Florida Administrative Weekly Volume 27, Number 49, December 7, 2001 Section I nonrefundable filing fee in the amount prescribed by Section Notices of Development of Proposed Rules 663.12, Florida Statutes, which is made payable to the Department of Banking and Finance. and Negotiated Rulemaking (2) No change. (3) An applicant may submit biographical information DEPARTMENT OF BANKING AND FINANCE concerning its directors, executive officers, principal Division of Banking shareholders and proposed Florida management in the same RULE TITLE: RULE NO.: form that such information was submitted to the Board of Applications 3C-140.002 Governors. Each of such individuals who has successfully PURPOSE AND EFFECT: The purpose and effect of the completed a background investigation conducted on behalf of proposed rule amendment is to implement the provisions of or at the request of the Board of Governors shall be deemed to Section 663.10, F.S., which allow an international agency satisfy the requirements of Fla. Stat. ss. 663.05(5). office to convert to an international branch, and to repeal (4) An application for renewal of an annual license to portions of the rule that are no longer applicable. operate an international banking office shall be filed, not later SUBJECT AREA TO BE ADDRESSED: Application for than thirty days before the expiration of the annual license, on authority to convert from an international agency to an Form DBF-C-21, Application for Renewal of Annual License international branch. to Operate an International Banking Office in the State of SPECIFIC AUTHORITY: 655.012(3), 663.13 FS. Florida, revised 7/92. An annual license renewal fee of LAW IMPLEMENTED: 663.05, 663.10 FS. $2,000.00 shall accompany the application. IF REQUESTED IN WRITING AND NOT DEEMED (5) The application for conversion of an annual license to UNNECESSARY BY THE AGENCY HEAD, A RULE an indefinite license for the operation of an international DEVELOPMENT WORKSHOP WILL BE HELD AT THE banking corporation shall be filed on Form DBF-C-57, TIME, DATE AND PLACE SHOWN BELOW: Application for Indefinite License to Operate an International TIME AND DATE: 10:00 a.m., December 27, 2001 Banking Corporation in the State of Florida, effective 7/92. An PLACE: Division of Banking Conference Room, 6th Floor, international banking corporation that is granted a license for Fletcher Building, 101 East Gaines Street, Tallahassee, Florida an indefinite period shall annually file with the Department current certified comparative statements of financial condition, THE PERSON TO BE CONTACTED REGARDING THE income, cash flows, and related notes. The international PROPOSED RULE DEVELOPMENT AND A COPY OF banking corporation shall pay an annual fee equal to the annual THE PRELIMINARY DRAFT IS: Linda B. Charity, Chief, renewal fee for each banking license held by the international Bureau of Financial Institutions, District I, Division of banking corporation. Form DBF-C-57 shall be postmarked not Banking, 101 East Gaines Street, Suite 636, Tallahassee, later than January 31 of each year. Florida 32399-0350, (850)410-9111 (4)(6) Copies of Form DBF-C-20, Form DBF-C-21, Form THE PRELIMINARY TEXT OF THE PROPOSED RULE DBF-C-57, and Form DBF-C-20A, and Form DBF-C-20B, DEVELOPMENT IS: which are hereby incorporated by reference, may be obtained online at the Division of Banking web page located at 3C-140.002 Applications. www.dbf.state.fl.us/banking.html or from the Director, (1) The application for authority to establish an Division of Banking, Suite 636, Fletcher Building, 101 East international branch, or international bank agency, shall be Gaines Street, Tallahassee, Florida 32399-0350. filed on Form DBF-C-20, Application for the Establishment of Specific Authority 655.012(3), 663.05(4), 663.13 FS. Law Implemented an International Banking Branch or Agency in the State of 663.05, 663.10 FS. History–New 7-21-81, Amended 12-20-82, 3-8-84, Florida, revised 8/97. The application for authority to establish Formerly 3C-15.09, Amended 2-9-87, 10-1-87, 10-10-88, 1-24-89, Formerly 3C-15.009, Amended 3-22-93, 9-5-94, Formerly 3C-140.050, Amended an International Representative Office or International 11-5-97, ________. Administrative Office shall be filed on Form DBF-C-20A, Application for the Establishment of an International DEPARTMENT OF INSURANCE Representative Office or International Administrative Office in RULE TITLES: RULE NOS.: the State of Florida, effective 8/97. The application to convert Outline of Coverage 4-149.204 an international agency office to an international branch office Indemnity Standard Risk Rates 4-149.205 shall be filed on Form DBF-C-20B, Application for Authority Preferred Provider/Exclusive Provider to Convert an International Agency to a Branch Office, Standard Risk Rates 4-149.206 effective 11/01. The application shall be submitted with a Health Maintenance Organization Standard Risk Rates 4-149.207 Section I - Notices of Development of Proposed Rules and Negotiated Rulemaking 5665 Florida Administrative Weekly Volume 27, Number 49, December 7, 2001 PURPOSE AND EFFECT: The rule amendment adopts new standard risk rates pursuant to §627.6675(3)(c), and makes PPO/EPO & Standard Health Benefit Plan minor corrections to conform the rule to current statutory Indemnity (Section 627.6675(11)) language. The standard risk rates are required to be amended Lifetime Limit $1,000,000 annually. Annual Deductible $1,000 SUBJECT AREA TO BE ADDRESSED: Standard risk rates. Coinsurance (1) 80% in-network/60% SPECIFIC AUTHORITY: 624.308, 627.6675(3)(c) FS. Amount: out-of-network of the first $10,000 per LAW IMPLEMENTED: 624.307(1), 627.6498(4), (1) Preferred individual, then 100%. For family 627.6675(3), 641.3922(3) FS. Provider coverage, the aggregate coinsurance IF REQUESTED IN WRITING AND NOT DEEMED (2) Indemnity Plan limit is two times the individual UNNECESSARY BY THE AGENCY HEAD, A RULE coinsurance limit. In-network – 80% of DEVELOPMENT WORKSHOP WILL BE HELD AT THE the first $10,000, then 100%; TIME, DATE AND PLACE SHOWN BELOW: Out-of-network 60% of the first $10,000 then 100% TIME AND DATE: 9:30 a.m., January 10, 2002 (2) 80% of the first $10,000 per PLACE: Room 142, Larson Building, 200 East Gaines Street, individual, then 100%. For family Tallahassee, Florida coverage, the aggregate coinsurance THE PERSON TO BE CONTACTED REGARDING THE limit is 2 times the individual PROPOSED RULE DEVELOPMENT AND A COPY OF coinsurance. THE PRELIMINARY DRAFT IS: Frank Dino, Bureau of Life Maternity Covered and Health Forms and Rates, Division of Insurer Services, Prescription Drug Covered Department of Insurance, 200 East Gaines Street, Tallahassee, In-patient Covered Florida 32399-0328, (850)413-5014 Out-patient Covered Pursuant to the provisions of the Americans with Disabilities Out-of-Network Covered Act, any person requiring special accommodations to Emergency Covered participate in this program, please advise the Department at least 5 calendar days before the program by contacting the person listed above. HMO Standard Health Benefit Plan THE PRELIMINARY TEXT OF THE PROPOSED RULE (Section 641.3922(10)) DEVELOPMENT IS: Office visit co-pay $10.00 In-Patient $100.00 4-149.204 Outline of Coverage. Emergency Room co-pay $100.00 (1) No change. (if not admitted) (2) It is noted that this list is an outline and not intended to Rx – generic $75.00 be a comprehensive description of all policy benefits. The Rx – brand $1410.00 statutory sections indicated should be reviewed for more Maternity Covered comprehensive information. Prescription Drug Covered In-patient Covered Out-patient Covered Out-of-Network Covered (emergency only) Emergency Covered Specific Authority 624.308, 627.6675(3)(c) FS. Law Implemented 624.307(1), 627.6498(4), 627.6675(3), 641.3922(3) FS. History–New 3-2-00, Amended 4-2-01, ________. 5666 Section I - Notices of Development of Proposed Rules and Negotiated Rulemaking Florida Administrative Weekly Volume 27, Number 49, December 7, 2001 4-149.205 Indemnity Standard Risk Rates. 62 $6,459.79 $5,619.63 Okaloosa 0.75 (1) through (2) No change. 63 $6,564.05 $5,711.93 Okeechobee 0.97 (3) Standard risk rates for coverage providing benefits 64 $6,668.31 $5,826.17 Orange 0.90 coordinating with Medicare shall be determined by multiplying 65 $6,835.02 $5,971.82 Osceola 0.89 the standard risk rates identified herein by .278. 66 $7,005.89 $6,121.12 Palm Beach 1.00 STANDARD HEALTH BENEFIT PLAN 67 $7,181.04 $6,274.15 Pasco 0.82 68 $7,360.57 $6,431.00 Pinellas 0.87 Age Male Female County Area Factor 69 $7,544.58 $6,591.78 Polk 0.76 0-17 $1,046.75 $1,046.75 Alachua 0.76 70 $7,733.19 $6,756.57 Putnam 0.77 18 $1,421.29 $1,815.47 Baker 0.78 71 $7,926.52 $6,925.49 St. Johns 0.77 19 $1,423.18 $1,817.74 Bay 0.74 72 $8,124.69 $7,098.62 St. Lucie 0.99 20 $1,425.45 $1,820.58 Bradford 0.82 73 $8,327.80 $7,276.09 Santa Rosa 0.77 21 $1,431.75 $1,835.55 Brevard 0.89 74 $8,536.00 $7,457.99 Sarasota 0.76 22 $1,434.00 $1,854.84 Broward 1.25 75 $8,749.40 $7,644.44 Seminole 0.92 23 $1,439.52 $1,871.43 Calhoun 0.75 76 $8,968.13 $7,835.55 Sumter 0.81 24 $1,444.89 $1,888.45 Charlotte 0.96 77 $9,192.34 $8,031.44 Suwannee 0.82 25 $1,454.13 $1,942.04 Citrus 0.74 78 $9,422.15 $8,232.23 Taylor 0.79 26 $1,493.07 $1,995.63 Clay 0.82 79 $9,657.70 $8,438.03 Union 0.79 27 $1,532.02 $2,049.22 Collier 0.92 Vo l u si a 0.81 28 $1,570.97 $2,103.15 Columbia 0.81 Wakulla 0.75 29 $1,623.92 $2,185.07 Dade 1.38 Walton 0.76 30 $1,676.87 $2,266.98 DeSoto 0.74 Washington 0.76 31 $1,729.83 $2,348.90 Dixie 0.77 32 $1,782.78 $2,430.81 Duval