excerpts from the letter I referenced above.....
Effective January 1,2014, the Affordable Care Act dramatically changes the method that XXX Insurance is required to use to calculate small group(2-50 employees) renewal rates. In addition the ACA mandates changes in the plan designs offered to small groups.
Prior to January 1, 2014 XXX insurance based small group rates on age gender, family, size, location, group size, and health status. Under ACA we can no longer use helath stsatus or gender when determining rates for small groups For members of the same age, a healthy group will have the exact same rate as a group with serious medical conditions.
Just like we tax the productive to support the unproductive, so now we tax healthy lifestyles to support the unhealthy.
All rates are now based on ages of EACH INDIVIDUAL covered. XXX insurance cannot offer single, employee/spouse, employee/family rates
no family rates ....a small group pays a full premium for every child/for every person.
Prior to January 1st some underwriting discretion could be used in developing factors to calculate small group renewal rates. Under ACA, no such discretion is allowed. Rates are strictly determined based on where the group is located and the age of the individual covered.