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PA Bulletin, Doc. No. 05-740

NOTICES

INSURANCE DEPARTMENT

Blue Cross of Northeastern Pennsylvania; Non-Group Basic Conversion and Direct Enrollment Program; Rate Filing

[35 Pa.B. 2364]

   On April 1, 2005, Blue Cross of Northeastern Pennsylvania submitted Filing No. 946-BCNGBASE-10/1/05 requesting the Insurance Department's (Department) approval to increase the current monthly rates for the Blue Cross Non-Group Basic Conversion and Direct Enrollment Rated Program. In this filing, Blue Cross of Northeastern Pennsylvania has proposed to replace the current benefit plan with two new plans. The proposed rate changes are 25.37% for the 80% coinsurance benefit option (Option No. 1) and 14.65% for the 70% coinsurance benefit option (Option No. 2).

   Blue Cross of Northeastern Pennsylvania also proposes to make the following benefit changes in both the options: increasing Inpatient Copay/Admission from $100 to $500, eliminating the $25/day (15-day maximum) copay and adding a maximum out-of-pocket of $10,000.

   The projected number of contracts per month during the October 1, 2005, to December 31, 2006, period is approximately 8,275. If all the contracts were to enroll in Option No. 1, the 25.37% increase will generate approximately $4.6 million of additional annual revenue. If all the contracts were to enroll in Option No. 2, the 14.65% increase will generate approximately $2.6 million of additional annual revenue. An effective date of October 1, 2005 is requested.

   A copy of the filing is available on the Department's website 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 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. 05-740. Filed for public inspection April 15, 2005, 9:00 a.m.]


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