HOUSE AMENDED

 

PRIOR PRINTER'S NOS. 242, 631, 747

PRINTER'S NO.  1688

  

THE GENERAL ASSEMBLY OF PENNSYLVANIA

  

SENATE BILL

 

No.

237

Session of

2009

  

  

INTRODUCED BY CORMAN, BROWNE, STACK, EARLL, RAFFERTY, BAKER, FERLO, GORDNER, O'PAKE, WILLIAMS, WAUGH, M. WHITE AND WASHINGTON, FEBRUARY 19, 2009

  

  

AS AMENDED ON SECOND CONSIDERATION, HOUSE OF REPRESENTATIVES, FEBRUARY 8, 2010   

  

  

  

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," 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

 


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]

- 17 -

 


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,

- 18 -

 


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

- 19 -

 


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

- 20 -

 


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

- 21 -

 


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).

- 22 -

 


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

- 23 -

 


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:

- 24 -

 


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

- 25 -

 


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.

- 26 -

 


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

- 27 -

 


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

- 28 -

 


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

- 29 -

 


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

- 30 -

 


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.

- 31 -

 


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.

- 32 -

 


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

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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

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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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