Ga. Comp. R. & Regs. R. 120-2-10-.06 - Filing Requirements-Life and Health Forms
(1) The submission of any form for approval
shall be in compliance with this Rule, Section
33-24-9 of the Georgia Insurance
Code and any other applicable sections of the Georgia Insurance Code or the
Rules and Regulations of the Georgia Insurance Department.
(2) Forms must be submitted in duplicate. If
approval is granted, one copy will be retained by the Insurance Department and
the other will be returned to the insurer with an appropriate notation
indicating approval.
(3) Each form
must be identified by a form number which is unique to that form. This number
shall be printed in the lower left-hand corner of the first page, and no other
number shall appear in close proximity to the form number. If any loose leaf or
alternate pages are submitted, each such page must also be identified by a
unique form number.
(4) Submissions
must be made by the insurer's Home Office, Regional Home Office, legal counsel
or consulting actuary, and not by agents or agencies. Any other arrangements
must be requested in writing and agreed to by this Department.
(5) Each submission must be accompanied by a
letter listing by number the forms being submitted together with a brief
description of each. The letter should also contain or have attached any other
information required by these rules.
(6) The insurer must indicate whether or not
the form being submitted has been filed with the insurer's domestic state. If
it has been so filed, the insurer must indicate whether or not approval has
been received from the domestic state. If not so filed, or approved, or being
sold in the domestic state, the reason must be stated.
(7) If the submission is new, the insurer
should print out the unique features of the form. If the submission is to
supersede any approved form or where there has been any prior submission, the
insurer should state which form is being replaced and the date when such
replaced form was approved or submitted, as the case may be, and should point
out the material changes in the superseding form.
(8) Each form must be completed with
representative specimen data in "John Doe" fashion.
(9) If submission is made of a complete
policy form plus alternate pages, the insurer should clearly indicate what
substitutions are being proposed.
(10) If the insurer submits pages providing
alternate or optional benefits under policy forms previously approved,
reference should be made to the form number and date of approval of the basic
policy.
(11) If the insurer submits
a page which is to replace a corresponding page in a previously approved policy
or policies, reference must be made to the form number and date of approval of
the basic policy with which the page is proposed to be used. The new page must
be completed with representative data.
(12) Any rider or endorsement form must have
affixed the signature of a responsible officer of the insurer as part of such
form.
(13) No policy, annuity
contract, rider, endorsement or certificate may contain any advertising or
underwriting material. It is not the intent of this rule to prohibit the
imprinting of registered trade marks of the insurer.
(14) No statement may appear in an
application with respect to a proxy through which one or more members of the
board of directors is authorized to vote in the election of
directors.
(15) The following
information is required for all life policy forms except those life forms for
which there are minimum values printed in standard actuarial publications.
(a) A detailed development of the actuarial
formulas for valuation premiums and reserves; non-forfeiture factors and
values; and dividends, if participating.
(b) Sample calculations for reserves and
non-forfeiture values for the age illustrated in the John Doe specimen
policy.
(c) Certification by a
qualified actuary that reserve factors and non-forfeiture values for all ages
correctly calculated by the formulas submitted.
Notes
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