Rules & Regulations of the State of Tennessee
Title 0780 - Commerce and Insurance
Subtitle 0780-01 - Insurance Division
Chapter 0780-01-82 - Rating Appeals Before the Commissioner
Section 0780-01-82-.12 - INFORMATION PROVIDED TO INSUREDS
Universal Citation: TN Comp Rules and Regs 0780-01-82-.12
Current through September 24, 2024
(1) To the extent applicable, every insurer or rate service organization shall, within a reasonable time after receipt of a written request and upon payment of a reasonable charge, furnish to any insured affected by a rate published by it, all pertinent information as to such rate. However, the insurer's obligation to furnish loss run history to an insured shall be consistent with the requirements of T.C.A. §56-5-323.
(2) For purposes of this Rule:
(a) A "reasonable time" means the later of
thirty (30) days from the date of the receipt of the request or fourteen (14)
days from the date of payment of the reasonable fee;
(b) A "reasonable charge" means a fee not to
exceed twenty-five dollars ($25). However, with respect to loss sensitive plans
the fee must not exceed fifty dollars ($50); and
(c) "Pertinent information" means the
following:
1. The schedule rating worksheet if
applicable to the insured;
2. The
insured's experience modification worksheet and an explanation as to how the
policyholder can obtain the National Council on Compensation Insurance's
publication, "The ABC's of Experience Rating";
3. Applicable premium discount and small
deductible tables if applicable; and
4. With respect to loss sensitive plans,
(i) The insurer's worksheets, including their
loss rating model and the development of the insurance charges;
(ii) A statement as to how much the company
has built in for claims and loss control expenses, profit, as well as general
expenses and taxes; and
(iii) A
detailed statement as to how the insurer arrived at the premium.
Authority: T.C.A. §§ 56-2-301 and 56-5-309(a) and (d).
Disclaimer: These regulations may not be the most recent version. Tennessee 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.
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