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

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    DEPARTMENT OF FINANCIAL SERVICES

    OIR – Insurance Regulation

    RULE NO.:RULE TITLE:

    69O-191.055Actuarial Memorandum and Definitions

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

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

    RULEMAKING AUTHORITY: 641.31, 641.36 FS.

    LAW IMPLEMENTED: 641.22(2), 641.31(2), (3) FS.

    IF REQUESTED IN WRITING AND NOT DEEMED UNNECESSARY BY THE AGENCY HEAD, A RULE DEVELOPMENT WORKSHOP WILL BE NOTICED IN THE NEXT AVAILABLE FLORIDA ADMINISTRATIVE REGISTER.

    THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Michael Lawrence, Jr., Assistant General Counsel, Michael.LawrenceJr@floir.com, (850)413-4112.

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

Document Information

Subject:
Health Maintenance Organization’s rates.
Purpose:
The amendments change the manner in which a Health Maintenance Organization’s target loss ratio may be increased or reduced.
Rulemaking Authority:
641.31, 641.36 FS
Law:
641.22(2), 641.31(2), (3) FS
Contact:
Michael Lawrence, Jr., Assistant General Counsel, Michael.LawrenceJr@floir.com, (850) 413-4112.
Related Rules: (1)
69O-191.055. Actuarial Memorandum and Definitions