HLS 16RS-757 ENGROSSED 2016 Regular Session HOUSE BILL NO. 476 BY REPRESENTATIVE HUVAL INSURANCE: Specifies that insurance producers may not be required to provide certain information regarding insurance coverage 1 AN ACT 2To amend and reenact R.S. 22:890, relative to certificates of insurance; to provide for use 3 of certain certificates of insurance; to provide for definitions; to provide that certain 4 parties may not request an insurance producer provide information or documentation 5 regarding insurance coverage other than a certificate of insurance; to allow certain 6 parties to request an addendum to a certificate of insurance from an insurer; and to 7 provide for related matters. 8Be it enacted by the Legislature of Louisiana: 9 Section 1. R.S. 22:890 is hereby amended and reenacted to read as follows: 10 ยง890. Certificates of insurance 11 A. For the purposes of this Section: 12 (1) "Certificate" or "certificate of insurance" means any document, 13 instrument, or record, including an electronic record, no matter how titled or 14 described, which is prepared by an insurer or insurance producer and issued to a third 15 person not a party to the subject insurance contract, as evidence of property and 16 casualty insurance coverage. "Certificate" or "certificate of insurance" shall not 17 mean an insurance binder. 18 (2) "Certificate holder" means any person, other than a policyholder, that is 19 designated on a certificate of insurance as a "certificate holder" or any person, other 20 than a policyholder, to whom a certificate of insurance has been issued by an insurer 21 or insurance producer at the request of the policyholder. Page 1 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 16RS-757 ENGROSSED HB NO. 476 1 (3) "Electronic record" shall have the meaning defined in R.S. 9:2602(7). 2 (4) "Insurance" shall have the meaning defined in R.S. 22:46(9). 3 (5) "Insurance producer" shall have the same definition as set forth in R.S. 4 22:1542. 5 (6) "Insurer" means an insurer as defined in R.S. 22:46(10) and any other 6 person engaged in the business of making property and casualty insurance contracts, 7 including but not limited to self-insurers, syndicates, risk purchasing groups, and 8 similar risk transfer entities. "Insurer" shall not mean any person self-insured for 9 purposes of workers' compensation, including any group self-insurance fund 10 authorized pursuant to R.S. 23:1195 et seq., any interlocal risk management agency 11 authorized pursuant to R.S. 33:1341 et seq., or any self-insured employer authorized 12 pursuant to R.S. 23:1168 et seq. 13 (7) "Lender" means an individual, partnership, corporation, limited liability 14 company, association, federally insured depository institution, or other entity, agent, 15 loan agent, servicing agent, or loan or mortgage broker, who makes, owns, or 16 services a loan. 17 (8) "Person" means any individual, company, insurer, organization, 18 reciprocal or inter-insurance exchange, business, partnership, corporation, limited 19 liability company, association, trust, or other legal entity, including any government 20 or governmental subdivision or agency. 21 (8)(9) "Policyholder" means a person who has contracted with a property or 22 casualty insurer for insurance coverage. 23 (9)(10) "Record" shall have the meaning defined in R.S. 9:2602(13). 24 (10)(11) "Self-insurer" means any individual business or group of businesses 25 which have created a risk purchasing group, risk retention plan, syndicate, or other 26 form of self-insurance covering property or casualty risk exposures. "Self-insurer" 27 shall not mean any person self-insured for purposes of workers' compensation, 28 including any group self-insurance fund authorized pursuant to R.S. 23:1195 et seq., Page 2 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 16RS-757 ENGROSSED HB NO. 476 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 a 4 certificate of insurance or any other type of document purporting to be a certificate 5 of insurance that will affirmatively or negatively alter, amend, or extend the 6 coverage provided by the referenced insurance policy. A certificate of insurance 7 shall also not convey any contractual rights to the certificate holder. 8 C. No person, other than a lender, wherever located, may prepare, issue, or 9 request the issuance of a certificate of insurance for risks located in this state unless 10 the form has been filed with and approved by the commissioner of insurance. No 11 person, wherever located, may alter or modify an approved certificate of insurance 12 form unless the alteration or modification has been approved by the commissioner 13 of insurance certificate is issued on standard certificate of insurance forms 14 promulgated by the insurer, the Association for Cooperative Operations Research 15 and Development (ACORD), the American Association of Insurance Services 16 (AAIS), or the Insurance Services Office (ISO). 17 D. The commissioner of insurance shall disapprove a form filed under this 18 Section or withdraw approval of a form if that form: 19 (1) Is unfair, misleading, or deceptive, or violates public policy. 20 (2) Violates any state statute or regulation validly promulgated by the 21 commissioner of insurance. 22 (3) Requires certification of insurance coverages that are not available. 23 E. The commissioner may approve a certificate of insurance form that does 24 not state that the form is provided for information only or similar language, provided 25 that the form states that the certificate of insurance does not confer any rights or 26 obligations other than those conveyed by the policy and that the terms of the policy 27 control. Further, use of such a form shall not be, in and of itself, cause for 28 disapproval by the commissioner under the provisions of Subsection D of this 29 Section. Page 3 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 16RS-757 ENGROSSED HB NO. 476 1 F.(1) The commissioner of insurance shall approve or disapprove certificate 2 of insurance forms filed pursuant to this Section in writing within forty-five days of 3 receipt of the form. 4 (2) Standard certificate of insurance forms promulgated by the Association 5 for Cooperative Operations Research and Development (ACORD), the American 6 Association of Insurance Services (AAIS), or the Insurance Services Office (ISO) 7 shall be filed, but are deemed approved by the commissioner of insurance, provided 8 these forms comply with the provisions of this Section. 9 G. No person shall demand or request the issuance of a certificate of 10 insurance from an insurer, insurance producer, or policyholder that contains any false 11 or misleading information concerning the policy of insurance to which the certificate 12 makes reference. 13 H. E.(1) No person may prepare, issue, or request an insurance producer 14 prepare or issue, either in addition to or in lieu of a certificate of insurance, an 15 opinion letter or other document or correspondence, instrument, or record, including 16 an electronic record, that is inconsistent with this Section;. 17 (2) however, A person may request that an insurer or insurance producer may 18 prepare or issue an addendum that clarifies, explains, summarizes, or provides a 19 statement of the coverages provided by a policy of insurance and otherwise complies 20 with the requirements of this Section. 21 (3) The provisions of Paragraph (1) of this Subsection shall not apply to 22 lenders, as defined in this Section, or to certificates of insurance required or 23 requested by a lender from a policyholder. 24 I. F. The provisions of this Section shall apply to all certificate holders, 25 policyholders, insurers, insurance producers, and certificate of insurance forms 26 issued as a statement or evidence of insurance coverages on property, operations, or 27 risks located in this state, regardless of where the certificate holder, policyholder, 28 insurer, or insurance producer is located. Page 4 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 16RS-757 ENGROSSED HB NO. 476 1 J. G. A certificate of insurance form which has been approved by the 2 commissioner issued in accordance with this Section and properly executed and 3 issued by a property and casualty insurer or an insurance producer, shall constitute 4 a confirmation that the referenced insurance policy has been issued or that coverage 5 has been bound notwithstanding the inclusion of "for information purposes only" or 6 similar language on the face of the certificate. A certificate of insurance is not a 7 policy of insurance and does not affirmatively or negatively amend, extend, or alter 8 the coverage afforded by the policy to which the certificate of insurance makes 9 reference. A certificate of insurance shall not confer to a certificate holder new or 10 additional rights beyond what the referenced policy or any validly executed 11 endorsements of insurance provides. 12 K. H. No certificate of insurance shall contain references to legal or 13 insurance requirements contained in any contracts other than the underlying contracts 14 of insurance, including but not limited to construction or service contracts. The 15 certificate of insurance may list only the specific forms or endorsements contained 16 in the underlying contracts of insurance. No certificate holder or other interested 17 party may require an interpretation of those forms or endorsement from the insurance 18 agent. The provisions of this Subsection shall not apply to lenders, as defined in this 19 Section, or to certificates of insurance required or requested by a lender from a 20 policyholder. 21 L. I. A person shall have a legal right to notice of cancellation, nonrenewal, 22 or any material change, or any similar notice concerning a policy of insurance only 23 if the person is named within the policy or any endorsement and the policy or 24 endorsement, law, or regulation of this state requires notice to be provided. The 25 terms and conditions of the notice, including the required timing of the notice, are 26 governed by the policy of insurance in accordance with the laws and regulations of 27 this state and cannot be altered by a certificate of insurance. Page 5 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 16RS-757 ENGROSSED HB NO. 476 1 M. J. Any certificate of insurance and any attached addendum prepared, 2 issued, or requested in violation of this Section shall be null and void and of no force 3 and effect. 4 N. K. Any person who willfully violates this Section may be fined not more 5 than one thousand dollars per violation. 6 O. L. The commissioner of insurance shall have the power to examine and 7 investigate any complaint or allegation of specific violations by any person who has 8 allegedly engaged in an act or practice prohibited by this Section and to enforce the 9 provisions of this Section. Examinations or complaint investigations conducted by 10 the commissioner under this Subsection shall be subject to the provisions of R.S. 11 22:1983(J). 12 P. M. Pursuant to the Administrative Procedure Act, the commissioner of 13 insurance may adopt reasonable rules and regulations as are necessary or proper to 14 carry out the purposes of this Section. 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)] HB 476 Engrossed 2016 Regular Session Huval Abstract: Provides that an insurer, but not an insurance producer, may be asked to prepare an addendum to a certificate of insurance that clarifies, explains, summarizes, or provides a statement of the coverages provided by an insurance policy. Further provides that a certificate of insurance may be issued only on standard forms promulgated by ACORD, AAIS, ISO, or the insurer, and that the insurance producer may not be asked to provide an interpretation of the forms or endorsements listed on a certificate of insurance. Present law provides that either an insurance producer or insurer may be asked to provide an addendum to a certificate of insurance that clarifies, explains, summarizes, or provides a statement of the coverages provided by an insurance policy. Proposed law provides that only the insurer may be asked to provide an addendum to a certificate of insurance that clarifies, explains, summarizes, or provides a statement of the coverages provided by an insurance policy. Further provides that an insurance producer may not be asked to provide any additional documents other than a certificate of insurance. Present law allows the use of insurance certificates promulgated by the Association for Cooperative Operations Research and Development (ACORD) the American Association of Insurance Services (AAIS), or the Insurance Services Office (ISO), or any certificate Page 6 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 16RS-757 ENGROSSED HB NO. 476 approved by the commissioner of insurance. Proposed law allows only the use of certificates of insurance promulgated by an insurer, ACORD, AAIS, or ISO. Proposed law prohibits a certificate holder or other interested party from requiring an interpretation of the forms and endorsements to an insurance policy that are listed on a certificate of insurance. (Amends R.S. 22:890) Summary of Amendments Adopted by House The Committee Amendments Proposed by House Committee on Insurance to the original bill: 1. Add definition of "lender". 2. Only allow the issuance of certificates of insurance on standard certificate of insurance forms promulgated by the insurer, the Association for Cooperative Operations Research and Development (ACORD) the American Association of Insurance Services (AAIS), or the Insurance Services Office (ISO), unless a lender requests otherwise. 3. Delete provisions in current law that allow the use of forms other than those issued by ACORD, AAIS, or ISO. 4. Allow lenders to request an insurance producer provide additional information not contained in a certificate of insurance. 5. Specify that the certificate of insurance may list only the specific forms or endorsements contained in the underlying insurance policy. 6. Prevent a certificate holder or other interested party, other than a lender, from requiring an insurance producer to provide an interpretation of the forms and endorsements. 7. Make technical changes. Page 7 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions.