(1) Standard risk rates, pursuant to the provisions of Section 627.6675(3), F.S., are provided for the following “categories of coverages”:
- (a) Indemnity policies;
- (b) Preferred provider organization (“PPO”)/exclusive provider organization (“EPO”) policies; and,
- (c) Health maintenance organization (“HMO”) contracts.
- (2) The standard risk rates for a particular county are determined by multiplying the standard risk rate schedule times the appropriate county factor.
- (3) Standard risk rates are provided for the Standard Health Benefit Plan pursuant to Section 627.6699(12), F.S., outlined in Rule 69O-149.204, F.A.C.
- (4) Standard risk rates reflect the predominant rates charged in the market for newly issued coverage.
Rulemaking Authority 624.308, 627.6675(3)(c) FS. Law Implemented 624.307(1), 627.6498(4), 627.6675(3), 641.3922(3) FS. History–New 3-2-00, Amended 4-2-01, 1-20-03, Formerly 4-149.202.