PRINTER'S NO. 2513

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 1977 Session of 1987


        INTRODUCED BY FOX, LINTON, TRELLO, MRKONIC, RAYMOND, MORRIS,
           J. L. WRIGHT, MICOZZIE, SERAFINI, CIVERA, FISCHER, BOWSER,
           BROUJOS, FLICK, BURD, E. Z. TAYLOR, COLAFELLA, CORNELL,
           SIRIANNI, LUCYK, MELIO AND PETRONE, NOVEMBER 17, 1987

        REFERRED TO COMMITTEE ON INSURANCE, NOVEMBER 17, 1987

                                     AN ACT

     1  Providing for liability insurance in areas where liability
     2     insurance is difficult to obtain; creating the Property and
     3     Casualty Insurance Joint Underwriting Association as a legal
     4     entity and conferring upon it rights, obligations, powers and
     5     duties; and imposing additional powers and duties on the
     6     Insurance Department.

     7     The General Assembly of the Commonwealth of Pennsylvania
     8  hereby enacts as follows:
     9  Section 1.  Short title.
    10     This act shall be known and may be cited as the Property and
    11  Casualty Insurance Joint Underwriting Association Act.
    12  Section 2.  Definitions.
    13     The following words and phrases when used in this act shall
    14  have the meanings given to them in this section unless the
    15  context clearly indicates otherwise:
    16     "Association."  The Property and Casualty Insurance Joint
    17  Underwriting Association.
    18     "Board."  The board of directors of the association.
    19     "Department."  The Insurance Department of the Commonwealth.

     1  Section 3.  Creation of association.
     2     There is hereby created an association to be known as the
     3  Property and Casualty Insurance Joint Underwriting Association,
     4  which shall be a legal entity with all the rights and
     5  obligations necessary to fulfill its purpose, including, but not
     6  limited to, the following:
     7         (1)  To enter into contracts.
     8         (2)  To sue and be sued.
     9         (3)  To require insurance companies and the department to
    10     provide information in a timely fashion.
    11         (4)  To require the department to collect information.
    12         (5)  To require insurance companies or any group of
    13     insurance companies to write property and casualty insurance
    14     policies.
    15         (6)  To do all things necessary to carry out the purposes
    16     of this act.
    17  The association shall be administered by a board of directors as
    18  specified in section 4.
    19  Section 4.  Board of directors.
    20     (a)  Composition.--The board shall consist of seven members.
    21  The Majority Leader of the House of Representatives shall
    22  appoint one member, who shall not be associated with the
    23  insurance industry. The Minority Leader of the House of
    24  Representatives shall appoint one member, who shall not be
    25  associated with the insurance industry. The Majority Leader of
    26  the Senate shall appoint one member, who shall not be associated
    27  with the insurance industry. The Minority Leader of the Senate
    28  shall appoint one member, who shall not be associated with the
    29  insurance industry. The Governor shall appoint three members, of
    30  which at least two shall be associated with the insurance
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     1  industry. The Insurance Commissioner shall be an ex officio
     2  member of the board who shall act as chairman and shall vote
     3  only in the case of a tie.
     4     (b)  Quorum.--Four members of the board, not including the
     5  Insurance Commissioner, shall constitute a quorum.
     6     (c)  Compensation.--Board members shall be reimbursed for any
     7  actual expenses incurred in the performance of their duties but
     8  shall not receive any salary.
     9     (d)  Terms.--Initially, one member appointed by the Governor
    10  and the members appointed by the Minority Leader of the House of
    11  Representatives and the Minority Leader of the Senate shall
    12  serve a term of two years, and the remaining appointed members
    13  shall serve a term of four years. Thereafter, all appointments
    14  to the board shall be for a term of four years. A vacancy on the
    15  board shall be filled by the appointing authority for the
    16  unexpired term. No member appointed to the board shall serve
    17  until a successor is duly appointed and qualified.
    18     (e)  Meetings.--The Insurance Commissioner or any four
    19  members of the board shall have the power to call a meeting of
    20  the board.
    21     (f)  Staff.--The board shall appoint an executive director
    22  and shall fix the compensation of the executive director. The
    23  Insurance Department shall provide all personnel services that
    24  may be necessary.
    25  Section 5.  Powers and duties of board.
    26     (a)  General rule.--Whenever the board, on its own motion or
    27  on petition of persons seeking coverage, determines that more
    28  than 5% of standard risks in any line or subline of insurance
    29  specified in subsection (b) cannot obtain coverage through the
    30  voluntary market at standard rates, then the board shall
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     1  implement the provisions of section 6 and provide for adequate
     2  coverage. Whenever the board determines that coverage has been
     3  available to 95% or more of the standard risks in any line or
     4  subline of insurance for at least six consecutive months, then
     5  the plan under section 6 shall be discontinued and insurance
     6  coverage obtained in the voluntary market at standard rates.
     7     (b)  Lines of insurance.--The board shall prepare separate
     8  joint underwriting plans for each of the following areas of
     9  property and casualty liability insurance:
    10         (1)  Political subdivision liability, with separate plans
    11     for municipalities, school districts and authorities.
    12         (2)  Local public official liability.
    13         (3)  Liability under section 497 of the act of April 12,
    14     1951 (P.L.90, No.21), known as the Liquor Code.
    15         (4)  Day-care center liability.
    16         (5)  Commercial motor vehicles.
    17         (6)  Amusement ride liability.
    18         (7)  Nurse midwives.
    19         (8)  Product liability.
    20         (9)  Officers and directors of nonprofit organizations.
    21         (10)  Any other area of property and casualty liability
    22     insurance which the department deems appropriate.
    23     (c)  Application.--Any standard risk who is unable to obtain
    24  coverage may petition the board to provide insurance in a
    25  certain line or subline, and the board, after consideration of
    26  the extent of the problem based on data obtained from the
    27  department and any other appropriate sources, shall render a
    28  decision based on the petition within 45 days.
    29     (d)  Risk management program.--The board shall adopt a
    30  program for risk management for each line or subline of
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     1  insurance to be offered coverage. Compliance with such risk
     2  management program shall be a condition precedent to obtaining
     3  and maintaining coverage from the board-approved plan.
     4     (e)  Separation of funds.--The board shall, at its
     5  discretion, create separate accounts for each line or subline of
     6  insurance plans that it creates and shall not commingle funds.
     7     (f)  Prohibition.--The board may not consider coverage for
     8  medical malpractice insurance, private passenger motor vehicle
     9  insurance or environmental impairment liability insurance.
    10  Section 6.  Casualty insurance and risk apportionment plans.
    11     (a)  Plan.--The board shall, after consultation with property
    12  and casualty insurers transacting business in this Commonwealth,
    13  adopt a plan or plans for the equitable apportionment among such
    14  insurers of property and casualty liability insurance coverage
    15  for individuals or groups who are standard risks but are unable
    16  to procure such coverage through the voluntary market at
    17  standard rates or through a statutorily approved plan authorized
    18  by the board or department. The board may adopt a joint
    19  underwriting plan which shall provide for one or more designated
    20  insurers able and willing to provide policyholder and claims
    21  services, including the issuance of insurance policies, to act
    22  on behalf of all other insurers required to participate in the
    23  joint underwriting plan. Any joint underwriting plan adopted
    24  shall provide for the equitable apportionment of any profits
    25  realized, or of losses and expenses incurred, among
    26  participating insurers. The plan shall include, but not be
    27  limited to:
    28         (1)  Rules for the classification of risks and rates
    29     which reflect to the maximum extent possible the past loss
    30     experience and prospective loss experience in different
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     1     geographic areas within this Commonwealth.
     2         (2)  A rating plan which reasonably reflects the prior
     3     claims experience of the insureds.
     4         (3)  Excess coverage by insurers if the board, in its
     5     discretion, requires such coverage by insurers participating
     6     in the joint underwriting plan.
     7     (b)  Premium contingency assessment.--In the event an
     8  underwriting deficit exists at the end of the year the plan is
     9  in effect, each policyholder shall pay to the joint underwriting
    10  plan a premium contingency assessment not to exceed one-fifth of
    11  the premium payment paid by the policyholder for that year. The
    12  joint underwriting plan shall pay no further claims on any
    13  policy for which the policyholder fails to pay the premium
    14  contingency assessment.
    15     (c)  Adjustment of rates.--Any deficit sustained under the
    16  plan shall first be recovered through a premium contingency
    17  assessment. Concurrently, the rates for insureds shall be
    18  adjusted for the next year so as to be actuarially sound in
    19  conformance with rules of the department.
    20     (d)  Proportional recovery.--If there is any remaining
    21  deficit under the plan after maximum collection of the premium
    22  contingency assessment, this deficit shall be recovered from the
    23  companies participating in the plan in the proportion that the
    24  net direct premiums of each such member written during the
    25  preceding calendar year bears to the aggregate net direct
    26  premiums written in this Commonwealth by all members of the
    27  joint underwriting plan.
    28     (e)  Required participation.--Upon adoption of a plan, all
    29  property and casualty liability insurers shall subscribe thereto
    30  and participate therein as a condition of doing business in this
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     1  Commonwealth.
     2  Section 7.  Funding.
     3     When necessary, administrative costs, including startup
     4  expenses, of the association shall be funded by an assessed
     5  prorated contribution of all property and casualty insurance
     6  companies licensed to do business in this Commonwealth, based on
     7  premiums written in this Commonwealth. Such costs shall be
     8  recoverable from premiums written. The contribution system shall
     9  be established by regulation of the department under section 8.
    10  Section 8.  Regulations.
    11     The board shall promulgate regulations to insure that:
    12         (1)  The association provides liability insurance as
    13     required by this act.
    14         (2)  There is a procedure for petitioning the board to
    15     act under section 5(c).
    16         (3)  Losses and profits are assigned equitably under
    17     section 6.
    18         (4)  Coverage is made available through licensed agents
    19     and a reasonable commission is paid.
    20         (5)  The cost of operating the association is reasonable
    21     in relation to the service it provides to the insurance
    22     business of this Commonwealth.
    23  Section 9.  Effective date.
    24     This act shall take effect in 60 days.




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