[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-240858-105":53,"doc-detail-240858-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","oxford-health-plans-ny-inc-xfrd-127318621-prior-approval-rate-adjustment-hospitalsurgicalmedical-expense","Oxford Health Plans (NY), Inc. - XFRD-127318621 - Prior Approval Rate Adjustment (Hospital/Surgical/Medical Expense)","","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.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":21,"@type":70,"position":76},"https://docshare.wps.com/template/invoices/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/oxford-health-plans-ny-inc-xfrd-127318621-prior-approval-rate-adjustment-hospitalsurgicalmedical-expense/240858/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/oxford-health-plans-ny-inc-xfrd-127318621-prior-approval-rate-adjustment-hospitalsurgicalmedical-expense/240858.png","ImageObject",442,249,{"name":88,"@type":89},"Aladdin","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-28","2026-09-11",true,{"@type":98,"interactionType":99,"userInteractionCount":9},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What is the SERFF tracking number for this filing?","Question",{"text":108,"@type":109},"The SERFF Tracking Number is XFRD-127318621.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What type of filing is submitted, and under which legal authority?",{"text":113,"@type":109},"It is a rate-only filing submitted as a Prior Approval Rate Adjustment pursuant to Section 4308(c) of the Insurance Law.",{"name":115,"@type":106,"acceptedAnswer":116},"What is the requested implementation date and the approval disposition status?",{"text":117,"@type":109},"The requested implementation date is 01/01/2012. The disposition status is APPR Approved with a disposition date of 10/18/2011.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},240858,1790553749,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":20,"category_name":21,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":9,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":141},2336478503145,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","SERFF Tracking Number: Filing Company:  \nCompany Tracking Number:  \nTOI:  \nXFRD-127318621  \nOxford Health Plans (NY), Inc.  \nH15IIndividual Health  \nHospital/Surgical/Medical Expense  \nState:  \nState Tracking Number:  \nSub-TOI:  \nNew York  \n2011070127  \nH15I.001 Health-Hospital/Surgical/Medical Expense  \nProduct Name: Oxford Individual Grandfathered POSIn-Network CY 2012  \nProject Name/Number: /  \nFiling at a Glance  \nCompany: Oxford Health Plans (NY), Inc.  \nProduct Name: Oxford Individual GrandfatheredSERFF Tr Num: XFRD-127318621 State: New York POS In-Network CY 2012  \nTOI: H15I Individual Health- SERFF Status: Closed-APPR State Tr Num: 2011070127  \nHospital/Surgical/Medical Expense Sub-TOI: H15I.001 Health-  \nApproved Co Tr Num:  \nState Status:  \nHospital/Surgical/Medical Expense Filing Type: Rate Adjustment pursuant to Section 4308(c)  \nAuthors:   \nDate Submitted: 07/19/2011  \nImplementation Date Requested: 01/01/2012 State Filing Description:  \nReviewer(s):   \nDisposition Date: 10/18/2011  \nDisposition Status: APPR Approved  \nImplementation Date: 01/01/2012  \nGeneral Information  \nProject Name: Status of Filing in Domicile: Not Filed  \nProject Number: Date Approved in Domicile:  \nRequested Filing Mode: Review & Approval Domicile Status Comments:  \nExplanation for Combination/Other: Market Type: Individual  \nSubmission Type: New Submission Individual Market Type: Individual  \nOverall Rate Impact: 18.7% Filing Status Changed: 10/18/2011  \nState Status Changed:  \nDeemer Date: Created By:   \nSubmitted By:  Corresponding Filing Tracking Number:  \nPPACA: Not PPACA-Related  \nPPACA Notes: null Filing Description:  \nEnclosed 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.  \nPDF Pipeline for SERFF Tracking Number XFRD-127318621 Generated 11/03/2011 10:17 AM  \nSERFF Tracking Number: Filing Company:  \nCompany Tracking Number:  \nTOI:  \nXFRD-127318621  \nOxford Health Plans (NY), Inc.  \nH15IIndividual Health  \nHospital/Surgical/Medical Expense  \nState:  \nState Tracking Number:  \nSub-TOI:  \nNew York  \n2011070127  \nH15I.001 Health-Hospital/Surgical/Medical Expense  \nProduct Name: Oxford Individual Grandfathered POSIn-Network CY 2012  \nProject Name/Number: /  \nCompany and Contact  \nFiling Contact Information  \nFiling Company Information  \nOxford Health Plans (NY), Inc. CoCode: 95479 State of Domicile: New York  \n48 Monroe Turnpike Group Code: 1182 Company Type:  \nTrumbull, CT 06614 Group Name: State ID Number: 06-1181200  \n(203) 459-6000 ext. [Phone] FEIN Number: 06-1181200  \n---------  \nFiling Fees  \nFee Required? No  \nRetaliatory? No  \nFee Explanation:  \nPer Company: No  \nState Specific  \n1. 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  \n2. Type of insurer? Article 43, HMO, Commercial, Municipal Coop, or Fraternal Benefit Society: HMO  \n3. 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  \n4. 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  \n5. 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","cbCaium0QteO04JK","https://ap.wps.com/l/cbCaium0QteO04JK","pdf",209714,62,"English","# Filing Summary\n## SERFF Tracking and Product Details\n## Submission Purpose and Requested Mode\n## State Status and Dates\n## Company Contact and Fees","[{\"question\":\"What is the SERFF tracking number for this filing?\",\"answer\":\"The SERFF Tracking Number is XFRD-127318621.\"},{\"question\":\"What type of filing is submitted, and under which legal authority?\",\"answer\":\"It is a rate-only filing submitted as a Prior Approval Rate Adjustment pursuant to Section 4308(c) of the Insurance Law.\"},{\"question\":\"What is the requested implementation date and the approval disposition status?\",\"answer\":\"The requested implementation date is 01/01/2012. The disposition status is APPR Approved with a disposition date of 10/18/2011.\"}]","Oxford Health Plans (NY), Inc. - XFRD-127318621 - Prior Approval Rate Adjustment (Hospital/Surgical/Medical Expense) | PDF",1789166603,22]