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."

  • My guess would be that is the whole basis behind the phony "let companies sell across state lines..... to improve competition" argument. Commented Aug 15, 2017 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
    Commented Aug 15, 2017 at 19:11

1 Answer 1


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:

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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.

  • 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
    Commented Aug 15, 2017 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
    Commented Aug 15, 2017 at 21:16

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