23695371, 69O-191.055 - Florida Administrative Rules, Law, Code, Register

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Florida Department of State and Division of Library and Information Services

Notice: 23695371

Notice of Proposed Rule

Department:

DEPARTMENT OF FINANCIAL SERVICES

Division:

OIR – Insurance Regulation

Chapter:

HEALTH MAINTENANCE ORGANIZATIONS

Overview

RULE:

69O-191.055

Actuarial Memorandum and Definitions

PURPOSE:

The amendments change the manner in which a Health Maintenance Organization’s (HMO) target loss ratio may be increased or reduced.

SUMMARY:

An HMO may increase the target loss ratio for an individual or group policy form if it can justify the proposed change.  An HMO may reduce the target loss ratio of an individual or group policy form upon demonstration and justification of an increase in administrative costs, but the reduction must comply with maximum amounts stated in the rule.

RULEMAKING AUTHORITY:

641.31, 641.36 FS

LAW:

641.22(2), 641.31(2), (3) FS

PRINT PUBLISH DATE:

9/28/2020 Vol. 46/189

COMMENTS:

From 9/28/2020 To 10/19/2020 (21 Days)
The public comment period for this notice has already expired.

REFERENCE MATERIALS:

No reference(s).

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