New Hampshire Code of Administrative Rules
Ins - Commissioner, Insurance Department
Chapter Ins 4100 - REQUIREMENTS FOR ACCIDENT AND HEALTH INSURANCE RATE SUBMISSIONS
Part Ins 4104 - REQUIREMENTS FOR LARGE EMPLOYER GROUP HEALTH INSURANCE
Section Ins 4104.04 - Underwriting and Issue Requirements

Universal Citation: NH Admin Rules Ins 4104.04

Current through Register No. 12, March 21, 2024

(a) Large employer carriers shall file a report to the department on or before March 1st of each year detailing for the prior calendar year any instances where the carrier declined to offer coverage as applied for, and any instances where the carrier's quoted renewal rate represented an increase larger than the change in the health coverage plan rate plus 10 percent.

(b) The report shall include the following information:

(1) Policyholder identification number;

(2) Number of enrolled employees and number of covered lives in both the calendar year for which the report is made and the prior calendar year, if known; and

(3) The reason for the declination or the rate increase.

(c) Carriers shall specify the case characteristics used to vary rates.

(d) For each case characteristic in (c), the filing shall specify:

(1) How the underwriting factor for that case characteristic is used in the determination of the large employer's premium rate;

(2) The range of factors, and the corresponding range of impact on premium rates; and

(3) The expected average factor based on the assumed distribution of business, and the actual average factor based on the actual distribution of business over the past 3 rating periods.

#9690, eff 4-9-10; ss by #9938, eff 6-10-11

The amended version of this section by New Hampshire Register Volume 39, Number 24, eff.6/10/2019 is not yet available.

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