(a) Rates pertaining to basic benefit policies shall be:
- (1) Filed with the Insurance Commissioner no less than sixty (60) days prior to intended use; and
- (2) Approved by the commissioner prior to implementation.
(b) All rates submitted shall meet the following requirements:
- (1) All rates shall be based upon a pool, community rating, or other rating formula acceptable to the commissioner;
(2)
- (A) No rate shall be approved unless accompanied by a statement from a qualified actuary certifying the reasonableness of the proposed rate.
- (B) Such statement shall outline the actuary's qualifications, and the commissioner may disapprove any rate filing accompanied by a statement from an actuary he or she deems to be unqualified.
- (C) Such actuary shall possess the qualifications outlined in 23 CAR § 10-103 or such other qualifications as the commissioner shall approve;
- (3) All rates submitted for group policies shall be based upon a loss ratio of not less than seventy-five percent (75%);
- (4) All rates submitted for individual policies shall be based upon a loss ratio of not less than sixty-five percent (65%);
(5)
- (A) All rates submitted pursuant to this part shall be accompanied by a statement from the insurer of the portion of the rate or premium applicable to the coverages provided for the basic benefit policy.
- (B) All such statements shall be made on forms provided by the commissioner; and
- (6) Any insurer wishing to appeal a denial of a rate request should make a written request for hearing pursuant to the Arkansas Administrative Procedure Act, Arkansas Code § 25-15-201 et seq.