This is the Final Public Hearing on the adoption of proposed amendments to Rule 69O-149.205,.206,.207, F.A.C., Florida Administrative Code, published on June 20, 2008 in Vol. 34, No. 25, of the Florida Administrative Weekly, No notice of change was ...  

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    DEPARTMENT OF FINANCIAL SERVICES
    OIR – Insurance Regulation

    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

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

    DATE AND TIME: September 16, 2008, 9:00 a.m.

    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, .206, .207, F.A.C., published on June 20, 2008 in Vol. 34, No. 25, of the Florida Administrative Weekly, No notice of change was published.

    A copy of the agenda may be obtained by contacting: The 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.

    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 email 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).

    For more information, you may contact: Gerry Smith at 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

    $2,833.4

     

    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

    $2,964.33

     

    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

    $11,527.67

     

    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,_________.

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 Rule 69O-149.205,.206,.207, F.A.C., Florida Administrative Code, published on June 20, 2008 in Vol. 34, No. 25, of the Florida Administrative Weekly, No notice of change was published.
Meeting:
hearing
Contact:
The 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.
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