Mich. Admin. Code R. 500.803 - Benefits unreasonable in relation to premiums

Current through Vol. 22-05, April 1, 2022

Rule 3.

(1) The policy or rate filings shall include an actuarial certification that the benefits provided are reasonable in relation to the premium charged and shall show the anticipated loss ratio. The benefits provided are presumed unreasonable in relation to the premiums charged if the anticipated loss ratio does not equal or exceed the following standards:
(a) Sixty-five percent for rated by age insurance.
(b) Sixty percent for collectively renewable insurance or optionally renewable insurance.
(c) Fifty-five percent for guaranteed renewable insurance or nonrenewable for stated reasons only insurance.
(d) Fifty percent for noncancellable insurance, noncancellable and guaranteed renewable insurance or individual accident insurance.
(e) Fifty-five percent for all other insurance.
(2) The presumption of unreasonableness which exists where anticipated loss ratios are lower than those indicated in subrule (1) may be rebutted pursuant to the provisions of R 500.805.


Mich. Admin. Code R. 500.803
1979 AC

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