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42 | 39 | | |
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43 | 40 | | An Act relating to insurance; amending 36 O.S. 2021, |
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44 | 41 | | Sections 2002, 2003, 2004, 2007, 2009, 2020.1, and |
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45 | 42 | | 2020.2, which relate to the Oklahoma Property and |
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46 | 43 | | Casualty Insurance Guaranty Association Act; |
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47 | 44 | | modifying purpose; modifying applicability; modifying |
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48 | 45 | | definitions; providing definitions; modifying the |
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49 | 46 | | powers and duties of the Association; clarifying |
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50 | 47 | | parties; clarifying timelines; permitting the |
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51 | 48 | | Association to join certain organizations; permitting |
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52 | 49 | | the Association to make certain payments; prohibiting |
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53 | 50 | | use of the existence of the Association to sell or |
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54 | 51 | | solicit insurance; clarifying that certain records |
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55 | 52 | | are not public records; providing exceptions; |
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56 | 53 | | providing for codification; and providing an |
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57 | 54 | | effective date. |
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58 | 55 | | |
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59 | 56 | | |
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60 | 57 | | |
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61 | 60 | | BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: |
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62 | 61 | | SECTION 1. AMENDATORY 36 O.S. 2021, Section 2002, is |
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63 | 62 | | amended to read as follows: |
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64 | 63 | | Section 2002. A. The purpose of the Oklahoma Property and |
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65 | 64 | | Casualty Insurance Guaranty Association Act is to provide a |
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66 | 65 | | mechanism for the payment of covered claims under certain insurance |
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67 | 66 | | policies, to avoid excessive delay in payment, to avoid and to the |
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68 | 67 | | extent provided in this act, minimize financial loss to claimants or |
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96 | 94 | | policyholders because of the insolvency of an insurer, and to |
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97 | 95 | | provide an association to assess the cost of protection among |
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98 | 96 | | insurers. |
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99 | 97 | | B. The Oklahoma Property and Casualty Insurance Guaranty |
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100 | 98 | | Association Act shall be construed to effe ct the purpose provided |
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101 | 99 | | for in subsection A of this section which shall constitute an aid |
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102 | 100 | | and guide to interpretation of the Oklahoma Property and Casualty |
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103 | 101 | | Insurance Guaranty Association Act. |
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104 | 102 | | SECTION 2. AMENDATORY 36 O.S. 2021, Se ction 2003, is |
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105 | 103 | | amended to read as follows: |
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106 | 104 | | Section 2003. The Oklahoma Property and Casualty Insurance |
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107 | 105 | | Guaranty Association Act shall apply to all kinds of direct |
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108 | 106 | | insurance, but shall not be applicable to the following: |
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109 | 107 | | 1. Life, annuity, health, or disabi lity insurance; |
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110 | 108 | | 2. Ocean marine insurance; |
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111 | 109 | | 3. Fidelity or surety bonds, or any other bonding obligations; |
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112 | 110 | | 4. Title, as defined in Sections 702, 703, 705, 708 and 709 of |
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113 | 111 | | this title, mortgage or financial guaranty insurance or other forms |
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114 | 112 | | of insurance offering protection against investment risks; |
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115 | 113 | | 5. Credit insurance, insurance of warranties or service |
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116 | 114 | | contracts, annuities, vendors single interest insurance, collateral |
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117 | 115 | | protection insurance; and |
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118 | 116 | | 6. Any transaction or combination of transactions between a |
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119 | 117 | | person, including affiliates of the person, and an insurer, |
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150 | 147 | | 7. Any insurance provided by or guaranteed by a gove rnment. |
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151 | 148 | | SECTION 3. AMENDATORY 36 O.S. 2021, Section 2004, is |
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152 | 149 | | amended to read as follows: |
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153 | 150 | | Section 2004. As used in the Oklahoma Property and Casualty |
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154 | 151 | | Insurance Guaranty Association Act: |
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155 | 152 | | 1. "Affiliate" means a person who directly or indirectly, |
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156 | 153 | | through one or more intermediaries, controls, is controlled by, or |
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157 | 154 | | is under common control with another person on December 31 of the |
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158 | 155 | | year next preceding the date the insurer becomes an insolvent |
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159 | 156 | | insurer; |
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160 | 157 | | 2. "Association" means the Oklahoma Property and Casualty |
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161 | 158 | | Insurance Guaranty As sociation as created in Section 2005 of this |
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162 | 159 | | title; |
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163 | 160 | | 3. "Assumed claims transaction " means: |
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164 | 161 | | a. policy obligations that have been assumed by the |
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165 | 162 | | insolvent insurer, prior to the entry of a final order |
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166 | 163 | | of liquidation, pursuant to a plan, approved by a |
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167 | 164 | | domestic commissioner of the assuming insurer, which |
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168 | 165 | | transfers the direct policy obligations and future |
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169 | 166 | | policy renewals from one insurer to another insurer, |
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170 | 167 | | or |
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198 | 194 | | b. an assumption reinsurance transaction in which all of |
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199 | 195 | | the following have occurred: |
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200 | 196 | | (1) the insolvent insurer assumed, prior to the entry |
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201 | 197 | | of a final order of liquidation, the claim or |
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202 | 198 | | policy obligations of another insurer under the |
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203 | 199 | | claims or policies, |
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204 | 200 | | (2) the assumption of the claim or policy obligations |
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205 | 201 | | has been approved, if an approval is required, by |
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206 | 202 | | the appropriate regulatory authorities, and |
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207 | 203 | | (3) as a result of the assumption, the claim or |
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208 | 204 | | policy obligations became the direct obligations |
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209 | 205 | | of the insolvent insurer through novation of the |
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210 | 206 | | claims or policies; |
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211 | 207 | | 4. "Claimant" means any person instituting a c overed claim; |
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212 | 208 | | provided that no person who is an affiliate of the insolvent insurer |
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213 | 209 | | may be a claimant; |
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214 | 210 | | 5. "Commissioner" means the Insurance Commissioner of Oklahoma; |
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215 | 211 | | 6. "Control" means the possession, direct or indirect, of the |
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216 | 212 | | power to direct or cause the direction of the management and |
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217 | 213 | | policies of a person, whether through the ownership of voting |
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218 | 214 | | securities, by contract other than a commercial contract for goods |
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219 | 215 | | or nonmanagement services, or otherwise, unless t he power is the |
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220 | 216 | | result of an official posit ion with or corporate office held by the |
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221 | 217 | | person. Control shall be presumed to exist if a person, directly or |
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249 | 244 | | indirectly, owns, controls, holds with the power to vote, or holds |
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250 | 245 | | proxies representing ten percent (10 %) or more of the voting |
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251 | 246 | | securities of any other person. This presumption may be rebutted by |
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252 | 247 | | a showing that control does not exist in fact; |
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253 | 248 | | 7. "Covered claim" means: |
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254 | 249 | | a. an unpaid claim, including one of unearned premiums, |
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255 | 250 | | submitted by a claimant, which a rises out of and is |
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256 | 251 | | within the coverage and is subject to the applicable |
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257 | 252 | | limits of an insurance policy to which this act |
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258 | 253 | | applies, if the insurer becomes an insolvent insurer |
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259 | 254 | | after the effective date of this act and the policy |
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260 | 255 | | was issued by the insurer, and : |
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261 | 256 | | (1) the claimant or insured is a resident of this |
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262 | 257 | | state at the time of the insured event, provided |
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263 | 258 | | that for entities other than an individual, the |
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264 | 259 | | residence of a claimant or insured is the state |
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265 | 260 | | in which its principal place of business is |
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266 | 261 | | located at the time of the insured event, or |
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267 | 262 | | (2) the claim is a first-party claim for damage to |
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268 | 263 | | property from which the claim arises is |
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269 | 264 | | permanently located with a permanent location in |
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270 | 265 | | this state, |
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271 | 266 | | b. "Covered claim" includes claim obligations that arose |
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272 | 267 | | through the issuance of an insurance policy by a |
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299 | 293 | | |
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300 | 294 | | member insurer, which are later allocated, |
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301 | 295 | | transferred, merged into, novated, assumed by, or |
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302 | 296 | | otherwise made the sole responsibility of a member or |
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303 | 297 | | nonmember insurer if: |
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304 | 298 | | (1) the original member insurer has no remaining |
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305 | 299 | | obligations on the policy after the transfer, |
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306 | 300 | | (2) a final order of liquidation with a finding of |
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307 | 301 | | insolvency has been entered against the insurer |
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308 | 302 | | that assumed the member 's coverage obligations by |
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309 | 303 | | a court of competent jurisdiction in the |
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310 | 304 | | insurer's state of domicile, |
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311 | 305 | | (3) the claim would have been a covered claim, as |
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312 | 306 | | defined in subparagraph a of paragraph 7 of this |
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313 | 307 | | section, if the claim had remained the |
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314 | 308 | | responsibility of the original member insurer and |
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315 | 309 | | the order of liquidation had been entered against |
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316 | 310 | | the original member insurer, with the same claim |
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317 | 311 | | submission date and liquidation date, and |
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318 | 312 | | (4) in cases where the member 's coverage obligations |
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319 | 313 | | were assumed by a nonmember insurer, the |
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320 | 314 | | transaction received prior regulatory or judicial |
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321 | 315 | | approval, |
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322 | 316 | | c. "Covered claim" shall not include: |
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350 | 343 | | (1) any amount awarded as punitive or exemplary |
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351 | 344 | | damages, |
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352 | 345 | | (2) any amount sought as a return of premium under |
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353 | 346 | | any retrospective rating plan, |
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354 | 347 | | (3) any amount due any reinsurer, insurer, insurance |
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355 | 348 | | pool, or underwriting association, health |
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356 | 349 | | maintenance organization, hospital plan |
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357 | 350 | | corporation, professional health service |
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358 | 351 | | corporation or self-insurer as subrogation |
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359 | 352 | | recoveries, reinsurance recoveries, contribution, |
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360 | 353 | | indemnification or otherwise. No claim for any |
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361 | 354 | | amount due any reinsurer, insurer, insurance |
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362 | 355 | | pool, or underwriting association, health |
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363 | 356 | | maintenance organization, hospital plan |
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364 | 357 | | corporation, professional health service |
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365 | 358 | | corporation or self-insurer may be asserted |
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366 | 359 | | against a person insured under a policy issued by |
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367 | 360 | | an insolvent insurer other than to the extent the |
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368 | 361 | | claim exceeds the association o bligation |
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369 | 362 | | limitations set for forth in Section 2007 of this |
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370 | 363 | | title, |
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371 | 364 | | (4) any claims excluded pursuant to Section 15 2020.2 |
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372 | 365 | | of this act title due to the high net worth of an |
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373 | 366 | | insured, |
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401 | 393 | | (5) any first-party claims by an insured that is an |
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402 | 394 | | affiliate of the insolvent company, |
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403 | 395 | | (6) any fee or other amount relating to goods or |
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404 | 396 | | services sought by or on behalf of any attorney |
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405 | 397 | | or other provider of goods and services retained |
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406 | 398 | | by the insolvent insurer or an insured prior to |
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407 | 399 | | the date it was determined to be insolvent, |
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408 | 400 | | (7) any fee or other amount sought by or on behalf of |
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409 | 401 | | any attorney or other provider of goods and |
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410 | 402 | | services retained by any insured or claimant in |
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411 | 403 | | connection with the assertion or prosecution of |
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412 | 404 | | any claim, covered or oth erwise, against the |
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413 | 405 | | Association, |
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414 | 406 | | (8) any claims for interest, |
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415 | 407 | | (9) any claim filed with the association or a |
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416 | 408 | | liquidator for protection afforded under the |
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417 | 409 | | policy of the insured for incurred -but-not- |
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418 | 410 | | reported losses, or |
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419 | 411 | | (10) notwithstanding any other provision of this act |
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420 | 412 | | or any other law to the contra ry, a claim that is |
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421 | 413 | | filed with the association Association on the |
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422 | 414 | | earlier of: |
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449 | 440 | | |
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450 | 441 | | (a) the final date set by the court for filing |
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451 | 442 | | of claims against the liquidator or receiver |
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452 | 443 | | of an insolvent insurer, or |
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453 | 444 | | (b) a date that is later than eighteen (18) |
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454 | 445 | | months after the date of the order of |
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455 | 446 | | liquidation or that is unknown and |
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456 | 447 | | unreported as of said date; provided, |
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457 | 448 | | however, that this shall not include any |
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458 | 449 | | claim for workers' compensation benefits |
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459 | 450 | | pursuant to Title 85A of the Oklah oma |
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460 | 451 | | Statutes and the applicable rules of OA C |
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461 | 452 | | Title 810; |
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462 | 453 | | 8. "Cybersecurity insurance ", for purposes of this act, |
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463 | 454 | | includes first-party and third-party coverage, in a policy or |
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464 | 455 | | endorsement, written on a direct, admitted basis for losses and loss |
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465 | 456 | | mitigation arising out of or relating to data privacy breaches, |
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466 | 457 | | unauthorized information network, security intrusions, computer |
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467 | 458 | | viruses, ransomware, cyber extortion, identity theft, and similar |
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468 | 459 | | exposures; |
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469 | 460 | | 9. "Insolvent insurer" means an insurer that is licensed to |
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470 | 461 | | transact insurance in this state either at th e time the policy was |
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471 | 462 | | issued, when the obligation with respect to the covered claim was |
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472 | 463 | | assumed under an assumed claims transaction, or when the insured |
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473 | 464 | | event occurred and against whom a final order of liquidation has |
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500 | 490 | | |
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501 | 491 | | been entered after the effective date of this act with a finding of |
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502 | 492 | | insolvency by a court of competent jurisdiction in the state of |
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503 | 493 | | domicile of the insurer; |
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504 | 494 | | 9. 10. "Insured" means any named insured, any additional |
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505 | 495 | | insured, any vendor, lessor or any o ther party identified as an |
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506 | 496 | | insured under the policy; |
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507 | 497 | | 10. |
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508 | 498 | | 11. a. "Member insurer" means any person who: |
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509 | 499 | | (1) writes any kind of direct insurance to which the |
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510 | 500 | | Oklahoma Property and Casualty Insurance Guaranty |
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511 | 501 | | Association Act applies pursuant to Section 2003 |
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512 | 502 | | of this title, including the exchange of |
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513 | 503 | | reciprocal or inter-insurance contracts, and |
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514 | 504 | | (2) is licensed to transact insurance in this state, |
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515 | 505 | | except those insurers enumerated in Section 110 |
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516 | 506 | | of this title or those insurers that are |
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517 | 507 | | otherwise exempted by law o r order of the |
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518 | 508 | | Commissioner.; |
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519 | 509 | | b. An insurer shall cease to be a member insurer |
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520 | 510 | | effective on the day following the termination or |
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521 | 511 | | expiration of its license to transact the kinds of |
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522 | 512 | | insurance to which the Oklahoma Property and Casualty |
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523 | 513 | | Insurance Guaranty Ass ociation Act applies; however, |
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524 | 514 | | the insurer shall be liable as a member insurer for |
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551 | 540 | | |
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552 | 541 | | any and all obligations, including but not limited to |
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553 | 542 | | obligations for assessments levied after the |
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554 | 543 | | termination or expiration, which relate to any insurer |
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555 | 544 | | that becomes an insolvent insurer prior to the |
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556 | 545 | | termination or expiration of the license of the |
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557 | 546 | | insurer; and |
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558 | 547 | | c. "Member insurer" does not mean: |
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559 | 548 | | (1) a "surplus lines insurer " or a person writing |
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560 | 549 | | surplus lines insurance as defined in Section |
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561 | 550 | | 1101.1 of this title, or |
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562 | 551 | | (2) a "risk retention group" as defined in Section |
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563 | 552 | | 6453 of this title, or |
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564 | 553 | | (3) a "captive insurance company " as defined in |
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565 | 554 | | Section 6470.2 of this title; |
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566 | 555 | | 11. 12. "Net direct written premiums " means direct gross |
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567 | 556 | | premiums written in this state on insurance policies to w hich this |
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568 | 557 | | act applies, including but not li mited to policy and membership |
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569 | 558 | | fees, less the following amounts: |
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570 | 559 | | a. return premiums, |
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571 | 560 | | b. premiums on policies not taken, and |
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572 | 561 | | c. dividends paid or credited to policyholders on direct |
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573 | 562 | | business. "Net direct written p remiums" does not |
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574 | 563 | | include premiums on contracts between insurers or |
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575 | 564 | | reinsurers; |
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576 | 565 | | |
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585 | 573 | | 8 |
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586 | 574 | | 9 |
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587 | 575 | | 10 |
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588 | 576 | | 11 |
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589 | 577 | | 12 |
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590 | 578 | | 13 |
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591 | 579 | | 14 |
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592 | 580 | | 15 |
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593 | 581 | | 16 |
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594 | 582 | | 17 |
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595 | 583 | | 18 |
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596 | 584 | | 19 |
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597 | 585 | | 20 |
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598 | 586 | | 21 |
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599 | 587 | | 22 |
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600 | 588 | | 23 |
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601 | 589 | | 24 |
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602 | 590 | | |
---|
603 | 591 | | 12. 13. "Novation" means that the assumed claim or policy |
---|
604 | 592 | | obligations became the direct obligations of the insolvent insurer |
---|
605 | 593 | | through consent of the policyholder and that there after the ceding |
---|
606 | 594 | | insurer or entity initiall y obligated under the claims or policies |
---|
607 | 595 | | is released by the policyholder from performing its claim or policy |
---|
608 | 596 | | obligations. Consent shall be express and an implied novation shall |
---|
609 | 597 | | not be allowed for the purposes, im plementation and application of |
---|
610 | 598 | | the Oklahoma Property and Casualty Insurance Guaranty Association |
---|
611 | 599 | | Act; |
---|
612 | 600 | | 13. 14. "Person" means the individual or other entities as |
---|
613 | 601 | | defined in Section 104 of this title; |
---|
614 | 602 | | 14. 15. "Receiver" means liquidator, rehabilitator, co nservator |
---|
615 | 603 | | or ancillary receiver, as the con text requires; and |
---|
616 | 604 | | 15. 16. "Self-insurer" means a person who covers its liability |
---|
617 | 605 | | through a qualified individual or group self -insurance program or |
---|
618 | 606 | | any other formal program created for the specific purpose of |
---|
619 | 607 | | covering liabilities typically covered by insurance. |
---|
620 | 608 | | SECTION 4. AMENDATORY 36 O.S. 2021, Section 2007, is |
---|
621 | 609 | | amended to read as follows: |
---|
622 | 610 | | Section 2007. A. The Oklahoma Property and Casualty Insurance |
---|
623 | 611 | | Guaranty Association shall: |
---|
624 | 612 | | 1. Be obligated to pay the covered claims existin g prior to the |
---|
625 | 613 | | determination of insolvency if the claims arise within thirty (30) |
---|
626 | 614 | | days after the determination of insolvency, or before the policy |
---|
627 | 615 | | |
---|
630 | 617 | | 2 |
---|
631 | 618 | | 3 |
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632 | 619 | | 4 |
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633 | 620 | | 5 |
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634 | 621 | | 6 |
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635 | 622 | | 7 |
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636 | 623 | | 8 |
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637 | 624 | | 9 |
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638 | 625 | | 10 |
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639 | 626 | | 11 |
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640 | 627 | | 12 |
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641 | 628 | | 13 |
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642 | 629 | | 14 |
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643 | 630 | | 15 |
---|
644 | 631 | | 16 |
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645 | 632 | | 17 |
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646 | 633 | | 18 |
---|
647 | 634 | | 19 |
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648 | 635 | | 20 |
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649 | 636 | | 21 |
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650 | 637 | | 22 |
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651 | 638 | | 23 |
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652 | 639 | | 24 |
---|
653 | 640 | | |
---|
654 | 641 | | expiration date if less than thirty (30) days after the |
---|
655 | 642 | | determination, or before the insured replaces the policy or causes |
---|
656 | 643 | | its cancellation, if the insured does so within thirty (30) days of |
---|
657 | 644 | | the determination. The obligation shall be satisfied by paying to |
---|
658 | 645 | | the claimant an amount as follows: |
---|
659 | 646 | | a. the full amount of a cover ed claim for benefits under |
---|
660 | 647 | | a workers' compensation insurance coverage, |
---|
661 | 648 | | b. an amount not exceeding Ten Thousand Dollars |
---|
662 | 649 | | ($10,000.00) per policy for a covered claim for the |
---|
663 | 650 | | return of unearned premium, and |
---|
664 | 651 | | c. an amount not exceeding One Hundred Fifty Thousan d |
---|
665 | 652 | | Dollars ($150,000.00) per claimant for all other |
---|
666 | 653 | | covered claims except for claims relating to a |
---|
667 | 654 | | cybersecurity insurance policy, and |
---|
668 | 655 | | d. in no event shall the Association be obligated to pay |
---|
681 | 667 | | 2 |
---|
682 | 668 | | 3 |
---|
683 | 669 | | 4 |
---|
684 | 670 | | 5 |
---|
685 | 671 | | 6 |
---|
686 | 672 | | 7 |
---|
687 | 673 | | 8 |
---|
688 | 674 | | 9 |
---|
689 | 675 | | 10 |
---|
690 | 676 | | 11 |
---|
691 | 677 | | 12 |
---|
692 | 678 | | 13 |
---|
693 | 679 | | 14 |
---|
694 | 680 | | 15 |
---|
695 | 681 | | 16 |
---|
696 | 682 | | 17 |
---|
697 | 683 | | 18 |
---|
698 | 684 | | 19 |
---|
699 | 685 | | 20 |
---|
700 | 686 | | 21 |
---|
701 | 687 | | 22 |
---|
702 | 688 | | 23 |
---|
703 | 689 | | 24 |
---|
704 | 690 | | |
---|
705 | 691 | | the policy or coverage from which the claim arises or in excess of |
---|
706 | 692 | | the limits of the obligation of the Associa tion existing on the date |
---|
707 | 693 | | on which the order of liquidation is filed with the court clerk; |
---|
708 | 694 | | 2. Any obligation of the association Association to defend an |
---|
709 | 695 | | insured shall cease upon the payment or tender by the association |
---|
710 | 696 | | Association of an amount equal to th e lesser of the covered claim |
---|
711 | 697 | | obligation limit of the association Association or the applicable |
---|
712 | 698 | | policy limit; |
---|
713 | 699 | | 3. As payor of last resort, have all rights, duties and |
---|
714 | 700 | | obligations of the insolvent insurer as if the insurer had not |
---|
715 | 701 | | become insolvent including , but not limited to, the right to pursue |
---|
716 | 702 | | and retain salvage and subrogation recoverable on covered claim |
---|
717 | 703 | | obligations to the extent paid by the association Association. The |
---|
718 | 704 | | association Association shall not be deemed the insolvent insurer |
---|
719 | 705 | | for the purpose of conferring jurisdiction; |
---|
720 | 706 | | 4. Allocate claims paid and expenses incurred among the three |
---|
721 | 707 | | accounts set out in Section 2005 of this title separately, and |
---|
722 | 708 | | assess member insurers separately for each account amounts necessary |
---|
723 | 709 | | to pay the obligations of the Ass ociation under this section |
---|
724 | 710 | | subsequent to a member insurer becoming an insolvent insurer, the |
---|
725 | 711 | | expenses of handling covered claims subsequent to an insolvency, and |
---|
726 | 712 | | other expenses authorized by the Oklahoma Property and Casualty |
---|
727 | 713 | | Insurance Guaranty Associatio n Act, Sections 2001 through 2020 of |
---|
728 | 714 | | this title and Sections 2020.1 and 2020.2 of this title. The |
---|
729 | 715 | | |
---|
732 | 717 | | 2 |
---|
733 | 718 | | 3 |
---|
734 | 719 | | 4 |
---|
735 | 720 | | 5 |
---|
736 | 721 | | 6 |
---|
737 | 722 | | 7 |
---|
738 | 723 | | 8 |
---|
739 | 724 | | 9 |
---|
740 | 725 | | 10 |
---|
741 | 726 | | 11 |
---|
742 | 727 | | 12 |
---|
743 | 728 | | 13 |
---|
744 | 729 | | 14 |
---|
745 | 730 | | 15 |
---|
746 | 731 | | 16 |
---|
747 | 732 | | 17 |
---|
748 | 733 | | 18 |
---|
749 | 734 | | 19 |
---|
750 | 735 | | 20 |
---|
751 | 736 | | 21 |
---|
752 | 737 | | 22 |
---|
753 | 738 | | 23 |
---|
754 | 739 | | 24 |
---|
755 | 740 | | |
---|
756 | 741 | | assessments of each member insurer shall be in the proportion that |
---|
757 | 742 | | the net direct written premiums of the member insurer for the |
---|
758 | 743 | | calendar year preceding the assessment on the kinds of insurance in |
---|
759 | 744 | | the account bear to the net direct written premiums of all |
---|
760 | 745 | | participating insurers for the calendar year preceding the |
---|
761 | 746 | | assessment on the kinds of insurance in the account. Each member |
---|
762 | 747 | | insurer shall be notified in wri ting of the assessment not later |
---|
763 | 748 | | than thirty (30) days before it is due. No member insurer may be |
---|
764 | 749 | | assessed in any year an amount greater than two percent (2%) of the |
---|
765 | 750 | | net direct written premiums of that member or one percent (1%) of |
---|
766 | 751 | | that surplus of the mem ber insurer as regards policyholders for th e |
---|
767 | 752 | | calendar year preceding the assessment on the kinds of insurance in |
---|
768 | 753 | | the account, whichever is less. If the maximum assessment, together |
---|
769 | 754 | | with the other assets of the Association, does not provide in any |
---|
770 | 755 | | one (1) year in any account an amount sufficient to make all |
---|
771 | 756 | | necessary payments from that account, the funds available may be |
---|
772 | 757 | | prorated and the unpaid portion shall be paid as soon thereafter as |
---|
773 | 758 | | funds become available. The Association shall pay claims in any |
---|
774 | 759 | | order which it deems reasonable, including the p ayment of claims as |
---|
775 | 760 | | the claims are received from the claimants or in groups or |
---|
776 | 761 | | categories of claims. The Association may exempt or defer, in whole |
---|
777 | 762 | | or in part, the assessment of any member insurer, if the assessme nt |
---|
778 | 763 | | would cause the financial statement of the member insurer to reflect |
---|
779 | 764 | | amounts of capital or surplus less than the minimum amounts required |
---|
780 | 765 | | |
---|
783 | 767 | | 2 |
---|
784 | 768 | | 3 |
---|
785 | 769 | | 4 |
---|
786 | 770 | | 5 |
---|
787 | 771 | | 6 |
---|
788 | 772 | | 7 |
---|
789 | 773 | | 8 |
---|
790 | 774 | | 9 |
---|
791 | 775 | | 10 |
---|
792 | 776 | | 11 |
---|
793 | 777 | | 12 |
---|
794 | 778 | | 13 |
---|
795 | 779 | | 14 |
---|
796 | 780 | | 15 |
---|
797 | 781 | | 16 |
---|
798 | 782 | | 17 |
---|
799 | 783 | | 18 |
---|
800 | 784 | | 19 |
---|
801 | 785 | | 20 |
---|
802 | 786 | | 21 |
---|
803 | 787 | | 22 |
---|
804 | 788 | | 23 |
---|
805 | 789 | | 24 |
---|
806 | 790 | | |
---|
807 | 791 | | for a certificate of authority by any jurisdiction in which the |
---|
808 | 792 | | member insurer is authorized to transact insurance. During the |
---|
809 | 793 | | period of deferment, no divide nds shall be paid to shareholders or |
---|
810 | 794 | | policyholders. Deferred assessments shall be paid when the payments |
---|
811 | 795 | | will not reduce capital or surplus below required minimums. The |
---|
812 | 796 | | payments may be refunded to those companie s receiving larger |
---|
813 | 797 | | assessments by virtue of the deferment, or, at the election of any |
---|
814 | 798 | | company credited against future assessments. Each member insurer |
---|
815 | 799 | | serving as a servicing facility may set off against any assessment |
---|
816 | 800 | | authorized payments made on covered c laims and expenses incurred in |
---|
817 | 801 | | the payment of covered claims by a member insurer if they are |
---|
818 | 802 | | chargeable to the account for which the assessment is made; |
---|
819 | 803 | | 5. Investigate claims brought against the Association and |
---|
820 | 804 | | adjust, compromise, settle and pay covered c laims to the extent of |
---|
821 | 805 | | the obligation of the Association and deny all other claims. The |
---|
822 | 806 | | Association shall pay claims in any order that it may deem |
---|
823 | 807 | | reasonable, including, but not limited to, the payment of claims as |
---|
824 | 808 | | they are received from claimants or in g roups of categories of |
---|
825 | 809 | | claims. The Associa tion shall have the right to select and to |
---|
826 | 810 | | direct legal counsel under liability insurance policies for the |
---|
827 | 811 | | defense of covered claims; |
---|
828 | 812 | | 6. Notify claimants in this state as deemed necessary by the |
---|
829 | 813 | | Commissioner and upon the request of the Commissioner, to the extent |
---|
830 | 814 | | records are available to the Association. Notification may include, |
---|
831 | 815 | | |
---|
834 | 817 | | 2 |
---|
835 | 818 | | 3 |
---|
836 | 819 | | 4 |
---|
837 | 820 | | 5 |
---|
838 | 821 | | 6 |
---|
839 | 822 | | 7 |
---|
840 | 823 | | 8 |
---|
841 | 824 | | 9 |
---|
842 | 825 | | 10 |
---|
843 | 826 | | 11 |
---|
844 | 827 | | 12 |
---|
845 | 828 | | 13 |
---|
846 | 829 | | 14 |
---|
847 | 830 | | 15 |
---|
848 | 831 | | 16 |
---|
849 | 832 | | 17 |
---|
850 | 833 | | 18 |
---|
851 | 834 | | 19 |
---|
852 | 835 | | 20 |
---|
853 | 836 | | 21 |
---|
854 | 837 | | 22 |
---|
855 | 838 | | 23 |
---|
856 | 839 | | 24 |
---|
857 | 840 | | |
---|
858 | 841 | | but shall not be limited to, a legal posting on the website of the |
---|
859 | 842 | | Association; |
---|
860 | 843 | | 7. a. Handle claims through employees or through one or more |
---|
861 | 844 | | insurers or other persons designated as servicing |
---|
862 | 845 | | facilities. Designation of a servicing facility is |
---|
863 | 846 | | subject to approval of the Commissioner, but such |
---|
864 | 847 | | designation may be declined by a member insurer. |
---|
865 | 848 | | b. The Association shall have the right to review and |
---|
866 | 849 | | contest as set forth in this paragraph, settlements, |
---|
867 | 850 | | releases, compromises, waivers and judgments to which |
---|
868 | 851 | | the insolvent insurer or its insureds were parties |
---|
869 | 852 | | prior to the entry of the order of liquidation. In an |
---|
870 | 853 | | action to enforce settlements, release s and judgments |
---|
871 | 854 | | to which the insolvent insu rer or its insureds were |
---|
872 | 855 | | parties prior to the entry of the order of |
---|
873 | 856 | | liquidation, the Association shall have the right to |
---|
874 | 857 | | assert the following defenses: |
---|
875 | 858 | | (1) the Association shall not be bound by a |
---|
876 | 859 | | settlement, release, compromise or waiver |
---|
877 | 860 | | executed by an insured or the insurer, or any |
---|
878 | 861 | | judgment entered against the insured or the |
---|
879 | 862 | | insurer by consent or through a failure to |
---|
880 | 863 | | exhaust all appeals, if the settlement, release, |
---|
881 | 864 | | compromise waiver or judgment was: |
---|
882 | 865 | | |
---|
885 | 867 | | 2 |
---|
886 | 868 | | 3 |
---|
887 | 869 | | 4 |
---|
888 | 870 | | 5 |
---|
889 | 871 | | 6 |
---|
890 | 872 | | 7 |
---|
891 | 873 | | 8 |
---|
892 | 874 | | 9 |
---|
893 | 875 | | 10 |
---|
894 | 876 | | 11 |
---|
895 | 877 | | 12 |
---|
896 | 878 | | 13 |
---|
897 | 879 | | 14 |
---|
898 | 880 | | 15 |
---|
899 | 881 | | 16 |
---|
900 | 882 | | 17 |
---|
901 | 883 | | 18 |
---|
902 | 884 | | 19 |
---|
903 | 885 | | 20 |
---|
904 | 886 | | 21 |
---|
905 | 887 | | 22 |
---|
906 | 888 | | 23 |
---|
907 | 889 | | 24 |
---|
908 | 890 | | |
---|
909 | 891 | | (a) executed or entered within one hundred |
---|
910 | 892 | | twenty (120) days prior to the entry of an |
---|
911 | 893 | | order of liquidation, and the insured or the |
---|
912 | 894 | | insurer did not use reasonable care in |
---|
913 | 895 | | entering into the settlement, release, |
---|
914 | 896 | | compromise, waiver or judgment, or did not |
---|
915 | 897 | | pursue all reasonable appeals of an adverse |
---|
916 | 898 | | judgment, or |
---|
917 | 899 | | (b) executed by or taken against an insured or |
---|
918 | 900 | | the insurer based on default, fraud, |
---|
919 | 901 | | collusion or the failure of the insurer to |
---|
920 | 902 | | defend, |
---|
921 | 903 | | (2) if a court of competent jurisdiction finds that |
---|
922 | 904 | | the Association is not bound b y a settlement, |
---|
923 | 905 | | release, compromise, waiver or judgment for the |
---|
924 | 906 | | releases provided for in division (1) of |
---|
925 | 907 | | subparagraph b of this paragraph, the settlement, |
---|
926 | 908 | | release, compromise, waiver or judgment shall be |
---|
927 | 909 | | set aside and the Association shall be permitted |
---|
928 | 910 | | to defend any covered claim on the merits. The |
---|
929 | 911 | | settlement, release, compromise, waiver or |
---|
930 | 912 | | judgment shall not be considered as evidence of |
---|
931 | 913 | | liability in connection with any claim brought |
---|
932 | 914 | | against the Association or any other party |
---|
933 | 915 | | |
---|
936 | 917 | | 2 |
---|
937 | 918 | | 3 |
---|
938 | 919 | | 4 |
---|
939 | 920 | | 5 |
---|
940 | 921 | | 6 |
---|
941 | 922 | | 7 |
---|
942 | 923 | | 8 |
---|
943 | 924 | | 9 |
---|
944 | 925 | | 10 |
---|
945 | 926 | | 11 |
---|
946 | 927 | | 12 |
---|
947 | 928 | | 13 |
---|
948 | 929 | | 14 |
---|
949 | 930 | | 15 |
---|
950 | 931 | | 16 |
---|
951 | 932 | | 17 |
---|
952 | 933 | | 18 |
---|
953 | 934 | | 19 |
---|
954 | 935 | | 20 |
---|
955 | 936 | | 21 |
---|
956 | 937 | | 22 |
---|
957 | 938 | | 23 |
---|
958 | 939 | | 24 |
---|
959 | 940 | | |
---|
960 | 941 | | pursuant to the Oklahoma Prope rty and Casualty |
---|
961 | 942 | | Insurance Guaranty Associa tion Act, and |
---|
962 | 943 | | (3) the Association shall have the right to assert |
---|
963 | 944 | | any statutory defenses or rights of offset |
---|
964 | 945 | | against any settlement, release, compromise or |
---|
965 | 946 | | waiver executed by an insured or the insurer, or |
---|
966 | 947 | | any judgment taken against the insured or the |
---|
967 | 948 | | insurer. |
---|
968 | 949 | | c. As to any covered claims arising from a judgment under |
---|
969 | 950 | | any decision, verdict or finding based on the default |
---|
970 | 951 | | of the insolvent insurer or its failure to defend, the |
---|
971 | 952 | | Association, either on its own behalf or on behalf of |
---|
972 | 953 | | an insured, may apply to have th e judgment, order, |
---|
973 | 954 | | decision, verdict or finding set aside by the same |
---|
974 | 955 | | court or administrator that entered the judgment, |
---|
975 | 956 | | claim, decision, verdict or finding and shall be |
---|
976 | 957 | | permitted to defend on the merits; |
---|
977 | 958 | | 8. Reimburse each servicing facility for obligations of the |
---|
978 | 959 | | Association paid by the facility and for reasonable expenses |
---|
979 | 960 | | incurred by the facility while handling claims on behalf of the |
---|
980 | 961 | | Association and pay the other expenses of the Association authorized |
---|
981 | 962 | | by the Oklahoma Property and Casualty Insurance Guara nty Association |
---|
982 | 963 | | Act; |
---|
983 | 964 | | |
---|
986 | 966 | | 2 |
---|
987 | 967 | | 3 |
---|
988 | 968 | | 4 |
---|
989 | 969 | | 5 |
---|
990 | 970 | | 6 |
---|
991 | 971 | | 7 |
---|
992 | 972 | | 8 |
---|
993 | 973 | | 9 |
---|
994 | 974 | | 10 |
---|
995 | 975 | | 11 |
---|
996 | 976 | | 12 |
---|
997 | 977 | | 13 |
---|
998 | 978 | | 14 |
---|
999 | 979 | | 15 |
---|
1000 | 980 | | 16 |
---|
1001 | 981 | | 17 |
---|
1002 | 982 | | 18 |
---|
1003 | 983 | | 19 |
---|
1004 | 984 | | 20 |
---|
1005 | 985 | | 21 |
---|
1006 | 986 | | 22 |
---|
1007 | 987 | | 23 |
---|
1008 | 988 | | 24 |
---|
1009 | 989 | | |
---|
1010 | 990 | | 9. Have standing to appear before any court of this state which |
---|
1011 | 991 | | has jurisdiction over an impaired or insolvent insurer for whom the |
---|
1012 | 992 | | Association is or may become obligated pursuant to the prov isions of |
---|
1013 | 993 | | the Oklahoma Property and Casualty Insurance Guaranty Association |
---|
1014 | 994 | | Act. Standing shall extend to all matters germane to the powers and |
---|
1015 | 995 | | duties of the Association including, but not limited to, proposals |
---|
1016 | 996 | | for rehabilitation, acquisition, merger, rei nsuring, or guaranteeing |
---|
1017 | 997 | | the covered policies of the impaired or insolvent insurer, and the |
---|
1018 | 998 | | determination of covered policies and contractual obligations of the |
---|
1019 | 999 | | impaired or insolvent insurer; and |
---|
1020 | 1000 | | 10. Notwithstanding any other provision of the Oklahoma |
---|
1021 | 1001 | | Property and Casualty Insurance Guaranty Association Act, an |
---|
1022 | 1002 | | insurance policy issued by a member insurer and later allocated, |
---|
1023 | 1003 | | transferred, assumed by or otherwise made the sole responsibility of |
---|
1024 | 1004 | | another insurer pursuant to any provision of law providing for t he |
---|
1025 | 1005 | | division of an insurance company, or the statutory assumption or |
---|
1026 | 1006 | | transfer of designated policies under which there is no remaining |
---|
1027 | 1007 | | obligation to the transferring entity, shall be considered to have |
---|
1028 | 1008 | | been issued by a member insurer which is an insolvent i nsurer for |
---|
1029 | 1009 | | the purposes of this Act act in the event that the insurer to which |
---|
1030 | 1010 | | the policy has been allocated, transferred, assumed or otherwise |
---|
1031 | 1011 | | made the sole responsibility of is placed in liquidation. An |
---|
1032 | 1012 | | insurance policy that was issued by an insurer who is not a member |
---|
1033 | 1013 | | insurer and subsequently a llocated, transferred, assumed by or |
---|
1034 | 1014 | | |
---|
1037 | 1016 | | 2 |
---|
1038 | 1017 | | 3 |
---|
1039 | 1018 | | 4 |
---|
1040 | 1019 | | 5 |
---|
1041 | 1020 | | 6 |
---|
1042 | 1021 | | 7 |
---|
1043 | 1022 | | 8 |
---|
1044 | 1023 | | 9 |
---|
1045 | 1024 | | 10 |
---|
1046 | 1025 | | 11 |
---|
1047 | 1026 | | 12 |
---|
1048 | 1027 | | 13 |
---|
1049 | 1028 | | 14 |
---|
1050 | 1029 | | 15 |
---|
1051 | 1030 | | 16 |
---|
1052 | 1031 | | 17 |
---|
1053 | 1032 | | 18 |
---|
1054 | 1033 | | 19 |
---|
1055 | 1034 | | 20 |
---|
1056 | 1035 | | 21 |
---|
1057 | 1036 | | 22 |
---|
1058 | 1037 | | 23 |
---|
1059 | 1038 | | 24 |
---|
1060 | 1039 | | |
---|
1061 | 1040 | | otherwise made the sole responsibility of a member insurer under any |
---|
1062 | 1041 | | provision of law providing for the division of an insurance company |
---|
1063 | 1042 | | shall not be considered to have been is sued by a member insurer |
---|
1064 | 1043 | | pursuant to this Act act. |
---|
1065 | 1044 | | B. The Association may: |
---|
1066 | 1045 | | 1. Employ or retain persons as are necessary to handle claims |
---|
1067 | 1046 | | and perform other duties of the Association; |
---|
1068 | 1047 | | 2. Borrow funds necessary to effect the purposes of the |
---|
1069 | 1048 | | Oklahoma Property and Casualty Insurance Guaranty Associat ion Act in |
---|
1070 | 1049 | | accordance with the plan of operation; |
---|
1071 | 1050 | | 3. Sue or be sued; |
---|
1072 | 1051 | | 4. Negotiate and become a party to contracts as are necessary |
---|
1073 | 1052 | | to carry out the purpose of the Oklahoma Property and Casualty |
---|
1074 | 1053 | | Insurance Guaranty Association Act; |
---|
1075 | 1054 | | 5. Refund to member insurers in proportion to the contribution |
---|
1076 | 1055 | | of each member insurer that amount by which the assets of the |
---|
1077 | 1056 | | Association exceed its liabilities, if at the end of any calendar |
---|
1078 | 1057 | | year the board of directors finds that the as sets of the Association |
---|
1079 | 1058 | | exceed the liabilities as estimated by the board of directors for |
---|
1080 | 1059 | | the coming year; |
---|
1081 | 1060 | | 6. Lend monies to an insurer declared to be impaired by the |
---|
1082 | 1061 | | Commissioner. The Association, with approval of the Commissioner, |
---|
1083 | 1062 | | shall approve the amo unt, length and terms of the loan. "Impaired |
---|
1084 | 1063 | | Insurer" for purposes of this section shall mean an insurer |
---|
1085 | 1064 | | |
---|
1088 | 1066 | | 2 |
---|
1089 | 1067 | | 3 |
---|
1090 | 1068 | | 4 |
---|
1091 | 1069 | | 5 |
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1092 | 1070 | | 6 |
---|
1093 | 1071 | | 7 |
---|
1094 | 1072 | | 8 |
---|
1095 | 1073 | | 9 |
---|
1096 | 1074 | | 10 |
---|
1097 | 1075 | | 11 |
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1098 | 1076 | | 12 |
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1099 | 1077 | | 13 |
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1100 | 1078 | | 14 |
---|
1101 | 1079 | | 15 |
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1102 | 1080 | | 16 |
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1103 | 1081 | | 17 |
---|
1104 | 1082 | | 18 |
---|
1105 | 1083 | | 19 |
---|
1106 | 1084 | | 20 |
---|
1107 | 1085 | | 21 |
---|
1108 | 1086 | | 22 |
---|
1109 | 1087 | | 23 |
---|
1110 | 1088 | | 24 |
---|
1111 | 1089 | | |
---|
1112 | 1090 | | potentially unable to fulfill its contractual obligations, but shall |
---|
1113 | 1091 | | not mean an insolvent insurer; |
---|
1114 | 1092 | | 7. Perform other acts as are necessary or proper to effectuate |
---|
1115 | 1093 | | the purpose of the Oklahoma P roperty and Casualty Insurance Guaranty |
---|
1116 | 1094 | | Association Act; |
---|
1117 | 1095 | | 8. Intervene as a party in interest in any supervision, |
---|
1118 | 1096 | | conservation, liquidation, rehabilitation, impairment or |
---|
1119 | 1097 | | receivership in which policyholders ' interests and interests of the |
---|
1120 | 1098 | | Association may be or are affected; and |
---|
1121 | 1099 | | 9. Be designated or may contract as a servicing facility for |
---|
1122 | 1100 | | any entity which may be recommended by the board of directors of the |
---|
1123 | 1101 | | Association and shall be approved by the Commissioner. |
---|
1124 | 1102 | | SECTION 5. AMENDATORY 36 O.S. 2021, Section 2009, is |
---|
1125 | 1103 | | amended to read as follows: |
---|
1126 | 1104 | | Section 2009. A. The Commissioner shall: |
---|
1127 | 1105 | | 1. Notify the Oklahoma Property and Casualty Insurance Guaranty |
---|
1128 | 1106 | | Association Executive Director of the existence of an insolvent |
---|
1129 | 1107 | | insurer as soon as possible but not later than three (3) days after |
---|
1130 | 1108 | | notice of the determination is received. The Association shall be |
---|
1131 | 1109 | | entitled to a copy of a complaint seeking an order of liquidation |
---|
1132 | 1110 | | with a finding of insolvency against a member company at the same |
---|
1133 | 1111 | | time that the complaint is filed with a court of competent |
---|
1134 | 1112 | | jurisdiction; and |
---|
1135 | 1113 | | |
---|
1138 | 1115 | | 2 |
---|
1139 | 1116 | | 3 |
---|
1140 | 1117 | | 4 |
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1141 | 1118 | | 5 |
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1142 | 1119 | | 6 |
---|
1143 | 1120 | | 7 |
---|
1144 | 1121 | | 8 |
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1145 | 1122 | | 9 |
---|
1146 | 1123 | | 10 |
---|
1147 | 1124 | | 11 |
---|
1148 | 1125 | | 12 |
---|
1149 | 1126 | | 13 |
---|
1150 | 1127 | | 14 |
---|
1151 | 1128 | | 15 |
---|
1152 | 1129 | | 16 |
---|
1153 | 1130 | | 17 |
---|
1154 | 1131 | | 18 |
---|
1155 | 1132 | | 19 |
---|
1156 | 1133 | | 20 |
---|
1157 | 1134 | | 21 |
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1158 | 1135 | | 22 |
---|
1159 | 1136 | | 23 |
---|
1160 | 1137 | | 24 |
---|
1161 | 1138 | | |
---|
1162 | 1139 | | 2. Provide the Association with a statement of the net direct |
---|
1163 | 1140 | | written premiums of each member insurer upon the request of the |
---|
1164 | 1141 | | board of directors. |
---|
1165 | 1142 | | B. The Commissioner may: |
---|
1166 | 1143 | | 1. Suspend or revoke, after the notice and hearing, the |
---|
1167 | 1144 | | certificate of authority to transact insurance in this state of any |
---|
1168 | 1145 | | member insurer which fails to pay an assessment when due or fails to |
---|
1169 | 1146 | | comply with the plan of operation. As an alternative, the |
---|
1170 | 1147 | | Commissioner may levy a fine on any member insurer which fails to |
---|
1171 | 1148 | | pay an assessment when due. The fine shall not exceed five percent |
---|
1172 | 1149 | | (5%) of the unpaid assessment per month, except that no fine shall |
---|
1173 | 1150 | | be less than One Hundred Dollars ( $100.00) per month; |
---|
1174 | 1151 | | 2. Revoke the designation of any servicing facility if the |
---|
1175 | 1152 | | Commissioner finds claims are being handled unsatisfactorily; or |
---|
1176 | 1153 | | 3. Examine or audit the Association. |
---|
1177 | 1154 | | C. Any final action or order of the Commissioner under the |
---|
1178 | 1155 | | Oklahoma Property and Casualty Insurance Guaranty Associ ation Act |
---|
1179 | 1156 | | shall be subject to judicial review in a court of competent |
---|
1180 | 1157 | | jurisdiction. |
---|
1181 | 1158 | | SECTION 6. AMENDATORY 36 O.S. 2021, Section 2020.1, is |
---|
1182 | 1159 | | amended to read as follows: |
---|
1183 | 1160 | | Section 2020.1. A. The Oklahoma Property and Casualty |
---|
1184 | 1161 | | Insurance Guaranty Association may join one or more organizations of |
---|
1185 | 1162 | | other state associations of similar purposes, to further the |
---|
1186 | 1163 | | |
---|
1189 | 1165 | | 2 |
---|
1190 | 1166 | | 3 |
---|
1191 | 1167 | | 4 |
---|
1192 | 1168 | | 5 |
---|
1193 | 1169 | | 6 |
---|
1194 | 1170 | | 7 |
---|
1195 | 1171 | | 8 |
---|
1196 | 1172 | | 9 |
---|
1197 | 1173 | | 10 |
---|
1198 | 1174 | | 11 |
---|
1199 | 1175 | | 12 |
---|
1200 | 1176 | | 13 |
---|
1201 | 1177 | | 14 |
---|
1202 | 1178 | | 15 |
---|
1203 | 1179 | | 16 |
---|
1204 | 1180 | | 17 |
---|
1205 | 1181 | | 18 |
---|
1206 | 1182 | | 19 |
---|
1207 | 1183 | | 20 |
---|
1208 | 1184 | | 21 |
---|
1209 | 1185 | | 22 |
---|
1210 | 1186 | | 23 |
---|
1211 | 1187 | | 24 |
---|
1212 | 1188 | | |
---|
1213 | 1189 | | purposes and administer the powers and duties of the Association. |
---|
1214 | 1190 | | The Association may designate one or more of these organizations t o |
---|
1215 | 1191 | | act as a liaison for the Association and, to the extent the |
---|
1216 | 1192 | | Association authorizes, to bind the Association in agreements or |
---|
1217 | 1193 | | settlements with receivers of insolvent insurance companies or their |
---|
1218 | 1194 | | designated representatives. |
---|
1219 | 1195 | | B. The Oklahoma Property and Casualty Insurance Guaranty |
---|
1220 | 1196 | | Association, in cooperation with other obligated or potentially |
---|
1221 | 1197 | | obligated guaranty associations, or their designated |
---|
1222 | 1198 | | representatives, shall make all reasonable efforts to coordinate and |
---|
1223 | 1199 | | cooperate with receivers, or their designate d representatives, in |
---|
1224 | 1200 | | the most efficient and uniform manner, including the use of Uniform |
---|
1225 | 1201 | | Data Standards as promulgated or approved by the National |
---|
1226 | 1202 | | Association of Insurance Commissioners. |
---|
1227 | 1203 | | SECTION 7. AMENDATORY 36 O.S. 2021, Section 2020.2, is |
---|
1228 | 1204 | | amended to read as follows: |
---|
1229 | 1205 | | Section 2020.2. A. For purposes of this section, "high net |
---|
1230 | 1206 | | worth insured" means any insured whose net worth exceeds Fifty |
---|
1231 | 1207 | | Million Dollars ($50,000,000.00) on December 31 of the year prior to |
---|
1232 | 1208 | | the year in which the insurer becomes an insolvent insurer; provided |
---|
1233 | 1209 | | that the net worth of an insured on that date shall be deemed to |
---|
1234 | 1210 | | include the aggregate net worth of the insured and all of its |
---|
1235 | 1211 | | subsidiaries and affiliates as calculat ed on a consolidated basis. |
---|
1236 | 1212 | | |
---|
1239 | 1214 | | 2 |
---|
1240 | 1215 | | 3 |
---|
1241 | 1216 | | 4 |
---|
1242 | 1217 | | 5 |
---|
1243 | 1218 | | 6 |
---|
1244 | 1219 | | 7 |
---|
1245 | 1220 | | 8 |
---|
1246 | 1221 | | 9 |
---|
1247 | 1222 | | 10 |
---|
1248 | 1223 | | 11 |
---|
1249 | 1224 | | 12 |
---|
1250 | 1225 | | 13 |
---|
1251 | 1226 | | 14 |
---|
1252 | 1227 | | 15 |
---|
1253 | 1228 | | 16 |
---|
1254 | 1229 | | 17 |
---|
1255 | 1230 | | 18 |
---|
1256 | 1231 | | 19 |
---|
1257 | 1232 | | 20 |
---|
1258 | 1233 | | 21 |
---|
1259 | 1234 | | 22 |
---|
1260 | 1235 | | 23 |
---|
1261 | 1236 | | 24 |
---|
1262 | 1237 | | |
---|
1263 | 1238 | | B. 1. The Oklahoma Property and Casualty Insurance Guaranty |
---|
1264 | 1239 | | Association shall not be obligated to pay any first -party claims by |
---|
1265 | 1240 | | a high net worth insured; and |
---|
1266 | 1241 | | 2. The Association shall have the right to recover from a high |
---|
1267 | 1242 | | net worth insured all amounts paid by the association Association to |
---|
1268 | 1243 | | or on behalf of the insured, whether for indemnity, defense or |
---|
1269 | 1244 | | otherwise; and |
---|
1270 | 1245 | | 3. The Association may also, at its sole discretion and without |
---|
1271 | 1246 | | assumption of any ongoing duty to do so, pay any cybersecurity |
---|
1272 | 1247 | | insurance obligations covered by a policy or endorsement of an |
---|
1273 | 1248 | | insolvent company on behalf of a high net worth insured as defined |
---|
1274 | 1249 | | in this section. In that case, the Association shall recover from |
---|
1275 | 1250 | | the high net worth insured under this sectio n all amounts paid on |
---|
1276 | 1251 | | its behalf, all alloc ated claim adjusted expenses related to such |
---|
1277 | 1252 | | claims, the Association 's attorney fees, and all court costs in any |
---|
1278 | 1253 | | action necessary to collect the full amount to the Association 's |
---|
1279 | 1254 | | reimbursement under this section . |
---|
1280 | 1255 | | C. The Association shall not be obligated to pay any claim that |
---|
1281 | 1256 | | would otherwise be a covered claim that is an obligation to or on |
---|
1282 | 1257 | | behalf of a person who has a net worth greater than that allowed by |
---|
1283 | 1258 | | the insurance guaranty association law of the state of res idence of |
---|
1284 | 1259 | | the claimant at the time specifie d by the applicable law of that |
---|
1285 | 1260 | | state, and which association has denied coverage to that claimant on |
---|
1286 | 1261 | | that basis. |
---|
1287 | 1262 | | |
---|
1290 | 1264 | | 2 |
---|
1291 | 1265 | | 3 |
---|
1292 | 1266 | | 4 |
---|
1293 | 1267 | | 5 |
---|
1294 | 1268 | | 6 |
---|
1295 | 1269 | | 7 |
---|
1296 | 1270 | | 8 |
---|
1297 | 1271 | | 9 |
---|
1298 | 1272 | | 10 |
---|
1299 | 1273 | | 11 |
---|
1300 | 1274 | | 12 |
---|
1301 | 1275 | | 13 |
---|
1302 | 1276 | | 14 |
---|
1303 | 1277 | | 15 |
---|
1304 | 1278 | | 16 |
---|
1305 | 1279 | | 17 |
---|
1306 | 1280 | | 18 |
---|
1307 | 1281 | | 19 |
---|
1308 | 1282 | | 20 |
---|
1309 | 1283 | | 21 |
---|
1310 | 1284 | | 22 |
---|
1311 | 1285 | | 23 |
---|
1312 | 1286 | | 24 |
---|
1313 | 1287 | | |
---|
1314 | 1288 | | D. The Association shall establish reasonable procedures for |
---|
1315 | 1289 | | requesting financial information from insureds on a confidential |
---|
1316 | 1290 | | basis for purposes of applying this section, provided that the |
---|
1317 | 1291 | | financial information may be shared with any other association |
---|
1318 | 1292 | | similar to the association and the liquidator for the insolvent |
---|
1319 | 1293 | | insurer on the same confidential basis. Any request to an insured |
---|
1320 | 1294 | | seeking financial information shall advise the insured of the |
---|
1321 | 1295 | | consequences of failing to provide the financial information. If an |
---|
1322 | 1296 | | insured refuses to provide the requested financial information where |
---|
1323 | 1297 | | it is requested and availabl e, the Association may, until the time |
---|
1324 | 1298 | | as the information is provided, provisionally deem the insured to be |
---|
1325 | 1299 | | a high net worth insured for the purpose of denying a claim under |
---|
1326 | 1300 | | subsection B of this section. |
---|
1327 | 1301 | | E. In any lawsuit contesting the applicability of t his section |
---|
1328 | 1302 | | where the insured has refused t o provide financial information under |
---|
1329 | 1303 | | the procedure established pursuant to subsection D of this section, |
---|
1330 | 1304 | | the insured shall bear the burden of proof concerning its net worth |
---|
1331 | 1305 | | at the relevant time. If the insured f ails to prove that its net |
---|
1332 | 1306 | | worth at the relevant time was less than the applicable amount, the |
---|
1333 | 1307 | | court shall award the association its full costs, expenses and |
---|
1334 | 1308 | | reasonable attorney fees in contesting the claim. |
---|
1335 | 1309 | | SECTION 8. NEW LAW A new section of law to be codified |
---|
1336 | 1310 | | in the Oklahoma Statutes as Section 2020.3 of Title 36, unless there |
---|
1337 | 1311 | | is created a duplication in numbering, reads as follows: |
---|
1338 | 1312 | | |
---|
1341 | 1314 | | 2 |
---|
1342 | 1315 | | 3 |
---|
1343 | 1316 | | 4 |
---|
1344 | 1317 | | 5 |
---|
1345 | 1318 | | 6 |
---|
1346 | 1319 | | 7 |
---|
1347 | 1320 | | 8 |
---|
1348 | 1321 | | 9 |
---|
1349 | 1322 | | 10 |
---|
1350 | 1323 | | 11 |
---|
1351 | 1324 | | 12 |
---|
1352 | 1325 | | 13 |
---|
1353 | 1326 | | 14 |
---|
1354 | 1327 | | 15 |
---|
1355 | 1328 | | 16 |
---|
1356 | 1329 | | 17 |
---|
1357 | 1330 | | 18 |
---|
1358 | 1331 | | 19 |
---|
1359 | 1332 | | 20 |
---|
1360 | 1333 | | 21 |
---|
1361 | 1334 | | 22 |
---|
1362 | 1335 | | 23 |
---|
1363 | 1336 | | 24 |
---|
1364 | 1337 | | |
---|
1365 | 1338 | | No person, including an insurer, insurance producer, or |
---|
1366 | 1339 | | affiliate of an insurer, shall publish, dis seminate, circulate, or |
---|
1367 | 1340 | | place before the public, or cause, directly or indirectly, to be |
---|
1368 | 1341 | | published, disseminated, circulated or placed before the public, in |
---|
1369 | 1342 | | any newspaper, magazine or other publication, or in the form of a |
---|
1370 | 1343 | | notice, circular, pamphlet, lette r or poster, or over any radio |
---|
1371 | 1344 | | station or television station, or in any other way, any |
---|
1372 | 1345 | | advertisement, which uses the existence of the Insurance Guaranty |
---|
1373 | 1346 | | Association of this state for the purpose of sales, solicitation, or |
---|
1374 | 1347 | | inducement to purchase any form of insurance covered by the Oklahoma |
---|
1375 | 1348 | | Property and Casualty Insurance Guaranty Association law. However, |
---|
1376 | 1349 | | this section does not apply to the Insurance Guaranty Association or |
---|
1377 | 1350 | | to any other entity which does not sell or solicit insurance. |
---|
1378 | 1351 | | SECTION 9. NEW LAW A new section of law t o be codified |
---|
1379 | 1352 | | in the Oklahoma Statutes as Section 2020.4 of Title 36, unless there |
---|
1380 | 1353 | | is created a duplication in numbering, reads as follows: |
---|
1381 | 1354 | | A. Except as provided in subsection B of this section, records |
---|
1382 | 1355 | | created, held by, or pertaining to the Oklahoma Property and |
---|
1383 | 1356 | | Casualty Insurance G uaranty Association are not public records under |
---|
1384 | 1357 | | the Oklahoma Open Records Act, are confidential, and are not subject |
---|
1385 | 1358 | | to inspection or disclosure. |
---|
1386 | 1359 | | B. Subsection A of this section does not apply to the plan of |
---|
1387 | 1360 | | operation required under Section 2008 of Title 36 of the Oklahoma |
---|
1388 | 1361 | | Statutes and other information required to be filed with the |
---|
1389 | 1362 | | |
---|