Question

Difficulty: MediumRates and Forms Regulation

Arrange the following events in the correct chronological sequence to illustrate how a 'deemer provision' operates when an insurer files a new policy form in a prior approval jurisdiction.

  1. 1The insurer submits the proposed policy form and rate data to the state Department of Insurance.
  2. 2A statutory waiting period begins, during which the insurer is strictly prohibited from issuing the new policy.
  3. 3The statutory time limit expires without the Commissioner issuing an official approval, disapproval, or extension request.
  4. 4The policy form is considered automatically approved by law and the insurer legally begins using it.

Answer

The correct sequence is: submission of the filing, commencement of the waiting period, expiration of the time limit without Commissioner action, and finally, automatic approval via the deemer provision.
In a prior approval system with a deemer provision, the process always starts with the insurer filing the forms. This triggers a statutory waiting period during which the forms cannot be used. If the Commissioner fails to act (neither approving nor disapproving) before this waiting period expires, the deemer provision automatically approves the forms, allowing the insurer to legally implement them without formal written consent.

Step-by-Step Solution

1
Identify the initiating event of the form approval process.
The process begins with the insurer submitting the proposed policy form to the Department of Insurance.
Regulatory review cannot occur until the insurer officially files the documents.
2
Determine what immediately follows the filing.
A statutory waiting period begins, preventing immediate use of the forms.
Prior approval jurisdictions require a built-in time frame for the state to review forms before they enter the market.
3
Identify the condition that triggers a deemer provision.
The waiting period expires without any formal action or response from the Commissioner.
The deemer provision only activates if the regulator fails to approve or disapprove the filing within the allotted statutory timeframe.
4
Determine the final result of the deemer provision taking effect.
The policy form is legally deemed approved and can be implemented by the insurer.
This mechanism ensures insurers are not stalled indefinitely by administrative delays at the Department of Insurance.

Key Concept

Deemer Provisions and Policy Form Approval
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