| HOUSE AMENDED |
| PRIOR PRINTER'S NOS. 242, 631, 747 | PRINTER'S NO. 1688 |
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| THE GENERAL ASSEMBLY OF PENNSYLVANIA |
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| SENATE BILL |
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| INTRODUCED BY CORMAN, BROWNE, STACK, EARLL, RAFFERTY, BAKER, FERLO, GORDNER, O'PAKE, WILLIAMS, WAUGH, M. WHITE AND WASHINGTON, FEBRUARY 19, 2009 |
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| AS AMENDED ON SECOND CONSIDERATION, HOUSE OF REPRESENTATIVES, FEBRUARY 8, 2010 |
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| AN ACT |
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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," in general provisions relating to | <-- |
12 | insurance companies, further providing for annual and other |
13 | reports; and providing for suitability of annuity | <-- |
14 | transactions and for the regulation of health insurance |
15 | practices concerning parity and nondiscrimination; further | <-- |
16 | providing for definitions, for acting for or aiding |
17 | nonadmitted insurers, for requirements for eligible surplus |
18 | lines insurers, for other nonadmitted insurers, for surplus |
19 | lines licensee's duty to notify insured, for declarations, |
20 | for surplus lines advisory organizations, for evidence of |
21 | insurance, for effect of payment to surplus lines licensee, |
22 | for licensing of surplus lines licensee, for surplus lines |
23 | licensee's acceptance of business from brokers, for records |
24 | of surplus lines licensees, for monthly reports, for surplus |
25 | lines tax, for tax on independently procured insurance, for |
26 | suspension, revocation or nonrenewal of surplus lines |
27 | licensee's license and for penalties; providing for |
28 | compliance; and, in children's health care, further providing |
29 | for expiration of certain provisions. |
30 | The General Assembly of the Commonwealth of Pennsylvania |
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1 | hereby enacts as follows: |
2 | Section 1. Section 320 of the act of May 17, 1921 (P.L.682, |
3 | No.284), known as The Insurance Company Law of 1921, amended |
4 | December 18, 1992 (P.L.1519, No.178) and February 17, 1994 |
5 | (P.L.92, No.9), is amended to read: |
6 | Section 320. Annual and Other Reports; Penalties.--(a) (1) |
7 | Every stock and mutual insurance company, association, and |
8 | exchange, doing business in this Commonwealth, shall annually, |
9 | on or before the first day of March, file in the office of the |
10 | Insurance Commissioner and with the National Association of |
11 | Insurance Commissioners a statement which shall exhibit its |
12 | financial condition on the thirty-first day of December of the |
13 | previous year, and its business of that year and shall, within |
14 | thirty days after requested by the Insurance Commissioner, file |
15 | with the Insurance Commissioner and with the National |
16 | Association of Insurance Commissioners such additional statement |
17 | or statements concerning its affairs and financial condition as |
18 | the Insurance Commissioner may, in his discretion, require. The |
19 | Insurance Commissioner shall require each insurance company |
20 | association and exchange to report its financial condition on |
21 | the statement convention blanks, in such form as adopted by the |
22 | National Association of Insurance Commissioners and shall, upon |
23 | written request, furnish such blanks for their convenience; and |
24 | may make such changes, from time to time, in the form of the |
25 | same as shall seem best adapted to elicit from them a true |
26 | exhibit of their financial condition. |
27 | (2) Unless otherwise provided by law, regulation or order of |
28 | the Insurance Commissioner, each insurance company, association |
29 | and exchange shall adhere to the annual or quarterly statement |
30 | instructions and the accounting practices and procedures manuals |
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1 | prescribed by the National Association of Insurance |
2 | Commissioners. The Insurance Commissioner may require each |
3 | insurance company, association and exchange to file in the |
4 | office of the Insurance Commissioner and with the National |
5 | Association of Insurance Commissioners financial statements on |
6 | diskettes or other electronic information storage devices |
7 | acceptable to the Insurance Commissioner. |
8 | (b) Insurance companies of foreign governments, doing |
9 | business in this Commonwealth, shall be required to return only |
10 | the business done in the United States, and the assets held by |
11 | and for them within the United States for the protection of |
12 | policyholders therein. |
13 | (c) In the absence of actual malice, members of the National |
14 | Association of Insurance Commissioners, their duly authorized |
15 | committees, subcommittees and task forces, their delegates and |
16 | employes and all others charged with the responsibility of |
17 | collecting, reviewing, analyzing and disseminating the |
18 | information developed from the filing of the annual statement |
19 | convention blanks shall be acting as agents of the Insurance |
20 | Commissioner under the authority of this act and shall not be |
21 | subject to civil liability for libel, slander or any other cause |
22 | of action by virtue of their collection, review and analysis or |
23 | dissemination of the data and information collected from the |
24 | filings required hereunder. |
25 | (d) [All financial analysis ratios and examination synopses |
26 | concerning insurance companies that are submitted to the |
27 | Insurance Department by the National Association of Insurance |
28 | Commissioners' Insurance Regulatory Information System are |
29 | confidential and may not be disclosed by the Insurance |
30 | Department. Work products developed by Insurance Department |
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1 | staff in conducting financial analyses of financial statements |
2 | filed pursuant to this section are confidential and shall not be |
3 | disclosed by the Insurance Department.](1) The following |
4 | documents, materials or information shall be confidential by law |
5 | and privileged and shall not be subject to subpoena, discovery, |
6 | the act of February 14, 2008 (P.L.6, No. 3), known as the |
7 | "Right-to-Know Law," or admissible in evidence in any private |
8 | civil action: |
9 | (i) All documents, materials or other information prepared |
10 | or provided by an insurance company, association or exchange |
11 | solely in support of the statement of actuarial opinion filed |
12 | under this section, including actuarial reports, work papers or |
13 | actuarial opinion summaries and any other material solely |
14 | prepared by the insurance company, association or exchange for |
15 | the purpose of providing it to the Insurance Department in |
16 | connection with actuarial reports, work papers or actuarial |
17 | opinion summaries. |
18 | (ii) All financial analysis ratios, analyst team reports and |
19 | other financial analytical results concerning insurance |
20 | companies, associations and exchanges that are provided to the |
21 | Insurance Department by the National Association of Insurance |
22 | Commissioners. |
23 | (iii) All additional work products, documents, materials or |
24 | information produced by, obtained by or provided to the |
25 | Insurance Department in the course of conducting financial |
26 | analyses of financial statements filed under this section. |
27 | (2) The protections established under paragraph (1)(i) and |
28 | (iii) shall also apply to the materials, drafts or copies |
29 | thereof when in possession of the insurance company, association |
30 | or exchange if the materials or drafts were prepared solely for |
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1 | the purpose of submitting the materials to the Insurance |
2 | Department. Any documents, materials or information that are |
3 | provided to the Insurance Department under paragraph (1)(i) or |
4 | (iii) and that would otherwise be available from original |
5 | sources shall not be construed as immune from discovery from the |
6 | original source and use in any private civil action merely |
7 | because they were provided to the Insurance Department. |
8 | (3) Neither the Insurance Commissioner nor any individual or |
9 | person who receives documents, materials or information while |
10 | acting under the authority of the Insurance Commissioner shall |
11 | be permitted or required to testify in any private civil action |
12 | concerning any confidential documents, materials or information |
13 | covered under this section. |
14 | (4) No waiver of any applicable privilege or claim of |
15 | confidentiality in the documents, materials or information shall |
16 | occur as a result of disclosure to the Insurance Commissioner or |
17 | as a result of the Insurance Commissioner sharing information in |
18 | conformance with sections 201-A and 202-A of the act of May 17, |
19 | 1921 (P.L. 789, No. 285), known as "The Insurance Department Act |
20 | of 1921." |
21 | (5) The Insurance Commissioner may use the documents, |
22 | materials or other information obtained or created under this |
23 | section in furtherance of any regulatory or legal action brought |
24 | as part of the Insurance Commissioner’s official duties. |
25 | (e) (1) Any company, association, or exchange, which |
26 | neglects to make and file its annual statement, or other |
27 | statements that may be required, in the form or within the time |
28 | herein provided shall forfeit a sum not to exceed two hundred |
29 | dollars ($200) for each day during which such neglect continues, |
30 | and, upon notice by the commissioner, its authority to do new |
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1 | business shall cease while such default continues. |
2 | (2) For wilfully making a false annual or other statement |
3 | required by law, an insurance company, association or exchange, |
4 | and the persons making oath to or subscribing the same, shall |
5 | severally be punished by a fine of not less than one thousand |
6 | dollars ($1,000) nor more than ten thousand dollars ($10,000). A |
7 | person who wilfully makes oath to such false statement shall be |
8 | guilty of perjury. |
9 | (3) The Insurance Commissioner may suspend, revoke or refuse |
10 | to renew the certificate of authority of any insurer failing to |
11 | file its annual statement when due. |
12 | Section 2. The act is amended by adding an article articles | <-- |
13 | to read: |
14 | ARTICLE IV-B |
15 | SUITABILITY OF ANNUITY TRANSACTIONS |
16 | Section 401-B. Definitions. |
17 | The following words and phrases when used in this article |
18 | shall have the meanings given to them in this section unless the |
19 | context clearly indicates otherwise: |
20 | "Annuity." A fixed annuity or variable annuity that is |
21 | individually solicited, whether the product is classified as an |
22 | individual or group annuity. |
23 | "Commissioner." The Insurance Commissioner of the |
24 | Commonwealth. |
25 | "General agent." An insurance producer that provides |
26 | supervision on behalf of an insurer to an insurer's sales force |
27 | in a particular geographic region or territory. |
28 | "Independent agency." A producer entity that does not |
29 | exclusively represent one insurance company. |
30 | "Insurance producer." A person who sells, solicits or |
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1 | negotiates contracts of insurance as defined in section 601-A of |
2 | the act of May 17, 1921 (P.L.789, No.285), known as The |
3 | Insurance Department Act of 1921. |
4 | "Insurer." A life insurance company licensed or required to |
5 | be licensed under section 202 or a fraternal benefit society as |
6 | defined in section 2403. |
7 | "Recommendation." Advice provided by an insurance producer, |
8 | or an insurer where no producer is involved, to an individual |
9 | consumer that results in a purchase or exchange of an annuity in |
10 | accordance with that advice. |
11 | Section 402-B. Applicability and scope. |
12 | (a) General rule.--This article shall apply to any |
13 | recommendation to purchase or exchange an annuity made to a |
14 | consumer by an insurance producer, or an insurer where no |
15 | producer is involved, that results in the purchase or exchange |
16 | recommended. |
17 | (b) Exclusions.--Unless otherwise specifically included, |
18 | this article shall not apply to recommendations involving the |
19 | following: |
20 | (1) Direct response solicitations where there is no |
21 | recommendation based on information collected from the |
22 | consumer pursuant to this article. |
23 | (2) Annuity contracts used to fund: |
24 | (i) An employee pension or welfare benefit plan that |
25 | is covered by the Employee Retirement Income Security Act |
26 | of 1974 (Public Law 93-406, 88 Stat. 829). |
27 | (ii) A plan described by sections 401(a) or (k), |
28 | 403(b), 408(k) or (p) of the Internal Revenue Code of |
29 | 1986 (Public Law 99-514, 26 U.S.C. §§ 401(a) or (k), |
30 | 403(b), 408(k) or (p)), when the plan, for purposes of |
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1 | the Employee Retirement Income Security Act of 1974, is |
2 | established or maintained by an employer. |
3 | (iii) A governmental or church plan defined in |
4 | section 414 of the Internal Revenue Code of 1986 or a |
5 | deferred compensation plan of a State or local government |
6 | or tax exempt organization under section 457 of the |
7 | Internal Revenue Code of 1986. |
8 | (iv) A nonqualified deferred compensation |
9 | arrangement established or maintained by an employer or |
10 | plan sponsor. |
11 | (v) Settlements of or assumptions of liabilities |
12 | associated with personal injury litigation or any dispute |
13 | or claim resolution process. |
14 | (vi) Formal prepaid funeral contracts. |
15 | Section 403-B. Duties of insurers and insurance producers. |
16 | (a) General duties.--In making a recommendation to a |
17 | consumer for the purchase of an annuity or the exchange of an |
18 | annuity that results in another insurance transaction or series |
19 | of insurance transactions, the insurance producer, or the |
20 | insurer where no insurance producer is involved, shall have |
21 | reasonable grounds for believing that the recommendation is |
22 | suitable for the consumer on the basis of the facts disclosed by |
23 | the consumer as to the consumer's investments and other |
24 | insurance products and as to the consumer's financial situation |
25 | and needs. |
26 | (b) Consumer information.--Prior to the execution of a |
27 | purchase or exchange of an annuity resulting from a |
28 | recommendation, an insurance producer, or an insurer where no |
29 | insurance producer is involved, shall make reasonable efforts to |
30 | obtain information concerning all of the following: |
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1 | (1) The consumer's financial status. |
2 | (2) The consumer's tax status. |
3 | (3) The consumer's investment objectives. |
4 | (4) Other information used or considered to be |
5 | reasonable by the insurance producer, or the insurer where no |
6 | insurance producer is involved, in making recommendations to |
7 | the consumer. |
8 | (c) Obligation limits.-- |
9 | (1) Neither an insurance producer nor an insurer where |
10 | no insurance producer is involved shall have any obligation |
11 | to a consumer under subsection (a) related to any |
12 | recommendation that is reasonable under all the circumstances |
13 | actually known to the insurer or insurance producer at the |
14 | time of the recommendation when a consumer: |
15 | (i) Refuses to provide relevant information |
16 | requested by the insurer or insurance producer. |
17 | (ii) Decides to enter into an insurance transaction |
18 | that is not based on a recommendation of the insurer or |
19 | insurance producer. |
20 | (iii) Fails to provide complete or accurate |
21 | information. |
22 | (d) Supervision of recommendations.-- |
23 | (1) An insurer shall assure that a system to supervise |
24 | recommendations that is reasonably designed to achieve |
25 | compliance with this article is established and maintained by |
26 | complying with paragraphs (3) and (4), or shall establish and |
27 | maintain such a system that includes at least the following: |
28 | (i) Maintaining written procedures. |
29 | (ii) Conducting periodic reviews of its records that |
30 | are reasonably designed to assist in detecting and |
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1 | preventing violations of this article. |
2 | (2) A general agent or independent agency shall adopt a |
3 | system established by an insurer to supervise recommendations |
4 | of its insurance producers that is reasonably designed to |
5 | achieve compliance with this article, or shall establish and |
6 | maintain a system that is reasonably designed to achieve |
7 | compliance with this article. The system must include at |
8 | least the following: |
9 | (i) Maintaining written procedures. |
10 | (ii) Conducting periodic reviews of records that are |
11 | reasonably designed to assist in detecting and preventing |
12 | violations of this article. |
13 | (3) An insurer may contract with a third party, |
14 | including a general agent or independent agency, to establish |
15 | and maintain a system of supervision as required by paragraph |
16 | (1) with respect to insurance producers under contract with |
17 | or employed by the third party. |
18 | (4) An insurer shall make reasonable inquiry to assure |
19 | that the third party contracting under paragraph (3) is |
20 | performing the functions required under paragraph (1) and |
21 | shall take such action as is reasonable under the |
22 | circumstances to enforce the contractual obligation to |
23 | perform the functions. An insurer may comply with its |
24 | obligation to make reasonable inquiry by doing both of the |
25 | following: |
26 | (i) The insurer annually obtains, electronically or |
27 | otherwise,a certification from a third party senior |
28 | manager who has responsibility for the delegated |
29 | functions that the manager has a reasonable basis to |
30 | represent, and does represent, that the third party is |
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1 | performing the required functions. |
2 | (ii) The insurer, based on reasonable selection |
3 | criteria, periodically selects third parties contracting |
4 | under paragraph (3) for a review to determine whether the |
5 | third parties are performing the required functions. The |
6 | insurer shall perform procedures to conduct the review |
7 | that are reasonable under the circumstances. |
8 | (5) An insurer that contracts with a third party under |
9 | paragraph (3) and that complies with the requirements to |
10 | supervise under paragraph (4) shall have fulfilled its |
11 | responsibilities under paragraph (1). |
12 | (6) An insurer, general agent or independent agency is |
13 | not required to do either of the following: |
14 | (i) Review or provide for review of all insurance |
15 | producer-solicited transactions. |
16 | (ii) Include in its system of supervision an |
17 | insurance producer's recommendations to consumers of |
18 | products other than the annuities offered by the insurer, |
19 | general agent or independent agency. |
20 | (7) A general agent or independent agency contracting |
21 | with an insurer pursuant to paragraph (3) shall promptly, |
22 | when requested by the insurer pursuant to paragraph (4), give |
23 | a certification as described in paragraph (4) or give a clear |
24 | statement that it is unable to meet the certification |
25 | criteria. |
26 | (8) No person may provide a certification under |
27 | paragraph (4)(i) unless both the following conditions are |
28 | met: |
29 | (i) The person is a senior manager with |
30 | responsibility for the delegated functions. |
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1 | (ii) The person has a reasonable basis for making |
2 | the certification. |
3 | (e) Compliance with other rules.--Compliance with the |
4 | Financial Industry Regulatory Authority Conduct Rules pertaining |
5 | to suitability shall satisfy the requirements under this section |
6 | for the recommendation of annuities registered under the |
7 | Securities Act of 1933 (48 Stat. 74, 15 U.S.C. § 77a et seq.) or |
8 | rules and regulations adopted under the Securities Act of 1933. |
9 | Nothing in this subsection shall limit the commissioner's |
10 | ability to enforce the provisions of this article. |
11 | (f) Internal audit and compliance procedures.--Nothing in |
12 | this article shall exempt an insurer from the internal audit and |
13 | compliance procedure requirements under section 405-A. |
14 | Section 404-B. Mitigation of responsibility. |
15 | (a) Corrective actions.--The commissioner may order: |
16 | (1) An insurer to take reasonably appropriate corrective |
17 | action for any consumer harmed by the insurer's or by its |
18 | insurance producer's violation of this article. |
19 | (2) An insurance producer to take reasonably appropriate |
20 | corrective action for any consumer harmed by the insurance |
21 | producer's violation of this article. |
22 | (3) A general agent or independent agency that employs |
23 | or contracts with an insurance producer to sell or solicit |
24 | the sale of annuities to consumers, to take reasonably |
25 | appropriate corrective action for any consumer harmed by the |
26 | insurance producer's violation of this article. |
27 | (b) Reduction of penalty.--Any applicable penalty permitted |
28 | under section 406-B may be reduced or eliminated if corrective |
29 | action for the consumer was taken promptly after a violation was |
30 | discovered. |
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1 | Section 405-B. Recordkeeping. |
2 | An insurer, general agent, independent agency and insurance |
3 | producer shall maintain or be able to make available to the |
4 | commissioner records of the information collected from the |
5 | consumer and other information used in making the |
6 | recommendations that were the basis for insurance transactions |
7 | for five years after the insurance transaction is completed by |
8 | the insurer. An insurer is permitted but shall not be required |
9 | to maintain documentation on behalf of an insurance producer. |
10 | Section 406-B. Enforcement. |
11 | (a) Penalties and remedies.--Upon a determination by hearing |
12 | that this article has been violated, the commissioner may pursue |
13 | one or more of the following courses of action: |
14 | (1) Issue an order requiring the person in violation to |
15 | cease and desist from engaging in the violation. |
16 | (2) Suspend or revoke or refuse to issue or renew the |
17 | certificate or license of the person in violation. |
18 | (3) Impose a civil penalty of not more than $5,000 for |
19 | each violation. |
20 | (4) Impose any other penalty or remedy deemed |
21 | appropriate by the commissioner, including restitution. |
22 | (b) Other remedies.--The enforcement remedies imposed under |
23 | this section are in addition to any other remedies or penalties |
24 | that may be imposed by any other applicable statute, including |
25 | the act of July 22, 1974 (P.L.589, No.205), known as the Unfair |
26 | Insurance Practices Act. Violations of this article are deemed |
27 | and defined by the commissioner to be an unfair method of |
28 | competition and an unfair or deceptive act or practice pursuant |
29 | to the Unfair Insurance Practices Act. |
30 | Section 407-B. Private cause of action. |
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1 | Nothing in this article shall be construed to create or imply |
2 | a private cause of action for a violation of this article. |
3 | ARTICLE VI-B | <-- |
4 | HEALTH INSURANCE COVERAGE PARITY |
5 | AND NONDISCRIMINATION |
6 | Section 601-B. Short title of article. |
7 | This article shall be known and may be cited as the Health |
8 | Insurance Coverage Parity and Nondiscrimination Act. |
9 | Section 602-B. Purpose. |
10 | It is necessary to maintain the Commonwealth's sovereignty |
11 | over the regulation of health insurance in this Commonwealth by |
12 | implementing the requirements of the Paul Wellstone and Pete |
13 | Domenici Mental Health Parity and Addiction Equity Act of 2008 |
14 | (Public Law 110-343, 122 Stat. 3881), the Genetic Information |
15 | Nondiscrimination Act of 2008 (Public Law 110-233, 122 Stat. |
16 | 881) and Michelle’s Law (Public Law 110-381, 122 Stat. 4081), |
17 | collectively contained in the Public Health Service Act (58 |
18 | Stat. 682, 42 U.S.C. § 201 et seq.). The provisions of this |
19 | article are intended to meet these requirements while retaining |
20 | the Commonwealth's authority to regulate health insurance in |
21 | this Commonwealth, consistent with sections 2722 and 2761 of the |
22 | Public Health Service Act. |
23 | Section 603-B. Definitions. |
24 | (a) General rule.--The following words and phrases when used |
25 | in this article shall have the meanings given to them in this |
26 | section unless the context clearly indicates otherwise: |
27 | "Commissioner." The Insurance Commissioner of the |
28 | Commonwealth. |
29 | "Department." The Insurance Department of the Commonwealth. |
30 | "Federal acts." The Federal laws known as the Paul Wellstone |
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1 | and Pete Domenici Mental Health Parity and Addiction Equity Act |
2 | of 2008 (Public Law 110-343, 122 Stat. 3881), the Genetic |
3 | Information Nondiscrimination Act of 2008 (Public Law 110-233, |
4 | 122 Stat. 881) and Michelle’s Law (Public Law 110-381, 122 Stat. |
5 | 4081), collectively contained in the Public Health Service Act |
6 | (58 Stat. 682, 42 U.S.C. § 201 et seq.). |
7 | "Fraternal benefit society." An entity holding a current |
8 | certificate of authority under Article XXIV. |
9 | "Health maintenance organization." An entity holding a |
10 | current certificate of authority under the act of December 29, |
11 | 1972 (P.L.1701, No.364), known as the Health Maintenance |
12 | Organization Act. |
13 | "Hospital plan corporation." An entity holding a current |
14 | certificate of authority organized and operated under 40 Pa.C.S. |
15 | Ch. 61 (relating to hospital plan corporations). |
16 | "Insurer." A foreign or domestic insurance company, |
17 | association or exchange, health maintenance organization, |
18 | hospital plan corporation, professional health services plan |
19 | corporation, fraternal benefit society or risk-assuming |
20 | preferred provider organization. The term shall not include a |
21 | group health plan as defined in section 2791 of the Public |
22 | Health Service Act (58 Stat. 682, 42 U.S.C. § 300gg-91). |
23 | "Preferred provider organization." An entity holding a |
24 | current certificate of authority under section 630. |
25 | "Professional health services plan corporation." An entity |
26 | holding a current certificate of authority under 40 Pa.C.S. Ch. |
27 | 63 (relating to professional health services plan corporations). |
28 | This term shall not include dental service corporations or |
29 | optometric service corporations, as those terms are defined |
30 | under 40 Pa.C.S. § 6302(a) (relating to definitions). |
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1 | (b) Federal law.--The words, terms and definitions found in |
2 | the Federal acts, including those in section 2791 of the Public |
3 | Health Service Act (58 Stat. 682, 42 U.S.C. 300gg-91), are |
4 | adopted for purposes of implementing this article, except as |
5 | noted in this subsection. The term "health insurance issuer" |
6 | under section 2791(b)(2) of the Public Health Service Act shall |
7 | have the meaning provided under "insurer" in subsection (a). |
8 | Section 604-B. Adoption of Federal acts. |
9 | Insurers shall comply with the Federal acts, as contained in |
10 | sections 2701, 2702, 2705, 2707, 2721, 2753 and 2754 of the |
11 | Public Health Service Act (58 Stat. 682, 42 U.S.C. §§ 300gg, |
12 | 300gg-1, 300gg-5, 300gg-7, 300gg-21, 300gg-53 and 300gg-54). |
13 | Section 605-B. Penalties. |
14 | (a) General rule.--Upon satisfactory evidence of a violation |
15 | of this article by any insurer or other person, the commissioner |
16 | may, in the commissioner's discretion, pursue any one of the |
17 | following courses of action: |
18 | (1) Suspend, revoke or refuse to renew the license of |
19 | the offending person. |
20 | (2) Enter a cease and desist order. |
21 | (3) Impose a civil penalty of not more than $5,000 for |
22 | each action in violation of this article. |
23 | (4) Impose a civil penalty of not more than $10,000 for |
24 | each action in willful violation of this article. |
25 | (b) Limitation.--Penalties imposed against a person under |
26 | this article and under section 5 of the act of June 25, 1997 |
27 | (P.L.295, No.29), known as the Pennsylvania Health Care |
28 | Insurance Portability Act, shall not exceed $500,000 in the |
29 | aggregate during a single calendar year. |
30 | Section 606-B. Regulations. |
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1 | The department may promulgate such regulations as may be |
2 | necessary or appropriate to carry out this article. |
3 | Section 3. Section 1602 of the act, amended or added | <-- |
4 | December 18, 1992 (P.L.1519, No.178) and July 10, 2002 (P.L.749, |
5 | No.110), is amended to read: |
6 | Section 1602. Definitions.--As used in this article the |
7 | following words and phrases shall have the meanings given to |
8 | them in this section: |
9 | "Admitted insurer." An insurer licensed to do an insurance |
10 | business in this Commonwealth. |
11 | "Business entity." A corporation, a partnership, a limited |
12 | liability company, a limited liability partnership, a business |
13 | trust or any other entity doing business other than as a natural |
14 | person. |
15 | "Capital." The term, as used in the financial requirements |
16 | of section 1605, means funds paid for stock or other evidence of |
17 | ownership. |
18 | "Commissioner." The Insurance Commissioner of the |
19 | Commonwealth. |
20 | "Department." The Insurance Department of the Commonwealth. |
21 | "Eligible surplus lines insurer." A nonadmitted insurer with |
22 | which a surplus lines licensee may place surplus lines insurance |
23 | under section 1604. |
24 | "Export." To place surplus lines insurance with either a |
25 | nonadmitted insurer or an eligible surplus lines insurer in |
26 | accordance with this article. |
27 | "Independently procured insurance." Any insurance which a |
28 | resident of this Commonwealth directly negotiates with and |
29 | purchases, continues or renews from a nonadmitted insurer |
30 | without securing the services of an insurance [agent, broker] |
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1 | producer or surplus lines licensee[, whether the agent or broker |
2 | holds a resident or nonresident license issued by the |
3 | department]. |
4 | "Insurance producer." A person that is licensed to sell, |
5 | solicit or negotiate contracts of insurance with admitted |
6 | insurers. |
7 | "Kind of insurance." One of the types of insurance required |
8 | to be reported in the annual statement which must be filed with |
9 | the department by admitted insurers. |
10 | "Nonadmitted insurer." An insurer not authorized and not |
11 | licensed to do an insurance business in this Commonwealth. The |
12 | term includes insurance exchanges as authorized under the laws |
13 | of various states. |
14 | "Person." A natural person or business entity. |
15 | ["Producing broker." The broker dealing directly with the |
16 | party seeking insurance.] |
17 | "Purchasing group." An entity formed to purchase liability |
18 | insurance under the Risk Retention Amendments of 1986 (Public |
19 | Law 99-563, 100 Stat. 3170). |
20 | "Risk retention group." An insurer organized to do business |
21 | under the Risk Retention Amendments of 1986 (Public Law 99-563, |
22 | 100 Stat. 3170). |
23 | "Surplus." The term, as used in the financial requirements |
24 | of section 1605, means funds over and above liabilities and |
25 | capital of the company for the protection of its policyholders. |
26 | "Surplus lines insurance." Any insurance of risks resident, |
27 | located or to be performed in this Commonwealth, permitted to be |
28 | placed through a surplus lines licensee with a nonadmitted |
29 | insurer eligible to accept such insurance, other than |
30 | reinsurance, wet marine and transportation insurance, |
|
1 | independently procured insurance, life [and health] insurance |
2 | and annuities and coverage obtained from risk retention groups |
3 | under the Risk Retention Amendments of 1986 (Public Law 99-563, |
4 | 100 Stat. 3170). |
5 | "Surplus lines licensee." [An individual, partnership or |
6 | corporation] A person licensed as a surplus lines producer under |
7 | section 1615 to place surplus lines insurance with nonadmitted |
8 | insurers eligible to accept such insurance. |
9 | "Wet marine and transportation insurance." Any of the |
10 | following: |
11 | (1) Insurance upon vessels, crafts or hulls and of interests |
12 | therein or with relation thereto. |
13 | (2) Insurance of marine builder's risks, marine war risks |
14 | and contracts of marine protection and indemnity insurance. |
15 | (3) Insurance of freights and disbursements pertaining to a |
16 | subject of insurance coming within this definition. |
17 | (4) Insurance of personal property and interest therein, in |
18 | the course of exportation from or importation into any country, |
19 | or in the course of transportation coastwise or on inland |
20 | waters, including transportation by land, water or air from |
21 | point of origin to final destination, in connection with any and |
22 | all risks or perils of navigation, transit or transportation, |
23 | and while being prepared for and while awaiting shipment, and |
24 | during any delays, transshipment or reshipment. Insurance of |
25 | personal property and interests therein shall not be considered |
26 | wet marine and transportation insurance if: |
27 | (i) the property has been transported solely by land; |
28 | (ii) the property has reached its final destination as |
29 | specified in the bill of lading or other shipping document; or |
30 | (iii) the insured no longer has an insurable interest in the |
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1 | property. |
2 | (5) Any insurance associated with transportation of property |
3 | listed under this definition. |
4 | "Writing producer." The insurance producer which brings |
5 | about or negotiates contracts of insurance directly on behalf of |
6 | the consumer seeking insurance. |
7 | Section 4. Section 1603 of the act, added December 18, 1992 |
8 | (P.L.1519, No.178), is amended to read: |
9 | Section 1603. Acting for or Aiding Nonadmitted Insurers.-- |
10 | (a) No person in this Commonwealth shall directly or indirectly |
11 | act as [agent] a producer for, or otherwise represent or aid on |
12 | behalf of another, any nonadmitted insurer in the solicitation, |
13 | negotiation, procurement or effectuation of insurance, or |
14 | renewals thereof, or forwarding of applications, or delivery of |
15 | policies or contracts or inspection of risks, or fixing of |
16 | rates, or investigation or adjustment of claims or losses, or |
17 | collection or forwarding of premiums, or in any other manner |
18 | represent or assist such insurer in the transaction of |
19 | insurance. |
20 | (b) If the nonadmitted insurer is not an eligible surplus |
21 | lines insurer and fails to pay a claim or loss within the |
22 | provisions of the insurance contract, a person who assisted or |
23 | in any manner aided, directly or indirectly, in the procurement |
24 | of the insurance contract shall be liable to the insured for the |
25 | full amount payable under the provisions of the insurance |
26 | contract. |
27 | (c) This section does not apply to any of the following: |
28 | (1) Surplus lines insurance if it is effected and written |
29 | pursuant to this article. |
30 | (2) Insurance effected with a nonadmitted insurer pursuant |
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1 | to sections 1606 and 1610. |
2 | (3) Transactions for which a certificate of authority to do |
3 | business is not required of an insurer under the insurance laws |
4 | of this Commonwealth. |
5 | (4) Reinsurance. |
6 | (5) Wet marine and transportation insurance. |
7 | (6) Transactions subsequent to issuance of a policy not |
8 | covering domestic risks at time of issuance and lawfully |
9 | solicited, written or delivered outside of this Commonwealth. |
10 | (7) Transactions involving risk retention groups chartered |
11 | and licensed outside of this Commonwealth. |
12 | Section 5. Section 1605 of the act, amended July 10, 2002 |
13 | (P.L.749, No.110), is amended to read: |
14 | Section 1605. Requirements for Eligible Surplus Lines |
15 | Insurers.--(a) No surplus lines licensee shall place any |
16 | coverage with a nonadmitted insurer unless, at the time of |
17 | placement, such nonadmitted insurer: |
18 | (1) Is of good repute and financial integrity. |
19 | (2) Qualifies under any of the following subparagraphs: |
20 | (i) Has policyholder surplus equal to or greater than two |
21 | times the minimum capital and surplus required to be fully |
22 | licensed in this Commonwealth. Two (2) years from the effective |
23 | date of this article is granted to allow those nonadmitted |
24 | insurers which are eligible surplus lines insurers on the |
25 | effective date of this article to achieve this capital and |
26 | surplus requirement. If an alien insurer, as defined by the act |
27 | of December 10, 1974 (P.L.804, No.266), referred to as the Alien |
28 | Insurer Domestication Law, it shall maintain in the United |
29 | States an irrevocable trust fund in either a national bank or a |
30 | member of the Federal Reserve System, in an amount not less than |
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1 | that currently required by the National Association of Insurance |
2 | Commissioners' International Insurers Department or its |
3 | successor for the protection of all of its policyholders in the |
4 | United States, and such trust fund consists of cash, securities, |
5 | letters of credit or investments of substantially the same |
6 | character and quality as those which are eligible investments |
7 | for admitted insurers authorized to write like kinds of |
8 | insurance in this Commonwealth. Such trust fund will be in |
9 | addition to the capital and surplus required in this |
10 | subparagraph and shall have an expiration date which at no time |
11 | shall be less than five (5) years. |
12 | (ii) Is any Lloyd's or other similar group of insurers which |
13 | includes unincorporated individual insurers that maintains a |
14 | trust fund of not less than fifty million ($50,000,000) dollars |
15 | as security to the full amount thereof for all policyholders and |
16 | creditors in the United States of each member of the group. Such |
17 | trust funds shall likewise comply with the terms and conditions |
18 | established in subparagraph (i) for alien insurers. |
19 | (iii) Is an insurance exchange created by the laws of |
20 | individual states that maintains capital and surplus or the |
21 | substantial equivalent thereof of not less than fifteen million |
22 | ($15,000,000) dollars in the aggregate. For insurance exchanges |
23 | which maintain funds for the protection of all insurance |
24 | exchange policyholders, each individual syndicate shall maintain |
25 | minimum capital and surplus or the substantial equivalent |
26 | thereof of not less than one million five hundred thousand |
27 | ($1,500,000) dollars. In the event the insurance exchange does |
28 | not maintain funds for the protection of all insurance exchange |
29 | policyholders, each individual syndicate shall meet the minimum |
30 | capital and surplus requirements of subparagraph (i). |
|
1 | (3) Has provided to the department a copy of its current |
2 | annual financial statement certified by such insurer, such |
3 | statement to be provided no more than thirty (30) days after the |
4 | date required for filing an annual financial statement in its |
5 | domiciliary jurisdiction and which is either: |
6 | (i) certified by the regulatory authority in the domicile of |
7 | the insurer; or |
8 | (ii) certified by an accounting or auditing firm licensed in |
9 | the jurisdiction of the insurer's domicile. |
10 | In the case of an insurance exchange, the statement may be an |
11 | aggregate statement of all underwriting syndicates operating |
12 | during the period reported. |
13 | (b) In addition to meeting the requirements in subsection |
14 | (a), a nonadmitted insurer shall be an eligible surplus lines |
15 | insurer if it appears on the most recent list of eligible |
16 | surplus lines insurers published by the department from time to |
17 | time but at least [semiannually] annually. Nothing in this |
18 | section shall require the department to place or maintain the |
19 | name of any nonadmitted insurer on the list of eligible surplus |
20 | lines insurers. |
21 | Section 6. Section 1606 of the act, added December 18, 1992 |
22 | (P.L.1519, No.178), is amended to read: |
23 | Section 1606. Other Nonadmitted Insurers.--Only that |
24 | portion, not to exceed twenty-five per centum (25%), of any risk |
25 | eligible for export for which the full amount of coverage is not |
26 | procurable from either admitted insurers or eligible surplus |
27 | lines insurers may be placed with any other nonadmitted insurer |
28 | which does not appear on the list of eligible surplus lines |
29 | insurers published by the department pursuant to section 1605(b) |
30 | but nonetheless meets the requirements set forth in section |
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1 | 1605(a) and any regulations of the department. The surplus lines |
2 | licensee [seeking to provide] providing coverage through a |
3 | nonadmitted insurer which is not an eligible surplus lines |
4 | insurer shall make a filing specifying the amount and percentage |
5 | of each risk along with a full explanation of why the risk could |
6 | not be placed with admitted or eligible surplus lines insurers |
7 | and naming the nonadmitted insurer with which placement [is |
8 | intended] was made. At the time of presenting a quotation to the |
9 | insured, the surplus lines licensee shall present to the insured |
10 | or to the [producing broker] writing producer written notice |
11 | that a portion of the insurance will be placed with such |
12 | nonadmitted insurer. |
13 | Section 7. Sections 1608 and 1609 of the act, amended July |
14 | 10, 2002 (P.L.749, No.110), are amended to read: |
15 | Section 1608. Surplus Lines Licensee's Duty to Notify |
16 | Insured.--At the time of presenting a quotation to the insured, |
17 | the surplus lines licensee shall present to the insured or to |
18 | the [producing broker] writing producer written notice that the |
19 | insurance or a portion thereof involves placement with |
20 | nonadmitted insurers. The surplus lines licensee shall, either |
21 | directly or through the [producing broker] writing producer, |
22 | give notice to the insured that: |
23 | (1) the insurer with which the licensee places the insurance |
24 | is not licensed by the Pennsylvania Insurance Department and is |
25 | subject to its limited regulation; and |
26 | (2) in the event of the insolvency of an eligible surplus |
27 | lines insurer, losses will not be paid by the Pennsylvania |
28 | Property and Casualty Insurance Guaranty Association. |
29 | Section 1609. Declarations.--(a) In the case of each |
30 | placement of insurance in accordance with this article: |
|
1 | (1) Within thirty (30) days after the surplus lines licensee |
2 | has placed insurance with an eligible surplus lines insurer, the |
3 | [producing broker] writing producer must execute and forward to |
4 | the surplus lines licensee a written statement, in a form |
5 | prescribed by the department, declaring that: |
6 | (i) A diligent effort to procure the desired coverage from |
7 | admitted insurers was made. |
8 | (ii) The insured was expressly advised in writing prior to |
9 | placement of the insurance that: |
10 | (A) the insurer with whom the insurance is to be placed is |
11 | not admitted to transact business in this Commonwealth and is |
12 | subject to limited regulation by the department; and |
13 | (B) in the event of the insolvency of the insurer, losses |
14 | will not be paid by the Pennsylvania Property and Casualty |
15 | Insurance Guaranty Association. |
16 | This written declaration shall be open to public inspection. |
17 | (2) Within forty-five (45) days after insurance has been |
18 | placed in an eligible surplus lines insurer, the surplus lines |
19 | licensee shall file with the department a written declaration of |
20 | his lack of knowledge of how the coverage could have been |
21 | procured from admitted insurers. The surplus lines licensee |
22 | shall simultaneously file the written declaration of the |
23 | [producing broker] writing producer, as set forth in paragraph |
24 | (1). |
25 | (3) In a particular transaction where the [producing broker] |
26 | writing producer and surplus lines licensee are one in the same |
27 | entity, [he] the writing producer or surplus lines licensee |
28 | shall execute both declarations. |
29 | (b) Subsection (a) shall not apply to any insurance which |
30 | has been placed continuously with an eligible surplus lines |
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1 | insurer for a period of at least three (3) consecutive years |
2 | immediately preceding the current placement. However, within |
3 | forty-five (45) days after insurance has been placed with an |
4 | eligible surplus lines insurer, the surplus lines licensee shall |
5 | file with the department his written declaration on a form |
6 | prescribed by the department. |
7 | Section 8. Sections 1611, 1612 and 1614 of the act, added |
8 | December 18, 1992 (P.L.1519, No.178), are amended to read: |
9 | Section 1611. Surplus Lines Advisory Organizations.--(a) A |
10 | surplus lines advisory organization of surplus lines licensees |
11 | may be formed to: |
12 | (1) Facilitate and encourage compliance by [its members] |
13 | surplus lines licensees with the laws of this Commonwealth and |
14 | the rules and regulations of the department relative to surplus |
15 | lines insurance. |
16 | (2) Provide means for the examination, which shall remain |
17 | confidential, of all surplus lines coverages written by [its |
18 | members] surplus lines licensees to determine whether such |
19 | coverages comply with such laws and regulations. |
20 | (3) Communicate with organizations of admitted insurers with |
21 | respect to the proper use of the surplus lines market. |
22 | (4) Receive and disseminate to [its members] surplus lines |
23 | licensees information relative to surplus lines insurance. |
24 | (b) The functions of the organization shall in no way |
25 | supplant or delegate current regulatory authority of the |
26 | department to administer the provisions of this article. |
27 | (c) [Each such] An advisory organization shall file with the |
28 | department for approval: |
29 | (1) A copy of its constitution, its articles of agreement or |
30 | association or its certificate of incorporation. |
|
1 | (2) A copy of its bylaws, rules and regulations governing |
2 | its activities. |
3 | [(3) A current list of its members.] |
4 | (4) The name and address of a resident of this Commonwealth |
5 | upon whom notices or orders of the department or processes |
6 | issued at its direction may be served. |
7 | (5) An agreement that the department may examine such |
8 | advisory organization in accordance with the provisions of this |
9 | section. |
10 | (d) The department [shall, at least once every four (4) |
11 | years] may, as necessary, make or cause to be made an |
12 | examination of each such advisory organization. The reasonable |
13 | cost of any such examination shall be paid by the advisory |
14 | organization upon presentation to it by the department of a |
15 | detailed account of each cost. The officers, directors, |
16 | managers, agents and employes of such advisory organization may |
17 | be examined at any time, under oath, and shall exhibit all |
18 | books, records, accounts, documents or agreements governing its |
19 | method of operation. The department shall furnish two copies of |
20 | the examination report to the advisory organization examined and |
21 | shall notify such organization that it may, within twenty (20) |
22 | days thereof, request a hearing on the report or on any facts or |
23 | recommendations therein. If the department finds such advisory |
24 | organization or any member thereof to be in violation of this |
25 | article, it may issue a cease and desist order requiring the |
26 | discontinuance of such violation and may impose any other |
27 | penalties as set forth in this article. |
28 | (e) The department may contract with a surplus lines |
29 | advisory organization to render advice and assistance in |
30 | carrying out the purposes of this article. The services |
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1 | performed by the advisory organization pursuant to such contract |
2 | may be funded by a stamping fee assessed on each surplus lines |
3 | policyholder whose policy is submitted to the advisory |
4 | organization. The stamping fee shall be established by the board |
5 | of governors of the advisory organization, from time to time, |
6 | and shall be subject to approval by the department. |
7 | (f) The advisory organization may submit reports and make |
8 | recommendations to the department regarding the financial |
9 | condition of any eligible surplus lines insurer. These reports |
10 | and recommendations shall not be considered to be public |
11 | information or subject to any Federal or State freedom of |
12 | information law. There shall be no liability on the part of nor |
13 | shall any cause of action of any nature be sustained against |
14 | eligible surplus lines insurers, the advisory organization or |
15 | its members, agents, employes, officers or directors or the |
16 | department or authorized representatives of the department for |
17 | statements and any reports or recommendations made by them in |
18 | good faith under this section. |
19 | (g) By order of the department, a surplus lines licensee may |
20 | be compelled to [join an advisory organization] attend |
21 | educational seminars as a condition of continued licensure under |
22 | this article. |
23 | Section 1612. Evidence of Insurance.--(a) Upon placing |
24 | surplus lines insurance, the surplus lines licensee shall |
25 | deliver to the insured or the [producing broker] writing |
26 | producer the contract of insurance. If the contract of insurance |
27 | is not immediately available, a cover note, binder or other |
28 | evidence of insurance shall be delivered by the surplus lines |
29 | licensee to the insured or the [producing broker] writing |
30 | producer and shall, at a minimum, show the description and |
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1 | location of the subject of insurance, coverages, including any |
2 | material limitations other than those in standard forms, the |
3 | premium and rate charged and taxes to be collected from the |
4 | insured, the name and address of the insured and the eligible |
5 | surplus lines insurer and other nonadmitted insurer involved |
6 | under section 1606 and proportion of the risk assumed by each, |
7 | and the name of the surplus lines licensee. |
8 | (b) No surplus lines licensee shall bind or provide evidence |
9 | of insurance unless he has authority from the eligible surplus |
10 | lines insurer or other nonadmitted insurer to bind the risk or |
11 | has received information from the insurer in the regular course |
12 | of business that it has assumed the risk. |
13 | (c) If, after delivery of any such evidence of insurance, |
14 | there is any change in the identity of the eligible surplus |
15 | lines insurer, or the proportion of the risk assumed by any |
16 | nonadmitted insurer, or any other material change in coverage as |
17 | stated in the surplus lines licensee's original evidence of |
18 | insurance, or any other material change as to the insurance |
19 | coverage so evidenced, the surplus lines licensee shall promptly |
20 | issue and deliver to the insured or to the original [producing |
21 | broker] writing producer an appropriate substitute for or |
22 | endorsement of the original document accurately showing the |
23 | current status of the coverage and the insurer responsible |
24 | thereunder. |
25 | (d) Every evidence of insurance negotiated, placed or |
26 | procured under the provisions of this article issued by the |
27 | surplus lines licensee shall bear the name of the licensee and |
28 | the following legend in 10-point type: "The insurer which has |
29 | issued this insurance is not licensed by the Pennsylvania |
30 | Insurance Department and is subject to limited regulation. This |
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1 | insurance is NOT covered by the Pennsylvania Property and |
2 | Casualty Insurance Guaranty Association." |
3 | Section 1614. Effect of Payment to Surplus Lines Licensee.-- |
4 | A payment of premium to the [producing broker] writing producer |
5 | or to a surplus lines licensee acting for a person other than |
6 | himself in negotiating, continuing or reviewing any contract of |
7 | insurance under this article shall be deemed to be payment to |
8 | the insurer, whatever conditions or stipulations may be inserted |
9 | in the contract notwithstanding. |
10 | Section 9. Section 1615 of the act, amended July 10, 2002 |
11 | (P.L.749, No.110), is amended to read: |
12 | Section 1615. Licensing of Surplus Lines Licensee.--(a) No |
13 | [agent or broker] insurance producer licensed by the department |
14 | shall transact surplus lines insurance with any nonadmitted |
15 | insurer unless [such agent or broker] the insurance producer |
16 | possesses a valid surplus lines [agent's] producer's license |
17 | issued by the department. |
18 | (b) The department shall issue a surplus lines [agent's] |
19 | producer's license to any resident [or nonresident] of this |
20 | Commonwealth or to a nonresident who is a qualified holder of a |
21 | current Pennsylvania property and casualty [broker's] insurance |
22 | producer's license, but only when the [broker] insurance |
23 | producer has complied with the following: |
24 | (1) Remitted the surplus lines producer license fee to the |
25 | department. |
26 | (2) Submitted a properly completed surplus lines producer |
27 | license application on a form supplied by the department. |
28 | (3) Passed a qualifying examination approved by the |
29 | department, except that all holders of a license prior to the |
30 | effective date of this article shall be deemed to have passed |
|
1 | such an examination. |
2 | (c) [Corporations and partnerships shall be eligible to be |
3 | resident or nonresident surplus lines licensees, upon the |
4 | following conditions: |
5 | (1) The corporation or partnership licensee shall list all |
6 | employes, including at least one active officer or partner, who |
7 | have satisfied the requirements of this article to become |
8 | surplus lines licensees. |
9 | (2) Only those employes holding a certificate of eligibility |
10 | may transact surplus lines insurance.] Business entities that |
11 | are licensed as Pennsylvania insurance producers shall be |
12 | eligible to be surplus lines licensees, if the business entities |
13 | do all of the following: |
14 | (1) Designate one or more officers or partners licensed |
15 | under this article to be responsible for compliance with all |
16 | reporting and recordkeeping required by this article. |
17 | (2) Provide to the department a list of all surplus lines |
18 | licensees associated with and placing surplus lines business |
19 | through the business entity. The business entity shall provide |
20 | to the department an updated list of licensees within five (5) |
21 | business days of a change in association of any licensee. The |
22 | list shall be available at all times for inspection by the |
23 | department. |
24 | (c.1) A nonresident person whose home state issues surplus |
25 | lines licenses to residents of Pennsylvania on the same basis |
26 | and who is licensed in Pennsylvania as a property and casualty |
27 | producer may be licensed as a surplus lines producer if the |
28 | person does all of the following: |
29 | (1) Is currently licensed as a surplus lines producer and is |
30 | in good standing in its home state. |
|
1 | (2) Has submitted a complete application for a surplus lines |
2 | license and has paid the required fees. |
3 | (3) Has submitted or transmitted to the department the |
4 | application for a surplus lines license submitted in its home |
5 | state or a completed uniform application that complies with |
6 | section 610-A of the act of May 17, 1921 (P.L.789, No.285), |
7 | known as "The Insurance Department Act of 1921." |
8 | (4) Has complied with all of the provisions of Article VI-A |
9 | of "The Insurance Department Act of 1921." |
10 | (d) Each surplus lines license shall [expire on the last day |
11 | of February of each year and shall be renewed before March 1 of |
12 | each year upon payment of the annual fee, in compliance with |
13 | other provisions of this section. Any surplus lines licensee who |
14 | fails to apply for renewal of a license before expiration of the |
15 | current license shall pay a penalty of two times the license fee |
16 | and be subject to other penalties as provided by law before his |
17 | license will be renewed.] be: |
18 | (1) Issued as follows: |
19 | (i) Only in the name of the individual applicant or business |
20 | entity. A licensee doing business under a fictitious name other |
21 | than the name appearing on the license shall be required to |
22 | notify the department in writing prior to use of the fictitious |
23 | name for the department's consent to use of the name. |
24 | (ii) In paper or electronic form. |
25 | (iii) For a period not to exceed two (2) years. The |
26 | following shall apply: |
27 | (A) The surplus lines license of a natural person shall |
28 | expire on the last day of the birth month of the licensee. The |
29 | initial license cycle may vary to coincide with the expiration |
30 | cycle of the birth month. |
|
1 | (B) The surplus lines license of a business entity shall |
2 | expire on the last day of the month in which the license was |
3 | originally issued. |
4 | (2) Nontransferable. |
5 | (e) A nonrefundable two hundred dollar ($200) fee shall |
6 | accompany an application or renewal for a surplus lines license, |
7 | unless modified by the department by regulation. |
8 | (f) The following shall apply: |
9 | (1) A surplus lines licensee that allows the licensee's |
10 | license to lapse by failing to timely renew the license or by |
11 | failing to pay the fee required by this act may, within one year |
12 | of the license renewal date, request the department to reinstate |
13 | the license. Persons requesting reinstatement shall pay a fee of |
14 | two times the fee required by this act and may be subject to |
15 | other penalties as provided by law before the license will be |
16 | renewed. |
17 | (2) Persons requesting reinstatement of a lapsed license |
18 | shall submit a completed renewal form and the fee required by |
19 | this act. |
20 | (3) The department shall reinstate a license under this |
21 | subsection retroactively, with the reinstatement effective on |
22 | the date the license lapsed, if the department receives a |
23 | request for reinstatement together with a completed renewal |
24 | application and payment of the lapsed license fee within sixty |
25 | (60) days after the license lapsed. |
26 | (4) The department shall reinstate a license under this |
27 | subsection prospectively, with reinstatement effective on the |
28 | date that the license is reinstated, if the department receives |
29 | a request for reinstatement of a lapsed license more than sixty |
30 | (60) days after the license lapsed but within one year after the |
|
1 | license lapsed. |
2 | (5) If a person applies for reinstatement more than one year |
3 | after the lapse date, the person must reapply for the license |
4 | under this act. |
5 | Section 10. Section 1616 of the act, added December 18, 1992 |
6 | (P.L.1519, No.178), is amended to read: |
7 | Section 1616. Surplus Lines Licensees May Accept Business |
8 | from [Brokers] Insurance Producer.--A surplus lines licensee may |
9 | originate surplus lines insurance or accept such insurance from |
10 | [any broker] an insurance producer duly licensed as to the kind |
11 | or kinds of insurance involved, and the surplus lines licensee |
12 | may compensate [such broker therefor] the insurance producer. |
13 | Section 11. Section 1619 of the act, amended July 10, 2002 |
14 | (P.L.749, No.110), is amended to read: |
15 | Section 1619. Records of Surplus Lines Licensee.--(a) Each |
16 | surplus lines licensee shall keep in its office a full and true |
17 | record of each surplus lines insurance contract placed by or |
18 | through it, including a copy of the policy, certificate, cover |
19 | note or other evidence of insurance, showing such of the |
20 | following items as may be applicable: |
21 | (1) Amount of the insurance and perils insured. |
22 | (2) Brief description of the risk insured and its location. |
23 | (3) Gross premium charged. |
24 | (4) Any return premium paid. |
25 | (5) Rate of premium charged for each risk insured. |
26 | (6) Effective date and terms of the contract. |
27 | (7) Name and address of the insured. |
28 | (8) Name and address of the eligible surplus lines insurer |
29 | and any nonadmitted insured involved pursuant to section 1606. |
30 | (9) Amount of tax and other sums to be collected from the |
|
1 | insured. |
2 | (10) Identity of the [producing broker] writing producer, |
3 | any confirming correspondence from the insurer or its |
4 | representative and the application. |
5 | (11) A copy of the written notice required by section [1408] |
6 | 1608. |
7 | (b) The record of each contract shall be kept open at all |
8 | reasonable times to examination by the department without notice |
9 | for a period of not less than five (5) years following |
10 | termination of the contract. |
11 | (c) If the surplus lines licensee is a natural person who is |
12 | associated with a business entity which is a valid surplus lines |
13 | licensee, the business entity with which the licensee is |
14 | associated shall retain the records which are required by this |
15 | section to be kept by each surplus lines licensee. |
16 | Section 12. Sections 1620, 1621 and 1622 of the act, added |
17 | December 18, 1992 (P.L.1519, No.178), are amended to read: |
18 | Section 1620. Monthly Reports.--Within thirty (30) days |
19 | following the end of each month, each surplus lines licensee |
20 | shall file with the department, on forms prescribed by the |
21 | department, a verified report [in duplicate] of all surplus |
22 | lines insurance transacted during the preceding month. |
23 | Section 1621. Surplus Lines Tax.--(a) There is hereby |
24 | levied a tax of three per centum (3%) on all premiums charged |
25 | for insurance which is placed with either an eligible surplus |
26 | lines insurer, other than a risk retention group, or other |
27 | nonadmitted insurer in accordance with this article, such taxes |
28 | to be based on the gross premiums charged less any return |
29 | premiums. This tax shall be in addition to the full amount of |
30 | the gross premium charged by the insurer for the insurance. The |
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1 | tax on any unearned portion of the premium shall be returned to |
2 | the insured. |
3 | (b) Neither the surplus lines licensee nor the [producing |
4 | broker] writing producer shall pay directly or indirectly such |
5 | tax or any portion thereof, either as an inducement to the |
6 | insured to purchase the insurance or for any other reason. |
7 | (c) The surplus lines licensee shall collect from the |
8 | insured or the [producing broker] writing producer the amount of |
9 | the tax at the time of delivery of the initial policy, cover |
10 | note or other evidence of insurance or at such time thereafter |
11 | as is reasonably consistent with normal credit terms customary |
12 | in the business. Each surplus lines licensee shall, on or before |
13 | January 31 of each year, file with the Department of Revenue a |
14 | report of all transactions involving the placement of insurance |
15 | with either an eligible surplus lines insurer or other |
16 | nonadmitted insurers during the previous calendar year. The |
17 | report shall set forth the name of the insured, identification |
18 | of the insurer, the type of insurance, gross premiums charged |
19 | less any return premiums allowed and the tax due as provided in |
20 | this section. The remittance for the taxes due shall accompany |
21 | this report. Such report shall be made on forms prescribed and |
22 | furnished by the Department of Revenue. A copy of the report |
23 | shall be filed with the [commissioner] department by the surplus |
24 | lines licensee. A surplus lines licensee that is a business |
25 | entity licensee which files the annual premium tax return with |
26 | the Department of Revenue shall include in its return the |
27 | premium taxes generated during the year subject to reporting by |
28 | all licensees associated with said business entity during the |
29 | reporting period. |
30 | (d) In the event that a placement of insurance involves |
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1 | subjects of insurance resident, located or to be performed in |
2 | one or more states other than this Commonwealth, then the |
3 | premium taxes provided for in this section shall be levied only |
4 | on that portion of the premium reasonably ascribable to that |
5 | portion of the risk situated in this Commonwealth. |
6 | (e) With respect to insurance placed with or issued by a |
7 | risk retention group which is an eligible surplus lines insurer, |
8 | there is hereby levied a tax of two per centum (2%) on all |
9 | premiums charged for risks resident, located or to be performed |
10 | in this Commonwealth. The risk retention group shall be |
11 | responsible for the payment of the taxes levied in this article |
12 | in accordance with procedures set forth in Article XV. |
13 | (f) The settlement and resettlement of taxes imposed by this |
14 | article, including the granting of extensions of time to file |
15 | reports and the rights of the taxpayers to present and prosecute |
16 | a petition for resettlement, a petition for review or an appeal |
17 | to court or to file a petition for refund and the imposition of |
18 | interest and penalties, shall be governed by the provisions of |
19 | the act of March 4, 1971 (P.L.6, No.2), known as the "Tax Reform |
20 | Code of 1971," as approved in the case of capital stock and |
21 | franchise taxes. |
22 | Section 1622. Tax on Independently Procured Insurance.--The |
23 | tax provided by section 1621(a) is imposed upon an insured who |
24 | independently procures insurance on a subject of insurance |
25 | resident, located or to be performed in this Commonwealth from a |
26 | nonadmitted insurer or continues or renews such independently |
27 | procured insurance. The insured shall, within thirty (30) days |
28 | after the date when such insurance was independently procured, |
29 | continued or renewed, report such transaction on forms |
30 | prescribed by the Department of Revenue. This report shall set |
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1 | forth the information required of surplus lines licensees as |
2 | required in section 1621(c). The tax of three per centum (3%) |
3 | shall be paid on the date the report is due as provided in this |
4 | section. If the independently procured insurance covers risks |
5 | resident, located or to be performed in one or more states other |
6 | than this Commonwealth, the premium taxes shall be prorated in |
7 | accordance with provisions in section 1621(d). A copy of such |
8 | report shall be filed with the [commissioner] department by the |
9 | insured. |
10 | Section 13. Section 1623 of the act, amended July 10, 2002 |
11 | (P.L.749, No.110), is amended to read: |
12 | Section 1623. Suspension, Revocation or Nonrenewal of |
13 | Surplus Lines Licensee's License.--The department may suspend, |
14 | revoke or refuse to renew the license of a surplus lines |
15 | licensee after notice and a hearing, as provided under the |
16 | applicable provision of the laws of this Commonwealth, upon any |
17 | one or more of the following grounds: |
18 | (3) Closing of the surplus lines licensee's office for a |
19 | period of more than thirty (30) business days, unless permission |
20 | is granted by the department. |
21 | (4) Failure to make and file required reports. |
22 | (5) Failure to transmit required tax on surplus lines |
23 | premiums. |
24 | (7) Failure to remit premiums due insurers or return |
25 | premiums due insureds in the normal course of business and |
26 | within reasonable time limits. |
27 | (8) Violation of any provision of this article. |
28 | (9) For any other cause for which an insurance [agent's or |
29 | broker's] producer's license could be denied, revoked or |
30 | suspended or refused upon renewal. |
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1 | Section 14. Section 1625 of the act, added December 18, 1992 |
2 | (P.L.1519, No.178), is amended to read: |
3 | Section 1625. Penalties.--(a) Any surplus lines licensee |
4 | who, in this Commonwealth, represents or aids a nonadmitted |
5 | insurer in violation of this article commits a misdemeanor of |
6 | the third degree and shall, upon conviction, be sentenced to pay |
7 | a fine of not more than [one thousand ($1,000)] two thousand |
8 | ($2,000) dollars. |
9 | (b) In addition to any other penalty provided for in |
10 | subsection (a) or otherwise provided by law, including any |
11 | suspension, revocation or refusal to renew a license, any |
12 | person[, firm, association or corporation] violating any |
13 | provision of this article shall be liable to a civil penalty not |
14 | exceeding [one thousand ($1,000)] two thousand ($2,000) dollars |
15 | for the first offense and not exceeding [two thousand ($2,000)] |
16 | four thousand ($4,000) dollars for each succeeding offense. |
17 | (c) The penalties in this section are not exclusive |
18 | remedies. Penalties may also be assessed under the act of July |
19 | 22, 1974 (P.L.589, No.205), known as the "Unfair Insurance |
20 | Practices Act," and any other applicable statute. |
21 | Section 15. The act is amended by adding a section to read: |
22 | Section 1626. Compliance.--Nothing in this act shall relieve |
23 | a surplus lines licensee involved in any transaction from |
24 | compliance with this act or its predecessor acts. |
25 | Section 16. Section 2362 of the act, added November 2, 2006 | <-- |
26 | (P.L.1314, No.136), is amended to read: |
27 | Section 2362. Expiration.--This article shall expire |
28 | December 31, [2010] 2013. |
29 | Section 17. All acts and parts of acts are repealed insofar |
30 | as they are inconsistent with the addition of Article VI-B of |
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1 | the act. |
2 | Section 3 18. This act shall take effect as follows: | <-- |
3 | (1) The amendment or addition of section 320 and Article | <-- |
4 | VI-B of the act shall take effect immediately. |
5 | (2) The amendment of section 2362 of the act shall take | <-- |
6 | effect in 60 days. |
7 | (2) (3) This section shall take effect immediately. | <-- |
8 | (3) (4) The remainder of this act shall take effect in | <-- |
9 | 180 days. |
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