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PA Bulletin, Doc. No. 00-110


Highmark Inc. Requesting Approval to Increase Base Rates for Community Group Medical/Surgical; Filing No. 1-CGMS-99-HI

[30 Pa.B. 346]

   By filing No. 1-CGMS-99-HI, Highmark Inc., d/b/a Highmark Blue Cross Blue Shield and Pennsylvania Blue Shield, requests approval to increase its base rates for its Community Group Rated Medical/Surgical business. Rates vary by agent plan region and surgical allowance schedule to reflect differences in claim costs and expenses. The filing requests an overall average increase of about 26.7% of developed premium. Increases will also vary by agent plan region and surgical allowance schedule. This will affect about 73,100 contractholders and produce additional base premium income of about $20.5 million. The requested effective date of the change is April 1, 2000. The detail of the requested increase by region and fee schedule versus UCR is shown in the following table.

% In-Con-
Region crease tracts
Capital Blue Cross Fee 28.9%   1,800
UCR 25.4% 35,000
Independence Blue Cross Fee 46.2%   1,200
UCR 25.5% 10,100
Highmark Blue Cross Fee 35.6%      200
Blue ShieldUCR 11.6%   4,300
Blue Cross of Northeast PA Fee 59.2%   1,600
UCR 31.1% 19,000
Total Fee 44.5%   4,800
UCR 26.1% 68,300

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

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

Insurance Commissioner

[Pa.B. Doc. No. 00-110. Filed for public inspection January 14, 2000, 9:00 a.m.]

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