Rule 120-2-101-.05 - Policy Form and Rate Submissions in SERFF(1) Insurers are required to submit all proposed form and rate filings in the SERFF filing system for advance approval.(2) Insurers shall pay all appropriate policy form and rate filing fees, as normally required.(3) Insurers shall mark such SERFF policy form and rate filings in cover letter materials as child-only coverage and prominently reference "child-only" in appropriate descriptions to ensure the recognition and timely attention necessary for compliance with these product offering requirements.(4) Insurers should include specialized child-only application and enrollment forms with policy form and rate filings. Such applications should make appropriate provisions for parent or guardian authorization and completion of applicant identifying and other relevant information by parent or guardian on behalf of any minor applicant. (a) Applications shall include a prominent disclosure about the 2013 duration of this child-only Georgia coverage program. Such application disclosures should reference evidence of coverage material provisions as to term and termination of the program as provided in O.C.G.A. §33-29B-8.(b) The Commissioner may approve a modification of previously approved forms, provided the changes are clearly marked on the documents submitted to the Commissioner and are consistent with the provisions of this regulation.(5) Policy form filed materials should make appropriate reference to the temporary nature of the 2013 child-only Georgia individual health coverage program. Insurers should pay specific attention to and address the following issues:(c) Limited coverage term of policy during 2013;(d) Provisions regarding termination not prejudicing any existing claim and providing a reasonable proposed extension of benefits for covered persons disabled at the end of term of coverage;(e) Disclosure about lack of renewability (if applicable); and(f) Any provisions about transition to other insurance after 2013 (if applicable). The items above are appropriate provisions to include in proposed policy materials, endorsements and other parts of the individual health coverage contract for this program.
(6) Specimen Notices as required in O.C.G.A. 33-29B-6 regarding open enrollment opportunity, open enrollment dates, qualifying event references and the proposed plan to display these on the insurer's website should be submitted as part of the policy form and rate filings.Ga. Comp. R. & Regs. R. 120-2-101-.05
Original Rule entitled "Policy Form and Rate Submissions in SERFF" Adopted. F. Dec. 7, 2012; eff. Dec. 27, 2012.