IBJNews

WellPoint draws criticism for California rate increase

Back to TopCommentsE-mailPrint

WellPoint Inc.’s plan to raise the rates that small employers in California pay for medical insurance was criticized as unreasonable by the state insurance commissioner, who said customers are being charged this year to cover U.S. health-law fees that won’t begin until 2014.

WellPoint’s Anthem Blue Cross unit in California is raising those rates an average of 10.6 percent, Insurance Commissioner Dave Jones said Tuesday at a news conference. Indianapolis-based WellPoint sells small group policies that cover 284,000 California employees, including 54,000 whose policies will renew this month and would immediately be affected, he said.

WellPoint overstated future medical use and cost trends and shouldn’t have included next year’s fees as justification for the increase, Jones said. The commissioner provided his findings last month to the insurer, which plans to proceed with the rate increase. WellPoint’s proposed 39-percent rate increase in 2010 was criticized by politicians and advocates, who said it spurred support for President Barack Obama’s Affordable Care Act.

“Anthem Blue Cross’s return on equity or profit has been and continues to be excessive,” Jones said.

Anthem Blue Cross said rates will go up an average of 6.5 percent and the increase is lower than not-for-profit competitors.

“The rate increases in the small group market are not unique to Anthem Blue Cross, but rather represent an economic reality faced throughout the entire industry as health-care costs continue to escalate faster than our state’s economy as a whole,” Kristin Binns, a WellPoint spokeswoman, said in an e-mail.

WellPoint, the second-biggest U.S. health insurer by market value, reported gross profit of $13 billion in 2011, or about 21 percent of revenue, according to data compiled by Bloomberg. The company owns Blue Cross plans in 14 states. UnitedHealth Group Inc., based in Minnetonka, Minn., is WellPoint’s larger competitor.

WellPoint shares were up $1.06 Wednesday morning, to $61.12 per share, an increase of 1.8 percent.

The 2010 health law will impose a sales tax on insurers that starts at $8 billion in 2014.

California’s insurance commissioner can only review rate increases and doesn’t have the authority to stop those deemed excessive. Jones said 37 states have the power to halt unreasonable rate increases.

Aetna Inc. CEO Mark Bertolini said last month that health insurance premiums may as much as double for some small businesses and individual buyers next year. The Affordable Care Act is expected to extend health coverage to about 30 million people who otherwise couldn’t get insurance, partly paid for by new taxes and fees on health-care companies.

Around the country, Aetna, UnitedHealth, Centene Corp. and other health insurers have proposed large increases on small businesses and individual buyers in recent months, citing rising costs for medical care and greater requirements of the health-care law. The Obama administration has said provisions in the law have kept increases from being even higher.

In other WellPoint news, the company confirmed that it still expects to name a new chief executive officer this quarter, said interim chief John Cannon.

Cannon said a CEO would be named “hopefully sooner rather than later.” He spoke at a health-care conference in San Francisco sponsored by JPMorgan Chase & Co.

Cannon has served as the interim head of the Indianapolis-based company since the departure of Angela Braly in August. He said in October that the search for her replacement might stretch into this quarter.
 

ADVERTISEMENT

Post a comment to this story

COMMENTS POLICY
We reserve the right to remove any post that we feel is obscene, profane, vulgar, racist, sexually explicit, abusive, or hateful.
 
You are legally responsible for what you post and your anonymity is not guaranteed.
 
Posts that insult, defame, threaten, harass or abuse other readers or people mentioned in IBJ editorial content are also subject to removal. Please respect the privacy of individuals and refrain from posting personal information.
 
No solicitations, spamming or advertisements are allowed. Readers may post links to other informational websites that are relevant to the topic at hand, but please do not link to objectionable material.
 
We may remove messages that are unrelated to the topic, encourage illegal activity, use all capital letters or are unreadable.
 

Messages that are flagged by readers as objectionable will be reviewed and may or may not be removed. Please do not flag a post simply because you disagree with it.

Sponsored by
ADVERTISEMENT

facebook - twitter on Facebook & Twitter

Follow on TwitterFollow IBJ on Facebook:
Follow on TwitterFollow IBJ's Tweets on these topics:
 
Subscribe to IBJ
  1. "And the success of the Indiana GOP to not allow an expansion of Medicaid had nothing to do with Indiana hospitals' financial woes? Fixed that for you; editorial bias rebalanced. Seriously, there are so many things wrong with Obamacare that the only way one can view it as a success is to assume that it was designed to fail our way into a government single payor healthcare system. The system is complex, creates huge regulatory burdens and overhead and yet still does not have adequate means to control escalating health care costs. But then when you elect a 10th grade math drop out with no quantitative reasoning skills to be President of one of the world's most important economies in troubled times, you can't really be surprised by blatant stupidity.

  2. No NIMBYs here to chase off a decent development. We don't need tons of parking and we'd happily play the role of host to a downtown Whole Foods.

  3. Whatever you do, don't change a single thing about Broad Ripple. I want it to look just like it did in the late '70s, with 30% of the north side of Broad Ripple Avenue burned out and plenty of places to park. That's right Broad Ripple, NEVER CHANGE. Let the world pass you by, don't improve your empty, abandoned lots full of weeds. Someday someone will want to film a zombie movie here.

  4. Hollywood could step in and make a movie about the history about this forlorn series. It could be a full celebrity cast of characters. WOW. http://www.advanceindiana.blogspot.com/2013/02/indiana-taxpayers-forced-to-pay-for.html

  5. This shouldn't come as a shock to many. Austin is a great city, and Indy needs to take some notes. Austin invests in decent transit options, has a highly educated workforce, embraces a creative class, and --despite being the state capital-- is not micromanaged by rural and suburban legislators. Want Indy to grow? Invest in the city (i.e. spend money). Raise taxes a bit, and use the money to improve education. And keep the state legislature out of Indy the other 9 months of the year.

ADVERTISEMENT