Wnited States Senate WASHINGTON, DC 20510 October 16, 2019 Mark C. Christie Judith Williams Jagdmann Commissioner ‘Commissioner State Corporation Commission State Corporation Commission P.O. Box 1197 P.O, Box 1197 Richmond, Virginia 23218 Richmond, Virginia 23218 Patricia L. West Commissioner State Corporation Commission P.O. Box 1197 Richmond, Virginia 23218 Dear Commissioners Christie, Williams Jagdmann and West: We write to express our concern with recent reports on the expanded use of short-term limited- duration insurance (STLDI) “junk plans” that weaken protections for Americans with preexisting conditions and increase costs for millions more. As you are likely aware, the U.S. Department of Health and Human Services has made a series of recent changes to inerease enrollment in short- term health plans. We have heard concerning reports that individuals nationwide ~ particularly Americans with preexisting conditions — are unknowingly enrolling in these deceptively marketed junk plans that fail to cover many essential health care services. Just this month, Bloomberg reported Arizona resident David Diaz unknowingly purchased a short-term health plan that did not cover preexisting conditions and placed ambiguous limi emergency room care and other essential health care services. His family has been left with hundreds of thousands of dollars in medical debt. The Washington Post similarly reported on Jesse Lynn who purchased a short-term health plan not realizing his back problem would be considered a preexisting condition. Jesse’s insurance company refused to cover his care — forcing his family into bankruptey. No family should be forced into bankruptcy because of a preexisting medical condition or obscure coverage limits on cate. on ‘The Patient Protection and Affordable Care Act (ACA) established clear protections to prohibit insurance companies from discriminating against individuals with preexisting conditions and also required insurers to spend a minimum amount of their customer's premium dollars on medical care. We are concerned the short-term health plans HHS has touted gut these protections and empower insurance companies to deny coverage to individuals with preexisting conditions, place arbitrary coverage limits on essential health care services and charge individuals more for services such as mental health care and maternity care. A recent study released by the National Association of Insurance Commissioners found that such plans spend just 39 percent of patientpremiums on medical care, In contrast, insurance plans under the ACA are required to spend at least 80 percent of patient premiums on medical care. Given the harmful effect these plans are having on families’ nationwide and broad agreement on their serious shortcomings we would like to gain a better understanding of how these plans are marketed and used in Virginia. To that end we would like to know: 1. How many Virginia residents are currently enrolled in short-term limited-duration insurance plans? 2. Has the Commission received complaints from Virginia residents regarding the marketing practices of such plans? If so, summarize the substance of the complaints and the number of complaints the Commission has received. 3. How is the Commission working to ensure that individuals obtain quality, comprehensive ‘coverage during the upcoming open enrollment period? 4, Has the Commission taken any enforcement actions against companies that have mislead consumers as to what their plans will cover? 5. How is the Commission collaborating with other states to limit the proliferation of junk: plans and ensure that individuals have access to both the necessary information and comprehensive coverage they need? Thank you for your consideration of this letter. We look forward to your responses to these questions and fo working with you on this important issue. Sincerely, Mk © Weve, pve JZ Mark R. Warner Tim Kaine United States Senator United States Senator