Text: HSB00657 Text: HSB00659 Text: HSB00600 - HSB00699 Text: HSB Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Section 1. Section 272C.1, subsection 6, paragraph z, Code 1 2 2003, is amended by striking the paragraph. 1 3 Sec. 2. Section 272C.3, subsection 2, paragraph a, Code 1 4 Supplement 2003, is amended to read as follows: 1 5 a. Revoke a license, or suspend a license either until 1 6 further order of the board or for a specified period, upon any 1 7 of the grounds specified in section 147.55, 148.6, 148B.7, 1 8 152.10, 153.34, 154A.24, 169.13, 455B.219, 542.10, 542B.21, 1 9 543B.29, 544A.13, 544B.15, or 602.3203 or chapter 151,or 155, 1 10507B, or 522B,as applicable, or upon any other grounds 1 11 specifically provided for in this chapter for revocation of 1 12 the license of a licensee subject to the jurisdiction of that 1 13 board, or upon failure of the licensee to comply with a 1 14 decision of the board imposing licensee discipline; 1 15 Sec. 3. Section 272C.4, subsection 6, Code 2003, is 1 16 amended to read as follows: 1 17 6. Define by rule acts or omissionswhichthat are grounds 1 18 for revocation or suspension of a license under section 1 19 147.55, 148.6, 148B.7, 152.10, 153.34, 154A.24, 169.13, 1 20 455B.219, 542.10, 542B.21, 543B.29, 544A.13, 544B.15, or 1 21 602.3203 or chapter 151,or 155,507B or 522B,as applicable, 1 22 and to define by rule acts or omissionswhichthat constitute 1 23 negligence, careless acts, or omissions within the meaning of 1 24 section 272C.3, subsection 2, paragraph "b", which licensees 1 25 are required to report to the board pursuant to section 1 26 272C.9, subsection 2; 1 27 Sec. 4. Section 432.5, Code Supplement 2003, is amended to 1 28 read as follows: 1 29 432.5 RISK RETENTION GROUPS. 1 30 A risk retention group organized and operating pursuant to 1 31 Pub. L. No. 99-563, also known as the risk retention 1 32 amendments of 1986, shall pay as taxes to the director of 1 33 revenue an amount equal totwo percentthe applicable percent, 1 34 as provided in section 432.1, subsection 4, of the gross 1 35 amount of the premiums received during the previous calendar 2 1 year for risks placed in this state. A resident or 2 2 nonresidentagentproducer shall report and pay the taxes on 2 3 the premiums for risks that theagentproducer has placed in 2 4 this state with or on behalf of a risk retention group. The 2 5 failure of a risk retention group to pay the tax imposed in 2 6 this section shall result in the risk retention group being 2 7 considered an unauthorized insurer under chapter 507A. 2 8 Sec. 5. NEW SECTION. 505.7A CIVIL PENALTIES. 2 9 Unless specifically provided for in this subtitle, 2 10 penalties imposed under this subtitle by order of the 2 11 commissioner of insurance after hearing shall not exceed one 2 12 thousand dollars for each act or violation of this subtitle, 2 13 up to an aggregate of ten thousand dollars, unless the person 2 14 knew or reasonably should have known the person was in 2 15 violation of this subtitle, in which case the penalty shall 2 16 not exceed five thousand dollars for each act or violation, up 2 17 to an aggregate of fifty thousand dollars in any one six-month 2 18 period. 2 19 Sec. 6. Section 505A.1, article III, subsections 1 and 2, 2 20 Code Supplement 2003, are amended to read as follows: 2 21 1. The compacting states hereby create and establishan2 22entitya joint public agency known as the interstate insurance 2 23 product regulation commission. Pursuant to article IV, the 2 24 commission has the power to develop uniform standards for 2 25 product lines, receive and provide prompt review of products 2 26 filed therewith, and give approval to those product filings 2 27 satisfying applicable uniform standards, provided it is not 2 28 intended for the commission to be the exclusive entity for 2 29 receipt and review of insurance product filings. Nothing 2 30 herein shall prohibit any insurer from filing its product in 2 31 any state wherein the insurer is licensed to conduct the 2 32 business of insurance, and any such filing shall be subject to 2 33 the laws of the state where filed. 2 34 2. The commission is a body corporatecomprising eachand 2 35 politic, and an instrumentality of the compacting state. 3 1 Sec. 7. Section 505A.1, article III, subsection 3, Code 3 2 Supplement 2003, is amended by striking the subsection. 3 3 Sec. 8. Section 505A.1, article V, subsection 1, paragraph 3 4 c, subparagraphs (3) and (4), Code Supplement 2003, are 3 5 amended to read as follows: 3 6 (3) Providing reasonable standards and procedures: 3 7 (a) For the establishment and meetings of other 3 8 committees. 3 9 (b) Governing any general or specific delegation of any 3 10 authority or function of the commission. 3 11 (4) Providing reasonable procedures for calling and 3 12 conducting meetings of the commission, andthat consists of a 3 13 majority of commission members ensuring reasonable advance 3 14 notice of each such meeting, and providing for the right of 3 15 citizens to attend each such meeting with enumerated 3 16 exceptions designed to protect the public's interest, the 3 17 privacy of individuals, and insurers' proprietary information, 3 18 including trade secrets. The commission may meet in camera 3 19 only after a majority of the entire membership votes to close 3 20 a meeting en toto or in part. As soon as practicable, the 3 21 commission shall make public: 3 22 (a) A copy of the vote to close the meeting, revealing the 3 23 vote of each member, with no proxy votes allowed. 3 24 (b) Votes taken during such meeting. 3 25 Sec. 9. Section 505A.1, article V, subsection 1, paragraph 3 26 c, Code Supplement 2003, is amended by adding the following 3 27 new subparagraph: 3 28 NEW SUBPARAGRAPH. (8) Promulgating a code of ethics to 3 29 address permissible and prohibited activities of commission 3 30 members and employees. 3 31 Sec. 10. Section 505A.1, article V, subsection 1, Code 3 32 Supplement 2003, is amended by adding the following new 3 33 paragraph: 3 34 NEW PARAGRAPH. d. The commission shall publish its bylaws 3 35 in a convenient form and file a copy of the bylaws, along with 4 1 any amendments, with the appropriate agency or officer in each 4 2 of the compacting states. 4 3 Sec. 11. Section 505A.1, article VII, subsection 2, Code 4 4 Supplement 2003, is amended to read as follows: 4 5 2. RULEMAKING PROCEDURE. Rules and operating procedures 4 6 shall be made pursuant to a rulemaking process that conforms 4 7 to the model state administrative procedure act of 1981 as 4 8 amended, as may be appropriate to the operations of the 4 9 commission. Before the commission adopts a uniform standard, 4 10 the commission shall give written notice to the relevant state 4 11 legislative committee or committees in each compacting state 4 12 responsible for insurance issues of its intention to adopt the 4 13 uniform standard. The commission, in adopting a uniform 4 14 standard, shall consider fully all submitted materials and 4 15 issue a concise explanation of its decision. 4 16 Sec. 12. Section 505A.1, article VIII, subsection 1, Code 4 17 Supplement 2003, is amended to read as follows: 4 18 1. The commission shall promulgate rulesto establish4 19 establishing conditions and proceduresunder which the4 20commission shall make its information and official records4 21available to the public for inspection or copyingfor public 4 22 inspection and copying of its information and official 4 23 records, except such information and records involving the 4 24 privacy of individuals and insurers' trade secrets. The 4 25 commission may promulgate additional rules under which it may 4 26 make available to federal and state agencies, including law 4 27 enforcement agencies, records, and information otherwise 4 28 exempt from disclosure, and may enter into agreements with 4 29 such agencies to receive or exchange information or records 4 30 subject to nondisclosure and confidentiality provisions. 4 31 Sec. 13. Section 505A.1, article VIII, subsection 4, 4 32 paragraphs a and b, Code Supplement 2003, are amended to read 4 33 as follows: 4 34 a. With respect to the commissioner's market regulation of 4 35 a product or advertisement that is approved or certified to 5 1 the commission,no activity of an insurerthe content of the 5 2 product or advertisement shall not constitute a violation of 5 3 the provisions, standards, or requirements of this compact 5 4 except upon a final order of the commission, issued at the 5 5 request of a commissioner after prior notice to the insurer 5 6 and an opportunity for hearing before the commission. 5 7 b. Before a commissioner may bring an action for violation 5 8 of any provision, standard, or requirement of this compact 5 9 relating to theusecontent of an advertisement not approved 5 10 or certified to the commission, the commission, or an 5 11 authorized commission officer or employee, must authorize the 5 12 action. However, authorization pursuant to this paragraph 5 13 does not require notice to the insurer, opportunity for 5 14 hearing, or disclosure of requests for authorization or 5 15 records of the commission's action on such requests. 5 16 Sec. 14. Section 505A.1, article XI, subsection 1, Code 5 17 Supplement 2003, is amended to read as follows: 5 18 1. Not later than thirty days after the commission has 5 19 given notice of a disapproved product or advertisement filed 5 20 with the commission, the insurer or third-party filer whose 5 21 filing was disapproved may appeal the determination to a 5 22 review panel appointed by the commission. The commission 5 23 shall adopt rules to establish procedures for appointing such 5 24 review panels and provide for notice and hearing.The5 25decision of the review panel shall be the final action of the5 26commission and not subject to review by any court.5 27Notwithstanding the foregoing, anAn allegation that the 5 28 commission, in disapproving a product or advertisement filed 5 29 with the commission, acted arbitrarily, capriciously, or in a 5 30 manner that is an abuse of discretion or otherwise not in 5 31 accordance with the law, is subject to judicial review in 5 32 accordance with article III, section 5. 5 33 Sec. 15. Section 505A.1, article XII, subsection 6, Code 5 34 Supplement 2003, is amended to read as follows: 5 35 6. The commission shall keep complete and accurate 6 1 accounts of all its internal receipts, including grants and 6 2 donations, and disbursements of all funds under its control. 6 3 The internal financial accounts of the commission shall be 6 4 subject to the accounting procedures established under its 6 5 bylaws. The financial accounts and reports, including the 6 6 system of internal controls and procedures of the commission, 6 7 shall be audited annually by an independent certified public 6 8 accountant. Upon the determination of the commission, but no 6 9 less frequently than every three years, the review of the 6 10 independent auditor shall include a management and performance 6 11 audit of the commission. The commission shall make an annual 6 12 report to the governor and legislature of the compacting 6 13 states, which shall include a report of the independent audit. 6 14 The commission's internal accounts, any work papers related to6 15any internal audit, and any work papers related to the6 16independent audit,shall not be confidential, provided that6 17 and such materials may be shared with the commissioner of any 6 18 compacting stateand shall remain confidential pursuant to6 19article VIIupon request; provided, however, that any work 6 20 papers related to any internal or independent audit and any 6 21 information regarding the privacy of the individuals and 6 22 insurers' proprietary information, including trade secrets, 6 23 shall remain confidential. 6 24 Sec. 16. Section 505A.1, article XVI, subsection 1, 6 25 paragraph b, Code Supplement 2003, is amended to read as 6 26 follows: 6 27 b. For any product approved or certified to the 6 28 commission, the rules, uniform standards, and any other 6 29 requirements of the commission shall constitute the exclusive 6 30 provisions applicable to the content, approval, and 6 31 certification of such products. For advertisement that is 6 32 subject to the commission's authority, any rule, uniform 6 33 standard, or other requirement of the commission which governs 6 34 the content of the advertisement shall constitute the 6 35 exclusive provision that a commissioner may apply to the 7 1 content of the advertisement. Notwithstanding the foregoing, 7 2 action taken by the commission shall not abrogate or restrict: 7 3 (1) The access of any person, including the attorney7 4general,to state courts. 7 5 (2) Remedies available under state law related to breach 7 6 of contract, tort, general consumer protection laws, or 7 7 general consumer protection regulations that apply to the sale 7 8 or advertisement of the product or other laws not specifically 7 9 directed to the content of the product. 7 10 (3) State law relating to the construction of insurance 7 11 contracts. 7 12 (4) The authority of the attorney general of the state, 7 13 including but not limited to maintaining any actions or 7 14 proceedings, as authorized by law. 7 15 Sec. 17. Section 507.14, Code 2003, is amended by adding 7 16 the following new unnumbered paragraph: 7 17 NEW UNNUMBERED PARAGRAPH. Analysis notes, work papers, or 7 18 other documents related to the analysis of an insurer are not 7 19 public records under chapter 22. 7 20 Sec. 18. Section 507.16, Code 2003, is amended to read as 7 21 follows: 7 22 507.16 UNLAWFUL SOLICITATION OF BUSINESS. 7 23AnyIt shall be unlawful for any officer, manager, agent, 7 24 or representative of any insurance company contemplated by 7 25 this chapter, who, with knowledge that its certificate of 7 26 authority has been suspended or revoked, or that it is 7 27 insolvent, or is doing an unlawful or unauthorized business, 7 28solicitsto solicit or receive applications for insurance for 7 29saidthe company,or receives applications therefor,ordoes7 30 to do any other act or thing toward receiving or procuring any 7 31 new business forsaidthe company, shall be deemed guilty of a7 32serious misdemeanor, and the. The provisions of sections 7 33 511.16 and 511.17 areherebyextended to all companies 7 34 contemplated by this chapter. 7 35 Sec. 19. Section 507A.10, Code 2003, is amended to read as 8 1 follows: 8 2 507A.10 CEASE AND DESISTORDERORDERS CIVILPENALTYAND 8 3 CRIMINAL PENALTIES. 8 4 1. Upon a determination by the commissioner, after a 8 5 hearing conducted pursuant to chapter 17A, that a person or 8 6 insurer has violated a provision of this chapter, the 8 7 commissioner shall reduce the findings of the hearing to 8 8 writing and deliver a copy of the findings to the person or 8 9 insurer, may issue an order requiring the person or insurer to 8 10 cease and desist from engaging in the conduct resulting in the 8 11 violation, and may assess a civil penalty of not more than 8 12 fifty thousand dollars against the person or insurer. 8 13 2. a. Upon a determination by the commissioner that a 8 14 person or insurer has engaged, is engaging, or is about to 8 15 engage in any act or practice constituting a violation of this 8 16 chapter or a rule adopted or order issued under this chapter, 8 17 the commissioner may issue a summary order directing the 8 18 person or insurer to cease and desist from engaging in the act 8 19 or practice or to take other affirmative action as is in the 8 20 judgment of the commissioner necessary to comply with the 8 21 requirements of this chapter. 8 22 b. A person to whom a summary order has been issued under 8 23 this subsection may contest the order by filing a request for 8 24 a contested case proceeding and hearing as provided in chapter 8 25 17A and in accordance with rules adopted by the commissioner. 8 26 However, the person shall have at least thirty days from the 8 27 date that the order is issued in order to file the request. 8 28 Section 17A.18A is inapplicable to a summary order issued 8 29 under this subsection. If a hearing is not timely requested, 8 30 the summary order becomes final by operation of law. The 8 31 order shall remain effective from the date of issuance until 8 32 the date the order becomes final by operation of law or is 8 33 overturned by a presiding officer or court following a request 8 34 for hearing. 8 35 c. A person or insurer violating a summary order issued 9 1 under this subsection shall be deemed in contempt of that 9 2 order. The commissioner may petition the district court to 9 3 enforce the order as certified by the commissioner. The 9 4 district court shall find the person in contempt of the order 9 5 if the court finds after hearing that the person or insurer is 9 6 not in compliance with the order. The court may assess a 9 7 civil penalty against the person or insurer and may issue 9 8 further orders as it deems appropriate. 9 9 3. A person acting as an insurance producer, as defined in 9 10 chapter 522B, without proper licensure, or an insurer who 9 11 willfully violates any provision of this chapter, or any rule 9 12 adopted or order issued under this chapter, is guilty of a 9 13 class "D" felony. 9 14 4. A person acting as an insurance producer, as defined in 9 15 chapter 522B, without proper licensure, or an insurer who 9 16 willfully violates any provision of this chapter, or any rule 9 17 adopted or order issued under this chapter, and when such 9 18 violation results in a loss of more than ten thousand dollars, 9 19 is guilty of a class "C" felony. 9 20 5. The commissioner may refer such evidence as is 9 21 available concerning violations of this chapter or of any rule 9 22 adopted or order issued under this chapter, or of the failure 9 23 of a person to comply with the licensing requirements of 9 24 chapter 522B, to the attorney general or the proper county 9 25 attorney who may, with or without such reference, institute 9 26 the appropriate criminal proceedings under this chapter. 9 27 6. This chapter does not limit the power of the state to 9 28 punish any person for any conduct that constitutes a crime 9 29 under any other statute. 9 30 Sec. 20. Section 507B.2, subsection 1, Code 2003, is 9 31 amended to read as follows: 9 32 1. "Person" shall mean any individual, corporation, 9 33 association, partnership, reciprocal exchange, interinsurer, 9 34 fraternal beneficiary association, and any other legal entity 9 35 engaged in the business of insurance, includingagents,10 1brokersinsurance producers and adjusters. "Person" shall 10 2 also mean any corporation operating under the provisions of 10 3 chapter 514 and any benevolent association as defined and 10 4 operated under chapter 512A. For purposes of this chapter, 10 5 corporations operating under the provisions of chapter 514 and 10 6 chapter 512A shall be deemed to be engaged in the business of 10 7 insurance. 10 8 Sec. 21. Section 507B.3, Code Supplement 2003, is amended 10 9 by adding the following new subsection: 10 10 NEW SUBSECTION. 3. Information obtained by the 10 11 commissioner in the course of investigating a consumer 10 12 complaint may, in the discretion of the commissioner, be 10 13 provided to the insurance company or insurance producer which 10 14 is the subject of the complaint or to the consumer who filed 10 15 the complaint or the individual insured who is the subject of 10 16 the complaint without waiving the confidentiality afforded by 10 17 this section to the commissioner or other persons. 10 18 Sec. 22. NEW SECTION. 507B.5A INVESTIGATIONS. 10 19 Prior to the commencement of a contested case, the 10 20 commissioner may subpoena books, papers, records, and any 10 21 other evidence necessary for the commissioner to determine 10 22 whether a contested case proceeding should be instituted. The 10 23 commissioner shall not be required to pay the costs of 10 24 production of the subpoenaed documents or records. 10 25 Sec. 23. Section 507B.6, subsection 5, Code 2003, is 10 26 amended to read as follows: 10 27 5. Statements of charges, notices, orders, subpoenas, and 10 28 other processes of the commissioner under this chapter may be 10 29 served by anyonedulyauthorized by the commissioner, either 10 30 in the manner provided by law for service of process in civil 10 31 actions, or by mailing a copythereofby restricted certified 10 32 mail to the person affected bysuchthe statement, notice, 10 33 order, subpoena, or other process at the person's residence or 10 34 principal office or place of business. The verified return by 10 35 the personsoservingsuchthe statement, notice, order, 11 1 subpoena, or other process, setting forth the manner of such 11 2 service, shall be proof ofthe sameservice, and the return 11 3 receipt forsuchthe statement, notice, order, subpoena, or 11 4 other process,andmailed by restricted certified mailas11 5aforesaid, shall be proof of the serviceof the same. 11 6 Sec. 24. NEW SECTION. 507B.6A SUMMARY CEASE AND DESIST 11 7 ORDERS. 11 8 1. Upon a determination by the commissioner that a person 11 9 or insurer has engaged, is engaging, or is about to engage in 11 10 any act or practice constituting a violation of this chapter 11 11 or a rule adopted or order issued under this chapter, the 11 12 commissioner may issue a summary order directing the person or 11 13 insurer to cease and desist from engaging in the act or 11 14 practice or to take other affirmative action as is in the 11 15 judgment of the commissioner necessary to comply with the 11 16 requirements of this chapter. 11 17 2. A person who has been issued a summary order under this 11 18 section may contest the order by filing a request for a 11 19 contested case proceeding and hearing as provided in chapter 11 20 17A and in accordance with the rules adopted by the 11 21 commissioner. However, the person shall have at least thirty 11 22 days from the date that the order is issued in order to file 11 23 the request. Section 17A.18A is inapplicable to a summary 11 24 order issued under this section. The order shall remain 11 25 effective from the date of issuance unless overturned by a 11 26 presiding officer or court following a request for hearing. 11 27 If a hearing is not timely requested, the summary order 11 28 becomes final by operation of law. 11 29 3. A person or insurer violating a summary order issued 11 30 under this section shall be deemed in contempt of that order. 11 31 The commissioner may petition the district court to enforce 11 32 the order as certified by the commissioner. The district 11 33 court shall adjudge the person in contempt of the order if the 11 34 court finds after hearing that the person or insurer is not in 11 35 compliance with the order. The court may assess a civil 12 1 penalty against the person or insurer and may issue further 12 2 orders as it deems appropriate. 12 3 Sec. 25. Section 507B.7, Code 2003, is amended to read as 12 4 follows: 12 5 507B.7 CEASE AND DESIST ORDERS ANDMODIFICATIONS THEREOF12 6 PENALTIES. 12 7 1. If, aftersuchhearing, the commissioner determines 12 8 thatthea personchargedhas engaged in an unfair method of 12 9 competition or an unfair or deceptive act or practice, the 12 10 commissioner shall reduce the findings to writing and shall 12 11 issue and cause to be served upon the person charged with the 12 12 violation a copy of such findings, an order requiring such 12 13 person to cease and desist from engaging in such method of 12 14 competition, act, or practice, andif the act or practice is a12 15violation of section 507B.4, 507B.4A, or 507B.5,the 12 16 commissioner may at the commissioner's discretion order any 12 17 one or more of the following: 12 18 a. Payment of a civil penalty of not more than one 12 19 thousand dollars for each act or violation of this subtitle, 12 20 but not to exceed an aggregate of ten thousand dollars, unless 12 21 the person knew or reasonably should have known the person was 12 22 in violation ofsection 507B.4, 507B.4A, or 507B.5this 12 23 subtitle, in which case the penalty shall be not more than 12 24 five thousand dollars for each act or violation, but not to 12 25 exceed an aggregate penalty of fifty thousand dollars in any 12 26 one six-month period. If the commissioner finds that a 12 27 violation ofsection 507B.4, 507B.4A, or 507B.5this subtitle 12 28 was directed, encouraged, condoned, ignored, or ratified by 12 29 the employer of the person or by an insurer, the commissioner 12 30 shall also assess a fine to the employer or insurer. 12 31 b. Suspension or revocation of the license of a person as 12 32 defined in section 507B.2, subsection 1, if the person knew or 12 33 reasonably should have known the person was in violation of 12 34section 507B.4, 507B.4A, or 507B.5this subtitle. 12 35 c. Payment of interest at the rate of ten percent per 13 1 annum if the commissioner finds that the insurer failed to pay 13 2 interest as required under section 507B.4, subsection 12. 13 3 2. Until the expiration of the time allowed under section 13 4 507B.8 for filing a petition for review if no such petition 13 5 has been duly filed within such time, or, if a petition for 13 6 review has been filed within such time, then until the 13 7 transcript of the record in the proceeding has been filed in 13 8 the district court, as hereinafter provided, the commissioner 13 9 may at any time, upon such notice and in such manner as the 13 10 commissioner may deem proper, modify or set aside in whole or 13 11 in part any order issued by the commissioner under this 13 12 section. 13 13 3. After the expiration of the time allowed for filing 13 14 such a petition for review if no such petition has been duly 13 15 filed within such time, the commissioner may at any time, 13 16 after notice and opportunity for hearing, reopen and alter, 13 17 modify, or set aside, in whole or in part, any order issued by 13 18 the commissioner under this section, whenever in the 13 19 commissioner's opinion conditions of fact or of law have so 13 20 changed as to require such action, or if the public interest 13 21 shall so require. 13 22 4. Any person who violates a cease and desist order of the 13 23 commissioner, and while such order is in effect, may, after 13 24 notice and hearing and upon order of the commissioner, be 13 25 subject at the discretion of the commissioner to any one or 13 26 more of the following: 13 27 a. A monetary penalty of not more than ten thousand 13 28 dollars for each and every act or violation. 13 29 b. Suspension or revocation of such person's license. 13 30 Sec. 26. Section 507C.6, subsection 4, Code 2003, is 13 31 amended by striking the subsection and inserting in lieu 13 32 thereof the following: 13 33 4. It shall be unlawful for a person as defined in 13 34 subsection 1 to fail to cooperate with the commissioner, or to 13 35 obstruct or interfere with the commissioner in the conduct of 14 1 a delinquency proceeding or an investigation preliminary or 14 2 incidental to a delinquency proceeding, or to violate a valid 14 3 order of the commissioner. 14 4 Sec. 27. Section 507C.11, unnumbered paragraph 1, Code 14 5 2003, is amended to read as follows: 14 6 Notwithstanding chapter 22, in all administrative 14 7 proceedings pursuant to sections 507C.9 and 507C.10 all 14 8 orders, records, and documents pertaining to or a part of the 14 9 record of the proceedings are confidential except as is 14 10 necessary to obtain compliance with a proceeding. However, 14 11 the records may be released if either of the following occurs: 14 12 Sec. 28. Section 509.18, Code 2003, is amended to read as 14 13 follows: 14 14 509.18 PROHIBITED DEPOSIT IN FINANCIAL INSTITUTION. 14 15 A company or its agent licensed to sell a policy of credit 14 16 life or credit accident and health insurance or certificate 14 17 under a policy of group credit life or credit accident and 14 18 health insurance shall not deposit or offer to deposit funds 14 19 in a financial institution of this state in exchange for the 14 20 privilege of selling such insurance to or on behalf of the 14 21 financial institution.Any person violating the provisions of14 22this section shall be guilty of a simple misdemeanor.14 23 Sec. 29. Section 511.8, subsection 1, Code Supplement 14 24 2003, is amended to read as follows: 14 25 1. UNITED STATES GOVERNMENT OBLIGATIONS. 14 26 a. Bonds or other evidences of indebtedness issued, 14 27 assumed, or guaranteed by the United States of America, or by 14 28 any agency or instrumentalitythereofof the United States of 14 29 America. 14 30 b. Bonds or other evidences of indebtedness issued, 14 31 assumed, or guaranteed by the United States of America, or by 14 32 any agency or instrumentality of the United States of America 14 33 include investments in an open-end management investment 14 34 company registered with the federal securities and exchange 14 35 commission under the federal Investment Company Act of 1940, 15 1 15 U.S.C. } 80(a), and operated in accordance with 17 C.F.R. } 15 2 270.2a-7, the portfolio of which is limited to the United 15 3 States government obligations described in paragraph "a", and 15 4 which are included in the national association of insurance 15 5 commissioners' securities valuation office's United States 15 6 direct obligations-full faith and credit exempt list. 15 7 Sec. 30. Section 511.8, subsection 19, unnumbered 15 8 paragraph 1, Code Supplement 2003, is amended to read as 15 9 follows: 15 10 Bonds or other evidences of indebtedness, not to include 15 11 currency, issued, assumed, or guaranteed by a foreign 15 12 government other than Canada, or by a corporation incorporated 15 13 under the laws of a foreign government other than Canada. 15 14 Such governmental obligations must be valid, legally 15 15 authorized and issued, and on the date of acquisition have 15 16 predominantly investment qualities and characteristics as 15 17 provided by rule. Such corporate obligations must meet the 15 18 qualifications established in subsection 5 for bonds and other 15 19 evidences of indebtedness issued, assumed, or guaranteed by a 15 20 corporation incorporated under the laws of the United States 15 21 or Canada. Foreign investments authorized by this subsection 15 22 are not eligible in excess oftentwenty percent of the legal 15 23 reserve of the life insurance company or association. 15 24 Investments in obligations of a foreign government, other than 15 25 Canada and the United Kingdom, are not eligible in excess of 15 26 two percent of the legal reserve in the securities of foreign 15 27 governments of any one foreign nation. Investments in 15 28 obligations of the United Kingdom are not eligible in excess 15 29 of four percent of the legal reserve. Investments in a 15 30 corporation incorporated under the laws of a foreign 15 31 government other than Canada are not eligible in excess of two 15 32 percent of the legal reserve in the securities of any one 15 33 foreign corporation. 15 34 Sec. 31. Section 511.8, subsection 22, paragraph e, Code 15 35 Supplement 2003, is amended to read as follows: 16 1 e. Investments in financial instruments of foreign 16 2 governments or foreign corporate obligations, other than 16 3 Canada, used in hedging transactions are not eligible in 16 4 excess oftentwenty percent of the legal reserve, less any 16 5 foreign investment authorized by subsection 19 owned by the 16 6 company or association and in which its legal reserve is 16 7 invested, except insofar as the financial instruments are 16 8 collateralized by cash or United States government obligations 16 9 as authorized by subsection 1 deposited with a custodian bank 16 10 as defined in subsection 21, and held under a written 16 11 agreement with the custodian bank that complies with 16 12 subsection 21 and provides for the proceeds of the collateral, 16 13 subject to the terms and conditions of the applicable 16 14 collateral or other credit support agreement, to be remitted 16 15 to the legal reserve deposit of the company or association and 16 16 to vest in the state in accordance with section 508.18 16 17 whenever proceedings under that section are instituted. 16 18 Sec. 32. Section 511.8, Code Supplement 2003, is amended 16 19 by adding the following new subsection: 16 20 NEW SUBSECTION. 23. SECURITY LOANS. 16 21 a. A life insurance company or association may loan 16 22 securities held by it in its legal reserve to a broker-dealer 16 23 registered under the Securities Exchange Act of 1934, a 16 24 national bank, or a state bank, foreign bank, or trust company 16 25 that is a member of the United States federal reserve system, 16 26 and the loaned securities shall continue to be eligible for 16 27 inclusion in the legal reserve of the life insurance company 16 28 or association. 16 29 b. The loan shall be fully collateralized by cash, cash 16 30 equivalents, or obligations issued or guaranteed by the United 16 31 States or an agency or instrumentality of the United States. 16 32 The life insurance company or association shall take delivery 16 33 of the collateral either directly or through an authorized 16 34 custodian. 16 35 c. If the loan is collateralized by cash or cash 17 1 equivalents, the cash or cash equivalent collateral may be 17 2 reinvested by the life insurance company or association in 17 3 either individual securities which are eligible for inclusion 17 4 in the legal reserve of the life insurance company or 17 5 association or in repurchase agreements fully collateralized 17 6 by such securities if the life insurance company or 17 7 association takes delivery of the collateral either directly 17 8 or through an authorized custodian or pooled fund comprised of 17 9 individual securities which are eligible for inclusion in the 17 10 legal reserve of the life insurance company or association. 17 11 If such reinvestment is made in individual securities or in 17 12 repurchase agreements, the individual securities or the 17 13 securities which collateralize the repurchase agreements shall 17 14 mature in less than two hundred seventy days. If such 17 15 reinvestment is made in a pooled fund, the average maturity of 17 16 the securities comprising such pooled fund must be less than 17 17 two hundred seventy days. Individual securities and 17 18 securities comprising the pooled fund shall be investment 17 19 grade. 17 20 d. The loan shall be evidenced by a written agreement 17 21 which provides all of the following: 17 22 (1) That the loan will be fully collateralized at all 17 23 times during the term of the loan, and that the collateral 17 24 will be adjusted as necessary each business day during the 17 25 term of the loan to maintain the required collateralization in 17 26 the event of market value changes in the loaned securities or 17 27 collateral. 17 28 (2) If the loan is fully collateralized by cash or cash 17 29 equivalents, the cash or cash equivalent may be reinvested by 17 30 the life insurance company or association as provided in 17 31 paragraph "c". 17 32 (3) That the loan may be terminated by the life insurance 17 33 company or association at any time, and that the borrower 17 34 shall return the loaned stocks or obligations or equivalent 17 35 stocks or obligations within five business days after 18 1 termination. 18 2 (4) That the life insurance company or association has the 18 3 right to retain the collateral or use the collateral to 18 4 purchase investments equivalent to the loaned securities if 18 5 the borrower defaults under the terms of the agreement, and 18 6 that the borrower remains liable for any losses and expenses 18 7 incurred by the life insurance company or association due to 18 8 default that are not covered by the collateral. 18 9 e. Securities loaned pursuant to this subsection are not 18 10 eligible for inclusion in the legal reserve of the life 18 11 insurance company or association in excess of twenty percent 18 12 of the legal reserve. 18 13 Sec. 33. Section 511.16, Code 2003, is amended to read as 18 14 follows: 18 15 511.16 ILLEGAL BUSINESS. 18 16AnyIt shall be unlawful for any officer, manager, or agent 18 17 of any life insurance company or associationwho, with 18 18 knowledge that it is doing business in an unlawful manner or 18 19 is insolvent,solicitsto solicit or receive applications for 18 20 insurance withsaidthe company or association,or receives18 21applications therefor,ordoesto do any other act or thing 18 22towardstoward procuring or receiving any new business for 18 23suchthe company or association, shall be guilty of an18 24aggravated misdemeanor. 18 25 Sec. 34. Section 512A.8, Code 2003, is amended to read as 18 26 follows: 18 27 512A.8PENALTIESVIOLATION. 18 28 Except as otherwise provided by law, it shall be unlawful 18 29 for any person or corporation to operate a benevolent 18 30 association in this state except as provided for in this 18 31 chapter.Any person violating the provisions of this chapter18 32shall be guilty of a serious misdemeanor.18 33 Sec. 35. Section 512B.35, Code 2003, is amended to read as 18 34 follows: 18 35 512B.35PENALTIESFALSE OR FRAUDULENT STATEMENTS. 19 1 1.A person whoIt shall be unlawful for a person 19 2 knowinglymakesto make a false or fraudulent statement or 19 3 representation in or relating to an application for membership 19 4 or for the purpose of obtaining money from or a benefit in a 19 5 society, is guilty of a fraudulent practice. 19 6 2.A person who willfully makesIt shall be unlawful for a 19 7 person to willfully make a false or fraudulent statement in a 19 8 verified report or declaration under oath required or 19 9 authorized by this chapter, or of a material fact or thing 19 10 contained in a sworn statement concerning the death or 19 11 disability of an insured for the purpose of procuring payment 19 12 of a benefit named in the certificate, is guilty of perjury. 19 13 3.A person who solicitsIt shall be unlawful for a person 19 14 to solicit membership for, or in any mannerassiststo assist 19 15 in procuring membership in, a society not licensed to do 19 16 business in this state, is guilty of a serious misdemeanor. 19 174. A person guilty of a willful violation of, or neglect19 18or refusal to comply with, a provision of this chapter for19 19which a penalty is not otherwise prescribed, is guilty of a19 20simple misdemeanor.19 21 Sec. 36. Section 513C.3, subsection 15, Code Supplement 19 22 2003, is amended by adding the following new unnumbered 19 23 paragraph: 19 24 NEW UNNUMBERED PARAGRAPH. For purposes of this subsection, 19 25 an association policy under chapter 514E is not considered 19 26 "qualifying existing coverage" or "qualifying previous 19 27 coverage". 19 28 Sec. 37. Section 513C.7, subsections 1, 2, and 5, Code 19 29 Supplement 2003, are amended by striking the subsections. 19 30 Sec. 38. Section 513C.8, Code 2003, is amended to read as 19 31 follows: 19 32 513C.8 HEALTH BENEFIT PLAN STANDARDS. 19 33 Thecommissionerboard of directors of the Iowa 19 34 comprehensive health insurance association shall adoptby rule19 35 the form and level of coverage of the basic health benefit 20 1 plan and the standard health benefit plan for the guaranteed 20 2 individual market which shall provide benefits substantially 20 3 similar tothose as provided for under chapter 513B with20 4respect to small group coverage, but which shall be20 5appropriately adjusted at least every three years to reflect20 6 the current state of the individual market. 20 7 Sec. 39. Section 513C.10, subsection 1, paragraph a, Code 20 8 Supplement 2003, is amended to read as follows: 20 9 a. All persons that provide health benefit plans in this 20 10 state including insurers providing accident and sickness 20 11 insurance under chapter 509, 514, or 514A, whether on an 20 12 individual or group basis; fraternal benefit societies 20 13 providing hospital, medical, or nursing benefits under chapter 20 14 512B; and health maintenance organizations, organized delivery 20 15 systems,and allother entities providing health insurance or 20 16 health benefits subject to state insurance regulation, and all 20 17 other insurers as designated by the board of directors of the 20 18 Iowa comprehensive health insurance association with the 20 19 approval of the commissioner shall be members of the 20 20 association. 20 21 Sec. 40. Section 513C.10, subsection 4, Code Supplement 20 22 2003, is amended to read as follows: 20 23 4. The board shall develop procedures and assessment 20 24 mechanisms and make assessments and distributions as required 20 25 to equalize the individual carrier and organized delivery 20 26 system gains or losses so that each carrier or organized 20 27 delivery system receives the same ratio of paid claims to 20 28 ninety percent of earned premiums as the aggregate of all 20 29 basic and standard plans insured by all carriers and organized 20 30 delivery systems in the state. 20 31 Sec. 41. Section 514E.1, subsection 2, Code Supplement 20 32 2003, is amended to read as follows: 20 33 2. "Association policy" means an individual or group 20 34 policy issued by the association that provides the coverage 20 35specified in section 514E.4as set forth in the benefit plans 21 1 adopted by the association's board of directors and approved 21 2 by the commissioner. 21 3 Sec. 42. Section 514E.1, subsections 7, 8, 12, and 22, 21 4 Code Supplement 2003, are amended by striking the subsections. 21 5 Sec. 43. Section 514E.1, subsection 13, Code Supplement 21 6 2003, is amended to read as follows: 21 7 13. "Health care services" means services, the coverage of 21 8 which is authorized under chapter 509, chapter 514, chapter 21 9 514A, or chapter 514B aslimited by sections 514E.4 and 514E.521 10 established by the association's board of directors, and 21 11 includes services for the purposes of preventing, alleviating, 21 12 curing, or healing human illness, injury or physical 21 13 disability. 21 14 Sec. 44. Section 514E.2, subsection 1, unnumbered 21 15 paragraph 1, Code Supplement 2003, is amended to read as 21 16 follows: 21 17 The Iowa comprehensive health insurance association is 21 18 established as a nonprofit corporation. The association shall 21 19 assure that health insurance, aslimited by sections 514E.421 20and 514E.5,established by the association's board of 21 21 directors and subject to the approval of the commissioner, is 21 22 made available to each eligible Iowa resident,andeach 21 23 federally eligible individual applying to the association for 21 24 coverage, and each individual who has been confirmed eligible 21 25 under the federal Trade Adjustment Act of 2002, Pub. L. No. 21 26 107-210, as a recipient under that Act by the department of 21 27 workforce development and the federal internal revenue 21 28 service. The association shall also be responsible for 21 29 administering the Iowa individual health benefit reinsurance 21 30 association pursuant to all of the terms and conditions 21 31 contained in chapter 513C. 21 32 Sec. 45. Section 514E.2, subsection 1, paragraph a, Code 21 33 Supplement 2003, is amended to read as follows: 21 34 a. All carriersas defined in section 514E.1, subsection21 353,and all organized delivery systems licensed by the director 22 1 of public health providing health insurance or health care 22 2 services in Iowa and all other insurers designated by the 22 3 association's board of directors and approved by the 22 4 commissioner shall be members of the association. 22 5 Sec. 46. Section 514E.2, subsection 6, Code Supplement 22 6 2003, is amended by striking the subsection and inserting in 22 7 lieu thereof the following: 22 8 6. Rates for coverages issued by the association shall 22 9 reflect rating characteristics used in the individual 22 10 insurance market. The rates for a given classification shall 22 11 not be more than one hundred fifty percent of the average 22 12 premium or payment rate for the classification charged by the 22 13 five carriers with the largest health insurance premium or 22 14 payment volume in the state during the preceding calendar 22 15 year. In determining the average rate of the five largest 22 16 carriers, the rates or payments charged by the carriers shall 22 17 be actuarially adjusted to determine the rate or payment that 22 18 would have been charged for benefits similar to those issued 22 19 by the association. 22 20 Sec. 47. Section 514E.2, subsection 13, Code Supplement 22 21 2003, is amended by striking the subsection and inserting in 22 22 lieu thereof the following: 22 23 13. An insurer may offset an assessment made pursuant to 22 24 this chapter against its premium tax liability pursuant to 22 25 chapter 432 to the extent of twenty percent of the amount of 22 26 the assessment for each of the five calendar years following 22 27 the year in which the assessment was paid. If an insurer 22 28 ceases doing business, all uncredited assessments may be 22 29 credited against its premium tax liability for the year it 22 30 ceases doing business. 22 31 Sec. 48. Section 514E.4, Code 2003, is amended by striking 22 32 the section and inserting in lieu thereof the following: 22 33 514E.4 ASSOCIATION POLICY COVERAGE AND BENEFIT 22 34 REQUIREMENTS DEDUCTIBLES COINSURANCE. 22 35 The association policy shall pay for medically necessary 23 1 eligible health care services as established in the benefit 23 2 plans adopted by the association's board of directors and 23 3 approved by the commissioner. The plans shall provide 23 4 benefits, deductibles, and coinsurance that reflect the 23 5 current state of the individual insurance market. The board 23 6 may modify the benefits provided under the plans to reflect 23 7 the current state of the individual insurance market with the 23 8 approval of the commissioner. 23 9 Sec. 49. Section 514E.7, subsection 1, Code 2003, is 23 10 amended by adding the following new unnumbered paragraph: 23 11 NEW UNNUMBERED PARAGRAPH. The association shall rescind 23 12 coverage for an individual who no longer resides in the state. 23 13 Sec. 50. Section 514E.7, subsection 4, paragraph b, Code 23 14 2003, is amended by adding the following new subparagraph: 23 15 NEW SUBPARAGRAPH. (4) In the case of an individual 23 16 transferring to an association policy from a basic or standard 23 17 health benefit plan under chapter 513C beginning on or after 23 18 January 1, 2005. 23 19 Sec. 51. Section 514E.7, subsection 5, Code 2003, is 23 20 amended by adding the following new paragraph: 23 21 NEW PARAGRAPH. f. The individual is eligible for Medicare 23 22 based upon age. 23 23 Sec. 52. Section 514E.8, subsection 1, Code 2003, is 23 24 amended to read as follows: 23 25 1. An association policy shall contain provisions under 23 26 which the association is obligated to renew the contract until 23 27 the day on which the individualin whose name the contract is23 28issued firstbecomes eligible for Medicare coverage, except23 29that in a family policy covering both husband and wife, the23 30age of the younger spouse shall be used as the basis for23 31meeting the durational requirements of this subsection.23 32However, when the individual in whose name the contract is23 33issued becomes eligible for Medicare coverage, the person23 34shall be eligible for the Medicare supplement plan offered by23 35the associationbased on age. 24 1 Sec. 53. Section 514E.11, Code 2003, is amended to read as 24 2 follows: 24 3 514E.11 NOTICE OF ASSOCIATION POLICY. 24 4 Every carrier, including a health maintenance organization 24 5 subject to chapter 514B and an organized delivery system, 24 6 authorized to provide health care insurance or coverage for 24 7 health care services in Iowa, shall provide a notice of the 24 8 availability of coverage by the association to any person who 24 9 receives a rejection of coverage for health insurance or 24 10 health care services, or a notice to any person who is24 11informed that a rate for health insurance or coverage for24 12health care services will exceed the rate of an association24 13policy,and that the person is eligible to apply for health 24 14 insurance provided by the association. Application for the 24 15 health insurance shall be on forms prescribed by the 24 16 association's board of directors and made available to the 24 17 carriers and organized delivery systems and other entities 24 18 providing health care insurance or coverage for health care 24 19 services regulated by the commissioner. 24 20 Sec. 54. Section 515.35, subsection 3, paragraph a, 24 21 subparagraph (2), Code Supplement 2003, is amended by striking 24 22 the subparagraph and inserting in lieu thereof the following: 24 23 (2) A company may loan securities held by it to a broker- 24 24 dealer registered under the Securities Exchange Act of 1934, a 24 25 national bank, or a state bank, foreign bank, or trust company 24 26 that is a member of the United States federal reserve system, 24 27 and the loaned securities shall continue to be allowable 24 28 investments of the company. 24 29 (a) The loan shall be fully collateralized by cash, cash 24 30 equivalents, or obligations issued or guaranteed by the United 24 31 States or an agency or instrumentality of the United States. 24 32 The company shall take delivery of the collateral either 24 33 directly or through an authorized custodian. 24 34 (b) If the loan is collateralized by cash or cash 24 35 equivalents, the cash or cash equivalent collateral may be 25 1 reinvested by the company in either individual securities 25 2 which are allowable investments of the company or in 25 3 repurchase agreements fully collateralized by such securities 25 4 if the company takes delivery of the collateral either 25 5 directly or through an authorized custodian or a pooled fund 25 6 comprised of individual securities which are allowable 25 7 investments of the company. If such reinvestment is made in 25 8 individual securities or in repurchase agreements, the 25 9 individual securities or the securities which collateralize 25 10 the repurchase agreements shall mature in less than two 25 11 hundred seventy days. If such reinvestment is made in a 25 12 pooled fund, the average maturity of the securities comprising 25 13 such pooled fund must be less than two hundred seventy days. 25 14 Individual securities and securities comprising the pooled 25 15 fund shall be investment grade. 25 16 (c) The loan shall be evidenced by a written agreement 25 17 which provides all of the following: 25 18 (i) That the loan will be fully collateralized at all 25 19 times during the term of the loan, and that the collateral 25 20 will be adjusted as necessary each business day during the 25 21 term of the loan to maintain the required collateralization in 25 22 the event of market value changes in the loaned securities or 25 23 collateral. 25 24 (ii) If the loan is fully collateralized by cash or cash 25 25 equivalents, the cash or cash equivalent collateral may be 25 26 reinvested by the company as provided in subparagraph 25 27 subdivision (b). 25 28 (iii) That the loan may be terminated by the company at 25 29 any time, and that the borrower shall return the loaned stocks 25 30 and obligations or equivalent stocks or obligations within 25 31 five business days after termination. 25 32 (iv) That the company has the right to retain the 25 33 collateral or use the collateral to purchase investments 25 34 equivalent to the loaned securities if the borrower defaults 25 35 under the terms of the agreement, and that the borrower 26 1 remains liable for any losses and expenses incurred by the 26 2 company due to default that are not covered by the collateral. 26 3 (d) Securities loaned pursuant to this subparagraph (2) 26 4 are not eligible for investment of the company in excess of 26 5 twenty percent of admitted assets. 26 6 Sec. 55. Section 515.35, subsection 4, paragraph a, Code 26 7 Supplement 2003, is amended by adding the following new 26 8 unnumbered paragraph: 26 9 NEW UNNUMBERED PARAGRAPH. Bonds or other evidences of 26 10 indebtedness issued, assumed, or guaranteed by the United 26 11 States of America, or by any agency or instrumentality of the 26 12 United States of America include investments in an open-end 26 13 management investment company registered with the federal 26 14 securities and exchange commission under the federal 26 15 Investment Company Act of 1940, 15 U.S.C. } 80(a) and operated 26 16 in accordance with 17 C.F.R. } 270.2a-7, the portfolio of 26 17 which is limited to the United States government obligations 26 18 described in this paragraph "a", and which are included in the 26 19 national association of insurance commissioners' securities 26 20 valuation office's United States direct obligation-full faith 26 21 and credit list. 26 22 Sec. 56. Section 515.35, subsection 4, paragraph i, 26 23 subparagraphs (3) and (4), Code Supplement 2003, are amended 26 24 to read as follows: 26 25 (3) A company may invest in the obligations of a foreign 26 26 government other than Canada or of a corporation incorporated 26 27 under the laws of a foreign government other than Canada. Any 26 28 such governmental obligation must be valid, legally authorized 26 29 and issued, and on the date of acquisition have predominantly 26 30 investment qualities and characteristics as provided by rule. 26 31 Any such corporate obligation must on the date of acquisition 26 32 have investment qualities and characteristics, and must not 26 33 have speculative elements which are predominant, as provided 26 34 by rule. A company shall not invest more than two percent of 26 35 its admitted assets in the obligations of a foreign government 27 1 other than Canada and the United Kingdom. Investments in 27 2 obligations of the United Kingdom are not eligible in excess 27 3 of four percent of admitted assets. A company shall not 27 4 invest more than two percent of its admitted assets in the 27 5 obligations of a corporation incorporated under the laws of a 27 6 foreign government other than a corporation incorporated under 27 7 the laws of Canada. 27 8 (4) A company shall not invest more thantentwenty 27 9 percent of its admitted assets in foreign investments pursuant 27 10 to this paragraph. 27 11 Sec. 57. Section 515.120, Code 2003, is amended to read as 27 12 follows: 27 13 515.120 VIOLATIONS. 27 14AnyIt shall be unlawful for any officer, manager, or agent 27 15 of any insurance company or association who, with knowledge 27 16 that it is doing business in an unlawful manner, or is 27 17 insolvent,solicitsto solicit or receive applications for 27 18 insurance withsaidthe company or association,or receives27 19applications therefor,ordoesto do any other act or thing 27 20towardstoward procuring or receiving any new business for 27 21 such company or association, shall be guilty of a serious27 22misdemeanor. 27 23 Sec. 58. Section 515.121, Code 2003, is amended to read as 27 24 follows: 27 25 515.121 OFFICERS PUNISHED. 27 26AnyIt shall be unlawful for any of the following to fail 27 27 to comply with or to violate any of the requirements of this 27 28 chapter: 27 29 1. The president, secretary, or other officer of any 27 30 company organized under the laws of this state, or any. 27 31 2. Any officer or person doing or attempting to do 27 32 business in this state for any insurance company organized 27 33 either within or without this state, failing to comply with27 34any of the requirements of this chapter, or violating any of27 35the provisions thereof, shall be guilty of a simple28 1misdemeanor. 28 2 Sec. 59. Section 515.140, Code 2003, is amended to read as 28 3 follows: 28 4 515.140 VIOLATIONS STATUS OF POLICY. 28 5AnyIt shall be unlawful for any insurance company, its 28 6 officers or agents, or either of them,violatingto violate 28 7 any of the provisions of section 515.138, by issuing, 28 8 delivering, or offering to issue or deliver any policy of fire 28 9 insurance on property in this state otheror different from28 10 than the standard form, hereinas providedfor, shall be28 11guilty of a simple misdemeanorin statute, but any policy so 28 12 issued or delivered shall, nevertheless, be binding upon the 28 13 company issuing or delivering thesame, and suchpolicy. The 28 14 company shall, until the payment ofsuch finea penalty 28 15 assessed by order after hearing, be disqualified from doing 28 16 any insurance business in this state; but any policy so issued28 17or delivered shall, nevertheless, be binding upon the company28 18issuing or delivering the same. 28 19 Sec. 60. Section 515A.6, subsection 7, Code 2003, is 28 20 amended by striking the subsection. 28 21 Sec. 61. Section 518A.41, Code 2003, is amended to read as 28 22 follows: 28 23 518A.41 INSURANCE PRODUCERS TO BE LICENSED. 28 24NoA person or corporation shall not solicitanyan 28 25 application for insurance for any association in this state 28 26 without having procured from the commissioner of insurance a 28 27 license authorizing the person or corporation to act as an 28 28 insurance producer.Violation of this provision shall28 29constitute a serious misdemeanor.28 30 Sec. 62. Section 520.14, Code 2003, is amended to read as 28 31 follows: 28 32 520.14 VIOLATIONS EXCEPTIONS. 28 33AnyIt shall be unlawful for an attorneywho shallto 28 34 exchangeanycontracts of insurance of the kind and character 28 35 specified in this chapter, oranyfor an attorney or 29 1 representative ofsuchthe attorney, who shallto solicit or 29 2 negotiate any applications for the same without the attorney 29 3 having first complied with the foregoing provisions, shall be29 4deemed guilty of a simple misdemeanor. For the purpose of 29 5 organization and upon issuance of permit by the commissioner 29 6 of insurance, powers of attorney and applications for such 29 7 contracts may be solicited without compliance with the 29 8 provisions of this chapter, butnoan attorney, agent, or 29 9 other person shall not make any such contracts of indemnity 29 10 until all of the provisions of this chapter shall have been 29 11 complied with. 29 12 Sec. 63. Section 522B.11, subsection 1, paragraph b, Code 29 13 2003, is amended to read as follows: 29 14 b. Violating any state insurance laws, federal Act 29 15 relating to the business of insurance, or any order of any 29 16 court of competent jurisdiction, or violating any informal 29 17 settlement agreement, regulation, subpoena, or order of the 29 18 commissioner or of a commissioner of another state. 29 19 Sec. 64. Section 522B.11, subsection 1, Code 2003, is 29 20 amended by adding the following new paragraph: 29 21 NEW PARAGRAPH. q. Is the subject of an order of the 29 22 securities administrator of this state or any other state, 29 23 province, district, or territory, denying, suspending, 29 24 revoking, or otherwise taking action against a registration as 29 25 a broker-dealer, agent, investment adviser, or investment 29 26 adviser representative. 29 27 Sec. 65. Section 522B.11, subsection 5, Code 2003, is 29 28 amended to read as follows: 29 29 5. The commissioner may conduct an investigation of any 29 30 suspected violation of this chapter pursuant to section 507B.6 29 31 and may enforce the provisions and impose any penalty or 29 32 remedy authorized by this chapter and chapter 507B against any 29 33 person who is under investigation for, or charged with, a 29 34 violation of either chapter even if the person's license has 29 35 been surrendered or has lapsed by operation of law. 30 1 Sec. 66. Section 522B.11, Code 2003, is amended by adding 30 2 the following new subsection: 30 3 NEW SUBSECTION. 6. a. In order to assure a free flow of 30 4 information for accomplishing the purposes of this section, 30 5 all complaint files, investigation files, other investigation 30 6 reports, and other investigative information in the possession 30 7 of the commissioner or the commissioner's employees or agents 30 8 that relates to licensee discipline are privileged and 30 9 confidential, and are not subject to discovery, subpoena, or 30 10 other means of legal compulsion for their release to a person 30 11 other than the licensee, and are not admissible in evidence in 30 12 a judicial or administrative proceeding other than the 30 13 proceeding involving licensee discipline. A final written 30 14 decision of the commissioner in a disciplinary proceeding is a 30 15 public record. 30 16 b. Investigative information in the possession of the 30 17 commissioner or the commissioner's employees or agents that 30 18 relates to licensee discipline may be disclosed, in the 30 19 commissioner's discretion, to appropriate licensing 30 20 authorities within this state, the appropriate licensing 30 21 authority in another state, the District of Columbia, or a 30 22 territory or country in which the licensee is licensed or has 30 23 applied for a license. 30 24 c. If the investigative information in the possession of 30 25 the commissioner or the commissioner's employees or agents 30 26 indicates a crime has been committed, the information shall be 30 27 reported to the proper law enforcement agency. 30 28 d. Pursuant to the provisions of section 17A.19, 30 29 subsection 6, upon an appeal by the licensee, the commissioner 30 30 shall transmit the entire record of the contested case to the 30 31 reviewing court. 30 32 e. Notwithstanding the provisions of section 17A.19, 30 33 subsection 6, if a waiver of privilege has been involuntary 30 34 and evidence has been received at a disciplinary hearing, the 30 35 court shall issue an order to withhold the identity of the 31 1 individual whose privilege was waived. 31 2 Sec. 67. NEW SECTION. 522B.16A DUTIES OF LICENSEES. 31 3 1. An insurance producer, as a condition of licensure, is 31 4 under a duty to submit to a physical or mental examination 31 5 when directed in writing by the commissioner for cause. All 31 6 objections shall be waived as to the admissibility of the 31 7 examining physician's testimony or reports on the grounds of 31 8 privileged communications. The medical testimony or report 31 9 shall not be used against the insurance producer in any 31 10 proceeding other than one relating to licensee discipline by 31 11 the commissioner. The commissioner, upon probable cause, may 31 12 order a physical or mental examination to be performed, and 31 13 upon refusal of the licensee to submit to the examination, the 31 14 commissioner may order that the allegations pursuant to which 31 15 the order of physical or mental examination was made shall be 31 16 taken to be established. 31 17 2. A licensee has a continuing duty to report to the 31 18 commissioner those acts or omissions found in section 522B.11, 31 19 subsection 1, when committed by another insurance producer. 31 20 3. Unless prohibited by court order or agreement of the 31 21 parties, an insurance producer shall have a continuing duty 31 22 and obligation, as a condition of licensure, to report to the 31 23 commissioner every adverse judgment in a professional or 31 24 occupational malpractice action to which the licensee is a 31 25 party, and every settlement of a claim against the licensee 31 26 alleging malpractice. 31 27 4. An insurance producer has a continuing duty and 31 28 obligation to keep at the insurance producer's place of 31 29 business the usual and customary records pertaining to 31 30 transactions undertaken by the insurance producer. Records 31 31 shall be maintained for a minimum of three years following the 31 32 completion of any insurance transaction. 31 33 5. An insurance producer who willfully fails to comply 31 34 with subsection 2, 3, or 4 commits a violation of this chapter 31 35 and is subject to sanction under section 522B.11. 32 1 Sec. 68. Section 523A.401, subsection 6, paragraph c, Code 32 2 2003, is amended to read as follows: 32 3 c. The insurance policy shall notallow for contesting32 4coverage,be contestable, or limit death benefits in the case 32 5 of suicide, with respect to that portion of the face amount of 32 6 the policy that is required by paragraph "b". The policy 32 7 shall not refer to physical examination, or otherwise operate 32 8 as an exclusion, limitation, or condition other than requiring 32 9 submission of proof of death or surrender of policy at the 32 10 time the prepaid purchase agreement is funded, matures, or is 32 11 canceled, as the case may be. 32 12 Sec. 69. Section 523A.402, subsection 6, paragraph c, Code 32 13 2003, is amended to read as follows: 32 14 c. The annuity shall notallow for contesting coverage,be 32 15 contestable, or limit death benefits in the case of suicide, 32 16 with respect to that portion of the face amount of the annuity 32 17 which is required by paragraph "b". The annuity shall refer 32 18 to physical examination, or otherwise operate as an exclusion, 32 19 limitation, or condition other than requiring submission of 32 20 proof of death or surrender of the annuity at the time the 32 21 prepaid purchase agreement is funded, matures, or is canceled, 32 22 as the case may be. 32 23 Sec. 70. Section 523A.501, subsection 6, Code 2003, is 32 24 amended to read as follows: 32 25 6. If no denial order is in effect and no proceeding is 32 26 pending under section 523A.503, the application becomes 32 27 effective at noon of the thirtieth day after a completed 32 28 application or an amendment completing the application is 32 29 filed, unless waived by the applicant. The commissioner may 32 30 specify an earlier effective date. Automatic effectiveness 32 31 under this subsection shall not be deemed approval of the 32 32 application. If the commissioner does not grant the permit, 32 33 the commissioner shall notify the person in writing of the 32 34 reasons for the denial.The permit shall disclose on its face32 35the permit holder's employer or the establishment on whose33 1behalf the applicant will be making or attempting to make33 2sales, the permit number, and the expiration date.33 3 Sec. 71. Section 523A.502, subsection 7, Code 2003, is 33 4 amended to read as follows: 33 5 7. A sales permit is not assignable or transferable. A 33 6 permit holder selling all or part of a business shall cancel 33 7 thepermitestablishment's sales permits and the purchaser 33 8 shall apply foranewpermitsales permits in the purchaser's 33 9 name within thirty days of the sale. 33 10 Sec. 72. Section 523A.503, subsection 1, unnumbered 33 11 paragraph 1, Code 2003, is amended to read as follows: 33 12 The commissioner may, pursuant to chapter 17A, deny any 33 13 permit application, or immediately suspend,orrevoke, or 33 14 otherwise impose disciplinary action related to any permit 33 15 issued under this chapter for several reasons, including but 33 16 not limited to: 33 17 Sec. 73. Section 523A.503, subsection 3, Code 2003, is 33 18 amended to read as follows: 33 19 3. Except as provided in subsection 2, a permit shall not 33 20 be revoked,orsuspended, or otherwise be the subject of 33 21 disciplinary action except after notice and hearing under 33 22 chapter 17A. 33 23 Sec. 74. Section 523A.503, Code 2003, is amended by adding 33 24 the following new subsection: 33 25 NEW SUBSECTION. 6. The commissioner may impose a civil 33 26 penalty in an amount not exceeding ten thousand dollars per 33 27 violation against any person violating this chapter. Each day 33 28 of a continuing violation constitutes a separate offense. 33 29 Sec. 75. Sections 506.7, 507B.11, 508.27, 511.18, 514.6, 33 30 514A.9, 514B.29, 515.132, 515.145, and 521.15, Code 2003, are 33 31 repealed. 33 32 Sec. 76. Sections 514E.5 and 514E.6, Code 2003, are 33 33 repealed. 33 34 Sec. 77. EFFECTIVE DATE. The sections of this Act 33 35 amending section 513C.7 and section 514E.2, subsection 13, and 34 1 repealing sections 514E.5 and 514E.6 take effect January 1, 34 2 2005. 34 3 EXPLANATION 34 4 This bill contains revisions throughout the various 34 5 chapters comprising the insurance code. The bill also 34 6 contains certain revisions to Code chapter 523A, pertaining to 34 7 cemetery and funeral merchandise and services. 34 8 The bill deletes references to Code chapters 507B and 522B, 34 9 regarding unfair trade practices in insurance and the 34 10 licensing of insurance producers, respectively, throughout 34 11 Code chapter 272C, which relates to continuing education and 34 12 regulation for certain professions and occupations. 34 13 The bill modifies terminology in Code section 432.5 to 34 14 refer to "producer" instead of "agent", and also to conform to 34 15 the current insurance premium tax rate provision in Code 34 16 chapter 432. Code section 507B.2 also makes a similar change 34 17 in terminology from "agents" and "brokers" to "producers". 34 18 The bill creates a new centralized civil penalty section in 34 19 Code section 505.7A, in conjunction with other changes 34 20 throughout the bill that eliminate or modify penalties in many 34 21 provisions throughout the insurance code. The new provision 34 22 is intended to apply to all prohibited acts in Title XIII, 34 23 subtitle 1, regarding insurance and related regulation, where 34 24 a penalty is imposed by order of the insurance commissioner 34 25 after hearing. Penalties shall not exceed $1,000 for each 34 26 violation, or $10,000 in the aggregate, unless the person knew 34 27 or reasonably should have known the behavior violated an Iowa 34 28 statute, in which case the penalty shall not exceed $5,000 for 34 29 each violation, or $50,000 in the aggregate in any one six- 34 30 month period. Code sections 507C.6, 509.18, 512A.8, 512B.35, 34 31 515.120, 515.121, 515.140, 518A.41, and 520.14 are updated in 34 32 form and language, as part of this consolidation of general 34 33 penalties in new Code section 505.7A. 34 34 Code sections 507.16, 511.16, and 515.120, relating to 34 35 unlawful solicitation of business for insolvent or unlawful 35 1 insurers, are also all updated in form and language, according 35 2 to the penalty provision now in Code section 505.7A, as 35 3 described above. 35 4 The bill makes a number of modifications to certain 35 5 terminology and terms used in the interstate insurance product 35 6 regulation compact in Code section 505A.1, enacted in 2003. 35 7 The change to article III, for example, now specifies that the 35 8 entity to be formed will be a joint public agency, and not 35 9 only a body corporate, but also a body politic and an 35 10 instrumentality of the compacting state. Modifications to 35 11 article V provide for more specific rights relating to 35 12 meetings of the commission, including advance notice, public 35 13 attendance, and protection of proprietary information. A 35 14 specific procedure is mandated for closed meetings. Similar 35 15 types of specification are made through modifications to 35 16 articles VII, VIII, XI, XII, and XVI. 35 17 The bill adds a new unnumbered paragraph to Code section 35 18 507.14 to provide specifically that analysis notes, work 35 19 papers, or other documents related to the analysis of an 35 20 insurer are not public records under Code chapter 22, in 35 21 addition to the specified reports, notes, and work papers 35 22 already not considered public documents under Code chapter 22. 35 23 Code section 507A.10, relating to civil penalties and cease 35 24 and desist orders for unauthorized insurers, is expanded to 35 25 provide additional procedures relating to summary orders, 35 26 requests for contested case proceedings, contempt orders, 35 27 criminal penalties, and referral to criminal authorities. 35 28 Code section 507B.3 is amended to add a new paragraph to 35 29 allow the commissioner to provide information from an 35 30 investigation regarding insurance trade practices to a company 35 31 or producer that is the subject of the complaint or to the 35 32 consumer who filed the complaint without being deemed to have 35 33 waived confidentiality provisions. 35 34 New Code section 507B.5A, also in the chapter regarding 35 35 insurance trade practices, is added to allow the commissioner 36 1 to subpoena books, papers, and other records, without cost, 36 2 prior to commencing a contested case proceeding in order to 36 3 determine whether a contested case should be instituted. 36 4 Code section 507B.6 is amended to allow the service of 36 5 subpoenas, in addition to other documents currently listed, by 36 6 restricted certified mail. The language is also updated. 36 7 Similarly, new Code section 507B.6A is added to provide 36 8 procedures for the issuance of summary cease and desist 36 9 orders, requests for contested case proceedings, and contempt 36 10 orders in insurance trade practices cases. 36 11 Code section 507B.7, regarding cease and desist orders for 36 12 insurance trade practices, alters the penalty provisions 36 13 related to the cease and desist orders by removing the 36 14 connection of the violation to knowledge of violation of 36 15 certain statutory provisions before the imposition of a civil 36 16 penalty, and instead requiring only a general standard that 36 17 the person knew or reasonably should have known that the 36 18 conduct was in violation of Iowa law. In addition, the 36 19 commissioner is newly empowered to impose an additional 36 20 penalty when a person violates a cease and desist order, after 36 21 notice and hearing, and upon order. 36 22 The word "orders" is added to Code section 507C.11 to 36 23 specify that such documents, in addition to other records and 36 24 documents comprising the record of a proceeding, are 36 25 confidential. 36 26 Code sections 511.8 and 515.35 are amended to specify that 36 27 certain investments in open-end management investment 36 28 companies, the portfolio of which is limited to United States 36 29 government obligations, as further delineated in the 36 30 respective Code sections, meet the definition of certain bonds 36 31 specified under those Code sections. 36 32 Code sections 511.8 and 515.35 are also modified regarding 36 33 the allowable percentage insurance companies or associations 36 34 may invest in foreign government bonds. Code section 511.8 is 36 35 further modified regarding the amount that may be used for 37 1 hedging transactions, and a new subsection is added regarding 37 2 security loans. Code section 515.35 is further modified 37 3 regarding the loaning of securities by an insurance company. 37 4 Regarding program eligibility under the individual health 37 5 insurance market reforms chapter, the bill modifies Code 37 6 section 513C.3 by specifying that an association policy under 37 7 Code chapter 514E is not considered "qualifying existing 37 8 coverage" or "qualifying previous coverage". 37 9 Certain subsections of Code section 513C.7 regarding basic 37 10 and standard health plans are stricken effective January 1, 37 11 2005. 37 12 With regard to program administration, basic and standard 37 13 plan offerings are eliminated over time, which the bill 37 14 implements through the amendments to Code section 513C.4 and 37 15 repeals of Code sections 513E.5 and 513E.6, effective January 37 16 1, 2005. 37 17 The bill amends Code section 513C.8 to provide that the 37 18 board of directors of the Iowa comprehensive health insurance 37 19 association, instead of the commissioner, shall adopt forms 37 20 and levels of coverage of basic and standard individual health 37 21 benefit plans for the guaranteed individual market that are 37 22 substantially similar to the current state of the individual 37 23 market. 37 24 The bill amends Code section 513C.10, subsection 1, 37 25 paragraph "a", to provide that all insurers, as designated by 37 26 the board of directors of the Iowa comprehensive health 37 27 insurance association with the approval of the commissioner, 37 28 shall be included as members of the Iowa individual health 37 29 benefit reinsurance association. 37 30 The bill amends Code section 513C.10, subsection 4, to 37 31 provide that the Iowa individual health benefit reinsurance 37 32 association shall develop not only procedures but assessment 37 33 mechanisms to make assessments and distributions as required 37 34 to equalize individual carrier and organized delivery system 37 35 gains or losses. 38 1 The bill amends Code chapter 514E relating to the Iowa 38 2 comprehensive health insurance association (ICHA) and 38 3 specifically amends Code section 514E.7 to limit eligible 38 4 participants to residents, and, due to the sunset of basic and 38 5 standard plans beginning January 1, 2005, to allow new 38 6 participants in the ICHA plan to transfer from a basic and 38 7 standard plan without a limitation on preexisting conditions. 38 8 Code section 514E.11, regarding notification of potential 38 9 eligibility for ICHA, is also modified. The bill also 38 10 modifies Code section 514E.2 related to the federal Trade 38 11 Adjustment Act, Pub. L. No. 107-210, because the ICHA is the 38 12 mechanism designated by the governor pursuant to the trade 38 13 Act. 38 14 Code section 514E.4 is amended relating to the payment of 38 15 medically necessary health care services. The bill also 38 16 addresses the provision of benefits, deductibles, and 38 17 coinsurance reflective of current individual insurance market 38 18 conditions in that Code section. The ICHA board is authorized 38 19 to make benefit changes from time to time to remain current 38 20 with market conditions. Code sections 514E.5 and 514E.6, 38 21 containing lists of excluded expenses and benefit limitations, 38 22 are repealed effective January 1, 2005. Corresponding changes 38 23 are made to delete unused definitions from Code section 38 24 514E.1. Changes are also made to Code section 513C.8 to 38 25 remove an outdated reference to Code chapter 513B, and to Code 38 26 sections 514E.7 and 514E.8 to coordinate that Code language 38 27 with Medicare requirements. 38 28 Regarding rate structures, Code section 514E.2 is amended 38 29 to allow for adjustments in ICHA rates to reflect rating 38 30 characteristics in the marketplace and is amended to allow an 38 31 insurer to offset an assessment made under this chapter 38 32 against its premium tax liability pursuant to Code chapter 38 33 432. The amendment to Code section 514E.2, subsection 13, 38 34 allowing the offset, takes effect January 1, 2005. 38 35 The bill amends Code section 514E.2, regarding the Iowa 39 1 comprehensive health insurance association, to provide for the 39 2 coverage of individuals applying for coverage pursuant to the 39 3 federal Trade Adjustment Act of 2002. 39 4 Code section 522B.11, regarding insurance producer license 39 5 denial, nonrenewal, or revocation, is modified in several 39 6 respects. The provision regarding discipline or penalty for 39 7 violation of insurance laws is made more specific, by 39 8 reference to state insurance laws, federal Acts relating to 39 9 insurance, orders of courts of competent jurisdiction, and 39 10 informal settlement agreements. A new paragraph is added 39 11 relating to discipline or penalty relative to an order against 39 12 an individual as a broker-dealer, agent, investment adviser, 39 13 or investment adviser representative. A new reference is 39 14 added to the commissioner's power to investigate suspected 39 15 violations of Code chapter 522B pursuant to Code section 39 16 507B.6. Finally, a new provision is added to address the 39 17 status of investigative files as confidential, but final 39 18 written decisions of the commissioner as public records, 39 19 although the commissioner has the discretion to share 39 20 investigative information with other licensing authorities, 39 21 and evidence of a crime must be referred to law enforcement. 39 22 New Code section 522B.16A addresses duties of licensees, 39 23 including duty to submit to physical or mental examination 39 24 when directed in writing by the commissioner for cause, duty 39 25 to report certain acts or omissions by another producer, duty 39 26 to report adverse judgments in professional malpractice 39 27 actions and settlements, and a duty to keep certain records 39 28 for at least three years. 39 29 The bill modifies Code sections 523A.401 and 523A.402 in 39 30 the cemetery and funeral merchandise and services chapter, 39 31 relating to contestability clauses and death benefit 39 32 limitations in certain policies and annuities. 39 33 The bill also makes several changes to establishment and 39 34 sales permits for cemetery and funeral merchandise and 39 35 services. The bill deletes the requirement in Code section 40 1 523A.501 that a permit disclose on its face the permit 40 2 holder's employer or establishment, the permit number, and 40 3 expiration date. Code section 523A.502 is modified to refer 40 4 to the establishment's sales permits. Several changes are 40 5 made to Code section 523A.503 to refer to disciplinary action 40 6 which may be imposed in relation to a permit, as well as a 40 7 civil penalty not to exceed $10,000 for violations of the Code 40 8 chapter. 40 9 The bill repeals Code sections 506.7 (general penalty 40 10 provision), 507B.11 (penalty for violation of cease and desist 40 11 order), 508.27 (penalty provision related to Code section 40 12 508.25, relating to use of form for which prior approval has 40 13 not been obtained), 511.18 (fraud in procuring insurance), 40 14 514.6 (rate approval for nonprofit health service 40 15 corporations), 514A.9 (general penalty provision), 514B.29 40 16 (general penalty provision), 514E.5 and 514E.6 (lists of 40 17 excluded expenses and benefit limitations), 515.132 (general 40 18 penalty provision), 515.145 (penalty provision for violation 40 19 of Code section 515.142, relating to operation of fire 40 20 insurance companies), and 521.15 (general penalty provision). 40 21 These repeals are made in conjunction with the consolidation 40 22 of general penalties and the new general penalty provision in 40 23 Code section 505.7A. 40 24 The repeals of Code sections 514E.5 and 514E.6 take effect 40 25 January 1, 2005. 40 26 LSB 5319DP 80 40 27 av/gg/14.1 40 28
Text: HSB00657 Text: HSB00659 Text: HSB00600 - HSB00699 Text: HSB Index Bills and Amendments: General Index Bill History: General Index
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