Individual Plans

The average rate increase from 1/1/2020 to 1/1/2021 is 2.3% based on the plans that are considered to have uniform modifications of coverage according to 45 CFR 147.106.

The following items are the main reasons for the rate adjustment:

  • Medical and drug trend
  • Morbidity and demographics are assumed to change in 2021
  • ACA taxes and fees are different
  • Some benefit plans have been modified
  • Some plans have been eliminated and new plans have been introduced.
  • New agreements with providers for HMO plans

Small Group Plans

The overall annual average rate change is 5.5%. Members renewing in different quarters will experience different rate changes in 2021.

The following items are the main reasons for the rate adjustment:

  • Medical and drug trend
  • Morbidity and demographics are assumed to change in 2021
  • ACA taxes and fees are different
  • Some benefit plans have been modified