Thursday 15 October 2015

Community Health Alliance ending coverage for 27K enrollees

Community Health Alliance will no longer offer insurance coverage next year, forcing about 27,000 enrollees to find new health insurance plans.

The Knoxville-based health insurance cooperative, created under the Affordable Care Act, will continue to pay out existing claims but will wind down its coverage by not taking on new customers.

The decision was based on the co-op’s financial condition, according to the Tennessee Department of Commerce and Insurance, and ends months of uncertainty about its future. The alliance had stopped selling its plans on the federal exchange in January after its low-cost plans attracted more enrollees than expected, and their ability to handle the high volume came into question.

“This was not a decision that the Department took lightly, but it was the right decision,” Julie Mix McPeak, commerce and insurance commissioner, said in a statement. “With thousands of Tennesseans’ coverage hanging in the balance, CHA’s financial success could not be guaranteed. Ultimately, the risk of CHA’s potential failure in 2016 was too great and would have caused substantial detrimental effects on the market as a whole if it were to collapse.”

Policyholders will keep their insurance coverage through 2015 as long as premiums are paid. They must re-enroll in a new health care plan during the Open Enrollment period, which begins Nov. 1. To receive coverage in 2016, consumers must enroll by Dec. 15, according to the department. For the full article click here 



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