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TITLE 28INSURANCE
PART 1TEXAS DEPARTMENT OF INSURANCE
CHAPTER 3LIFE, ACCIDENT, AND HEALTH INSURANCE AND ANNUITIES
SUBCHAPTER FRATE REVIEW FOR HEALTH BENEFIT PLANS
RULE §3.503Rating Standards

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.


Source Note: The provisions of this §3.503 adopted to be effective June 16, 2022, 47 TexReg 3467

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