Fla. Admin. Code R. 69O-149.207 (2026)
Health Maintenance Organization Standard Risk Rates
(1) The table below provides the standard annual risk rates for HMO plans for the Standard Benefit Plan. The 200% standard risk rate referenced in section 627.6675(3)(a), F.S., is determined by multiplying each value in the table by the factor 2.0.
(2) To determine the rate for a particular county, multiply the rate schedule below by the appropriate area factor.
(3) Standard risk rates for coverage providing benefits coordinating with or otherwise considering coverage under Medicare, parts A and B, shall be determined by multiplying the standard risk rates identified herein by .278.
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, 4-17-02, 1-20-03, Formerly 4-149.207, Amended 5-18-04, 5-22-05, 6-1-06, 8-23-07, 10-29-08.
Effective: 10/29/2008.