The state approved a 27.3 percent rate hike for Hawaii Medical Service Association members and 34.4 percent increase for Kaiser members in Obamacare plans for 2016.

HMSA, the state’s largest health insurer, had proposed an average 49.1 percent rate hike — the highest it has ever requested — for 20,935 members in Obamacare plans next year. Kaiser proposed to raise rates 8.7 percent for 13,000 Obamacare plan members in 2016.