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PA Bulletin, Doc. No. 03-1475

NOTICES

Highmark Inc. d/b/a Highmark Blue Cross Blue Shield; ClassicBlue Medical Surgical Plan (Western Region); Rate Filing

[33 Pa.B. 3696]

   Effective January 1, 2004, the Preferred Medical Surgical Benefits program in the Western Region will assume the name ClassicBlue Medical Surgical. This has no impact on the rates.

   By filing no. 1-DPMS-03-HBCBS (Department ID no. A71612001), Highmark Inc. d/b/a Highmark Blue Cross Blue Shield requests approval to increase its premium rates for its Direct Pay ClassicBlue Medical Surgical Plan (Western Region). The filing requests an increase of 0.0% for Plan C and 6.8% or $9.18 per contract per month for UCR 100. This will affect about 4,175 UCR 100 contract holders and produce additional annual premium income of about $459,600. For HIPAA and Health Coverage Tax Credit eligibles, the filing requests an increase of 15.20% or $20.51 per contract per month for UCR 100. This will affect about 3,630 contract holders and produce additional annual premium income of about $894,000.

   In addition to the increase in premium rates, the following changes are being made to the ClassicBlue Major Medical Plan:

   *  A deductible of $250 per individual/$750 per family nonaggregate per calendar year is being added.

   *  A lifetime maximum benefit of $5 million per member is being added.

   *  A calendar maximum of $1 million per member is being added.

   The requested effective date of the change is January 1, 2004.

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

   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. 03-1475. Filed for public inspection July 25, 2003, 9:00 a.m.]


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