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Health Insurance Rate Reviews

In Maryland, changes to health benefit plan rates in the small group and individual markets are reviewed by the Maryland Insurance Administration before they are put into place. As of July 1, 2012, health insurance companies must submit new consumer-oriented documents to the Administration about any rate changes in the individual market so that the public can make comments on the proposed rates. Insurance companies also must file this additional information if they propose a rate increase of 10 percent or more in the small group market. After Jan. 1, 2013, all rate change filing requests for small group products will be posted below.

Individual products are those that are not connected to job-based coverage. Many Marylanders are covered through an employer that is self-insured (for example, the State of Maryland, Verizon, Montgomery County Public Schools and General Motors). Self-insured plans and federal plans are not subject to review by the Maryland Insurance Administration.

Health insurance companies must justify proposed rates, which are subject to the Maryland Insurance Administration’s review and approval before any change can become effective. When a health insurance company submits a request that is open to public comment, consumers can read the company’s justification for the request and submit comments during a 30-day public review period.

 

To access proposed rate changes information in the individual market and rate increase requests of 10 percent or more, on average, in the small group market:

  • Find the company name and product ID number in the chart below.
  • Click on the product ID to read the insurer's request for a rate change.
  • After reviewing the information, submit your comments by clicking the corresponding link in the chart. Comments must be submitted by the posted deadline.

 

Please note that rate change requests submitted to the Maryland Insurance Administration pertain to a base amount that a company would like to charge. This may not apply to a premium increase specific to your individual policy, which can be based on many other factors, including age, area, and health conditions. For detailed information about the rate review process and federal requirements, click here.

Rate Filings

Company/
NAIC #
Market Segment Product Name/ID Status Public Comment
Submission Deadline*
Effective Date of Rate Change Average Approved
Rate Change
Range of
Approved
Rate Changes
CareFirst of Maryland
#47058
Individual Personal Comp - Individual Indemnity
45532MD001
Pending Click here to submit comments no later than June 3      
CareFirst of Maryland
#47058
Individual Personal Comp HIPAA - Individual Indemnity
45532MD005
Pending Click here to submit comments no later than June 3      
CareFirst of Maryland
#47058
Individual Personal Comp HSA - Individual Indemnity
45532MD002
Pending Click here to submit comments no later than June 3      
CareFirst of Maryland
#47058
Individual Individual Indemnity
45532MD004
Pending Click here to submit comments no later than June 3      
Aetna Health Inc.
#95109
Small Group Aetna Health Maintenance Organization Small Group HMO
66516MD001
spreadsheet/text
Pending Click here to submit comments no later than May 23      
Aetna Life Insurance
#60054
Small Group Aetna Preferred Provider Organization Small Group PPO
70767MD001
spreadsheet/text
Pending Click here to submit comments no later than May 23      
Aetna Life Insurance
#60054
Individual Aetna Preferred Provider Organization Individual PPO
70767MD002
spreadsheet/text
Pending Click here to submit comments no later than May 23      
CareFirst BlueChoice Inc.
#96202
Small Group BlueChoice HMO HSA/HRA Small Group HMO
28137MD041
Pending Click here to submit comments no later than May 23      
CareFirst BlueChoice Inc.
#96202
Small Group BlueChoice HMO Small Group HMO
28137MD042
Pending Click here to submit comments no later than May 23      
CareFirst BlueChoice Inc.
#96202
Small Group BlueChoice Advantage Small Group POS
28137MD043
Pending Click here to submit comments no later than May 23      
CareFirst BlueChoice Inc.
#96202
Individual BlueChoice Individual HMO
28137MD037
Pending Click here to submit comments no later than May 23      
CareFirst BlueChoice Inc.
#96202
Individual BlueChoice HSA Individual HMO
28137MD038
Pending Click here to submit comments no later than May 23      
CareFirst BlueChoice Inc.
#96202
Individual BlueChoice Plus Individual POS
28137MD039
Pending Click here to submit comments no later than May 23      
CareFirst BlueChoice Inc.
#96202
Individual HealthyBlue Individual POS
28137MD040
Pending Click here to submit comments no later than May 23      
CareFirst of Maryland Inc.
#47058
Small Group BluePreferred Multi-State Plan Small Group PPO
45532MD024
Pending Click here to submit comments no later than May 23      
CareFirst of Maryland Inc.
#47058
Small Group BluePreferred PPO HSA/PRA Small Group PPO
45532MD027
Pending Click here to submit comments no later than May 23      
CareFirst of Maryland Inc.
#47058
Small Group BluePreferred PPO Small Group PPO
45532MD028
Pending Click here to submit comments no later than May 23      
CareFirst of Maryland Inc.
#47058
Small Group BluePreferred HSA/HRA Multi-State Small Group PPO
45532MD030
Pending Click here to submit comments no later than May 23      
CareFirst of Maryland Inc.
#47058
Small Group BlueChoice HMO HSA/HRA Small Group HMO
28137MD041
Pending Click here to submit comments no later than May 23      
CareFirst of Maryland Inc.
#47058
Small Group BlueChoice HMO Small Group HMO
28137MD042
Pending Click here to submit comments no later than May 23      
CareFirst of Maryland Inc.
#47058
Small Group BlueChoice Advantage Small Group POS
28137MD043
Pending Click here to submit comments no later than May 23      
CareFirst of Maryland Inc.
#47058
Individual BluePreferred HSA Individual PPO
45532MD026
Pending Click here to submit comments no later than May 23      
CareFirst of Maryland Inc.
#47058
Individual BluePreferred HSA Multi-State Plan Individual PPO
45532MD029
Pending Click here to submit comments no later than May 23      
CareFirst of Maryland Inc.
#47058
Individual BluePreferred Multi-State Plan Individual PPO
45532MD023
Pending Click here to submit comments no later than May 23      
CareFirst of Maryland Inc.
#47058
Individual BluePreferred Individual PPO
45532MD025
Pending Click here to submit comments no later than May 23      
CareFirst of Maryland Inc.
#47058
Individual BlueChoice Individual HMO
28137MD037
Pending Click here to submit comments no later than May 23      
CareFirst of Maryland Inc.
#47058
Individual BlueChoice HSA Individual HMO
28137MD038
Pending Click here to submit comments no later than May 23      
CareFirst of Maryland Inc.
#47058
Individual BlueChoice Plus Individual POS
28137MD039

Pending

 

Click here to submit comments no later than May 23      
CareFirst of Maryland Inc.
#47058
Individual HealthyBlue Individual POS
28137MD040
Pending Click here to submit comments no later than May 23      
Coventry Health Care of Delaware
#96460
Small Group Small Group HMO
spreadsheet/text
Pending Click here to submit comments no later than May 23      
Coventry Health Care of Delaware
#96460
Individual Individual Preferred Provider HMO
spreadsheet/text
Pending Click here to submit comments no later than May 23      
Coventry Health and Life Insurance
#81973
Small Group Small Group PPO
spreadsheet/text
Pending Click here to submit comments no later than May 23      
Coventry Health and Life Insurance
#81973
Individual Individual PPO
spreadsheet/text
Pending Click here to submit comments no later than May 23      
Group Hospitalization and Medical Services Inc.
#53007
Small Group BluePreferred PPO HSA/HRA Small Group PPO
94084MD015
Pending Click here to submit comments no later than May 23      
Group Hospitalization and Medical Services Inc.
#53007
Small Group BluePreferred HSA/HRA Multi-State Small Group PPO
94084MD020
Pending Click here to submit comments no later than May 23      
Group Hospitalization and Medical Services Inc.
#53007
Small Group BluePreferred Multi-State Plan Small Group PPO
94084MD018
Pending Click here to submit comments no later than May 23      
Group Hospitalization and Medical Services Inc.
#53007
Small Group BluePreferred PPO Small Group PPO
94084MD016
Pending Click here to submit comments no later than May 23      
Group Hospitalization and Medical Services Inc.
#53007
Small Group BlueChoice HMO HSA/HRA Small Group HMO
28137MD041
Pending Click here to submit comments no later than May 23      
Group Hospitalization and Medical Services Inc.
#53007
Small Group BlueChoice HMO Small Group HMO
28137MD042
Pending Click here to submit comments no later than May 23      
Group Hospitalization and Medical Services Inc.
#53007
Small Group BlueChoice Advantage Small Group POS
28137MD043
Pending Click here to submit comments no later than May 23      
Group Hospitalization and Medical Services Inc.
#53007
Individual BluePreferred HSA Individual PPO
94084MD014
Pending Click here to submit comments no later than May 23      
Group Hospitalization and Medical Services Inc.
#53007
Individual BluePreferred HSA Multi-State Small Group PPO
94084MD019
Pending Click here to submit comments no later than May 23      
Group Hospitalization and Medical Services Inc.
#53007
Individual BluePreferred Multi-State Plan Individual PPO
94084MD017
Pending Click here to submit comments no later than May 23      
Group Hospitalization and Medical Services Inc.
#53007
Individual BluePreferred Individual PPO
94084MD013
Pending Click here to submit comments no later than May 23      
Group Hospitalization and Medical Services Inc.
#53007
Individual BlueChoice Individual HMO
28137MD037
Pending Click here to submit comments no later than May 23      
Group Hospitalization and Medical Services Inc.
#53007
Individual BlueChoice HSA Individual HMO
28137MD038
Pending Click here to submit comments no later than May 23      
Group Hospitalization and Medical Services Inc.
#53007
Individual BlueChoice Plus Individual POS
28137MD039
Pending Click here to submit comments no later than May 23      
Group Hospitalization and Medical Services Inc.
#53007
Individual HealthyBlue Individual POS
28137MD040
Pending Click here to submit comments no later than May 23      
Kaiser Foundation Health Plan of the Mid-Atlantic
#95639
Individual KPIF HMO Individual HMO
90296MD056
spreadsheet/text
Pending Click here to submit comments no later than May 23      
Kaiser Foundation Health Plan of the Mid-Atlantic
#95639
Small Group Small Group HMO
90296MD054
spreadsheet/text
Pending Click here to submit comments no later than May 23      
MAMSI Life and Health Insurance
#60321
Small Group Choice Plus Small Group POS
65635MD002
spreadsheet/text
Pending Click here to submit comments no later than May 23      
MAMSI Life and Health Insurance
#60321
Small Group Choice Plus Small Group POS
65635MD002
spreadsheet/text
Pending Click here to submit comments no later than May 23      
MAMSI Life and Health Insurance
#60321
Small Group Choice - Small Group EPO
65635MD005
spreadsheet/text
Pending Click here to submit comments no later than May 23      
MAMSI Life and Health Insurance
#60321
Small Group Choice - Small Group EPO
65635MD005
spreadsheet/text
Pending Click here to submit comments no later than May 23      
Optimum Choice Inc.
#96940
Small Group Optimum Choice Small Group HMO
72375MD001
spreadsheet/text
Pending Click here to submit comments no later than May 23      
United HealthCare Insurance Co.
#79413
Small Group Choice Plus Small Group POS
23620MD002
spreadsheet/text
Pending Click here to submit comments no later than May 23      
United HealthCare of the Mid-Atlantic Inc.
#95025
Small Group Choice Small Group HMO
31112MD002
spreadsheet/text
Pending Click here to submit comments no later than May 24      
United HealthCare of the Mid-Atlantic Inc.
#95025
Small Group Choice Small Group HMO
31112MD002
spreadsheet/text
Pending Click here to submit comments no later than May 24      
Aetna Life Insurance Co.
#60054
Individual Aetna Preferred Provider Organization - Individual PPO
70767MD002
Approved
(Read a summary
of the decision
)
Comment period now closed Aug. 1, 2013 8.80% 8.8%-8.8%
CareFirst of Maryland Inc.
#47058
Small
Group
BluePreferred Small Group PPO
45532MD008
Pending Comment period now closed      
CareFirst of Maryland Inc.
#47058
Small
Group
Select Preferred Provider Plan - Small Group PPO
45532MD019
Pending Comment period now closed      
CareFirst of Maryland Inc.
#47058
Small
Group
BluePreferred HSA Small Group PPO
45532MD009
Pending Comment period now closed      
CareFirst of Maryland Inc.
#47058
Small
Group
BluePreferred HDHP Small Group PPO
45532MD022
Pending Comment period now closed      
CareFirst of Maryland Inc.
#47058
Small
Group
BluePreferred HRA - Small Group PPO
45532MD010
Pending Comment period now closed      
BlueChoice Inc.
#96202
Small
Group
BlueChoice HMO Small Group HMO
28137MD007
Pending Comment period now closed      
BlueChoice Inc.
#96202
Small
Group
BlueChoice HMO Open Access Small Group HMO
28137MD016
Pending Comment period now closed      
BlueChoice Inc.
#96202
Small
Group
BlueChoice Opt-Out Open Access Small Group POS
28137MD017
Pending Comment period now closed      
BlueChoice Inc.
#96202
Small
Group
BlueChoice HMO HSA Open Access Small Group
28137MD008 
Pending Comment period now closed      
BlueChoice Inc.
#96202
Small
Group
BlueChoice Opt-Out Plus HSA Open Access Small Group POS
28137MD010 
Pending Comment period now closed      
BlueChoice Inc.
#96202
Small
Group
HealthyBlue 2.0 HSA Small Group POS
28137MD025
Pending Comment period now closed      
BlueChoice Inc.
#96202
Small
Group
HealthyBlue 2.0 HRA Small Group POS
28137MD027
Pending Comment period now closed      
BlueChoice Inc.
#96202
Small
Group
 BlueChoice HMO Open Access HDHP Small Group HMO
28137MD035
Pending Comment period now closed      
BlueChoice Inc.
#96202
Small
Group
BlueChoice Opt-Out Plus Open Access HDHP Small Group POS
28137MD036
Pending Comment period now closed      
BlueChoice Inc.
#96202
Small
Group
BlueChoice HMO HRA Open Access Small Group
28137MD009
Pending Comment period now closed      
BlueChoice Inc.
#96202
Small
Group
HealthyBlue 2.0 Small Group POS
28137MD022
Pending Comment period now closed      
BlueChoice Inc.
#96202
Small
Group
HealthyBlue Advantage Small Group POS
28137MD031
Pending Comment period now closed      
BlueChoice Inc.
#96202
Small
Group
HealthyBlue Advantage HSA Small Group POS
28137MD032
Pending Comment period now closed      
BlueChoice Inc.
#96202
Small
Group
HealthyBlue Advantage HRA Small Group POS
28137MD033
Pending Comment period now closed      
BlueChoice Inc.
#96202
Small
Group
BlueChoice Advantage HSA Small Group POS
28137MD034
Pending Comment period now closed      
Group Hospitalization and Medical Services Inc.
#53007
Small
Group

BluePreferred Small Group PPO 
94084MD006

BluePreferred HSA Small Group PPO
94084MD007

BluePreferred HRA Small Group PPO
94084MD008

Select Preferred Provider Plan Small Group PPO
94084MD009

BluePreferred HDHP Small Group PPO
94084MD012

Pending Comment period now closed      
Group Hospitalization and Medical Services Inc.
#53007
Individual

BluePreferred
94084MD001 

BluePreferred Saver
94084MD002 

BluePreferred HSA
94084MD003 

Comprehensive Major Medical
94084MD004 

Blue Preferred HIPAA
94084MD005 

Blue Preferred
94084MD010

Pending Comment period now closed      
Coventry Health and Life Insurance Co.
#81973
Small
Group

Qualified High Deductible PPO
68541MD104

Super Joe (Integrated Rx) PPO
68541MD105

Standard PPO Small Group
68541MD106

Approved with modifications
(Read a summary of the decision)
Comment period now closed June 1, 2013 3.90% -19.7% to 13.2%
Coventry Health Care of DE
#96460
Small
Group

Standard HMO (Open Access)
14468MD047

Super Joe (Integrated Rx) HMO (Open Access)
14468DM048 

Qualified High Deductible HMO (Open Access)
14468MD049

Qualified High Deductible POS14468MD050

Standard POS Small Group
14468MD051

Approved with modification
(Read a summary of the decision)
Comment period now closed June 1, 2013 5.30% 0.4% to 13.2%
BlueChoice
#96202
Individual BlueChoice Group Conversion
28137MD024
Approved
(Read a summary of the decision)
Comment period now closed April 1, 2013 8.5% 8.5%-8.5%
Central United Life Insurance Co.
#61883
Individual Major Medical
11012MD001
Approved
(Read a summary of the decision)
Comment period now closed April 1, 2013 5.00% 5.00%-5.00%
Aetna Life Insurance Co. #60054 Small
Group
Aetna Preferred Provider Organization Small Group PPO 70767MD001 and Aetna Fee for Service Small Group Indemnity 70767MD003 Approved
(Read a summary
of the decision)
Comment period now closed April 1, 2013 3.60% 3.60%-3.60%
Aetna Health Inc.
#95109
Small
Group
Aetna Health Maintenance Organization Small Group HMO
66516MD001
Approved
(Read a summary
of the decision)
Comment period now closed April 1, 2013 3.60% 3.60%-3.60%
Aetna Health Insurance Co.
#72052
Small
Group
Aetna Health Maintenance Organization Small Group POS
66516MD002 and 28565MD001
Approved
(Read a summary of the decision)
Comment period now closed April 1, 2013 3.60% 3.60%-3.60%
BlueChoice
#96202
Small
Group
BlueChoice HMO HSA Open Access-Small Group-HMO
28137MD008,
BlueChoice OptOut Plus HSA Open Access-Small Group-POS
28137MD010

Approved

(Read a summary 
of the decision)

Comment period now closed April 1, 2013 3.94% 2.98%-4.70%
Kaiser Foundation Health Plan of the Mid-Atlantic
#95639
Individual KPIF HMO - 90296MD056

Approved

(Read a summary 
of the decision)

Comment period now closed Feb. 1, 2013 0.00% 0.00%
Kaiser Foundation Health Plan of the Mid-Atlantic
#95639
Individual KPIF HMO - 90296MD056

Approved 

(Read a summary of the decision)

Comment period now closed Feb. 1, 2013 2.30% -31.4%-4.0%
Kaiser Foundation Health Plan of the Mid-Atlantic
#95639
Individual KPIF HMO - 90296MD056

Approved

(Read a summary of the decision)

Comment period now closed Feb. 1, 2013 2.30% -31.4%-4.0%
BlueChoice
#96202
Small
Group

 BlueChoice HMO HSA Open Access - Small Group - HMO
28137MD008

BlueChoice Opt-Out Plus HSA Open Access - Small Group - POS
28137MD010

Approved
(Read a summary of the decision)
Comment period now closed Jan. 1, 2013 4.32% 0.27%-8.23%
CareFirst of Maryland Inc.
#47058
Individual Personal Comp HSA - Individual - Indemnity
45532MD014
Approved
(Read a summary of each decision: Jan. 1 change; and April 1 change)
Comment period now closed Jan. 2, 2013
and
April 1, 2013
2.70% 0.0%-3.4%
BlueChoice
#96202
Individual HealthyBlue Triple Option - POS
28137MD005; and HealthyBlue 2.0-POS
28137MD021
Jan. 1 change: Approved
(Read a summary of the decision);
April 1 change: Approved with modification (Read a summary of the decision)
Comment period now closed Jan. 1, 2013
and
April 1, 2013
2.00% 0.0%-2.2%
Group Hospitalization and Medical Services Inc.
#96202
Individual BluePreferred 94084MD001; Comprehensive Major Medical
94084MD004;   BluePreferred
94084MD010;  BluePreferred Saver
94084MD002;  BluePreferred HSA
94084MD003; and  BluePreferred HIPAA 94084MD005
Approved
(Read a summary of each decision: Jan. 1 change; and
April 1 change)
Comment period now closed Jan. 1, 2013
and
April 1, 2013
1.80% 1.6%-2.1%
Aetna Life Insurance #60054 Individual
/Association
Preferred Provider 70767MD004 Approved
(Read a summary of the decision)
Comment period now closed Jan. 1, 2013 -10.00% -10.00%
CareFirst of Maryland Inc.
#47058
Individual BluePreferred HSA PPO
45532MD017
Approved
(Read a summary of the decision)
Comment period now closed  Dec. 1, 2012 -2.30% -2.30%
Group Hospitalization and Medical Services Inc.
#53007
Individual BluePreferred HSA PPO
94084MD003
Approved
(Read a summary of the decision)
Comment period now closed Dec. 1, 2012 -2.30% -2.30%
Coventry Health and Life Insurance Company
#81973
Small
Group
Qualified High Deductible PPO
68541MD104;
Super Joe (Integrated Rx) PPO
68541MD105; and
Standard PPO
68541MD106
Approved
(Read a summary of the decision)
Comment period now closed Dec. 1, 2012 5.80% 4.1% to 8.7%

*Public comments also may be mailed or faxed. Please include the filing's SERFF tracking number, which appears on the Consumer Friendly Summary. Only those letters postmarked by the stated deadline will be accepted. Address comments to the Maryland Insurance Administration, attn: Office of Public Affairs, 200 St. Paul Place, Suite 2700, Baltimore, MD 21202. Fax comments to 410-468-2020, attn: Office of Public Affairs.

Read more about how the Maryland Insurance Administration provides health insurance rate information to consumers.