Officials Blast California Health Rate Increase

February 09, 2010 at 07:00 PM
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U.S. Department of Health and Human Services Secretary Kathleen Sebelius is objecting to an insurer's move to increase the cost of individual health insurance policies sold in California by 39%.

Anthem Blue Cross of California, a unit of WellPoint Inc., Indianapolis, has announced that it will put the rate increases into effect March 1.

California Insurance Commissioner Steve Poizner called Monday for Anthem to wait until May 1 to apply the rate hike, to give the department's independent actuary time to complete a review of the increases.

"The premium increases Anthem proposes for critically needed individual health insurance could have a devastating financial impact on hundreds of thousands of its policyholders in California," Poizner has written in a letter to WellPoint President Angela Braly and to WellPoint Chairman Larry Glasscock, who will be stepping down from the post of chairman March 1.

"The department has received numerous complaints from irate Californians describing how Anthem's proposed rate increases would cripple them financially," Poizner writes.

Under California law, Anthem must pay at least 70 cents in benefits for every premium dollar it collects, Poizner writes.

Poizner says he will take legal action to stop the proposed increases if the independent actuary shows they are not justified.

Sebelius, a former Kansas insurance commissioner and former president of the National Association of Insurance Commissioners, Kansas City, Mo., has written to ask Leslie Margolin, president of Anthem Blue Cross of California, to explain why the company wants such a big rate hike.

The proposed premium hike "reminds us that too many Americans can be left with unaffordable insurance each time the rates or rules change in the private market," Sebelius writes. "It's clear that we need health insurance reform that will give American families the secure, affordable coverage they need."

Anthem's parent, WellPoint, reported $2.7 billion in earnings for the fourth quarter of 2009, Sebelius notes.

"Your company's strong financial position makes these rate increases even more difficult to understand," Sebelius writes.

The White House also is weighing in.

"The recent news that a major insurer plans to raise premiums for some customers by as much as 39% is a stark reminder of the consequences of doing nothing" about health care reform, said White House Press Secretary Robert Gibbs.

Gibbs made the comment in response to a letter from House Republican Leader John Boehner, R-Ohio, and House Republican Whip Eric Cantor, R-Va., about President Obama's call for a bipartisan health care summit.

The proposed increase is at least partly the result of the depressed economy, and it shows why health reform is needed, according to Anthem Blue representative Peggy Hinz.

"It is important to note that individual medical insurance premiums do not reflect an individual member's personal claims experience," Hinz says in a statement. "Therefore, as medical costs increase across our member population, premium increases to the entire membership pool result.

"Unfortunately, in the weak economy, many people who do not have health conditions are foregoing buying insurance. This leaves fewer people, often with significantly greater medical needs, in the insured pool."

Anthem regrets the impact the premium increase would have on its members, but the action "highlights why we need sustainable health care reform," Hinz says.

With the cost of hospital care, drugs and doctors rising, "it is important to go back to the beginning and get health care reform done right," Hinz says.

Anthem Blue is planning to get a response to Sebelius promptly, Hinz says.

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