Oxford Health Plans (CT), Inc. - Small Group


Rate Request: removal of provider fee, 1.2 percent average decrease

Decision: Approved

On January 14, 2020 Oxford Health Plans (CT) filed a request to decrease second, third and fourth quarter rates for a block of off exchange small group health plans, policies for employers with 50 or fewer workers. 

The average increase across all 2020 quarters over 2019 was 8.9% in the initial 2020 rate filing, but will now be 7.7% and varies by plan and renewal date. The rates would take effect in the second quarter of 2020.

There are approximately 4,600 people covered under these policies currently in force in Connecticut.

The company stated it requested the decrease to account for the removal of the health insurance provider fee for the portion of the plan year in 2021 that the fee was included as part of the 2020 premium. The collection of the Affordable Care Act provider fee was repealed for calendar years beginning after December 31, 2020, and State of Connecticut Bulletin No. HC-127 communicated the requirement that all group carriers with impacted 2020 rates refile second, third and fourth quarter rates.

Upon actuarial review, the Department approved the proposed decrease on January 28, 2020.

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Find the filing, brief summary and public comment section here at Health Insurance Rate Filings