N.H. Code Admin. R. Ins 1201.19 – Waiver or Suspension of Rules

(a) The commissioner, upon the commissioner’s own initiative or upon request by an insurer, shall waive any requirement of this part if such waiver does not contradict the objective or intent of the rule and:
1. (1) Applying the rule provision would cause confusion, or would be misleading to consumers;
2. (2) The rule provision is in whole or in part inapplicable to the given circumstances;
3. (3) There are specific circumstances unique to the situation such that strict compliance with the rule would be onerous without promoting the objective or intent of the rule provision; or
4. (4) Any other similar extenuating circumstances exist such that application of an alternative standard or procedure better promotes the objective or intent of the rule provision.
(b) No requirement prescribed by statute shall be waived unless expressly authorized by law.
(c) Any person or entity seeking a waiver shall make a request in writing.
(d) A request for a waiver shall specify the basis for the waiver and proposed alternative, if any.
1. 1. Actual Earned Premiums at Rates in use.
2. a. Gross Premium Written
3. b. Refund on Termination
4. c. Net (a-b)
5. d. Premiums due but unpaid, beginning of period
6. e. Premiums due but unpaid, end of period
7. f. Premium reserve, beginning of period
8. g. Premium reserve, end of period
9. h. Earned Premiums (c-d+e+f-g)
10. 2. Incurred Claims
11. a. Claims Paid
12. b. Unreported claims, beginning of period
13. c. Unreported claims, end of period
14. d. Claim reserve, beginning of period
15. e. Claim reserve, end of period
16. f. Incurred Claims (a-b+c+d-e)
17. 3. Investment Income
18. 4. Instructional Notes:
19. a. With respect to the insurer's credit insurance experience that is to be reported on Form A pursuant to Ins 1201.11, each company is to submit a separate Form A for each plan of benefits that is written for each separate class of business.
20. b. The Form A should not include any experience reported in the same year under Form B.
21. c. The calendar years to be shown above are the three calendar years preceding the year in which the report is due.
22. d. State only experience is to be shown.
23. e. Investment income for each year is to be calculated according to the formula appearing in Ins 1201.10. The beginning and ending premium reserves to be reported in items 1.f and 1.g. shall be the unearned premium reserves attributable to single premiums paid. Statutory reserves are not to be reported or used in calculating investment income.
24. f. A list of all accounts is to be attached.
25. g. Name of person the department can contact: _________________________________
  Telephone Number:___________________________________________________
  Report completed by: ____________________________________
  Title: _________________________________________________
  Date: _________________________________________________
26. h. Send to the attention of the Life, Accident and Health Division.
  1. 1. Actual Earned Premiums at Rates in use.
  2. a. Gross Premium Written
  3. b. Refund on Termination
  4. c. Net (a-b)
  5. d. Premiums due but unpaid, beginning of period
  6. e. Premiums due but unpaid, end of period
  7. f. Premium reserve, beginning of period
  8. g. Premium reserve, end of period
  9. h. Earned Premiums (c-d+e+f-g)
  10. 2. Incurred Claims
  11. a. Claims Paid
  12. b. Unreported claims, beginning of period
  13. c. Unreported claims, end of period
  14. d. Claim reserve, beginning of period
  15. e. Claim reserve, end of period
  16. f. Incurred Claims (a-b+c+d-e)
  17. 3. Investment Income
  18. 4. Was the above experience included in any of the experience reported by your company on Form A? (Circle One)
    Yes No
  19. 5. Rate calculations (to be completed if a rate deviation is being requested or had been used at any time during the experience period)
  20. a. Incurred Claims
  21. b. Investment Income
  22. c. Earned Premium
  23. d. PLR
  24. e. Credibility factor
  25. f. Target Loss ratio (TLR)
  26. g. CLR
  27. h. Nominal Premium Rate (NPR)
  28. i. Formula Deviated Rate
  29. j. Rate deviation requested
  30. k. Rate Deviation Proposed Effective Date
  31. 6. Instructional Notes:
  32. a. With respect to the insurer's credit insurance experience that is to be reported on Form A pursuant to Ins 1201.11, each company is to submit a separate Form B for each plan of benefits that is written for each separate class of business.
  33. b. The Form B should not include any experience reported in the same year under Form A.
  34. c. The calendar years to be shown above are the three calendar years preceding the year in which the report is due.
  35. d. State only experience is to be shown.
  36. e. Investment income for each year is to be calculated according to the formula appearing in Ins 1201.10. The beginning and ending premium reserves to be reported in items 1.f and 1.g. shall be the unearned premium reserves attributable to single premiums paid. Statutory reserves are not to be reported or used in calculating investment income.
  37. f. A list of all accounts is to be attached.
  38. g. Name of person the department can contact: _________________________________
    Telephone Number:___________________________________________________
    Report completed by: ____________________________________
    Title: _________________________________________________
    Date: _________________________________________________
  39. h. Send to the attention of the Life, Accident and Health Division.
  APPENDIX II
  Form B
  CREDIT INSURANCE REPORT
  TO THE
  State of NEW HAMPSHIRE For the Year ____________ Reporting Company _________________
  (to be filed on or before June 1)
  Class of Business:
  ( ) Credit Unions
  Plans of Benefits:
  ( ) Credit Life (Check one item in each of the next three boxes)
  ( ) Commercial or Savings Bank
  ( ) Single Premium
  ( ) Monthly Outstanding Balance
  ( ) Finance Companies
  ( ) Single Life
  ( ) Joint Life
  ( ) Motor Vehicle Dealers
  ( ) Decreasing
  ( ) Level
  ( ) Other Sales Finance
  ( ) Credit Accident and Health (Check one item in each of the next three boxes)
  ( ) Other: ___________
  (please specify)
  Elimination Period
  ( ) 14 Day( ) 30 Day
  ( ) Retroactive
  ( ) Nonretroactive
  ( ) Single Premium[Life]
  ( ) Monthly Outstanding Balance
  ( ) Single Life
  ( ) Joint Life
  ( ) Other: ___________
  (please specify)
  Credibility Data for the Three Year Experience Period:
  Number of Life Years: _________________
  Incurred Claim Count: _________________
  COMPANY EXPERIENCE - STATE ONLY
  Calendar Year:
  TOTAL
Source. #12474, eff 2-2-18
APPENDIX A
Rule
Specific State Statute which the Rule Implements
Ins 1201.01
RSA 400-A:15, I; 408-A:1
Ins 1201.02
RSA 400-A:15, I; 408-A:2
Ins 1201.03
RSA 400-A:15, I; 408-A:2
Ins 1201.04
RSA 400-A:15, I; 408-A:4, 408-A:5, 408-A:6; 408-A:8; 408-A:10; 417:4, XVI
Ins 1201.05
RSA 400-A:15, I; 408-A:8; 417:4, XII
Ins 1201.06
RSA 400-A;15, I; 401.04; 408-A:3; 408-A:7
Ins 1201.07
RSA 400-A:15, I; 408-A:7; 408-A:8; 417:4, XII
Ins 1201.08
RSA 400-A:15, I; 408-A:8; 417:4, XII
Ins 1201.09
RSA 400-A:15, I; 408-A:8; 417:4, XII
Ins 1201.10
RSA 400-A;15, I; 408-A:8; 417:4, XII
Ins 1201.11
RSA 400-A;15, I; 408-A:12
Ins 1201.12
RSA 400-A:15, I; 408-A:12
Ins 1201.13
RSA 400-A:15, I; 408-A:8; 417:4, XII
Ins 1201.14
RSA 400-A:15, I; 408-A:6; 408-A:9; 408-A:11; 408-A:12; 417:4, XVI
Ins 1201.15
RSA 400-A:15, I; 408-A:3, 408-A:4; 408-A:5; 408-A:5-a; 408-A:6; 417:4
Ins 1201.16
RSA 400-A:15, I; 417:4, XII, XVI
Ins 1201.17
RSA 400-A:15, I; 408-A:12
Ins 1201.18
RSA 400-A:15, I; 408-A:8; 417:4, XII
Ins 1201.19
RSA 400-A:15, I; 408-A:12
Appendix I
RSA 400-A:15, I; 408-A:12
Appendix II
RSA 400-A:15, I; 408:A:12
APPENDIX I
Form A
CREDIT INSURANCE REPORT
TO THE
State of NEW HAMPSHIRE For the Year ____________ Reporting Company _________________
(to be filed on or before June 1)
Class of Business:
( ) Credit Unions
Plans of Benefits:
( ) Credit Life (Check one item in each of the next three boxes)
( ) Commercial or Savings Bank
( ) Single Premium
( ) Monthly Outstanding Balance
( ) Finance Companies
( ) Single Life
( ) Joint Life
( ) Motor Vehicle Dealers
( ) Decreasing
( ) Level
( ) Other Sales Finance
( ) Credit Accident and Health (Check one item in each of the next three boxes)
( ) Other: ___________
(please specify)
Elimination Period
( ) 14 Day( ) 30 Day
( ) Retroactive
( ) Nonretroactive
( ) Single Premium
( ) Monthly Outstanding Balance
( ) Single Life
( ) Joint Life
( ) Other: ___________
(please specify)
Credibility Data for the Three Year Experience Period:
Number of Life Years: _________________
Incurred Claim Count: _________________
COMPANY EXPERIENCE - STATE ONLY
Calendar Year:
TOTAL