Introduction To The Colorado Health Insurance Exchange

By Andrea Davidson


The Colorado Health Insurance Exchange is officially known as Connect for Health Colorado (CHC). This is a new healthcare marketplace that enables previously uninsured individuals and small businesses to get insured at affordable rates. CHC will start enrolling customers starting Oct 2013, and coverage for those who are newly insured will begin no later than Jan 1, 2014.

CHC was established as one a compliance requirement for states under the Affordable Care Act or PPACA, which is perhaps better known as the healthcare reform bill. The law requires all legal residents and citizens residing in the United States to be provided health insurance starting from 2014. The exchanges being established in individual states are among the core components of the reform.

In Colorado, the exchange will bring another 500,000 people into the fold as being eligible for coverage. This eliminates a huge chunk of the state's 750,000 or so currently uninsured residents. Individuals who already have coverage but want to jump to a better plan can use the exchange to shop around and compare plans.

As of now, CHC is starting off with two platforms. One is the marketplace for individuals, and the other one is for small businesses with no more than 100 employees. This second marketplace, called SHOP, may become available to larger businesses from 2017 onwards, if the state so desires.

It is hoped that the establishment of CHC will reduce premiums by around 14-20 percent. This will be accomplished through an expansion of the market combined with competition for customers among providers offering plans in the exchange. Practically speaking, that works out to somewhere in between $1,510 to $2,160 per year in healthcare premium savings for families in Colorado.

The exchange also helps do away with some ugly aspects of traditional healthcare under the old system. Preexisting conditions will no longer be a reason for disqualification of otherwise eligible consumers. Providers must enroll those with such conditions at the same premium paid by others, and they cannot refuse to cover the condition in question while enrolling the individual into the plan.

The establishment of CHC and all the administrative and operational costs are being borne by the federal government until 2016. The state will be required to pay five percent of costs starting from 2017, and the state's share of expenses will go up to 20 percent from 2020 onwards. Colorado will get more than $12 billion in additional federal funding to deal with the implementation and operational costs of this marketplace.

Not since the New Deal have small business owners and individuals benefited from such a massive expansion of government support for social needs. There's still an ongoing debate over the alleged socialization of healthcare. Organizations and business groups are still protesting the additional costs of providing health plans for uninsured employees. Not to mention the inevitable implementation hiccups and confusion over what changes will take place. Regardless of the other pros and cons, the one thing that makes the Colorado Health Insurance Exchange worthwhile is that everyone in the state will have access to proper healthcare coverage.




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