Wisconsin Insurance Commissioner Announces Insurers Participating in Marketplace
By Mary Ellen Schill
May 20, 2014
On August 6 the Wisconsin Office of Commissioner of Insurance released the names of the insurers who have applied to participate in Wisconsin’s federally facilitated Exchange (the Wisconsin Marketplace). Thirteen insurers have applied to participate in the individual Marketplace (marketing qualified health plans to individuals only), while nine insurers have agreed to participate in the Small Business Health Option Program (SHOP), the part of the Marketplace which is available to small employers.
Applying to participate in the Wisconsin Marketplace is just the first step for these insurers, because they must also undergo a federal review and sign a contract to participate.
Insurers applying to take part in the individual Marketplace with their principal place of business are listed below.
- Common Ground Healthcare Cooperative (Brookfield)
- Compcare Health Services Insurance Corporation (Milwaukee)
- Dean Health Plan, Inc. (Madison)
- Group Health Cooperative of South Central Wisconsin (Madison)
- Gundersen Health Plan, Inc. (La Crosse)
- Health Tradition Health Plan (Onalaska)
- Medica Health Plans of Wisconsin (Minnetonka, MN)
- MercyCare HMO, Inc. (Janesville)
- Molina Healthcare of Wisconsin, Inc. (West Allis)
- Physicians Plus Insurance Corporation (Madison)
- Security Health Plan of Wisconsin, Inc. (Marshfield)
- Unity Health Plans Insurance Corp. (Sauk City)
- Arise (WPS Health Plan, Inc.) (Green Bay)
Insurers which have asked to participate in the SHOP program, meaning that they have agreed to allow small employers (less than 100 FTEs) bring their full-time employees to the Marketplace as a group, are listed below. Note that some insurers are planning on participating in both the individual and small employer Marketplace.
- Common Ground Healthcare Cooperative (Brookfield)
- Group Health Cooperative of South Central Wisconsin (Madison)
- Gundersen Health Plan, Inc. (La Crosse)
- Health Tradition Health Plan (Onalaska)
- Medica Insurance Company (Minnetonka, MN)
- MercyCare HMO (Janesville)
- MercyCare Insurance Company (Janesville)
- Security Health Plan of Wisconsin, Inc. (Marshfield)
- Arise (WPS Health Plan, Inc.) (Green Bay)
Notably absent are two insurers that are significant players in the Wisconsin group health plan market, UnitedHealthcare and Humana.
The rates and coverage areas which these insurers are proposing have not yet been disclosed by Wisconsin’s OCI.
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