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H.B. 34
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8 LONG TITLE
9 General Description:
10 This bill modifies the Insurance Code to address reports and examinations.
11 Highlighted Provisions:
12 This bill:
13 . expands the purposes for which annual statement forms developed by the National
14 Association of Insurance Commissioners shall be used;
15 . modifies examination provisions;
16 . addresses market regulation surveillance;
17 . grants rulemaking authority;
18 . addresses cooperation with other states in conducting examinations;
19 . deletes requirement that the commissioner obtain and publish certain tables;
20 . adjusts reporting requirements of captive insurance companies; and
21 . makes technical changes.
22 Monies Appropriated in this Bill:
23 None
24 Other Special Clauses:
25 None
26 Utah Code Sections Affected:
27 AMENDS:
28 31A-2-202, as last amended by Chapter 185, Laws of Utah 1997
29 31A-2-203, as last amended by Chapter 293, Laws of Utah 1998
30 31A-2-204, as last amended by Chapter 308, Laws of Utah 2002
31 31A-2-212, as last amended by Chapter 265, Laws of Utah 1997
32 31A-27-315, as last amended by Chapter 308, Laws of Utah 2002
33 31A-37-501, as last amended by Chapter 312, Laws of Utah 2004
34 59-9-102, as last amended by Chapter 289, Laws of Utah 2005
35
36 Be it enacted by the Legislature of the state of Utah:
37 Section 1. Section 31A-2-202 is amended to read:
38 31A-2-202. Reports and replies.
39 (1) When relevant, either directly or indirectly, to the performance of the
40 commissioner's duties under [
41 from any person subject to regulation under this title:
42 (a) [
43
44 designates[
45 (i) a statement;
46 (ii) a report;
47 (iii) an answer to a questionnaire;
48 (iv) other information; and
49 (v) evidence of the information described in Subsections (1)(a)(i) through (iv);
50 (b) full explanation of the programming of any data storage or communication system
51 in use;
52 (c) information from books, records, electronic data processing systems, computers, or
53 any other information storage system be made available to the department[
54 (i) at any reasonable time; and
55 (ii) in any reasonable manner; and
56 (d) timely delivery to the National Association of Insurance Commissioners or other
57 entity [
58 prepared for and submitted to the [
59 commissioner.
60 (2) (a) [
61 (i) prescribe forms for the [
62 (ii) specify who shall execute or certify the [
63 (b) The forms prescribed under this Subsection (2) shall be consistent, to the extent
64 practicable, with those prescribed by other jurisdictions. [
65 (c) The commissioner shall use the annual statement forms developed by the National
66 Association of Insurance Commissioners[
67 (i) basic financial data; and
68 (ii) market regulation analysis.
69 (3) (a) [
70 prescribe reasonable minimum standards and techniques of accounting and data handling to
71 ensure that timely and reliable information exists and can be made available.
72 (b) The standards and techniques prescribed under this Subsection (3) shall be
73 consistent, to the extent practicable, with those prescribed by other states.
74 (4) (a) [
75
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77 Subsection (4)(b) shall reply promptly in writing or in other designated form to a reasonable
78 written inquiry from the commissioner.
79 (b) This Subsection (4) applies to any person with executive authority over or in charge
80 of any segment of the affairs of:
81 (i) an insurer authorized to do or doing an insurance business in this state;
82 (ii) the affiliate of an insurer authorized to do or doing an insurance business in this
83 state; and
84 (iii) any other person licensed under this title.
85 (5) The commissioner may:
86 (a) require that any communication made under this section be verified[
87 (b) specify by whom [
88 (6) All information submitted to the commissioner shall be accurate and complete.
89 (7) In the absence of actual malice, no communication to the commissioner required by
90 law or by the commissioner subjects the person making it to an action for damages for
91 defamation.
92 Section 2. Section 31A-2-203 is amended to read:
93 31A-2-203. Examinations and alternatives.
94 (1) (a) Whenever the commissioner considers it necessary in order to inform [
95 the commissioner about any matter related to the enforcement of this title, the commissioner
96 may examine the affairs and condition of:
97 (i) a licensee under this title;
98 (ii) an applicant for a license under this title;
99 (iii) a person or organization of persons doing or in process of organizing to do an
100 insurance business in this state; or
101 (iv) a person who is not, but should be, licensed under this title.
102 (b) When reasonably necessary for an examination under Subsection (1)(a), the
103 commissioner may examine:
104 (i) so far as they relate to the examinee, the accounts, records, documents, or evidences
105 of transactions of:
106 (A) the insurer or other licensee[
107 (B) any officer or other person who has executive authority over or is in charge of any
108 segment of the examinee's affairs[
109 (C) any affiliate of the examinee[
110 (ii) any third party model or product used by the examinee.
111 (c) (i) On demand, each examinee under Subsection (1)(a) shall make available to the
112 commissioner for examination:
113 (A) any of [
114 transactions; and[
115 (B) to the extent reasonably necessary for an examination, [
116 records, files, documents, or evidences of transactions of any persons under Subsection (1)(b).
117 [
118 (ii) Except as provided in Subsection (1)(c)(iii), failure to make [
119 described in Subsection (1)(c)(i) available is concealment of records under Subsection
120 31A-27-307 (7). [
121 (iii) If the examinee is unable to obtain accounts, records, files, documents, or
122 evidences of transactions from persons under Subsection (1)(b), that failure is not concealment
123 of records if the examinee immediately terminates the relationship with the other person.
124 (d) (i) Neither the commissioner nor an examiner may remove any account, record, file,
125 document, evidence of transaction, or other property of the examinee from the examinee's
126 offices unless:
127 (A) the examinee consents in writing; or
128 (B) a court grants permission.
129 (ii) The commissioner may[
130 following described in Subsection (1)(d)(i):
131 (A) an account[
132 (B) a record[
133 (C) a file[
134 (D) a document[
135 (E) evidence of transaction[
136 (F) other property.
137 (2) (a) [
138 examine as needed and as otherwise provided by law:
139 (i) every insurer, both domestic and nondomestic[
140 (ii) every licensed rate service organization[
141
142 (iii) any other licensee.
143 (b) The commissioner shall examine insurers, both domestic and nondomestic, no less
144 frequently than once every five years, but the commissioner may use [
145 under Subsection (4) to satisfy this requirement.
146 [
147 license of a rate service organization that has not been examined, or submitted an acceptable
148 [
149 [
150 domestic insurer may by verified petition demand a hearing under Section 31A-2-301 to
151 determine whether the commissioner should conduct an unscheduled examination of the
152 insurer.
153 (ii) Persons demanding the hearing under this Subsection (2)(d) shall be given an
154 opportunity in the hearing to present evidence that an examination of the insurer is necessary.
155 (iii) If the evidence justifies an examination, the commissioner shall order [
156 examination.
157 [
158 commissioner examine the insurer, the commissioner shall examine the insurer as soon as
159 reasonably possible.
160 (ii) If the [
161 within two years after completion of a comprehensive examination by the commissioner, costs
162 of the requested examination may not be deducted from premium taxes under Section 59-9-102
163 unless the commissioner's order specifically provides for the deduction.
164 [
165 from:
166 (i) the five-year examination requirement in Subsection (2)[
167 (ii) the revocation under Subsection (2)[
168 (iii) Subsections (2)[
169 (3) (a) [
170
171 technical experts, including certified public accountants and actuaries[
172 (i) in lieu of all or part of an examination under Subsection (1) or (2); or
173 (ii) in addition to an examination under Subsection (1) or (2).
174 (b) Any audit or evaluation under this Subsection (3) is subject to Subsection (5),
175 Section 31A-2-204 , and Subsection 31A-2-205 (4).
176 (4) (a) In lieu of all or any part of an examination under this section, the commissioner
177 may accept the report of an examination made by:
178 (i) the insurance department of another state[
179 (ii) another government agency in:
180 (A) this state[
181 (B) the federal government[
182 (C) another state.
183 (b) An examination by the commissioner under Subsection (1) or (2) or accepted by the
184 commissioner under Subsection (4) may use:
185 (i) an audit already made by a certified public accountant; or
186 (ii) an actuarial evaluation made by an actuary approved by the commissioner.
187 (5) (a) An examination may be comprehensive or limited with respect to the
188 examinee's affairs and condition. The commissioner shall determine the nature and scope of
189 each examination, taking into account all relevant factors, including:
190 (i) the length of time the examinee has been licensed in this state;
191 (ii) the nature of the business being examined;
192 (iii) the nature of the accounting or other records available; [
193 (iv) reports from:
194 (A) independent auditors; and
195 (B) self-certification entities; and
196 [
197 (b) The examination of an alien insurer shall be limited to insurance transactions and
198 assets in the United States, unless the commissioner orders otherwise after finding that
199 extraordinary circumstances necessitate a broader examination.
200 (6) To effectively administer this section, the commissioner:
201 (a) shall:
202 [
203 [
204 (A) financial and market analysis; and
205 (B) review of insurance regulatory information system reports;
206 [
207 licensees most in need of examination; and
208 [
209 Financial Condition Examination Handbook of the National Association of Insurance
210 Commissioners[
211 (b) in accordance with Title 63, Chapter 46a, Utah Administrative Rulemaking Act,
212 may make rules pertaining to the financial condition and market regulation surveillance
213 systems.
214 Section 3. Section 31A-2-204 is amended to read:
215 31A-2-204. Conducting examinations.
216 (1) (a) For each examination under Section 31A-2-203 , the commissioner shall issue an
217 order:
218 (i) stating the scope of the examination; and
219 (ii) designating the examiner in charge.
220 (b) The commissioner need not give advance notice of an examination to an examinee.
221 (c) The examiner in charge shall give the examinee a copy of the order issued under
222 this Subsection (1).
223 (d) (i) The commissioner may alter the scope or nature of an examination at any time
224 without advance notice to the examinee.
225 (ii) If the commissioner amends an order described in this Subsection (1), the
226 commissioner shall provide a copy of any amended order to the examinee.
227 (e) Statements in the commissioner's examination order concerning examination scope
228 are for the examiner's guidance only.
229 (f) Examining relevant matters not mentioned in an order issued under this Subsection
230 (1) is not a violation of this title.
231 (2) The commissioner shall, whenever practicable, cooperate with the insurance
232 regulators of other states by conducting joint examinations of:
233 (a) multistate insurers doing business in this state[
234 (b) other multistate licensees doing business in this state.
235 (3) An examiner authorized by the commissioner shall, when necessary to the purposes
236 of the examination, have access at all reasonable hours to the premises and to any books,
237 records, files, securities, documents, or property of:
238 (a) the examinee; and
239 (b) any of the following if the premises, books, records, files, securities, documents, or
240 property relate to the affairs of the examinee:
241 (i) an officer of the examinee;
242 (ii) any other person who:
243 (A) has executive authority over the examinee; or
244 (B) is in charge of any segment of the examinee's affairs; or
245 (iii) any affiliate of the examinee under Subsection 31A-2-203 (1)(b).
246 (4) (a) The officers, employees, and agents of the examinee and of persons under
247 Subsection 31A-2-203 (1)(b) shall comply with every reasonable request of the examiners for
248 assistance in any matter relating to the examination.
249 (b) A person may not obstruct or interfere with the examination except by legal
250 process.
251 (5) If the commissioner finds the accounts or records to be inadequate for proper
252 examination of the condition and affairs of the examinee or improperly kept or posted, the
253 commissioner may employ experts to rewrite, post, or balance the accounts or records at the
254 expense of the examinee.
255 (6) (a) The examiner in charge of an examination shall make a report of the
256 examination no later than 60 days after the completion of the examination that shall include:
257 (i) the information and analysis ordered under Subsection (1); and
258 (ii) the examiner's recommendations.
259 (b) At the option of the examiner in charge, preparation of the report may include
260 conferences with the examinee or representatives of the examinee.
261 (c) The report is confidential until the report becomes a public document under
262 Subsection (7), except the commissioner may use information from the report as a basis for
263 action under Chapter 27, Insurers Rehabilitation and Liquidation.
264 (7) (a) The commissioner shall serve a copy of the examination report described in
265 Subsection (6) upon the examinee.
266 (b) Within 20 days after service, the examinee shall:
267 (i) accept the examination report as written; or
268 (ii) request agency action to modify the examination report.
269 (c) The report is considered accepted under this Subsection (7) if the examinee does
270 not file a request for agency action to modify the report within 20 days after service of the
271 report.
272 (d) If the examination report is accepted:
273 (i) the examination report immediately becomes a public document; and
274 (ii) the commissioner shall distribute the examination report to all jurisdictions in
275 which the examinee is authorized to do business.
276 (e) (i) Any adjudicative proceeding held as a result of the examinee's request for
277 agency action shall, upon the examinee's demand, be closed to the public, except that the
278 commissioner need not exclude any participating examiner from this closed hearing.
279 (ii) Within 20 days after the hearing held under this Subsection (7)(e), the
280 commissioner shall:
281 (A) adopt the examination report with any necessary modifications; and
282 (B) serve a copy of the adopted report upon the examinee.
283 (iii) Unless the examinee seeks judicial relief, the adopted examination report:
284 (A) shall become a public document ten days after service; and
285 (B) may be distributed as described in this section.
286 (f) Notwithstanding Title 63, Chapter 46b, Administrative Procedures Act, to the
287 extent that this section is in conflict with Title 63, Chapter 46b, this section governs:
288 (i) a request for agency action under this section; or
289 (ii) adjudicative proceeding under this section.
290 (8) The examinee shall promptly furnish copies of the adopted examination report
291 described in Subsection (7) to each member of the examinee's board.
292 (9) After an examination report becomes a public document under Subsection (7), the
293 commissioner may furnish, without cost or at a reasonable price set under Section 31A-3-103 ,
294 a copy of the examination report to interested persons, including:
295 (a) a member of the board of the examinee; or
296 (b) one or more newspapers in this state.
297 (10) (a) In a proceeding by or against the examinee, or any officer or agent of the
298 examinee, the examination report as adopted by the commissioner is admissible as evidence of
299 the facts stated in the report.
300 (b) In any proceeding commenced under Chapter 27, Insurers Rehabilitation and
301 Liquidation, the examination report, whether adopted by the commissioner or not, is admissible
302 as evidence of the facts stated in the examination report.
303 Section 4. Section 31A-2-212 is amended to read:
304 31A-2-212. Miscellaneous duties.
305 (1) Upon issuance of any order limiting, suspending, or revoking an insurer's authority
306 to do business in Utah, and on institution of any proceedings against the insurer under Chapter
307 27, Insurers Rehabilitation and Liquidation, the commissioner:
308 (a) shall notify by mail all agents of the insurer of whom the commissioner has record[
309
310 (b) may publish notice of the order or proceeding in any manner [
311 commissioner considers necessary to protect the rights of the public.
312 (2) When required for evidence in any legal proceeding, the commissioner shall furnish
313 a certificate of the authority of any licensee to transact insurance business in Utah on any
314 particular date. The court or other officer shall receive the certificate of authority in lieu of the
315 commissioner's testimony.
316 [
317
318
319 [
320 commissioner shall [
321 any designated public officer in this state who requires that certificate of authority before
322 accepting a bond. [
323 (b) The public officer described in Subsection (3)(a) shall file the certificate of
324 authority furnished under Subsection (3)(a).
325 (c) After a certified copy of a certificate of authority has been furnished to a public
326 officer, it is not necessary, while the certificate of authority remains effective, to attach a copy
327 of it to any instrument of suretyship filed with that public officer.
328 (d) Whenever the commissioner revokes the certificate of authority or starts
329 proceedings under Chapter 27, Insurers Rehabilitation and Liquidation, against any insurer
330 authorized to do a surety business, the commissioner shall immediately give notice of that
331 action to each public officer who was sent a certified copy under this Subsection (3).
332 [
333 of all courts of record in the state when:
334 (i) an authorized insurer doing a surety business [
335 (A) files a petition for receivership[
336 (B) is in receivership[
337 (ii) the commissioner has reason to believe that the [
338 surety business:
339 (A) is in financial difficulty[
340 (B) has unreasonably failed to carry out any of its contracts[
341
342 (b) Upon the receipt of the notice required by this Subsection (4) it is the duty of the
343 judges and clerks to notify and require every person that has filed with the court a bond on
344 which the [
345 new bond with a new surety.
346 [
347 health insurance coverage in this state to comply with the Health Insurance Portability and
348 Accountability Act, P.L. 104-191, pursuant to 110 Stat. 1968, Sec. 2722.
349 Section 5. Section 31A-27-315 is amended to read:
350 31A-27-315. Notice to creditors and others.
351 (1) (a) The liquidator shall give notice of the liquidation order as soon as possible:
352 (i) by first-class mail and electronic communication to the insurance commissioner of
353 each jurisdiction in which the insurer is doing business;
354 (ii) by first-class mail and electronic communication to any guaranty fund or
355 association that may become obligated as a result of the liquidation;
356 (iii) by first-class mail to all insurance agents, brokers, and reinsurers doing business
357 with the insurer;
358 (iv) by first-class mail to the persons designated in Subsection 31A-2-212 [
359 the insurer does a surety business;
360 (v) by first-class mail to the last known address of all persons known or reasonably
361 expected from the insurer's records to have claims against the insurer, including all
362 policyholders; and
363 (vi) unless the court orders otherwise, by publication under Section 31A-2-303 , with
364 the last publication being not less than three months before the earliest deadline specified in the
365 notice under Subsection (2).
366 (b) Notice to policyholders shall include:
367 (i) notice of impairment and termination of coverage under Section 31A-27-311 ; and
368 (ii) when applicable:
369 (A) notice of withdrawal of the insurer from the defense of any case in which the
370 insured is interested; and
371 (B) information about the existence of any:
372 (I) applicable assigned risk plans or residual market facilities; or
373 (II) guaranty funds under Chapter 28, Guaranty Associations, or similar laws of another
374 state.
375 (c) (i) Within 45 days of the date of entry of the liquidation order, the liquidator shall
376 report to the court what notice has been given.
377 (ii) The court may order notice in addition to the notice required by this Subsection (1)
378 that the court considers appropriate.
379 (2) (a) Notice to potential claimants under Subsection (1) shall require claimants to file
380 with the liquidator on or before a date the liquidator specifies in the notice:
381 (i) the claimants' claims; and
382 (ii) proper proofs under Section 31A-27-329 .
383 (b) The liquidator need not require the following to file a claim:
384 (i) a person claiming unearned premium; or
385 (ii) a person claiming cash surrender values or other investment values in life insurance
386 and annuities.
387 (c) The liquidator may specify different dates for filing the different kinds of claims.
388 (3) If notice is given in accordance with this section, the distribution of the assets of the
389 insurer under this chapter is conclusive with respect to all claimants, whether or not the
390 claimants received actual notice.
391 Section 6. Section 31A-37-501 is amended to read:
392 31A-37-501. Reports to commissioner.
393 (1) A captive insurance company is not required to make any report except those
394 provided in this chapter.
395 (2) (a) Before March 1 of each year, a captive insurance company shall submit to the
396 commissioner a report of the financial condition of the captive insurance company, verified by
397 oath of two of the executive officers of the captive insurance company.
398 (b) Except as provided in Sections 31A-37-204 and 31A-37-205 , a captive insurance
399 company shall report:
400 (i) unless the commissioner approves the use of statutory accounting principles, using
401 generally accepted accounting principles;
402 (ii) using any useful or necessary modifications or adaptations to accounting principles
403 required, approved, or accepted by the commissioner for the type of insurance and kinds of
404 insurers to be reported upon; and
405 (iii) any supplemental or additional information required by the commissioner.
406 (c) Except as otherwise provided:
407 (i) an association captive insurance company and an industrial insured group shall file
408 the report required by Section 31A-4-113 ; and
409 (ii) each industrial insured group shall comply with Section 31A-4-113.5 .
410 (3) (a) A pure captive insurance company may make written application to file the
411 required report on a fiscal year end that is consistent with the fiscal year of the parent company
412 of the pure captive insurance company.
413 (b) If the commissioner grants an alternative reporting date for a pure captive insurance
414 company requested under Subsection (3)(a)[
415 fiscal year end[
416 [
417
418
419 (4) (a) Sixty days after the fiscal year end, a branch captive insurance company shall
420 file with the commissioner a copy of all reports and statements required to be filed under the
421 laws of the jurisdiction in which the alien captive insurance company is formed, verified by
422 oath by two of its executive officers.
423 (b) If the commissioner is satisfied that the annual report filed by the alien captive
424 insurance company in the jurisdiction in which the alien captive insurance company is formed
425 provides adequate information concerning the financial condition of the alien captive insurance
426 company, the commissioner may waive the requirement for completion of the annual statement
427 required for a captive insurance company under this section with respect to business written in
428 the alien jurisdiction.
429 (c) A waiver by the commissioner under Subsection (4)(b) shall be:
430 (i) in writing; and
431 (ii) subject to public inspection.
432 Section 7. Section 59-9-102 is amended to read:
433 59-9-102. Offsets.
434 (1) If any authorized insurer doing business in this state during the tax year pays a
435 property tax in this state, the insurer may deduct from the tax provided under this chapter that
436 portion of the property tax paid for general state purposes.
437 (2) Any domestic insurance company paying a fee for examination under Section
438 31A-2-205 may deduct from the tax provided under this chapter the amount of the examination
439 fee paid, subject to the limitations of Subsection 31A-2-203 (2)[
440 (3) There is offset against the taxes imposed under Section 59-9-101 the amount of any
441 assessments paid by an insurance company under the guaranty associations established under
442 Title 31A, Chapter 28, in the manner provided by Sections 31A-28-113 and 31A-28-212 .
443 (4) There is an offset provided in Section 59-9-102.5 against the premium assessment
444 imposed under Subsection 59-9-101 (2) against an admitted insurer writing workers'
445 compensation insurance in this state.
446 (5) The state has no liability to insurers for any amount by which offsets allowed under
447 this section exceed the insurer's premium tax liability.
Legislative Review Note
as of 11-9-05 2:46 PM
Based on a limited legal review, this legislation has not been determined to have a high
probability of being held unconstitutional.
Office of Legislative Research and General Counsel
Interim Committee Note
as of 12-21-05 2:08 PM
The Business and Labor Interim Committee recommended this bill.
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