Current through Register No. 12, March 21, 2024
(a) The annual
experience report required by
Ins
1201.11 above and designated as Form A shall contain
the following:
(1) Identification of the class
of business reported;
(2)
Identification of the plans of benefits offered;
(3) Credibility data for the 3 year
experience period reported, including:
a.
Number of life years; and
b.
Incurred claim count; and
(4) Company experience for the 3 year period
reported and totals including:
a. Actual
earned premiums at rates in use, including:
1. Gross premium written;
2. Refund on termination;
3. Gross premium written minus refund on
termination, identified as net;
4.
Premiums due but unpaid at the beginning of the period;
5. Premiums due but unpaid at the end of the
period;
6. Premium reserve at the
beginning of the period;
7. Premium
reserve at the end of the period; and
8. Earned premiums, which shall be the final
result of the net of gross premium written minus refund on termination, minus
premiums due but unpaid at the beginning of the period, plus premiums due but
unpaid at the end of the period, plus the result of premium reserve at the
beginning of the period minus premium reserve at the end of the
period;
b. Incurred
claims, including:
1. Claims paid;
2. Unreported claims at the beginning of the
period;
3. Unreported claims at the
end of the period;
4. Claim reserve
at the beginning of the period;
5.
Claim reserve at the end of the period; and
6. Incurred claims, which shall be the final
result of claims paid minus unreported claims at the beginning of the period,
plus unreported claims at the end of the period, plus the result of claim
reserve at the beginning of the period minus claim reserve at the end of the
period; and
c. Investment
income.
(b)
The annual experience report required by
Ins
1201.11 above and designated as Form B shall contain
the following:
(1) Identification of the class
of business reported;
(2)
Identification of the plans of benefits offered;
(3) Credibility data for the 3 year
experience period reported, including:
a.
Number of life years; and
b.
Incurred claim count;
(4)
Company experience for the 3 year period reported and totals including:
a. Actual earned premiums at rates in use,
including:
1. Gross premium
written;
2. Refund on
termination;
3. Gross premium
written minus refund on termination, identified as net;
4. Premiums due but unpaid at the beginning
of the period;
5. Premiums due but
unpaid at the end of the period;
6.
Premium reserve at the beginning of the period;
7. Premium reserve at the end of the period;
and
8. Earned premiums, which is
the final result of the net of gross premium written minus refund on
termination, minus premiums due but unpaid at the beginning of the period, plus
premiums due but unpaid at the end of the period, plus the result of premium
reserve at the beginning of the period minus premium reserve at the end of the
period;
b. Incurred
claims, including:
1. Claims paid;
2. Unreported claims at the beginning of the
period;
3. Unreported claims at the
end of the period;
4. Claim reserve
at the beginning of the period;
5.
Claim reserve at the end of the period; and
6. Incurred claims, which is the final result
of claims paid minus unreported claims at the beginning of the period, plus
unreported claims at the end of the period, plus the result of claim reserve at
the beginning of the period minus claim reserve at the end of the period;
and
c. Investment
income;
(5) Whether the
experience in (4) above was included in an experience report filed by the
company on Form A; and
(6) If a
rate deviation is requested or rate deviation used at any time during the
reported experience period, rate calculations, including:
a. Incurred claims from (4)b.6.
above;
b. Investment income from
(4)c. above;
c. Earned premium from
(4)a.8. above;
d. PLR, which shall
be the incurred claims divided by the result of investment income plus earned
premiums;
e. Credibility factor
from Table 1200-1;
f.
TLR;
g. CLR;
h. Deviated APRF previously
approved;
i. Formula deviated APRF
Allowed;
j. The APRF deviation
requested; and
k. The proposed
effective date of the requested rate deviation.
(c) With respect to the insurer's credit
insurance experience that is to be reported on Form A or Form B, respectively,
each company shall submit a separate form for each plan of benefits that is
written for each separate class of business.
(d) Form A shall not include any experience
reported in the same year on Form B.
(e) Form B shall not include any of the
experience reported in the same year on Form A.
(f) For both Form A and Form B, the 3 year
reporting period shall be the 3 calendar years preceding the year in which the
report is due.
(g) For both Form A
and Form B, New Hampshire only experience shall be shown.
(h) Statutory reserves shall not be used on
either Form A or Form B in calculating investment income.
(i) The beginning and ending premiums to be
reported as required in (a)(4)a.6., (a)(4)a.7., (b)(4)a.6., and (b)(4)a.7.
above shall be the unearned premium reserves attributable to single premiums
paid.
(j) A list of all applicable
accounts shall be attached to both Form A and Form B.
(k) Form A and Form B shall indicate the name
and telephone number of the contact person.
(l) Form A and Form B shall be signed and
include the title of the person signing and date of signature.
#1900, eff 1-1-82; ss by #2441, eff 1-1-84; ss by #4287,
eff 7-1-87; ss by #5650, eff 7-1-93, EXPIRED 7-1-99
New. #7146, eff 4-1-00, EXPIRED:
4-1-08
New. #9611, eff
1-4-10
