Review of Rate Increases

Cal. INS § 10181.6

California Statutes

(

a) A filing submitted under this

article shall be actuarially sound. (b)

(1) The health insurer shall contract with an independent actuary or actuaries consistent with this section.

(2) A filing submitted under this

article shall include a certification by an independent actuary or actuarial firm that the rate increase is reasonable or unreasonable and, if unreasonable, that the justification for the increase is based on accurate and sound actuarial assumptions and methodologies. Unless PPACA requires a certification of actuarial soundness for each large group health insurance policy, a filing submitted under

Section 10181.4 shall include a certification by an independent actuary, as described in this section, that the aggregate or average rate increase is based on accurate and sound actuarial assumptions and methodologies.

(3) The actuary or actuarial firm acting under paragraph (2) shall not be an affiliate or a subsidiary of, nor in any way owned or controlled by, a health insurer or a trade association of health insurers. A board member, director, officer, or employee of the actuary or actuarial firm shall not serve as a board member, director, or employee of a health insurer. A board member, director, or officer of a health insurer or a trade association of health insurers shall not serve as a board member, director, officer, or employee of the actuary or actuarial firm. (

c) Nothing in this

article shall be construed to permit the commissioner to establish the rates charged insureds and policyholders for covered health care services.

Document details

CollectionCalifornia Statutes
CitationCal. INS § 10181.6
Date2011-01-01
Typestatute
Languageen
SourceCA_STAT
IdentifierINS10181.6.20106617

Review of Rate Increases

Cal. INS § 10181.6

California Statutes

Review of Rate Increases

Cal. INS § 10181.6

California Statutes

(

a) A filing submitted under this

article shall be actuarially sound. (b)

(1) The health insurer shall contract with an independent actuary or actuaries consistent with this section.

(2) A filing submitted under this

article shall include a certification by an independent actuary or actuarial firm that the rate increase is reasonable or unreasonable and, if unreasonable, that the justification for the increase is based on accurate and sound actuarial assumptions and methodologies. Unless PPACA requires a certification of actuarial soundness for each large group health insurance policy, a filing submitted under

Section 10181.4 shall include a certification by an independent actuary, as described in this section, that the aggregate or average rate increase is based on accurate and sound actuarial assumptions and methodologies.

(3) The actuary or actuarial firm acting under paragraph (2) shall not be an affiliate or a subsidiary of, nor in any way owned or controlled by, a health insurer or a trade association of health insurers. A board member, director, officer, or employee of the actuary or actuarial firm shall not serve as a board member, director, or employee of a health insurer. A board member, director, or officer of a health insurer or a trade association of health insurers shall not serve as a board member, director, officer, or employee of the actuary or actuarial firm. (

c) Nothing in this

article shall be construed to permit the commissioner to establish the rates charged insureds and policyholders for covered health care services.

Document details

CollectionCalifornia Statutes
CitationCal. INS § 10181.6
Date2011-01-01
Typestatute
Languageen
SourceCA_STAT
IdentifierINS10181.6.20106617