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February 29, 2012

Court rejects Anthem appeal over rate increase

The Maine Supreme Judicial Court has again rejected an appeal from Anthem over its desired insurance premium rate increase for 2011-2012.

The court Monday upheld former Bureau of Insurance Superintendent Mila Kofman’s May 2011 decision to deny Anthem Blue Cross Blue Shield a 9.2% rate increase, instead granting an increase of 5.2% for about 11,000 individual policyholders, according to the Bangor Daily News. Kofman deemed Anthem’s requested increase “excessive and unfairly discriminatory.” Anthem sought a 3% profit margin, but the approved rate gave the company a 1% margin instead. An Anthem spokesman said the company is reviewing the court’s decision and has not determined a next step.

Anthem has lost two other appeals of the state’s approval of rate increases in the last three years. In September 2010, Kofman granted the company a 14% increase, less than its requested 23% increase for its 2010 rates. In 2009, Kofman denied Anthem an 18.1% increase, instead granting a 10.9% hike.

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