This is the Final Public Hearing on the adoption of proposed amendments to Rules 69O-157.302, 69O-157.303, 69O-157.304, Florida Administrative Code, published on October 24, 2008 in Vol. 34, No. 43, of the Florida Administrative Weekly. THE FULL ...

 

DEPARTMENT OF FINANCIAL SERVICES
OIR – Insurance Regulation

RULE NO: RULE TITLE
69O-157.302: Facility Only Rates
69O-157.303: Home Health Care Only Rates
69O-157.304: Comprehensive Only Rates

The Financial Services Commission, Office of Insurance Regulation announces a hearing to which all persons are invited.

DATE AND TIME: May 13, 2009, 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-157.302, 69O-157.303, 69O-157.304, Florida Administrative Code, published on October 24, 2008 in Vol. 34, No. 43, of the Florida Administrative Weekly.

Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this workshop/meeting is asked to advise the agency at least 5 days before the workshop/meeting by contacting: Gerry Smith at e-mail: [e-mail]. If you are hearing or speech impaired, please contact the agency using the Florida Relay Service, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).

For more information, you may contact: Gerry Smith at e-mail: [e-mail].

 

THE FULL TEXT OF THE PROPOSED RULE IS:

69O-157.302 Facility Only Rates.

(1) The footnote following Section 627.9407, F.S., states that Section 11, Ch. 2006-254, L.O.F., provides that “[t]his act shall apply to long-term care insurance policies issued or renewed on or after July 1, 2006. For any long-term care insurance policy issued prior to July 1, 2006, the provisions of [Section 627.94076, F.S.] shall apply to such policy only upon renewal of such policy on or after July 1, 2008, and the policy shall so provide by endorsement to the policy.”

(2)(1) The following maximum new business rates are effective for 2009 2006 rate increase filings and for 2010 2007 rate filings until new rates are published: These annual rates are appropriate for:

(a) Tax qualified policies;

(b) A benefit of $100/day;

(c) An elimination period of 90 days.

(d) Policies offering Restoration of Benefits, and

(e) Sales in Hillsborough County. For all other counties, the rate from this table should be adjusted by the insurer’s current area factor applicable in that county relative to the insurer’s area factor in Hillsborough County.

(f) Insurers who did not use area factors in the closed blocks for which a rate change is being requested may calculate the new business rate as a weighted average of the Hillsborough and the South Florida area factors, where the weights used are in-force premium by county. For the purposes of this calculation, the South Florida area factors are those that apply in Broward, Duval and Palm Beach county. The South Florida area factor is equal to 1.00.

(2)(3)(a) Facility Only Rates:

Issue Age	3-Yr. Benefit Period	5-Yr. Benefit Period	Unlimited Benefit Period
30	$244.38	$296.71	$324.72
31	$245.76	$299.01	$324.72
32	$247.18	$301.32	$324.72
33	$248.61	$303.70	$324.72
34	$250.08	$306.08	$324.72
35	$274.33	$339.84	$393.60
36	$275.92	$342.43	$393.60
37	$277.56	$345.02	$393.60
38	$279.19	$347.65	$393.60
39	$280.87	$350.32	$393.60
40	$305.37	$378.71	$447.72
41	$307.09	$381.46	$447.72
42	$308.81	$384.30	$447.72
43	$310.57	$387.18	$447.72
44	$312.37	$390.10	$447.72
45	$362.59	$455.72	$575.64
46	$365.02	$459.37	$575.64
47	$367.49	$463.12	$575.64
48	$370.01	$466.94	$575.64
49	$372.56	$470.84	$575.64
50	$392.25	$497.62	$629.76
51	$403.43	$510.23	$649.44
52	$411.81	$525.78	$669.12
53	$431.63	$549.95	$713.40
54	$454.37	$579.89	$762.60
55	$477.16	$607.08	$816.72
56	$511.89	$650.81	$870.84
57	$547.50	$695.62	$934.80
58	$589.72	$747.22	$1,008.60
59	$632.91	$805.76	$1,087.32
60	$682.93	$865.57	$1,170.96
61	$734.08	$932.48	$1,264.44
62	$789.34	$1,000.87	$1,362.84
63	$859.63	$1,093.53	$1,485.84
64	$937.93	$1,192.11	$1,613.76
65	$1,017.65	$1,289.90	$1,756.44
66	$1,105.08	$1,399.93	$1,913.88
67	$1,200.43	$1,521.37	$2,081.16
68	$1,320.99	$1,677.23	$2,322.24
69	$1,471.97	$1,856.70	$2,583.00
70	$1,637.36	$2,071.79	$2,878.20
71	$1,842.51	$2,312.52	$3,207.84
72	$2,059.81	$2,579.92	$3,576.84
73	$2,274.97	$2,868.25	$3,936.00
74	$2,502.28	$3,190.21	$4,334.52
75	$2,767.75	$3,547.64	$4,777.32
76	$3,074.08	$3,942.45	$5,259.40
77	$3,415.26	$4,385.38	$5,790.76
78	$3,796.56	$4,872.71	$6,435.28
79	$4,215.98	$5,416.32	$7,153.60
80	$4,683.37	$6,020.61	$7,950.64
81	$5,205.93	$6,725.28	$8,836.24
82	$5,782.36	$7,499.43	$9,820.24
83	$6,313.69	$8,190.73	$10,622.20
84	$6,890.31	$8,918.80	$11,488.12
85	$8,214.34	$10,442.14	$12,427.84
86	$8,930.08	$11,338.00	$13,446.28
87	$9,702.70	$12,319.18	$14,543.44
88	$10,546.42	$13,380.94	$15,734.00
89	$11,461.24	$14,532.68	$17,018.12

 

 

Issue Age	3-Yr. Benefit Period	5-Yr. Benefit Period	Unlimited Benefit Period
35	$247.43	$302.74	$378.50
45	$363.53	$446.70	$555.75
55	$522.32	$646.08	$810.43
65	$1,126.33	$1,406.97	$1,750.61
75	$3,073.57	$3,879.00	$4,769.07

 

 

(b) The insurers used to tabulate the above rates are:

Insurer	Weighing Percentage
Bankers Life & Casualty	90.3%
Penn Treaty Network America Insurance Company	9.7%

 

Rulemaking Authority 627.9408(1) FS. Law Implemented 627.9407(7) FS. History–New 11-1-07, Amended ________

 

69O-157.303 Home Health Care Only Rates.

(1) The footnote following Section 627.9407, F.S., states that Section 11, Ch. 2006-254, F.S., provides that “[t]his act shall apply to long-term care insurance policies issued or renewed on or after July 1, 2006. For any long-term care insurance policy issued prior to July 1, 2006, the provisions of [Section 627.94076, F.S.] shall apply to such policy only upon renewal of such policy on or after July 1, 2008, and the policy shall so provide by endorsement to the policy.”

(1)(2) The following maximum new business rates are effective for 2009 2006 rate increase filings and for 2010 2007 rate filings until new rates are published. These annual rates are appropriate for:

(a) Tax qualified policies;

(b) A benefit of $100/day;

(c) An elimination period of 0 90 days;

(d) Policies offering Restoration of Benefits, and

(e) Sales in Hillsborough County. For all other counties, the rate from this table should be adjusted by the insurer’s current area factor applicable in that county relative to the insurer’s area factor in Hillsborough County.

(f) Insurers who did not use area factors in the closed blocks for which a rate change is being requested may calculate the new business rate as a weighted average of the Hillsborough and the South Florida area factors, where the weights used are in-force premium by county. For the purposes of this calculation, the South Florida area factors are those that apply in Broward, Duval and Palm Beach county. The South Florida area factor is equal to 1.30.

(2)(3)(a) Home Health Care Only Rates:

Issue Age	3-Yr. Benefit Period	5-Yr. Benefit Period	Unlimited Benefit Period
30	$272.61	$315.91	$353.52
31	$272.61	$315.91	$353.52
32	$272.61	$315.91	$353.52
33	$272.61	$315.91	$353.52
34	$272.61	$315.91	$353.52
35	$292.22	$341.82	$391.06
36	$292.22	$341.82	$391.06
37	$292.22	$341.82	$391.06
38	$292.22	$341.82	$391.06
39	$292.22	$341.82	$391.06
40	$324.90	$380.85	$434.82
41	$324.90	$380.85	$434.82
42	$324.90	$380.85	$434.82
43	$324.90	$380.85	$434.82
44	$324.90	$380.85	$434.82
45	$370.83	$445.80	$509.73
46	$370.83	$445.80	$509.73
47	$370.83	$445.80	$509.73
48	$370.83	$445.80	$509.73
49	$370.83	$445.80	$509.73
50	$421.10	$505.80	$580.43
51	$434.17	$525.23	$599.12
52	$453.78	$538.19	$624.11
53	$466.85	$564.09	$649.11
54	$486.64	$583.70	$674.02
55	$531.60	$638.59	$728.08
56	$558.45	$665.26	$770.08
57	$592.02	$702.21	$812.26
58	$632.66	$752.71	$867.74
59	$673.29	$799.76	$923.39
60	$710.48	$856.73	$978.95
61	$757.65	$907.40	$1,037.12
62	$805.00	$960.84	$1,098.99
63	$869.58	$1,045.35	$1,187.81
64	$937.24	$1,129.94	$1,286.48
65	$1,015.07	$1,221.01	$1,381.53
66	$1,092.89	$1,308.46	$1,482.81
67	$1,170.63	$1,406.00	$1,590.31
68	$1,268.77	$1,523.75	$1,714.91
69	$1,373.54	$1,651.59	$1,852.13
70	$1,484.75	$1,782.46	$1,995.50
71	$1,602.50	$1,923.26	$2,145.09
72	$1,720.25	$2,067.09	$2,307.23
73	$1,849.76	$2,216.67	$2,457.18
74	$1,979.08	$2,369.96	$2,613.54
75	$2,118.57	$2,532.58	$2,779.57
76	$2,261.06	$2,698.82	$2,948.38
77	$2,403.54	$2,867.92	$3,123.33
78	$2,587.37	$3,079.04	$3,330.88
79	$2,771.21	$3,293.78	$3,544.75
80	$2,968.20	$3,511.28	$3,754.99
81	$3,171.73	$3,745.54	$3,981.31
82	$3,381.79	$3,982.57	$4,213.86
83	$3,595.48	$4,223.98	$4,447.43
84	$3,819.42	$4,471.88	$4,697.07
85	$4,052.80	$4,729.19	$4,943.09
86	$4,296.34	$4,996.60	$5,205.36
87	$4,542.80	$5,270.49	$5,470.06
88	$4,921.25	$5,687.82	$5,849.84
89	$5,302.62	$6,111.55	$6,235.76

 

 

Issue Age	3-Yr. Benefit Period	5-Yr. Benefit Period	Unlimited Benefit Period
35	$166.18	$203.65	$242.26
45	$245.38	$306.44	$366.65
55	$369.58	$455.50	$548.26
65	$691.78	$836.06	$989.23
75	$1,318.83	$1,520.52	$1,702.93

 

(b) The insurers used to tabulate the above rates are:

Insurer	Weighing Percentage
Bankers Life & Casualty Company	97.2%
Colonial American Life Insurance Company Penn Treaty Network America Insurance Company	2.3% 0.5%

 

Rulemaking Authority 627.9408(1) FS. Law Implemented 627.9407(7) FS. History–New 11-1-07, Amended ________

 

69O-157.304 Comprehensive Only Rates.

(1) The footnote following Section 627.9407, F.S., states that Section 11, Ch. 2006-254, L.O.F., provides that “[t]his act shall apply to long-term care insurance policies issued or renewed on or after July 1, 2006. For any long-term care insurance policy issued prior to July 1, 2006, the provisions of [Section 627.94076, F.S.] shall apply to such policy only upon renewal of such policy on or after July 1, 2008, and the policy shall so provide by endorsement to the policy.”

(1)(2) The following maximum new business rates are effective for 2009 2006 rate increase filings and for 2010 2007 rate filings until new rates are published. These annual rates are appropriate for:

(a) Tax qualified policies;

(b) A benefit of $100/day;

(c) An elimination period of 90 days;

(d) Policies offering Restoration of Benefits, and

(e) Sales in Hillsborough County. For all other counties, the rate from this table should be adjusted by the insurer’s current area factor applicable in that county relative to the insurer’s area factor in Hillsborough County.

(f) Insurers who did not use area factors in the closed blocks for which a rate change is being requested may calculate the new business rate as a weighted average of the Hillsborough and the South Florida area factors, where the weights used are in-force premium by county. For the purposes of this calculation, the South Florida area factors are those that apply in Broward, Duval and Palm Beach county. The South Florida area factor is equal to 1.00.

(2)(3)(a) Comprehensive Only Rates:

Issue Age	3-Yr. Benefit Period	5-Yr. Benefit Period	Unlimited Benefit Period
30	$356.29	$454.14	$622.87
31	$357.87	$456.21	$625.56
32	$359.50	$458.88	$628.85
33	$361.17	$470.16	$640.99
34	$371.48	$472.96	$644.48
35	$394.20	$488.52	$681.96
36	$396.05	$500.51	$694.85
37	$398.42	$503.55	$699.14
38	$400.41	$507.18	$703.57
39	$411.53	$510.43	$708.14
40	$425.67	$546.94	$744.90
41	$431.46	$553.40	$754.41
42	$435.96	$558.44	$761.15
43	$440.16	$563.69	$777.40
44	$453.08	$569.55	$785.18
45	$462.69	$600.10	$811.36
46	$476.62	$604.61	$827.36
47	$481.31	$609.99	$834.12
48	$487.16	$617.01	$843.22
49	$501.72	$624.68	$872.16
50	$510.28	$643.51	$885.02
51	$530.60	$665.25	$910.57
52	$547.56	$693.85	$941.52
53	$565.67	$712.92	$972.94
54	$584.47	$743.02	$1,005.11
55	$604.14	$754.11	$1,038.38
56	$644.88	$809.63	$1,098.41
57	$679.14	$865.06	$1,168.20
58	$724.11	$932.83	$1,241.76
59	$760.97	$982.81	$1,327.49
60	$817.49	$1,054.33	$1,406.23
61	$883.47	$1,136.02	$1,518.87
62	$954.83	$1,213.95	$1,634.80
63	$1,029.20	$1,304.31	$1,763.51
64	$1,101.86	$1,392.44	$1,889.04
65	$1,189.14	$1,489.02	$2,039.15
66	$1,303.22	$1,638.22	$2,242.87
67	$1,439.64	$1,819.93	$2,472.25
68	$1,586.10	$1,997.01	$2,717.22
69	$1,726.79	$2,189.76	$2,977.95
70	$1,882.16	$2,399.49	$3,258.58
71	$2,122.56	$2,689.46	$3,650.61
72	$2,380.33	$3,011.03	$4,078.34
73	$2,643.96	$3,334.39	$4,516.90
74	$2,925.10	$3,689.09	$4,989.64
75	$3,233.67	$4,080.01	$5,495.62
76	$3,622.71	$4,564.96	$6,160.74
77	$4,043.45	$5,116.80	$6,891.93
78	$4,467.54	$5,674.34	$7,616.29
79	$4,913.66	$6,236.42	$8,355.38
80	$5,365.77	$7,657.61	$10,904.13
81	$5,851.19	$8,314.46	$11,818.20
82	$6,360.85	$9,038.95	$12,820.94
83	$6,954.06	$9,851.27	$13,927.26
84	$7,579.36	$10,744.46	$15,117.75
85	$9,393.68	$11,738.30	$16,454.06
86	$10,622.25	$13,240.69	$17,976.84
87	$11,550.00	$14,432.21	$19,582.64
88	$12,554.44	$15,692.91	$21,291.57
89	$13,619.15	$17,034.25	$23,112.87

 

 

Issue Age	3-Yr. Benefit Period	5-Yr. Benefit Period	Unlimited Benefit Period
35	$332.88	$414.10	$574.47
45	$474.36	$592.44	$822.62
55	$666.65	$824.77	$1,151.34
65	$1,313.19	$1,640.75	$2,259.55
75	$3,288.22	$4,210.08	$5,603.51

 

(b) The insurers used to tabulate the above rates are:

Insurer	Weighing Percentage
Bankers Life & Casualty Insurance Company	52.7%
Blue Cross Blue Shield of Florida	5.1%
Genworth Life Insurance Company	11.5%
Great American Life Insurance Company John Hancock Life Insurance Company	9.8% 14.2%
Metlife Insurance Company	6.7%

 

Rulemaking Authority 627.9408(1) FS. Law Implemented 627.9407(7) FS. History–New 11-1-07, Amended ________

 

A copy of the agenda may be obtained by contacting: Governor and Cabinet Website at http://www.myflorida.com/myflorida/cabinet/mart.html. The agenda should be available approximately one week before the cabinet meeting.