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DC-Rate Review Law

  • District of Columbia has prior approval of individual market rate increases. D.C. Code § 31-3508 (b).
  • Nonprofit insurers must submit rate filings at least 60 days before the proposed effective data. The filing is deemed approved if not disapproved within 60 days or any extension of the review period. D.C. Code § 31-3508(b). HMOs (any company providing coverage on a prepaid basis) have a 30-day approval or deemer period. D.C. Code § 31-3415(c).
  • “Rates shall not be excessive, inadequate, or unfairly discriminatory.” D.C. Code § 31-3508 and § 31-3415(b).
  • Rate filings are not posted online. The District posts a list of all rate filings recently approved, but does not indicate the amount of the increase. Filings are public documents except for trade secrets and confidential information. D.C. Code § 31-3425.

Information is based on review of state statutes and regulations and in some case, interviews with state insurance departments.

IssuesHealth