69O-149.202. Standard Risk Rate  


Effective on Monday, January 20, 2003
  • 1(1) Standard risk rates, pursuant to the provisions of Section 11627.6675(3), F.S., 13are provided for the following “categories of coverages”:

    21(a) Indemnity policies;

    24(b) Preferred provider organization (“PPO”)/exclusive provider organization (“EPO”) policies; and

    34(c) Health maintenance organization (“HMO”) contracts.

    40(2) The standard risk rates for a particular county are determined by multiplying the standard risk rate schedule times the appropriate county factor.

    63(3) Standard risk rates are provided for the Standard Health Benefit Plan pursuant to Section 78627.6699(12), F.S., 80outlined in Rule 8369O-149.204, 84F.A.C.

    85(4) Standard risk rates reflect the predominant rates charged in the market for newly issued coverage.

    101Specific Authority 103624.308, 104627.6675(3)(c) FS. 106Law Implemented 108624.307(1), 109627.6498(4), 110627.6675(3), 111641.3922(3) FS. 113History–New 3-2-00, Amended 4-2-01, 1-20-03, Formerly 4-149.202.