Medical Loss Ratio

Back in December, Congress passed, and Donald Trump signed, a $1.4 Trillion federal spending package which included, among other things, the permanent elimination of several taxes which had been established to help fund the Affordable Care Act:

The Cadillac Tax: As Newsweek reported in 2017, the so-called "Cadillac tax" would have capped the tax deductions individuals could claim based on their health insurance benefits. It would have imposed a 40 percent excise tax on employer-sponsored plans that exceeded $10,000 in premiums per year for a single person or $27,500 for a family. The Cadillac tax was set to take effect in 2022.

For weeks now, my blog posts have been overwhelmed by my state-by-state analysis of the preliminary 2020 ACA individual market rate filings. With the addition yesterday of Illinois, Hawaii, Iowa, Kansas and especially Florida, I've now accounted for over 75% of the total ACA Individual Market nationally.

I still have a dozen states to go, including large ones like Texas and Georgia, but barring some devastatingly huge rate hikes, the picture is clear: Average unsubsidized 2020 ACA individual market premiums will only be going up an average of less than 1% nationally.