Texas Rate Review Requirements for Health Benefit Plans
Rate review for health benefit plans in Texas is governed by Insurance Code Chapter 1698, which was enacted by Senate Bill 1296, 87th Legislature, Regular Session (2021). TDI rules are in 28 TAC Chapter 3, Subchapter F.
Texas is recognized as a state with an Effective Rate Review Program for the 2023 plan year and beyond. Filings are due June 15 of each year.
Required rate review templates:
- Unified Rate Review template and instructions
- Rate Table Template
- TDI Enrollment Template
- TDI AV and Cost Sharing Design Template
Public Information on Rate Filings
- Find information on health insurance premium rates: ratereview.healthcare.gov
- Public comments concerning proposed rate increases can be sent to RateReview@tdi.texas.gov.