Friday, October 30, 2015

Moda will honor health coverage according to current contracts

The announcement this week by Moda Health that it’s withdrawing from the Washington insurance market has understandably raised questions from its current enrollees.

Enrollees should be aware that their current policies will remain in effect according to the terms of the contracts. Moda said it will fulfill its obligations for plans signed on or renewed by Oct. 31, 2015. That includes policies that have already been sold that start on Nov. 1 or Dec. 1, 2015. Policies that start on Jan. 1, 2016 or later will be terminated.

That’s true for individual, small- and large-group employer plans.

Moda this week notified the Washington Health Benefit Exchange of its decision to quit doing business here. The Exchange is reaching out to its customers to let them know.

You can read that notification here.

In Washington state, Moda has:
  • About 18,000 people enrolled in the individual market inside and outside of the Exchange.
  • About 29,000 people covered through large-group plans.  
  • Another 900 enrolled in small-employer plans. 
Moda said it is withdrawing from Washington to focus on its business in Oregon and Alaska.

By the first week of November, the Oregon-based company is expected to notify all of its enrollees of its withdrawal from Washington.