serff closed rate filing report 5/1/2010-2/28/2011...(hmo) phin-126802287 28 09-sep-10...

Serff Closed Rate Filing Report 5/1/2010-2/28/2011

Company Name NAIC # Type of Insurance Filing Number

Affected

Policyholders

Date

Submitted Filing Status Date Closed

New Rate

Starting Date

Average

Rate

Change

Requested

Average

Rate

Change

Approved

Rate

Change

Difference

Loss Ratio

W/O

Increase

Average

Annual

Trend

State Filing

Description

Humana Insurance

Company 73288

H16G Group Health

- Major Medical HUMA-126905435 0 15-NOV-10

Closed-

Disapproved 26-JAN-11 01-APR-11 9.2 0 9.2

Group Non-

Employer Out-

of-State

Major

Medical

Aetna Health Inc. PA

AZ CO DC DE IL IN

KS KY MA MD MO

NV NC OH OK TN VA 95109

HOrg02G Group

Health

Organizations -

Health Maintenance

(HMO) AETN-126589827 3377 19-JUL-10

Closed-

Approved 20-AUG-10 01-JUL-10 0 0 0 86.3 14.4

Group

Employer

Major

Medical


AZ CO DC DE IL IN

KS KY MA MD MO


HOrg02G Group

Health

Organizations -

Health Maintenance

(HMO) AETN-126701010 47 21-JUL-10

Closed-

Approved 20-AUG-10 01-OCT-10 14.4 14.4 0 83.6 12.1

Group

Employer

Major

Medical

Aetna Life Insurance

Company 60054

H16G Group Health

- Major Medical AETN-126703667 2065 07-JUL-10

Closed-

Approved 20-AUG-10 01-OCT-10 11.6 11.6 0 75.4 15

Group

Employer

Major

Medical


Company 60054

H16G Group Health

- Major Medical AETN-126727015 13374 19-JUL-10

Closed-

Approved 20-AUG-10 01-JUL-10 0 0 0 84 14.4

Group

Employer

Major

Medical

Anthem Insurance

Companies, Inc. 28207

H16G Group Health

- Major Medical AWLP-126954666 174151 22-DEC-10

Closed-

Approved 27-JAN-11 01-APR-11 2.4 2.4 0 81.8 16.4

Group

Employer

Major

Medical

Consumers Life

Insurance Company 62375

H16G Group Health

- Major Medical MEDM-126961378 130 23-DEC-10

Pending

Industry

Response-

Approved 15-FEB-11 01-JAN-11 0.1 0.1 0 82 12

Group

Employer

Major

Medical

Freedom Life

Insurance Company

of America 62324

H15G Group Health

-

Hospital/Surgical/M

edical Expense USHG-126642315 3 03-JUN-10

Closed-

Approved 28-JUL-10 01-SEP-10 18 15 3 66 18

Group

Employer

Major

Medical

Freedom Life

Insurance Company

of America 62324

H16G Group Health

- Major Medical USHG-126647288 0 02-JUN-10

Closed-

Disapproved 15-FEB-11 01-SEP-10 1.4 0 1.4

Group

Employer

Major

Medical


Freedom Life

Insurance Company

of America 62324

H16G Group Health

- Major Medical USHG-126647293 0 02-JUN-10

Closed-

Disapproved 15-FEB-11 01-SEP-10 1.4 0 1.4

Group

Employer

Major

Medical

John Alden Life


H16G Group Health

- Major Medical ASWX-G126811230 170 13-SEP-10

Closed-

Approved 30-SEP-10 01-DEC-10 19.7 17.8 1.9 88.2 16.6

Group

Employer

Major

Medical

The Mega Life and

Health Insurance

Company - ICA 97055

H15G Group Health

-

Hospital/Surgical/M

edical Expense MGCA-126791815 8 30-AUG-10

Closed-

Withdrawn 07-OCT-10 01-OCT-10 10 0 10

Group

Employer

Major

Medical

Time Insurance

Company 69477

H16G Group Health

- Major Medical ASWX-G126811141 1453 13-SEP-10

Closed-

Approved 30-SEP-10 01-DEC-10 19.7 17.8 1.9 88.2 16.6

Group

Employer

Major

Medical


AZ CO DC DE IL IN

KS KY MA MD MO


HOrg02G Group

Health

Organizations -

Health Maintenance

(HMO) AETN-126835645 165 29-SEP-10

Closed-

Approved 10-DEC-10 01-JAN-11 12.7 12.7 0 76.5 10

Group

Employer

Major

Medical

Aetna Health


H16G Group Health

- Major Medical AETN-126762403 593 24-AUG-10

Closed-

Approved 03-NOV-10 01-OCT-10 -33.8 -33.8 0 74 14.3

Group

Employer

Major

Medical


Company 60054

H16G Group Health

- Major Medical AETN-126737553 16001 24-AUG-10

Closed-

Approved 29-NOV-10 01-DEC-10 -31.8 -31.8 0 77.6 14.6

Group

Employer

Major

Medical


Company 60054

H16G Group Health

- Major Medical AETN-126831883 1005 30-SEP-10

Closed-

Approved 10-DEC-10 01-JAN-11 9.4 9.4 0 81.3 12.4

Group

Employer

Major

Medical

Anthem Insurance


H16G Group Health

- Major Medical AWLP-126868204 336500 20-OCT-10

Closed-

Approved 03-NOV-10 01-JAN-11 2.3 2.3 0 82.8 16.4

Group

Employer

Major

Medical

AAA Life Insurance

Company 71854

H02G Group Health

- Accident Only AAAL-126767523 13-AUG-10

Closed-

Disapproved 14-JAN-11 0 0 0

Group

Employer

Medical

Other

Time Insurance

Company 69477

H14G Group Health

- Hospital Indemnity ASWX-G126751193 0 02-AUG-10

Closed-

Disapproved 21-OCT-10 01-OCT-10 1.4 0 1.4

Group

Employer

Medical

Other


Advantage Health

Solutions

Incorporated 52568

HOrg02G Group

Health

Organizations -

Health Maintenance

(HMO) ADVA-126819951 38494 17-SEP-10

Closed-

Approved 27-OCT-10 01-NOV-10 11 11 0 98 6.8

Health

Maintenance

Organization

(HMO) Group

Medical

Anthem Insurance

Companies, Inc 28207

HOrg02G Group

Health

Organizations -

Health Maintenance

(HMO) ANTH-126721662 5265 30-JUL-10

Closed-

Approved 30-SEP-10 01-OCT-10 9.4 9.4 0 85.4 16

Health

Maintenance

Organization

(HMO) Group

Medical

Anthem Insurance


HOrg02G Group

Health

Organizations -

Health Maintenance

(HMO) AWLP-126955382 2207 29-DEC-10

Closed-

Approved 27-JAN-11 01-APR-11 2.4 2.4 0 82.9 16.4

Health

Maintenance

Organization

(HMO) Group

Medical

Physicians Health

Plan of Northern

Indiana, Inc. 95436

HOrg02G Group

Health

Organizations -

Health Maintenance

(HMO) PHIN-126891945 17923 04-NOV-10

Closed-

Approved 16-DEC-10 01-JAN-11 9.8 9.8 0 98.3 8.8

Health

Maintenance

Organization

(HMO) Group

Medical

Physicians Health

Plan of Northern

Indiana, Inc. 95436

HOrg02G Group

Health

Organizations -

Health Maintenance

(HMO) PHIN-126891948 3824 04-NOV-10

Closed-

Approved 29-DEC-10 01-JAN-11 17 17 0 97.5 8.8

Health

Maintenance

Organization

(HMO) Group

Medical

Physicians Health

Plan of Northern

Indiana, Inc. 95436

HOrg02G Group

Health

Organizations -

Health Maintenance

(HMO) PHIN-126891964 12558 04-NOV-10

Closed-

Approved 16-DEC-10 01-JAN-11 10.2 10.2 0 88.7 8.8

Health

Maintenance

Organization

(HMO) Group

Medical

Physicians Health

Plan of Northern

Indiana, Inc. 95436

HOrg02G Group

Health

Organizations -

Health Maintenance

(HMO) PHIN-126891969 7860 04-NOV-10

Closed-

Approved 29-DEC-10 01-JAN-11 16.6 16.6 0 99 8.8

Health

Maintenance

Organization

(HMO) Group

Medical


AZ CO DC DE IL IN

KS KY MA MD MO


HOrg02G Group

Health

Organizations -

Health Maintenance

(HMO) AETN-126730586 3208 24-AUG-10

Closed-

Approved 29-NOV-10 01-DEC-10 -25 -25 0 76.9 14.3

Health

Maintenance

Organization

(HMO) Group

Medical


Anthem Insurance

Comapnies, Inc. 28207

HOrg02G Group

Health

Organizations -

Health Maintenance

(HMO) AWLP-126844723 5078 15-OCT-10

Closed-

Approved 03-NOV-10 01-JAN-11 2.2 2.2 0 81.8 16.4

Health

Maintenance

Organization

(HMO) Group

Medical

NHP of Indiana, LLC

HOrg02G Group

Health

Organizations -

Health Maintenance

(HMO) WLBN-126812391 36057 20-SEP-10

Closed-

Approved 08-DEC-10 01-JAN-11 1.9 1.9 0 86.6 9.8

Health

Maintenance

Organization

(HMO) Group

Medical

Southeastern Indiana

Health Organization,

Inc. 95812

HOrg02G Group

Health

Organizations -

Health Maintenance

(HMO) SEIH-126845286 273 04-OCT-10

Closed-

Approved 03-FEB-11 01-JAN-11 3 3 0 86.8 14.5

Health

Maintenance

Organization

(HMO) Group

Medical

UnitedHealthcare of

Illinois, Inc. 95776

HOrg03 Health -

Other UHLC-126784285 24-AUG-10

Closed-

Disapproved 15-FEB-11 01-OCT-10 0 0 0

Health

Maintenance

Organization

(HMO) Group

Medical

Physicians Health

Plan of Northern

Indiana, Inc. 95436

HOrg02I Individual

Health

Organizations -

Health Maintenance

(HMO) PHIN-126802287 28 09-SEP-10

Closed-

Approved 10-NOV-10 15-NOV-10 0.8 0.8 0 77.5 10

Health

Maintenance

Organization

(HMO)

Individual

Medical

Physicians Health

Plan of Northern

Indiana, Inc. 95436

HOrg02I Individual

Health

Organizations -

Health Maintenance

(HMO) PHIN-126802293 21 09-SEP-10

Closed-

Approved 10-NOV-10 15-NOV-10 1.4 1.4 0 77.5 10

Health

Maintenance

Organization

(HMO)

Individual

Medical

Physicians Health

Plan of Northern

Indiana, Inc. 95436

HOrg02I Individual

Health

Organizations -

Health Maintenance

(HMO) PHIN-126802499 199 09-SEP-10

Closed-

Approved 10-NOV-10 15-NOV-10 0.8 0.8 0 77.7 10

Health

Maintenance

Organization

(HMO)

Individual

Medical

Physicians Health

Plan of Northern

Indiana, Inc. 95436

HOrg02I Individual

Health

Organizations -

Health Maintenance

(HMO) PHIN-126802527 90 09-SEP-10

Closed-

Approved 10-NOV-10 15-NOV-10 2.7 2.7 0 77.7 10

Health

Maintenance

Organization

(HMO)

Individual

Medical


Physicians Health

Plan of Northern

Indiana, Inc. 95436

HOrg02I Individual

Health

Organizations -

Health Maintenance

(HMO) PHIN-126811786 9 01-OCT-10

Closed-

Approved 01-DEC-10 15-DEC-10 0.05 0.05 0 292.3 8.8

Health

Maintenance

Organization

(HMO)

Individual

Medical

American Family

Mutual Insurance

Company 19275

H16I Individual

Health - Major

Medical AMRP-126623660 18 11-MAY-10

Closed-

Approved 11-AUG-10 01-SEP-10 25 18 7 71.8 14

Individual

Major

Medical

American Family

Mutual Insurance

Company 19275

H16I Individual

Health - Major

Medical AMRP-126639731 9 21-MAY-10

Closed-

Approved 14-JUL-10 01-OCT-10 25 15 10 68.8 12

Individual

Major

Medical

American Family

Mutual Insurance

Company 19275

H16I Individual

Health - Major

Medical AMRP-126670158 544 10-JUN-10

Closed-

Approved 12-AUG-10 01-OCT-10 30 24.9 5.1 137.9 19.7

Individual

Major

Medical

American National

Life Insurance

Company of Texas 71773

H16I Individual

Health - Major

Medical AMNH-126631518 46 01-JUL-10

Closed-

Disapproved 26-JUL-10 15-AUG-10 25 0 25

Individual

Major

Medical

American Republic


H16I Individual

Health - Major

Medical AMRP-126716926 38 12-JUL-10

Closed-

Disapproved 03-DEC-10 01-OCT-10 12 0 12

Individual

Major

Medical

Anthem Insurance


H16I Individual

Health - Major

Medical AKYK-126659163 34014 03-JUN-10

Closed-

Approved 07-OCT-10 01-DEC-10 6.9 6.9 0 76.5 15

Individual

Major

Medical

Anthem Insurance


H16I Individual

Health - Major

Medical AKYK-126659930 13850 03-JUN-10

Closed-

Approved 14-OCT-10 01-DEC-10 15 8.3 6.7 75.3 16

Individual

Major

Medical

AXA Equitable Life


H16I Individual

Health - Major

Medical AXAF-126916359 3 22-NOV-10

Closed-

Disapproved 08-FEB-11 24.3 0 24.3

Individual

Major

Medical

Consumers Life


H16I Individual

Health - Major

Medical MEDM-126711620 739 08-JUL-10

Closed-

Approved 05-OCT-10 01-OCT-10 0 0 0 73 13.2

Individual

Major

Medical

Federated Mutual


H15I Individual

Health -

Hospital/Surgical/M

edical Expense FEMC-126630833 3 17-MAY-10

Closed-

Approved 22-JUL-10 01-AUG-10 5.7 5.7 0 206 8

Individual

Major

Medical

Humana Insurance

Company 73288

H16I Individual

Health - Major

Medical HUMA-126899994 3657 12-NOV-10

Closed-

Approved 18-JAN-11 01-APR-11 -1.94 -1.94 0 66.1 14.75

Individual

Major

Medical

Illinois Mutual Life


H16I Individual

Health - Major

Medical LLNS-126721786 102 22-JUL-10

Closed-

Withdrawn 28-JUL-10 01-DEC-10 12 0 12

Individual

Major

Medical

John Alden Life


H16I Individual

Health - Major

Medical ASWX-G126671323 0 23-JUN-10

Closed-

Approved 07-DEC-10 01-SEP-10 17.4 17.4 0 69.3 18

Individual

Major

Medical


Pekin Life Insurance

Company 67628

H16I Individual

Health - Major

Medical UHAS-126769010 1066 19-AUG-10

Closed-

Approved 14-JAN-11 01-APR-11 28 18 10 92.6 15

Individual

Major

Medical

Physicians Mutual


H16I Individual

Health - Major

Medical PHYS-126782036 1 01-SEP-10

Closed-

Disapproved 08-FEB-11 01-JAN-11 19 0 19

Individual

Major

Medical

Principal Life


H16I Individual

Health - Major

Medical PRLF-126978921 4 10-JAN-11

Closed-

Withdrawn 27-JAN-11 01-SEP-10 1.8 0 1.8

Individual

Major

Medical

Standard Security

Life Insurance

Company of New

York 69078

H16I Individual

Health - Major

Medical ICCI-126628330 0 11-JUN-10

Closed-

Approved 08-NOV-10 2 2 0 53.2 14.5

Individual

Major

Medical

The Chesapeake Life


H18I Individual

Health - Sickness MGCA-126691844 0 24-JUN-10

Closed-

Disapproved 21-JAN-11 01-JUL-10 0 0 0

Individual

Major

Medical

The Prudential

Insurance Company

of America 68241

H16I Individual

Health - Major

Medical PRUD-126619008 4 07-MAY-10

Closed-

Approved 30-JUL-10 03-AUG-10 12 12 0 70.4 12.4

Individual

Major

Medical

Time Insurance

Company 69477

H16I Individual

Health - Major

Medical ASWX-G126671070 0 23-JUN-10

Closed-

Approved 07-DEC-10 01-SEP-10 17.4 17.4 0 69.3 18

Individual

Major

Medical

United Teacher

Associates Insurance

Company 63479

H15I Individual

Health -

Hospital/Surgical/M

edical Expense UTAC-126866459 11 19-OCT-10

Closed-

Disapproved 08-FEB-11 15-DEC-10 15 0 15

Individual

Major

Medical

World Insurance

Company 70629

H16I Individual

Health - Major

Medical AMRP-126646926 9 24-JUN-10

Closed-

Approved 30-DEC-10 01-MAR-11 20 14 6 102.65 9.1

Individual

Major

Medical

World Insurance

Company 70629

H16I Individual

Health - Major

Medical AMRP-126770366 13 17-AUG-10

Closed-

Disapproved 29-OCT-10 01-DEC-10 14 0 14

Individual

Major

Medical

Anthem Insurance


H16I Individual

Health - Major

Medical ANTA-126867945 1665 21-OCT-10

Closed-

Approved 02-FEB-11 01-JAN-11 20 13 7 67.5 15

Individual

Major

Medical


Company 60054

H16I Individual

Health - Major

Medical AETN-126773765 17-AUG-10

Closed-


Individual

Major

Medical

Anthem Insurance


H16I Individual

Health - Major

Medical ANTA-126871231 4048 23-OCT-10

Closed-

Approved 02-FEB-11 01-JAN-11 5.9 5.9 0 66.8 15.7

Individual

Major

Medical

Anthem Insurance


H16I Individual

Health - Major

Medical ANTA-126885477 14 01-NOV-10

Closed-

Approved 02-FEB-11 01-JAN-11 6 6 0 67.5 15

Individual

Major

Medical

Anthem Insurance


H16I Individual

Health - Major

Medical AWLP-126883431 29791 31-OCT-10

Closed-

Approved 31-JAN-11 01-APR-11 4.4 3.9 0.5 71.3 15

Individual

Major

Medical


Anthem Insurance


H16I Individual

Health - Major

Medical AWLP-126883536 13020 31-OCT-10

Closed-

Approved 27-JAN-11 01-APR-11 6 6 0 76.6 15.5

Individual

Major

Medical

Mennonite Mutual Aid

Association 57991

H16I Individual

Health - Major

Medical MMAA-126788833 465 01-SEP-10

Closed-

Approved 10-NOV-10 01-JAN-11 5.6 5.6 0 97.4 12.3

Individual

Major

Medical

Mennonite Mutual Aid

Association 57991

H16I Individual

Health - Major

Medical MMAA-126794072 0 01-SEP-10

Closed-

Approved 10-NOV-10 01-DEC-10 4 4 0 99.5 12.8

Individual

Major

Medical


Company 67628

H16I Individual

Health - Major

Medical UHAS-126778551 1251 20-AUG-10

Closed-

Approved 14-JAN-11 01-APR-11 37.2 18.9 18.3 131.5 15

Individual

Major

Medical

American Public Life


H07I Individual

Health - Specified

Disease - Limited

Benefit AFDL-126852548 13 15-OCT-10

Closed-


Individual

Medical

Other

American Public Life


H14I Individual

Health - Hospital

Indemnity AFDL-126932418 1 29-DEC-10

Closed-

Withdrawn 19-JAN-11 01-APR-11 35 0 35

Individual

Medical

Other

Bankers Life and

Casualty Company 61263

H13I Individual

Health - Short Term

Care BNLB-126977165 1 07-JAN-11

Closed-

Withdrawn 31-JAN-11 20 0 20

Individual

Medical

Other

Bankers Life and


MS06 Medicare

Supplement - Other BNLB-126842932 222 01-OCT-10

Closed-

Approved 10-NOV-10 01-JAN-11 8 8 0 219.5 10

Individual

Medical

Other

Bankers Life and


MS06 Medicare

Supplement - Other BNLB-126850300 103 07-OCT-10

Closed-

Approved 12-NOV-10 01-JAN-11 30 25 5 89.1 10

Individual

Medical

Other

Central United Life


H07I Individual

Health - Specified

Disease - Limited

Benefit CEUL-126654131 26 02-JUN-10

Closed-

Approved 06-AUG-10 01-OCT-10 25 14.9 10.1 96.41 10

Individual

Medical

Other

Central United Life


H07I Individual

Health - Specified

Disease - Limited

Benefit CEUL-126665594 95 14-JUN-10

Closed-

Approved 01-SEP-10 01-NOV-10 25 25 0 202.9 23.9

Individual

Medical

Other

Central United Life

Insurance Company 61883 H21 Health - Other CEUL-126624753 1 14-MAY-10

Closed-

Approved 04-AUG-10 01-NOV-10 10 10 0 312 8.9

Individual

Medical

Other

Conseco Health


H07I Individual

Health - Specified

Disease - Limited

Benefit CNLT-126713158 3054 09-JUL-10

Closed-

Approved 08-DEC-10 01-JAN-11 30 15 15 73 0

Individual

Medical

Other

Kanawha Insurance

Company 65110

H14I Individual

Health - Hospital

Indemnity MMTA-126617046 20 17-MAY-10

Closed-

Approved 11-AUG-10 01-SEP-10 30 15 15 37 4.5

Individual

Medical

Other


Medical Mutual 29076

H10I Individual

Health - Dental MEDM-126841639 18 04-OCT-10

Closed-

Disapproved 21-JAN-11 01-JAN-11 51 0 51

Individual

Medical

Other

Monumental Life

Insurance Company- 66281

H07I Individual

Health - Specified

Disease - Limited

Benefit AEGF-126702793 3433 01-JUL-10

Closed-

Disapproved 21-JAN-11 01-DEC-10 27.6 0 27.6

Individual

Medical

Other

Philadelphia

American Life


H07I Individual

Health - Specified

Disease - Limited

Benefit NELI-126463778 56 04-MAY-10

Closed-

Approved 14-JUL-10 01-OCT-10 20 15 5 78 10

Individual

Medical

Other

Philadelphia

American Life


H07I Individual

Health - Specified

Disease - Limited

Benefit NELI-126463791 84 04-MAY-10

Closed-

Approved 09-JUL-10 01-SEP-10 15.2 12.5 2.7 77 5

Individual

Medical

Other

Physicians Mutual


H14I Individual

Health - Hospital

Indemnity PHYS-126687678 41 22-JUN-10

Closed-

Disapproved 29-OCT-10 01-NOV-10 12 0 12

Individual

Medical

Other

Protective Life


H07I Individual

Health - Specified

Disease - Limited

Benefit LWLL-126773346 13 01-OCT-10

Closed-

Disapproved 16-NOV-10 41.1 0 41.1

Individual

Medical

Other

Reliastar Life

Insurance Company

of New York 61360

H07I Individual

Health - Specified

Disease - Limited

Benefit LWEL-126626701 14 26-MAY-10

Closed-

Disapproved 01-SEP-10 01-NOV-10 35 0 35

Individual

Medical

Other

The Chesapeake Life


H02I Individual

Health - Accident

Only MGCA-126688023 0 22-JUN-10

Closed-

Disapproved 23-FEB-11 01-JUL-10 0 0 0

Individual

Medical

Other

The Chesapeake Life


H07I Individual

Health - Specified

Disease - Limited

Benefit MGCA-126677975 15-JUN-10

Closed-

Disapproved 16-FEB-11 0 0 0

Individual

Medical

Other

The Chesapeake Life


H07I Individual

Health - Specified

Disease - Limited

Benefit MGCC-127002925 15 26-JAN-11

Closed-

Disapproved 16-FEB-11 27-FEB-11 0 0 0

Individual

Medical

Other

The Chesapeake Life


H10I Individual

Health - Dental MGCA-126685323 0 21-JUN-10

Closed-

Approved 08-FEB-11 15-FEB-11 -20 -20 0 55 0

Individual

Medical

Other

The Chesapeake Life


H14I Individual

Health - Hospital

Indemnity MGCA-126688650 1 22-JUN-10

Closed-

Disapproved 23-FEB-11 01-JUL-10 0 0 0

Individual

Medical

Other

Transamerica Life


H07I Individual

Health - Specified

Disease - Limited

Benefit AEGL-126744329 118 19-AUG-10

Closed-

Approved 02-DEC-10 01-MAY-11 15 15 0 55 11

Individual

Medical

Other


American Fidelity

Assurance Company 60410

H07I Individual

Health - Specified

Disease - Limited

Benefit AFDL-126768807 13042 20-AUG-10

Closed-

Approved 01-DEC-10 01-JAN-11 30 19.5 10.5 69 4.9

Individual

Medical

Other

MedAmerica


LTC03G Group

Long Term Care MILL-126465391 80 21-JUN-10

Closed-

Disapproved 29-DEC-10 30-SEP-10 39 0 39

Long Term

Care Group

Non-

Partnership

MedAmerica


LTC03I Individual

Long Term Care MILL-126465782 1 21-JUN-10

Closed-


Long Term

Care

Individual

Non-

Partnership

The Cincinnati Life


LTC03I Individual

Long Term Care MILL-126708720 37 06-JUL-10

Closed-


Long Term

Care

Individual

Non-

Partnership

Ability Insurance

Company 71471

LTC05I Individual

Long Term Care -

Nursing Home &

Home Health Care MDTP-126719107 249 15-JUL-10

Closed-

Approved 12-JAN-11 15-MAR-11 28.9 14.5 14.4 86.19 5

Long Term

Care

Individual

Non-

Partnership

AF&L Insurance

Company 35963

LTC03I Individual

Long Term Care AFLI-126984549 378 13-JAN-11

Closed-

Disapproved 26-FEB-11 15-MAR-11 29.8 0 29.8

Long Term

Care

Individual

Non-

Partnership

Bankers Life and


LTC03I Individual

Long Term Care BNLB-126849431 2542 08-OCT-10

Closed-

Disapproved 27-FEB-11 23-DEC-10 35

Long Term

Care

Individual

Non-

Partnership

Bankers Life and


LTC03I Individual

Long Term Care BNLB-126920911 878 30-NOV-10

Closed-

Disapproved 27-FEB-11 17-JAN-11 30

Long Term

Care

Individual

Non-

Partnership

CUNA Mutual

Insurance Society 62626

LTC05I Individual

Long Term Care -

Nursing Home &

Home Health Care CUNA-126907517 4 17-FEB-11

Pending State

Action-

Disapproved 28-FEB-11 01-JUN-11 50 0 50

Long Term

Care

Individual

Non-

Partnership

CUNA Mutual

Insurance Society 62626

LTC05I Individual

Long Term Care -

Nursing Home &

Home Health Care CUNA-126979648 8 17-FEB-11

Pending State

Action-

Disapproved 28-FEB-11 01-JUN-11 50 0 50

Long Term

Care

Individual

Non-

Partnership


Equitable Life &

Casualty Insurance

Company 62952

LTC03I Individual

Long Term Care ELCC-126778685 55 24-AUG-10

Closed-

Disapproved 17-DEC-10 01-JAN-11 45 0 45

Long Term

Care

Individual

Non-

Partnership

John Hancock Life

Insurance Company

(USA) 65838

LTC03I Individual

Long Term Care MULF-126849017 2725 18-OCT-10

Closed-

Disapproved 18-FEB-11 01-APR-11 38.7 38.7 0

Long Term

Care

Individual

Non-

Partnership

John Hancock Life

Insurance Company

(USA) 65838

LTC03I Individual

Long Term Care MULF-126902570 7013 12-NOV-10

Closed-

Disapproved 18-FEB-11 01-APR-11 36.6 36.6 0

Long Term

Care

Individual

Non-

Partnership

Medico Insurance

Company 31119

LTC05I Individual

Long Term Care -

Nursing Home &

Home Health Care MDTP-126719106 249 15-JUL-10

Closed-

Approved 12-JAN-11 15-MAR-11 14.5 14.5 0 86.19 5

Long Term

Care

Individual

Non-

Partnership

Pennsylvania Life


LTC03I Individual

Long Term Care UNAM-126948783 752 15-DEC-10

Closed-


Long Term

Care

Individual

Non-

Partnership

Senior Health

Insurance Company

of Pennsylvania 76325

LTC03I Individual

Long Term Care SHPA-126852333 412 08-OCT-10

Closed-

Withdrawn 29-NOV-10 25 0 25

Long Term

Care

Individual

Non-

Partnership

Time Insurance

Company 69477

LTC03I Individual

Long Term Care MULF-126869395 57 16-DEC-10

Closed-

Disapproved 25-FEB-11 01-APR-11 45.3 0 45.3

Long Term

Care

Individual

Non-

Partnership

MedAmerica


LTC06 Long Term

Care - Other MILL-126465929 78 21-JUN-10

Closed-


Long Term

Care

Individual

Non-

Partnership

Union Fidelity Life


MS02G Group

Medicare

Supplement - Pre-

Standardized GEFA-126786472 64 25-AUG-10

Closed-

Approved 03-JAN-11 01-MAR-11 15 9.57 5.43 127.9 11.18

Medicare

Supplement

Group Pre-

Standardized


UnitedHealthcare


MS02G Group

Medicare

Supplement - Pre-

Standardized UHLC-126789768 69387 27-AUG-10

Closed-

Approved 10-DEC-10 01-JAN-11 5.75 6.3 -0.55 89.5 5.6

Medicare

Supplement

Group Pre-

Standardized

UnitedHealthcare


MS08G Group

Medicare

Supplement -

Standard Plans

2010 UHLC-126789759 154407 27-AUG-10

Closed-

Approved 21-DEC-10 01-JAN-11 4.2 4.2 0 86.9 4.1

Medicare

Supplement

Group

Standardized

Post 2010

Regulation

American National

Life Insurance


MS05G Group

Medicare

Supplement -

Standard Plans AMNH-126774165 302 24-AUG-10

Closed-

Disapproved 21-JAN-11 01-NOV-10 38 0 38

Medicare

Supplement

Group

Standardized

Pre 2010

Regulation

American National

Life Insurance


MS05G Group

Medicare

Supplement -

Standard Plans AMNH-127003427 244 26-JAN-11

Closed-

Approved 26-FEB-11 01-MAR-11 25.5 9 16.5 78.4 7

Medicare

Supplement

Group

Standardized

Pre 2010

Regulation

Bankers Life and


MS05G Group

Medicare

Supplement -

Standard Plans BNLB-126788589 1943 26-AUG-10

Closed-

Approved 16-NOV-10 01-JAN-11 0.7 0.68 0.02 77.5 8

Medicare

Supplement

Group

Standardized

Pre 2010

Regulation

Guarantee Trust Life


MS05G Group

Medicare

Supplement -

Standard Plans GRTT-126898305 17 15-NOV-10

Closed-

Approved 24-JAN-11 01-FEB-11 6.5 6.5 0 89.9 7

Medicare

Supplement

Group

Standardized

Pre 2010

Regulation

Medico Insurance

Company 31119

MS05G Group

Medicare

Supplement -

Standard Plans MDIC-126862067 698 15-OCT-10

Closed-

Approved 17-DEC-10 01-FEB-11 15 15 0 91.5 8

Medicare

Supplement

Group

Standardized

Pre 2010

Regulation

Principal Life


MS06 Medicare

Supplement - Other IASL-126931342 1242 03-DEC-10

Closed-

Approved 17-DEC-10 0 0 0 75.4 9.14

Medicare

Supplement

Group

Standardized

Pre 2010

Regulation


UnitedHealthcare


MS05G Group

Medicare

Supplement -

Standard Plans UHLC-126789769 916395 27-AUG-10

Closed-

Approved 11-JAN-11 01-FEB-11 4.1 4.1 0 85.3 5.3

Medicare

Supplement

Group

Standardized

Pre 2010

Regulation

Anthem Insurance


MS08I Individual

Medicare

Supplement -

Standard Plans

2010 ANTG-126808797 456 10-SEP-10

Closed-

Approved 02-DEC-10 01-JAN-11 -20 -20 0 65 7

Medicare

Supplement

Individual

Standardized

Post 2010

Regulation

KSKJ Life, American

Slovenian Catholic

Union 56227

MS09 Medicare

Supplement - Other

2010 IASL-126704842 1565 06-JUL-10

Closed-

Approved 04-AUG-10 01-FEB-11 9.1 9.1 0 85.5 11.18

Medicare

Supplement

Individual

Standardized

Post 2010

Regulation

Oxford Life Insurance

Company 76112

MS08I Individual

Medicare

Supplement -

Standard Plans

2010 OXFR-126932332 13 03-DEC-10

Closed-

Approved 29-DEC-10 01-FEB-11 0 0 0 77.4 7

Medicare

Supplement

Individual

Standardized

Post 2010

Regulation

American Family Life

Assurance Company

of Columbus 60380

MS02I Individual

Medicare

Supplement - Pre-

Standardized AFLA-126896958 260 16-NOV-10

Closed-

Disapproved 09-DEC-10 01-DEC-11 3 0 3

Medicare

Supplement

Individua Pre-

Standardized

American Income Life


MS02I Individual

Medicare

Supplement - Pre-

Standardized AMLC-126656584 10 02-JUN-10

Closed-

Disapproved 18-OCT-10 01-AUG-10 8 0 8

Medicare

Supplement

Individua Pre-

Standardized

American National


MS02I Individual

Medicare

Supplement - Pre-

Standardized AMNH-126599067 2 23-JUN-10

Closed-

Approved 16-JUL-10 01-SEP-10 6 6 0 72 6

Medicare

Supplement

Individua Pre-

Standardized

American Republic


MS02I Individual

Medicare

Supplement - Pre-

Standardized AMRP-126812666 174 05-OCT-10

Closed-

Approved 03-DEC-10 01-JAN-11 3.7 3.5 0.2 75.4 6.5

Medicare

Supplement

Individua Pre-

Standardized


Anthem Insurance


MS02I Individual

Medicare

Supplement - Pre-

Standardized ANTG-126808942 5162 10-SEP-10

Closed-

Approved 07-DEC-10 01-JAN-11 9.1 9.1 0 70.2 8.5

Medicare

Supplement

Individua Pre-

Standardized

Anthem Insurance


MS02I Individual

Medicare

Supplement - Pre-


Closed-

Approved 07-DEC-10 01-JAN-11 9.1 9.1 0 71.5 10

Medicare

Supplement

Individua Pre-

Standardized

Anthem Insurance


MS02I Individual

Medicare

Supplement - Pre-


Closed-

Approved 07-DEC-10 01-JAN-11 0 0 0 74.9 0

Medicare

Supplement

Individua Pre-

Standardized

Anthem Insurance


MS02I Individual

Medicare

Supplement - Pre-


Closed-

Approved 01-DEC-10 01-JAN-11 5.5 5.5 0 76.8 6.7

Medicare

Supplement

Individua Pre-

Standardized

Auto-Owners Life


MS02I Individual

Medicare

Supplement - Pre-

Standardized AOIC-126679915 113 30-JUN-10

Closed-

Approved 02-SEP-10 13-OCT-10 15 15 0 76 8.87

Medicare

Supplement

Individua Pre-

Standardized

Bankers Fidelity Life


MS02I Individual

Medicare

Supplement - Pre-

Standardized BFLI-126755311 13 05-AUG-10

Closed-

Disapproved 29-DEC-10 20 0 20

Medicare

Supplement

Individua Pre-

Standardized

Combined Insurance

Company of America 62146

MS02I Individual

Medicare

Supplement - Pre-

Standardized CMBD-126841297 156 30-SEP-10

Closed-

Approved 28-DEC-10 24-JAN-11 5 4.5 0.5 68.6 8

Medicare

Supplement

Individua Pre-

Standardized

Conseco Life


MS02I Individual

Medicare

Supplement - Pre-

Standardized CSCM-126688086 25 22-JUN-10

Closed-

Approved 06-AUG-10 01-JAN-11 8 8 0 69 8.2

Medicare

Supplement

Individua Pre-

Standardized

Golden Rule


MS02I Individual

Medicare

Supplement - Pre-

Standardized AMMS-126618323 126 28-MAY-10

Closed-

Approved 02-DEC-10 01-JAN-11 5.1 5.1 0 77.9 6

Medicare

Supplement

Individua Pre-

Standardized


Medico Insurance

Company 31119

MS02I Individual

Medicare

Supplement - Pre-

Standardized MDIC-126727014 18 19-JUL-10

Closed-

Approved 02-DEC-10 01-FEB-11 8 8 0 63.3 8

Medicare

Supplement

Individua Pre-

Standardized

Nationwide Life


MS02I Individual

Medicare

Supplement - Pre-

Standardized UNAM-126844163 11 04-OCT-10

Closed-

Approved 02-DEC-10 01-APR-11 11 11 0 80.2 7.5

Medicare

Supplement

Individua Pre-

Standardized


Company 67628

MS02I Individual

Medicare

Supplement - Pre-

Standardized PEKN-126914743 25 22-NOV-10

Closed-

Approved 24-JAN-11 01-MAR-11 9.9 8.9 1 87.3 8.7

Medicare

Supplement

Individua Pre-

Standardized

Physicians Mutual


MS02I Individual

Medicare

Supplement - Pre-

Standardized PHYS-126866628 74 19-OCT-10

Closed-

Disapproved 20-JAN-11 01-APR-11 5 0 5

Medicare

Supplement

Individua Pre-

Standardized

Reserve National


MS02I Individual

Medicare

Supplement - Pre-

Standardized RNIC-126628225 32 27-MAY-10

Closed-

Approved 09-AUG-10 01-OCT-10 12 9 3 72.4 6.1

Medicare

Supplement

Individua Pre-

Standardized

Shelter Life Insurance

Company 65757

MS02I Individual

Medicare

Supplement - Pre-

Standardized SHLI-126792566 18 08-SEP-10

Closed-

Approved 05-JAN-11 01-MAR-11 20 10 10 120.33 7.14

Medicare

Supplement

Individua Pre-

Standardized

Standard Life and

Accident Insurance

Company 86355

MS02I Individual

Medicare

Supplement - Pre-

Standardized AMNH-126631282 181 17-MAY-10

Closed-

Approved 11-AUG-10 15-OCT-10 17 12.5 4.5 66.3 8

Medicare

Supplement

Individua Pre-

Standardized

State Farm Mutual

Automobile Insurance

Company 25178

MS02I Individual

Medicare

Supplement - Pre-

Standardized STLH-126735529 530 26-JUL-10

Closed-

Approved 17-DEC-10 01-JAN-11 3.4 3.4 0 75.7 6

Medicare

Supplement

Individua Pre-

Standardized

The Pyramid Life


MS02I Individual

Medicare

Supplement - Pre-

Standardized UNAM-126743041 183 28-JUL-10

Closed-

Approved 09-AUG-10 01-SEP-10 10 10 0 74.9 7

Medicare

Supplement

Individua Pre-

Standardized


The Pyramid Life


MS02I Individual

Medicare

Supplement - Pre-

Standardized UNAM-126938113 7 08-DEC-10

Closed-

Approved 28-DEC-10 01-MAY-11 9 9 0 94.5 5.25

Medicare

Supplement

Individua Pre-

Standardized

Thrivent Financial for

Lutherans 56014

MS02I Individual

Medicare

Supplement - Pre-

Standardized THRV-126783315 215 26-AUG-10

Closed-

Approved 28-DEC-10 01-JAN-11 5 5 0 91.8 3.9

Medicare

Supplement

Individua Pre-

Standardized

Trustmark Insurance

Company 61425

MS02I Individual

Medicare

Supplement - Pre-

Standardized TRST-126734928 2 22-JUL-10

Closed-


Medicare

Supplement

Individua Pre-

Standardized

Trustmark Insurance

Company 61425

MS02I Individual

Medicare

Supplement - Pre-

Standardized TRST-126735925 2 22-JUL-10

Closed-


Medicare

Supplement

Individua Pre-

Standardized

Union Fidelity Life


MS02I Individual

Medicare

Supplement - Pre-

Standardized GEFA-126786523 15 25-AUG-10

Closed-

Disapproved 29-DEC-10 01-NOV-10 15 0 15

Medicare

Supplement

Individua Pre-

Standardized

United American


MS02I Individual

Medicare

Supplement - Pre-

Standardized AMLC-126946670 452 14-DEC-10

Closed-

Approved 02-MAR-11 15-APR-11 8 4 4 65.6 7

Medicare

Supplement

Individua Pre-

Standardized

Washington National


MS02I Individual

Medicare

Supplement - Pre-

Standardized CSCM-126614133 167 04-MAY-10

Closed-

Approved 07-JUL-10 01-OCT-10 8 8 0 65 6

Medicare

Supplement

Individua Pre-

Standardized

World Insurance

Company 70629

MS02I Individual

Medicare

Supplement - Pre-

Standardized AMRP-126871870 13 13-DEC-10

Closed-

Approved 24-JAN-11 01-MAR-11 6 4.9 1.1 65.2 6

Medicare

Supplement

Individua Pre-

Standardized

Central United Life


MS02I Individual

Medicare

Supplement - Pre-

Standardized CEUL-126808433 21 14-SEP-10

Closed-

Disapproved 15-DEC-10 01-FEB-11 8 0 8

Medicare

Supplement

Individua Pre-

Standardized


Golden Rule


MS06 Medicare

Supplement - Other AMMS-126658161 521 03-SEP-10

Closed-

Approved 10-JAN-11 01-APR-11 8.6 5.5 3.1 76 7

Medicare

Supplement

Individua

Standardized

Pre

Ability Insurance

Company 71471

MS05I Individual

Medicare

Supplement -

Standard Plans MDIC-126738883 47 26-JUL-10

Closed-

Approved 26-OCT-10 01-JAN-11 8.5 6 2.5 75.49 8.5

Medicare

Supplement

Individua

Standardized

Pre

Allianz Life Insurance

Company of North

America 90611

MS05I Individual

Medicare

Supplement -

Standard Plans LFCR-126907452 2 16-NOV-10

Closed-

Approved 08-FEB-11 01-JAN-11 0 0 0 66 2

Medicare

Supplement

Individua

Standardized

Pre

American Continental


MS05I Individual

Medicare

Supplement -

Standard Plans GEFA-126941177 1424 09-DEC-10

Closed-

Approved 20-JAN-11 01-MAR-11 5 5 0 72.6 8

Medicare

Supplement

Individua

Standardized

Pre

American Family Life

Assurance Company

of Columbus 60380

MS05I Individual

Medicare

Supplement -

Standard Plans AFLA-126896991 656 16-NOV-10

Closed-

Disapproved 09-DEC-10 01-DEC-11 6 0 6

Medicare

Supplement

Individua

Standardized

Pre

American Pioneer

Life Insurance

Company 60763

MS05I Individual

Medicare

Supplement -

Standard Plans UNAM-126714410 80 09-JUL-10

Closed-

Approved 30-JUL-10 01-SEP-10 13 8 5 75.6 7.5

Medicare

Supplement

Individua

Standardized

Pre

American Pioneer

Life Insurance

Company 60763

MS05I Individual

Medicare

Supplement -

Standard Plans UNAM-126808583 287 10-SEP-10

Closed-

Approved 12-NOV-10 23-DEC-10 12 9.5 2.5 71.6 7.25

Medicare

Supplement

Individua

Standardized

Pre

American Republic

Corp Insurance

Company 67679

MS05I Individual

Medicare

Supplement -

Standard Plans AMRP-126940280 241 10-JAN-11

Closed-

Approved 26-FEB-11 01-JUN-11 6.9 4.82 2.08 71.1 6.5

Medicare

Supplement

Individua

Standardized

Pre

American Republic

Corp Insurance

Company 67679

MS08I Individual

Medicare

Supplement -

Standard Plans

2010 AMRP-126706374 32 07-JUL-10

Closed-

Approved 02-AUG-10 01-OCT-10 -1.1 -1.1 0 73.4 6

Medicare

Supplement

Individua

Standardized

Pre


American Republic


MS05I Individual

Medicare

Supplement -

Standard Plans AMRP-126806541 1463 17-SEP-10

Closed-

Disapproved 30-DEC-10 01-JAN-11 4.4 0 4.4

Medicare

Supplement

Individua

Standardized

Pre

Anthem Insurance


MS05I Individual

Medicare

Supplement -

Standard Plans ANTG-126809001 496 10-SEP-10

Closed-

Approved 01-DEC-10 01-JAN-11 25 25 0 186.7 30

Medicare

Supplement

Individua

Standardized

Pre

Anthem Insurance


MS05I Individual

Medicare

Supplement -


Closed-

Approved 01-DEC-10 01-JAN-11 0 0 0 75.2 5

Medicare

Supplement

Individua

Standardized

Pre

Anthem Insurance


MS05I Individual

Medicare

Supplement -


Closed-

Approved 01-DEC-10 01-JAN-11 9.9 9.9 0 78.5 7

Medicare

Supplement

Individua

Standardized

Pre



MS05I Individual

Medicare

Supplement -

Standard Plans BFLI-126746976 1 30-JUL-10

Closed-

Approved 28-DEC-10 01-FEB-11 10 10 0 79.8 8

Medicare

Supplement

Individua

Standardized

Pre



MS09 Medicare

Supplement - Other

2010 BFLI-126694682 9 25-JUN-10

Closed-

Approved 24-AUG-10 01-JUN-10 -6 -6 0 60 8

Medicare

Supplement

Individua

Standardized

Pre

Bankers Life and


MS05I Individual

Medicare

Supplement -

Standard Plans BNLB-126665700 10246 08-JUN-10

Closed-

Approved 25-AUG-10 01-JAN-11 10.8 10.8 0 69.3 9.8

Medicare

Supplement

Individua

Standardized

Pre

Bankers Life and


MS05I Individual

Medicare

Supplement -

Standard Plans BNLB-126794326 157 31-AUG-10

Closed-

Approved 27-OCT-10 01-JAN-11 4.2 4.2 0 71.1 8.5

Medicare

Supplement

Individua

Standardized

Pre

Bankers Life and


MS05I Individual

Medicare

Supplement -

Standard Plans BNLB-126846289 23 05-OCT-10

Closed-

Approved 26-OCT-10 01-JAN-11 6 6 0 69.5 6

Medicare

Supplement

Individua

Standardized

Pre


Bankers Life and


MS06 Medicare

Supplement - Other BNLB-126708501 1430 06-JUL-10

Closed-

Approved 24-AUG-10 01-JAN-11 6.5 5.5 1 70.4 8.5

Medicare

Supplement

Individua

Standardized

Pre

Celtic Insurance

Company 80799

MS05I Individual

Medicare

Supplement -

Standard Plans OXFR-126652504 287 04-JUN-10

Closed-

Disapproved 04-AUG-10 5.8 0 5.8

Medicare

Supplement

Individua

Standardized

Pre

Celtic Insurance

Company 80799

MS05I Individual

Medicare

Supplement -

Standard Plans OXFR-126934949 240 06-DEC-10

Closed-

Approved 17-DEC-10 0 0 0 65.9 6.5

Medicare

Supplement

Individua

Standardized

Pre

Central Reserve Life


MS05I Individual

Medicare

Supplement -

Standard Plans UTAC-126960771 303 04-JAN-11

Closed-

Approved 25-JAN-11 01-APR-11 9 8.5 0.5 77.1 11.6

Medicare

Supplement

Individua

Standardized

Pre

Central United Life


MS06 Medicare

Supplement - Other CEUL-126817136 3 17-SEP-10

Closed-

Disapproved 15-DEC-10 01-FEB-11 10 0 10

Medicare

Supplement

Individua

Standardized

Pre

Christian Fidelity Life


MS08I Individual

Medicare

Supplement -

Standard Plans

2010 OXFR-126933314 104 06-DEC-10

Closed-

Approved 29-DEC-10 01-FEB-11 0 0 0 38.2 7

Medicare

Supplement

Individua

Standardized

Pre

Combined Insurance

Company of America 62146

MS06 Medicare

Supplement - Other CMBD-126841289 879 30-SEP-10

Closed-

Approved 24-JAN-11 01-DEC-10 0 0 0 69.2 8

Medicare

Supplement

Individua

Standardized

Pre

Conseco Health


MS05I Individual

Medicare

Supplement -

Standard Plans CSCM-126725218 299 16-JUL-10

Closed-

Approved 04-AUG-10 01-JAN-11 5.4 5.4 0 73.3 7.1

Medicare

Supplement

Individua

Standardized

Pre

Constitution Life


MS05I Individual

Medicare

Supplement -

Standard Plans UNAM-126753345 413 06-AUG-10

Closed-

Approved 31-AUG-10 15-SEP-10 9 6 3 71.8 7.25

Medicare

Supplement

Individua

Standardized

Pre


CSA FRATERNAL

LIFE 56138

MS05I Individual

Medicare

Supplement -

Standard Plans UTAC-126712969 87 08-JUL-10

Closed-

Approved 12-AUG-10 01-OCT-10 14 12 2 101.7 7

Medicare

Supplement

Individua

Standardized

Pre

Family Life Insurance

Company 63053

MS05I Individual

Medicare

Supplement -

Standard Plans CEUL-126617217 56 27-MAY-10

Closed-

Approved 16-AUG-10 01-OCT-10 8.9 8.9 0 81.8 11.18

Medicare

Supplement

Individua

Standardized

Pre

Heartland National

Life Insurance

Company 66214

MS05I Individual

Medicare

Supplement -

Standard Plans ETPF-126713500 46 09-JUL-10

Closed-

Disapproved 20-JAN-11 01-SEP-10 8.9 0 8.9

Medicare

Supplement

Individua

Standardized

Pre

Lincoln Heritage Life


MS06 Medicare

Supplement - Other LHLI-126887457 897 03-NOV-10

Closed-

Approved 18-JAN-11 01-MAR-11 13 5.5 7.5 74 9

Medicare

Supplement

Individua

Standardized

Pre

Loyal American Life


MS05I Individual

Medicare

Supplement -


Closed-

Approved 22-DEC-10 01-NOV-10 12 10.75 1.25 102.2 8.9

Medicare

Supplement

Individua

Standardized

Pre

Loyal American Life


MS05I Individual

Medicare

Supplement -


Closed-

Approved 09-AUG-10 01-NOV-10 13 13 0 86.5 8

Medicare

Supplement

Individua

Standardized

Pre

Loyal American Life


MS08I Individual

Medicare

Supplement -

Standard Plans

2010 UTAC-126806951 154 13-SEP-10

Closed-

Disapproved 23-NOV-10 01-JAN-11 9 0 9

Medicare

Supplement

Individua

Standardized

Pre

Medico Insurance

Company 31119

MS05I Individual

Medicare

Supplement -


Closed-


Medicare

Supplement

Individua

Standardized

Pre

Medico Insurance

Company 31119

MS05I Individual

Medicare

Supplement -


Closed-

Approved 26-OCT-10 01-DEC-10 0 0 0 81.91 8

Medicare

Supplement

Individua

Standardized

Pre


Nationwide Life


MS05I Individual

Medicare

Supplement -

Standard Plans UNAM-126706707 17 06-JUL-10

Closed-

Approved 27-JUL-10 01-SEP-10 7.5 7.5 0 93 7.5

Medicare

Supplement

Individua

Standardized

Pre


Company 67628

MS06 Medicare

Supplement - Other PEKN-126917737 3136 23-NOV-10

Closed-

Approved 04-JAN-11 01-MAR-11 4.06 4.06 0 77.6 6

Medicare

Supplement

Individua

Standardized

Pre


Company 67628

MS08I Individual

Medicare

Supplement -

Standard Plans

2010 UHAS-126778607 34 20-AUG-10

Closed-

Approved 15-DEC-10 01-JAN-11 -14.7 -14.7 0 75 6

Medicare

Supplement

Individua

Standardized

Pre

Pennsylvania Life


MS05I Individual

Medicare

Supplement -

Standard Plans UNAM-126907657 163 16-NOV-10

Closed-


Medicare

Supplement

Individua

Standardized

Pre

Physicians Life


MS05I Individual

Medicare

Supplement -

Standard Plans PHYS-126980425 1992 11-JAN-11

Closed-

Approved 25-JAN-11 01-JUN-11 7 5.6 1.4 77.7 7

Medicare

Supplement

Individua

Standardized

Pre

Royal Neighbors of

America 57657

MS06 Medicare

Supplement - Other IASL-126916213 2154 23-NOV-10

Closed-

Approved 24-JAN-11 01-MAR-11 20 12 8 100.2 9

Medicare

Supplement

Individua

Standardized

Pre

Shenandoah Life


MS06 Medicare

Supplement - Other IASL-126803200 664 07-SEP-10

Closed-

Approved 28-DEC-10 01-MAR-11 30 11.25 18.75 92.3 11.18

Medicare

Supplement

Individua

Standardized

Pre

Sterling Investors Life


MS06 Medicare

Supplement - Other IASL-126708023 686 06-JUL-10

Closed-

Approved 13-SEP-10 01-NOV-10 23.8 19 4.8 85.6 11.18

Medicare

Supplement

Individua

Standardized

Pre

Sterling Life


MS05I Individual

Medicare

Supplement -

Standard Plans STLG-126646220 62 02-JUN-10

Closed-

Approved 22-DEC-10 01-MAR-11 4.83 4.83 0 83.7 6

Medicare

Supplement

Individua

Standardized

Pre


Unified Life Insurance

Company 11121

MS06 Medicare

Supplement - Other UNLI-126802863 2 15-NOV-10

Closed-

Disapproved 21-JAN-11 01-JAN-11 4 0 4

Medicare

Supplement

Individua

Standardized

Pre

United of Omaha Life


MS05I Individual

Medicare

Supplement -

Standard Plans MUTA-126747096 5630 05-AUG-10

Closed-

Approved 29-OCT-10 01-DEC-10 13 13 0 82.5 9

Medicare

Supplement

Individua

Standardized

Pre

United of Omaha Life


MS08I Individual

Medicare

Supplement -

Standard Plans

2010 MUTA-126696594 2956 08-JUL-10

Closed-

Disapproved 25-AUG-10 01-OCT-10 13 0 13

Medicare

Supplement

Individua

Standardized

Pre

United Teacher


Company 63479

MS05I Individual

Medicare

Supplement -

Standard Plans UTAC-126678444 922 25-JUN-10

Closed-

Approved 11-AUG-10 01-NOV-10 16 10.65 5.35 75.2 9.9

Medicare

Supplement

Individua

Standardized

Pre

United Teacher


Company 63479

MS05I Individual

Medicare

Supplement -

Standard Plans UTAC-126863386 224 19-OCT-10

Closed-

Approved 29-DEC-10 19-FEB-11 6 6 0 75 6

Medicare

Supplement

Individua

Standardized

Pre

United Teacher


Company 63479

MS05I Individual

Medicare

Supplement -

Standard Plans UTAC-126898912 104 10-NOV-10

Closed-

Approved 21-FEB-11 01-MAR-11 6 3 3 81.2 6

Medicare

Supplement

Individua

Standardized

Pre

Washington National


MS05I Individual

Medicare

Supplement -

Standard Plans CSCM-126761238 509 19-AUG-10

Closed-

Approved 03-NOV-10 09-APR-11 6.3 6.3 0 78.6 4

Medicare

Supplement

Individua

Standardized

Pre

World Corp Insurance

Company 79987

MS08I Individual

Medicare

Supplement -

Standard Plans

2010 AMRP-126711947 0 09-JUL-10

Closed-

Approved 02-AUG-10 01-OCT-10 0 0 0 78.3 6

Medicare

Supplement

Individua

Standardized

Pre


Company 79987

MS08I Individual

Medicare

Supplement -

Standard Plans

2010 AMRP-126911893 0 02-DEC-10

Closed-

Disapproved 30-DEC-10 01-APR-11 4.2 0 4.2

Medicare

Supplement

Individua

Standardized

Pre



Company 79987

MS08I Individual

Medicare

Supplement -

Standard Plans

2010 AMRP-127039336 0 16-FEB-11

Closed-

Disapproved 22-FEB-11 01-MAY-11 4.2 0 4.2

Medicare

Supplement

Individua

Standardized

Pre

World Insurance

Company 70629

MS05I Individual

Medicare

Supplement -

Standard Plans AMRP-126856083 11 10-NOV-10

Closed-

Disapproved 29-DEC-10 01-JAN-11 4 0 4

Medicare

Supplement

Individua

Standardized

Pre

Central States Health

& Life Co. of Omaha 61751

MS05I Individual

Medicare

Supplement -

Standard Plans NELI-126956088 111 20-DEC-10

Closed-

Approved 25-JAN-11 01-JUN-11 7 0 7 64.86 7

Medicare

Supplement

Individua

Standardized

Pre

Everence

Association, Inc. 57991

MS08I Individual

Medicare

Supplement -

Standard Plans

2010 MMAA-126935205 2970 10-DEC-10

Closed-

Approved 22-FEB-11 01-APR-11 5.69 5.67 0.02 73.8 5.29

Medicare

Supplement

Individua

Standardized

Pre

World Insurance

Company 70629

MS05I Individual

Medicare

Supplement -

Standard Plans AMRP-127038995 10 16-FEB-11

Closed-

Approved 22-FEB-11 01-MAY-11 4 4 0 76.5 6

Medicare

Supplement

Individua

Standardized

Pre

serff closed rate filing report 5/1/2010-2/28/2011...(hmo) phin-126802287 28 09-sep-10...

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