Rhode Island Office of the Health Insurance Commissioner

The Office of the Health Insurance Commissioner (OHIC) commissioned The Lewin Group to assess the surplus levels of Rhode Island’s three health plans, Blue Cross Blue Shield of Rhode Island, United HealthCare of New England and Neighborhood Health Plan of Rhode Island, pursuant to requirements of the Rhode Island Health Care Reform Act of 2004. The legislature asked OHIC to provide recommendations for what appropriate insurance surplus reserve levels might be for health insurers in Rhode Island. Lewin conducted this study to assess whether Rhode Island's three health plans have surplus levels within appropriate ranges, given the special circumstances of the individual plans and the Rhode Island market. To assess the sufficiency of surplus of health plans in the state, Lewin conducted a series of analyses in which we applied existing models for assessing health plan solvency. We also performed a detailed analysis of the financial experience of the three key insurers in Rhode Island. Lewin drafted and presented oral testimony for use at public forums convened by the Rhode Island Insurance Commissioner. Finally, Lewin drafted a final report that summarized key findings, addresses substantive issues raised during the forums, and made recommendations for action related to health plan surplus. Please click on the links for the Reserves Report Preliminary Findings, and the individual reports for Blue Cross Blue Shield of Rhode Island, United HealthCare of New England and Neighborhood Health Plan of Rhode Island.

"Throughout the engagement, Lewin consultants listened to us and delivered superb analyses and thoughtful guidance–not canned solutions."  NONPROFIT HEALTH SYSTEM