The rates, charges, fees, and dues to be paid by the public for benefits under a health service plan and for contracts or certificates covering same shall not be unreasonably high or excessive, shall be adequate to meet the liability assumed under the contracts and all expenses in connection therewith, shall be adequate for the safeness and soundness of the corporation, and shall take into account past and prospective loss experience. A health care service corporation shall file with the Commissioner of Insurance any change in its rates, charges, fees, and dues, and, as soon as reasonably possible after the filing has been made the commissioner shall, in writing, approve or disapprove the same, provided that, unless disapproved within 30 days after filing, the changed rates, charges, fees, or dues shall be deemed to be approved. The commissioner shall approve the rates, charges, fees, and dues which are consistent with and shall disapprove the rates, charges, fees, and dues which are not consistent with the standards and factors set forth in the first sentence of this section; provided, that notwithstanding the foregoing, when a filing of changes in rates, charges, fees, and dues for existing classifications of risks does not involve a change in the relationship between the rates and the expense portion thereof or does not involve a change of the element of expenses which are paid as a percentage of premiums and does not involve a change in rate relativities among the classifications on any basis other than loss experience, the changed rates in the filing shall become effective upon the date or dates specified in the filing and shall be deemed to meet the requirements of this section.
Structure Code of Alabama
Title 10A - Alabama Business and Nonprofit Entities Code.
Chapter 20 - Special Purpose Entities.
Article 6 - Health Care Services Plans.
Section 10A-20-6.01 - Applicability of Article.
Section 10A-20-6.02 - Incorporation.
Section 10A-20-6.03 - Health Care Facilities Which May Participate.
Section 10A-20-6.04 - Board of Directors.
Section 10A-20-6.06 - Altering, Amending, or Changing Certificate of Formation.
Section 10A-20-6.07 - Certificates of Authority; Contracts With Public.
Section 10A-20-6.08 - License, Privilege, or Other Taxes by Municipalities or Counties Prohibited.
Section 10A-20-6.09 - Selection of Health Care Facility by Certificate Holders.
Section 10A-20-6.10 - Regulation of Rates, Charges, Fees, and Dues.
Section 10A-20-6.11 - Examination Power of Commissioner of Insurance.
Section 10A-20-6.12 - Certificates for Agents; Filing of Health Service Certificates.
Section 10A-20-6.13 - Deposit of Securities With State Treasurer.
Section 10A-20-6.14 - Filing of Annual Statements.
Section 10A-20-6.15 - Review of Decisions, etc., by Commissioner of Insurance.