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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 §3.504Geographic Rating Areas

(a) An issuer may vary rates based on rating area, which is determined:

  (1) in the individual market, using the primary policyholder's or contract holder's address; and

  (2) in the small group market, using the group policyholder's or contract holder's principal business address.

(b) For the purposes of this subchapter, rating areas for plan or policy years beginning on or after January 1, 2023, are established as follows.

  (1) Rating area 1 (Abilene) consists of the following Texas counties:

    (A) Brown;

    (B) Callahan;

    (C) Coleman;

    (D) Comanche;

    (E) Eastland;

    (F) Fisher;

    (G) Haskell;

    (H) Jones;

    (I) Kent;

    (J) Mitchell;

    (K) Nolan;

    (L) Runnels;

    (M) Scurry;

    (N) Shackelford;

    (O) Stephens;

    (P) Stonewall;

    (Q) Taylor; and

    (R) Throckmorton.

  (2) Rating area 2 (Amarillo) consists of the following Texas counties:

    (A) Armstrong;

    (B) Briscoe;

    (C) Carson;

    (D) Castro;

    (E) Childress;

    (F) Collingsworth;

    (G) Dallam;

    (H) Deaf Smith;

    (I) Donley;

    (J) Gray;

    (K) Hall;

    (L) Hansford;

    (M) Hartley;

    (N) Hemphill;

    (O) Hutchinson;

    (P) Lipscomb;

    (Q) Moore;

    (R) Ochiltree;

    (S) Oldham;

    (T) Parmer;

    (U) Potter;

    (V) Randall;

    (W) Roberts;

    (X) Sherman;

    (Y) Swisher; and

    (Z) Wheeler.

  (3) Rating area 3 (Austin) consists of the following Texas counties:

    (A) Bastrop;

    (B) Blanco;

    (C) Burnet;

    (D) Caldwell;

    (E) Fayette;

    (F) Hays;

    (G) Lee;

    (H) Llano;

    (I) Travis; and

    (J) Williamson.

  (4) Rating area 4 (Beaumont) consists of the following Texas counties:

    (A) Angelina;

    (B) Hardin;

    (C) Houston;

    (D) Jasper;

    (E) Jefferson;

    (F) Nacogdoches;

    (G) Newton;

    (H) Orange;

    (I) Polk;

    (J) Sabine;

    (K) San Augustine;

    (L) San Jacinto;

    (M) Shelby;

    (N) Trinity; and

    (O) Tyler.

  (5) Rating area 5 (Brownsville) consists of the following Texas counties:

    (A) Cameron;

    (B) Kenedy; and

    (C) Willacy.

  (6) Rating area 6 (College Station) consists of the following Texas counties:

    (A) Brazos;

    (B) Burleson;

    (C) Grimes;

    (D) Leon;

    (E) Madison;

    (F) Milam;

    (G) Robertson; and

    (H) Washington.

  (7) Rating area 7 (Corpus Christi) consists of the following Texas counties:

    (A) Aransas;

    (B) Bee;

    (C) Jim Wells;

    (D) Kleberg;

    (E) Live Oak;

    (F) Nueces;

    (G) Refugio; and

    (H) San Patricio.

  (8) Rating area 8 (Dallas) consists of the following Texas counties:

    (A) Collin;

    (B) Dallas;

    (C) Ellis;

    (D) Hunt;

    (E) Kaufman;

    (F) Navarro; and

    (G) Rockwall.

  (9) Rating area 9 (El Paso) consists of the following Texas counties:

    (A) Brewster;

    (B) Culberson;

    (C) El Paso;

    (D) Hudspeth;

    (E) Jeff Davis; and

    (F) Presidio.

  (10) Rating area 10 (Houston) consists of the following Texas counties:

    (A) Galveston; and

    (B) Harris.

  (11) Rating area 11 (Killeen/Temple) consists of the following Texas counties:

    (A) Bell;

    (B) Coryell;

    (C) Hamilton;

    (D) Lampasas;

    (E) Mills; and

    (F) San Saba.

  (12) Rating area 12 (Laredo) consists of the following Texas counties:

    (A) Duval;

    (B) Jim Hogg;

    (C) McMullen;

    (D) Webb; and

    (E) Zapata.

  (13) Rating area 13 (Longview) consists of the following Texas counties:

    (A) Gregg;

    (B) Harrison;

    (C) Marion;

    (D) Panola;

    (E) Rusk; and

    (F) Upshur.

  (14) Rating area 14 (Lubbock) consists of the following Texas counties:

    (A) Bailey;

    (B) Cochran;

    (C) Crosby;

    (D) Dickens;

    (E) Floyd;

    (F) Garza;

    (G) Hale;

    (H) Hockley;

    (I) King;

    (J) Lamb;

    (K) Lubbock;

    (L) Lynn;

    (M) Motley;

    (N) Terry; and

    (O) Yoakum.

  (15) Rating area 15 (McAllen) consists of the following Texas counties:

    (A) Brooks;

    (B) Hidalgo; and

    (C) Starr.

  (16) Rating area 16 (Midland/Odessa) consists of the following Texas counties:

    (A) Andrews;

    (B) Borden;

    (C) Crane;

    (D) Dawson;

    (E) Ector;

    (F) Gaines;

    (G) Glasscock;

    (H) Howard;

    (I) Loving;

    (J) Martin;

    (K) Midland;

    (L) Pecos;

    (M) Reeves;

    (N) Terrell;

    (O) Upton;

    (P) Ward; and

    (Q) Winkler.

  (17) Rating area 17 (San Angelo) consists of the following Texas counties:

    (A) Coke;

    (B) Concho;

    (C) Crockett;

    (D) Irion;

    (E) Kimble;

    (F) Mason;

    (G) McCulloch;

    (H) Menard;

    (I) Reagan;

    (J) Schleicher;

    (K) Sterling;

    (L) Sutton; and

    (M) Tom Green.

  (18) Rating area 18 (San Antonio) consists of the following Texas counties:

    (A) Atascosa;

    (B) Bandera;

    (C) Bexar;

    (D) Comal;

    (E) Dimmit;

    (F) Edwards;

    (G) Frio;

    (H) Gillespie;

    (I) Gonzales;

    (J) Guadalupe;

    (K) Kendall;

    (L) Kerr;

    (M) Kinney;

    (N) La Salle;

    (O) Maverick;

    (P) Medina;

    (Q) Real;

    (R) Uvalde;

    (S) Val Verde;

    (T) Wilson; and

Cont'd...

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