HB 0403

1
A bill to be entitled
2An act relating to the Interstate Insurance Product
3Regulation Compact; providing legislative findings and
4intent; providing purposes; providing definitions;
5providing for establishment of an Interstate Insurance
6Product Regulation Commission; providing responsibilities
7of the commission; specifying the commission as an
8instrumentality of the compacting states; providing for
9venue; providing powers of the commission; providing for
10organization of the commission; providing for membership,
11voting, and bylaws; designating the Chief Financial
12Officer as the representative of this state on the
13commission; providing for a management committee,
14officers, and personnel of the commission; providing
15authority of the management committee; providing for
16legislative and advisory committees; providing for
17qualified immunity, defense, and indemnification of
18members, officers, employees, and representatives of the
19commission; providing for meetings and acts of the
20commission; providing rules and operating procedures;
21providing rulemaking functions of the commission;
22providing for opting out of uniform standards; providing
23procedures and requirements; providing for commission
24records and enforcement; authorizing the commission to
25adopt rules; providing for disclosure of certain
26information; requiring the commission to monitor for
27compliance; providing for dispute resolution; providing
28for product filing and approval; requiring the commission
29to establish filing and review processes and procedures;
30providing for review of commission decisions regarding
31filings; providing for finance of commission activities;
32providing for payment of expenses; authorizing the
33commission to collect filing fees for certain purposes;
34providing for approval of a commission budget; exempting
35the commission from all taxation; prohibiting the
36commission from pledging the credit of any compacting
37states without authority; requiring the commission to keep
38complete accurate accounts, provide for audits, and make
39annual reports to the Governors and Legislatures of
40compacting states; providing for effective date and
41amendment of the compact; providing for withdrawal from
42the compact, default by compacting states, and dissolution
43of the compact; providing severability and construction;
44providing for binding effect of compact and other laws;
45providing an effective date.
46
47Be It Enacted by the Legislature of the State of Florida:
48
49     Section 1.  Legislative findings; intent.--
50     (1)  The Legislature finds that the financial services
51marketplace has changed significantly in recent years and that
52asset-based insurance products, which include life insurance,
53annuities, disability income insurance, and long-term care
54insurance, now compete directly with other retirement and estate
55planning instruments that are sold by banks and securities
56firms.
57     (2)  The Legislature further finds that the increased
58mobility of the population and the risks borne by these asset-
59based products are not local in nature.
60     (3)  The Legislature further finds that the Interstate
61Insurance Product Regulation Compact Model adopted by the
62National Association of Insurance Commissioners and endorsed by
63the National Conference of Insurance Legislators and the
64National Conference of State Legislatures is designed to address
65these market changes by providing a uniform set of product
66standards and a single source for filing of new products.
67     (4)  The Legislature further finds that the product
68standards that have been developed provide a high level of
69consumer protection. Further, it is noted that the Interstate
70Insurance Product Regulation Compact Model includes a mechanism
71for opting out of any product standard that the state determines
72would not reasonably protect its citizens. With respect to long-
73term care insurance, the Legislature understands that the
74compact does not intend to develop a uniform standard for rate
75increase filings, thereby leaving the authority over long-term
76care rate increases with the state. The state relies on that
77understanding in adopting this legislation. The state, pursuant
78to the terms and conditions of this act, seeks to join with
79other states and establish the Interstate Insurance Product
80Regulation Compact, and thus become a member of the Interstate
81Insurance Product Regulation Commission. The Commissioner of
82Insurance Regulation is hereby designated to serve as the
83representative of this state on the commission.
84     Section 2.  Interstate Insurance Product Regulation
85Compact.--The Interstate Insurance Product Regulation Compact is
86hereby enacted into law and entered into by this state with all
87states legally joining therein in the form substantially as
88follows:
89
90
Interstate Insurance Product Regulation Compact
91
92
Preamble
93
94This compact is intended to help states join together to
95establish an interstate compact to regulate designated insurance
96products. Pursuant to terms and conditions of this compact, this
97state seeks to join with other states and establish the
98Interstate Insurance Product Regulation Compact and thus become
99a member of the Interstate Insurance Product Regulation
100Commission.
101
102
Article I
103
104     PURPOSES.--The purposes of this compact are, through means
105of joint and cooperative action among the compacting states, to:
106     (1)  Promote and protect the interest of consumers of
107individual and group annuity, life insurance, disability income,
108and long-term care insurance products.
109     (2)  Develop uniform standards for insurance products
110covered under the compact.
111     (3)  Establish a central clearinghouse to receive and
112provide prompt review of insurance products covered under the
113compact and, in certain cases, advertisements related thereto,
114submitted by insurers authorized to do business in one or more
115compacting states.
116     (4)  Give appropriate regulatory approval to those product
117filings and advertisements satisfying the applicable uniform
118standard.
119     (5)  Improve coordination of regulatory resources and
120expertise between state insurance departments regarding the
121setting of uniform standards and review of insurance products
122covered under the compact.
123     (6)  Create the Interstate Insurance Product Regulation
124Commission.
125     (7)  Perform these and such other related functions as may
126be consistent with the state regulation of the business of
127insurance.
128
129
Article II
130
131     DEFINITIONS.--For purposes of this compact:
132     (1)  "Advertisement" means any material designed to create
133public interest in a product, or induce the public to purchase,
134increase, modify, reinstate, borrow on, surrender, replace, or
135retain a policy, as more specifically defined in the rules and
136operating procedures of the commission.
137     (2)  "Bylaws" mean those bylaws established by the
138commission for its governance, or for directing or controlling
139the commission's actions or conduct.
140     (3)  "Compacting state" means any state which has enacted
141this compact legislation and which has not withdrawn pursuant to
142subsection (1) of Article XIV or been terminated pursuant to
143subsection (2) of Article XIV.
144     (4)  "Commission" means the "Interstate Insurance Product
145Regulation Commission" established by this compact.
146     (5)  "Commissioner" means the chief insurance regulatory
147official of a state, including, but not limited to,
148commissioner, superintendent, director, or administrator. For
149purposes of this compact, the Chief Financial Officer is the
150chief insurance regulatory official of this state.
151     (6)  "Domiciliary state" means the state in which an
152insurer is incorporated or organized or, in the case of an alien
153insurer, its state of entry.
154     (7)  "Insurer" means any entity licensed by a state to
155issue contracts of insurance for any of the lines of insurance
156covered by this compact.
157     (8)  "Member" means the person chosen by a compacting state
158as its representative to the commission, or his or her designee.
159     (9)  "Noncompacting state" means any state which is not at
160the time a compacting state.
161     (10)  "Operating procedures" mean procedures adopted by the
162commission implementing a rule, uniform standard, or provision
163of this compact.
164     (11)  "Product" means the form of a policy or contract,
165including any application, endorsement, or related form which is
166attached to and made a part of the policy or contract, and any
167evidence of coverage or certificate, for an individual or group
168annuity, life insurance, disability income, or long-term care
169insurance product that an insurer is authorized to issue.
170     (12)  "Rule" means a statement of general or particular
171applicability and future effect adopted by the commission,
172including a uniform standard developed pursuant to Article VII,
173designed to implement, interpret, or prescribe law or policy or
174describing the organization, procedure, or practice requirements
175of the commission, which shall have the force and effect of law
176in the compacting states.
177     (13)  "State" means any state, district, or territory of
178the United States.
179     (14)  "Third-party filer" means an entity that submits a
180product filing to the commission on behalf of an insurer.
181     (15)  "Uniform standard" means a standard adopted by the
182commission for a product line pursuant to Article VII and shall
183include all of the product requirements in aggregate; provided,
184each uniform standard shall be construed, whether express or
185implied, to prohibit the use of any inconsistent, misleading, or
186ambiguous provisions in a product and the form of the product
187made available to the public shall not be unfair, inequitable,
188or against public policy as determined by the commission.
189
190
Article III
191
192     COMMISSION; ESTABLISHMENT; VENUE.--
193     (1)  The compacting states hereby create and establish a
194joint public agency known as the Interstate Insurance Product
195Regulation Commission. Pursuant to Article IV, the commission
196has the power to develop uniform standards for product lines,
197receive and provide prompt review of products filed with the
198commission, and give approval to those product filings
199satisfying applicable uniform standards; provided, it is not
200intended for the commission to be the exclusive entity for
201receipt and review of insurance product filings. Nothing in this
202article shall prohibit any insurer from filing its product in
203any state in which the insurer is licensed to conduct the
204business of insurance and any such filing shall be subject to
205the laws of the state where filed.
206     (2)  The commission is a body corporate and politic and an
207instrumentality of the compacting states.
208     (3)  The commission is solely responsible for its
209liabilities, except as otherwise specifically provided in this
210compact.
211     (4)  Venue is proper and judicial proceedings by or against
212the commission shall be brought solely and exclusively in a
213court of competent jurisdiction where the principal office of
214the commission is located.
215
216
Article IV
217
218     POWERS.--The commission shall have the following powers to:
219     (1)  Adopt rules, pursuant to Article VII, which shall have
220the force and effect of law and shall be binding in the
221compacting states to the extent and in the manner provided in
222this compact.
223     (2)  Exercise its rulemaking authority and establish
224reasonable uniform standards for products covered under the
225compact, and advertisement related thereto, which shall have the
226force and effect of law and shall be binding in the compacting
227states, but only for those products filed with the commission;
228provided a compacting state shall have the right to opt out of
229such uniform standard pursuant to Article VII to the extent and
230in the manner provided in this compact and any uniform standard
231established by the commission for long-term care insurance
232products may provide the same or greater protections for
233consumers as, but shall not provide less than, those protections
234set forth in the National Association of Insurance
235Commissioners' Long-Term Care Insurance Model Act and Long-Term
236Care Insurance Model Regulation, respectively, adopted as of
2372001. The commission shall consider whether any subsequent
238amendments to the National Association of Insurance
239Commissioners' Long-Term Care Insurance Model Act or Long-Term
240Care Insurance Model Regulation adopted by the National
241Association of Insurance Commissioners require amending of the
242uniform standards established by the commission for long-term
243care insurance products.
244     (3)  Receive and review in an expeditious manner products
245filed with the commission and rate filings for disability income
246and long-term care insurance products and give approval of those
247products and rate filings that satisfy the applicable uniform
248standard, and such approval shall have the force and effect of
249law and be binding on the compacting states to the extent and in
250the manner provided in the compact.
251     (4)  Receive and review in an expeditious manner
252advertisement relating to long-term care insurance products for
253which uniform standards have been adopted by the commission, and
254give approval to all advertisement that satisfies the applicable
255uniform standard. For any product covered under this compact,
256other than long-term care insurance products, the commission
257shall have the authority to require an insurer to submit all or
258any part of its advertisement with respect to that product for
259review or approval prior to use, if the commission determines
260that the nature of the product is such that an advertisement of
261the product could have the capacity or tendency to mislead the
262public. The actions of the commission as provided in this
263subsection shall have the force and effect of law and shall be
264binding in the compacting states to the extent and in the manner
265provided in the compact.
266     (5)  Exercise its rulemaking authority and designate
267products and advertisement that may be subject to a self-
268certification process without the need for prior approval by the
269commission.
270     (6)  Adopt operating procedures, pursuant to Article VII,
271which shall be binding in the compacting states to the extent
272and in the manner provided in this compact.
273     (7)  Bring and prosecute legal proceedings or actions in
274its name as the commission; provided the standing of any state
275insurance department to sue or be sued under applicable law
276shall not be affected.
277     (8)  Issue subpoenas requiring the attendance and testimony
278of witnesses and the production of evidence.
279     (9)  Establish and maintain offices.
280     (10)  Purchase and maintain insurance and bonds.
281     (11)  Borrow, accept, or contract for services of
282personnel, including, but not limited to, employees of a
283compacting state.
284     (12)  Hire employees, professionals, or specialists; elect
285or appoint officers and fix their compensation, define their
286duties, give them appropriate authority to carry out the
287purposes of the compact, and determine their qualifications; and
288establish the commission's personnel policies and programs
289relating to, among other things, conflicts of interest, rates of
290compensation, and qualifications of personnel.
291     (13)  Accept any and all appropriate donations and grants
292of money, equipment, supplies, materials, and services and to
293receive, use, and dispose of the same; provided at all times the
294commission shall strive to avoid any appearance of impropriety.
295     (14)  Lease, purchase, and accept appropriate gifts or
296donations of, or otherwise to own, hold, improve, or use, any
297property, real, personal, or mixed; provided at all times the
298commission shall strive to avoid any appearance of impropriety.
299     (15)  Sell, convey, mortgage, pledge, lease, exchange,
300abandon, or otherwise dispose of any property, real, personal,
301or mixed.
302     (16)  Remit filing fees to compacting states as may be set
303forth in the bylaws, rules, or operating procedures.
304     (17)  Enforce compliance by compacting states with rules,
305uniform standards, operating procedures, and bylaws.
306     (18)  Provide for dispute resolution among compacting
307states.
308     (19)  Advise compacting states on issues relating to
309insurers domiciled or doing business in noncompacting
310jurisdictions, consistent with the purposes of this compact.
311     (20)  Provide advice and training to those personnel in
312state insurance departments responsible for product review and
313to be a resource for state insurance departments.
314     (21)  Establish a budget and make expenditures.
315     (22)  Borrow money.
316     (23)  Appoint committees, including advisory committees,
317comprising members, state insurance regulators, state
318legislators or their representatives, insurance industry and
319consumer representatives, and such other interested persons as
320may be designated in the bylaws.
321     (24)  Provide and receive information from and to cooperate
322with law enforcement agencies.
323     (25)  Adopt and use a corporate seal.
324     (26)  Perform such other functions as may be necessary or
325appropriate to achieve the purposes of this compact consistent
326with the state regulation of the business of insurance.
327
328
Article V
329
330     ORGANIZATION.--
331     (1)  Membership; voting; bylaws.--
332     (a)1.  Each compacting state shall have and be limited to
333one member. Each member shall be qualified to serve in that
334capacity pursuant to applicable law of the compacting state. Any
335member may be removed or suspended from office as provided by
336the law of the state from which he or she is appointed. Any
337vacancy occurring in the commission shall be filled in
338accordance with the laws of the compacting state in which the
339vacancy exists. Nothing in this article shall be construed to
340affect the manner in which a compacting state determines the
341election or appointment and qualification of its own
342commissioner.
343     2.  The Chief Financial Officer is hereby designated to
344serve as the representative of this state on the commission.
345     (b)  Each member shall be entitled to one vote and shall
346have an opportunity to participate in the governance of the
347commission in accordance with the bylaws. Notwithstanding any
348other provision of this article, no action of the commission
349with respect to the adoption of a uniform standard shall be
350effective unless two-thirds of the members vote in favor of such
351action.
352     (c)  The commission shall, by a majority of the members,
353prescribe bylaws to govern its conduct as may be necessary or
354appropriate to carry out the purposes and exercise the powers of
355the compact, including, but not limited to:
356     1.  Establishing the fiscal year of the commission.
357     2.  Providing reasonable procedures for appointing and
358electing members, as well as holding meetings, of the management
359committee.
360     3.  Providing reasonable standards and procedures:
361     a.  For the establishment and meetings of other committees.
362     b.  Governing any general or specific delegation of any
363authority or function of the commission.
364     4.  Providing reasonable procedures for calling and
365conducting meetings of the commission that consist of a majority
366of commission members, ensuring reasonable advance notice of
367each such meeting, and providing for the right of citizens to
368attend each such meeting with enumerated exceptions designed to
369protect the public's interest, the privacy of individuals, and
370insurers' proprietary information, including, but not limited
371to, trade secrets. The commission may meet in camera only after
372a majority of the entire membership votes to close a meeting in
373total or in part. As soon as practicable, the commission must
374make public a copy of the vote to close the meeting revealing
375the vote of each member with no proxy votes allowed, and votes
376taken during such meeting.
377     5.  Establishing the titles, duties, and authority and
378reasonable procedures for the election of the officers of the
379commission.
380     6.  Providing reasonable standards and procedures for the
381establishment of the personnel policies and programs of the
382commission. Notwithstanding any civil service or other similar
383laws of any compacting state, the bylaws shall exclusively
384govern the personnel policies and programs of the commission.
385     7.  Adopting a code of ethics to address permissible and
386prohibited activities of commission members and employees.
387     8.  Providing a mechanism for winding up the operations of
388the commission and the equitable disposition of any surplus
389funds that may exist after the termination of the compact after
390the payment or reserving of all debts and obligations of the
391commission.
392     (d)  The commission shall publish its bylaws in a
393convenient form and file a copy of such bylaws and a copy of any
394amendment to such bylaws, with the appropriate agency or officer
395in each of the compacting States.
396     (2)  Management committee, officers, and personnel.--
397     (a)  A management committee comprising no more than 14
398members shall be established as follows:
399     1.  One member from each of the 6 compacting states with
400the largest premium volume for individual and group annuities,
401life, disability income, and long-term care insurance products,
402determined from the records of the National Association of
403Insurance Commissioners for the prior year.
404     2.  Four members from those compacting states with at least
4052 percent of the market based on the premium volume described
406above, other than the 6 compacting states with the largest
407premium volume, selected on a rotating basis as provided in the
408bylaws.
409     3.  Four members from those compacting states with less
410than 2 percent of the market, based on the premium volume
411described above, with 1 selected from each of the 4 zone regions
412of the National Association of Insurance Commissioners as
413provided in the bylaws.
414     (b)  The management committee shall have such authority and
415duties as may be set forth in the bylaws, including, but not
416limited to:
417     1.  Managing the affairs of the commission in a manner
418consistent with the bylaws and purposes of the commission.
419     2.  Establishing and overseeing an organizational structure
420within, and appropriate procedures for, the commission to
421provide for the creation of uniform standards and other rules,
422receipt and review of product filings, administrative and
423technical support functions, review of decisions regarding the
424disapproval of a product filing, and the review of elections
425made by a compacting state to opt out of a uniform standard;
426provided a uniform standard shall not be submitted to the
427compacting states for adoption unless approved by two-thirds of
428the members of the management committee.
429     3.  Overseeing the offices of the commission.
430     4.  Planning, implementing, and coordinating communications
431and activities with other state, federal, and local government
432organizations in order to advance the goals of the commission.
433     (c)  The commission shall elect annually officers from the
434management committee, with each having such authority and duties
435as may be specified in the bylaws.
436     (d)  The management committee may, subject to the approval
437of the commission, appoint or retain an executive director for
438such period, upon such terms and conditions, and for such
439compensation as the commission may deem appropriate. The
440executive director shall serve as secretary to the commission
441but shall not be a member of the commission. The executive
442director shall hire and supervise such other staff as may be
443authorized by the commission.
444     (3)  Legislative and advisory committees.--
445     (a)  A legislative committee comprised of state legislators
446or their designees shall be established to monitor the
447operations of and make recommendations to the commission,
448including the management committee; provided the manner of
449selection and term of any legislative committee member shall be
450as set forth in the bylaws. Prior to the adoption by the
451commission of any uniform standard, revision to the bylaws,
452annual budget, or other significant matter as may be provided in
453the bylaws, the management committee shall consult with and
454report to the legislative committee.
455     (b)  The commission shall establish two advisory
456committees, one comprising consumer representatives independent
457of the insurance industry and the other comprising insurance
458industry representatives.
459     (c)  The commission may establish additional advisory
460committees as the bylaws may provide for the carrying out of
461commission functions.
462     (4)  Corporate records of the commission.--The commission
463shall maintain its corporate books and records in accordance
464with the bylaws.
465     (5)  Qualified immunity, defense and indemnification.--
466     (a)  The members, officers, executive director, employees,
467and representatives of the commission shall be immune from suit
468and liability, either personally or in their official capacity,
469for any claim for damage to or loss of property or personal
470injury or other civil liability caused by or arising out of any
471actual or alleged act, error, or omission that occurred, or that
472the person against whom the claim is made had a reasonable basis
473for believing occurred within the scope of commission
474employment, duties, or responsibilities; provided nothing in
475this paragraph shall be construed to protect any such person
476from suit or liability for any damage, loss, injury, or
477liability caused by the intentional or willful and wanton
478misconduct of that person.
479     (b)  The commission shall defend any member, officer,
480executive director, employee, or representative of the
481commission in any civil action seeking to impose liability
482arising out of any actual or alleged act, error, or omission
483that occurred within the scope of commission employment, duties,
484or responsibilities, or that the person against whom the claim
485is made had a reasonable basis for believing occurred within the
486scope of commission employment, duties, or responsibilities;
487provided nothing in this article shall be construed to prohibit
488that person from retaining his or her own counsel and the actual
489or alleged act, error, or omission did not result from that
490person's intentional or willful and wanton misconduct.
491     (c)  The commission shall indemnify and hold harmless any
492member, officer, executive director, employee, or representative
493of the commission for the amount of any settlement or judgment
494obtained against that person arising out of any actual or
495alleged act, error, or omission that occurred within the scope
496of commission employment, duties, or responsibilities, or that
497such person had a reasonable basis for believing occurred within
498the scope of commission employment, duties, or responsibilities;
499provided the actual or alleged act, error, or omission did not
500result from the intentional or willful and wanton misconduct of
501that person.
502
503
Article VI
504
505     MEETINGS; ACTS.--
506     (1)  The commission shall meet and take such actions as are
507consistent with the provisions of this compact and the bylaws.
508     (2)  Each member of the commission shall have the right and
509power to cast a vote to which that compacting state is entitled
510and to participate in the business and affairs of the
511commission. A member shall vote in person or by such other means
512as provided in the bylaws. The bylaws may provide for members'
513participation in meetings by telephone or other means of
514communication.
515     (3)  The commission shall meet at least once during each
516calendar year. Additional meetings shall be held as set forth in
517the bylaws.
518
519
Article VII
520
521     RULES AND OPERATING PROCEDURES; RULEMAKING FUNCTIONS OF THE
522COMMISSION; OPTING OUT OF UNIFORM STANDARDS.--
523     (1)  Rulemaking authority.--The commission shall adopt
524reasonable rules, including uniform standards, and operating
525procedures in order to effectively and efficiently achieve the
526purposes of this compact. Notwithstanding such requirement, if
527the commission exercises its rulemaking authority in a manner
528that is beyond the scope of the purposes of this compact or the
529powers granted under this compact, such action by the commission
530shall be invalid and have no force and effect.
531     (2)  Rulemaking procedure.--Rules and operating procedures
532shall be made pursuant to a rulemaking process that conforms to
533the Model State Administrative Procedure Act of 1981, as
534amended, as may be appropriate to the operations of the
535commission. Before the commission adopts a uniform standard, the
536commission shall give written notice to the relevant state
537legislative committees in each compacting state responsible for
538insurance issues of its intention to adopt the uniform standard.
539The commission in adopting a uniform standard shall consider
540fully all submitted materials and issue a concise explanation of
541its decision.
542     (3)  Effective date and opt out of a uniform standard.--A
543uniform standard shall become effective 90 days after its
544adoption by the commission or such later date as the commission
545may determine; provided a compacting state may opt out of a
546uniform standard as provided in this article. The term "opt out"
547means any action by a compacting state to decline to adopt or
548participate in an adopted uniform standard. All other rules and
549operating procedures, and amendments thereto, shall become
550effective as of the date specified in each rule, operating
551procedure, or amendment.
552     (4)  Opt out procedure.--
553     (a)  A compacting state may opt out of a uniform standard
554by legislation or regulation adopted by the Office of Insurance
555Regulation of the Financial Services Commission under such
556state's Administrative Procedure Act. For purposes of this
557compact and this state, the Office of Insurance Regulation of
558the Department of Financial Services constitutes this state's
559agency for purposes of this subsection. If a compacting state
560elects to opt out of a uniform standard by regulation, such
561state must:
562     1.  Give written notice to the commission no later than 10
563business days after the uniform standard is adopted, or at the
564time the state becomes a compacting state.
565     2.  Find that the uniform standard does not provide
566reasonable protections to the citizens of the state, given the
567conditions in the state.
568     (b)  The commissioner shall make specific findings of fact
569and conclusions of law, based on a preponderance of the
570evidence, detailing the conditions in the state which warrant a
571departure from the uniform standard and determining that the
572uniform standard would not reasonably protect the citizens of
573the state. The commissioner must consider and balance the
574following factors and find that the conditions in the state and
575needs of the citizens of the state outweigh:
576     1.  The intent of the Legislature to participate in, and
577the benefits of, an interstate agreement to establish national
578uniform consumer protections for the products subject to this
579compact.
580     2.  The presumption that a uniform standard adopted by the
581commission provides reasonable protections to consumers of the
582relevant product.
583
584Notwithstanding this subsection, a compacting state may, at the
585time of its enactment of this compact, prospectively opt out of
586all uniform standards involving long-term care insurance
587products by expressly providing for such opt out in the enacted
588compact, and such an opt out shall not be treated as a material
589variance in the offer or acceptance of any state to participate
590in this compact. Such an opt out shall be effective at the time
591of enactment of this compact by the compacting state and shall
592apply to all existing uniform standards involving long-term care
593insurance products and those subsequently adopted.
594     (5)  Effect of opting out.--If a compacting state elects to
595opt out of a uniform standard, the uniform standard shall remain
596applicable in the compacting state electing to opt out until
597such time the opt out legislation is enacted into law or the
598regulation opting out becomes effective. Once the opt out of a
599uniform standard by a compacting state becomes effective as
600provided under the laws of that state, the uniform standard
601shall have no further force and effect in that state unless and
602until the legislation or regulation implementing the opt out is
603repealed or otherwise becomes ineffective under the laws of the
604state. If a compacting state opts out of a uniform standard
605after the uniform standard has been made effective in that
606state, the opt out shall have the same prospective effect as
607provided under Article XIV for withdrawals.
608     (6)  Stay of uniform standard.--If a compacting state has
609formally initiated the process of opting out of a uniform
610standard by regulation, and while the regulatory opt out is
611pending, the compacting state may petition the commission, at
612least 15 days before the effective date of the uniform standard,
613to stay the effectiveness of the uniform standard in that state.
614The commission may grant a stay if the commission determines the
615regulatory opt out is being pursued in a reasonable manner and
616there is a likelihood of success. If a stay is granted or
617extended by the commission, the stay or extension thereof may
618postpone the effective date by up to 90 days, unless
619affirmatively extended by the commission; provided a stay may
620not be permitted to remain in effect for more than 1 year unless
621the compacting state can show extraordinary circumstances which
622warrant a continuance of the stay, including, but not limited
623to, the existence of a legal challenge which prevents the
624compacting state from opting out. A stay may be terminated by
625the commission upon notice that the rulemaking process has been
626terminated.
627     (7)  Judicial review.--Not later than 30 days after a rule
628or operating procedure is adopted, any person may file a
629petition for judicial review of the rule or operating procedure;
630provided the filing of such a petition shall not stay or
631otherwise prevent the rule or operating procedure from becoming
632effective unless the court finds that the petitioner has a
633substantial likelihood of success. The court shall give
634deference to the actions of the commission consistent with
635applicable law and shall not find the rule or operating
636procedure to be unlawful if the rule or operating procedure
637represents a reasonable exercise of the commission's authority.
638
639
Article VIII
640
641     COMMISSION RECORDS AND ENFORCEMENT.--
642     (1)  The commission shall adopt rules establishing
643conditions and procedures for public inspection and copying of
644its information and official records, except such information
645and records involving the privacy of individuals and insurers'
646trade secrets. The commission may adopt additional rules under
647which the commission may make available to federal and state
648agencies, including law enforcement agencies, records and
649information otherwise exempt from disclosure and may enter into
650agreements with such agencies to receive or exchange information
651or records subject to nondisclosure and confidentiality
652provisions.
653     (2)  Except as to privileged records, data, and
654information, the laws of any compacting state pertaining to
655confidentiality or nondisclosure shall not relieve any
656compacting state commissioner of the duty to disclose any
657relevant records, data, or information to the commission;
658provided disclosure to the commission shall not be deemed to
659waive or otherwise affect any confidentiality requirement; and
660further provided, except as otherwise expressly provided in this
661compact, the commission shall not be subject to the compacting
662state's laws pertaining to confidentiality and nondisclosure
663with respect to records, data, and information in its
664possession. Confidential information of the commission shall
665remain confidential after such information is provided to any
666commissioner.
667     (3)  The commission shall monitor compacting states for
668compliance with duly adopted bylaws, rules, uniform standards,
669and operating procedures. The commission shall notify any
670noncomplying compacting state in writing of its noncompliance
671with commission bylaws, rules, or operating procedures. If a
672noncomplying compacting state fails to remedy its noncompliance
673within the time specified in the notice of noncompliance, the
674compacting state shall be deemed to be in default as set forth
675in Article XIV.
676     (4)  The commissioner of any state in which an insurer is
677authorized to do business or is conducting the business of
678insurance shall continue to exercise his or her authority to
679oversee the market regulation of the activities of the insurer
680in accordance with the provisions of the state's law. The
681commissioner's enforcement of compliance with the compact is
682governed by the following provisions:
683     (a)  With respect to the commissioner's market regulation
684of a product or advertisement that is approved or certified to
685the commission, the content of the product or advertisement
686shall not constitute a violation of the provisions, standards,
687or requirements of the compact except upon a final order of the
688commission, issued at the request of a commissioner after prior
689notice to the insurer and an opportunity for hearing before the
690commission.
691     (b)  Before a commissioner may bring an action for
692violation of any provision, standard, or requirement of the
693compact relating to the content of an advertisement not approved
694or certified to the commission, the commission, or an authorized
695commission officer or employee, must authorize the action.
696However, authorization pursuant to this paragraph does not
697require notice to the insurer, opportunity for hearing, or
698disclosure of requests for authorization or records of the
699commission's action on such requests.
700
701
Article IX
702
703     DISPUTE RESOLUTION.--The commission shall attempt, upon the
704request of a member, to resolve any disputes or other issues
705that are subject to this compact and which may arise between two
706or more compacting states, or between compacting states and
707noncompacting states, and the commission shall adopt an
708operating procedure providing for resolution of such disputes.
709
710
Article X
711
712     PRODUCT FILING AND APPROVAL.--
713     (1)  Insurers and third-party filers seeking to have a
714product approved by the commission shall file the product with
715and pay applicable filing fees to the commission. Nothing in
716this compact shall be construed to restrict or otherwise prevent
717an insurer from filing its product with the insurance department
718in any state in which the insurer is licensed to conduct the
719business of insurance and such filing shall be subject to the
720laws of the states where filed.
721     (2)  The commission shall establish appropriate filing and
722review processes and procedures pursuant to commission rules and
723operating procedures. Notwithstanding any provision of this
724article, the commission shall adopt rules to establish
725conditions and procedures under which the commission will
726provide public access to product filing information. In
727establishing such rules, the commission shall consider the
728interests of the public in having access to such information, as
729well as protection of personal medical and financial information
730and trade secrets, that may be contained in a product filing or
731supporting information.
732     (3)  Any product approved by the commission may be sold or
733otherwise issued in those compacting states for which the
734insurer is legally authorized to do business.
735
736
Article XI
737
738     REVIEW OF COMMISSION DECISIONS REGARDING FILINGS.--
739     (1)  Not later than 30 days after the commission has given
740notice of a disapproved product or advertisement filed with the
741commission, the insurer or third-party filer whose filing was
742disapproved may appeal the determination to a review panel
743appointed by the commission. The commission shall adopt rules to
744establish procedures for appointing such review panels and
745provide for notice and hearing. An allegation that the
746commission, in disapproving a product or advertisement filed
747with the commission, acted arbitrarily, capriciously, or in a
748manner that is an abuse of discretion or otherwise not in
749accordance with the law, is subject to judicial review in
750accordance with subsection (4) of Article III.
751     (2)  The commission shall have authority to monitor,
752review, and reconsider products and advertisement subsequent to
753their filing or approval upon a finding that the product does
754not meet the relevant uniform standard. Where appropriate, the
755commission may withdraw or modify its approval after proper
756notice and hearing, subject to the appeal process in subsection
757(1).
758
759
Article XII
760
761     FINANCE.--
762     (1)  The commission shall pay or provide for the payment of
763the reasonable expenses of the commission's establishment and
764organization. To fund the cost of the commission's initial
765operations, the commission may accept contributions and other
766forms of funding from the National Association of Insurance
767Commissioners, compacting states, and other sources.
768Contributions and other forms of funding from other sources
769shall be of such a nature that the independence of the
770commission concerning the performance of commission duties shall
771not be compromised.
772     (2)  The commission shall collect a filing fee from each
773insurer and third-party filer filing a product with the
774commission to cover the cost of the operations and activities of
775the commission and its staff in a total amount sufficient to
776cover the commission's annual budget.
777     (3)  The commission's budget for a fiscal year shall not be
778approved until the budget has been subject to notice and comment
779as set forth in Article VII.
780     (4)  The commission shall be exempt from all taxation in
781and by the compacting states.
782     (5)  The commission shall not pledge the credit of any
783compacting state, except by and with the appropriate legal
784authority of that compacting state.
785     (6)  The commission shall keep complete and accurate
786accounts of all its internal receipts, including grants and
787donations, and disbursements of all funds under its control. The
788internal financial accounts of the commission shall be subject
789to the accounting procedures established under its bylaws. The
790financial accounts and reports including the system of internal
791controls and procedures of the commission shall be audited
792annually by an independent certified public accountant. Upon the
793determination of the commission, but no less frequently than
794every 3 years, the review of the independent auditor shall
795include a management and performance audit of the commission.
796The commission shall make an annual report to the Governor and
797the presiding officers of the Legislature of the compacting
798states, which shall include a report of the independent audit.
799The commission's internal accounts shall not be confidential and
800such materials may be shared with the commissioner of any
801compacting state upon request; provided any work papers related
802to any internal or independent audit and any information
803regarding the privacy of individuals and insurers' proprietary
804information, including trade secrets, shall remain confidential.
805     (7)  No compacting state shall have any claim to or
806ownership of any property held by or vested in the commission or
807to any commission funds held pursuant to the provisions of this
808compact.
809
810
Article XIII
811
812     COMPACTING STATES, EFFECTIVE DATE, AMENDMENT.--
813     (1)  Any state is eligible to become a compacting state.
814     (2)  The compact shall become effective and binding upon
815legislative enactment of the compact into law by two compacting
816states; provided the commission shall become effective for
817purposes of adopting uniform standards for, reviewing, and
818giving approval or disapproval of, products filed with the
819commission that satisfy applicable uniform standards only after
82026 states are compacting states or, alternatively, by states
821representing greater than 40 percent of the premium volume for
822life insurance, annuity, disability income, and long-term care
823insurance products, based on records of the National Association
824of Insurance Commissioners for the prior year. Thereafter, the
825compact shall become effective and binding as to any other
826compacting state upon enactment of the compact into law by that
827state.
828     (3)  Amendments to the compact may be proposed by the
829commission for enactment by the compacting states. No amendment
830shall become effective and binding upon the commission and the
831compacting states unless and until all compacting states enact
832the amendment into law.
833
834
Article XIV
835
836     WITHDRAWAL; DEFAULT; DISSOLUTION.--
837     (1)  Withdrawal.--
838     (a)  Once effective, the compact shall continue in force
839and remain binding upon each and every compacting state;
840provided a compacting state may withdraw from the compact by
841enacting a law specifically repealing the law which enacted the
842compact into law.
843     (b)  The effective date of withdrawal is the effective date
844of the repealing law. However, the withdrawal shall not apply to
845any product filings approved or self-certified, or any
846advertisement of such products, on the date the repealing law
847becomes effective, except by mutual agreement of the commission
848and the withdrawing state unless the approval is rescinded by
849the withdrawing state as provided in paragraph (e).
850     (c)  The commissioner of the withdrawing state shall
851immediately notify the management committee in writing upon the
852introduction of legislation repealing this compact in the
853withdrawing state.
854     (d)  The commission shall notify the other compacting
855states of the introduction of such legislation within 10 days
856after the commission's receipt of notice of such legislation.
857     (e)  The withdrawing state is responsible for all
858obligations, duties, and liabilities incurred through the
859effective date of withdrawal, including any obligations, the
860performance of which extend beyond the effective date of
861withdrawal, except to the extent those obligations may have been
862released or relinquished by mutual agreement of the commission
863and the withdrawing state. The commission's approval of products
864and advertisement prior to the effective date of withdrawal
865shall continue to be effective and be given full force and
866effect in the withdrawing state unless formally rescinded by the
867withdrawing state in the same manner as provided by the laws of
868the withdrawing state for the prospective disapproval of
869products or advertisement previously approved under state law.
870     (f)  Reinstatement following withdrawal of any compacting
871state shall occur upon the effective date of the withdrawing
872state reenacting the compact.
873     (2)  Default.--
874     (a)  If the commission determines that any compacting state
875has at any time defaulted in the performance of any of its
876obligations or responsibilities under this compact, the bylaws,
877or duly adopted rules or operating procedures, after notice and
878hearing as set forth in the bylaws, all rights, privileges, and
879benefits conferred by this compact on the defaulting state shall
880be suspended from the effective date of default as fixed by the
881commission. The grounds for default include, but are not limited
882to, failure of a compacting state to perform its obligations or
883responsibilities, and any other grounds designated in commission
884rules. The commission shall immediately notify the defaulting
885state in writing of the defaulting state's suspension pending a
886cure of the default. The commission shall stipulate the
887conditions and the time period within which the defaulting state
888must cure its default. If the defaulting state fails to cure the
889default within the time period specified by the commission, the
890defaulting state shall be terminated from the compact and all
891rights, privileges, and benefits conferred by this compact shall
892be terminated from the effective date of termination.
893     (b)  Product approvals by the commission or product self-
894certifications, or any advertisement in connection with such
895product that are in force on the effective date of termination
896shall remain in force in the defaulting state in the same manner
897as if the defaulting state had withdrawn voluntarily pursuant to
898subsection (1).
899     (c)  Reinstatement following termination of any compacting
900state requires a reenactment of the compact.
901     (3)  Dissolution of compact.--
902     (a)  The compact dissolves effective upon the date of the
903withdrawal or default of the compacting state which reduces
904membership in the compact to a single compacting state.
905     (b)  Upon the dissolution of this compact, the compact
906becomes null and void and shall be of no further force or effect
907and the business and affairs of the commission shall be
908concluded and any surplus funds shall be distributed in
909accordance with the bylaws.
910
Article XV
911
912     SEVERABILITY; CONSTRUCTION.--
913     (1)  The provisions of this compact are severable and if
914any phrase, clause, sentence, or provision is deemed
915unenforceable, the remaining provisions of the compact shall be
916enforceable.
917     (2)  The provisions of this compact shall be liberally
918construed to effectuate its purposes.
919
920
Article XVI
921
922     BINDING EFFECT OF COMPACT AND OTHER LAWS.--
923     (1)  Binding effect of this compact.--
924     (a)  All lawful actions of the commission, including all
925rules and operating procedures adopted by the commission, are
926binding upon the compacting states.
927     (b)  All agreements between the commission and the
928compacting states are binding in accordance with their terms.
929     (c)  Upon the request of a party to a conflict over the
930meaning or interpretation of commission actions, and upon a
931majority vote of the compacting states, the commission may issue
932advisory opinions regarding the meaning or interpretation in
933dispute.
934     (d)  If any provision of this compact exceeds the
935constitutional limits imposed on the Legislature of any
936compacting state, the obligations, duties, powers, or
937jurisdiction sought to be conferred by that provision upon the
938commission shall be ineffective as to that compacting state and
939those obligations, duties, powers, or jurisdiction shall remain
940in the compacting state and shall be exercised by the agency of
941such state to which those obligations, duties, powers, or
942jurisdiction are delegated by law in effect at the time this
943compact becomes effective.
944     (2)  Other laws.--
945     (a)  Nothing in this compact prevents the enforcement of
946any other law of a compacting state, except as provided in
947paragraph (b).
948     (b)  For any product approved or certified to the
949commission, the rules, uniform standards, and any other
950requirements of the commission shall constitute the exclusive
951provisions applicable to the content, approval, and
952certification of such products. For advertisement that is
953subject to the commission's authority, any rule, uniform
954standard, or other requirement of the commission which governs
955the content of the advertisement shall constitute the exclusive
956provision that a commissioner may apply to the content of the
957advertisement. Notwithstanding this paragraph, no action taken
958by the commission shall abrogate or restrict:
959     1.  The access of any person to state courts;
960     2.  Remedies available under state law related to breach of
961contract, tort, or other laws not specifically directed to the
962content of the product;
963     3.  State law relating to the construction of insurance
964contracts; or
965     4.  The authority of the attorney general of the state,
966including, but not limited to, maintaining any actions or
967proceedings, as authorized by law.
968     (c)  All insurance products filed with individual states
969shall be subject to the laws of those states.
970     Section 3.  This act shall take effect July 1, 2005.


CODING: Words stricken are deletions; words underlined are additions.