Texas Administrative Code
Title 28 - INSURANCE
Part 1 - TEXAS DEPARTMENT OF INSURANCE
Chapter 3 - LIFE, ACCIDENT, AND HEALTH INSURANCE AND ANNUITIES
Subchapter F - RATE REVIEW FOR HEALTH BENEFIT PLANS
Section 3.503 - Rating Standards

Universal Citation: 28 TX Admin Code § 3.503

Current through Reg. 50, No. 13; March 28, 2025

A rate filing filed under this subchapter must comply with all applicable state and federal requirements, including:

(1) Insurance Code Chapter 560, concerning Prohibited Rates;

(2) Insurance Code § 843.2071, concerning Notice of Increase in Charge for Coverage;

(3) Insurance Code § 1201.109, concerning Notice of Rate Increase for Major Medical Expense Insurance Policy;

(4) Insurance Code Chapter 1271, Subchapter F, concerning Schedule of Charges;

(5) Insurance Code § 1501.215, concerning Reporting Requirements, and §1501.216, concerning Premium Rates: Notice of Increase;

(6) Insurance Code Chapter 1698, concerning Rates for Certain Coverage;

(7) 42 USC § 300gg, concerning Fair Health Insurance Premiums;

(8) 42 USC § 300gg-94, concerning Ensuring That Consumers Get Value for Their Dollars;

(9) 42 USC § 18032(c), concerning Consumer Choice;

(10) 45 CFR § 147.102, concerning Fair Health Insurance Premiums;

(11) 45 CFR Part 154, concerning Health Insurance Issuer Rate Increases: Disclosure and Review Requirements; and

(12) 45 CFR § 156.80, concerning Single Risk Pool.

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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