There will probably be 2 million termed mapd plans this aep . You fig 10% of those will use the Gi sep to a med sup. The sickiest of the sick to get a free pass to plan g or f and 100% of bills paid . The termed plans are another big claims headwind facing med sups we didn't see in previous yrs . Throw in the birthday rule growing and growing . It appears 10-15% increases could be the norm for several yrs min