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CA Department of Insurance

SB 1163 Guidance: SERFF Filing for Health Rates - FINAL

Pursuant to Senate Bill 1163 (Chapter 661, Statutes 2010), the California Department of Insurance issues the following guidance regarding compliance.1; Further guidance may be forthcoming in the future.

SB 1163 Guidance Document #1: SERFF Filing Required

Date: December 1, 2010

Insurance Code section 10181.7(c), effective January 1, 2011, requires that all information submitted to the Department pursuant to Article 4.5 (Insurance Code section 10181 et seq.) shall be submitted electronically in order to facilitate review by the Department and the public.

Per Insurance Code section 10181.4(d), effective January 1, 2011 all rate filings submitted pursuant to Article 4.5 (Insurance Code section 10181 et seq.) shall be submitted to the Department through the System for Electronic Rate and Form Filing (SERFF) of the National Association of Insurance Commissioners (NAIC).

Information regarding the SERFF system is available at www.serff.com.

The Department will issue further guidance regarding the required contents of rate submissions at a later date.

For questions, please contact Bruce Hinze.


1Senate Bill 1163 provides, at Insurance Code section 10181.2, that Article 4.5 (Insurance Code section 10181 et seq.) does not apply to a specialized health insurance policy; a Medicare supplement policy subject to Article 6 (commencing with Section 10192.05); a health insurance policy offered in the Medi-Cal program (Chapter 7 (commencing with Section 14000) of Part 3 of Division 9 of the Welfare and Institutions Code); a health insurance policy offered in the Healthy Families Program (Part 6.2 (commencing with Section 12693)), the Access for Infants and Mothers Program (Part 6.3 (commencing with Section 12695)), the California Major Risk Medical Insurance Program (Part 6.5 (commencing with Section 12700)), or the Federal Temporary High Risk Pool (Part 6.6 (commencing with Section 12739.5)); a health insurance conversion policy offered pursuant to Section 12682.1; or a health insurance policy offered to a federally eligible defined individual under Chapter 9.5 (commencing with Section 10900).

Accordingly, the above guidance does not apply to the types of insurance listed in Insurance Code section 10181.2.

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