Source: https://dfr.vermont.gov/reg-bul-ord/independent-analysis-proposed-medicare-supplement-rate-increases
Timestamp: 2020-08-14 23:08:46
Document Index: 658047219

Matched Legal Cases: ['§ 1', '§ 2', '§ 6706', '§ 3', '§ 4', '§ 5', '§ 6706']

Reg. I-1991-02
Printer friendly version of I-1991-02 11.08 KB
§ 1. Purpose.
§ 2. Authority.
This regulation is issued pursuant to the authority vested in the Commissioner of Banking, Insurance and Securities ("Commissioner") by Title 33 V.S.A. § 6706.
§ 3. Review by the Commissioner.
(a) Proposed rate increases in Medicare supplement rates shall be reviewed by the Commissioner to determine if the best interests of the policyholders or certificate-holders will be served by having an analysis of the proposed increase performed by an independent expert. In determining whether such analysis would serve the policyholders' or certificate-holders' best interests the Commissioner:
(2) shall weigh the cost of such analysis to each policyholder or certificate-holder against the amount of the proposed rate increase; and
(b) When the Commissioner determines that independent analysis is in the best interest of the policyholders or certificate-holders, he shall notify the insurer of such determination no later than thirty (30) days after the filing is received by the Department. Once such notification is given, the Commissioner shall submit the filing to an expert for independent analysis. The filing will not be deemed approved until thirty (30) days after it is returned to the Department by the expert.
(c) The Commissioner's determination under this section shall become part of the Department's rate filing records and shall be made at least five (5) days prior to the granting of the rate increase or any portion thereof.
§ 4. Information Required of Insurers
To enable the Commissioner to adequately review Medicare supplement rates pursuant to Section 3 of this regulation, insurers are required to provide with each rate filing --
(1) the number of individual policyholders or certificate-holders to be affected by the rate increase; and
(2) the average premium per policyholder or certificate-holder both before and after the filing, assuming the filing is approved; and
§ 5. Independent Analysis.
(b) The Commissioner may set reasonable limits on the expert's fees and costs. Such fees and costs shall be submitted to the Department and the insurer and paid directly by the insurer. The insurer may assess the affected policyholders or certificate-holders.
(c) The independent expert shall submit a report, containing findings, analysis and a summary statement, to the Department within thirty (30) days of the rate filing being submitted to such expert for analysis. The summary shall become part of the Department's rate filing records.
This regulation shall become effective January 1, 1992.Statutory Authority: 33 V.S.A. § 6706