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I focused on property & casualty but yes, the statute usually applies to health insurance, and I think the ACA further codified it as a requirement.

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.

thanks

Will let the parent reply but at a high level (at least for comprehensive insurance) there is a) a fairly competitive market (and comparison shopping is possible) for car repairs and b) a limit to the cost of a repair (the value of a new comparable car) that we don't / won't place on human lives.

I recall getting partial refunds from health insurance for a few years after the ACA was first enacted due to regulations about how much they can charge.