Connecticut

Access Health CT, Connecticut's ACA exchange, is posting updates to their Open Enrollment Period (OEP) numbers every Friday. Last week they reported 99,406 Qualified Health Plan (QHP) selections during the first 6 days of the 2021 OEP, which sounds more impressive than it is, since 98,127 of those are current enrollees having their auto-renewals front-loaded; only 1,279 of them are actually new enrollees. Nothing wrong with that, of course.

This week, they report that they have 99,952 total QHP selections, of which 2,696 are new. On the surface this sounds off...shouldn't it be 100,823 total? I'm pretty sure the reason for the discrepancy is that not every current enrollee actually renews/re-enrolls for the following year. The exchange plugs them in as renewing, but they can still go in and actively cancel their renewal, which reduces the total a bit. In this case, it sounds like 871 current enrollees have done so over the past week. This gives a net increase of 546 over the past week, or 78 per day.

Last Friday, Access Health CT, Connecticut's state-based ACA exchange, posted their first 2021 Open Enrollment Period data numbers, and the first QHP enrollment number looks pretty eye-popping at first glance: 99,406 Nutmeggers enrolled in the first 6 days! Wow! Only around 108,000 enrolled throughout the entire 2020 OEP, so that's pretty impressive...

...except that I'm pretty sure that  99% of this figure consists of automatic renewals of their existing exchange enrollees. The next number down, 1,279, is their "2021 OE Acquisition Summary" number. In other words, it looks like Access Health CT has 98,127 people currently enrolled in exchange plans who have been auto-renewed for 2021, plus another 1,279 new enrollees who actually signed up in the first six days.

Back in July, the Connecticut Insurance Dept. posted the preliminary 2021 rate filings for the individual and small group market carriers. On average, they were seeking rate increases of 6.3% for the individual market and 11.3% for the small group market.

Today, the CT DOI issued their final rate change rulings, and the difference are pretty dramatic:

Insurance Commissioner Issues Decisions For 2021 Health Insurance Rates

Insurance Commissioner Andrew N. Mais today announced the Department has made final decisions on health insurance rate filings for the 2021 coverage year. As a result of these decisions, approximately 214,600 Connecticut consumers are projected to save $96 million.

The Department approved an average increase for individual plans of 0.01 percent, down from the average request of 6.29 percent. The average increase for small group plans is 4.1 percent, down from the requested average of just over 11.28 percent.

via the Connecticut Insurance Dept:

The Connecticut Insurance Department has posted the initial proposed health insurance rate filings for the 2021 individual and small group markets. There are 14 filings made by 10 health insurers for plans that currently cover about 214,600 people.

Important: As noted below, the 214,600 figure is Connecticut's individual & small group market combined.

Two carriers – Anthem and ConnectiCare Benefits Inc. (CBI) – have filed rates for both individual and small group plans that will be marketed through Access Health CT, the state-sponsored health insurance exchange.

The 2021 rate proposals for the individual and small group market are on average slightly lower than last year:

Access Health CT, Connecticut's ACA exchange, originally offered a short COVID-specific Special Enrollment Period through April 2nd. When the original deadline approached, they, like most of the other state-based ACA exchanges, bumped that deadline out...until April 17th, aka tomorrow (Friday).

CT's COVID SEP has always been stricter than mos; they require Conecticut residents to call the exchange as opposed to simply enrolling online. Other state-based exchanges have either made their deadlines much later in the first place (California and DC placed their deadlines in June out of the gate) or they extended them a second time, like Rhode Island and Maryland. In Connecticut's case, however, it doesn't look like they plan on bumping it out a second time:

New Special Enrollment Period For Uninsured Ends Friday, April 17

I've written a LOT lately about the dozen state-based ACA exchanges which have implemented COVID-19-specific Special Enrollment Periods for uninsured residents...as well as the two ACA exchanges (Idaho's, which is state-based, and The Big One, HealthCare.Gov, which hosts 38 states) which haven't done so as of yet.

Given how much outrage there's been at the federal government for not opening up HC.gov to a COVID SEP (Idaho has somehow managed to escape notice for making the same decision) by practically every party (even the American Enterprise Institute, which isn't exactly a lefty organization, is calling for one), it's worth taking a look at the states which do have COVID SEPs open to anyone uninsured to see just how many people are actually taking advantage of them.

Just yesterday I noted that Access Health CT, Connecticut's ACA exchange, was reminding residents that the deadline for their COVID-19 Special Enrollment Period was coming up today.

Moments ago, as I was expecting, they bumped that deadline out by another two weeks:

Access Health CT Extends New Special Enrollment Period For The Uninsured

via Access Health CT (this is actaully the press release from a couple of weeks ago, thus the "starting today" wording):

Access Health CT Urges Uninsured CT Residents To Take Action During Two-Week New Special Enrollment Period

New Special Enrollment Period starts today and ends Thursday, April 2

via Access Health CT:

Access Health CT Announces A New Special Enrollment Period For Uninsured Connecticut Residents

AS COVID-19 THREATENS PUBLIC HEALTH, ACCESS HEALTH CT ANNOUNCES A NEW SPECIAL ENROLLMENT PERIOD FOR UNINSURED CONNECTICUT RESIDENTS

New Special Enrollment Period starts Thursday, March 19 and ends Thursday, April 2

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