Old | New | Differences | |
---|---|---|---|
1 | - | Enrolled Copy H.B. 410 | |
1 | + | 2nd Sub. H.B. 410 | |
2 | + | LEGISLATIVE GENERAL COUNSEL | |
3 | + | 6 Approved for Filing: A. Shewan 6 | |
4 | + | 6 02-23-23 1:24 PM 6 | |
5 | + | H.B. 410 | |
6 | + | 2nd Sub. (Gray) | |
7 | + | Representative James A. Dunnigan proposes the following substitute bill: | |
2 | 8 | 1 INSURANCE AMENDMENTS | |
3 | 9 | 2 2023 GENERAL SESSION | |
4 | 10 | 3 STATE OF UTAH | |
5 | 11 | 4 Chief Sponsor: James A. Dunnigan | |
6 | 12 | 5 Senate Sponsor: Curtis S. Bramble | |
7 | 13 | 6 | |
8 | 14 | 7LONG TITLE | |
9 | 15 | 8General Description: | |
10 | 16 | 9 This bill amends the Insurance Code, the Public Employees' Benefit and Insurance | |
11 | 17 | 10Program Act, and related provisions. | |
12 | 18 | 11Highlighted Provisions: | |
13 | 19 | 12 This bill: | |
14 | 20 | 13 <makes changes to provisions of the Insurance Code to: | |
15 | 21 | 14 Camend what is considered protected work papers when the commissioner | |
16 | 22 | 15conducts an examination; | |
17 | 23 | 16 Camend requirements for service of process; | |
18 | 24 | 17 Cincrease the amount of the annual appropriation for the Captive Insurance | |
19 | 25 | 18Division; | |
20 | 26 | 19 Camend the required process for insurers to file certain documents; | |
21 | 27 | 20 Cspecify the filing requirements for insurers to submit annual statements with the | |
22 | 28 | 21National Association of Insurance Commissioners; | |
23 | 29 | 22 Cprohibit insurance credit when a risk is ceded to an out-of-state captive; | |
24 | 30 | 23 Celiminate certain requirements for a title insurance licensee to submit certain | |
25 | 31 | 24filings; | |
26 | 32 | 25 Cenacts provisions requiring certain reporting for insurers that offer large | |
33 | + | *HB0410S02* 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
34 | + | - 2 - | |
27 | 35 | 26employer health benefit plans; | |
28 | 36 | 27 Cadd a limited line insurance producer license for pet insurance; | |
29 | - | 28 Cpermit the Department of Insurance (department) to take action against licensees H.B. 410 | |
30 | - | Enrolled Copy | |
31 | - | - 2 - | |
37 | + | 28 Cpermit the Department of Insurance (department) to take action against licensees | |
32 | 38 | 29if the licensee enters a plea in abeyance to certain crimes; | |
33 | 39 | 30 Cclarify provisions related to title insurance companies' deposit of trust money in | |
34 | 40 | 31federally-insured depository institutions in Utah; | |
35 | 41 | 32 Celiminate the requirement that the Title and Escrow Commission (commission) | |
36 | 42 | 33establish in rule an amount of costs and expenses that are covered by the annual | |
37 | 43 | 34assessment on agency title insurance producers and title insurers (annual | |
38 | 44 | 35assessment); | |
39 | 45 | 36 Callow the commission to approve costs and expenses covered by the annual | |
40 | 46 | 37assessment for the prior fiscal year; | |
41 | 47 | 38 Celiminate the limitation on the amount of costs covered by the annual | |
42 | 48 | 39assessment; | |
43 | 49 | 40 Ccreate the State Mandated Insurer Payments Restricted Account (account) and | |
44 | 50 | 41provide that appropriations from the account are nonlapsing; | |
45 | 51 | 42 Camend requirements for the method of reporting insurance fraud; | |
46 | 52 | 43 Celiminate the requirement that an association of captives be in continuous | |
47 | 53 | 44existence for at least one year; | |
48 | 54 | 45 Cchange requirements for a captive insurer's paid-in capital; | |
49 | 55 | 46 Cprohibit insuring an award of punitive damages against a third party; and | |
50 | 56 | 47 Camend the requirements for pure captive insurance companies to which the | |
51 | 57 | 48commissioner issues a certificate of authority; | |
52 | 58 | 49 <amends provisions related to certain recommendations for benefit and rate | |
53 | 59 | 50adjustments for state employees that the Public Employees' Benefit and Insurance | |
54 | 60 | 51Program is required to submit; | |
55 | 61 | 52 <makes technical and conforming changes; and | |
56 | 62 | 53 <defines terms. | |
57 | 63 | 54Money Appropriated in this Bill: | |
58 | - | 55 None Enrolled Copy H.B. 410 | |
64 | + | 55 None | |
65 | + | 56Other Special Clauses: 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
59 | 66 | - 3 - | |
60 | - | 56Other Special Clauses: | |
61 | 67 | 57 None | |
62 | 68 | 58Utah Code Sections Affected: | |
63 | 69 | 59AMENDS: | |
64 | 70 | 60 31A-2-204, as last amended by Laws of Utah 2018, Chapter 319 | |
65 | 71 | 61 31A-2-310, as last amended by Laws of Utah 1995, Chapter 20 | |
66 | 72 | 62 31A-3-304, as last amended by Laws of Utah 2019, Chapter 193 | |
67 | 73 | 63 31A-4-113.5, as last amended by Laws of Utah 2003, Chapter 252 | |
68 | 74 | 64 31A-16-103, as last amended by Laws of Utah 2018, Chapter 319 | |
69 | 75 | 65 31A-17-404, as last amended by Laws of Utah 2021, Chapter 252 | |
70 | 76 | 66 31A-19a-209, as last amended by Laws of Utah 2015, Chapters 312, 330 | |
71 | 77 | 67 31A-23a-106, as last amended by Laws of Utah 2015, Chapter 330 | |
72 | 78 | 68 31A-23a-111, as last amended by Laws of Utah 2022, Chapter 198 | |
73 | 79 | 69 31A-23a-406, as last amended by Laws of Utah 2021, Chapter 252 | |
74 | 80 | 70 31A-23a-409, as last amended by Laws of Utah 2021, Chapter 252 | |
75 | 81 | 71 31A-23a-415, as last amended by Laws of Utah 2020, Chapter 32 | |
76 | 82 | 72 31A-23b-401, as last amended by Laws of Utah 2020, Chapter 32 | |
77 | 83 | 73 31A-25-208, as last amended by Laws of Utah 2020, Chapter 32 | |
78 | 84 | 74 31A-26-213, as last amended by Laws of Utah 2020, Chapter 32 | |
79 | 85 | 75 31A-30-118, as last amended by Laws of Utah 2020, Chapter 32 | |
80 | 86 | 76 31A-31-110, as last amended by Laws of Utah 2008, Chapter 150 | |
81 | 87 | 77 31A-35-504, as last amended by Laws of Utah 2021, Second Special Session, Chapter 4 | |
82 | 88 | 78 31A-37-102, as last amended by Laws of Utah 2021, Chapter 252 | |
83 | 89 | 79 31A-37-202, as last amended by Laws of Utah 2021, Chapter 252 | |
84 | 90 | 80 31A-37-204, as last amended by Laws of Utah 2021, Chapter 252 | |
85 | 91 | 81 49-20-401, as last amended by Laws of Utah 2022, Chapter 302 | |
86 | - | 82 63J-1-602.1, as last amended by Laws of Utah 2022, Chapters 48, 191, 255, 335, 415, H.B. 410 | |
87 | - | Enrolled Copy | |
88 | - | - 4 - | |
92 | + | 82 63J-1-602.1, as last amended by Laws of Utah 2022, Chapters 48, 191, 255, 335, 415, | |
89 | 93 | 83and 451 | |
90 | 94 | 84ENACTS: | |
91 | 95 | 85 31A-22-728, Utah Code Annotated 1953 | |
92 | 96 | 86 | |
93 | - | 87Be it enacted by the Legislature of the state of Utah: | |
97 | + | 87Be it enacted by the Legislature of the state of Utah: 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
98 | + | - 4 - | |
94 | 99 | 88 Section 1. Section 31A-2-204 is amended to read: | |
95 | 100 | 89 31A-2-204. Conducting examinations. | |
96 | 101 | 90 (1) As used in this section, "work papers" means a record that is created or relied upon: | |
97 | 102 | 91 (a) during the course of an examination conducted under Section 31A-2-203; [or] | |
98 | 103 | 92 (b) in drafting an examination report[.]; or | |
99 | 104 | 93 (c) in requesting, responding to a request, or reviewing a response to a request under | |
100 | 105 | 94Section 31A-2-202. | |
101 | 106 | 95 (2) (a) For each examination under Section 31A-2-203, the commissioner shall issue an | |
102 | 107 | 96order: | |
103 | 108 | 97 (i) stating the scope of the examination; and | |
104 | 109 | 98 (ii) designating the examiner in charge. | |
105 | 110 | 99 (b) The commissioner need not give advance notice of an examination to an examinee. | |
106 | 111 | 100 (c) The examiner in charge shall give the examinee a copy of the order issued under | |
107 | 112 | 101this Subsection (2). | |
108 | 113 | 102 (d) (i) The commissioner may alter the scope or nature of an examination at any time | |
109 | 114 | 103without advance notice to the examinee. | |
110 | 115 | 104 (ii) If the commissioner amends an order described in this Subsection (2), the | |
111 | 116 | 105commissioner shall provide a copy of any amended order to the examinee. | |
112 | 117 | 106 (e) Statements in the commissioner's examination order concerning examination scope | |
113 | 118 | 107are for the examiner's guidance only. | |
114 | 119 | 108 (f) Examining relevant matters not mentioned in an order issued under this Subsection | |
115 | - | 109(2) is not a violation of this title. Enrolled Copy H.B. 410 | |
116 | - | - 5 - | |
120 | + | 109(2) is not a violation of this title. | |
117 | 121 | 110 (3) The commissioner shall, whenever practicable, cooperate with the insurance | |
118 | 122 | 111regulators of other states by conducting joint examinations of: | |
119 | 123 | 112 (a) multistate insurers doing business in this state; or | |
120 | 124 | 113 (b) other multistate licensees doing business in this state. | |
121 | 125 | 114 (4) An examiner authorized by the commissioner shall, when necessary to the purposes | |
122 | 126 | 115of the examination, have access at all reasonable hours to the premises and to any books, | |
123 | 127 | 116records, files, securities, documents, or property of: | |
124 | 128 | 117 (a) the examinee; and | |
125 | - | 118 (b) any of the following if the premises, books, records, files, securities, documents, or | |
129 | + | 118 (b) any of the following if the premises, books, records, files, securities, documents, or 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
130 | + | - 5 - | |
126 | 131 | 119property relate to the affairs of the examinee: | |
127 | 132 | 120 (i) an officer of the examinee; | |
128 | 133 | 121 (ii) any other person who: | |
129 | 134 | 122 (A) has executive authority over the examinee; or | |
130 | 135 | 123 (B) is in charge of any segment of the examinee's affairs; or | |
131 | 136 | 124 (iii) any affiliate of the examinee under Subsection 31A-2-203(1)(b). | |
132 | 137 | 125 (5) (a) The officers, employees, and agents of the examinee and of persons under | |
133 | 138 | 126Subsection 31A-2-203(1)(b) shall comply with every reasonable request of the examiners for | |
134 | 139 | 127assistance in any matter relating to the examination. | |
135 | 140 | 128 (b) A person may not obstruct or interfere with the examination except by legal | |
136 | 141 | 129process. | |
137 | 142 | 130 (6) If the commissioner finds the accounts or records to be inadequate for proper | |
138 | 143 | 131examination of the condition and affairs of the examinee or improperly kept or posted, the | |
139 | 144 | 132commissioner may employ experts to rewrite, post, or balance the accounts or records at the | |
140 | 145 | 133expense of the examinee. | |
141 | 146 | 134 (7) (a) The examiner in charge of an examination shall make a report of the | |
142 | 147 | 135examination no later than 60 days after the completion of the examination that shall include: | |
143 | - | 136 (i) the information and analysis ordered under Subsection (2); and H.B. 410 | |
144 | - | Enrolled Copy | |
145 | - | - 6 - | |
148 | + | 136 (i) the information and analysis ordered under Subsection (2); and | |
146 | 149 | 137 (ii) the examiner's recommendations. | |
147 | 150 | 138 (b) At the option of the examiner in charge, preparation of the report may include | |
148 | 151 | 139conferences with the examinee or representatives of the examinee. | |
149 | 152 | 140 (c) The report is confidential until the report becomes a public document under | |
150 | 153 | 141Subsection (8), except the commissioner may use information from the report as a basis for | |
151 | 154 | 142action under Chapter 27a, Insurer Receivership Act. | |
152 | 155 | 143 (8) (a) The commissioner shall serve a copy of the examination report described in | |
153 | 156 | 144Subsection (7) upon the examinee. | |
154 | 157 | 145 (b) Within 20 days after service, the examinee shall: | |
155 | 158 | 146 (i) accept the examination report as written; or | |
156 | 159 | 147 (ii) request agency action to modify the examination report. | |
157 | 160 | 148 (c) The report is considered accepted under this Subsection (8) if the examinee does | |
158 | - | 149not file a request for agency action to modify the report within 20 days after service of the | |
161 | + | 149not file a request for agency action to modify the report within 20 days after service of the 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
162 | + | - 6 - | |
159 | 163 | 150report. | |
160 | 164 | 151 (d) If the examination report is accepted: | |
161 | 165 | 152 (i) the examination report immediately becomes a public document; and | |
162 | 166 | 153 (ii) the commissioner shall distribute the examination report to all jurisdictions in | |
163 | 167 | 154which the examinee is authorized to do business. | |
164 | 168 | 155 (e) (i) Any adjudicative proceeding held as a result of the examinee's request for | |
165 | 169 | 156agency action shall, upon the examinee's demand, be closed to the public, except that the | |
166 | 170 | 157commissioner need not exclude any participating examiner from this closed hearing. | |
167 | 171 | 158 (ii) Within 20 days after the hearing held under this Subsection (8)(e), the | |
168 | 172 | 159commissioner shall: | |
169 | 173 | 160 (A) adopt the examination report with any necessary modifications; and | |
170 | 174 | 161 (B) serve a copy of the adopted report upon the examinee. | |
171 | 175 | 162 (iii) Unless the examinee seeks judicial relief, the adopted examination report: | |
172 | - | 163 (A) shall become a public document 10 days after service; and Enrolled Copy H.B. 410 | |
173 | - | - 7 - | |
176 | + | 163 (A) shall become a public document 10 days after service; and | |
174 | 177 | 164 (B) may be distributed as described in this section. | |
175 | 178 | 165 (f) Notwithstanding Title 63G, Chapter 4, Administrative Procedures Act, to the extent | |
176 | 179 | 166that this section is in conflict with Title 63G, Chapter 4, Administrative Procedures Act, this | |
177 | 180 | 167section governs: | |
178 | 181 | 168 (i) a request for agency action under this section; or | |
179 | 182 | 169 (ii) adjudicative proceeding under this section. | |
180 | 183 | 170 (9) The examinee shall promptly furnish copies of the adopted examination report | |
181 | 184 | 171described in Subsection (8) to each member of the examinee's board. | |
182 | 185 | 172 (10) After an examination report becomes a public document under Subsection (8), the | |
183 | 186 | 173commissioner may furnish, without cost or at a reasonable price set under Section 31A-3-103, | |
184 | 187 | 174a copy of the examination report to interested persons, including: | |
185 | 188 | 175 (a) a member of the board of the examinee; or | |
186 | 189 | 176 (b) one or more newspapers in this state. | |
187 | 190 | 177 (11) (a) In a proceeding by or against the examinee, or any officer or agent of the | |
188 | 191 | 178examinee, the examination report as adopted by the commissioner is admissible as evidence of | |
189 | 192 | 179the facts stated in the report. | |
190 | - | 180 (b) In any proceeding commenced under Chapter 27a, Insurer Receivership Act, the | |
193 | + | 180 (b) In any proceeding commenced under Chapter 27a, Insurer Receivership Act, the 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
194 | + | - 7 - | |
191 | 195 | 181examination report, whether adopted by the commissioner or not, is admissible as evidence of | |
192 | 196 | 182the facts stated in the examination report. | |
193 | 197 | 183 (12) Work papers are protected records under Title 63G, Chapter 2, Government | |
194 | 198 | 184Records Access and Management Act. | |
195 | 199 | 185 Section 2. Section 31A-2-310 is amended to read: | |
196 | 200 | 186 31A-2-310. Procedure for service of process through state officer. | |
197 | 201 | 187 (1) Service upon the commissioner or lieutenant governor under Section 31A-2-309 is | |
198 | 202 | 188service on the principal, if: | |
199 | 203 | 189 (a) [two copies of the process] the following are delivered personally or to the office of | |
200 | - | 190the official designated in Section 31A-2-309[, and]: H.B. 410 | |
201 | - | Enrolled Copy | |
202 | - | - 8 - | |
204 | + | 190the official designated in Section 31A-2-309[, and]: | |
203 | 205 | 191 (i) two copies of the process to be served; and | |
204 | 206 | 192 (ii) a certificate of proof of service that meets the requirements of Subsection (3), dated | |
205 | 207 | 193and signed by the official designated in Section 31A-2-309; and | |
206 | 208 | 194 (b) that official mails a copy of the process to the person to be served according to | |
207 | 209 | 195Subsection (2)(b). | |
208 | 210 | 196 (2) (a) The commissioner and the lieutenant governor shall give receipts for and keep | |
209 | 211 | 197records of all process served through them. | |
210 | 212 | 198 (b) The commissioner or the lieutenant governor shall immediately send by certified | |
211 | 213 | 199mail one copy of the process received to the person to be served at that person's last known | |
212 | 214 | 200principal place of business, residence, or post-office address. The commissioner or the | |
213 | 215 | 201lieutenant governor shall retain the other copy for his files. | |
214 | 216 | 202 (c) No plaintiff or complainant may take a judgment by default in any proceeding in | |
215 | 217 | 203which process is served under this section and Section 31A-2-309 until the expiration of 40 | |
216 | 218 | 204days from the date of service of process under Subsection (2)(b). | |
217 | 219 | 205 (3) Proof of service shall be evidenced by a certificate by the official designated in | |
218 | 220 | 206Section 31A-2-309, showing service made upon him and mailing by him, and attached to a | |
219 | 221 | 207copy of the process presented to him for that purpose. | |
220 | 222 | 208 (4) When process is served under this section, the words "twenty days" in the first | |
221 | 223 | 209sentence of Rule 12(a) of the Utah Rules of Civil Procedure shall be changed to read "forty | |
222 | 224 | 210days." | |
223 | - | 211 Section 3. Section 31A-3-304 is amended to read: | |
225 | + | 211 Section 3. Section 31A-3-304 is amended to read: 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
226 | + | - 8 - | |
224 | 227 | 212 31A-3-304. Annual fees -- Other taxes or fees prohibited -- Captive Insurance | |
225 | 228 | 213Restricted Account. | |
226 | 229 | 214 (1) (a) A captive insurance company shall pay an annual fee imposed under this section | |
227 | 230 | 215to obtain or renew a certificate of authority. | |
228 | 231 | 216 (b) The commissioner shall: | |
229 | - | 217 (i) determine the annual fee pursuant to Section 31A-3-103; and Enrolled Copy H.B. 410 | |
230 | - | - 9 - | |
232 | + | 217 (i) determine the annual fee pursuant to Section 31A-3-103; and | |
231 | 233 | 218 (ii) consider whether the annual fee is competitive with fees imposed by other states on | |
232 | 234 | 219captive insurance companies. | |
233 | 235 | 220 (2) A captive insurance company that fails to pay the fee required by this section is | |
234 | 236 | 221subject to the relevant sanctions of this title. | |
235 | 237 | 222 (3) (a) A captive insurance company that pays one of the following fees is exempt from | |
236 | 238 | 223Title 59, Chapter 7, Corporate Franchise and Income Taxes, and Title 59, Chapter 9, Taxation | |
237 | 239 | 224of Admitted Insurers: | |
238 | 240 | 225 (i) a fee under this section; | |
239 | 241 | 226 (ii) a fee under Chapter 37, Captive Insurance Companies Act; or | |
240 | 242 | 227 (iii) a fee under Chapter 37a, Special Purpose Financial Captive Insurance Company | |
241 | 243 | 228Act. | |
242 | 244 | 229 (b) The state or a county, city, or town within the state may not levy or collect an | |
243 | 245 | 230occupation tax or other fee or charge not described in Subsections (3)(a)(i) through (iii) against | |
244 | 246 | 231a captive insurance company. | |
245 | 247 | 232 (c) The state may not levy, assess, or collect a withdrawal fee under Section 31A-4-115 | |
246 | 248 | 233against a captive insurance company. | |
247 | 249 | 234 (4) A captive insurance company shall pay the fee imposed by this section to the | |
248 | 250 | 235commissioner by June 1 of each year. | |
249 | 251 | 236 (5) (a) Money received pursuant to a fee described in Subsection (3)(a) shall be | |
250 | 252 | 237deposited into the Captive Insurance Restricted Account. | |
251 | 253 | 238 (b) There is created in the General Fund a restricted account known as the "Captive | |
252 | 254 | 239Insurance Restricted Account." | |
253 | 255 | 240 (c) The Captive Insurance Restricted Account shall consist of the fees described in | |
254 | 256 | 241Subsection (3)(a). | |
255 | - | 242 (d) The commissioner shall administer the Captive Insurance Restricted Account. | |
257 | + | 242 (d) The commissioner shall administer the Captive Insurance Restricted Account. 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
258 | + | - 9 - | |
256 | 259 | 243Subject to appropriations by the Legislature, the commissioner shall use the money deposited | |
257 | - | 244into the Captive Insurance Restricted Account to: H.B. 410 | |
258 | - | Enrolled Copy | |
259 | - | - 10 - | |
260 | + | 244into the Captive Insurance Restricted Account to: | |
260 | 261 | 245 (i) administer and enforce: | |
261 | 262 | 246 (A) Chapter 37, Captive Insurance Companies Act; and | |
262 | 263 | 247 (B) Chapter 37a, Special Purpose Financial Captive Insurance Company Act; and | |
263 | 264 | 248 (ii) promote the captive insurance industry in Utah. | |
264 | 265 | 249 (e) An appropriation from the Captive Insurance Restricted Account is nonlapsing, | |
265 | 266 | 250except that at the end of each fiscal year, money received by the commissioner in excess of the | |
266 | 267 | 251following shall be treated as free revenue in the General Fund: | |
267 | 268 | 252 (i) for fiscal year 2018-2019 and subsequent fiscal years, in excess of $1,600,000; | |
268 | 269 | 253[and] | |
269 | 270 | 254 (ii) for fiscal year 2019-2020 and subsequent fiscal years, in excess of $1,450,000[.]; | |
270 | 271 | 255and | |
271 | 272 | 256 (iii) for fiscal year 2023-2024 and subsequent fiscal years, in excess of $1,650,000. | |
272 | 273 | 257 Section 4. Section 31A-4-113.5 is amended to read: | |
273 | 274 | 258 31A-4-113.5. Filing requirements -- National Association of Insurance | |
274 | 275 | 259Commissioners. | |
275 | 276 | 260 (1) (a) Each domestic, foreign, and alien insurer who is authorized to transact insurance | |
276 | 277 | 261business in this state shall annually[, on or before March 1, file with the National Association | |
277 | 278 | 262of Insurance Commissioners] file with the NAIC a copy of the insurer's: | |
278 | 279 | 263 (i) annual statement convention blank on or before March 1; [and] | |
279 | 280 | 264 (ii) market conduct annual statements: | |
280 | 281 | 265 (A) on or before April 30, for all lines of business except health; and | |
281 | 282 | 266 (B) on or before June 30, for the health line of business; and | |
282 | 283 | 267 [(ii)] (iii) any additional filings required by the commissioner for the preceding year. | |
283 | 284 | 268 (b) (i) The information filed with the [National Association of Insurance | |
284 | 285 | 269Commissioners] NAIC under Subsection [(1)(a)] (1)(a)(i) shall: | |
285 | 286 | 270 [(i)] (A) [be in the format and scope required by the commissioner; and] be prepared in | |
286 | - | 271accordance with the NAIC's: Enrolled Copy H.B. 410 | |
287 | - | - 11 - | |
287 | + | 271accordance with the NAIC's: | |
288 | 288 | 272 (I) annual statement instructions; and | |
289 | - | 273 (II) Accounting Practices and Procedures Manual; and | |
289 | + | 273 (II) Accounting Practices and Procedures Manual; and 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
290 | + | - 10 - | |
290 | 291 | 274 [(ii)] (B) include: | |
291 | 292 | 275 [(A)] (I) the signed jurat page; and | |
292 | 293 | 276 [(B)] (II) the actuarial certification. | |
293 | 294 | 277 (ii) An insurer shall file with the NAIC amendments and addenda to information filed | |
294 | 295 | 278with the commissioner under Subsection (1)(a)(i). | |
295 | 296 | 279 (c) [Any amendments and addendums to an annual statement that are filed with the | |
296 | 297 | 280commissioner shall be filed by the insurer with the National Association of Insurance | |
297 | 298 | 281Commissioners.] The information filed with the NAIC under Subsection (1)(a)(ii) shall be | |
298 | 299 | 282prepared in accordance with the NAIC's Market Conduct Annual Statement Industry User | |
299 | 300 | 283Guide. | |
300 | 301 | 284 (d) At the time an insurer makes a filing under this Subsection (1), the insurer shall pay | |
301 | 302 | 285any filing fees assessed by the [National Association of Insurance Commissioners] NAIC. | |
302 | 303 | 286 (e) A foreign insurer that is domiciled in a state that has a law substantially similar to | |
303 | 304 | 287this section shall be considered to be in compliance with this section. | |
304 | 305 | 288 (2) All financial analysis ratios and examination synopses concerning insurance | |
305 | 306 | 289companies that are submitted to the department by the Insurance Regulatory Information | |
306 | 307 | 290System are confidential and may not be disclosed by the department. | |
307 | 308 | 291 (3) The commissioner may suspend, revoke, or refuse to renew the certificate of | |
308 | 309 | 292authority of any insurer failing to: | |
309 | 310 | 293 (a) [file the annual statement as required by] submit the filings under Subsection (1)(a) | |
310 | 311 | 294when due or within any extension of time granted for good cause by: | |
311 | 312 | 295 (i) the commissioner; or | |
312 | 313 | 296 (ii) the [National Association of Insurance Commissioners] NAIC; or | |
313 | 314 | 297 (b) pay by the time specified in Subsection (3)(a) a fee the insurer is required to pay | |
314 | - | 298under this section to: H.B. 410 | |
315 | - | Enrolled Copy | |
316 | - | - 12 - | |
315 | + | 298under this section to: | |
317 | 316 | 299 (i) the commissioner; or | |
318 | 317 | 300 (ii) the [National Association of Insurance Commissioners] NAIC. | |
319 | 318 | 301 Section 5. Section 31A-16-103 is amended to read: | |
320 | 319 | 302 31A-16-103. Acquisition of control of, divestiture of control of, or merger with | |
321 | 320 | 303domestic insurer. | |
322 | - | 304 (1) (a) A person may not take the actions described in Subsection (1)(b) or (c) unless, | |
321 | + | 304 (1) (a) A person may not take the actions described in Subsection (1)(b) or (c) unless, 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
322 | + | - 11 - | |
323 | 323 | 305at the time any offer, request, or invitation is made or any such agreement is entered into, or | |
324 | 324 | 306prior to the acquisition of securities if no offer or agreement is involved: | |
325 | 325 | 307 (i) the person files with the commissioner a statement containing the information | |
326 | 326 | 308required by this section; | |
327 | 327 | 309 (ii) the person provides a copy of the statement described in Subsection (1)(a)(i) to the | |
328 | 328 | 310insurer; and | |
329 | 329 | 311 (iii) the commissioner approves the offer, request, invitation, agreement, or acquisition. | |
330 | 330 | 312 (b) Unless the person complies with Subsection (1)(a), a person other than the issuer | |
331 | 331 | 313may not make a tender offer for, a request or invitation for tenders of, or enter into any | |
332 | 332 | 314agreement to exchange securities, or seek to acquire or acquire in the open market or otherwise, | |
333 | 333 | 315any voting security of a domestic insurer if after the acquisition, the person would directly, | |
334 | 334 | 316indirectly, by conversion, or by exercise of any right to acquire be in control of the insurer. | |
335 | 335 | 317 (c) Unless the person complies with Subsection (1)(a), a person may not enter into an | |
336 | 336 | 318agreement to merge with or otherwise to acquire control of: | |
337 | 337 | 319 (i) a domestic insurer; or | |
338 | 338 | 320 (ii) any person controlling a domestic insurer. | |
339 | 339 | 321 (d) For purposes of this section, a controlling person of a domestic insurer seeking to | |
340 | 340 | 322divest its controlling interest in the domestic insurer, in any manner, shall file with the | |
341 | 341 | 323commissioner, with a copy to the insurer, confidential notice of its proposed divestiture at least | |
342 | 342 | 32430 days before the cessation of control. The commissioner shall determine those instances in | |
343 | - | 325which the one or more persons seeking to divest or to acquire a controlling interest in an Enrolled Copy H.B. 410 | |
344 | - | - 13 - | |
343 | + | 325which the one or more persons seeking to divest or to acquire a controlling interest in an | |
345 | 344 | 326insurer, will be required to file for and obtain approval of the transaction. The information | |
346 | 345 | 327shall remain confidential until the conclusion of the transaction unless the commissioner, in the | |
347 | 346 | 328commissioner's discretion, determines that confidential treatment will interfere with | |
348 | 347 | 329enforcement of this section. If the statement referred to in Subsection (1)(a) is otherwise filed, | |
349 | 348 | 330this Subsection (1)(d) does not apply. | |
350 | 349 | 331 (e) With respect to a transaction subject to this section, the acquiring person shall also | |
351 | 350 | 332file a pre-acquisition notification with the commissioner, which shall contain the information | |
352 | 351 | 333set forth in Section 31A-16-104.5. A failure to file the notification may be subject to penalties | |
353 | 352 | 334specified in Section 31A-16-104.5. | |
354 | - | 335 (f) (i) For purposes of this section, a domestic insurer includes any person controlling a | |
353 | + | 335 (f) (i) For purposes of this section, a domestic insurer includes any person controlling a 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
354 | + | - 12 - | |
355 | 355 | 336domestic insurer unless the person as determined by the commissioner is either directly or | |
356 | 356 | 337through its affiliates primarily engaged in business other than the business of insurance. | |
357 | 357 | 338 (ii) The controlling person described in Subsection (1)(f)(i) shall file with the | |
358 | 358 | 339commissioner a preacquisition notification containing the information required in Subsection | |
359 | 359 | 340(2) 30 calendar days before the proposed effective date of the acquisition. | |
360 | 360 | 341 (iii) For the purposes of this section, "person" does not include any securities broker | |
361 | 361 | 342that in the usual and customary brokers function holds less than 20% of: | |
362 | 362 | 343 (A) the voting securities of an insurance company; or | |
363 | 363 | 344 (B) any person that controls an insurance company. | |
364 | 364 | 345 (iv) This section applies to all domestic insurers and other entities licensed under: | |
365 | 365 | 346 (A) Chapter 5, Domestic Stock and Mutual Insurance Corporations; | |
366 | 366 | 347 (B) Chapter 7, Nonprofit Health Service Insurance Corporations; | |
367 | 367 | 348 (C) Chapter 8, Health Maintenance Organizations and Limited Health Plans; | |
368 | 368 | 349 (D) Chapter 9, Insurance Fraternals; and | |
369 | 369 | 350 (E) Chapter 11, Motor Clubs. | |
370 | 370 | 351 (g) (i) An agreement for acquisition of control or merger as contemplated by this | |
371 | - | 352Subsection (1) is not valid or enforceable unless the agreement: H.B. 410 | |
372 | - | Enrolled Copy | |
373 | - | - 14 - | |
371 | + | 352Subsection (1) is not valid or enforceable unless the agreement: | |
374 | 372 | 353 (A) is in writing; and | |
375 | 373 | 354 (B) includes a provision that the agreement is subject to the approval of the | |
376 | 374 | 355commissioner upon the filing of any applicable statement required under this chapter. | |
377 | 375 | 356 (ii) A written agreement for acquisition or control that includes the provision described | |
378 | 376 | 357in Subsection (1)(g)(i) satisfies the requirements of this Subsection (1). | |
379 | 377 | 358 (2) The statement to be filed with the commissioner under Subsection (1) shall be | |
380 | 378 | 359made under oath or affirmation and shall contain the following information: | |
381 | 379 | 360 (a) the name and address of the "acquiring party," which means each person by whom | |
382 | 380 | 361or on whose behalf the merger or other acquisition of control referred to in Subsection (1) is to | |
383 | 381 | 362be effected; and | |
384 | 382 | 363 (i) if the person is an individual: | |
385 | 383 | 364 (A) the person's principal occupation; | |
386 | 384 | 365 (B) a listing of all offices and positions held by the person during the past five years; | |
387 | - | 366and | |
385 | + | 366and 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
386 | + | - 13 - | |
388 | 387 | 367 (C) any conviction of crimes other than minor traffic violations during the past 10 | |
389 | 388 | 368years; and | |
390 | 389 | 369 (ii) if the person is not an individual: | |
391 | 390 | 370 (A) a report of the nature of its business operations during: | |
392 | 391 | 371 (I) the past five years; or | |
393 | 392 | 372 (II) for any lesser period as the person and any of its predecessors has been in | |
394 | 393 | 373existence; | |
395 | 394 | 374 (B) an informative description of the business intended to be done by the person and | |
396 | 395 | 375the person's subsidiaries; | |
397 | 396 | 376 (C) a list of all individuals who are or who have been selected to become directors or | |
398 | 397 | 377executive officers of the person, or individuals who perform, or who will perform functions | |
399 | 398 | 378appropriate to such positions; and | |
400 | - | 379 (D) for each individual described in Subsection (2)(a)(ii)(C), the information required Enrolled Copy H.B. 410 | |
401 | - | - 15 - | |
399 | + | 379 (D) for each individual described in Subsection (2)(a)(ii)(C), the information required | |
402 | 400 | 380by Subsection (2)(a)(i) for each individual; | |
403 | 401 | 381 (b) (i) the source, nature, and amount of the consideration used or to be used in | |
404 | 402 | 382effecting the merger or acquisition of control; | |
405 | 403 | 383 (ii) a description of any transaction in which funds were or are to be obtained for the | |
406 | 404 | 384purpose of effecting the merger or acquisition of control, including any pledge of: | |
407 | 405 | 385 (A) the insurer's stock; or | |
408 | 406 | 386 (B) the stock of any of the insurer's subsidiaries or controlling affiliates; and | |
409 | 407 | 387 (iii) the identity of persons furnishing the consideration; | |
410 | 408 | 388 (c) (i) fully audited financial information, or other financial information considered | |
411 | 409 | 389acceptable by the commissioner, of the earnings and financial condition of each acquiring party | |
412 | 410 | 390for: | |
413 | 411 | 391 (A) the preceding five fiscal years of each acquiring party; or | |
414 | 412 | 392 (B) any lesser period the acquiring party and any of its predecessors shall have been in | |
415 | 413 | 393existence; and | |
416 | 414 | 394 (ii) unaudited information: | |
417 | 415 | 395 (A) similar to the information described in Subsection (2)(c)(i); and | |
418 | 416 | 396 (B) prepared within the 90 days prior to the filing of the statement; | |
419 | - | 397 (d) any plans or proposals which each acquiring party may have to: | |
417 | + | 397 (d) any plans or proposals which each acquiring party may have to: 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
418 | + | - 14 - | |
420 | 419 | 398 (i) liquidate the insurer; | |
421 | 420 | 399 (ii) sell its assets; | |
422 | 421 | 400 (iii) merge or consolidate the insurer with any person; or | |
423 | 422 | 401 (iv) make any other material change in the insurer's: | |
424 | 423 | 402 (A) business; | |
425 | 424 | 403 (B) corporate structure; or | |
426 | 425 | 404 (C) management; | |
427 | 426 | 405 (e) (i) the number of shares of any security referred to in Subsection (1) that each | |
428 | - | 406acquiring party proposes to acquire; H.B. 410 | |
429 | - | Enrolled Copy | |
430 | - | - 16 - | |
427 | + | 406acquiring party proposes to acquire; | |
431 | 428 | 407 (ii) the terms of the offer, request, invitation, agreement, or acquisition referred to in | |
432 | 429 | 408Subsection (1); and | |
433 | 430 | 409 (iii) a statement as to the method by which the fairness of the proposal was arrived at; | |
434 | 431 | 410 (f) the amount of each class of any security referred to in Subsection (1) that: | |
435 | 432 | 411 (i) is beneficially owned; or | |
436 | 433 | 412 (ii) concerning which there is a right to acquire beneficial ownership by each acquiring | |
437 | 434 | 413party; | |
438 | 435 | 414 (g) a full description of any contract, arrangement, or understanding with respect to any | |
439 | 436 | 415security referred to in Subsection (1) in which any acquiring party is involved, including: | |
440 | 437 | 416 (i) the transfer of any of the securities; | |
441 | 438 | 417 (ii) joint ventures; | |
442 | 439 | 418 (iii) loan or option arrangements; | |
443 | 440 | 419 (iv) puts or calls; | |
444 | 441 | 420 (v) guarantees of loans; | |
445 | 442 | 421 (vi) guarantees against loss or guarantees of profits; | |
446 | 443 | 422 (vii) division of losses or profits; or | |
447 | 444 | 423 (viii) the giving or withholding of proxies; | |
448 | 445 | 424 (h) a description of the purchase by any acquiring party of any security referred to in | |
449 | 446 | 425Subsection (1) during the 12 calendar months preceding the filing of the statement including: | |
450 | 447 | 426 (i) the dates of purchase; | |
451 | 448 | 427 (ii) the names of the purchasers; and | |
452 | - | 428 (iii) the consideration paid or agreed to be paid for the purchase; | |
449 | + | 428 (iii) the consideration paid or agreed to be paid for the purchase; 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
450 | + | - 15 - | |
453 | 451 | 429 (i) a description of: | |
454 | 452 | 430 (i) any recommendations to purchase by any acquiring party any security referred to in | |
455 | 453 | 431Subsection (1) made during the 12 calendar months preceding the filing of the statement; or | |
456 | 454 | 432 (ii) any recommendations made by anyone based upon interviews or at the suggestion | |
457 | - | 433of the acquiring party; Enrolled Copy H.B. 410 | |
458 | - | - 17 - | |
455 | + | 433of the acquiring party; | |
459 | 456 | 434 (j) (i) copies of all tender offers for, requests for, or invitations for tenders of, exchange | |
460 | 457 | 435offers for, and agreements to acquire or exchange any securities referred to in Subsection (1); | |
461 | 458 | 436and | |
462 | 459 | 437 (ii) if distributed, copies of additional soliciting material relating to the transactions | |
463 | 460 | 438described in Subsection (2)(j)(i); | |
464 | 461 | 439 (k) (i) the term of any agreement, contract, or understanding made with, or proposed to | |
465 | 462 | 440be made with, any broker-dealer as to solicitation of securities referred to in Subsection (1) for | |
466 | 463 | 441tender; and | |
467 | 464 | 442 (ii) the amount of any fees, commissions, or other compensation to be paid to | |
468 | 465 | 443broker-dealers with regard to any agreement, contract, or understanding described in | |
469 | 466 | 444Subsection (2)(k)(i); | |
470 | 467 | 445 (l) an agreement by the person required to file the statement referred to in Subsection | |
471 | 468 | 446(1) that it will provide the annual report, specified in Section 31A-16-105, for so long as | |
472 | 469 | 447control exists; | |
473 | 470 | 448 (m) an acknowledgment by the person required to file the statement referred to in | |
474 | 471 | 449Subsection (1) that the person and all subsidiaries within its control in the insurance holding | |
475 | 472 | 450company system will provide information to the commissioner upon request as necessary to | |
476 | 473 | 451evaluate enterprise risk to the insurer; and | |
477 | 474 | 452 (n) any additional information the commissioner requires by rule, which the | |
478 | 475 | 453commissioner determines to be: | |
479 | 476 | 454 (i) necessary or appropriate for the protection of policyholders of the insurer; or | |
480 | 477 | 455 (ii) in the public interest. | |
481 | 478 | 456 (3) (a) The department may request: | |
482 | 479 | 457 [(a)] (i) criminal background information maintained pursuant to Title 53, Chapter 10, | |
483 | 480 | 458Part 2, Bureau of Criminal Identification, from the Bureau of Criminal Identification; and | |
484 | - | 459 (ii) complete Federal Bureau of Investigation criminal background checks through the | |
485 | - | 460national criminal history system. H.B. 410 | |
486 | - | Enrolled Copy | |
487 | - | - 18 - | |
481 | + | 459 (ii) complete Federal Bureau of Investigation criminal background checks through the 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
482 | + | - 16 - | |
483 | + | 460national criminal history system. | |
488 | 484 | 461 (b) Information obtained by the department from the review of criminal history records | |
489 | 485 | 462received under Subsection (3)(a) shall be used by the department for the purpose of: | |
490 | 486 | 463 (i) verifying the information in Subsection (2)(a)(i); | |
491 | 487 | 464 (ii) determining the integrity of persons who would control the operation of an insurer; | |
492 | 488 | 465and | |
493 | 489 | 466 (iii) preventing persons who violate 18 U.S.C. Sec. 1033 from engaging in the business | |
494 | 490 | 467of insurance in the state. | |
495 | 491 | 468 (c) If the department requests the criminal background information, the department | |
496 | 492 | 469shall: | |
497 | 493 | 470 (i) pay to the Department of Public Safety the costs incurred by the Department of | |
498 | 494 | 471Public Safety in providing the department criminal background information under Subsection | |
499 | 495 | 472(3)(a)(i); | |
500 | 496 | 473 (ii) pay to the Federal Bureau of Investigation the costs incurred by the Federal Bureau | |
501 | 497 | 474of Investigation in providing the department criminal background information under | |
502 | 498 | 475Subsection (3)(a)(ii); and | |
503 | 499 | 476 (iii) charge the person required to file the statement referred to in Subsection (1) a fee | |
504 | 500 | 477equal to the aggregate of Subsections (3)(c)(i) and (ii). | |
505 | 501 | 478 (4) (a) If the source of the consideration under Subsection (2)(b)(i) is a loan made in | |
506 | 502 | 479the lender's ordinary course of business, the identity of the lender shall remain confidential, if | |
507 | 503 | 480the person filing the statement so requests. | |
508 | 504 | 481 (b) (i) Under Subsection (2)(e), the commissioner may require a statement of the | |
509 | 505 | 482adjusted book value assigned by the acquiring party to each security in arriving at the terms of | |
510 | 506 | 483the offer. | |
511 | 507 | 484 (ii) For purposes of this Subsection (4)(b), "adjusted book value" means each security's | |
512 | 508 | 485proportional interest in the capital and surplus of the insurer with adjustments that reflect: | |
513 | 509 | 486 (A) market conditions; | |
514 | - | 487 (B) business in force; and Enrolled Copy H.B. 410 | |
515 | - | - 19 - | |
510 | + | 487 (B) business in force; and | |
516 | 511 | 488 (C) other intangible assets or liabilities of the insurer. | |
517 | 512 | 489 (c) The description required by Subsection (2)(g) shall identify the persons with whom | |
518 | - | 490the contracts, arrangements, or understandings have been entered into. | |
513 | + | 490the contracts, arrangements, or understandings have been entered into. 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
514 | + | - 17 - | |
519 | 515 | 491 (5) (a) If the person required to file the statement referred to in Subsection (1) is a | |
520 | 516 | 492partnership, limited partnership, syndicate, or other group, the commissioner may require that | |
521 | 517 | 493all the information called for by Subsection (2), (3), or (4) shall be given with respect to each: | |
522 | 518 | 494 (i) partner of the partnership or limited partnership; | |
523 | 519 | 495 (ii) member of the syndicate or group; and | |
524 | 520 | 496 (iii) person who controls the partner or member. | |
525 | 521 | 497 (b) If any partner, member, or person referred to in Subsection (5)(a) is a corporation, | |
526 | 522 | 498or if the person required to file the statement referred to in Subsection (1) is a corporation, the | |
527 | 523 | 499commissioner may require that the information called for by Subsection (2) shall be given with | |
528 | 524 | 500respect to: | |
529 | 525 | 501 (i) the corporation; | |
530 | 526 | 502 (ii) each officer and director of the corporation; and | |
531 | 527 | 503 (iii) each person who is directly or indirectly the beneficial owner of more than 10% of | |
532 | 528 | 504the outstanding voting securities of the corporation. | |
533 | 529 | 505 (6) If any material change occurs in the facts set forth in the statement filed with the | |
534 | 530 | 506commissioner and sent to the insurer pursuant to Subsection (2), an amendment setting forth | |
535 | 531 | 507the change, together with copies of all documents and other material relevant to the change, | |
536 | 532 | 508shall be filed with the commissioner and sent to the insurer within two business days after the | |
537 | 533 | 509filing person learns of such change. | |
538 | 534 | 510 (7) If any offer, request, invitation, agreement, or acquisition referred to in Subsection | |
539 | 535 | 511(1) is proposed to be made by means of a registration statement under the Securities Act of | |
540 | 536 | 5121933, or under circumstances requiring the disclosure of similar information under the | |
541 | 537 | 513Securities Exchange Act of 1934, or under a state law requiring similar registration or | |
542 | - | 514disclosure, a person required to file the statement referred to in Subsection (1) may use copies H.B. 410 | |
543 | - | Enrolled Copy | |
544 | - | - 20 - | |
538 | + | 514disclosure, a person required to file the statement referred to in Subsection (1) may use copies | |
545 | 539 | 515of any registration or disclosure documents in furnishing the information called for by the | |
546 | 540 | 516statement. | |
547 | 541 | 517 (8) (a) The commissioner shall approve any merger or other acquisition of control | |
548 | 542 | 518referred to in Subsection (1), unless the commissioner finds that: | |
549 | 543 | 519 (i) after the change of control, the domestic insurer referred to in Subsection (1) would | |
550 | 544 | 520not be able to satisfy the requirements for the issuance of a license to write the line or lines of | |
551 | - | 521insurance for which it is presently licensed; | |
545 | + | 521insurance for which it is presently licensed; 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
546 | + | - 18 - | |
552 | 547 | 522 (ii) the effect of the merger or other acquisition of control would: | |
553 | 548 | 523 (A) substantially lessen competition in insurance in this state; or | |
554 | 549 | 524 (B) tend to create a monopoly in insurance; | |
555 | 550 | 525 (iii) the financial condition of any acquiring party might: | |
556 | 551 | 526 (A) jeopardize the financial stability of the insurer; or | |
557 | 552 | 527 (B) prejudice the interest of: | |
558 | 553 | 528 (I) its policyholders; or | |
559 | 554 | 529 (II) any remaining securityholders who are unaffiliated with the acquiring party; | |
560 | 555 | 530 (iv) the terms of the offer, request, invitation, agreement, or acquisition referred to in | |
561 | 556 | 531Subsection (1) are unfair and unreasonable to the securityholders of the insurer; | |
562 | 557 | 532 (v) the plans or proposals which the acquiring party has to liquidate the insurer, sell its | |
563 | 558 | 533assets, or consolidate or merge it with any person, or to make any other material change in its | |
564 | 559 | 534business or corporate structure or management, are: | |
565 | 560 | 535 (A) unfair and unreasonable to policyholders of the insurer; and | |
566 | 561 | 536 (B) not in the public interest; or | |
567 | 562 | 537 (vi) the competence, experience, and integrity of those persons who would control the | |
568 | 563 | 538operation of the insurer are such that it would not be in the interest of the policyholders of the | |
569 | 564 | 539insurer and the public to permit the merger or other acquisition of control. | |
570 | 565 | 540 (b) For purposes of Subsection (8)(a)(iv), the offering price for each security may not | |
571 | - | 541be considered unfair if the adjusted book values under Subsection (2)(e): Enrolled Copy H.B. 410 | |
572 | - | - 21 - | |
566 | + | 541be considered unfair if the adjusted book values under Subsection (2)(e): | |
573 | 567 | 542 (i) are disclosed to the securityholders; and | |
574 | 568 | 543 (ii) determined by the commissioner to be reasonable. | |
575 | 569 | 544 (9) For a merger or other acquisition of control described in Subsection (1), the | |
576 | 570 | 545commissioner: | |
577 | 571 | 546 (a) may hold a public hearing on the merger or other acquisition at the commissioner's | |
578 | 572 | 547discretion; and | |
579 | 573 | 548 (b) shall hold a public hearing on the merger or other acquisition upon request by the | |
580 | 574 | 549acquiring party, the insurer, or [any other] an interested party. | |
581 | 575 | 550 (10) (a) [The commissioner shall hold a public hearing under Subsection (9) no later | |
582 | 576 | 551than 45 days after the day on which the statement required by Subsection (1) is filed.] If the | |
583 | - | 552commissioner does not hold a hearing described in Subsection (9), the commissioner shall | |
577 | + | 552commissioner does not hold a hearing described in Subsection (9), the commissioner shall 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
578 | + | - 19 - | |
584 | 579 | 553approve or deny the merger or other acquisition within 30 days after the day on which the | |
585 | 580 | 554department deems the statement required under Subsection (1) complete. | |
586 | 581 | 555 (b) (i) The commissioner shall give at least 20 [days notice of the hearing to the person | |
587 | 582 | 556filing the statement] days' notice of a hearing described in Subsection (9) to the person filing | |
588 | 583 | 557the statement described in Subsection (1). | |
589 | 584 | 558 (ii) [Affected parties may waive the notice required by this Subsection (9)(b).] The | |
590 | 585 | 559commissioner shall hold a hearing described in Subsection (9) within 30 days after the day on | |
591 | 586 | 560which the department deems the statement required under Subsection (1) complete. | |
592 | 587 | 561 (iii) Not less than seven [days] days' notice of the [public] hearing shall be given by the | |
593 | 588 | 562person filing the statement under Subsection (1) to: | |
594 | 589 | 563 (A) the insurer; and | |
595 | 590 | 564 (B) any person designated by the commissioner. | |
596 | 591 | 565 (iv) Affected parties may waive the notice required under this Subsection (10)(b). | |
597 | 592 | 566 (v) At the hearing, the person filing the statement under Subsection (1), the insurer, any | |
598 | 593 | 567person to whom notice of hearing was sent, and any person whose interest may be affected by | |
599 | - | 568the hearing may: H.B. 410 | |
600 | - | Enrolled Copy | |
601 | - | - 22 - | |
594 | + | 568the hearing may: | |
602 | 595 | 569 (A) present evidence; | |
603 | 596 | 570 (B) examine and cross-examine witnesses; and | |
604 | 597 | 571 (C) offer oral and written arguments. | |
605 | 598 | 572 (vi) (A) A person or insurer described in Subsection (10)(b)(v) may conduct discovery | |
606 | 599 | 573in the same manner as is allowed in the district courts of this state. | |
607 | 600 | 574 (B) All discovery shall be concluded not later than three days before the | |
608 | 601 | 575commencement of the hearing. | |
609 | 602 | 576 [(c) The commissioner shall make a determination within 30 days after the conclusion | |
610 | 603 | 577of the hearing.] | |
611 | 604 | 578 [(d) At the hearing, the person filing the statement, the insurer, any person to whom | |
612 | 605 | 579notice of hearing was sent, and any other person whose interest may be affected by the hearing | |
613 | 606 | 580may:] | |
614 | 607 | 581 [(i) present evidence;] | |
615 | 608 | 582 [(ii) examine and cross-examine witnesses; and] | |
616 | - | 583 [(iii) offer oral and written arguments.] | |
609 | + | 583 [(iii) offer oral and written arguments.] 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
610 | + | - 20 - | |
617 | 611 | 584 [(e) (i) A person or insurer described in Subsection (10)(d) may conduct discovery | |
618 | 612 | 585proceedings in the same manner as is presently allowed in the district courts of this state.] | |
619 | 613 | 586 [(ii) All discovery proceedings shall be concluded not later than three days before the | |
620 | 614 | 587commencement of the public hearing.] | |
621 | 615 | 588 (11) If the proposed acquisition of control will require the approval of more than one | |
622 | 616 | 589commissioner, the public hearing described in Subsection (9) may be held on a consolidated | |
623 | 617 | 590basis upon request of the person filing the statement referred to in Subsection (1). The person | |
624 | 618 | 591shall file the statement referred to in Subsection (1) with the National Association of Insurance | |
625 | 619 | 592Commissioners within five days of making the request for a public hearing. A commissioner | |
626 | 620 | 593may opt out of a consolidated hearing and shall provide notice to the applicant of the opt-out | |
627 | 621 | 594within 10 days of the receipt of the statement referred to in Subsection (1). A hearing | |
628 | - | 595conducted on a consolidated basis shall be public and shall be held within the United States Enrolled Copy H.B. 410 | |
629 | - | - 23 - | |
622 | + | 595conducted on a consolidated basis shall be public and shall be held within the United States | |
630 | 623 | 596before the commissioners of the states in which the insurers are domiciled. The commissioners | |
631 | 624 | 597shall hear and receive evidence. A commissioner may attend a hearing under this Subsection | |
632 | 625 | 598(11) in person or by telecommunication. | |
633 | 626 | 599 (12) In connection with a change of control of a domestic insurer, any determination by | |
634 | 627 | 600the commissioner that the person acquiring control of the insurer shall be required to maintain | |
635 | 628 | 601or restore the capital of the insurer to the level required by the laws and regulations of this state | |
636 | 629 | 602shall be made not later than 60 days after the date of notification of the change in control | |
637 | 630 | 603submitted pursuant to Subsection (1). | |
638 | 631 | 604 (13) (a) The commissioner may retain technical experts to assist in reviewing all, or a | |
639 | 632 | 605portion of, information filed in connection with a proposed merger or other acquisition of | |
640 | 633 | 606control referred to in Subsection (1). | |
641 | 634 | 607 (b) In determining whether any of the conditions in Subsection (8) exist, the | |
642 | 635 | 608commissioner may consider the findings of technical experts employed to review applicable | |
643 | 636 | 609filings. | |
644 | 637 | 610 (c) (i) A technical expert employed under Subsection (13)(a) shall present to the | |
645 | 638 | 611commissioner a statement of all expenses incurred by the technical expert in conjunction with | |
646 | 639 | 612the technical expert's review of a proposed merger or other acquisition of control. | |
647 | 640 | 613 (ii) At the commissioner's direction the acquiring person shall compensate the technical | |
648 | - | 614expert at customary rates for time and expenses: | |
641 | + | 614expert at customary rates for time and expenses: 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
642 | + | - 21 - | |
649 | 643 | 615 (A) necessarily incurred; and | |
650 | 644 | 616 (B) approved by the commissioner. | |
651 | 645 | 617 (iii) The acquiring person shall: | |
652 | 646 | 618 (A) certify the consolidated account of all charges and expenses incurred for the review | |
653 | 647 | 619by technical experts; | |
654 | 648 | 620 (B) retain a copy of the consolidated account described in Subsection (13)(c)(iii)(A); | |
655 | 649 | 621and | |
656 | - | 622 (C) file with the department as a public record a copy of the consolidated account H.B. 410 | |
657 | - | Enrolled Copy | |
658 | - | - 24 - | |
650 | + | 622 (C) file with the department as a public record a copy of the consolidated account | |
659 | 651 | 623described in Subsection (13)(c)(iii)(A). | |
660 | 652 | 624 (14) (a) (i) If a domestic insurer proposes to merge into another insurer, any | |
661 | 653 | 625securityholder electing to exercise a right of dissent may file with the insurer a written request | |
662 | 654 | 626for payment of the adjusted book value given in the statement required by Subsection (1) and | |
663 | 655 | 627approved under Subsection (8), in return for the surrender of the security holder's securities. | |
664 | 656 | 628 (ii) The request described in Subsection (14)(a)(i) shall be filed not later than 10 days | |
665 | 657 | 629after the day of the securityholders' meeting where the corporate action is approved. | |
666 | 658 | 630 (b) The dissenting securityholder is entitled to and the insurer is required to pay to the | |
667 | 659 | 631dissenting securityholder the specified value within 60 days of receipt of the dissenting security | |
668 | 660 | 632holder's security. | |
669 | 661 | 633 (c) Persons electing under this Subsection (14) to receive cash for their securities waive | |
670 | 662 | 634the dissenting shareholder and appraisal rights otherwise applicable under Title 16, Chapter | |
671 | 663 | 63510a, Part 13, Dissenters' Rights. | |
672 | 664 | 636 (d) (i) This Subsection (14) provides an elective procedure for dissenting | |
673 | 665 | 637securityholders to resolve their objections to the plan of merger. | |
674 | 666 | 638 (ii) This section does not restrict the rights of dissenting securityholders under Title 16, | |
675 | 667 | 639Chapter 10a, Utah Revised Business Corporation Act, unless this election is made under this | |
676 | 668 | 640Subsection (14). | |
677 | 669 | 641 (15) (a) All statements, amendments, or other material filed under Subsection (1), and | |
678 | 670 | 642all notices of public hearings held under Subsection [(8)] (10), shall be mailed by the insurer to | |
679 | 671 | 643its securityholders within five business days after the insurer has received the statements, | |
680 | 672 | 644amendments, other material, or notices. | |
681 | - | 645 (b) (i) Mailing expenses shall be paid by the person making the filing. | |
673 | + | 645 (b) (i) Mailing expenses shall be paid by the person making the filing. 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
674 | + | - 22 - | |
682 | 675 | 646 (ii) As security for the payment of mailing expenses, that person shall file with the | |
683 | 676 | 647commissioner an acceptable bond or other deposit in an amount determined by the | |
684 | 677 | 648commissioner. | |
685 | - | 649 (16) This section does not apply to any offer, request, invitation, agreement, or Enrolled Copy H.B. 410 | |
686 | - | - 25 - | |
678 | + | 649 (16) This section does not apply to any offer, request, invitation, agreement, or | |
687 | 679 | 650acquisition that the commissioner by order exempts from the requirements of this section as: | |
688 | 680 | 651 (a) not having been made or entered into for the purpose of, and not having the effect | |
689 | 681 | 652of, changing or influencing the control of a domestic insurer; or | |
690 | 682 | 653 (b) otherwise not comprehended within the purposes of this section. | |
691 | 683 | 654 (17) The following are violations of this section: | |
692 | 684 | 655 (a) the failure to file any statement, amendment, or other material required to be filed | |
693 | 685 | 656pursuant to Subsections (1), (2), and (5); or | |
694 | 686 | 657 (b) the effectuation, or any attempt to effectuate, an acquisition of control of, | |
695 | 687 | 658divestiture of, or merger with a domestic insurer unless the commissioner has given the | |
696 | 688 | 659commissioner's approval to the acquisition or merger. | |
697 | 689 | 660 (18) (a) The courts of this state are vested with jurisdiction over: | |
698 | 690 | 661 (i) a person who: | |
699 | 691 | 662 (A) files a statement with the commissioner under this section; and | |
700 | 692 | 663 (B) is not resident, domiciled, or authorized to do business in this state; and | |
701 | 693 | 664 (ii) overall actions involving persons described in Subsection (18)(a)(i) arising out of a | |
702 | 694 | 665violation of this section. | |
703 | 695 | 666 (b) A person described in Subsection (18)(a) is considered to have performed acts | |
704 | 696 | 667equivalent to and constituting an appointment of the commissioner by that person, to be that | |
705 | 697 | 668person's lawful agent upon whom may be served all lawful process in any action, suit, or | |
706 | 698 | 669proceeding arising out of a violation of this section. | |
707 | 699 | 670 (c) A copy of a lawful process described in Subsection (18)(b) shall be: | |
708 | 700 | 671 (i) served on the commissioner; and | |
709 | 701 | 672 (ii) transmitted by registered or certified mail by the commissioner to the person at that | |
710 | 702 | 673person's last-known address. | |
711 | 703 | 674 Section 6. Section 31A-17-404 is amended to read: | |
712 | 704 | 675 31A-17-404. Credit allowed a domestic ceding insurer against reserves for | |
713 | - | 676reinsurance. H.B. 410 | |
714 | - | Enrolled Copy | |
715 | - | - 26 - | |
705 | + | 676reinsurance. 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
706 | + | - 23 - | |
716 | 707 | 677 (1) (a) Subject to Subsections (1)(b) and (c), a domestic ceding insurer is allowed | |
717 | 708 | 678credit for reinsurance as either an asset or a reduction from liability for reinsurance ceded only | |
718 | 709 | 679if the reinsurer meets the requirements of Subsection (3), (4), (5), (6), (7), (8), or (9). | |
719 | 710 | 680 (b) Credit is allowed under Subsection (3), (4), or (5) only with respect to a cession of | |
720 | 711 | 681a kind or class of business that the assuming insurer is licensed or otherwise permitted to write | |
721 | 712 | 682or assume: | |
722 | 713 | 683 (i) in the assuming insurer's state of domicile; or | |
723 | 714 | 684 (ii) in the case of a United States branch of an alien assuming insurer, in the state | |
724 | 715 | 685through which the assuming insurer is entered and licensed to transact insurance or | |
725 | 716 | 686reinsurance. | |
726 | 717 | 687 (c) Credit is allowed under Subsection (5) or (6) only if the applicable requirements of | |
727 | 718 | 688Subsection (11) are met. | |
728 | 719 | 689 (2) A domestic ceding insurer is allowed credit for reinsurance ceded: | |
729 | 720 | 690 (a) only if the reinsurance is payable in a manner consistent with Section 31A-22-1201; | |
730 | 721 | 691 (b) only to the extent that the accounting: | |
731 | 722 | 692 (i) is consistent with the terms of the reinsurance contract; and | |
732 | 723 | 693 (ii) clearly reflects: | |
733 | 724 | 694 (A) the amount and nature of risk transferred; and | |
734 | 725 | 695 (B) liability, including contingent liability, of the ceding insurer; | |
735 | 726 | 696 (c) only to the extent the reinsurance contract shifts insurance policy risk from the | |
736 | 727 | 697ceding insurer to the assuming reinsurer in fact and not merely in form; and | |
737 | 728 | 698 (d) only if the reinsurance contract contains a provision placing on the reinsurer the | |
738 | 729 | 699credit risk of all dealings with intermediaries regarding the reinsurance contract. | |
739 | 730 | 700 (3) A domestic ceding insurer is allowed a credit if the reinsurance is ceded to an | |
740 | 731 | 701assuming insurer that is licensed to transact insurance or reinsurance in this state. | |
741 | 732 | 702 (4) (a) A domestic ceding insurer is allowed a credit if the reinsurance is ceded to an | |
742 | - | 703assuming insurer that is accredited by the commissioner as a reinsurer in this state. Enrolled Copy H.B. 410 | |
743 | - | - 27 - | |
733 | + | 703assuming insurer that is accredited by the commissioner as a reinsurer in this state. | |
744 | 734 | 704 (b) An insurer is accredited as a reinsurer if the insurer: | |
745 | 735 | 705 (i) files with the commissioner evidence of the insurer's submission to this state's | |
746 | 736 | 706jurisdiction; | |
747 | - | 707 (ii) submits to the commissioner's authority to examine the insurer's books and records; | |
737 | + | 707 (ii) submits to the commissioner's authority to examine the insurer's books and records; 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
738 | + | - 24 - | |
748 | 739 | 708 (iii) (A) is licensed to transact insurance or reinsurance in at least one state; or | |
749 | 740 | 709 (B) in the case of a United States branch of an alien assuming insurer, is entered | |
750 | 741 | 710through and licensed to transact insurance or reinsurance in at least one state; | |
751 | 742 | 711 (iv) files annually with the commissioner a copy of the insurer's: | |
752 | 743 | 712 (A) annual statement filed with the insurance department of the insurer's state of | |
753 | 744 | 713domicile; and | |
754 | 745 | 714 (B) most recent audited financial statement; and | |
755 | 746 | 715 (v) (A) (I) has not had the insurer's accreditation denied by the commissioner within 90 | |
756 | 747 | 716days after the day on which the insurer submits the information required by this Subsection (4); | |
757 | 748 | 717and | |
758 | 749 | 718 (II) maintains a surplus with regard to policyholders in an amount not less than | |
759 | 750 | 719$20,000,000; or | |
760 | 751 | 720 (B) (I) has the insurer's accreditation approved by the commissioner; and | |
761 | 752 | 721 (II) maintains a surplus with regard to policyholders in an amount less than | |
762 | 753 | 722$20,000,000. | |
763 | 754 | 723 (c) Credit may not be allowed a domestic ceding insurer if the assuming insurer's | |
764 | 755 | 724accreditation is revoked by the commissioner after a notice and hearing. | |
765 | 756 | 725 (5) (a) A domestic ceding insurer is allowed a credit if: | |
766 | 757 | 726 (i) the reinsurance is ceded to an assuming insurer that is: | |
767 | 758 | 727 (A) domiciled in a state meeting the requirements of Subsection (5)(a)(ii); or | |
768 | 759 | 728 (B) in the case of a United States branch of an alien assuming insurer, is entered | |
769 | 760 | 729through a state meeting the requirements of Subsection (5)(a)(ii); | |
770 | - | 730 (ii) the state described in Subsection (5)(a)(i) employs standards regarding credit for H.B. 410 | |
771 | - | Enrolled Copy | |
772 | - | - 28 - | |
761 | + | 730 (ii) the state described in Subsection (5)(a)(i) employs standards regarding credit for | |
773 | 762 | 731reinsurance substantially similar to those applicable under this section; and | |
774 | 763 | 732 (iii) the assuming insurer or United States branch of an alien assuming insurer: | |
775 | 764 | 733 (A) maintains a surplus with regard to policyholders in an amount not less than | |
776 | 765 | 734$20,000,000; and | |
777 | 766 | 735 (B) submits to the authority of the commissioner to examine the insurer's books and | |
778 | 767 | 736records. | |
779 | 768 | 737 (b) The requirements of Subsections (5)(a)(i) and (ii) do not apply to reinsurance ceded | |
780 | - | 738and assumed pursuant to a pooling arrangement among insurers in the same holding company | |
769 | + | 738and assumed pursuant to a pooling arrangement among insurers in the same holding company 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
770 | + | - 25 - | |
781 | 771 | 739system. | |
782 | 772 | 740 (6) (a) A domestic ceding insurer is allowed a credit if the reinsurance is ceded to an | |
783 | 773 | 741assuming insurer that maintains a trust fund: | |
784 | 774 | 742 (i) created in accordance with rules made by the commissioner pursuant to Title 63G, | |
785 | 775 | 743Chapter 3, Utah Administrative Rulemaking Act; and | |
786 | 776 | 744 (ii) in a qualified United States financial institution for the payment of a valid claim of: | |
787 | 777 | 745 (A) a United States ceding insurer of the assuming insurer; | |
788 | 778 | 746 (B) an assign of the United States ceding insurer; and | |
789 | 779 | 747 (C) a successor in interest to the United States ceding insurer. | |
790 | 780 | 748 (b) To enable the commissioner to determine the sufficiency of the trust fund described | |
791 | 781 | 749in Subsection (6)(a), the assuming insurer shall: | |
792 | 782 | 750 (i) report annually to the commissioner information substantially the same as that | |
793 | 783 | 751required to be reported on the National Association of Insurance Commissioners Annual | |
794 | 784 | 752Statement form by a licensed insurer; and | |
795 | 785 | 753 (ii) (A) submit to examination of its books and records by the commissioner; and | |
796 | 786 | 754 (B) pay the cost of an examination. | |
797 | 787 | 755 (c) (i) Credit for reinsurance may not be granted under this Subsection (6) unless the | |
798 | 788 | 756form of the trust and any amendment to the trust is approved by: | |
799 | - | 757 (A) the commissioner of the state where the trust is domiciled; or Enrolled Copy H.B. 410 | |
800 | - | - 29 - | |
789 | + | 757 (A) the commissioner of the state where the trust is domiciled; or | |
801 | 790 | 758 (B) the commissioner of another state who, pursuant to the terms of the trust | |
802 | 791 | 759instrument, accepts principal regulatory oversight of the trust. | |
803 | 792 | 760 (ii) The form of the trust and an amendment to the trust shall be filed with the | |
804 | 793 | 761commissioner of every state in which a ceding insurer beneficiary of the trust is domiciled. | |
805 | 794 | 762 (iii) The trust instrument shall provide that a contested claim is valid and enforceable | |
806 | 795 | 763upon the final order of a court of competent jurisdiction in the United States. | |
807 | 796 | 764 (iv) The trust shall vest legal title to the trust's assets in one or more of the trust's | |
808 | 797 | 765trustees for the benefit of: | |
809 | 798 | 766 (A) a United States ceding insurer of the assuming insurer; | |
810 | 799 | 767 (B) an assign of the United States ceding insurer; or | |
811 | 800 | 768 (C) a successor in interest to the United States ceding insurer. | |
812 | - | 769 (v) The trust and the assuming insurer are subject to examination as determined by the | |
801 | + | 769 (v) The trust and the assuming insurer are subject to examination as determined by the 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
802 | + | - 26 - | |
813 | 803 | 770commissioner. | |
814 | 804 | 771 (vi) The trust shall remain in effect for as long as the assuming insurer has an | |
815 | 805 | 772outstanding obligation due under a reinsurance agreement subject to the trust. | |
816 | 806 | 773 (vii) No later than February 28 of each year, the trustee of the trust shall: | |
817 | 807 | 774 (A) report to the commissioner in writing the balance of the trust; | |
818 | 808 | 775 (B) list the trust's investments at the end of the preceding calendar year; and | |
819 | 809 | 776 (C) (I) certify the date of termination of the trust, if so planned; or | |
820 | 810 | 777 (II) certify that the trust will not expire before the following December 31. | |
821 | 811 | 778 (d) The following requirements apply to the following categories of assuming insurer: | |
822 | 812 | 779 (i) For a single assuming insurer: | |
823 | 813 | 780 (A) the trust fund shall consist of funds in trust in an amount not less than the assuming | |
824 | 814 | 781insurer's liabilities attributable to reinsurance ceded by United States ceding insurers; and | |
825 | 815 | 782 (B) the assuming insurer shall maintain a trusteed surplus of not less than $20,000,000, | |
826 | 816 | 783except as provided in Subsection (6)(d)(ii). | |
827 | - | 784 (ii) (A) At any time after the assuming insurer has permanently discontinued H.B. 410 | |
828 | - | Enrolled Copy | |
829 | - | - 30 - | |
817 | + | 784 (ii) (A) At any time after the assuming insurer has permanently discontinued | |
830 | 818 | 785underwriting new business secured by the trust for at least three full years, the commissioner | |
831 | 819 | 786with principal regulatory oversight of the trust may authorize a reduction in the required | |
832 | 820 | 787trusteed surplus, but only after a finding, based on an assessment of the risk, that the new | |
833 | 821 | 788required surplus level is adequate for the protection of United States ceding insurers, | |
834 | 822 | 789policyholders, and claimants in light of reasonably foreseeable adverse loss development. | |
835 | 823 | 790 (B) The risk assessment may involve an actuarial review, including an independent | |
836 | 824 | 791analysis of reserves and cash flows, and shall consider all material risk factors, including, when | |
837 | 825 | 792applicable, the lines of business involved, the stability of the incurred loss estimates, and the | |
838 | 826 | 793effect of the surplus requirements on the assuming insurer's liquidity or solvency. | |
839 | 827 | 794 (C) The minimum required trusteed surplus may not be reduced to an amount less than | |
840 | 828 | 79530% of the assuming insurer's liabilities attributable to reinsurance ceded by United States | |
841 | 829 | 796ceding insurers covered by the trust. | |
842 | 830 | 797 (iii) For a group acting as assuming insurer, including incorporated and individual | |
843 | 831 | 798unincorporated underwriters: | |
844 | 832 | 799 (A) for reinsurance ceded under a reinsurance agreement with an inception, | |
845 | - | 800amendment, or renewal date on or after August 1, 1995, the trust shall consist of a trusteed | |
833 | + | 800amendment, or renewal date on or after August 1, 1995, the trust shall consist of a trusteed 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
834 | + | - 27 - | |
846 | 835 | 801account in an amount not less than the respective underwriters' several liabilities attributable to | |
847 | 836 | 802business ceded by the one or more United States domiciled ceding insurers to an underwriter of | |
848 | 837 | 803the group; | |
849 | 838 | 804 (B) for reinsurance ceded under a reinsurance agreement with an inception date on or | |
850 | 839 | 805before July 31, 1995, and not amended or renewed after July 31, 1995, notwithstanding the | |
851 | 840 | 806other provisions of this chapter, the trust shall consist of a trusteed account in an amount not | |
852 | 841 | 807less than the respective underwriters' several insurance and reinsurance liabilities attributable to | |
853 | 842 | 808business written in the United States; | |
854 | 843 | 809 (C) in addition to a trust described in Subsection (6)(d)(iii)(A) or (B), the group shall | |
855 | 844 | 810maintain in trust a trusteed surplus of which $100,000,000 is held jointly for the benefit of the | |
856 | - | 811one or more United States domiciled ceding insurers of a member of the group for all years of Enrolled Copy H.B. 410 | |
857 | - | - 31 - | |
845 | + | 811one or more United States domiciled ceding insurers of a member of the group for all years of | |
858 | 846 | 812account; | |
859 | 847 | 813 (D) the incorporated members of the group: | |
860 | 848 | 814 (I) may not be engaged in a business other than underwriting as a member of the group; | |
861 | 849 | 815and | |
862 | 850 | 816 (II) are subject to the same level of regulation and solvency control by the group's | |
863 | 851 | 817domiciliary regulator as are the unincorporated members; and | |
864 | 852 | 818 (E) within 90 days after the day on which the group's financial statements are due to be | |
865 | 853 | 819filed with the group's domiciliary regulator, the group shall provide to the commissioner: | |
866 | 854 | 820 (I) an annual certification by the group's domiciliary regulator of the solvency of each | |
867 | 855 | 821underwriter member; or | |
868 | 856 | 822 (II) if a certification is unavailable, a financial statement, prepared by an independent | |
869 | 857 | 823public accountant, of each underwriter member of the group. | |
870 | 858 | 824 (iv) For a group of incorporated underwriters under common administration, the group | |
871 | 859 | 825shall: | |
872 | 860 | 826 (A) have continuously transacted an insurance business outside the United States for at | |
873 | 861 | 827least three years immediately preceding the day on which the group makes application for | |
874 | 862 | 828accreditation; | |
875 | 863 | 829 (B) maintain aggregate policyholders' surplus of at least $10,000,000,000; | |
876 | 864 | 830 (C) maintain a trust fund in an amount not less than the group's several liabilities | |
877 | - | 831attributable to business ceded by the one or more United States domiciled ceding insurers to a | |
865 | + | 831attributable to business ceded by the one or more United States domiciled ceding insurers to a 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
866 | + | - 28 - | |
878 | 867 | 832member of the group pursuant to a reinsurance contract issued in the name of the group; | |
879 | 868 | 833 (D) in addition to complying with the other provisions of this Subsection (6)(d)(iv), | |
880 | 869 | 834maintain a joint trusteed surplus of which $100,000,000 is held jointly for the benefit of the one | |
881 | 870 | 835or more United States domiciled ceding insurers of a member of the group as additional | |
882 | 871 | 836security for these liabilities; and | |
883 | 872 | 837 (E) within 90 days after the day on which the group's financial statements are due to be | |
884 | - | 838filed with the group's domiciliary regulator, make available to the commissioner: H.B. 410 | |
885 | - | Enrolled Copy | |
886 | - | - 32 - | |
873 | + | 838filed with the group's domiciliary regulator, make available to the commissioner: | |
887 | 874 | 839 (I) an annual certification of each underwriter member's solvency by the member's | |
888 | 875 | 840domiciliary regulator; and | |
889 | 876 | 841 (II) a financial statement of each underwriter member of the group prepared by an | |
890 | 877 | 842independent public accountant. | |
891 | 878 | 843 (7) A domestic ceding insurer is allowed a credit if the reinsurance is ceded to an | |
892 | 879 | 844assuming insurer that secures the assuming insurer's obligations in accordance with this | |
893 | 880 | 845Subsection (7): | |
894 | 881 | 846 (a) The insurer shall be certified by the commissioner as a reinsurer in this state. | |
895 | 882 | 847 (b) To be eligible for certification, the assuming insurer shall: | |
896 | 883 | 848 (i) be domiciled and licensed to transact insurance or reinsurance in a qualified | |
897 | 884 | 849jurisdiction, as determined by the commissioner pursuant to Subsection (7)(d); | |
898 | 885 | 850 (ii) maintain minimum capital and surplus, or its equivalent, in an amount to be | |
899 | 886 | 851determined by the commissioner pursuant to rules made in accordance with Title 63G, Chapter | |
900 | 887 | 8523, Utah Administrative Rulemaking Act; | |
901 | 888 | 853 (iii) maintain financial strength ratings from two or more rating agencies considered | |
902 | 889 | 854acceptable by the commissioner pursuant to rules made in accordance with Title 63G, Chapter | |
903 | 890 | 8553, Utah Administrative Rulemaking Act; and | |
904 | 891 | 856 (iv) agree to: | |
905 | 892 | 857 (A) submit to the jurisdiction of this state; | |
906 | 893 | 858 (B) appoint the commissioner as the assuming insurer's agent for service of process in | |
907 | 894 | 859this state; | |
908 | 895 | 860 (C) provide security for 100% of the assuming insurer's liabilities attributable to | |
909 | 896 | 861reinsurance ceded by United States ceding insurers if the assuming insurer resists enforcement | |
910 | - | 862of a final United States judgment; | |
897 | + | 862of a final United States judgment; 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
898 | + | - 29 - | |
911 | 899 | 863 (D) agree to meet applicable information filing requirements as determined by the | |
912 | 900 | 864commissioner including an application for certification, a renewal and on an ongoing basis; and | |
913 | - | 865 (E) any other requirements for certification considered relevant by the commissioner. Enrolled Copy H.B. 410 | |
914 | - | - 33 - | |
901 | + | 865 (E) any other requirements for certification considered relevant by the commissioner. | |
915 | 902 | 866 (c) An association, including incorporated and individual unincorporated underwriters, | |
916 | 903 | 867may be a certified reinsurer, if the association: | |
917 | 904 | 868 (i) satisfies the requirements of Subsections (7)(a) and (b); | |
918 | 905 | 869 (ii) satisfies the association's minimum capital and surplus requirements through the | |
919 | 906 | 870capital and surplus equivalents, net of liabilities, of the association and the association's | |
920 | 907 | 871members, which shall include a joint central fund that may be applied to any unsatisfied | |
921 | 908 | 872obligation of the association or any of the association's members in an amount determined by | |
922 | 909 | 873the commissioner to provide adequate protection; | |
923 | 910 | 874 (iii) does not have incorporated members of the association engaged in any business | |
924 | 911 | 875other than underwriting as a member of the association; | |
925 | 912 | 876 (iv) is subject to the same level of regulation and solvency control of the incorporated | |
926 | 913 | 877members of the association by the association's domiciliary regulator as are the unincorporated | |
927 | 914 | 878members; and | |
928 | 915 | 879 (v) within 90 days after the day on which the association's financial statements are due | |
929 | 916 | 880to be filed with the association's domiciliary regulator, provides to the commissioner: | |
930 | 917 | 881 (A) an annual certification by the association's domiciliary regulator of the solvency of | |
931 | 918 | 882each underwriter member; or | |
932 | 919 | 883 (B) if a certification described in Subsection (7)(c)(v)(A) is unavailable, financial | |
933 | 920 | 884statements prepared by independent public accountants, of each underwriter member of the | |
934 | 921 | 885association. | |
935 | 922 | 886 (d) (i) The commissioner shall create and publish a list of qualified jurisdictions under | |
936 | 923 | 887which an assuming insurer licensed and domiciled in the jurisdiction is eligible to be | |
937 | 924 | 888considered for certification by the commissioner as a certified reinsurer. | |
938 | 925 | 889 (ii) To determine whether the domiciliary jurisdiction of a non-United States assuming | |
939 | 926 | 890insurer is eligible to be recognized as a qualified jurisdiction, the commissioner: | |
940 | 927 | 891 (A) shall evaluate the appropriateness and effectiveness of the reinsurance supervisory | |
941 | - | 892system of the jurisdiction, both initially and on an ongoing basis; H.B. 410 | |
942 | - | Enrolled Copy | |
943 | - | - 34 - | |
944 | - | 893 (B) shall consider the rights, the benefits, and the extent of reciprocal recognition | |
928 | + | 892system of the jurisdiction, both initially and on an ongoing basis; | |
929 | + | 893 (B) shall consider the rights, the benefits, and the extent of reciprocal recognition 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
930 | + | - 30 - | |
945 | 931 | 894afforded by the non-United States jurisdiction to reinsurers licensed and domiciled in the | |
946 | 932 | 895United States; | |
947 | 933 | 896 (C) shall require the qualified jurisdiction to share information and cooperate with the | |
948 | 934 | 897commissioner with respect to all certified reinsurers domiciled within that jurisdiction; and | |
949 | 935 | 898 (D) may not recognize a jurisdiction as a qualified jurisdiction if the commissioner has | |
950 | 936 | 899determined that the jurisdiction does not adequately and promptly enforce final United States | |
951 | 937 | 900judgments and arbitration awards. | |
952 | 938 | 901 (iii) The commissioner may consider additional factors in determining a qualified | |
953 | 939 | 902jurisdiction. | |
954 | 940 | 903 (iv) A list of qualified jurisdictions shall be published through the National Association | |
955 | 941 | 904of Insurance Commissioners' Committee Process. | |
956 | 942 | 905 (v) The commissioner shall: | |
957 | 943 | 906 (A) consider the National Association of Insurance Commissioners' list of qualified | |
958 | 944 | 907jurisdictions in determining qualified jurisdictions; and | |
959 | 945 | 908 (B) if the commissioner approves a jurisdiction as qualified that does not appear on the | |
960 | 946 | 909National Association of Insurance Commissioners' list of qualified jurisdictions, provide | |
961 | 947 | 910thoroughly documented justification in accordance with criteria to be developed by rule made | |
962 | 948 | 911in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act. | |
963 | 949 | 912 (vi) United States jurisdictions that meet the requirement for accreditation under the | |
964 | 950 | 913National Association of Insurance Commissioners' financial standards and accreditation | |
965 | 951 | 914program shall be recognized as qualified jurisdictions. | |
966 | 952 | 915 (vii) If a certified reinsurer's domiciliary jurisdiction ceases to be a qualified | |
967 | 953 | 916jurisdiction, the commissioner may suspend the reinsurer's certification indefinitely, in lieu of | |
968 | 954 | 917revocation. | |
969 | 955 | 918 (e) The commissioner shall: | |
970 | - | 919 (i) assign a rating to each certified reinsurer, giving due consideration to the financial Enrolled Copy H.B. 410 | |
971 | - | - 35 - | |
956 | + | 919 (i) assign a rating to each certified reinsurer, giving due consideration to the financial | |
972 | 957 | 920strength ratings that have been assigned by rating agencies considered acceptable to the | |
973 | 958 | 921commissioner by rule made in accordance with Title 63G, Chapter 3, Utah Administrative | |
974 | 959 | 922Rulemaking Act; and | |
975 | 960 | 923 (ii) publish a list of all certified reinsurers and their ratings. | |
976 | - | 924 (f) A certified reinsurer shall secure obligations assumed from United States ceding | |
961 | + | 924 (f) A certified reinsurer shall secure obligations assumed from United States ceding 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
962 | + | - 31 - | |
977 | 963 | 925insurers under this Subsection (7) at a level consistent with the certified reinsurer's rating, as | |
978 | 964 | 926specified in rules made by the commissioner in accordance with Title 63G, Chapter 3, Utah | |
979 | 965 | 927Administrative Rulemaking Act. | |
980 | 966 | 928 (i) For a domestic ceding insurer to qualify for full financial statement credit for | |
981 | 967 | 929reinsurance ceded to a certified reinsurer, the certified reinsurer shall maintain security in a | |
982 | 968 | 930form acceptable to the commissioner and consistent with Section 31A-17-404.1, or in a | |
983 | 969 | 931multibeneficiary trust in accordance with Subsections (5), (6), and (9), except as otherwise | |
984 | 970 | 932provided in this Subsection (7). | |
985 | 971 | 933 (ii) If a certified reinsurer maintains a trust to fully secure the certified reinsurer's | |
986 | 972 | 934obligations subject to Subsections (5), (6), and (9), and chooses to secure the certified | |
987 | 973 | 935reinsurer's obligations incurred as a certified reinsurer in the form of a multibeneficiary trust, | |
988 | 974 | 936the certified reinsurer shall maintain separate trust accounts for the certified reinsurer's | |
989 | 975 | 937obligations incurred under reinsurance agreements issued or renewed as a certified reinsurer | |
990 | 976 | 938with reduced security as permitted by this Subsection (7) or comparable laws of other United | |
991 | 977 | 939States jurisdictions and for the certified reinsurer's obligations subject to Subsections (5), (6), | |
992 | 978 | 940and (9). | |
993 | 979 | 941 (iii) It shall be a condition to the grant of certification under this Subsection (7) that the | |
994 | 980 | 942certified reinsurer shall have bound itself: | |
995 | 981 | 943 (A) by the language of the trust and agreement with the commissioner with principal | |
996 | 982 | 944regulatory oversight of the trust account; and | |
997 | 983 | 945 (B) upon termination of the trust account, to fund, out of the remaining surplus of the | |
998 | - | 946trust, any deficiency of any other trust account. H.B. 410 | |
999 | - | Enrolled Copy | |
1000 | - | - 36 - | |
984 | + | 946trust, any deficiency of any other trust account. | |
1001 | 985 | 947 (iv) The minimum trusteed surplus requirements provided in Subsections (5), (6), and | |
1002 | 986 | 948(9) are not applicable with respect to a multibeneficiary trust maintained by a certified reinsurer | |
1003 | 987 | 949for the purpose of securing obligations incurred under this Subsection (7), except that the trust | |
1004 | 988 | 950shall maintain a minimum trusteed surplus of $10,000,000. | |
1005 | 989 | 951 (v) With respect to obligations incurred by a certified reinsurer under this Subsection | |
1006 | 990 | 952(7), if the security is insufficient, the commissioner: | |
1007 | 991 | 953 (A) shall reduce the allowable credit by an amount proportionate to the deficiency; and | |
1008 | 992 | 954 (B) may impose further reductions in allowable credit upon finding that there is a | |
1009 | - | 955material risk that the certified reinsurer's obligations will not be paid in full when due. | |
993 | + | 955material risk that the certified reinsurer's obligations will not be paid in full when due. 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
994 | + | - 32 - | |
1010 | 995 | 956 (vi) (A) For purposes of this Subsection (7), a certified reinsurer whose certification | |
1011 | 996 | 957has been terminated for any reason shall be treated as a certified reinsurer required to secure | |
1012 | 997 | 958100% of the certified reinsurer's obligations. | |
1013 | 998 | 959 (B) As used in this Subsection (7), the term "terminated" refers to revocation, | |
1014 | 999 | 960suspension, voluntary surrender, and inactive status. | |
1015 | 1000 | 961 (C) If the commissioner continues to assign a higher rating as permitted by other | |
1016 | 1001 | 962provisions of this section, the requirement under this Subsection (7)(f)(vi) does not apply to a | |
1017 | 1002 | 963certified reinsurer in inactive status or to a reinsurer whose certification has been suspended. | |
1018 | 1003 | 964 (g) If an applicant for certification has been certified as a reinsurer in a National | |
1019 | 1004 | 965Association of Insurance Commissioners' accredited jurisdiction, the commissioner may: | |
1020 | 1005 | 966 (i) defer to that jurisdiction's certification; | |
1021 | 1006 | 967 (ii) defer to the rating assigned by that jurisdiction; and | |
1022 | 1007 | 968 (iii) consider such reinsurer to be a certified reinsurer in this state. | |
1023 | 1008 | 969 (h) (i) A certified reinsurer that ceases to assume new business in this state may request | |
1024 | 1009 | 970to maintain the certified reinsurer's certification in inactive status in order to continue to qualify | |
1025 | 1010 | 971for a reduction in security for its in-force business. | |
1026 | 1011 | 972 (ii) An inactive certified reinsurer shall continue to comply with all applicable | |
1027 | - | 973requirements of this Subsection (7). Enrolled Copy H.B. 410 | |
1028 | - | - 37 - | |
1012 | + | 973requirements of this Subsection (7). | |
1029 | 1013 | 974 (iii) The commissioner shall assign a rating to a reinsurer that qualifies under this | |
1030 | 1014 | 975Subsection (7)(h), that takes into account, if relevant, the reasons why the reinsurer is not | |
1031 | 1015 | 976assuming new business. | |
1032 | 1016 | 977 (8) (a) As used in this Subsection (8): | |
1033 | 1017 | 978 (i) "Covered agreement" means an agreement entered into pursuant to Dodd-Frank | |
1034 | 1018 | 979Wall Street Reform and Consumer Protection Act, 31 U.S.C. Sections 313 and 314, that: | |
1035 | 1019 | 980 (A) is currently in effect or in a period of provisional application; and | |
1036 | 1020 | 981 (B) addresses the elimination, under specified conditions, of collateral requirements as | |
1037 | 1021 | 982a condition for entering into any reinsurance agreement with a ceding insurer domiciled in this | |
1038 | 1022 | 983state or for allowing the ceding insurer to recognize credit for reinsurance. | |
1039 | 1023 | 984 (ii) "Reciprocal jurisdiction" means a jurisdiction that is: | |
1040 | 1024 | 985 (A) a non-United States jurisdiction that is subject to an in-force covered agreement | |
1041 | - | 986with the United States, each within its legal authority, or, in the case of a covered agreement | |
1025 | + | 986with the United States, each within its legal authority, or, in the case of a covered agreement 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
1026 | + | - 33 - | |
1042 | 1027 | 987between the United States and European Union, is a member state of the European Union; | |
1043 | 1028 | 988 (B) a United States jurisdiction that meets the requirements for accreditation under the | |
1044 | 1029 | 989National Association of Insurance Commissioners' financial standards and accreditation | |
1045 | 1030 | 990program; or | |
1046 | 1031 | 991 (C) a qualified jurisdiction, as determined by the commissioner in accordance with | |
1047 | 1032 | 992Subsection (7)(d), that is not otherwise described in this Subsection (8)(a)(ii) and meets certain | |
1048 | 1033 | 993additional requirements, consistent with the terms and conditions of in-force covered | |
1049 | 1034 | 994agreements, as specified by the commissioner in rule made in accordance with Title 63G, | |
1050 | 1035 | 995Chapter 3, Utah Administrative Rulemaking Act. | |
1051 | 1036 | 996 (b) (i) Credit is allowed when the reinsurance is ceded to an assuming insurer meeting | |
1052 | 1037 | 997each of the conditions set forth in this Subsection (8)(b). | |
1053 | 1038 | 998 (ii) The assuming insurer must have the assuming insurer's head office in or be | |
1054 | 1039 | 999domiciled in, as applicable, and be licensed in a reciprocal jurisdiction. | |
1055 | - | 1000 (iii) (A) The assuming insurer shall have and maintain, on an ongoing basis, minimum H.B. 410 | |
1056 | - | Enrolled Copy | |
1057 | - | - 38 - | |
1040 | + | 1000 (iii) (A) The assuming insurer shall have and maintain, on an ongoing basis, minimum | |
1058 | 1041 | 1001capital and surplus, or its equivalent, calculated according to the methodology of the assuming | |
1059 | 1042 | 1002insurer's domiciliary jurisdiction, in an amount to be set forth in regulation. | |
1060 | 1043 | 1003 (B) If the assuming insurer is an association, including incorporated and individual | |
1061 | 1044 | 1004unincorporated underwriters, the assuming insurer shall have and maintain, on an ongoing | |
1062 | 1045 | 1005basis, minimum capital and surplus equivalents (net of liabilities), calculated according to the | |
1063 | 1046 | 1006methodology applicable in the assuming insurer's domiciliary jurisdiction, and a central fund | |
1064 | 1047 | 1007containing a balance in amounts set forth in regulation. | |
1065 | 1048 | 1008 (iv) (A) The assuming insurer must have and maintain, on an ongoing basis, a | |
1066 | 1049 | 1009minimum solvency or capital ration, as applicable, which will be set forth in regulation. | |
1067 | 1050 | 1010 (B) If the assuming insurer is an association, including incorporated and individual | |
1068 | 1051 | 1011unincorporated underwriters, the assuming insurer must have and maintain, on an ongoing | |
1069 | 1052 | 1012basis, a minimum solvency or capital ratio in the reciprocal jurisdiction where the assuming | |
1070 | 1053 | 1013insurer has the assuming insurer's head office or is domiciled, as applicable, and is also | |
1071 | 1054 | 1014licensed. | |
1072 | 1055 | 1015 (v) The assuming insurer must agree and provide adequate assurance to the | |
1073 | 1056 | 1016commissioner, in a form specified by the commissioner by rule made in accordance with Title | |
1074 | - | 101763G, Chapter 3, Utah Administrative Rulemaking Act, as follows: | |
1057 | + | 101763G, Chapter 3, Utah Administrative Rulemaking Act, as follows: 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
1058 | + | - 34 - | |
1075 | 1059 | 1018 (A) the assuming insurer must provide prompt written notice and explanation to the | |
1076 | 1060 | 1019commissioner if the assuming insurer falls below the minimum requirements set forth in | |
1077 | 1061 | 1020Subsection (8)(c) or (d), or if any regulatory action is taken against the assuming insurer for | |
1078 | 1062 | 1021serious noncompliance with applicable law; | |
1079 | 1063 | 1022 (B) the assuming insurer must consent in writing to the jurisdiction of the courts of this | |
1080 | 1064 | 1023state and to the appointment of the commissioner as agent for service of process, however the | |
1081 | 1065 | 1024commissioner may require that consent for service of process be provided to the commissioner | |
1082 | 1066 | 1025and included in each reinsurance agreement and nothing in this provision shall limit, or in any | |
1083 | 1067 | 1026way alter, the capacity of parties to a reinsurance agreement to agree to alternative dispute | |
1084 | - | 1027resolution mechanisms, except to the extent such agreements are unenforceable under Enrolled Copy H.B. 410 | |
1085 | - | - 39 - | |
1068 | + | 1027resolution mechanisms, except to the extent such agreements are unenforceable under | |
1086 | 1069 | 1028applicable insolvency or delinquency laws; | |
1087 | 1070 | 1029 (C) the assuming insurer must consent in writing to pay all final judgments, wherever | |
1088 | 1071 | 1030enforcement is sought, obtained by a ceding insurer or the ceding insurer's legal successor, that | |
1089 | 1072 | 1031have been declared enforceable in the jurisdiction where the judgment was obtained; | |
1090 | 1073 | 1032 (D) each reinsurance agreement must include a provision requiring the assuming | |
1091 | 1074 | 1033insurer to provide security in an amount equal to 100% of the assuming insurer's liabilities | |
1092 | 1075 | 1034attributable to reinsurance ceded pursuant to that agreement if the assuming insurer resists | |
1093 | 1076 | 1035enforcement of a final judgment that is enforceable under the law of the jurisdiction in which | |
1094 | 1077 | 1036the final judgement was obtained or a properly enforceable arbitration award, whether obtained | |
1095 | 1078 | 1037by the ceding insurer or by the ceding insurer's legal successor on behalf of the ceding insurer's | |
1096 | 1079 | 1038resolution estate; and | |
1097 | 1080 | 1039 (E) the assuming insurer must confirm that the assuming insurer is not presently | |
1098 | 1081 | 1040participating in any solvent scheme of arrangement which involved this state's ceding insurers, | |
1099 | 1082 | 1041and agree to notify the ceding insurer and the commissioner and to provide security: | |
1100 | 1083 | 1042 (I) in an amount equal to 100% of the assuming insurer's liabilities to the ceding | |
1101 | 1084 | 1043insurer, should the assuming insurer enter into such a solvent scheme of arrangement; and | |
1102 | 1085 | 1044 (II) in a form consistent with the provisions of Subsections (7) and (10) and as | |
1103 | 1086 | 1045specified by the commissioner in regulation. | |
1104 | 1087 | 1046 (vi) The assuming insurer or the assuming insurer's legal successor must provide, if | |
1105 | 1088 | 1047requested by the commissioner, on behalf of the assuming insurer and any legal predecessors, | |
1106 | - | 1048certain documentation to the commissioner, as specified by the commissioner by rule made in | |
1089 | + | 1048certain documentation to the commissioner, as specified by the commissioner by rule made in 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
1090 | + | - 35 - | |
1107 | 1091 | 1049accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act. | |
1108 | 1092 | 1050 (vii) The assuming insurer must maintain a practice of prompt payment of claims under | |
1109 | 1093 | 1051reinsurance agreements, pursuant to criteria set forth in rule made in accordance with Title | |
1110 | 1094 | 105263G, Chapter 3, Utah Administrative Rulemaking Act. | |
1111 | 1095 | 1053 (viii) The assuming insurer's supervisory authority must confirm to the commissioner | |
1112 | - | 1054on an annual basis, as of the preceding December 31 or at the annual date otherwise statutorily H.B. 410 | |
1113 | - | Enrolled Copy | |
1114 | - | - 40 - | |
1096 | + | 1054on an annual basis, as of the preceding December 31 or at the annual date otherwise statutorily | |
1115 | 1097 | 1055reported to the reciprocal jurisdiction, that the assuming insurer complies with the requirements | |
1116 | 1098 | 1056set forth in Subsections (8)(c) and (d). | |
1117 | 1099 | 1057 (ix) Nothing in this provision precludes an assuming insurer from providing the | |
1118 | 1100 | 1058commissioner with information on a voluntary basis. | |
1119 | 1101 | 1059 (c) (i) The commissioner shall timely create and publish a list of reciprocal | |
1120 | 1102 | 1060jurisdictions. | |
1121 | 1103 | 1061 (ii) (A) A list of reciprocal jurisdictions is published through the National Association | |
1122 | 1104 | 1062of Insurance Commissioners' Committee Process. | |
1123 | 1105 | 1063 (B) The commissioner's list of reciprocal jurisdictions shall include any reciprocal | |
1124 | 1106 | 1064jurisdiction as defined in this Subsection (8), and shall consider any other reciprocal | |
1125 | 1107 | 1065jurisdictions in accordance with the criteria developed under rule made in accordance with | |
1126 | 1108 | 1066Title 63G, Chapter 3, Utah Administrative Rulemaking Act. | |
1127 | 1109 | 1067 (iii) (A) The commissioner may remove a jurisdiction from the list of reciprocal | |
1128 | 1110 | 1068jurisdictions upon a determination that the jurisdiction no longer meets the requirements of a | |
1129 | 1111 | 1069reciprocal jurisdiction, in accordance with a process set forth in rule made in accordance with | |
1130 | 1112 | 1070Title 63G, Chapter 3, Utah Administrative Rulemaking Act, except that the commissioner may | |
1131 | 1113 | 1071not remove from the list a reciprocal jurisdiction. | |
1132 | 1114 | 1072 (B) Upon removal of a reciprocal jurisdiction from this list, credit for reinsurance | |
1133 | 1115 | 1073ceded to an assuming insurer whose home office or domicile is in that jurisdiction is allowed, if | |
1134 | 1116 | 1074otherwise allowed under this chapter. | |
1135 | 1117 | 1075 (d) (i) The commissioner shall timely create and publish a list of assuming insurers that | |
1136 | 1118 | 1076have satisfied the conditions set forth in this subsection and to which cessions shall be granted | |
1137 | 1119 | 1077credit in accordance with this Subsection (8). | |
1138 | 1120 | 1078 (ii) The commissioner may add an assuming insurer to such list if a National | |
1139 | - | 1079Association of Insurance Commissioners accredited jurisdiction has added such assuming | |
1121 | + | 1079Association of Insurance Commissioners accredited jurisdiction has added such assuming 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
1122 | + | - 36 - | |
1140 | 1123 | 1080insurer to a list of such assuming insurers or if, upon initial eligibility, the assuming insurer | |
1141 | - | 1081submits the information to the commissioner as required under this Subsection (8) and Enrolled Copy H.B. 410 | |
1142 | - | - 41 - | |
1124 | + | 1081submits the information to the commissioner as required under this Subsection (8) and | |
1143 | 1125 | 1082complies with any additional requirements that the commissioner may impose by rule made in | |
1144 | 1126 | 1083accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, except to the | |
1145 | 1127 | 1084extent that they conflict with an applicable covered agreement. | |
1146 | 1128 | 1085 (e) (i) If the commissioner determines that an assuming insurer no longer meets one or | |
1147 | 1129 | 1086more of the requirements under this Subsection (8), the commissioner may revoke or suspend | |
1148 | 1130 | 1087the eligibility of the assuming insurer for recognition under this Subsection (8) in accordance | |
1149 | 1131 | 1088with procedures established in rule made in accordance with Title 63G, Chapter 3, Utah | |
1150 | 1132 | 1089Administrative Rulemaking Act. | |
1151 | 1133 | 1090 (ii) (A) While an assuming insurer's eligibility is suspended, no reinsurance agreement | |
1152 | 1134 | 1091issued, amended, or renewed after the day on which the suspension is effective qualifies for | |
1153 | 1135 | 1092credit except to the extent that the assuming insurer's obligations under the contract are secured | |
1154 | 1136 | 1093in accordance with Subsection (10). | |
1155 | 1137 | 1094 (B) If an assuming insurer's eligibility is revoked, no credit for reinsurance may be | |
1156 | 1138 | 1095granted after the day on which the revocation is effective with respect to any reinsurance | |
1157 | 1139 | 1096agreements entered into by the assuming insurer, including reinsurance agreements entered into | |
1158 | 1140 | 1097before the day on which the revocation is effective, except to the extent that the assuming | |
1159 | 1141 | 1098insurer's obligations under the contract are secured in a form acceptable to the commissioner | |
1160 | 1142 | 1099and consistent with the provisions of Subsection (10). | |
1161 | 1143 | 1100 (f) If subject to a legal process of rehabilitation, liquidation, or conservation, as | |
1162 | 1144 | 1101applicable, the ceding insurer, or the ceding insurer's representative, may seek and, if | |
1163 | 1145 | 1102determined appropriate by the court in which the proceedings are pending, may obtain an order | |
1164 | 1146 | 1103requiring that the assuming insurer post security for all outstanding ceded liabilities. | |
1165 | 1147 | 1104 (g) Nothing in this Subsection (8) limits or in any way alters the capacity of parties to a | |
1166 | 1148 | 1105reinsurance agreement to agree on requirements for security or other terms in that reinsurance | |
1167 | 1149 | 1106agreement, except as expressly prohibited by this chapter or other applicable law or regulation. | |
1168 | 1150 | 1107 (h) (i) Credit may be taken under this Subsection (8) only for reinsurance agreements | |
1169 | - | 1108entered into, amended, or renewed on or after the effective date of the statute adding this H.B. 410 | |
1170 | - | Enrolled Copy | |
1171 | - | - 42 - | |
1151 | + | 1108entered into, amended, or renewed on or after the effective date of the statute adding this | |
1172 | 1152 | 1109Subsection (8), and only with respect to losses incurred and reserves reported on or after the | |
1173 | - | 1110later of: | |
1153 | + | 1110later of: 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
1154 | + | - 37 - | |
1174 | 1155 | 1111 (A) the day on which the assuming insurer has met all eligibility requirements pursuant | |
1175 | 1156 | 1112to Subsection (8)(b); and | |
1176 | 1157 | 1113 (B) the day on which the new reinsurance agreement, amendment, or renewal is | |
1177 | 1158 | 1114effective. | |
1178 | 1159 | 1115 (ii) This Subsection (8) does not alter or impair a ceding insurer's right to take credit | |
1179 | 1160 | 1116for reinsurance, to the extent that credit is not available under this Subsection (8), as long as the | |
1180 | 1161 | 1117reinsurance qualifies for credit under any other applicable provision of this chapter. | |
1181 | 1162 | 1118 (iii) Nothing in this Subsection (8) authorizes an assuming insurer to withdraw or | |
1182 | 1163 | 1119reduce the security provided under any reinsurance agreement except as permitted by the terms | |
1183 | 1164 | 1120of the agreement. | |
1184 | 1165 | 1121 (iv) Nothing in this Subsection (8) limits, or in any way alters, the capacity of parties to | |
1185 | 1166 | 1122any reinsurance agreement to renegotiate the agreement. | |
1186 | 1167 | 1123 (9) If reinsurance is ceded to an assuming insurer not meeting the requirements of | |
1187 | 1168 | 1124Subsection (3), (4), (5), (6), (7), or (8), a domestic ceding insurer is allowed credit only as to | |
1188 | 1169 | 1125the insurance of a risk located in a jurisdiction where the reinsurance is required by applicable | |
1189 | 1170 | 1126law or regulation of that jurisdiction. | |
1190 | 1171 | 1127 (10) (a) An asset or a reduction from liability for the reinsurance ceded by a domestic | |
1191 | 1172 | 1128insurer to an assuming insurer not meeting the requirements of Subsection (3), (4), (5), (6), (7), | |
1192 | 1173 | 1129or (8) shall be allowed in an amount not exceeding the liabilities carried by the ceding insurer. | |
1193 | 1174 | 1130 (b) The commissioner may adopt by rule made in accordance with Title 63G, Chapter | |
1194 | 1175 | 11313, Utah Administrative Rulemaking Act, specific additional requirements relating to or setting | |
1195 | 1176 | 1132forth: | |
1196 | 1177 | 1133 (i) the valuation of assets or reserve credits; | |
1197 | 1178 | 1134 (ii) the amount and forms of security supporting reinsurance arrangements; and | |
1198 | - | 1135 (iii) the circumstances pursuant to which credit will be reduced or eliminated. Enrolled Copy H.B. 410 | |
1199 | - | - 43 - | |
1179 | + | 1135 (iii) the circumstances pursuant to which credit will be reduced or eliminated. | |
1200 | 1180 | 1136 (c) (i) The reduction shall be in the amount of funds held by or on behalf of the ceding | |
1201 | 1181 | 1137insurer, including funds held in trust for the ceding insurer, under a reinsurance contract with | |
1202 | 1182 | 1138the assuming insurer as security for the payment of obligations thereunder, if the security is: | |
1203 | 1183 | 1139 (A) held in the United States subject to withdrawal solely by, and under the exclusive | |
1204 | 1184 | 1140control of, the ceding insurer; or | |
1205 | - | 1141 (B) in the case of a trust, held in a qualified United States financial institution. | |
1185 | + | 1141 (B) in the case of a trust, held in a qualified United States financial institution. 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
1186 | + | - 38 - | |
1206 | 1187 | 1142 (ii) The security described in this Subsection (10)(c) may be in the form of: | |
1207 | 1188 | 1143 (A) cash; | |
1208 | 1189 | 1144 (B) securities listed by the Securities Valuation Office of the National Association of | |
1209 | 1190 | 1145Insurance Commissioners, including those deemed exempt from filing as defined by the | |
1210 | 1191 | 1146Purposes and Procedures Manual of the Securities Valuation Office, and qualifying as admitted | |
1211 | 1192 | 1147assets; | |
1212 | 1193 | 1148 (C) clean, irrevocable, unconditional letters of credit, issued or confirmed by a | |
1213 | 1194 | 1149qualified United States financial institution effective no later than December 31 of the year for | |
1214 | 1195 | 1150which the filing is being made, and in the possession of, or in trust for, the ceding insurer on or | |
1215 | 1196 | 1151before the filing date of its annual statement; | |
1216 | 1197 | 1152 (D) letters of credit meeting applicable standards of issuer acceptability as of the dates | |
1217 | 1198 | 1153of their issuance or confirmation shall, notwithstanding the issuing or confirming institution's | |
1218 | 1199 | 1154subsequent failure to meet applicable standards of issuer acceptability, continue to be | |
1219 | 1200 | 1155acceptable as security until their expiration, extension, renewal, modification or amendment, | |
1220 | 1201 | 1156whichever first occurs; or | |
1221 | 1202 | 1157 (E) any other form of security acceptable to the commissioner. | |
1222 | 1203 | 1158 (11) Reinsurance credit is not allowed a domestic ceding insurer unless the assuming | |
1223 | 1204 | 1159insurer under the reinsurance contract submits to the jurisdiction of Utah courts by: | |
1224 | 1205 | 1160 (a) (i) being an admitted insurer; and | |
1225 | 1206 | 1161 (ii) submitting to jurisdiction under Section 31A-2-309; | |
1226 | - | 1162 (b) having irrevocably appointed the commissioner as the domestic ceding insurer's H.B. 410 | |
1227 | - | Enrolled Copy | |
1228 | - | - 44 - | |
1207 | + | 1162 (b) having irrevocably appointed the commissioner as the domestic ceding insurer's | |
1229 | 1208 | 1163agent for service of process in an action arising out of or in connection with the reinsurance, | |
1230 | 1209 | 1164which appointment is made under Section 31A-2-309; or | |
1231 | 1210 | 1165 (c) agreeing in the reinsurance contract: | |
1232 | 1211 | 1166 (i) that if the assuming insurer fails to perform the assuming insurer's obligations under | |
1233 | 1212 | 1167the terms of the reinsurance contract, the assuming insurer, at the request of the ceding insurer, | |
1234 | 1213 | 1168shall: | |
1235 | 1214 | 1169 (A) submit to the jurisdiction of a court of competent jurisdiction in a state of the | |
1236 | 1215 | 1170United States; | |
1237 | 1216 | 1171 (B) comply with all requirements necessary to give the court jurisdiction; and | |
1238 | - | 1172 (C) abide by the final decision of the court or of an appellate court in the event of an | |
1217 | + | 1172 (C) abide by the final decision of the court or of an appellate court in the event of an 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
1218 | + | - 39 - | |
1239 | 1219 | 1173appeal; and | |
1240 | 1220 | 1174 (ii) to designate the commissioner or a specific attorney licensed to practice law in this | |
1241 | 1221 | 1175state as its attorney upon whom may be served lawful process in an action, suit, or proceeding | |
1242 | 1222 | 1176instituted by or on behalf of the ceding company. | |
1243 | 1223 | 1177 (12) Submitting to the jurisdiction of Utah courts under Subsection (11) does not | |
1244 | 1224 | 1178override a duty or right of a party under the reinsurance contract, including a requirement that | |
1245 | 1225 | 1179the parties arbitrate their disputes. | |
1246 | 1226 | 1180 (13) (a) If an assuming insurer does not meet the requirements of Subsection (3), (4), | |
1247 | 1227 | 1181(5), or (8), the credit permitted by Subsection (6) or (7) may not be allowed unless the | |
1248 | 1228 | 1182assuming insurer agrees in the trust instrument to the conditions described in Subsections | |
1249 | 1229 | 1183(13)(b) through (e). | |
1250 | 1230 | 1184 (b) (i) Notwithstanding any other provision in the trust instrument, if an event | |
1251 | 1231 | 1185described in Subsection (13)(b)(ii) occurs the trustee shall comply with: | |
1252 | 1232 | 1186 (A) an order of the commissioner with regulatory oversight over the trust; or | |
1253 | 1233 | 1187 (B) an order of a court of competent jurisdiction directing the trustee to transfer to the | |
1254 | 1234 | 1188commissioner with regulatory oversight all of the assets of the trust fund. | |
1255 | - | 1189 (ii) This Subsection (13)(b) applies if: Enrolled Copy H.B. 410 | |
1256 | - | - 45 - | |
1235 | + | 1189 (ii) This Subsection (13)(b) applies if: | |
1257 | 1236 | 1190 (A) the trust fund is inadequate because the trust contains an amount less than the | |
1258 | 1237 | 1191amount required by Subsection (6)(d); or | |
1259 | 1238 | 1192 (B) the grantor of the trust is: | |
1260 | 1239 | 1193 (I) declared insolvent; or | |
1261 | 1240 | 1194 (II) placed into receivership, rehabilitation, liquidation, or similar proceeding under the | |
1262 | 1241 | 1195laws of its state or country of domicile. | |
1263 | 1242 | 1196 (c) The assets of a trust fund described in Subsection (13)(b) shall be distributed by and | |
1264 | 1243 | 1197a claim shall be filed with and valued by the commissioner with regulatory oversight in | |
1265 | 1244 | 1198accordance with the laws of the state in which the trust is domiciled that are applicable to the | |
1266 | 1245 | 1199liquidation of a domestic insurance company. | |
1267 | 1246 | 1200 (d) If the commissioner with regulatory oversight determines that the assets of the trust | |
1268 | 1247 | 1201fund, or any part of the assets, are not necessary to satisfy the claims of the one or more United | |
1269 | 1248 | 1202States ceding insurers of the grantor of the trust, the assets, or a part of the assets, shall be | |
1270 | - | 1203returned by the commissioner with regulatory oversight to the trustee for distribution in | |
1249 | + | 1203returned by the commissioner with regulatory oversight to the trustee for distribution in 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
1250 | + | - 40 - | |
1271 | 1251 | 1204accordance with the trust instrument. | |
1272 | 1252 | 1205 (e) A grantor shall waive any right otherwise available to the grantor under United | |
1273 | 1253 | 1206States law that is inconsistent with this Subsection (13). | |
1274 | 1254 | 1207 (14) (a) If an accredited or certified reinsurer ceases to meet the requirements for | |
1275 | 1255 | 1208accreditation or certification, the commissioner may suspend or revoke the reinsurer's | |
1276 | 1256 | 1209accreditation or certification. | |
1277 | 1257 | 1210 (b) The commissioner shall give the reinsurer notice and opportunity for hearing. | |
1278 | 1258 | 1211 (c) The suspension or revocation may not take effect until after the day on which the | |
1279 | 1259 | 1212commissioner issues an order after a hearing, unless: | |
1280 | 1260 | 1213 (i) the reinsurer waives the reinsurer's right to hearing; | |
1281 | 1261 | 1214 (ii) the commissioner's order is based on: | |
1282 | 1262 | 1215 (A) regulatory action by the reinsurer's domiciliary jurisdiction; or | |
1283 | - | 1216 (B) the voluntary surrender or termination of the reinsurer's eligibility to transact H.B. 410 | |
1284 | - | Enrolled Copy | |
1285 | - | - 46 - | |
1263 | + | 1216 (B) the voluntary surrender or termination of the reinsurer's eligibility to transact | |
1286 | 1264 | 1217insurance or reinsurance business in its domiciliary jurisdiction or primary certifying state | |
1287 | 1265 | 1218under Subsection (7)(g); or | |
1288 | 1266 | 1219 (iii) the commissioner's finding that an emergency requires immediate action and a | |
1289 | 1267 | 1220court of competent jurisdiction has not stayed the commissioner's action. | |
1290 | 1268 | 1221 (d) While a reinsurer's accreditation or certification is suspended, no reinsurance | |
1291 | 1269 | 1222contract issued or renewed after the effective date of the suspension qualifies for credit except | |
1292 | 1270 | 1223to the extent that the reinsurer's obligations under the contract are secured in accordance with | |
1293 | 1271 | 1224Section 31A-17-404.1. | |
1294 | 1272 | 1225 (e) If a reinsurer's accreditation or certification is revoked, no credit for reinsurance | |
1295 | 1273 | 1226may be granted after the effective date of the revocation except to the extent that the reinsurer's | |
1296 | 1274 | 1227obligations under the contract are secured in accordance with Subsection (7)(f) or Section | |
1297 | 1275 | 122831A-17-404.1. | |
1298 | 1276 | 1229 (15) (a) A ceding insurer shall take steps to manage the ceding insurer's reinsurance | |
1299 | 1277 | 1230recoverables proportionate to the ceding insurer's own book of business. | |
1300 | 1278 | 1231 (b) (i) A domestic ceding insurer shall notify the commissioner within 30 days after the | |
1301 | 1279 | 1232day on which reinsurance recoverables from any single assuming insurer, or group of affiliated | |
1302 | 1280 | 1233assuming insurers: | |
1303 | - | 1234 (A) exceeds 50% of the domestic ceding insurer's last reported surplus to | |
1281 | + | 1234 (A) exceeds 50% of the domestic ceding insurer's last reported surplus to 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
1282 | + | - 41 - | |
1304 | 1283 | 1235policyholders; or | |
1305 | 1284 | 1236 (B) after it is determined that reinsurance recoverables from any single assuming | |
1306 | 1285 | 1237insurer, or group of affiliated assuming insurers, is likely to exceed 50% of the domestic ceding | |
1307 | 1286 | 1238insurer's last reported surplus to policyholders. | |
1308 | 1287 | 1239 (ii) The notification required by Subsection (15)(b)(i) shall demonstrate that the | |
1309 | 1288 | 1240exposure is safely managed by the domestic ceding insurer. | |
1310 | 1289 | 1241 (c) A ceding insurer shall take steps to diversify the ceding insurer's reinsurance | |
1311 | 1290 | 1242program. | |
1312 | - | 1243 (d) (i) A domestic ceding insurer shall notify the commissioner within 30 days after the Enrolled Copy H.B. 410 | |
1313 | - | - 47 - | |
1291 | + | 1243 (d) (i) A domestic ceding insurer shall notify the commissioner within 30 days after the | |
1314 | 1292 | 1244day on which the ceding insurer cedes or is likely to cede more than 20% of the ceding insurer's | |
1315 | 1293 | 1245gross written premium in the prior calendar year to any: | |
1316 | 1294 | 1246 (A) single assuming insurer; or | |
1317 | 1295 | 1247 (B) group of affiliated assuming insurers. | |
1318 | 1296 | 1248 (ii) The notification shall demonstrate that the exposure is safely managed by the | |
1319 | 1297 | 1249domestic ceding insurer. | |
1320 | 1298 | 1250 (16) A ceding insurer licensed under Chapter 5, Domestic Stock and Mutual Insurance | |
1321 | 1299 | 1251Corporations, Chapter 7, Nonprofit Health Service Insurance Corporations, Chapter 8, Health | |
1322 | 1300 | 1252Maintenance Organizations and Limited Health Plans, or Chapter 9, Insurance Fraternals, [or | |
1323 | 1301 | 1253Chapter 14, Foreign Insurers is not] may be allowed credit if: | |
1324 | 1302 | 1254 (a) the reinsurance is ceded to an assuming domestic [or foreign] captive insurer[, | |
1325 | 1303 | 1255unless]; and | |
1326 | 1304 | 1256 (b) the assuming domestic [or foreign] captive insurer complies with: | |
1327 | 1305 | 1257 (i) Sections 31A-2-202 through 31A-2-205; | |
1328 | 1306 | 1258 [(a)] (ii) Chapter 4, Insurers in General; | |
1329 | 1307 | 1259 [(b)] (iii) Chapter 16, Insurance Holding Companies; | |
1330 | 1308 | 1260 [(c)] (iv) Chapter 16a, Risk Management and Own Risk and Solvency Assessment Act; | |
1331 | 1309 | 1261 [(d)] (v) Chapter 17, Determination of Financial Condition; [and] | |
1332 | 1310 | 1262 [(e)] (vi) Chapter 18, Investments[.]; and | |
1333 | 1311 | 1263 (vii) any other requirement that, in the commissioner's discretion, is necessary to | |
1334 | 1312 | 1264promote the captive insurer's solvency. | |
1335 | - | 1265 Section 7. Section 31A-19a-209 is amended to read: | |
1313 | + | 1265 Section 7. Section 31A-19a-209 is amended to read: 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
1314 | + | - 42 - | |
1336 | 1315 | 1266 31A-19a-209. Special provisions for title insurance. | |
1337 | 1316 | 1267 (1) (a) (i) The Title and Escrow Commission [shall adopt rules] may make rules, in | |
1338 | 1317 | 1268accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, and subject to | |
1339 | 1318 | 1269Section 31A-2-404, establishing rate standards and rating methods [for individual title | |
1340 | - | 1270insurance producers and agency title insurance producers]. H.B. 410 | |
1341 | - | Enrolled Copy | |
1342 | - | - 48 - | |
1319 | + | 1270insurance producers and agency title insurance producers]. | |
1343 | 1320 | 1271 (ii) The commissioner shall determine compliance with rate standards and rating | |
1344 | 1321 | 1272methods for title insurers, individual title insurance producers, and agency title insurance | |
1345 | 1322 | 1273producers. | |
1346 | 1323 | 1274 (b) In addition to the considerations in determining compliance with rate standards and | |
1347 | 1324 | 1275rating methods as set forth in Sections 31A-19a-201 and 31A-19a-202, including for title | |
1348 | 1325 | 1276insurers, the commissioner and the Title and Escrow Commission shall consider the costs and | |
1349 | 1326 | 1277expenses incurred by title insurers, individual title insurance producers, and agency title | |
1350 | 1327 | 1278insurance producers [peculiar] pertaining to the business of title insurance including: | |
1351 | 1328 | 1279 (i) the maintenance of title plants; and | |
1352 | 1329 | 1280 (ii) the examining of public records to determine insurability of title to real | |
1353 | 1330 | 1281[redevelopment] property. | |
1354 | 1331 | 1282 [(2) (a) A title insurer, an agency title insurance producer, or an individual title | |
1355 | 1332 | 1283insurance producer who is not an employee of a title insurer or who is not designated by an | |
1356 | 1333 | 1284agency title insurance producer shall file with the commissioner:] | |
1357 | 1334 | 1285 [(i) a schedule of the escrow charges that the title insurer, individual title insurance | |
1358 | 1335 | 1286producer, or agency title insurance producer proposes to use in this state for services performed | |
1359 | 1336 | 1287in connection with the issuance of policies of title insurance; and] | |
1360 | 1337 | 1288 [(ii) any changes to the schedule of the escrow charges described in Subsection | |
1361 | 1338 | 1289(2)(a)(i).] | |
1362 | 1339 | 1290 [(b) Except for a schedule filed by a title insurer under this Subsection (2), a schedule | |
1363 | 1340 | 1291filed under this Subsection (2) is subject to review by the Title and Escrow Commission.] | |
1364 | 1341 | 1292 [(c) (i) The schedule of escrow charges required to be filed by Subsection (2)(a)(i) | |
1365 | 1342 | 1293takes effect on the day on which the schedule of escrow charges is filed.] | |
1366 | 1343 | 1294 [(ii) Any changes to the schedule of the escrow charges required to be filed by | |
1367 | 1344 | 1295Subsection (2)(a)(ii) take effect on the day specified in the change to the schedule of escrow | |
1368 | - | 1296charges except that the effective date may not be less than 30 calendar days after the day on | |
1369 | - | ||
1370 | - | ||
1345 | + | 1296charges except that the effective date may not be less than 30 calendar days after the day on 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
1346 | + | - 43 - | |
1347 | + | 1297which the change to the schedule of escrow charges is filed.] | |
1371 | 1348 | 1298 [(3)] (2) A title insurer, individual title insurance producer, or agency title insurance | |
1372 | 1349 | 1299producer may not [file or] use any rate or other charge relating to the business of title | |
1373 | 1350 | 1300insurance, including rates or charges [filed] for escrow that would cause the title insurance | |
1374 | 1351 | 1301company, individual title insurance producer, or agency title insurance producer to: | |
1375 | 1352 | 1302 (a) operate at less than the cost of doing[:] | |
1376 | 1353 | 1303 [(i)] the insurance business; or | |
1377 | 1354 | 1304 [(ii) the escrow business; or] | |
1378 | 1355 | 1305 (b) fail to adequately underwrite a title insurance policy. | |
1379 | 1356 | 1306 [(4) (a) All or any of the schedule of rates or schedule of charges, including the | |
1380 | 1357 | 1307schedule of escrow charges, may be changed or amended at any time, subject to the limitations | |
1381 | 1358 | 1308in this Subsection (4).] | |
1382 | 1359 | 1309 [(b) Each change or amendment shall:] | |
1383 | 1360 | 1310 [(i) be filed with the commissioner, subject to review by the Title and Escrow | |
1384 | 1361 | 1311Commission; and] | |
1385 | 1362 | 1312 [(ii) state the effective date of the change or amendment, which may not be less than 30 | |
1386 | 1363 | 1313calendar days after the day on which the change or amendment is filed.] | |
1387 | 1364 | 1314 [(c) Any change or amendment remains in force for a period of at least 90 calendar | |
1388 | 1365 | 1315days from the change or amendment's effective date.] | |
1389 | 1366 | 1316 [(5) While the schedule of rates and schedule of charges are effective, a copy of each | |
1390 | 1367 | 1317shall be:] | |
1391 | 1368 | 1318 [(a) retained in each of the offices of:] | |
1392 | 1369 | 1319 [(i) the title insurer in this state;] | |
1393 | 1370 | 1320 [(ii) the title insurer's individual title insurance producers or agency title insurance | |
1394 | 1371 | 1321producers in this state; and] | |
1395 | 1372 | 1322 [(b) upon request, furnished to the public.] | |
1396 | 1373 | 1323 [(6) Except in accordance with the schedules of rates and charges filed with the | |
1397 | - | 1324commissioner, a title insurer, individual title insurance producer, or agency title insurance H.B. 410 | |
1398 | - | Enrolled Copy | |
1399 | - | - 50 - | |
1374 | + | 1324commissioner, a title insurer, individual title insurance producer, or agency title insurance | |
1400 | 1375 | 1325producer may not make or impose any premium or other charge:] | |
1401 | 1376 | 1326 [(a) in connection with the issuance of a policy of title insurance; or] | |
1402 | - | 1327 [(b) for escrow services performed in connection with the issuance of a policy of title | |
1377 | + | 1327 [(b) for escrow services performed in connection with the issuance of a policy of title 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
1378 | + | - 44 - | |
1403 | 1379 | 1328insurance.] | |
1404 | 1380 | 1329 Section 8. Section 31A-22-728 is enacted to read: | |
1405 | 1381 | 1330 31A-22-728. Large employer health benefit plan required report. | |
1406 | 1382 | 1331 (1) As used in this section: | |
1407 | 1383 | 1332 (a) "Claims run-out period" means the period beginning on the first day following the | |
1408 | 1384 | 1333last day of a plan year and ending on the 90th day following the last day of a plan year. | |
1409 | 1385 | 1334 (b) "Large employer" means an employer who: | |
1410 | 1386 | 1335 (i) with respect to a calendar year and to a plan year: | |
1411 | 1387 | 1336 (A) employed an average of at least 51 employees on a business day during the | |
1412 | 1388 | 1337preceding calendar year; and | |
1413 | 1389 | 1338 (B) employs at least one employee on the first day of the plan year; and | |
1414 | 1390 | 1339 (ii) has at least 51 but fewer than 100 enrolled eligible employees enrolled in a group | |
1415 | 1391 | 1340health benefit plan during each consecutive month during the plan year. | |
1416 | 1392 | 1341 (c) "Medical loss ratio" means a group health benefit plan's paid claims incurred during | |
1417 | 1393 | 1342a plan year, including the claims run-out period, divided by the total premium revenue | |
1418 | 1394 | 1343collected for the plan year. | |
1419 | - | 1344 (2) Except as provided in | |
1420 | - | ||
1421 | - | ||
1395 | + | 1344 (2) Except as provided in Subsections (6), beginning on January 1, 2024, an insurer | |
1396 | + | 1345that offers a large employer health benefit plan to a large employer shall annually provide a | |
1397 | + | 1346report, upon request of: | |
1422 | 1398 | 1347 (a) the large employer; | |
1423 | 1399 | 1348 (b) the large employer's appointed producer; or | |
1424 | 1400 | 1349 (c) the large employer's consultant. | |
1425 | 1401 | 1350 (3) The report described in Subsection (2) shall include: | |
1426 | - | 1351 (a) after the first renewal, the health benefit plan's aggregate performance from the Enrolled Copy H.B. 410 | |
1427 | - | - 51 - | |
1402 | + | 1351 (a) after the first renewal, the health benefit plan's aggregate performance from the | |
1428 | 1403 | 1352immediately preceding plan year that describes whether the health benefit plan had a medical | |
1429 | 1404 | 1353loss ratio of: | |
1430 | 1405 | 1354 (i) less than 85%; | |
1431 | 1406 | 1355 (ii) between 85% and 125%; or | |
1432 | 1407 | 1356 (iii) greater than 125%; and | |
1433 | 1408 | 1357 (b) after the second renewal and each subsequent renewal thereafter, a summary of the | |
1434 | - | 1358health benefit plan's aggregate 24-month medical loss ratio from the immediately preceding | |
1409 | + | 1358health benefit plan's aggregate 24-month medical loss ratio from the immediately preceding 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
1410 | + | - 45 - | |
1435 | 1411 | 1359two plan years combined. | |
1436 | 1412 | 1360 (4) An insurer that offers a large employer health benefit plan shall provide the | |
1437 | 1413 | 1361requested report described in Subsection (2) not less than 30 days after the claims run-out | |
1438 | 1414 | 1362period. | |
1439 | 1415 | 1363 (5) (a) The report described in Subsection (2) is proprietary to the large employer, the | |
1440 | 1416 | 1364large employer's appointed producer, or the large employer's consultant. | |
1441 | 1417 | 1365 (b) A person may not share the report described in Subsection (2) with a party other | |
1442 | 1418 | 1366than a party described in Subsection (5)(a). | |
1443 | 1419 | 1367 (6) An insurer is not required to provide a report as described in this section if: | |
1444 | 1420 | 1368 (a) the health benefit plan is a qualified health plan as defined in 45 C.F.R. Sec. | |
1445 | 1421 | 1369155.20; | |
1446 | 1422 | 1370 (b) the health benefit plan is issued to a group other than an employee group described | |
1447 | 1423 | 1371in Section 31A-22-502; | |
1448 | 1424 | 1372 (c) the large employer has not had continuous large employer health benefit plan | |
1449 | 1425 | 1373coverage with the insurer for at least 18 months before the date on which the large employer | |
1450 | 1426 | 1374requests the report; | |
1451 | 1427 | 1375 (d) the large employer does not renew coverage with the insurer; or | |
1452 | 1428 | 1376 (e) the insurer reasonably believes that providing the report would disclose information | |
1453 | 1429 | 1377described in Subsection 13-61-102(2)(g). | |
1454 | - | 1378 (7) An insurer that provides a report in compliance with this section is immune from H.B. 410 | |
1455 | - | Enrolled Copy | |
1456 | - | - 52 - | |
1430 | + | 1378 (7) An insurer that provides a report in compliance with this section is immune from | |
1457 | 1431 | 1379civil liability for the insurer's acts or omissions in providing information required under | |
1458 | 1432 | 1380Subsection (3). | |
1459 | 1433 | 1381 Section 9. Section 31A-23a-106 is amended to read: | |
1460 | 1434 | 1382 31A-23a-106. License types. | |
1461 | 1435 | 1383 (1) (a) A resident or nonresident license issued under this chapter shall be issued under | |
1462 | 1436 | 1384the license types described under Subsection (2). | |
1463 | 1437 | 1385 (b) A license type and a line of authority pertaining to a license type describe the type | |
1464 | 1438 | 1386of licensee and the lines of business that a licensee may sell, solicit, or negotiate. A license | |
1465 | 1439 | 1387type is intended to describe the matters to be considered under any education, examination, and | |
1466 | 1440 | 1388training required of a license applicant under Sections 31A-23a-108, 31A-23a-202, and | |
1467 | - | 138931A-23a-203. | |
1441 | + | 138931A-23a-203. 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
1442 | + | - 46 - | |
1468 | 1443 | 1390 (2) (a) A producer license type includes the following lines of authority: | |
1469 | 1444 | 1391 (i) life insurance, including a nonvariable contract; | |
1470 | 1445 | 1392 (ii) variable contracts, including variable life and annuity, if the producer has the life | |
1471 | 1446 | 1393insurance line of authority; | |
1472 | 1447 | 1394 (iii) accident and health insurance, including a contract issued to a policyholder under | |
1473 | 1448 | 1395Chapter 7, Nonprofit Health Service Insurance Corporations, or Chapter 8, Health Maintenance | |
1474 | 1449 | 1396Organizations and Limited Health Plans; | |
1475 | 1450 | 1397 (iv) property insurance; | |
1476 | 1451 | 1398 (v) casualty insurance, including a surety or other bond; | |
1477 | 1452 | 1399 (vi) title insurance under one or more of the following categories: | |
1478 | 1453 | 1400 (A) title examination, including authority to act as a title marketing representative; | |
1479 | 1454 | 1401 (B) escrow, including authority to act as a title marketing representative; and | |
1480 | 1455 | 1402 (C) title marketing representative only; and | |
1481 | 1456 | 1403 (vii) personal lines insurance. | |
1482 | 1457 | 1404 (b) A surplus lines producer license type includes the following lines of authority: | |
1483 | - | 1405 (i) property insurance, if the person holds an underlying producer license with the Enrolled Copy H.B. 410 | |
1484 | - | - 53 - | |
1458 | + | 1405 (i) property insurance, if the person holds an underlying producer license with the | |
1485 | 1459 | 1406property line of insurance; and | |
1486 | 1460 | 1407 (ii) casualty insurance, if the person holds an underlying producer license with the | |
1487 | 1461 | 1408casualty line of authority. | |
1488 | 1462 | 1409 (c) A limited line producer license type includes the following limited lines of | |
1489 | 1463 | 1410authority: | |
1490 | 1464 | 1411 (i) limited line credit insurance; | |
1491 | 1465 | 1412 (ii) travel insurance, as set forth in Part 9, Travel Insurance Act; | |
1492 | 1466 | 1413 (iii) motor club insurance; | |
1493 | 1467 | 1414 (iv) car rental related insurance; | |
1494 | 1468 | 1415 (v) legal expense insurance; | |
1495 | 1469 | 1416 (vi) crop insurance; | |
1496 | 1470 | 1417 (vii) self-service storage insurance; | |
1497 | 1471 | 1418 (viii) bail bond producer; | |
1498 | 1472 | 1419 (ix) guaranteed asset protection waiver; [and] | |
1499 | - | 1420 (x) portable electronics insurance[.]; and | |
1473 | + | 1420 (x) portable electronics insurance[.]; and 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
1474 | + | - 47 - | |
1500 | 1475 | 1421 (xi) pet insurance. | |
1501 | 1476 | 1422 (d) A consultant license type includes the following lines of authority: | |
1502 | 1477 | 1423 (i) life insurance, including a nonvariable contract; | |
1503 | 1478 | 1424 (ii) variable contracts, including variable life and annuity, if the consultant has the life | |
1504 | 1479 | 1425insurance line of authority; | |
1505 | 1480 | 1426 (iii) accident and health insurance, including a contract issued to a policyholder under | |
1506 | 1481 | 1427Chapter 7, Nonprofit Health Service Insurance Corporations, or Chapter 8, Health Maintenance | |
1507 | 1482 | 1428Organizations and Limited Health Plans; | |
1508 | 1483 | 1429 (iv) property insurance; | |
1509 | 1484 | 1430 (v) casualty insurance, including a surety or other bond; and | |
1510 | 1485 | 1431 (vi) personal lines insurance. | |
1511 | - | 1432 (e) A managing general agent license type includes the following lines of authority: H.B. 410 | |
1512 | - | Enrolled Copy | |
1513 | - | - 54 - | |
1486 | + | 1432 (e) A managing general agent license type includes the following lines of authority: | |
1514 | 1487 | 1433 (i) life insurance, including a nonvariable contract; | |
1515 | 1488 | 1434 (ii) variable contracts, including variable life and annuity, if the managing general | |
1516 | 1489 | 1435agent has the life insurance line of authority; | |
1517 | 1490 | 1436 (iii) accident and health insurance, including a contract issued to a policyholder under | |
1518 | 1491 | 1437Chapter 7, Nonprofit Health Service Insurance Corporations, or Chapter 8, Health Maintenance | |
1519 | 1492 | 1438Organizations and Limited Health Plans; | |
1520 | 1493 | 1439 (iv) property insurance; | |
1521 | 1494 | 1440 (v) casualty insurance, including a surety or other bond; and | |
1522 | 1495 | 1441 (vi) personal lines insurance. | |
1523 | 1496 | 1442 (f) A reinsurance intermediary license type includes the following lines of authority: | |
1524 | 1497 | 1443 (i) life insurance, including a nonvariable contract; | |
1525 | 1498 | 1444 (ii) variable contracts, including variable life and annuity, if the reinsurance | |
1526 | 1499 | 1445intermediary has the life insurance line of authority; | |
1527 | 1500 | 1446 (iii) accident and health insurance, including a contract issued to a policyholder under | |
1528 | 1501 | 1447Chapter 7, Nonprofit Health Service Insurance Corporations, or Chapter 8, Health Maintenance | |
1529 | 1502 | 1448Organizations and Limited Health Plans; | |
1530 | 1503 | 1449 (iv) property insurance; | |
1531 | 1504 | 1450 (v) casualty insurance, including a surety or other bond; and | |
1532 | - | 1451 (vi) personal lines insurance. | |
1505 | + | 1451 (vi) personal lines insurance. 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
1506 | + | - 48 - | |
1533 | 1507 | 1452 (g) A person who holds a license under Subsection (2)(a) has the qualifications | |
1534 | 1508 | 1453necessary to act as a holder of a license under Subsection (2)(c), except that the person may not | |
1535 | 1509 | 1454act under Subsection (2)(c)(viii) or (ix). | |
1536 | 1510 | 1455 (3) (a) The commissioner may by rule recognize other producer, surplus lines producer, | |
1537 | 1511 | 1456limited line producer, consultant, managing general agent, or reinsurance intermediary lines of | |
1538 | 1512 | 1457authority as to kinds of insurance not listed under Subsections (2)(a) through (f). | |
1539 | 1513 | 1458 (b) Notwithstanding Subsection (3)(a), for purposes of title insurance the Title and | |
1540 | - | 1459Escrow Commission may by rule, with the concurrence of the commissioner and subject to Enrolled Copy H.B. 410 | |
1541 | - | - 55 - | |
1514 | + | 1459Escrow Commission may by rule, with the concurrence of the commissioner and subject to | |
1542 | 1515 | 1460Section 31A-2-404, recognize other categories for an individual title insurance producer or | |
1543 | 1516 | 1461agency title insurance producer line of authority not listed under Subsection (2)(a)(vi). | |
1544 | 1517 | 1462 (4) The variable contracts line of authority requires: | |
1545 | 1518 | 1463 (a) for a producer, licensure by the Financial Industry Regulatory Authority as a: | |
1546 | 1519 | 1464 (i) registered broker-dealer; or | |
1547 | 1520 | 1465 (ii) broker-dealer agent, with a current registration with a broker-dealer; and | |
1548 | 1521 | 1466 (b) for a consultant, registration with the Securities and Exchange Commission or | |
1549 | 1522 | 1467licensure by the Utah Division of Securities as an: | |
1550 | 1523 | 1468 (i) investment adviser; or | |
1551 | 1524 | 1469 (ii) investment adviser representative, with a current association with an investment | |
1552 | 1525 | 1470adviser. | |
1553 | 1526 | 1471 (5) A surplus lines producer is a producer who has a surplus lines license. | |
1554 | 1527 | 1472 Section 10. Section 31A-23a-111 is amended to read: | |
1555 | 1528 | 1473 31A-23a-111. Revoking, suspending, surrendering, lapsing, limiting, or otherwise | |
1556 | 1529 | 1474terminating a license -- Forfeiture -- Rulemaking for renewal or reinstatement. | |
1557 | 1530 | 1475 (1) A license type issued under this chapter remains in force until: | |
1558 | 1531 | 1476 (a) revoked or suspended under Subsection (5); | |
1559 | 1532 | 1477 (b) surrendered to the commissioner and accepted by the commissioner in lieu of | |
1560 | 1533 | 1478administrative action; | |
1561 | 1534 | 1479 (c) the licensee dies or is adjudicated incompetent as defined under: | |
1562 | 1535 | 1480 (i) Title 75, Chapter 5, Part 3, Guardians of Incapacitated Persons; or | |
1563 | 1536 | 1481 (ii) Title 75, Chapter 5, Part 4, Protection of Property of Persons Under Disability and | |
1564 | - | 1482Minors; | |
1537 | + | 1482Minors; 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
1538 | + | - 49 - | |
1565 | 1539 | 1483 (d) lapsed under Section 31A-23a-113; or | |
1566 | 1540 | 1484 (e) voluntarily surrendered. | |
1567 | 1541 | 1485 (2) The following may be reinstated within one year after the day on which the license | |
1568 | - | 1486is no longer in force: H.B. 410 | |
1569 | - | Enrolled Copy | |
1570 | - | - 56 - | |
1542 | + | 1486is no longer in force: | |
1571 | 1543 | 1487 (a) a lapsed license; or | |
1572 | 1544 | 1488 (b) a voluntarily surrendered license, except that a voluntarily surrendered license may | |
1573 | 1545 | 1489not be reinstated after the license period in which the license is voluntarily surrendered. | |
1574 | 1546 | 1490 (3) Unless otherwise stated in a written agreement for the voluntary surrender of a | |
1575 | 1547 | 1491license, submission and acceptance of a voluntary surrender of a license does not prevent the | |
1576 | 1548 | 1492department from pursuing additional disciplinary or other action authorized under: | |
1577 | 1549 | 1493 (a) this title; or | |
1578 | 1550 | 1494 (b) rules made under this title in accordance with Title 63G, Chapter 3, Utah | |
1579 | 1551 | 1495Administrative Rulemaking Act. | |
1580 | 1552 | 1496 (4) A line of authority issued under this chapter remains in force until: | |
1581 | 1553 | 1497 (a) the qualifications pertaining to a line of authority are no longer met by the licensee; | |
1582 | 1554 | 1498[or] | |
1583 | 1555 | 1499 (b) the supporting license type: | |
1584 | 1556 | 1500 (i) is revoked or suspended under Subsection (5); | |
1585 | 1557 | 1501 (ii) is surrendered to the commissioner and accepted by the commissioner in lieu of | |
1586 | 1558 | 1502administrative action; | |
1587 | 1559 | 1503 (iii) lapses under Section 31A-23a-113; or | |
1588 | 1560 | 1504 (iv) is voluntarily surrendered; or | |
1589 | 1561 | 1505 (c) the licensee dies or is adjudicated incompetent as defined under: | |
1590 | 1562 | 1506 (i) Title 75, Chapter 5, Part 3, Guardians of Incapacitated Persons; or | |
1591 | 1563 | 1507 (ii) Title 75, Chapter 5, Part 4, Protection of Property of Persons Under Disability and | |
1592 | 1564 | 1508Minors. | |
1593 | 1565 | 1509 (5) (a) If the commissioner makes a finding under Subsection (5)(b), as part of an | |
1594 | 1566 | 1510adjudicative proceeding under Title 63G, Chapter 4, Administrative Procedures Act, the | |
1595 | 1567 | 1511commissioner may: | |
1596 | 1568 | 1512 (i) revoke: | |
1597 | - | 1513 (A) a license; or | |
1598 | - | - | |
1569 | + | 1513 (A) a license; or 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
1570 | + | - 50 - | |
1599 | 1571 | 1514 (B) a line of authority; | |
1600 | 1572 | 1515 (ii) suspend for a specified period of 12 months or less: | |
1601 | 1573 | 1516 (A) a license; or | |
1602 | 1574 | 1517 (B) a line of authority; | |
1603 | 1575 | 1518 (iii) limit in whole or in part: | |
1604 | 1576 | 1519 (A) a license; or | |
1605 | 1577 | 1520 (B) a line of authority; | |
1606 | 1578 | 1521 (iv) deny a license application; | |
1607 | 1579 | 1522 (v) assess a forfeiture under Subsection 31A-2-308(1)(b)(i) or (1)(c)(i); or | |
1608 | 1580 | 1523 (vi) take a combination of actions under Subsections (5)(a)(i) through (iv) and | |
1609 | 1581 | 1524Subsection (5)(a)(v). | |
1610 | 1582 | 1525 (b) The commissioner may take an action described in Subsection (5)(a) if the | |
1611 | 1583 | 1526commissioner finds that the licensee or license applicant: | |
1612 | 1584 | 1527 (i) is unqualified for a license or line of authority under Section 31A-23a-104, | |
1613 | 1585 | 152831A-23a-105, or 31A-23a-107; | |
1614 | 1586 | 1529 (ii) violates: | |
1615 | 1587 | 1530 (A) an insurance statute; | |
1616 | 1588 | 1531 (B) a rule that is valid under Subsection 31A-2-201(3); or | |
1617 | 1589 | 1532 (C) an order that is valid under Subsection 31A-2-201(4); | |
1618 | 1590 | 1533 (iii) is insolvent or the subject of receivership, conservatorship, rehabilitation, or other | |
1619 | 1591 | 1534delinquency proceedings in any state; | |
1620 | 1592 | 1535 (iv) fails to pay a final judgment rendered against the person within 60 days after the | |
1621 | 1593 | 1536day on which the judgment became final; | |
1622 | 1594 | 1537 (v) fails to meet the same good faith obligations in claims settlement that is required of | |
1623 | 1595 | 1538admitted insurers; | |
1624 | 1596 | 1539 (vi) is affiliated with and under the same general management or interlocking | |
1625 | - | 1540directorate or ownership as another insurance producer that transacts business in this state H.B. 410 | |
1626 | - | Enrolled Copy | |
1627 | - | - 58 - | |
1597 | + | 1540directorate or ownership as another insurance producer that transacts business in this state | |
1628 | 1598 | 1541without a license; | |
1629 | 1599 | 1542 (vii) refuses: | |
1630 | 1600 | 1543 (A) to be examined; or | |
1631 | - | 1544 (B) to produce its accounts, records, and files for examination; | |
1601 | + | 1544 (B) to produce its accounts, records, and files for examination; 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
1602 | + | - 51 - | |
1632 | 1603 | 1545 (viii) has an officer who refuses to: | |
1633 | 1604 | 1546 (A) give information with respect to the insurance producer's affairs; or | |
1634 | 1605 | 1547 (B) perform any other legal obligation as to an examination; | |
1635 | 1606 | 1548 (ix) provides information in the license application that is: | |
1636 | 1607 | 1549 (A) incorrect; | |
1637 | 1608 | 1550 (B) misleading; | |
1638 | 1609 | 1551 (C) incomplete; or | |
1639 | 1610 | 1552 (D) materially untrue; | |
1640 | 1611 | 1553 (x) violates an insurance law, valid rule, or valid order of another regulatory agency in | |
1641 | 1612 | 1554any jurisdiction; | |
1642 | 1613 | 1555 (xi) obtains or attempts to obtain a license through misrepresentation or fraud; | |
1643 | 1614 | 1556 (xii) improperly withholds, misappropriates, or converts money or properties received | |
1644 | 1615 | 1557in the course of doing insurance business; | |
1645 | 1616 | 1558 (xiii) intentionally misrepresents the terms of an actual or proposed: | |
1646 | 1617 | 1559 (A) insurance contract; | |
1647 | 1618 | 1560 (B) application for insurance; or | |
1648 | 1619 | 1561 (C) life settlement; | |
1649 | 1620 | 1562 (xiv) has been convicted of, or has entered a plea in abeyance as defined in Section | |
1650 | 1621 | 156377-2a-1 to: | |
1651 | 1622 | 1564 (A) a felony; or | |
1652 | 1623 | 1565 (B) a misdemeanor involving fraud, misrepresentation, theft, or dishonesty; | |
1653 | 1624 | 1566 (xv) admits or is found to have committed an insurance unfair trade practice or fraud; | |
1654 | - | 1567 (xvi) in the conduct of business in this state or elsewhere: Enrolled Copy H.B. 410 | |
1655 | - | - 59 - | |
1625 | + | 1567 (xvi) in the conduct of business in this state or elsewhere: | |
1656 | 1626 | 1568 (A) uses fraudulent, coercive, or dishonest practices; or | |
1657 | 1627 | 1569 (B) demonstrates incompetence, untrustworthiness, or financial irresponsibility; | |
1658 | 1628 | 1570 (xvii) has had an insurance license or other professional or occupational license, or an | |
1659 | 1629 | 1571equivalent to an insurance license or registration, or other professional or occupational license | |
1660 | 1630 | 1572or registration: | |
1661 | 1631 | 1573 (A) denied; | |
1662 | 1632 | 1574 (B) suspended; | |
1663 | - | 1575 (C) revoked; or | |
1633 | + | 1575 (C) revoked; or 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
1634 | + | - 52 - | |
1664 | 1635 | 1576 (D) surrendered to resolve an administrative action; | |
1665 | 1636 | 1577 (xviii) forges another's name to: | |
1666 | 1637 | 1578 (A) an application for insurance; or | |
1667 | 1638 | 1579 (B) a document related to an insurance transaction; | |
1668 | 1639 | 1580 (xix) improperly uses notes or another reference material to complete an examination | |
1669 | 1640 | 1581for an insurance license; | |
1670 | 1641 | 1582 (xx) knowingly accepts insurance business from an individual who is not licensed; | |
1671 | 1642 | 1583 (xxi) fails to comply with an administrative or court order imposing a child support | |
1672 | 1643 | 1584obligation; | |
1673 | 1644 | 1585 (xxii) fails to: | |
1674 | 1645 | 1586 (A) pay state income tax; or | |
1675 | 1646 | 1587 (B) comply with an administrative or court order directing payment of state income | |
1676 | 1647 | 1588tax; | |
1677 | 1648 | 1589 (xxiii) has been convicted of violating the federal Violent Crime Control and Law | |
1678 | 1649 | 1590Enforcement Act of 1994, 18 U.S.C. Sec. 1033 and has not obtained written consent to engage | |
1679 | 1650 | 1591in the business of insurance or participate in such business as required by 18 U.S.C. Sec. 1033; | |
1680 | 1651 | 1592 (xxiv) engages in a method or practice in the conduct of business that endangers the | |
1681 | 1652 | 1593legitimate interests of customers and the public; or | |
1682 | - | 1594 (xxv) has been convicted of any criminal felony involving dishonesty or breach of trust H.B. 410 | |
1683 | - | Enrolled Copy | |
1684 | - | - 60 - | |
1653 | + | 1594 (xxv) has been convicted of any criminal felony involving dishonesty or breach of trust | |
1685 | 1654 | 1595and has not obtained written consent to engage in the business of insurance or participate in | |
1686 | 1655 | 1596such business as required by 18 U.S.C. Sec. 1033. | |
1687 | 1656 | 1597 (c) For purposes of this section, if a license is held by an agency, both the agency itself | |
1688 | 1657 | 1598and any individual designated under the license are considered to be the holders of the license. | |
1689 | 1658 | 1599 (d) If an individual designated under the agency license commits an act or fails to | |
1690 | 1659 | 1600perform a duty that is a ground for suspending, revoking, or limiting the individual's license, | |
1691 | 1660 | 1601the commissioner may suspend, revoke, or limit the license of: | |
1692 | 1661 | 1602 (i) the individual; | |
1693 | 1662 | 1603 (ii) the agency, if the agency: | |
1694 | 1663 | 1604 (A) is reckless or negligent in its supervision of the individual; or | |
1695 | 1664 | 1605 (B) knowingly participates in the act or failure to act that is the ground for suspending, | |
1696 | - | 1606revoking, or limiting the license; or | |
1665 | + | 1606revoking, or limiting the license; or 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
1666 | + | - 53 - | |
1697 | 1667 | 1607 (iii) (A) the individual; and | |
1698 | 1668 | 1608 (B) the agency if the agency meets the requirements of Subsection (5)(d)(ii). | |
1699 | 1669 | 1609 (6) A licensee under this chapter is subject to the penalties for acting as a licensee | |
1700 | 1670 | 1610without a license if: | |
1701 | 1671 | 1611 (a) the licensee's license is: | |
1702 | 1672 | 1612 (i) revoked; | |
1703 | 1673 | 1613 (ii) suspended; | |
1704 | 1674 | 1614 (iii) limited; | |
1705 | 1675 | 1615 (iv) surrendered in lieu of administrative action; | |
1706 | 1676 | 1616 (v) lapsed; or | |
1707 | 1677 | 1617 (vi) voluntarily surrendered; and | |
1708 | 1678 | 1618 (b) the licensee: | |
1709 | 1679 | 1619 (i) continues to act as a licensee; or | |
1710 | 1680 | 1620 (ii) violates the terms of the license limitation. | |
1711 | - | 1621 (7) A licensee under this chapter shall immediately report to the commissioner: Enrolled Copy H.B. 410 | |
1712 | - | - 61 - | |
1681 | + | 1621 (7) A licensee under this chapter shall immediately report to the commissioner: | |
1713 | 1682 | 1622 (a) a revocation, suspension, or limitation of the person's license in another state, the | |
1714 | 1683 | 1623District of Columbia, or a territory of the United States; | |
1715 | 1684 | 1624 (b) the imposition of a disciplinary sanction imposed on that person by another state, | |
1716 | 1685 | 1625the District of Columbia, or a territory of the United States; or | |
1717 | 1686 | 1626 (c) a judgment or injunction entered against that person on the basis of conduct | |
1718 | 1687 | 1627involving: | |
1719 | 1688 | 1628 (i) fraud; | |
1720 | 1689 | 1629 (ii) deceit; | |
1721 | 1690 | 1630 (iii) misrepresentation; or | |
1722 | 1691 | 1631 (iv) a violation of an insurance law or rule. | |
1723 | 1692 | 1632 (8) (a) An order revoking a license under Subsection (5) or an agreement to surrender a | |
1724 | 1693 | 1633license in lieu of administrative action may specify a time, not to exceed five years, within | |
1725 | 1694 | 1634which the former licensee may not apply for a new license. | |
1726 | 1695 | 1635 (b) If no time is specified in an order or agreement described in Subsection (8)(a), the | |
1727 | 1696 | 1636former licensee may not apply for a new license for five years from the day on which the order | |
1728 | - | 1637or agreement is made without the express approval by the commissioner. | |
1697 | + | 1637or agreement is made without the express approval by the commissioner. 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
1698 | + | - 54 - | |
1729 | 1699 | 1638 (9) The commissioner shall promptly withhold, suspend, restrict, or reinstate the use of | |
1730 | 1700 | 1639a license issued under this part if so ordered by a court. | |
1731 | 1701 | 1640 (10) The commissioner shall by rule prescribe the license renewal and reinstatement | |
1732 | 1702 | 1641procedures in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act. | |
1733 | 1703 | 1642 Section 11. Section 31A-23a-406 is amended to read: | |
1734 | 1704 | 1643 31A-23a-406. Title insurance producer's business. | |
1735 | 1705 | 1644 (1) As used in this section: | |
1736 | 1706 | 1645 (a) "Automated clearing house network" or "ACH network" means a national | |
1737 | 1707 | 1646electronic funds transfer system regulated by the Federal Reserve and the Office of the | |
1738 | 1708 | 1647Comptroller of the Currency. | |
1739 | - | 1648 (b) "Depository institution" means the same as that term is defined in Section 7-1-103. H.B. 410 | |
1740 | - | Enrolled Copy | |
1741 | - | - 62 - | |
1709 | + | 1648 (b) "Depository institution" means the same as that term is defined in Section 7-1-103. | |
1742 | 1710 | 1649 (c) "Funds transfer system" means the same as that term is defined in Section 7-1-103. | |
1743 | 1711 | 1650 [(1)] (2) An individual title insurance producer or agency title insurance producer may | |
1744 | 1712 | 1651do escrow involving real property transactions if all of the following exist: | |
1745 | 1713 | 1652 (a) the individual title insurance producer or agency title insurance producer is licensed | |
1746 | 1714 | 1653with: | |
1747 | 1715 | 1654 (i) the title line of authority; and | |
1748 | 1716 | 1655 (ii) the escrow subline of authority; | |
1749 | 1717 | 1656 (b) the individual title insurance producer or agency title insurance producer is | |
1750 | 1718 | 1657appointed by a title insurer authorized to do business in the state; | |
1751 | 1719 | 1658 (c) except as provided in Subsection [(3)] (4), the individual title insurance producer or | |
1752 | 1720 | 1659agency title insurance producer issues one or more of the following as part of the transaction: | |
1753 | 1721 | 1660 (i) an owner's policy offering title insurance; | |
1754 | 1722 | 1661 (ii) a lender's policy offering title insurance; or | |
1755 | 1723 | 1662 (iii) if the transaction does not involve a transfer of ownership, an endorsement to an | |
1756 | 1724 | 1663owner's or a lender's policy offering title insurance; | |
1757 | 1725 | 1664 (d) money deposited with the individual title insurance producer or agency title | |
1758 | 1726 | 1665insurance producer in connection with any escrow is deposited: | |
1759 | 1727 | 1666 (i) in a federally insured depository institution, as defined in Section 7-1-103, that: | |
1760 | 1728 | 1667 (A) has [an office] a branch in this state, if the individual title insurance producer or | |
1761 | - | 1668agency title insurance producer depositing the money is a resident licensee; and | |
1729 | + | 1668agency title insurance producer depositing the money is a resident licensee; and 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
1730 | + | - 55 - | |
1762 | 1731 | 1669 (B) is authorized by the depository institution's primary regulator to engage in trust | |
1763 | 1732 | 1670business, as defined in Section 7-5-1, in this state; and | |
1764 | 1733 | 1671 (ii) in a trust account that is separate from all other trust account money that is not | |
1765 | 1734 | 1672related to real estate transactions; | |
1766 | 1735 | 1673 (e) money deposited with the individual title insurance producer or agency title | |
1767 | 1736 | 1674insurance producer in connection with any escrow is the property of the one or more persons | |
1768 | - | 1675entitled to the money under the provisions of the escrow; [and] Enrolled Copy H.B. 410 | |
1769 | - | - 63 - | |
1737 | + | 1675entitled to the money under the provisions of the escrow; [and] | |
1770 | 1738 | 1676 (f) money deposited with the individual title insurance producer or agency title | |
1771 | 1739 | 1677insurance producer in connection with an escrow is segregated escrow by escrow in the records | |
1772 | 1740 | 1678of the individual title insurance producer or agency title insurance producer; | |
1773 | 1741 | 1679 (g) earnings on money held in escrow may be paid out of the escrow account to any | |
1774 | 1742 | 1680person in accordance with the conditions of the escrow; | |
1775 | 1743 | 1681 (h) the escrow does not require the individual title insurance producer or agency title | |
1776 | 1744 | 1682insurance producer to hold: | |
1777 | 1745 | 1683 (i) construction money; or | |
1778 | 1746 | 1684 (ii) money held for exchange under Section 1031, Internal Revenue Code; and | |
1779 | 1747 | 1685 (i) the individual title insurance producer or agency title insurance producer shall | |
1780 | 1748 | 1686maintain a physical office in Utah staffed by a person with an escrow subline of authority who | |
1781 | 1749 | 1687processes the escrow. | |
1782 | 1750 | 1688 [(2)] (3) Notwithstanding Subsection [(1)] (2), an individual title insurance producer or | |
1783 | 1751 | 1689agency title insurance producer may engage in the escrow business if: | |
1784 | 1752 | 1690 (a) the escrow involves: | |
1785 | 1753 | 1691 (i) a mobile home; | |
1786 | 1754 | 1692 (ii) a grazing right; | |
1787 | 1755 | 1693 (iii) a water right; or | |
1788 | 1756 | 1694 (iv) other personal property authorized by the commissioner; and | |
1789 | 1757 | 1695 (b) the individual title insurance producer or agency title insurance producer complies | |
1790 | 1758 | 1696with this section except for Subsection [(1)(c)] (2)(c). | |
1791 | 1759 | 1697 [(3)] (4) (a) Subsection [(1)(c)] (2)(c) does not apply if the transaction is for the | |
1792 | 1760 | 1698transfer of real property from the School and Institutional Trust Lands Administration. | |
1793 | - | 1699 (b) This subsection does not prohibit an individual title insurance producer or agency | |
1761 | + | 1699 (b) This subsection does not prohibit an individual title insurance producer or agency 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
1762 | + | - 56 - | |
1794 | 1763 | 1700title insurance producer from issuing a policy described in Subsection [(1)(c)] (2)(c) as part of a | |
1795 | 1764 | 1701transaction described in Subsection [(3)(a)] (4)(a). | |
1796 | - | 1702 [(4)] (5) Money held in escrow: H.B. 410 | |
1797 | - | Enrolled Copy | |
1798 | - | - 64 - | |
1765 | + | 1702 [(4)] (5) Money held in escrow: | |
1799 | 1766 | 1703 (a) is not subject to any debts of the individual title insurance producer or agency title | |
1800 | 1767 | 1704insurance producer; | |
1801 | 1768 | 1705 (b) may only be used to fulfill the terms of the individual escrow under which the | |
1802 | 1769 | 1706money is accepted; and | |
1803 | 1770 | 1707 (c) may not be used until the conditions of the escrow are met. | |
1804 | 1771 | 1708 [(5)] (6) Assets or property other than escrow money received by an individual title | |
1805 | 1772 | 1709insurance producer or agency title insurance producer in accordance with an escrow shall be | |
1806 | 1773 | 1710maintained in a manner that will: | |
1807 | 1774 | 1711 (a) reasonably preserve and protect the asset or property from loss, theft, or damages; | |
1808 | 1775 | 1712and | |
1809 | 1776 | 1713 (b) otherwise comply with the general duties and responsibilities of a fiduciary or | |
1810 | 1777 | 1714bailee. | |
1811 | 1778 | 1715 [(6)] (7) (a) A check from the trust account described in Subsection [(1)(d)] (2)(d) may | |
1812 | 1779 | 1716not be drawn, executed, or dated, or money otherwise disbursed unless the segregated escrow | |
1813 | 1780 | 1717account from which money is to be disbursed contains a sufficient credit balance consisting of | |
1814 | 1781 | 1718collected and cleared money at the time the check is drawn, executed, or dated, or money is | |
1815 | 1782 | 1719otherwise disbursed. | |
1816 | 1783 | 1720 (b) As used in this Subsection [(6)] (7), money is considered to be "collected and | |
1817 | 1784 | 1721cleared," and may be disbursed as follows: | |
1818 | 1785 | 1722 (i) cash may be disbursed on the same day the cash is deposited; | |
1819 | 1786 | 1723 (ii) a wire transfer may be disbursed on the same day the wire transfer is deposited; | |
1820 | 1787 | 1724[and] | |
1821 | 1788 | 1725 (iii) the proceeds of one or more of the following financial instruments may be | |
1822 | 1789 | 1726disbursed on the same day the financial instruments are deposited if received from a single | |
1823 | 1790 | 1727party to the real estate transaction and if the aggregate of the financial instruments for the real | |
1824 | 1791 | 1728estate transaction is less than $10,000: | |
1825 | - | 1729 (A) a cashier's check, certified check, or official check that is drawn on an existing | |
1826 | - | ||
1827 | - | ||
1792 | + | 1729 (A) a cashier's check, certified check, or official check that is drawn on an existing | |
1793 | + | 1730account at a federally insured financial institution; 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
1794 | + | - 57 - | |
1828 | 1795 | 1731 (B) a check drawn on the trust account of a principal broker or associate broker | |
1829 | 1796 | 1732licensed under Title 61, Chapter 2f, Real Estate Licensing and Practices Act, if the individual | |
1830 | 1797 | 1733title insurance producer or agency title insurance producer has reasonable and prudent grounds | |
1831 | 1798 | 1734to believe sufficient money will be available from the trust account on which the check is | |
1832 | 1799 | 1735drawn at the time of disbursement of proceeds from the individual title insurance producer or | |
1833 | 1800 | 1736agency title insurance producer's escrow account; | |
1834 | 1801 | 1737 (C) a personal check not to exceed $500 per closing; or | |
1835 | 1802 | 1738 (D) a check drawn on the escrow account of another individual title insurance producer | |
1836 | 1803 | 1739or agency title insurance producer, if the individual title insurance producer or agency title | |
1837 | 1804 | 1740insurance producer in the escrow transaction has reasonable and prudent grounds to believe | |
1838 | 1805 | 1741that sufficient money will be available for withdrawal from the account upon which the check | |
1839 | 1806 | 1742is drawn at the time of disbursement of money from the escrow account of the individual title | |
1840 | 1807 | 1743insurance producer or agency title insurance producer in the escrow transaction[.]; | |
1841 | 1808 | 1744 (iv) deposits made through the ACH network may be disbursed on the same day the | |
1842 | 1809 | 1745deposit is made if: | |
1843 | 1810 | 1746 (A) the transferred funds remain uniquely designated and traceable throughout the | |
1844 | 1811 | 1747entire ACH network transfer process; | |
1845 | 1812 | 1748 (B) except as a function of the ACH network process, the transferred funds are not | |
1846 | 1813 | 1749subject to comingling or third party access during the transfer process; | |
1847 | 1814 | 1750 (C) the transferred funds are deposited into the title insurance producer's escrow | |
1848 | 1815 | 1751account and are available for disbursement; and | |
1849 | 1816 | 1752 (D) either the ACH network payment type or the title insurance producer's systems | |
1850 | 1817 | 1753prevent the transaction from being unilaterally canceled or reversed by the consumer once the | |
1851 | 1818 | 1754transferred funds are deposited to the individual title insurance producer or agency title | |
1852 | 1819 | 1755producer; | |
1853 | - | 1756 (v) deposits may be disbursed on the same day the deposit is made if the deposit is H.B. 410 | |
1854 | - | Enrolled Copy | |
1855 | - | - 66 - | |
1820 | + | 1756 (v) deposits may be disbursed on the same day the deposit is made if the deposit is | |
1856 | 1821 | 1757made via: | |
1857 | 1822 | 1758 (A) the Federal Reserve Bank through the Federal Reserve's funds transfer system; or | |
1858 | 1823 | 1759 (B) a funds transfer system provided by an association of banks. | |
1859 | 1824 | 1760 (c) A check or deposit not described in Subsection [(6)(b)] (7)(b) may be disbursed: | |
1860 | - | 1761 (i) within the time limits provided under the Expedited Funds Availability Act, 12 | |
1825 | + | 1761 (i) within the time limits provided under the Expedited Funds Availability Act, 12 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
1826 | + | - 58 - | |
1861 | 1827 | 1762U.S.C. Sec. 4001 et seq., as amended, and related regulations of the Federal Reserve System; or | |
1862 | 1828 | 1763 (ii) upon notification from the financial institution to which the money has been | |
1863 | 1829 | 1764deposited that final settlement has occurred on the deposited financial instrument. | |
1864 | 1830 | 1765 [(7)] (8) An individual title insurance producer or agency title insurance producer shall | |
1865 | 1831 | 1766maintain a record of a receipt or disbursement of escrow money. | |
1866 | 1832 | 1767 [(8)] (9) An individual title insurance producer or agency title insurance producer shall | |
1867 | 1833 | 1768comply with: | |
1868 | 1834 | 1769 (a) Section 31A-23a-409; | |
1869 | 1835 | 1770 (b) Title 46, Chapter 1, Notaries Public Reform Act; and | |
1870 | 1836 | 1771 (c) any rules adopted by the Title and Escrow Commission, subject to Section | |
1871 | 1837 | 177231A-2-404, that govern escrows. | |
1872 | 1838 | 1773 [(9)] (10) If an individual title insurance producer or agency title insurance producer | |
1873 | 1839 | 1774conducts a search for real estate located in the state, the individual title insurance producer or | |
1874 | 1840 | 1775agency title insurance producer shall conduct a reasonable search of the public records. | |
1875 | 1841 | 1776 Section 12. Section 31A-23a-409 is amended to read: | |
1876 | 1842 | 1777 31A-23a-409. Trust obligation for money collected. | |
1877 | 1843 | 1778 (1) (a) Subject to Subsection (7), a licensee is a trustee for money that is paid to, | |
1878 | 1844 | 1779received by, or collected by a licensee for forwarding to insurers or to insureds. | |
1879 | 1845 | 1780 (b) (i) Except as provided in Subsection (1)(b)(ii), a licensee may not commingle trust | |
1880 | 1846 | 1781funds with: | |
1881 | 1847 | 1782 (A) the licensee's own money; or | |
1882 | - | 1783 (B) money held in any other capacity. Enrolled Copy H.B. 410 | |
1883 | - | - 67 - | |
1848 | + | 1783 (B) money held in any other capacity. | |
1884 | 1849 | 1784 (ii) This Subsection (1)(b) does not apply to: | |
1885 | 1850 | 1785 (A) amounts necessary to pay bank charges; and | |
1886 | 1851 | 1786 (B) money paid by insureds and belonging in part to the licensee as a fee or | |
1887 | 1852 | 1787commission. | |
1888 | 1853 | 1788 (c) Except as provided under Subsection (4), a licensee owes to insureds and insurers | |
1889 | 1854 | 1789the fiduciary duties of a trustee with respect to money to be forwarded to insurers or insureds | |
1890 | 1855 | 1790through the licensee. | |
1891 | 1856 | 1791 (d) (i) Unless money is sent to the appropriate payee by the close of the next business | |
1892 | - | 1792day after their receipt, the licensee shall deposit them in an account authorized under | |
1857 | + | 1792day after their receipt, the licensee shall deposit them in an account authorized under 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
1858 | + | - 59 - | |
1893 | 1859 | 1793Subsection (2). | |
1894 | 1860 | 1794 (ii) Money deposited under this Subsection (1)(d) shall remain in an account | |
1895 | 1861 | 1795authorized under Subsection (2) until sent to the appropriate payee. | |
1896 | 1862 | 1796 (2) Money required to be deposited under Subsection (1) shall be deposited: | |
1897 | 1863 | 1797 (a) in a federally insured trust account in a depository institution, as defined in Section | |
1898 | 1864 | 17987-1-103, which: | |
1899 | 1865 | 1799 (i) has [an office] a branch in this state, if the [licensee] individual title insurance | |
1900 | 1866 | 1800producer or agency title insurance producer depositing the money is a resident licensee; | |
1901 | 1867 | 1801 (ii) has federal deposit insurance; and | |
1902 | 1868 | 1802 (iii) is authorized by its primary regulator to engage in the trust business, as defined by | |
1903 | 1869 | 1803Section 7-5-1, in this state; or | |
1904 | 1870 | 1804 (b) in some other account, that: | |
1905 | 1871 | 1805 (i) the commissioner approves by rule or order; and | |
1906 | 1872 | 1806 (ii) provides safety comparable to an account described in Subsection (2)(a). | |
1907 | 1873 | 1807 (3) It is not a violation of Subsection (2)(a) if the amounts in the accounts exceed the | |
1908 | 1874 | 1808amount of the federal insurance on the accounts. | |
1909 | 1875 | 1809 (4) A trust account into which money is deposited may be interest bearing. The | |
1910 | - | 1810interest accrued on the account may be paid to the licensee, so long as the licensee otherwise H.B. 410 | |
1911 | - | Enrolled Copy | |
1912 | - | - 68 - | |
1876 | + | 1810interest accrued on the account may be paid to the licensee, so long as the licensee otherwise | |
1913 | 1877 | 1811complies with this section and with the contract with the insurer. | |
1914 | 1878 | 1812 (5) A depository institution or other organization holding trust funds under this section | |
1915 | 1879 | 1813may not offset or impound trust account funds against debts and obligations incurred by the | |
1916 | 1880 | 1814licensee. | |
1917 | 1881 | 1815 (6) A licensee who, not being lawfully entitled to do so, diverts or appropriates any | |
1918 | 1882 | 1816portion of the money held under Subsection (1) to the licensee's own use, is guilty of theft | |
1919 | 1883 | 1817under Title 76, Chapter 6, Part 4, Theft. Section 76-6-412 applies in determining the | |
1920 | 1884 | 1818classification of the offense. Sanctions under Section 31A-2-308 also apply. | |
1921 | 1885 | 1819 (7) A nonresident licensee: | |
1922 | 1886 | 1820 (a) shall comply with Subsection (1)(a) by complying with the trust account | |
1923 | 1887 | 1821requirements of the nonresident licensee's home state; and | |
1924 | 1888 | 1822 (b) is not required to comply with the other provisions of this section. | |
1925 | - | 1823 Section 13. Section 31A-23a-415 is amended to read: | |
1889 | + | 1823 Section 13. Section 31A-23a-415 is amended to read: 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
1890 | + | - 60 - | |
1926 | 1891 | 1824 31A-23a-415. Assessment on agency title insurance producers or title insurers -- | |
1927 | 1892 | 1825Account created. | |
1928 | 1893 | 1826 (1) For purposes of this section: | |
1929 | 1894 | 1827 (a) "Premium" is as described in Subsection 59-9-101(3). | |
1930 | 1895 | 1828 (b) "Title insurer" means a person: | |
1931 | 1896 | 1829 (i) making any contract or policy of title insurance as: | |
1932 | 1897 | 1830 (A) insurer; | |
1933 | 1898 | 1831 (B) guarantor; or | |
1934 | 1899 | 1832 (C) surety; | |
1935 | 1900 | 1833 (ii) proposing to make any contract or policy of title insurance as: | |
1936 | 1901 | 1834 (A) insurer; | |
1937 | 1902 | 1835 (B) guarantor; or | |
1938 | 1903 | 1836 (C) surety; or | |
1939 | - | 1837 (iii) transacting or proposing to transact any phase of title insurance, including: Enrolled Copy H.B. 410 | |
1940 | - | - 69 - | |
1904 | + | 1837 (iii) transacting or proposing to transact any phase of title insurance, including: | |
1941 | 1905 | 1838 (A) soliciting; | |
1942 | 1906 | 1839 (B) negotiating preliminary to execution; | |
1943 | 1907 | 1840 (C) executing of a contract of title insurance; | |
1944 | 1908 | 1841 (D) insuring; and | |
1945 | 1909 | 1842 (E) transacting matters subsequent to the execution of the contract and arising out of | |
1946 | 1910 | 1843the contract. | |
1947 | 1911 | 1844 (c) "Utah risks" means insuring, guaranteeing, or indemnifying with regard to real or | |
1948 | 1912 | 1845personal property located in Utah, an owner of real or personal property, the holders of liens or | |
1949 | 1913 | 1846encumbrances on that property, or others interested in the property against loss or damage | |
1950 | 1914 | 1847suffered by reason of: | |
1951 | 1915 | 1848 (i) liens or encumbrances upon, defects in, or the unmarketability of the title to the | |
1952 | 1916 | 1849property; or | |
1953 | 1917 | 1850 (ii) invalidity or unenforceability of any liens or encumbrances on the property. | |
1954 | 1918 | 1851 (2) (a) The commissioner may assess each title insurer, each individual title insurance | |
1955 | 1919 | 1852producer who is not an employee of a title insurer or who is not designated by an agency title | |
1956 | 1920 | 1853insurance producer, and each agency title insurance producer an annual assessment: | |
1957 | - | 1854 (i) determined by the Title and Escrow Commission: | |
1921 | + | 1854 (i) determined by the Title and Escrow Commission: 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
1922 | + | - 61 - | |
1958 | 1923 | 1855 (A) after consultation with the commissioner; and | |
1959 | 1924 | 1856 (B) in accordance with this Subsection (2); and | |
1960 | 1925 | 1857 (ii) to be used for the purposes described in Subsection (3). | |
1961 | 1926 | 1858 (b) An agency title insurance producer and individual title insurance producer who is | |
1962 | 1927 | 1859not an employee of a title insurer or who is not designated by an agency title insurance | |
1963 | 1928 | 1860producer shall be assessed up to: | |
1964 | 1929 | 1861 (i) $250 for the first office in each county in which the agency title insurance producer | |
1965 | 1930 | 1862or individual title insurance producer maintains an office; and | |
1966 | 1931 | 1863 (ii) $150 for each additional office the agency title insurance producer or individual | |
1967 | - | 1864title insurance producer maintains in the county described in Subsection (2)(b)(i). H.B. 410 | |
1968 | - | Enrolled Copy | |
1969 | - | - 70 - | |
1932 | + | 1864title insurance producer maintains in the county described in Subsection (2)(b)(i). | |
1970 | 1933 | 1865 (c) A title insurer shall be assessed up to: | |
1971 | 1934 | 1866 (i) $250 for the first office in each county in which the title insurer maintains an office; | |
1972 | 1935 | 1867 (ii) $150 for each additional office the title insurer maintains in the county described in | |
1973 | 1936 | 1868Subsection (2)(c)(i); and | |
1974 | 1937 | 1869 (iii) an amount calculated by: | |
1975 | 1938 | 1870 (A) aggregating the assessments imposed on: | |
1976 | 1939 | 1871 (I) agency title insurance producers and individual title insurance producers under | |
1977 | 1940 | 1872Subsection (2)(b); and | |
1978 | 1941 | 1873 (II) title insurers under Subsections (2)(c)(i) and (2)(c)(ii); | |
1979 | 1942 | 1874 (B) subtracting the amount determined under Subsection (2)(c)(iii)(A) from the total | |
1980 | 1943 | 1875costs and expenses determined under Subsection (2)(d); and | |
1981 | 1944 | 1876 (C) multiplying: | |
1982 | 1945 | 1877 (I) the amount calculated under Subsection (2)(c)(iii)(B); and | |
1983 | 1946 | 1878 (II) the percentage of total premiums for title insurance on Utah risk that are premiums | |
1984 | 1947 | 1879of the title insurer. | |
1985 | 1948 | 1880 (d) Notwithstanding Section 31A-3-103 and subject to Section 31A-2-404, during the | |
1986 | 1949 | 1881first quarter of each fiscal year the Title and Escrow Commission [by rule shall establish] shall | |
1987 | 1950 | 1882approve the amount of costs and expenses described under Subsection (3) for the prior fiscal | |
1988 | 1951 | 1883year that will be covered by the assessment[, except the costs or expenses to be covered by the | |
1989 | 1952 | 1884assessment may not exceed the cost of one full-time equivalent position]. | |
1990 | - | 1885 (e) (i) An individual licensed to practice law in Utah is exempt from the requirements | |
1953 | + | 1885 (e) (i) An individual licensed to practice law in Utah is exempt from the requirements 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
1954 | + | - 62 - | |
1991 | 1955 | 1886of this Subsection (2) if that person issues 12 or less policies during a 12-month period. | |
1992 | 1956 | 1887 (ii) In determining the number of policies issued by an individual licensed to practice | |
1993 | 1957 | 1888law in Utah for purposes of Subsection (2)(e)(i), if the individual issues a policy to more than | |
1994 | 1958 | 1889one party to the same closing, the individual is considered to have issued only one policy. | |
1995 | 1959 | 1890 (3) (a) Money received by the state under this section shall be deposited into the Title | |
1996 | - | 1891Licensee Enforcement Restricted Account. Enrolled Copy H.B. 410 | |
1997 | - | - 71 - | |
1960 | + | 1891Licensee Enforcement Restricted Account. | |
1998 | 1961 | 1892 (b) There is created in the General Fund a restricted account known as the "Title | |
1999 | 1962 | 1893Licensee Enforcement Restricted Account." | |
2000 | 1963 | 1894 (c) The Title Licensee Enforcement Restricted Account shall consist of the money | |
2001 | 1964 | 1895received by the state under this section. | |
2002 | 1965 | 1896 (d) The commissioner shall administer the Title Licensee Enforcement Restricted | |
2003 | 1966 | 1897Account. Subject to appropriations by the Legislature, the commissioner shall use the money | |
2004 | 1967 | 1898deposited into the Title Licensee Enforcement Restricted Account only to pay for a cost or | |
2005 | 1968 | 1899expense incurred by the department in the administration, investigation, and enforcement of | |
2006 | 1969 | 1900laws governing individual title insurance producers, agency title insurance producers, or title | |
2007 | 1970 | 1901insurers. | |
2008 | 1971 | 1902 (e) An appropriation from the Title Licensee Enforcement Restricted Account is | |
2009 | 1972 | 1903nonlapsing. | |
2010 | 1973 | 1904 (4) The assessment imposed by this section shall be in addition to any premium | |
2011 | 1974 | 1905assessment imposed under Subsection 59-9-101(3). | |
2012 | 1975 | 1906 Section 14. Section 31A-23b-401 is amended to read: | |
2013 | 1976 | 1907 31A-23b-401. Revoking, suspending, surrendering, lapsing, limiting, or otherwise | |
2014 | 1977 | 1908terminating a license -- Rulemaking for renewal or reinstatement. | |
2015 | 1978 | 1909 (1) A license as a navigator under this chapter remains in force until: | |
2016 | 1979 | 1910 (a) revoked or suspended under Subsection (4); | |
2017 | 1980 | 1911 (b) surrendered to the commissioner and accepted by the commissioner in lieu of | |
2018 | 1981 | 1912administrative action; | |
2019 | 1982 | 1913 (c) the licensee dies or is adjudicated incompetent as defined under: | |
2020 | 1983 | 1914 (i) Title 75, Chapter 5, Part 3, Guardians of Incapacitated Persons; or | |
2021 | 1984 | 1915 (ii) Title 75, Chapter 5, Part 4, Protection of Property of Persons Under Disability and | |
2022 | - | 1916Minors; | |
1985 | + | 1916Minors; 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
1986 | + | - 63 - | |
2023 | 1987 | 1917 (d) lapsed under this section; or | |
2024 | - | 1918 (e) voluntarily surrendered. H.B. 410 | |
2025 | - | Enrolled Copy | |
2026 | - | - 72 - | |
1988 | + | 1918 (e) voluntarily surrendered. | |
2027 | 1989 | 1919 (2) The following may be reinstated within one year after the day on which the license | |
2028 | 1990 | 1920is no longer in force: | |
2029 | 1991 | 1921 (a) a lapsed license; or | |
2030 | 1992 | 1922 (b) a voluntarily surrendered license, except that a voluntarily surrendered license may | |
2031 | 1993 | 1923not be reinstated after the license period in which the license is voluntarily surrendered. | |
2032 | 1994 | 1924 (3) Unless otherwise stated in a written agreement for the voluntary surrender of a | |
2033 | 1995 | 1925license, submission and acceptance of a voluntary surrender of a license does not prevent the | |
2034 | 1996 | 1926department from pursuing additional disciplinary or other action authorized under: | |
2035 | 1997 | 1927 (a) this title; or | |
2036 | 1998 | 1928 (b) rules made under this title in accordance with Title 63G, Chapter 3, Utah | |
2037 | 1999 | 1929Administrative Rulemaking Act. | |
2038 | 2000 | 1930 (4) (a) If the commissioner makes a finding under Subsection (4)(b), as part of an | |
2039 | 2001 | 1931adjudicative proceeding under Title 63G, Chapter 4, Administrative Procedures Act, the | |
2040 | 2002 | 1932commissioner may: | |
2041 | 2003 | 1933 (i) revoke a license; | |
2042 | 2004 | 1934 (ii) suspend a license for a specified period of 12 months or less; | |
2043 | 2005 | 1935 (iii) limit a license in whole or in part; | |
2044 | 2006 | 1936 (iv) deny a license application; | |
2045 | 2007 | 1937 (v) assess a forfeiture under Subsection 31A-2-308(1)(b)(i) or (1)(c)(i); or | |
2046 | 2008 | 1938 (vi) take a combination of actions under Subsections (4)(a)(i) through (iv) and | |
2047 | 2009 | 1939Subsection (4)(a)(v). | |
2048 | 2010 | 1940 (b) The commissioner may take an action described in Subsection (4)(a) if the | |
2049 | 2011 | 1941commissioner finds that the licensee or license applicant: | |
2050 | 2012 | 1942 (i) is unqualified for a license under Section 31A-23b-204, 31A-23b-205, or | |
2051 | 2013 | 194331A-23b-206; | |
2052 | 2014 | 1944 (ii) violated: | |
2053 | - | 1945 (A) an insurance statute; Enrolled Copy H.B. 410 | |
2054 | - | - 73 - | |
2015 | + | 1945 (A) an insurance statute; | |
2055 | 2016 | 1946 (B) a rule that is valid under Subsection 31A-2-201(3); or | |
2056 | - | 1947 (C) an order that is valid under Subsection 31A-2-201(4); | |
2017 | + | 1947 (C) an order that is valid under Subsection 31A-2-201(4); 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
2018 | + | - 64 - | |
2057 | 2019 | 1948 (iii) is insolvent or the subject of receivership, conservatorship, rehabilitation, or other | |
2058 | 2020 | 1949delinquency proceedings in any state; | |
2059 | 2021 | 1950 (iv) failed to pay a final judgment rendered against the person in this state within 60 | |
2060 | 2022 | 1951days after the day on which the judgment became final; | |
2061 | 2023 | 1952 (v) refused: | |
2062 | 2024 | 1953 (A) to be examined; or | |
2063 | 2025 | 1954 (B) to produce its accounts, records, and files for examination; | |
2064 | 2026 | 1955 (vi) had an officer who refused to: | |
2065 | 2027 | 1956 (A) give information with respect to the navigator's affairs; or | |
2066 | 2028 | 1957 (B) perform any other legal obligation as to an examination; | |
2067 | 2029 | 1958 (vii) provided information in the license application that is: | |
2068 | 2030 | 1959 (A) incorrect; | |
2069 | 2031 | 1960 (B) misleading; | |
2070 | 2032 | 1961 (C) incomplete; or | |
2071 | 2033 | 1962 (D) materially untrue; | |
2072 | 2034 | 1963 (viii) violated an insurance law, valid rule, or valid order of another regulatory agency | |
2073 | 2035 | 1964in any jurisdiction; | |
2074 | 2036 | 1965 (ix) obtained or attempted to obtain a license through misrepresentation or fraud; | |
2075 | 2037 | 1966 (x) improperly withheld, misappropriated, or converted money or properties received | |
2076 | 2038 | 1967in the course of doing insurance business; | |
2077 | 2039 | 1968 (xi) intentionally misrepresented the terms of an actual or proposed: | |
2078 | 2040 | 1969 (A) insurance contract; | |
2079 | 2041 | 1970 (B) application for insurance; or | |
2080 | 2042 | 1971 (C) application for public program; | |
2081 | - | 1972 (xii) has been convicted of, or has entered a plea in abeyance as defined in Section H.B. 410 | |
2082 | - | Enrolled Copy | |
2083 | - | - 74 - | |
2043 | + | 1972 (xii) has been convicted of, or has entered a plea in abeyance as defined in Section | |
2084 | 2044 | 197377-2a-1 to: | |
2085 | 2045 | 1974 (A) a felony; or | |
2086 | 2046 | 1975 (B) a misdemeanor involving fraud, misrepresentation, theft, or dishonesty; | |
2087 | 2047 | 1976 (xiii) admitted or is found to have committed an insurance unfair trade practice or | |
2088 | 2048 | 1977fraud; | |
2089 | - | 1978 (xiv) in the conduct of business in this state or elsewhere: | |
2049 | + | 1978 (xiv) in the conduct of business in this state or elsewhere: 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
2050 | + | - 65 - | |
2090 | 2051 | 1979 (A) used fraudulent, coercive, or dishonest practices; or | |
2091 | 2052 | 1980 (B) demonstrated incompetence, untrustworthiness, or financial irresponsibility; | |
2092 | 2053 | 1981 (xv) has had an insurance license, navigator license, or other professional or | |
2093 | 2054 | 1982occupational license or registration, or an equivalent of the same denied, suspended, revoked, | |
2094 | 2055 | 1983or surrendered to resolve an administrative action; | |
2095 | 2056 | 1984 (xvi) forged another's name to: | |
2096 | 2057 | 1985 (A) an application for insurance; | |
2097 | 2058 | 1986 (B) a document related to an insurance transaction; | |
2098 | 2059 | 1987 (C) a document related to an application for a public program; or | |
2099 | 2060 | 1988 (D) a document related to an application for premium subsidies; | |
2100 | 2061 | 1989 (xvii) improperly used notes or another reference material to complete an examination | |
2101 | 2062 | 1990for a license; | |
2102 | 2063 | 1991 (xviii) knowingly accepted insurance business from an individual who is not licensed; | |
2103 | 2064 | 1992 (xix) failed to comply with an administrative or court order imposing a child support | |
2104 | 2065 | 1993obligation; | |
2105 | 2066 | 1994 (xx) failed to: | |
2106 | 2067 | 1995 (A) pay state income tax; or | |
2107 | 2068 | 1996 (B) comply with an administrative or court order directing payment of state income | |
2108 | 2069 | 1997tax; | |
2109 | 2070 | 1998 (xxi) has been convicted of violating the federal Violent Crime Control and Law | |
2110 | - | 1999Enforcement Act of 1994, 18 U.S.C. Sec. 1033 and has not obtained written consent to engage Enrolled Copy H.B. 410 | |
2111 | - | - 75 - | |
2071 | + | 1999Enforcement Act of 1994, 18 U.S.C. Sec. 1033 and has not obtained written consent to engage | |
2112 | 2072 | 2000in the business of insurance or participate in such business as required by 18 U.S.C. Sec. 1033; | |
2113 | 2073 | 2001 (xxii) engaged in a method or practice in the conduct of business that endangered the | |
2114 | 2074 | 2002legitimate interests of customers and the public; or | |
2115 | 2075 | 2003 (xxiii) has been convicted of any criminal felony involving dishonesty or breach of | |
2116 | 2076 | 2004trust and has not obtained written consent to engage in the business of insurance or participate | |
2117 | 2077 | 2005in such business as required by 18 U.S.C. Sec. 1033. | |
2118 | 2078 | 2006 (c) For purposes of this section, if a license is held by an agency, both the agency itself | |
2119 | 2079 | 2007and any individual designated under the license are considered to be the holders of the license. | |
2120 | 2080 | 2008 (d) If an individual designated under the agency license commits an act or fails to | |
2121 | - | 2009perform a duty that is a ground for suspending, revoking, or limiting the individual's license, | |
2081 | + | 2009perform a duty that is a ground for suspending, revoking, or limiting the individual's license, 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
2082 | + | - 66 - | |
2122 | 2083 | 2010the commissioner may suspend, revoke, or limit the license of: | |
2123 | 2084 | 2011 (i) the individual; | |
2124 | 2085 | 2012 (ii) the agency, if the agency: | |
2125 | 2086 | 2013 (A) is reckless or negligent in its supervision of the individual; or | |
2126 | 2087 | 2014 (B) knowingly participates in the act or failure to act that is the ground for suspending, | |
2127 | 2088 | 2015revoking, or limiting the license; or | |
2128 | 2089 | 2016 (iii) (A) the individual; and | |
2129 | 2090 | 2017 (B) the agency if the agency meets the requirements of Subsection (4)(d)(ii). | |
2130 | 2091 | 2018 (5) A licensee under this chapter is subject to the penalties for acting as a licensee | |
2131 | 2092 | 2019without a license if: | |
2132 | 2093 | 2020 (a) the licensee's license is: | |
2133 | 2094 | 2021 (i) revoked; | |
2134 | 2095 | 2022 (ii) suspended; | |
2135 | 2096 | 2023 (iii) surrendered in lieu of administrative action; | |
2136 | 2097 | 2024 (iv) lapsed; or | |
2137 | 2098 | 2025 (v) voluntarily surrendered; and | |
2138 | - | 2026 (b) the licensee: H.B. 410 | |
2139 | - | Enrolled Copy | |
2140 | - | - 76 - | |
2099 | + | 2026 (b) the licensee: | |
2141 | 2100 | 2027 (i) continues to act as a licensee; or | |
2142 | 2101 | 2028 (ii) violates the terms of the license limitation. | |
2143 | 2102 | 2029 (6) A licensee under this chapter shall immediately report to the commissioner: | |
2144 | 2103 | 2030 (a) a revocation, suspension, or limitation of the person's license in another state, the | |
2145 | 2104 | 2031District of Columbia, or a territory of the United States; | |
2146 | 2105 | 2032 (b) the imposition of a disciplinary sanction imposed on that person by another state, | |
2147 | 2106 | 2033the District of Columbia, or a territory of the United States; or | |
2148 | 2107 | 2034 (c) a judgment or injunction entered against that person on the basis of conduct | |
2149 | 2108 | 2035involving: | |
2150 | 2109 | 2036 (i) fraud; | |
2151 | 2110 | 2037 (ii) deceit; | |
2152 | 2111 | 2038 (iii) misrepresentation; or | |
2153 | 2112 | 2039 (iv) a violation of an insurance law or rule. | |
2154 | - | 2040 (7) (a) An order revoking a license under Subsection (4) or an agreement to surrender a | |
2113 | + | 2040 (7) (a) An order revoking a license under Subsection (4) or an agreement to surrender a 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
2114 | + | - 67 - | |
2155 | 2115 | 2041license in lieu of administrative action may specify a time, not to exceed five years, within | |
2156 | 2116 | 2042which the former licensee may not apply for a new license. | |
2157 | 2117 | 2043 (b) If no time is specified in an order or agreement described in Subsection (7)(a), the | |
2158 | 2118 | 2044former licensee may not apply for a new license for five years from the day on which the order | |
2159 | 2119 | 2045or agreement is made without the express approval of the commissioner. | |
2160 | 2120 | 2046 (8) The commissioner shall promptly withhold, suspend, restrict, or reinstate the use of | |
2161 | 2121 | 2047a license issued under this chapter if so ordered by a court. | |
2162 | 2122 | 2048 (9) The commissioner shall by rule prescribe the license renewal and reinstatement | |
2163 | 2123 | 2049procedures in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act. | |
2164 | 2124 | 2050 Section 15. Section 31A-25-208 is amended to read: | |
2165 | 2125 | 2051 31A-25-208. Revoking, suspending, surrendering, lapsing, limiting, or otherwise | |
2166 | 2126 | 2052terminating a license -- Rulemaking for renewal and reinstatement. | |
2167 | - | 2053 (1) A license type issued under this chapter remains in force until: Enrolled Copy H.B. 410 | |
2168 | - | - 77 - | |
2127 | + | 2053 (1) A license type issued under this chapter remains in force until: | |
2169 | 2128 | 2054 (a) revoked or suspended under Subsection (4); | |
2170 | 2129 | 2055 (b) surrendered to the commissioner and accepted by the commissioner in lieu of | |
2171 | 2130 | 2056administrative action; | |
2172 | 2131 | 2057 (c) the licensee dies or is adjudicated incompetent as defined under: | |
2173 | 2132 | 2058 (i) Title 75, Chapter 5, Part 3, Guardians of Incapacitated Persons; or | |
2174 | 2133 | 2059 (ii) Title 75, Chapter 5, Part 4, Protection of Property of Persons Under Disability and | |
2175 | 2134 | 2060Minors; | |
2176 | 2135 | 2061 (d) lapsed under Section 31A-25-210; or | |
2177 | 2136 | 2062 (e) voluntarily surrendered. | |
2178 | 2137 | 2063 (2) The following may be reinstated within one year after the day on which the license | |
2179 | 2138 | 2064is no longer in force: | |
2180 | 2139 | 2065 (a) a lapsed license; or | |
2181 | 2140 | 2066 (b) a voluntarily surrendered license, except that a voluntarily surrendered license may | |
2182 | 2141 | 2067not be reinstated after the license period in which the license is voluntarily surrendered. | |
2183 | 2142 | 2068 (3) Unless otherwise stated in a written agreement for the voluntary surrender of a | |
2184 | 2143 | 2069license, submission and acceptance of a voluntary surrender of a license does not prevent the | |
2185 | 2144 | 2070department from pursuing additional disciplinary or other action authorized under: | |
2186 | - | 2071 (a) this title; or | |
2145 | + | 2071 (a) this title; or 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
2146 | + | - 68 - | |
2187 | 2147 | 2072 (b) rules made under this title in accordance with Title 63G, Chapter 3, Utah | |
2188 | 2148 | 2073Administrative Rulemaking Act. | |
2189 | 2149 | 2074 (4) (a) If the commissioner makes a finding under Subsection (4)(b), as part of an | |
2190 | 2150 | 2075adjudicative proceeding under Title 63G, Chapter 4, Administrative Procedures Act, the | |
2191 | 2151 | 2076commissioner may: | |
2192 | 2152 | 2077 (i) revoke a license; | |
2193 | 2153 | 2078 (ii) suspend a license for a specified period of 12 months or less; | |
2194 | 2154 | 2079 (iii) limit a license in whole or in part; or | |
2195 | - | 2080 (iv) deny a license application. H.B. 410 | |
2196 | - | Enrolled Copy | |
2197 | - | - 78 - | |
2155 | + | 2080 (iv) deny a license application. | |
2198 | 2156 | 2081 (b) The commissioner may take an action described in Subsection (4)(a) if the | |
2199 | 2157 | 2082commissioner finds that the licensee or license applicant: | |
2200 | 2158 | 2083 (i) is unqualified for a license under Section 31A-25-202, 31A-25-203, or 31A-25-204; | |
2201 | 2159 | 2084 (ii) has violated: | |
2202 | 2160 | 2085 (A) an insurance statute; | |
2203 | 2161 | 2086 (B) a rule that is valid under Subsection 31A-2-201(3); or | |
2204 | 2162 | 2087 (C) an order that is valid under Subsection 31A-2-201(4); | |
2205 | 2163 | 2088 (iii) is insolvent or the subject of receivership, conservatorship, rehabilitation, or other | |
2206 | 2164 | 2089delinquency proceedings in any state; | |
2207 | 2165 | 2090 (iv) fails to pay a final judgment rendered against the person in this state within 60 | |
2208 | 2166 | 2091days after the day on which the judgment became final; | |
2209 | 2167 | 2092 (v) fails to meet the same good faith obligations in claims settlement that is required of | |
2210 | 2168 | 2093admitted insurers; | |
2211 | 2169 | 2094 (vi) is affiliated with and under the same general management or interlocking | |
2212 | 2170 | 2095directorate or ownership as another third party administrator that transacts business in this state | |
2213 | 2171 | 2096without a license; | |
2214 | 2172 | 2097 (vii) refuses: | |
2215 | 2173 | 2098 (A) to be examined; or | |
2216 | 2174 | 2099 (B) to produce its accounts, records, and files for examination; | |
2217 | 2175 | 2100 (viii) has an officer who refuses to: | |
2218 | 2176 | 2101 (A) give information with respect to the third party administrator's affairs; or | |
2219 | - | 2102 (B) perform any other legal obligation as to an examination; | |
2177 | + | 2102 (B) perform any other legal obligation as to an examination; 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
2178 | + | - 69 - | |
2220 | 2179 | 2103 (ix) provides information in the license application that is: | |
2221 | 2180 | 2104 (A) incorrect; | |
2222 | 2181 | 2105 (B) misleading; | |
2223 | 2182 | 2106 (C) incomplete; or | |
2224 | - | 2107 (D) materially untrue; Enrolled Copy H.B. 410 | |
2225 | - | - 79 - | |
2183 | + | 2107 (D) materially untrue; | |
2226 | 2184 | 2108 (x) has violated an insurance law, valid rule, or valid order of another regulatory | |
2227 | 2185 | 2109agency in any jurisdiction; | |
2228 | 2186 | 2110 (xi) has obtained or attempted to obtain a license through misrepresentation or fraud; | |
2229 | 2187 | 2111 (xii) has improperly withheld, misappropriated, or converted money or properties | |
2230 | 2188 | 2112received in the course of doing insurance business; | |
2231 | 2189 | 2113 (xiii) has intentionally misrepresented the terms of an actual or proposed: | |
2232 | 2190 | 2114 (A) insurance contract; or | |
2233 | 2191 | 2115 (B) application for insurance; | |
2234 | 2192 | 2116 (xiv) has been convicted of, or has entered a plea in abeyance as defined in Section | |
2235 | 2193 | 211777-2a-1 to: | |
2236 | 2194 | 2118 (A) a felony; or | |
2237 | 2195 | 2119 (B) a misdemeanor involving fraud, misrepresentation, theft, or dishonesty; | |
2238 | 2196 | 2120 (xv) has admitted or been found to have committed an insurance unfair trade practice | |
2239 | 2197 | 2121or fraud; | |
2240 | 2198 | 2122 (xvi) in the conduct of business in this state or elsewhere has: | |
2241 | 2199 | 2123 (A) used fraudulent, coercive, or dishonest practices; or | |
2242 | 2200 | 2124 (B) demonstrated incompetence, untrustworthiness, or financial irresponsibility; | |
2243 | 2201 | 2125 (xvii) has had an insurance license or other professional or occupational license or | |
2244 | 2202 | 2126registration, or an equivalent of the same, denied, suspended, revoked, or surrendered to | |
2245 | 2203 | 2127resolve an administrative action; | |
2246 | 2204 | 2128 (xviii) has forged another's name to: | |
2247 | 2205 | 2129 (A) an application for insurance; or | |
2248 | 2206 | 2130 (B) a document related to an insurance transaction; | |
2249 | 2207 | 2131 (xix) has improperly used notes or any other reference material to complete an | |
2250 | 2208 | 2132examination for an insurance license; | |
2251 | - | 2133 (xx) has knowingly accepted insurance business from an individual who is not | |
2252 | - | 2134licensed; H.B. 410 | |
2253 | - | Enrolled Copy | |
2254 | - | - 80 - | |
2209 | + | 2133 (xx) has knowingly accepted insurance business from an individual who is not 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
2210 | + | - 70 - | |
2211 | + | 2134licensed; | |
2255 | 2212 | 2135 (xxi) has failed to comply with an administrative or court order imposing a child | |
2256 | 2213 | 2136support obligation; | |
2257 | 2214 | 2137 (xxii) has failed to: | |
2258 | 2215 | 2138 (A) pay state income tax; or | |
2259 | 2216 | 2139 (B) comply with an administrative or court order directing payment of state income | |
2260 | 2217 | 2140tax; | |
2261 | 2218 | 2141 (xxiii) is convicted of violating the federal Violent Crime Control and Law | |
2262 | 2219 | 2142Enforcement Act of 1994, 18 U.S.C. Sec. 1033 and has not obtained written consent to engage | |
2263 | 2220 | 2143in the business of insurance or participate in such business as required under 18 U.S.C. Sec. | |
2264 | 2221 | 21441033; | |
2265 | 2222 | 2145 (xxiv) has engaged in methods and practices in the conduct of business that endanger | |
2266 | 2223 | 2146the legitimate interests of customers and the public; or | |
2267 | 2224 | 2147 (xxv) has been convicted of a criminal felony involving dishonesty or breach of trust | |
2268 | 2225 | 2148and has not obtained written consent to engage in the business of insurance or participate in | |
2269 | 2226 | 2149such business as required under 18 U.S.C. Sec. 1033. | |
2270 | 2227 | 2150 (c) For purposes of this section, if a license is held by an agency, both the agency itself | |
2271 | 2228 | 2151and any individual designated under the license are considered to be the holders of the agency | |
2272 | 2229 | 2152license. | |
2273 | 2230 | 2153 (d) If an individual designated under the agency license commits an act or fails to | |
2274 | 2231 | 2154perform a duty that is a ground for suspending, revoking, or limiting the individual's license, | |
2275 | 2232 | 2155the commissioner may suspend, revoke, or limit the license of: | |
2276 | 2233 | 2156 (i) the individual; | |
2277 | 2234 | 2157 (ii) the agency if the agency: | |
2278 | 2235 | 2158 (A) is reckless or negligent in its supervision of the individual; or | |
2279 | 2236 | 2159 (B) knowingly participated in the act or failure to act that is the ground for suspending, | |
2280 | 2237 | 2160revoking, or limiting the license; or | |
2281 | - | 2161 (iii) (A) the individual; and Enrolled Copy H.B. 410 | |
2282 | - | - 81 - | |
2238 | + | 2161 (iii) (A) the individual; and | |
2283 | 2239 | 2162 (B) the agency if the agency meets the requirements of Subsection (4)(d)(ii). | |
2284 | 2240 | 2163 (5) A licensee under this chapter is subject to the penalties for acting as a licensee | |
2285 | - | 2164without a license if: | |
2241 | + | 2164without a license if: 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
2242 | + | - 71 - | |
2286 | 2243 | 2165 (a) the licensee's license is: | |
2287 | 2244 | 2166 (i) revoked; | |
2288 | 2245 | 2167 (ii) suspended; | |
2289 | 2246 | 2168 (iii) limited; | |
2290 | 2247 | 2169 (iv) surrendered in lieu of administrative action; | |
2291 | 2248 | 2170 (v) lapsed; or | |
2292 | 2249 | 2171 (vi) voluntarily surrendered; and | |
2293 | 2250 | 2172 (b) the licensee: | |
2294 | 2251 | 2173 (i) continues to act as a licensee; or | |
2295 | 2252 | 2174 (ii) violates the terms of the license limitation. | |
2296 | 2253 | 2175 (6) A licensee under this chapter shall immediately report to the commissioner: | |
2297 | 2254 | 2176 (a) a revocation, suspension, or limitation of the person's license in any other state, the | |
2298 | 2255 | 2177District of Columbia, or a territory of the United States; | |
2299 | 2256 | 2178 (b) the imposition of a disciplinary sanction imposed on that person by any other state, | |
2300 | 2257 | 2179the District of Columbia, or a territory of the United States; or | |
2301 | 2258 | 2180 (c) a judgment or injunction entered against the person on the basis of conduct | |
2302 | 2259 | 2181involving: | |
2303 | 2260 | 2182 (i) fraud; | |
2304 | 2261 | 2183 (ii) deceit; | |
2305 | 2262 | 2184 (iii) misrepresentation; or | |
2306 | 2263 | 2185 (iv) a violation of an insurance law or rule. | |
2307 | 2264 | 2186 (7) (a) An order revoking a license under Subsection (4) or an agreement to surrender a | |
2308 | 2265 | 2187license in lieu of administrative action may specify a time, not to exceed five years, within | |
2309 | - | 2188which the former licensee may not apply for a new license. H.B. 410 | |
2310 | - | Enrolled Copy | |
2311 | - | - 82 - | |
2266 | + | 2188which the former licensee may not apply for a new license. | |
2312 | 2267 | 2189 (b) If no time is specified in the order or agreement described in Subsection (7)(a), the | |
2313 | 2268 | 2190former licensee may not apply for a new license for five years from the day on which the order | |
2314 | 2269 | 2191or agreement is made without the express approval of the commissioner. | |
2315 | 2270 | 2192 (8) The commissioner shall promptly withhold, suspend, restrict, or reinstate the use of | |
2316 | 2271 | 2193a license issued under this part if so ordered by the court. | |
2317 | 2272 | 2194 (9) The commissioner shall by rule prescribe the license renewal and reinstatement | |
2318 | - | 2195procedures in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act. | |
2273 | + | 2195procedures in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act. 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
2274 | + | - 72 - | |
2319 | 2275 | 2196 Section 16. Section 31A-26-213 is amended to read: | |
2320 | 2276 | 2197 31A-26-213. Revoking, suspending, surrendering, lapsing, limiting, or otherwise | |
2321 | 2277 | 2198terminating a license -- Forfeiture -- Rulemaking for renewal or reinstatement. | |
2322 | 2278 | 2199 (1) A license type issued under this chapter remains in force until: | |
2323 | 2279 | 2200 (a) revoked or suspended under Subsection (5); | |
2324 | 2280 | 2201 (b) surrendered to the commissioner and accepted by the commissioner in lieu of | |
2325 | 2281 | 2202administrative action; | |
2326 | 2282 | 2203 (c) the licensee dies or is adjudicated incompetent as defined under: | |
2327 | 2283 | 2204 (i) Title 75, Chapter 5, Part 3, Guardians of Incapacitated Persons; or | |
2328 | 2284 | 2205 (ii) Title 75, Chapter 5, Part 4, Protection of Property of Persons Under Disability and | |
2329 | 2285 | 2206Minors; | |
2330 | 2286 | 2207 (d) lapsed under Section 31A-26-214.5; or | |
2331 | 2287 | 2208 (e) voluntarily surrendered. | |
2332 | 2288 | 2209 (2) The following may be reinstated within one year after the day on which the license | |
2333 | 2289 | 2210is no longer in force: | |
2334 | 2290 | 2211 (a) a lapsed license; or | |
2335 | 2291 | 2212 (b) a voluntarily surrendered license, except that a voluntarily surrendered license may | |
2336 | 2292 | 2213not be reinstated after the license period in which it is voluntarily surrendered. | |
2337 | 2293 | 2214 (3) Unless otherwise stated in a written agreement for the voluntary surrender of a | |
2338 | - | 2215license, submission and acceptance of a voluntary surrender of a license does not prevent the Enrolled Copy H.B. 410 | |
2339 | - | - 83 - | |
2294 | + | 2215license, submission and acceptance of a voluntary surrender of a license does not prevent the | |
2340 | 2295 | 2216department from pursuing additional disciplinary or other action authorized under: | |
2341 | 2296 | 2217 (a) this title; or | |
2342 | 2297 | 2218 (b) rules made under this title in accordance with Title 63G, Chapter 3, Utah | |
2343 | 2298 | 2219Administrative Rulemaking Act. | |
2344 | 2299 | 2220 (4) A license classification issued under this chapter remains in force until: | |
2345 | 2300 | 2221 (a) the qualifications pertaining to a license classification are no longer met by the | |
2346 | 2301 | 2222licensee; or | |
2347 | 2302 | 2223 (b) the supporting license type: | |
2348 | 2303 | 2224 (i) is revoked or suspended under Subsection (5); or | |
2349 | 2304 | 2225 (ii) is surrendered to the commissioner and accepted by the commissioner in lieu of | |
2350 | - | 2226administrative action. | |
2305 | + | 2226administrative action. 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
2306 | + | - 73 - | |
2351 | 2307 | 2227 (5) (a) If the commissioner makes a finding under Subsection (5)(b) as part of an | |
2352 | 2308 | 2228adjudicative proceeding under Title 63G, Chapter 4, Administrative Procedures Act, the | |
2353 | 2309 | 2229commissioner may: | |
2354 | 2310 | 2230 (i) revoke: | |
2355 | 2311 | 2231 (A) a license; or | |
2356 | 2312 | 2232 (B) a license classification; | |
2357 | 2313 | 2233 (ii) suspend for a specified period of 12 months or less: | |
2358 | 2314 | 2234 (A) a license; or | |
2359 | 2315 | 2235 (B) a license classification; | |
2360 | 2316 | 2236 (iii) limit in whole or in part: | |
2361 | 2317 | 2237 (A) a license; or | |
2362 | 2318 | 2238 (B) a license classification; | |
2363 | 2319 | 2239 (iv) deny a license application; | |
2364 | 2320 | 2240 (v) assess a forfeiture under Subsection 31A-2-308(1)(b)(i) or (1)(c)(i); or | |
2365 | 2321 | 2241 (vi) take a combination of actions under Subsections (5)(a)(i) through (iv) and | |
2366 | - | 2242Subsection (5)(a)(v). H.B. 410 | |
2367 | - | Enrolled Copy | |
2368 | - | - 84 - | |
2322 | + | 2242Subsection (5)(a)(v). | |
2369 | 2323 | 2243 (b) The commissioner may take an action described in Subsection (5)(a) if the | |
2370 | 2324 | 2244commissioner finds that the licensee or license applicant: | |
2371 | 2325 | 2245 (i) is unqualified for a license or license classification under Section 31A-26-202, | |
2372 | 2326 | 224631A-26-203, 31A-26-204, or 31A-26-205; | |
2373 | 2327 | 2247 (ii) has violated: | |
2374 | 2328 | 2248 (A) an insurance statute; | |
2375 | 2329 | 2249 (B) a rule that is valid under Subsection 31A-2-201(3); or | |
2376 | 2330 | 2250 (C) an order that is valid under Subsection 31A-2-201(4); | |
2377 | 2331 | 2251 (iii) is insolvent, or the subject of receivership, conservatorship, rehabilitation, or other | |
2378 | 2332 | 2252delinquency proceedings in any state; | |
2379 | 2333 | 2253 (iv) fails to pay a final judgment rendered against the person in this state within 60 | |
2380 | 2334 | 2254days after the judgment became final; | |
2381 | 2335 | 2255 (v) fails to meet the same good faith obligations in claims settlement that is required of | |
2382 | 2336 | 2256admitted insurers; | |
2383 | - | 2257 (vi) is affiliated with and under the same general management or interlocking | |
2337 | + | 2257 (vi) is affiliated with and under the same general management or interlocking 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
2338 | + | - 74 - | |
2384 | 2339 | 2258directorate or ownership as another insurance adjuster that transacts business in this state | |
2385 | 2340 | 2259without a license; | |
2386 | 2341 | 2260 (vii) refuses: | |
2387 | 2342 | 2261 (A) to be examined; or | |
2388 | 2343 | 2262 (B) to produce its accounts, records, and files for examination; | |
2389 | 2344 | 2263 (viii) has an officer who refuses to: | |
2390 | 2345 | 2264 (A) give information with respect to the insurance adjuster's affairs; or | |
2391 | 2346 | 2265 (B) perform any other legal obligation as to an examination; | |
2392 | 2347 | 2266 (ix) provides information in the license application that is: | |
2393 | 2348 | 2267 (A) incorrect; | |
2394 | 2349 | 2268 (B) misleading; | |
2395 | - | 2269 (C) incomplete; or Enrolled Copy H.B. 410 | |
2396 | - | - 85 - | |
2350 | + | 2269 (C) incomplete; or | |
2397 | 2351 | 2270 (D) materially untrue; | |
2398 | 2352 | 2271 (x) has violated an insurance law, valid rule, or valid order of another regulatory | |
2399 | 2353 | 2272agency in any jurisdiction; | |
2400 | 2354 | 2273 (xi) has obtained or attempted to obtain a license through misrepresentation or fraud; | |
2401 | 2355 | 2274 (xii) has improperly withheld, misappropriated, or converted money or properties | |
2402 | 2356 | 2275received in the course of doing insurance business; | |
2403 | 2357 | 2276 (xiii) has intentionally misrepresented the terms of an actual or proposed: | |
2404 | 2358 | 2277 (A) insurance contract; or | |
2405 | 2359 | 2278 (B) application for insurance; | |
2406 | 2360 | 2279 (xiv) has been convicted of, or has entered a plea in abeyance as defined in Section | |
2407 | 2361 | 228077-2a-1 to: | |
2408 | 2362 | 2281 (A) a felony; or | |
2409 | 2363 | 2282 (B) a misdemeanor involving fraud, misrepresentation, theft, or dishonesty; | |
2410 | 2364 | 2283 (xv) has admitted or been found to have committed an insurance unfair trade practice | |
2411 | 2365 | 2284or fraud; | |
2412 | 2366 | 2285 (xvi) in the conduct of business in this state or elsewhere has: | |
2413 | 2367 | 2286 (A) used fraudulent, coercive, or dishonest practices; or | |
2414 | 2368 | 2287 (B) demonstrated incompetence, untrustworthiness, or financial irresponsibility; | |
2415 | - | 2288 (xvii) has had an insurance license or other professional or occupational license or | |
2369 | + | 2288 (xvii) has had an insurance license or other professional or occupational license or 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
2370 | + | - 75 - | |
2416 | 2371 | 2289registration, or equivalent, denied, suspended, revoked, or surrendered to resolve an | |
2417 | 2372 | 2290administrative action; | |
2418 | 2373 | 2291 (xviii) has forged another's name to: | |
2419 | 2374 | 2292 (A) an application for insurance; or | |
2420 | 2375 | 2293 (B) a document related to an insurance transaction; | |
2421 | 2376 | 2294 (xix) has improperly used notes or any other reference material to complete an | |
2422 | 2377 | 2295examination for an insurance license; | |
2423 | - | 2296 (xx) has knowingly accepted insurance business from an individual who is not H.B. 410 | |
2424 | - | Enrolled Copy | |
2425 | - | - 86 - | |
2378 | + | 2296 (xx) has knowingly accepted insurance business from an individual who is not | |
2426 | 2379 | 2297licensed; | |
2427 | 2380 | 2298 (xxi) has failed to comply with an administrative or court order imposing a child | |
2428 | 2381 | 2299support obligation; | |
2429 | 2382 | 2300 (xxii) has failed to: | |
2430 | 2383 | 2301 (A) pay state income tax; or | |
2431 | 2384 | 2302 (B) comply with an administrative or court order directing payment of state income | |
2432 | 2385 | 2303tax; | |
2433 | 2386 | 2304 (xxiii) has been convicted of a violation of the federal Violent Crime Control and Law | |
2434 | 2387 | 2305Enforcement Act of 1994, 18 U.S.C. Sec. 1033 and has not obtained written consent in | |
2435 | 2388 | 2306accordance with 18 U.S.C. Sec. 1033 to engage in the business of insurance or participate in | |
2436 | 2389 | 2307such business; | |
2437 | 2390 | 2308 (xxiv) has engaged in methods and practices in the conduct of business that endanger | |
2438 | 2391 | 2309the legitimate interests of customers and the public; or | |
2439 | 2392 | 2310 (xxv) has been convicted of any criminal felony involving dishonesty or breach of trust | |
2440 | 2393 | 2311and has not obtained written consent in accordance with 18 U.S.C. Sec. 1033 to engage in the | |
2441 | 2394 | 2312business of insurance or participate in such business. | |
2442 | 2395 | 2313 (c) For purposes of this section, if a license is held by an agency, both the agency itself | |
2443 | 2396 | 2314and any individual designated under the license are considered to be the holders of the license. | |
2444 | 2397 | 2315 (d) If an individual designated under the agency license commits an act or fails to | |
2445 | 2398 | 2316perform a duty that is a ground for suspending, revoking, or limiting the individual's license, | |
2446 | 2399 | 2317the commissioner may suspend, revoke, or limit the license of: | |
2447 | 2400 | 2318 (i) the individual; | |
2448 | - | 2319 (ii) the agency, if the agency: | |
2401 | + | 2319 (ii) the agency, if the agency: 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
2402 | + | - 76 - | |
2449 | 2403 | 2320 (A) is reckless or negligent in its supervision of the individual; or | |
2450 | 2404 | 2321 (B) knowingly participated in the act or failure to act that is the ground for suspending, | |
2451 | 2405 | 2322revoking, or limiting the license; or | |
2452 | - | 2323 (iii) (A) the individual; and Enrolled Copy H.B. 410 | |
2453 | - | - 87 - | |
2406 | + | 2323 (iii) (A) the individual; and | |
2454 | 2407 | 2324 (B) the agency if the agency meets the requirements of Subsection (5)(d)(ii). | |
2455 | 2408 | 2325 (6) A licensee under this chapter is subject to the penalties for conducting an insurance | |
2456 | 2409 | 2326business without a license if: | |
2457 | 2410 | 2327 (a) the licensee's license is: | |
2458 | 2411 | 2328 (i) revoked; | |
2459 | 2412 | 2329 (ii) suspended; | |
2460 | 2413 | 2330 (iii) limited; | |
2461 | 2414 | 2331 (iv) surrendered in lieu of administrative action; | |
2462 | 2415 | 2332 (v) lapsed; or | |
2463 | 2416 | 2333 (vi) voluntarily surrendered; and | |
2464 | 2417 | 2334 (b) the licensee: | |
2465 | 2418 | 2335 (i) continues to act as a licensee; or | |
2466 | 2419 | 2336 (ii) violates the terms of the license limitation. | |
2467 | 2420 | 2337 (7) A licensee under this chapter shall immediately report to the commissioner: | |
2468 | 2421 | 2338 (a) a revocation, suspension, or limitation of the person's license in any other state, the | |
2469 | 2422 | 2339District of Columbia, or a territory of the United States; | |
2470 | 2423 | 2340 (b) the imposition of a disciplinary sanction imposed on that person by any other state, | |
2471 | 2424 | 2341the District of Columbia, or a territory of the United States; or | |
2472 | 2425 | 2342 (c) a judgment or injunction entered against that person on the basis of conduct | |
2473 | 2426 | 2343involving: | |
2474 | 2427 | 2344 (i) fraud; | |
2475 | 2428 | 2345 (ii) deceit; | |
2476 | 2429 | 2346 (iii) misrepresentation; or | |
2477 | 2430 | 2347 (iv) a violation of an insurance law or rule. | |
2478 | 2431 | 2348 (8) (a) An order revoking a license under Subsection (5) or an agreement to surrender a | |
2479 | 2432 | 2349license in lieu of administrative action may specify a time not to exceed five years within | |
2480 | - | 2350which the former licensee may not apply for a new license. H.B. 410 | |
2481 | - | Enrolled Copy | |
2482 | - | - 88 - | |
2433 | + | 2350which the former licensee may not apply for a new license. 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
2434 | + | - 77 - | |
2483 | 2435 | 2351 (b) If no time is specified in the order or agreement described in Subsection (8)(a), the | |
2484 | 2436 | 2352former licensee may not apply for a new license for five years without the express approval of | |
2485 | 2437 | 2353the commissioner. | |
2486 | 2438 | 2354 (9) The commissioner shall promptly withhold, suspend, restrict, or reinstate the use of | |
2487 | 2439 | 2355a license issued under this part if so ordered by a court. | |
2488 | 2440 | 2356 (10) The commissioner shall by rule prescribe the license renewal and reinstatement | |
2489 | 2441 | 2357procedures in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act. | |
2490 | 2442 | 2358 Section 17. Section 31A-30-118 is amended to read: | |
2491 | 2443 | 2359 31A-30-118. Patient Protection and Affordable Care Act -- State insurance | |
2492 | 2444 | 2360mandates -- Cost of additional benefits. | |
2493 | 2445 | 2361 (1) (a) The commissioner shall identify a new mandated benefit that is in excess of the | |
2494 | 2446 | 2362essential health benefits required by PPACA. | |
2495 | 2447 | 2363 (b) The state shall quantify the cost attributable to each additional mandated benefit | |
2496 | 2448 | 2364specified in Subsection (1)(a) based on a qualified health plan issuer's calculation of the cost | |
2497 | 2449 | 2365associated with the mandated benefit, which shall be: | |
2498 | 2450 | 2366 (i) calculated in accordance with generally accepted actuarial principles and | |
2499 | 2451 | 2367methodologies; | |
2500 | 2452 | 2368 (ii) conducted by a member of the American Academy of Actuaries; and | |
2501 | 2453 | 2369 (iii) reported to the commissioner and to the individual exchange operating in the state. | |
2502 | 2454 | 2370 (c) The commissioner may require a proponent of a new mandated benefit under | |
2503 | 2455 | 2371Subsection (1)(a) to provide the commissioner with a cost analysis conducted in accordance | |
2504 | 2456 | 2372with Subsection (1)(b). The commissioner may use the cost information provided under this | |
2505 | 2457 | 2373Subsection (1)(c) to establish estimates of the cost to the state under Subsection (2). | |
2506 | 2458 | 2374 (2) If the state is required to defray the cost of additional required benefits under the | |
2507 | 2459 | 2375provisions of 45 C.F.R. 155.170: | |
2508 | 2460 | 2376 (a) the state shall make the required payments: | |
2509 | - | 2377 (i) in accordance with Subsection (3); and Enrolled Copy H.B. 410 | |
2510 | - | - 89 - | |
2461 | + | 2377 (i) in accordance with Subsection (3); and | |
2511 | 2462 | 2378 (ii) directly to the qualified health plan issuer in accordance with 45 C.F.R. 155.170; | |
2512 | 2463 | 2379 (b) an issuer of a qualified health plan that receives a payment under the provisions of | |
2513 | 2464 | 2380Subsection (1) and 45 C.F.R. 155.170 shall: | |
2514 | - | 2381 (i) reduce the premium charged to the individual on whose behalf the issuer will be | |
2465 | + | 2381 (i) reduce the premium charged to the individual on whose behalf the issuer will be 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
2466 | + | - 78 - | |
2515 | 2467 | 2382paid under Subsection (1), in an amount equal to the amount of the payment under Subsection | |
2516 | 2468 | 2383(1); or | |
2517 | 2469 | 2384 (ii) notwithstanding Subsection 31A-23a-402.5(5), provide a premium rebate to an | |
2518 | 2470 | 2385individual on whose behalf the issuer received a payment under Subsection (1), in an amount | |
2519 | 2471 | 2386equal to the amount of the payment under Subsection (1); and | |
2520 | 2472 | 2387 (c) a premium rebate made under this section is not a prohibited inducement under | |
2521 | 2473 | 2388Section 31A-23a-402.5. | |
2522 | 2474 | 2389 (3) A payment required under 45 C.F.R. 155.170(c) shall: | |
2523 | 2475 | 2390 (a) unless otherwise required by PPACA, be based on a statewide average of the cost | |
2524 | 2476 | 2391of the additional benefit for all issuers who are entitled to payment under the provisions of 45 | |
2525 | 2477 | 2392C.F.R. 155.170; and | |
2526 | 2478 | 2393 (b) be submitted to an issuer through a process established by the commissioner. | |
2527 | 2479 | 2394 (4) (a) As used in this Subsection (4), "account" means the State Mandated Insurer | |
2528 | 2480 | 2395Payments Restricted Account created in Subsection (4)(b). | |
2529 | 2481 | 2396 (b) There is created in the General Fund a restricted account known as the "State | |
2530 | 2482 | 2397Mandated Insurer Payments Restricted Account." | |
2531 | 2483 | 2398 (c) The account shall consist of: | |
2532 | 2484 | 2399 (i) money appropriated to the account by the Legislature; and | |
2533 | 2485 | 2400 (ii) interest earned on money in the account. | |
2534 | 2486 | 2401 (d) Subject to appropriations from the Legislature, the commissioner shall administer | |
2535 | 2487 | 2402the account for the sole benefit of a qualified health plan issuer who is eligible to receive | |
2536 | 2488 | 2403payments under this section. | |
2537 | - | 2404 (e) An appropriation from the account is nonlapsing. H.B. 410 | |
2538 | - | Enrolled Copy | |
2539 | - | - 90 - | |
2489 | + | 2404 (e) An appropriation from the account is nonlapsing. | |
2540 | 2490 | 2405 (5) The commissioner may adopt rules in accordance with Title 63G, Chapter 3, Utah | |
2541 | 2491 | 2406Administrative Rulemaking Act, to: | |
2542 | 2492 | 2407 (a) administer the provisions of this section and 45 C.F.R. 155.170; and | |
2543 | 2493 | 2408 (b) establish or implement a process for submitting a payment to an issuer under | |
2544 | 2494 | 2409Subsection (3)(b). | |
2545 | 2495 | 2410 Section 18. Section 31A-31-110 is amended to read: | |
2546 | 2496 | 2411 31A-31-110. Mandatory reporting of fraudulent insurance acts. | |
2547 | - | 2412 (1) (a) A person shall report a fraudulent insurance act to the department if: | |
2497 | + | 2412 (1) (a) A person shall report a fraudulent insurance act to the department if: 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
2498 | + | - 79 - | |
2548 | 2499 | 2413 (i) the person has a good faith belief on the basis of a preponderance of the evidence | |
2549 | 2500 | 2414that a fraudulent insurance act is being, will be, or has been committed by a person other than | |
2550 | 2501 | 2415the person making the report; and | |
2551 | 2502 | 2416 (ii) the person is: | |
2552 | 2503 | 2417 (A) an insurer; or | |
2553 | 2504 | 2418 (B) in relation to the business of title insurance, an auditor that is employed by a title | |
2554 | 2505 | 2419insurer. | |
2555 | 2506 | 2420 (b) The report required by this Subsection (1) shall: | |
2556 | 2507 | 2421 (i) be in writing; | |
2557 | 2508 | 2422 (ii) be submitted through: | |
2558 | 2509 | 2423 (A) the National Insurance Crime Bureau fraud reporting system; | |
2559 | 2510 | 2424 (B) the NAIC's online fraud reporting system; or | |
2560 | 2511 | 2425 (C) email using an email address established by the department for the purpose of | |
2561 | 2512 | 2426submitting the report required by this Subsection (1); | |
2562 | 2513 | 2427 [(ii)] (iii) provide information in detail relating to: | |
2563 | 2514 | 2428 (A) the fraudulent insurance act; and | |
2564 | 2515 | 2429 (B) the perpetrator of the fraudulent insurance act; and | |
2565 | 2516 | 2430 [(iii)] (iv) (A) state whether the person required to report under Subsection (1)(a) also | |
2566 | - | 2431reported the fraudulent insurance act in writing to: Enrolled Copy H.B. 410 | |
2567 | - | - 91 - | |
2517 | + | 2431reported the fraudulent insurance act in writing to: | |
2568 | 2518 | 2432 (I) the attorney general; | |
2569 | 2519 | 2433 (II) a state law enforcement agency; | |
2570 | 2520 | 2434 (III) a criminal investigative department or agency of the United States; | |
2571 | 2521 | 2435 (IV) a district attorney; or | |
2572 | 2522 | 2436 (V) the prosecuting attorney of a municipality or county; and | |
2573 | 2523 | 2437 (B) if the person reported the fraudulent insurance act as provided in Subsection | |
2574 | - | 2438[(1)(b)(iii)(A)] (1)(b)(iv)(A), state the agency to which the person reported the fraudulent | |
2575 | - | 2439insurance act. | |
2576 | - | 2440 (c) A person required to submit a written report under this Subsection (1) shall submit | |
2577 | - | 2441the written report to the department by no later than 90 days from the day on which the person | |
2578 | - | 2442required to report the fraudulent insurance act has a good faith belief on the basis of a | |
2579 | - | 2443preponderance of the evidence that the fraudulent insurance act is being, will be, or has been | |
2580 | - | 2444committed. | |
2581 | - | 2445 (2) An action brought under Section 31A-2-201, 31A-2-308, or 31A-31-109, for failure | |
2582 | - | 2446to comply with Subsection (1) shall be commenced within four years from the date on which a | |
2583 | - | 2447person described in Subsection (1): | |
2584 | - | 2448 (a) has a good faith belief on the basis of a preponderance of the evidence that a | |
2585 | - | 2449fraudulent insurance act is being, will be, or has been committed; and | |
2586 | - | 2450 (b) willfully fails to report the fraudulent insurance act. | |
2587 | - | 2451 (3) The department may by rule made in accordance with Title 63G, Chapter 3, Utah | |
2588 | - | 2452Administrative Rulemaking Act, provide a process by which a person described in Subsection | |
2589 | - | 2453(1)(a)(ii)(B) may comply with the requirements of Subsection (1) by reporting a fraudulent | |
2590 | - | 2454insurance act to the insurer with whom the person is employed, except that the rule shall | |
2591 | - | 2455provide that if the person reports the fraudulent insurance act to the insurer, the insurer is | |
2592 | - | 2456required to report the fraudulent insurance act to the department. | |
2593 | - | 2457 (4) A person described in Subsection (1)(a)(ii) who in good faith makes a report under | |
2594 | - | 2458this section, in accordance with Section 31A-31-105, is immune from civil action, civil H.B. 410 | |
2595 | - | Enrolled Copy | |
2524 | + | 2438(1)(b)(iii)(A), state the agency to which the person reported the fraudulent insurance act. | |
2525 | + | 2439 (c) A person required to submit a written report under this Subsection (1) shall submit | |
2526 | + | 2440the written report to the department by no later than 90 days from the day on which the person | |
2527 | + | 2441required to report the fraudulent insurance act has a good faith belief on the basis of a | |
2528 | + | 2442preponderance of the evidence that the fraudulent insurance act is being, will be, or has been | |
2529 | + | 2443committed. 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
2530 | + | - 80 - | |
2531 | + | 2444 (2) An action brought under Section 31A-2-201, 31A-2-308, or 31A-31-109, for failure | |
2532 | + | 2445to comply with Subsection (1) shall be commenced within four years from the date on which a | |
2533 | + | 2446person described in Subsection (1): | |
2534 | + | 2447 (a) has a good faith belief on the basis of a preponderance of the evidence that a | |
2535 | + | 2448fraudulent insurance act is being, will be, or has been committed; and | |
2536 | + | 2449 (b) willfully fails to report the fraudulent insurance act. | |
2537 | + | 2450 (3) The department may by rule made in accordance with Title 63G, Chapter 3, Utah | |
2538 | + | 2451Administrative Rulemaking Act, provide a process by which a person described in Subsection | |
2539 | + | 2452(1)(a)(ii)(B) may comply with the requirements of Subsection (1) by reporting a fraudulent | |
2540 | + | 2453insurance act to the insurer with whom the person is employed, except that the rule shall | |
2541 | + | 2454provide that if the person reports the fraudulent insurance act to the insurer, the insurer is | |
2542 | + | 2455required to report the fraudulent insurance act to the department. | |
2543 | + | 2456 (4) A person described in Subsection (1)(a)(ii) who in good faith makes a report under | |
2544 | + | 2457this section, in accordance with Section 31A-31-105, is immune from civil action, civil | |
2545 | + | 2458penalty, or damages for making that report. | |
2546 | + | 2459 Section 19. Section 31A-35-504 is amended to read: | |
2547 | + | 2460 31A-35-504. Failure to pay bail bond forfeiture -- Grounds for suspension and | |
2548 | + | 2461revocation of bail bond agency license. | |
2549 | + | 2462 (1) As used in this section: | |
2550 | + | 2463 (a) "Agency" means a bail bond agency. | |
2551 | + | 2464 (b) "Judgment" means a judgment of bail bond forfeiture issued under Section | |
2552 | + | 246577-20-505. | |
2553 | + | 2466 (2) (a) (i) An agency shall pay a judgment not later than 15 days following service of | |
2554 | + | 2467notice upon the agency from a prosecutor of the entry of the judgment. | |
2555 | + | 2468 (ii) An agency may pay a bail bond forfeiture to the court prior to judgment. | |
2556 | + | 2469 (b) (i) A prosecutor who does not receive proof of or notice of payment of the | |
2557 | + | 2470judgment within 15 days after the service of notice to the agency of a judgment shall notify the | |
2558 | + | 2471commissioner of the failure to pay the judgment. | |
2559 | + | 2472 (ii) The commissioner shall notify the agency, by the most expeditious means | |
2560 | + | 2473available, of the nonpayment of the judgment. | |
2561 | + | 2474 (iii) The agency shall satisfy the judgment within five business days after receiving 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
2562 | + | - 81 - | |
2563 | + | 2475notice under Subsection (2)(b)(ii). [If the judgment is not satisfied at the end of the five days, | |
2564 | + | 2476the commissioner may suspend the agency's license under Subsection (3).] | |
2565 | + | 2477 (c) If notice of entry of judgment is served upon the agency by mail, three additional | |
2566 | + | 2478days are added to the 15 days provided in Subsections (2)(a), (2)(b), and (2)(d). | |
2567 | + | 2479 (d) A prosecutor may not proceed under Subsection (2)(b) if an agency, within 15 days | |
2568 | + | 2480after service of notice of the entry of judgment is served: | |
2569 | + | 2481 (i) files a motion to set aside the judgment or files an application for an extraordinary | |
2570 | + | 2482writ; and | |
2571 | + | 2483 (ii) provides proof that the agency has posted the judgment amount with the court in | |
2572 | + | 2484the form of cash, a cashier's check, or certified funds. | |
2573 | + | 2485 (e) As used in this section, the filing of the following tolls the time within which an | |
2574 | + | 2486agency is required to pay a judgment if the motion or application is filed within 15 days after | |
2575 | + | 2487the day on which service of notice of the entry of a judgment is served: | |
2576 | + | 2488 (i) a motion to set aside a judgment; or | |
2577 | + | 2489 (ii) an application for extraordinary writ. | |
2578 | + | 2490 (3) The commissioner shall suspend the license of the agency not later than five days | |
2579 | + | 2491following the agency's failure to satisfy the judgment as required under Subsection (2)(b). | |
2580 | + | 2492 (4) If the prosecutor receives proof of or notice of payment of the judgment during the | |
2581 | + | 2493suspension period under Subsection (3), the prosecutor shall immediately notify the | |
2582 | + | 2494commissioner of the payment. The notice shall be in writing and by the most expeditious | |
2583 | + | 2495means possible, including facsimile or other electronic means. | |
2584 | + | 2496 (5) The commissioner shall lift a suspension under Subsection (3) within five days of | |
2585 | + | 2497the day on which all of the following conditions are met: | |
2586 | + | 2498 (a) the suspension has been in place for no fewer than 14 days; | |
2587 | + | 2499 (b) the commissioner has received written notice of payment of the unpaid forfeiture | |
2588 | + | 2500from the prosecutor; and | |
2589 | + | 2501 (c) the commissioner has received: | |
2590 | + | 2502 (i) no other notice of any unpaid forfeiture from a prosecutor; or | |
2591 | + | 2503 (ii) if a notice of unpaid forfeiture is received, written notice from the prosecutor that | |
2592 | + | 2504the unpaid forfeiture has been paid. | |
2593 | + | 2505 (6) The commissioner shall commence an administrative proceeding and revoke the 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
2594 | + | - 82 - | |
2595 | + | 2506license of an agency that fails to meet the conditions under Subsection (5) within 60 days | |
2596 | + | 2507following the initial date of suspension. | |
2597 | + | 2508 (7) This section does not restrict or otherwise affect the rights of a prosecutor to | |
2598 | + | 2509commence collection proceedings under Subsection 77-20-505(5). | |
2599 | + | 2510 Section 20. Section 31A-37-102 is amended to read: | |
2600 | + | 2511 31A-37-102. Definitions. | |
2601 | + | 2512 As used in this chapter: | |
2602 | + | 2513 (1) (a) "Affiliated company" means a business entity that because of common | |
2603 | + | 2514ownership, control, operation, or management is in the same corporate or limited liability | |
2604 | + | 2515company system as: | |
2605 | + | 2516 (i) a parent; | |
2606 | + | 2517 (ii) an industrial insured; or | |
2607 | + | 2518 (iii) a member organization. | |
2608 | + | 2519 (b) "Affiliated company" does not include a business entity for which the | |
2609 | + | 2520commissioner issues an order finding that the business entity is not an affiliated company. | |
2610 | + | 2521 (2) "Alien captive insurance company" means an insurer: | |
2611 | + | 2522 (a) formed to write insurance business for a parent or affiliate of the insurer; and | |
2612 | + | 2523 (b) licensed pursuant to the laws of an alien or foreign jurisdiction that imposes | |
2613 | + | 2524statutory or regulatory standards: | |
2614 | + | 2525 (i) on a business entity transacting the business of insurance in the alien or foreign | |
2615 | + | 2526jurisdiction; and | |
2616 | + | 2527 (ii) in a form acceptable to the commissioner. | |
2617 | + | 2528 (3) "Applicant captive insurance company" means an entity that has submitted an | |
2618 | + | 2529application for a certificate of authority for a captive insurance company, unless the application | |
2619 | + | 2530has been denied or withdrawn. | |
2620 | + | 2531 (4) "Association" means a legal association of two or more persons that [has been in | |
2621 | + | 2532continuous existence for at least one year if] meets the following requirements: | |
2622 | + | 2533 (a) the persons are exposed to similar or related liability because of related, similar, or | |
2623 | + | 2534common business trade, products, services, premises, or operations; and | |
2624 | + | 2535 (b) [(a)] (i) the association or [its] the association's member organizations: | |
2625 | + | 2536 [(i)] (A) own, control, or hold with power to vote all of the outstanding voting 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
2626 | + | - 83 - | |
2627 | + | 2537securities of an association captive insurance company incorporated as a stock insurer; [or] | |
2628 | + | 2538 [(ii)] (B) have complete voting control over an association captive insurance company | |
2629 | + | 2539incorporated as a mutual insurer; or | |
2630 | + | 2540 (C) have complete voting control over an association captive insurance company | |
2631 | + | 2541formed as a limited liability company; or | |
2632 | + | 2542 [(b)] (ii) the association's member organizations collectively constitute all of the | |
2633 | + | 2543subscribers of an association captive insurance company formed as a reciprocal insurer[; or]. | |
2634 | + | 2544 [(c) the association or the association's member organizations have complete voting | |
2635 | + | 2545control over an association captive insurance company formed as a limited liability company.] | |
2636 | + | 2546 (5) "Association captive insurance company" means a business entity that insures risks | |
2637 | + | 2547of: | |
2638 | + | 2548 (a) a member organization of the association; | |
2639 | + | 2549 (b) an affiliate of a member organization of the association; and | |
2640 | + | 2550 (c) the association. | |
2641 | + | 2551 (6) "Branch business" means an insurance business transacted by a branch captive | |
2642 | + | 2552insurance company in this state. | |
2643 | + | 2553 (7) "Branch captive insurance company" means an alien captive insurance company | |
2644 | + | 2554that has a certificate of authority from the commissioner to transact the business of insurance in | |
2645 | + | 2555this state through a captive insurance company that is domiciled outside of this state. | |
2646 | + | 2556 (8) "Branch operation" means a business operation of a branch captive insurance | |
2647 | + | 2557company in this state. | |
2648 | + | 2558 (9) (a) "Captive insurance company" means the same as that term is defined in Section | |
2649 | + | 255931A-1-301. | |
2650 | + | 2560 (b) "Captive insurance company" includes any of the following formed or holding a | |
2651 | + | 2561certificate of authority under this chapter: | |
2652 | + | 2562 (i) a branch captive insurance company; | |
2653 | + | 2563 (ii) a pure captive insurance company; | |
2654 | + | 2564 (iii) an association captive insurance company; | |
2655 | + | 2565 (iv) a sponsored captive insurance company; | |
2656 | + | 2566 (v) an industrial insured captive insurance company, including an industrial insured | |
2657 | + | 2567captive insurance company formed as a risk retention group captive in this state pursuant to the 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
2658 | + | - 84 - | |
2659 | + | 2568provisions of the Federal Liability Risk Retention Act of 1986; | |
2660 | + | 2569 (vi) a special purpose captive insurance company; or | |
2661 | + | 2570 (vii) a special purpose financial captive insurance company. | |
2662 | + | 2571 (10) "Commissioner" means Utah's Insurance Commissioner or the commissioner's | |
2663 | + | 2572designee. | |
2664 | + | 2573 (11) "Common ownership and control" means that two or more captive insurance | |
2665 | + | 2574companies are owned or controlled by the same person or group of persons as follows: | |
2666 | + | 2575 (a) in the case of a captive insurance company that is a stock corporation, the direct or | |
2667 | + | 2576indirect ownership of 80% or more of the outstanding voting stock of the stock corporation; | |
2668 | + | 2577 (b) in the case of a captive insurance company that is a mutual corporation, the direct | |
2669 | + | 2578or indirect ownership of 80% or more of the surplus and the voting power of the mutual | |
2670 | + | 2579corporation; | |
2671 | + | 2580 (c) in the case of a captive insurance company that is a limited liability company, the | |
2672 | + | 2581direct or indirect ownership by the same member or members of 80% or more of the | |
2673 | + | 2582membership interests in the limited liability company; or | |
2674 | + | 2583 (d) in the case of a sponsored captive insurance company, a protected cell is a separate | |
2675 | + | 2584captive insurance company owned and controlled by the protected cell's participant, only if: | |
2676 | + | 2585 (i) the participant is the only participant with respect to the protected cell; and | |
2677 | + | 2586 (ii) the participant is the sponsor or is affiliated with the sponsor of the sponsored | |
2678 | + | 2587captive insurance company through common ownership and control. | |
2679 | + | 2588 (12) "Consolidated debt to total capital ratio" means the ratio of Subsection (12)(a) to | |
2680 | + | 2589(b). | |
2681 | + | 2590 (a) This Subsection (12)(a) is an amount equal to the sum of all debts and hybrid | |
2682 | + | 2591capital instruments including: | |
2683 | + | 2592 (i) all borrowings from depository institutions; | |
2684 | + | 2593 (ii) all senior debt; | |
2685 | + | 2594 (iii) all subordinated debts; | |
2686 | + | 2595 (iv) all trust preferred shares; and | |
2687 | + | 2596 (v) all other hybrid capital instruments that are not included in the determination of | |
2688 | + | 2597consolidated GAAP net worth issued and outstanding. | |
2689 | + | 2598 (b) This Subsection (12)(b) is an amount equal to the sum of: 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
2690 | + | - 85 - | |
2691 | + | 2599 (i) total capital consisting of all debts and hybrid capital instruments as described in | |
2692 | + | 2600Subsection (12)(a); and | |
2693 | + | 2601 (ii) shareholders' equity determined in accordance with generally accepted accounting | |
2694 | + | 2602principles for reporting to the United States Securities and Exchange Commission. | |
2695 | + | 2603 (13) "Consolidated GAAP net worth" means the consolidated shareholders' or | |
2696 | + | 2604members' equity determined in accordance with generally accepted accounting principles for | |
2697 | + | 2605reporting to the United States Securities and Exchange Commission. | |
2698 | + | 2606 (14) "Controlled unaffiliated business" means a business entity: | |
2699 | + | 2607 (a) (i) in the case of a pure captive insurance company, that is not in the corporate or | |
2700 | + | 2608limited liability company system of a parent or the parent's affiliate; or | |
2701 | + | 2609 (ii) in the case of an industrial insured captive insurance company, that is not in the | |
2702 | + | 2610corporate or limited liability company system of an industrial insured or an affiliated company | |
2703 | + | 2611of the industrial insured; | |
2704 | + | 2612 (b) (i) in the case of a pure captive insurance company, that has a contractual | |
2705 | + | 2613relationship with a parent or affiliate; or | |
2706 | + | 2614 (ii) in the case of an industrial insured captive insurance company, that has a | |
2707 | + | 2615contractual relationship with an industrial insured or an affiliated company of the industrial | |
2708 | + | 2616insured; and | |
2709 | + | 2617 (c) whose risks that are or will be insured by a pure captive insurance company, an | |
2710 | + | 2618industrial insured captive insurance company, or both, are managed in accordance with | |
2711 | + | 2619Subsection 31A-37-106(1)(j) by: | |
2712 | + | 2620 (i) (A) a pure captive insurance company; or | |
2713 | + | 2621 (B) an industrial insured captive insurance company; or | |
2714 | + | 2622 (ii) a parent or affiliate of: | |
2715 | + | 2623 (A) a pure captive insurance company; or | |
2716 | + | 2624 (B) an industrial insured captive insurance company. | |
2717 | + | 2625 (15) "Criminal act" means an act for which a person receives a verdict or finding of | |
2718 | + | 2626guilt after a criminal trial or a plea of guilty or nolo contendere to a criminal charge. | |
2719 | + | 2627 (16) "Establisher" means a person who establishes a business entity or a trust. | |
2720 | + | 2628 (17) "Governing body" means the persons who hold the ultimate authority to direct and | |
2721 | + | 2629manage the affairs of an entity. 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
2722 | + | - 86 - | |
2723 | + | 2630 (18) "Industrial insured" means an insured: | |
2724 | + | 2631 (a) that produces insurance: | |
2725 | + | 2632 (i) by the services of a full-time employee acting as a risk manager or insurance | |
2726 | + | 2633manager; or | |
2727 | + | 2634 (ii) using the services of a regularly and continuously qualified insurance consultant; | |
2728 | + | 2635 (b) whose aggregate annual premiums for insurance on all risks total at least $25,000; | |
2729 | + | 2636and | |
2730 | + | 2637 (c) that has at least 25 full-time employees. | |
2731 | + | 2638 (19) "Industrial insured captive insurance company" means a business entity that: | |
2732 | + | 2639 (a) insures risks of the industrial insureds that comprise the industrial insured group; | |
2733 | + | 2640and | |
2734 | + | 2641 (b) may insure the risks of: | |
2735 | + | 2642 (i) an affiliated company of an industrial insured; or | |
2736 | + | 2643 (ii) a controlled unaffiliated business of: | |
2737 | + | 2644 (A) an industrial insured; or | |
2738 | + | 2645 (B) an affiliated company of an industrial insured. | |
2739 | + | 2646 (20) "Industrial insured group" means: | |
2740 | + | 2647 (a) a group of industrial insureds that collectively: | |
2741 | + | 2648 (i) own, control, or hold with power to vote all of the outstanding voting securities of | |
2742 | + | 2649an industrial insured captive insurance company incorporated or organized as a limited liability | |
2743 | + | 2650company as a stock insurer; or | |
2744 | + | 2651 (ii) have complete voting control over an industrial insured captive insurance company | |
2745 | + | 2652incorporated or organized as a limited liability company as a mutual insurer; | |
2746 | + | 2653 (b) a group that is: | |
2747 | + | 2654 (i) created under the Product Liability Risk Retention Act of 1981, 15 U.S.C. Sec. 3901 | |
2748 | + | 2655et seq., as amended, as a corporation or other limited liability association; and | |
2749 | + | 2656 (ii) taxable under this title as a: | |
2750 | + | 2657 (A) stock corporation; or | |
2751 | + | 2658 (B) mutual insurer; or | |
2752 | + | 2659 (c) a group that has complete voting control over an industrial captive insurance | |
2753 | + | 2660company formed as a limited liability company. 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
2754 | + | - 87 - | |
2755 | + | 2661 (21) "Member organization" means a person that belongs to an association. | |
2756 | + | 2662 (22) "Parent" means a person that directly or indirectly owns, controls, or holds with | |
2757 | + | 2663power to vote more than 50% of the outstanding securities of an organization. | |
2758 | + | 2664 (23) "Participant" means an entity that is insured by a sponsored captive insurance | |
2759 | + | 2665company: | |
2760 | + | 2666 (a) if the losses of the participant are limited through a participant contract to the assets | |
2761 | + | 2667of a protected cell; and | |
2762 | + | 2668 (b) (i) the entity is permitted to be a participant under Section 31A-37-403; or | |
2763 | + | 2669 (ii) the entity is an affiliate of an entity permitted to be a participant under Section | |
2764 | + | 267031A-37-403. | |
2765 | + | 2671 (24) "Participant contract" means a contract by which a sponsored captive insurance | |
2766 | + | 2672company: | |
2767 | + | 2673 (a) insures the risks of a participant; and | |
2768 | + | 2674 (b) limits the losses of the participant to the assets of a protected cell. | |
2769 | + | 2675 (25) "Protected cell" means a separate account established and maintained by a | |
2770 | + | 2676sponsored captive insurance company for one participant. | |
2771 | + | 2677 (26) "Pure captive insurance company" means a business entity that insures risks of a | |
2772 | + | 2678parent or affiliate of the business entity. | |
2773 | + | 2679 (27) "Special purpose financial captive insurance company" means the same as that | |
2774 | + | 2680term is defined in Section 31A-37a-102. | |
2775 | + | 2681 (28) "Sponsor" means an entity that: | |
2776 | + | 2682 (a) meets the requirements of Section 31A-37-402; and | |
2777 | + | 2683 (b) is approved by the commissioner to: | |
2778 | + | 2684 (i) provide all or part of the capital and surplus required by applicable law in an amount | |
2779 | + | 2685of not less than $350,000, which amount the commissioner may increase by order if the | |
2780 | + | 2686commissioner considers it necessary; and | |
2781 | + | 2687 (ii) organize and operate a sponsored captive insurance company. | |
2782 | + | 2688 (29) "Sponsored captive insurance company" means a captive insurance company: | |
2783 | + | 2689 (a) in which the minimum capital and surplus required by applicable law is provided by | |
2784 | + | 2690one or more sponsors; | |
2785 | + | 2691 (b) that is formed or holding a certificate of authority under this chapter; 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
2786 | + | - 88 - | |
2787 | + | 2692 (c) that insures the risks of a separate participant through the contract; and | |
2788 | + | 2693 (d) that segregates each participant's liability through one or more protected cells. | |
2789 | + | 2694 (30) "Treasury rates" means the United States Treasury strip asked yield as published | |
2790 | + | 2695in the Wall Street Journal as of a balance sheet date. | |
2791 | + | 2696 Section 21. Section 31A-37-202 is amended to read: | |
2792 | + | 2697 31A-37-202. Permissive areas of insurance. | |
2793 | + | 2698 (1) Except as provided in Subsections (2) and (3), a captive insurance company may | |
2794 | + | 2699not directly insure a risk other than the risk of the captive insurance company's parent or | |
2795 | + | 2700affiliated company. | |
2796 | + | 2701 (2) In addition to the risks described in Subsection (1), an association captive insurance | |
2797 | + | 2702company may insure the risk of: | |
2798 | + | 2703 (a) a member organization of the association captive insurance company's association; | |
2799 | + | 2704or | |
2800 | + | 2705 (b) an affiliate of a member organization of the association captive insurance | |
2801 | + | 2706company's association. | |
2802 | + | 2707 (3) The following may insure a risk of a controlled unaffiliated business: | |
2803 | + | 2708 (a) an industrial insured captive insurance company; | |
2804 | + | 2709 (b) a protected cell; | |
2805 | + | 2710 (c) a pure captive insurance company; or | |
2806 | + | 2711 (d) a sponsored captive insurance company. | |
2807 | + | 2712 (4) To the extent allowed by a captive insurance company's organizational charter, a | |
2808 | + | 2713captive insurance company may provide any type of insurance described in this title, except: | |
2809 | + | 2714 (a) workers' compensation insurance; | |
2810 | + | 2715 (b) personal motor vehicle insurance; | |
2811 | + | 2716 (c) homeowners' insurance; and | |
2812 | + | 2717 (d) any component of the types of insurance described in Subsections (4)(a) through | |
2813 | + | 2718(c). | |
2814 | + | 2719 (5) A captive insurance company may not provide coverage for: | |
2815 | + | 2720 (a) a wager or gaming risk; | |
2816 | + | 2721 (b) loss of an election; or | |
2817 | + | 2722 (c) the penal consequences of a crime. 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
2818 | + | - 89 - | |
2819 | + | 2723 (6) Unless the punitive damages award arises out of a criminal act of an insured, a | |
2820 | + | 2724captive insurance company may provide coverage for punitive damages awarded, including | |
2821 | + | 2725through adjudication or compromise, against the captive insurance company's: | |
2822 | + | 2726 (a) parent; or | |
2823 | + | 2727 (b) affiliated company[; or]. | |
2824 | + | 2728 [(c) controlled unaffiliated business.] | |
2825 | + | 2729 (7) Notwithstanding Subsection (4), if approved by the commissioner, a captive | |
2826 | + | 2730insurance company may insure as a reimbursement a limited layer or deductible of workers' | |
2827 | + | 2731compensation coverage. | |
2828 | + | 2732 Section 22. Section 31A-37-204 is amended to read: | |
2829 | + | 2733 31A-37-204. Paid-in capital -- Other capital. | |
2830 | + | 2734 (1) (a) The commissioner may not issue a certificate of authority to a company | |
2831 | + | 2735described in Subsection (1)(c) unless the company possesses and thereafter maintains | |
2832 | + | 2736unimpaired paid-in capital and unimpaired paid-in surplus of: | |
2833 | + | 2737 (i) in the case of a pure captive insurance company[,]: | |
2834 | + | 2738 (A) except as provided in Subsection (1)(a)(i)(B), not less than $250,000; or | |
2835 | + | 2739 (B) if the pure captive insurance company is not acting as a pool that facilitates risk | |
2836 | + | 2740distribution for other captive insurers, an amount that is the greater of: | |
2837 | + | 2741 (I) not less than 20% of the company's total aggregate risk; or | |
2838 | + | 2742 (II) $50,000; | |
2839 | + | 2743 (ii) in the case of an association captive insurance company, not less than $750,000; | |
2840 | + | 2744 (iii) in the case of an industrial insured captive insurance company incorporated as a | |
2841 | + | 2745stock insurer, not less than $700,000; | |
2842 | + | 2746 (iv) in the case of a sponsored captive insurance company, not less than $500,000, of | |
2843 | + | 2747which a minimum of $200,000 is provided by the sponsor; or | |
2844 | + | 2748 (v) in the case of a special purpose captive insurance company, an amount determined | |
2845 | + | 2749by the commissioner after giving due consideration to the company's business plan, feasibility | |
2846 | + | 2750study, and pro-formas, including the nature of the risks to be insured. | |
2847 | + | 2751 (b) The paid-in capital and surplus required under this Subsection (1) may be in the | |
2848 | + | 2752form of: | |
2849 | + | 2753 (i) (A) cash; or 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
2850 | + | - 90 - | |
2851 | + | 2754 (B) cash equivalent; | |
2852 | + | 2755 (ii) an irrevocable letter of credit: | |
2853 | + | 2756 (A) issued by: | |
2854 | + | 2757 (I) a bank chartered by this state; [or] | |
2855 | + | 2758 (II) a member bank of the Federal Reserve System; [and] or | |
2856 | + | 2759 (III) a member bank of the Federal Deposit Insurance Corporation; | |
2857 | + | 2760 (B) approved by the commissioner; | |
2858 | + | 2761 (iii) marketable securities as determined by Subsection (5); or | |
2859 | + | 2762 (iv) some other thing of value approved by the commissioner, for a period not to | |
2860 | + | 2763exceed 45 days, to facilitate the formation of a captive insurance company in this state pursuant | |
2861 | + | 2764to an approved plan of liquidation and reorganization of another captive insurance company or | |
2862 | + | 2765alien captive insurance company in another jurisdiction. | |
2863 | + | 2766 (c) This Subsection (1) applies to: | |
2864 | + | 2767 (i) a pure captive insurance company; | |
2865 | + | 2768 (ii) a sponsored captive insurance company; | |
2866 | + | 2769 (iii) a special purpose captive insurance company; | |
2867 | + | 2770 (iv) an association captive insurance company; or | |
2868 | + | 2771 (v) an industrial insured captive insurance company. | |
2869 | + | 2772 (2) (a) The commissioner may, under Section 31A-37-106, prescribe additional capital | |
2870 | + | 2773based on the type, volume, and nature of insurance business transacted. | |
2871 | + | 2774 (b) The capital prescribed by the commissioner under this Subsection (2) may be in the | |
2872 | + | 2775form of: | |
2873 | + | 2776 (i) cash; | |
2874 | + | 2777 (ii) an irrevocable letter of credit issued by: | |
2875 | + | 2778 (A) a bank chartered by this state; or | |
2876 | + | 2779 (B) a member bank of the Federal Reserve System; or | |
2877 | + | 2780 (iii) marketable securities as determined by Subsection (5). | |
2878 | + | 2781 (3) (a) Except as provided in Subsection (3)(c), a branch captive insurance company, as | |
2879 | + | 2782security for the payment of liabilities attributable to branch operations, shall, through its branch | |
2880 | + | 2783operations, establish and maintain a trust fund: | |
2881 | + | 2784 (i) funded by an irrevocable letter of credit or other acceptable asset; and 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
2882 | + | - 91 - | |
2883 | + | 2785 (ii) in the United States for the benefit of: | |
2884 | + | 2786 (A) United States policyholders; and | |
2885 | + | 2787 (B) United States ceding insurers under: | |
2886 | + | 2788 (I) insurance policies issued; or | |
2887 | + | 2789 (II) reinsurance contracts issued or assumed. | |
2888 | + | 2790 (b) The amount of the security required under this Subsection (3) shall be no less than: | |
2889 | + | 2791 (i) the capital and surplus required by this chapter; and | |
2890 | + | 2792 (ii) the reserves on the insurance policies or reinsurance contracts, including: | |
2891 | + | 2793 (A) reserves for losses; | |
2892 | + | 2794 (B) allocated loss adjustment expenses; | |
2893 | + | 2795 (C) incurred but not reported losses; and | |
2894 | + | 2796 (D) unearned premiums with regard to business written through branch operations. | |
2895 | + | 2797 (c) Notwithstanding the other provisions of this Subsection (3): | |
2896 | + | 2798 (i) the commissioner may permit a branch captive insurance company that is required | |
2897 | + | 2799to post security for loss reserves on branch business by its reinsurer to reduce the funds in the | |
2898 | + | 2800trust account required by this section by the same amount as the security posted if the security | |
2899 | + | 2801remains posted with the reinsurer; and | |
2900 | + | 2802 (ii) a branch captive insurance company that is the result of the licensure of an alien | |
2901 | + | 2803captive insurance company that is not formed in an alien jurisdiction is not subject to the | |
2902 | + | 2804requirements of this Subsection (3). | |
2903 | + | 2805 (4) (a) A captive insurance company may not pay the following without the prior | |
2904 | + | 2806approval of the commissioner: | |
2905 | + | 2807 (i) a dividend out of capital or surplus in excess of the limits under Section | |
2906 | + | 280816-10a-640; or | |
2907 | + | 2809 (ii) a distribution with respect to capital or surplus in excess of the limits under Section | |
2908 | + | 281016-10a-640. | |
2909 | + | 2811 (b) The commissioner shall condition approval of an ongoing plan for the payment of | |
2910 | + | 2812dividends or other distributions on the retention, at the time of each payment, of capital or | |
2911 | + | 2813surplus in excess of: | |
2912 | + | 2814 (i) amounts specified by the commissioner under Section 31A-37-106; or | |
2913 | + | 2815 (ii) determined in accordance with formulas approved by the commissioner under 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
2596 | 2914 | - 92 - | |
2597 | - | 2459penalty, or damages for making that report. | |
2598 | - | 2460 Section 19. Section 31A-35-504 is amended to read: | |
2599 | - | 2461 31A-35-504. Failure to pay bail bond forfeiture -- Grounds for suspension and | |
2600 | - | 2462revocation of bail bond agency license. | |
2601 | - | 2463 (1) As used in this section: | |
2602 | - | 2464 (a) "Agency" means a bail bond agency. | |
2603 | - | 2465 (b) "Judgment" means a judgment of bail bond forfeiture issued under Section | |
2604 | - | 246677-20-505. | |
2605 | - | 2467 (2) (a) (i) An agency shall pay a judgment not later than 15 days following service of | |
2606 | - | 2468notice upon the agency from a prosecutor of the entry of the judgment. | |
2607 | - | 2469 (ii) An agency may pay a bail bond forfeiture to the court prior to judgment. | |
2608 | - | 2470 (b) (i) A prosecutor who does not receive proof of or notice of payment of the | |
2609 | - | 2471judgment within 15 days after the service of notice to the agency of a judgment shall notify the | |
2610 | - | 2472commissioner of the failure to pay the judgment. | |
2611 | - | 2473 (ii) The commissioner shall notify the agency, by the most expeditious means | |
2612 | - | 2474available, of the nonpayment of the judgment. | |
2613 | - | 2475 (iii) The agency shall satisfy the judgment within five business days after receiving | |
2614 | - | 2476notice under Subsection (2)(b)(ii). [If the judgment is not satisfied at the end of the five days, | |
2615 | - | 2477the commissioner may suspend the agency's license under Subsection (3).] | |
2616 | - | 2478 (c) If notice of entry of judgment is served upon the agency by mail, three additional | |
2617 | - | 2479days are added to the 15 days provided in Subsections (2)(a), (2)(b), and (2)(d). | |
2618 | - | 2480 (d) A prosecutor may not proceed under Subsection (2)(b) if an agency, within 15 days | |
2619 | - | 2481after service of notice of the entry of judgment is served: | |
2620 | - | 2482 (i) files a motion to set aside the judgment or files an application for an extraordinary | |
2621 | - | 2483writ; and | |
2622 | - | 2484 (ii) provides proof that the agency has posted the judgment amount with the court in | |
2623 | - | 2485the form of cash, a cashier's check, or certified funds. Enrolled Copy H.B. 410 | |
2915 | + | 2816Section 31A-37-106. | |
2916 | + | 2817 (5) For purposes of this section, marketable securities means: | |
2917 | + | 2818 (a) a bond or other evidence of indebtedness of a governmental unit in the United | |
2918 | + | 2819States or Canada or any instrumentality of the United States or Canada; or | |
2919 | + | 2820 (b) securities: | |
2920 | + | 2821 (i) traded on one or more of the following exchanges in the United States: | |
2921 | + | 2822 (A) New York; | |
2922 | + | 2823 (B) American; or | |
2923 | + | 2824 (C) NASDAQ; | |
2924 | + | 2825 (ii) when no particular security, or a substantially related security, applied toward the | |
2925 | + | 2826required minimum capital and surplus requirement of Subsection (1) represents more than 50% | |
2926 | + | 2827of the minimum capital and surplus requirement; and | |
2927 | + | 2828 (iii) when no group of up to four particular securities, consolidating substantially | |
2928 | + | 2829related securities, applied toward the required minimum capital and surplus requirement of | |
2929 | + | 2830Subsection (1) represents more than 90% of the minimum capital and surplus requirement. | |
2930 | + | 2831 (6) Notwithstanding Subsection (5), to protect the solvency and liquidity of a captive | |
2931 | + | 2832insurance company, the commissioner may reject the application of specific assets or amounts | |
2932 | + | 2833of specific assets to satisfying the requirement of Subsection (1). | |
2933 | + | 2834 Section 23. Section 49-20-401 is amended to read: | |
2934 | + | 2835 49-20-401. Program -- Powers and duties. | |
2935 | + | 2836 (1) The program shall: | |
2936 | + | 2837 (a) act as a self-insurer of employee benefit plans and administer those plans; | |
2937 | + | 2838 (b) enter into contracts with private insurers or carriers to underwrite employee benefit | |
2938 | + | 2839plans as considered appropriate by the program; | |
2939 | + | 2840 (c) indemnify employee benefit plans or purchase commercial reinsurance as | |
2940 | + | 2841considered appropriate by the program; | |
2941 | + | 2842 (d) provide descriptions of all employee benefit plans under this chapter in cooperation | |
2942 | + | 2843with covered employers; | |
2943 | + | 2844 (e) process claims for all employee benefit plans under this chapter or enter into | |
2944 | + | 2845contracts, after competitive bids are taken, with other benefit administrators to provide for the | |
2945 | + | 2846administration of the claims process; 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
2624 | 2946 | - 93 - | |
2625 | - | 2486 (e) As used in this section, the filing of the following tolls the time within which an | |
2626 | - | 2487agency is required to pay a judgment if the motion or application is filed within 15 days after | |
2627 | - | 2488the day on which service of notice of the entry of a judgment is served: | |
2628 | - | 2489 (i) a motion to set aside a judgment; or | |
2629 | - | 2490 (ii) an application for extraordinary writ. | |
2630 | - | 2491 (3) The commissioner shall suspend the license of the agency not later than five days | |
2631 | - | 2492following the agency's failure to satisfy the judgment as required under Subsection (2)(b). | |
2632 | - | 2493 (4) If the prosecutor receives proof of or notice of payment of the judgment during the | |
2633 | - | 2494suspension period under Subsection (3), the prosecutor shall immediately notify the | |
2634 | - | 2495commissioner of the payment. The notice shall be in writing and by the most expeditious | |
2635 | - | 2496means possible, including facsimile or other electronic means. | |
2636 | - | 2497 (5) The commissioner shall lift a suspension under Subsection (3) within five days of | |
2637 | - | 2498the day on which all of the following conditions are met: | |
2638 | - | 2499 (a) the suspension has been in place for no fewer than 14 days; | |
2639 | - | 2500 (b) the commissioner has received written notice of payment of the unpaid forfeiture | |
2640 | - | 2501from the prosecutor; and | |
2641 | - | 2502 (c) the commissioner has received: | |
2642 | - | 2503 (i) no other notice of any unpaid forfeiture from a prosecutor; or | |
2643 | - | 2504 (ii) if a notice of unpaid forfeiture is received, written notice from the prosecutor that | |
2644 | - | 2505the unpaid forfeiture has been paid. | |
2645 | - | 2506 (6) The commissioner shall commence an administrative proceeding and revoke the | |
2646 | - | 2507license of an agency that fails to meet the conditions under Subsection (5) within 60 days | |
2647 | - | 2508following the initial date of suspension. | |
2648 | - | 2509 (7) This section does not restrict or otherwise affect the rights of a prosecutor to | |
2649 | - | 2510commence collection proceedings under Subsection 77-20-505(5). | |
2650 | - | 2511 Section 20. Section 31A-37-102 is amended to read: | |
2651 | - | 2512 31A-37-102. Definitions. H.B. 410 | |
2652 | - | Enrolled Copy | |
2947 | + | 2847 (f) obtain an annual actuarial review of all health and dental benefit plans and a | |
2948 | + | 2848periodic review of all other employee benefit plans; | |
2949 | + | 2849 (g) consult with the covered employers to evaluate employee benefit plans and develop | |
2950 | + | 2850recommendations for benefit changes; | |
2951 | + | 2851 (h) annually submit a budget and audited financial statements to the governor and | |
2952 | + | 2852Legislature that includes total projected benefit costs and administrative costs; | |
2953 | + | 2853 (i) maintain reserves sufficient to liquidate the unrevealed claims liability and other | |
2954 | + | 2854liabilities of the employee benefit plans as certified by the program's consulting actuary; | |
2955 | + | 2855 (j) submit, in advance, the program's recommended benefit and rate adjustments for | |
2956 | + | 2856state employees, which may include actuarially substantiated member premium differentials | |
2957 | + | 2857between networks to: | |
2958 | + | 2858 (i) the Legislature; and | |
2959 | + | 2859 (ii) the director of the state Division of Human Resource Management; | |
2960 | + | 2860 (k) determine benefits and rates, upon approval of the board, for multi-employer risk | |
2961 | + | 2861pools, retiree coverage, and conversion coverage; | |
2962 | + | 2862 (l) determine benefits and rates based on the total estimated costs and the employee | |
2963 | + | 2863premium share established by the Legislature, upon approval of the board, for state employees; | |
2964 | + | 2864 (m) administer benefits and rates, upon ratification of the board, for single-employer | |
2965 | + | 2865risk pools; | |
2966 | + | 2866 (n) request proposals for one or more out-of-state provider networks and a dental | |
2967 | + | 2867health plan administered by a third-party carrier at least once every three years for the purposes | |
2968 | + | 2868of: | |
2969 | + | 2869 (i) stimulating competition for the benefit of covered individuals; | |
2970 | + | 2870 (ii) establishing better geographical coverage of medical care services; and | |
2971 | + | 2871 (iii) providing coverage for both active and retired covered individuals; | |
2972 | + | 2872 (o) for a proposal that meets the criteria specified in a request for proposals and is | |
2973 | + | 2873accepted by the program: | |
2974 | + | 2874 (i) offer the proposal to active and retired state-covered individuals; and | |
2975 | + | 2875 (ii) at the option of the covered employer, offer the proposal to active and retired | |
2976 | + | 2876covered individuals of other covered employers; | |
2977 | + | 2877 (p) perform the same functions established in Subsections (1)(a), (b), (e), and (h) for 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
2653 | 2978 | - 94 - | |
2654 | - | 2513 As used in this chapter: | |
2655 | - | 2514 (1) (a) "Affiliated company" means a business entity that because of common | |
2656 | - | 2515ownership, control, operation, or management is in the same corporate or limited liability | |
2657 | - | 2516company system as: | |
2658 | - | 2517 (i) a parent; | |
2659 | - | 2518 (ii) an industrial insured; or | |
2660 | - | 2519 (iii) a member organization. | |
2661 | - | 2520 (b) "Affiliated company" does not include a business entity for which the | |
2662 | - | 2521commissioner issues an order finding that the business entity is not an affiliated company. | |
2663 | - | 2522 (2) "Alien captive insurance company" means an insurer: | |
2664 | - | 2523 (a) formed to write insurance business for a parent or affiliate of the insurer; and | |
2665 | - | 2524 (b) licensed pursuant to the laws of an alien or foreign jurisdiction that imposes | |
2666 | - | 2525statutory or regulatory standards: | |
2667 | - | 2526 (i) on a business entity transacting the business of insurance in the alien or foreign | |
2668 | - | 2527jurisdiction; and | |
2669 | - | 2528 (ii) in a form acceptable to the commissioner. | |
2670 | - | 2529 (3) "Applicant captive insurance company" means an entity that has submitted an | |
2671 | - | 2530application for a certificate of authority for a captive insurance company, unless the application | |
2672 | - | 2531has been denied or withdrawn. | |
2673 | - | 2532 (4) "Association" means a legal association of two or more persons that [has been in | |
2674 | - | 2533continuous existence for at least one year if] meets the following requirements: | |
2675 | - | 2534 (a) the persons are exposed to similar or related liability because of related, similar, or | |
2676 | - | 2535common business trade, products, services, premises, or operations; and | |
2677 | - | 2536 (b) [(a)] (i) the association or [its] the association's member organizations: | |
2678 | - | 2537 [(i)] (A) own, control, or hold with power to vote all of the outstanding voting | |
2679 | - | 2538securities of an association captive insurance company incorporated as a stock insurer; [or] | |
2680 | - | 2539 [(ii)] (B) have complete voting control over an association captive insurance company Enrolled Copy H.B. 410 | |
2979 | + | 2878the Department of Health and Human Services if the program provides program benefits to | |
2980 | + | 2879children enrolled in the Utah Children's Health Insurance Program created in Title 26, Chapter | |
2981 | + | 288040, Utah Children's Health Insurance Act; | |
2982 | + | 2881 (q) establish rules and procedures governing the admission of political subdivisions or | |
2983 | + | 2882educational institutions and their employees to the program; | |
2984 | + | 2883 (r) (i) contract directly with medical providers to provide services for covered | |
2985 | + | 2884individuals at commercially competitive rates; and | |
2986 | + | 2885 (ii) (A) discontinue the preferred network, which offers in-network access to all | |
2987 | + | 2886in-state hospitals, for the state risk pool created in Subsection 49-20-202(1)(a) for plan years | |
2988 | + | 2887starting on or after July 1, 2022; and | |
2989 | + | 2888 (B) for an employee in the state risk pool who fails to elect one of the remaining | |
2990 | + | 2889networks before July 1, 2022, enroll the employee and the employee's dependents into the | |
2991 | + | 2890network that best reflects the utilization pattern of that employee and the employee's | |
2992 | + | 2891dependents; | |
2993 | + | 2892 (s) (i) require state employees and the state employees' dependents to participate in the | |
2994 | + | 2893electronic exchange of clinical health records in accordance with Section 26-1-37 unless the | |
2995 | + | 2894enrollee opts out of participation; and | |
2996 | + | 2895 (ii) prior to enrolling the state employee, each time the state employee logs onto the | |
2997 | + | 2896program's website, and each time the enrollee receives written enrollment information from the | |
2998 | + | 2897program, provide notice to the enrollee of the enrollee's participation in the electronic exchange | |
2999 | + | 2898of clinical health records and the option to opt out of participation at any time; | |
3000 | + | 2899 (t) at the request of a procurement unit, as that term is defined in Section 63G-6a-103, | |
3001 | + | 2900that administers benefits to program recipients who are not covered by Title 26, Utah Health | |
3002 | + | 2901Code, provide services for: | |
3003 | + | 2902 (i) drugs; | |
3004 | + | 2903 (ii) medical devices; or | |
3005 | + | 2904 (iii) other types of medical care; and | |
3006 | + | 2905 (u) take additional actions necessary or appropriate to carry out the purposes of this | |
3007 | + | 2906chapter. | |
3008 | + | 2907 (2) (a) Funds budgeted and expended shall accrue from rates paid by the covered | |
3009 | + | 2908employers and covered individuals. 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
2681 | 3010 | - 95 - | |
2682 | - | 2540incorporated as a mutual insurer; or | |
2683 | - | 2541 (C) have complete voting control over an association captive insurance company | |
2684 | - | 2542formed as a limited liability company; or | |
2685 | - | 2543 [(b)] (ii) the association's member organizations collectively constitute all of the | |
2686 | - | 2544subscribers of an association captive insurance company formed as a reciprocal insurer[; or]. | |
2687 | - | 2545 [(c) the association or the association's member organizations have complete voting | |
2688 | - | 2546control over an association captive insurance company formed as a limited liability company.] | |
2689 | - | 2547 (5) "Association captive insurance company" means a business entity that insures risks | |
2690 | - | 2548of: | |
2691 | - | 2549 (a) a member organization of the association; | |
2692 | - | 2550 (b) an affiliate of a member organization of the association; and | |
2693 | - | 2551 (c) the association. | |
2694 | - | 2552 (6) "Branch business" means an insurance business transacted by a branch captive | |
2695 | - | 2553insurance company in this state. | |
2696 | - | 2554 (7) "Branch captive insurance company" means an alien captive insurance company | |
2697 | - | 2555that has a certificate of authority from the commissioner to transact the business of insurance in | |
2698 | - | 2556this state through a captive insurance company that is domiciled outside of this state. | |
2699 | - | 2557 (8) "Branch operation" means a business operation of a branch captive insurance | |
2700 | - | 2558company in this state. | |
2701 | - | 2559 (9) (a) "Captive insurance company" means the same as that term is defined in Section | |
2702 | - | 256031A-1-301. | |
2703 | - | 2561 (b) "Captive insurance company" includes any of the following formed or holding a | |
2704 | - | 2562certificate of authority under this chapter: | |
2705 | - | 2563 (i) a branch captive insurance company; | |
2706 | - | 2564 (ii) a pure captive insurance company; | |
2707 | - | 2565 (iii) an association captive insurance company; | |
2708 | - | 2566 (iv) a sponsored captive insurance company; H.B. 410 | |
2709 | - | Enrolled Copy | |
3011 | + | 2909 (b) The board shall approve administrative costs and report the administrative costs to | |
3012 | + | 2910the governor and the Legislature. | |
3013 | + | 2911 (3) The Division of Human Resource Management shall include the benefit and rate | |
3014 | + | 2912adjustments described in Subsection (1)(j) in the total compensation plan recommended to the | |
3015 | + | 2913governor required under Subsection 63A-17-307(5)(a). | |
3016 | + | 2914 (4) The program may establish a partnership with a public entity in a different state to | |
3017 | + | 2915purchase or share services related to the administration of medical benefits if: | |
3018 | + | 2916 (a) the program receives approval for the partnership from the board; and | |
3019 | + | 2917 (b) the partnership: | |
3020 | + | 2918 (i) creates cost savings for Utah; | |
3021 | + | 2919 (ii) does not commingle state funds with funds of the public entity in the other state; | |
3022 | + | 2920and | |
3023 | + | 2921 (iii) does not pose a greater actuarial risk to Utah than the program has already | |
3024 | + | 2922assumed. | |
3025 | + | 2923 Section 24. Section 63J-1-602.1 is amended to read: | |
3026 | + | 2924 63J-1-602.1. List of nonlapsing appropriations from accounts and funds. | |
3027 | + | 2925 Appropriations made from the following accounts or funds are nonlapsing: | |
3028 | + | 2926 (1) The Utah Intracurricular Student Organization Support for Agricultural Education | |
3029 | + | 2927and Leadership Restricted Account created in Section 4-42-102. | |
3030 | + | 2928 (2) The Native American Repatriation Restricted Account created in Section 9-9-407. | |
3031 | + | 2929 (3) The Martin Luther King, Jr. Civil Rights Support Restricted Account created in | |
3032 | + | 2930Section 9-18-102. | |
3033 | + | 2931 (4) The National Professional Men's Soccer Team Support of Building Communities | |
3034 | + | 2932Restricted Account created in Section 9-19-102. | |
3035 | + | 2933 (5) Funds collected for directing and administering the C-PACE district created in | |
3036 | + | 2934Section 11-42a-106. | |
3037 | + | 2935 (6) Money received by the Utah Inland Port Authority, as provided in Section | |
3038 | + | 293611-58-105. | |
3039 | + | 2937 (7) The "Latino Community Support Restricted Account" created in Section 13-1-16. | |
3040 | + | 2938 (8) The Clean Air Support Restricted Account created in Section 19-1-109. | |
3041 | + | 2939 (9) The Division of Air Quality Oil, Gas, and Mining Restricted Account created in 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
2710 | 3042 | - 96 - | |
2711 | - | 2567 (v) an industrial insured captive insurance company, including an industrial insured | |
2712 | - | 2568captive insurance company formed as a risk retention group captive in this state pursuant to the | |
2713 | - | 2569provisions of the Federal Liability Risk Retention Act of 1986; | |
2714 | - | 2570 (vi) a special purpose captive insurance company; or | |
2715 | - | 2571 (vii) a special purpose financial captive insurance company. | |
2716 | - | 2572 (10) "Commissioner" means Utah's Insurance Commissioner or the commissioner's | |
2717 | - | 2573designee. | |
2718 | - | 2574 (11) "Common ownership and control" means that two or more captive insurance | |
2719 | - | 2575companies are owned or controlled by the same person or group of persons as follows: | |
2720 | - | 2576 (a) in the case of a captive insurance company that is a stock corporation, the direct or | |
2721 | - | 2577indirect ownership of 80% or more of the outstanding voting stock of the stock corporation; | |
2722 | - | 2578 (b) in the case of a captive insurance company that is a mutual corporation, the direct | |
2723 | - | 2579or indirect ownership of 80% or more of the surplus and the voting power of the mutual | |
2724 | - | 2580corporation; | |
2725 | - | 2581 (c) in the case of a captive insurance company that is a limited liability company, the | |
2726 | - | 2582direct or indirect ownership by the same member or members of 80% or more of the | |
2727 | - | 2583membership interests in the limited liability company; or | |
2728 | - | 2584 (d) in the case of a sponsored captive insurance company, a protected cell is a separate | |
2729 | - | 2585captive insurance company owned and controlled by the protected cell's participant, only if: | |
2730 | - | 2586 (i) the participant is the only participant with respect to the protected cell; and | |
2731 | - | 2587 (ii) the participant is the sponsor or is affiliated with the sponsor of the sponsored | |
2732 | - | 2588captive insurance company through common ownership and control. | |
2733 | - | 2589 (12) "Consolidated debt to total capital ratio" means the ratio of Subsection (12)(a) to | |
2734 | - | 2590(b). | |
2735 | - | 2591 (a) This Subsection (12)(a) is an amount equal to the sum of all debts and hybrid | |
2736 | - | 2592capital instruments including: | |
2737 | - | 2593 (i) all borrowings from depository institutions; Enrolled Copy H.B. 410 | |
3043 | + | 2940Section 19-2a-106. | |
3044 | + | 2941 (10) The Division of Water Quality Oil, Gas, and Mining Restricted Account created in | |
3045 | + | 2942Section 19-5-126. | |
3046 | + | 2943 (11) The "Support for State-Owned Shooting Ranges Restricted Account" created in | |
3047 | + | 2944Section 23-14-13.5. | |
3048 | + | 2945 (12) Award money under the State Asset Forfeiture Grant Program, as provided under | |
3049 | + | 2946Section 24-4-117. | |
3050 | + | 2947 (13) Funds collected from the program fund for local health department expenses | |
3051 | + | 2948incurred in responding to a local health emergency under Section 26-1-38. | |
3052 | + | 2949 (14) The Children with Cancer Support Restricted Account created in Section | |
3053 | + | 295026-21a-304. | |
3054 | + | 2951 (15) State funds for matching federal funds in the Children's Health Insurance Program | |
3055 | + | 2952as provided in Section 26-40-108. | |
3056 | + | 2953 (16) The Children with Heart Disease Support Restricted Account created in Section | |
3057 | + | 295426-58-102. | |
3058 | + | 2955 (17) The Technology Development Restricted Account created in Section 31A-3-104. | |
3059 | + | 2956 (18) The Criminal Background Check Restricted Account created in Section | |
3060 | + | 295731A-3-105. | |
3061 | + | 2958 (19) The Captive Insurance Restricted Account created in Section 31A-3-304, except | |
3062 | + | 2959to the extent that Section 31A-3-304 makes the money received under that section free revenue. | |
3063 | + | 2960 (20) The Title Licensee Enforcement Restricted Account created in Section | |
3064 | + | 296131A-23a-415. | |
3065 | + | 2962 (21) The Health Insurance Actuarial Review Restricted Account created in Section | |
3066 | + | 296331A-30-115. | |
3067 | + | 2964 (22) The State Mandated Insurer Payments Restricted Account created in Section | |
3068 | + | 296531A-30-118. | |
3069 | + | 2966 [(22)] (23) The Insurance Fraud Investigation Restricted Account created in Section | |
3070 | + | 296731A-31-108. | |
3071 | + | 2968 [(23)] (24) The Underage Drinking Prevention Media and Education Campaign | |
3072 | + | 2969Restricted Account created in Section 32B-2-306. | |
3073 | + | 2970 [(24)] (25) The Drinking While Pregnant Prevention Media and Education Campaign 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
2738 | 3074 | - 97 - | |
2739 | - | 2594 (ii) all senior debt; | |
2740 | - | 2595 (iii) all subordinated debts; | |
2741 | - | 2596 (iv) all trust preferred shares; and | |
2742 | - | 2597 (v) all other hybrid capital instruments that are not included in the determination of | |
2743 | - | 2598consolidated GAAP net worth issued and outstanding. | |
2744 | - | 2599 (b) This Subsection (12)(b) is an amount equal to the sum of: | |
2745 | - | 2600 (i) total capital consisting of all debts and hybrid capital instruments as described in | |
2746 | - | 2601Subsection (12)(a); and | |
2747 | - | 2602 (ii) shareholders' equity determined in accordance with generally accepted accounting | |
2748 | - | 2603principles for reporting to the United States Securities and Exchange Commission. | |
2749 | - | 2604 (13) "Consolidated GAAP net worth" means the consolidated shareholders' or | |
2750 | - | 2605members' equity determined in accordance with generally accepted accounting principles for | |
2751 | - | 2606reporting to the United States Securities and Exchange Commission. | |
2752 | - | 2607 (14) "Controlled unaffiliated business" means a business entity: | |
2753 | - | 2608 (a) (i) in the case of a pure captive insurance company, that is not in the corporate or | |
2754 | - | 2609limited liability company system of a parent or the parent's affiliate; or | |
2755 | - | 2610 (ii) in the case of an industrial insured captive insurance company, that is not in the | |
2756 | - | 2611corporate or limited liability company system of an industrial insured or an affiliated company | |
2757 | - | 2612of the industrial insured; | |
2758 | - | 2613 (b) (i) in the case of a pure captive insurance company, that has a contractual | |
2759 | - | 2614relationship with a parent or affiliate; or | |
2760 | - | 2615 (ii) in the case of an industrial insured captive insurance company, that has a | |
2761 | - | 2616contractual relationship with an industrial insured or an affiliated company of the industrial | |
2762 | - | 2617insured; and | |
2763 | - | 2618 (c) whose risks that are or will be insured by a pure captive insurance company, an | |
2764 | - | 2619industrial insured captive insurance company, or both, are managed in accordance with | |
2765 | - | 2620Subsection 31A-37-106(1)(j) by: H.B. 410 | |
2766 | - | Enrolled Copy | |
3075 | + | 2971Restricted Account created in Section 32B-2-308. | |
3076 | + | 2972 [(25)] (26) The School Readiness Restricted Account created in Section 35A-15-203. | |
3077 | + | 2973 [(26)] (27) Money received by the Utah State Office of Rehabilitation for the sale of | |
3078 | + | 2974certain products or services, as provided in Section 35A-13-202. | |
3079 | + | 2975 [(27)] (28) The Oil and Gas Administrative Penalties Account created in Section | |
3080 | + | 297640-6-11. | |
3081 | + | 2977 [(28)] (29) The Oil and Gas Conservation Account created in Section 40-6-14.5. | |
3082 | + | 2978 [(29)] (30) The Division of Oil, Gas, and Mining Restricted account created in Section | |
3083 | + | 297940-6-23. | |
3084 | + | 2980 [(30)] (31) The Electronic Payment Fee Restricted Account created by Section | |
3085 | + | 298141-1a-121 to the Motor Vehicle Division. | |
3086 | + | 2982 [(31)] (32) The Motor Vehicle Enforcement Division Temporary Permit Restricted | |
3087 | + | 2983Account created by Section 41-3-110 to the State Tax Commission. | |
3088 | + | 2984 [(32)] (33) The Utah Law Enforcement Memorial Support Restricted Account created | |
3089 | + | 2985in Section 53-1-120. | |
3090 | + | 2986 [(33)] (34) The State Disaster Recovery Restricted Account to the Division of | |
3091 | + | 2987Emergency Management, as provided in Section 53-2a-603. | |
3092 | + | 2988 [(34)] (35) The Post Disaster Recovery and Mitigation Restricted Account created in | |
3093 | + | 2989Section 53-2a-1302. | |
3094 | + | 2990 [(35)] (36) The Department of Public Safety Restricted Account to the Department of | |
3095 | + | 2991Public Safety, as provided in Section 53-3-106. | |
3096 | + | 2992 [(36)] (37) The Utah Highway Patrol Aero Bureau Restricted Account created in | |
3097 | + | 2993Section 53-8-303. | |
3098 | + | 2994 [(37)] (38) The DNA Specimen Restricted Account created in Section 53-10-407. | |
3099 | + | 2995 [(38)] (39) The Canine Body Armor Restricted Account created in Section 53-16-201. | |
3100 | + | 2996 [(39)] (40) The Technical Colleges Capital Projects Fund created in Section | |
3101 | + | 299753B-2a-118. | |
3102 | + | 2998 [(40)] (41) The Higher Education Capital Projects Fund created in Section | |
3103 | + | 299953B-22-202. | |
3104 | + | 3000 [(41)] (42) A certain portion of money collected for administrative costs under the | |
3105 | + | 3001School Institutional Trust Lands Management Act, as provided under Section 53C-3-202. 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
2767 | 3106 | - 98 - | |
2768 | - | 2621 (i) (A) a pure captive insurance company; or | |
2769 | - | 2622 (B) an industrial insured captive insurance company; or | |
2770 | - | 2623 (ii) a parent or affiliate of: | |
2771 | - | 2624 (A) a pure captive insurance company; or | |
2772 | - | 2625 (B) an industrial insured captive insurance company. | |
2773 | - | 2626 (15) "Criminal act" means an act for which a person receives a verdict or finding of | |
2774 | - | 2627guilt after a criminal trial or a plea of guilty or nolo contendere to a criminal charge. | |
2775 | - | 2628 (16) "Establisher" means a person who establishes a business entity or a trust. | |
2776 | - | 2629 (17) "Governing body" means the persons who hold the ultimate authority to direct and | |
2777 | - | 2630manage the affairs of an entity. | |
2778 | - | 2631 (18) "Industrial insured" means an insured: | |
2779 | - | 2632 (a) that produces insurance: | |
2780 | - | 2633 (i) by the services of a full-time employee acting as a risk manager or insurance | |
2781 | - | 2634manager; or | |
2782 | - | 2635 (ii) using the services of a regularly and continuously qualified insurance consultant; | |
2783 | - | 2636 (b) whose aggregate annual premiums for insurance on all risks total at least $25,000; | |
2784 | - | 2637and | |
2785 | - | 2638 (c) that has at least 25 full-time employees. | |
2786 | - | 2639 (19) "Industrial insured captive insurance company" means a business entity that: | |
2787 | - | 2640 (a) insures risks of the industrial insureds that comprise the industrial insured group; | |
2788 | - | 2641and | |
2789 | - | 2642 (b) may insure the risks of: | |
2790 | - | 2643 (i) an affiliated company of an industrial insured; or | |
2791 | - | 2644 (ii) a controlled unaffiliated business of: | |
2792 | - | 2645 (A) an industrial insured; or | |
2793 | - | 2646 (B) an affiliated company of an industrial insured. | |
2794 | - | 2647 (20) "Industrial insured group" means: Enrolled Copy H.B. 410 | |
3107 | + | 3002 [(42)] (43) The Public Utility Regulatory Restricted Account created in Section | |
3108 | + | 300354-5-1.5, subject to Subsection 54-5-1.5(4)(d). | |
3109 | + | 3004 [(43)] (44) Funds collected from a surcharge fee to provide certain licensees with | |
3110 | + | 3005access to an electronic reference library, as provided in Section 58-3a-105. | |
3111 | + | 3006 [(44)] (45) Certain fines collected by the Division of Professional Licensing for | |
3112 | + | 3007violation of unlawful or unprofessional conduct that are used for education and enforcement | |
3113 | + | 3008purposes, as provided in Section 58-17b-505. | |
3114 | + | 3009 [(45)] (46) Funds collected from a surcharge fee to provide certain licensees with | |
3115 | + | 3010access to an electronic reference library, as provided in Section 58-22-104. | |
3116 | + | 3011 [(46)] (47) Funds collected from a surcharge fee to provide certain licensees with | |
3117 | + | 3012access to an electronic reference library, as provided in Section 58-55-106. | |
3118 | + | 3013 [(47)] (48) Funds collected from a surcharge fee to provide certain licensees with | |
3119 | + | 3014access to an electronic reference library, as provided in Section 58-56-3.5. | |
3120 | + | 3015 [(48)] (49) Certain fines collected by the Division of Professional Licensing for use in | |
3121 | + | 3016education and enforcement of the Security Personnel Licensing Act, as provided in Section | |
3122 | + | 301758-63-103. | |
3123 | + | 3018 [(49)] (50) The Relative Value Study Restricted Account created in Section 59-9-105. | |
3124 | + | 3019 [(50)] (51) The Cigarette Tax Restricted Account created in Section 59-14-204. | |
3125 | + | 3020 [(51)] (52) Funds paid to the Division of Real Estate for the cost of a criminal | |
3126 | + | 3021background check for a mortgage loan license, as provided in Section 61-2c-202. | |
3127 | + | 3022 [(52)] (53) Funds paid to the Division of Real Estate for the cost of a criminal | |
3128 | + | 3023background check for principal broker, associate broker, and sales agent licenses, as provided | |
3129 | + | 3024in Section 61-2f-204. | |
3130 | + | 3025 [(53)] (54) Certain funds donated to the Department of Health and Human Services, as | |
3131 | + | 3026provided in Section 26B-1-202. | |
3132 | + | 3027 [(54)] (55) The National Professional Men's Basketball Team Support of Women and | |
3133 | + | 3028Children Issues Restricted Account created in Section 26B-1-302. | |
3134 | + | 3029 [(55)] (56) Certain funds donated to the Division of Child and Family Services, as | |
3135 | + | 3030provided in Section 80-2-404. | |
3136 | + | 3031 [(56)] (57) The Choose Life Adoption Support Restricted Account created in Section | |
3137 | + | 303280-2-502. 02-23-23 1:24 PM 2nd Sub. (Gray) H.B. 410 | |
2795 | 3138 | - 99 - | |
2796 | - | 2648 (a) a group of industrial insureds that collectively: | |
2797 | - | 2649 (i) own, control, or hold with power to vote all of the outstanding voting securities of | |
2798 | - | 2650an industrial insured captive insurance company incorporated or organized as a limited liability | |
2799 | - | 2651company as a stock insurer; or | |
2800 | - | 2652 (ii) have complete voting control over an industrial insured captive insurance company | |
2801 | - | 2653incorporated or organized as a limited liability company as a mutual insurer; | |
2802 | - | 2654 (b) a group that is: | |
2803 | - | 2655 (i) created under the Product Liability Risk Retention Act of 1981, 15 U.S.C. Sec. 3901 | |
2804 | - | 2656et seq., as amended, as a corporation or other limited liability association; and | |
2805 | - | 2657 (ii) taxable under this title as a: | |
2806 | - | 2658 (A) stock corporation; or | |
2807 | - | 2659 (B) mutual insurer; or | |
2808 | - | 2660 (c) a group that has complete voting control over an industrial captive insurance | |
2809 | - | 2661company formed as a limited liability company. | |
2810 | - | 2662 (21) "Member organization" means a person that belongs to an association. | |
2811 | - | 2663 (22) "Parent" means a person that directly or indirectly owns, controls, or holds with | |
2812 | - | 2664power to vote more than 50% of the outstanding securities of an organization. | |
2813 | - | 2665 (23) "Participant" means an entity that is insured by a sponsored captive insurance | |
2814 | - | 2666company: | |
2815 | - | 2667 (a) if the losses of the participant are limited through a participant contract to the assets | |
2816 | - | 2668of a protected cell; and | |
2817 | - | 2669 (b) (i) the entity is permitted to be a participant under Section 31A-37-403; or | |
2818 | - | 2670 (ii) the entity is an affiliate of an entity permitted to be a participant under Section | |
2819 | - | 267131A-37-403. | |
2820 | - | 2672 (24) "Participant contract" means a contract by which a sponsored captive insurance | |
2821 | - | 2673company: | |
2822 | - | 2674 (a) insures the risks of a participant; and H.B. 410 | |
2823 | - | Enrolled Copy | |
3139 | + | 3033 [(57)] (58) Funds collected by the Office of Administrative Rules for publishing, as | |
3140 | + | 3034provided in Section 63G-3-402. | |
3141 | + | 3035 [(58)] (59) The Immigration Act Restricted Account created in Section 63G-12-103. | |
3142 | + | 3036 [(59)] (60) Money received by the military installation development authority, as | |
3143 | + | 3037provided in Section 63H-1-504. | |
3144 | + | 3038 [(60)] (61) The Computer Aided Dispatch Restricted Account created in Section | |
3145 | + | 303963H-7a-303. | |
3146 | + | 3040 [(61)] (62) The Unified Statewide 911 Emergency Service Account created in Section | |
3147 | + | 304163H-7a-304. | |
3148 | + | 3042 [(62)] (63) The Utah Statewide Radio System Restricted Account created in Section | |
3149 | + | 304363H-7a-403. | |
3150 | + | 3044 [(63)] (64) The Utah Capital Investment Restricted Account created in Section | |
3151 | + | 304563N-6-204. | |
3152 | + | 3046 [(64)] (65) The Motion Picture Incentive Account created in Section 63N-8-103. | |
3153 | + | 3047 [(65)] (66) Certain money payable for expenses of the Pete Suazo Utah Athletic | |
3154 | + | 3048Commission, as provided under Section 63N-10-301. | |
3155 | + | 3049 [(66)] (67) Funds collected by the housing of state probationary inmates or state parole | |
3156 | + | 3050inmates, as provided in Subsection 64-13e-104(2). | |
3157 | + | 3051 [(67)] (68) Certain forestry and fire control funds utilized by the Division of Forestry, | |
3158 | + | 3052Fire, and State Lands, as provided in Section 65A-8-103. | |
3159 | + | 3053 [(68)] (69) The Amusement Ride Safety Restricted Account, as provided in Section | |
3160 | + | 305472-16-204. | |
3161 | + | 3055 [(69)] (70) Certain funds received by the Office of the State Engineer for well drilling | |
3162 | + | 3056fines or bonds, as provided in Section 73-3-25. | |
3163 | + | 3057 [(70)] (71) The Water Resources Conservation and Development Fund, as provided in | |
3164 | + | 3058Section 73-23-2. | |
3165 | + | 3059 [(71)] (72) Funds donated or paid to a juvenile court by private sources, as provided in | |
3166 | + | 3060Subsection 78A-6-203(1)(c). | |
3167 | + | 3061 [(72)] (73) Fees for certificate of admission created under Section 78A-9-102. | |
3168 | + | 3062 [(73)] (74) Funds collected for adoption document access as provided in Sections | |
3169 | + | 306378B-6-141, 78B-6-144, and 78B-6-144.5. 2nd Sub. (Gray) H.B. 410 02-23-23 1:24 PM | |
2824 | 3170 | - 100 - | |
2825 | - | 2675 (b) limits the losses of the participant to the assets of a protected cell. | |
2826 | - | 2676 (25) "Protected cell" means a separate account established and maintained by a | |
2827 | - | 2677sponsored captive insurance company for one participant. | |
2828 | - | 2678 (26) "Pure captive insurance company" means a business entity that insures risks of a | |
2829 | - | 2679parent or affiliate of the business entity. | |
2830 | - | 2680 (27) "Special purpose financial captive insurance company" means the same as that | |
2831 | - | 2681term is defined in Section 31A-37a-102. | |
2832 | - | 2682 (28) "Sponsor" means an entity that: | |
2833 | - | 2683 (a) meets the requirements of Section 31A-37-402; and | |
2834 | - | 2684 (b) is approved by the commissioner to: | |
2835 | - | 2685 (i) provide all or part of the capital and surplus required by applicable law in an amount | |
2836 | - | 2686of not less than $350,000, which amount the commissioner may increase by order if the | |
2837 | - | 2687commissioner considers it necessary; and | |
2838 | - | 2688 (ii) organize and operate a sponsored captive insurance company. | |
2839 | - | 2689 (29) "Sponsored captive insurance company" means a captive insurance company: | |
2840 | - | 2690 (a) in which the minimum capital and surplus required by applicable law is provided by | |
2841 | - | 2691one or more sponsors; | |
2842 | - | 2692 (b) that is formed or holding a certificate of authority under this chapter; | |
2843 | - | 2693 (c) that insures the risks of a separate participant through the contract; and | |
2844 | - | 2694 (d) that segregates each participant's liability through one or more protected cells. | |
2845 | - | 2695 (30) "Treasury rates" means the United States Treasury strip asked yield as published | |
2846 | - | 2696in the Wall Street Journal as of a balance sheet date. | |
2847 | - | 2697 Section 21. Section 31A-37-202 is amended to read: | |
2848 | - | 2698 31A-37-202. Permissive areas of insurance. | |
2849 | - | 2699 (1) Except as provided in Subsections (2) and (3), a captive insurance company may | |
2850 | - | 2700not directly insure a risk other than the risk of the captive insurance company's parent or | |
2851 | - | 2701affiliated company. Enrolled Copy H.B. 410 | |
2852 | - | - 101 - | |
2853 | - | 2702 (2) In addition to the risks described in Subsection (1), an association captive insurance | |
2854 | - | 2703company may insure the risk of: | |
2855 | - | 2704 (a) a member organization of the association captive insurance company's association; | |
2856 | - | 2705or | |
2857 | - | 2706 (b) an affiliate of a member organization of the association captive insurance | |
2858 | - | 2707company's association. | |
2859 | - | 2708 (3) The following may insure a risk of a controlled unaffiliated business: | |
2860 | - | 2709 (a) an industrial insured captive insurance company; | |
2861 | - | 2710 (b) a protected cell; | |
2862 | - | 2711 (c) a pure captive insurance company; or | |
2863 | - | 2712 (d) a sponsored captive insurance company. | |
2864 | - | 2713 (4) To the extent allowed by a captive insurance company's organizational charter, a | |
2865 | - | 2714captive insurance company may provide any type of insurance described in this title, except: | |
2866 | - | 2715 (a) workers' compensation insurance; | |
2867 | - | 2716 (b) personal motor vehicle insurance; | |
2868 | - | 2717 (c) homeowners' insurance; and | |
2869 | - | 2718 (d) any component of the types of insurance described in Subsections (4)(a) through | |
2870 | - | 2719(c). | |
2871 | - | 2720 (5) A captive insurance company may not provide coverage for: | |
2872 | - | 2721 (a) a wager or gaming risk; | |
2873 | - | 2722 (b) loss of an election; or | |
2874 | - | 2723 (c) the penal consequences of a crime. | |
2875 | - | 2724 (6) Unless the punitive damages award arises out of a criminal act of an insured, a | |
2876 | - | 2725captive insurance company may provide coverage for punitive damages awarded, including | |
2877 | - | 2726through adjudication or compromise, against the captive insurance company's: | |
2878 | - | 2727 (a) parent; or | |
2879 | - | 2728 (b) affiliated company[; or]. H.B. 410 | |
2880 | - | Enrolled Copy | |
2881 | - | - 102 - | |
2882 | - | 2729 [(c) controlled unaffiliated business.] | |
2883 | - | 2730 (7) Notwithstanding Subsection (4), if approved by the commissioner, a captive | |
2884 | - | 2731insurance company may insure as a reimbursement a limited layer or deductible of workers' | |
2885 | - | 2732compensation coverage. | |
2886 | - | 2733 Section 22. Section 31A-37-204 is amended to read: | |
2887 | - | 2734 31A-37-204. Paid-in capital -- Other capital. | |
2888 | - | 2735 (1) (a) The commissioner may not issue a certificate of authority to a company | |
2889 | - | 2736described in Subsection (1)(c) unless the company possesses and thereafter maintains | |
2890 | - | 2737unimpaired paid-in capital and unimpaired paid-in surplus of: | |
2891 | - | 2738 (i) in the case of a pure captive insurance company[,]: | |
2892 | - | 2739 (A) except as provided in Subsection (1)(a)(i)(B), not less than $250,000; or | |
2893 | - | 2740 (B) if the pure captive insurance company is not acting as a pool that facilitates risk | |
2894 | - | 2741distribution for other captive insurers, an amount that is the greater of: | |
2895 | - | 2742 (I) not less than 20% of the company's total aggregate risk; or | |
2896 | - | 2743 (II) $50,000; | |
2897 | - | 2744 (ii) in the case of an association captive insurance company, not less than $750,000; | |
2898 | - | 2745 (iii) in the case of an industrial insured captive insurance company incorporated as a | |
2899 | - | 2746stock insurer, not less than $700,000; | |
2900 | - | 2747 (iv) in the case of a sponsored captive insurance company, not less than $500,000, of | |
2901 | - | 2748which a minimum of $200,000 is provided by the sponsor; or | |
2902 | - | 2749 (v) in the case of a special purpose captive insurance company, an amount determined | |
2903 | - | 2750by the commissioner after giving due consideration to the company's business plan, feasibility | |
2904 | - | 2751study, and pro-formas, including the nature of the risks to be insured. | |
2905 | - | 2752 (b) The paid-in capital and surplus required under this Subsection (1) may be in the | |
2906 | - | 2753form of: | |
2907 | - | 2754 (i) (A) cash; or | |
2908 | - | 2755 (B) cash equivalent; Enrolled Copy H.B. 410 | |
2909 | - | - 103 - | |
2910 | - | 2756 (ii) an irrevocable letter of credit: | |
2911 | - | 2757 (A) issued by: | |
2912 | - | 2758 (I) a bank chartered by this state; [or] | |
2913 | - | 2759 (II) a member bank of the Federal Reserve System; [and] or | |
2914 | - | 2760 (III) a member bank of the Federal Deposit Insurance Corporation; | |
2915 | - | 2761 (B) approved by the commissioner; | |
2916 | - | 2762 (iii) marketable securities as determined by Subsection (5); or | |
2917 | - | 2763 (iv) some other thing of value approved by the commissioner, for a period not to | |
2918 | - | 2764exceed 45 days, to facilitate the formation of a captive insurance company in this state pursuant | |
2919 | - | 2765to an approved plan of liquidation and reorganization of another captive insurance company or | |
2920 | - | 2766alien captive insurance company in another jurisdiction. | |
2921 | - | 2767 (c) This Subsection (1) applies to: | |
2922 | - | 2768 (i) a pure captive insurance company; | |
2923 | - | 2769 (ii) a sponsored captive insurance company; | |
2924 | - | 2770 (iii) a special purpose captive insurance company; | |
2925 | - | 2771 (iv) an association captive insurance company; or | |
2926 | - | 2772 (v) an industrial insured captive insurance company. | |
2927 | - | 2773 (2) (a) The commissioner may, under Section 31A-37-106, prescribe additional capital | |
2928 | - | 2774based on the type, volume, and nature of insurance business transacted. | |
2929 | - | 2775 (b) The capital prescribed by the commissioner under this Subsection (2) may be in the | |
2930 | - | 2776form of: | |
2931 | - | 2777 (i) cash; | |
2932 | - | 2778 (ii) an irrevocable letter of credit issued by: | |
2933 | - | 2779 (A) a bank chartered by this state; or | |
2934 | - | 2780 (B) a member bank of the Federal Reserve System; or | |
2935 | - | 2781 (iii) marketable securities as determined by Subsection (5). | |
2936 | - | 2782 (3) (a) Except as provided in Subsection (3)(c), a branch captive insurance company, as H.B. 410 | |
2937 | - | Enrolled Copy | |
2938 | - | - 104 - | |
2939 | - | 2783security for the payment of liabilities attributable to branch operations, shall, through its branch | |
2940 | - | 2784operations, establish and maintain a trust fund: | |
2941 | - | 2785 (i) funded by an irrevocable letter of credit or other acceptable asset; and | |
2942 | - | 2786 (ii) in the United States for the benefit of: | |
2943 | - | 2787 (A) United States policyholders; and | |
2944 | - | 2788 (B) United States ceding insurers under: | |
2945 | - | 2789 (I) insurance policies issued; or | |
2946 | - | 2790 (II) reinsurance contracts issued or assumed. | |
2947 | - | 2791 (b) The amount of the security required under this Subsection (3) shall be no less than: | |
2948 | - | 2792 (i) the capital and surplus required by this chapter; and | |
2949 | - | 2793 (ii) the reserves on the insurance policies or reinsurance contracts, including: | |
2950 | - | 2794 (A) reserves for losses; | |
2951 | - | 2795 (B) allocated loss adjustment expenses; | |
2952 | - | 2796 (C) incurred but not reported losses; and | |
2953 | - | 2797 (D) unearned premiums with regard to business written through branch operations. | |
2954 | - | 2798 (c) Notwithstanding the other provisions of this Subsection (3): | |
2955 | - | 2799 (i) the commissioner may permit a branch captive insurance company that is required | |
2956 | - | 2800to post security for loss reserves on branch business by its reinsurer to reduce the funds in the | |
2957 | - | 2801trust account required by this section by the same amount as the security posted if the security | |
2958 | - | 2802remains posted with the reinsurer; and | |
2959 | - | 2803 (ii) a branch captive insurance company that is the result of the licensure of an alien | |
2960 | - | 2804captive insurance company that is not formed in an alien jurisdiction is not subject to the | |
2961 | - | 2805requirements of this Subsection (3). | |
2962 | - | 2806 (4) (a) A captive insurance company may not pay the following without the prior | |
2963 | - | 2807approval of the commissioner: | |
2964 | - | 2808 (i) a dividend out of capital or surplus in excess of the limits under Section | |
2965 | - | 280916-10a-640; or Enrolled Copy H.B. 410 | |
2966 | - | - 105 - | |
2967 | - | 2810 (ii) a distribution with respect to capital or surplus in excess of the limits under Section | |
2968 | - | 281116-10a-640. | |
2969 | - | 2812 (b) The commissioner shall condition approval of an ongoing plan for the payment of | |
2970 | - | 2813dividends or other distributions on the retention, at the time of each payment, of capital or | |
2971 | - | 2814surplus in excess of: | |
2972 | - | 2815 (i) amounts specified by the commissioner under Section 31A-37-106; or | |
2973 | - | 2816 (ii) determined in accordance with formulas approved by the commissioner under | |
2974 | - | 2817Section 31A-37-106. | |
2975 | - | 2818 (5) For purposes of this section, marketable securities means: | |
2976 | - | 2819 (a) a bond or other evidence of indebtedness of a governmental unit in the United | |
2977 | - | 2820States or Canada or any instrumentality of the United States or Canada; or | |
2978 | - | 2821 (b) securities: | |
2979 | - | 2822 (i) traded on one or more of the following exchanges in the United States: | |
2980 | - | 2823 (A) New York; | |
2981 | - | 2824 (B) American; or | |
2982 | - | 2825 (C) NASDAQ; | |
2983 | - | 2826 (ii) when no particular security, or a substantially related security, applied toward the | |
2984 | - | 2827required minimum capital and surplus requirement of Subsection (1) represents more than 50% | |
2985 | - | 2828of the minimum capital and surplus requirement; and | |
2986 | - | 2829 (iii) when no group of up to four particular securities, consolidating substantially | |
2987 | - | 2830related securities, applied toward the required minimum capital and surplus requirement of | |
2988 | - | 2831Subsection (1) represents more than 90% of the minimum capital and surplus requirement. | |
2989 | - | 2832 (6) Notwithstanding Subsection (5), to protect the solvency and liquidity of a captive | |
2990 | - | 2833insurance company, the commissioner may reject the application of specific assets or amounts | |
2991 | - | 2834of specific assets to satisfying the requirement of Subsection (1). | |
2992 | - | 2835 Section 23. Section 49-20-401 is amended to read: | |
2993 | - | 2836 49-20-401. Program -- Powers and duties. H.B. 410 | |
2994 | - | Enrolled Copy | |
2995 | - | - 106 - | |
2996 | - | 2837 (1) The program shall: | |
2997 | - | 2838 (a) act as a self-insurer of employee benefit plans and administer those plans; | |
2998 | - | 2839 (b) enter into contracts with private insurers or carriers to underwrite employee benefit | |
2999 | - | 2840plans as considered appropriate by the program; | |
3000 | - | 2841 (c) indemnify employee benefit plans or purchase commercial reinsurance as | |
3001 | - | 2842considered appropriate by the program; | |
3002 | - | 2843 (d) provide descriptions of all employee benefit plans under this chapter in cooperation | |
3003 | - | 2844with covered employers; | |
3004 | - | 2845 (e) process claims for all employee benefit plans under this chapter or enter into | |
3005 | - | 2846contracts, after competitive bids are taken, with other benefit administrators to provide for the | |
3006 | - | 2847administration of the claims process; | |
3007 | - | 2848 (f) obtain an annual actuarial review of all health and dental benefit plans and a | |
3008 | - | 2849periodic review of all other employee benefit plans; | |
3009 | - | 2850 (g) consult with the covered employers to evaluate employee benefit plans and develop | |
3010 | - | 2851recommendations for benefit changes; | |
3011 | - | 2852 (h) annually submit a budget and audited financial statements to the governor and | |
3012 | - | 2853Legislature that includes total projected benefit costs and administrative costs; | |
3013 | - | 2854 (i) maintain reserves sufficient to liquidate the unrevealed claims liability and other | |
3014 | - | 2855liabilities of the employee benefit plans as certified by the program's consulting actuary; | |
3015 | - | 2856 (j) submit, in advance, the program's recommended benefit and rate adjustments for | |
3016 | - | 2857state employees, which may include actuarially substantiated member premium differentials | |
3017 | - | 2858between networks to: | |
3018 | - | 2859 (i) the Legislature; and | |
3019 | - | 2860 (ii) the director of the state Division of Human Resource Management; | |
3020 | - | 2861 (k) determine benefits and rates, upon approval of the board, for multi-employer risk | |
3021 | - | 2862pools, retiree coverage, and conversion coverage; | |
3022 | - | 2863 (l) determine benefits and rates based on the total estimated costs and the employee Enrolled Copy H.B. 410 | |
3023 | - | - 107 - | |
3024 | - | 2864premium share established by the Legislature, upon approval of the board, for state employees; | |
3025 | - | 2865 (m) administer benefits and rates, upon ratification of the board, for single-employer | |
3026 | - | 2866risk pools; | |
3027 | - | 2867 (n) request proposals for one or more out-of-state provider networks and a dental | |
3028 | - | 2868health plan administered by a third-party carrier at least once every three years for the purposes | |
3029 | - | 2869of: | |
3030 | - | 2870 (i) stimulating competition for the benefit of covered individuals; | |
3031 | - | 2871 (ii) establishing better geographical coverage of medical care services; and | |
3032 | - | 2872 (iii) providing coverage for both active and retired covered individuals; | |
3033 | - | 2873 (o) for a proposal that meets the criteria specified in a request for proposals and is | |
3034 | - | 2874accepted by the program: | |
3035 | - | 2875 (i) offer the proposal to active and retired state-covered individuals; and | |
3036 | - | 2876 (ii) at the option of the covered employer, offer the proposal to active and retired | |
3037 | - | 2877covered individuals of other covered employers; | |
3038 | - | 2878 (p) perform the same functions established in Subsections (1)(a), (b), (e), and (h) for | |
3039 | - | 2879the Department of Health and Human Services if the program provides program benefits to | |
3040 | - | 2880children enrolled in the Utah Children's Health Insurance Program created in Title 26, Chapter | |
3041 | - | 288140, Utah Children's Health Insurance Act; | |
3042 | - | 2882 (q) establish rules and procedures governing the admission of political subdivisions or | |
3043 | - | 2883educational institutions and their employees to the program; | |
3044 | - | 2884 (r) (i) contract directly with medical providers to provide services for covered | |
3045 | - | 2885individuals at commercially competitive rates; and | |
3046 | - | 2886 (ii) (A) discontinue the preferred network, which offers in-network access to all | |
3047 | - | 2887in-state hospitals, for the state risk pool created in Subsection 49-20-202(1)(a) for plan years | |
3048 | - | 2888starting on or after July 1, 2022; and | |
3049 | - | 2889 (B) for an employee in the state risk pool who fails to elect one of the remaining | |
3050 | - | 2890networks before July 1, 2022, enroll the employee and the employee's dependents into the H.B. 410 | |
3051 | - | Enrolled Copy | |
3052 | - | - 108 - | |
3053 | - | 2891network that best reflects the utilization pattern of that employee and the employee's | |
3054 | - | 2892dependents; | |
3055 | - | 2893 (s) (i) require state employees and the state employees' dependents to participate in the | |
3056 | - | 2894electronic exchange of clinical health records in accordance with Section 26-1-37 unless the | |
3057 | - | 2895enrollee opts out of participation; and | |
3058 | - | 2896 (ii) prior to enrolling the state employee, each time the state employee logs onto the | |
3059 | - | 2897program's website, and each time the enrollee receives written enrollment information from the | |
3060 | - | 2898program, provide notice to the enrollee of the enrollee's participation in the electronic exchange | |
3061 | - | 2899of clinical health records and the option to opt out of participation at any time; | |
3062 | - | 2900 (t) at the request of a procurement unit, as that term is defined in Section 63G-6a-103, | |
3063 | - | 2901that administers benefits to program recipients who are not covered by Title 26, Utah Health | |
3064 | - | 2902Code, provide services for: | |
3065 | - | 2903 (i) drugs; | |
3066 | - | 2904 (ii) medical devices; or | |
3067 | - | 2905 (iii) other types of medical care; and | |
3068 | - | 2906 (u) take additional actions necessary or appropriate to carry out the purposes of this | |
3069 | - | 2907chapter. | |
3070 | - | 2908 (2) (a) Funds budgeted and expended shall accrue from rates paid by the covered | |
3071 | - | 2909employers and covered individuals. | |
3072 | - | 2910 (b) The board shall approve administrative costs and report the administrative costs to | |
3073 | - | 2911the governor and the Legislature. | |
3074 | - | 2912 (3) The Division of Human Resource Management shall include the benefit and rate | |
3075 | - | 2913adjustments described in Subsection (1)(j) in the total compensation plan recommended to the | |
3076 | - | 2914governor required under Subsection 63A-17-307(5)(a). | |
3077 | - | 2915 (4) The program may establish a partnership with a public entity in a different state to | |
3078 | - | 2916purchase or share services related to the administration of medical benefits if: | |
3079 | - | 2917 (a) the program receives approval for the partnership from the board; and Enrolled Copy H.B. 410 | |
3080 | - | - 109 - | |
3081 | - | 2918 (b) the partnership: | |
3082 | - | 2919 (i) creates cost savings for Utah; | |
3083 | - | 2920 (ii) does not commingle state funds with funds of the public entity in the other state; | |
3084 | - | 2921and | |
3085 | - | 2922 (iii) does not pose a greater actuarial risk to Utah than the program has already | |
3086 | - | 2923assumed. | |
3087 | - | 2924 Section 24. Section 63J-1-602.1 is amended to read: | |
3088 | - | 2925 63J-1-602.1. List of nonlapsing appropriations from accounts and funds. | |
3089 | - | 2926 Appropriations made from the following accounts or funds are nonlapsing: | |
3090 | - | 2927 (1) The Utah Intracurricular Student Organization Support for Agricultural Education | |
3091 | - | 2928and Leadership Restricted Account created in Section 4-42-102. | |
3092 | - | 2929 (2) The Native American Repatriation Restricted Account created in Section 9-9-407. | |
3093 | - | 2930 (3) The Martin Luther King, Jr. Civil Rights Support Restricted Account created in | |
3094 | - | 2931Section 9-18-102. | |
3095 | - | 2932 (4) The National Professional Men's Soccer Team Support of Building Communities | |
3096 | - | 2933Restricted Account created in Section 9-19-102. | |
3097 | - | 2934 (5) Funds collected for directing and administering the C-PACE district created in | |
3098 | - | 2935Section 11-42a-106. | |
3099 | - | 2936 (6) Money received by the Utah Inland Port Authority, as provided in Section | |
3100 | - | 293711-58-105. | |
3101 | - | 2938 (7) The "Latino Community Support Restricted Account" created in Section 13-1-16. | |
3102 | - | 2939 (8) The Clean Air Support Restricted Account created in Section 19-1-109. | |
3103 | - | 2940 (9) The Division of Air Quality Oil, Gas, and Mining Restricted Account created in | |
3104 | - | 2941Section 19-2a-106. | |
3105 | - | 2942 (10) The Division of Water Quality Oil, Gas, and Mining Restricted Account created in | |
3106 | - | 2943Section 19-5-126. | |
3107 | - | 2944 (11) The "Support for State-Owned Shooting Ranges Restricted Account" created in H.B. 410 | |
3108 | - | Enrolled Copy | |
3109 | - | - 110 - | |
3110 | - | 2945Section 23-14-13.5. | |
3111 | - | 2946 (12) Award money under the State Asset Forfeiture Grant Program, as provided under | |
3112 | - | 2947Section 24-4-117. | |
3113 | - | 2948 (13) Funds collected from the program fund for local health department expenses | |
3114 | - | 2949incurred in responding to a local health emergency under Section 26-1-38. | |
3115 | - | 2950 (14) The Children with Cancer Support Restricted Account created in Section | |
3116 | - | 295126-21a-304. | |
3117 | - | 2952 (15) State funds for matching federal funds in the Children's Health Insurance Program | |
3118 | - | 2953as provided in Section 26-40-108. | |
3119 | - | 2954 (16) The Children with Heart Disease Support Restricted Account created in Section | |
3120 | - | 295526-58-102. | |
3121 | - | 2956 (17) The Technology Development Restricted Account created in Section 31A-3-104. | |
3122 | - | 2957 (18) The Criminal Background Check Restricted Account created in Section | |
3123 | - | 295831A-3-105. | |
3124 | - | 2959 (19) The Captive Insurance Restricted Account created in Section 31A-3-304, except | |
3125 | - | 2960to the extent that Section 31A-3-304 makes the money received under that section free revenue. | |
3126 | - | 2961 (20) The Title Licensee Enforcement Restricted Account created in Section | |
3127 | - | 296231A-23a-415. | |
3128 | - | 2963 (21) The Health Insurance Actuarial Review Restricted Account created in Section | |
3129 | - | 296431A-30-115. | |
3130 | - | 2965 (22) The State Mandated Insurer Payments Restricted Account created in Section | |
3131 | - | 296631A-30-118. | |
3132 | - | 2967 [(22)] (23) The Insurance Fraud Investigation Restricted Account created in Section | |
3133 | - | 296831A-31-108. | |
3134 | - | 2969 [(23)] (24) The Underage Drinking Prevention Media and Education Campaign | |
3135 | - | 2970Restricted Account created in Section 32B-2-306. | |
3136 | - | 2971 [(24)] (25) The Drinking While Pregnant Prevention Media and Education Campaign Enrolled Copy H.B. 410 | |
3137 | - | - 111 - | |
3138 | - | 2972Restricted Account created in Section 32B-2-308. | |
3139 | - | 2973 [(25)] (26) The School Readiness Restricted Account created in Section 35A-15-203. | |
3140 | - | 2974 [(26)] (27) Money received by the Utah State Office of Rehabilitation for the sale of | |
3141 | - | 2975certain products or services, as provided in Section 35A-13-202. | |
3142 | - | 2976 [(27)] (28) The Oil and Gas Administrative Penalties Account created in Section | |
3143 | - | 297740-6-11. | |
3144 | - | 2978 [(28)] (29) The Oil and Gas Conservation Account created in Section 40-6-14.5. | |
3145 | - | 2979 [(29)] (30) The Division of Oil, Gas, and Mining Restricted account created in Section | |
3146 | - | 298040-6-23. | |
3147 | - | 2981 [(30)] (31) The Electronic Payment Fee Restricted Account created by Section | |
3148 | - | 298241-1a-121 to the Motor Vehicle Division. | |
3149 | - | 2983 [(31)] (32) The Motor Vehicle Enforcement Division Temporary Permit Restricted | |
3150 | - | 2984Account created by Section 41-3-110 to the State Tax Commission. | |
3151 | - | 2985 [(32)] (33) The Utah Law Enforcement Memorial Support Restricted Account created | |
3152 | - | 2986in Section 53-1-120. | |
3153 | - | 2987 [(33)] (34) The State Disaster Recovery Restricted Account to the Division of | |
3154 | - | 2988Emergency Management, as provided in Section 53-2a-603. | |
3155 | - | 2989 [(34)] (35) The Post Disaster Recovery and Mitigation Restricted Account created in | |
3156 | - | 2990Section 53-2a-1302. | |
3157 | - | 2991 [(35)] (36) The Department of Public Safety Restricted Account to the Department of | |
3158 | - | 2992Public Safety, as provided in Section 53-3-106. | |
3159 | - | 2993 [(36)] (37) The Utah Highway Patrol Aero Bureau Restricted Account created in | |
3160 | - | 2994Section 53-8-303. | |
3161 | - | 2995 [(37)] (38) The DNA Specimen Restricted Account created in Section 53-10-407. | |
3162 | - | 2996 [(38)] (39) The Canine Body Armor Restricted Account created in Section 53-16-201. | |
3163 | - | 2997 [(39)] (40) The Technical Colleges Capital Projects Fund created in Section | |
3164 | - | 299853B-2a-118. H.B. 410 | |
3165 | - | Enrolled Copy | |
3166 | - | - 112 - | |
3167 | - | 2999 [(40)] (41) The Higher Education Capital Projects Fund created in Section | |
3168 | - | 300053B-22-202. | |
3169 | - | 3001 [(41)] (42) A certain portion of money collected for administrative costs under the | |
3170 | - | 3002School Institutional Trust Lands Management Act, as provided under Section 53C-3-202. | |
3171 | - | 3003 [(42)] (43) The Public Utility Regulatory Restricted Account created in Section | |
3172 | - | 300454-5-1.5, subject to Subsection 54-5-1.5(4)(d). | |
3173 | - | 3005 [(43)] (44) Funds collected from a surcharge fee to provide certain licensees with | |
3174 | - | 3006access to an electronic reference library, as provided in Section 58-3a-105. | |
3175 | - | 3007 [(44)] (45) Certain fines collected by the Division of Professional Licensing for | |
3176 | - | 3008violation of unlawful or unprofessional conduct that are used for education and enforcement | |
3177 | - | 3009purposes, as provided in Section 58-17b-505. | |
3178 | - | 3010 [(45)] (46) Funds collected from a surcharge fee to provide certain licensees with | |
3179 | - | 3011access to an electronic reference library, as provided in Section 58-22-104. | |
3180 | - | 3012 [(46)] (47) Funds collected from a surcharge fee to provide certain licensees with | |
3181 | - | 3013access to an electronic reference library, as provided in Section 58-55-106. | |
3182 | - | 3014 [(47)] (48) Funds collected from a surcharge fee to provide certain licensees with | |
3183 | - | 3015access to an electronic reference library, as provided in Section 58-56-3.5. | |
3184 | - | 3016 [(48)] (49) Certain fines collected by the Division of Professional Licensing for use in | |
3185 | - | 3017education and enforcement of the Security Personnel Licensing Act, as provided in Section | |
3186 | - | 301858-63-103. | |
3187 | - | 3019 [(49)] (50) The Relative Value Study Restricted Account created in Section 59-9-105. | |
3188 | - | 3020 [(50)] (51) The Cigarette Tax Restricted Account created in Section 59-14-204. | |
3189 | - | 3021 [(51)] (52) Funds paid to the Division of Real Estate for the cost of a criminal | |
3190 | - | 3022background check for a mortgage loan license, as provided in Section 61-2c-202. | |
3191 | - | 3023 [(52)] (53) Funds paid to the Division of Real Estate for the cost of a criminal | |
3192 | - | 3024background check for principal broker, associate broker, and sales agent licenses, as provided | |
3193 | - | 3025in Section 61-2f-204. Enrolled Copy H.B. 410 | |
3194 | - | - 113 - | |
3195 | - | 3026 [(53)] (54) Certain funds donated to the Department of Health and Human Services, as | |
3196 | - | 3027provided in Section 26B-1-202. | |
3197 | - | 3028 [(54)] (55) The National Professional Men's Basketball Team Support of Women and | |
3198 | - | 3029Children Issues Restricted Account created in Section 26B-1-302. | |
3199 | - | 3030 [(55)] (56) Certain funds donated to the Division of Child and Family Services, as | |
3200 | - | 3031provided in Section 80-2-404. | |
3201 | - | 3032 [(56)] (57) The Choose Life Adoption Support Restricted Account created in Section | |
3202 | - | 303380-2-502. | |
3203 | - | 3034 [(57)] (58) Funds collected by the Office of Administrative Rules for publishing, as | |
3204 | - | 3035provided in Section 63G-3-402. | |
3205 | - | 3036 [(58)] (59) The Immigration Act Restricted Account created in Section 63G-12-103. | |
3206 | - | 3037 [(59)] (60) Money received by the military installation development authority, as | |
3207 | - | 3038provided in Section 63H-1-504. | |
3208 | - | 3039 [(60)] (61) The Computer Aided Dispatch Restricted Account created in Section | |
3209 | - | 304063H-7a-303. | |
3210 | - | 3041 [(61)] (62) The Unified Statewide 911 Emergency Service Account created in Section | |
3211 | - | 304263H-7a-304. | |
3212 | - | 3043 [(62)] (63) The Utah Statewide Radio System Restricted Account created in Section | |
3213 | - | 304463H-7a-403. | |
3214 | - | 3045 [(63)] (64) The Utah Capital Investment Restricted Account created in Section | |
3215 | - | 304663N-6-204. | |
3216 | - | 3047 [(64)] (65) The Motion Picture Incentive Account created in Section 63N-8-103. | |
3217 | - | 3048 [(65)] (66) Certain money payable for expenses of the Pete Suazo Utah Athletic | |
3218 | - | 3049Commission, as provided under Section 63N-10-301. | |
3219 | - | 3050 [(66)] (67) Funds collected by the housing of state probationary inmates or state parole | |
3220 | - | 3051inmates, as provided in Subsection 64-13e-104(2). | |
3221 | - | 3052 [(67)] (68) Certain forestry and fire control funds utilized by the Division of Forestry, H.B. 410 | |
3222 | - | Enrolled Copy | |
3223 | - | - 114 - | |
3224 | - | 3053Fire, and State Lands, as provided in Section 65A-8-103. | |
3225 | - | 3054 [(68)] (69) The Amusement Ride Safety Restricted Account, as provided in Section | |
3226 | - | 305572-16-204. | |
3227 | - | 3056 [(69)] (70) Certain funds received by the Office of the State Engineer for well drilling | |
3228 | - | 3057fines or bonds, as provided in Section 73-3-25. | |
3229 | - | 3058 [(70)] (71) The Water Resources Conservation and Development Fund, as provided in | |
3230 | - | 3059Section 73-23-2. | |
3231 | - | 3060 [(71)] (72) Funds donated or paid to a juvenile court by private sources, as provided in | |
3232 | - | 3061Subsection 78A-6-203(1)(c). | |
3233 | - | 3062 [(72)] (73) Fees for certificate of admission created under Section 78A-9-102. | |
3234 | - | 3063 [(73)] (74) Funds collected for adoption document access as provided in Sections | |
3235 | - | 306478B-6-141, 78B-6-144, and 78B-6-144.5. | |
3236 | - | 3065 [(74)] (75) Funds collected for indigent defense as provided in Title 78B, Chapter 22, | |
3237 | - | 3066Part 4, Utah Indigent Defense Commission. | |
3238 | - | 3067 [(75)] (76) The Utah Geological Survey Oil, Gas, and Mining Restricted Account | |
3239 | - | 3068created in Section 79-3-403. | |
3240 | - | 3069 [(76)] (77) Revenue for golf user fees at the Wasatch Mountain State Park, Palisades | |
3241 | - | 3070State Park, and Green River State Park, as provided under Section 79-4-403. | |
3242 | - | 3071 [(77)] (78) Funds donated as described in Section 41-1a-422 for the State Park Fees | |
3243 | - | 3072Restricted Account created in Section 79-4-402 for support of the Division of State Parks' dark | |
3244 | - | 3073sky initiative. | |
3245 | - | 3074 [(78)] (79) Certain funds received by the Division of State Parks from the sale or | |
3246 | - | 3075disposal of buffalo, as provided under Section 79-4-1001. | |
3171 | + | 3064 [(74)] (75) Funds collected for indigent defense as provided in Title 78B, Chapter 22, | |
3172 | + | 3065Part 4, Utah Indigent Defense Commission. | |
3173 | + | 3066 [(75)] (76) The Utah Geological Survey Oil, Gas, and Mining Restricted Account | |
3174 | + | 3067created in Section 79-3-403. | |
3175 | + | 3068 [(76)] (77) Revenue for golf user fees at the Wasatch Mountain State Park, Palisades | |
3176 | + | 3069State Park, and Green River State Park, as provided under Section 79-4-403. | |
3177 | + | 3070 [(77)] (78) Funds donated as described in Section 41-1a-422 for the State Park Fees | |
3178 | + | 3071Restricted Account created in Section 79-4-402 for support of the Division of State Parks' dark | |
3179 | + | 3072sky initiative. | |
3180 | + | 3073 [(78)] (79) Certain funds received by the Division of State Parks from the sale or | |
3181 | + | 3074disposal of buffalo, as provided under Section 79-4-1001. |