   -1.82%  -2.31%  -0.49%
Indpendent Health Association +4.35% +2.80%  -1.55%
Independent Health Benefits Corp.* +5.44% +3.87%  -1.57%
Managed Health, Inc.    +0.83%  -2.59%  -3.42%
MetroPlus Health Plan* +30.60% +14.41%  -16.19%
MVP Health Plan, Inc.*      +13.62% +11.76%  -1.86%
MVP Health Services Corp.     +14.54% +12.66%  -1.88%
Care Connect (North Shore-LIJ)*   -14.61%  -14.61%  -0.00%
Oxford Health Insurance* +12.23% +3.21%  -9.02%
Oxford Health Plan +16.18% +8.79%  -7.39%
UnitedHealthCare Insurance Co. of NY +17.04% +2.12%  -14.92%
All Companies +13.90% +6.70%  -7.20%

* Companies that offer small group coverage on the NY State of Health Small Business Marketplace

(Note: Crystal Run Health Insurance Company, Crystal Run Health Plan, and Montefiore Insurance Company are new entrants to the market and are selling new products with new premium rates, and therefore did not request rate increases.  Accordingly, their premium rates are not shown in the above chart.)

2014 and 2015 Approved Premium Rates - On and Off MarketPlace - Individual

2014 and 2015 Approved Premium Rates - On and Off MarketPlace - Small Group