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News / Northwest

Oregon insurer suspended in Alaska

Moda Health's financial situation raises concerns

By BECKY BOHRER, Associated Press
Published: January 28, 2016, 8:44pm

JUNEAU, Alaska — Alaska insurance regulators on Thursday suspended Moda Health Plan from accepting new or renewal policies in the state, citing concerns with the Oregon-based company’s financial situation.

The Alaska Division of Insurance acted after officials in Oregon placed the company under supervision because of its financial condition.

Moda is one of two companies offering individual insurance policies for Alaskans on the federally facilitated health insurance marketplace. The other is Premera Blue Cross Blue Shield. The division of insurance last year approved average rate increases of nearly 40 percent for both companies.

A message was left for a Moda spokesman Thursday.

The Oregon Department of Consumer and Business Services said its supervision order calls for the company to obtain sufficient capital and to present a business plan that demonstrates Moda can operate in sound financial manner into the future. The business plan is due by today.

The department said its actions were prompted by Moda’s “excessive operating losses and inadequate capital and surplus.”

Under the order, Moda cannot issue new policies or renew current policies in the individual market or add new groups in Oregon, the department said in a release. The department said it will begin working with Moda to transfer its individual market plans to another carrier.

“Our primary goal is to ensure consumers are protected,” Patrick Allen, the department’s director, said in a release. “We will continue to work closely with the company to find a sustainable path going forward while minimizing risk to consumers.”

Lisa Morawski, a spokeswoman for the department, said a lot of what happens next will depend on the plan that Moda presents and whether the department finds it acceptable.

About 10,000 Alaskans are enrolled by Moda on the individual market and about 7,500 on the small group market, Alaska Division of Insurance Director Lori Wing-Heier said in an email.

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