Rating Areas in Texas

Texas has 254 counties and 27 different geograhic rating areas. In Texas, like most states, the only factors used to determine the rates for fully-insured small groups is the ages of the covered employees and dependents and the location of the company. A small group health carrier must charge the same based rates for each plan in any county within the same rating area (and those rates would then be adjusted based on the ages of the employees and dependents).

Here are the 27 rating area in Texas:

Source: https://www.cms.gov/CCIIO/Programs-and-Initiatives/Health-Insurance-Market-Reforms/tx-gra