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7 LONG TITLE
8 General Description:
9 This bill amends the Insurance Code, the Public Employees' Benefit and Insurance
10 Program Act, and related provisions.
11 Highlighted Provisions:
12 This bill:
13 ▸ makes changes to provisions of the Insurance Code to:
14 • amend what is considered protected work papers when the commissioner
15 conducts an examination;
16 • amend requirements for service of process;
17 • increase the amount of the annual appropriation for the Captive Insurance
18 Division;
19 • amend the required process for insurers to file certain documents;
20 • specify the filing requirements for insurers to submit annual statements with the
21 National Association of Insurance Commissioners;
22 • prohibit insurance credit when a risk is ceded to an out-of-state captive;
23 • eliminate certain requirements for a title insurance licensee to submit certain
24 filings;
25 • enacts provisions requiring certain reporting for insurers that offer large
26 employer health benefit plans;
27 • add a limited line insurance producer license for pet insurance;
28 • permit the Department of Insurance (department) to take action against licensees
29 if the licensee enters a plea in abeyance to certain crimes;
30 • clarify provisions related to title insurance companies' deposit of trust money in
31 federally-insured depository institutions in Utah;
32 • eliminate the requirement that the Title and Escrow Commission (commission)
33 establish in rule an amount of costs and expenses that are covered by the annual
34 assessment on agency title insurance producers and title insurers (annual
35 assessment);
36 • allow the commission to approve costs and expenses covered by the annual
37 assessment for the prior fiscal year;
38 • eliminate the limitation on the amount of costs covered by the annual
39 assessment;
40 • create the State Mandated Insurer Payments Restricted Account (account) and
41 provide that appropriations from the account are nonlapsing;
42 • amend requirements for the method of reporting insurance fraud;
43 • eliminate the requirement that an association of captives be in continuous
44 existence for at least one year;
45 • change requirements for a captive insurer's paid-in capital;
46 • prohibit insuring an award of punitive damages against a third party; and
47 • amend the requirements for pure captive insurance companies to which the
48 commissioner issues a certificate of authority;
49 ▸ amends provisions related to certain recommendations for benefit and rate
50 adjustments for state employees that the Public Employees' Benefit and Insurance
51 Program is required to submit;
52 ▸ makes technical and conforming changes; and
53 ▸ defines terms.
54 Money Appropriated in this Bill:
55 None
56 Other Special Clauses:
57 None
58 Utah Code Sections Affected:
59 AMENDS:
60 31A-2-204, as last amended by Laws of Utah 2018, Chapter 319
61 31A-2-310, as last amended by Laws of Utah 1995, Chapter 20
62 31A-3-304, as last amended by Laws of Utah 2019, Chapter 193
63 31A-4-113.5, as last amended by Laws of Utah 2003, Chapter 252
64 31A-16-103, as last amended by Laws of Utah 2018, Chapter 319
65 31A-17-404, as last amended by Laws of Utah 2021, Chapter 252
66 31A-19a-209, as last amended by Laws of Utah 2015, Chapters 312, 330
67 31A-23a-106, as last amended by Laws of Utah 2015, Chapter 330
68 31A-23a-111, as last amended by Laws of Utah 2022, Chapter 198
69 31A-23a-406, as last amended by Laws of Utah 2021, Chapter 252
70 31A-23a-409, as last amended by Laws of Utah 2021, Chapter 252
71 31A-23a-415, as last amended by Laws of Utah 2020, Chapter 32
72 31A-23b-401, as last amended by Laws of Utah 2020, Chapter 32
73 31A-25-208, as last amended by Laws of Utah 2020, Chapter 32
74 31A-26-213, as last amended by Laws of Utah 2020, Chapter 32
75 31A-30-118, as last amended by Laws of Utah 2020, Chapter 32
76 31A-31-110, as last amended by Laws of Utah 2008, Chapter 150
77 31A-35-504, as last amended by Laws of Utah 2021, Second Special Session, Chapter 4
78 31A-37-102, as last amended by Laws of Utah 2021, Chapter 252
79 31A-37-202, as last amended by Laws of Utah 2021, Chapter 252
80 31A-37-204, as last amended by Laws of Utah 2021, Chapter 252
81 49-20-401, as last amended by Laws of Utah 2022, Chapter 302
82 63J-1-602.1, as last amended by Laws of Utah 2022, Chapters 48, 191, 255, 335, 415,
83 and 451
84 ENACTS:
85 31A-22-728, Utah Code Annotated 1953
86
87 Be it enacted by the Legislature of the state of Utah:
88 Section 1. Section 31A-2-204 is amended to read:
89 31A-2-204. Conducting examinations.
90 (1) As used in this section, "work papers" means a record that is created or relied upon:
91 (a) during the course of an examination conducted under Section 31A-2-203; [
92 (b) in drafting an examination report[
93 (c) in requesting, responding to a request, or reviewing a response to a request under
94 Section 31A-2-202.
95 (2) (a) For each examination under Section 31A-2-203, the commissioner shall issue an
96 order:
97 (i) stating the scope of the examination; and
98 (ii) designating the examiner in charge.
99 (b) The commissioner need not give advance notice of an examination to an examinee.
100 (c) The examiner in charge shall give the examinee a copy of the order issued under
101 this Subsection (2).
102 (d) (i) The commissioner may alter the scope or nature of an examination at any time
103 without advance notice to the examinee.
104 (ii) If the commissioner amends an order described in this Subsection (2), the
105 commissioner shall provide a copy of any amended order to the examinee.
106 (e) Statements in the commissioner's examination order concerning examination scope
107 are for the examiner's guidance only.
108 (f) Examining relevant matters not mentioned in an order issued under this Subsection
109 (2) is not a violation of this title.
110 (3) The commissioner shall, whenever practicable, cooperate with the insurance
111 regulators of other states by conducting joint examinations of:
112 (a) multistate insurers doing business in this state; or
113 (b) other multistate licensees doing business in this state.
114 (4) An examiner authorized by the commissioner shall, when necessary to the purposes
115 of the examination, have access at all reasonable hours to the premises and to any books,
116 records, files, securities, documents, or property of:
117 (a) the examinee; and
118 (b) any of the following if the premises, books, records, files, securities, documents, or
119 property relate to the affairs of the examinee:
120 (i) an officer of the examinee;
121 (ii) any other person who:
122 (A) has executive authority over the examinee; or
123 (B) is in charge of any segment of the examinee's affairs; or
124 (iii) any affiliate of the examinee under Subsection 31A-2-203(1)(b).
125 (5) (a) The officers, employees, and agents of the examinee and of persons under
126 Subsection 31A-2-203(1)(b) shall comply with every reasonable request of the examiners for
127 assistance in any matter relating to the examination.
128 (b) A person may not obstruct or interfere with the examination except by legal
129 process.
130 (6) If the commissioner finds the accounts or records to be inadequate for proper
131 examination of the condition and affairs of the examinee or improperly kept or posted, the
132 commissioner may employ experts to rewrite, post, or balance the accounts or records at the
133 expense of the examinee.
134 (7) (a) The examiner in charge of an examination shall make a report of the
135 examination no later than 60 days after the completion of the examination that shall include:
136 (i) the information and analysis ordered under Subsection (2); and
137 (ii) the examiner's recommendations.
138 (b) At the option of the examiner in charge, preparation of the report may include
139 conferences with the examinee or representatives of the examinee.
140 (c) The report is confidential until the report becomes a public document under
141 Subsection (8), except the commissioner may use information from the report as a basis for
142 action under Chapter 27a, Insurer Receivership Act.
143 (8) (a) The commissioner shall serve a copy of the examination report described in
144 Subsection (7) upon the examinee.
145 (b) Within 20 days after service, the examinee shall:
146 (i) accept the examination report as written; or
147 (ii) request agency action to modify the examination report.
148 (c) The report is considered accepted under this Subsection (8) if the examinee does
149 not file a request for agency action to modify the report within 20 days after service of the
150 report.
151 (d) If the examination report is accepted:
152 (i) the examination report immediately becomes a public document; and
153 (ii) the commissioner shall distribute the examination report to all jurisdictions in
154 which the examinee is authorized to do business.
155 (e) (i) Any adjudicative proceeding held as a result of the examinee's request for
156 agency action shall, upon the examinee's demand, be closed to the public, except that the
157 commissioner need not exclude any participating examiner from this closed hearing.
158 (ii) Within 20 days after the hearing held under this Subsection (8)(e), the
159 commissioner shall:
160 (A) adopt the examination report with any necessary modifications; and
161 (B) serve a copy of the adopted report upon the examinee.
162 (iii) Unless the examinee seeks judicial relief, the adopted examination report:
163 (A) shall become a public document 10 days after service; and
164 (B) may be distributed as described in this section.
165 (f) Notwithstanding Title 63G, Chapter 4, Administrative Procedures Act, to the extent
166 that this section is in conflict with Title 63G, Chapter 4, Administrative Procedures Act, this
167 section governs:
168 (i) a request for agency action under this section; or
169 (ii) adjudicative proceeding under this section.
170 (9) The examinee shall promptly furnish copies of the adopted examination report
171 described in Subsection (8) to each member of the examinee's board.
172 (10) After an examination report becomes a public document under Subsection (8), the
173 commissioner may furnish, without cost or at a reasonable price set under Section 31A-3-103,
174 a copy of the examination report to interested persons, including:
175 (a) a member of the board of the examinee; or
176 (b) one or more newspapers in this state.
177 (11) (a) In a proceeding by or against the examinee, or any officer or agent of the
178 examinee, the examination report as adopted by the commissioner is admissible as evidence of
179 the facts stated in the report.
180 (b) In any proceeding commenced under Chapter 27a, Insurer Receivership Act, the
181 examination report, whether adopted by the commissioner or not, is admissible as evidence of
182 the facts stated in the examination report.
183 (12) Work papers are protected records under Title 63G, Chapter 2, Government
184 Records Access and Management Act.
185 Section 2. Section 31A-2-310 is amended to read:
186 31A-2-310. Procedure for service of process through state officer.
187 (1) Service upon the commissioner or lieutenant governor under Section 31A-2-309 is
188 service on the principal, if:
189 (a) [
190 the official designated in Section 31A-2-309[
191 (i) two copies of the process to be served; and
192 (ii) a certificate of proof of service that meets the requirements of Subsection (3), dated
193 and signed by the official designated in Section 31A-2-309; and
194 (b) that official mails a copy of the process to the person to be served according to
195 Subsection (2)(b).
196 (2) (a) The commissioner and the lieutenant governor shall give receipts for and keep
197 records of all process served through them.
198 (b) The commissioner or the lieutenant governor shall immediately send by certified
199 mail one copy of the process received to the person to be served at that person's last known
200 principal place of business, residence, or post-office address. The commissioner or the
201 lieutenant governor shall retain the other copy for his files.
202 (c) No plaintiff or complainant may take a judgment by default in any proceeding in
203 which process is served under this section and Section 31A-2-309 until the expiration of 40
204 days from the date of service of process under Subsection (2)(b).
205 (3) Proof of service shall be evidenced by a certificate by the official designated in
206 Section 31A-2-309, showing service made upon him and mailing by him, and attached to a
207 copy of the process presented to him for that purpose.
208 (4) When process is served under this section, the words "twenty days" in the first
209 sentence of Rule 12(a) of the Utah Rules of Civil Procedure shall be changed to read "forty
210 days."
211 Section 3. Section 31A-3-304 is amended to read:
212 31A-3-304. Annual fees -- Other taxes or fees prohibited -- Captive Insurance
213 Restricted Account.
214 (1) (a) A captive insurance company shall pay an annual fee imposed under this section
215 to obtain or renew a certificate of authority.
216 (b) The commissioner shall:
217 (i) determine the annual fee pursuant to Section 31A-3-103; and
218 (ii) consider whether the annual fee is competitive with fees imposed by other states on
219 captive insurance companies.
220 (2) A captive insurance company that fails to pay the fee required by this section is
221 subject to the relevant sanctions of this title.
222 (3) (a) A captive insurance company that pays one of the following fees is exempt from
223 Title 59, Chapter 7, Corporate Franchise and Income Taxes, and Title 59, Chapter 9, Taxation
224 of Admitted Insurers:
225 (i) a fee under this section;
226 (ii) a fee under Chapter 37, Captive Insurance Companies Act; or
227 (iii) a fee under Chapter 37a, Special Purpose Financial Captive Insurance Company
228 Act.
229 (b) The state or a county, city, or town within the state may not levy or collect an
230 occupation tax or other fee or charge not described in Subsections (3)(a)(i) through (iii) against
231 a captive insurance company.
232 (c) The state may not levy, assess, or collect a withdrawal fee under Section 31A-4-115
233 against a captive insurance company.
234 (4) A captive insurance company shall pay the fee imposed by this section to the
235 commissioner by June 1 of each year.
236 (5) (a) Money received pursuant to a fee described in Subsection (3)(a) shall be
237 deposited into the Captive Insurance Restricted Account.
238 (b) There is created in the General Fund a restricted account known as the "Captive
239 Insurance Restricted Account."
240 (c) The Captive Insurance Restricted Account shall consist of the fees described in
241 Subsection (3)(a).
242 (d) The commissioner shall administer the Captive Insurance Restricted Account.
243 Subject to appropriations by the Legislature, the commissioner shall use the money deposited
244 into the Captive Insurance Restricted Account to:
245 (i) administer and enforce:
246 (A) Chapter 37, Captive Insurance Companies Act; and
247 (B) Chapter 37a, Special Purpose Financial Captive Insurance Company Act; and
248 (ii) promote the captive insurance industry in Utah.
249 (e) An appropriation from the Captive Insurance Restricted Account is nonlapsing,
250 except that at the end of each fiscal year, money received by the commissioner in excess of the
251 following shall be treated as free revenue in the General Fund:
252 (i) for fiscal year 2018-2019 and subsequent fiscal years, in excess of $1,600,000;
253 [
254 (ii) for fiscal year 2019-2020 and subsequent fiscal years, in excess of $1,450,000[
255 and
256 (iii) for fiscal year 2023-2024 and subsequent fiscal years, in excess of $1,650,000.
257 Section 4. Section 31A-4-113.5 is amended to read:
258 31A-4-113.5. Filing requirements -- National Association of Insurance
259 Commissioners.
260 (1) (a) Each domestic, foreign, and alien insurer who is authorized to transact insurance
261 business in this state shall annually[
262
263 (i) annual statement convention blank on or before March 1; [
264 (ii) market conduct annual statements:
265 (A) on or before April 30, for all lines of business except health; and
266 (B) on or before June 30, for the health line of business; and
267 [
268 (b) (i) The information filed with the [
269
270 [
271 accordance with the NAIC's:
272 (I) annual statement instructions; and
273 (II) Accounting Practices and Procedures Manual; and
274 [
275 [
276 [
277 (ii) An insurer shall file with the NAIC amendments and addenda to information filed
278 with the commissioner under Subsection (1)(a)(i).
279 (c) [
280
281
282 prepared in accordance with the NAIC's Market Conduct Annual Statement Industry User
283 Guide.
284 (d) At the time an insurer makes a filing under this Subsection (1), the insurer shall pay
285 any filing fees assessed by the [
286 (e) A foreign insurer that is domiciled in a state that has a law substantially similar to
287 this section shall be considered to be in compliance with this section.
288 (2) All financial analysis ratios and examination synopses concerning insurance
289 companies that are submitted to the department by the Insurance Regulatory Information
290 System are confidential and may not be disclosed by the department.
291 (3) The commissioner may suspend, revoke, or refuse to renew the certificate of
292 authority of any insurer failing to:
293 (a) [
294 when due or within any extension of time granted for good cause by:
295 (i) the commissioner; or
296 (ii) the [
297 (b) pay by the time specified in Subsection (3)(a) a fee the insurer is required to pay
298 under this section to:
299 (i) the commissioner; or
300 (ii) the [
301 Section 5. Section 31A-16-103 is amended to read:
302 31A-16-103. Acquisition of control of, divestiture of control of, or merger with
303 domestic insurer.
304 (1) (a) A person may not take the actions described in Subsection (1)(b) or (c) unless,
305 at the time any offer, request, or invitation is made or any such agreement is entered into, or
306 prior to the acquisition of securities if no offer or agreement is involved:
307 (i) the person files with the commissioner a statement containing the information
308 required by this section;
309 (ii) the person provides a copy of the statement described in Subsection (1)(a)(i) to the
310 insurer; and
311 (iii) the commissioner approves the offer, request, invitation, agreement, or acquisition.
312 (b) Unless the person complies with Subsection (1)(a), a person other than the issuer
313 may not make a tender offer for, a request or invitation for tenders of, or enter into any
314 agreement to exchange securities, or seek to acquire or acquire in the open market or otherwise,
315 any voting security of a domestic insurer if after the acquisition, the person would directly,
316 indirectly, by conversion, or by exercise of any right to acquire be in control of the insurer.
317 (c) Unless the person complies with Subsection (1)(a), a person may not enter into an
318 agreement to merge with or otherwise to acquire control of:
319 (i) a domestic insurer; or
320 (ii) any person controlling a domestic insurer.
321 (d) For purposes of this section, a controlling person of a domestic insurer seeking to
322 divest its controlling interest in the domestic insurer, in any manner, shall file with the
323 commissioner, with a copy to the insurer, confidential notice of its proposed divestiture at least
324 30 days before the cessation of control. The commissioner shall determine those instances in
325 which the one or more persons seeking to divest or to acquire a controlling interest in an
326 insurer, will be required to file for and obtain approval of the transaction. The information
327 shall remain confidential until the conclusion of the transaction unless the commissioner, in the
328 commissioner's discretion, determines that confidential treatment will interfere with
329 enforcement of this section. If the statement referred to in Subsection (1)(a) is otherwise filed,
330 this Subsection (1)(d) does not apply.
331 (e) With respect to a transaction subject to this section, the acquiring person shall also
332 file a pre-acquisition notification with the commissioner, which shall contain the information
333 set forth in Section 31A-16-104.5. A failure to file the notification may be subject to penalties
334 specified in Section 31A-16-104.5.
335 (f) (i) For purposes of this section, a domestic insurer includes any person controlling a
336 domestic insurer unless the person as determined by the commissioner is either directly or
337 through its affiliates primarily engaged in business other than the business of insurance.
338 (ii) The controlling person described in Subsection (1)(f)(i) shall file with the
339 commissioner a preacquisition notification containing the information required in Subsection
340 (2) 30 calendar days before the proposed effective date of the acquisition.
341 (iii) For the purposes of this section, "person" does not include any securities broker
342 that in the usual and customary brokers function holds less than 20% of:
343 (A) the voting securities of an insurance company; or
344 (B) any person that controls an insurance company.
345 (iv) This section applies to all domestic insurers and other entities licensed under:
346 (A) Chapter 5, Domestic Stock and Mutual Insurance Corporations;
347 (B) Chapter 7, Nonprofit Health Service Insurance Corporations;
348 (C) Chapter 8, Health Maintenance Organizations and Limited Health Plans;
349 (D) Chapter 9, Insurance Fraternals; and
350 (E) Chapter 11, Motor Clubs.
351 (g) (i) An agreement for acquisition of control or merger as contemplated by this
352 Subsection (1) is not valid or enforceable unless the agreement:
353 (A) is in writing; and
354 (B) includes a provision that the agreement is subject to the approval of the
355 commissioner upon the filing of any applicable statement required under this chapter.
356 (ii) A written agreement for acquisition or control that includes the provision described
357 in Subsection (1)(g)(i) satisfies the requirements of this Subsection (1).
358 (2) The statement to be filed with the commissioner under Subsection (1) shall be
359 made under oath or affirmation and shall contain the following information:
360 (a) the name and address of the "acquiring party," which means each person by whom
361 or on whose behalf the merger or other acquisition of control referred to in Subsection (1) is to
362 be effected; and
363 (i) if the person is an individual:
364 (A) the person's principal occupation;
365 (B) a listing of all offices and positions held by the person during the past five years;
366 and
367 (C) any conviction of crimes other than minor traffic violations during the past 10
368 years; and
369 (ii) if the person is not an individual:
370 (A) a report of the nature of its business operations during:
371 (I) the past five years; or
372 (II) for any lesser period as the person and any of its predecessors has been in
373 existence;
374 (B) an informative description of the business intended to be done by the person and
375 the person's subsidiaries;
376 (C) a list of all individuals who are or who have been selected to become directors or
377 executive officers of the person, or individuals who perform, or who will perform functions
378 appropriate to such positions; and
379 (D) for each individual described in Subsection (2)(a)(ii)(C), the information required
380 by Subsection (2)(a)(i) for each individual;
381 (b) (i) the source, nature, and amount of the consideration used or to be used in
382 effecting the merger or acquisition of control;
383 (ii) a description of any transaction in which funds were or are to be obtained for the
384 purpose of effecting the merger or acquisition of control, including any pledge of:
385 (A) the insurer's stock; or
386 (B) the stock of any of the insurer's subsidiaries or controlling affiliates; and
387 (iii) the identity of persons furnishing the consideration;
388 (c) (i) fully audited financial information, or other financial information considered
389 acceptable by the commissioner, of the earnings and financial condition of each acquiring party
390 for:
391 (A) the preceding five fiscal years of each acquiring party; or
392 (B) any lesser period the acquiring party and any of its predecessors shall have been in
393 existence; and
394 (ii) unaudited information:
395 (A) similar to the information described in Subsection (2)(c)(i); and
396 (B) prepared within the 90 days prior to the filing of the statement;
397 (d) any plans or proposals which each acquiring party may have to:
398 (i) liquidate the insurer;
399 (ii) sell its assets;
400 (iii) merge or consolidate the insurer with any person; or
401 (iv) make any other material change in the insurer's:
402 (A) business;
403 (B) corporate structure; or
404 (C) management;
405 (e) (i) the number of shares of any security referred to in Subsection (1) that each
406 acquiring party proposes to acquire;
407 (ii) the terms of the offer, request, invitation, agreement, or acquisition referred to in
408 Subsection (1); and
409 (iii) a statement as to the method by which the fairness of the proposal was arrived at;
410 (f) the amount of each class of any security referred to in Subsection (1) that:
411 (i) is beneficially owned; or
412 (ii) concerning which there is a right to acquire beneficial ownership by each acquiring
413 party;
414 (g) a full description of any contract, arrangement, or understanding with respect to any
415 security referred to in Subsection (1) in which any acquiring party is involved, including:
416 (i) the transfer of any of the securities;
417 (ii) joint ventures;
418 (iii) loan or option arrangements;
419 (iv) puts or calls;
420 (v) guarantees of loans;
421 (vi) guarantees against loss or guarantees of profits;
422 (vii) division of losses or profits; or
423 (viii) the giving or withholding of proxies;
424 (h) a description of the purchase by any acquiring party of any security referred to in
425 Subsection (1) during the 12 calendar months preceding the filing of the statement including:
426 (i) the dates of purchase;
427 (ii) the names of the purchasers; and
428 (iii) the consideration paid or agreed to be paid for the purchase;
429 (i) a description of:
430 (i) any recommendations to purchase by any acquiring party any security referred to in
431 Subsection (1) made during the 12 calendar months preceding the filing of the statement; or
432 (ii) any recommendations made by anyone based upon interviews or at the suggestion
433 of the acquiring party;
434 (j) (i) copies of all tender offers for, requests for, or invitations for tenders of, exchange
435 offers for, and agreements to acquire or exchange any securities referred to in Subsection (1);
436 and
437 (ii) if distributed, copies of additional soliciting material relating to the transactions
438 described in Subsection (2)(j)(i);
439 (k) (i) the term of any agreement, contract, or understanding made with, or proposed to
440 be made with, any broker-dealer as to solicitation of securities referred to in Subsection (1) for
441 tender; and
442 (ii) the amount of any fees, commissions, or other compensation to be paid to
443 broker-dealers with regard to any agreement, contract, or understanding described in
444 Subsection (2)(k)(i);
445 (l) an agreement by the person required to file the statement referred to in Subsection
446 (1) that it will provide the annual report, specified in Section 31A-16-105, for so long as
447 control exists;
448 (m) an acknowledgment by the person required to file the statement referred to in
449 Subsection (1) that the person and all subsidiaries within its control in the insurance holding
450 company system will provide information to the commissioner upon request as necessary to
451 evaluate enterprise risk to the insurer; and
452 (n) any additional information the commissioner requires by rule, which the
453 commissioner determines to be:
454 (i) necessary or appropriate for the protection of policyholders of the insurer; or
455 (ii) in the public interest.
456 (3) (a) The department may request:
457 [
458 Part 2, Bureau of Criminal Identification, from the Bureau of Criminal Identification; and
459 (ii) complete Federal Bureau of Investigation criminal background checks through the
460 national criminal history system.
461 (b) Information obtained by the department from the review of criminal history records
462 received under Subsection (3)(a) shall be used by the department for the purpose of:
463 (i) verifying the information in Subsection (2)(a)(i);
464 (ii) determining the integrity of persons who would control the operation of an insurer;
465 and
466 (iii) preventing persons who violate 18 U.S.C. Sec. 1033 from engaging in the business
467 of insurance in the state.
468 (c) If the department requests the criminal background information, the department
469 shall:
470 (i) pay to the Department of Public Safety the costs incurred by the Department of
471 Public Safety in providing the department criminal background information under Subsection
472 (3)(a)(i);
473 (ii) pay to the Federal Bureau of Investigation the costs incurred by the Federal Bureau
474 of Investigation in providing the department criminal background information under
475 Subsection (3)(a)(ii); and
476 (iii) charge the person required to file the statement referred to in Subsection (1) a fee
477 equal to the aggregate of Subsections (3)(c)(i) and (ii).
478 (4) (a) If the source of the consideration under Subsection (2)(b)(i) is a loan made in
479 the lender's ordinary course of business, the identity of the lender shall remain confidential, if
480 the person filing the statement so requests.
481 (b) (i) Under Subsection (2)(e), the commissioner may require a statement of the
482 adjusted book value assigned by the acquiring party to each security in arriving at the terms of
483 the offer.
484 (ii) For purposes of this Subsection (4)(b), "adjusted book value" means each security's
485 proportional interest in the capital and surplus of the insurer with adjustments that reflect:
486 (A) market conditions;
487 (B) business in force; and
488 (C) other intangible assets or liabilities of the insurer.
489 (c) The description required by Subsection (2)(g) shall identify the persons with whom
490 the contracts, arrangements, or understandings have been entered into.
491 (5) (a) If the person required to file the statement referred to in Subsection (1) is a
492 partnership, limited partnership, syndicate, or other group, the commissioner may require that
493 all the information called for by Subsection (2), (3), or (4) shall be given with respect to each:
494 (i) partner of the partnership or limited partnership;
495 (ii) member of the syndicate or group; and
496 (iii) person who controls the partner or member.
497 (b) If any partner, member, or person referred to in Subsection (5)(a) is a corporation,
498 or if the person required to file the statement referred to in Subsection (1) is a corporation, the
499 commissioner may require that the information called for by Subsection (2) shall be given with
500 respect to:
501 (i) the corporation;
502 (ii) each officer and director of the corporation; and
503 (iii) each person who is directly or indirectly the beneficial owner of more than 10% of
504 the outstanding voting securities of the corporation.
505 (6) If any material change occurs in the facts set forth in the statement filed with the
506 commissioner and sent to the insurer pursuant to Subsection (2), an amendment setting forth
507 the change, together with copies of all documents and other material relevant to the change,
508 shall be filed with the commissioner and sent to the insurer within two business days after the
509 filing person learns of such change.
510 (7) If any offer, request, invitation, agreement, or acquisition referred to in Subsection
511 (1) is proposed to be made by means of a registration statement under the Securities Act of
512 1933, or under circumstances requiring the disclosure of similar information under the
513 Securities Exchange Act of 1934, or under a state law requiring similar registration or
514 disclosure, a person required to file the statement referred to in Subsection (1) may use copies
515 of any registration or disclosure documents in furnishing the information called for by the
516 statement.
517 (8) (a) The commissioner shall approve any merger or other acquisition of control
518 referred to in Subsection (1), unless the commissioner finds that:
519 (i) after the change of control, the domestic insurer referred to in Subsection (1) would
520 not be able to satisfy the requirements for the issuance of a license to write the line or lines of
521 insurance for which it is presently licensed;
522 (ii) the effect of the merger or other acquisition of control would:
523 (A) substantially lessen competition in insurance in this state; or
524 (B) tend to create a monopoly in insurance;
525 (iii) the financial condition of any acquiring party might:
526 (A) jeopardize the financial stability of the insurer; or
527 (B) prejudice the interest of:
528 (I) its policyholders; or
529 (II) any remaining securityholders who are unaffiliated with the acquiring party;
530 (iv) the terms of the offer, request, invitation, agreement, or acquisition referred to in
531 Subsection (1) are unfair and unreasonable to the securityholders of the insurer;
532 (v) the plans or proposals which the acquiring party has to liquidate the insurer, sell its
533 assets, or consolidate or merge it with any person, or to make any other material change in its
534 business or corporate structure or management, are:
535 (A) unfair and unreasonable to policyholders of the insurer; and
536 (B) not in the public interest; or
537 (vi) the competence, experience, and integrity of those persons who would control the
538 operation of the insurer are such that it would not be in the interest of the policyholders of the
539 insurer and the public to permit the merger or other acquisition of control.
540 (b) For purposes of Subsection (8)(a)(iv), the offering price for each security may not
541 be considered unfair if the adjusted book values under Subsection (2)(e):
542 (i) are disclosed to the securityholders; and
543 (ii) determined by the commissioner to be reasonable.
544 (9) For a merger or other acquisition of control described in Subsection (1), the
545 commissioner:
546 (a) may hold a public hearing on the merger or other acquisition at the commissioner's
547 discretion; and
548 (b) shall hold a public hearing on the merger or other acquisition upon request by the
549 acquiring party, the insurer, or [
550 (10) (a) [
551
552 commissioner does not hold a hearing described in Subsection (9), the commissioner shall
553 approve or deny the merger or other acquisition within 30 days after the day on which the
554 department deems the statement required under Subsection (1) complete.
555 (b) (i) The commissioner shall give at least 20 [
556
557 the statement described in Subsection (1).
558 (ii) [
559 commissioner shall hold a hearing described in Subsection (9) within 30 days after the day on
560 which the department deems the statement required under Subsection (1) complete.
561 (iii) Not less than seven [
562 person filing the statement under Subsection (1) to:
563 (A) the insurer; and
564 (B) any person designated by the commissioner.
565 (iv) Affected parties may waive the notice required under this Subsection (10)(b).
566 (v) At the hearing, the person filing the statement under Subsection (1), the insurer, any
567 person to whom notice of hearing was sent, and any person whose interest may be affected by
568 the hearing may:
569 (A) present evidence;
570 (B) examine and cross-examine witnesses; and
571 (C) offer oral and written arguments.
572 (vi) (A) A person or insurer described in Subsection (10)(b)(v) may conduct discovery
573 in the same manner as is allowed in the district courts of this state.
574 (B) All discovery shall be concluded not later than three days before the
575 commencement of the hearing.
576 [
577
578 [
579
580
581 [
582 [
583 [
584 [
585
586 [
587
588 (11) If the proposed acquisition of control will require the approval of more than one
589 commissioner, the public hearing described in Subsection (9) may be held on a consolidated
590 basis upon request of the person filing the statement referred to in Subsection (1). The person
591 shall file the statement referred to in Subsection (1) with the National Association of Insurance
592 Commissioners within five days of making the request for a public hearing. A commissioner
593 may opt out of a consolidated hearing and shall provide notice to the applicant of the opt-out
594 within 10 days of the receipt of the statement referred to in Subsection (1). A hearing
595 conducted on a consolidated basis shall be public and shall be held within the United States
596 before the commissioners of the states in which the insurers are domiciled. The commissioners
597 shall hear and receive evidence. A commissioner may attend a hearing under this Subsection
598 (11) in person or by telecommunication.
599 (12) In connection with a change of control of a domestic insurer, any determination by
600 the commissioner that the person acquiring control of the insurer shall be required to maintain
601 or restore the capital of the insurer to the level required by the laws and regulations of this state
602 shall be made not later than 60 days after the date of notification of the change in control
603 submitted pursuant to Subsection (1).
604 (13) (a) The commissioner may retain technical experts to assist in reviewing all, or a
605 portion of, information filed in connection with a proposed merger or other acquisition of
606 control referred to in Subsection (1).
607 (b) In determining whether any of the conditions in Subsection (8) exist, the
608 commissioner may consider the findings of technical experts employed to review applicable
609 filings.
610 (c) (i) A technical expert employed under Subsection (13)(a) shall present to the
611 commissioner a statement of all expenses incurred by the technical expert in conjunction with
612 the technical expert's review of a proposed merger or other acquisition of control.
613 (ii) At the commissioner's direction the acquiring person shall compensate the technical
614 expert at customary rates for time and expenses:
615 (A) necessarily incurred; and
616 (B) approved by the commissioner.
617 (iii) The acquiring person shall:
618 (A) certify the consolidated account of all charges and expenses incurred for the review
619 by technical experts;
620 (B) retain a copy of the consolidated account described in Subsection (13)(c)(iii)(A);
621 and
622 (C) file with the department as a public record a copy of the consolidated account
623 described in Subsection (13)(c)(iii)(A).
624 (14) (a) (i) If a domestic insurer proposes to merge into another insurer, any
625 securityholder electing to exercise a right of dissent may file with the insurer a written request
626 for payment of the adjusted book value given in the statement required by Subsection (1) and
627 approved under Subsection (8), in return for the surrender of the security holder's securities.
628 (ii) The request described in Subsection (14)(a)(i) shall be filed not later than 10 days
629 after the day of the securityholders' meeting where the corporate action is approved.
630 (b) The dissenting securityholder is entitled to and the insurer is required to pay to the
631 dissenting securityholder the specified value within 60 days of receipt of the dissenting security
632 holder's security.
633 (c) Persons electing under this Subsection (14) to receive cash for their securities waive
634 the dissenting shareholder and appraisal rights otherwise applicable under Title 16, Chapter
635 10a, Part 13, Dissenters' Rights.
636 (d) (i) This Subsection (14) provides an elective procedure for dissenting
637 securityholders to resolve their objections to the plan of merger.
638 (ii) This section does not restrict the rights of dissenting securityholders under Title 16,
639 Chapter 10a, Utah Revised Business Corporation Act, unless this election is made under this
640 Subsection (14).
641 (15) (a) All statements, amendments, or other material filed under Subsection (1), and
642 all notices of public hearings held under Subsection [
643 its securityholders within five business days after the insurer has received the statements,
644 amendments, other material, or notices.
645 (b) (i) Mailing expenses shall be paid by the person making the filing.
646 (ii) As security for the payment of mailing expenses, that person shall file with the
647 commissioner an acceptable bond or other deposit in an amount determined by the
648 commissioner.
649 (16) This section does not apply to any offer, request, invitation, agreement, or
650 acquisition that the commissioner by order exempts from the requirements of this section as:
651 (a) not having been made or entered into for the purpose of, and not having the effect
652 of, changing or influencing the control of a domestic insurer; or
653 (b) otherwise not comprehended within the purposes of this section.
654 (17) The following are violations of this section:
655 (a) the failure to file any statement, amendment, or other material required to be filed
656 pursuant to Subsections (1), (2), and (5); or
657 (b) the effectuation, or any attempt to effectuate, an acquisition of control of,
658 divestiture of, or merger with a domestic insurer unless the commissioner has given the
659 commissioner's approval to the acquisition or merger.
660 (18) (a) The courts of this state are vested with jurisdiction over:
661 (i) a person who:
662 (A) files a statement with the commissioner under this section; and
663 (B) is not resident, domiciled, or authorized to do business in this state; and
664 (ii) overall actions involving persons described in Subsection (18)(a)(i) arising out of a
665 violation of this section.
666 (b) A person described in Subsection (18)(a) is considered to have performed acts
667 equivalent to and constituting an appointment of the commissioner by that person, to be that
668 person's lawful agent upon whom may be served all lawful process in any action, suit, or
669 proceeding arising out of a violation of this section.
670 (c) A copy of a lawful process described in Subsection (18)(b) shall be:
671 (i) served on the commissioner; and
672 (ii) transmitted by registered or certified mail by the commissioner to the person at that
673 person's last-known address.
674 Section 6. Section 31A-17-404 is amended to read:
675 31A-17-404. Credit allowed a domestic ceding insurer against reserves for
676 reinsurance.
677 (1) (a) Subject to Subsections (1)(b) and (c), a domestic ceding insurer is allowed
678 credit for reinsurance as either an asset or a reduction from liability for reinsurance ceded only
679 if the reinsurer meets the requirements of Subsection (3), (4), (5), (6), (7), (8), or (9).
680 (b) Credit is allowed under Subsection (3), (4), or (5) only with respect to a cession of
681 a kind or class of business that the assuming insurer is licensed or otherwise permitted to write
682 or assume:
683 (i) in the assuming insurer's state of domicile; or
684 (ii) in the case of a United States branch of an alien assuming insurer, in the state
685 through which the assuming insurer is entered and licensed to transact insurance or
686 reinsurance.
687 (c) Credit is allowed under Subsection (5) or (6) only if the applicable requirements of
688 Subsection (11) are met.
689 (2) A domestic ceding insurer is allowed credit for reinsurance ceded:
690 (a) only if the reinsurance is payable in a manner consistent with Section 31A-22-1201;
691 (b) only to the extent that the accounting:
692 (i) is consistent with the terms of the reinsurance contract; and
693 (ii) clearly reflects:
694 (A) the amount and nature of risk transferred; and
695 (B) liability, including contingent liability, of the ceding insurer;
696 (c) only to the extent the reinsurance contract shifts insurance policy risk from the
697 ceding insurer to the assuming reinsurer in fact and not merely in form; and
698 (d) only if the reinsurance contract contains a provision placing on the reinsurer the
699 credit risk of all dealings with intermediaries regarding the reinsurance contract.
700 (3) A domestic ceding insurer is allowed a credit if the reinsurance is ceded to an
701 assuming insurer that is licensed to transact insurance or reinsurance in this state.
702 (4) (a) A domestic ceding insurer is allowed a credit if the reinsurance is ceded to an
703 assuming insurer that is accredited by the commissioner as a reinsurer in this state.
704 (b) An insurer is accredited as a reinsurer if the insurer:
705 (i) files with the commissioner evidence of the insurer's submission to this state's
706 jurisdiction;
707 (ii) submits to the commissioner's authority to examine the insurer's books and records;
708 (iii) (A) is licensed to transact insurance or reinsurance in at least one state; or
709 (B) in the case of a United States branch of an alien assuming insurer, is entered
710 through and licensed to transact insurance or reinsurance in at least one state;
711 (iv) files annually with the commissioner a copy of the insurer's:
712 (A) annual statement filed with the insurance department of the insurer's state of
713 domicile; and
714 (B) most recent audited financial statement; and
715 (v) (A) (I) has not had the insurer's accreditation denied by the commissioner within 90
716 days after the day on which the insurer submits the information required by this Subsection (4);
717 and
718 (II) maintains a surplus with regard to policyholders in an amount not less than
719 $20,000,000; or
720 (B) (I) has the insurer's accreditation approved by the commissioner; and
721 (II) maintains a surplus with regard to policyholders in an amount less than
722 $20,000,000.
723 (c) Credit may not be allowed a domestic ceding insurer if the assuming insurer's
724 accreditation is revoked by the commissioner after a notice and hearing.
725 (5) (a) A domestic ceding insurer is allowed a credit if:
726 (i) the reinsurance is ceded to an assuming insurer that is:
727 (A) domiciled in a state meeting the requirements of Subsection (5)(a)(ii); or
728 (B) in the case of a United States branch of an alien assuming insurer, is entered
729 through a state meeting the requirements of Subsection (5)(a)(ii);
730 (ii) the state described in Subsection (5)(a)(i) employs standards regarding credit for
731 reinsurance substantially similar to those applicable under this section; and
732 (iii) the assuming insurer or United States branch of an alien assuming insurer:
733 (A) maintains a surplus with regard to policyholders in an amount not less than
734 $20,000,000; and
735 (B) submits to the authority of the commissioner to examine the insurer's books and
736 records.
737 (b) The requirements of Subsections (5)(a)(i) and (ii) do not apply to reinsurance ceded
738 and assumed pursuant to a pooling arrangement among insurers in the same holding company
739 system.
740 (6) (a) A domestic ceding insurer is allowed a credit if the reinsurance is ceded to an
741 assuming insurer that maintains a trust fund:
742 (i) created in accordance with rules made by the commissioner pursuant to Title 63G,
743 Chapter 3, Utah Administrative Rulemaking Act; and
744 (ii) in a qualified United States financial institution for the payment of a valid claim of:
745 (A) a United States ceding insurer of the assuming insurer;
746 (B) an assign of the United States ceding insurer; and
747 (C) a successor in interest to the United States ceding insurer.
748 (b) To enable the commissioner to determine the sufficiency of the trust fund described
749 in Subsection (6)(a), the assuming insurer shall:
750 (i) report annually to the commissioner information substantially the same as that
751 required to be reported on the National Association of Insurance Commissioners Annual
752 Statement form by a licensed insurer; and
753 (ii) (A) submit to examination of its books and records by the commissioner; and
754 (B) pay the cost of an examination.
755 (c) (i) Credit for reinsurance may not be granted under this Subsection (6) unless the
756 form of the trust and any amendment to the trust is approved by:
757 (A) the commissioner of the state where the trust is domiciled; or
758 (B) the commissioner of another state who, pursuant to the terms of the trust
759 instrument, accepts principal regulatory oversight of the trust.
760 (ii) The form of the trust and an amendment to the trust shall be filed with the
761 commissioner of every state in which a ceding insurer beneficiary of the trust is domiciled.
762 (iii) The trust instrument shall provide that a contested claim is valid and enforceable
763 upon the final order of a court of competent jurisdiction in the United States.
764 (iv) The trust shall vest legal title to the trust's assets in one or more of the trust's
765 trustees for the benefit of:
766 (A) a United States ceding insurer of the assuming insurer;
767 (B) an assign of the United States ceding insurer; or
768 (C) a successor in interest to the United States ceding insurer.
769 (v) The trust and the assuming insurer are subject to examination as determined by the
770 commissioner.
771 (vi) The trust shall remain in effect for as long as the assuming insurer has an
772 outstanding obligation due under a reinsurance agreement subject to the trust.
773 (vii) No later than February 28 of each year, the trustee of the trust shall:
774 (A) report to the commissioner in writing the balance of the trust;
775 (B) list the trust's investments at the end of the preceding calendar year; and
776 (C) (I) certify the date of termination of the trust, if so planned; or
777 (II) certify that the trust will not expire before the following December 31.
778 (d) The following requirements apply to the following categories of assuming insurer:
779 (i) For a single assuming insurer:
780 (A) the trust fund shall consist of funds in trust in an amount not less than the assuming
781 insurer's liabilities attributable to reinsurance ceded by United States ceding insurers; and
782 (B) the assuming insurer shall maintain a trusteed surplus of not less than $20,000,000,
783 except as provided in Subsection (6)(d)(ii).
784 (ii) (A) At any time after the assuming insurer has permanently discontinued
785 underwriting new business secured by the trust for at least three full years, the commissioner
786 with principal regulatory oversight of the trust may authorize a reduction in the required
787 trusteed surplus, but only after a finding, based on an assessment of the risk, that the new
788 required surplus level is adequate for the protection of United States ceding insurers,
789 policyholders, and claimants in light of reasonably foreseeable adverse loss development.
790 (B) The risk assessment may involve an actuarial review, including an independent
791 analysis of reserves and cash flows, and shall consider all material risk factors, including, when
792 applicable, the lines of business involved, the stability of the incurred loss estimates, and the
793 effect of the surplus requirements on the assuming insurer's liquidity or solvency.
794 (C) The minimum required trusteed surplus may not be reduced to an amount less than
795 30% of the assuming insurer's liabilities attributable to reinsurance ceded by United States
796 ceding insurers covered by the trust.
797 (iii) For a group acting as assuming insurer, including incorporated and individual
798 unincorporated underwriters:
799 (A) for reinsurance ceded under a reinsurance agreement with an inception,
800 amendment, or renewal date on or after August 1, 1995, the trust shall consist of a trusteed
801 account in an amount not less than the respective underwriters' several liabilities attributable to
802 business ceded by the one or more United States domiciled ceding insurers to an underwriter of
803 the group;
804 (B) for reinsurance ceded under a reinsurance agreement with an inception date on or
805 before July 31, 1995, and not amended or renewed after July 31, 1995, notwithstanding the
806 other provisions of this chapter, the trust shall consist of a trusteed account in an amount not
807 less than the respective underwriters' several insurance and reinsurance liabilities attributable to
808 business written in the United States;
809 (C) in addition to a trust described in Subsection (6)(d)(iii)(A) or (B), the group shall
810 maintain in trust a trusteed surplus of which $100,000,000 is held jointly for the benefit of the
811 one or more United States domiciled ceding insurers of a member of the group for all years of
812 account;
813 (D) the incorporated members of the group:
814 (I) may not be engaged in a business other than underwriting as a member of the group;
815 and
816 (II) are subject to the same level of regulation and solvency control by the group's
817 domiciliary regulator as are the unincorporated members; and
818 (E) within 90 days after the day on which the group's financial statements are due to be
819 filed with the group's domiciliary regulator, the group shall provide to the commissioner:
820 (I) an annual certification by the group's domiciliary regulator of the solvency of each
821 underwriter member; or
822 (II) if a certification is unavailable, a financial statement, prepared by an independent
823 public accountant, of each underwriter member of the group.
824 (iv) For a group of incorporated underwriters under common administration, the group
825 shall:
826 (A) have continuously transacted an insurance business outside the United States for at
827 least three years immediately preceding the day on which the group makes application for
828 accreditation;
829 (B) maintain aggregate policyholders' surplus of at least $10,000,000,000;
830 (C) maintain a trust fund in an amount not less than the group's several liabilities
831 attributable to business ceded by the one or more United States domiciled ceding insurers to a
832 member of the group pursuant to a reinsurance contract issued in the name of the group;
833 (D) in addition to complying with the other provisions of this Subsection (6)(d)(iv),
834 maintain a joint trusteed surplus of which $100,000,000 is held jointly for the benefit of the one
835 or more United States domiciled ceding insurers of a member of the group as additional
836 security for these liabilities; and
837 (E) within 90 days after the day on which the group's financial statements are due to be
838 filed with the group's domiciliary regulator, make available to the commissioner:
839 (I) an annual certification of each underwriter member's solvency by the member's
840 domiciliary regulator; and
841 (II) a financial statement of each underwriter member of the group prepared by an
842 independent public accountant.
843 (7) A domestic ceding insurer is allowed a credit if the reinsurance is ceded to an
844 assuming insurer that secures the assuming insurer's obligations in accordance with this
845 Subsection (7):
846 (a) The insurer shall be certified by the commissioner as a reinsurer in this state.
847 (b) To be eligible for certification, the assuming insurer shall:
848 (i) be domiciled and licensed to transact insurance or reinsurance in a qualified
849 jurisdiction, as determined by the commissioner pursuant to Subsection (7)(d);
850 (ii) maintain minimum capital and surplus, or its equivalent, in an amount to be
851 determined by the commissioner pursuant to rules made in accordance with Title 63G, Chapter
852 3, Utah Administrative Rulemaking Act;
853 (iii) maintain financial strength ratings from two or more rating agencies considered
854 acceptable by the commissioner pursuant to rules made in accordance with Title 63G, Chapter
855 3, Utah Administrative Rulemaking Act; and
856 (iv) agree to:
857 (A) submit to the jurisdiction of this state;
858 (B) appoint the commissioner as the assuming insurer's agent for service of process in
859 this state;
860 (C) provide security for 100% of the assuming insurer's liabilities attributable to
861 reinsurance ceded by United States ceding insurers if the assuming insurer resists enforcement
862 of a final United States judgment;
863 (D) agree to meet applicable information filing requirements as determined by the
864 commissioner including an application for certification, a renewal and on an ongoing basis; and
865 (E) any other requirements for certification considered relevant by the commissioner.
866 (c) An association, including incorporated and individual unincorporated underwriters,
867 may be a certified reinsurer, if the association:
868 (i) satisfies the requirements of Subsections (7)(a) and (b);
869 (ii) satisfies the association's minimum capital and surplus requirements through the
870 capital and surplus equivalents, net of liabilities, of the association and the association's
871 members, which shall include a joint central fund that may be applied to any unsatisfied
872 obligation of the association or any of the association's members in an amount determined by
873 the commissioner to provide adequate protection;
874 (iii) does not have incorporated members of the association engaged in any business
875 other than underwriting as a member of the association;
876 (iv) is subject to the same level of regulation and solvency control of the incorporated
877 members of the association by the association's domiciliary regulator as are the unincorporated
878 members; and
879 (v) within 90 days after the day on which the association's financial statements are due
880 to be filed with the association's domiciliary regulator, provides to the commissioner:
881 (A) an annual certification by the association's domiciliary regulator of the solvency of
882 each underwriter member; or
883 (B) if a certification described in Subsection (7)(c)(v)(A) is unavailable, financial
884 statements prepared by independent public accountants, of each underwriter member of the
885 association.
886 (d) (i) The commissioner shall create and publish a list of qualified jurisdictions under
887 which an assuming insurer licensed and domiciled in the jurisdiction is eligible to be
888 considered for certification by the commissioner as a certified reinsurer.
889 (ii) To determine whether the domiciliary jurisdiction of a non-United States assuming
890 insurer is eligible to be recognized as a qualified jurisdiction, the commissioner:
891 (A) shall evaluate the appropriateness and effectiveness of the reinsurance supervisory
892 system of the jurisdiction, both initially and on an ongoing basis;
893 (B) shall consider the rights, the benefits, and the extent of reciprocal recognition
894 afforded by the non-United States jurisdiction to reinsurers licensed and domiciled in the
895 United States;
896 (C) shall require the qualified jurisdiction to share information and cooperate with the
897 commissioner with respect to all certified reinsurers domiciled within that jurisdiction; and
898 (D) may not recognize a jurisdiction as a qualified jurisdiction if the commissioner has
899 determined that the jurisdiction does not adequately and promptly enforce final United States
900 judgments and arbitration awards.
901 (iii) The commissioner may consider additional factors in determining a qualified
902 jurisdiction.
903 (iv) A list of qualified jurisdictions shall be published through the National Association
904 of Insurance Commissioners' Committee Process.
905 (v) The commissioner shall:
906 (A) consider the National Association of Insurance Commissioners' list of qualified
907 jurisdictions in determining qualified jurisdictions; and
908 (B) if the commissioner approves a jurisdiction as qualified that does not appear on the
909 National Association of Insurance Commissioners' list of qualified jurisdictions, provide
910 thoroughly documented justification in accordance with criteria to be developed by rule made
911 in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
912 (vi) United States jurisdictions that meet the requirement for accreditation under the
913 National Association of Insurance Commissioners' financial standards and accreditation
914 program shall be recognized as qualified jurisdictions.
915 (vii) If a certified reinsurer's domiciliary jurisdiction ceases to be a qualified
916 jurisdiction, the commissioner may suspend the reinsurer's certification indefinitely, in lieu of
917 revocation.
918 (e) The commissioner shall:
919 (i) assign a rating to each certified reinsurer, giving due consideration to the financial
920 strength ratings that have been assigned by rating agencies considered acceptable to the
921 commissioner by rule made in accordance with Title 63G, Chapter 3, Utah Administrative
922 Rulemaking Act; and
923 (ii) publish a list of all certified reinsurers and their ratings.
924 (f) A certified reinsurer shall secure obligations assumed from United States ceding
925 insurers under this Subsection (7) at a level consistent with the certified reinsurer's rating, as
926 specified in rules made by the commissioner in accordance with Title 63G, Chapter 3, Utah
927 Administrative Rulemaking Act.
928 (i) For a domestic ceding insurer to qualify for full financial statement credit for
929 reinsurance ceded to a certified reinsurer, the certified reinsurer shall maintain security in a
930 form acceptable to the commissioner and consistent with Section 31A-17-404.1, or in a
931 multibeneficiary trust in accordance with Subsections (5), (6), and (9), except as otherwise
932 provided in this Subsection (7).
933 (ii) If a certified reinsurer maintains a trust to fully secure the certified reinsurer's
934 obligations subject to Subsections (5), (6), and (9), and chooses to secure the certified
935 reinsurer's obligations incurred as a certified reinsurer in the form of a multibeneficiary trust,
936 the certified reinsurer shall maintain separate trust accounts for the certified reinsurer's
937 obligations incurred under reinsurance agreements issued or renewed as a certified reinsurer
938 with reduced security as permitted by this Subsection (7) or comparable laws of other United
939 States jurisdictions and for the certified reinsurer's obligations subject to Subsections (5), (6),
940 and (9).
941 (iii) It shall be a condition to the grant of certification under this Subsection (7) that the
942 certified reinsurer shall have bound itself:
943 (A) by the language of the trust and agreement with the commissioner with principal
944 regulatory oversight of the trust account; and
945 (B) upon termination of the trust account, to fund, out of the remaining surplus of the
946 trust, any deficiency of any other trust account.
947 (iv) The minimum trusteed surplus requirements provided in Subsections (5), (6), and
948 (9) are not applicable with respect to a multibeneficiary trust maintained by a certified reinsurer
949 for the purpose of securing obligations incurred under this Subsection (7), except that the trust
950 shall maintain a minimum trusteed surplus of $10,000,000.
951 (v) With respect to obligations incurred by a certified reinsurer under this Subsection
952 (7), if the security is insufficient, the commissioner:
953 (A) shall reduce the allowable credit by an amount proportionate to the deficiency; and
954 (B) may impose further reductions in allowable credit upon finding that there is a
955 material risk that the certified reinsurer's obligations will not be paid in full when due.
956 (vi) (A) For purposes of this Subsection (7), a certified reinsurer whose certification
957 has been terminated for any reason shall be treated as a certified reinsurer required to secure
958 100% of the certified reinsurer's obligations.
959 (B) As used in this Subsection (7), the term "terminated" refers to revocation,
960 suspension, voluntary surrender, and inactive status.
961 (C) If the commissioner continues to assign a higher rating as permitted by other
962 provisions of this section, the requirement under this Subsection (7)(f)(vi) does not apply to a
963 certified reinsurer in inactive status or to a reinsurer whose certification has been suspended.
964 (g) If an applicant for certification has been certified as a reinsurer in a National
965 Association of Insurance Commissioners' accredited jurisdiction, the commissioner may:
966 (i) defer to that jurisdiction's certification;
967 (ii) defer to the rating assigned by that jurisdiction; and
968 (iii) consider such reinsurer to be a certified reinsurer in this state.
969 (h) (i) A certified reinsurer that ceases to assume new business in this state may request
970 to maintain the certified reinsurer's certification in inactive status in order to continue to qualify
971 for a reduction in security for its in-force business.
972 (ii) An inactive certified reinsurer shall continue to comply with all applicable
973 requirements of this Subsection (7).
974 (iii) The commissioner shall assign a rating to a reinsurer that qualifies under this
975 Subsection (7)(h), that takes into account, if relevant, the reasons why the reinsurer is not
976 assuming new business.
977 (8) (a) As used in this Subsection (8):
978 (i) "Covered agreement" means an agreement entered into pursuant to Dodd-Frank
979 Wall Street Reform and Consumer Protection Act, 31 U.S.C. Sections 313 and 314, that:
980 (A) is currently in effect or in a period of provisional application; and
981 (B) addresses the elimination, under specified conditions, of collateral requirements as
982 a condition for entering into any reinsurance agreement with a ceding insurer domiciled in this
983 state or for allowing the ceding insurer to recognize credit for reinsurance.
984 (ii) "Reciprocal jurisdiction" means a jurisdiction that is:
985 (A) a non-United States jurisdiction that is subject to an in-force covered agreement
986 with the United States, each within its legal authority, or, in the case of a covered agreement
987 between the United States and European Union, is a member state of the European Union;
988 (B) a United States jurisdiction that meets the requirements for accreditation under the
989 National Association of Insurance Commissioners' financial standards and accreditation
990 program; or
991 (C) a qualified jurisdiction, as determined by the commissioner in accordance with
992 Subsection (7)(d), that is not otherwise described in this Subsection (8)(a)(ii) and meets certain
993 additional requirements, consistent with the terms and conditions of in-force covered
994 agreements, as specified by the commissioner in rule made in accordance with Title 63G,
995 Chapter 3, Utah Administrative Rulemaking Act.
996 (b) (i) Credit is allowed when the reinsurance is ceded to an assuming insurer meeting
997 each of the conditions set forth in this Subsection (8)(b).
998 (ii) The assuming insurer must have the assuming insurer's head office in or be
999 domiciled in, as applicable, and be licensed in a reciprocal jurisdiction.
1000 (iii) (A) The assuming insurer shall have and maintain, on an ongoing basis, minimum
1001 capital and surplus, or its equivalent, calculated according to the methodology of the assuming
1002 insurer's domiciliary jurisdiction, in an amount to be set forth in regulation.
1003 (B) If the assuming insurer is an association, including incorporated and individual
1004 unincorporated underwriters, the assuming insurer shall have and maintain, on an ongoing
1005 basis, minimum capital and surplus equivalents (net of liabilities), calculated according to the
1006 methodology applicable in the assuming insurer's domiciliary jurisdiction, and a central fund
1007 containing a balance in amounts set forth in regulation.
1008 (iv) (A) The assuming insurer must have and maintain, on an ongoing basis, a
1009 minimum solvency or capital ration, as applicable, which will be set forth in regulation.
1010 (B) If the assuming insurer is an association, including incorporated and individual
1011 unincorporated underwriters, the assuming insurer must have and maintain, on an ongoing
1012 basis, a minimum solvency or capital ratio in the reciprocal jurisdiction where the assuming
1013 insurer has the assuming insurer's head office or is domiciled, as applicable, and is also
1014 licensed.
1015 (v) The assuming insurer must agree and provide adequate assurance to the
1016 commissioner, in a form specified by the commissioner by rule made in accordance with Title
1017 63G, Chapter 3, Utah Administrative Rulemaking Act, as follows:
1018 (A) the assuming insurer must provide prompt written notice and explanation to the
1019 commissioner if the assuming insurer falls below the minimum requirements set forth in
1020 Subsection (8)(c) or (d), or if any regulatory action is taken against the assuming insurer for
1021 serious noncompliance with applicable law;
1022 (B) the assuming insurer must consent in writing to the jurisdiction of the courts of this
1023 state and to the appointment of the commissioner as agent for service of process, however the
1024 commissioner may require that consent for service of process be provided to the commissioner
1025 and included in each reinsurance agreement and nothing in this provision shall limit, or in any
1026 way alter, the capacity of parties to a reinsurance agreement to agree to alternative dispute
1027 resolution mechanisms, except to the extent such agreements are unenforceable under
1028 applicable insolvency or delinquency laws;
1029 (C) the assuming insurer must consent in writing to pay all final judgments, wherever
1030 enforcement is sought, obtained by a ceding insurer or the ceding insurer's legal successor, that
1031 have been declared enforceable in the jurisdiction where the judgment was obtained;
1032 (D) each reinsurance agreement must include a provision requiring the assuming
1033 insurer to provide security in an amount equal to 100% of the assuming insurer's liabilities
1034 attributable to reinsurance ceded pursuant to that agreement if the assuming insurer resists
1035 enforcement of a final judgment that is enforceable under the law of the jurisdiction in which
1036 the final judgement was obtained or a properly enforceable arbitration award, whether obtained
1037 by the ceding insurer or by the ceding insurer's legal successor on behalf of the ceding insurer's
1038 resolution estate; and
1039 (E) the assuming insurer must confirm that the assuming insurer is not presently
1040 participating in any solvent scheme of arrangement which involved this state's ceding insurers,
1041 and agree to notify the ceding insurer and the commissioner and to provide security:
1042 (I) in an amount equal to 100% of the assuming insurer's liabilities to the ceding
1043 insurer, should the assuming insurer enter into such a solvent scheme of arrangement; and
1044 (II) in a form consistent with the provisions of Subsections (7) and (10) and as
1045 specified by the commissioner in regulation.
1046 (vi) The assuming insurer or the assuming insurer's legal successor must provide, if
1047 requested by the commissioner, on behalf of the assuming insurer and any legal predecessors,
1048 certain documentation to the commissioner, as specified by the commissioner by rule made in
1049 accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
1050 (vii) The assuming insurer must maintain a practice of prompt payment of claims under
1051 reinsurance agreements, pursuant to criteria set forth in rule made in accordance with Title
1052 63G, Chapter 3, Utah Administrative Rulemaking Act.
1053 (viii) The assuming insurer's supervisory authority must confirm to the commissioner
1054 on an annual basis, as of the preceding December 31 or at the annual date otherwise statutorily
1055 reported to the reciprocal jurisdiction, that the assuming insurer complies with the requirements
1056 set forth in Subsections (8)(c) and (d).
1057 (ix) Nothing in this provision precludes an assuming insurer from providing the
1058 commissioner with information on a voluntary basis.
1059 (c) (i) The commissioner shall timely create and publish a list of reciprocal
1060 jurisdictions.
1061 (ii) (A) A list of reciprocal jurisdictions is published through the National Association
1062 of Insurance Commissioners' Committee Process.
1063 (B) The commissioner's list of reciprocal jurisdictions shall include any reciprocal
1064 jurisdiction as defined in this Subsection (8), and shall consider any other reciprocal
1065 jurisdictions in accordance with the criteria developed under rule made in accordance with
1066 Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
1067 (iii) (A) The commissioner may remove a jurisdiction from the list of reciprocal
1068 jurisdictions upon a determination that the jurisdiction no longer meets the requirements of a
1069 reciprocal jurisdiction, in accordance with a process set forth in rule made in accordance with
1070 Title 63G, Chapter 3, Utah Administrative Rulemaking Act, except that the commissioner may
1071 not remove from the list a reciprocal jurisdiction.
1072 (B) Upon removal of a reciprocal jurisdiction from this list, credit for reinsurance
1073 ceded to an assuming insurer whose home office or domicile is in that jurisdiction is allowed, if
1074 otherwise allowed under this chapter.
1075 (d) (i) The commissioner shall timely create and publish a list of assuming insurers that
1076 have satisfied the conditions set forth in this subsection and to which cessions shall be granted
1077 credit in accordance with this Subsection (8).
1078 (ii) The commissioner may add an assuming insurer to such list if a National
1079 Association of Insurance Commissioners accredited jurisdiction has added such assuming
1080 insurer to a list of such assuming insurers or if, upon initial eligibility, the assuming insurer
1081 submits the information to the commissioner as required under this Subsection (8) and
1082 complies with any additional requirements that the commissioner may impose by rule made in
1083 accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, except to the
1084 extent that they conflict with an applicable covered agreement.
1085 (e) (i) If the commissioner determines that an assuming insurer no longer meets one or
1086 more of the requirements under this Subsection (8), the commissioner may revoke or suspend
1087 the eligibility of the assuming insurer for recognition under this Subsection (8) in accordance
1088 with procedures established in rule made in accordance with Title 63G, Chapter 3, Utah
1089 Administrative Rulemaking Act.
1090 (ii) (A) While an assuming insurer's eligibility is suspended, no reinsurance agreement
1091 issued, amended, or renewed after the day on which the suspension is effective qualifies for
1092 credit except to the extent that the assuming insurer's obligations under the contract are secured
1093 in accordance with Subsection (10).
1094 (B) If an assuming insurer's eligibility is revoked, no credit for reinsurance may be
1095 granted after the day on which the revocation is effective with respect to any reinsurance
1096 agreements entered into by the assuming insurer, including reinsurance agreements entered into
1097 before the day on which the revocation is effective, except to the extent that the assuming
1098 insurer's obligations under the contract are secured in a form acceptable to the commissioner
1099 and consistent with the provisions of Subsection (10).
1100 (f) If subject to a legal process of rehabilitation, liquidation, or conservation, as
1101 applicable, the ceding insurer, or the ceding insurer's representative, may seek and, if
1102 determined appropriate by the court in which the proceedings are pending, may obtain an order
1103 requiring that the assuming insurer post security for all outstanding ceded liabilities.
1104 (g) Nothing in this Subsection (8) limits or in any way alters the capacity of parties to a
1105 reinsurance agreement to agree on requirements for security or other terms in that reinsurance
1106 agreement, except as expressly prohibited by this chapter or other applicable law or regulation.
1107 (h) (i) Credit may be taken under this Subsection (8) only for reinsurance agreements
1108 entered into, amended, or renewed on or after the effective date of the statute adding this
1109 Subsection (8), and only with respect to losses incurred and reserves reported on or after the
1110 later of:
1111 (A) the day on which the assuming insurer has met all eligibility requirements pursuant
1112 to Subsection (8)(b); and
1113 (B) the day on which the new reinsurance agreement, amendment, or renewal is
1114 effective.
1115 (ii) This Subsection (8) does not alter or impair a ceding insurer's right to take credit
1116 for reinsurance, to the extent that credit is not available under this Subsection (8), as long as the
1117 reinsurance qualifies for credit under any other applicable provision of this chapter.
1118 (iii) Nothing in this Subsection (8) authorizes an assuming insurer to withdraw or
1119 reduce the security provided under any reinsurance agreement except as permitted by the terms
1120 of the agreement.
1121 (iv) Nothing in this Subsection (8) limits, or in any way alters, the capacity of parties to
1122 any reinsurance agreement to renegotiate the agreement.
1123 (9) If reinsurance is ceded to an assuming insurer not meeting the requirements of
1124 Subsection (3), (4), (5), (6), (7), or (8), a domestic ceding insurer is allowed credit only as to
1125 the insurance of a risk located in a jurisdiction where the reinsurance is required by applicable
1126 law or regulation of that jurisdiction.
1127 (10) (a) An asset or a reduction from liability for the reinsurance ceded by a domestic
1128 insurer to an assuming insurer not meeting the requirements of Subsection (3), (4), (5), (6), (7),
1129 or (8) shall be allowed in an amount not exceeding the liabilities carried by the ceding insurer.
1130 (b) The commissioner may adopt by rule made in accordance with Title 63G, Chapter
1131 3, Utah Administrative Rulemaking Act, specific additional requirements relating to or setting
1132 forth:
1133 (i) the valuation of assets or reserve credits;
1134 (ii) the amount and forms of security supporting reinsurance arrangements; and
1135 (iii) the circumstances pursuant to which credit will be reduced or eliminated.
1136 (c) (i) The reduction shall be in the amount of funds held by or on behalf of the ceding
1137 insurer, including funds held in trust for the ceding insurer, under a reinsurance contract with
1138 the assuming insurer as security for the payment of obligations thereunder, if the security is:
1139 (A) held in the United States subject to withdrawal solely by, and under the exclusive
1140 control of, the ceding insurer; or
1141 (B) in the case of a trust, held in a qualified United States financial institution.
1142 (ii) The security described in this Subsection (10)(c) may be in the form of:
1143 (A) cash;
1144 (B) securities listed by the Securities Valuation Office of the National Association of
1145 Insurance Commissioners, including those deemed exempt from filing as defined by the
1146 Purposes and Procedures Manual of the Securities Valuation Office, and qualifying as admitted
1147 assets;
1148 (C) clean, irrevocable, unconditional letters of credit, issued or confirmed by a
1149 qualified United States financial institution effective no later than December 31 of the year for
1150 which the filing is being made, and in the possession of, or in trust for, the ceding insurer on or
1151 before the filing date of its annual statement;
1152 (D) letters of credit meeting applicable standards of issuer acceptability as of the dates
1153 of their issuance or confirmation shall, notwithstanding the issuing or confirming institution's
1154 subsequent failure to meet applicable standards of issuer acceptability, continue to be
1155 acceptable as security until their expiration, extension, renewal, modification or amendment,
1156 whichever first occurs; or
1157 (E) any other form of security acceptable to the commissioner.
1158 (11) Reinsurance credit is not allowed a domestic ceding insurer unless the assuming
1159 insurer under the reinsurance contract submits to the jurisdiction of Utah courts by:
1160 (a) (i) being an admitted insurer; and
1161 (ii) submitting to jurisdiction under Section 31A-2-309;
1162 (b) having irrevocably appointed the commissioner as the domestic ceding insurer's
1163 agent for service of process in an action arising out of or in connection with the reinsurance,
1164 which appointment is made under Section 31A-2-309; or
1165 (c) agreeing in the reinsurance contract:
1166 (i) that if the assuming insurer fails to perform the assuming insurer's obligations under
1167 the terms of the reinsurance contract, the assuming insurer, at the request of the ceding insurer,
1168 shall:
1169 (A) submit to the jurisdiction of a court of competent jurisdiction in a state of the
1170 United States;
1171 (B) comply with all requirements necessary to give the court jurisdiction; and
1172 (C) abide by the final decision of the court or of an appellate court in the event of an
1173 appeal; and
1174 (ii) to designate the commissioner or a specific attorney licensed to practice law in this
1175 state as its attorney upon whom may be served lawful process in an action, suit, or proceeding
1176 instituted by or on behalf of the ceding company.
1177 (12) Submitting to the jurisdiction of Utah courts under Subsection (11) does not
1178 override a duty or right of a party under the reinsurance contract, including a requirement that
1179 the parties arbitrate their disputes.
1180 (13) (a) If an assuming insurer does not meet the requirements of Subsection (3), (4),
1181 (5), or (8), the credit permitted by Subsection (6) or (7) may not be allowed unless the
1182 assuming insurer agrees in the trust instrument to the conditions described in Subsections
1183 (13)(b) through (e).
1184 (b) (i) Notwithstanding any other provision in the trust instrument, if an event
1185 described in Subsection (13)(b)(ii) occurs the trustee shall comply with:
1186 (A) an order of the commissioner with regulatory oversight over the trust; or
1187 (B) an order of a court of competent jurisdiction directing the trustee to transfer to the
1188 commissioner with regulatory oversight all of the assets of the trust fund.
1189 (ii) This Subsection (13)(b) applies if:
1190 (A) the trust fund is inadequate because the trust contains an amount less than the
1191 amount required by Subsection (6)(d); or
1192 (B) the grantor of the trust is:
1193 (I) declared insolvent; or
1194 (II) placed into receivership, rehabilitation, liquidation, or similar proceeding under the
1195 laws of its state or country of domicile.
1196 (c) The assets of a trust fund described in Subsection (13)(b) shall be distributed by and
1197 a claim shall be filed with and valued by the commissioner with regulatory oversight in
1198 accordance with the laws of the state in which the trust is domiciled that are applicable to the
1199 liquidation of a domestic insurance company.
1200 (d) If the commissioner with regulatory oversight determines that the assets of the trust
1201 fund, or any part of the assets, are not necessary to satisfy the claims of the one or more United
1202 States ceding insurers of the grantor of the trust, the assets, or a part of the assets, shall be
1203 returned by the commissioner with regulatory oversight to the trustee for distribution in
1204 accordance with the trust instrument.
1205 (e) A grantor shall waive any right otherwise available to the grantor under United
1206 States law that is inconsistent with this Subsection (13).
1207 (14) (a) If an accredited or certified reinsurer ceases to meet the requirements for
1208 accreditation or certification, the commissioner may suspend or revoke the reinsurer's
1209 accreditation or certification.
1210 (b) The commissioner shall give the reinsurer notice and opportunity for hearing.
1211 (c) The suspension or revocation may not take effect until after the day on which the
1212 commissioner issues an order after a hearing, unless:
1213 (i) the reinsurer waives the reinsurer's right to hearing;
1214 (ii) the commissioner's order is based on:
1215 (A) regulatory action by the reinsurer's domiciliary jurisdiction; or
1216 (B) the voluntary surrender or termination of the reinsurer's eligibility to transact
1217 insurance or reinsurance business in its domiciliary jurisdiction or primary certifying state
1218 under Subsection (7)(g); or
1219 (iii) the commissioner's finding that an emergency requires immediate action and a
1220 court of competent jurisdiction has not stayed the commissioner's action.
1221 (d) While a reinsurer's accreditation or certification is suspended, no reinsurance
1222 contract issued or renewed after the effective date of the suspension qualifies for credit except
1223 to the extent that the reinsurer's obligations under the contract are secured in accordance with
1224 Section 31A-17-404.1.
1225 (e) If a reinsurer's accreditation or certification is revoked, no credit for reinsurance
1226 may be granted after the effective date of the revocation except to the extent that the reinsurer's
1227 obligations under the contract are secured in accordance with Subsection (7)(f) or Section
1228 31A-17-404.1.
1229 (15) (a) A ceding insurer shall take steps to manage the ceding insurer's reinsurance
1230 recoverables proportionate to the ceding insurer's own book of business.
1231 (b) (i) A domestic ceding insurer shall notify the commissioner within 30 days after the
1232 day on which reinsurance recoverables from any single assuming insurer, or group of affiliated
1233 assuming insurers:
1234 (A) exceeds 50% of the domestic ceding insurer's last reported surplus to
1235 policyholders; or
1236 (B) after it is determined that reinsurance recoverables from any single assuming
1237 insurer, or group of affiliated assuming insurers, is likely to exceed 50% of the domestic ceding
1238 insurer's last reported surplus to policyholders.
1239 (ii) The notification required by Subsection (15)(b)(i) shall demonstrate that the
1240 exposure is safely managed by the domestic ceding insurer.
1241 (c) A ceding insurer shall take steps to diversify the ceding insurer's reinsurance
1242 program.
1243 (d) (i) A domestic ceding insurer shall notify the commissioner within 30 days after the
1244 day on which the ceding insurer cedes or is likely to cede more than 20% of the ceding insurer's
1245 gross written premium in the prior calendar year to any:
1246 (A) single assuming insurer; or
1247 (B) group of affiliated assuming insurers.
1248 (ii) The notification shall demonstrate that the exposure is safely managed by the
1249 domestic ceding insurer.
1250 (16) A ceding insurer licensed under Chapter 5, Domestic Stock and Mutual Insurance
1251 Corporations, Chapter 7, Nonprofit Health Service Insurance Corporations, Chapter 8, Health
1252 Maintenance Organizations and Limited Health Plans, or Chapter 9, Insurance Fraternals, [
1253
1254 (a) the reinsurance is ceded to an assuming domestic [
1255
1256 (b) the assuming domestic [
1257 (i) Sections 31A-2-202 through 31A-2-205;
1258 [
1259 [
1260 [
1261 [
1262 [
1263 (vii) any other requirement that, in the commissioner's discretion, is necessary to
1264 promote the captive insurer's solvency.
1265 Section 7. Section 31A-19a-209 is amended to read:
1266 31A-19a-209. Special provisions for title insurance.
1267 (1) (a) (i) The Title and Escrow Commission [
1268 accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, and subject to
1269 Section 31A-2-404, establishing rate standards and rating methods [
1270
1271 (ii) The commissioner shall determine compliance with rate standards and rating
1272 methods for title insurers, individual title insurance producers, and agency title insurance
1273 producers.
1274 (b) In addition to the considerations in determining compliance with rate standards and
1275 rating methods as set forth in Sections 31A-19a-201 and 31A-19a-202, including for title
1276 insurers, the commissioner and the Title and Escrow Commission shall consider the costs and
1277 expenses incurred by title insurers, individual title insurance producers, and agency title
1278 insurance producers [
1279 (i) the maintenance of title plants; and
1280 (ii) the examining of public records to determine insurability of title to real
1281 [
1282 [
1283
1284
1285 [
1286
1287
1288 [
1289
1290 [
1291
1292 [
1293
1294 [
1295
1296
1297
1298 [
1299 producer may not [
1300 insurance, including rates or charges [
1301 company, individual title insurance producer, or agency title insurance producer to:
1302 (a) operate at less than the cost of doing[
1303 [
1304 [
1305 (b) fail to adequately underwrite a title insurance policy.
1306 [
1307
1308
1309 [
1310 [
1311
1312 [
1313
1314 [
1315
1316 [
1317
1318 [
1319 [
1320 [
1321
1322 [
1323 [
1324
1325
1326 [
1327 [
1328
1329 Section 8. Section 31A-22-728 is enacted to read:
1330 31A-22-728. Large employer health benefit plan required report.
1331 (1) As used in this section:
1332 (a) "Claims run-out period" means the period beginning on the first day following the
1333 last day of a plan year and ending on the 90th day following the last day of a plan year.
1334 (b) "Large employer" means an employer who:
1335 (i) with respect to a calendar year and to a plan year:
1336 (A) employed an average of at least 51 employees on a business day during the
1337 preceding calendar year; and
1338 (B) employs at least one employee on the first day of the plan year; and
1339 (ii) has at least 51 but fewer than 100 enrolled eligible employees enrolled in a group
1340 health benefit plan during each consecutive month during the plan year.
1341 (c) "Medical loss ratio" means a group health benefit plan's paid claims incurred during
1342 a plan year, including the claims run-out period, divided by the total premium revenue
1343 collected for the plan year.
1344 (2) Except as provided in Subsections (6), beginning on January 1, 2024, an insurer
1345 that offers a large employer health benefit plan to a large employer shall annually provide a
1346 report, upon request of:
1347 (a) the large employer;
1348 (b) the large employer's appointed producer; or
1349 (c) the large employer's consultant.
1350 (3) The report described in Subsection (2) shall include:
1351 (a) after the first renewal, the health benefit plan's aggregate performance from the
1352 immediately preceding plan year that describes whether the health benefit plan had a medical
1353 loss ratio of:
1354 (i) less than 85%;
1355 (ii) between 85% and 125%; or
1356 (iii) greater than 125%; and
1357 (b) after the second renewal and each subsequent renewal thereafter, a summary of the
1358 health benefit plan's aggregate 24-month medical loss ratio from the immediately preceding
1359 two plan years combined.
1360 (4) An insurer that offers a large employer health benefit plan shall provide the
1361 requested report described in Subsection (2) not less than 30 days after the claims run-out
1362 period.
1363 (5) (a) The report described in Subsection (2) is proprietary to the large employer, the
1364 large employer's appointed producer, or the large employer's consultant.
1365 (b) A person may not share the report described in Subsection (2) with a party other
1366 than a party described in Subsection (5)(a).
1367 (6) An insurer is not required to provide a report as described in this section if:
1368 (a) the health benefit plan is a qualified health plan as defined in 45 C.F.R. Sec.
1369 155.20;
1370 (b) the health benefit plan is issued to a group other than an employee group described
1371 in Section 31A-22-502;
1372 (c) the large employer has not had continuous large employer health benefit plan
1373 coverage with the insurer for at least 18 months before the date on which the large employer
1374 requests the report;
1375 (d) the large employer does not renew coverage with the insurer; or
1376 (e) the insurer reasonably believes that providing the report would disclose information
1377 described in Subsection 13-61-102(2)(g).
1378 (7) An insurer that provides a report in compliance with this section is immune from
1379 civil liability for the insurer's acts or omissions in providing information required under
1380 Subsection (3).
1381 Section 9. Section 31A-23a-106 is amended to read:
1382 31A-23a-106. License types.
1383 (1) (a) A resident or nonresident license issued under this chapter shall be issued under
1384 the license types described under Subsection (2).
1385 (b) A license type and a line of authority pertaining to a license type describe the type
1386 of licensee and the lines of business that a licensee may sell, solicit, or negotiate. A license
1387 type is intended to describe the matters to be considered under any education, examination, and
1388 training required of a license applicant under Sections 31A-23a-108, 31A-23a-202, and
1389 31A-23a-203.
1390 (2) (a) A producer license type includes the following lines of authority:
1391 (i) life insurance, including a nonvariable contract;
1392 (ii) variable contracts, including variable life and annuity, if the producer has the life
1393 insurance line of authority;
1394 (iii) accident and health insurance, including a contract issued to a policyholder under
1395 Chapter 7, Nonprofit Health Service Insurance Corporations, or Chapter 8, Health Maintenance
1396 Organizations and Limited Health Plans;
1397 (iv) property insurance;
1398 (v) casualty insurance, including a surety or other bond;
1399 (vi) title insurance under one or more of the following categories:
1400 (A) title examination, including authority to act as a title marketing representative;
1401 (B) escrow, including authority to act as a title marketing representative; and
1402 (C) title marketing representative only; and
1403 (vii) personal lines insurance.
1404 (b) A surplus lines producer license type includes the following lines of authority:
1405 (i) property insurance, if the person holds an underlying producer license with the
1406 property line of insurance; and
1407 (ii) casualty insurance, if the person holds an underlying producer license with the
1408 casualty line of authority.
1409 (c) A limited line producer license type includes the following limited lines of
1410 authority:
1411 (i) limited line credit insurance;
1412 (ii) travel insurance, as set forth in Part 9, Travel Insurance Act;
1413 (iii) motor club insurance;
1414 (iv) car rental related insurance;
1415 (v) legal expense insurance;
1416 (vi) crop insurance;
1417 (vii) self-service storage insurance;
1418 (viii) bail bond producer;
1419 (ix) guaranteed asset protection waiver; [
1420 (x) portable electronics insurance[
1421 (xi) pet insurance.
1422 (d) A consultant license type includes the following lines of authority:
1423 (i) life insurance, including a nonvariable contract;
1424 (ii) variable contracts, including variable life and annuity, if the consultant has the life
1425 insurance line of authority;
1426 (iii) accident and health insurance, including a contract issued to a policyholder under
1427 Chapter 7, Nonprofit Health Service Insurance Corporations, or Chapter 8, Health Maintenance
1428 Organizations and Limited Health Plans;
1429 (iv) property insurance;
1430 (v) casualty insurance, including a surety or other bond; and
1431 (vi) personal lines insurance.
1432 (e) A managing general agent license type includes the following lines of authority:
1433 (i) life insurance, including a nonvariable contract;
1434 (ii) variable contracts, including variable life and annuity, if the managing general
1435 agent has the life insurance line of authority;
1436 (iii) accident and health insurance, including a contract issued to a policyholder under
1437 Chapter 7, Nonprofit Health Service Insurance Corporations, or Chapter 8, Health Maintenance
1438 Organizations and Limited Health Plans;
1439 (iv) property insurance;
1440 (v) casualty insurance, including a surety or other bond; and
1441 (vi) personal lines insurance.
1442 (f) A reinsurance intermediary license type includes the following lines of authority:
1443 (i) life insurance, including a nonvariable contract;
1444 (ii) variable contracts, including variable life and annuity, if the reinsurance
1445 intermediary has the life insurance line of authority;
1446 (iii) accident and health insurance, including a contract issued to a policyholder under
1447 Chapter 7, Nonprofit Health Service Insurance Corporations, or Chapter 8, Health Maintenance
1448 Organizations and Limited Health Plans;
1449 (iv) property insurance;
1450 (v) casualty insurance, including a surety or other bond; and
1451 (vi) personal lines insurance.
1452 (g) A person who holds a license under Subsection (2)(a) has the qualifications
1453 necessary to act as a holder of a license under Subsection (2)(c), except that the person may not
1454 act under Subsection (2)(c)(viii) or (ix).
1455 (3) (a) The commissioner may by rule recognize other producer, surplus lines producer,
1456 limited line producer, consultant, managing general agent, or reinsurance intermediary lines of
1457 authority as to kinds of insurance not listed under Subsections (2)(a) through (f).
1458 (b) Notwithstanding Subsection (3)(a), for purposes of title insurance the Title and
1459 Escrow Commission may by rule, with the concurrence of the commissioner and subject to
1460 Section 31A-2-404, recognize other categories for an individual title insurance producer or
1461 agency title insurance producer line of authority not listed under Subsection (2)(a)(vi).
1462 (4) The variable contracts line of authority requires:
1463 (a) for a producer, licensure by the Financial Industry Regulatory Authority as a:
1464 (i) registered broker-dealer; or
1465 (ii) broker-dealer agent, with a current registration with a broker-dealer; and
1466 (b) for a consultant, registration with the Securities and Exchange Commission or
1467 licensure by the Utah Division of Securities as an:
1468 (i) investment adviser; or
1469 (ii) investment adviser representative, with a current association with an investment
1470 adviser.
1471 (5) A surplus lines producer is a producer who has a surplus lines license.
1472 Section 10. Section 31A-23a-111 is amended to read:
1473 31A-23a-111. Revoking, suspending, surrendering, lapsing, limiting, or otherwise
1474 terminating a license -- Forfeiture -- Rulemaking for renewal or reinstatement.
1475 (1) A license type issued under this chapter remains in force until:
1476 (a) revoked or suspended under Subsection (5);
1477 (b) surrendered to the commissioner and accepted by the commissioner in lieu of
1478 administrative action;
1479 (c) the licensee dies or is adjudicated incompetent as defined under:
1480 (i) Title 75, Chapter 5, Part 3, Guardians of Incapacitated Persons; or
1481 (ii) Title 75, Chapter 5, Part 4, Protection of Property of Persons Under Disability and
1482 Minors;
1483 (d) lapsed under Section 31A-23a-113; or
1484 (e) voluntarily surrendered.
1485 (2) The following may be reinstated within one year after the day on which the license
1486 is no longer in force:
1487 (a) a lapsed license; or
1488 (b) a voluntarily surrendered license, except that a voluntarily surrendered license may
1489 not be reinstated after the license period in which the license is voluntarily surrendered.
1490 (3) Unless otherwise stated in a written agreement for the voluntary surrender of a
1491 license, submission and acceptance of a voluntary surrender of a license does not prevent the
1492 department from pursuing additional disciplinary or other action authorized under:
1493 (a) this title; or
1494 (b) rules made under this title in accordance with Title 63G, Chapter 3, Utah
1495 Administrative Rulemaking Act.
1496 (4) A line of authority issued under this chapter remains in force until:
1497 (a) the qualifications pertaining to a line of authority are no longer met by the licensee;
1498 [
1499 (b) the supporting license type:
1500 (i) is revoked or suspended under Subsection (5);
1501 (ii) is surrendered to the commissioner and accepted by the commissioner in lieu of
1502 administrative action;
1503 (iii) lapses under Section 31A-23a-113; or
1504 (iv) is voluntarily surrendered; or
1505 (c) the licensee dies or is adjudicated incompetent as defined under:
1506 (i) Title 75, Chapter 5, Part 3, Guardians of Incapacitated Persons; or
1507 (ii) Title 75, Chapter 5, Part 4, Protection of Property of Persons Under Disability and
1508 Minors.
1509 (5) (a) If the commissioner makes a finding under Subsection (5)(b), as part of an
1510 adjudicative proceeding under Title 63G, Chapter 4, Administrative Procedures Act, the
1511 commissioner may:
1512 (i) revoke:
1513 (A) a license; or
1514 (B) a line of authority;
1515 (ii) suspend for a specified period of 12 months or less:
1516 (A) a license; or
1517 (B) a line of authority;
1518 (iii) limit in whole or in part:
1519 (A) a license; or
1520 (B) a line of authority;
1521 (iv) deny a license application;
1522 (v) assess a forfeiture under Subsection 31A-2-308(1)(b)(i) or (1)(c)(i); or
1523 (vi) take a combination of actions under Subsections (5)(a)(i) through (iv) and
1524 Subsection (5)(a)(v).
1525 (b) The commissioner may take an action described in Subsection (5)(a) if the
1526 commissioner finds that the licensee or license applicant:
1527 (i) is unqualified for a license or line of authority under Section 31A-23a-104,
1528 31A-23a-105, or 31A-23a-107;
1529 (ii) violates:
1530 (A) an insurance statute;
1531 (B) a rule that is valid under Subsection 31A-2-201(3); or
1532 (C) an order that is valid under Subsection 31A-2-201(4);
1533 (iii) is insolvent or the subject of receivership, conservatorship, rehabilitation, or other
1534 delinquency proceedings in any state;
1535 (iv) fails to pay a final judgment rendered against the person within 60 days after the
1536 day on which the judgment became final;
1537 (v) fails to meet the same good faith obligations in claims settlement that is required of
1538 admitted insurers;
1539 (vi) is affiliated with and under the same general management or interlocking
1540 directorate or ownership as another insurance producer that transacts business in this state
1541 without a license;
1542 (vii) refuses:
1543 (A) to be examined; or
1544 (B) to produce its accounts, records, and files for examination;
1545 (viii) has an officer who refuses to:
1546 (A) give information with respect to the insurance producer's affairs; or
1547 (B) perform any other legal obligation as to an examination;
1548 (ix) provides information in the license application that is:
1549 (A) incorrect;
1550 (B) misleading;
1551 (C) incomplete; or
1552 (D) materially untrue;
1553 (x) violates an insurance law, valid rule, or valid order of another regulatory agency in
1554 any jurisdiction;
1555 (xi) obtains or attempts to obtain a license through misrepresentation or fraud;
1556 (xii) improperly withholds, misappropriates, or converts money or properties received
1557 in the course of doing insurance business;
1558 (xiii) intentionally misrepresents the terms of an actual or proposed:
1559 (A) insurance contract;
1560 (B) application for insurance; or
1561 (C) life settlement;
1562 (xiv) has been convicted of, or has entered a plea in abeyance as defined in Section
1563 77-2a-1 to:
1564 (A) a felony; or
1565 (B) a misdemeanor involving fraud, misrepresentation, theft, or dishonesty;
1566 (xv) admits or is found to have committed an insurance unfair trade practice or fraud;
1567 (xvi) in the conduct of business in this state or elsewhere:
1568 (A) uses fraudulent, coercive, or dishonest practices; or
1569 (B) demonstrates incompetence, untrustworthiness, or financial irresponsibility;
1570 (xvii) has had an insurance license or other professional or occupational license, or an
1571 equivalent to an insurance license or registration, or other professional or occupational license
1572 or registration:
1573 (A) denied;
1574 (B) suspended;
1575 (C) revoked; or
1576 (D) surrendered to resolve an administrative action;
1577 (xviii) forges another's name to:
1578 (A) an application for insurance; or
1579 (B) a document related to an insurance transaction;
1580 (xix) improperly uses notes or another reference material to complete an examination
1581 for an insurance license;
1582 (xx) knowingly accepts insurance business from an individual who is not licensed;
1583 (xxi) fails to comply with an administrative or court order imposing a child support
1584 obligation;
1585 (xxii) fails to:
1586 (A) pay state income tax; or
1587 (B) comply with an administrative or court order directing payment of state income
1588 tax;
1589 (xxiii) has been convicted of violating the federal Violent Crime Control and Law
1590 Enforcement Act of 1994, 18 U.S.C. Sec. 1033 and has not obtained written consent to engage
1591 in the business of insurance or participate in such business as required by 18 U.S.C. Sec. 1033;
1592 (xxiv) engages in a method or practice in the conduct of business that endangers the
1593 legitimate interests of customers and the public; or
1594 (xxv) has been convicted of any criminal felony involving dishonesty or breach of trust
1595 and has not obtained written consent to engage in the business of insurance or participate in
1596 such business as required by 18 U.S.C. Sec. 1033.
1597 (c) For purposes of this section, if a license is held by an agency, both the agency itself
1598 and any individual designated under the license are considered to be the holders of the license.
1599 (d) If an individual designated under the agency license commits an act or fails to
1600 perform a duty that is a ground for suspending, revoking, or limiting the individual's license,
1601 the commissioner may suspend, revoke, or limit the license of:
1602 (i) the individual;
1603 (ii) the agency, if the agency:
1604 (A) is reckless or negligent in its supervision of the individual; or
1605 (B) knowingly participates in the act or failure to act that is the ground for suspending,
1606 revoking, or limiting the license; or
1607 (iii) (A) the individual; and
1608 (B) the agency if the agency meets the requirements of Subsection (5)(d)(ii).
1609 (6) A licensee under this chapter is subject to the penalties for acting as a licensee
1610 without a license if:
1611 (a) the licensee's license is:
1612 (i) revoked;
1613 (ii) suspended;
1614 (iii) limited;
1615 (iv) surrendered in lieu of administrative action;
1616 (v) lapsed; or
1617 (vi) voluntarily surrendered; and
1618 (b) the licensee:
1619 (i) continues to act as a licensee; or
1620 (ii) violates the terms of the license limitation.
1621 (7) A licensee under this chapter shall immediately report to the commissioner:
1622 (a) a revocation, suspension, or limitation of the person's license in another state, the
1623 District of Columbia, or a territory of the United States;
1624 (b) the imposition of a disciplinary sanction imposed on that person by another state,
1625 the District of Columbia, or a territory of the United States; or
1626 (c) a judgment or injunction entered against that person on the basis of conduct
1627 involving:
1628 (i) fraud;
1629 (ii) deceit;
1630 (iii) misrepresentation; or
1631 (iv) a violation of an insurance law or rule.
1632 (8) (a) An order revoking a license under Subsection (5) or an agreement to surrender a
1633 license in lieu of administrative action may specify a time, not to exceed five years, within
1634 which the former licensee may not apply for a new license.
1635 (b) If no time is specified in an order or agreement described in Subsection (8)(a), the
1636 former licensee may not apply for a new license for five years from the day on which the order
1637 or agreement is made without the express approval by the commissioner.
1638 (9) The commissioner shall promptly withhold, suspend, restrict, or reinstate the use of
1639 a license issued under this part if so ordered by a court.
1640 (10) The commissioner shall by rule prescribe the license renewal and reinstatement
1641 procedures in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
1642 Section 11. Section 31A-23a-406 is amended to read:
1643 31A-23a-406. Title insurance producer's business.
1644 (1) As used in this section:
1645 (a) "Automated clearing house network" or "ACH network" means a national
1646 electronic funds transfer system regulated by the Federal Reserve and the Office of the
1647 Comptroller of the Currency.
1648 (b) "Depository institution" means the same as that term is defined in Section 7-1-103.
1649 (c) "Funds transfer system" means the same as that term is defined in Section 7-1-103.
1650 [
1651 do escrow involving real property transactions if all of the following exist:
1652 (a) the individual title insurance producer or agency title insurance producer is licensed
1653 with:
1654 (i) the title line of authority; and
1655 (ii) the escrow subline of authority;
1656 (b) the individual title insurance producer or agency title insurance producer is
1657 appointed by a title insurer authorized to do business in the state;
1658 (c) except as provided in Subsection [
1659 agency title insurance producer issues one or more of the following as part of the transaction:
1660 (i) an owner's policy offering title insurance;
1661 (ii) a lender's policy offering title insurance; or
1662 (iii) if the transaction does not involve a transfer of ownership, an endorsement to an
1663 owner's or a lender's policy offering title insurance;
1664 (d) money deposited with the individual title insurance producer or agency title
1665 insurance producer in connection with any escrow is deposited:
1666 (i) in a federally insured depository institution, as defined in Section 7-1-103, that:
1667 (A) has [
1668 agency title insurance producer depositing the money is a resident licensee; and
1669 (B) is authorized by the depository institution's primary regulator to engage in trust
1670 business, as defined in Section 7-5-1, in this state; and
1671 (ii) in a trust account that is separate from all other trust account money that is not
1672 related to real estate transactions;
1673 (e) money deposited with the individual title insurance producer or agency title
1674 insurance producer in connection with any escrow is the property of the one or more persons
1675 entitled to the money under the provisions of the escrow; [
1676 (f) money deposited with the individual title insurance producer or agency title
1677 insurance producer in connection with an escrow is segregated escrow by escrow in the records
1678 of the individual title insurance producer or agency title insurance producer;
1679 (g) earnings on money held in escrow may be paid out of the escrow account to any
1680 person in accordance with the conditions of the escrow;
1681 (h) the escrow does not require the individual title insurance producer or agency title
1682 insurance producer to hold:
1683 (i) construction money; or
1684 (ii) money held for exchange under Section 1031, Internal Revenue Code; and
1685 (i) the individual title insurance producer or agency title insurance producer shall
1686 maintain a physical office in Utah staffed by a person with an escrow subline of authority who
1687 processes the escrow.
1688 [
1689 agency title insurance producer may engage in the escrow business if:
1690 (a) the escrow involves:
1691 (i) a mobile home;
1692 (ii) a grazing right;
1693 (iii) a water right; or
1694 (iv) other personal property authorized by the commissioner; and
1695 (b) the individual title insurance producer or agency title insurance producer complies
1696 with this section except for Subsection [
1697 [
1698 transfer of real property from the School and Institutional Trust Lands Administration.
1699 (b) This subsection does not prohibit an individual title insurance producer or agency
1700 title insurance producer from issuing a policy described in Subsection [
1701 transaction described in Subsection [
1702 [
1703 (a) is not subject to any debts of the individual title insurance producer or agency title
1704 insurance producer;
1705 (b) may only be used to fulfill the terms of the individual escrow under which the
1706 money is accepted; and
1707 (c) may not be used until the conditions of the escrow are met.
1708 [
1709 insurance producer or agency title insurance producer in accordance with an escrow shall be
1710 maintained in a manner that will:
1711 (a) reasonably preserve and protect the asset or property from loss, theft, or damages;
1712 and
1713 (b) otherwise comply with the general duties and responsibilities of a fiduciary or
1714 bailee.
1715 [
1716 not be drawn, executed, or dated, or money otherwise disbursed unless the segregated escrow
1717 account from which money is to be disbursed contains a sufficient credit balance consisting of
1718 collected and cleared money at the time the check is drawn, executed, or dated, or money is
1719 otherwise disbursed.
1720 (b) As used in this Subsection [
1721 cleared," and may be disbursed as follows:
1722 (i) cash may be disbursed on the same day the cash is deposited;
1723 (ii) a wire transfer may be disbursed on the same day the wire transfer is deposited;
1724 [
1725 (iii) the proceeds of one or more of the following financial instruments may be
1726 disbursed on the same day the financial instruments are deposited if received from a single
1727 party to the real estate transaction and if the aggregate of the financial instruments for the real
1728 estate transaction is less than $10,000:
1729 (A) a cashier's check, certified check, or official check that is drawn on an existing
1730 account at a federally insured financial institution;
1731 (B) a check drawn on the trust account of a principal broker or associate broker
1732 licensed under Title 61, Chapter 2f, Real Estate Licensing and Practices Act, if the individual
1733 title insurance producer or agency title insurance producer has reasonable and prudent grounds
1734 to believe sufficient money will be available from the trust account on which the check is
1735 drawn at the time of disbursement of proceeds from the individual title insurance producer or
1736 agency title insurance producer's escrow account;
1737 (C) a personal check not to exceed $500 per closing; or
1738 (D) a check drawn on the escrow account of another individual title insurance producer
1739 or agency title insurance producer, if the individual title insurance producer or agency title
1740 insurance producer in the escrow transaction has reasonable and prudent grounds to believe
1741 that sufficient money will be available for withdrawal from the account upon which the check
1742 is drawn at the time of disbursement of money from the escrow account of the individual title
1743 insurance producer or agency title insurance producer in the escrow transaction[
1744 (iv) deposits made through the ACH network may be disbursed on the same day the
1745 deposit is made if:
1746 (A) the transferred funds remain uniquely designated and traceable throughout the
1747 entire ACH network transfer process;
1748 (B) except as a function of the ACH network process, the transferred funds are not
1749 subject to comingling or third party access during the transfer process;
1750 (C) the transferred funds are deposited into the title insurance producer's escrow
1751 account and are available for disbursement; and
1752 (D) either the ACH network payment type or the title insurance producer's systems
1753 prevent the transaction from being unilaterally canceled or reversed by the consumer once the
1754 transferred funds are deposited to the individual title insurance producer or agency title
1755 producer;
1756 (v) deposits may be disbursed on the same day the deposit is made if the deposit is
1757 made via:
1758 (A) the Federal Reserve Bank through the Federal Reserve's funds transfer system; or
1759 (B) a funds transfer system provided by an association of banks.
1760 (c) A check or deposit not described in Subsection [
1761 (i) within the time limits provided under the Expedited Funds Availability Act, 12
1762 U.S.C. Sec. 4001 et seq., as amended, and related regulations of the Federal Reserve System; or
1763 (ii) upon notification from the financial institution to which the money has been
1764 deposited that final settlement has occurred on the deposited financial instrument.
1765 [
1766 maintain a record of a receipt or disbursement of escrow money.
1767 [
1768 comply with:
1769 (a) Section 31A-23a-409;
1770 (b) Title 46, Chapter 1, Notaries Public Reform Act; and
1771 (c) any rules adopted by the Title and Escrow Commission, subject to Section
1772 31A-2-404, that govern escrows.
1773 [
1774 conducts a search for real estate located in the state, the individual title insurance producer or
1775 agency title insurance producer shall conduct a reasonable search of the public records.
1776 Section 12. Section 31A-23a-409 is amended to read:
1777 31A-23a-409. Trust obligation for money collected.
1778 (1) (a) Subject to Subsection (7), a licensee is a trustee for money that is paid to,
1779 received by, or collected by a licensee for forwarding to insurers or to insureds.
1780 (b) (i) Except as provided in Subsection (1)(b)(ii), a licensee may not commingle trust
1781 funds with:
1782 (A) the licensee's own money; or
1783 (B) money held in any other capacity.
1784 (ii) This Subsection (1)(b) does not apply to:
1785 (A) amounts necessary to pay bank charges; and
1786 (B) money paid by insureds and belonging in part to the licensee as a fee or
1787 commission.
1788 (c) Except as provided under Subsection (4), a licensee owes to insureds and insurers
1789 the fiduciary duties of a trustee with respect to money to be forwarded to insurers or insureds
1790 through the licensee.
1791 (d) (i) Unless money is sent to the appropriate payee by the close of the next business
1792 day after their receipt, the licensee shall deposit them in an account authorized under
1793 Subsection (2).
1794 (ii) Money deposited under this Subsection (1)(d) shall remain in an account
1795 authorized under Subsection (2) until sent to the appropriate payee.
1796 (2) Money required to be deposited under Subsection (1) shall be deposited:
1797 (a) in a federally insured trust account in a depository institution, as defined in Section
1798 7-1-103, which:
1799 (i) has [
1800 producer or agency title insurance producer depositing the money is a resident licensee;
1801 (ii) has federal deposit insurance; and
1802 (iii) is authorized by its primary regulator to engage in the trust business, as defined by
1803 Section 7-5-1, in this state; or
1804 (b) in some other account, that:
1805 (i) the commissioner approves by rule or order; and
1806 (ii) provides safety comparable to an account described in Subsection (2)(a).
1807 (3) It is not a violation of Subsection (2)(a) if the amounts in the accounts exceed the
1808 amount of the federal insurance on the accounts.
1809 (4) A trust account into which money is deposited may be interest bearing. The
1810 interest accrued on the account may be paid to the licensee, so long as the licensee otherwise
1811 complies with this section and with the contract with the insurer.
1812 (5) A depository institution or other organization holding trust funds under this section
1813 may not offset or impound trust account funds against debts and obligations incurred by the
1814 licensee.
1815 (6) A licensee who, not being lawfully entitled to do so, diverts or appropriates any
1816 portion of the money held under Subsection (1) to the licensee's own use, is guilty of theft
1817 under Title 76, Chapter 6, Part 4, Theft. Section 76-6-412 applies in determining the
1818 classification of the offense. Sanctions under Section 31A-2-308 also apply.
1819 (7) A nonresident licensee:
1820 (a) shall comply with Subsection (1)(a) by complying with the trust account
1821 requirements of the nonresident licensee's home state; and
1822 (b) is not required to comply with the other provisions of this section.
1823 Section 13. Section 31A-23a-415 is amended to read:
1824 31A-23a-415. Assessment on agency title insurance producers or title insurers --
1825 Account created.
1826 (1) For purposes of this section:
1827 (a) "Premium" is as described in Subsection 59-9-101(3).
1828 (b) "Title insurer" means a person:
1829 (i) making any contract or policy of title insurance as:
1830 (A) insurer;
1831 (B) guarantor; or
1832 (C) surety;
1833 (ii) proposing to make any contract or policy of title insurance as:
1834 (A) insurer;
1835 (B) guarantor; or
1836 (C) surety; or
1837 (iii) transacting or proposing to transact any phase of title insurance, including:
1838 (A) soliciting;
1839 (B) negotiating preliminary to execution;
1840 (C) executing of a contract of title insurance;
1841 (D) insuring; and
1842 (E) transacting matters subsequent to the execution of the contract and arising out of
1843 the contract.
1844 (c) "Utah risks" means insuring, guaranteeing, or indemnifying with regard to real or
1845 personal property located in Utah, an owner of real or personal property, the holders of liens or
1846 encumbrances on that property, or others interested in the property against loss or damage
1847 suffered by reason of:
1848 (i) liens or encumbrances upon, defects in, or the unmarketability of the title to the
1849 property; or
1850 (ii) invalidity or unenforceability of any liens or encumbrances on the property.
1851 (2) (a) The commissioner may assess each title insurer, each individual title insurance
1852 producer who is not an employee of a title insurer or who is not designated by an agency title
1853 insurance producer, and each agency title insurance producer an annual assessment:
1854 (i) determined by the Title and Escrow Commission:
1855 (A) after consultation with the commissioner; and
1856 (B) in accordance with this Subsection (2); and
1857 (ii) to be used for the purposes described in Subsection (3).
1858 (b) An agency title insurance producer and individual title insurance producer who is
1859 not an employee of a title insurer or who is not designated by an agency title insurance
1860 producer shall be assessed up to:
1861 (i) $250 for the first office in each county in which the agency title insurance producer
1862 or individual title insurance producer maintains an office; and
1863 (ii) $150 for each additional office the agency title insurance producer or individual
1864 title insurance producer maintains in the county described in Subsection (2)(b)(i).
1865 (c) A title insurer shall be assessed up to:
1866 (i) $250 for the first office in each county in which the title insurer maintains an office;
1867 (ii) $150 for each additional office the title insurer maintains in the county described in
1868 Subsection (2)(c)(i); and
1869 (iii) an amount calculated by:
1870 (A) aggregating the assessments imposed on:
1871 (I) agency title insurance producers and individual title insurance producers under
1872 Subsection (2)(b); and
1873 (II) title insurers under Subsections (2)(c)(i) and (2)(c)(ii);
1874 (B) subtracting the amount determined under Subsection (2)(c)(iii)(A) from the total
1875 costs and expenses determined under Subsection (2)(d); and
1876 (C) multiplying:
1877 (I) the amount calculated under Subsection (2)(c)(iii)(B); and
1878 (II) the percentage of total premiums for title insurance on Utah risk that are premiums
1879 of the title insurer.
1880 (d) Notwithstanding Section 31A-3-103 and subject to Section 31A-2-404, during the
1881 first quarter of each fiscal year the Title and Escrow Commission [
1882 approve the amount of costs and expenses described under Subsection (3) for the prior fiscal
1883 year that will be covered by the assessment[
1884
1885 (e) (i) An individual licensed to practice law in Utah is exempt from the requirements
1886 of this Subsection (2) if that person issues 12 or less policies during a 12-month period.
1887 (ii) In determining the number of policies issued by an individual licensed to practice
1888 law in Utah for purposes of Subsection (2)(e)(i), if the individual issues a policy to more than
1889 one party to the same closing, the individual is considered to have issued only one policy.
1890 (3) (a) Money received by the state under this section shall be deposited into the Title
1891 Licensee Enforcement Restricted Account.
1892 (b) There is created in the General Fund a restricted account known as the "Title
1893 Licensee Enforcement Restricted Account."
1894 (c) The Title Licensee Enforcement Restricted Account shall consist of the money
1895 received by the state under this section.
1896 (d) The commissioner shall administer the Title Licensee Enforcement Restricted
1897 Account. Subject to appropriations by the Legislature, the commissioner shall use the money
1898 deposited into the Title Licensee Enforcement Restricted Account only to pay for a cost or
1899 expense incurred by the department in the administration, investigation, and enforcement of
1900 laws governing individual title insurance producers, agency title insurance producers, or title
1901 insurers.
1902 (e) An appropriation from the Title Licensee Enforcement Restricted Account is
1903 nonlapsing.
1904 (4) The assessment imposed by this section shall be in addition to any premium
1905 assessment imposed under Subsection 59-9-101(3).
1906 Section 14. Section 31A-23b-401 is amended to read:
1907 31A-23b-401. Revoking, suspending, surrendering, lapsing, limiting, or otherwise
1908 terminating a license -- Rulemaking for renewal or reinstatement.
1909 (1) A license as a navigator under this chapter remains in force until:
1910 (a) revoked or suspended under Subsection (4);
1911 (b) surrendered to the commissioner and accepted by the commissioner in lieu of
1912 administrative action;
1913 (c) the licensee dies or is adjudicated incompetent as defined under:
1914 (i) Title 75, Chapter 5, Part 3, Guardians of Incapacitated Persons; or
1915 (ii) Title 75, Chapter 5, Part 4, Protection of Property of Persons Under Disability and
1916 Minors;
1917 (d) lapsed under this section; or
1918 (e) voluntarily surrendered.
1919 (2) The following may be reinstated within one year after the day on which the license
1920 is no longer in force:
1921 (a) a lapsed license; or
1922 (b) a voluntarily surrendered license, except that a voluntarily surrendered license may
1923 not be reinstated after the license period in which the license is voluntarily surrendered.
1924 (3) Unless otherwise stated in a written agreement for the voluntary surrender of a
1925 license, submission and acceptance of a voluntary surrender of a license does not prevent the
1926 department from pursuing additional disciplinary or other action authorized under:
1927 (a) this title; or
1928 (b) rules made under this title in accordance with Title 63G, Chapter 3, Utah
1929 Administrative Rulemaking Act.
1930 (4) (a) If the commissioner makes a finding under Subsection (4)(b), as part of an
1931 adjudicative proceeding under Title 63G, Chapter 4, Administrative Procedures Act, the
1932 commissioner may:
1933 (i) revoke a license;
1934 (ii) suspend a license for a specified period of 12 months or less;
1935 (iii) limit a license in whole or in part;
1936 (iv) deny a license application;
1937 (v) assess a forfeiture under Subsection 31A-2-308(1)(b)(i) or (1)(c)(i); or
1938 (vi) take a combination of actions under Subsections (4)(a)(i) through (iv) and
1939 Subsection (4)(a)(v).
1940 (b) The commissioner may take an action described in Subsection (4)(a) if the
1941 commissioner finds that the licensee or license applicant:
1942 (i) is unqualified for a license under Section 31A-23b-204, 31A-23b-205, or
1943 31A-23b-206;
1944 (ii) violated:
1945 (A) an insurance statute;
1946 (B) a rule that is valid under Subsection 31A-2-201(3); or
1947 (C) an order that is valid under Subsection 31A-2-201(4);
1948 (iii) is insolvent or the subject of receivership, conservatorship, rehabilitation, or other
1949 delinquency proceedings in any state;
1950 (iv) failed to pay a final judgment rendered against the person in this state within 60
1951 days after the day on which the judgment became final;
1952 (v) refused:
1953 (A) to be examined; or
1954 (B) to produce its accounts, records, and files for examination;
1955 (vi) had an officer who refused to:
1956 (A) give information with respect to the navigator's affairs; or
1957 (B) perform any other legal obligation as to an examination;
1958 (vii) provided information in the license application that is:
1959 (A) incorrect;
1960 (B) misleading;
1961 (C) incomplete; or
1962 (D) materially untrue;
1963 (viii) violated an insurance law, valid rule, or valid order of another regulatory agency
1964 in any jurisdiction;
1965 (ix) obtained or attempted to obtain a license through misrepresentation or fraud;
1966 (x) improperly withheld, misappropriated, or converted money or properties received
1967 in the course of doing insurance business;
1968 (xi) intentionally misrepresented the terms of an actual or proposed:
1969 (A) insurance contract;
1970 (B) application for insurance; or
1971 (C) application for public program;
1972 (xii) has been convicted of, or has entered a plea in abeyance as defined in Section
1973 77-2a-1 to:
1974 (A) a felony; or
1975 (B) a misdemeanor involving fraud, misrepresentation, theft, or dishonesty;
1976 (xiii) admitted or is found to have committed an insurance unfair trade practice or
1977 fraud;
1978 (xiv) in the conduct of business in this state or elsewhere:
1979 (A) used fraudulent, coercive, or dishonest practices; or
1980 (B) demonstrated incompetence, untrustworthiness, or financial irresponsibility;
1981 (xv) has had an insurance license, navigator license, or other professional or
1982 occupational license or registration, or an equivalent of the same denied, suspended, revoked,
1983 or surrendered to resolve an administrative action;
1984 (xvi) forged another's name to:
1985 (A) an application for insurance;
1986 (B) a document related to an insurance transaction;
1987 (C) a document related to an application for a public program; or
1988 (D) a document related to an application for premium subsidies;
1989 (xvii) improperly used notes or another reference material to complete an examination
1990 for a license;
1991 (xviii) knowingly accepted insurance business from an individual who is not licensed;
1992 (xix) failed to comply with an administrative or court order imposing a child support
1993 obligation;
1994 (xx) failed to:
1995 (A) pay state income tax; or
1996 (B) comply with an administrative or court order directing payment of state income
1997 tax;
1998 (xxi) has been convicted of violating the federal Violent Crime Control and Law
1999 Enforcement Act of 1994, 18 U.S.C. Sec. 1033 and has not obtained written consent to engage
2000 in the business of insurance or participate in such business as required by 18 U.S.C. Sec. 1033;
2001 (xxii) engaged in a method or practice in the conduct of business that endangered the
2002 legitimate interests of customers and the public; or
2003 (xxiii) has been convicted of any criminal felony involving dishonesty or breach of
2004 trust and has not obtained written consent to engage in the business of insurance or participate
2005 in such business as required by 18 U.S.C. Sec. 1033.
2006 (c) For purposes of this section, if a license is held by an agency, both the agency itself
2007 and any individual designated under the license are considered to be the holders of the license.
2008 (d) If an individual designated under the agency license commits an act or fails to
2009 perform a duty that is a ground for suspending, revoking, or limiting the individual's license,
2010 the commissioner may suspend, revoke, or limit the license of:
2011 (i) the individual;
2012 (ii) the agency, if the agency:
2013 (A) is reckless or negligent in its supervision of the individual; or
2014 (B) knowingly participates in the act or failure to act that is the ground for suspending,
2015 revoking, or limiting the license; or
2016 (iii) (A) the individual; and
2017 (B) the agency if the agency meets the requirements of Subsection (4)(d)(ii).
2018 (5) A licensee under this chapter is subject to the penalties for acting as a licensee
2019 without a license if:
2020 (a) the licensee's license is:
2021 (i) revoked;
2022 (ii) suspended;
2023 (iii) surrendered in lieu of administrative action;
2024 (iv) lapsed; or
2025 (v) voluntarily surrendered; and
2026 (b) the licensee:
2027 (i) continues to act as a licensee; or
2028 (ii) violates the terms of the license limitation.
2029 (6) A licensee under this chapter shall immediately report to the commissioner:
2030 (a) a revocation, suspension, or limitation of the person's license in another state, the
2031 District of Columbia, or a territory of the United States;
2032 (b) the imposition of a disciplinary sanction imposed on that person by another state,
2033 the District of Columbia, or a territory of the United States; or
2034 (c) a judgment or injunction entered against that person on the basis of conduct
2035 involving:
2036 (i) fraud;
2037 (ii) deceit;
2038 (iii) misrepresentation; or
2039 (iv) a violation of an insurance law or rule.
2040 (7) (a) An order revoking a license under Subsection (4) or an agreement to surrender a
2041 license in lieu of administrative action may specify a time, not to exceed five years, within
2042 which the former licensee may not apply for a new license.
2043 (b) If no time is specified in an order or agreement described in Subsection (7)(a), the
2044 former licensee may not apply for a new license for five years from the day on which the order
2045 or agreement is made without the express approval of the commissioner.
2046 (8) The commissioner shall promptly withhold, suspend, restrict, or reinstate the use of
2047 a license issued under this chapter if so ordered by a court.
2048 (9) The commissioner shall by rule prescribe the license renewal and reinstatement
2049 procedures in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
2050 Section 15. Section 31A-25-208 is amended to read:
2051 31A-25-208. Revoking, suspending, surrendering, lapsing, limiting, or otherwise
2052 terminating a license -- Rulemaking for renewal and reinstatement.
2053 (1) A license type issued under this chapter remains in force until:
2054 (a) revoked or suspended under Subsection (4);
2055 (b) surrendered to the commissioner and accepted by the commissioner in lieu of
2056 administrative action;
2057 (c) the licensee dies or is adjudicated incompetent as defined under:
2058 (i) Title 75, Chapter 5, Part 3, Guardians of Incapacitated Persons; or
2059 (ii) Title 75, Chapter 5, Part 4, Protection of Property of Persons Under Disability and
2060 Minors;
2061 (d) lapsed under Section 31A-25-210; or
2062 (e) voluntarily surrendered.
2063 (2) The following may be reinstated within one year after the day on which the license
2064 is no longer in force:
2065 (a) a lapsed license; or
2066 (b) a voluntarily surrendered license, except that a voluntarily surrendered license may
2067 not be reinstated after the license period in which the license is voluntarily surrendered.
2068 (3) Unless otherwise stated in a written agreement for the voluntary surrender of a
2069 license, submission and acceptance of a voluntary surrender of a license does not prevent the
2070 department from pursuing additional disciplinary or other action authorized under:
2071 (a) this title; or
2072 (b) rules made under this title in accordance with Title 63G, Chapter 3, Utah
2073 Administrative Rulemaking Act.
2074 (4) (a) If the commissioner makes a finding under Subsection (4)(b), as part of an
2075 adjudicative proceeding under Title 63G, Chapter 4, Administrative Procedures Act, the
2076 commissioner may:
2077 (i) revoke a license;
2078 (ii) suspend a license for a specified period of 12 months or less;
2079 (iii) limit a license in whole or in part; or
2080 (iv) deny a license application.
2081 (b) The commissioner may take an action described in Subsection (4)(a) if the
2082 commissioner finds that the licensee or license applicant:
2083 (i) is unqualified for a license under Section 31A-25-202, 31A-25-203, or 31A-25-204;
2084 (ii) has violated:
2085 (A) an insurance statute;
2086 (B) a rule that is valid under Subsection 31A-2-201(3); or
2087 (C) an order that is valid under Subsection 31A-2-201(4);
2088 (iii) is insolvent or the subject of receivership, conservatorship, rehabilitation, or other
2089 delinquency proceedings in any state;
2090 (iv) fails to pay a final judgment rendered against the person in this state within 60
2091 days after the day on which the judgment became final;
2092 (v) fails to meet the same good faith obligations in claims settlement that is required of
2093 admitted insurers;
2094 (vi) is affiliated with and under the same general management or interlocking
2095 directorate or ownership as another third party administrator that transacts business in this state
2096 without a license;
2097 (vii) refuses:
2098 (A) to be examined; or
2099 (B) to produce its accounts, records, and files for examination;
2100 (viii) has an officer who refuses to:
2101 (A) give information with respect to the third party administrator's affairs; or
2102 (B) perform any other legal obligation as to an examination;
2103 (ix) provides information in the license application that is:
2104 (A) incorrect;
2105 (B) misleading;
2106 (C) incomplete; or
2107 (D) materially untrue;
2108 (x) has violated an insurance law, valid rule, or valid order of another regulatory
2109 agency in any jurisdiction;
2110 (xi) has obtained or attempted to obtain a license through misrepresentation or fraud;
2111 (xii) has improperly withheld, misappropriated, or converted money or properties
2112 received in the course of doing insurance business;
2113 (xiii) has intentionally misrepresented the terms of an actual or proposed:
2114 (A) insurance contract; or
2115 (B) application for insurance;
2116 (xiv) has been convicted of, or has entered a plea in abeyance as defined in Section
2117 77-2a-1 to:
2118 (A) a felony; or
2119 (B) a misdemeanor involving fraud, misrepresentation, theft, or dishonesty;
2120 (xv) has admitted or been found to have committed an insurance unfair trade practice
2121 or fraud;
2122 (xvi) in the conduct of business in this state or elsewhere has:
2123 (A) used fraudulent, coercive, or dishonest practices; or
2124 (B) demonstrated incompetence, untrustworthiness, or financial irresponsibility;
2125 (xvii) has had an insurance license or other professional or occupational license or
2126 registration, or an equivalent of the same, denied, suspended, revoked, or surrendered to
2127 resolve an administrative action;
2128 (xviii) has forged another's name to:
2129 (A) an application for insurance; or
2130 (B) a document related to an insurance transaction;
2131 (xix) has improperly used notes or any other reference material to complete an
2132 examination for an insurance license;
2133 (xx) has knowingly accepted insurance business from an individual who is not
2134 licensed;
2135 (xxi) has failed to comply with an administrative or court order imposing a child
2136 support obligation;
2137 (xxii) has failed to:
2138 (A) pay state income tax; or
2139 (B) comply with an administrative or court order directing payment of state income
2140 tax;
2141 (xxiii) is convicted of violating the federal Violent Crime Control and Law
2142 Enforcement Act of 1994, 18 U.S.C. Sec. 1033 and has not obtained written consent to engage
2143 in the business of insurance or participate in such business as required under 18 U.S.C. Sec.
2144 1033;
2145 (xxiv) has engaged in methods and practices in the conduct of business that endanger
2146 the legitimate interests of customers and the public; or
2147 (xxv) has been convicted of a criminal felony involving dishonesty or breach of trust
2148 and has not obtained written consent to engage in the business of insurance or participate in
2149 such business as required under 18 U.S.C. Sec. 1033.
2150 (c) For purposes of this section, if a license is held by an agency, both the agency itself
2151 and any individual designated under the license are considered to be the holders of the agency
2152 license.
2153 (d) If an individual designated under the agency license commits an act or fails to
2154 perform a duty that is a ground for suspending, revoking, or limiting the individual's license,
2155 the commissioner may suspend, revoke, or limit the license of:
2156 (i) the individual;
2157 (ii) the agency if the agency:
2158 (A) is reckless or negligent in its supervision of the individual; or
2159 (B) knowingly participated in the act or failure to act that is the ground for suspending,
2160 revoking, or limiting the license; or
2161 (iii) (A) the individual; and
2162 (B) the agency if the agency meets the requirements of Subsection (4)(d)(ii).
2163 (5) A licensee under this chapter is subject to the penalties for acting as a licensee
2164 without a license if:
2165 (a) the licensee's license is:
2166 (i) revoked;
2167 (ii) suspended;
2168 (iii) limited;
2169 (iv) surrendered in lieu of administrative action;
2170 (v) lapsed; or
2171 (vi) voluntarily surrendered; and
2172 (b) the licensee:
2173 (i) continues to act as a licensee; or
2174 (ii) violates the terms of the license limitation.
2175 (6) A licensee under this chapter shall immediately report to the commissioner:
2176 (a) a revocation, suspension, or limitation of the person's license in any other state, the
2177 District of Columbia, or a territory of the United States;
2178 (b) the imposition of a disciplinary sanction imposed on that person by any other state,
2179 the District of Columbia, or a territory of the United States; or
2180 (c) a judgment or injunction entered against the person on the basis of conduct
2181 involving:
2182 (i) fraud;
2183 (ii) deceit;
2184 (iii) misrepresentation; or
2185 (iv) a violation of an insurance law or rule.
2186 (7) (a) An order revoking a license under Subsection (4) or an agreement to surrender a
2187 license in lieu of administrative action may specify a time, not to exceed five years, within
2188 which the former licensee may not apply for a new license.
2189 (b) If no time is specified in the order or agreement described in Subsection (7)(a), the
2190 former licensee may not apply for a new license for five years from the day on which the order
2191 or agreement is made without the express approval of the commissioner.
2192 (8) The commissioner shall promptly withhold, suspend, restrict, or reinstate the use of
2193 a license issued under this part if so ordered by the court.
2194 (9) The commissioner shall by rule prescribe the license renewal and reinstatement
2195 procedures in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
2196 Section 16. Section 31A-26-213 is amended to read:
2197 31A-26-213. Revoking, suspending, surrendering, lapsing, limiting, or otherwise
2198 terminating a license -- Forfeiture -- Rulemaking for renewal or reinstatement.
2199 (1) A license type issued under this chapter remains in force until:
2200 (a) revoked or suspended under Subsection (5);
2201 (b) surrendered to the commissioner and accepted by the commissioner in lieu of
2202 administrative action;
2203 (c) the licensee dies or is adjudicated incompetent as defined under:
2204 (i) Title 75, Chapter 5, Part 3, Guardians of Incapacitated Persons; or
2205 (ii) Title 75, Chapter 5, Part 4, Protection of Property of Persons Under Disability and
2206 Minors;
2207 (d) lapsed under Section 31A-26-214.5; or
2208 (e) voluntarily surrendered.
2209 (2) The following may be reinstated within one year after the day on which the license
2210 is no longer in force:
2211 (a) a lapsed license; or
2212 (b) a voluntarily surrendered license, except that a voluntarily surrendered license may
2213 not be reinstated after the license period in which it is voluntarily surrendered.
2214 (3) Unless otherwise stated in a written agreement for the voluntary surrender of a
2215 license, submission and acceptance of a voluntary surrender of a license does not prevent the
2216 department from pursuing additional disciplinary or other action authorized under:
2217 (a) this title; or
2218 (b) rules made under this title in accordance with Title 63G, Chapter 3, Utah
2219 Administrative Rulemaking Act.
2220 (4) A license classification issued under this chapter remains in force until:
2221 (a) the qualifications pertaining to a license classification are no longer met by the
2222 licensee; or
2223 (b) the supporting license type:
2224 (i) is revoked or suspended under Subsection (5); or
2225 (ii) is surrendered to the commissioner and accepted by the commissioner in lieu of
2226 administrative action.
2227 (5) (a) If the commissioner makes a finding under Subsection (5)(b) as part of an
2228 adjudicative proceeding under Title 63G, Chapter 4, Administrative Procedures Act, the
2229 commissioner may:
2230 (i) revoke:
2231 (A) a license; or
2232 (B) a license classification;
2233 (ii) suspend for a specified period of 12 months or less:
2234 (A) a license; or
2235 (B) a license classification;
2236 (iii) limit in whole or in part:
2237 (A) a license; or
2238 (B) a license classification;
2239 (iv) deny a license application;
2240 (v) assess a forfeiture under Subsection 31A-2-308(1)(b)(i) or (1)(c)(i); or
2241 (vi) take a combination of actions under Subsections (5)(a)(i) through (iv) and
2242 Subsection (5)(a)(v).
2243 (b) The commissioner may take an action described in Subsection (5)(a) if the
2244 commissioner finds that the licensee or license applicant:
2245 (i) is unqualified for a license or license classification under Section 31A-26-202,
2246 31A-26-203, 31A-26-204, or 31A-26-205;
2247 (ii) has violated:
2248 (A) an insurance statute;
2249 (B) a rule that is valid under Subsection 31A-2-201(3); or
2250 (C) an order that is valid under Subsection 31A-2-201(4);
2251 (iii) is insolvent, or the subject of receivership, conservatorship, rehabilitation, or other
2252 delinquency proceedings in any state;
2253 (iv) fails to pay a final judgment rendered against the person in this state within 60
2254 days after the judgment became final;
2255 (v) fails to meet the same good faith obligations in claims settlement that is required of
2256 admitted insurers;
2257 (vi) is affiliated with and under the same general management or interlocking
2258 directorate or ownership as another insurance adjuster that transacts business in this state
2259 without a license;
2260 (vii) refuses:
2261 (A) to be examined; or
2262 (B) to produce its accounts, records, and files for examination;
2263 (viii) has an officer who refuses to:
2264 (A) give information with respect to the insurance adjuster's affairs; or
2265 (B) perform any other legal obligation as to an examination;
2266 (ix) provides information in the license application that is:
2267 (A) incorrect;
2268 (B) misleading;
2269 (C) incomplete; or
2270 (D) materially untrue;
2271 (x) has violated an insurance law, valid rule, or valid order of another regulatory
2272 agency in any jurisdiction;
2273 (xi) has obtained or attempted to obtain a license through misrepresentation or fraud;
2274 (xii) has improperly withheld, misappropriated, or converted money or properties
2275 received in the course of doing insurance business;
2276 (xiii) has intentionally misrepresented the terms of an actual or proposed:
2277 (A) insurance contract; or
2278 (B) application for insurance;
2279 (xiv) has been convicted of, or has entered a plea in abeyance as defined in Section
2280 77-2a-1 to:
2281 (A) a felony; or
2282 (B) a misdemeanor involving fraud, misrepresentation, theft, or dishonesty;
2283 (xv) has admitted or been found to have committed an insurance unfair trade practice
2284 or fraud;
2285 (xvi) in the conduct of business in this state or elsewhere has:
2286 (A) used fraudulent, coercive, or dishonest practices; or
2287 (B) demonstrated incompetence, untrustworthiness, or financial irresponsibility;
2288 (xvii) has had an insurance license or other professional or occupational license or
2289 registration, or equivalent, denied, suspended, revoked, or surrendered to resolve an
2290 administrative action;
2291 (xviii) has forged another's name to:
2292 (A) an application for insurance; or
2293 (B) a document related to an insurance transaction;
2294 (xix) has improperly used notes or any other reference material to complete an
2295 examination for an insurance license;
2296 (xx) has knowingly accepted insurance business from an individual who is not
2297 licensed;
2298 (xxi) has failed to comply with an administrative or court order imposing a child
2299 support obligation;
2300 (xxii) has failed to:
2301 (A) pay state income tax; or
2302 (B) comply with an administrative or court order directing payment of state income
2303 tax;
2304 (xxiii) has been convicted of a violation of the federal Violent Crime Control and Law
2305 Enforcement Act of 1994, 18 U.S.C. Sec. 1033 and has not obtained written consent in
2306 accordance with 18 U.S.C. Sec. 1033 to engage in the business of insurance or participate in
2307 such business;
2308 (xxiv) has engaged in methods and practices in the conduct of business that endanger
2309 the legitimate interests of customers and the public; or
2310 (xxv) has been convicted of any criminal felony involving dishonesty or breach of trust
2311 and has not obtained written consent in accordance with 18 U.S.C. Sec. 1033 to engage in the
2312 business of insurance or participate in such business.
2313 (c) For purposes of this section, if a license is held by an agency, both the agency itself
2314 and any individual designated under the license are considered to be the holders of the license.
2315 (d) If an individual designated under the agency license commits an act or fails to
2316 perform a duty that is a ground for suspending, revoking, or limiting the individual's license,
2317 the commissioner may suspend, revoke, or limit the license of:
2318 (i) the individual;
2319 (ii) the agency, if the agency:
2320 (A) is reckless or negligent in its supervision of the individual; or
2321 (B) knowingly participated in the act or failure to act that is the ground for suspending,
2322 revoking, or limiting the license; or
2323 (iii) (A) the individual; and
2324 (B) the agency if the agency meets the requirements of Subsection (5)(d)(ii).
2325 (6) A licensee under this chapter is subject to the penalties for conducting an insurance
2326 business without a license if:
2327 (a) the licensee's license is:
2328 (i) revoked;
2329 (ii) suspended;
2330 (iii) limited;
2331 (iv) surrendered in lieu of administrative action;
2332 (v) lapsed; or
2333 (vi) voluntarily surrendered; and
2334 (b) the licensee:
2335 (i) continues to act as a licensee; or
2336 (ii) violates the terms of the license limitation.
2337 (7) A licensee under this chapter shall immediately report to the commissioner:
2338 (a) a revocation, suspension, or limitation of the person's license in any other state, the
2339 District of Columbia, or a territory of the United States;
2340 (b) the imposition of a disciplinary sanction imposed on that person by any other state,
2341 the District of Columbia, or a territory of the United States; or
2342 (c) a judgment or injunction entered against that person on the basis of conduct
2343 involving:
2344 (i) fraud;
2345 (ii) deceit;
2346 (iii) misrepresentation; or
2347 (iv) a violation of an insurance law or rule.
2348 (8) (a) An order revoking a license under Subsection (5) or an agreement to surrender a
2349 license in lieu of administrative action may specify a time not to exceed five years within
2350 which the former licensee may not apply for a new license.
2351 (b) If no time is specified in the order or agreement described in Subsection (8)(a), the
2352 former licensee may not apply for a new license for five years without the express approval of
2353 the commissioner.
2354 (9) The commissioner shall promptly withhold, suspend, restrict, or reinstate the use of
2355 a license issued under this part if so ordered by a court.
2356 (10) The commissioner shall by rule prescribe the license renewal and reinstatement
2357 procedures in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
2358 Section 17. Section 31A-30-118 is amended to read:
2359 31A-30-118. Patient Protection and Affordable Care Act -- State insurance
2360 mandates -- Cost of additional benefits.
2361 (1) (a) The commissioner shall identify a new mandated benefit that is in excess of the
2362 essential health benefits required by PPACA.
2363 (b) The state shall quantify the cost attributable to each additional mandated benefit
2364 specified in Subsection (1)(a) based on a qualified health plan issuer's calculation of the cost
2365 associated with the mandated benefit, which shall be:
2366 (i) calculated in accordance with generally accepted actuarial principles and
2367 methodologies;
2368 (ii) conducted by a member of the American Academy of Actuaries; and
2369 (iii) reported to the commissioner and to the individual exchange operating in the state.
2370 (c) The commissioner may require a proponent of a new mandated benefit under
2371 Subsection (1)(a) to provide the commissioner with a cost analysis conducted in accordance
2372 with Subsection (1)(b). The commissioner may use the cost information provided under this
2373 Subsection (1)(c) to establish estimates of the cost to the state under Subsection (2).
2374 (2) If the state is required to defray the cost of additional required benefits under the
2375 provisions of 45 C.F.R. 155.170:
2376 (a) the state shall make the required payments:
2377 (i) in accordance with Subsection (3); and
2378 (ii) directly to the qualified health plan issuer in accordance with 45 C.F.R. 155.170;
2379 (b) an issuer of a qualified health plan that receives a payment under the provisions of
2380 Subsection (1) and 45 C.F.R. 155.170 shall:
2381 (i) reduce the premium charged to the individual on whose behalf the issuer will be
2382 paid under Subsection (1), in an amount equal to the amount of the payment under Subsection
2383 (1); or
2384 (ii) notwithstanding Subsection 31A-23a-402.5(5), provide a premium rebate to an
2385 individual on whose behalf the issuer received a payment under Subsection (1), in an amount
2386 equal to the amount of the payment under Subsection (1); and
2387 (c) a premium rebate made under this section is not a prohibited inducement under
2388 Section 31A-23a-402.5.
2389 (3) A payment required under 45 C.F.R. 155.170(c) shall:
2390 (a) unless otherwise required by PPACA, be based on a statewide average of the cost
2391 of the additional benefit for all issuers who are entitled to payment under the provisions of 45
2392 C.F.R. 155.170; and
2393 (b) be submitted to an issuer through a process established by the commissioner.
2394 (4) (a) As used in this Subsection (4), "account" means the State Mandated Insurer
2395 Payments Restricted Account created in Subsection (4)(b).
2396 (b) There is created in the General Fund a restricted account known as the "State
2397 Mandated Insurer Payments Restricted Account."
2398 (c) The account shall consist of:
2399 (i) money appropriated to the account by the Legislature; and
2400 (ii) interest earned on money in the account.
2401 (d) Subject to appropriations from the Legislature, the commissioner shall administer
2402 the account for the sole benefit of a qualified health plan issuer who is eligible to receive
2403 payments under this section.
2404 (e) An appropriation from the account is nonlapsing.
2405 (5) The commissioner may adopt rules in accordance with Title 63G, Chapter 3, Utah
2406 Administrative Rulemaking Act, to:
2407 (a) administer the provisions of this section and 45 C.F.R. 155.170; and
2408 (b) establish or implement a process for submitting a payment to an issuer under
2409 Subsection (3)(b).
2410 Section 18. Section 31A-31-110 is amended to read:
2411 31A-31-110. Mandatory reporting of fraudulent insurance acts.
2412 (1) (a) A person shall report a fraudulent insurance act to the department if:
2413 (i) the person has a good faith belief on the basis of a preponderance of the evidence
2414 that a fraudulent insurance act is being, will be, or has been committed by a person other than
2415 the person making the report; and
2416 (ii) the person is:
2417 (A) an insurer; or
2418 (B) in relation to the business of title insurance, an auditor that is employed by a title
2419 insurer.
2420 (b) The report required by this Subsection (1) shall:
2421 (i) be in writing;
2422 (ii) be submitted through:
2423 (A) the National Insurance Crime Bureau fraud reporting system;
2424 (B) the NAIC's online fraud reporting system; or
2425 (C) email using an email address established by the department for the purpose of
2426 submitting the report required by this Subsection (1);
2427 [
2428 (A) the fraudulent insurance act; and
2429 (B) the perpetrator of the fraudulent insurance act; and
2430 [
2431 reported the fraudulent insurance act in writing to:
2432 (I) the attorney general;
2433 (II) a state law enforcement agency;
2434 (III) a criminal investigative department or agency of the United States;
2435 (IV) a district attorney; or
2436 (V) the prosecuting attorney of a municipality or county; and
2437 (B) if the person reported the fraudulent insurance act as provided in Subsection
2438 (1)(b)(iii)(A), state the agency to which the person reported the fraudulent insurance act.
2439 (c) A person required to submit a written report under this Subsection (1) shall submit
2440 the written report to the department by no later than 90 days from the day on which the person
2441 required to report the fraudulent insurance act has a good faith belief on the basis of a
2442 preponderance of the evidence that the fraudulent insurance act is being, will be, or has been
2443 committed.
2444 (2) An action brought under Section 31A-2-201, 31A-2-308, or 31A-31-109, for failure
2445 to comply with Subsection (1) shall be commenced within four years from the date on which a
2446 person described in Subsection (1):
2447 (a) has a good faith belief on the basis of a preponderance of the evidence that a
2448 fraudulent insurance act is being, will be, or has been committed; and
2449 (b) willfully fails to report the fraudulent insurance act.
2450 (3) The department may by rule made in accordance with Title 63G, Chapter 3, Utah
2451 Administrative Rulemaking Act, provide a process by which a person described in Subsection
2452 (1)(a)(ii)(B) may comply with the requirements of Subsection (1) by reporting a fraudulent
2453 insurance act to the insurer with whom the person is employed, except that the rule shall
2454 provide that if the person reports the fraudulent insurance act to the insurer, the insurer is
2455 required to report the fraudulent insurance act to the department.
2456 (4) A person described in Subsection (1)(a)(ii) who in good faith makes a report under
2457 this section, in accordance with Section 31A-31-105, is immune from civil action, civil
2458 penalty, or damages for making that report.
2459 Section 19. Section 31A-35-504 is amended to read:
2460 31A-35-504. Failure to pay bail bond forfeiture -- Grounds for suspension and
2461 revocation of bail bond agency license.
2462 (1) As used in this section:
2463 (a) "Agency" means a bail bond agency.
2464 (b) "Judgment" means a judgment of bail bond forfeiture issued under Section
2465 77-20-505.
2466 (2) (a) (i) An agency shall pay a judgment not later than 15 days following service of
2467 notice upon the agency from a prosecutor of the entry of the judgment.
2468 (ii) An agency may pay a bail bond forfeiture to the court prior to judgment.
2469 (b) (i) A prosecutor who does not receive proof of or notice of payment of the
2470 judgment within 15 days after the service of notice to the agency of a judgment shall notify the
2471 commissioner of the failure to pay the judgment.
2472 (ii) The commissioner shall notify the agency, by the most expeditious means
2473 available, of the nonpayment of the judgment.
2474 (iii) The agency shall satisfy the judgment within five business days after receiving
2475 notice under Subsection (2)(b)(ii). [
2476
2477 (c) If notice of entry of judgment is served upon the agency by mail, three additional
2478 days are added to the 15 days provided in Subsections (2)(a), (2)(b), and (2)(d).
2479 (d) A prosecutor may not proceed under Subsection (2)(b) if an agency, within 15 days
2480 after service of notice of the entry of judgment is served:
2481 (i) files a motion to set aside the judgment or files an application for an extraordinary
2482 writ; and
2483 (ii) provides proof that the agency has posted the judgment amount with the court in
2484 the form of cash, a cashier's check, or certified funds.
2485 (e) As used in this section, the filing of the following tolls the time within which an
2486 agency is required to pay a judgment if the motion or application is filed within 15 days after
2487 the day on which service of notice of the entry of a judgment is served:
2488 (i) a motion to set aside a judgment; or
2489 (ii) an application for extraordinary writ.
2490 (3) The commissioner shall suspend the license of the agency not later than five days
2491 following the agency's failure to satisfy the judgment as required under Subsection (2)(b).
2492 (4) If the prosecutor receives proof of or notice of payment of the judgment during the
2493 suspension period under Subsection (3), the prosecutor shall immediately notify the
2494 commissioner of the payment. The notice shall be in writing and by the most expeditious
2495 means possible, including facsimile or other electronic means.
2496 (5) The commissioner shall lift a suspension under Subsection (3) within five days of
2497 the day on which all of the following conditions are met:
2498 (a) the suspension has been in place for no fewer than 14 days;
2499 (b) the commissioner has received written notice of payment of the unpaid forfeiture
2500 from the prosecutor; and
2501 (c) the commissioner has received:
2502 (i) no other notice of any unpaid forfeiture from a prosecutor; or
2503 (ii) if a notice of unpaid forfeiture is received, written notice from the prosecutor that
2504 the unpaid forfeiture has been paid.
2505 (6) The commissioner shall commence an administrative proceeding and revoke the
2506 license of an agency that fails to meet the conditions under Subsection (5) within 60 days
2507 following the initial date of suspension.
2508 (7) This section does not restrict or otherwise affect the rights of a prosecutor to
2509 commence collection proceedings under Subsection 77-20-505(5).
2510 Section 20. Section 31A-37-102 is amended to read:
2511 31A-37-102. Definitions.
2512 As used in this chapter:
2513 (1) (a) "Affiliated company" means a business entity that because of common
2514 ownership, control, operation, or management is in the same corporate or limited liability
2515 company system as:
2516 (i) a parent;
2517 (ii) an industrial insured; or
2518 (iii) a member organization.
2519 (b) "Affiliated company" does not include a business entity for which the
2520 commissioner issues an order finding that the business entity is not an affiliated company.
2521 (2) "Alien captive insurance company" means an insurer:
2522 (a) formed to write insurance business for a parent or affiliate of the insurer; and
2523 (b) licensed pursuant to the laws of an alien or foreign jurisdiction that imposes
2524 statutory or regulatory standards:
2525 (i) on a business entity transacting the business of insurance in the alien or foreign
2526 jurisdiction; and
2527 (ii) in a form acceptable to the commissioner.
2528 (3) "Applicant captive insurance company" means an entity that has submitted an
2529 application for a certificate of authority for a captive insurance company, unless the application
2530 has been denied or withdrawn.
2531 (4) "Association" means a legal association of two or more persons that [
2532
2533 (a) the persons are exposed to similar or related liability because of related, similar, or
2534 common business trade, products, services, premises, or operations; and
2535 (b) [
2536 [
2537 securities of an association captive insurance company incorporated as a stock insurer; [
2538 [
2539 incorporated as a mutual insurer; or
2540 (C) have complete voting control over an association captive insurance company
2541 formed as a limited liability company; or
2542 [
2543 subscribers of an association captive insurance company formed as a reciprocal insurer[
2544 [
2545
2546 (5) "Association captive insurance company" means a business entity that insures risks
2547 of:
2548 (a) a member organization of the association;
2549 (b) an affiliate of a member organization of the association; and
2550 (c) the association.
2551 (6) "Branch business" means an insurance business transacted by a branch captive
2552 insurance company in this state.
2553 (7) "Branch captive insurance company" means an alien captive insurance company
2554 that has a certificate of authority from the commissioner to transact the business of insurance in
2555 this state through a captive insurance company that is domiciled outside of this state.
2556 (8) "Branch operation" means a business operation of a branch captive insurance
2557 company in this state.
2558 (9) (a) "Captive insurance company" means the same as that term is defined in Section
2559 31A-1-301.
2560 (b) "Captive insurance company" includes any of the following formed or holding a
2561 certificate of authority under this chapter:
2562 (i) a branch captive insurance company;
2563 (ii) a pure captive insurance company;
2564 (iii) an association captive insurance company;
2565 (iv) a sponsored captive insurance company;
2566 (v) an industrial insured captive insurance company, including an industrial insured
2567 captive insurance company formed as a risk retention group captive in this state pursuant to the
2568 provisions of the Federal Liability Risk Retention Act of 1986;
2569 (vi) a special purpose captive insurance company; or
2570 (vii) a special purpose financial captive insurance company.
2571 (10) "Commissioner" means Utah's Insurance Commissioner or the commissioner's
2572 designee.
2573 (11) "Common ownership and control" means that two or more captive insurance
2574 companies are owned or controlled by the same person or group of persons as follows:
2575 (a) in the case of a captive insurance company that is a stock corporation, the direct or
2576 indirect ownership of 80% or more of the outstanding voting stock of the stock corporation;
2577 (b) in the case of a captive insurance company that is a mutual corporation, the direct
2578 or indirect ownership of 80% or more of the surplus and the voting power of the mutual
2579 corporation;
2580 (c) in the case of a captive insurance company that is a limited liability company, the
2581 direct or indirect ownership by the same member or members of 80% or more of the
2582 membership interests in the limited liability company; or
2583 (d) in the case of a sponsored captive insurance company, a protected cell is a separate
2584 captive insurance company owned and controlled by the protected cell's participant, only if:
2585 (i) the participant is the only participant with respect to the protected cell; and
2586 (ii) the participant is the sponsor or is affiliated with the sponsor of the sponsored
2587 captive insurance company through common ownership and control.
2588 (12) "Consolidated debt to total capital ratio" means the ratio of Subsection (12)(a) to
2589 (b).
2590 (a) This Subsection (12)(a) is an amount equal to the sum of all debts and hybrid
2591 capital instruments including:
2592 (i) all borrowings from depository institutions;
2593 (ii) all senior debt;
2594 (iii) all subordinated debts;
2595 (iv) all trust preferred shares; and
2596 (v) all other hybrid capital instruments that are not included in the determination of
2597 consolidated GAAP net worth issued and outstanding.
2598 (b) This Subsection (12)(b) is an amount equal to the sum of:
2599 (i) total capital consisting of all debts and hybrid capital instruments as described in
2600 Subsection (12)(a); and
2601 (ii) shareholders' equity determined in accordance with generally accepted accounting
2602 principles for reporting to the United States Securities and Exchange Commission.
2603 (13) "Consolidated GAAP net worth" means the consolidated shareholders' or
2604 members' equity determined in accordance with generally accepted accounting principles for
2605 reporting to the United States Securities and Exchange Commission.
2606 (14) "Controlled unaffiliated business" means a business entity:
2607 (a) (i) in the case of a pure captive insurance company, that is not in the corporate or
2608 limited liability company system of a parent or the parent's affiliate; or
2609 (ii) in the case of an industrial insured captive insurance company, that is not in the
2610 corporate or limited liability company system of an industrial insured or an affiliated company
2611 of the industrial insured;
2612 (b) (i) in the case of a pure captive insurance company, that has a contractual
2613 relationship with a parent or affiliate; or
2614 (ii) in the case of an industrial insured captive insurance company, that has a
2615 contractual relationship with an industrial insured or an affiliated company of the industrial
2616 insured; and
2617 (c) whose risks that are or will be insured by a pure captive insurance company, an
2618 industrial insured captive insurance company, or both, are managed in accordance with
2619 Subsection 31A-37-106(1)(j) by:
2620 (i) (A) a pure captive insurance company; or
2621 (B) an industrial insured captive insurance company; or
2622 (ii) a parent or affiliate of:
2623 (A) a pure captive insurance company; or
2624 (B) an industrial insured captive insurance company.
2625 (15) "Criminal act" means an act for which a person receives a verdict or finding of
2626 guilt after a criminal trial or a plea of guilty or nolo contendere to a criminal charge.
2627 (16) "Establisher" means a person who establishes a business entity or a trust.
2628 (17) "Governing body" means the persons who hold the ultimate authority to direct and
2629 manage the affairs of an entity.
2630 (18) "Industrial insured" means an insured:
2631 (a) that produces insurance:
2632 (i) by the services of a full-time employee acting as a risk manager or insurance
2633 manager; or
2634 (ii) using the services of a regularly and continuously qualified insurance consultant;
2635 (b) whose aggregate annual premiums for insurance on all risks total at least $25,000;
2636 and
2637 (c) that has at least 25 full-time employees.
2638 (19) "Industrial insured captive insurance company" means a business entity that:
2639 (a) insures risks of the industrial insureds that comprise the industrial insured group;
2640 and
2641 (b) may insure the risks of:
2642 (i) an affiliated company of an industrial insured; or
2643 (ii) a controlled unaffiliated business of:
2644 (A) an industrial insured; or
2645 (B) an affiliated company of an industrial insured.
2646 (20) "Industrial insured group" means:
2647 (a) a group of industrial insureds that collectively:
2648 (i) own, control, or hold with power to vote all of the outstanding voting securities of
2649 an industrial insured captive insurance company incorporated or organized as a limited liability
2650 company as a stock insurer; or
2651 (ii) have complete voting control over an industrial insured captive insurance company
2652 incorporated or organized as a limited liability company as a mutual insurer;
2653 (b) a group that is:
2654 (i) created under the Product Liability Risk Retention Act of 1981, 15 U.S.C. Sec. 3901
2655 et seq., as amended, as a corporation or other limited liability association; and
2656 (ii) taxable under this title as a:
2657 (A) stock corporation; or
2658 (B) mutual insurer; or
2659 (c) a group that has complete voting control over an industrial captive insurance
2660 company formed as a limited liability company.
2661 (21) "Member organization" means a person that belongs to an association.
2662 (22) "Parent" means a person that directly or indirectly owns, controls, or holds with
2663 power to vote more than 50% of the outstanding securities of an organization.
2664 (23) "Participant" means an entity that is insured by a sponsored captive insurance
2665 company:
2666 (a) if the losses of the participant are limited through a participant contract to the assets
2667 of a protected cell; and
2668 (b) (i) the entity is permitted to be a participant under Section 31A-37-403; or
2669 (ii) the entity is an affiliate of an entity permitted to be a participant under Section
2670 31A-37-403.
2671 (24) "Participant contract" means a contract by which a sponsored captive insurance
2672 company:
2673 (a) insures the risks of a participant; and
2674 (b) limits the losses of the participant to the assets of a protected cell.
2675 (25) "Protected cell" means a separate account established and maintained by a
2676 sponsored captive insurance company for one participant.
2677 (26) "Pure captive insurance company" means a business entity that insures risks of a
2678 parent or affiliate of the business entity.
2679 (27) "Special purpose financial captive insurance company" means the same as that
2680 term is defined in Section 31A-37a-102.
2681 (28) "Sponsor" means an entity that:
2682 (a) meets the requirements of Section 31A-37-402; and
2683 (b) is approved by the commissioner to:
2684 (i) provide all or part of the capital and surplus required by applicable law in an amount
2685 of not less than $350,000, which amount the commissioner may increase by order if the
2686 commissioner considers it necessary; and
2687 (ii) organize and operate a sponsored captive insurance company.
2688 (29) "Sponsored captive insurance company" means a captive insurance company:
2689 (a) in which the minimum capital and surplus required by applicable law is provided by
2690 one or more sponsors;
2691 (b) that is formed or holding a certificate of authority under this chapter;
2692 (c) that insures the risks of a separate participant through the contract; and
2693 (d) that segregates each participant's liability through one or more protected cells.
2694 (30) "Treasury rates" means the United States Treasury strip asked yield as published
2695 in the Wall Street Journal as of a balance sheet date.
2696 Section 21. Section 31A-37-202 is amended to read:
2697 31A-37-202. Permissive areas of insurance.
2698 (1) Except as provided in Subsections (2) and (3), a captive insurance company may
2699 not directly insure a risk other than the risk of the captive insurance company's parent or
2700 affiliated company.
2701 (2) In addition to the risks described in Subsection (1), an association captive insurance
2702 company may insure the risk of:
2703 (a) a member organization of the association captive insurance company's association;
2704 or
2705 (b) an affiliate of a member organization of the association captive insurance
2706 company's association.
2707 (3) The following may insure a risk of a controlled unaffiliated business:
2708 (a) an industrial insured captive insurance company;
2709 (b) a protected cell;
2710 (c) a pure captive insurance company; or
2711 (d) a sponsored captive insurance company.
2712 (4) To the extent allowed by a captive insurance company's organizational charter, a
2713 captive insurance company may provide any type of insurance described in this title, except:
2714 (a) workers' compensation insurance;
2715 (b) personal motor vehicle insurance;
2716 (c) homeowners' insurance; and
2717 (d) any component of the types of insurance described in Subsections (4)(a) through
2718 (c).
2719 (5) A captive insurance company may not provide coverage for:
2720 (a) a wager or gaming risk;
2721 (b) loss of an election; or
2722 (c) the penal consequences of a crime.
2723 (6) Unless the punitive damages award arises out of a criminal act of an insured, a
2724 captive insurance company may provide coverage for punitive damages awarded, including
2725 through adjudication or compromise, against the captive insurance company's:
2726 (a) parent; or
2727 (b) affiliated company[
2728 [
2729 (7) Notwithstanding Subsection (4), if approved by the commissioner, a captive
2730 insurance company may insure as a reimbursement a limited layer or deductible of workers'
2731 compensation coverage.
2732 Section 22. Section 31A-37-204 is amended to read:
2733 31A-37-204. Paid-in capital -- Other capital.
2734 (1) (a) The commissioner may not issue a certificate of authority to a company
2735 described in Subsection (1)(c) unless the company possesses and thereafter maintains
2736 unimpaired paid-in capital and unimpaired paid-in surplus of:
2737 (i) in the case of a pure captive insurance company[
2738 (A) except as provided in Subsection (1)(a)(i)(B), not less than $250,000; or
2739 (B) if the pure captive insurance company is not acting as a pool that facilitates risk
2740 distribution for other captive insurers, an amount that is the greater of:
2741 (I) not less than 20% of the company's total aggregate risk; or
2742 (II) $50,000;
2743 (ii) in the case of an association captive insurance company, not less than $750,000;
2744 (iii) in the case of an industrial insured captive insurance company incorporated as a
2745 stock insurer, not less than $700,000;
2746 (iv) in the case of a sponsored captive insurance company, not less than $500,000, of
2747 which a minimum of $200,000 is provided by the sponsor; or
2748 (v) in the case of a special purpose captive insurance company, an amount determined
2749 by the commissioner after giving due consideration to the company's business plan, feasibility
2750 study, and pro-formas, including the nature of the risks to be insured.
2751 (b) The paid-in capital and surplus required under this Subsection (1) may be in the
2752 form of:
2753 (i) (A) cash; or
2754 (B) cash equivalent;
2755 (ii) an irrevocable letter of credit:
2756 (A) issued by:
2757 (I) a bank chartered by this state; [
2758 (II) a member bank of the Federal Reserve System; [
2759 (III) a member bank of the Federal Deposit Insurance Corporation;
2760 (B) approved by the commissioner;
2761 (iii) marketable securities as determined by Subsection (5); or
2762 (iv) some other thing of value approved by the commissioner, for a period not to
2763 exceed 45 days, to facilitate the formation of a captive insurance company in this state pursuant
2764 to an approved plan of liquidation and reorganization of another captive insurance company or
2765 alien captive insurance company in another jurisdiction.
2766 (c) This Subsection (1) applies to:
2767 (i) a pure captive insurance company;
2768 (ii) a sponsored captive insurance company;
2769 (iii) a special purpose captive insurance company;
2770 (iv) an association captive insurance company; or
2771 (v) an industrial insured captive insurance company.
2772 (2) (a) The commissioner may, under Section 31A-37-106, prescribe additional capital
2773 based on the type, volume, and nature of insurance business transacted.
2774 (b) The capital prescribed by the commissioner under this Subsection (2) may be in the
2775 form of:
2776 (i) cash;
2777 (ii) an irrevocable letter of credit issued by:
2778 (A) a bank chartered by this state; or
2779 (B) a member bank of the Federal Reserve System; or
2780 (iii) marketable securities as determined by Subsection (5).
2781 (3) (a) Except as provided in Subsection (3)(c), a branch captive insurance company, as
2782 security for the payment of liabilities attributable to branch operations, shall, through its branch
2783 operations, establish and maintain a trust fund:
2784 (i) funded by an irrevocable letter of credit or other acceptable asset; and
2785 (ii) in the United States for the benefit of:
2786 (A) United States policyholders; and
2787 (B) United States ceding insurers under:
2788 (I) insurance policies issued; or
2789 (II) reinsurance contracts issued or assumed.
2790 (b) The amount of the security required under this Subsection (3) shall be no less than:
2791 (i) the capital and surplus required by this chapter; and
2792 (ii) the reserves on the insurance policies or reinsurance contracts, including:
2793 (A) reserves for losses;
2794 (B) allocated loss adjustment expenses;
2795 (C) incurred but not reported losses; and
2796 (D) unearned premiums with regard to business written through branch operations.
2797 (c) Notwithstanding the other provisions of this Subsection (3):
2798 (i) the commissioner may permit a branch captive insurance company that is required
2799 to post security for loss reserves on branch business by its reinsurer to reduce the funds in the
2800 trust account required by this section by the same amount as the security posted if the security
2801 remains posted with the reinsurer; and
2802 (ii) a branch captive insurance company that is the result of the licensure of an alien
2803 captive insurance company that is not formed in an alien jurisdiction is not subject to the
2804 requirements of this Subsection (3).
2805 (4) (a) A captive insurance company may not pay the following without the prior
2806 approval of the commissioner:
2807 (i) a dividend out of capital or surplus in excess of the limits under Section
2808 16-10a-640; or
2809 (ii) a distribution with respect to capital or surplus in excess of the limits under Section
2810 16-10a-640.
2811 (b) The commissioner shall condition approval of an ongoing plan for the payment of
2812 dividends or other distributions on the retention, at the time of each payment, of capital or
2813 surplus in excess of:
2814 (i) amounts specified by the commissioner under Section 31A-37-106; or
2815 (ii) determined in accordance with formulas approved by the commissioner under
2816 Section 31A-37-106.
2817 (5) For purposes of this section, marketable securities means:
2818 (a) a bond or other evidence of indebtedness of a governmental unit in the United
2819 States or Canada or any instrumentality of the United States or Canada; or
2820 (b) securities:
2821 (i) traded on one or more of the following exchanges in the United States:
2822 (A) New York;
2823 (B) American; or
2824 (C) NASDAQ;
2825 (ii) when no particular security, or a substantially related security, applied toward the
2826 required minimum capital and surplus requirement of Subsection (1) represents more than 50%
2827 of the minimum capital and surplus requirement; and
2828 (iii) when no group of up to four particular securities, consolidating substantially
2829 related securities, applied toward the required minimum capital and surplus requirement of
2830 Subsection (1) represents more than 90% of the minimum capital and surplus requirement.
2831 (6) Notwithstanding Subsection (5), to protect the solvency and liquidity of a captive
2832 insurance company, the commissioner may reject the application of specific assets or amounts
2833 of specific assets to satisfying the requirement of Subsection (1).
2834 Section 23. Section 49-20-401 is amended to read:
2835 49-20-401. Program -- Powers and duties.
2836 (1) The program shall:
2837 (a) act as a self-insurer of employee benefit plans and administer those plans;
2838 (b) enter into contracts with private insurers or carriers to underwrite employee benefit
2839 plans as considered appropriate by the program;
2840 (c) indemnify employee benefit plans or purchase commercial reinsurance as
2841 considered appropriate by the program;
2842 (d) provide descriptions of all employee benefit plans under this chapter in cooperation
2843 with covered employers;
2844 (e) process claims for all employee benefit plans under this chapter or enter into
2845 contracts, after competitive bids are taken, with other benefit administrators to provide for the
2846 administration of the claims process;
2847 (f) obtain an annual actuarial review of all health and dental benefit plans and a
2848 periodic review of all other employee benefit plans;
2849 (g) consult with the covered employers to evaluate employee benefit plans and develop
2850 recommendations for benefit changes;
2851 (h) annually submit a budget and audited financial statements to the governor and
2852 Legislature that includes total projected benefit costs and administrative costs;
2853 (i) maintain reserves sufficient to liquidate the unrevealed claims liability and other
2854 liabilities of the employee benefit plans as certified by the program's consulting actuary;
2855 (j) submit, in advance, the program's recommended benefit and rate adjustments for
2856 state employees, which may include actuarially substantiated member premium differentials
2857 between networks to:
2858 (i) the Legislature; and
2859 (ii) the director of the state Division of Human Resource Management;
2860 (k) determine benefits and rates, upon approval of the board, for multi-employer risk
2861 pools, retiree coverage, and conversion coverage;
2862 (l) determine benefits and rates based on the total estimated costs and the employee
2863 premium share established by the Legislature, upon approval of the board, for state employees;
2864 (m) administer benefits and rates, upon ratification of the board, for single-employer
2865 risk pools;
2866 (n) request proposals for one or more out-of-state provider networks and a dental
2867 health plan administered by a third-party carrier at least once every three years for the purposes
2868 of:
2869 (i) stimulating competition for the benefit of covered individuals;
2870 (ii) establishing better geographical coverage of medical care services; and
2871 (iii) providing coverage for both active and retired covered individuals;
2872 (o) for a proposal that meets the criteria specified in a request for proposals and is
2873 accepted by the program:
2874 (i) offer the proposal to active and retired state-covered individuals; and
2875 (ii) at the option of the covered employer, offer the proposal to active and retired
2876 covered individuals of other covered employers;
2877 (p) perform the same functions established in Subsections (1)(a), (b), (e), and (h) for
2878 the Department of Health and Human Services if the program provides program benefits to
2879 children enrolled in the Utah Children's Health Insurance Program created in Title 26, Chapter
2880 40, Utah Children's Health Insurance Act;
2881 (q) establish rules and procedures governing the admission of political subdivisions or
2882 educational institutions and their employees to the program;
2883 (r) (i) contract directly with medical providers to provide services for covered
2884 individuals at commercially competitive rates; and
2885 (ii) (A) discontinue the preferred network, which offers in-network access to all
2886 in-state hospitals, for the state risk pool created in Subsection 49-20-202(1)(a) for plan years
2887 starting on or after July 1, 2022; and
2888 (B) for an employee in the state risk pool who fails to elect one of the remaining
2889 networks before July 1, 2022, enroll the employee and the employee's dependents into the
2890 network that best reflects the utilization pattern of that employee and the employee's
2891 dependents;
2892 (s) (i) require state employees and the state employees' dependents to participate in the
2893 electronic exchange of clinical health records in accordance with Section 26-1-37 unless the
2894 enrollee opts out of participation; and
2895 (ii) prior to enrolling the state employee, each time the state employee logs onto the
2896 program's website, and each time the enrollee receives written enrollment information from the
2897 program, provide notice to the enrollee of the enrollee's participation in the electronic exchange
2898 of clinical health records and the option to opt out of participation at any time;
2899 (t) at the request of a procurement unit, as that term is defined in Section 63G-6a-103,
2900 that administers benefits to program recipients who are not covered by Title 26, Utah Health
2901 Code, provide services for:
2902 (i) drugs;
2903 (ii) medical devices; or
2904 (iii) other types of medical care; and
2905 (u) take additional actions necessary or appropriate to carry out the purposes of this
2906 chapter.
2907 (2) (a) Funds budgeted and expended shall accrue from rates paid by the covered
2908 employers and covered individuals.
2909 (b) The board shall approve administrative costs and report the administrative costs to
2910 the governor and the Legislature.
2911 (3) The Division of Human Resource Management shall include the benefit and rate
2912 adjustments described in Subsection (1)(j) in the total compensation plan recommended to the
2913 governor required under Subsection 63A-17-307(5)(a).
2914 (4) The program may establish a partnership with a public entity in a different state to
2915 purchase or share services related to the administration of medical benefits if:
2916 (a) the program receives approval for the partnership from the board; and
2917 (b) the partnership:
2918 (i) creates cost savings for Utah;
2919 (ii) does not commingle state funds with funds of the public entity in the other state;
2920 and
2921 (iii) does not pose a greater actuarial risk to Utah than the program has already
2922 assumed.
2923 Section 24. Section 63J-1-602.1 is amended to read:
2924 63J-1-602.1. List of nonlapsing appropriations from accounts and funds.
2925 Appropriations made from the following accounts or funds are nonlapsing:
2926 (1) The Utah Intracurricular Student Organization Support for Agricultural Education
2927 and Leadership Restricted Account created in Section 4-42-102.
2928 (2) The Native American Repatriation Restricted Account created in Section 9-9-407.
2929 (3) The Martin Luther King, Jr. Civil Rights Support Restricted Account created in
2930 Section 9-18-102.
2931 (4) The National Professional Men's Soccer Team Support of Building Communities
2932 Restricted Account created in Section 9-19-102.
2933 (5) Funds collected for directing and administering the C-PACE district created in
2934 Section 11-42a-106.
2935 (6) Money received by the Utah Inland Port Authority, as provided in Section
2936 11-58-105.
2937 (7) The "Latino Community Support Restricted Account" created in Section 13-1-16.
2938 (8) The Clean Air Support Restricted Account created in Section 19-1-109.
2939 (9) The Division of Air Quality Oil, Gas, and Mining Restricted Account created in
2940 Section 19-2a-106.
2941 (10) The Division of Water Quality Oil, Gas, and Mining Restricted Account created in
2942 Section 19-5-126.
2943 (11) The "Support for State-Owned Shooting Ranges Restricted Account" created in
2944 Section 23-14-13.5.
2945 (12) Award money under the State Asset Forfeiture Grant Program, as provided under
2946 Section 24-4-117.
2947 (13) Funds collected from the program fund for local health department expenses
2948 incurred in responding to a local health emergency under Section 26-1-38.
2949 (14) The Children with Cancer Support Restricted Account created in Section
2950 26-21a-304.
2951 (15) State funds for matching federal funds in the Children's Health Insurance Program
2952 as provided in Section 26-40-108.
2953 (16) The Children with Heart Disease Support Restricted Account created in Section
2954 26-58-102.
2955 (17) The Technology Development Restricted Account created in Section 31A-3-104.
2956 (18) The Criminal Background Check Restricted Account created in Section
2957 31A-3-105.
2958 (19) The Captive Insurance Restricted Account created in Section 31A-3-304, except
2959 to the extent that Section 31A-3-304 makes the money received under that section free revenue.
2960 (20) The Title Licensee Enforcement Restricted Account created in Section
2961 31A-23a-415.
2962 (21) The Health Insurance Actuarial Review Restricted Account created in Section
2963 31A-30-115.
2964 (22) The State Mandated Insurer Payments Restricted Account created in Section
2965 31A-30-118.
2966 [
2967 31A-31-108.
2968 [
2969 Restricted Account created in Section 32B-2-306.
2970 [
2971 Restricted Account created in Section 32B-2-308.
2972 [
2973 [
2974 certain products or services, as provided in Section 35A-13-202.
2975 [
2976 40-6-11.
2977 [
2978 [
2979 40-6-23.
2980 [
2981 41-1a-121 to the Motor Vehicle Division.
2982 [
2983 Account created by Section 41-3-110 to the State Tax Commission.
2984 [
2985 in Section 53-1-120.
2986 [
2987 Emergency Management, as provided in Section 53-2a-603.
2988 [
2989 Section 53-2a-1302.
2990 [
2991 Public Safety, as provided in Section 53-3-106.
2992 [
2993 Section 53-8-303.
2994 [
2995 [
2996 [
2997 53B-2a-118.
2998 [
2999 53B-22-202.
3000 [
3001 School Institutional Trust Lands Management Act, as provided under Section 53C-3-202.
3002 [
3003 54-5-1.5, subject to Subsection 54-5-1.5(4)(d).
3004 [
3005 access to an electronic reference library, as provided in Section 58-3a-105.
3006 [
3007 violation of unlawful or unprofessional conduct that are used for education and enforcement
3008 purposes, as provided in Section 58-17b-505.
3009 [
3010 access to an electronic reference library, as provided in Section 58-22-104.
3011 [
3012 access to an electronic reference library, as provided in Section 58-55-106.
3013 [
3014 access to an electronic reference library, as provided in Section 58-56-3.5.
3015 [
3016 education and enforcement of the Security Personnel Licensing Act, as provided in Section
3017 58-63-103.
3018 [
3019 [
3020 [
3021 background check for a mortgage loan license, as provided in Section 61-2c-202.
3022 [
3023 background check for principal broker, associate broker, and sales agent licenses, as provided
3024 in Section 61-2f-204.
3025 [
3026 provided in Section 26B-1-202.
3027 [
3028 Children Issues Restricted Account created in Section 26B-1-302.
3029 [
3030 provided in Section 80-2-404.
3031 [
3032 80-2-502.
3033 [
3034 provided in Section 63G-3-402.
3035 [
3036 [
3037 provided in Section 63H-1-504.
3038 [
3039 63H-7a-303.
3040 [
3041 63H-7a-304.
3042 [
3043 63H-7a-403.
3044 [
3045 63N-6-204.
3046 [
3047 [
3048 Commission, as provided under Section 63N-10-301.
3049 [
3050 inmates, as provided in Subsection 64-13e-104(2).
3051 [
3052 Fire, and State Lands, as provided in Section 65A-8-103.
3053 [
3054 72-16-204.
3055 [
3056 fines or bonds, as provided in Section 73-3-25.
3057 [
3058 Section 73-23-2.
3059 [
3060 Subsection 78A-6-203(1)(c).
3061 [
3062 [
3063 78B-6-141, 78B-6-144, and 78B-6-144.5.
3064 [
3065 Part 4, Utah Indigent Defense Commission.
3066 [
3067 created in Section 79-3-403.
3068 [
3069 State Park, and Green River State Park, as provided under Section 79-4-403.
3070 [
3071 Restricted Account created in Section 79-4-402 for support of the Division of State Parks' dark
3072 sky initiative.
3073 [
3074 disposal of buffalo, as provided under Section 79-4-1001.