CHAPTER I: DEPARTMENT OF INSURANCE
SUBCHAPTER i: ADVISORY ORGANIZATIONS
PART 754 RULES AND RATE FILINGS
SECTION 754.EXHIBIT A SUMMARY SHEET (FORM RF-3)
Section 754.EXHIBIT A Summary Sheet (Form RF-3)
FORM (RF-3)
SUMMARY SHEET
Change in Company's premium or rate level produced by rate revision
effective_______________________.
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(1) |
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(2) |
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(3) |
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Coverage |
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Annual Premium Volume (Illinois) * |
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Percent Change (+or-) ** |
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1. |
Automobile Liability Private |
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Passenger |
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Commercial |
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2 |
Automobile Physical Damage |
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Private Passenger |
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Commercial |
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3. |
Liability Other Than Auto |
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4. |
Burglary and Theft |
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5. |
Glass |
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6. |
Fidelity |
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7. |
Surety |
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8. |
Boiler and Machinery |
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9. |
Fire |
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10. |
Extended Coverage |
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11. |
Inland Marine |
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12. |
Homeowners |
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13. |
Commercial Multi-Peril |
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14. |
Crop Hail |
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15. |
Other |
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Life of Insurance |
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Does filing only apply to certain territory (territories) or certain |
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Classes? If so, specify: |
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Brief description of filing. (If filing follows rates of an advisory |
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Organization, specify organization): |
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*Adjusted to reflect all prior rate changes. |
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**Change in Company's premium level which will result from application of new rates. |
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Name of Company |
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Official – Title |
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