Ind. Code § 27-13-20-1

Rates; approval

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

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. (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. (2) must be developed by an actuary or other qualified person acceptable to the commissioner; and
  3. (3) may not be excessive, inadequate, or unfairly discriminatory.

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

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