Rule: 69O-149.005 Prev Up Next
| Rule Title: Reasonableness of Benefits in Relation to Premiums | |||
| Department: | DEPARTMENT OF FINANCIAL SERVICES |
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| Division: | OIR – Insurance Regulation | ||
| Chapter: | FILING OF FORMS AND RATES FOR LIFE/HEALTH INSURANCE | ||
Latest version of the final adopted rule presented in Florida Administrative Code (FAC):
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Effective Date: | 1/17/2024 |
| History Notes: | Rulemaking Authority 624.308(1), 627.410(6)(b), (d), (e) FS. Law Implemented 626.9541(1), 627.410(6)(d), (e), 627.410(7), 627.411(1)(a), (e), 627.9175 FS. History–New 7-1-85, Formerly 4-58.05, 4-58.005, Amended 4-18-94, 11-20-02, Formerly 4-149.005, Amended 5-18-04, 11-2-06, 6-18-07, 10-1-08, 8-15-19, 1-17-24. | |
| References in this version: | No reference(s). |
| Notice / Adopted |
Description | ID | Publish Date |
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Reasonableness of Benefits in Relation to Premiums | 27914774 |
Effective: 01/17/2024 |
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Reasonableness of Benefits in Relation to Premiums | 27804000 |
11/22/2023 Vol. 49/227 |
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To clarify certain tables are also applicable to paid family leave policies. | 27610776 |
9/29/2023 Vol. 49/190 |
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To clarify certain tables are also applicable to pain family leave policies. | 27357121 |
7/24/2023 Vol. 49/142 |
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Reasonableness of Benefits in Relation to Premiums | 22195945 |
Effective: 08/15/2019 |
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The Office of Insurance Regulation is amending rules related to Filing of Forms and Rates for Life/Health Insurance to allow an exemption to .... Wednesday, June 26, 2019, 10:00 a.m. 116 Larson Building, 200 East Gaines Street, Tallahassee, Florida. .... |
21977210 |
6/12/2019 Vol. 45/114 |
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The rules are being amended to allow an exemption to paragraph 14(b) of 69O-149.005 for certain types of plans issued by an insurer, to update the Experience on the Form requirements, and to update the actuarial certification .... | 21640814 |
3/21/2019 Vol. 45/56 |
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The rules are being amended to allow an exemption to paragraph 14(b) of 69O-149.005 for certain types of plans issued by an insurer, to update the Experience on the Form requirements, and to update the actuarial certification .... | 21418005 |
1/22/2019 Vol. 45/14 |
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Metropolitan Life Insurance Company filed a petition for Variance from Rule 69O-149.005(14)(b), F.A.C. on August 9, 2018. The petition requests that the Office extend a variance granted on December 22, 2016, which concerns .... | 21127781 |
11/6/2018 Vol. 44/217 |
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On August 14, 2018, the Office of Insurance Regulation published notice in Volume 44, No. 158, F.A.R., of the filing of a petition for variance received from Metropolitan Life Insurance Company seeking a variance from paragraph .... | 21114492 |
11/2/2018 Vol. 44/215 |
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On August 15, 2018, the Office of Insurance Regulation published notice in Volume 44, No. 159, F.A.R. of the filing of a petition for variance received from Delta Dental Insurance Company seeking a variance from paragraph .... | 20873350 |
9/10/2018 Vol. 44/176 |
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to extend a variance. Petitioner’s Name: Metropolitan Life Insurance Company Rule No.: 69O-149.005(14)(b), F.A.C. Nature of the rule for which variance or waiver is sought: The petition requests that the Office extend .... | 20804092 |
8/21/2018 Vol. 44/163 |
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a variance. Petitioner’s Name: Delta Dental Insurance Company Rule No.: 69O-149.005(14)(b), F.A.C. Nature of the rule for which variance or waiver is sought: The petition requests that the Office grant a variance from .... | 20782461 |
8/15/2018 Vol. 44/159 |
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a variance. Petitioner’s Name: Metropolitan Life Insurance Company Rule No.: 69O-149.005(14)(b), F.A.C. Nature of the rule for which variance or waiver is sought: The petition requests that the Office grant a variance .... | 20777805 |
8/14/2018 Vol. 44/158 |
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A Notice of a filing of a Petition for Variance by Advantica Insurance Company was published on September 21, 2017 in Volume 43, No. 185. A letter withdrawing the Petition for Variance from Fla. Admin. Code Ann. r. 69O-149.005(14)(b) .... | 19723900 |
11/9/2017 Vol. 43/218 |
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On September 28, 2017, National Guardian Life Insurance Company withdrew its request for the Petition for Variance or Waiver from Rule 69O-149.005, F.A.C. Accordingly, this proceeding is dismissed and withdrawn from further .... | 19476162 |
10/2/2017 Vol. 43/190 |
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A Variance from Fla. Admin. Code Ann. r. 69O-149.005(14)(b) from Advantica Insurance Company was received by the Office of Insurance Regulation on September 21, 2017. The petition requests that the Office grant a variance .... | 19441533 |
9/25/2017 Vol. 43/185 |
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Variance from Fla. Admin. Code Ann. r. 69O-149.005(14)(b) from National Guardian Life Insurance Company. The petition requests that the Office grant a variance from the multiple year rate guarantee or rating cap provision .... | 19307091 |
8/17/2017 Vol. 43/160 |
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Amendments update statutory references, edits requirements for Stop-loss insurance and updates the applicable actuarial standards to be used in the Actuarial Memorandum. | 19174395 |
7/12/2017 Vol. 43/134 |
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On December 5, 2016, Petitioners Humana Insurance Company and CompBenefits Company filed a Petition for Variance from Rule 69O-149.005(14)(b), F.A.C. On or about January 4, 2017, the Petitioners withdrew the Petition for .... | 18564168 |
2/3/2017 Vol. 43/23 |
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Metropolitan Life Insurance Company filed a petition for Variance from Fla. Admin. Code Ann. r. 69O-149.005(14)(b) on July 22, 2016. The petition requested that the Office grant a variance from the multiple year rate guarantee .... | 18408192 |
12/27/2016 Vol. 42/249 |
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Variance from Fla. Admin. Code Ann. r. 69O-149.005(14)(b) from Humana Insurance Company and CompBenefits Company. The petition requests that the Office grant a variance from the multiple year rate guarantee or rating cap .... | 18376473 |
12/16/2016 Vol. 42/243 |
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Variance from Fla. Admin. Code Ann. r. 69O-149.005(14)(b) from Metropolitan Life Insurance Company. The petition requests that the Office grant a variance from the multiple year rate guarantee or rating cap provision that .... | 17816395 |
7/28/2016 Vol. 42/146 |
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The rule workshop has been cancelled. March 1, 2013 at 10:30 a.m. 116 Larson |
12666277 |
2/20/2013 Vol. 39/35 |
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Rule 69O-149.005(14) currently permits insurers that meet certain conditions to issue multi-year rate guarantees. One such condition is that a rate guarantee cannot apply for greater than 24 months. The Office is proposing .... | 12649205 |
2/15/2013 Vol. 39/32 |
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To provide more pooling of cancer forms and to make a few clarifications to existing provisions. | 7040374 |
4/24/2009 Vol. 35/16 |
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Reasonableness of Benefits in Relation to Premiums | 17395997 |
Effective: 10/01/2008 |
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Reasonableness of Benefits in Relation to Premiums | 6182894 |
Effective: 10/01/2008 |
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Rate Filing Procedures, Reasonableness of Benefits in Relation to Premiums, Annual Rate Certification (ARC) Filing Procedures | 6044378 |
8/29/2008 Vol. 34/35 |
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America’s Health Insurance Plans, Inc.’s and Florida Insurance Council vs. Financial Services Commission and Office of Insurance Regulation; Case No.: 08-3297RP; Rule No.: 69O-149.003, 69O-149.005, 69O-149.007; Dismissed | 5983268 |
8/8/2008 Vol. 34/32 |
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America’s Health Insurance Plans, Inc.’s and Florida Insurance Council vs. Financial Services Commission and Office of Insurance Regulation; Case No.: 08-3297RP; Rule No.: 69O-149.003, 69O-149.005, 69O-149.007; Petition | 5981522 |
8/8/2008 Vol. 34/32 |
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This is the Final Public Hearing on the adoption of proposed amendments to Rule 69O-149.003,.005,.007, Florida Administrative Code, published .... August 12, 2008 9:00 a.m. Cabinet Meeting Room, Lower Level, The Capitol, Tallahassee, .... |
5865898 |
7/18/2008 Vol. 34/29 |
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This is the Final Public Hearing on the adoption of proposed amendments to Rule 69O-149.0025,.005,.006, Florida Administrative Code, published .... August 12, 2008, 9:00 a.m., Cabinet Meeting Room, Lower Level, The Capitol, Tallahassee, .... |
5860757 |
7/18/2008 Vol. 34/29 |
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To provide more pooling of cancer forms and to make a few clarifications to existing provisions. | 5609818 |
5/30/2008 Vol. 34/22 |
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To answer questions on health rate filings. | 5609236 |
5/30/2008 Vol. 34/22 |
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Rate Filing Procedures, Reasonableness of Benefits in Relation to Premiums, Annual Rate Certification (ARC) Filing Procedures | 4777849 |
11/2/2007 Vol. 33/44 |
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The purpose of the rule is to establish standards for ascertaining the reasonableness of benefits in relation to premium rates. | 4633707 |
9/21/2007 Vol. 33/38 |
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Reasonableness of Benefits in Relation to Premiums | 4258026 |
Effective: 06/18/2007 |
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To provide guidelines for insurers to ensure the rates charged are reasonable. | 4154333 |
5/18/2007 Vol. 33/20 |
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This is the Final Public Hearing on the adoption of proposed amendments to Rule 69O-149.005, Florida Administrative Code, published on December .... April 17, 2007 at 9:00 a.m., during a regular meeting of the .... Cabinet Meeting Room, Lower Level, The Capitol, Tallahassee, .... |
3931718 |
3/30/2007 Vol. 33/13 |
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Reasonableness of Benefits in Relation to Premiums | 3843157 |
3/9/2007 Vol. 33/10 |
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To implement guidelines for multiple year rate guarantees for health insurance. | 3220029 |
12/22/2006 Vol. 32/51 |
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Reasonableness of Benefits in Relation to Premiums | 3087721 |
Effective: 11/02/2006 |
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To implement guidelines for multiple year rate guarantees. | 586867 |
8/11/2006 Vol. 32/32 |
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Reasonableness of Benefits in Relation to Premiums, Actuarial Memorandum, Annual Rate Certification (ARC) Filing Procedures | 492486 |
7/14/2006 Vol. 32/28 |
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: The rule interprets, clarifies and implements the related statutes for Reasonableness of Benefits in Relation to Premiums; establishes ARC filing procedures; and requires the experience exhibit in the actuarial memorandum .... | 274139 |
4/28/2006 Vol. 32/17 |
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To interpret, clarify and implement the related statutes for Reasonableness of Benefits in Relation to Premiums; ARC filing procedures; and to require the experience exhibit in the actuarial memorandum be in an Excel document..... | 78975 |
2/3/2006 Vol. 32/05 |
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Reasonableness of Benefits in Relation to Premiums | 2764129 |
Effective: 05/18/2004 |
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