Text: H08187                            Text: H08189
Text: H08100 - H08199                   Text: H Index
Bills and Amendments: General Index     Bill History: General Index



House Amendment 8188

Amendment Text

PAG LIN
  1  1    Amend House File 2440 as follows:
  1  2    #1.  By striking everything after the enacting
  1  3 clause and inserting the following:
  1  4    "Section 1.  NEW SECTION.  507F.1  CONSUMER
  1  5 ADVOCATE ON INSURANCE – APPOINTMENT – POLITICAL
  1  6 ACTIVITY – REMOVAL.
  1  7    1.  The attorney general shall appoint a competent
  1  8 attorney to the office of consumer advocate on
  1  9 insurance.  The appointment is subject to senate
  1 10 confirmation in accordance with section 2.32.  The
  1 11 advocate's term of office is for four years.  The term
  1 12 begins and ends as set forth in section 69.19.
  1 13    2.  If a vacancy occurs in the office of consumer
  1 14 advocate on insurance, the vacancy shall be filled for
  1 15 the unexpired term in the same manner as an original
  1 16 appointment.
  1 17    3.  The consumer advocate on insurance shall devote
  1 18 the advocate's entire time to the duties of the
  1 19 office.  During the advocate's term of office the
  1 20 advocate shall not be a member of a political
  1 21 committee, shall not contribute to a political
  1 22 campaign fund other than through the income tax
  1 23 checkoff for contributions to the Iowa election
  1 24 campaign fund and the presidential election campaign
  1 25 fund, and shall not take part in political campaigns
  1 26 or be a candidate for a political office.
  1 27    4.  The attorney general may remove the consumer
  1 28 advocate on insurance for malfeasance or nonfeasance
  1 29 in office, or for any cause which renders the advocate
  1 30 ineligible for appointment, or incapable or unfit to
  1 31 discharge the duties of the advocate's office.  The
  1 32 advocate's removal, when so made, is final.
  1 33    5.  The office of consumer advocate on insurance
  1 34 shall be limited to regulating insurance markets in
  1 35 Iowa deemed noncompetitive by the commissioner of
  1 36 insurance.
  1 37    Sec. 2.  NEW SECTION.  507F.2  DUTIES.
  1 38    The office of the consumer advocate on insurance
  1 39 shall:
  1 40    1.  Adopt rules pursuant to chapter 17A and perform
  1 41 other duties necessary to the administration of this
  1 42 chapter.
  1 43    2.  Investigate the legality of all rates, charges,
  1 44 rules, regulations, and practices of all persons
  1 45 within the purview of the office of the consumer
  1 46 advocate on insurance, and institute civil proceedings
  1 47 before the insurance division or any court to correct
  1 48 any illegality on the part of any person.  In any
  1 49 investigation, the person acting for the office of the
  1 50 consumer advocate on insurance shall have the power to
  2  1 ask the commissioner of insurance to issue subpoenas,
  2  2 compel the attendance and testimony of witnesses, and
  2  3 the production of papers, books, and documents.
  2  4    3.  Make recommendations to the general assembly
  2  5 regarding insurance regulation.
  2  6    4.  Make recommendations to the insurance division
  2  7 or any other governmental agency which has an impact
  2  8 on insurance regulation in the state through
  2  9 rulemaking and review and, if the advocate deems it to
  2 10 be in the public interest, appeal the rulemaking or
  2 11 contested case decisions of the insurance division or
  2 12 any other governmental agency which has an impact on
  2 13 insurance regulation in the state.
  2 14    5.  Represent the interests of the public relating
  2 15 to insurance reform, coverage, and rates where action
  2 16 is necessary for the protection of public rights.
  2 17    6.  Institute judicial review of final or
  2 18 interlocutory actions of the insurance division if the
  2 19 review is deemed to be in the public interest.
  2 20    7.  Act as attorney for and represent all consumers
  2 21 generally and the public generally in all proceedings
  2 22 before the insurance division, federal and state
  2 23 agencies, and related judicial review proceedings and
  2 24 appeals.
  2 25    8.  Appear for all consumers generally and the
  2 26 public generally in all actions instituted in any
  2 27 state or federal court which involve the validity of a
  2 28 rule, regulation, or order of the insurance division.
  2 29    9.  Appear and participate as a party in the name
  2 30 of the office of consumer advocate on insurance in the
  2 31 performance of the duties of the office.
  2 32    Sec. 3.  NEW SECTION.  507F.3  OFFICE – EMPLOYEES
  2 33 – EXPENSES.
  2 34    1.  The office of the consumer advocate on
  2 35 insurance shall be located within the office of the
  2 36 attorney general.  Administrative support services
  2 37 shall be provided to the consumer advocate by the
  2 38 office of the attorney general.
  2 39    2.  The consumer advocate on insurance may employ
  2 40 attorneys, legal assistants, secretaries, clerks, and
  2 41 other employees the consumer advocate on insurance
  2 42 finds necessary for the full and efficient discharge
  2 43 of the duties and responsibilities of the office.  The
  2 44 consumer advocate on insurance may employ consultants
  2 45 as expert witnesses or technical advisors pursuant to
  2 46 contract as the advocate finds necessary for the full
  2 47 and efficient discharge of the duties of the office.
  2 48 Employees of the consumer advocate on insurance, other
  2 49 than the advocate, are subject to merit employment,
  2 50 except as provided in section 19A.3.
  3  1    3.  The salary of the consumer advocate on
  3  2 insurance shall be fixed by the attorney general
  3  3 within the salary range set by the general assembly.
  3  4 The salaries of employees of the consumer advocate on
  3  5 insurance is as provided by law.  The appropriation
  3  6 for the office of consumer advocate on insurance shall
  3  7 be separate line item contained in the appropriation
  3  8 from the general fund of the state to the department
  3  9 of justice.
  3 10    Sec. 4.  NEW SECTION.  507F.4  INSURANCE DIVISION
  3 11 RECORDS.
  3 12    The consumer advocate on insurance has free access
  3 13 to all the files, records, and documents in the office
  3 14 of the insurance division except:
  3 15    1.  Personal information in confidential personnel
  3 16 records of the insurance division.
  3 17    2.  Records which represent and constitute the work
  3 18 product of the general counsel of the insurance
  3 19 division where the records relate to a proceeding
  3 20 before the division in which the consumer advocate on
  3 21 insurance is a party or a proceeding in any state of
  3 22 federal court in which both the division and the
  3 23 consumer advocate on insurance are parties.
  3 24    3.  Insurer information of a confidential nature
  3 25 which could jeopardize an insurer's competitive status
  3 26 and is provided by an insurer to the division.
  3 27 However, such information shall be provided to the
  3 28 consumer advocate on insurance by the insurance
  3 29 division, if the division determines it to be in the
  3 30 public interest.
  3 31    Sec. 5.  NEW SECTION.  507F.5  SERVICE.
  3 32    The consumer advocate on insurance is entitled to
  3 33 service of all documents required by statute or rule
  3 34 to be served on parties in proceedings before the
  3 35 insurance division and all notices, petitions,
  3 36 applications, complaints, answers, motions, and other
  3 37 pleadings filed pursuant to statute or rule with the
  3 38 division.
  3 39    Sec. 6.  NEW SECTION.  507F.6  CONSUMER ADVOCATE ON
  3 40 INSURANCE ADVISORY COMMITTEE.
  3 41    The attorney general shall appoint seven members to
  3 42 a consumer advocate on insurance advisory committee to
  3 43 meet at the request of the consumer advocate on
  3 44 insurance for consultation regarding the protection of
  3 45 public rights in insurance regulation.  A member shall
  3 46 be appointed from each congressional district with the
  3 47 appointee residing within the district at the time of
  3 48 the appointment.  The remaining appointees shall be
  3 49 members at large.  Members shall be appointed which
  3 50 represent the various sectors or the population and
  4  1 appointments shall be made in compliance with sections
  4  2 69.16 and 69.16A.  The members shall serve four-year
  4  3 terms and their appointments are not subject to
  4  4 confirmation by the senate.  A vacancy shall be filled
  4  5 in the same manner as the original appointment for the
  4  6 unexpired portion of the member's term.  Members of
  4  7 the committee shall serve without compensation, but
  4  8 shall be reimbursed for actual expenses from funds
  4  9 appropriated to the office of the consumer advocate on
  4 10 insurance.
  4 11    Sec. 7.  NEW SECTION.  519A.5A  RATE INCREASES –
  4 12 RIGHT OF REVIEW.
  4 13    1.  An insurer subject to this chapter as a member
  4 14 of the association shall not make effective a proposed
  4 15 increase of any medical malpractice insurance rate
  4 16 individually underwritten by the insurer until the
  4 17 proposed increase has been reviewed and approved by
  4 18 the commissioner.
  4 19    2.  An insurer under subsection 1 shall give
  4 20 written notice of a proposed increase of any rate to
  4 21 an affected person sixty days prior to the time the
  4 22 application for the increase is filed with the
  4 23 commissioner.  The notice to the insured shall state
  4 24 that the insured has a right to file a written
  4 25 objection to the rate increase and that the insured
  4 26 may appeal to the commissioner within thirty days
  4 27 after the commissioner has approved a rate increase.
  4 28    3.  After the filing of an application for an
  4 29 increase of any rate by an insurer under subsection 1,
  4 30 the commissioner, prior to the expiration of thirty
  4 31 days after the filing date, shall docket the case as a
  4 32 formal proceeding and set the case for hearing.
  4 33    4.  If, after the hearing, the commissioner finds
  4 34 the proposed rate increase to be unlawful, the
  4 35 commissioner shall by order authorize and direct the
  4 36 insurer to file a new or changed rate which, when
  4 37 approved by the commissioner and placed in effect,
  4 38 will satisfy the requirements of this chapter and this
  4 39 title.
  4 40    5.  An order of the commissioner made pursuant to
  4 41 this section shall be subject to judicial review as
  4 42 provided in chapter 17A.
  4 43    6.  The commissioner shall adopt rules pursuant to
  4 44 chapter 17A to administer this section.
  4 45    Sec. 8.  NEW SECTION.  519A.14  INSURANCE RATE –
  4 46 ROLLBACK.
  4 47    1.  For any medical malpractice insurance polity
  4 48 underwritten by an insurer subject to this chapter
  4 49 issued or renewed on or after July 1, 2004, the
  4 50 insurer shall reduce its charges to levels which are
  5  1 twenty percent less than the charges for the same
  5  2 coverage which were in effect on July 1, 2003.
  5  3    2.  This section shall not apply to an affected
  5  4 insurer under this chapter who demonstrates on an
  5  5 actuarially sound basis that a reduction pursuant to
  5  6 subsection 1 would deny the affected insurer a fair
  5  7 return.
  5  8    Sec. 9.  NEW SECTION.  519A.15  NOTICE OF
  5  9 CANCELLATION AND NONRENEWAL – REASONS.
  5 10    An insurer subject to this chapter shall not cancel
  5 11 or refuse to renew a policy of medical malpractice
  5 12 insurance issued individually underwritten by the
  5 13 insurer except by notice to the insured.  Notice of
  5 14 cancellation or nonrenewal of a policy is not
  5 15 effective unless it is based on one or more of the
  5 16 following reasons:
  5 17    1.  Nonpayment of premium.
  5 18    2.  Fraud or misrepresentation affecting the policy
  5 19 or the presentation of a claim.
  5 20    3.  A determination by the commissioner that a
  5 21 continuation of a policy under this chapter would
  5 22 substantially increase the hazard insured against."
  5 23    #2.  Title page, line 1, by striking the words
  5 24 "noneconomic damages against" and inserting the
  5 25 following:  "damages against and medical malpractice
  5 26 insurance policies issued to".  
  5 27 
  5 28 
  5 29                               
  5 30 JOCHUM of Dubuque 
  5 31 HF 2440.301 80
  5 32 rh/cf
     

Text: H08187                            Text: H08189
Text: H08100 - H08199                   Text: H Index
Bills and Amendments: General Index     Bill History: General Index

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