19 Miss. Code. R. 2-11.07

Current through December 10, 2024
Rule 19-2-11.07 - Experience Refund Agreement- Exhibit B

EXPERIENCE REFUND AGREEMENT

1. Net written premiums _______________________
2. Premium Reserves - beginning of period _______________________
3. Premium Reserves - end of period _______________________
4. Earned premiums [1+2-3] _______________________
5. Claims paid _______________________
6. Claims due and unpaid and in course of settlement - Beginning of period _______________________
7. Claims due and unpaid and in course of settlement - End of period _______________________
8. Claims incurred but not reported - beginning of period _______________________
9. Claims incurred but not reported - end of period _______________________
10. Present value of claims not yet due - beginning of period _______________________
11. Present value of claims not yet due - end of period _______________________
12. Incurred claims [5-6+7-8+9-10+11] _______________________
13. Premium taxes paid _______________________
14. Premium taxes due and unpaid - beginning of period _______________________
15. Premium taxes due and unpaid - end of period _______________________
16. Earned premium taxes [13-14+15] _______________________
17. Compensation paid or earned during period _______________________
18. Expenses Incurred _______________________
19. Experience refund receivable from prior year _______________________
20. UNDERWRITING PROFIT DUE [4-12-16-17-18-19] _______________________
21. Percentage due Agent _______________________
22. EXPERIENCE REFUND DUE [20x11] _______________________

19 Miss. Code. R. 2-11.07

Miss. Code Ann. § 83-53-29 (Supp. 2014)
Amended 12/25/2014