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Information About January 2016 Approved Rates for Health Plans on DC Health Link

This page contains health plan rate information for the District of Columbia’s health insurance marketplace, DC Health Link, for plan year 2016.*

Eight carriers through four major insurance companies – Aetna, CareFirst BlueCross BlueShield, Kaiser Permanente and UnitedHealthcare –have plan offerings for individuals, families and small businesses on DC Health Link.

The average increase in 2016 premiums across all insurers is 3.38% for individuals and 4.27% for small group plans. The most popular individual and small group plans from 2015 are increasing 3.5% and 3.3%, respectively.

As a result of DISB’s rate review process, all insurers offering plans on DC Health Link lowered their proposed rate increases – some by as much as 10 percent. To view a table of proposed versus approved rate changes, follow this link.

The links below include tables of approved rates for individual and small business plans to be offered on DC Health Link in 2016. The tables show low, high and average premiums by company, product type and metal level for ages 27, 40 and 55. The previous tables of proposed rates are also available for reference below.

Please note: Since some plans, both individual and small business, offered in 2015 are no longer available and new plans have been added, see the charts under “Comparison of Year-over-Year Rate Changes” which show the average rate changes for the 162 plans still available in 2016. Comparing the 2015 and 2016 tables may result in erroneous conclusions.

*CareFirst filed revised lower rates on Oct. 30 to comply with the federal Protecting Affordable Coverage for Employees (PACE) Act which kept the definition of a small employer under the Affordable Care Act at one to 50 employees. Therefore, the information and charts on this page are revised from DISB’s Sept. 15, 2015 announcement.

To view all rate filings, follow this link.

Related Press Releases

Individual Approved Rates

Below is a comparison of rates from all individual plans to be offered on DC Health Link in 2016.  Additions for this year include plan counts and Catastrophic plans have been added to the table, but only for age 27 since these plans are not generally available to individuals over age 30.

Approved Sept. 15, 2015: Individual 2016 Rates for Health Insurance Products Sold on DC Health Link

Proposed May 15, 2015: Individual Rates for Health Insurance Products on DC Health Link for 2016

Small Business (SHOP) Rates

Below is a comparison of rates from all SHOP plans to be offered on DC Health Link in 2016.

Approved Sept. 15, 2015: Small Business (SHOP) Rates for Health Insurance Products Sold on DC Health Link for 2016

Proposed May 15, 2015 Small Business (SHOP) Rates for Health Insurance Products on DC Health Link for 2016

Comparison of Year-over-Year Rate Changes

The chart below is a comparison of year-over-year rate increases for those plans that are offered in both 2015 and 2016. The tables are broken down by carrier, product type and metal level.

Approved Sept. 15, 2015: Comparison of Year-over-Year Rate Changes