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-149.206 - Preferred Provider/Exclusive Provider Standard Risk Rates

Current through Reg. 50, No. 138; July 16, 2024
(1) The table below provides the standard
				annual risk rates for PPO/EPO plans for the FCHA and Standard Health 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.
(4) Standard risk rates for coverage
				providing benefits as defined in section
				627.6498, F.S. (FCHA plan),
				shall multiply the standard risk rates identified herein by .96.
STANDARD HEALTH BENEFIT PLAN
Age
Male
Female
County
Area Factor
0
$2,269.71
$2,205.88
Alachua
0.70
1
$2,269.71
$2,205.88
Baker
0.78
2
$1,862.25
$1,831.86
Bay
0.80
3
$1,646.48
$1,616.10
Bradford
0.82
4
$1,524.94
$1,464.16
Brevard
0.93
5
$1,464.16
$1,339.66
Broward
1.41
6
$1,400.43
$1,218.11
Calhoun
0.75
7
$1,339.66
$1,126.95
Charlotte
0.95
8
$1,278.88
$1,032.73
Citrus
0.72
9
$1,248.50
$1,032.73
Clay
0.80
10
$1,278.88
$1,063.12
Collier
0.93
11
$1,309.27
$1,126.95
Columbia
0.80
12
$1,339.66
$1,218.11
Dade
1.30
13
$1,445.38
$1,401.89
De Soto
0.74
14
$1,569.89
$1,526.40
Dixie
0.69
15
$1,661.05
$1,647.95
Duval
0.94
16
$1,782.60
$1,769.49
Escambia
0.77
17
$1,846.43
$1,868.63
Flagler
0.86
18
$1,677.62
$1,731.60
Franklin
0.75
19
$1,729.06
$1,833.53
Gadsden
0.75
20
$1,779.55
$1,938.77
Gilchrist
0.75
21
$1,856.45
$2,067.93
Glades
0.98
22
$1,911.43
$2,205.39
Gulf
0.76
23
$1,963.55
$2,315.98
Hamilton
0.77
24
$2,015.45
$2,431.51
Hardee
0.80
25
$2,067.34
$2,528.50
Hendry
0.97
26
$2,119.01
$2,592.34
Hernando
0.85
27
$2,176.62
$2,653.36
Highlands
0.71
28
$2,257.50
$2,718.82
Hillsborough
0.82
29
$2,316.80
$2,786.17
Holmes
0.75
30
$2,372.69
$2,833.44
Indian River
0.92
31
$2,436.98
$2,879.75
Jackson
0.77
32
$2,506.76
$2,954.83
Jefferson
0.75
33
$2,578.54
$3,031.05
Lafayette
0.78
34
$2,649.40
$3,082.98
Lake
0.90
35
$2,741.76
$3,134.92
Lee
0.97
36
$2,816.34
$3,188.48
Leon
0.79
37
$2,898.23
$3,246.48
Levy
0.80
38
$2,974.23
$3,279.60
Liberty
0.75
39
$3,052.57
$3,329.10
Madison
0.79
40
$3,129.28
$3,390.47
Manatee
0.91
41
$3,201.52
$3,480.97
Marion
0.77
42
$3,307.34
$3,602.71
Martin
0.94
43
$3,405.57
$3,738.45
Monroe
1.30
44
$3,504.04
$3,875.01
Nassau
0.85
45
$3,620.45
$4,027.23
Okaloosa
0.76
46
$3,743.36
$4,186.98
Okeechobee
0.97
47
$3,867.57
$4,332.64
Orange
0.90
48
$4,044.14
$4,487.03
Osceola
0.91
49
$4,254.26
$4,647.82
Palm Beach
1.00
50
$4,484.29
$4,817.80
Pasco
0.90
51
$4,712.62
$4,964.22
Pinellas
0.87
52
$4,992.07
$5,108.97
Polk
0.84
53
$5,243.22
$5,219.95
Putnam
0.81
54
$5,532.82
$5,375.90
St. Johns
0.77
55
$5,798.51
$5,533.46
St. Lucie
0.99
56
$6,114.18
$5,718.08
Santa Rosa
0.77
57
$6,471.97
$5,933.22
Sarasota
0.76
58
$6,819.70
$6,156.54
Seminole
0.92
59
$7,192.79
$6,400.67
Sumter
0.81
60
$7,454.79
$6,678.58
Suwannee
0.82
61
$7,701.77
$6,911.27
Taylor
0.79
62
$7,900.57
$7,143.56
Union
0.79
63
$8,070.52
$7,316.73
Volusia
0.92
64
$8,206.71
$7,426.21
Wakulla
0.75
65
$8,758.12
$7,836.62
Walton
0.76
66
$8,793.24
$7,867.77
Washington
0.76
67
$8,851.33
$7,900.07
68
$8,929.30
$7,940.58
69
$9,007.04
$7,983.68
70
$9,085.01
$8,023.71
71
$9,162.51
$8,064.69
72
$9,244.24
$8,109.88
73
$9,318.22
$8,145.70
74
$9,388.96
$8,183.89
75
$9,463.41
$8,224.62
76
$9,537.41
$8,257.64
77
$9,611.39
$8,296.75
78
$9,648.63
$8,348.73
79
$9,685.87
$8,400.24
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
					 4-149.206, Amended 5-18-04, 5-22-05, 6-1-06, 8-23-07,
					 10-29-08.