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PA Bulletin, Doc. No. 03-1656


Capital Advantage Insurance Company; Individual Direct Pay Comprehensive Major Medical Non-HIPAA Program; Rate Filing No. 03-Q

[33 Pa.B. 4254]

   Capital Advantage Insurance Company, a wholly owned subsidiary of Capital Blue Cross, has requested approval to adjust the rates for its Individual Direct Pay Comprehensive Major Medical Non-HIPAA Program. The requested rate increases are as follows:

Current Proposed             Percent
Rates Rates             Increase
Option 2--$750 Deductible
Single $226.35 $265.26 -0.41%
H and W $532.70 $530.52 -0.41%
Parent and Child $364.90 $450.94 23.58%
Parent and Children $364.90 $596.84 63.56%
Family $532.70 $716.20 34.45%
Composite $338.09 $366.20 8.31%
Option 3--$1,500 Deductible
Single $229.26 $223.24-10.10%
H and W $458.52 $446.48 -10.10%
Parent and Child $314.09 $379.51 11.56%
Parent and Children $314.09 $502.29 47.65%
Family $458.52 $602.75 21.37%
Composite $308.99 $334.67 8.31%

   The proposed rate adjustment would affect approximately 3,450 contracts and produce additional annual premium income of $1.1 million. An effective date of January 1, 2004, is requested. Also, the rates reflect the introduction of a three-tier benefit design for prescription drugs and elimination of the reversal of sterilization benefit.

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

   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.

Insurance Commissioner

[Pa.B. Doc. No. 03-1656. Filed for public inspection August 22, 2003, 9:00 a.m.]

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