PRIOR PRINTER'S NOS. 2058, 2205

PRINTER'S NO.  2238

  

THE GENERAL ASSEMBLY OF PENNSYLVANIA

  

SENATE BILL

 

No.

1464

Session of

2012

  

  

INTRODUCED BY D. WHITE AND STACK, MARCH 29, 2012

  

  

AS AMENDED ON THIRD CONSIDERATION, JUNE 4, 2012   

  

  

  

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," further providing for reinsurance

<--

12

credits, for definitions, for acquisition of control of or

13

merger or consolidation with domestic insurer, for

14

acquisitions involving insurers not otherwise covered, for

15

registration of insurers, for standards and management of an

16

insurer within a holding company system and for examination;

17

providing for supervisory colleges and for group-wide

18

supervision for international insurance groups; and further

19

providing for confidential treatment, for rules and

20

regulations, for injunctions and certain prohibitions and for

21

sanctions.

22

The General Assembly of the Commonwealth of Pennsylvania

23

hereby enacts as follows:

24

Section 1.  The definitions of "control" and "NAIC" in

<--

25

section 1401 of the act of May 17, 1921 (P.L.682, No.284), known

26

as The Insurance Company Law of 1921, added December 18, 1992

27

(P.L.1519, No.178), are amended and the section is amended by

28

adding definitions to read:

 


1

Section 1.  Section 319.1 of the act of May 17, 1921

<--

2

(P.L.682, No.284), known as The Insurance Company Law of 1921,

3

amended December 18, 1992 (P.L.1519, No.178), is amended to

4

read:

5

Section 319.1.  Reinsurance Credits.--(a)  Unless an

6

unlicensed reinsurer is qualified or certified to accept

7

reinsurance from insurers licensed in this Commonwealth, no

8

credit shall be allowed as an admitted asset or as a reduction

9

of liability relative to risks ceded by such licensed insurers.

10

Qualified or certified reinsurers are those meeting the

11

conditions for reinsurers specified by the commissioner, in his

12

discretion, and included on a list of qualified or certified 

13

reinsurers published and periodically reviewed by said

14

commissioner.

15

(b)  A reduction from liability for the reinsurance ceded by

16

a domestic insurer to an assuming insurer which is not a

17

qualified or certified reinsurer in accordance with this section

18

shall be allowed in an amount not exceeding the liabilities

19

carried by the ceding insurer and such reduction shall be in the

20

amount of funds held by or on behalf of the ceding insurer,

21

including funds held in trust for the ceding insurer, under a

22

reinsurance contract with such assuming insurer as security for

23

the payment of obligations thereunder, if such security is held

24

in the United States subject to withdrawal solely by and under

25

the exclusive control of the ceding insurer or, in the case of a

26

trust, held in a qualified United States financial institution,

27

as defined in subsection (g)(2). This security may be in the

28

form of:

29

(1)  Cash.

30

(2)  Securities listed by a securities valuation office of a

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1

national association of insurance commissioners or any successor

2

thereto, including those exempted from filing under the Purposes

3

and Procedures Manual of the Securities Valuation Office of the

4

National Association of Insurance Commissioners, and qualifying

5

as admitted assets.

6

(3)  (i)  Clean, irrevocable, unconditional and evergreen

7

letters of credit issued or confirmed by a qualified United

8

States financial institution, as defined in subsection (g)(1),

9

no later than the thirty-first day of December in respect of the

10

year for which filing is being made and in the possession of the

11

ceding [company] insurer on or before the filing date of its

12

annual statement.

13

(ii)  Letters of credit meeting applicable standards of

14

issuer acceptability as of the dates of their issuance or

15

confirmation shall, notwithstanding the issuing or confirming

16

institution's subsequent failure to meet applicable standards of

17

issuer acceptability, continue to be acceptable as security

18

until their expiration, extension, renewal, modification or

19

amendment, whichever first occurs.

20

(4)  Funds or letters of credit provided by a noninsurer

21

parent corporation of the ceding insurer, in lieu of the funds

22

to be withheld by the ceding insurer under a reinsurance

23

contract with such assuming insurer as security for payment of

24

obligations thereunder, if the following requirements are met:

25

(i)  The funds or letters of credit are held subject to

26

withdrawal by and under the control of the ceding insurer.

27

(ii)  The type, amount and form of the funds or letters of

28

credit receive the prior approval of the Insurance Commissioner.

29

(5)  Any other form of security acceptable to the Insurance

30

Commissioner.

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1

(c)  No credit shall be allowed as an admitted asset or as a

2

deduction from liability, to any ceding company for reinsurance

3

unless the reinsurance is payable to such company or its

4

statutory liquidator by the assuming company on the basis of the

5

liability of the ceding company under contract or contracts

6

reinsured without diminution because of insolvency of the ceding

7

company.

8

(d)  No such credit shall be allowed for reinsurance unless

9

the reinsurance agreement provides that payment by the company

10

shall be made directly to the ceding company or to its

11

liquidator, receiver, or statutory successor.

12

(e)  No credit shall be allowed as an admitted asset or as a

13

reduction in liability if the gross reserves established by the

14

ceding insurer do not include provision for the policy benefits

15

against which the ceding insurer is being indemnified by the

16

reinsurer.

17

(f)  Notwithstanding the provisions of this section, the

18

Insurance Department may promulgate one or more regulations to

19

limit, prohibit or authorize the credit which a domestic insurer

20

may take as an admitted asset or as a reduction in liability

21

with respect to reinsurance ceded on any financial statements

22

filed with the Insurance Department.

23

(f.1)  Credit for reinsurance ceded to a certified reinsurer

24

is allowed only for reinsurance contracts entered into or

25

renewed on or after the effective date of the certification of

26

the assuming insurer by the Insurance Commissioner.

27

(g)  (1)  The term "qualified United States financial

28

institution" when used in this section means an institution

29

which meets the following qualifications:

30

(i)  Is organized or, in the case of a United States office

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1

of a foreign banking organization, licensed under the laws of

2

the United States or any state thereof.

3

(ii)  Is regulated, supervised and examined by United States

4

Federal or state authorities having regulatory authority over

5

banks and trust companies.

6

(iii)  Has been determined by either the Insurance

7

Commissioner or the Securities Valuation Office of the National

8

Association of Insurance Commissioners or a successor thereto to

9

meet such standards of financial condition and standing as are

10

considered necessary and appropriate to regulate the quality of

11

financial institutions whose letters of credit will be

12

acceptable to the Insurance Commissioner.

13

(2)  The term "qualified United States financial institution"

14

also means, for the purposes of the provisions of this act

15

specifying those institutions that are eligible to act as a

16

fiduciary of a trust, an institution that meets the following

17

qualifications:

18

(i)  Is organized or, in the case of a United States branch

19

or agency office of a foreign banking organization, licensed

20

under the laws of the United States or any state thereof and has

21

been granted authority to operate with fiduciary powers.

22

(ii)  Is regulated, supervised and examined by Federal or

23

state authorities having regulatory authority over banks and

24

trust companies.

25

Section 1.1.  The definitions of "control" and "NAIC" in

26

section 1401 of the act, added December 18, 1992 (P.L.1519,

27

No.178), are amended and the section is amended by adding

28

definitions to read:

29

Section 1401.  Definitions.--As used in this article, and for

30

the purposes of this article only, the following words and

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1

phrases shall have the meanings given to them in this section:

2

* * *

3

"Company action level event."  As defined in section 501-A or

4

501-B of the act of May 17, 1921 (P.L.789, No.285), known as

5

"The Insurance Department Act of 1921."

6

"Control," "controlling," "controlled by" and "under common

7

control with."  The possession, direct or indirect, of the power

8

to direct or cause the direction of the management and policies

9

of a person, whether through the ownership of voting securities,

10

by contract other than a commercial contract for goods or

11

nonmanagement services or otherwise, unless the power is the

12

result of an official position with or corporate office held by

13

the person. Control shall be presumed to exist if any person,

14

directly or indirectly, owns, controls, holds with the power to

15

vote or holds proxies representing ten per centum (10%) or more

16

of the [voting securities of any other person] votes that all

17

shareholders would be entitled to cast in the election of

18

directors. This presumption may be rebutted by a showing that

19

control does not exist in fact. The Insurance Department may

20

determine, after furnishing all persons in interest notice and

21

opportunity to be heard and making specific findings of fact to

22

support such determination, that control exists in fact,

23

notwithstanding the absence of a presumption to that effect or

24

that another person has control.

25

* * *

26

"Enterprise risk."  An activity, circumstance, event or

27

series of events involving one or more affiliates of an insurer

28

that, if not remedied promptly, would likely have a material

29

adverse effect on the financial condition or liquidity of an

30

insurer or its insurance holding company system, including, but

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1

not limited to, anything that would:

2

(1)  trigger a company action level event for the insurer or

3

(2)  cause the insurer to be deemed to be in hazardous

4

financial condition under:

5

(i)  Article V of the act of May 17, 1921 (P.L.789, No.285),

6

known as "The Insurance Department Act of 1921."

7

(ii)  31 Pa. Code Ch. 160 (relating to standards to define

8

insurers deemed to be in hazardous financial condition).

9

"IAIS."  The International Association of Insurance

10

Supervisors or successor organization.

11

* * *

12

"NAIC."  The National Association of Insurance Commissioners

13

or successor organization

14

* * *

15

"SEC."  The Securities and Exchange Commission of the United

16

States.

17

* * *

18

Section 2.  Section 1402(a)(2), (b)(12), (f)(3), (h) and (j)

19

of the act, amended July 9, 2008 (P.L.885, No.62), are amended

20

and subsections (a), (b) and (f) are amended by adding

21

paragraphs to read:

22

Section 1402.  Acquisition of Control of or Merger or

23

Consolidation with Domestic Insurer.--(a)  * * *

24

(2)  [For purposes of this section, a "domestic insurer"

25

shall include any person controlling a domestic insurer unless

26

such person as determined by the department is either directly

27

or through its affiliates primarily engaged in business other

28

than the business of insurance. Such person shall, however, file

29

a preacquisition notification with the department containing the

30

information set forth in section 1403(c)(2) thirty (30) days

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1

prior to the proposed effective date of the acquisition. Failure

2

to file is subject to section 1403(e)(3). For purposes of this

3

section, "person" shall not include any securities broker

4

holding, in the usual and customary manner, less than twenty per

5

centum (20%) of the voting securities of an insurance company or

6

of any person which controls an insurance company.] For purposes

7

of this section:

8

(i)  "Domestic insurer" includes a person controlling a

9

domestic insurer unless the department determines that the

10

person is primarily engaged in business other than the business

11

of insurance either directly or through its affiliates.

12

(ii)  "Person" does not include a securities broker who

13

holds, in the usual and customary manner, less than twenty per

14

centum (20%) of the voting securities of an insurer or of a

15

person that controls an insurer.

16

(3)  A controlling person of a domestic insurer seeking to

17

divest its controlling interest in the insurer in any manner

18

shall file with the department, with a copy to the insurer, a

19

notice of the proposed divestiture at least thirty (30) days

20

prior to the cessation of control except that notice under this

21

paragraph is not required if a statement is filed under

22

paragraph (1). The notice must contain information sufficient

23

for the department to determine if the proposed divestiture

24

requires filing and approval under paragraph (1). Information

25

obtained by or disclosed to the department under this paragraph

26

shall be given confidential treatment as provided under section

27

1407.

28

(4)  The acquiring person for transactions subject to this

29

section must file a preacquisition notification as required

30

under section 1403(c) or be subject to a penalty as provided

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1

under section 1403(e)(3).

2

(5)  A person seeking to rebut the presumption of control

3

under this article shall file with the department, with a copy

4

to the insurer, a rebuttal filing containing information

5

sufficient for the department to determine whether control

6

exists in fact. The filing is not effective unless the

7

department finds that control does not exist or accepts a

8

disclaimer of control. Information obtained by or disclosed to

9

the department under this subsection must be given confidential

10

treatment as provided under section 1407.

11

(b)  The statement to be filed with the department under this

12

section shall be made under oath or affirmation and shall

13

contain the following information:

14

* * *

15

(11.1)  An agreement by the person required to file the

16

statement referred to in subsection (a) that it will provide the

17

annual enterprise risk report specified in section 1404(k.1) as

18

long as control exists.

19

(11.2)  An acknowledgment by the person required to file the

20

statement referred to in subsection (a) that the person and the

21

subsidiaries within its control in the insurance holding company

22

system will provide information to the commissioner upon request

23

as necessary to evaluate enterprise risk to the insurer.

24

(12)  Such additional information as the department may by

25

[rule or] regulation prescribe as necessary or appropriate for

26

the protection of policyholders of the insurer or in the public

27

interest.

28

* * *

29

(f)  * * *

30

(2.1)  If the proposed acquisition of control requires the

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1

approval of more than one chief insurance regulatory official,

2

the public hearing under paragraph (2) may be held on a

3

consolidated basis upon request of the person filing the

4

statement under subsection (a). He shall file the statement

5

under subsection (a) with the NAIC within five (5) days of

6

making the request for a public hearing. A chief insurance

7

regulatory official may opt out of a consolidated hearing, and

8

shall provide notice to the applicant of the decision to opt out

9

within ten (10) days of the receipt of the statement under

10

subsection (a). A hearing conducted on a consolidated basis must

11

be public and held in the United States before the chief

12

insurance regulatory officials of the states in which the

13

insurers are domiciled. The chief insurance regulatory officials 

14

shall hear and receive evidence. A chief insurance regulatory

15

official may attend the hearing in person or participate using

16

telecommunication.

17

(3)  The department may retain at the acquiring [person's]

18

party's expense any attorneys, actuaries, accountants and other

19

experts not otherwise a part of the department's staff as may be

20

reasonably necessary to assist the department in reviewing the

21

proposed acquisition of control.

22

* * *

23

(h)  The following shall constitute a violation of this

24

section:

25

(1)  the failure to file any statement, amendment or other

26

material required to be filed pursuant to subsection (a) or (b);

27

(2)  the effectuation or any attempt to effectuate an

28

acquisition of control of or divestiture of or merger or

29

consolidation with a domestic insurer unless the department has

30

given its approval thereto; or

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1

(3)  a violation of section 819-A.

2

* * *

3

(j)  [As used in this section, the term "annual statement"

4

shall mean the annual report of the financial condition required

5

to be filed under 40 Pa.C.S. § 6331 (relating to reports and

6

examinations)] (Reserved)

7

Section 3.  Section 1403(b)(2)(ii) and (vii) of the act,

8

amended July 9, 2008 (P.L.885, No.62), are amended to read:

9

Section 1403.  Acquisitions Involving Insurers not Otherwise

10

Covered.--* * *

11

(b)  * * *

12

(2)  This section shall not apply to any of the following:

13

* * *

14

(ii)  A purchase of securities solely for investment purposes

15

so long as such securities are not used by voting or otherwise

16

to cause or attempt to cause the substantial lessening of

17

competition in any insurance market in this Commonwealth. If a

18

purchase of securities results in a presumption of control as

19

described in the definition of "control" in section 1401, it is

20

not solely for investment purposes unless the [insurance

21

department of the insurer's state of] chief insurance regulatory

22

official in the jurisdiction of the insurer's domicile accepts a

23

disclaimer of control or affirmatively finds that control does

24

not exist and such disclaimer action or affirmative finding is

25

communicated by the domiciliary insurance [department to the

26

Insurance Department of the Commonwealth] regulator to the

27

department.

28

* * *

29

(vii)  An acquisition of an insurer whose domiciliary

30

insurance [department] regulator affirmatively finds that such

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1

insurer is in failing condition; there is a lack of feasible

2

alternative to improving such condition; the public benefits of

3

improving such insurer's condition through the acquisition

4

exceed the public benefits that would arise from not lessening

5

competition; and such findings are communicated by the

6

domiciliary insurance [department to the Insurance Department of

7

the Commonwealth] regulator to the department.

8

* * *

9

Section 4.  Section 1404(a)(2), (b) introductory paragraph,

10

(d), (j), (k), and (l) of the act, added December 18, 1992

11

(P.L.1519, No.178), are amended, subsection (b) is amended by

12

adding paragraphs and the section is amended by adding a

13

subsection to read:

14

Section 1404.  Registration of Insurers.--(a)  * * *

15

(2)  Any insurer which is subject to registration under this

16

section shall register within fifteen (15) days after it becomes

17

subject to registration, and annually thereafter by the thirty-

18

first day of March of each year for the previous calendar year,

19

unless the department for good cause shown extends the time for

20

registration, and then within such extended time. The department

21

may require any insurer authorized to do business in this

22

Commonwealth which is a member of [a] an insurance holding

23

company system and which is not subject to registration under

24

this section to furnish a copy of the registration statement,

25

the summary specified in subsection (c) or other information

26

filed by such insurance company with the insurance regulatory

27

authority of its domiciliary jurisdiction.

28

(b)  Every insurer subject to registration shall file the

29

registration statement with the department on a form and in a

30

format prescribed by the NAIC, which shall contain all of the

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1

following current information:

2

* * *

3

(4.1)  If requested by the department, the insurer shall

4

include financial statements of an insurance holding company

5

system, including its affiliates. Financial statements may

6

include, but are not limited to:

7

(i)  annual audited financial statements filed with the SEC

8

under the Securities Exchange Act of 1933 (48 Stat. 74, 15

9

U.S.C. § 77a et seq.); or

10

(ii)  the Securities Exchange Act of 1934 (48 Stat. 881, 15

11

U.S.C. § 78a et seq.).

12

An insurer required to file financial statements under this

13

paragraph may satisfy the request by providing the department

14

with the most recent parent corporation financial statements

15

filed with the SEC.

16

(4.2)  Statements that the insurer's board of directors

17

oversees corporate governance and internal controls and that the

18

insurer's officers or senior management have approved,

19

implemented and continue to maintain and monitor corporate

20

governance and internal control procedures.

21

* * *

22

(6)  Other necessary or appropriate information as required

23

by the department by regulation.

24

* * *

25

(d)  No information need be disclosed on the registration

26

statement filed pursuant to subsection (b) if such information

27

is not material for the purposes of this section. Unless the

28

department by [rule,] regulation or order provides otherwise,

29

sales, purchases, exchanges, loans or extensions of credit,

30

investments or guarantees involving one-half of one per centum

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1

(0.5%) or less of an insurer's admitted assets as of the thirty-

2

first day of December next preceding shall not be deemed

3

material for purposes of this section.

4

* * *

5

(j)  The provisions of this section shall not apply to any

6

insurer, information or transaction if and to the extent that

7

the department by [rule,] regulation or order shall exempt the

8

same from the provisions of this section.

9

(k)  Any person may file with the department a disclaimer of

10

affiliation with any authorized insurer or such a disclaimer may

11

be filed by such insurer or any member of an insurance holding

12

company system. The disclaimer shall fully disclose all material

13

relationships and bases for affiliation between such person and

14

such insurer as well as the basis for disclaiming such

15

affiliation. [After a disclaimer has been filed, the insurer

16

shall be relieved of any duty to register or report under this

17

section which may arise out of the insurer's relationship with

18

such person unless and until the department disallows such a

19

disclaimer. The department shall disallow such a disclaimer only

20

after furnishing all parties in interest with notice and

21

opportunity to be heard and after making specific findings of

22

fact to support such disallowance] A disclaimer of affiliation

23

is deemed granted unless the department notifies the filing

24

party the disclaimer is disallowed within thirty (30) days

25

following receipt of a complete disclaimer. In the event of

26

disallowance, the disclaiming party may request an

27

administrative hearing under the provisions of 2 Pa.C.S.

28

(relating to administrative law and procedure), which must be

29

granted. If the commissioner approves the disclaimer or if the

30

disclaimer is deemed approved, the disclaiming party is relieved

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1

of the duty to register under this section.

2

(k.1)  The ultimate controlling person of every insurer

3

subject to registration shall also file an annual enterprise

4

risk report. The report must, to the best of the ultimate

5

controlling person's knowledge and belief, identify the material

6

risks within the insurance holding company system that could

7

pose enterprise risk to the insurer. The report must be filed

8

with the lead state regulator of the insurance holding company

9

system as determined by the procedures within the Financial

10

Analysis Handbook adopted by the NAIC. Beginning in 2014 and

11

every year thereafter, the report shall be filed by March 31 for

12

the previous calendar year.

13

(l)  The failure to file a registration statement [or], any

14

summary of the registration statement [thereto] or enterprise

15

risk report required by this section within the time specified

16

for such filing shall be a violation of this section.

17

Section 5.  Section 1405(a)(1), (2) and (3), (b)(1) and (c)

18

(5) of the act, amended February 17, 1994 (P.L.92, No.9),

19

December 20, 2000 (P.L.967, No.132) and July 9, 2008 (P.L.885,

20

No.62), are amended and subsection (a) is amended by adding a

21

paragraph to read:

22

Section 1405.  Standards and Management of an Insurer within

23

[a] an Insurance Holding Company System.--(a)  (1)  Transactions

24

within [a] an insurance holding company system to which an

25

insurer subject to registration is a party shall be subject to

26

all of the following standards:

27

(i)  The terms shall be fair and reasonable.

28

(ii)  Charges or fees for services performed shall be

29

reasonable.

30

(iii)  Expenses incurred and payment received shall be

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1

allocated to the insurer in conformity with customary insurance

2

accounting practices consistently applied and all cost-sharing

3

or expense allocation arrangements must be formalized in writing

4

and authorized by the board of directors of the domestic

5

insurer.

6

(iv)  The books, accounts and records of each party to all

7

such transactions shall be so maintained as to clearly and

8

accurately disclose the nature and details of the transactions,

9

including such accounting information as is necessary to support

10

the reasonableness of the charges or fees to the respective

11

parties.

12

(v)  The insurer's surplus as regards policyholders after any

13

material transaction with an affiliate and after any dividends

14

or distributions to shareholder affiliates shall be reasonable

15

in relation to the insurer's outstanding liabilities and

16

adequate to its financial needs.

17

(2)  The following transactions involving a domestic insurer

18

and any person in its insurance holding company system,

19

including an amendment or modification of affiliate agreements

20

previously filed under this section that are subject to

21

materiality standards contained in subparagraphs (i), (ii),

22

(iii), (iv) and (v), may not be entered into unless the insurer

23

has notified the department in writing of its intention to enter

24

into such transaction at least thirty (30) days prior thereto or

25

such shorter period as the department may permit and the

26

department has not disapproved it within such period:

27

(i)  Sales, purchases, exchanges, loans or extensions of

28

credit, guarantees, investments, pledges of assets or assets to

29

be received by the domestic insurer as contributions to its

30

surplus, provided that, as of the thirty-first day of December

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1

next preceding, such transactions are equal to or exceed the

2

lesser of [five per centum (5%)] three per centum (3%) of the

3

insurer's admitted assets or twenty-five per centum (25%) of

4

surplus as regards policyholders. 

5

(ii)  Loans or extensions of credit to any person who is not

6

an affiliate, where the insurer makes such loans or extensions

7

of credit with the agreement or understanding that the proceeds

8

of such transactions, in whole or in substantial part, are to be

9

used to make loans or extensions of credit to, to purchase

10

assets of or to make investments in any affiliate of the insurer

11

making such loans or extensions of credit provided that, as of

12

the thirty-first day of December next preceding, such

13

transactions are equal to or exceed the lesser of [five per

14

centum (5%)] three per centum (3%) of the insurer's admitted

15

assets or twenty-five per centum (25%) of surplus as regards

16

policyholders.

17

(iii)  Reinsurance agreements or modifications thereto [where

18

either], including:

19

(A)  [the reinsurance premium] agreements where the

20

reinsurance premium or the projected reinsurance premium in any

21

of the next three twelve-month periods equals or exceeds five

22

per centum (5%) of the insurer's surplus as regards

23

policyholders as of the thirty-first day of December next

24

preceding; [or]

25

(B)  agreements where the change in the insurer's liabilities

26

or any transfer of assets required to fund the transaction in

27

any of the next three twelve-month periods equals or exceeds

28

twenty-five per centum (25%) of the insurer's surplus as regards

29

policyholders as of the thirty-first day of December next

30

preceding, including those agreements which may require as

- 17 -

 


1

consideration the transfer of assets from an insurer to a

2

nonaffiliate, if an agreement or understanding exists between

3

the insurer and nonaffiliate that any portion of such assets

4

will be transferred to one or more affiliates of the insurer.

5

Nothing in this paragraph shall affect or limit the requirements

6

and applicability of section 3 of the act of July 31, 1968

7

(P.L.941, No.288), entitled "An act providing for reporting to

8

the Insurance Commissioner by domestic insurance companies,

9

associations, or exchanges, of certain conveyances of interests

10

in the assets of such companies, associations, or exchanges[.]";

11

or

12

(C)  reinsurance pooling agreements.

13

(iv)  Any material transactions, specified by regulation,

14

which the department determines may adversely affect the

15

interests of the insurer's policyholders.

16

(v)  Management agreements, service contracts, tax allocation

17

agreements, guarantees and cost-sharing arrangements.

18

The notice for amendments or modifications must include the

19

reasons for the change and the financial impact on the domestic

20

insurer.

21

Nothing in this paragraph shall be deemed to authorize or permit

22

any transactions which, in the case of an insurer not a member

23

of the same holding company system, would be otherwise contrary

24

to law. 

25

(2.1)  Within thirty (30) days after termination of an

26

agreement previously filed in accordance with paragraph (2), a

27

domestic insurer shall provide notice of the termination to the

28

department.

29

(3)  A domestic insurer may not enter into transactions which

30

are part of a plan or series of like transactions with persons

- 18 -

 


1

within the insurance holding company system if the purpose of

2

those separate transactions is to avoid the statutory threshold

3

amount and thus avoid the review that would occur otherwise. If

4

the department determines that such separate transactions were

5

entered into over any twelve-month period for such purpose, it

6

may exercise its authority under section 1410.

7

* * *

8

(b)  (1)  No domestic insurer shall pay any extraordinary

9

dividend to its [stockholders] shareholders until:

10

(i)  thirty (30) days after the commissioner has received

11

written notice from the insurer of the declaration of the

12

dividend and has not within such period disapproved the payment;

13

or

14

(ii)  the commissioner shall have approved the payment within

15

such thirty-day period.

16

* * *

17

(c)  * * *

18

(5)  The provisions of paragraphs (3), (4) and (4.1) shall

19

not apply to a domestic insurer if the person controlling such

20

insurer is an insurer [or another business entity], an attorney

21

in fact for a reciprocal exchange, a mutual insurance holding

22

company or a publicly held corporation having a board of

23

directors and committees thereof which already meet the

24

requirements of paragraphs (3), (4) and (4.1).

25

* * *

26

Section 6.  Section 1406 of the act, added December 18, 1992

27

(P.L.1519, No.178), is amended to read:

28

Section 1406.  Examination.--(a)  Subject to the limitation

29

contained in this section and in addition to the powers which

30

the department has under law relating to the examination of

- 19 -

 


1

insurers, the department shall also have the power to [order any

2

insurer registered under section 1404 to produce such records,

3

books or other information papers in the possession of the

4

insurer or its affiliates as are reasonably necessary to

5

ascertain the financial condition of such insurer or to

6

determine compliance with this article. In the event an insurer

7

fails to comply with such order, the department shall have the

8

power to examine affiliates to obtain this information.] examine

9

an insurer registered under section 1404 and its affiliates to

10

ascertain the financial condition of the insurer, including the

11

enterprise risk to the insurer by:

12

(1)  the ultimate controlling person;

13

(2)  an entity or combination of entities within the

14

insurance holding company system; or

15

(3)  the insurance holding company system on a consolidated

16

basis.

17

(a.1)  The department may order an insurer registered under

18

section 1404 to produce records, books or other information

19

papers in the possession of the insurer or its affiliates as are

20

reasonably necessary to ascertain the financial condition of the

21

insurer or to determine compliance with this article.

22

(a.2)  To ascertain the financial condition of the insurer,

23

including the enterprise risk to the insurer by:

24

(1)  the ultimate controlling person;

25

(2)  an entity or combination of entities within the

26

insurance holding company system; or

27

(3)  the insurance holding company system on a consolidated

28

basis,

29

the department may order an insurer registered under section

30

1404 to produce information not in the possession of the insurer

- 20 -

 


1

if the insurer can obtain access to the information under a

2

contractual relationship, a statutory obligation or other

3

method. If the insurer may not obtain the information requested

4

by the department, the insurer shall provide the department a

5

detailed explanation of the reason the insurer may not obtain

6

the information and the identity of the holder of information.

7

If the insurer fails to comply with this subsection or the

8

department determines that the detailed explanation is without

9

merit, the department may suspend or revoke the insurer's

10

license or require the insurer to pay an administrative penalty

11

of one thousand dollars ($1,000) per day until the information

12

is produced. The proceeding for suspension, revocation or

13

imposition of a penalty shall be conducted pursuant to 2 Pa.C.S.

14

(relating to administrative law and procedure).

15

(b)  The department may retain at the registered insurer's

16

expense such attorneys, actuaries, accountants and other experts

17

not otherwise a part of the department's staff as shall be

18

reasonably necessary to assist in the conduct of the examination

19

under [subsection (a)] subsections (a), (a.1) and (a.2). Any

20

persons so retained shall be under the direction and control of

21

the [commissioner] department and shall act in a purely advisory

22

capacity.

23

(c)  Each registered insurer producing for examination

24

records, books and papers pursuant to [subsection (a)] 

25

subsections (a), (a.1) and (a.2) shall be liable for and shall

26

pay the expense of such examination as provided for in Article

27

IX of the act of May 17, 1921 (P.L.789, No.285), known as "The

28

Insurance Department Act of one thousand nine hundred and

29

twenty-one."

30

(d)  If the insurer fails to comply with an order issued

- 21 -

 


1

under this section, the department has the power to examine the

2

insurer's affiliates to obtain the information necessary to

3

determine an insurer's compliance with this section. The

4

department also has the power to:

5

(1)  issue subpoenas;

6

(2)  administer oaths; and

7

(3)  examine under oath any person as to any matter pertinent

8

to determining compliance with this section.

9

Upon the failure or refusal of a person to obey a subpoena, the

10

department may petition a court of competent jurisdiction and,

11

upon proper showing, the court may enter an order compelling the

12

witness to appear and testify or produce documentary evidence.

13

Failure to obey the court order shall be punishable as contempt

14

of court. When subpoenaed, a person shall attend as a witness at

15

the place specified in the subpoena. Witnesses shall be paid the

16

same fees and mileage as are paid to witnesses in the courts of

17

this Commonwealth. Fees, mileage and expense necessarily

18

incurred in securing the attendance and testimony of witnesses

19

shall be itemized, charged against and paid by the person being

20

examined.

21

Section 7.  The act is amended by adding sections to read:

22

Section 1406.1.  Supervisory Colleges.--(a)  A supervisory

23

college may be convened as a temporary or permanent forum for

24

communication and cooperation between the regulators charged

25

with the supervision of the insurer or its affiliates.

26

(b)  The department may participate in a supervisory college

27

with other regulators charged with supervision of the insurer or

28

its affiliates, including international, Federal and other state

29

regulatory agencies, for any of the following reasons:

30

(1)  To assess the enterprise risk, business strategy, legal,

- 22 -

 


1

regulatory and financial position, risk exposure, risk

2

management and governance processes of the insurer or its

3

affiliates.

4

(2)  As part of the examination of individual insurers in

5

accordance with section 1406.

6

(c)  The department shall have the power to participate in a

7

supervisory college for a domestic insurer, registered under

8

section 1404, that is part of an insurance holding company

9

system with international operations in order to determine

10

compliance by the insurer with this article.

11

(d)  The powers of the department regarding supervisory

12

colleges include, but are not limited to, the following:

13

(1)  Initiating the establishment of a supervisory college.

14

(2)  Clarifying the membership and participation of other

15

supervisors in the supervisory college.

16

(3)  Clarifying the functions of the supervisory college and

17

the role of other regulators, including the establishment of a 

18

group supervisor.

19

(4)  Coordinating the ongoing activities of the supervisory

20

college, including planning meetings, supervisory activities and

21

processes for information sharing.

22

(5)  Establishing a crisis management plan.

23

(e)  The department may enter into agreements in accordance

24

with sections 1406.2, 1407 and Article II-A of the act of May

25

17, 1921 (P.L.789, No.285), known as "The Insurance Department

26

Act of 1921," to provide the basis for sharing information

27

between the department and other regulatory agencies. The

28

department may also enter into agreements to share information

29

and further coordinate the activities of the supervisory college

30

pursuant to this section. Nothing in this section shall delegate

- 23 -

 


1

to the supervisory college the authority of the department to

2

regulate or supervise the insurer or its affiliates within its

3

jurisdiction.

4

(f)  A registered insurer subject to this section shall be

5

liable for and shall pay the reasonable expenses of the

6

department's participation in a supervisory college, including

7

reasonable travel expenses.

8

Section 1406.2.  Group-wide Supervision for International

9

Insurance Groups.--(a)  (Reserved).

10

(b)  The department is authorized to act as the group-wide

11

supervisor for any international insurance group where the

12

international insurance group's ultimate controlling person is

13

domiciled in Pennsylvania. However, the department may otherwise

14

acknowledge another jurisdiction as the group-wide supervisor

15

where the international insurance group:

16

(1)  Does not have substantial insurance operations in the

17

United States.

18

(2)  Has substantial insurance operations in the United

19

States, but not in Pennsylvania.

20

(3)  Has substantial insurance operations in the United

21

States and Pennsylvania, but the department has determined

22

pursuant to the factors set forth in subsections (c)(1), (2),

23

(3), (4), (5), (6) and (7) and (f) that the other jurisdiction

24

is the appropriate group supervisor.

25

(c)  In cooperation with other supervisors, the department

26

may determine that it is the appropriate group-wide supervisor

27

for an international insurance group with substantial operations

28

concentrated in Pennsylvania or in insurance operations

29

conducted by subsidiary insurance companies domiciled in

30

Pennsylvania, where the ultimate controlling person is domiciled

- 24 -

 


1

outside Pennsylvania, or it may acknowledge that another chief

2

insurance regulatory official is the appropriate group-wide

3

supervisor for the international insurance group. The department

4

shall consider the following factors and the relative scale of

5

each when making a determination or acknowledgment under this

6

subsection:

7

(1)  The location where the international insurance group is

8

based or the place of domicile of the ultimate controlling

9

person of the international insurance group.

10

(2)  The locations of the international insurance group's

11

executive offices.

12

(3)  The locations of origin of the insurance business of the

13

international insurance group.

14

(4)  The locations of the assets and liabilities of the

15

international insurance group.

16

(5)  The locations of the business operations and activities

17

of the international insurance group.

18

(6)  Whether another chief insurance regulatory official is

19

acting or seeking to act as the lead group-wide supervisor under

20

a regulatory system that the department determines to be:

21

(i)  substantially similar to that provided under the laws of

22

this Commonwealth; or 

23

(ii)  otherwise sufficient in terms of provision of group-

24

wide supervision, enterprise risk analysis and cooperation with

25

other chief regulatory officials.

26

(7)  Whether a chief insurance regulatory official acting or

27

seeking to act as the lead group-wide supervisor provides the

28

department with reasonably reciprocal recognition and

29

cooperation.

30

(d)  Pursuant to section 1406, the department is authorized

- 25 -

 


1

to collect from any insurer registered pursuant to section 1404

2

all information necessary to determine whether the department

3

may act as the group-wide supervisor or if the department may

4

acknowledge another insurance regulatory official to act as the

5

group-wide supervisor. Prior to issuing a determination that an

6

international insurance group is subject to group-wide

7

supervision by the department, the department shall notify the

8

insurer registered pursuant to section 1404 and the ultimate

9

controlling person within the international insurance group. The

10

international insurance group shall have not less than thirty

11

(30) days to provide the department with additional information

12

pertinent to the pending determination. The department shall

13

publish in the Pennsylvania Bulletin and on its Internet website

14

the identity of international insurance groups that it has

15

determined are subject to its group-wide supervision.

16

(e)  If the department is the group-wide supervisor for an

17

international insurance group, the department is authorized to

18

engage in conducting and coordinating any of the following

19

group-wide supervision activities:

20

(1)  Assess the enterprise risks within the international

21

insurance group, pursuant to section 1406, to ensure that:

22

(i)  The material financial condition and liquidity risks to

23

the members of the international insurance group which are

24

engaged in the business of insurance are identified by

25

management.

26

(ii)  Reasonable and effective mitigation measures are in

27

place.

28

(2)  Request, from any member of an international insurance

29

group subject to the department's supervision, information

30

necessary and appropriate to assess enterprise risk, including,

- 26 -

 


1

but not limited to, information about the members of the

2

international insurance group regarding:

3

(i)  Governance, risk assessment and management.

4

(ii)  Capital adequacy.

5

(iii)  Material intercompany transactions.

6

(3)  Compel development and implementation of reasonable

7

measures designed to assure that the international insurance

8

group is able to timely recognize and mitigate material risks to

9

members that are engaged in the business of insurance.

10

(4)  Communicate with other insurance regulatory officials

11

for members within the international insurance group and share

12

relevant information subject to the confidentiality provisions

13

of section 1407, through supervisory colleges as set forth in

14

section 1406.1 or otherwise.

15

(5)  Enter into agreements with or obtain documentation from

16

any insurer registered under section 1404, any member of the

17

international insurance group and any other chief insurance

18

regulatory officials for members, providing the basis for or

19

otherwise clarifying the department's role as group supervisor,

20

including provisions for resolving disputes with other relevant

21

supervisory authorities. Such agreements or documentation shall

22

not serve as evidence in any proceeding that any insurer or

23

person within an insurance holding company system not

24

incorporated in this Commonwealth is doing business in this

25

Commonwealth or is otherwise subject to jurisdiction in this

26

Commonwealth.

27

(6)  Other group-wide supervisory activities as considered

28

appropriate by the department.

29

(f)  If the department acknowledges that a regulatory

30

official from a jurisdiction which is not accredited by the NAIC

- 27 -

 


1

is the group-wide supervisor, the department is authorized to

2

reasonably cooperate, through supervisory colleges or otherwise,

3

with group supervision undertaken by the group-wide supervisor,

4

provided that:

5

(1)  The department's cooperation is in compliance with the

6

laws of this Commonwealth.

7

(2)  The regulator also recognizes and cooperates with the

8

department's activities as a group-wide supervisor for other

9

international insurance groups where applicable. Where such

10

recognition and cooperation is not reasonably reciprocal, the

11

department is authorized to refuse recognition and cooperation.

12

(g)  The department is authorized to enter into agreements

13

with or obtain documentation from any insurer registered under

14

section 1404, any affiliate of the insurer and other regulatory

15

officials for members of the insurance group, which provide the

16

basis for or otherwise clarify a regulatory official's role as

17

group supervisor.

18

(h)  The department may promulgate regulations necessary for

19

the administration of this section. In determining whether a

20

regulation should be promulgated, the department shall give due

21

consideration to model laws, model regulations and definitions

22

or guidelines pertaining to group-wide supervision, if any,

23

promulgated by the NAIC or other recognized insurance regulatory

24

bodies or associations.

25

(i)  A registered insurer subject to this section shall be

26

liable for and shall pay the reasonable expenses of the

27

department's participation in the administration of this

28

section, including the engagement of attorneys, actuaries and

29

any other professionals and all reasonable travel expenses.

30

(j)  As used in this section, the following words and phrases

- 28 -

 


1

shall have the meanings given to them in this subsection unless

2

the context clearly indicates otherwise:

3

"Group-wide supervisor."  The chief insurance regulatory

4

official authorized to engage in conducting and coordinating

5

group-wide supervision activities who is from the jurisdiction

6

determined or acknowledged by the department under subsection

7

(c) to have sufficient significant contacts with the

8

international insurance group.

9

"International insurance group."  An insurance group

10

operating internationally that includes an insurer registered

11

under section 1404.

12

Section 8.  Sections 1407, 1408 and 1409(a), (b) and (c) of

13

the act, added December 18, 1992 (P.L.1519, No.178), are amended

14

to read:

15

Section 1407.  Confidential Treatment.--(a)  All information,

16

documents, materials and copies thereof in the possession or

17

control of the department that are produced by, obtained by or

18

disclosed to the department or any other person in the course of

19

an examination or investigation made pursuant to section 1406 or

20

investigation made pursuant to section 1406.1 or 1406.2 and all

21

information reported pursuant to sections 1402(b)(11.1) and

22

(11.2), 1404 and 1405 shall be privileged and given confidential

23

treatment and shall not be:

24

(1)  Subject to discovery or admissible in evidence in a

25

private civil action.

26

(2)  [subject] Subject to subpoena [and shall not be].

27

(3)  Subject to the act of February 14, 2008 (P.L.6, No.3),

28

known as the "Right-to-Know Law."

29

(4)  [made] Made public by the department or any other

30

person, except to [insurance departments of other states,] 

- 29 -

 


1

regulatory or law enforcement officials of other jurisdictions

2

or group supervisors or members of a supervisory college in

3

accordance with subsection (c), without the prior written

4

consent of the insurer to which it pertains unless the

5

department, after giving the insurer and its affiliates who

6

would be affected thereby notice and opportunity to be heard,

7

determines that the interest of policyholders, shareholders or

8

the public will be served by the publication thereof, in which

9

event it may publish all or any part thereof in such manner as

10

[he] it may deem appropriate.

11

(b)  The commissioner, department or any individual or person

12

who receives documents, materials or other information while

13

acting under the authority of the commissioner or department or

14

with whom such documents, materials or other information are

15

shared under this article shall not be permitted or required to

16

testify in any private civil action concerning any confidential

17

documents, materials or information covered under this section.

18

(c)  In order to assist in the performance of its duties, the

19

department may do any of the following:                                                                  

20

(1)  Share confidential and privileged documents, materials

21

or other information covered under this section with regulatory

22

or law enforcement officials of this Commonwealth or other

23

jurisdictions, the IAIS, the NAIC and its affiliates and

24

subsidiaries, group supervisors and members of any supervisory

25

college under section 1406.1, provided that prior to receiving

26

the documents, materials or other information, the recipient

27

demonstrates by written statement the necessary authority and

28

intent to provide the same confidential treatment to the

29

information as required by this article. The department may only

30

share confidential and privileged documents, materials or

- 30 -

 


1

information reported under section 1404(k.1) with state

2

insurance regulators having statutes or regulations

3

substantially similar to subsection (a) and who have agreed in

4

writing not to disclose such information.

5

(2)  Receive and maintain as confidential any documents,

6

materials or other information from the IAIS or the NAIC and its

7

affiliates and subsidiaries or from regulatory and law

8

enforcement officials of this Commonwealth or other

9

jurisdictions in which the documents, materials or other

10

information are confidential by law in those jurisdictions.

11

Documents, materials or other information obtained under this

12

section shall be given confidential treatment, may not be

13

subject to subpoena and may not be made public by the

14

department, commissioner or any other person.

15

(d)  The department shall enter into written agreements with

16

the IAIS or the NAIC governing the sharing and use of

17

information provided under this article, that include all of the

18

following:

19

(1)  Specific procedures and protocols regarding the

20

confidentiality and security of information shared with the IAIS

21

or the NAIC and its affiliates and subsidiaries under this

22

article, including procedures and protocols for sharing by the

23

IAIS or the NAIC with other Federal, state, or international

24

regulators.

25

(2)  Provisions specifying that ownership of information

26

shared with the IAIS or the NAIC and its affiliates and

27

subsidiaries under this article remains with the department and

28

that the use of the information by the IAIS or the NAIC is

29

subject to the approval of the department.

30

(3)  A provision providing that the IAIS or the NAIC and its

- 31 -

 


1

affiliates and subsidiaries will, where permitted by law, give

2

prompt notice to the department and the insurer regarding any

3

subpoena, request for disclosure or request for production of

4

the insurer's confidential information in the possession of the

5

IAIS or the NAIC under this article.

6

(4)  A requirement that the IAIS or the NAIC and its

7

affiliates and subsidiaries will consent to intervention by an

8

insurer in any judicial or administrative action in which the

9

IAIS or the NAIC and its affiliates and subsidiaries may be

10

required to disclose confidential information about the insurer

11

that was shared with the IAIS or the NAIC and its affiliates and

12

subsidiaries under this article.

13

(e)  The sharing of information by the department under this

14

article shall not constitute a delegation of regulatory

15

authority or rulemaking.

16

(f)  The department is solely responsible for the

17

administration, execution and enforcement of the provisions of

18

this article.

19

(g)  The sharing of information by the department as

20

authorized by subsection (c) shall not constitute a waiver of

21

any applicable privilege or claim of confidentiality in the

22

documents, materials or information.

23

(h)  Documents, materials or other information in the

24

possession or control of the IAIS or the NAIC as provided under

25

this article shall:

26

(1)  Be confidential and privileged.

27

(2)  Not be subject to the act of February 14, 2008 (P.L.6,

28

No.3), known as the "Right-to-Know Law."

29

(3)  Not be subject to subpoena.

30

(4)  Not be subject to discovery or admissible in evidence in

- 32 -

 


1

any private civil action.

2

Section 1408.  [Rules and] Regulations.--The department may,

3

in the manner provided by law, promulgate the [rules and] 

4

regulations, and may issue such orders as are necessary to carry

5

out this article.

6

Section 1409.  Injunctions and Certain Prohibitions.--(a)

7

Whenever it appears to the department that any insurer or any

8

director, officer, employe or agent thereof has committed or is

9

about to commit a violation of this article or of any [rule,] 

10

regulation or order issued by the department hereunder, the

11

department may apply to the Commonwealth Court for an order

12

enjoining such insurer or such director, officer, employe or

13

agent thereof from violating or continuing to violate this

14

article or any such [rule,] regulation or order, and for such

15

other equitable relief as the nature of the case and the

16

interest of the insurer's policyholders, creditors and

17

shareholders or the public may require.

18

(b)  No security which is the subject of any agreement or

19

arrangement regarding acquisition, or which is acquired or to be

20

acquired, in contravention of the provisions of this article or

21

of any [rule,] regulation or order issued by the department

22

hereunder may be voted at any shareholder's meeting, or may be

23

counted for quorum purposes, and any action of shareholders

24

requiring the affirmative vote of a percentage of shares may be

25

taken as though such securities were not issued and outstanding,

26

but no action taken at any such meeting shall be invalidated by

27

the voting of such securities unless the action would materially

28

affect control of the insurer or unless the courts of this

29

Commonwealth have so ordered. If an insurer or the department

30

has reason to believe that any security of the insurer has been

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1

or is about to be acquired in contravention of the provisions of

2

this article or of any [rule,] regulation or order issued by the

3

department hereunder, the insurer or the department may apply to

4

the Commonwealth Court to enjoin any offer, request, invitation,

5

agreement or acquisition made in contravention of section 1402,

6

or any [rule,] regulation or order issued by the department

7

thereunder to enjoin the voting of any security so acquired, to

8

void any vote of such security already cast at any meeting of

9

shareholders and for such other equitable relief as the nature

10

of the case and the interest of the insurer's policyholders,

11

creditors and shareholders or the public may require.

12

(c)  In any case where a person has acquired or is proposing

13

to acquire any voting securities in violation of this article or

14

any [rule,] regulation or order issued by the department

15

hereunder, the Commonwealth Court may, on such notice as the

16

court deems appropriate, upon the application of the insurer or

17

the department seize or sequester any voting securities of the

18

insurer owned directly or indirectly by such person and issue

19

such order with respect thereto as may be appropriate to

20

effectuate the provisions of this article.

21

* * *

22

Section 9.  Section 1410(a) of the act, added December 18,

23

1992 (P.L.1519, No.178), is amended and the section is amended

24

by adding a subsection to read:

25

Section 1410.  Sanctions.--(a)  [Any insurer failing, without

26

just cause,] A person failing to file any registration statement

27

or any summary of the registration statement or enterprise risk

28

report as required [in] by this article or by regulation shall

29

be required[, after notice and hearing,] to pay a penalty not to

30

exceed [five hundred ($500)] two hundred ($200) dollars for each

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1

day's delay. The maximum penalty under this section is twenty-

2

five thousand ($25,000) dollars. [The department may reduce the

3

penalty if the insurer demonstrates to the department that the

4

imposition of the penalty would constitute a financial hardship

5

to the insurer.]

6

* * *

7

(f)  Whenever it appears to the department that a person has

8

committed a violation of this article that prevents the full

9

understanding of the enterprise risk to the insurer by

10

affiliates or by the insurance holding company system, the

11

violation may serve as an independent basis for disapproving

12

dividends or distributions and for placing the insurer under an

13

order of supervision in accordance with section 511 of the act

14

of act of May 17, 1921 (P.L.789, No.285), known as "The

15

Insurance Department Act of 1921."

16

Section 10.  This act shall take effect as follows:

17

(1)  The amendment of section 319.1 of the act shall take

<--

18

effect immediately.

19

(1) (2)  The addition of section 1404(k.1) of the act

<--

20

shall take effect on January 1, 2013.

21

(2) (3)  This section shall take effect immediately.

<--

22

(3) (4)  The remainder of this act shall take effect in

<--

23

60 days.

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