1 | 1 | | Session of 2025 |
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2 | 2 | | HOUSE BILL No. 2044 |
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3 | 3 | | By Committee on Insurance |
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4 | 4 | | Requested by Eric Turek, Kansas Insurance Department |
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5 | 5 | | 1-21 |
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6 | 6 | | AN ACT concerning insurance; requiring that third party administrators |
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7 | 7 | | maintain separate fiduciary accounts for individual payors and not |
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8 | 8 | | contain funds collected or held on behalf of multiple payors and |
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9 | 9 | | disclose to the commissioner of insurance any bankruptcy petition filed |
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10 | 10 | | by or on behalf of such administrator pursuant to chapter 9 or chapter |
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11 | 11 | | 11 of the United States bankruptcy code; amending K.S.A. 40-3807 and |
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12 | 12 | | 40-3809 and repealing the existing sections. |
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13 | 13 | | Be it enacted by the Legislature of the State of Kansas: |
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14 | 14 | | Section 1. K.S.A. 40-3807 is hereby amended to read as follows: 40- |
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15 | 15 | | 3807. (a) All insurance charges, premiums, collateral and loss |
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16 | 16 | | reimbursements collected by an administrator on behalf of or for a payor, |
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17 | 17 | | and the return of premiums or collateral received from that payor, shall be |
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18 | 18 | | held by the administrator in a fiduciary capacity. Such funds shall be |
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19 | 19 | | immediately remitted to the person or persons entitled thereto, or shall be |
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20 | 20 | | deposited promptly in a fiduciary account established and maintained by |
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21 | 21 | | the administrator in a federally or state-insured financial institution. A |
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22 | 22 | | separate fiduciary account shall be maintained by the administrator for |
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23 | 23 | | each payor and shall not contain funds collected or held by the |
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24 | 24 | | administrator on behalf of multiple payors. The written agreement |
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25 | 25 | | between the administrator and the payor shall provide for the administrator |
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26 | 26 | | to periodically render an accounting to the payor detailing all transactions |
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27 | 27 | | performed by the administrator pertaining to the business of the payor, and |
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28 | 28 | | the written agreement between the payor and the administrator shall |
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29 | 29 | | include specifications of this reporting. |
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30 | 30 | | (b) The administrator shall keep copies of all records of any fiduciary |
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31 | 31 | | account maintained or controlled by the administrator, and, upon request |
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32 | 32 | | of a payor, shall furnish the payor with copies of such records pertaining to |
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33 | 33 | | deposits and withdrawals on behalf of the payor. If charges or premiums so |
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34 | 34 | | deposited have been collected on behalf of or for more than one payor, or |
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35 | 35 | | for the payment of claims associated with more than one policy, the |
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36 | 36 | | administrator shall keep records clearly recording the deposits in and |
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37 | 37 | | withdrawals from the account on behalf of each payor and relating to each |
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38 | 38 | | policyholder. |
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39 | 39 | | (c) The administrator shall not pay any claim by withdrawals from a |
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74 | 74 | | 35 HB 2044 2 |
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75 | 75 | | fiduciary account in which premiums or charges are deposited. |
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76 | 76 | | Withdrawals from a fiduciary account shall be made as provided in the |
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77 | 77 | | written agreement between the administrator and the payor, and only for |
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78 | 78 | | the following purposes: (1) Remittance to an insurer entitled thereto; (2) |
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79 | 79 | | deposit in an account maintained in the name of the payor; (3) transfer to |
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80 | 80 | | and deposit in a claims paying account, with claims to be paid as provided |
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81 | 81 | | in subsection (d); (4) payment to a group policyholder for remittance to the |
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82 | 82 | | payor entitled thereto; (5) payment to the administrator of its earned |
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83 | 83 | | commissions, fees or charges; (6) remittance of return premiums to the |
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84 | 84 | | person or persons entitled thereto; or (7) payment to other service |
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85 | 85 | | providers as authorized by the payor. |
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86 | 86 | | (d) All claims paid by the administrator from funds collected on |
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87 | 87 | | behalf of or for a payor shall be paid only as authorized by the payor. |
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88 | 88 | | Payments from an account maintained or controlled by the administrator |
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89 | 89 | | may be made for the following purposes including the payment of claims: |
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90 | 90 | | (1) Payment of valid claims; (2) payment of expenses associated with the |
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91 | 91 | | handling of claims to the administrator or to other service providers |
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92 | 92 | | approved by the payor; (3) remittance to the payor, or transfer to a |
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93 | 93 | | successor administrator as directed by the payor, for the purpose of paying |
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94 | 94 | | claims and associated expenses; and (4) return of funds held as collateral |
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95 | 95 | | or prepayment, to the person entitled to those funds, upon a determination |
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96 | 96 | | by the payor that those funds are no longer necessary to secure or facilitate |
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97 | 97 | | the payment of claims and associated expenses. |
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98 | 98 | | Sec. 2. K.S.A. 40-3809 is hereby amended to read as follows: 40- |
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99 | 99 | | 3809. (a) Where the services of an administrator are utilized, the |
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100 | 100 | | administrator shall provide a written notice, approved by the payor, to |
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101 | 101 | | covered individuals advising them of the identity of and relationship |
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102 | 102 | | among the administrator, the policyholder and the payor. |
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103 | 103 | | (b) When an administrator collects funds, the reason for collection of |
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104 | 104 | | each item shall be identified to the insured party and each item shall be |
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105 | 105 | | shown separately from any premium. Additional charges may not be made |
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106 | 106 | | for services to the extent the services have already been paid for by the |
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107 | 107 | | payor. |
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108 | 108 | | (c) The administrator shall disclose to the payor all charges, fees and |
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109 | 109 | | commissions that the administrator receives arising from services it |
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110 | 110 | | provides for the payor, including any fees or commissions paid by payors |
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111 | 111 | | providing reinsurance or stop-loss insurance. |
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112 | 112 | | (d) An administrator shall immediately disclose to the commissioner |
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113 | 113 | | any bankruptcy petition filed by or on behalf of such administrator |
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114 | 114 | | pursuant to chapter 9 or chapter 11 of the United States bankruptcy code. |
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115 | 115 | | Sec. 3. K.S.A. 40-3807 and 40-3809 are hereby repealed. |
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116 | 116 | | Sec. 4. This act shall take effect and be in force from and after its |
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117 | 117 | | publication in the statute book. |
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