2017 Rate Increase Justification for Affordable Care Act (ACA) Products

Considerations for 2017 rate increases for Security Health Plan of Wisconsin, Inc., individual and small group products include: 

  • Expected medical trend in both utilization and cost of services
  • Expected demographics and retention
  • Applicable taxes and fees, including those that are applicable for 2017 under the ACA 
  • Discontinuation of the Federal Transitional Reinsurance Program (for Individual products only)
  • Expected payments and charges under the Federal Risk Adjustment Program
  • Changes in cost-sharing levels and cost-sharing structures 
  • Movement of members to 2017 plans from 2016 plans that are terminating in 2017

A subscriber’s actual rate increase could vary depending on the benefit plan.