Procedures for furnishing rating information under Article VII-A.

January 15, 1970 SUBJECT: INSURANCE Circular Letter No. 3 (1970) WITHDRAWN TO ALL INSURERS AUTHORIZED TO TRANSACT FIRE, MARINE AND CASUALTY INSURANCE BUSINESS IN THIS STATE AND RATING ORGANIZATIONS RE: PROCEDURES FOR FURNISHING RATING INFORMATION UNDER ARTICLE VII-A Under Section 178(2) it is required that: "Every insurer and rating organization shall monthly furnish the Superintendent all changes in the rating rules and schedules of rates such insurer or rating organization is then using in this state, and shall quarterly furnish the Superintendent statistical, rating and other information in support of changes in rating rules, schedules of rates and rating classifications and territories. Such rules, schedules and information shall be available for public inspection at the Department." In accordance with the new law, every insurer and rating organization is required to furnish the Superintendent, no later than the end of each month all changes in its rating rules and schedules of rates. These changes are to be furnished in manual page form. A copy of the form to be completed is attached. FOR USE BY RATING ORGANIZATIONS NEW YORK INSURANCE LAW SEC. 178(2) REPORT OF CHANGES IN RATING RULES AND SCHEDULES OF RATES FOR THE CALENDAR MONTH ENDING __________, 19__ OF THE_________________________(RATING ORGANIZATION). NOTE: A SEPARATE REPORT MUST BE FILLED OUT FOR EACH SUBDIVISION OF A KIND OF INSURANCE AFFECTED The (see Note 1) _____ manual pages enclosed clearly identify all changes and present a full and complete disclosure of every change in rating rules and schedules of rates effective on an advisory basis during the month of _______________, 19__, according to the authorized officer's best knowledge, information and belief. The average effect of these changes is estimated to be _______% on $ _______of premium annually for (see Note 2) _____ insurance coverage in the state of New York. Date___________, 19___ _________________________ Authorized Officer _________________________ Title Notes: 1. Give the number of pages enclosed. 2. Give the appropriate subdivision of the kind of insurance affected. FORM TO BE SUBMITTED NOT LATER THAN THE LAST DAY OF THE MONTH INDICATED ABOVE CAB 70-01 CL 1 Mo.-R.O. ________________________________________ Name of Insurer or rating organization QUARTERLY INTERROGATORY FOR CALENDAR QUARTER ENDING _____________, 19__ PART A IS YOUR SUPPORT FOR THE CHANGES IN RATING RULES AND SCHEDULES OF RATES BASED ON THE FOLLOWING? (Sec. 178(2) - ATTACH STATISTICAL, RATING AND OTHER INFORMATION IN SUPPORT THEREFOR) If Yes, Indicate Whose Experience (a) Your own (b) *Other Insurers" Where Found (c) *Rating In The Organizations" or No (d) *Any Other Attached Support Loss Experience A. Within New York State 1. Past _____ ________________ _______________ 2. Prospective _____ ________________ _______________ 3. Conflagration _____ ________________ _____________ 4. Catastrophe _____ ________________ _______________ B. Outside N.Y.S. 1. Past _____ ________________ ______________ 2. Prospective _____ _______________ ______________ 3. Conflagration _____ ________________ ______________ 4. Catastrophe _____ ________________ _______________ Reasonable Profit _____ ____XXXXXXXX____ ______________ Expenses A. Within this State 1. Past _____ ________________ _____________ 2. Prospective _____ ________________ ______________ B. Countrywide 1. Past _____ ________________ ______________ 2. Prospective _____ _______________ ______________ Any Other Relevant Factors 1._________ _____ __________________________________ 2._________ _____ __________________________________ 3._________ _____ __________________________________ A. Policy-holders" Dividends______________________________________ B. Savings or Unabsorbed Premium Deposits NOTE: A SEPARATE REPORT MUST BE FILLED OUT FOR EACH SUBDIVISION OF A KIND OF INSURANCE AFFECTED * Identify THE ANSWERS TO THE WITHIN EXHIBITS ARE FULL AND TRUE STATEMENTS ACCORDING TO THE AUTHORIZED OFFICER'S BEST KNOWLEDGE, INFORMATION AND BELIEF Date________, 19__ CAB 70-01 CL 1 Q-A1 _________________________ (Authorized Officer, Title) _________________________ Name of Insurer QUARTERLY INTERROGATORY FOR CALENDAR QUARTER ENDING__________, 19__ PART B To the extent that an insurer uses schedules of rates or rules that are identical to the advisory rules or rates of a rating organization, the insurer may use Part B in lieu of Part A and furnish the following: Name of Rating Organization __________ Effective Date of Rating Organization's change in rating rules or schedules of rates __________ NOTE: A SEPARATE REPORT MUST BE FILLED OUT FOR EACH SUBDIVISION OF A KIND OF INSURANCE AFFECTED THE ABOVE INFORMATION ARE FULL AND TRUE STATEMENTS ACCORDING TO THE AUTHORIZED OFFICER'S BEST KNOWLEDGE, INFORMATION AND BELIEF. Date _______________, 19__ _________________________ Authorized Officer _________________________ Title CAB 70-01 CL 1 Q-B-Co.