CMS NEWS

FOR IMMEDIATE RELEASE

July 27, 2015

Contact: CMS Media Relations

Covered California proposed rates to increase by only 4 percent in 2016

Today, Covered California announced a modest proposed 4 percent statewide weighted average rate increase for plans offered in 2016 on their Health Insurance Marketplace, which is lower than last year’s increase of 4.2 percent. This is the second year in a row that Covered California has achieved single-digit rate increases. As of earlier this year, Covered California accounted for more than one out of every eight Marketplace enrollees who paid for coverage nationwide.

“We are encouraged by Covered California’s proposed rates for the 2016 plan year and pleased that consumers in California will continue to have access to quality, affordable health coverage,” said Kevin Counihan, CEO of the Health Insurance Marketplaces. “Today’s announcement demonstrates that the Affordable Care Act is working as intended to spur competition and transparency in the Marketplaces, keeping premium increases low and leading to affordable new choices for consumers. We are committed to working closely with other states as they review rate proposals and finalize rates for the 2016 plan year.”

Covered California credited an enrollment mix that includes many young and healthy enrollees, as well as premium stabilization programs created by the Affordable Care Act, for helping to hold the line on rate increases. These are two of the factors that CMS encouraged state insurance commissioners to consider when finalizing rates in a recent letter.

The Affordable Care Act’s rate review program helps to keep premiums affordable by requiring insurance companies to document and submit for review increases of 10 percent or more, as well as publicly justify unreasonable rate increases. This program is designed to provide consumers with greater transparency and input into the review process.

Final rates for all states will be published no later than Nov. 1, 2015.

To view information about health insurance rates filings in a state, visit: https://ratereview.healthcare.gov.

For more information on how to comment on proposed rate increases subject to review, consumers should visithttps://ratereview.healthcare.gov or their state insurance department websites.

For more information about the rate review program, see: http://www.cms.gov/CCIIO/Programs-and-Initiatives/Health-Insurance-Market-Reforms/Review-of-Insurance-Rates.html.

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