Colorado looking at average individual insurance rate increase of 27 percent | SummitDaily.com

Colorado looking at average individual insurance rate increase of 27 percent

Randy Wyrick
rwyrick@vaildaily.com

Western Colorado and parts of the Eastern Plains pay the state's highest health insurance premiums, and among the highest in the nation. Those rates are set to increase yet again in 2018.

DENVER — If you buy individual health insurance on a state exchange, then you'll pay an average of one-third more for it next year.

Individual market insurance premiums will increase by an average of 27 percent across Colorado, and 7 percent for small groups, according to statistics from the Colorado Department of Regulatory Agencies' Division of Insurance.

Cigna wants Colorado's biggest premium increase, 41.2 percent.

Two of Anthem Blue Cross's divisions are asking for substantial rate increases: Anthem HMO, 30.20 percent, and Anthem Rocky Mountain Hospital & Medical Service, 33.50 percent.

Kaiser Permanente is asking for a 24.4 percent increase.

Rate review

Recommended Stories For You

The rate-review process is a balancing act that ensures premiums are neither too high for consumers to pay, nor so low that they threaten the solvency of the insurance companies in the marketplace. The Division also must make sure that plans comply with federal and state laws.

According to its website, the Division of Insurance "does not set insurance premiums, but will review what the companies submitted to determine if the requested increases or decreases are justified."

In late September or early October, after reviewing the submissions, the Division will announce which plans will be available in which counties and the final premiums.

"People cannot afford what they're doing now, plus another 30 percent," said Bethe Wright, of the Wright Insurance Co. in Eagle. "People who have to pay 100 percent of their premiums are going to take a hit."

High health care costs

Residents of Colorado's resort region — Eagle, Summit, Pitkin and Garfield counties — already choke down some of the nation's highest health insurance rates.

Health insurance is expensive because the region has the state's highest heath care costs, said Marguerite Salazar, Colorado's insurance commissioner.

In 2016, Colorado lawmakers ordered the state's Division of Insurance to study making Colorado one health insurance region.

That study, released in August, showed that Western Colorado has the state's highest health insurance premiums because it has the state's highest health care costs.

In 2014, people in Western Colorado spent an average of $5,532, the highest amount in the state. That's 36 percent more than Boulder's per-person cost of $4,073, Colorado's lowest.

The study determined that making Colorado one big health insurance coverage area could reduce Western Colorado health insurance rates by as much as 26.9 percent. However, Boulder's rates could jump 17.2 percent.

Salazar recommended focusing on controlling health care costs as a way to address rising premiums.

"A move to a single geographic rating area would be an attempt to treat a symptom rather than finding a cure," Salazar said in the report.

'Lack of clarity'

Salazar blamed this year's rate increases on "lack of clarity at the federal level," as Congress bickers about what part of the Affordable Care Act will be repealed and replaced, if any. It creates "a great deal of uncertainty in the marketplace," Salazar said.

"These premium increases are not a surprise," Salazar said.

About 6 percent of Coloradans buy individual health insurance through the state exchange. Half of Coloradans receive health insurance through their employers, according to the Division of Insurance.

Many buying health insurance on the state exchange are self-employed business operators, Wright said. Others are hourly workers trying to make ends meet.

"It's going to push more and more healthy people out of the market," Wright said.

Staff Writer Randy Wyrick can be reached at 970-748-2935 and rwyrick@vaildaily.com.

BY THE NUMBERS

These are the individual company requests that have been submitted to the Colorado Department of Regulatory Agencies’ Division of Insurance. Final premium numbers will be released in late September or early October.

Requested individual plan increases

• Cigna Health & Life Insurance, 41.20 percent

• Anthem (Rocky Mountain Hospital & Medical Service Inc.), 33.50 percent

• Anthem (HMO Colorado), 30.20 percent

• Colorado Choice Health Plans, 28.90 percent

• Freedom Life Insurance Co. of America, 27 percent

• Kaiser Foundation Health Plan of Colorado, 24.40 percent

• Bright Health Insurance Co., 15 percent

• Denver Health Medical Plan Inc., 12.70 percent

Requested small-group plan increases

• Colorado Choice Health Plans, 27.30 percent

• Rocky Mountain Health Care Options, Inc., 25.90 percent

• Anthem (HMO Colorado), 18.10 percent

• Anthem (Rocky Mtn. Hospital & Medical Service Inc.), 12.90 percent

• Humana Health Plan Inc., 8.20 percent

• Humana Insurance Co., 8.30 percent

• Kaiser Foundation Health Plan of Colorado, 3.20 percent

• Kaiser Permanente Insurance Co., 6.40 percent

• UnitedHealthcare Insurance Co., 3.80 percent

• Rocky Mountain HMO, -1.70 percent

• Aetna Health Inc., new plans for 2018

• Aetna Life Insurance Co., new plans for 2018

Source: Colorado Division of Insurance

Timeline

• Aug. 4 — Public comment period ends.

• Late September or early October — Colorado Department of Regulatory Agencies’ Division of Insurance will release the final list of approved plans.

• Nov. 1, 2017 to Jan. 12, 2018 — Health insurance open enrollment period.

Source: Colorado Division of Insurance

Start a dialogue, stay on topic and be civil.
If you don't follow the rules, your comment may be deleted.