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Small Business Employee Benefits and HR Blog

DC Health Insurance Exchange - Preview of Plan Rates

June 12, 2013
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The Washington DC Health Insurance Exchange is being closely followed by the media and health care reform experts. Previously, DC announced the four major carriers planning to offer plans through the DC Health Insurance Exchange: Aetna, CareFirst, Kaiser, and United Healthcare. This week, the DC Health Insurance Exchange announced the proposed rates from these carriers for the individual and small business exchanges. WA DC Exchange Rates

Why is the DC Health Insurance Exchange being so closely watched? Because the private markets are closing for the individual and small group markets in 2014 and 2015, respectively. There has been controversy about whether this regulation would hold up on the small group market. However, on June 2, 2013, the Washington DC Council temporarily approved a plan by the DC Health Benefits Exchange Authority requiring that all small group health plans be sold exclusively through the Exchange starting in 2015.

DC Health Insurance Exchange - Individual Plan Rates

The DC Department of Insurance (DOI) estimates the following rates for individual policies offered on the DC Health Insurance Exchange:

  • 27-year-old: $124 to $341 a month 

  • 40-year-old: $166 to $457 a month

  • 55-year-old: $295 to $813 a month

Note: These are the gross premiums rates, before applicable federal premium tax subsidies are applied. 

Here is a more detailed snapshot of the proposed rates for individual plans sold on the DC Health Insurance Exchange (for the four major carriers):

DC Proposed RatesChart Source: Click here for PDF.

DC Health Insurance Exchange - Small Business Plan Rates

According to the DOI, small businesses in DC could buy a bronze plan for a 27-year-old employee for $144 a month, and a platinum plan for a 55-year-old for $572 a month. Here is a detailed snapshot of the proposed rates for small business plans sold on the DC Health Insurance SHOP Exchange (for the four major carriers):

DC smallbiz rates

Chart Source: Click here to view PDF.

The DOI will review and finalize all plans and rates this summer, in time for the opening of the DC Health Insurance Exchange in October 2013. Coverage for Exchange policies starts January 1, 2014.

Click here to read the DC DOI press release.

The DOI states the proposed DC Health Insurance Exchange rates are in line with current DC insurance rates. What do you think? Let us know in the comments below.

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