The enclosed rate filing is submitted for our Short-Term Care Insurance product for your review and approval. The rates submitted under the Rate Schedule tab are new. 

 

This product is being filed with an anticipated target date for product availability of 3/1/2012.

2012 Monumental Life Insurance Company Annual Medicare Supplement Rate Filing for Standard Individual Policy Form (s) : MS4000IPM-A, MS4000IMP-C, MS4000IPM-J 

 

Enclosed is our rate submission for the benefits contained in the Standardized Medicare Supplement plans. This rate revision would be effective the first day of the month following 60 days from the effective date of the approval.

Catastrophic Disability Rider

 

The rider is new and is not intended to replace any previously approved form. The policy form is submitted in a separate filing. 

 

The Rider provides for an additional monthly benefit if disability is determined to be a Catastrophic Disability as defined in the rider. The Rider can be added to the policy at or after issue. 

  

The Rider is intended for use with the previously approved Disability Income Policy Forms, 11DI-1 and 11DI-2, approved on June 17, 2011, and any future approved Disability Income Policies.

Berkley Life and Health Insurance Company wishes to submit the enclosed Blanket Accident and Sickness insurance actuarial information for review and approval. The forms are new and are not intended to replace any existing forms previously filed and approved by Department. 

 

Upon approval by the Department, the marketing will be through licensed producers. All marketing methods will always be employed in accordance with state law and regulation. 
This is a blanket student accident and sickness program which provides coverage to college students for certain expenses incurred from injury or sicknesses while enrolled in college. Upon approval the Policy will be issued to colleges on a blanket basis and will be available to eligible students. Spouse and dependent coverage will also be available for additional premiums. This is a limited duration, nonrenewable policy. 

 

The forms were submitted and are under review under BLAH-127878590.

This product provides coverage for losses due to accidents only. 

The product will be marketed through individual mailers or through other affinity marketing, such as associations and also through agents as standalone coverage to individuals at the workplace and through the internet. The application will be placed on our website upon approval.

Rates for the Group Short Term Medical Policy (Form 54.402) that was approved on June 16, 2011 under SERFF Tracking number: MCHU-127198929. At the time the rates were approved, our client was instructed that maternity could not be excluded for short term duration health policies, and thus the rates did not include a factor for maternity benefits. 

 

Our client understands that the Insurance Director has made a change in policy and that short term duration health policies are no longer required to cover maternity. At this time, our client would like to submit revised actuarial information for your review in light of this change.

This medical rate filing duplicates the rate filing recently submitted for Connecticut General Life Insurance Company. Please note the CIGNA Health and Life Insurance Company is a direct, wholly owned subsidiary of Connecticut General Life Insurance Company. 

 

We currently do not have experience for CIGNA Health and Life Insurance Company. We are filing an updated rate methodology in order to keep rates consistent with Connecticut General Life Insurance Company. We anticipate that the book of business with CIGNA Health and Life Insurance Company will be very similar to the book of business with Connecticut General Life Insurance Company.

This filing is for a rate increase for the Critical Illness Policy form number 70620 and 70622. This is the first rate change for this policy. This change is for new business issued on or after 4/1/2012 or as soon as system modifications are available. Current in force business will not be impacted by this change. 

There are two modifications to the rates. The current premiums are set up in 10 year age bands. The first change is to break these age bands into 5 year age bands. This results in a decrease for the first 5 years of the 10 age band and an increase for the last 5 years of the 10 year age band. 

The second change is to add a flat $30 to each policy. This change is being added to ensure expense coverage at all face amounts.

The purpose of this filing is to introduce schedule rating. Currently, rating plan does not afford the underwriter any judgment which can be exercised at the account level. As we have written this business, our underwriters have identified meaningful and useful attributes which help to identify differences account to account. Through discussions with our Underwriting team, we have judgmentally selected underwriting characteristics that reflect differences in loss propensity. 

As previously indicated in our original filing, which was reviewed and approved by your Department under SERFF Tracking Number 6EWPCY527 on 09-07-2005, the Blanket Occupational Accident Reimbursement Policy is an accidental death and/or dismemberment policy.

The above referenced rates for the company’s Stop Loss program, for employers who self-fund an employee medical benefit plan, are being submitted on behalf of White Mountains Reinsurance Company of America for your review and approval. These rates are new and will not replace any rates currently on file with your department. The forms are being filed concurrently under SERFF Tracking No. SKML-127624766. 

 

This Stop Loss program is intended to protect the Contractholder from catastrophic losses when the plan's claim exceed a defined threshold. Benefits are provided for specific stop loss, aggregate stop loss, or both. This program does not provide benefits to individual employee members or their dependents. Premiums are paid by, and benefits are payable to, the Contractholder and not the individual employee member or dependent. Excess stop loss coverage is not "health insurance coverage" as defined under the federal Health Insurance Portability and Accountability Act (HIPPA) and is therefore not subject to the requirements of HIPPA. This product will be marketed by licensed agents and brokers. 
Form WMRE SL1 (07/11) - Aggregate and Specific Medical Excess Risk Insurance: This coverage provides stop loss insurance for an employer's self-funded medical plan for its employees.

This filing represents revised premium rates for Aetna’s Essential Premier Health Insurance plans, with premium rates increased for annual medical cost trend. The rates in this filing are effective for new business sold on or after January 1, 2012 and existing business renewing on or after January 1, 2012. 

 

Aetna’s Essential Premier Health Insurance plans are available only to members of the American Association of Retired Persons (AARP), and are co-branded with AARP.

02/06/12

Assurant Health is comprised of Time Insurance Company and John Alden Life Insurance Company.  We are submitting identical forms for each company.  The only differences are to the form numbers and company names.   
December 19, 2011 
Revision to rate filing for Major Medical policies TIM.POL.DC 
Time Insurance Company 
NAIC Co. No. 0069477 
Revision to rate filing for Major Medical policies 
JIM.POL.DC 
John Alden Life Insurance Company 
NAIC Co. No. 0065080 
We are revising our New Business rates for policies TIM.POL.DC and JIM.POL.DC in the District of Columbia. A comprehensive actuarial memorandum describing the assumptions underlying this rate filing has been included, as well as experience exhibits and rates. 

This filing applies to non-grandfathered policies. Non-grandfathered plans are defined as plans effective after March 23, 2010. 
The revised new business rates will be effective on or after July 1, 2012, upon your approval. 

As of October 31, 2011, there were 375 policies in force with $1,538,147 in annualized premium in the state, under the forms included within this filing. 
The forms represented in this filing are an open block of business in DC. 

Under SERFF tracking number ZURC-127628392 we attached for your review new riders for use with the Blanket Accident Insurance product, previously filed with and authorized by your Department. As previously indicated, the Blanket Accident Insurance product and these new riders will be marketed to all statutorily eligible School/Educational Institution groups in your state consisting of two (2) or more individuals. 

 

The Blanket Accident Insurance product and these riders may be marketed through brokers, consultants, third party administrators and sales employees. 

 

This filing consists of the actuarial memorandum and rating structure for this product. The forms are submitted concurrently in SERFF tracking number ZURC-127628392.

02/06/12

Assurant Health is comprised of Time Insurance Company and John Alden Life Insurance Company.  We are submitting identical forms for each company.  The only differences are to the form numbers and company names.  
December 19, 2011 
Revision to rate filing for Major Medical policies TIM.POL.DC 
Time Insurance Company 
NAIC Co. No. 0069477 
Revision to rate filing for Major Medical policies 
JIM.POL.DC 
John Alden Life Insurance Company 
NAIC Co. No. 0065080 
We are revising our New Business rates for policies TIM.POL.DC and JIM.POL.DC in the District of Columbia. A comprehensive actuarial memorandum describing the assumptions underlying this rate filing has been included, as well as experience exhibits and rates. 

This filing applies to non-grandfathered policies. Non-grandfathered plans are defined as plans effective after March 23, 2010. 
The revised new business rates will be effective on or after July 1, 2012, upon your approval. 

As of October 31, 2011, there were 375 policies in force with $1,538,147 in annualized premium in the state, under the forms included within this filing. 
The forms represented in this filing are an open block of business in DC. 

The rate filing requests an aggregate rate change of 42.7% effective on approval  for John Hancock’s Group Long-Term care plan that pays benefits to the certificate holder insured for the following covered services provided to the insured:  Confinement in a Nursing Home or Alternate Care Facility for room, board and care services; Home Health Care, Hospice Care, Respite Care; or Attendance at an Adult Day Care Center providing Adult Day Care

 

It is intended to be a Qualified Long-Term Care Insurance contract under the Federal Internal Revenue Code.

This Large Group rate filing seeks approval for rates for Aetna Life Insurance Company's Optimal Autism Spectrum Disorders Rider. The rider would be sold in conjunction with the Essential Premier Health Insurance PPO plans (available only to members of the American Association of Retired Persons (AARP)) currently filed with DISB. The rate filing would be applicable to all existing and new business, effective January 1, 2012.

- Filing requested District approve rates for non-DC residents

The rate filing requests an increase in rates for individual Cancer Policy Form LR-4818, which also provides a wellness benefit. The proposed rate increase would apply to all new and in-force policies in the United States.

- Not in compliance with HHS 45 CFR 146.145

The rate filing requests approval for group Accident and Sickness coverage (including additional fixed benefit indemnity coverage) to members of the National Congress of Employers. The rate filing is an initial rate filing.

- Not in compliance with HHS 45 CFR 146.145

The rate filing requests approval for Individual Cancer and Specified Disease form HIC-CAN-POL-DC 6/11. An Intensive Care Unit Benefit Rider form HIC-CAN-ICR-DC 6/11 would also be available. The rate filing is an initial rate filing.

- Not in compliance with HHS 45 CFR 146.145

DISB has determined that this is a PPACA filing for Accident Only, Cancer Only and Critical Illness coverages.

- Not in compliance with PPACA

The rate filing requests an aggregate rate decrease of 1.5% for United Healthcare’s Optimum Choice, Inc. HMO and HMO-Plus Major Medical Benefit plans for Large groups (51 or more eligible employees) effective October 1, 2011.

- Carrier did not respond to state in a timely manner.

The rate filing requests an aggregate rate decrease of 1.5% for United Healthcare’s MD – Individual Practice Association (MDIPA) HMO and HMO-Plus Major Medical Benefit plans for Large groups (51 or more eligible employees) effective October 1, 2011.

- Carrier did not respond to state in a timely manner.