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COMMONWEALTH OF PENNSYLVANIA

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PA Bulletin, Doc. No. 03-1570

NOTICES

HIGHMARK Inc. d/b/a Highmark Blue Shield; ClassicBlue Medical Surgical Plan (Central Region); Rate Filing

[33 Pa.B. 4043]

   By Filing No. 200317 (Department ID No. A71976001), HIGHMARK Inc. d/b/a Highmark Blue Shield requests approval for the following changes to the ClassicBlue Medical Surgical Plan (previously Direct Pay Medical Surgical Plan):

   *  A deductible of $250 per individual/$750 per family nonaggregate per calendar year is being added.

   *  A lifetime maximum benefit of $5 million per member is being added.

   *  A calendar maximum of $1 million per member is being added.

   The filing does not request any change in rates. The benefit changes will affect about 460 contract holders and produce additional annual premium income of $0. The requested effective date of the change is January 1, 2004.

   Copies of the filing are available for public inspection during normal working hours, by appointment, at the Insurance Department's regional offices in Harrisburg and Pittsburgh.

   Interested parties are invited to submit written comments, suggestions or objections to Rashmi Mathur, Actuary, Bureau of Accident and Health Insurance, Insurance Department, 1311 Strawberry Square, Harrisburg, PA 17120 within 30 days after publication of this notice in the Pennsylvania Bulletin.

M. DIANE KOKEN,   
Insurance Commissioner

[Pa.B. Doc. No. 03-1570. Filed for public inspection August 8, 2003, 9:00 a.m.]



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