OAR 836-060-0021
Determination of Reasonableness of Benefits in Relation to Premium Charge
(1)
General Standard. Under ORS 742.005 (Grounds for disapproval of policy forms), benefits provided by credit insurance policies must be reasonable in relation to the premium charged. This requirement is satisfied, in the opinion of the Director, if the premium develops, or reasonably may be expected to develop a loss ratio of not less than 60 percent.(2)
With the exception of deviations approved under OAR 836-060-0043 (Use of Rates — Direct Business Only), the rates established in 836-060-0026 (Credit Life Insurance Rates) and 836-060-0031 (Credit Health Insurance Rates), as adjusted periodically pursuant to 836-060-0041 (Experience Reports), are the prima facie rates and shall be conclusively presumed to satisfy the standard set forth in section (1) of this rule.(3)
Nonstandard Coverage. If an insurer files for approval a form providing coverage different from that described in OAR 836-060-0026 (Credit Life Insurance Rates) and 836-060-0031 (Credit Health Insurance Rates), the insurer shall demonstrate to the satisfaction of the Director that the premium rates to be charged for such coverage will develop, or reasonably may be expected to develop, a loss ratio not less than that contemplated for standard coverage, or are actuarially consistent with the rates used for standard coverages.(4)
Prima facie rates are presumed sufficient to cover up to two months of delinquencies.(5)
Coverage Without Separate Charge. If no specific charge is made to the debtor for credit insurance, sections (1) to (3) of this rule do not apply. In this case, any premium rates which exceed the premium rate standards set out in OAR 836-060-0026 (Credit Life Insurance Rates) and 836-060-0031 (Credit Health Insurance Rates) must be filed with the Director. For purposes of this section, a specific charge is made to the debtor if an identifiable charge for insurance is disclosed in the credit or other instrument furnished the debtor which sets out the financial elements of the credit transactions, or if there is a differential in finance, interest, service or other similar charge made to debtors who are in like circumstances except for their insured or noninsured status.
Source:
Rule 836-060-0021 — Determination of Reasonableness of Benefits in Relation to Premium Charge, https://secure.sos.state.or.us/oard/view.action?ruleNumber=836-060-0021.