LEGISLATIVE SERVICES AGENCY OFFICE OF FISCAL AND MANAGEMENT ANALYSIS 200 W. Washington St., Suite 301 Indianapolis, IN 46204 (317) 233-0696 iga.in.gov FISCAL IMPACT STATEMENT LS 7172 NOTE PREPARED: Jan 20, 2022 BILL NUMBER: HB 1238 BILL AMENDED: Jan 18, 2022 SUBJECT: Insurance Matters. FIRST AUTHOR: Rep. Lehman BILL STATUS: 2 nd Reading - 1 st House FIRST SPONSOR: FUNDS AFFECTED:XGENERAL IMPACT: State XDEDICATED FEDERAL Summary of Legislation: Minimum Nonforfeiture Amounts: The bill reduces, from 1% to 0.15%, the lowest interest rate that an insurer may use in determining the minimum nonforfeiture amounts for an annuity contract. Continuing Education: The bill provides that, as a condition of license renewal for a two-year period, a limited lines producer with a title insurance qualification must complete at least seven hours of continuing education in any combination of the following subjects: (1) Ethical practices in the marketing and selling of title insurance, including provisions of the Dodd-Frank Wall Street Reform and Consumer Protection Act. (2) Title insurance underwriting. (3) Escrow matters. (4) Matters concerning regulation by the Department of Insurance. (Under current law, a limited lines producer with a title insurance qualification is required, in completing at least seven hours of continuing education, to take at least one hour of instruction in each of four particular subjects.) Group Property and Casualty Insurance: It adds provision allowing property and casualty insurance companies to offer commercial property and casualty insurance on a group basis. Policy Cancellation: It amends the grounds for cancellation of a policy of insurance to require a substantial change in the scale of risk that would cause the policy to fail to meet the eligibility requirements of the underwriting guidelines. HB 1238 1 External Consumer Data: The bill requires insurers that rely on external consumer data to provide a consumer, upon the consumer's written request, with the five most heavily weighed or primary factors the insurer uses to calculate a premium. The bill also requires an insurer that takes an adverse action based on external consumer data to provide the consumer with the five factors that were the primary influence on the adverse action. Farm Mutual Insurance: The bill changes the cap on annual direct written premium to operate as a farm mutual insurance company from $10 M to $15 M. Colorectal Cancer Screening: It specifies services to be included as part of a colorectal cancer screening for policies of accident and sickness insurance and health maintenance organization contracts. Effective Date: July 1, 2022. Explanation of State Expenditures: The bill will have indeterminate workload on the Department of Insurance (DOI). However, any change in DOI workload is expected to be within the routine administrative function of the agency and expected to be accomplished within existing resource and funding levels. [The DOI is funded through a dedicated agency fund.] Indiana’s essential health benefits (EHB) benchmark plan includes preventative care services without deductible contribution for nonsymptomatic adults or adults without medical history of the disease. If a colonoscopy after another colorectal cancer screening exceeds the EHB, the state may be responsible for defrayment of costs to the insured or to qualified health plans on behalf of the insured. The state identifies requirements that exceed the EHB within a federal framework, and the qualified health plans determine the actuarially adjusted cost of providing the state mandated benefit. Additional Information - External Consumer Data: A violation concerning external consumer data is actionable by the DOI as unfair and deceptive acts. The agency workload may increase to investigate and adjudicate allegations to determine if an unfair or deceptive act has been committed. Continuing Education: The DOI uses a third-party system to track continuing education and licensed producers are able to view their continuing education compliance status and the continuing education hours applied. Software enhancements are provided by the system contractor usually at no added cost. Colorectal Cancer Screening: The EHB are required for nongrandfathered and small group plans. One of the ten EHB covers preventive and wellness services and chronic disease management. A benchmark plan is selected to set the requirements of the EHB by the state, and Indiana’s plan for FY 2017 to FY 2023 is Anthem Insurance Companies Inc. Legacy PPO, with a plan name of Blue 6.0 Blue Access PPO Option 14, Rx G. Explanation of State Revenues: External Consumer Data: The state insurance commissioner may take administrative actions concerning unfair and deceptive acts that will impact revenue to the state General Fund and the DOI’s agency fund. The penalty for engaging in an unfair and deceptive act is a civil penalty between $25,000 and $50,000 for each act or violation. The revocation of a insurers license or certificate of authority for knowingly engaged in an unfair or deceptive act would result in a reduction in fee revenue to the DOI agency fund. HB 1238 2 Premium Taxes: Group policies may allow for discounts or otherwise reduce the premium for the associations. If premiums are lower, insurance premium tax revenue to the state General Fund could decrease. Alternatively, premium tax revenue to the state General Fund could increase to the extent that an investment in an annuity contracts are an alternative to other interest bearing investments based on changes to the minimum nonforfeiture amounts. Domestic insurers have the option to pay taxes on insurance premiums written in the state or to pay the AGI tax. Foreign insurers are required to pay taxes on premiums written in the state, and some foreign insurers are assessed additional retaliatory taxes. In these cases, the minimum tax rate would be 1.3% of written premiums. Revenue received from the AGI and insurance premium tax is deposited in the General Fund. Explanation of Local Expenditures: Explanation of Local Revenues: State Agencies Affected: State Budget Agency; Department of Insurance; Family and Social Services Administration. Local Agencies Affected: Information Sources: https://www.cms.gov/CCIIO/Resources/Data-Resources/Downloads/Updated-Indiana-Benchmark-Summ ary.pdf; https://www.cms.gov/CCIIO/Resources/Data-Resources/ehb; https://www.irs.gov/publications/p969. Fiscal Analyst: Karen Rossen, 317-234-2106, Randhir Jha, 317-232-9556. HB 1238 3