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BULLETIN 97 - 2
TO: All Insurers Writing Workers’ Compensation
Insurance in Kentucky
FROM: George Nichols III
Commissioner
DATE: February 14, 1997
RE: Workers’ Compensation Form, Rate, and Rule Filings
This Bulletin supersedes
Bulletin 95-19 regarding Workers’ Compensation filings only.
Attached are forms F-1, F-2, S-1, S-2, S-3, LC-1, LC-2, and WC-1 for use in
making Form, Rate, and Rule filings with the Property and Casualty Division of
the Kentucky Department of Insurance. The use of these forms and procedures
begins March 1, 1997 for Workers’ Compensation.
GENERAL FILING
INSTRUCTIONS : A filing will not be
reviewed if the filer has not specifically adhered to the following
instructions. Any incomplete filing will be disapproved and returned
to the filer. All filings must provide:
- 1. Two (2) full document
sets, with three (3) cover letters, for each filing per insurer
(or other entity) for which the filing is being made (see reverse
side of this form);
- 2. Each document set shall contain the appropriate combination of Kentucky
Filing Synopsis Forms (S-1,
S-2 and
S-3) and a Forms Index
Sheet (F-2) where more than one form/endorsement is submitted;
- 3. The first page of the document set for each filing, per insurer
(or other entity), shall be a completed Face & Verification Form
(F-1). Rate and Rule Filings may be combined or filed separately;
- 4. Fees sufficient to pay for each filing per insurer (or other entity)
shall be enclosed. Fees may be combined into a single check and attached to the
Face & Verification Form (F-1);
- 5. A self-addressed, stamped
envelope shall accompany the filing to facilitate the return of
the acknowledgment/approval/disapproval copy of the company's
letter; and
- 6. A filer may include in a filing any number of forms or documents filed
together on a particular date pertaining to a single line of insurance. All Form Filings must be made separately
from Rate and Rule Filings;
- 7. Any corrections to a previously submitted approved/ acknowledged/ or
disapproved filing must be made into a complete new
filing with filing fee and Form F-1 included.
- 8. The attached forms may be
copied for use with filings. All copies must be full size (8 1/2 x
11), including the box on the F-1 for "Department Use Only".
Please note that some pages in this mailing contain information on
the reverse side.
FILING
CHECKLIST
Filings must be submitted with two (2) full document sets and three
(3) cover letters, per company, per line of insurance. The extra copy
of the letter will be returned to your company with the approved/ acknowledged/
disapproved status of the filing. Each full document set must
contain the following:
1.The Department’s form
F-1P&C (2/97), properly completed
(per company, per line of insurance).
2 .The company’s cover
letter setting forth the requested changes.
3. The WC-1 P&C (Loss Cost Multiplier
Revision Worksheet) for all rate submissions.
4. The filing synopsis
forms ( S-1, S-2, S-3) and loss cost multiplier forms
(LC-1, LC-2), as necessary.
5. The F-2 P&C (Forms Index Sheet,
required for forms filings only) for all forms submitted (properly
completed for each column).
6. The company’s documents
to be revised.
7. The proper filing fees
(subject to retaliatory fees).
8. One self-addressed,
stamped envelope, per filing.
CHANGES TO WORKERS’ COMPENSATION FILINGS PURSUANT TO
HB-1 (12/12/96)
RATES
MANDATORY PRIOR APPROVAL RATE
FILING.
All rate filings submitted on
or after 12/12/96 through and including 12/31/98 shall be filed with
and approved by the Commissioner as provided by KRS 304.13-051(2).
During this time period no rate filing (including schedule rating)
under the "Use and File" provision will be accepted.
HB-1 COMPLIANCE
FILING
Pursuant to HB-1(12/12/96) Section 49 (2) Insurers shall file workers’
compensation rates incorporating an actuarially-justified, approved
estimate of changes in prospective losses attributable to any net savings under
HB1 for use with workers’ compensation policies issued or renewed after
May 1, 1997.
(Under prior approval, KRS
304.13-051(2), the Commissioner has 30 days to review and approve or
disapprove the rates.)
RATE FILING OPTIONS
- Prior Adoption of the 9/1/96
NCCI Advisory Loss Costs
Insurers shall
submit a reference filing to adopt the approved 5/1/97 Advisory
Loss Costs; include a cover letter referencing the adopted loss
costs; attach the following forms: F-1, WC-1, and the LC-1 or LC-2
as applicable.
- Adoption of an Approved
Advisory Loss Cost Filing
Insurers will be
required to follow the general filing procedures for a "prior
approval" rate filing.
- Carriers Not Adopting an
Approved Advisory Loss Cost Filing
Insurers shall file
rates incorporating an actuarially-justified, approved estimate of
changes to prospective losses attributable to any net savings from
HB-1. These rates must reflect the savings to both the prospective
losses and loss adjustment expense.
SCHEDULE
RATING
Insurers who currently have a
schedule rating plan on file with the department are asked to submit
a copy of that approved plan with its May 1, 1997 filing. Insurers
who choose to file a new schedule rating plan will be subject to
prior approval as indicated above.
RATES FILED AFTER
12/31/98
Unless the Commissioner
declares a noncompetitive market, the rate filing options shall be
as follows:
"Use and File": In a
competitive market companies are required to file, not later than
fifteen (15) days after their effective date, for any revisions
which increase or decrease the rates of any classification of risks
within any rating territory 15% or less within a 12 month period,
along with any supplementary rate information, KRS 304.13-051(1) or
13-051(4). This method may be utilized for the introduction of a new
product, KRS 304.13-051.
"Prior Approval": Pursuant to
KRS 304.13-051(5), for any revisions which effectively increase or
decrease the rates of any classification of risks within any rating
territory more than 15% within a 12-month period ("flex barrier"), a
prior approval filing with complete supporting information is
required. As used in the statute, "rates" mean the effective rates
which have been derived from the base rates and anything else in
manuals or underwriting rules which, independently or combined,
effectively determine the pretax price of a particular policy. All
manuals and underwriting rules and guidelines which result in an
increase or decrease of more than 15% from the existing rates are to
be filed with the Commissioner, and once approved, adhered to until
amended pursuant to KRS 304.13-051(5).
FORMS
Under KRS 304.14-120, all
policy forms must be filed with and approved by the Commissioner
before they may be used. When a form filing amends, replaces, or
supplements a form which has been previously filed and approved, the
filing shall be accompanied by a letter of explanation from the
filer setting forth all changes contained in the newly filed form.
The letter of explanation shall further describe the effect, if any,
the changes have upon the hazards purported to be assumed by the
policy and the rates applicable to that form (see 806 KAR 14:005
Section 6).
Cancellation and nonrenewal
forms must comply with KRS 304.20-300 through 20-350 and 806 KAR
20:010.
NOTICE OF INSURED’S
RIGHTS.
Pursuant to KRS 304.13-161
every insurer or agent shall notify in writing to each insured of
the insured’s rights. This notification must occur at the time a
workers’ compensation insurance policy is issued, or renewed on or
after May 1, 1997. The proper notice follows:
NOTICE OF
INSURED’S RIGHTS
If you are insured under a
workers’ compensation insurance policy and believe that the rates or
the rating system will cause you harm, you may request a review of
the manner in which the rate or rating system has been applied. You
must make your request in writing to the insurance company or
advisory organization. The insurance company or advisory
organization has thirty (30) days to grant or reject your request
for a review and to notify you in writing whether your request has
been granted or rejected. If your request is granted, the insurance
company or advisory organization shall conduct the review within
ninety (90) days of receiving your request. If your request is
rejected or if you are dissatisfied with the results of the review,
you may appeal to the commissioner for further review. You must make
your appeal within thirty (30) days of receipt of the rejection or
of the results of the review. Your appeal is to be sent
to:
Legal and Enforcement Division Department of
Insurance P.O. Box 517
Frankfort, KY
40602
Your request for an appeal
should include a statement of the facts and the reasons why the
rates or rating system should be changed. Also, enclose copies of
the results of the review and any other correspondence from the
insurance company or advisory organization. If your appeal shows
good cause, the Commissioner shall hold a hearing. The commissioner
may after the hearing issue a final order affirming, modifying, or
reversing the action of the insurance company or advisory
organization.
FEES
Pursuant to 806 KAR 4:010 and
806 KAR 14:005, Kentucky’s filing fees are as follows:
$5.00 for form
filings (any number of forms or documents
pertaining to a single line of insurance), subject to retaliatory fees.
$100.00 for a rate,
rule, or combined rate and rule filing
submitted under the prior approval law, subject to retaliatory
fees.
These filing fees are not
refundable. If an insurer’s domiciliary state requires a greater fee
for the filings, pursuant to KRS 304.3-270, the insurer’s fee for
filing in Kentucky is the greater fee.
ATTACHMENTS
The attached forms: F-1, F-2,
S-1, S-2, S-3, LC-1, LC-2, and WC-1may be copied for use with
filings. All copies must be full size (8 1/2 x 11), including the
box on the F-1 for "Department Use Only".
Property &
Casualty Filing Forms List
|
Form
# |
Edition
Date |
Form
Name |
|
F-1 |
2/97 |
FACE &
VERIFICATION |
Two-sided |
|
F-2 |
2/97 |
FORMS INDEX
SHEET |
One
side |
|
S-1 |
2/97 |
KENTUCKY FILING SYNOPSIS
FOR RATES |
One
side |
|
S-2 |
2/97 |
KENTUCKY FILING SYNOPSIS
FOR FORMS |
One
side |
|
S-3 |
2/97 |
KENTUCKY FILING SYNOPSIS
FOR RULES |
Ond
side |
|
LC-1 |
2/97 |
CALCULATION OF LOSS COST
MULTIPLIER |
Two-sided |
|
LC-2 |
2/97
(new) |
EXPENSE CONSTANT
SUPPLEMENT |
One
side |
|
WC-1 |
2/97 (HB-1
only) |
LOSS COST MULTIPLIER
REVISION WORKSHEET |
Two-sided |
Questions:
Contact the Property &
Casualty Division, Kentucky Department of Insurance,
P.O. Box 17, Frankfort, KY
40602-0517: Telephone (502) 564-6090
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