HLS 12RS-1469 ORIGINAL Page 1 of 5 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Regular Session, 2012 HOUSE BILL NO. 1032 BY REPRESENTATIVE TALBOT INSURERS/AGENTS: Provides relative to producer compensation AN ACT1 To amend and reenact R.S. 22:34, 46(13), 855(H)(introductory paragraph), and 1964(8) and2 to enact R.S. 22:855(H)(1) and (2), relative to producer compensation; to allow3 insurance producers to enter into contracts which provide for fees in lieu of4 commission; to clarify the definition of "premium"; to allow for the exclusion of5 commissions from quotes of an insurance premium; to provide for unfair or6 deceptive acts relating to rebates; and to provide for related matters.7 Be it enacted by the Legislature of Louisiana:8 Section 1. R.S. 22:34, 46(13), 855(H)(introductory paragraph), and 1964(8) are9 hereby amended and reenacted and R.S. 22:855(H)(1) and (2) are hereby enacted to read as10 follows: 11 §34. Discrimination prohibited 12 A. No insurer shall make or permit any unfair discrimination in favor of13 particular individuals or persons, or between insureds or subjects of insurance having14 substantially like insuring risk, and exposure factors, or expense elements, in the15 terms or conditions of any insurance contract, or in the rate or amount of premium16 charged therefor, or in the benefits payable or in any other rights or privileges17 accruing thereunder. This provision shall not prohibit fair discrimination by a life18 insurer as between individuals having unequal life expectancies.19 HLS 12RS-1469 ORIGINAL HB NO. 1032 Page 2 of 5 CODING: Words in struck through type are deletions from existing law; words underscored are additions. B. The provisions of this Section shall not prohibit an insurer or health1 maintenance organization from excluding commission from a premium calculation2 when quoting a premium rate and administering a product. Neither shall the3 provisions of this Section prohibit a producer from entering into an agreement with4 an insured, employer, benefit plan sponsor, or other person through which such5 person agrees to pay the producer a fee in lieu of commissions for the procurement6 of insurance. Such actions by insurers, health maintenance organizations, producers,7 or other persons shall not be construed to be discrimination.8 * * *9 §46. General definitions10 In this Code, unless the context otherwise requires, the following definitions11 shall be applicable:12 * * *13 (13) "Premium" means all sums charged, received, or deposited as14 consideration for the purchase or continuance of insurance for a definitely stated15 term, and shall include any assessment, membership, policy, survey, inspection,16 service, or similar fee or charge made by an insurer as a part of the consideration for17 the purchase or continuance of insurance. The term premium, as used in R.S.18 22:885(B) and 887(D), shall not include any assessment, membership, policy,19 survey, inspection, service, or similar fee or charge made by an insurer as part of the20 consideration for the purchase or continuance of insurance. The term premium shall21 not include producer commission when the insurer pays no commission for sale of22 a product or when a producer accepts a fee from an insured, employer, benefit plan23 sponsor, or other person in lieu of commission.24 * * *25 §855. Quoted premium shall include all charges; dollar amount required26 * * *27 H. The provisions of this Section shall apply to all policies except life28 annuity, health and accident, and reinsurance policies. Notwithstanding any other29 HLS 12RS-1469 ORIGINAL HB NO. 1032 Page 3 of 5 CODING: Words in struck through type are deletions from existing law; words underscored are additions. provisions of this Title, the following shall be considered valid and acceptable when1 related to lines of insurance mentioned in this Subsection:2 (1) The policy of an insurer or health maintenance organization to exclude3 commissions when quoting a premium rate and administering a product.4 (2) The practice of a producer to enter into an agreement with an insured,5 employer, benefit plan sponsor, or other person through which such person agrees6 to pay the producer a fee in lieu of commissions for the procurement of insurance.7 * * *8 §1964. Methods, acts, and practices which are defined herein as unfair or deceptive9 The following are declared to be unfair methods of competition and unfair10 or deceptive acts or practices in the business of insurance:11 * * *12 (8)(a) Rebates. Except as otherwise expressly provided by law, knowingly13 permitting or offering to make or making any contract of insurance including life14 insurance, life annuity or health and accident insurance, or agreement as to such15 contract other than as plainly expressed in the contract issued thereon, or paying or16 allowing, or giving or offering to pay, allow, or give, directly or indirectly, as17 inducement to such insurance, or annuity, any rebate of premiums payable on the18 contract, or any special favor or advantage in the dividends or other benefits thereon,19 or any valuable consideration or inducement whatever not specified in the contract;20 or giving, or selling, or purchasing or offering to give, sell, or purchase as21 inducement to such insurance or annuity or in connection therewith, any stock,22 bonds, or other securities of any insurer or other corporation, association, or23 partnership, or any dividends or profits accrued thereon, or anything of value24 whatsoever not specified in the contract.25 (b) Nothing in paragraph Paragraph (7) or this paragraph (8) Paragraph of26 this Sub-section Subsection shall be construed as including within the definition of27 discrimination or rebates any of the following practices:28 HLS 12RS-1469 ORIGINAL HB NO. 1032 Page 4 of 5 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (a) (i) Paying bonuses to policyholders or otherwise abating their premiums1 in whole or in part out of surplus accumulated from nonparticipating insurance2 provided that any such bonuses or abatement of premiums shall be fair and equitable3 to policyholders and for the best interest of the insurer and its policyholders ;.4 (b) (ii) In the case of life insurance policies issued on the industrial debit5 plan, making allowance to policyh olders who have paid premiums in advance or6 continuously for a specified period made premium payment directly to an office of7 the insurer in an amount which fairly represents the saving in collection expense ;.8 (c) (iii) Readjustment of the rate of premium for a group insurance policy9 based on the loss or expense experience thereunder, at the end of the first year or of10 any subsequent year of insurance thereunder, which may be made retroactive only11 for such policy year ;.12 (d) (iv) Agents accepting on their own responsibility, notes for the first13 premiums.14 (v) The policy of an insurer or health maintenance organization to exclude15 commissions when quoting a premium rate and administering a product.16 (vi) The practice of a producer to enter into an agreement with an insured,17 employer, benefit plan sponsor or other person through which such person agrees to18 pay the producer a fee in lieu of commissions for the procurement of insurance.19 * * *20 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)] Talbot HB No. 1032 Abstract: Allows insurance producers to provide premium quotes that do not include fees that the producer has agreed to accept in lieu of commission. Present law provides that premiums quoted by insurers shall be in a specific dollar amount which is inclusive of all fees, charges, premiums, or other consideration charged for the insurance, except for certain exceptions provided within present law. HLS 12RS-1469 ORIGINAL HB NO. 1032 Page 5 of 5 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Proposed law provides that present law shall not prohibit an insurer or health maintenance organization from excluding commission from a premium calculation when quoting a premium rate or administering a product. Proposed law provides that present law shall not prohibit a producer from entering into an agreement with an insured, employer, benefit plan sponsor, or other person whereby such person agrees to pay the producer a fee in lieu of commissions for the procurement of insurance. Present law further provides that no insurer, producer, or other representative of an insurance company may receive any fee, compensation, or consideration for insurance that is not included within the premium delivered to the insured, except for certain exceptions provided within present law. Present law defines "premium" as all sums charged, received, or deposited as consideration for the purchase or continuance of insurance for a definitely stated term; requires that the term "premium" include any assessment, membership, policy, survey, inspection, service or similar fee, or charge made by an insurer as part of the consideration for the purchase or continuance of insurance. Proposed law states that the term "premium" shall not include a producer commission when the insurer pays no commission for the sale of a product or when a producer accepts a fee from the insured, employer, or benefit plan sponsor in lieu of a commission. (Amends R.S. 22:34, 46(13), 855(H)(intro. para.), and 1964(8); Adds R.S. 22:855(H)(1) and (2))