South Carolina Code of Regulations
Chapter 69 - DEPARTMENT OF INSURANCE
69-44 APPENDIX G - Long Term Care Insurance

Universal Citation: SC Code Regs 69-44 APPENDIX G

APPENDIX G. Long Term Care Insurance

Replacement and Lapse Reporting Form

For the State of__________For the Reporting Year of_________

Company Name: _________Due: June 30 annually

Company Address: _________Company NAIC Number: _________

Contact Person: _________Phone Number: (_____)_____

Instructions

The purpose of this form is to report on a statewide basis information regarding long term care insurance policy replacements and lapses. Specifically, every insurer shall maintain records for each agent on that agent's amount of long term care insurance replacement sales as a percent of the agent's total annual sales and the amount of lapses of long term care insurance policies sold by the agent as a percent of the agent's total annual sales. The tables below should be used to report the ten percent (10%) of the insurer's agents with the greatest percentages of replacements and lapses.

Listing of the 10% of Agents with the Greatest Percentage of Replacements
Agent's NameNumber of Policies Sold By This Agent

Number of

Policies

Replaced

By This Agent

Number of Replacements As % of Number Sold By This Agent
Listing of the 10% of Agents with the Greatest Percentage of Lapses
Agent's NameNumber of Policies Sold By This AgentNumber of Policies Lapsed By This AgentNumber of Lapses As % of Number Sold By This Agent

Company Totals

Percentage of Replacement Policies Sold to Total Annual Sales_____%

Percentage of Replacement Policies Sold to Policies In Force (as of the end of the preceding calendar year)_____%

Percentage of Lapsed Policies to Total Annual Sales_____%

Percentage of Lapsed Policies to Policies In Force (as of the end of the preceding calendar year)_____%

HISTORY: Added by State Register Volume 13, Issue No. 6, effective 180 days after June 23, 1989. Amended by State Register Volume 34, Issue No. 5, eff May 28, 2010.

Disclaimer: These regulations may not be the most recent version. South Carolina may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.