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3 | 3 | | LCO No. 1363 1 of 7 |
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4 | 4 | | |
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5 | 5 | | General Assembly Raised Bill No. 403 |
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6 | 6 | | February Session, 2024 |
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7 | 7 | | LCO No. 1363 |
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8 | 8 | | |
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9 | 9 | | |
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10 | 10 | | Referred to Committee on INSURANCE AND REAL ESTATE |
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11 | 11 | | |
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12 | 12 | | |
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13 | 13 | | Introduced by: |
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14 | 14 | | (INS) |
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15 | 15 | | |
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16 | 16 | | |
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17 | 17 | | |
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18 | 18 | | |
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19 | 19 | | AN ACT CONCERNING INSURANCE MARKET CONDUCT AND |
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20 | 20 | | INSURANCE LICENSING. |
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21 | 21 | | Be it enacted by the Senate and House of Representatives in General |
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22 | 22 | | Assembly convened: |
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23 | 23 | | |
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24 | 24 | | Section 1. Section 38a-8 of the 2024 supplement to the general statutes 1 |
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25 | 25 | | is repealed and the following is substituted in lieu thereof (Effective 2 |
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26 | 26 | | October 1, 2024): 3 |
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27 | 27 | | (a) The commissioner shall see that all laws respecting insurance 4 |
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28 | 28 | | companies and health care centers are faithfully executed and shall 5 |
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29 | 29 | | administer and enforce the provisions of this title. The commissioner 6 |
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30 | 30 | | shall have all powers specifically granted, and all further powers that 7 |
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31 | 31 | | are reasonable and necessary to enable the commissioner to protect the 8 |
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32 | 32 | | public interest in accordance with the duties imposed by this title, 9 |
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33 | 33 | | including, but not limited to, the power to order restitution of any sums 10 |
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34 | 34 | | obtained in violation of any provision of this title, or any regulation or 11 |
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35 | 35 | | order adopted or issued pursuant to this title by the commissioner, plus 12 |
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36 | 36 | | interest at the rate set forth in section 37-3a. The commissioner shall pay 13 |
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37 | 37 | | to the Treasurer all the fees that the commissioner receives. The 14 |
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38 | 38 | | commissioner may administer oaths in the discharge of the 15 Raised Bill No. 403 |
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39 | 39 | | |
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40 | 40 | | |
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41 | 41 | | |
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42 | 42 | | LCO No. 1363 2 of 7 |
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43 | 43 | | |
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44 | 44 | | commissioner's duties. 16 |
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45 | 45 | | (b) The commissioner shall recommend to the General Assembly 17 |
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46 | 46 | | changes that, in the commissioner's opinion, should be made in the laws 18 |
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47 | 47 | | relating to insurance. 19 |
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48 | 48 | | (c) In addition to the specific regulations that the commissioner is 20 |
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49 | 49 | | required to adopt, the commissioner may adopt such further 21 |
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50 | 50 | | regulations, in accordance with the provisions of chapter 54, as are 22 |
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51 | 51 | | reasonable and necessary to implement the provisions of this title. 23 |
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52 | 52 | | (d) The commissioner shall develop a program of periodic review to 24 |
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53 | 53 | | ensure compliance by the Insurance Department with the minimum 25 |
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54 | 54 | | standards established by the National Association of Insurance 26 |
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55 | 55 | | Commissioners for effective financial surveillance and regulation of 27 |
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56 | 56 | | insurance companies operating in this state. The commissioner shall 28 |
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57 | 57 | | adopt regulations, in accordance with the provisions of chapter 54, 29 |
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58 | 58 | | pertaining to the financial surveillance and solvency regulation of 30 |
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59 | 59 | | insurance companies and health care centers as are reasonable and 31 |
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60 | 60 | | necessary to obtain or maintain the accreditation of the Insurance 32 |
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61 | 61 | | Department by the National Association of Insurance Commissioners. 33 |
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62 | 62 | | The commissioner shall maintain as confidential any confidential 34 |
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63 | 63 | | documents or information received from the National Association of 35 |
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64 | 64 | | Insurance Commissioners, or the International Association of Insurance 36 |
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65 | 65 | | Supervisors, or any documents or information received from state or 37 |
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66 | 66 | | federal insurance, banking or securities regulators or similar regulators 38 |
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67 | 67 | | in a foreign country that are confidential in such jurisdictions. The 39 |
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68 | 68 | | commissioner may share any information, including confidential 40 |
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69 | 69 | | information, with the National Association of Insurance 41 |
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70 | 70 | | Commissioners, the International Association of Insurance Supervisors, 42 |
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71 | 71 | | or state or federal insurance, banking or securities regulators or similar 43 |
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72 | 72 | | regulators in a foreign country, provided the commissioner determines 44 |
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73 | 73 | | that such entities agree to maintain the same level of confidentiality in 45 |
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74 | 74 | | their jurisdictions as is available in this state. At the expense of a 46 |
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75 | 75 | | domestic, alien or foreign insurer, the commissioner may engage the 47 |
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76 | 76 | | services of attorneys, actuaries, accountants and other experts not 48 Raised Bill No. 403 |
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77 | 77 | | |
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78 | 78 | | |
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79 | 79 | | |
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80 | 80 | | LCO No. 1363 3 of 7 |
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81 | 81 | | |
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82 | 82 | | otherwise part of the commissioner's staff as may be necessary to assist 49 |
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83 | 83 | | the commissioner in the financial analysis of the insurer, the review of 50 |
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84 | 84 | | the insurer's license applications, and the review of transactions within 51 |
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85 | 85 | | a holding company system involving an insurer domiciled in this state. 52 |
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86 | 86 | | No duties of a person employed by the Insurance Department on 53 |
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87 | 87 | | November 1, 2002, shall be performed by such attorney, actuary, 54 |
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88 | 88 | | accountant or expert. 55 |
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89 | 89 | | (e) The commissioner shall establish a program to reduce costs and 56 |
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90 | 90 | | increase efficiency through the use of electronic methods to transmit 57 |
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91 | 91 | | documents, including policy form and rate filings, to and from insurers 58 |
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92 | 92 | | and the Insurance Department. The commissioner may sit as a member 59 |
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93 | 93 | | of the board of a consortium organized by or in association with the 60 |
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94 | 94 | | National Association of Insurance Commissioners for the purpose of 61 |
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95 | 95 | | coordinating a system for electronic rate and form filing among state 62 |
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96 | 96 | | insurance departments and insurers. 63 |
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97 | 97 | | (f) The commissioner shall maintain as confidential information 64 |
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98 | 98 | | obtained, collected or prepared in connection with examinations, 65 |
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99 | 99 | | inspections or investigations, and complaints from the public received 66 |
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100 | 100 | | by the Insurance Department, if such records are protected from 67 |
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101 | 101 | | disclosure under federal law or state statute or, in the opinion of the 68 |
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102 | 102 | | commissioner, such records would disclose, or would reasonably lead 69 |
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103 | 103 | | to the disclosure of: (1) Investigative information the disclosure of which 70 |
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104 | 104 | | would be prejudicial to such investigation, until such time as the 71 |
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105 | 105 | | investigation is concluded; or (2) personal, financial or medical 72 |
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106 | 106 | | information concerning a person who has filed a complaint or inquiry 73 |
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107 | 107 | | with the Insurance Department, without the written consent of the 74 |
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108 | 108 | | person or persons to whom the information pertains. 75 |
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109 | 109 | | (g) The commissioner may, in the commissioner's discretion, engage 76 |
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110 | 110 | | the services of such third-party actuaries, professionals and specialists 77 |
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111 | 111 | | that the commissioner deems necessary to assist the commissioner in 78 |
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112 | 112 | | reviewing any rate, form or similar filing submitted to the commissioner 79 |
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113 | 113 | | pursuant to this title. The cost of such services shall be borne by the 80 |
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114 | 114 | | person who submitted such rate, form or similar filing to the 81 Raised Bill No. 403 |
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115 | 115 | | |
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116 | 116 | | |
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117 | 117 | | |
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118 | 118 | | LCO No. 1363 4 of 7 |
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119 | 119 | | |
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120 | 120 | | commissioner. 82 |
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121 | 121 | | (h) The commissioner shall promote the development and growth of, 83 |
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122 | 122 | | and employment opportunities within, the insurance industry in the 84 |
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123 | 123 | | state. 85 |
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124 | 124 | | (i) (1) Whenever the commissioner finds that any person has engaged 86 |
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125 | 125 | | in or is about to engage in any act, practice or omission that constitutes, 87 |
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126 | 126 | | or will constitute, a violation of any section of this title, or any regulation 88 |
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127 | 127 | | or order adopted or issued by the commissioner implementing the 89 |
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128 | 128 | | provisions of this title, the Attorney General may, at the request of the 90 |
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129 | 129 | | commissioner, bring an action in the superior court for the judicial 91 |
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130 | 130 | | district of Hartford for an order: (A) Enjoining such act, practice or 92 |
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131 | 131 | | omission. Upon a showing by the commissioner that such person has 93 |
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132 | 132 | | engaged in or is about to engage in any such act, practice or omission, 94 |
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133 | 133 | | the court may issue a permanent or temporary injunction, restraining 95 |
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134 | 134 | | order or other order, as appropriate. The commissioner shall not be 96 |
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135 | 135 | | required to post a bond in such action; (B) imposing a penalty not to 97 |
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136 | 136 | | exceed one hundred thousand dollars per violation against any such 98 |
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137 | 137 | | person found by the commissioner to have violated any such section, 99 |
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138 | 138 | | regulation or order; or (C) providing restitution against such person for 100 |
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139 | 139 | | any sums shown by the commissioner to have been obtained by such 101 |
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140 | 140 | | person in violation of any such section, regulation or order, plus interest 102 |
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141 | 141 | | at the rate set forth in section 37-3a. 103 |
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142 | 142 | | (2) Whenever the commissioner prevails in any action brought under 104 |
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143 | 143 | | this subsection, the court may allow to the state any costs of such action. 105 |
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144 | 144 | | Sec. 2. Section 38a-16 of the general statutes is repealed and the 106 |
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145 | 145 | | following is substituted in lieu thereof (Effective October 1, 2024): 107 |
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146 | 146 | | (a) (1) The Insurance Commissioner or the commissioner's authorized 108 |
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147 | 147 | | representative may, as often as the commissioner deems necessary, 109 |
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148 | 148 | | conduct investigations and hearings in aid of any investigation on any 110 |
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149 | 149 | | matter under the provisions of this title. Pursuant to any such 111 |
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150 | 150 | | investigation or hearing, the commissioner or the commissioner's 112 |
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151 | 151 | | authorized representative may issue data calls, subpoenas, administer 113 Raised Bill No. 403 |
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152 | 152 | | |
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153 | 153 | | |
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154 | 154 | | |
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155 | 155 | | LCO No. 1363 5 of 7 |
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156 | 156 | | |
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157 | 157 | | oaths, compel testimony, order the production of books, records, papers 114 |
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158 | 158 | | and documents, and examine books and records. Any person in receipt 115 |
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159 | 159 | | of an order from the commissioner or the commissioner's authorized 116 |
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160 | 160 | | representative for the production of books, records, papers or 117 |
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161 | 161 | | documents shall comply with the order not later than thirty calendar 118 |
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162 | 162 | | days after the date of such order. If any person refuses to allow the 119 |
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163 | 163 | | examination of books and records, to appear, to testify or to produce 120 |
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164 | 164 | | any book, record, paper or document when so ordered, a judge of the 121 |
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165 | 165 | | Superior Court, upon application of the commissioner or the 122 |
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166 | 166 | | commissioner's authorized representative, may make such order as may 123 |
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167 | 167 | | be appropriate to aid in the enforcement of this section. 124 |
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168 | 168 | | (2) Data provided in response to a data call under this section shall 125 |
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169 | 169 | | not be subject to disclosure under section 1-210. 126 |
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170 | 170 | | (b) The Attorney General, at the request of the commissioner, is 127 |
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171 | 171 | | authorized to apply in the name of the state of Connecticut to the 128 |
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172 | 172 | | Superior Court for an order temporarily or permanently restraining and 129 |
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173 | 173 | | enjoining any person from violating any provision of this title. 130 |
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174 | 174 | | Sec. 3. Subsection (a) of section 38a-15 of the general statutes is 131 |
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175 | 175 | | repealed and the following is substituted in lieu thereof (Effective October 132 |
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176 | 176 | | 1, 2024): 133 |
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177 | 177 | | (a) The commissioner shall, as often as the commissioner deems it 134 |
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178 | 178 | | expedient, undertake a market conduct examination of the affairs of any 135 |
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179 | 179 | | insurance company, health care center, third-party administrator, as 136 |
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180 | 180 | | defined in section 38a-720, [or] fraternal benefit society doing business 137 |
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181 | 181 | | in this state, or any third-party providing administrative, substantive or 138 |
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182 | 182 | | other services, including, but not limited to, collecting or providing data 139 |
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183 | 183 | | or data models, to an insurance company, health care center or fraternal 140 |
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184 | 184 | | benefit society doing business in this state. Any such examination may 141 |
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185 | 185 | | be conducted in accordance with the procedures and definitions set 142 |
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186 | 186 | | forth in the National Association of Insurance Commissioners' Market 143 |
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187 | 187 | | Regulation Handbook. 144 |
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188 | 188 | | Sec. 4. Subsection (a) of section 38a-790 of the general statutes is 145 Raised Bill No. 403 |
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189 | 189 | | |
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190 | 190 | | |
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191 | 191 | | |
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192 | 192 | | LCO No. 1363 6 of 7 |
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193 | 193 | | |
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194 | 194 | | repealed and the following is substituted in lieu thereof (Effective October 146 |
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195 | 195 | | 1, 2024): 147 |
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196 | 196 | | (a) No person shall act as an appraiser for motor vehicle physical 148 |
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197 | 197 | | damage claims on behalf of any insurance company or firm or 149 |
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198 | 198 | | corporation engaged in the adjustment or appraisal of motor vehicle 150 |
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199 | 199 | | claims unless such person has first secured a license from the Insurance 151 |
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200 | 200 | | Commissioner, and has paid the license fee specified in section 38a-11, 152 |
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201 | 201 | | for each two-year period or fraction thereof. The license shall be applied 153 |
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202 | 202 | | for as provided in section 38a-769. The commissioner may waive the 154 |
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203 | 203 | | requirement for examination in the case of any applicant for a motor 155 |
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204 | 204 | | vehicle physical damage appraiser's license who is a nonresident of this 156 |
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205 | 205 | | state and who holds an equivalent license from any other state. Any 157 |
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206 | 206 | | [such license issued by the commissioner shall be in force until the 158 |
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207 | 207 | | thirtieth day of June in each odd-numbered year] initial license issued 159 |
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208 | 208 | | by the commissioner to an appraiser for motor vehicle physical damage 160 |
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209 | 209 | | claims shall expire two years after the date of the licensee's birthday that 161 |
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210 | 210 | | preceded the date the license was issued unless sooner revoked or 162 |
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211 | 211 | | suspended. The license may, in the discretion of the commissioner, be 163 |
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212 | 212 | | renewed biennially upon payment of the fee specified in section 38a-11. 164 |
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213 | 213 | | The commissioner may adopt reasonable regulations concerning 165 |
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214 | 214 | | standards for qualification, suspension or revocation of such licenses 166 |
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215 | 215 | | and the methods by which licensees shall conduct their business. 167 |
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216 | 216 | | Sec. 5. Subsection (a) of section 38a-792 of the general statutes is 168 |
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217 | 217 | | repealed and the following is substituted in lieu thereof (Effective October 169 |
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218 | 218 | | 1, 2024): 170 |
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219 | 219 | | (a) (1) No person may act as an adjuster of casualty claims for any 171 |
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220 | 220 | | insurance company or firm or corporation engaged in the adjustment of 172 |
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221 | 221 | | casualty claims unless such person has first secured a license from the 173 |
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222 | 222 | | commissioner, and has paid the license fee specified in section 38a-11, 174 |
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223 | 223 | | for each two-year period or fraction thereof. Application for such license 175 |
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224 | 224 | | shall be made as provided in section 38a-769. Any [such license issued 176 |
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225 | 225 | | by the commissioner shall be in force until June thirtieth in each odd-177 |
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226 | 226 | | numbered year] initial license issued to an adjuster of casualty claims 178 Raised Bill No. 403 |
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227 | 227 | | |
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228 | 228 | | |
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229 | 229 | | |
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230 | 230 | | LCO No. 1363 7 of 7 |
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231 | 231 | | |
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232 | 232 | | shall expire two years after the date of the licensee's birthday that 179 |
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233 | 233 | | preceded the date the license was issued unless sooner revoked or 180 |
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234 | 234 | | suspended. The [person] licensee may, at the discretion of the 181 |
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235 | 235 | | commissioner, renew the license biennially thereafter upon payment of 182 |
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236 | 236 | | the fee specified in section 38a-11. 183 |
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237 | 237 | | (2) The commissioner may waive the examination required under 184 |
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238 | 238 | | section 38a-769, in the case of any applicant for a casualty claims 185 |
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239 | 239 | | adjuster's license that (A) is a nonresident of this state or has its principal 186 |
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240 | 240 | | place of business in another state, and holds an equivalent license from 187 |
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241 | 241 | | any other state, or (B) at any time within two years next preceding the 188 |
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242 | 242 | | date of application has been licensed in this state under a license of the 189 |
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243 | 243 | | same type as the license applied for. 190 |
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244 | 244 | | This act shall take effect as follows and shall amend the following |
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245 | 245 | | sections: |
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246 | 246 | | |
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247 | 247 | | Section 1 October 1, 2024 38a-8 |
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248 | 248 | | Sec. 2 October 1, 2024 38a-16 |
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249 | 249 | | Sec. 3 October 1, 2024 38a-15(a) |
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250 | 250 | | Sec. 4 October 1, 2024 38a-790(a) |
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251 | 251 | | Sec. 5 October 1, 2024 38a-792(a) |
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252 | 252 | | |
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253 | 253 | | Statement of Purpose: |
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254 | 254 | | To: (1) Authorize the commissioner to seek legal action for violations of |
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255 | 255 | | title 38a of the general statutes, or regulations or orders adopted or |
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256 | 256 | | issued pursuant to such title; (2) establish new requirements pertaining |
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257 | 257 | | to compliance with investigations or hearings on any matter under the |
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258 | 258 | | provisions of title 38a of the general statutes; (3) authorize the Insurance |
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259 | 259 | | Department to perform market conduct examinations of third parties |
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260 | 260 | | providing services to the insurance industry in this state; and (4) revise |
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261 | 261 | | the renewal date for initial licenses issued to appraisers for motor |
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262 | 262 | | vehicle physical damage claims and adjusters of casualty claims. |
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263 | 263 | | [Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except |
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264 | 264 | | that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not |
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265 | 265 | | underlined.] |
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266 | 266 | | |
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