Changes from 2015 to 2016... Rules, Premiums, Plans, Exchanges, Etc.

[Yagents]

Aetna released some info on 16' plans. Log in to producer world

http://links.mkt3166.com/ctt?kn=8&m...OTQ0Mzg0MDAwS0&b=0&j=NjAxODM0NzcwS0&mt=1&rt=0

Coventry plans merging into Aetna plans in Florida. Both of my clients are effected.

 

[taterpeeler]

did I read that correctly?.... Aetna terming all GF plans 12/31/15?

 

[kgmom219]

did I read that correctly?.... Aetna terming all GF plans 12/31/15?

Yep.

Q. Are my clients covered under their current Aetna grandfathered plan through 2015?
A. Yes. Members can remain on their current Aetna grandfathered plan until December 31, 2015.
Q. Why has Aetna decided not to support grandfathered plans beyond December 31, 2015?
A. We have determined we can no longer meet the needs of our grandfathered customers while remaining competitive in the individual insurance market. Instead, we are encouraging our members to enroll in one of our ACA-compliant plans.

 

[AllenChicago]

Is this Grandfather termination applicable to just one state, or Aetna nationwide? (I don't have my ProducerWorld login handy)

 

[kgmom219]

Is this Grandfather termination applicable to just one state, or Aetna nationwide? (I don't have my ProducerWorld login handy)

I think its nationwide. Its certainly not listed as state specific and there are other items listed by state.

 

[sman]

Is this Grandfather termination applicable to just one state, or Aetna nationwide? (I don't have my ProducerWorld login handy)

My wife and daughter had an old Aetna plan and it was terminated at the end of 2014. So I would assume it's only for states where they didn't already terminate pre-ACA plans.

 

[Yagents]

Because I feel a duty to give every other FL agent a fighting chance for clients:

Data dump for FLORIDA. Lots of nuggets:

Federal Health Care Reform

FLOIR Press Release - Office Announces 2016 PPACA Individual Market Health Insurance Plan Rates to Increase 9.5% on Average

Then there is this article:

For example, Blue Cross and Blue Shield of Florida, the state's largest health insurer, asked the state for a modest 4.3% increase. Florida insurance regulators ultimately approved a premium rate increase more than double that, 8.9%. The average monthly premium for someone who selects a Florida Blue plan next year will be $472 before subsidies, the highest total of all exchange-selling insurers. Florida also more than doubled Humana's proposed rate increase.

http://www.modernhealthcare.com/art...0826-NEWS-150829895&utm_campaign=financedaily

 

[AllenChicago]

For example, Blue Cross and Blue Shield of Florida, the state's largest health insurer, asked the state for a modest 4.3% increase. Florida insurance regulators ultimately approved a premium rate increase more than double that, 8.9%. The average monthly premium for someone who selects a Florida Blue plan next year will be $472 before subsidies, the highest total of all exchange-selling insurers. Florida also more than doubled Humana's proposed rate increase.

http://www.modernhealthcare.com/art...0826-NEWS-150829895&utm_campaign=financedaily

The Florida situation is similar to what the Oregon Insurance Commissioner did with an insurer in that state. He essentially told them that their premium increase request had to double, or they wouldn't be allowed on the Oregon exchange.

These forced premium increases may be occurring because state officials are being paid to induce one company to hang itself, thereby enabling a politically connected one to be even more profitable.

 

[Yagents]

Everything is a conspiracy with you Allen. Nothing happens for a reason.

 

[taterpeeler]

Everything is a conspiracy with you Allen. Nothing happens for a reason.

I cant be for sure but I sure nugh thinks that I saw some little green men fall from the sky in Georgia.....