High Risk Pool Costs - Kaiser State Health Facts

State High Risk Pool Costs, December 2007

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	More than 50% of High Risk Pool Costs Paid by Premiums	Percent Total Cost Paid by Premiums	Premiums Collected	Pool Costs (Claims + Admin)	Total Subsidy Required	Total Subsidy Required Per Enrollee

United States	NA	NA	NA	NA	NA	NA

Alabama	Yes	72	$17,627,065	$24,387,888	$6,760,823	$2,570
Alaska	No	40	$3,313,019	$8,309,475	$4,996,456	$10,239
Arizona	NA	NA	NA	NA	NA	NA
Arkansas	Yes	76	$15,580,422	$20,488,814	$4,908,392	$1,649
California	Yes	61	$38,486,082	$63,147,966	$24,661,884	$3,161
Colorado	No	45	$24,704,000	$54,658,148	$29,954,148	$4,198
Connecticut	Yes	133	$19,472,877	$14,656,044	-$4,816,833	-$1,853
Delaware	NA	NA	NA	NA	NA	NA
District of Columbia	NA	NA	NA	NA	NA	NA
Florida	No	24	$1,876,764	$5,588,958	$3,712,194	$11,283
Georgia	NA	NA	NA	NA	NA	NA
Hawaii	NA	NA	NA	NA	NA	NA
Idaho	NA	NA	NA	NA	NA	NA
Illinois	Yes	67	$108,813,699	$162,853,924	$54,040,225	$3,290
Indiana	Yes	52	$49,932,549	$96,653,429	$46,720,880	$6,838
Iowa	Yes	57	$13,981,515	$24,611,825	$10,630,310	$3,972
Kansas	Yes	58	$11,083,385	$19,003,658	$7,920,273	$4,200
Kentucky	Yes	54	$24,716,636	$45,600,906	$20,884,270	$5,023
Louisiana	Yes	62	$6,986,212	$11,295,514	$4,309,302	$3,783
Maine	NA	NA	NA	NA	NA	NA
Maryland	No	42	$37,443,028	$88,490,912	$51,047,884	$4,094
Massachusetts	NA	NA	NA	NA	NA	NA
Michigan	NA	NA	NA	NA	NA	NA
Minnesota	No	48	$114,050,969	$237,625,181	$123,574,212	$4,282
Mississippi	Yes	81	$19,607,007	$24,257,059	$4,650,052	$1,271
Missouri	Yes	74	$18,804,806	$25,354,445	$6,549,639	$2,247
Montana	Yes	67	$16,964,169	$25,243,365	$8,279,196	$2,712
Nebraska	Yes	60	$33,817,386	$56,662,651	$22,845,265	$4,469
Nevada	NA	NA	NA	NA	NA	NA
New Hampshire	Yes	54	$4,918,852	$9,065,039	$4,146,187	$4,101
New Jersey	NA	NA	NA	NA	NA	NA
New Mexico	No	26	$11,590,886	$44,654,291	$33,063,405	$7,033
New York	NA	NA	NA	NA	NA	NA
North Carolina	North Carolina's high-risk pool did not become operational until January 2009.	North Carolina's high-risk pool did not become operational until January 2009.	North Carolina's high-risk pool did not become operational until January 2009.	North Carolina's high-risk pool did not become operational until January 2009.	North Carolina's high-risk pool did not become operational until January 2009.	North Carolina's high-risk pool did not become operational until January 2009.
North Dakota	Yes	74	$7,298,885	$9,820,453	$2,521,568	$1,636
Ohio	NA	NA	NA	NA	NA	NA
Oklahoma	Yes	56	$14,675,577	$26,330,255	$11,654,678	$5,298
Oregon	Yes	54	$75,274,274	$138,740,458	$63,466,184	$3,401
Pennsylvania	NA	NA	NA	NA	NA	NA
Rhode Island	NA	NA	NA	NA	NA	NA
South Carolina	Yes	80	$22,046,574	$27,590,618	$5,544,044	$2,333
South Dakota	Yes	62	$3,745,906	$6,078,242	$2,332,336	$3,400
Tennessee	Yes	104	$10,181,447	$9,799,321	-$382,126	-$155
Texas	Yes	72	$185,245,040	$255,718,464	$70,473,424	$2,541
Utah	Yes	72	$18,104,426	$25,250,380	$7,145,954	$2,115
Vermont	NA	NA	NA	NA	NA	NA
Virginia	NA	NA	NA	NA	NA	NA
Washington	No	31	$18,617,550	$60,923,667	$42,306,117	$12,167
West Virginia	Yes	101	$2,678,523	$2,655,492	-$23,031	-$46
Wisconsin	Yes	60	$105,667,247	$175,251,747	$69,584,500	$4,063
Wyoming	Yes	62	$3,985,450	$6,408,941	$2,423,491	$3,678

(show/hide notes)

Notes:

Data as of December 31, 2007.

Data for Total Subsidy Required and Total Subsidy Required Per Enrollee do not include offsets from interest and federal grants.

Sources:

Data Collection and analysis by Eliza Bangit and Karen Pollitz, Health Policy Institute, Georgetown University.

Sources include state laws and regulations, interviews with state high-risk pool staff, state high-risk pool websites, and the Comprehensive Health Insurance for High-Risk Individuals: A State-by-State Analysis. National Association of State Comprehensive Health Insurance Plans, 22nd Ed., 2008/2009. Available for order at naschip.org.

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