HLS 10RS-979 ORIGINAL Page 1 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Regular Session, 2010 HOUSE BILL NO. 447 BY REPRESENTATIVE PEARSON INSURANCE/POLICIES: Provides relative to certificates of insurance AN ACT1 To amend and reenact R.S. 22:881.1, relative to certificates of insurance; to define such2 certificates and otherwise provide with respect to their issuance and effect; to3 provide for the responsibilities of the commissioner of insurance relative to such4 certificates, including approval of forms and enforcement; to provide for prohibitions5 and penalties; and to provide for related matters.6 Be it enacted by the Legislature of Louisiana:7 Section 1. R.S. 22:881.1 is hereby amended and reenacted to read as follows: 8 ยง881.1. Certificates of insurance9 A. For the purposes of this Section:10 (1) "Certificate of insurance", as used by property and casualty insurers, shall11 mean any document issued by or on behalf of an insurer to a third party who has not12 contracted with the insurer to purchase an insurance policy and is provided for13 informational purposes only to advise a third party of the existence and limits of14 insurance coverage issued to the named insured.15 (1) "Certificate" or "certificate of insurance" means any document,16 instrument, or record, including an electronic record, no matter how titled or17 described, which is prepared or issued as evidence of insurance coverage.18 (2) "Certificate holder" means any person, other than a policyholder, that19 requests, obtains, or possesses a certificate of insurance.20 HLS 10RS-979 ORIGINAL HB NO. 447 Page 2 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (3) "Electronic record" shall have the meaning defined in R.S. 9:2602(7). 1 (4) "Insurance" shall have the meaning defined in R.S. 22:46(9).2 (2) (5) "Insurance producer" shall have the same definition as set forth in3 R.S. 22:1542.4 (6) "Insurer" means an insurer as defined in R.S. 22:46(10) and any other5 person engaged in the business of making insurance contracts, including but not6 limited to self-insurers, syndicates, risk purchasing groups, and similar risk transfer7 entities.8 (7) "Person" means any individual, company, insurer, organization,9 reciprocal or inter-insurance exchange, business, partnership, corporation, limited10 liability company, association, trust, or other legal entity, including any government11 or governmental subdivision or agency.12 (8) "Policyholder" means a person who has contracted with a property or13 casualty insurer for insurance coverage.14 (9) "Record" shall have the meaning defined in R.S. 9:2602(13).15 (10) "Self-insurer" means any individual business or group of businesses16 which have created a risk purchasing group, risk retention plan, syndicate, or other17 form of self-insurance covering property or casualty risk exposures.18 B. No property or casualty insurer or insurance producer may issue a19 certificate of insurance or any other type of document purporting to be a certificate20 of insurance that will affirmatively or negatively alter, amend, or extend the21 coverage provided by the referenced insurance policy. A certificate of insurance22 shall also not convey any contractual rights to the certificate holder.23 C. Any insurer or insurance producer acting on behalf of the insurer issuing24 a certificate of insurance shall be authorized to use only the standard ACORD or ISO25 Form "Certificate of Insurance" or other form filed with and approved by the26 commissioner of insurance. No person, wherever located, may prepare, issue, or27 request the issuance of a certificate of insurance unless the form has been filed with28 and approved by the commissioner of insurance. No person, wherever located, may29 HLS 10RS-979 ORIGINAL HB NO. 447 Page 3 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. alter or modify an approved certificate of insurance form unless the alteration or1 modification has been approved by the commissioner of insurance.2 D. The commissioner of insurance shall disapprove a form filed under this3 Section or withdraw approval of a form if the form meets any of the following4 qualifications:5 (1) Is unfair, misleading, or deceptive, or violates public policy.6 (2) Fails to comply with the requirements of Subsection E of this Section.7 (3) Violates any law, including any regulation adopted by the commissioner8 of insurance.9 (4) Requires certification of insurance coverages that are not reasonably10 available.11 E. Each certificate of insurance shall contain the following or similar12 statement: "This certificate of insurance is issued as a matter of information only13 and confers no rights upon the certificate holder. This certificate does not amend,14 extend, or alter the coverage afforded by the policies referenced herein."15 F. Standard certificate of insurance forms promulgated by the Association16 for Cooperative Operations Research and Development (ACORD), the American17 Association of Insurance Services (AAIS), or the Insurance Services Office (ISO)18 are deemed approved by the commissioner of insurance and are not required to be19 filed.20 G. No person, wherever located, shall demand or request the issuance of a21 certificate of insurance from an insurer, insurance producer, or policyholder that22 contains any false or misleading information concerning the policy of insurance to23 which the certificate makes reference.24 H. No person, wherever located, may knowingly prepare or issue a25 certificate of insurance that contains any false or misleading information or that26 purports to affirmatively or negatively alter, amend, or extend the coverage provided27 by the policy of insurance to which the certificate makes reference.28 HLS 10RS-979 ORIGINAL HB NO. 447 Page 4 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. I. No person may prepare, issue, or request, either in addition to or in lieu of1 a certificate of insurance, an opinion letter or other document or correspondence,2 instrument, or record, including an electronic record, that is inconsistent with this3 Section; however, an insurer, insurance producer, or policyholder may prepare or4 issue an addendum to a certificate that clarifies and explains the coverages provided5 by a policy of insurance and otherwise complies with the requirements of this6 Section.7 J. The provisions of this Section shall apply to all certificate holders,8 policyholders, insurers, insurance producers, and certificate of insurance forms9 issued as evidence of insurance coverages on property, operations, or risks located10 in this state, regardless of where the certificate holder, policyholder, insurer, or11 insurance producer is located.12 K. A certificate of insurance is not a policy of insurance and does not13 affirmatively or negatively amend, extend, or alter the coverage afforded by the14 policy to which the certificate of insurance makes reference. A certificate of15 insurance shall not confer to a certificate holder new or additional rights beyond16 what the referenced policy of insurance provides.17 L. No certificate of insurance shall contain references to legal or insurance18 requirements contained in any contracts other than the underlying contracts of19 insurance, including construction or service contracts. Notwithstanding any20 requirement, term, or condition of any contract or other document with respect to21 which a certificate of insurance may be issued or may pertain, the insurance afforded22 by the referenced policy of insurance is subject to all the terms, exclusions, and23 conditions of the policy itself.24 M. A certificate holder shall only have a legal right to notice of cancellation,25 nonrenewal, or any material change, or any similar notice concerning a policy of26 insurance if the person is named within the policy or any endorsement as an27 additional insured, and the policy or endorsement requires notice to be provided.28 The terms and conditions of the notice, including the required timing of the notice,29 HLS 10RS-979 ORIGINAL HB NO. 447 Page 5 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. are governed by the policy of insurance and cannot be altered by a certificate of1 insurance.2 N. Any certificate of insurance and any attached addendum prepared, issued,3 or requested in violation of this Section shall be null and void and of no force and4 effect and shall not be discoverable or admissible as evidence in any private civil5 action or administrative proceeding.6 O. Any certificate holder, policyholder, insurer, or insurance producer who7 violates this Section shall be fined not more than one thousand dollars per violation.8 P. The commissioner of insurance shall have the power to examine and9 investigate the affairs of any person in order to determine whether such person has10 been or is engaged in an act or practice prohibited by this Section. The11 commissioner of insurance shall have the power to enforce the provisions of this12 Section and impose any authorized penalty or remedy against any person who13 violates this Section.14 D.Q. Pursuant to the Administrative Procedure Act, the commissioner of15 insurance may adopt reasonable rules and regulations as are necessary or proper to16 carry out the purposes of this Section.17 DIGEST The digest printed below was prepared by House Legislative Services. It constitutes no part of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)] Pearson HB No. 447 Abstract: Provides relative to certificates of insurance. Proposed law provides relative to certificates of insurance as follows: (1)Present law defines a certificate of insurance, as used by property and casualty insurers, as a document issued on or behalf of an insurer to a third party who has not contracted with the insurer to purchase an insurance policy, and is provided for informational purposes only to advise a third party of the existence and limits of insurance coverage issued to the named insured. Proposed law instead defines a certificate of insurance as any document, instrument, or record, including an electronic record, no matter how titled or described, which is prepared or issued as evidence of insurance coverage. HLS 10RS-979 ORIGINAL HB NO. 447 Page 6 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (2)Retains definition of "insurance producer" from present law and additionally provides for definitions of "electronic record", "insurance", "insurer", "person", "policyholder", "record", and "self-insurer". (3)Present law prohibits any property or casualty insurer or insurance producer from issuing a certificate of insurance or any other type of document purporting to be a certificate of insurance that will affirmatively or negatively alter, amend, or extend the coverage provided by the referenced insurance policy. Also specifies that a certificate of insurance shall not convey any contractual rights to the certificate holder. Proposed law retains present law. (4)Present law provides that any insurer or insurance producer acting on behalf of the insurer issuing a certificate of insurance shall be authorized to use only the standard ACORD or ISO Form "Certificate of Insurance" or other form filed with and approved by the commissioner of insurance. Proposed law instead prohibits any person from preparing, issuing, or requesting the issuance of a certificate of insurance unless the form has been filed with and approved by the commissioner of insurance. Also prohibits alteration or modification of an approved certificate of insurance form unless the alteration or modification has been approved by the commissioner of insurance; however, provides that standard certificate of insurance forms promulgated by the Association for Cooperative Operations Research and Development (ACORD), the American Association of Insurance Services (AAIS), or the Insurance Services Office (ISO) are deemed approved by the commissioner of insurance and are not required to be filed. Additionally requires the commissioner to disapprove a form filed or withdraw approval of a form if the form: (a)Is unfair, misleading, or deceptive, or violates public policy. (b)Fails to contain the following or similar statement: "This certificate of insurance is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend, or alter the coverage afforded by the policies referenced herein." (c)Violates any law, including any regulation adopted by the commissioner of insurance. (d)Requires certification of insurance coverages that are not reasonably available. (5)Prohibits any person from demanding or requesting the issuance of a certificate of insurance from an insurer, insurance producer, or policyholder that contains any false or misleading information concerning the policy of insurance to which the certificate makes reference. Also prohibits any person from knowingly preparing or issuing a certificate of insurance that contains any false or misleading information or that purports to affirmatively or negatively alter, amend, or extend the coverage provided by the policy of insurance to which the certificate makes reference. Further prohibits any person from preparing, issuing, or requesting, either in addition to or in lieu of a certificate of insurance, an opinion letter or other document or correspondence, instrument, or record, including an electronic record, that is inconsistent with proposed law; however, allows an insurer, insurance producer, or policyholder to prepare or issue an addendum to a certificate that clarifies and explains the coverages provided by a policy of insurance and otherwise complies with the requirements of proposed law. HLS 10RS-979 ORIGINAL HB NO. 447 Page 7 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (6)Provides that proposed law shall apply to all certificate holders, policyholders, insurers, insurance producers, and certificate of insurance forms issued as evidence of insurance coverages on property, operations, or risks located in this state, regardless of where any such entity is located. (7)Provides that a certificate of insurance is not a policy of insurance and does not affirmatively or negatively amend, extend, or alter the coverage afforded by the policy to which the certificate of insurance makes reference. Specifies that a certificate of insurance shall not confer to a certificate holder new or additional rights beyond what the referenced policy of insurance provides. (8)Provides that no certificate of insurance shall contain references to legal or insurance requirements contained in any contracts other than the underlying contracts of insurance, including construction or service contracts. Notwithstanding any requirement, term, or condition of any contract or other document with respect to which a certificate of insurance may be issued or may pertain, provides that the insurance afforded by the referenced policy of insurance is subject to all the terms, exclusions, and conditions of the policy itself. (9)Provides that a certificate holder shall only have a legal right to notice of cancellation, nonrenewal, or any material change, or any similar notice concerning a policy of insurance if the person is named within the policy or any endorsement as an additional insured, and the policy or endorsement requires notice to be provided. Specifies that the terms and conditions of the notice, including the required timing of the notice, are governed by the policy of insurance and cannot be altered by a certificate of insurance. (10)Provides that any certificate of insurance and any attached addendum prepared, issued, or requested in violation of proposed law shall be null and void and of no force and effect and shall not be discoverable or admissible as evidence in any private civil action or administrative proceeding. (11)Imposes a fine of not more than $1,000 per violation on any certificate holder, policyholder, insurer, or insurance producer who violates proposed law. (12)Authorizes the commissioner to examine and investigate the affairs of any person in order to determine whether such person has been or is engaged in an act or practice prohibited by proposed law. Further authorizes the commissioner to enforce the provisions of proposed law and to impose any authorized penalty or remedy against any person who violates proposed law. (13)Present law authorizes the commissioner, pursuant to the Administrative Procedure Act, to adopt reasonable and necessary rules to carry out the purposes of proposed law. Proposed law retains present law. (Amends R.S. 22:881.1)