Connecticut Health Insurance Exchange Update

January 8, 2013

Connecticut, considered by some to be the United States' "insurance capital", is one of the first states to create and meet a deadline for insurers to say whether they will participate in the state's health insurance exchange. The Connecticut Health Insurance Exchange received notifications from nine (9) insurance companies regarding their intention to offer health or dental coverage when it begins operations in October 2013.

What is the Connecticut Health Insurance Exchange?Connecticut Health Insurance Exchange

The Connecticut Health Insurance Exchange was created by the Connecticut Legislature in 2011 and is a quasi-public agency to satisfy requirements of the federal Affordable Care Act. The mission of the Connecticut Health Insurance Exchange is to increase the number of insured residents in Connecticut, promote health, lower costs and eliminate health disparities. Its vision is to provide an on-line eligibility, shopping and enrollment experience for state residents and small businesses.

What is the Role of the Connecticut Health Insurance Exchange?

The Exchange will ensure that participating health plans available during October 2013 open enrollment meet certain standards and facilitate competition and choices by rating the quality of each plan. Individuals and families buying coverage through exchanges may qualify for premium tax credits. The exchanges also will coordinate eligibility and enrollment with state Medicaid and Children's Health Insurance Programs. 

How the Connecticut Health Insurance Exchange is Leading the Way

The Connecticut Health Exchange is one of the first state exchanges to solicit Qualified Health Plans (QHP) from insurance carriers as it works to fulfill its mission to offer a wide range of health insurance options to consumers and small businesses.

Carriers were requested to notify the Exchange of their intent to participate by January 4, 2013. Five health insurers including Aetna, Anthem, ConnectiCare, Healthy CT and United Healthcare, said they plan to offer coverage within the Exchange. Four additional insurers, including Delta Dental, The Guardian Life Insurance Company, MetLife and Renaissance Dental, have told the Exchange they plan to offer dental insurance coverage.

Connecticut Health Insurance Exchange - Next Steps for Carriers

The Connecticut Health Insurance Exchange will require each carrier to submit standard plan designs that define cost sharing parameters, including deductibles, out-of-pocket maximums, copayment schedules, and benefits of the plan. Carriers will offer one standard plan for each of the "metal" tiers—bronze, silver, gold, and platinum. To encourage carriers to innovate and design products that will enhance value and potentially reduce cost, the Exchange is urging them to submit an additional optional plan for each metal tier. The Exchange also supports stand-alone dental carriers to allow consumers greater choice in selecting a dental plan that best suits the needs of their children or entire family.

Connecticut's QHP certification requirements reflect a strong 'active purchasing' approach on the part of the Exchange, meaning requirements and participation guidelines have been structured to make sure carriers offer products and services that align with the needs and interests of the State's residents and small business owners. Requirements reflect recommendations made by the Exchange's Advisory Committees which included representatives of providers, payers, consumers and business advocates. The overall result is to allow consumers the ability to easily compare similar products across carriers and make an informed decision based on quality of service and cost.

The Connecticut Insurance Department must approve all forms and rates before a plan may be certified by the Exchange. At the conclusion of the process, expected to be in the third quarter of 2013, carriers who meet or exceed all the requirements will be announced.

Click here to go to CT Exchange website.

Learn how an HRA works for employers in our latest webinar
Watch the recording today, and learn how an HRA can help your organization.
meeting_wide-1 CTA_purp_R