Rule 69O-191.054 requires HMOs to file rating methodologies with the Office for approval prior to charging or quoting premiums to subscribers. The Rule contains provisions regarding “Attained Age Premium Schedules” which may inconsistent with the ...

 

DEPARTMENT OF FINANCIAL SERVICES
OIR – Insurance Regulation

RULE NO.: RULE TITLE:
69O-191.054Rates
PURPOSE AND EFFECT: Rule 69O-191.054, F.A.C., requires HMOs to file rating methodologies with the Office for approval prior to charging or quoting premiums to subscribers. The Rule contains provisions regarding “Attained Age Premium Schedules” which may inconsistent with the Patient Protection and Affordable Care Act of 2010 (“PPACA”). The proposed amendment to the Rule states that the aforementioned provisions shall not apply to the extent that they are pre-empted by PPACA.
SUBJECT AREA TO BE ADDRESSED: Amendment of Rule 69O-191.054, F.A.C.; Rates
RULEMAKING AUTHORITY: 641.31, 641.36 FS.
LAW IMPLEMENTED: 641.21(1)(e), 641.22(2), (4), (6), 641.31(2), (3), 641.31074, 641.3922(3) FS.
IF REQUESTED IN WRITING AND NOT DEEMED UNNECESSARY BY THE AGENCY HEAD, A RULE DEVELOPMENT WORKSHOP WILL BE NOTICED IN THE NEXT AVAILABLE FLORIDA ADMINISTRATIVE REGISTER.
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Tom Zutell, Office of Insurance Regulation, Phone: [phone], E-mail: [e-mail]
THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS NOT AVAILABLE.