The Colorado Division of Insurance has engaged Milliman to evaluate certain aspects of a claims-based reinsurance program for the individual health insurance market for the potential submission of a Section 1332 State Innovation Waiver. This final report details our evaluation of these aspects of the program based on proprietary insurer enrollment and claims data, member-level enrollment information Connect for Health Colorado (Exchange), and publicly...

The recommended plan will save money for Coloradans who purchase health insurance in the individual market, and soon the small group market. On average, premiums will be reduced by 10%; in many parts of the state, Coloradans will save more than 15%. Premium savings are achieved through reductions in the underlying costs of care. In addition, the plan will offer high value, pre-deductible services such as behavioral health and primary care, so consumers...