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Information About January 2015 Approved Rates for Health Plans on DC Health Link

The D.C. Department of Insurance, Securities and Banking announced Sept. 15 the approved health insurance plan rates for the District of Columbia’s health insurance marketplace, DC Health Link, for plan year 2015.

Eight carriers through four major insurance companies – Aetna, CareFirst BlueCross BlueShield, Kaiser Permanente and UnitedHealthcare – will have plan offerings for individuals, families and small businesses on DC Health Link when enrollment opens Nov. 15, 2014.

The links below include tables of approved rates for individual and small business plans to be offered on DC Health Link in 2015. 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 2014 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 185 plans still available in 2015. Comparing the 2014 and 2015 tables may result in erroneous conclusions.

To view all rate filings, follow Health Plan Rate Filings or 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 2015.  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.

Sept. 15, 2014 Individual Approved Rates for Health Insurance Products Sold on DC Health Link

Revised July 9, 2014 Individual Proposed Rates for Health Insurance Products Sold on DC Health Link for 2015 Reflecting CareFirst’s Revised Filing

June 23, 2014: Individual Proposed Rates for Health Insurance Products Sold on DC Health Link for 2015

Small Business (SHOP) Rates

Below is a comparison of rates from all SHOP plans to be offered on DC Health Link in 2015.

Sept. 15, 2014: Small Business (SHOP) Approved Rates for Health Insurance Products Sold on DC Health Link for 2015

June 23, 2014: Small Business (SHOP) Proposed Rates for Health Insurance Products Sold on DC Health Link for 2015

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 2014 and 2015. The tables are broken down by carrier, product type and metal level.

Approved Sept. 15, 2014 Comparison of Year-over-Year Rate Changes

Revised July 9, 2014 Comparison of Year-over-Year Rate Changes Reflecting CareFirst’s Revised Filing

June 23, 2014: Comparison of Year-over-Year Rate Changes

Sample 2015 Approved Premiums

The charts below compare premiums for the plans that are included in DC Health Link for both 2014 and 2015. In 2014 there were 34 individual plans. In 2015, one new individual plan was added and four individual plans were eliminated for a total of 31 individual plans for 2015, 30 of which are available for sale in both 2014 and 2015. In 2014 there were 267 small group plans. In 2015, 41 new small group plans were added and 112 small group plans were eliminated for a total of 196 small group plans for 2015, 155 of which are available in both 2014 and 2015. These comparisons look at the average difference in premiums for plans offered in both 2014 and 2015 under various scenarios for both individuals and small groups by carrier and metal tier level.

Sample 2015 Approved Premiums Compared to 2014

Sample Approved to Initial Premiums Compared to 2014

Small Group Quarterly Changes

Small group rates adjust on a quarterly basis.  Each group’s rates are guaranteed for a year but the rate varies depending on when during the year the plan is purchased. Carriers can make overall adjustments during the year, but otherwise the rates adjust each quarter based on the index rate. The table below shows the actual 2014 quarterly rate change relativities and the projected rate change relativities for 2015 for all of the carriers and product types using normalized base of 100 for each at 1/1/14.

Small Group Quarterly Changes