Oregon Insurance Division poised to approve 2016 rate hikes
Preliminary decisions even increase rates for six carriers
The dramatic, double-digit rate increases Oregon’s health insurers proposed for 2016 are very likely to become reality, according to preliminary decisions released Thursday by the Oregon Insurance Division.
The division, which assesses carriers’ rate proposals and moves them up or down in accordance with a number of factors, says it not only agrees with most of the rate increases insurers want to see on the individual market — it believes many don’t go far enough.
For six carriers, the division wants to bump rates even higher than what was originally proposed at the end of April.
Customers buying policies on the individual market in 2016 can expect to pay an average of 38.5 percent more for a LifeWise policy, 37.8 percent more for a Health Republic policy, 37.1 percent more for a PacificSource Health Plans policy and 25.6 percent more for a Moda policy.
Laura Cali, Oregon’s insurance commissioner, said the increases are necessary to ensure carriers make enough money from premiums to pay claims. In 2014, the division found claims costs exceeded premium revenue by $127 million for carriers, or an average of $624 per person.
Judging by first-quarter data from this year, Cali said, the division believes costs will again exceed premium revenue.
“Our rate review is not always about bringing rates down; it’s about making sure that they’re adequate,” she said, “and so sometimes it does result in us proposing increased rates.”