Anthem Blue Cross and Blue Shield Rate Filing : Bureau of Insurance

STATE OF MAINE
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

IN RE:

ANTHEM BLUE CROSS AND BLUE
SHIELD 2009 INDIVIDUAL RATE
FILING FOR HEALTHCHOICE,
HEALTHCHOICE STANDARD
AND BASIC, AND LUMENOS
CONSUMER DIRECTED HEALTH
PLAN PRODUCTS

Docket No. INS-09-1000

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DECISION AND ORDER

By Decision and Order dated May 18, 2009, Superintendent of Insurance Mila Kofman denied the request of Anthem Blue Cross and Blue Shield (“Anthem”) for approval of its rate filing for 2009 individual HealthChoice, HealthChoice Standard, HealthChoice Basic, and Lumenos Consumer Directed Health Plan products, but granted Anthem an opportunity to submit a revised filing consistent with the findings and conclusions set forth in Sections IV and V of the Decision and Order. Anthem made a revised filing on May 19, 2009. The revised filing provides for renewal rate changes ranging from -5.0% to 20.0% and for new business rate changes ranging from -8.0% to 32.4%, depending upon the benefit design of the plan selected. The average rate increase is 10.9%.

The Superintendent finds that Anthem’s May 19, 2009, revised filing is consistent with the May 18, 2009, Decision and Order. Pursuant to 24-A M.R.S.A. §§ 2736 and 2736-B, the Superintendent hereby ORDERS that Anthem’s filing of May 19, 2009, is APPROVED, effective July 1, 2009.

This Decision and Order is final agency action of the Superintendent of Insurance, within the meaning of the Maine Administrative Procedure Act, 5 M.R.S.A. § 8002(4). It may be appealed to the Superior Court in the manner provided for by 24-A M.R.S.A. § 236, 5 M.R.S.A. §§ 11001 through 11008 and M.R. Civ.P. 80C. Any party to the proceeding may initiate an appeal within thirty days after receiving this notice. Any aggrieved non-party whose interests are substantially and directly affected by this Decision and Order may initiate an appeal within forty days of the issuance of this decision. There is no automatic stay pending appeal. Application for stay may be made in the manner provided in 5 M.R.S.A. § 11004.

PER ORDER OF THE SUPERINTENDENT OF INSURANCE

Dated: May 19, 2009

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MILA KOFMAN
Superintendent of Insurance