State of Utah Insurance Transparency

Regence Blue Cross Blue Shield of Utah

Filing Data

Product Information

Product: PPO

Type of Insurance: H16I Individual Health - Major Medical

Product Name: 2022 RBCBSU Individual Metallic

Market Type: Individual

Group Market Size: Unspecified

Group Market Type: Unspecified

Overall Rate Change:

Rate Information

Tracking Number: RGUT-132855256

Submission Date: 2021-07-06

Implementation Date Requested: 2022-01-01

Status: Accepted

Company Tracking Number:

Number of Policy Holders Affected: 3204

Maximum % Change: +2.30%

Minimum % Change: -16.60%

Filing Attachments

  Filename File Description
Part I Unified Rate Review Template.xlsm Part I, Rate Increase Summary (URRT)
RBCBSU IND ACA Part III Actuarial Memorandum.pdf Part III, Rate Filing Documentation - PUBLIC