Senate Study Bill 1089 - Introduced SENATE/HOUSE FILE _____ BY (PROPOSED DEPARTMENT OF COMMERCE/INSURANCE DIVISION BILL) 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 1314DP (14) 84 av/sc
S.F. _____ H.F. _____ Section 1. Section 502.410, subsection 4, paragraph a, Code 1 2011, is amended to read as follows: 2 a. The fee for an individual is thirty forty dollars 3 when filing an application for registration as an investment 4 adviser representative, a fee of thirty forty dollars when 5 filing a renewal of registration as an investment adviser 6 representative, and a fee of thirty forty dollars when filing a 7 change of registration as an investment adviser representative. 8 If the filing results in a denial or withdrawal, the 9 administrator shall retain the fee. 10 Sec. 2. Section 502.604, subsections 2 and 4, Code 2011, are 11 amended to read as follows: 12 2. Summary process. An order under subsection 1 is 13 effective on the date of issuance. Upon issuance of the order, 14 the administrator shall promptly serve each person subject to 15 the order with a copy of the order and a notice that the order 16 has been entered. The order must include a statement of any 17 restitution order, civil penalty , or costs of investigation 18 the administrator will seek, a statement of the reasons for 19 the order, and notice that, within thirty days after receipt 20 of a request in a record from the person, the matter will be 21 scheduled for a hearing. If a person subject to the order does 22 not request a hearing and none is ordered by the administrator 23 within thirty days after the date of service of the order, 24 the order, including an order for restitution, the imposition 25 of a civil penalty , or a requirement for payment of costs of 26 investigation sought in the order, becomes final as to that 27 person by operation of law. If a hearing is requested or 28 ordered, the administrator, after notice of and opportunity 29 for hearing to each person subject to the order, may modify or 30 vacate the order or extend it until final determination. 31 4. Civil penalty —— restitution —— corrective action . In 32 a final order under subsection 3 , the administrator may 33 impose a civil penalty up to an amount not to exceed a 34 maximum of five thousand dollars for a single violation or 35 -1- LSB 1314DP (14) 84 av/sc 1/ 31
S.F. _____ H.F. _____ five hundred thousand dollars for more than one violation , 1 order restitution, or take other corrective action as the 2 administrator deems necessary and appropriate to accomplish 3 compliance with the laws of the state relating to all 4 securities business transacted in the state . 5 Sec. 3. Section 505.8, subsections 1 and 10, Code 2011, are 6 amended to read as follows: 7 1. The commissioner of insurance shall be the head of the 8 division, and shall have general control, supervision, and 9 direction over all insurance business transacted in the state, 10 and shall enforce all the laws of the state relating to such 11 federal and state insurance business transacted in the state . 12 10. The commissioner may, after a hearing conducted 13 pursuant to chapter 17A , assess fines or penalties, assess 14 costs of an investigation or proceeding, order restitution, 15 or take other corrective action as the commissioner deems 16 necessary and appropriate to accomplish compliance with the 17 laws of the state relating to all insurance business transacted 18 in the state. 19 Sec. 4. Section 505.8, Code 2011, is amended by adding the 20 following new subsection: 21 NEW SUBSECTION . 19. The commissioner may adopt 22 administrative rules pursuant to chapter 17A as necessary to 23 effectuate the insurance provisions of the federal Patient 24 Protection and Affordable Care Act of 2010, or other applicable 25 federal laws. 26 Sec. 5. Section 505.18, subsection 2, unnumbered paragraph 27 1, Code 2011, is amended to read as follows: 28 The commissioner in collaboration with the consumer advocate 29 shall prepare and deliver a report to the governor and to the 30 general assembly no later than November 15 of each year that 31 provides findings regarding health spending costs for health 32 insurance plans carriers in the state for the previous fiscal 33 calendar year. The commissioner may contract with outside 34 vendors or entities to assist in providing the information 35 -2- LSB 1314DP (14) 84 av/sc 2/ 31
S.F. _____ H.F. _____ contained in the annual report. The report shall provide, at a 1 minimum, the following information: 2 Sec. 6. Section 505.18, subsection 2, paragraph d, Code 3 2011, is amended to read as follows: 4 d. A ranking and quantification of those factors that result 5 in higher costs and those factors that result in lower costs 6 for each health insurance plan offered carrier in the state. 7 Sec. 7. Section 505.19, subsection 3, Code 2011, is amended 8 to read as follows: 9 3. The consumer advocate shall solicit public comments on 10 each proposed health insurance rate increase application if 11 the increase exceeds the average annual health spending growth 12 rate as provided in subsection 1 , and shall post without delay 13 during the normal business hours of the division, all comments 14 received on the insurance division’s internet site prior to 15 approval or disapproval of the proposed rate increase by the 16 commissioner. 17 Sec. 8. Section 507E.8, Code 2011, is amended to read as 18 follows: 19 507E.8 Peace Law enforcement officer status. 20 1. Bureau investigators shall have the power and status 21 of peace law enforcement officers who by the nature of their 22 duties may be required to perform the duties of a peace officer 23 when making arrests for criminal violations established as a 24 result of their investigations pursuant to this chapter . 25 2. The general laws applicable to arrests by peace law 26 enforcement officers of the state also apply to bureau 27 investigators. Bureau investigators shall have the power 28 to execute arrest warrants and search warrants for the 29 same criminal violations, serve subpoenas issued for the 30 examination, investigation, and trial of all offenses 31 identified through their investigations, and arrest upon 32 probable cause without warrant a person found in the act of 33 committing a violation of the provisions of this chapter . 34 Sec. 9. Section 508C.5, Code 2011, is amended by adding the 35 -3- LSB 1314DP (14) 84 av/sc 3/ 31
S.F. _____ H.F. _____ following new subsections: 1 NEW SUBSECTION . 2A. “Authorized assessment” , or the 2 term “authorized” when used in the context of an assessment, 3 means that a resolution has been passed by the board of 4 directors of the association whereby an assessment will be 5 called immediately or in the future from member insurers for 6 a specified amount. An assessment is authorized when the 7 resolution is passed. 8 NEW SUBSECTION . 2B. “Benefit plan” means a specific 9 employee, union, or association of natural persons benefit 10 plan. 11 NEW SUBSECTION . 2C. “Called assessment” , or the term 12 “called” when used in the context of an assessment, means that 13 a notice has been issued by the association to member insurers 14 requiring that an authorized assessment be paid within the time 15 frame set forth within the notice. An authorized assessment 16 becomes a called assessment when notice is mailed by the 17 association to member insurers. 18 Sec. 10. Section 508C.5, subsection 5, Code 2011, is amended 19 to read as follows: 20 5. “Covered policy” means a policy or contract within the 21 scope of this chapter as or a portion of a policy or contract 22 for which coverage is provided under section 508C.3 . 23 Sec. 11. Section 508C.5, Code 2011, is amended by adding the 24 following new subsections: 25 NEW SUBSECTION . 12A. “Plan sponsor” means any of the 26 following: 27 a. The employer in the case of a benefit plan established or 28 maintained by a single employer. 29 b. The employee organization in the case of a benefit plan 30 established or maintained by an employee organization. 31 c. In the case of a benefit plan established or maintained 32 by two or more employers or jointly by one or more employers 33 and one or more employee organizations, the association, 34 committee, joint board of trustees, or other similar group of 35 -4- LSB 1314DP (14) 84 av/sc 4/ 31
S.F. _____ H.F. _____ representatives of the parties who establish or maintain the 1 benefit plan. 2 NEW SUBSECTION . 13A. “Principal place of business” of a 3 plan sponsor or a person other than a natural person means the 4 single state in which the natural persons who establish policy 5 for the direction, control, and coordination of the operations 6 of the entity as a whole primarily exercise that function as 7 determined pursuant to section 508C.8A. 8 NEW SUBSECTION . 13B. “Receivership court” means a court in 9 an insolvent or impaired insurer’s state having jurisdiction 10 over the conservation, rehabilitation, or liquidation of the 11 insurer. 12 Sec. 12. Section 508C.5, subsection 14, Code 2011, is 13 amended to read as follows: 14 14. “Resident” means a person to whom a contractual 15 obligation is owed and who resides in a state on the date of 16 entry of a court order that determines a member insurer is an 17 impaired insurer or a court order that determines a member 18 insurer is an insolvent insurer , whichever occurs first . A 19 person may be a resident of only one state, which in the case of 20 a person other than a natural person shall be the state of that 21 person’s principal place of business. A citizen of the United 22 States who is a resident of a foreign country, or is a resident 23 of a United States possession, territory, or protectorate that 24 does not have an association similar to the association created 25 by this chapter , shall be deemed a resident of the state or 26 domicile of the insurer that issued the policy or contract. 27 Sec. 13. NEW SECTION . 508C.8A Principal place of business 28 —— determination. 29 1. The principal place of business of a plan sponsor or a 30 person other than a natural person shall be determined by the 31 association in its reasonable judgment by considering all of 32 the following factors: 33 a. The state in which the primary executive and 34 administrative headquarters of the entity is located. 35 -5- LSB 1314DP (14) 84 av/sc 5/ 31
S.F. _____ H.F. _____ b. The state in which the principal office of the chief 1 executive officer of the entity is located. 2 c. The state in which the board of directors or similar 3 governing person or persons of the entity conducts the majority 4 of its meetings. 5 d. The state in which the executive or management committee 6 of the board of directors or similar governing person or 7 persons of the entity conducts the majority of its meetings. 8 e. The state from which the management of the overall 9 operations of the entity is directed. 10 2. In the case of a benefit plan sponsored by affiliated 11 companies comprising a consolidated corporation, the principal 12 place of business of the entity shall be deemed to be the state 13 in which the holding company or controlling affiliate has its 14 principal place of business as determined by the association 15 using the factors enumerated in subsection 1. However, if more 16 than fifty percent of the participants in the benefit plan are 17 employed in a single state, that state shall be determined to 18 be the principal place of business of the entity. 19 3. In the case of a benefit plan established or maintained 20 by two or more employers, or jointly by one or more employers 21 and one or more employee organizations, the principal place 22 of business of the entity shall be deemed to be the principal 23 place of business of the association, committee, joint board 24 of trustees, or other similar group of representatives of 25 the parties who establish or maintain the benefit plan. In 26 lieu of a specific or clear designation of the principal 27 place of business of the entity under this subsection, the 28 principal place of business of the entity shall be deemed to 29 be the principal place of business of the employer or employee 30 organization that has the largest investment in the benefit 31 plan in question. 32 Sec. 14. Section 508C.9, subsections 2 through 6, Code 2011, 33 are amended to read as follows: 34 2. There are two classes of assessments as follows: 35 -6- LSB 1314DP (14) 84 av/sc 6/ 31
S.F. _____ H.F. _____ a. Class A assessments shall be made authorized and called 1 for the purpose of meeting administrative and legal costs and 2 other general expenses and examinations conducted under section 3 508C.12, subsection 5 , . Class A assessments may be authorized 4 and called whether or not related to a particular impaired or 5 insolvent insurer. 6 b. Class B assessments shall be made authorized and called 7 to the extent necessary to carry out the powers and duties of 8 the association under section 508C.8 with regard to an impaired 9 domestic insurer or an insolvent domestic, foreign, or alien 10 insurer. 11 3. a. The amount of a class A assessment shall be 12 determined by the board and to the extent that class A 13 assessments do not exceed one hundred dollars per company 14 in any one calendar year may be made on a per capita basis 15 and may be authorized and called on a pro rata or non-pro 16 rata basis . If pro rata, the board may provide that the 17 assessment be credited against future class B assessments. 18 The total of all non-pro rata assessments shall not exceed 19 three hundred dollars per member insurer in any one calendar 20 year. The amount of a class B assessment shall be allocated 21 for assessment purposes among the accounts as the liabilities 22 and expenses of the association, either experienced or 23 reasonably expected, are attributable to those accounts, all 24 as determined by the association and on as equitable a basis 25 as is reasonably practical pursuant to an allocation formula 26 which may be based on the premiums or reserves of the impaired 27 or insolvent insurer or on any other standard deemed by the 28 board in its sole discretion as being fair and reasonable under 29 the circumstances . 30 b. Class A assessments in excess of one hundred dollars 31 per company per calendar year and class B assessments against 32 member insurers for each account shall be in the proportion 33 that the average of the aggregate premiums received on business 34 in this state by each assessed member insurer on policies or 35 -7- LSB 1314DP (14) 84 av/sc 7/ 31
S.F. _____ H.F. _____ contracts related to that covered by each account for the three 1 most recent calendar years for which information is available, 2 preceding the year in which the insurer became impaired or 3 insolvent, is or, in the case of an assessment with respect to 4 an impaired insurer, the three most recent calendar years for 5 which information is available preceding the year in which the 6 insurer became impaired, bears to the average of the aggregate 7 premiums received on business in this state for those calendar 8 years by all assessed member insurers on policies related to 9 that account for the three most recent calendar years for which 10 information is available preceding the assessment . 11 c. Assessments for funds to meet the requirements of the 12 association with respect to an impaired or insolvent insurer 13 shall not be made authorized or called until necessary to 14 implement the purposes of this chapter . Classification 15 of assessments under this subsection 2 and computation 16 of assessments under this subsection shall be made with 17 a reasonable degree of accuracy, recognizing that exact 18 determinations may not always be possible. The association 19 shall notify each member insurer of its anticipated pro rata 20 share of an authorized assessment not yet called within one 21 hundred eighty days after the assessment is authorized. 22 4. The association may abate or defer, in whole or in part, 23 the assessment of a member insurer if, in the opinion of the 24 board, payment of the assessment would endanger the ability of 25 the member insurer to fulfill its contractual obligations. If 26 an assessment against a member insurer is abated or deferred, 27 in whole or in part, the amount by which the assessment is 28 abated or deferred may be assessed against the other member 29 insurers in a manner consistent with the basis for assessments 30 set forth in this section . Once the conditions that caused 31 an abatement or deferral have been removed or rectified, the 32 member insurer shall pay all assessments that were abated 33 or deferred pursuant to a repayment plan approved by the 34 association. 35 -8- LSB 1314DP (14) 84 av/sc 8/ 31
S.F. _____ H.F. _____ 5. a. (1) The Subject to the provisions of subparagraph 1 (2) of this paragraph “a” , the total of all assessments upon 2 authorized by the association with respect to a member insurer 3 for each account of the accounts established pursuant to 4 section 508C.6, and designated as the health insurance account, 5 the life insurance account, the annuity account, and the 6 unallocated annuity contract account, shall not in any one 7 calendar year exceed two percent of the average of the that 8 member insurer’s average annual premiums received in this state 9 on the policies and contracts covered by the account during 10 the three most recent calendar years for which information is 11 available, preceding the year in which the insurer becomes 12 impaired or insolvent , on the policies related to that account . 13 (2) However, if If two or more assessments are authorized 14 in one calendar year with respect to insurers that become 15 impaired or insolvent in different calendar years, the average 16 annual premiums for purposes of the aggregate assessment 17 percentage limitation referred to in subparagraph (1) of this 18 paragraph “a” shall be equal , and limited , to the higher of the 19 three-year average annual premiums for the applicable account 20 as calculated pursuant to this section . 21 (3) If the maximum assessment for an account , together 22 with the other assets of the association in the account, 23 does not provide in any one year in the either account an 24 amount sufficient to carry out the responsibilities of the 25 association, the necessary additional funds shall be assessed 26 for the account in succeeding years as soon as permitted by 27 this chapter . 28 b. The board may provide in its plan of operation a method 29 of allocating funds among claims, whether relating to one 30 or more impaired or insolvent insurers, when the maximum 31 assessment will be insufficient to cover anticipated claims. 32 b. c. If the maximum assessment under paragraph “a” for any 33 account, other than the health insurance account, either the 34 life insurance account, the annuity account, or the unallocated 35 -9- LSB 1314DP (14) 84 av/sc 9/ 31
S.F. _____ H.F. _____ annuity contract account in one year does not provide an amount 1 sufficient to carry out the responsibilities of the association 2 in any succeeding year , the board, pursuant to subsection 3 , 3 paragraph “a” “b” , shall assess access any of the other said 4 accounts for the necessary additional amount and allocate the 5 amount for assessment among the accounts, other than the health 6 insurance account, in the following sequence: from the life 7 insurance account, to the annuity account, to the unallocated 8 annuity contract account; from the annuity account, to the 9 unallocated annuity contract account, to the life insurance 10 account; from the unallocated annuity contract account, to the 11 annuity account, to the life insurance account; provided that 12 no amount shall be allocated to an account for assessment until 13 the maximum amount has been allocated to the preceding account , 14 subject to the maximum assessments stated in paragraph “a” of 15 this subsection . 16 6. By an equitable method as established in the plan 17 of operation, the board may refund to member insurers, in 18 proportion to the contribution of each insurer to that account, 19 the amount by which the assets of the account, including assets 20 accruing from assignment, subrogation, net realized gains , and 21 income from investments, exceed the amount the board finds is 22 necessary to carry out during the coming year the obligations 23 of the association with regard to that account. A reasonable 24 amount may be retained in any account to provide funds for the 25 continuing expenses of the association and for future losses if 26 refunds are impractical claims . 27 Sec. 15. Section 508C.9, Code 2011, is amended by adding the 28 following new subsections: 29 NEW SUBSECTION . 9. a. A member insurer that wishes to 30 protest all or part of an assessment shall pay when due the 31 full amount of the assessment as set forth in the notice 32 provided by the association. The payment shall be made 33 available to meet association obligations during the pendency 34 of the protest or any subsequent appeal. The payment shall 35 -10- LSB 1314DP (14) 84 av/sc 10/ 31
S.F. _____ H.F. _____ be accompanied by a statement in writing that the payment is 1 made under protest and setting forth a brief statement of the 2 grounds for the protest. 3 b. Within sixty days following the payment of an assessment 4 under protest by a member insurer, the association shall 5 either notify the protesting member insurer in writing of 6 its determination with respect to the protest or notify the 7 protesting member insurer that additional time is required to 8 resolve the issues raised by the protest. 9 c. Within thirty days after a final decision has been made, 10 the association shall notify the protesting member insurer in 11 writing of that final decision. Within sixty days of receipt 12 of notice of the final decision, the protesting member insurer 13 may appeal that final decision to the commissioner. 14 d. As an alternative to rendering a final decision with 15 respect to a protest of an assessment, the association may 16 refer the protest to the commissioner for a final decision, 17 with or without a recommendation from the association. 18 e. If a protest or subsequent appeal of an assessment is 19 upheld in favor of the protesting member insurer, the amount 20 paid in error or the excess shall be refunded to the member 21 insurer. Interest on a refund due a protesting member insurer 22 shall be paid at the rate actually earned by the association 23 during the pendency of the protest or any subsequent appeal. 24 NEW SUBSECTION . 10. The association may request 25 information from member insurers in order to aid in the 26 exercise of the association’s power under this section, and the 27 member insurers shall promptly comply with such a request. 28 Sec. 16. Section 508C.11, subsection 1, paragraph c, Code 29 2011, is amended by striking the paragraph. 30 Sec. 17. Section 508C.11, subsection 3, Code 2011, is 31 amended to read as follows: 32 3. An A final action of the board of directors or the 33 association may be appealed to the commissioner by a member 34 insurer if the appeal is taken within thirty sixty days of the 35 -11- LSB 1314DP (14) 84 av/sc 11/ 31
S.F. _____ H.F. _____ member insurer’s receipt of notice of the final action being 1 appealed. A final action or order of the commissioner is 2 subject to judicial review pursuant to chapter 17A in a court 3 of competent jurisdiction. 4 Sec. 18. Section 508C.12, subsection 1, paragraphs b 5 through d, Code 2011, are amended to read as follows: 6 b. Report to the board of directors when the commissioner 7 has taken any of the actions set forth in paragraph “a” or has 8 received a report from any other commissioner indicating that a 9 member insurer is impaired or insolvent such action has been 10 taken in another state . Reports to the board of directors 11 shall contain all significant details of the action taken or 12 the report received from another commissioner. 13 c. Report to the board of directors when there is reasonable 14 cause to believe from an examination, whether completed or in 15 process, of a member company insurer that the company insurer 16 may be an impaired or insolvent insurer. 17 d. Furnish to the board of directors the national 18 association of insurance commissioners’ early warning tests. 19 The insurance regulatory information system ratios, and 20 listing of insurers not included in the ratios, developed 21 by the national association of insurance commissioners, and 22 the board may use the information in carrying out its duties 23 and responsibilities under this section . The report and the 24 information contained in the report shall be kept confidential 25 by the board of directors until such time as it is made public 26 by the commissioner or other lawful authority. 27 Sec. 19. Section 508C.12, subsection 2, Code 2011, is 28 amended to read as follows: 29 2. The commissioner may seek the advice and recommendations 30 of the board of directors concerning any matter affecting 31 the commissioner’s duties and responsibilities regarding the 32 financial condition of member companies insurers and companies 33 seeking admission to transact insurance business in this state. 34 Sec. 20. Section 508C.12, subsection 7, Code 2011, is 35 -12- LSB 1314DP (14) 84 av/sc 12/ 31
S.F. _____ H.F. _____ amended by striking the subsection. 1 Sec. 21. Section 508C.16, Code 2011, is amended to read as 2 follows: 3 508C.16 Immunity —— indemnification. 4 1. A member insurer and its agents and employees, the 5 association and its agents and employees, members of the board 6 of directors, and the commissioner and the commissioner’s 7 representatives are not liable for any action taken by them 8 or omission by them while acting within the scope of their 9 employment and in the performance of their powers and duties 10 under this chapter and such immunity granted under this section 11 shall extend to their participation in any organization of one 12 or more state associations of similar purposes and to that 13 organization and its agents and employees . 14 2. Sections 490.850 through 490.859 apply to the 15 association. 16 Sec. 22. Section 508C.17, Code 2011, is amended to read as 17 follows: 18 508C.17 Stay of proceedings —— reopening default judgments. 19 Proceedings in which the insolvent insurer is a party in a 20 court in this state shall be stayed sixty one hundred eighty 21 days from the date an order of liquidation, rehabilitation, 22 or conservation is final to permit proper legal action by the 23 association on matters germane to its powers or duties. The 24 association may apply to have a judgment under a decision, 25 order, verdict, or finding based on default, set aside by the 26 same court that entered the judgment, and shall be permitted to 27 defend against the suit on the merits. 28 Sec. 23. Section 508C.18, Code 2011, is amended to read as 29 follows: 30 508C.18 Prohibited advertisements. 31 A person, including an insurer, agent or affiliate of an 32 insurer , shall not make, publish, disseminate, circulate, or 33 place before the public, or cause directly or indirectly, to 34 be made, published, disseminated, circulated, or placed before 35 -13- LSB 1314DP (14) 84 av/sc 13/ 31
S.F. _____ H.F. _____ the public in a newspaper, magazine, or other publication, 1 or in the form of a notice, circular, pamphlet, letter, or 2 poster, or over a radio station or television station, or in 3 any other way, an advertisement, announcement, or statement , 4 written or oral, which uses the existence of the insurance 5 guaranty association of this state for the purpose of sales, 6 solicitation, or inducement to purchase any form of insurance 7 covered by this chapter . However, this section does not apply 8 to the association or any other entity which does not sell or 9 solicit insurance. 10 Sec. 24. NEW SECTION . 508C.18A Notice to policyholders —— 11 summary of chapter and disclosure. 12 1. a. Within one hundred eighty days after enactment of 13 this section, the association shall prepare a summary document 14 describing the general purposes and current provisions of 15 this chapter and containing a disclosure in compliance with 16 subsection 2. This summary document shall be submitted to the 17 commissioner for approval. The approved summary document and 18 disclosure shall be delivered to the owner of an insurance 19 policy or contract as provided in this section. 20 b. This subsection is repealed July 1, 2012. 21 2. a. On or after March 1, 2012, an insurer shall not 22 deliver an insurance policy or contract in Iowa to the owner 23 of the policy or contract unless a summary document describing 24 the general purposes and current provisions of this chapter 25 and containing a disclosure in compliance with subsection 3 is 26 delivered to the policy or contract owner at the same time. 27 b. The summary document shall also be available upon request 28 by an insurance policy or contract owner. 29 c. The distribution, delivery, contents, or interpretation 30 of this summary document does not guarantee that either 31 the insurance policy or contract or the owner of the policy 32 or contract is covered in the event of the impairment or 33 insolvency of a member insurer. 34 d. The summary document shall be revised by the association 35 -14- LSB 1314DP (14) 84 av/sc 14/ 31
S.F. _____ H.F. _____ and approved by the commissioner as amendments to this chapter 1 may require. Failure to receive a summary document does not 2 give the insurance policy or contract owner, certificate 3 holder, or insured any greater rights than those stated in this 4 chapter. 5 3. The summary document prepared pursuant to this section 6 shall contain a clear and conspicuous disclosure on its face. 7 The commissioner shall establish the form and content of the 8 disclosure which shall do all of the following: 9 a. State the name and address of the association and the 10 Iowa insurance division. 11 b. Prominently warn the insurance policy or contract owner 12 that the association may not cover the policy or contract or, 13 if coverage is available, it will be subject to substantial 14 limitations and exclusions and conditioned on continued 15 residence in this state. 16 c. State the types of insurance policies and contracts for 17 which the association will provide coverage. 18 d. State that the insurer and its agents are prohibited by 19 law from using the existence of the association for the purpose 20 of sales, solicitation, or inducement to purchase any form of 21 insurance. 22 e. State that the insurance policy or contract owner should 23 not rely on coverage from the association when selecting an 24 insurer. 25 f. Explain rights available and procedures for filing a 26 complaint to allege a violation of any provisions of this 27 chapter. 28 g. Provide other information as directed by the 29 commissioner, including but not limited to sources for 30 information about the financial condition of an insurer 31 provided that the information is not proprietary and is subject 32 to disclosure under chapter 22. 33 4. A member insurer shall retain evidence of compliance with 34 the provisions of this section for as long as the insurance 35 -15- LSB 1314DP (14) 84 av/sc 15/ 31
S.F. _____ H.F. _____ policy or contract for which the notice is given remains in 1 effect. 2 Sec. 25. Section 511.8, subsection 16, Code 2011, is amended 3 by adding the following new paragraph: 4 NEW PARAGRAPH . h. Financial instruments used in hedging 5 transactions, and securities pledged as collateral for 6 financial instruments used in highly effective hedging 7 transactions, eligible for inclusion in the legal reserve under 8 subsection 22 may be made a part of the deposit by filing a 9 verified statement of the financial instruments or securities 10 pursuant to the terms and conditions of the applicable hedging 11 transaction agreement or of the applicable collateral agreement 12 or other credit support agreement. 13 Sec. 26. Section 511.8, subsection 22, Code 2011, is amended 14 by adding the following new paragraph: 15 NEW PARAGRAPH . i. Securities held in the legal reserve of 16 a life insurance company or association pledged as collateral 17 for financial instruments used in highly effective hedging 18 transactions as defined in the national association of 19 insurance commissioners’ Statement of Statutory Accounting 20 Principles No. 86 shall continue to be eligible for inclusion 21 on the legal reserve of the life insurance company or 22 association subject to all of the following: 23 (1) The life insurance company or association does not 24 include the financial instruments used in highly effective 25 hedging transactions for which the securities are pledged as 26 collateral in the legal reserve of the life insurance company 27 or association, provided, however, that this subparagraph 28 shall not exclude securities pledged to a counterparty, 29 clearing organization, or clearinghouse on an upfront basis 30 in the form of initial margin, independent amount, or other 31 securities pledged as a precondition of entering into financial 32 instruments used in highly effective hedging transactions from 33 inclusion in the legal reserve of the life insurance company 34 or association. 35 -16- LSB 1314DP (14) 84 av/sc 16/ 31
S.F. _____ H.F. _____ (2) Securities pledged as collateral for financial 1 instruments used in highly effective hedging transactions are 2 not eligible in excess of ten percent of the legal reserve of 3 the life insurance company or association, less any financial 4 instruments used in hedging transactions held in the legal 5 reserve under this subsection. 6 (3) Securities pledged to a counterparty, clearing 7 organization, or clearinghouse on an upfront basis in 8 the form of initial margin, independent amount, or other 9 securities pledged as a precondition of entering into financial 10 instruments used in highly effective hedging transactions are 11 not eligible in excess of one percent of the legal reserve of 12 the life insurance company or association. 13 Sec. 27. Section 514C.18, subsection 1, paragraph a, Code 14 2011, is amended by striking the paragraph and inserting in 15 lieu thereof the following: 16 a. Equipment and supplies. 17 Sec. 28. Section 515.125, subsection 1, Code 2011, is 18 amended to read as follows: 19 1. Unless otherwise provided in section 515.127 , 515.128 , 20 515.129 , 515.129A , 515.129B , or 515.129C , a policy or contract 21 of insurance provided for in this chapter shall not be 22 forfeited, suspended, or canceled except by notice to the 23 insured as provided in this chapter . A notice of cancellation 24 is not effective unless mailed or delivered by the insurer to 25 the named insured at least thirty days before the effective 26 date of cancellation or, where cancellation is for nonpayment 27 of a premium, assessment, or installment provided for in the 28 policy, or in a note or contract for the payment thereof, at 29 least ten days prior to the date of cancellation. The notice 30 may be made in person, or by sending by mail a letter addressed 31 to the insured at the insured’s address as given in or upon 32 the policy, anything in the policy, application, or a separate 33 agreement to the contrary notwithstanding. 34 Sec. 29. Section 515.126, Code 2011, is amended to read as 35 -17- LSB 1314DP (14) 84 av/sc 17/ 31
S.F. _____ H.F. _____ follows: 1 515.126 Cancellation of policy —— notice to insured or 2 mortgagee. 3 1. Unless otherwise provided in section 515.127 or , 4 515.128 , 515.129 , 515.129A , 515.129B , or 515.129C , at any time 5 after the maturity of a premium, assessment, or installment 6 provided for in the policy, or a note or contract for the 7 payment thereof, or after the suspension, forfeiture, or 8 cancellation of a policy or contract of insurance, the insured 9 may pay to the company the customary short rates and costs of 10 action, if one has been commenced or judgment rendered thereon, 11 and may, if the insured so elects, have the policy and all 12 contracts or obligations connected with the policy, whether 13 in judgment or otherwise, canceled, and all such policy and 14 contracts shall be void; and in case of suspension, forfeiture, 15 or cancellation of a policy or contract of insurance, the 16 insured is not liable for a greater amount than the short 17 rates earned at the date of the suspension, forfeiture, or 18 cancellation and the costs of action provided for in this 19 section . 20 2. If the policy is canceled by the insurance company, 21 the insurer may retain only the pro rata premium, and if the 22 initial cash premium, or any part of the premium, has not been 23 paid, the policy may be canceled by the insurance company by 24 giving notice to the insured as provided in section 515.125 25 and ten days’ notice to the mortgagee, or other person to whom 26 the policy is made payable, if any, without tendering any 27 part of the premium, anything to the contrary in the policy 28 notwithstanding. 29 Sec. 30. Section 515D.5, subsection 1, Code 2011, is amended 30 to read as follows: 31 1. a. Notwithstanding the provisions of sections 32 515.125 through 515.127 , 515.126 , and 515.129A , a notice of 33 cancellation of a policy shall not be effective unless mailed 34 or delivered by the insurer to the named insured at least 35 -18- LSB 1314DP (14) 84 av/sc 18/ 31
S.F. _____ H.F. _____ thirty days prior to the effective date of cancellation, 1 or, where the cancellation is for nonpayment of premium 2 notwithstanding the provisions of sections 515.125 and 515.127 3 515.126 , at least ten days prior to the date of cancellation. 4 A post office department certificate of mailing to the named 5 insured at the address shown in the policy shall be proof 6 of receipt of such mailing. Unless the reason accompanies 7 the notice of cancellation, the notice shall state that upon 8 written request of the named insured, mailed or delivered 9 to the insurer not less than fifteen days prior to the 10 date of cancellation, the insurer will state the reason for 11 cancellation together with notification of the right to a 12 hearing before the commissioner within fifteen days as provided 13 in this chapter . 14 b. When the reason does not accompany the notice of 15 cancellation, the insurer shall, upon receipt of a timely 16 request by the named insured, state in writing the reason 17 for cancellation. A statement of reason shall be mailed or 18 delivered to the named insured within five days after receipt 19 of a request. 20 Sec. 31. Section 515D.7, subsection 1, Code 2011, is amended 21 to read as follows: 22 1. Notwithstanding the provisions of sections 515.125 23 through 515.128 , 515.129B , and 515.129C , an insurer shall 24 not fail to renew a policy except by notice to the insured 25 as provided in this chapter . A notice of intention not to 26 renew shall not be effective unless mailed or delivered by the 27 insurer to the named insured at least thirty days prior to 28 the expiration date of the policy. A post office department 29 certificate of mailing to the named insured at the address 30 shown in the policy shall be proof of receipt of such mailing. 31 Unless the reason accompanies the notice of intent not to 32 renew, the notice shall state that, upon written request of the 33 named insured, mailed or delivered to the insurer not less than 34 thirty days prior to the expiration date of the policy, the 35 -19- LSB 1314DP (14) 84 av/sc 19/ 31
S.F. _____ H.F. _____ insurer will state the reason for nonrenewal. 1 Sec. 32. Section 518C.3, subsection 4, paragraph b, 2 subparagraph (3), Code 2011, is amended to read as follows: 3 (3) An A fee or other amount due an relating to goods and 4 services sought by or on behalf of an attorney, adjuster, or 5 witness as a fee for services rendered to , or other provider of 6 goods or services retained by the insolvent insurer or by an 7 insured prior to the date the insurer was declared insolvent . 8 Sec. 33. Section 518C.3, subsection 4, paragraph b, Code 9 2011, is amended by adding the following new subparagraphs: 10 NEW SUBPARAGRAPH . (4A) A fee or other amount sought by or 11 on behalf of an attorney, adjuster, witness, or other provider 12 of goods or services retained by the insured or claimant 13 in connection with the assertion of any claim, covered or 14 otherwise, against the association. 15 NEW SUBPARAGRAPH . (4B) A claim filed with the association 16 or with a liquidator for protection afforded under the 17 insured’s policy or contract for incurred but not reported 18 losses or expenses. 19 Sec. 34. Section 518C.5, Code 2011, is amended to read as 20 follows: 21 518C.5 Board of directors. 22 1. The board of directors of the association shall 23 consist of the officers and directors of the mutual insurance 24 association of Iowa or its successor association , but only 25 if such officers and directors are employed by a corporation 26 organized as a county mutual insurance association pursuant to 27 chapter 518 or a state mutual insurance association pursuant to 28 chapter 518A . 29 2. An officer and director of the mutual insurance 30 association of Iowa shall serve in the same capacity on the 31 association board as the officer or director serves the mutual 32 insurance association of Iowa or its successor association , but 33 only if the officer and director is employed by a corporation 34 organized as a county mutual insurance association pursuant to 35 -20- LSB 1314DP (14) 84 av/sc 20/ 31
S.F. _____ H.F. _____ chapter 518 or a state mutual insurance association pursuant to 1 chapter 518A . 2 Sec. 35. Section 518C.6, subsection 1, paragraph a, 3 subparagraph (2), subparagraph division (b), Code 2011, is 4 amended to read as follows: 5 (b) An amount not exceeding the lesser of the policy 6 limits or three five hundred thousand dollars per claim for 7 all covered claims for all damages arising out of any one or a 8 series of accidents, occurrences, or incidents, regardless of 9 the number of persons making claims or the number of applicable 10 policies. 11 Sec. 36. Section 518C.15, Code 2011, is amended to read as 12 follows: 13 518C.15 Immunity. 14 Liability There shall be no liability on the part of, and 15 a cause of action of any nature shall not arise against , any 16 member insurer, the association , or its agents or employees, 17 the board of directors, any committee established for the 18 purpose of administering the affairs of the association, or any 19 person serving as an alternate or substitute representative 20 director of the association, or the commissioner, or the 21 commissioner’s representatives, for any reasonable action taken 22 or any failure to act by them in the performance of their 23 duties and execution of powers as provided for under this 24 chapter . 25 Sec. 37. Section 521.1, subsection 4, Code 2011, is amended 26 to read as follows: 27 4. “Company” means a company or association organized under 28 chapter 508 , 511 514B , 515 , 518 , 518A , or 520 , and includes a 29 mutual insurance holding company organized pursuant to section 30 521A.14 . 31 Sec. 38. Section 521.2, subsection 1, Code 2011, is amended 32 to read as follows: 33 1. One or more domestic mutual insurance companies 34 organized under chapter 491 may merge or consolidate with a 35 -21- LSB 1314DP (14) 84 av/sc 21/ 31
S.F. _____ H.F. _____ domestic or foreign mutual insurance company as provided in 1 this chapter . Sections 491.102 through 491.105 shall not be 2 applicable to a merger or consolidation of a domestic mutual 3 insurance company pursuant to this chapter . 4 Sec. 39. Section 521.2, Code 2011, is amended by adding the 5 following new subsections: 6 NEW SUBSECTION . 5. One or more foreign or domestic stock 7 insurance companies may merge into a domestic mutual insurance 8 company organized under chapter 491 as provided in this 9 chapter. 10 NEW SUBSECTION . 6. One or more domestic health maintenance 11 organizations or limited service organizations formed under 12 chapter 514B may merge into a domestic insurance company 13 organized under chapter 490 or chapter 491 as provided in this 14 chapter. 15 NEW SUBSECTION . 7. Sections 491.102 through 491.105 shall 16 not be applicable to a merger or consolidation of a domestic 17 mutual insurance company pursuant to this chapter. 18 Sec. 40. Section 521E.3, subsection 1, paragraph a, 19 unnumbered paragraph 1, Code 2011, is amended to read as 20 follows: 21 The filing of a risk-based capital report by an insurer which 22 indicates either any of the following: 23 Sec. 41. Section 521E.3, subsection 1, paragraph a, Code 24 2011, is amended by adding the following new subparagraph: 25 NEW SUBPARAGRAPH . (3) For a property and casualty insurer, 26 the insurer’s total adjusted capital is greater than or equal 27 to its company-action-level risk-based capital but less than 28 the product of its authorized-control-level risk-based capital 29 and three and triggers the trend test determined in accordance 30 with the trend test calculation included in the property and 31 casualty risk-based capital instructions. 32 Sec. 42. Section 521F.4, subsection 1, Code 2011, is amended 33 to read as follows: 34 1. “Company-action-level event” means any of the following: 35 -22- LSB 1314DP (14) 84 av/sc 22/ 31
S.F. _____ H.F. _____ a. The filing of a risk-based capital report by a health 1 organization which indicates that the health organization’s 2 total adjusted capital is greater than or equal to its 3 regulatory-action-level risk-based capital but less than its 4 company-action-level risk-based capital. 5 b. The filing of a risk-based capital report by a health 6 organization which indicates that the health organization has 7 total adjusted capital which is greater than or equal to its 8 company-action-level risk-based capital but less than the 9 product of its authorized-control-level risk-based capital and 10 three and triggers the trend test determined in accordance with 11 the trend test calculations included in the health risk-based 12 capital instructions. 13 b. c. Notification by the commissioner to a health 14 organization of an adjusted risk-based capital report that 15 indicates an event in paragraph “a” or “b” , provided the health 16 organization does not challenge the adjusted risk-based capital 17 report and request a hearing pursuant to section 521F.8 . 18 c. d. If a hearing is requested pursuant to section 521F.8 , 19 notification by the commissioner to the health organization 20 after the hearing that the commissioner has rejected the health 21 organization’s challenge of the adjusted risk-based capital 22 report indicating the event in paragraph “a” or “b” . 23 Sec. 43. Section 523A.206, subsection 1, Code 2011, is 24 amended to read as follows: 25 1. The commissioner may conduct an examination under 26 this chapter of any seller as often as the commissioner 27 deems appropriate. If a seller has a trust arrangement, the 28 commissioner shall conduct an examination of such seller doing 29 business in this state not less than once every three five 30 years unless the seller has provided to the commissioner, on 31 an annual basis, a certified copy of an audit conducted by an 32 independent certified public accountant verifying compliance 33 with this chapter . The commissioner may require an audit of 34 a seller, or other person by a certified public accountant 35 -23- LSB 1314DP (14) 84 av/sc 23/ 31
S.F. _____ H.F. _____ to verify compliance with the requirements of this chapter , 1 including rules adopted and orders issued pursuant to this 2 chapter . 3 Sec. 44. Section 523I.213A, subsection 1, Code 2011, is 4 amended to read as follows: 5 1. The commissioner or the commissioner’s designee may 6 conduct an examination under this chapter of any cemetery as 7 often as the commissioner deems appropriate. If a cemetery 8 has a trust arrangement, the commissioner shall conduct an 9 examination not less than once every three five years. 10 EXPLANATION 11 This bill relates to various matters under the purview of the 12 insurance division of the department of commerce. 13 UNIFORM SECURITIES ACT. Code section 502.410 is amended 14 to raise the fee for filing an application for registration, 15 renewal, or a change of registration as an investment advisor 16 from $30 to $40. 17 Code section 502.604 is amended to allow the administrator 18 of the securities and regulated industries bureau of the 19 insurance division of the department of commerce to order 20 restitution or take other corrective action as deemed necessary 21 to accomplish compliance with the state’s securities laws. 22 INSURANCE DIVISION. Code section 505.8 is amended to 23 provide that the commissioner of insurance shall enforce 24 all state laws relating to both federal and state insurance 25 business transacted in the state and to allow the commissioner 26 to assess the costs of an investigation or proceeding after an 27 administrative hearing. The commissioner is also authorized to 28 adopt administrative rules and emergency rules pursuant to Code 29 chapter 17A as necessary to effectuate the insurance provisions 30 of the federal Patient Protection and Affordable Care Act of 31 2010, or other applicable federal laws. 32 Code section 505.18 is amended to specify that the 33 commissioner’s duty in preparing a report for the governor and 34 the general assembly should include findings regarding health 35 -24- LSB 1314DP (14) 84 av/sc 24/ 31
S.F. _____ H.F. _____ spending costs for health insurance carriers in the state, not 1 health insurance plans. 2 Code section 505.19 is amended to provide that public 3 comments received concerning proposed health insurance rate 4 increases will be posted without delay during the normal 5 business hours of the insurance division. 6 INSURANCE FRAUD. Code section 507E.8 is amended to provide 7 that securities and regulated industries bureau investigators 8 have the power and status of law enforcement officers who by 9 the nature of their duties may be required to perform the 10 duties of a peace officer. 11 IOWA LIFE AND HEALTH INSURANCE GUARANTY ASSOCIATION. Code 12 section 508C.5 is amended to add definitions of “authorized 13 assessment”, “benefit plan”, “called assessment”, “plan 14 sponsor”, “principal place of business”, and “receivership 15 court” and to amend the definition of “covered policy” and 16 “resident” for purposes of the Code chapter. 17 New Code section 508C.8A specifies the factors an 18 association must consider in determining what constitutes the 19 principal business of a plan sponsor or a person other than a 20 natural person. 21 Code section 508C.9(2) is amended to require that the 22 association must now “authorize” and “call” class A assessments 23 for the purpose of meeting administrative and legal costs 24 of the association and class B assessments for otherwise 25 carrying out the powers and duties of the association. As 26 newly defined, an “authorized assessment” means that the 27 board of directors of the association has passed a resolution 28 authorizing the assessment and a “called assessment” means that 29 a notice has been issued to member insurers requiring that an 30 authorized assessment be paid within the time set forth in the 31 notice. 32 Code section 508C.9(3) is amended to provide that class 33 A assessments may be authorized and called on a pro rata or 34 non-pro rata basis. Pro rata assessments may be credited 35 -25- LSB 1314DP (14) 84 av/sc 25/ 31
S.F. _____ H.F. _____ against future class B assessments and the total of all non-pro 1 rata assessments cannot exceed $300 per member insurer in any 2 one calendar year. Class B assessments are determined pursuant 3 to an allocation formula which may be based on the premiums 4 or reserves of the impaired or insolvent insurer or any other 5 standard deemed fair and reasonable by the board. Class B 6 assessments for each account maintained by the association are 7 made in the proportion each assessed member insurer’s premiums 8 bear to premiums received by all assessed member insurers. The 9 association is required to notify each member insurer of its 10 anticipated pro rata share of an assessment within 180 days 11 after the assessment is authorized. 12 Code section 508C.9(4) is amended to provide that if the 13 association abates or defers the assessment of a member 14 insurer, the assessment shall be paid by the insurer once the 15 conditions that caused the abatement or deferral are removed 16 pursuant to a payment plan approved by the association. 17 Code section 508C.9(5) is amended to change the calculation 18 method for assessments of member insurers with respect to 19 the health insurance account, the life insurance account, 20 the annuity account, and the unallocated annuity contract 21 account. The board is also authorized to provide in its plan 22 of operation a method of allocating funds among claims relating 23 to one or more impaired or insolvent insurers when the maximum 24 assessment will be insufficient to cover anticipated claims. 25 If the maximum assessment under the life insurance account, the 26 annuity account, or the unallocated annuity contract account is 27 insufficient, the board shall access the other said accounts 28 for the necessary amount subject to the maximum assessments 29 allowed. 30 Code section 508C.9(6) is amended to allow the board to 31 refund to member insurers amounts the board finds are not 32 necessary to carry out the obligations of the association 33 with regard to an account that includes assets accruing from 34 assignment, subrogation, net realized gains, and income from 35 -26- LSB 1314DP (14) 84 av/sc 26/ 31
S.F. _____ H.F. _____ investments. 1 New Code section 508C.9(9) provides a procedure for a member 2 insurer to protest and appeal an assessment. 3 New Code section 508C.9(10) allows the association to 4 request information from member insurers in order to aid in the 5 exercise of the association’s power. 6 Code section 508C.11(1) is amended to strike a provision 7 requiring the commissioner to be appointed as the liquidator 8 or rehabilitator in a liquidation or rehabilitation proceeding 9 involving a domestic insurer. 10 Code section 508C.11(3) is amended to provide that a final 11 action of the board or the association may be appealed to the 12 commissioner by a member insurer within 60, instead of 30, days 13 of the insurer’s receipt of notice of the final action. 14 Code section 508C.12 is amended to require the commissioner 15 to report to the board upon receiving notice that certain 16 actions have been taken against a member insurer in another 17 state and to provide the board with the national association 18 of insurance commissioners’ insurance regulatory information 19 system ratios, and listing of insurers not included in the 20 ratios, developed for use by the board in carrying out its 21 duties and responsibilities in preventing insolvencies. 22 Code section 508C.12(7), which required the board to prepare 23 a report to the commissioner at the conclusion of an insurer 24 insolvency in which the association was obligated to pay 25 claims, is stricken. 26 Code section 508C.16 is amended to provide that immunity and 27 indemnification provisions that apply to member insurers, the 28 association, the board of directors, the commissioner, and any 29 of their agents, employees, and representatives for actions or 30 omissions made by them in performing their powers and duties 31 under Code chapter 508C, are extended to their participation in 32 any organization of one or more similar state associations and 33 to that organization and its agents and employees. 34 Code section 508C.17 is amended to allow a stay of court 35 -27- LSB 1314DP (14) 84 av/sc 27/ 31
S.F. _____ H.F. _____ proceedings in which an insolvent insurer is a party from 1 180 instead of 60 days from the date of a final order of 2 liquidation, rehabilitation, or conservation to permit legal 3 action by the association. 4 Code section 508C.18 is amended to specify that persons, 5 including insurers and their agents, are prohibited from making 6 written or oral advertisements that use the existence of the 7 insurance guaranty association to sell insurance. 8 New Code section 508C.18A requires the association within 9 180 days after enactment of this Code section to prepare a 10 summary document describing the general purposes and current 11 provisions of Code chapter 508C and containing a disclosure 12 with specified information about the coverage provided by the 13 association. On or after March 1, 2012, an insurer shall not 14 deliver an insurance policy or contract in Iowa to the owner of 15 the policy or contract unless the summary document is delivered 16 at the same time. 17 LIFE INSURANCE COMPANIES AND ASSOCIATIONS. Code section 18 511.8(16)(h) is added to provide that financial instruments 19 used in hedging transactions and securities pledged as 20 collateral for financial instruments used in highly effective 21 hedging transactions are eligible for inclusion in the legal 22 reserve of an insurance company or association under Code 23 section 511.8(22). A corollary provision is added in Code 24 section 511.8(22)(i) to provide that securities held in the 25 legal reserve of a life insurance company or association 26 pledged as collateral for financial instruments used in highly 27 effective hedging transactions as defined in the national 28 association of insurance commissioners’ Statement of Statutory 29 Accounting Principles continue to be eligible for inclusion in 30 the legal reserve subject to specified conditions. 31 SPECIAL HEALTH AND ACCIDENT INSURANCE COVERAGES. Code 32 section 514C.18, requiring health insurance coverage for the 33 treatment of diabetes, is amended to delete a reference to 34 specific testing supplies for home monitoring of the disease 35 -28- LSB 1314DP (14) 84 av/sc 28/ 31
S.F. _____ H.F. _____ and instead add a more general reference to coverage of 1 equipment and supplies. 2 INSURANCE OTHER THAN LIFE. Code chapter 515 has several 3 provisions which relate to the duties of insurers when 4 forfeiting, suspending, cancelling, or nonrenewing commercial 5 and personal line policies or contracts of insurance. Code 6 sections 515.125 and 515.126 which contain general provisions 7 concerning those duties are amended to specify that more 8 specific provisions enacted in 2010 concerning personal lines 9 of insurance take precedence over these more general provisions 10 if they are inconsistent with one another. 11 AUTOMOBILE INSURANCE CANCELLATION. Code chapter 515D 12 contains provisions which relate specifically to the 13 cancellation of personal automobile insurance. Code sections 14 515D.5 and 515D.7 are amended to provide that the provisions 15 of Code chapter 515D take precedence over those relating to 16 the cancellation of personal lines insurance contained in 17 Code chapter 515 concerning the cancellation or nonrenewal of 18 personal automobile insurance. 19 COUNTY AND STATE MUTUAL INSURANCE GUARANTY ASSOCIATION. 20 Code section 518C.3(4)(b)(3) is amended to specify that a 21 covered claim for which the guaranty association provides 22 coverage does not include a fee or other amount relating to 23 goods or services sought by on behalf of any provider of goods 24 or services retained by an insolvent insurer or by an insured 25 prior to the date the insurer was declared insolvent. 26 Code section 518C.3(4)(b) is also amended to provide 27 that a covered claim does not include a fee or other amount 28 sought by or on behalf of an attorney, adjuster, witness, or 29 other provider of goods or services retained by an insured or 30 claimant in connection with the assertion of a claim against 31 the association. 32 Code section 518C.5 is amended to provide that the board 33 of directors of the guaranty association consists of the 34 officers and directors of the mutual insurance association of 35 -29- LSB 1314DP (14) 84 av/sc 29/ 31
S.F. _____ H.F. _____ Iowa or its successor only if those people are employed by a 1 corporation organized as a county mutual insurance association 2 pursuant to Code chapter 518 or a state mutual insurance 3 association pursuant to Code chapter 518A. 4 Code section 518C.6(1)(a)(2)(b) is amended to provide 5 that the association is obligated to pay certain claims not 6 exceeding the lesser of the policy limits or $500,000, instead 7 of $300,000, per claim or claims arising out of any one or a 8 series of occurrences. 9 Code section 518C.15 is amended to expand the immunity 10 provisions pertaining to the association to include any 11 committee established for the purpose of administering 12 the affairs of the association or any person serving as 13 an alternate or substitute representative director of the 14 association for any actions taken or any failure to act in the 15 performance of their duties. 16 CONSOLIDATION, MERGERS, AND REINSURANCE. Code section 17 521.1(4) is amended to provide that a company subject to the 18 consolidation, merger, and reinsurance provisions of Code 19 chapter 521 includes a health maintenance organization or 20 limited service organization organized pursuant to Code chapter 21 514B. 22 Code section 521.2 is amended to provide that one or more 23 foreign or domestic stock insurance companies may merge into a 24 domestic mutual insurance company organized under Code chapter 25 491 and one or more domestic health maintenance organizations 26 or limited service organizations formed under Code chapter 27 514B may merge into a domestic insurance company organized 28 under Code chapter 490 or 491. In addition, certain provisions 29 relating to merger or consolidation in Code chapter 491 are not 30 applicable to the merger or consolidation of a domestic mutual 31 insurance company pursuant to this chapter. 32 RISK-BASED CAPITAL REQUIREMENTS FOR INSURERS. Code section 33 521E.3(1)(a) is amended to add another situation which 34 constitutes a company-action-level event for an insurer when 35 -30- LSB 1314DP (14) 84 av/sc 30/ 31
S.F. _____ H.F. _____ included in the filing of a risk-based capital report by the 1 insurer. 2 RISK-BASED CAPITAL REQUIREMENTS FOR HEALTH ORGANIZATIONS. 3 Code section 521F.4(1) is amended to add another situation 4 which constitutes a company-action-level event for a health 5 organization when included in the filing of a risk-based 6 capital report by the health organization. 7 CEMETERY AND FUNERAL MERCHANDISE AND FUNERAL SERVICES. Code 8 section 523A.206(1) is amended to require the commissioner 9 to conduct examinations of sellers of cemetery and funeral 10 merchandise, and funeral services every five years, instead of 11 every three years. 12 CEMETERY REGULATION. Code section 523I.213A(1) is amended 13 to require the commissioner to conduct an examination of a 14 cemetery every five years, instead of every three years. 15 -31- LSB 1314DP (14) 84 av/sc 31/ 31