SERFF Tracking #: MASS-129194940 State Tracking #: Company Tracking #: 2013 RADIUS STUDENT DISCOUNT



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SERFF Tracking #: MASS-129194940 State Tracking #: Company Tracking #: 2013 RADIUS STUDENT DISCOUNT State: District of Columbia Filing Company: Massachusetts Mutual Life Insurance Company TOI/Sub-TOI: Product Name: Filing at a Glance Company: Product Name: State: TOI: Sub-TOI: Filing Type: Massachusetts Mutual Life Insurance Company 2013 Radius Student Discount District of Columbia H11I Individual Health - Disability Income H11I.009 Combined Short Term and Long Term - Related to marketing with employer or association groups Rate Date Submitted: 10/18/2013 SERFF Tr Num: SERFF Status: State Tr Num: State Status: Co Tr Num: H11I Individual Health - Disability Income/H11I.009 Combined Short Term and Long Term - Related to marketing with employer or association groups 2013 Radius Student Discount Project Name/Number: 2013 Radius Student Discount/2013 Radius Student Discount MASS-129194940 Assigned 2013 RADIUS STUDENT DISCOUNT Implementation Date Requested: Author(s): Reviewer(s): Disposition Date: Disposition Status: Implementation Date: On Approval Steven Miller, Robin Perez, Jennifer Dube, Nick Sheehan Darniece Shirley (primary), Alula Selassie, Donghan Xu State Filing Description: PDF Pipeline for SERFF Tracking Number MASS-129194940 Generated 11/01/2013 11:05 AM

SERFF Tracking #: MASS-129194940 State Tracking #: Company Tracking #: 2013 RADIUS STUDENT DISCOUNT State: District of Columbia Filing Company: Massachusetts Mutual Life Insurance Company TOI/Sub-TOI: Product Name: General Information Project Name: 2013 Radius Student Discount Project Number: 2013 Radius Student Discount Requested Filing Mode: Review & Approval Explanation for Combination/Other: Submission Type: New Submission Filing Status Changed: 10/24/2013 State Status Changed: Created By: Nick Sheehan Corresponding Filing Tracking Number: Filing Description: H11I Individual Health - Disability Income/H11I.009 Combined Short Term and Long Term - Related to marketing with employer or association groups 2013 Radius Student Discount Project Name/Number: 2013 Radius Student Discount/2013 Radius Student Discount Massachusetts Mutual Life Insurance Company NAIC#: 435-65935 FEIN #: 04-1590850 Status of Filing in Domicile: Pending Date Approved in Domicile: Domicile Status Comments: Market Type: Franchise Overall Rate Impact: Deemer Date: Submitted By: Nick Sheehan Disability Income Discounted Rate Filing Franchise Discounted rates for Disability Income Policy forms XL-AS-92(DC) & XL-GS-92(DC) The above-referenced filing is being submitted for your department s review and approval. This filing consists of changes to existing filed and approved franchise policy forms listed above. The purpose of this filing is to expand the availability of premium discounts to include student and residence attending professional training programs or schools. Multi-life premium discounts: These discounts will be available on Disability Income Policy form XL-GS-92(DC) which was previously approved for use by your department on 4/28/1993. The particular discount to be applied will be a function of the size of the employer/employee group, gender mix of the group, employer-pay versus employee-pay, participation, income replacement percentage and the percentage of the group that is participating in the purchase of insurance. A minimum of 5 issued lives is required in order for a discount to apply. Student and Residence premium discounts: These discounts will be available on Disability Income Policy form XL-GS-92(DC) which was previously approved for use by your department on 4/28/1993. The particular discount to be applied will be a function of the size of group, gender mix of the group, income replacement percentage and the percentage of the group that is pai1icipating in the purchase of insurance. Student and Residence premium discounts will be available for eligible groups at professional training programs and schools. A minimum of 5 issued lives is required in order for a discount to apply. An association premium discount is available on Disability Income Policy form XL-AS-92(DC) which was previously approved for use by your department on 4/28/1993. This policy is for sale to members of professional associations, which have endorsed the coverage. Association marketing is handled by Advanced Sales/Multi-life underwriting Department in the Home Office and each association must be pre-approved. A minimum of 5 issued lives is required in order for the discount to apply. This discount will be financed by a reduction in commission. The discounts will only be available for franchise policy forms sold in franchise situations. Company and Contact PDF Pipeline for SERFF Tracking Number MASS-129194940 Generated 11/01/2013 11:05 AM

SERFF Tracking #: MASS-129194940 State Tracking #: Company Tracking #: 2013 RADIUS STUDENT DISCOUNT State: District of Columbia Filing Company: Massachusetts Mutual Life Insurance Company TOI/Sub-TOI: Product Name: Filing Contact Information Nicholas Sheehan, Compliance Assistant 100 Bright Meadow Blvd Enfield, CT 06082 H11I Individual Health - Disability Income/H11I.009 Combined Short Term and Long Term - Related to marketing with employer or association groups 2013 Radius Student Discount Project Name/Number: 2013 Radius Student Discount/2013 Radius Student Discount nsheehan@massmutual.com 860-562-3462 [Phone] 860-562-6109 [FAX] Filing Company Information Massachusetts Mutual Life Insurance Company 1295 State Street MIP: M381 Springfield, MA 01111 (800) 767-1000 ext. [Phone] CoCode: 65935 Group Code: 435 Group Name: FEIN Number: 04-1590850 State of Domicile: Massachusetts Company Type: State ID Number: Filing Fees Fee Required? Retaliatory? Fee Explanation: No No PDF Pipeline for SERFF Tracking Number MASS-129194940 Generated 11/01/2013 11:05 AM

SERFF Tracking #: MASS-129194940 State Tracking #: Company Tracking #: 2013 RADIUS STUDENT DISCOUNT State: District of Columbia Filing Company: Massachusetts Mutual Life Insurance Company TOI/Sub-TOI: Product Name: Project Name/Number: Rate Information Rate data applies to filing. Filing Method: Rate Change Type: Overall Percentage of Last Rate Revision: % SERFF Decrease Effective Date of Last Rate Revision: 11/19/2012 Filing Method of Last Filing: H11I Individual Health - Disability Income/H11I.009 Combined Short Term and Long Term - Related to marketing with employer or association groups 2013 Radius Student Discount 2013 Radius Student Discount/2013 Radius Student Discount SERFF Company Rate Information Overall % Overall % Written Premium # of Policy Written Maximum % Minimum % Company Indicated Rate Change for Holders Affected Premium for Change Change Name: Change: Impact: this Program: for this Program: this Program: (where req'd): (where req'd): Massachusetts Mutual Life Insurance Company 0.000% 0.000% $0 0 $0 0.000% 0.000% PDF Pipeline for SERFF Tracking Number MASS-129194940 Generated 11/01/2013 11:05 AM

SERFF Tracking #: MASS-129194940 State Tracking #: Company Tracking #: 2013 RADIUS STUDENT DISCOUNT State: District of Columbia Filing Company: Massachusetts Mutual Life Insurance Company TOI/Sub-TOI: Product Name: Project Name/Number: Supporting Document Schedules H11I Individual Health - Disability Income/H11I.009 Combined Short Term and Long Term - Related to marketing with employer or association groups 2013 Radius Student Discount 2013 Radius Student Discount/2013 Radius Student Discount Satisfied - Item: Comments: Attachment(s): Item Status: Status Date: Bypassed - Item: Bypass Reason: Attachment(s): Item Status: Status Date: Satisfied - Item: Comments: Attachment(s): Item Status: Status Date: Bypassed - Item: Bypass Reason: Attachment(s): Item Status: Status Date: Bypassed - Item: Bypass Reason: Attachment(s): Item Status: Status Date: Bypassed - Item: Cover Letter All Filings Letter.pdf Certificate of Authority to File N/A Actuarial Memorandum Radius ML'13_Student Discount_Act Memo.pdf Actuarial Justification N/A District of Columbia and Countrywide Loss Ratio Analysis (P&C) N/A District of Columbia and Countrywide Experience for the Last 5 Years (P&C) PDF Pipeline for SERFF Tracking Number MASS-129194940 Generated 11/01/2013 11:05 AM

SERFF Tracking #: MASS-129194940 State Tracking #: Company Tracking #: 2013 RADIUS STUDENT DISCOUNT State: District of Columbia Filing Company: Massachusetts Mutual Life Insurance Company TOI/Sub-TOI: Product Name: Project Name/Number: Bypass Reason: Attachment(s): Item Status: Status Date: H11I Individual Health - Disability Income/H11I.009 Combined Short Term and Long Term - Related to marketing with employer or association groups 2013 Radius Student Discount 2013 Radius Student Discount/2013 Radius Student Discount N/A Bypassed - Item: Bypass Reason: Attachment(s): Item Status: Status Date: Bypassed - Item: Bypass Reason: Attachment(s): Item Status: Status Date: Actuarial Memorandum and Certifications N/A Unified Rate Review Template N/A PDF Pipeline for SERFF Tracking Number MASS-129194940 Generated 11/01/2013 11:05 AM

October 18, 2013 Department of Insurance, Securities and Banking Insurance Products Division Forms & Policy Analysis Branch 810 1 st Street, N.E. Suite 701 Washington, D.C. 20002 RE: Massachusetts Mutual Life Insurance Company NAIC#: 435-65935 FEIN #: 04-1590850 Disability Income Discounted Rate Filing Franchise Discounted rates for Disability Income Policy forms XL-AS-92(DC) & XL-GS-92(DC) Dear Sir/Madam: The above-referenced filing is being submitted for your department s review and approval. This filing consists of changes to existing filed and approved franchise policy forms listed above. The purpose of this filing is to expand the availability of premium discounts to include student and residence attending professional training programs or schools. Multi-life premium discounts: These discounts will be available on Disability Income Policy form XL-GS-92(DC) which was previously approved for use by your department on 4/28/1993. The particular discount to be applied will be a function of the size of the employer/employee group, gender mix of the group, employer-pay versus employeepay, participation, income replacement percentage and the percentage of the group that is participating in the purchase of insurance. A minimum of 5 issued lives is required in order for a discount to apply. Student and Residence premium discounts: These discounts will be available on Disability Income Policy form XL- GS-92(DC) which was previously approved for use by your department on 4/28/1993. The particular discount to be applied will be a function of the size of group, gender mix of the group, income replacement percentage and the percentage of the group that is pai1icipating in the purchase of insurance. Student and Residence premium discounts will be available for eligible groups at professional training programs and schools. A minimum of 5 issued lives is required in order for a discount to apply. An association premium discount is available on Disability Income Policy form XL-AS-92(DC) which was previously approved for use by your department on 4/28/1993. This policy is for sale to members of professional associations, which have endorsed the coverage. Association marketing is handled by Advanced Sales/Multi-life underwriting Department in the Home Office and each association must be pre-approved. A minimum of 5 issued lives is required in order for the discount to apply. This discount will be financed by a reduction in commission. The discounts will only be available for franchise policy forms sold in franchise situations. Sincerely, Nicholas Sheehan Nicholas Sheehan Product Filing Specialist (413)744-7890 nsheehan@massmutual.com