Texas Administrative Code
Title 28 - INSURANCE
Part 1 - TEXAS DEPARTMENT OF INSURANCE
Chapter 21 - TRADE PRACTICES
Subchapter AA - CONSUMER CHOICE HEALTH BENEFIT PLANS
Division 4 - ADDITIONAL REQUIREMENTS
Section 21.3544 - Required Annual Reporting
Universal Citation: 28 TX Admin Code § 21.3544
Current through Reg. 50, No. 13; March 28, 2025
(a) Health carriers offering a consumer choice health benefit plan must file annually with the department a data certification, not later than June 1 of each year, on Form CCP 2, Consumer Choice Health Benefit Plans Data Certification. The data certification includes the following, each set out by plan type:
(1) the total number of consumer
choice health benefit plans newly issued and renewed covering Texas
lives;
(2) the total number of
Texas lives (including members/employees, spouses, and dependents) covered
under newly issued and renewed consumer choice health benefit plans;
(3) the gross premiums received for newly
issued and renewed consumer choice health benefit plans covering Texas lives;
and
(4) the average premium rate
for consumer choice plans and state-mandated plans.
(b) For the purpose of subsection (a) of this section:
(1) for plans that are required to
develop rates using the federal Unified Rate Review Template, the average
premium rate is the average plan-adjusted index rate for each set of plans as
submitted for the previous calendar year;
(2) for plans that are not required to
develop rates using the federal Unified Rate Review Template, the average
premium rate is the earned premium divided by the member months for each set of
plans, given per member per month, where member months is the number of people
enrolled in a plan times the months of enrollment.
(c) Form CCP 2 is available on the department's website at www.tdi.texas.gov.
Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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