The amendments change the manner in which a Health Maintenance Organization’s target loss ratio may be increased or reduced.

 

DEPARTMENT OF FINANCIAL SERVICES

OIR – Insurance Regulation

RULE NO.:RULE TITLE:

69O-191.055Actuarial Memorandum and Definitions

PURPOSE AND EFFECT: The amendments change the manner in which a Health Maintenance Organization’s target loss ratio may be increased or reduced.

SUBJECT AREA TO BE ADDRESSED: Health Maintenance Organization’s rates.

RULEMAKING AUTHORITY: 641.31, 641.36 FS.

LAW IMPLEMENTED: 641.22(2), 641.31(2), (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: Michael Lawrence, Jr., Assistant General Counsel, [e-mail], [phone].

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS AVAILABLE AT NO CHARGE FROM THE CONTACT PERSON LISTED ABOVE.