END OF 2018 OPEN ENROLLMENT PERIOD (41 states)

Time: D H M S

UPDATE: OH, THE HUMANA-TY...Humana pulling out of at least 5 states (but only 25K impacted)

This is really just a summary of my last 4 posts. I've combed through the SERFF databases for every state which uses the system for rate filings, and while very few have the actual 2017 rate filing requests listed yet, at least 4 of them have official individual market exit letters submitted for 2017 from Jane Rouse, the Product Compliance Process Owner for Humana Insurance Co:

This list may grow as additional state filing data and/or press releases come out from Humana, but assuming these are the only 4 states Humana is bailing on, the news isn't quite as bad as it appears at first.

To keep things in perspective, add the 4 numbers above up and it's 25,512 people across 4 states with a combined population of 21.8 million. Put another way, these 25.5K people represent only 2.9% of the 875,700 people Humana currently has enrolled in individual policies (both on & off exchange) nationally.

To be clear, I'm not saying this is a good development; when you combine it with the recent UnitedHealthcare Dropout Odometer it's more of a drip-drip-drip sort of thing. But it isn't disasterous for the exchanges either (at least not yet).

UPDATE: I've been informed by a reliable source that Humana is also dropping out of the individual market in Nevada next year, although I don't have any actual enrollment data there. Humana is not currently participating on the Nevada exchange, however, so any dropped enrollments would be OFF-exchange only. In fact, I'm pretty sure that the only individual market enrollees Humana has in Nevada are grandfathered policies anyway, so the numbers should be pretty nominal there.

Update: I also dug up two other noteworthy letters for Tennessee and North Carolina:

  • In North Carolina, Celtic Insurance is also pulling out of the individual market...but from what I can tell, they barely had anyone enrolled there anyway (they only had 1 bronze plan available, and it doesn't look like they have more than a handful of people using it):

  • Meanwhile, in Tennessee, I think Humana is sticking around next year, but this notification regardng a rate hike request for transitional policies only makes it difficult to be certain. At the very least, Ms. Rouse hasn't submitted an exit notice for 2017 yet (and yes, Humana is available on the exchange in Tennessee this year):

UPDATE: Thanks to Zach Tracer for filling in some more blanks; apparently Humana...

  • Is indeed sticking around in Tennessee next year. Interestingly, they're only going to be available on exchange in TN, which is highly unusual (usually carriers sell both on/off or off exchange only)
  • Is also staying around in Mississippi (where it's expanding into more counties) and likely in Colorado (where it's dropping some offerings)
  • No word on Texas, Florida, Georgia, Louisiana or Missouri
  • Humana is currently on the exchange in 15 states. I've confirmed that they're dropping off the exchange in 2 of them (AL & VA).

UPDATE 5/6/16: Over at Ballon Juice, Richard Mayhew provides some additional perspective on Humana's moves:

Alabama is the bad news from a policy perspective.  Everything else is effectively background noise.  The important questions is what does Humana do in the states where they have significant membership (excluding Alabama).  If they stay in most of those states while cutting lose states with under 10,000 members then this is a mild course change.  If they pull out of states where they have 30,000, 40,000, 50,000 or more members than that news is far more valuable and disturbing.