COMPANY: _____________________________________________________
LINE OF INSURANCE: ___________________________________________
PROGRAM: _____________________________________________________
CURRENT AMOUNT: ______________________________________________
PROPOSED AMOUNT: _____________________________________________
| (1) |
Latest Yr. "Other Acquisition and General Expenses" for captioned program,
countrywide excluding large national insureds: (Attach description of accounts included in above expense category as specified in Insurance Expense Exhibit) |
__________ |
| (2) |
Portion estimated to be fixed costs: |
__________ |
| (3) |
Fixed expense dollars: (1) x (2) |
__________ |
| (4) |
Number of policies for subject line: |
__________ |
| (5) |
Fixed expense per policy: (3) / (4) |
__________ |
| (6) |
Fixed expense loaded for premium tax and commissions:
(5) / (1.000-(tax)-(commission)) |
__________ |
| (7) |
Proposed minimum premium: |
__________ |
| (8) |
Percentage of New Jersey policies affected by new minimum premium: |
__________ |
| (9) |
Estimate of dollar increase in revenue due to change: |
__________ |
NOTE: Tax and Commissions should reflect New Jersey Expenses
|