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Public Act 100-1118 | ||||
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AN ACT concerning regulation.
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Be it enacted by the People of the State of Illinois,
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represented in the General Assembly:
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Section 1. Short title. This Act may be cited as the | ||||
Short-Term, Limited-Duration Health Insurance Coverage Act. | ||||
Section 5. Definitions. In this Act: | ||||
"Department" means the Department of Insurance. | ||||
"Health insurance coverage" has the meaning given to that | ||||
term in the Illinois Health Insurance Portability and | ||||
Accountability Act. | ||||
"Health insurance issuer" has the meaning given to that | ||||
term in the Illinois Health Insurance Portability and | ||||
Accountability Act. | ||||
"Fraud" means an intentional misrepresentation of a | ||||
material fact in connection with the coverage. | ||||
"Short-term, limited-duration health insurance coverage" | ||||
means health insurance coverage provided pursuant to a policy | ||||
with an issuer, regardless of the situs of the delivery of the | ||||
policy, that is less than 365 days after the effective date of | ||||
the policy. | ||||
Section 10. Application; scope; duration of coverage. | ||||
(a) This Act applies to health insurance issuers that offer |
short-term, limited-duration health insurance coverage to | ||
individuals in this State and to short-term, limited-duration | ||
health insurance coverage that is delivered or issued for | ||
delivery in this State, including coverage issued outside of | ||
this State that covers individuals in this State. | ||
(b) A short-term, limited-duration health insurance | ||
coverage policy may not be issued or delivered to any person | ||
residing in this State unless the policy, when delivered or | ||
issued for delivery in this State, complies with the provisions | ||
of this Act. | ||
(c) Any short-term, limited-duration health insurance | ||
coverage policy that is delivered or issued for delivery in | ||
this State must have an expiration date in the policy that is | ||
less than 181 days after the effective date and shall not be | ||
renewable or extendable within a period of 365 days after the | ||
individual's coverage under the policy ends, either at the | ||
option of the issuer or the individual. Renewal of a | ||
short-term, limited-duration health insurance coverage policy | ||
includes the issuance of a new short-term, limited-duration | ||
health insurance policy by an issuer to a policyholder within | ||
60 days after the expiration of a policy previously issued by | ||
the issuer to the policyholder. | ||
(d) Any short-term, limited-duration health insurance | ||
coverage policy that is delivered or issued for delivery in | ||
this State may not be rescinded before the expiration date in | ||
the policy, except in cases of nonpayment of premiums, fraud, |
or as provided in subsection (e). | ||
(e) Any short-term, limited-duration health insurance | ||
coverage policy that is delivered or issued for delivery in | ||
this State shall contain an option for an individual to cancel | ||
coverage after any 30-day interval during the term of the plan. | ||
Section 15. Disclosure requirements. | ||
(a) A health insurance issuer that offers short-term, | ||
limited-duration health insurance coverage to be delivered or | ||
issued for delivery in this State shall, in addition to all | ||
other documents required, including, but not limited to, the | ||
policy, the certificate, the membership booklet, and a | ||
description of appeal and external review rights, deliver an | ||
outline of coverage to an applicant for or an enrollee in | ||
short-term, limited-duration health insurance coverage | ||
delivered or issued for delivery in this State. | ||
(b) Any short-term, limited-duration health insurance | ||
coverage policy that is delivered or issued for delivery in the | ||
State shall display prominently in the policy, any application, | ||
sales, and marketing materials provided in connection with | ||
enrollment in such coverage, and the outline of coverage for | ||
such coverage, in at least 14-point, bold type, the following: | ||
"NOTICE: THE SHORT-TERM, LIMITED-DURATION INSURANCE BENEFITS | ||
UNDER THIS COVERAGE DO NOT MEET ALL FEDERAL REQUIREMENTS TO | ||
QUALIFY AS "MINIMUM ESSENTIAL COVERAGE" FOR HEALTH INSURANCE | ||
UNDER THE AFFORDABLE CARE ACT. THIS PLAN OF COVERAGE DOES NOT |
INCLUDE ALL ESSENTIAL HEALTH BENEFITS AS REQUIRED BY THE | ||
AFFORDABLE CARE ACT. PREEXISTING CONDITIONS ARE NOT COVERED | ||
UNDER THIS PLAN OF COVERAGE. BE SURE TO CHECK YOUR POLICY | ||
CAREFULLY TO MAKE SURE YOU UNDERSTAND WHAT THE POLICY DOES AND | ||
DOES NOT COVER. IF THIS COVERAGE EXPIRES OR YOU LOSE | ||
ELIGIBILITY FOR THIS COVERAGE, YOU MIGHT HAVE TO WAIT UNTIL THE | ||
NEXT OPEN ENROLLMENT PERIOD TO GET OTHER HEALTH INSURANCE | ||
COVERAGE. YOU MAY BE ABLE TO GET LONGER TERM INSURANCE THAT | ||
QUALIFIES AS "MINIMUM ESSENTIAL COVERAGE" FOR HEALTH INSURANCE | ||
UNDER THE AFFORDABLE CARE ACT NOW AND HELP TO PAY FOR IT AT | ||
WWW.HEALTHCARE.GOV.". | ||
(c) Any individual selling a short-term, limited-duration | ||
health insurance coverage policy in this State in face-to-face | ||
or telephonic sales interactions must read out loud the | ||
disclosure in subsection (b) to a prospective purchaser. An | ||
entity selling a short-term, limited-duration health insurance | ||
coverage policy in Illinois must display the disclosure in | ||
subsection (b) on the webpage where a prospective purchaser | ||
would purchase coverage. | ||
(d) Nothing in this Section precludes an insurer from | ||
providing disclosures in addition to those required in | ||
subsections (b) and (c). Nothing in this Section precludes an | ||
insurer from providing disclosures intended to clarify those | ||
required in subsections (b) and (c) if approved by the | ||
Department. |
Section 20. Filing and approval. | ||
(a) Coverage subject to this Act may not be delivered or | ||
issued for delivery in this State unless the policy evidencing | ||
such coverage has been filed with and been approved by the | ||
Department. | ||
(b) A health insurance issuer who intends to deliver or | ||
issue for delivery a short-term, limited-duration health | ||
insurance coverage policy in this State shall file with the | ||
Department: | ||
(1) all paperwork required for individual health | ||
insurance coverage pursuant to 50 Ill. Adm. Code 916; and | ||
(2) all sales and marketing materials provided in | ||
connection with enrollment in such coverage for | ||
informational purposes. | ||
(c) The Department shall adopt any rules necessary to carry | ||
out the provisions of this Act. | ||
Section 90. The Illinois Insurance Code is amended by | ||
adding Article IIB and Sections 123C-23, 123C-24, 123C-25, | ||
123C-26, 123C-27, 123C-28, and 462a and by changing Sections | ||
121-2.08, 123C-1, 123C-2, 123C-3, 123C-9, 123C-11, 123C-12, | ||
123C-13, 123C-16, 123C-17, 123C-19, 156, 173.1, 456, 457, and | ||
458 as follows: | ||
(215 ILCS 5/Art. IIB heading new) | ||
ARTICLE IIB. DOMESTIC STOCK COMPANY DIVISION |
(215 ILCS 5/35B-1 new) | ||
Sec. 35B-1. Short title. This Article may be cited as the | ||
Domestic Stock Company Division Law. | ||
(215 ILCS 5/35B-5 new) | ||
Sec. 35B-5. Purpose. The purpose of this Article is to | ||
stimulate economic development in the State of Illinois by | ||
creating and sustaining employment opportunities and | ||
increasing and sustaining taxable revenue, through improving | ||
the competitive position of domestic stock companies, | ||
maintaining the competitiveness of this State as a state of | ||
domicile for domestic stock companies, and enhancing the | ||
desirability of this State as a jurisdiction of domicile for | ||
newly incorporating and existing foreign stock companies. | ||
(215 ILCS 5/35B-10 new) | ||
Sec. 35B-10. Definitions. As used in this Article: | ||
"Assets" means all assets or property, whether real, | ||
personal or mixed, tangible or intangible, and any right or | ||
interest therein, including all rights under contracts and | ||
other agreements. | ||
"Capital" means the capital stock component of statutory | ||
surplus, as defined in the National Association of Insurance | ||
Commissioners Accounting Practices and Procedures Manual, | ||
version effective January 1, 2001, and subsequent revisions. |
"Divide" or "division" means the act by operation of law by | ||
which a domestic stock company divides into 2 or more resulting | ||
companies in accordance with a plan of division and this | ||
Article; | ||
"Dividing company" means a domestic stock company that | ||
approves a plan of division pursuant to Section 35B-20; | ||
"Domestic stock company" means a domestic stock company | ||
transacting or being organized to transact any of the kinds of | ||
insurance business enumerated in Section 4. | ||
"Liability" means a liability or obligation of any kind, | ||
character, or description, whether known or unknown, absolute | ||
or contingent, accrued or unaccrued, disputed or undisputed, | ||
liquidated or unliquidated, secured or unsecured, joint or | ||
several, due or to become due, determined, determinable, or | ||
otherwise. | ||
"New company" means a domestic stock company that is | ||
created by a division occurring on or after the effective date | ||
of this amendatory Act of the 100th General Assembly. | ||
"Plan of division" means a plan of division approved by a | ||
dividing company in accordance Section 35B-20. | ||
"Policy liability" means a liability as defined in this | ||
Section arising out of or related to an insurance policy, | ||
contract of insurance, or reinsurance agreement. | ||
"Recorder" means the office of the recorder of the county | ||
where the principal office of a domestic stock company is | ||
located. |
"Resulting company" means a domestic stock company created | ||
by a division or a dividing company that survives a division. | ||
"Shareholder" means the person in whose name shares are | ||
registered in the records of a corporation or the beneficial | ||
owner of shares to the extent of the rights granted by a | ||
nominee certificate on file with a corporation. | ||
"Sign" or "signature" includes a manual, facsimile, or | ||
conformed or electronic signature. | ||
"Surplus" means total statutory surplus less capital, | ||
calculated in accordance with the National Association of | ||
Insurance Commissioners Accounting Practices and Procedures | ||
Manual, version effective January 1, 2001, and subsequent | ||
revisions. | ||
"Transfer" includes an assignment, assumption, conveyance, | ||
sale, lease, encumbrance, including a mortgage or security | ||
interest, gift, or transfer by operation of law. | ||
(215 ILCS 5/35B-15 new) | ||
Sec. 35B-15. Plan of division. | ||
(a) A domestic stock company may, in accordance with the | ||
requirements of this Article, divide into 2 or more resulting | ||
companies pursuant to a plan of division. | ||
(b) Each plan of division shall include: | ||
(1) the name of the domestic stock company seeking to | ||
divide; | ||
(2) the name of each resulting company that will be |
created by the proposed division; | ||
(3) for each new company that will be created by the | ||
proposed division, a copy of its: | ||
(A) proposed articles of incorporation; | ||
(B) proposed bylaws; and | ||
(C) the kinds of insurance business enumerated in | ||
Section 4 that the new company would be authorized to | ||
conduct; | ||
(4) the manner of allocating between or among the | ||
resulting companies: | ||
(A) the assets of the domestic stock company that | ||
will not be owned by all of the resulting companies as | ||
tenants in common pursuant to Section 35B-35; and | ||
(B) the liabilities of the domestic stock company, | ||
including policy liabilities, to which not all of the | ||
resulting companies will become jointly and severally | ||
liable pursuant to paragraph (3) of subsection (a) of | ||
Section 35B-40; | ||
(5) the manner of distributing shares in the new | ||
companies to the dividing company or its shareholders; | ||
(6) a reasonable description of the liabilities, | ||
including policy liabilities, and items of capital, | ||
surplus, or other assets, in each case, that the domestic | ||
stock company proposes to allocate to each resulting | ||
company, including specifying the reinsurance contract, | ||
reinsurance coverage obligations, and related claims that |
are applicable to those policies; | ||
(7) all terms and conditions required by the laws of | ||
this State or the articles of incorporation and bylaws of | ||
the domestic stock company; | ||
(8) evidence demonstrating that the interest of all | ||
classes of policyholders of the dividing company will be | ||
properly protected; and | ||
(9) all other terms and conditions of the division. | ||
Nothing in this subsection (b) shall expand or reduce the | ||
allocation and assignment of reinsurance as stated in the | ||
reinsurance contract. | ||
(c) If the domestic stock company survives the division, | ||
the plan of division shall include, in addition to the | ||
information required by subsection (b): | ||
(1) all proposed amendments to the dividing company's | ||
articles of incorporation and bylaws, if any; | ||
(2) if the dividing company desires to cancel some, but | ||
less than all, shares in the dividing company, the manner | ||
in which it will cancel such shares; and | ||
(3) if the dividing company desires to convert some, | ||
but less than all, shares in the dividing company into | ||
shares, securities, obligations, money, other property, | ||
rights to acquire shares or securities, or any combination | ||
thereof, a statement disclosing the manner in which it will | ||
convert the shares. | ||
(d) If the domestic stock company does not survive the |
proposed division, the plan of division shall contain, in | ||
addition to the information required by subsection (b), the | ||
manner in which the dividing company will cancel or convert | ||
shares in the dividing company into shares, securities, | ||
obligations, money, other property, rights to acquire shares or | ||
securities, or any combination thereof. | ||
(e) Terms of a plan of division may be made dependent on | ||
facts objectively ascertainable outside of the plan of | ||
division. | ||
(f) A dividing company may amend a plan of division in | ||
accordance with any procedures set forth in the plan of | ||
division or, if no such procedures are set forth in the plan of | ||
division, in any manner determined by the board of directors of | ||
the dividing company, except that a shareholder that was | ||
entitled to vote on or consent to approval of the plan of | ||
division is entitled to vote on or consent to any amendment of | ||
the plan of division that will change: | ||
(1) the amount or kind of shares, securities, | ||
obligations, money, other property, rights to acquire | ||
shares or securities, or any combination thereof, to be | ||
received by any of the shareholders of the dividing company | ||
under the plan of division; | ||
(2) the articles of incorporation or bylaws of any | ||
resulting company that will be in effect when the division | ||
becomes effective, except for changes that do not require | ||
approval of the shareholders of the resulting company under |
its articles of incorporation or bylaws; or | ||
(3) any other terms or conditions of the plan of | ||
division, if the change would adversely affect the | ||
shareholders in any material respect. | ||
(g) A dividing company may abandon a plan of division after | ||
it has approved the plan of division without any action by the | ||
shareholders and in accordance with any procedures set forth in | ||
the plan of division or, if no such procedures are set forth in | ||
the plan of division, in a manner determined by the board of | ||
directors of the dividing company. | ||
(h) A dividing company may abandon a plan of division after | ||
it has filed a certificate of division with the recorder by | ||
filing with the recorder, with concurrent copy to the director, | ||
a certificate of abandonment signed by the dividing company. | ||
The certificate of abandonment shall be effective on the date | ||
it is filed with the recorder and the dividing company shall be | ||
deemed to have abandoned its plan of division on such date. | ||
(i) A dividing company may not abandon or amend its plan of | ||
division once the division becomes effective. | ||
(215 ILCS 5/35B-20 new) | ||
Sec. 35B-20. Requirements of a plan of division. | ||
(a) A domestic stock company shall not file a plan of | ||
division with the Director unless the plan of division has been | ||
approved in accordance with: | ||
(1) any applicable provisions of its articles of |
incorporation and bylaws; and | ||
(2) all laws of this State governing the internal | ||
affairs of a domestic stock company that provide for | ||
approval of a merger. | ||
(b) If any provision of the articles of incorporation or | ||
bylaws of a domestic stock company requires that a specific | ||
number or percentage of board of directors or shareholders | ||
approve the proposal or adoption of a plan of merger, or | ||
imposes other special procedures for the proposal or adoption | ||
of a plan of merger, such domestic stock company shall adhere | ||
to such provision in proposing or adopting a plan of division. | ||
If any provision of the articles of incorporation or bylaws of | ||
a domestic stock company is amended, such amendment shall | ||
thereafter apply to a division only in accordance with its | ||
express terms. | ||
(215 ILCS 5/35B-25 new) | ||
Sec. 35B-25. Plan of division approval. | ||
(a) A division shall not become effective until it is | ||
approved by the Director after reasonable notice and a public | ||
hearing, if the notice and hearing are deemed by the Director | ||
to be in the public interest. The Director shall hold a public | ||
hearing if one is requested by the dividing company. A hearing | ||
conducted under this Section shall be conducted in accordance | ||
with Article 10 of the Illinois Administrative Procedure Act. | ||
(b) The Director shall approve a plan of division unless |
the Director finds that: | ||
(1) the interest of any class of policyholder or | ||
shareholder of the dividing company will not be properly | ||
protected; | ||
(2) each new company created by the proposed division, | ||
except a new company that is a nonsurviving party to a | ||
merger pursuant to subsection (b) of Section 156, would be | ||
ineligible to receive a license to do insurance business in | ||
this State pursuant to Section 5; | ||
(3) the proposed division violates a provision of the | ||
Uniform Fraudulent Transfer Act; | ||
(4) the division is being made for purposes of | ||
hindering, delaying, or defrauding any policyholders or | ||
other creditors of the dividing company; | ||
(5) one or more resulting companies will not be solvent | ||
upon the consummation of the division; or | ||
(6) the remaining assets of one or more resulting | ||
companies will be, upon consummation of a division, | ||
unreasonably small in relation to the business and | ||
transactions in which the resulting company was engaged or | ||
is about to engage. | ||
(c) In determining whether the standards set forth in | ||
paragraph (3) of subsection (b) have been satisfied, the | ||
Director shall only apply the Uniform Fraudulent Transfer Act | ||
to a dividing company in its capacity as a resulting company | ||
and shall not apply the Uniform Fraudulent Transfer Act to any |
dividing company that is not proposed to survive the division. | ||
(d) In determining whether the standards set forth in | ||
paragraphs (3), (4), (5), and (6) of subsection (b) have been | ||
satisfied, the Director may consider all proposed assets of the | ||
resulting company, including, without limitation, reinsurance | ||
agreements, parental guarantees, support or keep well | ||
agreements, or capital maintenance or contingent capital | ||
agreements, in each case, regardless of whether the same would | ||
qualify as an admitted asset as defined in Section 3.1. | ||
(e) In determining whether the standards set forth in | ||
paragraph (3) of subsection (b) have been satisfied, with | ||
respect to each resulting company, the Director shall, in | ||
applying the Uniform Fraudulent Transfer Act, treat: | ||
(1) the resulting company as a debtor; | ||
(2) liabilities allocated to the resulting company as | ||
obligations incurred by a debtor; | ||
(3) the resulting company as not having received | ||
reasonably equivalent value in exchange for incurring the | ||
obligations; and | ||
(4) assets allocated to the resulting company as | ||
remaining property. | ||
(f) All information, documents, materials, and copies | ||
thereof submitted to, obtained by, or disclosed to the Director | ||
in connection with a plan of division or in contemplation | ||
thereof, including any information, documents, materials, or | ||
copies provided by or on behalf of a domestic stock company in |
advance of its adoption or submission of a plan of division, | ||
shall be confidential and shall be subject to the same | ||
protection and treatment in accordance with Section 131.14d as | ||
documents and reports disclosed to or filed with the Director | ||
pursuant to Section 131.14b until such time, if any, as a | ||
notice of the hearing contemplated by subsection (a) is issued. | ||
(g) From and after the issuance of a notice of the hearing | ||
contemplated by subsection (a), all business, financial, and | ||
actuarial information that the domestic stock company requests | ||
confidential treatment, other than the plan of division, shall | ||
continue to be confidential and shall not be available for | ||
public inspection and shall be subject to the same protection | ||
and treatment in accordance with Section 131.14d as documents | ||
and reports disclosed to or filed with the Director pursuant to | ||
Section 131.14b. | ||
(h) All expenses incurred by the Director in connection | ||
with proceedings under this Section, including expenses for the | ||
services of any attorneys, actuaries, accountants, and other | ||
experts as may be reasonably necessary to assist the Director | ||
in reviewing the proposed division, shall be paid by the | ||
dividing company filing the plan of division. A dividing | ||
company may allocate expenses described in this subsection in a | ||
plan of division in the same manner as any other liability. | ||
(i) If the Director approves a plan of division, the | ||
Director shall issue an order that shall be accompanied by | ||
findings of fact and conclusions of law. |
(j) The conditions in this Section for freeing one or more | ||
of the resulting companies from the liabilities of the dividing | ||
company and for allocating some or all of the liabilities of | ||
the dividing company shall be conclusively deemed to have been | ||
satisfied if the plan of division has been approved by the | ||
Director in a final order that is not subject to further | ||
appeal. | ||
(215 ILCS 5/35B-30 new) | ||
Sec. 35B-30. Certificate of division. | ||
(a) After a plan of division has been adopted and approved, | ||
an officer or duly authorized representative of the dividing | ||
company shall sign a certificate of division. | ||
(b) The certificate of division shall set forth: | ||
(1) the name of the dividing company; | ||
(2) a statement disclosing whether the dividing | ||
company will survive the division; | ||
(3) the name of each new company that will be created | ||
by the division; | ||
(4) the kinds of insurance business enumerated in | ||
Section 4 that the new company will be authorized to | ||
conduct; | ||
(5) the date that the division is to be effective, | ||
which shall not be more than 90 days after the dividing | ||
company has filed the certificate of division with the | ||
recorder, with a concurrent copy to the Director; |
(6) a statement that the division was approved by the | ||
Director in accordance with Section 35B-25; | ||
(6) a statement that the dividing company provided, no | ||
later than 10 business days after the dividing company | ||
filed the plan of division with the Director, reasonable | ||
notice to each reinsurer that is party to a reinsurance | ||
contract that is applicable to the policies included in the | ||
plan of division; | ||
(7) if the dividing company will survive the division, | ||
an amendment to its articles of incorporation or bylaws | ||
approved as part of the plan of division; | ||
(8) for each new company created by the division, its | ||
articles of incorporation and bylaws, provided that the | ||
articles of incorporation and bylaws need not state the | ||
name or address of an incorporator; and | ||
(9) a reasonable description of the capital, surplus, | ||
other assets and liabilities, including policy | ||
liabilities, of the dividing company that are to be | ||
allocated to each resulting company. | ||
(c) The articles of incorporation and bylaws of each new | ||
company must satisfy the requirements of the laws of this | ||
State, provided that the documents need not be signed or | ||
include a provision that need not be included in a restatement | ||
of the document. | ||
(d) A certificate of division is effective when filed with | ||
the recorder, with a concurrent copy to the Director, as |
provided in this Section or on another date specified in the | ||
plan of division, whichever is later, provided that a | ||
certificate of division shall become effective not more than 90 | ||
days after it is filed with the recorder. A division is | ||
effective when the relevant certificate of division is | ||
effective. | ||
(215 ILCS 5/35B-35 new) | ||
Sec. 35B-35. Effects of division. | ||
(a) When a division becomes effective pursuant to Section | ||
35B-30: | ||
(1) if the dividing company has survived the division: | ||
(A) it continues to exist; | ||
(B) its articles of incorporation shall be | ||
amended, if necessary, as provided in the plan of | ||
division; and | ||
(C) its bylaws shall be amended, if necessary, as | ||
provided in the plan of division; | ||
(2) if the dividing company has not survived the | ||
division, its separate existence ceases to exist; | ||
(3) each new company: | ||
(A) comes into existence; | ||
(B) shall hold any capital, surplus, and other | ||
assets allocated to such new company by the plan of | ||
division as a successor to the dividing company, | ||
automatically, by operation of law and not by transfer, |
whether directly or indirectly; and | ||
(C) its articles of incorporation, if any, and | ||
bylaws, if any, shall be effective; | ||
(4) capital, surplus, and other assets of the dividing | ||
company: | ||
(A) that is allocated by the plan of division | ||
either: | ||
(i) vests in the applicable new company as | ||
provided in the plan of division; or | ||
(ii) remains vested in the dividing company as | ||
provided in the plan of division; | ||
(B) that is not allocated by the plan of division | ||
either: | ||
(i) remains vested in the dividing company, if | ||
the dividing company survives the division; or | ||
(ii) is allocated to and vests equally in the | ||
resulting companies as tenants in common, if the | ||
dividing company does not survive the division; or | ||
(C) otherwise vests as provided in this subsection | ||
without transfer, reversion, or impairment; | ||
(5) a resulting company to which a cause of action is | ||
allocated as provided in paragraph (4) of this subsection | ||
(a) may be substituted or added in any pending action or | ||
proceeding to which the dividing company is a party when | ||
the division becomes effective; | ||
(6) the liabilities, including policy liabilities, of |
the dividing company are allocated between or among the | ||
resulting companies as provided in Section 35B-40 and each | ||
resulting company to which liabilities are allocated is | ||
liable only for those liabilities, including policy | ||
liabilities, so allocated as successors to the dividing | ||
company, automatically, by operation of law, and not by | ||
transfer (or, for the avoidance of doubt, assumption), | ||
whether directly or indirectly; and | ||
(7) the shares in the dividing company that are to be | ||
converted or canceled in the division are converted or | ||
canceled, and the shareholders of those shares are entitled | ||
only to the rights provided to them under the plan of | ||
division and any appraisal rights that they may have | ||
pursuant to Section 35B-45. | ||
(b) Except as provided in the articles of incorporation or | ||
bylaws of the dividing company, the division does not give rise | ||
to any rights that a shareholder, director of a domestic stock | ||
company, or third party would have upon a dissolution, | ||
liquidation, or winding up of the dividing company. | ||
(c) The allocation to a new company of capital, surplus, or | ||
other assets that is collateral covered by an effective | ||
financing statement shall not be effective until a new | ||
financing statement naming the new company as a debtor is | ||
effective under the Uniform Commercial Code. | ||
(d) Unless otherwise provided in the plan of division, the | ||
shares in and any securities of each new company shall be |
distributed to: | ||
(1) the dividing company, if it survives the division; | ||
or | ||
(2) shareholders of the dividing company that do not | ||
assert any appraisal rights that they may have pursuant to | ||
Section 35B-45, pro rata. | ||
(215 ILCS 5/35B-40 new) | ||
Sec. 35B-40. Resulting company liabilities. | ||
(a) Except as otherwise expressly provided in this Section, | ||
when a division becomes effective, each resulting company is | ||
responsible, automatically, by operation of law, for: | ||
(1) individually, the liabilities, including policy | ||
liabilities, that the resulting company issues, | ||
undertakes, or incurs in its own name after the division; | ||
(2) individually, the liabilities, including policy | ||
liabilities, of the dividing company that are allocated to | ||
or remain the liability of the resulting company to the | ||
extent specified in the plan of division; and | ||
(3) jointly and severally with the other resulting | ||
companies, the liabilities, including policy liabilities, | ||
of the dividing company that are not allocated by the plan | ||
of division. | ||
(b) Except as otherwise expressly provided in this Section, | ||
when a division becomes effective, no resulting company is | ||
responsible for or shall have any liability or obligation in |
respect of: | ||
(1) any liabilities, including policy liabilities, | ||
that another resulting company issues, undertakes, or | ||
incurs in its own name after the division; or | ||
(2) any liabilities, including policy liabilities, of | ||
the dividing company that are allocated to or remain the | ||
liability of another resulting company in accordance with | ||
the plan of division. | ||
(c) If a provision of a debt security, note, or similar | ||
evidence of indebtedness for money borrowed, whether secured or | ||
unsecured, indenture or other contract relating to | ||
indebtedness, or a provision of any other type of contract | ||
other than an insurance policy, annuity, or reinsurance | ||
agreement, that was issued, incurred, or executed by the | ||
domestic stock company before requires the consent of the | ||
obligee to a merger of the dividing company or treats the | ||
merger as a default, that provision applies to a division of | ||
the dividing company as if the division was a merger. | ||
(d) If a division breaches a contractual obligation of the | ||
dividing company at the time the division becomes effective, | ||
all of the resulting companies are liable, jointly and | ||
severally, for the contractual breach, but the validity and | ||
effectiveness of the division, including, without limitation, | ||
the allocation of liabilities in accordance with the plan of | ||
division, shall not be affected by the contractual breach. | ||
(e) A direct or indirect allocation of capital, surplus, |
assets, or liabilities, including policy liabilities, in a | ||
division shall occur automatically, by operation of law, and | ||
shall not be treated as a distribution or transfer for any | ||
purpose with respect to either the dividing company or any of | ||
the resulting companies. | ||
(f) Liens, security interests, and other charges on the | ||
capital, surplus, or other assets of the dividing company are | ||
not impaired by the division, notwithstanding any otherwise | ||
enforceable allocation of liabilities, including policy | ||
liabilities, of the dividing company. | ||
(g) If the dividing company is bound by a security | ||
agreement governed by Article 9 of the Uniform Commercial Code | ||
as enacted in this State or in any other jurisdiction, and the | ||
security agreement provides that the security interest | ||
attaches to after-acquired collateral, each resulting company | ||
is bound by the security agreement. | ||
(h) An allocation of a policy or other liability does not: | ||
(1) except as provided in the plan of division and | ||
specifically approved by the Director, affect the rights | ||
that a policyholder or creditor has under other law in | ||
respect of the policy or other liability, except that those | ||
rights are available only against a resulting company | ||
responsible for the policy or liability under this Section; | ||
or | ||
(2) release or reduce the obligation of a reinsurer, | ||
surety, or guarantor of the policy or liability. |
(215 ILCS 5/35B-45 new) | ||
Sec. 35B-45. Shareholder rights. If the dividing company | ||
does not survive the division, an objecting shareholder of a | ||
dividing company is entitled to appraisal rights and to obtain | ||
payment of the fair value of that shareholder's shares, in the | ||
same manner and to the extent provided for pursuant to Section | ||
167. | ||
(215 ILCS 5/35B-50 new) | ||
Sec. 35B-50. Rules. The Director may adopt such rules as | ||
are necessary or appropriate to carry out this Article.
| ||
(215 ILCS 5/121-2.08) (from Ch. 73, par. 733-2.08)
| ||
Sec. 121-2.08.
Transactions in this State involving | ||
contracts of
insurance independently procured directly from an | ||
unauthorized insurer by industrial insureds. | ||
(a) As used in this Section: | ||
"Exempt commercial purchaser" means exempt commercial | ||
purchaser as the term is defined in subsection (1) of Section | ||
445 of this Code. | ||
"Home state" means home state as the term is defined in | ||
subsection (1) of Section 445 of this Code. | ||
"Industrial insured" means an insured:
| ||
(i) that procures the insurance of any risk or risks of | ||
the kinds specified in Classes 2 and 3 of Section 4 of this |
Code by use of the services of a full-time employee who is | ||
a qualified risk manager or the services of a regularly and
| ||
continuously retained consultant who is a qualified risk | ||
manager;
| ||
(ii) that procures the insurance directly from an | ||
unauthorized insurer without the services of an | ||
intermediary insurance producer; and
| ||
(iii) that is an exempt commercial purchaser whose home | ||
state is Illinois.
| ||
"Insurance producer" means insurance producer as the term | ||
is defined in Section 500-10 of this Code. | ||
"Qualified risk manager" means qualified risk manager as | ||
the term is defined in subsection (1) of Section 445 of this | ||
Code. | ||
"Safety-Net Hospital" means an Illinois hospital that | ||
qualifies as a Safety-Net Hospital under Section 5-5e.1 of the | ||
Illinois Public Aid Code. | ||
"Unauthorized insurer" means unauthorized insurer as the | ||
term is defined in subsection (1) of Section 445 of this Code. | ||
(b) For contracts of insurance effective January 1, 2015 or | ||
later, within 90 days after the effective date of each contract | ||
of insurance issued under this Section, the insured shall file | ||
a report with the Director by submitting the report to the | ||
Surplus Line Association of Illinois in writing or in a | ||
computer readable format and provide information as designated | ||
by the Surplus Line Association of Illinois. The information in |
the report shall be substantially similar to that required for | ||
surplus line submissions as described in subsection (5) of | ||
Section 445 of this Code. Where applicable, the report shall | ||
satisfy, with respect to the subject insurance, the reporting | ||
requirement of Section 12 of the Fire Investigation Act. | ||
(c) For contracts of insurance effective January 1, 2015 | ||
through December 31, 2017 or later , within 30 days after filing | ||
the report, the insured shall pay to the Director for the use | ||
and benefit of the State a sum equal to the gross premium of | ||
the contract of insurance multiplied by the surplus line tax | ||
rate, as described in paragraph (3) of subsection (a) of | ||
Section 445 of this Code, and shall pay the fire marshal tax | ||
that would otherwise be due annually in March for insurance | ||
subject to tax under Section 12 of the Fire Investigation Act. | ||
For contracts of insurance effective January 1, 2018 or later, | ||
within 30 days after filing the report, the insured shall pay | ||
to the Director for the use and benefit of the State a sum | ||
equal to 0.5% of the gross premium of the contract of | ||
insurance, and shall pay the fire marshal tax that would | ||
otherwise be due annually in March for insurance subject to tax | ||
under Section 12 of the Fire Investigation Act. For contracts | ||
of insurance effective January 1, 2015 or later, within 30 days | ||
after filing the report, the insured shall pay to the Surplus | ||
Line Association of Illinois a countersigning fee that shall be | ||
assessed at the same rate charged to members pursuant to | ||
subsection (4) of Section 445.1 of this Code. |
(d) For contracts of insurance effective January 1, 2015 or | ||
later, the insured shall withhold the amount of the taxes and | ||
countersignature fee from the amount of premium charged by and | ||
otherwise payable to the insurer for the insurance. If the | ||
insured fails to withhold the tax and countersignature fee from | ||
the premium, then the insured shall be liable for the amounts | ||
thereof and shall pay the amounts as prescribed in subsection | ||
(c) of this Section. | ||
(e) Contracts of insurance with an industrial insured that | ||
qualifies as a Safety-Net Hospital are not subject to | ||
subsections (b) through (d) of this Section. | ||
(Source: P.A. 100-535, eff. 9-22-17.)
| ||
(215 ILCS 5/123C-1) (from Ch. 73, par. 735C-1)
| ||
(Section scheduled to be repealed on January 1, 2027)
| ||
Sec. 123C-1. Definitions. As used in this Article:
| ||
A. "Affiliate" or "Affiliated company" includes a parent | ||
entity that controls a captive insurance company and: | ||
(1) is an affiliate of another entity if the entity | ||
directly or indirectly, through one or more | ||
intermediaries, controls, is controlled by, or is under | ||
common control with the other entity. | ||
(2) is an affiliate of another entity if the entity is | ||
an affiliate of and is controlled by the other entity | ||
directly or indirectly through one or more intermediaries. | ||
A subsidiary or holding company of an entity is an affiliate of |
that entity. shall have
the meaning set forth in subsection (a) | ||
of Section 131.1 (and, for
purposes of such definition, the | ||
definitions of "control"
and "person", as set forth in | ||
subsections (b) and (e) of Section
131.1, respectively, shall | ||
be applicable).
| ||
B. "Association" means any entity meeting the requirements
| ||
set forth in either of the following paragraphs (1), (2) or | ||
(3):
| ||
(1) any organized association of individuals, legal
| ||
representatives, corporations (whether for profit or
not | ||
for profit), partnerships, trusts, associations, units of | ||
government
or other organizations, or any combination of | ||
the foregoing,
that has been in continuous existence for at | ||
least one
year, the member organizations of which | ||
collectively:
| ||
(a) own, control, or hold with power to vote | ||
(directly
or indirectly) all of the outstanding voting | ||
securities
of an association captive insurance company | ||
incorporated
as a stock insurer; or
| ||
(b) have complete voting control (directly or | ||
indirectly)
over an association captive insurance | ||
company organized
as a mutual insurer;
| ||
(2) any organized association of individuals, legal
| ||
representatives, corporations (whether for profit or
not | ||
for profit), partnerships, trusts, associations, units of | ||
government
or other organizations, or any combination of |
the foregoing:
| ||
(a) whose member organizations are engaged in | ||
businesses
or activities similar or related with | ||
respect to the
liability of which such members are | ||
exposed by virtue
of any related, similar, or common | ||
business, trade, product,
services, premises, or | ||
operations; and
| ||
(b) whose member organizations:
| ||
(i) directly or indirectly own or control, and
| ||
hold with power to vote, at least 80% of all of the
| ||
outstanding voting securities of an association | ||
captive
insurance company incorporated as a stock | ||
insurer; or
| ||
(ii) directly or indirectly have at least 80% | ||
of
the voting control over an association captive | ||
insurance
company organized as a mutual insurer; | ||
or
| ||
(3) any risk retention group, as defined in subsection | ||
(11) of Section
123B-2,
domiciled in this State and | ||
organized under this Article; however, beginning
6 months | ||
after the effective date of this amendatory Act of 1995, a | ||
risk
retention group shall no longer qualify as an | ||
association under this Article.
| ||
Provided, however, that with respect to each of
the | ||
associations described in paragraphs (1),
(2) and (3) above, no | ||
member organization may (i)
own, control, or hold with power to |
vote in excess of
25% of the voting securities of an | ||
association captive
insurance company incorporated as a stock | ||
insurer, or
(ii) have more than 25% of the voting control of an | ||
association
captive insurance company organized as a mutual | ||
insurer.
| ||
C. "Association captive insurance company" means any
| ||
company that insures risks of (i) the member organizations
of | ||
an association, and (ii) their affiliated companies.
| ||
D. "Captive insurance company" means any pure captive
| ||
insurance company, association captive insurance company
or | ||
industrial insured captive insurance company organized
under | ||
the provisions of this Article.
| ||
E. "Director" means the Director of the Department of | ||
Insurance.
| ||
F. "Industrial insured" means an insured which (together
| ||
with its affiliates) at the time of its initial procurement
of | ||
insurance from an industrial insured captive insurance
| ||
company:
| ||
(1) has available to it advice with respect to the
| ||
purchase of insurance through the use of the services
of a | ||
full-time employee acting as an insurance manager
or buyer | ||
or the services of a regularly and continuously retained | ||
qualified
insurance consultant;
and
| ||
(2) pays aggregate annual premiums in excess of | ||
$100,000
for insurance on all risks except for life, | ||
accident
and health; and
|
(3) either (i) has at least 25 full-time employees,
or | ||
(ii) has gross assets in excess of $3,000,000, or
(iii) has | ||
annual gross revenues in excess of $5,000,000.
| ||
G. "Industrial insured captive insurance company"
means | ||
any company that insures risks of industrial insureds
that are | ||
members of the industrial insured group, and
their affiliated | ||
companies.
| ||
H. "Industrial insured group" means any group of industrial
| ||
insureds that collectively:
| ||
(1) directly or indirectly (including ownership or | ||
control through a
company which is wholly owned by such | ||
group of industrial insureds) own or
control, and hold
with | ||
power to vote, all of the outstanding voting securities
of | ||
an industrial insured captive insurance company | ||
incorporated
as a stock insurer; or
| ||
(2) directly or indirectly (including control through | ||
a company which is
wholly owned by such group of industrial | ||
insureds) have complete voting control
over an industrial | ||
insured captive insurance company
organized as a mutual | ||
insurer;
provided, however, that no member organization | ||
may
(i) own, control, or hold with power to vote in excess
| ||
of 25% of the voting securities of an industrial insured
| ||
captive insurance company incorporated as a stock insurer,
| ||
or (ii) have more than 25% of the voting control of an
| ||
industrial insured captive insurance company organized
as | ||
a mutual insurer.
|
I. "Member organization" means any individual, legal
| ||
representative, corporation (whether for profit or not
for | ||
profit), partnership, association, unit of government, trust | ||
or other
organization that belongs to an association or an | ||
industrial
insured group.
| ||
J. "Parent" means a corporation, partnership, individual | ||
or other legal entity
that directly or indirectly owns, | ||
controls, or holds
with power to vote more than 50% of the | ||
outstanding
voting securities of a company.
| ||
K. "Personal risk liability" means liability to other
| ||
persons for (i) damage because of injury to any person,
(ii) | ||
damage to property, or (iii) other loss or damage,
in each case | ||
resulting from any personal, familial, or household
| ||
responsibilities
or activities, but does not include legal | ||
liability
for damages (including costs of defense, legal costs
| ||
and fees, and other claims expenses) because of injuries
to | ||
other persons, damage to their property, or other
damage or | ||
loss to such other persons resulting from
or arising out of:
| ||
(i) any business (whether for profit or not for | ||
profit), trade,
product, services (including professional | ||
services),
premises, or operations; or
| ||
(ii) any activity of any state or local government,
or | ||
any agency or political subdivision thereof.
| ||
L. "Pure captive insurance company" means any company
that | ||
insures only risks of its parent or affiliated companies
or | ||
both.
|
M. "Unit of government" includes any state, regional or | ||
local
government, or any agency or political subdivision | ||
thereof, or any
district, authority, public educational | ||
institution or school district,
public corporation or other | ||
unit of government in this State or any similar
unit of | ||
government in any other state.
| ||
N. "Control" means the power to direct, or cause the | ||
direction of, the management and policies of an entity, other | ||
than the power that results from an official position with or | ||
corporate office held in the entity. The power may be possessed | ||
directly or indirectly by any means, including through the | ||
ownership of voting securities or by contract, other than a | ||
commercial contract for goods or non-management services. | ||
O. "Qualified independent actuary" means a person that is | ||
either: | ||
(1) a member in good standing with the Casualty | ||
Actuarial Society; or | ||
(2) a member in good standing with the American Academy | ||
of Actuaries who has been approved as qualified for signing | ||
casualty loss reserve opinions by the Casualty Practice | ||
Council of the American Academy of Actuaries. | ||
P. "Controlled unaffiliated business" means an entity: | ||
(1) that is not an affiliate; | ||
(2) that has an existing contractual relationship with | ||
an affiliate under which the affiliate bears a potential | ||
financial loss; and |
(3) whose risks are managed by a captive insurance | ||
company under Section 123C-24 of this Code. | ||
Q. "Operational risk" means any potential financial loss of | ||
an affiliate, except for a loss arising from an insurance | ||
policy issued by a captive or insurance affiliate. | ||
R. "Captive management company" means an entity providing | ||
administrative services to a captive insurance company. | ||
S. "Safety-Net Hospital" means an Illinois hospital that | ||
qualifies as a Safety-Net Hospital under Section 5-5e.1 of the | ||
Illinois Public Aid Code. | ||
(Source: P.A. 89-97, eff. 7-7-95; 90-794, eff. 8-14-98 .)
| ||
(215 ILCS 5/123C-2) (from Ch. 73, par. 735C-2)
| ||
(Section scheduled to be repealed on January 1, 2027)
| ||
Sec. 123C-2. Authority of captives; restrictions.
| ||
A. (Blank). Any captive insurance company, when permitted | ||
by
its articles of association or charter, may apply to
the | ||
Director for a certificate of authority to transact
any and all | ||
insurance in classes 2 and 3 of Section 4
of this Code, except | ||
that:
| ||
(1) no pure captive insurance company may insure
any | ||
risks other than those of its parent and affiliated
| ||
companies;
| ||
(2) no association captive insurance company may
| ||
insure any risks other than those of the member | ||
organizations
of its association, and their affiliated |
companies;
| ||
(3) no industrial insured captive insurance company
| ||
may insure any risks other than those of the members
of the | ||
industrial insured group, and their affiliated
companies; | ||
and
| ||
(4) no captive insurance company may provide:
| ||
(i) personal motor vehicle coverage or homeowner's
| ||
insurance coverage or any component thereof, or
| ||
(ii) personal coverage for personal risk | ||
liability, or
| ||
(iii) coverage for an employer's liability to its | ||
employees other than
legal liability under the federal | ||
Employers' Liability Act
(45 U.S.C. 51 et seq.), | ||
provided, however, this exclusion does not
preclude | ||
reinsurance of such employer's liability, or
| ||
(iv) accident and health insurance as provided in | ||
clause (a) of Class
2 of Section 4, provided, however, | ||
this exclusion does not preclude stop-loss
insurance | ||
or reinsurance of a single employer self-funded | ||
employee disability
benefit plan or an employee | ||
welfare plan as described in 29 U.S.C. 1001 et seq.
| ||
A-5. A captive insurance company may not issue: | ||
(1) life insurance; | ||
(2) annuities; | ||
(3) accident and health insurance for the company's | ||
parent and affiliates, except to insure employee benefits |
that are subject to the federal Employee Retirement Income | ||
Security Act of 1974 or, to the extent the parent company | ||
is a college or university, an accident or health plan | ||
offered to enrolled students of the college or university; | ||
(4) title insurance; | ||
(5) mortgage guaranty insurance; | ||
(6) financial guaranty insurance; | ||
(7) homeowner's insurance coverage; | ||
(8) personal automobile insurance; or | ||
(9) workers' compensation insurance, except to the | ||
extent allowed in subsection A-10. | ||
A-10. A captive insurance company is authorized to issue a | ||
contractual reimbursement policy to: | ||
(1) the parent company or an affiliated certified | ||
self-insurer authorized under the Workers' Compensation | ||
Act or a similar affiliated entity expressly authorized by | ||
analogous laws of another state; or | ||
(2) the parent company or an affiliate that is insured | ||
by a workers' compensation insurance policy with a | ||
negotiated deductible endorsement. | ||
B. No captive insurance company shall do any insurance
| ||
business in this State unless:
| ||
(1) it first obtains from the Director a certificate
of | ||
authority authorizing it to do such insurance business
in | ||
this State; and
| ||
(2) it appoints a resident registered agent to accept
|
service of process and to otherwise act on its behalf
in | ||
this State.
| ||
C. No captive insurance company shall adopt a name
that is | ||
the same as, deceptively similar to, or likely
to be confused | ||
with or mistaken for, any other existing
business name | ||
registered in this State.
| ||
D. Each captive insurance company, or the organizations
| ||
providing the principal administrative or management
services | ||
to such captive insurance company, shall maintain
a place of | ||
business in this State.
| ||
(Source: P.A. 91-357, eff. 7-29-99 .)
| ||
(215 ILCS 5/123C-3) (from Ch. 73, par. 735C-3)
| ||
(Section scheduled to be repealed on January 1, 2027)
| ||
Sec. 123C-3. Minimum capital and surplus . | ||
A. The Department may not issue a certificate of authority | ||
to a captive insurance company unless the company possesses and | ||
maintains unencumbered capital and surplus in an amount | ||
determined by the Director after considering: | ||
(1) the amount of premium written by the captive | ||
insurance company; | ||
(2) the characteristics of the assets held by the | ||
captive insurance company; | ||
(3) the terms of reinsurance arrangements entered into | ||
by the captive insurance company; | ||
(4) the type of business covered in policies issued by |
the captive insurance company; | ||
(5) the underwriting practices and procedures of the | ||
captive insurance company; and | ||
(6) any other criteria that has an impact on the | ||
operations of the captive insurance company determined to | ||
be significant by the Director. No pure captive insurance | ||
company, association
captive insurance company | ||
incorporated as a stock insurer,
or industrial insured | ||
captive insurance company incorporated
as a stock insurer | ||
shall be issued a certificate of
authority unless it shall | ||
possess and thereafter maintain
unimpaired paid-in capital | ||
of not less than the minimum
capital requirement applicable | ||
to the class or classes
and clause or clauses of Section 4 | ||
describing the kind
or kinds of insurance which such | ||
captive insurance company
is authorized to write, as set | ||
forth in subsection (1) of Section 13.
| ||
B. The amount of capital and surplus determined by the | ||
Director under subsection A of this Section may not be less | ||
than $250,000 for a pure captive insurance company, $500,000 | ||
for an industrial insured captive insurance company, and | ||
$750,000 for an association captive insurance company. Such | ||
capital may be in the form of (1) all cash
or cash equivalents; | ||
or (2) cash or cash equivalents
representing at least 20% of | ||
the requisite capital,
together with an irrevocable letter of | ||
credit for the
remainder of the requisite capital, which letter | ||
of
credit must (a) be approved by the Director, (b) be issued |
or
unconditionally confirmed by (i) a
bank chartered by this | ||
State, (ii) a member bank of the
Federal Reserve System or | ||
(iii) a United States office of a foreign
banking corporation | ||
that is: (A) licensed under the laws of the United
States or | ||
any state thereof, (B) regulated, supervised and examined by
| ||
United States federal or state authorities having regulatory | ||
authority over
banks and trust companies, and (C) designated by | ||
the Securities Valuation
Office of the National Association of | ||
Insurance Commissioners as meeting
its credit standards for | ||
issuing or confirming letters of credit or, in the
event that | ||
the Director elects to establish credit standards by rule, in
| ||
compliance with rules promulgated by the Director establishing | ||
reasonable
standards of safety and soundness substantially | ||
equivalent to those of the
Securities Valuation Office of the | ||
National Association of Insurance
Commissioners, and (c) | ||
satisfy the requirements of Section 123C-19; or (3)
cash or | ||
cash equivalents representing at least 33% of the requisite
| ||
capital, together with irrevocable contractual obligations of
| ||
the member organizations of the captive insurance
company for | ||
the payment of the remainder of the requisite
capital in no | ||
more than 3 equal installments in each of the
3 calendar years | ||
following the date of the grant of
the certificate of authority | ||
to the captive insurance
company, which irrevocable | ||
contractual obligations shall
by contract be subject to | ||
acceleration (in a manner
acceptable to the Director) by the | ||
Company at the direction
of the Director and shall be secured |
by a letter of
credit or other form of guarantee or security | ||
acceptable
to the Director.
| ||
C. The capital and surplus required by subsection A of this | ||
Section must be in the form of: | ||
(1) United States currency; | ||
(2) an irrevocable letter of credit, in a form approved | ||
by the Director and not secured by a guarantee from an | ||
affiliate, naming the Director as beneficiary for the | ||
security of the captive insurance company's policyholders | ||
and issued by a bank approved by the Director; | ||
(3) bonds of this State; or | ||
(4) bonds or other evidences of indebtedness of the | ||
United States, the principal and interest of which are | ||
guaranteed by the United States. | ||
(Source: P.A. 86-632 .)
| ||
(215 ILCS 5/123C-9) (from Ch. 73, par. 735C-9)
| ||
(Section scheduled to be repealed on January 1, 2027)
| ||
Sec. 123C-9. Reports, statements and mandatory reserves.
| ||
A. Captive insurance companies shall not be required
to | ||
make any annual report except as provided in this
Article.
| ||
B. (1) On or before Prior to March 1 of each year, each | ||
captive
insurance company shall submit to the Director a report
| ||
of its financial condition, verified by oath of 2
of its | ||
executive officers and including (i) a balance
sheet reporting | ||
assets, liabilities, capital and surplus,
(ii) a statement of |
gain or loss from operations, (iii)
a statement of changes in | ||
financial position, (iv) a
statement of changes in capital and | ||
surplus, and (v)
in the case of industrial insured captive | ||
insurance
companies, an analysis of loss reserve development,
| ||
information on risks ceded and assumed under reinsurance
| ||
agreements, on forms prescribed by the Director, and
a schedule | ||
of its invested assets on forms prescribed
by the Director , and | ||
(vi) a statement of actuarial opinion by a qualified | ||
independent actuary concerning the reasonableness of the | ||
captive insurance company's loss and loss adjustment expense | ||
reserves in such form and of such content as specified in the | ||
National Association of Insurance Commissioners Annual | ||
Statement Instructions: Property and Casualty .
| ||
(2) In addition, prior to March 1 of each year, each
| ||
association captive insurance company shall submit to
the | ||
Director such additional data or information, which
the | ||
Director may from time to time require, on a form
specified by | ||
the Director.
| ||
(3) On or before June 1 of each year, each captive | ||
insurance company shall submit to the Director a report of its | ||
financial condition at last year's end with an independent | ||
certified public accountant's opinion of the company's | ||
financial condition. Prior to June 1 of each year, each | ||
association and industrial
insured captive insurance
company | ||
shall submit to the Director a report of its
financial | ||
condition, certified by a recognized firm
of independent public |
accountants acceptable to the
Director and including the items | ||
referred to in items
(i), (ii), (iii) and (iv) of paragraph (1) | ||
of this subsection B.
| ||
(4) Unless the Director permits otherwise, the reports
of | ||
financial condition referred to in paragraphs (1)
and (3) of | ||
this subsection B are to be prepared in accordance with the | ||
Accounting
Practices and Procedures Manual adopted by the | ||
National
Association of Insurance Commissioners. The Director
| ||
shall have authority to extend the time for filing any
report | ||
or statement by any company for reasons which
he considers good | ||
and sufficient.
| ||
C. In addition, any captive insurance company may be
| ||
required by the Director, when he considers such action
to be | ||
necessary and appropriate for the protection of
policyholders, | ||
creditors, shareholders or claimants,
to file, within 60 days | ||
after mailing to the company
of a notice that such is required, | ||
a supplemental summary
statement as of the last day of any | ||
calendar month occurring
during the 100 days next preceding the | ||
mailing of such
notice designated by him on forms prescribed | ||
and furnished
by the Director. No company shall be required to | ||
file
more than 4 supplemental summary statements during any
| ||
consecutive 12 month period.
| ||
D. Every captive insurance company shall, at all times,
| ||
maintain reserves in an amount estimated in the aggregate
to | ||
provide for the payment of all losses and claims
incurred, | ||
whether reported or unreported, which are
unpaid and for which |
such company may be liable, and
to provide for the expenses of | ||
adjustment or settlement
of such losses and claims. The | ||
aggregate reserves shall
be reduced by reinsurance ceded which | ||
meets the requirements
of Section 123C-13.
For the purpose of | ||
such reserves, the company shall keep a complete and
itemized | ||
record showing all losses and claims on which it has received
| ||
notice, including all notices received by it of the occurrence | ||
of any event
which may result in a loss. Such record shall be | ||
opened in chronological
receipt order, with each notice of loss | ||
or claim identified by appropriate
number or coding.
| ||
E. Every captive insurance company shall maintain an
| ||
unearned premium reserve on all policies in force which
reserve | ||
shall be charged as a liability. The portions
of the gross | ||
premiums in force, after deducting reinsurance
qualifying | ||
under Section 123C-13, which shall be held
as a premium | ||
reserve, shall never be less in the aggregate
than the | ||
company's actual liability to all its insureds
for the return | ||
of gross unearned premiums. In the calculation
of the company's | ||
actual liability to all its insureds,
the reserve shall be | ||
computed pursuant to the method
commonly referred to as the | ||
monthly pro rata method;
provided, however, that the Director | ||
may require that
such reserve shall be equal to the unearned | ||
portions
of the gross premiums in force, after deducting | ||
reinsurance
qualifying under Section 123C-13, in which case the | ||
reserve shall
be computed on each respective risk from the date | ||
of
the issuance of the policy.
|
E-5. A captive insurance company may make a written | ||
application to the Director for filing its annual report | ||
required under this Section on a fiscal year's end. If an | ||
alternative filing date is granted, the company shall file: | ||
(1) the annual report, including a statement of | ||
actuarial opinion by a qualified independent actuary | ||
concerning the reasonableness of the captive insurance | ||
company's loss and loss adjustment expense reserves in such | ||
form and of such content as specified in the National | ||
Association of Insurance Commissioners Annual Statement | ||
Instructions: Property and Casualty, no later than the 60th | ||
day after the date of the company's fiscal year's end; | ||
(2) the report of its financial condition at last | ||
year's end with an independent certified public | ||
accountant's opinion of the company's financial condition; | ||
and | ||
(3) its balance sheet, income statement, and statement | ||
of cash flows, verified by 2 of its executive officers, | ||
before March 1 of each year to provide sufficient detail to | ||
support a premium tax return. | ||
F. The reports required by this Section shall be prepared
| ||
and filed on a calendar year basis.
| ||
G. Notwithstanding the requirements of this Section,
a | ||
captive insurance company may prepare and issue financial
| ||
statements prepared in accordance with generally accepted
| ||
accounting principles.
|
(Source: P.A. 85-131; 86-1155; 86-1156 .)
| ||
(215 ILCS 5/123C-11) (from Ch. 73, par. 735C-11)
| ||
(Section scheduled to be repealed on January 1, 2027)
| ||
Sec. 123C-11. Grounds and procedures for suspension
or | ||
revocation of certificate of authority. | ||
A. The certificate of authority of a captive insurance
| ||
company to do an insurance business in this State may
be | ||
suspended or revoked by the Director for any of the
following | ||
reasons:
| ||
(1) insolvency or impairment of required capital or | ||
surplus to policy holders ;
| ||
(2) failure to meet the requirements of Sections 123C-3 | ||
or
123C-4;
| ||
(3) refusal or failure to submit an annual report,
as | ||
required by Section 123C-9, or any other report or
| ||
statement required by law or by lawful order of the
| ||
Director;
| ||
(4) failure to comply with the provisions of its own
| ||
charter or bylaws (or, in the case of an industrial
insured | ||
captive, with the provisions of the investment
policy set | ||
forth in its plan of operation as approved
from time to | ||
time by the Director);
| ||
(5) failure to submit to examination or any legal
| ||
obligation relative thereto, as required by Section | ||
123C-10;
|
(6) refusal or failure to pay expenses , and charges , | ||
and taxes
as required by Sections 408 , 409 , 123C-10 , and | ||
123C-17;
| ||
(7) use of methods that, although not otherwise | ||
specifically
prohibited by law, nevertheless render its | ||
operation
detrimental or its condition unsound with | ||
respect to
the public or to its policyholders; or
| ||
(8) failure otherwise to comply with the laws of this
| ||
State.
| ||
B. If the Director finds, upon examination, hearing,
or | ||
other evidence, that any captive insurance company
has | ||
committed any of the acts specified in subsection A,
he may | ||
suspend or revoke such certificate of authority
if he deems it | ||
in the best interest of the public and
the policyholders of | ||
such captive insurance company,
notwithstanding any other | ||
provision of this Article.
| ||
C. The provisions of Articles XIII and XIII 1/2 shall
apply | ||
to and govern the conservation, rehabilitation,
liquidation | ||
and dissolution of captive insurance companies.
| ||
(Source: P.A. 85-131 .)
| ||
(215 ILCS 5/123C-12) (from Ch. 73, par. 735C-12)
| ||
(Section scheduled to be repealed on January 1, 2027)
| ||
Sec. 123C-12. Legal investments. | ||
A. The provisions of Article VIII and of Sections 131.2
and | ||
131.3 shall apply to association captive insurance
companies.
|
B. No pure captive insurance company or industrial
insured | ||
captive insurance company shall be subject to
any restrictions | ||
on allowable investments whatever,
including those limitations | ||
contained in Articles VIII
and VIII 1/2; provided, however, | ||
that the Director
may prohibit or limit any investment or type | ||
of investment
that threatens the solvency or liquidity of any | ||
such
company; and provided further that an industrial insured
| ||
captive insurance company must adhere to the investment
policy | ||
set forth in its plan of operation as approved
from time to | ||
time by the Director.
| ||
C. A captive insurance company may make loans to its | ||
affiliates with the prior approval of the Director. Each loan | ||
must be evidenced by a note approved by the Director. A captive | ||
insurance company may not make a loan of the minimum capital | ||
and surplus funds required by this Article. | ||
D. The Director may prohibit or limit an investment that | ||
threatens the solvency or liquidity of a captive insurance | ||
company. | ||
(Source: P.A. 85-131 .)
| ||
(215 ILCS 5/123C-13) (from Ch. 73, par. 735C-13)
| ||
(Section scheduled to be repealed on January 1, 2027)
| ||
Sec. 123C-13. Reinsurance.
| ||
A. Any captive insurance company may provide reinsurance
on | ||
risks ceded by any other insurer; provided, however,
that the | ||
risks so assumed are the same as the captive
insurance company |
could legally insure on a direct basis. | ||
The provisions of Section 174.1 shall not apply to
any | ||
captive insurance company providing reinsurance.
| ||
B. Subject to the provisions of Article XI, any captive
| ||
insurance company may cede, and may take credit for
in the | ||
establishment of reserves, all or any part of
its risks.
| ||
Furthermore, in addition to Section 173.1, any pure or | ||
industrial insured
captive insurance company may take credit, | ||
as either an
asset or a deduction from liability, for | ||
reinsurance so ceded to the extent:
| ||
(1) The reinsurer satisfies all of the following (a) | ||
through (g):
| ||
(a) the principal business of the reinsurer (other | ||
than investments
in subsidiaries and other investment | ||
activities) is to accept reinsurance from
captive | ||
insurance companies
organized under Article VIIC, of | ||
which the company accepting the
reinsurance directly | ||
or indirectly owns, controls, or holds with power to
| ||
vote more than 80% of the outstanding voting securities | ||
if organized as a
stock company or more than 80% of the | ||
voting control if organized as a
mutual company and to | ||
provide insurance related services;
| ||
(b) is licensed to transact insurance or | ||
reinsurance in its jurisdiction of domicile;
| ||
(c) submits to this State's authority to examine | ||
its books and
records and agrees to pay the cost |
thereof;
| ||
(d) files annually with the Director a copy of its | ||
most recent
audited financial statements;
| ||
(e) maintains a surplus as regards policyholders | ||
in an amount that
is not less than $20,000,000;
| ||
(f) files with the Department the following:
| ||
(i) evidence of its submission to the | ||
jurisdiction of any court of competent
| ||
jurisdiction in any state of the United States and | ||
its agreement to comply with all
requirements | ||
necessary to give the court jurisdiction and to | ||
abide by
the final decision of the court or of any | ||
appellate court in the event of an appeal; and
| ||
(ii) an instrument designating the Director or | ||
a designated attorney as its
true and lawful | ||
attorney upon whom may be served any lawful process | ||
in any
action, suit, or proceeding instituted by or | ||
on behalf of the ceding company;
| ||
(g) has not been the subject of an order of the | ||
Director entered
after notice and hearing prohibiting | ||
the reinsurer from utilizing this
paragraph (1); or
| ||
(2) the taking of credit by the captive insurance | ||
company has
otherwise received the prior approval of the | ||
Director.
| ||
C. A captive insurance company shall provide notice to the | ||
Director of a reinsurance agreement to which the company |
becomes a party not later than the 30th day after the date of | ||
the execution of the agreement. | ||
D. A captive insurance company shall provide notice of a | ||
termination of a previously filed reinsurance agreement to the | ||
Director not later than the 30th day after the date of | ||
termination. | ||
E. Notwithstanding Section 123C-15 of this Code, a captive | ||
insurance company, with the Director's approval, may accept | ||
risks from and cede risks to or take credit for reserves on | ||
risks ceded to: | ||
(1) a captive reinsurance pool composed only of other | ||
captive insurance companies holding a certificate of | ||
authority under this Article or a similar law of another | ||
jurisdiction; or | ||
(2) an affiliated captive insurance company holding a | ||
certificate of authority under this Article or a similar | ||
law of another jurisdiction. | ||
(Source: P.A. 87-108 .)
| ||
(215 ILCS 5/123C-16) (from Ch. 73, par. 735C-16)
| ||
(Section scheduled to be repealed on January 1, 2027)
| ||
Sec. 123C-16. Tax.
| ||
A. Every captive insurance company organized under
the | ||
provisions of this Article and doing business in
this State | ||
shall, for the privilege of doing business
in this State, pay | ||
to the Director for the State treasury
the State tax imposed |
under Section 409 to the same
extent and in the same manner as | ||
a domestic insurance company using a tax form prescribed by the | ||
Director on or before March 15 of each year .
| ||
B. Domestic captive insurance companies shall be insurance | ||
companies
subject to the rules now provided for such companies | ||
under the Illinois
Income Tax Act.
| ||
C. A domestic captive insurance company that has engaged | ||
one or more
administrative or management service organizations | ||
in order to comply with
subsection D of Section 123C-2 shall be | ||
deemed to meet the requirements of
Section 409(4)(a) through | ||
(d) provided that the company and such
organizations when | ||
viewed collectively as a group:
| ||
(a) maintain a place of business in this State; and
| ||
(b) maintain in this State personnel knowledgeable of | ||
and responsible
for the company's operations, books, | ||
records, administration and annual
statement; and
| ||
(c) conduct in this State substantially all of the | ||
company's
underwriting, policy issuing and servicing | ||
operations relating to the
company's policyholders and | ||
certificate holders; and
| ||
(d) comply with the provisions of Section 133(2) with | ||
respect to such
domestic captive insurance company's | ||
books, records, documents, accounts,
vouchers and | ||
securities.
| ||
(Source: P.A. 86-632; 86-634 .)
|
(215 ILCS 5/123C-17) (from Ch. 73, par. 735C-17)
| ||
(Section scheduled to be repealed on January 1, 2027)
| ||
Sec. 123C-17. Fees.
| ||
A. The Director shall charge, collect, and give proper
| ||
acquittances for the payment of the following fees and
charges | ||
with respect to a captive insurance company:
| ||
1. For filing all documents submitted for the | ||
incorporation
or organization or certification of a | ||
captive insurance
company, $2,000 $7,000 .
| ||
2. For filing requests for approval of changes in
the | ||
elements of a plan of operations, $200.
| ||
B. Except as otherwise provided in subsection A of this | ||
Section and in
Section 123C-10, the provisions of Section 408 | ||
shall
apply to captive insurance companies.
| ||
C. Any funds collected from captive insurance companies
| ||
pursuant to this Section shall be treated in the manner
| ||
provided in subsection (11) of Section 408.
| ||
(Source: P.A. 93-32, eff. 7-1-03 .)
| ||
(215 ILCS 5/123C-19) (from Ch. 73, par. 735C-19)
| ||
(Section scheduled to be repealed on January 1, 2027)
| ||
Sec. 123C-19. Letters of credit. | ||
A. Any letter of credit used to meet the requirements
set | ||
forth in Sections 123C-3 and 123C-4:
| ||
(1) (blank); may not be used to provide more than 80% | ||
of the
amount required in Section 123C-3 and may not be |
used
to provide more than 80% of the amount required in | ||
Section
123C-4;
| ||
(2) may not be allowed to expire without the prior
| ||
written approval of the Director and shall provide for
30 | ||
days' advance written notice to the Director of the
| ||
proposed expiration of the letter of credit; and
| ||
(3) must be provided pursuant to arrangements,
| ||
acceptable to the Director, wherein all funds obtained
by | ||
the company under the letter of credit are free of
claims | ||
of any party which may arise on account of the
company's | ||
resort to the letter of credit.
| ||
B. If letters of credit are used to provide surplus
in | ||
excess of the amounts required in Section 123C-4:
| ||
(1) the aggregate amount of all such letters of credit
| ||
shall not exceed the policyholder surplus of the company;
| ||
(2) without the prior written approval of the Director,
| ||
no such letter of credit may be allowed to expire, in
any | ||
period of 12 consecutive months ending on the date
of such | ||
expiration, in an amount greater than the greater
of (a) | ||
10% of the company's surplus as regards policyholders
as of | ||
the 31st day of December next preceding, or (b)
the net | ||
income of the company for the 12 month period
ending the | ||
31st 31st day of December next preceding. For
purposes of | ||
this Section, net income includes net realized
capital | ||
gains in an amount not to exceed 20% of net
unrealized | ||
capital gains; and
|
(3) each such letter of credit shall provide for
30 | ||
days' advance written notice to the Director of the
| ||
proposed expiration of the letter of credit.
| ||
C. (Blank). The Director may require any company to draw | ||
upon
its letters of credit, in amounts determined by the
| ||
Director, if the Director determines that such action
is | ||
necessary for the protection of the interests of
policyholders.
| ||
D. (Blank). Any company including amounts supported by | ||
letters
of credit in its capital or surplus shall, prior to
the | ||
time any person becomes a policyholder, notify such
person of | ||
the amounts supported by letters of credit
and included in the | ||
company's capital or surplus.
| ||
(Source: P.A. 85-131 .)
| ||
(215 ILCS 5/123C-23 new) | ||
Sec. 123C-23. Approval of captive reinsurance pools. | ||
Before determining whether to approve a captive insurance | ||
company's participation in a captive reinsurance pool under | ||
Section 123C-13 of this Code, the Director may: | ||
(1) require the captive insurance company provide to | ||
the Director evidence that the captive reinsurance pool: | ||
(a) is composed only of other captive insurance | ||
companies holding a certificate of authority under | ||
this Article or a similar law of another jurisdiction; | ||
and | ||
(b) will be able to meet the pool's financial |
obligations; and | ||
(2) impose any other limitation or requirement on the | ||
captive insurance company that is necessary and proper to | ||
provide adequate security for the captive insurance | ||
company. | ||
(215 ILCS 5/123C-24 new) | ||
Sec. 123C-24. Standards for risk management of controlled | ||
unaffiliated business. The Director may adopt rules | ||
establishing standards to ensure that an affiliated company is | ||
able to exercise control of the risk management function of any | ||
controlled unaffiliated business to be insured by the captive | ||
insurance company. | ||
(215 ILCS 5/123C-25 new) | ||
Sec. 123C-25. Captive managers. Before providing captive | ||
management services to a licensed captive insurance company, a | ||
captive management company shall register with the Director by | ||
providing the information required on a form adopted by the | ||
Director. | ||
(215 ILCS 5/123C-26 new) | ||
Sec. 123C-26. Dividends. | ||
A. A captive insurance company shall notify the Director in | ||
writing when issuing policyholder dividends. | ||
B. A captive insurance company, with the Director's |
approval, may issue dividends or distributions to the holders | ||
of an equity interest in the captive insurance company. The | ||
Director shall adopt rules to implement this subsection B. | ||
(215 ILCS 5/123C-27 new) | ||
Sec. 123C-27. Rulemaking authority. The Director may adopt | ||
reasonable rules as necessary to implement the purposes and | ||
provisions of this Article. | ||
(215 ILCS 5/123C-28 new) | ||
Sec. 123C-28. Confidentiality. | ||
A. Any information filed by an applicant or captive | ||
insurance company under this Article is confidential and | ||
privileged for all purposes, including for purposes of the | ||
Freedom of Information Act, a response to a subpoena, or | ||
evidence in a civil action. Except as provided by subsections B | ||
and C of this Section, the information may not be disclosed | ||
without the prior written consent of the applicant or captive | ||
insurance company to which the information pertains. | ||
B. If the recipient of the information described by | ||
subsection A of this Section has the legal authority to | ||
maintain the confidential or privileged status of the | ||
information and verifies that authority in writing, the | ||
Director or his or her designee may disclose the information to | ||
any of the following entities functioning in an official | ||
capacity: |
(1) a director of insurance or an insurance department | ||
of another state; | ||
(2) an authorized law enforcement official; | ||
(3) a State's Attorney of this State; | ||
(4) the Attorney General; | ||
(5) a grand jury; | ||
(6) the National Association of Insurance | ||
Commissioners if the captive insurance company is | ||
affiliated with an insurance company that is part of an | ||
insurance holding company system as described in Article | ||
VIII 1/2 of this Code; | ||
(7) another state or federal regulator if the applicant | ||
or captive insurance company to which the information | ||
relates operates in the entity's jurisdiction; | ||
(8) an international insurance regulator or analogous | ||
financial agency if the captive insurance company is | ||
affiliated with an insurance company that is part of an | ||
insurance holding company system as described in Article | ||
VIII 1/2 of this Code and the holding company system | ||
operates in the entity's jurisdiction; or | ||
(9) members of a supervisory college described by | ||
Section 131.20c of this Code, if the captive insurance | ||
company is affiliated with an insurance company that is | ||
part of an insurance holding company system as described in | ||
Article VIII 1/2 of this Code. | ||
C. The Director may use information described by subsection |
A of this Section in the furtherance of a legal or regulatory | ||
action relating to the administration of this Code.
| ||
(215 ILCS 5/156) (from Ch. 73, par. 768)
| ||
Sec. 156. Merger and
consolidation permitted. | ||
(a) Upon complying with the provisions of this article, any | ||
domestic
company, except a Lloyds, is hereby authorized and | ||
empowered to merge or
consolidate with any domestic company or | ||
with any foreign or alien company,
except a Lloyds if the | ||
surviving company meets the requirements for
authorization to | ||
engage in the insurance business in this state and, if
such | ||
merger or consolidation is authorized by the laws of the state | ||
or
country under which such foreign or alien company is | ||
incorporated or
organized. | ||
(b) The Director may permit the formation of a domestic | ||
stock company that is established for the sole purpose of | ||
merging or consolidating with an existing stock company | ||
simultaneously with the effectiveness of a division authorized | ||
by this Code. Upon request of the dividing company, the | ||
Director may waive the requirements of Section 131.8 of this | ||
Code. Each domestic stock company formed under this subsection | ||
shall be deemed to exist before a merger and division under | ||
this Section becomes effective, but solely for the purpose of | ||
being a party to such merger and division. The Director shall | ||
not require that such domestic stock company be licensed to | ||
transact insurance business in this state before such merger |
and division. All insurance policies, annuities, or | ||
reinsurance agreements allocated to such domestic stock | ||
company shall become the obligation of the domestic stock | ||
company that survives the merger simultaneously with the | ||
effectiveness of the merger and division. The plan of merger or | ||
consolidation shall be deemed to have been authorized and | ||
approved by such domestic stock company if the dividing company | ||
authorized and approved such plan. The certificate of merger | ||
shall state that it was approved by the domestic stock company | ||
formed under this subsection.
| ||
(Source: Laws 1967, p. 1760.)
| ||
(215 ILCS 5/173.1) (from Ch. 73, par. 785.1)
| ||
Sec. 173.1. Credit allowed a domestic ceding insurer.
| ||
(1) Except as otherwise provided under Article VIII 1/2 of | ||
this Code and
related provisions of the Illinois Administrative | ||
Code, credit for
reinsurance shall be allowed a domestic ceding | ||
insurer as
either an admitted asset or a deduction from | ||
liability on account of
reinsurance ceded only when the | ||
reinsurer meets the requirements of paragraph (A)
subsection | ||
(1)(A) or (B) or (B-5) or (C) or (C-5) or (D) of this | ||
subsection (1) .
Credit shall be allowed under paragraph (A), | ||
subsection (1)(A) or (B) , or (B-5) of this subsection (1) only | ||
as respects
cessions of those kinds or classes of business in | ||
which the assuming insurer is
licensed or otherwise permitted | ||
to write or assume in its state of domicile, or
in the case of a |
U.S. branch of an alien assuming insurer, in the state through
| ||
which it is entered and licensed to transact insurance or | ||
reinsurance. Credit
shall be allowed under paragraph (B-5) or | ||
(C) of this subsection (1) (C) of this Section only
if the | ||
applicable requirements of paragraph (E) of this subsection (1)
| ||
subsection (1)(E) have been
satisfied.
| ||
(A) Credit shall be allowed when the reinsurance is | ||
ceded to an assuming
insurer that is authorized in this | ||
State
to transact the types of insurance ceded and has at | ||
least $5,000,000 in
capital and surplus.
| ||
(B) Credit shall be allowed when the reinsurance is | ||
ceded to an assuming
insurer that is accredited as a | ||
reinsurer in this State. An accredited
reinsurer is one | ||
that:
| ||
(1) files with the Director evidence of its | ||
submission to this State's
jurisdiction;
| ||
(2) submits to this State's authority to examine | ||
its books and records;
| ||
(3) is licensed to transact insurance or | ||
reinsurance in at least one
state, or in the case of a | ||
U.S. branch of an alien assuming insurer is
entered | ||
through and licensed to transact insurance or | ||
reinsurance in at
least one state;
| ||
(4) files annually with the Director a copy of its | ||
annual statement
filed with the insurance department | ||
of its state of domicile and a copy of
its most recent |
audited financial statement; and
| ||
(5) maintains a surplus as regards policyholders | ||
in an amount that is
not less than $20,000,000 and | ||
whose accreditation has been approved by the
Director. | ||
No credit shall be allowed a domestic ceding insurer, | ||
if the
assuming insurers' accreditation has been | ||
revoked by the Director after
notice and hearing.
| ||
(B-5)(1) Credit shall be allowed when the reinsurance | ||
is ceded to an assuming insurer that is domiciled in, or in | ||
the case of a U.S. branch of an alien assuming
insurer is | ||
entered through, a state that employs standards regarding | ||
credit for reinsurance substantially similar to those | ||
applicable under this Code and the assuming insurer or U.S. | ||
branch of an alien assuming insurer: | ||
(a) maintains a surplus as regards policyholders | ||
in an amount not less than $20,000,000; and | ||
(b) submits to the authority of this State to | ||
examine its books and records. | ||
(2) The requirement of item (a) of subparagraph (1) of | ||
paragraph (B-5) of this subsection (1) does not apply to | ||
reinsurance ceded and assumed pursuant to pooling | ||
arrangements among insurers in the same holding company | ||
system. | ||
(C)(1) Credit shall be allowed when the reinsurance is | ||
ceded to
an assuming insurer that maintains a trust fund in | ||
a qualified United
States financial institution, as |
defined in paragraph (B) of subsection (3) of this Section | ||
subsection 3(B) , for the
payment of the valid claims of its | ||
United States policyholders and ceding
insurers, their | ||
assigns and successors in interest. The assuming insurer
| ||
shall report to the Director information substantially the | ||
same as
that required to be reported on the NAIC annual and | ||
quarterly financial
statement by authorized
insurers and | ||
any other financial information that the
Director deems | ||
necessary to determine the financial condition of the
| ||
assuming insurer and the sufficiency of the trust
fund. The | ||
assuming insurer shall provide or make the information | ||
available to the ceding insurer. The assuming insurer may | ||
decline to release trade secrets or commercially sensitive | ||
information that would qualify as exempt from disclosure | ||
under the Freedom of Information Act. The Director shall | ||
also make the information publicly available, subject only | ||
to such reasonable objections as might be raised to a | ||
request pursuant to the Freedom of Information Act, as | ||
determined by the Director. The assuming insurer shall | ||
submit to examination of its books and records by
the | ||
Director and bear the expense of examination.
| ||
(2)(a) Credit for reinsurance shall not be granted | ||
under this subsection
unless the form of the trust and any | ||
amendments to the trust have been approved
by:
| ||
(i) the regulatory official of the state where the | ||
trust is domiciled;
or
|
(ii) the regulatory official of another state who, | ||
pursuant to the
terms of the trust instrument, has | ||
accepted principal regulatory oversight of
the trust.
| ||
(b) The form of the trust and any trust amendments also | ||
shall be filed
with the regulatory official of every state | ||
in which the ceding insurer
beneficiaries of the trust are | ||
domiciled. The trust instrument shall provide
that | ||
contested claims shall be valid and enforceable upon the | ||
final order of
any court of competent jurisdiction in the | ||
United States. The trust shall vest
legal title to its | ||
assets in its trustees for the benefit of the assuming
| ||
insurer's United States policyholders and ceding insurees | ||
and their assigns
and
successors in interest. The trust and | ||
the assuming insurer shall be subject to
examination as | ||
determined by the Director.
| ||
(c) The trust shall remain in effect for as long as the | ||
assuming insurer
has outstanding obligations due under the | ||
reinsurance agreements subject to the
trust. No later than | ||
February 28 of each year the trustee of the trust shall
| ||
report to the
Director in writing the balance of the trust | ||
and a list of the trust's
investments at the preceding | ||
year-end and shall certify the date of termination
of
the | ||
trust, if so planned, or certify that the trust will not | ||
expire prior to
the next following December 31. | ||
No later than February 28 of each year, the assuming | ||
insurer's chief executive officer or chief financial |
officer shall certify to the Director that the trust fund | ||
contains funds in an amount not less than the assuming | ||
insurer's liabilities (as reported to the assuming insurer | ||
by its cedent) attributable to reinsurance ceded by U.S. | ||
ceding insurers, and in addition, a trusteed surplus of no | ||
less than $20,000,000. In the event that item (a-5) of | ||
subparagraph (3) of this paragraph (C) applies to the | ||
trust, the assuming insurer's chief executive officer or | ||
chief financial officer shall then certify to the Director | ||
that the trust fund contains funds in an amount not less | ||
than the assuming insurer's liabilities (as reported to the | ||
assuming insurer by its cedent) attributable to | ||
reinsurance ceded by U.S. ceding insurers and, in addition, | ||
a reduced trusteed surplus of not less than the amount that | ||
has been authorized by the regulatory authority having | ||
principal regulatory oversight of the trust. | ||
(d) No later than February 28 of each year, an assuming | ||
insurer that maintains a trust fund in accordance with this | ||
paragraph (C) shall provide or make available, if requested | ||
by a beneficiary under the trust fund, the following | ||
information to the assuming insurer's U.S. ceding insurers | ||
or their assigns and successors in interest: | ||
(i) a copy of the form of the trust agreement and | ||
any trust amendments to the trust agreement pertaining | ||
to the trust fund; | ||
(ii) a copy of the annual and quarterly financial |
information, and its most recent audited financial | ||
statement provided to the Director by the assuming | ||
insurer, including any exhibits and schedules thereto; | ||
(iii) any financial information provided to the | ||
Director by the assuming insurer that the Director has | ||
deemed necessary to determine the financial condition | ||
of the assuming insurer and the sufficiency of the | ||
trust fund; | ||
(iv) a copy of any annual and quarterly financial | ||
information provided to the Director by the trustee of | ||
the trust fund maintained by the assuming insurer, | ||
including any exhibits and schedules thereto; | ||
(v) a copy of the information required to be | ||
reported by the trustee of the trust to the Director | ||
under the provisions of this paragraph (C); and | ||
(vi) a written certification that the trust fund | ||
consists of funds in trust in an amount not less than | ||
the assuming insurer's liabilities attributable to | ||
reinsurance liabilities (as reported to the assuming | ||
insurer by its cedent) attributable to reinsurance | ||
ceded by U.S. ceding insurers and, in addition, a | ||
trusteed surplus of not less than $20,000,000.
| ||
(3) The following requirements apply to the following | ||
categories of
assuming insurer:
| ||
(a) The trust fund for a single assuming insurer | ||
shall consist of
funds
in trust in an amount not less |
than the assuming insurer's liabilities
attributable | ||
to reinsurance ceded by U.S. ceding insurers, and
in
| ||
addition, the assuming insurer shall maintain a | ||
trusteed surplus of not
less than $20,000,000 , except | ||
as provided in item (a-5) of this subparagraph (3) . | ||
(a-5) At any time after the assuming insurer has | ||
permanently discontinued underwriting new business | ||
secured by the trust for at least 3 full years, the | ||
Director with principal regulatory oversight of the | ||
trust may authorize a reduction in the required | ||
trusteed surplus, but only after a finding, based on an | ||
assessment of the risk, that the new required surplus | ||
level is adequate for the protection of U.S. ceding | ||
insurers, policyholders, and claimants in light of | ||
reasonably foreseeable adverse loss development. The | ||
risk
assessment may involve an actuarial review, | ||
including an independent analysis of reserves and cash | ||
flows, and shall consider all material risk factors, | ||
including, when applicable, the lines of business | ||
involved, the stability of the incurred loss | ||
estimates, and the effect of the surplus requirements | ||
on the assuming insurer's liquidity or solvency. The | ||
minimum required trusteed surplus may not be reduced to | ||
an amount less than 30% of the assuming insurer's | ||
liabilities attributable to reinsurance ceded by U.S. | ||
ceding
insurers covered by the trust.
|
(b)(i) In the case of a group including | ||
incorporated and
individual unincorporated
| ||
underwriters:
| ||
(I) for reinsurance ceded under reinsurance | ||
agreements with an
inception, amendment, or | ||
renewal date on or after January 1, 1993 August 1, | ||
1995 , the trust
shall consist of a trusteed account | ||
in an amount not less than the respective | ||
underwriters' group's
several liabilities | ||
attributable to business ceded by U.S. domiciled | ||
ceding
insurers to any member of the group;
| ||
(II) for reinsurance ceded under reinsurance | ||
agreements with an
inception date on or before | ||
December 31, 1992 July 31, 1995 and not amended or | ||
renewed after
that date, notwithstanding the other | ||
provisions of this Act, the trust shall
consist of | ||
a trusteed account in an amount not less than the | ||
group's several
insurance and reinsurance | ||
liabilities attributable to business written in | ||
the
United States; and
| ||
(III) in addition to these trusts, the group | ||
shall maintain in trust
a
trusteed surplus of which | ||
not less than $100,000,000 shall be held jointly | ||
for
the benefit of the U.S. domiciled ceding | ||
insurers of any member of the group
for all years | ||
of account.
|
(ii) The incorporated members of the
group shall | ||
not be engaged in any business other than underwriting | ||
as a member
of the group and shall be subject to the | ||
same level of solvency regulation and
control by the | ||
group's domiciliary regulator as are the | ||
unincorporated
members.
| ||
(iii) Within 90 days after its financial | ||
statements are due to be
filed
with the group's | ||
domiciliary regulator, the group shall provide to the | ||
Director
an annual certification by the group's | ||
domiciliary regulator of the solvency of
each | ||
underwriter member, or if a certification is | ||
unavailable, financial
statements prepared by | ||
independent public accountants of each underwriter
| ||
member of the group.
| ||
(c) In the case of a group of incorporated insurers | ||
under
common
administration, the group shall:
| ||
(i) have continuously transacted an insurance | ||
business
outside the United States for at least 3 | ||
years immediately before making
application for | ||
accreditation;
| ||
(ii) maintain aggregate policyholders' surplus | ||
of
not less than $10,000,000,000;
| ||
(iii) maintain a trust in an amount not
less | ||
than
the group's
several liabilities attributable | ||
to business ceded by United States
domiciled |
ceding
insurers to any member of the group pursuant | ||
to reinsurance contracts issued in
the name of the | ||
group;
| ||
(iv) in addition, maintain a joint trusteed
| ||
surplus
of which not less than $100,000,000 shall | ||
be held jointly for the benefit
of the United
| ||
States ceding insurers of any member of the group | ||
as additional security for
these liabilities; and
| ||
(v) within 90 days after its financial | ||
statements are due to be
filed
with the group's | ||
domiciliary regulator,
make available to the | ||
Director an annual certification of each | ||
underwriter
member's
solvency by the member's | ||
domiciliary regulator and financial statements of
| ||
each
underwriter member of the group prepared by | ||
its independent public
accountant.
| ||
(C-5) Credit shall be allowed when the reinsurance is | ||
ceded to an assuming insurer that has been certified by the | ||
Director as a reinsurer in this State and secures its | ||
obligations in accordance with the requirements of this | ||
paragraph (C-5). | ||
(1) In order to be eligible for certification, the | ||
assuming insurer shall meet the following | ||
requirements: | ||
(a) the assuming insurer must be domiciled and | ||
licensed to transact insurance or reinsurance in a |
qualified jurisdiction, as determined by the | ||
Director pursuant to subparagraph (3) of this | ||
paragraph (C-5); | ||
(b) the assuming insurer must maintain minimum | ||
capital and surplus, or its equivalent, in an | ||
amount not less than $250,000,000 or such greater | ||
amount as determined by the Director pursuant to | ||
regulation; this requirement may also be satisfied | ||
by an association, including incorporated and | ||
individual unincorporated underwriters, having | ||
minimum capital and surplus equivalents (net of | ||
liabilities) of at least $250,000,000 and a | ||
central fund containing a balance of at least | ||
$250,000,000; | ||
(c) the assuming insurer must maintain | ||
financial strength ratings from 2 or more rating | ||
agencies deemed acceptable by the Director; these | ||
ratings shall be based on interactive | ||
communication between the rating agency and the | ||
assuming insurer and shall not be based solely on | ||
publicly available information; each certified | ||
reinsurer shall be rated on a legal entity basis, | ||
with due consideration being given to the group | ||
rating where appropriate, except that an | ||
association, including incorporated and individual | ||
unincorporated underwriters, that has been |
approved to do business as a single certified | ||
reinsurer may be evaluated on the basis of its | ||
group rating; these financial strength ratings | ||
shall be one factor used by the Director in | ||
determining the rating that is assigned to the | ||
assuming insurer; acceptable rating agencies | ||
include the following: | ||
(i) Standard & Poor's; | ||
(ii) Moody's Investors Service; | ||
(iii) Fitch Ratings; | ||
(iv) A.M. Best Company; or | ||
(v) any other nationally recognized | ||
statistical rating organization; | ||
(d) the assuming insurer must agree to submit | ||
to the jurisdiction of this State, appoint the | ||
Director as its agent for service of process in | ||
this State, and agree to provide security for 100% | ||
of the assuming insurer's liabilities attributable | ||
to reinsurance ceded by U.S. ceding insurers if it | ||
resists enforcement of a final U.S. judgment; and | ||
(e) the assuming insurer must agree to meet | ||
applicable information filing requirements as | ||
determined by the Director, both with respect to an | ||
initial application for certification and on an | ||
ongoing basis. | ||
(2) An association, including incorporated and |
individual unincorporated underwriters, may be a | ||
certified reinsurer. In order to be eligible for | ||
certification, in addition to satisfying the | ||
requirements of subparagraph (1) of this paragraph | ||
(C-5): | ||
(a) the association shall satisfy its minimum | ||
capital and surplus requirements through the | ||
capital and surplus equivalents (net of | ||
liabilities) of the association and its members, | ||
which shall include a joint central fund that may | ||
be applied to any unsatisfied obligation of the | ||
association or any of its members, in the amounts | ||
specified in item (b) of subparagraph (1) of this | ||
paragraph (C-5); | ||
(b) the incorporated members of the | ||
association shall not be engaged in any business | ||
other than underwriting as a member of the | ||
association and shall be subject to the same level | ||
of regulation and solvency control by the | ||
association's domiciliary regulator as are the | ||
unincorporated members; and | ||
(c) within 90 days after its financial | ||
statements are due to be filed with the | ||
association's domiciliary regulator, the | ||
association shall provide to the Director an | ||
annual certification by the association's |
domiciliary regulator of the solvency of each | ||
underwriter member; or if a certification is | ||
unavailable, financial statements, prepared by | ||
independent public accountants, of each | ||
underwriter member of the association. | ||
(3) The Director shall create and publish a list of | ||
qualified jurisdictions, under which an assuming | ||
insurer licensed and domiciled in such jurisdiction
is | ||
eligible to be considered for certification by the | ||
Director as a certified reinsurer. | ||
(a) In order to determine whether the | ||
domiciliary jurisdiction of a non-U.S. assuming | ||
insurer is eligible to be recognized as a qualified | ||
jurisdiction, the Director shall evaluate the | ||
appropriateness and effectiveness of the | ||
reinsurance supervisory system of the | ||
jurisdiction, both initially and on an ongoing | ||
basis, and consider the rights, benefits, and | ||
extent of reciprocal recognition afforded by
the | ||
non-U.S. jurisdiction to reinsurers licensed and | ||
domiciled in the U.S. A qualified jurisdiction | ||
must agree in writing to share information and | ||
cooperate with the Director with respect to all | ||
certified reinsurers domiciled within that | ||
jurisdiction. A jurisdiction may not be recognized | ||
as a qualified jurisdiction if the Director has |
determined that the jurisdiction does not | ||
adequately and promptly enforce final U.S. | ||
judgments and arbitration awards. The costs and | ||
expenses associated with the Director's review and | ||
evaluation of the domiciliary jurisdictions of | ||
non-U.S. assuming insurers shall be borne by the | ||
certified reinsurer or reinsurers domiciled in | ||
such jurisdiction. | ||
(b) Additional factors to be considered in | ||
determining whether to recognize a qualified | ||
jurisdiction include, but are not limited to, the | ||
following: | ||
(i) the framework under which the assuming | ||
insurer is regulated; | ||
(ii) the structure and authority of the | ||
domiciliary regulator with regard to solvency | ||
regulation requirements and financial | ||
surveillance; | ||
(iii) the substance of financial and | ||
operating standards for assuming insurers in | ||
the domiciliary jurisdiction; | ||
(iv) the form and substance of financial | ||
reports required to be filed or made publicly | ||
available by reinsurers in the domiciliary | ||
jurisdiction and the accounting principles | ||
used; |
(v) the domiciliary regulator's | ||
willingness to cooperate with U.S. regulators | ||
in general and the Director in particular; | ||
(vi) the history of performance by | ||
assuming insurers in the domiciliary | ||
jurisdiction; | ||
(vii) any documented evidence of | ||
substantial problems with the enforcement of | ||
final U.S. judgments in the domiciliary | ||
jurisdiction; and | ||
(viii) any relevant international | ||
standards or guidance with respect to mutual | ||
recognition of reinsurance supervision adopted | ||
by the International Association of Insurance | ||
Supervisors or its successor organization. | ||
(c) If, upon conducting an evaluation under | ||
this paragraph with respect to the reinsurance | ||
supervisory system of any non-U.S. assuming | ||
insurer, the Director determines that the | ||
jurisdiction qualifies to be recognized as a | ||
qualified jurisdiction, the Director shall publish | ||
notice and evidence of such recognition in an | ||
appropriate manner. The Director may establish a | ||
procedure to withdraw recognition of those | ||
jurisdictions that are no longer qualified. | ||
(d) The Director shall consider the list of |
qualified jurisdictions through the NAIC committee | ||
process in determining qualified jurisdictions. If | ||
the Director approves a jurisdiction as qualified | ||
that does not appear on the list of qualified | ||
jurisdictions, then the Director shall provide | ||
thoroughly documented justification in accordance | ||
with criteria to be developed under regulations. | ||
(e) U.S. jurisdictions that meet the | ||
requirement for accreditation under the NAIC | ||
financial standards and accreditation program | ||
shall be recognized as qualified jurisdictions. | ||
(f) If a certified reinsurer's domiciliary | ||
jurisdiction ceases to be a qualified | ||
jurisdiction, then the Director may suspend the | ||
reinsurer's certification indefinitely, in lieu of | ||
revocation. | ||
(4) If an applicant for certification has been | ||
certified as a reinsurer in an NAIC accredited | ||
jurisdiction, then the Director may defer to that | ||
jurisdiction's certification and to the rating | ||
assigned by that jurisdiction if the assuming insurer | ||
submits a properly executed Form CR-1 and such | ||
additional information as the Director requires. Such | ||
assuming insurer shall be considered to be a certified | ||
reinsurer in this State but only upon the Director's | ||
assignment of an Illinois rating, which shall be made |
based on the requirements of subparagraph (5) of this | ||
paragraph (C-5). The following shall apply: | ||
(a) Any change in the certified reinsurer's | ||
status or rating in the other jurisdiction shall | ||
apply automatically in Illinois as of the date it | ||
takes effect in the other jurisdiction. The | ||
certified reinsurer shall notify the Director of | ||
any change in its status or rating within 10 days | ||
after receiving notice of the change. | ||
(b) The Director may withdraw recognition of | ||
the other jurisdiction's rating at any time and | ||
assign a new rating in accordance with | ||
subparagraph (5) of this paragraph (C-5). | ||
(c) The Director may withdraw recognition of | ||
the other jurisdiction's certification at any time | ||
with written notice to the certified reinsurer. | ||
Unless the Director suspends or revokes the | ||
certified reinsurer's certification in accordance | ||
with item (c) of subparagraph (9) of this paragraph | ||
(C-5), the certified reinsurer's certification | ||
shall remain in good standing in Illinois for a | ||
period of 3 months, which shall be extended if | ||
additional time is necessary to consider the | ||
assuming insurer's application for certification | ||
in Illinois. | ||
(5) The Director shall assign a rating to each |
certified reinsurer pursuant to rules adopted by the | ||
Department. Factors that shall be considered as part of | ||
the evaluation process include the following: | ||
(a) The certified reinsurer's financial | ||
strength rating from an acceptable rating agency. | ||
Financial strength ratings shall be classified | ||
according to the following ratings categories: | ||
(i) Ratings Category "Secure - 1" | ||
corresponds to the highest level of rating | ||
given by a rating agency, including, but not | ||
limited to, A.M. Best Company rating A++; | ||
Standard & Poor's rating AAA; Moody's | ||
Investors Service rating Aaa; and Fitch | ||
Ratings rating AAA. | ||
(ii) Ratings Category "Secure - 2" | ||
corresponds to the second-highest level of | ||
rating or group of ratings given by a rating | ||
agency, including, but not limited to, A.M. | ||
Best Company rating A+;
Standard & Poor's | ||
rating AA+, AA, or AA-; Moody's Investors | ||
Service ratings Aa1, Aa2, or Aa3; and Fitch | ||
Ratings ratings AA+, AA, or AA-. | ||
(iii) Ratings Category "Secure - 3" | ||
corresponds to the third-highest level of | ||
rating or group of ratings given by a rating | ||
agency, including, but not limited to, A.M. |
Best Company rating A; Standard & Poor's | ||
ratings A+ or A; Moody's Investors Service | ||
ratings A1 or A2; and Fitch Ratings ratings A+ | ||
or A. | ||
(iv) Ratings Category "Secure - 4" | ||
corresponds to the fourth-highest level of | ||
rating or group of ratings given by a rating | ||
agency, including, but not limited to, A.M. | ||
Best Company rating A-; Standard & Poor's | ||
rating A-; Moody's Investors Service rating | ||
A3; and Fitch Ratings rating A-. | ||
(v) Ratings Category "Secure - 5" | ||
corresponds to the fifth-highest level of | ||
rating or group of ratings given by a rating | ||
agency, including, but not limited to, A.M. | ||
Best Company ratings B++ or B+; Standard & | ||
Poor's ratings BBB+, BBB, or BBB-; Moody's | ||
Investors Service ratings Baa1, Baa2, or Baa3; | ||
and Fitch Ratings ratings BBB+, BBB, or BBB-. | ||
(vi) Ratings Category "Vulnerable - 6" | ||
corresponds to a level of rating given by a | ||
rating agency, other than those described in | ||
subitems (i) through (v) of this item (a), | ||
including, but not limited to, A.M. Best | ||
Company rating B, B-, C++, C+, C, C-, D, E, or | ||
F; Standard & Poor's ratings BB+, BB, BB-, B+, |
B, B-, CCC, CC, C, D, or R; Moody's Investors | ||
Service ratings Ba1, Ba2, Ba3, B1, B2, B3, Caa, | ||
Ca, or C; and Fitch Ratings ratings BB+, BB, | ||
BB-, B+, B, B-, CCC+, CCC, CCC-, or D. | ||
A failure to obtain or
maintain at least 2 | ||
financial strength
ratings
from acceptable rating | ||
agencies shall result
in loss of eligibility for | ||
certification. | ||
(b) The business practices of the certified | ||
reinsurer in dealing with its ceding insurers, | ||
including its record of compliance with | ||
reinsurance contractual terms and obligations. | ||
(c) For certified reinsurers domiciled in the | ||
U.S., a review of the most recent applicable NAIC | ||
Annual Statement Blank, either Schedule F (for | ||
property and casualty reinsurers) or Schedule S | ||
(for life and health reinsurers). | ||
(d) For certified reinsurers not domiciled in | ||
the U.S., a review annually of Form CR-F (for | ||
property and casualty reinsurers) or Form CR-S | ||
(for life and health reinsurers). | ||
(e) The reputation of the certified reinsurer | ||
for prompt payment of claims under reinsurance | ||
agreements, based on an analysis of ceding | ||
insurers' Schedule F reporting of overdue | ||
reinsurance recoverables, including the proportion |
of obligations that are more than 90 days past due | ||
or are in dispute, with specific attention given to | ||
obligations payable to companies that are in | ||
administrative supervision or receivership. | ||
(f) Regulatory actions against the certified | ||
reinsurer. | ||
(g) The report of the independent auditor on | ||
the financial statements of the insurance | ||
enterprise, on the basis described in item (h) of | ||
this subparagraph (5). | ||
(h) For certified reinsurers not domiciled in | ||
the U.S., audited financial statements (audited | ||
Generally Accepted Accounting Principles (U.S. | ||
GAAP) basis statement if available, audited | ||
International Financial Reporting Standards (IFRS) | ||
basis statements are allowed but must include an | ||
audited footnote reconciling equity and net income | ||
to U.S. GAAP basis or, with the permission of the | ||
Director, audited IFRS basis statements with | ||
reconciliation to U.S. GAAP basis certified by an | ||
officer of the company), regulatory filings, and | ||
actuarial opinion (as filed with the non-U.S. | ||
jurisdiction supervisor). Upon the initial | ||
application for certification, the Director shall | ||
consider the audited financial statements filed | ||
with its non-U.S. jurisdiction supervisor for the |
3 years immediately preceding the date of the | ||
initial application for certification. | ||
(i) The liquidation priority of obligations to | ||
a ceding insurer in the certified reinsurer's | ||
domiciliary jurisdiction in the context of an | ||
insolvency proceeding. | ||
(j) A certified reinsurer's participation in | ||
any solvent scheme of arrangement, or similar | ||
procedure, that involves U.S. ceding insurers. The | ||
Director shall receive prior notice from a | ||
certified reinsurer that proposes participation by | ||
the certified reinsurer in a solvent scheme of | ||
arrangement. | ||
The maximum rating that a certified reinsurer may
| ||
be assigned shall correspond to its financial
strength | ||
rating, which shall be determined
according to | ||
subitems (i) through (vi) of item
(a) of this | ||
subparagraph (5). The Director shall use the lowest | ||
financial
strength rating received from an acceptable | ||
rating
agency in establishing the maximum rating of a
| ||
certified reinsurer. | ||
(6) Based on the analysis conducted under item (e) | ||
of subparagraph (5) of this paragraph (C-5) of a | ||
certified reinsurer's reputation for prompt payment of | ||
claims, the Director may make appropriate adjustments | ||
in the security the certified reinsurer is required to |
post to protect its liabilities to U.S. ceding | ||
insurers, provided that the Director shall, at a | ||
minimum, increase the security the certified reinsurer | ||
is required to post by one rating level under item (a) | ||
of subparagraph (8) of this paragraph (C-5) if the | ||
Director finds that: | ||
(a) more than 15% of the certified reinsurer's | ||
ceding insurance clients have overdue reinsurance | ||
recoverables on paid losses of 90 days or more that | ||
are not in dispute and that exceed $100,000 for | ||
each cedent; or | ||
(b) the aggregate amount of reinsurance | ||
recoverables on paid losses that are not in dispute | ||
that are overdue by 90 days or more exceeds | ||
$50,000,000. | ||
(7) The Director shall post notice on the | ||
Department's website promptly upon receipt of any | ||
application for certification, including instructions | ||
on how members of the public may respond to the | ||
application. The Director may not take final action on | ||
the application until at least 30 days after posting | ||
the notice required by this subparagraph. The Director | ||
shall publish a list of all certified reinsurers and | ||
their ratings. | ||
(8) A certified reinsurer shall secure obligations | ||
assumed from U.S. ceding insurers under this |
subsection (1) at a level consistent with its rating. | ||
(a) The amount of security required in order | ||
for full credit to be allowed shall correspond with | ||
the applicable ratings category: | ||
Secure - 1: 0%. | ||
Secure - 2: 10%. | ||
Secure - 3: 20%. | ||
Secure - 4: 50%. | ||
Secure - 5: 75%. | ||
Vulnerable - 6: 100%. | ||
(b) Nothing in this subparagraph (8) shall | ||
prohibit the parties to a reinsurance agreement | ||
from agreeing to provisions establishing security | ||
requirements that exceed the minimum security | ||
requirements established for certified reinsurers | ||
under this Section. | ||
(c) In order for a domestic ceding insurer to | ||
qualify for full financial statement credit for | ||
reinsurance ceded to a certified reinsurer, the | ||
certified reinsurer shall maintain security in a | ||
form acceptable to the Director and consistent | ||
with the provisions of subsection (2) of this | ||
Section, or in a multibeneficiary trust in | ||
accordance with paragraph (C) of this
subsection | ||
(1), except as otherwise provided in this | ||
subparagraph (8). |
(d) If a certified reinsurer maintains a trust | ||
to fully secure its obligations subject to | ||
paragraph (C) of this subsection (1), and chooses | ||
to secure its obligations incurred as a certified | ||
reinsurer in the form of a multibeneficiary trust, | ||
then the certified reinsurer shall maintain | ||
separate trust accounts for its obligations | ||
incurred under reinsurance
agreements issued or | ||
renewed as a certified reinsurer with reduced | ||
security as permitted by this subsection or | ||
comparable laws of other U.S. jurisdictions and | ||
for its obligations subject to paragraph (C) of | ||
this subsection (1). It shall be a condition to the | ||
grant of certification under this paragraph (C-5) | ||
that the certified reinsurer shall have bound | ||
itself, by the language of the trust and agreement | ||
with the
Director with principal regulatory | ||
oversight of each such trust account, to fund, upon | ||
termination of any such trust account, out of the | ||
remaining surplus of such trust any deficiency of | ||
any other such trust account. The certified | ||
reinsurer shall also provide or make available, if | ||
requested by a beneficiary under a trust, all the | ||
information that is required to be provided under | ||
the requirements of item (d) of subparagraph (2) of | ||
paragraph (C) of this subsection (1) to the |
certified reinsurer's U.S. ceding insurers or | ||
their assigns and successors in interest. The | ||
assuming insurer may decline to release trade | ||
secrets or commercially sensitive information that | ||
would qualify as exempt from disclosure under the | ||
Freedom of Information Act. | ||
(e) The minimum trusteed surplus requirements | ||
provided in paragraph (C) of this subsection (1) | ||
are not applicable with respect to a | ||
multibeneficiary trust maintained by a certified | ||
reinsurer for the purpose of securing obligations | ||
incurred under this subsection, except that such | ||
trust shall maintain a minimum trusteed surplus of | ||
$10,000,000. | ||
(f) With respect to obligations incurred by a | ||
certified reinsurer under this subsection (1), if | ||
the security is insufficient, then the Director | ||
may reduce the allowable credit by an amount | ||
proportionate to the deficiency and may impose | ||
further reductions in allowable credit upon | ||
finding that there is a material risk that the | ||
certified reinsurer's obligations will not be paid | ||
in full when due. | ||
(9)(a) In the case of a downgrade by a rating | ||
agency or other disqualifying circumstance, the | ||
Director shall by written notice assign a new rating to |
the certified reinsurer in accordance with the | ||
requirements of subparagraph (5) of this paragraph | ||
(C-5). | ||
(b) If the rating of a certified reinsurer is | ||
upgraded by the Director, then the certified reinsurer | ||
may meet the security requirements applicable to its | ||
new rating on a prospective basis, but the Director | ||
shall require the certified reinsurer to post security | ||
under the previously applicable security requirements | ||
as to all contracts in force on or before the effective | ||
date of the upgraded rating. If the rating of a | ||
certified reinsurer is downgraded by the Director, | ||
then the Director shall require the certified | ||
reinsurer to meet the security requirements applicable | ||
to its new rating for all business it has assumed as a | ||
certified reinsurer. | ||
(c) The Director may suspend, revoke, or otherwise | ||
modify a certified reinsurer's certification at any | ||
time if the certified reinsurer fails to meet its | ||
obligations or security requirements under this | ||
Section or if other financial or operating results of | ||
the certified reinsurer, or documented significant | ||
delays in payment by the certified reinsurer, lead the | ||
Director to reconsider the certified reinsurer's | ||
ability or willingness to meet its contractual | ||
obligations. In seeking to suspend, revoke, or |
otherwise modify a certified reinsurer's | ||
certification, the Director shall follow the | ||
procedures provided in paragraph (G) of this | ||
subsection (1). | ||
(d) For purposes of this subsection (1), a | ||
certified reinsurer whose certification has been | ||
terminated for any reason shall be treated as a | ||
certified reinsurer required to secure 100% of its | ||
obligations. | ||
(i) As used in this item (d), the term | ||
"terminated" refers to revocation, suspension, | ||
voluntary surrender and inactive status. | ||
(ii) If the Director continues to assign a | ||
higher rating as permitted by other provisions of | ||
this Section, then this requirement does not apply | ||
to a certified reinsurer in inactive status or to a | ||
reinsurer whose certification has been suspended. | ||
(e) Upon revocation of the certification of a | ||
certified reinsurer by the Director, the assuming | ||
insurer shall be required to post security in | ||
accordance with subsection (2) of this Section in order | ||
for the ceding insurer to continue to take credit for | ||
reinsurance ceded to the assuming insurer. If funds | ||
continue to be held in trust, then the Director may | ||
allow additional credit equal to the ceding insurer's | ||
pro rata share of the funds, discounted to reflect the |
risk of uncollectibility and anticipated expenses of | ||
trust administration. | ||
(f) Notwithstanding the change of a certified | ||
reinsurer's rating or revocation of its certification, | ||
a domestic insurer that has ceded reinsurance to that | ||
certified reinsurer may not be denied credit for | ||
reinsurance for a period of 3 months for all | ||
reinsurance ceded to that certified reinsurer, unless | ||
the reinsurance is found by the Director to be at high | ||
risk of uncollectibility. | ||
(10) A certified reinsurer that ceases to assume | ||
new business in this State may request to maintain its | ||
certification in inactive status in order to continue | ||
to qualify for a reduction in security for its in-force | ||
business. An inactive certified reinsurer shall | ||
continue to comply with all applicable requirements of | ||
this subsection (1), and the Director shall assign a | ||
rating that takes into account, if relevant, the | ||
reasons why the reinsurer is not assuming new business. | ||
(11) Credit for reinsurance under this paragraph | ||
(C-5)
shall apply only to reinsurance contracts | ||
entered
into or renewed on or after the effective date | ||
of
the certification of the assuming insurer. | ||
(12) The Director shall comply with all reporting | ||
and notification requirements that may be established | ||
by the NAIC with respect to certified reinsurers and |
qualified jurisdictions.
| ||
(D) Credit shall be allowed when the reinsurance is | ||
ceded to an assuming
insurer not meeting the requirements | ||
of paragraph subsection (1) (A), (B), or (C) of this | ||
subsection (1)
but only with respect to the insurance of | ||
risks located in jurisdictions
where that reinsurance is | ||
required by applicable law or regulation of that
| ||
jurisdiction.
| ||
(E) If the assuming insurer is not licensed to transact | ||
insurance in
this State or an accredited or certified | ||
reinsurer in this State, the credit permitted
by paragraphs | ||
(B-5) and subsection (1) (C) of this subsection (1) shall | ||
not be allowed unless the assuming insurer
agrees in the | ||
reinsurance agreements:
| ||
(1) that in the event of the failure of the | ||
assuming insurer to perform
its obligations under the | ||
terms of the reinsurance agreement, the assuming
| ||
insurer, at the request of the ceding insurer, shall | ||
submit to the
jurisdiction of any court of competent | ||
jurisdiction in any state of the
United States, will | ||
comply with all requirements necessary to give the
| ||
court jurisdiction, and will abide by the final | ||
decision of the court or of
any appellate court in the | ||
event of an appeal; and
| ||
(2) to designate the Director or a designated | ||
attorney as its true and
lawful attorney upon whom may |
be served any lawful process in any action,
suit, or | ||
proceeding instituted by or on behalf of the ceding | ||
company.
| ||
This provision is not intended to conflict with or | ||
override the
obligation of the parties to a reinsurance | ||
agreement to arbitrate their
disputes, if an obligation to | ||
arbitrate is created in the agreement.
| ||
(F) If the assuming insurer does not meet the | ||
requirements of paragraph (A) or (B) of this
subsection (1) | ||
(1)(A) or (B) , the credit permitted by paragraph (C) of | ||
this subsection (1) (1)(C) shall not
be allowed unless the | ||
assuming insurer agrees in the trust agreements to the
| ||
following conditions:
| ||
(1) Notwithstanding any other provisions in the | ||
trust instrument, if the
trust fund is inadequate | ||
because it contains an amount less than the amount
| ||
required by subparagraph (3) of paragraph (C) | ||
subsection (C)(3) of this subsection (1) Section or if | ||
the grantor of the trust
has been declared insolvent or | ||
placed into receivership, rehabilitation,
liquidation, | ||
or similar proceedings under the laws of its state or | ||
country of
domicile, the trustee shall comply with an | ||
order of the state official with
regulatory oversight | ||
over the trust or with an order of a court of competent
| ||
jurisdiction directing the trustee to transfer to the | ||
state official with
regulatory oversight all of the |
assets of the trust fund.
| ||
(2) The assets shall be distributed by and claims | ||
shall be filed with
and valued by the state official | ||
with regulatory oversight in accordance with
the laws | ||
of the state in which the trust is domiciled that are | ||
applicable to
the liquidation of domestic insurance | ||
companies.
| ||
(3) If the state official with regulatory | ||
oversight determines that the
assets of the trust fund | ||
or any part thereof
are not necessary to satisfy the | ||
claims of the U.S. ceding insurers of the
grantor of | ||
the trust, the assets or part thereof shall be returned | ||
by the state
official with regulatory oversight to the | ||
trustee for distribution in
accordance with the trust | ||
agreement.
| ||
(4) The grantor shall waive any rights otherwise | ||
available to it under
U.S. law that are inconsistent | ||
with the provision.
| ||
(G) If an accredited or certified reinsurer ceases to | ||
meet the requirements for accreditation or certification, | ||
then the Director may suspend or revoke the reinsurer's | ||
accreditation or certification. | ||
(1) The Director must give the reinsurer notice and | ||
opportunity for hearing. The suspension or revocation | ||
may not take effect until after the Director's order on | ||
hearing, unless: |
(a) the reinsurer waives its right to hearing; | ||
(b) the Director's order is based on | ||
regulatory action by the reinsurer's domiciliary | ||
jurisdiction or the voluntary surrender or | ||
termination of the reinsurer's eligibility to | ||
transact insurance or reinsurance business in its | ||
domiciliary jurisdiction or in the primary | ||
certifying state of the reinsurer under | ||
subparagraph (4) of paragraph (C-5) of this | ||
subsection (1); or | ||
(c) the Director finds that an emergency | ||
requires immediate action and a court of competent | ||
jurisdiction has not stayed the Director's action. | ||
(2) While a reinsurer's accreditation or | ||
certification is suspended, no reinsurance
contract | ||
issued or renewed after the effective date of the | ||
suspension qualifies for credit except to the extent | ||
that the reinsurer's obligations under the contract | ||
are secured in accordance with subsection (2) of this | ||
Section. If a reinsurer's accreditation or | ||
certification is revoked, no credit for reinsurance | ||
may be granted after the effective date of the | ||
revocation, except to the extent that the reinsurer's | ||
obligations under the contract are secured in | ||
accordance with subsection (2) of this Section. | ||
(H) The following provisions shall apply concerning |
concentration of risk: | ||
(1) A ceding insurer shall take steps to manage its | ||
reinsurance recoverable proportionate to its own book | ||
of business. A domestic ceding insurer shall notify the | ||
Director within 30 days after reinsurance recoverables | ||
from any single assuming insurer, or group of | ||
affiliated assuming insurers, exceeds 50% of the | ||
domestic ceding insurer's last reported surplus to | ||
policyholders, or after it is determined that | ||
reinsurance recoverables from any single assuming | ||
insurer, or group of affiliated assuming insurers, is | ||
likely to exceed this limit. The notification shall | ||
demonstrate that the exposure is safely managed by the | ||
domestic ceding insurer. | ||
(2) A ceding insurer shall take steps to diversify | ||
its reinsurance program. A domestic ceding insurer | ||
shall notify the Director within 30 days after ceding | ||
to any single assuming insurer, or group of affiliated | ||
assuming insurers, more than 20% of the ceding | ||
insurer's gross written premium in the prior calendar | ||
year, or after it has determined that the reinsurance | ||
ceded to any single assuming insurer, or group of | ||
affiliated assuming insurers, is likely to exceed this | ||
limit. The notification shall demonstrate that the | ||
exposure is safely managed by the domestic ceding | ||
insurer. |
(2) Credit for the reinsurance ceded by a
domestic
insurer | ||
to an assuming insurer not meeting the requirements of | ||
subsection
(1) of this Section shall be allowed in an amount | ||
not exceeding the assets or liabilities
carried by
the ceding | ||
insurer. The credit shall not exceed the amount of funds held
| ||
by or held in trust for the ceding insurer under a reinsurance | ||
contract with the assuming insurer
as security for the payment | ||
of obligations thereunder, if the security is
held in the | ||
United States subject to withdrawal solely by, and under the
| ||
exclusive control of, the ceding insurer; or, in the case of a | ||
trust, held
in a qualified United States financial institution, | ||
as defined in paragraph (B) of
subsection (3) of this Section | ||
(3)(B) . This security may be in the form of:
| ||
(A) Cash.
| ||
(B) Securities listed by the Securities Valuation | ||
Office of the National
Association of Insurance | ||
Commissioners , including those deemed exempt from filing | ||
as defined by the Purposes and Procedures Manual of the | ||
Securities Valuation Office that conform to the | ||
requirements
of Article VIII of this Code that are not | ||
issued by an affiliate of either
the assuming or ceding | ||
company.
| ||
(C) Clean, irrevocable, unconditional, letters of | ||
credit issued or
confirmed by a qualified United States | ||
financial institution, as defined in paragraph (A) of
| ||
subsection (3) of this Section (3)(A) . The letters of |
credit shall be effective no
later than December 31 of the | ||
year for which filing is being
made, and in the possession | ||
of, or in trust for, the ceding company on or
before the | ||
filing date of its annual statement. Letters of credit | ||
meeting
applicable standards of issuer acceptability as of | ||
the dates of their
issuance (or confirmation) shall, | ||
notwithstanding the issuing (or
confirming) institution's | ||
subsequent failure to meet applicable standards
of issuer | ||
acceptability, continue to be acceptable as security until | ||
their
expiration, extension, renewal, modification, or | ||
amendment, whichever first
occurs. | ||
(D) Any other form of security acceptable to the | ||
Director.
| ||
(3)(A) For purposes of paragraph (C) of subsection (2) of | ||
this Section subsection 2(C) , a "qualified United States
| ||
financial institution" means an institution that:
| ||
(1) is organized or, in the case of a U.S. office of a | ||
foreign
banking organization, licensed under the laws of | ||
the United States or
any state thereof;
| ||
(2) is regulated, supervised, and examined by U.S. | ||
federal or state
authorities having regulatory authority | ||
over banks and trust companies;
| ||
(3) has been designated by either the Director or the | ||
Securities
Valuation Office of the
National Association of | ||
Insurance Commissioners as meeting such
standards of | ||
financial condition and standing as are considered |
necessary and
appropriate to regulate the quality of | ||
financial institutions whose letters of
credit will be | ||
acceptable to the Director; and
| ||
(4) is not affiliated with the assuming company.
| ||
(B) A "qualified United States financial institution" | ||
means, for
purposes of those provisions of this law specifying | ||
those institutions that
are eligible to act as a fiduciary of a | ||
trust, an institution that:
| ||
(1) is organized or, in the case of the U.S. branch or | ||
agency office of
a foreign banking organization, licensed | ||
under the laws of the United States or
any state thereof | ||
and has been granted authority to operate with fiduciary
| ||
powers;
| ||
(2) is regulated, supervised, and examined by federal | ||
or state
authorities having regulatory authority over | ||
banks and trust companies; and
| ||
(3) is not affiliated with the assuming company, | ||
however, if the
subject of the reinsurance contract is | ||
insurance written pursuant to
Section 155.51 of this Code, | ||
the financial institution may be affiliated
with the | ||
assuming company with the prior approval of the Director. | ||
(C) Except as set forth in subparagraph (11) of paragraph | ||
(C-5) of subsection (1) of this Section as to cessions by | ||
certified reinsurers, this amendatory Act of the 100th General | ||
Assembly shall apply to all cessions after the effective date | ||
of this amendatory Act of the 100th General Assembly under |
reinsurance agreements that have an inception, anniversary, or | ||
renewal date not less than 6 months after the effective date of | ||
this amendatory Act of the 100th General Assembly.
| ||
(D) The Department shall adopt rules implementing the | ||
provisions of this Article. | ||
(Source: P.A. 90-381, eff. 8-14-97.)
| ||
(215 ILCS 5/456) (from Ch. 73, par. 1065.3)
| ||
Sec. 456. Making of rates. (1) All rates shall be made in | ||
accordance with the following provisions:
| ||
(a) Due consideration shall be given to past and | ||
prospective loss
experience within and outside this state, to | ||
catastrophe hazards, if
any, to a reasonable margin for profit | ||
and contingencies,
to dividends, savings or unabsorbed premium | ||
deposits allowed or returned
by companies to their | ||
policyholders, members or subscribers, to past and
prospective | ||
expenses both countrywide and those specially applicable to
| ||
this state, to underwriting practice and judgment and to all | ||
other
relevant factors within and outside this state;
| ||
(b) The systems of expense provisions included in the rates | ||
for use
by any company or group of companies may differ from | ||
those of other
companies or groups of companies to reflect the | ||
requirements of the
operating methods of any such company or | ||
group with respect to any kind
of insurance, or with respect to | ||
any subdivision or combination thereof
for which subdivision or | ||
combination separate expense provisions are
applicable;
|
(c) Risks may be grouped by classifications for the | ||
establishment of
rates and minimum premiums. Classification | ||
rates may be modified to
produce rates for individual risks in | ||
accordance with rating plans which
measure variation in hazards | ||
or expense provisions, or both. Such rating
plans may measure | ||
any differences among risks that have a probable
effect upon | ||
losses or expenses;
| ||
(d) Rates shall not be excessive, inadequate or unfairly
| ||
discriminatory.
| ||
A rate in a competitive market is not excessive. A rate in | ||
a noncompetitive
market is excessive if it is likely to produce | ||
a long run profit that is
unreasonably high for the insurance | ||
provided or if expenses are unreasonably
high in relation to | ||
the services rendered.
| ||
A rate is not inadequate unless such rate is clearly | ||
insufficient to sustain
projected losses and expenses in the | ||
class of business to which it applies
and the use of such rate | ||
has or, if continued, will have the effect of substantially
| ||
lessening competition or the tendency to create monopoly in any | ||
market.
| ||
Unfair discrimination exists if, after allowing for | ||
practical limitations,
price differentials fail to reflect | ||
equitably the differences in expected
losses and expenses. A | ||
rate is not unfairly discriminatory because different
premiums | ||
result for policyholders with like exposures but different | ||
expenses,
or like expenses but different loss exposures, so |
long as the rate reflects
the differences with reasonable | ||
accuracy.
| ||
(e) The rating plan shall contain a mandatory offer of a | ||
deductible applicable
only to the medical benefit under the | ||
Workers' Compensation Act.
Such deductible offer shall be in a | ||
minimum amount of at least $1,000 per accident.
| ||
(f) Any rating plan or program shall include a rule | ||
permitting 2 or more
employers with similar risk | ||
characteristics, who participate in a loss prevention
program | ||
or safety group, to pool their premium and loss experience in | ||
determining
their rate or premium for such participation in the | ||
program.
| ||
(2) Except to the extent necessary to meet the provisions | ||
of
subdivision (d) of subsection (1) of this Section, | ||
uniformity among
companies in any matters within the scope of | ||
this Section is neither
required nor prohibited.
| ||
(Source: P.A. 82-939.)
| ||
(215 ILCS 5/457) (from Ch. 73, par. 1065.4)
| ||
Sec. 457. Rate filings. (1) Every Beginning January 1, | ||
1983, every company
shall prefile file with the Director every | ||
manual of classifications, every manual
of rules and rates, | ||
every rating plan and every modification of the foregoing
which | ||
it intends to use. Such filings shall be made at least not | ||
later than 30 days before
after they become effective.
A | ||
company may satisfy its obligation to make such filings by |
adopting the
filing of a licensed rating organization of which | ||
it is a member or subscriber,
filed pursuant to subsection (2) | ||
of this Section, in total or , with the approval of the | ||
Director, by notifying
the Director in what respects it intends | ||
to deviate from such filing. If a company intends to deviate | ||
from the filing of a licensed rating organization of which it | ||
is a member, the company shall provide the Director with | ||
supporting information that specifies the basis for the | ||
requested deviation and provides justification for the | ||
deviation. Any
company adopting a pure premium filed by a | ||
rating organization pursuant to subsection
(2) must file with | ||
the Director the modification factor it is using for
expenses | ||
and profit so that the final rates in use by such company can | ||
be determined.
| ||
(2) Each Beginning January 1, 1983, each licensed rating | ||
organization must prefile
file with the Director every manual | ||
of classification, every manual of rules
and advisory rates, | ||
every pure premium which has been fully adjusted and
fully | ||
developed, every rating plan and every modification of any of | ||
the
foregoing which it intends to recommend for use to its | ||
members and subscribers,
at least not later than 30 days before | ||
after such manual, premium, plan or modification
thereof takes | ||
effect. Every licensed rating organization shall also file
with | ||
the Director the rate classification system, all rating rules, | ||
rating
plans, policy forms, underwriting rules or similar | ||
materials, and each modification
of any of the foregoing which |
it requires its members and subscribers to
adhere to not later | ||
than 30 days before such filings or modifications thereof
are | ||
to take effect. Every such filing shall state the proposed | ||
effective
date thereof and shall indicate the character and | ||
extent of the coverage contemplated.
| ||
(3) A filing and any supporting information made pursuant | ||
to this Section
shall be open to public inspection as soon as | ||
filed after the filing becomes effective .
| ||
(4) A filing shall not be effective nor used until approved | ||
by the Director. A filing shall be deemed approved and legally | ||
effective if the Director fails to disapprove within 30 days | ||
after the filing. | ||
(Source: P.A. 82-939.)
| ||
(215 ILCS 5/458) (from Ch. 73, par. 1065.5)
| ||
Sec. 458. Disapproval of filings. (1) If within 30 thirty | ||
days of any filing the Director
finds that such filing does not | ||
meet the requirements of this Article, he
shall send to the | ||
company or rating organization which made such filing a
written | ||
notice of disapproval of such filing, specifying therein in | ||
what
respects he finds that such filing fails to meet the | ||
requirements of this
Article and stating when, within a | ||
reasonable period thereafter, such
filing shall be deemed no | ||
longer effective . A company or rating organization whose filing | ||
has been disapproved shall be given a hearing upon a written | ||
request made within 30 days after the disapproval order. If the |
company or rating
organization making the filing shall, prior | ||
to the expiration of the period
prescribed in the notice, | ||
request a hearing, such filings shall be
effective until the | ||
expiration of a reasonable period specified in any
order | ||
entered thereon. If the rate resulting from such filing be | ||
unfairly
discriminatory or materially inadequate, and the | ||
difference
between such rate and the approved rate equals or | ||
exceeds the cost of
making an adjustment, the Director shall in | ||
such notice or order direct an
adjustment of the premium to be | ||
made with the policyholder either by refund
or collection of | ||
additional premium. If the policyholder does not accept
the | ||
increased rate, cancellation shall be made on a pro rata basis. | ||
Any
policy issued pursuant to this subsection shall contain a | ||
provision that
the premium thereon shall be subject to | ||
adjustment upon the basis of the
filing finally approved.
| ||
(2) If at any time subsequent to the applicable review | ||
period provided
for in subsection (1) of this Section, the | ||
Director finds that a
filing does not meet the requirements of | ||
this Article, he shall, after a
hearing held upon not less than | ||
ten days written notice, specifying the
matters to be | ||
considered at such hearing, to every company and rating
| ||
organization which made such filing, issue an order specifying | ||
in what
respects he finds that such filing fails to meet the | ||
requirements of this
Article, and stating when, within a | ||
reasonable period thereafter, such
filings shall be deemed no | ||
longer effective. Copies of said order shall be
sent to every |
such company and rating organization. Said order shall not
| ||
affect any contract or policy made or issued prior to the | ||
expiration of the
period set forth in said order.
| ||
(3) Any person or organization aggrieved with respect to | ||
any filing
which is in effect may make written application to | ||
the Director for a
hearing thereon, provided, however, that the | ||
company or rating organization
that made the filing shall not | ||
be authorized to proceed under this
subsection. Such | ||
application shall specify the grounds to be relied upon by
the | ||
applicant. If the Director shall find that the application is | ||
made in
good faith, that the applicant would be so aggrieved if | ||
his grounds are
established, and that such grounds otherwise | ||
justify holding such a
hearing, he shall, within thirty days | ||
after receipt of such application,
hold a hearing upon not less | ||
than ten days written notice to the applicant
and to every | ||
company and rating organization which made such filing.
| ||
If, after such hearing, the Director finds that the filing | ||
does not meet
the requirements of this Article, he shall issue | ||
an order specifying in
what respects he finds that such filing | ||
fails to meet the requirements of
this Article, and stating | ||
when, within a reasonable period thereafter, such
filing shall | ||
be deemed no longer effective. Copies of said order shall be
| ||
sent to the applicant and to every such company and rating | ||
organization.
Said order shall not affect any contract or | ||
policy made or issued prior to
the expiration of the period set | ||
forth in said order.
|
(4) Whenever an insurer has no legally effective rates as a | ||
result of the Director's disapproval of rates or other act, the | ||
Director shall on request of the insurer specify interim rates | ||
for the insurer that are high enough to protect the interests | ||
of all parties and may order that a specified portion of the | ||
premiums be placed in an escrow account approved by him or her. | ||
When new rates become legally effective, the Director shall | ||
order the escrowed funds or any overcharge in the interim rates | ||
to be distributed appropriately, except that refunds to | ||
policyholders that are de minimis shall not be required. | ||
(Source: P.A. 82-939.)
| ||
(215 ILCS 5/462a new) | ||
Sec. 462a. Premium increase notice. A policy of workers' | ||
compensation insurance issued, delivered, amended, or renewed | ||
on or after January 1, 2019 shall remain in full force and | ||
effect subject to the same terms and conditions, loss cost | ||
multipliers, and classification of the employer with regard to | ||
the payment of dividends, unless written notice is mailed or | ||
delivered by the insurer to the employer, at the address shown | ||
on the policy, and to the employer's authorized agent or | ||
broker, indicating the insurer's intention to condition | ||
renewal upon issuance of a policy that supersedes the policy | ||
previously issued and that will result in a premium in excess | ||
of 5% above the rate recommendation filed with the Department, | ||
exclusive of any premium increase generated as a result of |
increased loss costs or increased exposure units or as a result | ||
of experience rating, contractor credit adjustment program, | ||
large deductible, retrospective rating, or audit. The notice | ||
shall be delivered at least 30 days in advance of the | ||
expiration date of the policy, and shall set forth: (1) the | ||
amount of the premium increase or, if the amount cannot | ||
reasonably be determined as of the time the notice is provided, | ||
a reasonable estimate of the premium increase based upon the | ||
information available to the insurer at that time; and (2) the | ||
reason for the increased premium in excess of the rate | ||
recommendation filed with the Department. Nothing in this | ||
Section requires the insurer to provide notice when the | ||
employer, an agent or broker authorized by the employer, or | ||
another insurer of the employer has delivered written notice | ||
that the policy has been replaced or is no longer desired.
| ||
(215 ILCS 5/123C-4 rep.)
| ||
(215 ILCS 5/460 rep.) | ||
Section 95. The Illinois Insurance Code is amended by | ||
repealing Sections 123C-4 and 460.
| ||
Section 99. Effective date. This Act takes effect upon | ||
becoming law, except that the provisions changing Sections 456, | ||
457, and 458 of the Illinois Insurance Code and the provisions | ||
repealing Section 460 of the Illinois Insurance Code take | ||
effect February 1, 2019.
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