Originally Posted by bUU
Does anyone know if there are provisions in the law requiring that prices for individual coverage be in some way linked to prices offered for group coverage? I would hope that the exchanges, themselves, be treated as if it were a big group.
I don't believe there are specific requirements in the law that link 'group coverage' to exchange pricing - the only requirement I'm aware of is the over-55 be no more than 3x the youngest group.
I also would be surprised if there is something linking group coverage policies - each company's policy would be different, as some organizations have many younger people, while some have many older people, along with different medical claim histories. That would result in radically different group rates from year to year for any given company.
To try and link the various differences in rates between corporate plans to the individual markets would be a nightmare beyond belief, IMO. And also conflict with the 3:1 ratio between older and younger rates, since everyone in a group plan is charged the same rate regardless of age.