Iowa Code ยง505.19 requires the Commissioner to hold a public hearing on a proposed individual health insurance rate increase which exceeds the average annual health spending growth rate as published by the Centers for Medicare and Medicaid Services of the United State Department of Health and Human Services.  For 2027 the growth rate is 5.6%. The purpose is to hear public comments on the proposed increase in the base premium rate. Consumers wishing to make a public comment at the hearing are encouraged to attend the hearing in-person or via the live webcast. 

Details about the hearing location and the webcast link will be posted closer to the hearing date.

Consumers may submit written comments via our website.

A transcript will be available following the hearing.
 


ACA Individual Market โ€” 2027 filings subject to rate hearings

  • Avera Health Plans โ€” 14.82% average increase on 438 lives; range of 12.30% to 21.70%
  • Iowa Total Care, Inc. โ€” 16.84% average increase on 6,982 lives; range of 9.39% to 21.75%
  • Oscar Insurance Company โ€” 11.94% average increase on 11,971 lives; range of 4.63% to 28.17%
  • UnitedHealthcare Plan of the River Valley โ€” 11.77% average increase on 546 lives; range of 9.66% to 12.53%
  • Wellmark Health Plan of Iowa โ€” 4.98% average increase on approximately 80,000 lives; range of -2.27% to 10.73%; on-Exchange

Pre-ACA Individual Market โ€” 2027 rate filing(s) subject to a rate hearing

  • Wellmark, Inc. โ€” 8.50% average increase on 17,700 members ranging from 6.8% to 10.5%

ACA Small Group Market โ€” Although there are no hearings for Small Group, the IID posts proposals >=15%

  • Avera Health Plans โ€” 23.74% average increase on 196 lives; range of 20.87% to 33.53%.
  • UnitedHealthcare Insurance Company โ€” 23.01% average increase on 4,293 Iowa lives; range of 16.74% to 24.77%.