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Public Act 096-1481 | ||||
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AN ACT concerning insurance.
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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 | ||||
Interstate Insurance Product Regulation Compact. | ||||
Section 5. Agreement. Pursuant to terms and conditions of | ||||
this Act, the State of Illinois seeks to join with other States | ||||
and establish the Interstate Insurance Product Regulation | ||||
Compact, and thus become a member of the Interstate Insurance | ||||
Product Regulation Commission. The representative of this | ||||
State to the Commission shall be the Director of Insurance. | ||||
Section 10. Ratification. The State of Illinois ratifies, | ||||
approves, and adopts the following interstate compact: | ||||
Article I. PURPOSES | ||||
The purposes of this Compact are, through means of joint | ||||
and cooperative action among the Compacting States: | ||||
1. To promote and protect the interest of consumers of | ||||
individual and group annuity, life insurance, disability | ||||
income and long-term care insurance products; | ||||
2. To develop uniform standards for insurance products | ||||
covered under the Compact; |
3. To establish a central clearinghouse to receive and | ||
provide prompt review of insurance products covered under | ||
the Compact and, in certain cases, advertisements related | ||
thereto, submitted by insurers authorized to do business in | ||
one or more Compacting States; | ||
4. To give appropriate regulatory approval to those | ||
product filings and advertisements satisfying the | ||
applicable uniform standard; | ||
5. To improve coordination of regulatory resources and | ||
expertise between state insurance departments regarding | ||
the setting of uniform standards and review of insurance | ||
products covered under the Compact; | ||
6. To create the Interstate Insurance Product | ||
Regulation Commission; and | ||
7. To perform these and such other related functions as | ||
may be consistent with the state regulation of the business | ||
of insurance. | ||
Article II. DEFINITIONS | ||
For purposes of this Compact: | ||
1. "Advertisement" means any material designed to | ||
create public interest in a Product, or induce the public | ||
to purchase, increase, modify, reinstate, borrow on, | ||
surrender, replace or retain a policy, as more specifically | ||
defined in the Rules and Operating Procedures of the | ||
Commission. |
2. "Bylaws" mean those bylaws established by the | ||
Commission for its governance, or for directing or | ||
controlling the Commission's actions or conduct. | ||
3. "Compacting State" means any State which has enacted | ||
this Compact legislation and which has not withdrawn | ||
pursuant to Article XIV, Section 1, or been terminated | ||
pursuant to Article XIV, Section 2. | ||
4. "Commission" means the "Interstate Insurance | ||
Product Regulation Commission" established by this | ||
Compact. | ||
5. "Commissioner" means the chief insurance regulatory | ||
official of a State including, but not limited to | ||
commissioner, superintendent, director or administrator. | ||
6. "Domiciliary State" means the state in which an | ||
Insurer is incorporated or organized; or, in the case of an | ||
alien Insurer, its state of entry. | ||
7. "Insurer" means any entity licensed by a State to | ||
issue contracts of insurance for any of the lines of | ||
insurance covered by this Act. | ||
8. "Member" means the person chosen by a Compacting | ||
State as its representative to the Commission, or his or | ||
her designee. | ||
9. "Non-compacting State" means any State which is not | ||
at the time a Compacting State. | ||
10. "Operating Procedures" mean procedures promulgated | ||
by the Commission implementing a Rule, Uniform Standard or |
a provision of this Compact. | ||
11. "Product" means the form of a policy or contract, | ||
including any application, endorsement, or related form | ||
which is attached to and made a part of the policy or | ||
contract, and any evidence of coverage or certificate, for | ||
an individual or group annuity, life insurance, disability | ||
income or long-term care insurance product that an Insurer | ||
is authorized to issue. | ||
12. "Rule" means a statement of general or particular | ||
applicability and future effect promulgated by the | ||
Commission, including a Uniform Standard developed | ||
pursuant to Article VII of this Compact, designed to | ||
implement, interpret, or prescribe law or policy or | ||
describing the organization, procedure, or practice | ||
requirements of the Commission, which shall have the force | ||
and effect of law in the Compacting States. | ||
13. "State" means any state, district or territory of | ||
the United States of America. | ||
14. "Third-Party Filer" means an entity that submits a | ||
Product filing to the Commission on behalf of an Insurer. | ||
15. "Uniform Standard" means a standard adopted by the | ||
Commission for a Product line, pursuant to Article VII of | ||
this Compact, and shall include all of the Product | ||
requirements in aggregate; provided, that each Uniform | ||
Standard shall be construed, whether express or implied, to | ||
prohibit the use of any inconsistent, misleading or |
ambiguous provisions in a Product and the form of the | ||
Product made available to the public shall not be unfair, | ||
inequitable or against public policy as determined by the | ||
Commission. | ||
Article III. ESTABLISHMENT OF THE COMMISSION AND VENUE | ||
1. The Compacting States hereby create and establish a | ||
joint public agency known as the "Interstate Insurance Product | ||
Regulation Commission." Pursuant to Article IV, the Commission | ||
will have the power to develop Uniform Standards for Product | ||
lines, receive and provide prompt review of Products filed | ||
therewith, and give approval to those Product filings | ||
satisfying applicable Uniform Standards; provided, it is not | ||
intended for the Commission to be the exclusive entity for | ||
receipt and review of insurance product filings. Nothing herein | ||
shall prohibit any Insurer from filing its product in any State | ||
wherein the Insurer is licensed to conduct the business of | ||
insurance; and any such filing shall be subject to the laws of | ||
the State where filed. | ||
2. The Commission is a body corporate and politic, and an | ||
instrumentality of the Compacting States. | ||
3. The Commission is solely responsible for its liabilities | ||
except as otherwise specifically provided in this Compact. | ||
4. Venue is proper and judicial proceedings by or against | ||
the Commission shall be brought solely and exclusively in a | ||
Court of competent jurisdiction where the principal office of |
the Commission is located.
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Article IV. POWERS OF THE COMMISSION | ||
The Commission shall have the following powers: | ||
1. To promulgate Rules, pursuant to Article VII of this | ||
Compact, which shall have the force and effect of law and | ||
shall be binding in the Compacting States to the extent and | ||
in the manner provided in this Compact; | ||
2. To exercise its rule-making authority and establish | ||
reasonable Uniform Standards for Products covered under | ||
the Compact, and Advertisement related thereto, which | ||
shall have the force and effect of law and shall be binding | ||
in the Compacting States, but only for those Products filed | ||
with the Commission, provided, that a Compacting State | ||
shall have the right to opt out of such Uniform Standard | ||
pursuant to Article VII, to the extent and in the manner | ||
provided in this Compact, and, provided further, that any | ||
Uniform Standard established by the Commission for | ||
long-term care insurance products may provide the same or | ||
greater protections for consumers as, but shall not provide | ||
less than, those protections set forth in the National | ||
Association of Insurance Commissioners' Long-Term Care | ||
Insurance Model Act and Long-Term Care Insurance Model | ||
Regulation, respectively, adopted as of 2001. The | ||
Commission shall consider whether any subsequent | ||
amendments to the NAIC Long-Term Care Insurance Model Act |
or Long-Term Care Insurance Model Regulation adopted by the | ||
NAIC require amending of the Uniform Standards established | ||
by the Commission for long-term care insurance products; | ||
3. To receive and review in an expeditious manner | ||
Products filed with the Commission, and rate filings for | ||
disability income and long-term care insurance Products, | ||
and give approval of those Products and rate filings that | ||
satisfy the applicable Uniform Standard, where such | ||
approval shall have the force and effect of law and be | ||
binding on the Compacting States to the extent and in the | ||
manner provided in the Compact; | ||
4. To receive and review in an expeditious manner | ||
Advertisement relating to long-term care insurance | ||
products for which Uniform Standards have been adopted by | ||
the Commission, and give approval to all Advertisement that | ||
satisfies the applicable Uniform Standard. For any product | ||
covered under this Compact, other than long-term care | ||
insurance products, the Commission shall have the | ||
authority to require an insurer to submit all or any part | ||
of its Advertisement with respect to that product for | ||
review or approval prior to use, if the Commission | ||
determines that the nature of the product is such that an | ||
Advertisement of the product could have the capacity or | ||
tendency to mislead the public. The actions of Commission | ||
as provided in this section shall have the force and effect | ||
of law and shall be binding in the Compacting States to the |
extent and in the manner provided in the Compact; | ||
5. To exercise its rule-making authority and designate | ||
Products and Advertisement that may be subject to a | ||
self-certification process without the need for prior | ||
approval by the Commission. | ||
6. To promulgate Operating Procedures, pursuant to | ||
Article VII of this Compact, which shall be binding in the | ||
Compacting States to the extent and in the manner provided | ||
in this Compact;
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7. To bring and prosecute legal proceedings or actions | ||
in its name as the Commission; provided, that the standing | ||
of any state insurance department to sue or be sued under | ||
applicable law shall not be affected; | ||
8. To issue subpoenas requiring the attendance and | ||
testimony of witnesses and the production of evidence; | ||
9. To establish and maintain offices;
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10. To purchase and maintain insurance and bonds; | ||
11. To borrow, accept or contract for services of | ||
personnel, including, but not limited to, employees of a | ||
Compacting State; | ||
12. To hire employees, professionals or specialists, | ||
and elect or appoint officers, and to fix their | ||
compensation, define their duties and give them | ||
appropriate authority to carry out the purposes of the | ||
Compact, and determine their qualifications; and to | ||
establish the Commission's personnel policies and programs |
relating to, among other things, conflicts of interest, | ||
rates of compensation and qualifications of personnel; | ||
13. To accept any and all appropriate donations and | ||
grants of money, equipment, supplies, materials and | ||
services, and to receive, utilize and dispose of the same; | ||
provided that at all times the Commission shall strive to | ||
avoid any appearance of impropriety; | ||
14. To lease, purchase, accept appropriate gifts or | ||
donations of, or otherwise to own, hold, improve or use, | ||
any property, real, personal or mixed; provided that at all | ||
times the Commission shall strive to avoid any appearance | ||
of impropriety; | ||
15. To sell, convey, mortgage, pledge, lease, | ||
exchange, abandon or otherwise dispose of any property, | ||
real, personal or mixed; | ||
16. To remit filing fees to Compacting States as may be | ||
set forth in the Bylaws, Rules or Operating Procedures; | ||
17. To enforce compliance by Compacting States with | ||
Rules, Uniform Standards, Operating Procedures and Bylaws; | ||
18. To provide for dispute resolution among Compacting | ||
States; | ||
19. To advise Compacting States on issues relating to | ||
Insurers domiciled or doing business in Non-compacting | ||
jurisdictions, consistent with the purposes of this | ||
Compact; | ||
20. To provide advice and training to those personnel |
in state insurance departments responsible for product | ||
review, and to be a resource for state insurance | ||
departments; | ||
21. To establish a budget and make expenditures; | ||
22. To borrow money; | ||
23. To appoint committees, including advisory | ||
committees comprising Members, state insurance regulators, | ||
state legislators or their representatives, insurance | ||
industry and consumer representatives, and such other | ||
interested persons as may be designated in the Bylaws; | ||
24. To provide and receive information from, and to | ||
cooperate with law enforcement agencies; | ||
25. To adopt and use a corporate seal; and | ||
26. To perform such other functions as may be necessary | ||
or appropriate to achieve the purposes of this Compact | ||
consistent with the state regulation of the business of | ||
insurance. | ||
Article V. ORGANIZATION OF THE COMMISSION | ||
1. Membership, Voting and Bylaws. | ||
a. Each Compacting State shall have and be limited to one | ||
Member. Each Member shall be qualified to serve in that | ||
capacity pursuant to applicable law of the Compacting State. | ||
Any Member may be removed or suspended from office as provided | ||
by the law of the State from which he or she shall be | ||
appointed. Any vacancy occurring in the Commission shall be |
filled in accordance with the laws of the Compacting State | ||
wherein the vacancy exists. Nothing herein shall be construed | ||
to affect the manner in which a Compacting State determines the | ||
election or appointment and qualification of its own | ||
Commissioner. | ||
b. Each Member shall be entitled to one vote and shall have | ||
an opportunity to participate in the governance of the | ||
Commission in accordance with the Bylaws. Notwithstanding any | ||
provision herein to the contrary, no action of the Commission | ||
with respect to the promulgation of a Uniform Standard shall be | ||
effective unless two-thirds (2/3) of the Members vote in favor | ||
thereof. | ||
c. The Commission shall, by a majority of the Members, | ||
prescribe Bylaws to govern its conduct as may be necessary or | ||
appropriate to carry out the purposes, and exercise the powers, | ||
of the Compact, including, but not limited to: | ||
i. establishing the fiscal year of the Commission; | ||
ii. providing reasonable procedures for appointing | ||
and electing members, as well as holding meetings, of | ||
the Management Committee; | ||
iii. providing reasonable standards and | ||
procedures: (i) for the establishment and meetings of | ||
other committees, and (ii) governing any general or | ||
specific delegation of any authority or function of the | ||
Commission; | ||
iv. providing reasonable procedures for calling |
and conducting meetings of the Commission that | ||
consists of a majority of Commission members, ensuring | ||
reasonable advance notice of each such meeting, and | ||
providing for the right of citizens to attend each such | ||
meeting with enumerated exceptions designed to protect | ||
the public's interest, the privacy of individuals, and | ||
insurers' proprietary information, including trade | ||
secrets. The Commission may meet in camera only after a | ||
majority of the entire membership votes to close a | ||
meeting en toto or in part. As soon as practicable, the | ||
Commission must make public (i) a copy of the vote to | ||
close the meeting revealing the vote of each Member | ||
with no proxy votes allowed, and (ii) votes taken | ||
during such meeting; | ||
v. establishing the titles, duties and authority | ||
and reasonable procedures for the election of the | ||
officers of the Commission; | ||
vi. providing reasonable standards and procedures | ||
for the establishment of the personnel policies and | ||
programs of the Commission. Notwithstanding any civil | ||
service or other similar laws of any Compacting State, | ||
the Bylaws shall exclusively govern the personnel | ||
policies and programs of the Commission; | ||
vii. promulgating a code of ethics to address | ||
permissible and prohibited activities of commission | ||
members and employees; and
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viii. providing a mechanism for winding up the | ||
operations of the Commission and the equitable | ||
disposition of any surplus funds that may exist after | ||
the termination of the Compact after the payment and/or | ||
reserving of all of its debts and obligations. | ||
d. The Commission shall publish its bylaws in a convenient | ||
form and file a copy thereof and a copy of any amendment | ||
thereto, with the appropriate agency or officer in each of the | ||
Compacting States. | ||
2. Management Committee, Officers and Personnel. | ||
a. A Management Committee comprising no more than fourteen | ||
(14) members shall be established as follows: | ||
(i) One (1) member from each of the six (6) | ||
Compacting States with the largest premium volume for | ||
individual and group annuities, life, disability | ||
income and long-term care insurance products, | ||
determined from the records of the NAIC for the prior | ||
year; | ||
(ii) Four (4) members from those Compacting States | ||
with at least two percent (2%) of the market based on | ||
the premium volume described above, other than the six | ||
(6) Compacting States with the largest premium volume, | ||
selected on a rotating basis as provided in the Bylaws, | ||
and; | ||
(iii) Four (4) members from those Compacting | ||
States with less than two percent (2%) of the market, |
based on the premium volume described above, with one | ||
(1) selected from each of the four (4) zone regions of | ||
the NAIC as provided in the Bylaws. | ||
b. The Management Committee shall have such authority and | ||
duties as may be set forth in the Bylaws, including but not | ||
limited to:
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i. managing the affairs of the Commission in a | ||
manner consistent with the Bylaws and purposes of the | ||
Commission; | ||
ii. establishing and overseeing an organizational | ||
structure within, and appropriate procedures for, the | ||
Commission to provide for the creation of Uniform | ||
Standards and other Rules, receipt and review of | ||
product filings, administrative and technical support | ||
functions, review of decisions regarding the | ||
disapproval of a product filing, and the review of | ||
elections made by a Compacting State to opt out of a | ||
Uniform Standard; provided that a Uniform Standard | ||
shall not be submitted to the Compacting States for | ||
adoption unless approved by two-thirds (2/3) of the | ||
members of the Management Committee; | ||
iii. overseeing the offices of the Commission; and | ||
iv. planning, implementing, and coordinating | ||
communications and activities with other state, | ||
federal and local government organizations in order to | ||
advance the goals of the Commission. |
c. The Commission shall elect annually officers from the | ||
Management Committee, with each having such authority and | ||
duties, as may be specified in the Bylaws. | ||
d. The Management Committee may, subject to the approval of | ||
the Commission, appoint or retain an executive director for | ||
such period, upon such terms and conditions and for such | ||
compensation as the Commission may deem appropriate. The | ||
executive director shall serve as secretary to the Commission, | ||
but shall not be a Member of the Commission. The executive | ||
director shall hire and supervise such other staff as may be | ||
authorized by the Commission. | ||
3. Legislative and Advisory Committees. | ||
a. A legislative committee comprising state legislators or | ||
their designees shall be established to monitor the operations | ||
of, and make recommendations to, the Commission, including the | ||
Management Committee; provided that the manner of selection and | ||
term of any legislative committee member shall be as set forth | ||
in the Bylaws. Prior to the adoption by the Commission of any | ||
Uniform Standard, revision to the Bylaws, annual budget or | ||
other significant matter as may be provided in the Bylaws, the | ||
Management Committee shall consult with and report to the | ||
legislative committee.
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b. The Commission shall establish two (2) advisory | ||
committees, one of which shall comprise consumer | ||
representatives independent of the insurance industry, and the | ||
other comprising insurance industry representatives. |
c. The Commission may establish additional advisory | ||
committees as its Bylaws may provide for the carrying out of | ||
its functions. | ||
4. Corporate Records of the Commission.
The Commission | ||
shall maintain its corporate books and records in accordance | ||
with the Bylaws. | ||
5. Qualified Immunity, Defense and Indemnification. | ||
a. The Members, officers, executive director, employees | ||
and representatives of the Commission shall be immune from suit | ||
and liability, either personally or in their official capacity, | ||
for any claim for damage to or loss of property or personal | ||
injury or other civil liability caused by or arising out of any | ||
actual or alleged act, error or omission that occurred, or that | ||
the person against whom the claim is made had a reasonable | ||
basis for believing occurred within the scope of Commission | ||
employment, duties or responsibilities; provided, that nothing | ||
in this paragraph shall be construed to protect any such person | ||
from suit and/or liability for any damage, loss, injury or | ||
liability caused by the intentional or willful and wanton | ||
misconduct of that person. | ||
b. The Commission shall defend any Member, officer, | ||
executive director, employee or representative of the | ||
Commission in any civil action seeking to impose liability | ||
arising out of any actual or alleged act, error or omission | ||
that occurred within the scope of Commission employment, duties | ||
or responsibilities, or that the person against whom the claim |
is made had a reasonable basis for believing occurred within | ||
the scope of Commission employment, duties or | ||
responsibilities; provided, that nothing herein shall be | ||
construed to prohibit that person from retaining his or her own | ||
counsel; and provided further, that the actual or alleged act, | ||
error or omission did not result from that person's intentional | ||
or willful and wanton misconduct. | ||
c. The Commission shall indemnify and hold harmless any | ||
Member, officer, executive director, employee or | ||
representative of the Commission for the amount of any | ||
settlement or judgment obtained against that person arising out | ||
of any actual or alleged act, error or omission that occurred | ||
within the scope of Commission employment, duties or | ||
responsibilities, or that such person had a reasonable basis | ||
for believing occurred within the scope of Commission | ||
employment, duties or responsibilities, provided, that the | ||
actual or alleged act, error or omission did not result from | ||
the intentional or willful and wanton misconduct of that | ||
person.
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Article VI. MEETINGS AND ACTS OF THE COMMISSION | ||
1. The Commission shall meet and take such actions as are | ||
consistent with the provisions of this Compact and the Bylaws. | ||
2. Each Member of the Commission shall have the right and | ||
power to cast a vote to which that Compacting State is entitled | ||
and to participate in the business and affairs of the |
Commission. A Member shall vote in person or by such other | ||
means as provided in the Bylaws. The Bylaws may provide for | ||
Members' participation in meetings by telephone or other means | ||
of communication. | ||
3. The Commission shall meet at least once during each | ||
calendar year. Additional meetings shall be held as set forth | ||
in the Bylaws.
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Article VII. RULES & OPERATING PROCEDURES: RULEMAKING | ||
FUNCTIONS OF THE COMMISSION AND OPTING OUT OF UNIFORM STANDARDS | ||
1. Rulemaking Authority. The Commission shall promulgate | ||
reasonable Rules, including Uniform Standards, and Operating | ||
Procedures in order to effectively and efficiently achieve the | ||
purposes of this Compact. Notwithstanding the foregoing, in the | ||
event the Commission exercises its rulemaking authority in a | ||
manner that is beyond the scope of the purposes of this Act, or | ||
the powers granted hereunder, then such an action by the | ||
Commission shall be invalid and have no force and effect. | ||
2. Rulemaking Procedure. Rules and Operating Procedures | ||
shall be made pursuant to a rulemaking process that conforms to | ||
the Model State Administrative Procedure Act of 1981 as | ||
amended, as may be appropriate to the operations of the | ||
Commission. Before the Commission adopts a Uniform Standard, | ||
the Commission shall give written notice to the relevant state | ||
legislative committee(s) in each Compacting State responsible | ||
for insurance issues of its intention to adopt the Uniform |
Standard. The Commission in adopting a Uniform Standard shall | ||
consider fully all submitted materials and issue a concise | ||
explanation of its decision. | ||
3. Effective Date and Opt Out of a Uniform Standard. A | ||
Uniform Standard shall become effective ninety (90) days after | ||
its promulgation by the Commission or such later date as the | ||
Commission may determine; provided, however, that a Compacting | ||
State may opt out of a Uniform Standard as provided in this | ||
Article. "Opt out" shall be defined as any action by a | ||
Compacting State to decline to adopt or participate in a | ||
promulgated Uniform Standard. All other Rules and Operating | ||
Procedures, and amendments thereto, shall become effective as | ||
of the date specified in each Rule, Operating Procedure or | ||
amendment. | ||
4. Opt Out Procedure. A Compacting State may opt out of a | ||
Uniform Standard, either by legislation or regulation duly | ||
promulgated by the Insurance Department under the Compacting | ||
State's Administrative Procedure Act. If a Compacting State | ||
elects to opt out of a Uniform Standard by regulation, it must | ||
(a) give written notice to the Commission no later than ten | ||
(10) business days after the Uniform Standard is promulgated, | ||
or at the time the State becomes a Compacting State and (b) | ||
find that the Uniform Standard does not provide reasonable | ||
protections to the citizens of the State, given the conditions | ||
in the State. The Commissioner shall make specific findings of | ||
fact and conclusions of law, based on a preponderance of the |
evidence, detailing the conditions in the State which warrant a | ||
departure from the Uniform Standard and determining that the | ||
Uniform Standard would not reasonably protect the citizens of | ||
the State. The Commissioner must consider and balance the | ||
following factors and find that the conditions in the State and | ||
needs of the citizens of the State outweigh: (i) the intent of | ||
the legislature to participate in, and the benefits of, an | ||
interstate agreement to establish national uniform consumer | ||
protections for the Products subject to this Act; and (ii) the | ||
presumption that a Uniform Standard adopted by the Commission | ||
provides reasonable protections to consumers of the relevant | ||
Product.
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Notwithstanding the foregoing, a Compacting State may, at | ||
the time of its enactment of this Compact, prospectively opt | ||
out of all Uniform Standards involving long-term care insurance | ||
products by expressly providing for such opt out in the enacted | ||
Compact, and such an opt out shall not be treated as a material | ||
variance in the offer or acceptance of any State to participate | ||
in this Compact. Such an opt out shall be effective at the time | ||
of enactment of this Compact by the Compacting State and shall | ||
apply to all existing Uniform Standards involving long-term | ||
care insurance products and those subsequently promulgated. | ||
5. Effect of Opt Out. If a Compacting State elects to opt | ||
out of a Uniform Standard, the Uniform Standard shall remain | ||
applicable in the Compacting State electing to opt out until | ||
such time the opt out legislation is enacted into law or the |
regulation opting out becomes effective. | ||
Once the opt out of a Uniform Standard by a Compacting | ||
State becomes effective as provided under the laws of that | ||
State, the Uniform Standard shall have no further force and | ||
effect in that State unless and until the legislation or | ||
regulation implementing the opt out is repealed or otherwise | ||
becomes ineffective under the laws of the State. If a | ||
Compacting State opts out of a Uniform Standard after the | ||
Uniform Standard has been made effective in that State, the opt | ||
out shall have the same prospective effect as provided under | ||
Article XIV for withdrawals. | ||
6. Stay of Uniform Standard. If a Compacting State has | ||
formally initiated the process of opting out of a Uniform | ||
Standard by regulation, and while the regulatory opt out is | ||
pending, the Compacting State may petition the Commission, at | ||
least fifteen (15) days before the effective date of the | ||
Uniform Standard, to stay the effectiveness of the Uniform | ||
Standard in that State. The Commission may grant a stay if it | ||
determines the regulatory opt out is being pursued in a | ||
reasonable manner and there is a likelihood of success. If a | ||
stay is granted or extended by the Commission, the stay or | ||
extension thereof may postpone the effective date by up to | ||
ninety (90) days, unless affirmatively extended by the | ||
Commission; provided, a stay may not be permitted to remain in | ||
effect for more than one (1) year unless the Compacting State | ||
can show extraordinary circumstances which warrant a |
continuance of the stay, including, but not limited to, the | ||
existence of a legal challenge which prevents the Compacting | ||
State from opting out. A stay may be terminated by the | ||
Commission upon notice that the rulemaking process has been | ||
terminated. | ||
7. Not later than thirty (30) days after a Rule or | ||
Operating Procedure is promulgated, any person may file a | ||
petition for judicial review of the Rule or Operating | ||
Procedure; provided, that the filing of such a petition shall | ||
not stay or otherwise prevent the Rule or Operating Procedure | ||
from becoming effective unless the court finds that the | ||
petitioner has a substantial likelihood of success. The court | ||
shall give deference to the actions of the Commission | ||
consistent with applicable law and shall not find the Rule or | ||
Operating Procedure to be unlawful if the Rule or Operating | ||
Procedure represents a reasonable exercise of the Commission's | ||
authority. | ||
Article VIII. COMMISSION RECORDS AND ENFORCEMENT | ||
1. The Commission shall promulgate Rules establishing | ||
conditions and procedures for public inspection and copying of | ||
its information and official records, except such information | ||
and records involving the privacy of individuals and insurers' | ||
trade secrets. The Commission may promulgate additional Rules | ||
under which it may make available to federal and state | ||
agencies, including law enforcement agencies, records and |
information otherwise exempt from disclosure, and may enter | ||
into agreements with such agencies to receive or exchange | ||
information or records subject to nondisclosure and | ||
confidentiality provisions. | ||
2. Except as to privileged records, data and information, | ||
the laws of any Compacting State pertaining to confidentiality | ||
or nondisclosure shall not relieve any Compacting State | ||
Commissioner of the duty to disclose any relevant records, data | ||
or information to the Commission; provided, that disclosure to | ||
the Commission shall not be deemed to waive or otherwise affect | ||
any confidentiality requirement; and further provided, that, | ||
except as otherwise expressly provided in this Act, the | ||
Commission shall not be subject to the Compacting State's laws | ||
pertaining to confidentiality and nondisclosure with respect | ||
to records, data and information in its possession. | ||
Confidential information of the Commission shall remain | ||
confidential after such information is provided to any | ||
Commissioner. | ||
3. The Commission shall monitor Compacting States for | ||
compliance with duly adopted Bylaws, Rules, including Uniform | ||
Standards, and Operating Procedures. The Commission shall | ||
notify any non-complying Compacting State in writing of its | ||
noncompliance with Commission Bylaws, Rules or Operating | ||
Procedures. If a non-complying Compacting State fails to remedy | ||
its noncompliance within the time specified in the notice of | ||
noncompliance, the Compacting State shall be deemed to be in |
default as set forth in Article XIV. | ||
4. The Commissioner of any State in which an Insurer is | ||
authorized to do business, or is conducting the business of | ||
insurance, shall continue to exercise his or her authority to | ||
oversee the market regulation of the activities of the Insurer | ||
in accordance with the provisions of the State's law. The | ||
Commissioner's enforcement of compliance with the Compact is | ||
governed by the following provisions: | ||
a. With respect to the Commissioner's market regulation of | ||
a Product or Advertisement that is approved or certified to the | ||
Commission, the content of the Product or Advertisement shall | ||
not constitute a violation of the provisions, standards or | ||
requirements of the Compact except upon a final order of the | ||
Commission, issued at the request of a Commissioner after prior | ||
notice to the Insurer and an opportunity for hearing before the | ||
Commission. | ||
b. Before a Commissioner may bring an action for violation | ||
of any provision, standard or requirement of the Compact | ||
relating to the content of an Advertisement not approved or | ||
certified to the Commission, the Commission, or an authorized | ||
Commission officer or employee, must authorize the action. | ||
However, authorization pursuant to this Paragraph does not | ||
require notice to the Insurer, opportunity for hearing or | ||
disclosure of requests for authorization or records of the | ||
Commission's action on such requests. |
Article IX. DISPUTE RESOLUTION | ||
The Commission shall attempt, upon the request of a Member, | ||
to resolve any disputes or other issues that are subject to | ||
this Compact and which may arise between two or more Compacting | ||
States, or between Compacting States and Non-compacting | ||
States, and the Commission shall promulgate an Operating | ||
Procedure providing for resolution of such disputes. | ||
Article X. PRODUCT FILING AND APPROVAL | ||
1. Insurers and Third-Party Filers seeking to have a | ||
Product approved by the Commission shall file the Product with, | ||
and pay applicable filing fees to, the Commission. Nothing in | ||
this Act shall be construed to restrict or otherwise prevent an | ||
insurer from filing its Product with the insurance department | ||
in any State wherein the insurer is licensed to conduct the | ||
business of insurance, and such filing shall be subject to the | ||
laws of the States where filed. | ||
2. The Commission shall establish appropriate filing and | ||
review processes and procedures pursuant to Commission Rules | ||
and Operating Procedures. Notwithstanding any provision herein | ||
to the contrary, the Commission shall promulgate Rules to | ||
establish conditions and procedures under which the Commission | ||
will provide public access to Product filing information. In | ||
establishing such Rules, the Commission shall consider the | ||
interests of the public in having access to such information, | ||
as well as protection of personal medical and financial |
information and trade secrets, that may be contained in a | ||
Product filing or supporting information. | ||
3. Any Product approved by the Commission may be sold or | ||
otherwise issued in those Compacting States for which the | ||
Insurer is legally authorized to do business. | ||
Article XI. REVIEW OF COMMISSION DECISIONS REGARDING FILINGS | ||
1. Not later than thirty (30) days after the Commission has | ||
given notice of a disapproved Product or Advertisement filed | ||
with the Commission, the Insurer or Third Party Filer whose | ||
filing was disapproved may appeal the determination to a review | ||
panel appointed by the Commission. The Commission shall | ||
promulgate Rules to establish procedures for appointing such | ||
review panels and provide for notice and hearing. An allegation | ||
that the Commission, in disapproving a Product or Advertisement | ||
filed with the Commission, acted arbitrarily, capriciously, or | ||
in a manner that is an abuse of discretion or otherwise not in | ||
accordance with the law, is subject to judicial review in | ||
accordance with Article III, section 5. | ||
2. The Commission shall have authority to monitor, review | ||
and reconsider Products and Advertisement subsequent to their | ||
filing or approval upon a finding that the product does not | ||
meet the relevant Uniform Standard. Where appropriate, the | ||
Commission may withdraw or modify its approval after proper | ||
notice and hearing, subject to the appeal process in section 1 | ||
above. |
Article XII. FINANCE | ||
1. The Commission shall pay or provide for the payment of | ||
the reasonable expenses of its establishment and organization. | ||
To fund the cost of its initial operations, the Commission may | ||
accept contributions and other forms of funding from the | ||
National Association of Insurance Commissioners, Compacting | ||
States and other sources. Contributions and other forms of | ||
funding from other sources shall be of such a nature that the | ||
independence of the Commission concerning the performance of | ||
its duties shall not be compromised. | ||
2. The Commission shall collect a filing fee from each | ||
Insurer and Third Party Filer filing a product with the | ||
Commission to cover the cost of the operations and activities | ||
of the Commission and its staff in a total amount sufficient to | ||
cover the Commission's annual budget. | ||
3. The Commission's budget for a fiscal year shall not be | ||
approved until it has been subject to notice and comment as set | ||
forth in Article VII of this Compact. | ||
4. The Commission shall be exempt from all taxation in and | ||
by the Compacting States. | ||
5. The Commission shall not pledge the credit of any | ||
Compacting State, except by and with the appropriate legal | ||
authority of that Compacting State. | ||
6. The Commission shall keep complete and accurate accounts | ||
of all its internal receipts, including grants and donations, |
and disbursements of all funds under its control. The internal | ||
financial accounts of the Commission shall be subject to the | ||
accounting procedures established under its Bylaws. The | ||
financial accounts and reports including the system of internal | ||
controls and procedures of the Commission shall be audited | ||
annually by an independent certified public accountant. Upon | ||
the determination of the Commission, but no less frequently | ||
than every three (3) years, the review of the independent | ||
auditor shall include a management and performance audit of the | ||
Commission. The Commission shall make an Annual Report to the | ||
Governor and legislature of the Compacting States, which shall | ||
include a report of the independent audit. The Commission's | ||
internal accounts shall not be confidential and such materials | ||
may be shared with the Commissioner of any Compacting State | ||
upon request, provided, however, that any work papers related | ||
to any internal or independent audit and any information | ||
regarding the privacy of individuals and insurers' proprietary | ||
information, including trade secrets, shall remain | ||
confidential. | ||
7. No Compacting State shall have any claim to or ownership | ||
of any property held by or vested in the Commission or to any | ||
Commission funds held pursuant to the provisions of this | ||
Compact. | ||
Article XIII. COMPACTING STATES, EFFECTIVE DATE AND AMENDMENT | ||
1. Any State is eligible to become a Compacting State. |
2. The Compact shall become effective and binding upon | ||
legislative enactment of the Compact into law by two Compacting | ||
States; provided, the Commission shall become effective for | ||
purposes of adopting Uniform Standards for, reviewing, and | ||
giving approval or disapproval of, Products filed with the | ||
Commission that satisfy applicable Uniform Standards only | ||
after twenty-six (26) States are Compacting States or, | ||
alternatively, by States representing greater than forty | ||
percent (40%) of the premium volume for life insurance, | ||
annuity, disability income and long-term care insurance | ||
products, based on records of the NAIC for the prior year. | ||
Thereafter, it shall become effective and binding as to any | ||
other Compacting State upon enactment of the Compact into law | ||
by that State.
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3. Amendments to the Compact may be proposed by the | ||
Commission for enactment by the Compacting States. No amendment | ||
shall become effective and binding upon the Commission and the | ||
Compacting States unless and until all Compacting States enact | ||
the amendment into law. | ||
Article XIV. WITHDRAWAL, DEFAULT AND TERMINATION | ||
1. Withdrawal. | ||
a. Once effective, the Compact shall continue in force and | ||
remain binding upon each and every Compacting State; provided, | ||
that a Compacting State may withdraw from the Compact | ||
("Withdrawing State") by enacting a statute specifically |
repealing the statute which enacted the Compact into law. | ||
b. The effective date of withdrawal is the effective date | ||
of the repealing statute. However, the withdrawal shall not | ||
apply to any product filings approved or self-certified, or any | ||
Advertisement of such products, on the date the repealing | ||
statute becomes effective, except by mutual agreement of the | ||
Commission and the Withdrawing State unless the approval is | ||
rescinded by the Withdrawing State as provided in subsection e. | ||
of this section. | ||
c. The Commissioner of the Withdrawing State shall | ||
immediately notify the Management Committee in writing upon the | ||
introduction of legislation repealing this Compact in the | ||
Withdrawing State. | ||
d. The Commission shall notify the other Compacting States | ||
of the introduction of such legislation within ten (10) days | ||
after its receipt of notice thereof. | ||
e. The Withdrawing State is responsible for all | ||
obligations, duties and liabilities incurred through the | ||
effective date of withdrawal, including any obligations, the | ||
performance of which extend beyond the effective date of | ||
withdrawal, except to the extent those obligations may have | ||
been released or relinquished by mutual agreement of the | ||
Commission and the Withdrawing State. The Commission's | ||
approval of Products and Advertisement prior to the effective | ||
date of withdrawal shall continue to be effective and be given | ||
full force and effect in the Withdrawing State, unless formally |
rescinded by the Withdrawing State in the same manner as | ||
provided by the laws of the Withdrawing State for the | ||
prospective disapproval of products or advertisement | ||
previously approved under state law. | ||
f. Reinstatement following withdrawal of any Compacting | ||
State shall occur upon the effective date of the Withdrawing | ||
State reenacting the Compact. | ||
2. Default. | ||
a. If the Commission determines that any Compacting State | ||
has at any time defaulted ("Defaulting State") in the | ||
performance of any of its obligations or responsibilities under | ||
this Compact, the Bylaws or duly promulgated Rules or Operating | ||
Procedures, then, after notice and hearing as set forth in the | ||
Bylaws, all rights, privileges and benefits conferred by this | ||
Compact on the Defaulting State shall be suspended from the | ||
effective date of default as fixed by the Commission. The | ||
grounds for default include, but are not limited to, failure of | ||
a Compacting State to perform its obligations or | ||
responsibilities, and any other grounds designated in | ||
Commission Rules. The Commission shall immediately notify the | ||
Defaulting State in writing of the Defaulting State's | ||
suspension pending a cure of the default. The Commission shall | ||
stipulate the conditions and the time period within which the | ||
Defaulting State must cure its default. If the Defaulting State | ||
fails to cure the default within the time period specified by | ||
the Commission, the Defaulting State shall be terminated from |
the Compact and all rights, privileges and benefits conferred | ||
by this Compact shall be terminated from the effective date of | ||
termination. | ||
b. Product approvals by the Commission or product | ||
self-certifications, or any Advertisement in connection with | ||
such product, that are in force on the effective date of | ||
termination shall remain in force in the Defaulting State in | ||
the same manner as if the Defaulting State had withdrawn | ||
voluntarily pursuant to paragraph 1 of this Article. | ||
c. Reinstatement following termination of any Compacting | ||
State requires a reenactment of the Compact. | ||
3. Dissolution of Compact. | ||
a. The Compact dissolves effective upon the date of the | ||
withdrawal or default of the Compacting State which reduces | ||
membership in the Compact to one Compacting State. | ||
b. Upon the dissolution of this Compact, the Compact | ||
becomes null and void and shall be of no further force or | ||
effect, and the business and affairs of the Commission shall be | ||
wound up and any surplus funds shall be distributed in | ||
accordance with the Bylaws. | ||
Article XV. SEVERABILITY AND CONSTRUCTION | ||
1. The provisions of this Compact shall be severable; and | ||
if any phrase, clause, sentence or provision is deemed | ||
unenforceable, the remaining provisions of the Compact shall be | ||
enforceable. |
2. The provisions of this Compact shall be liberally | ||
construed to effectuate its purposes. | ||
Article XVI. BINDING EFFECT OF COMPACT AND OTHER LAWS | ||
1. Other Laws. | ||
a. Nothing herein prevents the enforcement of any other law | ||
of a Compacting State, except as provided in paragraph b of | ||
this Article. | ||
b. For any Product approved or certified to the Commission, | ||
the Rules, Uniform Standards and any other requirements of the | ||
Commission shall constitute the exclusive provisions | ||
applicable to the content, approval and certification of such | ||
Products. For Advertisement that is subject to the Commission's | ||
authority, any Rule, Uniform Standard or other requirement of | ||
the Commission which governs the content of the Advertisement | ||
shall constitute the exclusive provision that a Commissioner | ||
may apply to the content of the Advertisement. Notwithstanding | ||
the foregoing, no action taken by the Commission shall abrogate | ||
or restrict: (i) the access of any person to state courts; (ii) | ||
remedies available under state law related to breach of | ||
contract, tort, or other laws not specifically directed to the | ||
content of the Product; (iii) state law relating to the | ||
construction of insurance contracts; or (iv) the authority of | ||
the attorney general of the state, including but not limited to | ||
maintaining any actions or proceedings, as authorized by law. | ||
c. All insurance products filed with individual States |
shall be subject to the laws of those States. | ||
2. Binding Effect of this Compact. | ||
a. All lawful actions of the Commission, including all | ||
Rules and Operating Procedures promulgated by the Commission, | ||
are binding upon the Compacting States. | ||
b. All agreements between the Commission and the Compacting | ||
States are binding in accordance with their terms. | ||
c. Upon the request of a party to a conflict over the | ||
meaning or interpretation of Commission actions, and upon a | ||
majority vote of the Compacting States, the Commission may | ||
issue advisory opinions regarding the meaning or | ||
interpretation in dispute. | ||
d. In the event any provision of this Compact exceeds the | ||
constitutional limits imposed on the legislature of any | ||
Compacting State, the obligations, duties, powers or | ||
jurisdiction sought to be conferred by that provision upon the | ||
Commission shall be ineffective as to that Compacting State, | ||
and those obligations, duties, powers or jurisdiction shall | ||
remain in the Compacting State and shall be exercised by the | ||
agency thereof to which those obligations, duties, powers or | ||
jurisdiction are delegated by law in effect at the time this | ||
Compact becomes effective.
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Section 99. Effective date. This Act takes effect upon | ||
becoming law.
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