§ 2222.19. Statement of Compliance.

Unless requested by the commissioner to provide more specific information on policy forms subject to the standards of reasonability in Section 2222.12, a company shall, by April 1 of each year, provide a statement from a qualified actuary that lists the policy forms to which the standards apply, the lifetime anticipated loss ratio and, if applicable, the lifetime anticipated disease management ratio for each form, and a statement that the standards of reasonability have been met, for each policy form for the preceding calendar year. For policy forms to which Section 2222.12(a) applies, a company shall also submit by April 1 of each year a schedule detailing disease management expenses for the preceding calendar year, if applicable.

HISTORY

1. New subsection (5) filed 4-5-78; designated effective 1-1-79 (Register 78, No. 14).

2. Amendment of section heading, repealer and new section and amendment of Note filed 12-29-2006; operative 3-29-2007 pursuant to Insurance Code section 10293(a) (Register 2006, No. 52).

Note

Note: Authority cited: Sections 10293 and 10608, Insurance Code. Reference: Section 10293(a), Insurance Code.