In my State of PA I've noticed that individual rates are less than group rates for the same plan. Example - Insurance company offering shared cost PPO 2000 - cost in group is $675.63 but the same insurance company offering the flex PPO 2100 on the individual market is $296. Deductible / doc co-pay / MOP is virtually the same. Both plans have the mandated EHB's. What am I missing?
Is it the networks? Is there a loop hole in the individual market that allows this to happen? We are talking the Blues here and I would guess that the networks would be the same. Is the individual market getting government subsidies? The devil is in the details and I feel I am missing some details.
IMHO I think the individual market is buying the business and next year --- well it won't be pretty.
I have a group that is stopping their group plan and sending everyone into the individual market. Now in my State there are minimal insurance companies on the exchange. The un-subsidized individual rates on healthcare.gov are the same rates that I can sell. I'll loose the group plan but I am hoping to get the individuals to sign up with me. All the employees make too much money to receive any government subsidies.
Is it the networks? Is there a loop hole in the individual market that allows this to happen? We are talking the Blues here and I would guess that the networks would be the same. Is the individual market getting government subsidies? The devil is in the details and I feel I am missing some details.
IMHO I think the individual market is buying the business and next year --- well it won't be pretty.
I have a group that is stopping their group plan and sending everyone into the individual market. Now in my State there are minimal insurance companies on the exchange. The un-subsidized individual rates on healthcare.gov are the same rates that I can sell. I'll loose the group plan but I am hoping to get the individuals to sign up with me. All the employees make too much money to receive any government subsidies.