NONFILED

Updated June 11, 2024

Nonfiled – The Practice of Insurance Rates Not Submitted for Regulatory Approval

In plain language: Nonfiled insurance rates refer to prices for insurance policies that insurers set without getting approval from state regulators. Think of it as a restaurant setting dish prices without confirming with local food board authorities. 

Technical definition: In the insurance industry, nonfiled rates refer to those premiums or prices for insurances that insurance carriers develop and implement without prior regulatory approval. Most commonly seen in the pricing methods of surplus lines insurers and in commercial insurance lines, nonfiled rates are typically set for unique, complex, or high-risk exposures that require customization and flexibility. 

Imagine a world where all insurance rates were nonfiled - chaotic, with potential for abuse and misunderstanding. That's why most insurance rates are regulated. But nonfiled rates hold special importance too. 

TL;DR

    Nonfiled rates are insurance premiums set without regulatory approval. 
    They matter in agency work as they cater to unique or high-risk exposures. 
    Overlooking client specifics under these rates is a common mistake. 
    Best practice: Always meticulously detail and communicate policy terms when handling nonfiled rates. 

What Is Nonfiled in Insurance?

Going deeper into nonfiled rates, these are set by insurance companies for certain lines of business they deem to be highly specialized or difficult to underwrite. These often pertain to professional liability or high-risk areas where standard rates may not adequately cover the risk involved. 

Insurance providers design and set nonfiled rates based on their perceived risk assessment, and these rates don't undergo standard regulatory scrutiny as most insurance rates do. The use of nonfiled rates, while less common than filed rates, is often seen in surplus lines insurance and in certain commercial insurance lines. 

The essence of nonfiled rates lies in their flexibility, giving insurance carriers the capacity to adapt their pricing to the varying degrees of risk that unique, complex or high-risk coverages present. 

Key Related Terms to Know

    Filed Rates – Standard insurance prices that have gained regulatory approval. 
    Rate Regulation – The process by which state insurance departments review and approve insurance rates. 
    Surplus Lines Insurance – Coverage offered by insurers for high-risk or unique needs, often involving nonfiled rates. 
    Commercial Insurance Line – Covers businesses and corporations, often includes nonfiled rates for complex scenarios. 
    Risk Assessment – The process where insurers evaluate potential threats and set prices accordingly. 

Common Questions About Nonfiled

Why would insurers use nonfiled rates? 

Insurers use nonfiled rates, to be more flexible and competitive in pricing their policies for unpredictable, unique, or high-risk exposures. It enables them to meet the needs of a wider variety of customers than they would with filed rates - say, for a business operating with extreme risks. 

Does every state allow nonfiled rates? 

This often varies by state and carrier; always check the specific policy form. However, the majority of states do allow nonfiled rates in certain circumstances, particularly with surplus lines and in complex commercial lines policies. 

How does this affect the clients? 

Typically, clients affected by nonfiled rates are engaged in professional liability or high-risk areas where standard rates may not adequately cover the risk involved. While the premium might be higher, the nonfiled rates give these clients necessary coverage. 

What are the limitations of nonfiled insurance? 

Nonfiled insurance might not be available for all coverage types, or in all regions. Also, since they're not subject to regulatory oversight, they may result in higher prices for clients. 

Nonfiled vs. Filed Rates

At the core, the separative line between nonfiled and filed rates is regulatory approval. 
 

Comparison Area 

Nonfiled Rates 

Filed Rates 

  

Primary use case 

For high-risk or complex coverages 

For standard coverages 

Coverage/concept type 

Non-regulated pricing 

Regulated pricing 

Typical exclusions 

None specific 

Regulated exclusions 

Who is most affected by errors 

Businesses with high-risk activities 

Wider range of customers 

Common mistakes 

Overlooking client specifics 

Misunderstanding coverage limits 

Real Claim Examples Involving Nonfiled Rates

Scenario 1: A construction company had a liability policy with a nonfiled rate due to its high-risk worksite exposures. When a tragic accident occurred, the nonfiled rate allowed for a higher claim payout due to its unique setup, protecting the firm from potential bankruptcy. 

Scenario 2: A tech company held a cyber liability policy with a nonfiled rate due to its unique risk factors. When a major data breach happened, costing millions in damages and fines, their nonfiled rate policy covered their significant losses. 

Scenario 3: A high-end luxury hotel owned a property insurance policy with nonfiled rates due to its unique, expensive assets. When a fire destroyed a significant part of the property, the nonfiled rate policy ensured a more adequate coverage for the high-value losses involved than a regular filed rate policy might have.

Limitations and Common Mistakes

    Overlooking or underestimating client specifics when dealing with nonfiled rates, as such specifics directly influence coverage and premia. 
    Poor communication and confusion about pricing and coverage details, leading to potential E&O exposure. 
    Failure to consult regulatory rules, leading to potential legal issues or service delays. 

How to Explain Nonfiled to Clients

Personal Lines client "Essentially, nonfiled rates refer to insurance prices that are set without needing approval from state regulators. They're used for tricky or high-risk scenarios. For you, this means the price can be more tailored to your situation." 

Small Business owner "Think of nonfiled rates as flexibly priced insurance policies. They can adapt to unique or high-risk scenarios that your business might face. These rates are set without needing regulatory approval, so they can be more attuned to your business needs." 

CFO or Risk Manager "Nonfiled rates are basically designed for more unique, complex or high-risk insurance scenarios. These prices aren't vetted by state regulators, providing the carrier with latitude to design rates that would best suit your high-risk exposures or specialized needs." 

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