Every insurance company licensed to transact the business of
property and casualty insurance in this state shall report its insurance
statistical experience to at least one of the statistical agents designated by
the Director. Such information shall, at a minimum, be in the form and detail
outlined below and specified in statistical plans filed with the
Director.
007.01 Annual Data Reporting
Insurers shall submit annual data meeting the following
specifications to a statistical agent:
007.01A Data Elements: In accordance with
statistical plans filed with the Director and subject to the exceptions noted
in
subsection007.01B, annual data shall include the
following elements:
007.01A(1) Premiums earned
(Written premiums shall be reported when a statistical agent uses written
premiums to calculate earned premiums.);
007.01A(2) Losses paid;
007.01A(3) Allocated loss adjustment expenses
paid;
007.01A(4) Losses
outstanding; and
007.01A(5)
Allocated loss adjustment expenses outstanding.
007.01B Lines of Insurance: The following
lines of insurance shall be included in annual data:
007.01B(1) Private Passenger Automobile
Liability;
007.01B(2) Commercial
Automobile Liability;
007.01B(3)
Private Passenger Automobile Physical Damage (exceptions: outstanding losses;
allocated loss adjustment expenses paid and outstanding);
007.01B(4) Commercial Automobile Physical
Damage (exceptions: outstanding losses; allocated loss adjustment expenses paid
and outstanding);
007.01B(5) Boiler
and Machinery (exceptions: allocated loss adjustment expenses paid and
outstanding);
007.01B(6) Burglary
(exceptions: allocated loss adjustment expenses paid and
outstanding);
007.01B(7) Fire and
Extended Coverage (exceptions: allocated loss adjustment expenses paid and
outstanding);
007.01B(8) Inland
Marine (exceptions: allocated loss adjustment expenses paid and
outstanding);
007.01B(9) Glass
(exceptions: allocated loss adjustment expenses paid and
outstanding);
007.01B(10)
Commercial Multiple Peril (Losses may be split into their respective monoline
components. The exceptions applying would then be those applying to the
components. If losses are collected on an aggregated basis subject to a minimum
statistical plan, then allocated loss adjustment expenses paid and outstanding
may be excepted);
007.01B(11)
Insurance on Growing Crops (only premiums earned and losses paid or incurred
need be recorded);
007.01B(12)
Farmowners (exceptions: allocated loss adjustment expenses paid and
outstanding);
007.01B(13)
Homeowners (exceptions: allocated loss adjustment expenses paid and
outstanding);
007.01B(14) Fidelity
and Surety (exceptions: allocated loss adjustment expenses paid and
outstanding);
007.01B(15) General
Liability;
007.01B(16) Medical
Professional Liability;
007.01B(17)
Products Liability;
007.01B(18)
Credit (only premiums written and losses paid need to be recorded);
and
007.01B(19) Workers
Compensation (exceptions: allocated loss adjustment expenses paid and
outstanding).
007.01C
Annual data shall include, in addition to the 19 lines specified in subsection
007.01B, those
classes of liability insurance designated in subsection
007.03A1 as
subject to accelerated reporting.
007.01D Compilation Bases: Annual data shall
be reported according to one of the following compilation bases:
007.01D(1) Calendar year;
007.01D(2) Accident year; or
007.01D(3) Policy year.
007.01E Insurers shall submit data in
accordance with filing deadlines established by various statistical agents. No
statistical agent shall establish a deadline more than nine months after the
expiration of the calendar, accident or policy year.
007.01F Statistical agents shall provide
annual reports of information collected pursuant to this subsection within 18
months of the expiration of the calendar, accident or policy
year.
007.02 Fast Track
Data and Reports
007.02A Fast Track Data:
Data necessary to produce Fast Track reports shall be submitted to statistical
agents by selected insurers within forty-five
(45)
days of the close of the calendar quarter according to the following
specifications:
007.02A(1) Lines and Classes;
Loss Ratio Data: Selected insurers shall submit Fast Track quarterly premium
and loss data to statistical agents for the following lines:
007.02A(1)(a) Private Passenger
Liability;
007.02A(1)(b) Private
Passenger Physical Damage;
007.02A(1)(c) Commercial Auto
Liability;
007.02A(1)(d) Commercial
Auto Physical Damage;
007.02A(1)(e)
Homeowners;
007.02A(1)(f) Dwelling
Fire;
007.02A(1)(g) Dwelling Allied
Lines;
007.02A(1)(h) Commercial
Fire;
007.02A(1)(i) Commercial
Allied Lines;
007.02A(1)(j) Farm
Business;
007.02A(1)(k) Commercial
Multiple Peril;
007.02A(1)(l)
Liability Other than Auto; and
007.02A(1)(m) Medical Malpractice.
007.02A(2) Lines and Classes;
Claim Data: Fast Track data shall contain claim frequency and claim severity
data for the following lines:
007.02A(2)(a)
Private Passenger Comprehensive;
007.02A(2)(b) Private Passenger
Collision;
007.02A(2)(c) Private
Passenger Bodily Injury Liability; and
007.02A(2)(d) Private Passenger Property
Damage Liability.
007.02B Fast Track Reports: Statistical
agents shall provide Fast Track reports within sixty
(60) days of the close of the calendar quarter for the
private passenger automobile and homeowners lines of insurance. Fast Track
reports for other lines of business shall be provided within seventy-five
(75) days of the close of the calendar
quarter.
007.03
Accelerated Data and Reports
007.03A
Accelerated Data: Data necessary to produce accelerated reports shall be
submitted to statistical agents by participating insurers within sixty days
(60) of the close of the calendar quarter. The data
submitted for accelerated reports shall include the following lines and classes
and data elements:
007.03A(1) Lines and
Classes:
007.03A(1)(a) Owners, Landlords and
Tenants Liability;
007.03A(1)(b)
Manufacturers and Contractors Liability;
007.03A(1)(c) Products Liability (countrywide
only);
007.03A(1)(d)
Premises/Operations Liability;
007.03A(1)(e) Lawyers Professional
Liability;
007.03A(1)(f) Municipal
Liability;
007.03A(1)(g) Public
School Liability; and
007.03A(1)(h)
Day Care Liability.
007.03A(2) Data Elements:
007.03A(2)(a) Direct premiums
written;
007.03A(2)(b) Direct
premiums earned; and
007.03A(2)(c)
Incurred losses, developed as the sum of the following:
- the dollar amount of paid losses;
- the dollar amount of allocated loss adjustment expenses,
plus
- reserves for reported claims at the end of the quarter,
minus
- reserves for reported claims at the beginning of the
quarter.
007.03B Accelerated Reports: Statistical
agents shall provide accelerated reports to the Director within 180 days of the
close of the calendar quarter.
007.04 Insurer Compliance
007.04A Statistical agents shall adopt edit
procedures to screen data for reasonableness and apparent accuracy. Annual data
shall be balanced against applicable annual statement entries showing
Nebraska-specific and countrywide data for direct premiums and losses.
Statistical agents shall attempt to reconcile discrepancies and shall not
include data in their statistical reports to the Director where any such
discrepancies have not been reasonably resolved.
007.04B All statistical reports made by
statistical agents pursuant to this section shall contain a list of all
insurers whose data is included. In addition, if data from an insurer that
should have had their data included is, in fact, not included, then a separate
listing of these insurers shall also be made with the statistical
report.
007.04C For each insurer
whose data has been omitted from a statistical report, the statistical agent
shall provide reasons for the exclusion to the Director. These reasons, which
shall be held confidential by the Director, shall be identified as one of the
following:
007.04C1 Failed to meet
statistical agent reporting deadlines;
007.04C2 Failed to pass edits for
reasonableness and apparent accuracy; or
007.04C3 Other (specify reason for
exclusion).
007.04D In
reviewing reports made under
subsections
007.04A, B, and
C, the Director shall give due consideration to the following factors:
(a) The frequency with which an insurer has
made apparently unacceptable data reports;
(b) The standards of the statistical agent
which the insurer failed; that is, whether the insurer's data would have been
acceptable under standards employed by other statistical agents;
(c) Whether errors or omissions were due to
human or machine error, or whether they indicated a lack of regard by the
insurer in maintaining accuracy and completeness in their data submissions;
and
(d) Whether the insurer has
taken effective steps to minimize the recurrence of such errors and
omissions.