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eHealth, Inc.
                             2010 Fall Cost Report
                   for Individual and Family Policyholders




         Table of Contents                                                                                                                                 Page

         Methodology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   2
         eHealth, Inc. 2010 Fall Cost Report for Individual and Family Policyholders . . . . . . . . . . . . . . .                                         3
         Individual Health Insurance Premiums . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                  4
         Family Health Insurance Premiums                  ...............................................                                                 4
         Individual Health Insurance Deductibles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                   4
         Family Health Insurance Deductibles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                   4
         HSA-eligible Plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    4
         February 2010 National Average Monthly Premium by State . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                   5
         Understanding the Differences Between Individual Health Insurance
         and Employer-sponsored Coverage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                   6




2010 Fall Cost Report for Individual and Family Policyholders.                                                                                                    1
Cost & Benefit Report Methodology:

• The 2010 plan data referred to in this report is derived from a sample that includes the following number
  of individual and family major medical policies purchased through eHealthInsurance that were active in
  February 2010:
        - Individual plans: 288,238.
        - Family plans: 96,460.
• The 2009 plan data referred to in this report is derived from a sample that includes the following number of
  individual and family major medical policies purchased through eHealthInsurance that were active in February
  2009:
        - Individual plans: more than 232,682.
        - Family plans: more than 83,898.
• The premium data in this report is derived from information received from health insurance carriers relating to
  the actual premiums being paid by policy holders in the months of February 2009 and February 2010. Actual
  premiums may differ from premiums quoted on the eHealthInsurance website because they represent the
  premium being paid after underwriting and for policies that were purchased prior to the date of analysis.
• The number of policies listed above does not represent all of the individual and family major medical policies
  purchased through eHealthInsurance that were active during the stated time period. For example, some policies
  for which eHealthInsurance did not have sufficient benefit or premium data were excluded from the survey. Plan
  data listed in this report might change based on additional data received from health insurance carriers at a date
  later than the active date of the data or later than the published date of this report.
• Individual plan data from Rhode Island and Vermont were excluded from the February 2010 data in this report
  because eHealthInsurance did not have enough active individual major medical plans in these states at the time
  the data for this report was collected.
• Deductibles were determined by reviewing the health insurance carrier’s brochure and related plan documents
  for each plan included in the survey.
• The data referred to in this report are an aggregation of data reported to eHealthInsurance by health insurance
  carriers with which eHealthInsurance has an agency relationship. Inaccurate data reported by these health
  insurance carriers might affect the accuracy of this report.
• Individual and family health insurance plans purchased were those available through the eHealthInsurance
  website. Accordingly, the data does not include any plans that may have been available through sources other
  than the eHealthInsurance website and only reflects a portion of the individual and family plans available
  throughout the country.




2010 Fall Cost Report for Individual and Family Policyholders.                                                         2
eHealth, Inc. 2010 Fall Cost Report for Individual and Family Policyholders
Privately purchased Individual and Family1
Health Insurance policies cover roughly 8
percent of the population2.

To provide current information about the
                                                                                         $3
                                                            167                             92
nature of individually-purchased health                                                Mo

                                                           $
insurance costs and benefits, eHealth, Inc.                                ium           nth
                                                                                            ly
reviewed 2010 health insurance plan data                              P rem                      P
                                                                                                rem
                                                             on  thly                    $ 3        ium
from a sample of active policies, which                     M 32     6                  De ,5
                                                                                          du 31
includes:                                                         $2,ductible               ctible
                                                                   De
  - 288,238 individual major medical policies          Individual                                    Family
    and 96,460 family major medical policies               Policy                                    Policy
    purchased through eHealthInsurance
    that were active in February 2010
  - 232,682 individual major medical policies
    and 83,898 family major medical policies
                                                     Median Premium                                      Median Premium
    purchased through eHealthInsurance               Cost $136 per Month                             Cost $336 per Month
    that were active in February 2009.
According to the 2010 data, the average individual premium was $167 per month, the median premium was $136
per month and the average deductible was $2,632. The 2010 data also showed that the average family premium
was $392 per month, the median premium was $336 per month and the average deductible was $3,531. Fifty-three
percent (53.9%) of the primary individual policyholders were men. The average age of an individual policyholder
was 35.7 years old.




                                    Profile of eHealthInsurance Policyholders




2010 Fall Cost Report for Individual and Family Policyholders.                                                             3
INDIVIDUAL HEALTH INSURANCE PREMIUMS                                           Average Monthly Cost
In February 2010, the average monthly premium being paid
for individually-purchased health insurance was $167 for
individuals. In February 2009, the average monthly premium       Feb. 2009      $161
being paid for individually-purchased health insurance was       Feb. 2010      $167
$161 for individuals. Average premiums for individual policies
increased 3.7 percent between February 2009 and February                        3.7% Increase
2010.

FAMILY HEALTH INSURANCE PREMIUMS
In February 2010, the average annual premium being paid                        Average Monthly Cost
for individually-purchased health insurance was $392 per
month for family coverage. In February 2009, the average         Feb. 2009      $383
annual premium being paid for individually-purchased health
insurance was $383 per month for family coverage. Average        Feb. 2010      $392
premiums for family policies increased 2.3 percent between
February 2009 and February 2010.                                                2.3% Increase
INDIVIDUAL HEALTH INSURANCE DEDUCTIBLES
In February 2010, the average annual deductible for active                     Average Monthly Cost
individually-purchased health insurance was $2,632 for
individuals. In February 2009, the average annual deductible     Feb. 2009      $2,326
for active individually-purchased health insurance was $2,326
for individuals. Average deductibles for individual policies     Feb. 2010      $2,632
increased 13.2 percent between February 2009 and February
2010.                                                                          13.2% Increase
FAMILY HEALTH INSURANCE DEDUCTIBLES
In February 2010, the average annual deductible for active                     Average Monthly Cost
individually-purchased health insurance was $3,531 per
month for family coverage. In February 2009, the average         Feb. 2009      $3,128
annual deductible for active individually-purchased health
insurance was $3,128 per month for family coverage. Average      Feb. 2010      $3,531
deductibles for family policies increased 12.8 percent between
February 2009 and February 2010.                                               12.8% Increase
HSA-ELIGIBLE PLANS
                                                                              2010 Average Monthly Cost
 • In February 2010, sixteen percent (16.3%) of active
   individually-purchased health insurance plans were
   eligible for use with Health Savings Accounts (HSAs).         Individual    $155
   At that time, the average monthly premium on active            Family       $352
   HSA-eligible individual health insurance plans was
   $155 per month, and $352 for family plans.

 • In February 2009, sixteen percent (16.0%) of active
   individually-purchased health insurance plans were
   eligible for use with Health Savings Accounts (HSAs).
   At that time, the average monthly premium on active
   HSA-eligible individual health insurance plans was
   $143 per month, and $331 for family plans.



2010 Fall Cost Report for Individual and Family Policyholders.                                            4
February 2010 National Average Monthly Premiums by State

                                             Average Monthly Premium
                    State         Family            Individual   State   Family    Individual
                     AK           $484.65            $192.30      MT     $368.84   $168.01
                     AL           $291.57            $126.38      NC     $327.99   $142.70
                     AR           $287.08            $123.07      ND     $317.41   $139.54
                     AZ           $309.97            $142.44      NE     $338.69   $140.22
                     CA           $385.56            $156.20      NH     $526.52   $188.46
                     CO           $353.23            $145.96      NJ     $769.68   $268.14
                     CT           $505.58            $197.36      NM     $342.39   $152.93
                     DC           $415.10            $145.48      NV     $372.77   $160.02
                     DE           $374.04            $158.58      NY     $897.82   $339.60
                     FL           $350.92            $165.76      OH     $307.23   $127.47
                     GA           $391.52            $163.10      OK     $309.27   $143.93
                     HI           $488.96            $159.29      OR     $363.81   $165.63
                     IA           $238.92            $110.05      PA     $419.09   $156.54
                     ID           $327.26            $141.19      RI       NA         NA
                     IL           $397.66            $161.15      SC     $348.74   $154.82
                     IN           $344.19            $144.65      SD     $312.43   $135.93
                     KS           $312.29            $120.07      TN     $352.25   $151.42
                     KY           $289.56            $117.61      TX     $397.75   $175.31
                     LA           $335.15            $145.94      UT     $304.67   $128.53
                     MA           $835.05            $303.21      VA     $403.46   $161.61

                     MD           $364.09            $146.30      VT       NA         NA
                     MI           $301.14            $127.41      WA     $455.59   $194.87
                     MN           $356.09            $136.27      WI     $328.59   $135.17
                     MO           $290.59            $125.92      WV     $392.15   $183.49
                     MS           $319.64            $163.51      WY     $368.40   $160.75


2010 Fall Cost Report for Individual and Family Policyholders.                                  5
Understanding the differences between individual health insurance and employer-sponsored coverage

This latest eHealth Cost of Individual and Family Health Insurance Plans 2010 Update provides a subset
of the data eHealth publishes in its annual Cost & Benefits Report. eHealth has been publishing studies
like this since 2001 with the goal of providing a nationwide perspective on cost and benefit trends in the
individual health insurance market, based on an analysis of a large, geographically distributed sample of
insurance policies purchased through eHealthInsurance. The Census Bureau estimated that in 2008, 8 percent
of Americans were covered through individual plans2.

The cost of individual health insurance policies reported in our study differs significantly from the cost of
employer-sponsored health insurance coverage due to several differences between the individual market and the
employer-sponsored market, which may impact the premiums that consumers experience. Many of these factors
could be impacted by health care reform.

Some of those differences include:

Guaranteed Issue:
Every employee who applies for health insurance through their employer is granted coverage. But, in the individual
market, with the exception of a few states, plans are medically underwritten and applicants can be denied coverage
when they apply.

Tax Exemption:
Health insurance premiums are not tax-deductible for individuals or families purchasing coverage on their own,
but they are tax-deductible for companies that pay for health insurance coverage for employees. When individuals
and families purchase health insurance with after-tax dollars, it’s likely that they’re more cost conscious about the
amount of coverage they purchase.

Benefits:
Individual market plans offer comparable benefits to employer plans: hospitalization, emergency room coverage,
lab x-ray, maternity care, OB/GYN coverage, physician visits, pharmaceutical coverage, and preventative care.
The majority of plans surveyed in our 2009 report entitled, “Cost And Benefits Of Individual And Family Health
Insurance Plans,” include most of these benefits. However, in the individual market the level of benefits is typically
selected by the consumer and is based on their individual needs, not the needs of many.




Footnotes:
1
  A family plan includes at least two members on it, and could constitute a couple, a parent and child, or two or
more children.
2
 Source: U.S. Census Bureau estimates (“Income, Poverty, and Health Insurance Coverage in the United States:
2008”, Issued September 2009 http://www.census.gov/prod/2009pubs/p60-236.pdf - On page 23 of the report, it
says “The number of people covered by private insurance also decreased to 201.0 million in 2008.” It also says that
“Direct-purchase” insurance is 8.9 percent of that 201.0 million person market. 8.9 percent of 201 million is 17.8
million people, or nearly 18 million.

**This current report does not update data regarding benefits available.

2010 Fall Cost Report for Individual and Family Policyholders.                                                           6

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Cost and Benefits Of Individual and Family Health Insurance Plans Fall 2010

  • 1. eHealth, Inc. 2010 Fall Cost Report for Individual and Family Policyholders Table of Contents Page Methodology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 eHealth, Inc. 2010 Fall Cost Report for Individual and Family Policyholders . . . . . . . . . . . . . . . 3 Individual Health Insurance Premiums . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Family Health Insurance Premiums ............................................... 4 Individual Health Insurance Deductibles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Family Health Insurance Deductibles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 HSA-eligible Plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 February 2010 National Average Monthly Premium by State . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Understanding the Differences Between Individual Health Insurance and Employer-sponsored Coverage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 2010 Fall Cost Report for Individual and Family Policyholders. 1
  • 2. Cost & Benefit Report Methodology: • The 2010 plan data referred to in this report is derived from a sample that includes the following number of individual and family major medical policies purchased through eHealthInsurance that were active in February 2010: - Individual plans: 288,238. - Family plans: 96,460. • The 2009 plan data referred to in this report is derived from a sample that includes the following number of individual and family major medical policies purchased through eHealthInsurance that were active in February 2009: - Individual plans: more than 232,682. - Family plans: more than 83,898. • The premium data in this report is derived from information received from health insurance carriers relating to the actual premiums being paid by policy holders in the months of February 2009 and February 2010. Actual premiums may differ from premiums quoted on the eHealthInsurance website because they represent the premium being paid after underwriting and for policies that were purchased prior to the date of analysis. • The number of policies listed above does not represent all of the individual and family major medical policies purchased through eHealthInsurance that were active during the stated time period. For example, some policies for which eHealthInsurance did not have sufficient benefit or premium data were excluded from the survey. Plan data listed in this report might change based on additional data received from health insurance carriers at a date later than the active date of the data or later than the published date of this report. • Individual plan data from Rhode Island and Vermont were excluded from the February 2010 data in this report because eHealthInsurance did not have enough active individual major medical plans in these states at the time the data for this report was collected. • Deductibles were determined by reviewing the health insurance carrier’s brochure and related plan documents for each plan included in the survey. • The data referred to in this report are an aggregation of data reported to eHealthInsurance by health insurance carriers with which eHealthInsurance has an agency relationship. Inaccurate data reported by these health insurance carriers might affect the accuracy of this report. • Individual and family health insurance plans purchased were those available through the eHealthInsurance website. Accordingly, the data does not include any plans that may have been available through sources other than the eHealthInsurance website and only reflects a portion of the individual and family plans available throughout the country. 2010 Fall Cost Report for Individual and Family Policyholders. 2
  • 3. eHealth, Inc. 2010 Fall Cost Report for Individual and Family Policyholders Privately purchased Individual and Family1 Health Insurance policies cover roughly 8 percent of the population2. To provide current information about the $3 167 92 nature of individually-purchased health Mo $ insurance costs and benefits, eHealth, Inc. ium nth ly reviewed 2010 health insurance plan data P rem P rem on thly $ 3 ium from a sample of active policies, which M 32 6 De ,5 du 31 includes: $2,ductible ctible De - 288,238 individual major medical policies Individual Family and 96,460 family major medical policies Policy Policy purchased through eHealthInsurance that were active in February 2010 - 232,682 individual major medical policies and 83,898 family major medical policies Median Premium Median Premium purchased through eHealthInsurance Cost $136 per Month Cost $336 per Month that were active in February 2009. According to the 2010 data, the average individual premium was $167 per month, the median premium was $136 per month and the average deductible was $2,632. The 2010 data also showed that the average family premium was $392 per month, the median premium was $336 per month and the average deductible was $3,531. Fifty-three percent (53.9%) of the primary individual policyholders were men. The average age of an individual policyholder was 35.7 years old. Profile of eHealthInsurance Policyholders 2010 Fall Cost Report for Individual and Family Policyholders. 3
  • 4. INDIVIDUAL HEALTH INSURANCE PREMIUMS Average Monthly Cost In February 2010, the average monthly premium being paid for individually-purchased health insurance was $167 for individuals. In February 2009, the average monthly premium Feb. 2009 $161 being paid for individually-purchased health insurance was Feb. 2010 $167 $161 for individuals. Average premiums for individual policies increased 3.7 percent between February 2009 and February 3.7% Increase 2010. FAMILY HEALTH INSURANCE PREMIUMS In February 2010, the average annual premium being paid Average Monthly Cost for individually-purchased health insurance was $392 per month for family coverage. In February 2009, the average Feb. 2009 $383 annual premium being paid for individually-purchased health insurance was $383 per month for family coverage. Average Feb. 2010 $392 premiums for family policies increased 2.3 percent between February 2009 and February 2010. 2.3% Increase INDIVIDUAL HEALTH INSURANCE DEDUCTIBLES In February 2010, the average annual deductible for active Average Monthly Cost individually-purchased health insurance was $2,632 for individuals. In February 2009, the average annual deductible Feb. 2009 $2,326 for active individually-purchased health insurance was $2,326 for individuals. Average deductibles for individual policies Feb. 2010 $2,632 increased 13.2 percent between February 2009 and February 2010. 13.2% Increase FAMILY HEALTH INSURANCE DEDUCTIBLES In February 2010, the average annual deductible for active Average Monthly Cost individually-purchased health insurance was $3,531 per month for family coverage. In February 2009, the average Feb. 2009 $3,128 annual deductible for active individually-purchased health insurance was $3,128 per month for family coverage. Average Feb. 2010 $3,531 deductibles for family policies increased 12.8 percent between February 2009 and February 2010. 12.8% Increase HSA-ELIGIBLE PLANS 2010 Average Monthly Cost • In February 2010, sixteen percent (16.3%) of active individually-purchased health insurance plans were eligible for use with Health Savings Accounts (HSAs). Individual $155 At that time, the average monthly premium on active Family $352 HSA-eligible individual health insurance plans was $155 per month, and $352 for family plans. • In February 2009, sixteen percent (16.0%) of active individually-purchased health insurance plans were eligible for use with Health Savings Accounts (HSAs). At that time, the average monthly premium on active HSA-eligible individual health insurance plans was $143 per month, and $331 for family plans. 2010 Fall Cost Report for Individual and Family Policyholders. 4
  • 5. February 2010 National Average Monthly Premiums by State Average Monthly Premium State Family Individual State Family Individual AK $484.65 $192.30 MT $368.84 $168.01 AL $291.57 $126.38 NC $327.99 $142.70 AR $287.08 $123.07 ND $317.41 $139.54 AZ $309.97 $142.44 NE $338.69 $140.22 CA $385.56 $156.20 NH $526.52 $188.46 CO $353.23 $145.96 NJ $769.68 $268.14 CT $505.58 $197.36 NM $342.39 $152.93 DC $415.10 $145.48 NV $372.77 $160.02 DE $374.04 $158.58 NY $897.82 $339.60 FL $350.92 $165.76 OH $307.23 $127.47 GA $391.52 $163.10 OK $309.27 $143.93 HI $488.96 $159.29 OR $363.81 $165.63 IA $238.92 $110.05 PA $419.09 $156.54 ID $327.26 $141.19 RI NA NA IL $397.66 $161.15 SC $348.74 $154.82 IN $344.19 $144.65 SD $312.43 $135.93 KS $312.29 $120.07 TN $352.25 $151.42 KY $289.56 $117.61 TX $397.75 $175.31 LA $335.15 $145.94 UT $304.67 $128.53 MA $835.05 $303.21 VA $403.46 $161.61 MD $364.09 $146.30 VT NA NA MI $301.14 $127.41 WA $455.59 $194.87 MN $356.09 $136.27 WI $328.59 $135.17 MO $290.59 $125.92 WV $392.15 $183.49 MS $319.64 $163.51 WY $368.40 $160.75 2010 Fall Cost Report for Individual and Family Policyholders. 5
  • 6. Understanding the differences between individual health insurance and employer-sponsored coverage This latest eHealth Cost of Individual and Family Health Insurance Plans 2010 Update provides a subset of the data eHealth publishes in its annual Cost & Benefits Report. eHealth has been publishing studies like this since 2001 with the goal of providing a nationwide perspective on cost and benefit trends in the individual health insurance market, based on an analysis of a large, geographically distributed sample of insurance policies purchased through eHealthInsurance. The Census Bureau estimated that in 2008, 8 percent of Americans were covered through individual plans2. The cost of individual health insurance policies reported in our study differs significantly from the cost of employer-sponsored health insurance coverage due to several differences between the individual market and the employer-sponsored market, which may impact the premiums that consumers experience. Many of these factors could be impacted by health care reform. Some of those differences include: Guaranteed Issue: Every employee who applies for health insurance through their employer is granted coverage. But, in the individual market, with the exception of a few states, plans are medically underwritten and applicants can be denied coverage when they apply. Tax Exemption: Health insurance premiums are not tax-deductible for individuals or families purchasing coverage on their own, but they are tax-deductible for companies that pay for health insurance coverage for employees. When individuals and families purchase health insurance with after-tax dollars, it’s likely that they’re more cost conscious about the amount of coverage they purchase. Benefits: Individual market plans offer comparable benefits to employer plans: hospitalization, emergency room coverage, lab x-ray, maternity care, OB/GYN coverage, physician visits, pharmaceutical coverage, and preventative care. The majority of plans surveyed in our 2009 report entitled, “Cost And Benefits Of Individual And Family Health Insurance Plans,” include most of these benefits. However, in the individual market the level of benefits is typically selected by the consumer and is based on their individual needs, not the needs of many. Footnotes: 1 A family plan includes at least two members on it, and could constitute a couple, a parent and child, or two or more children. 2 Source: U.S. Census Bureau estimates (“Income, Poverty, and Health Insurance Coverage in the United States: 2008”, Issued September 2009 http://www.census.gov/prod/2009pubs/p60-236.pdf - On page 23 of the report, it says “The number of people covered by private insurance also decreased to 201.0 million in 2008.” It also says that “Direct-purchase” insurance is 8.9 percent of that 201.0 million person market. 8.9 percent of 201 million is 17.8 million people, or nearly 18 million. **This current report does not update data regarding benefits available. 2010 Fall Cost Report for Individual and Family Policyholders. 6