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15 companies might participate in new Pa. health insurance marketplace

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Fifteen insurers have submitted health insurance offerings for possible inclusion in Pennsylvania's new federally facilitated marketplace that is to open Oct. 1, according to the Pennsylvania Insurance Department.

The applicants are as follows.

Companies that filed health products:

  • Aetna Health Ins. Co.
  • Aetna Life Ins. Co.
  • Capital Advantage Assurance Company*
  • Capital Advantage Insurance Company*
  • First Priority Life Ins. Co.
  • Geisinger Health Plan
  • Geisinger Quality Options
  • HealthAmerica PA
  • Highmark
  • HM Health Ins. Co.
  • Keystone Health Plan Central*
  • Keystone Health Plan East
  • QCC Ins. Co.
  • UPMC Health Network
  • UPMC Healthplan Inc.

* denotes a wholly owned subsidiary of Capital BlueCross

Companies that filed multistate plans:

  • First Priority Life Ins. Co.
  • HM Health Ins. Co.
  • Keystone Health Plan Central
  • QCC Insurance Co.

Companies that filed stand-alone dental products:

  • BEST Life and Health Ins. Co.
  • Capital Advantage Assurance Company
  • Delta Dental of PA
  • Dentegra Ins. Co.
  • Dominion Dental Services*
  • Guardian Life Ins. Co. of America
  • Humana Ins. Co
  • Metropolitan Life Ins. Co.
  • United Concordia Dental Plans of PA
  • United Concordia Life & Health

* denotes a wholly owned subsidiary of Capital BlueCross

“The department has completed its initial review of policies for companies seeking to sell within the FFM and has communicated that information to the federal government,” said PID spokeswoman Melissa Fox. “If any changes suggested by the federal government are made to these policies, in areas subject to review by the department, the policies may require additional review by the department before being approved for sale in Pennsylvania.”

Fox noted that the federal government will make the ultimate decision as to which plans submitted by the insurance companies will be certified for sale within the FFM.

“The federal government has said that information on which insurance products will be available within the FFM will not be final until the FFM open enrollment period begins on Oct. 1, 2013,” Fox said.

The following caveats apply to the lists of applicants:

• Federal authorities must certify the products filed by the following companies prior to those products being available for purchase within the FFM.

• To date, none of the products have been certified by the U.S. Department of Health and Human Services.

• Following federal approval, the companies retain the ability to decide whether to offer the product within the FFM.

• The filings submitted by the companies identified include individual and/or small group plans.

• The filings are spread across all of the metal levels (bronze, silver, gold, platinum or catastrophic).

• The filings submitted by the companies identified are subject to geographical constraints and some will only be available for purchase in select counties in Pennsylvania.

Pennsylvania opted not to run a state-based health insurance marketplace; however, all health insurance companies regulated by the department are required to submit rate and policy form filings for review and approval to assure compliance with Pennsylvania insurance laws and regulations. All products intended for sale in Pennsylvania, including those intended to be sold within the FFM, must undergo such a review.


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