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Pennsylvania State Insurance Exchange
Summary:
 
 
Current Status in Establishing Exchange:
 
State will default to federally-run exchange.
 
Decision Process:
 
Executive branch.
 
Exchange Funding:
 
  • The Pennsylvania Insurance Department was awarded a $1 million federal Exchange Planning grant in September 2010.
  • The Department was then awarded a $33.8 million federal Level One Establishment grant in February 2012. This grant was given to continue the exchange planning and procurement of technical expertise.
 
Benchmark Plan:
 
 
·         Since the state has not determined a benchmark EHB plan Pennsylvania will default to the largest small-group plan, Aetna POS.
 
Additional Information:
 
 
  • Before the decision not to establish an exchange, the Pennsylvania Insurance Department explored how it might be done and reported strong support for a state-based exchange.
  • The federal government will assume full responsibility for running a health insurance exchange in Pennsylvania beginning in 2014, unless the state decides to operate either a state-based exchange or state-federal partnership exchange. If the state opts for a partnership exchange, it must submit a blueprint by February 15, 2013. 

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