Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-149 - FILING OF FORMS AND RATES FOR LIFE/HEALTH INSURANCE › Section 69O-149.207 - Health Maintenance Organization Standard Risk Rates

Current through Reg. 50, No. 138; July 16, 2024
(1) The table below provides the standard
				annual risk rates for HMO plans for the Standard Benefit Plan. The 200%
				standard risk rate referenced in section
				627.6675(3)(a),
				F.S., is determined by multiplying each value in the table by the factor
				2.0.
(2) To determine the rate for
				a particular county, multiply the rate schedule below by the appropriate area
				factor.
(3) Standard risk rates for
				coverage providing benefits coordinating with or otherwise considering coverage
				under Medicare, parts A and B, shall be determined by multiplying the standard
				risk rates identified herein by .278.
STANDARD HEALTH BENEFIT PLAN
Age
Male
Female
County
Area Factor
0
$5,258.45
$5,250.04
Alachua
1.04
1
$2,968.48
$2,960.07
Baker
1.06
2-6
$2,909.90
$2,901.49
Bay
0.90
7-12
$2,822.45
$2,814.04
Bradford
1.04
13-17
$2,972.73
$2,964.33
Brevard
0.94
18
$2,549.95
$4,120.85
Broward
1.00
19
$2,570.16
$4,301.90
Calhoun
0.90
20
$2,610.13
$4,382.36
Charlotte
0.99
21
$2,630.36
$4,472.30
Citrus
0.92
22
$2,670.38
$4,539.11
Clay
1.06
23
$2,729.45
$4,663.20
Collier
0.90
24
$2,776.56
$4,759.79
Columbia
1.04
25
$2,819.35
$4,883.42
Dade
1.00
26
$2,899.75
$5,051.05
De Soto
0.90
27
$2,983.75
$5,227.91
Dixie
1.04
28
$3,047.19
$5,290.86
Duval
1.06
29
$3,150.59
$5,242.98
Escambia
1.08
30
$3,236.87
$5,247.52
Flagler
0.90
31
$3,279.13
$5,177.31
Franklin
0.90
32
$3,340.11
$5,172.07
Gadsden
0.90
33
$3,402.20
$5,136.91
Gilchrist
1.05
34
$3,444.91
$5,106.34
Glades
0.90
35
$3,532.78
$5,128.20
Gulf
0.90
36
$3,580.77
$5,108.61
Hamilton
0.90
37
$3,649.52
$5,085.24
Hardee
0.84
38
$3,748.38
$5,099.53
Hendry
0.96
39
$3,815.47
$5,111.88
Hernando
1.03
40
$3,923.62
$5,139.24
Highlands
0.84
41
$4,003.19
$5,186.08
Hillsborough
1.01
42
$4,102.20
$5,276.71
Holmes
0.90
43
$4,235.88
$5,400.47
Indian River
0.90
44
$4,359.59
$5,523.74
Jackson
0.90
45
$4,486.17
$5,621.99
Jefferson
0.90
46
$4,682.63
$5,747.05
Lafayette
0.90
47
$4,872.08
$5,874.81
Lake
0.94
48
$5,109.97
$5,986.94
Lee
1.01
49
$5,341.56
$6,117.55
Leon
0.90
50
$5,598.42
$6,278.89
Levy
1.04
51
$5,909.83
$6,447.58
Liberty
0.90
52
$6,253.14
$6,612.37
Madison
0.90
53
$6,590.04
$6,778.15
Manatee
1.06
54
$6,966.54
$6,965.19
Marion
0.97
55
$7,360.26
$7,102.09
Martin
1.02
56
$7,730.02
$7,258.77
Monroe
0.90
57
$8,099.29
$7,390.68
Nassau
1.06
58
$8,615.15
$7,721.59
Okaloosa
1.05
59
$9,149.91
$8,070.04
Okeechobee
0.94
60
$9,714.17
$8,467.78
Orange
0.94
61
$10,192.09
$8,914.29
Osceola
0.96
62
$10,667.92
$9,373.20
Palm Beach
1.06
63
$11,239.30
$9,927.57
Pasco
1.01
64
$11,819.57
$10,475.54
Pinellas
1.01
65
$14,318.73
$12,839.86
Polk
1.15
66
$14,377.66
$12,885.56
Putnam
1.01
67
$14,436.21
$12,930.98
St. Johns
1.06
68
$14,494.23
$12,975.97
St. Lucie
1.01
69
$14,551.64
$13,020.50
Santa Rosa
1.08
70
$14,608.25
$13,064.41
Sarasota
1.07
71
$14,663.96
$13,107.62
Seminole
0.97
72
$14,718.64
$13,150.03
Sumter
0.97
73
$14,772.15
$13,191.51
Suwannee
0.94
74
$14,824.35
$13,232.00
Taylor
0.90
75
$14,875.09
$13,271.34
Union
0.90
76
$14,924.27
$13,309.50
Volusia
1.00
77
$14,971.75
$13,346.31
Wakulla
0.90
78
$15,017.41
$13,381.72
Walton
1.07
79
$15,061.10
$13,415.60
Washington
0.90
Rulemaking Authority 624.308, 627.6675(3)(c) FS. Law
					 Implemented 624.307(1), 627.6498(4), 627.6675(3), 641.3922(3)
					 FS.
New 3-2-00, Amended 4-2-01, 4-17-02, 1-20-03, Formerly
					 4-149.207, Amended 5-18-04, 5-22-05, 6-1-06, 8-23-07,
					 10-29-08.