Delaware Administrative Code
Title 18 - Insurance
1300 - Health Insurance General Provisions
1305 - Rate Filing Procedures for Health Insurers and Health Service Corporations and Managed Care Organizations
Section 1305-8.0 - New Policy or Plan and Rate Revision Filings
Universal Citation: 18 DE Admin Code 1305-8.0
Current through Register Vol. 28, No. 3, September 1, 2024
8.1 With respect to new rate filings and rate revision filings, benefits shall be deemed reasonable in relation to premiums provided the anticipated loss ratio or the end of the third year is at least as great as shown in the following table:
| Renewal Clause* | ||||
| Type of Coverage | OR | CR | GR | NC |
| Medical Expense | 65% | 60% | 60% | 50% |
| Loss of Income and Other | 60% | 60% | 55% | 45% |
| For individual Medicare supplement policies, the anticipated lifetime loss ratio must equal at least 65%. For group Medicare supplement policies, the anticipated loss ratio must equal at least 75%. | ||||
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