Rate & Policy Filing Requirements

(PDF) Filing Requirements – All Lines, Form RF10 (Rev 7/11)

FORM FILING CERTIFICATION – ALL LINE

Applicable to all form filings

(PDF) Form RPA-LAHFORM CERT (7-08) fillable Forms Certification – L & AH

(PDF) Form RPA-PCMVFORM CERT (7-08) fillable Forms Certification – PC & MV


LIFE FORMS

Life Insurance Replacement Forms
Act 252, Session Laws of Hawaii (SLH) 2000, mandates certain standards governing the conduct of insurers and producers with respect to the replacement of existing life insurance policies and annuities contracts. These standards are codified as Part V of Article 431:10D, Hawaii Revised Statutes (HRS), and are effective July 1, 2001.Part V requires particular notices be approved by the Insurance Commissioner. To facilitate compliance with these new requirements, the Commissioner has approved the forms below for use by insurers, without further filing requirement. These forms correspond to the National Association of Insurance Commissioner’s Model Life Replacement Regulations (2000) Appendices A, B, and C.

Insurers and their producers may also use forms that are substantially similar provided that they have been approved by the Commissioner prior to their use. Please refer to Commissioner’s Memorandum 2001-8A.

Life Insurance Policy Illustrations
Act 252, SLH 2000 also mandates certain standards governing the conduct of insurers and producers with respect to the use of life insurance policy illustrations. These standards are codified as Part IV of Article 431:10D, HRS, and are effective July 1, 2001.

Among other things, Part IV requires insurers to notify the Insurance Commissioner whether a life policy is to be marketed with or without an illustration. The form below has been designated as the form to be used for notification purposes. Please refer to Commissioner’s Memorandum 2001-7A .


ACCIDENT/HEALTH/SICKNESS FORMS

(PDF) Medicare Supplement (Form RPA-MS1(Rev 02/07))

Medicare Supplement Benchmark Ratio and Refund Calculation Form – Individual (Form RPA-MS3)

Medicare Supplement Benchmark Ratio and Refund Calculation Form – Group (Form RPA-MS4

(PDF) Medicare Supplement Certification of Advertising Compliance (Form RPA-MS2(Rev 03/21/12))


MOTOR VEHICLE FORMS

Motor Vehicle Premium Publication – (Annual)

STATUTORY REFERENCE: HRS § 431:10C-210, Publication of Premium Information
WHO MUST RESPOND: All insurers authorized to write motor vehicle insurance in Hawaii
DUE DATE: October 1, Annually

PROPERTY AND CASUALTY FORMS

(PDF) Models for Hurricane Exposure in Hawaii – Memorandum 2003-3R

(PDF) Form RF C2R-1 (8/2011), Consent to Rate

Homeowners Premium Publication – (Annual)

REFERENCE: Act 258, Session Laws of Hawaii 2012, Publication of Premium Information
WHO MUST RESPOND: All insurers authorized to write homeowners insurance in Hawaii
DUE DATE: October 1, Annually

HEARING

(PDF) Notice of Hearing re AIPSO Filing No. HI 17-02

(PDF) AIPSO Filing No. HI 17-02


HEALTH INSURANCE RATES

(PDF) Regulation of Health Insurance Rates in Hawaii