Smart Benefits: Obamacare vs RI Exchange- Which Enrollment Approach Worked Best?

Rob Calise, GoLocalProv Business/Health Expert

Smart Benefits: Obamacare vs RI Exchange- Which Enrollment Approach Worked Best?

When open enrollment for the state and federal health insurance exchanges began last fall, Obamacare consumers who had signed up in 2014 were automatically renewed in their existing plan without having to take any further action. But Rhode Island took a different tactic and required current enrollees to shop for a new plan for 2015. 

The Ups and Downs

Both approaches to enrollment have their advantages and disadvantages. 

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  • Obamacare: With the automatic renewal process, consumers were able to stick with their existing plans without doing anything, making it easy for them to remain insured. But that also meant they may not have bothered to shop for a less expensive plan – even if they faced premium increases. 
  • Rhode Island: The process here encouraged consumers to review all their plan options, increasing their opportunity to find a better or less expensive fit. But if they were too busy or forgot to go through the enrollment process again, they risked being uninsured for 2015.

Shopping Stats

Under the Obamacare approach, approximately 40 percent of existing customers actively shopped again for coverage on healthcare.gov through late December, according to the Department of Health and Human Services. The rest were automatically renewed in their existing coverage. 

And in Rhode Island? As of January 3, 78 percent of consumers returned to the state’s exchange to shop for a plan according to HealthSourceRI.

Controlling Costs

While automatic renewal can help ensure consumers remain insured (in Rhode Island, approximately the 22 percent who didn’t return to the exchange may no longer have coverage), Rhode Island’s approach may have a greater impact on costs. That’s because insurance companies may be incented to keep their plans and pricing competitive for consumers who must comparison shop each year. And that’s what seemed to happen. 

Rhode Islanders who looked to switch plans stood to save big: the cost of the 2014 benchmark silver plan dropped more than 10 percent for 2015 according to the Kaiser Family Foundation. The key to realizing these savings, however, is remembering to shop for them.

Rob Calise is a founding partner of Cornerstone Group, 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 ofBryantCollege with a BS in Finance.

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