Florida Administrative Code
69 - DEPARTMENT OF FINANCIAL SERVICES
69O - OIR - Insurance Regulation
Chapter 69O-154 - HEALTH INSURANCE POLICIES
Section 69O-154.205 - Reserves for Waiver of Premium

Universal Citation: FL Admin Code R 69O-154.205

Current through Reg. 50, No. 187; September 24, 2024

Waiver of premium reserves involve several special considerations.

(1) The disability valuation tables promulgated by the National Association of Insurance Commissioners are based on exposures that include contracts on premium waiver as in-force contracts. Therefore, contract reserves based on these tables are not reserves on "active lives" but rather reserves on contracts "in force." This is true for the 1964 Commissioner's Disability Table and for both the 1985 CIDA and CIDB tables.

(2) Accordingly, tabular reserves using any of these tables shall value reserves on the following basis:

(a) Claim reserves shall include reserves for premiums expected to be waived, valuing as a minimum the valuation net premium being waived.

(b) Premium reserves shall include contracts on premium waiver as in-force contracts, valuing as a minimum the unearned modal valuation net premium being waived.

(c) Contract reserves shall include recognition of the waiver of premium benefit in addition to other contract benefits provided for, valuing as a minimum the valuation net premium to be waived.

(3)

(a) If an insurer is valuing reserves on what is truly an active life table, or if a specific valuation table is not being used but the insurer's gross premiums are calculated on a basis that includes in the projected exposure only those contracts for which premiums are being paid, then it shall not be necessary to provide specifically for waiver of premium reserves.

(b) Any insurer using a true active life basis shall carefully consider whether additional liability shall be recognized due to premiums waived during periods of disability or during claim continuation.

Rulemaking Authority 624.308(1), 625.121(14), 625.081 FS. Law Implemented 624.307(1), 625.081, 625.121 FS.

New 4-14-99, Formerly 4-154.205.

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