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Maine.gov > PFR Home > Insurance Regulation > Hearing Decision Index > Document 189 : INS 99-14 : Hearing Decision

STATE OF MAINE

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION

BUREAU OF INSURANCE

IN RE: )
APPLICATION OF ASSOCIATED )
HOSPITAL SERVICE OF MAINE )
d/b/a BLUE CROSS AND BLUE )
SHIELD OF MAINE TO CONVERT )
TO A STOCK INSURER AND )
VOLUNTARILY LIQUIDATE )
AND DISSOLVE )
)
and )
) THIRD PROTECTIVE ORDER
IN RE: )
APPLICATION OF ANTHEM )
HEALTH PLAN OF MAINE, INC. )
TO ACQUIRE THE ASSETS OF )
ASSOCIATED HOSPITAL )
SERVICE OF MAINE d/b/a )
BLUE CROSS AND BLUE SHIELD )
OF MAINE AND RELATED )
TRANSACTIONS )
)
Docket No. INS-99-14 )
(Consolidated) )

 

Associated Hospital Service of Maine, d/b/a Blue Cross and Blue Shield of Maine, has requested confidential treatment for certain portions of the comparative premium rate analysis prepared by Milliman & Robertson, Inc., Actuaries and Consultants. Upon consideration of the types of information for which confidential treatment is requested and the interests of the general public, the portions of the comparative premium rate analysis listed below are accepted as confidential. Confidential treatment is being afforded these portions of the comparative premium rate analysis due to their proprietary nature and value as a trade secret and are, therefore, exempt from the provisions of the Freedom of Access Act as being within the scope of privilege against discovery. 1 M.R.S.A. § 402(3)(B). Dissemination of the portions of the comparative premium rate analysis listed below is governed by the terms of the Protective Order issued October 18, 1999. Please note that reference in any discovery response in this proceeding to a document that has been accepted as confidential does not alter the confidential status of that document.

  1. Page P 10009 – amount of assumed reductions in total claims related expenses and general administrative expenses.
  2. Page P 10012 – amount of projected operating gain by calendar years 2002 and 2003.
  3. Page P 10013 – range for rate of return on investment.
  4. Page P 10013 – projected operating gain by calendar year 2003.
  5. Page P 10015 – increase in underwriting profits (projected operating gain) by calendar year 2003.
  6. Page P 10020 – projected average premium rates per member per month for calendar years 1999 and 2000.
  7. Page P 10021 – projected average premium rates per member per month for transition year 2000, by half year.
  8. Page P 10022 – three-year projection of average premium rates per member per month for calendar years 2001 to 2003 assuming no conversion.
  9. Page P 10023 – three-year projection of average premium rates per member per month for calendar years 2001 to 2003 assuming conversion and acquisition.
  10. Page P 10026 – projected annual percent change in premium rates per member per month transition years 1999 and 2000.
  11. Page P 10027 – projected annual percent change in premium rates per member per month calendar years 2001 to 2003 assuming no conversion.
  12. Page 10028 – projected annual percent change in premium rates per member per month calendar years 2001 to 2003 assuming conversion and Anthem acquisition.
  13. Page P 10029 – percent increase in claims savings with a conversion and per year decrease in claims related expenses.
  14. Page P 10030 – net underwritten expenses with conversion beginning in 2001 and net administrative expenses with conversion by 2003.
  15. Page P 10030 – expected transaction related costs to Anthem and net value to Anthem for goodwill purposes.
  16. Page P 10031 – projected operating margin assuming no conversion for 2000 and 2003.
  17. Page P 10031 – projected operating margin assuming conversion for January 1, 2000 to December 31, 2000.
  18. Page P 10031 – projected operating margin in 2003, assuming conversion.
  19. Page P 10031 – projected start-up expenses and amount of costs for the six-month periods ending December 31, 2000 and June 30, 2001.
  20. Page P 10032 – comparative balance sheets (projected) for Anthem BCBSME.
  21. Page P 10033 – comparative balance sheets (projected) for BCBSME.
  22. Page P 10034 – membership projections.

The Applicants filed a redacted version of the comparative premium rate analysis that complies with this Order with the exception of appropriate redaction for pages P 10029, P 10030, and P 10031. Those three pages will be redacted and filed with the Superintendent to replace the pages currently on file in the public version of the analysis. Public/redacted pages P 10029, P 10030, and P 10031 shall be filed with the Superintendent on or before January 19, 2000.

PER ORDER OF THE SUPERINTENDENT OF INSURANCE

 

DATED:___________________________                     ___________________________________

ALESSANDRO A. IUPPA

Superintendent of Insurance

 

Last Updated: August 22, 2012