30043633, 69O-149.0025 - Florida Administrative Rules, Law, Code, Register

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Florida Department of State and Division of Library and Information Services

Notice: 30043633

Notice of Proposed Rule

Department:

DEPARTMENT OF FINANCIAL SERVICES

Division:

OIR – Insurance Regulation

Chapter:

FILING OF FORMS AND RATES FOR LIFE/HEALTH INSURANCE

Overview

RULE:

69O-149.0025

Definitions

PURPOSE:

The primary reason for the proposed change is have Medicare Supplement rate filings be considered a medical expense, such that it would be subject to Rule 69O-149.0025(6)(f), F.A.C., where Florida experience and medical trend are considered when determining rate increases. Currently, companies utilize nationwide experience in conjunction with Florida experience and medical trend to propose rate increases. However, nationwide experience is not an “apples-to-apples” comparison with Florida experience because Florida uses a different rating basis than most states. Additionally, even the other states that use the same rating basis as Florida oftentimes have meaningful rating differences when compared to Florida, making nationwide experience unreasonable to use to justify Florida rate changes.

SUMMARY:

Amending 69O-149.0025(15), F.A.C., to have Medicare Supplement be considered a Medical Expense product under Rule 69O-149.0025(15), F.A.C., which will subject it to subsection (6)(f). Also, repealing subsection (c) defining Medicare Supplement for policy form purposes.  Section (6)(b)(1) is also amended to clarify that disability with benefit periods of less than 24 months is not considered low expected frequency.

RULEMAKING AUTHORITY:

624.308(1), 627.410(6)(b), (e) FS.

LAW:

627.410(1), (2), (6), 627.411(1)(e) FS.

PRINT PUBLISH DATE:

10/6/2025 Vol. 51/194

COMMENTS:

From 10/6/2025 To 10/27/2025 (21 Days)

REFERENCE MATERIALS:

No reference(s).

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