| REVIEW REQUIREMENTS |
REFERENCE |
DESCRIPTION OF REVIEW
STANDARDS REQUIREMENTS |
LOCATION OF
STANDARD IN FILING |
GENERAL REQUIREMENTS
FOR ALL FILINGS |
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| ELECTRONIC FILINGS |
Insurance - Bulletin 360
Title
24-A §2304-A. Rate filings
Title
24-A §2412. Filing, approval of forms |
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| COVER LETTER |
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Cover letters may be attached to the Supporting Documentation Tab or the text entered under the Filing Description located under the General Information tab in SERFF |
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| EFFECTIVE DATE |
Title
24-A - §3002. Standard fire policy required; exceptions |
Policies effective at 12:01 AM Standard Time
Include proposed effective date on SERFF General Information |
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| LIMITATIONS/RESTRICTIONS ON TRANSACTING BUSINESS |
Title
24-A - §404. Certificate of authority required; enforcement; penalty |
Must have certificate of authority to transact business |
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| LINE OF AUTHORITY |
Fire and Allied Lines |
Must have requisite certificate of authority to transact
business before submitting rate/rule/form filings |
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| FILING EXEMPTIONS |
Title
24-A - §2412-A. Large commercial contracts |
Large commercial risks exempt from filing —
refer to statute for criteria and definition of large commercial risk |
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| THIRD PARTY FILERS AUTHORITY |
Title
24-A - §2412. Filing, approval of forms
Title
24-A - §2304-A. Rate filings |
Must include authorization to communicate directly with third party filers
Rate Filing Requirements
Rate/Rule/Form filing Requirements |
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FORMS--POLICY
PROVISIONS |
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| ACCESS TO COURTS |
Title
24-A - §2433. Jurisdiction of courts, limitation of actions |
Maine Courts must have jurisdiction |
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| Action Against Company |
Title
24-A - §2433. Jurisdiction of courts, limitation of actions |
Insured must be given two years from date of loss to bring suit against insurer |
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| AMBIGUOUS & MISLEADING |
Title
24-A - §2413. Grounds for disapproval |
Forms shall be disapproved by the superintendent if
they contain or incorporate by reference any inconsistent, ambiguous or misleading clauses |
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| APPLICATIONS |
Title
24-A - §2411. Representations in applications
Title
24-A - §2412. Filing, approval of forms
Title 24-A - §2186. Insurance fraud prevention |
Must file applications only if to be made part of the policy.
All statements are considered representations not warranties.
The Maine Fraud Warning must appear permanently affixed on all application (i.e. new business, renewal, supplemental, etc…). |
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| APPRAISALS |
Title
24-A - §3002. Standard fire policy required; exceptions |
Refer to Standard Fire Policy for appraisal provision |
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| ARBITRATION |
Title 24-A - §2433. Jurisdiction of courts, limitation of actions |
Binding arbitration is not permitted |
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| BLANK ENDORSEMENTS |
Title 24-A - §2412. Filing, approval of forms |
Blank endorsements are considered manuscript forms and generally not acceptable. Each manuscripted change is subject to review and can be filed as a consent to form filing pursuant to 24-A § 2308(2). |
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| CANCELLATION & NON-RENEWAL |
Title
24-A - §3007. Cancellation and nonrenewal |
Statutory grounds required to cancel mid-term and
must be included in Maine amendatory endorsement; statutory notice
required for both cancellation & non-renewal;
Maine amendatory endorsement must include mailing time language |
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| CONTENT OF POLICIES |
Title 24-A - MAINE INSURANCE CODE
Title 24-A - Chapter 27, THE INSURANCE CONTRACT
Title 24-A - §3001. CONTRACTS SUBJECT TO GENERAL PROVISIONS
Title 24-A - Chapter 41, PROPERTY INSURANCE CONTRACTS |
Contracts subject to provisions of Property Chapter 41 and general provisions of Chapter 27 |
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| CREDIT SCORING |
Title 24-A - §2169-B. Use of consumer reports in insurance underwriting
Insurance – Bulletin 329 |
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| DISCRIMINATION |
Title
24-A - §2162. Unfair discrimination, rebates prohibited -- property,
casualty, surety insurance |
Restrictions on policy provisions relating to benefits
not associated with loss and reductions in premium associated with savings and expenses |
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| FICTITIOUS GROUPS |
Title
24-A - §2172. Fictitious groups |
Prohibited |
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| FRAUD WARNING |
Title
24-A - §2186. Insurance fraud prevention |
Statutory (or substantially similar) wording must be included on all applications (i.e. new business, renewal, supplemental, etc…) and claim forms. |
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| GROUP POLICIES |
Title
24-A - §2951. Group property and casualty insurance |
Property coverage is not eligible under the property and casualty law. |
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| LOSS PAYEE |
Insurance Bulletin 372
Title 24-A Ch. 41: Property Insurance Contracts - Subchapter 3: LIEN OF MORTGAGEES ON POLICIES |
Mortgagee notification must be consistent with Standard Fire Policy |
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| LOSS SETTLEMENTS |
Title 24-A - §3004-A. Actual cash value
Title 24-A §2436. Interest on overdue payments |
Statutory definition of ACV |
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| LOSS VALUATION |
Title 24-A - §3002. Standard fire policy required; exceptions
Title 24-A, §3004-A: Actual cash value |
See appraisal clause of Standard Fire Policy
Statutory definition of ACV applies |
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MINIMUM STANDARDS FOR CONTENT
(POLICIES AND STANDARD FORMS) |
Title 24-A §2414. Standard provisions, in general
Title 24-A - §3001. Contracts subject to general provisions
Title 24-A - §3004-A. Actual cash value
Title 24-A - Chapter 27, THE INSURANCE CONTRACT
Title 24-A – Chapter 41, Property Insurance Contracts
Title 24-A - MAINE INSURANCE CODE |
Statutory definition of ACV applies
Property contracts are subject to provisions of Chapter 41 and other applicable provisions of Title 24-A (The Maine Insurance Code) |
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| MORTGAGEE/LIENHOLDER |
Title
24-A - §3002. Standard fire policy required; exceptions
Insurance Bulletin 372 |
Must be consistent with the Maine Standard Fire Policy |
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| NOTICE OF CANCELLATION |
Title 24-A §3007. Property insurance contracts.
Insurance - Bulletin 201 |
Minimum 10 days advance notice required for cancellation & must allow for 3 days mail time, i.e., proof of mailing is not proof of receipt until the third calendar day after mailing; Also, notice must inform insured of right to request a hearing within 45 days of receipt of notice |
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| NOTICE OF NON-RENEWAL |
Title 24-A §3007. Property insurance contracts.
Insurance - Bulletin 201 |
Minimum 30 days advance notice required for nonrenewal & must allow for 3 days mail time, i.e., proof of mailing is not proof of receipt until the third calendar day after mailing |
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| PAYMENT OF LOSS TIME PERIOD |
Title 24-A, §2436: Interest on overdue payments |
Payment within thirty days and interest on overdue payments of 1.5% per month. |
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| POST JUDGMENT INTEREST |
Bulletin 353 : Bureau of Insurance
Title 14 § 1602-C
Interest after judgment |
Maine statutory law provides for the payment of post-judgment interest and case law has held that an insurer must pay post-judgment interest as a supplemental payment without regard to the policy terms (i.e. policy limit, sub-limits, exclusions, deductibles, retentions, etc…). |
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| PRIOR APPROVAL |
Title 24-A - §2412. Filing, approval of forms |
Statute contains a deemer provision |
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| PRIVACY NOTICE |
Title 24-A - §2206. Notice of insurance information practices |
See Title 24-A, Ch. 24 generally for insurance information and privacy protection. |
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| REBATES |
Title
24-A - §2162. Unfair discrimination, rebates prohibited --
property, casualty, surety insurance
Title
24-A - §2163. Receipt of rebate, illegal inducement prohibited
Insurance Bulletin 233 |
Sales inducements rebates prohibited unless contained in policy |
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| STANDARD FIRE POLICY |
Title
24-A - §3002. Standard fire policy required; exceptions |
Property coverage must include Maine Standard Fire Policy provisions. |
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| SUBROGATION |
Title 24-A, §3002: Standard fire policy required; exceptions |
See Property Policy Coverage Form. |
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| SUIT |
Title
24-A - §2433. Jurisdiction of courts, limitation of actions |
Insured must be given 2 years from date of loss to bring suit against the insurer |
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| TERRORISM |
Insurance Bulletin 348 |
Permitted on this line of business but cannot exclude Standard Fire Policy |
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| VOIDANCE |
Title 24-A, §2411: Representations in applications |
Insurers may not void coverage for concealment, misrepresentation or fraud except in compliance with Maine case law. See American Home Assurance Co. v. Ingeneri, 479 A.2d 897 (ME 1984). |
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| WARRANTIES |
Title
24-A - §2411. Representations in applications |
Statements on applications are deemed to be representations, not warranties |
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| RATE, RULE, RATING PLAN, CLASSIFICATION,
AND TERRITORY FILING REQUIREMENTS |
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| ADOPTIONS OF RATE SERVICE ORGANIZATIONS
(RSO) FILINGS |
Title
24-A - §2304-B. Reference filings
Insurance - Bulletin 176 |
Insurer may satisfy rate filing requirements by adopting
advisory organization filings and filing loss costs multiplier. |
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| BILIING FEES INSTALLMENTS, LATE, NSF & REINSTATEMENT) |
Title 24-A, §2304-A: Rate filings |
Considered part of rating plan. |
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| CATASTROPHE HAZARDS |
Title 24-A - §2303. Making of rates
Title 24-A, §2304-A: Rate filings |
Rate provisions must be supported by experience or relevant catastrophe models |
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| CONSENT-TO-RATE |
Title
24-A - §2308. Excess rates |
Permitted if rating manual filing previously filed does not contemplate the specific risk being assumed. |
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| CREDIBILITY & OTHER FACTORS |
Title
24-A - §2303: Making of rates |
Rate and loss costs multiplier calculation should reflect credibility. |
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| CREDIT SCORING AND REPORTS |
Title 24-A - §2169-B. Use of consumer reports in insurance underwriting
Insurance - Bulletin 329 |
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| DISCOUNTS |
Title
24-A, §2304-A: Rate filings |
Credits must be filed |
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| EXPENSE MODIFICATION PLAN |
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Considered part of rating plan. |
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| EXPENSES |
Title 24-A - §2303. Making of rates |
Rate and loss costs multiplier calculation should reflect expenses of insurer. |
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| EXPERIENCE |
Title 24-A - §2303. Making of rates |
Rate and loss costs multiplier calculation should reflect experience of insurer. |
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| EXPERIENCE RATING |
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Considered part of rating plan. |
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| GROUP POLICIES |
Title
24-A - §2951. Group property and casualty insurance |
Property coverage is not eligible under the property and casualty law. |
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| IRPM |
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Considered part of rating plan. |
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| JUDGMENT |
Title 24-A, §2303: Making of rates |
Rate and loss costs multiplier calculation may reflect judgment of insurer. |
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| LARGE DEDUCTIBLE |
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Considered part of rating plan. |
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| LOSS COST MULTIPLIERS |
Title
24-A - §2304-B. Reference filings
Insurance
- Bulletin 176 |
Insurer may satisfy rate filing requirements by adopting
advisory organization filings and filing loss costs multiplier. |
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| LOSS COSTS |
Title 24-A - §2304-B. Reference filings
Insurance - Bulletin 176 |
Insurer may satisfy rate filing requirements by adopting advisory organization filings and filing loss costs multiplier. |
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| MINIMUM PREMIUM RULES |
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Considered part of rating plan. |
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| MULTI-TIER |
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Considered part of rating plan. |
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| OTHER – LARGE COMMERCIAL RISKS |
Title 24-A, §2412-A: Large commercial contracts |
Insurers exempt from filing rate/rule/forms to be issued specifically to large commercial risks; refer to statute for qualifying criteria for risks in this category |
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| OTHER FEES |
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Considered part of rating plan. |
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| PAYMENT PLANS |
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Considered part of rating plan. |
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| PREMIUMS |
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Considered part of rating plan. |
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| PRICING |
Title
24-A - §2302-A. Definitions
Title
24-A - §2303. Making of rates
Title
24-A - §2304-A. Rate filings
Title
24-A - §2304-B. Reference filings
Insurance - Bulletin 176 |
All aspects of pricing must be filed and supported
and/or may adopt advisory organization reference filings and file loss costs multiplier. |
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| PROFIT LOADING |
Title 24-A, §2303: Making of rates |
Rate and loss costs multiplier calculation may reflect profit loading and must include consideration for investment income. |
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| RATE/LOSS COST SUPPORTING INFORMATION |
Title 24-A - §2302-A. Definitions
Title 24-A - §2303. Making of rates
Title 24-A - §2304-A. Rate filings
Title 24-A - §2304-B. Reference filings
Insurance - Bulletin 176 |
All aspects of pricing must be filed and supported and/or may adopt advisory organization reference filings and filing loss costs multiplier. |
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| RATING PLAN REQUIREMENTS |
Title
24-A - §2304-A. Rate filings
Insurance - Bulletin 176 |
All aspects of pricing must be filed and supported
and/or may adopt advisory organization reference filings and filing loss costs multiplier. |
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| RETROSPECTIVE RATING |
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Considered part of rating plan. |
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| RETURN ON EQUITY/INVESTMENT INCOME |
Title
24-A - §2303. Making of rates
Title
24-A - §2304-A. Rate filings |
Profit must give consideration to investment income
Manual rates, minimum premiums, class rates, rating schedules
or rating plans, every other rating rule, and every modification
to the foregoing should be filed and supported |
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| RISK CLASSIFICATION |
Title
24-A - §2303: Making of rates |
Permitted |
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| SCHEDULE RATING |
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Considered part of rating plan. |
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| SERVICE CHARGES |
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Considered part of rating plan. |
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| SMALL DEDUCTIBLE |
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Considered part of rating plan. |
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| SUPPORTING DATA |
Title
24-A - §2302-A. Definitions
Title
24-A - §2303. Making of rates
Title
24-A - §2304-A. Rate filings
Title
24-A - §2304-B. Reference filings
Insurance - Bulletin 176 |
All aspects of pricing must be filed and supported
and/or may adopt advisory organization reference filings and filing loss costs multiplier. |
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| SURCHARGES |
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Considered part of rating plan. |
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| TRENDING |
Title
24-A - §2303. Making of rates
Title
24-A - §2304-A. Rate filings |
All aspects of pricing must be filed and supported
and/or may adopt advisory organization reference filings and filing loss costs multiplier. |
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