{"id":1212,"date":"2025-05-28T13:51:08","date_gmt":"2025-05-28T19:51:08","guid":{"rendered":"https:\/\/www.wenatcheeinsurance.com\/blog\/?p=1212"},"modified":"2025-05-28T16:40:45","modified_gmt":"2025-05-28T22:40:45","slug":"big-rate-increases-requested-for-individual-health-plans-for-2026","status":"publish","type":"post","link":"https:\/\/www.wenatcheeinsurance.com\/blog\/big-rate-increases-requested-for-individual-health-plans-for-2026\/","title":{"rendered":"Big rate increases requested for Individual Health Plans for 2026"},"content":{"rendered":"\n
\"health<\/figure>\n\n\n\n

Matt has been assisting people with Health Insurance since the first year of the ACA. Suzie and Matt ran the Enrollment Center for years in Wenatchee assisting people enroll in Health Insurance without adding fees. We work with Wenatchee Insurance<\/a> which is an independent insurance agency. <\/p>\n\n\n\n

It is that time of year when the Office of Insurance let’s people know what the health insurance rates<\/a> could do for the following year. From our experience, we knew that big changes were going to occur for a couple of reasons.<\/p>\n\n\n\n

    \n
  1. The Enhanced tax credits from the Inflation Reduction act were scheduled to end<\/a> in December of 2025 unless Congress was going<\/a> to extend them.<\/li>\n\n\n\n
  2. The budget bill would be putting strain<\/a> from additional 310,000 to 510,000 uninsured people being added with the loss of coverage from Medicaid<\/a>. <\/li>\n<\/ol>\n\n\n\n

    Here are the health insurance raw numbers.<\/h2>\n\n\n\n

    Asuris Northwest Health<\/strong> is requesting a 15.15%.<\/a> With 964 people enrolled they lost $1.2 million with a claims of 85.81%. This is an off exchange plan that does not get additional help from premium tax credits. Here is where you comment<\/a>.<\/p>\n\n\n\n

    Bridgespan Health Company<\/strong> is requesting a 18.38% increase<\/a>. With 376 people enrolled they lost $1.1 million after the $2.2 million risk adjustment. Here is where <\/a>you comment<\/a>.<\/p>\n\n\n\n

    Community Health Plan of Washington<\/strong> is requesting a 27.57%<\/a>. With 34,463 people enrolled they lost $16.9 million after a $44.2 million risk adjustment. They have eliminated broker commissions. Here is where you comment<\/a>.<\/p>\n\n\n\n

    Coordinated Care Corporation<\/strong> is requesting a 21.95%<\/a> With 107,649 people enrolled they lost $1.3 million after a risk adjustment loss of $68.1 million and a claims of 80.94%. They are maintaining broker commissions for customer service. Here is where you comment<\/a>.<\/p>\n\n\n\n

    Kaiser Foundation Healthplan<\/strong> is requesting a 11.36%<\/a>. With 7,000 people enrolled in Clark and Cowlitz the company made $5.5 million after the risk adjustment and a claims of 85.5%. Here is where you comment<\/a>.<\/p>\n\n\n\n

    Kaiser Foundation Health Plan of Washington<\/strong> is requesting a 19.18%<\/a>. With 40,266 enrolled they lost $360,419 after a $3.1 million loss in risk adjustment however the claims were 88.88%. Here is where you comment<\/a>.<\/p>\n\n\n\n

    Lifewise Health Healthplan of Washington<\/strong> is requesting a 14.43%<\/a>. With 23,727 people enrolled in this non-grandfathered plan, they made $3.5 million after a $13.3 million risk adjustment loss. However their claims were 89.39%. Here is where you comment<\/a>.<\/p>\n\n\n\n

    Lifewise Health Plan of Washington<\/strong> is requesting a 10.4%<\/a>. They have 1843 people enrolled in their grandfathered plan and made $1.0 million with this closed book. Here is where you comment<\/a>.<\/p>\n\n\n\n

    Molina Healthcare of Washington<\/strong> is requesting a 24.59%<\/a>. They have 43,346 enrolled and made $6.6 million after a $40.1 million loss from risk adjustment. Their claims was 83.1%. Here is where you comment<\/a>.<\/p>\n\n\n\n

    Premera Blue Cross<\/strong> is requesting a 18.79%<\/a>. With 9,460 enrolled, they made $8.1 million after a risk adjustment of $41.5 million. They had 92.57% in claims. Here is where you comment<\/a>.<\/p>\n\n\n\n

    Providence Health Plan<\/strong> is requesting a 10.59%<\/a>. With 254 people served, the company made $558,805 after the risk adjustment. Here is where you comment<\/a>.<\/p>\n\n\n\n

    Regence Bluecross Blueshield of Oregon<\/strong> is requesting a 24.93%<\/a>. With 10,029 people served in Clark County they lost $6.5 million after a risk adjustment of $5.3 million. With claims coming in at 86.87%. Here is where you comment<\/a>.<\/p>\n\n\n\n

    Regence Blueshield<\/strong> is requesting a 9.6%<\/a>. With 21,878 enrolled, they lost $14.3 million after a risk adjustment loss of $31.8 million. They also have a claims of 86.41%. Here is where you comment.<\/a><\/p>\n\n\n\n

    United Healthcare of Oregon<\/strong> is requesting a 37.35%<\/a>. With 6180 enrolled they lost $9.2 million after a $2.6 million loss from risk adjustment. They also had a claims of 86.20%. Here is where you comment<\/a>.<\/a><\/p>\n\n\n\n

    How to prepare for fall enrollment<\/h2>\n\n\n\n

    Open Enrollment for Health Insurance runs from November 1st through December 15th. <\/p>\n\n\n\n

      \n
    1. Set your appointment early. <\/li>\n\n\n\n
    2. If you are not connected to Matt or Suzie then here is a good way<\/a> to update your account early.<\/li>\n\n\n\n
    3. Let people know how you feel about the rates. <\/li>\n\n\n\n
    4. Be prepared to shop plans as there big changes. <\/li>\n<\/ol>\n\n\n\n
      \n
      Set appointment with Suzie<\/a><\/div>\n<\/div>\n\n\n\n
      \n
      Set appointment with Matt in person<\/a><\/div>\n<\/div>\n\n\n\n
      \"Health<\/figure>\n","protected":false},"excerpt":{"rendered":"

      Matt has been assisting people with Health Insurance since the first year of the ACA. Suzie and Matt ran the Enrollment Center for years in Wenatchee assisting people enroll in Health Insurance without adding fees. We work with Wenatchee Insurance which is an independent insurance agency. It is that time of year when the Office […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[36,42,212,23,14,35,251,39],"class_list":["post-1212","post","type-post","status-publish","format-standard","hentry","category-insurance","tag-chelan","tag-douglas-county","tag-grant-county","tag-health-insurance","tag-independent-insurance-agency","tag-okanogan","tag-suzie","tag-wenatchee-insurance"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.wenatcheeinsurance.com\/blog\/wp-json\/wp\/v2\/posts\/1212","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.wenatcheeinsurance.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.wenatcheeinsurance.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.wenatcheeinsurance.com\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wenatcheeinsurance.com\/blog\/wp-json\/wp\/v2\/comments?post=1212"}],"version-history":[{"count":7,"href":"https:\/\/www.wenatcheeinsurance.com\/blog\/wp-json\/wp\/v2\/posts\/1212\/revisions"}],"predecessor-version":[{"id":1224,"href":"https:\/\/www.wenatcheeinsurance.com\/blog\/wp-json\/wp\/v2\/posts\/1212\/revisions\/1224"}],"wp:attachment":[{"href":"https:\/\/www.wenatcheeinsurance.com\/blog\/wp-json\/wp\/v2\/media?parent=1212"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.wenatcheeinsurance.com\/blog\/wp-json\/wp\/v2\/categories?post=1212"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.wenatcheeinsurance.com\/blog\/wp-json\/wp\/v2\/tags?post=1212"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}