1     
INSURANCE PRODUCER AMENDMENTS

2     
2021 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Kirk A. Cullimore

5     
House Sponsor: ____________

6     

7     LONG TITLE
8     General Description:
9          This bill addresses insurance producer compensation.
10     Highlighted Provisions:
11          This bill:
12          ▸     modifies definitions;
13          ▸     requires an insurance producer that provides accident and health insurance to:
14               •     enter into an agreement with the insured if the producer is compensated for
15     negotiation or sale of the insurance;
16               •     disclose to a large customer that the producer will receive compensation for
17     placement of the insurance; and
18               •     provide an annual accounting regarding the producer's noncommission
19     compensation to certain large customers and, upon request, the Insurance
20     Department;
21          ▸     provides that an annual accounting and other disclosures that are provided to the
22     Insurance Department are a public record under the Government Records Access
23     and Management Act subject to certain exceptions; and
24          ▸     makes technical and conforming changes.
25     Money Appropriated in this Bill:
26          None
27     Other Special Clauses:

28          None
29     Utah Code Sections Affected:
30     AMENDS:
31          31A-23a-501, as last amended by Laws of Utah 2017, Chapter 168
32          63G-2-301, as last amended by Laws of Utah 2020, Chapters 255 and 399
33     

34     Be it enacted by the Legislature of the state of Utah:
35          Section 1. Section 31A-23a-501 is amended to read:
36          31A-23a-501. Licensee compensation.
37          (1) As used in this section:
38          (a) "Commission compensation" includes funds paid to or credited for the benefit of a
39     licensee from or in connection with:
40          (i) commission amounts deducted from insurance premiums on insurance sold by or
41     placed through the licensee;
42          (ii) commission amounts received from an insurer or another licensee as a result of the
43     sale or placement of insurance; or
44          (iii) overrides, bonuses, contingent bonuses, or contingent commissions received from
45     an insurer or another licensee as a result of the sale or placement of insurance.
46          (b) (i) "Compensation from an insurer or third party administrator" means
47     commissions, fees, awards, overrides, bonuses, contingent commissions, loans, stock options,
48     gifts, prizes, or any other form of valuable consideration:
49          (A) whether or not payable pursuant to a written agreement; and
50          (B) received from:
51          (I) an insurer; or
52          (II) a third party to the transaction for the sale or placement of insurance.
53          (ii) "Compensation from an insurer or third party administrator" does not mean
54     compensation from a customer that is:
55          (A) a fee or pass-through costs as provided in Subsection (1)(e); or
56          (B) a fee or amount collected by or paid to the producer that does not exceed an
57     amount established by the commissioner by administrative rule.
58          (c) (i) "Customer" means:

59          (A) the person signing the application or submission for insurance; or
60          (B) the authorized representative of the insured actually negotiating the placement of
61     insurance with the producer.
62          (ii) "Customer" does not mean a person who is a participant or beneficiary of:
63          (A) an employee benefit plan; or
64          (B) a group or blanket insurance policy or group annuity contract sold, solicited, or
65     negotiated by the producer or affiliate.
66          (d) (i) "Noncommission compensation" includes all funds paid to or credited for the
67     benefit of a licensee other than commission compensation.
68          (ii) "Noncommission compensation" does not include charges for pass-through costs
69     incurred by the licensee in connection with obtaining, placing, or servicing an insurance policy.
70          (e) "Pass-through costs" include:
71          (i) costs for copying documents to be submitted to the insurer; and
72          (ii) bank costs for processing cash or credit card payments.
73          (2) (a) A licensee may receive from an insured or from a person purchasing an
74     insurance policy, noncommission compensation if the noncommission compensation is stated
75     on a separate, written disclosure.
76          [(a)] (b) The disclosure required by this Subsection (2) shall:
77          (i) include the signature of the insured or prospective insured acknowledging the
78     noncommission compensation;
79          (ii) clearly specify:
80          (A) the amount of any known noncommission compensation; and
81          (B) the type and amount, if known, of any potential and contingent noncommission
82     compensation; and
83          (iii) be provided to the insured or prospective insured before the performance of the
84     service.
85          [(b)] (c) Noncommission compensation shall be:
86          (i) limited to actual or reasonable expenses incurred for services; and
87          (ii) uniformly applied to all insureds or prospective insureds in a class or classes of
88     business or for a specific service or services.
89          [(c)] (d) A copy of the signed disclosure required by this Subsection (2) shall be

90     maintained by any licensee who collects or receives the noncommission compensation or any
91     portion of the noncommission compensation.
92          [(d)] (e) All accounting records relating to noncommission compensation shall be
93     maintained by the person described in Subsection (2)(c) in a manner that facilitates an audit.
94          (3) (a) A licensee may receive noncommission compensation when acting as a
95     producer for the insured in connection with the actual sale or placement of insurance if:
96          (i) the producer and the insured have agreed on the producer's noncommission
97     compensation; and
98          (ii) the producer has disclosed to the insured the existence and source of any other
99     compensation that accrues to the producer as a result of the transaction.
100          (b) The disclosure required by this Subsection (3) shall:
101          (i) include the signature of the insured or prospective insured acknowledging the
102     noncommission compensation;
103          (ii) clearly specify:
104          (A) the amount of any known noncommission compensation;
105          (B) the type and amount, if known, of any potential and contingent noncommission
106     compensation; and
107          (C) the existence and source of any other compensation; and
108          (iii) be provided to the insured or prospective insured before the performance of the
109     service.
110          (c) The following additional noncommission compensation is authorized:
111          (i) compensation received by a producer of a compensated corporate surety who under
112     procedures approved by a rule or order of the commissioner is paid by surety bond principal
113     debtors for extra services;
114          (ii) compensation received by an insurance producer who is also licensed as a public
115     adjuster under Section 31A-26-203, for services performed for an insured in connection with a
116     claim adjustment, so long as the producer does not receive or is not promised compensation for
117     aiding in the claim adjustment prior to the occurrence of the claim;
118          (iii) compensation received by a consultant as a consulting fee, provided the consultant
119     complies with the requirements of Section 31A-23a-401; or
120          (iv) other compensation arrangements approved by the commissioner after a finding

121     that they do not violate Section 31A-23a-401 and are not harmful to the public.
122          (d) Subject to Section 31A-23a-402.5, a producer for the insured may receive
123     compensation from an insured through an insurer, for the negotiation and sale of [a health
124     benefit plan] accident and health insurance, if there is a separate written agreement between the
125     insured and the licensee for the compensation. An insurer who passes through the
126     compensation from the insured to the licensee under this Subsection (3)(d) is not providing
127     direct or indirect compensation or commission compensation to the licensee.
128          (4) (a) [For purposes of] As used in this Subsection (4):
129          (i) "Large customer" means an employer who, with respect to a calendar year and to a
130     plan year:
131          (A) employed an average of at least 100 eligible employees on each business day
132     during the preceding calendar year; and
133          (B) employs at least two employees on the first day of the plan year.
134          (ii) "Producer" includes:
135          (A) a producer;
136          (B) an affiliate of a producer; or
137          (C) a consultant.
138          (b) A producer may not accept [or] nor receive any compensation from an insurer or
139     third party administrator for the initial placement of [a health benefit plan] accident and health
140     insurance, other than a hospital confinement indemnity policy, unless [prior to] before a large
141     customer's initial purchase of the [health benefit plan] accident and health insurance the
142     producer discloses in writing to the large customer that the producer will receive compensation
143     from the insurer or third party administrator for the placement of insurance, including the
144     amount or type of compensation known to the producer at the time of the disclosure.
145          (c) A producer shall:
146          (i) obtain the large customer's signed acknowledgment that the disclosure under
147     Subsection (4)(b) was made to the large customer; or
148          (ii) (A) sign a statement that the disclosure required by Subsection (4)(b) was made to
149     the large customer; and
150          (B) keep the signed statement on file in the producer's office while the [health benefit
151     plan] accident and health insurance placed with the large customer is in force.

152          (d) A licensee who collects or receives any part of the compensation from an insurer or
153     third party administrator in a manner that facilitates an audit shall, while the [health benefit
154     plan] accident and health insurance placed with the large customer is in force, maintain a copy
155     of:
156          (i) the signed acknowledgment described in Subsection (4)(c)(i); or
157          (ii) the signed statement described in Subsection (4)(c)(ii).
158          (e) Subsection (4)(c) does not apply to:
159          (i) a person licensed as a producer who acts only as an intermediary between an insurer
160     and the customer's producer, including a managing general agent; or
161          (ii) the placement of insurance in a secondary or residual market.
162          (f) (i) A producer shall provide to a large customer [listed] described in this Subsection
163     (4)(f) an annual accounting, as defined by rule made by the department in accordance with Title
164     63G, Chapter 3, Utah Administrative Rulemaking Act, of all amounts the producer receives in
165     commission compensation and noncomission compensation from an insurer or third party
166     administrator as a result of the sale or placement of [a health benefit plan] accident and health
167     insurance
to a large customer that is:
168          (A) the state;
169          (B) a political subdivision or instrumentality of the state or a combination thereof
170     primarily engaged in educational activities or the administration or servicing of educational
171     activities, including the State Board of Education and its instrumentalities, an institution of
172     higher education and its branches, a school district and its instrumentalities, a vocational and
173     technical school, and an entity arising out of a consolidation agreement between entities
174     described under this Subsection (4)(f)(i)(B);
175          (C) a county, city, town, local district under Title 17B, Limited Purpose Local
176     Government Entities - Local Districts, special service district under Title 17D, Chapter 1,
177     Special Service District Act, an entity created by an interlocal cooperation agreement under
178     Title 11, Chapter 13, Interlocal Cooperation Act, or any other governmental entity designated
179     in statute as a political subdivision of the state; or
180          (D) a quasi-public corporation, [that has the same meaning] as defined in Section
181     63E-1-102.
182          (ii) The department shall pattern the annual accounting required by this Subsection

183     (4)(f) on the insurance related information on Internal Revenue Service Form 5500 and [its] the
184     form's relevant attachments.
185          (g) At the request of the department, a producer shall provide the department a copy of:
186          (i) a disclosure required by this Subsection (4); or
187          (ii) an Internal Revenue Service Form 5500 and [its] the form's relevant attachments.
188          (5) This section does not alter the right of any licensee to recover from an insured the
189     amount of any premium due for insurance effected by or through that licensee or to charge a
190     reasonable rate of interest upon past-due accounts.
191          (6) This section does not apply to bail bond producers or bail enforcement agents as
192     defined in Section 31A-35-102.
193          (7) A licensee may not receive noncommission compensation from an insurer, insured,
194     or enrollee for providing a service or engaging in an act that is required to be provided or
195     performed in order to receive commission compensation, except for the surplus lines
196     transactions that do not receive commissions.
197          Section 2. Section 63G-2-301 is amended to read:
198          63G-2-301. Public records.
199          (1) As used in this section:
200          (a) "Business address" means a single address of a governmental agency designated for
201     the public to contact an employee or officer of the governmental agency.
202          (b) "Business email address" means a single email address of a governmental agency
203     designated for the public to contact an employee or officer of the governmental agency.
204          (c) "Business telephone number" means a single telephone number of a governmental
205     agency designated for the public to contact an employee or officer of the governmental agency.
206          (d) "Correctional facility" means the same as that term is defined in Section
207     77-16b-102.
208          (2) The following records are public except to the extent they contain information
209     expressly permitted to be treated confidentially under the provisions of Subsections
210     63G-2-201(3)(b) and (6)(a):
211          (a) laws;
212          (b) the name, gender, gross compensation, job title, job description, business address,
213     business email address, business telephone number, number of hours worked per pay period,

214     dates of employment, and relevant education, previous employment, and similar job
215     qualifications of a current or former employee or officer of the governmental entity, excluding:
216          (i) undercover law enforcement personnel; and
217          (ii) investigative personnel if disclosure could reasonably be expected to impair the
218     effectiveness of investigations or endanger any individual's safety;
219          (c) final opinions, including concurring and dissenting opinions, and orders that are
220     made by a governmental entity in an administrative, adjudicative, or judicial proceeding except
221     that if the proceedings were properly closed to the public, the opinion and order may be
222     withheld to the extent that they contain information that is private, controlled, or protected;
223          (d) final interpretations of statutes or rules by a governmental entity unless classified as
224     protected as provided in Subsection 63G-2-305(17) or (18);
225          (e) information contained in or compiled from a transcript, minutes, or report of the
226     open portions of a meeting of a governmental entity as provided by Title 52, Chapter 4, Open
227     and Public Meetings Act, including the records of all votes of each member of the
228     governmental entity;
229          (f) judicial records unless a court orders the records to be restricted under the rules of
230     civil or criminal procedure or unless the records are private under this chapter;
231          (g) unless otherwise classified as private under Section 63G-2-303, records or parts of
232     records filed with or maintained by county recorders, clerks, treasurers, surveyors, zoning
233     commissions, the Division of Forestry, Fire, and State Lands, the School and Institutional Trust
234     Lands Administration, the Division of Oil, Gas, and Mining, the Division of Water Rights, or
235     other governmental entities that give public notice of:
236          (i) titles or encumbrances to real property;
237          (ii) restrictions on the use of real property;
238          (iii) the capacity of persons to take or convey title to real property; or
239          (iv) tax status for real and personal property;
240          (h) records of the Department of Commerce that evidence incorporations, mergers,
241     name changes, and uniform commercial code filings;
242          (i) data on individuals that would otherwise be private under this chapter if the
243     individual who is the subject of the record has given the governmental entity written
244     permission to make the records available to the public;

245          (j) documentation of the compensation that a governmental entity pays to a contractor
246     or private provider;
247          (k) summary data;
248          (l) voter registration records, including an individual's voting history, except for a voter
249     registration record or those parts of a voter registration record that are classified as private
250     under Subsections 63G-2-302(1)(j) through (m) or withheld under Subsection 20A-2-104(7);
251          (m) for an elected official, as defined in Section 11-47-102, a telephone number, if
252     available, and email address, if available, where that elected official may be reached as required
253     in Title 11, Chapter 47, Access to Elected Officials;
254          (n) for a school community council member, a telephone number, if available, and
255     email address, if available, where that elected official may be reached directly as required in
256     Section 53G-7-1203;
257          (o) annual audited financial statements of the Utah Educational Savings Plan described
258     in Section 53B-8a-111; and
259          (p) an initiative packet, as defined in Section 20A-7-101, and a referendum packet, as
260     defined in Section 20A-7-101, after the packet is submitted to a county clerk.
261          (3) The following records are normally public, but to the extent that a record is
262     expressly exempt from disclosure, access may be restricted under Subsection 63G-2-201(3)(b),
263     Section 63G-2-302, 63G-2-304, or 63G-2-305:
264          (a) administrative staff manuals, instructions to staff, and statements of policy;
265          (b) records documenting a contractor's or private provider's compliance with the terms
266     of a contract with a governmental entity;
267          (c) records documenting the services provided by a contractor or a private provider to
268     the extent the records would be public if prepared by the governmental entity;
269          (d) contracts entered into by a governmental entity;
270          (e) any account, voucher, or contract that deals with the receipt or expenditure of funds
271     by a governmental entity;
272          (f) records relating to government assistance or incentives publicly disclosed,
273     contracted for, or given by a governmental entity, encouraging a person to expand or relocate a
274     business in Utah, except as provided in Subsection 63G-2-305(35);
275          (g) chronological logs and initial contact reports;

276          (h) correspondence by and with a governmental entity in which the governmental entity
277     determines or states an opinion upon the rights of the state, a political subdivision, the public,
278     or any person;
279          (i) empirical data contained in drafts if:
280          (i) the empirical data is not reasonably available to the requester elsewhere in similar
281     form; and
282          (ii) the governmental entity is given a reasonable opportunity to correct any errors or
283     make nonsubstantive changes before release;
284          (j) drafts that are circulated to anyone other than:
285          (i) a governmental entity;
286          (ii) a political subdivision;
287          (iii) a federal agency if the governmental entity and the federal agency are jointly
288     responsible for implementation of a program or project that has been legislatively approved;
289          (iv) a government-managed corporation; or
290          (v) a contractor or private provider;
291          (k) drafts that have never been finalized but were relied upon by the governmental
292     entity in carrying out action or policy;
293          (l) original data in a computer program if the governmental entity chooses not to
294     disclose the program;
295          (m) arrest warrants after issuance, except that, for good cause, a court may order
296     restricted access to arrest warrants prior to service;
297          (n) search warrants after execution and filing of the return, except that a court, for good
298     cause, may order restricted access to search warrants prior to trial;
299          (o) records that would disclose information relating to formal charges or disciplinary
300     actions against a past or present governmental entity employee if:
301          (i) the disciplinary action has been completed and all time periods for administrative
302     appeal have expired; and
303          (ii) the charges on which the disciplinary action was based were sustained;
304          (p) records maintained by the Division of Forestry, Fire, and State Lands, the School
305     and Institutional Trust Lands Administration, or the Division of Oil, Gas, and Mining that
306     evidence mineral production on government lands;

307          (q) final audit reports;
308          (r) occupational and professional licenses;
309          (s) business licenses;
310          (t) a notice of violation, a notice of agency action under Section 63G-4-201, or similar
311     records used to initiate proceedings for discipline or sanctions against persons regulated by a
312     governmental entity, but not including records that initiate employee discipline; [and]
313          (u) (i) records that disclose a standard, regulation, policy, guideline, or rule regarding
314     the operation of a correctional facility or the care and control of inmates committed to the
315     custody of a correctional facility; and
316          (ii) records that disclose the results of an audit or other inspection assessing a
317     correctional facility's compliance with a standard, regulation, policy, guideline, or rule
318     described in Subsection (3)(u)(i)[.]; and
319          (v) a disclosure or annual accounting provided to the Insurance Department under
320     Subsection 31A-23a-501(4).
321          (4) The list of public records in this section is not exhaustive and should not be used to
322     limit access to records.