Connecticut 2010 Regular Session

Connecticut House Bill HB05308 Compare Versions

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1-General Assembly Substitute Bill No. 5308
2-February Session, 2010 *_____HB05308INS___031710____*
1+General Assembly Raised Bill No. 5308
2+February Session, 2010 LCO No. 1567
3+ *01567_______INS*
4+Referred to Committee on Insurance and Real Estate
5+Introduced by:
6+(INS)
37
48 General Assembly
59
6-Substitute Bill No. 5308
10+Raised Bill No. 5308
711
812 February Session, 2010
913
10-*_____HB05308INS___031710____*
14+LCO No. 1567
15+
16+*01567_______INS*
17+
18+Referred to Committee on Insurance and Real Estate
19+
20+Introduced by:
21+
22+(INS)
1123
1224 AN ACT ESTABLISHING A NONPROFIT WORKERS' COMPENSATION INSURANCE COMPANY.
1325
1426 Be it enacted by the Senate and House of Representatives in General Assembly convened:
1527
1628 Section 1. (NEW) (Effective July 1, 2010) (a) As used in this section:
1729
1830 (1) "Board" means the board of directors established under subsection (c) of this section;
1931
20-(2) "Chief executive officer" means the chief executive officer of the nonprofit legal entity established under subsection (b) of this section; and
32+(2) "Chief executive officer" means the chief executive officer of the nonprofit legal entity established under subsection (b) of this section;
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22-(3) "Workers' compensation insurance company" or "company" means the nonprofit legal entity established under subsection (b) of this section.
34+(3) "Fund" means the workers' compensation account established under subsection (d) of this section; and
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24-(b) (1) There is established a workers' compensation insurance company, which shall be a nonprofit legal entity, to provide and administer workers' compensation insurance to employers in this state against liabilities arising under chapter 568 of the general statutes.
36+(4) "Workers' compensation insurance company" or "company" means the nonprofit legal entity established under subsection (b) of this section.
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26-(2) Such company shall be organized and operated as a domestic mutual insurance company and shall be subject to the provisions of title 38a of the general statutes, except as otherwise provided in this section.
38+(b) (1) There is established a workers' compensation insurance company, which shall be a nonprofit legal entity to serve as the workers' compensation insurance carrier of last resort for employers in the state, to provide and administer workers' compensation insurance against liabilities arising under chapter 568 of the general statutes.
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28-(3) Such company shall not be deemed to be a state agency for any purpose, nor shall such company's employees be considered state employees.
40+(2) Such company shall (A) be organized and operated as a domestic mutual insurance company, (B) be subject to the provisions of title 38a of the general statutes, except as otherwise provided in this section, and (C) be exempt from the corporation business tax under chapter 208 of the general statutes.
41+
42+(3) Such company shall not (A) be a member of the National Council on Compensation Insurance, (B) be considered a state agency for any purpose, nor shall such entity's employees be considered state employees, or (C) participate in, or be subject to, the provisions of sections 38a-858 to 38a-875, inclusive, of the general statutes.
2943
3044 (c) (1) The powers of the workers' compensation insurance company shall be vested in a board of directors consisting of seven members as follows, and the Labor Commissioner and the chief executive officer, who shall be ex-officio members:
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3246 (A) Three members appointed by the Governor;
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3448 (B) One member appointed by the speaker of the House of Representatives;
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3650 (C) One member appointed by the president pro tempore of the Senate;
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3852 (D) One member appointed by the minority leader of the House of Representatives; and
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4054 (E) One member appointed by the minority leader of the Senate.
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4256 (2) All members, except for the Labor Commissioner and the chief executive officer, shall be workers' compensation insurance policyholders or officers or employees of such policyholders. At least three of the members shall be representatives of for-profit entities.
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4458 (3) No member, other than the Labor Commissioner and the chief executive officer, shall be an elected or appointed official of the state or a municipality of the state or an employee or representative of the insurance industry.
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4660 (4) The members appointed under subdivision (1) of this subsection shall serve for terms of four years, except the members appointed under subparagraphs (B) to (E), inclusive, of said subdivision (1) shall be elected by the workers' compensation insurance company's policyholders after the initial term, pursuant to procedures established by the board. Members may be reappointed or elected to serve consecutive terms. Any vacancy occurring during the term of a member shall be filled as provided in the workers' compensation insurance company's bylaws. Members shall serve without compensation for their services but shall be reimbursed for their expenses.
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4862 (5) The board shall annually elect a chairperson and any other officers it deems necessary for the performance of its duties.
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5064 (6) The members of the board shall be appointed not later than September 1, 2010, and the board shall organize as soon as is practicable after such appointments.
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5266 (7) The board may:
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5468 (A) Sue and be sued;
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5670 (B) Have a seal and alter it at will;
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5872 (C) Make, amend and repeal bylaws, procedures and rules relating to the conduct of the business of the workers' compensation insurance company and as required by the provisions of this section;
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6074 (D) Enter into contractual agreements for the administration of the workers' compensation insurance company;
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62-(E) Rent, lease, buy or sell real or personal property in the workers' compensation insurance company's name and construct or repair buildings necessary to provide space for the board's operations;
76+(E) Rent, lease, buy or sell real or personal property in the workers' compensation insurance company's name and may construct or repair buildings necessary to provide space for the board's operations;
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64-(F) Declare dividends to the workers' compensation insurance company policyholders when there is an excess of assets over liabilities;
78+(F) Declare (i) dividends to the workers' compensation insurance company policyholders when there is an excess of assets over liabilities, and (ii) minimum surplus requirements;
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66-(G) Establish accounts in a state or federally-chartered financial institution whose deposits are insured by the Federal Deposit Insurance Corporation. All premiums paid by policyholders and any other moneys paid to the workers' compensation insurance company shall be deposited in such accounts;
80+(G) Establish accounts in a state or federally-chartered financial institution whose deposits are insured by the Federal Deposit Insurance Corporation. All premiums paid by policyholders, capital assessment amounts received pursuant to subsection (g) of this section and any other moneys paid to the workers' compensation insurance company shall be deposited in such accounts;
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68-(H) Pay medical expenses, rehabilitation expenses and compensation due to claimants of policyholders;
82+(H) Pay medical expenses, rehabilitation expenses and compensation due claimants of policyholders;
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7084 (I) Hire staff, set and pay salaries and compensation and pay administrative and other expenses of the workers' compensation insurance company; and
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72-(J) Perform all other functions and exercise all other powers of a domestic mutual insurance company that are necessary, appropriate or convenient to administer the accounts established pursuant to subparagraph (G) of this subdivision or to carry out the provisions of this section.
86+(J) Perform all other functions and exercise all other powers of a domestic mutual insurance company that are necessary, appropriate or convenient to administer the fund or carry out the provisions of this section.
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7488 (8) (A) The board shall employ a chief executive officer of the workers' compensation insurance company not later than January 1, 2011, who shall have oversight of the daily activities of said company. The chief executive officer shall serve at the pleasure of the board.
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7690 (B) Subject to the authority of the board and the provisions of this section, said officer shall perform the duties of chief executive officer as provided in the company's bylaws or determined by resolution of the board. In addition, the chief executive officer shall:
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7892 (i) Make safety inspections of risks and furnish advisory services on safety and health measures to policyholders;
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80-(ii) Collect and disburse moneys necessary to administer the accounts established pursuant to subparagraph (G) of subdivision (7) of this subsection and to conduct the business of the company;
94+(ii) Collect and disburse moneys necessary to administer the fund and conduct the business of the company;
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8296 (iii) Create an abstract summary of any audit or survey conducted by the company; and
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84-(iv) Perform all other acts necessary to exercise the powers, authority or jurisdiction of the company, including, but not limited to, the establishment of premium rates. Subject to the approval of the board, the chief executive officer may delegate any duties on behalf of the company to qualified officers or employees of the company, and may contract with qualified independent contractors to perform such duties for the company.
98+(iv) Perform all other acts necessary to exercise the powers, authority or jurisdiction of the company, including, but not limited to, the establishment of premium rates. Subject to the approval of the board, the chief executive officer may delegate any duties on behalf of the company to qualified officers or employees of the workers' compensation insurance company, and may contract with qualified independent contractors to perform such duties for the company.
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86100 (d) No member of the board or officer or employee of the workers' compensation insurance company shall be personally liable, jointly or severally, for any debt or obligation created or incurred by said company.
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88-(e) (1) The workers' compensation insurance company shall be deemed to have met the minimum surplus requirement set forth in section 38a-72 of the general statutes when the sum specified under section 2 of this act has been transferred to the Labor Department.
102+(e) (1) The workers' compensation insurance company may insure an employer against workers' compensation liabilities arising under chapter 568 of the general statutes, including excess and residual risk workers' compensation insurance.
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90-(2) The workers' compensation insurance company may insure an employer against workers' compensation liabilities arising under chapter 568 of the general statutes, including excess and residual risk workers' compensation insurance.
104+(2) Employers may apply for coverage directly or through an insurance producer licensed in the state to the workers' compensation insurance company according to the procedures or rules established by the board pursuant to subsection (c) of this section. The board shall also establish a schedule of commissions paid to insurance producers for voluntary and residual risks.
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92-(3) Employers may apply for coverage to the workers' compensation insurance company through an insurance producer licensed in this state according to the procedures or rules established by the board pursuant to subsection (c) of this section. The board shall establish a schedule of commissions paid to insurance producers for voluntary and residual risk workers' compensation insurance policies written or sold by such producers.
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94-(4) The board may deny an application for workers' compensation insurance coverage, refuse to renew coverage or cancel coverage, as appropriate, for any of the following:
106+(3) The board may deny an application for workers' compensation insurance coverage, refuse to renew coverage or cancel coverage, as appropriate, for any of the following:
95107
96108 (A) Nonpayment of any premium for current or prior policies issued by the workers' compensation insurance company to a policyholder or to another entity the board deems to be a successor in interest of such policyholder;
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98-(B) Failure or refusal by an applicant or policyholder to fully and accurately disclose to the company information concerning such applicant's or policyholder's ownership, change of ownership, operations or payroll, including allocation of payroll among state and federal compensation programs, classification of payroll or any other information determined to be necessary by the board to determine appropriate rates; or
110+(B) Failure or refusal by an applicant or policyholder to fully and accurately disclose to the company information concerning such applicant's or policyholder's ownership, change of ownership, operations or payroll, including allocation of payroll among state and federal compensation programs, classification of payroll and any other information determined to be necessary by the board to determine appropriate rates; or
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100112 (C) Failure or refusal by an applicant or policyholder to comply with the board's safety requirements or to permit premises inspections to the satisfaction of the board.
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102-(5) Any determination by the board with respect to the denial, nonrenewal or cancellation of a workers' compensation insurance policy under this subsection, except for cancellation for nonpayment of premium, may be appealed to the Insurance Commissioner, in writing, not later than thirty days after notice by the board to the applicant or policyholder of such action. If said commissioner determines that the board has unreasonably denied, failed to renew or cancelled any insurance policy for a residual risk, the board shall in good faith reconsider issuing, renewing or reinstating such insurance policy. If the board has not issued, renewed or reinstated such insurance policy within thirty days after the commissioner's determination, the applicant or policyholder may appeal the denial, failure to renew or cancellation by the board to the superior court for the judicial district of Hartford.
114+(4) Any determination by the board with respect to the denial, nonrenewal or cancellation of a workers' compensation insurance policy under this subsection, except for cancellation for nonpayment of premium, may be appealed to the Insurance Commissioner, in writing, not later than thirty days after notice by the board to the applicant or policyholder of such action. If said commissioner determines that the board has unreasonably denied, failed to renew or cancelled any insurance policy for a residual risk, the board shall in good faith reconsider issuing, renewing or reinstating such insurance policy. If the board has not issued, renewed or reinstated such insurance policy not later than thirty days after the commissioner's determination, the applicant or policyholder may appeal the denial, failure to renew or cancellation by the program to the superior court for the judicial district of Hartford.
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104-(f) Not later than January 1, 2012, and annually thereafter until the board has completed all repayments required under section 2 of this act, the board shall submit a report, in accordance with the provisions of section 11-4a of the general statutes, to the Governor and the joint standing committee of the General Assembly having cognizance of matters relating to workers' compensation, on the business transacted by the workers' compensation insurance company in the prior calendar year. Such report shall include, but not be limited to, a statement of the assets and liabilities of the company and a summary of the repayments made to date pursuant to section 2 of this act.
116+(f) (1) The workers' compensation insurance company shall be subject to rate regulation under chapter 701 of the general statutes, except as otherwise provided in this subsection.
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106-Sec. 2. (NEW) (Effective July 1, 2010) (a) Notwithstanding the provisions of chapter 66 of the general statutes, the Treasurer shall transfer to the Labor Department, for the fiscal year ending June 30, 2011, the sum of five million dollars from the State Employees Retirement Fund, for the workers' compensation insurance company established under section 1 of this act.
118+(2) The workers' compensation insurance company shall not file any initial workers' compensation insurance rates in excess of the rates then in effect for residual workers' compensation insurance coverage offered by any other insurers within the state, exclusive of any discounts the board may apply and the premium surcharges established by the board under subdivision (6) of this subsection. The company may continue such initial rates until the effective date of any subsequent filing made pursuant to section 38a-676 of the general statutes.
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108-(b) Such sum shall not be transferred until the Treasurer and the State Employees' Bargaining Agent Coalition have provided written consent to the clerks of both houses of the General Assembly to such transfer.
120+(3) If a filing is not accompanied by the information upon which the workers' compensation insurance company supports the filing and the Insurance Commissioner lacks sufficient information to determine whether the filing meets the requirements of applicable law, said commissioner may require the company to furnish such information, including, but not limited to, (A) the experience or judgment of the board or the chief executive officer, (B) the board's or the chief executive officer's interpretation of any statistical data the board or said officer relies upon, (C) the experience of other insurers or rating organizations, or (D) any other relevant factors.
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110-(c) The board established under subsection (c) of section 1 of this act shall repay to the Treasurer the sum transferred pursuant to this section plus interest at a rate determined by the Treasurer, over a period not to exceed five years from the date the board receives such sum. The Treasurer shall deposit any repayment amounts received pursuant to this subsection in the State Employees Retirement Fund.
122+(4) Notwithstanding any other provision of the general statutes, the board and any policyholder may mutually consent to modify the rates for such policyholder's workers' compensation insurance policy, provided the board files notice of the modification with the Insurance Commissioner.
123+
124+(5) If the Insurance Commissioner finds a rate or filing of the workers' compensation insurance company is unjust, unreasonable, excessive, inadequate or unfairly discriminatory, said commissioner shall hold a hearing upon not less than ten days' written notice to the workers' compensation insurance company of the time and place of the hearing. The commissioner shall (A) specify the matters to be considered at the hearing, and (B) issue an order (i) specifying in what respects said commissioner finds the rate or filing unjust, unreasonable, excessive, inadequate or unfairly discriminatory, and (ii) stating a date after which such rate or filing shall no longer be used or shall be deemed no longer effective, provided such order shall not apply to a policy delivered or issued for delivery prior to the expiration date specified in such order.
125+
126+(6) Notwithstanding any other provision of the general statutes, the board may establish and apply rules for premium surcharges for an applicant or policyholder who presents a higher than normal risk within a class. Such rules shall provide for premium surcharges of up to three times the applicable premium rate, as the board deems appropriate, to further the purposes of this section. Such surcharges may be payable upon assessment, over the policy year or upon renewal, at the option of the board. Any premium surcharge assessed by the board may be appealed to the Insurance Commissioner not later than twenty days after notice by the board to the applicant or policyholder of the imposition of the surcharge. Said commissioner may modify or rescind such surcharge if the commissioner determines that the surcharge is unjust, unreasonable, inadequate, excessive or unfairly discriminatory.
127+
128+(g) (1) On and after the effective date of this section and through December 31, 2013, the Insurance Commissioner shall assess and collect a workers' compensation capital assessment of three per cent of the gross premiums charged by each insurance company licensed to write workers' compensation insurance in the state on any workers' compensation insurance policy for policyholders in the state that is in force as of or written after the effective date of this section. The Insurance Commissioner may adjust the rate of the assessment to ensure the solvency of the workers' compensation insurance company and adequate surplus requirements.
129+
130+(2) Such assessments shall be payable quarterly and shall be due not later than fifteen days after the end of each calendar quarter or, at the discretion of the Insurance Commissioner, may be payable on an annual basis on or before July first of each year. The commissioner may proceed to collect such assessment in the manner provided by law. The Insurance Commissioner shall pay the assessments collected to the board established under subsection (c) of this section.
131+
132+(3) If an insurance company that was licensed to write workers' compensation insurance in the state on the effective date of this section discontinues the issuance of workers' compensation insurance policies in the state prior to December 31, 2013, such insurance company shall be and remain obligated to pay the capital assessment surcharge assessed through December 31, 2013, calculated on the basis of the average voluntary and residual risk gross premiums received by such company or the average voluntary and residual risk gross losses paid by such company, in the thirty-six months prior to such company's discontinuance of such insurance policies.
133+
134+(4) The board shall pay an annual fee through December 31, 2013, to the Insurance Commissioner in the amount of two-tenths of one per cent of the earned premiums of the workers' compensation insurance company for the prior calendar year, to carry out the provisions of this subsection. The Insurance Commissioner shall deposit such fee in the Insurance Fund, established under section 38a-52a of the general statutes.
135+
136+(h) (1) Notwithstanding section 38a-72 of the general statutes, the workers' compensation insurance company shall maintain a ratio of premiums on policies written to surplus requirements of not more than three to one, or any greater or lesser ratio deemed by the Insurance Commissioner to be appropriate, pursuant to regulations adopted in accordance with chapter 54 of the general statutes. In determining a greater or lesser ratio, said commissioner may consider the net present value of future capital assessment amounts as current surplus.
137+
138+(2) The workers' compensation insurance company shall submit to the Insurance Department quarterly and annual statements in a format and scope prescribed by the Insurance Commissioner.
139+
140+(3) In the event of the liquidation of the workers' compensation insurance company pursuant to chapter 704c of the general statutes, the company's policyholders shall have no distributive claims in their capacities as owners of the company, to the company's estate. Upon the satisfaction of classes 1 to 9, inclusive, under section 38a-944 of the general statutes, the Insurance Commissioner, as receiver, shall distribute the residual of the company's estate, if any, to the Insurance Fund. Nothing in this subsection shall be construed to affect the validity or priority of any claims arising from and within the coverage of any workers' compensation insurance policies issued by the company.
141+
142+(i) Not later than January 1, 2012, and annually thereafter, the board shall submit a report, in accordance with the provisions of section 11-4a of the general statutes, to the Governor and the joint standing committee of the General Assembly having cognizance of matters relating to labor and workers' compensation, on the business transacted by the workers' compensation insurance company in the prior calendar year, including, but not limited to, a statement of the assets and liabilities of the company.
143+
144+Sec. 2. (Effective July 1, 2010) The sum of five million dollars is appropriated to the Labor Department, from the General Fund, for the fiscal year ending June 30, 2011, for the workers' compensation insurance company established under section 1 of this act.
145+
146+Sec. 3. (Effective July 1, 2010) The sum of ____ dollars is appropriated to the Labor Department, from the General Fund, for the fiscal year ending June 30, 2012, for the workers' compensation insurance company established under section 1 of this act.
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112148
113149
114150
115151 This act shall take effect as follows and shall amend the following sections:
116152 Section 1 July 1, 2010 New section
117153 Sec. 2 July 1, 2010 New section
154+Sec. 3 July 1, 2010 New section
118155
119156 This act shall take effect as follows and shall amend the following sections:
120157
121158 Section 1
122159
123160 July 1, 2010
124161
125162 New section
126163
127164 Sec. 2
128165
129166 July 1, 2010
130167
131168 New section
132169
133-Statement of Legislative Commissioners:
170+Sec. 3
134171
135-In section 1(e)(5), before "to the superior court", "program" was changed to "board" for internal consistency.
172+July 1, 2010
136173
174+New section
137175
176+Statement of Purpose:
138177
139-INS Joint Favorable Subst.
178+To establish a nonprofit workers' compensation insurance company to serve as the workers' compensation insurance carrier of last resort for employers in the state.
140179
141-INS
142-
143-Joint Favorable Subst.
180+[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.]