The other comment in response about loss ratio is correct
The other comment in response about loss ratio is correct
States have pretty broad powers and I could see them forcing a disgorgement if they felt so inclined.
Source: I was a state insurance regulator for the Alaska Division of Insurance for a few years
This model seems to be doing a fairly good job keeping auto insurance costs under control. Is this regulatory model also being applied to health insurance ?
If yes, why isn't it controlling healthcare costs ?
If no, why not ?
While I haven't done a deep dive recently, I doubt health insurance administrative expenses and profit are the main driving factor in health insurance costs. Losses (utilization multiplied by price) are the main driving force. You can look up rate reviews at https://ratereview.healthcare.gov/ and probably view the entire filings on the state DOI website, altho these filings are usually not really as accessible as they should be.