House Study Bill 125 - Introduced HOUSE FILE _____ BY (PROPOSED COMMITTEE ON COMMERCE BILL BY CHAIRPERSON SODERBERG) A BILL FOR An Act relating to various matters under the purview of the 1 insurance division of the department of commerce. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 2660YC (3) 84 av/sc
H.F. _____ Section 1. Section 502.604, subsections 2 and 4, Code 2011, 1 are amended to read as follows: 2 2. Summary process. An order under subsection 1 is 3 effective on the date of issuance. Upon issuance of the order, 4 the administrator shall promptly serve each person subject to 5 the order with a copy of the order and a notice that the order 6 has been entered. The order must include a statement of any 7 restitution order, civil penalty , or costs of investigation 8 the administrator will seek, a statement of the reasons for 9 the order, and notice that, within thirty days after receipt 10 of a request in a record from the person, the matter will be 11 scheduled for a hearing. If a person subject to the order does 12 not request a hearing and none is ordered by the administrator 13 within thirty days after the date of service of the order, 14 the order, including an order for restitution, the imposition 15 of a civil penalty , or a requirement for payment of costs of 16 investigation sought in the order, becomes final as to that 17 person by operation of law. If a hearing is requested or 18 ordered, the administrator, after notice of and opportunity 19 for hearing to each person subject to the order, may modify or 20 vacate the order or extend it until final determination. 21 4. Civil penalty —— restitution —— corrective action . In 22 a final order under subsection 3 , the administrator may 23 impose a civil penalty up to an amount not to exceed a 24 maximum of five thousand dollars for a single violation or 25 five hundred thousand dollars for more than one violation , 26 order restitution, or take other corrective action as the 27 administrator deems necessary and appropriate to accomplish 28 compliance with the laws of the state relating to all 29 securities business transacted in the state . 30 Sec. 2. Section 505.8, subsections 1 and 10, Code 2011, are 31 amended to read as follows: 32 1. The commissioner of insurance shall be the head of the 33 division, and shall have general control, supervision, and 34 direction over all insurance business transacted in the state, 35 -1- LSB 2660YC (3) 84 av/sc 1/ 31
H.F. _____ and shall enforce all the laws of the state relating to such 1 federal and state insurance business transacted in the state . 2 10. The commissioner may, after a hearing conducted 3 pursuant to chapter 17A , assess fines or penalties, assess 4 costs of an investigation or proceeding, order restitution, 5 or take other corrective action as the commissioner deems 6 necessary and appropriate to accomplish compliance with the 7 laws of the state relating to all insurance business transacted 8 in the state. 9 Sec. 3. Section 505.8, Code 2011, is amended by adding the 10 following new subsection: 11 NEW SUBSECTION . 19. The commissioner may adopt 12 administrative rules pursuant to chapter 17A as necessary to 13 effectuate the insurance provisions of the federal Patient 14 Protection and Affordable Care Act of 2010, or other applicable 15 federal laws. 16 Sec. 4. Section 505.18, subsection 2, unnumbered paragraph 17 1, Code 2011, is amended to read as follows: 18 The commissioner in collaboration with the consumer advocate 19 shall prepare and deliver a report to the governor and to the 20 general assembly no later than November 15 of each year that 21 provides findings regarding health spending costs for health 22 insurance plans carriers in the state for the previous fiscal 23 calendar year. The commissioner may contract with outside 24 vendors or entities to assist in providing the information 25 contained in the annual report. The report shall provide, at a 26 minimum, the following information: 27 Sec. 5. Section 505.18, subsection 2, paragraph d, Code 28 2011, is amended to read as follows: 29 d. A ranking and quantification of those factors that result 30 in higher costs and those factors that result in lower costs 31 for each health insurance plan offered carrier in the state. 32 Sec. 6. Section 505.19, subsection 3, Code 2011, is amended 33 to read as follows: 34 3. The consumer advocate shall solicit public comments on 35 -2- LSB 2660YC (3) 84 av/sc 2/ 31
H.F. _____ each proposed health insurance rate increase application if 1 the increase exceeds the average annual health spending growth 2 rate as provided in subsection 1 , and shall post without delay 3 during the normal business hours of the division, all comments 4 received on the insurance division’s internet site prior to 5 approval or disapproval of the proposed rate increase by the 6 commissioner. 7 Sec. 7. Section 507E.8, Code 2011, is amended to read as 8 follows: 9 507E.8 Peace Law enforcement officer status. 10 1. Bureau investigators shall have the power and status 11 of peace law enforcement officers who by the nature of their 12 duties may be required to perform the duties of a peace officer 13 when making arrests for criminal violations established as a 14 result of their investigations pursuant to this chapter . 15 2. The general laws applicable to arrests by peace law 16 enforcement officers of the state also apply to bureau 17 investigators. Bureau investigators shall have the power 18 to execute arrest warrants and search warrants for the 19 same criminal violations, serve subpoenas issued for the 20 examination, investigation, and trial of all offenses 21 identified through their investigations, and arrest upon 22 probable cause without warrant a person found in the act of 23 committing a violation of the provisions of this chapter . 24 Sec. 8. Section 508C.5, Code 2011, is amended by adding the 25 following new subsections: 26 NEW SUBSECTION . 2A. “Authorized assessment” , or the 27 term “authorized” when used in the context of an assessment, 28 means that a resolution has been passed by the board of 29 directors of the association whereby an assessment will be 30 called immediately or in the future from member insurers for 31 a specified amount. An assessment is authorized when the 32 resolution is passed. 33 NEW SUBSECTION . 2B. “Benefit plan” means a specific 34 employee, union, or association of natural persons benefit 35 -3- LSB 2660YC (3) 84 av/sc 3/ 31
H.F. _____ plan. 1 NEW SUBSECTION . 2C. “Called assessment” , or the term 2 “called” when used in the context of an assessment, means that 3 a notice has been issued by the association to member insurers 4 requiring that an authorized assessment be paid within the time 5 frame set forth within the notice. An authorized assessment 6 becomes a called assessment when notice is mailed by the 7 association to member insurers. 8 Sec. 9. Section 508C.5, subsection 5, Code 2011, is amended 9 to read as follows: 10 5. “Covered policy” means a policy or contract within the 11 scope of this chapter as or a portion of a policy or contract 12 for which coverage is provided under section 508C.3 . 13 Sec. 10. Section 508C.5, Code 2011, is amended by adding the 14 following new subsections: 15 NEW SUBSECTION . 12A. “Plan sponsor” means any of the 16 following: 17 a. The employer in the case of a benefit plan established or 18 maintained by a single employer. 19 b. The employee organization in the case of a benefit plan 20 established or maintained by an employee organization. 21 c. In the case of a benefit plan established or maintained 22 by two or more employers or jointly by one or more employers 23 and one or more employee organizations, the association, 24 committee, joint board of trustees, or other similar group of 25 representatives of the parties who establish or maintain the 26 benefit plan. 27 NEW SUBSECTION . 13A. “Principal place of business” of a 28 plan sponsor or a person other than a natural person means the 29 single state in which the natural persons who establish policy 30 for the direction, control, and coordination of the operations 31 of the entity as a whole primarily exercise that function as 32 determined pursuant to section 508C.8A. 33 NEW SUBSECTION . 13B. “Receivership court” means a court in 34 an insolvent or impaired insurer’s state having jurisdiction 35 -4- LSB 2660YC (3) 84 av/sc 4/ 31
H.F. _____ over the conservation, rehabilitation, or liquidation of the 1 insurer. 2 Sec. 11. Section 508C.5, subsection 14, Code 2011, is 3 amended to read as follows: 4 14. “Resident” means a person to whom a contractual 5 obligation is owed and who resides in a state on the date of 6 entry of a court order that determines a member insurer is an 7 impaired insurer or a court order that determines a member 8 insurer is an insolvent insurer , whichever occurs first . A 9 person may be a resident of only one state, which in the case of 10 a person other than a natural person shall be the state of that 11 person’s principal place of business. A citizen of the United 12 States who is a resident of a foreign country, or is a resident 13 of a United States possession, territory, or protectorate that 14 does not have an association similar to the association created 15 by this chapter , shall be deemed a resident of the state or 16 domicile of the insurer that issued the policy or contract. 17 Sec. 12. NEW SECTION . 508C.8A Principal place of business 18 —— determination. 19 1. The principal place of business of a plan sponsor or a 20 person other than a natural person shall be determined by the 21 association in its reasonable judgment by considering all of 22 the following factors: 23 a. The state in which the primary executive and 24 administrative headquarters of the entity is located. 25 b. The state in which the principal office of the chief 26 executive officer of the entity is located. 27 c. The state in which the board of directors or similar 28 governing person or persons of the entity conducts the majority 29 of its meetings. 30 d. The state in which the executive or management committee 31 of the board of directors or similar governing person or 32 persons of the entity conducts the majority of its meetings. 33 e. The state from which the management of the overall 34 operations of the entity is directed. 35 -5- LSB 2660YC (3) 84 av/sc 5/ 31
H.F. _____ 2. In the case of a benefit plan sponsored by affiliated 1 companies comprising a consolidated corporation, the principal 2 place of business of the entity shall be deemed to be the state 3 in which the holding company or controlling affiliate has its 4 principal place of business as determined by the association 5 using the factors enumerated in subsection 1. However, if more 6 than fifty percent of the participants in the benefit plan are 7 employed in a single state, that state shall be determined to 8 be the principal place of business of the entity. 9 3. In the case of a benefit plan established or maintained 10 by two or more employers, or jointly by one or more employers 11 and one or more employee organizations, the principal place 12 of business of the entity shall be deemed to be the principal 13 place of business of the association, committee, joint board 14 of trustees, or other similar group of representatives of 15 the parties who establish or maintain the benefit plan. In 16 lieu of a specific or clear designation of the principal 17 place of business of the entity under this subsection, the 18 principal place of business of the entity shall be deemed to 19 be the principal place of business of the employer or employee 20 organization that has the largest investment in the benefit 21 plan in question. 22 Sec. 13. Section 508C.9, subsections 2 through 6, Code 2011, 23 are amended to read as follows: 24 2. There are two classes of assessments as follows: 25 a. Class A assessments shall be made authorized and called 26 for the purpose of meeting administrative and legal costs and 27 other general expenses and examinations conducted under section 28 508C.12, subsection 5 , . Class A assessments may be authorized 29 and called whether or not related to a particular impaired or 30 insolvent insurer. 31 b. Class B assessments shall be made authorized and called 32 to the extent necessary to carry out the powers and duties of 33 the association under section 508C.8 with regard to an impaired 34 domestic insurer or an insolvent domestic, foreign, or alien 35 -6- LSB 2660YC (3) 84 av/sc 6/ 31
H.F. _____ insurer. 1 3. a. The amount of a class A assessment shall be 2 determined by the board and to the extent that class A 3 assessments do not exceed one hundred dollars per company 4 in any one calendar year may be made on a per capita basis 5 and may be authorized and called on a pro rata or non-pro 6 rata basis . If pro rata, the board may provide that the 7 assessment be credited against future class B assessments. 8 The total of all non-pro rata assessments shall not exceed 9 three hundred dollars per member insurer in any one calendar 10 year. The amount of a class B assessment shall be allocated 11 for assessment purposes among the accounts as the liabilities 12 and expenses of the association, either experienced or 13 reasonably expected, are attributable to those accounts, all 14 as determined by the association and on as equitable a basis 15 as is reasonably practical pursuant to an allocation formula 16 which may be based on the premiums or reserves of the impaired 17 or insolvent insurer or on any other standard deemed by the 18 board in its sole discretion as being fair and reasonable under 19 the circumstances . 20 b. Class A assessments in excess of one hundred dollars 21 per company per calendar year and class B assessments against 22 member insurers for each account shall be in the proportion 23 that the average of the aggregate premiums received on business 24 in this state by each assessed member insurer on policies or 25 contracts related to that covered by each account for the three 26 most recent calendar years for which information is available, 27 preceding the year in which the insurer became impaired or 28 insolvent, is or, in the case of an assessment with respect to 29 an impaired insurer, the three most recent calendar years for 30 which information is available preceding the year in which the 31 insurer became impaired, bears to the average of the aggregate 32 premiums received on business in this state for those calendar 33 years by all assessed member insurers on policies related to 34 that account for the three most recent calendar years for which 35 -7- LSB 2660YC (3) 84 av/sc 7/ 31
H.F. _____ information is available preceding the assessment . 1 c. Assessments for funds to meet the requirements of the 2 association with respect to an impaired or insolvent insurer 3 shall not be made authorized or called until necessary to 4 implement the purposes of this chapter . Classification 5 of assessments under this subsection 2 and computation 6 of assessments under this subsection shall be made with 7 a reasonable degree of accuracy, recognizing that exact 8 determinations may not always be possible. The association 9 shall notify each member insurer of its anticipated pro rata 10 share of an authorized assessment not yet called within one 11 hundred eighty days after the assessment is authorized. 12 4. The association may abate or defer, in whole or in part, 13 the assessment of a member insurer if, in the opinion of the 14 board, payment of the assessment would endanger the ability of 15 the member insurer to fulfill its contractual obligations. If 16 an assessment against a member insurer is abated or deferred, 17 in whole or in part, the amount by which the assessment is 18 abated or deferred may be assessed against the other member 19 insurers in a manner consistent with the basis for assessments 20 set forth in this section . Once the conditions that caused 21 an abatement or deferral have been removed or rectified, the 22 member insurer shall pay all assessments that were abated 23 or deferred pursuant to a repayment plan approved by the 24 association. 25 5. a. (1) The Subject to the provisions of subparagraph 26 (2) of this paragraph “a” , the total of all assessments upon 27 authorized by the association with respect to a member insurer 28 for each account of the accounts established pursuant to 29 section 508C.6, and designated as the health insurance account, 30 the life insurance account, the annuity account, and the 31 unallocated annuity contract account, shall not in any one 32 calendar year exceed two percent of the average of the that 33 member insurer’s average annual premiums received in this state 34 on the policies and contracts covered by the account during 35 -8- LSB 2660YC (3) 84 av/sc 8/ 31
H.F. _____ the three most recent calendar years for which information is 1 available, preceding the year in which the insurer becomes 2 impaired or insolvent , on the policies related to that account . 3 (2) However, if If two or more assessments are authorized 4 in one calendar year with respect to insurers that become 5 impaired or insolvent in different calendar years, the average 6 annual premiums for purposes of the aggregate assessment 7 percentage limitation referred to in subparagraph (1) of this 8 paragraph “a” shall be equal , and limited , to the higher of the 9 three-year average annual premiums for the applicable account 10 as calculated pursuant to this section . 11 (3) If the maximum assessment for an account , together 12 with the other assets of the association in the account, 13 does not provide in any one year in the either account an 14 amount sufficient to carry out the responsibilities of the 15 association, the necessary additional funds shall be assessed 16 for the account in succeeding years as soon as permitted by 17 this chapter . 18 b. The board may provide in its plan of operation a method 19 of allocating funds among claims, whether relating to one 20 or more impaired or insolvent insurers, when the maximum 21 assessment will be insufficient to cover anticipated claims. 22 b. c. If the maximum assessment under paragraph “a” for any 23 account, other than the health insurance account, either the 24 life insurance account, the annuity account, or the unallocated 25 annuity contract account in one year does not provide an amount 26 sufficient to carry out the responsibilities of the association 27 in any succeeding year , the board, pursuant to subsection 3 , 28 paragraph “a” “b” , shall assess access any of the other said 29 accounts for the necessary additional amount and allocate the 30 amount for assessment among the accounts, other than the health 31 insurance account, in the following sequence: from the life 32 insurance account, to the annuity account, to the unallocated 33 annuity contract account; from the annuity account, to the 34 unallocated annuity contract account, to the life insurance 35 -9- LSB 2660YC (3) 84 av/sc 9/ 31
H.F. _____ account; from the unallocated annuity contract account, to the 1 annuity account, to the life insurance account; provided that 2 no amount shall be allocated to an account for assessment until 3 the maximum amount has been allocated to the preceding account , 4 subject to the maximum assessments stated in paragraph “a” of 5 this subsection . 6 6. By an equitable method as established in the plan 7 of operation, the board may refund to member insurers, in 8 proportion to the contribution of each insurer to that account, 9 the amount by which the assets of the account, including assets 10 accruing from assignment, subrogation, net realized gains , and 11 income from investments, exceed the amount the board finds is 12 necessary to carry out during the coming year the obligations 13 of the association with regard to that account. A reasonable 14 amount may be retained in any account to provide funds for the 15 continuing expenses of the association and for future losses if 16 refunds are impractical claims . 17 Sec. 14. Section 508C.9, Code 2011, is amended by adding the 18 following new subsections: 19 NEW SUBSECTION . 9. a. A member insurer that wishes to 20 protest all or part of an assessment shall pay when due the 21 full amount of the assessment as set forth in the notice 22 provided by the association. The payment shall be made 23 available to meet association obligations during the pendency 24 of the protest or any subsequent appeal. The payment shall 25 be accompanied by a statement in writing that the payment is 26 made under protest and setting forth a brief statement of the 27 grounds for the protest. 28 b. Within sixty days following the payment of an assessment 29 under protest by a member insurer, the association shall 30 either notify the protesting member insurer in writing of 31 its determination with respect to the protest or notify the 32 protesting member insurer that additional time is required to 33 resolve the issues raised by the protest. 34 c. Within thirty days after a final decision has been made, 35 -10- LSB 2660YC (3) 84 av/sc 10/ 31
H.F. _____ the association shall notify the protesting member insurer in 1 writing of that final decision. Within sixty days of receipt 2 of notice of the final decision, the protesting member insurer 3 may appeal that final decision to the commissioner. 4 d. As an alternative to rendering a final decision with 5 respect to a protest of an assessment, the association may 6 refer the protest to the commissioner for a final decision, 7 with or without a recommendation from the association. 8 e. If a protest or subsequent appeal of an assessment is 9 upheld in favor of the protesting member insurer, the amount 10 paid in error or the excess shall be refunded to the member 11 insurer. Interest on a refund due a protesting member insurer 12 shall be paid at the rate actually earned by the association 13 during the pendency of the protest or any subsequent appeal. 14 NEW SUBSECTION . 10. The association may request 15 information from member insurers in order to aid in the 16 exercise of the association’s power under this section, and the 17 member insurers shall promptly comply with such a request. 18 Sec. 15. Section 508C.11, subsection 1, paragraph c, Code 19 2011, is amended by striking the paragraph. 20 Sec. 16. Section 508C.11, subsection 3, Code 2011, is 21 amended to read as follows: 22 3. An A final action of the board of directors or the 23 association may be appealed to the commissioner by a member 24 insurer if the appeal is taken within thirty sixty days of the 25 member insurer’s receipt of notice of the final action being 26 appealed. A final action or order of the commissioner is 27 subject to judicial review pursuant to chapter 17A in a court 28 of competent jurisdiction. 29 Sec. 17. Section 508C.12, subsection 1, paragraphs b 30 through d, Code 2011, are amended to read as follows: 31 b. Report to the board of directors when the commissioner 32 has taken any of the actions set forth in paragraph “a” or has 33 received a report from any other commissioner indicating that a 34 member insurer is impaired or insolvent such action has been 35 -11- LSB 2660YC (3) 84 av/sc 11/ 31
H.F. _____ taken in another state . Reports to the board of directors 1 shall contain all significant details of the action taken or 2 the report received from another commissioner. 3 c. Report to the board of directors when there is reasonable 4 cause to believe from an examination, whether completed or in 5 process, of a member company insurer that the company insurer 6 may be an impaired or insolvent insurer. 7 d. Furnish to the board of directors the national 8 association of insurance commissioners’ early warning tests. 9 The insurance regulatory information system ratios, and 10 listing of insurers not included in the ratios, developed 11 by the national association of insurance commissioners, and 12 the board may use the information in carrying out its duties 13 and responsibilities under this section . The report and the 14 information contained in the report shall be kept confidential 15 by the board of directors until such time as it is made public 16 by the commissioner or other lawful authority. 17 Sec. 18. Section 508C.12, subsection 2, Code 2011, is 18 amended to read as follows: 19 2. The commissioner may seek the advice and recommendations 20 of the board of directors concerning any matter affecting 21 the commissioner’s duties and responsibilities regarding the 22 financial condition of member companies insurers and companies 23 seeking admission to transact insurance business in this state. 24 Sec. 19. Section 508C.12, subsection 7, Code 2011, is 25 amended by striking the subsection. 26 Sec. 20. Section 508C.16, Code 2011, is amended to read as 27 follows: 28 508C.16 Immunity —— indemnification. 29 1. A member insurer and its agents and employees, the 30 association and its agents and employees, members of the board 31 of directors, and the commissioner and the commissioner’s 32 representatives are not liable for any action taken by them 33 or omission by them while acting within the scope of their 34 employment and in the performance of their powers and duties 35 -12- LSB 2660YC (3) 84 av/sc 12/ 31
H.F. _____ under this chapter and such immunity granted under this section 1 shall extend to their participation in any organization of one 2 or more state associations of similar purposes and to that 3 organization and its agents and employees . 4 2. Sections 490.850 through 490.859 apply to the 5 association. 6 Sec. 21. Section 508C.17, Code 2011, is amended to read as 7 follows: 8 508C.17 Stay of proceedings —— reopening default judgments. 9 Proceedings in which the insolvent insurer is a party in a 10 court in this state shall be stayed sixty one hundred eighty 11 days from the date an order of liquidation, rehabilitation, 12 or conservation is final to permit proper legal action by the 13 association on matters germane to its powers or duties. The 14 association may apply to have a judgment under a decision, 15 order, verdict, or finding based on default, set aside by the 16 same court that entered the judgment, and shall be permitted to 17 defend against the suit on the merits. 18 Sec. 22. Section 508C.18, Code 2011, is amended to read as 19 follows: 20 508C.18 Prohibited advertisements. 21 A person, including an insurer, agent or affiliate of an 22 insurer , shall not make, publish, disseminate, circulate, or 23 place before the public, or cause directly or indirectly, to 24 be made, published, disseminated, circulated, or placed before 25 the public in a newspaper, magazine, or other publication, 26 or in the form of a notice, circular, pamphlet, letter, or 27 poster, or over a radio station or television station, or in 28 any other way, an advertisement, announcement, or statement , 29 written or oral, which uses the existence of the insurance 30 guaranty association of this state for the purpose of sales, 31 solicitation, or inducement to purchase any form of insurance 32 covered by this chapter . However, this section does not apply 33 to the association or any other entity which does not sell or 34 solicit insurance. 35 -13- LSB 2660YC (3) 84 av/sc 13/ 31
H.F. _____ Sec. 23. NEW SECTION . 508C.18A Notice to policyholders —— 1 summary of chapter and disclosure. 2 1. a. Within one hundred eighty days after enactment of 3 this section, the association shall prepare a summary document 4 describing the general purposes and current provisions of 5 this chapter and containing a disclosure in compliance with 6 subsection 2. This summary document shall be submitted to the 7 commissioner for approval. The approved summary document and 8 disclosure shall be delivered to the owner of an insurance 9 policy or contract as provided in this section. 10 b. This subsection is repealed July 1, 2012. 11 2. a. On or after March 1, 2012, an insurer shall not 12 deliver an insurance policy or contract in Iowa to the owner 13 of the policy or contract unless a summary document describing 14 the general purposes and current provisions of this chapter 15 and containing a disclosure in compliance with subsection 3 is 16 delivered to the policy or contract owner at the same time. 17 b. The summary document shall also be available upon request 18 by an insurance policy or contract owner. 19 c. The distribution, delivery, contents, or interpretation 20 of this summary document does not guarantee that either 21 the insurance policy or contract or the owner of the policy 22 or contract is covered in the event of the impairment or 23 insolvency of a member insurer. 24 d. The summary document shall be revised by the association 25 and approved by the commissioner as amendments to this chapter 26 may require. Failure to receive a summary document does not 27 give the insurance policy or contract owner, certificate 28 holder, or insured any greater rights than those stated in this 29 chapter. 30 3. The summary document prepared pursuant to this section 31 shall contain a clear and conspicuous disclosure on its face. 32 The commissioner shall establish the form and content of the 33 disclosure which shall do all of the following: 34 a. State the name and address of the association and the 35 -14- LSB 2660YC (3) 84 av/sc 14/ 31
H.F. _____ Iowa insurance division. 1 b. Prominently warn the insurance policy or contract owner 2 that the association may not cover the policy or contract or, 3 if coverage is available, it will be subject to substantial 4 limitations and exclusions and conditioned on continued 5 residence in this state. 6 c. State the types of insurance policies and contracts for 7 which the association will provide coverage. 8 d. State that the insurer and its agents are prohibited by 9 law from using the existence of the association for the purpose 10 of sales, solicitation, or inducement to purchase any form of 11 insurance. 12 e. State that the insurance policy or contract owner should 13 not rely on coverage from the association when selecting an 14 insurer. 15 f. Explain rights available and procedures for filing a 16 complaint to allege a violation of any provisions of this 17 chapter. 18 g. Provide other information as directed by the 19 commissioner, including but not limited to sources for 20 information about the financial condition of an insurer 21 provided that the information is not proprietary and is subject 22 to disclosure under chapter 22. 23 4. A member insurer shall retain evidence of compliance with 24 the provisions of this section for as long as the insurance 25 policy or contract for which the notice is given remains in 26 effect. 27 Sec. 24. Section 511.8, subsection 16, Code 2011, is amended 28 by adding the following new paragraph: 29 NEW PARAGRAPH . h. Financial instruments used in hedging 30 transactions, and securities pledged as collateral for 31 financial instruments used in highly effective hedging 32 transactions, eligible for inclusion in the legal reserve under 33 subsection 22 may be made a part of the deposit by filing a 34 verified statement of the financial instruments or securities 35 -15- LSB 2660YC (3) 84 av/sc 15/ 31
H.F. _____ pursuant to the terms and conditions of the applicable hedging 1 transaction agreement or of the applicable collateral agreement 2 or other credit support agreement. 3 Sec. 25. Section 511.8, subsection 22, Code 2011, is amended 4 by adding the following new paragraph: 5 NEW PARAGRAPH . i. Securities held in the legal reserve of 6 a life insurance company or association pledged as collateral 7 for financial instruments used in highly effective hedging 8 transactions as defined in the national association of 9 insurance commissioners’ Statement of Statutory Accounting 10 Principles No. 86 shall continue to be eligible for inclusion 11 on the legal reserve of the life insurance company or 12 association subject to all of the following: 13 (1) The life insurance company or association does not 14 include the financial instruments used in highly effective 15 hedging transactions for which the securities are pledged as 16 collateral in the legal reserve of the life insurance company 17 or association, provided, however, that this subparagraph 18 shall not exclude securities pledged to a counterparty, 19 clearing organization, or clearinghouse on an upfront basis 20 in the form of initial margin, independent amount, or other 21 securities pledged as a precondition of entering into financial 22 instruments used in highly effective hedging transactions from 23 inclusion in the legal reserve of the life insurance company 24 or association. 25 (2) Securities pledged as collateral for financial 26 instruments used in highly effective hedging transactions are 27 not eligible in excess of ten percent of the legal reserve of 28 the life insurance company or association, less any financial 29 instruments used in hedging transactions held in the legal 30 reserve under this subsection. 31 (3) Securities pledged to a counterparty, clearing 32 organization, or clearinghouse on an upfront basis in 33 the form of initial margin, independent amount, or other 34 securities pledged as a precondition of entering into financial 35 -16- LSB 2660YC (3) 84 av/sc 16/ 31
H.F. _____ instruments used in highly effective hedging transactions are 1 not eligible in excess of one percent of the legal reserve of 2 the life insurance company or association. 3 Sec. 26. Section 514C.18, subsection 1, paragraph a, Code 4 2011, is amended by striking the paragraph and inserting in 5 lieu thereof the following: 6 a. Equipment and supplies. 7 Sec. 27. Section 515.125, subsection 1, Code 2011, is 8 amended to read as follows: 9 1. Unless otherwise provided in section 515.127 , 515.128 , 10 515.129 , 515.129A , 515.129B , or 515.129C , a policy or contract 11 of insurance provided for in this chapter shall not be 12 forfeited, suspended, or canceled except by notice to the 13 insured as provided in this chapter . A notice of cancellation 14 is not effective unless mailed or delivered by the insurer to 15 the named insured at least thirty days before the effective 16 date of cancellation or, where cancellation is for nonpayment 17 of a premium, assessment, or installment provided for in the 18 policy, or in a note or contract for the payment thereof, at 19 least ten days prior to the date of cancellation. The notice 20 may be made in person, or by sending by mail a letter addressed 21 to the insured at the insured’s address as given in or upon 22 the policy, anything in the policy, application, or a separate 23 agreement to the contrary notwithstanding. 24 Sec. 28. Section 515.126, Code 2011, is amended to read as 25 follows: 26 515.126 Cancellation of policy —— notice to insured or 27 mortgagee. 28 1. Unless otherwise provided in section 515.127 or , 29 515.128 , 515.129 , 515.129A , 515.129B , or 515.129C , at any time 30 after the maturity of a premium, assessment, or installment 31 provided for in the policy, or a note or contract for the 32 payment thereof, or after the suspension, forfeiture, or 33 cancellation of a policy or contract of insurance, the insured 34 may pay to the company the customary short rates and costs of 35 -17- LSB 2660YC (3) 84 av/sc 17/ 31
H.F. _____ action, if one has been commenced or judgment rendered thereon, 1 and may, if the insured so elects, have the policy and all 2 contracts or obligations connected with the policy, whether 3 in judgment or otherwise, canceled, and all such policy and 4 contracts shall be void; and in case of suspension, forfeiture, 5 or cancellation of a policy or contract of insurance, the 6 insured is not liable for a greater amount than the short 7 rates earned at the date of the suspension, forfeiture, or 8 cancellation and the costs of action provided for in this 9 section . 10 2. If the policy is canceled by the insurance company, 11 the insurer may retain only the pro rata premium, and if the 12 initial cash premium, or any part of the premium, has not been 13 paid, the policy may be canceled by the insurance company by 14 giving notice to the insured as provided in section 515.125 15 and ten days’ notice to the mortgagee, or other person to whom 16 the policy is made payable, if any, without tendering any 17 part of the premium, anything to the contrary in the policy 18 notwithstanding. 19 Sec. 29. Section 515D.5, subsection 1, Code 2011, is amended 20 to read as follows: 21 1. a. Notwithstanding the provisions of sections 22 515.125 through 515.127 , 515.126 , and 515.129A , a notice of 23 cancellation of a policy shall not be effective unless mailed 24 or delivered by the insurer to the named insured at least 25 thirty days prior to the effective date of cancellation, 26 or, where the cancellation is for nonpayment of premium 27 notwithstanding the provisions of sections 515.125 and 515.127 28 515.126 , at least ten days prior to the date of cancellation. 29 A post office department certificate of mailing to the named 30 insured at the address shown in the policy shall be proof 31 of receipt of such mailing. Unless the reason accompanies 32 the notice of cancellation, the notice shall state that upon 33 written request of the named insured, mailed or delivered 34 to the insurer not less than fifteen days prior to the 35 -18- LSB 2660YC (3) 84 av/sc 18/ 31
H.F. _____ date of cancellation, the insurer will state the reason for 1 cancellation together with notification of the right to a 2 hearing before the commissioner within fifteen days as provided 3 in this chapter . 4 b. When the reason does not accompany the notice of 5 cancellation, the insurer shall, upon receipt of a timely 6 request by the named insured, state in writing the reason 7 for cancellation. A statement of reason shall be mailed or 8 delivered to the named insured within five days after receipt 9 of a request. 10 Sec. 30. Section 515D.7, subsection 1, Code 2011, is amended 11 to read as follows: 12 1. Notwithstanding the provisions of sections 515.125 13 through 515.128 , 515.129B , and 515.129C , an insurer shall 14 not fail to renew a policy except by notice to the insured 15 as provided in this chapter . A notice of intention not to 16 renew shall not be effective unless mailed or delivered by the 17 insurer to the named insured at least thirty days prior to 18 the expiration date of the policy. A post office department 19 certificate of mailing to the named insured at the address 20 shown in the policy shall be proof of receipt of such mailing. 21 Unless the reason accompanies the notice of intent not to 22 renew, the notice shall state that, upon written request of the 23 named insured, mailed or delivered to the insurer not less than 24 thirty days prior to the expiration date of the policy, the 25 insurer will state the reason for nonrenewal. 26 Sec. 31. Section 518C.3, subsection 4, paragraph b, 27 subparagraph (3), Code 2011, is amended to read as follows: 28 (3) An A fee or other amount due an relating to goods and 29 services sought by or on behalf of an attorney, adjuster, or 30 witness as a fee for services rendered to , or other provider of 31 goods or services retained by the insolvent insurer or by an 32 insured prior to the date the insurer was declared insolvent . 33 Sec. 32. Section 518C.3, subsection 4, paragraph b, Code 34 2011, is amended by adding the following new subparagraphs: 35 -19- LSB 2660YC (3) 84 av/sc 19/ 31
H.F. _____ NEW SUBPARAGRAPH . (4A) A fee or other amount sought by or 1 on behalf of an attorney, adjuster, witness, or other provider 2 of goods or services retained by the insured or claimant 3 in connection with the assertion of any claim, covered or 4 otherwise, against the association. 5 NEW SUBPARAGRAPH . (4B) A claim filed with the association 6 or with a liquidator for protection afforded under the 7 insured’s policy or contract for incurred but not reported 8 losses or expenses. 9 Sec. 33. Section 518C.5, Code 2011, is amended to read as 10 follows: 11 518C.5 Board of directors. 12 1. The board of directors of the association shall 13 consist of the officers and directors of the mutual insurance 14 association of Iowa or its successor association , but only 15 if such officers and directors are employed by a corporation 16 organized as a county mutual insurance association pursuant to 17 chapter 518 or a state mutual insurance association pursuant to 18 chapter 518A . 19 2. An officer and director of the mutual insurance 20 association of Iowa shall serve in the same capacity on the 21 association board as the officer or director serves the mutual 22 insurance association of Iowa or its successor association , but 23 only if the officer and director is employed by a corporation 24 organized as a county mutual insurance association pursuant to 25 chapter 518 or a state mutual insurance association pursuant to 26 chapter 518A . 27 Sec. 34. Section 518C.6, subsection 1, paragraph a, 28 subparagraph (2), subparagraph division (b), Code 2011, is 29 amended to read as follows: 30 (b) An amount not exceeding the lesser of the policy 31 limits or three five hundred thousand dollars per claim for 32 all covered claims for all damages arising out of any one or a 33 series of accidents, occurrences, or incidents, regardless of 34 the number of persons making claims or the number of applicable 35 -20- LSB 2660YC (3) 84 av/sc 20/ 31
H.F. _____ policies. 1 Sec. 35. Section 518C.15, Code 2011, is amended to read as 2 follows: 3 518C.15 Immunity. 4 Liability There shall be no liability on the part of, and 5 a cause of action of any nature shall not arise against , any 6 member insurer, the association , or its agents or employees, 7 the board of directors, any committee established for the 8 purpose of administering the affairs of the association, or any 9 person serving as an alternate or substitute representative 10 director of the association, or the commissioner, or the 11 commissioner’s representatives, for any reasonable action taken 12 or any failure to act by them in the performance of their 13 duties and execution of powers as provided for under this 14 chapter . 15 Sec. 36. Section 521.1, subsection 4, Code 2011, is amended 16 to read as follows: 17 4. “Company” means a company or association organized under 18 chapter 508 , 511 514B , 515 , 518 , 518A , or 520 , and includes a 19 mutual insurance holding company organized pursuant to section 20 521A.14 . 21 Sec. 37. Section 521.2, subsection 1, Code 2011, is amended 22 to read as follows: 23 1. One or more domestic mutual insurance companies 24 organized under chapter 491 may merge or consolidate with a 25 domestic or foreign mutual insurance company as provided in 26 this chapter . Sections 491.102 through 491.105 shall not be 27 applicable to a merger or consolidation of a domestic mutual 28 insurance company pursuant to this chapter . 29 Sec. 38. Section 521.2, Code 2011, is amended by adding the 30 following new subsections: 31 NEW SUBSECTION . 5. One or more foreign or domestic stock 32 insurance companies may merge into a domestic mutual insurance 33 company organized under chapter 491 as provided in this 34 chapter. 35 -21- LSB 2660YC (3) 84 av/sc 21/ 31
H.F. _____ NEW SUBSECTION . 6. One or more domestic health maintenance 1 organizations or limited service organizations formed under 2 chapter 514B may merge into a domestic insurance company 3 organized under chapter 490 or chapter 491 as provided in this 4 chapter. 5 NEW SUBSECTION . 7. Sections 491.102 through 491.105 shall 6 not be applicable to a merger or consolidation of a domestic 7 mutual insurance company pursuant to this chapter. 8 Sec. 39. Section 521E.3, subsection 1, paragraph a, 9 unnumbered paragraph 1, Code 2011, is amended to read as 10 follows: 11 The filing of a risk-based capital report by an insurer which 12 indicates either any of the following: 13 Sec. 40. Section 521E.3, subsection 1, paragraph a, Code 14 2011, is amended by adding the following new subparagraph: 15 NEW SUBPARAGRAPH . (3) For a property and casualty insurer, 16 the insurer’s total adjusted capital is greater than or equal 17 to its company-action-level risk-based capital but less than 18 the product of its authorized-control-level risk-based capital 19 and three and triggers the trend test determined in accordance 20 with the trend test calculation included in the property and 21 casualty risk-based capital instructions. 22 Sec. 41. Section 521F.4, subsection 1, Code 2011, is amended 23 to read as follows: 24 1. “Company-action-level event” means any of the following: 25 a. The filing of a risk-based capital report by a health 26 organization which indicates that the health organization’s 27 total adjusted capital is greater than or equal to its 28 regulatory-action-level risk-based capital but less than its 29 company-action-level risk-based capital. 30 b. The filing of a risk-based capital report by a health 31 organization which indicates that the health organization has 32 total adjusted capital which is greater than or equal to its 33 company-action-level risk-based capital but less than the 34 product of its authorized-control-level risk-based capital and 35 -22- LSB 2660YC (3) 84 av/sc 22/ 31
H.F. _____ three and triggers the trend test determined in accordance with 1 the trend test calculations included in the health risk-based 2 capital instructions. 3 b. c. Notification by the commissioner to a health 4 organization of an adjusted risk-based capital report that 5 indicates an event in paragraph “a” or “b” , provided the health 6 organization does not challenge the adjusted risk-based capital 7 report and request a hearing pursuant to section 521F.8 . 8 c. d. If a hearing is requested pursuant to section 521F.8 , 9 notification by the commissioner to the health organization 10 after the hearing that the commissioner has rejected the health 11 organization’s challenge of the adjusted risk-based capital 12 report indicating the event in paragraph “a” or “b” . 13 Sec. 42. Section 522B.11, Code 2011, is amended by adding 14 the following new subsection: 15 NEW SUBSECTION . 7. a. Unless an insurance producer 16 holds oneself out as an insurance specialist, consultant, or 17 counselor and receives compensation for consultation and advice 18 apart from commissions paid by an insurer, the duties and 19 responsibilities of an insurance producer are limited to those 20 duties and responsibilities set forth in Sandbulte v. Farm 21 Bureau Mut. Ins. Co., 343 N.W.2d 457 (Iowa 1984). 22 b. The general assembly declares that the holding of 23 Langwith v. Am. Nat’l Gen. Ins. Co., ___ N.W.2d ___, (No. 24 08-0778) (Iowa 2010) is abrogated to the extent that it 25 overrules Sandbulte and imposes higher or greater duties and 26 responsibilities on insurance producers than those set forth 27 in Sandbulte. 28 Sec. 43. Section 523A.206, subsection 1, Code 2011, is 29 amended to read as follows: 30 1. The commissioner may conduct an examination under 31 this chapter of any seller as often as the commissioner 32 deems appropriate. If a seller has a trust arrangement, the 33 commissioner shall conduct an examination of such seller doing 34 business in this state not less than once every three five 35 -23- LSB 2660YC (3) 84 av/sc 23/ 31
H.F. _____ years unless the seller has provided to the commissioner, on 1 an annual basis, a certified copy of an audit conducted by an 2 independent certified public accountant verifying compliance 3 with this chapter . The commissioner may require an audit of 4 a seller, or other person by a certified public accountant 5 to verify compliance with the requirements of this chapter , 6 including rules adopted and orders issued pursuant to this 7 chapter . 8 Sec. 44. Section 523I.213A, subsection 1, Code 2011, is 9 amended to read as follows: 10 1. The commissioner or the commissioner’s designee may 11 conduct an examination under this chapter of any cemetery as 12 often as the commissioner deems appropriate. If a cemetery 13 has a trust arrangement, the commissioner shall conduct an 14 examination not less than once every three five years. 15 EXPLANATION 16 This bill relates to various matters under the purview of the 17 insurance division of the department of commerce. 18 UNIFORM SECURITIES ACT. Code section 502.604 is amended 19 to allow the administrator of the securities and regulated 20 industries bureau of the insurance division of the department 21 of commerce to order restitution or take other corrective 22 action as deemed necessary to accomplish compliance with the 23 state’s securities laws. 24 INSURANCE DIVISION. Code section 505.8 is amended to 25 provide that the commissioner of insurance shall enforce 26 all state laws relating to both federal and state insurance 27 business transacted in the state and to allow the commissioner 28 to assess the costs of an investigation or proceeding after an 29 administrative hearing. The commissioner is also authorized to 30 adopt administrative rules and emergency rules pursuant to Code 31 chapter 17A as necessary to effectuate the insurance provisions 32 of the federal Patient Protection and Affordable Care Act of 33 2010, or other applicable federal laws. 34 Code section 505.18 is amended to specify that the 35 -24- LSB 2660YC (3) 84 av/sc 24/ 31
H.F. _____ commissioner’s duty in preparing a report for the governor and 1 the general assembly should include findings regarding health 2 spending costs for health insurance carriers in the state, not 3 health insurance plans. 4 Code section 505.19 is amended to provide that public 5 comments received concerning proposed health insurance rate 6 increases will be posted without delay during the normal 7 business hours of the insurance division. 8 INSURANCE FRAUD. Code section 507E.8 is amended to provide 9 that securities and regulated industries bureau investigators 10 have the power and status of law enforcement officers who by 11 the nature of their duties may be required to perform the 12 duties of a peace officer. 13 IOWA LIFE AND HEALTH INSURANCE GUARANTY ASSOCIATION. Code 14 section 508C.5 is amended to add definitions of “authorized 15 assessment”, “benefit plan”, “called assessment”, “plan 16 sponsor”, “principal place of business”, and “receivership 17 court” and to amend the definition of “covered policy” and 18 “resident” for purposes of the Code chapter. 19 New Code section 508C.8A specifies the factors an 20 association must consider in determining what constitutes the 21 principal business of a plan sponsor or a person other than a 22 natural person. 23 Code section 508C.9(2) is amended to require that the 24 association must now “authorize” and “call” class A assessments 25 for the purpose of meeting administrative and legal costs 26 of the association and class B assessments for otherwise 27 carrying out the powers and duties of the association. As 28 newly defined, an “authorized assessment” means that the 29 board of directors of the association has passed a resolution 30 authorizing the assessment and a “called assessment” means that 31 a notice has been issued to member insurers requiring that an 32 authorized assessment be paid within the time set forth in the 33 notice. 34 Code section 508C.9(3) is amended to provide that class 35 -25- LSB 2660YC (3) 84 av/sc 25/ 31
H.F. _____ A assessments may be authorized and called on a pro rata or 1 non-pro rata basis. Pro rata assessments may be credited 2 against future class B assessments and the total of all non-pro 3 rata assessments cannot exceed $300 per member insurer in any 4 one calendar year. Class B assessments are determined pursuant 5 to an allocation formula which may be based on the premiums 6 or reserves of the impaired or insolvent insurer or any other 7 standard deemed fair and reasonable by the board. Class B 8 assessments for each account maintained by the association are 9 made in the proportion each assessed member insurer’s premiums 10 bear to premiums received by all assessed member insurers. The 11 association is required to notify each member insurer of its 12 anticipated pro rata share of an assessment within 180 days 13 after the assessment is authorized. 14 Code section 508C.9(4) is amended to provide that if the 15 association abates or defers the assessment of a member 16 insurer, the assessment shall be paid by the insurer once the 17 conditions that caused the abatement or deferral are removed 18 pursuant to a payment plan approved by the association. 19 Code section 508C.9(5) is amended to change the calculation 20 method for assessments of member insurers with respect to 21 the health insurance account, the life insurance account, 22 the annuity account, and the unallocated annuity contract 23 account. The board is also authorized to provide in its plan 24 of operation a method of allocating funds among claims relating 25 to one or more impaired or insolvent insurers when the maximum 26 assessment will be insufficient to cover anticipated claims. 27 If the maximum assessment under the life insurance account, the 28 annuity account, or the unallocated annuity contract account is 29 insufficient, the board shall access the other said accounts 30 for the necessary amount subject to the maximum assessments 31 allowed. 32 Code section 508C.9(6) is amended to allow the board to 33 refund to member insurers amounts the board finds are not 34 necessary to carry out the obligations of the association 35 -26- LSB 2660YC (3) 84 av/sc 26/ 31
H.F. _____ with regard to an account that includes assets accruing from 1 assignment, subrogation, net realized gains, and income from 2 investments. 3 New Code section 508C.9(9) provides a procedure for a member 4 insurer to protest and appeal an assessment. 5 New Code section 508C.9(10) allows the association to 6 request information from member insurers in order to aid in the 7 exercise of the association’s power. 8 Code section 508C.11(1) is amended to strike a provision 9 requiring the commissioner to be appointed as the liquidator 10 or rehabilitator in a liquidation or rehabilitation proceeding 11 involving a domestic insurer. 12 Code section 508C.11(3) is amended to provide that a final 13 action of the board or the association may be appealed to the 14 commissioner by a member insurer within 60, instead of 30, days 15 of the insurer’s receipt of notice of the final action. 16 Code section 508C.12 is amended to require the commissioner 17 to report to the board upon receiving notice that certain 18 actions have been taken against a member insurer in another 19 state and to provide the board with the national association 20 of insurance commissioners’ insurance regulatory information 21 system ratios, and listing of insurers not included in the 22 ratios, developed for use by the board in carrying out its 23 duties and responsibilities in preventing insolvencies. 24 Code section 508C.12(7), which required the board to prepare 25 a report to the commissioner at the conclusion of an insurer 26 insolvency in which the association was obligated to pay 27 claims, is stricken. 28 Code section 508C.16 is amended to provide that immunity and 29 indemnification provisions that apply to member insurers, the 30 association, the board of directors, the commissioner, and any 31 of their agents, employees, and representatives for actions or 32 omissions made by them in performing their powers and duties 33 under Code chapter 508C, are extended to their participation in 34 any organization of one or more similar state associations and 35 -27- LSB 2660YC (3) 84 av/sc 27/ 31
H.F. _____ to that organization and its agents and employees. 1 Code section 508C.17 is amended to allow a stay of court 2 proceedings in which an insolvent insurer is a party from 3 180 instead of 60 days from the date of a final order of 4 liquidation, rehabilitation, or conservation to permit legal 5 action by the association. 6 Code section 508C.18 is amended to specify that persons, 7 including insurers and their agents, are prohibited from making 8 written or oral advertisements that use the existence of the 9 insurance guaranty association to sell insurance. 10 New Code section 508C.18A requires the association within 11 180 days after enactment of this Code section to prepare a 12 summary document describing the general purposes and current 13 provisions of Code chapter 508C and containing a disclosure 14 with specified information about the coverage provided by the 15 association. On or after March 1, 2012, an insurer shall not 16 deliver an insurance policy or contract in Iowa to the owner of 17 the policy or contract unless the summary document is delivered 18 at the same time. 19 LIFE INSURANCE COMPANIES AND ASSOCIATIONS. Code section 20 511.8(16)(h) is added to provide that financial instruments 21 used in hedging transactions and securities pledged as 22 collateral for financial instruments used in highly effective 23 hedging transactions are eligible for inclusion in the legal 24 reserve of an insurance company or association under Code 25 section 511.8(22). A corollary provision is added in Code 26 section 511.8(22)(i) to provide that securities held in the 27 legal reserve of a life insurance company or association 28 pledged as collateral for financial instruments used in highly 29 effective hedging transactions as defined in the national 30 association of insurance commissioners’ Statement of Statutory 31 Accounting Principles continue to be eligible for inclusion in 32 the legal reserve subject to specified conditions. 33 SPECIAL HEALTH AND ACCIDENT INSURANCE COVERAGES. Code 34 section 514C.18, requiring health insurance coverage for the 35 -28- LSB 2660YC (3) 84 av/sc 28/ 31
H.F. _____ treatment of diabetes, is amended to delete a reference to 1 specific testing supplies for home monitoring of the disease 2 and instead add a more general reference to coverage of 3 equipment and supplies. 4 INSURANCE OTHER THAN LIFE. Code chapter 515 has several 5 provisions which relate to the duties of insurers when 6 forfeiting, suspending, canceling or nonrenewing commercial 7 and personal line policies or contracts of insurance. Code 8 sections 515.125 and 515.126 which contain general provisions 9 concerning those duties are amended to specify that more 10 specific provisions enacted in 2010 concerning personal lines 11 of insurance take precedence over these more general provisions 12 if they are inconsistent with one another. 13 AUTOMOBILE INSURANCE CANCELLATION. Code chapter 515D 14 contains provisions which relate specifically to the 15 cancellation of personal automobile insurance. Code sections 16 515D.5 and 515D.7 are amended to provide that the provisions 17 of Code chapter 515D take precedence over those relating to 18 the cancellation of personal lines insurance contained in 19 Code chapter 515 concerning the cancellation or nonrenewal of 20 personal automobile insurance. 21 COUNTY AND STATE MUTUAL INSURANCE GUARANTY ASSOCIATION. 22 Code section 518C.3(4)(b)(3) is amended to specify that a 23 covered claim for which the guaranty association provides 24 coverage does not include a fee or other amount relating to 25 goods or services sought by on behalf of any provider of goods 26 or services retained by an insolvent insurer or by an insured 27 prior to the date the insurer was declared insolvent. 28 Code section 518C.3(4)(b) is also amended to provide 29 that a covered claim does not include a fee or other amount 30 sought by or on behalf of an attorney, adjuster, witness, or 31 other provider of goods or services retained by an insured or 32 claimant in connection with the assertion of a claim against 33 the association. 34 Code section 518C.5 is amended to provide that the board 35 -29- LSB 2660YC (3) 84 av/sc 29/ 31
H.F. _____ of directors of the guaranty association consists of the 1 officers and directors of the mutual insurance association of 2 Iowa or its successor only if those people are employed by a 3 corporation organized as a county mutual insurance association 4 pursuant to Code chapter 518 or a state mutual insurance 5 association pursuant to Code chapter 518A. 6 Code section 518C.6(1)(a)(2)(b) is amended to provide 7 that the association is obligated to pay certain claims not 8 exceeding the lesser of the policy limits or $500,000, instead 9 of $300,000, per claim or claims arising out of any one or a 10 series of occurrences. 11 Code section 518C.15 is amended to expand the immunity 12 provisions pertaining to the association to include any 13 committee established for the purpose of administering 14 the affairs of the association or any person serving as 15 an alternate or substitute representative director of the 16 association for any actions taken or any failure to act in the 17 performance of their duties. 18 CONSOLIDATION, MERGERS, AND REINSURANCE. Code section 19 521.1(4) is amended to provide that a company subject to the 20 consolidation, merger, and reinsurance provisions of Code 21 chapter 521 includes a health maintenance organization or 22 limited service organization organized pursuant to Code chapter 23 514B. 24 Code section 521.2 is amended to provide that one or more 25 foreign or domestic stock insurance companies may merge into a 26 domestic mutual insurance company organized under Code chapter 27 491 and one or more domestic health maintenance organizations 28 or limited service organizations formed under Code chapter 29 514B may merge into a domestic insurance company organized 30 under Code chapter 490 or 491. In addition, certain provisions 31 relating to merger or consolidation in Code chapter 491 are not 32 applicable to the merger or consolidation of a domestic mutual 33 insurance company pursuant to this chapter. 34 RISK-BASED CAPITAL REQUIREMENTS FOR INSURERS. Code section 35 -30- LSB 2660YC (3) 84 av/sc 30/ 31
H.F. _____ 521E.3(1)(a) is amended to add another situation which 1 constitutes a company-action-level event for an insurer when 2 included in the filing of a risk-based capital report by the 3 insurer. 4 RISK-BASED CAPITAL REQUIREMENTS FOR HEALTH ORGANIZATIONS. 5 Code section 521F.4(1) is amended to add another situation 6 which constitutes a company-action-level event for a health 7 organization when included in the filing of a risk-based 8 capital report by the health organization. 9 INSURANCE PRODUCERS. New Code section 522B.11(7) provides 10 that unless an insurance producer holds oneself out as an 11 insurance specialist, consultant, or counselor and receives 12 compensation for consultation and advice apart from commissions 13 paid by an insurer, the duties and responsibilities of an 14 insurance producer are limited to those set forth in a case 15 entitled Sandbulte v. Farm Bureau Mut. Ins. Co. decided by the 16 Iowa Supreme Court in 1984. 17 The bill further provides that the new subsection abrogates 18 the holding of a case entitled Langwith v. Am. Nat’l Gen. Ins. 19 Co. decided by the Iowa Supreme Court on December 30, 2010, to 20 the extent that case overrules the Sandbulte case and imposes 21 higher or greater duties and responsibilities on insurance 22 producers than those set forth in the earlier case. 23 CEMETERY AND FUNERAL MERCHANDISE AND FUNERAL SERVICES. Code 24 section 523A.206(1) is amended to require the commissioner 25 to conduct examinations of sellers of cemetery and funeral 26 merchandise, and funeral services every five years, instead of 27 every three years. 28 CEMETERY REGULATION. Code section 523I.213A(1) is amended 29 to require the commissioner to conduct an examination of a 30 cemetery every five years, instead of every three years. 31 -31- LSB 2660YC (3) 84 av/sc 31/ 31