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Terms Used In Utah Code 31A-19a-405

  • Application: means a document:
         (10)(a)
              (10)(a)(i) completed by an applicant to provide information about the risk to be insured; and
              (10)(a)(ii) that contains information that is used by the insurer to evaluate risk and decide whether to:
                   (10)(a)(ii)(A) insure the risk under:
                        (10)(a)(ii)(A)(I) the coverage as originally offered; or
                        (10)(a)(ii)(A)(II) a modification of the coverage as originally offered; or
                   (10)(a)(ii)(B) decline to insure the risk; or
         (10)(b) used by the insurer to gather information from the applicant before issuance of an annuity contract. See Utah Code 31A-1-301
  • Filed: means that a filing is:
              (69)(a)(i) submitted to the department as required by and in accordance with applicable statute, rule, or filing order;
              (69)(a)(ii) received by the department within the time period provided in applicable statute, rule, or filing order; and
              (69)(a)(iii) accompanied by the appropriate fee in accordance with:
                   (69)(a)(iii)(A) Section 31A-3-103; or
                   (69)(a)(iii)(B) rule. See Utah Code 31A-1-301
  • Loss adjustment expense: means the expenses incurred by the insurer in the course of settling claims. See Utah Code 31A-19a-102
  • Rate: means that cost of insurance per exposure unit either expressed as:
              (12)(a)(i) a single number; or
              (12)(a)(ii) as a pure premium rate, adjusted before any application of individual risk variations, based on loss or expense considerations to account for the treatment of:
                   (12)(a)(ii)(A) expenses;
                   (12)(a)(ii)(B) profit; and
                   (12)(a)(ii)(C) individual insurer variation in loss experience. See Utah Code 31A-19a-102
  • Rate service organization: means a person who assists an insurer in rate making or filing by:
              (164)(a)(i) collecting, compiling, and furnishing loss or expense statistics;
              (164)(a)(ii) recommending, making, or filing rates or supplementary rate information; or
              (164)(a)(iii) advising about rate questions, except as an attorney giving legal advice. See Utah Code 31A-1-301
  • Supplementary rate information: includes one or more of the following needed to determine the applicable rate in effect or to be in effect:
         (15)(a) a manual or plan of rates;
         (15)(b) a statistical plan;
         (15)(c) a classification;
         (15)(d) a rating schedule;
         (15)(e) a minimum premium;
         (15)(f) a policy fee;
         (15)(g) a rating rule;
         (15)(h) a rate-related underwriting rule;
         (15)(i) a rate modification plan; or
         (15)(j) any other similar information prescribed by rule of the commissioner as supplementary rate information. See Utah Code 31A-19a-102
  • Supporting information: includes one or more of the following:
         (16)(a) data demonstrating actuarial justification for the basic rate factors, classifications, expenses, and profit factors used by the filer;
         (16)(b) the experience and judgment of the filer;
         (16)(c) the experience or data of other insurers or rate service organizations relied upon by the filer;
         (16)(d) the interpretation of any other data relied upon by the filer;
         (16)(e) descriptions of methods used in making the rates; or
         (16)(f) any other information defined by rule as supporting information that is required to be filed. See Utah Code 31A-19a-102
     (1)(a) All workers’ compensation rates, supplementary rate information, and supporting information shall be filed at least 30 days before the effective date of the rate or information.
     (1)(b) Notwithstanding Subsection (1)(a), on application by the filer, the commissioner may authorize an earlier effective date.
(2) The loss and loss adjustment expense factors included in the rates filed under Subsection (1) shall be:

     (2)(a) the advisory loss costs filed by the designated rate service organization under Section 31A-19a-406; or
     (2)(b) a percent modification of the advisory loss costs filed by the designated rate service organization under Section 31A-19a-406.
(3) A modification filed under Subsection (2)(b) shall be accompanied by adequate support as required by Part 2, General Rate Regulation.