Filing Overview:The Filing Overview provides general information on a health plan’s premium rate filing including what stage of review the filing is in called the filing status, if the product is offered on the exchange through Covered California, the number of members impacted by the rate changes, and the average, minimum and maximum rate increase.
DMHC Review:This section provides the outcome of the DMHC’s review of a health plan’s premium rate filing. The DMHC does not have the authority to approve or deny rate increases; however, the Department’s review improves accountability in health plan rate setting and often results in a reduction in the proposed rate increase saving Californians millions.
Filing Details:The Filing Details provides information on several of the factors a health plan uses to develop its premium rate including medical costs and trends, utilization and administrative costs. Medical costs are where the biggest part of premium dollar must be spent. Health plans must spend at least 80 to 85 percent of every dollar on medical costs such as hospitals, doctors, prescription drugs and other services for its members, as well as costs to improve the quality of care.
Attachments:This section includes documents associated with the premium rate filing.
Comments:You can submit comments on health plan premium rate filings that are currently under review by the DMHC. The Department will consider public comments as part of its review of the premium rate filing.
Stay Informed: Receive email alerts on premium rates filed with the DMHC.