Texas 2015 - 84th Regular

Texas Senate Bill SB655 Compare Versions

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1-By: Eltife S.B. No. 655
2- (Smithee)
1+S.B. No. 655
32
43
5- A BILL TO BE ENTITLED
64 AN ACT
75 relating to own risk and solvency assessment by insurers and
86 insurance groups; providing a penalty.
97 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
108 SECTION 1. Subtitle B, Title 6, Insurance Code, is amended
119 by adding Chapter 830 to read as follows:
1210 CHAPTER 830. OWN RISK AND SOLVENCY ASSESSMENT
1311 Sec. 830.001. APPLICABILITY AND PURPOSE. (a) This chapter
1412 applies to each domestic insurer unless exempt under Section
1513 830.006.
1614 (b) The purpose of this chapter is to provide the
1715 requirements for maintaining a risk management framework and
1816 completing an own risk and solvency assessment and to provide
1917 guidance and instructions for filing an own risk and solvency
2018 assessment summary report with the commissioner.
2119 (c) The own risk and solvency assessment summary report will
2220 contain confidential and sensitive information related to an
2321 insurer or insurance group's identification of risks material and
2422 relevant to the insurer or insurance group filing the report. This
2523 information will include proprietary and trade secret information
2624 that has the potential for harm and competitive disadvantage to the
2725 insurer or insurance group if the information is made public. The
2826 summary report is a confidential document filed with the
2927 commissioner, and the commissioner may share the summary report
3028 only as stated in this chapter in order to assist the commissioner
3129 in the performance of the commissioner's duties. An own risk and
3230 solvency assessment summary report is not subject to public
3331 disclosure in any event.
3432 Sec. 830.002. DEFINITIONS. In this chapter:
3533 (1) "Guidance manual" means the version of the Own
3634 Risk and Solvency Assessment Guidance Manual developed and adopted
3735 by the National Association of Insurance Commissioners that is in
3836 effect at the time a summary report is provided. A change in the
3937 guidance manual becomes effective on the January 1 following the
4038 calendar year in which the changes are adopted by the National
4139 Association of Insurance Commissioners.
4240 (2) "Insurance group" means the insurers and
4341 affiliates included within an insurance holding company system as
4442 described by Section 823.006.
4543 (3) "Insurer" has the meaning assigned by Section
4644 823.002(6).
4745 (4) "Own risk and solvency assessment" means a
4846 confidential internal assessment, appropriate to the nature,
4947 scale, and complexity of an insurer or insurance group, conducted
5048 by that insurer or insurance group, of the material and relevant
5149 risks associated with the insurer or insurance group's current
5250 business plan and the sufficiency of capital resources to support
5351 those risks.
5452 (5) "Summary report" means a confidential, high-level
5553 summary of an insurer's or insurance group's own risk and solvency
5654 assessment.
5755 Sec. 830.003. RISK MANAGEMENT FRAMEWORK. An insurer shall
5856 maintain a risk management framework to assist the insurer with
5957 identifying, assessing, monitoring, managing, and reporting on the
6058 insurer's material and relevant risks. This requirement may be
6159 satisfied if the insurance group of which the insurer is a member
6260 maintains a risk management framework applicable to the operations
6361 of the insurer.
6462 Sec. 830.004. OWN RISK AND SOLVENCY ASSESSMENT REQUIREMENT.
6563 (a) Subject to Section 830.006, an insurer, or the insurance group
6664 of which the insurer is a member, shall regularly conduct,
6765 consistent with a process comparable to the guidance manual, an own
6866 risk and solvency assessment, appropriate to the nature, scale, and
6967 complexity of the insurer or insurance group, of the material and
7068 relevant risks associated with the insurer's or insurance group's
7169 current business plan and the sufficiency of capital resources to
7270 support those risks.
7371 (b) The insurer, or the insurance group of which the insurer
7472 is a member, shall conduct the own risk and solvency assessment
7573 described by Subsection (a):
7674 (1) annually; and
7775 (2) at any other time there are significant changes to
7876 the risk profile of the insurer or the insurance group of which the
7977 insurer is a member.
8078 Sec. 830.005. SUMMARY REPORT REQUIRED. (a) On the
8179 commissioner's request, an insurer shall submit to the commissioner
8280 a summary report or a combination of reports that together contain
8381 the information described in the guidance manual. The commissioner
8482 may not make a request under this subsection more than once each
8583 year.
8684 (b) Without regard to whether the commissioner has made a
8785 request under Subsection (a), if the insurer is a member of an
8886 insurance group, the insurer shall submit to the commissioner the
8987 reports required by Subsection (a) if the commissioner is the lead
9088 state commissioner of the insurance group.
9189 (c) In determining the lead state commissioner for purposes
9290 of this section, the commissioner shall consider the procedures
9391 adopted by the National Association of Insurance Commissioners.
9492 (d) The reports must include a signature of the insurer's or
9593 insurance group's chief risk officer or other executive responsible
9694 for the oversight of the insurer's enterprise risk management
9795 process attesting to the best of the officer's or executive's belief
9896 and knowledge that:
9997 (1) the insurer applies the enterprise risk management
10098 process described in the summary report; and
10199 (2) a copy of the report has been provided to the
102100 insurer's board of directors or the appropriate committee of the
103101 board of directors.
104102 (e) An insurer may comply with Subsection (a) or (b) by
105103 providing the most recent and substantially similar report that the
106104 insurer or another member of an insurance group of which the insurer
107105 is a member provided to the commissioner of another state or to a
108106 supervisor or regulator of a foreign jurisdiction, if that report
109107 provides information that is comparable to the information
110108 described in the guidance manual. A report in a language other than
111109 English must be accompanied by a translation of that report into the
112110 English language.
113111 Sec. 830.006. EXEMPTION. (a) An insurer is exempt from
114112 the requirements of this chapter if:
115113 (1) the insurer has annual direct written and
116114 unaffiliated assumed premium, including international direct and
117115 assumed premium but excluding premiums reinsured with the Federal
118116 Crop Insurance Corporation and Federal Flood Program, of less than
119117 $500 million; and
120118 (2) the insurance group of which the insurer is a
121119 member has annual direct written and unaffiliated assumed premium,
122120 including international direct and assumed premium but excluding
123121 premiums reinsured with the Federal Crop Insurance Corporation and
124122 Federal Flood Program, of less than $1 billion.
125123 (b) If an insurer qualifies for exemption under Subsection
126124 (a)(1), but the insurance group of which the insurer is a member
127125 does not qualify for exemption under Subsection (a)(2), then the
128126 summary report required under Section 830.005 must include every
129127 insurer within the insurance group.
130128 (c) An insurer may satisfy the requirement under Subsection
131129 (b) by submitting more than one summary report for any combination
132130 of insurers if the combination of reports includes each insurer
133131 within the insurance group.
134132 (d) If an insurer does not qualify for exemption under
135133 Subsection (a)(1), but the insurance group of which it is a member
136134 qualifies for exemption under Subsection (a)(2), then the insurer
137135 must submit a summary report under Section 830.005 that is
138136 applicable to that insurer.
139137 (e) An insurer that does not qualify for exemption under
140138 Subsection (a) may apply to the commissioner for a waiver from the
141139 requirements of this chapter based on unique circumstances. In
142140 deciding whether to grant the insurer's request for waiver, the
143141 commissioner may consider the type and volume of business written,
144142 the ownership and organizational structure, and any other factor
145143 the commissioner considers relevant to the insurer or insurance
146144 group of which the insurer is a member. If the insurer is part of an
147145 insurance group with insurers domiciled in more than one state, the
148146 commissioner shall coordinate with the lead state commissioner and
149147 with the other domiciliary commissioners in considering whether to
150148 grant the insurer's request for a waiver.
151149 (f) Notwithstanding the exemptions stated in this section,
152150 the commissioner may require that an insurer maintain a risk
153151 management framework, conduct an own risk and solvency assessment,
154152 and file a summary report if:
155153 (1) there are unique circumstances, including the type
156154 and volume of business written, the ownership and organizational
157155 structure, federal agency requests, and international supervisor
158156 requests;
159157 (2) the insurer has risk-based capital for a company
160158 action level event as set forth in department rules;
161159 (3) the insurer meets one or more of the standards of
162160 an insurer considered to be in hazardous financial condition under
163161 Chapter 404 or department rule; or
164162 (4) the insurer otherwise exhibits qualities of a
165163 troubled insurer as determined by the commissioner.
166164 (g) If an insurer that qualifies for an exemption under
167165 Subsection (a) subsequently ceases to qualify for that exemption
168166 due to changes in premium as reflected in the insurer's most recent
169167 annual statement or in the most recent annual statements of the
170168 insurers within the insurance group of which the insurer is a
171169 member, the insurer must comply with the requirements of this
172170 chapter not later than December 31 of the calendar year following
173171 the calendar year the threshold is exceeded.
174172 Sec. 830.007. CONTENTS OF SUMMARY REPORT. (a) An insurer
175173 shall prepare a summary report in accordance with the guidance
176174 manual and subject to the requirements of Subsection (b). An
177175 insurer shall maintain documentation and supporting information
178176 and shall make the documentation and supporting information
179177 available on examination or on request of the commissioner.
180178 (b) When reviewing the summary report or making requests for
181179 additional information, the department shall use procedures
182180 similar to the procedures currently used in the analysis and
183181 examination of multistate or global insurers and insurance groups.
184182 Sec. 830.008. CONFIDENTIALITY. (a) Documents, materials,
185183 or other information, including a summary report, in the possession
186184 or control of the department that is obtained by, created by, or
187185 disclosed to the commissioner or any other person under this
188186 chapter, including documents, materials, and other information
189187 shared or received under Subsection (e), and documents, materials,
190188 or other information in the possession or control of the National
191189 Association of Insurance Commissioners or third-party consultant
192190 under this chapter, are confidential and privileged and not subject
193191 to:
194192 (1) Chapter 552, Government Code;
195193 (2) a response to subpoena; or
196194 (3) discovery or admissibility in evidence in any
197195 civil action.
198196 (b) Documents, materials, or other information, including a
199197 summary report prepared under this chapter and additional
200198 information submitted under Section 830.007, in the possession or
201199 control of the department that is obtained by, created by, or
202200 disclosed to the commissioner or any other person under this
203201 chapter is recognized by this state as being proprietary and to
204202 contain trade secrets.
205203 (c) The commissioner may use the documents, materials, or
206204 other information described in this section to further any
207205 regulatory or legal action brought as part of the commissioner's
208206 official duties. The commissioner shall not otherwise make the
209207 documents, materials, or other information public without the prior
210208 written consent of the insurer.
211209 (d) The commissioner and any other person who receives own
212210 risk and solvency assessment-related information under this
213211 chapter, in an examination, or otherwise under any other law may not
214212 testify or be required to testify in any private civil action
215213 concerning any documents, materials, or information subject to
216214 Subsection (a) or (b).
217215 (e) In order to assist in the performance of the
218216 commissioner's regulatory duties, the commissioner may, on
219217 request, share documents, materials, or other own risk and solvency
220218 assessment-related information, including confidential and
221219 privileged documents, materials, or information subject to
222220 Subsection (a) or (b) or confidential or privileged documents,
223221 materials, or information subject to Chapter 401, 404, or 823, as
224222 necessary, with:
225223 (1) other state, federal, and international financial
226224 regulatory agencies or insurance supervisors;
227225 (2) members of a supervisory college described in
228226 Section 823.0145;
229227 (3) the National Association of Insurance
230228 Commissioners; or
231229 (4) a third-party consultant designated by the
232230 commissioner.
233231 (f) Before the commissioner may share information under
234232 this section, the recipient of the information shall:
235233 (1) agree in writing to maintain the confidential and
236234 privileged status of the documents, materials, or other information
237235 shared under this section; and
238236 (2) verify in writing the recipient's legal authority
239237 to maintain the confidential and privileged status of that
240238 information.
241239 (g) The commissioner may receive documents, materials, or
242240 other own risk and solvency assessment-related information or any
243241 other relevant information, including otherwise confidential and
244242 privileged documents, materials, or information and proprietary
245243 and trade-secret information or documents, from:
246244 (1) a regulatory official of a foreign or domestic
247245 jurisdiction, including a member of a supervisory college described
248246 in Section 823.0145; and
249247 (2) the National Association of Insurance
250248 Commissioners.
251249 (h) The commissioner shall maintain as confidential or
252250 privileged any documents, materials, or information received under
253251 Subsection (g) with notice and understanding that it is
254252 confidential or privileged under the laws of the jurisdiction that
255253 is the source of the document, material, or information.
256254 Sec. 830.009. AGREEMENT CONCERNING CONFIDENTIAL AND
257255 PRIVILEGED INFORMATION. (a) The commissioner shall enter into a
258256 written agreement with the National Association of Insurance
259257 Commissioners or a third-party consultant that governs the sharing
260258 and use of information provided under this chapter. The agreement
261259 must comply with and contain all the requirements listed in this
262260 section.
263261 (b) The agreement must specify procedures and protocols
264262 regarding the confidentiality and security of information shared
265263 with the National Association of Insurance Commissioners or
266264 third-party consultant under this chapter, including procedures
267265 and protocols for sharing by the National Association of Insurance
268266 Commissioners with other state regulators from states in which the
269267 insurance group has domiciled insurers.
270268 (c) The agreement must provide that the recipient:
271269 (1) agrees in writing to maintain the confidential and
272270 privileged status of the own risk and solvency assessment-related
273271 documents, materials, or other information; and
274272 (2) has verified in writing the legal authority to
275273 maintain the confidential and privileged status of the information.
276274 (d) The agreement must specify that ownership of
277275 information shared with the National Association of Insurance
278276 Commissioners or third-party consultant under this chapter remains
279277 with the commissioner and that the National Association of
280278 Insurance Commissioners' or third-party consultant's use of the
281279 information is subject to the direction of the commissioner.
282280 (e) The agreement must prohibit the National Association of
283281 Insurance Commissioners or third-party consultant from storing the
284282 information shared under this chapter in a permanent database after
285283 the underlying analysis is completed.
286284 (f) The agreement must require prompt notice to be given to
287285 an insurer whose confidential information in the possession of the
288286 National Association of Insurance Commissioners or third-party
289287 consultant under this chapter is subject to a request or subpoena to
290288 the National Association of Insurance Commissioners or third-party
291289 consultant for disclosure or production.
292290 (g) The agreement must require the National Association of
293291 Insurance Commissioners or third-party consultant to consent to
294292 intervention by an insurer in any judicial or administrative action
295293 in which the National Association of Insurance Commissioners or
296294 third-party consultant may be required to disclose confidential
297295 information about the insurer shared with the National Association
298296 of Insurance Commissioners or third-party consultant under this
299297 chapter.
300298 (h) The agreement must provide for the insurer's written
301299 consent in the case of an agreement involving a third-party
302300 consultant.
303301 Sec. 830.010. AUTHORITY OF COMMISSIONER NOT AFFECTED. The
304302 commissioner's sharing of information and documents under this
305303 chapter does not constitute a delegation of regulatory authority or
306304 rulemaking, and the commissioner is solely responsible for the
307305 administration, execution, and enforcement of the provisions of
308306 this chapter.
309307 Sec. 830.011. PRIVILEGE AND CONFIDENTIALITY NOT WAIVED. A
310308 waiver of an applicable privilege or claim of confidentiality in a
311309 document, proprietary and trade-secret materials, or other own risk
312310 and solvency assessment-related information does not occur as a
313311 result of disclosure of the document, materials, or other
314312 information to the commissioner under this chapter or as a result of
315313 sharing as authorized by this chapter.
316314 Sec. 830.012. ADMINISTRATIVE PENALTY. (a) An insurer
317315 that, without good cause, fails to timely file the summary report as
318316 required by this chapter commits a violation subject to an
319317 administrative penalty under Chapter 84.
320318 (b) Each day the violation continues is a separate violation
321319 for purposes of this section.
322320 (c) The commissioner may reduce the amount of the penalty
323321 assessed under this section if the insurer demonstrates to the
324322 commissioner that the imposition of the penalty would constitute a
325323 financial hardship to the insurer.
326324 SECTION 2. Notwithstanding Chapter 830, Insurance Code, as
327325 added by this Act, an insurer is not required to submit a summary
328326 report as required by that chapter before January 1, 2016.
329327 SECTION 3. This Act takes effect immediately if it receives
330328 a vote of two-thirds of all the members elected to each house, as
331329 provided by Section 39, Article III, Texas Constitution. If this
332330 Act does not receive the vote necessary for immediate effect, this
333331 Act takes effect September 1, 2015.
332+ ______________________________ ______________________________
333+ President of the Senate Speaker of the House
334+ I hereby certify that S.B. No. 655 passed the Senate on
335+ April 9, 2015, by the following vote: Yeas 30, Nays 1.
336+ ______________________________
337+ Secretary of the Senate
338+ I hereby certify that S.B. No. 655 passed the House on
339+ May 6, 2015, by the following vote: Yeas 133, Nays 14, two
340+ present not voting.
341+ ______________________________
342+ Chief Clerk of the House
343+ Approved:
344+ ______________________________
345+ Date
346+ ______________________________
347+ Governor