The Empire Plan is a unique health insurance plan designed especially for public employees in New York State. Empire Plan benefits include inpatient and outpatient hospital coverage, medical/surgical coverage, Centers of Excellence for transplants, infertility and cancer, home care services, equipment and supplies, mental health and substance abuse coverage and prescription drug coverage.
GOVERNOR
DEPARTMENT OF CIVIL SERVICE
ALBANY, NEW YORK 12239
www.cs.ny.gov
COMMISSIONER
DANIEL E. WALL
EXECUTIVE
DEPUTY COMISSIONER
PA00-10
TO: Participating Agency Health Benefits Administrators
FROM: The Employee Benefits Division
SUBJECT: Empire Plan Quarterly Experience Report
DATE: May 23, 2000
Enclosed are the First Quarter Empire Plan Experience Report for 2000 and the cover letter to Chief Executive Officers.
This report provides final 1999 experience, projected year 2000 experience and projected premium rates for the year 2001.
Dear Chief Executive Officer:
Attached is the Participating Agency First Quarter Report for 2000. This report provides final 1999 Empire Plan experience based on claims paid through March 31, 2000, projected 2000 Empire Plan experience and projected premium rates for 2001.
The Empire Plan carriers have declared a combined 1999 surplus of $26.2 million or 1.3% of premium. The report includes details for each of the carriers. Year 2000 projected combined surplus is estimated by the Empire Plan carriers to be $41.5 million, 1.8% of premium.
The projected premium rates for 2001 are included in Exhibit III. These initial projections reflect increases in the gross and net premiums of approximately 14.2% and 13.8%, respectively. The report explains the basis for these projections and future reports will include revisions based on actual claims experience.
The Keeping You Informed Section of the report describes a new extended coverage policy for graduates and again includes information on transmission of reports via E-mail. If you are interested in using this technology to receive future reports, please complete and return the form on Attachment 1.
I hope this report is informative and useful to you. If you have any questions, comments or suggestions, please don't hesitate to contact me.
Sincerely,
Robert W. DuBois, CEBS
Director
Employee Benefits Division
PARTICIPATING AGENCIES
EMPIRE PLAN 2000
First Quarter Experience Report
Prepared by The State of New York
Department of Civil Service
JANUARY - MARCH 2000
Produced for
PARTICIPATING AGENCIES IN THE
NEW YORK STATE
HEALTH INSURANCE PROGRAM
by
the Employee Benefits Division
New York State Department of Civil Service
George C. Sinnott
President, New York State Civil Service Commission
NYS HEALTH INSURANCE PROGRAM
PARTICIPATING AGENCY GROUP
EMPIRE PLAN EXPERIENCE REPORT
1ST QUARTER REPORT 1999
EMPIRE PLAN EXPERIENCE
As presented in Exhibit I, the Empire Plan carriers have declared an aggregate net dividend of $26.2 million representing 1.3% of premium. This amount is $10.6 million lower than the amount of margin loaded in the development of the 1999 premium rates and is primarily attributable to the $39.8 million loss incurred by the prescription drug program. Cigna will recover this loss to the extent of future years' surpluses.
The prescription drug premiums were the result of a bid process. Since the time such rates were developed (March 1999) to when the claims were incurred (calendar year 1999), the annual trend increased from approximately 15% to 22%. This large unanticipated increase was mainly attributable to industry changes as opposed to plan specific occurrences. These changes included the increased use of direct consumer advertising and the accelerated rate at which new, more expensive drugs are reaching the market.
While the Medical and Mental Health and Substance Abuse programs produced a dividend generally equivalent to the margin load, the Blue Cross Hospital Program declared a $44.5 million dividend representing 6.9% of premium. The amount in excess of the margin load ($15.4 million) was caused by a lower 1998 claims base than was used in the 1999 rate development. In addition, the 1999 observed trend decreased from the rating estimate of 4.1% to 3.0%.
Overall, the rating of 1999 was considered to be exceptional in that the premium paid to the carriers closely matched the claims incurred and retention charges. In addition to the 1999 surplus, the Empire Plan also earned approximately an additional $5.0 million from terminated 1998 contracts. This was driven by the fact that the payment of runout claims was less than the Reserve for Outstanding and Unreported Claims as of 12/31/98.
Another source of funds, to be used like dividends, is the $6.3 million in demutualization compensation received from Metropolitan Life. As you most likely already know, Metropolitan Life converted from a mutual company (one that is owned by its policyholders) to a stock company. The demutualization compensation represents the equity the Empire Plan held in the mutual company.
PROJECTED 2000 EMPIRE PLAN EXPERIENCE
Based on claims paid through March 31, 2000, the Empire Plan carriers project a composite dividend of $41.5 million (1.8% of premium), or $16.7 million less than the margin loaded in the 2000 rates. The 2000 annual experience projected by the insurance carriers is reported in Exhibit II.
The lower projected dividend is the blended result of higher projected claims under the UnitedHealthcare (UHC) and Cigna components of the Empire Plan offset by lower projected claims under the Blue Cross component. In particular, the amount of claims paid by UHC in the 1st quarter was very high thereby triggering UHC to revise its annual projection upward. Though Cigna's dividend projection is approximately $13 million lower than the margin loaded in the 2000 rates, elements of this projection appear to be quite conservative at this point in time. Also, any dividends earned under the prescription drug contract will first be used to offset the 1999 loss.
A significant reduction in the 1999 claims base from the amount assumed and used during the development of the 2000 premium rates is the primary reason for the $17.4 million increase in the Blue Cross projected dividend. Current trend projection for plan year 2000 for the hospital component is also slightly lower from the amount anticipated during premium development.
Historically, Carrier 1st quarter experience projections have been conservative. Accordingly, there appears to be room for improvement in the experience projection over the remainder of 2000. Any changes in the projected experience for 2000 would also favorably impact the value of the rate projection for plan year 2001.
2001 PREMIUM RATES
Exhibit III presents projected 2001 Empire Plan gross and net premium rates assuming the application of $68.6 million in dividend to all payors. In the aggregate, the Empire Plan gross premium is projected to increase approximately 14.2% while the net premium is projected to increase 13.8%.
Insurance markets in general and NYSHIP, in particular, are rather dynamic and as a consequence these estimates for the year 2001 must be considered soft. A range of projected gross and net premium increases is provided in Exhibit III.
For comparison purposes, Exhibit IV presents the individual and family rate history for the Core Plus Medical and Psychiatric Enhancements option based on the Two Tier Empire Plan rate structure in effect prior to January 1, 1996, while Exhibit V presents the five tier history from 1996 to 2001.
KEEPING YOU INFORMED
Transmission of Reports Electronically
The Employee Benefits Division has the capability to transmit the Participating Agency Quarterly Experience Report via E-mail. Using a software product called Adobe Acrobat Reader™, the PA Quarterly Report is converted into a portable document format (PDF). This is a format that can be read by any recipient, if they have Adobe Acrobat Reader™ installed on their system. Adobe Acrobat Reader™ is available free from Adobe Systems, Inc., at http://www.adobe.com.
There are many advantages to receiving the reports electronically including: reports will be received sooner; there will be less paper to handle; and the reports can be stored electronically and/or a hard copy may be printed.
If you would like to receive the report electronically, please provide your E-mail address by completing the bottom section of Attachment 1 and returning it to the Employee Benefits Division.
Extended Coverage for Dependent Students
Effective May 1, 2000, enrollees in the New York State Health Insurance Plan may extend the coverage of their dependent students who complete coursework requirements for graduation for three months. Please refer to PA 00-07, issued on May 9, 2000, for the details of this new benefit and the process for extending enrollment.
PA Bill
As you know, a new billing system, including a new billing statement, has been instituted as a result of the conversion to NYBEAS. The details of this new system were provided in PA 99-19. Based on feedback from a number of participating agencies, we are reviewing this system to determine how it may be simplified. If you have any comments or suggestions, please send them to Mr. Stephen Kavanaugh at the address listed below. We will keep you informed of our progress.
PA-MARKET
PA-MARKET is an internal website which serves as a central resource center for information on health benefits, including the Empire Plan At A Glance, Empire Plan Reports, Certificate Amendments, HBA and PA Memos, telephone lists, calendar of events/conferences and other general interest items related to benefits. PA-MARKET will become available to you within the next few months. Further details on this new resource are forthcoming.
NYSHIP Representation at Municipal Events
NYSHIP's Empire Plan was represented at the following municipal event: The 21st Annual Conference sponsored by the NYS Government Finance Officers' Association on March 23-24, 2000, in Albany.
Name and Address Changes
Please be sure to notify the Employee Benefits Division of any changes so that we may keep our mailing lists up-to-date. This updated information may be sent to:
Mr. Stephen Kavanaugh
Assistant Director
Employee Benefits Division
NYS Department of Civil Service
State Office Campus, Building #1
Albany, New York 12239
TRANSMISSION OF REPORTS ELECTRONICALLY
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If you would like to receive the report electronically, please complete this form and return it to:
Mr. Stephen Kavanaugh
Assistant Director
Employee Benefits Division
NYS Department of Civil Service
State Office Campus, Building #1
Albany, New York 12239
Agency Code:
Contact Person:
Agency Name:
E-mail Address:
Exhibit I
1999 EMPIRE PLAN EXPERIENCE
In (000's)
|
| BLUE CROSS | UnitedHealthcare MEDICAL - Core | UnitedHealthcare MEDICAL - NY Enhancement | UnitedHealthcare MEDICAL - PA Enhancement | UnitedHealthcare MEDICAL - Combined | GHI MHSA - Core | GHI MHSA - NY Enhancement | GHI MHSA - PA Enhancement | GHI MHSA - Combined | CIGNA | TOTAL |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Premium (1) | 646,651 | 697,754 | 89,315 | 74,910 | 861,979 | 54,754 | 6,292 | 5,085 | 66,131 | 428,449 | 2,003,210 |
| Incurred Claims (2) | 570,569 | 599,255 | 88,722 | 64,455 | 752,432 | 43,434 | 4,991 | 4,034 | 52,459 | 455,765 | 1,831,225 |
| Administrative Expense (3) | 31,622 | 72,643 | 9,589 | 7,391 | 89,623 | 9,952 | 1,144 | 924 | 12,020 | 12,494 | 145,759 |
| Gain/(Loss) (A-B-C) | 44,460 | 25,856 | (8,996) | 3,064 | 19,924 | 1,368 | 157 | 127 | 1,652 | (39,810) | 26,226 |
(1) Earned Premium - Premium that pays for coverage for the period reported (accrual basis).
(2) Incurred Claims - Represents the cost of covered services provided during the period reported by the insurance company (accrual basis).
(3) Administrative Expenses - All charges by the insurance carrier other than for the payment of claims. Includes carrier's cost to administer the program, interest charges, and retention.
Source: 1999 Annual Statement
Exhibit II
2000 PROJECTED EMPIRE PLAN EXPERIENCE In (000's)
|
| BLUE CROSS | UnitedHealthcare MEDICAL - Core | UnitedHealthcare MEDICAL - | UnitedHealthcare MEDICAL - | UnitedHealthcare MEDICAL - | GHI MHSA - Core | GHI MHSA - | GHI MHSA - | GHI MHSA - | CIGNA | TOTAL |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Premium (1) | 680,092 | 726,223 | 117,915 | 80,876 | 925,014 | 57,176 | 6,443 | 5,476 | 69,095 | 616,496 | 2,290,697 |
| Incurred Claims (2) | 619,893 | 655,818 | 96,975 | 75,215 | 828,008 | 46,242 | 5,214 | 4,425 | 55,881 | 585,014 | 2,088,796 |
| Administrative Expense (3) | 36,876 | 77,030 | 10,855 | 7,865 | 95,750 | 9,970 | 1,123 | 956 | 12,049 | 15,716 | 160,391 |
| Gain/(Loss) (A-B-C) | 23,323 | (6,625) | 10,085 | (2,204) | 1,256 | 964 | 106 | 95 | 1,165 | 15,766 | 41,510 |
(1) Earned Premium - Premium which pays for coverage for the period reported (accrual basis).
(2) Incurred Claims - Represents the cost of covered services provided during the period reported by the insurance company (accrual basis).
(3) Administrative Expenses - All charges by the insurance carrier other than for the payment of claims. Includes carrier's cost to administer the program, interest charges, and retention.
Source: 2000 1st Quarter Report
Exhibit III
EMPIRE PLAN
Participating Agency Premium Rates
Comparison of 2000 and Projected 2001 Rates
CORE ONLY
Plan Prime - Individual
| Gross Rates(1) 2000 | Gross Rates(1) 2001 | Gross Rates(1) % Change | Net Rates(2) 2000 | Net Rates(2) 2001 | Net Rates(2) % Change | |
|---|---|---|---|---|---|---|
| Optimistic | 261.99 | 287.53 | 9.7% | 256.64 | 278.07 | 8.4% |
| Best Estimate | 261.99 | 296.16 | 13.0% | 256.64 | 286.70 | 11.7% |
| Pessimistic | 261.99 | 305.31 | 16.5% | 256.64 | 295.85 | 15.3% |
Plan Prime - Family
| Gross Rates(1) 2000 | Gross Rates(1) 2001 | Gross Rates(1) % Change | Net Rates(2) 2000 | Net Rates(2) 2001 | Net Rates(2) % Change | |
|---|---|---|---|---|---|---|
| Optimistic | 540.83 | 592.96 | 9.6% | 529.89 | 573.55 | 8.2% |
| Best Estimate | 540.83 | 610.88 | 13.0% | 529.89 | 591.47 | 11.6% |
| Pessimistic | 540.83 | 629.87 | 16.5% | 529.89 | 610.46 | 15.2% |
MediPrime - Individual
| Gross Rates(1) 2000 | Gross Rates(1) 2001 | Gross Rates(1) % Change | Net Rates(2) 2000 | Net Rates(2) 2001 | Net Rates(2) % Change | |
|---|---|---|---|---|---|---|
| Optimistic | 209.65 | 241.10 | 15.0% | 206.55 | 235.60 | 14.1% |
| Best Estimate | 209.65 | 245.07 | 16.9% | 206.55 | 239.57 | 16.0% |
| Pessimistic | 209.65 | 249.37 | 18.9% | 206.55 | 243.87 | 18.1% |
MediPrime - Family 1
| Gross Rates(1) 2000 | Gross Rates(1) 2001 | Gross Rates(1) % Change | Net Rates(2) 2000 | Net Rates(2) 2001 | Net Rates(2) % Change | |
|---|---|---|---|---|---|---|
| Optimistic | 489.15 | 547.69 | 12.0% | 480.46 | 532.24 | 10.8% |
| Best Estimate | 489.15 | 560.95 | 14.7% | 480.46 | 545.50 | 13.5% |
| Pessimistic | 489.15 | 575.08 | 17.6% | 480.46 | 559.63 | 16.5% |
MediPrime - Family 2
| Gross Rates(1) 2000 | Gross Rates(1) 2001 | Gross Rates(1) % Change | Net Rates(2) 2000 | Net Rates(2) 2001 | Net Rates(2) % Change | |
|---|---|---|---|---|---|---|
| Optimistic | 436.06 | 499.99 | 14.7% | 429.63 | 488.48 | 13.7% |
| Best Estimate | 436.06 | 508.59 | 16.6% | 429.63 | 497.08 | 15.7% |
| Pessimistic | 436.06 | 517.87 | 18.8% | 429.63 | 506.36 | 17.9% |
(1) Represents premiums charged by the carriers.
(2) Represents cost to a participating employer.
Exhibit III
EMPIRE PLAN
Participating Agency Premium Rates
Comparison of 2000 and Projected 2001 Rates
CORE PLUS MEDICAL ENHANCEMENT
Plan Prime - Individual
| | Gross Rates(1) 2000 | Gross Rates(1) 2001 | Gross Rates(1) % Change | Net Rates(2) 2000 | Net Rates(2) 2001 | Net Rates(2) % Change |
|---|---|---|---|---|---|---|
| Optimistic | 293.01 | 322.68 | 10.1% | 284.97 | 312.18 | 9.5% |
| Best Estimate | 293.01 | 333.16 | 13.7% | 284.97 | 322.66 | 13.2% |
| Pessimistic | 293.01 | 344.16 | 17.5% | 284.97 | 333.66 | 17.1% |
Plan Prime - Family
| | Gross Rates(1) 2000 | Gross Rates(1) 2001 | Gross Rates(1) % Change | Net Rates(2) 2000 | Net Rates(2) 2001 | Net Rates(2) % Change |
|---|---|---|---|---|---|---|
| Optimistic | 602.75 | 663.11 | 10.0% | 586.46 | 641.64 | 9.4% |
| Best Estimate | 602.75 | 684.72 | 13.6% | 586.46 | 663.25 | 13.1% |
| Pessimistic | 602.75 | 707.41 | 17.4% | 586.46 | 685.94 | 17.0% |
MediPrime - Individual
| | Gross Rates(1) 2000 | Gross Rates(1) 2001 | Gross Rates(1) % Change | Net Rates(2) 2000 | Net Rates(2) 2001 | Net Rates(2) % Change |
|---|---|---|---|---|---|---|
| Optimistic | 217.84 | 250.38 | 14.9% | 214.16 | 244.60 | 14.2% |
| Best Estimate | 217.84 | 254.84 | 17.0% | 214.16 | 249.06 | 16.3% |
| Pessimistic | 217.84 | 259.63 | 19.2% | 214.16 | 253.85 | 18.5% |
MediPrime - Family 1
| | Gross Rates(1) 2000 | Gross Rates(1) 2001 | Gross Rates(1) % Change | Net Rates(2) 2000 | Net Rates(2) 2001 | Net Rates(2) % Change |
|---|---|---|---|---|---|---|
| Optimistic | 528.23 | 591.97 | 12.1% | 516.30 | 575.22 | 11.4% |
| Best Estimate | 528.23 | 607.56 | 15.0% | 516.30 | 590.81 | 14.4% |
| Pessimistic | 528.23 | 624.03 | 18.1% | 516.30 | 607.28 | 17.6% |
MediPrime - Family 2
| | Gross Rates(1) 2000 | Gross Rates(1) 2001 | Gross Rates(1) % Change | Net Rates(2) 2000 | Net Rates(2) 2001 | Net Rates(2) % Change |
|---|---|---|---|---|---|---|
| Optimistic | 452.31 | 518.40 | 14.6% | 444.75 | 506.35 | 13.9% |
| Best Estimate | 452.31 | 527.97 | 16.7% | 444.75 | 515.92 | 16.0% |
| Pessimistic | 452.31 | 538.22 | 19.0% | 444.75 | 526.17 | 18.3% |
(1) Represents premiums charged by the carriers
(2) Represents cost to a participating agency
Exhibit III
EMPIRE PLAN
Participating Agency Premium Rates
Comparison of 2000 and Projected 2001 Rates
CORE PLUS MEDICAL & PSYCHIATRIC ENHANCEMENTS
Plan Prime - Individual
| | Gross Rates(1) 2000 | Gross Rates(1) 2001 | Gross Rates(1) % Change | Net Rates(2) 2000 | Net Rates(2) 2001 | Net Rates(2) % Change |
|---|---|---|---|---|---|---|
| Optimistic | 294.94 | 324.52 | 10.0% | 286.53 | 313.81 | 9.5% |
| Best Estimate | 294.94 | 335.09 | 13.6% | 286.53 | 324.38 | 13.2% |
| Pessimistic | 294.94 | 346.19 | 17.4% | 286.53 | 335.48 | 17.1% |
Plan Prime - Family
| | Gross Rates(1) 2000 | Gross Rates(1) 2001 | Gross Rates(1) % Change | Net Rates(2) 2000 | Net Rates(2) 2001 | Net Rates(2) % Change |
|---|---|---|---|---|---|---|
| Optimistic | 607.33 | 667.46 | 9.9% | 590.16 | 645.49 | 9.4% |
| Best Estimate | 607.33 | 689.30 | 13.5% | 590.16 | 667.33 | 13.1% |
| Pessimistic | 607.33 | 712.22 | 17.3% | 590.16 | 690.25 | 17.0% |
MediPrime - Individual
| | Gross Rates(1) 2000 | Gross Rates(1) 2001 | Gross Rates(1) % Change | Net Rates(2) 2000 | Net Rates(2) 2001 | Net Rates(2) % Change |
|---|---|---|---|---|---|---|
| Optimistic | 217.94 | 250.47 | 14.9% | 214.25 | 244.68 | 14.2% |
| Best Estimate | 217.94 | 254.94 | 17.0% | 214.25 | 249.15 | 16.3% |
| Pessimistic | 217.94 | 259.73 | 19.2% | 214.25 | 253.94 | 18.5% |
MediPrime - Family 1
| | Gross Rates(1) 2000 | Gross Rates(1) 2001 | Gross Rates(1) % Change | Net Rates(2) 2000 | Net Rates(2) 2001 | Net Rates(2) % Change |
|---|---|---|---|---|---|---|
| Optimistic | 530.97 | 594.57 | 12.0% | 518.52 | 577.51 | 11.4% |
| Best Estimate | 530.97 | 610.30 | 14.9% | 518.52 | 593.24 | 14.4% |
| Pessimistic | 530.97 | 626.91 | 18.1% | 518.52 | 609.85 | 17.6% |
MediPrime - Family 2
| | Gross Rates(1) 2000 | Gross Rates(1) 2001 | Gross Rates(1) % Change | Net Rates(2) 2000 | Net Rates(2) 2001 | Net Rates(2) % Change |
|---|---|---|---|---|---|---|
| Optimistic | 453.22 | 519.26 | 14.6% | 445.51 | 507.11 | 13.8% |
| Best Estimate | 453.22 | 528.88 | 16.7% | 445.51 | 516.73 | 16.0% |
| Pessimistic | 453.22 | 539.17 | 19.0% | 445.51 | 527.02 | 18.3% |
(1) Represents premiums charged by the carriers
(2) Represents cost to a participating agency
EMPIRE PLAN
PA GROUP RATES
1985-2001 Monthly Rates
Core Plus Medical & Psychiatric Enhancement
Individual
| Year | Gross Rate | % Changes | Net Rate | % Change |
|---|---|---|---|---|
| 1985* | 95.71 | 92.85 | ||
| 1986 | 91.97 | -3.9% | 91.49 | -1.5% |
| 1987 | 103.14 | 12.1% | 101.65 | 11.1% |
| 1988 (1) | 142.01 | 37.7% | 141.52 | 39.2% |
| 1989 | 168.72 | 18.8% | 168.05 | 18.7% |
| 1990 (2) | 179.50 | 6.4% | 167.09 | -0.6% |
| 1991 (3) | 202.09 | 12.6% | 185.09 | 10.8% |
| 1992 | 198.85 | -1.6% | 181.81 | -1.8% |
| 1993 | 214.30 | 7.8% | 194.64 | 7.1% |
| 1994 | 213.83 | -0.2% | 197.39 | 1.4% |
| 1995 | 214.70 | 0.4% | 193.54 | -2.0% |
| 1996 (4) | 219.20 | 2.1% | 192.27 | -0.7% |
| 1997 | 219.87 | 0.3% | 198.37 | 3.2% |
| 1998 | 227.35 | 3.4% | 204.38 | 3.0% |
| 1999 | 239.24 | 5.2% | 222.00 | 8.6% |
| 2000 | 260.67 | 9.0% | 253.98 | 14.4% |
| 2001 (projected) | 298.55 | 14.5% | 289.96 | 14.2% |
Individual Average Percent Increase
| | Gross Rate % Changes | Net Rate % Change |
|---|---|---|
| From Inception | 7.8% | 7.8% |
| Most Recent 10 Years | 4.1% | 4.7% |
| Most Recent 5 Years | 6.5% | 8.7% |
Family
| Year | Gross Rate | % Changes | Net Rate | % Change |
|---|---|---|---|---|
| 1985* | 203.97 | 197.57 | ||
| 1986 | 195.31 | -4.2% | 194.30 | -1.7% |
| 1987 | 222.39 | 13.9% | 219.20 | 12.8% |
| 1988 (1) | 324.13 | 45.7% | 323.06 | 47.4% |
| 1989 | 383.42 | 18.3% | 381.95 | 18.2% |
| 1990 (2) | 403.75 | 5.3% | 380.15 | -0.5% |
| 1991 (3) | 464.39 | 15.0% | 417.36 | 9.8% |
| 1992 | 445.64 | -4.0% | 407.76 | -2.3% |
| 1993 | 479.37 | 7.6% | 426.35 | 4.6% |
| 1994 | 484.69 | 1.1% | 446.94 | 4.8% |
| 1995 | 486.99 | 0.5% | 440.35 | -1.5% |
| 1996 (4) | 491.07 | 0.8% | 428.27 | -2.7% |
| 1997 | 495.81 | 1.0% | 447.22 | 4.4% |
| 1998 | 514.28 | 3.7% | 463.62 | 3.7% |
| 1999 | 539.14 | 4.8% | 499.75 | 7.8% |
| 2000 | 578.26 | 7.3% | 563.03 | 12.7% |
| 2001 (projected) | 660.15 | 14.2% | 640.04 | 13.7% |
Family Average Percent Increase
| | Gross Rate % Changes | Net Rate % Change |
|---|---|---|
| From Inception | 8.2% | 8.2% |
| Most Recent 10 Years | 3.7% | 4.5% |
| Most Recent 5 Years | 6.2% | 8.4% |
* Statewide Plan Premium Rates
(1) 1988 rates represent the effective amounts of the 1/88 and 8/88 rate changes.
(2) No change in effective net rate over 1989.
(3) Represents rates effective 1/1/91 - 6/30/91.
(4) Represents 2 tier Empire Plan rates; 5 tier rate schedule effective 1/1/96.
EMPIRE PLAN
PA 5 TIER GROUP RATES
1995-2001 Monthly Rates
Core Plus Medical & Psychiatric Enhancement
Individual Planprime
| Year | Gross Rate | % Changes | Net Rate | % Change |
|---|---|---|---|---|
| 1995 | 214.70 | | 193.54 | |
| 1996 (3) | 234.59 | 9.3% | 207.66 | 7.3% |
| 1997 | 261.80 | 11.6% | 240.22 | 15.7% |
| 1998 | 267.89 | 2.3% | 246.07 | 2.4% |
| 1999 | 279.56 | 4.4% | 261.18 | 6.1% |