SERFF Tracking #: KOCO-132872298 State Tracking #: KOCO-132872298 Company Tracking #: State: Virginia Filing Company: Knights of Columbus TOI/Sub-TOI: LTC Annual Rate Report/LTCINLM Product Name: LTC Annual Rate Report (LTCINLM) - CY2020 Project Name/Number: LTC Annual Rate Report (LTCINLM) - CY2020/ Filing at a Glance Company: Knights of Columbus Product Name: LTC Annual Rate Report (LTCINLM) - CY2020 State: Virginia TOI: LTC Annual Rate Report Sub-TOI: LTCINLM Filing Type: LTC Annual Rate Report Date Submitted: 06/12/2021 SERFF Tr Num: KOCO-132872298 SERFF Status: Closed-Filed State Tr Num: KOCO-132872298 State Status: Filed Co Tr Num: Effective 06/30/2021 Date Requested: Author(s): Barbara Caruso Reviewer(s): Bill Dismore (primary) Disposition Date: 06/23/2021 Disposition Status: Filed Effective Date: PDF Pipeline for SERFF Tracking Number KOCO-132872298 Generated 06/25/2021 12:23 AM SERFF Tracking #: KOCO-132872298 State Tracking #: KOCO-132872298 Company Tracking #: State: Virginia Filing Company: Knights of Columbus TOI/Sub-TOI: LTC Annual Rate Report/LTCINLM Product Name: LTC Annual Rate Report (LTCINLM) - CY2020 Project Name/Number: LTC Annual Rate Report (LTCINLM) - CY2020/ General Information Project Name: LTC Annual Rate Report (LTCINLM) - CY2020 Status of Filing in Domicile: Not Filed Project Number: Date Approved in Domicile: Requested Filing Mode: Informational Domicile Status Comments: Connecticut, our state of domicile, does not require. Explanation for Combination/Other: Market Type: Individual Submission Type: New Submission Individual Market Type: Overall Rate Impact: Filing Status Changed: 06/23/2021 State Status Changed: 06/23/2021 Deemer Date: Created By: Barbara Caruso Submitted By: Barbara Caruso Corresponding Filing Tracking Number: State TOI: LTC Annual Rate Report 2021 Filing Description: The Knights of Columbus (NAIC #58033) is submitting its LTC Annual Rate Report for calendar year 2020 for policies issued on or after October 1, 2003 that are no longer marketed (LTCINLM). This includes the following forms: LTC01-VA 1-03 Comprehensive LTC Contract approved on 7/23/2003 Submission # 007 0000020704 NHC01-VA 1-03 Facility Only Contract approved on 7/23/2003 Submission # 007 0000020704 This report is being submitted in connection with 14VAC5-200-125 for informational (reporting) purposes only. There is no rate increase history for these products as the Knights of Columbus has never requested a rate increase since initial approval of the products in 2003. Please note these products are guaranteed renewable which means the contract may be kept in force during the lifetime of the insured by paying premiums when due, subject to the Maximum Lifetime Benefit. The number of policies in force as of 12/31/2020: a) LTC01-VA 1-03: 951 b) NHC01-VA 1-03: 213 Company and Contact Filing Contact Information Barbara Caruso, Senior Compliance [email protected] Analyst 1 Columbus Plaza 203-752-4364 [Phone] New Haven, CT 06510-3326 203-752-4119 [FAX] Filing Company Information Knights of Columbus CoCode: 58033 State of Domicile: Connecticut 1 Columbus Plaza Group Code: Company Type: Fraternal New Haven, CT 06510-3326 Group Name: State ID Number: (203) 752-4000 ext. 4326[Phone] FEIN Number: 06-0416470 PDF Pipeline for SERFF Tracking Number KOCO-132872298 Generated 06/25/2021 12:23 AM SERFF Tracking #: KOCO-132872298 State Tracking #: KOCO-132872298 Company Tracking #: State: Virginia Filing Company: Knights of Columbus TOI/Sub-TOI: LTC Annual Rate Report/LTCINLM Product Name: LTC Annual Rate Report (LTCINLM) - CY2020 Project Name/Number: LTC Annual Rate Report (LTCINLM) - CY2020/ Filing Fees State Fees Fee Required? No Retaliatory? No Fee Explanation: PDF Pipeline for SERFF Tracking Number KOCO-132872298 Generated 06/25/2021 12:23 AM SERFF Tracking #: KOCO-132872298 State Tracking #: KOCO-132872298 Company Tracking #: State: Virginia Filing Company: Knights of Columbus TOI/Sub-TOI: LTC Annual Rate Report/LTCINLM Product Name: LTC Annual Rate Report (LTCINLM) - CY2020 Project Name/Number: LTC Annual Rate Report (LTCINLM) - CY2020/ Correspondence Summary Dispositions Status Created By Created On Date Submitted Filed Bill Dismore 06/23/2021 06/23/2021 PDF Pipeline for SERFF Tracking Number KOCO-132872298 Generated 06/25/2021 12:23 AM SERFF Tracking #: KOCO-132872298 State Tracking #: KOCO-132872298 Company Tracking #: State: Virginia Filing Company: Knights of Columbus TOI/Sub-TOI: LTC Annual Rate Report/LTCINLM Product Name: LTC Annual Rate Report (LTCINLM) - CY2020 Project Name/Number: LTC Annual Rate Report (LTCINLM) - CY2020/ Disposition Disposition Date: 06/23/2021 Effective Date: Status: Filed Comment: 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): Knights of Columbus 0.000% 0.000% $0 1,164 $2,296,941 0.000% 0.000% Schedule Schedule Item Schedule Item Status Public Access Supporting Document Actuarial Memorandum Received & Acknowledged Yes Supporting Document Product Checklist Received & Acknowledged Yes Supporting Document LTC Annual Report Instructions Received & Acknowledged Yes Rate LTCINLM Filed Yes PDF Pipeline for SERFF Tracking Number KOCO-132872298 Generated 06/25/2021 12:23 AM SERFF Tracking #: KOCO-132872298 State Tracking #: KOCO-132872298 Company Tracking #: State: Virginia Filing Company: Knights of Columbus TOI/Sub-TOI: LTC Annual Rate Report/LTCINLM Product Name: LTC Annual Rate Report (LTCINLM) - CY2020 Project Name/Number: LTC Annual Rate Report (LTCINLM) - CY2020/ Rate Information Rate data applies to filing. Filing Method: SERFF Rate Change Type: Neutral Overall Percentage of Last Rate Revision: 0.000% Effective Date of Last Rate Revision: 06/30/2020 Filing Method of Last Filing: SERFF SERFF Tracking Number of Last Filing: KOCO-132437768 Company Rate Information 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): Knights of Columbus 0.000% 0.000% $0 1,164 $2,296,941 0.000% 0.000% PDF Pipeline for SERFF Tracking Number KOCO-132872298 Generated 06/25/2021 12:23 AM SERFF Tracking #: KOCO-132872298 State Tracking #: KOCO-132872298 Company Tracking #: State: Virginia Filing Company: Knights of Columbus TOI/Sub-TOI: LTC Annual Rate Report/LTCINLM Product Name: LTC Annual Rate Report (LTCINLM) - CY2020 Project Name/Number: LTC Annual Rate Report (LTCINLM) - CY2020/ Rate/Rule Schedule Item Schedule Affected Form Numbers No. Item Document Name (Separated with commas) Rate Action Rate Action Information Attachments Status 1 LTCINLM LTC01-VA 1-03, NHC01-VA 1- Other Previous State Filing Number: LTCI_VA_NLM- 03 KOCO-132437768 2020_Certification.pdf, Rate Action Other Explanation: Annual Certification PDF Pipeline for SERFF Tracking Number KOCO-132872298 Generated 06/25/2021 12:23 AM Annual Rate Report for Long-Term Care Insurance Policies Issued On or After October 1, 2003 that are No Longer Marketed Reporting Period January 1st, 2020 to December 31, 2020 Company Name Knights of Columbus Company NAIC Number 58033 Form Number(s) LTC01-VA 1-03 NHC01-VA 1-03 Issue Dates October 1, 2003 to July 23, 2014 Previous SERFF Filing Number KOCO-132437768 Current SERFF Filing Number KOCO-132865865 I, Jason Ard, am a member of the American Academy of Actuaries. I meet the Academy’s qualification standards for rendering this opinion and am familiar with the requirements for filing and reviewing long-term care insurance premiums. In my opinion, the premium rate schedules are sufficient to cover anticipated costs under best estimate assumptions and the premium rate schedules are reasonably expected to be sustainable over the life of the policies with no future premium increases anticipated. Based on my review of recent experience of the policies involved, in my opinion, no rate action is necessary as a result of this analysis. However, if interest rates continue to stay low or our claims experience deteriorates further, corrective action may be necessary in the future. In forming my opinion, I have used actuarial assumptions and actuarial methods and such tests of the actuarial calculations as I considered necessary. Attached is an actuarial memorandum that provides the historical experience and the expected future and lifetime loss ratios based on the current best-estimate assumptions; and a detailed description and actuarial support for each assumption used in the projections. Jason Ard, ASA, MAAA Senior Actuarial Associate Knights of Columbus One Columbus Plaza New Haven, CT 06510-3326 (203) 752-4339 [email protected] May 28, 2021 LTCINLM Page 1 of 10 SERFF Tracking #: KOCO-132872298 State Tracking #: KOCO-132872298 Company Tracking #: State: Virginia Filing Company: Knights of Columbus TOI/Sub-TOI: LTC Annual Rate Report/LTCINLM Product Name: LTC Annual Rate Report (LTCINLM) - CY2020 Project Name/Number: LTC Annual Rate Report (LTCINLM) - CY2020/ Supporting Document Schedules Satisfied - Item: Actuarial Memorandum Comments: Attachment(s): LTCI_VA_NLM-2020_Memorandum.pdf Item Status: Received & Acknowledged Status Date: 06/23/2021 Satisfied - Item: Product Checklist Comments: Attachment(s): VA_NLM_Checklist.pdf Item Status: Received & Acknowledged Status Date: 06/23/2021 Satisfied - Item: LTC Annual Report