Skip Maine state header navigation

Agencies | Online Services | Help

Skip All Navigation

Maine.gov > PFR Home > Administrative & Enforcement Actions > INS 02-785 Final : Hearing Decision

 

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

 

IN RE:

ANTHEM BLUE CROSS AND BLUE
SHIELD 2003 INDIVIDUAL RATE
FILING FOR HEALTHCHOICE,
HEALTHCHOICE STANDARD
AND BASIC, AND INDIVIDUAL
HMO STANDARD AND BASIC
PRODUCTS
____________________________________

IN RE:

MAINE PARTNERS HEALTH PLAN
2003 INDIVIDUAL RATE FILING

)
)
)
)
)
)
)
)
)
)
)
)
)
)
)

 

 

ORDER


In the Decision and Order issued on November 8, 2002, in Consolidated Docket No. INS-02-785, the Superintendent denied Anthem Blue Cross and Blue Shield's ("Anthem") and Maine Partners Health Plan's ("Maine Partners") requests for approval of their rate filings, but stated that revised rates would be approved effective January 1, 2003, if submitted on or before November 18, 2002, and if found by the Superintendent to be consistent with the terms of the Decision and Order, and the Required Adjustments to Proposed Rates specified in Exhibit A thereto.

On November 14, 2002, Anthem and Maine Partners filed their revised rates. Upon a review of the filing the Superintendent finds and concludes that the revised rates submitted by Anthem and Maine Partners to be effective January 1, 2003, are in accordance with the Superintendent's November 8, 2002, Decision and Order. Pursuant to 24-A M.R.S.A. §§ 2736 and 2736-B, the Superintendent hereby ORDERS that the revised rate filings submitted on November 14, 2002, for Anthem's HealthChoice non-group product lines and Anthem's and Maine Partners' individual HMO product lines are APPROVED effective January 1, 2003.

This Order is a final agency action of the Superintendent of Insurance within the meaning of the Maine Administrative Procedure Act. It is appealable to the Superior Court in the manner provided in 24-A M.R.S.A. § 236, 5 M.R.S.A. § 11001-11007, and M.R.Civ.P. 80C. Any party to the proceeding may initiate an appeal within thirty (30) days after receiving this notice. Any aggrieved non-party whose interests may be substantially and directly affected by this Order may initiate an appeal within forty (40) days of the date of this Order. 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: November 15, 2002 ____________________________________
ALESSANDRO A. IUPPA
Superintendent

Last Updated: January 16, 2014