Individual Market Proposed Average Rate Changes for Plan Year 2027
The summary table below provides an overview of the proposed average rate changes from 2026 in the individual health insurance market, as reported by the insurers.
It is important to note these are the initial rates proposed by the insurers and filed with the Departments. Rates are subject to review and approval by the Departments, and the final approved rates may vary from these proposed rates for many reasons.
Additionally, the actual rate change a consumer will experience in 2027 can vary from the average – with factors such as specific plan, geographic rating area, and age playing a major role.
...Aspirus Health Plan will be new to the exchange for Plan Year 2027. While UCare individual plans were supported throughout Plan Year 2026 to ensure a smooth transition for Minnesotans after the company was acquired by Medica, UCare plans will no longer be available in Plan Year 2027.
Health insurers must make an application to the Department of Financial Services to evaluate their proposed rate changes. The Department reviews the rate applications along with the insurer’s underlying calculations to make sure that rate increases are justified and not excessive. During review, DFS may request more information from the insurer and consider comments from policyholders or the public. Rate applications and all documents relating to an application can be found here:
Individual and Small Group Medical Premium Rates
Beginning with rate application filings submitted in 2023 for benefit year 2024, rate information will be contained in one place for all insurers, separated by Market Segment.
The Illinois Health Benefits Exchange, which operates the states new ACA exchange, Get Covered Illinois, has published their June advisory committee meeting slide deck. Let's dig in!
Enacted state healthcare legislation
HB 0111: DOI Budget Appropriation: Approval of DOI’s budget appropriation request, which includes $72,345,000 in resources to support GCI’s operation and additional headcount to support the hiring of six new GCI positions.
SB 3815: Health Insurance Enrollment Protections: Prohibits insurers from denying enrollment in coverage when an individual has past-due premiums from a previous plan unless specific conditions are met. Prohibiting insurers from stacking past-due premiums on the initial binder payment and requires insurers to offer a 12-month payment plan for past-due premiums.
SB 3508: Annual DOI Administrative Cleanup Bill: Among other insurance-related items, allows GCI to adopt new federal regulations more easily to ensure timely compliance with ACA provisions.
