2 | 2 | | Sixty-ninth |
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3 | 3 | | Legislative Assembly |
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4 | 4 | | of North Dakota |
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5 | 5 | | Introduced by |
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6 | 6 | | Senators Barta, Hogue, Klein |
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7 | 7 | | Representatives Lefor, Warrey, J. Johnson |
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8 | 8 | | A BILL for an Act to create and enact two new sections to chapter 26.1-30, two new sections to |
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9 | 9 | | chapter 26.1-39, a new section to chapter 26.1-44, and a new subsection to section 26.1-46-03 |
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10 | 10 | | of the North Dakota Century Code, relating to mandatory arbitration endorsements for property |
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11 | 11 | | insurance, managed repair programs, civil remedy actions against property insurers, notice of |
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12 | 12 | | property insurance claims, and surplus lines insurance policies; to amend and reenact sections |
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13 | 13 | | 26.1-02-05, 26.1-25-02.1, 26.1-25-16, 26.1-26-04.1, 26.1-44-03, 26.1-46-01, 26.1-46-08, and |
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14 | 14 | | 26.1-46-08.1 of the North Dakota Century Code, relating to exceptions to unauthorized |
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15 | 15 | | insurance transactions, exceptions for large commercial risks in fire, property, and casualty |
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16 | 16 | | insurance rates, surplus lines insurance, risk retention groups and purchasing groups, |
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17 | 17 | | restrictions on insurance purchased by purchasing groups, and purchasing group taxation and |
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18 | 18 | | fees; to repeal section 26.1-44-03.3 of the North Dakota Century Code, relating to an exemption |
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21 | 20 | | BE IT ENACTED BY THE LEGISLATIVE ASSEMBLY OF NORTH DAKOTA: |
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22 | 21 | | SECTION 1. AMENDMENT. Section 26.1-02-05 of the North Dakota Century Code is |
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23 | 22 | | amended and reenacted as follows: |
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24 | 23 | | 26.1-02-05. Unauthorized insurance prohibited - Exceptions. |
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25 | 24 | | An insurance company may not transact insurance business in this state, as set forth in |
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26 | 25 | | section 26.1-02-06, without a certificate of authority from the commissioner. This section does |
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27 | 26 | | not apply to: |
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28 | 27 | | 1.The lawful transaction of surplus lines insurance. |
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29 | 28 | | 2.The lawful transaction of reinsurance by insurers. |
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56 | 54 | | Legislative Assembly |
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57 | 55 | | 3.Transactions involving a policy lawfully solicited, written, and delivered outside of this |
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58 | 56 | | state covering only subjects of insurance not resident, located, or expressly to be |
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59 | 57 | | performed in this state at the time of issuance, and which transactions are subsequent |
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60 | 58 | | to the issuance of such policy. |
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61 | 59 | | 4.Transactions involving life insurance, health insurance, or annuities provided to |
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62 | 60 | | educational or religious or charitable institutions organized and operated without profit |
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63 | 61 | | to any private shareholder or individual, for the benefit of the institutions and |
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64 | 62 | | individuals engaged in the service of the institutions. |
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65 | 63 | | 5.Attorneys acting in the ordinary relation of attorney and client in the adjustment of |
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66 | 64 | | claims or losses. |
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67 | 65 | | 6.Transactions involving group life, accident, and health, or blanket accident and health |
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68 | 66 | | insurance, or group annuities if the master policy of the group was lawfully issued and |
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69 | 67 | | delivered in and pursuant to the laws of a state in which the insurance company was |
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70 | 68 | | authorized to do an insurance business, to a group organized for purposes other than |
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71 | 69 | | the procurement of insurance, and where the policyholder is domiciled or otherwise |
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72 | 70 | | has a bona fide situs. |
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73 | 71 | | 7.Transactions involving any insurance policy or annuity contract issued before July 1, |
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74 | 72 | | 1973. |
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75 | 73 | | 8.Transactions relative to a policy issued or to be issued outside this state involving |
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76 | 74 | | insurance on vessels, craft or hulls, cargoes, marine builder's risk, marine protection |
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77 | 75 | | and indemnity or other risk, including strikes and war risks commonly insured under |
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78 | 76 | | ocean or wet marine forms of policy. |
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79 | 77 | | 9.Transactions involving insurance contracts issued to one or more industrial insureds; |
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80 | 78 | | provided, that this does not relieve an industrial insured from taxation imposed upon |
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81 | 79 | | independently procured insurance. An industrial insured is an insured: |
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82 | 80 | | a.Which procures the insurance of any risk or risks other than life and annuity |
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83 | 81 | | contracts by use of the services of a full-time employee acting as an insurance |
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84 | 82 | | manager or buyer or the services of a regularly and continuously retained |
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85 | 83 | | qualified insurance consultant; |
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86 | 84 | | b.Whose aggregate annual premiums for insurance on all risks total at least |
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87 | 85 | | twenty-five thousand dollars; and |
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119 | 117 | | 31 Sixty-ninth |
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120 | 118 | | Legislative Assembly |
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121 | 119 | | c.Which has at least twenty-five full-time employees. |
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122 | 120 | | 10.Transactions involving insurance contracts covering a large commercial risk as |
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123 | 121 | | defined in section 26.1 - 25 - 02.1, provided an industrial insured is not relieved from |
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124 | 122 | | taxation imposed upon independently procured insurance. |
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125 | 123 | | SECTION 2. AMENDMENT. Section 26.1-25-02.1 of the North Dakota Century Code is |
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126 | 124 | | amended and reenacted as follows: |
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127 | 125 | | 26.1-25-02.1. Definitions. |
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128 | 126 | | 1."Advisory organization" means any entity, including its affiliates or subsidiaries, which |
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129 | 127 | | either has two or more member insurers or is controlled either directly or indirectly by |
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130 | 128 | | two or more insurers, and which assists insurers in ratemaking-related activities as |
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131 | 129 | | enumerated in this chapter. Two or more insurers having a common ownership or |
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132 | 130 | | operating in this state under common management or control constitute a single |
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133 | 131 | | insurer for purposes of this definition. |
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134 | 132 | | 2."Commercial risk" means any kind of risk which is not a personal risk. |
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135 | 133 | | 3."Competitive market" means a commercial risk market that has not been found to be |
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136 | 134 | | noncompetitive as provided for in section 26.1-25-04. All commercial risk markets |
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137 | 135 | | except crop hail, farmowners, and medical malpractice insurance are presumed to be |
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138 | 136 | | competitive. |
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139 | 137 | | 4."Developed losses" means losses including loss adjustment expenses, adjusted, using |
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140 | 138 | | standard actuarial techniques, to eliminate the effect of differences between current |
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141 | 139 | | payment or reserve estimates and those needed to provide actual ultimate loss |
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142 | 140 | | including loss adjustment expense payments. |
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143 | 141 | | 5."Expenses" means that portion of a rate attributable to acquisition, field supervision, |
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144 | 142 | | collection expenses, general expenses, taxes, licenses, and fees. |
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145 | 143 | | 6."Joint underwriting" means a voluntary arrangement established to provide insurance |
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146 | 144 | | coverage for a commercial risk pursuant to which two or more insurers jointly contract |
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147 | 145 | | with the insured at a price and under policy terms agreed upon between the insurers. |
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148 | 146 | | 7."Large commercial risk" means an insured that has: |
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149 | 147 | | a.Total insured property values of twenty - five million dollars or more; |
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150 | 148 | | b.Total annual gross revenue of fifty million dollars or more; or |
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181 | 179 | | 30 Sixty-ninth |
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182 | 180 | | Legislative Assembly |
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183 | 181 | | c.A total premium of one hundred thousand dollars or more for property insurance, |
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184 | 182 | | one hundred thousand dollars or more for general liability insurance, or |
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185 | 183 | | two hundred thousand dollars or more for multiperil insurance. |
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186 | 184 | | d.The term does not include farming or ranching. |
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187 | 185 | | 8."Loss trending" means any procedure for projecting developed losses to the average |
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188 | 186 | | date of loss for the period during which the policies are to be effective. |
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189 | 187 | | 8.9."Noncompetitive market" means the crop hail, farmowners, and medical malpractice |
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190 | 188 | | insurance markets together with any other line of commercial risk insurance that has |
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191 | 189 | | not been found by the commissioner to have a reasonable degree of competitiveness |
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192 | 190 | | within the market considering: |
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193 | 191 | | a.Market concentration and changes in market concentration determined through |
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194 | 192 | | the use of the Herfindahl-Hirschman index and the United States department of |
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195 | 193 | | justice merger guidelines for an unconcentrated market; |
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196 | 194 | | b.The existence of financial and other barriers that prevent a company from |
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197 | 195 | | entering the market; |
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198 | 196 | | c.The number of insurers or groups of affiliated insurers providing coverage in the |
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199 | 197 | | market; |
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200 | 198 | | d.The extent to which any insurer or group of affiliated insurers controls the market; |
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201 | 199 | | e.Whether the total number of companies writing the line of insurance in this state |
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202 | 200 | | is sufficient to provide multiple insurance options in the market; |
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203 | 201 | | f.The availability of insurance coverage to consumers in the markets by specific |
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204 | 202 | | geographic area, by line of insurance, and by class of risk; and |
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205 | 203 | | g.The opportunities available in the market to acquire pricing and other consumer |
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206 | 204 | | information. |
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207 | 205 | | A determination that a market is noncompetitive may not be based solely on the |
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208 | 206 | | consideration of any one factor. |
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209 | 207 | | 9.10."Personal risk" means homeowners, tenants, private passenger nonfleet automobiles, |
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210 | 208 | | mobile homes, and other property and casualty insurance for personal, family, or |
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211 | 209 | | household needs. |
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212 | 210 | | 10.11."Pool" means a voluntary arrangement, established on an ongoing basis, pursuant to |
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213 | 211 | | which two or more insurers participate in the sharing of risks on a predetermined |
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247 | 245 | | basis. The pool may operate through an association, syndicate, or other pooling |
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248 | 246 | | agreement. |
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249 | 247 | | 11.12."Prospective loss costs" means that portion of a rate that does not include provisions |
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250 | 248 | | for expenses other than loss adjustment expenses, or profit, and are based on |
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251 | 249 | | historical aggregate losses and loss adjustment expenses adjusted through |
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252 | 250 | | development to their ultimate value and projected through trending to a future point in |
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253 | 251 | | time. |
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254 | 252 | | 12.13."Rate" means that cost of insurance per exposure unit whether expressed as a single |
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255 | 253 | | member or as a prospective loss cost with an adjustment to account for the treatment |
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256 | 254 | | of expenses, profit, and individual insurer variation in loss experience, prior to any |
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257 | 255 | | application of individual risk variations based on loss or expense considerations, and |
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258 | 256 | | does not include minimum premium. |
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259 | 257 | | 13.14."Residual market mechanism" means an arrangement, either voluntary or mandated |
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260 | 258 | | by law, involving participation by insurers in the equitable apportionment among them |
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261 | 259 | | of insurance which may be afforded applicants who are unable to obtain insurance |
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262 | 260 | | through ordinary methods. |
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263 | 261 | | 14.15."Supplementary rating information" includes any manual or plan of rates, classification, |
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264 | 262 | | rating schedule, minimum premium, policy fee, rating rule, underwriting rule, statistical |
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265 | 263 | | plan, and any other similar information needed to determine the applicable rate in |
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266 | 264 | | effect or to be in effect. |
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267 | 265 | | 15.16."Supporting information" means: |
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268 | 266 | | a.The experience and judgment of the filer and the experience or date of other |
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269 | 267 | | insurers or advisory organizations relied upon by the filer; |
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270 | 268 | | b.The interpretation of any other data relied upon by the filer; and |
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271 | 269 | | c.Descriptions of methods used in making the rates and any other information |
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272 | 270 | | required by the commissioner to be filed. |
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273 | 271 | | SECTION 3. AMENDMENT. Section 26.1-25-16 of the North Dakota Century Code is |
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274 | 272 | | amended and reenacted as follows: |
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275 | 273 | | 26.1-25-16. Rebates prohibited - Exception. |
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276 | 274 | | 1.No insurance producerAn insurance producer may not knowingly charge, demand, or |
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277 | 275 | | receive a premium for any insurance policy except in accordance with this chapter. No |
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309 | 307 | | 31 Sixty-ninth |
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310 | 308 | | Legislative Assembly |
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311 | 309 | | insurer or employee of an insurer, and no insurance producer, broker or agent may |
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312 | 310 | | pay, allow, or give, or offer to pay, allow, or give, directly or indirectly, as an |
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313 | 311 | | inducement to insurance, or after insurance has been effected, any rebate, discount, |
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314 | 312 | | abatement, credit, or reduction of the premium named in an insurance policy, or any |
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315 | 313 | | special favor or advantage in the dividends or other benefits to accrue on the policy, or |
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316 | 314 | | any valuable consideration or inducement whatever, not specified in the insurance |
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317 | 315 | | policy, except to the extent provided for in applicable filing. No insured named in an |
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318 | 316 | | insurance policy, nor any employee of the insured, may knowingly receive or accept, |
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319 | 317 | | directly or indirectly, any such rebate, discount, abatement, credit, or reduction of |
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320 | 318 | | premium, or any such special favor or advantage or valuable consideration or |
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321 | 319 | | inducement. This section does not prohibit the payment of commissions or other |
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322 | 320 | | compensation to licensed insurance producers, nor any insurer from allowing or |
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323 | 321 | | returning to its participating policyholders, members, or subscribers dividends, |
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324 | 322 | | savings, or unabsorbed premium deposits. As used in this section, "insurance" |
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326 | 324 | | 2.Notwithstanding any other provision in this section, if the cost does not exceed an |
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327 | 325 | | aggregate retail value of one hundred dollars per person per year, an insurance |
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328 | 326 | | producer may give a gift, prize, promotional article, logo merchandise, meal, or |
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329 | 327 | | entertainment activity directly or indirectly to a person in connection with marketing, |
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330 | 328 | | promoting, or advertising the business. As used in this subsection, "person" means the |
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331 | 329 | | named insured, policy owner, or prospective client or the spouse of any of these |
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332 | 330 | | individuals, but the term does not include a certificate holder, child, or employee of the |
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333 | 331 | | named insured, policy owner, or prospective client. Subject to the limits of this |
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334 | 332 | | subsection, an insurance producer may give a gift card for specific merchandise or |
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335 | 333 | | services such as a meal, gasoline, or car wash but may not give cash, a cash card, |
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336 | 334 | | any form of currency, or any refund or discount in premium. An insurance producer |
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337 | 335 | | may not condition the giving of a gift, prize, promotional article, logo merchandise, |
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338 | 336 | | meal, or entertainment activity on obtaining a quote or a contract of insurance. |
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339 | 337 | | Notwithstanding the limitation in this subsection, an insurance producer may conduct |
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340 | 338 | | raffles or drawings, if there is no financial cost to an entrant to participate, the drawing |
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341 | 339 | | or raffle does not obligate a participant to purchase insurance, the prizes are not |
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373 | 371 | | 31 Sixty-ninth |
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375 | 373 | | valued in excess of a reasonable amount determined by the commissioner, and the |
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376 | 374 | | drawing or raffle is open to the public. The raffle or drawing must be offered in a |
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377 | 375 | | manner that is not unfairly discriminatory and may not be contingent on the purchase, |
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378 | 376 | | continued purchase, or renewal of a policy. Notwithstanding the limitation in this |
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379 | 377 | | subsection, an insurance producer may make a donation to a nonprofit organization |
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380 | 378 | | that is exempt from federal taxation under Internal Revenue Code section 501(c)(3) |
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381 | 379 | | [26 U.S.C. 501(c)(3)] in any amount as long as the donation is not given as an |
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382 | 380 | | inducement to obtain a contract of insurance. |
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383 | 381 | | 3.The provisions in this section may not be construed as including within the definition of |
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384 | 382 | | discrimination or rebates any of the following practices: |
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385 | 383 | | a.The offer or provision by an insurer or producer, by or through an employee, an |
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386 | 384 | | affiliate, or a third-party representative, of value-added products or services at no |
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387 | 385 | | or reduced cost if the products or services are not specified in the policy of |
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388 | 386 | | insurance if the product or service: |
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389 | 387 | | (1)Relates to the insurance coverage and is designed to satisfy one or more of |
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390 | 388 | | the following: |
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391 | 389 | | (a)Provide loss mitigation or loss control; |
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392 | 390 | | (b)Reduce claims costs or claim settlement costs; |
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393 | 391 | | (c)Provide education about liability risk or risk of loss to persons or |
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394 | 392 | | property; |
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395 | 393 | | (d)Monitor or assess risk, identify sources of risk, or develop strategies |
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396 | 394 | | for eliminating or reducing risk; |
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397 | 395 | | (e)Enhance health; |
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398 | 396 | | (f)Enhance financial wellness through items such as education of |
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399 | 397 | | financial planning services; |
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400 | 398 | | (g)Provide post-loss services; |
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401 | 399 | | (h)Incent behavioral changes to improve the health or reduce the risk of |
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402 | 400 | | death or disability of an individual defined as policyholder, potential |
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403 | 401 | | policyholder, certificate holder, potential certificate holder, insured, |
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404 | 402 | | potential insured, or applicant; or |
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435 | 433 | | 30 Sixty-ninth |
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437 | 435 | | (i)Assist in the administration of the employee or retiree benefit |
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438 | 436 | | insurance coverage. |
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439 | 437 | | (2)If offered by the insurer or producer, the insurer or producer, upon request, |
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440 | 438 | | shall ensure the person is provided with contact information to assist the |
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441 | 439 | | person with questions regarding the product or service. |
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442 | 440 | | (3)Is based on fair documented criteria and offered in a manner not unfairly |
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443 | 441 | | discriminatory. The documented criteria must be maintained by the insurer |
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444 | 442 | | or producer and produced at the request of the commissioner. |
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445 | 443 | | (4)Is reasonable in comparison to that person's premiums or insurance |
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446 | 444 | | coverage for the policy class. |
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447 | 445 | | b.If an insurer or producer does not have sufficient evidence, but has a good-faith |
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448 | 446 | | belief the product or service meets the criteria in subdivision a, the provision by |
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449 | 447 | | the insurer or producer of a product or service in a manner that is not unfairly |
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450 | 448 | | discriminatory as part of a pilot or testing program no longer than one year. An |
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451 | 449 | | insurer or producer shall notify the department of the pilot or testing program |
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452 | 450 | | offered to consumers in this state before launching and may proceed with the |
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453 | 451 | | program unless the department objects within twenty-one days of notice. |
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454 | 452 | | 4.An insurer, producer, or representative of an insurer or producer may not offer or |
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455 | 453 | | provide insurance as an inducement to the purchase of another policy or otherwise |
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456 | 454 | | use of the words "free" or "no cost" or words of similar import in an advertisement. |
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457 | 455 | | 5.The commissioner may adopt regulations when implementing the permitted practices |
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458 | 456 | | set forth in this regulation to ensure consumer protection. Consistent with applicable |
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459 | 457 | | law, the topics addressed by the regulations may include consumer data protections |
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460 | 458 | | and privacy, consumer disclosure, and unfair discrimination. |
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461 | 460 | | SECTION 4. AMENDMENT. Section 26.1-26-04.1 of the North Dakota Century Code is |
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462 | 461 | | amended and reenacted as follows: |
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463 | 462 | | 26.1-26-04.1. Fees for services - Rules. |
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464 | 463 | | 1.Notwithstanding any other provision of this title, an insurance producer may charge a |
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465 | 464 | | fee for any services rendered in connection with the sale, solicitation, negotiation, |
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466 | 465 | | placement, or servicing of an insurance contract, if the following conditions are met: |
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498 | 498 | | Legislative Assembly |
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499 | 499 | | a.The fees may not be charged on a personal lines account, such as personal |
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500 | 500 | | homeowners and automobile, personal life, and health insurance. |
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501 | 501 | | b.Before rendering the services and accepting any payment, a written disclosure |
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502 | 502 | | must be provided to the party to be charged on a form approved by the |
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503 | 503 | | commissioner disclosing: |
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504 | 504 | | (1)The nature of the services for which the fees will be charged along with a |
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505 | 505 | | separate itemization of the amount of the fees; |
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506 | 506 | | (2)That the fees are charged in addition to any premiums paid; |
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507 | 507 | | (3)That if the insurance producer is also an appointed agent of an insurer with |
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508 | 508 | | which coverage is being considered for placement, a statement that the |
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509 | 509 | | insurance producer also represents the insurer in the transaction and owes |
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510 | 510 | | a duty of loyalty to the insurer; and |
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511 | 511 | | (4)That if the insurance producer is to receive a commission from the sale of |
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512 | 512 | | an insurance policy related to the services rendered, a statement clearly |
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513 | 513 | | and completely disclosing that the: |
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514 | 514 | | (a)Insurance producer will receive a commission from the insurer which |
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515 | 515 | | is paid from the premiums owed for the insurance; and |
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516 | 516 | | (b)Amount of commission received by the insurance producer may differ |
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517 | 517 | | depending on the product sold and the insurer. |
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518 | 518 | | c.The disclosure required by this section must be signed and dated by both the |
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519 | 519 | | producer and the party to be charged. |
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520 | 520 | | d.The producer shall retain the signed disclosure required by this section for not |
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521 | 521 | | less than five years following the completion of the service. A copy of the signed |
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522 | 522 | | disclosure must be available to the commissioner for inspection upon request. |
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523 | 523 | | e.The insurance producer may not pay or return, or offer to pay or return, all or part |
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524 | 524 | | of a fee charged as an inducement to purchase a specific policy, or coverage |
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525 | 525 | | within a policy, or coverage from a particular insurer. |
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526 | 526 | | f.Any fee charged under this section must bear a reasonable relationship to the |
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527 | 527 | | services provided and may not be discriminatory. |
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528 | 528 | | 2.An insurance producer charging a fee for services rendered for risk management |
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529 | 529 | | services under this section owes the person to be charged a higher standard of care |
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561 | 561 | | 31 Sixty-ninth |
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562 | 562 | | Legislative Assembly |
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563 | 563 | | than the ordinary standard of care otherwise owed by an insurance producer to fully |
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564 | 564 | | advise the party to be charged as to the party's insurance needs, including the duty to |
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565 | 565 | | inform the person to be charged as to a potential source of risk and to recommend, if |
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566 | 566 | | available, insurance coverage for that risk. |
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567 | 567 | | 3.An insurance producer may charge an individual, for personal or commercial lines, a |
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568 | 568 | | fee for paying agency-billed premiums and fees by credit card or other electronic |
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569 | 569 | | means, if the fee is disclosed to the client in writing and agreed to by the client in |
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570 | 570 | | writing. |
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572 | 572 | | defined in section 26.1 - 25 - 02.1. |
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573 | 573 | | 5.The commissioner may adopt rules determined necessary by the commissioner for the |
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574 | 574 | | administration of this section. |
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575 | 575 | | SECTION 5. A new section to chapter 26.1-30 of the North Dakota Century Code is created |
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576 | 576 | | and enacted as follows: |
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577 | 577 | | Mandatory arbitration endorsements for property insurance - Written acceptance - |
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578 | 578 | | Penalty. |
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579 | 579 | | 1.A property insurance policy may be issued or delivered in this state with mandatory |
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580 | 580 | | binding arbitration provisions if the: |
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581 | 581 | | a.Mandatory binding arbitration provisions are contained in a separate |
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582 | 582 | | endorsement; |
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583 | 583 | | b.Named insured accepts the mandatory binding arbitration endorsement in writing |
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584 | 584 | | in accordance with subsection 2; and |
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585 | 585 | | c.Property insurance policy does not require mandatory binding arbitration upon |
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586 | 586 | | request. |
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587 | 587 | | 2.The written acceptance of the insured required under subsection 1 must: |
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588 | 588 | | a.Be on a form separate from the policy application and other policy forms; |
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589 | 589 | | b.Clearly state the rights being waived in exchange for the premium discount, |
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590 | 590 | | including the right to a trial by jury; and |
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591 | 591 | | c.Include the following statement in at least twelve-point bold font: |
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621 | 621 | | 29 Sixty-ninth |
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622 | 622 | | Legislative Assembly |
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623 | 623 | | "By signing this form, I agree to resolve all covered property insurance claims |
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624 | 624 | | through mandatory binding arbitration. I understand that by agreeing to |
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625 | 625 | | mandatory binding arbitration: |
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626 | 626 | | I am giving up my right to have disputes resolved in court. |
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627 | 627 | | I am giving up my right to a jury trial. |
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628 | 628 | | I am accepting these terms in exchange for a premium discount of [dollar amount |
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629 | 629 | | or percentage of premium amount]. |
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630 | 630 | | This agreement is binding on all insureds under the policy and remains effective |
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631 | 631 | | upon policy renewal, replacement, or reinstatement unless I request removal of |
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632 | 632 | | the mandatory binding arbitration endorsement in writing". |
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633 | 633 | | 3.All arbitration proceedings under this section must: |
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634 | 634 | | a.Be conducted in this state if involving a resident of this state; |
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635 | 635 | | b.Be governed by state law; and |
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636 | 636 | | c.Not require arbitration in another state. |
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637 | 637 | | 4.The acceptance or rejection of mandatory binding arbitration is valid and binding on all |
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638 | 638 | | insureds under the policy and remains effective upon policy renewal, replacement, or |
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639 | 639 | | reinstatement unless the named insured requests a change in writing. |
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640 | 640 | | 5.This section applies to all property and casualty insurance policies issued or renewed |
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641 | 641 | | after the effective date of this Act. |
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642 | 642 | | 6.This section does not apply to a: |
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643 | 643 | | a.Voluntary arbitration agreement entered after a dispute has arisen; |
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644 | 644 | | b.Large commercial risk as defined in section 26.1 - 25 - 02.1; or |
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645 | 645 | | c.Commercial surplus line insurance policy placed in accordance with section |
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646 | 646 | | 26.1 - 44 - 03. |
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647 | 647 | | 7.The commissioner shall enforce this section. |
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648 | 648 | | 8.The commissioner may assess a penalty on an insurer in violation of this section, as |
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649 | 649 | | determined by the commissioner. |
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650 | 650 | | SECTION 6. A new section to chapter 26.1-30 of the North Dakota Century Code is created |
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651 | 651 | | and enacted as follows: |
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681 | 681 | | 29 Sixty-ninth |
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682 | 682 | | Legislative Assembly |
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683 | 683 | | Managed repair programs - Penalty. |
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684 | 684 | | 1.A property insurance policy may be issued or delivered in this state with a managed |
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685 | 685 | | repair program provision offering premium incentives for managed repair program |
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686 | 686 | | participation. As used in this section, "managed repair program" means an insurance |
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687 | 687 | | policy providing a program with a specified reduction in premium or other specified |
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688 | 688 | | incentive for participation in a program restricting an insured's choice of repair vendors |
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689 | 689 | | or contractors for covered repairs. |
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690 | 690 | | 2.An insurer offering a managed repair program shall: |
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691 | 691 | | a.Prominently disclose on the policy declarations page the policy restricts the |
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692 | 692 | | insured's right to choose repair vendors; |
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693 | 693 | | b.Specify any premium benefits for program participation; |
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694 | 694 | | c.Include a separate disclosure form, written in at least twelve-point font, which |
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695 | 695 | | explains the restrictions on vendor selection, including: |
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696 | 696 | | (1)The process for repairs under the program; |
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697 | 697 | | (2)The insured's rights and responsibilities; and |
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698 | 698 | | (3)Any warranty or guarantee provided for repairs. |
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699 | 699 | | 3.This section does not apply to contractor referral or managed or direct repair programs |
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700 | 700 | | that do not provide a specified reduction in premium or other incentive. |
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701 | 701 | | 4.This section applies to insurance policies issued or renewed after the effective date of |
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702 | 702 | | this Act. |
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703 | 703 | | 5.The commissioner shall enforce this section. |
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704 | 704 | | 6.The commissioner may assess a penalty on an insurer in violation of this section, as |
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705 | 705 | | determined by the commissioner. |
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706 | 706 | | SECTION 7. A new section to chapter 26.1-39 of the North Dakota Century Code is created |
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707 | 707 | | and enacted as follows: |
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708 | 708 | | Civil remedy actions against property insurers. |
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709 | 709 | | Notwithstanding any provision under title 26.1, before a named insured may proceed with a |
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710 | 710 | | bad faith claim against a property insurer, the named insured shall establish through an adverse |
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711 | 711 | | adjudication by a court of law the property insurer breached the insurance contract and a final |
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712 | 712 | | judgment or decree must have been rendered against the insurer. |
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743 | 743 | | 30 Sixty-ninth |
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744 | 744 | | Legislative Assembly |
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745 | 745 | | SECTION 8. A new section to chapter 26.1-39 of the North Dakota Century Code is created |
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746 | 746 | | and enacted as follows: |
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747 | 747 | | Notice of property insurance claim. |
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748 | 748 | | 1.As used in this section: |
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749 | 749 | | a."Reopened claim" means a claim an insurer closed and reopened upon an |
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750 | 750 | | insured's request for additional reimbursement of damage arising out of the |
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751 | 751 | | original occurrence, and not previously identified or disclosed to the insurer. |
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752 | 752 | | b."Supplemental claim" means a claim for additional loss or costs from the same |
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753 | 753 | | occurrence the insurer previously compensated the insured. |
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754 | 754 | | 2.A reopened claim under an insurance policy that provides property insurance, |
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755 | 755 | | including a policy issued by an eligible surplus lines insurer, for loss or damage is |
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756 | 756 | | barred unless notice of the claim was given to the insurer within one year after the |
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757 | 757 | | date of loss. A supplemental claim is barred unless notice of the supplemental claim |
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758 | 758 | | was given to the insurer of the policy within twelve months after the date of the last |
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759 | 759 | | payment issued by the insurer for that element of the loss. |
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760 | 760 | | 3.The time limitations under subsection 2 are tolled during any term of deployment for a |
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761 | 761 | | named insured service member to a combat zone or combat support posting that |
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762 | 762 | | materially affects the ability of the named insured to file a claim, supplemental claim, |
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763 | 763 | | or reopened claim. |
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764 | 764 | | SECTION 9. AMENDMENT. Section 26.1-44-03 of the North Dakota Century Code is |
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765 | 765 | | amended and reenacted as follows: |
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766 | 766 | | 26.1-44-03. Surplus lines insurance. |
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767 | 767 | | The placement of nonadmitted insurance is subject to this section only if the insured's home |
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768 | 768 | | state is this state. Surplus lines insurance may be placed by a surplus lines producer if: |
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769 | 769 | | 1.Each insurer is an eligible surplus lines insurer; |
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770 | 770 | | 2.Each insurer is authorized to write the kind of insurance in its domiciliary jurisdiction; |
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771 | 771 | | 3.The full amount or type of insurance cannot be obtained from insurers who are |
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772 | 772 | | admitted to do business in this state. The full amount or type of insurance may be |
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773 | 773 | | procured from eligible surplus lines insurers provided that a diligent search is made |
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774 | 774 | | among The surplus lines producer is aware that: |
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805 | 805 | | 30 Sixty-ninth |
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806 | 806 | | Legislative Assembly |
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807 | 807 | | a.The full amount and type of insurance is not available from the insurers who are |
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808 | 808 | | admitted to transact and are actually writing the particular type of insurance in |
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809 | 809 | | this state if any are writing it; or |
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810 | 810 | | b.The risk was referred to the surplus lines producer by an insurance producer |
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811 | 811 | | licensed in this state. |
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812 | 812 | | 4.At the time of placement the surplus lines producer has determined that the |
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813 | 813 | | nonadmitted insurer: |
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814 | 814 | | a.Has established satisfactory evidence of good repute and financial integrity and |
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815 | 815 | | has capital and surplus or its equivalent under the laws of its domiciliary |
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816 | 816 | | jurisdiction which equals the greater of: |
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817 | 817 | | (1)(a)The minimum capital and surplus requirements under the law of this |
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818 | 818 | | state; or |
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819 | 819 | | (b)Fifteen million dollars. |
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820 | 820 | | (2)The requirements of paragraph 1 may be satisfied by an insurer possessing |
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821 | 821 | | less than the minimum capital and surplus upon an affirmative finding of |
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822 | 822 | | acceptability by the commissioner. The finding must be based upon such |
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823 | 823 | | factors as quality of management, capital and surplus of any parent |
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824 | 824 | | company, company underwriting profit and investment income trends, |
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825 | 825 | | market availability, and company record and reputation within the industry. |
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826 | 826 | | The commissioner may not make an affirmative finding of acceptability |
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827 | 827 | | when the nonadmitted insurer's capital and surplus is less than four million |
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828 | 828 | | five hundred thousand dollars; or |
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829 | 829 | | b.For an insurer not domiciled in the United States or its territories, the insurer is |
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830 | 830 | | listed on the quarterly listing of alien insurers maintained by the national |
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831 | 831 | | association of insurance commissioners international insurers department; and |
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832 | 832 | | 5.4.All other requirements of this chapter are met. |
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833 | 833 | | SECTION 10. A new section to chapter 26.1-44 of the North Dakota Century Code is |
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834 | 834 | | created and enacted as follows: |
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835 | 835 | | Surplus lines insurance policies. |
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836 | 836 | | A surplus lines insurer may not issue a policy designed to satisfy any law mandating |
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837 | 837 | | insurance coverage by a licensed insurance company. |
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869 | 869 | | 31 Sixty-ninth |
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870 | 870 | | Legislative Assembly |
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871 | 871 | | SECTION 11. AMENDMENT. Section 26.1-46-01 of the North Dakota Century Code is |
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872 | 872 | | amended and reenacted as follows: |
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873 | 873 | | 26.1-46-01. Definitions. |
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874 | 874 | | As used in this chapter, unless the context requires otherwise: |
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875 | 875 | | 1."Commissioner" means the North Dakota insurance commissioner or the |
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876 | 876 | | commissioner, director, or superintendent of insurance in any other state. |
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877 | 877 | | 2."Completed operations liability" means liability arising out of the installation, |
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878 | 878 | | maintenance, or repair of any product at a site which is not owned or controlled by any |
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879 | 879 | | person who performs that work or any person who hires an independent contractor to |
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880 | 880 | | perform that work, but includes liability for activities which are completed or |
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881 | 881 | | abandoned before the date of the occurrence giving rise to the liability. |
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882 | 882 | | 3."Domicile", for purposes of determining the state in which a purchasing group is |
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883 | 883 | | domiciled, means: |
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884 | 884 | | a.For a corporation or limited liability company, the state in which the purchasing |
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885 | 885 | | group is incorporated or organized. |
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886 | 886 | | b.For an entity which is not a corporation or limited liability company, the state of its |
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887 | 887 | | principal place of business. |
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888 | 888 | | 4."Hazardous financial condition" means that, based on its present or reasonably |
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889 | 889 | | anticipated financial condition, a risk retention group, although not yet financially |
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890 | 890 | | impaired or insolvent, is unlikely to be able to do either of the following: |
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891 | 891 | | a.To meet obligations to policyholders with respect to known claims and reasonably |
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892 | 892 | | anticipated claims. |
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893 | 893 | | b.To pay other obligations in the normal course of business. |
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894 | 894 | | 5."Insurance" means primary insurance, excess insurance, reinsurance, surplus lines |
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895 | 895 | | insurance, and any other arrangement for shifting and distributing risk which is |
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896 | 896 | | determined to be insurance under the laws of this state. |
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897 | 897 | | 6.a."Liability" means legal liability for damages, including costs of defense, legal |
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898 | 898 | | costs and fees, and other claims expenses because of injuries to other persons, |
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899 | 899 | | damage to their property, or other damage or loss, including contractual claims |
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900 | 900 | | and expenses, to such other persons resulting from or arising out of either of the |
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901 | 901 | | following: |
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933 | 933 | | 31 Sixty-ninth |
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934 | 934 | | Legislative Assembly |
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935 | 935 | | a.(1)Any business whether profit or nonprofit, trade, product, services including |
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936 | 936 | | professional services, premises, or operations. |
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937 | 937 | | b.(2)Any activity of any state or local government, or any agency or political |
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938 | 938 | | subdivision thereof. |
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939 | 939 | | b.The term does not include personal risk liability and an employer's liability with |
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940 | 940 | | respect to its employees other than legal liability under the federal Employer's |
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941 | 941 | | Liability Act [45 U.S.C. 51 et seq.]. |
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942 | 942 | | 7."Personal risk liability" means liability for damages because of injury to any person, |
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943 | 943 | | damage to property, or other loss or damage resulting from any personal, familial, or |
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944 | 944 | | household responsibilities or activities, rather than from responsibilities or activities |
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945 | 945 | | referred to in subsection 56. |
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946 | 946 | | 8."Plan of operation or a feasibility study" means an analysis which presents the |
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947 | 947 | | expected activities and results of a risk retention group, including, at a minimum, all of |
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948 | 948 | | the following: |
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949 | 949 | | a.For each state in which it intends to operate, the coverages, deductibles, |
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950 | 950 | | coverage limits, rates, and rating classification systems for each line of insurance |
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951 | 951 | | the group intends to offer. |
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952 | 952 | | b.Historical and expected loss experience of the proposed members and national |
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953 | 953 | | experience of similar exposures to the extent that this experience is reasonably |
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954 | 954 | | available. |
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955 | 955 | | c.Pro forma financial statements and projections. |
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956 | 956 | | d.Appropriate opinions by a qualified independent casualty actuary, including a |
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957 | 957 | | determination of minimum premium or participation levels required to commence |
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958 | 958 | | operations and to prevent a hazardous financial condition. |
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959 | 959 | | e.Identification of management, underwriting and claims procedures, marketing |
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960 | 960 | | methods, managerial oversight methods, reinsurance agreements, and |
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961 | 961 | | investment policies. |
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962 | 962 | | f.Such other matters as may be prescribed by the commissioner for liability |
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963 | 963 | | insurance companies authorized by the insurance laws of the state in which the |
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964 | 964 | | risk retention group is chartered. |
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995 | 995 | | 30 Sixty-ninth |
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996 | 996 | | Legislative Assembly |
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997 | 997 | | g.Information sufficient to verify that its members are engaged in businesses or |
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998 | 998 | | activities similar or related with respect to the liability to which such members are |
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999 | 999 | | exposed by virtue of any related, similar, or common business, trade, product, |
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1000 | 1000 | | services, premises, or operations. |
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1001 | 1001 | | h.Identification of each state in which the risk retention group has obtained, or |
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1002 | 1002 | | sought to obtain, a charter and license, and a description of its status in each |
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1003 | 1003 | | such state. |
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1004 | 1004 | | 9."Product liability" means liability for damages because of any personal injury, death, |
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1005 | 1005 | | emotional harm, consequential economic damage, or property damage, including |
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1006 | 1006 | | damages resulting from the loss of use of property, arising out of the manufacture, |
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1007 | 1007 | | design, importation, distribution, packaging, labeling, lease, or sale of a product, but |
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1008 | 1008 | | does not include the liability of any person for those damages if the product involved |
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1009 | 1009 | | was in the possession of such a person when the incident giving rise to the claim |
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1010 | 1010 | | occurred. |
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1011 | 1011 | | 10."Purchasing group" means any group which meets all of the following: |
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1012 | 1012 | | a.The group has as one of its purposes the purchase of liability insurance on a |
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1013 | 1013 | | group basis. |
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1014 | 1014 | | b.The group purchases such insurance only for its group members and only to |
---|
1015 | 1015 | | cover their similar or related liability exposure, as described in subdivision c. |
---|
1016 | 1016 | | c.The group is composed of members whose business or activities are similar or |
---|
1017 | 1017 | | related with respect to the liability to which members are exposed by virtue of any |
---|
1018 | 1018 | | related, similar, or common business, trade, product, services, premises, or |
---|
1019 | 1019 | | operations. |
---|
1020 | 1020 | | d.The group is domiciled in any state. |
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1021 | 1021 | | 11."Risk retention group" means any corporation or other limited liability association: |
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1022 | 1022 | | a.Whose primary activity consists of assuming and spreading all, or any portion, of |
---|
1023 | 1023 | | the liability exposure of its group members. |
---|
1024 | 1024 | | b.Which is organized for the primary purpose of conducting the activity described |
---|
1025 | 1025 | | under subdivision a. |
---|
1026 | 1026 | | c.Which is chartered and licensed as a liability insurance company and authorized |
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1027 | 1027 | | to engage in the business of insurance under the laws of any state; or, before |
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1059 | 1059 | | 31 Sixty-ninth |
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1060 | 1060 | | Legislative Assembly |
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1061 | 1061 | | January 1, 1985, was chartered or licensed and authorized to engage in the |
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1062 | 1062 | | business of insurance under the laws of Bermuda or the Cayman Islands and, |
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1063 | 1063 | | before such date, had certified to the insurance commissioner of at least one |
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1064 | 1064 | | state that it satisfied the capitalization requirements of such state, except that any |
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1065 | 1065 | | such group shall be considered to be a risk retention group only if it has been |
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1066 | 1066 | | engaged in business continuously since that date and only for the purpose of |
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1067 | 1067 | | continuing to provide insurance to cover product liability or completed operations |
---|
1068 | 1068 | | liability as such terms were defined in the Product Liability Risk Retention Act of |
---|
1069 | 1069 | | 1981 before the date of the enactment of the Liability Risk Retention Act of 1986. |
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1070 | 1070 | | d.Which does not exclude any person from membership in the group solely to |
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1071 | 1071 | | provide for members of such a group a competitive advantage over such a |
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1072 | 1072 | | person. |
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1073 | 1073 | | e.Which has as its owners only persons who comprise the membership of the risk |
---|
1074 | 1074 | | retention group and who are provided insurance by such group, or has as its sole |
---|
1075 | 1075 | | owner an organization which has as its members only persons who comprise the |
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1076 | 1076 | | membership of the risk retention group and its owners only persons who |
---|
1077 | 1077 | | comprise the membership of the risk retention group and who are provided |
---|
1078 | 1078 | | insurance by such group. |
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1079 | 1079 | | f.Whose members are engaged in businesses or activities similar or related with |
---|
1080 | 1080 | | respect to the liability of which such members are exposed by virtue of any |
---|
1081 | 1081 | | related, similar, or common business trade, product, services, premises, or |
---|
1082 | 1082 | | operations. |
---|
1083 | 1083 | | g.Whose activities do not include the provision of insurance other than: |
---|
1084 | 1084 | | (1)Liability insurance for assuming and spreading all or any portion of the |
---|
1085 | 1085 | | liability of its group members. |
---|
1086 | 1086 | | (2)Reinsurance with respect to the liability of any other risk retention group or |
---|
1087 | 1087 | | any members of such other group which is engaged in business or activities |
---|
1088 | 1088 | | so that the group or member meets the requirement described in |
---|
1089 | 1089 | | subdivision f from membership in the risk retention group which provides |
---|
1090 | 1090 | | such reinsurance. |
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1091 | 1091 | | h.The name of which includes the phrase "risk retention group". |
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1123 | 1123 | | 31 Sixty-ninth |
---|
1124 | 1124 | | Legislative Assembly |
---|
1125 | 1125 | | 12."State" means any state of the United States or the District of Columbia. |
---|
1126 | 1126 | | SECTION 12. A new subsection to section 26.1-46-03 of the North Dakota Century Code is |
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1127 | 1127 | | created and enacted as follows: |
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1128 | 1128 | | A risk retention group that is not chartered in this state but is in compliance with this |
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1129 | 1129 | | section is deemed an authorized insurer for the satisfaction of any requirement, under |
---|
1130 | 1130 | | the laws of this state, that insurance coverage be placed with an authorized insurer. |
---|
1131 | 1131 | | SECTION 13. AMENDMENT. Section 26.1-46-08 of the North Dakota Century Code is |
---|
1132 | 1132 | | amended and reenacted as follows: |
---|
1133 | 1133 | | 26.1-46-08. Restrictions on insurance purchased by purchasing groups. |
---|
1134 | 1134 | | 1.A purchasing group may not purchase insurance from a risk retention group that is not |
---|
1135 | 1135 | | chartered in a state or from an insurer not admitted in the state in which the |
---|
1136 | 1136 | | purchasing group is located, unless the purchase is effected through a licensed |
---|
1137 | 1137 | | insurance producer acting pursuant to the surplus lines laws and regulations of such |
---|
1138 | 1138 | | state. |
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1139 | 1139 | | 2.A purchasing group which obtains liability insurance from an insurer not admitted in |
---|
1140 | 1140 | | this state or a risk retention group shall inform each of the members of the group |
---|
1141 | 1141 | | which have a risk resident or located in this state that the risk is not protected by an |
---|
1142 | 1142 | | insurance insolvency guaranty fund in this state, and that the risk retention group or |
---|
1143 | 1143 | | insurer may not be subject to all insurance laws and rules of this state. |
---|
1144 | 1144 | | 3.NoA purchasing group may not purchase insurance providing for a deductible or |
---|
1145 | 1145 | | self-insured retention applicable to the group as a whole; however, coverage may |
---|
1146 | 1146 | | provide for a deductible or self-insured retention applicable to individual members |
---|
1147 | 1147 | | unless the purchasing group uses a policyholder's disclosure statement approved by |
---|
1148 | 1148 | | the commissioner which clearly explains in simplified language the policy is subject to |
---|
1149 | 1149 | | a group deductible or self-insured retention and provides a detailed explanation of the |
---|
1150 | 1150 | | process of the satisfaction of the deductible or self-insured retention among members. |
---|
1151 | 1151 | | 4.Purchases of insurance by purchasing groups are subject to the same standards |
---|
1152 | 1152 | | regarding aggregate limits which are applicable to all purchases of group insurance.A |
---|
1153 | 1153 | | purchasing group may not purchase insurance providing for a shared aggregate limit |
---|
1154 | 1154 | | applicable to the group as a whole unless the purchasing group uses a policyholder's |
---|
1155 | 1155 | | disclosure statement approved by the commissioner which clearly explains in |
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1187 | 1187 | | 31 Sixty-ninth |
---|
1188 | 1188 | | Legislative Assembly |
---|
1189 | 1189 | | simplified language the policy is subject to a group aggregate limit and coverage for |
---|
1190 | 1190 | | each individual member could be exhausted by claims from other members. The |
---|
1191 | 1191 | | insurance must allow for an individual member to purchase additional limits in the |
---|
1192 | 1192 | | event of exhaustion and this option must be described in the disclosure statement. |
---|
1193 | 1193 | | SECTION 14. AMENDMENT. Section 26.1-46-08.1 of the North Dakota Century Code is |
---|
1194 | 1194 | | amended and reenacted as follows: |
---|
1195 | 1195 | | 26.1-46-08.1. Purchasing group taxation - Fees. |
---|
1196 | 1196 | | 1.a.Premium taxes and taxes on premiums paid for coverage of risks resident or |
---|
1197 | 1197 | | located in this state by a purchasing group or any members of the purchasing |
---|
1198 | 1198 | | group must be: |
---|
1199 | 1199 | | 1. (1)Imposed at the same rate and subject to the same interest, fines, and |
---|
1200 | 1200 | | penalties as that applicable to premium taxes and taxes on premiums paid |
---|
1201 | 1201 | | for similar coverage from a similar insurance source by other insureds; and |
---|
1202 | 1202 | | 2. (2)Paid first by suchthe insurance source, and if not by suchthe source, by the |
---|
1203 | 1203 | | insurance producer for the purchasing group, and if not by suchthe |
---|
1204 | 1204 | | insurance producer, then by the purchasing group, and if not by such |
---|
1205 | 1205 | | purchasing group, then by each of its members. |
---|
1206 | 1206 | | b.To the extent any administrative fee is charged under subsection 2, the fee may |
---|
1207 | 1207 | | not be considered a premium and is not subject to premium tax. |
---|
1208 | 1208 | | 2.A purchasing group's administrator, manager, or other related party may charge |
---|
1209 | 1209 | | reasonable fees provided the fees are: |
---|
1210 | 1210 | | a.For reimbursement of expenses incurred by the administrator, manager, or other |
---|
1211 | 1211 | | related party in performing its administrative duties for the purchasing group; and |
---|
1212 | 1212 | | b.Disclosed to all members of the risk purchasing group on a form approved by the |
---|
1213 | 1213 | | commissioner which states the nature of the administrative duties for which the |
---|
1214 | 1214 | | fees will be charged along with separate itemization of the amount of fees to be |
---|
1215 | 1215 | | paid by each member. |
---|
1216 | 1216 | | SECTION 15. REPEAL. Section 26.1-44-03.3 of the North Dakota Century Code is |
---|
1217 | 1217 | | repealed. |
---|
1247 | | - | 29 Sixty-ninth |
---|
1248 | | - | Legislative Assembly |
---|
1249 | | - | SECTION 16. INSURANCE COMMISSIONER STUDY - TOWING AND RECOVERY |
---|
1250 | | - | COVERAGE FOR VEHICLES WITH LIABILITY-ONLY INSURANCE - REPORT TO |
---|
1251 | | - | LEGISLATIVE MANAGEMENT. |
---|
1252 | | - | 1.During the 2025-26 interim, the insurance commissioner may study the feasibility, |
---|
1253 | | - | benefits, and challenges of providing towing and recovery costs associated with |
---|
1254 | | - | vehicle liability-only insurance for towing operations. The study must be conducted |
---|
1255 | | - | with stakeholders from both the insurance industry and the towing industry. The study |
---|
1256 | | - | must include: |
---|
1257 | | - | a.An evaluation of the frequency and financial impact of the towing and recovery |
---|
1258 | | - | costs of vehicles without applicable insurance coverage. |
---|
1259 | | - | b. A review of the cost structures, fee practices, and reimbursement models |
---|
1260 | | - | associated with standard towing and recovery operations across this state. |
---|
1261 | | - | c.Consideration of the financial and operational implications of expanding coverage |
---|
1262 | | - | to include towing and recovery cost coverage for the at-fault vehicle with only |
---|
1263 | | - | liability coverage. |
---|
1264 | | - | d. An analysis of the regulatory, administrative, and consumer impacts resulting |
---|
1265 | | - | from the coverage expansion, including anticipated efficiencies or burdens. |
---|
1266 | | - | e. A review of approaches taken by other states regarding similar coverage options, |
---|
1267 | | - | including statutory or regulatory frameworks, and how those states balance the |
---|
1268 | | - | needs of insurers, towing providers, and consumers. |
---|
1269 | | - | f.An analysis of insurance protocols and preferred procedures regarding towing |
---|
1270 | | - | operations. For the purpose of establishing agreements and contracts between |
---|
1271 | | - | insurance companies and towing companies, preventing misunderstandings, and |
---|
1272 | | - | ensuring a seamless claims process. |
---|
1273 | | - | 2.Before September 1, 2026, the insurance commissioner shall report its findings and |
---|
1274 | | - | recommendations together with any legislation required to implement the |
---|
1275 | | - | recommendations, to the legislative management. |
---|
1276 | | - | Page No. 21 25.1236.04000 |
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