DC INS Insurers File 2025 Rates


On May 23, DC INS reported 193 proposed 2025 healthcare rates.


  • DC INS reported insurers filed 193 proposed rates for 2025 health plan offerings.
  • Proposed rates were submitted for DC Health Link, the DC’s health insurance marketplace, from CareFirst BlueCross BlueShield, Kaiser and United Healthcare.
  • Proposed rates are for individuals, families and small businesses for 2025 plan year.
  • Rate Change Requests
  • In the individual market, CareFirst proposed average increase of 3.6% for both health maintenance organization (HMO) plans, and Kaiser proposed average increase of 9%.
  • For small group plans, CareFirst filed average rate increases of 6.1% for HMO plans and 1.4% for insurance plans, whereas Kaiser proposed an average increase of 8%.
  • United proposed average increase of 5.1%; 5.4% for its HMOs and 5.8% for its plans.
  • DC INS published information on the proposed individual and small group rates.
  • Rate Review Process
  • The division posts all rate filings on disb.dc.gov and public has 30 days to comment.
  • Health actuarial division will determine, based on data gathered, if the rate request is reasonable or approved; a rate request may also be rejected or withdrawn.
  • Typically, decision is made within 45 days from request; ACA rate filings may differ.
  • Consultation
  • The public may comment on the proposed rates by sending DC INS an email.
  • Sep. 2024 DC INS 2025 Health Insurance Rates
  • On Sep. 12, 2024, DC INS reported 2025 approved individual, small business health insurance rates; individual rates increasing by 4.7%, small business rates by 4.9%.
  • Open enrollment for individuals and families starts Nov. 1, 2024 to Jan. 31, 2025.

Regulators DC INS
Entity Types Ins
Reference PR, 9/12/2024; PR, Info, 5/23/2024
Functions Actuarial and Valuation; Compliance; Financial; Legal; Product Administration; Reporting
Countries United States of America
Category
State
Products Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 5/23/2024
Effective Date 1/1/2025
Rule Id 213453
Linked to N/A
Reg. Last Update 9/12/2024
Report Section US Insurance

Last substantive update on 09/17/2024