Rates & Forms

Insurance Sub-term

Annual Reporting Requirements

Annual Insurer Reporting Requirements

Below is a list of reporting requirements.  Please click on the links below to access instructions for completion and submission of these reports.

Certification Statement

Per Regulation I-2010-03 Section 6 G(1)

Certification: The filer must certify using the following language that the filing has been properly completed and is in compliance with all applicable Vermont laws, regulations and policies:

Certification statement: "I certify that the attached filing has been completed in accordance with Vermont Regulation I-2010-03 and is in compliance with all applicable Vermont laws and Regulations."

Below is a complete list of Sub TOI's that must submit the above Certification statement:

Consent to Rate

Consent to Rate Procedures

For information regarding a Consent to Rate Application Reference:

The completed application must have the following information:

Requirements for Mid-Term Cancellations

 Per Title 8:  §3879-3883 / Fire & Casualty and §4711 / Property & Casualty policies, mid-term cancellations must be submitted to the insurance commissioner for approval.  All mid-term cancellation requests must have the following information:

Medical Supplement Filings Rate Review

In Vermont, insurance carriers are required by law to submit their proposed rates in a filing to the Division of Rates and Forms for review and approval.  Insurers must justify why an increase is warranted and they can’t apply any increase in rates until they have been approved by the division.

To view Medicare-Supplement filings http://www.dfr.vermont.gov/insurance/rates-forms/naic-system-electronic-...

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