LINE(S) OF INSURANCE. LINE OF BUSINESS: Other Liability - Professional Errors and Omissions Liability

Transcription

1 LINE OF BUSINESS: Other Liability - Professional Errors and Omissions Liability LINE(S) OF INSURANCE CODES Claims Made Occurrence Code: Combination Filings IF CHECKLIST IS NOT APPLICABLE, PLEASE EXPLAIN: REVIEW REQUIREMENTS REFERENCE DESCRIPTION OF REVIEW GENERAL REQUIREMENTS FOR ALL S COPIES, RETURN ENVELOPES ETC. COVER LETTER AND EXPLANATORY MEMORANDUM SUBMISSION EFFECTIVE DATE WORDING FREE CONTRACT PROHIBITED LIMITATIONS/RESTRICTIONS ON TRANSACTING BUSINESS LINE OF AUTHORITY NO FILE OR EXEMPTIONS NAIC # 1

2 GENERAL REQUI REMENTS FOR ALL S SIDE BY SIDE COMPARISON THIRD PARTY FILERS AUTHORITY TRANSACTING OTHER BUSINESS FORMS POLICY PROVISIONS ACCESS TO COURTS AGGREGATE LIMITS AMBIGUOUS & MISLEADING APPLICATIONS APPRAISALS ARBITRATION ASSESSIBLE POLICIES BANKRUPTCY PROVISIONS BLANK ENDORSEMENTS CANCELLATION & NON-RENEWAL Calculation of Unearned/Return Premium Conditional Renewal Minimum Retained Premium Notice of Cancellation Notice of Non-renewal Permissible Reasons for Cancellation 2

3 FORMS POLICY PROVISIONS Permissible Reasons for Non-renewal Required Policy Period Suspension CERTIFICATIONS CLAIMS MADE CONSUMER INFORMATION Credit Scoring Notice Privacy notice VSI Warning Notification Form CONTENT OF POLICIES COUNTERSIGNATURES DECLARATIONS PAGE DEFENSE WITHIN LIMITS DISCLOSURES DEFINITIONS DISCRIMINATION DUTY TO DEFEND EMPLOYERS LIABILITY EXCESS COVERAGE 3

4 FORMS POLICY PROVISIONS EXCLUSIONS & LIMITATIONS Asbestos FICTITIOUS GROUPS FORMS MISCELLANEOUS FRAUD WARNING GROUP POLICIES LIMITS LOSS PAYEE LOSS SETTLEMENTS Appraisal Action Against Company After Market Parts Arbitration Deductibles Defense Costs Loss Valuation NOTICE REQUIREMENTS Payment of Loss Time Period MEDICAL PAYMENTS OTHER INSURANCE PARTICIPATING POLICIES 4

5 FORMS POLICY PROVISIONS PERSONAL INJURY PROTECTION PREMIUM AUDIT PRIMARY UNDERLYING COVERAGE PUNITIVE DAMAGES READABILITY REBATES SUBROGATION Suit TIMELINESS VICARIOUS LIABILITY VOIDANCE WARRANTIES WORKERS COMPENSATION EXCESS OTHER RATE, RULE, RATING PLAN, CLASSIFICATION, AND TERRITORY REQUIREMENTS INDIVIDUAL RISK RATING 5

6 RATE, RULE, RATING PLAN, CLASSIFICATION, AND TERRITORY REQUIREMENTS ACTUARIAL CERTIFICATIONS FOR RATES ADOPTIONS OF RATE SERVICE ORGANIZATIONS (RSO) S Loss Costs CONSENT-TO-RATE CREDIT SCORING AND REPORTS CATASTROPHE HAZARDS DEFENSE COSTS DISCOUNTS EXPIRATION DATE(S) FOR APPROVED RATES GROUP POLICIES Extra-Territorial Approval Authority REVIEW REQUIREMENTS LOSS RATIO STANDARDS MID TERM CHANGES LOSS COST MULTIPLIERS PREMIUM REFUND OR RETENTION 6

7 RATE, RULE, RATING PLAN, CLASSIFICATION, AND TERRITORY REQUIREMENTS PRICING Minimum Premium Rules Multi-tier Payment Plans Premiums Service Charges Surcharges Other Fees RATE RANGES RATING PLAN REQUIREMENTS Expense Modification Plan Experience Rating Large Deductible Retrospective Rating Schedule Rating Small Deductible Wrap-up Rating RATE/LOSS COST SUPPORTING INFORMATION Competition Expenses Experience Judgment Credibility and factors trending Profit Loading RETURN ON EQUITY / INVESTMENT INCOME OTHER 7

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