LINE OF BUSINESS: Inland Marine LINE(S) OF INSURANCE Other Commercial Inland Marine Personal Inland Marine Code: CODES 9.0005 9.0006 9.0000 IF CHECKLIST IS NOT APPLICABLE, PLEASE EXPLAIN: REVIEW REQUIREMENTS REFERENCE DESCRIPTION OF REVIEW STANDARDS REQUIREMENTS GENERAL REQUIREMENTS FOR ALL FILINGS COPIES, RETURN ENVELOPES ETC. COVER LETTER AND EXPLANATORY MEMORANDUM Bulletin 1979-11 and Bulletin 1979-20 K.S.A. 40-216 K.A.R. 40-3-32 K.A.R. 40-1-15 FILING SUBMISSION K.A.R. 40-1-16 K.A.R. 40-1-17 K.A.R. 40-1-19 EFFECTIVE DATE WORDING K.S.A 40-216 K.S.A 40-955 These bulletins provide material for making reference filings. Requires that all contracts of insurance or indemnity be filed with Commissioner of Insurance. Exceptions listed in K.A.R. 40-3-32. This regulation provides that a policy form shall not contain the name of an insurance company that is “unauthorized” to transact business in Kansas. May use an endorsement to “delete” an unauthorized company. We have interpreted “unauthorized” to mean not licensed or does not have program in question filed. Addresses advertising. Addresses return of unearned premium. Addresses combination policies. Inland Marine filings shall be on file for a waiting period of 30 days. During this time the filings are subject to a review. 1 LOCATION OF STANDARD IN FILING REVIEW REQUIREMENTS REFERENCE DESCRIPTION OF REVIEW STANDARDS REQUIREMENTS FREE CONTRACT PROHIBITED LIMITATIONS/RESTRICTIONS ON TRANSACTING BUSINESS NAIC # LINE OF AUTHORITY NO FILE OR FILING EXEMPTIONS SIDE BY SIDE COMPARISON GENERAL REQUIREMENTS FOR ALL FILINGS WATERCRAFT LONGER THAN 26 FEET THIRD PARTY FILERS AUTHORITY TRANSACTING OTHER BUSINESS FORMSPOLICY PROVISIONS ACCESS TO COURTS K.S.A. 40-2404(1a) This statute provision prohibits policy provisions that misrepresent the benefits, advantages, conditions or terms of any insurance policy. K.A.R. 40-3-23 K.A.R. 40-3-25 Requires that binder forms be filed. Declination statement must appear on the application if written as non-standard business. Bulletin No. 2004-1 Establishes standards for policy language for appraisal/arbitration clauses. AMBIGUOUS & MISLEADING APPLICATIONS APPRAISALS 2 LOCATION OF STANDARD IN FILING REVIEW REQUIREMENTS REFERENCE DESCRIPTION OF REVIEW STANDARDS REQUIREMENTS Bulletin No. 2004-1 Establishes standards for policy language for appraisal/arbitration clauses. Bulletin 1998-13 Insurers must comply with the filing requirements of K.A.R. 40-132 and K.A.R. 40-1-39. “Blank”, “Change” or “Manuscript” endorsements must be submitted for approval pursuant to K.S.A. 40-216 unless exempted by K.A.R.40-3-32. K.S.A. 40-2,120 K.S.A. 40-2,121 K.A.R. 40-3-15 (Applies to Commercial) Grounds for cancellation requirement. (Applies to Commercial) Notice not to renew requirement. (Applies to Personal) Requirements applicable to cancellation and/or non-renewal provision of policy forms. K.A.R. 40-3-15 Requirements applicable to cancellation and/or non-renewal provision of policy forms. Notice not to renew requirement. Grounds for cancellation requirement. Notice not to renew requirement. 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 Permissible Reasons for Non-renewal FORMSPOLICY PROVISIONS Required Policy Period Suspension K.S.A. 40-2,121 K.S.A. 40-2,120 K.S.A. 40-2,121 CERTIFICATIONS CONINSURANCE CONSUMER INFORMATION Credit Scoring Notice Privacy notice VSI Warning Notification Form 3 LOCATION OF STANDARD IN FILING REVIEW REQUIREMENTS REFERENCE DESCRIPTION OF REVIEW STANDARDS REQUIREMENTS K.A.R 40-3-22 This regulation states what is considered to be inland marine coverage. K.S.A. 40-216 Requires that all contracts of insurance or indemnity be filed with Commissioner of Insurance. K.A.R. 40-3-32 Exceptions listed in K.A.R. 40-3-32. K.A.R. 40-1-15 This regulation provides that a policy form shall not contain the name of an insurance company that is “unauthorized” to transact business in Kansas. May use an endorsement to “delete” an unauthorized company. We have interpreted “unauthorized” to mean not licensed or does not have program in question filed. K.A.R. 40-1-16 Addresses advertising. K.A.R. 40-1-17 Addresses return of unearned premium. K.A.R. 40-1-19 Addresses combination policies. General information If a filing is identical for all companies in a group, it is permissible for the group to submit one file copy for all companies. Bulletin 1983-19 This bulletin is to advise of a Kansas Supreme Court case which significantly affects claim settlements based upon the use of “actual cash value” in fire and casualty policies written in this state. K.A.R. 40-3-5 This regulation requires the filing of declaration pages, unless the company is a member of a rating organization and the rating organization has the authority to file on its behalf. CONTENT OF POLICIES COUNTERSIGNATURES DECLARATIONS PAGE DISCLOSURES DEFINITIONS DISCRIMINATION 4 LOCATION OF STANDARD IN FILING REVIEW REQUIREMENTS REFERENCE DESCRIPTION OF REVIEW STANDARDS REQUIREMENTS DUTY TO DEFEND EXCLUSIONS & LIMITATIONS Mold Terrorism K.A.R. 40-3-6 This regulation prohibits offering a preferred rate, coverage, or premium based on any fictitious group. K.S.A. 40-2,118 This statue defines “fraudulent insurance act” and sets forth penalties for the insured. This statute provides the only condition under which an insurance company may void a policy. K.S.A. 40-905 Value policy law. Bulletin No. 2004-1 Establishes standards for policy language for appraisal/arbitration clauses. Bulletin No. 2004-1 Establishes standards for policy language for appraisal/arbitration clauses. FICTITIOUS GROUPS FORMS MISCELLANEOUS FORMSPOLICY PROVISIONS FRAUD WARNING GROUP POLICIES Extra-Territorial Approval Authority INSURANCE TO VALUE LIBERALIZATION CLAUSE LIMITS LOSS PAYEE LOSS SETTLEMENTS Appraisal Action Against Company After Market Parts Arbitration Deductibles 5 LOCATION OF STANDARD IN FILING REVIEW REQUIREMENTS REFERENCE DESCRIPTION OF REVIEW STANDARDS REQUIREMENTS Defense Costs Loss Valuation NOTICE REQUIREMENTS Payment of Loss Time Period Bulletin No. 2004-1 Establishes standards for policy language for appraisal/arbitration clauses. K.S.A 40-966 Rebates are prohibited under this statute. K.A.R. 40-1-20 K.S.A. 60-511 Subrogation clause prohibited for certain coverage. Establishes the statute of limitation for bringing suit under an insurance policy. Appraisal MEDICAL PAYMENTS MINIMUM STANDARDS FOR CONTENT (POLICIES AND STANDARD FORMS) ORDINANCE/LAW PROVISIONS FORMSPOLICY PROVISIONS POLICY MUST CONTAIN ENTIRE CONTRACT PRIMARY/UNDERLYING COVERAGE READABILITY REBATES STANDARD FIRE POLICY SUBROGATION Suit TIMELINESS TRAVEL Baggage 6 LOCATION OF STANDARD IN FILING REVIEW REQUIREMENTS REFERENCE DESCRIPTION OF REVIEW STANDARDS REQUIREMENTS Trip Cancellation K.S.A. 40-2,118 This statute provides a definition of a fraudulent insurance act and the only condition under which an insurance company may void a policy. As such, we will not approve or allow a fraud condition that is broader than the definition in this statute. K.A.R. 40-3-16 Fire and Casualty insurance policies and applications; “warranties” prohibited. K.S.A. 40-956 Applies to Personal Inland Marine only: General provisions relating to Fire Insurance Companies. K.S.A. 40-954 and K.A.R. 40-3-26 Applies to Personal Inland Marine only: This statute and regulation provide the procedure for rates that are modified for individual risks. VOIDANCE WARRANTIES OTHER RATE, RULE, RATING PLAN, CLASSIFICATION, AND TERRITORY FILING REQUIREMENTS INDIVIDUAL RISK RATING ACTUARIAL CERTIFICATIONS FOR RATES RATE, RULE, RATING PLAN, CLASSIFICATION, AND TERRITORY FILING REQUIREMENTS ADOPTIONS OF RATE SERVICE ORGANIZATIONS (RSO) FILINGS Loss Costs CONSENT-TO-RATE CREDIT SCORING AND REPORTS CREDIBILITY DEFENSE COSTS 7 LOCATION OF STANDARD IN FILING REVIEW REQUIREMENTS REFERENCE DESCRIPTION OF REVIEW STANDARDS REQUIREMENTS K.S.A. 40-953 and K.S.A. 40-954 Applies to Personal Inland Marine only: Discounts must be supported and justified with premium, loss or expense data and meet public policy concerns. K.A.R. 40-3-47 Applies to Personal Inland Marine only: This regulation establishes the procedures to make and file loss cost filings with this agency. K.S.A. 40-2,112 Any unearned premium must be sent to the consumer with the cancellation notice. K.S.A. 40-955 Applies to Personal Inland Marine only: This statute requires that payment plans be on file with this agency. K.S.A. 40-953 This applies to Personal Inland Marine only: We consider rate ranges to be unfairly discriminatory, unless there are mutually exclusive criteria for each factor in the range. DISCOUNTS EXPIRATION DATE(S) FOR APPROVED RATES GROUP POLICIES Extra-Territorial Approval Authority LOSS RATIO STANDARDS MID TERM CHANGES LOSS COST MULTIPLIERS PREMIUM REFUND OR RETENTION PRICING Charges Minimum Premium Rules Multi-tier Payment Plans RATE, RULE, RATING PLAN, CLASSIFICATION, AND TERRITORY FILING REQUIREMENTS Premiums Service Charges Surcharges Other Fees RATE RANGES 8 LOCATION OF STANDARD IN FILING REVIEW REQUIREMENTS REFERENCE DESCRIPTION OF REVIEW STANDARDS REQUIREMENTS K.A.R 40-3-24 This regulation lists the types of inland marine coverage which require rates and rules to be files. K.S.A. 40-954 This applies to Personal Inland Marine only: The company must provide expense data to support and justify. This applies to all rate and loss cost filings. 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 other factors Profit Loading RETURN ON EQUITY/INVESTMENT INCOME SUPPORTING DATA TRENDING OTHER 9 LOCATION OF STANDARD IN FILING