Hawaii Medical Service Association (HMSA) says it may increase individual premiums an average of 49.1 percent in 2016.
HMSA is preparing to raise small-group premiums an average of 7.7 percent.
The company has disclosed those proposed major medical premium changes in rate filing extracts available through a Hawaii Insurance Division site that gives users access to a portion of insurers’ rate filings.
HMSA had a 50 percent share of Hawaii’s individual market in 2013, the latest year for which complete figures are available, and a 48 percent share of the state’s small-group market, according to data from the Henry J. Kaiser Family Foundation.
The small-group filing would affect plans that had about 3,960 members in 2014 and an average of about $12,700 in written premium per member, according to the filing rate information summary. The plans had about 5,900 members this spring.
The individual filing would affect plans that had about 14,700 enrollees and an average of about $4,700 in written premium per member in 2014. These plans had about 21,000 members this spring.
A review of rate increase filing extracts posted on RateReview.HealthCare.gov Monday suggests that, in several large states that use the federal health rate review system operated by the U.S. Department of Health and Human Services (HHS), typical requests for large 2016 rate increases are for increases ranging from about 15 percent to 20 percent.
See also: CMS posts 2016 health rate filings
HHS only puts information for 2016 increase requests for more than 10 percent in the rate review database, and it has left out filing information from some states that run their own rate review programs.
Those limitations mean that RateReview.HealthCare.gov users can calculate average and median figures for a state’s big increase requests. Users can’t come up with a state’s overall average or median increase request, because the database excludes requests for rate cuts, requests to hold rates level, and requests to increase rates 10 percent or less.
The median increase request in the large-increase database is for about 18 percent in Florida, which has the most HealthCare.gov exchange plan enrollees; for 20 percent in Texas; for 28 percent in Pennsylvania; and for 17 percent in North Carolina.