Ind. Code § 27-13-20-1

Current through P.L. 171-2024

Section 27-13-20-1 - Rates; approval

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.

IC 27-13-20-1

As added by P.L. 26-1994, SEC.25.