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Florida Office of Insurance Regulation Accident & Health Rate Change Summary Calendar Year 2011

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Page 1: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Florida Office of Insurance Regulation

Accident & Health

Rate Change

Summary

Calendar Year 2011

Page 2: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

21ST CENTURY PREMIER INSURANCE COMPANY 22-1721971 20796

FLR 11-09271 6/9/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Group Medicare Supplement Prestandardized

Reported Policies

13

10-82-316 (1CMC)Form/Plan10-82-316 (1COR)Form/Plan10-82-316 (1MCRA)Form/Plan10-82-316 (1MCRN)Form/Plan10-82-398 (1C65 w Rx)Form/Plan10-82-398 (1CMD)Form/Plan10-82-398 (1COM)Form/Plan10-82-398 (1M65)Form/Plan10-82-398 (1MAT)Form/Plan10-82-460 (1AHCI)Form/Plan10-82-460 (1CP1)Form/Plan10-82-460 (1MA4)Form/Plan10-82-460 (1MA5)Form/Plan10-82-460 (1MA6)Form/Plan10-82-460 (1MS2)Form/Plan10-82-460 (1MS3)Form/Plan10-82-460 (1MSA100)Form/Plan10-82-460 (1MSA50)Form/Plan10-82-460 (1MSC1FL)Form/Plan10-82-460 (1MSP)Form/Plan10-82-460 (1MSPNFI)Form/Plan10-82-460 (1MSPPAI)Form/Plan10-82-460 (1MSS)Form/Plan10-82-460 (3CAM)Form/Plan10-82-460 (3MSGWB)Form/Plan10-82-460 (3MSKAB)Form/Plan10-82-460 (GMGIM)Form/Plan10-82-460 (GMGIM3)Form/Plan10-82-460 (GMUWA)Form/Plan10-82-460 (GMUWE)Form/Plan1-82-398 (1C65 wo Rx)Form/Plan

ABILITY INSURANCE COMPANY 47-0520541 71471

FLR 11-00142 2/16/2011 % Change Allowed 5.60Average Trend Allowed 0.00

Anniversary Allowed 5.60Individual Medicare Supplement Standard Plans

Reported Policies

175

ML992AForm/PlanML992CForm/PlanML992FForm/PlanML992GForm/Plan

Page 1 of 105Monday, January 09, 2012

Page 3: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

AETNA HEALTH INC. 59-2411584 95088

HMO 10-20788 1/21/2011 % Change Allowed -1.10Average Trend Allowed 13.00

Anniversary Allowed 7.70Health Maintenance Organization Group Small Group Only

Reported Policies

74,449

Small GroupForm/Plan

HMO 11-03929 4/21/2011 % Change Allowed -1.50Average Trend Allowed 13.00

Anniversary Allowed 6.10Health Maintenance Organization Group Small Group Only

Reported Policies

73,236

Small GroupForm/Plan

HMO 11-05076 5/11/2011 % Change Allowed 21.40Average Trend Allowed 0.00

Anniversary Allowed 21.40Health Maintenance Organization Group Conversion

Reported Policies

969

HMO/FL IND/STD, HMO/FLORIForm/Plan

HMO 11-09751 7/7/2011 % Change Allowed -1.70Average Trend Allowed 12.10

Anniversary Allowed 7.70Health Maintenance Organization Group Small Group Only

Reported Policies

71,590

HMO 15500 AnchorForm/Plan

HMO 11-11297 8/19/2011 % Change Allowed 21.60Average Trend Allowed 0.00

Anniversary Allowed 21.60Health Maintenance Organization Individual Individual

Reported Policies

969

HMO/FL IND/STD, HMO/FLORIForm/Plan

HMO 11-14069 9/23/2011 % Change Allowed 3.40Average Trend Allowed 0.00

Anniversary Allowed 3.40Health Maintenance Organization Individual Individual

Reported Policies

29,525

HMOFL INDV COC-1 (0805), HForm/Plan

HMO 11-14525 9/29/2011 % Change Allowed -1.86Average Trend Allowed 0.00

Anniversary Allowed 3.70Health Maintenance Organization Group Small Group Only

Reported Policies

69,684

HMO 15500 AnchorForm/Plan

HMO 11-15663 11/10/2011 % Change Allowed -0.10Average Trend Allowed 0.00

Anniversary Allowed 3.20Health Maintenance Organization Group Small Group Only

Reported Policies

69,684

HMO 15500 AncorForm/Plan

Page 2 of 105Monday, January 09, 2012

Page 4: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

AETNA LIFE INSURANCE COMPANY 06-6033492 60054

FLH 11-15840 11/10/2011 % Change Allowed -2.70Average Trend Allowed 0.00

Anniversary Allowed 0.30Group Health Major Medical Small Group Only

Reported Policies

963

MC 501Form/Plan

FLR 10-20808 2/18/2011 % Change Allowed -18.60Average Trend Allowed 13.00

Anniversary Allowed -8.00Group Health Major Medical Small Group Only

Reported Policies

1,209

Small GroupForm/Plan

FLR 11-05049 4/21/2011 % Change Allowed -3.00Average Trend Allowed 13.00

Anniversary Allowed 0.40Group Health Major Medical Small Group Only

Reported Policies

1,002

Small GroupForm/Plan

FLR 11-05085 5/11/2011 % Change Allowed 22.40Average Trend Allowed 0.00

Anniversary Allowed 22.40Health Conversion

Reported Policies

438

GR-96202 GR-30608 Form/Plan

FLR 11-06504 5/23/2011 % Change Allowed 8.00Average Trend Allowed 0.00

Anniversary Allowed 8.00Group Medicare Supplement Standard Plans

Reported Policies

26

GR-9N-GM A 2010Form/PlanGR-9N-GM B 2010Form/PlanGR-9N-GM C 2010Form/PlanGR-9N-GM F 2010Form/PlanGR-9N-GM L 2010Form/Plan

FLR 11-06505 5/23/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Medicare Supplement Standard Plans

Reported Policies

0

GR-11613-Florida A 2010Form/PlanGR-11613-Florida B 2010Form/PlanGR-11613-Florida C 2010Form/PlanGR-11613-Florida F 2010Form/PlanGR-11613-Florida L 2010Form/Plan

FLR 11-10296 7/27/2011 % Change Allowed -1.50Average Trend Allowed 12.10

Anniversary Allowed -0.40Group Health Major Medical Small Group Only

Reported Policies

983

MC 501Form/PlanMC 506Form/PlanMC 507Form/PlanPPO 1 MedicalForm/PlanPPO 2 MedicalForm/PlanPPO 3 MedicalForm/PlanPPO 506Form/PlanPPO 507Form/Plan

FLR 11-14162 9/23/2011 % Change Allowed 3.10Average Trend Allowed 0.00

Anniversary Allowed 3.10Individual Health Major Medical - Other

Reported Policies

1,355

GR-11741, GR-11741 LME, GR-Form/Plan

FLR 11-14670 10/3/2011 % Change Allowed -1.80Average Trend Allowed 0.00

Anniversary Allowed -1.00Group Health Major Medical Small Group Only

Reported Policies

963

MC 501Form/Plan

Page 3 of 105Monday, January 09, 2012

Page 5: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA 41-1366075 90611

FLR 11-12396 9/16/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Group Medicare Supplement Prestandardized

Reported Policies

4

D602(8-85)FLForm/PlanGCS-1054Form/PlanGHC-215MForm/PlanGSC-1012Form/PlanGSC-1898Form/PlanGSC-1899Form/PlanVAP-1008Form/Plan

ALLSTATE LIFE INSURANCE COMPANY 36-2554642 60186

FLR 10-04695 4/28/2011 % Change Allowed 4.00Average Trend Allowed 0.00

Anniversary Allowed 4.00Group Long Term Care Nursing Home And Home Health Care - Other

Reported Policies

160

LGU9000-1Form/PlanLGU9073-1Form/PlanLGU9731CForm/PlanLGU9733CForm/PlanLGU9734CForm/PlanLGU9736CForm/PlanLGU9737CForm/Plan

AMERICAN CONTINENTAL INSURANCE COMPANY 20-2901054 12321

FLR 11-04127 5/31/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Medicare Supplement Standard Plans

Reported Policies

27

IA1AForm/PlanIA1BForm/PlanIA1DForm/PlanIA1FForm/PlanIA1JForm/Plan

Page 4 of 105Monday, January 09, 2012

Page 6: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

AMERICAN GENERAL LIFE & ACCIDENT INSURANCE COMPANY 62-0306330 66672

FLR 11-05999 5/16/2011 % Change Allowed -18.00Average Trend Allowed 0.00

Anniversary Allowed -18.00Individual Health Disability Income

Reported Policies

1,765

7117 (long)Form/Planadmin raebook 307 (short)Form/Planadmin ratebook 300Form/Planadmin ratebook 306 (short)Form/Planadmin ratebook 308 (short)Form/Planadmin ratebook 310Form/Planadmin ratebook 311 (short)Form/Planadmin ratebook 312 (short)Form/Planadmin ratebook 313Form/Planadmin ratebook 314 (short)Form/Planadmin ratebook 315 (short)Form/Planadmin ratebook 316 (short)Form/Planadmin ratebook 420 (long)Form/Planadmin ratebook 420 (short)Form/Planadmin ratebook 429Form/Planadmin ratebook 460Form/Planadmin ratebook 800 (long)Form/Planadmin ratebook J73 (short)Form/Planadmin ratebook JG4Form/Planadmin ratebook JIN (short)Form/Planadmin ratebook JSAForm/Planadmin ratebook K01Form/Planadmin ratebook L01 (long)Form/Planadmin ratebook L01 (short)Form/Planadmin ratebook N01 (short)Form/Planadmin ratebook N0L (long)Form/Planadmin ratebook N0M (short)Form/PlanAGLA 12204F (short)Form/PlanAGLA 70004 (short)Form/PlanDIR (long)Form/PlanDIR (short)Form/PlanGulf 12 (long)Form/PlanGulf 12 (short)Form/PlanGulf 16 (long)Form/PlanGulf 16 (short)Form/PlanN1104 (short)Form/Plan

FLR 11-06885 6/17/2011 % Change Allowed 15.90Average Trend Allowed 0.00

Anniversary Allowed 15.90Individual Health Specified Disease Limited Benefit Dread Disease Cancer Only

Reported Policies

1,397

Gulf 229Form/PlanLC 718 12/78Form/PlanLC 718 7/81-SForm/PlanLC 718 7-1-70Form/PlanLC 718 7-1-70, Rev. 6-1-76Form/Plan

Page 5 of 105Monday, January 09, 2012

Page 7: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

FLR 11-14305 10/5/2011 % Change Allowed 11.10Average Trend Allowed 0.00

Anniversary Allowed 11.10Individual Health Major Medical - Other

Reported Policies

110

Form 256Form/PlanForm 256RForm/PlanForm 43066Form/PlanForm 43071Form/PlanForm 731Form/PlanForm 738Form/PlanForm 756R, 756RREVForm/PlanForm 758Form/PlanForm 758RForm/PlanForm 775REVForm/PlanForms 756, 756REVForm/Plan

AMERICAN GENERAL LIFE INSURANCE COMPANY 25-0598210 60488

FLH 11-01861 3/18/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Health Accident Only

Reported Policies

2,668

04022Form/Plan04023Form/Plan04025Form/Plan04120-10Form/PlanAGLC104770Form/PlanAGLC104771Form/Plan

AMERICAN GENERAL LIFE INSURANCE COMPANY OF DELAWARE 25-1118523 66842

FLR 11-08564 6/27/2011 % Change Allowed -30.00Average Trend Allowed 0.00

Anniversary Allowed -30.00Group Health Disability Income

Reported Policies

1,292

G-DIS-41000 et alForm/Plan

Page 6 of 105Monday, January 09, 2012

Page 8: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

AMERICAN HERITAGE LIFE INSURANCE COMPANY 59-0781901 60534

FLH 11-01208 3/23/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Group Health Accident Only

Reported Policies

4,074

GVAP1Form/PlanR1AP (rider)Form/PlanR2AP (rider)Form/PlanR3AP (rider)Form/PlanR4AP (rider)Form/PlanR5AP (rider)Form/PlanR6AP (rider)Form/Plan

FLH 11-04803 7/7/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Health Specified Disease Limited Benefit Dread Disease

Reported Policies

5,231

CIDR1FLForm/PlanHS1-FLForm/PlanHSP2FLForm/PlanICR90FL (Rev. 6/94)Form/PlanWBR3Form/Plan

FLR 11-02646 4/6/2011 % Change Allowed -15.00Average Trend Allowed 0.00

Anniversary Allowed -15.00Group Health Specified Disease Limited Benefit Critical Illness

Reported Policies

16,052

GVCIP1FLForm/Plan

FLR 11-07744 12/2/2011 % Change Allowed 7.70Average Trend Allowed 0.00

Anniversary Allowed 7.70Individual Long Term Care Nursing Home And Home Health Care - Other

Reported Policies

214

12.5% incr on lifetime ben only.Form/PlanBSC-LTC-1/95 (FL)Form/PlanCLIPR-1/95Form/PlanD&V ROP-1/95Form/PlanD-ROP-1/95Form/PlanHHCR-1/95(BSC)Form/PlanHHCR-1/95(PRM)Form/PlanPRM-LTC-1/95 (FL)Form/PlanQHHCR 3/97 (FL)Form/PlanQLTC 3/97 (FL)Form/PlanQLTCSC 3/97Form/PlanSAIPR-1/95Form/PlanSLIPR-1/95Form/Plan

FLR 11-07757 11/29/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Long Term Care Home Health Care Only

Reported Policies

486

BSC-HHC-2/96 (FL)-RForm/PlanBSC-HHC-2/96 (FL)-R with CLIPForm/PlanBSC-HHC-2/96 (FL)-R with SLIPForm/PlanPRM-HHC-2/96 (FL)-RForm/PlanPRM-HHC-2/96 (FL)-R with CLIForm/PlanPRM-HHC-2/96 (FL)-R with SLIForm/PlanRate Increase is for 5 year benForm/Plan

Page 7 of 105Monday, January 09, 2012

Page 9: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

FLR 11-15004 10/21/2011 % Change Allowed 15.10Average Trend Allowed 0.00

Anniversary Allowed 15.10Individual Health Specified Disease Limited Benefit Dread Disease Cancer Only

Reported Policies

1,239

CCRForm/PlanCP4-1984-FForm/PlanCP8-FLForm/PlanCP9FLForm/PlanCR1 RiderForm/PlanCR2 RiderForm/PlanCR3 RiderForm/PlanCR4 RiderForm/PlanHICR SeriesForm/PlanHRR1984F RiderForm/PlanICR90 RiderForm/PlanR-CFIROCC RiderForm/Plan

AMERICAN INCOME LIFE INSURANCE COMPANY 74-1365936 60577

FLR 11-09482 7/7/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Individual Medicare Supplement Prestandardized

Reported Policies

61

BQForm/PlanH40050Form/PlanH41000Form/PlanH42000Form/PlanH43002Form/PlanH44001Form/Plan

AMERICAN NATIONAL INSURANCE COMPANY 74-0484030 60739

FLR 10-19902 1/11/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Health Specified Disease Limited Benefit Dread Disease

Reported Policies

215

888Form/PlanCANBForm/PlanCANMForm/PlanCANM93Form/Plan

Page 8 of 105Monday, January 09, 2012

Page 10: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

AMERICAN PIONEER LIFE INSURANCE COMPANY 59-0935083 60763

FLR 11-04289 5/19/2011 % Change Allowed 8.40Average Trend Allowed 0.00

Anniversary Allowed 8.40Group Medicare Supplement Standard Plans

Reported Policies

7,121

AP-MSG (1/06) FL PLAN AForm/PlanAP-MSG (1/06) FL PLAN BForm/PlanAP-MSG (1/06) FL PLAN CForm/PlanAP-MSG (1/06) FL PLAN DForm/PlanAP-MSG (1/06) FL PLAN EForm/PlanAP-MSG (1/06) FL PLAN FForm/PlanAP-MSG (1/06) FL PLAN GForm/PlanMSG-92-CERT APL (11/96) (PLForm/PlanMSG-92-CERT APL (11/96) (PLForm/PlanMSG-92-CERT APL (11/96) (PLForm/PlanMSG-92-CERT APL (11/96) (PLForm/PlanMSG-92-CERT APL (11/96) (PLForm/PlanMSG-92-CERT APL (11/96) (PLForm/PlanMSG-92-CERT APL (11/96) (PLForm/PlanMSG-92-CERT APL (11/96) (PLForm/PlanMSG-92-CERT APL (11/96) (PLForm/PlanMSG-92-CERT APL (11/96) (PLForm/PlanMSG-92-CERT APL (11/96) (PLForm/PlanMSG-92-CERT APL (11/96) (PLForm/PlanMSG-92-CERT APL (11/96) (PLForm/PlanMSG-PLAN AForm/PlanMSG-PLAN BForm/PlanMSG-PLAN CForm/PlanMSG-PLAN DForm/PlanMSG-PLAN EForm/PlanMSG-PLAN FForm/PlanMSG-PLAN GForm/PlanMSG-PLAN HForm/PlanMSG-PLAN H w/o RxForm/PlanMSG-PLAN IForm/PlanMSG-PLAN I w/o RxForm/PlanMSG-PLAN JForm/PlanMSG-PLAN J w/o RxForm/Plan

FLR 11-07540 6/1/2011 % Change Allowed 6.20Average Trend Allowed 0.00

Anniversary Allowed 6.20Individual Medicare Supplement Medicare Select

Reported Policies

5,772

AMSI-S-06 PLAN BForm/PlanAMSI-S-06 PLAN CForm/PlanAMSI-S-06 PLAN DForm/PlanAMSI-S-06 PLAN FForm/PlanMEDSEL 2/94 PLAN AForm/PlanMEDSEL 2/94 PLAN BForm/PlanMEDSEL 2/94 PLAN CForm/PlanMS-604 PLAN BForm/PlanMS-604 PLAN CForm/PlanMS-604 PLAN DForm/PlanMS-604 PLAN FForm/Plan

Page 9 of 105Monday, January 09, 2012

Page 11: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

FLR 11-11332 8/12/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Individual Medicare Supplement Standard Plans

Reported Policies

25

MS-600 AForm/PlanMS-600 CForm/PlanMS-600 FForm/Plan

FLR 11-14212 10/14/2011 % Change Allowed 3.50Average Trend Allowed 0.00

Anniversary Allowed 3.50Individual Medicare Supplement Prestandardized

Reported Policies

1,550

0600Form/Plan0631Form/Plan0661-0665Form/Plan0666-0670Form/Plan1-189 MS-4Form/PlanFAA 1-403Form/PlanFAA1-613Form/PlanFFL 2-399Form/PlanFFL 2-401Form/PlanGRP3000Form/PlanMISC 100Form/PlanMISC 673Form/PlanMS-182Form/PlanMS-183Form/PlanMS-189Form/PlanMS-189 Rider PERRForm/PlanMS-90Form/PlanTMS-91Form/Plan

Page 10 of 105Monday, January 09, 2012

Page 12: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

FLR 11-14659 12/6/2011 % Change Allowed 1.00Average Trend Allowed 0.00

Anniversary Allowed 1.00Individual Medicare Supplement Standard Plans

Reported Policies

5,205

AMSI-06-PLAN AForm/PlanAMSI-06-PLAN BForm/PlanAMSI-06-PLAN CForm/PlanAMSI-06-PLAN DForm/PlanAMSI-06-PLAN EForm/PlanAMSI-06-PLAN FForm/PlanAMSI-06-PLAN F+Form/PlanAMSI-06-PLAN GForm/PlanAMSI-10-PLAN AForm/PlanAMSI-10-PLAN BForm/PlanAMSI-10-PLAN CForm/PlanAMSI-10-PLAN DForm/PlanAMSI-10-PLAN FForm/PlanAMSI-10-PLAN GForm/PlanAPL MS-92 AForm/PlanAPL MS-92 BForm/PlanAPL MS-92 CForm/PlanAPL MS-92 DForm/PlanAPL MS-92 EForm/PlanAPL MS-92 FForm/PlanAPL MS-92 F+Form/PlanAPL MS-92 GForm/PlanAPL MS-92 H w/o RxForm/PlanAPL MS-92 H w/RxForm/PlanAPL MS-92 I w/oRxForm/PlanAPL MS-92 I w/RxForm/PlanAPL MS-92 J w/o RxForm/PlanAPL MS-92 J w/RxForm/PlanFNL MS-92 AForm/PlanFNL MS-92 BForm/PlanFNL MS-92 CForm/PlanFNL MS-92 DForm/PlanFNL MS-92 EForm/PlanFNL MS-92 FForm/PlanFNL MS-92 GForm/PlanFNL MS-92 H w/o RxForm/PlanFNL MS-92 H w/RxForm/PlanFNL MS-92 I w/oRxForm/PlanFNL MS-92 I w/RxForm/PlanFNL MS-92 J w/o RxForm/PlanFNL MS-92 J w/RxForm/Plan

AMERICAN PUBLIC LIFE INSURANCE COMPANY 64-0349942 60801

FLR 11-17594 12/22/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Medicare Supplement Prestandardized

Reported Policies

1

933Form/Plan950Form/Plan

Page 11 of 105Monday, January 09, 2012

Page 13: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

AMERICAN REPUBLIC INSURANCE COMPANY 42-0113630 60836

FLR 10-20811 1/19/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Medicare Supplement Standard Plans

Reported Policies

41

A-3146FLForm/PlanA-3161FLForm/PlanA-3162FLForm/Plan

FLR 10-20838 1/21/2011 % Change Allowed 3.70Average Trend Allowed 0.00

Anniversary Allowed 3.70Individual Medicare Supplement Prestandardized

Reported Policies

12

A-2400FLForm/PlanA-2536FLForm/Plan

AMERITAS LIFE INSURANCE CORP. 47-0098400 61301

FLR 10-20040 1/6/2011 % Change Allowed 0.00Average Trend Allowed 6.50

Anniversary Allowed 6.50Group Health Dental

Reported Policies

10,361

9000 FL Rev. 03/08Form/Plan

FLR 10-20102 1/7/2011 % Change Allowed 0.00Average Trend Allowed 3.50

Anniversary Allowed 3.50Group Health Vision

Reported Policies

25,261

9000 FL Rev. 03/08Form/Plan

FLR 11-05365 6/23/2011 % Change Allowed -4.40Average Trend Allowed 0.00

Anniversary Allowed -4.40Group Health Dental

Reported Policies

10,303

9000 FL Rev. 03-08Form/Plan

AUTO-OWNERS LIFE INSURANCE COMPANY 38-1814333 61190

FLR 11-10394 7/22/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Individual Medicare Supplement Prestandardized

Reported Policies

34

50277 (1-90)Form/Plan

AVAHEALTH, INC. 20-3075951 12316

FLH 11-15964 11/10/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Health Major Medical - Other

Reported Policies

1,581

KIP_COC_ENR_1001_10_2011Form/Plan

FLR 11-12451 9/22/2011 % Change Allowed 0.00Average Trend Allowed 10.00

Anniversary Allowed 11.90Individual Health Major Medical - Other

Reported Policies

1,581

AVAIND COC(2-08)Form/Plan

Page 12 of 105Monday, January 09, 2012

Page 14: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

AVMED, INC. 59-2742907 95263

HMO 10-18078 1/3/2011 % Change Allowed 2.00Average Trend Allowed 0.00

Anniversary Allowed 2.00Health Maintenance Organization Group Small Group Only

Reported Policies

39,691

AV-SG-G100-2010Form/Plan

HMO 10-21269 1/21/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Health Maintenance Organization Individual Individual

Reported Policies

2,217

AV-IND 2010, et. al.Form/Plan

HMO 11-01887 3/29/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Health Maintenance Organization Group Small Group Only

Reported Policies

39,691

AV-SG-G100-2010Form/Plan

HMO 11-06460 5/23/2011 % Change Allowed 5.28Average Trend Allowed 0.00

Anniversary Allowed 5.28Health Maintenance Organization Group Conversion

Reported Policies

509

AV-C-BASIC-S-03Form/Plan

HMO 11-07720 5/20/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Health Maintenance Organization Group Small Group Only

Reported Policies

39,691

AV-SG-G100-2010Form/Plan

HMO 11-11971 9/21/2011 % Change Allowed 0.00Average Trend Allowed 13.27

Anniversary Allowed 13.27Health Maintenance Organization Individual Individual

Reported Policies

5,441

AV-IND-EASY-10Form/PlanAV-IND-ELITE-10Form/PlanAV-IND-HDHP-10Form/PlanAV-IND-VALUE-10Form/Plan

HMO 11-12661 9/21/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 9.98Health Maintenance Organization Group Small Group Only

Reported Policies

47,566

AV-SG-G100-2010Form/Plan

HMO 11-12662 9/21/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Health Maintenance Organization Group Small Group Only

Reported Policies

47,566

AV-SG-G100-2010Form/Plan

HMO 11-13634 9/21/2011 % Change Allowed 1.00Average Trend Allowed 0.00

Anniversary Allowed 9.98Health Maintenance Organization Group Small Group Only

Reported Policies

47,566

AV-SG-G100-2010Form/Plan

AXA EQUITABLE LIFE INSURANCE COMPANY 13-5570651 62944

FLR 11-00043 2/17/2011 % Change Allowed 3.00Average Trend Allowed 12.00

Anniversary Allowed 15.00Individual Health Major Medical - Other

Reported Policies

117

BMM-120Form/PlanLMM (AS-102-MM)Form/Plan

Page 13 of 105Monday, January 09, 2012

Page 15: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

BANKERS LIFE AND CASUALTY COMPANY 36-0770740 61263

FLR 11-14350 9/26/2011 % Change Allowed -75.00Average Trend Allowed 0.00

Anniversary Allowed -75.00Individual Health Specified Disease Limited Benefit

Reported Policies

589

1634BForm/PlanGR-72WForm/PlanGR-754Form/PlanP29Form/Plan

FLR 11-15855 11/22/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Medicare Supplement Prestandardized

Reported Policies

2,136

172EForm/Plan172VForm/Plan174NForm/Plan174UForm/Plan184AForm/PlanCER-900Form/PlanCR-93TForm/PlanGR-73SForm/PlanGR-75CForm/PlanGR-75RForm/PlanGR-A002Form/PlanGR-A020Form/PlanP1-67220-AForm/PlanR1-54506-AForm/PlanR1-59242-AForm/PlanR1-68993-AForm/Plan

Page 14 of 105Monday, January 09, 2012

Page 16: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

FLR 11-15908 11/22/2011 % Change Allowed 3.00Average Trend Allowed 0.00

Anniversary Allowed 3.00Medicare Supplement Other

Reported Policies

16,754

GR-A05A (AA)Form/PlanGR-A05A (IA)Form/PlanGR-A05B (AA)Form/PlanGR-A05B (IA)Form/PlanGR-A05C (AA)Form/PlanGR-A05C (IA)Form/PlanGR-A05D (AA)Form/PlanGR-A05D (IA)Form/PlanGR-A05E (AA)Form/PlanGR-A05E (IA)Form/PlanGR-A05F (AA)Form/PlanGR-A05F (IA)Form/PlanGR-A05G (AA)Form/PlanGR-A05G (IA)Form/PlanGR-A05H w/o Rx (AA)Form/PlanGR-A05H w/o Rx (IA)Form/PlanGR-A05H w/Rx (AA)Form/PlanGR-A05H w/Rx (IA)Form/PlanGR-A05I w/o Rx (AA)Form/PlanGR-A05I w/o Rx (IA)Form/PlanGR-A05I W/Rx (AA)Form/PlanGR-A05I w/Rx (IA)Form/PlanGR-A06AForm/PlanGR-A06BForm/PlanGR-A06CForm/PlanGR-A06DForm/PlanGR-A06EForm/PlanGR-A06FForm/PlanGR-A06FHForm/PlanGR-A06GForm/PlanGR-A25BForm/PlanGR-A25CForm/PlanGR-A25FForm/PlanGR-A70AForm/PlanGR-A70BForm/Plan

FLR 11-15932 11/22/2011 % Change Allowed 10.30Average Trend Allowed 0.00

Anniversary Allowed 10.30Group Medicare Supplement Standard Plans

Reported Policies

6,301

GR-A11AForm/PlanGR-A11BForm/PlanGR-A11CForm/PlanGR-A11DForm/PlanGR-A11EForm/PlanGR-A11FForm/PlanGR-A11GForm/Plan

Page 15 of 105Monday, January 09, 2012

Page 17: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

BLUE CROSS & BLUE SHIELD OF FLORIDA, INC. 59-2015694 98167

FLH 10-20833 1/27/2011 % Change Allowed 0.00Average Trend Allowed 11.00

Anniversary Allowed 3.60Group Health Major Medical Small Group Only

Reported Policies

158,185

24111 0609 BCA, et. al.Form/Plan

FLH 11-01498 3/18/2011 % Change Allowed 9.60Average Trend Allowed 0.00

Anniversary Allowed 9.60Individual Health Major Medical - Other

Reported Policies

184,899

19458-0800 CA et. al.Form/Plan19466-0800 CA et. al.Form/Plan20617-0104 et. al.Form/Plan20621-0104 et. al.Form/Plan20681-0304 et. al.Form/Plan20936-1204 et. al.Form/Plan21043-0105 BCA et. al.Form/Plan21979-0306 BCA et. al.Form/Plan21985-0306 BCA et. al.Form/Plan21988-0306 BCA et. al.Form/Plan22034-0606 BCA et. al.Form/Plan22744-0307 BCA et. al.Form/Plan23249-0408 BCA et. al.Form/Plan23429-0808 BCA et. al.Form/Plan23430-0808 BCAForm/Plan23431-0808 BCAForm/Plan23432-0808 BCA et. al.Form/Plan23434-0808 BCAForm/Plan23570-0409 BCA et. al.Form/Plan24345-1209 BCAForm/Plan24481-0510 BCA et. al.Form/Plan24634-0810 BCA et. al.Form/Plan60928-1101Form/Plan

FLH 11-03648 3/8/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Group Health Major Medical Small Group Only

Reported Policies

158,185

24111 0609 BCA et. al.Form/Plan

FLH 11-06352 5/24/2011 % Change Allowed 18.00Average Trend Allowed 0.00

Anniversary Allowed 18.00Individual Health - Hospital Surgical Medical Expense

Reported Policies

40,819

21892-1205 BCA, et al.Form/Plan23646-0409 BCA, et al.Form/Plan24493-0510 BCA, et al.Form/Plan24501-0510 BCA, et al.Form/Plan9068-890SRForm/Plan

FLH 11-06372 5/24/2011 % Change Allowed 18.00Average Trend Allowed 0.00

Anniversary Allowed 18.00Individual Health Major Medical - Other

Reported Policies

40,819

21892-1205 BCA, et a l.Form/Plan23646-0409 BCA, et al.Form/Plan24493-0510 BCA, et al.Form/Plan24501-0510 BCA, et al.Form/Plan9068-890SRForm/Plan

Page 16 of 105Monday, January 09, 2012

Page 18: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

FLR 11-03612 4/13/2011 % Change Allowed 9.00Average Trend Allowed 0.00

Anniversary Allowed 9.00Individual Health Sickness

Reported Policies

29,769

22697-0207 BCAForm/Plan22698-0207 BCAForm/Plan

FLR 11-08717 6/29/2011 % Change Allowed -6.00Average Trend Allowed 11.00

Anniversary Allowed 2.50Group Health Major Medical Small Group Only

Reported Policies

143,726

24111 0609 BCA, et. al.Form/Plan

FLR 11-09408 7/7/2011 % Change Allowed 10.00Average Trend Allowed 0.00

Anniversary Allowed 10.00Individual Health Major Medical Short Term

Reported Policies

1,527

23589-0409 BCA et. al.Form/Plan

FLR 11-09925 7/14/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 5.36Group Health Major Medical Small Group Only

Reported Policies

158,185

23403-0808 BCA et. al.Form/Plan

FLR 11-13089 9/16/2011 % Change Allowed -7.70Average Trend Allowed 11.00

Anniversary Allowed -5.30Group Health Major Medical Small Group Only

Reported Policies

143,674

24111 0609 BCA, et. alForm/Plan

FLR 11-14536 10/13/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Group Medicare Supplement Standard Plans

Reported Policies

0

67040-0110SUForm/Plan67044-0110SUForm/Plan67061-0110SUForm/Plan

FLR 11-14537 11/29/2011 % Change Allowed 0.80Average Trend Allowed 0.00

Anniversary Allowed 0.80Individual Medicare Supplement Prestandardized

Reported Policies

15,880

5170-1283R postForm/Plan5170-1283R preForm/Plan6152-983Form/Plan6317-584Form/Plan7545-1088RForm/Plan7547-1088RForm/Plan7549-1088RForm/Plan7551-390SRForm/Plan7553-390SRForm/Plan7555-390SRForm/Plan8273-589SRForm/Plan8718-390SRForm/Plan8744-390SRForm/Plan

Page 17 of 105Monday, January 09, 2012

Page 19: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

FLR 11-14538 11/29/2011 % Change Allowed 0.65Average Trend Allowed 0.00

Anniversary Allowed 0.65Individual Medicare Supplement Medicare Select

Reported Policies

51,991

13091-0111 CA ages 65+Form/Plan13091-0111 CA ages<65Form/Plan15362-0111 CA ages <65Form/Plan15362-0111 CA ages 65+Form/Plan15363-0111 CA ages <65Form/Plan15363-0111 CA ages 65+Form/Plan30159-0111 SU ages <65Form/Plan30159-0111 SU ages 65+Form/Plan30166-0111 SU ages <65Form/Plan30166-0111 SU ages 65+Form/Plan30167-0111 SU ages <65Form/Plan30167-0111 SU ages 65+Form/Plan30168-0111 SU ages <65Form/Plan30168-0111 SU ages 65+Form/Plan9823-0111 CA ages <65Form/Plan9823-0111 CA ages 65+Form/Plan9851-0111 CA ages <65Form/Plan9851-0111 CA ages 65+Form/Plan

FLR 11-14539 11/29/2011 % Change Allowed 2.56Average Trend Allowed 0.00

Anniversary Allowed 2.56Individual Medicare Supplement Standard Plans

Reported Policies

89,417

10261-0111 CA <65Form/Plan10261-0111 CA 65+Form/Plan30147-0111 SU <65Form/Plan30147-0111 SU 65+Form/Plan30148-0111 SU <65Form/Plan30148-0111 SU 65+Form/Plan30149-0111 SU <65Form/Plan30149-0111 SU 65+Form/Plan30150-0111 SU <65Form/Plan30150-0111 SU 65+Form/Plan30151-0111 SU <65Form/Plan30151-0111 SU 65+Form/Plan30152-0111 SU <65Form/Plan30152-0111 SU 65+Form/Plan30154-0111 SU <65Form/Plan30154-0111 SU 65+Form/Plan30155-0111 SU <65Form/Plan30155-0111 SU 65+Form/Plan30156-0111 SU <65Form/Plan30156-0111 SU 65+Form/Plan30157-0111 SU <65Form/Plan30157-0111 SU 65+Form/Plan9577-011 CA 65+Form/Plan9577-0111 CA <65Form/Plan9579-0111 CA <65Form/Plan9579-0111 CA 65+Form/Plan9581-0111 CA <65Form/Plan9581-0111 CA 65+Form/Plan9782-011 CA <65Form/Plan9782-0111 CA 65+Form/Plan

Page 18 of 105Monday, January 09, 2012

Page 20: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

FLR 11-15269 10/4/2011 % Change Allowed 13.10Average Trend Allowed 0.00

Anniversary Allowed 13.10Individual Health - Hospital Surgical Medical Expense

Reported Policies

63,560

21892 1205 BCAForm/Plan21893 1205 BCAForm/Plan21894 1205 BCAForm/Plan21895 1205 BCAForm/Plan23102 0409 BCAForm/Plan23104 0409 BCAForm/Plan23106 0409 BCAForm/Plan23108 0409 BCAForm/Plan23648 0409 BCAForm/Plan24493 0510 BCAForm/Plan24495 0510 BCAForm/Plan24501 0510 BCAForm/Plan24503 0510 BCAForm/Plan24764 1010 BCAForm/Plan24766 1010 BCAForm/Plan24776 1010 BCAForm/Plan24778 1010 BCAForm/Plan9068 890 SRForm/Plan

Page 19 of 105Monday, January 09, 2012

Page 21: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

FLR 11-16399 11/21/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Health Major Medical - Other

Reported Policies

168,877

19459 0800 CAForm/Plan19460 0800 CAForm/Plan19461 0800 CAForm/Plan19462 0800 CAForm/Plan19463 0800 CAForm/Plan19464 0800 CAForm/Plan19468 0800 CAForm/Plan20618 0104 BCAForm/Plan20619 0104 BCAForm/Plan20620 0104 BCAForm/Plan20621 0104 BCAForm/Plan20622 0104 BCAForm/Plan20681 0304 BCAForm/Plan20682 0304 BCAForm/Plan20683 0304 BCAForm/Plan20684 0605R BCAForm/Plan20685 0304 BCAForm/Plan20686 0304 BCAForm/Plan21337 0705 BCAForm/Plan21338 0705 BCAForm/Plan21339 0705 BCAForm/Plan21340 0705 BCAForm/Plan21341 0705 BCAForm/Plan21342 0705 BCAForm/Plan21979 0306 BCAForm/Plan21980 0306 BCAForm/Plan21981 0306 BCAForm/Plan21982 0306 BCAForm/Plan21983 0306 BCAForm/Plan21984 0306 BCAForm/Plan21985 0909R BCAForm/Plan21986 0306 BCAForm/Plan21987 0306 BCAForm/Plan21988 0306 BCAForm/Plan21989 0306 BCAForm/Plan21990 0306 BCAForm/Plan21991 0306 BCAForm/Plan21992 0306 BCAForm/Plan21993 0306 BCAForm/Plan22744 0307 BCAForm/Plan22745 0307 BCAForm/Plan23249 0510R BCAForm/Plan23251 0510R BCAForm/Plan23253 0510R BCAForm/Plan23255 0510R BCAForm/Plan23432 0808 BCAForm/Plan23433 0808 BCAForm/Plan23496 0409 BCAForm/Plan23502 0409 BCAForm/Plan23506 0409 BCAForm/Plan23508 0409 BCAForm/Plan23514 0409 BCAForm/Plan23516 0409 BCAForm/Plan

Page 20 of 105Monday, January 09, 2012

Page 22: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

23518 0409 BCAForm/Plan23520 0409 BCAForm/Plan23522 0409 BCAForm/Plan23524 0409 BCAForm/Plan23537 0409 BCAForm/Plan23539 0409 BCAForm/Plan23545 0409 BCAForm/Plan23547 0409 BCAForm/Plan23549 0409 BCAForm/Plan23551 0409 BCAForm/Plan23557 0409 BCAForm/Plan23559 0409 BCAForm/Plan23561 0409 BCAForm/Plan23563 0409 BCAForm/Plan23565 0409 BCAForm/Plan23567 0409 BCAForm/Plan23577 0409 BCAForm/Plan23579 0409 BCAForm/Plan23581 0409 BCAForm/Plan24019 0409 BCAForm/Plan24021 0409 BCAForm/Plan24027 0409 BCAForm/Plan24029 0409 BCAForm/Plan24031 0409 BCAForm/Plan24033 0409 BCAForm/Plan24061 0409 BCAForm/Plan24481 0510 BCAForm/Plan24483 0510 BCAForm/Plan24485 0510 BCAForm/Plan24487 0510 BCAForm/Plan24489 0510 BCAForm/Plan24571 R0111 BCAForm/Plan24573 R0111 BCAForm/Plan24575 R0111 BCAForm/Plan24577 R0111 BCAForm/Plan24579 R0111 BCAForm/Plan24581 R0111 BCAForm/Plan24583 R0111 BCAForm/Plan24585 R0111 BCAForm/Plan24587 R0111 BCAForm/Plan24589 R0111 BCAForm/Plan24591 R0111 BCAForm/Plan24593 R0111 BCAForm/Plan24595 R0111 BCAForm/Plan24597 R0111 BCAForm/Plan24599 R0111 BCAForm/Plan24601 R0111 BCAForm/Plan24611 R0111 CAForm/Plan24634 R0111 BCAForm/Plan24667 1010 BCAForm/Plan24669 1010 BCAForm/Plan24744 06911 BCAForm/Plan24746 R0111 BCAForm/Plan24748 R0111 BCAForm/Plan24750 R0111 BCAForm/Plan24752 0611 BCAForm/Plan

Page 21 of 105Monday, January 09, 2012

Page 23: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

24770 1010 BCAForm/Plan24772 R0111 BCAForm/Plan24774 R0111 BCAForm/Plan

BOSTON MUTUAL LIFE INSURANCE COMPANY 04-1106240 61476

FLH 11-00084 2/11/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Health Accident Only

Reported Policies

1,055

WIND-ACC 11/05FLForm/PlanWINDACCFL-BR 12/10Form/PlanWS-ACC 8/08Form/PlanWS-ACCFL-BR 12/10Form/Plan

BROKERS NATIONAL LIFE ASSURANCE COMPANY 63-0483783 74900

FLR 11-15676 11/22/2011 % Change Allowed 10.00Average Trend Allowed 0.00

Anniversary Allowed 10.00Group Health Dental

Reported Policies

2,147

GDP(2008), GDP(0198)BY, IL1Form/Plan

CAPITAL HEALTH PLAN, INC. 59-1830622 95112

HMO 11-01387 3/3/2011 % Change Allowed 5.00Average Trend Allowed 0.00

Anniversary Allowed 5.00Health Maintenance Organization Group Conversion

Reported Policies

208

2002.11.Conv.CHP130Form/Plan2004.1.Conv.M.100Form/Plan2004.15.Conv.0505Form/Plan98000 999SCForm/Plan98200 999SCForm/Plan

HMO 11-08645 7/18/2011 % Change Allowed -5.01Average Trend Allowed 8.92

Anniversary Allowed 3.47Health Maintenance Organization Group Small Group Only

Reported Policies

8,184

99001 SMGRP 5/99Form/Plan

HMO 11-15093 10/26/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Health Maintenance Organization Group Small Group Only

Reported Policies

8,184

2010.24.Essential.CoPForm/Plan

CELTIC INSURANCE COMPANY 06-0641618 80799

FLR 11-11490 9/1/2011 % Change Allowed 15.40Average Trend Allowed 0.00

Anniversary Allowed 15.40Individual Medicare Supplement Standard Plans

Reported Policies

2,574

MS POL A-FL1Form/PlanMS POL B-FL1Form/PlanMS POL C-FL1Form/PlanMS POL D-FL1Form/PlanMS POL F-FL1Form/PlanMS POL I-FL1Form/PlanMS POL I-FL1-NRXForm/Plan

Page 22 of 105Monday, January 09, 2012

Page 24: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

CENTRAL STATES HEALTH & LIFE COMPANY OF OMAHA 47-0123035 61751

FLR 11-06863 5/27/2011 % Change Allowed 6.50Average Trend Allowed 0.00

Anniversary Allowed 6.50Medicare Supplement Other

Reported Policies

1,974

S01Form/PlanS02Form/PlanS03Form/PlanS04Form/PlanS06Form/PlanS38 CForm/PlanS39 CForm/PlanS40 CForm/PlanS43 CForm/Plan

FLR 11-06939 6/1/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Medicare Supplement Prestandardized

Reported Policies

64

1516Form/Plan1546Form/Plan1547Form/Plan1548Form/Plan1549Form/Plan219Form/Plan279Form/Plan286Form/Plan533Form/Plan557Form/Plan8019Form/Plan8020Form/Plan8021Form/Plan8022Form/Plan8069Form/Plan8070Form/Plan8071Form/Plan8072Form/Plan890Form/Plan891Form/Plan898Form/Plan

Page 23 of 105Monday, January 09, 2012

Page 25: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

CENTRAL UNITED LIFE INSURANCE COMPANY 42-0884060 61883

FLR 11-00553 2/22/2011 % Change Allowed 12.00Average Trend Allowed 0.00

Anniversary Allowed 12.00Health Conversion

Reported Policies

6

H3895Form/PlanHN200Form/PlanTCBS1Form/Plan

FLR 11-04024 4/18/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Health Champus Or Tricare Supplement

Reported Policies

37

GCSCERTForm/PlanGCSCERTFLForm/Plan

FLR 11-07124 5/12/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Individual Medicare Supplement Prestandardized

Reported Policies

12

EMP-500-7Form/PlanM-712Form/PlanMS-81Form/Plan

FLR 11-17755 12/14/2011 % Change Allowed 9.90Average Trend Allowed 0.00

Anniversary Allowed 9.90Individual Health Major Medical - Other

Reported Policies

54

1236Form/Plan43071Form/PlanA6308Form/PlanA6308RForm/PlanGCP83Form/PlanH2200Form/PlanKMM44Form/PlanMM 3-80Form/PlanMM402Form/PlanNW0056Form/PlanNW0916Form/PlanPCM89FL-CForm/Plan

CHESAPEAKE LIFE INSURANCE COMPANY 52-0676509 61832

FLH 11-18729 12/22/2011 % Change Allowed 0.00Average Trend Allowed 6.00

Anniversary Allowed 6.00Individual Health Dental

Reported Policies

0

CH-26121-IP (01/12) FLForm/Plan

CIGNA DENTAL HEALTH OF FLORIDA, INC. 59-1611217 52021

FLP 10-18837 3/18/2011 % Change Allowed -5.60Average Trend Allowed 3.84

Anniversary Allowed -1.98Prepaid Dental Service Plan Corporation

Reported Policies

81,187

PB07.1Form/Plan

FLP 11-16171 11/10/2011 % Change Allowed -4.90Average Trend Allowed 2.90

Anniversary Allowed -2.10Prepaid Dental Service Plan Corporation

Reported Policies

82,635

PB08.1Form/Plan

Page 24 of 105Monday, January 09, 2012

Page 26: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

CIGNA HEALTH AND LIFE INSURANCE COMPANY 59-1031071 67369

FLR 11-06441 5/19/2011 % Change Allowed 4.00Average Trend Allowed 0.00

Anniversary Allowed 4.00Individual Health - Hospital Surgical Medical Expense

Reported Policies

7,410

60065-01Form/Plan

CIGNA HEALTHCARE OF FLORIDA, INC. 59-2089259 95136

HMO 11-08020 6/23/2011 % Change Allowed 19.00Average Trend Allowed 0.00

Anniversary Allowed 19.00Health Maintenance Organization Group Conversion

Reported Policies

68

FLICASTDHMO10.2003Form/Plan

CINCINNATI LIFE INSURANCE COMPANY (THE) 31-1213778 76236

FLH 10-20579 1/5/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Medicare Supplement Prestandardized

Reported Policies

4

6655Form/PlanLI-1588 (10/82)Form/PlanLI-1590 (10/82)Form/Plan

FLH 11-18977 12/12/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Medicare Supplement Prestandardized

Reported Policies

2

6655Form/PlanLI-1588Form/PlanLI-1590Form/Plan

COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY 57-0144607 62049

FLR 11-02854 4/7/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Health Specified Disease Limited Benefit Dread Disease Cancer Only

Reported Policies

43,345

124Form/Plan 592Form/Plan 610Form/Plan 797Form/Plan

C1000Form/Plan CA46Form/Plan

CANCRForm/Plan CANMODForm/Plan

CAPNA-CH-FLForm/Plan CAPNA-CL-FLForm/Plan

CI- 1.0Form/Plan CI(98)Form/Plan

CRPLUS96Form/Plan CVRForm/Plan

DACICForm/Plan HB00,LB00Form/Plan

R-CHEMForm/Plan R-CHEM-U/R-R(96)Form/Plan

Page 25 of 105Monday, January 09, 2012

Page 27: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

COLONIAL PENN LIFE INSURANCE COMPANY 23-1628836 62065

FLH 11-15404 11/15/2011 % Change Allowed 10.00Average Trend Allowed 0.00

Anniversary Allowed 10.00Individual Medicare Supplement Standard Plans

Reported Policies

5,185

11-82-090Form/Plan11-82-091Form/Plan11-82-092Form/Plan11-82-093Form/Plan11-82-094Form/Plan11-82-095Form/Plan4-82-703Form/Plan4-82-704Form/Plan4-82-705Form/Plan4-82-706Form/Plan4-82-722Form/Plan4-82-723Form/Plan4-82-724Form/Plan4-82-725Form/PlanCPL-GR-A80AForm/PlanCPL-GR-A80BForm/PlanCPL-GR-A80FForm/PlanCPL-GR-A80FHForm/PlanCPL-GR-A80GForm/PlanCPL-GR-A80KForm/PlanCPL-GR-A80LForm/PlanCPL-GR-A80MForm/PlanCPL-GR-A80NForm/Plan

FLR 11-09390 6/9/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Medicare Supplement Prestandardized

Reported Policies

323

3-82-840Form/Plan3-82-841Form/Plan3-82-855Form/Plan3-82-856Form/Plan3-82-857Form/Plan3-82-858Form/Plan4-82-595Form/Plan4-82-596Form/Plan4-82-597Form/Plan4-82-598Form/Plan

COLUMBIAN MUTUAL LIFE INSURANCE COMPANY 15-0274455 62103

FLR 11-09932 7/21/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Individual Medicare Supplement Standard Plans

Reported Policies

0

MTC20Form/PlanMTC24Form/PlanMTC25Form/Plan

FLR 11-09943 7/21/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Individual Medicare Supplement Medicare Select

Reported Policies

0

MTC42Form/PlanMTC43Form/Plan

Page 26 of 105Monday, January 09, 2012

Page 28: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

COMBINED INSURANCE COMPANY OF AMERICA 36-2136262 62146

FLR 11-04933 5/18/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Medicare Supplement Prestandardized

Reported Policies

99

14952Form/Plan14954Form/Plan14962Form/Plan7691Form/Plan7902Form/Plan7912Form/Plan8061Form/Plan8081Form/Plan

CONNECTICUT GENERAL LIFE INSURANCE COMPANY 06-0303370 62308

FLR 10-21126 1/7/2011 % Change Allowed 0.00Average Trend Allowed 13.10

Anniversary Allowed 13.10Group Health Major Medical Small Group Only

Reported Policies

3,595

GM6000 SCH135, ET AL, GM58Form/Plan

FLR 11-03743 4/12/2011 % Change Allowed -2.50Average Trend Allowed 12.00

Anniversary Allowed 13.00Individual Health Major Medical - Other

Reported Policies

28,868

FLIND052010Form/Plan

FLR 11-05785 5/12/2011 % Change Allowed 4.22Average Trend Allowed 0.00

Anniversary Allowed 4.22Individual Medicare Supplement Standard Plans

Reported Policies

37

F-69468Form/PlanF-69469Form/Plan

FLR 11-07351 6/23/2011 % Change Allowed -7.60Average Trend Allowed 12.00

Anniversary Allowed 3.50Individual Health Major Medical - Other

Reported Policies

29,553

FLIND052010Form/Plan

FLR 11-09994 7/27/2011 % Change Allowed 18.00Average Trend Allowed 0.00

Anniversary Allowed 18.00Health Conversion

Reported Policies

365

FLICASTDINDEMN6.2004 & FLIForm/PlanFL-STD CONV-98, FL-STD PPO Form/Plan

Page 27 of 105Monday, January 09, 2012

Page 29: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

CONSTITUTION LIFE INSURANCE COMPANY 36-1824600 62359

FLR 10-18691 2/9/2011 % Change Allowed -20.00Average Trend Allowed 0.00

Anniversary Allowed -20.00Individual Health Hospital Indemnity

Reported Policies

311

CL-HI3 (06) FLForm/Plan

FLR 11-14047 10/19/2011 % Change Allowed 5.40Average Trend Allowed 0.00

Anniversary Allowed 5.40Medicare Supplement Other

Reported Policies

1,600

CMSI-00-PLANA FLForm/PlanCMSI-00-PLANB FLForm/PlanCMSI-00-PLANC FLForm/PlanCMSI-00-PLAND FLForm/PlanCMSI-00-PLANF FLForm/PlanCMSI-00-PLANG FLForm/PlanCMSI-06-PLAN A FLForm/PlanCMSI-06-PLAN B FLForm/PlanCMSI-06-PLAN C FLForm/PlanCMSI-06-PLAN D FLForm/PlanCMSI-06-PLAN F FLForm/PlanCMSI-06-PLAN G FLForm/PlanCMSI-S-00-PLANB FLForm/PlanCMSI-S-00-PLANC FLForm/PlanCMSI-S-00-PLAND FLForm/PlanCMSI-S-00-PLANF FLForm/PlanCMSI-S-00-PLANG FLForm/PlanCMSI-S-06-PLAN B FLForm/PlanCMSI-S-06-PLAN C FLForm/PlanCMSI-S-06-PLAN D FLForm/PlanCMSI-S-06-PLAN F FLForm/PlanCMSI-S-06-PLAN G FLForm/Plan

Page 28 of 105Monday, January 09, 2012

Page 30: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

CONTINENTAL GENERAL INSURANCE COMPANY 47-0463747 71404

FLR 11-02093 3/1/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Individual Medicare Supplement Prestandardized

Reported Policies

139

319Form/Plan324Form/Plan333Form/Plan333 noRx (3DJ)Form/Plan8701-470 (390)Form/Plan8701-471 (391)Form/Plan8907-472 (392)Form/Plan8907-473 (393)Form/Plan8907-473 noRx (3DT)Form/Plan

FLR 11-03608 4/11/2011 % Change Allowed 5.67Average Trend Allowed 0.00

Anniversary Allowed 5.67Group Medicare Supplement Standard Plans

Reported Policies

79

360Form/Plan361Form/Plan362Form/Plan363Form/Plan364Form/Plan3DQForm/Plan

FLR 11-15137 10/31/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Medicare Supplement Standard Plans

Reported Policies

3,119

340Form/Plan342Form/Plan345Form/Plan346Form/Plan348Form/Plan3DMForm/Plan

Page 29 of 105Monday, January 09, 2012

Page 31: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

CONTINENTAL LIFE INS. CO. OF BRENTWOOD, TENNESSEE 62-1181209 68500

FLR 10-18886 3/2/2011 % Change Allowed 6.70Average Trend Allowed 0.00

Anniversary Allowed 6.70Medicare Supplement Other

Reported Policies

6,662

MSF-1 (TC-1A)Form/PlanMSF-B (TC-1B)Form/PlanMSF-C (TC-IC)Form/PlanMSF-D (TC-1D)Form/PlanMSF-E (TC-1E)Form/PlanMSF-F (TC-1F)Form/PlanMSF-G (TC-1G)Form/PlanNC-1AForm/PlanNC-1AUForm/PlanNC-1BForm/PlanNC-1BUForm/PlanNC-1CForm/PlanNC-1DForm/PlanNC-1EForm/PlanNC-1FForm/PlanNC-1GForm/PlanNC-1HForm/PlanNC-1HDForm/PlanNC-1IForm/PlanNC1-IDForm/Plan

FLR 11-14657 11/10/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Medicare Supplement Prestandardized

Reported Policies

28

EC-1Form/PlanSC-IIIForm/Plan

COVENTRY HEALTH AND LIFE INSURANCE COMPANY 75-1296086 81973

FLH 10-19110 1/12/2011 % Change Allowed 5.60Average Trend Allowed 0.00

Anniversary Allowed 5.60Health Conversion

Reported Policies

12

CHL.PPO.STD.CONV.POLICY (1Form/Plan

FLH 11-15498 10/26/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Group Health Major Medical Small Group Only

Reported Policies

1,659

CHL.SG.PPO.SOB.1X.[XXX/XXXForm/Plan

FLH 11-17641 12/15/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 4.90Group Health Major Medical Small Group Only

Reported Policies

668

CHL.LG/SG.[HSA,XX].RxRider (Form/PlanCHL.LG/SG.RxRider.SJ.[plan naForm/PlanCHL.SG.PPO.SOB.[XXXX/XXXX] Form/PlanCHL.SG.PPO.SOB.HSA.[XXXX/XForm/Plan

FLR 11-06714 5/12/2011 % Change Allowed 0.00Average Trend Allowed 12.00

Anniversary Allowed 12.00Individual Health Major Medical - Other

Reported Policies

2,116

CHL.IND.PPO.COI(8/10)Form/Plan

FLR 11-07085 5/17/2011 % Change Allowed 0.00Average Trend Allowed 12.50

Anniversary Allowed 12.50Group Health Major Medical Small Group Only

Reported Policies

1,393

CHL.SG.PPO.COI 4/08Form/Plan

Page 30 of 105Monday, January 09, 2012

Page 32: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

COVENTRY HEALTH CARE OF FLORIDA, INC. 65-0986441 95114

HMO 10-19936 1/13/2011 % Change Allowed 21.10Average Trend Allowed 0.00

Anniversary Allowed 21.10Health Maintenance Organization Group Conversion

Reported Policies

449

CHC.COMForm/Plan

HMO 10-20881 4/11/2011 % Change Allowed 0.00Average Trend Allowed 13.50

Anniversary Allowed 14.10Health Maintenance Organization Group Small Group Only

Reported Policies

21,987

CHC.SG.COC (4/10)Form/Plan

HMO 11-10206 7/21/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Health Maintenance Organization Group Small Group Only

Reported Policies

22,155

CHC.SG.OAPOS.SOB.NGP.[Plan Form/Plan

COVENTRY HEALTH PLAN OF FLORIDA, INC. 65-0453436 95266

HMO 10-20069 1/12/2011 % Change Allowed 21.20Average Trend Allowed 0.00

Anniversary Allowed 21.20Health Maintenance Organization Group Conversion

Reported Policies

72

CHP.STR.CONV (10/10)Form/Plan

HMO 11-05608 5/12/2011 % Change Allowed 1.20Average Trend Allowed 11.00

Anniversary Allowed 12.30Health Maintenance Organization Individual Individual

Reported Policies

24,418

HMO IndividualForm/Plan

HMO 11-12129 8/24/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Health Maintenance Organization Individual Individual

Reported Policies

24,285

Form NumberForm/Plan

HMO 11-13740 9/27/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 7.00Health Maintenance Organization Individual Individual

Reported Policies

0

CHP.IND.MatRider8/11 etalForm/Plan

DELTA DENTAL INSURANCE COMPANY 94-2761537 81396

FLP 10-19455 4/15/2011 % Change Allowed 0.00Average Trend Allowed 5.00

Anniversary Allowed 5.00Prepaid Limited Health Service Organization

Reported Policies

0

S-A-FL-STD10-R11Form/PlanS-B-FL-STD10Form/Plan

DENTAQUEST OF FLORIDA, INC. 65-0743731

FLP 11-06867 6/6/2011 % Change Allowed 0.00Average Trend Allowed 1.00

Anniversary Allowed 1.00Prepaid Dental Service Plan Corporation

Reported Policies

23

ADISIG100 09/07Form/PlanADISIG200 09/07Form/PlanADISIG300S 09/07Form/PlanADISIG400S 09/07Form/Plan

FLP 11-09105 6/23/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Prepaid Dental Service Plan Corporation

Reported Policies

7

ADISIG 100 09/07Form/Plan

Page 31 of 105Monday, January 09, 2012

Page 33: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

DENTEGRA INSURANCE COMPANY 75-1233841 73474

FLH 11-01319 3/17/2011 % Change Allowed 0.00Average Trend Allowed 5.00

Anniversary Allowed 5.00Group Health Dental

Reported Policies

0

G-PPO-C-FL-09Form/Plan

EMPLOYER CHOICE INSURANCE COMPANY, INC. 27-0210036 13663

FLR 11-12041 9/21/2011 % Change Allowed 10.40Average Trend Allowed 0.00

Anniversary Allowed 10.40Group Health Major Medical Small Group Only

Reported Policies

0

CHP.FL.MAND.POL (9/2010)Form/Plan

FAMILY LIFE INSURANCE COMPANY 91-0550883 63053

FLR 11-16483 12/27/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Health Specified Disease Limited Benefit Dread Disease Cancer Only

Reported Policies

1,289

HP1015Form/PlanHP8952Form/Plan

FIDELITY SECURITY LIFE INSURANCE COMPANY 43-0949844 71870

FLR 10-20522 1/11/2011 % Change Allowed 0.00Average Trend Allowed 6.00

Anniversary Allowed 6.00Group Health Dental

Reported Policies

20

M-9037FLForm/Plan

FLR 11-07216 5/11/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Group Health Vision

Reported Policies

3,334

C-9083FLForm/PlanM-9083FLForm/PlanR-02966FLForm/Plan

FLORIDA COMBINED LIFE INSURANCE COMPANY 59-2876465 76031

FLR 10-18929 3/8/2011 % Change Allowed -4.80Average Trend Allowed 4.00

Anniversary Allowed -0.99Group Health Dental

Reported Policies

10,120

50527-0603Form/Plan50528-0603Form/Plan50529-0603Form/Plan50530-0603Form/Plan

FLR 10-21160 2/24/2011 % Change Allowed 0.00Average Trend Allowed 3.00

Anniversary Allowed 3.00Individual Health Dental

Reported Policies

29,309

50573-1106Form/Plan50577-1106Form/Plan

FLR 11-00979 2/24/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Group Health Dental

Reported Policies

7,614

50484-0802Form/Plan

Page 32 of 105Monday, January 09, 2012

Page 34: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

FLORIDA COMPREHENSIVE HEALTH ASSOCIATION 59-2339274

FLR 11-03678 3/23/2011 % Change Allowed 15.00Average Trend Allowed 0.00

Anniversary Allowed 15.00Individual Health Major Medical - Other

Reported Policies

231

High Risk PoolForm/Plan

FLORIDA HEALTH CARE PLAN, INC. 26-3238817 13567

HMO 11-10575 8/4/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Health Maintenance Organization Group Small Group Only

Reported Policies

2,532

S68-5/11Form/Plansmall groupForm/Plan

HMO 11-12844 9/21/2011 % Change Allowed 5.95Average Trend Allowed 0.00

Anniversary Allowed 5.95Health Maintenance Organization Group Small Group Only

Reported Policies

3,294

SMGP2011Form/Plan

HMO 11-14664 10/12/2011 % Change Allowed 1.08Average Trend Allowed 0.00

Anniversary Allowed 1.08Health Maintenance Organization Group Conversion

Reported Policies

321

ConversionForm/Plan

GENWORTH LIFE AND ANNUITY INSURANCE COMPANY 54-0283385 65536

FLR 11-16716 12/9/2011 % Change Allowed 2.70Average Trend Allowed 0.00

Anniversary Allowed 2.70Individual Medicare Supplement Standard Plans

Reported Policies

1,132

GMSPA04 FLForm/PlanGMSPB04 FLForm/PlanGMSPC04 FLForm/PlanGMSPD04 FLForm/PlanGMSPE04 FLForm/PlanGMSPF04 FLForm/PlanGMSPG04 FLForm/PlanGMSPHF04 FLForm/Plan

FLR 11-19461 12/22/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Medicare Supplement Prestandardized

Reported Policies

23

4500Form/Plan4535Form/Plan4585Form/Plan4605Form/Plan4605-OBForm/Plan

Page 33 of 105Monday, January 09, 2012

Page 35: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

GERBER LIFE INSURANCE COMPANY 13-2611847 70939

FLR 11-14234 11/10/2011 % Change Allowed 9.00Average Trend Allowed 0.00

Anniversary Allowed 9.00Individual Medicare Supplement Standard Plans

Reported Policies

572

MTG20 ages <65 issued beforeForm/PlanMTG20 ages <65 issued on or Form/PlanMTG20 ages 65+Form/PlanMTG24 ages <65 issued beforeForm/PlanMTG24 ages 65+Form/PlanMTG24 ages<65 issued on or aForm/PlanMTG25 ages <65 issued beforeForm/PlanMTG25 ages <65 issued on or Form/PlanMTG25 ages 65+Form/Plan

FLR 11-17483 12/22/2011 % Change Allowed 5.30Average Trend Allowed 0.00

Anniversary Allowed 5.30Individual Medicare Supplement Medicare Select

Reported Policies

63

MTG42 ages <65 issued beforeForm/PlanMTG42 ages 65+Form/PlanMTG42 ages<65 issued 1/1/20Form/PlanMTG43 ages 65+Form/PlanMTG43 ages<65 issued 1/1/20Form/PlanMTG43 ages<65 issued before Form/Plan

GLOBE LIFE AND ACCIDENT INSURANCE COMPANY 63-0782739 91472

FLR 11-01615 3/3/2011 % Change Allowed 9.00Average Trend Allowed 0.00

Anniversary Allowed 9.00Individual Health - Hospital Surgical Medical Expense

Reported Policies

74

5-GForm/PlanGCS1Form/PlanGHS1Form/PlanGHS2Form/PlanGHS3Form/PlanGHS4Form/PlanHEPForm/PlanPR-20Form/Plan

FLR 11-02056 2/25/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Individual Medicare Supplement Prestandardized

Reported Policies

41

0A-641Form/PlanH-004R-1074Form/PlanH-013-774Form/PlanH-054R-477Form/PlanMCP-2Form/PlanMCP-3Form/PlanMCP-4Form/PlanMEDSUP-2Form/PlanOA-640Form/PlanOA-650Form/PlanOA-800Form/Plan

FLR 11-13871 9/23/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Health Accident Only

Reported Policies

54

A-250Form/PlanADMForm/Plan

Page 34 of 105Monday, January 09, 2012

Page 36: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

GOLDEN RULE INSURANCE COMPANY 37-6028756 62286

FLR 11-14229 10/10/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Individual Medicare Supplement Prestandardized

Reported Policies

340

GRI-H-11Form/PlanGRI-H-11DForm/PlanGRI-H-11D w/ SA-S 1285Form/PlanGRI-H-11PForm/PlanGRI-H-11P w/SA-S 1285Form/PlanGRI-H-12Form/PlanGRI-H-12DForm/PlanGRI-H-12D w/ SA-S 1285Form/PlanGRI-H-12PForm/PlanGRI-H-12P w/ SA-S 1285Form/PlanGRI-H-2Form/PlanGRI-H-2.0Form/PlanGRI-H-2.0PForm/PlanGRI-H-2.0P w/SA-S 1285Form/PlanGRI-H-2.1Form/PlanGRI-H-2.1PForm/PlanGRI-H-2.1P w/SA-S 1285Form/PlanGRI-H-2.1P4Form/PlanGRI-H-2.1P4 w/SA-S 1285Form/PlanGRI-H-2.2Form/PlanGRI-H-2.2PForm/PlanGRI-H-2.2P w/SA-S 1285Form/PlanGRI-H-2.2P4Form/PlanGRI-H-2.2P4 w/SA-S 1285Form/PlanGRI-H-2PForm/PlanGRI-H-2P w/SA-S 1285Form/Plan

FLR 11-14463 10/13/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Individual Medicare Supplement Standard Plans

Reported Policies

734

GRI-H-Plan D-09Form/PlanGRI-H-Plan G-09Form/PlanGRI-Plan A-09Form/Plan

FLR 11-14620 10/26/2011 % Change Allowed 11.50Average Trend Allowed 6.00

Anniversary Allowed 18.19Individual Health Dental

Reported Policies

7,326

GRI-DEN2-09Form/Plan

FLR 11-18160 12/16/2011 % Change Allowed 9.00Average Trend Allowed 0.00

Anniversary Allowed 9.00Health Conversion

Reported Policies

1

GRI-HC-1.1-09Form/PlanGRI-HC-STD-09Form/Plan

Page 35 of 105Monday, January 09, 2012

Page 37: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

GOVERNMENT PERSONNEL MUTUAL LIFE INSURANCE COMPANY 74-0651020 63967

FLR 11-10191 6/27/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Individual Medicare Supplement Standard Plans

Reported Policies

2

MTP20Form/PlanMTP22Form/PlanMTP24Form/PlanMTP25Form/PlanMTP31Form/Plan

GREAT AMERICAN LIFE INSURANCE COMPANY 13-1935920 63312

FLR 11-14523 10/13/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Individual Medicare Supplement Standard Plans

Reported Policies

349

1MSPA0001 Form/Plan1MSPB0001 Form/Plan1MSPC0001 Form/Plan1MSPD0001 Form/Plan1MSPF0001 Form/Plan1MSPG0001 Form/Plan

GREAT SOUTHERN LIFE INSURANCE COMPANY 74-2058261 90212

FLH 11-07548 6/10/2011 % Change Allowed 12.00Average Trend Allowed 0.00

Anniversary Allowed 12.00Health Conversion

Reported Policies

1

AH-6007Form/Plan

GUARANTEE TRUST LIFE INSURANCE COMPANY 36-1174500 64211

FLR 11-14956 10/25/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Medicare Supplement Other

Reported Policies

226

9240A(FL)Form/Plan9240B(FL)Form/Plan9240D(FL)Form/Plan9240F(FL)Form/Plan9240G(FL)Form/Plan92420(C)Form/Plan9242A(FL)Form/Plan9242B(FL)Form/Plan9242C(FL)Form/Plan9242D(FL)Form/Plan9242F(FL)Form/Plan9242G(FL)Form/Plan9541AForm/Plan

Page 36 of 105Monday, January 09, 2012

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Approved Accident and Health Rate Changes, 2011YTD

GUARDIAN LIFE INSURANCE COMPANY OF AMERICA 13-5123390 64246

FLH 11-09175 6/30/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Group Health Dental

Reported Policies

43,343

GP-1-DG2000Form/Plan

FLR 10-21605 2/9/2011 % Change Allowed -3.00Average Trend Allowed 0.00

Anniversary Allowed -3.00Group Health Disability Income

Reported Policies

638

GP-1-LTD08-1.0-DR et alForm/Plan

FLR 10-21638 4/4/2011 % Change Allowed 0.30Average Trend Allowed 6.00

Anniversary Allowed 6.32Group Health Dental

Reported Policies

48,763

GP-1-DG2000Form/Plan

FLR 11-05176 5/3/2011 % Change Allowed 8.10Average Trend Allowed 3.00

Anniversary Allowed 11.30Group Health Vision

Reported Policies

5,872

GP-1-VSN-96-VISForm/Plan

FLR 11-05184 5/3/2011 % Change Allowed -8.50Average Trend Allowed 3.00

Anniversary Allowed -5.80Group Health Vision

Reported Policies

1,837

GP-1-Davis-05-VISForm/Plan

Page 37 of 105Monday, January 09, 2012

Page 39: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

HEALTH FIRST HEALTH PLANS, INC. 59-3315064 95019

HMO 11-04707 5/6/2011 % Change Allowed -8.90Average Trend Allowed 10.00

Anniversary Allowed 2.80Health Maintenance Organization Group Small Group Only

Reported Policies

6,424

HF 22- SM (1/2009) DiscontinuForm/PlanHF24 SMRY (07/2011) Form/PlanHF25 SMRY (07/2011) Form/PlanHF26 SMRY (07/2011) Form/PlanHF27 SMRY (07/2011) Form/PlanHFHPBASIC1 (07/2011)Form/PlanHFHPBASIC2 (07/2011)Form/PlanHFHPBASIC3 ) (07/2011Form/PlanHFHPBASIC4 (07/2011)Form/PlanHFHPSTD 1 (07/2011)Form/PlanHFHPSTD 2 (07/2011)Form/PlanHFHPSTD 3 (07/2011)Form/PlanHFHPSTD 4 (07/2011)Form/PlanHMO SM 4Form/PlanRx SMRY 2/10/25/45/20% (7/1Form/PlanRx SMRY 2/15/30/50/20% (7/1Form/PlanRx SMRY 2/15/50/150 (7/11)Form/PlanRx SMRY 2/15/50/150 5K (1/20Form/Plan

Rx SMRY 2/5/15/20/40 (7/11) Form/PlanRx SMRY 2/7/15/35/20% (7/11Form/PlanRx SMRY 2/7/20/40/20% (7/11Form/PlanRx SMRY 30 (7/11)Form/PlanSM HDHP [ $3600]/[60%]Form/PlanSM HDHP [$$2400;]/[70%]Form/PlanSM HDHP [$1200; ]/[100%] noForm/PlanSM HDHP [$1200]/[ 80%]Form/PlanSM HDHP [$1200]/[100%] InteForm/PlanSM HDHP [$1200]/[60%] IntegForm/PlanSM HDHP [$1200]/[60%} Form/PlanSM HDHP [$1200]/[70%]Form/PlanSM HDHP [$1200]/[70%] IntegForm/PlanSM HDHP [$1200]/[80%] IntegForm/PlanSM HDHP [$2400; ]/[100%;]Form/PlanSM HDHP [$2400; ]/80%;Form/PlanSM HDHP [$2400;]/[60%]Form/PlanSM HDHP [$2400]/[100%] InteForm/PlanSM HDHP [$2400]/[60%] IntegForm/PlanSM HDHP [$2400]/[70%] IntegForm/PlanSM HDHP [$2400]/[80%] IntegForm/PlanSM HDHP [$3600]/[100%]Form/PlanSM HDHP [$3600]/[100%] InteForm/PlanSM HDHP [$3600]/[60%] IntegForm/PlanSM HDHP [$3600]/[70%]Form/PlanSM HDHP [$3600]/[70%] IntegForm/PlanSM HDHP [$3600]/[80%]Form/PlanSM HDHP [$3600]/[80%] IntegForm/PlanSM HDPOS [ $1200]/[100%] InForm/PlanSM HDPOS [ $1200]/[60%] IntForm/PlanSM HDPOS [ $1200]/[70%] IntForm/PlanSM HDPOS [ $1200]/[80%]InteForm/Plan

Page 38 of 105Monday, January 09, 2012

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Approved Accident and Health Rate Changes, 2011YTD

SM HDPOS [ $2400]/[100%]Form/PlanSM HDPOS [ $2400]/[100%] InForm/PlanSM HDPOS [ $2400]/[60%]Form/PlanSM HDPOS [ $2400]/[60%] IntForm/PlanSM HDPOS [ $2400]/[70%]Form/PlanSM HDPOS [ $2400]/[70%] IntForm/PlanSM HDPOS [ $2400]/[80%]Form/PlanSM HDPOS [ $2400]/[80%] IntForm/PlanSM HDPOS [ $3600]/[100%]Form/PlanSM HDPOS [ $3600]/[100%] InForm/PlanSM HDPOS [ $3600]/[60%]Form/PlanSM HDPOS [ $3600]/[60%] IntForm/PlanSM HDPOS [ $3600]/[70%]Form/PlanSM HDPOS [ $3600]/[70%] IntForm/PlanSM HDPOS [ $3600]/[80%]Form/PlanSM HDPOS [ $3600]/[80%] IntForm/PlanSM HDPOS [$1200]/[100%]Form/PlanSM HDPOS [$1200]/[60]Form/PlanSM HDPOS [$1200]/[70%]Form/PlanSM HDPOS [$1200][/80%]Form/PlanSMC1 SMRY (10/2010) DiscontiForm/PlanSMC2 SMRY (07/2011) Form/PlanSMC3 SMRY (07/2011) Form/PlanSMC4 SMRY (07/2011) Form/PlanVC1 SMRY (07/2011)Form/PlanVC2 SMRY (10/2010) DiscontinForm/PlanVC3 SMRY (10/2010) DiscontinForm/PlanVC4 SMRY (07/2011)Form/PlanVIS SMRY E0 5 (7/11)Form/Plan

VIS SMRY EO 10 (7/11) Form/PlanVIS SMRY EO 15 (7/11)Form/PlanVIS SMRY EP 10/125 (7/11) Form/PlanVIS SMRY EP 15/100 (7/11) Form/PlanVIS SMRY EP 15/75 (7/11)Form/PlanVP1 SMRY (07/2011) Form/PlanVP2 SMRY (07/2011) Form/PlanVP3 SMRY (10/2010) DiscontinForm/PlanVP4 SMRY (07/2011) Form/Plan

HMO 11-13297 9/20/2011 % Change Allowed 19.20Average Trend Allowed 0.00

Anniversary Allowed 19.20Health Maintenance Organization Group Conversion

Reported Policies

92

MHO.STDCONV 3/06Form/PlanMHP.CONV 3/06Form/Plan

Page 39 of 105Monday, January 09, 2012

Page 41: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

HMO 11-19168 12/28/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.10Health Maintenance Organization Group Small Group Only

Reported Policies

6,424

HF 22- SM (1/2009) DiscontinuForm/PlanHF24 SMRY (07/2011) Form/PlanHF25 SMRY (07/2011) Form/PlanHF26 SMRY (07/2011) Form/PlanHF27 SMRY (07/2011) Form/PlanHFHPBASIC1 (07/2011)Form/PlanHFHPBASIC2 (07/2011)Form/PlanHFHPBASIC3 ) (07/2011Form/PlanHFHPBASIC4 (07/2011)Form/PlanHFHPSTD 1 (07/2011)Form/PlanHFHPSTD 2 (07/2011)Form/PlanHFHPSTD 3 (07/2011)Form/PlanHFHPSTD 4 (07/2011)Form/PlanHMO SM 4Form/PlanRx SMRY 2/10/25/45/20% (7/1Form/PlanRx SMRY 2/15/30/50/20% (7/1Form/PlanRx SMRY 2/15/50/150 (7/11)Form/PlanRx SMRY 2/15/50/150 5K (1/20Form/Plan

Rx SMRY 2/5/15/20/40 (7/11)Form/PlanRx SMRY 2/7/15/35/20% (7/11Form/PlanRx SMRY 2/7/20/40/20% (7/11Form/PlanRx SMRY 30 (7/11)Form/PlanSM HDHP [ $3600]/[60%]Form/PlanSM HDHP [$$2400;]/[70%]Form/PlanSM HDHP [$1200; ]/[100%] noForm/PlanSM HDHP [$1200]/[ 80%]Form/PlanSM HDHP [$1200]/[100%] InteForm/PlanSM HDHP [$1200]/[60%] IntegForm/PlanSM HDHP [$1200]/[70%] IntegForm/PlanSM HDHP [$1200]/[80%] IntegForm/PlanSM HDHP [$2400; ]/[100%;]Form/PlanSM HDHP [$2400]/[100%] InteForm/PlanSM HDHP [$2400]/[80%] IntegForm/PlanSM HDHP [$3600]/[100%]Form/PlanSM HDHP [$3600]/[100%] InteForm/PlanSM HDHP [$3600]/[60%] IntegForm/PlanSM HDHP [$3600]/[70%] IntegForm/PlanSM HDHP [$3600]/[80%]Form/PlanSM HDHP [$3600]/[80%] IntegForm/PlanSM HDPOS [ $1200]/[100%] InForm/PlanSM HDPOS [ $1200]/[80%]InteForm/PlanSM HDPOS [ $2400]/[100%] InForm/PlanSM HDPOS [ $2400]/[80%]Form/PlanSM HDPOS [ $2400]/[80%] IntForm/PlanSM HDPOS [ $3600]/[100%]Form/PlanSM HDPOS [ $3600]/[100%] InForm/PlanSM HDPOS [ $3600]/[60%]Form/PlanSM HDPOS [ $3600]/[60%] IntForm/PlanSM HDPOS [ $3600]/[70%]Form/PlanSM HDPOS [ $3600]/[80%] IntForm/PlanSMC1 SMRY (10/2010) DiscontiForm/PlanSMC2 SMRY (07/2011) Form/PlanSMC3 SMRY (07/2011) Form/Plan

Page 40 of 105Monday, January 09, 2012

Page 42: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

SMC4 SMRY (07/2011) Form/PlanVC1 SMRY (07/2011)Form/PlanVC2 SMRY (10/2010) DiscontinForm/PlanVC3 SMRY (10/2010) DiscontinForm/PlanVC4 SMRY (07/2011)Form/PlanVIS SMRY E0 5 (7/11)Form/Plan

VIS SMRY EO 10 (7/11) Form/PlanVIS SMRY EO 15 (7/11)Form/PlanVIS SMRY EP 10/125 (7/11) Form/PlanVIS SMRY EP 15/100 (7/11) Form/PlanVIS SMRY EP 15/75 (7/11)Form/PlanVP1 SMRY (07/2011) Form/PlanVP2 SMRY (07/2011) Form/PlanVP3 SMRY (10/2010) DiscontinForm/PlanVP4 SMRY (07/2011) Form/Plan

Page 41 of 105Monday, January 09, 2012

Page 43: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

HEALTH OPTIONS, INC. 59-2403696 95089

HMO 10-20572 1/12/2011 % Change Allowed 4.90Average Trend Allowed 0.00

Anniversary Allowed 4.90Health Maintenance Organization Group Conversion

Reported Policies

682

85890-1297SR et alForm/Plan

HMO 10-21017 2/18/2011 % Change Allowed -17.50Average Trend Allowed 11.00

Anniversary Allowed -17.00Health Maintenance Organization Group Small Group Only

Reported Policies

2,584

62087 R0310 BCA, et. alForm/Plan

HMO 11-09242 7/7/2011 % Change Allowed 0.00Average Trend Allowed 11.00

Anniversary Allowed 11.00Health Maintenance Organization Group Small Group Only

Reported Policies

2,584

24548 0711 BCAForm/Plan86301 R0310 BCAForm/Plan

HMO 11-09594 7/7/2011 % Change Allowed 0.00Average Trend Allowed 11.00

Anniversary Allowed 11.00Health Maintenance Organization Group Small Group Only

Reported Policies

2,584

86301 0310R BCA, et. al.Form/Plan

HMO 11-12348 9/15/2011 % Change Allowed 7.00Average Trend Allowed 0.00

Anniversary Allowed 7.00Health Maintenance Organization Individual Individual

Reported Policies

1,046

86500-0999SR et. al.Form/Plan

HMO 11-13841 9/22/2011 % Change Allowed -8.30Average Trend Allowed 0.00

Anniversary Allowed 3.20Health Maintenance Organization Group Small Group Only

Reported Policies

1,711

62087 R0310 BCA, et. al.Form/Plan

Page 42 of 105Monday, January 09, 2012

Page 44: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

HMO 11-18719 12/30/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed -1.04Health Maintenance Organization Group Small Group Only

Reported Policies

3,102

BCR.SG.COM.POL(10/11)Form/PlanBCR.SG.COM.SOB.HSA.PL120(1Form/PlanBCR.SG.COM.SOB.HSA.PL121(1Form/PlanBCR.SG.COM.SOB.HSA.PL122(1Form/PlanBCR.SG.COM.SOB.HSA.PL123(1Form/PlanBCR.SG.COM.SOB.HSA.PL124(1Form/PlanBCR.SG.COM.SOB.HSA.PL125(1Form/PlanBCR.SG.COM.SOB.HSA.PL126(1Form/PlanBCR.SG.COM.SOB.HSA.PL127(1Form/PlanBCR.SG.COM.SOB.HSA.PL128(1Form/PlanBCR.SG.COM.SOB.HSA.PL129(1Form/PlanBCR.SG.COM.SOB.HSA.PL130(1Form/PlanBCR.SG.COM.SOB.HSA.PL131(1Form/PlanBCR.SG.COM.SOB.IRX.PL120.CForm/PlanBCR.SG.COM.SOB.IRX.PL120.OForm/PlanBCR.SG.COM.SOB.IRX.PL121.CForm/PlanBCR.SG.COM.SOB.IRX.PL121.OForm/PlanBCR.SG.COM.SOB.IRX.PL122.CForm/PlanBCR.SG.COM.SOB.IRX.PL122.OForm/PlanBCR.SG.COM.SOB.IRX.PL123.CForm/PlanBCR.SG.COM.SOB.IRX.PL123.OForm/PlanBCR.SG.COM.SOB.IRX.PL124.CForm/PlanBCR.SG.COM.SOB.IRX.PL124.OForm/PlanBCR.SG.COM.SOB.IRX.PL125.CForm/PlanBCR.SG.COM.SOB.IRX.PL125.OForm/PlanBCR.SG.COM.SOB.IRX.PL126.CForm/PlanBCR.SG.COM.SOB.IRX.PL126.OForm/PlanBCR.SG.COM.SOB.IRX.PL127.CForm/PlanBCR.SG.COM.SOB.IRX.PL127.OForm/PlanBCR.SG.COM.SOB.IRX.PL128.CForm/PlanBCR.SG.COM.SOB.IRX.PL128.OForm/PlanBCR.SG.COM.SOB.IRX.PL129.CForm/PlanBCR.SG.COM.SOB.IRX.PL129.OForm/PlanBCR.SG.COM.SOB.IRX.PL130.CForm/PlanBCR.SG.COM.SOB.IRX.PL130.OForm/PlanBCR.SG.COM.SOB.IRX.PL131.CForm/PlanBCR.SG.COM.SOB.IRX.PL131.OForm/PlanBCR.SG.COM.SOB.PL57(10/11)Form/PlanBCR.SG.COM.SOB.PL58(10/11)Form/PlanBCR.SG.COM.SOB.PL59(10/11)Form/Plan

HEALTHY PALM BEACHES, INC. 65-0550288 95827

FLX 11-15258 11/3/2011 % Change Allowed -2.20Average Trend Allowed 0.00

Anniversary Allowed -2.20Health Flex Plan

Reported Policies

7,699

Vita HealthForm/Plan

Page 43 of 105Monday, January 09, 2012

Page 45: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC. 61-1041514 69671

FLH 11-09234 7/21/2011 % Change Allowed -3.40Average Trend Allowed 13.00

Anniversary Allowed 9.20Group Health Major Medical Small Group Only

Reported Policies

1,270

CC2003Form/Plan

FLH 11-09985 7/7/2011 % Change Allowed 1.60Average Trend Allowed 0.00

Anniversary Allowed 1.60Individual Health Major Medical - Other

Reported Policies

0

71037-01Form/Plan71054-01Form/Plan

FLH 11-10431 8/24/2011 % Change Allowed 1.20Average Trend Allowed 10.00

Anniversary Allowed 11.30Individual Health Major Medical - Other

Reported Policies

37,642

FL-70129Form/Plan

FLR 10-18479 1/12/2011 % Change Allowed -11.30Average Trend Allowed 12.00

Anniversary Allowed 0.00Individual Health Major Medical - Other

Reported Policies

48,791

FL-70129Form/Plan

FLR 11-11011 8/16/2011 % Change Allowed 12.48Average Trend Allowed 0.00

Anniversary Allowed 12.48Individual Medicare Supplement Standard Plans

Reported Policies

1,080

FL-MESA 3/08 (<65)Form/PlanFL-MESA 3/08 (65+)Form/PlanFLMESA10A (<65)Form/PlanFL-MESB 3/08 (<65)Form/PlanFL-MESB 3/08 (65+)Form/PlanFL-MESC 3/08 (<65)Form/PlanFL-MESC 3/08 (65+)Form/PlanFL-MESF 3/08 (<65)Form/PlanFL-MESF 3/08 (65+)Form/PlanFL-MESF(HD) 3/08 (<65)Form/PlanFL-MESF(HD) 3/08 (65+)Form/PlanFL-MESK 3/08 (<65)Form/PlanFL-MESK 3/08 (65+)Form/PlanFL-MESL 3/08 (<65)Form/PlanFL-MESL 3/08 (65+)Form/PlanFLMESM10A (65+)Form/PlanFLMESM10B (<65)Form/PlanFLMESM10B (65+)Form/PlanFLMESM10C (<65)Form/PlanFLMESM10C (65+)Form/PlanFLMESM10F (<65)Form/PlanFLMESM10F (65+)Form/PlanFLMESM10F(HD) (<65)Form/PlanFLMESM10F(HD) (65+)Form/PlanFLMESM10K (<65)Form/PlanFLMESM10K (65+)Form/PlanFLMESM10L (<65)Form/PlanFLMESM10L (65+)Form/Plan

Page 44 of 105Monday, January 09, 2012

Page 46: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

FLR 11-11992 8/31/2011 % Change Allowed 23.20Average Trend Allowed 0.00

Anniversary Allowed 23.20Health Conversion

Reported Policies

149

C02/002Form/PlanC02/041Form/PlanC06/001Form/PlanC06/098Form/PlanC06/099Form/Plan

HUMANA INSURANCE COMPANY 39-1263473 73288

FLR 11-14409 9/20/2011 % Change Allowed 21.80Average Trend Allowed 0.00

Anniversary Allowed 21.80Health Conversion

Reported Policies

5

01682Form/Plan02185Form/Plan03795Form/Plan

HUMANA MEDICAL PLAN, INC. 61-1103898 95270

HMO 11-09233 7/21/2011 % Change Allowed -3.40Average Trend Allowed 12.50

Anniversary Allowed 9.80Health Maintenance Organization Group Small Group Only

Reported Policies

21,188

CCHMOForm/Plan

HMO 11-09983 7/7/2011 % Change Allowed 1.40Average Trend Allowed 0.00

Anniversary Allowed 1.40Health Maintenance Organization Individual Individual

Reported Policies

27

71070Form/Plan

HMO 11-09984 7/7/2011 % Change Allowed 1.60Average Trend Allowed 0.00

Anniversary Allowed 1.60Health Maintenance Organization Individual Individual

Reported Policies

0

71037-01Form/Plan71054-01Form/Plan

HMO 11-14352 9/19/2011 % Change Allowed 24.10Average Trend Allowed 0.00

Anniversary Allowed 24.10Health Maintenance Organization Group Conversion

Reported Policies

138

IHP1Form/PlanIHP1-MHForm/Plan

Page 45 of 105Monday, January 09, 2012

Page 47: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

HUMANADENTAL INSURANCE COMPANY 39-0714280 70580

FLR 10-20201 1/7/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Health Dental

Reported Policies

7,449

FL-70141 HD ET ALForm/Plan

FLR 11-04885 6/7/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Group Health Dental

Reported Policies

10,633

FL-70090 HDForm/PlanFL-70090 HD 3/08Form/PlanFL-70090-HD 5/06Form/PlanFL-70146-HD CompositeForm/PlanFL-70146-HD Implant 1/09Form/PlanFL-70146-HD Open EnrollForm/PlanFL-70146-HD Open Enroll 1/09Form/PlanFL-70146-HD ORTHO 1/09Form/PlanGN-70146-HD ImplantForm/PlanGN-70146-HD ORTHOForm/PlanGN-70146-HD SCIForm/PlanGN-70146-HD SCI 1/09Form/PlanGN-70146-HD SCPForm/PlanGN-70146-HD SCP 1/09Form/Plan

FLR 11-15278 10/11/2011 % Change Allowed 0.00Average Trend Allowed 4.00

Anniversary Allowed 4.00Individual Health Dental

Reported Policies

7,063

FL-70141-HD ET ALForm/Plan

IDEALIFE INSURANCE COMPANY 06-1053475 97764

FLR 11-02060 3/18/2011 % Change Allowed 5.10Average Trend Allowed 0.00

Anniversary Allowed 5.10Medicare Supplement Other

Reported Policies

499

IL9001Form/PlanIL9200AForm/PlanIL9220CForm/PlanIL9250FForm/Plan

ILLINOIS MUTUAL LIFE INSURANCE COMPANY 37-0344290 64580

FLH 10-20477 2/15/2011 % Change Allowed 3.00Average Trend Allowed 12.00

Anniversary Allowed 15.00Individual Health - Hospital Surgical Medical Expense

Reported Policies

64

728Form/Plan730Form/Plan743Form/Plan744Form/Plan748Form/Plan758Form/Plan760Form/Plan775Form/Plan776Form/Plan843Form/Plan885Form/Plan886Form/Plan

Page 46 of 105Monday, January 09, 2012

Page 48: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

JACKSON NATIONAL LIFE INSURANCE COMPANY 38-1659835 65056

FLR 10-20210 2/9/2011 % Change Allowed 3.50Average Trend Allowed 0.00

Anniversary Allowed 3.50Individual Health Specified Disease Limited Benefit Dread Disease Cancer Only

Reported Policies

1,838

4014Form/Plan4015Form/Plan4015-78Form/Plan4016Form/Plan4016-78Form/Plan6729-87Form/Plan6748-87Form/Plan7065-90Form/Plan

FLR 11-00698 1/28/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Long Term Care Nursing Home And Home Health Care - Other

Reported Policies

22

2100Form/Plan2101Form/Plan2202Form/Plan2400Form/Plan430Form/Plan

FLR 11-08171 7/5/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Health Champus Or Tricare Supplement

Reported Policies

77

800-94Form/Plan900-94Form/Plan

Page 47 of 105Monday, January 09, 2012

Page 49: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

FLR 11-15666 12/8/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Medicare Supplement Other

Reported Policies

282

1010Form/Plan1020Form/Plan1029Form/Plan1030Form/Plan

1100-A-94Form/Plan 1100-B-94Form/Plan 1100-C-94Form/Plan 1100-F-94Form/Plan 1100-I-94Form/Plan

330Form/Plan340Form/Plan350Form/Plan380Form/Plan389Form/Plan420Form/Plan429Form/Plan6610Form/Plan

6610-89Form/Plan 6610-90Form/Plan 6610-91Form/Plan 6610-92Form/Plan

6611Form/Plan 6611-92Form/Plan 6611-97Form/Plan 6612-89Form/Plan 6613-89Form/Plan 6613-90Form/Plan

JOHN ALDEN LIFE INSURANCE COMPANY 41-0999752 65080

FLR 11-06305 8/23/2011 % Change Allowed 0.10Average Trend Allowed 13.00

Anniversary Allowed 13.10Group Health Major Medical Small Group Only

Reported Policies

137

JGM.TRT.FLForm/Plan

FLR 11-11453 8/3/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Medicare Supplement Standard Plans

Reported Policies

178

J-1135A-FLForm/PlanJ-1135C-FLForm/PlanJ-1135F-FLForm/PlanJ-1135G-FLForm/Plan

KANAWHA INSURANCE COMPANY 57-0380426 65110

FLR 11-00167 2/11/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Group Health Disability Income

Reported Policies

1,642

1688 FLForm/Plan

FLR 11-04627 4/6/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Group Health Disability Income

Reported Policies

2,218

1687Form/Plan

Page 48 of 105Monday, January 09, 2012

Page 50: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

LIBERTY DENTAL PLAN OF FLORIDA, INC. 27-0963551

FLP 10-20961 3/23/2011 % Change Allowed 0.00Average Trend Allowed 4.00

Anniversary Allowed 4.00Prepaid Limited Health Service Organization

Reported Policies

0

LDP.GRPCON (09/09)Form/Plan

FLP 11-15393 12/14/2011 % Change Allowed 0.00Average Trend Allowed 4.00

Anniversary Allowed 4.00Prepaid Limited Health Service Organization

Reported Policies

0

LDP.EOC-Individual (08/11)Form/Plan

LIBERTY NATIONAL LIFE INSURANCE COMPANY 63-0124600 65331

FLH 11-15962 11/21/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Health Hospital Indemnity

Reported Policies

4,667

5IA/5ICForm/Plan5IB/5IDForm/Plan5JDForm/Plan5JEForm/Plan5JFForm/Plan

FLR 10-20389 1/14/2011 % Change Allowed -9.60Average Trend Allowed 0.00

Anniversary Allowed -9.60Individual Medicare Supplement Standard Plans

Reported Policies

145

LDMSA10Form/PlanLDMSB10Form/PlanLDMSF10Form/PlanLDMSHDF10Form/PlanLDMSN10Form/PlanLMSA10Form/PlanLMSB10Form/PlanLMSF10Form/PlanLMSHDF10Form/PlanLMSN10Form/Plan

FLR 11-07267 6/7/2011 % Change Allowed 2.00Average Trend Allowed 0.00

Anniversary Allowed 2.00Individual Medicare Supplement Standard Plans

Reported Policies

169

LDMSA10Form/PlanLDMSB10Form/PlanLDMSF10Form/PlanLDMSHDF10Form/PlanLDMSN10Form/PlanLMSA10Form/PlanLMSB10Form/PlanLMSF10Form/PlanLMSHDF10Form/PlanLMSN10Form/Plan

Page 49 of 105Monday, January 09, 2012

Page 51: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

LINCOLN HERITAGE LIFE INSURANCE COMPANY 04-2314290 65927

FLR 11-01218 3/28/2011 % Change Allowed 3.20Average Trend Allowed 0.00

Anniversary Allowed 3.20Medicare Supplement Other

Reported Policies

2,620

MSEL-IB FL Rev. 3-06 (Post 5/1Form/PlanMSEL-IB FL Rev. 3-06 (Pre 5/1/Form/PlanMSEL-IC FL Rev. 3-06 (Post 5/1Form/PlanMSEL-IC FL Rev. 3-06 (Pre 5/1/Form/PlanMSEL-ID FL Rev. 3-06 (Post 5/1Form/PlanMSEL-ID FL Rev. 3-06 (Pre 5/1/Form/PlanMSEL-IE FL Rev. 3-06 (Post 5/1Form/PlanMSEL-IE FL Rev. 3-06 (Pre 5/1/Form/PlanMSEL-IF FL Rev. 3-06 (Post 5/1Form/PlanMSEL-IF FL Rev. 3-06 (Pre 5/1/Form/PlanMSEL-IG FL Rev. 3-06 (Post 5/1Form/PlanMSEL-IG FL Rev. 3-06 (Pre 5/1/Form/PlanMS-IA FL (Post 5/1/08)Form/PlanMS-IA FL (Pre 5/1/08)Form/PlanMS-IB FL (Post 5/1/08)Form/PlanMS-IB FL (Pre 5/1/08)Form/PlanMS-IC FL (Post 5/1/08)Form/PlanMS-IC FL (Pre 5/1/08)Form/PlanMS-ID FL (Post 5/1/08)Form/PlanMS-ID FL (Pre 5/1/08)Form/PlanMS-IE FL (Post 5/1/08)Form/PlanMS-IE FL (Pre 5/1/08)Form/PlanMS-IF FL (Post 5/1/08)Form/PlanMS-IF FL (Pre 5/1/08)Form/PlanMS-IG FL (Post 5/1/08)Form/PlanMS-IG FL (Pre 5/1/08)Form/Plan

Page 50 of 105Monday, January 09, 2012

Page 52: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

LINCOLN NATIONAL LIFE INSURANCE COMPANY 35-0472300 65676

FLH 11-00425 3/15/2011 % Change Allowed -9.90Average Trend Allowed 0.00

Anniversary Allowed -9.90Group Health Disability Income

Reported Policies

121,914

GL1101-3-STD 10 FL et alForm/Plan

FLH 11-00426 3/10/2011 % Change Allowed -9.30Average Trend Allowed 0.00

Anniversary Allowed -9.30Group Health Disability Income

Reported Policies

182,304

GL3001-LTD-1 10 FLForm/Plan

FLR 10-20576 1/26/2011 % Change Allowed 0.11Average Trend Allowed 0.00

Anniversary Allowed 0.11Group Health Dental

Reported Policies

31,290

GL11-1-FP FL et alForm/Plan

FLR 11-10932 7/20/2011 % Change Allowed 13.50Average Trend Allowed 0.00

Anniversary Allowed 13.50Health Conversion

Reported Policies

2

WJ-030Form/Plan

FLR 11-12914 9/20/2011 % Change Allowed 0.00Average Trend Allowed 5.20

Anniversary Allowed 5.20Group Health Dental

Reported Policies

327

GL11-DP.1 et alForm/Plan

FLR 11-12919 9/20/2011 % Change Allowed 0.00Average Trend Allowed 6.50

Anniversary Allowed 6.50Group Health Dental

Reported Policies

96

GL11-DPSB.1 et alForm/Plan

MARKEL INSURANCE COMPANY 36-3101262 38970

FLH 11-09011 7/1/2011 % Change Allowed 0.00Average Trend Allowed 9.00

Anniversary Allowed 9.00Health Excess Or Stop Loss

Reported Policies

0

MSL100 (02/07)Form/PlanMSL200-FL (06/08)Form/Plan

MEDICA HEALTH PLANS OF FLORIDA, INC. 20-3391186 12756

HMO 11-13691 9/27/2011 % Change Allowed -1.00Average Trend Allowed 10.00

Anniversary Allowed 8.90Health Maintenance Organization Group Small Group Only

Reported Policies

876

MHP.SGForm/Plan

HMO 11-13818 9/23/2011 % Change Allowed 3.40Average Trend Allowed 10.00

Anniversary Allowed 13.70Health Maintenance Organization Individual Individual

Reported Policies

901

MHPFL.INForm/PlanMHPFL.ISCForm/Plan

Page 51 of 105Monday, January 09, 2012

Page 53: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

MEDICO INSURANCE COMPANY 47-0122200 31119

FLR 11-00566 3/1/2011 % Change Allowed 7.60Average Trend Allowed 0.00

Anniversary Allowed 7.60Individual Medicare Supplement Standard Plans

Reported Policies

220

MP992AForm/PlanMP992BForm/PlanMP992CForm/PlanMP992FForm/PlanMP992GForm/Plan

FLR 11-04547 5/11/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Medicare Supplement Prestandardized

Reported Policies

90

MP-182Form/PlanMP-190Form/PlanMP-381Form/PlanMP-384Form/PlanMP-384AForm/PlanMP-384YForm/PlanMP-384ZForm/PlanMP-387Form/PlanMP-397Form/PlanMP-398Form/PlanMP-3985Form/PlanMP-3986Form/PlanMP-402YForm/PlanMP-402ZForm/PlanMP-484YForm/PlanMP-485YForm/PlanMP-485ZForm/PlanMP-486YForm/PlanMP-486ZForm/PlanMP-487Form/PlanMP-488Form/PlanMP-489Form/PlanMP-MS990Form/PlanUR206Form/PlanUR207Form/PlanUR294Form/PlanUR398FForm/PlanUR405BForm/PlanUR405RForm/PlanUR489AForm/Plan

FLR 11-11220 8/26/2011 % Change Allowed 6.30Average Trend Allowed 0.00

Anniversary Allowed 6.30Individual Medicare Supplement Medicare Select

Reported Policies

7,016

MP-MS994AForm/PlanMP-MS994BForm/PlanMP-MS994CForm/PlanMP-MS994DForm/PlanMP-MS994FForm/Plan

Page 52 of 105Monday, January 09, 2012

Page 54: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

METROPOLITAN LIFE INSURANCE COMPANY 13-5581829 65978

FLR 11-14621 10/28/2011 % Change Allowed 7.60Average Trend Allowed 6.86

Anniversary Allowed 15.00Individual Health Major Medical - Other

Reported Policies

149

FAH-15-60Form/PlanFAH-15-69Form/PlanFAH-15-80Form/PlanFAH-16-58Form/PlanFAH-17-58Form/PlanFAH-17-65Form/PlanFAH-17-80Form/PlanFAH-18-60Form/PlanFAH-18-65Form/PlanFAH-47B-82Form/PlanFAH-47C-82Form/PlanFAH-47CIH-71Form/PlanFAH-47CME-71Form/PlanFAH-47TOW-71Form/Plan

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Approved Accident and Health Rate Changes, 2011YTD

MONUMENTAL LIFE INSURANCE COMPANY 52-0419790 66281

FLR 11-07805 7/5/2011 % Change Allowed 11.10Average Trend Allowed 0.00

Anniversary Allowed 11.10Medicare Supplement Other

Reported Policies

1,876

MS6000GPM-AForm/PlanMS6000GPM-BForm/PlanMS6000GPM-CForm/PlanMS6000GPM-DForm/PlanMS6000GPM-EForm/PlanMS6000GPM-FForm/PlanMS6000GPM-GForm/PlanMS6000GPM-HForm/PlanMS6000GPM-H NDForm/PlanMS6000GPM-IForm/PlanMS6000GPM-I NDForm/PlanMS6000GPM-JForm/PlanMS6000GPM-J NDForm/PlanMS9100IPM-AForm/PlanMS9100IPM-BForm/PlanMS9100IPM-CForm/PlanMS9100IPM-DForm/PlanMS9100IPM-FForm/PlanMS9100IPM-GForm/PlanMS9100IPM-KForm/PlanMS9100IPM-LForm/PlanMS9100IPM-MForm/PlanMS9100IPM-NForm/Plan

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Approved Accident and Health Rate Changes, 2011YTD

FLR 11-09788 7/18/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Medicare Supplement Other

Reported Policies

350

615400-AForm/Plan615400-CForm/PlanMS4000GPM-AForm/PlanMS4000GPM-BForm/PlanMS4000GPM-CForm/PlanMS4000GPM-DForm/PlanMS4000GPM-EForm/PlanMS4000GPM-FForm/PlanMS4000GPM-GForm/PlanMS4000GPM-HForm/PlanMS4000GPM-H (ND)Form/PlanMS4000GPM-IForm/PlanMS4000GPM-I (ND)Form/PlanMS4000GPM-JForm/PlanMS4000GPM-J (ND)Form/PlanMS4000IPM-AForm/PlanMS4000IPM-BForm/PlanMS4000IPM-CForm/PlanMS4000IPM-DForm/PlanMS4000IPM-EForm/PlanMS4000IPM-FForm/PlanMS4000IPM-GForm/PlanMS4000IPM-HForm/PlanMS4000IPM-H (ND)Form/PlanMS4000IPM-IForm/PlanMS4000IPM-I (ND)Form/PlanMS4000IPM-JForm/PlanMS4000IPM-J (ND)Form/PlanNH-160-192-AForm/PlanNH-160-192-BForm/PlanNH-160-192-FForm/PlanNH-160-192-GForm/PlanNH-160-192-IForm/Plan

FLR 11-10912 8/3/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Individual Medicare Supplement Medicare Select

Reported Policies

399

NH-169-993-AForm/PlanNH-169-993-BForm/PlanNH-169-993-FForm/PlanNH-173-1094-AForm/PlanNH-173-1094-BForm/PlanNH-173-1094-FForm/Plan

Page 55 of 105Monday, January 09, 2012

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Approved Accident and Health Rate Changes, 2011YTD

MUTUAL OF OMAHA INSURANCE COMPANY 47-0246511 71412

FLR 10-19439 3/4/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Medicare Supplement Prestandardized

Reported Policies

234

15CMOForm/Plan24310Form/Plan24311Form/Plan2CMOForm/Plan30CMOForm/Plan50VBForm/Plan51VBForm/Plan52CMOForm/PlanAHU3Form/PlanE55MDForm/PlanGM6Form/PlanM1Form/PlanM101Form/PlanM109Form/PlanM115Form/PlanM122Form/PlanM132Form/PlanM139Form/PlanM140Form/PlanM145Form/PlanM146Form/PlanM152Form/PlanM153Form/PlanM154Form/PlanM158Form/PlanM162Form/PlanM169Form/PlanM172Form/PlanM173Form/PlanM18Form/PlanM2Form/PlanM24Form/PlanM28Form/PlanM3Form/PlanM36Form/PlanM4Form/PlanM40Form/PlanM76Form/PlanM78KForm/PlanMD15Form/PlanMD17Form/PlanMD41Form/PlanMD48Form/Plan

Page 56 of 105Monday, January 09, 2012

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Approved Accident and Health Rate Changes, 2011YTD

FLR 10-19849 1/25/2011 % Change Allowed 16.00Average Trend Allowed 0.00

Anniversary Allowed 16.00Individual Medicare Supplement Standard Plans

Reported Policies

14,006

M181 ages GE66Form/PlanM181 agesLE65Form/PlanM182 ages GT 65Form/PlanM182 ages LE65Form/PlanM183 ages GT65Form/PlanM183 ages LE65Form/PlanM184 ages GT65Form/PlanM184 ages LE65Form/PlanM184-Rx ages GT65Form/PlanM184-Rx ages LE65Form/PlanM267 ages GE65 gender distincForm/PlanM267 ages GT65 gender distincForm/PlanM267 ages GT66 before 9/2008Form/PlanM267 ages LE65 before 9/2008Form/PlanM267 ages LE65 gender distinctForm/PlanM267 ages LT65 gender distinctForm/PlanM267U ages GE65Form/PlanM267U ages LT65Form/PlanM268 ages GE65 gender distincForm/PlanM268 ages GT65 before 9/2008Form/PlanM268 ages GT65 gender distincForm/PlanM268 ages LE65 before 9/2008Form/PlanM268 ages LE65 gender distinctForm/PlanM268 ages LT65 gender distinctForm/PlanM268U ages GE65 10/2009 andForm/PlanM268U ages LT65 10/2009 andForm/PlanM269 ages GE65 gender distincForm/PlanM269 ages GT65 before 9/2008Form/PlanM269 ages GT65 gender distincForm/PlanM269 ages LE65 before 9/2008Form/PlanM269 ages LE65 gender distinctForm/PlanM269 ages LT65 gender distinctForm/PlanM269U ages GE65 10/2009 andForm/PlanM269U ages LT65 10/2009 andForm/PlanM270 ages GT65Form/PlanM270 ages LE65Form/PlanM270-Rx ages GT65Form/PlanM270-Rx ages LE65Form/PlanM279 ages GT65 before 9/2008Form/PlanM279 ages LE65 before 9/2008Form/PlanM279U ages GE65Form/PlanM279U ages LT65Form/PlanMM20 ages GE65 iss. on or afteForm/PlanMM20 ages GE65 iss.before 2/1Form/PlanMM20 ages LT65 iss.before 2/1Form/PlanMM20 ages LT65 iss.on or afterForm/PlanMM20U ages GE65 iss.before 2Form/PlanMM20U ages GE65 iss.on or aftForm/PlanMM20U ages LT65 iss. on or aftForm/PlanMM20U ages LT65 iss.before 2/Form/PlanMM22 ages GE65 iss.2/1/11 anForm/PlanMM22 ages GE65 iss.before 2/1Form/PlanMM22 ages LT65 iss.2/1/11 anForm/Plan

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Approved Accident and Health Rate Changes, 2011YTD

MM22 ages LT65 iss.before 2/1Form/PlanMM22U ages GE65 iss.2/1/11 aForm/PlanMM22U ages GE65 iss.before 2Form/PlanMM22U ages LT65 iss.2/1/11 aForm/PlanMM22U ages LT65 iss.before 2/Form/PlanMM23 ages GE65 iss. 2/1/11 anForm/PlanMM23 ages GE65 iss.before 2/1Form/PlanMM23 ages LT65 iss.2/1/11 anForm/PlanMM23 ages LT65 iss.before 2/1Form/PlanMM23U ages GE65 iss.2/1/11 aForm/PlanMM23U ages GE65 iss.before 2Form/PlanMM23U ages LT65 iss.2/1/11 aForm/PlanMM23U ages LT65 iss.before 2/Form/PlanMM24 ages GE65 iss.before 2/1Form/PlanMM24 ages GE65 iss.on or afterForm/PlanMM24 ages LT65 iss.before 2/1Form/PlanMM24 ages LT65 iss.on or afterForm/PlanMM24U ages GE65 iss.before 2Form/PlanMM24U ages GE65 iss.on or aftForm/PlanMM24U ages LT65 iss.before 2/Form/PlanMM24U ages LT65 iss.on or aftForm/PlanMM30 ages GE65 iss.before 2/1Form/PlanMM30 ages GE65 iss.on or afterForm/PlanMM30 ages LT65 iss.before 2/1Form/PlanMM30 ages LT65 iss.on or afterForm/PlanMM30U ages GE65 iss.before 2Form/PlanMM30U ages GE65 iss.on or aftForm/PlanMM30U ages LT65 iss.before 2/Form/PlanMM30U ages LT65 iss.on or aftForm/PlanMM31 ages GE65 iss.before 2/1Form/PlanMM31 ages GE65 iss.on or afterForm/PlanMM31 ages LT65 iss.before 2/1Form/PlanMM31 ages LT65 iss.on or afterForm/PlanMM31U ages GE65 iss.before 2Form/PlanMM31U ages GE65 iss.on or aftForm/PlanMM31U ages LT65 iss.before 2/Form/PlanMM31U ages LT65 iss.on or aftForm/Plan

Page 58 of 105Monday, January 09, 2012

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Approved Accident and Health Rate Changes, 2011YTD

FLR 11-00729 3/1/2011 % Change Allowed 14.00Average Trend Allowed 0.00

Anniversary Allowed 14.00Individual Medicare Supplement Medicare Select

Reported Policies

1,933

M296 10-1-09 to 5-31-10 GendForm/PlanM296 10-1-09 to 5-31-10 GendForm/PlanM296 1997-2008 Unisex <=65Form/PlanM296 1997-2008 Unisex >=66Form/PlanM296 9-1-08 to 9-30-09 GendeForm/PlanM296 9-1-08 to 9-30-09 GendeForm/PlanM296U 10-1-09 to 5-31-10 UnisForm/PlanM296U 10-1-09 to 5-31-10 UnisForm/PlanM297 10-1-09 to 5-31-10 GendForm/PlanM297 10-1-09 to 5-31-10 GendForm/PlanM297 1997-2008 Unisex <=65Form/PlanM297 1997-2008 Unisex >=66Form/PlanM297 9-1-08 to 9-30-09 GendeForm/PlanM297 9-1-08 to 9-30-09 GendeForm/PlanM297U 10-1-09 to 5-31-10 UnisForm/PlanM297U 10-1-09 to 5-31-10 UnisForm/PlanM298 10-1-09 to 5-31-10 GendForm/PlanM298 10-1-09 to 5-31-10 GendForm/PlanM298 1997-2008 Unisex <=65Form/PlanM298 1997-2008 Unisex >=66Form/PlanM298 9-1-08 to 9-30-09 GendeForm/PlanM298 9-1-08 to 9-30-09 GendeForm/PlanM298U 10-1-09 to 5-31-10 UnisForm/PlanM298U 10-1-09 to 5-31-10 UnisForm/PlanMM40 4-1-11 Gender LT65Form/PlanMM40 6-1-10 Gender GE65Form/PlanMM40 6-1-10 to 3-31-11 GendeForm/PlanMM40U 4-1-11 Unisex LT65Form/PlanMM40U 6-1-10 to 3-31-11 UnisForm/PlanMM40U 6-1-10 Unisex GE65Form/PlanMM41 4-1-11 Gender LT65Form/PlanMM41 6-1-10 Gender GE65Form/PlanMM41 6-1-10 to 3-31-11 GendeForm/PlanMM41U 4-1-11 Unisex LT65Form/PlanMM41U 6-1-10 to 3-31-11 UnisForm/PlanMM41U 6-1-10 Unisex GE65Form/PlanMM42 3-1-11 Gender LT65Form/PlanMM42 6-1-10 Gender GE65Form/PlanMM42 6-1-10 to 3-31-11 GendeForm/PlanMM42U 4-1-11 Unisex LT65Form/PlanMM42U 6-1-10 to 3-31-11 UnisForm/PlanMM42U 6-1-10 Unisex GE65Form/Plan

Page 59 of 105Monday, January 09, 2012

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Approved Accident and Health Rate Changes, 2011YTD

NATIONAL TEACHERS ASSOCIATES LIFE INSURANCE CO. 75-1623431 87963

FLR 11-05397 5/27/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Health Specified Disease Limited Benefit Dread Disease Cancer Only

Reported Policies

1,341

GR-1010-FL (9/94)Form/PlanGR-1015-FL (10/96)Form/PlanGR-1045-FL (10/96)Form/PlanGR-1055 (10/96)Form/PlanGR-1080 (10/96)Form/PlanGRC-2002-FL (2/95)Form/PlanGRC-2003-FL (10/96)Form/PlanGRC-2020-FL (4/93)Form/PlanMS-4000Form/Plan

NATIONWIDE LIFE INSURANCE COMPANY 31-4156830 66869

FLR 11-12790 9/20/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Individual Medicare Supplement Standard Plans

Reported Policies

633

HEALTH 2121 FL, PLAN AForm/PlanHEALTH 2121 FL, PLAN BForm/PlanHEALTH 2121 FL, PLAN FForm/PlanHEALTH 2121 FL, PLAN IForm/Plan

FLR 11-15025 10/7/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Individual Medicare Supplement Prestandardized

Reported Policies

112

Health 1524Form/PlanHealth 1524 FL90Form/Plan

NEIGHBORHOOD HEALTH PARTNERSHIP, INC. 65-0996107 95123

HMO 11-01114 4/14/2011 % Change Allowed 0.97Average Trend Allowed 12.00

Anniversary Allowed 13.10Health Maintenance Organization Group Small Group Only

Reported Policies

30,093

GSA0601, ET ALForm/Plan

HMO 11-11815 9/14/2011 % Change Allowed -2.80Average Trend Allowed 11.00

Anniversary Allowed 7.60Health Maintenance Organization Group Small Group Only

Reported Policies

29,259

GSA0601, ET ALForm/Plan

NEW YORK LIFE INSURANCE COMPANY 13-5582869 66915

FLR 11-18701 12/2/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Medicare Supplement Other

Reported Policies

100

7745-1Form/Plan8145-1Form/PlanNYM80Form/PlanNYM81Form/PlanNYM82Form/PlanNYM83Form/Plan

Page 60 of 105Monday, January 09, 2012

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Approved Accident and Health Rate Changes, 2011YTD

NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY 39-0509570 67091

FLH 11-17449 11/30/2011 % Change Allowed -10.60Average Trend Allowed 0.00

Anniversary Allowed -10.60Group Health Disability Income

Reported Policies

9,372

MN992-LTDForm/Plan

OHIO STATE LIFE INSURANCE COMPANY (THE) 31-4271600 67180

FLH 11-15305 10/18/2011 % Change Allowed 12.00Average Trend Allowed 0.00

Anniversary Allowed 12.00Individual Health - Hospital Surgical Medical Expense

Reported Policies

11

A-1494Form/PlanA-1496Form/PlanA-155Form/PlanA-156Form/Plan

ORDER OF UNITED COMMERCIAL TRAVELERS OF AMERICA (THE) 31-4273120 56383

FLR 11-02787 4/12/2011 % Change Allowed 8.40Average Trend Allowed 0.00

Anniversary Allowed 8.40Fraternal Individual Medicare Supplement Standard Plans

Reported Policies

2,256

MS(A)-91Form/PlanMS(B)-91Form/PlanMS(C)-91Form/PlanMS(F)-91Form/Plan

FLR 11-11978 8/12/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Fraternal Individual Medicare Supplement Prestandardized

Reported Policies

18

MS88Form/Plan

Page 61 of 105Monday, January 09, 2012

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Approved Accident and Health Rate Changes, 2011YTD

OXFORD LIFE INSURANCE COMPANY 86-0216483 76112

FLH 10-18916 2/18/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Medicare Supplement Assumption Agreement

Reported Policies

2,538

ASM1Form/PlanBSM1Form/PlanCMS-1Form/PlanCSM1Form/PlanDMS-1Form/PlanDSM1Form/PlanFSM1Form/PlanHSM1Form/PlanHSM1-RxForm/PlanJSM1Form/PlanJSM1-RxForm/PlanRMS-1Form/PlanSBB-1Form/PlanSMD-1Form/PlanUMS-1Form/Plan

FLR 10-20198 1/11/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Medicare Supplement Standard Plans

Reported Policies

36

5211-IMS-OForm/Plan5212-IMS-OForm/Plan5213-IMS-OForm/Plan5214-IMS-OForm/Plan5215-IMS-OForm/Plan5216-IMS-OForm/Plan5217-IMS-OForm/Plan5219-IMS-OForm/Plan5219-IMS-O-NRXForm/PlanMS1-9201-AForm/PlanMS1-9201-BForm/PlanMS1-9201-CForm/PlanMS1-9201-DForm/PlanMS1-9201-EForm/PlanMS1-9201-FForm/PlanMS1-9201-GForm/Plan

FLR 11-00865 1/26/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Group Medicare Supplement Standard Plans

Reported Policies

12

5011-GMS-C-OForm/Plan5012-GMS-C-OForm/Plan5013-GMS-C-OForm/Plan5016-GMS-C-OForm/Plan5019-GMS-C-OForm/Plan5019-GMS-C-O-NRXForm/Plan

Page 62 of 105Monday, January 09, 2012

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Approved Accident and Health Rate Changes, 2011YTD

FLR 11-14110 9/2/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Medicare Supplement Prestandardized

Reported Policies

2,270

CMS-1Form/PlanDMS-1Form/PlanRMS-1Form/PlanSBB-1Form/PlanSMD-1Form/PlanUMS-1Form/Plan

PENN TREATY NETWORK AMERICA INSURANCE COMPANY 23-2603386 63282

FLR 11-05461 5/11/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Individual Medicare Supplement Prestandardized

Reported Policies

79

FL-MS92AForm/PlanFL-MS92BForm/PlanFL-MS92CForm/PlanFL-MS92EForm/PlanFL-MS92FForm/Plan

FLR 11-16712 12/1/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Individual Medicare Supplement Prestandardized

Reported Policies

25

FL-MEDSUP-2Form/PlanFL-MEDSUP-4Form/PlanFL-MEDSUP-5Form/Plan

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Page 65: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

PHYSICIANS MUTUAL INSURANCE COMPANY 47-0270450 80578

FLH 11-14184 12/5/2011 % Change Allowed -3.80Average Trend Allowed 0.00

Anniversary Allowed -3.80Individual Health Dental

Reported Policies

883

P150FLForm/Plan

FLR 11-09041 6/1/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Individual Medicare Supplement Prestandardized

Reported Policies

107

P115AGForm/PlanP192AGForm/PlanP192DRForm/PlanP197AGForm/PlanP315Form/PlanP393/R620Form/PlanP393/R621Form/PlanP393/R622Form/PlanP397/R631Form/PlanP397/R633Form/Plan

FLR 11-09093 6/27/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Medicare Supplement Other

Reported Policies

678

B255Form/PlanP491Form/PlanP492Form/PlanP494Form/PlanP620Form/PlanP621Form/PlanP622Form/PlanP624Form/PlanP625Form/PlanP626Form/PlanP629Form/Plan

FLR 11-13876 9/30/2011 % Change Allowed 11.50Average Trend Allowed 11.50

Anniversary Allowed 11.50Individual Health - Hospital Surgical Medical Expense

Reported Policies

21

P196 w/wo R1848Form/PlanP231Form/PlanP232Form/Plan

FLR 11-14577 10/17/2011 % Change Allowed 2.70Average Trend Allowed 0.00

Anniversary Allowed 2.70Individual Long Term Care Nursing Home And Home Health Care - Other

Reported Policies

460

P124FLForm/PlanP130FLForm/PlanP131FLForm/Plan

Page 64 of 105Monday, January 09, 2012

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Approved Accident and Health Rate Changes, 2011YTD

PRINCIPAL LIFE INSURANCE COMPANY 42-0127290 61271

FLH 11-02671 5/23/2011 % Change Allowed -7.40Average Trend Allowed 0.00

Anniversary Allowed -7.40Individual Health Disability Income

Reported Policies

9,293

HH641 (Unaffected)Form/PlanHH700Form/PlanHH750Form/PlanOther (Unaffected)Form/Plan

FLR 10-19803 1/20/2011 % Change Allowed 6.30Average Trend Allowed 0.00

Anniversary Allowed 6.30Individual Medicare Supplement Standard Plans

Reported Policies

5,886

GW 3059-1Form/PlanGW 3060-1Form/PlanGW 3061-1Form/PlanGW 3062-1Form/PlanGW 3063-1Form/PlanGW 3064-1Form/PlanGW 3065-1Form/PlanGW 3066-1Form/PlanGW 3066-1 w/ RxForm/PlanGW 3067-1Form/PlanGW 3067-1 w/ RxForm/PlanGW 3068-1Form/PlanGW 3068-1 w/ RxForm/PlanMSP 100Form/PlanMSP 101Form/PlanMSP 102Form/PlanMSP 103Form/PlanMSP 104Form/PlanMSP 104 w/ RxForm/PlanMSP 105Form/PlanMSP 105 w/ RxForm/PlanMSP 106Form/PlanMSP 106 w/ RxForm/PlanMSP 97Form/PlanMSP 98Form/PlanMSP 99Form/Plan

FLR 11-02190 3/31/2011 % Change Allowed -1.80Average Trend Allowed 6.00

Anniversary Allowed 4.09Group Health Dental

Reported Policies

9,586

GC 7100 (SE)Form/Plan

FLR 11-14195 10/14/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Group Medicare Supplement Prestandardized

Reported Policies

4

GW 1894-2 w RXForm/PlanGW 1894-2 w/o RXForm/Plan

Page 65 of 105Monday, January 09, 2012

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Approved Accident and Health Rate Changes, 2011YTD

FLR 11-16912 12/1/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Individual Medicare Supplement Standard Plans

Reported Policies

5,499

GW 3059-1Form/PlanGW 3060-1Form/PlanGW 3061-1Form/PlanGW 3062-1Form/PlanGW 3063-1Form/PlanGW 3064-1Form/PlanGW 3065-1Form/PlanGW 3066-1Form/PlanGW 3066-1 w/o RxForm/PlanGW 3067-1Form/PlanGW 3067-1 w/o RxForm/PlanGW 3068-1Form/PlanGW 3068-1 w/o RxForm/PlanMSP 100Form/PlanMSP 101Form/PlanMSP 102Form/PlanMSP 103Form/PlanMSP 104Form/PlanMSP 104 w/o RxForm/PlanMSP 105Form/PlanMSP 105 w/o RxForm/PlanMSP 106Form/PlanMSP 106 w/o RxForm/PlanMSP 97Form/PlanMSP 98Form/PlanMSP 99Form/Plan

Page 66 of 105Monday, January 09, 2012

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Approved Accident and Health Rate Changes, 2011YTD

PROTECTIVE LIFE INSURANCE COMPANY 63-0169720 68136

FLR 11-14179 12/9/2011 % Change Allowed 17.29Average Trend Allowed 0.00

Anniversary Allowed 17.29Individual Health Specified Disease Limited Benefit Dread Disease Cancer Only

Reported Policies

7,817

CA03Form/PlanCA03 (w/ CE-21)Form/PlanCA04Form/PlanCA04 (w/ CE-21)Form/PlanCA05Form/PlanCA05 (w/ CE-21)Form/PlanCA05 (w/ CE-36)Form/PlanCA05 (w/ CE-37)Form/PlanCA07Form/PlanCA07 (w/ CE-21)Form/PlanCA08 ($120 Bnft w/ C E-21)Form/PlanCA08 ($120 Bnft w/ C E-36)Form/PlanCA08 ($120 Bnft w/ C E-37)Form/PlanCA08 ($120 Bnft)Form/PlanCA08 ($220 Bnft w/ C E-21)Form/PlanCA08 ($220 Bnft w/ C E-36)Form/PlanCA08 ($220 Bnft w/ C E-37)Form/PlanCA08 ($220 Bnft)Form/PlanCA08 ($320 Bnft w/ C E-21)Form/PlanCA08 ($320 Bnft w/ C E-36)Form/PlanCA08 ($320 Bnft w/ C E-37)Form/PlanCA08 ($320 Bnft)Form/PlanCA08 ($420 Bnft w/ C E-21)Form/PlanCA08 ($420 Bnft w/ C E-36)Form/PlanCA08 ($420 Bnft w/ C E-37)Form/PlanCA08 ($420 Bnft)Form/PlanCA09Form/PlanCA09 (w/ CE-21)Form/PlanCA09 (w/ CE-36)Form/PlanCA09 (w/ CE-37)Form/PlanCA10Form/PlanCA10 (w/ CE-21)Form/PlanCA10 (w/ CE-36)Form/PlanCA10 (w/ CE-37)Form/PlanCA11Form/PlanCA18Form/PlanCA29Form/PlanDD01 (rider)Form/PlanDD03 (rider)Form/PlanDD04 (rider)Form/PlanFO01 (rider)Form/PlanIC02 (rider)Form/PlanIC03 (rider)Form/PlanICP05Form/Plan

Page 67 of 105Monday, January 09, 2012

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Approved Accident and Health Rate Changes, 2011YTD

PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY 62-0331200 68195

FLH 11-11052 8/23/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Health Accident Only

Reported Policies

29,661

L-21762Form/PlanL-21763Form/PlanL-21764Form/PlanL-21765Form/Plan

PRUDENTIAL INSURANCE COMPANY OF AMERICA (THE) 22-1211670 68241

FLR 10-21444 2/2/2011 % Change Allowed 8.10Average Trend Allowed 0.00

Anniversary Allowed 8.10Health Conversion

Reported Policies

21

CHIP 34500-LAForm/PlanSA CMN 89Form/PlanSA CMN-79BForm/PlanSA CMSForm/Plan

FLR 11-12104 9/6/2011 % Change Allowed -3.30Average Trend Allowed 6.00

Anniversary Allowed 3.00Group Health Dental

Reported Policies

299

83500 GCS 5019, ET ALForm/Plan

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Approved Accident and Health Rate Changes, 2011YTD

PYRAMID LIFE INSURANCE COMPANY (THE) 48-0557726 68284

FLR 11-02126 2/25/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Medicare Supplement Other

Reported Policies

588

M 45-FFForm/PlanM40DFL (1/06)Form/PlanM40FFForm/PlanM-40-FLForm/PlanM40FL (1/06)Form/PlanM41DFL (1/06)Form/PlanM-41-FFForm/PlanM-41-FLForm/PlanM42FFForm/PlanM43DFL (1/06)Form/PlanM43FFForm/PlanM43FL (1/06)Form/PlanM45DFL (1/06)Form/PlanM-45-FLForm/PlanM45FL (1/06)Form/PlanM46DFL (1/06)Form/PlanM46FFForm/PlanM-46-FLForm/PlanM46FL (1/06)Form/PlanM61FLForm/PlanM62FLForm/PlanM63FLForm/PlanM63FL (1/06)Form/PlanM65FLForm/PlanM65FL (1/06)Form/PlanM66FLForm/PlanM66FL (1/06)Form/Plan

FLR 11-07674 5/16/2011 % Change Allowed 12.00Average Trend Allowed 0.00

Anniversary Allowed 12.00Individual Health Major Medical - Other

Reported Policies

26

G-30Form/PlanG-31Form/PlanG-50Form/PlanG-51Form/PlanG-90Form/PlanG-91Form/PlanG-94Form/PlanH-71Form/Plan

FLR 11-12126 8/5/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Individual Medicare Supplement Prestandardized

Reported Policies

56

G-10Form/PlanG-15Form/PlanG-25Form/PlanG-26Form/PlanH-90Form/PlanH-91Form/PlanH-92Form/PlanH-94Form/Plan

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Approved Accident and Health Rate Changes, 2011YTD

REASSURE AMERICA LIFE INSURANCE COMPANY 23-6200031 70211

FLR 11-11283 10/13/2011 % Change Allowed 15.20Average Trend Allowed 0.00

Anniversary Allowed 15.20Individual Long Term Care Home Health Care Only

Reported Policies

602

HHC 1/98 FLForm/PlanQHHC 1/98 FLForm/Plan

FLR 11-15600 11/10/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Medicare Supplement Standard Plans

Reported Policies

46

A-1801-P-BForm/PlanA-4801-P-AForm/PlanA-4801-P-CForm/PlanA-4801-P-FForm/Plan

RELIANCE STANDARD LIFE INSURANCE COMPANY 36-0883760 68381

FLR 10-20104 1/7/2011 % Change Allowed 0.00Average Trend Allowed 6.50

Anniversary Allowed 0.00Group Health Dental

Reported Policies

45,560

9000 FL Rev. 03/08Form/Plan

FLR 10-20105 1/7/2011 % Change Allowed 0.00Average Trend Allowed 3.50

Anniversary Allowed 3.50Group Health Vision

Reported Policies

2,749

9000 FL Rev. 03/08Form/Plan

RESERVE NATIONAL INSURANCE COMPANY 73-0661453 68462

FLR 11-12420 9/12/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Individual Medicare Supplement Standard Plans

Reported Policies

48

MCS-92-AForm/PlanMCS-92-BForm/PlanMCS-92-CForm/Plan

FLR 11-12445 9/14/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Individual Medicare Supplement Prestandardized

Reported Policies

178

MCS-82Form/PlanMCS-86Form/PlanMCS-89Form/PlanMCS-90 (FL)Form/Plan

FLR 11-17606 11/29/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Individual Health - Hospital Surgical Medical Expense

Reported Policies

25

IRC-88Form/PlanRH-73Form/Plan

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Approved Accident and Health Rate Changes, 2011YTD

ROYAL NEIGHBORS OF AMERICA 36-1711198 57657

FLR 10-21367 1/26/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Fraternal Medicare Supplement Other

Reported Policies

86

20049AA-FL; Rev. 9-05Form/Plan20049BA-FL; Rev. 9-05Form/Plan20049CA-FL; Rev. 9-05Form/Plan20049DA-FL; Rev. 9-05Form/Plan20049EA-FL; Rev. 9-05Form/Plan20049FA-FL; Rev. 9-05Form/Plan20049GA-FL; Rev. 9-05Form/Plan20058BS-FL; Rev. 9-05Form/Plan20058CS-FL; Rev. 9-05Form/Plan20058DS-FL; Rev. 9-05Form/Plan20058ES-FL; Rev. 9-05Form/Plan20058FS-FL; Rev. 9-05Form/Plan20058GS-FL; Rev. 9-05Form/Plan

SAFEGUARD HEALTH PLANS, INC. 65-0073323 52009

FLP 11-00170 6/20/2011 % Change Allowed 0.00Average Trend Allowed 4.00

Anniversary Allowed 4.00Prepaid Dental Service Plan Corporation

Reported Policies

0

SGM-SOB-SGC1033Form/PlanSGM-SOB-SGC1034Form/Plan

FLP 11-02253 9/19/2011 % Change Allowed 14.90Average Trend Allowed 0.00

Anniversary Allowed 14.90Prepaid Dental Service Plan Corporation

Reported Policies

9,289

Premier Choice SOBForm/Plan

SENIOR HEALTH INSURANCE COMPANY OF PENNSYLVANIA 23-0704970 76325

FLR 10-03135 1/4/2011 % Change Allowed 6.70Average Trend Allowed 0.00

Anniversary Allowed 6.70Individual Long Term Care Nursing Home And Home Health Care - Other

Reported Policies

6,985

10860Form/Plan10921Form/Plan10938AForm/Plan10955Form/Plan11001Form/PlanATL-FQ-LTCForm/PlanATL-LTC-3Form/PlanATL-LTC-6Form/PlanCSHIC-5000/5003Form/PlanD425Form/Plan

SENTRY LIFE INSURANCE COMPANY 39-6040276 68810

FLR 11-16197 11/16/2011 % Change Allowed -3.40Average Trend Allowed 4.10

Anniversary Allowed 0.60Group Health Dental

Reported Policies

75

785-3000-11Form/Plan

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Approved Accident and Health Rate Changes, 2011YTD

SHENANDOAH LIFE INSURANCE COMPANY 54-0377280 68845

FLR 11-14947 11/10/2011 % Change Allowed 8.60Average Trend Allowed 0.00

Anniversary Allowed 8.60Medicare Supplement Other

Reported Policies

298

MSEL-IB 5-06 FLForm/PlanMSEL-IC 5-06 FLForm/PlanMSEL-ID 5-06 FLForm/PlanMSEL-IE 5-06 FLForm/PlanMSEL-IF 5-06 FLForm/PlanMSEL-IG 5-06 FLForm/PlanMS-IA 5-06 FLForm/PlanMS-IB 5-06 FLForm/PlanMS-IC 5-06 FLForm/PlanMS-ID 5-06 FLForm/PlanMS-IE 5-06 FLForm/PlanMS-IF 5-06 FLForm/PlanMS-IG 5-06 FLForm/Plan

SOUTHERN FARM BUREAU LIFE INSURANCE COMPANY 64-0283583 68896

FLR 11-09320 6/9/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Health Hospital Indemnity

Reported Policies

45

72Form/Plan76Form/PlanHC-1Form/Plan

FLR 11-11288 7/14/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Health Specified Disease Limited Benefit Dread Disease Cancer Only

Reported Policies

684

73Form/Plan78Form/Plan

STANDARD INSURANCE COMPANY 93-0242990 69019

FLH 10-20752 2/11/2011 % Change Allowed -7.20Average Trend Allowed 0.00

Anniversary Allowed -7.20Group Health Disability Income

Reported Policies

102,270

GP190-LTD/S399Form/Plan

FLR 10-20106 1/7/2011 % Change Allowed 0.00Average Trend Allowed 6.50

Anniversary Allowed 6.50Group Health Dental

Reported Policies

5,031

9000 FL Rev. 03/08Form/Plan

FLR 10-20107 1/7/2011 % Change Allowed 0.00Average Trend Allowed 3.50

Anniversary Allowed 3.50Group Health Vision

Reported Policies

2,918

9000 FL Rev. 03/08Form/Plan

Page 72 of 105Monday, January 09, 2012

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Approved Accident and Health Rate Changes, 2011YTD

STANDARD LIFE AND ACCIDENT INSURANCE COMPANY 73-0994234 86355

FLR 11-13084 10/14/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Medicare Supplement Prestandardized

Reported Policies

119

1208-281Form/Plan1220-184Form/Plan1224-187Form/Plan1232-189Form/Plan1237-190Form/Plan1239-190Form/Plan

FLR 11-14323 10/19/2011 % Change Allowed 11.00Average Trend Allowed 0.00

Anniversary Allowed 11.00Individual Medicare Supplement Standard Plans

Reported Policies

3,085

124A-19Form/Plan124C-19Form/Plan124F-192Form/Plan

Page 73 of 105Monday, January 09, 2012

Page 75: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY 37-0533100 25178

FLR 11-00616 2/28/2011 % Change Allowed 5.40Average Trend Allowed 0.00

Anniversary Allowed 5.40Health Conversion

Reported Policies

14

97032Form/Plan97057FLForm/Plan97057FL.1Form/Plan97057FLAForm/Plan

FLR 11-01571 3/22/2011 % Change Allowed 30.50Average Trend Allowed 0.00

Anniversary Allowed 30.50Individual Health Hospital Indemnity

Reported Policies

78,759

9100Form/Plan97002Form/Plan97024Form/Plan97042Form/Plan

FLR 11-06606 5/25/2011 % Change Allowed 10.60Average Trend Allowed 0.00

Anniversary Allowed 10.60Individual Medicare Supplement Prestandardized

Reported Policies

737

97033Form/Plan97043Form/Plan97043 w/o DrugForm/Plan97046Form/Plan97049Form/Plan97050Form/Plan99417Form/Plan99418Form/Plan

FLR 11-09479 7/14/2011 % Change Allowed 20.50Average Trend Allowed 0.00

Anniversary Allowed 20.50Individual Medicare Supplement Standard Plans

Reported Policies

6,419

97037 FL <65 issued before 10Form/Plan97037 FL <65 issued on or afteForm/Plan97037 FL 65+Form/Plan97037 HFL 65+Form/Plan97037HFL <65 issued before 1Form/Plan97037HFL <65 issued on or aftForm/Plan97038 FL <65 issued before 10Form/Plan97038 FL <65 issued on or afteForm/Plan97038 FL 65+Form/Plan97038HFL <65 issued before 1Form/Plan97038HFL <65 issued on or aftForm/Plan97038HFL 65+Form/Plan97039 FL <65 issued before 10Form/Plan97039 FL <65 issued on or afteForm/Plan97039 FL 65+Form/Plan97039HFL <65 issued before 1Form/Plan97039HFL <65 issued on or aftForm/Plan97039HFL 65+Form/Plan

Page 74 of 105Monday, January 09, 2012

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Approved Accident and Health Rate Changes, 2011YTD

STERLING INVESTORS LIFE INSURANCE COMPANY 59-1838073 89184

FLR 10-21258 2/10/2011 % Change Allowed 6.00Average Trend Allowed 0.00

Anniversary Allowed 6.00Medicare Supplement Other

Reported Policies

418

MSEL-IB FL Rev. 3-06Form/PlanMSEL-IC FL Rev. 3-06Form/PlanMSEL-ID FL Rev. 3-06Form/PlanMSEL-IE FL Rev. 3-06Form/PlanMSEL-IF FL Rev. 3-06Form/PlanMSEL-IG FL Rev. 3-06Form/PlanMS-IA FLForm/PlanMS-IB FLForm/PlanMS-IC FLForm/PlanMS-ID FLForm/PlanMS-IE FLForm/PlanMS-IF FLForm/PlanMS-IG FLForm/PlanSIMSAI2010FLForm/PlanSIMSBI2010FLForm/PlanSIMSCI2010FLForm/PlanSIMSDI2010FLForm/PlanSIMSFI2010FLForm/PlanSIMSGI2010FLForm/PlanSIMSMI2010FLForm/PlanSIMSNI2010FLForm/PlanSIMSRI2010FLForm/Plan

SUN LIFE AND HEALTH INSURANCE COMPANY (U.S.) 06-0893662 80926

FLR 11-02697 3/14/2011 % Change Allowed -4.90Average Trend Allowed 6.50

Anniversary Allowed 1.28Group Health Dental

Reported Policies

17,059

GC-A-1Form/Plan

SUN LIFE ASSURANCE COMPANY OF CANADA 38-1082080 80802

FLH 11-14683 11/10/2011 % Change Allowed -23.00Average Trend Allowed 0.00

Anniversary Allowed -23.00Group Health Disability Income

Reported Policies

9,635

010C-LH-PLPBForm/Plan010P-LH-PLPBForm/Plan93P-LHForm/Plan

THE PUBLIC HEALTH TRUST OF DADE COUNTY 59-1713947 95126

HMO 11-01464 3/3/2011 % Change Allowed 3.00Average Trend Allowed 0.00

Anniversary Allowed 3.00Health Maintenance Organization Group Conversion

Reported Policies

18

Conv Large Grp 2001Form/PlanConversion Standard 0704Form/Plan

Page 75 of 105Monday, January 09, 2012

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Approved Accident and Health Rate Changes, 2011YTD

THRIVENT FINANCIAL FOR LUTHERANS 39-0123480 56014

FLR 11-06369 5/19/2011 % Change Allowed 8.90Average Trend Allowed 0.00

Anniversary Allowed 8.90Fraternal Individual Medicare Supplement Prestandardized

Reported Policies

93

4850FL [drug]Form/Plan4850FL [non-drug]Form/Plan4864FL [drug]Form/Plan4864FL [non-drug]Form/PlanH1-ME-MSME-1Form/PlanH1-MI-MSHI-1 [drug]Form/PlanH1-MI-MSHI-1 [non-drug]Form/PlanH1-MS-1Form/PlanHR1-MDC [rider]Form/Plan

TIME INSURANCE COMPANY 39-0658730 69477

FLR 11-06304 8/23/2011 % Change Allowed 0.10Average Trend Allowed 13.00

Anniversary Allowed 13.10Group Health Major Medical Small Group Only

Reported Policies

137

TGM.TRT.FLForm/Plan

Page 76 of 105Monday, January 09, 2012

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Approved Accident and Health Rate Changes, 2011YTD

TRANSAMERICA LIFE INSURANCE COMPANY 39-0989781 86231

FLR 11-04506 4/20/2011 % Change Allowed 9.86Average Trend Allowed 0.00

Anniversary Allowed 9.86Group Medicare Supplement Prestandardized

Reported Policies

291

F-65872Form/PlanF-65872 w/o RXForm/Plan

Page 77 of 105Monday, January 09, 2012

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Approved Accident and Health Rate Changes, 2011YTD

FLR 11-06708 6/10/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Medicare Supplement Other

Reported Policies

4,718

833-0115-7/92-FL (A)Form/Plan833-0115-7/92-FL (B)Form/Plan833-0115-7/92-FL (C)Form/PlanF-600059 (A)Form/PlanF-600061 (E)Form/PlanF-600063 (J)Form/PlanF-600063 (J) (ND)Form/PlanF-601456 (C)Form/PlanF-601458 (F)Form/PlanF-69348 (A)Form/PlanF-69351 (E)Form/PlanF-69354 (J)Form/PlanF-69354 (J) (ND)Form/PlanMS4100GPL-AForm/PlanMS4100GPL-BForm/PlanMS4100GPL-CForm/PlanMS4100GPL-DForm/PlanMS4100GPL-EForm/PlanMS4100GPL-FForm/PlanMS4100GPL-GForm/PlanMS4100GPL-HForm/PlanMS4100GPL-H (ND)Form/PlanMS4100GPL-IForm/PlanMS4100GPL-I (ND)Form/PlanMS4100GPL-JForm/PlanMS4100GPL-J (ND)Form/PlanMS4100IPL-AForm/PlanMS4100IPL-BForm/PlanMS4100IPL-CForm/PlanMS4100IPL-DForm/PlanMS4100IPL-EForm/PlanMS4100IPL-FForm/PlanMS4100IPL-GForm/PlanMS4100IPL-HForm/PlanMS4100IPL-H (ND)Form/PlanMS4100IPL-IForm/PlanMS4100IPL-I (ND)Form/PlanMS4100IPL-JForm/PlanMS4100IPL-J (ND)Form/PlanMS4500GPT-AForm/PlanMS4500GPT-BForm/PlanMS4500GPT-CForm/PlanMS4500GPT-DForm/PlanMS4500GPT-EForm/PlanMS4500GPT-FForm/PlanMS4500GPT-GForm/PlanMS4500GPT-H (ND)Form/PlanMS4500GPT-I (ND)Form/PlanMS4500GPT-J (ND)Form/PlanMS4500IPT-AForm/PlanMS4500IPT-BForm/PlanMS4500IPT-CForm/PlanMS4500IPT-DForm/Plan

Page 78 of 105Monday, January 09, 2012

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Approved Accident and Health Rate Changes, 2011YTD

MS4500IPT-EForm/PlanMS4500IPT-FForm/PlanMS4500IPT-GForm/PlanMS4500IPT-H (ND)Form/PlanMS4500IPT-I (ND)Form/PlanMS4500IPT-J (ND)Form/PlanMS8000GPT-AForm/PlanMS8000GPT-BForm/PlanMS8000GPT-CForm/PlanMS8000GPT-DForm/PlanMS8000GPT-FForm/PlanMS8000GPT-GForm/PlanMS8000IPT-AForm/PlanMS8000IPT-BForm/PlanMS8000IPT-CForm/PlanMS8000IPT-DForm/PlanMS8000IPT-FForm/PlanMS8000IPT-GForm/PlanMS9000GPT-AForm/PlanMS9000GPT-BForm/PlanMS9000GPT-CForm/PlanMS9000GPT-DForm/PlanMS9000GPT-FForm/PlanMS9000GPT-GForm/Plan

FLR 11-13415 9/22/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Health Specified Disease Limited Benefit Dread Disease Cancer Only

Reported Policies

762

5047Form/PlanBCPP170Form/PlanBPC510Form/PlanC5 1 985Form/PlanCC1 1177Form/PlanCC13 1081Form/PlanCC14 1081Form/PlanCC15 1081Form/PlanCC2 279Form/PlanCDD 31 175Form/PlanH 311-71 FLForm/PlanH 311-74 FLForm/PlanNPCA0200Form/PlanNPCA0300Form/PlanSD5 1 485Form/Plan

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Approved Accident and Health Rate Changes, 2011YTD

UNION BANKERS INSURANCE COMPANY 75-0860066 69701

FLR 11-08397 7/7/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Medicare Supplement Standard Plans

Reported Policies

187

MS-4 Plan AForm/PlanMS-4 Plan BForm/PlanMS-4 Plan CForm/PlanMS-4 Plan DForm/PlanMS-4 Plan EForm/PlanMS-4 Plan FForm/PlanMS-4 Plan GForm/PlanMS-4 Plan H w/o RxForm/PlanMS-4 Plan H w/RxForm/PlanMS-4 Plan I w/ RxForm/PlanMS-4 Plan I w/o RxForm/PlanMS-4AForm/PlanMS-4BForm/PlanMS-4CForm/PlanMS-4DForm/PlanMS-4EForm/PlanMS-4FForm/PlanMS-4GForm/PlanMS-4H w RxForm/PlanMS-4H w/o RxForm/PlanMS-4I w RxForm/PlanMS-4I w/o RxForm/Plan

FLR 11-10890 7/12/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Medicare Supplement Prestandardized

Reported Policies

128

73SForm/Plan76MForm/Plan76MGRForm/Plan76M-RForm/Plan86MForm/PlanMS-2Form/PlanMS-3Form/Plan

UNION CENTRAL LIFE INSURANCE COMPANY (THE) 31-0472910 80837

FLR 11-08009 6/15/2011 % Change Allowed -10.00Average Trend Allowed 0.00

Anniversary Allowed -10.00Individual Health Disability Income

Reported Policies

594

U4501NC FLForm/Plan

UNION SECURITY INSURANCE COMPANY 81-0170040 70408

FLH 11-11607 9/16/2011 % Change Allowed -9.60Average Trend Allowed 5.50

Anniversary Allowed -4.60Group Health Dental

Reported Policies

19,964

DENTAL 94 FLForm/Plan

FLH 11-11608 9/16/2011 % Change Allowed -8.10Average Trend Allowed 5.50

Anniversary Allowed -3.10Group Health Dental

Reported Policies

23,529

DENTAL V2 FLForm/Plan

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Approved Accident and Health Rate Changes, 2011YTD

UNITED AMERICAN INSURANCE COMPANY 73-1128555 92916

FLR 10-20142 1/14/2011 % Change Allowed -0.01Average Trend Allowed 0.00

Anniversary Allowed -0.01Individual Medicare Supplement Standard Plans

Reported Policies

18,276

DMSA, DMSA06, DMSA06RForm/PlanDMSA10Form/PlanDMSB, DMSB06, DMSB06RForm/PlanDMSB10Form/PlanDMSC10Form/PlanDMSD10Form/PlanDMSF10Form/PlanDMSG10Form/PlanDMSHDF10Form/PlanDMSN10Form/PlanMSA, MSA06, MSA06RForm/PlanMSA10Form/PlanMSB, MSB06, MSB06RForm/PlanMSB10Form/PlanMSC, MSC06, MSC06RForm/PlanMSC10Form/PlanMSD, MSD06, MSD06RForm/PlanMSD10Form/PlanMSF, MSF06, MSF06RForm/PlanMSF10Form/PlanMSG, MSG06, MSG06RForm/PlanMSG10Form/PlanMSHDF, MSHDF06, MSHDF06RForm/PlanMSHDF10Form/PlanMSN10Form/Plan

FLR 11-00409 2/25/2011 % Change Allowed 3.70Average Trend Allowed 0.00

Anniversary Allowed 3.70Individual Medicare Supplement Prestandardized

Reported Policies

2,332

DMCForm/PlanDMXCForm/PlanDMXC+Form/PlanMAXCForm/PlanMAXC+Form/PlanMBXCForm/PlanMC1Form/PlanMC2Form/PlanMC3Form/PlanMC7Form/PlanMCCATForm/PlanMCXCForm/PlanMMSForm/PlanMRXCForm/PlanMVXCForm/Plan

Page 81 of 105Monday, January 09, 2012

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Approved Accident and Health Rate Changes, 2011YTD

FLR 11-07290 6/16/2011 % Change Allowed 2.90Average Trend Allowed 0.00

Anniversary Allowed 2.90Individual Medicare Supplement Standard Plans

Reported Policies

17,826

DMSA,DMSA06,DMSA06RForm/PlanDMSA10 Issued Before 7/1/201Form/PlanDMSA10 Issued On or After 7/1Form/PlanDMSB,DMSB06,DMSB06RForm/PlanDMSB10 Issued Before 7/1/201Form/PlanDMSB10 Issued On or After 7/1Form/PlanDMSC10 Issued Before 7/1/201Form/PlanDMSC10 Issued On or After 7/1Form/PlanDMSD10 Issued Before 7/1/201Form/PlanDMSD10 Issued On or After 7/1Form/PlanDMSF10 Issued Before 7/1/201Form/PlanDMSF10 Issued On or After 7/1Form/PlanDMSG10 Issued Before 7/1/201Form/PlanDMSG10 Issued On or After 7/1Form/PlanDMSHDF10 Issued Before 7/1/2Form/PlanDMSHDF10 Issued On or After Form/PlanDMSN10 Issued Before 7/1/201Form/PlanDMSN10 Issued On or After 7/1Form/PlanMSA,MSA06,MSA06RForm/PlanMSA10Form/PlanMSB,MSB06,MSB06RForm/PlanMSB10Form/PlanMSC,MSC06,MSC06RForm/PlanMSC10Form/PlanMSD,MSD06,MSD06RForm/PlanMSD10Form/PlanMSF,MSF06,MSF06RForm/PlanMSF10Form/PlanMSG,MSG06,MSG06RForm/PlanMSG10Form/PlanMSHDF,MSHDF06,MSHDF06RForm/PlanMSHDF10Form/PlanMSN10Form/Plan

FLR 11-07734 8/1/2011 % Change Allowed 8.00Average Trend Allowed 0.00

Anniversary Allowed 8.00Individual Long Term Care Nursing Home And Home Health Care - Other

Reported Policies

274

LTCForm/PlanLTC2/LTC2HForm/PlanLTCBOM/LTCINForm/PlanNH1Form/PlanNH2FL/NH3FLForm/Plan

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Approved Accident and Health Rate Changes, 2011YTD

FLR 11-13927 10/13/2011 % Change Allowed 4.80Average Trend Allowed 0.00

Anniversary Allowed 4.80Group Medicare Supplement Standard Plans

Reported Policies

1,699

GRMSAForm/PlanGRMSAC10Form/PlanGRMSBForm/PlanGRMSBC10Form/PlanGRMSCForm/PlanGRMSCC10Form/PlanGRMSDForm/PlanGRMSDC10Form/PlanGRMSFForm/PlanGRMSFC10Form/PlanGRMSGForm/PlanGRMSGC10Form/PlanGRMSHDFC10Form/PlanGRMSNC10Form/PlanGRMSPForm/PlanGRMSP10Form/Plan

UNITED CONCORDIA INSURANCE COMPANY 86-0307623 85766

FLH 11-04169 4/11/2011 % Change Allowed 0.00Average Trend Allowed 6.00

Anniversary Allowed 6.00Individual Health Dental

Reported Policies

0

FLIN01-0309Form/Plan

FLR 11-08993 6/23/2011 % Change Allowed 6.00Average Trend Allowed 0.00

Anniversary Allowed 6.00Group Health Dental

Reported Policies

6,665

FL9802 (11/07)Form/Plan

UNITED OF OMAHA LIFE INSURANCE COMPANY 47-0322111 69868

FLR 11-15020 10/25/2011 % Change Allowed -11.70Average Trend Allowed 0.00

Anniversary Allowed -11.70Group Health Disability Income

Reported Policies

5

7101GD-STD-EZ08Form/Plan7103GI-STD-EZ08Form/Plan

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Approved Accident and Health Rate Changes, 2011YTD

UNITED TEACHER ASSOCIATES INSURANCE COMPANY 58-0869673 63479

FLR 10-21147 2/10/2011 % Change Allowed 6.40Average Trend Allowed 0.00

Anniversary Allowed 6.40Medicare Supplement Other

Reported Policies

3,215

923AForm/Plan923BForm/Plan923CForm/Plan923FForm/PlanMEDSLT2Form/PlanMEDSLT3Form/PlanMEDSLT5Form/PlanMEDSTD2Form/PlanMEDSTD3Form/PlanMEDSTD5Form/PlanMEDSUPP1Form/PlanMS-020501Form/PlanMS-020601Form/PlanMS-020701Form/PlanMS-020901Form/PlanMS-021001Form/PlanMS-021201Form/PlanMS-A91-1Form/PlanMS-A91-1(Revised)Form/PlanMS-B91-1Form/PlanMS-B91-1 (Revised)Form/PlanMS-C91-1Form/PlanMS-D91-1Form/PlanMS-E91-1Form/PlanMSEL96BForm/PlanMSEL96CForm/PlanMSEL96FForm/PlanMS-F91-1Form/PlanMS-G91-1Form/PlanMS-H91-1Form/PlanMS-H91-1 (w/o Rx)Form/PlanMS-I91-1Form/PlanMS-I91-1 (w/o Rx)Form/PlanMS-J91-1Form/PlanMS-J91-1 (w/o Rx)Form/PlanMSLT020201Form/PlanMSLT020301Form/PlanMSLT020401Form/PlanMSLT020501Form/PlanMSLT020801Form/PlanSL-MS-AForm/PlanSL-MS-BForm/PlanSL-MS-CForm/PlanSL-MS-FForm/PlanSL-MS-GForm/PlanSL-MS-HForm/PlanVASA-CForm/Plan

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Approved Accident and Health Rate Changes, 2011YTD

FLR 11-14648 11/10/2011 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50Individual Medicare Supplement Prestandardized

Reported Policies

291

1000-89-SKForm/Plan1000-90-SKForm/Plan4006Form/Plan5095-89Form/Plan5095-90Form/Plan646Form/Plan680Form/Plan685Form/Plan8413Form/Plan8416Form/Plan8427Form/Plan911(EM)Form/Plan914(EM)Form/PlanAMSP-513-4Form/PlanAMSP-514-4Form/PlanEZM-3210-39Form/PlanEZMB-3260Form/PlanEZMS-1510Form/PlanEZMS-3220Form/PlanEZS-3290Form/PlanGWG 85-8Form/PlanGWG 93-8Form/PlanH-645Form/PlanH-700Form/PlanLBIP1Form/PlanMSA-0100 BTForm/PlanMSIP2 ELForm/PlanP1-66353Form/PlanP1-67720Form/Plan

UNITED WORLD LIFE INSURANCE COMPANY 75-6010770 72850

FLR 10-20959 1/31/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Medicare Supplement Standard Plans

Reported Policies

5,355

WM1Form/PlanWM2Form/PlanWM3Form/PlanWM4Form/Plan

FLR 11-00832 3/15/2011 % Change Allowed 11.00Average Trend Allowed 0.00

Anniversary Allowed 11.00Individual Medicare Supplement Medicare Select

Reported Policies

1,361

WM5Form/PlanWM6Form/PlanWM7Form/Plan

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Approved Accident and Health Rate Changes, 2011YTD

UNITEDHEALTHCARE INSURANCE COMPANY 36-2739571 79413

FLH 11-04609 6/28/2011 % Change Allowed -0.08Average Trend Allowed 4.40

Anniversary Allowed 4.32Group Health Dental

Reported Policies

106,887

DPOL.06.FLForm/Plan

FLR 10-18003 1/19/2011 % Change Allowed -5.80Average Trend Allowed 0.00

Anniversary Allowed -5.80Group Health Disability Income

Reported Policies

7,236

LASD-POL-FL (05/03)Form/Plan

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Approved Accident and Health Rate Changes, 2011YTD

FLR 11-00861 3/2/2011 % Change Allowed 0.00Average Trend Allowed 12.50

Anniversary Allowed 12.50Group Health Major Medical Small Group Only

Reported Policies

113,676

CATL.EPO.09.FL.SB NONRESForm/PlanCATL.I.09.FL.SBForm/PlanCATL.I.11.FL.SBForm/PlanCATL-NET.EPO.11.FL.SB NONRForm/PlanCCOV.EPO.09.FL.SB NONRESForm/PlanCCOV.EPO.11.FL.SB NONRESForm/PlanCCOV.I.09.FL.SBForm/PlanCCOV.I.11.FL.SBForm/PlanCOC.BGN.EPO.09.FL.SB NONREForm/PlanCOC.BGN.EPO.11.FL.SB NONREForm/PlanCOC.BGN.I.09.FL.SBForm/PlanCOC.BGN.I.11.FL.SBForm/PlanCOC.CER.EPO.09.FL.SB NONREForm/PlanCOC.CER.EPO.11.FL.SB NONREForm/PlanCOC.CER.I.09.FL.SBForm/PlanCOC.CER.I.11.FL.SBForm/PlanCOC.CHS.EPO.09.FL.SB NONREForm/PlanCOC.CHS.EPO.11.FL.SB NONREForm/PlanCOC.CHS.I.09.FL.SBForm/PlanCOC.CHS.I.11.FL.SBForm/PlanCOC.CLM.EPO.09.FL.SB NONREForm/PlanCOC.CLM.EPO.11.FL.SB NONREForm/PlanCOC.CLM.I.09.FL.SBForm/PlanCOC.CLM.I.11.FL.SBForm/PlanCOC.COB.EPO.09.FL.SB NONREForm/PlanCOC.COB.EPO.11.FL.SB NONREForm/PlanCOC.COB.I.09.FL.SBForm/PlanCOC.COB.I.11.FL.SBForm/PlanCOC.CPL.EPO.09.FL.SB NONREForm/PlanCOC.CPL.EPO.11.FL.SB NONREForm/PlanCOC.CPL.I.09.FL.SBForm/PlanCOC.CPL.I.11.FL.SBForm/PlanCOC.DEF.EPO.09.FL.SB NONREForm/PlanCOC.DEF.EPO.11.FL.SB NONREForm/PlanCOC.DEF.I.09.FL.SBForm/PlanCOC.DEF.I.11.FL.SBForm/PlanCOC.END.EPO.09.FL.SB NONREForm/PlanCOC.END.EPO.11.FL.SB NONREForm/PlanCOC.END.I.09.FL.SBForm/PlanCOC.END.I.11.FL.SBForm/PlanCOC.EXC.EPO.09.FL.SB NONREForm/PlanCOC.EXC.EPO.11.FL.SB NONREForm/PlanCOC.EXC.I.09.FL.SBForm/PlanCOC.EXC.I.11.FL.SBForm/PlanCOC.INT.EPO.09.FL.SB NONREForm/PlanCOC.INT.EPO.11.FL.SB NONREForm/PlanCOC.INT.I.09.FL.SBForm/PlanCOC.INT.I.11.FL.SBForm/PlanCOC.LGL.EPO.09.FL.SB NONREForm/PlanCOC.LGL.EPO.11.FL.SB NONREForm/PlanCOC.LGL.I.09.FL.SBForm/PlanCOC.LGL.I.11.FL.SBForm/PlanCOC.ORP.EPO.09.FL.SB NONREForm/Plan

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Approved Accident and Health Rate Changes, 2011YTD

COC.ORP.EPO.11.FL.SB NONREForm/PlanCOC.ORP.I.09.FL.SBForm/PlanCOC.ORP.I.11.FL.SBForm/PlanCOC.TOC.EPO.09.FL.SB NONREForm/PlanCOC.TOC.EPO.11.FL.SB NONREForm/PlanCOC.TOC.I.09.FL.SBForm/PlanCOC.TOC.I.11.FL.SBForm/PlanCOC.YRP.EPO.09.FL.SB NONREForm/PlanCOC.YRP.EPO.11.FL.SB NONREForm/PlanCOC.YRP.I.09.FL.SBForm/PlanCOC.YRP.I.11.FL.SBForm/PlanEXB2NTC.EPO.09.FL.SB NONREForm/PlanEXB2NTC.EPO.11.FL.SB NONREForm/PlanEXB2NTC.I.09.FL.SBForm/PlanEXB2NTC.I.11.FL.SBForm/PlanIRS.I.09.FL.SBForm/PlanPCOV.EPO.09.FL.SB NONRESForm/PlanPCOV.EPO.11.FL.SB NONRESForm/PlanPCOV.I.09.FL.SBForm/PlanPCOV.I.11.FL.SBForm/PlanPOL.EPO.09.FL.SB NONRESForm/PlanPOL.EPO.11.FL.SB NONRESForm/PlanPOL.I.09.FL.SBForm/PlanPOL.I.11.FL.SBForm/PlanRDR.GENRX.PLS.EPO.09.FL.SB Form/PlanRDR.GENRX.PLS.EPO.11.FL.SB Form/PlanRDR.GENRX.PLS.I.09.FL.SBForm/PlanRDR.GENRX.PLS.I.11.FL.SBForm/PlanRDR.GENRXSBN.PLS.EPO.09.FLForm/PlanRDR.GENRXSBN.PLS.EPO.11.FLForm/PlanRDR.GENRXSBN.PLS.I.09.FL.SBForm/PlanRDR.GENRXSBN.PLS.I.11.FL.SBForm/PlanRDR.IFH.EPO.11.FL.SB NONREForm/PlanRDR.IFH.I.11.FL.SBForm/PlanRDR.RX.NET.EPO.09.FL.SB NOForm/PlanRDR.RX.NET.EPO.11.FL.SB NOForm/PlanRDR.RX.PLS.I.09.FL.SBForm/PlanRDR.RX.PLS.I.11.FL.SBForm/PlanRDR.RXSBN.NET.EPO.09.FL.SB Form/PlanRDR.RXSBN.NET.EPO.11.FL.SB Form/PlanRDR.RXSBN.PLS.I.09.FL.SBForm/PlanRDR.RXSBN.PLS.I.11.FL.SBForm/PlanRDR.SHARERX.NET.EPO.09.FL.Form/PlanRDR.SHARERX.NET.EPO.11.FL.Form/PlanRDR.SHARERX.PLS.I.09.FL.SBForm/PlanRDR.SHARERX.PLS.I.11.FL.SBForm/PlanRDR.SHARERXSBN.NET.EPO.09Form/PlanRDR.SHARERXSBN.NET.EPO.11Form/PlanRDR.SHARERXSBN.PLS.I.09.FL.Form/PlanRDR.SHARERXSBN.PLS.I.11.FL.Form/PlanSBN.CHC.EPO.09.FL.SB NONREForm/PlanSBN.CHC.EPO.11.FL.SB NONREForm/PlanSBN.CHP.I.09.FL.SBForm/PlanSBN.CHP.I.11.FL.SBForm/PlanSBN.NAV.EPO.11.FL.SB NONREForm/PlanSBN.NDF.I.09.FL.SBForm/Plan

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Approved Accident and Health Rate Changes, 2011YTD

SBN.NDF.I.11.FL.SBForm/PlanSBN.NVB.EPO.11.FL.SB NONREForm/PlanSBN.NVP.I.11.FL.SBForm/PlanSBN.OPT.I.09.FL.SBForm/PlanSBN.OPT.I.11.FL.SBForm/Plan

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Approved Accident and Health Rate Changes, 2011YTD

FLR 11-06397 5/11/2011 % Change Allowed -0.40Average Trend Allowed 12.50

Anniversary Allowed 12.10Group Health Major Medical Small Group Only

Reported Policies

111,743

CATL.EPO.09.FL.SB NONRESForm/PlanCATL.I.09.FL.SBForm/PlanCATL.I.11.FL.SBForm/PlanCATL-NET.EPO.11.FL.SB NONRForm/PlanCCOV.EPO.09.FL.SB NONRESForm/PlanCCOV.EPO.11.FL.SB NONRESForm/PlanCCOV.I.09.FL.SBForm/PlanCCOV.I.11.FL.SBForm/PlanCOC.BGN.EPO.09.FL.SB NONREForm/PlanCOC.BGN.EPO.11.FL.SB NONREForm/PlanCOC.BGN.I.09.FL.SBForm/PlanCOC.BGN.I.11.FL.SBForm/PlanCOC.CER.EPO.09.FL.SB NONREForm/PlanCOC.CER.EPO.11.FL.SB NONREForm/PlanCOC.CER.I.09.FL.SBForm/PlanCOC.CER.I.11.FL.SBForm/PlanCOC.CHS.EPO.09.FL.SB NONREForm/PlanCOC.CHS.EPO.11.FL.SB NONREForm/PlanCOC.CHS.I.09.FL.SBForm/PlanCOC.CHS.I.11.FL.SBForm/PlanCOC.CLM.EPO.09.FL.SB NONREForm/PlanCOC.CLM.EPO.11.FL.SB NONREForm/PlanCOC.CLM.I.09.FL.SBForm/PlanCOC.CLM.I.11.FL.SBForm/PlanCOC.COB.EPO.09.FL.SB NONREForm/PlanCOC.COB.EPO.11.FL.SB NONREForm/PlanCOC.COB.I.09.FL.SBForm/PlanCOC.COB.I.11.FL.SBForm/PlanCOC.CPL.EPO.09.FL.SB NONREForm/PlanCOC.CPL.EPO.11.FL.SB NONREForm/PlanCOC.CPL.I.09.FL.SBForm/PlanCOC.CPL.I.11.FL.SBForm/PlanCOC.DEF.EPO.09.FL.SB NONREForm/PlanCOC.DEF.EPO.11.FL.SB NONREForm/PlanCOC.DEF.I.09.FL.SBForm/PlanCOC.DEF.I.11.FL.SBForm/PlanCOC.END.EPO.09.FL.SB NONREForm/PlanCOC.END.EPO.11.FL.SB NONREForm/PlanCOC.END.I.09.FL.SBForm/PlanCOC.END.I.11.FL.SBForm/PlanCOC.EXC.EPO.09.FL.SB NONREForm/PlanCOC.EXC.EPO.11.FL.SB NONREForm/PlanCOC.EXC.I.09.FL.SBForm/PlanCOC.EXC.I.11.FL.SBForm/PlanCOC.INT.EPO.09.FL.SB NONREForm/PlanCOC.INT.EPO.11.FL.SB NONREForm/PlanCOC.INT.I.09.FL.SBForm/PlanCOC.INT.I.11.FL.SBForm/PlanCOC.LGL.EPO.09.FL.SB NONREForm/PlanCOC.LGL.EPO.11.FL.SB NONREForm/PlanCOC.LGL.I.09.FL.SBForm/PlanCOC.LGL.I.11.FL.SBForm/PlanCOC.ORP.EPO.09.FL.SB NONREForm/Plan

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Approved Accident and Health Rate Changes, 2011YTD

COC.ORP.EPO.11.FL.SB NONREForm/PlanCOC.ORP.I.09.FL.SBForm/PlanCOC.ORP.I.11.FL.SBForm/PlanCOC.TOC.EPO.09.FL.SB NONREForm/PlanCOC.TOC.EPO.11.FL.SB NONREForm/PlanCOC.TOC.I.09.FL.SBForm/PlanCOC.TOC.I.11.FL.SBForm/PlanCOC.YRP.EPO.09.FL.SB NONREForm/PlanCOC.YRP.EPO.11.FL.SB NONREForm/PlanCOC.YRP.I.09.FL.SBForm/PlanCOC.YRP.I.11.FL.SBForm/PlanEXB2NTC.EPO.09.FL.SB NONREForm/PlanEXB2NTC.EPO.11.FL.SB NONREForm/PlanEXB2NTC.I.09.FL.SBForm/PlanEXB2NTC.I.11.FL.SBForm/PlanIRS.I.09.FL.SBForm/PlanPCOV.EPO.09.FL.SB NONRESForm/PlanPCOV.EPO.11.FL.SB NONRESForm/PlanPCOV.I.09.FL.SBForm/PlanPCOV.I.11.FL.SBForm/PlanPOL.EPO.09.FL.SB NONRESForm/PlanPOL.EPO.11.FL.SB NONRESForm/PlanPOL.I.09.FL.SBForm/PlanPOL.I.11.FL.SBForm/PlanRDR.GENRX.PLS.EPO.09.FL.SB Form/PlanRDR.GENRX.PLS.EPO.11.FL.SB Form/PlanRDR.GENRX.PLS.I.09.FL.SBForm/PlanRDR.GENRX.PLS.I.11.FL.SBForm/PlanRDR.GENRXSBN.PLS.EPO.09.FLForm/PlanRDR.GENRXSBN.PLS.EPO.11.FLForm/PlanRDR.GENRXSBN.PLS.I.09.FL.SBForm/PlanRDR.GENRXSBN.PLS.I.11.FL.SBForm/PlanRDR.IFH.EPO.11.FL.SB NONREForm/PlanRDR.IFH.I.11.FL.SBForm/PlanRDR.RX.NET.EPO.09.FL.SB NOForm/PlanRDR.RX.NET.EPO.11.FL.SB NOForm/PlanRDR.RX.PLS.I.09.FL.SBForm/PlanRDR.RX.PLS.I.11.FL.SBForm/PlanRDR.RXSBN.NET.EPO.09.FL.SB Form/PlanRDR.RXSBN.NET.EPO.11.FL.SB Form/PlanRDR.RXSBN.PLS.I.09.FL.SBForm/PlanRDR.RXSBN.PLS.I.11.FL.SBForm/PlanRDR.SHARERX.NET.EPO.09.FL.Form/PlanRDR.SHARERX.NET.EPO.11.FL.Form/PlanRDR.SHARERX.PLS.I.09.FL.SBForm/PlanRDR.SHARERX.PLS.I.11.FL.SBForm/PlanRDR.SHARERXSBN.NET.EPO.09Form/PlanRDR.SHARERXSBN.NET.EPO.11Form/PlanRDR.SHARERXSBN.PLS.I.09.FL.Form/PlanRDR.SHARERXSBN.PLS.I.11.FL.Form/PlanSBN.CHC.EPO.09.FL.SB NONREForm/PlanSBN.CHC.EPO.11.FL.SB NONREForm/PlanSBN.CHP.I.09.FL.SBForm/PlanSBN.CHP.I.11.FL.SBForm/PlanSBN.NAV.EPO.11.FL.SB NONREForm/PlanSBN.NDF.I.09.FL.SBForm/Plan

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Approved Accident and Health Rate Changes, 2011YTD

SBN.NDF.I.11.FL.SBForm/PlanSBN.NVB.EPO.11.FL.SB NONREForm/PlanSBN.NVP.I.11.FL.SBForm/PlanSBN.OPT.I.09.FL.SBForm/PlanSBN.OPT.I.11.FL.SBForm/Plan

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Approved Accident and Health Rate Changes, 2011YTD

FLR 11-10964 8/31/2011 % Change Allowed -8.10Average Trend Allowed 11.00

Anniversary Allowed 1.33Group Health Major Medical Small Group Only

Reported Policies

110,189

CATL.EPO.09.FL.SB NONRESForm/PlanCATL.I.09.FL.SBForm/PlanCATL.I.11.FL.SBForm/PlanCATL-NET.EPO.11.FL.SB NONRForm/PlanCCOV.EPO.09.FL.SB NONRESForm/PlanCCOV.EPO.11.FL.SB NONRESForm/PlanCCOV.I.09.FL.SBForm/PlanCCOV.I.11.FL.SBForm/PlanCOC.BGN.EPO.09.FL.SB NONREForm/PlanCOC.BGN.EPO.11.FL.SB NONREForm/PlanCOC.BGN.I.09.FL.SBForm/PlanCOC.BGN.I.11.FL.SBForm/PlanCOC.CER.EPO.09.FL.SB NONREForm/PlanCOC.CER.EPO.11.FL.SB NONREForm/PlanCOC.CER.I.09.FL.SBForm/PlanCOC.CER.I.11.FL.SBForm/PlanCOC.CHS.EPO.09.FL.SB NONREForm/PlanCOC.CHS.EPO.11.FL.SB NONREForm/PlanCOC.CHS.I.09.FL.SBForm/PlanCOC.CHS.I.11.FL.SBForm/PlanCOC.CLM.EPO.09.FL.SB NONREForm/PlanCOC.CLM.EPO.11.FL.SB NONREForm/PlanCOC.CLM.I.09.FL.SBForm/PlanCOC.CLM.I.11.FL.SBForm/PlanCOC.COB.EPO.09.FL.SB NONREForm/PlanCOC.COB.EPO.11.FL.SB NONREForm/PlanCOC.COB.I.09.FL.SBForm/PlanCOC.COB.I.11.FL.SBForm/PlanCOC.CPL.EPO.09.FL.SB NONREForm/PlanCOC.CPL.EPO.11.FL.SB NONREForm/PlanCOC.CPL.I.09.FL.SBForm/PlanCOC.CPL.I.11.FL.SBForm/PlanCOC.DEF.EPO.09.FL.SB NONREForm/PlanCOC.DEF.EPO.11.FL.SB NONREForm/PlanCOC.DEF.I.09.FL.SBForm/PlanCOC.DEF.I.11.FL.SBForm/PlanCOC.END.EPO.09.FL.SB NONREForm/PlanCOC.END.EPO.11.FL.SB NONREForm/PlanCOC.END.I.09.FL.SBForm/PlanCOC.END.I.11.FL.SBForm/PlanCOC.EXC.EPO.09.FL.SB NONREForm/PlanCOC.EXC.EPO.11.FL.SB NONREForm/PlanCOC.EXC.I.09.FL.SBForm/PlanCOC.EXC.I.11.FL.SBForm/PlanCOC.INT.EPO.09.FL.SB NONREForm/PlanCOC.INT.EPO.11.FL.SB NONREForm/PlanCOC.INT.I.09.FL.SBForm/PlanCOC.INT.I.11.FL.SBForm/PlanCOC.LGL.EPO.09.FL.SB NONREForm/PlanCOC.LGL.EPO.11.FL.SB NONREForm/PlanCOC.LGL.I.09.FL.SBForm/PlanCOC.LGL.I.11.FL.SBForm/PlanCOC.ORP.EPO.09.FL.SB NONREForm/Plan

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Approved Accident and Health Rate Changes, 2011YTD

COC.ORP.EPO.11.FL.SB NONREForm/PlanCOC.ORP.I.09.FL.SBForm/PlanCOC.ORP.I.11.FL.SBForm/PlanCOC.TOC.EPO.09.FL.SB NONREForm/PlanCOC.TOC.EPO.11.FL.SB NONREForm/PlanCOC.TOC.I.09.FL.SBForm/PlanCOC.TOC.I.11.FL.SBForm/PlanCOC.YRP.EPO.09.FL.SB NONREForm/PlanCOC.YRP.EPO.11.FL.SB NONREForm/PlanCOC.YRP.I.09.FL.SBForm/PlanCOC.YRP.I.11.FL.SBForm/PlanEXB2NTC.EPO.09.FL.SB NONREForm/PlanEXB2NTC.EPO.11.FL.SB NONREForm/PlanEXB2NTC.I.09.FL.SBForm/PlanEXB2NTC.I.11.FL.SBForm/PlanIRS.I.09.FL.SBForm/PlanPCOV.EPO.09.FL.SB NONRESForm/PlanPCOV.EPO.11.FL.SB NONRESForm/PlanPCOV.I.09.FL.SBForm/PlanPCOV.I.11.FL.SBForm/PlanPOL.EPO.09.FL.SB NONRESForm/PlanPOL.EPO.11.FL.SB NONRESForm/PlanPOL.I.09.FL.SBForm/PlanPOL.I.11.FL.SBForm/PlanRDR.GENRX.PLS.EPO.09.FL.SB Form/PlanRDR.GENRX.PLS.EPO.11.FL.SB Form/PlanRDR.GENRX.PLS.I.09.FL.SBForm/PlanRDR.GENRX.PLS.I.11.FL.SBForm/PlanRDR.GENRXSBN.PLS.EPO.09.FLForm/PlanRDR.GENRXSBN.PLS.EPO.11.FLForm/PlanRDR.GENRXSBN.PLS.I.09.FL.SBForm/PlanRDR.GENRXSBN.PLS.I.11.FL.SBForm/PlanRDR.IFH.EPO.11.FL.SB NONREForm/PlanRDR.IFH.I.11.FL.SBForm/PlanRDR.RX.NET.EPO.09.FL.SB NOForm/PlanRDR.RX.NET.EPO.11.FL.SB NOForm/PlanRDR.RX.PLS.I.09.FL.SBForm/PlanRDR.RX.PLS.I.11.FL.SBForm/PlanRDR.RXSBN.NET.EPO.09.FL.SB Form/PlanRDR.RXSBN.NET.EPO.11.FL.SB Form/PlanRDR.RXSBN.PLS.I.09.FL.SBForm/PlanRDR.RXSBN.PLS.I.11.FL.SBForm/PlanRDR.SHARERX.NET.EPO.09.FL.Form/PlanRDR.SHARERX.NET.EPO.11.FL.Form/PlanRDR.SHARERX.PLS.I.09.FL.SBForm/PlanRDR.SHARERX.PLS.I.11.FL.SBForm/PlanRDR.SHARERXSBN.NET.EPO.09Form/PlanRDR.SHARERXSBN.NET.EPO.11Form/PlanRDR.SHARERXSBN.PLS.I.09.FL.Form/PlanRDR.SHARERXSBN.PLS.I.11.FL.Form/PlanSBN.CHC.EPO.09.FL.SB NONREForm/PlanSBN.CHC.EPO.11.FL.SB NONREForm/PlanSBN.CHP.I.09.FL.SBForm/PlanSBN.CHP.I.11.FL.SBForm/PlanSBN.NAV.EPO.11.FL.SB NONREForm/PlanSBN.NDF.I.09.FL.SBForm/Plan

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Approved Accident and Health Rate Changes, 2011YTD

SBN.NDF.I.11.FL.SBForm/PlanSBN.NVB.EPO.11.FL.SB NONREForm/PlanSBN.NVP.I.11.FL.SBForm/PlanSBN.OPT.I.09.FL.SBForm/PlanSBN.OPT.I.11.FL.SBForm/Plan

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Approved Accident and Health Rate Changes, 2011YTD

FLR 11-13938 9/23/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Medicare Supplement Other

Reported Policies

292,504

CRA 1677, CRA 1690Form/PlanEntry Age Individual Plan A (MSForm/PlanEntry Age Individual Plan A (MSForm/PlanEntry Age Individual Plan B (MSForm/PlanEntry Age Individual Plan B (MSForm/PlanEntry Age Individual Plan C (MSForm/PlanEntry Age Individual Plan C (MSForm/PlanEntry Age Individual Plan D (MSForm/PlanEntry Age Individual Plan E (MSForm/PlanEntry Age Individual Plan F (MSForm/PlanEntry Age Individual Plan F (MSForm/PlanEntry Age Individual Plan G (MSForm/PlanEntry Age Individual Plan H(w/oForm/PlanEntry Age Individual Plan I(w/o Form/PlanEntry Age Individual Plan J(w/oForm/PlanEntry Age Individual Plan K (MSForm/PlanEntry Age Individual Plan K (MSForm/PlanEntry Age Individual Plan L (MSForm/PlanEntry Age Individual Plan L (MSForm/PlanEntry Age Individual Plan N (MSForm/PlanEntry Age Plan A (MDA0674, MForm/PlanEntry Age Plan B (MDB0675,MAForm/PlanEntry Age Plan C (MDC0676,MAForm/PlanEntry Age Plan F (MDF0677,MAForm/PlanEntry Age Plan K (MDK0678,MAForm/PlanEntry Age Plan L (MDL0679,MAForm/PlanEntry Age Plan N (MDN0680,MForm/PlanEntry Age Rated Plan A (MS 12Form/PlanEntry Age Rated Plan A (MSA 1Form/PlanEntry Age Rated Plan A (MSA 2Form/PlanEntry Age Rated Plan B (MS 12Form/PlanEntry Age Rated Plan B (MSB 1Form/PlanEntry Age Rated Plan B (MSB 2Form/PlanEntry Age Rated Plan C (MS 12Form/PlanEntry Age Rated Plan C (MSC 1Form/PlanEntry Age Rated Plan C (MSC 2Form/PlanEntry Age Rated Plan D (MS 12Form/PlanEntry Age Rated Plan D (MSD 1Form/PlanEntry Age Rated Plan D (MSD 2Form/PlanEntry Age Rated Plan E (MS 12Form/PlanEntry Age Rated Plan E (MSE 1Form/PlanEntry Age Rated Plan E (MSE 2Form/PlanEntry Age Rated Plan F (MS 12Form/PlanEntry Age Rated Plan F (MSF 1Form/PlanEntry Age Rated Plan F (MSF 2Form/PlanEntry Age Rated Plan G (MS 12Form/PlanEntry Age Rated Plan G (MSG 1Form/PlanEntry Age Rated Plan G (MSG 2Form/PlanEntry Age Rated Plan H (w/ Rx)Form/PlanEntry Age Rated Plan H (w/o RxForm/PlanEntry Age Rated Plan H(w/ Rx)(Form/PlanEntry Age Rated Plan H(w/o RxForm/PlanEntry Age Rated Plan H(w/o RxForm/Plan

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Approved Accident and Health Rate Changes, 2011YTD

Entry Age Rated Plan I (w/ Rx)(Form/PlanEntry Age Rated Plan I (w/ Rx)(Form/PlanEntry Age Rated Plan I(w/o Rx)Form/PlanEntry Age Rated Plan I(w/o Rx)Form/PlanEntry Age Rated Plan I(w/o Rx)Form/PlanEntry Age Rated Plan J (w/ Rx)(Form/PlanEntry Age Rated Plan J (w/ Rx)(Form/PlanEntry Age Rated Plan J (w/o RxForm/PlanEntry Age Rated Plan J(w/o Rx)Form/PlanEntry Age Rated Plan J(w/o Rx)Form/PlanEntry Age Rated Plan K (MSK 2Form/PlanEntry Age Rated Plan L (MSL 23Form/PlanEntry Age Rated Select Plan C (Form/PlanEntry Age Rated Select Plan C (Form/PlanEntry Age Rated Select Plan C (Form/PlanEntry Age Rated Select Plan E (Form/PlanEntryAge SelectC MDSC0794,MForm/PlanEntryAge SelectF MDSF0795,MForm/PlanUniage Rated Plan A (MS 1209,Form/PlanUniage Rated Plan A (MSA 145Form/PlanUniage Rated Plan B (MS 1209,Form/PlanUniage Rated Plan B (MSB 1455Form/PlanUniage Rated Plan C (MS 1209,Form/PlanUniage Rated Plan C (MSC 145Form/PlanUniage Rated Plan D (MS 1209,Form/PlanUniage Rated Plan D (MSD 145Form/PlanUniage Rated Plan E (MS 1209, Form/PlanUniage Rated Plan E (MSE 1458Form/PlanUniage Rated Plan F (MS 1209, Form/PlanUniage Rated Plan F (MSF 1459Form/PlanUniage Rated Plan G (MS 1209,Form/PlanUniage Rated Plan G (MSG 146Form/PlanUniage Rated Plan H (w/ Rx) (Form/PlanUniage Rated Plan H (w/ Rx) (Form/PlanUniage Rated Plan H (w/o Rx) (Form/PlanUniage Rated Plan H (w/o Rx) (Form/PlanUniage Rated Plan I (w/ Rx) (MForm/PlanUniage Rated Plan I (w/ Rx) (MForm/PlanUniage Rated Plan I (w/o Rx) (Form/PlanUniage Rated Plan I (w/o Rx) (Form/PlanUniage Rated Plan J (w/ Rx) (MForm/PlanUniage Rated Plan J (w/ Rx) (MForm/PlanUniage Rated Plan J (w/o Rx) (Form/PlanUniage Rated Plan J (w/o Rx) (Form/Plan

Page 97 of 105Monday, January 09, 2012

Page 99: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

FLR 11-14773 10/25/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Group Medicare Supplement Prestandardized

Reported Policies

14,216

CRA 1677Form/PlanG-36000-4 (Plan M1)Form/PlanG-36000-4 (Plan M2)Form/PlanG-36000-4 (Plan M3 (With DrugForm/PlanG-36000-4 (Plan M3 (Without DForm/PlanG-36000-4 (Plan M4 (With DrugForm/PlanG-36000-4 (Plan M4 (Without DForm/PlanG-36000-4 (Plan M5)Form/PlanG-36000-4 (Plan M6)Form/PlanG-36000-4 (Plan M7 (With DrugForm/PlanG-36000-4 (Plan M7 (Without DForm/PlanG-36000-4 (Plan MA)Form/PlanG-36001-4 (Plan AG)Form/PlanG-36001-4 (Plan W (With DrugsForm/PlanG-36001-4 (Plan W (Without DrForm/PlanG-36001-4 (Plan X)Form/PlanG-36001-4 (Plan Y)Form/Plan

Page 98 of 105Monday, January 09, 2012

Page 100: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

UNITEDHEALTHCARE OF FLORIDA, INC. 59-1293865 95264

HMO 11-01127 4/14/2011 % Change Allowed -1.60Average Trend Allowed 12.00

Anniversary Allowed 10.20Health Maintenance Organization Group Small Group Only

Reported Policies

876

CAMD-HSA.H.04.FL.SBForm/PlanCATL.H.09.FL.SBForm/PlanCATL.H.11.FL.SBForm/PlanCATL-NET.H.09.FL.SBForm/PlanCCOV.H.09.FL.SBForm/PlanCCOV.H.1.FL.SBForm/PlanCOC.BGN.H.09.FL.SBForm/PlanCOC.BGN.H.11.FL.SBForm/PlanCOC.CER.H.09.FL.SBForm/PlanCOC.CER.H.11.FL.SBForm/PlanCOC.CHS.H.09.FL.SBForm/PlanCOC.CHS.H.11.FL.SBForm/PlanCOC.CLM.H.09.FL.SBForm/PlanCOC.CLM.H.11.FL.SBForm/PlanCOC.COB.H.09.FL.SBForm/PlanCOC.COB.H.11.FL.SBForm/PlanCOC.CPL.H.09.FL.SBForm/PlanCOC.CPL.H.11.FL.SBForm/PlanCOC.DEF.H.09.FL.SBForm/PlanCOC.DEF.H.11.FL.SBForm/PlanCOC.END.H.09.FL.SBForm/PlanCOC.END.H.11.FL.SBForm/PlanCOC.EXC.H.09.FL.SBForm/PlanCOC.EXC.H.11.FL.SBForm/PlanCOC.INT.H.09.FL.SBForm/PlanCOC.INT.H.11.FL.SBForm/PlanCOC.LGL.H.09.FL.SBForm/PlanCOC.LGL.H.11.FL.SBForm/PlanCOC.ORP.H.09.FL.SBForm/PlanCOC.ORP.H.11.FL.SBForm/PlanCOC.TOC.H.09.FL.SBForm/PlanCOC.TOC.H.11.FL.SBForm/PlanCOC.YRP.H.09.FL.SBForm/PlanCOC.YRP.H.11.FL.SBForm/PlanContract.H.02.FL.SBForm/PlanEXB2NTC.H.09.FL.SBForm/PlanEXB2NTC.H.11.FL.SBForm/PlanOSTOMY.H.02.FL.SBForm/PlanPCOV.H.09.FL.SBForm/PlanPCOV.H.11.FL.SBForm/PlanPOL.H.09.FL.SBForm/PlanPOL.H.11.FL.SBForm/PlanPOS.H.01.FL.SBForm/PlanPOS-HSA.H.04.FL.SBForm/PlanRDR.GENRX.NET.H.09.FL.SBForm/PlanRDR.GENRX.PLS.H.09.FL.SBForm/PlanRDR.GENRX.PLS.H.11.FL.SBForm/PlanRDR.GENRXSBN.NET.H.09.FL.SForm/PlanRDR.GENRXSBN.PLS.H.09.FL.SForm/PlanRDR.GENRXSBN.PLS.H.11.FL.SForm/Plan

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Approved Accident and Health Rate Changes, 2011YTD

RDR.IFH.H.11.FL.SBForm/PlanRDR.RX.NET.EPO.07FL.SB NONForm/PlanRDR.RX.NET.H.09.FL.SBForm/PlanRDR.RX.NET.H.11.FL.SBForm/PlanRDR.RX.PLS.H.09.FL.SBForm/PlanRDR.RX.PLS.H.11.FL.SBForm/PlanRDR.RXSBN.NET.H.09.FL.SBForm/PlanRDR.RXSBN.NET.H.11.FL.SBForm/PlanRDR.RXSBN.PLS.H.09.FL.SBForm/PlanRDR.RXSBN.PLS.H.11.FL.SBForm/PlanRDR.RXSBN1.NET.EPO.07FL.SBForm/PlanRDR.RXSBN2.NET.EPO.07FL.SBForm/PlanRDR.SHARERX.NET.H.09.FL.SBForm/PlanRDR.SHARERX.NET.H.11.FL.SBForm/PlanRDR.SHARERX.PLS.EPO.07.FL.SForm/PlanRDR.SHARERX.PLS.H.09.FL.SBForm/PlanRDR.SHARERX.PLS.H.11.FL.SBForm/PlanRDR.SHARERXSBN.NET.H.09.FLForm/PlanRDR.SHARERXSBN.NET.H.11.FLForm/PlanRDR.SHARERXSBN.PLS.EPO.07.Form/PlanRDR.SHARERXSBN.PLS.H.09.FLForm/PlanRDR.SHARERXSBN.PLS.H.11.FLForm/PlanRXNET.H.01FL.SBForm/PlanSBN.CHC.H.09.FL.SBForm/PlanSBN.CHC.H.11.FL.SBForm/PlanSBN.CHP.H.09.FL.SBForm/PlanSBN.CHP.H.11.FL.SBForm/PlanSubstance Abuse.H.02.FL.SBForm/PlanTOC.H.01.FL.SBForm/Plan

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Page 102: Florida Office of Insurance Regulation · Florida Office of Insurance Regulation Accident & Health Rate Change Summary. ... Form/Plan AGLA 12204F (short) Form/Plan AGLA 70004 (short)

Approved Accident and Health Rate Changes, 2011YTD

HMO 11-11394 10/14/2011 % Change Allowed -5.20Average Trend Allowed 11.00

Anniversary Allowed 4.80Health Maintenance Organization Group Small Group Only

Reported Policies

700

CAMD-HSA.H.04.FL.SBForm/PlanCATL.H.09.FL.SBForm/PlanCATL.H.11.FL.SBForm/PlanCATL-NET.H.09.FL.SBForm/PlanCCOV.H.09.FL.SBForm/PlanCCOV.H.1.FL.SBForm/PlanCOC.BGN.H.09.FL.SBForm/PlanCOC.BGN.H.11.FL.SBForm/PlanCOC.CER.H.09.FL.SBForm/PlanCOC.CER.H.11.FL.SBForm/PlanCOC.CHS.H.09.FL.SBForm/PlanCOC.CHS.H.11.FL.SBForm/PlanCOC.CLM.H.09.FL.SBForm/PlanCOC.CLM.H.11.FL.SBForm/PlanCOC.COB.H.09.FL.SBForm/PlanCOC.COB.H.11.FL.SBForm/PlanCOC.CPL.H.09.FL.SBForm/PlanCOC.CPL.H.11.FL.SBForm/PlanCOC.DEF.H.09.FL.SBForm/PlanCOC.DEF.H.11.FL.SBForm/PlanCOC.END.H.09.FL.SBForm/PlanCOC.END.H.11.FL.SBForm/PlanCOC.EXC.H.09.FL.SBForm/PlanCOC.EXC.H.11.FL.SBForm/PlanCOC.INT.H.09.FL.SBForm/PlanCOC.INT.H.11.FL.SBForm/PlanCOC.LGL.H.09.FL.SBForm/PlanCOC.LGL.H.11.FL.SBForm/PlanCOC.ORP.H.09.FL.SBForm/PlanCOC.ORP.H.11.FL.SBForm/PlanCOC.TOC.H.09.FL.SBForm/PlanCOC.TOC.H.11.FL.SBForm/PlanCOC.YRP.H.09.FL.SBForm/PlanCOC.YRP.H.11.FL.SBForm/PlanContract.H.02.FL.SBForm/PlanEXB2NTC.H.09.FL.SBForm/PlanEXB2NTC.H.11.FL.SBForm/PlanOSTOMY.H.02.FL.SBForm/PlanPCOV.H.09.FL.SBForm/PlanPCOV.H.11.FL.SBForm/PlanPOL.H.09.FL.SBForm/PlanPOL.H.11.FL.SBForm/PlanPOS.H.01.FL.SBForm/PlanPOS-HSA.H.04.FL.SBForm/PlanRDR.GENRX.NET.H.09.FL.SBForm/PlanRDR.GENRX.PLS.H.09.FL.SBForm/PlanRDR.GENRX.PLS.H.11.FL.SBForm/PlanRDR.GENRXSBN.NET.H.09.FL.SForm/PlanRDR.GENRXSBN.PLS.H.09.FL.SForm/PlanRDR.GENRXSBN.PLS.H.11.FL.SForm/PlanRDR.IFH.H.11.FL.SBForm/PlanRDR.RX.NET.EPO.07FL.SB NONForm/PlanRDR.RX.NET.H.09.FL.SBForm/Plan

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Approved Accident and Health Rate Changes, 2011YTD

RDR.RX.NET.H.11.FL.SBForm/PlanRDR.RX.PLS.H.09.FL.SBForm/PlanRDR.RX.PLS.H.11.FL.SBForm/PlanRDR.RXSBN.NET.H.09.FL.SBForm/PlanRDR.RXSBN.NET.H.11.FL.SBForm/PlanRDR.RXSBN.PLS.H.09.FL.SBForm/PlanRDR.RXSBN.PLS.H.11.FL.SBForm/PlanRDR.RXSBN1.NET.EPO.07FL.SBForm/PlanRDR.RXSBN2.NET.EPO.07FL.SBForm/PlanRDR.SHARERX.NET.H.09.FL.SBForm/PlanRDR.SHARERX.NET.H.11.FL.SBForm/PlanRDR.SHARERX.PLS.EPO.07.FL.SForm/PlanRDR.SHARERX.PLS.H.09.FL.SBForm/PlanRDR.SHARERX.PLS.H.11.FL.SBForm/PlanRDR.SHARERXSBN.NET.H.09.FLForm/PlanRDR.SHARERXSBN.NET.H.11.FLForm/PlanRDR.SHARERXSBN.PLS.EPO.07.Form/PlanRDR.SHARERXSBN.PLS.H.09.FLForm/PlanRDR.SHARERXSBN.PLS.H.11.FLForm/PlanRXNET.H.01FL.SBForm/PlanSBN.CHC.H.09.FL.SBForm/PlanSBN.CHC.H.11.FL.SBForm/PlanSBN.CHP.H.09.FL.SBForm/PlanSubstance Abuse.H.02.FL.SBForm/PlanTOC.H.01.FL.SBForm/Plan

USAA LIFE INSURANCE COMPANY 74-1472662 69663

FLR 11-01117 3/1/2011 % Change Allowed -1.06Average Trend Allowed 0.00

Anniversary Allowed -1.06Individual Health Hospital Indemnity

Reported Policies

40

IH594-0103 4-83Form/Plan

FLR 11-05610 6/7/2011 % Change Allowed 12.50Average Trend Allowed 0.00

Anniversary Allowed 12.50Individual Medicare Supplement Standard Plans

Reported Policies

7,270

LIM20018-A 1-92Form/PlanLIM20018-D 1-92Form/PlanLIM20018-G 1-92Form/PlanLIM23173-A 10-93Form/PlanLIM23173-D 10-93Form/PlanLIM23173-F 10-93Form/PlanLIM23173-G 10-93Form/PlanMSM93848FL 06-10Form/PlanMSM93849FL 06-10Form/Plan

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Approved Accident and Health Rate Changes, 2011YTD

WORLD INSURANCE COMPANY 47-0339860 70629

FLR 10-20371 1/20/2011 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00Individual Medicare Supplement Prestandardized

Reported Policies

53

1045Form/Plan1046Form/Plan1084Form/Plan1086Form/Plan1089Form/Plan1090Form/Plan1103Form/Plan1105Form/Plan1106Form/Plan12-151Form/Plan12-152Form/Plan14-1738Form/Plan7021Form/Plan7025Form/Plan7026Form/Plan7027Form/Plan7029Form/Plan7030Form/Plan7036Form/Plan7038Form/Plan7045Form/Plan7046Form/Plan7906Form/Plan7907Form/Plan7908Form/Plan7913Form/Plan7914Form/Plan7920Form/Plan7933Form/Plan7943Form/PlanA2400Form/PlanA2480Form/PlanA2485Form/PlanAN1250Form/PlanAN1256Form/PlanAN210Form/PlanAN220Form/PlanAN230Form/PlanAN240Form/PlanAN2800Form/PlanAN3000Form/PlanAN320Form/PlanAN330Form/PlanAN340Form/PlanAN345Form/PlanAN401Form/PlanD-75F 59346Form/PlanD-75F 59877Form/PlanD-75F 59879Form/PlanD-75R 59348Form/Plan

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Approved Accident and Health Rate Changes, 2011YTD

D-75R 59846Form/PlanD-75R 59847Form/PlanD-75R 59848Form/PlanD-75R 59849Form/PlanD-75R 59850Form/PlanD-75R 59851Form/PlanD-75R 59852Form/PlanD-75R 59853Form/PlanD-75R 59854Form/PlanD-75R 59855Form/PlanD-75R 59856Form/PlanD-75R 59883Form/PlanD-764AForm/PlanD-767Form/PlanD-92HForm/PlanD-A002Form/PlanD-A020Form/PlanG82242Form/PlanG83249Form/PlanH-142Form/PlanH-166Form/PlanH-169Form/PlanH-170Form/PlanH-172Form/PlanH-174Form/PlanH-175Form/PlanH-176Form/PlanH-177Form/PlanH-178Form/PlanH-179Form/PlanH-187Form/PlanH-199Form/PlanH-201Form/PlanH-203Form/PlanH-223Form/PlanH-225Form/PlanH-227Form/PlanH-228Form/PlanH-230Form/PlanH-231Form/PlanH-232Form/PlanH-233Form/PlanH-234Form/PlanH-235Form/PlanH-272Form/PlanH-280Form/PlanHIP02Form/PlanPSE-379Form/PlanR2400Form/PlanR2480Form/PlanR2481Form/PlanR2486Form/PlanR2487Form/Plan

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Approved Accident and Health Rate Changes, 2011YTD

FLR 10-20782 1/24/2011 % Change Allowed 4.00Average Trend Allowed 0.00

Anniversary Allowed 4.00Individual Medicare Supplement Standard Plans

Reported Policies

219

40080-B-1Form/Plan40080-B-1-1093Form/Plan40080-C-1Form/Plan40080-C-1-1093Form/Plan40080-F-1Form/Plan40080-F-1-1093Form/Plan40080-H-1-1093Form/Plan40080-H-1-1093 w/ M1138Form/Plan40085Form/Plan40090Form/Plan50000Form/Plan50050-A-1Form/Plan50050-A-1-1093Form/Plan50050-B-1Form/Plan50050-B-1-1093Form/Plan50050-C-1Form/Plan50050-C-1-1093Form/Plan50050-F-1Form/Plan50050-F-1-1093Form/Plan50055Form/Plan50060Form/PlanD-A05AForm/PlanD-A05BForm/PlanD-A05CForm/PlanD-A05DForm/PlanD-A05EForm/PlanD-A05FForm/PlanD-A05GForm/PlanD-A05HForm/PlanD-A05IForm/Plan

Page 105 of 105Monday, January 09, 2012