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PA Bulletin, Doc. No. 01-1065


Aetna U.S. Healthcare; Group Specific Community Rating (GSCR) Methodology; Rate Filing

[31 Pa.B. 3260]

   On May 31, 2001, Aetna U.S. Healthcare submitted a Group Specific Community Rating (GSCR) Methodology. The filing seeks to modify the currently approved method by (1) decreasing the minimum group size requirement from an average of 250 employees enrolled to an average of 100 enrolled in the HMO; (2) updating all factor tables; (3) changing the rate adjustment cap from +/-5 to +/-12 from renewal to renewal; and (4) changing the minimum enrollment from 3 years to 1 year. This filing will affect large groups in all Aetna U.S. Healthcare service areas and is expected to be revenue neutral.

   This filing is available for public inspection during normal working hours at the Harrisburg, Philadelphia, and Pittsburgh regional offices.

   Interested parties are invited to submit written comments, suggestions or objections to Cherri Sanders-Jones, Actuary, Bureau of Accident & Health Insurance, Insurance Department, 1311 Strawberry Square, Harrisburg, PA 17120, within 30 days after the publication of this notice in the Pennsylvania Bulletin.

Insurance Commissioner

[Pa.B. Doc. No. 01-1065. Filed for public inspection June 15, 2001, 9:00 a.m.]

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