Medical Insurance Enrollment questions

[Third Eye]

Originally Posted by Fat Elvis

Well, the repeal of the individual mandate penalty, for starters.....

It not like people weren't told this crap was going to happen.

Yeah, that has nothing to do with the current discussion.

[Fat Elvis]

Originally Posted by Third Eye

Yeah, that has nothing to do with the current discussion.

Well, yeah, it actually does...when you allow those who are least likely to use the insurance to leave the risk pool, costs tend to go up for everyone else. Anthem and UHC aren't just going to rely on local employer based aggregates for individual actuarial analysis; they are looking at a national scale.

This was the first year that the individual mandate wasn't enforced, so the insurance companies were probably pretty aggressive in their cost structure and why you saw a premium increase of over 25% (at least for the employer) year over year. You can probably expect double digit increases year over year going forward.....

[Third Eye]

Originally Posted by Fat Elvis

Well, yeah, it actually does...when you allow those who are least likely to use the insurance to leave the risk pool, costs tend to go up for everyone else. Anthem and UHC aren't just going to rely on local employer based aggregates for individual actuarial analysis; they are looking at a national scale.

This was the first year that the individual mandate wasn't enforced, so the insurance companies were probably pretty aggressive in their cost structure and why you saw a premium increase of over 25% (at least for the employer) year over year. You can probably expect double digit increases year over year going forward.....

For the record, I’m a health actuary at a major insurer (not United or one of the Blues), so I’m intimately familiar with how commercial insurance is priced.

[Fat Elvis]

Originally Posted by Third Eye

For the record, I’m a health actuary at a major insurer (not United or one of the Blues), so I’m intimately familiar with how commercial insurance is priced.

Centene?

[Third Eye]

Originally Posted by Fat Elvis

Centene?

Haha, no, but I did interview with them about three years ago. They wanted someone with Medicare experience though and my history is in commercial. I’m not going to be specific about who I work for, but since I did say a major insurer, that pretty much leaves Cigna, Aetna, and Humana. It’s one of those three.