805 Highmark Inc.--Western Pennsylvania; ClassicBlue major medical plan no. 1A-PMM-05-HBCBS; rate filing
Highmark Inc.--Western Pennsylvania; ClassicBlue Major Medical Plan No. 1A-PMM-05-HBCBS; Rate Filing [35 Pa.B. 2485] On April 8, 2005, the Insurance Department (Department) received a filing from Highmark Inc. to increase the premium rate for its Direct Pay ClassicBlue Major Medical Plan (Western Pennsylvania) by an average of 9.9% for non-HIPAA and non-HCTC eligibles and 8.9% for HIPAA and HCTC eligibles. The proposed effective date is September 1, 2005. This filing will impact approximately 2,600 non-HIPAA and non-HCTC contract holders and 800 HIPAA and HCTC contract holders. The increase will generate additional annual revenue of $300,000 and $132,000, respectively.
Effective January 1, 2006, the Plan will implement the following drug exclusions: weight control drugs; smoking cessation products; hair growth stimulants; fertility drugs; pharmacological or hormonal treatment used in conjunction with assisted fertilization; impotency treat-ment drugs; any drugs used to abort a pregnancy when purchased from a pharmacy provider; and any drugs prescribed for cosmetic purposes only.
Highmark Inc. has also requested to move the contract type relativities to a six-tier structure.
Unless formal administrative action is taken prior to July 6, 2005, the subject filing may be deemed approved by operation of law.
A copy of the filing is available on the Department's 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 also available for public inspection, by appointment, during normal working hours at the Department's regional office in Harrisburg.
Interested parties are invited to submit written comments, suggestions or objections to Cherri Sanders-Jones, Insurance Department, Insurance Product Regulation andMarket Enforcement, Room 1311, Strawberry Square, Harrisburg, PA 17120, csandersjo@state.pa.us within 30 days after publication of this notice in the Pennsylvania Bulletin.
M. DIANE KOKEN,
Insurance Commissioner[Pa.B. Doc. No. 05-805. Filed for public inspection April 22, 2005, 9:00 a.m.]
