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H.B. 40 Enrolled

             1     

UTAH LIFE AND HEALTH INSURANCE

             2     
GUARANTY ASSOCIATION AMENDMENTS

             3     
2010 GENERAL SESSION

             4     
STATE OF UTAH

             5     
Chief Sponsor: James A. Dunnigan

             6     
Senate Sponsor: Wayne L. Niederhauser

             7     
             8      LONG TITLE
             9      General Description:
             10          This bill modifies the Utah Life and Health Insurance Guaranty Association Act to
             11      make various amendments.
             12      Highlighted Provisions:
             13          This bill:
             14          .    addresses the coverage and limitations under the act;
             15          .    modifies definition provisions and terminology;
             16          .    directs the commissioner to appoint public members to the board of directors;
             17          .    addresses provisions related to the powers and duties under the act;
             18          .    adds additional requirements for a plan of operation;
             19          .    modifies reporting requirements of the commissioner;
             20          .    modifies time frames under the act; and
             21          .    makes technical and conforming amendments.
             22      Monies Appropriated in this Bill:
             23          None
             24      Other Special Clauses:
             25          None
             26      Utah Code Sections Affected:
             27      AMENDS:
             28          31A-28-103, as last amended by Laws of Utah 2001, Chapters 116 and 161
             29          31A-28-105, as last amended by Laws of Utah 2001, Chapter 161


             30          31A-28-107, as last amended by Laws of Utah 2001, Chapter 161
             31          31A-28-108, as last amended by Laws of Utah 2007, Chapter 309
             32          31A-28-109, as last amended by Laws of Utah 2001, Chapters 116 and 161
             33          31A-28-110, as last amended by Laws of Utah 2001, Chapter 161
             34          31A-28-111, as last amended by Laws of Utah 2001, Chapter 161
             35          31A-28-112, as last amended by Laws of Utah 2001, Chapter 161
             36          31A-28-114, as last amended by Laws of Utah 2008, Chapter 250
             37          31A-28-118, as repealed and reenacted by Laws of Utah 1991, Chapter 211
             38          31A-28-119, as last amended by Laws of Utah 2001, Chapter 161
             39          31A-28-120, as enacted by Laws of Utah 2001, Chapter 161
             40     
             41      Be it enacted by the Legislature of the state of Utah:
             42          Section 1. Section 31A-28-103 is amended to read:
             43           31A-28-103. Coverage and limitations.
             44          (1) (a) This part provides coverage for [the policies and contracts] a policy or contract
             45      specified in Subsection (2) to a person who is:
             46          (i) a beneficiary, assignee, or payee of a person covered by Subsection (1)(a)(ii)
             47      regardless of where that person resides, except for a nonresident certificate holder under a
             48      group policy or contract; or
             49          (ii) an owner of or a certificate holder under a policy or contract, other than an
             50      unallocated annuity contract or structured settlement annuity, if the owner or certificate holder
             51      is:
             52          (A) a resident of Utah; or
             53          (B) not a resident of Utah, but only if:
             54          (I) the insurer that issued the policy or contract is domiciled in this state;
             55          (II) the state in which the person resides has an association similar to the association
             56      created by this part; and
             57          (III) the person is not eligible for coverage by an association in any other state because


             58      the insurer was not licensed in the state at the time specified in the state's guaranty
             59      association's law.
             60          (b) For an unallocated annuity contract specified in Subsection (2):
             61          (i) [Subsections (1)(a)(i) and (ii) do] Subsection (1)(a) does not apply; and
             62          (ii) except as provided in Subsections (1)(d) and (1)(e), this part [shall provide]
             63      provides coverage for the unallocated annuity contract specified in Subsection (2) to a person
             64      who is:
             65          (A) the owner of the unallocated annuity contract if the contract is issued to or in
             66      connection with a specific benefit plan whose plan sponsor has its principal place of business
             67      in this state; and
             68          (B) an owner of an unallocated annuity contract issued to or in connection with a
             69      government lottery if the owner is a resident.
             70          (c) For a structured settlement annuity specified in Subsection (2):
             71          (i) [Subsections (1)(a)(i) and (ii) do] Subsection (1)(a) does not apply; and
             72          (ii) except as provided in Subsections (1)(d) and (1)(e), this part [shall provide]
             73      provides coverage for the structured settlement annuity specified in Subsection (2) to a person
             74      who is a payee under a structured settlement annuity, or beneficiary of a payee if the payee is
             75      deceased, if the payee:
             76          (A) is a resident, regardless of where the contract owner resides; or
             77          (B) is not a resident, but only if [the] one or more of the contract [owner] owners of
             78      the structured settlement annuity is a resident, or [the] no contract owner of the structured
             79      settlement annuity is [not] a resident, but:
             80          (I) the insurer that issued the structured settlement annuity is domiciled in this state;
             81          (II) the state in which the contract owner resides has an association similar to the
             82      association created by this part; and
             83          (III) the payee, beneficiary, or the contract owner is not eligible for coverage by the
             84      association of the state in which the payee or contract owner resides.
             85          (d) This part may not provide coverage for [the policies and contracts] a policy or


             86      contract specified in Subsection (2) to:
             87          (i) a person who is a payee or beneficiary of a contract owner resident of this state, if
             88      the payee or beneficiary is afforded any coverage by the association of another state; or
             89          (ii) a person covered under Subsection (1)(b), if any coverage is provided to the person
             90      by the association of another state.
             91          (e) (i) This part provides coverage for a policy or contract specified in Subsection (2)
             92      to a person who is a resident of this state and, in special circumstances, to a nonresident.
             93          (ii) To avoid duplicate coverage, if a person who would otherwise receive coverage
             94      under this part is provided coverage under the laws of any other state, the person may not be
             95      provided coverage under this part.
             96          (iii) In determining the application of this Subsection (1)(e) [in situations where] when
             97      a person could be covered by the association of more than one state, whether as an owner,
             98      payee, beneficiary, or assignee, this part shall be construed in conjunction with other state
             99      laws to result in coverage by only one association.
             100          (2) (a) (i) Except as limited by this part, this part provides coverage to [the persons] a
             101      person specified in Subsection (1) for:
             102          (A) a direct, nongroup life, accident and health, or annuity policy or contract;
             103          (B) a supplemental contract to a policy or contract described in Subsection
             104      (2)(a)(i)(A);
             105          (C) a certificate under a direct group policy or contract; and
             106          (D) an unallocated annuity contract issued by a member insurer.
             107          (ii) For purposes of Subsection (2)(a)(i), an annuity contract and a certificate under a
             108      group annuity contract includes:
             109          (A) a guaranteed investment contract;
             110          (B) a deposit administration contract;
             111          (C) an unallocated funding agreement;
             112          (D) an allocated funding agreement;
             113          [(D)] (E) a structured settlement annuity;


             114          [(E)] (F) an annuity issued to or in connection with a government lottery; and
             115          [(F)] (G) an immediate or deferred annuity contract.
             116          (b) This part does not provide coverage for:
             117          (i) a portion of a policy or contract:
             118          (A) not guaranteed by the insurer; or
             119          (B) under which the risk is borne by the policy or contract owner;
             120          (ii) a policy or contract of reinsurance, unless:
             121          (A) an assumption certificate is issued before the coverage date;
             122          (B) the assumption certificate required by Subsection (2)(b)(ii)(A) is in effect pursuant
             123      to the reinsurance policy or contract; and
             124          (C) the reinsurance contract is approved by the appropriate regulatory authorities; [or]
             125          (iii) a portion of a policy or contract to the extent that the rate of interest on which it is
             126      based or the interest rate, crediting rate, or similar factor determined by use of an index or
             127      other external reference stated in the policy or contract employed in calculating returns or
             128      changes in value, if the interest rate, crediting rate, or similar factor:
             129          (A) is not excluded from coverage by Subsection (2)(b)[(xii)](xi); [and]
             130          (B) averaged over the period of four years [prior to] before the date on which the
             131      association becomes obligated with respect to the policy or contract, exceeds a rate of interest
             132      determined by subtracting two percentage points from Moody's Corporate Bond Yield
             133      Average averaged:
             134          (I) for that same four-year period; or
             135          (II) for the corresponding lesser period if the policy or contract was issued less than
             136      four years before the association became obligated; and
             137          (C) exceeds the rate of interest determined by subtracting three percentage points from
             138      Moody's Corporate Bond Yield Average as most recently available as determined on or after
             139      the earlier of the day on which the member insurer becomes:
             140          (I) an impaired insurer under this part; or
             141          (II) an insolvent insurer under this part;


             142          (iv) a portion of a policy or contract issued to a plan or program of an employer,
             143      association, or other person to provide life, accident and health, or annuity benefits to its
             144      employees, members, or others, to the extent that the plan or program is self-funded or
             145      uninsured, including benefits payable by an employer, association, or other person under:
             146          (A) a multiple employer welfare arrangement as defined in 29 U.S.C. Sec. 1144;
             147          (B) a minimum premium group insurance plan;
             148          (C) a stop-loss group insurance plan; or
             149          (D) an administrative services only contract;
             150          (v) a portion of a policy or contract to the extent that it provides:
             151          (A) a dividend;
             152          (B) an experience rating credit;
             153          (C) voting rights; or
             154          (D) payment of a fee or allowance to any person, including the policy or contract
             155      owner, in connection with the service to or administration of the policy or contract;
             156          [(vi) a policy or contract issued in this state by a member insurer at a time when:]
             157          [(A) it was not licensed; or]
             158          [(B) did not have a certificate of authority to issue the policy or contract in this state;]
             159          [(vii)] (vi) an unallocated annuity contract issued to or in connection with a benefit
             160      plan protected under the federal Pension Benefit Guaranty Corporation, regardless of whether
             161      the federal Pension Benefit Guaranty Corporation has yet become liable to make any payment
             162      with respect to the benefit plan;
             163          [(viii)] (vii) a portion of an unallocated annuity contract that is not issued to or in
             164      connection with:
             165          (A) a specific benefit plan of:
             166          (I) employees;
             167          (II) a union; or
             168          (III) an association of natural persons; or
             169          (B) a government lottery;


             170          [(ix)] (viii) a portion of a policy or contract to the extent that the assessment required
             171      by Section 31A-28-109 that applies to the policy or contract is preempted by federal or state
             172      law;
             173          [(x)] (ix) an obligation that does not arise under the express written terms of the policy
             174      or contract issued by an insurer to the contract owner or policy owner, including:
             175          (A) a claim based on marketing materials;
             176          (B) a claim based on [documents that are] a side letter, rider, or other document that is
             177      issued by the insurer without meeting applicable policy form filing or approval requirements;
             178          (C) a misrepresentation regarding a policy benefit;
             179          (D) an extra-contractual claim;
             180          (E) a claim for penalties; or
             181          (F) a claim for consequential or incidental damages;
             182          [(xi)] (x) a contract that establishes the member insurer's obligations to provide a book
             183      value accounting guaranty for defined contribution benefit plan participants by reference to a
             184      portfolio of assets that is owned by a person that is:
             185          (A) (I) the benefit plan; or
             186          (II) the benefit plan's trustee; and
             187          (B) not an affiliate of the member insurer; [and]
             188          [(xii)] (xi) a portion of a policy or contract to the extent it provides for interest or other
             189      changes in value:
             190          (A) to be determined by the use of an index or other external reference stated in the
             191      policy or contract; and
             192          (B) (I) that have not been credited to the policy or contract; or
             193          (II) as to which the policy or contract owner's rights are subject to forfeiture as of the
             194      date the member insurer becomes an impaired or insolvent insurer under this part[.]; and
             195          (xii) a policy providing hospital, medical, prescription drug, or other health care
             196      benefit pursuant to United States Code, Title 42, Subchapter XVIII, Chapter 7, Part C or D, or
             197      federal regulations issued under Part C or D.


             198          (3) Subject to Subsection (4), the benefits for which the association may become liable
             199      may not exceed the lesser of:
             200          (a) the contractual obligations for which the insurer is liable or would have been liable
             201      if it were not an impaired or insolvent insurer;
             202          (b) with respect to one life, regardless of the number of policies or contracts:
             203          (i) for a life insurance policy:
             204          (A) if the insured died before the coverage date, $500,000 of the death benefit;
             205          (B) if the insurer received a valid request for cash surrender before the coverage date
             206      but has not paid the cash surrender value before the coverage date, $200,000 of cash surrender
             207      benefits; or
             208          (C) if neither Subsection (3)(b)(i)(A) nor (B) apply, the covered portion of each
             209      benefit provided under the policy;
             210          (ii) for an annuity contract, the covered portion of each benefit provided under the
             211      contract;
             212          (iii) for an accident and health policy:
             213          (A) classified as health insurance, $500,000; or
             214          (B) not classified as health insurance, the covered portion of each benefit provided
             215      under the policy;
             216          (c) for an individual, or a beneficiary of that individual if the individual is deceased,
             217      participating in a governmental retirement plan established under Section 401, 403(b), or 457,
             218      Internal Revenue Code, covered by an unallocated annuity contract, in the aggregate,
             219      [$200,000] $250,000 in present value of annuity benefits, including:
             220          (i) net cash surrender; and
             221          (ii) net cash withdrawal values; or
             222          (d) for a payee of a structured settlement annuity or a beneficiary of the payee if the
             223      payee is deceased, the limits set forth in Subsection (3)(b).
             224          (4) Notwithstanding Subsections (3)(a) through (d), the association may not be
             225      obligated to cover more than:


             226          (a) an aggregate of $500,000 in benefits for any one life under:
             227          (i) Subsection (3)(b)(i)(A);
             228          (ii) Subsection (3)(b)(i)(B);
             229          (iii) Subsection (3)(b)(ii); [or] and
             230          (iv) Subsection (3)(b)(iii)(B);
             231          (b) $5,000,000 in benefits for one owner of multiple nongroup policies of life
             232      insurance:
             233          (i) whether the policy owner is an individual, firm, corporation, or other person;
             234          (ii) whether the persons insured are officers, managers, employees, or other persons;
             235      and
             236          (iii) regardless of the number of policies and contracts held by the owner; and
             237          (c) $5,000,000 in benefits, regardless of the number of contracts held by the contract
             238      owner or plan sponsor, for:
             239          (i) one contract owner provided coverage under Subsection (1)(b)(ii)(B); or
             240          (ii) one plan sponsor whose plans own, directly or in trust, one or more unallocated
             241      annuity contracts not included in Subsection (3)(b)(ii).
             242          (5) (a) Notwithstanding Subsection (4)(c) and except as provided in Subsection (5)(b),
             243      the association shall provide coverage if one or more unallocated annuity contracts are:
             244          (i) covered contracts under this part;
             245          (ii) owned by a trust or other entity for the benefit of two or more plan sponsors; and
             246          (iii) the largest interest in the trust or entity owning the contract or contracts is held by
             247      a plan sponsor whose principal place of business is in the state.
             248          (b) Notwithstanding Subsection (5)(a) the association may not be obligated to cover
             249      more than $5,000,000 in benefits with respect to [all] the unallocated contracts described in
             250      Subsection (5)(a).
             251          (6) (a) The limitations set forth in Subsections (3) and (4) are limitations on the
             252      benefits for which the association is obligated before taking into account:
             253          (i) the association's subrogation and assignment rights; or


             254          (ii) the extent to which those benefits could be provided out of the assets of the
             255      impaired or insolvent insurer attributable to covered policies.
             256          (b) The costs of the association's obligations under this part may be met by the use of
             257      assets:
             258          (i) attributable to covered policies, as described in Subsection 31A-28-114 (3)(c); or
             259          (ii) reimbursed to the association pursuant to the association's subrogation and
             260      assignment rights.
             261          (c) On and after the date on which the association becomes obligated for [any] a
             262      covered policy, the association may not be obligated to provide benefits to the extent that the
             263      benefits are based on an interest rate, crediting rate, or similar factor determined by use of an
             264      index or other external reference stated in the policy or contract employed in calculating
             265      returns or changes in value if the interest rate, crediting rate, or similar factor exceeds the rate
             266      of interest determined by subtracting three percentage points from Moody's Corporate Bond
             267      Yield Average as most recently available on each date on which interest is credited or
             268      attributed to the covered policy.
             269          (d) In performing its obligations to provide coverage under Section 31A-28-108 , the
             270      association may not be required to guarantee, assume, reinsure, perform, or cause to be
             271      guaranteed, assumed, reinsured, or performed a contractual obligation of the insolvent or
             272      impaired insurer under a covered policy or contract that does not materially affect the
             273      economic values or economic benefits of the covered policy or contract.
             274          Section 2. Section 31A-28-105 is amended to read:
             275           31A-28-105. Definitions.
             276          As used in this part:
             277          (1) "Association" means the Utah Life and Health Insurance Guaranty Association
             278      continued under Section 31A-28-106 .
             279          (2) (a) "Authorized assessment" or "authorized," when used in the context of
             280      assessments, means that the board of directors passed a resolution whereby an assessment will
             281      be called immediately or in the future from member insurers for an amount set forth in the


             282      resolution.
             283          (b) An assessment is authorized when the resolution is passed.
             284          (3) "Benefit plan" means a specific benefit plan of:
             285          (a) employees;
             286          (b) a union; or
             287          (c) an association of natural persons.
             288          (4) (a) "Called assessment" or "called," when used in the context of assessments,
             289      means that the association issued a notice to member insurers requiring that an authorized
             290      assessment be paid within the time frame set forth in the notice.
             291          (b) All or part of an authorized assessment becomes a called assessment when notice is
             292      mailed by the association to member insurers.
             293          (5) "Cash surrender value" means the cash surrender value without reduction for an
             294      outstanding policy loan or surrender charge.
             295          [(5)] (6) "Contractual obligation" means an obligation under any of the following for
             296      which coverage is provided under Section 31A-28-103 :
             297          (a) a policy or contract;
             298          (b) a certificate under a group policy or contract; or
             299          (c) a portion of a policy or contract.
             300          [(6)] (7) "Coverage date" means the date on which the association becomes
             301      responsible for the obligations of a member insurer.
             302          [(7)] (8) "Covered policy" means any of the following for which coverage is provided
             303      in Section 31A-28-103 :
             304          (a) a policy or contract; or
             305          (b) a portion of a policy or contract.
             306          [(8)] (9) (a) "Covered portion" means:
             307          (i) for [any] a covered policy that has a cash surrender value, a fraction [obtained by
             308      dividing] calculated with:
             309          (A) the numerator being the lesser of:


             310          (I) (Aa) $200,000 for a life insurance policy; and
             311          (Bb) $250,000 for a covered policy that is not a life insurance policy; or
             312          (II) the cash surrender value of the policy; [by] and
             313          (B) the denominator being the cash surrender value of the policy; and
             314          (ii) for [any] a covered policy that does not have a cash surrender value, a fraction
             315      [obtained by dividing] calculated with:
             316          (A) the numerator being the lesser of:
             317          (I) (Aa) $200,000 for a life insurance policy; or
             318          (Bb) $250,000 for a covered policy that is not a life insurance policy; or
             319          (II) the policy's minimum statutory reserve; [by] and
             320          (B) the denominator being the policy's minimum statutory reserve.
             321          (b) The cash surrender value and the minimum statutory reserve are determined as of
             322      the coverage date in accordance with the exclusions in Subsection 31A-28-103 (2)(b)(iii).
             323          [(9)] (10) "Extra-contractual claim" includes a claim relating to:
             324          (a) bad faith in the payment of a claim;
             325          (b) punitive or exemplary damages; or
             326          (c) [attorneys'] attorney fees and costs.
             327          [(10)] (11) "Impaired insurer" means a member insurer that is not an insolvent insurer
             328      and:
             329          (a) is considered by the commissioner to be hazardous pursuant to this title; or
             330          (b) is placed under an order of rehabilitation or conservation by a court of competent
             331      jurisdiction.
             332          [(11)] (12) "Insolvent insurer" means a member insurer that is placed under an order
             333      of liquidation by a court of competent jurisdiction with a finding of insolvency.
             334          [(12)] (13) (a) "Member insurer" means [a person that: (i) is an insurer; and (ii)] an
             335      insurer that holds a certificate of authority to transact in this state any kind of insurance for
             336      which coverage is provided under Section 31A-28-103 .
             337          (b) "Member insurer" includes an insurer whose license or certificate of authority in


             338      this state may have been:
             339          (i) suspended;
             340          (ii) revoked;
             341          (iii) not renewed; or
             342          (iv) voluntarily withdrawn.
             343          (c) "Member insurer" does not include:
             344          (i) a for-profit or nonprofit:
             345          (A) hospital;
             346          (B) hospital service organization; or
             347          (C) medical service organization;
             348          [(i)] (ii) a health maintenance organization;
             349          [(ii)] (iii) a fraternal benefit society;
             350          [(iii)] (vi) a mandatory state pooling plan;
             351          [(iv)] (v) a mutual assessment company or other person that operates on an assessment
             352      basis;
             353          [(v)] (vi) an insurance exchange; [or]
             354          (vii) an organization described in Subsection 31A-22-1305 (2); or
             355          [(vi)] (viii) an entity similar to an entity described in Subsections [(12)] (13)(c)(i)
             356      through [(v)] (vii).
             357          [(13)] (14) "Moody's Corporate Bond Yield Average" means the Monthly Average
             358      Corporates as published by Moody's Investors Service, Inc., or any successor to Moody's
             359      Investors Service, Inc.
             360          [(14)] (15) (a) "Owner" of a policy or contract, "policy owner," or "contract owner"
             361      means [the] a person who:
             362          (i) is identified as the legal owner under the terms of the policy or contract; or
             363          (ii) is otherwise vested with legal title to the policy or contract through a valid
             364      assignment:
             365          (A) completed in accordance with the terms of the policy or contract; and


             366          (B) properly recorded as the owner on the books of the insurer.
             367          (b) "Owner," "policy owner," or "contract owner" does not include a person with only
             368      a beneficial interest in a policy or contract.
             369          [(15)] (16) "Person" means [any]:
             370          (a) an individual;
             371          (b) a corporation;
             372          (c) a limited liability company;
             373          (d) a partnership;
             374          (e) an association;
             375          (f) a governmental body or entity; [or]
             376          (g) a trust; or
             377          [(g)] (h) a voluntary organization.
             378          [(16)] (17) "Plan sponsor" means:
             379          (a) the employer, in the case of a benefit plan established or maintained by a single
             380      employer;
             381          (b) the employee organization, in the case of a benefit plan established or maintained
             382      by an employee organization; or
             383          (c) the association, committee, joint board of trustees, or other similar group of
             384      representatives of the parties who establish or maintain a benefit plan, in the case of a benefit
             385      plan established or maintained by:
             386          (i) two or more employers; or
             387          (ii) jointly by:
             388          (A) one or more employers; and
             389          (B) one or more employee organizations.
             390          [(17)] (18) (a) "Premiums" means an amount or consideration received on covered
             391      policies or contracts, less:
             392          (i) returned:
             393          (A) premiums;


             394          (B) considerations; and
             395          (C) deposits; and
             396          (ii) dividends and experience credits.
             397          (b) (i) "Premiums" does not include an amount or consideration received for:
             398          (A) a policy or contract for which coverage is not provided under Subsection
             399      31A-28-103 (2); or
             400          (B) the portion of a policy or contract for which coverage is not provided under
             401      Subsection 31A-28-103 (2).
             402          (ii) Notwithstanding Subsection [(17)] (18)(b)(i), an assessable premium may not be
             403      reduced on account of:
             404          (A) Subsection 31A-28-103 (2)(b)(iii) relating to interest limitations; and
             405          (B) Subsection 31A-28-103 (3) relating to limitations for:
             406          (I) one individual;
             407          (II) any one participant; and
             408          (III) any one contract owner.
             409          (c) "Premiums" [may] does not include [any] premiums in excess of $5,000,000:
             410          (i) on [any] an unallocated annuity contract not issued under a governmental
             411      retirement plan established under Section 401, 403(b), or 457, Internal Revenue Code; or
             412          (ii) for multiple nongroup policies of life insurance owned by one owner:
             413          (A) whether the policy owner is an individual, firm, corporation, or other person;
             414          (B) whether the persons insured are officers, managers, employees, or other persons;
             415      and
             416          (C) regardless of the number of policies or contracts held by the owner.
             417          [(18)] (19) (a) Except as provided in Subsection [(18)] (19)(b), "principal place of
             418      business" of a plan sponsor or a person other than a natural person means the single state:
             419          (i) in which the natural persons who establish policy for the direction, control, and
             420      coordination of the operations of the entity as a whole primarily exercise the function; and
             421          (ii) determined by the association in its reasonable judgment by considering the


             422      following factors:
             423          (A) the state in which the primary executive and administrative headquarters of the
             424      entity are located;
             425          (B) the state in which the principal office of the chief executive officer of the entity is
             426      located;
             427          (C) the state in which the board of directors, or similar governing person or persons, of
             428      the entity conducts the majority of its meetings;
             429          (D) the state in which the executive or management committee of the board of
             430      directors, or similar governing person, of the entity conducts the majority of its meetings;
             431          (E) the state from which the management of the overall operations of the entity is
             432      directed; and
             433          (F) in the case of a benefit plan sponsored by affiliated companies comprising a
             434      consolidated corporation, the state in which the holding company or controlling affiliate has
             435      its principal place of business as determined using the factors described in Subsections [(18)]
             436      (19)(a)(ii)(A) through (E).
             437          (b) Notwithstanding Subsection [(18)] (19)(a), in the case of a plan sponsor, if more
             438      than 50% of the participants in the benefit plan are employed in a single state, the state where
             439      more than 50% of the participants are employed is considered to be the principal place of
             440      business of the plan sponsor.
             441          (c) (i) The principal place of business of a plan sponsor of a benefit plan described in
             442      Subsection (3) is considered to be the principal place of business of the association,
             443      committee, joint board of trustees, or other similar group of representatives of the parties who
             444      establish or maintain the benefit plan.
             445          (ii) If for a benefit plan described in Subsection (3) there is not a specific or clear
             446      designation of a principal place of business under Subsection [(18)] (19)(c)(i), the principal
             447      place of business is considered to be the principal place of business of the employer or
             448      employee organization that has the largest investment in the benefit plan.
             449          (20) "Receiver" means, as the context requires:


             450          (a) a rehabilitator;
             451          (b) a liquidator;
             452          (c) an ancillary receiver; or
             453          (d) a conservator.
             454          [(19)] (21) "Receivership court" means the court in the insolvent or impaired insurer's
             455      state having jurisdiction over the conservation, rehabilitation, or liquidation of the insurer.
             456          [(20)] (22) (a) "Resident" means a person:
             457          (i) to whom a contractual obligation is owed; and
             458          (ii) who resides in this state on the earlier of the date a member insurer is an:
             459          (A) impaired insurer; or
             460          (B) insolvent insurer.
             461          (b) A person may be a resident of only one state, which in the case of a person other
             462      than a natural person [shall be] is where its principal place of business is located.
             463          (c) A citizen of the United States that is either a resident of a foreign country or a
             464      resident of a United States possession, territory, or protectorate that does not have an
             465      association similar to the association created by this part, is considered a resident of the state
             466      of domicile of the insurer that issued the policy or contract.
             467          [(21)] (23) "State" means:
             468          (a) a state;
             469          (b) the District of Columbia;
             470          (c) Puerto Rico; and
             471          (d) a United States possession, territory, or protectorate.
             472          [(22)] (24) "Structured settlement annuity" means an annuity purchased to fund
             473      periodic payments for a plaintiff or other claimant in payment for personal injury suffered by
             474      the plaintiff or other claimant.
             475          [(23)] (25) "Supplemental contract" means a written agreement entered into for the
             476      distribution of proceeds under a policy or contract for:
             477          (a) life;


             478          (b) accident and health; or
             479          (c) annuity.
             480          [(24)] (26) "Unallocated annuity contract" means an annuity contract or group annuity
             481      certificate that is not issued to and owned by an individual, except to the extent of any annuity
             482      benefits guaranteed to an individual by an insurer under the contract or certificate.
             483          Section 3. Section 31A-28-107 is amended to read:
             484           31A-28-107. Board of directors.
             485          (1) (a) The board of directors of the association shall consist of:
             486          (i) at least five but not more than nine member insurers [serving] who:
             487          (A) subject to Subsection (1)(e), serve terms as established in the plan of operation[.];
             488      and
             489          [(b) (i) The members of the board of directors shall be]
             490          (B) are selected by member insurers, subject to the approval of the commissioner[.];
             491      and
             492          (ii) two public representatives appointed by the commissioner.
             493          (b) (i) The commissioner shall make the appointment of a public representative
             494      coincide with the association's annual meeting at which the association's board of directors is
             495      elected.
             496          (ii) A public representative may not be:
             497          (A) an officer, director, or employee of an insurer; or
             498          (B) a person engaged in the business of insurance.
             499          (iii) Subject to Subsection (1)(e), a public representative shall serve a term of three
             500      years.
             501          [(ii)] (c) When a vacancy occurs in the membership of the board of directors for any
             502      reason[,]:
             503          (i) if the vacancy is of a member insurer, a replacement may be elected for the
             504      unexpired term by a majority vote of the remaining board members, subject to the approval of
             505      the commissioner[.]; and


             506          (ii) if the vacancy is of a public representative, the commissioner shall appoint a
             507      replacement for the unexpired term.
             508          [(c)] (d) In approving [selections] a selection or in appointing [members] a member to
             509      the board of directors, the commissioner shall consider, among other things, whether all
             510      member insurers are fairly represented.
             511          [(d)] (e) Notwithstanding [Subsection (1)(a)] Subsections (1)(a) and (b), the
             512      commissioner shall, at the time of election [or], reelection, appointment, or reappointment
             513      adjust the length of terms to ensure that the terms of board members are staggered so that
             514      approximately half of the board of directors is selected during any two-year period.
             515          (2) (a) A member of the board of directors may be reimbursed from the assets of the
             516      association for expenses incurred by the member as a member of the board of directors.
             517          (b) Except as provided in Subsection (2)(a), a member of the board of directors may
             518      not be compensated by the association for the member's services.
             519          Section 4. Section 31A-28-108 is amended to read:
             520           31A-28-108. Powers and duties of the association.
             521          (1) (a) If a member insurer is an impaired insurer, subject to any conditions imposed
             522      by the association that do not impair the contractual obligations of the impaired insurer, the
             523      association may [elect to] provide the protections provided by this part [to the policyholders of
             524      the impaired insurer].
             525          (b) If the association makes the election described in Subsection (1)(a), the association
             526      may proceed under one or more of the options described in Subsection (3).
             527          (2) If a member insurer is an insolvent insurer, the association shall provide the
             528      protections provided by this part [to the policyholders of the insolvent insurer] by electing in
             529      its discretion to proceed under one or more of the options in Subsection (3).
             530          (3) With respect to the covered portions of covered policies of an impaired or
             531      insolvent insurer, the association may:
             532          (a) (i) (A) guaranty, assume, or reinsure, or cause to be guaranteed, assumed, or
             533      reinsured, the policies or contracts of the insurer; or


             534          (B) assure payment of the contractual obligations of the insolvent insurer; and
             535          (ii) provide [such monies] the money, pledges, guarantees, or other means as are
             536      reasonably necessary to discharge such duties; or
             537          (b) provide benefits and coverages in accordance with Subsection (4).
             538          (4) (a) In accordance with Subsection (3)(b), the association may:
             539          (i) assure payment of benefits for premiums identical to the premiums and benefits,
             540      except for terms of conversion and renewability, that would have been payable under the
             541      policies or contracts of the insurer, for claims incurred:
             542          (A) with respect to group policies:
             543          (I) not later than the earlier of the next renewal date under the policies or contracts or
             544      45 days after the coverage date; and
             545          (II) in no event less than 30 days after the coverage date; or
             546          (B) with respect to nongroup policies or contracts:
             547          (I) not later than the earlier of the next renewal date, if any, under the policies or
             548      contracts or one year from the coverage date; and
             549          (II) in no event less than 30 days from the coverage date;
             550          (ii) make diligent efforts to [provide 30 days' notice of] notify the following 30 days
             551      before any termination of the benefits that are provided [to] under a policy or contract of the
             552      insurer:
             553          (A) [all] the known insureds or annuitants for nongroup policies and contracts; [or]
             554          (B) owners if other than an insured or annuitant; or
             555          [(B)] (C) group policy owners for group policies and contracts; and
             556          (iii) with respect to nongroup life and accident and health insurance policies and
             557      annuities, make available substitute coverage on an individual basis, in accordance with
             558      Subsection (4)(b), to each known insured, annuitant, or owner and to each individual formerly
             559      insured or formerly an annuitant under a group policy who is not eligible for replacement
             560      group coverage on an individual basis in accordance with Subsection (4)(b), if the insured or
             561      annuitant had a right under law or the terminated policy or annuity contract to:


             562          (A) convert coverage to individual coverage; or
             563          (B) continue an individual policy in force until a specified age or for a specified time
             564      during which the insurer had:
             565          (I) no right unilaterally to make changes in any provision of the policy; or
             566          (II) a right only to make changes in premium by class.
             567          (b) (i) In providing the substitute coverage required under Subsection (4)(a)(iii), the
             568      association may offer to:
             569          (A) reissue the terminated coverage; or
             570          (B) issue an alternative policy.
             571          (ii) An alternative or reissued policy under Subsection (4)(b)(i):
             572          (A) shall be offered without requiring evidence of insurability; and
             573          (B) may not provide for any waiting period or exclusion that would not have applied
             574      under the terminated policy.
             575          (iii) The association may reinsure [any] an alternative or reissued policy.
             576          (c) (i) An alternative policy adopted by the association [shall be] is subject to the
             577      approval of the commissioner.
             578          (ii) The association may adopt alternative policies of various types for future issuance
             579      without regard to any particular impairment or insolvency.
             580          (iii) An alternative policy:
             581          (A) shall contain at least the minimum statutory provisions required in this state; and
             582          (B) provide benefits that are not unreasonable in relation to the premium charged.
             583          (iv) The association shall set the premium for an alternative policy in accordance with
             584      a table of rates that the association adopts. The premium shall reflect:
             585          (A) the amount of insurance to be provided; and
             586          (B) the age and class of risk of each insured.
             587          (v) For an alternative policy issued under an individual policy of the impaired or
             588      insolvent insurer:
             589          (A) age shall be determined in accordance with the original policy provisions; and


             590          (B) class of risk [shall be] is the class of risk under the original policy.
             591          (vi) For an alternative policy issued to individuals insured under a group policy:
             592          (A) age and class of risk shall be determined by the association in accordance with the
             593      alternative policy provisions and risk classification standards approved by the commissioner;
             594      and
             595          (B) the premium may not reflect any changes in the health of the insured after the
             596      original policy was last underwritten.
             597          (vii) [Any] An alternative policy issued by the association shall provide coverage of a
             598      type similar to that of the policy issued by the impaired or insolvent insurer, as determined by
             599      the association.
             600          (d) If the association elects to reissue terminated coverage at a premium rate different
             601      from that charged under the terminated policy, the association shall set the premium [shall be
             602      set by the association] in accordance with the amount of insurance provided and the age and
             603      class of risk, subject to the approval of the commissioner or by a court of competent
             604      jurisdiction.
             605          (e) The association's obligations with respect to coverage under any policy of the
             606      impaired or insolvent insurer or under any reissued or alternative policy [shall cease] ceases on
             607      the date the coverage or policy is replaced by another similar policy by:
             608          (i) the [policyholder] owner;
             609          (ii) the insured; or
             610          (iii) the association.
             611          (f) (i) With respect to a claim unpaid as of the coverage date and a claim incurred
             612      during the period defined in Subsection (4)(a)(i), a provider of health care services, by
             613      accepting a payment from the association upon a claim of the provider against an insured
             614      whose health care insurer is an insolvent member insurer, agrees to forgive the insured of 20%
             615      of the debt which otherwise would be paid by the insurer had it not been insolvent, subject to a
             616      maximum of $8,000 being required to be forgiven by any one provider as to each claimant.
             617          (ii) The obligations of a solvent insurer to pay all or part of the covered claim are not


             618      diminished by the forgiveness provided for in this section.
             619          (5) When proceeding under Subsection (3)(b) with respect to any policy or contract
             620      carrying guaranteed minimum interest rates, the association shall assure the payment or
             621      crediting of a rate of interest consistent with Subsection 31A-28-103 (2)(b)(iii).
             622          (6) Nonpayment of premiums within 31 days after the date required under the terms of
             623      any guaranteed, assumed, alternative, or reissued policy or contract or substitute coverage
             624      [shall terminate] terminates the association's obligations under the policy or coverage under
             625      this part with respect to the policy or coverage, except with respect to any claims incurred or
             626      any net cash surrender value that may be due in accordance with this part.
             627          (7) (a) [Premiums] Premium due after the coverage date with respect to the covered
             628      portion of a policy or contract of an impaired or insolvent insurer [shall belong to and be]
             629      belongs to and is payable at the direction of the association. If a liquidator of an insolvent
             630      insurer requests the report, the association shall report to the liquidator the premium collected
             631      by the association.
             632          (b) The association is liable to [the] a policy or contract [owners] owner for unearned
             633      premiums due to the policy or contract [owners] owner arising after the coverage date with
             634      respect to the covered portion of the policy or contract.
             635          (8) The protection provided by this part does not apply if any guaranty protection is
             636      provided to residents of this state by laws of the domiciliary state or jurisdiction of the
             637      impaired or insolvent insurer other than this state.
             638          (9) In carrying out its duties under [Subsections (1) and] Subsection (2), and subject to
             639      approval by a court in this state, the association may:
             640          (a) impose permanent policy or contract liens in connection with a guarantee,
             641      assumption, or reinsurance agreement, if the association finds that:
             642          (i) the amounts that can be assessed under this part are less than the amounts needed
             643      to assure full and prompt performance of the association's duties under this part; or
             644          (ii) the economic or financial conditions as they affect member insurers are
             645      sufficiently adverse to render the imposition of the permanent policy or contract liens to be in


             646      the public interest;
             647          (b) impose temporary moratoriums or liens on payments of cash values and policy
             648      loans, or any other right to withdraw funds held in conjunction with policies or contracts, in
             649      addition to any contractual provisions for deferral of cash or policy loan value; and
             650          (c) if the receivership court imposes a temporary moratorium or moratorium charge on
             651      payment of cash values or policy loans, or on any other right to withdraw funds held in
             652      conjunction with policies or contracts, out of the assets of the impaired or insolvent insurer,
             653      defer the payment of cash values, policy loans, or other rights by the association for the period
             654      of the moratorium or moratorium charge imposed by the receivership court, except for claims
             655      covered by the association to be paid in accordance with a hardship procedure:
             656          (i) established by the [liquidator or rehabilitator] receiver; and
             657          (ii) approved by the receivership court.
             658          (10) (a) A special deposit in this state held pursuant to law or required by the
             659      commissioner for the benefit of creditors, including policy owners, that is not turned over to
             660      the domiciliary [liquidator] receiver upon the entry of a final order of liquidation or order
             661      approving a rehabilitation plan of an insurer domiciled in any state shall be promptly paid to
             662      the association.
             663          (b) Any amount paid under Subsection (10)(a) to the association less the amount
             664      retained by the association shall be treated as a distribution of estate assets pursuant to
             665      Sections 31A-27a-601 , 31A-27a-602 , and [ 31A-27a-702 ] 31A-27a-701 .
             666          (11) If the association fails to act within a reasonable period of time as provided in this
             667      section, the commissioner [shall have] has the powers and duties of the association under this
             668      part with respect to an impaired or insolvent insurer.
             669          (12) The association may [render assistance and advice to] assist or advise the
             670      commissioner, upon the commissioner's request, concerning:
             671          (a) rehabilitation;
             672          (b) payment of claims;
             673          (c) continuance of coverage; or


             674          (d) the performance of other contractual obligations of any impaired or insolvent
             675      insurer.
             676          (13) (a) The association has standing to appear or intervene before a court or agency in
             677      this state with jurisdiction over:
             678          (i) an impaired or insolvent insurer concerning which the association is or may
             679      become obligated under this part; or
             680          (ii) any person or property against which the association may have rights through
             681      subrogation or otherwise.
             682          (b) The standing referred to in Subsection (13)(a) extends to all matters germane to the
             683      powers and duties of the association, including:
             684          (i) proposals for reinsuring, modifying, or guaranteeing the policies or contracts of the
             685      impaired or insolvent insurer; and
             686          (ii) the determination of the policies or contracts and contractual obligations.
             687          (c) The association has the right to appear or intervene before a court in another state
             688      with jurisdiction over:
             689          (i) an impaired or insolvent insurer for which the association is or may become
             690      obligated; or
             691          (ii) any person or property against which the association may have rights through
             692      subrogation of the insurer's [policyholders] policyowners.
             693          (14) (a) [Any] A person receiving benefits under this part [shall be] is considered to
             694      have assigned the rights under, and any causes of action against any person for losses arising
             695      under, resulting from, or otherwise relating to the covered policy or contract to the association
             696      to the extent of the benefits received because of this part, whether the benefits are payments of,
             697      or on account of:
             698          (i) contractual obligations;
             699          (ii) continuation of coverage; or
             700          (iii) provision of substitute or alternative coverages.
             701          (b) As a condition precedent to the receipt of any right or benefits conferred by this


             702      part upon that person, the association may require an assignment to it of the rights and causes
             703      of action described in Subsection (14)(a) by any:
             704          (i) payee;
             705          (ii) policy or contract owner;
             706          (iii) beneficiary;
             707          (iv) insured; or
             708          (v) annuitant.
             709          (c) The subrogation rights obtained by the association under this Subsection (14)
             710      [shall] have the same priority against the assets of the impaired or insolvent insurer as that
             711      possessed by the person entitled to receive benefits under this part.
             712          (d) In addition to Subsections (14)(a) through (c), the association has [all] the
             713      common law rights of subrogation and any other equitable or legal remedy that would have
             714      been available to the impaired or insolvent insurer or owner, beneficiary, or payee of a policy
             715      or contract with respect to the policy or contract, including in the case of a structured
             716      settlement annuity any rights of the owner, beneficiary, or payee of the annuity to the extent of
             717      benefits received pursuant to this part against a person originally or by succession responsible
             718      for the losses arising from the personal injury relating to the annuity or payment of the
             719      annuity.
             720          (e) If a provision of this Subsection (14) is invalid or ineffective with respect to [any]
             721      a person or claim for any reason, the amount payable by the association with respect to the
             722      related covered obligations shall be reduced by the amount realized by any other person with
             723      respect to the person or claim that is attributable to the policies, or portion of the policies,
             724      covered by the association.
             725          (f) If the association has provided benefits with respect to a covered policy and a
             726      person recovers amounts as to which the association has rights as described in this Subsection
             727      (14), the person shall pay to the association the portion of the recovery attributable to the
             728      covered policies.
             729          (15) (a) In addition to the rights and powers elsewhere in this part, the association


             730      may:
             731          (i) enter into [contracts that are] a contract that is necessary or proper to carry out the
             732      provisions and purposes of this part;
             733          (ii) sue or be sued, including taking any legal actions necessary or proper to:
             734          (A) recover any unpaid assessments under Section 31A-28-109 ; and
             735          (B) settle claims or potential claims against the association;
             736          (iii) borrow money to effect the purposes of this part;
             737          (iv) employ or retain the persons necessary or the appropriate staff members to:
             738          (A) handle the financial transactions of the association; and
             739          (B) perform other functions as become necessary or proper under this part;
             740          (v) take necessary or appropriate legal action to avoid or recover payment of improper
             741      claims;
             742          (vi) exercise, for the purposes of this part and to the extent approved by the
             743      commissioner, the powers of a domestic life or health insurer, but in no case may the
             744      association issue insurance policies or annuity contracts other than those issued to perform its
             745      obligation under this part;
             746          (vii) request information from a person seeking coverage from the association to aid
             747      the association in determining the association's obligations under this part with respect to the
             748      person;
             749          (viii) take other necessary or appropriate action to discharge the association's duties
             750      and obligations under this part or to exercise the association's powers under this part; and
             751          (ix) act as a special deputy [liquidator] receiver if appointed by the commissioner.
             752          (b) Any note or other evidence of indebtedness of the association under Subsection
             753      (15)(a)(iii) that is not in default:
             754          (i) is a legal investment for a domestic insurer; and
             755          (ii) may be carried as admitted assets.
             756          (c) A person seeking coverage from the association shall promptly comply with a
             757      request for information by the association under Subsection (15)(a)(vii).


             758          (16) The association may join an organization of one or more other state associations
             759      of similar purposes to further the purposes and administer the powers and duties of the
             760      association.
             761          (17) (a) [Except as provided in Subsection (17)(b), at] At any time within [one year]
             762      180 days after the coverage date, the association may elect to succeed to the rights and
             763      obligations of the member insurer that:
             764          (i) accrue on or after the coverage date; and
             765          (ii) relate to covered policies under any one or more indemnity reinsurance
             766      agreements:
             767          (A) entered into by the member insurer as a ceding insurer and its reinsurer; and
             768          (B) selected by the association.
             769          [(b) Notwithstanding Subsection (17)(a), the association may not exercise an election
             770      with respect to a reinsurance agreement if the receiver, rehabilitator, or liquidator of the
             771      member insurer has previously and expressly disaffirmed the reinsurance agreement.]
             772          [(c) The election described in Subsection (17)(a) shall be effected by a notice to:]
             773          [(i) (A) the receiver;]
             774          [(B) rehabilitator; or]
             775          [(C) liquidator; and]
             776          [(ii) the affected reinsurers.]
             777          (b) An election made pursuant to Subsection (17)(a) is effective as of the date of the
             778      order of liquidation.
             779          (c) The association may make an election described in Subsection (17)(a) by notifying
             780      an affected reinsurer in writing, with verification of receipt, through:
             781          (i) the association; or
             782          (ii) a nationally recognized association representing state guaranty associations that is
             783      approved by the commissioner, that provides notice on behalf of the association.
             784          (d) The association shall provide a copy of the notice described in Subsection (17)(c)
             785      to the receiver.


             786          (e) (i) The receiver of an insolvent insurer and each reinsurer of the ceding member
             787      insurers shall make available as soon as possible after commencement of formal delinquency
             788      proceedings the information described in Subsection (17)(e)(ii) to:
             789          (A) the association; or
             790          (B) a nationally recognized association representing state guaranty associations that is
             791      approved by the commissioner, on behalf of the association.
             792          (ii) This Subsection (17)(e) applies to:
             793          (A) copies of in-force contracts of reinsurance and the related records relevant to the
             794      determination of whether the in-force contracts of reinsurance should be assumed;
             795          (B) notices of any default under a reinsurance contract; or
             796          (C) any known event or condition that with the passage of time could become a
             797      default under a reinsurance contract.
             798          [(d)] (f) If the association makes an election under Subsection (17)(a), the association
             799      shall comply with Subsections (17)[(d)](f)(i) through [(vi)] (vii) with respect to the agreements
             800      selected by the association.
             801          (i) For [contracts] a contract covered, in whole or in part, by the association, the
             802      association [shall be] is responsible for:
             803          (A) [all] the unpaid premiums due under the agreements for periods both before and
             804      after the coverage date; and
             805          (B) the performance of [all] the other obligations to be performed after the coverage
             806      date.
             807          (ii) The association may charge [contracts] a contract covered in part by the
             808      association the costs for reinsurance in excess of the obligations of the association, through
             809      reasonable allocation methods.
             810          (iii) The association shall provide notice and an accounting to the receiver of a charge
             811      made pursuant to Subsection (17)(f)(ii).
             812          [(iii)] (iv) The association is entitled to any amounts payable by the reinsurer under
             813      the agreements with respect to [losses or events] a loss or event that:


             814          (A) [occur in periods] occurs after the coverage date; and
             815          (B) [relate to contracts] relates to a contract covered by the association, in whole or in
             816      part.
             817          [(iv)] (v) On receipt of any amounts under Subsection (17)[(d)(iii)](f)(iv), the
             818      association shall pay to the beneficiary under the policy or contract on account of which the
             819      amounts were paid an amount equal to the [excess] lesser of:
             820          (A) the amount received by the association; and
             821          (B) the excess of the amount received by the association over the benefits paid or
             822      payable by the association on account of the policy or contract less the retention of the insurer
             823      applicable to the loss or event.
             824          [(v)] (vi) (A) Within 30 days following the association's election, the association and
             825      each indemnity reinsurer shall calculate the net balance due to or from the association under
             826      each reinsurance agreement as of the date of the association's election, giving full credit to
             827      [all] the items paid by either the member insurer, [or] its receiver, [rehabilitator, or liquidator,]
             828      or the indemnity reinsurer [during the period between the coverage date and] before the date of
             829      the association's election.
             830          [(B) Either the association or indemnity reinsurer shall pay the net balance due the
             831      other within five days of the completion of the calculation under Subsection (17)(d)(v)(A).]
             832          (B) Within five days of the completion of the calculation under Subsection
             833      (17)(f)(vi)(A):
             834          (I) the reinsurer shall pay the receiver the amounts due for a loss or event before the
             835      coverage date, subject to any set-off for premiums unpaid for a period before the coverage
             836      date; and
             837          (II) the association or the reinsurer shall pay any remaining balance due the other.
             838          (C) A dispute over an amount due to either party shall be resolved:
             839          (I) by arbitration pursuant to the terms of the affected reinsurance contract; or
             840          (II) if the reinsurance contract contains no arbitration clause, as otherwise provided by
             841      law.


             842          [(C)] (D) If the receiver[, rehabilitator, or liquidator has received any amounts]
             843      receives an amount due the association pursuant to Subsection (17)[(d)(iii)](f)(iv), the
             844      receiver[, rehabilitator, or liquidator] shall remit [the same] that amount to the association as
             845      promptly as practicable.
             846          [(vi)] (vii) If the association, or the receiver on behalf of the association, within 60
             847      days of the election, pays the premiums due for periods both before and after the coverage date
             848      that relate to contracts covered by the association, in whole or in part, the reinsurer may not:
             849          (A) terminate the reinsurance [agreements] agreement for failure to pay premium, to
             850      the extent the [agreements relate to contracts] reinsurance agreement relates to a policy or
             851      contract covered by the association, in whole or in part; and
             852          (B) set off [any unpaid premium due for periods prior to the coverage date] against
             853      amounts due the association[.] an amount due:
             854          (I) under another contract; or
             855          (II) as an unpaid amount due from a person other than the association.
             856          (g) (i) This Subsection (17)(g) applies during the period that:
             857          (A) begins on the coverage date; and
             858          (B) ends:
             859          (I) on the election date; or
             860          (II) if no election date occurs, 180 days after the coverage date.
             861          (ii) During the period described in Subsection (17)(g)(i):
             862          (A) neither the association nor the reinsurer have a right or obligation under a
             863      reinsurance contract that the association may assume under Subsection (17)(a), whether for a
             864      period before or after the coverage date; and
             865          (B) the reinsurer, the receiver, and the association, to the extent practicable, shall
             866      provide each other data and records reasonably requested.
             867          (iii) Notwithstanding Subsection (17)(g)(ii), once the association elects to assume a
             868      reinsurance contract, the parties' rights and obligations are governed by Subsections (17)(f)(i)
             869      through (vi).


             870          (h) If the association does not elect to assume a reinsurance contract by the election
             871      date pursuant to Subsection (17)(a), the association has no right or obligation with respect to
             872      the reinsurance contract, whether for a period before or after the coverage date.
             873          [(e)] (i) An insurer other than the association [shall succeed] succeeds to the rights and
             874      obligations of the association under Subsections (17)(a) through [(d)] (f) effective as of the
             875      date agreed upon by the association and the other insurer and regardless of whether the
             876      association has made the election referred to in Subsections (17)(a) through [(d)] (f) provided
             877      that:
             878          (i) the association transfers its obligations to the other insurer;
             879          (ii) the association and the other insurer agree to the transfer;
             880          (iii) the indemnity reinsurance agreements automatically terminate for new
             881      reinsurance unless the indemnity reinsurer and the other insurer agree to the contrary;
             882          (iv) the obligations described in Subsection (17)[(d)(iv)](f)(v) may not apply on and
             883      after the date the indemnity reinsurance agreement is transferred to the third party insurer;
             884      [and]
             885          (v) the transferring party shall give notice in writing, with verification of receipt, to the
             886      affected reinsurer not less than 30 days before the effective date of the transfer; and
             887          [(v)] (vi) this Subsection (17)[(e)](i) may not apply if the association has previously
             888      expressly determined in writing that the association will not exercise the election referred to in
             889      Subsections (17)(a) through [(d)] (f).
             890          [(f)] (j) (i) This Subsection (17) supersedes the provisions of any law of this state or of
             891      any affected reinsurance agreement that provides for or requires any payment of reinsurance
             892      proceeds on account of losses or events that occur in periods after the coverage date, to:
             893          (A) the receiver[, liquidator, or rehabilitator] of an insolvent member insurer[.]; or
             894          (B) another person.
             895          (ii) The receiver[, rehabilitator, or liquidator shall remain] is entitled to any amounts
             896      payable by the reinsurer under the reinsurance agreement with respect to [losses or events that
             897      occur in periods prior to] a loss or event that occurs before the coverage date, subject to


             898      applicable setoff provisions.
             899          [(g)] (k) Except as otherwise expressly provided in Subsections (17)(a) through [(f)]
             900      (j), this Subsection (17) does not:
             901          (i) alter or modify the terms and conditions of [the indemnity] a reinsurance
             902      [agreements] agreement of the insolvent member insurer;
             903          (ii) abrogate or limit [any rights of] a right any reinsurer to claim that it is entitled to
             904      rescind a reinsurance agreement; [or]
             905          (iii) give a policy owner or beneficiary an independent cause of action against [an
             906      indemnity] a reinsurer that is not otherwise set forth in the [indemnity] reinsurance
             907      agreement[.];
             908          (iv) limit or affect the association's rights as a creditor of the estate of an insolvent
             909      insurer against the assets of the estate; or
             910          (v) apply to a reinsurance agreement that covers property or casualty risks.
             911          (18) The board of directors of the association [shall have] has discretion and may
             912      exercise reasonable business judgment to determine the means by which the association is to
             913      provide the benefits of this part in an economical and efficient manner.
             914          (19) If the association [has arranged or offered] arranges or offers to provide the
             915      benefits of this part to a covered person under a plan or arrangement that fulfills the
             916      association's obligations under this part, the person is not entitled to benefits from the
             917      association in addition to or other than those provided under the plan or arrangement.
             918          (20) (a) Venue in a suit against the association arising under this part [shall be in] is
             919      Salt Lake County.
             920          (b) The association may not be required to give an appeal bond in an appeal that
             921      relates to a cause of action arising under this part.
             922          Section 5. Section 31A-28-109 is amended to read:
             923           31A-28-109. Assessments.
             924          (1) (a) For the purpose of providing the funds necessary to carry out the powers and
             925      duties of the association, the board of directors shall assess the member insurers, separately for


             926      each class or subclass, at the time and for the amounts that the board of directors finds
             927      necessary.
             928          (b) Member insurer liability for an assessment is established as of the coverage date.
             929          (c) Subject to Subsection (1)(d), a called assessment:
             930          (i) is due not less than 30 days after prior written notice to the member insurer; and
             931          (ii) shall accrue interest at 10% per annum on and after the due date.
             932          (d) Notwithstanding Subsection (1)(c), the association may:
             933          (i) assess the association's members as of the coverage date; and
             934          (ii) defer the collection of the assessment described in Subsection (1)(d)(i).
             935          (e) An assessment:
             936          (i) has the force and effect of a judgment lien against the member insurer; and
             937          (ii) may not be extinguished until paid.
             938          (2) The two classes of assessment are described in Subsections (2)(a) and (2)(b).
             939          (a) A Class A assessment shall be authorized and called for the purpose of meeting
             940      administrative and legal costs and other expenses. A Class A assessment may be authorized
             941      and called whether or not related to a particular impaired or insolvent insurer.
             942          (b) A Class B assessment shall be authorized and called to the extent necessary to
             943      carry out the powers and duties of the association under Section 31A-28-108 with regard to an
             944      impaired or an insolvent insurer.
             945          (3) (a) (i) The amount of a Class A assessment:
             946          (A) shall be determined by the board of directors; and
             947          (B) may be authorized and called on a pro rata or non-pro rata basis.
             948          (ii) If the Class A assessment is pro rata, the board of directors may credit the
             949      assessment against future Class B assessments.
             950          (iii) The total of [all] the non-pro rata assessments may not exceed $300 per member
             951      insurer in any one calendar year.
             952          (b) The amount of a Class B assessment shall be allocated for assessment purposes
             953      among subclasses pursuant to an allocation formula that may be based on:


             954          (i) the premiums or reserves of the impaired or insolvent insurer; or
             955          (ii) any other standard determined by the board of directors in the board of directors'
             956      sole discretion as being fair and reasonable under the circumstances.
             957          (c) (i) A Class B assessment against a member insurer for the life insurance subclass,
             958      the annuity subclass, and the unallocated annuity subclass shall be in the proportion that the
             959      premiums received on business in this state by the member insurer on policies or contracts
             960      included in the subclass for the three most recent calendar years for which information is
             961      available preceding the year which includes the coverage date bears to the premiums received
             962      on business in this state for the same period by [all] the assessed member insurers.
             963          (ii) A Class B assessment against a member insurer for an accident and health
             964      insurance subclass shall be in the proportion that the premiums received on business in this
             965      state by each assessed member insurer on policies or contracts included in the subclass for the
             966      most recent calendar year for which information is available preceding the year in which the
             967      assessment is made bears to the premiums received on business in this state on policies or
             968      contracts included in the subclass for that calendar year by [all] the assessed member insurers.
             969          (d) Assessments for funds to meet the requirements of the association with respect to
             970      an impaired or insolvent insurer may not be authorized or called until necessary to implement
             971      the purposes of this part.
             972          (e) Classification of assessments and premiums under Subsection (3)(b) and
             973      computation of assessments under this Subsection (3) shall be made with a reasonable degree
             974      of accuracy, recognizing that exact determinations may not always be possible.
             975          (f) The association shall notify each member insurer of its anticipated pro rata share of
             976      an authorized assessment not yet called within 180 days after the day on which the assessment
             977      is authorized.
             978          (4) (a) The association may abate or defer, in whole or in part, the assessment of a
             979      member insurer if, in the opinion of the board of directors, payment of the assessment would
             980      endanger the ability of the member insurer to fulfill its contractual obligations.
             981          (b) If an assessment against a member insurer is abated or deferred in whole or in part


             982      under Subsection (4)(a), the amount by which the assessment is abated or deferred may be
             983      assessed against the other member insurers in a manner consistent with the basis for
             984      assessments set forth in this section.
             985          (c) Once a condition that caused a deferral is removed or rectified, the member insurer
             986      shall pay [all] the assessments that were deferred pursuant to a repayment plan approved by
             987      the association.
             988          (5) (a) (i) Subject to Subsection (5)(b), the total of [all] the assessments authorized by
             989      the association on a member insurer for each subclass may not in any one calendar year exceed
             990      2% of that member's total average annual assessable premium in that subclass as defined in
             991      Subsection (3).
             992          (ii) If two or more assessments are authorized in one calendar year with respect to one
             993      or more insurers that become impaired or insolvent in different calendar years, the average
             994      annual premiums for purposes of the aggregate assessment percentage limitation in Subsection
             995      (5)(a)(i) shall be equal and limited to the highest of the total average annual assessable
             996      premiums of the different calendar year periods involved in the assessment or assessments.
             997          (iii) If the maximum assessment together with the other assets of the association do
             998      not provide in one year an amount sufficient to carry out the responsibilities of the association,
             999      the necessary additional funds shall be assessed as soon after as permitted by this part.
             1000          (b) The board of directors may provide in the plan of operation a method of allocating
             1001      funds among claims, whether relating to one or more impaired or insolvent insurers, when the
             1002      maximum assessment will be insufficient to cover anticipated claims.
             1003          (c) If the maximum assessment for the life insurance or annuity subclass in any one
             1004      year does not provide an amount sufficient to carry out the responsibilities of the association,
             1005      the board of directors shall assess the other of the subclasses of the life insurance and annuity
             1006      class for the necessary additional amount:
             1007          (i) pursuant to Subsection (3)(b); and
             1008          (ii) subject to the maximum stated in Subsection (5)(a).
             1009          (6) (a) The board of directors may, by an equitable method established in the plan of


             1010      operation, refund to member insurers in proportion to the contribution of each insurer to that
             1011      subclass the amount by which the assets of the subclass exceed the amount the board of
             1012      directors finds is necessary to carry out the obligations of the association with regard to that
             1013      subclass, including assets accruing from:
             1014          (i) assignment;
             1015          (ii) subrogation;
             1016          (iii) net realized gains; and
             1017          (iv) income from investments.
             1018          (b) Notwithstanding Subsection (6)(a), a reasonable amount may be retained to
             1019      provide funds for the continuing expenses of the association and for future losses.
             1020          (7) A member insurer, in determining its premium rates and policyowner dividends as
             1021      to any kind of insurance within the scope of this part, may consider the amount reasonably
             1022      necessary to meet its assessment obligations under this part.
             1023          (8) (a) The association shall issue to each insurer paying an assessment under this part,
             1024      other than a Class A assessment, a certificate of contribution, in a form approved by the
             1025      commissioner, for the amount of the assessment paid.
             1026          (b) [All] The outstanding certificates described in Subsection (8)(a) shall be of equal
             1027      dignity and priority without reference to amounts or dates of issue.
             1028          (c) (i) A certificate of contribution described in Subsection (8)(a) may be shown by the
             1029      insurer in its financial statement as an asset in the amount of the certificate of contribution less
             1030      the amount by which the insurer's premium taxes have already been reduced with respect to
             1031      the certificate.
             1032          (ii) For good cause shown, the commissioner may order the insurer to show a different
             1033      amount in its financial statement than the amount under Subsection (8)(c)(i).
             1034          (9) (a) The association may request information from a member insurer to aid in the
             1035      exercise of the association's power under this part.
             1036          (b) A member insurer shall comply promptly with a request of the association under
             1037      this Subsection (9).


             1038          Section 6. Section 31A-28-110 is amended to read:
             1039           31A-28-110. Plan of operation.
             1040          (1) (a) The association shall submit to the commissioner a plan of operation and any
             1041      amendments to the plan necessary or suitable to assure the fair, reasonable, and equitable
             1042      administration of the association.
             1043          (b) The plan of operation and any amendments become effective:
             1044          (i) upon the commissioner's written approval; or
             1045          (ii) after 30 days from the date the plan of operation or amendment is submitted to the
             1046      commissioner if the commissioner has not disapproved the plan or amendment.
             1047          (c) (i) If the association fails to submit a suitable amendment to the plan, the
             1048      commissioner, after notice and hearing, shall adopt reasonable rules that are necessary or
             1049      advisable to effectuate the provisions of this part.
             1050          (ii) The rules described in Subsection (1)(c)(i) [shall] continue in force until:
             1051          (A) modified by the commissioner; or
             1052          (B) superseded by an amendment to the plan:
             1053          (I) submitted by the association; and
             1054          (II) approved by the commissioner.
             1055          (2) [All member insurers] A member insurer shall comply with the plan of operation.
             1056          (3) The plan of operation shall, in addition to any other requirement in this part:
             1057          (a) establish procedures for handling the assets of the association;
             1058          (b) establish the amount and method of reimbursing members of the board of directors
             1059      under Section 31A-28-107 ;
             1060          (c) establish regular places and times for meetings of the board of directors, including
             1061      telephone conference calls;
             1062          (d) establish procedures for records to be kept of [all] the financial transactions of:
             1063          (i) the association;
             1064          (ii) the association's agents; and
             1065          (iii) the board of directors;


             1066          (e) subject to Section 31A-28-107 , establish the procedures to be followed for:
             1067          (i) selecting members to the board of directors; and
             1068          (ii) submitting the selected members to the commissioner for approval;
             1069          (f) establish any additional procedures for assessments under Section 31A-28-109 ;
             1070      [and]
             1071          (g) establish procedures under which a member insurer may be removed from the
             1072      board of directors for cause, including when the member insurer becomes an impaired or
             1073      insolvent insurer;
             1074          (h) require the board of directors to establish policies and procedures that address
             1075      conflicts of interests; and
             1076          [(g)] (i) contain additional provisions necessary or proper for the execution of the
             1077      powers and duties of the association.
             1078          (4) (a) The plan of operation may provide that any or all powers and duties of the
             1079      association, except those under Subsection 31A-28-108 (14)(d) and Section 31A-28-109 , are
             1080      delegated to a corporation, association, or other organization that will perform functions
             1081      similar to those of the association, or its equivalent, in two or more states.
             1082          (b) A corporation, association, or organization described in Subsection (4)(a) shall be:
             1083          (i) reimbursed for any payments made on behalf of the association; and
             1084          (ii) paid for its performance of any function of the association.
             1085          (c) A delegation under this Subsection (4):
             1086          (i) [shall take] takes effect only with the approval of:
             1087          (A) the board of directors; and
             1088          (B) the commissioner; and
             1089          (ii) may be made only to a corporation, association, or organization that extends
             1090      protection not substantially less favorable and effective than that provided by this part.
             1091          Section 7. Section 31A-28-111 is amended to read:
             1092           31A-28-111. Duties and powers under this part.
             1093          In addition to the duties and powers enumerated elsewhere in this part, the persons


             1094      [listed] described in this section have the duties and powers described in Subsections (1)
             1095      through (6).
             1096          (1) The commissioner shall:
             1097          (a) upon request of the board of directors, provide the association with a statement of
             1098      the premiums for each member insurer:
             1099          (i) in this state; and
             1100          (ii) any other appropriate state; and
             1101          (b) if an impairment is declared and the amount of the impairment is determined,
             1102      serve a demand upon the impaired insurer to make good the impairment within a reasonable
             1103      time[; and].
             1104          [(c) in a liquidation or rehabilitation proceeding involving a domestic insurer, be
             1105      appointed as the liquidator or rehabilitator.]
             1106          (2) Notice to the impaired insurer under Subsection (1)(b) [shall constitute] constitutes
             1107      notice to the shareholders of the impaired insurer if the impaired insurer has shareholders.
             1108          (3) The failure of the insurer to promptly comply with the commissioner's demand
             1109      under Subsection (1)(b) does not excuse the association from the performance of its powers
             1110      and duties under this part.
             1111          (4) (a) After notice and hearing, the commissioner may suspend or revoke the
             1112      certificate of authority to transact insurance in this state of [any] a member insurer not
             1113      domiciled in this state that fails to:
             1114          (i) pay an assessment when due; or
             1115          (ii) comply with the plan of operation.
             1116          (b) (i) As an alternative to suspending or revoking a certificate of authority under
             1117      Subsection (4)(a), the commissioner may levy a forfeiture on any member insurer that fails to
             1118      pay an assessment when due.
             1119          (ii) A forfeiture described in Subsection (4)(b)(i):
             1120          (A) may not exceed 5% of the unpaid assessment per month; and
             1121          (B) may not be less than $100 per month.


             1122          (5) (a) A final action of the board of directors or the association may be appealed to the
             1123      commissioner by any member insurer if appeal is taken within 60 days of the date the member
             1124      insurer received notice of the final action being appealed.
             1125          (b) If a member insurer is appealing an assessment, the amount assessed shall be:
             1126          (i) paid to the association; and
             1127          (ii) made available to meet association obligations during the pendency of an appeal.
             1128          (c) If the appeal on the assessment described in Subsection (5)(b) is upheld, the
             1129      amount paid in error or excess shall be returned to the member insurer.
             1130          (d) Any final action or order of the commissioner [shall be] is subject to judicial
             1131      review in a court of competent jurisdiction in accordance with the laws of this state that apply
             1132      to the actions or orders of the commissioner.
             1133          (6) The [liquidator, rehabilitator, or conservator of any] receiver of an impaired insurer
             1134      shall notify [all] the interested persons of the effect of this part.
             1135          Section 8. Section 31A-28-112 is amended to read:
             1136           31A-28-112. Reports.
             1137          [(1) The purpose of this section is to aid in the detection and prevention of insurer
             1138      insolvencies or impairments.]
             1139          [(2)] (1) The commissioner shall:
             1140          [(a) notify the commissioner of every state within 30 days following the action taken or
             1141      the date the action occurs, when the commissioner takes the following actions against a
             1142      member insurer:]
             1143          [(i) revokes its license;]
             1144          [(ii) suspends its license; or]
             1145          [(iii) makes a formal order that the member insurer:]
             1146          [(A) restrict its premium writing;]
             1147          [(B) obtain additional contributions to surplus;]
             1148          [(C) withdraw from the state;]
             1149          [(D) reinsure all or any part of its business; or]


             1150          [(E) increase capital, surplus, or any other account for the security of policy owners or
             1151      creditors;]
             1152          [(b)] (a) report to the board of directors when [the commissioner has]:
             1153          [(i) taken any of the actions set forth in Subsection (2)(a); or]
             1154          (i) the commissioner takes an action set forth in Section 31A-27a-201 ;
             1155          (ii) an event described in Section 31A-17-603 , 31A-17-604 , or 31A-17-605 occurs; or
             1156          [(ii) received] (iii) the commissioner receives a report from any other commissioner
             1157      indicating that an action described in Subsection [(2)(a)] (1)(a)(i) has been taken in another
             1158      state;
             1159          [(c)] (b) include in the report to the board of directors required by Subsection [(2)(b)]
             1160      (1)(a):
             1161          (i) [all] the significant details of the action taken; [or]
             1162          (ii) the significant details of an event described in Subsection (1)(a)(ii); or
             1163          [(ii)] (iii) the report received from another commissioner;
             1164          [(d)] (c) promptly report to the board of directors when the commissioner has
             1165      reasonable cause to believe from an examination of any member insurer, whether completed or
             1166      in process, that the insurer may be an impaired or insolvent insurer; and
             1167          [(e)] (d) furnish to the board of directors the National Association of Insurance
             1168      Commissioners Insurance Regulatory Information System ratios and listings of companies not
             1169      included in the ratios developed by the National Association of Insurance Commissioners.
             1170          [(3)] (2) (a) The board of directors may use the information contained in the ratios and
             1171      listings described in Subsection [(2)(e)] (1)(d) in carrying out the board of directors' duties and
             1172      responsibilities under this [section] part.
             1173          (b) The board of directors shall keep the report and the information contained in the
             1174      ratios and listings [shall be kept] confidential [by the board of directors] until the
             1175      commissioner or other lawful authority publishes the information.
             1176          [(4)] (3) The commissioner may seek the advice and recommendations of the board of
             1177      directors concerning any matter affecting the commissioner's duties and responsibilities


             1178      regarding the financial condition of member insurers and companies seeking admission to
             1179      transact insurance business in this state.
             1180          [(5)] (4) (a) The board of directors may make reports and recommendations to the
             1181      commissioner upon any matter germane to:
             1182          (i) the solvency, liquidation, rehabilitation, or conservation of any member insurer; or
             1183          (ii) the solvency of any company seeking to do an insurance business in this state.
             1184          (b) The reports and recommendations of the board of directors described in
             1185      [Subsection (5)(a) may not be considered] Subsection (4)(a) are not public documents.
             1186          [(6)] (5) The board of directors may, upon majority vote, notify the commissioner of
             1187      any information indicating a member insurer may be an impaired or insolvent insurer.
             1188          [(7)] (6) The board of directors may make recommendations to the commissioner for
             1189      the detection and prevention of insurer insolvencies.
             1190          [(8)] (7) (a) At the conclusion of any insurer insolvency in which the association was
             1191      obligated to pay covered claims, the board of directors shall prepare a report to the
             1192      commissioner containing the information the board of directors has in its possession bearing
             1193      on the history and causes of the insolvency.
             1194          (b) In preparing a report on the history and causes of insolvency of a particular insurer,
             1195      the board of directors may cooperate with:
             1196          (i) the board of directors of a guaranty association in another state; or
             1197          (ii) an organization described in Subsection 31A-28-108 (16).
             1198          (c) The board of directors may adopt by reference any report prepared by:
             1199          (i) a guaranty association in another state; or
             1200          (ii) an organization described in Subsection 31A-28-108 (16).
             1201          Section 9. Section 31A-28-114 is amended to read:
             1202           31A-28-114. Miscellaneous provisions.
             1203          (1) Nothing in this part shall be construed to reduce the liability for unpaid
             1204      assessments of the insureds of an impaired or insolvent insurer operating under a plan with
             1205      assessment liability.


             1206          (2) (a) [Records shall be kept of all meetings of the] The board of directors shall keep
             1207      a record of a meeting of the board of directors to discuss the activities of the association in
             1208      carrying out its powers and duties under Section 31A-28-108 .
             1209          (b) [Records] A record of the association with respect to an impaired or insolvent
             1210      insurer may not be disclosed before the earlier of:
             1211          (i) the termination of a liquidation, rehabilitation, or conservation proceeding
             1212      involving the impaired or insolvent insurer;
             1213          (ii) the termination of the impairment or insolvency of the insurer; or
             1214          (iii) upon the order of a court of competent jurisdiction.
             1215          (c) Nothing in this Subsection (2) [shall limit] limits the duty of the association to
             1216      render a report of its activities under Section 31A-28-115 .
             1217          (3) (a) For the purpose of carrying out its obligations under this part, the association
             1218      [shall be] is considered to be a creditor of an impaired or insolvent insurer to the extent of
             1219      assets attributable to covered policies reduced by any amounts to which the association is
             1220      entitled as subrogee pursuant to Subsection 31A-28-108 (14).
             1221          (b) Assets of the impaired or insolvent insurer attributable to covered policies shall be
             1222      used to continue [all] the covered policies and pay [all] the contractual obligations of the
             1223      impaired or insolvent insurer as required by this part.
             1224          (c) As used in this Subsection (3), assets attributable to covered policies are that
             1225      proportion of the assets which the reserves that should have been established for covered
             1226      policies bear to the reserves that should have been established for all policies of insurance
             1227      written by the impaired or insolvent insurer.
             1228          (4) (a) As a creditor of the impaired or insolvent insurer under Subsection (3) and
             1229      consistent with Section 31A-27a-701 , the association and any other similar association are
             1230      entitled to receive a disbursement of assets out of the marshaled assets, from time to time as
             1231      the assets become available to reimburse the association and any other similar association.
             1232          (b) If, within [120] 180 days of a final determination of insolvency of an insurer by the
             1233      receivership court, the [liquidator] receiver has not made an application to the court for the


             1234      approval of a proposal to disburse assets out of marshaled assets to [all] the guaranty
             1235      associations having obligations because of the insolvency, the association is entitled to make
             1236      application to the receivership court for approval of the association's proposal for
             1237      disbursement of these assets.
             1238          (5) (a) [Prior to] Before the termination of [any] a liquidation, rehabilitation, or
             1239      conservation proceeding, the court may take into consideration the contributions of the
             1240      respective parties, including:
             1241          (i) the association;
             1242          (ii) the shareholders;
             1243          (iii) policyowners of the insolvent insurer; and
             1244          (iv) any other party with a bona fide interest in making an equitable distribution of the
             1245      ownership rights of the insolvent insurer.
             1246          (b) In making a determination under Subsection (5)(a), the court shall consider the
             1247      welfare of the [policyholders] policyowners of the continuing or successor insurer.
             1248          (c) A distribution to any stockholder of an impaired or insolvent insurer may not be
             1249      made until and unless the total amount of valid claims of the association with interest has been
             1250      fully recovered by the association for funds expended in carrying out its powers and duties
             1251      under Section 31A-28-108 with respect to the insurer.
             1252          [(6) (a) If an order for liquidation or rehabilitation of an insurer domiciled in this state
             1253      has been entered, the receiver appointed under the order shall have a right to recover on behalf
             1254      of the insurer, from any affiliate that controlled the insurer, the amount of distributions, other
             1255      than stock dividends paid by the insurer on its capital stock, made at any time during the five
             1256      years preceding the petition for liquidation or rehabilitation subject to the limitations of
             1257      Subsections (6)(b) through (d).]
             1258          [(b) A distribution described in Subsection (6)(a) may not be recovered if the insurer
             1259      shows that:]
             1260          [(i) when paid the distribution was lawful and reasonable; and]
             1261          [(ii) the insurer did not know and could not reasonably have known that the


             1262      distribution might adversely affect the ability of the insurer to fulfill its contractual
             1263      obligations.]
             1264          [(c) (i) A person that was an affiliate that controlled the insurer at the time the
             1265      distributions were paid shall be liable up to the amount of distributions received.]
             1266          [(ii) A person that was an affiliate that controlled the insurer at the time the
             1267      distributions were declared shall be liable up to the amount of distributions that would have
             1268      been received if they had been paid immediately.]
             1269          [(iii) If two or more persons are liable with respect to the same distributions, they shall
             1270      be jointly and severally liable.]
             1271          [(d) The maximum amount recoverable under this Subsection (6) shall be the amount
             1272      needed in excess of all other available assets of the insolvent insurer to pay the contractual
             1273      obligations of the insolvent insurer.]
             1274          [(e) If any person liable under Subsection (6)(c) is insolvent, all of its affiliates that
             1275      controlled it at the time the distribution was paid shall be jointly and severally liable for any
             1276      resulting deficiency in the amount recovered from the insolvent affiliate.]
             1277          Section 10. Section 31A-28-118 is amended to read:
             1278           31A-28-118. Stay of proceedings -- Reopening default judgments.
             1279          [All proceedings] (1) A proceeding in which the insolvent insurer is a party in any
             1280      court in this state shall be stayed [60] 180 days from the date an order of liquidation,
             1281      rehabilitation, or conservation is final to permit proper legal action by the association on any
             1282      matters germane to its powers or duties.
             1283          (2) The association may apply to have a judgment under any decision, order, verdict,
             1284      or finding based on default set aside by the same court that made the judgment. The
             1285      association shall be permitted to defend against the suit on the merits.
             1286          Section 11. Section 31A-28-119 is amended to read:
             1287           31A-28-119. Prohibited advertisement of the association -- Notice to owners of
             1288      policies and contracts.
             1289          (1) (a) Except as provided in Subsection (1)(b), a person, including an insurer, agent,


             1290      or affiliate of an insurer may not make, publish, disseminate, circulate, or place before the
             1291      public, or cause directly or indirectly to be made, published, disseminated, circulated, or
             1292      placed before the public, in [any] a newspaper, magazine, or other publication, or in the form
             1293      of a notice, circular, pamphlet, letter, or poster, or over [any] a radio station or television
             1294      station, or in any other way, any advertisement, announcement, or statement written or oral,
             1295      [which] that uses the existence of the association for the purpose of sales, solicitation, or
             1296      inducement to purchase any form of insurance.
             1297          (b) Notwithstanding Subsection (1)(a), this section does not apply to:
             1298          (i) the association; or
             1299          (ii) [any other] another entity that does not sell or solicit insurance.
             1300          (2) (a) [Prior to January 1, 2002, the] The association shall:
             1301          (i) [prepare] have a summary document describing the general purposes and current
             1302      limitations of this part that complies with Subsection (3); and
             1303          (ii) submit the summary document described in Subsection (2)(a)(i) to the
             1304      commissioner for approval.
             1305          (b) [Sixty days after the day on which the commissioner approves the summary
             1306      document described in Subsection (2)(a), an] An insurer may not deliver a policy or contract
             1307      to a policy or contract owner unless the summary document is also delivered to the policy or
             1308      contract owner [prior to] before, or at the time of, delivery of the policy or contract.
             1309          (c) The summary document shall be available upon request by a policy owner.
             1310          (d) The distribution, delivery, or contents or interpretation of the summary document
             1311      does not guarantee that:
             1312          (i) the policy or the contract is covered in the event of the impairment or insolvency of
             1313      a member insurer; or
             1314          (ii) the owner of the policy or contract is covered in the event of the impairment or
             1315      insolvency of a member insurer.
             1316          (e) The summary document shall be revised by the association as amendments to this
             1317      part may require.


             1318          (f) Failure to receive the summary document as required in Subsection (2)(b) does not
             1319      give the [policyholder, contract holder] owner of a policy or contract, certificate holder, or
             1320      insured any greater rights than those stated in this part.
             1321          (3) (a) The summary document [prepared under] described in Subsection (2) shall
             1322      contain a clear and conspicuous disclaimer on its face.
             1323          (b) The commissioner shall, by rule, establish the form and content of the disclaimer
             1324      described in Subsection (3)(a), except that the disclaimer shall:
             1325          (i) state the name and address of:
             1326          (A) the association; and
             1327          (B) the [insurance] department;
             1328          (ii) prominently warn [the] a policy or contract owner that:
             1329          (A) the association may not cover the policy or contract; or
             1330          (B) if coverage is available, it is:
             1331          (I) subject to substantial limitations and exclusions; and
             1332          (II) conditioned on continued residence in the state;
             1333          (iii) state the types of policies or contracts for which the association will provide
             1334      coverage;
             1335          (iv) state that the insurer and its agents are prohibited by law from using the existence
             1336      of the association for the purpose of sales, solicitation, or inducement to purchase any form of
             1337      insurance;
             1338          (v) state that the policy or contract owner should not rely on coverage under the
             1339      association when selecting an insurer;
             1340          (vi) explain the rights available and procedures for filing a complaint to allege a
             1341      violation of this part; and
             1342          (vii) provide other information as directed by the commissioner including sources for
             1343      information about the financial condition of insurers provided that the information:
             1344          (A) is not proprietary; and
             1345          (B) is subject to disclosure under public records laws.


             1346          (4) (a) An insurer or agent may not deliver a policy or contract described in Subsection
             1347      31A-28-103 (2)(a) and wholly excluded under Subsection 31A-28-103 (2)(b)(i) from coverage
             1348      under this part unless the insurer or agent, prior to or at the time of delivery, gives the policy
             1349      or contract holder a separate written notice that clearly and conspicuously discloses that the
             1350      policy or contract is not covered by the association.
             1351          (b) The commissioner shall by rule specify the form and content of the notice required
             1352      by Subsection (4)(a).
             1353          (5) A member insurer shall retain evidence of compliance with Subsection (2) for the
             1354      later of:
             1355          (a) three years; or
             1356          (b) until the conclusion of the next market conduct examination by the department of
             1357      insurance where the member insurer is domiciled.
             1358          Section 12. Section 31A-28-120 is amended to read:
             1359           31A-28-120. Prospective application.
             1360          Notwithstanding any prior or subsequent law, the provisions of this part that are in
             1361      effect on the date on which the association first becomes obligated for the policies or contracts
             1362      of an insolvent or impaired member [shall] govern the association's rights and obligations to
             1363      the [policyholders] policyowners of the insolvent or impaired member.


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