The Indianapolis insurance Commissioner is asking for a waiver of Patient Protection and Affordable Care Act’s (ACA) 80 percent minimum medical loss ratio (MLR).
The commissioner states that 10% of the health insurance companies have left Indianapolis. If the waiver is granted that would encourage companies to stay in the individual health market. The commission is only asking the wavier on Consumer driven health plans.
There is a real problem in the health insurance market with a lack of competition. There is serious concern that we could lose another large individual carrier.
Aetna recently left the individual market here locally. The risk of loss was not worth the reward. What average people don’t see is that the individual market is not that profitable for the carriers. So now we have new laws on the medical loss ratio that could create even more risk for the carriers to offset individual loses.
I do believe the Commission is acting in the best interest of Hoosiers.