MVPHP’s 3Q2013 and 4Q2013 Small Group HMO Rate Filing.
Company is proposing an overall average annual rate increase of 7.8% (over 3Q2012 rates) for policyholders renewing in 3Q2013. For fourth quarter 2013 renewals, the overall average annual rate increase being proposed is 8.0% (over 4Q2012 rates).
MVP Health Plan, Inc. is a non-profit health care payer operating in Vermont and New York.
MVP’s mission is to provide high quality and affordable health care with a focus on wellness to
MVP must obtain approval from the Green Mountain Care Board for the health insurance premium rates
charged. MVP files quarterly premium rates which are guaranteed for 12 months. This rate filing seeks
approval of MVP's 3rd and 4th quarter 2013 premium rates (effective dates of coverage beginning between
July 1, 2013 and December 31, 2013).
The premium rates filed for approval each quarter reflect MVP's current estimate of the cost to provide health
insurance for that coverage period. The filed premium rates for the current quarter may be higher or lower
than the previously filed premium rates. However, premium rates generally increase over time. Increases in
premium rates are driven by many factors including increases in use of medical services by the insured
population, increases in hospital and physician required charges for medical care, expanded covered services
due to government mandates, fees and assessments charged by the government to insurers, and the exit of
healthier individuals from the insurance market place as the cost of insurance increases.
The premium rates included in this rate filing reflect a 7.9% increase over the prior rates. 3.0% of the 7.9%
proposed increase is due to new government mandates and assessments (at both the state and federal level)
which were not in effect the last time these groups renewed. The minimum proposed rate change for
members renewing is 6.5% while the maximum rate change is 8.0%. There are 166 members in MVP’s
Small Group AR44 block of business, and 61 of these members renew in Q3 or Q4.
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Click attachment to view entire filing.
Once the actuarial opinion has been received by the Department and the Commissioner’s recommendation concerning this filing has been made, these documents will be found at the Green Mountain Care Board’s rate review website: http://gmcboard.vermont.gov/rate_review You can search the Board’s website using the SERFF tracking number at the top of this page. Once the decision has been issued by the Board we will update the status of the filing on our website. Please note there is a time lapse between when the filing is submitted to our Department and when the Board issues the decision.