On Sep. 10, CT INS rejects initial rate increase requests from insurers.
CT INS announced that it has issued its rate decisions for 2026 fully insured individual, small group health insurance plans and rejected every initial request from insurers.
Rate Review
It reduced and modified requests, saving consumers about $125mn next year on fully insured Affordable Care Act (ACA) compliant plans marketed on/off Access Health CT.
Limited insurer profits to 0.95% of premium dollars, reduced individual market rate increase request by 28%, from requested average 23.3% to average 16.8% increase.
Reduce small group market rate increase request by 16% to average increase of 11%.
Insurers cited increases of 6-10% in medical costs, 9-15% increase in pharmacy costs, and increased demand for medical services as justification for requesting increases.
Effectiveness
Open enrollment for the 2026 coverage year begins on Nov. 1, 2025.
Regulators
CT INS
Entity Types
IB; Ins
Reference
PR, 9/10/2025
Functions
Actuarial and Valuation; Claims/Accelerated Benefits; Compliance; Reporting
