PRINTER'S NO. 1048
No. 951 Session of 1987
INTRODUCED BY DAWIDA, O'DONNELL, MANDERINO, GAMBLE, MURPHY, VAN HORNE, MICHLOVIC, MARKOSEK, LEVDANSKY AND KOSINSKI, APRIL 6, 1987
REFERRED TO COMMITTEE ON INSURANCE, APRIL 6, 1987
AN ACT 1 Amending the act of May 17, 1921 (P.L.682, No.284), entitled "An 2 act relating to insurance; amending, revising, and 3 consolidating the law providing for the incorporation of 4 insurance companies, and the regulation, supervision, and 5 protection of home and foreign insurance companies, Lloyds 6 associations, reciprocal and inter-insurance exchanges, and 7 fire insurance rating bureaus, and the regulation and 8 supervision of insurance carried by such companies, 9 associations, and exchanges, including insurance carried by 10 the State Workmen's Insurance Fund; providing penalties; and 11 repealing existing laws," providing for experience rating, 12 for reporting of certain insurance data, for a liability 13 underwriting services plan, for a standby joint underwriting 14 association for general liability insurance, for procedure 15 for review of rate filings and for a notice of intent to 16 withdraw; and making repeals. 17 The General Assembly of the Commonwealth of Pennsylvania 18 hereby enacts as follows: 19 Section 1. The act of May 17, 1921 (P.L.682, No.284), known 20 as The Insurance Company Law of 1921, is amended by adding 21 articles to read: 22 ARTICLE X-A. 23 EXPERIENCE RATING. 24 Section 1001-A. Submission, Approval and Use of Plan.--No
1 later than July 1, 1987, each insurer required to report data 2 pursuant to Article X-B shall develop and submit to the 3 department an experience rating plan which provides that the 4 premium for each policyholder within a class shall be based upon 5 the policyholder's loss experience. This plan shall be subject 6 to the approval or disapproval of the Insurance Department. If 7 the plan is not approved or disapproved within ninety (90) days 8 of its filing it shall be deemed approved, subject to review by 9 the Insurance Department. Such plan, once approved or deemed 10 approved, shall be put into effect and used by insurers in 11 determining premiums. 12 ARTICLE X-B. 13 DISCLOSURE. 14 Section 1001-B. Reporting of Insurance Data.--No later than 15 July 1, 1987, the Insurance Department shall promulgate rules 16 and regulations which shall require each insurer licensed to 17 write property or casualty insurance in this Commonwealth to 18 record and report its loss and expense experience and other data 19 as may be necessary to determine whether rates are excessive, 20 inadequate or unfairly discriminatory. The department may 21 designate one or more rate service organizations or advisory 22 organizations to gather and compile such experience and data, 23 provided the data is reported separately for each company. The 24 department shall require each insurer licensed to write property 25 or casualty insurance in this Commonwealth, as a supplement to 26 Schedule T of its annual statement to submit a report, on a form 27 furnished by the department, showing its direct writings in this 28 Commonwealth and the United States. 29 Section 1002-B. Types of Insurance.--The supplemental report 30 required by section 1001-B shall include, but not be limited to, 19870H0951B1048 - 2 -
1 the following specific types of insurance (which shall be shown 2 separately) written by such insurer: 3 (1) political subdivision liability insurance reported 4 separately in the following categories: 5 (i) municipalities; 6 (ii) school districts; and 7 (iii) authorities; 8 (2) public official liability insurance; 9 (3) dram shop liability insurance; 10 (4) day care center liability insurance; 11 (5) errors and omissions liability insurance; 12 (6) officers and directors liability insurance reported 13 separately as follows: 14 (i) nonprofit entities; and 15 (ii) for-profit entities; 16 (7) products liability insurance; 17 (8) medical malpractice insurance; 18 (9) attorneys malpractice insurance; 19 (10) architects and engineers malpractice insurance; and 20 (11) motor vehicle insurance reported separately for 21 commercial and private passenger vehicles as follows: 22 (i) motor vehicle liability insurance first party benefits; 23 (ii) motor vehicle bodily injury liability insurance; 24 (iii) motor vehicle property liability insurance; 25 (iv) uninsured motorist insurance; and 26 (v) underinsured motorist insurance. 27 Section 1003-B. Data Required.--(a) The supplemental report 28 shall include the following data, both specific to this 29 Commonwealth and also to the United States, by the type of 30 insurance for the previous year ending on the thirty-first day 19870H0951B1048 - 3 -
1 of December: 2 (1) direct premiums written; 3 (2) net premiums written; 4 (3) direct premiums earned; 5 (4) net premiums earned; 6 (5) net investment income, including realized capital gains 7 and losses (which shall be shown separately) but excluding 8 unrealized capital gains and losses, using estimates where 9 necessary; 10 (6) net investment income, including realized capital gains 11 and losses (which shall be shown separately) and including 12 unrealized capital gains and losses (which shall be shown 13 separately), using estimates where necessary; 14 (7) incurred claims developed as the sum of each of the 15 following which shall be shown separately: 16 (i) dollar amount of claims paid; plus 17 (ii) reserves for reported claims at the end of current 18 year; minus 19 (iii) reserves for reported claims at the end of the 20 previous year; plus 21 (iv) reserves for incurred but not reported claims at the 22 end of the current year; minus 23 (v) reserves for incurred but not reported claims at the end 24 of the previous year; plus 25 (vi) loss adjustment expenses paid; plus 26 (vii) reserves for loss adjustment expenses at the end of 27 the current year; minus 28 (viii) reserves for loss adjustment expenses at the end of 29 the previous year; 30 (8) actual incurred expenses, including commissions, other 19870H0951B1048 - 4 -
1 acquisition costs, general expenses, taxes, licenses and fees, 2 all of which shall be shown separately; 3 (9) net underwriting gain or loss; 4 (10) net operating gain or loss, including net realized 5 investment income but excluding unrealized investment income; 6 (11) the sum of the value of closed claims and a 7 distribution by size of claim for each of the following 8 categories arising out of the course of business: 9 (i) for uncontested claims; 10 (ii) under a judgment entered by a court based upon a 11 verdict; 12 (iii) in settlements relating to and completed after 13 institution of judicial proceedings but prior to a verdict; and 14 (iv) in settlements relating to and completed after 15 institution of judicial proceedings and after a verdict has been 16 rendered in a judicial proceeding; 17 (12) the sum of the legal costs incurred while settling 18 claims which result in awards or payments of money, broken down 19 by attorney fees and other legal costs for each of the following 20 categories arising out of the course of business: 21 (i) for uncontested claims; 22 (ii) under a judgment entered by a court based upon a 23 verdict; 24 (iii) in settlements relating to and completed after 25 institution of judicial proceedings but prior to a verdict; and 26 (iv) in settlements relating to and completed after 27 institution of judicial proceedings and after a verdict has been 28 rendered in a judicial proceeding; 29 (13) the sum of the legal costs incurred while settling 30 claims which do not result in awards or payments of money, 19870H0951B1048 - 5 -
1 broken down by attorney fees and other legal costs for each of 2 the following categories arising out of the course of business: 3 (i) for uncontested claims; 4 (ii) under a judgment entered by a court based upon a 5 verdict; and 6 (iii) in settlements relating to and completed after 7 institution of judicial proceedings but prior to a verdict; 8 (14) the number and dollar amount of each claim closed with 9 payment and the dollar amount initially reserved for each claim, 10 by year incurred; 11 (15) the number and total dollar amount for all claims 12 closed with payment and the total dollar amount initially 13 reserved, by year incurred; 14 (16) the claims closed without payment and the dollar amount 15 initially reserved for each claim, by year incurred; 16 (17) the number of claims closed without payment and the 17 total dollar amount initially reserved, by year incurred; 18 (18) the claims pending at the end of each year and the 19 dollar amount reserved for each claim; 20 (19) the number of claims pending at the end of each year 21 and the total dollar amount reserved; 22 (20) the name and address of any company, association or 23 exchange which reinsures any part of the coverage it issues; the 24 coverage provided, restrictions, loss retention per risk if 25 applicable and cost of such reinsurance; and 26 (21) any other information requested by the department. 27 (b) The commissioner shall develop rules and regulations to 28 implement the reporting requirements of this chapter that shall 29 include: 30 (1) provisions to assure the confidentiality of the data 19870H0951B1048 - 6 -
1 with regard to information relevant to individual claims; and 2 (2) standard and uniform definitions for information 3 required to be submitted to the department pursuant to this 4 article that shall be consistent with generally accepted 5 accounting principles, unless no generally accepted standard 6 definitions exist. 7 Section 1004-B. Actuarial Impact Statement Regarding 8 Judicial Decisions.--Any insurance company, or rating 9 organization acting on behalf of more than one insurance 10 company, may file annually, at the same time that the annual 11 statement is due, an actuarial study detailing the impact of any 12 appellate judicial decision rendered during the calendar year 13 reported in the annual statement due at that time which it 14 believes will have a significant impact on the price or 15 availability of insurance. 16 Section 1005-B. Review by Department.--It shall be the duty 17 of the department to annually compile and review all such 18 reports submitted by insurers pursuant to this article and to 19 utilize such reports in determining whether the rates or rating 20 plans and any subsequent modifications thereof for property and 21 casualty insurance in this Commonwealth are excessive, 22 inadequate or unfairly discriminatory. All information collected 23 by the department shall be made available to any interested 24 insured or citizen. 25 Section 1006-B. Requirement for Doing Business.--Each 26 insurance company shall file all of the information required 27 under this article with the Insurance Department as a 28 prerequisite to obtaining permission to write coverage, to 29 continue to do business or to file for rate increases. 30 Section 1007-B. Penalty.--Each insurer who fails to comply 19870H0951B1048 - 7 -
1 with the terms of section 1001-B, 1002-B or 1003-B of this 2 article shall pay a civil penalty of a fine of ten thousand 3 dollars ($10,000) and thereafter a fine of two hundred dollars 4 ($200) daily until this article is complied with. 5 ARTICLE X-C. 6 PENNSYLVANIA LIABILITY UNDERWRITING SERVICES PLAN. 7 Section 1001-C. Definitions.--The following words and 8 phrases when used in this article shall have the meanings given 9 to them in this section, unless the context clearly indicates 10 otherwise: 11 (1) "Board," means the board of directors of the plan. 12 (2) "Commercial liability insurance," means insurance 13 coverage against the legal liability of the insured against 14 loss, damage or expense incident to a claim arising out of the 15 death or injury of any person or property damage as the result 16 of or incident to the lawful conduct of a business enterprise or 17 public purpose. The term includes such insurance coverage of 18 governmental entities, including political subdivisions as 19 specified in section 1002-B(1)(i), (ii) and (iii). 20 (3) "Commissioner," means the Insurance Commissioner of the 21 Commonwealth. 22 (4) "Department," means the Insurance Department of the 23 Commonwealth. 24 (5) "Plan," means the Pennsylvania Liability Underwriting 25 Services Plan. 26 (6) "Surplus lines agent," means an individual, partnership 27 or corporation that is duly licensed as such by the commissioner 28 to effect placement of insurance coverage with an unlicensed 29 insurer, and who may receive a commission therefor. 30 Section 1002-C. Creation of Plan.--The Pennsylvania 19870H0951B1048 - 8 -
1 Liability Underwriting Services Plan is created as a legal 2 entity with all the rights which are reasonable and necessary to 3 fulfill its purpose, including, but not limited to, the 4 following: 5 (1) To own property. 6 (2) To enter into contracts. 7 (3) To sue and be sued, provided that no judgment against 8 the Plan shall create any liability in the individual members. 9 Section 1003-C. Purpose.--The Plan shall assist in the 10 placement of commercial liability insurance for eligible 11 Pennsylvania commercial risks and public entities that have 12 tried and failed to find such coverage. 13 Section 1004-C. Membership.--Every commercial liability 14 insurer admitted to do business in this Commonwealth shall, as a 15 condition of its authority to write such kinds of insurance 16 within this Commonwealth, be a member of the Plan and have the 17 rights and obligations as hereinafter described. The 18 commissioner may require that the surplus lines insurance 19 companies participate in the Plan. 20 Section 1005-C. Participation.--Each member of the Plan 21 shall participate in funding the administrative costs of the 22 plan, to the extent that application fees do not defray those 23 costs, and in the review of applications for insurance. Each 24 member's share of participation obligations shall be equitable 25 and set forth in the plan of operation. However, members of the 26 Plan shall not be required to review application of eligible 27 commercial risks or public entities where the member has not 28 underwritten such coverage for two consecutive years preceding 29 the effective date of this section. 30 Section 1006-C. Board of Directors.--The Plan shall be 19870H0951B1048 - 9 -
1 governed by nine directors and the Insurance Commissioner, who 2 shall serve as a non-voting ex officio chairman. The nine 3 directors shall be appointed to the board as voting members, by 4 the commissioner, each to serve a term of two years. Five 5 members shall be representatives of insurance companies, two 6 members shall be licensed insurance agents or brokers and two 7 members shall be consumers of commercial insurance. Members 8 shall serve as representatives of their employers, who may have 9 the right to substitute individuals with the prior approval of 10 the commissioner. 11 Section 1007-C. Voting Rights.--Whenever so designated by 12 the board pursuant to its plan of operation, each commercial 13 liability insurer shall be allotted votes in proportion to its 14 share of the Statewide total written premium during the prior 15 year relating to general liability coverage, plus the liability 16 portion, as determined by the commissioner, of commercial multi- 17 peril coverage. 18 Section 1008-C. Organization.--(a) Within sixty (60) days 19 following the issuance of an order by the commissioner to 20 establish a plan the board shall submit to the commissioner, for 21 his review, a proposed plan of operation of the Plan, consistent 22 with the provisions of this act, which shall provide for the 23 formation of the Plan and the economical and efficient 24 administration of the Plan, including, but not limited to, 25 management of the Plan, preliminary assessment of all members 26 for initial expenses necessary to commence operations, 27 establishment of necessary facilities within this Commonwealth, 28 assessment of members to defray continuing expenses, limits of 29 liability, eligibility requirements, procedures for securing 30 timely referrals and quotes on insurance applications and 19870H0951B1048 - 10 -
1 governance of the Plan. 2 (b) The plan of operation shall be subject to approval by 3 the commissioner and shall take effect ten (10) days after 4 having been approved by him. If the commissioner disapproves the 5 proposed plan of operation, the commissioner shall specify his 6 objections and how the plan of operation may be made acceptable. 7 Following the receipt of objections from the commissioner, the 8 Plan shall, within fifteen (15) days, submit for review an 9 appropriately revised plan of operation, and, if the Plan fails 10 to do so or if the revised Plan so filed is unacceptable, the 11 commissioner shall promulgate a plan of operation. 12 (c) The Plan may, by its own initiative, subject to prior 13 approval by the commissioner, amend the plan of operation. 14 Section 1009-C. Application Fees.--Subject to approval by 15 the commissioner, the Plan shall require applications to be 16 accompanied by reasonable application fees, which may vary for 17 different classes of applicants. Initially, application fees 18 should not exceed one hundred dollars ($100) nor be less than 19 ten dollars ($10) for any class of insured and shall be reviewed 20 annually by the commissioner. The application fee is non- 21 refundable if the applicant is determined to be eligible for 22 coverage, regardless of whether coverage is found for the 23 applicant through the Plan. 24 Section 1010-C. Eligibility.--All applications for 25 commercial liability coverage may be eligible for consideration 26 by the Plan if they are accompanied by the application fee 27 appropriate to that class of risk, three refusals of coverage 28 from admitted Pennsylvania commercial lines writers and one 29 refusal of coverage from a licensed surplus lines agent, and a 30 completed questionnaire as shall be supplied to the applicant by 19870H0951B1048 - 11 -
1 the Plan and approved by the commissioner, except for 2 applications relating to: 3 (1) Insurance on motor vehicles. 4 (2) Insurance for pollution or environmental impairment. 5 (3) Insurance for workers' compensation and employers' 6 liability. 7 (4) Insurance for medical malpractice professional 8 liability. 9 (5) Insurance on activities conducted substantially outside 10 this Commonwealth unless the insurance is required by 11 Pennsylvania or Federal statute. 12 (6) Other risks as may be excluded by the Plan and approved 13 by the commissioner. 14 Section 1011-C. Immunity.--There shall be no liability or 15 cause of action against any member of the Plan or its agents or 16 employes, the Plan or its agents or employes, members of the 17 board of directors or the department or its representatives for 18 any action taken by or statement made by them in the performance 19 of their powers and duties under this article. 20 Section 1012-C. Funds.--All fees, assessments and other 21 moneys received by the Plan shall be deposited into a restricted 22 revenue account within the General Fund and are hereby 23 appropriated to the board for the purposes set forth in this 24 article. 25 ARTICLE X-D. 26 STANDBY JOINT UNDERWRITING ASSOCIATION 27 FOR GENERAL LIABILITY INSURANCE. 28 Section 1001-D. Definitions.--The following words and 29 phrases when used in this article shall have the meanings given 30 to them in this section, unless the context clearly indicates 19870H0951B1048 - 12 -
1 otherwise: 2 (a) "Association," means the Standby Joint Underwriting 3 Association for General Liability Insurance. 4 (b) "Board," means the board of directors of the 5 association. 6 (c) "Department," means the Insurance Department of the 7 Commonwealth. 8 (d) "General liability insurance," means commercial 9 liability insurance, including policies sold separately or as 10 part of a package, but not including medical malpractice 11 insurance, private passenger motor vehicle insurance or 12 environmental impairment liability insurance. The term includes 13 such insurance coverage of governmental entities, including 14 political subdivisions as specified in section 1002-B(1)(i), 15 (ii) and (iii). 16 Section 1002-D. Creation of Association.--The Standby Joint 17 Underwriting Association for General Liability Insurance is 18 created as a legal entity with all the rights which are 19 reasonable and necessary to fulfill its purpose, including, but 20 not limited to, the following: 21 (1) To own property. 22 (2) To enter into contracts. 23 (3) To sue and be used. 24 (4) To require insurance companies and the department to 25 provide information in a timely fashion. 26 (5) To require the department to collect information. 27 Section 1003-D. Administration.--The association shall be 28 administered by the board. 29 Section 1004-D. Board.--(a) The board shall consist of 30 thirteen voting members, plus a chairperson, composed of and 19870H0951B1048 - 13 -
1 appointed in accordance with the following: 2 (1) Six representatives of commercial insurance carriers, 3 one of which shall be appointed by the Majority Leader of the 4 House of Representatives; one of which shall be appointed by the 5 Minority Leader of the House of Representatives; one of which 6 shall be appointed by the Majority Leader of the Senate; one of 7 which shall be appointed by the Minority Leader of the Senate; 8 and two of which shall be appointed by the Governor. 9 (2) Six representatives of purchasers of insurance for which 10 the association may write insurance coverage, none of which 11 shall be associated with commercial insurance carriers or the 12 insurance industry, one of which shall be appointed by the 13 Majority Leader of the House of Representatives; one of which 14 shall be appointed by the Minority Leader of the House of 15 Representatives; one of which shall be appointed by the Majority 16 Leader of the Senate; one of which shall be appointed by the 17 Minority Leader of the Senate; and two of which shall be 18 appointed by the Governor. 19 (3) One independent insurance agent, appointed by the 20 Governor. 21 (4) The Insurance Commissioner, who shall serve ex officio 22 and who shall chair the board, but who may vote only in the case 23 of a tie. 24 (b) Seven members of the board, not including the Insurance 25 Commissioner, a majority of which in any combination shall be 26 made up of members other than representatives of commercial 27 insurance carriers, shall constitute a quorum. 28 (c) Board members shall not receive a salary or per diem 29 allowance for serving as members but shall be reimbursed for 30 actual and necessary expenses incurred in the performance of 19870H0951B1048 - 14 -
1 their duties. Said expenses may include reimbursement for travel 2 and living expenses while engaged in board business. 3 (d) Each board member shall serve a term of three years, and 4 shall continue to serve thereafter until a successor is 5 appointed, except that of the members first appointed: 6 (1) The two members representing commercial insurance 7 carriers appointed by the Governor, and the member representing 8 the independent insurance agent shall serve for a term of one 9 year. 10 (2) The four members representing purchasers of insurance 11 appointed by the Majority and Minority Leaders of the House of 12 Representatives and the Senate shall serve for terms of two 13 years. 14 No member shall be eligible to serve more than two full 15 consecutive terms of three years. Vacancies on the board shall 16 be filled in the same manner in which they were originally 17 designated under subsection (a), within sixty (60) days of the 18 vacancy. A member may be removed for just cause by the 19 appointing authority after recommendation by a vote of at least 20 nine members of the board. 21 (e) Within ninety (90) days of the effective date of this 22 article, the Governor, the Majority and Minority Leaders of the 23 House of Representatives and the Majority and Minority Leaders 24 of the Senate shall make all of the appointments called for 25 under this article. 26 (f) On or before September 1, 1987, the board shall meet, at 27 the call of the chair. Thereafter, the board shall meet at least 28 annually, to determine if the conditions for association action 29 under section 1006-D exist. The Insurance Commissioner shall 30 have the power to call a meeting of the board and any six 19870H0951B1048 - 15 -
1 members of the board, upon a written letter to the chairman, 2 shall have the power to call a meeting of the board. 3 (g) All meetings of the board shall be advertised and 4 conducted pursuant to the act of July 3, 1986 (P.L.388, No.84), 5 known as the "Sunshine Act," except that the board may provide 6 for executive sessions of the board on subjects permitted to be 7 discussed in such sessions under the "Sunshine Act." No act of 8 the board shall be taken in executive session. 9 (h) The Insurance Department shall provide whatever 10 personnel services may be necessary for the board to fulfill its 11 responsibilities under this article. 12 Section 1005-D. Funding.--Where necessary, administrative 13 costs of the association, including startup expenses, shall be 14 funded by an assessed prorated contribution of all general 15 liability insurance companies licensed to do business in this 16 Commonwealth based on premiums written by the association in 17 this Commonwealth. Such costs shall be recoverable from premiums 18 written by the association. The contribution system shall be 19 established by regulation of the department under section 1009- 20 D. 21 Section 1006-D. Insurance.--(a) The association shall write 22 general liability insurance policies, at the board's direction, 23 when the board determines that more than five percentum (5%) of 24 standard risks in any line or subline or classification of 25 general liability insurance cannot obtain coverage through the 26 voluntary market at standard rates or the market assistance plan 27 pursuant to Article X-C. If the board determines that coverage 28 has been available to ninety-five percentum (95%) or more of the 29 standard risks in any line or subline of insurance, for at least 30 six consecutive months, the association shall cease to write any 19870H0951B1048 - 16 -
1 new policies in that line or subline of insurance and shall not 2 renew any policies in force at that time. No coverage shall be 3 nonrenewed without providing the insured with at least sixty 4 (60) days' notice. The association, at the board's direction, 5 may facilitate pooling arrangements wherever appropriate 6 notwithstanding any law to the contrary. 7 (b) Any standard risk person unable to obtain coverage may 8 petition the board to write insurance in a certain line or 9 subline and the board, after consideration of the extent of the 10 problem based on data obtained from the department and any other 11 appropriate sources, shall render a decision based on the 12 petition within forty-five (45) days. 13 (c) The initial areas to be considered under subsection (a) 14 are political subdivisions of the Commonwealth, commercial motor 15 vehicles, dram shops, day-care centers and nonprofit 16 organizations. 17 (d) The board may not consider coverage from the 18 associations for medical malpractice insurance, private 19 passenger motor vehicle insurance or environmental impairment 20 liability insurance. 21 (e) The board shall at its discretion create separate 22 associations or accounts for each line or subline of insurance 23 that it writes and shall not commingle funds. 24 Section 1007-D. Risk Management Program.--The board shall 25 require each insured to adopt a program for risk management to 26 be offered coverage from the association. Approval by the board 27 and compliance with such risk management program shall be a 28 condition precedent to obtaining and maintaining coverage from 29 the association. 30 Section 1008-D. Risk Apportionment.--(a) The board shall, 19870H0951B1048 - 17 -
1 after consultation with property and casualty insurers 2 transacting business in this Commonwealth, adopt a plan or plans 3 for the equitable apportionment among such insurers of general 4 liability insurance coverage for individuals or groups who are 5 standard risks, but are unable to procure such coverage through 6 the voluntary market at standard rates or the market assistance 7 plan pursuant to Article X-C. The board may adopt a joint 8 underwriting plan which shall provide for one or more designated 9 insurers able and willing to provide policyholder and claim 10 services, including the issuance of insurance policies, to act 11 on behalf of all other insurers required to participate in the 12 joint underwriting plan. Any joint underwriting plan adopted 13 shall provide for the equitable apportionment of any profits 14 realized, or of losses and expenses incurred, among 15 participating insurers. The plan shall include, but not be 16 limited to: 17 (1) Rules for the classification of risks and rates which 18 reflect to the maximum extent possible the past loss experience 19 and prospective loss experience in different geographic areas 20 within this Commonwealth. 21 (2) A rating plan which reasonably reflects the prior claims 22 experience of the insureds. 23 (3) Excess coverage by insurers if the board, in its 24 discretion, requires such coverage by insurers participating in 25 the joint underwriting plan. 26 (b) In the event an underwriting deficit exists at the end 27 of the year the plan is in effect, each policyholder shall pay 28 to the joint underwriting plan a premium contingency assessment 29 not to exceed one-fifth of the premium payment paid by the 30 policyholder for that year. The joint underwriting plan shall 19870H0951B1048 - 18 -
1 pay no further claims on any policy for which the policyholder 2 fails to pay the premium contingency assessment. 3 (c) Any deficit sustained under the plan shall first be 4 recovered through a premium contingency assessment. 5 Concurrently, the rates for insureds shall be adjusted for the 6 next year so as to be actuarially sound in conformance with 7 rules of the department. 8 (d) If there is any remaining deficit under the plan after 9 maximum collection of the premium contingency assessment, this 10 deficit shall be recovered from the companies participating in 11 the plan in the proportion that the net direct premiums of each 12 such member written during the preceding calendar year bears to 13 the aggregate net direct premiums written in this Commonwealth 14 by all members of the joint underwriting plan. It shall not be 15 permissible to use such deficit to increase automobile or 16 homeowners insurance premiums. 17 (e) Upon adoption of a plan, all general liability insurers 18 shall subscribe thereto and participate therein as a condition 19 of doing business in this Commonwealth. 20 Section 1009-D. Regulations.--The board shall promulgate 21 regulations to insure that: 22 (1) The association provides liability insurance as required 23 by this act. 24 (2) There is a procedure for petitioning the board to act 25 under section 1006-D(c) and that there is a definition of 26 "standard risk." 27 (3) Losses and profits are assigned equitably under section 28 1008-D. 29 (4) Coverage is made available through licensed agents and 30 that a reasonable commission is paid. 19870H0951B1048 - 19 -
1 (5) The cost of operating the association is reasonable in 2 relation to the service it provides to the insurance business of 3 this Commonwealth. 4 ARTICLE X-E. 5 REVIEW OF RATE FILINGS. 6 Section 1001-E. Procedure.--The commissioner shall 7 promulgate rules and regulations establishing procedures for the 8 review of rules, rates and rating plans for property and 9 casualty insurance. 10 (b) These rules and regulations shall include, but not be 11 limited to: 12 (1) Uniform definitions. 13 (2) Information required to accompany the submission or 14 modification of rules, rates and rating plans. 15 (3) Public notice of any public hearing or other 16 opportunities of any interested party or person to present 17 information. 18 (4) Requiring that all information filed or presented to the 19 department at any time shall be part of the public record. 20 (5) That all decisions of the department shall be based 21 solely on the evidence in the record. 22 (6) Prohibition of communication by employes of the 23 Insurance Department with any party to a rate filing that is not 24 on the record. 25 ARTICLE X-F. 26 NOTICE OF INTENT TO WITHDRAW. 27 Section 1001-F. Notice Required.--(a) Whenever an insurer 28 licensed to write property and casualty insurance as described 29 in section 1001-B decides to withdraw from any line, subline or 30 classification of business, the insurance company shall file 19870H0951B1048 - 20 -
1 with the Insurance Department a notice detailing the intent to 2 withdraw. The notice shall include, but not be limited to, the 3 reasons for withdrawal, the number of policyholders affected, 4 the effective date of the withdrawal, if the withdrawal is 5 Statewide or national, and a listing of potential sources for 6 replacement coverage for insureds. This notice of withdrawal by 7 insurers shall be filed at least sixty days prior to the 8 effective date of the withdrawal. 9 (b) The Insurance Department shall use this information to 10 assist in determining market conditions. 11 (c) The department shall not permit any insurer licensed to 12 write property and casualty insurance to withdraw from any line 13 or classification of business without complying with the 14 provisions of this article. 15 Section 2. Any investments properly made pursuant to 16 applicable provisions of this act prior to the effective date of 17 this amendatory act shall continue as permitted investments 18 under this act. 19 Section 3. This act is not intended to repeal section 641 of 20 the act of May 17, 1921 (P.L.789, No.285), known as The 21 Insurance Department Act of one thousand nine hundred and 22 twenty-one or its application as provided in the act of December 23 30, 1974 (P.L.1148, No.365), entitled "An act amending the act 24 of May 17, 1921 (P.L.789, No.285), entitled, as amended, 'An act 25 relating to insurance; establishing an insurance department; and 26 amending, revising, and consolidating the law relating to the 27 licensing, qualification, regulation, examination, suspension, 28 and dissolution of insurance companies, Lloyds associations, 29 reciprocal and inter-insurance exchanges, and certain societies 30 and orders, the examination and regulation of fire insurance 19870H0951B1048 - 21 -
1 rating bureaus, and the licensing and regulation of insurance 2 agents, and brokers; the service of legal process upon foreign 3 insurance companies, associations or exchanges; providing 4 penalties, and repealing existing laws,' prohibiting the 5 licensing of lending institutions, public utilities and holding 6 companies except for the sale of certain types of insurance." 7 Section 4. Section 618(B)(11) of the act of May 17, 1921 8 (P.L.682, No.284), known as The Insurance Company Law of 1921, 9 is repealed insofar as it is inconsistent with this act. 10 Section 5. This act shall take effect as follows: 11 (1) As much of section 1 as relates to Article X-A shall 12 take effect in 30 days. 13 (2) The remainder of this act shall take effect 14 immediately. C11L40DGS/19870H0951B1048 - 22 -