1 | A bill to be entitled |
2 | An act relating to interstate insurance product |
3 | regulation; creating s. 626.712, F.S.; enacting the |
4 | Interstate Insurance Product Regulation Compact; providing |
5 | purposes; providing definitions; providing for |
6 | establishment of a commission and venue; providing powers |
7 | of the commission; providing for organization of the |
8 | commission; providing for meetings and acts of the |
9 | commission; providing for rules and operating procedures |
10 | of the commission; providing for rulemaking functions of |
11 | the commission and opting out of uniform standards; |
12 | providing for commission records and enforcement; |
13 | providing for dispute resolution; providing for product |
14 | filing and approval; providing for review of commission |
15 | filing decisions; providing for commission finances; |
16 | providing for eligibility of compacting states and |
17 | effective date and amendments to the compact; providing |
18 | for withdrawal, default, and termination of compacting |
19 | states from the compact; providing severability and |
20 | construction; providing for a binding effect of compact |
21 | and other laws; providing an effective date. |
22 |
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23 | Be It Enacted by the Legislature of the State of Florida: |
24 |
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25 | Section 1. Section 626.712, Florida Statutes, is created |
26 | to read: |
27 | 626.712 Interstate Insurance Product Regulation |
28 | Compact.--The Interstate Insurance Product Regulation Compact is |
29 | enacted into law and entered into by this state with any other |
30 | states legally joining therein in the form substantially as |
31 | follows: |
32 |
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33 | INTERSTATE INSURANCE PRODUCT REGULATION COMPACT |
34 |
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35 | ARTICLE I |
36 |
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37 | PURPOSES.--The purposes of this compact are, through means of |
38 | joint and cooperative action among the compacting states: |
39 | (1) To promote and protect the interest of consumers of |
40 | individual and group annuity, life insurance, disability income, |
41 | and long-term care insurance products. |
42 | (2) To develop uniform standards for insurance products |
43 | covered under the compact. |
44 | (3) To establish a central clearinghouse to receive and |
45 | provide prompt review of insurance products covered under the |
46 | compact and, in certain cases, advertisements related thereto, |
47 | submitted by insurers authorized to do business in one or more |
48 | compacting states. |
49 | (4) To give appropriate regulatory approval to those |
50 | product filings and advertisements satisfying the applicable |
51 | uniform standard. |
52 | (5) To improve coordination of regulatory resources and |
53 | expertise between state insurance departments regarding the |
54 | setting of uniform standards and review of insurance products |
55 | covered under the compact. |
56 | (6) To create the Interstate Insurance Product Regulation |
57 | Commission. |
58 | (7) To perform these and such other related functions as |
59 | may be consistent with the state regulation of the business of |
60 | insurance. |
61 |
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62 | ARTICLE II |
63 |
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64 | DEFINITIONS.--For purposes of this compact: |
65 | (1) "Advertisement" means any material designed to create |
66 | public interest in a product or induce the public to purchase, |
67 | increase, modify, reinstate, borrow on, surrender, replace, or |
68 | retain a policy, as more specifically defined in the rules and |
69 | operating procedures of the commission. |
70 | (2) "Bylaws" mean those bylaws established by the |
71 | commission for its governance or for directing or controlling |
72 | the commission's actions or conduct. |
73 | (3) "Commission" means the "Interstate Insurance Product |
74 | Regulation Commission" established by this compact. |
75 | (4) "Commissioner" means the chief insurance regulatory |
76 | official of a state, including, but not limited to, |
77 | commissioner, superintendent, director, or administrator. For |
78 | this state, commissioner means the Commissioner of Insurance |
79 | Regulation of the Financial Services Commission. |
80 | (5) "Compacting state" means any state that has enacted |
81 | this compact and that has not withdrawn pursuant to Article XIV, |
82 | Section 1, or terminated pursuant to Article XIV, Section 2. |
83 | (6) "Domiciliary state" means the state in which an |
84 | insurer is incorporated or organized or, in the case of an alien |
85 | insurer, its state of entry. |
86 | (7) "Insurer" means any entity licensed by a state to |
87 | issue contracts of insurance for any of the lines of insurance |
88 | covered by this compact. |
89 | (8) "Member" means the person chosen by a compacting state |
90 | as its representative to the commission, or his or her designee. |
91 | (9) "Noncompacting state" means any state that is not at |
92 | the time a compacting state. |
93 | (10) "Operating procedures" mean procedures adopted by the |
94 | commission implementing a rule or uniform standard or a |
95 | provision of this compact. |
96 | (11) "Product" means the form of a policy or contract, |
97 | including any application, endorsement, or related form attached |
98 | to and made part of the policy or contract, and any evidence of |
99 | coverage or certificate, for an individual or group annuity, |
100 | life insurance, disability income, or long-term care insurance |
101 | product that an insurer is authorized to issue. |
102 | (12) "Rule" means a statement of general or particular |
103 | applicability and future effect adopted by the commission, |
104 | including a uniform standard developed pursuant to Article VII |
105 | designed to implement, interpret, or prescribe law or policy or |
106 | describing the organization, procedure, or practice requirements |
107 | of the commission, which shall have the force and effect of law |
108 | in the compacting states. |
109 | (13) "State" means any state, district or territory of the |
110 | United States of America. |
111 | (14) "Third-party filer" means an entity that submits a |
112 | product filing to the commission on behalf of an insurer. |
113 | (15) "Uniform standard" means a standard adopted by the |
114 | commission for a product line, pursuant to Article VII, and |
115 | shall include all of the product requirements in aggregate; |
116 | provided that each uniform standard shall be construed, whether |
117 | express or implied, to prohibit the use of any inconsistent, |
118 | misleading, or ambiguous provisions in a product, and the form |
119 | of the product made available to the public shall not be unfair, |
120 | inequitable, or against public policy as determined by the |
121 | commission. |
122 |
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123 | ARTICLE III |
124 |
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125 | ESTABLISHMENT OF THE COMMISSION AND VENUE.-- |
126 | (1) The compacting states hereby create and establish a |
127 | joint public agency known as the Interstate Insurance Product |
128 | Regulation Commission. Pursuant to Article IV, the commission |
129 | shall have the power to develop uniform standards for product |
130 | lines, receive and provide prompt review of products filed |
131 | therewith, and give approval to those product filings satisfying |
132 | applicable uniform standards; provided it is not intended for |
133 | the commission to be the exclusive entity for receipt and review |
134 | of insurance product filings. Nothing in this compact shall |
135 | prohibit any insurer from filing its product in any state in |
136 | which the insurer is licensed to conduct the business of |
137 | insurance, and any such filing shall be subject to the laws of |
138 | the state where filed. |
139 | (2) The commission is a body corporate and politic and an |
140 | instrumentality of the compacting states. |
141 | (3) The commission is a not-for-profit entity, separate |
142 | and distinct from the individual compacting states. |
143 | (4) The commission is solely responsible for its |
144 | liabilities except as otherwise specifically provided in this |
145 | compact. |
146 | (5) Venue is proper and judicial proceedings by or against |
147 | the commission shall be brought solely and exclusively in a |
148 | court of competent jurisdiction where the principal office of |
149 | the commission is located. |
150 |
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151 | ARTICLE IV |
152 |
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153 | POWERS OF THE COMMISSION.--The commission may: |
154 | (1) Adopt rules, pursuant to Article VII, that shall have |
155 | the force and effect of law and shall be binding in the |
156 | compacting states to the extent and in the manner provided in |
157 | this compact. |
158 | (2) Exercise its rulemaking authority and establish |
159 | reasonable uniform standards for products covered under the |
160 | compact and advertisements related to such products, which shall |
161 | have the force and effect of law and shall be binding in the |
162 | compacting states, but only for those products filed with the |
163 | commission; provided, that a compacting state shall have the |
164 | right to opt out of such uniform standard pursuant to Article |
165 | VII to the extent and in the manner provided in this compact; |
166 | and, provided further, that any uniform standard established by |
167 | the commission for long-term care insurance products may provide |
168 | the same or greater protections for consumers as, but shall not |
169 | provide less than, those protections set forth in the National |
170 | Association of Insurance Commissioners' Long-Term Care Insurance |
171 | Model Act and Long-Term Care Insurance Model Regulation, |
172 | respectively, adopted as of 2001. The commission shall consider |
173 | whether any subsequent amendments to the National Association of |
174 | Insurance Commissioners' Long-Term Care Insurance Model Act or |
175 | Long-Term Care Insurance Model Regulation adopted by the |
176 | National Association of Insurance Commissioners require amending |
177 | of the uniform standards established by the commission for long- |
178 | term care insurance products. |
179 | (3) Receive and review in an expeditious manner products |
180 | filed with the commission and rate filings for disability income |
181 | and long-term care insurance products and give approval of those |
182 | products and rate filings that satisfy the applicable uniform |
183 | standard, where such approval shall have the force and effect of |
184 | law and be binding on the compacting states to the extent and in |
185 | the manner provided in this compact. |
186 | (4) Receive and review in an expeditious manner |
187 | advertisements relating to long-term care insurance products for |
188 | which uniform standards have been adopted by the commission and |
189 | give approval to all advertisements that satisfy the applicable |
190 | uniform standard. For any product covered under this compact, |
191 | other than long-term care insurance products, the commission may |
192 | require an insurer to submit all or any part of its |
193 | advertisement with respect to that product for review or |
194 | approval prior to use if the commission determines that the |
195 | nature of the product is such that an advertisement of the |
196 | product could have the capacity or tendency to mislead the |
197 | public. The actions of commission as provided in this section |
198 | shall have the force and effect of law and shall be binding in |
199 | the compacting states to the extent and in the manner provided |
200 | in the compact. |
201 | (5) Exercise its rulemaking authority and designate |
202 | products and advertisements that may be subject to a self- |
203 | certification process without the need for prior approval by the |
204 | commission. |
205 | (6) Adopt operating procedures, pursuant to Article VII, |
206 | which shall be binding in the compacting states to the extent |
207 | and in the manner provided in this compact. |
208 | (7) Bring and prosecute legal proceedings or actions in |
209 | its name as the commission; provided, that the standing of any |
210 | state insurance department to sue or be sued under applicable |
211 | law shall not be affected. |
212 | (8) Issue subpoenas requiring the attendance and testimony |
213 | of witnesses and the production of evidence. |
214 | (9) Establish and maintain offices. |
215 | (10) Purchase and maintain insurance and bonds. |
216 | (11) Borrow, accept, or contract for services of |
217 | personnel, including, but not limited to, employees of a |
218 | compacting state. |
219 | (12) Hire employees, professionals, or specialists; elect |
220 | or appoint officers, fix their compensation, define their |
221 | duties, give them appropriate authority to carry out the |
222 | purposes of the compact, and determine their qualifications; and |
223 | establish the commission's personnel policies and programs |
224 | relating to, among other things, conflicts of interest, rates of |
225 | compensation, and qualifications of personnel. |
226 | (13) Accept any and all appropriate donations and grants |
227 | of money, equipment, supplies, materials and services and to |
228 | receive, use, and dispose of the same; provided that at all |
229 | times the commission shall strive to avoid any appearance of |
230 | impropriety. |
231 | (14) Lease, purchase, or accept appropriate gifts or |
232 | donations of, or otherwise to own, hold, improve, or use, any |
233 | property, real, personal, or mixed; provided that at all times |
234 | the commission shall strive to avoid any appearance of |
235 | impropriety. |
236 | (15) Sell, convey, mortgage, pledge, lease, exchange, |
237 | abandon, or otherwise dispose of any property, real, personal, |
238 | or mixed. |
239 | (16) Remit filing fees to compacting states as may be set |
240 | forth in the bylaws, rules, or operating procedures. |
241 | (17) Enforce compliance by compacting states with rules, |
242 | uniform standards, operating procedures, and bylaws. |
243 | (18) Provide for dispute resolution among compacting |
244 | states. |
245 | (19) Advise compacting states on issues relating to |
246 | insurers domiciled or doing business in noncompacting |
247 | jurisdictions, consistent with the purposes of this compact. |
248 | (20) Provide advice and training to those personnel in |
249 | state insurance departments responsible for product review and |
250 | to be a resource for state insurance departments. |
251 | (21) Establish a budget and make expenditures. |
252 | (22) Borrow money. |
253 | (23) Appoint committees, including advisory committees |
254 | comprising members, state insurance regulators, state |
255 | legislators, or their representatives, insurance industry and |
256 | consumer representatives, and such other interested persons as |
257 | may be designated in the bylaws. |
258 | (24) Provide and receive information from, and cooperate |
259 | with, law enforcement agencies. |
260 | (25) Adopt and use a corporate seal. |
261 | (26) Perform such other functions as may be necessary or |
262 | appropriate to achieve the purposes of this compact, consistent |
263 | with the state regulation of the business of insurance. |
264 |
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265 | ARTICLE V |
266 |
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267 | ORGANIZATION OF THE COMMISSION.-- |
268 | (1) Membership, voting, and bylaws.-- |
269 | (a) Each compacting state shall have and be limited to one |
270 | member. Each member shall be qualified to serve in that capacity |
271 | pursuant to applicable law of the compacting state. Any member |
272 | may be removed or suspended from office as provided by the law |
273 | of the state from which he or she shall be appointed. Any |
274 | vacancy occurring in the commission shall be filled in |
275 | accordance with the laws of the compacting state in which the |
276 | vacancy exists. Nothing in this article shall be construed to |
277 | affect the manner in which a compacting state determines the |
278 | election or appointment and qualification of its own |
279 | commissioner. |
280 | (b) Each member shall be entitled to one vote and shall |
281 | have an opportunity to participate in the governance of the |
282 | commission in accordance with the bylaws. Notwithstanding any |
283 | provision in this article to the contrary, no action of the |
284 | commission with respect to the adoption of a uniform standard |
285 | shall be effective unless two-thirds of the members vote in |
286 | favor of the action. |
287 | (c) The commission shall, by a vote of the majority of the |
288 | members, prescribe bylaws to govern its conduct as may be |
289 | necessary or appropriate to carry out the purposes and exercise |
290 | the powers of the compact, including, but not limited to: |
291 | 1. Establishing the fiscal year of the commission. |
292 | 2. Providing reasonable procedures for appointing and |
293 | electing members and holding meetings of the management |
294 | committee. |
295 | 3. Providing reasonable standards and procedures for the |
296 | establishment and meetings of other committees and governing any |
297 | general or specific delegation of any authority or function of |
298 | the commission. |
299 | 4. Providing reasonable procedures for calling and |
300 | conducting meetings of the commission that consists of a |
301 | majority of commission members, ensuring reasonable advance |
302 | notice of each such meeting, and providing for the right of |
303 | citizens to attend each such meeting with enumerated exceptions |
304 | designed to protect the public's interest, the privacy of |
305 | individuals, and insurers' proprietary information, including |
306 | trade secrets. The commission may meet in camera only after a |
307 | majority of the entire membership votes to close a meeting en |
308 | toto or in part. As soon as practicable, the commission must |
309 | make public a copy of the vote to close the meeting, revealing |
310 | the vote of each member with no proxy votes allowed, and votes |
311 | taken during such meeting. |
312 | 5. Establishing the titles, duties and authority, and |
313 | reasonable procedures for the election of the officers of the |
314 | commission. |
315 | 6. Providing reasonable standards and procedures for the |
316 | establishment of the personnel policies and programs of the |
317 | commission. Notwithstanding any civil service or other similar |
318 | laws of any compacting state, the bylaws shall exclusively |
319 | govern the personnel policies and programs of the commission. |
320 | 7. Adopting a code of ethics to address permissible and |
321 | prohibited activities of commission members and employees. |
322 | 8. Providing a mechanism for winding up the operations of |
323 | the commission and the equitable disposition of any surplus |
324 | funds that may exist after the termination of the compact after |
325 | the payment or reserving of all of its debts and obligations. |
326 | (d) The commission shall publish its bylaws in a |
327 | convenient form and file a copy thereof and a copy of any |
328 | amendment thereto with the appropriate agency or officer in each |
329 | of the compacting states. |
330 | (2) Management committee, officers, and personnel.-- |
331 | (a) A management committee comprising no more than 14 |
332 | members shall be established as follows: |
333 | 1. One member from each of the six compacting states with |
334 | the largest premium volume for individual and group annuities, |
335 | life, disability income, and long-term care insurance products, |
336 | determined from the records of the National Association of |
337 | Insurance Commissioners for the prior year. |
338 | 2. Four members from those compacting states with at least |
339 | 2 percent of the market based on the premium volume described in |
340 | subparagraph 1., other than the six compacting states with the |
341 | largest premium volume, selected on a rotating basis as provided |
342 | in the bylaws. |
343 | 3. Four members from those compacting states with less |
344 | than 2 percent of the market, based on the premium volume |
345 | described in subparagraph 1., with one selected from each of the |
346 | four zone regions of the National Association of Insurance |
347 | Commissioners as provided in the bylaws. |
348 | (b) The management committee shall have such authority and |
349 | duties as may be set forth in the bylaws, including but not |
350 | limited to: |
351 | 1. Managing the affairs of the commission in a manner |
352 | consistent with the bylaws and purposes of the commission. |
353 | 2. Establishing and overseeing an organizational structure |
354 | within, and appropriate procedures for, the commission to |
355 | provide for the creation of uniform standards and other rules, |
356 | receipt and review of product filings, administrative and |
357 | technical support functions, review of decisions regarding the |
358 | disapproval of a product filing, and the review of elections |
359 | made by a compacting state to opt out of a uniform standard; |
360 | provided that a uniform standard shall not be submitted to the |
361 | compacting states for adoption unless approved by two-thirds of |
362 | the members of the management committee. |
363 | 3. Overseeing the offices of the commission. |
364 | 4. Planning, implementing, and coordinating communications |
365 | and activities with other federal, state, and local government |
366 | organizations in order to advance the goals of the commission. |
367 | (c) The commission shall elect annually officers from the |
368 | management committee, with each having such authority and duties |
369 | as may be specified in the bylaws. |
370 | (d) The management committee may, subject to the approval |
371 | of the commission, appoint or retain an executive director for |
372 | such period, upon such terms and conditions and for such |
373 | compensation as the commission may deem appropriate. The |
374 | executive director shall serve as secretary of the commission |
375 | but shall not be a member of the commission. The executive |
376 | director shall hire and supervise such other staff as may be |
377 | authorized by the commission. |
378 | (3) Legislative and advisory committees.-- |
379 | (a) A legislative committee comprising state legislators |
380 | or their designees shall be established to monitor the |
381 | operations of, and make recommendations to, the commission, |
382 | including the management committee; provided that the manner of |
383 | selection and term of any legislative committee member shall be |
384 | as set forth in the bylaws. Prior to the adoption by the |
385 | commission of any uniform standard, revision to the bylaws, |
386 | annual budget, or other significant matter as may be provided in |
387 | the bylaws, the management committee shall consult with and |
388 | report to the legislative committee. |
389 | (b) The commission shall establish two advisory |
390 | committees, one of which shall comprise consumer representatives |
391 | independent of the insurance industry and the other comprising |
392 | insurance industry representatives. |
393 | (c) The commission may establish additional advisory |
394 | committees as its bylaws may provide for the carrying out of its |
395 | functions. |
396 | (4) Corporate records of the commission.--The commission |
397 | shall maintain its corporate books and records in accordance |
398 | with the bylaws. |
399 | (5) Qualified immunity, defense, and indemnification.-- |
400 | (a) The members, officers, executive director, employees, |
401 | and representatives of the commission shall be immune from suit |
402 | and liability, either personally or in their official capacity, |
403 | for any claim for damage to or loss of property or personal |
404 | injury or other civil liability caused by or arising out of any |
405 | actual or alleged act, error, or omission that occurred or that |
406 | the person against whom the claim is made had a reasonable basis |
407 | for believing occurred within the scope of commission |
408 | employment, duties, or responsibilities; provided, that nothing |
409 | in this paragraph shall be construed to protect any such person |
410 | from suit or liability for any damage, loss, injury, or |
411 | liability caused by the intentional or willful and wanton |
412 | misconduct of that person. |
413 | (b) The commission shall defend any member, officer, |
414 | executive director, employee, or representative of the |
415 | commission in any civil action seeking to impose liability |
416 | arising out of any actual or alleged act, error, or omission |
417 | that occurred within the scope of commission employment, duties, |
418 | or responsibilities, or that the person against whom the claim |
419 | is made had a reasonable basis for believing occurred within the |
420 | scope of commission employment, duties, or responsibilities; |
421 | provided, that nothing in this paragraph shall be construed to |
422 | prohibit that person from retaining his or her own counsel; and |
423 | provided further, that the actual or alleged act, error, or |
424 | omission did not result from that person's intentional or |
425 | willful and wanton misconduct. |
426 | (c) The commission shall indemnify and hold harmless any |
427 | member, officer, executive director, employee, or representative |
428 | of the commission for the amount of any settlement or judgment |
429 | obtained against that person arising out of any actual or |
430 | alleged act, error, or omission that occurred within the scope |
431 | of commission employment, duties, or responsibilities, or that |
432 | such person had a reasonable basis for believing occurred within |
433 | the scope of commission employment, duties, or responsibilities; |
434 | provided, that the actual or alleged act, error, or omission did |
435 | not result from the intentional or willful and wanton misconduct |
436 | of that person. |
437 |
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438 | ARTICLE VI |
439 |
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440 | MEETINGS AND ACTS OF THE COMMISSION.-- |
441 | (1) The commission shall meet and take such actions as are |
442 | consistent with the provisions of this compact and the bylaws. |
443 | (2) Each member of the commission shall have the right and |
444 | power to cast a vote to which that compacting state is entitled |
445 | and to participate in the business and affairs of the |
446 | commission. A member shall vote in person or by such other means |
447 | as provided in the bylaws. The bylaws may provide for members' |
448 | participation in meetings by telephone or other means of |
449 | communication. |
450 | (3) The commission shall meet at least once during each |
451 | calendar year. Additional meetings shall be held as set forth in |
452 | the bylaws. |
453 |
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454 | ARTICLE VII |
455 |
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456 | RULES & OPERATING PROCEDURES: RULEMAKING FUNCTIONS OF THE |
457 | COMMISSION AND OPTING OUT OF UNIFORM STANDARDS.-- |
458 | (1) Rulemaking authority.--The commission shall adopt |
459 | reasonable rules, including uniform standards and operating |
460 | procedures, in order to effectively and efficiently achieve the |
461 | purposes of this compact. Notwithstanding such requirement, if |
462 | the commission exercises its rulemaking authority in a manner |
463 | that is beyond the scope of the purposes of this compact or the |
464 | powers granted under this compact, such an action by the |
465 | commission shall be invalid and have no force and effect. |
466 | (2) Rulemaking procedure.--Rules and operating procedures |
467 | shall be made pursuant to a rulemaking process that conforms to |
468 | the Model State Administrative Procedures Act of 1981, as |
469 | amended, as may be appropriate to the operations of the |
470 | commission. Before the commission adopts a uniform standard, the |
471 | commission shall give written notice to the relevant state |
472 | legislative committees in each compacting state responsible for |
473 | insurance issues of its intention to adopt the uniform standard. |
474 | The commission, in adopting a uniform standard, shall consider |
475 | fully all submitted materials and issue a concise explanation of |
476 | its decision. |
477 | (3) Effective date and opt out of a uniform standard.--A |
478 | uniform standard shall become effective 90 days after its |
479 | adoption by the commission or such later date as the commission |
480 | may determine; provided, that a compacting state may opt out of |
481 | a uniform standard as provided in this article. The term "opt |
482 | out" means any action by a compacting state to decline to adopt |
483 | or participate in an adopted uniform standard. All other rules |
484 | and operating procedures, and amendments thereto, shall become |
485 | effective as of the date specified in each rule, operating |
486 | procedure, or amendment. |
487 | (4) Opt out procedure.-- |
488 | (a) A compacting state may opt out of a uniform standard |
489 | by legislation or regulation duly adopted by the insurance |
490 | department under the compacting state's Administrative Procedure |
491 | Act. If a compacting state elects to opt out of a uniform |
492 | standard by regulation, the state must give written notice to |
493 | the commission no later than 10 business days after the uniform |
494 | standard is adopted or at the time the state becomes a |
495 | compacting state and find that the uniform standard does not |
496 | provide reasonable protections to the citizens of the state |
497 | given the conditions in the state. The commissioner shall make |
498 | specific findings of fact and conclusions of law, based upon a |
499 | preponderance of the evidence, detailing the conditions in the |
500 | state that warrant a departure from the uniform standard and |
501 | determining that the uniform standard would not reasonably |
502 | protect the citizens of the state. The commissioner must |
503 | consider and balance the following factors and find that the |
504 | conditions in the state and needs of the citizens of the state |
505 | outweigh the intent of the Legislature to participate in, and |
506 | the benefits of, an interstate agreement to establish national |
507 | uniform consumer protections for the products subject to this |
508 | compact and the presumption that a uniform standard adopted by |
509 | the commission provides reasonable protections to consumers of |
510 | the relevant product. |
511 | (b) Notwithstanding paragraph (a), a compacting state may, |
512 | at the time of its enactment of this compact, prospectively opt |
513 | out of all uniform standards involving long-term care insurance |
514 | products by expressly providing for such opt out in the enacted |
515 | compact, and such an opt out shall not be treated as a material |
516 | variance in the offer or acceptance of any state to participate |
517 | in this compact. Such an opt out shall be effective at the time |
518 | of enactment of this compact by the compacting state and shall |
519 | apply to all existing uniform standards involving long-term care |
520 | insurance products and those subsequently adopted. |
521 | (5) Effect of opt out.-- |
522 | (a) If a compacting state elects to opt out of a uniform |
523 | standard, the uniform standard shall remain applicable in the |
524 | compacting state electing to opt out until such time the opt out |
525 | legislation is enacted into law or the regulation opting out |
526 | becomes effective. |
527 | (b) Once the opt out of a uniform standard by a compacting |
528 | state becomes effective as provided under the laws of that |
529 | state, the uniform standard shall have no further force and |
530 | effect in that state unless and until the legislation or |
531 | regulation implementing the opt out is repealed or otherwise |
532 | becomes ineffective under the laws of the state. If a compacting |
533 | state opts out of a uniform standard after the uniform standard |
534 | has been made effective in that state, the opt out shall have |
535 | the same prospective effect as provided under Article XIV for |
536 | withdrawals. |
537 | (6) Stay of uniform standard.--If a compacting state has |
538 | formally initiated the process of opting out of a uniform |
539 | standard by regulation, and while the regulatory opt out is |
540 | pending, the compacting state may petition the commission, at |
541 | least 15 days before the effective date of the uniform standard, |
542 | to stay the effectiveness of the uniform standard in that state. |
543 | The commission may grant a stay if the commission determines the |
544 | regulatory opt out is being pursued in a reasonable manner and |
545 | that there is a likelihood of success. If a stay is granted or |
546 | extended by the commission, the stay or extension thereof may |
547 | postpone the effective date by up to 90 days unless |
548 | affirmatively extended by the commission; provided, a stay may |
549 | not be permitted to remain in effect for more than 1 year unless |
550 | the compacting state can show extraordinary circumstances that |
551 | warrant a continuance of the stay, including, but not limited |
552 | to, the existence of a legal challenge that prevents the |
553 | compacting state from opting out. A stay may be terminated by |
554 | the commission upon notice that the rulemaking process has been |
555 | terminated. |
556 | (7) Not later than 30 days after a rule or operating |
557 | procedure is adopted, any person may file a petition for |
558 | judicial review of the rule or operating procedure; provided, |
559 | that the filing of such a petition shall not stay or otherwise |
560 | prevent the rule or operating procedure from becoming effective |
561 | unless the court finds that the petitioner has a substantial |
562 | likelihood of success. The court shall give deference to the |
563 | actions of the commission consistent with applicable law and |
564 | shall not find the rule or operating procedure to be unlawful if |
565 | the rule or operating procedure represents a reasonable exercise |
566 | of the commission's authority. |
567 |
|
568 | ARTICLE VIII |
569 |
|
570 | COMMISSION RECORDS AND ENFORCEMENT.-- |
571 | (1) The commission shall monitor compacting states for |
572 | compliance with duly adopted bylaws, rules, including uniform |
573 | standards, and operating procedures. The commission shall notify |
574 | any noncomplying compacting state in writing of its |
575 | noncompliance with commission bylaws, rules, or operating |
576 | procedures. If a noncomplying compacting state fails to remedy |
577 | its noncompliance within the time specified in the notice of |
578 | noncompliance, the compacting state shall be deemed to be in |
579 | default as set forth in Article XIV. |
580 | (2) The commissioner of any state in which an insurer is |
581 | authorized to do business, or is conducting the business of |
582 | insurance, shall continue to exercise his or her authority to |
583 | oversee the market regulation of the activities of the insurer |
584 | in accordance with the provisions of the state's law. The |
585 | commissioner's enforcement of compliance with the compact is |
586 | governed by the following provisions: |
587 | (a) With respect to the commissioner's market regulation |
588 | of a product or advertisement that is approved or certified to |
589 | the commission, the content of the product or advertisement |
590 | shall not constitute a violation of the provisions, standards, |
591 | or requirements of the compact except upon a final order of the |
592 | commission issued at the request of a commissioner after prior |
593 | notice to the insurer and an opportunity for hearing before the |
594 | commission. |
595 | (b) Before a commissioner may bring an action for |
596 | violation of any provision, standard, or requirement of the |
597 | compact relating to the content of an advertisement not approved |
598 | or certified to the commission, the commission, or an authorized |
599 | commission officer or employee, must authorize the action. |
600 | However, authorization pursuant to this paragraph does not |
601 | require notice to the insurer, opportunity for hearing or |
602 | disclosure of requests for authorization or records of the |
603 | commission's action on such requests. |
604 |
|
605 | ARTICLE IX |
606 |
|
607 | DISPUTE RESOLUTION.--The commission shall attempt, upon the |
608 | request of a member, to resolve any disputes or other issues |
609 | that are subject to this compact and that may arise between two |
610 | or among more compacting states, or between compacting states |
611 | and noncompacting states, and the commission shall adopt an |
612 | operating procedure providing for resolution of such disputes. |
613 |
|
614 | ARTICLE X |
615 |
|
616 | PRODUCT FILING AND APPROVAL.-- |
617 | (1) Insurers and third-party filers seeking to have a |
618 | product approved by the commission shall file the product with, |
619 | and pay applicable filing fees to, the commission. Nothing in |
620 | this compact shall be construed to restrict or otherwise prevent |
621 | an insurer from filing its product with the insurance department |
622 | in any state in which the insurer is licensed to conduct the |
623 | business of insurance, and such filing shall be subject to the |
624 | laws of the states where filed. |
625 | (2) The commission shall establish appropriate filing and |
626 | review processes and procedures pursuant to commission rules and |
627 | operating procedures. Notwithstanding any provision in this |
628 | article, the commission shall adopt rules to establish |
629 | conditions and procedures under which the commission will |
630 | provide public access to product filing information. In |
631 | establishing such rules, the commission shall consider the |
632 | interests of the public in having access to such information as |
633 | well as protection of personal medical and financial information |
634 | and trade secrets that may be contained in a product filing or |
635 | supporting information. |
636 | (3) Any product approved by the commission may be sold or |
637 | otherwise issued in those compacting states for which the |
638 | insurer is legally authorized to do business. |
639 |
|
640 | ARTICLE XI |
641 |
|
642 | REVIEW OF COMMISSION DECISIONS REGARDING FILINGS.-- |
643 | (1) Not later than 30 days after the commission has given |
644 | notice of a disapproved product or advertisement filed with the |
645 | commission, the insurer or third-party filer whose filing was |
646 | disapproved may appeal the determination to a review panel |
647 | appointed by the commission. The commission shall adopt rules to |
648 | establish procedures for appointing such review panels and |
649 | provide for notice and hearing. An allegation that the |
650 | commission, in disapproving a product or advertisement filed |
651 | with the commission, acted arbitrarily, capriciously, or in a |
652 | manner that is an abuse of discretion or otherwise not in |
653 | accordance with the law, is subject to judicial review in |
654 | accordance with Article III, section 5. |
655 | (2) The commission may monitor, review, and reconsider |
656 | products and advertisements subsequent to their filing or |
657 | approval upon a finding that the product does not meet the |
658 | relevant uniform standard. Where appropriate, the commission may |
659 | withdraw or modify its approval after proper notice and hearing, |
660 | subject to the appeal process in subsection (1). |
661 |
|
662 | ARTICLE XII |
663 |
|
664 | FINANCE.-- |
665 | (1) The commission shall pay or provide for the payment of |
666 | the reasonable expenses of its establishment and organization. |
667 | To fund the cost of its initial operations, the commission may |
668 | accept contributions and other forms of funding from the |
669 | National Association of Insurance Commissioners, compacting |
670 | states, and other sources. Contributions and other forms of |
671 | funding from other sources shall be of such a nature that the |
672 | independence of the commission concerning the performance of its |
673 | duties shall not be compromised. |
674 | (2) The commission shall collect a filing fee from each |
675 | insurer and third-party filer filing a product with the |
676 | commission to cover the cost of the operations and activities of |
677 | the commission and its staff in a total amount sufficient to |
678 | cover the commission's annual budget. |
679 | (3) The commission's budget for a fiscal year shall not be |
680 | approved until it has been subject to notice and comment as set |
681 | forth in Article VII. |
682 | (4) The commission shall be exempt from all taxation in |
683 | and by the compacting states. |
684 | (5) The commission shall not pledge the credit of any |
685 | compacting state except by and with the appropriate legal |
686 | authority of that compacting state. |
687 | (6) The commission shall keep complete and accurate |
688 | accounts of all its internal receipts, including grants and |
689 | donations, and disbursements of all funds under its control. The |
690 | internal financial accounts of the commission shall be subject |
691 | to the accounting procedures established under its bylaws. The |
692 | financial accounts and reports including the system of internal |
693 | controls and procedures of the commission shall be audited |
694 | annually by an independent certified public accountant. Upon the |
695 | determination of the commission, but no less frequently than |
696 | every 3 years, the review of the independent auditor shall |
697 | include a management and performance audit of the commission. |
698 | The commission shall make an annual report to the Governor and |
699 | the Legislature of the compacting states, which shall include a |
700 | report of the independent audit. The commission's internal |
701 | accounts shall not be confidential, and such materials may be |
702 | shared with the commissioner of any compacting state upon |
703 | request, provided, however, that any work papers related to any |
704 | internal or independent audit and any information regarding the |
705 | privacy of individuals and insurers' proprietary information, |
706 | including trade secrets, shall remain confidential. |
707 | (7) No compacting state shall have any claim to or |
708 | ownership of any property held by or vested in the commission or |
709 | to any commission funds held pursuant to the provisions of this |
710 | compact. |
711 |
|
712 | ARTICLE XIII |
713 |
|
714 | COMPACTING STATES, EFFECTIVE DATE AND AMENDMENT.-- |
715 | (1) Any state is eligible to become a compacting state. |
716 | (2) The compact shall become effective and binding upon |
717 | legislative enactment of the compact into law by two compacting |
718 | states; provided, the commission shall become effective for |
719 | purposes of adopting uniform standards for, reviewing, and |
720 | giving approval or disapproval of products filed with the |
721 | commission that satisfy applicable uniform standards only after |
722 | 26 states become compacting states or, alternatively, by states |
723 | representing greater than 40 percent of the premium volume for |
724 | life insurance, annuity, disability income, and long-term care |
725 | insurance products, based on records of the National Association |
726 | of Insurance Commissioners for the prior year. Thereafter, it |
727 | shall become effective and binding as to any other compacting |
728 | state upon enactment of the compact into law by that state. |
729 | (3) Amendments to the compact may be proposed by the |
730 | commission for enactment by the compacting states. No amendment |
731 | shall become effective and binding upon the commission and the |
732 | compacting states unless and until all compacting states enact |
733 | the amendment into law. |
734 |
|
735 | ARTICLE XIV |
736 |
|
737 | WITHDRAWAL, DEFAULT, AND TERMINATION.-- |
738 | (1) Withdrawal.-- |
739 | (a) Once effective, the compact shall continue in force |
740 | and remain binding upon each and every compacting state; |
741 | provided, that a compacting state may withdraw from the compact |
742 | as a withdrawing state by enacting a law specifically repealing |
743 | the law which enacted the compact into law. |
744 | (b) The effective date of withdrawal is the effective date |
745 | of the repealing law. However, the withdrawal shall not apply to |
746 | any product filings approved or self-certified, or any |
747 | advertisement of such products, on the date the repealing law |
748 | becomes effective, except by mutual agreement of the commission |
749 | and the withdrawing state unless the approval is rescinded by |
750 | the withdrawing state as provided in paragraph (e). |
751 | (c) The commissioner of the withdrawing state shall |
752 | immediately notify the management committee in writing upon the |
753 | introduction of legislation repealing this compact in the |
754 | withdrawing state. |
755 | (d) The commission shall notify the other compacting |
756 | states of the introduction of such legislation within 10 days |
757 | after its receipt of notice of such legislation. |
758 | (e) The withdrawing state is responsible for all |
759 | obligations, duties, and liabilities incurred through the |
760 | effective date of withdrawal, including any obligations the |
761 | performance of which extend beyond the effective date of |
762 | withdrawal, except to the extent those obligations may have been |
763 | released or relinquished by mutual agreement of the commission |
764 | and the withdrawing state. The commission's approval of products |
765 | and advertisements prior to the effective date of withdrawal |
766 | shall continue to be effective and be given full force and |
767 | effect in the withdrawing state, unless formally rescinded by |
768 | the withdrawing state in the same manner as provided by the laws |
769 | of the withdrawing state for the prospective disapproval of |
770 | products or advertisement previously approved under state law. |
771 | (f) Reinstatement following withdrawal of any compacting |
772 | state shall occur upon the effective date of the withdrawing |
773 | state reenacting the compact. |
774 | (2) Default.-- |
775 | (a) If the commission determines that any compacting state |
776 | has at any time defaulted as a defaulting state in the |
777 | performance of any of its obligations or responsibilities under |
778 | this compact, the bylaws or duly adopted rules or operating |
779 | procedures, after notice and hearing as set forth in the bylaws, |
780 | all rights, privileges, and benefits conferred by this compact |
781 | on the defaulting state shall be suspended from the effective |
782 | date of default as fixed by the commission. The grounds for |
783 | default include, but are not limited to, failure of a compacting |
784 | state to perform its obligations or responsibilities and any |
785 | other grounds designated in commission rules. The commission |
786 | shall immediately notify the defaulting state in writing of the |
787 | defaulting state's suspension pending a cure of the default. The |
788 | commission shall stipulate the conditions and the time period |
789 | within which the defaulting state must cure its default. If the |
790 | defaulting state fails to cure the default within the time |
791 | period specified by the commission, the defaulting state shall |
792 | be terminated from the compact, and all rights, privileges, and |
793 | benefits conferred by this compact shall be terminated from the |
794 | effective date of termination. |
795 | (b) Product approvals by the commission or product self- |
796 | certifications, or any advertisement in connection with such |
797 | product, that are in force on the effective date of termination |
798 | shall remain in force in the defaulting state in the same manner |
799 | as if the defaulting state had withdrawn voluntarily pursuant to |
800 | subsection (1). |
801 | (c) Reinstatement following termination of any compacting |
802 | state requires a reenactment of the compact. |
803 | (3) Dissolution of compact.-- |
804 | (a) The compact dissolves effective upon the date of the |
805 | withdrawal or default of the compacting state, which reduces |
806 | membership in the compact to one compacting state. |
807 | (b) Upon the dissolution of this compact, the compact |
808 | becomes null and void and shall be of no further force or |
809 | effect, and the business and affairs of the commission shall be |
810 | wound up and any surplus funds shall be distributed in |
811 | accordance with the bylaws. |
812 |
|
813 | ARTICLE XV |
814 |
|
815 | SEVERABILITY AND CONSTRUCTION.-- |
816 | (1) The provisions of this compact are severable, and if |
817 | any phrase, clause, sentence, or provision is deemed |
818 | unenforceable, the remaining provisions of the compact shall be |
819 | enforceable. |
820 | (2) The provisions of this compact shall be liberally |
821 | construed to effectuate its purposes. |
822 |
|
823 | ARTICLE XVI |
824 |
|
825 | BINDING EFFECT OF COMPACT AND OTHER LAWS.-- |
826 | (1) Other laws.-- |
827 | (a) Nothing in this compact prevents the enforcement of |
828 | any other law of a compacting state, except as provided in |
829 | paragraph (b). |
830 | (b) For any product approved or certified to the |
831 | commission, the rules, uniform standards, and any other |
832 | requirements of the commission shall constitute the exclusive |
833 | provisions applicable to the content, approval, and |
834 | certification of such products. For an advertisement that is |
835 | subject to the commission's authority, any rule, uniform |
836 | standard, or other requirement of the commission that governs |
837 | the content of the advertisement shall constitute the exclusive |
838 | provision that a commissioner may apply to the content of the |
839 | advertisement. Notwithstanding this paragraph, no action taken |
840 | by the commission shall abrogate or restrict: |
841 | 1. The access of any person to state courts; |
842 | 2. Remedies available under state law related to breach of |
843 | contract, tort, or other laws not specifically directed to the |
844 | content of the product; |
845 | 3. State law relating to the construction of insurance |
846 | contracts; or |
847 | 4. The authority of the Attorney General of the state, |
848 | including, but not limited to, maintaining any actions or |
849 | proceedings, as authorized by law. |
850 | (c) All insurance products filed with individual states |
851 | shall be subject to the laws of those states. |
852 | (2) Binding effect of this compact.-- |
853 | (a) All lawful actions of the commission, including all |
854 | rules and operating procedures adopted by the commission, are |
855 | binding upon the compacting states. |
856 | (b) All agreements between the commission and the |
857 | compacting states are binding in accordance with their terms. |
858 | (c) Upon the request of a party to a conflict over the |
859 | meaning or interpretation of commission actions, and upon a |
860 | majority vote of the compacting states, the commission may issue |
861 | advisory opinions regarding the meaning or interpretation in |
862 | dispute. |
863 | (d) If any provision of this compact exceeds the |
864 | constitutional limits imposed on the Legislature of any |
865 | compacting state, the obligations, duties, powers, or |
866 | jurisdiction sought to be conferred by that provision upon the |
867 | commission shall be ineffective as to that compacting state, and |
868 | those obligations, duties, powers, or jurisdiction shall remain |
869 | in the compacting state and shall be exercised by the agency of |
870 | that state to which those obligations, duties, powers, or |
871 | jurisdiction are delegated by law in effect at the time this |
872 | compact becomes effective. |
873 | Section 2. This act shall take effect July 1, 2007. |