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PA Bulletin, Doc. No. 08-1549


Blue Cross of Northeastern Pennsylvania; Blue- Care Cooperative Plan; Rate Filing

[38 Pa.B. 4700]
[Saturday, August 23, 2008]

   On August 8, 2008, Blue Cross of Northeastern Pennsylvania submitted a rate filing (#1426-BCNGCOOP-1/1/09) to increase the premium rates for the BlueCare Cooperative Plan by approximately 17.5%. This will affect approximately 6,833 subscribers and produce additional premium income of about $3.1 million annually. The requested effective date of the change is January 1, 2009.

   Blue Cross of Northeastern Pennsylvania has also proposed the following benefit changes:

   *  Increase the diagnostic testing copay for MRI's, MRA's, CAT Scans and other high cost radiology tests from $15 to $75.

   *  Add an emergency room copay of $75.

   *  Move the coverage for oxygen equipment and supplies from the Major Medical plan to the Cooperative plan.

   *  Change preexisting look back from 5 years to 1 year.

   The previous benefit changes are estimated to reduce medical cost by 0.7%. The rate increase without the benefit changes would have been 18.2%.

   Unless formal administrative action is taken prior to November 6, 2008, the subject filing may be deemed approved by operation of law.

   A copy of the filing is available on the Insurance Department's (Department) web site at www.ins. To access the filing, under ''Quick Links'' click on ''Rate Filings Published in the PA Bulletin.''

   A copy of the filing is also available for public inspection, by appointment, during normal working hours at the Department's Harrisburg Regional office.

   Interested parties are invited to submit written or email comments, suggestions or objections to Cherri Sanders-Jones, Insurance Department, Insurance Product Regulation, 1311 Strawberry Square, Harrisburg, PA 17120, within 30 days after publication of this notice in the Pennsylvania Bulletin.

Insurance Commissioner

[Pa.B. Doc. No. 08-1549. Filed for public inspection August 22, 2008, 9:00 a.m.]

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