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Report: More Protections Needed for AZ Health Insurance Consumers

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Tuesday, July 2, 2013   

PHOENIX - The Arizona Department of Insurance gets credit in a new report for helping to inform consumers and protect them from unreasonable health insurance rate hikes. But, according to the Arizona Public Interest Research Group (PIRG) Education Fund, the department needs more legal authority from the state legislature to do the job right.

The department currently determines if health insurance rate increases are justified, based on information submitted by insurers. But Arizona PIRG health care policy analyst Laura Etherton said they can only push for reasonable rates, not mandate them.

"To truly protect consumers from excessive rate hikes, the department needs the authority to deny unreasonable rate increases," Etherton stated.

More than 30 other states already have the authority to deny excessive rate hikes for at least some insurance products, including our neighboring states of New Mexico, Nevada and Colorado. Under the Affordable Care Act, Arizona's insurance department reviews any health insurance rate increase of more than 10 percent.

Etherton said it doesn't appear that all the information provided to the insurance department by companies is made available to the public; for example, responses to follow-up questions for insurers.

"From the information that's publicly available on these rate increases, it does not appear that insurers have adequately justified these rate increases," she said. "And we are concerned that that means consumers will be seeing rate increases that are excessive."

The PIRG report compliments the insurance department for its transparency efforts. But Etherton said their website could be made more user-friendly.

"It takes a number of different steps," she said. "You have to write down a big number and enter it in somewhere else. So, there's definitely some areas where we think (they're) off to a good start, making these things transparent. Now the next step is making it easier for consumers and researchers to actually find this information. "

Working with an actuary, PIRG analyzed four proposed Arizona health insurance rate hikes in the individual and small group markets for its report. The increases were scheduled to take effect July 1 and October 1.

The report is at arizonapirgfund.org.




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