The Department of Health and Human Services called on Assurant Inc's Time Insurance Co and Bedford Park, Illinois-based United Security Life and Health Insurance Co to either offer rebates to customers in six states or rescind premium hikes ranging up to 24 percent.
"Assurant Health is committed to setting premium rates at a level that will allow us to continue to serve the needs of our customers. We maintain our recent rate filings are actuarially justified and appropriate," Assurant spokeswoman Susan Burkee said in a statement.
United Security had no immediate comment.
The recently announced rate hikes affect about 60,000 individual and small group insurance customers in Arizona, Louisiana, Missouri, Montana, Nebraska and Wyoming.
The healthcare reform law, the Patient Protection and Affordable Care Act, or ACA, faces a potential make-or-break Supreme Court ruling and repeated Republican election-year calls for its repeal.
"These increases are unreasonable for enrollees of these plans," said Gary Cohen, oversight director at the health department's Center for Consumer Information and Insurance Oversight.
The reform law requires insurers to justify premium increases of more than 10 percent but does not provide the government with authority to rescind those found excessive or unreasonable.
Cohen said the rate changes also failed to meet federal standards requiring health insurers to devote at least 80 percent of higher premium revenues to healthcare services. But Assurant said its companies set their insurance rates in order to meet the requirement.
The ACA, which does not come into full force until 2014, is intended mainly as a measure to extend health coverage to more than 30 million uninsured Americans. But the legislation also includes a range of consumer protections and measures to improve care while reducing healthcare costs.
Twenty-six states and an independent business group have asked the high court to overturn the healthcare law on grounds that it oversteps the authority of the federal government. A ruling, which could overturn the law in part or in whole, is expected by the end of June.
The administration found that Time Insurance's rate hikes in five states were based on unreasonable assumptions by the company. Officials went further with United Security, saying a newly announced premium increase in Arizona was unreasonable and that the company had not even tried to justify it.
(Reporting By David Morgan; editing by Carol Bishopric)
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