Array Bulletin: Service & Market Updates
for April 2010
We have recently received many inquiries regarding the immediate impact of health
care reform on the individual health insurance market. While there will be
some reforms implemented in the short-term, the individual market will not
experience significant changes until the legislation is fully enacted in 2014.
Below is an explanation of the short-term insurance market reforms. We also clarify
the new FSA annual cap which begins in 2013.
Federal High-Risk Pool
July 2010: HHS will create a temporary high-risk health insurance pool that will
cover individuals with pre-existing conditions. It appears Washington State
will implement this program. WSHIP will continue to function as usual alongside
this new federally funded high-risk pool.
Though premiums for the new high-risk pool will be capped, it is difficult to
determine whether it will have an impact on rates in the individual market,
since applicants for the new high-risk pool must have been without creditable
health insurance coverage for at least six months.
Elimination of lifetime maximums
September 2010: Individual health insurance carriers will be prohibited from
offering policies with lifetime limits on benefits. Because group health insurance
plans will also be subject to this same rule, the cost difference between individual
and group health insurance should remain unchanged. This reform will increase
the cost of both types of insurance nominally.
Elimination of pre-existing condition limitations for children
September 2010: Insurance carriers will be prohibited from imposing pre-existing
condition limitations on children under the age of 19. It also appears that
many insurance carriers have agreed not to require medical underwriting for
children.
This reform will likely cause premiums to rise, but the increase should be minimal.
Only 4.8% of applicants were denied individual health coverage in Washington,
and only 2% of all WSHIP enrollees are under the age of 18.* In essence, the
denial rate is already small, and the percentage of those denied who are children
is even smaller.
*Source: 2009 Annual Report for the Washington State Health Insurance Pool (WSHIP)
$2,500 FSA cap does not apply to HRAs
January 2013: FSAs will have an annual cap of $2,500. This new rule will not
apply to HRAs.
We understand that this is a time of significant change in the health insurance
industry. Please continue to use Array Health as a resource for information
as you have questions regarding the impact of the new legislation.
Sincerely,
Christopher Moneta
Director of Sales
1-800-640-7086
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