Connecticut Administrative Code
Title 38a - Insurance Department
528a - Group Short-Term Care Insurance
Section 38a-528a-8 - Filing requirements

Current through March 14, 2024

(a) All filings of rates and rating schedules shall be accompanied by an actuarial certification demonstrating that expected claims in relation to premiums comply with a loss ratio of not less than sixty percent (60%) when combined with actual experience to date. Filings of rate revisions shall also demonstrate that the anticipated loss ratio over the entire future period for which the revised rates are computed to provide coverage can be expected to meet the required loss ratio standard.

(b) Insurers shall submit with each group policy or certificate form that they file for approval a description of the method used to determine the standard for the payment of group policy or certificate benefits, including ''usual and customary,'' '' reasonable and customary'' or other standards.

(c) Every insurer providing group short-term care insurance in this state shall provide a copy of any group short-term care insurance advertisement intended for use in this state whether through written, radio or television medium to the Insurance Commissioner for review or approval to the extent this may be required in accordance with regulations adopted pursuant to Section 38a-819 of the Connecticut General Statutes. All such advertisements shall be retained as provided in Section 38a-819-18 of the Regulations of Connecticut State Agencies.

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