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S.B. 165
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PRODUCER AND AFFILIATE DISCLOSURE
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AMENDMENTS
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2007 GENERAL SESSION
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STATE OF UTAH
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Chief Sponsor: Michael G. Waddoups
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House Sponsor:
____________
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LONG TITLE
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General Description:
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This bill amends the licensee compensation provisions of the Insurance Code.
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Highlighted Provisions:
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This bill:
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. defines terms including "compensation from an insurer or third party";
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. beginning January 1, 2008, under certain circumstances, requires the disclosure of
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the amount or extent of compensation from an insurer or third party that is received
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by an insurance producer; and
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. clarifies disclosure requirements for conflict of interest and compensation.
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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
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Utah Code Sections Affected:
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AMENDS:
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31A-23a-401, as renumbered and amended by Chapter 298, Laws of Utah 2003
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31A-23a-501, as renumbered and amended by Chapter 298, Laws of Utah 2003
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Be it enacted by the Legislature of the state of Utah:
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Section 1.
Section
31A-23a-401
is amended to read:
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31A-23a-401. Disclosure of conflicting interests.
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(1) (a) (i) Except as provided under Subsection (1)(b)[, no]:
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(A) a licensee under this chapter may not act in the same or any directly related
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transaction as:
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(I) a producer for the insured or consultant; and
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(II) a producer for the insurer; [nor may]
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(B) a producer for the insured or consultant may not recommend or encourage the
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purchase of insurance from or through an insurer or other producer:
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(I) of which the producer for the insured or consultant or producer for the insured's or
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consultant's spouse is an owner, executive, or employee; or
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(II) to which [he] the producer for the insured or consultant has the type of relation that
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a material benefit would accrue to the consultant or spouse as a result of the purchase.
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(b) Subsection (1)(a) does not apply if [the following three] each of the conditions in
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this Subsection (1)(b) are met[:].
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(i) Prior to performing the consulting services, the producer for the insured or
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consultant [discloses] shall disclose to the client, prominently, in writing[,]:
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(A) (I) the producer for the insured's or consultant's interest as a producer for the
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insurer[,]; or
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(II) the relationship to an insurer or other producer[,]; and
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(B) that as a result of those interests, the [consultant's] recommendations of the
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producer for the insured or consultant should be given appropriate scrutiny.
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(ii) The producer for the insured's or consultant's fee [is] shall be agreed upon, in
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writing, after the disclosure required under Subsection (1)(b)(i), but prior to performing the
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requested services.
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(iii) Any report resulting from requested services [contains] shall contain a copy of the
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disclosure made under Subsection (1)(b)(i).
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(2) [No] A licensee under this chapter may not act as to the same client as both a
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producer for the insurer and a producer for the insured without the client's prior written consent
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based on full disclosure.
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(3) Whenever a person applies for insurance coverage through a producer for the
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insured, the producer for the insured shall disclose to the applicant, in writing, that:
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(a) the producer for the insured is not the producer for the insurer of the potential
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insurer[. This disclosure shall also inform the applicant that]; and
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(b) the applicant likely does not have the benefit of an insurer being financially
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responsible for the producer for the insured's conduct.
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(4) If a licensee is subject to both this section and Subsection
31A-23a-501
(4), the
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licensee shall provide the disclosures required under each statute.
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Section 2.
Section
31A-23a-501
is amended to read:
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31A-23a-501. Licensee and affiliate compensation.
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(1) As used in this section:
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(a) "Commission compensation" includes funds paid to or credited for the benefit of a
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licensee from:
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(i) commission amounts deducted from insurance premiums on insurance sold by or
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placed through the licensee; or
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(ii) commission amounts received from an insurer or another licensee as a result of the
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sale or placement of insurance.
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(b) (i) "Compensation from an insurer or third party" means fees, awards, overrides,
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bonuses, contingent commissions, loans, stock options, gifts, prizes, or any other form of
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valuable consideration:
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(A) whether or not payable pursuant to a written agreement; and
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(B) received from:
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(I) an insurer; or
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(II) a third party to the transaction for the sale or placement of insurance.
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(ii) "Compensation from an insurer or third party" does not mean compensation from a
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customer that is:
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(A) a fee or pass-through costs as provided in Subsection (1)(e); or
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(B) a fee or amount collected by or paid to the producer that does not exceed an
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amount established by the commissioner.
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(c) (i) "Customer" means:
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(A) the person signing the application or submission for insurance; or
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(B) the authorized representative of the insured actually negotiating the placement of
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insurance with the producer.
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(ii) "Customer" does not mean a person who is:
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(A) a participant or beneficiary of an employee benefit plan; or
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(B) covered by a group or blanket insurance policy or group annuity contract sold,
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solicited, or negotiated by the producer or affiliate.
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[(b)] (d) (i) "Noncommission compensation" includes all funds paid to or credited for
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the benefit of a licensee other than commission compensation.
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(ii) "Noncommission compensation" does not include charges for pass-through costs
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incurred by the licensee in connection with obtaining, placing, or servicing an insurance policy.
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[(c)] (e) "Pass-through costs" include:
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(i) costs for copying documents to be submitted to the insurer; and
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(ii) bank costs for processing cash or credit card payments.
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(f) "State entity" is defined in Section
67-4-2
and includes:
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(i) state institutions of higher education; and
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(ii) state institutions of public education.
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(2) A licensee may receive from an insured or from a person purchasing an insurance
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policy, noncommission compensation if the noncommission compensation is stated on a
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separate, written disclosure.
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(a) The disclosure required by this Subsection (2) shall:
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(i) include the signature of the insured or prospective insured acknowledging the
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noncommission compensation;
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(ii) clearly specify the amount or extent of the noncommission compensation; and
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(iii) be provided to the insured or prospective insured before the performance of the
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service.
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(b) Noncommission compensation shall be:
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(i) limited to actual or reasonable expenses incurred for services; and
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(ii) uniformly applied to all insureds or prospective insureds in a class or classes of
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business or for a specific service or services.
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(c) A copy of the signed disclosure required by this Subsection (2) must be maintained
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by any licensee who collects or receives the noncommission compensation or any portion
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[thereof] of the noncommission compensation.
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(d) All accounting records relating to noncommission compensation shall be
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maintained by the person described in Subsection (2)(c) in a manner that facilitates an audit.
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(3) (a) A licensee may receive noncommission compensation when acting as a
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producer for the insured in connection with the actual sale or placement of insurance if:
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(i) the producer and the insured have agreed on the producer's noncommission
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compensation; and
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(ii) the producer has disclosed to the insured the existence and source of any other
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compensation that accrues to the producer as a result of the transaction.
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(b) The disclosure required by this Subsection (3) shall:
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(i) include the signature of the insured or prospective insured acknowledging the
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noncommission compensation;
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(ii) clearly specify the amount or extent of the noncommission compensation and the
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existence and source of any other compensation; and
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(iii) be provided to the insured or prospective insured before the performance of the
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service.
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(c) The following additional noncommission compensation is authorized:
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(i) compensation received by a producer of a compensated corporate surety who under
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procedures approved by a rule or order of the commissioner is paid by surety bond principal
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debtors for extra services;
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(ii) compensation received by an insurance producer who is also licensed as a public
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adjuster under Section
31A-26-203
, for services performed for an insured in connection with a
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claim adjustment, so long as the producer does not receive or is not promised compensation for
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aiding in the claim adjustment prior to the occurrence of the claim;
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(iii) compensation received by a consultant as a consulting fee, provided the consultant
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complies with the requirements of Section
31A-23a-401
; or
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(iv) other compensation arrangements approved by the commissioner after a finding
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that they do not violate Section
31A-23a-401
and are not harmful to the public.
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(4) (a) Beginning January 1, 2008, in addition to any other disclosures required by this
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section, a producer, an affiliate of a producer, or a consultant doing business with a state entity
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may not accept or receive any compensation from an insurer or third party for that placement of
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insurance unless prior to the state entity's purchase or renewal of insurance the producer:
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(i) obtains the state entity's signed acknowledgment that the compensation from an
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insurer or third party may be received by the producer, affiliate, or consultant; and
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(ii) provides a description of the possible compensation from an insurer or third party
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for that placement.
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(b) A copy of the signed acknowledgment required by Subsection (4)(a)(i) must be
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maintained by the licensee who collects or receives any part of the compensation from an
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insurer or third party in a manner that facilitates an audit.
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(c) This Subsection (4) does not apply to:
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(i) a person licensed as a producer who acts only as an intermediary between an insurer
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and the state entity's producer, including a managing general agent;
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(ii) the placement of insurance in a secondary or residual market; or
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(iii) a producer whose sole compensation for the placement is derived from
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commissions, salaries, and other compensation from the insurer.
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[(4)] (5) This section does not alter the right of any licensee to recover from an insured
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the amount of any premium due for insurance effected by or through that licensee or to charge
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a reasonable rate of interest upon past-due accounts.
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[(5)] (6) This section does not apply to bail bond producers or bail enforcement agents
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as defined in Section
31A-35-102
.
Legislative Review Note
as of 11-16-06 10:30 AM