60A.76 PURPOSE AND SCOPE.
Sections 60A.76 to 60A.768 apply to all individual and group accident and health insurance
coverages as defined in section 60A.06, subdivision 1, paragraph (5)(a), including single premium
credit disability insurance. Other credit insurance is not subject to sections 60A.76 to 60A.768.
When an insurer determines that adequacy of its health insurance reserves requires reserves
in excess of the minimum standards specified in sections 60A.76 to 60A.768, the increased
reserves must be held and must be considered the minimum reserves for that insurer.
With respect to any block of contracts, or with respect to an insurer's health business as a
whole, a prospective gross premium valuation is the ultimate test of reserve adequacy as of
a given valuation date. The prospective gross premium valuation must take into account, for
contracts in force, in a claims status, or in a continuation of benefits status on the valuation date,
the present value as of the valuation date of: all expected benefits unpaid, all expected expenses
unpaid, and all unearned or expected premiums, adjusted for future premium increases reasonably
expected to be put into effect.
The prospective gross premium valuation must be performed whenever a significant doubt
exists as to reserve adequacy with respect to any major block of contracts, or with respect to the
insurer's health business as a whole. In the event inadequacy is found to exist, immediate loss
recognition must be made and the reserves restored to adequacy. Adequate reserves, inclusive of
claim, premium, and contract reserves, if any, must be held with respect to all contracts, regardless
of whether contract reserves are required for such contracts under sections 60A.76 to 60A.768.
Whenever minimum reserves, as defined in sections 60A.76 to 60A.768, exceed reserve
requirements as determined by a prospective gross premium valuation, such minimum reserves
remain the minimum requirement under sections 60A.76 to 60A.768.
History: 2004 c 285 art 2 s 1