Regulators Seek Definition of Excessive Health Insurance Rate Increase

The healthcare reform law directs the Department of Health and Human Services to work with state insurance commissioners to review and approve health insurers’ premium increases, beginning this year, but insurance commissioners are still hashing out criteria for denials, according to a report by Kaiser Health News.

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In a 10-page letter to HHS, the National Association of Insurance Commissioners said its members could not reach consensus on a single definition of an unreasonable rate increase.

NAIC provided 11 options in the letter for flagging “potentially unreasonable” increases, including those that:

  • are above a certain percentage;
  • exceed the consumer price index by a particular percentage;
  • do not appropriately reflect benefit changes;
  • cover excessive administrative costs; and
  • cover unreasonable or wasteful administrative expenses.

Read Kaiser Health News’ report on health insurance.

Read the NAIC’s letter to HHS (pdf).

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