California Healthline: Exchange To Lay Out Benefit Designs

by David Gorn.

This week, Covered California’s board will take up the subject of insurance benefit design in 2015.

The discussion Thursday of health plan offerings in 2015 comes just a couple of weeks after the end of the exchange’s first open enrollment period and just two days after the April 15 deadline to complete enrollment forms.

The exchange signed up roughly 1.2 million Californians by the end of March. That number could rise due to the two-week extension to finish incomplete applications and it could decline when the total of those who actually paid their premiums is announced.

A second open enrollment period is slated to begin Nov. 15 and rates need to be established soon so consumers can review rates in advance of that period.

The process for setting rates is a long one, so insurers are expected to submit rate proposals to the exchange in late May. Before insurers can run the actuarial data to determine rates, though, they need the 2015 benefit design criteria from exchange officials.

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  • LAAAC is managed by St. Barnabas Senior Services; Funded, in part, by Archstone Foundation.
  • St. Barnabas Senior Services

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