Florida Regulations 69O-149.202: Standard Risk Rate
Current as of: 2024 | Check for updates
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(1) Standard risk rates, pursuant to the provisions of Florida Statutes § 627.6675(3), are provided for the following “”categories of coverages””:
(a) Indemnity policies;
(b) Preferred provider organization (“”PPO””)/exclusive provider organization (“”EPO””) policies; and,
(c) Health maintenance organization (“”HMO””) contracts.
(2) The standard risk rates for a particular county are determined by multiplying the standard risk rate schedule times the appropriate county factor.
(3) Standard risk rates are provided for the Standard Health Benefit Plan pursuant to Florida Statutes § 627.6699(12), outlined in Fl. Admin. Code R. 69O-149.204
(4) Standard risk rates reflect the predominant rates charged in the market for newly issued coverage.
Rulemaking Authority 624.308, 627.6675(3)(c) FS. Law Implemented 624.307(1), 627.6498(4), 627.6675(3), 641.3922(3) FS. History-New 3-2-00, Amended 4-2-01, 1-20-03, Formerly 4-149.202.
(b) Preferred provider organization (“”PPO””)/exclusive provider organization (“”EPO””) policies; and,
(c) Health maintenance organization (“”HMO””) contracts.
(2) The standard risk rates for a particular county are determined by multiplying the standard risk rate schedule times the appropriate county factor.
(3) Standard risk rates are provided for the Standard Health Benefit Plan pursuant to Florida Statutes § 627.6699(12), outlined in Fl. Admin. Code R. 69O-149.204
(4) Standard risk rates reflect the predominant rates charged in the market for newly issued coverage.
Rulemaking Authority 624.308, 627.6675(3)(c) FS. Law Implemented 624.307(1), 627.6498(4), 627.6675(3), 641.3922(3) FS. History-New 3-2-00, Amended 4-2-01, 1-20-03, Formerly 4-149.202.