Rate Change Notice

Highmark Inc.

Highmark Inc. has received approval of premium increases averaging 6.3% for its 2019 Qualified Health Plans (QHPs) in the individual market with effective dates from Jan. 1, 2019 to Dec. 31, 2019. The exact premium change for any particular individual will depend on the plan design they choose as well as their demographic change, including age, as of the coverage effective month.

The rate of increase is based on population morbidity, aging of the risk pool, practice of utilizing medical advances, plan benefit changes, and administrative expenses, including the taxes/fees related to the Affordable Care Act. In addition, Highmark is projected to make payments of at least 80% of the premium dollars to cover the direct pay health care costs for those covered under this plan as required under applicable law.

Highmark Health Insurance Company (HHIC)

Highmark Health Insurance Company (HHIC) has received approval of premium decreases averaging 6.8% for its 2019 Qualified Health Plans (QHPs) in the individual market with effective dates from Jan. 1, 2019 to Dec. 31, 2019. The exact premium change for any particular individual will depend on the plan design they choose as well as their demographic change, including age, as of the coverage effective month.

The rate of increase is based on population morbidity, aging of the risk pool, practice of utilizing medical advances, plan benefit changes, and administrative expenses, including the taxes/fees related to the Affordable Care Act. In addition, Highmark is projected to make payments of at least 80% of the premium dollars to cover the direct pay health care costs for those covered under this plan as required under applicable law.

Highmark Select Resources (HSR)

Highmark Select Resources (HSR) has received approval of premium increases averaging 0% for its 2019 Qualified Health Plans (QHPs) in the individual market with effective dates from Jan. 1, 2019 to Dec. 31, 2019.The exact premium change for any particular individual will depend on the plan design they choose as well as their demographic change, including age, as of the coverage effective month.

The rate of increase is based on population morbidity, aging of the risk pool, practice of utilizing medical advances, plan benefit changes, and administrative expenses, including the taxes/fees related to the Affordable Care Act. In addition, Highmark is projected to make payments of at least 80% of the premium dollars to cover the direct pay health care costs for those covered under this plan as required under applicable law.

Highmark Choice Company (HCC)

Highmark Choice Company (HCC) has received approval of premium increases averaging 4.0% for its 2019 Qualified Health Plans (QHPs) in the individual market with effective dates from Jan. 1, 2019 to Dec. 31, 2019.The exact premium change for any particular individual will depend on the plan design they choose as well as their demographic change, including age, as of the coverage effective month.

The rate of increase is based on population morbidity, aging of the risk pool, practice of utilizing medical advances, plan benefit changes, and administrative expenses, including the taxes/fees related to the Affordable Care Act. In addition, Highmark is projected to make payments of at least 80% of the premium dollars to cover the direct pay health care costs for those covered under this plan as required under applicable law.

First Priority Life Insurance Company (FPLIC)

First Priority Life Insurance Company (FPLIC) has received approval of premium increases averaging 6.9% for its 2019 Qualified Health Plans (QHPs) in the individual market with effective dates from Jan. 1, 2019 to Dec. 31, 2019. The exact premium change for any particular individual will depend on the plan design they choose as well as their demographic change, including age, as of the coverage effective month.

The rate of increase is based on population morbidity, aging of the risk pool, practice of utilizing medical advances, plan benefit changes, and administrative expenses, including the taxes/fees related to the Affordable Care Act. In addition, Highmark is projected to make payments of at least 80% of the premium dollars to cover the direct pay health care costs for those covered under this plan as required under applicable law.

First Priority Health (FPH)

First Priority Life Health (FPH) has received approval of premium increases averaging 1.1% for its 2019 Qualified Health Plans (QHPs) in the individual market with effective dates from Jan. 1, 2019 to Dec. 31, 2019. The exact premium change for any particular individual will depend on the plan design they choose as well as their demographic change, including age, as of the coverage effective month.

The rate of increase is based on population morbidity, aging of the risk pool, practice of utilizing medical advances, plan benefit changes, and administrative expenses, including the taxes/fees related to the Affordable Care Act. In addition, Highmark is projected to make payments of at least 80% of the premium dollars to cover the direct pay health care costs for those covered under this plan as required under applicable law.

 

 

 

Blue Cross Blue Shield, Highmark Health Insurance Company, Highmark Select Resources, Highmark Choice Company, First Priority Life Insurance Company, and First Priority Health are independent licensees of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.