New Jersey Administrative Code › Title 11 - INSURANCE › Chapter 3 - AUTOMOBILE INSURANCE › Subchapter 16 - RATE FILING REQUIREMENTS: VOLUNTARY MARKET PRIVATE PASSENGER AUTOMOBILE INSURANCE › Appendix - APPENDIX › Exhibit A

Current through Register Vol. 56, No. 14, July 15, 2024
EXHIBIT A
PRIOR APPROVAL FILINGS
Company/Group:________________________________
Company File No.:_________________________________
Section
Item
Page
#
1)
Filing Requirements
Yes/ No
16.3(d)
Certification of compliance (exact text in regulation)
Yes
signed by officer
/ No
16.3(e)
All data reported on direct basis exclusive of
Yes
reinsurance
/ No
16.6(a)1
Cover letter including proposed revision, effective
date, and company contact information
16.6(a)2
This checklist
Yes
/ No
16.6(a)3
Appendix Exhibit B
Yes
/ No
16.6(a)4
Narrative overview
Yes
/ No
16.6(a)8
Proposed rates (or loss costs) for each territory and
coverage together with their derivation.
16.6(a)9
Calculation demonstrating compliance with NJSA 17:29A-36
________
16.6(a)10
Data in Microsoft Excel or compatible spreadsheet
Yes
/ No
16.6(a)11
Proposed manual rate and/or rule pages
Yes/No
16.6(c)
Revised Manual Pages
________
2) Premium, Loss, and LAE Data--All data must be at total limits and/or
basic limits and must be consistent throughout the filing. All data is to be
provided by coverage by accident year for each of the latest three years.
16.8(a)1
NJ direct earned premium (or loss cost) at present
________
rates with supporting documentation
16.8(a)2
Premium trend exhibits
________
16.8(a)3
NJ direct earned exposures
________
16.8(a)4
NJ direct paid and/or incurred losses
________
16.8(a)5
NJ direct paid and/or incurred D&CC LAE
________
16.8(a)6
NJ direct paid and/or incurred A&O LAE
________
16.8(a)7
Ultimate developed loss and LAE
________
16.8(a)8
NJ direct paid and/or incurred claim counts
________
16.8(a)9
Ultimate developed claim counts
________
16.8(a)10
Loss trend exhibits
________
16.8(a)11
Trended ultimate developed loss and LAE
________
16.8(b)
(Required only if losses are separated into catastrophe
and non-catastrophe)
-- Clear description and justification of the standard
________
used
-- At least 10 years used to determine catastrophe load
________
-- Explanation if database used for catastrophe load is
________
different from that used for rate level change
16.8(c)
(Required only if territorial factors are changing)
-- Territorial rate indications
________
16.8(d)
(Required only if classification factors are changing)
-- Differentials and loss ratios by class
________
16.8(e)
(Required only if tier relativities are changing)
-- Differentials and loss ratios by tier
________
16.8(f)
Credibility exhibits
________
3)
Expense Data
________
16.9(a)1
Selected expense provisions and related information
________
16.9(a)2i
Commission and Brokerage expenses from NJ Page 14
________
16.9(a)2ii
Other acquisition expenses from IEE
________
16.9(a)2iii
General expenses from IEE
________
16.9(a)2iv
Taxes, Licenses, and Fees expenses from NJ Page 14
________
16.9(a)3
Finance and other miscellaneous charges
________
16.9(a)4
Description of affiliated-company transactions
________
16.9(b)
Expense flattening per NJSA 17:29A-37
________
16.9(c)
Expenses Capped by Appendix Exhibit E Calculation (available on DOBI web site)
Yes
/ No
16.9(d)
Excluded Expenses (state if none)
________
16.9(e)
Bodily Injury Liability Commissions equalized using
Appendix Exhibit C
________
16.9(f)
Expense data on direct basis
Yes
/ No
4)
Profit and contingency provision
Yes
/ No
16.10(a)
Profit and contingency provision does not result in
________
rates that are excessive, inadequate, or unfairly
discriminatory