OE8

Back in July I posted a partial look at the preliminary 2021 ACA market landscape for Texas. I only had data for about 1/3 of the carriers at the time, so it was more of an overview than anything.

Now I have most of the data needed to analyze the individual market for 2021: Assuming no major changes in the approved rates, carriers are averaging around a 7.4% premium increase next year. This is actually unusually high for 2021 so far...other states are averaging less than 2% overall.

Most of the rate hike seems to be caused by Celtic/Ambetter ("Superior Health Plan"), which holds 1/3 of the entire market and is raising rates by nearly 12%. Blue Cross Blue Shield, which has another 36% market share, is only raising rates 3%, while the third and fourth largest carriers in the market, Molina and Oscar, are raising rates by 5.3% and 14.7% respectively.

There's also a couple of misleading numbers--both divisions of "Scott & White" are massively DROPPING their premiums for 2021, by 33% and 54%...but they have fewer than 2,000 people enrolled total to begin with; make of that what you will.

Utah's preliminary (and possibly final?) 2021 individual and small group market rate filings are listed below. Unless there's a change in the final/approved rates, individual marekt plan premiums will drop slightly by around 1.2% on average next year, while small group plans will increase by around 4.3%.

There are three insurance carriers offering ACA-compliant individual market plans in West Virginia: CareSource, Highmark BCBS and Optum, although Optum has barely any enrollees at all, and the other two combined only total around 21,000 people in the state. The preliminary 2021 rate filings for the WV individual marekt is around a 4.8% average increase.

I have no idea what the enrollment numbers are for WV's small group carriers, so I can't run a weighted average, but the unweighted average increase for 2021 comes in at around 3.8% across the five sm. group carriers:

Wyoming

Not much to this one: Wyoming has just a single carrier selling ACA-compliant individual market policies to their 577,000 residents, Blue Cross Blue Shield...which, after raising rates 1.6% for 2020 is now reducing them by a solid 10% on average for 2021. The ~25,000 enrollment figure is an estimate.

For the small group market there are two carriers: BCBSWY and UnitedHealthcare, asking for an unweighted average rate reduction of 0.2% (I don't have a clue how many enrollees either one has).

 

A week or so ago I noted that California's ACA exchange, CoveredCA, issued a press release which included several important items:

  • First, CA's Small Group Market premiums are increasing by just 1.5% in 2021 (the lowest average increase since the ACA passed)
  • Second, CA's Individual Market premiums are increasing by just 0.6% on average in 2021 (identical to the preliminary rate requests)
  • Third, that Open Enrollment technically already started back on October 1st...sort of.

The official launch of Open Enrollment in every state isn't until November 1st, but for the past couple of years California has allowed current enrollees already in their system to actively renew/re-enroll for the upcoming year starting on October 15th. This year, it turns out they quietly moved that date back even earlier--current enrollees have been able to re-enroll starting as early as October 1st! I don't recall them ever making a big public announcement about this; I sort of stumbled upon it by accident.

Way back in May (a lifetime ago!), the Oregon Insurance Dept. was one of the first states to release their preliminary 2021 ACA premium rate filings for the individual and small group markets.

At the time, the carriers were asking for a weighted average 2.4% increase on the indy market (OR DOI put it at 2.2%) and a 4% increase for small group policies.

They issued some slightly revised rates later on in the summer, and sometime in August I believe they issued the final approved rates...which are just slightly lower on a few carriers.

In the end, 2021 Oregon enrollees are looking at weighted average premium hikes of 2.1% for indy plans and 3.7% for small group policies:

Back in early August, Covered California issued an extensive analysis of their upcoming 2021 individual market offerings, including the preliminary weighted average premium rate changes of just a 0.6% increase. Officially, this was just the average of the preliminary requests; the approved rates were presumably forthcoming at a later date.

Well, the 2021 Open Enrollment Period has technically already started in California...while new enrollees still have to wait until November 1st, current CoveredCA enrollees have apparently been able to re-enroll for 2021 since October 1st! (In previous years, CoveredCA opened up the renewal period starting on Oct. 15th)

A month ago the Oklahoma Insurance Department posted the preliminary 2021 individual & small group market rate filings, including the following press release:

Oklahoma Consumers to Have More Health Options for 2021 ACA Plans

OKLAHOMA CITY – Insurance Commissioner Glen Mulready announced today the 2021 preliminary rate filings for health insurance plans under the Affordable Care Act (ACA). Insurers that currently offer coverage through the Oklahoma Marketplace filed plans requesting average statewide increases of 2.7 percent.

In August, the Nevada Insurance Dept. issued their preliminary 2021 rate filings for the individual and small group markets. Unfortunately, while the filing summaries were easy to find, the actual enrollment numbers weren't. As a result, I only had the department's press release to go on for the weighted overall average on the individual market, and I had to go with an unweighted average for the small group market.

Fortunately, now that the NV Insurance Dept. has issued the approved 2021 rates, they've also added more detailed summaries for both markets, meaning I have effectuated enrollments for every carrier. This allows me to run a proper weighted average rate change across both:

In early August, the Kentucky Insurance Dept. posted preliminary 2021 rate filings for the individual and small group markets. At the time, the carriers were requesting average increases of 11.6% on the individual market (unusually high this year) and 9.7% for the small group market.

More recently, they posted the approved 2021 rate changes, and the individual market hikes have been cut by more than half, to just a 5.0% increas on average.

Small Group plans have also been shaved down slightly, from a 9.7% average increase to 8.8%.

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