California Assembly Bill AB2490 Amended / Bill

 BILL NUMBER: AB 2490AMENDED BILL TEXT AMENDED IN ASSEMBLY APRIL 27, 2010 AMENDED IN ASSEMBLY APRIL 6, 2010 INTRODUCED BY Assembly Member Jones FEBRUARY 19, 2010 An act to add Section 11658.5 to the Insurance Code, relating to workers' compensation insurance. LEGISLATIVE COUNSEL'S DIGEST AB 2490, as amended, Jones. Workers' compensation insurance: dispute resolution: arbitration clauses. Existing law requires that a workers' compensation insurance policy or endorsement not be issued by an insurer unless the insurer files a copy of the form or endorsement with the rating organization and 30 days have expired from the date the form or endorsement is received by the commissioner from the rating organization without notice from the commissioner, unless the commissioner gives written approval of the form or the endorsement prior to that time. This bill would require any agreement  , other than a settlement agreement resolving a particular dispute,  between an employer and a workers' compensation insurer concerning resolution of disputes, including, but not limited to, an arbitration clause arising out of a workers' compensation policy  ,  or  endorsement  , or plan  be part of the form or endorsement filed with the rating organization and approved by the commissioner and contain provisions to resolve disputes  that arise in this state  in the California courts and under California law. Failure to observe those requirements would render the dispute resolution agreement void and unenforceable. Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no. THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS: SECTION 1. The Legislature finds and declares all of the following: (a) All California employers subject to the Workers' Compensation Law are required by law to obtain insurance for their employees. (b) Workers' compensation plans   policies and endorsements  are highly regulated and designed primarily to protect the worker and ensure prompt payment of claims. (c) The Legislature has authorized the Insurance Commissioner (commissioner)  and the Workers' Compensation Insurance Rating Bureau (WCIRB)  to oversee the form and substance of all workers' compensation insurance  plans   policies and endorsements  , including everything from the scope of required coverage provided to employees, to the amount employers pay insurers for premiums. (d) Insurance companies providing workers' compensation  policies are required by law to disclose and seek preapproval from the commissioner and WCIRB of the insurance plan being purchased.   policies and endorsements are required by law to file the policies and endorsements with the rating organization for transfer to the commissioner.  (e) Disputes between employers and insurance companies regarding workers' compensation plans can arise, and resolution of these disputes through litigation can be expensive, uncertain, and time consuming. (f) In an effort to save time, costs, and the uncertainty of litigation, national workers' compensation carriers often place mandatory arbitration clauses into policies and, over time, these arbitration clauses have become complex and expensive, and have diminished the rights of the parties in the arbitration proceedings.  (g) Despite the requirement that the commissioner approve the form and substance of all workers' compensation plans, some workers' compensation carriers issue separate or side agreements, sometimes called Insurance Program Agreements or IPAs, that are not provided to the employer until after the policy or plan is accepted, that require arbitration of any disputes between the employer and the carrier concerning the approved workers' compensation plan, and lack the approval of the commissioner.   (g) Despite the requirement that the workers' compensation carrier file policies and endorsements with the rating organization and wait a prescribed period, some workers' compensation carriers issue separate or side agreements, sometimes called Insurance Program Agreements or IPAs, that are not provided to the employer until after the policy or endorsement is accepted, that require arbitration of any disputes between the employer and the carrier concerning the workers' compensation policy or endorsement, and that have not been filed with the rating organization or commissioner.  (h) These  unapproved   unfiled  separate or side agreements  (or IPAs)  often choose a foreign jurisdiction's law to interpret the plan and resolve disputes, and choose a state other than California as the location or venue to conduct arbitrations. This subjects Californians to another state's laws and forces them to travel outside this state to conduct dispute resolution proceedings, resulting in significant cost burdens. (i) California employers have successfully challenged some of these side agreements containing arbitration clauses; however, it should not be necessary to burden the California courts with these cases. (j) California has a compelling state interest in ensuring that workers' compensation policies and  plans   endorsements  are enforced under California law and not subject to interpretation by other jurisdictions, and that any dispute resolution proceedings are conducted within its borders. SEC. 2. Section 11658.5 is added to the Insurance Code, to read: 11658.5. (a) Any agreement , other than a settlement agreement resolving a particular dispute,  between an employer and a workers' compensation insurer concerning resolution of disputes, including, but not limited to, an arbitration clause arising out of a workers' compensation  policy, endorsement, or plan   policy or endorsement  shall conform to all of the following: (1) It shall be part of the form or endorsement filed with the rating organization and approved by the commissioner pursuant to Section 11658. (2) It shall contain a choice of law provision that identifies California law as the law to be used to resolve any dispute  that arises in California  . (3) It shall contain a forum selection provision that identifies California as the proper venue for any proceeding regarding a dispute  that arises in California  . (b) Failure to observe the requirements of this section shall render the dispute resolution agreement void and unenforceable.