This paper discusses insurance rate and from regulation. It briefly explains some of the form methods that states use to manage insurance rates and insurers. The primary focus of this paper is to examine the state of insurance rate and form regulation, illustrating strengths and weaknesses. Particular attention is paid to the original goals of insurance regulation as they developed out of the McCarran-Ferguson Act and how those goals have changed since 1945. The industry's response will be given special illustration to demonstrate how that change has taken place.