Exhibit 1. Average Premiums in the District of Columbia, Nevada, and Rhode Island by Metal Tier,...

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Exhibit 1. Average Premiums in the District of Columbia, Nevada, and Rhode Island by Metal Tier, Single Coverage, 2014 and 2015 District of Columbia Nevada Rhode Island 2014 2015 % change 2014 2015 % change 2014 2015 % change Bronze $224 $228 2% $275 $278 1% $218 $228 5% Silver $271 $294 8% $312 $323 4% $291 $284 –2% Gold $322 $361 12% $370 $362 –2% $348 $340 –2% Platinum $387 $440 14% $328 $405 23% n/a n/a n/a Overall $264 $293 11% $307 $320 4% $281 $280 0% Notes: All single rates are for 40-year-old nonsmokers. In 2014, we found average premiums for gold plans in Nevada to be higher than for platinum plans, even though platinum plans are more expensive on the whole than gold plans. This is because in Nevada, the gold plans were much more likely to be sold in the higher-cost rural and suburban rating regions. The selected platinum plans were sold only in the lower-cost urban regions. Source: Review of publicly available 2014 and 2015 rate filings from the District of Columbia, Nevada, and Rhode Island Departments of Insurance and insurance exchange marketplace websites.

Transcript of Exhibit 1. Average Premiums in the District of Columbia, Nevada, and Rhode Island by Metal Tier,...

Page 1: Exhibit 1. Average Premiums in the District of Columbia, Nevada, and Rhode Island by Metal Tier, Single Coverage, 2014 and 2015 District of ColumbiaNevadaRhode.

Exhibit 1. Average Premiums in the District of Columbia, Nevada, and Rhode Island by Metal Tier, Single Coverage, 2014 and 2015

District of Columbia Nevada Rhode Island

2014 2015 % change 2014 2015 % change 2014 2015 % change

Bronze $224 $228 2% $275 $278 1% $218 $228 5%

Silver $271 $294 8% $312 $323 4% $291 $284 –2%

Gold $322 $361 12% $370 $362 –2% $348 $340 –2%

Platinum $387 $440 14% $328 $405 23% n/a n/a n/a

Overall $264 $293 11% $307 $320 4% $281 $280 0%

Notes: All single rates are for 40-year-old nonsmokers. In 2014, we found average premiums for gold plans in Nevada to be higher than for platinum plans, even though platinum plans are more expensive on the whole than gold plans. This is because in Nevada, the gold plans were much more likely to be sold in the higher-cost rural and suburban rating regions. The selected platinum plans were sold only in the lower-cost urban regions.Source: Review of publicly available 2014 and 2015 rate filings from the District of Columbia, Nevada, and Rhode Island Departments of Insurance and insurance exchange marketplace websites.

Page 2: Exhibit 1. Average Premiums in the District of Columbia, Nevada, and Rhode Island by Metal Tier, Single Coverage, 2014 and 2015 District of ColumbiaNevadaRhode.

Exhibit 2. Average Premiums in the District of Columbia, Nevada, and Rhode Island for Single, Couple, and Family Coverage, 2014 and 2015

District of Columbia Nevada Rhode Island

2014 2015 % change 2014 2015 % change 2014 2015 % change

Single $264 $293 11% $307 $320 4% $281 $280 0%

Couple $528 $585 11% $615 $639 4% $563 $559 –1%

Family $882 $978 11% $912 $957 5% $845 $837 –1%

Note: Single rates are for 40-year-old nonsmokers; couple rates are for two 40-year-old nonsmokers; family rates are for a family of four (two 40-year-old nonsmokers plus two children in the 0–20 age bracket).Source: Review of publicly available 2014 and 2015 rate filings from the District of Columbia, Nevada, and Rhode Island Departments of Insurance and insurance exchange marketplace websites.

Page 3: Exhibit 1. Average Premiums in the District of Columbia, Nevada, and Rhode Island by Metal Tier, Single Coverage, 2014 and 2015 District of ColumbiaNevadaRhode.

Exhibit 3. Average Deductibles, Out-of-Pocket Limits, and Copayments in the District of Columbia, Nevada, and Rhode Island by Metal Tier, 2014–2015

Note: All single rates are for 40-year-old nonsmokers.Source: Review of publicly available 2014 and 2015 rate filings from the D.C., Nev., and R.I. Depts. of Insurance and insurance exchange marketplace websites.

State and Year All Plans Catastrophic Bronze Silver Gold Platinum

Dist. Columbia 2014 Average deductible (plans with deductibles) $3,618 $6,350 $5,177 $2,655 $1,200 n/a

Average out-of pocket limit $5,534 $6,350 $6,318 $5,730 $4,929 $2,600

Average copayment, primary care visit $26 $20 $36 $29 $20 $10

Dist. Columbia 2015 Average deductible (plans with deductibles) $3,162 $6,600 $5,175 $1,950 $1,100 n/a

Average out-of-pocket limit $5,390 $6,600 $6,325 $6,192 $4,460 $1,900

Average copayment, primary care visit $22 n/a $29 $21 $19 $20

Nevada 2014 Average deductible (plans with deductibles) $3,289 $6,290 $5,375 $2,671 $985 $300

Average out-of-pocket limit $5,932 $6,290 $6,306 $6,284 $5,473 $2,500

Average copayment, primary care visit $29 $40 $38 $34 $22 $7

Nevada 2015 Average deductible (plans with deductibles) $3,070 $6,600 $5,378 $2,962 $657 $264

Average out-of-pocket limit $5,717 $6,450 $6,347 $6,111 $5,429 $3,400

Average copayment, primary care visit $28 $40 $40 $32 $18 $8

Rhode Island 2014 Average deductible (plans with deductibles) $3,296 $6,350 $5,533 $2,900 $1,250 n/a

Average out-of-pocket limit $5,113 $6,350 $6,350 $5,425 $3,563 n/a

Average copayment, primary care visit $21 $25 $40 $17 $12 n/a

Rhode Island 2015 Average deductible (plans with deductibles) $3,190 $6,600 $5,283 $2,771 $1,017 n/a

Average out-of-pocket limit $5,313 $6,650 $6,408 $5,700 $3,542 n/a

Average copayment, primary care visit $23 $25 $35 $23 $15 n/a

Page 4: Exhibit 1. Average Premiums in the District of Columbia, Nevada, and Rhode Island by Metal Tier, Single Coverage, 2014 and 2015 District of ColumbiaNevadaRhode.

Exhibit 4. Statewide Averages for Benchmark Plans in the District of Columbia, Nevada, and Rhode Island, 2014 and 2015

State averages

2014 2015 Percent change

District of Columbia $242 $253 5%Nevada $261 $259 –1%Rhode Island $294 $260 –12%

Note: All single rates are for 40-year-old nonsmokers.Source: Review of publicly available 2014 and 2015 rate filings from the District of Columbia, Nevada, and Rhode Island Departments of Insurance and insurance exchange marketplace websites.