Rates; approval

Sec. 1. 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. As added by P.L.26-1994, SEC.25.