Product Type Number of Percent of Number of Number of Average Weighted Renewing Renewing Enrollees/ Enrollees/ Premium Average Groups Groups Covered Lives Covered PMPM Rate Change Affected By Lives After Unadjusted (number for Rate Change Offered Renewal each product Renewal type in Without A column 2 Rate divided by Change overall total) HMO PPO EPO POS HDHP Other (describe) Overall 100% HMO Health Maintenance Organization PPO Preferred Provider Organization – – EPO Exclusive Provider Organization POS Point-of-Service – – HDHP High Deductible Health Plan with or without Savings Options (HRA, HSA) – Describe Product Types, and any needed comments here. “Other” The number of plans sold during the 12-months that have materially different benefits, cost sharing, or other elements of benefit design. See Health and Safety Code section 1385.045(c)(1)(E) and Insurance Code section 10181.45(c)(1)(E) Please complete the following tables. In completing these tables, please see definition of Value” in the document Additional “Actuarial “SB546 – Information”:
Product Type Number of Renewing Groups Percent of Renewing Groups (number for each product type in column 2 divided by overall total) Number of Enrollees/ Covered Lives Affected By Rate Change Number of Enrollees/ Covered Lives Offered Renewal Without A Rate Change Average Premium PMPM After Renewal Weighted Average Rate Change Unadjusted HMO PPO EPO POS HDHP Other (describe) Overall 100% HMO – Health Maintenance Organization PPO – Preferred Provider Organization EPO – Exclusive Provider Organization POS – Point-of-Service HDHP – High Deductible Health Plan with or without Savings Options (HRA, HSA) Describe “Other” Product Types, and any needed comments here. The number of plans sold during the 12-months that have materially different benefits, cost sharing, or other elements of benefit design. See Health and Safety Code section 1385.045(c)(1)(E) and Insurance Code section 10181.45(c)(1)(E) Please complete the following tables. In completing these tables, please see definition of “Actuarial Value” in the document “SB546 – Additional Information”: