Fla. Admin. Code R. 69O-149.202 (2026)

(1) Standard risk rates, pursuant to the provisions of Section 627.6675(3), F.S., are provided for the following “categories of coverages”:

(a) Indemnity policies;

(b) Preferred provider organization (“PPO”)/exclusive provider organization (“EPO”) policies; and,

(c) Health maintenance organization (“HMO”) contracts.

(2) The standard risk rates for a particular county are determined by multiplying the standard risk rate schedule times the appropriate county factor.

(3) Standard risk rates are provided for the Standard Health Benefit Plan pursuant to Section 627.6699(12), F.S., outlined in Rule 69O-149.204, F.A.C.

(4) Standard risk rates reflect the predominant rates charged in the market for newly issued coverage.

Rulemaking 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, 1-20-03, Formerly 4-149.202.

Effective: 1/20/2003.