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PA Bulletin, Doc. No. 05-906

NOTICES

Blue Cross of Northeastern Pennsylvania and Highmark Blue Cross Blue Shield; Nongroup Major Medical Plan No. 949-MMNG-10/1/05; Rate Filing

[35 Pa.B. 2832]

   On April 14, 2005, the Insurance Department (Department) received a filing from Blue Cross of Northeastern Pennsylvania and Highmark Blue Cross Blue Shield to increase the premium rate for its Direct Pay Major Medical Plan. The current $500 deductible/20% coinsurance benefit option will no longer be offered. This option will be replaced with two new benefit options:

   *  Option No. 1 requires a $500 deductible on non-Rx services and a separate $500 deductible on Rx services, 20% coinsurance on non-Rx services, and a copay of $10 for generic drugs, $25 copay for brand formulary drugs and $45 copay on brand nonformulary drugs.

   *  Option No. 2 requires a $500 deductible on non-Rx services and a separate $500 deductible on Rx services, 30% coinsurance on non-Rx services, and a copay of $10 for generic drugs, $25 copay for brand formulary drugs and $45 copay on brand nonformulary drugs.

   The rate increase for Option No. 1 is 6.09% and 2.03% for Option No. 2. The proposed effective date is October 1, 2005, and will impact approximately 5,937 subscribers. The increase will generate additional annual revenue of $0.85 million if all subscribers convert to Option No. 1.

   Unless formal administrative action is taken prior to July 13, 2005, the subject filing may be deemed approved by operation of law.

   A copy of the filing is available on the Department's website: 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 Cherri Sanders-Jones, Insurance Department, Insurance Product Regulation and Market Enforcement, Room 1311, Strawberry Square, Harrisburg, PA 17120, csandersjo@state.pa.us within 30 days after publication of this notice in the Pennsylvania Bulletin.

M. DIANE KOKEN,   
Insurance Commissioner

[Pa.B. Doc. No. 05-906. Filed for public inspection May 6, 2005, 9:00 a.m.]


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