Subject
This is the Final Public Hearing on the adoption of proposed amendments to paragraph 69O-149.003(6)(d), Florida Administrative Code, published on September 7, 2007 in Vol. 33, No. 36, of the F.A.W., No notice of change was published.
THE FULL TEXT OF THE PROPOSED RULE IS:
69O-149.003 Rate Filing Procedures.
(6)(a) The following tables shall apply to filings made pursuant to subsection (5) above.
(b) A company without fully credible data may, at its option, use an annual medical trend assumption not to exceed the values in the following tables for the medical trend assumption used in a complete filing made pursuant to paragraph 69O-149.003(2)(b), F.A.C., including the actuarial memorandum required by Rule 69O-149.006, F.A.C., without providing explicit trend justification.
(c) Use of an annual medical trend assumption exceeding the maximum medical trend in the following tables shall be filed pursuant to subparagraph 69O-149.006(3)(b)18., F.A.C.
(d) The maximum medical trend for medical expense coverage described in Section 627.6561(5)(a)2., F.S., is:
Category Individual Individual Group Group
Without Rx With Rx Without Rx With Rx
Major Medical 12%11.5% 14%12.0% 13.5%13.0% 14.5%13.5%
Health Maintenance
Organizations 11.5%10.5% 12.5%11.0% 13.5%13.0% 14.5%13.5%
(e) The maximum medical trend for Medicare supplement coverage is:
Medicare supplement 5.5% 10% 5.5% 10%
Specific Authority 624.308(1), 624.424(1)(c), 627.410(6)(b), (e) FS. Law Implemented 119.07(1)(b), 624.307(1), 626.9541(1), 627.410 FS. History–New 7-1-85, Formerly 4-58.03, 4-58.003, Amended 8-23-93, 4-18-94, 8-22-95, 4-4-02, 10-27-02, 6-19-03, Formerly 4-149.003, Amended 5-18-04, 12-22-05,_________.