R590-220-7. Procedures for Form Filings

  (1) Forms in General.

  (a) Forms are File and Use filings.

  (b) Each form must be identified by a unique form number. The form number may not be variable.

  (c) A form must be in final form. A draft may not be submitted.

  (d) Blank spaces within the forms must be completed in John Doe fashion to accurately represent the intended market, purpose, and use.

  (2) Application Filing.

  (a) Each application or enrollment form may be submitted as a separate filing or may be filed with its related policy or certificate filing.

  (b) If an application has been previously filed or is filed separately, an informational copy of the application must be included with the policy or certificate filing. Include the Utah Filed Date or SERFF tracking number for the application in the Filing Description.

  (3) Policy Filing.

  (a) Each type of insurance must be filed separately.

  (b) A policy filing consists of one policy form, including its related forms, such as the application, outline of coverage, certificate, rider, endorsement, and actuarial memorandum.

  (c) Only one policy filing for a single type of insurance may be filed, except as stated in Subsection R590-220-7(3)(d).

  (d) A Medicare supplement filing may include more than one policy filing but each filing is limited to only one of each of the Medicare supplement plans A through N.

  (4) Rider or Endorsement Only Filing.

  (a) Related riders or endorsements may be filed together.

  (b) A single rider or endorsement that affects multiple forms may be filed, if the Filing Description references all affected forms.

  (c) The filing must include:

  (i) a listing of all base policy form numbers, title and Utah Filed Dates or SERFF tracking numbers; and

  (ii) a description of how each filed rider or endorsement affects the base policy.

  (d) Unrelated riders or endorsements may not be filed together.

  (5) Outline of Coverage. If an outline of coverage is required to be issued with a policy, rider, or an endorsement, the outline of coverage must be filed when the policy, rider or endorsement is filed.