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Independence American / Pet Health SERFF Tracking #: IADC-131210736 State Tracking #: 17-6640 Company Tracking #: IAIC PETS BEST FORM AND RATE FILING CA State: California Filing Company: Independence American Insurance Company TOI/Sub-TOI: 09.0 Inland Marine/09.0004 Pet Insurance Plans Product Name: IAIC Pet Insurance Form and Rate Filing Project Name/Number: / Filing at a Glance Company: Independence American Insurance Company Product Name: IAIC Pet Insurance Form and Rate Filing State: California TOI: 09.0 Inland Marine Sub-TOI: 09.0004 Pet Insurance Plans Filing Type: Form/Rate Date Submitted: 09/28/2017 SERFF Tr Num: IADC-131210736 SERFF Status: Closed-Approved State Tr Num: 17-6640 State Status: Approved Co Tr Num: IAIC PETS BEST FORM AND RATE FILING CA Effective Date 01/01/2018 Requested (New): Effective Date Requested (Renewal): Author(s): Christopher Devine Reviewer(s): David Li (primary) Disposition Date: 12/13/2017 Disposition Status: Approved Effective Date (New): 12/13/2017 Effective Date (Renewal): 12/13/2017 This filing was provided as part of The California Insurance ADVISOR Subscribe @ www.martincompanyus.com or call 800-896-8000 PDF Pipeline for SERFF Tracking Number IADC-131210736 Generated 12/28/2017 09:17 AM SERFF Tracking #: IADC-131210736 State Tracking #: 17-6640 Company Tracking #: IAIC PETS BEST FORM AND RATE FILING CA State: California Filing Company: Independence American Insurance Company TOI/Sub-TOI: 09.0 Inland Marine/09.0004 Pet Insurance Plans Product Name: IAIC Pet Insurance Form and Rate Filing Project Name/Number: / General Information Project Name: Status of Filing in Domicile: Project Number: Domicile Status Comments: Reference Organization: Reference Number: Reference Title: Advisory Org. Circular: Filing Status Changed: 12/13/2017 State Status Changed: 12/13/2017 Deemer Date: 12/12/2017 Created By: Christopher Devine Submitted By: Christopher Devine Corresponding Filing Tracking Number: Filing Description: This filing is to request an 12.6% rate increase for our Pet Insurance program based on loss history and Actuarial data. In addition, we are proposing the implementation of a new Amendatory Endorsement to enact the following changes: 1) The removal of the fourteen day waiting period for Wellness Benefits. 2) The addition of a leaner Optional Wellness Benefit Plan. 3) The addition of a Medical Plan with an Unlimited Benefit Maximum. 4) The removal of orthopedic Waiting Periods except cruciate injury. 5) The lowering of the cruciate injury Waiting Period from twelve to six months. We thank you for your consideration. Please let us know if you have any questions or require additional information. Christopher Devine [email protected] 602-861-6096 Company and Contact Filing Contact Information Christopher Devine, Compliance Analyst [email protected] 5450 E. High Street 602-861-6096 [Phone] Phoenix, AL 85054 Filing Company Information Independence American Insurance CoCode: 26581 State of Domicile: Delaware Company Group Code: 450 Company Type: Life and 485 Madison Avenue Group Name: Health New York, NY 10022 FEIN Number: 74-1746542 State ID Number: (212) 355-4141 ext. [Phone] Filing Fees Fee Required? No Retaliatory? No Fee Explanation: PDF Pipeline for SERFF Tracking Number IADC-131210736 Generated 12/28/2017 09:17 AM SERFF Tracking #: IADC-131210736 State Tracking #: 17-6640 Company Tracking #: IAIC PETS BEST FORM AND RATE FILING CA State: California Filing Company: Independence American Insurance Company TOI/Sub-TOI: 09.0 Inland Marine/09.0004 Pet Insurance Plans Product Name: IAIC Pet Insurance Form and Rate Filing Project Name/Number: / State Specific Variance Requested? (Yes/No): No PDF Pipeline for SERFF Tracking Number IADC-131210736 Generated 12/28/2017 09:17 AM SERFF Tracking #: IADC-131210736 State Tracking #: 17-6640 Company Tracking #: IAIC PETS BEST FORM AND RATE FILING CA State: California Filing Company: Independence American Insurance Company TOI/Sub-TOI: 09.0 Inland Marine/09.0004 Pet Insurance Plans Product Name: IAIC Pet Insurance Form and Rate Filing Project Name/Number: / Correspondence Summary Dispositions Status Created By Created On Date Submitted Approved David Li 12/13/2017 12/13/2017 Objection Letters and Response Letters Objection Letters Response Letters Status Created By Created On Date Submitted Responded By Created On Date Submitted Pending David Li 12/01/2017 12/01/2017 Christopher Devine 12/08/2017 12/08/2017 company response Pending David Li 11/29/2017 11/29/2017 Christopher Devine 12/01/2017 12/01/2017 company response Pending David Li 11/03/2017 11/03/2017 Christopher Devine 11/21/2017 11/21/2017 company response Pending David Li 10/16/2017 10/16/2017 Christopher Devine 11/01/2017 11/01/2017 company response Pending David Li 10/13/2017 10/13/2017 Christopher Devine 11/01/2017 11/01/2017 company response Filing Notes Subject Note Type Created By Created On Date Submitted Extension request to 12/11/17 Note To Filer David Li 12/05/2017 12/05/2017 Extension Request Note To Reviewer Christopher Devine 12/05/2017 12/05/2017 Response to objection letter is past due Note To Filer David Li 12/05/2017 12/05/2017 The 11/29/17 objection letter is re-submitted Note To Filer David Li 12/01/2017 12/01/2017 Deemer Waiver Note To Reviewer Christopher Devine 12/01/2017 12/01/2017 Waiver letter request Note To Filer David Li 11/30/2017 11/30/2017 Please respond to 11/3/17 objection letter Note To Filer David Li 11/21/2017 11/21/2017 immediately Response to objection letter due Note To Filer David Li 11/17/2017 11/17/2017 Extension request to 11/17/17 Note To Filer David Li 11/09/2017 11/09/2017 PDF Pipeline for SERFF Tracking Number IADC-131210736 Generated 12/28/2017 09:17 AM SERFF Tracking #: IADC-131210736 State Tracking #: 17-6640 Company Tracking #: IAIC PETS BEST FORM AND RATE FILING CA State: California Filing Company: Independence American Insurance Company TOI/Sub-TOI: 09.0 Inland Marine/09.0004 Pet Insurance Plans Product Name: IAIC Pet Insurance Form and Rate Filing Project Name/Number: / Filing Notes Subject Note Type Created By Created On Date Submitted Extension Note To Reviewer Christopher Devine 11/09/2017 11/09/2017 Extension request to 11/3/17 Note To Filer David Li 10/25/2017 10/25/2017 Extension Note To Reviewer Christopher Devine 10/24/2017 10/24/2017 Request for extension Note To Filer David Li 10/20/2017 10/20/2017 Extension on Objection response Note To Reviewer Christopher Devine 10/19/2017 10/19/2017 PDF Pipeline for SERFF Tracking Number IADC-131210736 Generated 12/28/2017 09:17 AM SERFF Tracking #: IADC-131210736 State Tracking #: 17-6640 Company Tracking #: IAIC PETS BEST FORM AND RATE FILING CA State: California Filing Company: Independence American Insurance Company TOI/Sub-TOI: 09.0 Inland Marine/09.0004 Pet Insurance Plans Product Name: IAIC Pet Insurance Form and Rate Filing Project Name/Number: / Disposition Disposition Date: 12/13/2017 Effective Date (New): 12/13/2017 Effective Date (Renewal): 12/13/2017 Status: Approved Comment: The approval letter is attached. If you have any questions, please call me at (415) 538-4319. Sincerely, David Li Senior Insurance Rate Analyst California Department of Insurance Rate Filing Bureau – SF1 Email: [email protected] Phone (415) 538-4319 Fax: (415) 904-5832 Overall % Overall % Written Premium Number of Policy Written Maximum % Minimum % Company Indicated Rate Change for Holders Affected Premium for Change Change Name: Change: Impact: this Program: for this Program: this Program: (where req'd): (where req'd): Independence American 12.600% 12.600% $2,187,833 20,255 $17,379,281 59.700% -43.500% Insurance Company Schedule Schedule Item Schedule Item Status Public Access Supporting Document New Prior Approval Rate Application Yes Supporting Document Letter of Authorization Yes Supporting Document Side by Side Comparison Yes Supporting Document (revised) Actuarial Documentation Yes Supporting Document Actuarial Documentation Yes Supporting Document Objection Response Yes PDF Pipeline for SERFF Tracking Number IADC-131210736 Generated 12/28/2017 09:17 AM SERFF Tracking #: IADC-131210736 State Tracking #: 17-6640 Company Tracking #: IAIC PETS BEST FORM AND RATE FILING CA State: California Filing Company: Independence American Insurance Company TOI/Sub-TOI: 09.0 Inland Marine/09.0004 Pet Insurance Plans Product Name: IAIC Pet Insurance Form and Rate Filing Project Name/Number: / Schedule Schedule Item Schedule Item Status Public Access Supporting Document Prior Approval Rate Application Yes Supporting Document Prior Approval Rate Template Yes Supporting Document Objection Response 112117 Yes Supporting Document Deemer Waiver Yes Supporting Document Objection Response 20171207 Yes Supporting Document Actuarial Documentation for 120817 Objection Response Yes Form Amendatory Endorsement Yes Rate (revised) California - Rate Sheets -20171206 Yes Rate California - Rate Sheets - 20171116 - Marked Yes Rate California - Rate Sheets - 20170926 - Marked Yes Rate (revised) California - Rate Sheets - 20170926 Yes Rate California - Rate Sheets - 20170926 Yes Rate California - Rate Sheets - 20171206 - New Only Yes PDF Pipeline for SERFF Tracking Number IADC-131210736 Generated 12/28/2017 09:17 AM STATE OF CALIFORNIA Dave Jones, Insurance Commissioner DEPARTMENT OF INSURANCE RATE REGULATION DIVISION RATE FILING BUREAU 45 FREMONT STREET, 23rd FLOOR SAN FRANCISCO, CA 94105 December 13, 2017 Independence American Insurance Company 485 Madison Ave., 14th Floor New York, NY 10022-5872 Attn: Gary John Balzofiore RE: APPROVAL OF APPLICATION Independence American Insurance Company has submitted the following application for approval regarding the following line of business or program: CDI App. No.: 17-6640 Insurer File No.: IAIC PETS BEST FORM AND RATE FILING CA Line of Insurance: Personal Inland Marine Program: PetsBest %Rate Change Approved: 8.1% Only the changes specifically indicated in the application set forth above, as it may have been amended, are approved.
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