Florida Office of Insurance Regulation Product Review

Approved Life and Health Rate Change Requests CY2004

Retrieval Date: January 08, 2007

By providing the information contained in this summary, the Office of Insurance Regulation (OIR) does not endorse or recommend any particular carrier or plan. Consumers should carefully consider the benefits provided by each plan before selecting a particular plan. Additional information on particular carriers may be obtained by visiting the Department of Financal Services Consumer Services webpages. Additional information regarding a particular plan may be obtained by contacting the carrier directly. Please be aware that the premium rates contained in this summary are an overall average and not the final premium rates to be charged to the consumer. Additional adjustments may be made to the premium rates due to a number of factors based on information supplied by the consumer during the underwriting process. Therefore, this summary is intended to be referential information only. Please verify all premium rates with the applicable carrier.

Approved Accident and Health Rate Changes, CY2004

ACADEMY LIFE INSURANCE COMPANY84-0528301 60046

FLR 04-01770 3/4/2004 % Change Allowed 5.90Average Trend Allowed 0.00

Anniversary Allowed 5.90MEDICARE SUPPLEMENT OTHER

Reported Policies

63

833-0115-7/92Form/Plan

AETNA HEALTH INC.59-2411584 95088

HMO 03-14506 1/16/2004 % Change Allowed -4.30Average Trend Allowed 15.30

Anniversary Allowed 7.00HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

108,100

HMO Small GroupForm/Plan

HMO 04-07150 7/9/2004 % Change Allowed 0.00Average Trend Allowed 15.30

Anniversary Allowed 0.00HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

108

Open Access HSA Form/Plan

HMO 04-08472 9/3/2004 % Change Allowed 35.00Average Trend Allowed 0.00

Anniversary Allowed 35.00HEALTH MAINTENANCE ORGANIZATION GROUP CONVERSION

Reported Policies

4,389

CNV/FLForm/Plan

HMO 04-09284 9/21/2004 % Change Allowed -5.10Average Trend Allowed 14.00

Anniversary Allowed 4.70HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

107,531

HMO Small GroupForm/Plan

HMO 04-11190 11/22/2004 % Change Allowed 0.00Average Trend Allowed 14.00

Anniversary Allowed 4.50HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

109,940

HMO Small GroupForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 1 of 79

Approved Accident and Health Rate Changes, CY2004

AETNA LIFE INSURANCE COMPANY06-6033492 60054

FLH 04-05193 6/14/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00LONG TERM CARE OTHER

Reported Policies

135

N/AForm/Plan

FLH 04-11706 11/22/2004 % Change Allowed -7.50Average Trend Allowed 14.00

Anniversary Allowed 7.40GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

4,134

Small GroupForm/Plan

FLR 03-15201 1/23/2004 % Change Allowed 1.00Average Trend Allowed 15.00

Anniversary Allowed 17.10GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

4,377

Small GroupForm/Plan

FLR 04-02636 4/8/2004 % Change Allowed -3.70Average Trend Allowed 4.00

Anniversary Allowed 0.30GROUP HEALTH DENTAL

Reported Policies

43

Dental Care Plans I-26 to I-39Form/Plan

FLR 04-08398 8/18/2004 % Change Allowed 12.00Average Trend Allowed 0.00

Anniversary Allowed 12.00HEALTH CONVERSION

Reported Policies

504

11672-1Form/Plan11673-1Form/Plangr-30608Form/PlanGR-96202Form/Plan

FLR 04-08477 9/2/2004 % Change Allowed -7.00Average Trend Allowed 0.00

Anniversary Allowed -7.00GROUP HEALTH DISABILITY INCOME

Reported Policies

0

GR-1963-EForm/Plan

FLR 04-08975 8/20/2004 % Change Allowed 0.00Average Trend Allowed 6.00

Anniversary Allowed 6.00GROUP HEALTH DENTAL

Reported Policies

4,600

GR-9Form/Plan

FLR 04-11042 11/17/2004 % Change Allowed -1.00Average Trend Allowed 0.00

Anniversary Allowed -1.00GROUP HEALTH DISABILITY INCOME

Reported Policies

49

GR-1963-EForm/Plan

AF&L INSURANCE COMPANY23-2401229 35963

FLR 04-06726 7/2/2004 % Change Allowed 10.00Average Trend Allowed 0.00

Anniversary Allowed 10.00LONG TERM CARE OTHER

Reported Policies

2,258

LTC-4 and RidersForm/PlanLTC-7 and RidersForm/PlanQLTC_97 and RidersForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 2 of 79

Approved Accident and Health Rate Changes, CY2004

ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA41-1366075 90611

FLH 04-00072 3/19/2004 % Change Allowed 12.80Average Trend Allowed 13.00

Anniversary Allowed 25.80HEALTH EXCESS OR STOP LOSS

Reported Policies

5

EXCESS3-FL-01Form/PlanEXCESS4-FL-01Form/Plan

FLR 04-13385 12/8/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

36

N-1084-P-CForm/PlanVAP1030-AForm/PlanVAP1030-BForm/PlanVAP1030-DForm/PlanVAP1030-EForm/PlanVAP1030-FForm/PlanVAP1030-GForm/Plan

FLR 04-13819 12/14/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

11

D602(8-85) FLForm/PlanGSC1899Form/Plan

ALTA HEALTH & LIFE INSURANCE COMPANY59-1031071 67369

FLR 04-03170 5/4/2004 % Change Allowed 3.20Average Trend Allowed 0.00

Anniversary Allowed 3.20INDIVIDUAL HEALTH - HOSPITAL SURGICAL MEDICAL EXPENSE

Reported Policies

12,294

60065-0193Form/Plan

FLR 04-08233 9/3/2004 % Change Allowed -10.00Average Trend Allowed 0.00

Anniversary Allowed -10.00HEALTH EXCESS OR STOP LOSS

Reported Policies

0

NEL-CP1 (04-00) et alForm/Plan

FLR 04-08357 7/16/2004 % Change Allowed 4.44Average Trend Allowed 0.00

Anniversary Allowed 4.44INDIVIDUAL HEALTH - HOSPITAL SURGICAL MEDICAL EXPENSE

Reported Policies

12,294

60065-0193Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 3 of 79

Approved Accident and Health Rate Changes, CY2004

AMERICAN CAPITOL INSURANCE COMPANY74-1219404 60291

FLR 04-06261 7/7/2004 % Change Allowed 4.00Average Trend Allowed 0.00

Anniversary Allowed 4.00MEDICARE SUPPLEMENT OTHER

Reported Policies

30

376-1-RIDERForm/Plan376-2-RIDERForm/Plan376-3R-RIDERForm/PlanMED484Form/PlanP-181Form/PlanP-181RForm/PlanP-193Form/PlanP199Form/PlanP-222Form/PlanP-297RForm/PlanP-305Form/PlanP-320Form/PlanP-345Form/PlanP-352Form/PlanP-376Form/PlanP-376RForm/PlanP-605Form/PlanPB181INFLForm/PlanP-TX181Form/PlanP-TX185Form/PlanR-1274-RIDERForm/PlanR-191-A-RIDERForm/PlanR-192-RiderForm/PlanR-223-RIDERForm/PlanR-224-RIDERForm/PlanR-226-RIDERForm/PlanR-227-RIDERForm/PlanR-228-RIDERForm/PlanR-243-RIDERForm/PlanR-374-RIDERForm/Plan

AMERICAN FIDELITY ASSURANCE COMPANY73-0714500 60410

FLR 04-07294 7/12/2004 % Change Allowed 30.00Average Trend Allowed 0.00

Anniversary Allowed 30.00INDIVIDUAL HEALTH SPECIFIED DISEASE LIMITED BENEFIT

Reported Policies

625

C-3Form/PlanC-4Form/PlanC-5Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 4 of 79

Approved Accident and Health Rate Changes, CY2004

AMERICAN GENERAL LIFE & ACCIDENT INSURANCE COMPANY62-0306330 66672

FLR 04-02138 3/16/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

941

737Form/Plan738Form/Plan74087Form/Plan79190Form/PlanAGLA 76789Form/PlanAGLA 77089Form/PlanAGLA 79090Form/PlanAGLA 82192Form/PlanAGLA 82292Form/PlanMED-1Form/PlanMED1-REVForm/PlanMED-2Form/PlanMED2-REVForm/PlanSUPP-1Form/PlanSUPP-2Form/Plan

FLR 04-11450 10/26/2004 % Change Allowed 25.00Average Trend Allowed 0.00

Anniversary Allowed 25.00HEALTH OTHER

Reported Policies

3,114

Gulf 229Form/PlanLC 718 12/78Form/PlanLC 718 7/81-SForm/PlanLC 718 7-1-70 (Rev 6-1-76)Form/Plan

FLR 04-12266 12/9/2004 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50MEDICARE SUPPLEMENT OTHER

Reported Policies

864

737Form/Plan738Form/Plan74087Form/PlanAGLA 76789Form/PlanAGLA 77089Form/PlanAGLA 79090Form/PlanAGLA 79190Form/PlanAGLA 82192Form/PlanAGLA 82292Form/PlanMED-1Form/PlanMED1-REVForm/PlanMED-2Form/PlanMED2-REVForm/PlanSUPP-1Form/PlanSUPP-2Form/Plan

AMERICAN HEALTH AND LIFE INSURANCE COMPANY52-0696632 60518

FLR 04-11818 11/12/2004 % Change Allowed -5.00Average Trend Allowed 0.00

Anniversary Allowed -5.00CREDIT OTHER

Reported Policies

4,887

Credit Disability DeviationForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 5 of 79

Approved Accident and Health Rate Changes, CY2004

AMERICAN HERITAGE LIFE INSURANCE COMPANY59-0781901 60534

FLR 04-00098 2/17/2004 % Change Allowed 10.00Average Trend Allowed 0.00

Anniversary Allowed 10.00LONG TERM CARE OTHER

Reported Policies

1,341

BSC-HHCForm/PlanBSC-LTCForm/PlanPRM-HHCForm/PlanPRM-LTCForm/PlanQHHCForm/PlanQLTCForm/Plan

FLR 04-03637 4/29/2004 % Change Allowed 30.00Average Trend Allowed 0.00

Anniversary Allowed 30.00INDIVIDUAL HEALTH SPECIFIED DISEASE LIMITED BENEFIT

Reported Policies

10,543

CP4-1984-F, et alForm/Plan

AMERICAN INSURANCE COMPANY OF TEXAS75-1302312 81949

FLR 04-01495 3/26/2004 % Change Allowed 7.50Average Trend Allowed 0.00

Anniversary Allowed 7.50INDIVIDUAL HEALTH MAJOR MEDICAL - OTHER

Reported Policies

22

AGH91Form/PlanBMH92Form/PlanN259Form/PlanN270Form/PlanN277Form/Plan

FLR 04-09592 10/6/2004 % Change Allowed 7.00Average Trend Allowed 0.00

Anniversary Allowed 15.00INDIVIDUAL HEALTH MAJOR MEDICAL - OTHER

Reported Policies

18

AGH91Form/PlanBMH92Form/PlanN259Form/PlanN270Form/PlanN277Form/Plan

AMERICAN MEDICAL SECURITY LIFE INSURANCE COMPANY86-0207231 97179

FLR 04-11495 10/26/2004 % Change Allowed 0.00Average Trend Allowed 8.20

Anniversary Allowed 8.20GROUP HEALTH DENTAL

Reported Policies

10,603

CE-0005-00-1-00 1/91Form/PlanCE-A007-12-1-00 6/03Form/PlanCE-B005-12-1-00 6/03Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 6 of 79

Approved Accident and Health Rate Changes, CY2004

AMERICAN NATIONAL INSURANCE COMPANY74-0484030 60739

FLR 04-06049 6/30/2004 % Change Allowed 47.00Average Trend Allowed 0.00

Anniversary Allowed 47.00HEALTH CONVERSION

Reported Policies

0

FLCONV(2001)Form/Plan

FLR 04-11123 10/15/2004 % Change Allowed 4.00Average Trend Allowed 0.00

Anniversary Allowed 4.00MEDICARE SUPPLEMENT OTHER

Reported Policies

12

GMS-2Form/PlanGMS-3Form/Plan

FLR 04-11124 10/22/2004 % Change Allowed 9.50Average Trend Allowed 0.00

Anniversary Allowed 9.50INDIVIDUAL HEALTH SPECIFIED DISEASE LIMITED BENEFIT

Reported Policies

316

888Form/PlanCANBForm/PlanCANMForm/PlanCANM93Form/Plan

FLR 04-11128 11/3/2004 % Change Allowed 9.50Average Trend Allowed 0.00

Anniversary Allowed 9.50INDIVIDUAL HEALTH MAJOR MEDICAL - OTHER

Reported Policies

89

B93Form/PlanEMAForm/PlanEMBForm/PlanGMMBForm/PlanGMMCForm/PlanKM95Form/PlanKMM92Form/PlanKMMAForm/PlanKMMEForm/PlanKMMIForm/PlanKMMSForm/PlanKMMTForm/PlanS37Form/Plan

FLR 04-11237 10/19/2004 % Change Allowed 20.00Average Trend Allowed 0.00

Anniversary Allowed 20.00HEALTH CONVERSION

Reported Policies

0

FLCONV(2001)Form/PlanFLCONV(2004)Form/Plan

AMERICAN NATIONAL LIFE INS. CO. OF TEXAS75-1016594 71773

FLR 04-03022 4/20/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00HEALTH CONVERSION

Reported Policies

0

ANL-FLCONV(2001)Form/Plan

FLR 04-11127 11/3/2004 % Change Allowed 9.50Average Trend Allowed 0.00

Anniversary Allowed 9.50INDIVIDUAL HEALTH MAJOR MEDICAL - OTHER

Reported Policies

629

ANL-KM95Form/PlanANL-KMM92Form/PlanANL-KMMTForm/Plan

FLR 04-11236 10/19/2004 % Change Allowed 20.00Average Trend Allowed 0.00

Anniversary Allowed 20.00HEALTH CONVERSION

Reported Policies

1

ANL-FLCONV(2001)Form/PlanANL-FLCONV(2004)Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 7 of 79

Approved Accident and Health Rate Changes, CY2004

AMERICAN PIONEER LIFE INSURANCE COMPANY59-0935083 60763

FLR 03-15683 3/25/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

9,183

APL- MS- 92 Plan GForm/PlanAPL- MS-92 Plan HForm/PlanAPL-MS 92 Plan EForm/PlanAPL-MS92 Plan AForm/PlanAPL-MS-92 Plan BForm/PlanAPL-MS-92 Plan CForm/PlanAPL-MS-92 Plan DForm/PlanAPL-MS-92 Plan FForm/PlanAPL-MS-92 Plan Hi FForm/PlanAPL-MS-92 Plan IForm/PlanAPL-MS-92 Plan JForm/PlanFLN-MS-92 Plan HForm/PlanFNL-MS-92 Plan AForm/PlanFNL-MS-92 Plan BForm/PlanFNL-MS-92 Plan CForm/PlanFNL-MS-92 Plan DForm/PlanFNL-MS-92 Plan EForm/PlanFNL-MS-92 Plan FForm/PlanFNL-MS-92 Plan GForm/PlanFNL-MS-92 Plan IForm/PlanFNL-MS-92 Plan JForm/Plan

FLR 03-15690 4/13/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

32,495

APL-MS -604 Plan BForm/PlanAPL-MS-602 Plan DForm/PlanAPL-MS-604 Plan CForm/PlanAPL-MS-604 Plan FForm/PlanFNL MEDSEL Plan AForm/PlanFNL MEDSEL Plan BForm/PlanFNL-MEDSEL Plan CForm/Plan

FLR 04-06874 7/6/2004 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50MEDICARE SUPPLEMENT OTHER

Reported Policies

51

MS-600 Plan AForm/PlanMS-600 Plan CForm/PlanMS-600 Plan FForm/Plan

FLR 04-06917 7/6/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

3,657

GRP300Form/PlanMISCForm/PlanMS-182Form/PlanMS-183Form/PlanMS-189Form/PlanMS-90Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 8 of 79

Approved Accident and Health Rate Changes, CY2004

FLR 04-10451 11/8/2004 % Change Allowed 30.00Average Trend Allowed 0.00

Anniversary Allowed 30.00LONG TERM CARE OTHER

Reported Policies

3,085

HCCP-10-87Form/PlanHHC-800Form/PlanHHC-801Form/PlanHHC-802Form/PlanHHCP-94Form/PlanQHHC-802Form/Plan

AMERICAN PUBLIC LIFE INSURANCE COMPANY64-0349942 60801

FLR 04-09923 10/13/2004 % Change Allowed 30.00Average Trend Allowed 0.00

Anniversary Allowed 30.00INDIVIDUAL HEALTH SPECIFIED DISEASE LIMITED BENEFIT

Reported Policies

240

APL1Form/PlanAPLDForm/PlanAPLIC1Form/PlanAPLIC2Form/PlanAPLIC3Form/PlanAPM1Form/PlanBDCPAForm/PlanC200Form/PlanC440Form/PlanCDD1Form/PlanCJXXXX/AJL1Form/PlanCP10Form/PlanCP12/MHAA-1Form/PlanCP7Form/PlanCP8Form/PlanCP9Form/PlanGCPWForm/PlanSCDD1Form/PlanSCSD1/CSD1Form/Plan

FLR 04-10192 9/10/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

3

950Form/PlanRider 933Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 9 of 79

Approved Accident and Health Rate Changes, CY2004

AMERITAS LIFE INSURANCE CORP.47-0098400 61301

FLH 04-01383 3/23/2004 % Change Allowed -3.00Average Trend Allowed 8.80

Anniversary Allowed 5.80GROUP HEALTH DENTAL

Reported Policies

22,644

GR 9000 FL Ed. 8-94Form/Plan

FLR 04-01388 3/25/2004 % Change Allowed -9.00Average Trend Allowed 5.50

Anniversary Allowed -3.50GROUP HEALTH DENTAL

Reported Policies

3,908

GR 9221 Ed. 5-00Form/PlanGR 9251 Ed. 5-00Form/Plan

FLR 04-01389 3/25/2004 % Change Allowed -7.60Average Trend Allowed 0.00

Anniversary Allowed -7.60GROUP HEALTH DENTAL

Reported Policies

452

GR 9224 Ed. 5-00Form/PlanGR 9254 Ed. 5-00Form/Plan

FLR 04-08179 8/16/2004 % Change Allowed -3.90Average Trend Allowed 8.80

Anniversary Allowed 4.90GROUP HEALTH DENTAL

Reported Policies

25,913

GR 9000 FL Ed. 8-94Form/Plan

FLR 04-08413 8/27/2004 % Change Allowed -3.00Average Trend Allowed 5.50

Anniversary Allowed 2.50GROUP HEALTH DENTAL

Reported Policies

4,401

GR 9000 FL Ed. 8-94Form/PlanGR 9021 FL Ed. 8-94Form/Plan

FLR 04-08414 8/27/2004 % Change Allowed -1.40Average Trend Allowed 0.00

Anniversary Allowed -1.40GROUP HEALTH DENTAL

Reported Policies

131

GR 9000 FL Ed. 8-94Form/PlanGR 9021 FL Ed. 8-94Form/Plan

AUTO-OWNERS LIFE INSURANCE COMPANY38-1814333 61190

FLR 04-06114 6/29/2004 % Change Allowed 5.00Average Trend Allowed 0.00

Anniversary Allowed 5.00MEDICARE SUPPLEMENT OTHER

Reported Policies

50

50277Form/Plan

AVEMCO INSURANCE COMPANY52-0795746 10367

FLR 04-00813 3/5/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00HEALTH EXCESS OR STOP LOSS

Reported Policies

3

Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 10 of 79

Approved Accident and Health Rate Changes, CY2004

AVMED, INC.59-2742907 95263

HMO 03-15738 1/14/2004 % Change Allowed 0.00Average Trend Allowed 14.00

Anniversary Allowed 14.00HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

2,096

AV-G100-2003Form/Plan

HMO 04-00487 3/4/2004 % Change Allowed 33.00Average Trend Allowed 0.00

Anniversary Allowed 33.00HEALTH MAINTENANCE ORGANIZATION GROUP CONVERSION

Reported Policies

579

ConversionForm/Plan

HMO 04-06572 8/6/2004 % Change Allowed -6.40Average Trend Allowed 14.00

Anniversary Allowed 6.70HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

1,787

AV-G100-2003Form/Plan

BANKERS FIDELITY LIFE INSURANCE COMPANY58-0658963 61239

FLR 04-04360 6/10/2004 % Change Allowed 4.90Average Trend Allowed 0.00

Anniversary Allowed 20.30MEDICARE SUPPLEMENT OTHER

Reported Policies

535

B 9200 AForm/PlanB 9200 BForm/PlanB 9200 CForm/PlanB 9200 DForm/PlanB 9200 FForm/Plan

FLR 04-05528 5/17/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

25

MS 2083Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 11 of 79

Approved Accident and Health Rate Changes, CY2004

BANKERS LIFE AND CASUALTY COMPANY36-0770740 61263

FLR 04-12280 12/6/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

4,929

172EForm/Plan172UForm/Plan172VForm/Plan174NForm/Plan184AForm/PlanCER-900Form/PlanCR-93TForm/PlanGR-73SForm/PlanGR-75CForm/PlanGR-75RForm/PlanGR-A002Form/PlanGR-A020Form/PlanP1-67720-A & RidersForm/Plan

FLR 04-12984 12/22/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

6,670

GR-A05AForm/PlanGR-A05BForm/PlanGR-A05CForm/PlanGR-A05DForm/PlanGR-A05EForm/PlanGR-A05FForm/PlanGR-A05GForm/PlanGR-A05HForm/PlanGR-A05IForm/PlanGR-A06AForm/PlanGR-A06BForm/PlanGR-A06CForm/PlanGR-A06DForm/PlanGR-A06EForm/PlanGR-A06FForm/PlanGR-A06FHForm/PlanGR-A06GForm/PlanGR-A25BForm/PlanGR-A25CForm/PlanGR-A25FForm/PlanGR-A70AForm/PlanGR-A70BForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 12 of 79

Approved Accident and Health Rate Changes, CY2004

FLR 04-13056 12/23/2004 % Change Allowed 4.00Average Trend Allowed 0.00

Anniversary Allowed 4.00MEDICARE SUPPLEMENT OTHER

Reported Policies

8,981

GR-A11A Iss < 6/19/00Form/PlanGR-A11A Iss >6/18/00Form/PlanGR-A11B Iss <6/19/00Form/PlanGR-A11B Iss>6/18/00Form/PlanGR-A11C Iss <6/19/00Form/PlanGR-A11C Iss>6/18/00Form/PlanGR-A11D Iss <6/19/00Form/PlanGR-A11D Iss>6/18/00Form/PlanGR-A11E Iss <6/19/00Form/PlanGR-A11E Iss>6/18/00Form/PlanGR-A11F Iss <6/19/00Form/PlanGR-A11F Iss>6/18/00Form/PlanGR-A11G Iss <6/19/00Form/PlanGR-A11G Iss>6/18/00Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 13 of 79

Approved Accident and Health Rate Changes, CY2004

BLUE CROSS & BLUE SHIELD OF FLORIDA, INC.59-2015694 98167

FLH 04-09602 9/29/2004 % Change Allowed 0.00Average Trend Allowed 15.00

Anniversary Allowed 0.00GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

0

20792-0604BCA, et al.Form/Plan

FLR 04-00826 2/10/2004 % Change Allowed 11.20Average Trend Allowed 0.00

Anniversary Allowed 11.20MEDICARE SUPPLEMENT OTHER

Reported Policies

456

See Exhibit IForm/Plan

FLR 04-00996 2/26/2004 % Change Allowed 11.90Average Trend Allowed 0.00

Anniversary Allowed 11.90INDIVIDUAL HEALTH MAJOR MEDICAL - OTHER

Reported Policies

147,080

19458-0800Form/Plan

FLR 04-02534 4/26/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

45,520

5170-1283RForm/Plan6152-983Form/Plan6317-584Form/Plan7545-1088RForm/Plan7547-1088RForm/Plan7549-1088RForm/Plan7551-390SRForm/Plan7553-390SRForm/Plan7555-390SRForm/Plan8273-589SRForm/Plan8718-390SRForm/Plan8744-390SRForm/Plan

FLR 04-02535 5/11/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

78,327

10261-104R CAForm/Plan9577-104R CAForm/Plan9579-104R CAForm/Plan9581-104R CRForm/Plan9782-104R CAForm/Plan

FLR 04-02536 4/27/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

85,998

13091-104R CAForm/Plan15362-104R CAForm/Plan15363-104R CAForm/Plan9823-104R CAForm/Plan9851-104R CAForm/Plan

FLR 04-03244 5/20/2004 % Change Allowed -17.20Average Trend Allowed 0.00

Anniversary Allowed -17.20INDIVIDUAL HEALTH - HOSPITAL SURGICAL MEDICAL EXPENSE

Reported Policies

6,215

9066-890SRForm/Plan9068-890SRForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 14 of 79

Approved Accident and Health Rate Changes, CY2004

FLR 04-09309 10/26/2004 % Change Allowed 25.10Average Trend Allowed 0.00

Anniversary Allowed 25.10HEALTH CONVERSION

Reported Policies

2,062

10052-193SRForm/Plan15841-1197CAForm/Plan7960-688SRForm/Plan7966-688SRForm/Plan

FLR 04-10481 9/29/2004 % Change Allowed -5.30Average Trend Allowed 14.00

Anniversary Allowed 8.90GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

63,758

13014-195SR, et alForm/Plan

FLR 04-10492 9/29/2004 % Change Allowed -1.00Average Trend Allowed 14.00

Anniversary Allowed 12.90GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

7,549

60765-0603 BCA, et alForm/Plan

FLR 04-12152 12/6/2004 % Change Allowed 19.00Average Trend Allowed 0.00

Anniversary Allowed 19.00INDIVIDUAL HEALTH MAJOR MEDICAL - OTHER

Reported Policies

8,359

5477-0487Form/Plan5817-1182Form/Plan

FLR 04-13353 12/21/2004 % Change Allowed 9.00Average Trend Allowed 0.00

Anniversary Allowed 9.00INDIVIDUAL HEALTH MAJOR MEDICAL - OTHER

Reported Policies

17,166

60928 1101Form/Plan

BOSTON MUTUAL LIFE INSURANCE COMPANY04-1106240 61476

FLR 03-14846 1/13/2004 % Change Allowed -2.50Average Trend Allowed 0.00

Anniversary Allowed -2.50GROUP HEALTH DISABILITY INCOME

Reported Policies

26

GDP100Form/Plan

FLR 04-08780 8/31/2004 % Change Allowed 8.70Average Trend Allowed 0.00

Anniversary Allowed 8.70GROUP HEALTH DISABILITY INCOME

Reported Policies

2,257

GDP-100Form/Plan

FLR 04-12408 12/14/2004 % Change Allowed -2.60Average Trend Allowed 7.00

Anniversary Allowed 4.40GROUP HEALTH DENTAL

Reported Policies

2,041

GDNT-12/98Form/Plan

CANADA LIFE ASSURANCE COMPANY38-0397420 80659

FLR 04-05475 6/16/2004 % Change Allowed 0.00Average Trend Allowed 8.50

Anniversary Allowed 8.50GROUP HEALTH DENTAL

Reported Policies

3,195

GTC98Form/Plan

CAPITAL HEALTH PLAN, INC.59-1830622 95112

HMO 04-03383 4/28/2004 % Change Allowed -1.60Average Trend Allowed 14.30

Anniversary Allowed 12.80HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

10,415

Small GroupForm/Plan

HMO 04-10298 9/27/2004 % Change Allowed 0.00Average Trend Allowed 14.30

Anniversary Allowed 0.00HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

0

HMO Small GroupForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 15 of 79

Approved Accident and Health Rate Changes, CY2004

CARE ACCESS HEALTH PLAN, INC.65-1178724

FLP 04-12194 11/4/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00HEALTH CLINICS

Reported Policies

67

CAHP-IMCH 7/01/03Form/Plan

CELTIC INSURANCE COMPANY06-0641618 80799

FLR 04-03480 5/6/2004 % Change Allowed 35.00Average Trend Allowed 0.00

Anniversary Allowed 35.00HEALTH CONVERSION

Reported Policies

96

I-153-P-FLForm/PlanI5-712-00067-FL-REVForm/Plan

FLR 04-10764 11/19/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

6,012

MS POL A-FLForm/PlanMS POL B-FLForm/PlanMS POL C-FLForm/PlanMS POL F-FLForm/PlanMS POL -FL-IForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 16 of 79

Approved Accident and Health Rate Changes, CY2004

CENTRAL STATES HEALTH & LIFE COMPANY OF OMAHA47-0123035 61751

FLH 03-14613 1/5/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00INDIVIDUAL HEALTH SPECIFIED DISEASE LIMITED BENEFIT

Reported Policies

127

4737Form/Plan8318Form/Plan

FLR 04-04156 5/26/2004 % Change Allowed 8.60Average Trend Allowed 0.00

Anniversary Allowed 8.60MEDICARE SUPPLEMENT OTHER

Reported Policies

2,650

S01Form/PlanS02Form/PlanS03Form/PlanS04Form/PlanS06Form/PlanS38CForm/PlanS39CForm/PlanS40CForm/PlanS43CForm/Plan

FLR 04-04754 6/10/2004 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50MEDICARE SUPPLEMENT OTHER

Reported Policies

127

219Form/Plan279Form/Plan282Form/Plan286Form/Plan533Form/Plan557Form/Plan

FLR 04-08471 12/20/2004 % Change Allowed 60.00Average Trend Allowed 0.00

Anniversary Allowed 60.00INDIVIDUAL HEALTH SPECIFIED DISEASE LIMITED BENEFIT

Reported Policies

2,799

526Form/Plan527Form/Plan528Form/Plan565Form/PlanC01Form/PlanC02Form/PlanC09Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 17 of 79

Approved Accident and Health Rate Changes, CY2004

CENTRAL UNITED LIFE INSURANCE COMPANY42-0884060 61883

FLR 04-00801 2/18/2004 % Change Allowed 15.00Average Trend Allowed 0.00

Anniversary Allowed 15.00HEALTH CONVERSION

Reported Policies

18

H3895Form/PlanHN200Form/PlanTCBS1Form/Plan

FLR 04-11673 11/16/2004 % Change Allowed 8.00Average Trend Allowed 0.00

Anniversary Allowed 8.00HEALTH OTHER

Reported Policies

87

GCSCERTForm/PlanGCSCERTFLForm/Plan

FLR 04-13096 12/23/2004 % Change Allowed 11.00Average Trend Allowed 0.00

Anniversary Allowed 11.00INDIVIDUAL HEALTH MAJOR MEDICAL - OTHER

Reported Policies

184

MMGRORForm/Plan

FLR 04-14117 12/22/2004 % Change Allowed 5.00Average Trend Allowed 0.00

Anniversary Allowed 5.00MEDICARE SUPPLEMENT OTHER

Reported Policies

56

EMP500-7Form/PlanM712Form/PlanMS-81Form/Plan

CIGNA DENTAL HEALTH OF FLORIDA, INC.59-1611217 52021

FLP 04-07332 7/29/2004 % Change AllowedAverage Trend Allowed

Anniversary AllowedPREPAID DENTAL SERVICE PLAN CORPORATION

Reported Policies

144

91920, ET ALForm/Plan

CIGNA HEALTHCARE OF FLORIDA, INC.59-2089259 95136

HMO 04-02513 4/15/2004 % Change Allowed 35.00Average Trend Allowed 0.00

Anniversary Allowed 35.00HEALTH MAINTENANCE ORGANIZATION GROUP CONVERSION

Reported Policies

379

ConversionForm/Plan

HMO 04-05885 6/17/2004 % Change Allowed 1.80Average Trend Allowed 14.50

Anniversary Allowed 16.00HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

817

FLSER-BForm/Plan

CINCINNATI LIFE INSURANCE COMPANY (THE)31-1213778 76236

FLH 03-15825 1/16/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

7

6655Form/PlanLI-1588, LI-1590Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 18 of 79

Approved Accident and Health Rate Changes, CY2004

CITRUS HEALTH CARE, INC.13-4247706 11836

HMO 04-05705 6/24/2004 % Change Allowed -8.60Average Trend Allowed 10.40

Anniversary Allowed -8.60HEALTH MAINTENANCE ORGANIZATION INDIVIDUAL INDIVIDUAL

Reported Policies

69

ENR.COC 0703Form/Plan

HMO 04-13840 12/16/2004 % Change Allowed 0.00Average Trend Allowed 12.60

Anniversary Allowed 10.40HEALTH MAINTENANCE ORGANIZATION INDIVIDUAL INDIVIDUAL

Reported Policies

478

ENR.COC.0703Form/PlanENR.COC.0704Form/Plan

COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY57-0144607 62049

FLH 04-12653 12/3/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00INDIVIDUAL HEALTH ACCIDENT ONLY

Reported Policies

17,695

ACCPOL-O-FL-RevForm/PlanR-FX-DL-FLForm/Plan

FLR 04-04373 4/26/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

1

MSUP-AForm/Plan

COMBINED INSURANCE COMPANY OF AMERICA36-2136262 62146

FLR 04-09173 9/29/2004 % Change Allowed 6.30Average Trend Allowed 0.00

Anniversary Allowed 6.30MEDICARE SUPPLEMENT OTHER

Reported Policies

1,008

14971Form/Plan14972Form/Plan14973Form/Plan14974Form/Plan19364Form/Plan

FLR 04-09333 9/24/2004 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50MEDICARE SUPPLEMENT OTHER

Reported Policies

248

14654Form/Plan14952Form/Plan14962Form/Plan14963Form/Plan7691Form/Plan7693Form/Plan7902Form/Plan7912Form/Plan8061Form/Plan8081Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 19 of 79

Approved Accident and Health Rate Changes, CY2004

COMPBENEFITS COMPANY59-2531815 52015

FLP 04-03222 4/20/2004 % Change Allowed 0.00Average Trend Allowed 3.00

Anniversary Allowed 3.00PREPAID DENTAL SERVICE PLAN CORPORATION

Reported Policies

2,840,110

C150 03/03Form/PlanC250 03/03Form/PlanC350 03/03Form/PlanC450 03/03Form/PlanC550 03/03Form/PlanCS150 03/03Form/PlanCS250 03/03Form/PlanCS305 03/03Form/PlanCS450 03/03Form/PlanSBPT [ ] 0897Form/PlanSBS [ ] 0897Form/Plan

COMPBENEFITS INSURANCE COMPANY74-2552026 60984

FLH 04-04661 5/26/2004 % Change Allowed -0.50Average Trend Allowed 6.00

Anniversary Allowed 5.50GROUP HEALTH DENTAL

Reported Policies

41,280

ADULTORTHO 0304Form/Plan

FLH 04-06774 8/18/2004 % Change Allowed -7.10Average Trend Allowed 0.00

Anniversary Allowed -7.10GROUP HEALTH DENTAL

Reported Policies

308,000

SCH-VCI (FL)Form/PlanVGRP-CERT.002Form/PlanVGRP-POLICY.002Form/Plan

CONNECTICUT GENERAL LIFE INSURANCE COMPANY06-0303370 62308

FLH 04-10255 10/12/2004 % Change Allowed 0.00Average Trend Allowed 16.00

Anniversary Allowed 0.00GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

0

FLPPOHIGHDEDUCTSTDSMEMPForm/Plan

FLR 04-05953 6/25/2004 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50MEDICARE SUPPLEMENT OTHER

Reported Policies

60

F-69468Form/PlanF-69469Form/Plan

FLR 04-06077 7/1/2004 % Change Allowed 0.00Average Trend Allowed 16.00

Anniversary Allowed 16.00GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

387

Small Group PPOForm/Plan

FLR 04-07619 8/16/2004 % Change Allowed 35.00Average Trend Allowed 0.00

Anniversary Allowed 35.00HEALTH CONVERSION

Reported Policies

1,037

FL-MM CONVForm/PlanFL-STD CONV-98Form/PlanFL-STD PPO CONV-98Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 20 of 79

Approved Accident and Health Rate Changes, CY2004

CONSECO SENIOR HEALTH INSURANCE COMPANY23-0704970 76325

FLR 03-14049 1/20/2004 % Change Allowed 27.00Average Trend Allowed 0.00

Anniversary Allowed 27.00LONG TERM CARE OTHER

Reported Policies

13,826

10860Form/Plan10921Form/Plan10938AForm/Plan10955Form/Plan10967Form/Plan11001Form/Plan11006Form/PlanATL-FQ-LTCForm/PlanATL-FQ-NHForm/PlanATL-LTC-1Form/PlanATL-LTC-3Form/PlanATL-LTC-6Form/PlanATL-LTC-89Form/PlanCSHIC-5000/5003Form/PlanCSHIC-5001/5004Form/PlanD425/D428Form/Plan

FLR 04-01213 3/9/2004 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50MEDICARE SUPPLEMENT OTHER

Reported Policies

626

10567Form/Plan10636Form/Plan260Form/Plan261Form/Plan262Form/Plan263Form/PlanATL-CATForm/PlanATL-MS-2Form/PlanMC786FLForm/PlanMS771Form/PlanMS776Form/PlanSC788FLForm/Plan

FLR 04-01631 3/9/2004 % Change Allowed 5.00Average Trend Allowed 0.00

Anniversary Allowed 5.00MEDICARE SUPPLEMENT OTHER

Reported Policies

46

ATL-MS92 Plan AForm/PlanATL-MS92 Plan CForm/PlanATL-MS92 Plan FForm/Plan

FLR 04-03330 5/26/2004 % Change Allowed 50.00Average Trend Allowed 0.00

Anniversary Allowed 50.00LONG TERM CARE OTHER

Reported Policies

15,207

10922/10940AForm/PlanATL-HHC-1Form/PlanATL-HHC-2Form/PlanATL-HHC-3,4,5Form/PlanATL-HHC-6Form/PlanATL-HHC-87Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 21 of 79

Approved Accident and Health Rate Changes, CY2004

CONSTITUTION LIFE INSURANCE COMPANY36-1824600 62359

FLR 04-01238 3/9/2004 % Change Allowed 5.60Average Trend Allowed 0.00

Anniversary Allowed 5.60MEDICARE SUPPLEMENT OTHER

Reported Policies

3,352

CMSI-00-Plan A FLForm/PlanCMSI-00-Plan B FLForm/PlanCMSI-00-Plan C FLForm/PlanCMSI-00-Plan D FLForm/PlanCMSI-00-Plan F-FLForm/PlanCMSI-S-00 Plan B FLForm/PlanCMSI-S-00 Plan C FLForm/PlanCMSI-S-00 Plan D FLForm/PlanCMSI-S-00 Plan F FLForm/Plan

CONTINENTAL ASSURANCE COMPANY36-0947200 62413

FLH 03-14054 1/7/2004 % Change Allowed 35.00Average Trend Allowed 0.00

Anniversary Allowed 35.00HEALTH CONVERSION

Reported Policies

28

P3-89231-C09Form/Plan

FLH 04-01991 4/13/2004 % Change Allowed 0.00Average Trend Allowed 15.00

Anniversary Allowed 0.00GROUP HEALTH HOSPITAL SURGICAL MEDICAL EXPENSE ANY SIZE GROUP

Reported Policies

312

R-HP-09; R-HC-09Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 22 of 79

Approved Accident and Health Rate Changes, CY2004

CONTINENTAL GENERAL INSURANCE COMPANY47-0463747 71404

FLH 04-08455 9/3/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00HEALTH CONVERSION

Reported Policies

0

CG I12000-14FLForm/PlanRID-1882Form/Plan

FLH 04-12461 11/30/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00INDIVIDUAL HEALTH ACCIDENT ONLY

Reported Policies

46

810Form/PlanRID-1904Form/Plan

FLR 03-15109 1/2/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

346

324Form/Plan333Form/Plan8701-470Form/Plan8701-471Form/Plan8907-472Form/Plan8907-473Form/Plan

FLR 03-15479 1/14/2004 % Change Allowed 5.20Average Trend Allowed 0.00

Anniversary Allowed 5.20MEDICARE SUPPLEMENT OTHER

Reported Policies

138

360Form/Plan361Form/Plan362Form/Plan363Form/Plan364Form/Plan

FLR 04-02152 3/23/2004 % Change Allowed 15.00Average Trend Allowed 0.00

Anniversary Allowed 15.00INDIVIDUAL HEALTH MAJOR MEDICAL - OTHER

Reported Policies

14,490

01AForm/Plan01BForm/Plan01CForm/Plan116Form/Plan16AForm/Plan

FLR 04-09045 8/3/2004 % Change Allowed 15.00Average Trend Allowed 0.00

Anniversary Allowed 15.00INDIVIDUAL HEALTH - HOSPITAL SURGICAL MEDICAL EXPENSE

Reported Policies

74

105Form/Plan106Form/PlanHS1Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 23 of 79

Approved Accident and Health Rate Changes, CY2004

CONTINENTAL LIFE INS. CO. OF BRENTWOOD, TENNESSEE62-1181209 68500

FLR 03-15498 1/29/2004 % Change Allowed 5.00Average Trend Allowed 0.00

Anniversary Allowed 5.00MEDICARE SUPPLEMENT OTHER

Reported Policies

69

EC-1Form/PlanSC-IIIForm/Plan

FLR 04-03340 4/20/2004 % Change Allowed 7.00Average Trend Allowed 0.00

Anniversary Allowed 7.00MEDICARE SUPPLEMENT OTHER

Reported Policies

11,099

MSF-A (TC1-A)Form/PlanMSF-B (TC1-B)Form/PlanMSF-C (TC1-C)Form/PlanMSF-D (TC1-D)Form/PlanMSF-F (TC1-F)Form/PlanMSF-G (TC1-G)Form/PlanNC1-AForm/PlanNC1-BForm/PlanNC1-CForm/PlanNC1-DForm/PlanNC1-EForm/PlanNC1-FForm/PlanNC1-GForm/PlanNC1-HForm/PlanNC1-IForm/Plan

DELTA DENTAL INSURANCE COMPANY94-2761537 81396

FLH 03-15654 2/9/2004 % Change Allowed 0.00Average Trend Allowed 5.00

Anniversary Allowed 0.00GROUP HEALTH DENTAL

Reported Policies

0

Form/Plan

FLH 04-03618 5/4/2004 % Change Allowed 0.00Average Trend Allowed 5.00

Anniversary Allowed 5.00GROUP HEALTH DENTAL

Reported Policies

0

10-C-CHOICE(2004)Form/Plan

FLP 04-09275 10/1/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00PREPAID LIMITED HEALTH SERVICE ORGANIZATION

Reported Policies

300

FLA45, ET ALForm/Plan

FLP 04-09282 10/1/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00PREPAID LIMITED HEALTH SERVICE ORGANIZATION

Reported Policies

1,986

FLA44, ET ALForm/Plan

FLR 03-15796 2/10/2004 % Change Allowed -16.15Average Trend Allowed 0.00

Anniversary Allowed -16.15GROUP HEALTH DENTAL

Reported Policies

81,277

FL-CC-FHKC(2001)Form/PlanFL-CC-FHKT(2001)Form/Plan

FLR 04-03627 3/31/2004 % Change Allowed 0.00Average Trend Allowed 5.00

Anniversary Allowed 5.00GROUP HEALTH DENTAL

Reported Policies

134,874

FL-C-PPO(1994)Form/PlanFL-C-TOA(1995)Form/PlanFL-C-UCR(1995)Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 24 of 79

Approved Accident and Health Rate Changes, CY2004

FIDELITY SECURITY LIFE INSURANCE COMPANY43-0949844 71870

FLH 03-15426 1/23/2004 % Change Allowed 0.00Average Trend Allowed 8.04

Anniversary Allowed 0.00GROUP HEALTH DENTAL

Reported Policies

0

Form/Plan

FLR 04-02163 3/5/2004 % Change Allowed 0.00Average Trend Allowed 18.00

Anniversary Allowed 18.00INDIVIDUAL HEALTH PRESCRIPTION DRUG

Reported Policies

28

M-9052FLForm/Plan

FLR 04-02338 4/2/2004 % Change Allowed 0.00Average Trend Allowed 6.00

Anniversary Allowed 6.00GROUP HEALTH DENTAL

Reported Policies

317

M-9037FLForm/Plan

FLR 04-08263 8/9/2004 % Change Allowed 0.00Average Trend Allowed 18.00

Anniversary Allowed 18.00INDIVIDUAL HEALTH PRESCRIPTION DRUG

Reported Policies

82

M-9042FL(07/04)Form/Plan

FLR 04-09965 8/27/2004 % Change Allowed 0.00Average Trend Allowed 3.50

Anniversary Allowed 3.50GROUP HEALTH DENTAL

Reported Policies

44,368

M-9004FLForm/Plan

FLORIDA COMBINED LIFE INSURANCE COMPANY59-2876465 76031

FLR 03-15259 1/26/2004 % Change Allowed 1.12Average Trend Allowed 2.60

Anniversary Allowed 3.72GROUP HEALTH DENTAL

Reported Policies

0

50484-0802Form/Plan

FLR 04-13509 12/9/2004 % Change Allowed 0.00Average Trend Allowed 4.00

Anniversary Allowed 4.00GROUP HEALTH DENTAL

Reported Policies

9,784

50527-0603Form/Plan

FLORIDA COMPREHENSIVE HEALTH ASSOCIATION59-2339274

FLH 04-10643 10/12/2004 % Change Allowed 10.00Average Trend Allowed 0.00

Anniversary Allowed 10.00HEALTH CONVERSION

Reported Policies

462

FCHA 4001Form/PlanFCHA-4002Form/Plan

FLORIDA HEALTH CARE PLAN, INC.59-3222484 95124

HMO 03-14766 1/13/2004 % Change Allowed 16.30Average Trend Allowed 0.00

Anniversary Allowed 16.30HEALTH MAINTENANCE ORGANIZATION GROUP CONVERSION

Reported Policies

846

ConvForm/Plan

HMO 04-12094 12/2/2004 % Change Allowed 6.70Average Trend Allowed 0.00

Anniversary Allowed 6.70HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

3,727

HMO Small GroupForm/Plan

HMO 04-12365 12/6/2004 % Change Allowed 11.80Average Trend Allowed 0.00

Anniversary Allowed 11.80HEALTH MAINTENANCE ORGANIZATION GROUP CONVERSION

Reported Policies

917

ConvForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 25 of 79

Approved Accident and Health Rate Changes, CY2004

FORT DEARBORN LIFE INSURANCE COMPANY36-2598882 71129

FLH 04-10211 10/7/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00GROUP HEALTH DISABILITY INCOME

Reported Policies

265

FDL1-504-504-PDForm/Plan

GENWORTH LIFE AND HEALTH INSURANCE COMPANY06-0893662 80926

FLR 04-02983 4/17/2004 % Change Allowed -0.97Average Trend Allowed 8.50

Anniversary Allowed 7.50GROUP HEALTH DENTAL

Reported Policies

14,466

GC-A-1Form/Plan

GERBER LIFE INSURANCE COMPANY13-2611847 70939

FLR 04-06577 7/20/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

43

MS-92 AForm/PlanMS-92 BForm/PlanMS-92 DForm/PlanMS-92 FForm/PlanMS-92 GForm/Plan

FLR 04-07346 8/2/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

81

MS-901(Series V)Form/PlanMSA SeriesForm/Plan

GLOBE LIFE AND ACCIDENT INSURANCE COMPANY63-0782739 91472

FLR 04-05886 6/8/2004 % Change Allowed 8.00Average Trend Allowed 0.00

Anniversary Allowed 8.00MEDICARE SUPPLEMENT OTHER

Reported Policies

179

GREAT COMMONWEALTHForm/PlanMCP-2Form/PlanMCP-3Form/PlanMCP-4Form/PlanMEDSUP-2Form/PlanOA-640Form/PlanOA-650Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 26 of 79

Approved Accident and Health Rate Changes, CY2004

GOLDEN RULE INSURANCE COMPANY37-6028756 62286

FLR 03-15245 1/27/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

1,232

GRI-H-Plan AForm/PlanGRI-H-Plan GForm/Plan

FLR 04-04017 4/20/2004 % Change Allowed 16.00Average Trend Allowed 0.00

Anniversary Allowed 16.00INDIVIDUAL HEALTH MAJOR MEDICAL - OTHER

Reported Policies

9

GRI-H-1.1BPForm/PlanGRI-H-1aBPForm/PlanP-GH-9Form/Plan

FLR 04-06048 6/30/2004 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50MEDICARE SUPPLEMENT OTHER

Reported Policies

822

GRI-H-11Form/PlanGRI-H-11DForm/PlanGRI-H-11PForm/PlanGRI-H-12Form/PlanGRI-H-12DForm/PlanGRI-H-12PForm/PlanGRI-H-2Form/PlanGRI-H-2.1Form/PlanGRI-H-2.1PForm/PlanGRI-H-2PForm/Plan

FLR 04-08367 8/23/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

1,211

GRI-H-Plan AForm/PlanGRI-H-Plan GForm/Plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY84-0467907 68322

FLH 04-02161 5/18/2004 % Change Allowed 34.00Average Trend Allowed 0.00

Anniversary Allowed 34.00HEALTH CONVERSION

Reported Policies

152

J590-FL GeneralForm/PlanJ590-FL General PPOForm/PlanJ590-FL StandardForm/PlanJ590-FL Standard CForm/PlanJ590-FL Standard PPOForm/PlanJ590-FL Standard PPO CForm/Plan

FLR 04-06578 6/8/2004 % Change Allowed 16.00Average Trend Allowed 0.00

Anniversary Allowed 16.00HEALTH CONVERSION

Reported Policies

0

J590-FL-General (New BusinessForm/PlanJ590-FL-General-PPO (New BusiForm/PlanJ590-FL-Standard-A (New BusinForm/PlanJ590-FL-Standard-C (New BusinForm/PlanJ590-FL-Standard-PPO-A (New Form/PlanJ590-FL-Standard-PPO-C (New Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 27 of 79

Approved Accident and Health Rate Changes, CY2004

GUARANTEE TRUST LIFE INSURANCE COMPANY36-1174500 64211

FLR 04-06270 6/22/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

783

9240A(FL)Form/Plan9240B(FL)Form/Plan9240C(FL)Form/Plan9240D(FL)Form/Plan9240F(FL)Form/Plan9240G(FL)Form/Plan9242AForm/Plan9242B(FL)Form/Plan9242C)FL)Form/Plan9242D(FL)Form/Plan9242F(FL)Form/Plan9242G(FL)Form/Plan9541AForm/Plan

GUARDIAN LIFE INSURANCE COMPANY OF AMERICA13-5123390 64246

FLH 04-11002 10/18/2004 % Change Allowed 0.00Average Trend Allowed 6.50

Anniversary Allowed 6.50GROUP HEALTH DENTAL

Reported Policies

0

CGP-3-DGY2K-EXCH-FL-01 et alForm/Plan

FLR 04-11656 11/3/2004 % Change Allowed 0.00Average Trend Allowed 6.50

Anniversary Allowed 6.50GROUP HEALTH DENTAL

Reported Policies

139,549

Group Dental Manual - Trend FilForm/Plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY06-0838648 70815

FLH 04-03048 4/26/2004 % Change Allowed -2.00Average Trend Allowed 0.00

Anniversary Allowed -2.00GROUP HEALTH DISABILITY INCOME

Reported Policies

160,000

GDB1200 et alForm/Plan

HARTFORD LIFE INSURANCE COMPANY06-0974148 88072

FLH 04-03049 4/26/2004 % Change Allowed -2.00Average Trend Allowed 0.00

Anniversary Allowed -2.00GROUP HEALTH DISABILITY INCOME

Reported Policies

12,800

GDB 1200 et alForm/Plan

HCC LIFE INSURANCE COMPANY35-1817054 92711

FLR 04-00812 3/5/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00HEALTH EXCESS OR STOP LOSS

Reported Policies

82

Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 28 of 79

Approved Accident and Health Rate Changes, CY2004

HEALTH FIRST HEALTH PLANS, INC.59-3315064 95019

HMO 04-04074 5/14/2004 % Change Allowed -0.40Average Trend Allowed 12.00

Anniversary Allowed 7.00HEALTH MAINTENANCE ORGANIZATION GROUP CONVERSION

Reported Policies

98

HMOCONV98Form/Plan

HMO 04-12444 12/22/2004 % Change Allowed 1.20Average Trend Allowed 12.00

Anniversary Allowed 13.30HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

7,623

HMO-SM 4Form/Plan

HEALTH OPTIONS, INC.59-2403696 95089

HMO 04-08148 8/17/2004 % Change Allowed 18.80Average Trend Allowed 0.00

Anniversary Allowed 18.80HEALTH MAINTENANCE ORGANIZATION INDIVIDUAL INDIVIDUAL

Reported Policies

13,159

86500-0999SRForm/Plan

HMO 04-09311 10/20/2004 % Change Allowed 25.00Average Trend Allowed 0.00

Anniversary Allowed 25.00HEALTH MAINTENANCE ORGANIZATION GROUP CONVERSION

Reported Policies

2,447

85890-1297SRForm/Plan85906-1297SRForm/Plan

HMO 04-12911 12/30/2004 % Change Allowed -0.20Average Trend Allowed 15.20

Anniversary Allowed 14.40HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

113,554

85972-499 et al.Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 29 of 79

Approved Accident and Health Rate Changes, CY2004

HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.61-1041514 69671

FLH 04-01626 3/9/2004 % Change Allowed 0.00Average Trend Allowed 17.30

Anniversary Allowed 17.30GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

14,369

CC-VOSFL 01/04Form/Plan

FLH 04-04650 6/4/2004 % Change Allowed 25.50Average Trend Allowed 0.00

Anniversary Allowed 25.50HEALTH CONVERSION

Reported Policies

221

CONFL-MP010 09/02, ET ALForm/PlanIndemnityForm/PlanPPOForm/Plan

FLH 04-10204 10/11/2004 % Change Allowed 0.00Average Trend Allowed 17.30

Anniversary Allowed 16.20GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

14,523

1800000 4/04Form/Plan1800100 4/04Form/Plan1800200 4/04Form/PlanCC-VOS RIDERSFLSG 04/04Form/Plan

FLH 04-11448 10/19/2004 % Change Allowed 0.00Average Trend Allowed 17.30

Anniversary Allowed 16.50GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

14,523

201000FL 04/04Form/Plan202300 04/04, 202400 04/04, Form/PlanCC-VOS SCH1FL 04/04 SGForm/PlanCC-VOS SCH2FL 04/04 SGForm/PlanCC-VOS SCH-BHFL 04/04 SGForm/PlanCC-VOS SCHFL-OT 04/04 SGForm/PlanHRAForm/PlanSCH1FL 04/04Form/PlanSCH2FL 04/04Form/PlanSCH-BHFL 04/04Form/PlanSCH-OT 04/04Form/Plan

FLR 03-15565 2/20/2004 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50MEDICARE SUPPLEMENT OTHER

Reported Policies

397

MEDSLT2Form/PlanMEDSLT3Form/PlanMEDSLT5Form/PlanMEDSTD2Form/PlanMEDSTD3Form/PlanMEDSTD5Form/PlanMEDSUPP1Form/Plan

FLR 04-01375 2/18/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00INDIVIDUAL HEALTH MAJOR MEDICAL - OTHER

Reported Policies

8,209

GN-70129 et. al.Form/Plan

FLR 04-03355 4/19/2004 % Change Allowed -0.70Average Trend Allowed 17.30

Anniversary Allowed 16.50GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

14,563

CC2003Form/Plan

FLR 04-04609 5/17/2004 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50MEDICARE SUPPLEMENT OTHER

Reported Policies

76

EGMSP1Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 30 of 79

Approved Accident and Health Rate Changes, CY2004

FLR 04-05160 5/24/2004 % Change Allowed 0.10Average Trend Allowed 17.30

Anniversary Allowed 17.40GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

14,563

CC2003Form/Plan

FLR 04-08140 8/19/2004 % Change Allowed 0.00Average Trend Allowed 17.30

Anniversary Allowed 17.30GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

14,585

CC 2002, ET ALForm/Plan

FLR 04-08595 8/17/2004 % Change Allowed -0.10Average Trend Allowed 16.70

Anniversary Allowed 16.30GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

14,585

CC2002Form/Plan

FLR 04-10099 10/13/2004 % Change Allowed 7.50Average Trend Allowed 0.00

Anniversary Allowed 7.50MEDICARE SUPPLEMENT OTHER

Reported Policies

948

LB1P1(92)Form/PlanMSIP2Form/Plan

FLR 04-12430 12/14/2004 % Change Allowed 0.00Average Trend Allowed 14.80

Anniversary Allowed 16.70GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

14,304

CC2002, ET ALForm/Plan

FLR 04-13139 12/6/2004 % Change Allowed 0.00Average Trend Allowed 17.30

Anniversary Allowed 0.00GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

14,523

CC2002, ET ALForm/Plan

HUMANA INSURANCE COMPANY39-1263473 73288

FLR 04-04505 4/30/2004 % Change Allowed 35.80Average Trend Allowed 0.00

Anniversary Allowed 35.80HEALTH CONVERSION

Reported Policies

44

00093Form/Plan00094Form/Plan00565Form/Plan01682Form/Plan02070Form/Plan02076Form/Plan02185 Form/Plan03795Form/Plan

FLR 04-12347 12/6/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00GROUP HEALTH DISABILITY INCOME

Reported Policies

490

FLH 03-08825 et alForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 31 of 79

Approved Accident and Health Rate Changes, CY2004

HUMANA MEDICAL PLAN, INC.61-1103898 95270

HMO 03-15163 1/8/2004 % Change Allowed 0.00Average Trend Allowed 16.70

Anniversary Allowed 0.00HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

0

VIS HP4Form/Plan

HMO 03-15758 2/4/2004 % Change Allowed -2.10Average Trend Allowed 16.70

Anniversary Allowed 17.70HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

10,484

HP-4Form/Plan

HMO 04-02233 3/29/2004 % Change Allowed 35.00Average Trend Allowed 0.00

Anniversary Allowed 35.00HEALTH MAINTENANCE ORGANIZATION GROUP CONVERSION

Reported Policies

899

IHP1, et alForm/Plan

HMO 04-05159 5/24/2004 % Change Allowed -1.00Average Trend Allowed 16.70

Anniversary Allowed 13.50HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

9,457

HP-4Form/Plan

HMO 04-07457 7/14/2004 % Change Allowed -0.70Average Trend Allowed 16.70

Anniversary Allowed -0.70HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

9,110

HP-4Form/Plan

HMO 04-08142 8/19/2004 % Change Allowed 0.00Average Trend Allowed 16.70

Anniversary Allowed 11.10HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

9,110

HP4, ET ALForm/Plan

HMO 04-12429 12/14/2004 % Change Allowed 0.00Average Trend Allowed 13.80

Anniversary Allowed 13.10HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

8,823

HP4Form/Plan

HMO 04-13084 12/23/2004 % Change Allowed 0.00Average Trend Allowed 13.80

Anniversary Allowed 0.00HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

8,643

CHMO 2004, ET ALForm/Plan

HUMANADENTAL INSURANCE COMPANY39-0714280 70580

FLR 04-04634 5/19/2004 % Change Allowed -3.00Average Trend Allowed 7.00

Anniversary Allowed 4.30GROUP HEALTH DENTAL

Reported Policies

8,486

FL-70090-HDForm/Plan

FLR 04-12313 11/12/2004 % Change Allowed 0.00Average Trend Allowed 8.00

Anniversary Allowed 8.00GROUP HEALTH DENTAL

Reported Policies

9,062

FL-70090-HD at alForm/Plan

IDEALIFE INSURANCE COMPANY06-1053475 97764

FLR 04-13253 12/28/2004 % Change Allowed 15.30Average Trend Allowed 0.00

Anniversary Allowed 15.30MEDICARE SUPPLEMENT OTHER

Reported Policies

2,270

IL9001Form/PlanIL9200AForm/PlanIL9220CForm/PlanIL9250Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 32 of 79

Approved Accident and Health Rate Changes, CY2004

ILLINOIS MUTUAL LIFE INSURANCE COMPANY37-0344290 64580

FLR 04-06731 7/9/2004 % Change Allowed 16.00Average Trend Allowed 0.00

Anniversary Allowed 16.00INDIVIDUAL HEALTH MAJOR MEDICAL - OTHER

Reported Policies

159

743-744Form/Plan746Form/Plan760Form/Plan775-776Form/Plan843Form/Plan885-886Form/Plan

JEFFERSON PILOT FINANCIAL INSURANCE COMPANY62-0395665 70254

FLR 04-02901 4/8/2004 % Change Allowed -4.00Average Trend Allowed 8.00

Anniversary Allowed 4.00GROUP HEALTH DENTAL

Reported Policies

14,700

GL11-1-FP FLForm/Plan

FLR 04-06359 8/27/2004 % Change Allowed 1.60Average Trend Allowed 0.00

Anniversary Allowed 1.60GROUP HEALTH DISABILITY INCOME

Reported Policies

7,642

GL3001-LTDForm/Plan

FLR 04-06723 7/13/2004 % Change Allowed -6.00Average Trend Allowed 8.00

Anniversary Allowed 2.00GROUP HEALTH DENTAL

Reported Policies

14,986

GL11-1-FP FL, et alForm/Plan

FLR 04-10493 10/19/2004 % Change Allowed -1.00Average Trend Allowed 8.50

Anniversary Allowed 7.50GROUP HEALTH DENTAL

Reported Policies

16,117

GL11-1-FP FL, et alForm/Plan

FLR 04-12028 11/1/2004 % Change Allowed 0.00Average Trend Allowed 8.00

Anniversary Allowed 8.00GROUP HEALTH DENTAL

Reported Policies

0

GL11-DPSB.1Form/PlanGL11-DPSB.2Form/PlanGL11-DPSB.3Form/PlanGL11-DPSB.4Form/Plan

FLR 04-12078 11/17/2004 % Change Allowed -3.05Average Trend Allowed 0.00

Anniversary Allowed 0.00GROUP HEALTH ACCIDENTAL DEATH AND DISMEMBERMENT

Reported Policies

183,694

GL1101-14Form/PlanGL1101-14 90Form/PlanGL1101-14.1 90Form/PlanGL1101-14.3A 01Form/PlanGL1101-14.3B 01Form/PlanGL1101-14AForm/Plan

JEFFERSON-PILOT LIFE INSURANCE COMPANY56-0359860 67865

FLR 03-15047 2/10/2004 % Change Allowed 35.00Average Trend Allowed 0.00

Anniversary Allowed 35.00HEALTH CONVERSION

Reported Policies

6

WJ-030Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 33 of 79

Approved Accident and Health Rate Changes, CY2004

JOHN ALDEN LIFE INSURANCE COMPANY41-0999752 65080

FLH 04-07450 7/29/2004 % Change Allowed 0.00Average Trend Allowed 16.10

Anniversary Allowed 0.00GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

0

FL.INDEMNITY.BASIC (4/2003)Form/PlanFL.INDEMNITY.STND (4/2003)Form/Plan

FLH 04-10354 10/13/2004 % Change Allowed 0.00Average Trend Allowed 16.10

Anniversary Allowed 0.00GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

0

RIDER.FL.INDEMNITY.STND (4Form/Plan

FLR 04-05801 6/8/2004 % Change Allowed 29.30Average Trend Allowed 0.00

Anniversary Allowed 29.30HEALTH CONVERSION

Reported Policies

40

J-1109-CC (FL)Form/PlanJ-1110 (FL)Form/Plan

FLR 04-07473 8/6/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

404

-1135G-FLForm/PlanJ-1135A-FLForm/PlanJ-1135C-FLForm/PlanJ-1135F-FLForm/Plan

KANAWHA INSURANCE COMPANY57-0380426 65110

FLR 03-13978 1/23/2004 % Change Allowed 0.00Average Trend Allowed 15.00

Anniversary Allowed 15.00INDIVIDUAL HEALTH DENTAL

Reported Policies

396

92150Form/Plan

FLR 04-03069 5/26/2004 % Change Allowed 10.00Average Trend Allowed 0.00

Anniversary Allowed 10.00LONG TERM CARE OTHER

Reported Policies

9,297

80650 1/97Form/Plan80650 4/94Form/Plan80880 1/98Form/Plan82000 1/01 New BusinessForm/Plan82000 1/01 Prior 3/1/2003Form/Plan82120 9/01 New BusinessForm/Plan82120 9/01 Prior 3/1/2003Form/Plan

KANSAS CITY LIFE INSURANCE COMPANY44-0308260 65129

FLR 04-04080 4/13/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

5

L5219Form/Plan

FLR 04-07542 8/5/2004 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50MEDICARE SUPPLEMENT OTHER

Reported Policies

50

L5223Form/Plan

FLR 04-09032 8/19/2004 % Change Allowed 15.00Average Trend Allowed 0.00

Anniversary Allowed 15.00INDIVIDUAL HEALTH MAJOR MEDICAL - OTHER

Reported Policies

7

L5337Form/PlanL5360Form/PlanL5700Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 34 of 79

Approved Accident and Health Rate Changes, CY2004

LIBERTY NATIONAL LIFE INSURANCE COMPANY63-0124600 65331

FLR 03-13929 1/16/2004 % Change Allowed 19.40Average Trend Allowed 0.00

Anniversary Allowed 19.40INDIVIDUAL HEALTH SPECIFIED DISEASE LIMITED BENEFIT

Reported Policies

28,516

1162Form/Plan161-05-21Form/Plan504-508Form/Plan579-580Form/Plan5GI-5GKForm/Plan5GI-BCA TO 5GK-BCAForm/Plan5GO-5GWForm/Plan5GO-BCA TO 5GW-BCAForm/Plan5KA-5KCForm/Plan5KA-BCA TO 5KC-BCAForm/Plan5KD-5KFForm/Plan5KD-BCA TO 5KF-BCAForm/Plan633-634Form/Plan7012-7013Form/Plan7018-7019Form/Plan7022-7023Form/Plan

LIFE INSURANCE COMPANY OF ALABAMA63-0321291 65412

FLR 04-06694 6/30/2004 % Change Allowed 15.00Average Trend Allowed 0.00

Anniversary Allowed 15.00INDIVIDUAL HEALTH SPECIFIED DISEASE LIMITED BENEFIT

Reported Policies

400

APM 1384 FLForm/PlanFR-CA-500-5-87 FLForm/PlanHC3991Form/PlanIND 700 388 FL REV. 6/90Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 35 of 79

Approved Accident and Health Rate Changes, CY2004

LIFE INSURANCE COMPANY OF GEORGIA58-0298930 65471

FLR 04-00508 2/10/2004 % Change Allowed 5.00Average Trend Allowed 0.00

Anniversary Allowed 5.00MEDICARE SUPPLEMENT OTHER

Reported Policies

600

1100-A-1/92Form/Plan1100-B-1/92Form/Plan1100-C-1/92Form/Plan1100-F-1/92Form/Plan1100-I-1/92Form/Plan

FLR 04-00512 2/10/2004 % Change Allowed 5.00Average Trend Allowed 0.00

Anniversary Allowed 5.00MEDICARE SUPPLEMENT OTHER

Reported Policies

427

1010Form/Plan1020Form/Plan1030Form/Plan350Form/Plan380, 389, 429Form/Plan6610, 6610-89/90/91/92Form/Plan6611, 6611-91/92Form/Plan6612-89Form/Plan6613-89/90Form/Plan

FLR 04-06662 7/14/2004 % Change Allowed 25.00Average Trend Allowed 0.00

Anniversary Allowed 25.00INDIVIDUAL HEALTH SPECIFIED DISEASE LIMITED BENEFIT

Reported Policies

2,233

7065-90Form/Plan

LIFE INSURANCE COMPANY OF NORTH AMERICA23-1503749 65498

FLR 04-00068 1/15/2004 % Change Allowed 4.00Average Trend Allowed 0.00

Anniversary Allowed 4.00MEDICARE SUPPLEMENT OTHER

Reported Policies

6

GSC 1012Form/Plan

FLR 04-02531 3/23/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00HEALTH BLANKET ACCIDENT OR SICKNESS

Reported Policies

370,460

TL-002790Form/PlanTL-007148.10Form/Plan

FLR 04-13597 12/9/2004 % Change Allowed 5.00Average Trend Allowed 0.00

Anniversary Allowed 5.00MEDICARE SUPPLEMENT OTHER

Reported Policies

5

GSC 1012Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 36 of 79

Approved Accident and Health Rate Changes, CY2004

LIFE INVESTORS INSURANCE COMPANY OF AMERICA42-0191090 64130

FLH 04-08131 8/6/2004 % Change Allowed 30.00Average Trend Allowed 0.00

Anniversary Allowed 30.00LONG TERM CARE OTHER

Reported Policies

3,776

FC1Form/PlanFC2Form/PlanFC2TQForm/PlanFCPOOLForm/PlanGCForm/PlanNEAForm/PlanPROForm/PlanPRO2Form/PlanPRO3TQForm/Plan

FLR 04-00447 2/11/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

3,830

MS4100GPL(IPL)Form/Plan

FLR 04-01777 3/18/2004 % Change Allowed 6.25Average Trend Allowed 0.00

Anniversary Allowed 6.25MEDICARE SUPPLEMENT OTHER

Reported Policies

575

F-65872Form/Plan

FLR 04-11153 11/15/2004 % Change Allowed 6.50Average Trend Allowed 0.00

Anniversary Allowed 6.50MEDICARE SUPPLEMENT OTHER

Reported Policies

4,250

MS4100GPL-AForm/PlanMS4100GPL-BForm/PlanMS4100GPL-CForm/PlanMS4100GPL-DForm/PlanMS4100GPL-EForm/PlanMS4100GPL-FForm/PlanMS4100GPL-GForm/PlanMS4100GPL-HForm/PlanMS4100GPL-IForm/PlanMS4100GPL-JForm/PlanMS4100IPL-AForm/PlanMS4100IPL-BForm/PlanMS4100IPL-CForm/PlanMS4100IPL-DForm/PlanMS4100IPL-FForm/PlanMS4100IPL-HForm/Plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY04-1590850 65935

FLH 04-06453 7/30/2004 % Change Allowed 8.00Average Trend Allowed 0.00

Anniversary Allowed 8.00INDIVIDUAL HEALTH DISABILITY INCOME

Reported Policies

0

XL-IS-92 (FL) et alForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 37 of 79

Approved Accident and Health Rate Changes, CY2004

MEDICO INSURANCE COMPANY47-0122200 31119

FLR 03-15446 12/22/2004 % Change Allowed 4.90Average Trend Allowed 0.00

Anniversary Allowed 4.90MEDICARE SUPPLEMENT OTHER

Reported Policies

26,809

MP-MS994AForm/PlanMP-MS994BForm/PlanMP-MS994CForm/PlanMP-MS994DForm/PlanMP-MS994FForm/Plan

FLR 04-01562 3/15/2004 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50MEDICARE SUPPLEMENT OTHER

Reported Policies

185

MP182Form/PlanMP190Form/PlanMP381Form/PlanMP384Form/PlanMP384AForm/PlanMP384YForm/PlanMP384ZForm/PlanMP387Form/PlanMP397Form/PlanMP398Form/PlanMP3985Form/PlanMP3986Form/PlanMP3996Form/PlanMP402YForm/PlanMP402ZForm/PlanMP484YForm/PlanMP485YForm/PlanMP485ZForm/PlanMP486YForm/PlanMP486ZForm/PlanMP487Form/PlanMP488Form/PlanMP489Form/PlanMP990Form/PlanUR206Form/PlanUR207Form/PlanUR294Form/PlanUR405Form/PlanUR405BForm/Plan

MENNONITE MUTUAL AID ASSOCIATION35-6059333 57991

FLR 03-15504 1/7/2004 % Change Allowed 6.00Average Trend Allowed 0.00

Anniversary Allowed 6.00FRATERNAL HEALTH OTHER

Reported Policies

389

92002 (Plan A)Form/Plan92003 (Plan E)Form/Plan92004 (Plan F)Form/Plan92005 (Plan I)Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 38 of 79

Approved Accident and Health Rate Changes, CY2004

METLIFE INSURANCE COMPANY OF CONNECTICUT06-0566090 87726

FLR 03-15847 1/29/2004 % Change Allowed 16.00Average Trend Allowed 0.00

Anniversary Allowed 16.00INDIVIDUAL HEALTH - HOSPITAL SURGICAL MEDICAL EXPENSE

Reported Policies

96

GR1Form/PlanGR2Form/PlanGR3Form/PlanGR4Form/PlanGR5Form/PlanGR6Form/PlanGR6BForm/Plan

FLR 04-06997 12/6/2004 % Change Allowed 12.00Average Trend Allowed 0.00

Anniversary Allowed 12.00LONG TERM CARE OTHER

Reported Policies

9,071

See Attached AddendumForm/Plan

METROPOLITAN LIFE INSURANCE COMPANY13-5581829 65978

FLR 03-15751 1/23/2004 % Change Allowed 0.25Average Trend Allowed 7.50

Anniversary Allowed 7.75GROUP HEALTH DENTAL

Reported Policies

86,926

Form/Plan

FLR 04-00416 2/18/2004 % Change Allowed 8.00Average Trend Allowed 0.00

Anniversary Allowed 8.00INDIVIDUAL HEALTH MAJOR MEDICAL - OTHER

Reported Policies

81

FAH 15-69Form/PlanFAH 15-80Form/PlanFAH 15-86Form/Plan

FLR 04-12642 12/17/2004 % Change Allowed 0.00Average Trend Allowed 7.50

Anniversary Allowed 0.00GROUP HEALTH DENTAL

Reported Policies

1,534

Group Dental Expense ManualForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 39 of 79

Approved Accident and Health Rate Changes, CY2004

MONUMENTAL LIFE INSURANCE COMPANY52-0419790 66281

FLR 04-00451 2/11/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

609

MSP4000GPL(IPL)Form/Plan

FLR 04-00905 2/20/2004 % Change Allowed -10.00Average Trend Allowed 0.00

Anniversary Allowed -10.00MEDICARE SUPPLEMENT OTHER

Reported Policies

387

466 MS 7/82Form/Plan8140AForm/PlanAMSP-513Form/PlanAMSP-515Form/PlanAMSP-519Form/PlanCWMS-1100 (1/89)Form/PlanCWMS-1100 (1/90)Form/PlanMSP1000,MSP2000Form/PlanRider 466 MERForm/Plan

FLR 04-02002 3/26/2004 % Change Allowed 6.00Average Trend Allowed 0.00

Anniversary Allowed 6.00MEDICARE SUPPLEMENT OTHER

Reported Policies

2,450

MS6000GPM-AForm/PlanMS6000GPM-BForm/PlanMS6000GPM-CForm/PlanMS6000GPM-DForm/PlanMS6000GPM-EForm/PlanMS6000GPM-FForm/PlanMS6000GPM-GForm/PlanMS6000GPM-HForm/PlanMS6000GPM-IForm/PlanMS6000GPM-JForm/Plan

FLR 04-09846 10/1/2004 % Change Allowed 2.58Average Trend Allowed 0.00

Anniversary Allowed 2.58MEDICARE SUPPLEMENT OTHER

Reported Policies

504

MS4000GPM-AForm/PlanMS4000GPM-BForm/PlanMS4000GPM-CForm/PlanMS4000GPM-DForm/PlanMS4000GPM-EForm/PlanMS4000GPM-FForm/PlanMS4000GPM-GForm/PlanMS4000GPM-HForm/PlanMS4000GPM-IForm/PlanMS4000GPM-JForm/PlanMS4000IPM-AForm/PlanMS4000IPM-BForm/PlanMS4000IPM-CForm/PlanMS4000IPM-DForm/PlanMS4000IPM-EForm/PlanMS4000IPM-FForm/PlanMS4000IPM-GForm/PlanMS4000IPM-HForm/PlanMS4000IPM-IForm/PlanMS4000IPM-JForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 40 of 79

Approved Accident and Health Rate Changes, CY2004

MUTUAL OF OMAHA INSURANCE COMPANY47-0246511 71412

FLR 03-15824 2/10/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

606

15CMOForm/Plan24310Form/Plan24311Form/Plan2CMOForm/Plan30CMOForm/Plan31CMOForm/Plan32CMOForm/Plan3CMOForm/Plan50VBForm/Plan51VBForm/Plan52CMOForm/Plan54CMOForm/Plan76Form/PlanAHU3Form/PlanATTMMSForm/PlanE55MDForm/PlanGM10Form/PlanGM6Form/PlanM 153Form/PlanM1Form/PlanM101Form/PlanM109Form/PlanM112Form/PlanM115Form/PlanM122Form/PlanM123Form/PlanM129Form/PlanM131Form/PlanM132Form/PlanM134Form/PlanM135Form/PlanM140Form/PlanM146Form/PlanM152Form/PlanM154Form/PlanM162Form/PlanM164Form/PlanM169Form/PlanM170Form/PlanM171Form/PlanM172Form/PlanM173Form/PlanM175Form/PlanM18Form/PlanM2Form/PlanM23Form/PlanM24Form/PlanM242Form/PlanM26Form/PlanM28Form/PlanM3Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 41 of 79

Approved Accident and Health Rate Changes, CY2004M30Form/PlanM32AForm/PlanM36Form/PlanM38Form/PlanM4Form/PlanM40Form/PlanM44Form/PlanM52Form/PlanMD15Form/PlanMD17Form/PlanMD41Form/PlanMD48Form/PlanMD50Form/Plan

FLR 04-00240 2/16/2004 % Change Allowed -18.80Average Trend Allowed 0.00

Anniversary Allowed -18.80GROUP HEALTH DISABILITY INCOME

Reported Policies

15,247

7103GI-RX-EZ 01Form/Plan

FLR 04-00243 2/13/2004 % Change Allowed -0.60Average Trend Allowed 0.00

Anniversary Allowed -0.60GROUP HEALTH DISABILITY INCOME

Reported Policies

1,545

7103GI-STD-EZ 01Form/Plan

FLR 04-00423 2/25/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

5,835

M181Form/PlanM182Form/PlanM183Form/PlanM184Form/PlanM267Form/PlanM268Form/PlanM269Form/PlanM270Form/PlanM279Form/Plan

FLR 04-00635 2/26/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

1,828

M296Form/PlanM297Form/PlanM298Form/Plan

NATIONAL FINANCIAL INSURANCE COMPANY74-2069789 90956

FLR 04-01487 3/23/2004 % Change Allowed 7.50Average Trend Allowed 0.00

Anniversary Allowed 7.50INDIVIDUAL HEALTH MAJOR MEDICAL - OTHER

Reported Policies

21

5227Form/PlanCH20Form/PlanGD1Form/PlanK5388Form/PlanK5710Form/PlanRD6Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 42 of 79

Approved Accident and Health Rate Changes, CY2004

NATIONAL FOUNDATION LIFE INSURANCE COMPANY73-1187572 98205

FLR 04-00775 2/26/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

248

580Form/Plan581Form/PlanLHA-4002Form/PlanMMS-84Form/PlanMS100Form/PlanMS1-89-PForm/PlanMS200Form/PlanMS2-89-PForm/PlanMS3-89-PForm/PlanMS4-89-PForm/PlanMS-7Form/PlanMS-85-PForm/PlanNC100Form/PlanSS-65Form/Plan

FLR 04-01489 2/24/2004 % Change Allowed 6.00Average Trend Allowed 0.00

Anniversary Allowed 6.00HEALTH OTHER

Reported Policies

4

NFL CHAMPUSForm/Plan

FLR 04-09816 10/6/2004 % Change Allowed 15.00Average Trend Allowed 0.00

Anniversary Allowed 15.00INDIVIDUAL HEALTH - HOSPITAL SURGICAL MEDICAL EXPENSE

Reported Policies

10

HC-SHELLForm/PlanMMEPForm/PlanMMTSForm/PlanSSG-91Form/Plan

NATIONAL GUARDIAN LIFE INSURANCE COMPANY39-0493780 66583

FLR 04-08090 8/17/2004 % Change Allowed 0.00Average Trend Allowed 8.00

Anniversary Allowed 8.00GROUP HEALTH DENTAL

Reported Policies

0

NDNGRP2002-FL et al.Form/Plan

NATIONAL HEALTH INSURANCE COMPANY74-1541799 82538

FLR 03-14680 1/7/2004 % Change Allowed 35.00Average Trend Allowed 0.00

Anniversary Allowed 35.00HEALTH CONVERSION

Reported Policies

9

FLSCP-98Form/PlanUSA-2Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 43 of 79

Approved Accident and Health Rate Changes, CY2004

NATIONAL STATES INSURANCE COMPANY43-0825796 60593

FLR 03-15524 2/13/2004 % Change Allowed 10.00Average Trend Allowed 0.00

Anniversary Allowed 10.00MEDICARE SUPPLEMENT OTHER

Reported Policies

5,552

ASM-1Form/PlanBSM-1Form/PlanCSM-1Form/PlanFSM-1Form/PlanHSM-1Form/PlanJSM-1Form/Plan

FLR 04-00314 2/12/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

862

CMS-1Form/PlanDMS-1Form/PlanRMS-1Form/PlanSBB-1Form/PlanSMD-1Form/PlanUMS-1Form/Plan

FLR 04-05614 6/16/2004 % Change Allowed 7.80Average Trend Allowed 0.00

Anniversary Allowed 7.80INDIVIDUAL HEALTH DENTAL

Reported Policies

63

DVP-1Form/Plan

FLR 04-06524 7/9/2004 % Change Allowed 22.50Average Trend Allowed 0.00

Anniversary Allowed 22.50LONG TERM CARE OTHER

Reported Policies

6,541

HHC-1Form/PlanHNC-1Form/PlanHNF-1Form/PlanHNF-3Form/Plan

FLR 04-12775 12/21/2004 % Change Allowed 3.60Average Trend Allowed 0.00

Anniversary Allowed 3.60MEDICARE SUPPLEMENT OTHER

Reported Policies

4,796

ASM-1Form/PlanBSM-1Form/PlanCSM-1Form/PlanFSM-1Form/PlanHSM-1Form/PlanJSM-1Form/Plan

NATIONAL UNION FIRE INSURANCE CO. OF PITTSBURG, PA25-0687550 19445

FLH 04-10801 10/29/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00HEALTH BLANKET ACCIDENT OR SICKNESS

Reported Policies

71

V30017FL et alForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 44 of 79

Approved Accident and Health Rate Changes, CY2004

NATIONWIDE LIFE INSURANCE COMPANY31-4156830 66869

FLR 04-11549 11/17/2004 % Change Allowed 3.50Average Trend Allowed 0.00

Anniversary Allowed 3.50MEDICARE SUPPLEMENT OTHER

Reported Policies

256

1524Form/Plan

FLR 04-11636 12/1/2004 % Change Allowed 15.00Average Trend Allowed 0.00

Anniversary Allowed 15.00MEDICARE SUPPLEMENT OTHER

Reported Policies

1,169

2121FLForm/Plan2122FLForm/Plan2123FLForm/Plan

NEIGHBORHOOD HEALTH PARTNERSHIP, INC.65-0996107 95123

HMO 03-14608 1/15/2004 % Change Allowed 32.50Average Trend Allowed 0.00

Anniversary Allowed 32.50HEALTH MAINTENANCE ORGANIZATION GROUP CONVERSION

Reported Policies

681

CONATAGE/12-01Form/PlanFL CNV STND HMO 6/02Form/Plan

HMO 04-04821 5/26/2004 % Change Allowed -0.50Average Trend Allowed 15.00

Anniversary Allowed 13.50HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

58,742

GSA0601Form/Plan

HMO 04-08265 8/9/2004 % Change Allowed 0.00Average Trend Allowed 15.00

Anniversary Allowed 0.00HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

58,740

GSA0601Form/Plan

HMO 04-09028 9/2/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

58,740

GSA0601Form/Plan

HMO 04-13201 12/6/2004 % Change Allowed 9.50Average Trend Allowed 0.00

Anniversary Allowed 9.50HEALTH MAINTENANCE ORGANIZATION GROUP CONVERSION

Reported Policies

948

FL CNV STND HMO 6/02 and HForm/Plan

NEW ENGLAND LIFE INSURANCE COMPANY04-2708937 91626

FLR 04-08236 9/3/2004 % Change Allowed -10.00Average Trend Allowed 0.00

Anniversary Allowed -10.00HEALTH EXCESS OR STOP LOSS

Reported Policies

0

NEL-CP1 (04-00) et alForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 45 of 79

Approved Accident and Health Rate Changes, CY2004

NEW ERA LIFE INSURANCE COMPANY74-2552025 78743

FLR 04-02948 4/28/2004 % Change Allowed 10.10Average Trend Allowed 0.00

Anniversary Allowed 10.10MEDICARE SUPPLEMENT OTHER

Reported Policies

528

803Form/PlanMC68Form/PlanMC-68Form/PlanMC78Form/PlanMC-85Form/PlanMC-89Form/PlanMC-89 DISBForm/PlanMC-89-191Form/PlanMC-89-191 DISBForm/PlanMCS57Form/PlanMCS-57 DISBForm/PlanMS100Form/PlanMS-100Form/PlanMS-100 DISBForm/PlanMS-100-190Form/PlanMS-100-190 DISBForm/PlanMS-100-191Form/PlanMS-100-191 DISBForm/PlanMS-100-MC DISBForm/PlanMS-183Form/PlanMS-89-190Form/PlanMS-89-190 DISBForm/PlanMS-90Form/PlanMS-91-NO DISBForm/PlanMSC25Form/PlanMSC89Form/PlanMSC89-DISBForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 46 of 79

Approved Accident and Health Rate Changes, CY2004

FLR 04-03300 4/13/2004 % Change Allowed 10.00Average Trend Allowed 0.00

Anniversary Allowed 10.00INDIVIDUAL HEALTH MAJOR MEDICAL - OTHER

Reported Policies

96

100MForm/Plan10BForm/Plan1101Form/Plan173Form/Plan236Form/Plan272Form/Plan273Form/Plan33AForm/Plan367Form/Plan373Form/Plan78-FForm/Plan804Form/Plan806Form/Plan806-Form/Plan808Form/Plan808-TForm/PlanAF65Form/PlanAF72Form/PlanBP-75Form/PlanD8Form/PlanD-88Form/PlanDR-89Form/PlanF13Form/PlanF16Form/PlanGCHPForm/PlanGMForm/PlanGPForm/PlanHA7000Form/PlanHA7100Form/PlanHE50000Form/PlanHSForm/PlanHSEPForm/PlanIC-5Form/PlanIFHSAForm/PlanM500Form/PlanMHBPForm/PlanMM159-1Form/PlanMM33Form/PlanMM75Form/PlanMM-75Form/PlanMMPForm/PlanSI-80Form/Plan

FLR 04-09751 9/22/2004 % Change Allowed 8.60Average Trend Allowed 0.00

Anniversary Allowed 8.60MEDICARE SUPPLEMENT OTHER

Reported Policies

1,398

MS - 92 AForm/PlanMS - 92 FForm/PlanMS 92 CForm/PlanMS -92 IForm/PlanMS -92 JForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 47 of 79

Approved Accident and Health Rate Changes, CY2004

NEW YORK LIFE INSURANCE COMPANY13-5582869 66915

FLR 04-05338 5/17/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

332

7745-1Form/Plan8145-1Form/PlanNYM80Form/PlanNYM81Form/PlanNYM82Form/PlanNYM83Form/Plan

FLR 04-09499 8/19/2004 % Change Allowed 16.00Average Trend Allowed 0.00

Anniversary Allowed 16.00INDIVIDUAL HEALTH MAJOR MEDICAL - OTHER

Reported Policies

103

51-161Form/Plan5502-1Form/Plan6170-1Form/Plan6670-1Form/Plan6970-1Form/Plan8280-1Form/Plan8281-1Form/Plan8570-1Form/Plan8580-7Form/Plan8581-7Form/Plan

OLD AMERICAN INSURANCE COMPANY44-0376695 67199

FLR 04-09043 8/20/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

28

ID3044, 3064, 3070Form/Plan

ORDER OF UNITED COMMERCIAL TRAVELERS OF AMERICA31-4273120 56383

FLR 04-10091 9/10/2004 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50FRATERNAL HEALTH OTHER

Reported Policies

49

MS88Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 48 of 79

Approved Accident and Health Rate Changes, CY2004

OXFORD LIFE INSURANCE COMPANY86-0216483 76112

FLR 04-00053 2/12/2004 % Change Allowed 7.80Average Trend Allowed 0.00

Anniversary Allowed 7.80MEDICARE SUPPLEMENT OTHER

Reported Policies

85

5211-IMS-O(I), MSI9201-AForm/Plan5212-IMS-O(I), MS19201-BForm/Plan5213-IMS-O(I), MS19201-CForm/Plan5214-IMS-O-(I), MS19201-DForm/Plan5216-IMS-O(I), MS19201-FForm/Plan5219-IMS-O(I), MS19201-IForm/PlanMS19201-EForm/PlanMS19201-GForm/Plan

FLR 04-00417 2/19/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

2

GE654Form/PlanGR634-3Form/Plan

FLR 04-11474 11/3/2004 % Change Allowed 6.00Average Trend Allowed 0.00

Anniversary Allowed 6.00MEDICARE SUPPLEMENT OTHER

Reported Policies

18

5011-GMS-C-OForm/Plan5012-GMS-C-OForm/Plan5013-GMS-C-OForm/Plan5016-GMS-C-OForm/Plan5019-GMS-C-OForm/Plan

PACIFIC LIFE & ANNUITY COMPANY95-3769814 97268

FLH 04-09430 10/5/2004 % Change Allowed 0.00Average Trend Allowed 17.00

Anniversary Allowed 17.00GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

8,200

00282-00Form/Plan25-26068Form/PlanGPA/GBA 1262FLForm/PlanGR-84Form/Plan

FLH 04-10668 10/29/2004 % Change Allowed 0.00Average Trend Allowed 17.00

Anniversary Allowed 0.00GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

8,200

3700 FLB - OPTION 1 (1)Form/Plan3700 FLB - OPTION 2 (1)Form/Plan3700 FLS - OPTION 1 (1)Form/Plan3700 FLS - OPTION 2 (2)Form/Plan

FLR 04-06259 6/29/2004 % Change Allowed 0.00Average Trend Allowed 17.00

Anniversary Allowed 0.00GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

10,079

GR-84(H13085)Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 49 of 79

Approved Accident and Health Rate Changes, CY2004

PENN TREATY NETWORK AMERICA INSURANCE COMPANY23-2603386 63282

FLH 04-09743 11/3/2004 % Change Allowed 14.70Average Trend Allowed 0.00

Anniversary Allowed 14.70LONG TERM CARE OTHER

Reported Policies

0

Form/Plan

FLR 04-05823 6/22/2004 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50MEDICARE SUPPLEMENT OTHER

Reported Policies

131

MS92 (A)Form/PlanMS92 (B)Form/PlanMS92 (C)Form/PlanMS92 (E)Form/PlanMS92 (F)Form/Plan

PEOPLES BENEFIT LIFE INSURANCE COMPANY43-0378030 66605

FLR 04-01987 3/18/2004 % Change Allowed 9.50Average Trend Allowed 0.00

Anniversary Allowed 9.50MEDICARE SUPPLEMENT OTHER

Reported Policies

1,387

NH-169-993Form/PlanNH-173-1094Form/Plan

FLR 04-04910 6/8/2004 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50MEDICARE SUPPLEMENT OTHER

Reported Policies

710

610400Form/Plan615500Form/PlanGS 1Form/PlanGS 2Form/PlanGS 5Form/PlanGS 6Form/PlanNH 1190Form/PlanNH 1200Form/PlanNH 122Form/PlanNH 1340Form/PlanNH 1380Form/PlanNH 4086Form/PlanNH 4200Form/PlanNH 52Form/PlanNH 67Form/PlanNH 810Form/PlanNH 850Form/PlanNH 900Form/PlanNH 910Form/Plan

FLR 04-05934 6/23/2004 % Change Allowed 33.00Average Trend Allowed 0.00

Anniversary Allowed 33.00MEDICARE SUPPLEMENT OTHER

Reported Policies

544

615400AForm/Plan615400CForm/PlanNH 160 192Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 50 of 79

Approved Accident and Health Rate Changes, CY2004

PHILADELPHIA AMERICAN LIFE INSURANCE COMPANY74-1952955 67784

FLR 04-07658 9/17/2004 % Change Allowed 10.00Average Trend Allowed 0.00

Anniversary Allowed 10.00INDIVIDUAL HEALTH ACCIDENT ONLY

Reported Policies

217

101HForm/Plan1153Form/Plan517Form/PlanACC NSGForm/PlanAH 512Form/PlanAH 516Form/PlanD1 NSG 1Form/PlanHA 1-1 ED. 9-87Form/PlanHA 1-Z ED. 1-90Form/PlanHA 2-1 ED. 8-89Form/PlanHA 3-1 ED. 7-89Form/PlanHA 4-1 ED. 3-92Form/PlanHACForm/PlanHH2Form/PlanOH 7065Form/Plan

PHYSICIANS MUTUAL INSURANCE COMPANY47-0270450 80578

FLR 04-01995 4/14/2004 % Change Allowed 2.80Average Trend Allowed 0.00

Anniversary Allowed 2.80MEDICARE SUPPLEMENT OTHER

Reported Policies

1,633

P491Form/PlanP492Form/PlanP494Form/PlanP620Form/PlanP621Form/PlanP622Form/PlanP624Form/PlanP625Form/PlanP626Form/PlanP629Form/Plan

FLR 04-03930 5/12/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

306

P115AGForm/PlanP192AGForm/PlanP197AGForm/PlanP315Form/PlanP392DRForm/PlanP393/R620Form/PlanP393/R621Form/PlanP393/R622Form/PlanP397/R631Form/PlanP397/R633Form/Plan

FLR 04-06816 7/13/2004 % Change Allowed 16.00Average Trend Allowed 0.00

Anniversary Allowed 16.00INDIVIDUAL HEALTH - HOSPITAL SURGICAL MEDICAL EXPENSE

Reported Policies

199

P196Form/PlanP196/R184Form/PlanP231Form/PlanP232Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 51 of 79

Approved Accident and Health Rate Changes, CY2004

PREFERRED MEDICAL PLAN, INC.59-1419293 95271

HMO 04-00304 3/1/2004 % Change Allowed 11.00Average Trend Allowed 0.00

Anniversary Allowed 11.00HEALTH MAINTENANCE ORGANIZATION INDIVIDUAL INDIVIDUAL

Reported Policies

37,000

PMP-HOSP-1-ATT-A-(1/04)Form/Plan

PRINCIPAL LIFE INSURANCE COMPANY42-0127290 61271

FLR 04-01048 2/6/2004 % Change Allowed 0.00Average Trend Allowed 7.50

Anniversary Allowed 7.50GROUP HEALTH DENTAL

Reported Policies

45,826

GC 700-1 et alForm/Plan

FLR 04-01052 2/6/2004 % Change Allowed 0.00Average Trend Allowed 7.50

Anniversary Allowed 7.50GROUP HEALTH DENTAL

Reported Policies

3,405

GC 2000 et alForm/Plan

FLR 04-07929 8/5/2004 % Change Allowed 29.30Average Trend Allowed 0.00

Anniversary Allowed 29.30HEALTH CONVERSION

Reported Policies

348

GC 500Form/PlanHH 1165Form/PlanHH 1166Form/PlanHH 1188Form/PlanHH 1253Form/PlanHH 1289Form/PlanHH 1290Form/Plan

FLR 04-09034 8/27/2004 % Change Allowed 0.30Average Trend Allowed 6.50

Anniversary Allowed 6.80GROUP HEALTH DENTAL

Reported Policies

40,375

GC 700 et alForm/Plan

FLR 04-09038 8/27/2004 % Change Allowed 0.30Average Trend Allowed 6.50

Anniversary Allowed 6.80GROUP HEALTH DENTAL

Reported Policies

3,306

GC 2000 et alForm/Plan

FLR 04-12469 12/6/2004 % Change Allowed -0.50Average Trend Allowed 7.50

Anniversary Allowed 7.00GROUP HEALTH DENTAL

Reported Policies

7,377

GC 7000 Policy SeriesForm/Plan

FLR 04-12692 12/8/2004 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50MEDICARE SUPPLEMENT OTHER

Reported Policies

6

GW 1894-2Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 52 of 79

Approved Accident and Health Rate Changes, CY2004

PROTECTIVE LIFE INSURANCE COMPANY63-0169720 68136

FLR 04-01530 3/25/2004 % Change Allowed 21.00Average Trend Allowed 0.00

Anniversary Allowed 21.00INDIVIDUAL HEALTH SPECIFIED DISEASE LIMITED BENEFIT

Reported Policies

3,587

CA-03-FLForm/PlanCA-04-FLForm/PlanCA-05-FLForm/PlanCA-07-FLForm/PlanCA-08-FLForm/PlanDD-01-FLForm/PlanFO-01Form/PlanIC-02-FLForm/Plan

FLR 04-10302 11/3/2004 % Change Allowed 30.00Average Trend Allowed 0.00

Anniversary Allowed 30.00INDIVIDUAL HEALTH SPECIFIED DISEASE LIMITED BENEFIT

Reported Policies

6,667

CA09-FLForm/PlanCA09-Florida w Endorsement CForm/PlanCA10-FLForm/PlanCA10-Florida w Endorsement CForm/PlanDD-02-FL/DD-03-FLForm/PlanIC-03-FLForm/Plan

PROVIDENT AMERICAN LIFE AND HEALTH INSURANCE COMPANY23-1335885 67903

FLH 04-05068 6/1/2004 % Change Allowed 29.00Average Trend Allowed 0.00

Anniversary Allowed 29.00HEALTH CONVERSION

Reported Policies

1

CONV01 (FL)Form/PlanPOL-0231FLForm/PlanPOL-0232FLForm/Plan

PRUDENTIAL INSURANCE COMPANY OF AMERICA (THE)22-1211670 68241

FLH 04-05044 6/23/2004 % Change Allowed 1.50Average Trend Allowed 0.00

Anniversary Allowed 1.50GROUP HEALTH DISABILITY INCOME

Reported Policies

45,612

83500 CBH-STD-1021 et alForm/Plan

FLH 04-12786 12/21/2004 % Change Allowed -16.90Average Trend Allowed 0.00

Anniversary Allowed 0.00GROUP HEALTH ACCIDENTAL DEATH AND DISMEMBERMENT

Reported Policies

243,504

83500 et alForm/Plan

FLR 04-02174 3/23/2004 % Change Allowed 29.70Average Trend Allowed 0.00

Anniversary Allowed 29.70HEALTH CONVERSION

Reported Policies

73

SA CMN-79BForm/PlanSA CMN-89Form/Plan

FLR 04-05123 6/1/2004 % Change Allowed 16.00Average Trend Allowed 0.00

Anniversary Allowed 16.00INDIVIDUAL HEALTH MAJOR MEDICAL - OTHER

Reported Policies

140

CHIP 34500-LAForm/PlanPru-MED 83Form/Plan

FLR 04-05930 6/21/2004 % Change Allowed 10.00Average Trend Allowed 0.00

Anniversary Allowed 10.00MEDICARE SUPPLEMENT OTHER

Reported Policies

292

CHIP 34500-LAForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 53 of 79

Approved Accident and Health Rate Changes, CY2004

PYRAMID LIFE INSURANCE COMPANY (THE)48-0557726 68284

FLR 04-05213 6/8/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

160

G-10-CForm/PlanG-15-BForm/PlanG-25-FLForm/PlanG-26-FLForm/PlanH-90-FForm/PlanH-91-CForm/PlanH-92-CForm/PlanH-94-AForm/Plan

FLR 04-06842 7/16/2004 % Change Allowed 16.00Average Trend Allowed 0.00

Anniversary Allowed 16.00INDIVIDUAL HEALTH MAJOR MEDICAL - OTHER

Reported Policies

120

G-30Form/PlanG-31Form/PlanG-50Form/PlanG-51Form/PlanG-91Form/PlanH-71Form/Plan

FLR 04-11631 11/22/2004 % Change Allowed 7.50Average Trend Allowed 0.00

Anniversary Allowed 7.50MEDICARE SUPPLEMENT OTHER

Reported Policies

1,052

M40FFForm/PlanM41FFForm/PlanM42FFForm/PlanM43FFForm/PlanM45FFForm/PlanM46FFForm/PlanM61FFForm/PlanM62FFForm/PlanM63FFForm/PlanM65FFForm/PlanM66FFForm/Plan

REASSURE AMERICA LIFE INSURANCE COMPANY38-0779740 65765

FLR 04-07088 7/6/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

9

8015Form/Plan8016Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 54 of 79

Approved Accident and Health Rate Changes, CY2004

RELIANCE STANDARD LIFE INSURANCE COMPANY36-0883760 68381

FLH 04-01436 3/22/2004 % Change Allowed -3.90Average Trend Allowed 8.80

Anniversary Allowed 4.90GROUP HEALTH DENTAL

Reported Policies

6,294

REL 9000 FL Ed. 1-92Form/PlanREL 9021 FL Ed. 1-92Form/Plan

FLH 04-03220 4/19/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00GROUP HEALTH ACCIDENTAL DEATH AND DISMEMBERMENT

Reported Policies

93,601

LRS-6422Form/Plan

FLR 04-01441 3/25/2004 % Change Allowed -0.90Average Trend Allowed 5.50

Anniversary Allowed 4.60GROUP HEALTH DENTAL

Reported Policies

426

REL 9000 FL Ed. 1-92Form/PlanREL 9021 FL Ed. 1-92Form/Plan

FLR 04-01450 3/25/2004 % Change Allowed 0.30Average Trend Allowed 0.00

Anniversary Allowed 0.30GROUP HEALTH DENTAL

Reported Policies

1,176

REL 9000 FL Ed. 1-92Form/PlanREL 9021 FL Ed. 1-92Form/Plan

FLR 04-06256 7/12/2004 % Change Allowed -6.00Average Trend Allowed 0.00

Anniversary Allowed -6.00GROUP HEALTH DISABILITY INCOME

Reported Policies

56

LRS-6451 Ed. 4/82 et alForm/Plan

FLR 04-08187 8/16/2004 % Change Allowed -3.30Average Trend Allowed 8.80

Anniversary Allowed 5.50GROUP HEALTH DENTAL

Reported Policies

7,527

REL 9000 FL Ed. 1-92Form/PlanREL 9021 FL Ed. 1-92Form/Plan

FLR 04-08420 8/27/2004 % Change Allowed -3.00Average Trend Allowed 5.50

Anniversary Allowed 2.50GROUP HEALTH DENTAL

Reported Policies

1,095

REL 9000 FL Ed. 1-92Form/PlanREL 9021 FL Ed. 1-92Form/Plan

FLR 04-08424 8/27/2004 % Change Allowed -3.00Average Trend Allowed 5.50

Anniversary Allowed 2.50GROUP HEALTH DENTAL

Reported Policies

426

REL 9000 FL Ed. 1-92Form/PlanREL 9021 FL Ed. 1-92Form/Plan

RELIASTAR LIFE INSURANCE COMPANY41-0451140 67105

FLR 04-12368 12/6/2004 % Change Allowed 6.00Average Trend Allowed 0.00

Anniversary Allowed 6.00GROUP HEALTH DISABILITY INCOME

Reported Policies

832

RL-DI2001-POL-00-G-FLForm/Plan

RELIASTAR LIFE INSURANCE COMPANY OF NEW YORK53-0242530 61360

FLR 04-00715 3/3/2004 % Change Allowed 40.00Average Trend Allowed 0.00

Anniversary Allowed 40.00INDIVIDUAL HEALTH SPECIFIED DISEASE LIMITED BENEFIT

Reported Policies

1,594

B-Can-4100-91, et alForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 55 of 79

Approved Accident and Health Rate Changes, CY2004

RENAISSANCE LIFE & HEALTH INSURANCE COMPANY35-1536282 94587

FLR 04-08519 9/3/2004 % Change Allowed 6.91Average Trend Allowed 0.00

Anniversary Allowed 6.91GROUP HEALTH DENTAL

Reported Policies

1

D-251Form/PlanD-301Form/Plan

RESERVE NATIONAL INSURANCE COMPANY73-0661453 68462

FLR 03-15222 1/7/2004 % Change Allowed 15.00Average Trend Allowed 0.00

Anniversary Allowed 15.00INDIVIDUAL HEALTH - HOSPITAL SURGICAL MEDICAL EXPENSE

Reported Policies

134

IRC-88Form/PlanRH-73Form/Plan

FLR 04-01446 3/4/2004 % Change Allowed 13.20Average Trend Allowed 0.00

Anniversary Allowed 13.20INDIVIDUAL HEALTH HOSPITAL INDEMNITY

Reported Policies

67

DCI-89Form/PlanDCI-ACDForm/PlanDCI-DH2Form/PlanDCI-SGEForm/PlanMISC-DCIForm/PlanOP-DCIForm/Plan

FLR 04-06739 7/12/2004 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50MEDICARE SUPPLEMENT OTHER

Reported Policies

81

MCS-92-AForm/PlanMCS-92-BForm/PlanMCS-92-CForm/Plan

FLR 04-09110 8/27/2004 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50MEDICARE SUPPLEMENT OTHER

Reported Policies

499

MCS-82Form/PlanMCS-86Form/PlanMCS-89Form/PlanMCS-90 (FL)Form/Plan

SAFEHEALTH LIFE INSURANCE COMPANY33-0515751 79014

FLH 03-15123 1/29/2004 % Change Allowed 0.00Average Trend Allowed 8.00

Anniversary Allowed 0.00GROUP HEALTH DENTAL

Reported Policies

0

Form/Plan

SECURIAN LIFE INSURANCE COMPANY41-1412669 93742

FLH 04-10793 9/23/2004 % Change Allowed 0.00Average Trend Allowed 5.00

Anniversary Allowed 5.00GROUP HEALTH DENTAL

Reported Policies

0

03-30612.09 et alForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 56 of 79

Approved Accident and Health Rate Changes, CY2004

SENTRY LIFE INSURANCE COMPANY39-6040276 68810

FLR 04-04046 5/5/2004 % Change Allowed 0.00Average Trend Allowed 7.00

Anniversary Allowed 7.00GROUP HEALTH DENTAL

Reported Policies

0

785-3000 Et al Form/Plan

FLR 04-10909 9/28/2004 % Change Allowed 0.00Average Trend Allowed 8.87

Anniversary Allowed 8.87GROUP HEALTH DENTAL

Reported Policies

96

785-3000-11Form/Plan

SHENANDOAH LIFE INSURANCE COMPANY54-0377280 68845

FLR 03-15546 1/14/2004 % Change Allowed 6.00Average Trend Allowed 6.00

Anniversary Allowed 6.00GROUP HEALTH DENTAL

Reported Policies

254

Form/Plan

FLR 04-04470 4/29/2004 % Change Allowed 0.00Average Trend Allowed 8.00

Anniversary Allowed 8.00GROUP HEALTH DENTAL

Reported Policies

7,400

GP6006-1/89 FLForm/PlanTDENP -09/02Form/PlanTDP-12/97Form/Plan

FLR 04-06645 6/30/2004 % Change Allowed -12.00Average Trend Allowed 7.50

Anniversary Allowed -4.50GROUP HEALTH DENTAL

Reported Policies

5,835

VDP-12/97Form/PlanVDP-SP-8/00Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 57 of 79

Approved Accident and Health Rate Changes, CY2004

STANDARD INSURANCE COMPANY93-0242990 69019

FLH 04-01429 3/22/2004 % Change Allowed -3.50Average Trend Allowed 8.80

Anniversary Allowed 5.30GROUP HEALTH DENTAL

Reported Policies

6,592

SI 9000 FL Ed. 01-02Form/PlanSI 9021 FL Ed. 01-02Form/Plan

FLR 03-15391 1/26/2004 % Change Allowed -9.00Average Trend Allowed 0.00

Anniversary Allowed -9.00GROUP HEALTH DISABILITY INCOME

Reported Policies

162,157

GP190-LTD/S399Form/Plan

FLR 04-00958 4/2/2004 % Change Allowed -11.00Average Trend Allowed 0.00

Anniversary Allowed -11.00GROUP HEALTH DISABILITY INCOME

Reported Policies

126,157

GP190-LTD/S399Form/Plan

FLR 04-01431 3/25/2004 % Change Allowed -4.00Average Trend Allowed 5.50

Anniversary Allowed 1.50GROUP HEALTH DENTAL

Reported Policies

0

SI 9000 FL Ed. 01-02Form/PlanSI 9021 FL Ed. 01-02Form/Plan

FLR 04-01433 3/25/2004 % Change Allowed -3.40Average Trend Allowed 0.00

Anniversary Allowed -3.40GROUP HEALTH DENTAL

Reported Policies

0

SI 9000 FL Ed. 01-02Form/PlanSI 9021 FL Ed. 01-02Form/Plan

FLR 04-05138 6/7/2004 % Change Allowed -2.10Average Trend Allowed 0.00

Anniversary Allowed -2.10GROUP HEALTH ACCIDENT ONLY

Reported Policies

213,140

GP190-ADD/S399Form/Plan

FLR 04-08192 8/16/2004 % Change Allowed -5.20Average Trend Allowed 8.80

Anniversary Allowed 3.60GROUP HEALTH DENTAL

Reported Policies

14,215

SI 9000 FL Ed. 01-02Form/PlanSI 9021 FL Ed. 01-02Form/Plan

FLR 04-08426 8/27/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00GROUP HEALTH DENTAL

Reported Policies

0

SI 9000 FL Ed. 01-02Form/PlanSI 9021 FL Ed. 01-02Form/Plan

FLR 04-08427 8/27/2004 % Change Allowed 0.00Average Trend Allowed 5.50

Anniversary Allowed 5.50GROUP HEALTH DENTAL

Reported Policies

0

SI 9000 FL Ed. 01-02Form/PlanSI 9021 FL Ed. 01-02Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 58 of 79

Approved Accident and Health Rate Changes, CY2004

STANDARD LIFE AND ACCIDENT INSURANCE COMPANY73-0994234 86355

FLR 03-15772 1/23/2004 % Change Allowed 10.00Average Trend Allowed 0.00

Anniversary Allowed 10.00MEDICARE SUPPLEMENT OTHER

Reported Policies

3,925

124A-192FForm/Plan124C-192FForm/Plan124F-192FForm/Plan

FLR 04-07738 8/5/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

330

1208-281Form/Plan1220-184Form/Plan1224-187Form/Plan1229-488Form/Plan1232-189Form/Plan1237-190Form/Plan1239-190AForm/Plan

STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY37-0533100 25178

FLR 04-03317 4/21/2004 % Change Allowed 19.00Average Trend Allowed 0.00

Anniversary Allowed 19.00INDIVIDUAL HEALTH - HOSPITAL SURGICAL MEDICAL EXPENSE

Reported Policies

4,167

97013Form/Plan97023Form/Plan97032Form/Plan97047Form/Plan

FLR 04-03576 4/22/2004 % Change Allowed 1.60Average Trend Allowed 0.00

Anniversary Allowed 1.60MEDICARE SUPPLEMENT OTHER

Reported Policies

2,104

97033Form/Plan97043Form/Plan97046Form/Plan97049Form/Plan97050Form/Plan

FLR 04-06717 7/23/2004 % Change Allowed 10.00Average Trend Allowed 0.00

Anniversary Allowed 10.00INDIVIDUAL HEALTH DISABILITY INCOME

Reported Policies

20,126

97000Form/Plan97027Form/Plan97028Form/Plan97029Form/Plan97044Form/Plan97052Form/Plan

FLR 04-06883 7/26/2004 % Change Allowed 3.10Average Trend Allowed 0.00

Anniversary Allowed 3.10MEDICARE SUPPLEMENT OTHER

Reported Policies

5,411

97037Form/Plan97038Form/Plan97039Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 59 of 79

Approved Accident and Health Rate Changes, CY2004

STATE MUTUAL INSURANCE COMPANY58-1449898 69132

FLR 03-13377 1/15/2004 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50MEDICARE SUPPLEMENT OTHER

Reported Policies

5,336

MEDSUP-IA(FL)Form/PlanMEDSUP-IB(FL)Form/PlanMEDSUP-IC(FL)Form/PlanMEDSUP-ID(FL)Form/PlanMEDSUP-IF(FL)Form/PlanMSD-IA(FL)Form/PlanMSD-IB(FL)Form/PlanMSD-IC(FL)Form/PlanMSD-ID(FL)Form/PlanMSD-IE(FL)Form/PlanMSD-IF(FL)Form/PlanMSD-IG(FL)Form/PlanMSELDIB(FL)Form/PlanMSELDIC(FL)Form/PlanMSELDID(FL)Form/PlanMSELDIE(FL)Form/PlanMSELDIF(FL)Form/PlanMSELDIG(FL)Form/PlanMSELIB(FL)Form/PlanMSELIC(FL)Form/PlanMSELID(FL)Form/PlanMSELIF(FL)Form/Plan

STERLING INVESTORS LIFE INSURANCE COMPANY59-1838073 89184

FLR 04-10392 10/19/2004 % Change Allowed 25.00Average Trend Allowed 0.00

Anniversary Allowed 25.00HEALTH CONVERSION

Reported Policies

3

BA/SG-5 (2/86) AForm/Plan

SUN LIFE ASSURANCE COMPANY OF CANADA38-1082080 80802

FLH 04-08415 8/26/2004 % Change Allowed 5.00Average Trend Allowed 0.00

Anniversary Allowed 5.00GROUP HEALTH DISABILITY INCOME

Reported Policies

7,834

81-GLH-PF(US)Form/Plan93P-LHForm/Plan

SUNAMERICA LIFE INSURANCE COMPANY52-0502540 69256

FLR 04-01314 2/13/2004 % Change Allowed 15.00Average Trend Allowed 0.00

Anniversary Allowed 15.00INDIVIDUAL HEALTH - HOSPITAL SURGICAL MEDICAL EXPENSE

Reported Policies

1

AH-5Form/Plan

SYMETRA LIFE INSURANCE COMPANY91-0742147 68608

FLH 04-12613 12/15/2004 % Change Allowed 0.00Average Trend Allowed 3.30

Anniversary Allowed 3.30GROUP HEALTH DENTAL

Reported Policies

0

LGC-8859 2/04 et alForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 60 of 79

Approved Accident and Health Rate Changes, CY2004

THE PUBLIC HEALTH TRUST OF DADE COUNTY59-1713947 95126

HMO 04-04924 6/3/2004 % Change Allowed 41.00Average Trend Allowed 0.00

Anniversary Allowed 41.00HEALTH MAINTENANCE ORGANIZATION GROUP CONVERSION

Reported Policies

47

CONV PLUSForm/Plan

TIME INSURANCE COMPANY39-0658730 69477

FLR 04-05740 8/18/2004 % Change Allowed 25.00Average Trend Allowed 0.00

Anniversary Allowed 25.00INDIVIDUAL HEALTH MAJOR MEDICAL - OTHER

Reported Policies

1,368

182Form/Plan192Form/Plan353Form/Plan524Form/Plan525Form/Plan534Form/Plan544Form/Plan553Form/Plan556Form/Plan557Form/Plan616Form/Plan617Form/Plan625Form/Plan626Form/Plan638Form/Plan644Form/Plan645Form/Plan670Form/Plan671Form/Plan672Form/Plan674Form/Plan675Form/Plan717Form/Plan719Form/Plan724Form/Plan728Form/Plan754Form/Plan757Form/Plan777Form/Plan790Form/Plan

FLR 04-05800 6/8/2004 % Change Allowed 29.20Average Trend Allowed 0.00

Anniversary Allowed 29.20HEALTH CONVERSION

Reported Policies

9

584Form/Plan594Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 61 of 79

Approved Accident and Health Rate Changes, CY2004

TOTAL HEALTH CHOICE, INC.33-0603319 95134

HMO 04-05308 5/19/2004 % Change Allowed 20.00Average Trend Allowed 12.00

Anniversary Allowed 32.00HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

658

Small GroupForm/Plan

HMO 04-10329 9/27/2004 % Change Allowed 0.00Average Trend Allowed 12.00

Anniversary Allowed 0.00HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

0

THC.HD.HSA1800 0904Form/Plan

TRANSAMERICA LIFE INSURANCE COMPANY39-0989781 86231

FLH 04-05665 7/13/2004 % Change Allowed 25.00Average Trend Allowed 0.00

Anniversary Allowed 25.00LONG TERM CARE OTHER

Reported Policies

2,151

ALSAForm/PlanFLEXForm/PlanFLEX2Form/PlanFLEX2TQForm/PlanLTCForm/PlanLTC2Form/PlanLTC2GRPForm/PlanLTC4Form/PlanLTC5Form/PlanLTC5TQForm/PlanLTCGRPForm/Plan

FLR 04-00962 4/2/2004 % Change Allowed 11.20Average Trend Allowed 0.00

Anniversary Allowed 11.20GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

1,043

FL SG BP 1199 CERTForm/PlanFL SG SP 1199 CERTForm/PlanGHP 1 481Form/PlanGHP 2 883Form/PlanGHP 3 984Form/PlanGHP 4 187Form/PlanGHP 5 788 CERTForm/PlanGHP 6 788 CERTForm/PlanGHP 7 392 CERTForm/PlanGHP 8 991 CERT Rev. 10-91Form/PlanPMH 1 190 CERTForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 62 of 79

Approved Accident and Health Rate Changes, CY2004

TRUSTMARK INSURANCE COMPANY36-0792925 61425

FLH 04-10243 10/22/2004 % Change Allowed 0.00Average Trend Allowed 15.50

Anniversary Allowed 0.00GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

1,124

AFL/C-MED (01-04)Form/PlanAFL/K 01-04Form/Plan

FLR 04-05022 5/12/2004 % Change Allowed 16.00Average Trend Allowed 0.00

Anniversary Allowed 16.00INDIVIDUAL HEALTH MAJOR MEDICAL - OTHER

Reported Policies

672

MM2Form/Plansee attached list Form/Plan

FLR 04-07379 6/29/2004 % Change Allowed 15.00Average Trend Allowed 0.00

Anniversary Allowed 15.00INDIVIDUAL HEALTH - HOSPITAL SURGICAL MEDICAL EXPENSE

Reported Policies

23

7HEForm/Plansee attached listingForm/Plan

FLR 04-07677 8/4/2004 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50MEDICARE SUPPLEMENT OTHER

Reported Policies

60

3721Form/Plan3721 (1-82)Form/Plan3726Form/PlanD7054Form/PlanD7079Form/PlanMSPForm/Plan

TRUSTMARK LIFE INSURANCE COMPANY36-3421358 62863

FLH 04-04629 4/30/2004 % Change Allowed 0.00Average Trend Allowed 16.00

Anniversary Allowed 0.00GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

0

BSC STD/C 6/03Form/PlanBSC STD/P 6/03Form/PlanG355-14/FL Form/PlanG355-16 4/01 FL TLForm/Plan

FLH 04-04652 7/29/2004 % Change Allowed 0.00Average Trend Allowed 16.00

Anniversary Allowed 0.00GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

1,124

AFL/C-MEDForm/PlanAFL/KForm/PlanG354-5/11-00 FLForm/Plan

FLH 04-09287 8/18/2004 % Change Allowed 0.00Average Trend Allowed 16.00

Anniversary Allowed 0.00GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

1,124

AXX/CForm/PlanAXX/KForm/Plan

FLH 04-10096 10/18/2004 % Change Allowed 0.00Average Trend Allowed 15.50

Anniversary Allowed 0.00GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

0

AFL/KForm/Plan

FLH 04-10102 10/22/2004 % Change Allowed 0.00Average Trend Allowed 15.50

Anniversary Allowed 0.00GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

0

AXX/KForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 63 of 79

Approved Accident and Health Rate Changes, CY2004

ULICO CASUALTY COMPANY13-2988846 37893

FLR 04-01018 2/18/2004 % Change Allowed 30.00Average Trend Allowed 0.00

Anniversary Allowed 30.00HEALTH CONVERSION

Reported Policies

75

UCCVN98-SFLForm/PlanUCCVN98-SPPOFLForm/PlanUCCVN99-MJFLForm/Plan

UNICARE LIFE & HEALTH INSURANCE COMPANY52-0913817 80314

FLH 04-04313 5/19/2004 % Change Allowed 0.00Average Trend Allowed 5.50

Anniversary Allowed 5.50GROUP HEALTH DENTAL

Reported Policies

0

FLGPDEN-0204Form/Plan

UNIFIED LIFE INSURANCE COMPANY43-1917728 11121

FLH 04-12848 12/21/2004 % Change Allowed 0.00Average Trend Allowed 8.00

Anniversary Allowed 8.00GROUP HEALTH DENTAL

Reported Policies

0

ULIC True GroupForm/PlanULIC True Group PlusForm/PlanULIC True Group Plus S2Form/PlanULIC True Group S2Form/PlanULIC VoluntaryForm/PlanULIC Voluntary PlusForm/Plan

UNION BANKERS INSURANCE COMPANY75-0860066 69701

FLR 04-04905 6/25/2004 % Change Allowed 7.80Average Trend Allowed 0.00

Anniversary Allowed 7.80MEDICARE SUPPLEMENT OTHER

Reported Policies

476

MS-4 AForm/PlanMS-4 BForm/PlanMS-4 CForm/PlanMS-4 DForm/PlanMS-4 EForm/PlanMS-4 FForm/PlanMS-4 GForm/PlanMS-4 HForm/PlanMS-4 IForm/Plan

FLR 04-05889 6/15/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

236

73SForm/Plan76M/76MGR/76MRForm/Plan86MForm/PlanC73SForm/PlanMS-2Form/PlanMS-3Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 64 of 79

Approved Accident and Health Rate Changes, CY2004

UNION FIDELITY LIFE INSURANCE COMPANY31-0252460 62596

FLR 04-10628 10/15/2004 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50MEDICARE SUPPLEMENT OTHER

Reported Policies

439

110-370Form/Plan1-1041Form/Plan1-1042Form/Plan1-1051Form/Plan1-1053Form/Plan1-1081Form/Plan1-1082Form/Plan1-1101Form/Plan1-2101Form/Plan1-2111Form/Plan1-2162Form/Plan1-2701Form/Plan1-2711Form/Plan130-305Form/Plan1-4021Form/Plan1-8201Form/Plan1-8221Form/Plan1-8260Form/Plan1-8311Form/Plan1-8321Form/Plan1-8350Form/Plan1-8550Form/Plan1-9291Form/Plan1-9321Form/Plan1-990Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 65 of 79

Approved Accident and Health Rate Changes, CY2004

UNION LABOR LIFE INSURANCE COMPANY13-1423090 69744

FLR 03-15398 1/28/2004 % Change Allowed 27.00Average Trend Allowed 0.00

Anniversary Allowed 27.00LONG TERM CARE OTHER

Reported Policies

418

UL-HHC-92Form/PlanUL-HHC-96Form/Plan

FLR 04-03530 5/12/2004 % Change Allowed 7.30Average Trend Allowed 0.00

Anniversary Allowed 7.30MEDICARE SUPPLEMENT OTHER

Reported Policies

1,556

UL-MSEL96BForm/PlanUl-MSEL96C-FLForm/PlanUL-MSEL96F-FLForm/Plan

FLR 04-06407 10/29/2004 % Change Allowed 16.40Average Trend Allowed 0.00

Anniversary Allowed 16.40MEDICARE SUPPLEMENT OTHER

Reported Policies

4,161

MS-A91-1Form/PlanMS-B91-1Form/PlanMS-C91-1Form/PlanMS-D91-1Form/PlanMS-E91-1Form/PlanMS-F91-1Form/PlanMS-G91-1Form/PlanMS-H91-1Form/PlanMS-I91-1Form/PlanMS-J91-1Form/Plan

FLR 04-10675 10/28/2004 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50MEDICARE SUPPLEMENT OTHER

Reported Policies

189

1000-89-SKMSForm/Plan1000-90-SKMSForm/Plan5095-89Form/Plan5095-90Form/Plan

UNION SECURITY INSURANCE COMPANY81-0170040 70408

FLH 04-08051 8/20/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00GROUP HEALTH DENTAL

Reported Policies

0

PC-DEN-210Form/Plan

FLR 04-05799 6/8/2004 % Change Allowed 33.40Average Trend Allowed 0.00

Anniversary Allowed 33.40HEALTH CONVERSION

Reported Policies

7

GC-81Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 66 of 79

Approved Accident and Health Rate Changes, CY2004

UNITED AMERICAN INSURANCE COMPANY73-1128555 92916

FLR 04-01222 3/23/2004 % Change Allowed 15.00Average Trend Allowed 0.00

Anniversary Allowed 15.00INDIVIDUAL HEALTH SPECIFIED DISEASE LIMITED BENEFIT

Reported Policies

3,666

CAGRForm/PlanCANBForm/PlanCAXCForm/PlanCIXCForm/PlanXGForm/PlanXGXCForm/Plan

FLR 04-01720 3/26/2004 % Change Allowed 8.40Average Trend Allowed 0.00

Anniversary Allowed 8.40MEDICARE SUPPLEMENT OTHER

Reported Policies

65,070

DMCForm/PlanDMXC+Form/PlanDMXCOForm/PlanDMXCUForm/PlanMAXCForm/PlanMAXC+Form/PlanMBXCForm/PlanMC1Form/PlanMC2Form/PlanMC3Form/PlanMC7Form/PlanMCCATForm/PlanMCXCForm/PlanMMSForm/PlanMRXCForm/PlanMVXCForm/Plan

FLR 04-06025 6/25/2004 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50MEDICARE SUPPLEMENT OTHER

Reported Policies

846

GRMSAForm/PlanGRMSBForm/PlanGRMSCForm/PlanGRMSDForm/PlanGRMSFForm/PlanGRMSGForm/PlanGRMSPForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 67 of 79

Approved Accident and Health Rate Changes, CY2004

FLR 04-09277 10/14/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00INDIVIDUAL HEALTH - HOSPITAL SURGICAL MEDICAL EXPENSE

Reported Policies

16,655

CS1Form/PlanHIXCForm/PlanHMXCForm/PlanHS1Form/PlanHS2Form/PlanHS3Form/PlanHS4Form/PlanHSXCForm/PlanMMXCForm/PlanMSXCForm/PlanSE1Form/PlanSHXCForm/PlanSMXCForm/PlanSSXCForm/Plan

UNITED CONCORDIA DENTAL PLANS OF FLORIDA,INC.65-0243292 52020

FLP 04-11995 12/15/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00PREPAID DENTAL SERVICE PLAN CORPORATION

Reported Policies

363

Forms on FileForm/Plan

UNITED CONCORDIA INSURANCE COMPANY86-0307623 85766

FLH 04-11402 11/15/2004 % Change Allowed 0.00Average Trend Allowed 6.00

Anniversary Allowed 6.00GROUP HEALTH DENTAL

Reported Policies

2,370

FLAD 9802 (10/04) et alForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 68 of 79

Approved Accident and Health Rate Changes, CY2004

UNITED HEALTHCARE INSURANCE COMPANY36-2739571 79413

FLH 03-14485 2/3/2004 % Change Allowed 35.00Average Trend Allowed 0.00

Anniversary Allowed 35.00HEALTH CONVERSION

Reported Policies

440

CONV-STD.Indemnity.I.01.03FLForm/PlanCONV-STD.PPO.I.01.03FLForm/Plan

FLH 04-02408 4/6/2004 % Change Allowed 0.00Average Trend Allowed 15.20

Anniversary Allowed 0.00GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

4

COVPLS.01EPO-SG-CP Rev. 3Form/Plan

FLH 04-02704 3/25/2004 % Change Allowed 0.00Average Trend Allowed 15.20

Anniversary Allowed 0.00GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

0

OPTIONSAMD.I.01.FL.SB Rev 3Form/Plan

FLH 04-03343 4/19/2004 % Change Allowed 0.00Average Trend Allowed 15.20

Anniversary Allowed 0.00GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

0

RXNET4TIER.I.04.SB.FLForm/PlanRXNETNON4TIER.I.04.SB.FLForm/Plan

FLH 04-08007 8/20/2004 % Change Allowed 0.00Average Trend Allowed 13.50

Anniversary Allowed 0.00GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

0

TOCPLS.01.02.I.FL.SB, ET ALForm/Plan

FLH 04-08753 9/1/2004 % Change Allowed 0.00Average Trend Allowed 13.50

Anniversary Allowed 0.00GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

0

[CP][PPO]AMD.I.04.FL.SBForm/Plan80AMD.I.04.FL.SBForm/PlanCAMD.I.04.FL.SB.EPO.HSAForm/PlanCPAMD.I.04.FL.SB.EPO.HSAForm/Plan

FLR 03-15730 1/14/2004 % Change Allowed 15.90Average Trend Allowed 0.00

Anniversary Allowed 15.90INDIVIDUAL HEALTH MAJOR MEDICAL - OTHER

Reported Policies

820

INDIVCHC.I.01FLForm/Plan

FLR 04-01684 2/24/2004 % Change Allowed -1.10Average Trend Allowed 15.20

Anniversary Allowed 2.90GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

2,310

TOC.01EPO-SG-CPForm/Plan

FLR 04-07477 7/7/2004 % Change Allowed -0.10Average Trend Allowed 13.50

Anniversary Allowed 11.30GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

33,653

OPTIONSAMD.I.01.FL.SBForm/PlanTOC.01EPO-SG-CPForm/Plan

FLR 04-08653 9/3/2004 % Change Allowed 0.00Average Trend Allowed 13.50

Anniversary Allowed 0.00GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

33,653

TOC.01EPO-SG-CP, ET ALForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 69 of 79

Approved Accident and Health Rate Changes, CY2004

FLR 04-08988 9/8/2004 % Change Allowed 6.00Average Trend Allowed 0.00

Anniversary Allowed 6.00MEDICARE SUPPLEMENT OTHER

Reported Policies

41,836

G-36000-4 (PLAN M1)Form/PlanG-36000-4 (PLAN M2)Form/PlanG-36000-4 (PLAN M3)Form/PlanG-36000-4 (PLAN M4)Form/PlanG-36000-4 (PLAN M5)Form/PlanG-36000-4 (PLAN M6)Form/PlanG-36000-4 (PLAN M7)Form/PlanG-36000-4 (PLAN MA)Form/PlanG-36001-4 (PLAN AG)Form/PlanG-36001-4 (PLAN W)Form/PlanG-36001-4 (PLAN X)Form/PlanG-36001-4 (PLAN Y)Form/Plan

FLR 04-09746 10/13/2004 % Change Allowed 0.00Average Trend Allowed 13.50

Anniversary Allowed 0.00GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

0

TOC.01EPO-SG-CPForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 70 of 79

Approved Accident and Health Rate Changes, CY2004

FLR 04-11024 11/9/2004 % Change Allowed 5.20Average Trend Allowed 0.00

Anniversary Allowed 5.20MEDICARE SUPPLEMENT OTHER

Reported Policies

149,171

Entry Age Rated Plan A (MS 12Form/PlanEntry Age Rated Plan A (MSA 1Form/PlanEntry Age Rated Plan B (MS 12Form/PlanEntry Age Rated Plan B (MSA 1Form/PlanEntry Age Rated Plan C (MS 12Form/PlanEntry Age Rated Plan C (MSA 1Form/PlanEntry Age Rated Plan D (MS 12Form/PlanEntry Age Rated Plan D (MSA 1Form/PlanEntry Age Rated Plan E (MS 12Form/PlanEntry Age Rated Plan E (MSA 1Form/PlanEntry Age Rated Plan F (MS 12Form/PlanEntry Age Rated Plan F (MSA 1Form/PlanEntry Age Rated Plan G (MS 12Form/PlanEntry Age Rated Plan G (MSA 1Form/PlanEntry Age Rated Plan H (MS 12Form/PlanEntry Age Rated Plan H (MSA 1Form/PlanEntry Age Rated Plan I (MS 120Form/PlanEntry Age Rated Plan I (MSA 14Form/PlanEntry Age Rated Plan J (MS 120Form/PlanEntry Age Rated Plan J (MSA 14Form/PlanEntry Age Rated Select Plan C (Form/PlanEntry Age Rated Select Plan C (Form/PlanEntry Age Rated Select Plan E (Form/PlanUniage Rated Plan A (MS 1209-Form/PlanUniage Rated Plan A (MSA 1454Form/PlanUniage Rated Plan B (MS 1209-Form/PlanUniage Rated Plan B (MSA 1454Form/PlanUniage Rated Plan C (MS 1209-Form/PlanUniage Rated Plan C (MSA 1454Form/PlanUniage Rated Plan D (MS 1209-Form/PlanUniage Rated Plan D (MSA 145Form/PlanUniage Rated Plan E (MS 1209-Form/PlanUniage Rated Plan E (MSA 1454Form/PlanUniage Rated Plan F (MS 1209-Form/PlanUniage Rated Plan F (MSA 1454Form/PlanUniage Rated Plan G (MS 1209-Form/PlanUniage Rated Plan G (MSA 145Form/PlanUniage Rated Plan H (MA 1209-Form/PlanUniage Rated Plan H (MSA 145Form/PlanUniage Rated Plan I (MS 1209-Form/PlanUniage Rated Plan I (MSA 1454Form/PlanUniage Rated Plan J (MS 1209-Form/PlanUniage Rated Plan J (MSA 1454Form/Plan

FLR 04-12498 11/4/2004 % Change Allowed 0.00Average Trend Allowed 8.00

Anniversary Allowed 8.00GROUP HEALTH DENTAL

Reported Policies

36,788

D-POL, et alForm/Plan

FLR 04-13129 12/23/2004 % Change Allowed 0.00Average Trend Allowed 13.50

Anniversary Allowed 0.00GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

0

80AMD.I.04.FL.SBForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 71 of 79

Approved Accident and Health Rate Changes, CY2004

FLR 04-14013 12/23/2004 % Change Allowed 0.00Average Trend Allowed 13.50

Anniversary Allowed 0.00GROUP HEALTH MAJOR MEDICAL SMALL GROUP ONLY

Reported Policies

0

TOC.01 EPO-SG-CP, ET ALForm/Plan

UNITED HEALTHCARE OF FLORIDA, INC.59-1293865 95264

HMO 03-14756 2/25/2004 % Change Allowed 4.80Average Trend Allowed 15.20

Anniversary Allowed 35.00HEALTH MAINTENANCE ORGANIZATION GROUP CONVERSION

Reported Policies

3,410

ConvOA(7/96)Rev(9/99)(Rev12Form/PlanConv-OAStandCov(11/97)(Rev6Form/PlanCONVSTD.H.01.03FLForm/Plan

HMO 04-01231 2/13/2004 % Change Allowed -0.30Average Trend Allowed 16.20

Anniversary Allowed 12.40HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

142,000

TOC.H.01.FL.SBForm/Plan

HMO 04-03346 4/19/2004 % Change Allowed 0.00Average Trend Allowed 15.20

Anniversary Allowed 0.00HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

0

RXNET4TIER.H.04.SB.FLForm/PlanRXNETNON4TIER.H.04.SB.FLForm/Plan

HMO 04-05694 6/17/2004 % Change Allowed -2.10Average Trend Allowed 13.50

Anniversary Allowed 9.50HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

145,740

TOC.H.01.FL.SBForm/Plan

HMO 04-06306 6/9/2004 % Change Allowed 0.00Average Trend Allowed 15.20

Anniversary Allowed 0.00HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

0

TOC.H.01.FL.SBForm/Plan

HMO 04-06450 6/25/2004 % Change Allowed 1.00Average Trend Allowed 15.20

Anniversary Allowed 21.90HEALTH MAINTENANCE ORGANIZATION GROUP CONVERSION

Reported Policies

3,626

ConvOA(7/96)Rev(9/99)(Rev12Form/PlanConv-OAStandCov(11/97)(Rev6Form/PlanCONVSTD.H.01.03FLForm/Plan

HMO 04-08652 9/3/2004 % Change Allowed 0.00Average Trend Allowed 13.50

Anniversary Allowed 0.00HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

145,740

TOC.H.01.FL.SB, ET ALForm/Plan

HMO 04-08752 9/1/2004 % Change Allowed 0.00Average Trend Allowed 13.50

Anniversary Allowed 0.00HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

0

CAMD-HSA.H.04.FL.SBForm/PlanPOS-HSA.AMD.04.FL.SBForm/Plan

HMO 04-09747 10/13/2004 % Change Allowed 0.00Average Trend Allowed 13.50

Anniversary Allowed 0.00HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

0

TOC.H.01.FL.SB, ET ALForm/Plan

HMO 04-13971 12/23/2004 % Change Allowed 0.00Average Trend Allowed 13.50

Anniversary Allowed 0.00HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

0

TOC.H.01.FL.SB, ET ALForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 72 of 79

Approved Accident and Health Rate Changes, CY2004

UNITED OF OMAHA LIFE INSURANCE COMPANY47-0322111 69868

FLH 04-01034 3/23/2004 % Change Allowed 18.80Average Trend Allowed 0.00

Anniversary Allowed 18.80HEALTH CONVERSION

Reported Policies

9

9000GC-U-EZ STD FLForm/Plan9000GC-U-EZ STD FL 03Form/Plan9000GC-U-EZ STD PPO FLForm/Plan9000GC-U-EZ STD PPO FL 03Form/Plan9000GR-EZ FLForm/Plan

FLH 04-10681 12/2/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00GROUP HEALTH ACCIDENTAL DEATH AND DISMEMBERMENT

Reported Policies

11,332

306GI-EZ 04Form/Plan

FLR 03-15596 1/20/2004 % Change Allowed -5.22Average Trend Allowed 7.75

Anniversary Allowed -7.22GROUP HEALTH DENTAL

Reported Policies

236

Form/Plan

FLR 04-00241 2/13/2004 % Change Allowed -0.60Average Trend Allowed 0.00

Anniversary Allowed -0.60GROUP HEALTH DISABILITY INCOME

Reported Policies

1,545

7103GI-STD-EZ 01Form/Plan

FLR 04-00242 2/16/2004 % Change Allowed -18.80Average Trend Allowed 0.00

Anniversary Allowed -18.80GROUP HEALTH DISABILITY INCOME

Reported Policies

15,247

7103GI-RX-EZ 01Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 73 of 79

Approved Accident and Health Rate Changes, CY2004

UNITED TEACHER ASSOCIATES INSURANCE COMPANY58-0869673 63479

FLR 04-05627 6/22/2004 % Change Allowed 16.00Average Trend Allowed 0.00

Anniversary Allowed 16.00INDIVIDUAL HEALTH - HOSPITAL SURGICAL MEDICAL EXPENSE

Reported Policies

196

1708Form/Plan1728Form/Plan181Form/Plan1-A1-562Form/Plan1-A1-563Form/Plan2059Form/Plan3070Form/Plan3104Form/Plan3119Form/Plan3206Form/Plan3207Form/Plan4000Form/Plan4010 BRForm/Plan481Form/Plan606-A, 606-B, 2061Form/Plan608Form/Plan66RH (LS-3852) (HS)Form/Plan66RH (LS-3852) (MM)Form/Plan67.791Form/Plan69MG (LS-4364)Form/Plan69MG (LS-4364) (MM)Form/Plan708Form/Plan72.789Form/Plan75.791Form/Plan763 DDForm/Plan764Form/Plan8151Form/Plan8152Form/Plan897Form/PlanAP-16921Form/PlanCP-459DForm/PlanDM 59Form/PlanDP-832Form/PlanDP-8503Form/PlanE401Form/PlanE501Form/PlanEHR 100 RF 5M-2-49; EH-100-Form/PlanEZH-3220Form/PlanFMH-600-31Form/PlanGF 60-8Form/PlanGM 41-7Form/PlanGRM 6-65Form/PlanGRM 6-68Form/PlanGRP-15209Form/PlanGRP-15210Form/PlanGS-1Form/PlanGWG 62-8Form/PlanGWG 63-8 REV. 9/82Form/PlanGWG 76-8A (REV. 7-82)Form/PlanGWG 82-8Form/PlanGWG-12Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 74 of 79

Approved Accident and Health Rate Changes, CY2004GWG-3Form/PlanGWG-4Form/PlanH-101-61Form/PlanH-MM-1-70Form/PlanL160-014Form/PlanL160-030Form/PlanL160-058Form/PlanL160-063Form/PlanL170-001Form/PlanL170-025Form/PlanL170-087Form/PlanL-320 (HS)Form/PlanMJP0300 BTForm/PlanMMForm/PlanP1-50600AForm/PlanP1-51457Form/PlanP1-51502Form/PlanP1-51831Form/PlanP1-51833Form/PlanP1-51842Form/PlanP1-52176Form/PlanP1-61381Form/PlanP1-61385Form/PlanP1-62463Form/PlanP1-62568Form/PlanP1-65003Form/PlanP1-65011Form/PlanP1-65013Form/PlanSC-73Form/Plan

FLR 04-06217 8/17/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

647

922BForm/Plan922CForm/Plan922FForm/Plan923AForm/Plan923BForm/Plan923CForm/Plan923FForm/PlanMS-020501-UTAForm/PlanMS-020601-UTAForm/PlanMS-020701-UTAForm/PlanMS-020901-UTAForm/PlanMS-021001-UTAForm/PlanMS-021201-UTAForm/PlanMS-980601-UTA; PLAN CForm/PlanMS-980701-UTA; PLAN FForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 75 of 79

Approved Accident and Health Rate Changes, CY2004

FLR 04-07806 8/17/2004 % Change Allowed 7.40Average Trend Allowed 0.00

Anniversary Allowed 7.40MEDICARE SUPPLEMENT OTHER

Reported Policies

67

4006Form/Plan665Form/Plan680Form/Plan685Form/Plan8413Form/Plan8416Form/Plan8427Form/Plan911 (EM)Form/Plan914 (EM)Form/PlanGWG 85-8Form/PlanH-645Form/PlanH-700Form/PlanMSA-0100 BTForm/PlanP1-66353Form/PlanP1-67720Form/Plan

FLR 04-11288 11/29/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

29

MSLT020201Form/PlanMSLT020301Form/PlanMSLT020401Form/PlanMSLT020501Form/PlanMSLT0230801Form/Plan

UNIVERSAL HEALTH CARE, INC.05-0528708 11574

HMO 04-11527 10/13/2004 % Change Allowed 0.00Average Trend Allowed 14.00

Anniversary Allowed 14.00HEALTH MAINTENANCE ORGANIZATION INDIVIDUAL INDIVIDUAL

Reported Policies

11

UCOC-0903Form/Plan

UNUM LIFE INSURANCE COMPANY OF AMERICA01-0278678 62235

FLR 04-03272 5/12/2004 % Change Allowed 4.00Average Trend Allowed 0.00

Anniversary Allowed 4.00GROUP HEALTH DISABILITY INCOME

Reported Policies

20,500

Group Long Term Disability RatForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 76 of 79

Approved Accident and Health Rate Changes, CY2004

USAA LIFE INSURANCE COMPANY74-1472662 69663

FLR 03-14256 1/2/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

6,517

LIM20018-A 1-92Form/PlanLIM20018-D 1-92Form/PlanLIM20018-G 1-92Form/PlanLIM23173-A 10-93Form/PlanLIM23173-F 10-93Form/PlanLIM23173-G 10-93Form/PlanLIM27173-D 10-93Form/Plan

FLR 04-11855 11/22/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

6,472

LIM20018-A 1-92Form/PlanLIM20018-D 1-92Form/PlanLIM20018-G 1-92Form/PlanLIM23173-A 10-93Form/PlanLIM23173-D 10-93Form/PlanLIM23173-F 10-93Form/PlanLIM23173-G 10-93Form/Plan

VISTA HEALTHPLAN OF SOUTH FLORIDA, INC.65-0453436 95266

HMO 04-03393 5/12/2004 % Change Allowed 35.00Average Trend Allowed 0.00

Anniversary Allowed 35.00HEALTH MAINTENANCE ORGANIZATION GROUP CONVERSION

Reported Policies

353

INDCONV124Form/Plan

HMO 04-06231 7/20/2004 % Change Allowed 0.00Average Trend Allowed 12.60

Anniversary Allowed 12.60HEALTH MAINTENANCE ORGANIZATION INDIVIDUAL INDIVIDUAL

Reported Policies

28,145

COM1031Form/Plan

HMO 04-10188 10/4/2004 % Change Allowed 0.00Average Trend Allowed 14.50

Anniversary Allowed 12.80HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

638

AllForm/Plan

VISTA HEALTHPLAN, INC.65-0986441 95114

HMO 04-03391 5/12/2004 % Change Allowed 35.00Average Trend Allowed 0.00

Anniversary Allowed 35.00HEALTH MAINTENANCE ORGANIZATION GROUP CONVERSION

Reported Policies

659

P2HCNV (1/98)Form/Plan

HMO 04-03856 5/13/2004 % Change Allowed 0.00Average Trend Allowed 14.50

Anniversary Allowed 0.00HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

0

HMO Small GroupForm/Plan

HMO 04-10221 9/27/2004 % Change Allowed 0.00Average Trend Allowed 14.50

Anniversary Allowed 0.00HEALTH MAINTENANCE ORGANIZATION GROUP SMALL GROUP ONLY

Reported Policies

0

VHP.SG.HMO.SOB.FD15 (09/04Form/PlanVHP.SG.POS.SOB.FD15 (09/04)Form/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 77 of 79

Approved Accident and Health Rate Changes, CY2004

WESTERN AND SOUTHERN LIFE INSURANCE COMPANY31-0487145 70483

FLR 04-09208 10/8/2004 % Change Allowed 12.00Average Trend Allowed 0.00

Anniversary Allowed 12.00INDIVIDUAL HEALTH SPECIFIED DISEASE LIMITED BENEFIT

Reported Policies

4,357

7908-4371Form/Plan7908-4372Form/Plan7908-4381Form/Plan7908-4382Form/Plan7908-4391Form/Plan7908-4392Form/Plan8907-4363Form/Plan8907-4364Form/Plan8907-4373Form/Plan8907-4374Form/Plan8907-4383Form/Plan8907-4384Form/Plan8907-4393Form/Plan8907-4394Form/Plan9208-4473 FLForm/Plan9208-4474 FLForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 78 of 79

Approved Accident and Health Rate Changes, CY2004

WORLD INSURANCE COMPANY47-0339860 70629

FLR 04-02160 4/19/2004 % Change Allowed 5.50Average Trend Allowed 0.00

Anniversary Allowed 5.50MEDICARE SUPPLEMENT OTHER

Reported Policies

209

1084Form/Plan1085Form/Plan1100Form/Plan7047Form/Plan75F77Form/Plan75F79Form/Plan75R51Form/Plan764AForm/Plan767Form/Plan7921Form/Plan7927Form/Plan7944Form/PlanA002Form/PlanA2400Form/PlanA2480Form/PlanA2485Form/PlanAN210Form/PlanAN220Form/PlanAN230Form/PlanAN240Form/PlanAN320Form/PlanAN330Form/PlanAN340Form/PlanAN345Form/PlanE840AForm/PlanHIP02Form/Plan

FLR 04-04828 6/14/2004 % Change Allowed 0.00Average Trend Allowed 0.00

Anniversary Allowed 0.00MEDICARE SUPPLEMENT OTHER

Reported Policies

632

AN1320Form/PlanAN1325Form/PlanAN1330Form/PlanAN1335Form/PlanAN1350Form/PlanAN1355Form/PlanAN1375Form/PlanAN1610Form/PlanAN1615Form/PlanAN1616Form/PlanAN1620Form/PlanAN1625Form/PlanAN1626Form/PlanAN1630Form/PlanAN1636Form/PlanAN1650Form/PlanAN1655Form/PlanAN1656Form/PlanCA05AForm/PlanCA05BForm/Plan

Data Retrieval Date: 01/08/2007Florida Office of Insurance Regulation

Market Research Unit Page 79 of 79