Charles Gaba's blog

IMPORTANT: See the original post in this series for an explanation of the methodology.

Regular readers know that I've been obsessing over the massive increases in both gross as well as net premiums for ACA health insurance policy enrollees being caused by the combination of Congressional Republicans allowing the enhanced federal tax credits to expire as well as other Trump Regime policy changes for well over a year and a half now.

The Illinois Health Benefits Exchange, which operates the states new ACA exchange, Get Covered Illinois, has published their June advisory committee meeting slide deck. Let's dig in!

Enacted state healthcare legislation

HB 0111: DOI Budget Appropriation: Approval of DOI’s budget appropriation request, which includes $72,345,000 in resources to support GCI’s operation and additional headcount to support the hiring of six new GCI positions.

SB 3815: Health Insurance Enrollment Protections: Prohibits insurers from denying enrollment in coverage when an individual has past-due premiums from a previous plan unless specific conditions are met. Prohibiting insurers from stacking past-due premiums on the initial binder payment and requires insurers to offer a 12-month payment plan for past-due premiums.

SB 3508: Annual DOI Administrative Cleanup Bill: Among other insurance-related items, allows GCI to adopt new federal regulations more easily to ensure timely compliance with ACA provisions.

via the Illinois Dept. of Insurance:

Affordable Care Act (ACA) - Illinois Rate Filings

The chart below contains proposed rates for Plan Year 2027, which will be reviewed for compliance with federal and state requirements. Please submit any comments to DOI.HealthRateReview@illinois.gov by Friday, July 10, 2026.

2026 Illinois On- and Off-Exchange Plan Analyses can be found here.

The Health Rate Review Consumer Guide can be found here.

How are rates developed?

Each year, health insurance companies determine future premiums based on a number of past factors.

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