Pennsylvania Code
Title 31 - INSURANCE
Part IV - Life Insurance
Chapter 90 - HOSPITAL EXPENSE BENEFITS
Section 90.1 - Definition of territories

Universal Citation: 31 PA Code ยง 90.1

Current through Register Vol. 54, No. 44, November 2, 2024

(a) For purposes of the determination by the Commissioner of the maximum dollar amounts for hospital room and board daily expense benefits under section 621.2(d)(10) of The Insurance Company Law of 1921 (40 P. S. § 756.2(d)(10)), the Commonwealth is divided into five territories as follows:

(1) Philadelphia Area, including counties of Bucks, Montgomery, Chester, Delaware and Philadelphia.

(2) Allentown Area, including counties of Lehigh and Northampton.

(3) Harrisburg South Central Area, including counties of Centre, Union, Northumberland, Montour, Columbia, Schuylkill, Snyder, Mifflin, Juniata, Perry, Dauphin, Lebanon, Lancaster, York, Adams, Franklin, Fulton, Cumberland and Berks.

(4) Pittsburgh Area, including counties of Erie, Warren, McKean, Potter, Crawford, Mercer, Venango, Forest, Elk, Cameron, Lawrence, Butler, Clarion, Armstrong, Jefferson, Indiana, Clearfield, Cambria, Beaver, Allegheny, Westmoreland, Blair, Huntingdon, Washington, Green, Fayette, Somerset and Bedford.

(5) Wilkes-Barre Area, including counties of Tioga, Bradford, Susquehanna, Wayne, Clinton, Lycoming, Sullivan, Wyoming, Lackawanna, Pike, Luzerne, Carbon and Monroe.

(b) The maximum dollar amounts for hospital room and board daily expense benefits will be determined by the Commissioner by using the average hospital semiprivate room and board daily charge for each territory set forth in subsection (a), as reported to the Commissioner by Blue Cross.

(c) The maximum dollar amounts for hospital room and board daily expense benefits for these territories will be submitted to the Legislative Reference Bureau for recommended publication as a notice in the Pennsylvania Bulletin at intervals required by statute and for recommended codification, in the Pennsylvania Code, as subsection (d).

The provisions of this §90.1 issued under The Insurance Department Act of 1921 (40 P. S. §§ 1-321); amended under: sections 206, 506, 1501 and 1502 of The Administrative Code of 1929 (71 P. S. §§ 66, 186, 411 and 412); The Insurance Department Act of 1921 (40 P. S. §§ 1-321); and The Insurance Company Law of 1921 (40 P. S. §§ 341-991).

Disclaimer: These regulations may not be the most recent version. Pennsylvania may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.