HAR §16-23-65. Quarterly report

(a) Each insurer shall maintain a quarterly report covering the matters described in this section. Groups of companies shall also maintain quarterly reports on a combined basis. Each insurer and group of companies shall make available and submit quarterly reports to the commissioner at the commissioner's request. (b) A census of vehicles insured as of the end of each calendar quarter shall be maintained. Within forty-five days of the end of the fourth quarter, the fourth quarter census shall be filed with the commissioner. The census of the vehicles insured shall indicate the following characteristics: (1) Territory; (2) Private passenger non fleet, motorcycle, or commercial; §16-23-65 23-26 (3) Number in paragraph (2) with optional additional coverage for: (A) Limits of personal injury protection benefits; (B) Limits of bodily injury liability benefits; (C) Alternative providers benefits; (D) Wage loss benefits; (E) Death benefits; (F) Funeral benefits; (G) Comprehensive, fire, and theft; and (H) Collision; (4) Number in paragraph (2) with personal injury protection benefits subject to: (A) Deductibles; (B) Co-payments; or (C) Managed care; and (5) Number of insured vehicles charged a rate for basic coverage above the insurer's basic rate for the use classification, mileage, and territory of the vehicle. (c) Experience under Hawaii motor vehicle insurance policies shall be maintained by accident quarter, developed through the end of the quarter of the report: (1) Experience shall be filed separately for private passenger non fleet, motorcycles, and commercial; (2) Experience shall be filed separately for personal injury protection, alternative providers, wage loss, death, funeral, bodily injury liability, property damage liability, uninsured motorist, underinsured motorist, and for physical damage; and (3) The following data shall be shown for each classification: (A) Car years: written (except earned commercial) (B) Gross premiums: written earned (C) Number of claims: incurred pending as of report date §16-23-65 23-27 (D) Losses & allocated loss adjustment expense: (i) Paid on closed claims; (ii) Paid on open claims; (iii) Reserve for outstanding reported losses; and (iv) Reserve for incurred but not reported losses. (Number of claims, in the case of personal injury protection, alternative providers, wage loss, death, funeral, uninsured motorist, and underinsured motorist benefits means the number of injured persons receiving benefits. Paid losses should be net of any salvage or subrogation received. Reserve for outstanding reported losses is the amount unpaid as of the report date.) (d) Data relating to number of policies canceled or refused renewals shall be maintained. Within forty-five days of the end of the fourth quarter, the data for the fourth quarter shall be filed with the commissioner. Data shall be maintained and filed relating to number of policies canceled or refused renewals due to the following: (1) Nonpayment of premium; (2) License suspended or revoked; (3) Policyholder request; (4) Policyholder eligibility; (5) Notices of non-renewal; (6) Notices of conditional renewal; (7) Cancellation within sixty days of policy period for paragraphs (1) or (2); and (8) Other conditions which shall be described. (e) Data relating to claims for personal injury protection benefits shall be maintained as follows: (1) Number of claims closed without payment; (2) Number of claims in suit at end of the quarter; (3) Number of claims where suit was instituted during the quarter; (4) Number of claims where accrued benefits were unpaid thirty days after reasonable proof §16-23-65 23-28 had been received, and the amount of interest penalty paid as a result thereof; and (5) Number of claims denied during the quarter. This section of the report shall contain an analysis of the reasons for the resistance to or denial of the claims in paragraphs (2), (3), and (5). (f) When requested by the commissioner, reports shall be filed in a format prescribed by the commissioner. [Eff 9/1/74; am and ren §16-23-65, 7/7/80; am 9/1/80; am and comp 9/1/82; comp 9/1/85; comp 9/1/88; am and comp 9/15/89; comp 9/1/90; am and comp 6/1/93; am and comp 1/1/98; comp 1/8/99; am and comp 11/11/12; comp 7/2/22; am and comp 4/17/26] (Auth: HRS §431:10C-214) (Imp: HRS §431:10C-215)