Minnesota health insurers have set their sights on Iowa.
Minnetonka-based Medica announced Thursday plans to start selling policies to individuals and families in Iowa on Nov. 1, with coverage beginning in 2016.
Meanwhile, officials with Minnetonka-based UnitedHealthcare say they're seeking regulatory approval to sell coverage on Iowa's health insurance exchange.
The federal Affordable Care Act has driven significant changes in the market for individual policies, including the launch of health exchanges where people can tap sizable tax credits.
Iowa has the lowest adoption rate in the country of people who are eligible to buy their insurance on the state's health exchange, said Dannette Coleman, a senior vice president at Medica.
"We think we can help improve that," Coleman said, noting that Iowans who purchased a health plan with tax credits on the exchange receive, on average, a $263 reduction in their monthly premium. "There are subsidies available, but few people are taking advantage of that."
Currently, there's only one health insurer selling policies on the health exchange in Iowa, which is operated by the federal government. Wellmark Blue Cross & Blue Shield is the dominant health insurer in Iowa, and the company has stayed out of the state's exchange.
"If Blue Cross was in the exchange, I think you'd see a lot more people in the exchange," said Eric Kohlsdorf, a health insurance agent with Prisma Strategies in Des Moines. "We absolutely need competition."