Maine: Preliminary avg. unsubsidized 2025 #ACA rate changes: +14.2%

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 theĀ Search Public FilingsĀ 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).

There's a couple of noteworthy items going on here:

The rate summary for the 2025 Maine individual market only lists 4 carriers (Anthem, Harvard Pilgrim, Maine CHO and Taro Health Plan), but the actual SERFF filings list three others: HPHC, UnitedHealthcare of NE and UnitedHealthcare Insurance Co...except all three of these offer off-exchange policies only and they only list 86 enrollees across all three. Also, Maine's individual market seems to have shrunk significantly since the same point a year ago, from 68.2K to 58.8K...down 9,400 people, or nearly 14%. I already knew about some of this, as around 1,300 exchange enrollees were moved over to Medicaid instead this year, but that doesn't account for the rest.

Secondly, while all seven carriers are listed in the small group market summary, the total size of Maine's small group market appears to have shrunk even more dramatically year over year: From over 46,000 in 2023 to just 28,100 this year....around a 40% drop. I have no idea what would account for that.

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