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1 | | after the entry
of a liquidation order, made by a person |
2 | | insured under such policy or by a
person
suffering injury or |
3 | | damage for which a person insured under such policy
is legally |
4 | | liable, and for unearned premium, if:
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5 | | (i) The company issuing , assuming, or being allocated |
6 | | the policy becomes an insolvent
company as defined in |
7 | | Section 534.4
after the effective date of this Article; and
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8 | | (ii) The claimant or insured is a resident of this |
9 | | State at the time
of the insured occurrence, or the |
10 | | property from which a first party
claim for damage to |
11 | | property arises is
permanently located in this State or, in |
12 | | the case of an unearned premium
claim, the policyholder is |
13 | | a resident of this State at the time the policy
was issued; |
14 | | provided, that for entities other than an individual, the
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15 | | residence of a claimant, insured, or policyholder is the |
16 | | state
in which its principal
place of business is located |
17 | | at the time of the insured event.
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18 | | (b) "Covered claim" does not include:
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19 | | (i) any amount in excess of the applicable limits of |
20 | | liability
provided by an insurance policy to which this |
21 | | Article applies; nor
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22 | | (ii) any claim for punitive or exemplary damages; nor
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23 | | (iii) any first party claim by an insured who is an |
24 | | affiliate of the
insolvent company; nor
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25 | | (iv) any first party or third party claim by or against |
26 | | an insured
whose net worth on December 31
of the year next |
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1 | | preceding the date the insurer becomes an insolvent
insurer |
2 | | exceeds $25,000,000; provided that an insured's net
worth |
3 | | on such
date shall be deemed to include the aggregate net |
4 | | worth of the insured and
all of its affiliates as |
5 | | calculated on a consolidated basis. However, this
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6 | | exclusion shall not apply to third party claims against the |
7 | | insured where the
insured has applied for or consented to |
8 | | the appointment of a receiver, trustee,
or liquidator for |
9 | | all or a substantial part of its assets, filed a voluntary
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10 | | petition in bankruptcy, filed a petition or an answer |
11 | | seeking a reorganization
or arrangement with creditors or |
12 | | to take advantage of any insolvency law, or
if an order, |
13 | | judgment, or decree is entered by a court of competent
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14 | | jurisdiction, on the application of a creditor, |
15 | | adjudicating the insured
bankrupt or insolvent or |
16 | | approving a petition seeking reorganization of the
insured |
17 | | or of all or substantial part of its assets; nor
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18 | | (v) any claim for any amount due any reinsurer, |
19 | | insurer,
insurance pool, or underwriting association as |
20 | | subrogated
recoveries, reinsurance recoverables, |
21 | | contribution, indemnification or
otherwise. No such claim |
22 | | held by a reinsurer,
insurer, insurance pool, or |
23 | | underwriting association may be asserted in any
legal |
24 | | action
against a person insured under a policy issued by an |
25 | | insolvent
company other than to the extent such claim |
26 | | exceeds the Fund
obligation limitations set forth in |
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1 | | Section 537.2 of this Code.
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2 | | (c) "Unearned Premium" means the premium for the unexpired |
3 | | period of a
policy which has been terminated prior to the |
4 | | expiration of the period for
which premium has been paid and |
5 | | does not mean premium which is returnable
to the insured for |
6 | | any other reason.
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7 | | (Source: P.A. 89-97, eff. 7-7-95; 90-499, eff. 8-19-97.)
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8 | | (215 ILCS 5/534.4) (from Ch. 73, par. 1065.84-4)
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9 | | Sec. 534.4.
"Insolvent company" means a company
organized |
10 | | as a stock company, mutual company, reciprocal or Lloyds (a)
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11 | | which holds a certificate of authority to transact insurance
in |
12 | | this State either at the time the policy was issued or when
the |
13 | | insured event occurred, or any company which has assumed or has |
14 | | been allocated
such policy obligation through merger, |
15 | | division, consolidation , or
reinsurance, whether or not such |
16 | | assuming company held a
certificate of authority to transact |
17 | | insurance in this State
at the time such policy was issued or |
18 | | when the insured event occurred; and (b)
against which a final |
19 | | Order of Liquidation with a finding of
insolvency to which |
20 | | there is no further right of appeal has been entered by
a court |
21 | | of competent jurisdiction in the company's State of domicile |
22 | | after the
effective date of this Article.
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23 | | (Source: P.A. 90-499, eff. 8-19-97.)
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24 | | Section 99. Effective date. This Act takes effect upon |