Individual Plans

The average rate increase from 1/1/2017 to 1/1/2018 is 19.8% 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 from 2017 to 2018
  • Morbidity and demographics are assumed to change in 2018
  • Changes to ACA taxes and fees from 2017 to 2018 different
  • Some 2017 benefit plans have been modified for 2018
  • Some 2017 plans have been eliminated and new plans have been introduced for 2018
  • New reimbursement agreements with providers

Small Group Plans

The overall annual average rate change is -2.5%. Members renewing in different quarters will experience different rate changes in 2018.

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

  • Medical and drug trend from 2017 to 2018
  • Morbidity and demographics are assumed to change in 2018
  • Changes to ACA taxes and fees from 2017 to 2018
  • Some 2017 benefit plans have been modified for 2018
  • Some 2017 plans have been eliminated and new plans have been introduced for 2018.
  • Standard age factor changes