Premium increase monitoring


PPACA requires states to establish a process for reviewing increases in health plan premiums and requires plans to justify increases. It also requires states to recommend whether certain plan should be excluded from the Exchange based on unjustified premium increases.

In August 2010, the Arkansas Insurance Department was awarded a $1 million grant to begin planning the premium review process. In September 2011, AID was awarded $3,874,098 in the second cycle of the federal rate review grants.

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Federal Documents

Arkansas Documents

Other States' Documents

  • California Rate Monitoring web
    The California Department of Insurance announcement that all proposed rate increases will reviewed by independent actuaries. The announcement came after outside actuaries found that one insurer had attempted to increase rates by 50% more than state law allows.

  • New York Governor Memo pdf PDF
    A memo from the Governor of New York outlining his new program for monitoring premium increases.

  • New York Governor monitoring program announcement web
    Press release describing legislation passed in June 2010 giving the New York state insurance department the authority to review and approve health insurance premium increases before they take effect.

  • New York Program Bill 278 pdf PDF
    Legislation passed in June 2010 giving the New York Department of Insurance the authority to review and approve health insurance premium increases before they take effect.

Other Documents

  • KFF: State Rate Review Efforts web
    This December 2010 report examines the state laws and regulations governing the review process for health insurance rates.