2018 Rate Increase Justification for Affordable Care Act (ACA) Products

Considerations for 2018 rate increases for Security Health Plan of Wisconsin, Inc., individual and small group products include: 

  • discontinuation of cost share reduction (CSR) payments in 2018 for Silver tier plans
  • expected medical trend in both utilization and cost of services
  • expected demographics and retention
  • applicable taxes and fees, including those that are applicable for 2018 under the ACA 
  • expected payments and charges under the Federal Risk Adjustment Program
  • changes in cost-sharing levels and cost-sharing structures 
  • movement of members to 2018 plans from 2017 plans that are terminating in 2018

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