The California Report: Why Some Don’t Pay Their Covered California Premium: It’s Not What You Think

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A new analysis finds that many people who signed up for a Covered California plan are likely to drop the coverage for a good reason: they found insurance elsewhere.

Researchers at the U.C. Berkeley Labor Center released estimates Wednesday showing that about 20 percent of Covered California enrollees are expected to leave the program because they found a job that offers health insurance. Another 20 percent will see their incomes fall and become eligible for Medi-Cal, the state’s insurance program for people who are low income.

In addition to the 40 percent of enrollees who move to Medi-Cal or job-based insurance, between 2 and 8 percent of those who sign up for Covered California are estimated to become uninsured, the analysis noted. 

20 percent of Covered California enrollees are estimated to move to job-based insurance over the year.

This process — “churn” to those who study health insurance — is well-known in the Medi-Cal and individual insurance market. 

Between 53 and 58 percent of Covered California enrollees are expected to stay in a Covered California plan for 12 months, according to the report. This analysis is consistent with a Kaiser Family Foundation study published earlier this year which found that of people who enrolled in an individual insurance plan in 2010, about 48 percent were still in the individual market two years later.

The question of how many people have paid their premium has become a political issue nationally, with questions being raised about the true enrollment in an ACA plan. But Ken Jacobs, chair of the Labor Center and an author of the new study, said that even 15 percent non-payment of premiums “was not a surprising number.” He said that according to the analysis, in any 3-month period, an estimated 10 percent of enrollees could be expected to leave Covered California, although he says that indeed some may leave the exchange “because the cost was too high.”

On Monday, Peter Lee, executive director of Covered California said 87 percent of enrollees had paid their premium.

Continue reading here: http://blogs.kqed.org/stateofhealth/2014/04/02/why-some-dont-pay-their-covered-california-premium-its-not-what-you-think/

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