Get Prospective Loss Costs Reference Filing - Ndpc300 - State Of North ...

Filling out the Prospective Loss Costs Reference Filing - NDPC300 is crucial for insurers in North Dakota to declare their member status with advisory organizations. This guide provides clear, step-by-step instructions to help you successfully complete the form online.

Follow the steps to fill out the Prospective Loss Costs Reference Filing - NDPC300 online.

1. Click ‘Get Form’ button to access the Prospective Loss Costs Reference Filing - NDPC300. This will allow you to open the form for editing.
2. In the first section, enter the insurer name, type of insurance, advisory organization, and advisory organization reference filing number. Ensure each field is filled accurately to reflect your information.
3. Indicate your status with the advisory organization by checking the appropriate box that declares your membership or service purchaser status for this line of insurance.
4. Fill in the percentage fields for any rate changes due to the advisory organization’s revised reference filing and the insurer's revised loss cost multiplier. Also, include the total rate change percentage and the proposed effective date of the rate change.
5. Attach the 'Summary of Supporting Information Form NDPC300 Page 2' and utilize a separate summary for each insurer-selected loss cost multiplier, as indicated.
6. For the development of the loss cost multiplier, provide detailed information on the line, subline, coverage, and any modifications to the loss costs. You must choose whether to adopt the prospective loss costs with or without modification.
7. Complete the expected loss ratio section, including total production expenses and other expense elements. Attach the necessary supporting data for your historical expenses.
8. Review your entries for accuracy. Once verified, you can save changes, download, print, or share the completed form as needed.

Take the next step in your filing process and complete your documents online now.