the insurance market is organized and regulated by the state,but

state cannot control the price, at least in CA. Last year, blue cross was going to increase 50% for small business in CA, the state said it would investigate the hike, but also said it had no power to control. I didn't know what happened finally(I don't use blue cross). It has a trend large insurers are buying small ones, my insurer changed name 3 times in past 8 years. ultimately it has no competitation. Unfortunately OB's plan still buys from these insures while no price control