R590-220-8. Additional Procedures for Individual Accident and Health Market Filings

  (1) A filer submitting an individual accident and health filing is advised to review:

  (a) Title 31A, Chapter 8, Health Maintenance Organizations and Limited Health Plans;

  (b) Title 31A, Chapter 22, Part 6, Accident and Health Insurance;

  (c) Rules R590-76, R590-85, R590-122, R590-126, R590-131, R590-192, R590-203, R590-215, and R590-218; and

  (d) for health benefit plan submissions, additionally review:

  (i) Title 31A, Chapter 30, Individual, Small Employer, and Group Health Insurance Act; and

  (ii) Rules R590-167, R590-176, R590-194, R590-200, R590-233, R590-237, R590-247, R590-259, R590-261, R590-266, R590-269, R590-271 and R590-220-10.

  (2) Rate and rate documentation filings.

  (a) Rates and rate documentation submitted with a new form filing are a File and Use filing.

  (b) A rate revision filing is a File for Acceptance filing.

  (3) An individual accident and health policy, rider, or endorsement affecting benefits shall be accompanied by a rate filing with an actuarial memorandum signed by a qualified actuary.

  (a) A rate filing need not be submitted if the filing does not require a change in premiums, however the reason why there is not a change in premium must be explained in the Filing Description.

  (b) Rates must be filed in accordance with the requirements of Section 31A-22-602, Rules R590-85, and R590-220.

  (c) This subsection does not apply to a rate filing for a health benefit plan. A filer submitting a rate filing for a health benefit plan should review R590-220-10.

  (4) A filer submitting a long term care filing, including an endorsement or rider attached to a life insurance policy, is advised to review Title 31A, Chapter 22, Part 14, Long Term Care Insurance Standards, Rule R590-148, and Sections R590-220-12 and 13.

  (5) A filer submitting a Medicare supplement filing is advised to review Section 31A-22-620, Rule R590-146, and Section R590-220-11.