health insurance News

Pittsburgh-Based Highmark Sues Federal Government Over ACA Payments

Pittsburgh-based health insurer Highmark Inc. is suing the federal government saying it’s owed about $223 million under the Affordable Care Act for losses in 2014. Highmark filed the lawsuit in a Washington federal claims court on Tuesday. The health insurer …

Health Insurers File Proposed Rates for 2017 DC Health Link

The District of Columbia Department of Insurance, Securities and Banking (DISB) said it has received 170 proposed health insurance plan rates for review from four major insurers in advance of the fourth year of open enrollment on DC Health Link, …

Maine Insurers Request Double-Digit Rate Hikes Under Health Care Law

Insurers are seeking double-digit premium increases in the coming year for tens of thousands of Mainers who receive insurance through President Barack Obama’s health care law. Proposals filed with the Maine Bureau of Insurance would raise individual plan premiums between …

N.Y. Extends Health Insurance Enrollment Period for Domestic Violence Victims

New York is requiring health insurers providing individual coverage through the state health exchange to allow victims of domestic violence or abandonment to enroll at any time. The Department of Financial Services says those enrollments should be available starting Friday …

Delaware Prohibits Limiting Transgender Health Care Coverage

Insurance companies in Delaware will be prohibited from limiting health care coverage for transgender individuals. The News Journal of Wilmington, Delaware, reports that Delaware has become the 15th state in the country to prohibit private insurers from denying, canceling, terminating …

New Hampshire, Maine Monitoring Struggling Health Insurance Co-Op

New Hampshire insurance regulators are working with their counterparts in Maine to monitor a financially struggling health insurance cooperative that serves both states. Community Health Options, based in Lewiston, Maine, was the only cooperative in the country to make money …

Massachusetts Regulators Examine Zenefits

The Massachusetts Division of Insurance said this month that it has opened an investigation into Zenefits, a human resources software startup. Founded in 2013, the San Francisco-based Zenefits offers software to small- and mid-sized businesses to help automate their HR …

Maine’s Nonprofit Health Insurer Sets Aside $43M to Cover Potential Losses

The lone health insurance cooperative to make money in 2014 on the Affordable Care Act’s public insurance exchanges saw big losses in 2015 and is now setting aside $43 million to cover possible big losses this year. Officials with the …

Federal Audit Finds More Vermont Health Connect Startup Woes

A new federal audit of the first six months of operations of Vermont Health Connect details how the system failed to meet several federal requirements designed to ensure that people who sought health insurance through the system were qualified to …

By a Big Margin, Oklahoma House Passes Insurance Mandate for Autism Coverage

Legislation that would require health insurers to cover autism treatment for children has been overwhelmingly approved by the Oklahoma House. By a vote of 76-20, House members passed House Bill 2962 following an emotional debate between the parents of autistic children …