As a result of recently enacted legislation, monthly premiums are changing in the Charter Oak Health Plan.
Below is more detailed information about these changes:
I. Information for New Enrollees in Charter Oak
A new enrollee is defined as a Charter Oak member whose enrollment is effective beginning June 1, 2010, and afterward.
Public Act 10-3 (budget deficit mitigation legislation) ends subsidized health coverage for new enrollees in the Charter Oak Health Plan. As a result, new enrollees will now be charged full unsubsidized premiums, regardless of income. This single-level, unsubsidized rate has been established at $307 per month. While new enrollees will pay one premium amount regardless of income, reporting income will still be necessary and beneficial to determine if you are eligible for other state health care programs; and to determine Charter Oak deductibles and co-insurance amounts.
II. Information for Current Enrollees in Charter Oak
A current enrollee is defined as a Charter Oak member whose enrollment was effective prior to June 1, 2010.
Earlier this year, the state had to consider additional member costs to conform to the statutorily-mandated state premium subsidy levels and to help cover these actual expenses. Beginning on February 1, 2010, the first phase of increases was implemented. As a result of Public Act 10-3, the second and final round will take effect June 1, 2010, for current enrollees. In summary, while Public Act 10-3 did not eliminate all state subsidy for current enrollees, it set the date of June 1, 2010, for premium increases to reflect higher cost-sharing for current enrollees.
As a result, effective June 1, 2010, and onward, current Charter Oak members will be responsible for individual premiums by income level, as follows:
|
Income Level
(example below for family of 2; click here for full chart with income levels for various family sizes) |
Current Enrollee Premium |
Adjusted Enrollee Premium effective 6/1/10 |
|
Under $21,855 |
$93 |
$129 |
|
$21,855 to $26,954 |
$124 |
$172 |
|
$26,954 to $34,239 |
$184 |
$202 |
|
$34,239 to $43,710 |
$213 |
$239 |
|
Over $43,710
(traditionally unsubsidized level) |
$296 |
$296
(no change) |
