Stung by losses in Obamacare's first years, big health plans are looking for premium boosts of 20% or more in states like New York, Pennsylvania, and Georgia, and by more than 10% in places like Florida and Maryland. Among those published so far, only in Vermont do insurers' requests not hit the 10% level. Proposals, of course, need to be approved by state regulators. In addition to higher than expected costs and a population of new signups skewing to the less healthy end, 2017 marks the year when some programs designed to cushion insurers' losses come to an end. While some state insurance commissioners are talking a tough game in regard to approving the requests, others say they are unable to deny the increases where an insurer has shown need, and they are required by law to ensure plans have enough funds to pay out claims.
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