Report claims state health insurance reform not working

AUGUSTA — A Republican-backed state law aimed at lowering health insurance premiums in Maine is being panned in a new report by affordable health care advocates.

A new report by the Augusta-based Consumers for Affordable Health Care pans a new state law aimed at lowering health insurance premiums.

Insurance rates go up

In Central Maine, which includes Androscoggin County, 93 percent of those participating in small-group policies saw renewal rates increase. For about 30 percent of that group of policyholders, rates went up by more than 20 percent. Rates increased by more than 40 percent for 7.6 percent of policyholders, while 7 percent saw their rates decrease.

In Western Maine, including Franklin and Oxford counties, 97 percent in small groups saw their rates go up. Twenty-six percent with small-group plans in Western Maine saw rate increases of more than 20 percent, while 15 percent saw rate increases of more than 40 percent. Only 3.4 percent saw rates go down.

But supporters of the law, especially those who wrote and co-sponsored it in the Maine Legislature, say the law is working but needs to be fully implemented before anyone draws conclusions about its effectiveness.

Supporters say key provisions of the law, including one that allows people to buy health insurance across state lines, have not yet gone into effect.

In its report issued earlier this month, Consumers for Affordable Health Care examined health insurance rate renewal information at the Bureau of Insurance. The report focused on renewal rates for insurance customers in the individual and small-group markets.

What they found did not bode well for the new law's effectiveness, said Joe Ditre, executive director of the consumer group.

Key findings showed 54 percent of individual policyholders in Maine saw premium increases, while 90 percent of small business policyholders saw rates go up. Small-group plans cover up to 50 employees. 

The report also draws attention to a new $4 assessment tacked on to all health insurance policies in Maine as a result of the law.

That assessment is used to build an annual fund of nearly $21 million that a new nonprofit organization , the Maine Guaranteed Access Reinsurance Association, also created by the law, uses to reinsure the most costly or high-risk clients on the books of Maine insurance companies.

"No one knows they are paying this tax," Ditre said. "They are being taxed, and this is all under the radar."

But advocates for the law say the new reinsurance pools are the reason Anthem, one of the state's largest health insurance providers, asked for an average rate increase of only 1.7 percent this year.

According to a statement on the Bureau of Insurance's website, that represents $11 million in savings for Anthem because of the anticipated ability to use the MGARA funds to pay down high-risk claims.

Without the new nonprofit and the reinsurance pool, the company would have asked for a 21 percent increase, according to officials and documents filed with the bureau.

A 21 percent hike for Anthem would not necessarily have been approved by the bureau, according to Doug Dunbar, a spokesman for the Department of Professional and Financial Regulation, which includes the Bureau of Insurance.

"It’s not possible to indicate whether a different rate increase request from Anthem would have been approved," Dunbar wrote in an email.

The Maine Guaranteed Access Reinsurance Association board, as defined by the law, is largely controlled by insurance companies doing business in Maine, Ditre said.

Of the 11 members of the board, five are insurance company representatives, another is an insurance broker, another is a small-business person — whose small business is in insurance. The other board members include a car sales businessman, two representatives from the medical community and a former credit union president.

Advocates for the law say it creates a better "free market" approach to health insurance, but opponents say it's little more than corporate welfare and an annual $21 million subsidy or bailout for some of the most profitable companies doing business in Maine.

The law is written in a way that requires insurance companies to pay the fees collected, but it also allows them not to disclose or itemize the fee. 

The law also allows the new nonprofit to increase the fee, as needed, by an additional $2 per month, up to $6 per month per person insured.

Ditre believes MGARA will almost certainly increase the assessment. He said actuarial studies estimate the true cost of insuring the highest-risk clients in Maine is closer to $65 million, which is three times what MGARA is currently collecting for that purpose.

"Essentially, what we have here in MGARA is a group that gets $21 million in public money with no public oversight," Ditre said. "This Legislature delegated its authority to increase the tax by half — by an additional $2 per member per month."

The law changed the way insurance companies are allowed to set rates and allows them to charge more based on location, age and risk assessment. Older people in more rural places are the most vulnerable to the rate increases, and businesses with small-group policies are being hard-hit, Ditre said.

Only the small-group policies that include larger numbers of young workers, mostly in southern Maine, have experienced small rate decreases.

Some rates go down

Supporters of the law say rate increases overall are less than what they've been each year prior to the law and that prior to the law there were no notable rate decreases.

So the law is moving in the right direction and indeed working, according to one of the co-authors of the bill, state Rep. Les Fossel, R-Alna.

"One claim — that 54 percent of individual policyholders saw higher premiums — neglects to add that nearly 100 percent of individual policyholders saw increases in previous years," Fossel wrote in a guest column in the Portland Press Herald on Sept. 11. "Nor does the report mention that nearly 87 percent of individual policyholders now have access to lower cost alternatives that meet their needs."

Dunbar, the department spokesman, backs up some of Fossel's statement, noting, "Premiums have been increasing significantly for years."

Dunbar said the rate data for the fourth quarter of 2011 and the first quarter of 2012 show that 10.6 percent of those in small-group plans across the state saw their rates go down.

"For the same period last year (before the new law), only 3.26 percent of small groups experienced a decrease in rates," Dunbar wrote. " While rates can vary significantly among groups for many reasons (e.g., changes in group size or medical trend inflation), the overall change since the enactment of PL 90 is a 6.9 percent increase in the number of small groups experiencing rate relief."

An analysis by the state's Bureau of Insurance also touts the reduction in the rate of increase for premiums, but it highlights how rates were still going up for most policyholders post PL 90.

Fossel and others have argued that the changes have created a new host of insurance products that allow people to buy the most affordable plan to cover their needs, but Ditre said what's really happening is people are being left short of the coverage they need. 

"People are in the position where they are going to drop their coverage or choose much, much higher deductibles — all which create a windfall for the insurance industry," Ditre said. "They get rid of their higher risks by rating people out of coverage or people change to coverage that is inadequate, and they've got to pay a premium for that for which they see very little benefit. Again, it's a tremendous windfall for the insurance industry."

More time needed?

The situation for small business is not getting any better, Ditre said. "It's ironic to me that they are saying give it time, when in fact those legislators who said we need more time to study this law were told specifically by the bill's sponsors: 'These issues have been studied to death. We don't need to take any more time. We know what needs to be done and free-market competition will lower these rates.'"

Eric Cioppa, superintendent of the Maine Insurance Bureau, agrees with those who say it will take more time to fully understand the impacts of the new law on insurance rates.

He said it's too soon to tell whether the law is achieving some of its other goals, including drawing more people into the health insurance market in Maine, which could ultimately bring rates down.

Cioppa said Consumers for Affordable Health Care's report failed to mention that insurance providers will pay premiums to MGARA for any clients they want covered in the reinsurance pool. Those premiums are paid at 90 cents on the dollar, he said.

He said part of that formulation is that MGARA isn't in the business to make money but to maximize the $4 assessment to cover claims. Ultimately, that relief is aimed at reducing rates in the individual insurance market, he said.

He said the thing that is driving insurance rates skyward in Maine and elsewhere is medical costs.

"I'm not casting aspersions on anyone, but the medical costs and the medical trends — I think everyone acknowledges there's still work to do on that," Cioppa said.

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Bob Stone's picture


Medical insurance is expensive, getting more so, and the future is scary as well as bleak. After 40 years of Democrat design, Mainers pay some of the highest rates in the nation. We have a very expensive health care delivery system.

Consumers for Affordable Healthcare is in interesting group. Looking at the 990 form (from 2010 because they haven't filed 2011 yet), they took in just south of a million dollars in revenue. Joe Ditre, the executive director, took in over $100,000 in wages, not including benefits. They bill themselves as "non-partisan" which is a joke.

The Chairman of the Board is a insurance broker from Fort Fairfield. The board includes a couple of docs, a lawyer and the insurance broker.

They appear to be light on consumers and heavy on self interest. They got government grants in 2010 of about a quarter million bucks. I don't know what taxpayer funded branch of government poured money into Ditre's pockets.

Bob Stone's picture


This data, of course, will probably never see the newspaper's pages. Too bad.

Gerald Weinand's picture

$4 tax

It should be noted that the $4 tax is per person covered per month. So a family of four covered by one parent's employer sponsored insurance will have to pay $192 per year in taxes, used to fund the state-run high-risk insurance pool.

This pool, MGARA, is where for-profit insurers will move their high cost customers. Of note is that the language used to create MGARA was taken nearly verbatim from ALEC model legislation.

Or more simply:

Privatize the profits, socialize the risks.

JOANNE MOORE's picture

Not working, eh?

Of COURSE it's not working. Not for the little guy. Just another giveaway to big business. And being able to buy across state lines isn't going to change a thing except cost jobs until there are just a damned few choices among the huge, (as in too huge to fail) corporate run, for profit companies.

You don't think for one minute, do you, that the Republicans ever give the little guy a break? Of course not.

But the nuckledraggers and mouth breathers keep right on voting against their best interests because the Republicans love Jeezus and hate teh gay.

Mark Wrenn's picture


Perhaps Anthem's lower rate increase is due to the 80% ratio in the ACA.

Gerald Weinand's picture

Medical-loss ratio

What Wrenn refers to is the medical-loss ratio. By law, an insurance company must return a certain portion of each premium dollar to customers, with the remainder to be used for overhead and profit. The Affordable Care Act sets that ratio at 80% for individual plans, and 85% for group plans.

Maine law allows for a 65% ratio, meaning that for every dollar you pay in premium costs, your insurance company can keep 35 cents for overhead and profit. This has been superseded by the federal law, although Maine did apply for a waiver, which I thought was granted by HHS.

FRANK EARLEY's picture

Tell Ya what......

Get rid of the five insurance industry reps. and make all fees and costs transparent, and maybe I'll consider this something that might someday work. I'm just wondering if the fact that Anthem didn't request a higher rate increase, may be because they don't need it? Having dealt with them in the past, I know their not real big on helping out the little guy......


Just trust us

So far this sounds like the Romney version of " Everything will be much better after the election and we will let you in on the details of how we will fix everything after we are elected". It appears as if the poor and the sick are paying more and the insurance companies are paying less but not to worry, after the election this will all work out. Just trust us. And you should be grateful that the insurance companies didn't ask for as much of an increase because they are getting more even though that increase would most likely have been denied. Oh, looky here, it seems as if they got their increase without having to go through the messy process of asking for it by taxing us all under the table the $4. Some of us are pretty short on trust right now given the behaviour of politicians lately.


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