West Virginia Code of State Rules
Agency 114 - Insurance Commission
Title 114 - LEGISLATIVE RULE INSURANCE COMMISSIONER
Series 114-67 - Rate And Form Filing Abstracts
Section 114-67-3 - Applicability of Forms

Universal Citation: 114 WV Code of State Rules 114-67-3

Current through Register Vol. XLI, No. 38, September 20, 2024

3.1. When advertising, rates or forms are filed with the Office of the Insurance Commissioner for either accident and sickness, or property and casualty insurance, Appendix A, B, C, D, E, F, or G, as appropriate, must be completed and made a part of the filing.

a. Appendix A: Accident and Sickness Insurance Form Filing Abstract, ASA-F-2004, is to be used with any accident and sickness form filing except mass marketed life and health advertising and form filing.

b. Appendix B: Mass Marketed Life and Health Insurance Form Filing Abstract, ASA-F-2004A, is to be used with any mass marketed life and health form filing.

c. Appendix C: Mass Marketed Life and Health Insurance Advertising Filing Abstract, ASA-F-2004B, is to be used with any mass marketed life and health advertising filing.

d. Appendix D: Accident and Sickness Insurance Rate Filing Abstract, ASA-R-2004, is to be used with any accident and sickness rate filing.

e. Appendix E: Adoption of Rating Organization Advisory Prospective Loss Costs Rate Filing Abstract, PCA-LCR-2004, is to be used with any property and casualty rate filing that proposes adoption, with or without modification, of a rating organization's advisory prospective loss costs.

f. Appendix F: Property and Casualty Insurance Rate Filing Abstract, PCA-R-2004, is to be used with any property and casualty rate filing, except the adoption of a rating organization advisory prospective loss costs, which requires a separate abstract.

g. Appendix G: Property and Casualty Insurance Form Filing Abstract, PCA-F-2004, is to be used with any property and casualty form filing.

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