I'm pleasantly surprised to report that after several years of Kentucky's rate filings being heavily redacted, this year at least (and hopefully going forward), I was able to acquire the actual enrollment data for all of them...not just the individual market, but the small group market as well!
There are four carriers offering policies on the KY individual market (Anthem, CareSource, Molina and WellCare), with an weighted average rate change request of 8.5%, while the small group carriers are requesting steeper average increases of 17.8% for what seems to be shrinking market.
Kansas is another state where the annual rate filings are redacted for many of the carriers; as a result, I can only run a semi-weighted average, and even that is dependent on my estimate of the total individual market size being accurate (my general rule of thumb as long as the enhanced subsidies of the IRA are in place is that about 90% of most states individual market enrollment is on-exchange unless I have data proving otherwise).
With that in mind, the carriers on the Kansas individual market are asking for rate hikes ranging from 2.1% - 24.4%, with an estimated semi-weighted average of 8.9%.
For the small group market, I can't even run a semi-weighted average since I have no idea what the KS small group market size is overall, but the unweighted average rate hikes being requested is 14.9%.
It's also worth noting that unless I'm missing something, US Health & Life Insurance seems to be pulling out of the Kansas individual market, while both Aetna and Cigna seem to be missing from the small group market.
Here's the preliminary 2025 ACA individual and small group market rate filings. Unfortunately, the effectuated enrollment isn't available this year for the carriers in either market, so I can only offer unweighted averages...which include a 3.1% reduction on the indy market and a 6.9% increase for small group enrollees.
the only other noteworthy item is that it looks like HealthPartners UnityPoint is dropping out of Iowa's small group market next year...but with 9 other carriers participating there's still plenty of options for that population.
Hawaii only has two health insurance carriers serving the individual market, Hawaii Medical Service Assocation and Kaiser Foundation Health Plan. Both of them have submitted their proposed premium rate filings for 2025: HMSA is requesting a 7.6% hike, while Kaiser is only asking for a 4.0% bump. The weighted average is 6.4%.
On the small group market, the 5 carriers participating are requesting unweighted average increases of 7.1% statewide.
Florida state law 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."
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. Huge kudos to the GA OCI folks!
Georgia's individual market has grown dramatically over the past two years; it went from 660,000 in 2023 to 813,000 people in 2024 to a stunning 1.3 MILLION this year. The weighted average rate increase for unsubsidized enrollees will go up 9.9% if state regulators approve all of the carrier requests as is.
(Washington)– The District of Columbia Department of Insurance, Securities and Banking (DISB) has received 193 proposed health insurance plan rates for annual review in advance of open enrollment for plan year 2025. The proposed rates were submitted for DC Health Link, the District of Columbia’s health insurance marketplace, from CareFirst BlueCross BlueShield, Kaiser and United Healthcare.
The proposed rates are for individuals, families and small businesses for the 2025 plan year. Overall, the number of plans submitted for 2025 is down by 22 from those submitted for 2024. The number of small group plans decreased from 188 to 166 while the number of individual plans remained at 27.
The Biden-Harris Administration today continued its historic investment in health care coverage and the Affordable Care Act (ACA) by awarding a new round of $100 million to organizations vital to helping underserved communities, consumers, and small businesses find and enroll in quality, affordable health coverage through HealthCare.gov, the Health Insurance Marketplace®.
The Centers for Medicare & Medicaid Services (CMS) is awarding the grants, in advance of this year’s Marketplace Open Enrollment (which begins November 1, 2024) to 44 Navigator grantees in states using HealthCare.gov. The grants are part of a commitment of up to $500 million over five years — the longest grant period and financial commitment to date, and a critical boost for recruiting trusted local organizations to better connect with those who often face barriers to obtaining health care coverage.
The Inflation Reduction Act is saving Americans millions in lower prescription drug costs and making health insurance more affordable.
Two years ago today, President Biden signed into law historic legislation to lower health care costs for millions of Americans. The Inflation Reduction Act, also known as the lower cost prescription drug law, created the first ever annual cap on out-of-pocket drug costs for people with Medicare, capped the cost of each covered insulin at $35 per month, granted Medicare the power to directly negotiate drug prices, and made Affordable Care Act (ACA) marketplace plans more affordable, leading to the lowest uninsured rate in history.
In a historic moment that will help lower prescription drug prices for millions of people across America, the Biden-Harris Administration announced that it has reached agreement for new, lower prices for all 10 drugs selected for negotiations. These negotiated drugs are some of the most expensive and most frequently dispensed drugs in the Medicare program and are used to treat conditions such as heart disease, diabetes, and cancer. The new prices will go into effect for people with Medicare Part D prescription drug coverage beginning January 1, 2026.
