Section 2648.4 - Complete Rate Application(a) Pursuant to Insurance Code section 1861.05, subdivision (b), every insurer that desires to change any rate must file a complete rate application which must include the information required by Insurance Code section 1861.05, subdivision (b), and all information as the Commissioner may require in order to perform a complete analysis of a rate application, including but not limited to the exhibits, data, information, materials and documentation specified by Sections 2641.1 through 2643.8 and Sections 2644.1 through 2644.28 as those sections may from time to time be amended. A complete rate application shall also include all of the materials described in subdivisions (b) through (e) of this Section 2648.4.(b) A complete rate application shall include any and all criteria, guidelines, systems, manuals, models and algorithms the insurer uses to determine whether to accept, examine, inspect, cancel, non-renew, or re-underwrite a risk, or to modify an applicant's or insured's coverage or coverage options. Specifically, the complete rate application shall include, without limitation, a complete set of, and any proposed changes to, any and all of the following:
(1) An insurer's eligibility guidelines as defined in Sections 2360.0 through 2360.7;(2) Any and all criteria, guidelines, systems, manuals, models and algorithms an insurer uses to reduce, increase, or restrict the number of policies written or renewed, or restrict the coverages offered, in specific geographic areas such as ZIP codes, counties, or territories, for any reason, including over-concentration; and(3) Any method or set of standards, parameters, rules, requirements or procedures that is used by an insurer, agent, broker, or underwriter to assist in the determination of whether to accept, examine, inspect, cancel, non-renew, or re-underwrite a risk, or to modify an applicant's or insured's coverage or coverage options.(c) A complete rate application shall also include any and all criteria, guidelines, systems, manuals, models and algorithms, and any proposed changes thereto, an insurer, agent, broker, or underwriter uses or relies upon to determine the rate, rating rules and coverages for any particular applicant or insured, including optional coverage rates and rules.(d) A complete rate application shall also include a complete and entire copy of any and all written and electronic descriptions of all of the materials described in subdivisions (a) through (c) of this section.(e) Pursuant to Insurance Code section 1861.05, subdivision (b), the Commissioner may, in order to perform a complete analysis of a rate application that was previously deemed complete pursuant to section 2648.2, subdivision (b) but has not yet been approved, require the insurer to submit additional information, forms, templates, exhibits, data and documentation during the Commissioner's review of the application.Cal. Code Regs. Tit. 10, § 2648.4
Note: Authority cited: Sections 1861.01 and 1861.055, Insurance Code. Reference: Sections 1861.05, 1861.07 and 1861.055, Insurance Code.
Note: Authority cited: Sections 1861.01 and 1861.055, Insurance Code. Reference: Sections 1861.05, 1861.07 and 1861.055, Insurance Code.
1. New section filed 7-12-93 as an emergency; operative 7-12-93 (Register 93, No. 29). A Certificate of Compliance must be transmitted to OAL 11-8-93 or emergency language will be repealed by operation of law on the following day.
2. Certificate of Compliance as to 7-12-93 order including amendment of subsection (a) and Notetransmitted to OAL 11-3-93 and filed 12-17-93 (Register 93, No. 51).
3. Change without regulatory effect amending subsection (a) filed 5-15-96 pursuant to section 100, title 1, California Code of Regulations (Register 96, No. 20).
4. Amendment of subsection (b) filed 10-16-2002; operative 11-15-2002 (Register 2002, No. 42).
5. New subsection (c) and amendment of Note filed 1-3-2007; operative 4-3-2007. Submitted to OAL for printing only pursuant to Government Code section 11340.9(g)(Register 2007, No. 1).
6. Amendment of section heading and section filed 10-8-2024; operative 10/8/2024 pursuant to Government Code section 11343.4(b)(3). Exempt from the APA and OAL review pursuant to Government Code section 11340.9(g). Submitted to OAL for filing and printing only pursuant to Government Code section 11343.8 (Register 2024, No. 41).