Sec. 3851.
(1) A medicare supplement policy form or certificate form shall not be delivered or issued for delivery unless the policy form or certificate form can be expected, as estimated for the entire period for which rates are computed to provide coverage, to return to policyholders and certificate holders in the form of aggregate benefits, not including anticipated refunds or credits, the following:
(a) For group policies at least 75% of the aggregate amount of premiums earned calculated on the basis of incurred claims experience and earned premiums for the entire period for which rates are computed and in accordance with accepted actuarial principles and practices.
(b) For individual policies at least 65% of the aggregate amount of premium earned calculated on the basis of incurred claims experience and earned premiums for the entire period for which rates are computed and in accordance with accepted actuarial principles and practices.
(2) All filings of rates and rating schedules shall demonstrate that expected claims in relation to premiums comply with the requirements of this section when combined with actual experience to date. Filings of rate revisions shall also demonstrate that the anticipated loss ratio over the entire future period for which the revised rates are computed to provide coverage can be expected to meet the appropriate loss ratio standards.
History: Add. 1992, Act 84, Imd. Eff. June 2, 1992 Popular Name: Act 218
Structure Michigan Compiled Laws
Chapter 500 - Insurance Code of 1956
Act 218 of 1956 - The Insurance Code of 1956 (500.100 - 500.8302)
218-1956-38 - Chapter 38 Medicare Supplement Policies and Certificates (500.3801...500.3861)
Section 500.3801 - Chapter; Definitions.
Section 500.3803 - Applicability of Chapter.
Section 500.3804 - Repealed. 2018, Act 429, Eff. Mar. 20, 2019.
Section 500.3805 - Medicare Supplement Policy; Definitions.
Section 500.3808 - Repealed. 2018, Act 429, Eff. Mar. 20, 2019.
Section 500.3813 - Disability Coverage; Medicare Supplement Buyer's Guide; Applicability of Section.
Section 500.3825 - Preexisting Diseases or Conditions; Waiver Prohibited.
Section 500.3830 - Eligible Person; Requirements.
Section 500.3830a - Termination of Contract or Agreement; Notice to Individual.
Section 500.3833 - Replacement Policy; Waiver of Certain Time Periods.
Section 500.3837 - Repealed. 2002, Act 304, Imd. Eff. May 10, 2002.
Section 500.3843 - Health Insurance; Notice; Contents; Applicability of Subsection (1).
Section 500.3847 - Advertising; Filing Copy With Director.
Section 500.3851 - Aggregate Benefits; Rates, Rating Schedules, and Rate Revisions.
Section 500.3852 - Benchmark Ratio.
Section 500.3853 - Refund or Credit Calculation; Form; Interest; Due Date.
Section 500.3857 - Duties of Insurer; Certification of Compliance With Subsection (1)(a).
Section 500.3859 - Prohibited Conduct; Violation as Misdemeanor; Penalty.