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Details about what Minnesota insurance will cost to buy for 2015 through the state's online health exchange are being made public on Wednesday.

The Minnesota Department of Commerce announced Monday that officials will release information then, though it could be only a barometer.

That's because shoppers through the exchange called MNsure won't get precise premium and deductible information until they shop for plans that suit their unique situations. Some people are eligible for subsidies. Open enrollment starts Nov. 15.

The rates loom large in this fall's political campaigns. Static or reduced rates would be a sigh of relief to Democrats, who voted to create the virtual marketplace to comply with federal health law changes. Steep increases would give Republicans ammunition in campaigns for governor and the Legislature.

Many individuals who bought private insurance on the exchange likely will pay more next year given that the largest and cheapest carrier, PreferredOne, abruptly pulled out of MNsure this month, leaving the market to Blue Cross and Blue Shield of Minnesota, HealthPartners, Medica and UCare.  MNsure offered some of the lowest premiums in the country thanks to PreferredOne's aggressive pricing for the inaugural year, but the carrier decided the strategy was unsustainable.
 

What MNsure's loss of PreferredOne means to health insurance customers


While consumers buying polices through MNsure will get an idea of whether their premiums will change, MNsure spokeswoman Jenni Bowring-McDonough cautioned that people who qualify for subsidies won't have a clear picture of their costs until open enrollment begins Nov. 15. They'll be able to recalculate their eligibility then, and all consumers can shop for a better deal.
 
	

Officials with the four remaining health plans in MNsure declined to say how their rates will change for 2015. Medica spokeswoman Dannette Coleman said margins in the industry are tight, but her company hopes to expand membership from the approximately 5 percent of private-plan signups it had this year.
 
	

"We do hope and expect that we will grow our enrollment from the previous year, but we also believe a stable market is critical...We think it's very dangerous and unsustainable to price too aggressively in this market," Coleman said.
 
	

Other states' experiences suggest rate hikes may not be inevitable for everyone.
 
	

According to the McKinsey Center for U.S. Health System Reform, premiums for 28 percent of the "silver" level plans offered on 19 state exchanges went up more than 10 percent from 2014 to 2015, but premiums for 14 percent went down by 10 percent.
 
	

Those numbers didn't include Minnesota. The management consulting firm's report also says some of the cheapest plans are becoming even cheaper with competitors entering the market and existing companies cutting rates.
 
	

No new insurer has publicly announced plans to offer policies on MNsure for next year. But the U.S. Department of Health and Human Services released preliminary findings last week showing exchanges across the country will have 25 percent more insurers, or 77 new carriers, in 44 states.
 
	

Minnesota's rate release also should show how premiums and choices will differ across the state next year. Southeastern Minnesota consumers had fewer choices and higher rates than the rest of the state this year. Rates were cheapest, and consumers had more choices in the Twin Cities and St. Cloud areas.
 
	

DFL Gov. Mark Dayton's administration originally planned to wait to release premium information until open enrollment begins, but it retreated under fire from Republicans who charged that he expected higher premiums and wanted to conceal them until after the election.
 
	

State Rep. Joe Atkins, the lead House author of the bill that created MNsure and co-chair of the Legislature's MNsure oversight committee, said that while the carriers haven't disclosed their rates yet, "they're all intimating that they're very competitive." The Inver Grove Heights DFLer said he's looking forward to seeing how the 2015 rates in Minnesota compare with neighboring Wisconsin, which is on the federal exchange.
 
	

"We're 88 percent lower than Wisconsin right now, and I'm hoping and frankly expecting we'll be in that same ballpark when it's all said and done," Atkins said.

Health

Steve Karnowski, Associated Press

Author

The data should give Minnesota consumers an idea of how much their insurance will cost them next year.

MNsure health plan rates for 2015 due Wednesday

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