Justification For Minimum Premium
 

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