1. (1) Forms in General.

   1. (a) A form is a file and use filing.
   2. (b) A form shall be identified by a unique form number that may not be variable.
   3. (c) A form shall be in final printed form and may not be submitted as a draft.

   4. (d) Blank spaces within a form shall be completed to accurately represent the purpose and use.

      1. (i) If the intended market is for a senior age market, the form shall be completed with data representative of senior insureds.
      2. (ii) Any data in a form, including premium rates and benefits, shall be consistent with the actuarial memorandum and rate schedule.

2. (2) Application Filing.

   1. (a) An application or enrollment form may be submitted as a separate filing or filed with its related policy or certificate filing.
   2. (b) If an application was previously filed or is filed separately, an informal copy of the application shall be included with a policy or certificate filing.

3. (3) Policy Filings.

   1. (a) Each TOI shall be filed separately.
   2. (b) A policy filing consists of one policy form, including the application, certificate, rider, endorsement, actuarial memorandum, and rate schedule.
   3. (c) Only one policy filing for a single TOI may be filed.

4. (4) Rider or Endorsement Filing.

   1. (a) Related riders or endorsements may be filed together.
   2. (b) A single rider or endorsement that affects multiple forms may be filed if the filing description references each affected form.

   3. (c) The filing description shall include:

      1. (i) a list of each policy form number, title, and Utah filed date or SERFF tracking number; and
      2. (ii) a description of how each rider or endorsement affects the policy.
   4. (d) Unrelated riders or endorsements may not be filed together.
5. (5) Rates. A rate is a file for approval filing.

KEY: credit insurance filings

Date of Last Change: October 16, 2023

Notice of Continuation: March 7, 2024

Authorizing, and Implemented or Interpreted Law: 31A-2-201; 31A-2-201.1; 31A-2-202