Indiana § 27-13-20-1 Rates; approval

Indiana Statutes

§ 27-13-20-1 — Rates; approval

Indiana § 27-13-20-1

Title 27INSURANCE

Art. 13HEALTH MAINTENANCE ORGANIZATIONS

Ch. 20Filing Requirements

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Bluebook

Ind. Code § 27-13-20-1 (2026).

Text

The rates to be used by a health maintenance organization, including the actuarial assumptions underlying those rates, must be filed with the commissioner for approval and:

(1)must be established in accordance with actuarial principles for various categories of enrollees and, in the case of a group contract, shall not be individually determined based on the status of an enrollee's health;

(2)must be developed by an actuary or other qualified person acceptable to the commissioner; and

(3)may not be excessive, inadequate, or unfairly discriminatory.

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The rates to be used by a health maintenance
organization, including the actuarial assumptions underlying those
rates, must be filed with the commissioner for approval and:
(1) must be established in accordance with actuarial principles for
various categories of enrollees and, in the case of a group
contract, shall not be individually determined based on the status
of an enrollee's health;
(2) must be developed by an actuary or other qualified person
acceptable to the commissioner; and
(3) may not be excessive, inadequate, or unfairly discriminatory.