The U.S. standard-setting and regulatory support organization created and governed by the chief insurance regulators from the 50 states, the District of Columbia and five U.S. territories. Through the NAIC, state insurance regulators establish standards and best practices, conduct peer review, and coordinate their regulatory oversight.

http://www.naic.org/index_about.htm

The Marketplace offers health plans in a tiered format, based on the percentage of costs paid by the health insurance company. A higher metal tier indicates a higher monthly

Cost increases and utilization changes resulting in an increased cost of healthcare.  Unit cost increases include increased costs of services provided by hospitals and physicians.  Utilization changes refers to an increase or decrease in the use of services.  Additional cost drivers may include changes in plan benefits, demographic changes in the insured population, and legislative changes.

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