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Wellmark Blue Cross Files for 2022 Rate Increase: See More Information Below

Premier Health Ins of Iowa / Dan Walterman Recognized for Marketplace Achievement

Supreme Court Upholds the Affordable Care Act As Constitutional: Summary - On Thursday, June 17, the U.S. Supreme Court dismissed a challenge to the Affordable Care Act for failure to show that the individual and state plaintiffs had standing to attack the law’s requirement that individuals obtain minimum essential coverage (MEC), otherwise known as the individual mandate. The Court concluded that the plaintiffs failed to show a past or future injury traceable to the federal government’s conduct enforcing the MEC provision they attack as unconstitutional. The Court reversed and vacated the Fifth Circuit’s judgment in respect to standing and remanded the case back to the lower court with instructions to dismiss. 
The case was decided by a 7-2 majority vote, with Justices Alito and Gorsuch dissenting. The Court did not reach the merits of the issue – i.e., whether the “individual mandate” to purchase insurance is unconstitutional with a $0 penalty; however, the fact that neither the states nor individuals have standing to sue should settle this issue. While there may be challenges to the ACA in the future, there appear to be no serious constitutional challenges in the pipeline that would overturn the ACA in its entirety. Therefore, it continues to be business as usual with respect to the ACA, including the employer mandate and form 1094-C/1095-C reporting. Read More
Medica COVID-19 Vaccine Website and Information
National General has typically been offering the lowest priced 3 year plans for those age 55 and younger. Contact us if you are interested in quotes.

COVID-19 Updates from National General.
Pivot Health is now offering 3 year plans in Iowa.
Wellmark Blue Cross has filed for a proposed rate increase with the Iowa Insurance Division. The proposed rates will go into effect on January 1st 2022 and must first be approved by the Iowa Insurance Commissioner. It is important to note that often, increased tax credit subsidies often off-set the increase in premiums on the Affordable Care Act plans. Wellmark states the following reasoning for their rate increase:

Pre-Affordable Care Act Plans
  • 6% Increase in Claims over $50,000
  • 16% Increase in Pharmacy Costs
  • 47% Increase in Dermatology Costs
  • 82% Increase in Specialty Prescriptions

Affordable Care Act Plans
  • 15% Increase in Doctor Visits, Psychiatric Visits & Physical Therapy
  • 18% Increase in Claims over $50,000
  • 83% Increase in Mental Health Services
  • 181% Increase in Ambulance Services

Proposed Rate Increases
  • Pre-Affordable Care Act Grandfathered HMO plans - 0.0%
  • Pre-Affordable Care Act Grandmothered HMO plans - 10.0%
  • Pre-Affordable Care Act Grandmothered PPO plans - 5.9%
  • Affordable Care Act plans - 11.1%

View Wellmark's Rate Increase Infographic

While United Health Care has offered the more comprehensive coverage on the 3 year plans, they have also had some sizable rate increases. If you have one of the UHC 3 year plans and would like to review your options, please let us know.

Don't forget the valuable discounts with your FACT Membership through the United Health Care plans.
If you are new to Oscar, don't forget to set up your online account.
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