Begin Main Content Area

ACA HEALTH RATE FILINGS

Insurance companies offering individual and small group health insurance plans are required to file proposed rates with the Pennsylvania Insurance Department for review and approval before plans can be sold to consumers. The Department reviews rates to ensure that the plans are priced appropriately -- that is, they are neither excessive (too high) nor inadequate (too low) -- and are not unfairly discriminatory.

Rates reflect estimates of future costs, including medical and prescription drug costs and administrative expenses, and are based on historical data and forecasts of trends in the upcoming year. In its review, the Department considers these factors, as well as factors such as the insurer's revenues, actual and projected profits, past rate changes, and the effect the change will have on Pennsylvania consumers. For more information on this process, watch our How Are Health Insurance Rates Decided? video.

Below you can review information on pending and approved rate filings for individual and small group products that comply with the reforms of the Affordable Care Act. Limited portions of the filings are deemed confidential by law. Consumers are invited to submit comments on any pending filings to ra-rateform@pa.gov. Comments submitted in writing will be posted to our website.

You can find rate filings for products that either predate the Affordable Care Act ("grandfathered" products), or that have been granted a temporary period in which to transition into compliance with Affordable Care Act ("transitional" products), here.

You can view rate filings for previous years on our website here, or search for rate filings for previous years on the federal government's website here.

 

COUNTY-LEVEL INFORMATION ON PROPOSED RATE FILINGS

As part of an ongoing effort to increase transparency and present information in a consumer-friendly manner, the Department has created a set of tables and maps that the public can use to understand information on proposed plans and rates at the county level.

Individual and Small Group Market Plan and Insurer Summary Information -

2019 Filings

(updated 8/1/18)

 

ACA-RELATED PROPOSED RATE FILINGS FOR 2019 PLANS - INDIVIDUAL MARKET 

​Company
Name​
​Tracking #​ On Exchange?​ ​ % Requested ​ ​ % Approved​ View Filing​ Summary
​View Requested 
Filing​
​View Final Filing​ View Decision Summary​
Capital Advantage Assurance Company CABC-131454875​ ​On/Off ​-20.4% PDF PDF
​Capital Advantage Insurance Company CABC-131454888 Off​ -42.7%​ PDF PDF
Keystone Health Plan Central​ CABC-131454728 Off​ -6.2%​ PDF PDF
First Priority Health HMO ​HGHM-131475735 On/Off​ 2.5%​ PDF​ PDF
​First Priority Life Insurance Company ​HGHM-131475736 Off​ 8.6%​ PDF PDF​
​Highmark, Inc. HGHM-131475700 On/Off​ 8.4%​ PDF PDF​
​Highmark Choice Company (KHPW)​ ​HGHM-131475734 On/Off​ 5.9%​ PDF PDF
​Highmark Health Insurance Company - HHIC ​HGHM-131475752 On/Off​ -5.2%​ PDF PDF
​Highmark Select Resources Inc. HGHM-131475762 Off​ 0.0%​ PDF PDF​
​Geisinger Health Plan GSHP-131501956​ On/Off​ 5.1%​ PDF​ PDF
​Geisinger Quality Options GSHP-131501975 On/Off​ 13.2%​ PDF PDF
​Keystone Health Plan East ​INAC-131476931 ​On/Off ​2.6% PDF PDF
​QCC Insurance Company INAC-131478475 On/Off​ 0.0%​          PDF ​PDF
​UPMC Health Coverage, Inc. UPMC-131496004 Off​ 12.1%​ PDF PDF
​UPMC Health Options, Inc. UPMC-131495924 On/Off​ 2.3%​
PDF PDF​
​PA Health & Wellness CECO-131500564 On/Off​ New​ ​PDF PDF

​​ ​ ​ ​ ​

 

ACA-RELATED PROPOSED RATE FILINGS FOR 2019 PLANS - SMALL GROUP MARKET 

​Company
Name​
​Tracking #​ On
Exchange?  ​
​ % Requested​ ​ %     Approved​ View Filing​   Summary
​View Requested 
Filing​
​View Final Filing​ View Decision Summary​
Aetna Health, Inc/Aetna Health Insurance Company

AETN-131455854/

AETN-131455863​

Off​ 16.1%​ PDF PDF
​Aetna HealthAssurance PA AETN-131455851​ Off​ 12.7%​
PDF PDF
​Aetna Life Insurance Company AETN-131455780​ Off 12.7%​ PDF PDF
Capital Advantage Assurance Company CABC-131455101 Off​ 0.6%​ PDF PDF​
​Capital Advantage Insurance Company ​CABC-131455106 Off​ 16.0%​ PDF PDF
Keystone Health Plan Central​ CABC-131455108 Off​ 4.9%​
PDF PDF
​First Priority Life Insurance Company ​HGHM-131496216 Off​ 18.6%​ PDF PDF​
​Highmark, Inc. HGHM-131496008 Off​ 19.9%​ PDF PDF
​Highmark Benefits Group ​HGHM-131496086 Off​ 5.1% PDF PDF
​Highmark Choice Company (KHPW)​ ​HGHM-131496326 Off​ -33.4%​ PDF​ PDF​
​Highmark Coverage Advantage HGHM-131496215​ Off​ 12.8%​ ​PDF PDF
​Highmark Health Insurance Company - HHIC ​HGHM-131496229 Off​ 10.3%​ PDF PDF
​Geisinger Health Plan GSHP-131502009​ ​Off 1.5%​ ​PDF PDF
​Geisinger Quality Options GSHP-131502028 ​Off 2.7%​ PDF PDF​
​Keystone Health Plan East/AmeriHealth HMO Inc INAC-131478481/INAC-131478518 On/Off​ 4.3%​ PDF​ PDF
​QCC Insurance Company ​INAC-131478429 Off​ 5.1%​ PDF PDF
​UnitedHealthcare Insurance Company of PA UHLC-131482151​ Off​ New​ ​PDF PDF
​UnitedHealthcare Insurance Company UHLC-131482147​ Off​ 9.3%​ PDF PDF
UPMC Health Benefits UPMC-131496028​ Off​ New​ PDF PDF
​UPMC Health Coverage, Inc. UPMC-131496011 Off​ -5.2%​ PDF PDF
​UPMC Health Options, Inc. UPMC-131495951 ​Off -5.3%​ PDF PDF​

 


MORE INFORMATION

  • Members of the media may contact the Office of Press and Communications with any requests by phone at 717-787-3289 or via email at ra-in-press@pa.gov
  • To view 2018 completed ACA-related filings, click here.
  • For technical support ONLY, please contact Tracy Bixler via email at tbixler@pa.gov