Rate Review in the United States

Concept of Rate Review in Health Insurance Law

In this context, the following is a definition of Rate Review: Review by insurance regulators of proposed premiums and premium increases. During the rate review process, regulators will examine proposed premiums to ensure that they are sufficient to pay all claims, that they are not unreasonably high in relation to the benefits being provided, and that they are not unfairly discriminatory to any individual or group of individuals.

Rate Review in Health Care Law

A definition of Rate Review is available here: Review by insurance regulators of a health plan’s proposed premium and premium increases. Rates are reviewed to ensure they are sufficient to pay claims, are not unreasonably high in relation to the medical claim costs and the benefits provided, and are not unfairly discriminatory to any individual or group of individuals.