Consumer > Health Insurance Rate Review
Subscribe to this pageImage: /sa/images/govdelivery-sm.png
Health Insurance Rate Reviews
- Frequently Asked Questions about Health Insurance Rates and the Maryland Insurance Administration's Rate Review Process
June 29, 2012
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 BluePreferred HSA Small Group PPO BluePreferred HRA Small Group PPO Select Preferred Provider Plan Small Group PPO BluePreferred HDHP Small Group PPO |
Pending | Comment period now closed | |||
| Group Hospitalization and Medical Services Inc. #53007 |
Individual |
BluePreferred BluePreferred Saver BluePreferred HSA Comprehensive Major Medical Blue Preferred HIPAA Blue Preferred |
Pending | Comment period now closed | |||
| Coventry Health and Life Insurance Co. #81973 |
Small Group |
Qualified High Deductible PPO Super Joe (Integrated Rx) PPO Standard PPO Small Group |
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) Super Joe (Integrated Rx) HMO (Open Access) Qualified High Deductible HMO (Open Access) Qualified High Deductible POS14468MD050 Standard POS Small Group |
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 |
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 |
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 |
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 |
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 BlueChoice Opt-Out Plus HSA Open Access - Small Group - POS |
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.
