HOUSE AMENDMENT
Bill No. HB 1439 Barcode 313839
Amendment No. 8 (for drafter's use only)
CHAMBER ACTION
Senate House
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5 ORIGINAL STAMP BELOW
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11 The Committee on Health Promotion offered the following:
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13 Amendment
14 On page 13, lines 1-29,
15 remove from the bill: all of said lines
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17 and insert in lieu thereof:
18 6.5. Any adjustments in rates for claims experience,
19 health status, or credits based on the duration of coverage
20 may not be charged to individual employees or dependents. For
21 a small employer's policy, such adjustments may not result in
22 a rate for the small employer which deviates more than 15
23 percent from the carrier's approved rate. Any such adjustment
24 must be applied uniformly to the rates charged for all
25 employees and dependents of the small employer. A small
26 employer carrier may make an adjustment to a small employer's
27 renewal premium, not to exceed 10 percent annually, due to the
28 claims experience, health status, or credits based on the
29 duration of coverage of the employees or dependents of the
30 small employer. Semiannually, small group carriers shall
31 report information on forms adopted by rule by the department,
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File original & 9 copies 03/29/01
hci0001 05:01 pm 01439-hp -313839
HOUSE AMENDMENT
Bill No. HB 1439 Barcode 313839
Amendment No. 8 (for drafter's use only)
1 to enable the department to monitor the relationship of
2 aggregate adjusted premiums actually charged policyholders by
3 each carrier to the premiums that would have been charged by
4 application of the carrier's approved modified community
5 rates. If the aggregate resulting from the application of such
6 adjustment exceeds the premium that would have been charged by
7 application of the approved modified community rate by 5
8 percent for the current reporting period, the carrier shall
9 limit the application of such adjustments only to minus
10 adjustments beginning not more than 60 days after the report
11 is sent to the department. For any subsequent reporting
12 period, if the total aggregate adjusted premium actually
13 charged does not exceed the premium that would have been
14 charged by application of the approved modified community rate
15 by 5 percent, the carrier may apply both plus and minus
16 adjustments. A small employer carrier may provide a credit to
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File original & 9 copies 03/29/01
hci0001 05:01 pm 01439-hp -313839