Senate
File
556
-
Enrolled
Senate
File
556
AN
ACT
RELATING
TO
THE
MEMBERSHIP
OF
THE
LIFE
AND
HEALTH
INSURANCE
GUARANTY
ASSOCIATION,
ASSESSMENTS
TO
MEMBER
INSURERS
FOR
INSURANCE
WRITTEN
BY
IMPAIRED
OR
INSOLVENT
MEMBER
INSURERS,
AND
INCLUDING
APPLICABILITY
AND
EFFECTIVE
DATE
PROVISIONS.
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
Section
1.
Section
507C.3,
Code
2019,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
7.
Health
maintenance
organizations
formed
under
chapter
514B
other
than
limited
service
organizations
formed
under
section
514B.33.
Sec.
2.
Section
508C.2,
Code
2019,
is
amended
to
read
as
follows:
508C.2
Purpose.
1.
The
purpose
of
this
chapter
is
to
protect,
subject
to
certain
limitations,
the
persons
specified
in
section
508C.3,
subsection
1
,
against
failure
in
the
performance
of
contractual
obligations
under
life
,
and
health
,
insurance
policies
and
annuity
policies,
plans,
or
contracts
specified
in
section
508C.3,
subsection
2
,
because
of
the
impairment
or
insolvency
of
the
member
insurer
which
issued
the
policies
,
plans,
or
contracts.
2.
To
provide
this
protection,
an
association
of
member
insurers
is
created
to
enable
the
guaranty
of
payments
of
benefits
and
of
continuation
of
coverages
as
limited
in
by
this
chapter
.
Members
of
the
association
are
subject
to
assessment
Senate
File
556,
p.
2
to
provide
funds
to
carry
out
the
purpose
of
this
chapter
.
Sec.
3.
Section
508C.3,
subsection
1,
paragraphs
a,
b,
and
e,
Code
2019,
are
amended
to
read
as
follows:
a.
Except
Persons,
regardless
of
where
they
reside,
except
for
nonresident
certificate
holders
under
group
policies
or
contracts,
persons
who
are
the
beneficiaries,
assignees,
or
payees
,
including
health
care
providers
rendering
services
covered
under
health
insurance
policies,
contracts,
or
certificates,
of
the
persons
covered
under
paragraph
“b”
.
b.
Persons
who
are
owners
of
or
certificate
holders
or
enrollees
under
the
policies
or
contracts
specified
in
subsection
2
,
other
than
unallocated
annuity
contracts
and
structured
settlement
annuities,
or
are
enrollees,
insureds
,
or
annuitants
under
the
policies
or
contracts,
and
who
are
either
of
the
following:
(1)
Residents
of
this
state.
(2)
Nonresidents
of
this
state
if
all
of
the
following
conditions
are
met:
(a)
The
state
in
which
the
person
resides
has
an
association
similar
to
the
association
created
in
this
chapter
.
(b)
The
person
is
not
eligible
for
coverage
by
an
association
described
in
subparagraph
division
(a)
in
any
other
state
due
to
the
fact
that
the
insurer
or
the
health
maintenance
organization
was
not
licensed
in
the
state
at
the
time
specified
in
that
state’s
guaranty
association
law.
(c)
The
member
insurer
that
issued
the
policy
or
contract
is
domiciled
in
this
state.
e.
A
person
who
is
a
resident
of
this
state
and,
only
in
special
circumstances,
to
a
nonresident.
In
order
to
avoid
duplicate
coverage,
if
a
person
who
would
otherwise
receive
coverage
under
this
chapter
is
provided
coverage
under
the
laws
of
any
other
state,
that
person
shall
not
be
provided
coverage
under
this
chapter
.
In
determining
the
application
of
the
provisions
of
this
paragraph
in
situations
a
situation
where
a
person
could
be
provided
coverage
by
the
association
of
more
than
one
state,
whether
as
an
owner,
payee,
enrollee,
beneficiary,
or
assignee,
this
chapter
shall
be
construed
in
conjunction
with
other
state
laws
to
result
in
coverage
by
the
association
of
only
one
state.
Senate
File
556,
p.
3
Sec.
4.
Section
508C.3,
subsections
2,
3,
and
4,
Code
2019,
are
amended
to
read
as
follows:
2.
This
chapter
shall
provide
coverage
to
the
persons
specified
in
subsection
1
under
policies
or
contracts
of
direct
life
insurance
policies
,
health
insurance
policies
including
long-term
care
insurance
and
disability
insurance
policies
,
annuity
contracts
or
annuities
,
supplemental
contracts,
certificates
under
group
policies
or
contracts,
and
unallocated
annuity
contracts
issued
by
member
insurers.
For
purposes
of
this
chapter,
health
insurance
shall
include
without
limitation
health
maintenance
organization
subscriber
contracts
and
certificates,
long-term
care
insurance,
and
disability
insurance
policies.
3.
Coverage
under
this
chapter
shall
not
be
provided
to
any
of
the
following:
a.
A
person
who
is
a
payee,
or
the
a
beneficiary
of
a
payee
if
the
payee
is
deceased,
of
a
contract
owner
who
is
a
resident
of
this
state,
if
the
payee
or
the
beneficiary
of
the
payee
is
provided
any
coverage
by
the
association
of
another
state.
b.
A
person
who
is
covered
pursuant
to
subsection
1
,
paragraph
“c”
,
if
that
person
is
provided
any
coverage
by
the
association
of
another
state.
c.
A
person
who
acquires
rights
to
receive
payments
through
a
structured
settlement
factoring
transaction
as
defined
in
26
U.S.C.
§5891(c)(3)(A),
regardless
of
when
the
transaction
occurred.
4.
This
chapter
does
not
apply
to
any
of
the
following
:
a.
Any
Except
for
a
portion
of
a
policy
or
contract,
including
a
rider,
that
provides
coverage
for
long-term
care
or
any
health
insurance
benefits,
any
portion
of
a
policy
or
contract
to
the
extent
that
the
rate
of
interest
on
which
it
is
based
or
the
interest
rate,
crediting
rate,
or
similar
factor
determined
by
use
of
an
index
or
other
external
reference
stated
in
the
policy
or
contract
and
employed
in
calculating
returns
or
changes
in
value,
averaged
over
the
period
of
four
years
prior
to
the
date
on
which
the
association
becomes
obligated
with
respect
to
the
policy
or
contract,
exceeds
a
rate
of
interest
determined
by
subtracting
two
percentage
points
from
Moody’s
corporate
bond
yield
average
Senate
File
556,
p.
4
for
the
same
four-year
period
or
over
such
lesser
period
if
the
policy
or
contract
was
issued
less
than
four
years
before
the
association
became
obligated;
and
on
or
after
the
date
on
which
the
association
becomes
obligated
with
respect
to
the
policy
or
contract,
exceeds
the
rate
of
interest
determined
by
subtracting
three
percentage
points
from
Moody’s
corporate
bond
yield
average
as
most
recently
available.
b.
That
portion
or
part
of
a
policy
or
contract
not
guaranteed
by
the
member
insurer,
or
under
which
the
risk
is
borne
by
the
policyholder
policy
or
contract
holder
.
c.
A
policy
or
contract
or
part
of
a
policy
or
contract
assumed
by
the
impaired
or
insolvent
insurer
under
a
contract
of
reinsurance,
other
than
reinsurance
for
which
assumption
certificates
have
been
issued.
d.
An
unallocated
annuity
contract
issued
to
or
in
connection
with
an
employee
benefit
plan
protected
under
the
federal
pension
benefit
guaranty
corporation
,
regardless
of
whether
the
federal
pension
benefit
guaranty
corporation
has
yet
become
liable
to
make
any
payments
with
respect
to
the
benefit
plan
,
or
a
.
e.
A
portion
of
an
unallocated
annuity
contract
which
is
not
issued
to
or
in
connection
with
a
specific
employee,
union,
or
association
of
natural
persons,
or
any
portion
of
a
financial
guarantee.
e.
f.
A
policy
or
contract
issued
by
a
company
which
is
licensed
under
chapter
509A
,
512A
,
512B
,
514
,
514B
,
518
,
518A
,
or
520
,
or
under
section
514B.33
.
f.
g.
Except
for
a
policy
issued
pursuant
to
section
515.48,
subsection
5
,
paragraph
“a”
,
a
policy
or
contract
issued
by
a
company
which
is
licensed
under
chapter
515
.
g.
h.
A
charitable
gift
annuity
under
chapter
508F
.
h.
i.
An
annuity
contract
issued
to
a
government
lottery.
i.
j.
A
funding
agreement
under
section
508.31A
.
j.
k.
An
obligation
that
does
not
arise
under
the
express
written
terms
of
a
covered
policy
or
contract
issued
by
the
member
insurer
to
the
enrollee,
certificate
holder,
policy
owner,
or
contract
owner
including
without
limitation
all
of
the
following:
(1)
Claims
A
claim
based
on
marketing
materials.
Senate
File
556,
p.
5
(2)
Claims
A
claim
based
on
side
letters,
riders,
or
other
documents
that
were
issued
by
the
member
insurer
without
meeting
applicable
policy
or
contract
form
filing
or
approval
requirements.
(3)
Misrepresentation
A
claim
based
on
misrepresentation
of
or
misrepresentation
regarding
policy
or
contract
benefits.
(4)
Extra-contractual
claims
An
extra-contractual
claim
.
(5)
Claims
A
claim
for
penalties,
consequential,
or
incidental
damages.
k.
l.
A
contractual
agreement
that
establishes
a
member
insurer’s
obligations
to
provide
a
book
value
accounting
guaranty
for
defined
contribution
benefit
plan
participants
by
reference
to
a
portfolio
of
assets
that
is
owned
by
the
benefit
plan
or
its
trustee,
which
in
each
case
is
not
an
affiliate
of
the
member
insurer.
l.
m.
A
portion
of
a
covered
policy
to
the
extent
it
provides
for
interest
or
other
change
changes
in
value
to
be
determined
by
the
use
of
an
index
or
other
external
reference
stated
in
the
covered
policy,
but
which
has
have
not
been
credited
to
the
covered
policy,
or
as
to
which
the
covered
policy
owner’s
rights
are
subject
to
forfeiture,
as
of
the
date
the
member
insurer
becomes
an
impaired
or
insolvent
insurer
under
this
chapter
,
whichever
is
earlier.
If
a
covered
policy’s
interest
or
change
changes
in
value
is
are
credited
less
frequently
than
annually,
then
for
purposes
of
determining
the
values
that
have
been
credited
and
are
not
subject
to
forfeiture
under
the
covered
policy,
the
interest
or
change
in
value
determined
by
using
the
procedures
defined
in
the
covered
policy
will
be
credited
as
if
the
contractual
date
of
crediting
interest
or
changing
values
was
the
date
of
impairment
or
insolvency,
whichever
is
earlier,
and
will
the
crediting
interest
or
changing
value
shall
not
be
subject
to
forfeiture.
m.
n.
A
policy
or
contract
issued
in
this
state
by
a
member
insurer
at
a
time
the
insurer
was
not
licensed
or
did
not
have
a
certificate
of
authority
to
issue
the
policy
or
contract
in
this
state.
n.
o.
A
portion
of
a
policy
or
contract
issued
to
a
plan
or
program
of
an
employer,
association,
or
other
person
to
provide
life,
health,
or
annuity
benefits
to
employees,
members,
or
Senate
File
556,
p.
6
others,
to
the
extent
that
the
plan
or
program
is
self-funded
or
uninsured,
including
but
not
limited
to
benefits
payable
by
an
employer,
association,
or
other
person
under
any
of
the
following:
(1)
A
multiple
employer
welfare
arrangement
as
defined
in
section
3
of
the
federal
Employee
Retirement
Income
Security
Act
of
1974,
29
U.S.C.
§1002,
paragraph
40.
(2)
A
minimum
premium
group
insurance
plan.
(3)
A
stop-loss
group
insurance
plan.
(4)
An
administrative
services-only
contract.
o.
p.
A
portion
of
a
policy
or
contract
to
the
extent
that
it
provides
for
any
of
the
following:
(1)
Dividends
or
experience
rating
credits.
(2)
Voting
rights.
(3)
Payment
of
any
fees
or
allowances
to
any
person,
including
the
policy
or
contract
owner,
in
connection
with
service
to
or
administration
of
the
policy
or
contract.
p.
q.
A
portion
of
a
policy
or
contract
to
the
extent
that
the
assessments
authorized
by
section
508C.9
with
respect
to
the
policy
or
contract
are
preempted
by
federal
or
state
law.
q.
r.
A
policy
or
contract
providing
any
hospital,
medical,
prescription
drug,
or
other
health
care
benefits
pursuant
to
any
of
the
following:
(1)
42
U.S.C.
ch.
7,
subch.
XVIII,
Part
C
or
Part
D,
commonly
known
as
Medicare
Part
C
and
D
pursuant
to
Tit.
XVIII
of
the
federal
Social
Security
Act
,
or
any
regulations
issued
pursuant
thereto.
(2)
42
U.S.C.
ch.
7,
subch.
XIX,
commonly
known
as
Medicaid,
or
any
regulations
issued
pursuant
thereto.
s.
Structured
settlement
annuity
benefits
to
which
a
payee
or
beneficiary
has
transferred
the
payee’s
or
beneficiary’s
rights
in
a
structured
settlement
factoring
transaction
as
defined
in
26
U.S.C.
§5891(c)(3)(A).
Sec.
5.
Section
508C.3,
Code
2019,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
4A.
a.
The
benefits
that
the
association
may
become
obligated
to
cover
shall
in
no
event
exceed
the
lesser
of
either
of
the
following:
(1)
The
contractual
obligations
for
which
the
member
Senate
File
556,
p.
7
insurer
is
liable
or
would
have
been
liable
if
the
member
insurer
were
not
an
impaired
or
insolvent
insurer.
(2)
Any
of
the
following:
(a)
With
respect
to
one
life,
regardless
of
the
number
of
policies
or
contracts:
(i)
Three
hundred
thousand
dollars
in
life
insurance
death
benefits,
but
not
more
than
one
hundred
thousand
dollars
in
net
cash
surrender
and
net
cash
withdrawal
values
for
life
insurance.
(ii)
Five
hundred
thousand
dollars
for
health
benefit
plans;
three
hundred
thousand
dollars
for
health
insurance
benefits
which
are
disability
income
protection
coverage
as
defined
by
the
commissioner
by
rule
pursuant
to
section
514D.4;
three
hundred
thousand
dollars
for
long-term
care
insurance
as
defined
in
section
514G.103;
or
one
hundred
thousand
dollars
for
other
health
insurance
benefits
including
any
net
cash
surrender
and
net
cash
withdrawal
values.
(iii)
Two
hundred
fifty
thousand
dollars
in
the
present
value
of
annuity
benefits,
including
net
cash
surrender
and
net
cash
withdrawal
values.
(iv)
With
respect
to
each
payee
of
a
structured
settlement
annuity,
or
the
beneficiary
or
beneficiaries
of
the
payee
if
the
payee
is
deceased,
two
hundred
fifty
thousand
dollars
in
present
value
annuity
benefits,
in
the
aggregate,
including
net
cash
surrender
and
net
cash
withdrawal
values.
(b)
(i)
With
respect
to
each
individual
participating
in
a
retirement
benefit
plan
established
under
section
401,
403(b),
or
457
of
the
United
States
Internal
Revenue
Code,
or
each
unallocated
annuity
contract
account,
excluding
a
plan
established
under
section
401,
403(b),
or
457
of
the
United
States
Internal
Revenue
Code,
not
more
than
two
hundred
fifty
thousand
dollars
in
the
aggregate,
in
present
value
annuity
benefits,
including
net
cash
surrender
and
net
cash
withdrawal
values
for
the
beneficiaries
of
the
deceased
individual.
(ii)
However,
the
association
shall
not
in
any
event
be
obligated
to
cover
more
than
an
aggregate
of
three
hundred
fifty
thousand
dollars
in
benefits
with
respect
to
any
one
life
under
subparagraph
division
(a)
and
this
subparagraph
division
(b),
except
with
respect
to
benefits
for
health
benefit
plans
Senate
File
556,
p.
8
under
subparagraph
division
(a),
subparagraph
subdivision
(ii),
in
which
case
the
aggregate
liability
of
the
association
shall
not
exceed
five
hundred
thousand
dollars
with
respect
to
any
one
individual,
or
more
than
five
million
dollars
in
benefits
to
one
owner
of
multiple
nongroup
policies
of
life
insurance
regardless
of
whether
the
policy
or
contract
owner
is
an
individual,
firm,
corporation,
or
other
person,
and
whether
the
persons
insured
are
officers,
managers,
employees,
or
other
persons,
and
regardless
of
the
number
of
policies
and
contracts
held
by
the
owner.
(c)
With
respect
to
a
plan
sponsor
whose
plan
owns,
directly
or
in
trust,
one
or
more
unallocated
annuity
contracts
not
included
under
subparagraph
division
(b),
not
more
than
five
million
dollars
in
benefits,
regardless
of
the
number
of
contracts
held
by
the
plan
sponsor.
However,
where
one
or
more
such
unallocated
annuity
contracts
are
covered
contracts
under
this
chapter
and
are
owned
by
a
trust
or
other
entity
for
the
benefit
of
two
or
more
plan
sponsors,
the
association
shall
provide
coverage
if
the
largest
interest
in
the
trust
or
entity
owning
the
contract
is
held
by
a
plan
sponsor
whose
principal
place
of
business
is
in
the
state
but
in
no
event
shall
the
association
be
obligated
to
cover
more
than
five
million
dollars
in
benefits
in
the
aggregate
with
respect
to
all
such
unallocated
contracts.
b.
The
limitations
on
the
association’s
obligation
to
cover
benefits
that
are
set
forth
under
this
subsection
do
not
take
into
account
the
association’s
subrogation
and
assignment
rights
or
the
extent
to
which
such
benefits
could
be
provided
out
of
the
assets
of
the
impaired
or
insolvent
insurer
attributable
to
covered
policies.
The
cost
of
the
association’s
obligations
under
this
chapter
may
be
met
by
the
use
of
assets
attributable
to
covered
policies
or
reimbursed
to
the
association
pursuant
to
the
association’s
subrogation
and
assignment
rights.
c.
For
purposes
of
this
chapter,
benefits
provided
by
a
long-term
care
rider
to
a
life
insurance
policy
or
annuity
contract
shall
be
considered
the
same
type
of
benefits
as
the
base
life
insurance
policy
or
annuity
contract
to
which
the
long-term
rider
relates.
Senate
File
556,
p.
9
Sec.
6.
Section
508C.3,
subsection
5,
Code
2019,
is
amended
to
read
as
follows:
5.
In
performing
its
obligations
to
provide
coverage
under
this
chapter
,
the
association
shall
not
be
required
to
guarantee,
assume,
reinsure,
reissue,
or
perform,
or
cause
to
be
guaranteed,
assumed,
reinsured,
reissued,
or
performed,
the
contractual
obligations
of
an
insolvent
or
impaired
insurer
under
a
covered
policy
or
contract
that
do
not
materially
affect
the
economic
values
or
economic
benefits
of
the
covered
policy
or
contract.
Sec.
7.
Section
508C.5,
subsections
8,
10,
11,
12,
14,
17,
19,
and
20,
Code
2019,
are
amended
to
read
as
follows:
8.
“Covered
policy”
or
“covered
contract”
means
a
policy
or
contract
,
or
a
portion
of
a
policy
or
contract
,
for
which
coverage
is
provided
under
section
508C.3
.
10.
“Impaired
insurer”
means
a
member
insurer
which
,
after
July
1,
1987,
is
not
an
insolvent
insurer
but
and
is
placed
under
an
order
of
rehabilitation
or
conservation
by
a
court
of
competent
jurisdiction.
11.
“Insolvent
insurer”
means
a
member
insurer
which
,
after
July
1,
1987,
is
placed
under
an
order
of
liquidation
with
a
finding
of
insolvency
by
a
court
of
competent
jurisdiction.
12.
“Member
insurer”
means
a
person
an
insurer
or
health
maintenance
organization
which
is
licensed
or
who
which
holds
a
certificate
of
authority
to
transact
in
this
state
any
kind
of
insurance
or
health
maintenance
business
for
which
coverage
is
provided
under
section
508C.3
,
and
including
a
person
an
insurer
or
health
maintenance
organization
whose
license
or
certificate
of
authority
in
this
state
has
been
suspended,
revoked,
not
renewed,
or
voluntarily
withdrawn
but
does
not
including
include
any
of
the
following:
a.
An
entity
which
is
a
licensed
company
specified
in
section
508C.3,
subsection
4
,
paragraph
“e”
“f”
or
“f”
“g”
.
b.
A
mandatory
state
pooling
plan.
c.
A
mutual
assessment
company
or
other
person
which
operates
on
an
assessment
basis.
d.
An
insurance
exchange.
e.
An
entity
which
issues
a
charitable
gift
annuity
under
chapter
508F
.
Senate
File
556,
p.
10
f.
An
entity
whose
only
business
in
this
state
is
operating
as
a
managed
care
organization.
For
purposes
of
this
paragraph,
“managed
care
organization”
means
an
entity
that
is
under
contract
with
the
Iowa
department
of
human
services
to
provide
services
to
Medicaid
recipients
and
that
also
meets
the
definition
of
“health
maintenance
organization”
in
section
514B.1.
f.
g.
An
entity
similar
to
any
of
the
entities
enumerated
in
this
subsection
.
14.
“Owner”
of
a
policy
of
contract,
“policy
holder”
,
“policy
owner”
,
or
“contract
owner”
means
the
person
who
is
identified
as
the
legal
owner
of
a
policy
or
contract
under
the
terms
of
the
policy
or
contract
or
who
is
otherwise
vested
with
legal
title
to
the
policy
or
contract
through
a
valid
assignment
completed
in
accordance
with
the
terms
of
the
policy
or
contract
and
properly
recorded
as
the
owner
on
the
books
of
the
member
insurer.
“Owner”
,
“policy
holder”
,
“policy
owner”
,
or
“contract
owner”
does
not
include
a
person
with
a
mere
beneficial
interest
in
a
policy
or
contract.
17.
“Premium”
means
amounts
or
consideration,
by
whatever
name
called,
received
on
covered
policies
or
contracts
less
returned
premiums,
considerations,
and
deposits
and
less
dividends
and
experience
credits.
“Premium”
does
not
include
amounts
for
consideration
received
for
policies
or
contracts
or
for
the
portions
of
policies
or
contracts
for
which
coverage
is
not
provided
under
section
508C.3,
subsection
4
,
except
that
assessable
premium
shall
not
be
reduced
on
account
of
the
provisions
of
section
508C.3,
subsection
4
,
paragraph
“a”
,
relating
to
interest
limitations
and
section
508C.8
508C.3
,
subsection
8
4A
,
paragraph
“a”
,
subparagraph
(2),
subparagraph
division
(a),
relating
to
limitations
with
respect
to
one
individual,
one
participant,
and
one
policy
or
contract
owner.
“Premium”
also
does
shall
not
include
any
of
the
following:
a.
Premiums
in
excess
of
five
million
dollars
on
an
unallocated
annuity
contract
not
issued
under
a
governmental
retirement
plan,
or
its
trustee,
established
under
section
401,
403(b),
or
457
of
the
United
States
Internal
Revenue
Code.
b.
With
respect
to
multiple
nongroup
policies
of
life
insurance
owned
by
one
owner,
whether
the
policy
or
contract
Senate
File
556,
p.
11
owner
is
an
individual,
firm,
corporation,
or
other
person,
and
whether
the
persons
insured
are
officers,
managers,
employees,
or
other
persons,
premiums
in
excess
of
five
million
dollars
with
respect
to
those
polices
or
contracts,
regardless
of
the
number
of
policies
or
contracts
held
by
the
owner.
19.
“Receivership
court”
means
a
court
in
an
insolvent
or
impaired
insurer’s
state
having
jurisdiction
over
the
conservation,
rehabilitation,
or
liquidation
of
the
insolvent
or
impaired
insurer.
20.
“Resident”
means
a
person
to
whom
a
contractual
obligation
is
owed
and
who
resides
in
a
state
on
the
date
of
entry
of
a
court
order
that
determines
a
member
insurer
is
an
impaired
insurer
or
a
court
order
that
determines
a
member
insurer
is
an
insolvent
insurer.
A
person
may
be
a
resident
of
only
one
state,
which
in
the
case
of
a
person
other
than
a
natural
person
shall
be
the
state
of
that
person’s
principal
place
of
business.
A
citizen
of
the
United
States
who
is
a
resident
of
a
foreign
country,
or
is
a
resident
of
a
United
States
possession,
territory,
or
protectorate
that
does
not
have
an
association
similar
to
the
association
created
by
this
chapter
,
shall
be
deemed
a
resident
of
the
state
or
domicile
of
the
member
insurer
that
issued
the
policy
or
contract.
Sec.
8.
Section
508C.5,
Code
2019,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
9A.
“Health
benefit
plan”
means
any
hospital
or
medical
expense
policy
or
certificate,
or
health
maintenance
organization
subscriber
contract
or
any
other
similar
health
contract.
“Health
benefit
plan”
does
not
include
any
of
the
following:
a.
Accident-only
insurance.
b.
Credit
insurance.
c.
Dental-only
insurance.
d.
Vision-only
insurance.
e.
Medicare
supplement
insurance.
f.
Benefits
for
long-term
care,
home
health
care,
community-based
care,
or
any
combination
thereof.
g.
Disability
income
insurance.
h.
Coverage
for
an
onsite
medical
clinic.
i.
Specified
disease,
hospital
confinement
indemnity,
Senate
File
556,
p.
12
or
limited
benefit
health
insurance
if
the
specific
type
of
coverage
does
not
provide
coordination
of
benefits
and
is
provided
under
a
separate
policy
or
certificate.
Sec.
9.
Section
508C.6,
subsection
1,
Code
2019,
is
amended
to
read
as
follows:
1.
A
nonprofit
legal
entity
is
created
to
be
known
as
the
Iowa
life
and
health
insurance
guaranty
association.
All
member
insurers
shall
be
and
shall
remain
members
of
the
association
as
a
condition
of
their
authority
to
transact
insurance
or
health
maintenance
organization
business
in
this
state.
The
association
shall
perform
its
functions
under
the
plan
of
operation
established
and
approved
under
section
508C.10
and
shall
exercise
its
powers
through
the
board
of
directors
established
in
section
508C.7
.
For
purposes
of
administration
and
assessment,
the
association
shall
maintain
all
of
the
following
accounts:
a.
A
health
insurance
account.
b.
A
life
insurance
account.
c.
An
annuity
account
.
A
,
which
shall
include
annuity
contracts
owned
by
a
governmental
retirement
plan
,
or
the
plan’s
trustee,
established
under
section
401,
403(b),
or
457
of
the
United
States
Internal
Revenue
Code
shall
be
covered
by
the
annuity
account
,
but
shall
otherwise
exclude
unallocated
annuities
.
d.
An
unallocated
annuity
contract
account,
excluding
plans
which
shall
exclude
contracts
owned
by
a
governmental
retirement
benefit
plan,
or
the
plan’s
trustee,
established
under
section
401,
403(b),
or
457
of
the
United
States
Internal
Revenue
Code.
Sec.
10.
Section
508C.7,
subsections
1
and
2,
Code
2019,
are
amended
to
read
as
follows:
1.
The
board
of
directors
of
the
association
shall
consist
of
not
less
than
five
seven
nor
more
than
nine
eleven
member
insurers
serving
terms
as
established
in
the
plan
of
operation.
The
members
of
the
board
shall
be
selected
by
member
insurers,
subject
to
the
approval
of
the
commissioner.
Vacancies
on
the
board
shall
be
filled
for
the
remaining
period
of
the
term
by
a
majority
vote
of
the
remaining
board
members,
subject
to
the
approval
of
the
commissioner.
To
select
the
initial
Senate
File
556,
p.
13
board
of
directors,
and
initially
organize
the
association,
the
commissioner
shall
give
notice
to
all
member
insurers
of
the
time
and
place
of
the
organizational
meeting.
In
determining
voting
rights
at
the
organizational
meeting
,
each
member
insurer
is
shall
be
entitled
to
one
vote
in
person
or
by
proxy.
If
the
board
of
directors
is
not
selected
within
sixty
days
after
notice
of
the
organizational
meeting,
the
commissioner
may
appoint
the
initial
members.
2.
In
approving
selections
or
in
appointing
members
to
the
board,
the
commissioner
shall
consider,
among
other
factors,
whether
all
member
insurers
,
including
member
insurers
that
primarily
write
life
insurance,
annuity
contracts,
or
health
benefit
plans,
are
fairly
represented.
Sec.
11.
Section
508C.8,
subsections
1
and
2,
Code
2019,
are
amended
to
read
as
follows:
1.
If
a
domestic,
foreign,
or
alien
member
insurer
is
an
impaired
insurer,
the
association,
subject
to
conditions
imposed
by
the
association
and
approved
by
the
impaired
insurer
and
the
commissioner,
may
take
any
of
the
following
actions
:
a.
Guarantee,
assume,
reissue,
reinsure,
or
cause
to
be
guaranteed,
assumed,
reissued,
or
reinsured,
any
or
all
of
the
covered
policies
of
the
impaired
insurer.
b.
Provide
moneys,
pledges,
notes,
guarantees,
or
other
means
as
proper
to
effectuate
paragraph
“a”
and
assure
payment
of
the
contractual
obligations
of
the
impaired
insurer
pending
action
under
paragraph
“a”
.
c.
Loan
money
to
the
impaired
insurer
and
guarantee
borrowings
by
the
impaired
insurer,
provided
the
association
has
concluded,
based
on
reasonable
assumptions,
that
there
is
a
likelihood
of
repayment
of
the
loan
and
a
probability
that
unless
a
loan
is
made
the
association
would
incur
substantial
liabilities
under
subsection
2
.
2.
If
a
member
insurer
is
an
insolvent
insurer,
the
association
may
in
its
discretion
do
any
of
the
following:
a.
The
association
may
do
either
of
the
following:
(1)
Guarantee,
assume,
reissue,
or
reinsure,
or
cause
to
be
guaranteed,
assumed,
reissued,
or
reinsured
the
covered
policies
or
contracts
of
an
insolvent
insurer.
(2)
Assure
payment
of
the
contractual
obligations
of
the
Senate
File
556,
p.
14
insolvent
insurer.
b.
Provide
moneys,
pledges,
notes,
guarantees,
or
other
means
as
reasonably
necessary
to
discharge
the
association’s
duties
described
in
this
subsection
.
c.
Provide
benefits
and
coverages
in
accordance
with
all
of
the
following
provisions:
(1)
With
respect
to
life
and
health
insurance
policies
or
contracts
and
annuity
contracts,
assure
payment
of
benefits
for
premiums
identical
to
the
premiums
and
benefits,
except
for
conversion
and
renewability,
that
would
have
been
payable
under
the
policies
or
contracts
of
the
insolvent
insurer
for
the
following
claims
incurred
as
follows:
(a)
With
respect
to
group
policies
or
and
contracts,
not
later
than
the
earlier
of
the
next
renewal
date
under
those
policies
or
contracts
or
forty-five
days,
but
in
no
event
less
than
thirty
days,
after
the
date
on
which
the
association
becomes
obligated
with
respect
to
those
the
policies
or
contracts.
(b)
With
respect
to
nongroup
policies
or
contracts
not
later
than
the
earlier
of
the
next
renewal
date,
if
any,
under
those
policies
or
contracts
or
one
year,
but
in
no
event
less
than
thirty
days,
from
the
date
on
which
the
association
becomes
obligated
with
respect
to
the
policies
or
contracts.
(2)
Make
diligent
efforts
to
provide
all
known
insureds
,
enrollees,
or
annuitants,
for
nongroup
policies
or
contracts,
or
group
policy
or
contract
owners,
with
respect
to
group
policies
or
contracts,
thirty
days’
notice
of
the
termination
,
pursuant
to
subparagraph
(1),
of
the
benefits
provided
pursuant
to
subparagraph
(1)
.
(3)
With
respect
to
nongroup
life
and
health
insurance
policies
or
and
contracts
covered
by
the
association,
make
available
to
each
known
insured
,
enrollee,
or
annuitant,
or
owner
if
other
than
the
insured
or
annuitant,
and
with
respect
to
an
individual
formerly
an
insured
,
enrollee,
or
formerly
an
annuitant
under
a
group
policy
or
contract
who
is
not
eligible
for
replacement
group
coverage,
substitute
coverage
on
an
individual
basis
in
accordance
with
the
provisions
of
subparagraph
(4),
if
the
insureds
,
enrollees,
or
annuitants
had
a
right
under
law
or
under
the
terminated
policy
,
or
contract
,
Senate
File
556,
p.
15
or
annuity
to
convert
coverage
to
individual
coverage
or
to
continue
an
individual
policy
,
or
contract
,
or
annuity
in
force
until
a
specified
age
or
for
a
specified
time,
during
which
the
member
insurer
had
no
right
to
unilaterally
make
changes
in
any
provision
of
the
policy
,
or
contract
,
or
annuity
or
had
a
right
only
to
make
changes
in
premium
by
class.
(4)
In
providing
the
substitute
coverage
required
under
subparagraph
(3),
the
association
may
offer
either
to
reissue
the
terminated
coverage
or
to
issue
an
alternative
policy
or
contract
at
actuarially
justified
rates
.
(a)
Reissued
or
alternative
policies
or
contracts
shall
be
offered
without
requiring
evidence
of
insurability,
and
shall
not
provide
for
any
waiting
period
or
exclusion
that
would
not
have
applied
under
the
terminated
policy
or
contract.
(b)
The
association
may
reinsure
any
reissued
or
alternative
policy
or
contract.
(5)
Alternative
policies
or
contracts
adopted
by
the
association
shall
be
subject
to
the
approval
of
the
domiciliary
insurance
commissioner
and
the
receivership
court
.
The
association
may
adopt
alternative
policies
or
contracts
of
various
types
for
future
issuance
without
regard
to
any
particular
impairment
or
insolvency
of
an
insurer
.
(a)
Alternative
policies
or
contracts
shall
contain
at
least
the
minimum
statutory
provisions
required
in
this
state
and
shall
provide
benefits
that
are
not
unreasonable
in
relation
to
the
premium
charged.
The
association
shall
set
the
premium
in
accordance
with
a
table
of
rates
that
the
association
shall
adopt.
The
premium
shall
reflect
the
amount
of
insurance
to
be
provided
and
the
age
and
class
of
risk
of
each
insured,
but
shall
not
reflect
any
changes
in
the
health
of
the
insured
after
the
original
policy
or
contract
was
last
underwritten.
(b)
Any
alternative
policy
or
contract
issued
by
the
association
shall
provide
coverage
of
a
type
similar
to
that
of
the
policy
or
contract
issued
by
the
impaired
or
insolvent
insurer,
as
determined
by
the
association.
(6)
If
the
association
elects
to
reissue
terminated
coverage
at
a
premium
rate
different
from
that
charged
under
the
terminated
policy
or
contract
,
the
premium
shall
be
Senate
File
556,
p.
16
actuarially
justified
and
set
by
the
association
in
accordance
with
the
amount
of
insurance
or
coverage
provided
and
the
age
and
class
of
risk,
subject
to
approval
of
the
domiciliary
insurance
commissioner
and
the
receivership
court
.
(7)
The
association’s
obligations
with
respect
to
coverage
under
any
policy
or
contract
of
an
the
impaired
or
insolvent
insurer
or
under
any
reissued
or
alternative
policy
or
contract,
shall
cease
on
the
date
the
coverage,
or
policy
,
or
contract
,
is
replaced
by
another
similar
policy
or
contract
by
the
policy
or
contract
owner,
the
insured,
the
enrollee,
or
the
association.
(8)
When
proceeding
under
this
paragraph
“c”
with
respect
to
a
policy
or
contract
carrying
guaranteed
minimum
interest
rates,
the
association
shall
assure
the
payment
or
crediting
of
a
rate
of
interest
consistent
with
section
508C.3,
subsection
4
,
paragraph
“a”
.
(9)
Nonpayment
of
premiums
within
thirty-one
days
after
the
date
required
under
the
terms
of
any
guaranteed,
assumed,
alternative,
or
reissued
policy,
contract,
or
substitute
coverage
shall
terminate
the
association’s
obligations
under
the
policy,
contract,
or
coverage
under
this
chapter
with
respect
to
the
policy,
contract,
or
coverage,
except
with
respect
to
any
claims
incurred
or
any
net
cash
surrender
value
which
may
be
due
under
this
chapter.
(10)
Premiums
due
for
coverage
after
entry
of
an
order
of
liquidation
of
an
insolvent
insurer
shall
belong
to
the
association
and
be
payable
at
the
direction
of
the
association.
If
the
liquidator
of
an
insolvent
insurer
requests,
the
association
shall
provide
a
report
to
the
liquidator
regarding
the
premiums
collected
by
the
association.
The
association
shall
be
liable
for
unearned
premiums
due
to
policy
or
contract
owners
arising
after
the
entry
of
the
order
of
liquidation.
(11)
The
protection
provided
by
this
chapter
shall
not
apply
where
any
guaranty
protection
is
provided
to
a
resident
of
this
state
by
the
laws
of
the
domiciliary
state
or
by
jurisdiction
of
the
impaired
or
insolvent
insurer
by
an
entity
other
than
this
state.
Sec.
12.
Section
508C.8,
subsection
6,
Code
2019,
is
amended
to
read
as
follows:
Senate
File
556,
p.
17
6.
a.
The
association
shall
have
standing
to
appear
or
intervene
before
any
court
or
agency
in
this
state
with
jurisdiction
over
an
impaired
or
insolvent
insurer
concerning
which
the
association
is
or
may
become
obligated
under
this
chapter
or
with
jurisdiction
over
any
person
or
property
against
which
the
association
may
have
rights
through
subrogation
or
otherwise.
Standing
shall
extend
to
all
matters
germane
to
the
powers
and
duties
of
the
association
including
but
not
limited
to
proposals
for
reinsuring,
reissuing,
modifying,
or
guaranteeing
the
covered
policies
or
contracts
of
the
impaired
or
insolvent
insurer
and
the
determination
of
the
covered
policies
or
contracts
,
and
contractual
obligations.
The
association
shall
also
have
the
right
to
appear
or
intervene
before
any
court
or
agency
in
another
state
with
jurisdiction
over
an
impaired
or
insolvent
insurer
for
which
the
association
is
or
may
become
obligated
or
with
jurisdiction
over
any
person
or
property
against
whom
the
association
may
have
rights
through
subrogation
or
otherwise.
b.
As
a
creditor
of
an
impaired
or
insolvent
insurer
as
provided
under
section
508C.13,
subsection
3
,
and
consistent
with
the
provisions
of
section
507C.34
,
the
association
and
other
similar
associations
shall
be
entitled
to
receive
a
disbursement
of
assets
out
of
the
marshaled
assets,
from
time
to
time
as
the
assets
become
available
to
reimburse
the
association
or
similar
associations,
as
a
credit
against
contractual
obligations
under
this
chapter
.
If
the
liquidator
has
not,
within
one
hundred
twenty
days
of
a
final
determination
of
insolvency
of
an
a
member
insurer
by
the
receivership
court,
made
an
application
to
the
court
for
the
approval
of
a
proposal
to
disburse
assets
out
of
marshaled
assets
to
guaranty
associations
having
obligations
because
of
the
insolvency,
the
association
or
similar
associations
shall
be
entitled
to
make
application
to
the
receivership
court
for
approval
of
its
own
the
association’s
or
the
similar
association’s
proposal
to
disburse
these
the
assets.
Sec.
13.
Section
508C.8,
subsection
7,
paragraphs
a
and
c,
Code
2019,
are
amended
to
read
as
follows:
a.
A
person
receiving
benefits
under
this
chapter
is
deemed
to
have
assigned
the
rights
under
,
and
any
causes
of
action
Senate
File
556,
p.
18
against
any
person
for
losses
arising
under,
resulting
from
,
or
otherwise
relating
to
,
the
covered
policy
or
contract
to
the
association
to
the
extent
of
the
benefits
received
under
this
chapter
,
whether
the
benefits
are
payments
of
contractual
obligations
or
on
account
of
contractual
obligations,
a
continuation
of
coverage,
or
the
provision
of
substitute
or
alternative
policies,
contracts,
or
coverages.
The
association
may
require
an
assignment
to
the
association
of
the
rights
and
causes
of
action
by
any
enrollee,
payee,
policyholder
policy
or
contract
owner,
beneficiary,
insured,
or
annuitant
as
a
condition
precedent
to
the
receipt
of
any
rights
right
or
benefits
conferred
by
this
chapter
upon
the
person.
The
association
shall
be
subrogated
to
these
the
rights
of
any
enrollee,
payee,
policy
or
contract
holder,
beneficiary,
insured,
or
annuitant
against
the
assets
of
the
impaired
or
insolvent
insurer.
c.
In
addition
to
the
rights
pursuant
to
subsection
3
,
paragraphs
“a”
and
“b”
,
the
association
shall
have
all
common
law
rights
of
subrogation
and
any
other
equitable
or
legal
remedy
which
would
have
been
available
to
the
impaired
or
insurer,
insolvent
insurer
,
or
owner,
beneficiary,
enrollee,
or
payee
of
a
covered
policy
or
covered
contract
with
respect
to
the
covered
policy
or
covered
contract,
including
without
limitation,
in
the
case
of
a
structured
settlement
annuity,
any
rights
of
the
owner,
beneficiary,
or
payee
of
the
annuity,
to
the
extent
of
benefits
received
pursuant
to
this
chapter
,
against
the
a
person
originally
or
by
succession
responsible
for
the
losses
arising
from
the
personal
injury
relating
to
the
annuity
or
payment
for
the
annuity,
excepting
any
such
person
responsible
solely
by
reason
of
serving
as
an
assignee
in
respect
of
a
qualified
assignment
under
section
130
of
the
Internal
Revenue
Code.
Sec.
14.
Section
508C.8,
subsection
8,
Code
2019,
is
amended
by
striking
the
subsection.
Sec.
15.
Section
508C.8,
subsection
10,
paragraph
g,
Code
2019,
is
amended
to
read
as
follows:
g.
For
the
purposes
of
this
chapter
and
to
the
extent
approved
by
the
commissioner,
exercise
the
powers
of
a
domestic
life
or
insurer,
health
insurer
.
However
,
or
health
Senate
File
556,
p.
19
maintenance
organization
,
but
the
association
shall
not
issue
insurance
policies
or
annuity
contracts
other
than
those
issued
to
perform
the
contractual
association’s
obligations
of
the
impaired
or
insolvent
insurer
under
this
chapter
.
Sec.
16.
Section
508C.8,
subsection
10,
Code
2019,
is
amended
by
adding
the
following
new
paragraphs:
NEW
PARAGRAPH
.
i.
Unless
prohibited
by
law,
in
accordance
with
the
terms
and
conditions
of
the
policy
or
contract,
file
for
actuarially
justified
rate
or
premium
increases
for
any
policy
or
contract
for
which
the
association
provides
coverage
under
this
chapter.
NEW
PARAGRAPH
.
j.
Take
other
necessary
or
appropriate
action
to
discharge
the
association’s
duties
and
obligations
under
this
chapter
or
to
exercise
the
association’s
powers
under
this
chapter.
Sec.
17.
Section
508C.8,
subsection
11,
paragraph
a,
subparagraph
(3),
subparagraph
division
(c),
Code
2019,
is
amended
to
read
as
follows:
(c)
Within
thirty
days
following
the
date
of
election,
the
association
and
each
reinsurer
under
reinsurance
contracts
assumed
by
the
association
shall
calculate
the
net
balance
due
to
or
from
the
association
under
each
reinsurance
contract
as
of
the
date
of
election
with
respect
to
policies
or
contracts
covered,
in
whole
or
in
part,
by
the
association,
which
calculation
shall
give
full
credit
to
all
items
paid
by
either
the
member
insurer
or
its
receiver
or
the
reinsurer
prior
to
the
date
of
election.
The
reinsurer
shall
pay
the
receiver
any
amounts
due
for
losses
or
events
prior
to
the
date
of
the
order
of
liquidation,
subject
to
any
setoff
for
premiums
unpaid
for
periods
prior
to
the
date
of
the
order
for
liquidation
,
and
the
association
or
reinsurer
shall
pay
any
remaining
balance
due
the
other,
in
each
case
within
five
days
of
the
completion
of
the
aforementioned
calculation.
Any
disputes
dispute
over
the
amounts
due
to
either
the
association
or
the
reinsurer
shall
be
resolved
by
arbitration
pursuant
to
the
terms
of
the
affected
reinsurance
contracts
contract
or,
if
the
contract
contains
no
does
not
contain
an
arbitration
clause,
as
otherwise
provided
by
law.
If
the
receiver
has
received
any
amounts
due
the
association
pursuant
to
subparagraph
division
(b),
the
receiver
Senate
File
556,
p.
20
shall
remit
the
same
amounts
to
the
association
as
promptly
as
practicable.
Sec.
18.
Section
508C.8,
subsection
11,
paragraph
f,
subparagraph
(3),
Code
2019,
is
amended
to
read
as
follows:
(3)
Give
a
policyholder
,
contract
holder,
enrollee,
certificate
holder,
or
beneficiary
an
independent
cause
of
action
against
a
reinsurer
that
is
not
otherwise
set
forth
in
the
reinsurance
contract.
Sec.
19.
Section
508C.8,
subsection
15,
unnumbered
paragraph
1,
Code
2019,
is
amended
to
read
as
follows:
In
carrying
out
its
duties
in
connection
with
guaranteeing,
assuming,
reissuing,
or
reinsuring
policies
or
contracts
under
subsections
2
1
and
3
2
,
the
association
may
,
subject
to
approval
of
the
receivership
court,
issue
substitute
coverage
for
a
policy
or
contract
that
provides
an
interest
rate,
crediting
rate,
or
similar
factor
determined
by
the
use
of
an
index
or
other
external
reference
stated
in
the
policy
or
contract
employed
in
calculating
returns
or
changes
in
value
by
issuing
an
alternative
policy
or
contract
in
accordance
with
the
following
provisions:
Sec.
20.
Section
508C.9,
subsection
3,
Code
2019,
is
amended
to
read
as
follows:
3.
a.
The
amount
of
a
class
A
assessment
shall
be
determined
by
the
board
and
may
be
authorized
and
called
on
a
pro
rata
or
non-pro
rata
basis.
If
pro
rata,
the
board
may
provide
that
the
assessment
be
credited
against
future
class
B
assessments.
The
total
of
all
non-pro
rata
assessments
shall
not
exceed
three
hundred
dollars
per
member
insurer
in
any
one
calendar
year.
The
amount
of
a
class
B
assessment
shall
be
allocated
for
assessment
purposes
among
the
accounts
pursuant
to
an
allocation
formula
which
may
be
based
on
the
premiums
or
reserves
of
the
impaired
or
insolvent
insurer
or
on
any
other
standard
deemed
by
the
board
in
its
sole
discretion
as
being
fair
and
reasonable
under
the
circumstances.
b.
The
amount
of
a
class
B
assessment,
except
for
assessments
related
to
long-term
care
insurance,
shall
be
allocated
for
assessment
purposes
among
the
accounts
pursuant
to
an
allocation
formula
which
may
be
based
on
the
premiums
or
the
reserves
of
the
impaired
or
insolvent
insurer
or
any
other
Senate
File
556,
p.
21
standard
deemed
by
the
board
in
its
sole
discretion
as
being
fair
and
reasonable
under
the
circumstances.
c.
The
amount
of
the
class
B
assessment
for
long-term
care
insurance
written
by
the
impaired
or
insolvent
insurer
shall
be
allocated
according
to
a
methodology
included
in
the
plan
of
operation
pursuant
to
section
508C.10,
and
as
approved
by
the
commissioner.
The
methodology
shall
provide
for
fifty
percent
of
the
assessment
to
be
allocated
to
accident
and
health
member
insurers
and
fifty
percent
to
be
allocated
to
life
and
annuity
member
insurers.
b.
d.
Class
B
assessments
against
member
insurers
for
each
account
shall
be
in
the
proportion
that
the
average
of
the
aggregate
premiums
received
on
business
in
this
state
by
each
assessed
member
insurer
on
policies
or
contracts
covered
by
each
account
for
the
three
most
recent
calendar
years
for
which
information
is
available,
preceding
the
year
in
which
the
member
insurer
became
insolvent,
or,
in
the
case
of
an
assessment
with
respect
to
an
impaired
insurer,
the
three
most
recent
calendar
years
for
which
information
is
available
preceding
the
year
in
which
the
member
insurer
became
impaired,
bears
to
the
premiums
received
on
business
in
this
state
for
those
calendar
years
by
all
assessed
member
insurers.
c.
e.
Assessments
for
funds
to
meet
the
requirements
of
the
association
with
respect
to
an
impaired
or
insolvent
insurer
shall
not
be
authorized
or
called
until
necessary
to
implement
the
purposes
of
this
chapter
.
Classification
of
assessments
under
subsection
2
and
computation
of
assessments
under
this
subsection
shall
be
made
with
a
reasonable
degree
of
accuracy,
recognizing
that
exact
determinations
may
not
always
be
possible.
The
association
shall
notify
each
member
insurer
of
its
anticipated
pro
rata
share
of
an
authorized
assessment
not
yet
called
within
one
hundred
eighty
days
after
the
assessment
is
authorized.
Sec.
21.
Section
508C.9,
subsection
5,
paragraph
a,
subparagraphs
(1)
and
(2),
Code
2019,
are
amended
to
read
as
follows:
(1)
Subject
to
the
provisions
of
subparagraph
(2)
of
this
paragraph
“a”
,
the
total
of
all
assessments
authorized
by
the
association
with
respect
to
a
member
insurer
for
each
of
the
Senate
File
556,
p.
22
accounts
established
pursuant
to
section
508C.6
,
and
designated
as
the
health
insurance
account,
the
life
insurance
account,
the
annuity
account,
and
the
unallocated
annuity
contract
account,
shall
not
in
any
one
calendar
year
exceed
two
percent
of
that
member
insurer’s
average
annual
premiums
received
in
this
state
on
the
policies
and
contracts
covered
by
the
account
during
the
three
calendar
years
preceding
the
year
in
which
the
member
insurer
becomes
impaired
or
insolvent.
(2)
If
two
or
more
assessments
are
authorized
in
one
calendar
year
with
respect
to
member
insurers
that
become
impaired
or
insolvent
in
different
calendar
years,
the
average
annual
premiums
for
purposes
of
the
aggregate
assessment
percentage
limitation
referred
to
in
subparagraph
(1)
of
this
paragraph
“a”
shall
be
equal
and
limited
to
the
higher
of
the
three-year
average
annual
premiums
for
the
applicable
account
as
calculated
pursuant
to
this
section
.
Sec.
22.
Section
508C.9,
subsections
6,
7,
and
8,
Code
2019,
are
amended
to
read
as
follows:
6.
By
an
equitable
method
as
established
in
the
plan
of
operation,
the
board
may
refund
to
member
insurers,
in
proportion
to
the
contribution
of
each
member
insurer
to
that
account,
the
amount
by
which
the
assets
of
the
account,
including
assets
accruing
from
assignment,
subrogation,
net
realized
gains,
and
income
from
investments,
exceed
the
amount
the
board
finds
is
necessary
to
carry
out
during
the
coming
year
the
obligations
of
the
association
with
regard
to
that
account.
A
reasonable
amount
may
be
retained
in
any
account
to
provide
funds
for
the
continuing
expenses
of
the
association
and
for
future
losses
claims.
7.
In
determining
its
premium
rates
and
policyowner
policy
owner
dividends
as
to
any
kind
of
insurance
or
health
maintenance
organization
business
within
the
scope
of
this
chapter
,
it
is
proper
for
a
member
insurer
to
consider
the
amount
reasonably
necessary
to
meet
its
assessment
obligations
under
this
chapter
.
8.
The
association
shall
issue
to
each
member
insurer
paying
a
class
B
assessment
under
this
chapter
,
a
certificate
of
contribution
in
a
form
prescribed
by
the
commissioner
for
the
amount
of
the
assessment
so
paid.
All
outstanding
certificates
Senate
File
556,
p.
23
shall
be
of
equal
dignity
and
priority
without
reference
to
amounts
or
dates
of
issue.
A
certificate
of
contribution
may
be
shown
by
the
member
insurer
in
its
financial
statement
as
an
asset
in
the
form,
for
the
amount
,
and
for
a
period
of
time
as
the
commissioner
may
approve.
Sec.
23.
Section
508C.10,
subsection
1,
paragraph
b,
Code
2019,
is
amended
to
read
as
follows:
b.
If
the
association
fails
to
submit
a
suitable
plan
of
operation
within
one
hundred
eighty
days
following
July
1,
1987,
or
if
at
any
time
the
association
fails
to
submit
suitable
amendments
to
the
plan,
the
commissioner
shall,
after
notice
and
hearing,
adopt
rules
pursuant
to
chapter
17A
as
necessary
or
advisable
to
effectuate
this
chapter
.
The
rules
shall
continue
in
force
until
modified
by
the
commissioner
or
superseded
by
a
plan
submitted
by
the
association
and
approved
by
the
commissioner.
Sec.
24.
Section
508C.11,
subsections
1
and
2,
Code
2019,
are
amended
to
read
as
follows:
1.
The
commissioner
shall:
a.
Upon
request
of
the
board
of
directors,
provide
the
association
with
a
statement
of
the
premiums
for
each
member
insurer.
b.
When
an
impairment
is
declared
and
the
amount
of
the
impairment
is
determined,
serve
a
demand
upon
the
impaired
insurer
to
make
good
the
impairment
within
a
reasonable
time.
Notice
to
the
impaired
insurer
constitutes
notice
to
its
shareholders,
if
any.
The
failure
of
the
impaired
insurer
to
promptly
comply
with
the
demand
shall
not
excuse
the
association
from
the
performance
of
its
powers
and
duties
under
this
chapter
.
2.
After
notice
and
hearing,
the
commissioner
may
suspend
or
revoke
the
certificate
of
authority
to
transact
insurance
business
in
this
state
of
a
member
insurer
which
fails
to
pay
an
assessment
when
due
,
or
fails
to
comply
with
the
plan
of
operation.
As
an
alternative,
the
commissioner
may
levy
an
administrative
penalty
on
any
member
insurer
which
fails
to
pay
an
assessment
when
due.
The
administrative
penalty
shall
not
exceed
five
percent
of
the
unpaid
assessment
per
month.
However,
an
administrative
penalty
shall
not
be
less
than
one
Senate
File
556,
p.
24
hundred
dollars
per
month.
Sec.
25.
Section
508C.12,
subsection
1,
unnumbered
paragraph
1,
Code
2019,
is
amended
to
read
as
follows:
To
aid
in
the
detection
and
prevention
of
member
insurer
insolvencies
or
impairments
the
commissioner
shall:
Sec.
26.
Section
508C.12,
subsection
1,
paragraph
a,
subparagraph
(1),
subparagraph
division
(c),
Code
2019,
is
amended
to
read
as
follows:
(c)
A
formal
order
is
made
that
a
company
member
insurer
restrict
its
premium
writing,
obtain
additional
contributions
to
surplus,
withdraw
from
the
state,
reinsure
all
or
any
part
of
its
business,
or
increase
capital,
surplus,
or
any
other
account
for
the
security
of
policyholders
,
contract
owners,
certificate
holders,
or
creditors.
Sec.
27.
Section
508C.12,
subsections
2,
3,
and
6,
Code
2019,
are
amended
to
read
as
follows:
2.
The
commissioner
may
seek
the
advice
and
recommendations
of
the
board
of
directors
concerning
any
matter
affecting
the
commissioner’s
duties
and
responsibilities
regarding
the
financial
condition
of
member
insurers
,
and
companies
insurers
or
health
maintenance
organizations
seeking
admission
to
transact
insurance
business
in
this
state.
3.
The
board
of
directors
may
upon
majority
vote
make
reports
and
recommendations
to
the
commissioner
upon
any
matter
germane
to
the
solvency,
liquidation,
rehabilitation
,
or
conservation
of
a
member
insurer
or
germane
to
the
solvency
of
a
company
an
insurer
or
health
maintenance
organization
seeking
to
transact
insurance
business
in
this
state.
These
reports
and
recommendations
are
not
public
records
pursuant
to
chapter
22
.
6.
Upon
majority
vote,
the
board
of
directors
may
make
recommendations
to
the
commissioner
for
the
detection
and
prevention
of
member
insurer
insolvencies.
Sec.
28.
Section
508C.13,
subsections
3
and
4,
Code
2019,
are
amended
to
read
as
follows:
3.
For
the
purpose
of
carrying
out
its
obligations
under
this
chapter
,
the
association
shall
be
deemed
to
be
a
creditor
of
the
impaired
or
insolvent
insurer
to
the
extent
of
assets
attributable
to
covered
policies
reduced
by
any
amounts
to
Senate
File
556,
p.
25
which
the
association
is
entitled
pursuant
to
its
subrogation
rights
under
section
508C.8,
subsection
7
.
Assets
of
the
impaired
or
insolvent
insurer
attributable
to
covered
policies
or
contracts
shall
be
used
to
continue
all
covered
policies
or
contracts
and
pay
all
contractual
obligations
of
the
impaired
or
insolvent
insurer
as
required
by
this
chapter
.
As
used
in
this
subsection
,
“assets
attributable
to
covered
policies”
policies
or
contracts”
means
that
proportion
of
the
assets
which
the
reserves
that
should
have
been
established
for
the
policies
or
contracts
bear
to
the
reserves
that
should
have
been
established
for
all
policies
of
insurance
or
health
benefit
plans
written
by
the
impaired
or
insolvent
insurer.
4.
a.
Prior
to
the
termination
of
a
liquidation,
rehabilitation,
or
conservation
proceeding,
the
court
may
take
into
consideration
the
contributions
of
the
respective
parties,
including
the
association,
similar
associations
of
other
states,
the
shareholders
,
contract
owners,
certificate
holders,
enrollees,
and
policyowners
policy
owners
of
the
insolvent
insurer,
and
any
other
party
with
a
bona
fide
interest,
in
making
an
equitable
distribution
of
the
ownership
rights
of
the
insolvent
insurer.
When
considering
the
contributions,
consideration
shall
be
given
to
the
welfare
of
the
policyholders
contract
owners,
certificate
holders,
enrollees,
and
policy
owners
of
the
continuing
or
successor
member
insurer.
b.
A
distribution
to
stockholders,
if
any,
of
an
impaired
or
insolvent
insurer
shall
not
be
made
until
the
total
amount
of
valid
claims
of
the
association
and
of
similar
associations
of
other
states
for
funds
expended
in
carrying
out
its
powers
and
duties
under
section
508C.8
with
respect
to
the
member
insurer
have
been
fully
recovered
by
the
association
and
the
similar
associations.
Sec.
29.
Section
508C.13,
subsection
5,
paragraphs
a,
b,
and
c,
Code
2019,
are
amended
to
read
as
follows:
a.
Subject
to
the
limitations
of
paragraphs
“b”
,
“c”
,
and
“d”
,
if
an
order
for
liquidation
or
rehabilitation
of
an
a
member
insurer
domiciled
in
this
state
has
been
entered,
the
receiver
appointed
under
the
order
may
recover,
on
behalf
of
the
member
insurer,
from
any
affiliate
that
controlled
it,
Senate
File
556,
p.
26
the
amount
of
distributions
other
than
stock
dividends
paid
by
the
member
insurer
on
its
capital
stock
,
made
at
any
time
during
the
five
years
preceding
the
petition
for
liquidation
or
rehabilitation.
b.
Distributions
are
not
recoverable
if
the
member
insurer
shows
that
when
paid
the
distributions
were
lawful
and
reasonable
and
that
the
member
insurer
did
not
know
and
could
not
reasonably
have
known
that
the
distributions
might
adversely
affect
the
ability
of
the
member
insurer
to
fulfill
its
contractual
obligations.
c.
A
person
who
was
an
affiliate
that
controlled
the
member
insurer
at
the
time
the
distributions
were
paid
is
shall
be
liable
up
to
the
amount
of
distributions
received.
A
person
who
was
an
affiliate
that
controlled
the
member
insurer
at
the
time
the
distributions
were
declared
is
shall
be
liable
up
to
the
amount
of
distributions
that
would
have
been
received
if
they
the
distributions
had
been
paid
immediately.
If
two
or
more
persons
are
liable
with
respect
to
the
same
distributions,
they
the
persons
are
jointly
and
severally
liable.
Sec.
30.
Section
508C.18,
Code
2019,
is
amended
to
read
as
follows:
508C.18
Prohibited
advertisements.
A
person,
including
an
a
member
insurer,
agent
,
or
affiliate
of
an
a
member
insurer,
shall
not
make,
publish,
disseminate,
circulate,
or
place
before
the
public,
or
cause
directly
or
indirectly,
to
be
made,
published,
disseminated,
circulated,
or
placed
before
the
public
in
a
newspaper,
magazine,
or
other
publication,
or
in
the
form
of
a
notice,
circular,
pamphlet,
letter,
or
poster,
or
over
a
radio
station
or
television
station,
or
in
any
other
way,
an
advertisement,
announcement,
or
statement,
written
or
oral,
which
uses
the
existence
of
the
insurance
guaranty
association
of
this
state
for
the
purpose
of
sales,
solicitation,
or
inducement
to
purchase
any
form
of
insurance
or
other
coverage
covered
by
this
chapter
.
However,
this
section
does
not
apply
to
the
association
or
any
other
entity
which
does
not
sell
or
solicit
insurance
or
coverage
by
a
health
maintenance
organization
.
Sec.
31.
Section
508C.18A,
subsection
1,
Code
2019,
is
amended
to
read
as
follows:
Senate
File
556,
p.
27
1.
a.
On
or
after
March
1,
2012,
an
A
member
insurer
shall
not
deliver
an
insurance
a
policy
or
contract
in
Iowa
to
the
owner
of
the
policy
or
owner,
contract
owner,
certificate
holder,
or
enrollee
unless
a
summary
document
describing
the
general
purposes
and
current
provisions
of
this
chapter
and
containing
a
disclosure
in
compliance
with
subsection
2
is
delivered
to
the
policy
or
owner,
contract
owner
,
certificate
holder,
or
enrollee
at
the
same
time.
b.
The
summary
document
shall
also
be
available
upon
request
by
an
insurance
a
policy
or
owner,
contract
owner
,
certificate
holder,
or
enrollee
.
c.
The
distribution,
delivery,
contents,
or
interpretation
of
this
the
summary
document
does
not
guarantee
that
either
the
insurance
policy
or
contract
,
or
the
policy
owner
,
of
the
policy
or
contract
owner,
certificate
holder,
or
enrollee,
is
covered
in
the
event
of
the
impairment
or
insolvency
of
a
member
insurer.
d.
The
summary
document
shall
be
revised
by
the
association
and
approved
by
the
commissioner
as
amendments
to
this
chapter
may
require.
Failure
to
receive
a
summary
document
does
not
give
the
insurance
policy
or
contract
owner,
certificate
holder,
enrollee,
or
insured
any
greater
rights
than
those
stated
in
this
chapter
.
Sec.
32.
Section
508C.18A,
subsection
2,
paragraphs
b,
d,
e,
and
g,
Code
2019,
are
amended
to
read
as
follows:
b.
Prominently
warn
the
insurance
policy
or
contract
owner
,
certificate
holder,
or
enrollee
that
the
association
may
not
cover
the
policy
or
contract
or,
if
coverage
is
available,
it
will
be
subject
to
substantial
limitations
and
exclusions
and
conditioned
on
continued
residence
in
this
state.
d.
State
that
the
member
insurer
and
its
the
member
insurer’s
agents
are
prohibited
by
law
from
using
the
existence
of
the
association
for
the
purpose
of
sales,
solicitation,
or
inducement
to
purchase
any
form
of
insurance
or
health
maintenance
organization
coverage
.
e.
State
that
the
insurance
policy
or
owner,
contract
owner
,
certificate
holder,
or
enrollee
should
not
rely
on
coverage
from
the
association
when
selecting
an
insurer
or
health
maintenance
organization
.
Senate
File
556,
p.
28
g.
Provide
other
information
as
directed
by
the
commissioner,
including
but
not
limited
to
sources
for
information
about
the
financial
condition
of
an
a
member
insurer
provided
that
the
information
is
not
proprietary
and
is
subject
to
disclosure
under
chapter
22
.
Sec.
33.
Section
508C.18A,
subsection
3,
Code
2019,
is
amended
to
read
as
follows:
3.
A
member
insurer
shall
retain
evidence
of
compliance
with
the
provisions
of
this
section
for
as
long
as
the
insurance
policy
or
contract
for
which
the
notice
is
given
remains
in
effect.
Sec.
34.
Section
514B.25A,
Code
2019,
is
amended
by
striking
the
section
and
inserting
in
lieu
thereof
the
following:
514B.25A
Impairment
and
insolvency
protection.
The
provisions
of
chapter
508C
shall
apply
to
health
maintenance
organizations.
Sec.
35.
APPLICABILITY.
This
Act
applies
to
any
member
insurer
that
becomes
insolvent
or
unable
to
fulfill
the
member
insurer’s
contractual
obligations
on
or
after
the
effective
date
of
this
Act.
Sec.
36.
EFFECTIVE
DATE.
This
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
______________________________
CHARLES
SCHNEIDER
President
of
the
Senate
______________________________
LINDA
UPMEYER
Speaker
of
the
House
I
hereby
certify
that
this
bill
originated
in
the
Senate
and
is
known
as
Senate
File
556,
Eighty-eighth
General
Assembly.
______________________________
W.
CHARLES
SMITHSON
Secretary
of
the
Senate
Approved
_______________,
2019
______________________________
KIM
REYNOLDS
Governor