Delaware Administrative Code
Title 18 - Insurance
1300 - Health Insurance General Provisions
1303 - Individual Accident and Health Minimum Loss Ratio Standards [Formerly Regulation 42]
Section 1303-9.0 - Other Anticipated Loss Ratios
Universal Citation: 18 DE Admin Code 1303-9.0
Current through Register Vol. 28, No. 3, September 1, 2024
9.1 Anticipated loss ratios different from those indicated in Section 8.1 and 8.2 will require justification based on the special circumstances that may be applicable.
9.1.1 Examples of coverages that may receive special consideration are as follows:
9.1.1.1 accident only;
9.1.1.2 short term nonrenewable, e.g., airline trip; student accident;
9.1.1.3 specified peril, e.g., cancer, common carrier;
9.1.1.4 other special risks.
9.1.2 Examples of other factors that may receive special consideration are as follows:
9.1.2.1 marketing methods, giving due consideration to acquisition and administration costs and to premium mode;
9.1.2.2 extraordinary expenses;
9.1.2.3 high risk of claim fluctuation because of the low loss frequency or the catastrophic or experimental nature of the coverage;
9.1.2.4 product features such as long elimination periods, high deductibles and high maximum limits.
9.2 Companies are urged to review their experience periodically and to file rate revisions, as appropriate, in a timely manner to avoid the necessity of later filing of exceptionally large rate increases.
Disclaimer: These regulations may not be the most recent version. Delaware 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.
