Total enrollment in Florida’s commercial health insurance marketplaces steadily declined in the five years leading up to 2013.
Between 2012 and 2013, enrollment fell 5.9 percent to 3.1 million, according to an annual report from regulators.
The Florida Health Insurance Advisory Board (FHIAB) adopted its 2014 Florida Health Insurance Market Report late last week, which details enrollment in Florida’s commercial health insurance marketplaces.
FHIAB complies a report each year detailing the state of the health insurance market in Florida using data collected by the Florida Office of Insurance Regulation. The reports, released at year-end, incorporate data from the previous year.
Overall, the commercial market in Florida generated nearly $12.6 billion in premiums in 2013, which is a 2.2 percent decrease form 2012. Market data for 2013 points to the continued gradual decline of enrollment statewide in the commercial market, FHIAB concludes.
2013 was the last year that most individual healthcare coverage in Florida was issued upon evidence of insurability. That means in order to apply, a potential member would have to go through a medical underwriting process to determine eligibility, which requires relatively good health.
Because this data is only through year-end 2013, the impact of the Patient Protection and Affordable Care Act (PPACA) is just beginning to show and will likely have more implications for next year’s findings. based on 2014 year-end data, according to the report. ACA healthcare plans began on Jan. 1, 2014.
Coverage breaks down by market segments in 2013 as follows:
- 613,627 in-state individual.
- 714,953 total in-state small member groups, including in-state groups of one.
- 1,428,765 in-state large member groups.
- 189,591 out-of-state individual.
- 31,455 out-of-state small member groups.
- 147,094 out-of-state large member groups.
Small member groups are between 1-50 and large are 51-plus.
Date: December 22, 2014