CMS-10379.KY examples (7-12-11)

CMS-10379.KY examples (7-12-11).xlsx

Rate Increase Disclosure and Review Reporting Requirements (45 CFR Part 154)

CMS-10379.KY examples (7-12-11)

OMB: 0938-1141

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Overview

Summary
Level
Increase
Decrease


Sheet 1: Summary

HHS 10% Threshold






This spreadsheet consists of several examples created by the Kentucky Department of Insurance
KYDOI Examples






in order to explore the threshold test and its attributes.

















CMS has examined each example and tried to add insightful cases to the right of column H with
Individual Rate Filing






simple calculations. These calculations are illustrative to impart understanding and can be performed
Proposed Effective Date 1/1/12






far more efficiently.
Base Rate increase of 9%. Varying trend increases for future rates, and varying membership.







Summary













































Assumption


Example Trend Membership
Average Increase



1 11% Level
CMS: This value is correct. 9.9%



3 11% Increasing
10.1%



5 11% Decreasing
9.7%





















2 12% Level
CMS: This value is correct. 10.4%



4 12% Increasing
10.7%



6 12% Decreasing
10.1%



Sheet 2: Level

HHS 10% Threshold






























































KYDOI Example 1






























































































































































































Individual Rate Filing

































Case 1(c)



























Proposed Effective Date 1/1/12






























































Base rate increase of 9%

































2012

2011 thru 2013 premiums in table below. 100 enrolles in each monthly renewal cohort for 1,200 enrolles total. Cum monthly
























Rates trended in 2012 by 11%/year

































base 9.00%
increases are implemented upon renewal date only. The 2012 filing with 9% base rate increase and 11% trend is filed with
























No change in any rating factors except trend

































trend 11.00%
State department and approved. 2012 filing des not exceed threshold (as per Case 1 (b)). 2013 filing seeks 0% base increase and



























































2013

6.1% trend. This increase would trigger the theshold since the average increase for an increase within the one year window from the







































Case 1(b) Premiums in table below. 100 enrolles in each monthly renewal cohort for 1,200 enrolles total. Cum monthly increases

















base 0.00%
effective date exceeds the threshold. Thus, the 2013 proposal would become subject to review. The 2012 filing is not subject to
























Experience

2011 Trend = 9%


Case 1(a) Premium schedule changes monthly, all enrollees pay same rate.







implemented upon renewal date only.

















trend 6.10%
review.











2013 filing analysis





2012 filing analysis assuming no future increases




Renewal Date # Policies Base Rate Trended Rate Total Premium

Renewal Date Total Premium





Jan renewal Feb renewal March renewal April renewal May renewal June renewal July renewal Aug renewal Sept renewal Oct renewal Nov renewal Dec renewal
Total Monthly Premium 2011 Total Premim 2012 Total Premim 2011 Average Annual Premium 2012 Average Annual Premium Average Increase with no future premium impact
Renewal Date Prem Schedule
Jan renewal Feb renewal March renewal April renewal May renewal June renewal July renewal Aug renewal Sept renewal Oct renewal Nov renewal Dec renewal
Total Monthly Premium Total Old Annual Premim Total new Annual Premim Old Average Annual Premium New Average Annual Premium Avg increase
Total Monthly Premium Total Old Annual Premim Total new Annual Premim Old Average Annual Premium New Average Annual Premium Avg increase
1/1/2011 100 $100.00 $100.00 $10,000

1/1/2011 100.00





100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
120,000.00





1/1/2011 100.00
100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
120,000.00





120,000.00




2/1/2011 100 $100.00 $100.72 $10,072

2/1/2011 100.72





100.00 100.72 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
120,072.07





2/1/2011 100.72
100.00 100.72 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
120,072.07





120,072.07




3/1/2011 100 $100.00 $101.45 $10,145

3/1/2011 101.45





100.00 100.72 101.45 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
120,216.74





3/1/2011 101.45
100.00 100.72 101.45 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
120,216.74





120,216.74




4/1/2011 100 $100.00 $102.18 $10,218

4/1/2011 102.18





100.00 100.72 101.45 102.18 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
120,434.52





4/1/2011 102.18
100.00 100.72 101.45 102.18 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
120,434.52





120,434.52




5/1/2011 100 $100.00 $102.91 $10,291

5/1/2011 102.91





100.00 100.72 101.45 102.18 102.91 100.00 100.00 100.00 100.00 100.00 100.00 100.00
120,725.95





5/1/2011 102.91
100.00 100.72 101.45 102.18 102.91 100.00 100.00 100.00 100.00 100.00 100.00 100.00
120,725.95





120,725.95




6/1/2011 100 $100.00 $103.66 $10,366

6/1/2011 103.66





100.00 100.72 101.45 102.18 102.91 103.66 100.00 100.00 100.00 100.00 100.00 100.00
121,091.54





6/1/2011 103.66
100.00 100.72 101.45 102.18 102.91 103.66 100.00 100.00 100.00 100.00 100.00 100.00
121,091.54





121,091.54




7/1/2011 100 $100.00 $104.40 $10,440

7/1/2011 104.40





100.00 100.72 101.45 102.18 102.91 103.66 104.40 100.00 100.00 100.00 100.00 100.00
121,531.85 Using Jan 2012 as the point of




7/1/2011 104.40
100.00 100.72 101.45 102.18 102.91 103.66 104.40 100.00 100.00 100.00 100.00 100.00
121,531.85





121,531.85




8/1/2011 100 $100.00 $105.16 $10,516

8/1/2011 105.16





100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 100.00 100.00 100.00 100.00
122,047.40 reference the average increase is:




8/1/2011 105.16
100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 100.00 100.00 100.00 100.00
122,047.40





122,047.40




9/1/2011 100 $100.00 $105.91 $10,591

9/1/2011 105.91





100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 100.00 100.00 100.00
122,638.75





9/1/2011 105.91
100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 100.00 100.00 100.00
122,638.75





122,638.75




10/1/2011 100 $100.00 $106.68 $10,668

10/1/2011 106.68





100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 100.00 100.00
123,306.42
avg increase
avg increase

10/1/2011 106.68
100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 100.00 100.00
123,306.42





123,306.42




11/1/2011 100 $100.00 $107.45 $10,745

11/1/2011 107.45


Average Increase

100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 100.00
124,050.99
7.84%
7.84%

11/1/2011 107.45
100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 100.00
124,050.99





124,050.99




12/1/2011 100 $100.00 $108.22 $10,822

12/1/2011 108.22 1,248.73 old annual premium
9.93%

100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
124,872.99





12/1/2011 108.22
100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
124,872.99





124,872.99











1/1/2012 109.00 1,372.70 new annual premium



109.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
125,772.99 1,460,989.22 1,575,519.91 1,217.49 1,312.93 7.84%
1/1/2012 109.00
109.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
125,772.99 1,460,989.22 1,575,519.91 1,217.49 1,312.93 7.84%
125,772.99 1,460,989.22 1,575,519.91 1,217.49 1,312.93 7.84%
Proposed Base Rate Increase
9%



2/1/2012 109.95





109.00 109.95 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
126,696.12



8.28%
2/1/2012 109.95
109.00 109.95 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
126,696.12 1,466,762.21 1,588,216.19 1,222.30 1,323.51 8.28%
126,696.12 1,466,762.21 1,588,216.19 1,222.30 1,323.51 8.28%
2012 Annual Trend =
11%



3/1/2012 110.91





109.00 109.95 110.91 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
127,642.70



8.67%
3/1/2012 110.91
109.00 109.95 110.91 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
127,642.70 1,473,386.26 1,601,152.97 1,227.82 1,334.29 8.67%
127,642.70 1,473,386.26 1,601,093.12 1,227.82 1,334.24 8.67%







4/1/2012 111.88





109.00 109.95 110.91 111.88 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
128,613.04



9.00%
4/1/2012 111.88
109.00 109.95 110.91 111.88 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
128,613.04 1,480,812.22 1,614,270.92 1,234.01 1,345.23 9.01%
128,613.04 1,480,812.22 1,614,031.23 1,234.01 1,345.03 9.00%
Renewal Date # Policies Base Rate Trended Rate Total Premium Increase
5/1/2012 112.86





109.00 109.95 110.91 111.88 112.86 103.66 104.40 105.16 105.91 106.68 107.45 108.22
129,607.47



9.26%
5/1/2012 112.86
109.00 109.95 110.91 111.88 112.86 103.66 104.40 105.16 105.91 106.68 107.45 108.22
129,607.47 1,488,990.74 1,627,509.84 1,240.83 1,356.26 9.30%
129,607.47 1,488,990.74 1,626,909.87 1,240.83 1,355.76 9.26%
1/1/2012 100 $109.00 $109.00 $10,900 9.0%
6/1/2012 113.84





109.00 109.95 110.91 111.88 112.86 113.84 104.40 105.16 105.91 106.68 107.45 108.22
130,626.29



9.46%
6/1/2012 113.84
109.00 109.95 110.91 111.88 112.86 113.84 104.40 105.16 105.91 106.68 107.45 108.22
130,626.29 1,497,872.26 1,640,808.66 1,248.23 1,367.34 9.54%
130,626.29 1,497,872.26 1,639,607.25 1,248.23 1,366.34 9.46%
2/1/2012 100 $109.00 $109.95 $10,995 9.2%
7/1/2012 114.84





109.00 109.95 110.91 111.88 112.86 113.84 114.84 105.16 105.91 106.68 107.45 108.22
131,669.85



9.59%
7/1/2012 114.84
109.00 109.95 110.91 111.88 112.86 113.84 114.84 105.16 105.91 106.68 107.45 108.22
131,669.85 1,507,407.01 1,654,105.44 1,256.17 1,378.42 9.73%
131,669.85 1,507,407.01 1,652,000.38 1,256.17 1,376.67 9.59%
3/1/2012 100 $109.00 $110.91 $11,091 9.3%
8/1/2012 115.84





109.00 109.95 110.91 111.88 112.86 113.84 114.84 115.84 105.91 106.68 107.45 108.22
132,738.46



9.65%
8/1/2012 115.84
109.00 109.95 110.91 111.88 112.86 113.84 114.84 115.84 105.91 106.68 107.45 108.22
132,738.46 1,517,545.01 1,667,337.37 1,264.62 1,389.45 9.87%
132,738.46 1,517,545.01 1,663,965.08 1,264.62 1,386.64 9.65%
4/1/2012 100 $109.00 $111.88 $11,188 9.5%
9/1/2012 116.85





109.00 109.95 110.91 111.88 112.86 113.84 114.84 115.84 116.85 106.68 107.45 108.22
133,832.47



9.63%
9/1/2012 116.85
109.00 109.95 110.91 111.88 112.86 113.84 114.84 115.84 116.85 106.68 107.45 108.22
133,832.47 1,528,236.07 1,680,440.71 1,273.53 1,400.37 9.96%
133,832.47 1,528,236.07 1,675,376.00 1,273.53 1,396.15 9.63%
5/1/2012 100 $109.00 $112.86 $11,286 9.7%
10/1/2012 117.87





109.00 109.95 110.91 111.88 112.86 113.84 114.84 115.84 116.85 117.87 107.45 108.22
134,952.22



9.53%
10/1/2012 117.87
109.00 109.95 110.91 111.88 112.86 113.84 114.84 115.84 116.85 117.87 107.45 108.22
134,952.22 1,539,429.80 1,693,350.85 1,282.86 1,411.13 10.00%
134,952.22 1,539,429.80 1,686,106.56 1,282.86 1,405.09 9.53%
6/1/2012 100 $109.00 $113.84 $11,384 9.8%
11/1/2012 118.90





109.00 109.95 110.91 111.88 112.86 113.84 114.84 115.84 116.85 117.87 118.90 108.22
136,098.03



9.35%
11/1/2012 118.90
109.00 109.95 110.91 111.88 112.86 113.84 114.84 115.84 116.85 117.87 118.90 108.22
136,098.03 1,551,075.59 1,706,002.23 1,292.56 1,421.67 9.99%
136,098.03 1,551,075.59 1,696,028.96 1,292.56 1,413.36 9.35%
7/1/2012 100 $109.00 $114.84 $11,484 10.0%
12/1/2012 119.94





109.00 109.95 110.91 111.88 112.86 113.84 114.84 115.84 116.85 117.87 118.90 119.94
137,270.26



9.08%
12/1/2012 119.94
109.00 109.95 110.91 111.88 112.86 113.84 114.84 115.84 116.85 117.87 118.90 119.94
137,270.26 1,563,122.64 1,718,328.40 1,302.60 1,431.94 9.93%
137,270.26 1,563,122.64 1,705,014.16 1,302.60 1,420.85 9.08%
8/1/2012 100 $109.00 $115.84 $11,584 10.2%




























1/1/2013 120.99
120.99 109.95 110.91 111.88 112.86 113.84 114.84 115.84 116.85 117.87 118.90 119.94
138,469.26 1,575,519.91 1,730,261.96 1,312.93 1,441.88 9.82%
138,469.26 1,575,519.91 1,712,931.90 1,312.93 1,427.44 8.72%
9/1/2012 100 $109.00 $116.85 $11,685 10.3%



1/1/12 Rate increase by cohort affected



9.00% 8.47% 8.03% 7.70% 7.46% 7.31% 7.26% 7.30% 7.44% 7.68% 8.01% 8.45% avg inc 7.84%





2/1/2013 121.59
120.99 121.59 110.91 111.88 112.86 113.84 114.84 115.84 116.85 117.87 118.90 119.94
139,632.90





139,573.06




10/1/2012 100 $109.00 $117.87 $11,787 10.5%




























3/1/2013 122.19
120.99 121.59 122.19 111.88 112.86 113.84 114.84 115.84 116.85 117.87 118.90 119.94
140,760.65





140,580.81




11/1/2012 100 $109.00 $118.90 $11,890 10.7%



Note that since a new increase effective date occurs each month one has to test at each month for the average annual increase, if any of the 12 exceed the threshold increase is subject to review.























4/1/2013 122.79
120.99 121.59 122.19 122.79 112.86 113.84 114.84 115.84 116.85 117.87 118.90 119.94
141,851.96





141,491.69




12/1/2012 100 $109.00 $119.94 $11,994 10.8%




























5/1/2013 123.40
120.99 121.59 122.19 122.79 123.40 113.84 114.84 115.84 116.85 117.87 118.90 119.94
142,906.29





142,304.84




Total 1,200

$137,270





























6/1/2013 124.01
120.99 121.59 122.19 122.79 123.40 124.01 114.84 115.84 116.85 117.87 118.90 119.94
143,923.08





143,019.42




Weighted average increase



9.9%




























7/1/2013 124.63
120.99 121.59 122.19 122.79 123.40 124.01 124.63 115.84 116.85 117.87 118.90 119.94
144,901.77





143,634.55







































8/1/2013 125.24
120.99 121.59 122.19 122.79 123.40 124.01 124.63 125.24 116.85 117.87 118.90 119.94
145,841.81





144,149.38







































9/1/2013 125.86
120.99 121.59 122.19 122.79 123.40 124.01 124.63 125.24 125.86 117.87 118.90 119.94
146,742.61





144,563.03







































10/1/2013 126.48
120.99 121.59 122.19 122.79 123.40 124.01 124.63 125.24 125.86 126.48 118.90 119.94
147,603.60





144,874.61







































11/1/2013 127.11
120.99 121.59 122.19 122.79 123.40 124.01 124.63 125.24 125.86 126.48 127.11 119.94
148,424.20





145,083.24







































12/1/2013 127.74
120.99 121.59 122.19 122.79 123.40 124.01 124.63 125.24 125.86 126.48 127.11 127.74
149,203.82





145,188.00







































































































Increase reference point






























































10/1/2012 avg inc for cohort
10.53% 10.14% 9.84% 9.63% 9.52% 9.51% 9.60% 9.79% 10.09% 10.50% 10.41% 10.42% avg inc 10.00%











































































































































































































































































































































































































































































































































HHS 10% Threshold






























































KYDOI Example 2






























































































































Individual Rate Filing

































Case 2(b)



























Proposed Effective Date 1/1/12






























































Base rate increase of 9%

































2012

2011 thru 2013 premiums in table below. 100 enrolles in each monthly renewal cohort for 1,200 enrolles total. Cum monthly
























Rates trended in 2012 by 12%/year

































base 9.00%
increases are implemented upon renewal date only. The 2012 filing with 9% base rate increase and 12% trend is filed with
























No change in any rating factors except trend

































trend 12.00%
State department and approved. 2012 filing exceeds threshold test.



























































2013










































Case 2(b) Premiums in table below. 100 enrolles in each monthly renewal cohort for 1,200 enrolles total. Cum monthly increases

















base 0.00%


























Experience

2011 Trend = 9%


Case 2(a) Premium schedule changes monthly, all enrollees pay same rate.







implemented upon renewal date only.

















trend 0.00%


























Renewal Date # Policies Base Rate Trended Rate Total Premium

Renewal Date Total Premium





Jan renewal Feb renewal March renewal April renewal May renewal June renewal July renewal Aug renewal Sept renewal Oct renewal Nov renewal Dec renewal
Total Monthly Premium 2011 Total Premim 2012 Total Premim 2011 Average Annual Premium 2012 Average Annual Premium

Renewal Date Prem Schedule
Jan renewal Feb renewal March renewal April renewal May renewal June renewal July renewal Aug renewal Sept renewal Oct renewal Nov renewal Dec renewal
Total Monthly Premium Total Old Annual Premim Total new Annual Premim Old Average Annual Premium New Average Annual Premium Avg increase






1/1/2011 100 $100.00 $100.00 $10,000

1/1/2011 100.00





100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
120,000.00





1/1/2011 100.00
100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
120,000.00











2/1/2011 100 $100.00 $100.72 $10,072

2/1/2011 100.72





100.00 100.72 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
120,072.07





2/1/2011 100.72
100.00 100.72 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
120,072.07











3/1/2011 100 $100.00 $101.45 $10,145

3/1/2011 101.45





100.00 100.72 101.45 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
120,216.74





3/1/2011 101.45
100.00 100.72 101.45 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
120,216.74











4/1/2011 100 $100.00 $102.18 $10,218

4/1/2011 102.18





100.00 100.72 101.45 102.18 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
120,434.52





4/1/2011 102.18
100.00 100.72 101.45 102.18 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
120,434.52











5/1/2011 100 $100.00 $102.91 $10,291

5/1/2011 102.91





100.00 100.72 101.45 102.18 102.91 100.00 100.00 100.00 100.00 100.00 100.00 100.00
120,725.95





5/1/2011 102.91
100.00 100.72 101.45 102.18 102.91 100.00 100.00 100.00 100.00 100.00 100.00 100.00
120,725.95











6/1/2011 100 $100.00 $103.66 $10,366

6/1/2011 103.66





100.00 100.72 101.45 102.18 102.91 103.66 100.00 100.00 100.00 100.00 100.00 100.00
121,091.54





6/1/2011 103.66
100.00 100.72 101.45 102.18 102.91 103.66 100.00 100.00 100.00 100.00 100.00 100.00
121,091.54











7/1/2011 100 $100.00 $104.40 $10,440

7/1/2011 104.40





100.00 100.72 101.45 102.18 102.91 103.66 104.40 100.00 100.00 100.00 100.00 100.00
121,531.85 Using Jan 2012 as the point of




7/1/2011 104.40
100.00 100.72 101.45 102.18 102.91 103.66 104.40 100.00 100.00 100.00 100.00 100.00
121,531.85











8/1/2011 100 $100.00 $105.16 $10,516

8/1/2011 105.16





100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 100.00 100.00 100.00 100.00
122,047.40 reference the average increase is:




8/1/2011 105.16
100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 100.00 100.00 100.00 100.00
122,047.40











9/1/2011 100 $100.00 $105.91 $10,591

9/1/2011 105.91





100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 100.00 100.00 100.00
122,638.75





9/1/2011 105.91
100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 100.00 100.00 100.00
122,638.75











10/1/2011 100 $100.00 $106.68 $10,668

10/1/2011 106.68





100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 100.00 100.00
123,306.42
avg increase
avg increase

10/1/2011 106.68
100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 100.00 100.00
123,306.42











11/1/2011 100 $100.00 $107.45 $10,745

11/1/2011 107.45


Average increase

100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 100.00
124,050.99
8.01%
8.01%

11/1/2011 107.45
100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 100.00
124,050.99











12/1/2011 100 $100.00 $108.22 $10,822

12/1/2011 108.22 1,248.73 old annual premium
10.39%

100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
124,872.99





12/1/2011 108.22
100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
124,872.99


















1/1/2012 109.00 1,378.47 new annual premium



109.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
125,772.99 1,460,989.22 1,577,980.85 1,217.49 1,314.98

1/1/2012 109.00
109.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
125,772.99 1,460,989.22 1,577,980.85 1,217.49 1,314.98 8.01%






Proposed Base Rate Increase
9%



2/1/2012 110.03





109.00 110.03 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
126,704.34





2/1/2012 110.03
109.00 110.03 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
126,704.34 1,466,762.21 1,591,362.68 1,222.30 1,326.14 8.49%






2012 Annual Trend =
12%



3/1/2012 111.08





109.00 110.03 111.08 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
127,667.51





3/1/2012 111.08
109.00 110.03 111.08 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
127,667.51 1,473,394.48 1,605,017.74 1,227.83 1,337.51 8.93%













4/1/2012 112.13





109.00 110.03 111.08 112.13 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
128,662.97





4/1/2012 112.13
109.00 110.03 111.08 112.13 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
128,662.97 1,480,845.25 1,618,809.79 1,234.04 1,349.01 9.32%






Renewal Date # Policies Base Rate Trended Rate Total Premium Increase
5/1/2012 113.20





109.00 110.03 111.08 112.13 113.20 103.66 104.40 105.16 105.91 106.68 107.45 108.22
129,691.18





5/1/2012 113.20
109.00 110.03 111.08 112.13 113.20 103.66 104.40 105.16 105.91 106.68 107.45 108.22
129,691.18 1,489,073.70 1,632,601.14 1,240.89 1,360.50 9.64%






1/1/2012 100 $109.00 $109.00 $10,900 9.00%
6/1/2012 114.27





109.00 110.03 111.08 112.13 113.20 114.27 104.40 105.16 105.91 106.68 107.45 108.22
130,752.63





6/1/2012 114.27
109.00 110.03 111.08 112.13 113.20 114.27 104.40 105.16 105.91 106.68 107.45 108.22
130,752.63 1,498,038.94 1,646,252.65 1,248.37 1,371.88 9.89%






2/1/2012 100 $109.00 $110.03 $11,003 9.25%
7/1/2012 115.35





109.00 110.03 111.08 112.13 113.20 114.27 115.35 105.16 105.91 106.68 107.45 108.22
131,847.80





7/1/2012 115.35
109.00 110.03 111.08 112.13 113.20 114.27 115.35 105.16 105.91 106.68 107.45 108.22
131,847.80 1,507,700.02 1,659,623.66 1,256.42 1,383.02 10.08%






3/1/2012 100 $109.00 $111.08 $11,108 9.49%
8/1/2012 116.45





109.00 110.03 111.08 112.13 113.20 114.27 115.35 116.45 105.91 106.68 107.45 108.22
132,977.18





8/1/2012 116.45
109.00 110.03 111.08 112.13 113.20 114.27 115.35 116.45 105.91 106.68 107.45 108.22
132,977.18 1,518,015.97 1,672,572.03 1,265.01 1,393.81 10.18%






4/1/2012 100 $109.00 $112.13 $11,213 9.74%
9/1/2012 117.55





109.00 110.03 111.08 112.13 113.20 114.27 115.35 116.45 117.55 106.68 107.45 108.22
134,141.27





9/1/2012 117.55
109.00 110.03 111.08 112.13 113.20 114.27 115.35 116.45 117.55 106.68 107.45 108.22
134,141.27 1,528,945.75 1,684,954.08 1,274.12 1,404.13 10.20%






5/1/2012 100 $109.00 $113.20 $11,320 9.99%
10/1/2012 118.67





109.00 110.03 111.08 112.13 113.20 114.27 115.35 116.45 117.55 118.67 107.45 108.22
135,340.56





10/1/2012 118.67
109.00 110.03 111.08 112.13 113.20 114.27 115.35 116.45 117.55 118.67 107.45 108.22
135,340.56 1,540,448.27 1,696,624.61 1,283.71 1,413.85 10.14%






6/1/2012 100 $109.00 $114.27 $11,427 10.24%
11/1/2012 119.80





109.00 110.03 111.08 112.13 113.20 114.27 115.35 116.45 117.55 118.67 119.80 108.22
136,575.58





11/1/2012 119.80
109.00 110.03 111.08 112.13 113.20 114.27 115.35 116.45 117.55 118.67 119.80 108.22
136,575.58 1,552,482.41 1,707,436.88 1,293.74 1,422.86 9.98%






7/1/2012 100 $109.00 $115.35 $11,535 10.49%
12/1/2012 120.93





109.00 110.03 111.08 112.13 113.20 114.27 115.35 116.45 117.55 118.67 119.80 120.93
137,846.83





12/1/2012 120.93
109.00 110.03 111.08 112.13 113.20 114.27 115.35 116.45 117.55 118.67 119.80 120.93
137,846.83 1,565,007.01 1,717,242.55 1,304.17 1,431.04 9.73%






8/1/2012 100 $109.00 $116.45 $11,645 10.74%




























1/1/2013 122.08
122.08 110.03 111.08 112.13 113.20 114.27 115.35 116.45 117.55 118.67 119.80 120.93
139,154.83











9/1/2012 100 $109.00 $117.55 $11,755 10.99%



1/1/12 Rate increase by cohort affected



9.00% 8.54% 8.17% 7.88% 7.68% 7.55% 7.51% 7.55% 7.67% 7.87% 8.16% 8.54% avg inc 8.01%





2/1/2013 122.08
122.08 122.08 111.08 112.13 113.20 114.27 115.35 116.45 117.55 118.67 119.80 120.93
140,359.40











10/1/2012 100 $109.00 $118.67 $11,867 11.24%




























3/1/2013 122.08
122.08 122.08 122.08 112.13 113.20 114.27 115.35 116.45 117.55 118.67 119.80 120.93
141,459.56











11/1/2012 100 $109.00 $119.80 $11,980 11.49%



Note that since a new increase effective date occurs each month one has to test at each month for the average annual increase, if any of the 12 exceed the threshold increase is subject to review.























4/1/2013 122.08
122.08 122.08 122.08 122.08 113.20 114.27 115.35 116.45 117.55 118.67 119.80 120.93
142,454.33











12/1/2012 100 $109.00 $120.93 $12,093 11.75%




























5/1/2013 122.08
122.08 122.08 122.08 122.08 122.08 114.27 115.35 116.45 117.55 118.67 119.80 120.93
143,342.69











Total 1,200

$137,847





























6/1/2013 122.08
122.08 122.08 122.08 122.08 122.08 122.08 115.35 116.45 117.55 118.67 119.80 120.93
144,123.64











Weighted average increase



10.4%




























7/1/2013 122.08
122.08 122.08 122.08 122.08 122.08 122.08 122.08 116.45 117.55 118.67 119.80 120.93
144,796.17














































8/1/2013 122.08
122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 117.55 118.67 119.80 120.93
145,359.23














































9/1/2013 122.08
122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 118.67 119.80 120.93
145,811.80














































10/1/2013 122.08
122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 119.80 120.93
146,152.83














































11/1/2013 122.08
122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 120.93
146,381.25














































12/1/2013 122.08
122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08
146,496.00














































































































































































Increase reference point






























































































































































































































































































































1/1/2012

CMS: The Green cells correspond to the vector found in F90:F101 9.00% 8.54% 8.17% 7.88% 7.68% 7.55% 7.51% 7.55% 7.67% 7.87% 8.16% 8.54% avg inc 8.01%














































2/1/2012

9.27% 9.25% 8.83% 8.50% 8.26% 8.10% 8.02% 8.02% 8.10% 8.26% 8.51% 8.85% avg inc 8.50%














































3/1/2012

9.54% 9.40% 9.49% 9.12% 8.84% 8.64% 8.52% 8.48% 8.53% 8.65% 8.86% 9.16% avg inc 8.94%














































4/1/2012

9.80% 9.55% 9.53% 9.74% 9.42% 9.18% 9.02% 8.94% 8.95% 9.03% 9.20% 9.46% avg inc 9.32%














































5/1/2012

10.06% 9.70% 9.57% 9.66% 9.99% 9.71% 9.51% 9.40% 9.36% 9.41% 9.54% 9.76% avg inc 9.64%














































6/1/2012

10.31% 9.85% 9.60% 9.59% 9.80% 10.24% 10.00% 9.85% 9.78% 9.79% 9.88% 10.05% avg inc 9.89%














































7/1/2012 avg inc for cohort
10.56% 9.99% 9.64% 9.51% 9.60% 9.93% 10.49% 10.30% 10.18% 10.16% 10.21% 10.34% avg inc 10.08%














































8/1/2012

10.81% 10.13% 9.67% 9.43% 9.42% 9.62% 10.06% 10.74% 10.59% 10.52% 10.54% 10.63% avg inc 10.18%














































9/1/2012

11.06% 10.28% 9.71% 9.36% 9.23% 9.32% 9.65% 10.20% 10.99% 10.88% 10.86% 10.92% avg inc 10.20%














































10/1/2012

11.30% 10.41% 9.74% 9.29% 9.05% 9.03% 9.24% 9.67% 10.34% 11.24% 11.18% 11.20% avg inc 10.14%














































11/1/2012

11.53% 10.55% 9.78% 9.21% 8.87% 8.74% 8.83% 9.15% 9.69% 10.47% 11.49% 11.47% avg inc 9.98%














































12/1/2012

11.77% 10.68% 9.81% 9.14% 8.69% 8.45% 8.43% 8.64% 9.06% 9.72% 10.61% 11.75% avg inc 9.73%






























































































































































































































































































































































































































































































































































































































































































































































































































































Total Monthly Premium Total Old Annual Premim Total new Annual Premim Old Average Annual Premium New Average Annual Premium Avg increase

























































0.00






























































0.00






























































0.00






























































0.00






























































0.00






























































0.00






























































0.00






























































0.00






























































0.00






























































0.00






























































0.00






























































0.00






























































0.00 0.00 0.00 0.00 0.00 #DIV/0!

























































0.00 0.00 0.00 0.00 0.00 #DIV/0!

























































0.00 0.00 0.00 0.00 0.00 #DIV/0!

























































0.00 0.00 0.00 0.00 0.00 #DIV/0!

























































0.00 0.00 0.00 0.00 0.00 #DIV/0!

























































0.00 0.00 0.00 0.00 0.00 #DIV/0!

























































0.00 0.00 0.00 0.00 0.00 #DIV/0!

























































0.00 0.00 0.00 0.00 0.00 #DIV/0!

























































0.00 0.00 0.00 0.00 0.00 #DIV/0!

























































0.00 0.00 0.00 0.00 0.00 #DIV/0!

























































0.00 0.00 0.00 0.00 0.00 #DIV/0!

























































0.00 0.00 0.00 0.00 0.00 #DIV/0!

























































0.00 0.00 0.00 0.00 0.00 #DIV/0!

























































0.00






























































0.00






























































0.00






























































0.00






























































0.00






























































0.00






























































0.00






























































0.00






























































0.00






























































0.00






























































0.00












Sheet 3: Increase

HHS 10% Threshold














































KYDOI Example 3





























































Case 3(b) Premium increase implemented upon renewal.














































































Individual Rate Filing














# enrollees






























Proposed Effective Date 1/1/12














45 55 65 75 85 95 105 115 125 135 145 155



















Base rate increase of 9%














































Rates trended in 2012 by 11%/year














































No change in any rating factors except trend














































































































Monthly Premium











Monthly Premium by Cohort

















Experience

2011 Trend = 9%


Case 3(a) Premium schedule changes monthly, all enrollees pay same rate.







































Renewal Date # Policies Base Rate Trended Rate Total Premium

Renewal Date Premium





Renewal Date Jan renewal Feb renewal March renewal April renewal May renewal June renewal July renewal Aug renewal Sept renewal Oct renewal Nov renewal Dec renewal
Jan renewal Feb renewal March renewal April renewal May renewal June renewal July renewal Aug renewal Sept renewal Oct renewal Nov renewal Dec renewal
Total Monthly Premium
Average Annual Increase Weighted by Premium
Average premium Average Annual Increase Weighted by Premium
1/1/2011 45 $100.00 $100.00 $4,500

1/1/2011 100.00





1/1/2011 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
4,500.00 5,500.00 6,500.00 7,500.00 8,500.00 9,500.00 10,500.00 11,500.00 12,500.00 13,500.00 14,500.00 15,500.00
120,000.00


100.00
2/1/2011 55 $100.00 $100.72 $5,540

2/1/2011 100.72





2/1/2011 100.00 100.72 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
4,500.00 5,539.64 6,500.00 7,500.00 8,500.00 9,500.00 10,500.00 11,500.00 12,500.00 13,500.00 14,500.00 15,500.00
120,039.64


100.03
3/1/2011 65 $100.00 $101.45 $6,594

3/1/2011 101.45





3/1/2011 100.00 100.72 101.45 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
4,500.00 5,539.64 6,594.03 7,500.00 8,500.00 9,500.00 10,500.00 11,500.00 12,500.00 13,500.00 14,500.00 15,500.00
120,133.67


100.11
4/1/2011 75 $100.00 $102.18 $7,663

4/1/2011 102.18





4/1/2011 100.00 100.72 101.45 102.18 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
4,500.00 5,539.64 6,594.03 7,663.34 8,500.00 9,500.00 10,500.00 11,500.00 12,500.00 13,500.00 14,500.00 15,500.00
120,297.01


100.25
5/1/2011 85 $100.00 $102.91 $8,748

5/1/2011 102.91





5/1/2011 100.00 100.72 101.45 102.18 102.91 100.00 100.00 100.00 100.00 100.00 100.00 100.00
4,500.00 5,539.64 6,594.03 7,663.34 8,747.71 9,500.00 10,500.00 11,500.00 12,500.00 13,500.00 14,500.00 15,500.00
120,544.72


100.45
6/1/2011 95 $100.00 $103.66 $9,847

6/1/2011 103.66





6/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 100.00 100.00 100.00 100.00 100.00 100.00
4,500.00 5,539.64 6,594.03 7,663.34 8,747.71 9,847.32 10,500.00 11,500.00 12,500.00 13,500.00 14,500.00 15,500.00
120,892.04


100.74
7/1/2011 105 $100.00 $104.40 $10,962

7/1/2011 104.40





7/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 104.40 100.00 100.00 100.00 100.00 100.00
4,500.00 5,539.64 6,594.03 7,663.34 8,747.71 9,847.32 10,962.32 11,500.00 12,500.00 13,500.00 14,500.00 15,500.00
121,354.36


101.13
8/1/2011 115 $100.00 $105.16 $12,093

8/1/2011 105.16





8/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 100.00 100.00 100.00 100.00
4,500.00 5,539.64 6,594.03 7,663.34 8,747.71 9,847.32 10,962.32 12,092.89 12,500.00 13,500.00 14,500.00 15,500.00
121,947.25


101.62
9/1/2011 125 $100.00 $105.91 $13,239

9/1/2011 105.91





9/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 100.00 100.00 100.00
4,500.00 5,539.64 6,594.03 7,663.34 8,747.71 9,847.32 10,962.32 12,092.89 13,239.18 13,500.00 14,500.00 15,500.00
122,686.42


102.24
10/1/2011 135 $100.00 $106.68 $14,401

10/1/2011 106.68





10/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 100.00 100.00
4,500.00 5,539.64 6,594.03 7,663.34 8,747.71 9,847.32 10,962.32 12,092.89 13,239.18 14,401.36 14,500.00 15,500.00
123,587.79


102.99
11/1/2011 145 $100.00 $107.45 $15,580

11/1/2011 107.45


Average Increase

11/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 100.00
4,500.00 5,539.64 6,594.03 7,663.34 8,747.71 9,847.32 10,962.32 12,092.89 13,239.18 14,401.36 15,579.62 15,500.00
124,667.41


103.89
12/1/2011 155 $100.00 $108.22 $16,774

12/1/2011 108.22 1,248.73 old annual premium
9.93%

12/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
4,500.00 5,539.64 6,594.03 7,663.34 8,747.71 9,847.32 10,962.32 12,092.89 13,239.18 14,401.36 15,579.62 16,774.10
125,941.51


104.95







1/1/2012 109.00 1,372.70 new annual premium



1/1/2012 109.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
4,905.00 5,539.64 6,594.03 7,663.34 8,747.71 9,847.32 10,962.32 12,092.89 13,239.18 14,401.36 15,579.62 16,774.10
126,346.51
7.78%
105.29 7.78%
Proposed Base Rate Increase
9%



2/1/2012 109.95





2/1/2012 109.00 109.95 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
4,905.00 6,047.36 6,594.03 7,663.34 8,747.71 9,847.32 10,962.32 12,092.89 13,239.18 14,401.36 15,579.62 16,774.10
126,854.23
8.19%
105.71 8.19%
2012 Annual Trend =
11%



3/1/2012 110.91





3/1/2012 109.00 109.95 110.91 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
4,905.00 6,047.36 7,209.31 7,663.34 8,747.71 9,847.32 10,962.32 12,092.89 13,239.18 14,401.36 15,579.62 16,774.10
127,469.51
8.57%
106.22 8.57%







4/1/2012 111.88





4/1/2012 109.00 109.95 110.91 111.88 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
4,905.00 6,047.36 7,209.31 8,391.09 8,747.71 9,847.32 10,962.32 12,092.89 13,239.18 14,401.36 15,579.62 16,774.10
128,197.27
8.91%
106.83 8.91%
Renewal Date # Policies Base Rate Trended Rate Total Premium Increase
5/1/2012 112.86





5/1/2012 109.00 109.95 110.91 111.88 112.86 103.66 104.40 105.16 105.91 106.68 107.45 108.22
4,905.00 6,047.36 7,209.31 8,391.09 9,592.97 9,847.32 10,962.32 12,092.89 13,239.18 14,401.36 15,579.62 16,774.10
129,042.52
9.21%
107.54 9.21%
1/1/2012 45 $109.00 $109.00 $4,905 9.00%
6/1/2012 113.84





6/1/2012 109.00 109.95 110.91 111.88 112.86 113.84 104.40 105.16 105.91 106.68 107.45 108.22
4,905.00 6,047.36 7,209.31 8,391.09 9,592.97 10,815.20 10,962.32 12,092.89 13,239.18 14,401.36 15,579.62 16,774.10
130,010.41
9.44%
108.34 9.44%
2/1/2012 55 $109.00 $109.95 $6,047 9.17%
7/1/2012 114.84





7/1/2012 109.00 109.95 110.91 111.88 112.86 113.84 114.84 105.16 105.91 106.68 107.45 108.22
4,905.00 6,047.36 7,209.31 8,391.09 9,592.97 10,815.20 12,058.06 12,092.89 13,239.18 14,401.36 15,579.62 16,774.10
131,106.14
9.61%
109.26 9.61%
3/1/2012 65 $109.00 $110.91 $7,209 9.33%
8/1/2012 115.84





8/1/2012 109.00 109.95 110.91 111.88 112.86 113.84 114.84 115.84 105.91 106.68 107.45 108.22
4,905.00 6,047.36 7,209.31 8,391.09 9,592.97 10,815.20 12,058.06 13,321.79 13,239.18 14,401.36 15,579.62 16,774.10
132,335.05
9.71%
110.28 9.71%
4/1/2012 75 $109.00 $111.88 $8,391 9.50%
9/1/2012 116.85





9/1/2012 109.00 109.95 110.91 111.88 112.86 113.84 114.84 115.84 116.85 106.68 107.45 108.22
4,905.00 6,047.36 7,209.31 8,391.09 9,592.97 10,815.20 12,058.06 13,321.79 14,606.69 14,401.36 15,579.62 16,774.10
133,702.56
9.71%
111.42 9.71%
5/1/2012 85 $109.00 $112.86 $9,593 9.66%
10/1/2012 117.87





10/1/2012 109.00 109.95 110.91 111.88 112.86 113.84 114.84 115.84 116.85 117.87 107.45 108.22
4,905.00 6,047.36 7,209.31 8,391.09 9,592.97 10,815.20 12,058.06 13,321.79 14,606.69 15,913.02 15,579.62 16,774.10
135,214.22
9.61%
112.68 9.61%
6/1/2012 95 $109.00 $113.84 $10,815 9.83%
11/1/2012 118.90





11/1/2012 109.00 109.95 110.91 111.88 112.86 113.84 114.84 115.84 116.85 117.87 118.90 108.22
4,905.00 6,047.36 7,209.31 8,391.09 9,592.97 10,815.20 12,058.06 13,321.79 14,606.69 15,913.02 17,241.05 16,774.10
136,875.65
9.40%
114.06 9.40%
7/1/2012 105 $109.00 $114.84 $12,058 10.00%
12/1/2012 119.94





12/1/2012 109.00 109.95 110.91 111.88 112.86 113.84 114.84 115.84 116.85 117.87 118.90 119.94
4,905.00 6,047.36 7,209.31 8,391.09 9,592.97 10,815.20 12,058.06 13,321.79 14,606.69 15,913.02 17,241.05 18,591.06
138,692.61
9.07%
115.58 9.07%
8/1/2012 115 $109.00 $115.84 $13,322 10.16%
1/1/2013 120.99





1/1/2013 120.99 109.95 110.91 111.88 112.86 113.84 114.84 115.84 116.85 117.87 118.90 119.94
5,444.55 6,047.36 7,209.31 8,391.09 9,592.97 10,815.20 12,058.06 13,321.79 14,606.69 15,913.02 17,241.05 18,591.06
139,232.16


116.03
9/1/2012 125 $109.00 $116.85 $14,607 10.33%
2/1/2013 120.99





2/1/2013 120.99 120.99 110.91 111.88 112.86 113.84 114.84 115.84 116.85 117.87 118.90 119.94
5,444.55 6,654.45 7,209.31 8,391.09 9,592.97 10,815.20 12,058.06 13,321.79 14,606.69 15,913.02 17,241.05 18,591.06
139,839.24


116.53
10/1/2012 135 $109.00 $117.87 $15,913 10.50%
3/1/2013 120.99





3/1/2013 120.99 120.99 120.99 111.88 112.86 113.84 114.84 115.84 116.85 117.87 118.90 119.94
5,444.55 6,654.45 7,864.35 8,391.09 9,592.97 10,815.20 12,058.06 13,321.79 14,606.69 15,913.02 17,241.05 18,591.06
140,494.28


117.08
11/1/2012 145 $109.00 $118.90 $17,241 10.66%
4/1/2013 120.99





4/1/2013 120.99 120.99 120.99 120.99 112.86 113.84 114.84 115.84 116.85 117.87 118.90 119.94
5,444.55 6,654.45 7,864.35 9,074.25 9,592.97 10,815.20 12,058.06 13,321.79 14,606.69 15,913.02 17,241.05 18,591.06
141,177.44


117.65
12/1/2012 155 $109.00 $119.94 $18,591 10.83%
5/1/2013 120.99





5/1/2013 120.99 120.99 120.99 120.99 120.99 113.84 114.84 115.84 116.85 117.87 118.90 119.94
5,444.55 6,654.45 7,864.35 9,074.25 10,284.15 10,815.20 12,058.06 13,321.79 14,606.69 15,913.02 17,241.05 18,591.06
141,868.62


118.22
Total 1,200

$138,693

6/1/2013 120.99





6/1/2013 120.99 120.99 120.99 120.99 120.99 120.99 114.84 115.84 116.85 117.87 118.90 119.94
5,444.55 6,654.45 7,864.35 9,074.25 10,284.15 11,494.05 12,058.06 13,321.79 14,606.69 15,913.02 17,241.05 18,591.06
142,547.47


118.79
Weighted average increase



10.1%
7/1/2013 120.99





7/1/2013 120.99 120.99 120.99 120.99 120.99 120.99 120.99 115.84 116.85 117.87 118.90 119.94
5,444.55 6,654.45 7,864.35 9,074.25 10,284.15 11,494.05 12,703.95 13,321.79 14,606.69 15,913.02 17,241.05 18,591.06
143,193.36


119.33







8/1/2013 120.99





8/1/2013 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 116.85 117.87 118.90 119.94
5,444.55 6,654.45 7,864.35 9,074.25 10,284.15 11,494.05 12,703.95 13,913.85 14,606.69 15,913.02 17,241.05 18,591.06
143,785.42


119.82







9/1/2013 120.99





9/1/2013 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 117.87 118.90 119.94
5,444.55 6,654.45 7,864.35 9,074.25 10,284.15 11,494.05 12,703.95 13,913.85 15,123.75 15,913.02 17,241.05 18,591.06
144,302.48


120.25







10/1/2013 120.99





10/1/2013 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 118.90 119.94
5,444.55 6,654.45 7,864.35 9,074.25 10,284.15 11,494.05 12,703.95 13,913.85 15,123.75 16,333.65 17,241.05 18,591.06
144,723.11


120.60







11/1/2013 120.99





11/1/2013 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 119.94
5,444.55 6,654.45 7,864.35 9,074.25 10,284.15 11,494.05 12,703.95 13,913.85 15,123.75 16,333.65 17,543.55 18,591.06
145,025.61


120.85







12/1/2013 120.99





12/1/2013 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99
5,444.55 6,654.45 7,864.35 9,074.25 10,284.15 11,494.05 12,703.95 13,913.85 15,123.75 16,333.65 17,543.55 18,753.45
145,188.00


120.99































































Average by Cohort













Evenly Weighted Average Not useful since there is a different number of enrollees in each cohort here see directly below.






























1/1/2012 CMS: The cells highlighted in green correspond to the vector found in F31:F42. 9.00% 8.47% 8.03% 7.70% 7.46% 7.31% 7.26% 7.30% 7.44% 7.68% 8.01% 8.45%

7.84% Included for illustrative purposes only.






























2/1/2012 9.18% 9.17% 8.68% 8.30% 8.01% 7.82% 7.72% 7.72% 7.82% 8.01% 8.29% 8.68%

8.28%































3/1/2012 9.36% 9.24% 9.33% 8.90% 8.56% 8.33% 8.18% 8.14% 8.18% 8.33% 8.57% 8.91%

8.67%































4/1/2012 9.53% 9.32% 9.31% 9.50% 9.11% 8.83% 8.64% 8.55% 8.55% 8.65% 8.84% 9.14%

9.00%































5/1/2012 9.71% 9.40% 9.29% 9.37% 9.66% 9.33% 9.10% 8.96% 8.91% 8.96% 9.11% 9.36%

9.26%































6/1/2012 9.88% 9.47% 9.27% 9.25% 9.44% 9.83% 9.55% 9.36% 9.27% 9.28% 9.38% 9.58%

9.46%































7/1/2012 10.04% 9.55% 9.24% 9.13% 9.22% 9.51% 10.00% 9.76% 9.63% 9.59% 9.64% 9.79%

9.59%































8/1/2012 10.21% 9.62% 9.22% 9.02% 9.00% 9.19% 9.57% 10.16% 9.98% 9.89% 9.90% 10.01%

9.65%































9/1/2012 10.37% 9.69% 9.20% 8.90% 8.79% 8.88% 9.16% 9.64% 10.33% 10.20% 10.16% 10.22%

9.63%































10/1/2012 10.53% 9.76% 9.18% 8.79% 8.58% 8.57% 8.75% 9.13% 9.71% 10.50% 10.41% 10.42%

9.53%































11/1/2012 10.69% 9.83% 9.16% 8.68% 8.38% 8.27% 8.35% 8.63% 9.10% 9.78% 10.66% 10.63%

9.35%































12/1/2012 10.85% 9.90% 9.14% 8.57% 8.17% 7.97% 7.95% 8.13% 8.50% 9.08% 9.85% 10.83%

9.08%































1/1/2013 11.00% 9.97% 9.12% 8.46% 7.97% 7.68% 7.57% 7.64% 7.92% 8.38% 9.05% 9.92%

8.72%































































































































Average by Cohort













Premium Weighted Average Increase































1/1/2012 4.0500 4.6564 5.2211 5.7722 6.3376 6.9450 7.6225 8.3985 9.3029 10.3663 11.6216 13.1037
93.3979 7.78%































2/1/2012 4.1311 5.0409 5.6436 6.2239 6.8099 7.4292 8.1098 8.8801 9.7691 10.8074 12.0268 13.4614
98.3333 8.19%































3/1/2012 4.2111 5.0843 6.0650 6.6740 7.2799 7.9105 8.5937 9.3576 10.2310 11.2437 12.4271 13.8143
102.8921 8.57%































4/1/2012 4.2899 5.1270 6.0506 7.1224 7.7477 8.3890 9.0742 9.8311 10.6884 11.6753 12.8226 14.1625
106.9806 8.92%































5/1/2012 4.3675 5.1691 6.0365 7.0304 8.2132 8.8646 9.5512 10.3007 11.1415 12.1023 13.2133 14.5061
110.4965 9.21%































6/1/2012 4.4440 5.2106 6.0225 6.9399 8.0239 9.3375 10.0249 10.7665 11.5903 12.5247 13.5994 14.8452
113.3292 9.44%































7/1/2012 4.5194 5.2514 6.0088 6.8507 7.8375 9.0311 10.4952 11.2284 12.0348 12.9427 13.9810 15.1798
115.3608 9.61%































8/1/2012 4.5937 5.2917 5.9953 6.7629 7.6541 8.7297 10.0524 11.6866 12.4753 13.3562 14.3580 15.5101
116.4659 9.71%































9/1/2012 4.6670 5.3313 5.9819 6.6764 7.4735 8.4331 9.6169 11.0880 12.9116 13.7654 14.7306 15.8362
116.5120 9.71%































10/1/2012 4.7392 5.3704 5.9688 6.5912 7.2957 8.1413 9.1884 10.4994 12.1380 14.1704 15.0989 16.1580
115.3598 9.61%































11/1/2012 4.8105 5.4090 5.9559 6.5073 7.1206 7.8540 8.7669 9.9205 11.3775 13.2026 15.4630 16.4758
112.8635 9.41%































12/1/2012 4.8807 5.4470 5.9431 6.4247 6.9483 7.5712 8.3521 9.3511 10.6297 12.2515 14.2821 16.7895
108.8709 9.07%































1/1/2013 4.9500 5.4844 5.9305 6.3433 6.7785 7.2928 7.9439 8.7909 9.8944 11.3166 13.1218 15.3766
103.2237 8.60%
















































































































HHS 10% Threshold














































KYDOI Example 4













Case 4(b) Premium increase implemented upon renewal.














































































Individual Rate Filing














# enrollees






























Proposed Effective Date 1/1/12














45 55 65 75 85 95 105 115 125 135 145 155



















Base rate increase of 9%














































Rates trended in 2012 by 12%/year














































No change in any rating factors except trend














































































































Monthly Premium











Monthly Premium by Cohort

















Experience

2011 Trend = 9%


Case 4(a) Premium schedule changes monthly, all enrollees pay same rate.







































Renewal Date # Policies Base Rate Trended Rate Total Premium

Renewal Date Premium





Renewal Date Jan renewal Feb renewal March renewal April renewal May renewal June renewal July renewal Aug renewal Sept renewal Oct renewal Nov renewal Dec renewal
Jan renewal Feb renewal March renewal April renewal May renewal June renewal July renewal Aug renewal Sept renewal Oct renewal Nov renewal Dec renewal
Total Monthly Premium
Average Annual Increase Weighted by Premium
Average premium Average Annual Increase Weighted by Premium
1/1/2011 45 $100.00 $100.00 $4,500

1/1/2011 100.00





1/1/2011 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
4,500.00 5,500.00 6,500.00 7,500.00 8,500.00 9,500.00 10,500.00 11,500.00 12,500.00 13,500.00 14,500.00 15,500.00
120,000.00


100.00
2/1/2011 55 $100.00 $100.72 $5,540

2/1/2011 100.72





2/1/2011 100.00 100.72 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
4,500.00 5,539.64 6,500.00 7,500.00 8,500.00 9,500.00 10,500.00 11,500.00 12,500.00 13,500.00 14,500.00 15,500.00
120,039.64


100.03
3/1/2011 65 $100.00 $101.45 $6,594

3/1/2011 101.45





3/1/2011 100.00 100.72 101.45 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
4,500.00 5,539.64 6,594.03 7,500.00 8,500.00 9,500.00 10,500.00 11,500.00 12,500.00 13,500.00 14,500.00 15,500.00
120,133.67


100.11
4/1/2011 75 $100.00 $102.18 $7,663

4/1/2011 102.18





4/1/2011 100.00 100.72 101.45 102.18 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
4,500.00 5,539.64 6,594.03 7,663.34 8,500.00 9,500.00 10,500.00 11,500.00 12,500.00 13,500.00 14,500.00 15,500.00
120,297.01


100.25
5/1/2011 85 $100.00 $102.91 $8,748

5/1/2011 102.91





5/1/2011 100.00 100.72 101.45 102.18 102.91 100.00 100.00 100.00 100.00 100.00 100.00 100.00
4,500.00 5,539.64 6,594.03 7,663.34 8,747.71 9,500.00 10,500.00 11,500.00 12,500.00 13,500.00 14,500.00 15,500.00
120,544.72


100.45
6/1/2011 95 $100.00 $103.66 $9,847

6/1/2011 103.66





6/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 100.00 100.00 100.00 100.00 100.00 100.00
4,500.00 5,539.64 6,594.03 7,663.34 8,747.71 9,847.32 10,500.00 11,500.00 12,500.00 13,500.00 14,500.00 15,500.00
120,892.04


100.74
7/1/2011 105 $100.00 $104.40 $10,962

7/1/2011 104.40





7/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 104.40 100.00 100.00 100.00 100.00 100.00
4,500.00 5,539.64 6,594.03 7,663.34 8,747.71 9,847.32 10,962.32 11,500.00 12,500.00 13,500.00 14,500.00 15,500.00
121,354.36


101.13
8/1/2011 115 $100.00 $105.16 $12,093

8/1/2011 105.16





8/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 100.00 100.00 100.00 100.00
4,500.00 5,539.64 6,594.03 7,663.34 8,747.71 9,847.32 10,962.32 12,092.89 12,500.00 13,500.00 14,500.00 15,500.00
121,947.25


101.62
9/1/2011 125 $100.00 $105.91 $13,239

9/1/2011 105.91





9/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 100.00 100.00 100.00
4,500.00 5,539.64 6,594.03 7,663.34 8,747.71 9,847.32 10,962.32 12,092.89 13,239.18 13,500.00 14,500.00 15,500.00
122,686.42


102.24
10/1/2011 135 $100.00 $106.68 $14,401

10/1/2011 106.68





10/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 100.00 100.00
4,500.00 5,539.64 6,594.03 7,663.34 8,747.71 9,847.32 10,962.32 12,092.89 13,239.18 14,401.36 14,500.00 15,500.00
123,587.79


102.99
11/1/2011 145 $100.00 $107.45 $15,580

11/1/2011 107.45


Average Increase

11/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 100.00
4,500.00 5,539.64 6,594.03 7,663.34 8,747.71 9,847.32 10,962.32 12,092.89 13,239.18 14,401.36 15,579.62 15,500.00
124,667.41


103.89
12/1/2011 155 $100.00 $108.22 $16,774

12/1/2011 108.22 1,248.73 old annual premium
10.39%

12/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
4,500.00 5,539.64 6,594.03 7,663.34 8,747.71 9,847.32 10,962.32 12,092.89 13,239.18 14,401.36 15,579.62 16,774.10
125,941.51


104.95







1/1/2012 109.00 1,378.47 new annual premium



1/1/2012 109.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
4,905.00 5,539.64 6,594.03 7,663.34 8,747.71 9,847.32 10,962.32 12,092.89 13,239.18 14,401.36 15,579.62 16,774.10
126,346.51
7.96%
105.29 7.96%
Proposed Base Rate Increase
9%



2/1/2012 110.03





2/1/2012 109.00 110.03 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
4,905.00 6,051.89 6,594.03 7,663.34 8,747.71 9,847.32 10,962.32 12,092.89 13,239.18 14,401.36 15,579.62 16,774.10
126,858.75
8.42%
105.72 8.42%
2012 Annual Trend =
12%



3/1/2012 111.08
$1,393.98



3/1/2012 109.00 110.03 111.08 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
4,905.00 6,051.89 7,220.09 7,663.34 8,747.71 9,847.32 10,962.32 12,092.89 13,239.18 14,401.36 15,579.62 16,774.10
127,484.81
8.85%
106.24 8.85%







4/1/2012 112.13





4/1/2012 109.00 110.03 111.08 112.13 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
4,905.00 6,051.89 7,220.09 8,409.93 8,747.71 9,847.32 10,962.32 12,092.89 13,239.18 14,401.36 15,579.62 16,774.10
128,231.41
9.25%
106.86 9.25%
Renewal Date # Policies Base Rate Trended Rate Total Premium Increase
5/1/2012 113.20





5/1/2012 109.00 110.03 111.08 112.13 113.20 103.66 104.40 105.16 105.91 106.68 107.45 108.22
4,905.00 6,051.89 7,220.09 8,409.93 9,621.69 9,847.32 10,962.32 12,092.89 13,239.18 14,401.36 15,579.62 16,774.10
129,105.39
9.60%
107.59 9.60%
1/1/2012 45 $109.00 $109.00 $4,905 9.00%
6/1/2012 114.27





6/1/2012 109.00 110.03 111.08 112.13 113.20 114.27 104.40 105.16 105.91 106.68 107.45 108.22
4,905.00 6,051.89 7,220.09 8,409.93 9,621.69 10,855.69 10,962.32 12,092.89 13,239.18 14,401.36 15,579.62 16,774.10
130,113.76
9.89%
108.43 9.89%
2/1/2012 55 $109.00 $110.03 $6,052 9.25%
7/1/2012 115.35





7/1/2012 109.00 110.03 111.08 112.13 113.20 114.27 115.35 105.16 105.91 106.68 107.45 108.22
4,905.00 6,051.89 7,220.09 8,409.93 9,621.69 10,855.69 12,112.25 12,092.89 13,239.18 14,401.36 15,579.62 16,774.10
131,263.69
10.11%
109.39 10.11%
3/1/2012 65 $109.00 $111.08 $7,220 9.49%
8/1/2012 116.45





8/1/2012 109.00 110.03 111.08 112.13 113.20 114.27 115.35 116.45 105.91 106.68 107.45 108.22
4,905.00 6,051.89 7,220.09 8,409.93 9,621.69 10,855.69 12,112.25 13,391.67 13,239.18 14,401.36 15,579.62 16,774.10
132,562.48
10.26%
110.47 10.26%
4/1/2012 75 $109.00 $112.13 $8,410 9.74%
9/1/2012 117.55





9/1/2012 109.00 110.03 111.08 112.13 113.20 114.27 115.35 116.45 117.55 106.68 107.45 108.22
4,905.00 6,051.89 7,220.09 8,409.93 9,621.69 10,855.69 12,112.25 13,391.67 14,694.29 14,401.36 15,579.62 16,774.10
134,017.59
10.30%
111.68 10.30%
5/1/2012 85 $109.00 $113.20 $9,622 9.99%
10/1/2012 118.67





10/1/2012 109.00 110.03 111.08 112.13 113.20 114.27 115.35 116.45 117.55 118.67 107.45 108.22
4,905.00 6,051.89 7,220.09 8,409.93 9,621.69 10,855.69 12,112.25 13,391.67 14,694.29 16,020.42 15,579.62 16,774.10
135,636.64
10.24%
113.03 10.24%
6/1/2012 95 $109.00 $114.27 $10,856 10.24%
11/1/2012 119.80





11/1/2012 109.00 110.03 111.08 112.13 113.20 114.27 115.35 116.45 117.55 118.67 119.80 108.22
4,905.00 6,051.89 7,220.09 8,409.93 9,621.69 10,855.69 12,112.25 13,391.67 14,694.29 16,020.42 17,370.39 16,774.10
137,427.41
10.05%
114.52 10.05%
7/1/2012 105 $109.00 $115.35 $12,112 10.49%
12/1/2012 120.93





12/1/2012 109.00 110.03 111.08 112.13 113.20 114.27 115.35 116.45 117.55 118.67 119.80 120.93
4,905.00 6,051.89 7,220.09 8,409.93 9,621.69 10,855.69 12,112.25 13,391.67 14,694.29 16,020.42 17,370.39 18,744.54
139,397.84
9.72%
116.16 9.72%
8/1/2012 115 $109.00 $116.45 $13,392 10.74%
1/1/2013 122.08





1/1/2013 122.08 110.03 111.08 112.13 113.20 114.27 115.35 116.45 117.55 118.67 119.80 120.93
5,493.60 6,051.89 7,220.09 8,409.93 9,621.69 10,855.69 12,112.25 13,391.67 14,694.29 16,020.42 17,370.39 18,744.54
139,986.44


116.66
9/1/2012 125 $109.00 $117.55 $14,694 10.99%
2/1/2013 122.08





2/1/2013 122.08 122.08 111.08 112.13 113.20 114.27 115.35 116.45 117.55 118.67 119.80 120.93
5,493.60 6,714.40 7,220.09 8,409.93 9,621.69 10,855.69 12,112.25 13,391.67 14,694.29 16,020.42 17,370.39 18,744.54
140,648.96


117.21
10/1/2012 135 $109.00 $118.67 $16,020 11.24%
3/1/2013 122.08





3/1/2013 122.08 122.08 122.08 112.13 113.20 114.27 115.35 116.45 117.55 118.67 119.80 120.93
5,493.60 6,714.40 7,935.20 8,409.93 9,621.69 10,855.69 12,112.25 13,391.67 14,694.29 16,020.42 17,370.39 18,744.54
141,364.06


117.80
11/1/2012 145 $109.00 $119.80 $17,370 11.49%
4/1/2013 122.08





4/1/2013 122.08 122.08 122.08 122.08 113.20 114.27 115.35 116.45 117.55 118.67 119.80 120.93
5,493.60 6,714.40 7,935.20 9,156.00 9,621.69 10,855.69 12,112.25 13,391.67 14,694.29 16,020.42 17,370.39 18,744.54
142,110.14


118.43
12/1/2012 155 $109.00 $120.93 $18,745 11.75%
5/1/2013 122.08





5/1/2013 122.08 122.08 122.08 122.08 122.08 114.27 115.35 116.45 117.55 118.67 119.80 120.93
5,493.60 6,714.40 7,935.20 9,156.00 10,376.80 10,855.69 12,112.25 13,391.67 14,694.29 16,020.42 17,370.39 18,744.54
142,865.25


119.05
Total 1,200

$139,398

6/1/2013 122.08





6/1/2013 122.08 122.08 122.08 122.08 122.08 122.08 115.35 116.45 117.55 118.67 119.80 120.93
5,493.60 6,714.40 7,935.20 9,156.00 10,376.80 11,597.60 12,112.25 13,391.67 14,694.29 16,020.42 17,370.39 18,744.54
143,607.15


119.67
Weighted average increase



10.7%
7/1/2013 122.08





7/1/2013 122.08 122.08 122.08 122.08 122.08 122.08 122.08 116.45 117.55 118.67 119.80 120.93
5,493.60 6,714.40 7,935.20 9,156.00 10,376.80 11,597.60 12,818.40 13,391.67 14,694.29 16,020.42 17,370.39 18,744.54
144,313.30


120.26







8/1/2013 122.08





8/1/2013 122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 117.55 118.67 119.80 120.93
5,493.60 6,714.40 7,935.20 9,156.00 10,376.80 11,597.60 12,818.40 14,039.20 14,694.29 16,020.42 17,370.39 18,744.54
144,960.83


120.80







9/1/2013 122.08





9/1/2013 122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 118.67 119.80 120.93
5,493.60 6,714.40 7,935.20 9,156.00 10,376.80 11,597.60 12,818.40 14,039.20 15,260.00 16,020.42 17,370.39 18,744.54
145,526.54


121.27







10/1/2013 122.08





10/1/2013 122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 119.80 120.93
5,493.60 6,714.40 7,935.20 9,156.00 10,376.80 11,597.60 12,818.40 14,039.20 15,260.00 16,480.80 17,370.39 18,744.54
145,986.92


121.66







11/1/2013 122.08





11/1/2013 122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 120.93
5,493.60 6,714.40 7,935.20 9,156.00 10,376.80 11,597.60 12,818.40 14,039.20 15,260.00 16,480.80 17,701.60 18,744.54
146,318.14


121.93







12/1/2013 122.08





12/1/2013 122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08 122.08
5,493.60 6,714.40 7,935.20 9,156.00 10,376.80 11,597.60 12,818.40 14,039.20 15,260.00 16,480.80 17,701.60 18,922.40
146,496.00


122.08































































Straight Average by Cohort













Evenly Weighted Average Not useful since there is a different number of enrollees in each cohort here.






























1/1/2012 CMS: This area highlighted in green corresponds to the vector in F112:F123 9.00% 8.54% 8.17% 7.88% 7.68% 7.55% 7.51% 7.55% 7.67% 7.87% 8.16% 8.54%

8.01% Included for demonstrative purposes only.






























2/1/2012 9.27% 9.25% 8.83% 8.50% 8.26% 8.10% 8.02% 8.02% 8.10% 8.26% 8.51% 8.85%

8.50%































3/1/2012 9.54% 9.40% 9.49% 9.12% 8.84% 8.64% 8.52% 8.48% 8.53% 8.65% 8.86% 9.16%

8.94%































4/1/2012 9.80% 9.55% 9.53% 9.74% 9.42% 9.18% 9.02% 8.94% 8.95% 9.03% 9.20% 9.46%

9.32%































5/1/2012 10.06% 9.70% 9.57% 9.66% 9.99% 9.71% 9.51% 9.40% 9.36% 9.41% 9.54% 9.76%

9.64%































6/1/2012 10.31% 9.85% 9.60% 9.59% 9.80% 10.24% 10.00% 9.85% 9.78% 9.79% 9.88% 10.05%

9.89%































7/1/2012 10.56% 9.99% 9.64% 9.51% 9.60% 9.93% 10.49% 10.30% 10.18% 10.16% 10.21% 10.34%

10.08%































8/1/2012 10.81% 10.13% 9.67% 9.43% 9.42% 9.62% 10.06% 10.74% 10.59% 10.52% 10.54% 10.63%

10.18%































9/1/2012 11.06% 10.28% 9.71% 9.36% 9.23% 9.32% 9.65% 10.20% 10.99% 10.88% 10.86% 10.92%

10.20%































10/1/2012 11.30% 10.41% 9.74% 9.29% 9.05% 9.03% 9.24% 9.67% 10.34% 11.24% 11.18% 11.20%

10.14%































11/1/2012 11.53% 10.55% 9.78% 9.21% 8.87% 8.74% 8.83% 9.15% 9.69% 10.47% 11.49% 11.47%

9.98%































12/1/2012 11.77% 10.68% 9.81% 9.14% 8.69% 8.45% 8.43% 8.64% 9.06% 9.72% 10.61% 11.75%

9.73%































1/1/2013 12.00% 10.82% 9.84% 9.07% 8.52% 8.17% 8.04% 8.13% 8.44% 8.98% 9.75% 10.75%

9.38%































































































































Average by Cohort weighed by Premium













Premium Weighted Average Increase































1/1/2012 4.0500 4.6976 5.3099 5.9112 6.5255 7.1763 7.8876 8.6836 9.5892 10.6304 11.8346 13.2307
95.5265 7.96%































2/1/2012 4.1717 5.0858 5.7411 6.3781 7.0207 7.6927 8.4180 9.2207 10.1253 11.1576 12.3443 13.7137
101.0698 8.42%































3/1/2012 4.2916 5.1703 6.1713 6.8433 7.5136 8.2061 8.9447 9.7533 10.6564 11.6791 12.8478 14.1903
106.2677 8.86%































4/1/2012 4.4098 5.2535 6.1955 7.3068 8.0041 8.7164 9.4676 10.2815 11.1823 12.1950 13.3453 14.6604
111.0182 9.25%































5/1/2012 4.5262 5.3354 6.2192 7.2475 8.4923 9.2238 9.9868 10.8053 11.7033 12.7053 13.8368 15.1244
115.2064 9.60%































6/1/2012 4.6410 5.4162 6.2426 7.1892 8.3267 9.7281 10.5024 11.3248 12.2193 13.2102 14.3225 15.5823
118.7053 9.89%































7/1/2012 4.7541 5.4957 6.2656 7.1318 8.1639 9.4334 11.0143 11.8401 12.7305 13.7098 14.8024 16.0341
121.3757 10.11%































8/1/2012 4.8656 5.5741 6.2883 7.0753 8.0036 9.1436 10.5677 12.3511 13.2370 14.2041 15.2767 16.4801
123.0672 10.26%































9/1/2012 4.9755 5.6513 6.3106 7.0197 7.8460 8.8586 10.1288 11.7300 13.7387 14.6932 15.7455 16.9204
123.6182 10.30%































10/1/2012 5.0838 5.7274 6.3326 6.9650 7.6909 8.5784 9.6973 11.1198 12.9205 15.1772 16.2088 17.3550
122.8567 10.24%































11/1/2012 5.1907 5.8023 6.3543 6.9111 7.5382 8.3027 9.2732 10.5203 12.1171 14.1396 16.6668 17.7840
120.6004 10.05%































12/1/2012 5.2961 5.8763 6.3757 6.8580 7.3880 8.0315 8.8561 9.9311 11.3281 13.1211 15.3874 18.2077
116.6569 9.72%































1/1/2013 5.4000 5.9491 6.3967 6.8057 7.2400 7.7647 8.4460 9.3521 10.5529 12.1211 14.1320 16.6642
110.8246 9.24%

















Sheet 4: Decrease

HHS 10% Threshold














































KYDOI Example 5





























































Case 5(b) Premium increase implemented upon renewal. Passes threshold test.














































































Individual Rate Filing














# enrollees






























Proposed Effective Date 1/1/12














155 145 135 125 115 105 95 85 75 65 55 45



















Base rate increase of 9%














































Rates trended in 2012 by 11%/year














































No change in any rating factors except trend














































































































Monthly Premium











Monthly Premium by Cohort

















Experience

2011 Trend = 9%


Case 5(a) Premium schedule changes monthly, all enrollees pay same rate.







































Renewal Date # Policies Base Rate Trended Rate Total Premium

Renewal Date Premium





Renewal Date Jan renewal Feb renewal March renewal April renewal May renewal June renewal July renewal Aug renewal Sept renewal Oct renewal Nov renewal Dec renewal
Jan renewal Feb renewal March renewal April renewal May renewal June renewal July renewal Aug renewal Sept renewal Oct renewal Nov renewal Dec renewal
Total Monthly Premium
Average Annual Increase Weighted by Premium
Average premium Average Annual Increase Weighted by Premium
1/1/2011 155 $100.00 $100.00 $15,500

1/1/2011 100.00





1/1/2011 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
15,500.00 14,500.00 13,500.00 12,500.00 11,500.00 10,500.00 9,500.00 8,500.00 7,500.00 6,500.00 5,500.00 4,500.00
120,000.00


100.00
2/1/2011 145 $100.00 $100.72 $14,605

2/1/2011 100.72





2/1/2011 100.00 100.72 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
15,500.00 14,604.51 13,500.00 12,500.00 11,500.00 10,500.00 9,500.00 8,500.00 7,500.00 6,500.00 5,500.00 4,500.00
120,104.51


100.09
3/1/2011 135 $100.00 $101.45 $13,695

3/1/2011 101.45





3/1/2011 100.00 100.72 101.45 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
15,500.00 14,604.51 13,695.30 12,500.00 11,500.00 10,500.00 9,500.00 8,500.00 7,500.00 6,500.00 5,500.00 4,500.00
120,299.81


100.25
4/1/2011 125 $100.00 $102.18 $12,772

4/1/2011 102.18





4/1/2011 100.00 100.72 101.45 102.18 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
15,500.00 14,604.51 13,695.30 12,772.23 11,500.00 10,500.00 9,500.00 8,500.00 7,500.00 6,500.00 5,500.00 4,500.00
120,572.03


100.48
5/1/2011 115 $100.00 $102.91 $11,835

5/1/2011 102.91





5/1/2011 100.00 100.72 101.45 102.18 102.91 100.00 100.00 100.00 100.00 100.00 100.00 100.00
15,500.00 14,604.51 13,695.30 12,772.23 11,835.14 10,500.00 9,500.00 8,500.00 7,500.00 6,500.00 5,500.00 4,500.00
120,907.17


100.76
6/1/2011 105 $100.00 $103.66 $10,884

6/1/2011 103.66





6/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 100.00 100.00 100.00 100.00 100.00 100.00
15,500.00 14,604.51 13,695.30 12,772.23 11,835.14 10,883.88 9,500.00 8,500.00 7,500.00 6,500.00 5,500.00 4,500.00
121,291.05


101.08
7/1/2011 95 $100.00 $104.40 $9,918

7/1/2011 104.40





7/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 104.40 100.00 100.00 100.00 100.00 100.00
15,500.00 14,604.51 13,695.30 12,772.23 11,835.14 10,883.88 9,918.29 8,500.00 7,500.00 6,500.00 5,500.00 4,500.00
121,709.34


101.42
8/1/2011 85 $100.00 $105.16 $8,938

8/1/2011 105.16





8/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 100.00 100.00 100.00 100.00
15,500.00 14,604.51 13,695.30 12,772.23 11,835.14 10,883.88 9,918.29 8,938.22 7,500.00 6,500.00 5,500.00 4,500.00
122,147.56


101.79
9/1/2011 75 $100.00 $105.91 $7,944

9/1/2011 105.91





9/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 100.00 100.00 100.00
15,500.00 14,604.51 13,695.30 12,772.23 11,835.14 10,883.88 9,918.29 8,938.22 7,943.51 6,500.00 5,500.00 4,500.00
122,591.07


102.16
10/1/2011 65 $100.00 $106.68 $6,934

10/1/2011 106.68





10/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 100.00 100.00
15,500.00 14,604.51 13,695.30 12,772.23 11,835.14 10,883.88 9,918.29 8,938.22 7,943.51 6,933.99 5,500.00 4,500.00
123,025.06


102.52
11/1/2011 55 $100.00 $107.45 $5,910

11/1/2011 107.45


Average Increase

11/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 100.00
15,500.00 14,604.51 13,695.30 12,772.23 11,835.14 10,883.88 9,918.29 8,938.22 7,943.51 6,933.99 5,909.51 4,500.00
123,434.57


102.86
12/1/2011 45 $100.00 $108.22 $4,870

12/1/2011 108.22 1,248.73 old annual premium
9.93%

12/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
15,500.00 14,604.51 13,695.30 12,772.23 11,835.14 10,883.88 9,918.29 8,938.22 7,943.51 6,933.99 5,909.51 4,869.90
123,804.47


103.17







1/1/2012 109.00 1,372.70 new annual premium



1/1/2012 109.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
16,895.00 14,604.51 13,695.30 12,772.23 11,835.14 10,883.88 9,918.29 8,938.22 7,943.51 6,933.99 5,909.51 4,869.90
125,199.47
7.90%
104.33 7.90%
Proposed Base Rate Increase
9%



2/1/2012 109.95





2/1/2012 109.00 109.95 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
16,895.00 15,943.05 13,695.30 12,772.23 11,835.14 10,883.88 9,918.29 8,938.22 7,943.51 6,933.99 5,909.51 4,869.90
126,538.01
8.37%
105.45 8.37%
2012 Annual Trend =
11%



3/1/2012 110.91





3/1/2012 109.00 109.95 110.91 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
16,895.00 15,943.05 14,973.18 12,772.23 11,835.14 10,883.88 9,918.29 8,938.22 7,943.51 6,933.99 5,909.51 4,869.90
127,815.89
8.76%
106.51 8.76%







4/1/2012 111.88





4/1/2012 109.00 109.95 110.91 111.88 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
16,895.00 15,943.05 14,973.18 13,985.15 11,835.14 10,883.88 9,918.29 8,938.22 7,943.51 6,933.99 5,909.51 4,869.90
129,028.82
9.08%
107.52 9.08%
Renewal Date # Policies Base Rate Trended Rate Total Premium Increase
5/1/2012 112.86





5/1/2012 109.00 109.95 110.91 111.88 112.86 103.66 104.40 105.16 105.91 106.68 107.45 108.22
16,895.00 15,943.05 14,973.18 13,985.15 12,978.72 10,883.88 9,918.29 8,938.22 7,943.51 6,933.99 5,909.51 4,869.90
130,172.41
9.32%
108.48 9.32%
1/1/2012 155 $109.00 $109.00 $16,895 9.00%
6/1/2012 113.84





6/1/2012 109.00 109.95 110.91 111.88 112.86 113.84 104.40 105.16 105.91 106.68 107.45 108.22
16,895.00 15,943.05 14,973.18 13,985.15 12,978.72 11,953.65 9,918.29 8,938.22 7,943.51 6,933.99 5,909.51 4,869.90
131,242.17
9.48%
109.37 9.48%
2/1/2012 145 $109.00 $109.95 $15,943 9.17%
7/1/2012 114.84





7/1/2012 109.00 109.95 110.91 111.88 112.86 113.84 114.84 105.16 105.91 106.68 107.45 108.22
16,895.00 15,943.05 14,973.18 13,985.15 12,978.72 11,953.65 10,909.67 8,938.22 7,943.51 6,933.99 5,909.51 4,869.90
132,233.55
9.57%
110.19 9.57%
3/1/2012 135 $109.00 $110.91 $14,973 9.33%
8/1/2012 115.84





8/1/2012 109.00 109.95 110.91 111.88 112.86 113.84 114.84 115.84 105.91 106.68 107.45 108.22
16,895.00 15,943.05 14,973.18 13,985.15 12,978.72 11,953.65 10,909.67 9,846.54 7,943.51 6,933.99 5,909.51 4,869.90
133,141.88
9.59%
110.95 9.59%
4/1/2012 125 $109.00 $111.88 $13,985 9.50%
9/1/2012 116.85





9/1/2012 109.00 109.95 110.91 111.88 112.86 113.84 114.84 115.84 116.85 106.68 107.45 108.22
16,895.00 15,943.05 14,973.18 13,985.15 12,978.72 11,953.65 10,909.67 9,846.54 8,764.01 6,933.99 5,909.51 4,869.90
133,962.38
9.55%
111.64 9.55%
5/1/2012 115 $109.00 $112.86 $12,979 9.66%
10/1/2012 117.87





10/1/2012 109.00 109.95 110.91 111.88 112.86 113.84 114.84 115.84 116.85 117.87 107.45 108.22
16,895.00 15,943.05 14,973.18 13,985.15 12,978.72 11,953.65 10,909.67 9,846.54 8,764.01 7,661.82 5,909.51 4,869.90
134,690.22
9.44%
112.24 9.44%
6/1/2012 105 $109.00 $113.84 $11,954 9.83%
11/1/2012 118.90





11/1/2012 109.00 109.95 110.91 111.88 112.86 113.84 114.84 115.84 116.85 117.87 118.90 108.22
16,895.00 15,943.05 14,973.18 13,985.15 12,978.72 11,953.65 10,909.67 9,846.54 8,764.01 7,661.82 6,539.71 4,869.90
135,320.41
9.29%
112.77 9.29%
7/1/2012 95 $109.00 $114.84 $10,910 10.00%
12/1/2012 119.94





12/1/2012 109.00 109.95 110.91 111.88 112.86 113.84 114.84 115.84 116.85 117.87 118.90 119.94
16,895.00 15,943.05 14,973.18 13,985.15 12,978.72 11,953.65 10,909.67 9,846.54 8,764.01 7,661.82 6,539.71 5,397.41
135,847.92
9.08%
113.21 9.08%
8/1/2012 85 $109.00 $115.84 $9,847 10.16%
1/1/2013 120.99





1/1/2013 120.99 109.95 110.91 111.88 112.86 113.84 114.84 115.84 116.85 117.87 118.90 119.94
18,753.45 15,943.05 14,973.18 13,985.15 12,978.72 11,953.65 10,909.67 9,846.54 8,764.01 7,661.82 6,539.71 5,397.41
137,706.37


114.76
9/1/2012 75 $109.00 $116.85 $8,764 10.33%
2/1/2013 120.99





2/1/2013 120.99 120.99 110.91 111.88 112.86 113.84 114.84 115.84 116.85 117.87 118.90 119.94
18,753.45 17,543.55 14,973.18 13,985.15 12,978.72 11,953.65 10,909.67 9,846.54 8,764.01 7,661.82 6,539.71 5,397.41
139,306.87


116.09
10/1/2012 65 $109.00 $117.87 $7,662 10.50%
3/1/2013 120.99





3/1/2013 120.99 120.99 120.99 111.88 112.86 113.84 114.84 115.84 116.85 117.87 118.90 119.94
18,753.45 17,543.55 16,333.65 13,985.15 12,978.72 11,953.65 10,909.67 9,846.54 8,764.01 7,661.82 6,539.71 5,397.41
140,667.34


117.22
11/1/2012 55 $109.00 $118.90 $6,540 10.66%
4/1/2013 120.99





4/1/2013 120.99 120.99 120.99 120.99 112.86 113.84 114.84 115.84 116.85 117.87 118.90 119.94
18,753.45 17,543.55 16,333.65 15,123.75 12,978.72 11,953.65 10,909.67 9,846.54 8,764.01 7,661.82 6,539.71 5,397.41
141,805.93


118.17
12/1/2012 45 $109.00 $119.94 $5,397 10.83%
5/1/2013 120.99





5/1/2013 120.99 120.99 120.99 120.99 120.99 113.84 114.84 115.84 116.85 117.87 118.90 119.94
18,753.45 17,543.55 16,333.65 15,123.75 13,913.85 11,953.65 10,909.67 9,846.54 8,764.01 7,661.82 6,539.71 5,397.41
142,741.06


118.95
Total 1,200

$135,848

6/1/2013 120.99





6/1/2013 120.99 120.99 120.99 120.99 120.99 120.99 114.84 115.84 116.85 117.87 118.90 119.94
18,753.45 17,543.55 16,333.65 15,123.75 13,913.85 12,703.95 10,909.67 9,846.54 8,764.01 7,661.82 6,539.71 5,397.41
143,491.36


119.58
Weighted average increase



9.7%
7/1/2013 120.99





7/1/2013 120.99 120.99 120.99 120.99 120.99 120.99 120.99 115.84 116.85 117.87 118.90 119.94
18,753.45 17,543.55 16,333.65 15,123.75 13,913.85 12,703.95 11,494.05 9,846.54 8,764.01 7,661.82 6,539.71 5,397.41
144,075.74


120.06







8/1/2013 120.99





8/1/2013 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 116.85 117.87 118.90 119.94
18,753.45 17,543.55 16,333.65 15,123.75 13,913.85 12,703.95 11,494.05 10,284.15 8,764.01 7,661.82 6,539.71 5,397.41
144,513.35


120.43







9/1/2013 120.99





9/1/2013 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 117.87 118.90 119.94
18,753.45 17,543.55 16,333.65 15,123.75 13,913.85 12,703.95 11,494.05 10,284.15 9,074.25 7,661.82 6,539.71 5,397.41
144,823.59


120.69







10/1/2013 120.99





10/1/2013 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 118.90 119.94
18,753.45 17,543.55 16,333.65 15,123.75 13,913.85 12,703.95 11,494.05 10,284.15 9,074.25 7,864.35 6,539.71 5,397.41
145,026.11


120.86







11/1/2013 120.99





11/1/2013 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 119.94
18,753.45 17,543.55 16,333.65 15,123.75 13,913.85 12,703.95 11,494.05 10,284.15 9,074.25 7,864.35 6,654.45 5,397.41
145,140.86


120.95







12/1/2013 120.99





12/1/2013 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99
18,753.45 17,543.55 16,333.65 15,123.75 13,913.85 12,703.95 11,494.05 10,284.15 9,074.25 7,864.35 6,654.45 5,444.55
145,188.00


120.99































































Average by Cohort













Evenly Weighted Average Not useful since there is a different number of enrollees in each cohort here see directly below.






























1/1/2012 CMS: The cells highlighted in green correspond to the vector F31:F42. 9.00% 8.47% 8.03% 7.70% 7.46% 7.31% 7.26% 7.30% 7.44% 7.68% 8.01% 8.45%

7.84% Included for illustrative purposes only.






























2/1/2012 9.18% 9.17% 8.68% 8.30% 8.01% 7.82% 7.72% 7.72% 7.82% 8.01% 8.29% 8.68%

8.28%































3/1/2012 9.36% 9.24% 9.33% 8.90% 8.56% 8.33% 8.18% 8.14% 8.18% 8.33% 8.57% 8.91%

8.67%































4/1/2012 9.53% 9.32% 9.31% 9.50% 9.11% 8.83% 8.64% 8.55% 8.55% 8.65% 8.84% 9.14%

9.00%































5/1/2012 9.71% 9.40% 9.29% 9.37% 9.66% 9.33% 9.10% 8.96% 8.91% 8.96% 9.11% 9.36%

9.26%































6/1/2012 9.88% 9.47% 9.27% 9.25% 9.44% 9.83% 9.55% 9.36% 9.27% 9.28% 9.38% 9.58%

9.46%































7/1/2012 10.04% 9.55% 9.24% 9.13% 9.22% 9.51% 10.00% 9.76% 9.63% 9.59% 9.64% 9.79%

9.59%































8/1/2012 10.21% 9.62% 9.22% 9.02% 9.00% 9.19% 9.57% 10.16% 9.98% 9.89% 9.90% 10.01%

9.65%































9/1/2012 10.37% 9.69% 9.20% 8.90% 8.79% 8.88% 9.16% 9.64% 10.33% 10.20% 10.16% 10.22%

9.63%































10/1/2012 10.53% 9.76% 9.18% 8.79% 8.58% 8.57% 8.75% 9.13% 9.71% 10.50% 10.41% 10.42%

9.53%































11/1/2012 10.69% 9.83% 9.16% 8.68% 8.38% 8.27% 8.35% 8.63% 9.10% 9.78% 10.66% 10.63%

9.35%































12/1/2012 10.85% 9.90% 9.14% 8.57% 8.17% 7.97% 7.95% 8.13% 8.50% 9.08% 9.85% 10.83%

9.08%































1/1/2013 11.00% 9.97% 9.12% 8.46% 7.97% 7.68% 7.57% 7.64% 7.92% 8.38% 9.05% 9.92%

8.72%































































































































Average by Cohort













Premium Weighted Average Increase































1/1/2012 13.9500 12.2760 10.8438 9.6204 8.5744 7.6761 6.8965 6.2076 5.5817 4.9912 4.4082 3.8043
94.8302 7.90%































2/1/2012 14.2295 13.2897 11.7212 10.3732 9.2134 8.2112 7.3375 6.5635 5.8615 5.2036 4.5619 3.9081
100.4742 8.37%































3/1/2012 14.5048 13.4040 12.5966 11.1233 9.8493 8.7432 7.7753 6.9165 6.1386 5.4136 4.7137 4.0106
105.1895 8.77%































4/1/2012 14.7762 13.5167 12.5667 11.8707 10.4821 9.2720 8.2099 7.2665 6.4130 5.6214 4.8637 4.1117
108.9708 9.08%































5/1/2012 15.0435 13.6276 12.5373 11.7174 11.1120 9.7977 8.6416 7.6136 6.6849 5.8270 5.0120 4.2115
111.8261 9.32%































6/1/2012 15.3070 13.7369 12.5083 11.5664 10.8558 10.3204 9.0701 7.9578 6.9542 6.0304 5.1584 4.3099
113.7757 9.48%































7/1/2012 15.5667 13.8446 12.4798 11.4178 10.6037 9.9818 9.4957 8.2993 7.2209 6.2317 5.3031 4.4070
114.8521 9.57%































8/1/2012 15.8228 13.9508 12.4517 11.2715 10.3555 9.6486 9.0951 8.6379 7.4852 6.4308 5.4461 4.5029
115.0988 9.59%































9/1/2012 16.0752 14.0553 12.4240 11.1273 10.1112 9.3208 8.7010 8.1955 7.7470 6.6278 5.5875 4.5976
114.5702 9.55%































10/1/2012 16.3240 14.1584 12.3967 10.9854 9.8706 8.9982 8.3134 7.7604 7.2828 6.8228 5.7272 4.6910
113.3310 9.44%































11/1/2012 16.5694 14.2600 12.3698 10.8456 9.6338 8.6807 7.9320 7.3325 6.8265 6.3568 5.8653 4.7833
111.4557 9.29%































12/1/2012 16.8114 14.3602 12.3434 10.7078 9.4006 8.3681 7.5567 6.9116 6.3778 5.8989 5.4174 4.8744
109.0282 9.09%































1/1/2013 17.0500 14.4590 12.3172 10.5721 9.1709 8.0604 7.1873 6.4976 5.9366 5.4487 4.9773 4.4642
106.1414 8.85%
















































































































HHS 10% Threshold














































KYDOI Example 6













Case 6(b) Premium increase implemented upon renewal. Passes threshold test.














































































Individual Rate Filing














# enrollees






























Proposed Effective Date 1/1/12














155 145 135 125 115 105 95 85 75 65 55 45



















Base rate increase of 9%














































Rates trended in 2012 by 12%/year














































No change in any rating factors except trend














































































































Monthly Premium











Monthly Premium by Cohort

















Experience

2011 Trend = 9%


Case 6(a) Premium schedule changes monthly, all enrollees pay same rate.







































Renewal Date # Policies Base Rate Trended Rate Total Premium

Renewal Date Premium





Renewal Date Jan renewal Feb renewal March renewal April renewal May renewal June renewal July renewal Aug renewal Sept renewal Oct renewal Nov renewal Dec renewal
Jan renewal Feb renewal March renewal April renewal May renewal June renewal July renewal Aug renewal Sept renewal Oct renewal Nov renewal Dec renewal
Total Monthly Premium
Average Annual Increase Weighted by Premium
Average premium
1/1/2011 155 $100.00 $100.00 $15,500

1/1/2011 100.00





1/1/2011 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
15,500.00 14,500.00 13,500.00 12,500.00 11,500.00 10,500.00 9,500.00 8,500.00 7,500.00 6,500.00 5,500.00 4,500.00
120,000.00


100.00
2/1/2011 145 $100.00 $100.72 $14,605

2/1/2011 100.72





2/1/2011 100.00 100.72 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
15,500.00 14,604.51 13,500.00 12,500.00 11,500.00 10,500.00 9,500.00 8,500.00 7,500.00 6,500.00 5,500.00 4,500.00
120,104.51


100.09
3/1/2011 135 $100.00 $101.45 $13,695

3/1/2011 101.45





3/1/2011 100.00 100.72 101.45 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
15,500.00 14,604.51 13,695.30 12,500.00 11,500.00 10,500.00 9,500.00 8,500.00 7,500.00 6,500.00 5,500.00 4,500.00
120,299.81


100.25
4/1/2011 125 $100.00 $102.18 $12,772

4/1/2011 102.18





4/1/2011 100.00 100.72 101.45 102.18 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
15,500.00 14,604.51 13,695.30 12,772.23 11,500.00 10,500.00 9,500.00 8,500.00 7,500.00 6,500.00 5,500.00 4,500.00
120,572.03


100.48
5/1/2011 115 $100.00 $102.91 $11,835

5/1/2011 102.91





5/1/2011 100.00 100.72 101.45 102.18 102.91 100.00 100.00 100.00 100.00 100.00 100.00 100.00
15,500.00 14,604.51 13,695.30 12,772.23 11,835.14 10,500.00 9,500.00 8,500.00 7,500.00 6,500.00 5,500.00 4,500.00
120,907.17


100.76
6/1/2011 105 $100.00 $103.66 $10,884

6/1/2011 103.66





6/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 100.00 100.00 100.00 100.00 100.00 100.00
15,500.00 14,604.51 13,695.30 12,772.23 11,835.14 10,883.88 9,500.00 8,500.00 7,500.00 6,500.00 5,500.00 4,500.00
121,291.05


101.08
7/1/2011 95 $100.00 $104.40 $9,918

7/1/2011 104.40





7/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 104.40 100.00 100.00 100.00 100.00 100.00
15,500.00 14,604.51 13,695.30 12,772.23 11,835.14 10,883.88 9,918.29 8,500.00 7,500.00 6,500.00 5,500.00 4,500.00
121,709.34


101.42
8/1/2011 85 $100.00 $105.16 $8,938

8/1/2011 105.16





8/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 100.00 100.00 100.00 100.00
15,500.00 14,604.51 13,695.30 12,772.23 11,835.14 10,883.88 9,918.29 8,938.22 7,500.00 6,500.00 5,500.00 4,500.00
122,147.56


101.79
9/1/2011 75 $100.00 $105.91 $7,944

9/1/2011 105.91





9/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 100.00 100.00 100.00
15,500.00 14,604.51 13,695.30 12,772.23 11,835.14 10,883.88 9,918.29 8,938.22 7,943.51 6,500.00 5,500.00 4,500.00
122,591.07


102.16
10/1/2011 65 $100.00 $106.68 $6,934

10/1/2011 106.68





10/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 100.00 100.00
15,500.00 14,604.51 13,695.30 12,772.23 11,835.14 10,883.88 9,918.29 8,938.22 7,943.51 6,933.99 5,500.00 4,500.00
123,025.06


102.52
11/1/2011 55 $100.00 $107.45 $5,910

11/1/2011 107.45


Average Increase

11/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 100.00
15,500.00 14,604.51 13,695.30 12,772.23 11,835.14 10,883.88 9,918.29 8,938.22 7,943.51 6,933.99 5,909.51 4,500.00
123,434.57


102.86
12/1/2011 45 $100.00 $108.22 $4,870

12/1/2011 108.22 1,248.73 old annual premium
10.39%

12/1/2011 100.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
15,500.00 14,604.51 13,695.30 12,772.23 11,835.14 10,883.88 9,918.29 8,938.22 7,943.51 6,933.99 5,909.51 4,869.90
123,804.47


103.17







1/1/2012 109.00 1,378.47 new annual premium



1/1/2012 109.00 100.72 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
16,895.00 14,604.51 13,695.30 12,772.23 11,835.14 10,883.88 9,918.29 8,938.22 7,943.51 6,933.99 5,909.51 4,869.90
125,199.47
8.06%
104.33
Proposed Base Rate Increase
9%



2/1/2012 110.03





2/1/2012 109.00 110.03 101.45 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
16,895.00 15,954.97 13,695.30 12,772.23 11,835.14 10,883.88 9,918.29 8,938.22 7,943.51 6,933.99 5,909.51 4,869.90
126,549.93
8.56%
105.46
2012 Annual Trend =
12%



3/1/2012 111.08





3/1/2012 109.00 110.03 111.08 102.18 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
16,895.00 15,954.97 14,995.58 12,772.23 11,835.14 10,883.88 9,918.29 8,938.22 7,943.51 6,933.99 5,909.51 4,869.90
127,850.21
8.98%
106.54







4/1/2012 112.13





4/1/2012 109.00 110.03 111.08 112.13 102.91 103.66 104.40 105.16 105.91 106.68 107.45 108.22
16,895.00 15,954.97 14,995.58 14,016.55 11,835.14 10,883.88 9,918.29 8,938.22 7,943.51 6,933.99 5,909.51 4,869.90
129,094.53
9.32%
107.58
Renewal Date # Policies Base Rate Trended Rate Total Premium Increase
5/1/2012 113.20





5/1/2012 109.00 110.03 111.08 112.13 113.20 103.66 104.40 105.16 105.91 106.68 107.45 108.22
16,895.00 15,954.97 14,995.58 14,016.55 13,017.58 10,883.88 9,918.29 8,938.22 7,943.51 6,933.99 5,909.51 4,869.90
130,276.98
9.57%
108.56
1/1/2012 155 $109.00 $109.00 $16,895 9.00%
6/1/2012 114.27





6/1/2012 109.00 110.03 111.08 112.13 113.20 114.27 104.40 105.16 105.91 106.68 107.45 108.22
16,895.00 15,954.97 14,995.58 14,016.55 13,017.58 11,998.40 9,918.29 8,938.22 7,943.51 6,933.99 5,909.51 4,869.90
131,391.50
9.74%
109.49
2/1/2012 145 $109.00 $110.03 $15,955 9.25%
7/1/2012 115.35





7/1/2012 109.00 110.03 111.08 112.13 113.20 114.27 115.35 105.16 105.91 106.68 107.45 108.22
16,895.00 15,954.97 14,995.58 14,016.55 13,017.58 11,998.40 10,958.70 8,938.22 7,943.51 6,933.99 5,909.51 4,869.90
132,431.91
9.83%
110.36
3/1/2012 135 $109.00 $111.08 $14,996 9.49%
8/1/2012 116.45





8/1/2012 109.00 110.03 111.08 112.13 113.20 114.27 115.35 116.45 105.91 106.68 107.45 108.22
16,895.00 15,954.97 14,995.58 14,016.55 13,017.58 11,998.40 10,958.70 9,898.19 7,943.51 6,933.99 5,909.51 4,869.90
133,391.88
9.84%
111.16
4/1/2012 125 $109.00 $112.13 $14,017 9.74%
9/1/2012 117.55





9/1/2012 109.00 110.03 111.08 112.13 113.20 114.27 115.35 116.45 117.55 106.68 107.45 108.22
16,895.00 15,954.97 14,995.58 14,016.55 13,017.58 11,998.40 10,958.70 9,898.19 8,816.57 6,933.99 5,909.51 4,869.90
134,264.95
9.77%
111.89
5/1/2012 115 $109.00 $113.20 $13,018 9.99%
10/1/2012 118.67





10/1/2012 109.00 110.03 111.08 112.13 113.20 114.27 115.35 116.45 117.55 118.67 107.45 108.22
16,895.00 15,954.97 14,995.58 14,016.55 13,017.58 11,998.40 10,958.70 9,898.19 8,816.57 7,713.53 5,909.51 4,869.90
135,044.49
9.63%
112.54
6/1/2012 105 $109.00 $114.27 $11,998 10.24%
11/1/2012 119.80





11/1/2012 109.00 110.03 111.08 112.13 113.20 114.27 115.35 116.45 117.55 118.67 119.80 108.22
16,895.00 15,954.97 14,995.58 14,016.55 13,017.58 11,998.40 10,958.70 9,898.19 8,816.57 7,713.53 6,588.77 4,869.90
135,723.75
9.43%
113.10
7/1/2012 95 $109.00 $115.35 $10,959 10.49%
12/1/2012 120.93





12/1/2012 109.00 110.03 111.08 112.13 113.20 114.27 115.35 116.45 117.55 118.67 119.80 120.93
16,895.00 15,954.97 14,995.58 14,016.55 13,017.58 11,998.40 10,958.70 9,898.19 8,816.57 7,713.53 6,588.77 5,441.96
136,295.81
9.18%
113.58
8/1/2012 85 $109.00 $116.45 $9,898 10.74%
1/1/2013 120.99





1/1/2013 120.99 110.03 111.08 112.13 113.20 114.27 115.35 116.45 117.55 118.67 119.80 120.93
18,753.45 15,954.97 14,995.58 14,016.55 13,017.58 11,998.40 10,958.70 9,898.19 8,816.57 7,713.53 6,588.77 5,441.96
138,154.26


115.13
9/1/2012 75 $109.00 $117.55 $8,817 10.99%
2/1/2013 120.99





2/1/2013 120.99 120.99 111.08 112.13 113.20 114.27 115.35 116.45 117.55 118.67 119.80 120.93
18,753.45 17,543.55 14,995.58 14,016.55 13,017.58 11,998.40 10,958.70 9,898.19 8,816.57 7,713.53 6,588.77 5,441.96
139,742.84


116.45
10/1/2012 65 $109.00 $118.67 $7,714 11.24%
3/1/2013 120.99





3/1/2013 120.99 120.99 120.99 112.13 113.20 114.27 115.35 116.45 117.55 118.67 119.80 120.93
18,753.45 17,543.55 16,333.65 14,016.55 13,017.58 11,998.40 10,958.70 9,898.19 8,816.57 7,713.53 6,588.77 5,441.96
141,080.91


117.57
11/1/2012 55 $109.00 $119.80 $6,589 11.49%
4/1/2013 120.99





4/1/2013 120.99 120.99 120.99 120.99 113.20 114.27 115.35 116.45 117.55 118.67 119.80 120.93
18,753.45 17,543.55 16,333.65 15,123.75 13,017.58 11,998.40 10,958.70 9,898.19 8,816.57 7,713.53 6,588.77 5,441.96
142,188.11


118.49
12/1/2012 45 $109.00 $120.93 $5,442 11.75%
5/1/2013 120.99





5/1/2013 120.99 120.99 120.99 120.99 120.99 114.27 115.35 116.45 117.55 118.67 119.80 120.93
18,753.45 17,543.55 16,333.65 15,123.75 13,913.85 11,998.40 10,958.70 9,898.19 8,816.57 7,713.53 6,588.77 5,441.96
143,084.38


119.24
Total 1,200

$136,296

6/1/2013 120.99





6/1/2013 120.99 120.99 120.99 120.99 120.99 120.99 115.35 116.45 117.55 118.67 119.80 120.93
18,753.45 17,543.55 16,333.65 15,123.75 13,913.85 12,703.95 10,958.70 9,898.19 8,816.57 7,713.53 6,588.77 5,441.96
143,789.93


119.82
Weighted average increase



10.1%
7/1/2013 120.99





7/1/2013 120.99 120.99 120.99 120.99 120.99 120.99 120.99 116.45 117.55 118.67 119.80 120.93
18,753.45 17,543.55 16,333.65 15,123.75 13,913.85 12,703.95 11,494.05 9,898.19 8,816.57 7,713.53 6,588.77 5,441.96
144,325.28


120.27







8/1/2013 120.99





8/1/2013 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 117.55 118.67 119.80 120.93
18,753.45 17,543.55 16,333.65 15,123.75 13,913.85 12,703.95 11,494.05 10,284.15 8,816.57 7,713.53 6,588.77 5,441.96
144,711.24


120.59







9/1/2013 120.99





9/1/2013 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 118.67 119.80 120.93
18,753.45 17,543.55 16,333.65 15,123.75 13,913.85 12,703.95 11,494.05 10,284.15 9,074.25 7,713.53 6,588.77 5,441.96
144,968.91


120.81







10/1/2013 120.99





10/1/2013 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 119.80 120.93
18,753.45 17,543.55 16,333.65 15,123.75 13,913.85 12,703.95 11,494.05 10,284.15 9,074.25 7,864.35 6,588.77 5,441.96
145,119.73


120.93







11/1/2013 120.99





11/1/2013 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.93
18,753.45 17,543.55 16,333.65 15,123.75 13,913.85 12,703.95 11,494.05 10,284.15 9,074.25 7,864.35 6,654.45 5,441.96
145,185.41


120.99







12/1/2013 120.99





12/1/2013 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99 120.99
18,753.45 17,543.55 16,333.65 15,123.75 13,913.85 12,703.95 11,494.05 10,284.15 9,074.25 7,864.35 6,654.45 5,444.55
145,188.00


120.99































































Average by Cohort













Evenly Weighted Average Not useful since there is a different number of enrollees in each cohort here see directly below.






























1/1/2012 CMS: The cells highlighted in green correspond to the vector F112:F123. 9.00% 8.54% 8.17% 7.88% 7.68% 7.55% 7.51% 7.55% 7.67% 7.87% 8.16% 8.54%

8.01% Included for illustrative purposes only.






























2/1/2012 9.18% 9.25% 8.83% 8.50% 8.26% 8.10% 8.02% 8.02% 8.10% 8.26% 8.51% 8.85%

8.49%































3/1/2012 9.36% 9.31% 9.49% 9.12% 8.84% 8.64% 8.52% 8.48% 8.53% 8.65% 8.86% 9.16%

8.91%































4/1/2012 9.53% 9.37% 9.44% 9.74% 9.42% 9.18% 9.02% 8.94% 8.95% 9.03% 9.20% 9.46%

9.27%































5/1/2012 9.71% 9.44% 9.39% 9.58% 9.99% 9.71% 9.51% 9.40% 9.36% 9.41% 9.54% 9.76%

9.57%































6/1/2012 9.88% 9.50% 9.34% 9.41% 9.71% 10.24% 10.00% 9.85% 9.78% 9.79% 9.88% 10.05%

9.78%































7/1/2012 10.04% 9.56% 9.29% 9.25% 9.43% 9.84% 10.49% 10.30% 10.18% 10.16% 10.21% 10.34%

9.92%































8/1/2012 10.21% 9.62% 9.24% 9.09% 9.16% 9.45% 9.98% 10.74% 10.59% 10.52% 10.54% 10.63%

9.98%































9/1/2012 10.37% 9.68% 9.20% 8.93% 8.89% 9.07% 9.48% 10.11% 10.99% 10.88% 10.86% 10.92%

9.95%































10/1/2012 10.53% 9.73% 9.15% 8.78% 8.62% 8.69% 8.98% 9.50% 10.25% 11.24% 11.18% 11.20%

9.82%































11/1/2012 10.69% 9.79% 9.10% 8.63% 8.36% 8.32% 8.50% 8.90% 9.53% 10.39% 11.49% 11.47%

9.60%































12/1/2012 10.85% 9.85% 9.06% 8.48% 8.11% 7.95% 8.02% 8.30% 8.81% 9.55% 10.53% 11.75%

9.27%































1/1/2013 11.00% 9.90% 9.01% 8.33% 7.86% 7.59% 7.55% 7.72% 8.11% 8.73% 9.58% 10.67%

8.84%































































































































Average by Cohort













Premium Weighted Average Increase































1/1/2012 13.9500 12.3845 11.0282 9.8520 8.8286 7.9317 7.1364 6.4183 5.7535 5.1184 4.4890 3.8412
96.7318 8.06%































2/1/2012 14.2295 13.4080 11.9239 10.6301 9.4986 8.5025 7.6163 6.8153 6.0752 5.3722 4.6823 3.9814
102.7353 8.56%































3/1/2012 14.5048 13.5010 12.8174 11.4054 10.1654 9.0699 8.0928 7.2090 6.3938 5.6233 4.8733 4.1198
107.7759 8.98%































4/1/2012 14.7762 13.5925 12.7476 12.1780 10.8291 9.6340 8.5659 7.5994 6.7094 5.8716 5.0620 4.2563
111.8219 9.32%































5/1/2012 15.0435 13.6827 12.6788 11.9690 11.4896 10.1947 9.0357 7.9865 7.0220 6.1174 5.2484 4.3910
114.8593 9.57%































6/1/2012 15.3070 13.7716 12.6112 11.7633 11.1649 10.7521 9.5022 8.3705 7.3316 6.3605 5.4327 4.5239
116.8914 9.74%































7/1/2012 15.5667 13.8591 12.5445 11.5609 10.8456 10.3351 9.9653 8.7514 7.6383 6.6010 5.6147 4.6551
117.9378 9.83%































8/1/2012 15.8228 13.9453 12.4789 11.3617 10.5314 9.9251 9.4793 9.1291 7.9422 6.8390 5.7946 4.7846
118.0340 9.84%































9/1/2012 16.0752 14.0303 12.4143 11.1656 10.2223 9.5220 9.0017 8.5972 8.2432 7.0745 5.9724 4.9124
117.2310 9.77%































10/1/2012 16.3240 14.1140 12.3507 10.9725 9.9181 9.1255 8.5322 8.0748 7.6886 7.3075 6.1482 5.0385
115.5945 9.63%































11/1/2012 16.5694 14.1965 12.2879 10.7824 9.6187 8.7355 8.0706 7.5614 7.1440 6.7531 6.3219 5.1631
113.2045 9.43%































12/1/2012 16.8114 14.2779 12.2262 10.5952 9.3241 8.3518 7.6167 7.0569 6.6090 6.2089 5.7905 5.2861
110.1546 9.18%































1/1/2013 17.0500 14.3581 12.1653 10.4108 9.0341 7.9743 7.1704 6.5610 6.0836 5.6746 5.2692 4.8006
106.5519 8.88%
















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