1657 Capital Advantage Insurance Company; individual direct pay medical-surgical/major medical program rate increases; rate filing no. 03-L

Capital Advantage Insurance Company; Individual Direct Pay Medical-Surgical/Major Medical Program Rate Increases; Rate Filing No. 03-L

[33 Pa.B. 4254]

   Capital Advantage Insurance Company, a wholly owned subsidiary of Capital Blue Cross, submitted to the Insurance Department (Department), for its review and approval, adjusted rates for its Individual Direct Pay Medical-Surgical/Major Medical Program. The requested average rate increase is 33.68%. An effective date of January 1, 2004, has been requested. The proposed rate increase would affect approximately 914 contracts and would produce additional premium income of $1.44 million.

   The current and proposed nongroup medical surgical and major medical rates are as follows:

		Proposed Rates at	Percent
	Single Rates	Proposed Tier	Increase
Single	$326.90	$   401.04	22.7 %
H and W	$653.80	$   862.24	31.9 %
Parent and Child	$447.85	$   557.45	24.5 %
Parent and Children	$447.85	$   774.01	72.8 %
Family	$653.80	$1,179.06	80.3 %
	_____	_____	_____
Composite	$388.78	$   519.70	33.68%

   The rates reflect the introduction of a three-tier benefit design for prescription drugs offered through the major medical program and elimination of benefits for the reversal of sterilization.

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

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

M. DIANE KOKEN,   
Insurance Commissioner

[Pa.B. Doc. No. 03-1657. Filed for public inspection August 22, 2003, 9:00 a.m.]