Washington State

It's turned into an annual tradition: The official annual ACA Open Enrollment Period (OEP) runs from November 1st - December 15th, but most of the state-based ACA exchanges have later deadlines. hThen, right around the 12/15 point, it begins: One by one, some of the state-based exchanges announce further extensions of their deadlines to #GetCovered for the upcoming year.

In some cases they simply bump out the deadline for coverage starting in January, with the final "hard" deadline for February or March coverage staying where it is. In other cases they were never allowing Open Enrollment start dates past January to begin with, so it's the hard deadline which is being extended.

In any event, here's this year's batch of announcements; note that this list could grow longer over the next week or two:

via the Washington Health Benefit Exchange:

Washington Healthplanfinder Urges Customers to Act Now for Jan. 1 Health Coverage

  • People need to enroll in their desired 2021 health plan by midnight, Tuesday Dec. 15

Washington Healthplanfinder is urging individuals needing 2021 health and dental coverage beginning Jan. 1 that they have less than 36 hours to take action and sign up. Customers wanting coverage that starts Jan.1 must select a plan through Washington Healthplanfinder by 11:59 p.m. this Tuesday, Dec. 15.

“For those who have left this decision to the last minute, now is the time to sign up for 2021 health and dental coverage,” said the Exchange Chief Executive Officer Pam MacEwan. “There are plenty of resources available to help people understand their options and secure health insurance coverage.”

via the Washington Health Benefit Exchange:

Over 200,000 have signed up for health coverage; Get covered by December 15 on Washington Healthplanfinder

  • Beat the rush by signing up today on Get Covered Day #GetCovered2021

OLYMPIA, Wash. -- As sign ups continue to increase, Washington Healthplanfinder reminds individuals today, Get Covered Day, to visit WA HealthPlan Finder to secure their health and dental coverage by Dec. 15 to ensure a start date of Jan. 1, 2021.

As of Dec. 10, over 200,000 Washingtonians have signed up for 2021 coverage, 5% more than last year at this time, and one person every 17 seconds. Among the 20,000 new customers, over 40% have selected a new Cascade Care plan. These new plans offer deductibles that are on average $1,000 less than other plans, and cover more services prior to meeting a deductible, including primary care visits, mental health services, and generic drugs.

via the Washington Health Benefit Exchange:

Health Insurance Coverage is More Important Than Ever – In Person Help Still Available during New Statewide Restrictions

The 2021 open enrollment period is underway, and Washingtonians are now signing up for health plans, including in new Cascade Care health plans. After months of a global pandemic – needs have changed due to job loss, or working from home, or family income changes. Individuals seeking health coverage can now shop more options this year, along with financial assistance, by visiting Washington Healthplanfinder to sign up for health and dental coverage.

“With infection rates climbing and economic uncertainty across Washington state, now is the time to sign up for health coverage,” said Chief Executive Officer Pam MacEwan. “There are many resources available to help individuals understand their options.” 

The Washington ACA exchange has reported their initial numbers, and like Connecticut, the top figure is a bit misleading: 182,000 Washingtonians enrolled in the first four days!...except that, again, 99% of these are current exchange enrollees having their auto-renewals front-loaded:

Washington Healthplanfinder reminds Washingtonians that open enrollment has started, encouraging those seeking health coverage to visit WAhealthplanfinder.org to shop, choose, and save on health and dental coverage.

“Our focus remains on encouraging customers to review their options and sign up for coverage that meets their needs,” said Exchange Chief Executive Officer, Pam MacEwan. “The 2021 open enrollment period has begun, and residents should use this opportunity to access coverage that will last them all year.”

Way back in June, the Washington Insurance Dept. posted the state's preliminary 2021 preliminary individual & small group market premium rate filings. At the time, the weighted average across all carriers was a 1.8% drop in individual market premiums and a 3.4% increase in small group rates. They also announced the addition of two new carriers to the individual market: Community Health Network and UnitedHealthcare of Oregon. It's important to note that both of these new carriers will only be providing WA's new (quasi) Public Option plans.

Last month, however, the WA DOI announced the approved 2021 rates...for the individual market only, and even then it's missing two carriers which are still under review (Asuris and Health Alliance NW). The missing carriers only have 1,200 enrollees between them, however, so any changes to their requested rates won't move the needle noticeably:

Thanks to Louise Norris for the heads up on this.

Over a year ago, the Washington State legislature passed (and Gov. Inslee signed) a bill to create, for the first time, a state-based Public Option healthcare plan for the individual market. As I noted at the time, there's a few important caveats which illustrate again just how difficult it is to make major overhauls to the healthcare system, even at the state level:

via the Washington HealthPlanFinder:

CEO Statement on Recent Events

“As CEO of the Washington Health Benefit Exchange, I have been saddened and horrified by the brutal death of George Floyd while in police custody. His death represents one of the most recent in a long history of violence against black people, including Philando Castile, Breonna Taylor, and Ahmaud Arbery, and far too many others. As communities across the state and the nation voice their justified anger and frustration, we stand with the Black community and all communities of color. This tragic event reminds our leadership and staff of the urgent need to continue to address structural racism as a way to narrow health disparities, especially in communities of color.

“We, too, are deeply concerned about the property damage taking place in our cities. It is harmful to so many people, including the communities who are working to make their voice heard. We choose to focus on the protestors’ message of racial justice over the damage being committed by a disorganized few, because property is replaceable and Black lives are not.

via the Washington Insurance Commissioner's office:

OLYMPIA, Wash. – Fifteen health insurers filed an average proposed rate decrease of 1.79% for the 2021 individual health insurance market. This includes two new insurers — UnitedHealthcare of Oregon and Community Health Network of Washington — that are joining Washington’s market. 

With 15 insurers in next year’s individual market, all 39 counties will have at least two insurers selling plans inside the exchange, Washington Healthplanfinder. Ten insurers will sell plans outside of the exchange. 

The proposed average rate decrease follows an average premium reduction of 3.25% for 2019 plans. 

Washington State's insurance commissioner's office just announced the state's 2021 Individual Health Insurance Market participants. While they won't be announcing the proposed 2021 premium rate changes until June 1st, there's still several important developments in this press release:

OLYMPIA, Wash. – Fifteen health insurers filed 183 plans for Washington’s 2021 individual health insurance market — with two new insurers entering: UnitedHealthcare of Oregon and Community Health Network of Washington. 

The filings indicate a strong response from health insurers to provide more choice for consumers during the current coronavirus pandemic. They also show that individuals in all counties in Washington will have at least two options for coverage in 2021, a distinct change from recent years.  

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