Reasonableness of Benefits in Relation to Premiums

 

DEPARTMENT OF FINANCIAL SERVICES

OIR – Insurance Regulation

RULE NO.: RULE TITLE:

69O-149.005: Reasonableness of Benefits in Relation to Premiums

NOTICE OF CHANGE

Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 49 No. 190, September 29, 2023 issue of the Florida Administrative Register.

The changes were made after reviewing any written comment submitted to the agency and an internal reevaluation of the rule.

 

69O-149.005 Reasonableness of Benefits in Relation to Premiums.

(1) though (13) No change.

(14) An insurer may issue multiple year rate guarantee or rating cap provisions subject to the following:

(a) The coverage is for annually rated group health insurance policies for which filing of rates is exempted by Section 627.410(6), F.S., and excluding disability income policies: ;

(b) through (e) No change.

(15) Accident only, accidental death and dismemberment, dental, disability income, hearing, hospital indemnity, hospital/surgical medical expense, intensive care, and vision policies plans issued by an insurer are exempt from the requirement of paragraph (14)(b). This provision may not apply for greater than 60 months for accident only, accidental death and dismemberment, dental, disability income, hearing, hospital indemnity, hospital/surgical medical expense, intensive care, and vision policies plans issued by an insurer.

Rulemaking Authority 624.308(1), 627.410(6)(b), (d), (e) FS. Law Implemented 626.9541(1), 627.410(6)(d), (e), 627.410(7), 627.411(1)(a), (e), 627.9175 FS. History–New 7-1-85, Formerly 4-58.05, 4-58.005, Amended 4-18-94, 11-20-02, Formerly 4-149.005, Amended 5-18-04, 11-2-06, 6-18-07, 10-1-08, 8-15-19, ________.