| Company Name | Market | Avg. % Change Requested | Avg. % Change Approved | Status | Effective Date |
|---|---|---|---|---|---|
| Optimum Choice | No | 13.20% | 10.20% | Approved | 01/01/2022 |
| HIOS ID Number: | 97569 | ||||
| State Tracking Number: | 98404 | ||||
| SERFF Tracking Number: | UHLC-132910669 | ||||
| Rate Tables By Base Rate: | View Document | ||||
| Rate Tables By Age: | View Document | ||||
| Unified Rate Review Template (URRT): | View Document | ||||
| Part II Justification: | View Document | ||||
| Redacted Actuarial Memorandum: | View Document | ||||