PROVIDENCE, R.I. — Health insurers in Rhode Island are seeking double-digit increases in the premiums that individuals and small businesses will pay for coverage next year — the largest increases in years — as the federal health care law takes full effect.

Blue Cross Blue Shield of Rhode Island, the state's dominant insurer, has proposed an average increase of 18 percent for individuals and nearly 15 percent for small groups.

UnitedHealthcare of New England is seeking a hike of nearly 18 percent for its small group HMO plan and 13 percent for its preferred provider plan. Tufts Health Plan wants an average increase of 10 percent and 11 percent, respectively, for those plans.

State Health Insurance Commissioner Christopher F. Koller is reviewing the proposed rate increases. His office has traditionally approved increases that are smaller than what insurers are asking for.

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