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
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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
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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
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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
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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
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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.
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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
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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
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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
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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
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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
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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
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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
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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.
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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_____
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
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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
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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
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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
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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
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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
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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.
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