Affordable Care Act 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 email@example.com. Comments submitted in writing will be posted to our website.
County-level Information on 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 -
Number of Insurance Companies Offering On-Exchange Plans - PY 2022
2022 Final Rates Public Use Tool
ACA-RELATED RATE FILINGS FOR 2022 PLANS - INDIVIDUAL MARKET
ACA-RELATED RATE FILINGS FOR 2022 PLANS - SMALL GROUP MARKET
- 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 firstname.lastname@example.org
- For technical support ONLY, please contact the Department via email at email@example.com