Filed Under:Your Practice, Regulatory

NAIC wants more state control of PPACA implementation variables

2013 NAIC Leadership Team Commissioners Lindeen, Donelon, Hamm and Consedine (Consedine not a signatory to 2012 CMS letters). Courtesy NAIC
2013 NAIC Leadership Team Commissioners Lindeen, Donelon, Hamm and Consedine (Consedine not a signatory to 2012 CMS letters). Courtesy NAIC

State insurance regulators remain concerned about “rate shock” from the younger and healthier portion of the population leaving the health insurance marketplace and skewering it by taking the penalties in the first years when they are low.

Although there is open enrollment prescribed to discourage adverse selection, the states want more tools and time, and the authority to develop them.

“Geographic differences in cost structures and provider contracting may not be consistent from issuer to issuer, making consolidation of geographic rating areas difficult for states and creating winners and losers among issuers, potentially reducing competition,” the state regulators stated.

The NAIC is also concerned about the hit some families may take with rate hikes if they have four or more children when one of the children reaches age 21.

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Nichole Morford

Nichole Morford
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