Oxford Health Plans (NY), Inc. - XFRD-127318621 - Prior Approval Rate Adjustment (Hospital/Surgical/Medical Expense)

Sep 11, 2026

Upload by Aladdin

Rate filing for Oxford Health Plans (NY), Inc. under SERFF Tracking Number XFRD-127318621, covering Hospital/Surgical/Medical Expense for New York. The submission is classified as a rate-only filing with Prior Approval Rate Adjustment under Section 4308(c). It targets the POS In-Network product for calendar year 2012 with an overall rate impact of 18.7%. Submitted 07/19/2011 and approved 10/18/2011, with implementation date requested as 01/01/2012.

LanguageEnglish

CategoryInvoices

FormatPDF

Pages62

Reading Time22 min

AccessFree to download

Filing Summary

SERFF Tracking and Product Details

Submission Purpose and Requested Mode

State Status and Dates

Company Contact and Fees

SERFF Tracking Number: Filing Company: Company Tracking Number: TOI: XFRD-127318621 Oxford Health Plans (NY), Inc. H15IIndividual Health Hospital/Surgical/Medical Expense State: State Tracking Number: Sub-TOI: New York 2011070127 H15I.001 Health-Hospital/Surgical/Medical Expense Product Name: Oxford Individual Grandfathered POSIn-Network CY 2012 Project Name/Number: / Filing at a Glance Company: Oxford Health Plans (NY), Inc. Product Name: Oxford Individual GrandfatheredSERFF Tr Num: XFRD-127318621 State: New York POS In-Network CY 2012 TOI: H15I Individual Health- SERFF Status: Closed-APPR State Tr Num: 2011070127 Hospital/Surgical/Medical Expense Sub-TOI: H15I.001 Health- Approved Co Tr Num: State Status: Hospital/Surgical/Medical Expense Filing Type: Rate Adjustment pursuant to Section 4308(c) Authors: Date Submitted: 07/19/2011 Implementation Date Requested: 01/01/2012 State Filing Description: Reviewer(s): Disposition Date: 10/18/2011 Disposition Status: APPR Approved Implementation Date: 01/01/2012 General Information Project Name: Status of Filing in Domicile: Not Filed Project Number: Date Approved in Domicile: Requested Filing Mode: Review & Approval Domicile Status Comments: Explanation for Combination/Other: Market Type: Individual Submission Type: New Submission Individual Market Type: Individual Overall Rate Impact: 18.7% Filing Status Changed: 10/18/2011 State Status Changed: Deemer Date: Created By: Submitted By: Corresponding Filing Tracking Number: PPACA: Not PPACA-Related PPACA Notes: null Filing Description: Enclosed please find Oxford Health Plans (NY), Inc.’s rate filing application for January 2012 through December 2012 for the above referenced form numbers. We are submitting this rate filing subject to Prior Approval, pursuant to Section 4308(c) of the Insurance Law. PDF Pipeline for SERFF Tracking Number XFRD-127318621 Generated 11/03/2011 10:17 AM SERFF Tracking Number: Filing Company: Company Tracking Number: TOI: XFRD-127318621 Oxford Health Plans (NY), Inc. H15IIndividual Health Hospital/Surgical/Medical Expense State: State Tracking Number: Sub-TOI: New York 2011070127 H15I.001 Health-Hospital/Surgical/Medical Expense Product Name: Oxford Individual Grandfathered POSIn-Network CY 2012 Project Name/Number: / Company and Contact Filing Contact Information Filing Company Information Oxford Health Plans (NY), Inc. CoCode: 95479 State of Domicile: New York 48 Monroe Turnpike Group Code: 1182 Company Type: Trumbull, CT 06614 Group Name: State ID Number: 06-1181200 (203) 459-6000 ext. [Phone] FEIN Number: 06-1181200 --------- Filing Fees Fee Required? No Retaliatory? No Fee Explanation: Per Company: No State Specific 1. Is a parallel product being submitted for another entity of the same parent organization? Yes/No (If Yes, enter name of other entity, submission date, and SERFF Tracking Number of the parallel file. ): Yes, Oxford Health Insurance, Inc. , 7/19/2011, XFRD-127318641 2. Type of insurer? Article 43, HMO, Commercial, Municipal Coop, or Fraternal Benefit Society: HMO 3. Is this filing for Group Remittance, Statutory Individual HMO, Statutory Individual POS, Blanket, or Healthy New York? Yes/No (If Yes, enter which one. ): No 4. Type of filing? Enter Form and Rate, Form only, Rate only (Form only should be used ONLY when the filing only contains an application, advertisement, administrative form, or is an out-of-state filing. Form submissions with no proposed rate impact are considered form and rate filings and require an actuarial memorandum. ): Rate Only 5. Is this a Rate only filing? Yes/No [If Yes, enter one: Commission/Fee Schedule, "File and Use" Rate Adjustment, Prior Approval Rate Adjustment, DBL Loss Ratio Monitoring, Loss Ratio Experience Monitoring/Reporting, Medicare Supplement Annual Filing (other than rate adjustment), Medicare

FAQs

What is the SERFF tracking number for this filing?

The SERFF Tracking Number is XFRD-127318621.

What type of filing is submitted, and under which legal authority?

It is a rate-only filing submitted as a Prior Approval Rate Adjustment pursuant to Section 4308(c) of the Insurance Law.

What is the requested implementation date and the approval disposition status?

The requested implementation date is 01/01/2012. The disposition status is APPR Approved with a disposition date of 10/18/2011.

Sep 11, 2026

Upload by Aladdin