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Arizona health insurance exchange / marketplace

Four carriers dropping PPOs in favor of HMOs for 2016

  • By
  • contributor
  • October 5, 2015

Ten of the 13 carriers in Arizona’s exchange have proposed rate increases of less than ten percent for 2016.  The CO-OP, Meritus, is among them, unlike many other CO-OPs across the country that are raising premiums substantially for next year.  Meritus did recently stop allowing year-round enrollment outside the exchange; enrollees must now have a qualifying event to enroll in a Meritus plan outside of open enrollment (on or off exchange) as is the case with every other carrier.

PPO plans are becoming much more rare in Arizona in 2016.  Aetna, Cigna, Meritus, and Blue Cross Blue Shield of Arizona are all switching to HMO-only plans in the Arizona exchange in 2016.  Current PPO enrollees with those carriers will be mapped to the most similar HMO available, but will also have an opportunity to shop around and enroll in any available plan during the open enrollment period that begins November 1.  Health Net and All Savers will still offer PPO options for consumers who prefer a broader network.

The trend towards more narrow networks (HMOs and EPOs) is common across the country as insurers look for ways to constrain costs while complying with the ACA’s regulations.

Proposed 2016 rates

Only three individual-market carriers in Arizona’s exchange – out of a total of 13 – have requested 2016 rate increases of ten percent or more.  Proposed rate increases under that threshold don’t show up on’s rate review tool.  One of the three carriers, Time Insurance Co, had proposed rate increases in excess of 70 percent for next year, but in early June the carrier’s parent company, Assurant, announced that they’re exiting the individual market nationwide, and will not participate in the 2016 open enrollment period.

Blue Cross Blue Shield of Arizona has proposed an average rate increase of 21.4 percent for their individual plans, although that request has yet to be approved by regulators.  Health Net has also proposed double digit rate hikes for their individual plans (11 percent for PPO plans, and 26 percent for HMO plans).  Cigna appears on the list of carriers with rate increase proposals of at least ten percent, but it’s for a plan sold outside the exchange.

At ACAsignups, Charles Gaba has calculated a proposed weighted average rate increase of 12 to 14 percent for the entire ACA-compliant individual market in Arizona, but with several assumptions and caveats included.

Regulators are reviewing rate proposals, and final rates will be announced in advance of the open enrollment period that begins November 1.  Open enrollment for 2016 will continue until January 31, and it will be important for enrollees to shop around during open enrollment, as premium fluctuations can impact subsidy amounts.

CO-OP booms in year two

Arizona is among the 23 states where CO-OP health plans were established under the ACA.  Meritus has been offering plans in Arizona since the first open enrollment began in the fall of 2013, but they fell far short of their enrollment target in 2014.  Total membership stood at 869 people by the end of 2014 (Meritus says the number was closer to 3,500, but that’s still only a small fraction of the projected 24,000 people they had hoped to enroll).

But for 2015, Meritus lowered their rates and membership skyrocketed.  By August, they were covering 56,000 people in Arizona.  And it’s noteworthy that Meritus is not among the carriers that have proposed double digit rate hikes for 2016.  Across the country, there are other CO-OPs that lowered prices for 2015, but are having to raise them significantly for 2016.  That’s not the case for Meritus.

But CO-OP now requires qualifying events

Although most 2015 Meritus enrollees have signed up through the exchange, Meritus initially allowed applicants to purchase coverage year-round, outside the exchange.  In the exchange, regular open enrollment periods applied, but outside the exchange, the CO-OP would enroll applicants at any time, albeit without access to premium tax credits and cost-sharing reductions (those are only available through the exchange).

In late summer 2015, they ended that policy and adjusted their enrollment guidelines to match and the rest of the off-exchange market: coverage through Meritus is now only available outside open enrollment if you have a qualifying event, both on and off the exchange.  Incidentally, Nevada Health CO-OP’s demise in August 2015 was partially blamed on the fact that they allowed year-round enrollment with no waiting period (and later, with just a 30 day waiting period, as opposed to the 90 days used by other Nevada carriers).  So Meritus’ switch to enrolling only people with qualifying events is probably a financially smart move, since it helps to prevent adverse selection.

Exchange carriers

  • Aetna
  • Blue Cross Blue Shield of Arizona
  • Cigna
  • CoventryOne
  • Health Choice
  • Health Net Life Insurance
  • Health Net of Arizona
  • Humana
  • Meritus
  • Phoenix Health Plans
  • UnitedHealthcare (All Savers)
  • University of Arizona Health Plans

2015 enrollment numbers

By the end of the 2015 open enrollment period, 205,666 people had selected private plans through the Arizona exchange.  48 percent of them were new to the exchange for 2015.

But as expected, some enrollees didn’t pay their initial premiums, and some opted to cancel their coverage early in the year.  By March 31, effectuated enrollment in the Arizona exchange stood at 165,026 people, and it had dropped to 154,121 by June 30 ( stepped up enforcement of documentation requirements for immigration and financial status during the second quarter, resulting in a number of policy and/or premium terminations nationwide).

About 76 percent of the current enrollees are receiving premium tax credits, and about 54 percent are receiving cost-sharing subsidies.  The average premium tax credit in Arizona is $159 per month in 2015 – well below the national average of $270/month.

In addition to private plan enrollments, 49,814 people had enrolled in Arizona’s expanded Medicaid program through the exchange between November 15, 2014 and February 15, 2015.

Arizona law prohibits creation of state-run exchange

In April 2015, Governor Doug Ducey signed House Bill 2643 into law, effectively banning the state from creating a state-run exchange.  Gov. Ducey told reporters that he signed the bill because he’s “no fan of [Obamacare]” and “not in favor of a state exchange.”

The law was enacted prior to the Supreme Court’s ruling in King v. Burwell, and at ACAsignups, Charles Gaba estimates that 133,000 people in Arizona would have lost their subsidies – and most likely their insurance – if the Court had ruled that subsidies could only be provided by state-run exchanges.

But subsidies are safe

Luckily for the people of Arizona, the Supreme Court issued a ruling on June 25, upholding the legality of subsidies in every state, regardless of whether the exchange is run by the state or the federal government.  Had that not been the case, not only would subsidies have evaporated for 133,000 people in Arizona, but rates for people who don’t currently get subsidies could have climbed by 60 – 90 percent.  Instead, subsidies will remain available, and the health insurance industry in Arizona is stabilized by the Court’s ruling.

 Still not insured?

The 2015 open enrollment period, when anyone could sign up for insurance, ended February 22 (this included a one-week extension for people who had been unable to finish the process by February 15).  There was an additional special enrollment period (March 1 and April 30) that aligned with the tax filing season and provided an enrollment opportunity for people who weren’t previously aware of the tax penalty for not having health insurance.

Now that the general open enrollment period and the special enrollment period are over, enrollment individual plans is closed for the year, both on and off-exchange.  But depending on your circumstances, you may still be able to enroll in 2015 coverage:

  • If you have a qualifying life event, you get a 60-day special enrollment period to select a health plan.
  • If you qualify for Medicaid, you can sign up at any time.
  • If you’re Native American, enrollment continues year-round.

The next general open enrollment starts on November 1, for coverage effective January 2016.  The uninsured rate in Arizona is still relatively high, at 14.5 percent (down from 20.4 percent in 2013), so there’s plenty of room for more enrollments during the 2016 open enrollment period.

Don’t delay – penalty is increasing

For people who remain uninsured in 2016 and are not eligible for an exemption from the individual mandate, the penalty will be significantly higher than it was in 2014 and 2015. For 2016, the penalty will be $695 per uninsured adult (half that amount for a child), up to $2,085 per household, OR 2.5 percent of taxable income, whichever is greater.

2015 plans and premiums

Three more insurers are participating in the Arizona marketplace for 2015: UnitedHealthcare, Assurant Health, and Phoenix Health Plans (Assurant will not participate in 2016, as they are exiting the individual market nationwide). In total, 13 insurers are participating in the second year of enrollment in the Arizona exchange, up from 10 in 2014. Nationally, the number of participating insurers increased about 25 percent in 2015.

A Kaiser Family Foundation analysis shows premiums down 10 percent in the Phoenix area, but flat or up in many other parts of the state. Visit and enter your ZIP code to see the specific insurers, plans and premiums available where you live.

While rates increased in 2015 for some Arizona residents, the baseline is better than in many other areas. In 2014, Arizona’s premiums were among the lowest of states using the federal exchange in 2014.

What happened during 2014 open enrollment?

Arizona saw positive effects during the first year with the Obamacare marketplace in operation. The state’s uninsured rate dropped by 2.9 percentage points, state hospitals saw uncompensated care costs drop by nearly one-third, and the state added health care-related jobs.

Just more than 120,000 Arizona residents signed up for qualified health plans (QHPs) during open enrollment for 2014. An additional 101,282 people qualified for Medicaid or the Children’s Health Insurance Program (CHIP).

Among Arizona residents selecting a QHP, 77 percent qualified for financial assistance, compared to 85 percent nationally. A report released in June 2014 by the U.S. Department of Health and Human Services showed the average monthly premium, after tax credits, for Arizona consumers was $113. Among states using the federal marketplace, the average was $82. Twenty-six percent of Arizona enrollees pay $50 or less per month after subsidies.

Twelve percent of Arizona residents selected a bronze plan (20 percent nationally), 60 percent selected a silver plan (65 percent nationally), 14 percent selected a gold plan (9 percent nationally), 13 percent selected a platinum plan (5 percent nationally) and 1 percent selected a catastrophic plan (2 percent nationally). Twenty-one percent of Arizona enrollees were between the ages of 18 and 34.

Arizona and Medicaid expansion

Medicaid expansion was passed by the Arizona Legislature with some Republican support and was approved by Brewer. The Medicaid decision allowed people earning less than 138 percent of the federal poverty level — about $15,000 for an individual — to gain health coverage. About 300,000 are eligible under the expanded criteria.

Some Republican legislators and conservatives challenged Medicaid expansion. They first launched a petition to put Medicaid expansion on the November 2014 ballot. The referendum push failed, prompting a legal challenge. The suit claimed that because the tax plan to fund the state’s portion of expansion costs was passed with less than a two-thirds majority, it was unconstitutional. Oral arguments were made in mid-December 2013, and a judge dismissed the case in early February 2014.

A group of conservative Republican representatives appealed the decision, and the Arizona Court of Appeals ruled that the case could proceed. The Arizona Supreme Court heard the case in November 2014 and later ruled that the case could proceed. Gov. Doug Ducey is said to be reviewing the decision and consulting with legal experts on how to proceed.

In February 2015, the Arizona legislature passed Senate Bill 1092, which requires the state to seek an annual waiver from CMS to allow additional restrictions on Medicaid eligibility.  The waiver request would include requirements that enrollees be working or involved in job training or school, and it would also limit an able-bodied person’s eligibility for Medicaid to no more than five years.  The bill excludes pregnant women, those caring for young children, and people with disabilities.  Governor Ducey signed the bill into law in March.  The bill is largely symbolic, as CMS is unlikely to approve such a waiver.  But under state law, Arizona must now request one each year.

Gov. Ducey unveiled the provisions of the 2015 waiver in August, and the waiver proposal will be submitted to CMS for review by October 1.

Arizona health insurance exchange links

Cover Arizona

Arizona Department of Insurance: Health Insurance Exchange

Office of Health Insurance Exchange