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H.B. 340
This document includes House Committee Amendments incorporated into the bill on
Wed, Jan 31, 2007 at 9:42 AM by ddonat. -->
1
INSURER RECEIVERSHIP ACT
2
2007 GENERAL SESSION
3
STATE OF UTAH
4
Chief Sponsor: James A. Dunnigan
5
Senate Sponsor:
Curtis S. Bramble
6
7
LONG TITLE
8
General Description:
9
This bill modifies the Insurance Code by repealing existing insurer rehabilitation and
10
liquidation provisions and enacting the Insurer Receivership Act.
11
Highlighted Provisions:
12
This bill:
13
. repeals most provisions of Title 31A, Chapter 27, Insurers Rehabilitation and
14
Liquidation, and enacts Title 31A, Chapter 27a, Insurer Receivership Act;
15
. renumbers and amends provisions related to administrative actions;
16
. provides general provisions relating to:
17
. definitions;
18
. persons covered;
19
. court proceedings, including jurisdiction, venue, notice and hearings, orders,
20
and statutes of limitations;
21
. exemptions from fees;
22
. actions by and against a receiver, providing immunity and indemnification, and
23
the possession and control of an insurer's records by a receiver;
24
. financial obligations, including approval and payment of expenses and financial
25
reporting;
26
. reporting;
27
. the affect of delinquency proceedings commenced before April 30, 2007; and
28
. severability;
29
. provides procedures governing delinquency proceedings, including:
30
. commencing delinquency proceedings, expedited trials, decisions, and appeals;
31
. finding grounds for rehabilitation or liquidation, and the entry and effect of an
32
order of rehabilitation or liquidation; and
33
. preserving the confidentiality of the proceedings;
34
. provides provisions governing the rehabilitation of an insurer, including:
35
. issuing rehabilitation orders;
36
. establishing the powers and duties of the rehabilitator;
37
. filing of rehabilitation plans;
38
. terminating rehabilitation; and
39
. requiring coordination with guaranty associations to assist in the orderly
40
transition to rehabilitation or liquidation;
41
. establishes provisions for liquidation of an insurer, including:
42
. establishing the power of the liquidator;
43
. providing notice requirements;
44
. addressing liquidation orders;
45
. addressing continuance of coverage; and
46
. providing for the sale or dissolution of the corporate entity;
47
. addresses asset recovery, including:
48
. turning over assets;
49
. recovering from affiliates;
50
. addressing unauthorized postpetition transfers;
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. addressing voidable preferences and liens;
52
. addressing avoidance of property title transfers;
53
. addressing fraudulent transfers and obligations;
54
. addressing liability of transferees;
55
. providing for setoffs;
56
. providing for assessment of assets;
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. addressing a reinsurer's liability;
58
. addressing life and health reinsurance;
59
. recovering of premiums owed; and
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. requiring in certain circumstances reinsurance recoverable trust;
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. establishes claim procedures relating to:
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. filing, proof, and allowance of claims;
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. claims under occurrence policies, surety bonds, and surety undertakings;
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. allowance of contingent and unliquidated claims;
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. provisions for third party claims, disputed claims, codebtors, and secured
66
creditors' claims; and
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. qualified financial contracts;
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. provides for distribution of assets, including priority for distribution, early
69
distribution, and partial and final distribution;
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. establishes discharge and termination of delinquency and liquidations proceedings;
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. establishes provisions relating to interstate relations; and
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. makes technical and confirming changes.
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Monies Appropriated in this Bill:
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None
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Other Special Clauses:
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None
77
Utah Code Sections Affected:
78
AMENDS:
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31A-1-106, as last amended by Chapter 95, Laws of Utah 1987
80
31A-2-108, as last amended by Chapter 344, Laws of Utah 1995
81
31A-2-203, as last amended by Chapter 177, Laws of Utah 2006
82
31A-2-204, as last amended by Chapter 177, Laws of Utah 2006
83
31A-2-206, as last amended by Chapters 79 and 204, Laws of Utah 1996
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31A-2-207, as last amended by Chapter 2, Laws of Utah 2004
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31A-2-212, as last amended by Chapter 177, Laws of Utah 2006
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31A-2-308, as last amended by Chapter 58, Laws of Utah 2005
87
31A-5-212, as enacted by Chapter 242, Laws of Utah 1985
88
31A-5-217, as last amended by Chapter 9, Laws of Utah 1996, Second Special Session
89
31A-5-305, as last amended by Chapter 316, Laws of Utah 1994
90
31A-5-416, as last amended by Chapter 277, Laws of Utah 1992
91
31A-5-504, as last amended by Chapter 320, Laws of Utah 2006
92
31A-5-506, as last amended by Chapter 204, Laws of Utah 1986
93
31A-8-213, as last amended by Chapter 116, Laws of Utah 2001
94
31A-9-502, as last amended by Chapter 300, Laws of Utah 2000
95
31A-9-504, as enacted by Chapter 242, Laws of Utah 1985
96
31A-11-104, as last amended by Chapter 90, Laws of Utah 2004
97
31A-11-109, as enacted by Chapter 242, Laws of Utah 1985
98
31A-13-107, as last amended by Chapter 204, Laws of Utah 1986
99
31A-14-206, as last amended by Chapter 90, Laws of Utah 2004
100
31A-14-215, as last amended by Chapter 204, Laws of Utah 1986
101
31A-14-217, as last amended by Chapter 230, Laws of Utah 1992
102
31A-15-105, as last amended by Chapter 204, Laws of Utah 1986
103
31A-17-605, as last amended by Chapter 116, Laws of Utah 2001
104
31A-17-606, as last amended by Chapter 116, Laws of Utah 2001
105
31A-17-609, as last amended by Chapter 116, Laws of Utah 2001
106
31A-17-610, as last amended by Chapter 116, Laws of Utah 2001
107
31A-18-106, as last amended by Chapter 176, Laws of Utah 2006
108
31A-22-617, as last amended by Chapter 3, Laws of Utah 2005, First Special Session
109
31A-23a-704, as renumbered and amended by Chapter 298, Laws of Utah 2003
110
31A-28-108, as last amended by Chapters 116 and 161, Laws of Utah 2001
111
31A-28-114, as last amended by Chapter 161, Laws of Utah 2001
112
31A-28-207, as last amended by Chapter 308, Laws of Utah 2002
113
31A-28-213, as last amended by Chapter 363, Laws of Utah 2001
114
31A-35-103, as enacted by Chapter 293, Laws of Utah 1998
115
31A-37-504, as last amended by Chapter 312, Laws of Utah 2004
116
ENACTS:
117
31A-27-502, Utah Code Annotated 1953
118
31A-27a-101, Utah Code Annotated 1953
119
31A-27a-102, Utah Code Annotated 1953
120
31A-27a-103, Utah Code Annotated 1953
121
31A-27a-104, Utah Code Annotated 1953
122
31A-27a-105, Utah Code Annotated 1953
123
31A-27a-106, Utah Code Annotated 1953
124
31A-27a-107, Utah Code Annotated 1953
125
31A-27a-108, Utah Code Annotated 1953
126
31A-27a-109, Utah Code Annotated 1953
127
31A-27a-110, Utah Code Annotated 1953
128
31A-27a-111, Utah Code Annotated 1953
129
31A-27a-112, Utah Code Annotated 1953
130
31A-27a-113, Utah Code Annotated 1953
131
31A-27a-114, Utah Code Annotated 1953
132
31A-27a-115, Utah Code Annotated 1953
133
31A-27a-116, Utah Code Annotated 1953
134
31A-27a-117, Utah Code Annotated 1953
135
31A-27a-119, Utah Code Annotated 1953
136
31A-27a-120, Utah Code Annotated 1953
137
31A-27a-201, Utah Code Annotated 1953
138
31A-27a-202, Utah Code Annotated 1953
139
31A-27a-203, Utah Code Annotated 1953
140
31A-27a-204, Utah Code Annotated 1953
141
31A-27a-205, Utah Code Annotated 1953
142
31A-27a-206, Utah Code Annotated 1953
143
31A-27a-207, Utah Code Annotated 1953
144
31A-27a-208, Utah Code Annotated 1953
145
31A-27a-209, Utah Code Annotated 1953
146
31A-27a-301, Utah Code Annotated 1953
147
31A-27a-302, Utah Code Annotated 1953
148
31A-27a-303, Utah Code Annotated 1953
149
31A-27a-304, Utah Code Annotated 1953
150
31A-27a-305, Utah Code Annotated 1953
151
31A-27a-401, Utah Code Annotated 1953
152
31A-27a-402, Utah Code Annotated 1953
153
31A-27a-403, Utah Code Annotated 1953
154
31A-27a-404, Utah Code Annotated 1953
155
31A-27a-405, Utah Code Annotated 1953
156
31A-27a-406, Utah Code Annotated 1953
157
31A-27a-407, Utah Code Annotated 1953
158
31A-27a-501, Utah Code Annotated 1953
159
31A-27a-502, Utah Code Annotated 1953
160
31A-27a-503, Utah Code Annotated 1953
161
31A-27a-504, Utah Code Annotated 1953
162
31A-27a-505, Utah Code Annotated 1953
163
31A-27a-506, Utah Code Annotated 1953
164
31A-27a-507, Utah Code Annotated 1953
165
31A-27a-508, Utah Code Annotated 1953
166
31A-27a-509, Utah Code Annotated 1953
167
31A-27a-510, Utah Code Annotated 1953
168
31A-27a-511, Utah Code Annotated 1953
169
31A-27a-512, Utah Code Annotated 1953
170
31A-27a-513, Utah Code Annotated 1953
171
31A-27a-514, Utah Code Annotated 1953
172
31A-27a-515, Utah Code Annotated 1953
173
31A-27a-516, Utah Code Annotated 1953
174
31A-27a-601, Utah Code Annotated 1953
175
31A-27a-602, Utah Code Annotated 1953
176
31A-27a-603, Utah Code Annotated 1953
177
31A-27a-604, Utah Code Annotated 1953
178
31A-27a-605, Utah Code Annotated 1953
179
31A-27a-606, Utah Code Annotated 1953
180
31A-27a-607, Utah Code Annotated 1953
181
31A-27a-608, Utah Code Annotated 1953
182
31A-27a-609, Utah Code Annotated 1953
183
31A-27a-610, Utah Code Annotated 1953
184
31A-27a-611, Utah Code Annotated 1953
185
31A-27a-612, Utah Code Annotated 1953
186
31A-27a-701, Utah Code Annotated 1953
187
31A-27a-702, Utah Code Annotated 1953
188
31A-27a-703, Utah Code Annotated 1953
189
31A-27a-704, Utah Code Annotated 1953
190
31A-27a-705, Utah Code Annotated 1953
191
31A-27a-801, Utah Code Annotated 1953
192
31A-27a-802, Utah Code Annotated 1953
193
31A-27a-803, Utah Code Annotated 1953
194
31A-27a-804, Utah Code Annotated 1953
195
31A-27a-805, Utah Code Annotated 1953
196
31A-27a-901, Utah Code Annotated 1953
197
31A-27a-902, Utah Code Annotated 1953
198
RENUMBERS AND AMENDS:
199
31A-27-501, (Renumbered from 31A-27-101, as last amended by Chapter 204, Laws of
200
Utah 1986)
201
31A-27-503, (Renumbered from 31A-27-201, as last amended by Chapter 161, Laws of
202
Utah 1987)
203
31A-27-504, (Renumbered from 31A-27-203, as last amended by Chapter 204, Laws of
204
Utah 1986)
205
31A-27a-118, (Renumbered from 31A-27-107, as enacted by Chapter 242, Laws of
206
Utah 1985)
207
REPEALS:
208
31A-27-102, as last amended by Chapter 308, Laws of Utah 2002
209
31A-27-103, as last amended by Chapter 298, Laws of Utah 2003
210
31A-27-104, as last amended by Chapter 131, Laws of Utah 1999
211
31A-27-105, as enacted by Chapter 242, Laws of Utah 1985
212
31A-27-106, as last amended by Chapter 204, Laws of Utah 1986
213
31A-27-108, as enacted by Chapter 242, Laws of Utah 1985
214
31A-27-109, as enacted by Chapter 204, Laws of Utah 1986
215
31A-27-110, as enacted by Chapter 131, Laws of Utah 1999
216
31A-27-202, as last amended by Chapter 204, Laws of Utah 1986
217
31A-27-301, as last amended by Chapter 204, Laws of Utah 1986
218
31A-27-302, as last amended by Chapter 252, Laws of Utah 2003
219
31A-27-303, as last amended by Chapter 204, Laws of Utah 1986
220
31A-27-304, as last amended by Chapter 344, Laws of Utah 1995
221
31A-27-305, as last amended by Chapter 308, Laws of Utah 2002
222
31A-27-306, as enacted by Chapter 242, Laws of Utah 1985
223
31A-27-307, as last amended by Chapter 131, Laws of Utah 1999
224
31A-27-308, as last amended by Chapter 185, Laws of Utah 1997
225
31A-27-309, as enacted by Chapter 242, Laws of Utah 1985
226
31A-27-310, as last amended by Chapter 131, Laws of Utah 1999
227
31A-27-311, as last amended by Chapter 13, Laws of Utah 1998
228
31A-27-311.5, as last amended by Chapter 252, Laws of Utah 2003
229
31A-27-312, as last amended by Chapter 230, Laws of Utah 1992
230
31A-27-313, as enacted by Chapter 242, Laws of Utah 1985
231
31A-27-314, as last amended by Chapter 105, Laws of Utah 2004
232
31A-27-315, as last amended by Chapter 177, Laws of Utah 2006
233
31A-27-316, as last amended by Chapter 298, Laws of Utah 2003
234
31A-27-317, as last amended by Chapter 308, Laws of Utah 2002
235
31A-27-318, as enacted by Chapter 242, Laws of Utah 1985
236
31A-27-319, as last amended by Chapter 204, Laws of Utah 1986
237
31A-27-320, as last amended by Chapter 204, Laws of Utah 1986
238
31A-27-321, as last amended by Chapter 277, Laws of Utah 1992
239
31A-27-322, as enacted by Chapter 204, Laws of Utah 1986
240
31A-27-323, as last amended by Chapter 131, Laws of Utah 1999
241
31A-27-324, as last amended by Chapter 298, Laws of Utah 2003
242
31A-27-325, as last amended by Chapter 204, Laws of Utah 1986
243
31A-27-326, as last amended by Chapter 105, Laws of Utah 2004
244
31A-27-327, as last amended by Chapter 105, Laws of Utah 2004
245
31A-27-328, as last amended by Chapter 131, Laws of Utah 1999
246
31A-27-329, as enacted by Chapter 242, Laws of Utah 1985
247
31A-27-330, as last amended by Chapter 9, Laws of Utah 1996, Second Special Session
248
31A-27-330.5, as last amended by Chapter 185, Laws of Utah 1997
249
31A-27-330.6, as last amended by Chapter 105, Laws of Utah 2004
250
31A-27-331, as enacted by Chapter 242, Laws of Utah 1985
251
31A-27-332, as last amended by Chapter 308, Laws of Utah 2002
252
31A-27-333, as last amended by Chapter 204, Laws of Utah 1986
253
31A-27-334, as last amended by Chapter 204, Laws of Utah 1986
254
31A-27-335, as last amended by Chapter 300, Laws of Utah 2000
255
31A-27-335.5, as last amended by Chapter 344, Laws of Utah 1995
256
31A-27-336, as enacted by Chapter 242, Laws of Utah 1985
257
31A-27-337, as last amended by Chapter 308, Laws of Utah 2002
258
31A-27-338, as enacted by Chapter 242, Laws of Utah 1985
259
31A-27-339, as last amended by Chapter 204, Laws of Utah 1986
260
31A-27-340, as last amended by Chapter 308, Laws of Utah 2002
261
31A-27-341, as last amended by Chapter 308, Laws of Utah 2002
262
31A-27-342, as enacted by Chapter 242, Laws of Utah 1985
263
31A-27-401, as last amended by Chapter 204, Laws of Utah 1986
264
31A-27-402, as enacted by Chapter 242, Laws of Utah 1985
265
31A-27-403, as enacted by Chapter 242, Laws of Utah 1985
266
31A-27-404, as enacted by Chapter 242, Laws of Utah 1985
267
31A-27-405, as enacted by Chapter 242, Laws of Utah 1985
268
31A-27-406, as enacted by Chapter 242, Laws of Utah 1985
269
31A-27-407, as last amended by Chapter 204, Laws of Utah 1986
270
31A-27-408, as enacted by Chapter 242, Laws of Utah 1985
271
31A-27-409, as last amended by Chapter 204, Laws of Utah 1986
272
31A-27-410, as last amended by Chapter 344, Laws of Utah 1995
273
31A-27-411, as last amended by Chapter 204, Laws of Utah 1986
274
275
Be it enacted by the Legislature of the state of Utah:
276
Section 1.
Section
31A-1-106
is amended to read:
277
31A-1-106. Residual unlicensed domestic insurers.
278
(1) Every person doing an insurance business in Utah not covered under another
279
section of this title, that does not hold a valid certificate of authority or license under [the
280
Insurance Code,] this title shall, by July 1, 1987, complete one of the actions prescribed in
281
Subsections (2) through (5). This section does not apply to an unauthorized foreign insurer
282
doing an insurance business in Utah in full compliance with Section
31A-15-103
.
283
(2) An insurer under Subsection (1) may incorporate and apply, or if already
284
incorporated, may apply for a certificate of authority under Chapter 5, 6, 7, 8, or 9. If the
285
commissioner is satisfied that the insurer substantially complies with the requirements of the
286
appropriate chapter necessary for the protection of insureds and the public, the commissioner
287
shall issue a certificate of authority.
288
(3) An insurer under Subsection (1) may transfer all its obligations to a corporation
289
authorized under this title to assume them, according to a plan approved by the commissioner.
290
The commissioner may disapprove the plan on a finding, after a hearing, that it is contrary to
291
the interests of insureds, the public, or the law.
292
(4) An insurer under Subsection (1) may adopt a plan to run off existing obligations
293
without accepting any new policyholders or new obligations. The commissioner may
294
disapprove the plan on a finding, after a hearing, that it is contrary to the interests of insureds,
295
the public, or the law.
296
(5) The commissioner may, by order, exempt an insurer from the requirements of
297
Subsection (1) or extend the deadline under Subsection (1) on a finding that:
298
(a) incorporation, licensing, reinsurance, or run off would cause disproportionate
299
expense, loss, or substantial hardship; and
300
(b) the nature of the existing and prospective business, the assets, or the business plan
301
of the insurer can be reasonably expected to continue to operate in a sound manner and can be
302
subjected to adequate regulatory controls.
303
(6) Whenever the commissioner grants an exemption under Subsection (5), the
304
commissioner shall issue to the insurer a certificate of authority. The commissioner may
305
amend the certificate at any time, specifying the business that the insurer may transact and
306
specifying in detail the controls to which the insurer shall be subject. These controls shall
307
correspond as nearly as practicable to the controls applicable to corporations transacting a like
308
business.
309
(7) It is a ground for liquidation under Section [
31A-27-307
]
31A-27a-207
if an insurer
310
has not completed action under one of Subsections (2) through (4) and has not applied for and
311
been granted exemption under Subsection (5) before July 1, 1987.
312
Section 2.
Section
31A-2-108
is amended to read:
313
31A-2-108. Legal services.
314
(1) Except as provided in Subsection (4), the commissioner shall call upon the attorney
315
general for the legal counsel and assistance necessary to enforce [the provisions of] this title.
316
Upon the commissioner's request, or upon the attorney general's own initiative, the attorney
317
general may hire special legal counsel under Section
67-5-5
to represent the [Insurance]
318
department.
319
(2) Upon the commissioner's request, or upon the commissioner's own initiative, the
320
attorney general may aid in any investigation, hearing, or other procedure under this title and
321
may institute, prosecute, and defend proceedings relating to the enforcement or interpretation
322
of this title, including any proceeding to which the state, or the commissioner or any employee
323
of the department in an official capacity, is a party or is interested.
324
(3) The commissioner may refer such evidence as is available concerning violations of
325
this title or of any rule or order under this title to the proper county attorney or district attorney,
326
who may, with or without this reference, institute the appropriate criminal proceedings.
327
(4) For proceedings authorized by [Title 31A, Chapter 27, Insurers Rehabilitation and
328
Liquidation] Chapter 27a, Insurer Receivership Act, the commissioner may employ on a
329
contract basis legal counsel other than the attorney general, with the fees, costs, and expenses
330
of the counsel and the attorney general being a class one administrative expense under Section
331
[31A-27-335
]
31A-27a-701
.
332
Section 3.
Section
31A-2-203
is amended to read:
333
31A-2-203. Examinations and alternatives.
334
(1) (a) Whenever the commissioner considers it necessary in order to inform the
335
commissioner about any matter related to the enforcement of this title, the commissioner may
336
examine the affairs and condition of:
337
(i) a licensee under this title;
338
(ii) an applicant for a license under this title;
339
(iii) a person or organization of persons doing or in process of organizing to do an
340
insurance business in this state; or
341
(iv) a person who is not, but should be, licensed under this title.
342
(b) When reasonably necessary for an examination under Subsection (1)(a), the
343
commissioner may examine:
344
(i) so far as they relate to the examinee, the accounts, records, documents, or evidences
345
of transactions of:
346
(A) the insurer or other licensee;
347
(B) any officer or other person who has executive authority over or is in charge of any
348
segment of the examinee's affairs; or
349
(C) any affiliate of the examinee; or
350
(ii) any third party model or product used by the examinee.
351
(c) (i) On demand, each examinee under Subsection (1)(a) shall make available to the
352
commissioner for examination:
353
(A) any of the examinee's own accounts, records, files, documents, or evidences of
354
transactions; and
355
(B) to the extent reasonably necessary for an examination, the accounts, records, files,
356
documents, or evidences of transactions of any persons under Subsection (1)(b).
357
(ii) Except as provided in Subsection (1)(c)(iii), failure to make the documents
358
described in Subsection (1)(c)(i) available is concealment of records under Subsection
359
[
31A-27-307
(7)]
31A-27a-207
(1)(e).
360
(iii) If the examinee is unable to obtain accounts, records, files, documents, or
361
evidences of transactions from persons under Subsection (1)(b), that failure is not concealment
362
of records if the examinee immediately terminates the relationship with the other person.
363
(d) (i) Neither the commissioner nor an examiner may remove any account, record, file,
364
document, evidence of transaction, or other property of the examinee from the examinee's
365
offices unless:
366
(A) the examinee consents in writing; or
367
(B) a court grants permission.
368
(ii) The commissioner may make and remove copies or abstracts of the following
369
described in Subsection (1)(d)(i):
370
(A) an account;
371
(B) a record;
372
(C) a file;
373
(D) a document;
374
(E) evidence of transaction; or
375
(F) other property.
376
(2) (a) Subject to the other provisions of this section, the commissioner shall examine
377
as needed and as otherwise provided by law:
378
(i) every insurer, both domestic and nondomestic;
379
(ii) every licensed rate service organization; and
380
(iii) any other licensee.
381
(b) The commissioner shall examine insurers, both domestic and nondomestic, no less
382
frequently than once every five years, but the commissioner may use in lieu examinations
383
under Subsection (4) to satisfy this requirement.
384
(c) The commissioner shall revoke the certificate of authority of an insurer or the
385
license of a rate service organization that has not been examined, or submitted an acceptable in
386
lieu report under Subsection (4), within the past five years.
387
(d) (i) Any 25 persons who are policyholders, shareholders, or creditors of a domestic
388
insurer may by verified petition demand a hearing under Section
31A-2-301
to determine
389
whether the commissioner should conduct an unscheduled examination of the insurer.
390
(ii) Persons demanding the hearing under this Subsection (2)(d) shall be given an
391
opportunity in the hearing to present evidence that an examination of the insurer is necessary.
392
(iii) If the evidence justifies an examination, the commissioner shall order an
393
examination.
394
(e) (i) When the board of directors of a domestic insurer requests that the
395
commissioner examine the insurer, the commissioner shall examine the insurer as soon as
396
reasonably possible.
397
(ii) If the examination requested under this Subsection (2)(e) is conducted within two
398
years after completion of a comprehensive examination by the commissioner, costs of the
399
requested examination may not be deducted from premium taxes under Section
59-9-102
400
unless the commissioner's order specifically provides for the deduction.
401
(f) Bail bond surety companies as defined in Section
31A-35-102
are exempted from:
402
(i) the five-year examination requirement in Subsection (2)(b);
403
(ii) the revocation under Subsection (2)(c); and
404
(iii) Subsections (2)(d) and (2)(e).
405
(3) (a) The commissioner may order an independent audit or examination by technical
406
experts, including certified public accountants and actuaries:
407
(i) in lieu of all or part of an examination under Subsection (1) or (2); or
408
(ii) in addition to an examination under Subsection (1) or (2).
409
(b) Any audit or evaluation under this Subsection (3) is subject to Subsection (5),
410
Section
31A-2-204
, and Subsection
31A-2-205
(4).
411
(4) (a) In lieu of all or any part of an examination under this section, the commissioner
412
may accept the report of an examination made by:
413
(i) the insurance department of another state; or
414
(ii) another government agency in:
415
(A) this state;
416
(B) the federal government; or
417
(C) another state.
418
(b) An examination by the commissioner under Subsection (1) or (2) or accepted by the
419
commissioner under this Subsection (4) may use:
420
(i) an audit already made by a certified public accountant; or
421
(ii) an actuarial evaluation made by an actuary approved by the commissioner.
422
(5) (a) An examination may be comprehensive or limited with respect to the
423
examinee's affairs and condition. The commissioner shall determine the nature and scope of
424
each examination, taking into account all relevant factors, including:
425
(i) the length of time the examinee has been licensed in this state;
426
(ii) the nature of the business being examined;
427
(iii) the nature of the accounting or other records available;
428
(iv) reports from:
429
(A) independent auditors; and
430
(B) self-certification entities; and
431
(v) the nature of examinations performed elsewhere.
432
(b) The examination of an alien insurer shall be limited to insurance transactions and
433
assets in the United States, unless the commissioner orders otherwise after finding that
434
extraordinary circumstances necessitate a broader examination.
435
(6) To effectively administer this section, the commissioner:
436
(a) shall:
437
(i) maintain effective financial condition and market regulation surveillance systems
438
including:
439
(A) financial and market analysis; and
440
(B) review of insurance regulatory information system reports;
441
(ii) employ a priority scheduling method that focuses on insurers and other licensees
442
most in need of examination; and
443
(iii) use examination management techniques similar to those outlined in the Financial
444
Condition Examination Handbook of the National Association of Insurance Commissioners;
445
and
446
(b) in accordance with Title 63, Chapter 46a, Utah Administrative Rulemaking Act,
447
may make rules pertaining to the financial condition and market regulation surveillance
448
systems.
449
Section 4.
Section
31A-2-204
is amended to read:
450
31A-2-204. Conducting examinations.
451
(1) (a) For each examination under Section
31A-2-203
, the commissioner shall issue an
452
order:
453
(i) stating the scope of the examination; and
454
(ii) designating the examiner in charge.
455
(b) The commissioner need not give advance notice of an examination to an examinee.
456
(c) The examiner in charge shall give the examinee a copy of the order issued under
457
this Subsection (1).
458
(d) (i) The commissioner may alter the scope or nature of an examination at any time
459
without advance notice to the examinee.
460
(ii) If the commissioner amends an order described in this Subsection (1), the
461
commissioner shall provide a copy of any amended order to the examinee.
462
(e) Statements in the commissioner's examination order concerning examination scope
463
are for the examiner's guidance only.
464
(f) Examining relevant matters not mentioned in an order issued under this Subsection
465
(1) is not a violation of this title.
466
(2) The commissioner shall, whenever practicable, cooperate with the insurance
467
regulators of other states by conducting joint examinations of:
468
(a) multistate insurers doing business in this state; or
469
(b) other multistate licensees doing business in this state.
470
(3) An examiner authorized by the commissioner shall, when necessary to the purposes
471
of the examination, have access at all reasonable hours to the premises and to any books,
472
records, files, securities, documents, or property of:
473
(a) the examinee; and
474
(b) any of the following if the premises, books, records, files, securities, documents, or
475
property relate to the affairs of the examinee:
476
(i) an officer of the examinee;
477
(ii) any other person who:
478
(A) has executive authority over the examinee; or
479
(B) is in charge of any segment of the examinee's affairs; or
480
(iii) any affiliate of the examinee under Subsection
31A-2-203
(1)(b).
481
(4) (a) The officers, employees, and agents of the examinee and of persons under
482
Subsection
31A-2-203
(1)(b) shall comply with every reasonable request of the examiners for
483
assistance in any matter relating to the examination.
484
(b) A person may not obstruct or interfere with the examination except by legal
485
process.
486
(5) If the commissioner finds the accounts or records to be inadequate for proper
487
examination of the condition and affairs of the examinee or improperly kept or posted, the
488
commissioner may employ experts to rewrite, post, or balance the accounts or records at the
489
expense of the examinee.
490
(6) (a) The examiner in charge of an examination shall make a report of the
491
examination no later than 60 days after the completion of the examination that shall include:
492
(i) the information and analysis ordered under Subsection (1); and
493
(ii) the examiner's recommendations.
494
(b) At the option of the examiner in charge, preparation of the report may include
495
conferences with the examinee or representatives of the examinee.
496
(c) The report is confidential until the report becomes a public document under
497
Subsection (7), except the commissioner may use information from the report as a basis for
498
action under Chapter [27, Insurers Rehabilitation and Liquidation] 27a, Insurer Receivership
499
Act.
500
(7) (a) The commissioner shall serve a copy of the examination report described in
501
Subsection (6) upon the examinee.
502
(b) Within 20 days after service, the examinee shall:
503
(i) accept the examination report as written; or
504
(ii) request agency action to modify the examination report.
505
(c) The report is considered accepted under this Subsection (7) if the examinee does
506
not file a request for agency action to modify the report within 20 days after service of the
507
report.
508
(d) If the examination report is accepted:
509
(i) the examination report immediately becomes a public document; and
510
(ii) the commissioner shall distribute the examination report to all jurisdictions in
511
which the examinee is authorized to do business.
512
(e) (i) Any adjudicative proceeding held as a result of the examinee's request for
513
agency action shall, upon the examinee's demand, be closed to the public, except that the
514
commissioner need not exclude any participating examiner from this closed hearing.
515
(ii) Within 20 days after the hearing held under this Subsection (7)(e), the
516
commissioner shall:
517
(A) adopt the examination report with any necessary modifications; and
518
(B) serve a copy of the adopted report upon the examinee.
519
(iii) Unless the examinee seeks judicial relief, the adopted examination report:
520
(A) shall become a public document ten days after service; and
521
(B) may be distributed as described in this section.
522
(f) Notwithstanding Title 63, Chapter 46b, Administrative Procedures Act, to the
523
extent that this section is in conflict with Title 63, Chapter 46b, this section governs:
524
(i) a request for agency action under this section; or
525
(ii) adjudicative proceeding under this section.
526
(8) The examinee shall promptly furnish copies of the adopted examination report
527
described in Subsection (7) to each member of the examinee's board.
528
(9) After an examination report becomes a public document under Subsection (7), the
529
commissioner may furnish, without cost or at a reasonable price set under Section
31A-3-103
,
530
a copy of the examination report to interested persons, including:
531
(a) a member of the board of the examinee; or
532
(b) one or more newspapers in this state.
533
(10) (a) In a proceeding by or against the examinee, or any officer or agent of the
534
examinee, the examination report as adopted by the commissioner is admissible as evidence of
535
the facts stated in the report.
536
(b) In any proceeding commenced under Chapter [27, Insurers Rehabilitation and
537
Liquidation] 27a, Insurer Receivership Act, the examination report, whether adopted by the
538
commissioner or not, is admissible as evidence of the facts stated in the examination report.
539
Section 5.
Section
31A-2-206
is amended to read:
540
31A-2-206. Receipt and handling of deposits.
541
(1) As used in this chapter:
542
(a) "Custodian institution" means [any] a financial institution in this state as defined
543
under Section
7-1-103
that:
544
(i) has authority under Title 7, Chapter 5, Trust Business, to engage in a trust business;
545
and
546
(ii) is approved by the commissioner to have custody of deposited securities, whether
547
physically, through the Federal Reserve book-entry system, or through a clearing corporation as
548
defined under Subsection
70A-8-101
(1).
549
(b) "Federal Reserve book-entry system" means the computerized system sponsored by
550
the United States Department of the Treasury and certain other agencies and instrumentalities
551
of the United States for holding and transferring securities of the United States government and
552
other agencies and instrumentalities.
553
(2) Subject to the commissioner's approval and to the requirements of this section, the
554
state treasurer shall accept, and a custodian institution qualified under Subsection (1)(a) may
555
accept:
556
(a) deposits required or permitted under this title or rules adopted under this title;
557
(b) deposits of domestic insurers or of alien insurers domiciled in this state if required
558
by the laws of other states as a prerequisite to authority to do an insurance business in other
559
states; and
560
(c) deposits resulting from application of any retaliatory provisions of this title.
561
(3) Deposits authorized under Subsection (2) shall be of securities described in
562
Subsection (7).
563
(4) Unless otherwise provided by the law requiring or permitting the deposit, each
564
deposit shall be held in trust:
565
(a) first, for administrative costs under Subsection [
31A-27-335
]
31A-27a-701
(2)(a);
566
(b) second, for the claimants under Subsection [
31A-27-335
]
31A-27a-701
(2)(c);
567
(c) third, for the claimants under Subsection [
31A-27-335
]
31A-27a-701
(2)(d); and
568
(d) fourth, for all other creditors in the order of priority established under Section
569
[
31A-27-335
]
31A-27a-701
.
570
(5) A claim may be made against the deposit of an alien insurer only if it arises out of a
571
transaction in the United States.
572
(6) Deposits may be made by:
573
(a) delivering physical custody and control of the deposited security to the state
574
treasurer or a custodian institution, accompanied by a statement signed by the depositor
575
indicating that the deposit shall be held in trust under the terms of this section and subject to
576
the commissioner's exclusive direction until control is released by the commissioner; or
577
(b) delivering to the commissioner, on a form adopted by rule, a signed certificate of a
578
custodian institution, describing securities qualifying for deposit under Subsection (7) that are
579
on deposit with a clearing corporation or held in the Federal Reserve book-entry system in the
580
name of the custodian institution, in trust for the purposes stated under this section, and that
581
these securities are subject to the exclusive direction of the commissioner and may not be
582
withdrawn or transferred by any person, including the insurer owning the securities, without the
583
commissioner's written approval.
584
(7) (a) Deposits may consist of any securities authorized in Subsection (7) (b) for
585
which there is a ready market if they:
586
(i) are expressly approved by the commissioner;
587
(ii) are subject to disposition by the state treasurer or custodian institution only with the
588
concurrence of the commissioner; and
589
(iii) are not available to any other person except as expressly provided by law.
590
(b) The authorized securities are:
591
(i) deposits or certificates of deposit insured by the Federal Deposit Insurance
592
Corporation;
593
(ii) bonds or other evidences of indebtedness that are guaranteed as to principal and
594
interest by the United States;
595
(iii) tax anticipation bonds or notes, general obligation bonds, or revenue bonds of this
596
state or of any county, incorporated city or town, school district, or other political subdivision
597
of this state, if the bonds or notes are rated AAA by Standard and Poor's or an equivalent
598
nationally recognized rating agency;
599
(iv) bonds or other evidences of indebtedness issued or guaranteed by an agency or
600
instrumentality of the United States; and
601
(v) any other security approved by the commissioner that [he] the commissioner
602
considers an equivalent grade investment to those enumerated under Subsections (7)(b)(i)
603
through (iv) based on tests of the safety of principal and liquidity.
604
(8) Securities held on deposit shall be valued under Section
31A-17-401
as those
605
investments are valued for life insurers, or at market, whichever is lower. The securities shall
606
be revalued whenever the commissioner requests to ensure continued compliance with the
607
requirements of this title.
608
(9) (a) The state treasurer or custodian institution shall:
609
(i) deliver to the depositor a receipt for all securities deposited or held;
610
(ii) issue a duplicate copy of the receipt to the commissioner; and
611
(iii) permit the depositor to inspect its physically held securities at any reasonable time.
612
(b) On application of the depositor or when required by the law of any state or country
613
or by the order of any court of competent jurisdiction, the state treasurer or custodian institution
614
shall certify that the deposit was made and what is on deposit.
615
(c) Depositors, the state treasurer, any custodian institution, and the commissioner shall
616
each keep a permanent record of securities deposited or held under this section and of any
617
substitutions or withdrawals. They shall compare records at least annually.
618
(10) A transfer of a deposited security, whether voluntary or by operation of law, is
619
valid only if approved in writing by the commissioner and countersigned by the state treasurer
620
or custodian institution.
621
(11) Neither a judgment creditor nor other person may levy upon any deposit held
622
under this section.
623
(12) A depositor that has complied with all provisions of this title intended to preserve
624
its financial solidity is, while solvent and complying with the laws of this state, entitled to:
625
(a) receive interest and cash dividends accruing on the securities held for its account;
626
and
627
(b) substitute for deposited securities other eligible securities, as expressly approved by
628
the commissioner.
629
(13) Within 45 days after the commissioner gives notice to a depositor that a deposit is
630
not an acceptable deposit under Subsection (7), the depositor shall substitute other eligible
631
securities expressly approved by the commissioner and allowed under Subsection (7).
632
(14) A depositor may voluntarily deposit or transfer control of eligible securities in
633
excess of requirements to absorb fluctuations in value and to facilitate substitution of
634
securities.
635
(15) Upon the depositor's request and upon approval of the commissioner, any deposit
636
or part of a deposit shall be released to, or on order of, the depositor to the extent not needed to
637
satisfy requirements of this title. On the order of a court of competent jurisdiction, the deposit
638
or appropriate part of the deposit shall be released to the person for whom it is held.
639
(16) Each depositor shall pay the cost of custody of securities by a custodian institution
640
or by the state treasurer.
641
(17) The commissioner shall adopt rules to implement this section.
642
Section 6.
Section
31A-2-207
is amended to read:
643
31A-2-207. Commissioner's records and reports -- Protection from disclosure of
644
certain records.
645
(1) The commissioner shall maintain all department records that are:
646
(a) required by law;
647
(b) necessary for the effective operation of the department; or
648
(c) necessary to maintain a full record of department activities.
649
(2) The records of the department may be preserved, managed, stored, and made
650
available for review consistent with:
651
(a) another Utah statute;
652
(b) the rules made under Section
63-2-904
;
653
(c) the decisions of the State Records Committee made under Title 63, Chapter 2,
654
Government Records Access and Management Act; or
655
(d) the needs of the public.
656
(3) A department record may not be destroyed, damaged, or disposed of without:
657
(a) authorization of the commissioner; and
658
(b) compliance with all other applicable laws.
659
(4) The commissioner shall maintain a permanent record of the commissioner's
660
proceedings and important activities, including:
661
(a) a concise statement of the condition of each insurer examined by the commissioner;
662
and
663
(b) a record of all certificates of authority and licenses issued by the commissioner.
664
(5) (a) Prior to October 1 of each year, the commissioner shall prepare an annual report
665
to the governor which shall include, for the preceding calendar year, the information
666
concerning the department and the insurance industry which the commissioner believes will be
667
useful to the governor and the public.
668
(b) The report required by this Subsection (5) shall include the information required
669
under Chapter [27] 27a, Insurer Receivership Act, and Subsections
31A-2-106
(2),
670
31A-2-205
(3), and
31A-2-208
(3).
671
(c) The commissioner shall make the report required by this Subsection (5) available to
672
the public and industry in electronic format.
673
(6) All department records and reports are open to public inspection unless specifically
674
provided otherwise by statute or by Title 63, Chapter 2, Government Records Access and
675
Management Act.
676
(7) On request, the commissioner shall provide to any person certified or uncertified
677
copies of any record in the department that is open to public inspection.
678
(8) Notwithstanding Subsection (6) and Title 63, Chapter 2, Government Records
679
Access and Management Act, the commissioner shall protect from disclosure any record, as
680
defined in Section
63-2-103
, or other document received from an insurance regulator of
681
another jurisdiction:
682
(a) at least to the same extent the record or document is protected from disclosure
683
under the laws applicable to the insurance regulator providing the record or document; or
684
(b) under the same terms and conditions of confidentiality as the National Association
685
of Insurance Commissioners requires as a condition of participating in any of the National
686
Association of Insurance Commissioners' programs.
687
Section 7.
Section
31A-2-212
is amended to read:
688
31A-2-212. Miscellaneous duties.
689
(1) Upon issuance of any order limiting, suspending, or revoking an insurer's authority
690
to do business in Utah, and on institution of any proceedings against the insurer under Chapter
691
[27, Insurers Rehabilitation and Liquidation] 27a, Insurer Receivership Act, the commissioner:
692
(a) shall notify by mail all agents of the insurer of whom the commissioner has record;
693
and
694
(b) may publish notice of the order or proceeding in any manner the commissioner
695
considers necessary to protect the rights of the public.
696
(2) When required for evidence in any legal proceeding, the commissioner shall furnish
697
a certificate of the authority of any licensee to transact insurance business in Utah on any
698
particular date. The court or other officer shall receive the certificate of authority in lieu of the
699
commissioner's testimony.
700
(3) (a) On the request of any insurer authorized to do a surety business, the
701
commissioner shall furnish a copy of the insurer's certificate of authority to any designated
702
public officer in this state who requires that certificate of authority before accepting a bond.
703
(b) The public officer described in Subsection (3)(a) shall file the certificate of
704
authority furnished under Subsection (3)(a).
705
(c) After a certified copy of a certificate of authority has been furnished to a public
706
officer, it is not necessary, while the certificate of authority remains effective, to attach a copy
707
of it to any instrument of suretyship filed with that public officer.
708
(d) Whenever the commissioner revokes the certificate of authority or starts
709
proceedings under Chapter [27, Insurers Rehabilitation and Liquidation] 27a, Insurer
710
Receivership Act, against any insurer authorized to do a surety business, the commissioner
711
shall immediately give notice of that action to each public officer who was sent a certified copy
712
under this Subsection (3).
713
(4) (a) The commissioner shall immediately notify every judge and clerk of all courts
714
of record in the state when:
715
(i) an authorized insurer doing a surety business:
716
(A) files a petition for receivership; or
717
(B) is in receivership; or
718
(ii) the commissioner has reason to believe that the authorized insurer doing surety
719
business:
720
(A) is in financial difficulty; or
721
(B) has unreasonably failed to carry out any of its contracts.
722
(b) Upon the receipt of the notice required by this Subsection (4) it is the duty of the
723
judges and clerks to notify and require every person that has filed with the court a bond on
724
which the authorized insurer doing surety business is surety, to immediately file a new bond
725
with a new surety.
726
(5) The commissioner shall require an insurer that issues, sells, renews, or offers health
727
insurance coverage in this state to comply with the Health Insurance Portability and
728
Accountability Act, P.L. 104-191, pursuant to 110 Stat. 1968, Sec. 2722.
729
Section 8.
Section
31A-2-308
is amended to read:
730
31A-2-308. Enforcement penalties and procedures.
731
(1) (a) A person who violates any insurance statute or rule or any order issued under
732
Subsection
31A-2-201
(4) shall forfeit to the state twice the amount of any profit gained from
733
the violation, in addition to any other forfeiture or penalty imposed.
734
(b) (i) The commissioner may order an individual producer, limited line producer,
735
customer service representative, managing general agent, reinsurance intermediary, adjuster, or
736
insurance consultant who violates an insurance statute or rule to forfeit to the state not more
737
than $2,500 for each violation.
738
(ii) The commissioner may order any other person who violates an insurance statute or
739
rule to forfeit to the state not more than $5,000 for each violation.
740
(c) (i) The commissioner may order an individual producer, limited line producer,
741
customer service representative, managing general agent, reinsurance intermediary, adjuster, or
742
insurance consultant who violates an order issued under Subsection
31A-2-201
(4) to forfeit to
743
the state not more than $2,500 for each violation. Each day the violation continues is a
744
separate violation.
745
(ii) The commissioner may order any other person who violates an order issued under
746
Subsection
31A-2-201
(4) to forfeit to the state not more than $5,000 for each violation. Each
747
day the violation continues is a separate violation.
748
(d) The commissioner may accept or compromise any forfeiture under this Subsection
749
(1) until after a complaint is filed under Subsection (2). After the filing of the complaint, only
750
the attorney general may compromise the forfeiture.
751
(2) When a person fails to comply with an order issued under Subsection
752
31A-2-201
(4), including a forfeiture order, the commissioner may file an action in any court of
753
competent jurisdiction or obtain a court order or judgment:
754
(a) enforcing the commissioner's order;
755
(b) (i) directing compliance with the commissioner's order and restraining further
756
violation of the order; and
757
(ii) subjecting the person ordered to the procedures and sanctions available to the court
758
for punishing contempt if the failure to comply continues; or
759
(c) imposing a forfeiture in an amount the court considers just, up to $10,000 for each
760
day the failure to comply continues after the filing of the complaint until judgment is rendered.
761
(3) The Utah Rules of Civil Procedure govern actions brought under Subsection (2),
762
except that the commissioner may file a complaint seeking a court-ordered forfeiture under
763
Subsection (2)(c) no sooner than two weeks after giving written notice of the commissioner's
764
intention to proceed under Subsection (2)(c). The commissioner's order issued under
765
Subsection
31A-2-201
(4) may contain a notice of intention to seek a court-ordered forfeiture if
766
the commissioner's order is disobeyed.
767
(4) If, after a court order is issued under Subsection (2), the person fails to comply with
768
the commissioner's order or judgment:
769
(a) the commissioner may certify the fact of the failure to the court by affidavit; and
770
(b) the court may, after a hearing following at least five days written notice to the
771
parties subject to the order or judgment, amend the order or judgment to add the forfeiture or
772
forfeitures, as prescribed in Subsection (2)(c), until the person complies.
773
(5) (a) The proceeds of all forfeitures under this section, including collection expenses,
774
shall be paid into the General Fund.
775
(b) The expenses of collection shall be credited to the [Insurance] department's budget.
776
(c) The attorney general's budget shall be credited to the extent the [Insurance]
777
department reimburses the attorney general's office for its collection expenses under this
778
section.
779
(6) (a) Forfeitures and judgments under this section bear interest at the rate charged by
780
the United States Internal Revenue Service for past due taxes on the:
781
(i) date of entry of the commissioner's order under Subsection (1); or
782
(ii) date of judgment under Subsection (2).
783
(b) Interest accrues from the later of the dates described in Subsection (6)(a) until the
784
forfeiture and accrued interest are fully paid.
785
(7) A forfeiture may not be imposed under Subsection (2)(c) if:
786
(a) at the time the forfeiture action is commenced, the person was in compliance with
787
the commissioner's order; or
788
(b) the violation of the order occurred during the order's suspension.
789
(8) The commissioner may seek an injunction as an alternative to issuing an order
790
under Subsection
31A-2-201
(4).
791
(9) (a) A person is guilty of a class B misdemeanor if that person:
792
(i) intentionally violates:
793
(A) an insurance statute or rule of this state; or
794
(B) an order issued under Subsection
31A-2-201
(4);
795
(ii) intentionally permits a person over whom that person has authority to violate:
796
(A) an insurance statute or rule of this state; or
797
(B) an order issued under Subsection
31A-2-201
(4); or
798
(iii) intentionally aids any person in violating:
799
(A) an insurance statute or rule of this state; or
800
(B) an order issued under Subsection
31A-2-201
(4).
801
(b) Unless a specific criminal penalty is provided elsewhere in this title, the person may
802
be fined not more than:
803
(i) $10,000 if a corporation; or
804
(ii) $5,000 if a person other than a corporation.
805
(c) If the person is an individual, the person may, in addition, be imprisoned for up to
806
one year.
807
(d) As used in this Subsection (9), "intentionally" has the same meaning as under
808
Subsection
76-2-103
(1).
809
(10) (a) A person who knowingly and intentionally violates Section
31A-4-102
,
810
31A-8a-208
,
31A-15-105
,
31A-23a-116
, or
31A-31-111
is guilty of a felony as provided in this
811
Subsection (10).
812
(b) When the value of the property, money, or other things obtained or sought to be
813
obtained in violation of Subsection (10)(a):
814
(i) is less than $5,000, a person is guilty of a third degree felony; or
815
(ii) is or exceeds $5,000, a person is guilty of a second degree felony.
816
(11) (a) After a hearing, the commissioner may, in whole or in part, revoke, suspend,
817
place on probation, limit, or refuse to renew the licensee's license or certificate of authority:
818
(i) when a licensee of the department, other than a domestic insurer:
819
(A) persistently or substantially violates the insurance law; or
820
(B) violates an order of the commissioner under Subsection
31A-2-201
(4);
821
(ii) if there are grounds for delinquency proceedings against the licensee under Section
822
[
31A-27-301
or Section
31A-27-307
]
31A-27a-207
; or
823
(iii) if the licensee's methods and practices in the conduct of the licensee's business
824
endanger, or the licensee's financial resources are inadequate to safeguard, the legitimate
825
interests of the licensee's customers and the public.
826
(b) Additional license termination or probation provisions for licensees other than
827
insurers are set forth in Sections
31A-19a-303
,
31A-19a-304
,
31A-23a-111
,
31A-23a-112
,
828
31A-25-208
,
31A-25-209
,
31A-26-213
,
31A-26-214
,
31A-35-501
, and
31A-35-503
.
829
(12) The enforcement penalties and procedures set forth in this section are not
830
exclusive, but are cumulative of other rights and remedies the commissioner has pursuant to
831
applicable law.
832
Section 9.
Section
31A-5-212
is amended to read:
833
31A-5-212. Certificate of authority.
834
(1) The corporation may apply for a certificate of authority at any time prior to the
835
expiration of its organization permit. The application shall include a detailed statement by a
836
principal officer about any material changes that have taken place or are likely to take place in
837
the facts on which the issuance of the organization permit was based, and if any material
838
changes are proposed in the business plan, the information about the changes that would be
839
required if an organization permit were being applied for.
840
(2) (a) The commissioner shall issue a certificate of authority if [he] the commissioner
841
finds:
842
(i) enough cash or property authorized under Subsection
31A-5-207
(1)(a) or (2)(a) has
843
been received to satisfy the requirements of Section
31A-5-211
;
844
(ii) there is no basis for revoking the organization permit under Subsection
845
31A-5-209
(2); and
846
(iii) all other applicable requirements of the law have been met.
847
(b) The certificate of authority shall specify any limits placed on the insurance business
848
the corporation may carry on and may, within the powers given the commissioner under this
849
title, specify limits on the corporation's methods of operation.
850
(3) After the issuance of the certificate of authority the following action shall take
851
place:
852
(a) The board shall authorize and direct the issuance of certificates for shares, bonds, or
853
notes subscribed to under the organization permit, and of insurance policies upon qualifying
854
applications obtained under the organization permit.
855
(b) The commissioner shall authorize the release to the corporation of all funds held in
856
escrow under Section
31A-5-208
.
857
(4) (a) A corporation may apply to the commissioner for a new or amended certificate
858
of authority altering limits on its business or methods of operation. The application shall
859
contain or be accompanied by information in Subsection
31A-5-204
(2) as the commissioner
860
reasonably requires. The commissioner shall issue the new certificate if [he] the commissioner
861
finds:
862
(i) the corporation's capital and surplus satisfy the requirements of Section
31A-5-211
863
as to the operations proposed under the new certificate of authority; and
864
(ii) the proposed business would not be contrary to law or to the interests of insureds or
865
the public.
866
(b) If the commissioner issues [a summary] an order under [Section
31A-27-201
]
867
Chapter 27, Part 5, Administrative Actions, against a corporation, [he] the commissioner may
868
also revoke the corporation's certificate and issue a new one with any limitation [he] the
869
commissioner considers necessary.
870
(5) Except as to Subsection (4), this section does not apply to stock or mutual
871
insurance corporations already in existence on July 1, 1986.
872
Section 10.
Section
31A-5-217
is amended to read:
873
31A-5-217. Separate accounts for variable contracts.
874
(1) Separate accounts under this section may be designated by any appropriate name
875
the corporation wishes to use, except that the commissioner may by rule provide guidelines for
876
the naming of separate accounts.
877
(2) With the approval of the commissioner, any corporation may establish, or at the
878
direction of the commissioner shall establish, one or more separate accounts and allocate to
879
them any amounts paid or remitted to, or held by, the corporation under designated contracts or
880
classes of contracts. These amounts are to be applied to provide benefits payable partly or
881
wholly in variable dollar amounts, and to provide benefits in fixed and guaranteed dollar
882
amounts and other incidental benefits.
883
(3) To the extent necessary to comply with the federal Investment Company Act of
884
1940, 15 U.S.C. Sec. 80a-1 et seq., or its interpretive rules, the corporation may:
885
(a) adopt special procedures for the conduct of the business and affairs of a separate
886
account; and
887
(b) for persons having beneficial interests in a separate account, provide special voting
888
and other rights, including special rights and procedures relating to investment policy,
889
investment advisory services, selection of certified public accountants, and selection of a
890
committee, the members of which need not be otherwise affiliated with the corporation, to
891
manage the business and affairs of the account.
892
(4) The commissioner may specify in the certificate of authority of a newly organized
893
corporation the minimum required capital or the minimum required permanent surplus to be
894
provided for each separate account. If a separate account is established after a certificate of
895
authority has been issued, the commissioner shall require the corporation to allocate an
896
adequate amount of capital and surplus to the separate account. An insurer may not be required
897
to allocate more capital and surplus to a separate account than would be required of a separate
898
insurer under Section
31A-5-211
and Chapter 17, Part 6, Risk-Based Capital.
899
(5) The income and assets attributable to a separate account shall always remain
900
identified with the particular account, but unless the commissioner so orders, the assets need
901
not be kept physically separate from other assets of the corporation. The income and gains and
902
losses, whether or not realized, from assets attributable to a separate account shall be credited
903
to or charged against the account without regard to other income, gains, or losses of the
904
corporation.
905
(6) Except as provided in Subsection (7), liabilities arising out of any other business of
906
the corporation are not to be allocated to a separate account, nor are any liabilities arising out of
907
a separate account to be allocated to any other account of the corporation, except as provided in
908
Subsection (11).
909
(7) (a) Each separate account shall be considered as an insurer within the meaning of
910
Subsection [
31A-27-102
(1)(m)]
31A-27a-102
(23).
911
(b) A liquidation order under Section [
31A-27-310
]
31A-27a-401
for the general
912
account or for any separate account shall have effect as a rehabilitation order under Section
913
[
31A-27-303
]
31A-27a-301
for all other accounts of the corporation. Claims remaining unpaid
914
after completion of the liquidation under Chapter [27] 27a, Insurer Receivership Act, shall be
915
liens on the interests of shareholders, if any, but not on any other interests, in all of the
916
corporation's assets that are not liquidated. The rehabilitator may transform these liens into
917
ownership interests under [Subsection
31A-27-304
(5)] Section
31A-27a-302
.
918
(8) Assets in excess of the liabilities allocated to separate accounts are the property of
919
the corporation.
920
(9) A corporation may own a particular asset in determinate proportions for separate
921
accounts, for its general account, or as a trustee when acting as such within its legal powers.
922
(10) The corporation may by an identifiable act transfer assets among the separate
923
accounts, the general account, and any trust accounts of the corporation, for fair consideration
924
as defined in [Subsection
31A-27-102
(1)(h)] Section 31A-27a-102.
925
(11) The general account of the corporation, or any separate account, may, for a fair
926
consideration as defined in [Subsection
31A-27-102
(1)(h)] Section 31A-27a-102, provide
927
guarantees in connection with, perform services for, or reinsure other accounts, subject to rules
928
adopted by the commissioner. The determination of a fair consideration shall be made by
929
applying generally accepted accounting principles and realistic actuarial tables.
930
(12) Section
31A-18-102
deals with separate account investments. Section
931
31A-20-106
requires the commissioner's approval before delivery of certain variable contracts.
932
Section
31A-22-411
and Subsection
31A-21-301
(1)(d) deal with policy provisions in separate
933
account contracts.
934
Section 11.
Section
31A-5-305
is amended to read:
935
31A-5-305. Authorized securities.
936
(1) (a) The articles of incorporation of a stock corporation may authorize the kind of
937
shares permitted by Sections
16-10a-601
and
16-10a-602
, and stock rights and options, except
938
that:
939
(i) [no] nonvoting common stock may not be issued;
940
(ii) all classes of common stock must have equal voting rights;
941
(iii) all common stock must have a stated par value; and
942
(iv) except with the commissioner's approval, for two years after the initial issuance of
943
a certificate of authority, the corporation may issue no shares and no other securities
944
convertible into shares except a single class of common stock.
945
(b) Section
16-10a-604
applies to the issuance of certificates for fractional shares or
946
scrip.
947
(c) The consideration and payment for shares and certificates representing shares is
948
governed by [Section] Subsection
31A-5-207
(1)(a).
949
(d) The liability of subscribers and shareholders for unpaid subscriptions and the status
950
of stock is governed by Section
16-10a-622
.
951
(e) A shareholder's preemptive rights is governed by Section
16-10a-630
.
952
(f) Stock corporations may issue bonds and contribution notes on the same basis as
953
mutuals under Subsections (2)(a) and (b).
954
(2) (a) The articles of incorporation of a nonassessable mutual may authorize bonds of
955
one or more classes. The articles of incorporation shall specify the amount of each class of
956
bonds the corporation is authorized to issue, their designations, preferences, limitations, rates
957
of interest, relative rights, and other terms, subject to all of the following provisions:
958
(i) During the first year after the initial issuance of a certificate of authority, the
959
corporation may issue only a single class of bonds with identical rights.
960
(ii) After the first year, but within five years after the initial issuance of a certificate of
961
authority, additional classes of bonds may be authorized after receiving the approval of the
962
commissioner. The commissioner shall approve the issuance if [he] the commissioner finds
963
that policyholders and prior bondholders will not be prejudiced.
964
(iii) The rate of interest shall be fair.
965
(iv) The bonds shall bear a maturity date not later than ten years from the date of
966
issuance, when principal and accrued interest shall be due and payable, subject to Subsection
967
(2)(d).
968
(b) A mutual may issue contribution notes with the commissioner's approval. The
969
contribution notes may be denominated by any name that is not misleading. The contribution
970
notes are subject to this subsection. The commissioner may approve the issuance only if [he]
971
the commissioner finds that:
972
(i) the notes will not be issued in denominations of less than $2,500, and no single
973
issue will be sold to more than 15 persons;
974
(ii) no discount, commission, or other fee will be paid or allowed;
975
(iii) the notes will not be the subject of a public offering;
976
(iv) the terms of the notes are not prejudicial to policyholders, holders of mutual bonds,
977
or prior contribution notes; and
978
(v) the mutual's articles or bylaws do not forbid their issuance.
979
(c) [No] A mutual may not:
980
(i) if it has any outstanding obligations on bonds or contribution notes, borrow on
981
contribution notes from, or sell bonds to, any other insurer without the approval of the
982
commissioner; or
983
(ii) make a loan to another insurer except a fully secured loan at usual market rates of
984
interest.
985
(d) Payment of the principal or interest on bonds or contribution notes may be made in
986
whole or in part only after approval by the commissioner. The commissioner's approval shall
987
be given if all the financial requirements of the issuer to do the insurance business it is then
988
doing will continue to be satisfied after that payment, and if the interests of its insureds and the
989
public are not endangered by the payment. In the event of liquidation under Chapter [27] 27a,
990
Insurer Receivership Act, unpaid amounts of principal and interest on contribution notes are
991
subordinate to the payment of principal and interest on any bonds issued by the corporation.
992
(e) This section does not prevent a mutual from borrowing money on notes which are
993
its general obligations, nor from pledging any part of its disposable assets.
994
(3) This section does not apply to securities issued prior to July 1, 1986.
995
Section 12.
Section
31A-5-416
is amended to read:
996
31A-5-416. Executive compensation.
997
(1) Subject to this section, Section
16-10a-302
, except Subsection
16-10a-302
(13),
998
applies to stock and mutual corporations.
999
(2) Shareholders' approval is required of any benefit or payment to a director or officer
1000
for services rendered to a stock corporation more than 90 days before the agreement or decision
1001
to give the benefit or make the payment, unless the benefit or payment is made under a plan
1002
approved by the shareholders. Shareholder approval is also required for a new pension plan,
1003
profit-sharing plan, stock option plan, or an amendment to an existing plan which, so far as it
1004
pertains to any director or officer, substantially increases the financial burden on the
1005
corporation.
1006
(3) An action taken by the board of a mutual on the compensation of officers, directors,
1007
or employees, other than setting individual salaries or standards for salaries of classes of
1008
employees, shall be reported to the commissioner within 30 days.
1009
(4) The annual report to the commissioner shall include the amount of all direct and
1010
indirect remuneration for services, including retirement and other deferred compensation
1011
benefits and stock options, paid or accrued each year:
1012
(a) for the benefit of each director, each officer, and employee whose remuneration
1013
exceeds an amount established by the commissioner by rule;
1014
(b) for all directors and officers as a group; and
1015
(c) for the five most highly compensated officers, directors, and employees.
1016
(5) [No] An arrangement for compensation or other employment benefits for any
1017
director, officer, or employee with decision-making power may not be made if it would:
1018
(a) measure the compensation or other benefits in whole or in part by any criteria that
1019
would create a financial inducement to act contrary to the best interests of the corporation; or
1020
(b) have a tendency to make the corporation depend for continuance or soundness of
1021
operation upon the continuation of any director, officer, or employee in [his] the person's
1022
position.
1023
(6) Except for the insurer, no person having any authority in the investment or
1024
disposition of the funds of a domestic insurer may accept any fee, brokerage, gift, or other
1025
emolument because of any investment, loan, deposit, purchase, sale, payment, or exchange
1026
made by or for the insurer, nor may that person be financially interested in the investment or
1027
disposition of funds in any capacity.
1028
(7) Unless the commissioner, acting in the corporation's best interests, orders
1029
otherwise, if an order of rehabilitation or liquidation is issued under Section [
31A-27-303
]
1030
31A-27a-301
or [Section
31A-27-310
]
31A-27a-401
, the contractual obligations of the insurer
1031
for unperformed services of any director, principal officer, or person performing similar
1032
functions or having similar powers are terminated. This Subsection (7) does not apply to
1033
obligations vested before July 1, 1986.
1034
Section 13.
Section
31A-5-504
is amended to read:
1035
31A-5-504. Voluntary dissolution of domestic insurance corporations.
1036
(1) (a) Except as otherwise modified by this section, a domestic stock insurance
1037
corporation may dissolve under Sections
16-10a-1401
through
16-10a-1409
and Section
1038
16-10a-1440
.
1039
(b) Except as otherwise modified by this section, a domestic mutual insurance
1040
corporation may dissolve under Sections
16-6a-1401
through
16-6a-1409
and Section
1041
16-6a-1419
.
1042
(2) (a) At least 60 days prior to the submission to shareholders or policyholders of any
1043
proposed voluntary dissolution of an insurance corporation, the plan of dissolution shall be
1044
filed with the commissioner.
1045
(b) The commissioner may require the submission of any information in addition to the
1046
plan of dissolution that will establish:
1047
(i) the financial condition of the corporation; or
1048
(ii) other facts relevant to the proposed dissolution.
1049
(c) If the shareholders or policyholders adopt the resolution to dissolve, the
1050
commissioner shall, within 30 days after the adoption of the resolution, begin an examination
1051
of the corporation.
1052
(d) The commissioner shall approve the dissolution unless the commissioner finds,
1053
after a hearing, that the corporation:
1054
(i) is insolvent; or
1055
(ii) may become insolvent in the process of dissolution.
1056
(e) Upon approval, the corporation may:
1057
(i) transfer all of its obligations under insurance policies to other insurers approved by
1058
the commissioner; and
1059
(ii) after the transfers described in Subsection (2)(e)(i), dissolve under Subsection (1).
1060
(f) If the commissioner disapproves the dissolution, the commissioner shall petition the
1061
court for a liquidation under Section [
31A-27-307
]
31A-27a-207
.
1062
(3) During the dissolution under Subsection (1), the corporation may apply to the
1063
commissioner to have the dissolution continued under the commissioner's supervision. After
1064
receiving this application, the commissioner shall apply to the court for a liquidation under
1065
Section [
31A-27-307
]
31A-27a-207
.
1066
(4) If the corporation revokes the voluntary dissolution proceedings under Section
1067
16-6a-1404
or
16-10a-1404
, the corporation shall file a copy of the revocation of voluntary
1068
dissolution proceedings with the commissioner.
1069
(5) In distributing the assets in the dissolution of a nonlife mutual, [Subsection
1070
31A-27-337
(4)] Section
31A-27a-705
applies.
1071
(6) (a) No remedy available to or against the corporation, its directors, officers, or
1072
shareholders is taken away or impaired if an action or other proceeding is brought within two
1073
years after dissolution for any right or claim existing, or any liability incurred, prior to the
1074
voluntary dissolution under this section.
1075
(b) The action or proceeding described in Subsection (6)(a) may be prosecuted or
1076
defended by the corporation in its corporate name. The shareholders, directors, and officers
1077
may take appropriate corporate or other action to protect the remedy, right, or claim.
1078
(c) A corporation which is dissolved by the expiration of its period of duration may
1079
amend its articles of incorporation during the two years to provide for perpetual existence.
1080
(7) During the voluntary dissolution of a domestic insurance corporation under this
1081
section, its corporate existence continues to allow the winding up of the corporation's affairs
1082
regarding any property and assets not distributed or otherwise disposed of prior to dissolution.
1083
To effect that purpose, the corporation may:
1084
(a) sell or otherwise dispose of the property and assets;
1085
(b) sue and be sued;
1086
(c) contract; and
1087
(d) exercise all other necessary powers.
1088
Section 14.
Section
31A-5-506
is amended to read:
1089
31A-5-506. Conversion of a domestic mutual into a stock corporation.
1090
(1) (a) Except as provided in Subsection (1) (b), a domestic mutual may be converted
1091
into a domestic stock corporation under Subsections (2) through (11).
1092
(b) [No] A domestic mutual that is affiliated with other mutuals may not be converted
1093
into a stock corporation, unless all the affiliated mutuals are converted at the same time, or the
1094
commissioner finds that the interests of the policyholders of the remaining mutuals can be
1095
permanently protected by limitations on the corporate powers of the new stock corporation or
1096
on its authority to do business, or otherwise.
1097
(2) The board shall pass a resolution stating that the conversion is in the best interests
1098
of the policyholders. The resolution shall specify the reasons for and the purposes of the
1099
proposed conversion, and how the conversion is expected to benefit policyholders.
1100
(3) (a) [The provisions of] Chapter 16 [apply], Insurance Holding Companies, applies
1101
to the conversion of a domestic mutual into a stock corporation. In addition, the commissioner
1102
shall order the examination and appraisal of the corporation, unless [he] the commissioner
1103
finds that:
1104
(i) the resolution is defective upon its face; or
1105
(ii) the basis or the purposes of the proposed conversion are contrary to law, to the
1106
interests of the policyholders, or to the public.
1107
(b) The commissioner shall examine the company and all of its controlled affiliates
1108
under Section
31A-2-203
to determine their financial condition and whether they are operating
1109
in accordance with law.
1110
(c) The commissioner shall appoint an appraisal committee, consisting of at least three
1111
qualified and disinterested persons with differing expertise, to determine the value of the
1112
corporation on the date of the resolution required by Subsection (2). Members of the appraisal
1113
committee shall receive reasonable compensation and shall be reimbursed for reasonable
1114
expenses in discharging their duties. They may employ consultants to advise them on technical
1115
problems of the appraisal, if necessary. The appraisal committee shall consider the assets and
1116
liabilities of the corporation, adjusting liabilities to take account of:
1117
(i) the amounts of any reserves in excess of or below realistic estimates;
1118
(ii) the value of the marketing organization;
1119
(iii) the value of goodwill;
1120
(iv) the going-concern value; and
1121
(v) any other factor having an influence on the value of the corporation.
1122
(4) When the examination and appraisal reports have been made to the commissioner,
1123
[he] the commissioner shall make copies available to the board. The board shall then prepare
1124
and adopt by resolution a plan of conversion. The plan shall be consistent with Subsections
1125
(4)(a) through (e) and shall state how the requirements of those subsections are satisfied.
1126
(a) The plan of conversion shall state the number of shares proposed to be authorized
1127
for the new stock corporation, their par value, if any, and the price per share at which they will
1128
be offered to policyholders. The price per share may not exceed 1/2 of the median equitable
1129
share of all policyholders under Subsection (4)(b).
1130
(b) (i) When an insurer has the type of policies with no investment value to the
1131
policyholders, each person who has been a policyholder and has paid premiums within five
1132
years prior to the resolution under Subsection (2) is entitled, without additional payment, to as
1133
much common stock of the new stock corporation as [his] that person's equitable share of the
1134
value of the converting corporation will purchase. The equitable share is determined by the
1135
ratio which the net premium [he] that person has paid to the corporation during the five years
1136
immediately preceding the resolution required by Subsection (2) bears to the total net
1137
premiums received by the corporation during the same period. The net premium is the gross
1138
premium less the return premium and dividends paid. If the equitable share would only
1139
purchase a fraction of a share of stock, the policyholder has the option of either receiving the
1140
value of the fractional share in cash or purchasing a full share by paying the balance in cash.
1141
(ii) When an insurer has the type of policies with specifically attributable investment
1142
value to the policyholders, each policyholder is entitled, without additional payment, to as
1143
much common stock of the new stock corporation as [his] the policyholder's investment value
1144
in the converting corporation will purchase, determined by the proportion of [his] the
1145
policyholder's investment value to the aggregate investment values of all policyholders. If the
1146
policyholder's share would only purchase a fraction of a share of stock, the policyholder has the
1147
option of either receiving the value of the fractional share in cash or purchasing a full share by
1148
paying the balance in cash.
1149
(c) A written offer shall be sent to each policyholder indicating [his] the policyholder's
1150
individual equitable share and the terms upon which the policyholder may subscribe for stock.
1151
(d) [No common] Common shares may not be subscribed by or issued to persons other
1152
than policyholders, until all subscriptions by the policyholders have been filled. After those
1153
subscriptions have been filled, any new issue of stock for five years after the conversion shall
1154
first be offered to the persons who have become shareholders under Subsection (4)(b) in
1155
proportion to their interests under Subsection (4)(b).
1156
(e) [No] A policyholder in a nonlife mutual may not receive a distribution of shares
1157
valued under Subsection (4)(b)(i), which distribution is greater than the amount [he] the
1158
policyholder is entitled to under [Subsection
31A-27-337
(4)] Section
31A-27a-701
. Any
1159
excess over the policyholder's entitlement under [Subsection
31A-27-337
(4)] Section
1160
31A-27a-701
shall be distributed [in shares to the state treasury for the benefit of the Uniform
1161
School Fund. After five years, the shares may be sold by the state treasurer and the proceeds
1162
credited to the Uniform School Fund] in accordance with Section
31A-27a-705
.
1163
(5) The plan of conversion shall be submitted to the commissioner for approval,
1164
together with:
1165
(a) the proposed articles and bylaws of the new stock corporation which comply with
1166
Section
31A-5-203
;
1167
(b) any information specified under Subsection
31A-5-204
(2), which the commissioner
1168
reasonably requires; and
1169
(c) a projection of the planned or anticipated financial situation of the new corporation
1170
for five years after the conversion.
1171
(6) The commissioner shall then hold a hearing. The notice of the hearing shall be
1172
mailed to each person who was a policyholder of the corporation on the date of the resolution
1173
required by Subsection (2). This notice shall include a copy of the plan of conversion and any
1174
comments the commissioner considers necessary to adequately inform the policyholders.
1175
(7) The commissioner shall approve the plan of conversion unless [he] the
1176
commissioner finds that the plan violates the law or is contrary to the interests of policyholders
1177
or the public.
1178
(8) After approval under Subsection (7), the conversion plan shall be submitted to a
1179
vote of:
1180
(a) for mutuals subject to Subsection (4)(b)(i), those persons who were policyholders
1181
of the mutual on the date of the resolution required by Subsection (2); or
1182
(b) for mutuals subject to Subsection (4)(b)(ii), those persons who had investment
1183
values in their policies as of the date of the resolution required by Subsection (2).
1184
(9) If the policyholders approve the conversion under Subsection (8), the
1185
commissioner shall issue a new certificate of authority. The issuance of the certificate is the
1186
conversion of the mutual to a stock corporation. This stock corporation is considered as being
1187
organized at the time the converted mutual was organized. Subject to the plan of conversion,
1188
the directors, officers, agents, and employees of the mutual shall continue in their same
1189
positions with the stock corporation.
1190
(10) In the proposed conversion, the corporation may not pay any person compensation
1191
other than regular salaries to existing personnel and compensation for clerical and mailing
1192
expenses. With the commissioner's approval, the corporation may pay, at reasonable rates, for
1193
printing costs and for legal and other professional fees for services actually rendered. All
1194
expenses of the conversion, including the expenses incurred by the commissioner and the
1195
prorated salaries of any [Insurance] department staff members involved, shall be paid by the
1196
corporation being converted.
1197
(11) The commissioner's approval of the plan of conversion satisfies the registration
1198
requirement of Section
31A-5-302
.
1199
Section 15.
Section
31A-8-213
is amended to read:
1200
31A-8-213. Certificate of authority.
1201
(1) An organization may apply for a certificate of authority at any time prior to the
1202
expiration of its organization permit. The application shall include:
1203
(a) a detailed statement by a principal officer about any material changes that have
1204
taken place or are likely to take place in the facts on which the issuance of the organization
1205
permit was based; and
1206
(b) if any material changes are proposed in the business plan, the information about the
1207
changes that would be required if an organization permit were then being applied for.
1208
(2) The commissioner shall issue a certificate of authority, if the commissioner finds
1209
that:
1210
(a) the organization's capital and surplus complies with the requirements of Section
1211
31A-8-209
as to the operations proposed under the new certificate of authority;
1212
(b) there is no basis for revoking the organization permit under Section
31A-8-207
;
1213
(c) the deposit required by Section
31A-8-211
has been made;
1214
(d) the organization satisfies the requirements of Section
31A-8-104
; and
1215
(e) all other applicable requirements of the law have been met.
1216
(3) The certificate of authority shall specify any limits imposed by the commissioner
1217
upon the organization's business or methods of operation, including the general types of health
1218
care services the organization is authorized to provide.
1219
(4) Upon the issuance of the certificate of authority:
1220
(a) the board shall authorize and direct the issuance of certificates for shares, bonds, or
1221
notes subscribed to under the organization permit, and of insurance policies upon qualifying
1222
applications obtained under the organization permit; and
1223
(b) the commissioner shall authorize the release to the organization of all funds held in
1224
escrow under Section
31A-5-208
, as adopted by Section
31A-8-206
.
1225
(5) (a) An organization may at any time apply to the commissioner for a new or
1226
amended certificate of authority altering the limits on its business or methods of operation.
1227
The application shall contain or be accompanied by that information reasonably required by the
1228
commissioner under Subsections
31A-5-204
(2) and
31A-8-205
(2). The commissioner shall
1229
issue the new certificate as requested if the commissioner finds that the organization continues
1230
to satisfy the requirements specified under Subsection (2).
1231
(b) If the commissioner issues [a summary] an order under [Section
31A-27-201
]
1232
Chapter 27, Part 5, Administration Actions, against an organization, the commissioner may
1233
also revoke the organization's certificate and issue a new one with any limitation [he] the
1234
commissioner considers necessary.
1235
Section 16.
Section
31A-9-502
is amended to read:
1236
31A-9-502. Voluntary dissolution of solvent domestic fraternals.
1237
(1) Subject to this section, a domestic fraternal may voluntarily dissolve under Sections
1238
16-6a-1401
through
16-6a-1405
.
1239
(2) The proposal for voluntary dissolution shall be filed with the commissioner at least
1240
60 days prior to the submission of that proposal to the supreme governing body or the
1241
members. The commissioner may require the submission of additional information necessary
1242
to establish the financial condition of the fraternal or other facts relevant to the proposed
1243
dissolution. If the supreme governing body or the members adopt the resolution to dissolve, by
1244
a majority of those voting or a larger number as required by the laws of the fraternal, the
1245
commissioner shall, within 30 days after the adoption of the resolution, begin to examine the
1246
fraternal. The commissioner shall approve the dissolution unless [he] the commissioner finds,
1247
after the examination and a hearing, that it is insolvent or may become insolvent in the process
1248
of dissolution. Upon approval, the fraternal may provide for a transfer to other fraternals
1249
approved by the commissioner of all its obligations under insurance policies and then may
1250
dissolve under Subsection (1). If the commissioner disapproves, [he] the commissioner shall
1251
petition the court for liquidation under Section [
31A-27-307
]
31A-27a-207
.
1252
(3) During the liquidation under Sections
16-6a-1401
through
16-6a-1408
, the fraternal
1253
may apply to the commissioner to have the liquidation continued under the commissioner's
1254
supervision. Upon receiving this request, the commissioner shall apply to the court for
1255
liquidation under Section [
31A-27-307
]
31A-27a-207
.
1256
(4) If the fraternal revokes the voluntary dissolution proceedings under Section
1257
16-6a-1404
, a copy of the revocation of voluntary dissolution proceedings shall be filed with
1258
the commissioner.
1259
(5) Subsections
31A-5-504
(6) and (7) apply to the survival of remedies and
1260
continuance of corporate existence of a voluntarily dissolved fraternal.
1261
Section 17.
Section
31A-9-504
is amended to read:
1262
31A-9-504. Rehabilitation or involuntary conversion.
1263
(1) (a) If the commissioner believes that a fraternal does not satisfy the requirements of
1264
this chapter, [he] the commissioner shall call a hearing. If [he] the commissioner then finds
1265
that the fraternal does not satisfy the requirements:
1266
[(a) If] (i) if the fraternal is domestic, the commissioner shall petition for rehabilitation
1267
under Section [
31A-27-301
]
31A-27a-207
to rehabilitate the fraternal or, if that is not possible,
1268
convert the fraternal to a mutual[.]; or
1269
[(b) If] (ii) if the fraternal is nondomestic, the commissioner shall order it to comply as
1270
soon as practicable with the requirements of this chapter or lose its tax exemption. [The]
1271
(b) An order issued under Subsection (1)(a)(ii) shall specify the ways the nondomestic
1272
fraternal does not comply with this chapter.
1273
(2) If the fraternal does not promptly comply with the requirements of this chapter,
1274
after notice of the adverse results of a hearing under Subsection (1), it is subject to taxation as a
1275
mutual life insurance company. This tax is retroactive to the date on which the commissioner
1276
gave the fraternal notice of the hearing under Subsection (1).
1277
Section 18.
Section
31A-11-104
is amended to read:
1278
31A-11-104. Applicability of other portions of this title.
1279
(1) In addition to this chapter, motor clubs are subject to the applicable sections of:
1280
(a) Chapters 1, 2, 4, 16, 21, 22, 26, [and] 27, and 27a;
1281
(b) Chapter 3, Part 1;
1282
(c) Chapter 23a, Parts 1, 4, and 5; and
1283
(d) Section
31A-23a-207
.
1284
(2) Sections
31A-14-204
and
31A-14-216
apply to nondomestic motor clubs.
1285
(3) Section
31A-5-401
applies to domestic motor clubs.
1286
(4) Sections
31A-5-105
,
31A-5-106
, and
31A-5-216
apply to both domestic and
1287
nondomestic motor clubs.
1288
(5) Both domestic and nondomestic motor clubs are subject to the [Insurance]
1289
department fees under Section
31A-3-103
. Other provisions of [the Insurance Code] this title
1290
apply to motor clubs only as specifically provided in this chapter.
1291
Section 19.
Section
31A-11-109
is amended to read:
1292
31A-11-109. Alteration or revocation of certificate of authority.
1293
If the commissioner issues [a summary] an order under [Section
31A-27-201
] Chapter
1294
27, Part 5, Administrative Actions, against a motor club, [he] the commissioner may revoke its
1295
certificate of authority or issue a new one with the limits [he] the commissioner considers
1296
necessary.
1297
Section 20.
Section
31A-13-107
is amended to read:
1298
31A-13-107. Commissioner's remedies.
1299
If the trustees of any employee welfare fund have failed to register the fund in
1300
accordance with Section
31A-13-103
, or otherwise fail to comply with [any provision of] this
1301
chapter, the commissioner shall notify the employers of the failure. In addition to ordering
1302
compliance under Subsection
31A-2-201
(4), the commissioner may:
1303
(1) order the employers to stop making payments to the trustees until the employers are
1304
notified by the commissioner that the trustees are in compliance with this chapter; or
1305
(2) rehabilitate or liquidate the employee welfare fund under Chapter [27] 27a, Insurer
1306
Receivership Act.
1307
Section 21.
Section
31A-14-206
is amended to read:
1308
31A-14-206. Commercially domiciled insurers.
1309
(1) As used in this section, and except as to title insurers, the commissioner may
1310
consider a foreign insurer to be "commercially domiciled" in this state if:
1311
(a) during the three immediately preceding calendar years, the foreign insurer wrote
1312
more insurance premiums in this state than it wrote in its state of domicile during the same
1313
period; or
1314
(b) during the same three-year period, the foreign insurer's gross premiums written in
1315
this state constituted 15% or more of the insurer's total gross premiums written in the United
1316
States.
1317
(2) Subject to Subsection (3), an insurer determined by the commissioner to be
1318
commercially domiciled in this state may be subjected to Chapters 16, 17, 18, 27, and 27a, and
1319
Chapter 5, Parts 4, 5, and 6 in the same manner and to the same extent as domestic insurers.
1320
The commissioner shall, by order, notify any commercially domiciled insurer not exempt under
1321
Subsection (3) of the extent to which the insurer is subject to the provisions listed under this
1322
Subsection (2).
1323
(3) The commissioner may exempt from the provisions of this section any
1324
commercially domiciled insurer if [he] the commissioner determines that the insurer has assets
1325
physically located in this state or an asset to liability ratio sufficient to justify the conclusion
1326
that there is no reasonable danger that the operations or conduct of the business of the insurer
1327
could present a danger of loss to Utah policyholders.
1328
(4) Subsection
31A-14-205
(4) applies to the conflict of the laws of this state with the
1329
laws of the insurer's domicile for foreign insurers, including commercially domiciled insurers,
1330
under this section.
1331
(5) This section does not excuse or exempt any foreign insurer from complying with
1332
the provisions under this title which are otherwise applicable to a foreign insurer.
1333
Section 22.
Section
31A-14-215
is amended to read:
1334
31A-14-215. Assessment by foreign company.
1335
Every foreign mutual insurer authorized in this state shall notify the commissioner
1336
immediately after making an assessment upon any of its members in this state. The insurer
1337
shall attach to the notice a statement of the condition of the insurer, giving the facts showing
1338
the necessity for the assessment. Unless the commissioner orders otherwise under a Chapter
1339
27, Part 5, Administrative Actions, proceeding, a foreign mutual insurer authorized in this state
1340
may not make or increase any assessment because of its inability to collect assessments from its
1341
members in other states.
1342
Section 23.
Section
31A-14-217
is amended to read:
1343
31A-14-217. Revocation of certificate of authority.
1344
Whenever there would be grounds for delinquency proceedings under Chapter [27] 27a,
1345
Insurer Receivership Act, against a foreign insurer, if the foreign insurer were a domestic
1346
insurer, the commissioner may, after any proceeding authorized by Title 63, Chapter 46b,
1347
Administrative Procedures Act, revoke, suspend, or limit the foreign insurer's certificate of
1348
authority. This action does not affect insurance which has already been issued. The insurer
1349
remains subject to regulation until released under Section
31A-14-216
.
1350
Section 24.
Section
31A-15-105
is amended to read:
1351
31A-15-105. Effect of contracts illegal because insurer was unauthorized.
1352
(1) An insurance contract entered into in violation of this chapter is unenforceable by,
1353
but enforceable against, the insurer. In an action against the insurer on the contract, the insured
1354
is bound by the terms of the contract as affected by this title and rules adopted under this title.
1355
(2) An insurance policy entered into in violation of this chapter is voidable by the
1356
policyholder who entered into the transaction without knowing it was illegal. The policyholder
1357
may avoid the contract by notice to the insurer, if no insured has enforced the contract by an
1358
action under Subsection (1), and may recover any consideration paid under the contract.
1359
(3) Any person who assisted in the procurement of an illegal contract under this
1360
chapter, and who knew or should have known the transaction was illegal, is liable to the
1361
insured for the full amount of a claim or loss payable under the contract, if the insurer does not
1362
pay it. The receiver appointed under Chapter [27] 27a, Insurer Receivership Act, may assert the
1363
claims of insureds if the insurer is the subject of a proceeding under Chapter [27] 27a.
1364
Section 25.
Section
31A-17-605
is amended to read:
1365
31A-17-605. Authorized control level event.
1366
(1) "Authorized control level event" means any of the following events:
1367
(a) the filing of an RBC report by the insurer or health organization that indicates that
1368
the insurer's or health organization's total adjusted capital is greater than or equal to its
1369
mandatory control level RBC but less than its authorized control level RBC;
1370
(b) the notification by the commissioner to the insurer or health organization of an
1371
adjusted RBC report that indicates the event in Subsection (1)(a), provided the insurer or health
1372
organization does not challenge the adjusted RBC report under Section
31A-17-607
;
1373
(c) if, pursuant to Section
31A-17-607
, the insurer or health organization challenges an
1374
adjusted RBC report that indicates the event in Subsection (1)(a), notification by the
1375
commissioner to the insurer or health organization that after a hearing the commissioner rejects
1376
the insurer's or health organization's challenge;
1377
(d) the failure of the insurer or health organization to respond, in a manner satisfactory
1378
to the commissioner, to a corrective order, provided the insurer or health organization has not
1379
challenged the corrective order under Section
31A-17-607
; or
1380
(e) if the insurer or health organization has challenged a corrective order under Section
1381
31A-17-607
and the commissioner after a hearing rejects the challenge or modifies the
1382
corrective order, the failure of the insurer or health organization to respond, in a manner
1383
satisfactory to the commissioner, to the corrective order subsequent to rejection or modification
1384
by the commissioner.
1385
(2) (a) In the event of an authorized control level event with respect to an insurer or
1386
health organization, the commissioner shall:
1387
(i) take any action required under Section
31A-17-604
regarding an insurer or health
1388
organization with respect to which a regulatory action level event has occurred; or
1389
(ii) take any action as is necessary to cause the insurer or health organization to be
1390
placed under regulatory control under [Section
31A-27-201
] Chapter 27, Part 5, Administrative
1391
Actions, if the commissioner considers it to be in the best interests of:
1392
(A) the policyholders or members;
1393
(B) creditors of the insurer or health organization; and
1394
(C) the public.
1395
(b) [In the event] If the commissioner takes an action described in Subsection (2)(a),
1396
the authorized control level event is sufficient grounds for the commissioner to take action
1397
under [Section
31A-27-201
] Chapter 27, Part 5, Administrative Actions, and the commissioner
1398
shall have the rights, powers, and duties with respect to the insurer or health organization set
1399
forth in [Section
31A-27-201
] Chapter 27, Part 5, Administrative Actions.
1400
(c) If the commissioner takes an action under Subsection (2)(a) pursuant to an adjusted
1401
RBC report, the insurer or health organization is entitled to the protections afforded to an
1402
insurer or health organization under Section [
31A-27-203
]
31A-27-504
pertaining to [summary
1403
proceedings] an action by the commissioner.
1404
Section 26.
Section
31A-17-606
is amended to read:
1405
31A-17-606. Mandatory control level event.
1406
(1) "Mandatory control level event" means any of the following events:
1407
(a) the filing of an RBC report that indicates that the insurer's or health organization's
1408
total adjusted capital is less than its mandatory control level RBC;
1409
(b) notification by the commissioner to the insurer or health organization of an adjusted
1410
RBC report that indicates the event in Subsection (1)(a), provided the insurer or health
1411
organization does not challenge the adjusted RBC report under Section
31A-17-607
; or
1412
(c) if, pursuant to Section
31A-17-607
, the insurer or health organization challenges an
1413
adjusted RBC report that indicates the event in Subsection (1)(a), notification by the
1414
commissioner to the insurer or health organization that after a hearing the commissioner rejects
1415
the insurer's or health organization's challenge.
1416
(2) (a) In the event of a mandatory control level event with respect to an insurer or
1417
health organization, the commissioner shall take any actions necessary to place the insurer
1418
under regulatory control under [Section
31A-27-201
] Chapter 27, Part 5, Administrative
1419
Actions.
1420
(b) The mandatory control level event is sufficient grounds for the commissioner to
1421
take action under [Section
31A-27-201
] Chapter 27, Part 5, Administrative Actions, and the
1422
commissioner shall have the rights, powers, and duties with respect to the insurer or health
1423
organization as are set forth in [Section
31A-27-201
] Chapter 27, Part 5, Administrative
1424
Actions.
1425
(c) If the commissioner takes an action pursuant to an adjusted RBC report, the insurer
1426
or health organization is entitled to the protections of Section [
31A-27-203
]
31A-27-504
1427
pertaining to summary proceedings.
1428
(d) Notwithstanding the other provisions of Subsection (2), the commissioner may
1429
forego action for up to 90 days after the mandatory control level event if the commissioner
1430
finds there is a reasonable expectation that the mandatory control level event may be eliminated
1431
within the 90-day period.
1432
Section 27.
Section
31A-17-609
is amended to read:
1433
31A-17-609. Alternate adjusted capital.
1434
(1) Except as provided in Section
31A-17-602
, an insurer or health organization
1435
licensed under Chapters 5, 7, 8, 9, and 14 shall maintain total adjusted capital as defined in
1436
Section
31A-1-301
in an amount equal to the greater of:
1437
(a) 175% of the minimum required capital, or of the minimum permanent surplus in the
1438
case of nonassessable mutuals, required by Section
31A-5-211
,
31A-7-201
,
31A-8-209
,
1439
31A-9-209
, or
31A-14-205
; or
1440
(b) the net total of:
1441
(i) 10% of net insurance premiums earned during the year; plus
1442
(ii) 5% of the admitted value of common stocks and real estate; plus
1443
(iii) 2% of the admitted value of all other invested assets, exclusive of cash deposits,
1444
short-term investments, policy loans, and premium notes; less
1445
(iv) the amount of any asset valuation reserve being maintained by the insurer or health
1446
organization, but not to exceed the sum of Subsections (1)(b)(ii) and (iii).
1447
(2) As used in Subsection (1)(b), "premiums earned" means premiums and other
1448
consideration earned for insurance in the 12-month period ending on the date the calculation is
1449
made.
1450
(3) The commissioner may consider an insurer or health organization to be financially
1451
hazardous under Subsection [
31A-27-307
(3)]
31A-27a-207
(1)(i), if the insurer or health
1452
organization does not have qualified assets in an aggregate value exceeding the sum of the
1453
insurer's or health organization's liabilities and the total adjusted capital required by Subsection
1454
(1).
1455
(4) The commissioner shall consider an insurer or health organization to be financially
1456
hazardous under Subsection [
31A-27-307
(3)]
31A-27a-207
(1)(i) if the insurer or health
1457
organization does not have qualified assets in an aggregate value exceeding the sum of the
1458
insurer's or health organization's liabilities and 70% of the total adjusted capital required by
1459
Subsection (1).
1460
Section 28.
Section
31A-17-610
is amended to read:
1461
31A-17-610. Foreign insurers or health organizations.
1462
(1) (a) Any foreign insurer or health organization shall, upon the written request of the
1463
commissioner, submit to the commissioner an RBC report as of the end of the most recent
1464
calendar year by the later of:
1465
(i) the date an RBC report would be required to be filed by a domestic insurer or health
1466
organization under this part; or
1467
(ii) 15 days after the request is received by the foreign insurer or health organization.
1468
(b) Any foreign insurer or health organization shall, at the written request of the
1469
commissioner, promptly submit to the commissioner a copy of any RBC plan that is filed with
1470
the insurance commissioner of any other state.
1471
(2) (a) The commissioner may require a foreign insurer or health organization to file an
1472
RBC plan with the commissioner if:
1473
(i) there is a company action level event, regulatory action level event, or authorized
1474
control level event with respect to the foreign insurer or health organization as determined
1475
under:
1476
(A) the RBC statute applicable in the state of domicile of the insurer or health
1477
organization; or
1478
(B) if no RBC statute is in force in that state, under this part; and
1479
(ii) the insurance commissioner of the state of domicile of the foreign insurer or health
1480
organization fails to require the foreign insurer or health organization to file an RBC plan in the
1481
manner specified under:
1482
(A) that state's RBC statute; or
1483
(B) if no RBC statute is in force in that state, under Section
31A-17-603
.
1484
(b) If the commissioner requires a foreign insurer or health organization to file an RBC
1485
plan, the failure of the foreign insurer or health organization to file the RBC plan with the
1486
commissioner is grounds to order the insurer or health organization to cease and desist from
1487
writing new insurance business in this state.
1488
(3) The commissioner may make application to the Third District Court for Salt Lake
1489
County permitted under Section [
31A-27-401
]
31A-27a-901
with respect to the liquidation of
1490
property of a foreign insurer or health organization found in this state if:
1491
(a) a mandatory control level event occurs with respect to any foreign insurer or health
1492
organization; and
1493
(b) no domiciliary receiver has been appointed with respect to the foreign insurer or
1494
health organization under the rehabilitation and liquidation statute applicable in the state of
1495
domicile of the foreign insurer or health organization.
1496
Section 29.
Section
31A-18-106
is amended to read:
1497
31A-18-106. Investment limitations generally applicable.
1498
(1) The investment limitations listed in Subsections (1)(a) through (m) apply to each
1499
insurer.
1500
&nb