SERFF Tracking Number: UTAC-125893890 State: Pennsylvania Filing Company: Continental General Insurance Company State Tracking Number: B20102001 Company Tracking Number: CGI - PA 2009 MS PRE-STD RATE TOI: MS02I Individual Medicare Supplement - Pre- Sub-TOI: MS02I.000 Medicare Supplement - Pre- Standardized Standardized Product Name: CGI 2009 Pre-Std Medicare Supplement Project Name/Number: CGI 2009 Pre-Std MS Rate/CGI PA 2009 Pre-Std MS Rate Filing at a Glance Company: Continental General Insurance Company Product Name: CGI 2009 Pre-Std Medicare SERFF Tr Num: UTAC-125893890 State: PennsylvaniaAH Supplement TOI: MS02I Individual Medicare Supplement - SERFF Status: Closed State Tr Num: B20102001 Pre-Standardized Sub-TOI: MS02I.000 Medicare Supplement - Co Tr Num: CGI - PA 2009 MS State Status: Approved Pre-Standardized PRE-STD RATE Filing Type: Rate Co Status: Reviewer(s): Michael Gurgiolo (AH), Carol Slack (AH) Author: Sive Kode Disposition Date: 01/22/2009 Date Submitted: 11/18/2008 Disposition Status: Approved Implementation Date Requested: On Approval Implementation Date: 02/01/2009 General Information Project Name: CGI 2009 Pre-Std MS Rate Status of Filing in Domicile: Pending Project Number: CGI PA 2009 Pre-Std MS Rate Date Approved in Domicile: 01/25/2008 Requested Filing Mode: Review & Approval Domicile Status Comments: Domicile state is Nebraska. Last rate filing for NE was aprroved on 1/25/2008. Current rate filing is pending. Explanation for Combination/Other: Market Type: Individual Submission Type: New Submission Group Market Size: Overall Rate Impact: 14% Group Market Type: Filing Status Changed: 01/22/2009 State Status Changed: 01/22/2009 Deemer Date: Corresponding Filing Tracking Number: Filing Description: Continental General Insurance Company 2009 Individual Pre-Standardized Medicare Supplement Rate Filing and Annual Rate Certification. Created by SERFF on 01/26/2009 01:03 AM SERFF Tracking Number: UTAC-125893890 State: Pennsylvania Filing Company: Continental General Insurance Company State Tracking Number: B20102001 Company Tracking Number: CGI - PA 2009 MS PRE-STD RATE TOI: MS02I Individual Medicare Supplement - Pre- Sub-TOI: MS02I.000 Medicare Supplement - Pre- Standardized Standardized Product Name: CGI 2009 Pre-Std Medicare Supplement Project Name/Number: CGI 2009 Pre-Std MS Rate/CGI PA 2009 Pre-Std MS Rate Company and Contact Filing Contact Information Sive Kode, Actuarial Technician skode@gafri.com 11200 Lakeline Boulevard #100 (800) 880-8824 [Phone] Austin, TX 78717 Filing Company Information Continental General Insurance Company CoCode: 71404 State of Domicile: Nebraska 11200 Lakeline Blvd., Suite 100 Group Code: 84 Company Type: Life & Health P. O. Box 26580 Austin, TX 78755-0580 Group Name: State ID Number: (800) 880-8824 ext. [Phone] FEIN Number: 47-0463747 --------- Filing Fees Fee Required? Yes Fee Amount: $0.00 Retaliatory? Yes Fee Explanation: Domicile state (NE) does not have filing fee. Per Company: Yes COMPANY AMOUNT DATE PROCESSED TRANSACTION # Continental General Insurance Company $0.00 11/18/2008 Created by SERFF on 01/26/2009 01:03 AM SERFF Tracking Number: UTAC-125893890 State: Pennsylvania Filing Company: Continental General Insurance Company State Tracking Number: B20102001 Company Tracking Number: CGI - PA 2009 MS PRE-STD RATE TOI: MS02I Individual Medicare Supplement - Pre- Sub-TOI: MS02I.000 Medicare Supplement - Pre- Standardized Standardized Product Name: CGI 2009 Pre-Std Medicare Supplement Project Name/Number: CGI 2009 Pre-Std MS Rate/CGI PA 2009 Pre-Std MS Rate Correspondence Summary Dispositions Status Created By Created On Date Submitted Approved Michael Gurgiolo (AH) 01/22/2009 01/22/2009 Created by SERFF on 01/26/2009 01:03 AM SERFF Tracking Number: UTAC-125893890 State: Pennsylvania Filing Company: Continental General Insurance Company State Tracking Number: B20102001 Company Tracking Number: CGI - PA 2009 MS PRE-STD RATE TOI: MS02I Individual Medicare Supplement - Pre- Sub-TOI: MS02I.000 Medicare Supplement - Pre- Standardized Standardized Product Name: CGI 2009 Pre-Std Medicare Supplement Project Name/Number: CGI 2009 Pre-Std MS Rate/CGI PA 2009 Pre-Std MS Rate Disposition Disposition Date: 01/22/2009 Implementation Date: 02/01/2009 Status: Approved Comment: Dear Sive Kode, This is to inform you that the revised rates, reflecting a 14% increase over the existing rates, are approved for the subject form effective February 1, 2009. Please be aware that in future filings, all actuarial data and exhibits must be provided in Excel workbook format. Sincerely, Michael Gurgiolo PA Ins. Dept. Rate data does NOT apply to filing. Created by SERFF on 01/26/2009 01:03 AM SERFF Tracking Number: UTAC-125893890 State: Pennsylvania Filing Company: Continental General Insurance Company State Tracking Number: B20102001 Company Tracking Number: CGI - PA 2009 MS PRE-STD RATE TOI: MS02I Individual Medicare Supplement - Pre- Sub-TOI: MS02I.000 Medicare Supplement - Pre- Standardized Standardized Product Name: CGI 2009 Pre-Std Medicare Supplement Project Name/Number: CGI 2009 Pre-Std MS Rate/CGI PA 2009 Pre-Std MS Rate Item Type Item Name Item Status Public Access Supporting Document Transmittal Letter (A&H) No Supporting Document Actuarial Certification (A&H) No Supporting Document Actuarial Memorandum and Explanatory No Information (A&H) Supporting Document Authorization to File (A&H) No Supporting Document Rate Table (A&H) No Supporting Document PA Projections No Supporting Document PA and Nationwide Rates History No Rate Current & Proposed Rates No Created by SERFF on 01/26/2009 01:03 AM