(1) An insurer may file with the commissioner a rate filing that provides for a program with more than one rate level in the same company or group of companies if:

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Terms Used In Utah Code 31A-19a-214

  • Expenses: means that portion of a rate attributable to:
         (4)(a) acquisition;
         (4)(b) field supervision;
         (4)(c) collection expenses;
         (4)(d) general expenses;
         (4)(e) taxes;
         (4)(f) licenses; and
         (4)(g) fees. See Utah Code 31A-19a-102
  • Filing: when used as a noun, means an item required to be filed with the department including:
         (70)(a) a policy;
         (70)(b) a rate;
         (70)(c) a form;
         (70)(d) a document;
         (70)(e) a plan;
         (70)(f) a manual;
         (70)(g) an application;
         (70)(h) a report;
         (70)(i) a certificate;
         (70)(j) an endorsement;
         (70)(k) an actuarial certification;
         (70)(l) a licensee annual statement;
         (70)(m) a licensee renewal application;
         (70)(n) an advertisement;
         (70)(o) a binder; or
         (70)(p) an outline of coverage. See Utah Code 31A-1-301
  • Premium: includes , however designated:
              (156)(b)(i) an assessment;
              (156)(b)(ii) a membership fee;
              (156)(b)(iii) a required contribution; or
              (156)(b)(iv) monetary consideration. See Utah Code 31A-1-301
  • Rate: means that cost of insurance per exposure unit either expressed as:
              (12)(a)(i) a single number; or
              (12)(a)(ii) as a pure premium rate, adjusted before any application of individual risk variations, based on loss or expense considerations to account for the treatment of:
                   (12)(a)(ii)(A) expenses;
                   (12)(a)(ii)(B) profit; and
                   (12)(a)(ii)(C) individual insurer variation in loss experience. See Utah Code 31A-19a-102
  • Supporting information: includes one or more of the following:
         (16)(a) data demonstrating actuarial justification for the basic rate factors, classifications, expenses, and profit factors used by the filer;
         (16)(b) the experience and judgment of the filer;
         (16)(c) the experience or data of other insurers or rate service organizations relied upon by the filer;
         (16)(d) the interpretation of any other data relied upon by the filer;
         (16)(e) descriptions of methods used in making the rates; or
         (16)(f) any other information defined by rule as supporting information that is required to be filed. See Utah Code 31A-19a-102
     (1)(a) the program is based, to the extent feasible, upon mutually exclusive underwriting rules per tier;
     (1)(b) the underwriting rules are based on clear, objective criteria that would lead to a logical distinguishing of potential risk; and
     (1)(c) in filing to establish tiers, the insurer provides supporting information that evidences a clear distinction between the expected losses and expenses for each tier.
(2) A rating tier may not be continued if premium, loss, and expense data fail to show a continued clear distinction between the tiers.