Or. Admin. Code § 836-060-0021 - Determination of Reasonableness of Benefits in Relation to Premium Charge
(1) General
Standard. Under ORS 742.005, benefits provided by
credit insurance policies must be reasonable in relation to the premium
charged. This requirement is satisfied, in the opinion of the Director, if the
premium develops, or reasonably may be expected to develop a loss ratio of not
less than 60 percent.
(2) With the
exception of deviations approved under OAR
836-060-0043, the rates
established in 836-060-0026 and
836-060-0031, as adjusted
periodically pursuant to
836-060-0041, are the prima
facie rates and shall be conclusively presumed to satisfy the standard set
forth in section (1) of this rule.
(3) Nonstandard Coverage. If an insurer files
for approval a form providing coverage different from that described in OAR
836-060-0026 and
836-060-0031, the insurer shall
demonstrate to the satisfaction of the Director that the premium rates to be
charged for such coverage will develop, or reasonably may be expected to
develop, a loss ratio not less than that contemplated for standard coverage, or
are actuarially consistent with the rates used for standard
coverages.
(4) Prima facie rates
are presumed sufficient to cover up to two months of delinquencies.
(5) Coverage Without Separate Charge. If no
specific charge is made to the debtor for credit insurance, sections (1) to (3)
of this rule do not apply. In this case, any premium rates which exceed the
premium rate standards set out in OAR
836-060-0026 and
836-060-0031 must be filed with
the Director. For purposes of this section, a specific charge is made to the
debtor if an identifiable charge for insurance is disclosed in the credit or
other instrument furnished the debtor which sets out the financial elements of
the credit transactions, or if there is a differential in finance, interest,
service or other similar charge made to debtors who are in like circumstances
except for their insured or noninsured status.
Notes
Stat. Auth.: ORS 731.244
Stats. Implemented:ORS 742.003 & 742.005
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