Insurers are no longertreading lightly with premium increases.

Saying that they are paying out more in medical costs than theyare receiving in premiums from their members, insurers aredramatically hiking rates for the plans they offer through thefederal and state Affordable Care Actmarketplaces.

Some of the biggest proposed increases were recently highlightedin The New York Times:

  • Blue Cross Blue Shield of Tennessee: 63 percent.

  • Blue Cross Blue Shield of Texas: 60 percent.

  • Blue Cross Blue Shield of Oklahoma: 49 percent.

  • Humana in Michigan: 39 percent.

  • Humana in Missouri: 34 percent.

For now, those are merely requests that have to be approved bygovernment regulators. In 46 states, that task is left to the stateinsurance commissioner, but in Oklahoma, Texas, Wyoming andMissouri, the Obama administration has determined that there is notsufficient state oversight of rate hikes, and so it will be federalregulators who will have the final say on premiums.

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