Florida Office of Insurance REgulation

Florida Blue

Nearly 9,500 Florida Blue customers had excess health insurance payments automatically drafted from their bank accounts this week.

Decision On Workers’ Comp Rate Could Come Soon

Sep 21, 2016
Florida Office of Insurance Regulation

State regulators may be close to deciding on a proposed 19.6 percent increase in workers’ compensation insurance rates.

Workers Comp Rates Could Jump After Court Ruling

May 31, 2016
Florida Office of Insurance Regulation

After a Florida Supreme Court ruling last month that struck down a limit on attorney's fees, workers-compensation insurance rates could go up 17.1 percent, according to a proposal submitted Friday to state regulators.

Florida Regulators OK Anthem-Cigna Insurance Deal

Apr 4, 2016
Associated Press

State insurance regulators have approved Anthem's purchase of Cigna's Florida companies as part of a broader merger of the major health insurers.

Florida regulators have approved Aetna’s bid to buy Humana’s health insurance companies in Florida – with conditions.

Florida insurance regulators this week will scrutinize two major health plan mergers.

Study Finds Marketplace Silver Plans Offer Poor Access To HIV Drugs

Nov 16, 2015
WMFE

In most states, consumers with HIV or AIDS who buy silver-level plans on the insurance marketplaces find limited coverage of common drug regimens they may need and high out-of-pocket costs, according to a new analysis.

Florida Office of Insurance Regulation

An analysis by the South Florida Business Journal of Florida Office of Insurance Regulation data on HMOs shows nearly half of Florida’s managed-care health insurance companies lost money in 2014.

The general surgery residency program at Halifax Health will be losing its accreditation as of July 2016, according to the Daytona Beach News-Journal

Ultimate Health Plans, a scrappy little company north of Tampa, is offering Medicare HMO deals that  sound too good to be true: no premium, no deductible, free gym membership and even cash back. 

What's not to like? Ask the Florida Office of Insurance Regulation, which suspects the company lacks sufficient funds to pay claims for its 3,000 members. OIR issued a suspension order Oct. 2, but it was  placed on hold when Ultimate invoked its right to a hearing. It can take months, sometimes years, for the hearing process to unfold.

Exchange Premiums to Rise 13%: State

Aug 4, 2014

Premiums for Floridians buying insurance on the Affordable Care Act marketplace will rise an average of 13 percent for next year, the Florida Office of Insurance Regulation said Monday.

Eight insurers with existing plans filed for premium increases for 2015, while three filed for rate cuts for individual plans purchased on Healthcare.gov.  There are three new carriers participating, the OIR said in a news release.

The number of health insurers willing to compete in the federally run Health Insurance Marketplace for Florida enrollees for 2015 has grown, according to forms filed with a state agency by Friday's deadline. One that stayed out last year, giant UnitedHealthcare, is among them.

Profits for Florida’s HMOs dropped sharply in 2013, with a nearly 31 percent reduction in combined profits, according to the South Florida Business Journal. The Florida Office of Insurance Regulation reported profits at $933.8 million in 2012 and $648 million in 2013.

The information posted by health insurers on a state website indicating they would not seek a rate increase for 2015 in Florida's individual market was "incorrect" and has been taken down, the Office of Insurance Regulation said late Tuesday afternoon.

Unfortunately, the false information came to light only after Health News Florida published an article on Tuesday with the headline: "No Rate Increase? Can It Be?"

The answer, it turns out, is no.

Floridians who will be shopping for health insurance on the new online marketplace might not know what companies they can choose from until the exchanges officially open on Oct. 1, the Orlando Sentinel reports. The Florida Office of Insurance Regulation says it will sign off on the companies by the time the exchanges go online, but it likely won’t be sooner.

Amid promises from Florida’s largest insurer that it won’t sell company stock to outsiders unless it absolutely has to, and after having a chat with Florida Blue lobbyist Paul Sanborn, state regulators approved Florida Blue’s request to reorganize, the Florida Times-Union reports.

PolitiFact.com

The state of Florida has not exactly been warm and welcoming to the Affordable Care Act (ACA) -- better known as Obamacare.  

The Florida Center for Fiscal and Economic Policy has released an issue brief that says the Florida Office of Insurance Regulation is trying to mislead Floridians about the likely impact of the Affordable Care Act on insurance rates.

Two big changes are coming to the individual market, where consumers pay their own way without help from employers. 

The first: Companies can no longer screen out customers who may have health risks, or exclude coverage for certain conditions or body parts.

The second follows from the first: Premiums will go up sharply for those who buy their own policies, about 30 to 40 percent.

Insurance Commissioner Kevin McCarty is holding a public hearing today to discuss next year's health insurance rates, which are expected to climb sharply in the individual-purchase market. The public hearing is being televised and live-streamed by The Florida Channel today at 1 p.m., according to a release from the Office of Insurance Regulation.

Only a small fraction of Floridians are in the individual market.  Most insured Floridians -- aside from the millions enrolled in Medicare or Medicaid -- are covered by their employers as a large group (more than 50).