Delaware Administrative Code
Title 18 - Insurance
1300 - Health Insurance General Provisions
1303 - Individual Accident and Health Minimum Loss Ratio Standards [Formerly Regulation 42]
Section 1303-4.0 - Previously Approved Forms

Universal Citation: 18 DE Admin Code 1303-4.0

Current through Register Vol. 28, No. 3, September 1, 2024

4.1 Filings of rate revisions for a previously approved policy, rider or endorsement form shall also include the following:

4.1.1 A statement of the scope and reason for the revision, and an estimate of the expected average effect on premiums, including the anticipated loss ratio for the form.

4.1.2 A statement as to whether the filing applies only to new business, only to in force business, or both, and the reasons therefor.

4.1.3 A history of the experience under existing rates, including at least the data indicated in Section 5.0. The history may also include, if available and appropriate, the ratios of actual claims to the claims expected according to the assumptions underlying the existing rates. Additional data might include: substitution of actual claim runoffs for claim reserves and liabilities; determination of loss ratios with the increase in policy reserves (other than unearned premium reserves) added to benefits rather than subtracted from premiums; accumulations of experience funds; substitution of net level policy reserves for preliminary term policy reserves; adjustment of premiums to an annual mode basis; or other adjustments or schedules suited to the form and to the records of the company. All additional data must be reconciled, as appropriate, to the required data.

4.1.4 The date and magnitude of each previous rate change, if any.

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