Life, Accident & Health

Insurance policies offered in South Carolina are to be readable and fair in relation to the coverage offered and must ensure prices charged for such coverage should be calculated in accordance with all state laws. Filings made with Life, Accident, and Health Division and the Property and Casualty Division are generally completed within 30 to 90 days, unless additional information is needed.

The Life, Accident, and Health Division staff review and analyze individual and group policy rates, rules, and forms for these lines of insurance and for health maintenance organizations (HMOs). 

Summary

Statutes & Regulations

Bulletins & Positions

Procedural Guidelines

SERFF LAH Filing Set Up Tutorial

Product Line table

Filing Type Table

Actuarial Exhibits, Forms, and Checklists

Summary

The following Instructions and checklists are intended to be used as a tool by the insurer to properly prepare and submit filings to the South Carolina Department of Insurance. Please know that improper and/or incomplete filings will result in a rejection or disapproval of the filing.

All rate, rule, and/or form filings must be submitted via the State Electronic Rate Form Filing system (SERFF). For more information on SERFF, please call 1-816-783-8787 or email serffmkttg@naic.org. Additional information is also available by visiting www.serf.com.

Filings must be submitted by insurer and by line of business.

The South Carolina Department of Insurance will review filings for compliance; however it remains the responsibility of the insurer to adhere to all applicable federal and State of South Carolina insurance laws, regulations and policies.

Statutes and Regulations

Title 38: Insurance Statutes

Insurance Regulations

Highlights:

Definitions - 
  • SC Code Section 38-1-20
Credit Accident and Health - 
  • SC Code Section 37-4-203
Credit Life - 
  • SC Code Section 37-4-203
Health Maintenance Organizations - 
  • Title 38, Chapter 33
  • Regulation 69-22
Insurance Contract Generally - 
  • Title 38, Chapter 63
  • Regulation 63-12.1
  • Regulation 69-30
Group Life Insurance - 
  • Title 38, Chapter 65
  • Regulation 63-12.1
  • Regulation 69-40
Accident and Health - 
  • Title 38, Chapter 71
  • Regulation 69-17
  • Regulation 69-34
  • Regulation 69-43
Long Term Care Insurance Act - 
  • Title 38, Chapter 72
Medicare Supplement - 
  • Regulation 69-46


Bulletins and Positions

Link to the complete list of SCDOI Bulletins

Highlights for Bulletins:


 Highlights for Positions
  • Enrollment Forms are required for all group policy filings.
  • SCID 1504 Form is required for all individual filings and group rate filings
  • This Department takes exception to wording which indicates that the statements of the applicant are other than representations. Hence the word “certify” must be deleted

Actuarial Exhibits, Forms and Checklists

Checklist:

Attached are files to assist insurers with meeting the requirements of Bulletin 2011-03. Parts I, II, and III are required documents for all applicable health insurance rate filings subject to this bulletin.