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The State of ³Ô¹ÏºÚÁÏ
NJ Department of Banking and Insurance
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³Ô¹ÏºÚÁÏ > Insurance Division > Individual Health Coverage Program > Small Employer Health Insurance Program
2021 IHC/SEH Average Rate Changes

Rate filings are submitted to the department by carriers. By law, rate filings in the individual and small employer markets are informational and not subject to prior approval; however, the Department may disapprove any informational filing if the Department finds that the filing is incomplete and not in compliance with relevant laws or that the rates are inadequate or unfairly discriminatory.

Below is the average total rate action by carrier in the individual market, which includes both on-exchange and off-exchange offerings:

Individual Market 2021 Rate Change

Carrier  
AmeriHealth* 6.5%
Horizon* 1.1%
Oscar* 6.1%
Oxford 10.4%
Average 3.3%

*Indicates that the company will offer products on the State based-Marketplace, Get Covered ³Ô¹ÏºÚÁÏ for plan year 2021. Only plans offered on Get Covered ³Ô¹ÏºÚÁÏ will have access to the new State Subsidies.
 
Below is the average total rate action by carrier in the small employer health market:

Small Employer Market 2021 Rate Change

Carrier  
AmeriHealth 8.7%
Horizon 5.6%
Oscar 11.2%
Oxford -7.6%
Average 2.5%


 
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State of ³Ô¹ÏºÚÁÏ
³Ô¹ÏºÚÁÏ Department of Banking and Insurance