MO Insurance Bulletin 2019-06
MO Insurance Bulletin 2019-06: Medicare Supplement Rate Data Call
INSURANCE BULLETIN 19-06
Medicare Supplement Rate Data Call
Issued: July 9, 2019
The following Bulletin is issued by the Missouri Department of Insurance, Financial
Institutions and Professional Registration (“Department”) to inform and educate the reader
on the specified issue. It does not have the force and effect of law, is not an evaluation of any
specific facts or circumstances, and is not binding on the Department. See section 374.015,
RSMo.
To:
All insurers offering Medicare Supplement or Medigap policies in the State of Missouri
From: Chlora Lindley-Myers, Director
Re:
Medicare Supplement Rate Information Data Call
The Department has developed a new interactive website which will allow Missourians to shop
and compare rates for Medicare Supplement policies. The Department is planning to launch this
new website and service to coincide with the 2020 open enrollment period, which will run from
October 15, 2019, to December 7, 2019, for 2020 health coverage.
This new interactive website will not rely upon a statewide average or estimated rates; rather it
will allow a Missourian to enter their zip code and other basic demographic information to shop
and/or compare premiums for the plans of interest that are available in their area.
In order to facilitate this new interactive approach, the Department needs data, in a format that
differs from what is currently collected in Medicare Supplement rate filings. As such, the
Department has initiated this data call to collect the necessary rate information in advance of the
2020 open enrollment period.
The attached Appendix A provides the data specifications and instructions for submissions of the
data. The Department requests that all responses to this data call be submitted no later than
August 2, 2019. Carriers will use a secure FTP account to deposit the 2020 open enrollment
information as requested in Appendix A
sary rate information in advance of the
2020 open enrollment period.
The attached Appendix A provides the data specifications and instructions for submissions of the
data. The Department requests that all responses to this data call be submitted no later than
August 2, 2019. Carriers will use a secure FTP account to deposit the 2020 open enrollment
information as requested in Appendix A. To obtain instructions and login information for the
FTP account, please email MedSupRates@insurance.mo.gov.
Starting in 2020, the Department plans to obtain this data along with the submission of rate filing
submissions and rate revisions. Collecting this information at the same time as a rate filing will
negate the need for future data calls. To the extent the rate information is provided along with
the rate filing submission by the filing company, this will assist the Department in expediting its
review of proposed rates. Insurers are asked to review the filing checklists and guidelines next
year for additional information.
The Department appreciates the industry’s cooperation with this new initiative. Those with
questions can contact Camille Anderson-Weddle at 573-522-3311.
###
Appendix to Bulletin 19-06 – Issued July 9, 2019
Appendix A– Data Specifications
Filings should consist of two tables, each in comma separated text format. All insurers
with Medicare Supplement business in force, or that intend to market such policies in the
upcoming year, are required to file Table 1. Include in Table 1 all policies regardless of whether
they are sold on a group or individual basis, and regardless of whether they are open or closed
blocs of business. Table 2 should consist only of individual policies that are open or available to
new insureds. Table 1 consists of statewide aggregate data for each policy, while Table 2 should
be reported by ZIP code
red to file Table 1. Include in Table 1 all policies regardless of whether
they are sold on a group or individual basis, and regardless of whether they are open or closed
blocs of business. Table 2 should consist only of individual policies that are open or available to
new insureds. Table 1 consists of statewide aggregate data for each policy, while Table 2 should
be reported by ZIP code.
Table names should adhere to the following naming conventions:
The Table 1 file should be named “MedSuppxxxxxT1.csv,” where “xxxxx” is the company’s
five-digit NAIC number.
The Table 2 file should be named MedSuppCxxxxxT2.csv,” where “xxxxx” is the company’s
five-digit NAIC number.
FOR FUTURE FILINGS IN SERFF: There is a 5 mb limit to attachments in SERFF. If your data
exceeds this limit, it will be necessary to file portions of the document as separate
attachments.
Table 1: Statewide Policy Information
Variable Name
Description
NAIC_Code
Five-digit NAIC company code
Company
Full company name
PolicyNo
Policy form number
STPlan
Standardized plan letter
MedSelect
“Y” or “N” to indicate Medicare Select business
Group_ind
“G” or “I” – indicate whether group or individual business
Open/Closed
“O” or “C” – indicate whether open or close bloc of business
Eligibility
Free-form narrative describing conditions for coverage eligibility – i.e.
65 or older, etc.
Issue_basis
“GI” – Guaranteed issue
“UW” – Underwritten
Lives
# of covered lives as of 12/31 of prior year
AgeRateType
Rated by issues age (IA), attained age (AA) or community rated (CR).
ReqRate
Requested rate change
EffDate
Rate effective date (MM/DD/YYYY)
Website
Company website address
PhoneNumber
Best phone number for insureds / applicants to call for information
about this policy.
asis
“GI” – Guaranteed issue
“UW” – Underwritten
Lives
# of covered lives as of 12/31 of prior year
AgeRateType
Rated by issues age (IA), attained age (AA) or community rated (CR).
ReqRate
Requested rate change
EffDate
Rate effective date (MM/DD/YYYY)
Website
Company website address
PhoneNumber
Best phone number for insureds / applicants to call for information
about this policy.
Appendix to Bulletin 19-06 – Issued July 9, 2019
Table 2: Detailed ZIP Code Level Rate Data
Variable Name
Description
ZIP Code
Valid 5-digit ZIP code. Do not include PO Boxes.
NAIC_code
Five-digit NAIC company code
PolicyNo
Policy form number (should match exactly the policy number for this
policy reported in table 1).
StPlan
Standardize Plan Letter
Medicare_Select
Is product Medicare Select – “Yes” or “No”
Age
Exact age, bounded by 64 (64 and lower) and 95 (95 and over)
Gender
Gender indicator – “M” or “F”
Smoking
S – smoking
NS – non-smoking
RiskClass
P – Preferred
S – Standard or non-preferred
Annual_rate
Cost of coverage for one person for one year