MO HB2686

Health carriers must file classification of risks and premium rates with the Director of Insurance before delivering, issuing, or renewing any health benefit plan on or after July 1, 2017, and must wait at least 30 days after filing before using new rates

Premium rates cannot be excessive, inadequate, unfairly discriminatory, or unjustified; the "premium rate change threshold" triggering enhanced review is defined as increases of 10% or more

Rate increases meeting the 10% threshold require extensive justification documentation including medical cost trends, utilization changes, reserve needs, medical loss ratio, and a certified statement from a qualified actuary

Names and total compensation packages of the top five executive officers must be disclosed as part of rate filings and are designated as open public records

The director must post rate determinations publicly, allow at least 20 days for public comment on filings, and violations constitute level two violations under section 374.049 with each improper rate use counting as a separate violation