Section 18.04.11.010 - DEFINITIONSFor the purpose of this rule, the following definitions apply in addition to those found in Title 41, Chapter 46, Idaho Code.
01.Exceptional Increase. Means only those increases filed by an insurer as exceptional for which the director determines the need for the premium rate increase is justified due to changes in Idaho laws or rules applicable to long-term care coverage, or due to increased and unexpected utilization that affects the majority of insurers of similar products.a. Except as provided in Section 025, Premium Rate Schedule Increases, exceptional increases are subject to the same requirements as other premium rate schedule increases.b. The director may request a review by an independent actuary or a professional actuarial body of the basis for a request that an increase be considered an exceptional increase.c. The director, in determining that the necessary basis for an exceptional increase exists, will determine any potential offsets to higher claims costs.02.Incidental. As used in Subsection 025.10, the value of the long-term care benefits provided is less than ten percent (10%) of the total value of the benefits provided over the life of the policy. These values are measured as of the date of issue.03.Qualified Actuary. Means a member in good standing of the American Academy of Actuaries.Idaho Admin. Code r. 18.04.11.010