1661 Capital Blue Cross and Capital Advantage Insurance Company; individual direct pay comprehensive major medical program for HIPAA and TAA eligible subscribers; rate filing no. 03-S  

  • Capital Blue Cross and Capital Advantage Insurance Company; Individual Direct Pay Comprehensive Major Medical Program for HIPAA and TAA Eligible Subscribers; Rate Filing No. 03-S

    [33 Pa.B. 4256]

       Capital Blue Cross and Capital Advantage Insurance Company have requested approval to adjust the rates for the Individual Direct Pay Comprehensive Major Medical Program for HIPAA and TAA eligible subscribers. The requested rate increases are as follows:

    CurrentProposed             Percent
    Rates Rates             Increase
    Option 2--$750 Deductible
    Single $383.18 $   537.97 40.40%
    H and W $766.37 $1,075.94 40.39%
    Parent and Child $524.96 $   914.55 74.21%
    Parent and Children $524.96 $1,210.43 130.58%
    Family $766.37 $1,452.52 89.53%
    Composite $457.07 $   672.35 47.10%
    Option 3--$1,500 Deductible
    Single $325.21 $   446.71 37.28%
    H and W $650.83 $   893.42 37.27%
    Parent and Child $445.81 $   759.41 70.34%
    Parent and Children $445.81 $1,005.10 125.45%
    Family $650.83 $1,206.12 85.32%
    Composite $387.96 $   570.99 47.18%

       The proposed rate adjustments would affect approximately 340 contracts and produce additional annual premium income of $844,000. An effective date of January 1, 2004, is requested. The rates reflect the introduction of a three-tier benefit design for prescription drugs and elimination of the reversal of sterilization benefit.

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

       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.

    M. DIANE KOKEN,   
    Insurance Commissioner

    [Pa.B. Doc. No. 03-1661. Filed for public inspection August 22, 2003, 9:00 a.m.]

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