The Office is required to conduct an annual survey of the individual market and publish standard risk rates to be used in determining the maximum statutory group conversion rate. The annual survey is conducted for PPO/EPO, Indemnity and HMO ...  

  •  

    FINANCIAL SERVICES COMMISSION

    Office of Insurance Regulation

    RULE NOS.: RULE TITLES:

    69O-149.205 Indemnity Standard Risk Rates

    69O-149.206 Preferred Provider/Exclusive Provider Standard Risk Rates

    69O-149.207 Health Maintenance Organization Standard Risk Rates

    PURPOSE, EFFECT AND SUMMARY: The Office is required to conduct an annual survey of the individual market and publish standard risk rates to be used in determining the maximum statutory group conversion rate. The annual survey is conducted for PPO/EPO, Indemnity and HMO separately.

    SUMMARY OF ESTIMATED REGULATORY COSTS: No Statement of Regulatory Cost was prepared.

    Any person who wishes to provide information regarding a statement of estimated regulatory costs, or provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.

    SPECIFIC AUTHORITY: 624.308 FS., 627.6675(3)(c) FS.

    LAW IMPLEMENTED: 624.307(1) FS., 627.6498(4) FS., 627.6675(3) FS., 641.3922(3) FS.

    IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW (IF NOT REQUESTED, THIS HEARING WILL NOT BE HELD):

    DATE AND TIME: February 27, 2006, 2:30 p.m.

    PLACE: Room 142, Larson Building, 200 East Gaines Street, Tallahassee, Florida

    Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this program, please advise the Office at least 5 calendar days before the program by contacting the person listed below.

    THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULES IS: Frank Dino, Life and Health Product Review, Office of Insurance Regulation, e-mail: frank.dino@fldfs.com

     

    THE FULL TEXT OF THE PROPOSED RULES IS:

     

    69O-149.205 Indemnity Standard Risk Rates.

    (1) through (3) No change.

    STANDARD HEALTH BENEFIT PLAN

    Age

    Male

    Female

     

    County

    Area Factor

    0-17

    $1,110.70

    $1,110.70

     

    Alachua

    0.76

    18

    $1,568.94

    $1,974.82

     

    Baker

    0.78

    19

    $1,568.94

    $1,974.82

     

    Bay

    0.73

    20

    $1,568.94

    $1,974.82

     

    Bradford 

    0.82

    21

    $1,568.94

    $1,974.82

     

    Brevard

    1.00

    22

    $1,568.94

    $1,974.82

     

    Broward

    1.39

    23

    $1,568.94

    $1,974.82

     

    Calhoun

    0.75

    24

    $1,568.94

    $1,974.82

     

    Charlotte 

    1.05

    25

    $1,568.94

    $1,974.82

     

    Citrus

    0.66

    26

    $1,630.13

    $2,057.77

     

    Clay

    0.82

    27

    $1,693.70

    $2,144.19

     

    Collier

    0.91

    28

    $1,759.75

    $2,234.25

     

    Columbia 

    0.81

    29

    $1,828.38

    $2,328.09

     

    Dade

    1.44

    30

    $1,899.69

    $2,425.87

     

    De Soto 

    0.74

    31

    $1,973.78

    $2,527.75

     

    Dixie 

    0.77

    32

    $2,050.76

    $2,633.92

     

    Duval

    1.04

    33

    $2,130.74

    $2,744.54

     

    Escambia 

    0.79

    34

    $2,213.84

    $2,859.81

     

    Flagler

    0.78

    35

    $2,209.78

    $2,963.38

     

    Franklin 

    0.75

    36

    $2,290.22

    $3,065.32

     

    Gadsden 

    0.75

    37

    $2,373.58

    $3,170.77

     

    Gilchrist

    0.75

    38

    $2,459.98

    $3,279.84

     

    Glades

    0.98

    39

    $2,549.52

    $3,392.67

     

    Gulf

    0.76

    40

    $2,642.33

    $3,509.38

     

    Hamilton 

    0.77

    41

    $2,738.51

    $3,630.10

     

    Hardee

    0.80

    42

    $2,838.19

    $3,754.97

     

    Hendry

    1.01

    43

    $2,941.50

    $3,884.14

     

    Hernando

    0.83

    44

    $3,048.57

    $4,017.76

     

    Highlands 

    0.79

    45

    $3,166.41

    $4,104.11

     

    Hillsborough

    0.91

    46

    $3,317.77

    $4,207.12

     

    Holmes

    0.75

    47

    $3,476.36

    $4,312.72

     

    Indian River 

    1.02

    48

    $3,642.53

    $4,420.97

     

    Jackson 

    0.76

    49

    $3,816.64

    $4,531.93

     

    Jefferson 

    0.75

    50

    $3,999.08

    $4,645.69

     

    Lafayette 

    0.78

    51

    $4,190.23

    $4,762.29

     

    Lake 

    0.89

    52

    $4,390.53

    $4,881.83

     

    Lee

    1.04

    53

    $4,600.39

    $5,004.36

     

    Leon 

    0.77

    54

    $4,820.29

    $5,129.97

     

    Levy

    0.80

    55

    $5,007.58

    $5,148.84

     

    Liberty 

    0.75

    56

    $5,165.82

    $5,276.53

     

    Madison 

    0.79

    57

    $5,329.06

    $5,407.39

     

    Manatee

    0.89

    58

    $5,497.46

    $5,541.50

     

    Marion 

    0.76

    59

    $5,671.18

    $5,678.92

     

    Martin

    0.98

    60

    $5,850.39

    $5,819.76

     

    Monroe 

    1.44

    61

    $6,035.26

    $5,964.09

     

    Nassau 

    0.84

    62

    $6,225.97

    $6,112.00

     

    Okaloosa

    0.69

    63

    $6,422.72

    $6,263.58

     

    Okeechobee

    0.97

    64

    $6,625.67

    $6,418.92

     

    Orange 

    1.00

    65

    $6,627.91

    $6,419.53

     

    Osceola

    0.94

    66

    $6,627.91

    $6,419.53

     

    Palm Beach 

    1.00

    67

    $6,627.91

    $6,419.53

     

    Pasco 

    0.86

    68

    $6,627.91

    $6,419.53

     

    Pinellas

    0.89

    69

    $6,627.91

    $6,419.53

     

    Polk

    0.85

    70

    $6,627.91

    $6,419.53

     

    Putnam

    0.77

    71

    $6,627.91

    $6,419.53

     

    St. Johns 

    0.77

    72

    $6,627.91

    $6,419.53

     

    St. Lucie

    0.99

    73

    $6,627.91

    $6,419.53

     

    Santa Rosa 

    0.77

    74

    $6,627.91

    $6,419.53

     

    Sarasota 

    0.76

    75

    $6,627.91

    $6,419.53

     

    Seminole

    0.92

    76

    $6,627.91

    $6,419.53

     

    Sumter 

    0.79

    77

    $6,627.91

    $6,419.53

     

    Suwannee 

    0.82

    78

    $6,627.91

    $6,419.53

     

    Taylor 

    0.79

    79

    $6,627.91

    $6,419.53

     

    Union 

    0.79

     

     

     

     

    Volusia

    0.84

     

     

     

     

    Wakulla

    0.75

     

     

     

     

    Walton

    0.76

     

     

     

     

    Washington 

    0.76

     

     

     

     

     

     

    0-17

    $1,164.89

    $1,164.89

     

    Alachua

    0.76

    18

    $1,559.07

    $1,907.37

     

    Baker

    0.78

    19

    $1,559.07

    $1,907.37

     

    Bay

    0.73

    20

    $1,559.07

    $1,907.37

     

    Bradford 

    0.82

    21

    $1,569.15

    $1,937.61

     

    Brevard

    1.00

    22

    $1,569.15

    $1,977.92

     

    Broward

    1.37

    23

    $1,579.22

    $2,018.23

     

    Calhoun

    0.75

    24

    $1,589.30

    $2,048.46

     

    Charlotte 

    1.02

    25

    $1,599.38

    $2,078.69

     

    Citrus

    0.66

    26

    $1,695.39

    $2,190.67

     

    Clay

    0.82

    27

    $1,776.92

    $2,290.01

     

    Collier

    0.91

    28

    $1,844.93

    $2,397.17

     

    Columbia

    0.81

    29

    $1,912.08

    $2,502.39

     

    Dade

    1.43

    30

    $1,959.50

    $2,595.93

     

    De Soto

    0.74

    31

    $2,019.35

    $2,697.94

     

    Dixie

    0.77

    32

    $2,073.39

    $2,809.39

     

    Duval

    1.04

    33

    $2,123.26

    $2,909.78

     

    Escambia 

    0.79

    34

    $2,180.63

    $3,019.94

     

    Flagler

    0.78

    35

    $2,220.52

    $3,130.64

     

    Franklin 

    0.75

    36

    $2,260.40

    $3,222.13

     

    Gadsden 

    0.75

    37

    $2,310.37

    $3,322.30

     

    Gilchrist

    0.75

    38

    $2,359.69

    $3,430.21

     

    Glades

    0.98

    39

    $2,436.05

    $3,545.52

     

    Gulf

    0.76

    40

    $2,527.86

    $3,681.74

     

    Hamilton 

    0.77

    41

    $2,614.96

    $3,807.35

     

    Hardee

    0.80

    42

    $2,737.03

    $3,945.92

     

    Hendry

    0.99

    43

    $2,907.35

    $4,067.67

     

    Hernando

    0.83

    44

    $3,079.50

    $4,206.57

     

    Highlands 

    0.78

    45

    $3,308.81

    $4,384.17

     

    Hillsborough

    0.91

    46

    $3,529.63

    $4,570.88

     

    Holmes

    0.75

    47

    $3,758.61

    $4,748.58

     

    Indian River 

    1.00

    48

    $3,925.47

    $4,875.43

     

    Jackson 

    0.76

    49

    $4,136.30

    $5,018.79

     

    Jefferson 

    0.75

    50

    $4,360.23

    $5,185.01

     

    Lafayette 

    0.78

    51

    $4,606.69

    $5,284.10

     

    Lake 

    0.88

    52

    $4,883.18

    $5,392.29

     

    Lee

    1.03

    53

    $5,109.35

    $5,448.79

     

    Leon 

    0.77

    54

    $5,379.95

    $5,522.14

     

    Levy

    0.80

    55

    $5,689.17

    $5,599.66

     

    Liberty 

    0.75

    56

    $6,017.29

    $5,675.70

     

    Madison 

    0.79

    57

    $6,410.27

    $5,797.74

     

    Manatee

    0.88

    58

    $6,809.47

    $5,938.12

     

    Marion 

    0.76

    59

    $7,194.30

    $6,107.58

     

    Martin

    0.98

    60

    $7,545.09

    $6,282.19

     

    Monroe 

    1.45

    61

    $7,845.13

    $6,484.15

     

    Nassau 

    0.84

    62

    $8,090.01

    $6,693.20

     

    Okaloosa

    0.70

    63

    $8,321.79

    $6,906.21

     

    Okeechobee

    0.97

    64

    $8,563.65

    $7,084.03

     

    Orange 

    0.99

    65

    $9,631.85

    $7,779.36

     

    Osceola

    0.92

    66

    $9,631.85

    $7,779.36

     

    Palm Beach 

    1.00

    67

    $9,631.85

    $7,779.36

     

    Pasco 

    0.86

    68

    $9,631.85

    $7,779.36

     

    Pinellas

    0.89

    69

    $9,631.85

    $7,779.36

     

    Polk

    0.85

    70

    $9,631.85

    $7,779.36

     

    Putnam

    0.77

    71

    $9,631.85

    $7,779.36

     

    St. Johns 

    0.77

    72

    $9,631.85

    $7,779.36

     

    St. Lucie

    0.99

    73

    $9,631.85

    $7,779.36

     

    Santa Rosa 

    0.77

    74

    $9,631.85

    $7,779.36

     

    Sarasota 

    0.76

    75

    $9,631.85

    $7,779.36

     

    Seminole

    0.92

    76

    $9,631.85

    $7,779.36

     

    Sumter 

    0.81

    77

    $9,631.85

    $7,779.36

     

    Suwannee 

    0.82

    78

    $9,631.85

    $7,779.36

     

    Taylor 

    0.79

    79

    $9,631.85

    $7,779.36

     

    Union 

    0.79

     

     

     

     

    Volusia

    0.84

     

     

     

     

    Wakulla

    0.75

     

     

     

     

    Walton

    0.76

     

     

     

     

    Washington 

    0.76

     

     

     

     

     

     

     

    Specific Authority 624.308, 627.6675(3)(c) FS. Law Implemented 624.307(1), 627.6498(4), 627.6675(3), 641.3922(3) FS. HistoryNew 3-2-00, Amended 4-2-01, 4-17-02, 1-20-03, Formerly 4-149.205, Amended 5-18-04, 5-22-05, ________.

     

    69O-149.206 Preferred Provider/Exclusive Provider Standard Risk Rates.

    (1) through (4) No change.

     

    STANDARD HEALTH BENEFIT PLAN

    Age

    Male

    Female

     

    County

    Area Factor

    0-16

    $1,155.51

    $1,141.18

     

    Alachua

    0.76

    17

    $1,129.44

    $1,115.11

     

    Baker

    0.78

    18

    $1,380.57

    $1,780.25

     

    Bay

    0.73

    19

    $1,383.26

    $1,784.73

     

    Bradford 

    0.82

    20

    $1,383.26

    $1,790.10

     

    Brevard

    1.00

    21

    $1,386.00

    $1,806.40

     

    Broward

    1.39

    22

    $1,386.00

    $1,823.64

     

    Calhoun

    0.75

    23

    $1,388.75

    $1,836.41

     

    Charlotte 

    1.05

    24

    $1,391.49

    $1,847.33

     

    Citrus

    0.66

    25

    $1,386.71

    $1,859.14

     

    Clay

    0.82

    26

    $1,474.29

    $1,949.47

     

    Collier

    0.91

    27

    $1,547.10

    $2,034.52

     

    Columbia 

    0.81

    28

    $1,607.01

    $2,122.89

     

    Dade

    1.44

    29

    $1,660.30

    $2,209.27

     

    De Soto 

    0.74

    30

    $1,699.87

    $2,293.09

     

    Dixie 

    0.77

    31

    $1,757.75

    $2,393.24

     

    Duval

    1.04

    32

    $1,797.62

    $2,489.52

     

    Escambia 

    0.79

    33

    $1,837.10

    $2,584.95

     

    Flagler

    0.78

    34

    $1,877.27

    $2,684.60

     

    Franklin 

    0.75

    35

    $1,907.75

    $2,788.23

     

    Gadsden 

    0.75

    36

    $1,941.83

    $2,871.55

     

    Gilchrist

    0.75

    37

    $1,985.10

    $2,965.83

     

    Glades

    0.98

    38

    $2,024.58

    $3,067.98

     

    Gulf

    0.76

    39

    $2,094.46

    $3,175.24

     

    Hamilton 

    0.77

    40

    $2,175.17

    $3,293.24

     

    Hardee

    0.80

    41

    $2,269.15

    $3,406.75

     

    Hendry

    1.01

    42

    $2,382.24

    $3,526.26

     

    Hernando

    0.83

    43

    $2,526.45

    $3,642.71

     

    Highlands 

    0.79

    44

    $2,673.57

    $3,764.95

     

    Hillsborough

    0.91

    45

    $2,839.14

    $3,900.01

     

    Holmes

    0.75

    46

    $3,009.18

    $4,029.05

     

    Indian River 

    1.02

    47

    $3,159.64

    $4,159.51

     

    Jackson 

    0.76

    48

    $3,286.03

    $4,239.70

     

    Jefferson 

    0.75

    49

    $3,436.42

    $4,329.13

     

    Lafayette 

    0.78

    50

    $3,607.04

    $4,432.11

     

    Lake 

    0.89

    51

    $3,797.75

    $4,508.47

     

    Lee

    1.04

    52

    $3,987.63

    $4,594.56

     

    Leon 

    0.77

    53

    $4,187.01

    $4,640.69

     

    Levy

    0.80

    54

    $4,405.83

    $4,689.94

     

    Liberty 

    0.75

    55

    $4,674.80

    $4,761.84

     

    Madison 

    0.79

    56

    $4,952.21

    $4,825.92

     

    Manatee

    0.89

    57

    $5,271.90

    $4,925.57

     

    Marion 

    0.76

    58

    $5,580.41

    $5,030.42

     

    Martin

    0.98

    59

    $5,870.33

    $5,181.01

     

    Monroe 

    1.44

    60

    $6,119.10

    $5,318.18

     

    Nassau 

    0.84

    61

    $6,307.60

    $5,489.75

     

    Okaloosa

    0.69

    62

    $6,424.37

    $5,655.41

     

    Okeechobee

    0.97

    63

    $6,617.10

    $5,836.86

     

    Orange 

    1.00

    64

    $6,848.70

    $6,041.15

     

    Osceola

    0.94

    65

    $7,088.41

    $6,252.59

     

    Palm Beach 

    1.00

    66

    $7,207.46

    $6,483.97

     

    Pasco 

    0.86

    67

    $7,341.93

    $6,649.34

     

    Pinellas

    0.89

    68

    $7,418.18

    $6,715.18

     

    Polk

    0.85

    69

    $7,494.43

    $6,780.14

     

    Putnam

    0.77

    70

    $7,569.78

    $6,846.08

     

    St. Johns 

    0.77

    71

    $7,645.13

    $6,911.03

     

    St. Lucie

    0.99

    72

    $7,721.38

    $6,977.86

     

    Santa Rosa 

    0.77

    73

    $7,794.04

    $7,036.54

     

    Sarasota 

    0.76

    74

    $7,865.81

    $7,098.00

     

    Seminole

    0.92

    75

    $7,937.58

    $7,157.58

     

    Sumter 

    0.79

    76

    $7,989.54

    $7,207.74

     

    Suwannee 

    0.82

    77

    $8,040.60

    $7,257.91

     

    Taylor 

    0.79

    78

    $8,067.47

    $7,305.39

     

    Union 

    0.79

    79

    $8,091.66

    $7,351.97

     

    Volusia

    0.84

     

     

     

     

    Wakulla

    0.75

     

     

     

     

    Walton

    0.76

     

     

     

     

    Washington 

    0.76

     

     

     

     

     

     

    0-17

    $1,098.50

    $1,098.50

     

    Alachua

    0.76

    18

    $1,455.79

    $1,886.07

     

    Baker

    0.78

    19

    $1,465.42

    $1,890.88

     

    Bay

    0.73

    20

    $1,467.83

    $1,898.10

     

    Bradford 

    0.82

    21

    $1,470.88

    $1,914.49

     

    Brevard

    1.00

    22

    $1,473.29

    $1,931.51

     

    Broward

    1.37

    23

    $1,476.34

    $1,948.54

     

    Calhoun

    0.75

    24

    $1,481.80

    $1,960.11

     

    Charlotte 

    1.02

    25

    $1,484.85

    $1,974.08

     

    Citrus

    0.66

    26

    $1,560.47

    $2,059.16

     

    Clay

    0.82

    27

    $1,623.47

    $2,134.21

     

    Collier

    0.91

    28

    $1,677.51

    $2,224.97

     

    Columbia 

    0.81

    29

    $1,726.10

    $2,306.00

     

    Dade

    1.43

    30

    $1,794.43

    $2,388.51

     

    De Soto 

    0.74

    31

    $1,840.52

    $2,481.43

     

    Dixie 

    0.77

    32

    $1,886.57

    $2,578.12

     

    Duval

    1.04

    33

    $1,933.79

    $2,675.83

     

    Escambia 

    0.79

    34

    $1,983.32

    $2,775.92

     

    Flagler

    0.78

    35

    $2,021.71

    $2,887.95

     

    Franklin 

    0.75

    36

    $2,071.42

    $2,974.26

     

    Gadsden 

    0.75

    37

    $2,118.72

    $3,073.99

     

    Gilchrist

    0.75

    38

    $2,170.63

    $3,180.38

     

    Glades

    0.98

    39

    $2,242.39

    $3,293.68

     

    Gulf

    0.76

    40

    $2,326.31

    $3,410.71

     

    Hamilton 

    0.77

    41

    $2,421.08

    $3,521.35

     

    Hardee

    0.80

    42

    $2,533.94

    $3,646.60

     

    Hendry

    0.99

    43

    $2,679.95

    $3,767.36

     

    Hernando

    0.83

    44

    $2,836.49

    $3,894.76

     

    Highlands 

    0.78

    45

    $3,020.05

    $4,033.02

     

    Hillsborough

    0.91

    46

    $3,200.78

    $4,168.36

     

    Holmes

    0.75

    47

    $3,385.89

    $4,304.95

     

    Indian River 

    1.00

    48

    $3,535.67

    $4,397.47

     

    Jackson 

    0.76

    49

    $3,703.90

    $4,507.69

     

    Jefferson 

    0.75

    50

    $3,895.50

    $4,622.03

     

    Lafayette 

    0.78

    51

    $4,113.80

    $4,720.67

     

    Lake 

    0.88

    52

    $4,351.37

    $4,824.44

     

    Lee

    1.03

    53

    $4,559.22

    $4,885.09

     

    Leon 

    0.77

    54

    $4,797.64

    $4,968.85

     

    Levy

    0.80

    55

    $5,071.46

    $5,067.42

     

    Liberty 

    0.75

    56

    $5,367.92

    $5,152.63

     

    Madison 

    0.79

    57

    $5,697.94

    $5,274.77

     

    Manatee

    0.88

    58

    $6,014.42

    $5,403.45

     

    Marion 

    0.76

    59

    $6,334.79

    $5,575.36

     

    Martin

    0.98

    60

    $6,594.99

    $5,725.20

     

    Monroe

    1.45

    61

    $6,825.01

    $5,916.24

     

    Nassau

    0.84

    62

    $6,980.17

    $6,088.45

     

    Okaloosa

    0.70

    63

    $7,243.83

    $6,282.56

     

    Okeechobee

    0.97

    64

    $7,517.45

    $6,530.77

     

    Orange

    0.99

    65

    $7,801.41

    $6,788.78

     

    Osceola

    0.92

    66

    $8,096.09

    $7,056.98

     

    Palm Beach

    1.00

    67

    $8,528.34

    $7,335.78

     

    Pasco

    0.86

    68

    $8,755.62

    $7,657.20

     

    Pinellas

    0.89

    69

    $9,052.17

    $7,827.01

     

    Polk

    0.85

    70

    $9,443.92

    $8,034.59

     

    Putnam

    0.77

    71

    $9,973.31

    $8,288.84

     

    St. Johns

    0.77

    72

    $10,697.42

    $8,604.99

     

    St. Lucie

    0.99

    73

    $11,710.60

    $8,994.69

     

    Santa Rosa

    0.77

    74

    $13,173.24

    $9,503.20

     

    Sarasota

    0.76

    75

    $15,326.69

    $10,168.73

     

    Seminole

    0.92

    76

    $15,394.11

    $10,233.74

     

    Sumter

    0.81

    77

    $15,463.94

    $10,296.34

     

    Suwannee

    0.82

    78

    $15,497.65

    $10,354.13

     

    Taylor

    0.79

    79

    $15,531.36

    $10,414.33

     

    Union

    0.79

     

     

     

     

    Volusia

    0.84

     

     

     

     

    Wakulla

    0.75

     

     

     

     

    Walton

    0.76

     

     

     

     

    Washington

    0.76

     

     

     

     

     

     

     

     

    Specific Authority 624.308, 627.6675(3)(c) FS. Law Implemented 624.307(1), 627.6498(4), 627.6675(3), 641.3922(3) FS. History–New 3-2-00, Amended 4-2-01, 4-17-02, 1-20-03, Formerly 4-149.205, Amended 5-18-04, 5-22-05, ________.

     

    69O-149.207 Health Maintenance Organization Standard Risk Rates.

    (1) through (3) No change.

     

    STANDARD HEALTH BENEFIT PLAN

    Age

    Male

    Female

     

    County

    Area Factor

    0

    $3,782.33

    $3,782.33

     

    Alachua

    1.05

    1

    $2,402.45

    $2,402.45

     

    Baker

    1.09

    2-6

    $2,362.62

    $2,362.62

     

    Bay

    0.90

    7-12

    $2,302.88

    $2,302.88

     

    Bradford

    1.05

    13-17

    $2,409.09

    $2,856.18

     

    Brevard

    0.96

    18

    $2,059.70

    $3,311.40

     

    Broward

    1.00

    19

    $2,086.82

    $3,497.86

     

    Calhoun

    0.90

    20

    $2,100.33

    $3,631.03

     

    Charlotte

    0.97

    21

    $2,127.39

    $3,761.58

     

    Citrus

    0.84

    22

    $2,141.01

    $3,880.78

     

    Clay

    1.09

    23

    $2,154.52

    $3,998.63

     

    Collier

    0.90

    24

    $2,231.10

    $4,087.54

     

    Columbia

    1.05

    25

    $2,248.88

    $4,163.78

     

    Dade

    1.00

    26

    $2,325.86

    $4,270.30

     

    De Soto

    0.90

    27

    $2,379.57

    $4,376.58

     

    Dixie

    1.05

    28

    $2,440.88

    $4,382.38

     

    Duval

    1.09

    29

    $2,493.72

    $4,388.54

     

    Escambia

    1.05

    30

    $2,574.53

    $4,392.23

     

    Flagler

    0.90

    31

    $2,603.97

    $4,387.88

     

    Franklin

    0.90

    32

    $2,651.77

    $4,385.51

     

    Gadsden

    0.90

    33

    $2,681.10

    $4,317.09

     

    Gilchrist

    1.05

    34

    $2,728.87

    $4,267.84

     

    Glades

    0.90

    35

    $2,771.57

    $4,199.10

     

    Gulf

    0.90

    36

    $2,840.11

    $4,197.87

     

    Hamilton

    0.90

    37

    $2,912.35

    $4,133.78

     

    Hardee

    0.84

    38

    $2,983.13

    $4,130.42

     

    Hendry

    0.90

    39

    $3,053.89

    $4,143.63

     

    Hernando

    1.05

    40

    $3,108.53

    $4,140.32

     

    Highlands

    0.84

    41

    $3,170.06

    $4,186.08

     

    Hillsborough

    1.00

    42

    $3,248.70

    $4,217.92

     

    Holmes

    0.90

    43

    $3,333.91

    $4,317.94

     

    Indian River

    0.90

    44

    $3,418.04

    $4,383.62

     

    Jackson

    0.90

    45

    $3,531.69

    $4,461.70

     

    Jefferson

    0.90

    46

    $3,672.42

    $4,560.08

     

    Lafayette

    0.90

    47

    $3,825.56

    $4,661.26

     

    Lake

    0.95

    48

    $4,007.40

    $4,757.49

     

    Lee

    1.01

    49

    $4,183.58

    $4,854.51

     

    Leon

    0.90

    50

    $4,401.50

    $4,996.56

     

    Levy

    1.05

    51

    $4,641.47

    $5,141.69

     

    Liberty

    0.90

    52

    $4,910.83

    $5,266.36

     

    Madison

    0.90

    53

    $5,190.77

    $5,408.58

     

    Manatee

    1.01

    54

    $5,502.81

    $5,543.16

     

    Marion

    0.90

    55

    $5,846.67

    $5,654.06

     

    Martin

    1.05

    56

    $6,139.95

    $5,748.81

     

    Monroe

    0.90

    57

    $6,481.29

    $5,885.39

     

    Nassau

    1.09

    58

    $6,859.71

    $6,111.14

     

    Okaloosa

    0.95

    59

    $7,289.02

    $6,367.76

     

    Okeechobee

    0.95

    60

    $7,723.10

    $6,640.13

     

    Orange

    0.94

    61

    $8,077.36

    $6,979.54

     

    Osceola

    0.98

    62

    $8,426.64

    $7,307.21

     

    Palm Beach

    1.05

    63

    $8,886.60

    $7,728.03

     

    Pasco

    1.02

    64

    $9,323.09

    $8,117.30

     

    Pinellas

    1.00

    65

    $11,000.08

    $9,688.83

     

    Polk

    1.05

    66

    $11,113.19

    $9,773.72

     

    Putnam

    1.01

    67

    $11,231.95

    $9,862.85

     

    St. Johns

    1.07

    68

    $11,356.65

    $9,956.44

     

    St. Lucie

    0.95

    69

    $11,487.58

    $10,054.71

     

    Santa Rosa

    1.05

    70

    $11,625.06

    $10,157.90

     

    Sarasota

    1.03

    71

    $11,769.42

    $10,266.24

     

    Seminole

    1.02

    72

    $11,920.99

    $10,380.00

     

    Sumter

    1.02

    73

    $12,080.14

    $10,499.45

     

    Suwannee

    0.90

    74

    $12,247.25

    $10,624.87

     

    Taylor

    0.90

    75

    $12,422.72

    $10,756.56

     

    Union

    0.90

    76

    $12,606.95

    $10,894.83

     

    Volusia

    1.03

    77

    $12,800.40

    $11,040.02

     

    Wakulla

    0.90

    78

    $13,003.53

    $11,192.47

     

    Walton

    1.05

    79

    $13,216.80

    $11,352.54

     

    Washington

    0.90

     

     

     

     

     

     

    0

    $3,451.72

    $3,451.72

     

    Alachua

    1.05

    1

    $2,212.46

    $2,212.46

     

    Baker

    1.09

    2-6

    $2,176.70

    $2,176.70

     

    Bay

    0.90

    7-12

    $2,122.98

    $2,122.98

     

    Bradford

    1.05

    13-17

    $2,218.42

    $2,619.95

     

    Brevard

    0.97

    18

    $1,895.73

    $3,062.38

     

    Broward

    1.00

    19

    $1,920.06

    $3,228.35

     

    Calhoun

    0.90

    20

    $1,932.17

    $3,346.85

     

    Charlotte

    0.97

    21

    $1,956.56

    $3,462.92

     

    Citrus

    0.84

    22

    $1,968.72

    $3,569.12

     

    Clay

    1.09

    23

    $1,980.89

    $3,674.13

     

    Collier

    0.90

    24

    $2,049.11

    $3,753.66

     

    Columbia

    1.05

    25

    $2,064.98

    $3,821.99

     

    Dade

    1.00

    26

    $2,136.52

    $3,919.33

     

    De Soto

    0.90

    27

    $2,187.09

    $4,016.74

     

    Dixie

    1.05

    28

    $2,244.62

    $4,024.25

     

    Duval

    1.09

    29

    $2,294.78

    $4,031.53

     

    Escambia

    1.05

    30

    $2,370.18

    $4,037.15

     

    Flagler

    0.90

    31

    $2,397.62

    $4,034.37

     

    Franklin

    0.90

    32

    $2,441.90

    $4,032.90

     

    Gadsden

    0.90

    33

    $2,469.23

    $3,972.32

     

    Gilchrist

    1.05

    34

    $2,513.54

    $3,928.87

     

    Glades

    0.90

    35

    $2,553.10

    $3,868.04

     

    Gulf

    0.90

    36

    $2,615.56

    $3,868.18

     

    Hamilton

    0.90

    37

    $2,681.15

    $3,811.61

     

    Hardee

    0.84

    38

    $2,745.32

    $3,809.31

     

    Hendry

    0.90

    39

    $2,810.09

    $3,822.23

     

    Hernando

    1.05

    40

    $2,860.07

    $3,819.69

     

    Highlands

    0.84

    41

    $2,916.86

    $3,862.62

     

    Hillsborough

    1.00

    42

    $2,989.44

    $3,892.63

     

    Holmes

    0.90

    43

    $3,068.06

    $3,984.24

     

    Indian River

    0.90

    44

    $3,145.48

    $4,044.76

     

    Jackson

    0.90

    45

    $3,249.37

    $4,116.91

     

    Jefferson

    0.90

    46

    $3,380.30

    $4,206.55

     

    Lafayette

    0.90

    47

    $3,522.17

    $4,298.38

     

    Lake

    0.95

    48

    $3,690.53

    $4,386.08

     

    Lee

    1.01

    49

    $3,853.58

    $4,473.81

     

    Leon

    0.90

    50

    $4,054.76

    $4,602.07

     

    Levy

    1.05

    51

    $4,278.23

    $4,735.87

     

    Liberty

    0.90

    52

    $4,529.06

    $4,851.42

     

    Madison

    0.90

    53

    $4,789.66

    $4,983.02

     

    Manatee

    1.01

    54

    $5,079.59

    $5,108.16

     

    Marion

    0.90

    55

    $5,399.19

    $5,212.64

     

    Martin

    1.05

    56

    $5,670.07

    $5,300.66

     

    Monroe

    0.90

    57

    $5,984.20

    $5,426.13

     

    Nassau

    1.09

    58

    $6,332.81

    $5,631.51

     

    Okaloosa

    0.95

    59

    $6,727.59

    $5,864.35

     

    Okeechobee

    0.95

    60

    $7,127.05

    $6,111.53

     

    Orange

    0.94

    61

    $7,447.11

    $6,422.11

     

    Osceola

    0.98

    62

    $7,762.85

    $6,722.34

     

    Palm Beach

    1.02

    63

    $8,177.03

    $7,106.08

     

    Pasco

    1.02

    64

    $8,570.10

    $7,461.91

     

    Pinellas

    1.00

    65

    $10,083.93

    $8,871.98

     

    Polk

    1.05

    66

    $10,183.66

    $8,946.83

     

    Putnam

    1.01

    67

    $10,288.39

    $9,025.43

     

    St. Johns

    1.07

    68

    $10,398.35

    $9,107.96

     

    St. Lucie

    0.95

    69

    $10,513.81

    $9,194.61

     

    Santa Rosa

    1.05

    70

    $10,635.04

    $9,285.60

     

    Sarasota

    1.03

    71

    $10,762.33

    $9,381.13

     

    Seminole

    1.02

    72

    $10,895.99

    $9,481.45

     

    Sumter

    1.02

    73

    $11,036.33

    $9,586.78

     

    Suwannee

    0.90

    74

    $11,183.68

    $9,697.37

     

    Taylor

    0.90

    75

    $11,338.41

    $9,813.50

     

    Union

    0.90

    76

    $11,500.87

    $9,935.43

     

    Volusia

    1.03

    77

    $11,671.45

    $10,063.46

     

    Wakulla

    0.90

    78

    $11,850.56

    $10,197.89

     

    Walton

    1.05

    79

    $12,038.63

    $10,339.04

     

    Washington

    0.90

     

    Specific Authority 624.308, 627.6675(3)(c) FS. Law Implemented 624.307(1), 627.6498(4), 627.6675(3), 641.3922(3) FS. History–New 3-2-00, Amended 4-2-01, 4-17-02, 1-20-03, Formerly 4-149.205, Amended 5-18-04, 5-22-05, ________.

     

    NAME OF PERSON ORIGINATING PROPOSED RULE: Frank Dino, Actuary, Life and Health Product Review, Office of Insurance Regulation

    NAME OF SUPERVISOR OR PERSON WHO APPROVED THE PROPOSED RULE: Rich Robleto, Deputy Commissioner, Office of Insurance Regulation

    DATE PROPOSED RULE APPROVED BY AGENCY HEAD: November 29, 2005

    DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAW: December 23, 2005

Document Information

Comments Open:
2/3/2006
Purpose:
The Office is required to conduct an annual survey of the individual market and publish standard risk rates to be used in determining the maximum statutory group conversion rate. The annual survey is conducted for PPO/EPO, Indemnity and HMO separately.
Rulemaking Authority:
624.308 FS., 627.6675(3)(c) FS.
Law:
624.307(1) FS., 627.6498(4) FS., 627.6675(3) FS., 641.3922(3) FS.
Contact:
Frank Dino, Life and Health Product Review, Office of Insurance Regulation, e-mail: frank.dino@fldfs.com
Related Rules: (3)
69O-149.205. Indemnity Standard Risk Rates
69O-149.206. Preferred Provider/Exclusive Provider Standard Risk Rates
69O-149.207. Health Maintenance Organization Standard Risk Rates