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Indiana health insurance exchange

Indiana beats 2014 enrollment total

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According to the U.S. Department of Health and Human Services (HHS), 175,447 Hoosiers selected a health plan between Nov. 15, 2014, and Jan. 5, 2015 — exceeding total enrollment during the six-month open enrollment period for 2014.

According to a USA Today article, about 260,000 Indiana residents may ultimately enroll in 2015 coverage through the marketplace.

The 2015 open enrollment period continues through Feb. 15. If you need help with the enrollment process, visit the Indiana Department of Insurance website for a list of certified navigators in your area.

Modest increase in 2015 premiums

2015 premiums are up about five percent on average, according to an Indiana Department of Insurance representative. A study by The Commonwealth Fund matched that estimate. The 2015 increase is much more modest than in the years leading up to the passage of the Affordable Care Act.

2015 carriers

Indiana residents have many more choices on the federal marketplace for 2015: more insurers are offering more plans. The number of insurers more than doubled, going from four to nine. And, the number of available plans jumped from 278 to 975.

According to Atlantic Information Services, nine insurance companies are selling individual health insurance through the Indiana marketplace in 2015. Anthem BCBS, Coordinated Care, and Physicians Health Plan are returning from 2014, and All Savers, Caresource, IU Healthplans, MDwise Marketplace, Southeastern Indiana Health Organization, and Time/Assurant are new for 2015. Note that not all insurers offer plans in all counties.

SHOP for small businesses

Businesses with fewer than 50 full-time employees can now enroll online in the Small Business Health Options Program (SHOP). Small businesses can sign up on the SHOP throughout the year; there isn’t a specific open enrollment period like there is for the individual marketplace.

In Indiana and 13 other states that use the federal exchange, small employers can offer “employee choice.” Under this option, employee can choose among health plans within a single metal level selected by the employer.

Penalties increase for going without coverage

The penalty for people who don’t have health insurance 2015 tax season rolls around. Those who don’t qualify for an exemption will have to pay the greater of:

  • 2% of annual household income. The maximum penalty under this calculation method is the national average premium for a bronze plan, which is just over $3,000 according this Commonwealth Fund analysis.
  • $325 per adult or $162.50 per child under 18. The maximum penalty per family using this method is $975.

Use this penalty calculator to see how much you may have to pay if you don’t have health insurance.

How many people enrolled in 2014?

During 2014 open enrollment, 132,423 Hoosiers signed up for qualified health plans, according to federal government reports. Eighty-nine percent qualified for financial assistance. In addition, 95,495 people qualified for Medicaid or the Children’s Health Insurance Program (CHIP) under existing eligibility rules (i.e., not through Medicaid expansion).

How Indiana approached exchange implementation

Indiana is among the 26 states that opted to use the federal health insurance marketplace, HealthCare.gov. While former Gov. Mitch Daniels was a critic of the Affordable Care Act, he refrained from making a final decision about the state’s marketplace and asked the three gubernatorial candidates for their opinions. Following the election, then Gov.-elect Mike Pence weighed in and rejected both the state-run and partnership models.

In 2014, Indiana Attorney General Greg Zoeller and 39 school districts filed a suit challenging premium subsidies in the state as it does not operate its own health insurance exchange. A U.S. District Court judge has delayed ruling on the suit, given that the U.S. Supreme Court is taking up the issue in King v. Burwell. The U.S. Supreme Court will hear the case March 4, 2015, and likely announce its decision by late June 2015.

In January 2015, several state representatives introduced HB1479 to “prohibit any agency of the state from assisting in the enforcement of the Patient Protection and Affordable Care Act.” The bill would prohibit Indiana insurance officials from enforcing violations of the Affordable Care Act and allow state residents who pay a federal tax penalty for not having health insurance to deduct the amount on their state taxes. The bill needs to pass in the House Ways and Means Committee before it could be taken up in the full House.

Indiana health insurance exchange links

HealthCare.gov
800-318-2596

Affordable Care Act Resources on IN.gov

State Exchange Profile: Indiana
The Henry J. Kaiser Family Foundation overview of Indiana’s progress toward creating a state health insurance exchange.

Indiana Department of Insurance
Assists consumers who have purchased insurance on the individual market or who have insurance through an employer who only does business in Indiana.
(800) 622-4461 / idoi@idoi.in.gov