Section Ins 2801.06 - Instructions for the Completion of Form RFF-1(a) On form RFF-1, the insurer shall supply the following information: (1) Insurer name and address, including the name of the person responsible for filing, his/her title and telephone number and the date of the filing;(2) The National Association of Insurance Commissioner's identification number assigned to the insurer, and to the insurer's group;(3) The line of insurance to which the form applies;(4) The name of the advisory organization;(5) The filing reference number assigned to the approved prospective loss costs filing by the advisory organization, and that it files to be deemed to have independently submitted as its own filing the prospective loss costs in the captioned referenced filing;(6) A declaration that the insurer is a member, subscriber or service purchaser of the named advisory organization for the line of insurance identified in (a) (3) above;(7) The proposed percentage rate level change and effective date;(8) The prior percentage rate level change and effective date;(9) A declaration that the insurer will:a. Either file to have its loss cost multipliers and, if utilized, expense constants be applicable to future revisions of the advisory organization's prospective loss costs for this line of insurance as identified in (a)(3) above, so that: 1. The insurer's rates will be the combination of the advisory organization's prospective loss costs and the insurer's loss cost multipliers and, if utilized, expense constants specified in the attachments;2. The rates will apply to policies written or after the effective date of the advisory organization's prospective loss costs; and3. Authorization is effective until disapproved by the commissioner, or amended or withdrawn by the insurer; orb. File to have its loss cost multipliers and, if utilized, expense constants be applicable only to the advisory organization reference filing identified in (a)(5) above. (b) The following information shall be supplied if an expense constant is not used: (1) The line of insurance, the subline of insurance, the coverage, the territory and the classification the form will apply to;(2) A declaration that the insurer will adopt the loss costs filing referenced in the adoption form: a. Without modification; orb. With modification, but if the filing is adopted with modification, the nature, percent, rationale and supporting data shall be cited;(3) The loss cost modification expressed as a multiplicative factor;(4) The total production expense expressed as a percentage of premium;(5) The general expense expressed as a percentage of premium;(6) The taxes, licenses and fees expressed as a percentage of premium;(7) The underwriting profit and contingencies expressed as a percentage of premium;(8) The offset for investment income expressed as a percentage of premium;(9) The other expenses expressed as a percentage of premium;(10) The total expenses, which shall be the sum of (4) above through (9) above, expressed as a percentage of premium;(11) The expected loss ratio expressed in decimal form;(12) The insurer's calculated loss cost multiplier, which shall equal 1.00 divided by (b)(11) above;(13) The insurer's selected loss cost multiplier which shall equal the modification in (b)(3) above divided by the insurer's calculated lost cost multiplier in (b)(12); and(14) The rate level change for the coverages that apply.(c) The following information shall be supplied if an expense constant is used: (1) The line of insurance, the subline of insurance, the coverage, the territory and the classification the form will apply to;(2) A declaration that the insurer will adopt the loss costs filing referenced in the adoption form: a. Without modification; orb. With modification, but if the filing is adopted with modification, the nature, percent, rationale and supporting data shall be cited;(3) The loss cost modification expressed as a multiplicative factor;(4) An explanation of how expenses are split between fixed and variable;(5) The total production expense expressed as a percentage of premium and a breakdown of the expense between fixed and variable expense;(6) The general expense expressed as a percentage of premium and a breakdown of the expense between fixed and variable expense;(7) The taxes, licenses and fees expressed as a percentage of premium and a breakdown of the expense between fixed and variable expense;(8) The underwriting profit and contingencies expressed as a percentage of premium and a breakdown of the expense between fixed and variable expense;(9) The offset for investment income expressed as a percentage of premium;(10) The other expenses expressed as a percentage of premium and a breakdown of the expense between fixed and variable expense;(11) The total expense, which shall be the sum of (5) through (10) above, expressed as a percentage of premium and a breakdown of the expense between fixed and variable expense;(12) The expected loss ratio expressed in decimal form;(13) The variable expense loss ratio expressed in decimal form;(14) The formula expense constant calculated as follows: a. The reciprocal of (c) (12) less the reciprocal of (c) (13);b. The result of a. above times the average underlying loss costs;(15) The selected expense constant;(16) The formula variable loss cost multiplier, which shall be 1.00 divided by (c)(13) above;(17) The selected variable loss cost multiplier which shall equal the modification in (c)(3) above divided by the insurer's formula variable loss cost multiplier in (c)(16);(18) An explanation of any differences between (14) above and (15) above; and(19) The rate level change for the coverages that apply.N.H. Admin. Code § Ins 2801.06
#5655, eff 7-1-93; ss by #6984, eff 5-1-99; ss by #8936, eff 8-1-07
Amended by Volume XXXV Number 36, Filed September 10, 2015, Proposed by #10920, Effective 9/1/2015, Expires9/1/2025.