211 CMR, § 15.08

Current through Register 1533, October 25, 2024
Section 15.08 - Edit and Control Procedures for Statistical Agents

For each line of insurance that Insurers submit to a Statistical Agent on a basis consistent with Page 14 of the Insurer's Annual Statement made pursuant to M.G.L. c. 175, § 25, the Statistical Agent shall compare reported statistical data for Massachusetts to the Page 14 amount to ensure the data is complete.

A Statistical Agent shall use edit and control procedures to verify the accuracy of the coded information submitted by Insurers. The reasonability of the coded information shall be further tested by the Statistical Agent using appropriate methods to detect any systematic errors in the data reported.

A Statistical Agent shall notify the Commissioner of any Insurer that has failed to report complete, accurate, or reasonable statistical data for more than four of the past eight quarters.

Insurers shall use edit and audit procedures to ensure the data submitted to the Statistical Agent is complete, accurate, and reasonable. Insurers are required to reconcile and correct data that the Statistical Agent finds to be incomplete, inaccurate, or unreliable in order to comply with 211 CMR 15.06.

The Commissioner may suspend or rescind a Statistical Agent's authority to collect and report statistical data from insurers if, during the course of an examination, the Commissioner finds that a Statistical Agent has failed to ensure that the data submitted to it is complete, accurate, and reasonable.

211 CMR, § 15.08

Amended by Mass Register Issue 1321, eff. 9/9/2016.