NJ DOBI Bulletin 2004-16
Annual Premium Survey: N.J.A.C. 11:3-45 Appendix 1 (PDF) Appendices 2-4 (MS Excel)
State of New Jersey
DEPARTMENT OF BANKING AND INSURANCE
PO BOX 325
TRENTON, NJ 08625-0325
Tel (609) 292-5360
Visit us on the Web at www.njdobi.org
New Jersey is an Equal Opportunity Employer • Printed on Recycled Paper and Recyclable
JAMES E. MCGREEVEY
Governor
HOLLY C. BAKKE
Commissioner
BULLETIN NO. 04-16
TO:
ALL NEW JERSEY PRIVATE PASSENGER AUTOMOBILE INSURERS
FROM:
HOLLY C. BAKKE, COMMISSIONER
RE:
ANNUAL PREMIUM SURVEY: N.J.A.C. 11:3-45
ANNUAL PREMIUM SURVEY INFORMATION
Pursuant to N.J.S.A. 39:6A-23.1, the Commissioner of Banking and Insurance each year
conducts a premium survey of private passenger automobile insurers and publishes the results of
the information for the benefit of consumers. N.J.A.C. 11:3-45 sets forth a standard procedure to
be employed for the dissemination of the survey information. In accordance with N.J.A.C. 11:3-
45.3(b), this Bulletin is being issued to advise all insurers of the survey information they should
use to complete their annual responses.
Appendix #1 is a copy of the survey information from which the sample premiums shall
be calculated. There are seven survey examples with variations, and each of the sample
premiums should be calculated for each rating territory.
Appendix #2 is a copy of the approved survey certification form that should be completed
and signed by a corporate official attesting to the accuracy of the rates.
Appendix # 3 is a copy of the worksheet that shows the insurer’s total premiums by
example (see Appendix # 1) and by territory. Please provide a detailed explanation for every
rating example where your company(ies) do(es) not have a premium calculated.
Appendix # 4 is a worksheet that shows the insurer’s calculations used to obtain the
various coverages and the total premium for each example (Appendix #1) for all 27 PAIP
territories. Each Appendix #4 worksheet should identify the tier in which the risk is placed and
all assumptions used in making this placement.
Additional copies of this Bulletin, the criteria for rating examples and additional work
sheets can be obtained from the Department’s web page: www.njdobi.org.
2
The completed survey (Appendicies #2, #3 and # 4) should be filed with the Department
on or before September 15, 2004 and should reflect annual premiums that are effective for NEW
BUSINESS as of October 1, 2004.
It shall be submitted as an Excel spreadsheet by either e-mail, CD-ROM, or floppy
diskette. The required blank Excel spreadsheet may be downloaded at the Department’s web-site
at www.njdobi.org. The spreadsheet name is APS2004.xls.
Upon completion, the survey should be sent to:
Department of Banking and Insurance
Office of Property and Casualty
Attention: Automobile Premium Comparison Survey
20 West State Street
P.O. Box 325
Trenton, NJ 08625-0325
E-Mail Address: reports@dobi.state.nj.us
All insurers are reminded that failure to comply with these requirements can result in
penalties authorized by law.
8/19/04
/s/ Holly C. Bakke_____
Date
Holly C. Bakke
Commissioner
Attachments
Appendix 1
Spreadsheet APS2004.xls (1.6 MB)
Note: The spreadsheet contains Appendices 2, 3 and 4
* Requires Adobe Acrobat Reader
ROG04-10/INOORD