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S.B. 48 Enrolled

                 

INSURANCE CANCELLATION AND

                 
NONRENEWAL RESTRICTIONS

                 
2005 GENERAL SESSION

                 
STATE OF UTAH

                 
Chief Sponsor: Patrice M. Arent

                 
House Sponsor: Curtis Oda

                 
                  LONG TITLE
                  General Description:
                      This bill modifies the Insurance Code governing termination or nonrenewal of
                  insurance policies by insurers.
                  Highlighted Provisions:
                      This bill:
                      .    clarifies references to motor vehicle insurance;
                      .    prohibits cancellation or nonrenewal of certain insurance policies based solely upon:
                          .    a claim from an accident that is not the insured's fault for motor vehicle
                  insurance subject to certain conditions;
                          .    a single speeding ticket not in excess of ten miles per hour over the speed limit
                  for motor vehicle insurance subject to certain conditions; or
                          .    a claim due to damage from specified natural causes subject to certain
                  conditions; and
                      .    makes technical changes.
                  Monies Appropriated in this Bill:
                      None
                  Other Special Clauses:
                      None
                  Utah Code Sections Affected:
                  AMENDS:
                      31A-21-303, as last amended by Chapter 266, Laws of Utah 2004


                 
                  Be it enacted by the Legislature of the state of Utah:
                      Section 1. 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
                  termination.
                      (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] motor vehicle insurance, revocation or suspension of the
                  driver's license of:


                      (A) the named insured; or
                      (B) any other person who customarily drives the [car] motor vehicle.
                      (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)] (7) 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
                  Procedure.


                      (iv) A policy cancellation subject to this Subsection (2)(e) is not subject to the
                  procedures described in Subsection [(6)] (7).
                      (f) Cancellation under this Subsection (2) is subject to Subsection (5).
                      (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] Subsections (4)(c) and (5), 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.
                      (d) Failure to renew under this Subsection (4) is subject to Subsection (5).
                      (5) Notwithstanding Subsections (2) and (4), an insurer may not cancel or fail to renew
                  the following personal lines insurance policies solely on the basis of:
                      (a) in the case of a motor vehicle insurance policy:
                      (i) a claim from the insured that:
                      (A) results from an accident in which:
                      (I) the insured is not at fault; and
                      (II) the driver of the motor vehicle that is covered by the motor vehicle insurance policy
                  is 21 years of age or older; and
                      (B) is the only claim meeting the condition of Subsection (5)(a)(i)(A) within a 36-month
                  period;
                      (ii) a single traffic violation by an insured that:
                      (A) is a violation of a speed limit under Title 41, Chapter 6a, Traffic Code;
                      (B) is not in excess of ten miles per hour over the speed limit;
                      (C) is not a traffic violation under:
                      (I) Section 41-6a-601 ;
                      (II) Section 41-6a-604 ; or
                      (III) Section 41-6a-605 ;
                      (D) is not a violation by an insured driver who is younger than 21 years of age; and
                      (E) is the only violation meeting the conditions of Subsections (5)(a)(ii)(A) through (D)
                  within a 36-month period; or
                      (iii) a claim for damage that:
                      (A) results solely from:
                      (I) wind;


                      (II) hail;
                      (III) lightning; or
                      (IV) an earthquake;
                      (B) is not preventable by the exercise of reasonable care; and
                      (C) is the only claim meeting the conditions of Subsections (5)(a)(iii)(A) and (B) within
                  a 36-month period; and
                      (b) in the case of a homeowner's insurance policy, a claim by the insured that is for
                  damage that:
                      (i) results solely from:
                      (A) wind;
                      (B) hail; or
                      (C) lightning;
                      (ii) is not preventable by the exercise of reasonable care; and
                      (iii) is the only claim meeting the conditions of Subsections (5)(b)(i) and (ii) within a
                  36-month period.
                      [(5)] (6) (a) (i) Subject to Subsection [(5)] (6)(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)] (6)(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)] (6)(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


                  belongs;
                      (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)] (7) (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)] (8) 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)] (9) 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)] (10) This section does not alter any common law right of contract rescission for
                  material misrepresentation.


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