(A) The director or his designee shall specify whether policy forms and the rate structure must be on a "claims-made" or 'occurrence' basis, and coverage may be provided by the association only on the basis specified by the director or his designee. The director or his designee shall specify the claims-made basis only if the contract makes provision for residual occurrence coverage upon the retirement, death, disability, or removal from the State of the insured. Provision may be made for a premium charge allocable to any residual occurrence coverage, and the premium charges for the residual coverage must be segregated and separately maintained for such purpose which may include the reinsurance of all or part of that portion of the risk.
(B) The policy may not contain a limitation in relation to the existing law in tort as provided by the statute of limitations of this State.
(C) The policy form, whether on a claims-made or occurrence basis, may not require as a condition precedent to settlement or compromise of a claim the consent or acquiescence of the insured. However, the settlement or compromise is not considered an admission of fault or wrongdoing by the insured.
(D) The premium rate charged for either or both claims-made or occurrence coverage must be at rates established on an actuarially sound basis, including consideration of trends in the frequency and severity of losses and must be calculated to be self-supporting.
HISTORY: 1989 Act No. 189, Part II, Section 43 sub 23; 1993 Act No. 181, Section 845.
Structure South Carolina Code of Laws
Chapter 89 - Day Care Joint Underwriting Association
Section 38-89-10. Definitions.
Section 38-89-20. Joint underwriting association created; purpose; when activated.
Section 38-89-30. General powers.
Section 38-89-40. Plan of operation.
Section 38-89-50. Application for coverage; issuance of policy.
Section 38-89-60. Duty of director to gather statistical data.
Section 38-89-80. Filing of policy forms, classifications, rates, rating plans, and rating rules.
Section 38-89-90. Policy forms; rate structure.
Section 38-89-100. Rate increase subject to director's approval.
Section 38-89-110. Deficit to be recouped.
Section 38-89-120. Basis for rates; insufficient funds for operation.
Section 38-89-130. Participation of association members.
Section 38-89-140. Plan of operation and rules binding on association members.
Section 38-89-150. Effect of termination of association member's authority; merger; insolvency.
Section 38-89-160. Board of directors.
Section 38-89-170. Appeal to commission.
Section 38-89-180. Statement to be filed by association.
Section 38-89-190. Examination of financial condition; annual report.