NC Register Volume 23 Issue 09 - Office of Administrative Hearings

APPROVED RULES
(b) The application shall provide documentation of the
following:
(1) that the agency making application has legal
placement and consenting authority for the
child;
(2) that the child is legally cleared for adoption;
(3) that the child is one who is considered hard to
place due to such factors as:
(A) age;
(B) race;
(C) physical, mental, or emotional
handicap; and
(D) being a member of a sibling group;
and
(4) that the child is registered on the North
Carolina Adoption Resource Exchange.
(c) To the extent funds are available, the Division of Social
Services shall approve the payment of an adoption service fee
and shall notify the county in writing of this approval.
(d) The county department of social services shall send the
Division of Social Services a copy of the purchase of service
agreement negotiated with the out-of-state provider and shall
notify the Division of the dates payments are due.
History Note: Authority G.S. 143B-153;
Eff. March 23, 1981;
Amended Eff. October 1, 2008; July 1, 1991; June 1, 1990.
TITLE 11 – DEPARTMENT OF INSURANCE
11 NCAC 16 .0403 CALCULATION PROCEDURE
AND DATA REQUIREMENTS FOR RATE DEVIATIONS
An insurer requesting a rate deviation shall submit to the
Department of Insurance the following information, the results
of each calculation as follows and the corresponding data
required to perform each calculation in accordance with this
Rule, identified for each case for which the insurer is requesting
a rate deviation:
(1) Identification of the class of business and plan
of insurance associated with the case;
(2) Identification of the single or multiple account
case. For a multiple account case,
identification of each case;
(3) For the case, calculate the incurred loss ratio at
the current North Carolina approved rate as
defined in Rule .0401(15) of this Section;
(4) For the case, calculate the credibility factor
using the credibility formula as defined in 11
NCAC 16 .0401(6);
(5) Multiply Item (3) of this Rule by Item (4) of
this Rule;
(6) For the class of business, calculate the class of
business incurred loss ratio at current North
Carolina approved rate as defined in 11 NCAC
16. 0401(16);
(7) For the class of business, calculate the
credibility factor using the credibility formula
as defined in 11 NCAC 16.0401(6);
(8) Multiply Item (7) of this Rule by the quantity
one minus Item (4) of this Rule, i.e. Item (7) of
this Rule x [1 - Item (4) of this Rule];
(9) Multiply Item (6) of this Rule by Item (8) of
this Rule;
(10) Multiply the quantity one minus Item (4) of
this Rule by the quantity one minus Item (7) of
this Rule, i.e. [1 - Item (4) of this Rule] x [1 -
Item (7) of this Rule];
(11) Multiply .60 by Item (10) of this Rule;
(12) Add Items (5), (9) and (11) of this Rule;
(13) Calculate the expense ratio as defined in 11
NCAC 16. 0401(9);
(14) Calculate the benchmark loss ratio as defined
in 11 NCAC 16. 0401(11);
(15) The rate adjustment factor is equal to Item (12)
of this Rule divided by Item (14) of this Rule;
however, if the rate adjustment factor is
greater than or equal to 0.95 and less than or
equal to 1.05, then the rate adjustment factor
shall be set equal to the number one; and
(16) The maximum approved rate in effect for a
period of 12 months is equal to the current
North Carolina approved rate for the case
multiplied by Item (15) of this Rule.
History Note Authority G.S. 58-2-40; 58-57-35(a); 58-57-
70;
Eff. January 1, 1994;
Amended Eff. October 1, 2008.
11 NCAC 18 .0118 MAXIMUM NET RETENTION
STANDARD
(a) The specific maximum net retention limit for any MEWA,
associated with the period of time that the excess insurance
coverage is in force, shall be calculated in the following manner:
(1) Determine the total expected dollar value of
claims;
(2) Determine the total surplus at the beginning of
the period of time that the excess insurance
coverage is scheduled to be in force;
(3) Multiply Subparagraph (a)(1) of this Rule by
one percent and add that product to
Subparagraph (a)(2) of this Rule;
(4) Multiply the result of the calculation in
Subparagraph (a)(3) of this Rule times itself;
(5) Multiply Subparagraph (a)(1) of this Rule by
the number 3.4; and
(6) Divide the product of the calculation in
Subparagraph (a)(4) of this Rule by the
product of the calculation in Subparagraph
(a)(5) of this Rule.
(b) The specific maximum net retention limit shall not exceed
the lesser of:
(1) The amount in Subparagraph (a)(6) of this
Rule;
23:09 NORTH CAROLINA REGISTER NOVEMBER 3, 2008
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