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<regulation prefix="Regulation" num=".11" citation="COMAR 31.14.02.11" title_num="31" subtitle_num="14" chapter_num="02" heading="Claim Reserves.">
  <paragraph num="A.">
    <text>General Claim Reserve Requirements.</text>
    <paragraph num="(1)">
      <text>An insurer shall establish a claim reserve for all incurred but unpaid claims on all long-term care insurance.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>An insurer shall establish an appropriate claim expense reserve with respect to the estimated expense of settlement of all incurred but unpaid claims under long-term care insurance.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>An insurer shall test the long-term care claim reserve and claim expense reserve for prior valuation years for adequacy and reasonableness along the lines of claim runoff schedules in accordance with the statutory financial statement including consideration of any residual unpaid liability.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>In establishing claim reserve for long-term care insurance, an insurer shall include reserves for premiums expected to be waived, valuing as a minimum the valuation net premium being waived.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Minimum Standards for Claim Reserves.</text>
    <paragraph num="(1)">
      <text>The maximum interest rate for claim reserves for long-term care insurance is the maximum rate permitted by Insurance Article, Title 5, Subtitle 3, Annotated Code of Maryland, in the valuation of whole life insurance issued on the same date as the claim incurral date.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>An insurer's long-term care insurance claim reserve shall be based on the insurer's experience, if the experience is considered credible, or upon other assumptions designed to place a sound value on the liabilities.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Claim Reserve Methods Generally.</text>
    <paragraph num="(1)">
      <text>An insurer may use a generally accepted or reasonable actuarial reserving method or a combination of methods to estimate all claim liabilities for long-term care insurance.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The methods used for estimating liabilities generally may be aggregate methods, or various reserve items may be separately valued.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Approximations based on groupings and averages may also be employed.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Adequacy of the claim reserves, however, shall be determined in the aggregate.</text>
    </paragraph>
  </paragraph>
</regulation>