The offices are open to the public during regular business hours, Monday - Friday 8 AM – 4:30 PM. We strongly encourages visitors to pre-schedule visits via e-mail at insurance@ct.gov, or by calling 860-297-3900. Insurance companies and licensees can call 860-297-3800 directly. Service of process on the Insurance Commissioner will be accepted Monday - Friday, 9:00 a.m. to 12:00 p.m. and 1:00 p.m. to 4:00 p.m.
Masks are required to enter the reception area and office space.
Click here to view the Department's coronavirus information.

State of Connecticut - Insurance Department

FOR IMMEDIATE RELEASE
September 13, 2019
CONTACT: Jim Carson, 860-297-3958
Jim.Carson@ct.gov
 
Insurance Commissioner Issues Decisions
For 2020 Health Insurance Rates
 

Insurance Commissioner Andrew N. Mais today announced the Department has made final decisions on health insurance rate filings for the 2020 coverage year. As a result of these decisions, Connecticut consumers are projected to save approximately $54 million.

The Department approved an average increase for individual plans of 3.65 percent, down from the average request of 7.78 percent. The average increase for small group plans is 9.19 percent, down from the requested average of just over 11.98 percent. This is despite the reinstatement of the federally mandated health insurer tax which added an average of 3.0 percent, or approximately $53 million in additional premium.

“Through the hard work of the Department’s actuaries and professional staff, the Department was able to reduce the health insurance rate increase requests for Connecticut consumers. However, there is still work to be done. I will continue to work collaboratively with all stakeholders in Connecticut’s health care system to find ways to achieve meaningful savings while continuing to promote access to some of the best health care services in the nation,” Commissioner Mais said.

Medical trend, a factor that includes rising health care costs such as the costs of prescription drugs and the increased demand for medical services, is rising at approximately 8.2 percent. Other factors contributing to the final decisions include the reinstatement of the federally mandated health insurer tax which accounted for an average of 3.0 percent, equal to approximately $53 million in additional premium, and the results of the Centers for Medicare & Medicaid Services (“CMS”) Risk Adjustment Data Validation Audit which varied by carrier.

Click here to view the 2020 rate filings information

Click here to view the Final 2020 Rate Chart


BACKGROUND

On September 13, 2019, the Connecticut Insurance Department issued its final rulings on 14 health insurance rate filings for the 2020 individual and small group markets. The filings were made by 10 health insurers for plans that currently cover about 242,000 people.

  • The average increase for individual plans is 3.65 percent, reduced from average request of 7.78 percent.
  • The average increase for small group plans is 9.19 percent, reduced from average request of 11.98 percent.

Pricing Factors for 2020:

  • Federally Mandated Health Insurer Tax: There was a moratorium on the federally mandated health insurer tax in 2019, but it has been reinstated for 2020. The reinstatement of this federally mandated tax accounts for approximately 3 percentage points of each carrier’s rate increase request and approved rate changes. This means that the average requested and approved increases from above would be approximately 3 percentage points lower if this tax was not reinstated.
  • Trend: Trend is a factor that accounts for rising health care costs, including the cost of prescription drugs, and the increased demand for medical services.
  • RADV Audit: CMS completed its 2017 benefit year Risk Adjustment Data Validation (RADV) audit. The impact of this audit varied by carrier in both the individual and small group markets.

What's Next

Open enrollment for the 2020 coverage year begins November 1, 2019.

Public Comment and Video of Informational Hearing

On September 4, 2019, the Department held an informational hearing for individual and small group exchange plans marketed by Anthem Health, Inc. and ConnectiCare Benefits, Inc. (CBI).

 

ON EXCHANGE PLANS

Individual

COMPANY

AVERAGE REQUEST

RANGE

APPROVED AVG.

APPROVED AVG. RANGE

COVERED LIVES

Anthem Health Plans*

15.2%**

0.1 to 25.7%

6.5%

-7.3 to 16.7%

27,318

CTCare Benefits Inc.

4.9%**

-0.4 to 11.7%

2.0%

-3.1 to 8.7%

75,625

*Anthem participating in both on and off exchange. Rates are the same for both.

 

Small Group

For employers with 50 or fewer workers

 

COMPANY

AVERAGE REQUEST

RANGE

APPROVED AVG.

APPROVED AVG. RANGE

COVERED LIVES

Anthem Health Plans*

14.8%**

3.7 to 28.5%

14.3%

3.3 to 27.6%

44,103

CTCare Benefits Inc.

4.8%**

-10.0 to 9.7%

4.8%

-10.0 to 9.7%

239

*Anthem participating in both on and off exchange. Rates are same for both.

** Due to the reinstatement of the Federally Mandated Health Insurer Tax in 2020, the average rate increases requested are approximately 3 percentage points higher than they would be if the moratorium was still in place.

 

OFF EXCHANGE PLANS

Individual

COMPANY

AVERAGE REQUEST

RANGE

APPROVED AVG.

APPROVED AVG. RANGE

COVERED LIVES

CTCare Inc.

-9.8%**

-12.0 to -9.0%

-7.9%

-10.3 to -7.1%

551

CTCare Insurance Co.

10.6%**

8.5 to 12.4%

9.7%

7.6 to 11.5%

8,884

 

Small Group

For employers with 50 or fewer workers

 

COMPANY

AVERAGE REQUEST

RANGE

APPROVED AVG.

APPROVED AVG. RANGE

COVERED LIVES

Aetna Life Insurance Company

22.0%**

22.0%

11.1%

11.1%

705

CTCare Inc.

2.9%**

-10.7 to 3.3%

2.5%

-11.0 to 2.9%

63

CTCare Insurance Co.

3.3%**

-12.4 to 15.7%

2.9%

-12.7 to 15.3%

23,827

Harvard Pilgrim Health Care of CT

10.7%**

2.7 to 13.9%

7.1%

-0.7 to 10.1%

5,137

HPHC Insurance Company, Inc.

10.8%**

-0.1 to 18.4%

7.1%

-3.5 to 14.5%

10,031

Oxford Health Plans (CT), Inc.

14.9%**

9.9 to 20.2%

8.9%

4.0 to 14.1%

4,661

 

 

 

 

 

 

Oxford Health Insurance, Inc.

14.4%**

6.9 to 19.0%

8.4%

1.2 to 13.0%

40,048

UnitedHealthcare Insurance Co.

14.3%**

8.7 to 20.2%

8.4%

2.9 to 14.1%

1,162

** Due to the reinstatement of the Federally Mandated Health Insurer Tax in 2020, the average rate increases requested are approximately 3 percentage points higher than they would be if the moratorium was still in place.

 
 
###
 
About the Connecticut Insurance Department: The mission of the Department is to protect consumers through regulation of the industry, outreach, education and advocacy. In FY 2018, the Department recovered more than $4.5 million on behalf of consumers and regulates the industry by ensuring carriers adhere to state insurance laws and regulations and are financially solvent to pay claims. The Department’s annual budget is funded through assessments from the insurance industry. For every dollar of direct expense, the Department brings in about $8.35 to the state in revenues. In FY 2018, the Department returned more than $145 million in assessments, fees, fines and penalties, and taxes to the state’s General Fund.
 
For help with all your insurance issues:
  • Email us at insurance@ct.gov
  • Ask a question or file a complaint online
  • Call the Consumer Helpline at 800-203-3447 or 860-297-3900.
  • Sign up for e-alerts to get the latest news, warnings and rate changes that may affect your premium
  • Download consumer FAQs on health, homeowner and auto coverage
  • Use the Department’s Speakers Bureau for public events.
  • Visit our Web site and follow the Department on Facebook, Twitter or YouTube