| (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.
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