Notice of Proposed Rate Action

PW_E168791
As required by state law, Empire has submitted a premium rate change to the New York State Department of Financial Services (DFS). The rate change request is for new or renewing members. Please note that a second notice will also be sent when the final rates are approved by the New York State Department of Financial Services (DFS). The letters are meant to alert members of their right to comment about rate changes and/or request additional information. 
 
Medicare Supplement Products  

PRODUCT
Narrative Summary
1992 Standardized Plans
Narrative Summary
2010 Standardized Plans
Member
Pre-Notice Letter
Rate Grid
Proposed Effective Date

Empire BlueCross BlueShield Medicare Supplement products*

PDF Format

PDF Format

PDF Format

PDF Format

01/01/2014

Empire BlueCross Medicare Supplement products **

PDF Format

PDF Format

PDF Format

PDF Format

01/01/2014  
 
Individual Health Care Plans  

PRODUCT
Narrative Summary
Member
Pre-Notice Letter

Rate Grid
Proposed Effective Date

Empire BlueCross BlueShield Individual HMO and HMO/POS*

PDF Format

PDF Format

N/A

2013 ***

Empire BlueCross Individual HMO and HMO/POS**

PDF Format

PDF Format

N/A

2013 *** 
Empire BlueCross BlueShield Indemnity Plans 

PDF Format

PDF Format

N/A

01/01/2013  
Empire BlueCross Indemnity Plans 

PDF Format

PDF Format

N/A

01/01/2013  
 
WPNSF186M(Rev.6/13)-NY 

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