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My understanding is that most states have an insurance commission that (among other things) is tasked with approving health insurance premiums in that state.

In answer to a previous question, the respondent said "Only in states where premiums can increase without limit. Some require regulatory approval of increases."

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  • My guess would be that is the whole basis behind the phony "let companies sell across state lines..... to improve competition" argument. – PoloHoleSet Aug 15 '17 at 16:56
  • for clarification: the previous related to insurer's reluctance to move into a market where the is no competition; to which the respondent suggested that insurers would only be interested in states where they could charge premiums without regulatory control. – BobE Aug 15 '17 at 19:11
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Short Answer: Yes. Some states do not limit health insurance premiums.

Long Answer:

The National Conference of State Legislatures summarizes health insurance rate regulation on a state by state basis. The really short summary is found in this map:

enter image description here

But, the map really doesn't do the story justice. You need to, at least, review the extensive footnotes, and honestly, you need to dig even deeper than that to get a meaningful understanding of the process, because some superficially similar state insurance regulation programs are much more rigorous than others on an as applied basis.

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  • Very useful link, it appears that 5 states do not have Federally approved rate review programs. Whether those five states have a premium review program (not federally approved) it looks like I may have get on the phone to find out. – BobE Aug 15 '17 at 20:58
  • @BobElston I agree that it takes more information to really get to the bottom of it, but this is one of the better starting points to that search of which I am aware. – ohwilleke Aug 15 '17 at 21:16

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