Ohio Rate Review Grants Award

Cycle I Grant Application Summary

Ohio Grantee: The Ohio Department of Insurance
Award Date: August 16, 2010
Award Amount: $1,000,000

• Improve the Review Process: Ohio has authority to review and pre-approve individual health insurance premium filings. In the small group market, all small group rate filings are subject to retroactive review and 35% of rates are rejected. Large group rating methodologies are also reviewed. Grant funding will be used to hire additional staff for premium review and to upgrade processes, systems and data analysis capabilities.
• Increase Transparency and Accessibility: Currently Ohio publicly discloses HMO health insurance premium filings once they are approved. The State intends to develop a consumer friendly web application on the department's website to assist consumers in using and understanding the rate filing information.
• Develop and Upgrade Technology: Ohio will add additional data analysis and database development.

Cycle II Grant Application Summary

Ohio Grantee: The Ohio Department of Insurance
Award Date: September 20, 2011
Total Award: $4,091,507
Baseline Award: $3,000,000
Workload Award Amount: $491,507
Performance Award Amount: $600,000

• Improve rate filing requirements: Ohio plans to hire additional staff to review filings in a more comprehensive manner, with all forms and rates in a single filing. Analysts will also conduct market conduct reviews to make certain rates are calculated according to the filing rules.
• Improve transparency and consumer interfaces: Ohio will upgrade its internal IT system to develop a consumer-friendly web application to assist Ohio residents in using product and pricing information.
• Hire new staff: Ohio will create 3 new positions with Cycle II grant funding; these positions are in addition to the 5 positions created with Cycle I funds.
• Improve IT: Ohio intends to create a rate and policy database to conform rate review with reporting requirements to help synchronize internal data with that published to the public on the Federal web portal.
  

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