Ins 6.06(3)(e)(e) A “rate level factor” means any factor that adjusts prior earned premiums to the premiums that would have been earned if the present rates had been in effect throughout the period under examination or review.
Ins 6.06(3)(f)(f) A “severity trend factor” means any factor which adjusts the past average claim amount to reflect more accurately the average claim amount that can be expected to develop during the period the proposed rates will be used.
Ins 6.06(4)(4)Exemptions.
Ins 6.06(4)(a)(a) Life and disability insurance as defined in s. Ins 6.75 (1), disability insurance as defined in s. Ins 6.75 (2) (c), title insurance as defined in s. Ins 6.75 (2) (h), mortgage guaranty insurance as defined in s. Ins 6.75 (2) (i), municipal bond insurance as defined in s. Ins 3.08 (3) (e), and worker’s compensation insurance as defined in s. Ins 6.75 (2) (k) are exempt from the provisions of this section.
Ins 6.06(4)(b)(b) All companies licensed under ch. 612, Stats., are exempt from the provisions of this section.
Ins 6.06(4)(c)(c) The commissioner may, upon written application, exempt an insurer from full or partial compliance with this rule.
Ins 6.06(5)(5)Supplemental rate information. A rate filing and accompanying supplemental rate information shall be appropriately organized for the kind, class or line of business for which the filing is being made. Except as provided in sub. (6), all rate filings shall include the following supplementary rate information:
Ins 6.06(5)(a)(a)
Ins 6.06(5)(a)1.1. At least 3 separate and consecutive years of both Wisconsin and aggregate of all states’ experience showing:
Ins 6.06(5)(a)1.a.a. Premiums earned;
Ins 6.06(5)(a)1.b.b. Losses paid;
Ins 6.06(5)(a)1.c.c. Separate reserves for reported but unpaid losses; and
Ins 6.06(5)(a)1.d.d. Reserves for losses incurred but not reported.
Ins 6.06(5)(a)2.2. If any of the information required by subd. 1. is omitted or less than 3 years’ experience is provided, an explanation shall be submitted.
Ins 6.06(5)(b)(b) An explanation of the rate-making procedures including a description of any statistical data and actuarial methods utilized; or a statement of facts and other detailed information which explain judgments used; or a statement as to how the rates of the filing company compare with those of the competition, providing detail where the rates are substantially higher or lower; or any combination.
Ins 6.06(5)(c)(c) Explanation of the permissible or target loss ratio, including an explanation of how any investment income has been taken into account.
Ins 6.06(5)(d)(d) When used, any premium adjustment factors and loss adjustment factors by year and an explanation of methods and judgments underlying each factor. Loss adjustment factors include but are not limited to loss development factors, frequency trend factors, and severity trend factors. Premium adjustment factors include but are not limited to rate level factors.
Ins 6.06(6)(6)Other supplemental rate information. The commissioner may accept supplemental information other than that required by sub. (5) if the insurer or rate service organization can demonstrate to the commissioner that this information fully supports the rate filing and complies with s. 625.11, Stats.
Ins 6.06(7)(7)Use of rate service organization rates. A member of or subscriber to a rate service organization licensed under s. 625.32, Stats., shall file supplementary rate information if its rates deviate from those filed on its behalf by the rate service organization. Such a filing shall be as required by subs. (5) and (6).
Ins 6.06(8)(8)Additional information. The commissioner may require additional rate filing information if the commissioner determines that the original filing does not explain the proposed rate. Such additional information shall be provided within 30 days of the request.
Ins 6.06 HistoryHistory: Cr. Register, March, 1988, No. 387, eff. 4-1-88; am. (5) (a) 1. intro. and (9), Register, November, 1988, No. 395, eff. 12-1-88; r. (9) and Appendix, Register, January, 1995, No. 469, eff. 2-1-95; correction in (1) made under s. 13.93 (2m) (b) 7., Stats., Register, February, 2000, No. 530.
Ins 6.07Ins 6.07Insurance policy language simplification.
Ins 6.07(1)(1)Purpose. The purpose of this rule is to establish minimum standards for legibility, coherence and understandability in consumer insurance policies delivered or issued for delivery in the state of Wisconsin on or after the effective dates stipulated in sub. (8). Sections of statutes interpreted or implemented by this rule are ss. 631.20 (2) (a) and 631.22, Stats.
Ins 6.07(2)(2)Scope. This rule shall apply to “consumer insurance policies”as defined in sub. (3) and not exempted under sub. (5).
Ins 6.07(3)(3)Definitions.
Ins 6.07(3)(a)(a) In this section “consumer insurance policy”means a life, disability, property or casualty insurance policy, or a certificate or a substitute for a certificate for group life, disability, property or casualty insurance coverage, which is issued to a person for personal, family or household purpose and a copy of which is customarily, in the insurance industry, delivered or is required by law, rule or agreement to be delivered to the person obtaining insurance coverage.
Ins 6.07(3)(b)(b) The term “text” as used in this section shall include all printed or electronic matter except the following:
Ins 6.07(3)(b)1.1. The name and address of the insurer; the name, number or title of the consumer insurance policy; the table of contents or index; captions and subcaptions; specification pages, schedules or tables; and
Ins 6.07(3)(b)2.2. Any such form language that is drafted to conform to the requirements of any federal law, regulation or agency interpretation; any form language required by any collectively bargained agreement; any medical terminology; any words which are defined in the form; and any form language required by state law or regulation; provided, however, the insurer identifies the language or terminology excepted by this subdivision and certifies, in writing to the commissioner, that the language or terminology is entitled to be excepted by this subdivision.