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Premium Rate Review

Beginning January 1, 2011, health plans are required to submit rate filings to the Department of Managed Health Care (DMHC) pursuant to Senate Bill 1163 (Chapter 661, Statutes of 2010). All rate filing documents are to be submitted through the National Association of Insurance Commissioners’ System for Electronic Rate and Form Filing (SERFF).

Currently, for individual and small group products, health plans are required to submit, through SERFF, separate documentation for each of the categories listed below.

A Director’s Letter (Letter 3-K) was issued on December 2, 2010 to provide additional guidance to health plans regarding electronic rate filings.

A second Director’s Letter (Letter 8-K) was issued on May 24, 2011 and amended on February 2, 2012 to provide additional guidance to health plans regarding premium rate filings.

A third Director’s Letter (Letter 11-K) was issued on July 2, 2012, to provide additional guidance to health plans regarding premium rate filings.

DMHC has released the following forms for submissions via the SERFF system.

DMHC Rate Filing Form
DMHC New Product Rate Filing Form
DMHC Plain Language Filing Description
CA Rate Filing Spreadsheet
CA Plain-Language-Spreadsheet
CA Annual Aggregate Rate Data Report Form

Further guidance regarding rate filing and rate filing contents may be forthcoming in the future.

View Health Plan Rate Filings

Premium Rate Review Public Reports