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2019 Submission Instructions For Family Leave Benefits (PFL) Coverage

  1. Insurers must amend the policy forms for PFL coverage effective as of January 1, 2019. Use the 2019 Model Rider and the Redline 2019 Model Rider and assign a new unique form number in the lower left hand corner.
  2. Insurers should send the form and rate submission to DFS through SERFF no later than October 1, 2018. Refer to the PFL SERFF Checklist. When making the SERFF submission, insurers should use the new SUB-TOI for Statutory Family Leave Benefits Coverage.
  3. For ease of review and to expedite the approval process, insurers should provide a redline copy of the changes made to the rider approved for use in 2018. The redline copy should be attached in the supporting documentation tab in SERFF. Insurers should also include the state tracking number of the approved 2018 submission in the general information tab in SERFF.
  4. Insurers should review the previously approved application form for PFL to determine whether a new application form or explanation of variability is necessary.
  5. Insurers issuing a standalone PFL policy should refer to the Redline 2019 Model Rider to determine the appropriate changes for 2019. Insurers may wish to add the changes to the policy by rider or may submit a new 2019 standalone PFL policy. For ease of review and to expedite the approval process, insurers choosing to submit a new 2019 standalone policy should provide a redline copy of the changes made to the form approved for use in 2018. The redline copy should be attached in the supporting documentation tab in SERFF. Insurers should also include the state tracking number of the approved 2018 submission in the general information tab in SERFF.
  6. Insurers must distribute the approved 2019 rider (or standalone PFL policy when applicable) to all policyholders in advance of the January 1, 2019 effective date.

Updated 08/31/2018

Department of Financial Services

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