PEN INS 2025 Health Insurance Rates


On Aug. 6, PEN INS reported proposed 2025 health rate increases.


  • PEN INS reported proposed health insurance rate increases for 2025, that were submitted on May 15, 2024; PEN INS is reviewing to ensure adequacy and fairness.
  • 2025 Rate Increases
  • Health insurers must annually file plans to allow plan-pricing to reflect expected claims and operational costs for the upcoming year, cost increased due to medical unit costs.
  • Most insurer proposed rate change requests show an average 8% premium increase.
  • The proposed rates may not reflect final reinsurance or risk adjustment amounts due to flexibilities provided to insurers to submit data needed to calculate the adjustments.
  • Geisinger Health Plan and Quality Options proposed expanding into Franklin County.
  • Health Partners Plans Inc. proposed expanding into Delaware, Lehigh, Northampton counties; PEN Health & Wellness Inc. proposed expanding offering into 11 counties.
  • Comments
  • Public comment on rate requests and filings will be accepted through Sep. 2, 2024.
  • Oct. 2024 PEN INS 2025 Heath Rates
  • On Oct. 9, 2024, PEN INS issued 2025 Affordable care act health insurance rates.
  • Residents will save approximately $77.2mn in 2025 health insurance premium costs.
  • Most insurers currently offering individual market coverage in Pennsylvania's 67 counties will continue to provide plans in 2025 with Statewide average increase of 6%.

Regulators PEN INS
Entity Types IB; Ins
Reference PR, Info, 10/9/2024; PR, Info, 8/6/2024; ACA;
Functions Claims/Accelerated Benefits; Compliance; Legal; Product Administration; Reinsurance; Reporting; Underwriting
Countries United States of America
Category
State
Products Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 8/6/2024
Effective Date 1/1/2025
Rule Id 221993
Linked to N/A
Reg. Last Update 10/9/2024
Report Section US Insurance

Last substantive update on 10/11/2024