ins commissioners memorandum 6r

STATE OF HAWAII INSURANCE DIVISION DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS P.O. Box 3614 September 10, 2004 Memorandum 2004-6R Honolulu, HI 96811 TO: All Motor Vehicle Insurers Authorized in the State of Hawaii FROM: J.P. Schmidt, Insurance Commissioner SUBJECT: Annual Publication of Motor Vehicle Insurers and Premiums Pursuant to section 431:10C-210, Hawaii Revised Statutes, the Insurance Commissioner shall publish in a newspaper of general circulation in the State a list of all motor vehicle insurers with representative annual premiums for motor vehicle insurance. The Hawaii Insurance Division intends to publish this listing based on insurers’ rates in effect on November 1, 2004. The representative premium listing will be based on a new applicants request for the minimum coverages required under the Hawaii Motor Vehicle Insurance Law, and may include required optional additional coverages, as follows: $20,000/$40,000 Bodily Injury Liability $10,000 Property Damage Liability $10,000 Personal Injury Protection $20,000/$40,000 Uninsured Motorist Coverage, Stacked $20,000/$40,000 Underinsured Motorist Coverage, Stacked $100 Deductible Comprehensive $500 Deductible Collision Automobile: 2003 Honda Accord DX, 4-door sedan, VIN 1HGCM561&3 (I.S.O., VSR=03-8; OCN=03-11) Note: Premiums are to be provided for a new applicant who is the sole owner of one vehicle. Any discounts/surcharges afforded to new applicants must be separately identified on the worksheet. Each insurer shall provide for the Commissioner’s review the representative annual premium quotations on the enclosed worksheets no later than October 12, 2004. Note the following: 1. If, within the next 90 days, your company is proposing to implement a rate revision, an additional set of worksheets must be completed reflecting your proposed rates. 2. Any insurer desiring special annotations or exclusion from this publication listing may provide a written request for such consideration by the Commissioner in addition to the insurers’ premium quotations. (Insurers declaring that no new applicants are being accepted, must complete worksheets for renewal business). Insurers providing motor vehicle policies in accordance with §431-12, Hawaii Revised Statutes, Mass Merchandising of Insurance, shall provide the address, telephone number and name of a contact person at the insurer’s office in the State designated to conduct the administration of its business and handle claims. Insurers may request an additional listing to be labeled as a mass merchandising premium. Questions may be directed to the Insurance Division’s Rate and Policy Analysis Section at (808)586-2809. A motor vehicle insurer that does not transact private passenger auto business in Hawaii should submit a letter stating such exemption. This Memorandum (with worksheets) will be posted on our website: www.hawaii.gov/dcca/ins/commissioners_memorandums.html As strict publication deadlines have been imposed, it is imperative that insurers submit accurate reports by the indicated deadline. Pursuant to §431:10C-215 and §431:14-117 HRS, failure to comply may subject your company to a civil penalty of not less than $500 and not to exceed $5,000. Enclosures: Worksheets A, B, C, D, OT, A-Supplement, Summary Sheet If your rating factors for pleasure use, clear driving record, and single vehicle are other than 1.00, you must complete Worksheet A-Supplement in addition to the physical damage portion of this worksheet. Insurance Company Company's latest rate level adjustment effective as of HAWAII PREMIUM QUOTATIONS Policy Effective Date: November 1, 2004 Age/ Automobile: 2003 Honda Accord, DX, 4-Dr Sedan Symbol Model Year (I.S.O., V.S.R. = 03-8) Classification: Pleasure Use, Primary Rating Factor Clear Driving Record Secondary Rating Factor Primary + Secondary *Other *Other Rating Rating Rating ANNUAL Base Premium Factor Factor Factor PREMIUM Territory 01 – Oahu $20,000/40,000 BI $10,000 PD $10,000 Basic PIP $20,000/40,000 UM (S) $20,000/40,000 UIM (S) (To be reported on summary sheet) Sub Total: $100 Ded Comp $500 Ded Coll Total: Territory 03 – Maui $20,000/40,000 BI $10,000 PD $10,000 Basic PIP $20,000/40,000 UM (S) $20,000/40,000 UIM (S) (To be reported on summary sheet) Sub Total: $100 Ded Comp $500 Ded Coll Total: Territory 04 – Kauai $20,000/40,000 BI $10,000 PD $10,000 Basic PIP $20,000/40,000 UM (S) $20,000/40,000 UIM (S) (To be reported on summary sheet) Sub Total: $100 Ded Comp $500 Ded Coll Total: Territory 05 – Hawaii $20,000/40,000 BI $10,000 PD $10,000 Basic PIP $20,000/40,000 UM (S) $20,000/40,000 UIM (S) (To be reported on summary sheet) Sub Total: $100 Ded Comp $500 Ded Coll Total: (S) = stacked *Other Rating Factors - Explain: Responsible Officer: (Name) (Title) (Address) WORKSHEET A Insurance Company Company's latest rate level adjustment effective as of HAWAII PREMIUM QUOTATIONS Policy Effective Date: November 1, 2004 Age/ Automobile: 2003 Honda Accord, DX, 4-Dr Sedan Symbol Model Year (I.S.O., V.S.R. = 03-8) Classification: Pleasure Use, Primary Rating Factor One (1) Accident, Secondary Rating Factor $1,000 Property Loss Only No Surcharge On At-Fault Accidents Under $ Primary + Secondary Rating Base Premium Factor *Other *Other Rating Rating ANNUAL Factor Factor PREMIUM Territory 01 – Oahu $20,000/40,000 BI $10,000 PD $10,000 Basic PIP $20,000/40,000 UM (S) $20,000/40,000 UIM (S) (To be reported on summary sheet) Sub Total: $100 Ded Comp $500 Ded Coll Total: Territory 03 – Maui $20,000/40,000 BI $10,000 PD $10,000 Basic PIP $20,000/40,000 UM (S) $20,000/40,000 UIM (S) (To be reported on summary sheet) Sub Total: $100 Ded Comp $500 Ded Coll Total: Territory 04 – Kauai $20,000/40,000 BI $10,000 PD $10,000 Basic PIP $20,000/40,000 UM (S) $20,000/40,000 UIM (S) (To be reported on summary sheet) Sub Total: $100 Ded Comp $500 Ded Coll Total: Territory 05 – Hawaii $20,000/40,000 BI $10,000 PD $10,000 Basic PIP $20,000/40,000 UM (S) $20,000/40,000 UIM (S) (To be reported on summary sheet) Sub Total: $100 Ded Comp $500 Ded Coll Total: (S) = stacked *Other Rating Factors - Explain: Responsible Officer: (Name) (Title) (Address) WORKSHEET B Insurance Company Company's latest rate level adjustment effective as of HAWAII PREMIUM QUOTATIONS Policy Effective Date: November 1, 2004 Age/ Automobile: 2003 Honda Accord, DX, 4-Dr Sedan Symbol Model Year (I.S.O., V.S.R. = 03-8) Classification: Pleasure Use, Primary Rating Factor One (1) Speeding Conviction Secondary Rating Factor Primary + Secondary *Other *Other Rating Rating Rating ANNUAL Base Premium Factor Factor Factor PREMIUM Territory 01 – Oahu $20,000/40,000 BI $10,000 PD $10,000 Basic PIP $20,000/40,000 UM (S) $20,000/40,000 UIM (S) (To be reported on summary sheet) Sub Total: $100 Ded Comp $500 Ded Coll Total: Territory 03 – Maui $20,000/40,000 BI $10,000 PD $10,000 Basic PIP $20,000/40,000 UM (S) $20,000/40,000 UIM (S) (To be reported on summary sheet) Sub Total: $100 Ded Comp $500 Ded Coll Total: Territory 04 – Kauai $20,000/40,000 BI $10,000 PD $10,000 Basic PIP $20,000/40,000 UM (S) $20,000/40,000 UIM (S) (To be reported on summary sheet) Sub Total: $100 Ded Comp $500 Ded Coll Total: Territory 05 – Hawaii $20,000/40,000 BI $10,000 PD $10,000 Basic PIP $20,000/40,000 UM (S) $20,000/40,000 UIM (S) (To be reported on summary sheet) Sub Total: $100 Ded Comp $500 Ded Coll Total: (S) = stacked *Other Rating Factors - Explain: Responsible Officer: (Name) (Title) (Address) WORKSHEET C Insurance Company Company's latest rate level adjustment effective as of HAWAII PREMIUM QUOTATIONS Policy Effective Date: November 1, 2004 Age/ Automobile: 2003 Honda Accord, DX, 4-Dr Sedan Symbol Model Year (I.S.O., V.S.R. = 03-8) Classification: Pleasure Use, Primary Rating Factor One (1) Driving Under Influence Secondary Rating Factor With Proof of Financial Responsibility (SR-22) SR-22 Rating Factor [ ] Insurer does not accept NEW applicants with DUI conviction [ ] Insurer does not accept NEW applicants with Administrative License Revocations Primary + Secondary *Other *Other Rating Rating Rating ANNUAL Base Premium Factor Factor Factor PREMIUM Territory 01 – Oahu $20,000/40,000 BI $10,000 PD $10,000 Basic PIP $20,000/40,000 UM (S) $20,000/40,000 UIM (S) (To be reported on summary sheet) Sub Total: $100 Ded Comp $500 Ded Coll Total: Territory 03 – Maui $20,000/40,000 BI $10,000 PD $10,000 Basic PIP $20,000/40,000 UM (S) $20,000/40,000 UIM (S) (To be reported on summary sheet) Sub Total: $100 Ded Comp $500 Ded Coll Total: Territory 04 – Kauai $20,000/40,000 BI $10,000 PD $10,000 Basic PIP $20,000/40,000 UM (S) $20,000/40,000 UIM (S) (To be reported on summary sheet) Sub Total: $100 Ded Comp $500 Ded Coll Total: Territory 05 – Hawaii $20,000/40,000 BI $10,000 PD $10,000 Basic PIP $20,000/40,000 UM (S) $20,000/40,000 UIM (S) (To be reported on summary sheet) Sub Total: $100 Ded Comp $500 Ded Coll Total: (S) = stacked *Other Rating Factors - Explain: Responsible Officer: (Name) (Title) (Address) WORKSHEET D Insurance Company Company's latest rate level adjustment effective as of HAWAII PREMIUM QUOTATIONS Policy Effective Date: November 1, 2004 Age/ Automobile: 2003 Honda Accord, DX, 4-Dr Sedan Symbol Model Year (I.S.O., V.S.R. = 03-8) Other Territory (describe): Primary + Secondary *Other *Other Rating Rating Rating ANNUAL Base Premium Factor Factor Factor PREMIUM Worksheet A Profile: Pleasure, Clear Driving Record $20,000/40,000 BI $10,000 PD $10,000 Basic PIP $20,000/40,000 UM (S) $20,000/40,000 UIM (S) (To be reported on summary sheet) Sub Total: $100 Ded Comp $500 Ded Coll Total: Worksheet B Profile: Pleasure, 1 Accident Under $1,000 Property Loss $20,000/40,000 BI $10,000 PD $10,000 Basic PIP $20,000/40,000 UM (S) $20,000/40,000 UIM (S) (To be reported on summary sheet) Sub Total: $100 Ded Comp $500 Ded Coll Total: Worksheet C Profile: Pleasure, 1 Speeding Conviction $20,000/40,000 BI $10,000 PD $10,000 Basic PIP $20,000/40,000 UM (S) $20,000/40,000 UIM (S) (To be reported on summary sheet) Sub Total: $100 Ded Comp $500 Ded Coll Total: Worksheet D Profile: Pleasure, 1 DUI Conviction With SR-22 $20,000/40,000 BI $10,000 PD $10,000 Basic PIP $20,000/40,000 UM (S) $20,000/40,000 UIM (S) (To be reported on summary sheet) Sub Total: $100 Ded Comp $500 Ded Coll Total: (S) = stacked *Other Rating Factors - Explain: Responsible Officer: (Name) (Title) (Address) WORKSHEET OT (file only if applicable) If your rating factors for pleasure use, clear driving record, and single vehicle are other than 1.00, you must complete Worksheet A-Supplement in addition to the physical damage portion of Worksheet A. Insurance Company Company's latest rate level adjustment effective as of Classification: Pleasure Use DETERMINATION OF RATES AT BASE LIMITS Clear Driving Record Policy Effective Date: November 1, 2004 Age/ Single Vehicle Automobile: 2003 Honda Accord, DX, 4-Dr Sedan Symbol Model Year One Registered Owner (I.S.O., V.S.R. = 03-8) One Driver/One Vehicle As Reflected in Manual Disclose all rating relativities used in deriving annual base rates to adjust to: Min Required Pleasure Use Clean Driving Single Vehicle *Other *Other Limits Rates Statutory Adjustment Adjustment Territory 01 – Oahu Limits Record BI PD PIP UM (S) UIM (S) (To be reported on summary sheet) Sub Total: Territory 03 – Maui BI PD PIP UM (S) UIM (S) (To be reported on summary sheet) Sub Total: Territory 04 – Kauai BI PD PIP UM (S) UIM (S) (To be reported on summary sheet) Sub Total: Territory 05 – Hawaii BI PD PIP UM (S) UIM (S) (To be reported on summary sheet) Sub Total: ANNUAL BASE RATES AT MINIMUM REQUIRED STATUTORY LIMITS FOR SINGLE VEHICLE ONE REGISTERED OWNER $20,000/40,000 BI $10,000 PD $10,000 Basic PIP $20,000/40,000 UM (S) $20,000/40,000 UIM (S) $20,000/40,000 BI $10,000 PD $10,000 Basic PIP $20,000/40,000 UM (S) $20,000/40,000 UIM (S) $20,000/40,000 BI $10,000 PD $10,000 Basic PIP $20,000/40,000 UIM (S) $10,000 PD $10,000 Basic PIP $20,000/40,000 UM (S) $20,000/40,000 UIM (S) $20,000/40,000 UM (S) $20,000/40,000 BI (S) = stacked *Other Rating Factors - Explain: Responsible Officer: (Name) (Title) (Address) WORKSHEET A-Supplement (file only if applicable) Summary Sheet - Rates in effect November 1, 2004 Insurance Company Record the subtotals from worksheets A (or A-Supplement), B, C, and D below: Subtotals = $20,000/40,000 BI $10,000 PD $10,000 PIP $20,000/40,000 UM, STACKED $20,000/40,000 UIM, STACKED ANNUAL PREMIUM Oahu (01) Maui (03) Kauai (04) Hawaii (05) Other Territory* Worksheet A (or A-Supplement) (Pleasure, Clear record) Worksheet B (Pleasure, 1 accident, $1,000 property loss) Worksheet C (Pleasure, 1 speeding conviction) Worksheet D (Pleasure, 1 DUI conviction w/SR-22) * Insurers with other territories must complete worksheet OT