2022 Rate Changes

New York

OK, I'm a wee bit behind on this one (the press release is dated August 13th!), but here's the final, approved 2022 premium rate changes for New York's individual and small group markets:

DFS ANNOUNCES 2022 HEALTH INSURANCE PREMIUM RATES, SAVING NEW YORKERS $607 MILLION

New Jersey

via the New Jersey Dept. of Banking & Insurance:

NJ Department of Banking and Insurance Announces More Health Insurance Offerings in 2022, Record Levels of Financial Help Available for Another Year at Get Covered New Jersey

  • 9 in 10 enrolling on the marketplace qualify for financial help; majority of consumers receiving assistance can find a plan for $10 a month or less

TRENTON — The New Jersey Department of Banking and Insurance today announced that consumers shopping for 2022 health coverage this fall at Get Covered New Jersey, the state’s official health insurance marketplace, will continue to benefit from record levels of financial help available from the federal American Rescue Plan and the State of New Jersey. Consumers will also have more choice, with the entry into the market of a new health insurance company, Ambetter from WellCare of New Jersey, increasing the number of carriers offering plans on the marketplace.

Minnesota

via MNSure:

Minnesota Families Will Save an Average of $684 per Year and Access More Heath Plan Choices in 2022

ST. PAUL, Minn.—The Minnesota Department of Commerce and MNsure released information today on 2022 health plan rates and options in advance of the open enrollment period, which begins November 1.

On average, Minnesota families will save $684 per year and will be able to access more health plan choices than previous years. More Minnesotans than ever before are eligible to receive tax credits to lower monthly premium costs through federal funding provided in the American Rescue Plan. Minnesotans who buy their own individual health insurance for 2022 will have access to hundreds of dollars in savings when choosing health plans via MNsure. Minnesotans will also be able to choose from more health plan options being offered through MNsure.

District of Columbia

via DC Health Link:

District Announces 2022 Health Insurance Rates

(Washington, DC) - Today, the District of Columbia Department of Insurance, Securities and Banking (DISB) announced the 2022 approved individual and small business health insurance rates. As a result of the Department’s review, most insurers decreased their initial rate proposals, which will save District residents more than $16 million.

“On behalf of the Bowser Administration, DISB performed a thorough review of 157 small group plans and 27 individual plans to ensure that they meet the District’s standards and provide non-discriminatory, accessible and affordable health insurance for our residents,” said DISB Commissioner Karima M. Woods.

New Hampshire

The good news about New Hampshire's health insurance market is that they're the only state without its own ACA exchange which produces publicly-accessible monthly reports on individual on-exchange market enrollment. The bad news is that they don't seem to publish the actual rate filings in an easy-to-read format, which means I'm left with the federal rate review website. The problem with that is the rate filings are mostly heavily redacted, making it impossible to get the total enrollment data.

As a result, I only have on-exchange enrollment numbers for the individual market and no enrollment data for five of the six small group market carriers in New Hampshire. For the individual market, it looks like the off-exchange market only has around 7,000 enrollees, since nearly 48,000 are on-exchange.

Assuming similar ratios for the off-exchange market, that's a weighted average increase of 3.2%; if not, the unweighted average increase is just under 5.0%.

Nevada

via the Nevada Insurance Dept:

Division of Insurance announces approved health insurance plans and rates for the individual health insurance market

October 1, 2021

  • Division announces approved health insurance plans and rates for the individual health insurance market
  • Nevada Consumers encouraged to view and compare health insurance plans and rates for 2022

Carson City, NV – In preparation for Open Enrollment next month, the Nevada Division of Insurance has made public the approved health insurance rates for consumers who shop on the individual health insurance market, both on and off the Silver State Health Insurance Exchange (Exchange), which is the state agency that oversees and connects eligible Nevada residents to affordable health and dental plans through Nevada Health Link.

Nebraska

Nebraska doesn't even bother listing indy/small group plan rate filings on their own insurance department website...the link goes directly to the federal Rate Review database. The problem with this is that very few filings here are unredacted, which means it's difficult to acquire the policy enrollees for many carriers needed to run a weighted average.

Fortunately, Nebraska has only 3 carriers for 2022...one of which is brand new to the state (Oscar Health), and of the other two, Medica's filing summary does include an exact number of enrollees. That leaves just Bright Health, and since I know (roughly) how many enrollees are in Nebraska's overall indy market, voila: 8.6% average rate increases.

On the other hand, I don't have the enrollment for any of the 4 Small Group market carriers. It also looks like UnitedHealthcare is pulling out of the NE sm. group market, but it might just be that the federal database doesn't have them listed yet (I doubt this since it's so close to the Open Enrollment Period). The unweighted average rate change is a 2.1% reduction:

Montana

See how simple that was, other state health insurance carriers?

Seriously, if every state displayed their annual rate filing data in as simple and clear-cut a fashion as Montana does, I'd be a much happier man. Admittedly, several others do, but the trickiest issue is usually getting the estimated enrollment numbers.

In any event, not much to say about Montana's ACA markets in 2022: No new carriers are jumping in, no current ones are dropping out, and the rate changes are pretty straightforward: +0.5% on the individual market, +5.2% on the small group market.

Georgia

Georgia's health department doesn't publish their annual rate filings publicly, but they don't hide them either; I was able to acquire pretty much everything via a simple FOIA request which was responded to within a few hours of my asking.

There's several important developments happening in Georgia this year; I'll let Louise Norris explain:

As of 2021, there are six insurers that offer exchange plans in Georgia. Five additional insurers plan to join them for 2022: Friday Health Plans, Bright Health, Aetna, UnitedHealthcare, and Cigna (Aetna, UHC, and Cigna all participated in Georgia’s exchange previously, but left at the end of 2016).

Florida

Florida state law apparently gives private corporations wide berth as to what sort of information, which is easily available in some other states, they get to hide from the public under the guise of it being a "trade secret."

In the case of health insurance premium rate filing data, that even extends to basic information like "how many customers they have."

If you think I'm being sarcastic, this is literally a screenshot of what you get if you attempt to use the Florida Office of Insurance Regulation's filing search:

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