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H.B. 269

             1     

INSURANCE RATE REGULATION

             2     
1999 GENERAL SESSION

             3     
STATE OF UTAH

             4     
Sponsor: Gerry A. Adair

             5      AN ACT RELATING TO INSURANCE; RECODIFYING RATE REGULATION PROVISIONS;
             6      CLARIFYING PURPOSES OF CHAPTER; DEFINING TERMS; PROVIDING RULEMAKING
             7      AUTHORITY; AMENDING PROVISIONS RELATED TO RATE STANDARDS; AMENDING
             8      PROVISIONS RELATED TO RATE METHODS; AMENDING RATE FILING
             9      REQUIREMENTS; AMENDING PROVISIONS FOR DISAPPROVAL OF RATES;
             10      AMENDING PROVISION RELATED TO SPECIAL RESTRICTIONS ON INDIVIDUAL
             11      INSURERS; ADDRESSING SPECIAL PROVISIONS FOR TITLE INSURERS; ADDRESSING
             12      DIVIDEND AND PARTICIPATING PLANS; AMENDING FAULT PROVISION OF CERTAIN
             13      PREMIUM INCREASES; ADDRESSING JOINT UNDERWRITING; PROVIDING FOR TIER
             14      RATING; ADDRESSING THE RECORDING, REPORTING, AND SHARING OF
             15      STATISTICAL AND RATE ADMINISTRATION INFORMATION; PROHIBITING CERTAIN
             16      CONDUCT; ADDRESSING GRIEVANCE AND APPEAL PROCEDURES; AMENDING
             17      PROVISIONS RELATED TO RATE SERVICE ORGANIZATIONS; SPECIFYING
             18      PERMITTED AND PROHIBITED ACTIVITIES FOR RATE SERVICE ORGANIZATIONS;
             19      PROVIDING FOR A DESIGNATED RATE SERVICE ORGANIZATION FOR WORKERS
             20      COMPENSATION; PROVIDING FOR CERTAIN UNIFORM PLANS; ADDRESSING
             21      COOPERATION; AND MAKING TECHNICAL CORRECTIONS.
             22      This act affects sections of Utah Code Annotated 1953 as follows:
             23      AMENDS:
             24          31A-1-301, as last amended by Chapters 13 and 329, Laws of Utah 1998
             25          31A-2-308, as last amended by Chapter 293, Laws of Utah 1998
             26          31A-6a-103, as enacted by Chapter 203, Laws of Utah 1992
             27          31A-11-103, as last amended by Chapter 204, Laws of Utah 1986


             28          31A-12-103, as last amended by Chapter 212, Laws of Utah 1993
             29          31A-33-107, as last amended by Chapter 107, Laws of Utah 1998
             30          31A-33-111, as renumbered and amended by Chapter 240, Laws of Utah 1996
             31          34A-2-202, as last amended by Chapters 112, 330 and renumbered and amended by
             32      Chapter 375, Laws of Utah 1997
             33          53-1-106, as last amended by Chapters 36 and 242, Laws of Utah 1996
             34      ENACTS:
             35          31A-19a-210, Utah Code Annotated 1953
             36          31A-19a-213, Utah Code Annotated 1953
             37          31A-19a-214, Utah Code Annotated 1953
             38          31A-19a-215, Utah Code Annotated 1953
             39          31A-19a-216, Utah Code Annotated 1953
             40          31A-19a-306, Utah Code Annotated 1953
             41          31A-19a-307, Utah Code Annotated 1953
             42          31A-19a-308, Utah Code Annotated 1953
             43          31A-19a-407, Utah Code Annotated 1953
             44      RENUMBERS AND AMENDS:
             45          31A-19a-101, (Renumbered from 31A-19-101, as last amended by Chapter 204, Laws of
             46      Utah 1986)
             47          31A-19a-102, (Renumbered from 31A-19-102, as last amended by Chapter 204, Laws of
             48      Utah 1986)
             49          31A-19a-103, (Renumbered from 31A-19-103, as enacted by Chapter 242, Laws of Utah
             50      1985)
             51          31A-19a-201, (Renumbered from 31A-19-201, as enacted by Chapter 242, Laws of Utah
             52      1985)
             53          31A-19a-202, (Renumbered from 31A-19-202, as enacted by Chapter 242, Laws of Utah
             54      1985)
             55          31A-19a-203, (Renumbered from 31A-19-203, as last amended by Chapter 261, Laws of
             56      Utah 1989)
             57          31A-19a-204, (Renumbered from 31A-19-204, as enacted by Chapter 242, Laws of Utah
             58      1985)


             59          31A-19a-205, (Renumbered from 31A-19-205, as enacted by Chapter 242, Laws of Utah
             60      1985)
             61          31A-19a-206, (Renumbered from 31A-19-207, as last amended by Chapter 74, Laws of
             62      Utah 1991)
             63          31A-19a-207, (Renumbered from 31A-19-206, as last amended by Chapter 204, Laws of
             64      Utah 1986)
             65          31A-19a-208, (Renumbered from 31A-19-208, as enacted by Chapter 242, Laws of Utah
             66      1985)
             67          31A-19a-209, (Renumbered from 31A-19-209, as enacted by Chapter 242, Laws of Utah
             68      1985)
             69          31A-19a-211, (Renumbered from 31A-19-210, as last amended by Chapter 234, Laws of
             70      Utah 1993)
             71          31A-19a-212, (Renumbered from 31A-19-211, as enacted by Chapter 359, Laws of Utah
             72      1998)
             73          31A-19a-217, (Renumbered from 31A-19-418, as enacted by Chapter 205, Laws of Utah
             74      1992)
             75          31A-19a-218, (Renumbered from 31A-19-419, as enacted by Chapter 205, Laws of Utah
             76      1992)
             77          31A-19a-301, (Renumbered from 31A-19-301, as enacted by Chapter 242, Laws of Utah
             78      1985)
             79          31A-19a-302, (Renumbered from 31A-19-302, as last amended by Chapter 10, Laws of
             80      Utah 1988, Second Special Session)
             81          31A-19a-303, (Renumbered from 31A-19-303, as enacted by Chapter 242, Laws of Utah
             82      1985)
             83          31A-19a-304, (Renumbered from 31A-19-304, as last amended by Chapter 344, Laws of
             84      Utah 1995)
             85          31A-19a-305, (Renumbered from 31A-19-305, as last amended by Chapter 204, Laws of
             86      Utah 1986)
             87          31A-19a-309, (Renumbered from 31A-19-306, as enacted by Chapter 242, Laws of Utah
             88      1985)
             89          31A-19a-401, (Renumbered from 31A-19-401, as last amended by Chapter 91, Laws of


             90      Utah 1987)
             91          31A-19a-402, (Renumbered from 31A-19-402, as last amended by Chapter 205, Laws of
             92      Utah 1992)
             93          31A-19a-403, (Renumbered from 31A-19-403, as repealed and reenacted by Chapter 205,
             94      Laws of Utah 1992)
             95          31A-19a-404, (Renumbered from 31A-19-407, as repealed and reenacted by Chapter 205,
             96      Laws of Utah 1992)
             97          31A-19a-405, (Renumbered from 31A-19-408, as repealed and reenacted by Chapter 205,
             98      Laws of Utah 1992)
             99          31A-19a-406, (Renumbered from 31A-19-414, as repealed and reenacted by Chapter 205,
             100      Laws of Utah 1992)
             101      REPEALS:
             102          31A-19-404, as last amended by Chapter 205, Laws of Utah 1992
             103          31A-19-405, as last amended by Chapter 185, Laws of Utah 1997
             104          31A-19-406, as repealed and reenacted by Chapter 205, Laws of Utah 1992
             105          31A-19-409, as enacted by Chapter 242, Laws of Utah 1985
             106          31A-19-410, as repealed and reenacted by Chapter 205, Laws of Utah 1992
             107          31A-19-411, as repealed and reenacted by Chapter 205, Laws of Utah 1992
             108          31A-19-412, as repealed and reenacted by Chapter 205, Laws of Utah 1992
             109          31A-19-413, as repealed and reenacted by Chapter 205, Laws of Utah 1992
             110          31A-19-415, as repealed and reenacted by Chapter 205, Laws of Utah 1992
             111          31A-19-416, as enacted by Chapter 205, Laws of Utah 1992
             112          31A-19-417, as enacted by Chapter 205, Laws of Utah 1992
             113          31A-19-420, as enacted by Chapter 205, Laws of Utah 1992
             114      Be it enacted by the Legislature of the state of Utah:
             115          Section 1. Section 31A-1-301 is amended to read:
             116           31A-1-301. Definitions.
             117          As used in this title, unless otherwise specified:
             118          (0.5) "Administrator" is defined in Subsection (77).
             119          (1) "Adult" means a natural person who has attained the age of at least 18 years.
             120          (2) "Affiliate" means any person who controls, is controlled by, or is under common


             121      control with, another person. A corporation is an affiliate of another corporation, regardless of
             122      ownership, if substantially the same group of natural persons manages the corporations.
             123          (3) "Alien insurer" means an insurer domiciled outside the United States.
             124          (4) "Annuities" means all agreements to make periodical payments for a period certain or
             125      over the lifetime of one or more natural persons if the making or continuance of all or some of the
             126      series of the payments, or the amount of the payment, is dependent upon the continuance of human
             127      life.
             128          (5) "Articles" or "articles of incorporation" means the original articles, special laws,
             129      charters, amendments, restated articles, articles of merger or consolidation, trust instruments, and
             130      other constitutive documents for trusts and other entities that are not corporations, and
             131      amendments to any of these. Refer also to "bylaws" in this section and Section 31A-5-203 .
             132          (6) "Bail bond insurance" means a guarantee that a person will attend court when required,
             133      or will obey the orders or judgment of the court, as a condition to the release of that person from
             134      confinement.
             135          (7) "Binder" is defined in Section 31A-21-102 .
             136          (8) "Board," "board of trustees," or "board of directors" means the group of persons with
             137      responsibility over, or management of, a corporation, however designated. Refer also to "trustee"
             138      in this section.
             139          (9) "Business of insurance" is defined in Subsection (44).
             140          (10) "Business plan" means the information required to be supplied to the commissioner
             141      under Subsections 31A-5-204 (2)(i) and (j), including the information required when these
             142      subsections are applicable by reference under Section 31A-7-201 , Section 31A-8-205 , or
             143      Subsection 31A-9-205 (2).
             144          (11) "Bylaws" means the rules adopted for the regulation or management of a corporation's
             145      affairs, however designated. It includes comparable rules for trusts and other entities that are not
             146      corporations. Refer also to "articles" and Section 31A-5-203 .
             147          (12) "Casualty insurance" means liability insurance as defined in Subsection (50).
             148          (13) "Certificate" means the evidence of insurance given to an insured under a group
             149      policy.
             150          (14) "Certificate of authority" is included within the term "license."
             151          (14.5) "Claim," unless the context otherwise requires, means a request or demand on an


             152      insurer for payment of benefits according to the terms of an insurance policy.
             153          (14.6) "Claims-made coverage" means any insurance contract or provision limiting
             154      coverage under a policy insuring against legal liability to claims that are first made against the
             155      insured while the policy is in force.
             156          (15) "Commissioner" or "commissioner of insurance" means Utah's insurance
             157      commissioner. Where appropriate, these terms apply to the equivalent supervisory official of
             158      another jurisdiction.
             159          (16) "Control," "controlling," "controlled," or "under common control" means the direct
             160      or indirect possession of the power to direct or cause the direction of the management and policies
             161      of a person. This control may be by contract, by common management, through the ownership of
             162      voting securities, or otherwise. There is no presumption that an individual holding an official
             163      position with another person controls that person solely by reason of the position. A person having
             164      a contract or arrangement giving control is considered to have control despite the illegality or
             165      invalidity of the contract or arrangement. There is a rebuttable presumption of control in a person
             166      who directly or indirectly owns, controls, holds with the power to vote, or holds proxies to vote
             167      10% or more of the voting securities of another person. Refer also to "affiliate" in this section.
             168          (17) (a) "Corporation" means insurance corporation, except where referring under Chapter
             169      23, Insurance Marketing - Licensing Agents, Brokers [and], Consultants, and Reinsurance
             170      Intermediaries, and Chapter 26, Insurance Adjusters, to corporations doing business as insurance
             171      agents, brokers, consultants, or adjusters, or where referring under Chapter 16, Insurance Holding
             172      Companies, to a noninsurer which is part of a holding company system.
             173          (b) "Stock corporation" means stock insurance corporation.
             174          (c) "Mutual" or "mutual corporation" means mutual insurance corporation.
             175          (18) "Credit disability insurance" means insurance on a debtor to provide indemnity for
             176      payments coming due on a specific loan or other credit transaction while the debtor is disabled.
             177      Refer also to Subsection 31A-22-802 (1).
             178          (19) "Credit insurance" means surety insurance under which mortgagees and other
             179      creditors are indemnified against losses caused by the default of debtors.
             180          (20) "Credit life insurance" means insurance on the life of a debtor in connection with a
             181      loan or other credit transaction. Refer also to Subsection 31A-22-802 (2).
             182          (21) "Creditor" means a person, including an insured, having any claim, whether matured,


             183      unmatured, liquidated, unliquidated, secured, unsecured, absolute, fixed, or contingent.
             184          (22) "Deemer clause" means a provision under this title under which upon the occurrence
             185      of a condition precedent, the commissioner is deemed to have taken a specific action. If the statute
             186      so provides, the condition precedent may be the commissioner's failure to take a specific action.
             187      Refer also to Section 31A-2-302 .
             188          (23) "Degree of relationship" means the number of steps between two persons determined
             189      by counting the generations separating one person from a common ancestor and then counting the
             190      generations to the other person.
             191          (24) "Department" means the Insurance Department.
             192          (25) "Director" means a member of the board of directors of a corporation.
             193          (26) "Disability insurance" means insurance written to indemnify for losses and expenses
             194      resulting from accident or sickness, to provide payments to replace income lost from accident or
             195      sickness, and to pay for services resulting directly from accident or sickness, including medical,
             196      surgical, hospital, and other ancillary expenses.
             197          (27) "Domestic insurer" means an insurer organized under the laws of this state.
             198          (28) "Domiciliary state" means the state in which an insurer is incorporated or organized
             199      or, in the case of an alien insurer, the state of entry into the United States.
             200          (29) "Employee benefits" means one or more benefits or services provided employees or
             201      their dependents.
             202          (30) "Employee welfare fund" means a fund established or maintained by one or more
             203      employers, one or more labor organizations, or a combination of employers and labor
             204      organizations, whether directly or through trustees. This fund is to provide employee benefits paid
             205      or contracted to be paid, other than income from investments of the fund, by or on behalf of an
             206      employer doing business in this state or for the benefit of any person employed in this state. It
             207      includes plans funded or subsidized by user fees or tax revenues.
             208          (31) "Excludes" is not exhaustive and does not mean that other things are not also
             209      excluded. The items listed are representative examples for use in interpretation of this title.
             210          (31.5) "Fidelity insurance" means insurance guaranteeing the fidelity of persons holding
             211      positions of public or private trust.
             212          (31.7) "First party insurance" means an insurance policy or contract in which the insurer
             213      agrees to pay claims submitted to it by the insured for the insured's losses.


             214          (32) "Foreign insurer" means an insurer domiciled outside of this state, including an alien
             215      insurer.
             216          (33) "Form" means a policy, certificate, or application prepared for general use. It does
             217      not include one specially prepared for use in an individual case. Refer also to "policy" in this
             218      section.
             219          (34) "Franchise insurance" means individual insurance policies provided through a mass
             220      marketing arrangement involving a defined class of persons related in some way other than through
             221      the purchase of insurance.
             222          (35) "Health care insurance" or "health insurance" means disability insurance providing
             223      benefits solely of medical, surgical, hospital, or other ancillary services or payment of medical,
             224      surgical, hospital, or other ancillary expenses incurred. "Health care insurance" or "health
             225      insurance" does not include disability insurance providing benefits for:
             226          (a) replacement of income;
             227          (b) short-term accident;
             228          (c) fixed indemnity;
             229          (d) credit disability;
             230          (e) supplements to liability;
             231          (f) workers' compensation;
             232          (g) automobile medical payment;
             233          (h) no-fault automobile;
             234          (i) equivalent self-insurance; or
             235          (j) any type of disability insurance coverage that is a part of or attached to another type of
             236      policy.
             237          (35.5) "Indemnity" means the payment of an amount to offset all or part of an insured loss.
             238          (36) "Independent adjuster" means an insurance adjuster required to be licensed under
             239      Section 31A-26-201 who engages in insurance adjusting as a representative of insurers. Refer also
             240      to Section 31A-26-102 .
             241          (37) "Independently procured insurance" means insurance procured under Section
             242      31A-15-104 .
             243          (37.5) "Individual" means a natural person.
             244          (38) "Inland marine insurance" includes insurance covering:


             245          (a) property in transit on or over land;
             246          (b) property in transit over water by means other than boat or ship;
             247          (c) bailee liability;
             248          (d) fixed transportation property such as bridges, electric transmission systems, radio and
             249      television transmission towers and tunnels; and
             250          (e) personal and commercial property floaters.
             251          (39) "Insolvency" means that:
             252          (a) an insurer is unable to pay its debts or meet its obligations as they mature;
             253          (b) an insurer's total adjusted capital is less than the insurer's mandatory control level RBC
             254      under Subsection 31A-17-601 (7)(c); or
             255          (c) an insurer is determined to be hazardous under this title.
             256          (40) "Insurance" means any arrangement, contract, or plan for the transfer of a risk or risks
             257      from one or more persons to one or more other persons, or any arrangement, contract, or plan for
             258      the distribution of a risk or risks among a group of persons that includes the person seeking to
             259      distribute his risk. "Insurance" includes:
             260          (a) risk distributing arrangements providing for compensation or replacement for damages
             261      or loss through the provision of services or benefits in kind;
             262          (b) contracts of guaranty or suretyship entered into by the guarantor or surety as a business
             263      and not as merely incidental to a business transaction; and
             264          (c) plans in which the risk does not rest upon the person who makes the arrangements, but
             265      with a class of persons who have agreed to share it.
             266          (41) "Insurance adjuster" means a person who directs the investigation, negotiation, or
             267      settlement of a claim under an insurance policy other than life insurance or an annuity, on behalf
             268      of an insurer, policyholder, or a claimant under an insurance policy. Refer also to Section
             269      31A-26-102 .
             270          (41.5) "Interinsurance exchange" is defined in Subsection (69).
             271          (42) "Insurance agent" or "agent" means a person who represents insurers in soliciting,
             272      negotiating, or placing insurance. Refer to Subsection 31A-23-102 (2) for exceptions to this
             273      definition.
             274          (43) "Insurance broker" or "broker" means a person who acts in procuring insurance on
             275      behalf of an applicant for insurance or an insured, and does not act on behalf of the insurer except


             276      by collecting premiums or performing other ministerial acts. Refer to Subsection 31A-23-102 (2)
             277      for exceptions to this definition.
             278          (44) "Insurance business" or "business of insurance" includes:
             279          (a) providing health care insurance, as defined in Subsection (35), by organizations that
             280      are or should be licensed under this title;
             281          (b) providing benefits to employees in the event of contingencies not within the control
             282      of the employees, in which the employees are entitled to the benefits as a right, which benefits may
             283      be provided either by single employers or by multiple employer groups through trusts, associations,
             284      or other entities;
             285          (c) providing annuities, including those issued in return for gifts, except those provided
             286      by persons specified in Subsections 31A-22-1305 (2) and (3);
             287          (d) providing the characteristic services of motor clubs as outlined in Subsection (56);
             288          (e) providing other persons with insurance as defined in Subsection (40);
             289          (f) making as insurer, guarantor, or surety, or proposing to make as insurer, guarantor, or
             290      surety, any contract or policy of title insurance;
             291          (g) transacting or proposing to transact any phase of title insurance, including solicitation,
             292      negotiation preliminary to execution, execution of a contract of title insurance, insuring, and
             293      transacting matters subsequent to the execution of the contract and arising out of it, including
             294      reinsurance; and
             295          (h) doing, or proposing to do, any business in substance equivalent to Subsections (44)(a)
             296      through (g) in a manner designed to evade the provisions of this title.
             297          (45) "Insurance consultant" or "consultant" means a person who advises other persons
             298      about insurance needs and coverages, is compensated by the person advised on a basis not directly
             299      related to the insurance placed, and is not compensated directly or indirectly by an insurer, agent,
             300      or broker for advice given. Refer to Subsection 31A-23-102 (2) for exceptions to this definition.
             301          (46) "Insurance holding company system" means a group of two or more affiliated persons,
             302      at least one of whom is an insurer.
             303          (47) "Insured" means a person to whom or for whose benefit an insurer makes a promise
             304      in an insurance policy. The term includes policyholders, subscribers, members, and beneficiaries.
             305      This definition applies only to the provisions of this title and does not define the meaning of this
             306      word as used in insurance policies or certificates.


             307          (48) (a) "Insurer" means any person doing an insurance business as a principal, including
             308      fraternal benefit societies, issuers of gift annuities other than those specified in Subsections
             309      31A-22-1305 (2) and (3), motor clubs, employee welfare plans, and any person purporting or
             310      intending to do an insurance business as a principal on his own account. It does not include a
             311      governmental entity, as defined in Section 63-30-2 , to the extent it is engaged in the activities
             312      described in Section 31A-12-107 .
             313          (b) "Admitted insurer" is defined in Subsection (80)(b).
             314          (c) "Alien insurer" is defined in Subsection (3).
             315          (d) "Authorized insurer" is defined in Subsection (80)(b).
             316          (e) "Domestic insurer" is defined in Subsection (27).
             317          (f) "Foreign insurer" is defined in Subsection (32).
             318          (g) "Nonadmitted insurer" is defined in Subsection (80)(a).
             319          (h) "Unauthorized insurer" is defined in Subsection (80)(a).
             320          (49) "Legal expense insurance" means insurance written to indemnify or pay for specified
             321      legal expenses. It includes arrangements that create reasonable expectations of enforceable rights,
             322      but it does not include the provision of, or reimbursement for, legal services incidental to other
             323      insurance coverages. Refer to Section 31A-1-103 for a list of exemptions.
             324          (50) (a) "Liability insurance" means insurance against liability:
             325          (i) for death, injury, or disability of any human being, or for damage to property, exclusive
             326      of the coverages under Subsection (53) for medical malpractice insurance, Subsection (66) for
             327      professional liability insurance, and Subsection (83) for workers' compensation insurance;
             328          (ii) for medical, hospital, surgical, and funeral benefits to persons other than the insured
             329      who are injured, irrespective of legal liability of the insured, when issued with or supplemental to
             330      insurance against legal liability for the death, injury, or disability of human beings, exclusive of
             331      the coverages under Subsection (53) for medical malpractice insurance, Subsection (66) for
             332      professional liability insurance, and Subsection (83) for workers' compensation insurance;
             333          (iii) for loss or damage to property resulting from accidents to or explosions of boilers,
             334      pipes, pressure containers, machinery, or apparatus;
             335          (iv) for loss or damage to any property caused by the breakage or leakage of sprinklers,
             336      water pipes and containers, or by water entering through leaks or openings in buildings; or
             337          (v) for other loss or damage properly the subject of insurance not within any other kind


             338      or kinds of insurance as defined in this chapter, if such insurance is not contrary to law or public
             339      policy.
             340          (b) "Liability insurance" includes vehicle liability insurance as defined in Subsection (81),
             341      residential dwelling liability insurance as defined in Subsection (70.3), and also includes making
             342      inspection of, and issuing certificates of inspection upon, elevators, boilers, machinery, and
             343      apparatus of any kind when done in connection with insurance on them.
             344          (51) "License" means the authorization issued by the insurance commissioner under this
             345      title to engage in some activity that is part of or related to the insurance business. It includes
             346      certificates of authority issued to insurers.
             347          (52) "Life insurance" means insurance on human lives and insurances pertaining to or
             348      connected with human life. The business of life insurance includes granting annuity benefits,
             349      granting endowment benefits, granting additional benefits in the event of death by accident or
             350      accidental means, granting additional benefits in the event of the total and permanent disability of
             351      the insured, and providing optional methods of settlement of proceeds.
             352          (53) "Medical malpractice insurance" means insurance against legal liability incident to
             353      the practice and provision of medical services other than the practice and provision of dental
             354      services.
             355          (54) "Member" means a person having membership rights in an insurance corporation.
             356      Refer also to "insured" in Subsection (47).
             357          (55) "Minimum capital" or "minimum required capital" means the capital that must be
             358      constantly maintained by a stock insurance corporation as required by statute. Refer also to
             359      "permanent surplus" under Subsection (76)(a) and Sections 31A-5-211 , 31A-8-209 , and
             360      31A-9-209 .
             361          (56) "Motor club" means a person licensed under Chapter 5, Domestic Stock and Mutual
             362      Insurance Corporations, Chapter 11, Motor Clubs, or Chapter 14, Foreign Insurers, that promises
             363      for an advance consideration to provide legal services under Subsection 31A-11-102 (1)(b), bail
             364      services under Subsection 31A-11-102 (1)(c), trip reimbursement, towing services, emergency road
             365      services, stolen automobile services, a combination of these services, or any other services given
             366      in Subsections 31A-11-102 (1)(b) through (f) for a stated period of time.
             367          (57) "Mutual" means mutual insurance corporation.
             368          (57.5) "Nonparticipating" means a plan of insurance under which the insured is not entitled


             369      to receive dividends representing shares of the surplus of the insurer.
             370          (58) "Ocean marine insurance" means insurance against loss of or damage to:
             371          (a) ships or hulls of ships;
             372          (b) goods, freight, cargoes, merchandise, effects, disbursements, profits, moneys,
             373      securities, choses in action, evidences of debt, valuable papers, bottomry, respondentia interests,
             374      or other cargoes in or awaiting transit over the oceans or inland waterways;
             375          (c) earnings such as freight, passage money, commissions, or profits derived from
             376      transporting goods or people upon or across the oceans or inland waterways; or
             377          (d) a vessel owner or operator as a result of liability to employees, passengers, bailors,
             378      owners of other vessels, owners of fixed objects, customs or other authorities, or other persons in
             379      connection with maritime activity.
             380          (59) "Order" means an order of the commissioner.
             381          (59.5) "Participating" means a plan of insurance under which the insured is entitled to
             382      receive dividends representing shares of the surplus of the insurer.
             383          (60) "Person" includes an individual, partnership, corporation, incorporated or
             384      unincorporated association, joint stock company, trust, reciprocal, syndicate, or any similar entity
             385      or combination of entities acting in concert.
             386          (61) (a) "Policy" means any document, including attached endorsements and riders,
             387      purporting to be an enforceable contract, which memorializes in writing some or all of the terms
             388      of an insurance contract. Service contracts issued by motor clubs under Chapter 11, Motor Clubs,
             389      and by corporations licensed under Chapter 7, Nonprofit Health Service Insurance Corporations,
             390      or Chapter 8, Health Maintenance Organizations and Limited Health Plans, are policies. A
             391      certificate under a group insurance contract is not a policy. A document which does not purport
             392      to have legal effect is not a policy.
             393          (b) "Group insurance policy" means a policy covering a group of persons that is issued to
             394      a policyholder on behalf of the group, for the benefit of group members who are selected under
             395      procedures defined in the policy or in agreements which are collateral to the policy. This type of
             396      policy may, but is not required to, include members of the policyholder's family or dependents.
             397          (c) "Blanket insurance policy" means a group policy covering classes of persons without
             398      individual underwriting, where the persons insured are determined by definition of the class with
             399      or without designating the persons covered.


             400          (62) "Policyholder" means the person who controls a policy, binder, or oral contract by
             401      ownership, premium payment, or otherwise. Refer also to "insured" in Subsection (47).
             402          (63) "Premium" means the monetary consideration for an insurance policy, and includes
             403      assessments, membership fees, required contributions, or monetary consideration, however
             404      designated. Consideration paid to third party administrators for their services is not "premium,"
             405      though amounts paid by third party administrators to insurers for insurance on the risks
             406      administered by the third party administrators are "premium."
             407          (64) "Principal officers" of a corporation means the officers designated under Subsection
             408      31A-5-203 (3).
             409          (65) "Proceedings" includes actions and special statutory proceedings.
             410          (66) "Professional liability insurance" means insurance against legal liability incident to
             411      the practice of a profession and provision of any professional services.
             412          (67) "Property insurance" means insurance against loss or damage to real or personal
             413      property of every kind and any interest in that property, from all hazards or causes, and against loss
             414      consequential upon the loss or damage including vehicle comprehensive and vehicle physical
             415      damage coverages, but excluding inland marine insurance and ocean marine insurance as defined
             416      under Subsections (38) and (58).
             417          (67.5) "Public agency insurance mutual" means any entity formed by joint venture or
             418      interlocal cooperation agreement by two or more political subdivisions or public agencies of the
             419      state for the purpose of providing insurance coverage for the political subdivisions or public
             420      agencies. Any public agency insurance mutual created under this title and Title 11, Chapter 13,
             421      Interlocal Cooperation Act, is considered to be a governmental entity and political subdivision of
             422      the state with all of the rights, privileges, and immunities of a governmental entity or political
             423      subdivision of the state.
             424          (68) (a) Except as provided in Subsection (68)(b), "rate service organization" means any
             425      person who assists insurers in rate making or filing by:
             426          (i) collecting, compiling, and furnishing loss or expense statistics;
             427          (ii) recommending, making, or filing rates or supplementary rate information; or
             428          (iii) advising about rate questions, except as an attorney giving legal advice. [Refer also
             429      to Subsection 31A-19-102 (2).]
             430          (b) "Rate service organization" does not mean an employee of an insurer, a single insurer


             431      or group of insurers under common control, a joint underwriting group, or a natural person serving
             432      as an actuarial or legal consultant.
             433          (69) "Reciprocal" or "interinsurance exchange" means any unincorporated association of
             434      persons operating through an attorney-in-fact common to all of them and exchanging insurance
             435      contracts with one another that provide insurance coverage on each other.
             436          (70) "Reinsurance" means an insurance transaction where an insurer, for consideration,
             437      transfers any portion of the risk it has assumed to another insurer. In referring to reinsurance
             438      transactions, this title sometimes refers to the insurer transferring the risk as the "ceding insurer,"
             439      and to the insurer assuming the risk as the "assuming insurer" or the "assuming reinsurer."
             440          (70.3) "Residential dwelling liability insurance" means insurance against liability resulting
             441      from or incident to the ownership, maintenance, or use of a residential dwelling that is a detached
             442      single family residence or multifamily residence up to four units.
             443          (71) "Retrocession" means reinsurance with another insurer of a liability assumed under
             444      a reinsurance contract. A reinsurer "retrocedes" when it reinsures with another insurer part of a
             445      liability assumed under a reinsurance contract.
             446          (72) (a) "Security" means any:
             447          (i) note;
             448          (ii) stock;
             449          (iii) bond;
             450          (iv) debenture;
             451          (v) evidence of indebtedness;
             452          (vi) certificate of interest or participation in any profit-sharing agreement;
             453          (vii) collateral-trust certificate;
             454          (viii) preorganization certificate or subscription;
             455          (ix) transferable share;
             456          (x) investment contract;
             457          (xi) voting trust certificate;
             458          (xii) certificate of deposit for a security;
             459          (xiii) certificate of interest of participation in an oil, gas, or mining title or lease or in
             460      payments out of production under such a title or lease;
             461          (xiv) commodity contract or commodity option;


             462          (xv) any certificate of interest or participation in, temporary or interim certificate for,
             463      receipt for, guarantee of, or warrant or right to subscribe to or purchase any of the items listed in
             464      Subsections (72)(a)(i) through (xiv); or
             465          (xvi) any other interest or instrument commonly known as a security.
             466          (b) "Security" does not include:
             467          (i) any insurance or endowment policy or annuity contract under which an insurance
             468      company promises to pay money in a specific lump sum or periodically for life or some other
             469      specified period; or
             470          (ii) a burial certificate or burial contract.
             471          (73) "Self-insurance" means any arrangement under which a person provides for spreading
             472      its own risks by a systematic plan.
             473          (a) Except as provided in this subsection, self-insurance does not include an arrangement
             474      under which a number of persons spread their risks among themselves.
             475          (b) Self-insurance does include an arrangement by which a governmental entity, as defined
             476      in Section 63-30-2 , undertakes to indemnify its employees for liability arising out of the
             477      employees' employment.
             478          (c) Self-insurance does include an arrangement by which a person with a managed
             479      program of self-insurance and risk management undertakes to indemnify its affiliates, subsidiaries,
             480      directors, officers, or employees for liability or risk which is related to the relationship or
             481      employment. Self-insurance does not include any arrangement with independent contractors.
             482          (74) (a) "Subsidiary" of a person means an affiliate controlled by that person either directly
             483      or indirectly through one or more affiliates or intermediaries.
             484          (b) "Wholly owned subsidiary" of a person is a subsidiary of which all of the voting shares
             485      are owned by that person either alone or with its affiliates, except for the minimum number of
             486      shares the law of the subsidiary's domicile requires to be owned by directors or others.
             487          (75) Subject to Subsection (40)(b), "surety insurance" includes:
             488          (a) a guarantee against loss or damage resulting from failure of principals to pay or
             489      perform their obligations to a creditor or other obligee;
             490          (b) bail bond insurance; and
             491          (c) fidelity insurance.
             492          (76) (a) "Surplus" means the excess of assets over the sum of paid-in capital and liabilities.


             493          (b) "Permanent surplus" means the surplus of a mutual insurer that has been designated
             494      by the insurer as permanent. Sections 31A-5-211 , 31A-7-201 , 31A-8-209 , 31A-9-209 , and
             495      31A-14-209 require that mutuals doing business in this state maintain specified minimum levels
             496      of permanent surplus. Except for assessable mutuals, the minimum permanent surplus requirement
             497      is essentially the same as the minimum required capital requirement that applies to stock insurers.
             498      Refer also to Subsection (55) on "minimum capital."
             499          (c) "Excess surplus" means:
             500          (i) for life or disability insurers, as defined in Subsection 31A-17-601 (3), and property and
             501      casualty insurers, as defined in Subsection 31A-17-601 (4), the lesser of:
             502          (A) that amount of an insurer's total adjusted capital, as defined in Subsection (78.5), that
             503      exceeds the product of 2.5 and the sum of the insurer's minimum capital or permanent surplus
             504      required under Section 31A-5-211 , 31A-9-209 , or 31A-14-205 ; or
             505          (B) that amount of an insurer's total adjusted capital, as defined in Subsection (78.5), that
             506      exceeds the product of 3.0 and the authorized control level RBC as defined in Subsection
             507      31A-17-601 (7)(a); and
             508          (ii) for monoline mortgage guaranty insurers, financial guaranty insurers, and title insurers,
             509      that amount of an insurer's paid-in-capital and surplus that exceeds the product of 1.5 and the
             510      insurer's total adjusted capital required by Subsection 31A-17-609 (1).
             511          (77) "Third party administrator" or "administrator" means any person who collects charges
             512      or premiums from, or who, for consideration, adjusts or settles claims of residents of the state in
             513      connection with life or disability insurance coverage, annuities, or service insurance coverage,
             514      except:
             515          (a) a union on behalf of its members;
             516          (b) a person exempt as a trust under Section 514 of the federal Employee Retirement
             517      Income Security Act of 1974;
             518          (c) an employer on behalf of his employees or the employees of one or more of the
             519      subsidiary or affiliated corporations of the employer;
             520          (d) an insurer licensed under Chapter 5, 7, 8, 9, or 14, but only with respect to insurance
             521      issued by the insurer; or
             522          (e) a person licensed or exempt from licensing under Chapter 23 or 26 whose activities are
             523      limited to those authorized under the license the person holds or for which the person is exempt.


             524      Refer also to Section 31A-25-101 .
             525          (78) "Title insurance" means the insuring, guaranteeing, or indemnifying of owners of real
             526      or personal property or the holders of liens or encumbrances on that property, or others interested
             527      in the property against loss or damage suffered by reason of liens or encumbrances upon, defects
             528      in, or the unmarketability of the title to the property, or invalidity or unenforceability of any liens
             529      or encumbrances on the property.
             530          (78.5) "Total adjusted capital" means the sum of an insurer's statutory capital and surplus
             531      as determined in accordance with:
             532          (a) the statutory accounting applicable to the annual financial statements required to be
             533      filed under Section 31A-4-113 ; and
             534          (b) any other items provided by the RBC instructions, as RBC instructions is defined in
             535      Subsection 31A-17-601 (6).
             536          (79) (a) "Trustee" means "director" when referring to the board of directors of a
             537      corporation.
             538          (b) "Trustee," when used in reference to an employee welfare fund, means an individual,
             539      firm, association, organization, joint stock company, or corporation, whether acting individually
             540      or jointly and whether designated by that name or any other, that is charged with or has the overall
             541      management of an employee welfare fund.
             542          (80) (a) "Unauthorized insurer," "unadmitted insurer," or "nonadmitted insurer" means an
             543      insurer not holding a valid certificate of authority to do an insurance business in this state, or an
             544      insurer transacting business not authorized by a valid certificate.
             545          (b) "Admitted insurer" or "authorized insurer" means an insurer holding a valid certificate
             546      of authority to do an insurance business in this state and transacting business as authorized by a
             547      valid certificate.
             548          (81) "Vehicle liability insurance" means insurance against liability resulting from or
             549      incident to ownership, maintenance, or use of any land vehicle or aircraft, exclusive of vehicle
             550      comprehensive and vehicle physical damage coverages under Subsection (67).
             551          (82) "Voting security" means a security with voting rights, and includes any security
             552      convertible into a security with a voting right associated with it.
             553          (83) ["Workers'] "Workers compensation insurance" means:
             554          (a) insurance for indemnification of employers against liability for compensation:


             555          (i) based upon compensable accidental injuries; and
             556          (ii) based on occupational disease disability;
             557          (b) employer's liability insurance incidental to workers' compensation insurance and
             558      written in connection with it; and
             559          (c) insurance assuring to the persons entitled to workers' compensation benefits the
             560      compensation provided by law.
             561          Section 2. Section 31A-2-308 is amended to read:
             562           31A-2-308. Enforcement penalties and procedures.
             563          (1) (a) A person who violates any insurance statute or rule or any order issued under
             564      Subsection 31A-2-201 (4) shall forfeit to the state twice the amount of any profit gained from the
             565      violation, in addition to any other forfeiture or penalty imposed.
             566          (b) (i) The commissioner may order an individual agent, broker, adjuster, or insurance
             567      consultant who violates an insurance statute or rule to forfeit to the state not more than $2,500 for
             568      each violation.
             569          (ii) The commissioner may order any other person who violates an insurance statute or rule
             570      to forfeit to the state not more than $5,000 for each violation.
             571          (c) (i) The commissioner may order an individual agent, broker, adjuster, or insurance
             572      consultant who violates an order issued under Subsection 31A-2-201 (4) to forfeit to the state not
             573      more than $2,500 for each violation. Each day the violation continues is a separate violation.
             574          (ii) The commissioner may order any other person who violates an order issued under
             575      Subsection 31A-2-201 (4) to forfeit to the state not more than $5,000 for each violation. Each day
             576      the violation continues is a separate violation.
             577          (d) The commissioner may accept or compromise any forfeiture under this subsection until
             578      after a complaint is filed under Subsection (2). After the filing of the complaint, only the attorney
             579      general may compromise the forfeiture.
             580          (2) Whenever a person fails to comply with an order issued under Subsection
             581      31A-2-201 (4), including a forfeiture order, the commissioner may file an action in any court of
             582      competent jurisdiction or obtain a court order or judgment:
             583          (a) enforcing the commissioner's order;
             584          (b) directing compliance with the commissioner's order and restraining further violation
             585      of the order, subjecting the person ordered to the procedures and sanctions available to the court


             586      for punishing contempt if the failure to comply continues; or
             587          (c) imposing a forfeiture in an amount the court considers just, up to $10,000 for each day
             588      the failure to comply continues after the filing of the complaint until judgment is rendered.
             589          (3) The Utah Rules of Civil Procedure govern actions brought under Subsection (2), except
             590      that the commissioner may file a complaint seeking a court-ordered forfeiture under Subsection
             591      (2)(c) no sooner than two weeks after giving written notice of his intention to proceed under
             592      Subsection (2)(c). The commissioner's order issued under Subsection 31A-2-201 (4) may contain
             593      a notice of intention to seek a court-ordered forfeiture if the commissioner's order is disobeyed.
             594          (4) If, after a court order is issued under Subsection (2), the person fails to comply with
             595      the commissioner's order or judgment, the commissioner may certify the fact of the failure to the
             596      court by affidavit, and the court may, after a hearing following at least five days written notice to
             597      the parties subject to the order or judgment, amend the order or judgment to add the forfeiture or
             598      forfeitures, as prescribed in Subsection (2)(c), until the person complies.
             599          (5) The proceeds of all forfeitures under this section, including collection expenses, shall
             600      be paid into the General Fund. The expenses of collection shall be credited to the Insurance
             601      Department's budget. The attorney general's budget shall be credited to the extent the Insurance
             602      Department reimburses the attorney general's office for its collection expenses under this section.
             603          (6) Forfeitures and judgments under this section bear interest at the rate then charged by
             604      the United States Internal Revenue Service for past due taxes. Interest accrues from the later of the
             605      date of entry of the commissioner's order under Subsection (1) or the date of judgment under
             606      Subsection (2) until the forfeiture and accrued interest are fully paid.
             607          (7) No forfeiture may be imposed under Subsection (2)(c) if, at the time the forfeiture
             608      action is commenced, the person was in compliance with the commissioner's order, or if the
             609      violation of the order occurred during the order's suspension.
             610          (8) The commissioner may seek an injunction as an alternative to issuing an order under
             611      Subsection 31A-2-201 (4).
             612          (9) A person who intentionally violates, intentionally permits any person over whom he
             613      has authority to violate, or intentionally aids any person in violating any insurance statute or rule
             614      of this state or any effective order issued under Subsection 31A-2-201 (4) is guilty of a class B
             615      misdemeanor. Unless a specific criminal penalty is provided elsewhere in this title, the person may
             616      be fined not more than $10,000 if a corporation or not more than $5,000 if a person other than a


             617      corporation. If the person is an individual, the person may, in addition, be imprisoned for up to
             618      one year. As used in this Subsection (9), "intentionally" has the same meaning as under Subsection
             619      76-2-103 (1).
             620          (10) When a licensee of the Insurance Department, other than a domestic insurer,
             621      persistently or substantially violates the insurance law or violates an order of the commissioner
             622      under Subsection 31A-2-201 (4), if there are grounds for delinquency proceedings against the
             623      licensee under Section 31A-27-301 or Section 31A-27-307 , or if the licensee's methods and
             624      practices in the conduct of his business endanger, or his financial resources are inadequate to
             625      safeguard, the legitimate interests of his customers and the public, the commissioner may, after a
             626      hearing, in whole or in part, revoke, suspend, place on probation, limit, or refuse to renew the
             627      licensee's license or certificate of authority. Additional license termination or probation provisions
             628      for licensees other than insurers are set forth in Sections [ 31A-19-303 , 31A-19-304 ,] 31A-19a-303 ,
             629      31A-19a-304 , 31A-23-216 , 31A-23-217 , 31A-25-208 , 31A-25-209 , 31A-26-213 , 31A-26-214 ,
             630      31A-35-501 , and 31A-35-503 .
             631          (11) The enforcement penalties and procedures set forth in this section are not exclusive,
             632      but are cumulative of other rights and remedies the commissioner has pursuant to applicable law.
             633          Section 3. Section 31A-6a-103 is amended to read:
             634           31A-6a-103. Requirements for doing business.
             635          (1) Service contracts may not be issued, sold, or offered for sale in this state unless the
             636      service contract is insured under a service contract reimbursement insurance policy issued by an
             637      insurer authorized to do business in this state, or a recognized surplus lines carrier.
             638          (2) (a) Service contracts may not be issued, sold, or offered for sale unless a true and
             639      correct copy of the service contract and the provider's reimbursement insurance policy have been
             640      filed with the commissioner. Copies of contracts and policies must be filed no less than 30 days
             641      prior to the issuance, sale offering for sale, or use of the service contract or reimbursement
             642      insurance policy in this state.
             643          (b) Each modification of the terms of any service contract or reimbursement insurance
             644      policy must also be filed 30 days prior to its use in this state. Each filing must be accompanied by
             645      a filing fee as required under Subsection 31A-3-103 , or the filing shall be rejected.
             646          (c) Persons complying with this chapter are not required to comply with:
             647          (i) Subsections 31A-21-201 (1) and 31A-23-302 (3)[,]; or


             648          (ii) Chapter [19] 19a, Utah Rate Regulation Act.
             649          (3) (a) Premiums collected on service contracts are not subject to premium taxes.
             650          (b) Premiums collected by issuers of reimbursement insurance policies are subject to
             651      premium taxes.
             652          (4) Persons marketing, selling, or offering to sell service contracts for service contract
             653      providers that comply with this chapter are exempt from the licensing requirements of this title.
             654          (5) Service contract providers complying with this chapter are not required to comply with:
             655          (a) Chapter 5, Domestic Stock and Mutual Insurance Corporations[,];
             656          (b) Chapter 7, Nonprofit Health Service Insurance Corporations[,];
             657          (c) Chapter 8, Health Maintenance Organizations and Limited Health Plans[,];
             658          (d) Chapter 9, Insurance Fraternals[,];
             659          (e) Chapter 10, Annuities[,];
             660          (f) Chapter 11, Motor Clubs[,];
             661          (g) Chapter 12, State Risk Management Fund[,];
             662          (h) Chapter 13, Employee Welfare Funds and Plans[,];
             663          (i) Chapter 14, Foreign Insurers[,];
             664          (j) Chapter [19] 19a, Utah Rate Regulation[,] Act;
             665          (k) Chapter 25, Third Party Administrators[,]; and
             666          (l) Chapter 28, Guaranty Associations.
             667          Section 4. Section 31A-11-103 is amended to read:
             668           31A-11-103. Rates.
             669          (1) Rates charged to holders of motor club service contracts may not be inadequate,
             670      excessive, or unfairly discriminatory.
             671          (2) If, after a hearing, the commissioner finds a motor club's rates in violation of this
             672      section, [he] the commissioner may issue an order to the club to make a filing under Section
             673      [ 31A-19-203 ] 31A-19a-203 . After issuance of such an order, the commissioner and the club shall
             674      proceed under Chapter [19] 19a until the commissioner determines that the club's rates conform
             675      to the requirements of this section. Chapter [19] 19a is then inapplicable to the club until the
             676      issuance of another order under this section.
             677          Section 5. Section 31A-12-103 is amended to read:
             678           31A-12-103. Rates charged to school districts.


             679          The rates charged to school districts for policies issued under Section 63A-4-204 are not
             680      subject to Chapter [19] 19a, except for the filing requirement of Subsection [ 31A-19-203 ]
             681      31A-19a-203 (1) and the public availability requirement of Section [ 31A-19-204 ] 31A-19a-204 .
             682      Rate filing fees under Section 31A-3-103 shall be paid to the department by the Risk Management
             683      Fund.
             684          Section 6. Section 31A-19a-101 , which is renumbered from Section 31A-19-101 is
             685      renumbered and amended to read:
             686     
CHAPTER 19a. UTAH RATE REGULATION ACT

             687     
Part 1. General Provisions

             688           [31A-19-101].     31A-19a-101. Title -- Scope and purposes.
             689          (1) This chapter is known as the "Utah Rate Regulation Act."
             690          [(1)] (2) (a) (i) [This] Except as provided in Subsection (2)(a)(ii), this chapter applies to
             691      all kinds and lines of direct insurance written on risks or operations in this state by an insurer
             692      authorized to do business in this state[, except:].
             693          (ii) This chapter does not apply to:
             694          [(i)] (A) life insurance other than credit life insurance;
             695          [(ii)] (B) variable and fixed annuities;
             696          [(iii) ] (C) health and disability insurance other than credit disability insurance; and
             697          [(iv)] (D) reinsurance[; and].
             698          [(v) workers' compensation insurance, except that Sections 31A-19-301 through
             699      31A-19-304 and Part IV apply to workers' compensation insurance.]
             700          (b) This chapter applies to all insurers authorized to do any line of business, except those
             701      specified in [Subsections (1) (a) (i) through (v)] Subsection (2)(a)(ii).
             702          [(2)] (3) It is the purpose of this chapter to:
             703          (a) protect policyholders and the public against the adverse effects of excessive,
             704      inadequate, or unfairly discriminatory rates;
             705          (b) encourage independent action by and reasonable price competition among insurers so
             706      that rates are responsive to competitive market conditions;
             707          (c) provide formal regulatory controls for use if independent action and price competition
             708      fail;
             709          (d) provide regulatory procedures for the maintenance of appropriate data reporting


             710      systems;
             711          [(d)] (e) authorize cooperative action among insurers in the rate-making process, and
             712      regulate that cooperation to prevent practices that bring about a monopoly or lessen or destroy
             713      competition;
             714          [(e)] (f) encourage the most efficient and economic marketing practices; and
             715          [(f)] (g) regulate the business of insurance in a manner that, under the McCarran-Ferguson
             716      Act, 15 U.S.C. Secs. 1011 through 1015, will preclude application of federal antitrust laws.
             717          [(3)] (4) Rate filings made prior to July 1, 1986, under former Title 31, Chapter 18, are
             718      continued. Rate filings made after July 1, 1986, are subject to the requirements of this chapter.
             719          Section 7. Section 31A-19a-102 , which is renumbered from Section 31A-19-102 is
             720      renumbered and amended to read:
             721           [31A-19-102].     31A-19a-102. Definitions.
             722          As used in this chapter:
             723          [(1) "Market segment" means any geographical area that can reasonably be considered an
             724      economic unit with respect to the marketing of insurance or any line or kind of insurance or, if it
             725      is described in general terms, any subdivision of this economic unit, line, or kind of insurance, or
             726      any class of risks or combination of classes. It may be formed from any combination of these
             727      variables having independent economic significance.]
             728          [(2) (a) Except as provided in Subsection (2) (b), "rate service organization" means any
             729      person who assists insurers in rate making or filing by:]
             730          [(i) collecting, compiling, and furnishing loss or expense statistics;]
             731          [(ii) recommending, making, or filing rates or supplementary rate information; or]
             732          [(iii) advising about rate questions, except as an attorney giving legal advice.]
             733          (1) "Classification system" or "classification" means the process of grouping risks with
             734      similar risk characteristics so that differences in anticipated costs may be recognized.
             735          (2) (a) "Developed losses" means losses adjusted using standard actuarial techniques to
             736      eliminate the effect of differences between:
             737          (i) current payment or reserve estimates; and
             738          (ii) payments or reserve estimates that are anticipated to provide actual ultimate loss
             739      payments.
             740          (b) For purposes of Subsection (2)(a), losses includes loss adjustment expense.


             741          (3) "Dividend" means money paid to a policyholder from the remaining portion of the
             742      premium paid for a policy:
             743          (a) based on the participating class of business; and
             744          (b) after the insurer has made deductions for:
             745          (i) losses;
             746          (ii) expenses;
             747          (iii) additions to reserves; and
             748          (iv) profit and contingencies.
             749          (4) "Expenses" means that portion of a rate attributable to:
             750          (a) acquisition;
             751          (b) field supervision;
             752          (c) collection expenses;
             753          (d) general expenses;
             754          (e) taxes;
             755          (f) licenses; and
             756          (g) fees.
             757          (5) "Experience rating" means a rating procedure that:
             758          (a) uses the past insurance experience of an individual policyholder to forecast the future
             759      losses of the policyholder by measuring the policyholder's loss experience against the loss
             760      experience of policyholders in the same classification; and
             761          (b) produces a prospective premium credit, debit, or unity modification.
             762          (6) "Joint underwriting" means a voluntary arrangement established to provide insurance
             763      coverage for a risk pursuant to which two or more insurers jointly contract with the insured at a
             764      price and under policy terms agreed upon between the insurers.
             765          (7) "Loss adjustment expense" means the expenses incurred by the insurer in the course
             766      of settling claims.
             767          (8) (a) "Market" means the interaction between buyers and sellers consisting of a:
             768          (i) product component; and
             769          (ii) geographic component.
             770          (b) A product component consists of identical or readily substitutable products if the
             771      products are compared as to factors including:


             772          (i) coverage;
             773          (ii) policy terms;
             774          (iii) rate classifications; and
             775          (iv) underwriting.
             776          (c) A geographic component is a geographical area in which buyers seek access to the
             777      insurance product through sales outlets and other distribution mechanisms or patterns.
             778          (9) "Mass marketed plan" means a method of selling insurance when:
             779          (a) the insurance is offered to:
             780          (i) employees of a particular employer;
             781          (ii) members of a particular association or organization; or
             782          (iii) persons grouped in a manner other than described in Subsection (8)(a)(i) or (ii), except
             783      groupings formed principally for the purpose of obtaining insurance; and
             784          (b) the employer, association, or other organization, if any, has agreed to, or otherwise
             785      affiliated itself with, the sale of insurance to its employees or members.
             786          (10) "Prospective loss costs" means the same as pure premium rate.
             787          (11) "Pure premium rate" means that portion of a rate that:
             788          (a) does not include provisions for profit or expenses, other than loss adjustment expenses;
             789      and
             790          (b) is based on historical aggregate losses and loss adjustment expenses that are:
             791          (i) adjusted through development to their ultimate value; and
             792          (ii) projected through trending to a future point in time.
             793          (12) (a) "Rate" means that cost of insurance per exposure unit either expressed as:
             794          (i) a single number; or
             795          (ii) as a pure premium rate h , h adjusted before any application of individual risk variations
             795a      h , h
             796      based on loss or expense considerations to account for the treatment of:
             797          (A) expenses;
             798          (B) profit; and                
             799          (C) individual insurer variation in loss experience.
             800          (b) "Rate" does not include a minimum premium.
             801          [(b) "Rate service organization" does not mean an employee of an insurer, a single insurer
             802      or group of insurers under common control, a joint underwriting group, or a natural person serving


             803      as an actuarial or legal consultant.]
             804          (13) "Rating tiers" means an underwriting and rating plan designed to categorize insurance
             805      risks that have common characteristics related to potential insurance loss into broad groups for the
             806      purpose of establishing a set of rating levels that reflect definable levels of potential hazard or risk.
             807          [(3)] (14) "Riskiness" means the variability of results around the average expected result.
             808          [(4)] (15) "Supplementary rate information" includes [any] one or more of the following
             809      needed to determine the applicable rate in effect or to be in effect:
             810          (a) a manual or plan of rates[,];
             811          (b) a statistical plan[,];
             812          (c) a classification[,];
             813          (d) a rating schedule[,];
             814          (e) a minimum premium[,];
             815          (f) a policy fee[,];
             816          (g) a rating rule[,];
             817          (h) a rate-related underwriting rule[, and];
             818          (i) a rate modification plan; or
             819          (j) any other similar information prescribed by rule of the commissioner as supplementary
             820      rate information.
             821          (16) "Supporting information" includes one or more of the following:
             822          (a) data demonstrating actuarial justification for the basic rate factors, classifications,
             823      expenses, and profit factors used by the filer;
             824          (b) the experience and judgment of the filer;
             825          (c) the experience or data of other insurers or rate service organizations relied upon by the
             826      filer;
             827          (d) the interpretation of any other data relied upon by the filer;
             828          (e) descriptions of methods used in making the rates; or
             829          (f) any other information defined by rule as supporting information that is required to be
             830      filed.
             831          (17) "Trending" means any procedure for projecting, for the period during which the
             832      policies are to be effective:
             833          (a) losses to the average date of loss; or


             834          (b) premiums or exposures to the average date of writing.
             835          Section 8. Section 31A-19a-103 , which is renumbered from Section 31A-19-103 is
             836      renumbered and amended to read:
             837           [31A-19-103].     31A-19a-103. Exemptions.
             838          (1) The commissioner may by rule exempt from any or all of the provisions of this chapter:
             839          (a) any person[,];
             840          (b) a class of persons[,]; or
             841          (c) a market segment [from any or all of the provisions of this chapter. This].
             842          (2) The exemption described in Subsection (1) shall be given only if and to the extent that
             843      the commissioner finds the application of the provisions of this chapter to that person or group is
             844      unnecessary to achieve the purposes of this chapter.
             845          Section 9. Section 31A-19a-201 , which is renumbered from Section 31A-19-201 is
             846      renumbered and amended to read:
             847     
Part 2. General Rate Regulation

             848           [31A-19-201].     31A-19a-201. Rate standards.
             849          (1) Rates may not be excessive, inadequate, or unfairly discriminatory[, nor may an insurer
             850      charge any rate which, if continued, may have the effect of destroying competition or creating a
             851      monopoly].
             852          (2) (a) Rates are not excessive if a reasonable degree of price competition exists at the
             853      consumer level with respect to the class of business to which they apply. In determining whether
             854      a reasonable degree of price competition exists, the commissioner shall consider [all]:
             855          (i) relevant tests [including:] of workable competition pertaining to:
             856          (A) market structure;
             857          (B) market performance; and
             858          (C) market conduct; and
             859          (ii) the practical opportunities available to consumers in the market to:
             860          (A) acquire pricing and other consumer information; and
             861          (B) compare and obtain insurance from competing insurers.
             862          (b) The tests described in Subsection (2)(a) include:
             863          (i) the size and number of insurers actively engaged in the market and class of business;
             864          (ii) [their] the market shares of insurers actively engaged in the market and changes in


             865      market shares;
             866          (iii) the existence of rate differentials in that class of business;
             867          (iv) ease of entry and latent competition of insurers capable of easy entry[.];
             868           h [ (v) whether the profitability of companies generally in the market segment is unreasonably
             869      high;
] h

             870           h [ (vi) ] (v) h availability of consumer information concerning the product and sales outlets or
             870a      other
             871      sales mechanisms; and
             872           h [ (vii) ] (vi) h efforts of insurers to provide consumer information.
             873          [(b)] (c) If reasonable price competition does not exist, rates are excessive if [they]:
             874          (i) rates are likely to produce a long-term profit that is unreasonably high in relation to the
             875      riskiness of the class of business[,]; or [if]
             876          (ii) expenses are unreasonably high in relation to the services rendered.
             877          (3) Rates are inadequate if:
             878          (a) they are clearly insufficient, when combined with the investment income attributable
             879      to them, to sustain the projected losses and expenses in the class of business to which they apply[.];
             880      and
             881          (b) the use of such rates has or, if continued, will have:
             882          (i) the effect of substantially lessening competition; or
             883          (ii) the tendency to create a monopoly in any market.
             884          (4) (a) A rate is unfairly discriminatory [in relation to another rate in the same class if it
             885      clearly fails] if price differentials fail to equitably reflect the differences in expected losses and
             886      expenses[. Rates are] after allowing for practical limitations.
             887          (b) A rate is not unfairly discriminatory [because different premiums result for
             888      policyholders with similar loss exposures but different expense factors, or similar expense factors
             889      but different loss exposures, so long as the rates reflect the differences with reasonable accuracy.
             890      Rates are not unfairly discriminatory if they are] if it is averaged broadly among persons insured
             891      under a:
             892          (i) group, franchise, or blanket policy; or
             893          (ii) mass marketed plan.
             894          Section 10. Section 31A-19a-202 , which is renumbered from Section 31A-19-202 is
             895      renumbered and amended to read:


             896           [31A-19-202].     31A-19a-202. Rating methods.
             897          (1) To determine whether rates comply with the standards under Section [ 31A-19-201 ]
             898      31A-19a-201 , the [following] commissioner shall consider the:
             899          (a) criteria [shall be considered:] listed in Subsection (2);
             900          (b) classifications, if any, permitted under Subsection (3);
             901          (c) expenses described in Subsection (4); and
             902          (d) profits described in Subsection (5).
             903          (2) In determining rates the commissioner shall consider within and outside of Utah:
             904          [(1) The] (a) past and prospective loss [and expense] experience [within and outside of
             905      Utah,];
             906          (b) catastrophe hazards [and contingencies,];
             907          (c) trends [within and outside of Utah,];
             908          (d) loadings for leveling premium rates over time[, dividends or savings];
             909          (e) reasonable margin for profit and contingencies;
             910          (f) dividends, savings, or unabsorbed premium deposits allowed or returned by insurers
             911      to their policyholders[, members, or subscribers,]; and [all]
             912          (g) other relevant factors[, including the judgment of technical personnel shall be taken
             913      into consideration in determining whether rates are excessive, inadequate, or unfairly
             914      discriminating].
             915          [(2)] (3) (a) Risks may be [classified in any reasonable way] grouped by classifications for
             916      the establishment of rates and minimum premiums[, except that no classifications may be based
             917      on].
             918          (b) (i) A classification rate may be modified to produce rates for individual risks in
             919      accordance with rating plans or schedules that establish reasonable standards for measuring
             920      probable variations in hazards or expense provisions.
             921          (ii) The standards described in Subsection (3)(b)(i) may measure any differences among
             922      risks that can be demonstrated to have a probable effect upon losses or expenses.
             923          (c) Notwithstanding Subsection (3)(b), risk classification may not be based upon race,
             924      color, creed, [or] national origin, or the religion of the insured. [These classified rates may be
             925      modified for individual risks in accordance with rating plans or schedules which establish
             926      reasonable standards for measuring probable variations in hazards, expenses, or both. Rates may


             927      also be modified for individual risks under Subsection 31A-19-203 (3).]
             928          [(3)] (4) The expense provisions included in the rates to be used by an insurer [may] shall
             929      reflect:
             930          (a) the operating methods of the insurer; and[, so far as it is credible, its own expense
             931      experience]
             932          (b) its anticipated expenses.
             933          [(4)] (5) The rates may contain provision for contingencies and an allowance permitting
             934      a profit that is not unreasonable in relation to the riskiness of the class of business. In determining
             935      the reasonableness of the profit, consideration may be given to investment income.
             936          Section 11. Section 31A-19a-203 , which is renumbered from Section 31A-19-203 is
             937      renumbered and amended to read:
             938           [31A-19-203].     31A-19a-203. Rate filings.
             939          (1) (a) Except as provided in Subsections [(2)] (4) and [(3)] (5), every authorized insurer
             940      and every rate service organization licensed under Section [ 31A-19-301 ] 31A-19a-301 that has
             941      been designated by any insurer for the filing of pure premium rates under Subsection [ 31A-19-205 ]
             942      31A-19a-205 (2), shall file with the commissioner the following for use in this state:
             943          (i) all rates [and];
             944          (ii) all supplementary information; and
             945          (iii) all changes and amendments to [them that are made by it for use in this state] rates
             946      and supplementary information.
             947          (b) An insurer shall file its rates by filing:
             948          (i) its final rates; or
             949          (ii) either of the following to be applied to pure premium rates that have been filed by a
             950      rate service organization on behalf of the insurer as permitted by Section 31A-19a-205 :
             951          (A) a multiplier; or
             952          (B) (I) a multiplier; and
             953          (II) an expense constant adjustment.
             954          (c) Every filing under this Subsection (1) shall state:
             955          (i) the effective date of the rates; and
             956          (ii) the character and extent of the coverage contemplated.
             957          [(b) This] (d) Except for workers compensation rates filed under Sections 31A-19a-405


             958      and 31A-19a-406 , each filing shall be within 30 days after the rates and supplementary
             959      information, changes, and amendments are effective.
             960          (e) A rate filing is considered filed when it has been received by the commissioner:
             961          (i) with the applicable filing fee as prescribed under Section 31A-3-103 ; and
             962          (ii) pursuant to procedures established by the commissioner.
             963          (f) The commissioner may by rule prescribe procedures for submitting rate filings by
             964      electronic means.
             965          (2) (a) To show compliance with Section 31A-19a-201 , at the same time as the filing of
             966      the rate and supplementary rate information, an insurer shall file all supporting information to be
             967      used in support of or in conjunction with a rate.
             968          (b) If the rate filing provides for a modification or revision of a previously filed rate, the
             969      insurer is required to file only the supporting information that supports the modification or
             970      revision.
             971          (c) If the commissioner determines that the insurer did not file sufficient supporting
             972      information, the commissioner shall inform the insurer in writing of the lack of sufficient
             973      supporting information.
             974          (d) If the insurer does not provide the necessary supporting information within 45 calendar
             975      days of the date on which the commissioner mailed notice under Subsection (2)(c), the rate filing
             976      may be:
             977          (i) considered incomplete and unfiled; and
             978          (ii) returned to the insurer as not filed and not available for use.
             979          (e) Notwithstanding Subsection (2)(d), the commissioner may extend the time period for
             980      filing supporting information.
             981          (f) If a rate filing is returned to an insurer as not filed and not available for use under
             982      Subsection (2)(d), the insurer may not use the rate filing for any policy issued or renewed on or
             983      after h [ 30 ] 60 h calendar days from the date the rate filing was returned.
             984          (3) At the request of the commissioner, an insurer using the services of a rate service
             985      organization shall provide a description of the rationale for using the services of the rate service
             986      organization, including the insurer's own information and method of use of the rate service
             987      organization's information.
             988          (4) (a) An insurer may not make or issue a contract or policy except in accordance with


             989      the rate filings that are in effect for the insurer as provided in this chapter.
             990          (b) Subsection (4)(a) does not apply to contracts or policies for inland marine risks for
             991      which filings are not required.
             992          [(2)] (5) Subsection (1) does not apply to inland marine risks, which, by general custom,
             993      are not written according to standardized manual rules or rating plans.
             994          [(3)] (6) (a) The insurer may file a written application, stating the insurer's reasons for
             995      using a higher rate than that otherwise applicable to a specific risk.
             996          (b) If [this] the application described in Subsection (6)(a) is filed with and not disapproved
             997      by the commissioner within ten days after filing, the higher rate may be applied to the specific risk.
             998          (c) The rate may be disapproved without a hearing.
             999          (d) If disapproved, the rate otherwise applicable applies from the effective date of the
             1000      policy, but the insurer may cancel the policy pro rata on ten days' notice to the policyholder.
             1001          (e) If the insurer does not cancel the policy, the insurer shall refund any excess premium
             1002      from the effective date of the policy.
             1003          [(4)] (7) (a) Agreements may be made between insurers on the use of reasonable rate
             1004      modifications for insurance provided under Section 31A-22-310 .
             1005          (b) These rate modifications shall be filed with the commissioner immediately upon
             1006      agreement by the insurers.
             1007          Section 12. Section 31A-19a-204 , which is renumbered from Section 31A-19-204 is
             1008      renumbered and amended to read:
             1009           [31A-19-204].     31A-19a-204. Rates open to inspection.
             1010          [Each filing and any supporting]
             1011          (1) Rates and supplementary rate information filed under this chapter shall[, when filed,]
             1012      be open to public inspection at any reasonable time.
             1013          (2) The commissioner shall supply copies to any person on:
             1014          (a) request; and [on]
             1015          (b) payment of a reasonable charge.
             1016          Section 13. Section 31A-19a-205 , which is renumbered from Section 31A-19-205 is
             1017      renumbered and amended to read:
             1018           [31A-19-205].     31A-19a-205. Delegation of rate making and rate filing
             1019      obligation.


             1020          (1) An insurer may:
             1021          (a) itself establish rates and supplementary rate information for any market segment based
             1022      on the factors in Section [ 31A-19-202 ,] 31A-19a-202 ; or [it may]
             1023          (b) use rates, pure premium rates, and supplementary rate information prepared by a rate
             1024      service organization that the insurer selects, with:
             1025          (i) average expense factors determined by the rate service organization; or [with]
             1026          (ii) any modification for its own expense and loss experience as the credibility of that
             1027      experience allows.
             1028          (2) An insurer may discharge its obligation under Subsection [ 31A-19-203 ]
             1029      31A-19a-203 (1) by [giving notice to] filing with the commissioner:
             1030          (a) notification that [it] the insurer uses pure premium rates and supplementary rate
             1031      information prepared by a [designated] licensed rate service organization[, together with] that the
             1032      insurer selects; and
             1033          (b) any information about modifications [it] the insurer has made to those rates or that
             1034      information as is necessary fully to inform the commissioner. [The]
             1035          (3) If an insurer has discharged its obligation in accordance with Subsection (2), the
             1036      insurer's rates and supplementary rate information shall be those, including any amendments, filed
             1037      at intervals by the rate service organization, subject to any modifications filed by the insurer.
             1038          Section 14. Section 31A-19a-206 , which is renumbered from Section 31A-19-207 is
             1039      renumbered and amended to read:
             1040           [31A-19-207].     31A-19a-206. Disapproval of rates.
             1041          [(1) If the commissioner finds after a proceeding authorized under Title 63, Chapter 46b,
             1042      Administrative Procedures Act, that a rate is not in compliance with Section 31A-19-201 , the
             1043      commissioner shall order that its use be discontinued for any policy issued or renewed after a date
             1044      given in the order.]
             1045          [(2) The order under Subsection (1) shall be issued within 30 days after the close of any
             1046      proceeding or within a reasonable time extension the commissioner fixes before the expiration of
             1047      the 30 days.]
             1048          [(3) Within one year after the effective date of an order under Subsection (1), no rate
             1049      adopted to replace a disapproved one may be used until it has been filed with the commissioner
             1050      and not disapproved within 30 days after the filing.]


             1051          (1) (a) Except for a conflict with the requirements of Section 31A-19a-201 or
             1052      31A-19a-202 , the commissioner may disapprove a rate at any time that the rate directly conflicts
             1053      with:
             1054          (i) this title; or
             1055          (ii) any rule made under this title.
             1056          (b) The disapproval under Subsection (1)(a) shall:
             1057          (i) be in writing;
             1058          (ii) specify the statute or rule with which the filing conflicts; and
             1059          (iii) state when the rule is no longer effective.
             1060          (c) (i) If an insurer or rate service organization's rate filing is disapproved under Subsection
             1061      (1)(a), the insurer or rate organization may request a hearing on the disapproval within 30 calendar
             1062      days of the date on which the order described in Subsection (1)(a) is issued.
             1063          (ii) If a hearing is requested under Subsection (1)(c)(i), the commissioner shall schedule
             1064      the hearing within 30 calendar days of the date on which the commissioner receives the request
             1065      for a hearing.
             1066          (iii) After the hearing, the commissioner shall issue an order:
             1067          (A) approving the rate filing; or
             1068          (B) disapproving the rate filing.
             1069          (2) (a) If within 90 calendar days of the date on which a rate filing is filed the
             1070      commissioner finds that the rate filing does not meet the requirements of Section 31A-19a-201 or
             1071      31A-19a-202 , the commissioner shall send a written order disapproving the rate filing to the
             1072      insurer or rate organization that made the filing.
             1073          (b) The order described in Subsection (2)(a) shall specify how the rate filing fails to meet
             1074      the requirements of Section 31A-19a-201 or 31A-19a-202 .
             1075          (c) (i) If an insurer's or rate service organization's rate filing is disapproved under
             1076      Subsection (2)(a), the insurer or rate organization may request a hearing on the disapproval within
             1077      30 calendar days of the date on which the order described in Subsection (2)(a) is issued.
             1078          (ii) If a hearing is requested under Subsection (2)(c)(i), the commissioner shall schedule
             1079      the hearing within 30 calendar days of the date on which the commissioner receives the request
             1080      for a hearing.
             1081          (iii) After the hearing, the commissioner shall issue an order:


             1082          (A) approving the rate filing; or
             1083          (B) (I) disapproving the rate filing; and
             1084          (II) stating when, within a reasonable time from the date on which the order is issued, the
             1085      rate is no longer effective.
             1086          (d) In a hearing held under this Subsection (2), the insurer or rate organization bears the
             1087      burden of proving compliance with the requirements of Section 31A-19a-201 or 31A-19a-202 .
             1088          (3) (a) If the order described in Subsection (2)(a) is issued after the implementation of the
             1089      rate filing, the commissioner may order that use of the rate filing be discontinued for any policy
             1090      issued or renewed on or after a date not less than 30 calendar days from the date the order was
             1091      issued.
             1092          (b) If an insurer or rate service organization requests a hearing under Subsection (2), the
             1093      order to discontinue use of the rate filing is stayed:
             1094          (i) beginning on the date the insurer or rate service organization requests a hearing; and
             1095          (ii) ending on the date the commissioner issues an order after the hearing that addresses
             1096      the stay.
             1097          (4) If the order described in Subsection (2)(a) is issued before the implementation of the
             1098      rate filing:
             1099          (a) an insurer or rate service organization may not implement the rate filing; and
             1100          (b) the rates of the insurer or rate service organization at the time of disapproval continue
             1101      to be in effect.
             1102          (5) (a) If after a hearing the commissioner finds that a rate that has been previously filed
             1103      and has been in effect for more than 90 calendar days no longer meets the requirements of Section
             1104      31A-19a-201 or 31A-19a-202 , the commissioner may order that use of the rate by any insurer or
             1105      rate service organization be discontinued.
             1106          (b) The commissioner shall give any insurer that will be affected by an order that may be
             1107      issued under Subsection (5)(a) notice of the hearing at least ten business days prior to the hearing.
             1108          (c) The order issued under Subsection (5)(a) shall:
             1109          (i) be in writing;
             1110          (ii) state the grounds for the order; and
             1111          (iii) state when, within a reasonable time from the date on which the order is issued, the
             1112      rate is no longer effective.


             1113          (d) The order issued under Subsection (5)(a) shall not affect any contract or policy made
             1114      or issued prior to the expiration of the period set forth in the order.
             1115          (e) The order issued under Subsection (5)(a) may include a provision for a premium
             1116      adjustment for contracts or policies made or issued after the effective date of the order.
             1117          [(4) Whenever] (6) (a) When an insurer has no legally effective rates as a result of the
             1118      commissioner's disapproval of rates or other act, the commissioner shall, on the insurer's request,
             1119      specify interim rates for the insurer. [These]
             1120          (b) An interim [rates] rate described in Subsection (6)(a):
             1121          (i) shall be high enough to protect the interests of all parties; and
             1122          (ii) may, when necessary to protect the policyholders, order that a specified portion of the
             1123      premiums be placed in an escrow account approved by the commissioner. [ The commissioner may
             1124      not order the use of an escrow account unless there is reason to be concerned about the financial
             1125      solidity of the insurer.]
             1126          (c) When the new rates become effective, the commissioner shall order the escrowed funds
             1127      or any overcharge in the interim rates to be distributed appropriately, except that minimal refunds
             1128      to policyholders need not be distributed.
             1129          Section 15. Section 31A-19a-207 , which is renumbered from Section 31A-19-206 is
             1130      renumbered and amended to read:
             1131           [31A-19-206].     31A-19a-207. Delayed effect of rates.
             1132          (1) [If] (a) The commissioner may by rule require that insurers in a market segment file
             1133      with the commissioner any changes in rates or supplementary rate information at least 30 calendar
             1134      days before they become effective if the commissioner finds, after a hearing, that in [any] that
             1135      market segment[,]:
             1136          (i) competition is not an effective regulator of the rates charged[,];
             1137          (ii) that a substantial number of companies are competing irresponsibly through the rates
             1138      charged[,]; or
             1139          (iii) that there are widespread violations of this chapter[, the commissioner may adopt a
             1140      rule requiring that in the market segment comprehended by the finding, any subsequent changes
             1141      in the rates or supplementary rate information be filed with the commissioner at least 15 days
             1142      before they become effective].
             1143          (b) The commissioner may extend the waiting period under Subsection (1)(a) for not to


             1144      exceed [15] 30 additional calendar days by written notice to the filer before the first [15-day]
             1145      30-day period expires.
             1146          (c) In determining whether competition is an effective regulator of the rates charged, the
             1147      commissioner shall consider, as to the particular market segment:
             1148          [(a)] (i) the number of insurers actively engaged in providing coverage;
             1149          [(b)] (ii) the respective market shares of insurers providing coverage;
             1150          [(c)] (iii) the volatility of market share fluctuations;
             1151          [(d)] (iv) the ease of entry into the market; and
             1152          [(e)] (v) any other known relevant factors.
             1153          [(2) By rule, the commissioner may require the filing of supporting data in any market
             1154      segment if he considers it necessary for the proper functioning of the rate monitoring and
             1155      regulating process. The supporting data shall include:]
             1156          [(a) the experience and reasoned explanation of the filer, and, to the extent it wishes or the
             1157      commissioner requires, of other insurers or rate service organizations;]
             1158          [(b) its interpretation of any statistical data relied upon;]
             1159          [(c) descriptions of the actuarial and statistical methods employed in setting the rates; and]
             1160          [(d) any other relevant matters required by the commissioner.]
             1161          [(3) A rule adopted under Subsection (1) expires no later than one year after its issuance.
             1162      The commissioner may renew the rule after a hearing and appropriate findings under Subsection
             1163      (1).]
             1164          [(4) Whenever a filing is not accompanied by the information required by Subsection (2),
             1165      the commissioner may inform the insurer of the lack of required information. The filing is
             1166      considered to be made when the information is furnished.]
             1167          [(5)] (2) (a) If the commissioner finds that a market segment is noncompetitive under
             1168      Subsection (1), all rates previously filed and in use may continue to be used until disapproved.
             1169      [However, upon this]
             1170          (b) After a finding of a noncompetitive market under Subsection (1), for purposes of
             1171      disapproval, the commissioner shall treat the filing of existing rates [for purposes of disapproval]
             1172      as having been filed as of the date of the rule under Subsection (1). [Section 31A-19-207 then
             1173      applies.]
             1174          [(6)] (3) A competitive market is presumed to exist, unless the commissioner makes a


             1175      contrary finding under Subsection (1).
             1176          (4) (a) A rule issued under Subsection (1) expires no later than one year [after it] from the
             1177      date on which the rule was adopted, unless the commissioner, after a hearing, renews the rule.
             1178      [Renewal hearings]
             1179          (b) A renewal hearing for a rule issued under Subsection (1) may not be held earlier than
             1180      nine months after the date on which the rule was issued or last renewed.
             1181          Section 16. Section 31A-19a-208 , which is renumbered from Section 31A-19-208 is
             1182      renumbered and amended to read:
             1183           [31A-19-208].     31A-19a-208. Special restrictions on individual insurers.
             1184          (1) The commissioner may require by order that a particular insurer file any or all of its
             1185      rates and supplementary rate information [15] 30 calendar days prior to their effective date, if [he]
             1186      the commissioner finds, after a hearing, that [in order] to protect the interests of the insurer's
             1187      insureds and the public in Utah, the commissioner must exercise closer supervision of the insurer's
             1188      rates, because of the insurer's financial condition or rating practices.
             1189          (2) The commissioner may extend the waiting period described in Subsection (1) for any
             1190      filing for not to exceed [15] 30 additional calendar days, by written notice to the insurer before the
             1191      first [15-day] 30-day period expires.
             1192          (3) A filing [which] that has not been disapproved before the expiration of the waiting
             1193      period is considered to meet the requirements of this chapter, subject to the possibility of
             1194      subsequent disapproval under Section [ 31A-19-207 ] 31A-19a-206 .
             1195          Section 17. Section 31A-19a-209 , which is renumbered from Section 31A-19-209 is
             1196      renumbered and amended to read:
             1197           [31A-19-209].     31A-19a-209. Special provisions for title insurance.
             1198          [(1) Title insurance is governed by the provisions of this chapter relating to insurance rates
             1199      and rate filing.]
             1200          [(2) A title insurance agent, who gives written notice to his title insurance company and
             1201      receives the title insurance company's written acceptance, may file rates which deviate from those
             1202      filed by its title insurance company, if the filing is in compliance with this chapter and any rules
             1203      adopted under it.]
             1204          [(3)] (1) In addition to the considerations in determining compliance with rate standards
             1205      and rating methods as set forth in [Section 31A-19-202 ] Sections 31A-19a-201 and 31A-19a-202 ,


             1206      the commissioner shall also consider the [cost] costs and [expense] expenses incurred by title
             1207      insurance companies [and agents in connection with the maintenance of a title plant and other
             1208      fixed expenses], agencies, and agents peculiar to the business of title insurance[, including title
             1209      searches and examination of records required to be performed in the title insurance writing
             1210      process.] including:
             1211          (a) the maintenance of title plants; and
             1212          (b) the searching and examining of public records to determine insurability of title to real
             1213      property.
             1214          [(4) No title insurance company or agent may, in fulfilling the requirements of this chapter,
             1215      file or use any rate or other charges relating to the business of title insurance which would require
             1216      the title insurance company or agent to operate at less than the cost of doing business or adequately
             1217      underwriting the title insurance policies.]
             1218          [(5)] (2) (a) Every title insurance company, agency, and title insurance agent shall file with
             1219      the commissioner a schedule of the escrow, settlement, and closing charges [which] that it
             1220      proposes to use in this state for services performed in connection with the issuance of policies of
             1221      title insurance.
             1222          (b) The filing required by Subsection (2)(a) shall state the effective date of this schedule,
             1223      which may not be less than 30 calendar days after the date of filing.
             1224          (3) A title insurance company, agency, or agent may not file or use any rate or other charge
             1225      relating to the business of title insurance, including rates or charges filed for escrow, settlement,
             1226      and closing charges that would cause the title insurance company, agency, or agent to:
             1227          (a) operate at less than the cost of doing:
             1228          (i) the insurance business; or
             1229          (ii) the escrow, settlement, and closing business; or
             1230          (b) fail to adequately underwrite a title insurance policy.
             1231          [(6)] (4) (a) All or any of the schedule of rates or schedule of charges including the
             1232      schedule of escrow, settlement, and closing charges, may be changed or amended at any time,
             1233      subject to the limitations in this [subsection] Subsection (4).
             1234          (b) Each change or amendment shall:
             1235          (i) be filed with the commissioner[,]; and [shall]
             1236          (ii) state the effective date of the change or amendment, which may not be less than 30


             1237      calendar days after the date of filing.
             1238          (c) Any change or amendment remains in force for a period of at least 90 calendar days
             1239      from its effective date.
             1240          [(7)] (5) While the schedule of rates and schedule of charges are effective, a copy of each
             1241      shall be:
             1242          (a) retained in each of the offices of:
             1243          (i) the insurance company in this state; and
             1244          (ii) its agents in this state[,]; and[,]
             1245          (iii) upon request, [shall be] furnished to the public.
             1246          [(8)] (6) [No] Except in accordance with the schedules of rates and charges filed with the
             1247      commissioner, a title insurance company [or title insurance], agency, or agent may not make or
             1248      impose any premium or other charge:
             1249          (a) in connection with the issuance of a policy of title insurance[,]; or
             1250          (b) for escrow, settlement, or closing services performed in connection with the issuance
             1251      of a policy of title insurance[, except in accordance with the schedules of charges filed with the
             1252      commissioner].
             1253          Section 18. Section 31A-19a-210 is enacted to read:
             1254          31A-19a-210. Dividend and participating plans.
             1255          (1) (a) This part does not prohibit the distribution by an insurer to a policyholder of any
             1256      of the following allowed or returned by the insurer:
             1257          (i) dividends;
             1258          (ii) savings; or
             1259          (iii) unabsorbed premium deposits.
             1260          (b) Notwithstanding Subsection (1)(a), an insurer may not distribute dividends, savings,
             1261      or unabsorbed premium deposits to an entity that has no insurable interest in the insurance.
             1262          (2) An insurer may not unfairly discriminate between policyholders in the payment of
             1263      dividends, savings, or unabsorbed premium deposits.
             1264          (3) (a) A declaration of dividends or schedule explaining the basis for the distribution of
             1265      dividends, savings, or unabsorbed premium deposits allowed or returned by an insurer to its
             1266      policyholders is not a rating plan or system if the insurer:
             1267          (i) determines and declares the declaration or schedule after a specified policy accounting


             1268      period; and
             1269          (ii) files the declaration or schedule pursuant to Section 31A-21-310 .
             1270          (b) A declaration or schedule described under Subsection (3)(a) is not required to be filed
             1271      with the commissioner under this chapter.
             1272          (4) (a) A dividend or participating plan developed by insurers establishing given criteria
             1273      for eligibility and the general basis for distribution for a dividend, if declared, is considered a rating
             1274      plan if the plan is to be applicable to an insurance policy from its inception.
             1275          (b) A plan described in Subsection (4)(a) shall be filed with the commissioner pursuant
             1276      to this part.
             1277          (5) An insurer may not make the distribution of a dividend or any portion of a dividend
             1278      conditioned upon renewal of the policy or contract.
             1279          Section 19. Section 31A-19a-211 , which is renumbered from Section 31A-19-210 is
             1280      renumbered and amended to read:
             1281           [31A-19-210].     31A-19a-211. Premium rate reduction for seniors -- Motor
             1282      vehicle accident prevention course -- Curriculum -- Certificate -- Exception.
             1283          (1) (a) Each rate, rating schedule, and rating manual for the liability, personal injury
             1284      protection, and collision coverages of private passenger motor vehicle insurance policies submitted
             1285      to or filed with the commissioner shall provide for an appropriate reduction in premium charges
             1286      for those coverages if the principal operator of the covered vehicle:
             1287          (i) is a named insured who is 55 years of age or older; and
             1288          (ii) has successfully completed a motor vehicle accident prevention course as outlined in
             1289      Subsection (2).
             1290          (b) Any premium reduction provided by an insurer under this section is presumed to be
             1291      appropriate unless credible data demonstrates otherwise.
             1292          (2) (a) The curriculum for a motor vehicle accident prevention course under this section
             1293      shall include:
             1294          (i) how impairment of visual and audio perception affects driving performance and how
             1295      to compensate for that impairment;
             1296          (ii) the effects of fatigue, medications, and alcohol on driving performance, when
             1297      experienced alone or in combination, and precautionary measures to prevent or offset ill effects;
             1298          (iii) updates on rules of the road and equipment, including safety belts and safe, efficient


             1299      driving techniques under present day road and traffic conditions;
             1300          (iv) how to plan travel time and select routes for safety and efficiency; and
             1301          (v) how to make crucial decisions in dangerous, hazardous, and unforeseen situations.
             1302          (b) (i) In accordance with Title 63, Chapter 46a, Utah Administrative Rulemaking Act, the
             1303      Department of Public Safety may make rules to establish and clarify standards pertaining to the
             1304      curriculum and teaching methods of a course under this section.
             1305          (ii) These rules may include provisions allowing the department to conduct on-site visits
             1306      to ensure compliance with agency rules and this chapter.
             1307          (iii) These rules shall be specific as to time and manner of visits and provide for methods
             1308      to prohibit or remedy forcible visits.
             1309          (3) (a) The premium reduction required by this section shall be effective for a named
             1310      insured for a three-year period after successful completion of the course outlined in Subsection (2).
             1311          (b) The insurer may require, as a condition of maintaining the premium reduction, that the
             1312      named insured not be convicted or plead guilty or nolo contendere to a moving traffic violation
             1313      for which points may be assessed against the named insured's driver license except for a violation
             1314      under Subsection 53-3-221 (11).
             1315          (4) Each person who successfully completes the course outlined in Subsection (2) shall
             1316      be issued a certificate by the organization offering the course. The certificate qualifies the person
             1317      for the premium reduction required by this section.
             1318          (5) This section does not apply if the approved course outlined in Subsection (2) is
             1319      attended as a penalty imposed by a court or other governmental entity for a moving traffic
             1320      violation.
             1321          Section 20. Section 31A-19a-212 , which is renumbered from Section 31A-19-211 is
             1322      renumbered and amended to read:
             1323           [31A-19-211].     31A-19a-212. Premium increases prohibited for certain claims
             1324      or inquiries.
             1325          (1) Each rate, rating schedule, and rating manual filed with the commissioner for insurance
             1326      covering a vehicle or the operation of a vehicle may not permit a premium increase due to:
             1327          (a) a telephone [calls] call or other [inquiries] inquiry that [do] does not result in the
             1328      payment of a claim; or
             1329          (b) a claim resulting from any incident, including acts of vandalism, in which the person


             1330      named in the policy or any other person using the insured motor vehicle with the express or
             1331      implied permission of the named insured is not at fault[, as defined in Section 78-27-37 ].
             1332          (2) This section is an exception to [the provisions of] Section [ 31A-19-201 ] 31A-19a-201 .
             1333          Section 21. Section 31A-19a-213 is enacted to read:
             1334          31A-19a-213. Joint underwriting.
             1335          Notwithstanding Subsection 31A-19a-306 (2)(a), insurers participating in joint underwriting
             1336      associations or joint reinsurance pursuant to Section 31A-20-102 or other arrangements for risk
             1337      sharing may in connection with such activity act in cooperation with each other in the making of
             1338      one or more of the following:
             1339          (1) rates;
             1340          (2) rating systems;
             1341          (3) policy forms;
             1342          (4) underwriting rules;
             1343          (5) surveys;
             1344          (6) inspections and investigations;
             1345          (7) the furnishing of loss and expense statistics or other information; or
             1346          (8) research.
             1347          Section 22. Section 31A-19a-214 is enacted to read:
             1348          31A-19a-214. Rating tiers.
             1349          (1) An insurer may file with the commissioner a rate filing that provides for a program
             1350      with more than one rate level in the same company or group of companies if:
             1351          (a) the program is based, to the extent feasible, upon mutually exclusive underwriting rules
             1352      per tier;
             1353          (b) the underwriting rules are based on clear, objective criteria that would lead to a logical
             1354      distinguishing of potential risk; and
             1355          (c) in filing to establish tiers, the insurer provides supporting information that evidences
             1356      a clear distinction between the expected losses and expenses for each tier.
             1357          (2) A rating tier may not be continued if premium, loss, and expense data fail to show a
             1358      continued clear distinction between the tiers.
             1359          Section 23. Section 31A-19a-215 is enacted to read:
             1360          31A-19a-215. False or misleading information.


             1361          A person or organization may not:
             1362          (1) willfully withhold from the commissioner, any rate organization, or any insurer
             1363      information that will affect the rates or premiums chargeable under this chapter; or
             1364          (2) knowingly give false or misleading information to the commissioner, any rate service
             1365      organization, or any insurer.
             1366          Section 24. Section 31A-19a-216 is enacted to read:
             1367          31A-19a-216. Charging of rates.
             1368          An authorized insurer, licensed insurance agent, employee, other representative of an
             1369      authorized insurer, or licensed insurance broker may not knowingly:
             1370          (1) charge or demand a rate or receive a premium that departs from the rates, rating plans,
             1371      classifications, schedules, rules, and standards in effect on behalf of the insurer; or
             1372          (2) issue or make any policy or contract involving a violation of Subsection (1).
             1373          Section 25. Section 31A-19a-217 , which is renumbered from Section 31A-19-418 is
             1374      renumbered and amended to read:
             1375           [31A-19-418].     31A-19a-217. Grievance procedures.
             1376          (1) [Any] (a) An insured affected by a rate may submit a written request for information
             1377      to the rate service organization or insurer that made the rate.
             1378          (b) The rate service organization or insurer shall answer [the] a request made under
             1379      Subsection (1)(a) within [a reasonable time] 45 calendar days from the date it received the request
             1380      by furnishing all pertinent rating information to:
             1381          (i) the insured; or [to his]
             1382          (ii) the insured's authorized representative.
             1383          (2) [Any] (a) A person aggrieved by the manner in which a rate service organization or
             1384      an insurer has applied its rating system in connection with the insurance afforded to [him] that
             1385      person may submit a written request for review to the rate service organization or insurer. [The]
             1386          (b) If a request for review is filed under Subsection (2)(a), the rate service organization or
             1387      insurer shall provide a reasonable review procedure within Utah.
             1388          (c) The [subject of] review shall [be] examine the application of the rating system in
             1389      connection with the insurance afforded the [applicant] person that requested review.
             1390          (d) The [applicant] person that requested review may be heard in person or through an
             1391      authorized representative.


             1392          [(3)] (e) If the rate service organization or insurer fails to grant the request for review
             1393      within 30 calendar days [after it] from the date the request is made, the applicant may appeal in
             1394      writing to the commissioner. [The]
             1395          (f) If an appeal is filed under Subsection (2)(e), the commissioner may order the rate
             1396      service organization or insurer [concerned] to provide the review in accordance with this
             1397      Subsection (2).
             1398          [(4) Following] (3) After a review under Subsection (2), the [applicant] person that
             1399      requested review may request the commissioner to confirm that the insurance afforded was rated
             1400      according to filed rates and rating plans.
             1401          Section 26. Section 31A-19a-218 , which is renumbered from Section 31A-19-419 is
             1402      renumbered and amended to read:
             1403           [31A-19-419].     31A-19a-218. Appeal from filing.
             1404          (1) [Any] (a) A person [or organization] aggrieved by a filing that is in effect may apply
             1405      to the commissioner in writing for a hearing.
             1406          (b) The application described under Subsection (1)(a) shall:
             1407          (i) specify the grounds upon which the applicant intends to rely to establish the grievance;
             1408      and [shall]
             1409          (ii) state why the filing does not meet the requirements of law.
             1410          (2) [The] On receipt of an application for hearing under Subsection (1), the commissioner
             1411      shall grant the requested hearing if [he] the commissioner finds that:
             1412          (a) the application was made in good faith;
             1413          (b) the grievance is justified, assuming the applicant's grounds can be established; and
             1414          (c) the grounds otherwise justify holding such a hearing.
             1415          (3) [The] A hearing granted under Subsection (2) shall be held:
             1416          (a) within 30 calendar days [after] from the date of receipt of the application; and
             1417          (b) not less than ten days after written notice to:
             1418          (i) the applicant [and to];
             1419          (ii) each insurer [and] that made the filing; and
             1420          (iii) each rate service organization that made the filing.
             1421          (4) (a) If after the hearing the commissioner finds that the filing is defective, [he] the
             1422      commissioner shall issue an order:


             1423          [(a)] (i) specifying the respects in which the filing fails to meet the requirements of the
             1424      law; and
             1425          [(b)] (ii) setting a date after which the filing ceases to be effective.
             1426          [(5) Copies] (b) A copy of the order shall be sent to each party to the dispute.
             1427          [(6)] (c) The order may not affect any contract or policy made or issued before the date set
             1428      forth in the order.
             1429          Section 27. Section 31A-19a-301 , which is renumbered from Section 31A-19-301 is
             1430      renumbered and amended to read:
             1431     
Part 3. Rate Service Organization

             1432           [31A-19-301].     31A-19a-301. Operation and control of rate service
             1433      organizations.
             1434          (1) (a) [No] A rate service organization may not provide any service relating to statistical
             1435      collection or the rates of any insurance [rates] subject to this chapter[, and no] unless the
             1436      organization is licensed under Section 31-19a-302 .
             1437          (b) An insurer may [utilize] not use the services of the organization for [those purposes]
             1438      the purposes described in Subsection (1)(a), unless the organization [has obtained a license] is
             1439      licensed under Section [ 31A-19-302 ] 31A-19a-302 .
             1440          (2) [No] A rate service organization may not refuse to supply any services for which it is
             1441      licensed in this state to any insurer:
             1442          (a) authorized to do business in this state; and [offering]
             1443          (b) that offers to pay the fair and usual compensation for the services.
             1444          Section 28. Section 31A-19a-302 , which is renumbered from Section 31A-19-302 is
             1445      renumbered and amended to read:
             1446           [31A-19-302].     31A-19a-302. Licensing of rate service organizations.
             1447          (1) A rate service organization applying for a license shall include with its application:
             1448          (a) a copy of its constitution, charter, articles of organization, agreement, association, or
             1449      incorporation, and a copy of its bylaws, plan of operation, and any other rules or regulations
             1450      governing the conduct of its business;
             1451          (b) a list of its members and subscribers;
             1452          (c) the name and address of one or more residents of Utah upon whom notices, processes
             1453      affecting it, or orders of the commissioner may be served;


             1454          (d) a statement explaining in what capacity it plans to function and showing its technical
             1455      qualifications for acting in the capacity for which it seeks a license; [and]
             1456          (e) biographical information, as defined by the department, of the officers and directors
             1457      of the organization; and
             1458          [(e)] (f) any other relevant information and documents that the commissioner requires.
             1459          (2) [Every] A rate service organization [which has applied] that applies for a license under
             1460      Subsection (1) shall promptly notify the commissioner of every material change in the facts or in
             1461      the documents on which its application was based.
             1462          (3) [If] (a) The commissioner shall issue a license specifying the authorized activity of an
             1463      applicant, if the commissioner finds that:
             1464          (i) the applicant and the natural persons through whom it acts are competent, trustworthy,
             1465      and technically qualified to provide the services proposed[,]; and [that]
             1466          (ii) all the requirements of law are met[, he shall issue a license specifying the authorized
             1467      activity of the applicant].
             1468          (b) The commissioner may not issue a license if the proposed activity would tend to:
             1469          (i) create a monopoly; or [to]
             1470          (ii) lessen or [destroy price] substantially lessen the competition in any market.
             1471          (4) (a) Any license issued under this chapter shall be subject to annual renewal.
             1472          (b) A fee shall be charged for the initial license and for renewal. The fee shall be set by the
             1473      Legislature under Section 31A-3-103 .
             1474          (5) Any amendment to a document filed under Subsection (1)(a) shall be filed within at
             1475      least 30 calendar days [before] after the day the document becomes effective. Failure to comply
             1476      with this [subsection] Subsection (5) is a ground for revocation of the license granted under
             1477      Subsection (3).
             1478          (6) The license of each rate service organization licensed under former Title 31, Chapter
             1479      18, is continued under this chapter.
             1480          Section 29. Section 31A-19a-303 , which is renumbered from Section 31A-19-303 is
             1481      renumbered and amended to read:
             1482           [31A-19-303].     31A-19a-303. Termination of license.
             1483          (1) A license issued under this chapter remains in force until:
             1484          (a) revoked, suspended, or limited under Subsection (2);


             1485          (b) lapsed under Subsection (3); or
             1486          (c) surrendered to and accepted by the commissioner.
             1487          (2) (a) After a hearing, the commissioner may revoke, suspend, or limit in whole or in part,
             1488      the license of any person licensed under this part, if:
             1489          (i) the licensee is found to be unqualified [or to];
             1490          (ii) the licensee is found to have violated:
             1491          (A) an insurance statute[,];
             1492          (B) a valid rule under Subsection 31A-2-201 (3)[,]; or
             1493          (C) a valid order under Subsection 31A-2-201 (4)[,]; or [if]
             1494          (iii) the licensee's methods and practices in the conduct of business endanger the legitimate
             1495      interests of policyholders, insurers, or the public. [Every]
             1496          (b) An order suspending a license issued under this chapter shall specify the period of
             1497      suspension, but in no event may the suspension period exceed 12 months.
             1498          (3) (a) Any license issued under this chapter shall lapse if the licensee fails to pay a fee
             1499      when due.
             1500          (b) A license [lapsing] that lapses under this [subsection] Subsection (3) may be reinstated
             1501      if the licensee, within 90 calendar days [after] from the day the license [has] lapsed, pays twice the
             1502      usual license renewal fee.
             1503          (4) A licensee whose license is suspended or revoked, but who continues to act as a
             1504      licensee is subject to the penalties applicable to violating Subsection [ 31A-19-301 ]
             1505      31A-19a-301 (1).
             1506          (5) (a) An order revoking a license under Subsection (2) may specify a time, not to exceed
             1507      five years, within which the former licensee may not apply for a new license.
             1508          (b) If under Subsection (5)(a) no time is specified, the former licensee may not apply for
             1509      five years, without the express approval of the commissioner.
             1510          (6) (a) Any person whose license is suspended or revoked shall, when the suspension ends
             1511      or a new license is issued, pay all fees that would have been payable if the license had not been
             1512      suspended or revoked, unless the commissioner, by order, waives the payment of the interim fees.
             1513          (b) If a new license is issued more than three years after the revocation of a similar license,
             1514      [this subsection shall apply] Subsection (6)(a) applies only to the fees that would have accrued
             1515      during the three years immediately following the revocation.


             1516          Section 30. Section 31A-19a-304 , which is renumbered from Section 31A-19-304 is
             1517      renumbered and amended to read:
             1518           [31A-19-304].     31A-19a-304. Probation.
             1519          (1) (a) In any circumstances that would justify a suspension under Section [ 31A-19-303 ]
             1520      31A-19a-303 , instead of a suspension, the commissioner may, after a hearing, put the licensee on
             1521      probation for a specified period [no longer than] not to exceed 12 months from the date of
             1522      probation.
             1523          (b) The probation order shall state the conditions for retention of the license, which shall
             1524      be reasonable.
             1525          (2) Violation of the probation constitutes grounds for revocation pursuant to a proceeding
             1526      authorized under Title 63, Chapter 46b, Administrative Procedures Act.
             1527          Section 31. Section 31A-19a-305 , which is renumbered from Section 31A-19-305 is
             1528      renumbered and amended to read:
             1529           [31A-19-305].     31A-19a-305. Anti-competitive agreements prohibited.
             1530          [No] (1) (a) An insurer may not assume any obligation to any person other than a
             1531      policyholder or other [companies] company under common control, to use or adhere to certain
             1532      rates or rating procedures[, and no other].
             1533          (b) Except for a policyholder or other company under common control, a person may not
             1534      impose any penalty or other adverse consequence for failure of an insurer to adhere to certain rates
             1535      or rating procedures.
             1536          (2) This section does not apply to rates used:
             1537          (a) by a joint underwriting group[,];
             1538          (b) by [pools,] a pool;
             1539          (c) under quota share reinsurance treaties[,]; or
             1540          (d) by a residual market [mechanisms] mechanism.
             1541          Section 32. Section 31A-19a-306 is enacted to read:
             1542          31A-19a-306. Insurers and rate service organizations -- Prohibited activity.
             1543          (1) An insurer or rate service organization may not:
             1544          (a) attempt to monopolize, or combine or conspire with any other person to monopolize
             1545      an insurance market; or
             1546          (b) engage in a boycott of an insurance market on a concerted basis.


             1547          (2) (a) Except as provided in Subsection (2)(c), an insurer may not agree with any other
             1548      insurer or with a rate service organization to mandate adherence to or to mandate use of any:
             1549          (i) rate;
             1550          (ii) prospective loss cost;
             1551          (iii) rating plan;
             1552          (iv) rating schedule;
             1553          (v) rating rule;
             1554          (vi) policy or bond form;
             1555          (vii) rate classification;
             1556          (viii) rate territory;
             1557          (ix) underwriting rule;
             1558          (x) survey;
             1559          (xi) inspection: or
             1560          (xii) material similar to those described in Subsections (2)(a)(i) through (xi).
             1561          (b) The fact that two or more insurers, whether or not members or subscribers of a rate
             1562      service organization, use consistently or intermittently the same materials described in Subsection
             1563      (2)(a) is not sufficient in itself to support a finding that an agreement exists.
             1564          (c) An insurer may enter into an agreement prohibited by Subsection (2)(a):
             1565          (i) to the extent needed to facilitate the reporting of statistics to:
             1566          (A) a rate service organization;
             1567          (B) a statistical agent; or
             1568          (C) the commissioner; or
             1569          (ii) as provided in Part 4.
             1570          (3) Two or more insurers having a common ownership or operating in this state under
             1571      common management or control may act in concert between or among themselves with respect to
             1572      any matters pertaining to those activities authorized in this section as if they constituted a single
             1573      insurer.
             1574          (4) An insurer or rate service organization may not make any arrangement with any other
             1575      insurer, rate service organization, or other person that has the purpose or effect of unreasonably
             1576      restraining trade or unreasonably lessening competition in the business of insurance.
             1577          Section 33. Section 31A-19a-307 is enacted to read:


             1578          31A-19a-307. Rate service organizations -- Permitted activity.
             1579          A rate service organization may on behalf of its members and subscribers:
             1580          (1) develop statistical plans including territorial and class definitions;
             1581          (2) collect statistical data from:
             1582          (a) members;
             1583          (b) subscribers; or
             1584          (c) any other source;
             1585          (3) prepare, file, and distribute prospective loss costs which may include provisions for
             1586      special assessments;
             1587          (4) prepare, file, and distribute:
             1588          (a) factors;
             1589          (b) calculations;
             1590          (c) formulas pertaining to classification; or
             1591          (d) territory, increased limits, and other variables;
             1592          (5) prepare, file, and distribute supplementary rating information;
             1593          (6) distribute information that is required or directed to be filed with the commissioner;
             1594          (7) conduct research and on-site inspections to prepare classifications of public fire
             1595      defenses;
             1596          (8) consult with public officials regarding public fire protection as it would affect
             1597      members, subscribers, and others;
             1598          (9) conduct research and onsight inspections to discover, identify, and classify information
             1599      relating to causes or prevention of losses;
             1600          (10) conduct research relating to the impact of statutory changes upon prospective loss
             1601      costs;
             1602          (11) prepare, file, and distribute policy forms and endorsements;
             1603          (12) consult with members, subscribers, and others concerning use and application of the
             1604      policy forms and endorsements described in Subsection (11);
             1605          (13) conduct research and on-site inspections for the purpose of providing risk information
             1606      relating to individual structures;
             1607          (14) conduct on-site inspections to determine rating classifications for individual insureds;
             1608          (15) collect, compile, and publish past and current prices of individual insurers, provided


             1609      the information is also made available to the general public at a reasonable cost;
             1610          (16) collect and compile exposure and loss experience for the purpose of individual risk
             1611      experience ratings;
             1612          (17) furnish any other services, as approved or directed by the commissioner, related to
             1613      those enumerated in this section; and
             1614          (18) engage in any other activity not prohibited by this title.
             1615          Section 34. Section 31A-19a-308 is enacted to read:
             1616          31A-19a-308. Rate service organizations -- Filing requirements.
             1617          (1) A rate service organization shall file with the commissioner any of the following that
             1618      is used in this state:
             1619          (a) any statistical plan;
             1620          (b) all prospective loss costs;
             1621          (c) provisions for special assessments;
             1622          (d) all supplementary rating information; and
             1623          (e) any change, amendment, or modification of an item described in Subsections (1)(a)
             1624      through (d).
             1625          (2) The filings required under Subsection (1) shall be subject to Sections 31A-19a-203 and
             1626      31A-19a-206 and other provisions of this chapter relating to filings made by insurers.
             1627          Section 35. Section 31A-19a-309 , which is renumbered from Section 31A-19-306 is
             1628      renumbered and amended to read:
             1629           [31A-19-306].     31A-19a-309. Recording and reporting of experience.
             1630          (1) (a) The commissioner may adopt rules for the development of statistical plans, for use
             1631      by all insurers in recording and reporting their loss and expense experience, in order that the
             1632      experience of those insurers may be made available to the commissioner.
             1633          (b) The rules provided for in Subsection (1) may include:
             1634          (i) the data that must be reported by an insurer;
             1635          (ii) definitions of data elements;
             1636          (iii) the timing and frequency of data reporting by an insurer;
             1637          (iv) data quality standards;
             1638          (v) data edit and audit requirements;
             1639          (vi) data retention requirements;


             1640          (vii) reports to be generated; and
             1641          (viii) the timing of reports to be generated.
             1642          (c) Except for workers compensation insurance under Section 31A-19a-404 , an insurer
             1643      may not be required to record or report its experience on a classification basis that is inconsistent
             1644      with its own rating system.
             1645          (2) (a) The commissioner may designate one or more rate service organizations to assist
             1646      the commissioner in gathering that experience and making compilations of [them, which] the
             1647      experience.
             1648          (b) The compilations developed under Subsection (2)(a) shall be made available to the
             1649      public. [No insurer may be required to record or report its experience on a classification basis
             1650      which is inconsistent with its own rating system.]
             1651          (3) The commissioner may make rules and plans for the interchange of data necessary for
             1652      the application of rating plans.
             1653          (4) To further uniform administration of rate regulatory laws, the commissioner and every
             1654      insurer and rate service organization may:
             1655          (a) exchange information and experience data with insurance supervisory officials,
             1656      insurers, and rate service organizations in other states; and
             1657          (b) consult with the persons described in Subsection (4)(a) with respect to the application
             1658      of rating systems and the reporting of statistical data.
             1659          Section 36. Section 31A-19a-401 , which is renumbered from Section 31A-19-401 is
             1660      renumbered and amended to read:
             1661     
Part 4. Workers Compensation Rates

             1662           [31A-19-401].     31A-19a-401. Scope of part.
             1663          (1) This part applies to [workers'] workers compensation insurance and employers' liability
             1664      insurance written in connection with it.
             1665          (2) All insurers writing [workers'] workers compensation coverage, including the Workers'
             1666      Compensation Fund of Utah, are subject to this part.
             1667          Section 37. Section 31A-19a-402 , which is renumbered from Section 31A-19-402 is
             1668      renumbered and amended to read:
             1669           [31A-19-402].     31A-19a-402. Purpose.
             1670          It is the purpose of this part to:


             1671          (1) establish [the general bases and standards] specific provisions for the [making] filing
             1672      of [workers'] workers compensation rates in addition to those provided in Part 2;
             1673          (2) provide for review by the department of workers' compensation rate-making and the
             1674      results of it; and
             1675          (3) provide for a designated rate service organization to perform certain functions on
             1676      behalf of the commissioner.
             1677          [(3) protect policyholders and the public against the adverse effects of excessive,
             1678      inadequate, or unfairly discriminatory rates;]
             1679          [(4) promote price competition among insurers to provide rates that are responsive to
             1680      competitive market conditions;]
             1681          [(5) provide regulatory procedures for the maintenance of appropriate data reporting
             1682      systems;]
             1683          [(6) improve availability, fairness, and reliability of insurance;]
             1684          [(7) authorize essential cooperation among insurers in the rate-making process and regulate
             1685      this cooperation to prevent collusion or other practices that tend to diminish competition in any
             1686      substantial way or create a monopoly; and]
             1687          [(8) encourage the most efficient and economic marketing practices.]
             1688          Section 38. Section 31A-19a-403 , which is renumbered from Section 31A-19-403 is
             1689      renumbered and amended to read:
             1690           [31A-19-403].     31A-19a-403. Definitions.
             1691          As used in this part:
             1692          [(1) "Classification system" or "classification" means the plan, system, or arrangement for
             1693      recognizing differences in exposure to hazards among industries, occupations, or operations of
             1694      insurance policyholders.]
             1695          [(2) "Expenses" means the portion of any rate attributable to acquisition, field supervision,
             1696      collection expenses, general expenses, taxes, licenses, and fees.]
             1697          [(3) "Experience rating" means a rating procedure utilizing past insurance experience of
             1698      the individual policyholder to forecast future losses by measuring the policyholder's loss
             1699      experience against the loss experience of policyholders in the same classification to produce a
             1700      prospective premium credit, debit, or unity modification.]
             1701          [(4) "Loss trending" means any procedure for projecting developed losses to average date


             1702      of loss for the period during which the policies are to be effective.]
             1703          [(5) "Prospective loss costs" are the portion of a rate that:]
             1704          [(a) does not include provisions for profit or expenses, other than loss adjustment
             1705      expenses; and]
             1706          [(b) is based on historical aggregate losses and loss adjustment expenses adjusted through
             1707      development to their ultimate value and projected through trending to a future point in time.]
             1708          [(6) (a) "Rate" means the cost of insurance per exposure base unit before any application
             1709      of individual risk variations based on loss or expense considerations.]
             1710          [(b) "Rate" does not include minimum premiums.]
             1711          [(7) "Statistical plan" means the plan, system, or arrangement used in collecting data.]
             1712          [(8) "Supporting information" means:]
             1713          [(a) the experience and judgment of the filer;]
             1714          [(b) the experience or data of other insurers or organizations upon which the filer relies;]
             1715          [(c) the interpretation of any statistical data upon which the filer relies;]
             1716          [(d) descriptions of methods used in making the rates; and]
             1717          [(e) any other similar information the commissioner requires to be filed.]
             1718          (1) "Uniform classification plan," in addition to the definition of "classification system"
             1719      in Section 31A-19a-201 , means a plan:
             1720          (a) that is consistent between all insurers of classification codes and descriptions; and
             1721          (b) by which like workers compensation exposures are grouped for the purposes of
             1722      underwriting, rating, and statistical reporting.
             1723          (2) "Uniform experience rating plan" means a plan that is consistent between all insurers
             1724      for experience rating entities insured for workers compensation insurance.
             1725          (3) "Uniform statistical plan" means a plan that is consistent between all insurers that is
             1726      used for the reporting of workers compensation insurance statistical data.
             1727          Section 39. Section 31A-19a-404 , which is renumbered from Section 31A-19-407 is
             1728      renumbered and amended to read:
             1729           [31A-19-407].     31A-19a-404. Designated rate service organization.
             1730          (1) [Each workers' compensation insurer shall adhere to a uniform classification system]
             1731      For purposes of workers compensation insurance, the commissioner shall designate one rate
             1732      service organization to:


             1733          (a) develop and administer the uniform statistical plan, uniform classification plan, and
             1734      uniform experience rating plan filed with and approved by the commissioner [by the rate service
             1735      organization designated by the commissioner and subject to his disapproval.];
             1736          [(2) An insurer may develop subclassifications of the uniform classification system upon
             1737      which a rate may be made. Any subclassifications shall be filed with the commissioner 30 days
             1738      before their use. The commissioner shall disapprove subclassifications if the insurer fails to
             1739      demonstrate that the data produced by the subclassifications can be reported consistently with the
             1740      uniform statistical plan and classification system. (3) The commissioner shall designate a rate
             1741      service organization to]
             1742          (b) assist [him] the commissioner in gathering, compiling, and reporting relevant statistical
             1743      information[. Each workers' compensation insurer shall record and report its workers'
             1744      compensation experience to the designated rate service organization as set forth in the uniform
             1745      statistical plan approved by the commissioner. (4) The designated rate service organization shall]
             1746      on an aggregate basis;
             1747          (c) develop and file manual rules, subject to the approval of the commissioner, that are
             1748      reasonably related to the recording and reporting of data pursuant to the uniform statistical plan,
             1749      uniform experience rating plan, and the uniform classification [system. Each workers'
             1750      compensation insurer shall adhere to the approved manual rules and] plan; and
             1751          (d) develop and file the prospective loss costs pursuant to Section 31A-19a-406 .
             1752          (2) The uniform experience rating plan [in writing and reporting its business. An insurer
             1753      may not agree with any other insurer or with a rate service organization to adhere to manual rules
             1754      that are not reasonably related to] shall:
             1755          (a) contain reasonable eligibility standards;
             1756          (b) provide adequate incentives for loss prevention; and
             1757          (c) provide for sufficient premium differentials so as to encourage safety.
             1758          (3) Each workers compensation insurer, directly or through its selected rate service
             1759      organization, shall:
             1760          (a) record and report its workers compensation experience to the designated rate service
             1761      organization as set forth in the uniform statistical plan approved by the commissioner;
             1762          (b) adhere to a uniform classification plan and uniform experience rating plan filed with
             1763      the commissioner by the rate service organization designated by the commissioner; and


             1764          (c) adhere to the prospective loss costs filed by the designated rate service organization.
             1765          (4) The commissioner may adopt rules for:
             1766          (a) the development and administration by the designated rate service organization of the:
             1767          (i) uniform statistical plan;
             1768          (ii) uniform experience rating plan; and
             1769          (iii) uniform classification plan;
             1770          (b) the recording and reporting of statistical data [pursuant to the uniform classification
             1771      system or the uniform statistical plan] and experience rating data by the various insurers writing
             1772      workers compensation insurance; h [ and ] h
             1773          (c) the selection, retention, and termination of the designated rate service organization h ;
             1773a      AND
             1773b          (d) PROVIDING FOR THE EQUITABLE SHARING AND RECOVERY OF THE EXPENSE OF THE
             1773c      DESIGNATED RATE SERVICE ORGANIZATION TO DEVELOP, MAINTAIN, AND PROVIDE THE PLANS,
             1773d      SERVICES, AND FILINGS THAT ARE USED BY THE VARIOUS INSURERS WRITING WORKERS
             1773e      COMPENSATION INSURANCE h .
             1774          (5) (a) Notwithstanding Subsection (3), an insurer may develop directly or through its
             1775      selected rate service organization subclassifications of the uniform classification system upon
             1776      which a rate may be made.
             1777          (b) A subclassification shall be filed with the commissioner 30 days before its use.
             1778          (c) The commissioner shall disapprove subclassifications if the insurer fails to demonstrate
             1779      that the data produced by the subclassifications can be reported consistently with the uniform
             1780      statistical plan and uniform classification plan.
             1781          (6) Notwithstanding Subsection (3), an insurer may, directly or though its selected rate
             1782      service organization, develop its own experience modifications based on the uniform statistical
             1783      plan, uniform classification plan, and uniform rating plan filed by the rate service organization
             1784      designated by the commissioner under Subsection (1).
             1785          Section 40. Section 31A-19a-405 , which is renumbered from Section 31A-19-408 is
             1786      renumbered and amended to read:
             1787           [31A-19-408].     31A-19a-405. Filing of rates and other rating information.
             1788          (1) (a) [Each insurer shall file with the commissioner all] All workers compensation rates
             1789      [and], supplementary rate information [that are to be used in this state, except as provided in
             1790      Section 31A-19-407 . Rates, supplementary rate information as defined in Section 31A-19-102 ],
             1791      and supporting information [required by the commissioner] shall be filed at least 30 days before
             1792      the effective date[. Upon] of the rate or information.
             1793          (b) Notwithstanding Subsection (1)(a), on application by the filer, the commissioner may
             1794      authorize an earlier effective date.


             1795          (2) The loss and loss adjustment expense factors included in the rates filed under
             1796      Subsection (1) shall be the prospective loss costs filed by the designated rate service organization
             1797      under Section [ 31A-19-414 ] 31A-19a-406 .
             1798          [(3) Rates filed under this section shall be filed in a form and manner prescribed by the
             1799      commissioner. If a filing is submitted without the supporting information required by the
             1800      commissioner under this section, the commissioner shall inform the insurer of the omission as
             1801      soon as possible. The filing is not considered to be made until this information is furnished.]
             1802          [(4) All rates, supplementary rate information, and any supporting information for risks
             1803      filed under this part shall, as soon as filed, be open to public inspection at any reasonable time.
             1804      Copies of these documents may be obtained by any person on request and upon payment of a
             1805      reasonable charge.]
             1806          Section 41. Section 31A-19a-406 , which is renumbered from Section 31A-19-414 is
             1807      renumbered and amended to read:
             1808           [31A-19-414].     31A-19a-406. Filing requirements for designated rate service
             1809      organization.
             1810          (1) The rate service organization designated [by the commissioner under this part] under
             1811      Section 31A-19a-404 shall file with the commissioner the following items proposed for use in this
             1812      state at least 30 calendar days before the date they are distributed to members, subscribers, or
             1813      others:
             1814          (a) each prospective loss cost with its supporting information;
             1815          (b) [each manual of] the uniform classification plan and rating [rules] manual;
             1816          (c) [each] the uniform experience rating [schedule; and] plan manual;
             1817          (d) the uniform statistical plan manual; and
             1818          [(d)] (e) each change, amendment, or modification of any of [these] the items listed in
             1819      Subsections (1)(a) through (d).
             1820          (2) (a) If the commissioner believes that prospective loss costs filed violate the excessive,
             1821      inadequate, or unfair discriminatory standard in Section [ 31A-19-404 ] 31A-19a-201 or any other
             1822      applicable requirement of this part, [he] the commissioner may require that the rate service
             1823      organization file additional supporting information.
             1824          (b) If, after reviewing the supporting information, the commissioner determines that the
             1825      prospective loss costs violate these requirements, [he] the commissioner may:


             1826          (i) require that adjustments to the prospective loss costs be made[. He may also]; or
             1827          (ii) call a hearing for any purpose regarding the filing.
             1828          Section 42. Section 31A-19a-407 is enacted to read:
             1829          31A-19a-407. Cooperation among rating organizations and insurers.
             1830          (1) Notwithstanding Section 31A-19a-305 , rate service organizations and insurers may
             1831      cooperate with each other in rate-making or in other matters within the scope of this part.
             1832          (2) (a) The commissioner may review the cooperative activities and practices permitted
             1833      under Subsection (1).
             1834          (b) If, after a hearing, the commissioner finds any of the cooperative activities or practices
             1835      permitted under Subsection (1) to be unfair, unreasonable, or otherwise inconsistent with the law,
             1836      the commissioner may issue an order:
             1837          (i) specifying in what respects the activity or practice is unfair, unreasonable, or otherwise
             1838      inconsistent with the law; and
             1839          (ii) requiring the persons or entities involved to discontinue the activity or practice.
             1840          Section 43. Section 31A-33-107 is amended to read:
             1841           31A-33-107. Duties of board -- Creation of subsidiaries -- Entering into joint
             1842      enterprises.
             1843          (1) The board shall:
             1844          (a) appoint a chief executive officer to administer the Workers' Compensation Fund;
             1845          (b) receive and act upon financial, management, and actuarial reports covering the
             1846      operations of the Workers' Compensation Fund;
             1847          (c) ensure that the Workers' Compensation Fund is administered according to law;
             1848          (d) examine and approve an annual operating budget for the Workers' Compensation Fund;
             1849          (e) serve as investment trustees and fiduciaries of the Injury Fund;
             1850          (f) receive and act upon recommendations of the chief executive officer;
             1851          (g) develop broad policy for the long-term operation of the Workers' Compensation Fund,
             1852      consistent with its mission and fiduciary responsibility;
             1853          (h) subject to Chapter [19] 19a, Part [IV, Workers'] 4, Workers Compensation
             1854      [Ratemaking] Rates, approve any rating plans that would modify a policyholder's premium;
             1855          (i) subject to Chapter [19] 19a, Part [IV, Workers'] 4, Workers Compensation
             1856      [Ratemaking] Rates, approve the amount of deviation, if any, from standard insurance rates;


             1857          (j) approve the amount of the dividends, if any, to be returned to policyholders;
             1858          (k) adopt a procurement policy consistent with the provisions of Title 63, Chapter 56, Utah
             1859      Procurement Code;
             1860          (l) develop and publish an annual report to policyholders, the governor, the Legislature,
             1861      and interested parties that describes the financial condition of the Injury Fund, including a
             1862      statement of expenses and income and what measures were taken or will be necessary to keep the
             1863      Injury Fund actuarially sound;
             1864          (m) establish a fiscal year;
             1865          (n) determine and establish an actuarially sound price for insurance offered by the fund;
             1866          (o) establish conflict of interest requirements that govern the board, officers, and
             1867      employees; and
             1868          (p) perform all other acts necessary for the policymaking and oversight of the Workers'
             1869      Compensation Fund.
             1870          (2) Subject to board review and its responsibilities under Subsection (1)(e), the board may
             1871      delegate authority to make daily investment decisions.
             1872          (3) The fund may form or acquire a subsidiary or enter into a joint enterprise:
             1873          (a) only if that action is approved by the board; and
             1874          (b) subject to the limitations in Section 31A-33-103.5 .
             1875          Section 44. Section 31A-33-111 is amended to read:
             1876           31A-33-111. Adoption of rates.
             1877          (1) The Workers' Compensation Fund shall adopt the rates approved by the insurance
             1878      commissioner under Chapter [19] 19a, Part [IV] 4, Workers Compensation Rates.
             1879          (2) The chief executive officer, with the approval of the board, may file with the insurance
             1880      commissioner a resolution to deviate from the rates approved by the insurance commissioner in
             1881      order to provide workers' compensation insurance at the lowest possible cost to policyholders
             1882      consistent with maintaining the actuarial soundness of the Injury Fund.
             1883          Section 45. Section 34A-2-202 is amended to read:
             1884           34A-2-202. Assessment on employers and counties, cities, towns, or school districts
             1885      paying compensation direct.
             1886          (1) (a) An employer, including a county, city, town, or school district, who by authority
             1887      of the division under Section 34A-2-201 is authorized to pay compensation direct shall pay


             1888      annually, on or before March 31, an assessment in accordance with this section and rules made by
             1889      the commission under this section.
             1890          (b) The assessment required by Subsection (1)(a) is to be collected by the State Tax
             1891      Commission and paid by the State Tax Commission into the state treasury as provided in
             1892      Subsection 59-9-101 (2).
             1893          (c) The assessment under Subsection (1)(a) shall be based on a total calculated premium
             1894      multiplied by the premium assessment rate established pursuant to Subsection 59-9-101 (2).
             1895          (d) The total calculated premium, for purposes of calculating the assessment under
             1896      Subsection (1)(a), shall be calculated by:
             1897          (i) multiplying the total of the standard premium for each class code calculated in
             1898      Subsection (1)(e) by the employer's experience modification factor; and
             1899          (ii) multiplying the total under Subsection (1)(d)(i) by a safety factor determined under
             1900      Subsection (1)(g).
             1901          (e) A standard premium shall be calculated by:
             1902          (i) multiplying the prospective loss cost for the year being considered, as filed with the
             1903      insurance department pursuant to Section [ 31A-19-414 ] 31A-19a-406 , for each applicable class
             1904      code by 1.10 to determine the manual rate for each class code; and
             1905          (ii) multiplying the manual rate for each class code under Subsection (1)(e)(i) by each $100
             1906      of the employer's covered payroll for each class code.
             1907          (f) (i) Each employer paying compensation direct shall annually obtain the experience
             1908      modification factor required in Subsection (1)(d)(i) by using the rate service organization
             1909      designated by the insurance commissioner in [Subsection 31A-19-407 (3)] Section 31A-19a-404 .
             1910          (ii) If an employer's experience modification factor under Subsection (1)(f)(i) is less than
             1911      0.50, the employer shall use an experience modification factor of 0.50 in determining the total
             1912      calculated premium.
             1913          (g) To provide incentive for improved safety, the safety factor required in Subsection
             1914      (1)(d)(ii) shall be determined based on the employer's experience modification factor as follows:
             1915              EXPERIENCE
             1916              MODIFICATION FACTOR        SAFETY FACTOR
             1917          Less than or equal to 0.90    0.56
             1918          Greater than 0.90 but less than or equal to 1.00    0.78


             1919          Greater than 1.00 but less than or equal to 1.10    1.00
             1920          Greater than 1.10 but less than or equal to 1.20    1.22
             1921          Greater than 1.20        1.44
             1922          (h) (i) A premium or premium assessment modification other than a premium or premium
             1923      assessment modification under this section may not be allowed.
             1924          (ii) If an employer paying compensation direct fails to obtain an experience modification
             1925      factor as required in Subsection (1)(f)(i) within the reasonable time period established by rule by
             1926      the State Tax Commission, the State Tax Commission shall use an experience modification factor
             1927      of 2.00 and a safety factor of 2.00 to calculate the total calculated premium for purposes of
             1928      determining the assessment.
             1929          (iii) Prior to calculating the total calculated premium under Subsection (1)(h)(ii), the State
             1930      Tax Commission shall provide the employer with written notice that failure to obtain an
             1931      experience modification factor within a reasonable time period, as established by rule by the State
             1932      Tax Commission:
             1933          (A) shall result in the State Tax Commission using an experience modification factor of
             1934      2.00 and a safety factor of 2.00 in calculating the total calculated premium for purposes of
             1935      determining the assessment; and
             1936          (B) may result in the division revoking the employer's right to pay compensation direct.
             1937          (i) The division may immediately revoke an employer's certificate issued under Section
             1938      34A-2-201 that permits the employer to pay compensation direct if the State Tax Commission
             1939      assigns an experience modification factor and a safety factor under Subsection (1)(h) because the
             1940      employer failed to obtain an experience modification factor.
             1941          (2) Notwithstanding the annual payment requirement in Subsection (1)(a), an employer
             1942      whose total assessment obligation under Subsection (1)(a) for the preceding year was $10,000 or
             1943      more shall pay the assessment in quarterly installments in the same manner provided in Section
             1944      59-9-104 and subject to the same penalty provided in Section 59-9-104 for not paying or
             1945      underpaying an installment.
             1946          (3) (a) The State Tax Commission shall have access to all the records of the division for
             1947      the purpose of auditing and collecting any amounts described in this section.
             1948          (b) Time periods for the State Tax Commission to allow a refund or make an assessment
             1949      shall be determined in accordance with Section 59-9-106 .


             1950          (4) (a) A review of appropriate use of job class assignment and calculation methodology
             1951      may be conducted as directed by the division at any reasonable time as a condition of the
             1952      employer's certification of paying compensation direct.
             1953          (b) The State Tax Commission shall make any records necessary for the review available
             1954      to the commission.
             1955          (c) The commission shall make the results of any review available to the State Tax
             1956      Commission.
             1957          Section 46. Section 53-1-106 is amended to read:
             1958           53-1-106. Department duties -- Powers.
             1959          (1) In addition to the responsibilities contained in this title, the department shall:
             1960          (a) make rules and perform the functions specified in Title 41, Chapter 6, Traffic Rules
             1961      and Regulations, including:
             1962          (i) setting performance standards for towing companies to be used by the department, as
             1963      required by Section 41-6-102 ; and
             1964          (ii) advising the Department of Transportation regarding the safe design and operation of
             1965      school buses, as required by Section 41-6-115 ;
             1966          (b) make rules to establish and clarify standards pertaining to the curriculum and teaching
             1967      methods of a motor vehicle accident prevention course under Section [ 31A-19-210 ] 31A-19a-211 ;
             1968          (c) aid in enforcement efforts to combat drug trafficking using funds appropriated under
             1969      Section 58-37-20 ;
             1970          (d) as part of the annual budget hearings, provide the Executive Offices, Criminal Justice,
             1971      and Legislature Appropriations Subcommittee with a complete accounting of expenditures and
             1972      revenues from the funds under Section 58-37-20 ;
             1973          (e) meet with the Department of Administrative Services to formulate contracts, establish
             1974      priorities, and develop funding mechanisms for dispatch and telecommunications operations, as
             1975      required by Section 63A-6-107 ;
             1976          (f) provide assistance to the Crime Victims' Reparations Board and Reparations Office in
             1977      conducting research or monitoring victims' programs, as required by Section 63-25a-405 ;
             1978          (g) develop sexual assault exam protocol standards in conjunction with the Utah Hospital
             1979      Association, as required by Section 63-25a-409 ; and
             1980          (h) engage in emergency planning activities, including preparation of policy and procedure


             1981      and rulemaking necessary for implementation of the federal Emergency Planning and Community
             1982      Right to Know Act of 1986, as required by Section 63-5-5 .
             1983          (2) (a) The department may establish a schedule of fees as required or allowed in this title
             1984      for services provided by the department.
             1985          (b) The fees shall be established in accordance with Section 63-38-3.2 .
             1986          Section 47. Repealer.
             1987          This act repeals:
             1988          Section 31A-19-404, Rate standard.
             1989          Section 31A-19-405, Payment of dividends.
             1990          Section 31A-19-406, Rating criteria.
             1991          Section 31A-19-409, Excess rates.
             1992          Section 31A-19-410, Uniform experience rating plan.
             1993          Section 31A-19-411, Timing of rate disapproval.
             1994          Section 31A-19-412, Basis for rate disapproval.
             1995          Section 31A-19-413, Rate disapproval procedure.
             1996          Section 31A-19-415, Cooperation among rating organizations and insurers.
             1997          Section 31A-19-416, Rate service organization activities.
             1998          Section 31A-19-417, Rating organization committee membership.
             1999          Section 31A-19-420, Cooperation among rating organizations and insurers.




Legislative Review Note
    as of 1-27-99 5:22 PM


A limited legal review of this legislation raises no obvious constitutional or statutory concerns.

Office of Legislative Research and General Counsel


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