ACA-Related Filings


The Patient Protection and Affordable Care Act (ACA) is a federal statute that was signed into law on March 23, 2010.  As part of federal health care reform, states are encouraged to make health filings that meet ACA eligibility requirements accessible to interested parties via the Internet.  For your information, an 'ACA-related filing' is a comprehensive major medical filing of a form, rate or combination thereof, specific to individual or commercial small group health insurance.

Interested parties can review ACA-related filings that have been submitted.  Previously, only filings requesting a rate increase of 10 percent or greater, received on or after September 1, 2011, were available for public review and comment, prior to approval.

The Department is now providing information on all rate filings received for plan year 2016.  This includes filings requesting rate increases of less than 10 percent.  Please note the headings of the charts below.

Users will only be able to view the public details of the filing, as certain portions are deemed confidential by law.

Confused about the rate filing process? Visit our consumer guide for more information.

PENDING ACA-RELATED FILINGS FOR PROPOSED RATE INCREASES OF 10 PERCENT OR GREATER:

 Company Name  Tracking # Marketplace  Exchange/SHOP   % Requested  View Filing:
           
 First Priority Life Insurance Company  BCNP-130071834  Individual On/Off  29.50%   PDF
 Geisinger Health Plan  GSHP-130072597 Individual   On/Off 40.60%   PDF
 Geisinger Quality Options  GSHP-130072442 Individual  On/Off  58.40%   PDF
 Highmark  HGHM-130061378 Individual  On/Off  25.50%   PDF
 Highmark  HGHM-130064391 Small Group  On/Off  15.50%   PDF
 Highmark Benefits Group  HGHM-130064466 Small Group  Off   13.50%   PDF
 HM Health Insurance Company  HGHM-130061791 Individual  On/Off  35.90%   PDF
 Keystone Health Plan West  HGHM-130070359 Individual  Off  36.60%   PDF
 Time Insurance Company  ASPC-130038377 Individual  On/Off  61%   WITHDRAWN

Additional information concerning the filings above can be viewed on the following Centers for Medicare and Medicaid Services web sites:  https://ratereview.healthcare.gov/ and www.cms.gov/CCIIO/Resources/Data-Resources/ratereview.html .

PENDING ACA-RELATED FILINGS FOR PROPOSED RATE INCREASES OF LESS THAN 10 PERCENT:

Company Name  Tracking # Marketplace  Exchange/SHOP  % Requested  View Filing:
           
  Aetna Health Inc.  AETN-129971237 Individual  On/Off  5.60%  PDF 
  Aetna Health Inc.  AETN-130046864 Small Group  Off  6.10%  PDF 
  Aetna Health Insurance Company  AETN-130046890 Small Group  Off  6.10%  PDF 

  Aetna Life Insurance Company

 AETN-130046894 Small Group  Off  6.10%  PDF 
  AmeriHealth HMO, Inc.  INAC-129961525 Small Group  On/Off  6.70%  PDF 
  Capital Advantage Assurance Company  CABC-130076031 Small Group   On/Off -2.40%  PDF 
  Capital Advantage Assurance Company  CABC-130076761 Individual  On/Off  2.30%  PDF 
  Capital Advantage Insurance Company  CABC-130079821 Small Group  Off -2.00%  PDF 
  Capital Advantage Insurance Company  CABC-130079084 Individual  Off -1.00%  PDF 
  First Priority Life Insurance Company  BCNP-130071709 Small Group  On/Off  9.50%  PDF 
  Freedom Life Insurance Company of America  USHG-130034201 Individual  Off  9.90%  PDF 
  Geisinger Health Plan  GSHP-130072560 Small Group  Off  7.20%  PDF 
  Geisinger Quality Options  GSHP-130072619 Small Group Off 9.88% PDF
  Health Assurance PA, Inc.  AETN-130046916 Small Group Off 3.70% PDF
  Highmark Coverage Advantage Inc.  HGHM-130064398 Small Group Off 9.70% PDF
  HM Health Insurance Company  HGHM-130064390 Small Group On/Off 9.10% PDF
  Inter-County Hospitalization/Health Plan  ICHP-130082613 Small Group Off 1.75% PDF
  Keystone Health Plan Central  CABC-130076082 Small Group On/Off -2.00% PDF
  Keystone Health Plan Central/CAIC  CABC-130076965 Individual On/Off 2.10% PDF
  Keystone Health Plan East, Inc.  INAC-129936718  Individual On/Off  2.80%  PDF 
  Keystone Health Plan East, Inc.  INAC-129955625 Small Group  On/Off  6.70%  PDF 
  Keystone Health Plan West  HGHM-130064437 Small Group  Off  9.40%  PDF 
  National Foundation Life Insurance Company  USHG-130034220 Individual  Off  9.90%  PDF 
  QCC Insurance Company  INAC-129938930 Individual  On/Off  2.80%  PDF 
  QCC Insurance Company  INAC-129939280 Small Group  On/Off  6.70%  PDF 
  Time Insurance Company  ASPC-130053431 Small Group   Off 2.00%  WITHDRAWN
  United Healthcare Life Insurance Company  AMMS-129898463 Individual   Off 9.10%  PDF 
  United Healthcare of PA, Inc.  UHLC-130076987  Small Group On/Off -1.50%  PDF 
  United Healthcare of PA, Inc.  UHLC-129897516  Individual On/Off  5.60% PDF
  UPMC Health Coverage  UPMC-130072609 Individual  On/Off  0%  PDF 
  UPMC Health Options, Inc.  UPMC-130071357 Individual  On/Off  9.75% PDF 
            


PENDING ACA-RELATED FILINGS FOR PROPOSED RATES FOR NEW 2016 PRODUCTS

 Company Name  Tracking # Marketplace  Exchange/SHOP   View Filing:
         
 Federated Mutual Insurance Company  FEMC-130017955  Small Group  Off PDF 
 Highmark Select Resources Inc.  HGHM-130063170 Individual  On/Off  PDF 
 UPMC Health Coverage, Inc.  UPMC-130071359 Small Group   On/Off  PDF 
 UPMC Health Options, Inc.  UPMC-130071358 Small Group  On/Off PDF 

Interested parties are invited to submit written comments via email to ra-rateform@pa.gov on any of the filings listed above.  Comments should be provided by no later than July 1, 2015.

Members of the media may contact the Office of Press and Communications with any questions by phone at 717.787.3289 or via email at ra-in-press@pa.gov.

To view completed ACA-related filings, click here.

For technical support, please contact Tracy Bixler via email at tbixler@pa.gov or via telephone at 717-783-2112.