| (ii) expected to result in a loss ratio at least as
great as that originally anticipated in the rates used to produce
current premium by the issuer for the Medicare supplement insurance
policies or contracts.
(B) No premium adjustment that would modify the loss
ratio experience under the policy, other than the adjustments described
in this subsection, should be made with respect to a policy at any
time other than on its renewal date or anniversary date.
(C) If an issuer fails to make premium adjustments
that are acceptable to the Commissioner, the Commissioner may order
premium adjustments, refunds, or premium credits deemed necessary
to achieve the loss ratio required by this section.
(2) Any appropriate riders, endorsements, or policy
forms needed to accomplish the Medicare supplement insurance modifications
necessary to eliminate benefit duplications with Medicare must be
filed. The riders, endorsements, or policy forms must provide a clear
description of the Medicare supplement benefits provided by the policy
or contract.
(h) Maintenance of data. Incurred claims and earned
premium experience must be maintained for each policy form with business
in force in Texas, by calendar year of issue, and must be made available
to the department.
|
| Source Note: The provisions of this §3.3307 adopted to be effective June 1, 1982, 7 TexReg 1303; amended to be effective February 14, 1990, 15 TexReg 540; amended to be effective December 1, 1990, 15 TexReg 6594; amended to be effective April 15, 1992, 17 TexReg 2238; amended to be effective January 1, 1997, 21 TexReg 10753; amended to be effective May 10, 2005, 30 TexReg 2669; amended to be effective June 13, 2018, 43 TexReg 3787; amended to be effective August 9, 2021, 46 TexReg 4856 |
