Health insurance firms propose to increase rates in Kansas and Missouri

People who pay premiums for individual health insurance policies — either directly from a company or through HealthCare.gov — could pay a lot more for insurance next year.

Insurance companies are proposing to increase rates by up to 34 percent in Missouri and up to 39 percent in Kansas.

Small businesses that buy group insurance policies for their employees also are likely to see an increase.

Changes to rates on group health insurance offered through large employers won’t be released until later this year.

On Monday, the federal government posted some of the proposals for health insurance premiums for 2016 at HealthCare.gov.

In Kansas, the Insurance Department will decide whether to accept, deny or revise the proposed premium increases. Final rates will be set Aug. 25.

“We will be working to find ways to keep consumer health insurance increases as low as possible and still allow the companies to offer required … products and service,” Ken Selzer, the Kansas insurance commissioner, said in an e-mailed statement.

HealthCare.gov posted only proposals for an increase of 10 percent or higher in the 37 states using HealthCare.gov as their exchange.

In Kansas, 14 plans exceeded that 10 percent mark, and in Missouri, 13 did. In both states, the heaviest increases will fall on individual plan holders.

In total, the Kansas Insurance Department said it received 97 proposals for health insurance premiums for 2016 — 75 individual proposals and 22 small group proposals.

Bob Hanson, director of communications for the Kansas Insurance Department, said those proposals come from six companies, up from five companies last year.

“That’s an increase in the number of options people have on the marketplace,” he said.

Not all the insurance plans will see rate increases.

Mary Beth Chambers, manager of corporate communications for Blue Cross and Blue Shield of Kansas, said the company underestimated costs for the past two years, which contributes to premium increases this year.

“We used our best educated guess, but it was still a guess because we weren’t sure who was going to buy,” Chambers said.

Chambers said the people who did end up buying insurance “turned out to be higher risk.”

Under the Affordable Care Act, people with pre-existing conditions are guaranteed insurance. Before, insurance companies could choose to charge those people higher premiums or not offer them insurance at all.

Insurance companies, including Blue Cross and Blue Shield of Kansas, didn’t see as many young and healthy individuals buy insurance to balance out those higher-risk members.

“In 2014, we had an underwriting loss, meaning the premiums we collected were not enough to pay for the claims our members had,” Chambers said.

She said she expects the same for 2015, which is why the company decided to increase premiums for next year.

Given that the proposed rate increases on HealthCare.gov are averages, each individual under that plan could pay less or more, depending on the person.

That’s because people can choose from tiers of benefit choices like bronze, silver, gold and platinum within each plan.

Under the Affordable Care Act, also known as Obamacare, each person’s insurance premium can be calculated only based on the person’s age, location and tobacco use. For people with family plans, the size of their family and ages of each family member also factor in.

Rohan Hutchings, communications director for the Mid-America region of Aetna, a health insurance company that also owns Coventry Health and Life, cited CoOpportunity Health, a health insurance company that served Iowa and Nebraska, as a justification for higher premiums.

“They went bust at the end of last year,” he said. “The reason being, they priced their products so low they attracted a huge number of membership, and a lot of them were unhealthy.”

As far as premiums for group health insurance offered through large employers, Cindy Hermes, director of public outreach for the Kansas Insurance Department, said these rates don’t give much indication for what’s ahead.

Hermes said large group rates are negotiated between the company and insurer rather than through the Kansas Insurance Department.

“With a smaller company, they just don’t have that leverage,” she said.

Those rates won’t come out until late summer or fall.

This story was originally published June 2, 2015 at 12:54 PM.