604 Pennsylvania Blue Shield; Dentalplus and Healthpartners; primary dental offices provider risk sharing provision; filing no. 96040000  

  • Pennsylvania Blue Shield; DentalPlus and HealthPartners; Primary Dental Offices Provider Risk Sharing Provision; Filing No. 96040000

    [26 Pa.B. 1771]

       By filing no. 9604000, Pennsylvania Blue Shield proposes revisions to the risk sharing formulas with capitated dental networks utilized in the DentalPlus program and the HealthPartners program. The requested changes are for an effective date of January 1, 1996 for DentalPlus settlements for the January 1 through June 30, 1996 period; and April 1, 1996 for HealthPartners settlements for the April 1 to September 30, 1996 period. This filing is not a change to the capitation rate, only to the risk sharing arrangement.

       Copies of the filing are available for public inspection on Monday, Wednesday and Friday, by appointment, during normal working hours at the Insurance Department's office in Harrisburg, This filing consists of five pages.

       Interested parties are invited to submit written comments, suggestions or objections to Bharat Patel, Actuary, Insurance Department, Bureau of Accident and Health Insurance, 1311 Strawberry Square, Harrisburg, PA 17120, within 15 days after publication of this notice in the Pennsylvania Bulletin.

    LINDA S. KAISER,   
    Insurance Commissioner

    [Pa.B. Doc. No. 96-604. Filed for public inspection April 12, 1996, 9:00 a.m.]

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