FSCO.PPA&TECH NOTES Flashcards
risk classification elements (rating variables) that are prohibited in Ontario [Hint: C-CONES]
[1] Claims where fault ≤ 25%
[2] Credit history
[3] Occupation (some exceptions)
[4] Net worth
[5] Employment
[6] Salary
what are the requirements for regulatory approval of territorial changes
[1] direction of [proposed change] must be the same as direction of [indicated change] (both up or both down)
[2] magnitude of [proposed change] must be less than magnitude of [indicated change]
[3] magnitude of [proposed change] must be in the interval (-10%, 10%)
For ON, list the types/subtypes of approval processes - types (2) + subtypes (2)
- prior approval (major requirements, simplified guidelines). Ex: PPA (on OAP1 ON major filing), FA, commercial, miscelaneous automobiles
- file & use (major requirements, minor requirements)
describe the UDAP (Unfair or Deceptive Acts or Practices) requirement regarding rate levels among affiliates
basically, it is unfair or deceptive if the insurer fails to provide the lowest rate among all affiliates
describe FSCO prior approval & give examples of vehicle classes to which it applie
For prior approval, FSCO must approve the following before rates can be used:
* rates
* rate changes
* risk classification
Examples where prior approval can be used:
* PPA on OAP1 (Private Passenger Auto written using the standard Ontario Auto Policy 1)
* FA (Facility Association)
describe FSCO expedited approval & give examples of vehicle classes to which it applies
Expedited approval is a type of prior approval with approval in 30 days
Example where expedited approval can be used:
* PPA on OAP1
* FA is excluded (not eligible for expedited approval)
describe FSCO file & use & give examples of vehicle classes to which it applies
For file & use, the insurer must file:
* rates
* rate changes
* risk classification
THEN regulators have 30 days to approve otherwise rates can be used without approval
Examples:
* other than PPA
* commercial auto
* endorsements
* FA is excluded (not eligible for expedited approval)
what is OPCF-44R
- coverage for ‘underinsured MOTORIST’ (as opposed to ‘uninsured AUTO’)
- it is the difference between (your TPL limit) & (at-fault driver’s TPL limit)
identify regulatory requirements when changing territory factors in a major filing (DIFFERENT than a simplified filing)
REBASE (current, indicated, proposed) territorial relativities
CALCULATE (indicated change, proposed change)
CHECK:
- (indicated, proposed) changes have the same sign
- magnitude (proposed change) < magnitude (indicated change)
- magnitude (propsed change) < 10% }
officer certifications in major filings (timing & officer qualifications)
qualifications: CEO, COO, CFO, Chief Agent in Canada when required: always
what filing items must an OFFICER certify (4)
- Effective Dates: for new & renewal business
- Guidelines: must certify compliance
- Info/data: certify accuracy & completeness
- Rates: reasonable, not unfairly discriminatory, don’t impair solvency
what filing items must an ACTUARY certify (6)
- Effective Dates: for new & renewal business
- Vehicle classification system
- that Actuary has been authorized by insurer
- that Data is RelSuf (reliable & sufficient)
- that AAP (Accepted Actuarial Practice) was used
- that Risk classification system is reasonable
ACTUARIAL certifications in major filings - (timing & required actuarial designation)
qualifications: actuary must be FCIA
when required: when rates change or there is a new LOB (Line of Business)
is actuary’s certification needed for fleets?
no, but it IS needed for (endorsements, commercial vehicles insured by FA or Facility Association)
what information is generally required in a rate filing (3)
[1] (data, narrative): all steps for rate changes
[2] (assumptions, methods): regulator should be able to trace steps from raw data TO final rates
[3] NOT REQUIRED: a specific methodology mandated by FSCO