MNsure

The good news out of Minnesota is that the Commerce Dept. has published the preliminary 2021 average rate changes for both the individual and small group markets in a simple table.

The bad news is that they haven't published any of the actual actuarial memos or templates which include the two other critical pieces of data I need to run my analysis: The current effectuated enrollee totals for each carrier, and what (if any) impact the COVID-19 pandemic had on the proposed rate changes.

I was able to estimate the former by looking at MNsure's June executive board meeting slide deck, which breaks out the on-exchange enrollment by carrier by percentage. Unfortunately, this doesn't include off-exhange enrollment. Minnesota's total individual market was around 155,000 people a year ago, so the odds are that nearly 1/3 of the total market is missing below. I also have no idea about any COVID-19 factor in the rate filings yet.

via MNsure (this was actually posted a couple of weeks ago but I missed it):

ST. PAUL, Minn.—99,688 Minnesotans have come to MNsure.org and enrolled in private health insurance through a special enrollment period (SEP) or received eligibility for a public assistance program (Medical Assistance or MinnesotaCare) since March 1. As expected, sign-ups across all programs have been driven by concerns amid the pandemic.

"It’s never been more important to know you’re covered. That’s why we are so glad to have been able to help almost 100,000 Minnesotans gain access to comprehensive health care coverage," said CEO Nate Clark. "But we know there are others out there who are currently uninsured and may qualify to sign up. If you’ve recently lost your employer-sponsored health insurance, had an income change, or have another qualifying life event, come to MNsure.org to see if you’re eligible."

via MNsure:

MNsure offers enrollment opportunity for Minnesotans newly eligible for financial help due to decrease in income

  • MNsure is the only place to get financial help to lower the cost of health insurance

Starting May 11, 2020, MNsure is offering an ongoing special enrollment period for Minnesotans who experience a decrease in household income and become newly eligible for advanced premium tax credits (APTC). Those looking to enroll will need to have had health insurance that meets the standards in the Affordable Care Act, also known as minimum essential coverage (MEC), for one or more days in the 60 days immediately preceding their decrease in household income.

Minnesotans must act within 60 days after they experience a decrease in household income to be eligible. 

via MNsure:

MNsure releases Request for Proposal for the Minnesota Insulin Safety Net Program’s Public Awareness Campaign

  • Submissions accepted until May 26, 2020

ST. PAUL, Minn.—On April 15, 2020, Governor Walz signed the Alec Smith Insulin Affordability Act to provide relief to Minnesotans struggling to afford their insulin. MNsure, the state’s health insurance exchange, is responsible for a creating a public awareness campaign to promote the Insulin Safety Net Program. The public awareness campaign will inform Minnesotans in urgent need of insulin how to access the state’s safety net program, and highlight the availability of insulin manufacturers' patient assistance programs.​ 

The request for proposal (RFP) seeks proposals from qualified firms or contractors capable of producing a statewide public awareness campaign to increase awareness of the Insulin Safety Net Program. The anticipated time frame of the campaign is July 2020 through June 2023.

via MNsure, Minnesota's ACA exchange:

More than 9,400 Minnesotans Enrolled in Private Health Insurance Coverage During MNsure's COVID-19 Emergency Special Enrollment Period

ST. PAUL, Minn.—Last month, Governor Walz announced a 30-day emergency special enrollment period (SEP) for individuals who were uninsured in the wake of COVID-19. During that time, 9,482 Minnesotans enrolled in private health insurance plans through MNsure. The SEP ran from March 23 through April 21. Additionally, more than 13,700 applied for public health insurance programs during that time period.

Every Minnesotan deserves access to the health care they need—especially during the unprecedented time of the COVID-19 pandemic,” said Governor Tim Walz. “I am happy that we were able to offer the special enrollment period so more than 23,000 uninsured Minnesotans were able to enroll in health coverage. Minnesotans without coverage should keep coming to MNsure to see if they are eligible for other special enrollments or publicly funded health care programs with year-round enrollment like Medical Assistance or MinnesotaCare.”

via press release from MNsure:

Don’t Wait: MNsure's COVID-19 Emergency Special Enrollment Period for Uninsured Minnesotans ends Tuesday at Midnight

Uninsured Minnesotans have until 11:59 p.m. on Tuesday, April 21, to enroll in coverage through MNsure’s COVID-19 Emergency Special Enrollment Period. Those who enroll through this SEP will have coverage that retroactively begins April 1. Minnesotans can shop and compare plans and see if they qualify for financial help to pay for their plan by using MNsure’s plan comparison tool.

via MNsure, this includes their ongoing ACA exchange Special Enrollment Period but also explains other options for Minnesotans as well:

Health Insurance Options through MNsure during COVID-19

April 7, 2020

ST. PAUL, Minn.—MNsure, the state’s health insurance exchange, reminds Minnesotans who have recently lost a job, experienced a reduction in hours, or are otherwise uninsured to visit MNsure.org to get connected to health insurance. On MNsure.org, Minnesotans looking for health insurance coverage can compare plans and see if they qualify for financial help to cover the cost of insurance premiums or low-cost or no-cost health insurance either through Medical Assistance or MinnesotaCare.

Here’s what you need to know

Uninsured? Sign up now.

This just in via MNsure...

MNsure Announces Special Enrollment Period for Uninsured Minnesotans in Response to Growing COVID-19 Concerns

ST. PAUL, Minn.—Today MNsure announced a 30-day special enrollment period (SEP) for qualified individuals who are currently without insurance, in response to the potential growth of coronavirus (COVID-19) cases. This SEP that begins Monday, March 23, and runs through April 21, will allow uninsured individuals 30 days to enroll in health insurance coverage through MNsure.org.

“As more cases of COVID-19 are diagnosed throughout the state, we want to make sure every Minnesotan has the security of health insurance to ensure they can get the care they need if they contract this serious illness,” said MNsure CEO Nate Clark. “Uninsured Minnesotans can come to MNsure.org to sign up for coverage.”

Governor Tim Walz recently declared a peacetime emergency in response to the pandemic and stressed the importance of all Minnesotans to take care to avoid the spread of COVID-19.

via MNsure:

Though open enrollment through MNsure has ended, there are still opportunities to enroll through a special enrollment period (SEP). Minnesotans who experience a qualifying life event, like aging off a parent's health insurance (turning 26), getting married, or losing other health coverage, may be eligible to apply. See a complete list of qualifying life events, including coverage start dates.

This Just In from MNsure...

MNsure Reports Strong Enrollment Numbers in Seventh Open Enrollment Period

ST. PAUL, Minn.—117,520 Minnesotans signed up for private health coverage during MNsure’s seventh open enrollment period which ended on December 23, 2019—2,525 more sign-ups than the exchange received by December 23 of the previous year. 

That's a 2.2% enrollment increase year over year (114,995), although CMS's official total was slightly lower than that (113,552 QHP selections). I don't know if the 1,443 discrepancy is due to clerical error cleanup, standalone dental plans being included in the higher number or what, but assuming the 117,520 figure stands, that's actually a 3.5% increase.

MNsure’s operations were notably smooth, and consumers reported improved customer experiences with the new online shopping and enrollment tools MNsure unveiled this year.

via MNsure by press release:

Monday is Your Last Chance to Enroll in Private Health Coverage Through MNsure

December 20, 2019

ST. PAUL, Minn.—Minnesotans have until 11:59 p.m. on Monday, December 23, to enroll in health insurance coverage through MNsure for 2020.

"MNsure stands ready to help Minnesotans in the final days of open enrollment," said MNsure CEO Nate Clark. "The time to get enrolled is right now—don't lose out on your opportunity to get coverage in the new year."

MNsure will have extended Contact Center hours beginning tomorrow: 

  • Saturday, December 21: 10 a.m. to 6 p.m. 
  • Sunday, December 22: 10 a.m. to 8 p.m. 
  • Monday, December 23: 8 a.m. to midnight

Most people qualify for financial help. Minnesotans can see their estimated eligibility for financial help by using MNsure's plan comparison tool.

Please note, this deadline does not apply to Medical Assistance or MinnesotaCare recipients or members of federally recognized Indian tribes. More information about renewing eligibility and reporting changes for Medical Assistance or MinnesotaCare. 

via MNsure by press release:

Less Than a Week to Enroll; MNsure's Open Enrollment Period Ends December 23

ST. PAUL, Minn.—Minnesotans have until 11:59 p.m. on Monday, December 23, to enroll in coverage through MNsure. After that date, Minnesotans will only be able to enroll in private health insurance coverage through MNsure if they qualify for a special enrollment period.

"Anyone with questions or who needs help enrolling should phone our Contact Center or reach out to a MNsure-certified assister,” said MNsure CEO Nate Clark. “We’re here to help. Don't wait until the last minute—get covered today!”

MNsure will have extended Contact Center hours leading up to the deadline: 

via MNsure, Minnesota's state ACA exchange:

ST. PAUL, Minn.—With the end of MNsure's open enrollment period just under two weeks away, MNsure is reminding private health plan enrollees that there is still time to renew or change their coverage for 2020. Additionally, those who are seeking coverage for 2020 and have not yet submitted an application through MNsure can do so through December 23, 2019.

"We strongly encourage all Minnesotans to come back to MNsure.org and compare plans to ensure they are getting the best deal and the best coverage for their family," said Nate Clark, MNsure CEO. "Financial assistance to lower premium costs is available, and the majority of Minnesotans qualify."

MNsure's open enrollment period runs through December 23, 2019, eight days longer than the federal open enrollment period.

Below is a brief guide to assist Minnesotans with coverage during open enrollment:

This just in from MNsure, the Minnesota ACA exchange:

All private health plans offered on the MNsure marketplace limit the out-of-pocket cost to enrollees for insulin prescriptions in 2020. Each of MNsure's four insurers are offering either low-cost or free insulin benefits, meaning consumers purchasing plans through MNsure will pay no more than 25 dollars per month for insulin.

"The rising cost of insulin has put a huge financial burden on many families across Minnesota," said Nate Clark, MNsure CEO. "It’s so important to have access to insulin at an affordable price. We encourage all those looking for prescription insulin coverage to check out the plan options at MNsure.org."

Last year, Minnesota's ACA exchange, MNsure, reported the following QHP selections numbers for the first two weeks of Open Enrollment (technically the first 13 days):

BY THE NUMBERS—

  • Private health plan sign ups—97,944
  • Call volume—14,335
  • Average speed of answer—7 seconds
  • Plan comparison sessions—49,064

The sign-ups reported include new consumers, renewing consumers who have come back and shopped for a new plan for 2019, and renewing consumers who are continuing their previous plan for 2019.

Of those, around 2,400 were new enrollees; the other 95.5K were renewals of existing enrollees (either active or auto-renewals).

For 2020, this just came in from MNsure:

Strong Interest During MNsure's First 10 days; Open Enrollment Update = November 13, 2019

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