FSCO.PPA&TECH NOTES Flashcards

1
Q

risk classification elements (rating variables) that are prohibited in Ontario [Hint: C-CONES]

A

[1] Claims where fault ≤ 25%
[2] Credit history
[3] Occupation (some exceptions)
[4] Net worth
[5] Employment
[6] Salary

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2
Q

what are the requirements for regulatory approval of territorial changes

A

[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%)

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3
Q

For ON, list the types/subtypes of approval processes - types (2) + subtypes (2)

A
  • prior approval (major requirements, simplified guidelines). Ex: PPA (on OAP1 ON major filing), FA, commercial, miscelaneous automobiles
  • file & use (major requirements, minor requirements)
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4
Q

describe the UDAP (Unfair or Deceptive Acts or Practices) requirement regarding rate levels among affiliates

A

basically, it is unfair or deceptive if the insurer fails to provide the lowest rate among all affiliates

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5
Q

describe FSCO prior approval & give examples of vehicle classes to which it applie

A

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)

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6
Q

describe FSCO expedited approval & give examples of vehicle classes to which it applies

A

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)

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7
Q

describe FSCO file & use & give examples of vehicle classes to which it applies

A

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)

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8
Q

what is OPCF-44R

A
  • coverage for ‘underinsured MOTORIST’ (as opposed to ‘uninsured AUTO’)
  • it is the difference between (your TPL limit) & (at-fault driver’s TPL limit)
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9
Q

identify regulatory requirements when changing territory factors in a major filing (DIFFERENT than a simplified filing)

A

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% }

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10
Q

officer certifications in major filings (timing & officer qualifications)

A

qualifications: CEO, COO, CFO, Chief Agent in Canada when required: always

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11
Q

what filing items must an OFFICER certify (4)

A
  • Effective Dates: for new & renewal business
  • Guidelines: must certify compliance
  • Info/data: certify accuracy & completeness
  • Rates: reasonable, not unfairly discriminatory, don’t impair solvency
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12
Q

what filing items must an ACTUARY certify (6)

A
  • 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
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13
Q

ACTUARIAL certifications in major filings - (timing & required actuarial designation)

A

qualifications: actuary must be FCIA
when required: when rates change or there is a new LOB (Line of Business)

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14
Q

is actuary’s certification needed for fleets?

A

no, but it IS needed for (endorsements, commercial vehicles insured by FA or Facility Association)

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15
Q

what information is generally required in a rate filing (3)

A

[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

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16
Q

[b] describe the treatment of loss data in filings regarding REINSURANCE

A

EXCLUDE: reinsurance should not impact price charged to insured. The indication uses direct premiums

17
Q

[b] describe the treatment of loss data in filings regarding CESSION to RSP

A

INCLUDE: as if never ceded

18
Q

[b] describe the treatment of loss data in filings regarding FARM LOSSES

A

EXCLUDE: FA (Facility Association) sets their own prices using FARM loss data. Losses incurred by FARM risks are excluded from the loss data

19
Q

[e] identify factors affecting the LENGTH of the loss trend period

A
  • Term (policy term)
  • Effective date (proposed effective date of rate change)
  • Calculation date (valuation date of loss data)
  • other answers possible (just your general knowledge)
20
Q

[e] describe the general properties of coverages where premium trends are required

A
  • coverages with inflation-sensitive exposure bases
  • where mix is changing (Ex: physical damage make/model)
  • for CLEAR filings: but note that premium trend is already accounted for in development of rate groups
    • CLEAR = Canadian Loss Experience Automobile Rating
21
Q

why might FSCO not approve an auto filing (2)

A
  • insurer used a prohibited rating variable
  • insurer’s risk classification system is not reasonable (or not sufficiently predictive of loss)
22
Q

what classes of auto insurance does FSCO’s Tech Notes bulletin apply to?

A

[1] non-fleet automobile insurance on
[2] non-fleet auto written on OAP 1 (Ontario Automobile Policy 1)
non-fleet auto written on OPF 2 (Ontario Driver’s Policy)

23
Q

5 types of Rate and Risk Classification Filing Guidelines depending upon the types of changes proposed.

A

[1] PPA Filing Guidelines – Major:
→ used when an insurer is initially entering the private passenger automobile insurance market
or
→ when changing existing automobile insurance rates but the changes proposed do not meet the criteria for the Simplified Filing Guidelines.
[2] PPA Filing Guidelines - Simplified
→ used for changes that satisfy the simplified filing guidelines (not on syllabus)
[3] PPA Filing Guidelines – CLEAR Simplified
→ used when implementing the current year CLEAR vehicle rate group (VRG) table (not on syllabus)
[4] Other Than PPA Guidelines - Major
→ when an insurer is initially entering the insurance market for a category other than PPA (not on syllabus)
[5] Other than PPA - Minor