CHA News Article

Covered California Issues Annual Report to the Governor, Legislature
Highlights California’s progress in implementing the ACA

Covered California has issued the attached annual report on its progress in implementing the Affordable Care Act. The report includes financial information about state fiscal years 2013-14 and 2014-15, as well as observations from the state’s second open-enrollment period, which ended in February 2015. It also includes the projected budget for state fiscal year 2015-16. Open enrollment for 2016 coverage will begin Nov. 1, 2015 and last through Jan. 31, 2016.

Key report findings reveal:

  • Nearly 3.4 million previously uninsured Californians now have health care coverage through Covered California or Medi-Cal.
  • Almost 90 percent of Covered California enrollees benefited from federal subsidies to lower their premium costs, and the majority selected Silver coverage, with Bronze coverage being the second-most-prevalent plan choice.
  • Through Covered California, 800,000 households received more than $3 billion in subsidies for health insurance in 2014.
  • Covered California’s 2016 negotiated rates continue a downward trend of rate increases in the state. The statewide weighted average increase will be 4 percent, lower than last year’s 4.2 percent increase.
  • With the addition of Oscar Health Plan of California and UnitedHealthcare Benefits Plan of California joining selected regions of the California marketplace in 2016, the total number of companies offering health plans through the marketplace has increased to 12.
  • In 2016, more than 90 percent of hospitals (‘general acute centers’ as designated by the California Office of Statewide Health Planning and Development) in California will be available through at least one health insurance company, and about 74 percent will be available through three or more companies.
  • Covered California will offer supplemental dental coverage for adults in the 2016 plan year through optional family dental plans. Dental plans must follow Covered California’s standard benefit design (all Covered California health insurance plans for the individual and family market offered embedded pediatric dental plans for 2015).
  • Covered California is currently developing, for consumers and small businesses, vision plan options that conform to federal limitations on the provision of adult vision benefits by state health insurance exchanges.
  • There were 2,607 employer groups and 17,308 members enrolled in Covered California for Small Business as of May 31, 2015.

The full report is attached.