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PN049902B <br />(Ed. 5-02) <br />1. Your policy was transferred or renewed without a change in its terms or conditions or the rate on which <br />the premium is based to another insurer or other insurers who are members of the same insurance <br />group as us. <br />2. The policy was extended for 90 days or less and the required notice was given prior to the extension. <br />3. You obtained replacement coverage or agreed, in writing, within 60 days of the termination of the <br />policy, to obtain that coverage. <br />4. The policy is for a period of no more than 60 days and you were notified at the time of issuance that it <br />may not be renewed. <br />5. You requested a change in the terms or conditions or risks covered by the policy within 60 days prior to <br />the end of the policy period. <br />6. We made a written offer to you to renew the policy at a premium rate increase of less than 25 percent. <br />(A) If the premium rate in your governing classification is to be increased 25 percent or greater and <br />we intend to renew the policy, we shall provide a written notice of a rnewal offer not less than 30 days <br />prior to the policy renewal date. The governing classification shall be determined by the rules and <br />regulations established in accordance with California Insurance Code Section 11750.39c). <br />(B) For purposes of this Notice, "premium rate" means the cost of insurance per unit of exposure prior <br />to the application of individual risk variations based on loss or expense considerations such as <br />scheduled rating and experience rating. This notice does not change the policy to which it is <br />attached. <br />©2002 by the Workers' Compensation Insurance Rating Bureau of California. All rights reserved. <br />24 of 28 <br />