<section number="31A-28-207"><histories><history>Amended by Chapter <modchap sess="2007GS">309</modchap>, 2007 General Session</history><modyear>2007</modyear></histories><catchline>Powers and duties of the association.</catchline><subsection number="31A-28-207(1)"><subsection number="31A-28-207(1)(a)">
The association is obligated on the amount of the covered claims:<subsection number="31A-28-207(1)(a)(i)">
existing prior to the order of liquidation; and</subsection><subsection number="31A-28-207(1)(a)(ii)">
arising:
<subsection number="31A-28-207(1)(a)(ii)(A)">
within 30 days after the order of liquidation; or</subsection><subsection number="31A-28-207(1)(a)(ii)(B)"><subsection number="31A-28-207(1)(a)(ii)(B)(I)">
before the policy expiration date if it is less than 30 days after the order of liquidation; or</subsection><subsection number="31A-28-207(1)(a)(ii)(B)(II)">
before the insured replaces the policy or causes its cancellation, if the insured does so within 30 days of the order of liquidation.</subsection></subsection></subsection></subsection><subsection number="31A-28-207(1)(b)">
The obligation under Subsection <xref depth="4" refnumber="31A-28-207(1)(a)" start="0">(1)(a)</xref> includes only that amount of each covered claim that is less than $300,000.</subsection><subsection number="31A-28-207(1)(c)">
A claim under a personal lines policy for unearned premiums shall include only those claims that exceed $100 in amount, subject to a maximum of $10,000 per policy.</subsection><subsection number="31A-28-207(1)(d)">
The association shall pay the full amount of any covered claim arising out of a workers' compensation policy. The association is not obligated to a policyholder or claimant in an amount in excess of the obligation of the insolvent insurer under the policy from which the claim arises.</subsection><subsection number="31A-28-207(1)(e)">
Any obligation of the association to defend an insured on a covered claim shall cease:<subsection number="31A-28-207(1)(e)(i)">
upon payment by the association, as part of a settlement releasing the insured; or</subsection><subsection number="31A-28-207(1)(e)(ii)">
on a judgment, of the lesser of:
<subsection number="31A-28-207(1)(e)(ii)(A)">
the association's covered claim obligation limit; or</subsection><subsection number="31A-28-207(1)(e)(ii)(B)">
the applicable policy limit.</subsection></subsection></subsection><subsection number="31A-28-207(1)(f)">
The association:<subsection number="31A-28-207(1)(f)(i)">
is considered as the insurer only to the extent of its obligation on the covered claims, subject to the limitations provided in this part;</subsection><subsection number="31A-28-207(1)(f)(ii)">
has all the rights, duties, and obligations of the insolvent insurer as if the insurer had not yet become insolvent, including the right to pursue and retain salvage and subrogation recoverable on paid covered claim obligations; and</subsection><subsection number="31A-28-207(1)(f)(iii)">
may not be considered the insolvent insurer for any purpose relating to whether the association is subject to personal jurisdiction in the courts of any state.</subsection></subsection><subsection number="31A-28-207(1)(g)"><subsection number="31A-28-207(1)(g)(i)">
Notwithstanding any other provisions of this part, except in the case of a claim for benefits under workers' compensation coverage, any obligation of the association to or on behalf of a particular insured and its affiliates on covered claims shall cease when:
<subsection number="31A-28-207(1)(g)(i)(A)">
a total amount of $10,000,000 has been paid to or on behalf of the insured and its affiliates on covered claims by the association or a similar association; and</subsection><subsection number="31A-28-207(1)(g)(i)(B)">
all payments on covered claims arise under one or more policies of a single insolvent insurer.</subsection></subsection><subsection number="31A-28-207(1)(g)(ii)">
The association may establish a plan to allocate the amounts payable by the association in a manner the association considers equitable if the association determines that:
<subsection number="31A-28-207(1)(g)(ii)(A)">
there is more than one claimant asserting a covered claim against:<subsection number="31A-28-207(1)(g)(ii)(A)(I)">
the association;</subsection><subsection number="31A-28-207(1)(g)(ii)(A)(II)">
a similar association; or</subsection><subsection number="31A-28-207(1)(g)(ii)(A)(III)">
a property or casualty insurance security fund in another state; and</subsection></subsection><subsection number="31A-28-207(1)(g)(ii)(B)">
all claims arise under the policy or policies of a single insolvent insurer.</subsection></subsection></subsection><subsection number="31A-28-207(1)(h)">
The association shall assess member insurers amounts necessary to pay:<subsection number="31A-28-207(1)(h)(i)">
the obligations of the association under Subsection <xref depth="4" refnumber="31A-28-207(1)(a)" start="0">(1)(a)</xref>, as limited by Subsections <xref depth="4" refnumber="31A-28-207(1)(e)" start="0">(1)(e)</xref> through <xref depth="4" refnumber="31A-28-207(1)(g)" start="0">(g)</xref>, subsequent to the liquidation of an insolvent insurer;</subsection><subsection number="31A-28-207(1)(h)(ii)">
the expenses of handling covered claims subsequent to the liquidation of an insolvent insurer;</subsection><subsection number="31A-28-207(1)(h)(iii)">
the cost of examinations under Section <xref depth="3" refnumber="31A-28-214" start="0">31A-28-214</xref>; and</subsection><subsection number="31A-28-207(1)(h)(iv)">
other expenses authorized by this part.</subsection></subsection><subsection number="31A-28-207(1)(i)"><subsection number="31A-28-207(1)(i)(i)">
The association shall:
<subsection number="31A-28-207(1)(i)(i)(A)">
investigate claims brought against the association; and</subsection><subsection number="31A-28-207(1)(i)(i)(B)">
adjust, compromise, settle, and pay covered claims to the extent of the association's obligation and deny all other claims.</subsection></subsection><subsection number="31A-28-207(1)(i)(ii)">
The association is not bound by a settlement, release, compromise, waiver, or judgment executed or entered into by the insolvent insurer:
<subsection number="31A-28-207(1)(i)(ii)(A)">
less than 12 months before the entry of an order of liquidation; or</subsection><subsection number="31A-28-207(1)(i)(ii)(B)">
more than 12 months before the entry of an order of liquidation if the settlement, release, compromise, waiver, or judgment is:<subsection number="31A-28-207(1)(i)(ii)(B)(I)">
based on a claim that is not a covered claim; or</subsection><subsection number="31A-28-207(1)(i)(ii)(B)(II)">
the result of fraud, collusion, default, or failure to defend.</subsection></subsection></subsection><subsection number="31A-28-207(1)(i)(iii)">
The association may assert all defenses available including defenses applicable to determining and enforcing the association's statutory rights and obligations to a claim.</subsection><subsection number="31A-28-207(1)(i)(iv)">
The association may appoint and direct legal counsel retained under a liability insurance policy for the defense of a covered claim.</subsection></subsection><subsection number="31A-28-207(1)(j)"><subsection number="31A-28-207(1)(j)(i)">
The association shall handle claims through:
<subsection number="31A-28-207(1)(j)(i)(A)">
its employees;</subsection><subsection number="31A-28-207(1)(j)(i)(B)">
one or more insurers; or</subsection><subsection number="31A-28-207(1)(j)(i)(C)">
other persons designated as servicing facilities.</subsection></subsection><subsection number="31A-28-207(1)(j)(ii)">
Designation of a servicing facility is subject to the approval of the commissioner, but this designation may be declined by a member insurer.</subsection></subsection><subsection number="31A-28-207(1)(k)">
The association shall:<subsection number="31A-28-207(1)(k)(i)">
reimburse each servicing facility for:
<subsection number="31A-28-207(1)(k)(i)(A)">
obligations of the association paid by the facility; and</subsection><subsection number="31A-28-207(1)(k)(i)(B)">
expenses incurred by the facility while handling claims on behalf of the association; and</subsection></subsection><subsection number="31A-28-207(1)(k)(ii)">
pay the other expenses of the association as authorized by this title.</subsection></subsection></subsection><subsection number="31A-28-207(2)">
The association may:
<subsection number="31A-28-207(2)(a)">
employ or retain the persons, including private legal counsel, necessary to handle claims and perform other duties of the association;</subsection><subsection number="31A-28-207(2)(b)">
borrow funds necessary to implement the purposes of this part in accord with the plan of operation;</subsection><subsection number="31A-28-207(2)(c)">
sue or be sued;</subsection><subsection number="31A-28-207(2)(d)">
negotiate and become a party to the contracts necessary to carry out the purpose of this part;</subsection><subsection number="31A-28-207(2)(e)">
perform any other acts necessary or proper to accomplish the purposes of this chapter; or</subsection><subsection number="31A-28-207(2)(f)">
refund to the member insurers, in proportion to the contribution of each member insurer to the association account, the amount that the assets of the account exceed the liabilities, if, at the end of any calendar year, the board of directors finds that:<subsection number="31A-28-207(2)(f)(i)">
the assets of the association in the association account exceed the liabilities as estimated by the board of directors for the coming year; and</subsection><subsection number="31A-28-207(2)(f)(ii)">
the excess assets are not needed for other purposes of this part.</subsection></subsection></subsection><subsection number="31A-28-207(3)">
For a refund due to a member insurer for an assessment that has been offset against premium taxes, the association may pay the amount of the refund directly to the State Tax Commission.</subsection><subsection number="31A-28-207(4)">
The courts of the state shall have exclusive jurisdiction over all actions brought against the association that relate to or arise out of this part.</subsection><subsection number="31A-28-207(5)"><subsection number="31A-28-207(5)(a)">
Any person recovering under this part is considered to have assigned that person's rights under the policy to the association to the extent of that person's recovery from the association.</subsection><subsection number="31A-28-207(5)(b)">
Every insured or claimant seeking the protection of this chapter shall cooperate with the association to the same extent the person would have been required to cooperate with the insolvent insurer.</subsection><subsection number="31A-28-207(5)(c)">
Except as provided in Subsection <xref depth="4" refnumber="31A-28-207(5)(e)" start="0">(5)(e)</xref>, the association has no cause of action against the insured of the insolvent insurer for any sums the association has paid out except those causes of action the insolvent insurer would have had if the sums had been paid by the insolvent insurer.</subsection><subsection number="31A-28-207(5)(d)">
When an insolvent insurer operates on a plan with assessment liability, payments of claims of the association do not reduce the liability for unpaid assessments of the insurer to:<subsection number="31A-28-207(5)(d)(i)">
the receiver;</subsection><subsection number="31A-28-207(5)(d)(ii)">
liquidator; or</subsection><subsection number="31A-28-207(5)(d)(iii)">
statutory successor.</subsection></subsection><subsection number="31A-28-207(5)(e)">
The association may recover from the following persons the amount of any "covered claim" paid on behalf of that person pursuant to this part:<subsection number="31A-28-207(5)(e)(i)">
any insured whose:
<subsection number="31A-28-207(5)(e)(i)(A)">
net worth on December 31 of the year next preceding the date the insurer becomes insolvent, exceeds $25,000,000; and</subsection><subsection number="31A-28-207(5)(e)(i)(B)">
liability obligations to other persons are satisfied in whole or in part by payments made under this part; and</subsection></subsection><subsection number="31A-28-207(5)(e)(ii)">
any person:
<subsection number="31A-28-207(5)(e)(ii)(A)">
who is an affiliate of the insolvent insurer; and</subsection><subsection number="31A-28-207(5)(e)(ii)(B)">
whose liability obligations to other persons are satisfied in whole or in part by payments made under this part.</subsection></subsection></subsection><subsection number="31A-28-207(5)(f)"><subsection number="31A-28-207(5)(f)(i)">
The receiver, liquidator, or statutory successor of an insolvent insurer is bound by:
<subsection number="31A-28-207(5)(f)(i)(A)">
a determination of a covered claim eligibility under this part; and</subsection><subsection number="31A-28-207(5)(f)(i)(B)">
a settlement of a covered claim by the association or a similar organization in another state.</subsection></subsection><subsection number="31A-28-207(5)(f)(ii)">
The court having jurisdiction shall grant settled claims a priority equal to that which the claimant would have been entitled to in the absence of this part, against the assets of the insolvent insurer.</subsection></subsection><subsection number="31A-28-207(5)(g)">
The association or any similar organization in another state shall:<subsection number="31A-28-207(5)(g)(i)">
be recognized as a claimant in the liquidation of an insolvent insurer for any amounts paid on a covered claim obligation as determined under this part or a similar law in another state; and</subsection><subsection number="31A-28-207(5)(g)(ii)">
receive dividends or distributions at the priority set forth in Section <xref depth="3" refnumber="31A-27a-701" start="0">31A-27a-701</xref>.</subsection></subsection><subsection number="31A-28-207(5)(h)"><subsection number="31A-28-207(5)(h)(i)">
The association shall periodically file with the receiver or liquidator of the insolvent insurer:
<subsection number="31A-28-207(5)(h)(i)(A)">
statements of the covered claims paid by the association; and</subsection><subsection number="31A-28-207(5)(h)(i)(B)">
estimates of anticipated claims on the association.</subsection></subsection><subsection number="31A-28-207(5)(h)(ii)">
The filing under this Subsection <xref depth="4" refnumber="31A-28-207(5)(h)" start="0">(5)(h)</xref> preserves the rights of the association for claims against the assets of the insolvent insurer.</subsection></subsection><subsection number="31A-28-207(5)(i)">
The association need not pay any claim filed after the final date under Sections <xref depth="3" refnumber="31A-27a-406" start="0">31A-27a-406</xref> and <xref depth="3" refnumber="31A-27a-601" start="0">31A-27a-601</xref>, or similar statutes of other states, for filing the same type of claim with the liquidator of the insolvent insurer.</subsection></subsection></section>