HLS 10RS-979 ENGROSSED Page 1 of 9 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 by an insurer or insurance producer and issued for the18 benefit of a third person not a party to the subject insurance contract, as evidence of19 HLS 10RS-979 ENGROSSED HB NO. 447 Page 2 of 9 CODING: Words in struck through type are deletions from existing law; words underscored are additions. property and casualty insurance coverage. "Certificate" or "certificate of insurance"1 shall not mean an insurance binder.2 (2) "Certificate holder" means any person, other than a policyholder, that is3 designated on a certificate of insurance as a "certificate holder" or any person, other4 than a policyholder, for whose benefit a certificate of insurance has been prepared5 by an insurer or insurance producer at the request of the policyholder.6 (3) "Electronic record" shall have the meaning defined in R.S. 9:2602(7). 7 (4) "Insurance" shall have the meaning defined in R.S. 22:46(9).8 (2) (5) "Insurance producer" shall have the same definition as set forth in9 R.S. 22:1542.10 (6) "Insurer" means an insurer as defined in R.S. 22:46(10) and any other11 person engaged in the business of making property and casualty insurance contracts,12 including but not limited to self-insurers, syndicates, risk purchasing groups, and13 similar risk transfer entities. "Insurer" shall not mean any person self-insured for14 purposes of workers' compensation, including any group self-insurance fund15 authorized pursuant to R.S. 23:1195 et seq., any interlocal risk management agency16 authorized pursuant to R.S. 33:1341 et seq., or any self-insured employer authorized17 pursuant to R.S. 23:1168 et seq.18 (7) "Person" means any individual, company, insurer, organization,19 reciprocal or inter-insurance exchange, business, partnership, corporation, limited20 liability company, association, trust, or other legal entity, including any government21 or governmental subdivision or agency.22 (8) "Policyholder" means a person who has contracted with a property or23 casualty insurer for insurance coverage.24 (9) "Record" shall have the meaning defined in R.S. 9:2602(13).25 (10) "Self-insurer" means any individual business or group of businesses26 which have created a risk purchasing group, risk retention plan, syndicate, or other27 form of self-insurance covering property or casualty risk exposures. "Self-insurer"28 shall not mean any person self-insured for purposes of workers' compensation,29 HLS 10RS-979 ENGROSSED HB NO. 447 Page 3 of 9 CODING: Words in struck through type are deletions from existing law; words underscored are additions. including any group self-insurance fund authorized pursuant to R.S. 23:1195 et seq.,1 any interlocal risk management agency authorized pursuant to R.S. 33:1341 et seq.,2 or any self-insured employer authorized pursuant to R.S. 23:1168 et seq.3 B. No property or casualty insurer or insurance producer may issue a4 certificate of insurance or any other type of document purporting to be a certificate5 of insurance that will affirmatively or negatively alter, amend, or extend the6 coverage provided by the referenced insurance policy. A certificate of insurance7 shall also not convey any contractual rights to the certificate holder.8 C. Any insurer or insurance producer acting on behalf of the insurer issuing9 a certificate of insurance shall be authorized to use only the standard ACORD or ISO10 Form "Certificate of Insurance" or other form filed with and approved by the11 commissioner of insurance. No person, wherever located, may prepare, issue, or12 request the issuance of a certificate of insurance for risks located in this state unless13 the form has been filed with and approved by the commissioner of insurance. No14 person, wherever located, may alter or modify an approved certificate of insurance15 form unless the alteration or modification has been approved by the commissioner16 of insurance.17 D. The commissioner of insurance shall disapprove a form filed under this18 Section or withdraw approval of a form if the form that:19 (1) Is unfair, misleading, or deceptive, or violates public policy.20 (2) Violates any state statute or regulation validly promulgated by the21 commissioner of insurance.22 (3) Requires certification of insurance coverages that are not available.23 E. The commissioner of insurance shall approve certificate of insurance24 forms filed under this Section that are provided to a person who has an insurable25 interest in the property insured by the policy, whether or not it contains wording that26 it is for information only or similar language, but otherwise complies with this27 Section. Further, such a form shall not be considered a violation of Subsection D of28 HLS 10RS-979 ENGROSSED HB NO. 447 Page 4 of 9 CODING: Words in struck through type are deletions from existing law; words underscored are additions. this Section, and a lender may require use of an approved form that meets its lending1 requirements.2 F.(1) The commissioner of insurance shall approve or disapprove certificate3 of insurance forms filed pursuant to this Section in writing within forty-five days of4 receipt of the form.5 (2) Standard certificate of insurance forms promulgated by the Association6 for Cooperative Operations Research and Development (ACORD), the American7 Association of Insurance Services (AAIS), or the Insurance Services Office (ISO)8 shall be filed, but are deemed approved by the commissioner of insurance, provided9 these forms comply with the provisions of this Section.10 G. No person shall demand or request the issuance of a certificate of11 insurance from an insurer, insurance producer, or policyholder that contains any false12 or misleading information concerning the policy of insurance to which the certificate13 makes reference.14 H. No person may prepare, issue, or request, either in addition to or in lieu15 of a certificate of insurance, an opinion letter or other document or correspondence,16 instrument, or record, including an electronic record, that is inconsistent with this17 Section; however, an insurer or insurance producer may prepare or issue an18 addendum that clarifies, explains, summarizes, or provides a statement of the19 coverages provided by a policy of insurance and otherwise complies with the20 requirements of this Section.21 I. The provisions of this Section shall apply to all certificate holders,22 policyholders, insurers, insurance producers, and certificate of insurance forms23 issued as a statement or evidence of insurance coverages on property, operations, or24 risks located in this state, regardless of where the certificate holder, policyholder,25 insurer, or insurance producer is located.26 J. A certificate of insurance is not a policy of insurance and does not27 affirmatively or negatively amend, extend, or alter the coverage afforded by the28 policy to which the certificate of insurance makes reference. A certificate of29 HLS 10RS-979 ENGROSSED HB NO. 447 Page 5 of 9 CODING: Words in struck through type are deletions from existing law; words underscored are additions. insurance shall not confer to a certificate holder new or additional rights beyond1 what the referenced policy or any validly executed endorsements of insurance2 provides.3 K. No certificate of insurance shall contain references to legal or insurance4 requirements contained in any contracts other than the underlying contracts of5 insurance, including construction or service contracts.6 L. A person shall only have a legal right to notice of cancellation,7 nonrenewal, or any material change, or any similar notice concerning a policy of8 insurance if the person is named within the policy or any endorsement and the policy9 or endorsement, law, or regulation of this state requires notice to be provided. The10 terms and conditions of the notice, including the required timing of the notice, are11 governed by the policy of insurance in accordance with the laws and regulations of12 this state and cannot be altered by a certificate of insurance.13 M. Any certificate of insurance and any attached addendum prepared, issued,14 or requested in violation of this Section shall be null and void and of no force and15 effect.16 N. Any person who wilfully violates this Section may be fined not more than17 one thousand dollars per violation.18 O. The commissioner of insurance shall have the power to examine and19 investigate any complaint or allegation of specific violations by any person who has20 allegedly engaged in an act or practice prohibited by this Section and to enforce the21 provisions of this Section.22 D.P. Pursuant to the Administrative Procedure Act, the commissioner of23 insurance may adopt reasonable rules and regulations as are necessary or proper to24 carry out the purposes of this Section. 25 Section 2. The provisions of this Act amending Subsections A and C of this Section26 and the provisions of this Act enacting Subsections D and E of this Section shall become27 effective on August 15, 2010.28 HLS 10RS-979 ENGROSSED HB NO. 447 Page 6 of 9 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Section 3. Except as otherwise provided in Section 2 of this Act, the provisions of1 this Act shall become effective on January 1, 2011.2 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, including their issuance and effect; provides for the responsibilities of the commissioner of insurance relative to such certificates, including approval of forms and enforcement; and provides for prohibitions and penalties. 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, which is prepared or issued by an insurer or insurance producer as evidence of property and casualty insurance coverage, for the benefit of a third party who has not contracted with the insurer to purchase an insurance policy. Specifically excludes an insurance binder from such definition. (2)Retains definition of "insurance producer" from present law and additionally provides for definitions of "certificate holder", "electronic record", "insurance", "insurer", "person", "policyholder", "record", and "self-insurer". Excludes certain type of self-insurer from the definition of "insurer" 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 for risks located in this state 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. Requires the commissioner to approve or disapprove certificates of insurance filed pursuant to proposed law in writing within 45 days of receipt of the form; however, HLS 10RS-979 ENGROSSED HB NO. 447 Page 7 of 9 CODING: Words in struck through type are deletions from existing law; words underscored are additions. 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) shall be filed, but are deemed approved by the commissioner of insurance, provided these forms comply with proposed law. Additionally requires the commissioner to disapprove a form filed or withdraw approval of a form that: (a)Is unfair, misleading, or deceptive, or violates public policy. (b)Violates any law, including any present law or regulation promulgated by the commissioner of insurance. (c)Requires certification of insurance coverages that are not available. (5)Requires the commissioner of insurance to approve filed certificate of insurance forms that are provided to a person who has an insurable interest in the property insured by the policy, whether or not it contains wording that it is for information only or similar language, but otherwise complies with proposed law. Further provides that such a form shall not be considered a violation of (4) above and a lender may require use of an approved form that meets its lending requirements. (6)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. 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 or insurance producer to prepare or issue an addendum to a certificate that clarifies, explains, summarizes, or provides a statement of the coverages provided by a policy of insurance and otherwise complies with the requirements of proposed law. (7)Provides that proposed law shall apply to all certificate holders, policyholders, insurers, insurance producers, and certificate of insurance forms issued as a statement or evidence of insurance coverages on property, operations, or risks located in this state, regardless of where any such entity is located. (8)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 or any endorsements of insurance provides. (9)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. (10)Provides that a person 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 and the policy or endorsement, law, or regulation of this state 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 in accordance with the laws and regulations of this state and cannot be altered by a certificate of insurance. HLS 10RS-979 ENGROSSED HB NO. 447 Page 8 of 9 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (11)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. (12)Authorizes a fine of not more than $1,000 per violation on any certificate holder, policyholder, insurer, or insurance producer who wilfully violates proposed law. (13)Authorizes the commissioner to examine and investigate any complaint or allegation of specific violations by any person who has allegedly engaged in an act or practice prohibited by proposed law. Further authorizes the commissioner to enforce the provisions of proposed law. (14)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. (15)Proposed law provides that its provisions relative to definitions and to filing and approval of certificates of insurance become effective on Aug. 15, 2010; makes all other provisions of proposed law effective Jan. 1, 2011. (Amends R.S. 22:881.1) Summary of Amendments Adopted by House Committee Amendments Proposed by House Committee on Insurance to the original bill. 1. Changed the definitions of "certificate of insurance" and "certificate holder". 2. Changed the definitions of "insurer" and "self-insurer" to exclude certain types of self-insurers. 3. Added requirement that the commissioner approve or disapprove certificate of insurance forms within 45 days of receipt; also provided that certain standard types of forms of certificates of insurance be filed with the commissioner but are deemed approved if they comply with proposed law. 4. Added requirement relative to the commissioner approving filed certificate of insurance forms that are provided to a person who has an insurable interest in the property insured by the policy. Also authorized a lender to require use of an approved form that meets its lending requirements. 5. Deleted requirement that the following statutory language be stated on each certificate: "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." 6. Deleted prohibition against any person knowingly preparing 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. 7. Deleted authorization for a policyholder to prepare or issue an addendum to a certificate. HLS 10RS-979 ENGROSSED HB NO. 447 Page 9 of 9 CODING: Words in struck through type are deletions from existing law; words underscored are additions. 8. Deleted provision that the insurance afforded by the referenced policy of insurance is subject to all the terms, exclusions, and conditions of the policy itself. 9. Deleted provision that any certificate of insurance and any attached addendum prepared, issued, or requested in violation of proposed law shall not be discoverable or admissible as evidence in any private civil action or administrative proceeding. 10.Authorized rather than imposes penalty for violation of proposed law and requires that such violation be willful. 11.Limited the authority of the commissioner to examine and investigate to upon any complaint or allegation of specific violations and deletes his authority to impose any authorized penalty or remedy against any person who violates proposed law. 12.Made certain provisions of proposed law effective Aug. 15, 2010, and all other provisions effective Jan. 1, 2011.