Skip to main content
Arizona Department of Insurance Logo
  • Home
    • Español
    • About the DIFI
    • Enforcement Actions
    • Fee Schedule
    • Laws and Rules
    • Public Meetings
    • Record Requests/Service of Process
    • Reports
    • Regulatory Bulletins
    • Rulemaking
  • Consumers
    • CONSUMERS
    • Español
    • File a Complaint or Appeal
      • Filing a Complaint
      • Filing a Health Care Appeal
    • Help With Auto Insurance
    • Help with Home/Title/Flood Insurance
    • Help with Health Insurance
      • ... and the Affordable Care Act
      • ... for Employers
      • ... Health Care Appeals
      • ... for Individuals and Families
      • ... for Military Service Members
      • ... Rate Increases
      • ... for Seniors
      • ... for State Employees
      • ... Surprise Billing
    • Help for Health Care Providers
    • Help with Life Insurance and Annuities
    • Help with Business Insurance
    • Help for Military Service Members
    • Help for State Employees
    • Disaster Preparedness/Recovery
    • Insurance Fraud
    • Out of Business Insurer
    • Laws, Rules and Bulletins
      • Laws and Rules
      • Rulemaking Documents
      • Regulatory Bulletins
    • Enforcement Actions
      • Administrative Orders
      • Market Conduct Exam Reports
  • Producers
  • Insurers
  • PROVIDERS
  • LICENSE SEARCH
  • CONTACT US
  • Home
  • Consumers
  • Help with Health Insurance
  • Information about Health Insurance Rate Increases

Information about Health Insurance Rate Increases

Major Medical Health Insurance Rate Information

The Patient Protection and Affordable Care Act requires states to provide certain information about "threshold" (15% or greater) rate increase filings, and to provide a way for the public to comment on the requested threshold rate increase filings.  This page contains instructions for you to access the rate filing information for plan year 2020 and to provide public comments on open threshold rate filings to the Department. 

    2021 Major Medical Rate and Plan Information

    • 2021 Notice of Proposed Threshold Rate Increases

     

    Threshold Rate Increase Information

    The Department welcomes your comments regarding open threshold rate filings. Please see below, Comment on Proposed Threshold Rate Increases, for instructions on how to submit your comments.   

    • Sign up to receive future notices about threshold rate increases.
    • View previous email notices about threshold rate increases.


    Comment on Proposed Threshold Rate Increases

    After reviewing information about a rate filing on RateReview.Healthcare.gov, you can submit comments about rate increase filings by emailing the Department at [email protected].  Please include the Company Name and Product Name in your email.  The Department will review comments prior to issuing a final determination regarding whether the rate increase meets the regulatory standards for a reasonable threshold increase.

    Search Specific Filings to View Detailed Rate Increase Information

    There are two websites where you can search for and view detailed information about rate filings. 

    1.  SERFF Filing Access (SFA) - Plan Year 2021 Information Available after October 15, 2020

    SFA allows the general public to view closed form, rate, rule, and health plan binder filings that have been submitted to the Department in an electronic format through the System for Electronic Rate and Form Filing (SERFF). 

    • Access and review the instructions on the Department’s SERFF Filing Access page.
    • At the bottom of the page, click [Proceed to SFA].
    • Click [Begin Search].
    • You must review and accept the Terms of Use to proceed.
    • On the Filing Search page, select Business Type:  Life, Accident/Health, Annuity, Credit.
    • The quickest way to view 2020 filings is by searching by the filing’s SERFF Tracking Number, but you may also search by Company Name or other criteria. 

    2.  RateReview.Healthcare.gov

    You can use the RateReview.Healthcare.gov web page to find information about rate change requests including access to summarized information about filings.  Follow these steps:

    • Access the RateReview.Healthcare.gov search page.
    • On the search page, click the [SEARCH ACA-COMPLIANT PRODUCTS] button.
    • For the "State" field, use the dropdown to select “Arizona”.
    • For "Company Name," enter the first characters of the company's name. For example, to search for "XYZ123 Insurance Company," you could enter 'XYZ123.'
    • For the "Effective Date Range" (which is the range of dates that the new insurance rates will be effective), enter from 01/01/2021 to 12/31/2021.
    • Click the [SUBMIT SEARCH] button.
    • Click the link for the filing for which you want information.
    • You can view the Department's final determination concerning threshold (15% or greater) rate increases at RateReview.Healthcare.gov or on the Department’s website. 

    Frequently Asked Questions

    • Frequently Asked Questions About Rate Increases


    CCIIO (U.S. Center for Consumer Information and Insurance Oversight)

    The CCIIO web page provides links to additional information concerning the Patient Protection and Affordable Care Act.


    Arizona is an Effective Rate Review ("ERR") State

    Arizona has been designated an ERR state for the individual and the small-group major medical health insurance markets (effective 1/1/2013 and 1/1/2014 respectively) based on HHS regulations (see 45 CFR Part 154).  

     

    Additional Assistance

    For additional assistance, please send email to [email protected].

     

    2020 Major Medical Rate and Plan Information

    • 2020 Major Medical Health Insurance Rate Filings and Final Rate Changes

    • 2020 Summary of Individual Filings by Metal and On/Off Exchange

    • 2020 Individual QHP Monthly Premiums, 40 Year Old Non-tobacco User

    • 2020 Individual QHP Monthly Premiums by Metal Level, Age, and Family Structure

    • 2020 Individual On and Off-Exchange Plans & Premiums, 40 Year Old Non-tobacco User

    • 2020 Individual QHP Monthly Silver Metal Premiums by Age and Family Structure

    • 2020 Individual On & Off-Exchange Monthly Premiums by Metal Level, Age, and Family Structure

    • 2020 Small Group Premiums by Metal Level, Company, and County for 40-year-old Non-tobacco User

     

    2019 Major Medical Rate and Plan Information

    • 2019 Major Medical Health Insurance Rate Filings and Final Rate Changes
    • 2019 Individual QHP Monthly Premiums, 40 Year Old Non-tobacco User
    • 2019 Individual QHP Monthly Premiums by Metal Level, Age, and Family Structure
    • 2019 Individual QHP Monthly Silver Metal Premiums by Age and Family Structure
    • 2019 Individual Off-exchange Plans & Premiums, 40 Year Old Non-tobacco User
    • 2019 Individual On & Off-exchange Monthly Premiums by Metal Level, Age, and Family Structure
    • 2019 Individual Threshold Health Insurance Rate Increases
    • 2019 Small Group Threshold Health Insurance Rate Increases
    • 2019 Small Group Premiums by Metal level, Company, and County for 40-year-old Non-tobacco User
    • 2019 Summary of Individual Filings by Metal and On/Off Exchange

     

    2018 Major Medical Rate and Plan Information 

    • 2018 Major Medical Health Insurance Rate Filings and Final Rate Changes
    • 2018 Individual QHP Monthly Premiums by Metal Level, Age, and Family Structure
    • 2018 Individual QHP Monthly Premiums, 40 Year Old Non-tobacco User
    • 2018 Individual QHP Monthly Silver Metal Premiums by Age and Family Structure
    • 2018 Individual Off-exchange Plans & Premiums, 40-year-old Non-tobacco User
    • 2018 Individual HMO Monthly Premiums by Metal Level, Age and Family Structure
    • 2018 Individual On & Off Marketplace Monthly Premiums by Metal Level, Age and Family Structure
    • 2018 Individual Threshold Health Insurance Rate Increases
    • 2018 Small Group Threshold Health Insurance Rate Increases
    • 2018 Small Group Premiums by Metal Level, Company, and County for 40-year-old Non-tobacco User
    • 2018 Summary of Individual Filings by Metal and On/Off Exchange

     

    2017 Major Medical Rate and Plan Information

    • 2017 Individual QHP Monthly Premiums by Metal Level, Age and Family Structure
    • 2017 Individual QHP Monthly Premiums, 40 Year Old Non-tobacco User
    • 2017 Individual QHP Monthly Silver Metal Premiums by Age and Family Structure
    • 2017 Summary of Individual Filings by Metal and On/Off Exchange
    • 2017 Major Medical Health Insurance Rate Filings and Final Rate Changes
    • 2017 Threshold Health Insurance Rate Increases
    • 2017 Individual Off-exchange Premiums by Metal Level, Age, and Family Structure
    • 2017 Individual Off-exchange Plans & Premiums, 40-year-old Non-tobacco User
    • 2017 Small Group Plans & Sample Rates for each Metal Level v2
    • Rate Review Grant: Threshold Rate Review Process Diagram
    • Rate Review Grant: Post-threshold Rate Review Process Diagram

    Please Provide Your Feedback

    Complete a quick and easy survey at https://www.surveymonkey.com/s/adoi_consumer

    Consumers

    • CONSUMERS
    • Español
    • File a Complaint or Appeal
      • Filing a Complaint
      • Filing a Health Care Appeal
    • Help With Auto Insurance
    • Help with Home/Title/Flood Insurance
    • Help with Health Insurance
      • ... and the Affordable Care Act
      • ... for Employers
      • ... Health Care Appeals
      • ... for Individuals and Families
      • ... for Military Service Members
      • ... Rate Increases
      • ... for Seniors
      • ... for State Employees
      • ... Surprise Billing
    • Help for Health Care Providers
    • Help with Life Insurance and Annuities
    • Help with Business Insurance
    • Help for Military Service Members
    • Help for State Employees
    • Disaster Preparedness/Recovery
    • Insurance Fraud
    • Out of Business Insurer
    • Laws, Rules and Bulletins
      • Laws and Rules
      • Rulemaking Documents
      • Regulatory Bulletins
    • Enforcement Actions
      • Administrative Orders
      • Market Conduct Exam Reports
    Arizona State Seal

    Footer Utility

    • Statewide Policies
    • Site Map
    • Privacy Policy

    Footer Nav

    • Statewide Policies
    • Site Map