New Jersey individual & small group market carriers are asking for unweighted average rate increases of 6.7% and 13.0% respectively for 2024. However, the unweighted averages don't tell the whole story--the carriers are asking for rate hikes ranging from as low as 3.8% to as high as 13.8% on the individual market, and from as low as 2.3% to a stunning 25.9% for small group plans.
As is the case with far too many states these days, most of the rate filing memorandums are heavily redacted in New Jersey, making it nearly impossible to get ahold of the actual enrollment numbers, which means I have no way of running a weighted average on either market.
New Jersey Department of Banking and Insurance Issues Guidance to Insurance Carriers to Ensure Nondiscriminatory Health Coverage to Transgender Individuals
Addresses obligation to follow laws against discrimination based on gender identity, gender expression or on the basis that an individual is a transgender person
TRENTON — Department of Banking and Insurance Acting Commissioner Justin Zimmerman today issued a bulletin providing guidance to insurance carriers concerning health coverage for transgender individuals to ensure all New Jersey residents have equal access to health coverage and health care.
The guidance follows Executive Order No. 326 signed by Governor Phil Murphy in April protecting gender-affirming health care in New Jersey.
New Jersey Department of Banking and Insurance Establishes Extended Special Enrollment Period at Get Covered New Jersey for Individuals Losing NJ FamilyCare Coverage
TRENTON – New Jersey Department of Banking and Insurance Commissioner Marlene Caride today announced the creation of an extended Special Enrollment Period for individuals who are no longer eligible for NJ FamilyCare and qualify for health insurance through Get Covered New Jersey, the state’s Official Health Insurance Marketplace.
Per federal law, the Department of Human Services is restarting eligibility reviews for NJ FamilyCare as of April 1, which will result in some individuals who are no longer eligible being disenrolled from the program. For those who no longer qualify for NJ FamilyCare because their income is too high, they may be eligible to obtain health coverage through Get Covered New Jersey and may be able to get help paying for premiums.
Feds Approve Innovative NJ FamilyCare Projects Addressing Housing, Behavioral & Physical Health, Providing Care & Other Creative Approaches
1115 Demonstration Approval Continues Long-Standing Medicaid Programs and Allows New Innovations
TRENTON – The Centers for Medicare and Medicaid Services (CMS) has approved innovative NJ FamilyCare projects designed to address priorities such as housing, integrating behavioral and physical health services, and new and creative approaches to providing care.
CMS signed off on the projects by approving NJ FamilyCare’s Comprehensive 1115 Demonstration renewal. The 1115 demonstration provides the state with federal authority to operate large parts of the NJ FamilyCare program. The approval is in effect from April 1, 2023 through June 30, 2028.
ICYMI: Governor Murphy and Commissioner Caride Announce Record-Breaking 341K People Signed Up for Health Insurance During Open Enrollment Period
Nearly 40% Increase in Sign-Ups Since the Murphy Administration Assumed Operation of the Health Insurance Exchange
Residents with a Qualifying Life Event or Who Meet Certain Income Levels Still Have Options to Get Covered
TRENTON – Governor Phil Murphy and Department of Banking and Insurance Commissioner Marlene Caride today announced that more than 341,000 New Jerseyans signed up for health coverage through Get Covered New Jersey during the Affordable Care Act Open Enrollment Period – a record high in New Jersey.
Residents Urged to Sign up for Health Coverage as Get Covered New Jersey Open Enrollment Deadline Nears
Total signups over 321K as residents continue to benefit from record savings; Two weeks left to enroll
TRENTON – New Jersey Department of Banking and Insurance Commissioner Marlene Caride today announced that more than 321,000 New Jersey residents signed up for a 2023 health insurance plan through the state’s official health insurance marketplace, Get Covered New Jersey, in the first nine weeks of the Open Enrollment Period that started on November 1, 2022.
With just two weeks left in the Open Enrollment Period, Commissioner Caride urged residents in need of health coverage to review their options and sign up today. Open Enrollment for 2023 health insurance ends January 31st, 2023 in New Jersey.
TRENTON — Following votes by the boards of both the Individual Health Coverage Program and the Small Employer Health Benefits Program, the New Jersey Department of Banking and Insurance today announced that requirements for comprehensive abortion coverage among insurers in the individual and small employer markets will take effect for the start of the 2023 plan year on January 1, 2023.
The department issued a study last month that found a need for regulatory action to require coverage for abortion services without exceptions under health benefits plans regulated by the department. The study was performed as part of the implementation of the historic Freedom of Reproductive Choice Act signed by Governor Phil Murphy earlier this year.
At the department’s request, the Individual Health Coverage Program and the Small Employer Health Benefits Program boards began the process last month to implement coverage changes and the boards voted unanimously yesterday to formally accept the changes.
via the New Jersey Dept. of Banking & Insurance (via email; no link yet):
NJDOBI Announces Nearly 300K Have Signed Up for Health Insurance through Get Covered New Jersey
NJ residents must enroll by Dec. 31 for coverage starting Jan. 1
9 in 10 People Who Enroll Qualify for Savings; Many Pay $10 a Month or Less for Health Coverage
TRENTON – New Jersey Department of Banking and Insurance Commissioner Marlene Caride today announced that nearly 300,000 New Jersey residents signed up for a 2023 health insurance plan through the state’s official health insurance marketplace, Get Covered New Jersey, in the first five weeks of the Open Enrollment Period that started on November 1, 2022. Total signups have increased compared to the same timeframe last year, as residents continue to take advantage of record levels of financial help available from the State of New Jersey and the federal government.
Open Enrollment for 2023 health insurance ends January 31st, 2023, but residents must enroll in a plan by December 31st, 2022 for coverage to take effect on January 1st, 2023.
Department Releases Study and Begins Rulemaking Process to Require Health Benefit Plans Cover Abortion Services Without Exceptions that Limit Coverage; Requests that Insurers Implement Change for 2023
TRENTON — The New Jersey Department of Banking and Insurance today announced that it has released a study on access to comprehensive reproductive health care that found a need for regulatory action to require coverage for abortion services under health benefits plans regulated by the department, and has begun the formal rulemaking process to implement the requirement. The department performed this study as part of the implementation of the historic Freedom of Reproductive Choice Act signed by Governor Phil Murphy earlier this year, which codifies the constitutional right to freedom of reproductive choice in New Jersey.
Residents Can Preview Available Plans and See if They Qualify for Financial Help Now at GetCovered.NJ.gov
9 in 10 people Who Enroll Qualify for Savings; Many Pay $10 a Month or Less for Health Coverage
TRENTON — Governor Phil Murphy and New Jersey Department of Banking and Insurance Commissioner Marlene Caride announced today that consumers shopping for 2023 health coverage can start purchasing plans beginning November 1, 2022, when Open Enrollment begins at the state’s Official Health Insurance Marketplace, Get Covered New Jersey. Consumers will benefit from historic levels of financial help that remain available for the upcoming year and more plan options with the addition of a new insurance company offering plans on the marketplace.
