COBI 2015 - Comprehensive Health Insurance Pool

Overview
Issues
Performance
Financials

Sources Uses

FY 2016 Appropriation

The Utah Comprehensive Health Insurance Pool, (HIPUtah), was a state-subsidized health insurance program that serves as a safety net for citizens of Utah with serious medical conditions that make them uninsurable. HIPUtah has provided health insurance for the medically uninsurable since 1991 providing coverage for more than 3,600 individuals. HIPUtah was funded as a separate line item under the Insurance Department.

HIPUtah played three roles in the State:

HipUtah made it possible for individual Utahans with an uninsurable medical condition to purchase insurance.
HipUtah satisfied federal requirements of the Health Insurance Portability and Accountability Act of 1996 (i.e., HIPAA Portability).
HIPUtah was an important link in the overall wellbeing of the individual and small group insurance markets.

With the implementation of the Federal Affordable Care Act the Comprehensive Health Insurance Pool is being transitioned out. General Fund was eliminated in FY 2015 and going forward any fund balances will be used to pay remaining claims. The program will likely terminate at the end of FY 2015.

Funding History

Appropriation Overview

During the 2015 General Session, the Legislature appropriated for Fiscal Year 2016, $0 from all sources for Comprehensive Health Insurance Pool. This is a 100 percent reduction from Fiscal Year 2015 revised estimated amounts from all sources.

Intent Language

HB0003: Item 72

The Legislature intends that any non-lapsing balances remaining from the Comprehensive Health Insurance Pool after the program close out lapse to the General Fund.

Funding for the state high rish pool is made up of a General Fund subsidy appropriated by the Legislature, dedicated credits from premiums paid by members of the pool, and a small portion of federal grant funds. Implementation of the Federal Affordable Care Act will eliminate the HipUtah program beginning in FY 2015.

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Funding Source

Expenditure Category

Appropriation Type:

Appropriation History by

Programs	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Comprehensive Health Insurance Pool	42,626,900	34,170,800	35,152,600	20,721,300	(7,826,400)	8,278,700	452,300	(452,300)	0
Total	$42,626,900	$34,170,800	$35,152,600	$20,721,300	($7,826,400)	$8,278,700	$452,300	($452,300)	$0

Sources of Finance	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
General Fund	8,075,000	8,075,000	8,083,500	8,083,500	0	0	0	0	0
Federal Funds	5,462,500	851,400	1,610,700	987,300	500,000	(126,000)	374,000	(374,000)	0
Dedicated Credits Revenue	23,932,600	22,840,500	22,342,600	10,599,900	40,300	36,200	76,500	(76,500)	0
Transfers	0	0	0	0	0	(16,204,500)	(16,204,500)	16,204,500	0
Beginning Nonlapsing	27,985,700	22,776,600	20,372,700	17,256,900	16,357,500	(151,200)	16,206,300	(16,206,300)	0
Closing Nonlapsing	(22,828,900)	(20,372,700)	(17,256,900)	(16,206,300)	(24,724,200)	24,724,200	0	0	0
Total	$42,626,900	$34,170,800	$35,152,600	$20,721,300	($7,826,400)	$8,278,700	$452,300	($452,300)	$0

Show Table | Show Additional Information

Categories of Expenditure	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Out-of-state Travel	4,200	2,800	1,900	3,100	3,100	(100)	3,000	(3,000)	0
Current Expense	42,269,900	34,725,100	34,480,100	24,034,400	(7,829,500)	8,278,800	449,300	(449,300)	0
Other Charges/Pass Thru	352,800	(557,100)	670,600	(3,316,200)	0	0	0	0	0
Total	$42,626,900	$34,170,800	$35,152,600	$20,721,300	($7,826,400)	$8,278,700	$452,300	($452,300)	$0

COBI contains unaudited data as presented to the Legislature by state agencies at the time of publication. For audited financial data see the State of Utah's Comprehensive Annual Financial Reports.