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PA Bulletin, Doc. No. 96-1150


Capital Blue Cross; Amendatory Rider to the Basic Blue Cross Contract for: Individual Accounts (Form No. F-899); Community Rated Groups (Form No. F-900); Experience Rated Groups (Form No. F-901); Incorporating the Out-of-Area Claims Program ''BlueCard'' into the Individual Account and Group Contracts and the Out-of-Area Resident Program into the Experience Rated Group Contracts Only; Filing No. 96-U

[26 Pa.B. 3382]

   By filing no. 96-U, Capital Blue Cross proposes to amend group and individual account contracts to include the BlueCard Program and the Out-of-Area Resident Program. The BlueCard Program allows Members to receive Covered Services from Participating Providers located outside the geographic area served by the Plan.

   While the Out-of-Area Resident program, which will be included in Experience Rated Group Contracts only, allows Members whose residence is not located in the geographic area which is served by the Plan to receive benefits, in whole or in part, by another Blue Cross and/or Blue Shield Plan which serves the geographic area in which the residence is located. An effective date of January 1, 1997, is requested. The form filing consists of ten pages.

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

   Interested parties are invited to submit written comments, suggestions or objections, to Richard W. Stoner, Policy Examiner, Insurance Department, Office of Rate and Policy Regulation, Bureau of Accident and Health Insurance, 1311 Strawberry Square, Harrisburg, PA 17120, within 30 days of publication of this notice in the Pennsylvania Bulletin.

Insurance Commissioner

[Pa.B. Doc. No. 96-1150. Filed for public inspection July 12, 1996, 9:00 a.m.]

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