Idahoans will get $1.1 million in health insurance rebates, agency says

Published: June 21, 2012 

Officials at the Centers for Medicare and Medicaid Services said Thursday that about 32,600 people in Idaho will get a total of $1.1 million in rebates on their health insurance premiums this summer.

The rebates will average $70 for the 16,000 families in Idaho covered by a health insurance policy, officials said.

According to the agency, 1,083 Idahoans covered by individual policies will get $144,303 back, or a $323 average rebate per family. About 31,500 people covered in small-group plans will get a total rebate of $980,615, or $63 average rebates per family.

Idahoans will get a rebate through a check in the mail, a lump-sum reimbursement to the credit or debit card account used to pay their premiums, a reduction in future premiums or a pass-through benefit from an employer if the employer provides the health insurance policy.

The rebates will come from insurers who failed to meet "medical loss ratio" standards, meaning they didn't devote enough of their premium revenues to medical care. The new rules are part of the Affordable Care Act of 2010. Generally, insurers that spent more than 20 percent of premium revenues on administration, salaries, sales and advertising must refund money to members no later than Aug. 1.

The numbers for Idaho were calculated based on filings by Idaho insurers, the agency said. Two companies will owe money to consumers in Idaho; one is in the small group market and the other offers individual plans, according to the agency.

National rebate tallies were based on a "preliminary analysis of reports received from insurance companies ... by the 1st of June," said Mike Hash, acting director for the Center for Consumer Information and Insurance Oversight. "We haven't completed our analysis except at a very aggregated level."

About two-thirds of people nationwide were insured by companies that met the 20-percent standard.

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