This is the Final Public Hearing on the adoption of proposed amendments to Rules 69O-149.205, F.A.C., Indemnity Standard Risk Rate; 69O-149.206, F.A.C., Preferred Provider/Exclusive Provider Standard Risk Rates; and 69O-149.207, F.A.C., Health ...  

  • DATE AND TIME: April 21, 2006, 9:00 a.m., during a regular meeting of the Financial Services Commission

    PLACE: Cabinet Meeting Room, Lower Level, The Capitol, Tallahassee, Florida

    GENERAL SUBJECT MATTER TO BE CONSIDERED: This is the Final Public Hearing on the adoption of proposed amendments to Rules 69O-149.205, F.A.C., Indemnity Standard Risk Rate; 69O-149.206, F.A.C., Preferred Provider/Exclusive Provider Standard Risk Rates; and 69O-149.207, F.A.C., Health Maintenance Organization Standard Risk Rates, published on February 3, 2006 in Vol. 32, No. 05, of the Florida Administrative Weekly. No notice of change was published.

    Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this program, please advise the contact person at least 5 calendar days before the program by contacting Frank Dino at E-mail: frank.dino@fldfs.com.

    THE FULL TEXT OF THE PROPOSED RULE IS:

    69O-149.205 Indemnity Standard Risk Rate.

    (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. 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-149.206 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) – (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, Amended 5-18-04, 5-22-05, _____________.

    1

     

Document Information

Hearing Meeting:
Cabinet Meeting Room, Lower Level, The Capitol, Tallahassee, Florida.
Subject:
This is the Final Public Hearing on the adoption of proposed amendments to Rules 69O-149.205, F.A.C., Indemnity Standard Risk Rate; 69O-149.206, F.A.C., Preferred Provider/Exclusive Provider Standard Risk Rates; and 69O-149.207, F.A.C., Health Maintenance Organization Standard Risk Rates, published on February 3, 2006 in Vol. 32, No. 05, of the Florida Administrative Weekly. No notice of change was published.
Meeting:
hearing