Purpose


Rule 69O-149.005(14) currently permits insurers that meet certain conditions to issue multi-year rate guarantees. One such condition is that a rate guarantee cannot apply for greater than 24 months. The Office is proposing to amend the Rule to allow large group insurers, specifically vision and dental insurers, to issue rate guarantees in excess of 24 months. Section (9) of the Rule also states that a premium rate schedule shall not be disapproved on the grounds of inadequacy if certain conditions are met. Some of these conditions may be inconsistent with the Patient Protection and Affordable Care Act of 2010 (“PPACA”). The Office is proposing to amend the Rule to state that the aforementioned conditions shall not apply to the extent that they are pre-empted by PPACA.