BCBSVT Rate Review Decision Issued

BCBSVT proposes a 1.2% administrative expense trend and a 2% contribution to reserve to be incorporated into rates for members renewing or enrolling in the fourth quarter 2014 through the third quarter 2015.

Docket No. GMCB-016-14rr

SERFF No. BCVT-129486744

Date Posted to Web: 4/8/14

Motion to Reconsider

BCBSVT proposes using a medical trend factor of 4.7% and pharmacy trend factor of 7.6%, for a combined 5.2% trend factor for the third and fourth quarters of 2014.

Docket No. GMCB-012-14rr

SERFF No. BCVT-129403752

Posted to Web: 2/4/14

DECISION

HCA Notice of Appearance

This filing determines the factors BCBSVT uses to predict the cost of large health insurance claims and the pricing of stop loss coverage for self-insured groups. Large claims pooling and stop loss coverage provide financial protection against unexpectedly high medical claims, which unlike the costs of routine care, can vary significantly year-to-year.

Docket No. GMCB-006-14rr

SERFF No. BCVT- 129374060

Date Posted to Web: 1/14/14

This filing determines BCBSVT's stop loss and proposed risk charges, both designed to protect employers from unexpectedly high total health care claims. The filing also includes proposed administrative charges for employers that pay a surcharge on top of the rate, which they may receive as a refund if the group's actual medical claims are less than expected.

Docket No. GMCB-004-14rr

SERFF No. BCVT-129373971

Date Posted to Web: 1/14/14

This annual filing describes the methodology for determining a set of "benefit relativities" - the relative value of insurance plans with varying benefits - for the rating of BCBSVT large group plans, effective the second quarter of 2014.

Docket No. GMCB-002-14rr

SERFF No. BCVT-129370654 

Date Posted to Web: 1/14/14

Decision

First and Second Quarter 2014 Trend Filing. BCBSVT proposed trend factors equal to 3.9% for medical claims, 7.2% for pharmacy claims, and 4.4% for medical and pharmacy claims combined.

DECISION

Docket No.: GMCB-035-13rr

SERFF No.: BCVT-129197073

Commissioner's Recommendation and Actuarial Opinion