Salem — Small businesses and individuals who buy their own health insurance can now see the Oregon Division of Financial Regulation’s final rate decisions for 2021 health insurance plans. The division reviews and approves rates through a detailed and transparent process before they can be charged to policyholders.
The final decisions are based on the result of a rigorous review, which included public hearings and public comment. The division published preliminary decisions last month before the hearings. These hearings provided an opportunity for the public, health insurance companies, and the division to further review and analyze the preliminary decisions.
“We continue to be encouraged by the results of the Oregon Reinsurance Program,” said Andrew Stolfi, insurance commissioner and Department of Consumer and Business Services director. “It has led to lower rate increases each year, more carriers expanding their coverage statewide, and more health insurance options for Oregonians.”
Open enrollment for 2021 plans is from Nov. 1 to Dec. 15, 2020.
Individual market
The division has issued final decisions for six companies in the individual market with average rate changes ranging from a 3.5 percent decrease to an 11.1 percent increase, for a weighted average of 1.8 percent. Under the decisions, Silver Standard Plan premiums for a 40-year-old in Portland would range from $425 to $466 a month.
The rate changes are companywide averages based on premiums for plans before financial assistance through the Oregon Health Insurance Marketplace is taken into account.
All Oregonians who purchase their own insurance are encouraged to apply for assistance through the Marketplace for 2021, even if they did not qualify last year. Approximately 72 percent of Oregonians who enrolled through the Marketplace for health coverage in 2020 qualified for help paying their premium. People who received help with the costs of their health insurance paid on average $138 a month.
Small group market
In the small group market, the division has issued final decisions for nine companies with average rates ranging from a 1.1 percent decrease to a 7.0 percent increase, for a weighted average of 3.7 percent. Under the decisions, Silver Standard Plan premiums for a 40-year-old in Portland would range from $335 to $405 a month.
See our chart for a full list of final decisions
Facts for 2021:
- All 36 Oregon counties will have at least two on-exchange options and at least three total options for its residents.
- The Oregon reinsurance program continues to help stabilize the market – lowering rates by 6 percent for the third straight year.
- COVID-19 was not considered as part of 2021 rates because it is too early to understand the effect of COVID-19 relief efforts.
Proposed final decisions for each carrier can be found at www.oregonhealthrates.org . Statewide premium comparison tables for ages 21, 40, and 60 will be posted online later this month.
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About DCBS: The Department of Consumer and Business Services is Oregon's largest business regulatory and consumer protection agency. For more information, go to www.dcbs.oregon.gov .
About Oregon DFR: The Division of Financial Regulation is part of the Department of Consumer and Business Services, Oregon’s largest business regulatory and consumer protection agency. Visit www.dcbs.oregon.gov and www.dfr.oregon.gov .