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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."
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:
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.
