1352 HealthAmerica Pennsylvania, Inc.--HMO conversion rates; eastern, western and southeastern service areas; rate filing

HealthAmerica Pennsylvania, Inc.--HMO Conversion Rates; Eastern, Western and Southeastern Service Areas; Rate Filing

[38 Pa.B. 3953]
[Saturday, July 19, 2008]

   On June 27, 2008, HealthAmerica submitted a rate filing to replace the current conversion benefit with three new benefit options. Because the three new benefit options have higher cost sharing, most of the rate adjustments are rate decreases. The rate adjustments range from -20.5% to 1.1%. This filing will affect approximately 270 contracts. The requested effective date of the change is January 1, 2009.

   The current benefit option:

Product	Lifetime Max	PCP/ Specialist	Coin	Ded	INP	OP	ER	RAD OOP Max
HMO	Unlimited	$15	100%	$0	$0	$0	$50	$0	-
Replacement Options:
Product	Lifetime Max	PCP/ Specialist	Coin	Ded (3x)	INP	OP	ER	RAD OOP Max
HMO I	Unlimited	$20/$40	100%	$0	$250	$100	$125	$25	-
HMO II	Unlimited	$20/$40	90%	$250/ $750	$100	$100	$125	$25 $1,500/ $4,500
HMO III	Unlimited	$20/$40	80%	$500/ $1,500	$100	$100	$125	$25 $3,000/ $9,000

   Unless formal administrative action is taken prior to October 2, 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) web site 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 Harrisburg Regional office.

   Interested parties are invited to submit written comments, suggestions, or objections to Cherri Sanders-Jones, Insurance Department, Insurance Product Regulation and Market Enforcement, Room 1311, Strawberry Square, Harrisburg, PA 17120, [e-mail] within 30 days after publication of this notice in the Pennsylvania Bulletin.

JOEL SCOTT ARIO,   
Insurance Commissioner

[Pa.B. Doc. No. 08-1352. Filed for public inspection July 18, 2008, 9:00 a.m.]