What's the price fixing part?
The Insurance Commissioner is also an elected position now, so there is an incentive for them to succumb to populist pressures to climb up the poltical ladder (eg. Govenor, Senator, Congressmember)
Edit: listen to CharlesW. I'm incorrect on the fact that it wasn't enforced until recently
Nope, it's been enforced since the start. Right after it passed, insurance companies refunding over $1.2 billion to consumers based on CDI enforcement.
https://consumerfed.org/pdfs/whatworks-report_nov2013_hunter...
"Requesting" means that prices are fixed to whatever the government feels is "fair".