Smart Benefits: Individual Market Premiums Double in 4 Years

Rob Calise, GoLocalProv Business/Health Expert

Smart Benefits: Individual Market Premiums Double in 4 Years

Rob Calise
A recent report issued by HHS reveals that premiums for individual market coverage have increased significantly since the ACA’s key provisions have taken effect. 

Based on 2013 MLR data and 2017 CMS MIDAS data, average exchange premiums were 105% higher in the 39 states using Healthcare.gov in 2017 than individual market premiums in 2013. Average monthly premiums increased from $232 in 2013 to $476 in 2017, and 62% of those states had 2017 exchange premiums at least double the 2013 average.

However, the document points out limitations to the data, specifically that the premiums in the CMS MIDAS data only include plans purchased in the exchanges, even though a portion of the individual market is outside of Healthcare.gov. Moreover, it only includes Healthcare.gov states. And lastly, the data doesn’t reflect the change in population of the individual market, who are older and less healthy people than in 2013.

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Rob Calise is the Managing Director, Employee Benefits. of Cornerstone|Gencorp, where he helps clients control the costs of employee benefits by focusing on consumer driven strategies and on how to best utilize the tax savings tools the government provides. Rob serves as Chairman of the Board of United Benefit Advisors, and is a board member of the Blue Cross & Blue Shield of RI Broker Advisory Board, United HealthCare of New England Broker Advisory Board and Rhode Island Business Healthcare Advisors Council. He is also a member of the National Association of Health Underwriters (NAHU), American Health Insurance Association (AHIA) and the Employers Council on Flexible Compensation (ECFC), as well as various human resource associations. Rob is a graduate of Bryant University with a BS in Finance. 


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