<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".24" citation="COMAR 31.14.01.24" title_num="31" subtitle_num="14" chapter_num="01" heading="Reporting Requirements.">
  <paragraph num="A.">
    <text>Every insurer shall maintain records for each insurance producer of the:</text>
    <paragraph num="(1)">
      <text>Insurance producer's amount of replacement sales as a percent of the insurance producer's total annual sales; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Amount of lapses of long-term care insurance policies sold by the insurance producer as a percent of the insurance producer's total annual sales.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Each insurer shall report annually by June 30 the 10 percent of its insurance producers with the greatest percentages of lapses and replacements as measured by §A of this regulation.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Reported replacement and lapse rates do not alone constitute a violation of insurance laws or necessarily imply wrongdoing.</text>
  </paragraph>
  <paragraph num="D.">
    <text>The reports required under §§C, E, and F of this regulation are for the purpose of reviewing more closely insurance producer activities regarding the sale of long-term care insurance.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Every insurer shall report annually by June 30 the number of lapsed policies as a percent of its total annual sales and as a percent of its total number of policies in force as of the end of the preceding calendar year.</text>
  </paragraph>
  <paragraph num="F.">
    <text>Every insurer shall report annually by June 30 the number of replacement policies sold as a percent of its total annual sales and as a percent of its total number of policies in force as of the preceding calendar year.</text>
  </paragraph>
  <paragraph num="G.">
    <text>Qualified Long-Term Care Contracts.</text>
    <paragraph num="(1)">
      <text>Every insurer shall report annually by June 30, for qualified long-term care insurance contracts, the number of claims denied for each class of business, expressed as a percentage of claims denied.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The report required in §G(1) of this regulation shall be in the format specified in Regulation .32 of this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="H.">
    <text>Annual Rate Certification Requirements for Rate Schedules Currently Marketed.</text>
    <paragraph num="(1)">
      <text>This section applies to any long-term care policy issued in Maryland on or after September 1, 2017 that is currently marketed.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>An insurer shall submit an annual actuarial certification to the Commissioner in accordance with the following conditions:</text>
      <paragraph num="(a)">
        <text>The certification shall be prepared, dated, and signed by a member of the American Academy of Actuaries;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The certification shall contain one of the following conclusions:</text>
        <paragraph num="(i)">
          <text>The premium rate schedule continues to be sufficient to cover anticipated costs under moderately adverse experience, and is reasonably expected to be sustainable over the life of the form with no future premium increases anticipated; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Margins for moderately adverse experience may no longer be sufficient;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>The certification shall be based on calendar year data;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The certification shall be submitted annually not later than May 1 of each year starting in the second year following the year in which the initial rate schedules are first used;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>The certification shall contain a description of the review performed that led to the applicable conclusion in §H(2)(b) of this regulation; and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>If the certification contains the conclusion set forth in §H(2)(b)(ii) of this regulation, the insurer shall provide to the Commissioner a plan of action subject to the following conditions:</text>
        <paragraph num="(i)">
          <text>The plan shall be submitted within 60 days of the date the actuarial certification is submitted; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The plan shall include a time frame for the reestablishment of adequate margins for moderately adverse experience such that the ultimate premium rate schedule would be reasonably expected to be sustainable over the future life of the form with no future premium increases anticipated.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Failure to comply with §H(2)(f) of this regulation constitutes grounds for the Commissioner to withdraw or modify approval of a form for future sales under Insurance Article, §12-205, Annotated Code of Maryland.</text>
    </paragraph>
  </paragraph>
  <paragraph num="I.">
    <text>Annual Rate Certification Requirements for Rate Schedules That are No Longer Marketed.</text>
    <paragraph num="(1)">
      <text>This section applies to any long-term care policy issued in Maryland on or after September 1, 2017 that is no longer marketed.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>An insurer shall submit an annual actuarial certification to the Commissioner in accordance with the following conditions:</text>
      <paragraph num="(a)">
        <text>The certification shall be prepared, dated, and signed by a member of the American Academy of Actuaries;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The certification shall contain one of the following conclusions:</text>
        <paragraph num="(i)">
          <text>The premium rate schedule continues to be sufficient to cover anticipated costs under best estimate assumptions; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The premium rate schedule may no longer be sufficient;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>The certification shall be based on calendar year data;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The certification shall be submitted annually not later than May 1 of each year starting in the second year following the year in which the initial rate schedules are first used;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>The certification shall contain a description of the review performed that led to the applicable certification or statement in §I(2)(b) of this regulation.</text>
      </paragraph>
      <paragraph num="(f)">
        <text>If the certification contains the conclusion set forth in §I(2)(b)(ii) if this regulation, the insurer shall provide to the Commissioner a plan of action subject to the following conditions:</text>
        <paragraph num="(i)">
          <text>The plan shall be submitted within 60 days of the date the actuarial certification is submitted; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The plan shall include a time frame for the reestablishment of adequate margins for moderately adverse experience.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="J.">
    <text>Actuarial Memorandum.</text>
    <paragraph num="(1)">
      <text>An actuarial memorandum to support the actuarial certifications required by §§H and I of this regulation shall be submitted as follows:</text>
      <paragraph num="(a)">
        <text>The actuarial memorandum shall be dated and signed by the member of the American Academy of Actuaries who prepares the actuarial certification;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The actuarial memorandum shall be submitted at least once every 3 years with the certification;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The actuarial memorandum shall contain at least the following information:</text>
        <paragraph num="(i)">
          <text>A detailed explanation of the data sources and review performed by the actuary before drawing the appropriate conclusion in §H(2)(b) or I(2)(b) of this regulation;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A complete description of experience assumptions and their relationship to the initial pricing assumptions;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>A description of the credibility of the experience data; and</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>An explanation of the analysis and testing performed in determining the current presence of margins.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>