155 Geisinger Health Plan--employer group (with fewer than 51 subscribers); prescription drug rider; rate filing

Geisinger Health Plan--Employer Group (with fewer than 51 subscribers); Prescription Drug Rider; Rate Filing

[38 Pa.B. 562]
[Saturday, January 26, 2008]

   On January 11, 2008, Geisinger Health Plan submitted a Prescription Drug Rider Rate Filing for all groups with fewer than 51 average subscribers, requesting an average rate increase of 3.4%. In addition, the following benefit changes will be implemented:

   *  Xolair will not be covered under the Rx benefit;

   *  Nonoral contraceptives will be moved from the ''base'' Rx rider to ''contraceptive'' Rx rider;

   *  Subutex and Suboxone Drugs will be removed from the Rx formulary and excluded from the Rx rider;

   *  Lipitor will be moved from Tier 3 of Rx formulary to Tier 2.

   The filing will affect approximately 20,321 members and generate additional revenue of approximately $362,000 annually. An effective date of April 1, 2008, is requested.

   Unless formal administrative action is taken prior to April 10, 2008, the subject filing may be deemed approved by operation of law.

   A copy of the filing is available on the Insurance Department's (Department) website at www.ins.state. pa.us. Under the Quick Links section, click on the link ''Rate Filings Published in the PA Bulletin.''

   Copies of the filing are available for public inspection during normal working hours, by appointment, at the Department's Harrisburg Regional Office.

   Interested parties are invited to submit written comments, suggestions or objections to Rashmi Mathur, Actuary, Bureau of Accident and Health Insurance, Insurance Department, 1311 Strawberry Square, Harrisburg, PA 17120, within 30 days after publication of this notice in the Pennsylvania Bulletin.

JOEL SCOTT ARIO,   
Acting Insurance Commissioner

[Pa.B. Doc. No. 08-155. Filed for public inspection January 25, 2008, 9:00 a.m.]