Ins 6.77(5) (5)Notice.
Ins 6.77(5)(a) (a) An insurer cancelling any umbrella liability policy or excess liability policy shall notify the commissioner of the grounds for such cancellation not later than the time at which the insurer notifies the policyholder of such cancellation. Insurers shall provide notice to the insured as set forth in s. 631.36 (2) (b), Stats.
Ins 6.77(5)(b) (b) No cancellation under s. 631.36 (2) (a), Stats., of any war risks coverage contained in an aircraft insurance policy is effective until at least 7 days after the 1st class mailing or delivery of a written notice to the policyholder.
Ins 6.77 History History: Emerg. cr. eff. 7-1-77; cr. Register, November, 1977, No. 263, eff. 12-1-77; am. (1), (4) and (5), Register, May, 1987, No. 377, eff. 6-1-87; am. (1) and (2), renum. (3) (a), (4) and (5) to be (3) (c), (4) (a) and (5) (a), cr. (3) (a) and (d), (4) (b) and (5) (b), Register, July, 1990, No. 415, eff. 8-1-90; CR 06-117: am. (1), (2) and (4) (a), cr. (3) (ac), (ag), (am) and (bm), (4) (b) and (c) and (6), renum. (4) (b) to be (4) (d), Register June 2007 No. 618, eff. 7-1-07; correction in (1) made under s. 13.92 (4) (b) 7., Stats., Register January 2010 No. 649; EmR0918: emerg. am. (1), (2), (4) (a), (b) and (6), r. (3) (ag) and (4) (c), cr. (4) (am), eff. 11-1-09; CR 09-097: am. (1), (2), (4) (a) and (6), r. (3) (ag) and (4) (c), cr. (4) (am) Register April 2010 No. 652, eff. 5-1-10; correction in (1) and (4) (a) made under s. 13.92 (4) (b) 7., Stats., Register, January, 2012 No. 673; CR 15-032: am. (title), (1), (2), r. (3) (am), (bm), (4) (am), (b), and (6) Register November 2015 No. 719, eff. 12-1-15; correction in (1), (2) made under s. 35.17, Stats., Register November 2015 No. 719.
Ins 6.78 Ins 6.78 Exemption from filing of rates.
Ins 6.78(1)(1)Purpose. The purpose of this section is to exempt from the filing requirements of s. 625.13, Stats., those rates for risks which have been customarily written on a consent-to-rate basis and certain title insurance rates, it having been determined that such filing is not necessary to protect policyholders and the public. This rule implements and interprets ss. 625.04, 625.13, and 625.15, Stats.
Ins 6.78(2) (2)Scope. This section applies to the following lines or classes of insurance:
Ins 6.78(2)(a) (a) The classes specified in s. Ins 6.75 (2) (a), (d), (e), (f), (g), (h), (i), (j), (L), (m), and (n).
Ins 6.78(2)(b) (b) Individual rate modifications that are a reduction from the filed title insurance rate.
Ins 6.78(3) (3)Exempt filings. If a specific risk in a line or class of insurance set forth in sub. (2) (a) is of the type which is customarily written on a consent-to-rate basis wherein the insured agrees to accept a rate that is different from the insurer's filed rates, the consent-to-rate shall not be filed with the commissioner, provided:
Ins 6.78(3)(a) (a) The insurer keeps for at least 1 year after the expiration date of the policy;
Ins 6.78(3)(a)1. 1. Record of the rate development; and
Ins 6.78(3)(a)2. 2. The written application signed by the insured stating the insured's reason for requesting the rate.
Ins 6.78(3)(b) (b) Prior to entering into such insurance agreements in Wisconsin the insurer has notified the commissioner of insurance of its intention so to do, identifying the contemplated lines and classes of insurance.
Ins 6.78(4) (4)Exempt filing. If a title insurance rate as set forth in sub. (2) (b) is a downward deviation of an existing filed rate, the rate shall not be filed with the commissioner provided that all of the following apply:
Ins 6.78(4)(a) (a) The insurer keeps for at least five years after the inception date of the policy the following information:
Ins 6.78(4)(a)1. 1. The filed rate and premium and the deviated rate and premium;
Ins 6.78(4)(a)2. 2. The effective date of the policy and the location and description of the risk;
Ins 6.78(4)(a)3. 3. The reason for the deviation; and
Ins 6.78(4)(a)4. 4. A record of the deviated rate development.
Ins 6.78(4)(b) (b) Prior to entering into such insurance agreements in Wisconsin, the insurer has notified the commissioner of its intentions to do so, identifying the contemplated rate deviation program.
Ins 6.78 History History: Cr. Register, January, 1980, No. 289, eff. 2-1-80; am. (1), (2) and (3) (intro.), cr. (4), Register, February, 1993, No. 446, eff. 3-1-93; reprinted to restore dropped copy in (3), Register, May, 1993, No. 449.
Ins 6.785 Ins 6.785 Exemption from rate filing requirements.
Ins 6.785(1)(1)Purpose. This section is intended to exempt certain classes of property and casualty rates from the rate filing requirements. This section implements and interprets ss. 625.04, 625.13 and 625.15, Stats.
Ins 6.785(2) (2)Scope. This section applies to the lines or classes of insurance which are listed in s. Ins 6.75 (2) (a), (d), (e), (f), (g), (h), (i), (j), (L), (m) and (n) of direct insurance written on risks or operations in this state subject to s. 625.03, Stats., and which are exempted under the consent-to-rate provision of s. Ins 6.78.
Ins 6.785(3) (3)Findings. The commissioner of insurance finds that for certain classes of business certain risks within other classes of business and certain situations, the rate filing requirements set forth in s. 625.13, Stats., are unnecessary to achieve the purposes of ch. 625, Stats. The commissioner bases this finding on the following reasons:
Ins 6.785(3)(a) (a) The manual rate, classification or form is inappropriate because it does not adequately reflect the exposure represented by the risk;
Ins 6.785(3)(b) (b) The risk is so different from other risks that no single manual rate or classification could be representative of all such risks;
Ins 6.785(3)(c) (c) The risk belongs to a classification that does not develop enough experience to warrant sufficient credibility for rate-making purposes; or
Ins 6.785(3)(d) (d) The risk involves a new product or coverage as to which there are no appropriate analogous exposures for rate-making purposes.
Ins 6.785(4) (4)Rate filing exemption. The following rates shall not be filed with the commissioner by the insurer or rate service organization on behalf of the insurer provided the insurer complies with sub. (7):
Ins 6.785(4)(a) (a) The rate for an individual risk written under a rating rule class filed with the commissioner which must be accompanied by a certification by a qualified actuary that the rate under the rating rule class cannot be objectively rated for at least one of the following reasons:
Ins 6.785(4)(a)1. 1. The class generates insufficient loss experience to be reliably used in rating;
Ins 6.785(4)(a)2. 2. The class loss experience is so volatile as to make it unreliable;
Ins 6.785(4)(a)3. 3. Prospective losses for this class are likely to change rapidly and unpredictably; or
Ins 6.785(4)(a)4. 4. Risks within the class are so dissimilar that a single rate would not be representative of all risks in the class.
Ins 6.785(4)(b) (b) Rates for excess liability insurance provided in an amount not less than $1,000,000 in excess of a specified retained limit provided such retained limit is not less than:
Ins 6.785(4)(b)1. 1. $350,000 per occurrence as respects those exposures covered by underlying insurance; or
Ins 6.785(4)(b)2. 2. $10,000 per occurrence as respects those exposures not covered by underlying insurance.
Ins 6.785(4)(c) (c) Rates for risks developing annual products liability and completed operations insurance premiums of $5,000 or more at the basic limit.
Ins 6.785(4)(d) (d) Rates for risks developing annual increased limits written premium determined by customary rating procedures of $5,000 or more.
Ins 6.785(4)(e) (e) Rates for risks developing $100,000 or more annual manual basic limit premium individually or in any combination of general liability insurance, commercial automobile, crime or glass.
Ins 6.785(4)(f) (f) Rates for liability insurance increased limits if the risk is reinsured on a facultative basis.
Ins 6.785(4)(g) (g) Rates for an adjustment of the aggregate limit of general liability insurance at any time during the policy period.
Ins 6.785(4)(h) (h) Rates for coverage which is materially broader or more restrictive than the coverage upon which the manual rate is based.
Ins 6.785(5) (5)Utilization of rate filing exemption. An insurer or a rate service organization wishing to utilize the rate filing exemption or modification granted by sub. (4) shall have on file with the commissioner rating rules pertaining to the situations described in sub. (4).
Ins 6.785(6) (6)Disapproval of filed rules. If the commissioner determines that a rating rule does not meet the rate standards set forth in s. 625.11, Stats., the commissioner may exercise the authority granted by s. 625.22, Stats., and disapprove the rate.
Ins 6.785(7) (7)Insurer records. An insurer using a rate subject to the exemption granted by sub. (4) shall maintain separate records and documentation for a period of 3 years after the rate is no longer used. This documentation shall include all details of the factors used in determining the rate or classification for a particular risk, including conditions used to qualify a rate for an exemption under sub. (4). The insurer shall provide these records to the commissioner upon request.
Ins 6.785 History History: Emerg. cr. eff. 8-3-92; cr. Register, February, 1993, No. 446, eff. 3-1-93.
Ins 6.79 Ins 6.79 Advisory councils and committees.
Ins 6.79(1)(1)Purpose. The purpose of this section is to delineate the process by which the commissioner may create advisory councils and committees under s. 15.04 (1) (c), Stats., to assist in dealing with regulatory problems pursuant to s. 601.20, Stats., and may include assistance with rule-making pursuant to s. 227.13, Stats.
Ins 6.79(2) (2)Duties. Each council or committee shall advise the commissioner on matters relating to specific issues or subjects presented to the members for study and review by the commissioner of insurance.
Ins 6.79(3) (3)Expense reimbursement. Members of the councils and committees shall receive no salary or compensation for service on the councils or committees but shall be reimbursed for their actual and necessary expenses in attending meetings or while performing other duties as directed by the commissioner.
Ins 6.79(4) (4)Meetings. The councils or committees shall meet as needed or at such times as requested by the commissioner.
Ins 6.79(5) (5)Membership. For each council or committee created by the commissioner, membership may not exceed 15 members and shall be representative of the various interested parties and include persons who possess expertise or interest on the issue or topic of the council or committee.
Ins 6.79(6) (6)Chairs. The commissioner shall appoint the chair, unless the commissioner authorizes a different process for selection. The commissioner shall appoint an employee of the office as a non-voting member to assist the council or committee with its duties. The commissioner or a designee shall keep a record of all proceedings, transactions, communications, and other official acts of the councils and committees. The commissioner or a designee appointed by the commissioner shall serve as a voting member when the council or committee is convened in accordance with s. 15.04 (1) (c), Stats. The files and records of the councils and committees shall be maintained at the office of the commissioner of insurance.
Ins 6.79(7) (7)Term. Members of the councils and committees serve at the pleasure of the commissioner.
Ins 6.79 History History: Cr. Register, January, 1980, No. 289, eff. 2-1-80; correction in (1) under s. 13.93 (2m) (b) 7., Stats., Register, September, 1984, No. 348; r. (2) (c), Register, November, 1991, No. 431, eff. 12-1-91; correction in (1) made under s. 13.93 (2m) (b) 7., Stats., Register, February, 2000, No. 530; CR 08-064: r. and recr. Register December 2008 No. 636, eff. 1-1-09.
Ins 6.80 Ins 6.80 Retention of records.
Ins 6.80(1)(1)Purpose. The purpose of this section is to establish standards for record retention by insurers and other persons subject to the regulation of the commissioner.
Ins 6.80(2) (2)Scope.
Ins 6.80(2)(a) (a) This section shall apply to all insurers licensed under chs. 611, 612, 613, 614, and 618, Stats., and including the Local Property Insurance Fund, the State Life Insurance Fund, and the State Indemnity Fund.
Ins 6.80(2)(b) (b) The following sections also apply:
Ins 6.80(2)(b)1. 1. Section Ins 1.01 (3) applies to fraternals.
Ins 6.80(2)(b)2. 2. Sections Ins 2.07 (5) (a) 2. d. and (b) 2. b. apply to life insurance.
Ins 6.80 Note Note: Sections Ins 2.07 (5) (a) 2. d. and (b) 2. b. do not exist. Section Ins 2.07 was repealed and recreated eff. 3-1-82.
Ins 6.80(2)(b)3. 3. Section Ins 3.25 (9) (d) applies to credit life and accident and sickness insurance.
Ins 6.80(2)(b)4. 4. Section Ins 3.27 (28) applies to disability insurance.
Ins 6.80(2)(b)5. 5. Section Ins 6.17 (3) (c) and (d) apply to surplus lines.
Ins 6.80(2)(b)6. 6. Sections Ins 6.30 (2) (a) 1. e., 6.30 (3) (a) 3. e., (4) (a) 2. e. and (5) (a) 3. apply to property and casualty insurers.
Ins 6.80(2)(b)7. 7. Section Ins 6.55 (5) (b) applies to all insurers.
Ins 6.80(2)(b)8. 8. Section Ins 6.61 applies to intermediaries.
Ins 6.80(2)(b)9. 9. Section Ins 8.09 applies to employee welfare funds.
Ins 6.80(2)(b)10. 10. Sections Ins 8.65 (4) and 8.69 (6) apply to small employer insurers.
Ins 6.80(3) (3)Definitions.
Ins 6.80(3)(a) (a) “Domestic insurer" has the meaning set forth in s. 600.03 (17), Stats.
Ins 6.80(3)(b) (b) “Insurer" has the meaning set forth in s. 600.03 (17), Stats.
Ins 6.80(3)(c) (c) “Nondomestic insurer" has the meaning set forth in s. 600.03 (32), Stats.
Ins 6.80(3)(d) (d) “Hard copy" means any information which is procured from an alternate storage facility such as microfilm, microfiche or electronic data processing and reproduced into proper form.
Ins 6.80(4) (4)Domestic insurers.
Ins 6.80(4)(a) (a) Corporate records such as minute books, articles and by-laws, and stock and membership records shall be retained as permanent records.
Ins 6.80(4)(a)1. 1. General ledgers shall be retained as permanent records.
Ins 6.80(4)(a)2. 2. Rate books, agents' handbooks, underwriting manuals, specimen forms, and related actuarial material, as well as reinsurance contracts, shall be retained as long as the related insurance coverage remains in force.
Ins 6.80(4)(b) (b) Records of insurance company operations and other financial records reasonably related to insurance operations for the preceding 3 years shall be maintained and be available to the commissioner.
Ins 6.80(4)(c) (c) Records maintained under par. (b) may be in written form or in any other form capable of being converted to written form within a reasonable period of time.
Ins 6.80(4)(c)1. 1. Original documents, such as claim files, invoices, cancelled checks, underwriting information and other similar materials may be maintained on microfilm or microfiche so long as the records thus maintained are readily available to the commissioner and can be reproduced in hard copy.
Ins 6.80(4)(c)2. 2. Accounting records, policy master files, reserve inventories, and other similar records normally produced in hard copy may be maintained on electromagnetic tape provided such tapes are preserved and that the company can and will reproduce the appropriate hard copy within a reasonable period of time at the request of the commissioner.
Ins 6.80(4)(d) (d) The statutes of limitations, escheat laws, and statutes regarding minors of the various jurisdictions in which the insurer does business shall control the retention of pertinent records, other than permanent records, beyond the period mentioned in par. (b). These records may include, but shall not be limited to, claims files, supplementary contract files, records of uncashed checks, and underwriting files.
Ins 6.80(4)(e) (e) Subject to this rule and applicable statutes and rules or regulations of this and other jurisdictions in which the insurer is licensed to do business, the insurer may set its retention of records to conform to its storage facilities.
Published under s. 35.93, Stats. Updated on the first day of each month. Entire code is always current. The Register date on each page is the date the chapter was last published.