To publish the standard risks rates as required by Section 627.6675(3)(c), F.S.  


  • RULE NO: RULE TITLE
    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 AND EFFECT: To publish the standard risks rates as required by Section 627.6675(3)(c), F.S.
    SUMMARY: Section 627.6675(3)(c), F.S., requires the Office to annually determine standard risk rates, using reasonable actuarial techniques and standards. According to the statute, the standard risk rates must be determined as follows:
    1. Standard risk rates for individual coverage must be determined separately for indemnity policies, preferred provider/exclusive provider policies, and health maintenance organization contracts.
    2. The office shall survey insurers and health maintenance organizations representing at least an 80 percent market share, based on premiums earned in the state for the most recent calendar year, for each of the categories specified in # 1.
    3. Standard risk rate schedules must be determined, computed as the average rates charged by the carriers surveyed, giving appropriate weight to each carrier’s statewide market share of earned premiums.
    4. The rate schedule shall be determined from analysis of the one county with the largest market share in the state of all such carriers.
    5. The rate for other counties must be determined by using the weighted average of each carrier’s county factor relationship to the county determined in # 4.
    6. The rate schedule must be determined for different age brackets and family size brackets.
    In compliance with this statutory mandate the Office conducted a survey, calculated the rate schedules, and by this rule amendment publishes the results.
    The standard risk rates are used by the health insurers in setting their conversion rates, because pursuant to Section 627.6675(3)(a), F.S., the maximum a health insurer can charge for a conversion policy is 200% of the standard risk rate.
    SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS: No Statement of Estimated 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, 627.6675(3)(c) FS.
    LAW IMPLEMENTED: 624.307(1), 627.6498(4), 627.6675(3), 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: July 25, 2008, 9:30 a.m.
    PLACE: 116 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 workshop/meeting is asked to advise the agency at least 5 days before the workshop/meeting by contacting: Gerry Smith, Office of Insurance Regulation, E-mail gerry.smith@fldfs.com. 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).
    THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Gerry Smith, Office of Insurance Regulation, E-mail gerry.smith@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

    $1,382.09

    $1,382.09

     

    Alachua

    0.70

    18

    $2,321.95

    $2,825.51

     

    Baker

    0.78

    19

    $2,321.95

    $2,825.51

     

    Bay

    0.80

    20

    $2,321.95

    $2,825.51

     

    Bradford

    0.82

    21

    $2,321.95

    $2,825.51

     

    Brevard

    0.93

    22

    $2,321.95

    $2,825.51

     

    Broward

    1.41

    23

    $2,321.95

    $2,825.51

     

    Calhoun

    0.75

    24

    $2,321.95

    $2,825.51

     

    Charlotte

    0.95

    25

    $2,321.95

    $2,825.51

     

    Citrus

    0.72

    26

    $2,402.43

    $2,939.73

     

    Clay

    0.80

    27

    $2,485.69

    $3,058.57

     

    Collier

    0.93

    28

    $2,571.85

    $3,182.21

     

    Columbia

    0.80

    29

    $2,660.98

    $3,310.85

     

    Dade

    1.30

    30

    $2,753.21

    $3,444.68

     

    De Soto

    0.74

    31

    $2,848.63

    $3,583.93

     

    Dixie

    0.69

    32

    $2,947.37

    $3,728.81

     

    Duval

    0.94

    33

    $3,049.52

    $3,879.55

     

    Escambia

    0.77

    34

    $3,155.21

    $4,036.38

     

    Flagler

    0.86

    35

    $3,264.57

    $4,199.55

     

    Franklin

    0.75

    36

    $3,384.66

    $4,340.95

     

    Gadsden

    0.75

    37

    $3,509.17

    $4,487.12

     

    Gilchrist

    0.75

    38

    $3,638.25

    $4,638.21

     

    Glades

    0.98

    39

    $3,772.09

    $4,794.39

     

    Gulf

    0.76

    40

    $3,910.85

    $4,955.83

     

    Hamilton

    0.77

    41

    $4,054.71

    $5,122.70

     

    Hardee

    0.80

    42

    $4,203.87

    $5,295.20

     

    Hendry

    0.97

    43

    $4,358.51

    $5,473.50

     

    Hernando

    0.85

    44

    $4,518.84

    $5,657.80

     

    Highlands

    0.71

    45

    $4,685.07

    $5,848.31

     

    Hillsborough

    0.82

    46

    $4,902.63

    $5,999.73

     

    Holmes

    0.75

    47

    $5,130.30

    $6,155.08

     

    Indian River

    0.92

    48

    $5,368.54

    $6,314.45

     

    Jackson

    0.77

    49

    $5,617.84

    $6,477.94

     

    Jefferson

    0.75

    50

    $5,878.72

    $6,645.67

     

    Lafayette

    0.78

    51

    $6,151.72

    $6,817.74

     

    Lake

    0.90

    52

    $6,437.39

    $6,994.26

     

    Lee

    0.97

    53

    $6,736.33

    $7,175.36

     

    Leon

    0.79

    54

    $7,049.15

    $7,361.14

     

    Levy

    0.80

    55

    $7,376.49

    $7,551.74

     

    Liberty

    0.75

    56

    $7,579.54

    $7,720.48

     

    Madison

    0.79

    57

    $7,788.18

    $7,893.00

     

    Manatee

    0.91

    58

    $8,002.56

    $8,069.37

     

    Marion

    0.77

    59

    $8,222.84

    $8,249.69

     

    Martin

    0.94

    60

    $8,449.19

    $8,434.03

     

    Monroe

    1.30

    61

    $8,681.76

    $8,622.49

     

    Nassau

    0.85

    62

    $8,920.74

    $8,815.16

     

    Okaloosa

    0.76

    63

    $9,166.29

    $9,012.14

     

    Okeechobee

    0.97

    64

    $9,418.61

    $9,213.52

     

    Orange

    0.90

    65

    $9,677.87

    $9,419.40

     

    Osceola

    0.91

    66

    $9,677.87

    $9,419.40

     

    Palm Beach

    1.00

    67

    $9,677.87

    $9,419.40

     

    Pasco

    0.90

    68

    $9,677.87

    $9,419.40

     

    Pinellas

    0.87

    69

    $9,677.87

    $9,419.40

     

    Polk

    0.84

    70

    $9,677.87

    $9,419.40

     

    Putnam

    0.81

    71

    $9,677.87

    $9,419.40

     

    St. Johns

    0.77

    72

    $9,677.87

    $9,419.40

     

    St. Lucie

    0.99

    73

    $9,677.87

    $9,419.40

     

    Santa Rosa

    0.77

    74

    $9,677.87

    $9,419.40

     

    Sarasota

    0.76

    75

    $9,677.87

    $9,419.40

     

    Seminole

    0.92

    76

    $9,677.87

    $9,419.40

     

    Sumter

    0.81

    77

    $9,677.87

    $9,419.40

     

    Suwannee

    0.82

    78

    $9,677.87

    $9,419.40

     

    Taylor

    0.79

    79

    $9,677.87

    $9,419.40

     

    Union

    0.79

     

     

     

     

    Volusia

    0.92

     

     

     

     

    Wakulla

    0.75

     

     

     

     

    Walton

    0.76

     

     

     

     

    Washington

    0.76

     

     

     

     

     

     

    0-17

    $1,224.24

    $1,224.24

     

    Alachua

    0.72

    18

    $1,741.39

    $2,182.58

     

    Baker

    0.78

    19

    $1,741.39

    $2,182.58

     

    Bay

    0.77

    20

    $1,741.39

    $2,182.58

     

    Bradford

    0.82

    21

    $1,741.39

    $2,182.58

     

    Brevard

    0.95

    22

    $1,741.39

    $2,182.58

     

    Broward

    1.40

    23

    $1,741.39

    $2,182.58

     

    Calhoun

    0.75

    24

    $1,741.39

    $2,182.58

     

    Charlotte

    1.00

    25

    $1,741.39

    $2,182.58

     

    Citrus

    0.69

    26

    $1,809.30

    $2,274.25

     

    Clay

    0.81

    27

    $1,879.86

    $2,369.77

     

    Collier

    0.93

    28

    $1,953.18

    $2,469.30

     

    Columbia

    0.81

    29

    $2,029.35

    $2,573.01

     

    Dade

    1.37

    30

    $2,108.50

    $2,681.07

     

    De Soto

    0.74

    31

    $2,190.73

    $2,793.68

     

    Dixie

    0.73

    32

    $2,276.17

    $2,911.01

     

    Duval

    0.99

    33

    $2,364.94

    $3,033.27

     

    Escambia

    0.77

    34

    $2,425.93

    $3,160.67

     

    Flagler

    0.82

    35

    $2,486.93

    $3,277.77

     

    Franklin

    0.75

    36

    $2,577.45

    $3,390.52

     

    Gadsden

    0.75

    37

    $2,671.27

    $3,507.15

     

    Gilchrist

    0.75

    38

    $2,768.51

    $3,627.80

     

    Glades

    0.98

    39

    $2,869.28

    $3,752.60

     

    Gulf

    0.76

    40

    $2,973.72

    $3,881.69

     

    Hamilton

    0.77

    41

    $3,081.97

    $4,015.22

     

    Hardee

    0.80

    42

    $3,194.15

    $4,153.34

     

    Hendry

    1.01

    43

    $3,310.42

    $4,296.22

     

    Hernando

    0.85

    44

    $3,430.92

    $4,444.01

     

    Highlands

    0.75

    45

    $3,524.12

    $4,543.38

     

    Hillsborough

    0.86

    46

    $3,692.58

    $4,657.42

     

    Holmes

    0.75

    47

    $3,869.08

    $4,774.32

     

    Indian River

    0.97

    48

    $4,054.02

    $4,894.16

     

    Jackson

    0.76

    49

    $4,247.81

    $5,017.00

     

    Jefferson

    0.75

    50

    $4,450.85

    $5,142.93

     

    Lafayette

    0.78

    51

    $4,663.60

    $5,272.01

     

    Lake

    0.90

    52

    $4,886.52

    $5,404.34

     

    Lee

    0.99

    53

    $5,120.10

    $5,539.99

     

    Leon

    0.79

    54

    $5,364.84

    $5,647.53

     

    Levy

    0.80

    55

    $5,567.49

    $5,755.06

     

    Liberty

    0.75

    56

    $5,743.43

    $5,897.79

     

    Madison

    0.79

    57

    $5,924.92

    $6,044.05

     

    Manatee

    0.90

    58

    $6,112.14

    $6,193.95

     

    Marion

    0.77

    59

    $6,305.29

    $6,347.56

     

    Martin

    0.95

    60

    $6,504.54

    $6,504.98

     

    Monroe

    1.37

    61

    $6,710.08

    $6,666.30

     

    Nassau

    0.85

    62

    $6,922.12

    $6,831.62

     

    Okaloosa

    0.72

    63

    $7,140.86

    $7,001.05

     

    Okeechobee

    0.97

    64

    $7,366.51

    $7,174.67

     

    Orange

    0.95

    65

    $7,366.63

    $7,140.13

     

    Osceola

    0.92

    66

    $7,366.63

    $7,140.13

     

    Palm Beach

    1.00

    67

    $7,366.63

    $7,140.13

     

    Pasco

    0.90

    68

    $7,366.63

    $7,140.13

     

    Pinellas

    0.87

    69

    $7,366.63

    $7,140.13

     

    Polk

    0.84

    70

    $7,366.63

    $7,140.13

     

    Putnam

    0.79

    71

    $7,366.63

    $7,140.13

     

    St. Johns

    0.77

    72

    $7,366.63

    $7,140.13

     

    St. Lucie

    0.99

    73

    $7,366.63

    $7,140.13

     

    Santa Rosa

    0.77

    74

    $7,366.63

    $7,140.13

     

    Sarasota

    0.76

    75

    $7,366.63

    $7,140.13

     

    Seminole

    0.92

    76

    $7,366.63

    $7,140.13

     

    Sumter

    0.80

    77

    $7,366.63

    $7,140.13

     

    Suwannee

    0.82

    78

    $7,366.63

    $7,140.13

     

    Taylor

    0.79

    79

    $7,366.63

    $7,140.13

     

    Union

    0.79

     

     

     

     

    Volusia

    0.88

     

     

     

     

    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, 6-1-06, 8-23-07,_________.

     

    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

    $2,269.71

    $2,205.88

     

    Alachua

    0.70

     

    1

    $2,269.71

    $2,205.88

     

    Baker

    0.78

     

    2

    $1,862.25

    $1,831.86

     

    Bay

    0.80

     

    3

    $1,646.48

    $1,616.10

     

    Bradford

    0.82

     

    4

    $1,524.94

    $1,464.16

     

    Brevard

    0.93

     

    5

    $1,464.16

    $1,339.66

     

    Broward

    1.41

     

    6

    $1,400.43

    $1,218.11

     

    Calhoun

    0.75

     

    7

    $1,339.66

    $1,126.95

     

    Charlotte

    0.95

     

    8

    $1,278.88

    $1,032.73

     

    Citrus

    0.72

     

    9

    $1,248.50

    $1,032.73

     

    Clay

    0.80

     

    10

    $1,278.88

    $1,063.12

     

    Collier

    0.93

     

    11

    $1,309.27

    $1,126.95

     

    Columbia

    0.80

     

    12

    $1,339.66

    $1,218.11

     

    Dade

    1.30

     

    13

    $1,445.38

    $1,401.89

     

    De Soto

    0.74

     

    14

    $1,569.89

    $1,526.40

     

    Dixie

    0.69

     

    15

    $1,661.05

    $1,647.95

     

    Duval

    0.94

     

    16

    $1,782.60

    $1,769.49

     

    Escambia

    0.77

     

    17

    $1,846.43

    $1,868.63

     

    Flagler

    0.86

     

    18

    $1,677.62

    $1,731.60

     

    Franklin

    0.75

     

    19

    $1,729.06

    $1,833.53

     

    Gadsden

    0.75

     

    20

    $1,779.55

    $1,938.77

     

    Gilchrist

    0.75

     

    21

    $1,856.45

    $2,067.93

     

    Glades

    0.98

     

    22

    $1,911.43

    $2,205.39

     

    Gulf

    0.76

     

    23

    $1,963.55

    $2,315.98

     

    Hamilton

    0.77

     

    24

    $2,015.45

    $2,431.51

     

    Hardee

    0.80

     

    25

    $2,067.34

    $2,528.50

     

    Hendry

    0.97

     

    26

    $2,119.01

    $2,592.34

     

    Hernando

    0.85

     

    27

    $2,176.62

    $2,653.36

     

    Highlands

    0.71

     

    28

    $2,257.50

    $2,718.82

     

    Hillsborough

    0.82

     

    29

    $2,316.80

    $2,786.17

     

    Holmes

    0.75

     

    30

    $2,372.69

    $2,833.44

     

    Indian River

    0.92

     

    31

    $2,436.98

    $2,879.75

     

    Jackson

    0.77

     

    32

    $2,506.76

    $2,954.83

     

    Jefferson

    0.75

     

    33

    $2,578.54

    $3,031.05

     

    Lafayette

    0.78

     

    34

    $2,649.40

    $3,082.98

     

    Lake

    0.90

     

    35

    $2,741.76

    $3,134.92

     

    Lee

    0.97

     

    36

    $2,816.34

    $3,188.48

     

    Leon

    0.79

     

    37

    $2,898.23

    $3,246.48

     

    Levy

    0.80

     

    38

    $2,974.23

    $3,279.60

     

    Liberty

    0.75

     

    39

    $3,052.57

    $3,329.10

     

    Madison

    0.79

     

    40

    $3,129.28

    $3,390.47

     

    Manatee

    0.91

     

    41

    $3,201.52

    $3,480.97

     

    Marion

    0.77

     

    42

    $3,307.34

    $3,602.71

     

    Martin

    0.94

     

    43

    $3,405.57

    $3,738.45

     

    Monroe

    1.30

     

    44

    $3,504.04

    $3,875.01

     

    Nassau

    0.85

     

    45

    $3,620.45

    $4,027.23

     

    Okaloosa

    0.76

     

    46

    $3,743.36

    $4,186.98

     

    Okeechobee

    0.97

     

    47

    $3,867.57

    $4,332.64

     

    Orange

    0.90

     

    48

    $4,044.14

    $4,487.03

     

    Osceola

    0.91

     

    49

    $4,254.26

    $4,647.82

     

    Palm Beach

    1.00

     

    50

    $4,484.29

    $4,817.80

     

    Pasco

    0.90

     

    51

    $4,712.62

    $4,964.22

     

    Pinellas

    0.87

     

    52

    $4,992.07

    $5,108.97

     

    Polk

    0.84

     

    53

    $5,243.22

    $5,219.95

     

    Putnam

    0.81

     

    54

    $5,532.82

    $5,375.90

     

    St. Johns

    0.77

     

    55

    $5,798.51

    $5,533.46

     

    St. Lucie

    0.99

     

    56

    $6,114.18

    $5,718.08

     

    Santa Rosa

    0.77

     

    57

    $6,471.97

    $5,933.22

     

    Sarasota

    0.76

     

    58

    $6,819.70

    $6,156.54

     

    Seminole

    0.92

     

    59

    $7,192.79

    $6,400.67

     

    Sumter

    0.81

     

    60

    $7,454.79

    $6,678.58

     

    Suwannee

    0.82

     

    61

    $7,701.77

    $6,911.27

     

    Taylor

    0.79

     

    62

    $7,900.57

    $7,143.56

     

    Union

    0.79

     

    63

    $8,070.52

    $7,316.73

     

    Volusia

    0.92

     

    64

    $8,206.71

    $7,426.21

     

    Wakulla

    0.75

     

    65

    $8,758.12

    $7,836.62

     

    Walton

    0.76

     

    66

    $8,793.24

    $7,867.77

     

    Washington

    0.76

     

    67

    $8,851.33

    $7,900.07

     

     

     

     

    68

    $8,929.30

    $7,940.58

     

     

     

     

    69

    $9,007.04

    $7,983.68

     

     

     

     

    70

    $9,085.01

    $8,023.71

     

     

     

     

    71

    $9,162.51

    $8,064.69

     

     

     

     

    72

    $9,244.24

    $8,109.88

     

     

     

     

    73

    $9,318.22

    $8,145.70

     

     

     

     

    74

    $9,388.96

    $8,183.89

     

     

     

     

    75

    $9,463.41

    $8,224.62

     

     

     

     

    76

    $9,537.41

    $8,257.64

     

     

     

     

    77

    $9,611.39

    $8,296.75

     

     

     

     

    78

    $9,648.63

    $8,348.73

     

     

     

     

    79

    $9,685.87

    $8,400.24

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    0

    $2,084.83

    $2,020.10

     

    Alachua

    0.72

     

    1

    $2,084.83

    $2,020.10

     

    Baker

    0.78

     

    2

    $1,752.86

    $1,723.43

     

    Bay

    0.77

     

    3

    $1,543.96

    $1,514.54

     

    Bradford

    0.82

     

    4

    $1,426.28

    $1,367.43

     

    Brevard

    0.95

     

    5

    $1,367.43

    $1,246.80

     

    Broward

    1.40

     

    6

    $1,305.65

    $1,129.12

     

    Calhoun

    0.75

     

    7

    $1,280.33

    $1,074.38

     

    Charlotte

    1.00

     

    8

    $1,221.49

    $983.17

     

    Citrus

    0.69

     

    9

    $1,192.07

    $983.17

     

    Clay

    0.81

     

    10

    $1,221.49

    $1,012.59

     

    Collier

    0.93

     

    11

    $1,250.91

    $1,074.38

     

    Columbia

    0.81

     

    12

    $1,280.33

    $1,162.64

     

    Dade

    1.37

     

    13

    $1,309.75

    $1,280.33

     

    De Soto

    0.74

     

    14

    $1,430.38

    $1,400.96

     

    Dixie

    0.73

     

    15

    $1,518.65

    $1,518.65

     

    Duval

    0.99

     

    16

    $1,636.33

    $1,636.33

     

    Escambia

    0.77

     

    17

    $1,698.12

    $1,727.54

     

    Flagler

    0.82

     

    18

    $1,513.96

    $1,572.92

     

    Franklin

    0.75

     

    19

    $1,563.23

    $1,670.62

     

    Gadsden

    0.75

     

    20

    $1,611.67

    $1,771.19

     

    Gilchrist

    0.75

     

    21

    $1,685.62

    $1,890.53

     

    Glades

    0.98

     

    22

    $1,738.40

    $2,015.25

     

    Gulf

    0.76

     

    23

    $1,788.50

    $2,120.27

     

    Hamilton

    0.77

     

    24

    $1,838.42

    $2,227.33

     

    Hardee

    0.80

     

    25

    $1,885.49

    $2,318.90

     

    Hendry

    1.01

     

    26

    $1,938.08

    $2,376.03

     

    Hernando

    0.85

     

    27

    $1,990.35

    $2,433.67

     

    Highlands

    0.75

     

    28

    $2,067.67

    $2,491.99

     

    Hillsborough

    0.86

     

    29

    $2,121.11

    $2,551.82

     

    Holmes

    0.75

     

    30

    $2,171.54

    $2,591.84

     

    Indian River

    0.97

     

    31

    $2,231.85

    $2,633.19

     

    Jackson

    0.76

     

    32

    $2,294.05

    $2,699.25

     

    Jefferson

    0.75

     

    33

    $2,357.57

    $2,766.00

     

    Lafayette

    0.78

     

    34

    $2,420.26

    $2,809.21

     

    Lake

    0.90

     

    35

    $2,506.99

    $2,852.42

     

    Lee

    0.99

     

    36

    $2,572.55

    $2,896.81

     

    Leon

    0.79

     

    37

    $2,644.50

    $2,945.07

     

    Levy

    0.80

     

    38

    $2,713.92

    $2,972.14

     

    Liberty

    0.75

     

    39

    $2,782.66

    $3,012.49

     

    Madison

    0.79

     

    40

    $2,847.37

    $3,061.91

     

    Manatee

    0.90

     

    41

    $2,913.62

    $3,145.27

     

    Marion

    0.77

     

    42

    $3,008.46

    $3,252.03

     

    Martin

    0.95

     

    43

    $3,090.64

    $3,374.95

     

    Monroe

    1.37

     

    44

    $3,173.17

    $3,498.34

     

    Nassau

    0.85

     

    45

    $3,271.10

    $3,632.92

     

    Okaloosa

    0.72

     

    46

    $3,374.26

    $3,771.39

     

    Okeechobee

    0.97

     

    47

    $3,475.57

    $3,898.07

     

    Orange

    0.95

     

    48

    $3,626.99

    $4,032.97

     

    Osceola

    0.92

     

    49

    $3,810.31

    $4,174.28

     

    Palm Beach

    1.00

     

    50

    $4,012.82

    $4,321.61

     

    Pasco

    0.90

     

    51

    $4,214.32

    $4,450.89

     

    Pinellas

    0.87

     

    52

    $4,465.09

    $4,578.17

     

    Polk

    0.84

     

    53

    $4,688.76

    $4,677.00

     

    Putnam

    0.79

     

    54

    $4,947.13

    $4,816.24

     

    St. Johns

    0.77

     

    55

    $5,184.67

    $4,955.53

     

    St. Lucie

    0.99

     

    56

    $5,463.95

    $5,120.27

     

    Santa Rosa

    0.77

     

    57

    $5,785.99

    $5,311.64

     

    Sarasota

    0.76

     

    58

    $6,098.51

    $5,514.89

     

    Seminole

    0.92

     

    59

    $6,427.77

    $5,736.18

     

    Sumter

    0.80

     

    60

    $6,647.42

    $5,983.42

     

    Suwannee

    0.82

     

    61

    $6,856.36

    $6,196.74

     

    Taylor

    0.79

     

    62

    $7,020.01

    $6,407.38

     

    Union

    0.79

     

    63

    $7,156.05

    $6,561.01

     

    Volusia

    0.88

     

    64

    $7,252.08

    $6,650.07

     

    Wakulla

    0.75

     

    65

    $7,658.43

    $6,942.77

     

    Walton

    0.76

     

    66

    $7,684.51

    $6,965.97

     

    Washington

    0.76

     

    67

    $7,727.50

    $6,989.85

     

     

     

     

    68

    $7,785.23

    $7,019.80

     

     

     

     

    69

    $7,842.79

    $7,051.80

     

     

     

     

    70

    $7,900.53

    $7,081.44

     

     

     

     

    71

    $7,957.91

    $7,111.74

     

     

     

     

    72

    $8,018.35

    $7,145.25

     

     

     

     

    73

    $8,073.20

    $7,171.83

     

     

     

     

    74

    $8,125.51

    $7,200.10

     

     

     

     

    75

    $8,180.54

    $7,230.24

     

     

     

     

    76

    $8,235.39

    $7,254.79

     

     

     

     

    77

    $8,290.24

    $7,283.73

     

     

     

     

    78

    $8,317.67

    $7,322.17

     

     

     

     

    79

    $8,345.26

    $7,360.43

     

     

     

     

     

    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, 6-1-06, 8-23-07,_________.

     

    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

    $5,258.45

    $5,250.04

     

    Alachua

    1.04

     

     

    1

    $2,968.48

    $2,960.07

     

    Baker

    1.06

     

     

    2-6

    $2,909.90

    $2,901.49

     

    Bay

    0.90

     

     

    7-12

    $2,822.45

    $2,814.04

     

    Bradford

    1.04

     

     

    13-17

    $2,972.73

    $2,964.3

     

    Brevard

    0.94

     

     

    18

    $2,549.95

    $4,120.85

     

    Broward

    1.00

     

     

    19

    $2,570.16

    $4,301.90

     

    Calhoun

    0.90

     

     

    20

    $2,610.13

    $4,382.36

     

    Charlotte

    0.99

     

     

    21

    $2,630.36

    $4,472.30

     

    Citrus

    0.92

     

     

    22

    $2,670.38

    $4,539.11

     

    Clay

    1.06

     

     

    23

    $2,729.45

    $4,663.20

     

    Collier

    0.90

     

     

    24

    $2,776.56

    $4,759.79

     

    Columbia

    1.04

     

     

    25

    $2,819.35

    $4,883.42

     

    Dade

    1.00

     

     

    26

    $2,899.75

    $5,051.05

     

    De Soto

    0.90

     

     

    27

    $2,983.75

    $5,227.91

     

    Dixie

    1.04

     

     

    28

    $3,047.19

    $5,290.86

     

    Duval

    1.06

     

     

    29

    $3,150.59

    $5,242.98

     

    Escambia

    1.08

     

     

    30

    $3,236.87

    $5,247.52

     

    Flagler

    0.90

     

     

    31

    $3,279.13

    $5,177.31

     

    Franklin

    0.90

     

     

    32

    $3,340.11

    $5,172.07

     

    Gadsden

    0.90

     

     

    33

    $3,402.20

    $5,136.91

     

    Gilchrist

    1.05

     

     

    34

    $3,444.91

    $5,106.34

     

    Glades

    0.90

     

     

    35

    $3,532.78

    $5,128.20

     

    Gulf

    0.90

     

     

    36

    $3,580.77

    $5,108.61

     

    Hamilton

    0.90

     

     

    37

    $3,649.52

    $5,085.24

     

    Hardee

    0.84

     

     

    38

    $3,748.38

    $5,099.53

     

    Hendry

    0.96

     

     

    39

    $3,815.47

    $5,111.88

     

    Hernando

    1.03

     

     

    40

    $3,923.62

    $5,139.24

     

    Highlands

    0.84

     

     

    41

    $4,003.19

    $5,186.08

     

    Hillsborough

    1.01

     

     

    42

    $4,102.20

    $5,276.71

     

    Holmes

    0.90

     

     

    43

    $4,235.88

    $5,400.47

     

    Indian River

    0.90

     

     

    44

    $4,359.59

    $5,523.74

     

    Jackson

    0.90

     

     

    45

    $4,486.17

    $5,621.99

     

    Jefferson

    0.90

     

     

    46

    $4,682.63

    $5,747.05

     

    Lafayette

    0.90

     

     

    47

    $4,872.08

    $5,874.81

     

    Lake

    0.94

     

     

    48

    $5,109.97

    $5,986.94

     

    Lee

    1.01

     

     

    49

    $5,341.56

    $6,117.55

     

    Leon

    0.90

     

     

    50

    $5,598.42

    $6,278.89

     

    Levy

    1.04

     

     

    51

    $5,909.83

    $6,447.58

     

    Liberty

    0.90

     

     

    52

    $6,253.14

    $6,612.37

     

    Madison

    0.90

     

     

    53

    $6,590.04

    $6,778.15

     

    Manatee

    1.06

     

     

    54

    $6,966.54

    $6,965.19

     

    Marion

    0.97

     

     

    55

    $7,360.26

    $7,102.09

     

    Martin

    1.02

     

     

    56

    $7,730.02

    $7,258.77

     

    Monroe

    0.90

     

     

    57

    $8,099.29

    $7,390.68

     

    Nassau

    1.06

     

     

    58

    $8,615.15

    $7,721.59

     

    Okaloosa

    1.05

     

     

    59

    $9,149.91

    $8,070.04

     

    Okeechobee

    0.94

     

     

    60

    $9,714.17

    $8,467.78

     

    Orange

    0.94

     

     

    61

    $10,192.09

    $8,914.29

     

    Osceola

    0.96

     

     

    62

    $10,667.92

    $9,373.20

     

    Palm Beach

    1.06

     

     

    63

    $11,239.30

    $9,927.57

     

    Pasco

    1.01

     

     

    64

    $11,819.57

    $10,475.54

     

    Pinellas

    1.01

     

     

    65

    $14,318.73

    $12,839.86

     

    Polk

    1.15

     

     

    66

    $14,377.66

    $12,885.56

     

    Putnam

    1.01

     

     

    67

    $14,436.21

    $12,930.98

     

    St. Johns

    1.06

     

     

    68

    $14,494.23

    $12,975.97

     

    St. Lucie

    1.01

     

     

    69

    $14,551.64

    $13,020.50

     

    Santa Rosa

    1.08

     

     

    70

    $14,608.25

    $13,064.41

     

    Sarasota

    1.07

     

     

    71

    $14,663.96

    $13,107.62

     

    Seminole

    0.97

     

     

    72

    $14,718.64

    $13,150.03

     

    Sumter

    0.97

     

     

    73

    $14,772.15

    $13,191.51

     

    Suwannee

    0.94

     

     

    74

    $14,824.35

    $13,232.00

     

    Taylor

    0.90

     

     

    75

    $14,875.09

    $13,271.34

     

    Union

    0.90

     

     

    76

    $14,924.27

    $13,309.50

     

    Volusia

    1.00

     

     

    77

    $14,971.75

    $13,346.31

     

    Wakulla

    0.90

     

     

    78

    $15,017.41

    $13,381.72

     

    Walton

    1.07

     

     

    79

    $15,061.10

    $13,415.60

     

    Washington

    0.90

     

     

     

     

     

     

     

     

     

     

    0

    $4,549.06

    $4,540.08

     

    Alachua

    1.04

     

     

    1

    $2,844.95

    $2,835.97

     

    Baker

    1.08

     

     

    2-6

    $2,795.78

    $2,786.81

     

    Bay

    0.90

     

     

    7-12

    $2,722.34

    $2,713.36

     

    Bradford

    1.04

     

     

    13-17

    $2,853.04

    $3,396.75

     

    Brevard

    0.94

     

     

    18

    $2,432.62

    $3,953.57

     

    Broward

    1.00

     

     

    19

    $2,467.46

    $4,161.38

     

    Calhoun

    0.90

     

     

    20

    $2,484.87

    $4,309.58

     

    Charlotte

    0.98

     

     

    21

    $2,519.74

    $4,452.46

     

    Citrus

    0.88

     

     

    22

    $2,537.83

    $4,586.82

     

    Clay

    1.08

     

     

    23

    $2,555.92

    $4,720.44

     

    Collier

    0.90

     

     

    24

    $2,636.28

    $4,824.84

     

    Columbia

    1.04

     

     

    25

    $2,657.34

    $4,916.66

     

    Dade

    1.00

     

     

    26

    $2,750.27

    $5,051.52

     

    De Soto

    0.90

     

     

    27

    $2,814.76

    $5,178.03

     

    Dixie

    1.04

     

     

    28

    $2,893.63

    $5,185.92

     

    Duval

    1.08

     

     

    29

    $2,957.60

    $5,199.76

     

    Escambia

    1.07

     

     

    30

    $3,057.35

    $5,207.63

     

    Flagler

    0.90

     

     

    31

    $3,097.50

    $5,198.32

     

    Franklin

    0.90

     

     

    32

    $3,154.83

    $5,195.85

     

    Gadsden

    0.90

     

     

    33

    $3,195.81

    $5,114.57

     

    Gilchrist

    1.05

     

     

    34

    $3,253.97

    $5,056.36

     

    Glades

    0.90

     

     

    35

    $3,302.10

    $4,975.57

     

    Gulf

    0.90

     

     

    36

    $3,382.08

    $4,973.32

     

    Hamilton

    0.90

     

     

    37

    $3,465.24

    $4,900.54

     

    Hardee

    0.84

     

     

    38

    $3,542.63

    $4,897.93

     

    Hendry

    0.94

     

     

    39

    $3,623.88

    $4,910.68

     

    Hernando

    1.04

     

     

    40

    $3,690.05

    $4,905.22

     

    Highlands

    0.84

     

     

    41

    $3,767.50

    $4,954.19

     

    Hillsborough

    1.01

     

     

    42

    $3,861.40

    $4,991.64

     

    Holmes

    0.90

     

     

    43

    $3,968.29

    $5,109.03

     

    Indian River

    0.90

     

     

    44

    $4,068.78

    $5,190.95

     

    Jackson

    0.90

     

     

    45

    $4,205.16

    $5,284.01

     

    Jefferson

    0.90

     

     

    46

    $4,370.20

    $5,396.17

     

    Lafayette

    0.90

     

     

    47

    $4,555.28

    $5,517.31

     

    Lake

    0.94

     

     

    48

    $4,769.26

    $5,626.02

     

    Lee

    1.01

     

     

    49

    $4,978.66

    $5,737.04

     

    Leon

    0.90

     

     

    50

    $5,231.67

    $5,895.35

     

    Levy

    1.04

     

     

    51

    $5,520.59

    $6,063.06

     

    Liberty

    0.90

     

     

    52

    $5,838.89

    $6,209.12

     

    Madison

    0.90

     

     

    53

    $6,157.94

    $6,373.60

     

    Manatee

    1.04

     

     

    54

    $6,515.14

    $6,536.05

     

    Marion

    0.94

     

     

    55

    $6,907.68

    $6,669.55

     

    Martin

    1.03

     

     

    56

    $7,237.73

    $6,783.55

     

    Monroe

    0.90

     

     

    57

    $7,622.33

    $6,946.80

     

    Nassau

    1.08

     

     

    58

    $8,065.46

    $7,219.43

     

    Okaloosa

    1.00

     

     

    59

    $8,563.34

    $7,528.10

     

    Okeechobee

    0.94

     

     

    60

    $9,071.45

    $7,848.00

     

    Orange

    0.94

     

     

    61

    $9,484.04

    $8,252.49

     

    Osceola

    0.97

     

     

    62

    $9,894.47

    $8,650.37

     

    Palm Beach

    1.05

     

     

    63

    $10,399.58

    $9,142.07

     

    Pasco

    1.01

     

     

    64

    $10,893.65

    $9,606.52

     

    Pinellas

    1.01

     

     

    65

    $12,936.81

    $11,527.6

     

    Polk

    1.10

     

     

    66

    $12,999.71

    $11,576.46

     

    Putnam

    1.01

     

     

    67

    $13,062.20

    $11,624.93

     

    St. Johns

    1.06

     

     

    68

    $13,124.13

    $11,672.96

     

    St. Lucie

    0.99

     

     

    69

    $13,185.41

    $11,720.48

     

    Santa Rosa

    1.07

     

     

    70

    $13,245.82

    $11,767.35

     

    Sarasota

    1.05

     

     

    71

    $13,305.29

    $11,813.46

     

    Seminole

    0.99

     

     

    72

    $13,363.66

    $11,858.73

     

    Sumter

    0.99

     

     

    73

    $13,420.76

    $11,903.01

     

    Suwannee

    0.90

     

     

    74

    $13,476.48

    $11,946.23

     

    Taylor

    0.90

     

     

    75

    $13,530.64

    $11,988.22

     

    Union

    0.90

     

     

    76

    $13,583.13

    $12,028.95

     

    Volusia

    1.03

     

     

    77

    $13,633.80

    $12,068.24

     

    Wakulla

    0.90

     

     

    78

    $13,682.54

    $12,106.03

     

    Walton

    1.05

     

     

    79

    $13,729.17

    $12,142.19

     

    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, 6-1-06, 8-23-07,________.


    NAME OF PERSON ORIGINATING PROPOSED RULE: Gerry Smith, Office of Insurance Regulation, E-mail gerry.smith@fldfs.com
    NAME OF SUPERVISOR OR PERSON WHO APPROVED THE PROPOSED RULE: Mary Beth Senkewicz
    DATE PROPOSED RULE APPROVED BY AGENCY HEAD: March 6, 2008
    DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAW: March 28, 2008