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H.B. 195 Enrolled





Sponsor: James A. Dunnigan

                  LONG TITLE
                  General Description:
                      This bill modifies various provisions related to the Insurance Code.
                  Highlighted Provisions:
                      This bill:
                      .    addresses general powers and duties of the commissioner;
                      .    requires insurers to pay taxes required by Title 59, Revenue and Taxation, to the
                  State Tax Commission;
                      .    corrects citations;
                      .    increases from three to five years the amount of time that insurers must maintain
                  certain records;
                      .    addresses termination of insurance policies by insurers;
                      .    addresses reporting requirements;
                      .    addresses unfair marketing practices;
                      .    extends the sunset date for comparison tables;
                      .    repeals a provision related to transitioning prior licensees; and
                      .    makes technical changes.
                  Monies Appropriated in this Bill:
                  Other Special Clauses:
                  Utah Code Sections Affected:
                      31A-2-201, as last amended by Chapter 108, Laws of Utah 2004

                      31A-5-211, as last amended by Chapter 116, Laws of Utah 2001
                      31A-8-201, as enacted by Chapter 204, Laws of Utah 1986
                      31A-8-301, as last amended by Chapter 90, Laws of Utah 2004
                      31A-21-201, as last amended by Chapter 252, Laws of Utah 2003
                      31A-21-303, as last amended by Chapter 266, Laws of Utah 2004
                      31A-22-633, as enacted by Chapter 1, Laws of Utah 2002
                      31A-23a-402, as renumbered and amended by Chapter 298, Laws of Utah 2003
                      63-55-231, as last amended by Chapter 254, Laws of Utah 2003
                      31A-3-205, Utah Code Annotated 1953
                      31A-8-302, as enacted by Chapter 204, Laws of Utah 1986
                  Be it enacted by the Legislature of the state of Utah:
                      Section 1. Section 31A-2-201 is amended to read:
                       31A-2-201. General duties and powers.
                      (1) The commissioner shall administer and enforce this title.
                      (2) The commissioner has all powers specifically granted, and all further powers that are
                  reasonable and necessary to enable [him] the commissioner to perform the duties imposed by this
                      (3) (a) The commissioner may make rules to implement the provisions of this title
                  according to the procedures and requirements of Title 63, Chapter 46a, Utah Administrative
                  Rulemaking Act.
                      (b) In addition to the notice requirements of Section 63-46a-4 , the commissioner shall
                  provide notice under Section 31A-2-303 of hearings concerning insurance department rules.
                      (4) (a) The commissioner shall issue prohibitory, mandatory, and other orders as
                  necessary to secure compliance with this title. An order by the commissioner is not effective
                  unless the order:

                      (i) is in writing; and
                      (ii) is signed by the commissioner or under the commissioner's authority.
                      (b) On request of any person who would be affected by an order under Subsection (4)(a),
                  the commissioner may issue a declaratory order to clarify the person's rights or duties.
                      (5) (a) The commissioner may hold informal adjudicative proceedings and public
                  meetings, for the purpose of:
                      (i) investigation[,];
                      (ii) ascertainment of public sentiment[,]; or
                      (iii) informing the public.
                      (b) [No] An effective rule or order may not result from informal hearings and meetings
                  unless the requirement of a hearing under [Section 31A-2-301 ] this section is satisfied.
                      (6) The commissioner shall inquire into violations of this title and may conduct any
                  examinations and investigations of insurance matters, in addition to examinations and
                  investigations expressly authorized, that [he] the commissioner considers proper to determine:
                      (a) whether or not any person has violated any provision of this title; or
                      (b) to secure information useful in the lawful administration of [any provision of] this
                      (7) (a) Each year, the commissioner shall:
                      (i) conduct an evaluation of the state's health insurance market;
                      (ii) report the findings of the evaluation to the Health and Human Services Interim
                  Committee before October 1; and
                      (iii) publish the findings of the evaluation [of] on the department website.
                      (b) The evaluation required by Subsection (7)(a) shall:
                      (i) analyze the effectiveness of the insurance regulations and statutes in promoting a
                  healthy, competitive health insurance market that meets the needs of Utahns by assessing such
                  things as:
                      (A) the availability and marketing of individual and group products[,];
                      (B) rate charges[,];

                      (C) coverage and demographic changes[,];
                      (D) benefit trends[,];
                      (E) market share changes[,]; and
                      (F) accessibility;
                      (ii) assess complaint ratios and trends within the health insurance market, which
                  assessment shall integrate complaint data from the Office of Consumer Health Assistance within
                  the department;
                      (iii) contain recommendations for action to improve the overall effectiveness of the
                  health insurance market, administrative rules, and statutes; and
                      (iv) include claims loss ratio data for each insurance company doing business in the state.
                      (c) When preparing the evaluation required by this [section] Subsection (7), the
                  commissioner may seek the input of insurers, employers, insured persons, providers, and others
                  with an interest in the health insurance market.
                      Section 2. Section 31A-3-205 is enacted to read:
                      31A-3-205. Taxation of insurance companies.
                      An admitted insurer shall pay to the State Tax Commission taxes imposed on the
                  admitted insurer by Title 59, Revenue and Taxation.
                      Section 3. Section 31A-5-211 is amended to read:
                       31A-5-211. Minimum capital or permanent surplus requirements.
                      (1) (a) Except as provided in Subsections (4) and (5), insurers being organized or
                  operating under this chapter shall maintain minimum capital or permanent surplus for a mutual,
                  in amounts specified in Subsection (2).
                      (b) The certificate of authority issued under Section 31A-5-212 does not permit an
                  insurer to transact types of insurance for which the insurer does not have the required minimum
                  capital or permanent surplus for a mutual, in at least the amounts specified under Subsection (2).
                      (c) [The types of insurance under this section are defined in Section 31A-1-301 .]
                  Minimum capital and permanent surplus requirements under this section are based upon all types
                  of insurance transacted by the insurer in any and all areas which it operates, whether or not only a

                  portion of those types of insurance is or is to be transacted in this state.
                      (2) The minimum capital, or permanent surplus for a nonassessable mutual, is as follows
                  for the indicated types of insurance:
                      (a) life, annuity, accident and health, or any combination of these

                      (b) subject to an aggregate maximum of $1,000,000 for more than one of the following
                  types of coverages:
                      (i) property insurance

                      (ii) surety insurance

                      (iii) bail bonds insurance only

                      (iv) marine and transportation insurance

                      (v) vehicle liability insurance, residential dwelling liability insurance,
                          or both

                      (vi) liability insurance

                      (vii) workers' compensation insurance

                      (c) title insurance

                      (d) professional liability insurance, excluding medical malpractice

                      (e) professional liability, including medical malpractice

                      (f) all types of insurance, except life, annuity, or title

                      (3) Prior to beginning operations, an insurer licensed under this chapter shall have total
                  adjusted capital in excess of the company action level RBC as defined in Subsection
                  31A-17-601 (8)(b).
                      (4) (a) Subject to Subsections (4)(b) and (4)(c), an insurer holding a valid certificate of
                  authority to transact insurance in this state prior to July 1, 1986, continues to be authorized to
                  transact the same kinds of insurance as permitted by that certificate of authority, if the insurer
                  maintains not less than the amount of minimum capital or permanent surplus required for that
                  authority under the laws of this state in force immediately prior to July 1, 1986.
                      (b) If, after July 1, 1986, an insurer ever has minimum capital or permanent surplus that
                  meets or exceeds the requirements of Subsections (2) and (3), then Subsection (4)(a) is

                  inapplicable to that insurer and it shall comply with Subsections (2) and (3).
                      (c) Any insurer satisfying the minimum capital or permanent surplus requirement
                  through application of Subsection (4)(a) shall comply with Subsections (2) and (3) by July 1,
                      (d) Beginning July 1, 1987, former county mutuals shall comply with the capital and
                  surplus requirements of this section.
                      (5) (a) (i) An assessable mutual may be organized under this chapter, but it may not issue
                  life insurance or annuities.
                      (ii) An assessable mutual need not have a permanent surplus if the assessment liability of
                  its policyholders is unlimited and all insurance policies clearly state that.
                      (iii) If assessments are limited to a specified amount or a specified multiple of annual
                  advance premiums, the minimum permanent surplus is the amount that would be required under
                  Subsections (2) and (3) if the corporation were not assessable, reduced by an amount that
                  reasonably reflects the value of the policyholders' assessment liability in satisfying the financial
                  needs of the corporation.
                      (iv) The liability of members in an assessable mutual is joint and several up to the limits
                  provided by:
                      (A) the articles of incorporation of the assessable mutual; or
                      (B) this title.
                      (b) (i) Except as provided in Subsections (5)(c) and (d), [no] a certificate of authority
                  may not be issued to an assessable mutual until it has at least 400 bona fide applications for
                  insurance from not less than 400 separate applicants, on separate risks located in this state, in
                  each of the classes of business upon which assessments may be separately levied. A full year's
                  premium shall be paid with each application and the aggregate premium is at least $50,000 for
                  each class.
                      (ii) If at any time while the corporation is an assessable mutual, the business plan is
                  amended to include an additional class of business on which assessments may be separately
                  levied, identical requirements of Subsection (5)(b)(i) are applicable to each additional class.

                      (c) Five or more employers may join in the formation of an assessable mutual to write
                  only workers' compensation insurance if, instead of the requirements of Subsection (5)(b),
                  policies are simultaneously put into effect that cover at least 1,500 employees, with no single
                  employer having more than 1/5 of the employees insured by the assessable mutual. A full year's
                  premium shall be paid by each employer, aggregating at least $200,000.
                      (d) (i) The number and amount of required initial applications and premium payments
                  may be reduced by substituting surplus for the applications or premium payments.
                      (ii) The commissioner shall determine the reduction in required initial applications and
                  premium payments that is appropriate for a given amount of surplus.
                      (iii) The insurer shall continue to be assessable until conversion under Subsection
                  [ 31A-5-508 ] 31A-5-507 (1) to a nonassessable mutual.
                      (6) (a) The capital or permanent surplus requirements of Subsection (2) apply to persons
                  seeking certificates of authority under this chapter to write reinsurance.
                      (b) This Subsection (6) may not be construed as requiring reinsurers to obtain a
                  certificate of authority. [However,]
                      (c) Section 31A-17-404 imposes alternate safety prerequisites to reserve credit being
                  granted for reinsurance ceded to a reinsurer without a certificate of authority.
                      Section 4. Section 31A-8-201 is amended to read:
                       31A-8-201. Scope of part.
                      This part applies to all organizations doing business in this state[, including foreign
                  organizations subject to the transition provision provided in Section 31A-8-302 ].
                      Section 5. Section 31A-8-301 is amended to read:
                       31A-8-301. Requirements for doing business in state.
                      (1) [Except as provided in Section 31A-8-302 , only corporations] Only a corporation
                  incorporated and licensed under Part 2, Domestic Organizations, may do business in this state as
                  an organization.
                      (2) To do business in this state as an organization, foreign corporations doing a similar
                  business in other states shall incorporate a subsidiary and license if under Part 2, Domestic

                  Organizations, for its Utah business. Except as to Chapter 16, Insurance Holding Companies, the
                  laws applicable to domestic organizations apply only to the organization and not to its foreign
                  parent corporation.
                      Section 6. Section 31A-21-201 is amended to read:
                       31A-21-201. Filing of forms.
                      (1) (a) Except as exempted under Subsections 31A-21-101 (2) through (6), a form may
                  not be used, sold, or offered for sale unless the form has been filed with the commissioner.
                      (b) A form is considered filed with the commissioner when the commissioner receives:
                      (i) the form;
                      (ii) the applicable filing fee as prescribed under Section 31A-3-103 ; and
                      (iii) the applicable transmittal forms as required by the commissioner.
                      (2) In filing a form for use in this state the insurer is responsible for assuring that the
                  form is in compliance with this title and rules adopted by the commissioner.
                      (3) (a) The commissioner may prohibit the use of a form at any time upon a finding that:
                      (i) the form is:
                      (A) inequitable;
                      (B) unfairly discriminatory;
                      (C) misleading;
                      (D) deceptive;
                      (E) obscure;
                      (F) unfair;
                      (G) encourages misrepresentation; or
                      (H) not in the public interest;
                      (ii) the form provides benefits or contains other provisions that endanger the solidity of
                  the insurer;
                      (iii) in the case of the basic policy and the application for a basic policy, the basic policy
                  or application for the basic policy fails to conspicuously, as defined by rule, provide:
                      (A) the exact name of the insurer;

                      (B) the state of domicile of the insurer filing the basic policy or application for the basic
                  policy; and
                      (C) for life insurance and annuity policies only, the address of the administrative office
                  of the insurer filing the basic policy or application for the basic policy;
                      (iv) the form violates a statute or a rule adopted by the commissioner; or
                      (v) the form is otherwise contrary to law.
                      (b) Subsection (3)(a)(iii) does not apply to riders and endorsements to a basic policy.
                      (c) (i) Whenever the commissioner prohibits the use of a form under Subsection (3)(a),
                  the commissioner may order that, on or before a date not less than 15 days after the order, the use
                  of the form be discontinued.
                      (ii) Once a form has been prohibited, the form may not be used unless appropriate
                  changes are filed with and reviewed by the commissioner.
                      (iii) Whenever the commissioner prohibits the use of a form under Subsection (3)(a), the
                  commissioner may require the insurer to disclose contract deficiencies to existing policyholders.
                      (d) If the commissioner prohibits use of a form under this Subsection (3), the prohibition
                      (i) be in writing;
                      (ii) constitute an order; and
                      (iii) state the reasons for the prohibition.
                      (4) (a) If, after a hearing, the commissioner determines that it is in the public interest, the
                  commissioner may require by rule or order that certain forms be subject to the commissioner's
                  approval prior to their use.
                      (b) The rule or order described in Subsection (4)(a) shall prescribe the filing procedures
                  for the forms if the procedures are different than the procedures stated in this section.
                      (c) The types of forms that may be addressed under Subsection (4)(a) include:
                      (i) a form for a particular class of insurance;
                      (ii) a form for a specific line of insurance;
                      (iii) a specific type of form; or

                      (iv) a form for a specific market segment.
                      (5) (a) An insurer shall maintain a complete and accurate record of the following for the
                  time period described in Subsection (5)(b):
                      (i) any form:
                      (A) filed under this section for use; and
                      (B) that is in use; and
                      (ii) any document filed under this section with a form described in Subsection (5)(a)(i).
                      (b) The insurer shall maintain a record required under Subsection (5)(a) for the balance
                  of the current year, plus [three] five years from:
                      (i) the last day on which the form is used; or
                      (ii) the last day any policy that is issued using the form is in effect.
                      Section 7. Section 31A-21-303 is amended to read:
                       31A-21-303. Termination of insurance policies by insurers.
                      (1) (a) Except as otherwise provided in this section, in other statutes, or by rule under
                  Subsection (1)(c), this section applies to all policies of insurance [other than]:
                      (i) except for:
                      (A) life[,] insurance;
                      (B) accident and health insurance[,]; and
                      (C) annuities[,]; and
                      (ii) if the policies of insurance are issued on forms that are subject to filing [and
                  approval] under Subsection 31A-21-201 (1).
                      (b) A policy may provide terms more favorable to insureds than this section requires.
                      (c) The commissioner may by rule totally or partially exempt from this section classes of
                  insurance policies in which the insureds do not need protection against arbitrary or unannounced
                      (d) The rights provided by this section are in addition to and do not prejudice any other
                  rights the insureds may have at common law or under other statutes.
                      (2) (a) As used in this Subsection (2), "grounds" means:

                      (i) material misrepresentation;
                      (ii) substantial change in the risk assumed, unless the insurer should reasonably have
                  foreseen the change or contemplated the risk when entering into the contract;
                      (iii) substantial breaches of contractual duties, conditions, or warranties;
                      (iv) attainment of the age specified as the terminal age for coverage, in which case the
                  insurer may cancel by notice under Subsection (2)(c), accompanied by a tender of proportional
                  return of premium; or
                      (v) in the case of automobile insurance, revocation or suspension of the driver's license
                      (A) the named insured; or
                      (B) any other person who customarily drives the car.
                      (b) (i) Except as provided in Subsection (2)(e) or unless the conditions of Subsection
                  (2)(b)(ii) are met, an insurance policy may not be canceled by the insurer before the earlier of:
                      (A) the expiration of the agreed term; or
                      (B) one year from the effective date of the policy or renewal.
                      (ii) Notwithstanding Subsection (2)(b)(i), an insurance policy may be canceled by the
                  insurer for:
                      (A) nonpayment of a premium when due; or
                      (B) on grounds defined in Subsection (2)(a).
                      (c) (i) The cancellation provided by Subsection (2)(b), except cancellation for
                  nonpayment of premium, is effective no sooner than 30 days after the delivery or first-class
                  mailing of a written notice to the policyholder.
                      (ii) Cancellation for nonpayment of premium is effective no sooner than ten days after
                  delivery or first class mailing of a written notice to the policyholder.
                      (d) (i) Notice of cancellation for nonpayment of premium shall include a statement of the
                  reason for cancellation.
                      (ii) Subsection (6) applies to the notice required for grounds of cancellation other than
                  nonpayment of premium.

                      (e) (i) Subsections (2)(a) through (d) do not apply to any insurance contract that has not
                  been previously renewed if the contract has been in effect less than 60 days when the written
                  notice of cancellation is mailed or delivered.
                      (ii) A cancellation under this Subsection (2)(e) may not be effective until at least ten days
                  after the delivery to the insured of a written notice of cancellation.
                      (iii) If the notice required by this Subsection (2)(e) is sent by first-class mail, postage
                  prepaid, to the insured at the insured's last-known address, delivery is considered accomplished
                  after the passing, since the mailing date, of the mailing time specified in the Utah Rules of Civil
                      (iv) A policy cancellation subject to this Subsection (2)(e) is not subject to the
                  procedures described in Subsection (6).
                      (3) A policy may be issued for a term longer than one year or for an indefinite term if the
                  policy includes a clause providing for cancellation by the insurer by giving notice as provided in
                  Subsection (4)(b)(i) 30 days prior to any anniversary date.
                      (4) (a) Subject to Subsections (2), (3), and (4)(b), a policyholder has a right to have the
                  policy renewed:
                      (i) on the terms then being applied by the insurer to similar risks; and
                      (ii) (A) for an additional period of time equivalent to the expiring term if the agreed term
                  is one year or less; or
                      (B) for one year if the agreed term is longer than one year.
                      (b) Except as provided in Subsection (4)(c), the right to renewal under Subsection (4)(a)
                  is extinguished if:
                      (i) at least 30 days prior to the policy expiration or anniversary date a notice of intention
                  not to renew the policy beyond the agreed expiration or anniversary date is delivered or sent by
                  first-class mail by the insurer to the policyholder at the policyholder's last-known address;
                      (ii) not more than 45 nor less than 14 days prior to the due date of the renewal premium,
                  the insurer delivers or sends by first-class mail a notice to the policyholder at the policyholder's
                  last-known address, clearly stating:

                      (A) the renewal premium;
                      (B) how the renewal premium may be paid; and
                      (C) that failure to pay the renewal premium by the due date extinguishes the
                  policyholder's right to renewal;
                      (iii) the policyholder has:
                      (A) accepted replacement coverage; or
                      (B) requested or agreed to nonrenewal; or
                      (iv) the policy is expressly designated as nonrenewable.
                      (c) Unless the conditions of Subsection (4)(b)(iii) or (iv) apply, an insurer may not fail to
                  renew an insurance policy as a result of a telephone call or other inquiry that:
                      (i) references a policy coverage; and
                      (ii) does not result in the insured requesting payment of a claim.
                      (5) (a) (i) Subject to Subsection (5)(b), if the insurer offers or purports to renew the
                  policy, but on less favorable terms or at higher rates, the new terms or rates take effect on the
                  renewal date if the insurer delivered or sent by first-class mail to the policyholder notice of the
                  new terms or rates at least 30 days prior to the expiration date of the prior policy.
                      (ii) If the insurer did not give the prior notification described in Subsection (5)(a)(i) to
                  the policyholder, the new terms or rates do not take effect until 30 days after the notice is
                  delivered or sent by first-class mail, in which case the policyholder may elect to cancel the
                  renewal policy at any time during the 30-day period.
                      (iii) Return premiums or additional premium charges shall be calculated proportionately
                  on the basis that the old rates apply.
                      (b) Subsection (5)(a) does not apply if the only change in terms that is adverse to the
                  policyholder is:
                      (i) a rate increase generally applicable to the class of business to which the policy
                      (ii) a rate increase resulting from a classification change based on the altered nature or
                  extent of the risk insured against; or

                      (iii) a policy form change made to make the form consistent with Utah law.
                      (6) (a) If a notice of cancellation or nonrenewal under Subsection (2)(c) does not state
                  with reasonable precision the facts on which the insurer's decision is based, the insurer shall send
                  by first-class mail or deliver that information within ten working days after receipt of a written
                  request by the policyholder.
                      (b) A notice under Subsection (2)(c) is not effective unless it contains information about
                  the policyholder's right to make the request.
                      (7) If a risk-sharing plan under Section 31A-2-214 exists for the kind of coverage
                  provided by the insurance being cancelled or nonrenewed, a notice of cancellation or nonrenewal
                  required under Subsection (2)(c) or (4)(b)(i) may not be effective unless it contains instructions
                  to the policyholder for applying for insurance through the available risk-sharing plan.
                      (8) There is no liability on the part of, and no cause of action against, any insurer, its
                  authorized representatives, agents, employees, or any other person furnishing to the insurer
                  information relating to the reasons for cancellation or nonrenewal or for any statement made or
                  information given by them in complying or enabling the insurer to comply with this section
                  unless actual malice is proved by clear and convincing evidence.
                      (9) This section does not alter any common law right of contract rescission for material
                      Section 8. Section 31A-22-633 is amended to read:
                       31A-22-633. Exemptions from standards.
                      Notwithstanding the provisions of Title 31A, Insurance Code, any accident and health
                  insurer or health maintenance organization may offer a choice of coverage that is less or different
                  than is otherwise required by applicable state law if:
                      (1) the Department of Health offers a choice of coverage as part of a Medicaid waiver
                  under Title 26, Chapter 18, Medical Assistance Act, which includes:
                      (a) less or different coverage than the basic coverage;
                      (b) less or different coverage than is otherwise required in an insurance policy or health
                  maintenance organization contract under applicable state law; or

                      (c) less or different coverage than required by Subsection 31A-22-605 (4)(b); and
                      (2) the choice of coverage offered by the carrier:
                      (a) is the same or similar coverage as the coverage offered by the Department of Health
                  under Subsection (1);
                      (b) is offered to the same or similar population as the coverage offered by the
                  Department of Health under Subsection (1); and
                      (c) contains an explanation for each insured of coverage exclusions and limitations;
                      (3) the commissioner [as part of the requirements of Subsection 31A-2-201 (7),] and the
                  executive director of the Department of Health shall report to the Health and Human Services
                  Interim Committee prior to November 15 of each year concerning:
                      (a) the number of lives covered under any policy offered under the provisions of this
                  section or under the Medicaid waiver described in Subsection (1);
                      (b) the claims experienced under the policies or Medicaid programs described in
                  Subsection (3)(a);
                      (c) any cost shifting to the private sector for care not covered under the programs or
                  policies described in Subsection (3)(a); and
                      (d) efforts or agreements between the Department of Health, the commissioner, insurers
                  regulated under this chapter, and health care providers regarding combining publicly funded
                  coverage with private, employer-based coverage to increase benefits and health care coverage.
                      Section 9. Section 31A-23a-402 is amended to read:
                       31A-23a-402. Unfair marketing practices -- Communication -- Inducement --
                  Unfair Discrimination -- Coercion or intimidation -- Restriction on choice.
                      (1) (a) (i) Any of the following may not make or cause to be made any communication
                  that contains false or misleading information, relating to an insurance product or contract, any
                  insurer, or [other] any licensee under this title, including information that is false or misleading
                  because it is incomplete:
                      (A) a person who is or should be licensed under this title;
                      (B) an employee or producer of a person described in Subsection (1)(a)(i)(A);

                      (C) a person whose primary interest is as a competitor of a person licensed under this
                  title; and
                      (D) a person on behalf of any of the persons listed in this Subsection (1)(a)(i).
                      (ii) As used in this Subsection (1), "false or misleading information" includes:
                      (A) assuring the nonobligatory payment of future dividends or refunds of unused
                  premiums in any specific or approximate amounts, but reporting fully and accurately past
                  experience is not false or misleading information; and
                      (B) with intent to deceive a person examining it[,]:
                      (I) filing a report[,];
                      (II) making a false entry in a record[,]; or
                      (III) wilfully refraining from making a proper entry in a record.
                      (iii) A licensee under this title may not:
                      (A) use any business name, slogan, emblem, or related device that is misleading or likely
                  to cause the insurer or other licensee to be mistaken for another insurer or other licensee already
                  in business; or
                      (B) use any advertisement or other insurance promotional material that would cause a
                  reasonable person to mistakenly believe that a state or federal government agency:
                      (I) is responsible for the insurance sales activities of the person;
                      (II) stands behind the credit of the person;
                      (III) guarantees any returns on insurance products of or sold by the person; or
                      (IV) is a source of payment of any insurance obligation of or sold by the person.
                      (iv) A person who is not an insurer may not assume or use any name that deceptively
                  implies or suggests that it is an insurer.
                      (v) A person other than persons licensed as health maintenance organizations under
                  Chapter 8 may not use the term "Health Maintenance Organization" or "HMO" in referring to
                      (b) [If a ] A licensee's violation creates a rebuttable presumption that the violation was
                  also committed by the insurer if:

                      (i) the licensee under this title distributes cards or documents, exhibits a sign, or
                  publishes an advertisement that violates Subsection (1)(a), with reference to a particular insurer:
                      (A) that the licensee represents[,]; or
                      (B) for whom the licensee processes claims[,]; and [if]
                      (ii) the cards, documents, signs, or advertisements are supplied or approved by that
                  insurer[, the licensee's violation creates a rebuttable presumption that the violation was also
                  committed by the insurer].
                      (2) (a) (i) A licensee under this title, or an officer or employee of a licensee may not
                  induce any person to enter into or continue an insurance contract or to terminate an existing
                  insurance contract by offering benefits not specified in the policy to be issued or continued,
                  including premium or commission rebates.
                      (ii) An insurer may not make or knowingly allow any agreement of insurance that is not
                  clearly expressed in the policy to be issued or renewed.
                      (iii) This Subsection (2)(a) does not preclude:
                      (A) insurers from reducing premiums because of expense savings;
                      (B) the usual kinds of social courtesies not related to particular transactions; or
                      (C) an insurer from receiving premiums under an installment payment plan.
                      (b) A licensee under this title may not absorb the tax under Section 31A-3-301 .
                      (c) (i) A title insurer or producer or any officer or employee of either may not pay, allow,
                  give, or offer to pay, allow, or give, directly or indirectly, as an inducement to obtaining any title
                  insurance business[,]:
                      (A) any rebate, reduction, or abatement of any rate or charge made incident to the
                  issuance of the insurance[,];
                      (B) any special favor or advantage not generally available to others[,]; or
                      (C) any money or other consideration or material inducement.
                      (ii) "Charge made incident to the issuance of the insurance" includes escrow charges, and
                  any other services that are prescribed by the commissioner.
                      (iii) An insured or any other person connected, directly or indirectly, with the transaction,

                  including a mortgage lender, real estate broker, builder, attorney, or any officer, employee, or
                  agent of any of them, may not knowingly receive or accept, directly or indirectly, any benefit
                  referred to in Subsection (2)(c)(i).
                      (3) (a) An insurer may not unfairly discriminate among policyholders by charging
                  different premiums or by offering different terms of coverage, except on the basis of
                  classifications related to the nature and the degree of the risk covered or the expenses involved.
                      (b) Rates are not unfairly discriminatory if they are averaged broadly among persons
                  insured under a group, blanket, or franchise policy, and the terms of those policies are not
                  unfairly discriminatory merely because they are more favorable than in similar individual
                      (4) [A] (a) This Subsection (4) applies to:
                      (i) a person who is or should be licensed under this title[,];
                      (ii) an employee of that licensee or person who should be licensed[,];
                      (iii) a person whose primary interest is as a competitor of a person licensed under this
                  title[,]; and
                      (iv) one acting on behalf of any [of these persons,] person described in Subsections
                  (4)(a)(i) through (iii).
                      (b) A person described in Subsection (4)(a) may not commit or enter into any agreement
                  to participate in any act of boycott, coercion, or intimidation that:
                      [(a)] (i) tends to produce:
                      [(i)] (A) an unreasonable restraint of the business of insurance; or
                      [(ii)] (B) a monopoly in that business; or
                      [(b)] (ii) results in an applicant purchasing or replacing an insurance contract.
                      (5) (a) [A] (i) Subject to Subsection (5)(a)(ii), a person may not restrict in the choice of
                  an insurer or licensee under this chapter, another person who is required to pay for insurance as a
                  condition for the conclusion of a contract or other transaction or for the exercise of any right
                  under a contract. [The]
                      (ii) A person requiring [the] coverage may[, however,] reserve the right to disapprove the

                  insurer or the coverage selected on reasonable grounds.
                      (b) The form of corporate organization of an insurer authorized to do business in this
                  state is not a reasonable ground for disapproval, and the commissioner may by rule specify
                  additional grounds that are not reasonable. This Subsection (5) does not bar an insurer from
                  declining an application for insurance.
                      (6) A person may not make any charge other than insurance premiums and premium
                  financing charges for the protection of property or of a security interest in property, as a condition
                  for obtaining, renewing, or continuing the financing of a purchase of the property or the lending
                  of money on the security of an interest in the property.
                      (7) (a) A licensee under this title may not refuse or fail to return promptly all indicia of
                  agency to the principal on demand.
                      (b) A licensee whose license is suspended, limited, or revoked under Section 31A-2-308 ,
                  31A-23a-111 , or 31A-23a-112 may not refuse or fail to return the license to the commissioner on
                      (8) A person may not engage in any other unfair method of competition or any other
                  unfair or deceptive act or practice in the business of insurance, as defined by the commissioner
                  by rule, after a finding that they are misleading, deceptive, unfairly discriminatory, provide an
                  unfair inducement, or unreasonably restrain competition.
                      Section 10. Section 63-55-231 is amended to read:
                       63-55-231. Repeal dates, Title 31A.
                      (1) Section 31A-2-208.5 , Comparison tables, is repealed July 1, [2005] 2010.
                      (2) Section 31A-2-217 , Coordination with other states, is repealed July 1, 2013.
                      (3) Section 31A-3-104 , Electronic [Commerce Dedicated Fees] commerce dedicated
                  fees, is repealed July 1, 2006.
                      (4) Section 31A-22-315 , Motor [Vehicle Insurance Reporting] vehicle insurance
                  reporting, is repealed July 1, 2010.
                      (5) Section 31A-22-625 , Catastrophic [Coverage of Mental Health Conditions] coverage
                  of mental health conditions, is repealed July 1, 2011.

                      (6) Title 31A, Chapter 31, Insurance Fraud Act, is repealed July 1, 2007.
                      Section 11. Repealer.
                      This bill repeals:
                      Section 31A-8-302, Transition period for prior licensees.

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