2000
[DOCID: f:h3766ih.txt]
107th CONGRESS
2d Session
H. R. 3766
To establish an Office of the National Insurers within the Department
of the Treasury to authorize the issuance of Federal charters for
carrying out the underwriting and sale of insurance or any other
insurance operations, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
February 14, 2002
Mr. LaFalce (for himself and Mrs. Jones of Ohio) introduced the
following bill; which was referred to the Committee on Financial
Services, and in addition to the Committees on the Judicary, and Ways
and Means, for a period to be subsequently determined by the Speaker,
in each case for consideration of such provisions as fall within the
jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To establish an Office of the National Insurers within the Department
of the Treasury to authorize the issuance of Federal charters for
carrying out the underwriting and sale of insurance or any other
insurance operations, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE AND TABLE OF CONTENTS.
(a) Short Title.--This Act may be cited as the ``Insurance Industry
Modernization and Consumer Protection Act''.
(b) Table of Contents.--The table of contents for this Act is as
follows:
Sec. 1. Short title and table of contents.
TITLE I--PURPOSE AND DEFINITIONS
Sec. 101. Purposes.
Sec. 102. Definitions.
TITLE II--DIRECTOR OF THE OFFICE OF NATIONAL INSURERS
Sec. 201. Director of the Office of National Insurers.
Sec. 202. Supervision of national insurers.
Sec. 203. Authority to prescribe regulations.
Sec. 204. Examination, assessments, and fees.
Sec. 205. Enforcement.
Sec. 206. Insurance fraud.
Sec. 207. International regulatory support.
TITLE III--NATIONAL INSURERS
Subtitle A--Organization, Licensing, and Operations
Sec. 301. Organization, operation, and regulation of national insurers.
Sec. 302. U.S branches of non-U.S. insurers.
Sec. 303. Federal licensing of national insurers.
Sec. 304. Corporate governance.
Sec. 305. Main office.
Sec. 306. Conversion of State insurer to national insurer.
Sec. 307. Conversion of national insurer to State insurer.
Subtitle B--Powers
Sec. 321. Powers of national insurers.
Sec. 322. Separate accounts.
Sec. 323. Protected cells.
Subtitle C--Financial Regulation
Sec. 331. Accounting principles and auditing standards.
Sec. 332. Investments.
Sec. 333. Asset valuation and rating.
Sec. 334. Valuation of liabilities.
Sec. 335. Continuing and alternate benefits.
Sec. 336. Actuarial opinion.
Sec. 337. Risk-based capital standards.
Sec. 338. Dividends to shareholders.
Subtitle D--Reinsurance
Sec. 351. Definitions.
Sec. 352. Reserve credit.
Sec. 353. Risk transfer regulation.
Sec. 354. International standards; host country reserves.
Sec. 355. Reinsurance contract terms.
Sec. 356. Licensing of Federally qualified reinsurers.
Sec. 357. Transition.
Sec. 358. Applicability of other subtitles and laws.
Subtitle E--Insurance Business
Sec. 361. Product regulation.
Sec. 362. Underwriting standards for life insurers.
Sec. 363. Group, blanket, and franchise insurance.
Sec. 364. Insurable interests under life insurance policies.
Sec. 365. Law applicable to life insurance policies or other products
of national life insurers.
Subtitle F--Market Conduct
Sec. 371. Purposes and regulations.
Sec. 372. Unfair or deceptive practices.
Sec. 373. Replacement of life insurance policies.
Sec. 374. Unfair discrimination, unfair claims settlement practices,
and unlawful inducements.
Sec. 375. HIV written informed consent, discrimination against abuse
victims, and Holocaust victims claims.
Sec. 376. Minimum national standards.
Subtitle G--Acquisitions of Control, Mergers, Bulk Transfers, and
Domestication
Sec. 381. Acquisition of control.
Sec. 382. Mergers, consolidations, and acquisitions.
Sec. 383. Bulk transfers.
Sec. 384. Domestication of U.S. branch of a non-U.S. insurer.
Subtitle H--Health Insurance
Sec. 391. Recommendations for health insurance.
TITLE IV--STATE TAXATION
Sec. 401. State taxation.
TITLE V--TREATMENT OF MCCARRAN-FERGUSON ACT
Sec. 501. Repeal of antitrust exemption for business of insurance.
TITLE VI--HOLDING COMPANIES
Sec. 601. Definitions
Sec. 602. Registration.
Sec. 603. Standards and management of national insurer within an
insurance holding company system.
Sec. 604. Conflict with other Federal laws.
TITLE VII--RELATIONSHIPS WITH STATE LAW
Sec. 701. Definitions.
Sec. 702. General prohibition.
Sec. 703. State license not required.
Sec. 704. State insurance law.
Sec. 705. Prohibition of discrimination.
Sec. 706. Permissible State regulation.
Sec. 707. Sales activities by State-licensed insurance producers.
TITLE VIII--CONFORMING AMENDMENTS AND OTHER PROVISIONS
Sec. 801. Federal court jurisdiction.
Sec. 802. Federal court venue.
Sec. 803. Judicial review.
Sec. 804. Amendment to Freedom of Information Act.
Sec. 805. Amendments to Internal Revenue Code of 1986.
Sec. 806. Amendments to Federal securities laws.
Sec. 807. Amendments to Employee Retirement Income Security Act of
1974.
Sec. 608. Amendments to Gramm-Leach-Bliley Act.
Sec. 809. Amendment to Act of October 28, 1974.
Sec. 810. Amendments to Federal Deposit Insurance Act.
Sec. 811. Amendments to Bank Holding Company Act of 1956.
Sec. 812. Amendments to title 18, United States Code.
Sec. 813. Amendments to Americans With Disabilities Act of 1990.
TITLE IX--RECEIVERSHIP
Subtitle A--Definitions
Sec. 901. Definitions.
Sec. 902. Construction.
Subtitle B--The Court
Sec. 903. Jurisdiction.
Sec. 904. Powers.
Sec. 905. Appeals.
Sec. 906. Appeal pendency plans.
Subtitle C--General Provisions
Sec. 907. Duty to provide information to corporation, State
commissioners, and associations.
Sec. 908. Cooperation of officers, owners, and employees.
Sec. 909. Right to appear and be heard.
Subtitle D--Administration
Sec. 910. Entities subject to this title.
Sec. 911. Commencement of receivership.
Sec. 912. Grounds for entry of a rehabilitation or liquidation order.
Sec. 913. Service of summons and return.
Sec. 914. Automatic stay.
Sec. 915. Answer and hearing.
Sec. 916. Notice of entry of order of rehabilitation or liquidation.
Sec. 917. Contents of notice of receivership.
Sec. 918. Initial status hearing.
Sec. 919. Dismissal of receivership proceeding.
Sec. 920. Receivership proceedings for non-U.S. States insurers.
Sec. 921. Trusteed assets of a United States branch of a non-U.S.
insurer.
Sec. 922. Trust fund claims.
Sec. 923. Limited appearance.
Sec. 924. Advisory committees.
Sec. 925. Ex parte orders of conservation and seizure.
Sec. 926. Confidentiality of hearings.
Sec. 927. Modification of orders.
Sec. 928. Authority to operate and restructure insurer's business.
Sec. 929. Conversion to liquidation.
Sec. 930. Order of liquidation.
Sec. 931. Continuation of coverage.
Subtitle E--Office of the Receiver
Sec. 932. Appointment of receiver.
Sec. 933. Title to and possession of assets and records.
Sec. 934. Immunity and indemnification of the receiver and employees.
Sec. 935. Employment of professional persons.
Sec. 936. Powe
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rs of rehabilitators and liquidators.
Sec. 937. Advances to the receiver.
Sec. 938. Executory contracts.
Sec. 939. Abandonment of property and records.
Sec. 940. Extension of time.
Sec. 941. Periodic reports.
Sec. 942. Document depository.
Sec. 943. Audit of receivership records.
Sec. 944. General service list.
Sec. 945. Routine matters.
Sec. 946. Matters requiring prior court approval.
Sec. 947. Notice of proposed claims disposition.
Subtitle F--The Estate
Sec. 948. Turnover of property to receiver.
Sec. 949. Turnover of premiums owed.
Sec. 950. Limitation on avoiding powers.
Sec. 951. Receiver as lien creditor and as successor to certain
creditors, purchasers and fiduciaries.
Sec. 952. Preferences.
Sec. 953. Fraudulent transfers and obligations.
Sec. 954. Transfer of national insurer's property to good faith
purchaser.
Sec. 955. Recoupment from affiliates.
Sec. 956. Liability of transferee of an avoided transfer.
Sec. 957. Automatic preservation of avoided transfer.
Sec. 958. Setoff.
Sec. 959. Qualified financial contracts.
Sec. 960. Recovery from reinsurers.
Sec. 961. Cut-through provisions.
Sec. 962. Life reinsurance.
Subtitle G--Creditors and Claims
Sec. 963. Rights and liabilities of creditors fixed upon liquidation.
Sec. 964. Claims filing; late filing.
Sec. 965. Proof of claim.
Sec. 966. Allowance of claims.
Sec. 967. Allowance of contingent and unliquidated claims.
Sec. 968. Reserve for third party claims against insured.
Sec. 969. Allowance of secured claims.
Sec. 970. Preliminary notice of claims determination.
Sec. 971. Claims of co-debtors.
Sec. 972. Approval of agreed claims.
Sec. 973. Denial of a claim.
Sec. 974. Claim by creditor in receipt of voidable transfer.
Sec. 975. Priority of distribution.
Sec. 976. Liquidator's proposal for early access disbursements.
Subtitle H--The Plan
Sec. 977. Who may file a plan.
Sec. 978. Contents of a plan.
Sec. 979. Court approval of plan.
Sec. 980. Effect of court approval of plan.
Sec. 981. Partial and final distributions or dividends.
Sec. 982. Transfer of assets and liabilities to liquidating trust.
Sec. 983. Collateralization of case reserves and incurred but not
reported losses.
Sec. 984. Commutations.
Sec. 985. Mandatory negotiation and arbitration.
Sec. 986. Reinsurance recoverable trust provisions.
Sec. 987. Liquidating trust provisions.
Subtitle I--Post Plan
Sec. 988. Unclaimed and undistributed funds.
Sec. 989. Termination of receivership proceedings and discharge of
receiver.
Sec. 990. Petition to reopen proceedings.
TITLE X--INSOLVENCY PROTECTION
Subtitle A--Life Insurance
Sec. 1001. Definitions.
Sec. 1002. National insurer participation in qualified State
associations.
Sec. 1003. Qualified State defined.
Sec. 1004. Transition rules when association preempted.
Sec. 1005. Establishment of the National Life Insurance Guaranty
Corporation; protection for residents in
preempted States.
Sec. 1006. Protections against insolvency: coverage and limitations.
Sec. 1007. Accounts for administration and assessments.
Sec. 1008. Board of directors.
Sec. 1009. Powers and duties of the corporation.
Sec. 1010. Assessments.
Sec. 1011. Appeal by national insurer of assessments.
Sec. 1012. Duties and powers of Director.
Sec. 1013. Cooperation between Director and State commissioners.
Sec. 1014. Prohibited discrimination in tax treatment.
Sec. 1015. Miscellaneous provisions.
Sec. 1016. Examination of the corporation; annual report.
Sec. 1017. Immunity.
Sec. 1018. Stay of proceedings; reopening default judgments.
Sec. 1019. Prohibited advertisement of State association or the
corporation in insurance sales; notice to
policyowners.
Subtitle B--Property and Casualty Insurance
Sec. 1020. Definitions.
Sec. 1021. National insurer participation in qualified State
associations.
Sec. 1022. Qualified State defined.
Sec. 1023. Transition rules when association preempted.
Sec. 1024. Establishment of National Property and Casualty Insurance
Guaranty Corporation; protection for
residents in preempted States.
Sec. 1025. Protections against insolvency; coverage and limitations.
Sec. 1026. Board of directors.
Sec. 1027. Powers and duties of the corporation.
Sec. 1028. Duties and powers of Director.
Sec. 1029. Effect of paid claim.
Sec. 1030. Exhaustion of other coverage.
Sec. 1031. Cooperation between Director and State commissioners.
Sec. 1032. Prohibited discrimination in tax treatment.
Sec. 1033. Examination of the corporation; annual report.
Sec. 1034. Immunity.
Sec. 1035. Stay of proceedings
TITLE XI--EFFECTIVE DATE
Sec. 1101. Effective date.
TITLE I--PURPOSE AND DEFINITIONS
SEC. 101. PURPOSES.
The purposes of this Act are to--
(1) provide for the chartering of national insurers;
(2) provide for the licensing of national insurers;
(3) provide for the regulation of the underwriting and sale
of insurance and other insurance operations as conducted by
national insurers and insurance producers; and
(4) provide for the establishment of the Office of National
Insurers and the position of Director of the Office of National
Insurers with responsibility for administering and enforcing
this Act, including with respect to such chartering, licensing,
and regulatory activities.
SEC. 102. DEFINITIONS.
For purposes of this Act:
(1) Acquiring and/or assuming insurer.--The term
``acquiring and/or assuming insurer'' means a national insurer
that is the acquiring and/or assuming insurer in an acquisition
of assets and/or an assumption of liabilities pursuant to
subsection (a) of section 382.
(2) Affiliate.--Except as specifically provided otherwise
in this Act, the term ``affiliate'' means any person that
controls, is controlled by, or is under common control with, a
national insurer.
(3) Business entity.--The term ``business entity'' means a
corporation, association, partnership, limited liability
company, limited liability partnership, or other legal entity.
(4) Conduct.--The term ``conduct'' includes acts, action,
omissions, and inaction.
(5) Control.--The terms ``control'', ``controlling'',
``controlled by'', and ``under common control with'', means the
possession, direct or indirect, of the power to direct or cause
the direction of the management and policies of a business
entity, whether through the ownership of voting securities, by
contract or otherwise, unless the power is the result of an
official position with or corporate office held by a person.
For purposes of section 381 and title VI, control shall be
presumed to exist if any person, directly or indirectly, owns,
controls, holds with the power to vote, or holds proxies
representing, 10 percent or more of the voting securities of
any other person.
(6) Corporate form.--The term ``corporate form'' means,
with respect to an insurer, stock, mutual, or fraternal form.
(7) Director.--The term ``Director'' means the Director of
the Office of National Insurers.
(8) Domestication.--The term ``domestication'' means the
reorganization pursuant to subtitle G of the U.S. branch of a
non-U.S. insurer whereby a national insurer succeeds to all
business and assets and assumes all liabilities of such U.S.
branch.
(9) Federal banking agencies.--The term ``Federal banking
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agencies'' means the Office of the Comptroller of the Currency,
the Board of Governors of the Federal Reserve System, and the
Federal Deposit Insurance Corporation.
(10) Federal license.--The term ``Federal license'' means a
license issued under section 303.
(11) Foreign governmental authority.--The term ``foreign
governmental authority'' means a governmental authority of a
foreign jurisdiction.
(12) Foreign jurisdiction.--The term ``foreign
jurisdiction'' means any jurisdiction other than the United
States or a State.
(13) Insurance.--Except as specifically provided otherwise
in this Act, the term ``insurance'' includes life insurance and
property and casualty insurance. Such term does not include
health insurance.
(14) Insurance operations.--The term ``insurance
operations'' includes the business of insurance.
(15) Insurance producer.--The term ``insurance producer''
means any person that sells, solicits or negotiates policies of
insurance, except that none of the following is an insurance
producer:
(A) A national insurer.
(B) An officer, director or employee of a national
insurer or of an insurance producer, if--
(i) the officer, director or employee does
not receive any commission or other
compensation on insurance policies written or
sold by the national insurer which commission
or other compensation is directly dependent
upon the amount of insurance policies written
or sold; and
(ii)(I) the officer, director or employee's
activities are executive, administrative,
managerial, clerical or a combination of these,
and are only indirectly related to the sale,
solicitation or negotiation of insurance;
(II) the officer, director or employee's
function relates to underwriting, loss control,
inspection or the processing, adjusting,
investigating or settling of a claim on a
policy of insurance; or
(III) the officer, director or employee is
acting in the capacity of a special agent or
agency supervisor assisting insurance producers
where the person's activities are limited to
providing technical advice and assistance to
State licensed insurance producers and do not
include the sale, solicitation or negotiation
of insurance.
(C) A person who secures and furnishes information
for the purpose of group insurance policies; or for the
purpose of enrolling individuals under plans, or
issuing certificates under plans or otherwise assisting
in administering plans, where no commission or other
compensation directly dependent upon the amount of
insurance policies written or sold is paid to the
person for the service.
(D) An employer or association or its officers,
directors, employees, or the trustees of an employee
trust plan, to the extent that the employer, officer,
employee, director or trustee is engaged in the
administration or operation of a program of employee
benefits for the employer's or association's own
employees or the employees of its subsidiaries or
affiliates, which program involves the use of insurance
written by the national insurer, as long as the
employers, associations, officers, directors, employees
or trustees are not in any manner compensated, directly
or indirectly, by the national insurer.
(E) An employee of a national insurer or an
organization employed by a national insurer that is
engaging in the inspection, rating or classification of
risks, or in the supervision of the training of
insurance producers and that is not individually
engaged in the sale, solicitation or negotiation of
insurance.
(F) A person whose activities are limited to
advertising without the intent to solicit insurance
through communications in printed publications or other
forms of electronic mass media, provided that the
person does not sell, solicit or negotiate insurance.
(G) A salaried full-time employee who counsels or
advises his or her employer relative to the insurance
interests of the employer or of the subsidiaries or
business affiliates of the employer provided that the
employee does not sell or solicit insurance or receive
a commission or other compensation directly dependent
upon the amount of insurance policies written or sold.
(H) A person that sells, solicits or negotiates a
funding agreement.
(I) Any other kind of person identified by the
Director, by regulation, as not being an insurance
producer within the meaning of this paragraph.
(16) Insurance securitization.--The term ``insurance
securitization'' means the issuance of debt instruments, the
proceeds from which support the exposures attributed to a
protected cell, by a national insurer where repayment of
principal or interest, or both, to investors pursuant to the
transaction terms is contingent upon the occurrence or
nonoccurrence of an event with respect to which the national
insurer is exposed to loss under insurance policies or
reinsurance contracts it has written.
(17) Insurer-affiliated party.--The term ``insurer-
affiliated party'' means--
(A) any director, officer, employee, or controlling
shareholder (other than a holding company) of, or agent
for, a national insurer;
(B) any other person who has filed or is required
to file a statement with the Director under section
381;
(C) any shareholder (other than a holding company),
consultant, joint venture partner, and any other person
as determined by the Director (by regulation or case-
by-case) who participates in the conduct of the affairs
of a national insurer; and
(D) any independent contractor (including any
attorney, actuary, or accountant) of a national insurer
who in that capacity knowingly or recklessly
participates in--
(i) any violation of any law or regulation;
(ii) any breach of fiduciary duty; or
(iii) any conduct that involves an undue
risk of loss to a national insurer's
policyholders as a whole, which violation,
breach or conduct caused or is likely to cause
more than a minimal financial loss to, or a
significant adverse effect on, a national
insurer or the policyholders of a national
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insurer.
(18) Life insurance.--
(A) In general.--The term ``life insurance'' means
insurance for which the probabilities of the duration
of human life or the rate of mortality are an element
or condition of insurance.
(B) Included insurance.--Life insurance includes
the granting of--
(i) endowment benefits;
(ii) additional benefits in the event of
death by accident or accidental means;
(iii) disability income benefits;
(iv) additional disability benefits that
operate to safeguard the contract from lapse or
to provide a special surrender value, or
special benefit in the event of total and
permanent disability;
(v) benefits that provide payment or
reimbursement for long-term home health care,
or long-term care in a nursing home or other
related facility;
(vi) burial insurance; and
(vii) optional modes of settlement of
proceeds of life insurance.
(C) Exclusions.--Life insurance does not include
workers compensation insurance.
(19) Main office.--The term ``main office'' means the
office of a national insurer designated as its main office in
accordance with section 305.
(20) NAIC.--The term ``NAIC'' means the National
Association of Insurance Commissioners.
(21) National insurer.--The term ``national insurer'' means
an insurer chartered under section 301 and the regulations
thereunder.
(22) National life insurer.--The term ``national life
insurer'' means a life insurer chartered under section 301 and
the regulations thereunder.
(23) National property and casualty insurer.--The term
``national property and casualty insurer'' means a property and
casualty insurer chartered under section 301 and the
regulations thereunder.
(24) Negotiate.--The term ``negotiate'' means, with respect
to a policy of insurance, to engage in the act of conferring
directly with or offering advice directly to a purchaser or
prospective purchaser of a particular policy of insurance
concerning any of the substantive benefits, terms or conditions
of the contract, provided that the person engaged in that act
either sells insurance or obtains insurance from insurers for
purchasers.
(25) Non-U.S. insurer.--The term ``non-U.S. insurer'' means
an insurer organized under the laws of a foreign jurisdiction.
(26) Office.--The term ``Office'' means the Office of
National Insurers.
(27) Parent.--The term ``parent'' means a business entity
that, directly or indirectly, controls another business entity.
(28) Person.--The term ``person'' means any natural person
and any corporation, partnership, limited liability company,
limited liability partnership, trust, association, governmental
body or entity, voluntary organization or similar organization.
(29) Person associated with a member.--The term ``person
associated with a member'' means any director, officer,
employee, controlling shareholder, agent, or independent
contractor (including any attorney, actuary or accountant) of a
national insurer that is a member of an insurance self-
regulatory organization.
(30) Policy of insurance.--The term ``policy of insurance''
or ``insurance policy'' means a policy, contract, or
certificate or evidence of insurance, an annuity contract, and
a funding agreement.
(31) Policyholder.--The term ``policyholder'' of an
insurance policy means the person who is identified as the
legal owner under the terms of the insurance policy or who is
otherwise vested with legal title to the insurance policy
through an assignment, absolute on its face, completed in
accordance with the terms of the insurance policy and properly
recorded as the policyholder on the books of the insurer. Such
term does not include a person with a mere beneficial interest
in an insurance policy or a person to which an insurance policy
is assigned for collateral security purposes.
(32) Property and casualty insurance.--
(A) In general.--The term ``property and casualty
insurance'' means insurance for persons or properties
in the United States against--
(i) loss of or damage to property;
(ii) loss of income or extra expense
incurred because of loss of or damage to
property;
(iii) third party liability claims caused
by negligence or imposed by statute or
contract, including workers compensation; or
(iv) loss resulting from debt or default of
another, including sureties.
(B) Exclusions.--Such term does not include health
or life insurance, including group life insurance;
(33) Protected cell.--The term ``protected cell'' means an
identified pool of assets and liabilities of a national insurer
segregated and insulated from the remainder of the national
insurer's assets and liabilities. The remainder of the national
insurer's assets and liabilities includes general account
assets and liabilities, separate account assets and liabilities
and assets and liabilities of other protected cells.
(34) Protected cell account.--The term ``protected cell
account'' means a specifically identified bank or custodial
account established by a national insurer for the purpose of
segregating the protected cell assets of one protected cell
from the protected cell assets of other protected cells and
from the assets of the national insurer's general account and
separate accounts.
(35) Relevant state law.--The term ``relevant State law''
means, with respect to a national insurer, the law of the
relevant State applicable to an insurer that is chartered under
the law of such State and that is of the same corporate form as
the national insurer.
(36) Resulting insurer.--The term ``resulting insurer''
means a national insurer resulting from a merger or
consolidation pursuant to subsection (a) of section 382.
(37) Sell.--The term ``sell'' means, with respect to a
policy of insurance, to exchange by any means, for money or its
equivalent, on behalf of an insurer.
(38) Separate account.--The term ``separate account'' means
an account established and maintained by a national insurer
under which income, gains and losses, whether or not realized,
from assets allocated to such account, are, in accordance with
the applicable contract, credited to or charged against such
account without regard to other income, gains, or losses of the
national insurer.
(39) Solicit.--The term ``solicit'' means, with respect to
a policy of insurance, attempting to sell insurance or asking
or urging a person to apply for a particular kind of insurance
from a particular insurer.
(40) State.--The term ``State'' means any Stat
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e of the
United States, the District of Columbia, any territory of the
United States, Puerto Rico, Guam, American Samoa, the Trust
Territory of the Pacific Islands, the Virgin Islands, and the
Northern Mariana Islands.
(41) State insurer.--The term ``State insurer'' means an
insurer incorporated or organized under the laws of a State.
(42) State licensed insurance producer.--The term ``State
licensed insurance producer'' means a person that is an
insurance producer licensed by a State, but only in those
circumstances in which such person is acting, in any respect,
with regard to a insurance policy or other product of a
national insurer; and such person shall not be subject to the
provisions of this Act when acting in any other circumstances.
(43) Subsidiary.--The term ``subsidiary'' means a business
entity controlled, directly or indirectly, by another business
entity. For purposes of this paragraph--
(A) a business entity is conclusively presumed to
be controlled by a person that, directly or indirectly,
with power to vote, owns, controls or holds a majority
of the outstanding voting securities of such business
entity;
(B) no presumption, either of control or of absence
of control, arises if such ownership, control or
holding of voting securities is less than a majority
but more than 5 percent;
(C) absence of control is presumed if such
ownership, control or holding of voting securities is 5
percent or less; and
(D) in determining control, voting securities held
in separate accounts of a business entity shall be
deemed to be owned by the business entity, but voting
securities in an investment advisory account that are
not owned by a business entity but are held in an
account as to which the business entity is an
investment adviser shall not be deemed to be controlled
or held by such business entity.
(44) Transition commencement date.--The term ``transition
commencement date'' means the date on which the first national
insurer is granted a Federal license by the Director under this
Act.
(45) Transition termination date.--The term ``transition
termination date'' means the 5th anniversary of the transition
commencement date.
(46) Trusteed assets.--The term ``trusteed assets'' means
assets required or permitted by this Act to be deposited by a
non-U.S. insurer with a qualified trustee for the security of
its policyholders and creditors in the United States.
(47) Trusteed surplus.--The term ``trusteed surplus''
means, with respect to a U.S. branch, the value of the
insurer's trusteed assets deposited with a trustee in
compliance with subsection (b) of section 302, plus accrued
investment income thereon where such interest is collected by
the States trustees, less the aggregate net amount of all of
its reserves and other liabilities in the United States as
determined in accordance with subsection (b) of section 302.
(48) U.S. branch.--The term ``U.S. branch'' means the
business unit through which business is transacted within the
United States by a non-U.S. insurer and the assets and
liabilities of the insurer within the United States pertaining
to such business.
(49) Violation.--The term ``violation'' includes any action
or inaction (alone or with another or others) for or toward
causing, bringing about, participating in, counseling, or
aiding or abetting a violation.
(50) Voting securities.--The term ``voting securities''
means securities of any class or any ownership interest having
voting power for the election of directors, trustees or
management of a business entity, other than securities having
such power only by reason of the happening of a contingency.
TITLE II--DIRECTOR OF THE OFFICE OF NATIONAL INSURERS
SEC. 201. DIRECTOR OF THE OFFICE OF NATIONAL INSURERS.
(a) Establishment of Office.--There is established the Office of
National Insurers, which shall be an office in the Department of the
Treasury.
(b) Establishment of Position of Director.--There is established
the position of the Director of the Office of National Insurers, who
shall be the head of the Office of National Insurers and shall be
subject to the general oversight of the Secretary of the Treasury.
(c) Autonomy of Director.--The Secretary of the Treasury may not
intervene in any matter or proceeding before the Director (including
agency enforcement actions) unless otherwise specifically provided by
law.
(d) Appointment; Term.--
(1) Appointment.--The Director shall be appointed by the
President, by and with the advice and consent of the Senate,
from among individuals who are citizens of the United States.
(2) Term.--The Director shall be appointed for a term of 4
years that begins on August 1 of the year following the year in
which a Presidential election occurs. The term of the first
Director appointed pursuant to this section shall terminate at
the end of July 31 of the year following the first
Presidential election occurring after confirmation of such Director to
the office of Director.
(3) Vacancy.--A vacancy in the position of Director which
occurs before the expiration of the term for which a Director
was appointed shall be filled in the manner established in
paragraph (1) and the Director appointed to fill such vacancy
shall be appointed only for the remainder of such term.
(4) Service after end of term.--An individual may serve as
Director after the expiration of the term for which appointed
until a successor Director has been appointed.
(e) Prohibition on Financial Interests.--The Director shall not
have a direct or indirect financial interest in any national insurer or
State licensed insurance producer, except that the Director may own,
directly or indirectly, or may have a direct or indirect beneficial
interest in any insurance policy underwritten or sold by a national
insurer.
(f) Annual Report Required.--The Director shall make an annual
report to the Congress. Such report shall include a description of any
changes the Director has made or is considering making in any district
offices of the Office, including a description of the geographic
allocation of the Office's resources and personnel used to carry out
examination and supervision functions.
(g) Staff.--
(1) Appointment and compensation.--The Director shall fix
the compensation and number of, and appoint and direct, all
employees of the Office of National Insurers notwithstanding
section 301(f)(1) of title 31, United States Code, without
regard to the provisions of title 5, United States Code,
governing appointments in the competitive service (except such
provisions that relate to discrimination), and without regard
to the provisions of chapter 51 and subchapter III of chapter
53 of that title relating to classification and General
Schedule pay rates.
(2) Rates of basic pay.--Rates of basic pay for employees
of the Office may be set and adjusted by the Director without
regard to the provisions of chapter 51 or subchapter III of
chapter 53 of title 5, United States Code.
(3) Additional compensation and benefits.--The Director may
pro
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vide additional compensation and benefits to employees of
the Office if the same type of compensation or benefits are
then being provided by any Federal banking agency or, if not
then being provided, could be provided by such an agency under
applicable provisions of law, rule or regulation. In setting
and adjusting the total amount of compensation and benefits for
employees of the Office, the Director shall consult, and seek
to maintain comparability with, the Federal banking agencies.
(4) Delegation authority.--Except to the extent expressly
prohibited by the provisions of this Act, the Director may--
(A) designate who shall act as Director in the
Director's absence; and
(B) delegate to any employee, representative, or
agent any power conferred on the Director by this Act.
(h) Litigation Authority.--The Director shall have authority to sue
and be sued, complain and defend, and otherwise litigate, in the
Director's own name and through the Director's own attorney, in any
court, State or Federal.
(i) Funding Through Assessments.--The compensation of the Director
and employees of the Office and all other expenses of the Office may be
paid from assessments levied under section 204.
(j) GAO Audit.--The Director shall make available to the
Comptroller General of the United States all books and records
necessary to audit all of the activities of the Office of National
Insurers.
(k) Authority To Establish District Offices.--The Director shall
have the authority to establish, in his discretion, such district
offices of the Office, at such locations, as the Director deems
necessary to perform the Office's duties.
(l) Division of Consumer Affairs.--The Director shall establish a
Division of Consumer Affairs within the Office.
SEC. 202. SUPERVISION OF NATIONAL INSURERS.
(a) Examinations.--
(1) In general.--The Director shall provide for the
examination of national insurers. The Director shall, not less
than once during each 12-month period, conduct an on-site
financial examination and an onsite market conduct examination
of each national insurer.
(2) Exemption.--The Director may exempt a national insurer
from the requirement under paragraph (1) of an annual on-site
financial examination if the Director determines that the
financial condition of the national insurer warrants such an
exemption. The Director may not exempt any national insurer
from such requirement for 2 successive years.
(b) Reports.--
(1) In general.--The Director may require national insurers
to make such reports, containing such information and in such
form, as the Director may prescribe by regulation. Every
national insurer that holds a Federal license shall file with
the Director annual and quarterly financial statements at such
times and in such form as the Director may require by
regulation. Financial statements shall follow the accounting
principles specified pursuant to section 331. The Director
shall by regulation require that annual financial statements be
audited and accompanied by a report thereon of independent
accountants. The regulations shall specify the information that
must be disclosed in the financial statements and accompanying
notes and may specify additional schedules that need not be
filed with the financial statements but must be available for
examination by the Director upon request for a period of time
specified in the regulations.
(2) Public disclosure.--
(A) The Director shall, by regulation, prescribe
the extent to which the following shall, in whole or in
part, be made available to the public upon request--
(i) reports of examinations conducted
pursuant to subsection (a), and the information
contained in such reports;
(ii) reports by national insurers pursuant
to paragraph (1), and the information contained
in such reports;
(iii) information reported pursuant to
section 602 or 603 (or regulations thereunder);
and
(iv) any workpapers or other materials of a
national insurer that the Director obtains in
connection with an examination conducted
pursuant to subsection (a), a report pursuant
to paragraph (1), a submission pursuant to
section 602 or 603 (or regulations thereunder)
or otherwise and that are in the Director's
possession at the time of the request, and the
information contained in such workpapers or
other materials, except that neither the
provision of such workpapers or other materials
of a national insurer to the Director nor
anything in this Act or in any regulations issued under this Act shall
constitute a waiver of, or otherwise affect, any privilege or other
form of legal protection or exemption from public disclosure to which
such workpapers or other materials, and the information contained in
such workpapers or other materials, are otherwise subject.
(B) Except to the extent prescribed in regulations
issued by the Director in accordance with subparagraph
(A) and subject to clause (iv) of subparagraph (A),
reports of examination conducted pursuant to subsection
(a), reports by national insurers pursuant to paragraph
(1), information reported pursuant to section 602 or
603 (or regulations thereunder), and any workpapers or
other materials of a national insurer that the Director
obtains in connection with an examination conducted
pursuant to subsection (a), a report pursuant to
paragraph (1), a submission pursuant to section 602 or
603 (or regulations thereunder) or otherwise and that
are in the Director's possession at the time of the
request, and all information contained in such reports,
workpapers or other materials, shall be made available
to the public upon request unless the Director
determines--
(i) that a particular item or
classification of information should not be
made public in order to protect the insurer or
insurers concerned, or the policyholders of
such insurer or insurers; or
(ii) that public disclosure would otherwise
not be in the public interest.
(C) Any determination made by the Director under
subparagraph (B) not to permit the public disclosure of
information shall be made in writing, and if the
Director restricts any item of information for national
insurers generally, the Director shall disclose the
reason in detail in the Federal Register.
(3) Access by certain parties.--
(A) Notwithstanding paragraph (2), the persons
described in subparagraph (B) shall not be denied
access to any information contained in a report
required under paragraph (1), subject to reasonable
requirements of confidentiality. Those requ
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irements
shall not prevent such information from being
transmitted to the Comptroller General of the United
States for analysis.
(B) The following persons are described in this
subparagraph for purposes of subparagraph (A)--
(i) the Chairman or ranking minority member
of the Committee on Commerce, Science and
Transportation of the Senate and their
designees; and
(ii) the Chairman or ranking minority
member of the Committee on Financial Services
of the House of Representatives and their
designees.
(c) Compliance With Monetary Transaction Recordkeeping and Report
Requirements.--
(1) Compliance procedures required.--The Secretary of the
Treasury shall prescribe regulations requiring national
insurers to establish and maintain procedures reasonably
designed to ensure and monitor the compliance of such national
insurers with the requirements of subchapter II of chapter 53
of title 31, United States Code.
(2) Examinations of national insurers to include review of
compliance procedures.--
(A) In general.--Each examination of a national
insurer by the Director shall include a review of the
procedures required to be established and maintained
under paragraph (1).
(B) Examination report requirement.--The report of
examination shall describe any problem with the
procedures maintained by the national insurer.
(3) Order to comply with requirements.--If the Director
determines that a national insurer--
(A) has failed to establish and maintain the
procedures described in paragraph (1); or
(B) has failed to correct any problem with the
procedures maintained by such national insurer that was
previously reported to the national insurer by the
Director, the Director shall issue an order in the
manner prescribed in section 205 requiring such
national insurer to cease and desist from its violation
of this subsection or regulations implementing this
subsection.
(d) Ancillary Provisions.--
(1) In making examinations of national insurers, examiners
appointed by the Director shall have power--
(A) to require an affiliate of a national insurer
to make such reports and provide such material as the
examiners may direct, but only to the extent necessary
to disclose information concerning activities of the
affiliate that may affect the operations, management or
financial condition of the national insurer; and
(B) to make examinations of the affairs of an
affiliate of a national insurer, but--
(i) only if the examiners have reasonable
cause to believe that the activities of the
affiliate may affect the operations, management
or financial condition of the national insurer;
(ii) only if the examiners are unable to
obtain the necessary information from the
national insurer; and
(iii) only to the extent necessary to
disclose information concerning the activities
of the affiliate that may affect the
operations, management or financial condition
of the national insurer.
(2) In the course of any examination of any national
insurer, prompt and complete access shall be given to national
insurer officers, directors, employees, and agents, and to
relevant books, records, or documents of any type.
(3) Upon request made in the course of supervision or
oversight of any national insurer, for the purpose of acting on
any application or determining the condition of any national
insurer, including whether operations are being conducted in a
manner that does not involve undue risk of loss to the national
insurer's policyholders as a whole, or in compliance with
charters, laws, regulations, directives, written agreements, or
conditions imposed in writing in connection with the granting
of an application or other request, the Director shall be given
prompt and complete access to national insurer officers,
directors, employees, and agents, and to relevant books,
records, or documents of any type.
(4) If prompt and complete access upon request is not given
as required in this subsection, the Director may apply to the
United States district court for the judicial district (or the
United States court in any territory) in which the main office
of the national insurer is located, or in which the person
denying such access resides or carries on business, or in the
United States District Court for the District of Columbia, for
an order requiring that such information be promptly provided.
(5) In connection with examinations of national insurers
and affiliates thereof, the Director may--
(A) administer oaths and affirmations and examine
and take and preserve testimony under oath as to any
matter in respect of the affairs or ownership of any
such national insurer or affiliate; and
(B) issue subpoenas and, for the enforcement
thereof, apply to the United States district court for
the judicial district (or the United States court in
any territory) in which the main office of the national
insurer or affiliate is located, or in which the
witness resides or carries on business, or in the
United States District Court for the District of
Columbia. Such courts shall have jurisdiction and power
to order and require compliance with any such subpoena.
(6) Any national insurer and any affiliate of any national
insurer shall provide the Director with complete access to any
information or report with respect to any examination made by
any other State or Federal regulatory authority and furnish any
additional information with respect thereto as the Director may
reasonably require.
SEC. 203. AUTHORITY TO PRESCRIBE REGULATIONS.
(a) In General.--The Director may prescribe such regulations and
issue such orders and interpretations as the Director may determine to
be appropriate to carry out this Act and all other laws within the
Director's jurisdiction.
(b) Scope of Authority.--The Secretary of the Treasury may not
delay or prevent the issuance of any rule or the promulgation of any
regulation by the Director.
SEC. 204. EXAMINATION, ASSESSMENTS, AND FEES.
(a) Examination of National Insurers.--The cost of conducting
examinations of national insurers pursuant to section 202, implementing
this Act, and repaying amounts provided to the Director pursuant to
subsection (k) of this section, shall be assessed by the Director
against each such national insurer as the Director deems necessary or
appropriate.
(b) Examination of Affiliates.--The costs of conducting
examinations of affiliates of national insurers pursuant to section
202, implementing this Act, and repaying amounts provided to the
Director pursuant to subsec
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tion (k) of this section, may be assessed by
the Director against each affiliate that is examined as the Director
deems necessary or appropriate.
(c) Assessment Against National Insurer in Case of Affiliate's
Refusal To Pay.--
(1) In general.--Subject to paragraph (2), if any affiliate
of a national insurer--
(A) refuses to pay any assessment under subsection
(b) of this section; or
(B) fails to pay any such assessment before the end
of the 60-day period beginning on the date of the
assessment, the Director may assess such cost against,
and collect such cost from, such national insurer.
(2) Affiliate of more than one national insurer.--If any
affiliate referred to in paragraph (1) is an affiliate of more
than one national insurer, the assessment with respect to the
affiliate may be assessed against, and collected from, any
affiliated national insurer in such proportions as the Director
may prescribe.
(d) Civil Money Penalty for Affiliate's Refusal To Cooperate.--
(1) Penalty imposed.--If any affiliate of any national
insurer--
(A) refuses to permit any examiner appointed by the
Director to make an examination; or
(B) refuses to provide any information required to
be disclosed in the course of any examination, the
national insurer shall forfeit and pay a civil penalty
of not more than $25,000 for each day that any such
refusal continues.
(2) Assessment and collection.--Any penalty imposed under
paragraph (1) shall be assessed and collected by the Director,
in the manner provided in subsection (g)(1) of section 205.
(e) Regulations.--The Director may prescribe regulations with
respect to--
(1) the computation of, and the assessment for, the cost of
conducting examinations pursuant to this section; and
(2) the collection and use of such assessments and any fees
under this section.
Such regulations may establish formulas to determine a fee or schedule
of fees to cover the costs of examinations and also to cover the cost
of processing applications, filings, statements, notices, and requests
for approvals by the Director or the Director's designee.
(f) Treatment of Examination Assessments.--
(1) Deposits.--Amounts received by the Director from
assessments under this section (other than an assessment under
subsection (d)(2) of this section) may be deposited in the
manner provided in section 5234 of the Revised Statutes of the
United States (12 U.S.C. 192), with respect to assessments by
the Comptroller of the Currency.
(2) Assessments are not subject to apportionment of
funds.--Notwithstanding any other provision of law, the amounts
received by the Director from any assessment under this section
(other than an assessment under subsection (d)(2) of this
section) shall not be subject to apportionment for the purpose
of chapter 15 of title 31, United States Code, or under any
other authority.
(g) Processing Fee.--The Director shall assess against any person
that submits to the Office an application, filing, statement, notice,
or request for approval a fee for processing such submission.
(h) Additional Fees for Expenses of the Office.--The Director may
assess against national insurers such additional fees to fund the
direct and indirect expenses of the Office as the Director deems
necessary or appropriate. Such fees may be imposed more frequently than
annually at the discretion of the Director.
(i) Working Capital.--The Director may impose fees and assessments
pursuant to subsections (a), (b), (e) and (h) of this section, in
excess of actual expenses for any given year, to permit the Director to
maintain a working capital fund. The Director shall remit to the payers
of such fees and assessments any funds collected in excess of what he
deems necessary to maintain such working capital fund.
(j) Use of Funds.--The Director may use the combined resources
retained through fees and assessments imposed pursuant to this section
to pay all direct and indirect salary and administrative expenses of
the Office, including contracts and purchases of property and services,
and the direct and indirect expenses of the examinations and
supervisory activities of the Office.
(k) Start-Up Funding.--
(1) In general.--For purposes of carrying out the
responsibilities of the Office and the Director under this Act,
the Secretary of the Treasury shall pay to the Director a one-
time payment of $10,000,000 on the date of the enactment of
this Act. Thereafter, expenses of the Office shall be funded
through the collection of fees as provided under this section.
(2) Additional funds.--Except as provided in this section,
funds in addition to the funds provided under paragraph (1) may
be made available to the Director only if authorized and
appropriated by law.
(3) Repayment of treasury loan.--Not later than the
expiration of the 5-year period beginning on the date of the
enactment of this act, the Director shall repay to the
Secretary of the Treasury the unpaid portion of the $10,000,000
paid to the Director pursuant to paragraph (1).
SEC. 205. ENFORCEMENT.
(a) Federal License Revocation, Suspension, or Restriction.--
(1) Involuntary revocation or restriction.--
(A) Notice to the national insurer.--If the
Director determines that--
(i) a national insurer or its board of
directors has engaged or are engaging in
conduct involving an undue risk of loss to the
national insurer's policyholders as a whole;
(ii) a national insurer is in a financial
or other condition that is not consistent with
the continuation of its operations as presently
conducted by the insurer; or
(iii) a national insurer or its board of
directors has violated any applicable law,
regulation, order, condition imposed in writing
by the Director in connection with the approval
of an application, filing, statement, notice or
other request by the national insurer, or
written agreement entered into between the
national insurer and the Director, the Director
may determine that such conduct, condition, or
violation requires revocation or restriction of
(including restrictions on the lines of
insurance covered by) the national insurer's
Federal license.
(B) If the Director determines that any conduct,
condition, or violation specified in subparagraph (A)
requires revocation or restriction of a national
insurer's Federal license, the Director shall--
(i) serve written notice on the national
insurer of the Director's intention to revoke
the Federal license of such national insurer;
(ii) provide the national insurer with a
statement of the basis for the determination to
revoke or restrict the insurer's Federal
license; and
(iii) notify the national insurer
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of the
date (not less than 30 days after notice under
this subparagraph) and place for a hearing
before the Director (or any person designated
by the Director) with respect to the revocation
or restriction of the national insurer's
Federal license.
(2) Hearing; revocation or restriction.--If, on the basis
of the evidence presented at a hearing before the Director (or
any person designated by the Director for such purpose), in
which all issues shall be determined on the record pursuant to
section 554 of title 5, United States Code, and the written
findings of the Director (or such designated person) with
respect to such evidence (which shall be conclusive), the
Director finds that any conduct, condition, or violation
specified in the notice to a national insurer under paragraph
(1)(B) has been established, the Director may issue an order
revoking or restricting the Federal license of the national
insurer effective as of a date subsequent to such finding.
(3) Appearance; consent to revocation or restriction.--
Unless the national insurer shall appear at the hearing by a
duly authorized representative, it shall be deemed to have
consented to the revocation or restriction of its Federal
license, and revocation or restriction of its Federal license
thereupon may be ordered by the Director.
(4) Judicial review.--Any national insurer whose Federal
license has been revoked or restricted by order of the Director
under this subsection shall have the right of judicial review
of such order only to the same extent as provided for the
review of orders under subsection (f).
(5) Publication of notice of revocation or restriction.--
The Director may publish notice of such revocation or
restriction and the national insurer shall give notice of such
revocation or restriction to each of its policyholders at the
policyholder's last address of record on the books of the
national insurer, in such manner and at such time as the
Director may find to be necessary and may order for the
protection of policyholders.
(6) Temporary suspension or restriction.--
(A) In general.--If the Director initiates a
revocation or restriction proceeding under paragraph
(1) with respect to a national insurer, and the
Director finds that the national insurer poses an
immediate threat to its policyholders or the public,
the Director may issue a temporary order suspending or
restricting the national insurer's Federal license.
(B) Effective period of temporary order.--Any
temporary order issued under subparagraph (A) shall
become effective not earlier than 10 days from the date
of service upon the national insurer and, unless set
aside, limited, or suspended by a court in proceedings
authorized hereunder, such temporary order shall remain
effective and enforceable until an order of the
Director under paragraph (2) or (3) becomes final or
until the Director dismisses the proceedings under
paragraph (2).
(C) Judicial review.--Before the close of the 10-
day period beginning on the date any temporary order
has been served upon a national insurer under
subparagraph (A), such national insurer may apply to
the United States District Court for the District of Columbia, or the
United States district court for the judicial district in which the
main office of the insurer is located, for an injunction setting aside,
limiting, or suspending the enforcement, operation, or effectiveness of
such order, and such court shall have jurisdiction to issue such
injunction.
(D) Publication of order.--The national insurer
shall give notice of a temporary order issued under
this paragraph in such manner and at such times as the
Director may find to be necessary and may order for the
protection of policyholders and the public.
(7) Notice by the director.--If the Director shall
determine that a national insurer has not given notice of an
order under this subsection substantially in the manner and at
the times ordered by the Director, the Director may provide
such notice in such manner as the Director may find to be
necessary and proper.
(8) Decision to revoke, suspend, or restrict.--Any decision
by the Director to--
(A) issue a temporary order suspending or
restricting a national insurer's Federal license; or
(B) issue a final order revoking or restricting a
national insurer's Federal license, shall be made by
the Director and may not be delegated, except that the
Director may, by order, designate an employee of the
Office that may make such decision in the event that
the Director is not able to act by reason of recusal or
is otherwise disqualified from acting.
(b) Cease-and-Desist Proceedings.--
(1) In general.--If, in the opinion of the Director, any
national insurer, any State licensed insurance producer, or any
insurer-affiliated party is engaging or has engaged, or the
Director has reasonable cause to believe that any national
insurer, any State licensed insurance producer, or any insurer-
affiliated party is about to engage, in conduct involving an
undue risk of loss to such national insurer's policyholders as
a whole, or is violating or has violated, or the Director has
reasonable cause to believe that any national insurer, any
State licensed insurance producer, or any insurer-affiliated
party is about to violate, a law, rule, or regulation, or any
condition imposed in writing by the Director in connection with
the granting of any application, filing, statement, notice or
other request by the national insurer or the State licensed
insurance producer or any written agreement entered into with
the Director, the Director may issue and serve upon such
national insurer, producer or party a notice of charges in
respect thereof. The notice shall contain a statement of the
facts constituting the alleged violation or violations or the
conduct, and shall fix a time and place at which a hearing will
be held to determine whether an order to cease and desist
therefrom should issue against the national insurer, the State
licensed insurance producer or the insurer-affiliated party.
Such hearing shall be fixed for a date not earlier than 30 days
nor later than 60 days after service of such notice unless an
earlier or a later date is set by the Director at the request
of any party so served. Unless the party or parties so served
shall appear at the hearing personally or by a duly authorized
representative, they shall be deemed to have consented to the
issuance of the cease-and-desist order. In the event of such
consent, or if upon the record made at any such hearing, the
Director shall find that any violation or conduct specified in
the notice of charges has been established, the Director may
issue and serve upon the national insurer, the State licensed
insurance producer or the
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insurer-affiliated party, as the case
may be, an order to cease and desist from any such violation or
conduct. Such order may, by provisions which may be mandatory
or otherwise, require the national insurer, the State licensed
insurance producer or the insurer-affiliated party to cease and
desist from the same, and, further, to take affirmative action
to correct the conditions resulting from any such violation or
conduct.
(2) Effective date.--A cease-and-desist order shall become
effective at the expiration of 30 days after the service of
such order upon the national insurer, the State licensed
insurance producer or the insurer-affiliated party, as the case
may be (except in the case of a cease-and-desist order issued
upon consent, which shall become effective at the time
specified therein), and shall remain effective and enforceable
as provided therein, except to such extent as it is stayed,
modified, terminated, or set aside by action of the Director or
a reviewing court.
(3) Affirmative action to correct conditions resulting from
violations or conduct.--The authority under this subsection and
subsection (c) to issue an order that requires a national
insurer, a State licensed insurance producer or an insurer-
affiliated party to take affirmative action to correct or
remedy any conditions resulting from any violation or conduct
with respect to which such order is issued includes the
authority to require such national insurer, producer or such
party to--
(A) make restitution or provide reimbursement,
indemnification, or guarantee against loss;
(B) restrict the growth of the national insurer;
(C) dispose of any asset or insurance contract
(including any insurance policy);
(D) rescind any other agreements or contracts,
other than insurance contracts (including insurance
policies) as to which the national insurer is the
issuer; and
(E) employ qualified officers or employees (who may
be subject to approval by the Director in his
direction); and
(F) take such other action as the Director
determines to be appropriate.
(4) Authority to limit activities.--The authority to issue
an order under this subsection or subsection (c) includes the
authority to place limitations on the activities or functions of a
national insurer, a State licensed insurance producer or an insurer-
affiliated party.
(5) Standard for certain orders.--No authority under this
subsection or subsection (c) to prohibit any insurer-affiliated
party from withdrawing, transferring, removing, dissipating, or
disposing of any funds, assets, or other property may be
exercised unless the Director meets the standards of Rule 65 of
the Federal Rules of Civil Procedure, without regard to the
requirement of such rule that the applicant show that the
injury, loss, or damage is irreparable and immediate.
(c) Temporary Cease-and-Desist Orders.--
(1) In general.--Whenever the Director shall determine that
the violation or threatened violation or the conduct specified
in the notice of charges served upon a national insurer, a
State licensed insurance producer or an insurer-affiliated
party pursuant to subsection (b)(1), or the continuation
thereof, is likely to cause insolvency or significant
dissipation of assets or earnings of a national insurer, or is
likely to weaken the condition of a national insurer or
otherwise prejudice the interests of the policyholders of a
national insurer prior to the completion of the proceedings
conducted pursuant to subsection (b)(1), the Director may issue
a temporary order requiring such national insurer, producer or
party to cease and desist from any such violation or conduct
and to take affirmative action to prevent or remedy such
insolvency, dissipation, condition, or prejudice pending
completion of such proceedings. Such order may include any
requirement authorized under subsection (b)(3)(B). Such order
shall become effective upon service upon the national insurer,
producer or party and, unless set aside, limited, or suspended
by a court in proceedings authorized by paragraph (2), shall
remain effective and enforceable pending the completion of the
administrative proceedings pursuant to such notice and until
such time as the Director shall dismiss the charges specified
in such notice or, if a cease-and-desist order is issued
against such national insurer, producer or party, until the
effective date of such order.
(2) Injunction.--Within 10 days after a national insurer, a
State licensed insurance producer or an insurer-affiliated
party has been served with a temporary cease-and-desist order,
the national insurer, producer or party may apply to the United
States district court for the judicial district in which the
main office of the national insurer is located or in which the
producer of party is located, as the case may be, or to the
United States District Court for the District of Columbia, for
an injunction setting aside, limiting, or suspending the
enforcement, operation, or effectiveness of such order pending
the completion of the administrative proceedings pursuant to
the notice of charges served upon the national insurer or such
party under subsection (b)(1), and such court shall have
jurisdiction to issue such injunction.
(3) Incomplete or inaccurate records.--
(A) Temporary order.--If a notice of charges served
under subsection (b)(1) specifies, on the basis of
particular facts and circumstances, that a national
insurer's books and records are so incomplete or
inaccurate that the Director is unable, through the
normal supervisory process, to determine the financial
condition of that national insurer or the details or
purpose of any transaction or transactions that may
have a material effect on the financial condition of
that national insurer, the Director may issue a
temporary order requiring--
(i) the cessation of any activity or
practice which gave rise, whether in whole or
in part, to the incomplete or inaccurate state
of the books or records; or
(ii) affirmative action to restore such
books or records to a complete and accurate
state, until the completion of the proceedings
under subsection (b)(1).
(B) Effective period.--Any temporary order issued
under subparagraph (A)--
(i) shall become effective upon service;
and
(ii) unless set aside, limited, or
suspended by a court in proceedings under
paragraph (2), shall remain in effect and
enforceable until the earlier of--
(I) the completion of the
proceeding initiated under subsection
(a)(1) in connection with the notice of
charg
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es; or
(II) the date the Director
determines, by examination or
otherwise, that the national insurer's
books and records are accurate and
reflect the financial condition of the
national insurer.
(d) Removal and Prohibition Authority.--
(1) Authority to issue order.--Whenever the Director
determines that--
(A) any insurer-affiliated party has, directly or
indirectly--
(i) violated--
(I) any law or regulation;
(II) any cease-and-desist order
issued under this section which has
become final;
(III) any condition imposed in
writing by the Director in connection
with the grant of any application,
filing, statement, notice or other
request by such national insurer; or
(IV) any written agreement between
such national insurer and the Director;
(ii) engaged or participated in any conduct
involving undue risk of loss to such national
insurer's policyholders as a whole; or
(iii) committed or engaged in any act,
omission, or practice which constitutes a
breach of such party's fiduciary duty;
(B) by reason of the violation, practice, or breach
described in any clause of subparagraph (A)--
(i) such national insurer has suffered or
will probably suffer financial loss or other
damage;
(ii) the interests of the national
insurer's policyholders have been or could be
prejudiced; or
(iii) such party has received financial
gain or other benefit by reason of such
violation, practice, or breach; and
(C) such violation, practice, or breach--
(i) involves personal dishonesty on the
part of such party; or
(ii) demonstrates willful or continuing
disregard by such party for the condition of
such national insurer or the interests of the
national insurer's policyholders, the Director
may serve upon such party a written notice of
the Director's intention to suspend or remove
such party from office or to prohibit any
further participation by such party, in any manner, in the conduct of
the affairs of any national insurer.
(2) Temporary suspension order.--
(A) Suspension or prohibition authorized.--If the
Director serves written notice under paragraph (1) on
any insurer-affiliated party of the Director's
intention to issue an order under such paragraph, the
Director may issue a temporary order suspending such
party from office or prohibiting such party from
further participation in any manner in the conduct of
the affairs of the national insurer, if the Director--
(i) determines that such action is
necessary for the protection of the national
insurer or of the interests of the national
insurer's policyholders; and
(ii) serves such party with the temporary
order of suspension or prohibition.
(B) Effective period.--Any temporary order issued
under subparagraph (A)--
(i) shall become effective upon service;
and
(ii) unless a court issues a stay of such
order under paragraph (5), shall remain in
effect and enforceable until--
(I) the date the Director dismisses
the charges contained in the notice
served under paragraph (1) with respect
to such party; or
(II) the effective date of an order
issued by the Director to such party
under paragraph (1).
(C) Copy of order.--If the Director issues a
temporary order under subparagraph (A) to any insurer-
affiliated party, the Director shall serve a copy of
such order on any national insurer with which such
party is associated at the time such order is issued.
(3) Procedures.--A notice of intention to remove an
insurer-affiliated party from office or to prohibit such party
from participating in the conduct of the affairs of a national
insurer that is served under paragraph (1), shall contain a
statement of the facts constituting grounds therefor, and shall
fix a time and place at which a hearing will be held thereon.
Such hearing shall be fixed for a date not earlier than 30 days
nor later than 60 days after the date of service of such
notice, unless an earlier or a later date is set by the
Director at the request of (A) such party, or (B) the Attorney
General of the United States. Unless such party shall appear at
the hearing in person or by a duly authorized representative,
such party shall be deemed to have consented to the issuance of
an order of such removal or prohibition. In the event of such
consent, or if upon the record made at any such hearing the
Director shall find that any of the grounds specified in such
notice have been established, the Director may issue such
orders of suspension or removal from office, or prohibition
from participation in the conduct of the affairs of the
national insurer, as the Director may deem appropriate. Any
such order shall become effective at the expiration of 30 days
after service upon such national insurer and such party (except
in the case of an order issued upon consent, which shall become
effective at the time specified therein). Such order shall
remain effective and enforceable as provided therein, except to
such extent as it is stayed, modified, terminated, or set aside
by action of the Director or a reviewing court.
(4) Industrywide prohibition.--
(A) In general.--Except as provided in subparagraph
(B), any person who, pursuant to any order issued under
this subsection or subsection (e), has been removed or
suspended from office in a national insurer or
prohibited from participating in the conduct of the
affairs of a national insurer may not, while such order
is in effect--
(i) continue or commence to hold any office
in, or participate in any manner in the conduct
of the affairs of any national insurer;
(ii) solicit, procure, transfer, attempt to
transfer, vote, or attempt to vote
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any proxy,
consent, or authorization with respect to any
voting rights in any national insurer;
(iii) act as an insurer-affiliated party;
or
(iv) act as a State licensed insurance
producer.
(B) Exception if director provides written
consent.--If, on or after the date an order is issued
under this subsection which removes or suspends from
office any insurer-affiliated party or prohibits such
party from participating in the conduct of the affairs
of a national insurer, such party receives the written
consent of the Director, subparagraph (A) shall, to the
extent of such consent, cease to apply to such party
with respect to the national insurer described in each
written consent.
(C) Violation of paragraph treated as violation of
order.--Any violation of subparagraph (A) by any person
who is subject to an order described in such
subparagraph shall be treated as a violation of the
order.
(5) Stay of suspension and/or prohibition of insurer-
affiliated party.--Within 10 days after any insurer-affiliated
party has been suspended from office or prohibited from
participation in the conduct of the affairs of a national
insurer by a temporary order issued under subsection (d)(2),
such party may apply to the United States district court for
the judicial district in which the main office of the national
insurer is located, or the United States District Court for the
District of Columbia, for a stay of such suspension or
prohibition pending the completion of the administrative
proceedings pursuant to the notice served upon such party under
subsection (d)(1), and such court shall have jurisdiction to
stay such suspension or prohibition.
(e) Suspension or Removal of Insurer-Affiliated Party Charged With
Felony.--
(1) Suspension or prohibition.--
(A) In general.--Whenever any insurer-affiliated
party is charged in any information, indictment, or
complaint, with the commission of or participation in--
(i) a crime involving dishonesty or breach
of trust which is punishable by imprisonment
for a term exceeding 1 year under State or
Federal law, or
(ii) a criminal violation of section 1956,
1957, or 1960 of title 18, United States Code,
or section 5322 or 5324 of title 31, United
States Code, the Director may, if continued
service or participation by such party may pose
a threat to the national insurer or the
interests of the national insurer's
policyholders, by written notice served upon
such party, suspend such party from office or
prohibit such party from further participation
in any manner in the conduct of the affairs of
the national insurer.
(B) Provisions applicable to notice.--
(i) Copy.--A copy of any notice under
subparagraph (A) shall also be served upon the
national insurer.
(ii) Effective period.--A suspension or
prohibition under subparagraph (A) shall remain
in effect until the information, indictment, or
complaint referred to in such subparagraph is
finally disposed of or until terminated by the
Director.
(2) Removal or prohibition.--
(A) In general.--If a judgment of conviction or an
agreement to enter a pretrial diversion or other
similar program is entered against an insurer-
affiliated party in connection with a crime described
in paragraph (1)(A)(i), at such time as such judgment
is not subject to further appellate review, the
Director may, if continued service or participation by
such party may pose a threat to the national insurer or
the interests of the national insurer's policyholders,
issue and serve upon such party an order removing such
party from office or prohibiting such party from
further participation in any manner in the conduct of
the affairs of the national insurer without the prior
written consent of the Director.
(B) Required for certain offenses.--In the case of
a judgment of conviction or agreement against an
insurer-affiliated party in connection with a violation
described in paragraph (1)(A)(ii), the Director shall
issue and serve upon such party an order removing such
party from office or prohibiting such party from
further participation in any manner in the conduct of
the affairs of the national insurer without the prior
written consent of the Director.
(C) Copy.--A copy of any order under this paragraph
shall also be served upon the national insurer,
whereupon the insurer-affiliated party who is subject
to the order (if a director or an officer) shall cease
to be a director or officer of such national insurer.
(D) Effect of acquittal.--A finding of not guilty
or other disposition of the charge shall not preclude
the Director from instituting proceedings after such
finding or disposition to remove such party from office
or to prohibit further participation in national
insurer affairs, pursuant to paragraphs (1) or (2) of
subsection (d).
(E) Effective period.--Any notice of suspension or
order of removal issued under this paragraph or
paragraph (1) shall remain effective and outstanding
until the completion of any hearing or appeal
authorized under paragraph (3) unless terminated by the
Director.
(3) Within 30 days from service of any notice of suspension
or order of removal issued pursuant to paragraph (1) or (2) of
this subsection, the insurer-affiliated party concerned may
request in writing an opportunity to appear before the Director
to show that the continued service to or participation in the
conduct of the affairs of the national insurer by such party
does not, or is not likely to, pose a threat either to the
national insurer or to the interests of the national insurer's
policyholders. Upon receipt of any such request, the Director
shall fix a time (not more than 30 days after receipt of such
request, unless extended at the request of such party) and
place at which such party may appear, personally or through
counsel, before one or more designated employees of the
Director to submit written materials (or, at the discretion of
the Director, oral testimony) and oral argument. Within 60 days
of such hearing, the Director shall notify such party whether
the notice of suspension or prohibition from participation in
any mann
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er in the conduct of the affairs of the national
insurer will be continued, terminated, or otherwise modified,
or whether the order removing such party from office or
prohibiting such party from further participation in any manner
in the conduct of the affairs of the national insurer will be
rescinded or otherwise modified. Such notification shall
contain a statement of the basis for the Director's decision,
if adverse to such party.
(f) Effect on Board of Directors.--If at any time, because of the
suspension of one or more directors pursuant to this section, there
shall be on the board of directors of a national insurer less than a
quorum of directors not so suspended, all powers and functions vested
in or exercisable by such board shall vest in and be exercisable by the
director or directors on the board not so suspended, until such time as
there shall be a quorum of the board of directors. In the event all of
the directors of a national insurer are suspended pursuant to this
section, the Director shall appoint persons to serve temporarily as
directors in their place and stead pending the termination of such
suspensions, or until such time as those who have been suspended cease
to be directors of the national insurer and their respective successors
take office.
(g) Hearings and Judicial Review.--
(1) Any hearing provided for in this section (other than
the hearing provided for in subsection (e)(3) of this section)
shall be held in the Federal judicial district in which the
main office of the national insurer is located or in which the
State licensed insurance producer or the insurer-affiliated
party is located, as the case may be, unless the party afforded
the hearing consents to another place, and shall be conducted
in accordance with the provisions of chapter 5 of title 5,
United States Code. After such hearing, and within 90 days
after the Director has notified the parties that the case has
been submitted to the Director for final decision, the Director
shall render a decision (which shall include findings of fact
upon which the Director's decision is predicated) and shall
issue and serve upon each party to the proceeding an order or
orders consistent with the provisions of this section. Judicial
review of any such order shall be exclusively as provided in
this subsection. Unless a petition for review is timely filed
in a court of appeals of the United States, as hereinafter
provided in paragraph (2), and thereafter until the record in
the proceeding has been filed as so provided, the Director may
at any time, upon such notice and in such manner as it shall
deem proper, modify, terminate, or set aside any such order.
Upon such filing of the record, the Director may modify,
terminate, or set aside any such order with permission of the
court.
(2) Any party to any proceeding under paragraph (1) may
obtain a review of any order served pursuant to paragraph (1)
of this subsection (other than an order issued with the consent
of the national insurer, the State licensed insurance producer
or the insurer-affiliated party concerned, or an order issued
under paragraph (e)(1) or (e)(2)) by the filing in the court of
appeals of the United States for the circuit in which the main
office of the national insurer is located or in which the State
licensed insurance producer or the insurer-affiliated party is
located, as the case may be, or in the United States Court of
Appeals for the District of Columbia Circuit, within 30 days
after the date of service of such order, a written petition
praying that the order of the Office be modified, terminated,
or set aside. A copy of such petition shall be forthwith transmitted by
the clerk of the court to the Director, and thereupon the Director
shall file in the court the record in the proceeding, as provided in
section 2112 of title 28, United States Code. Upon the filing of such
petition, such court shall have jurisdiction, which upon the filing of
the record shall except as provided in the last sentence of said
paragraph (1) be exclusive, to affirm, modify, terminate, or set aside,
in whole or in part, the order of the Office. Review of such
proceedings shall be had as provided in chapter 7 of title 5, United
States Code. The judgment and decree of the court shall be final,
except that the same shall be subject to review by the Supreme Court
upon certiorari, as provided in section 1254 of title 28, United States
Code.
(3) The commencement of proceedings for judicial review
under paragraph (2) of this subsection shall not, unless
specifically ordered by the court, operate as a stay of any
order issued by the Director.
(h) Jurisdiction and Enforcement.--The Director may in his
discretion apply to the United States district court for the judicial
district in which the main office of the national insurer is located or
in which the State licensed insurance producer or the insurer-
affiliated party is located, as the case may be, for the enforcement of
any effective and outstanding notice or order issued under this
section, and such court shall have jurisdiction and power to order and
require compliance therewith; but except as otherwise provided in this
section no court shall have jurisdiction to affect by injunction or
otherwise the issuance or enforcement of any notice or order under any
such section, or to review, modify, suspend, terminate, or set aside
any such notice or order.
(i) Penalties.--
(1) Civil money penalty.--
(A) First tier.--Any national insurer, State
licensed insurance producer or insurer-affiliated party
that--
(i) violates any law or regulation;
(ii) violates any final order or temporary
order issued pursuant to subsection (b), (c),
(d) or (e) of this section or subsection (e) of
section 201;
(iii) violates any written agreement
between such national insurer, producer or
party and the Office,
shall forfeit and pay a civil penalty of not more than
$5,000 for each day during which such violation
continues.
(B) Second tier.--Notwithstanding subparagraph (A),
any national insurer, any State licensed insurance
producer or any insurer-affiliated party that--
(i)(I) commits any violation described in
any clause of subparagraph (A);
(II) recklessly engages in any conduct
involving an undue risk of loss to such
national insurer's policyholders as a whole; or
(III) breaches any fiduciary duty; and
(ii) which violation, practice, or breach--
(I) is part of a pattern of
misconduct;
(II) causes or is likely to cause
more than a minimal loss to such
national insurer; or
(III) results in pecuniary gain or
other benefit to such party,
shall forfeit and pay a civil penalty of not more than
$25,000 for each day during which such violation,
practice, or breach continues.
(C) Third tier.--Notwithstanding subparagraphs (A)
and (B), any nationa
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l insurer, State licensed insurance
producer or any insurer-affiliated party that--
(i) knowingly--
(I) commits any violation described
in any clause of subparagraph (A);
(II) engages in any conduct
involving an undue risk of loss to such
national insurer's policyholders as a
whole; or
(III) breaches any fiduciary duty;
and
(ii) knowingly or recklessly causes a
substantial loss to such national insurer or a
substantial pecuniary gain or other benefit to
such party by reason of such violation,
practice, or breach,
shall forfeit and pay a civil penalty in an amount not
to exceed the applicable maximum amount determined
under subparagraph (D) for each day during which such
violation, practice, or breach continues.
(D) Maximum amounts of penalties for any violation
described in subparagraph (c).--The maximum daily
amount of any civil penalty which may be assessed
pursuant to subparagraph (C) for any violation,
practice, or breach described in such subparagraph is
an amount to not exceed $1,000,000.
(E) Assessment.--
(i) Written notice.--Any penalty imposed
under subparagraph (A), (B), or (C) may be
assessed and collected by the Director by
written notice. Such notice shall contain a
statement of the facts constituting the basis
for assessment of any penalty imposed under
subparagraph (A), (B), or (C).
(ii) Finality of assessment.--If, with
respect to any assessment under clause (i), a
hearing is not requested pursuant to
subparagraph (H) within the period of time
allowed under such subparagraph, the assessment
shall constitute a final and unappealable
order.
(F) Authority to modify or remit penalty.--The
Director may compromise, modify, or remit any penalty
which the Director may assess or had already assessed under
subparagraph (A), (B), or (C).
(G) Hearing.--The national insurer or other person
against whom any penalty is assessed under this
paragraph shall be afforded a hearing by the Director
if such national insurer or person submits a request
for such hearing within 20 days after the issuance of
the notice of assessment.
(H) Collection.--
(i) Referral.--If any national insurer or
other person fails to pay an assessment after
any penalty assessed under this paragraph has
become final, the Director shall recover the
amount assessed by action in the appropriate
United States district court.
(ii) Appropriateness of penalty not
reviewable.--In any civil action under clause
(i), the validity and appropriateness of the
penalty shall not be subject to review.
(I) Disbursement and use.--All penalties collected
under authority of this paragraph shall be deposited
into the Treasury, and shall not be used to fund the
compensation of the Director or employees of the Office
or the expenses of the Office.
(2) Notice under this section after separation from
service.--The resignation, termination of employment or
participation, or separation of an insurer-affiliated party
(including a separation caused by the closing of a national
insurer) shall not affect the jurisdiction and authority of the
Director to issue any notice and proceed under this section
against any such party, if such notice is served before the end
of the 6-year period beginning on the date such party ceased to
be an insurer-affiliated party with respect to such national
insurer.
(3) Prejudgment attachment.--
(A) In general.--In any action brought by the
Director pursuant to this section, or in actions
brought in aid of, or to enforce an order in, any
administrative or other civil action for money damages,
restitution, or civil money penalties brought by the
Director, the court may, upon application of the
Director, issue a restraining order that--
(i) prohibits any person subject to the
proceeding from withdrawing, transferring,
removing, dissipating, or disposing of any
funds, assets or other property; and
(ii) appoints a temporary receiver to
administer the restraining order.
(B) Standard.--
(i) Showing.--Rule 65 of the Federal Rules
of Civil Procedure shall apply with respect to
any proceeding under subparagraph (A), without
regard to the requirement of such rule that the
applicant show that the injury, loss, or damage
is irreparable and immediate.
(ii) State proceeding.--If, in the case of
any proceeding in a State court, the court
determines that rules of civil procedure
available under the laws of such State provide
substantially similar protections to a party's
right to due process as Rule 65 (as modified
with respect to such proceeding by clause (i)),
the relief sought under subparagraph (A) may be
requested under the laws of such State.
(j) Criminal Penalty.--Whoever, being subject to an order in effect
under subsection (d) or (e), without the prior written approval of the
Director, knowingly participates, directly or indirectly, in any manner
(including by engaging in an activity specifically prohibited in such
an order) in the conduct of the affairs of any national insurer shall
be fined not more than $1,000,000, imprisoned for not more than 5
years, or both.
(k) Notice of Service.--Any service required or authorized to be
made by the Director under this section may be made by registered mail,
or in such other manner reasonably calculated to give actual notice as
the Director may by regulation or otherwise provide.
(l) Ancillary Provisions; Subpoena Power, etc.--In the course of or
in connection with any proceeding or other action under this section,
the Director, or any employee or designated representative thereof,
including any person designated to conduct any hearing under this
section, shall have the power to administer oaths and affirmations, to
take or cause to be taken depositions, and to issue, revoke, quash, or
modify subpoenas and subpoenas duces tecum; and the Director is
empowered to make rules and regulations with respect to any such
proceedings, claims, examinations, investigations, or o
2000
ther actions.
The attendance of witnesses and the production of documents provided
for in this subsection may be required from any place in any State or
other place subject to the jurisdiction of the United States at any
designated place where such proceeding or other action is being
conducted. The Director or any party to proceedings under this section
may apply to the United States District Court for the District of
Columbia, or the United States district court for the judicial district
in which such proceeding or other action is being conducted, or where
the witness resides or carries on business, for enforcement of any
subpoena or subpoena duces tecum issued pursuant to this subsection,
and such courts shall have jurisdiction and power to order and require
compliance therewith. Witnesses subpoenaed under this subsection shall
be paid the same fees and mileage that are paid witnesses in the
district courts of the United States. Any court having jurisdiction of
any proceeding or other action instituted under this section by a
national insurer, a State licensed insurance producer or an insurer-
affiliated party thereof, may allow to any such party such reasonable
expenses and attorneys' fees as it deems just and proper; and such
expenses and fees shall be paid by the national insurer or from its
assets. Any person who willfully shall fail or refuse to attend and
testify or to answer any lawful inquiry or to produce books, papers,
correspondence, memoranda, contracts, agreements, or other records, if
in such person's power so to do, in obedience to the subpoena of the
Director, shall be guilty of a misdemeanor and, upon conviction, shall
be subject to a fine of not more than $1,000 or to imprisonment for a
term of not more than 1 year or both.
(m) Non-U.S. Insurer.--
(1) Applicability.--Except as otherwise specifically
provided in this section, the provisions of this section shall
be applied to non-U.S. insurers in accordance with this
subsection.
(2) Actions.--Any conduct or practice outside the United
States on the part of a non-U.S. insurer or any officer,
director, employee, or agent thereof may not constitute the
basis for any action by the Director under this section, unless
the Director alleges a belief that such conduct or practice has
been, is, or is likely to be a cause of or carried on in
connection with or in furtherance of an act or practice within
any one or more States which, in and of itself, would
constitute an appropriate basis for action by the Director
under this section.
(3) Termination of business.--In any case in which any
action or proceeding is brought pursuant to an allegation under
paragraph (2) for the suspension or removal of any officer,
director, or other person associated with a non-U.S. insurer, and such
person fails to appear promptly as a party to such action or proceeding
and to comply with any effective order or judgment therein, any failure
by the non-U.S. insurer to secure his removal from any office he holds
in such insurer and from any further participation in its affairs
shall, in and of itself, constitute grounds for ordering the non-U.S.
insurer to terminate all underwriting and sale of insurance in the
United States and all other insurance operations in the United States.
(4) Venue.--Where the venue of any judicial or
administrative proceeding under this section is to be
determined by reference to the location of the main office of a
national insurer, the venue of such a proceeding with respect
to a non-U.S. insurer having one or more offices in not more
than one judicial district or other relevant jurisdiction shall
be within such jurisdiction. Where such a national insurer has
offices in more than one such jurisdiction, the venue shall be
in the jurisdiction within which the office or offices involved
in the proceeding are located, and if there is more than one
such jurisdiction, the venue shall be proper in any such
jurisdiction in which the proceeding is brought or to which it
may appropriately be transferred.
(5) Service.--Any service required or authorized to be made
on a non-U.S. insurer may be made on any office located within
any State, but if such service is in connection with an action
or proceeding involving one or more offices located in any
State, service shall be made on at least one office so
involved.
(n) Public Disclosures of Final Orders and Agreements.--
(1) In general.--The Director shall publish and make
available to the public on a monthly basis--
(A) any written agreement or other written
statement for which a violation may be enforced by the
Director;
(B) any final order issued with respect to any
administrative enforcement proceeding initiated by the
Director under this section or any other law; and
(C) any modification to or termination of any order
or agreement made public pursuant to this paragraph,
unless the Director, in the Director's discretion,
determines that publication of any such agreement,
statement, order, modification or termination would be
contrary to the public interest.
(2) Hearings.--All hearings on the record with respect to
any notice of charges issued by the Director shall be open to
the public, unless the Director, in the Director's discretion,
determines that holding an open hearing would be contrary to
the public interest.
(3) Transcript of hearing.--A transcript that includes all
testimony and other documentary evidence shall be prepared for
all hearings commenced pursuant to subsection (g) of this
section. A transcript of public hearings shall be made
available to the public pursuant to section 552 of title 5,
United States Code.
(4) Documents filed under seal in public enforcement
hearings.--The Director may file any document or part of a
document under seal in any administrative hearing commenced by
the Director if the Director, in the Director's discretion,
determines that disclosure of the document, in whole or in
part, would be contrary to the public interest. A written
report shall be made part of any determination to withhold any
part of a document from the transcript of the hearing required
by paragraph (2).
(5) Retention of documents.--The Director shall keep and
maintain a record, for a period of at least 6 years, of all
documents described in paragraph (1) and all informal
enforcement agreements and other supervisory actions and
supporting documents issued with respect to or in connection
with any administrative enforcement proceeding initiated by the
Director under this section or any other laws.
(6) Disclosures to congress.--No provision of this
subsection may be construed to authorize the withholding, or to
prohibit the disclosure, of any information to the Congress or
any committee or subcommittee of the Congress.
(o) Foreign Investigations.--
(1) Requesting assistance from foreign governmental
authorities.--In conducting any investigation, examination, or
enforcement action under this Act, the Director may--
(A) request the assistance of any foreign
governmental authority; and
(B) maintain an office outside the United States.
(2) Providing assistance to foreign governmental
authorities.--
(A) In general.
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--The Director may, at the request
of any foreign governmental authority, assist such
authority if such authority states that the requesting
authority is conducting an investigation to determine
whether any person has violated, is violating, or is
about to violate any law or regulation relating to
insurance matters or currency transactions administered
or enforced by the requesting authority.
(B) Investigation by the director.--The Director
may, in his discretion, investigate and collect
information and evidence pertinent to a request for
assistance under subparagraph (A). Any such
investigation shall comply with the laws of the United
States and the policies and procedures of the Director.
(C) Factors to consider.--In deciding whether to
provide assistance under this paragraph, the Director
shall consider--
(i) whether the requesting authority has
agreed to provide reciprocal assistance with
respect to insurance matters within the
jurisdiction of the Director; and
(ii) whether compliance with the request
would prejudice the public interest of the
United States.
(3) Rule of construction.--Paragraphs (1) and (2) shall not
be construed to limit the authority of the Director or any
other Federal agency to provide or receive assistance or
information to or from any foreign governmental authority with
respect to any matter.
SEC. 206. INSURANCE FRAUD.
(a) Definitions.--For purposes of this section:
(1) Fraudulent insurance act.--The term ``fraudulent
insurance act'' shall have the meaning given such term in
section 1036(d) of title 18, United States Code.
(2) Insurance person.--The term ``insurance person'' shall
have the meaning given such term in section 1036(d) of title
18, United States Code.
(b) Fraud Warning Required.--Claim forms and applications for
insurance operations, regardless of the form of transmission, shall
contain a fraud warning as prescribed, by regulation, by the Director.
(c) Investigative Authority of Director.--The Director may
investigate suspected fraudulent insurance acts and insurance persons
engaged in insurance operations.
(d) Mandatory Reporting of Fraudulent Insurance Acts.--A national
insurer or an insurance person engaged in insurance operations having
knowledge or a reasonable belief that a fraudulent insurance act is
being, will be, or has been committed, shall provide to the Director
the information required by, and in a manner prescribed by, the
Director.
(e) Immunity From Liability.--
(1) In general.--There shall be no civil liability imposed
on, and no cause of action shall arise from, a person's
furnishing information concerning suspected, anticipated, or
completed fraudulent insurance acts, if the information is
provided to or received from--
(A) the Director or the Director's employees,
agents, or representatives;
(B) Federal, State, or local law enforcement or
regulatory officials or their employees, agents, or
representatives;
(C) a person involved in the prevention and
detection of fraudulent insurance acts or that person's
agents, employees, or representatives; or
(D) the NAIC or its employees, agents, or
representatives.
(2) Exception for false statements.--Paragraph (1) shall
not apply to false statements made with actual malice. In an
action brought against a person for filing a report or
furnishing other information concerning a fraudulent insurance
act, the party bringing the action shall plead specifically any
allegation that paragraph (1) does not apply because the person
filing the report or furnishing the information did so with
actual malice.
(3) Savings provision.--This subsection does not abrogate
or modify common law or statutory privileges or immunities
enjoyed by a person described in paragraph (1).
(f) Confidentiality.--
(1) In general.--Documents, materials or other information
in the possession or control of the Director that is provided
pursuant to subsection (d) or obtained by the Director in an
investigation of suspected or actual fraudulent insurance acts
shall be confidential by law and privileged, shall not be made
available to the public, shall not be subject to subpoena, and
shall not be subject to discovery or admissible in evidence in
any private civil action. However, the Director may use the
documents, materials, or other information in the furtherance
of any regulatory or legal action brought as a part of the
Director's official duties.
(2) Restrictions on testimony.--Neither the Director nor
any person who received documents, materials or other
information while acting under the authority of the Director
shall be permitted or required to testify in any private civil
action concerning any documents, materials, or information that
are confidential pursuant to paragraph (1).
(3) Authorized disclosure.--In order to assist in the
performance of the Director's duties, the Director may--
(A) share documents, materials, or other
information, including the confidential and privileged
documents, materials, or information subject to
paragraph (1) with other State, Federal, and
international regulatory agencies, with the NAIC and
its affiliates and subsidiaries, and with local, State,
Federal, and international law enforcement authorities,
but only if the recipient agrees to and has the
authority to maintain the confidentiality and
privileged status of the document, material, or other
information;
(B) receive documents, materials, or information,
including otherwise confidential and privileged
documents, materials, or information, from the NAIC and
its affiliates and subsidiaries, and from regulatory
and law enforcement officials of State or other foreign
or domestic jurisdictions, and shall maintain as
confidential or privileged any document, material, or
information received with notice or the understanding
that it is confidential or privileged under the laws of
the jurisdiction that is the source of the document,
material, or information; and
(C) enter into agreements governing sharing and use
of information, including the furtherance of any
regulatory or legal action brought as part of the
recipient's official duties.
(4) No waiver.--No waiver of any applicable privilege or
claim of confidentiality in the documents, materials, or
information shall occur as a result of disclosure to the
Director under this subsection or as a result of sharing as
authorized in paragraph (3).
(g) Division of Insurance Fraud.--
(1) Establishment.--The Director shall establish a Division
of Insurance Fraud within the Office.
(2) Powers.--The Division of Insurance Fraud shal
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l have all
powers and authority necessary for the enforcement of this
section, except power to execute search warrants and arrest
warrants.
(h) Penalties.--If the person committing an offense under
subsection (a) or (c) of section 1036(a) of title 18, United States
Code, is a national insurer, an insurer-affiliated party, or a State
licensed insurance producer, the Director may, in addition to the
punishment set forth in such section 1036--
(1) revoke, suspend or restrict the Federal license of such
national insurer pursuant to section 204 of this Act; and
(2) order such national insurer, insurer-affiliated party,
or State licensed insurance producer to make restitution to
persons aggrieved by such offenses.
SEC. 207. INTERNATIONAL REGULATORY SUPPORT.
(a) In General.--To ensure the effectiveness of the Director's
licensing and supervision of national insurers, the Director may engage
in international efforts to secure improved bilateral and multilateral
cooperation, as appropriate, with respect to improved insurance
regulation in global markets that promotes competition and allows
foreign participation. Such authority includes provision of appropriate
technical assistance to and cooperation with individual overseas
national regulators and regional and global regulatory organizations in
matters, including development and implementation of international
regulatory standards, and development of bilateral and multilateral
mutual recognition agreements on licensing, registration, and
professional standards with the objective of improving the quality and
uniformity of insurance regulation in all countries.
(b) Cooperation With State Insurance Regulators.--Whenever
possible, the provisions of subsection (a) shall be implemented in
cooperation with State insurance regulators. In matters of
representation, the Director and any interested State insurance
regulators shall jointly represent the United States market.
(c) Negotiation of International Trade Agreements.--With respect to
bilateral and multilateral trade negotiations related to the provision
of insurance services, the United States Trade Representative shall
have responsibility for the negotiation of international trade
agreements associated with trade in insurance. The United States Trade
Representative shall develop relevant negotiating strategies and
appropriate concessions in close consultation with the Director and
State insurance regulators.
TITLE III--NATIONAL INSURERS
Subtitle A--Organization, Licensing, and Operations
SEC. 301. ORGANIZATION, OPERATION, AND REGULATION OF NATIONAL INSURERS.
(a) In General.--Subject to the provisions of this Act, the
Director may, under such regulations as the Director may prescribe--
(1) provide for the organization, incorporation, operation
and regulation of national insurers; and
(2) issue charters therefor.
Such regulations shall permit the organization of national insurers in
stock, mutual, or fraternal form.
(b) Chartering Criteria.--In determining whether to issue a charter
for a national insurer, the Director shall consider factors which shall
include--
(1) the character and competency of the parties seeking the
charter;
(2) and the financial resources and future prospects of the
proposed national insurer; and
(3) whether the chartering of the insurer is likely to be
hazardous to the insurance-buying public.
(c) Fraternal Benefit Societies.--Any charter granted to a national
insurer in fraternal form in connection with a conversion from a State
charter shall include provisions that allow the national insurer to
operate as a fraternal benefit society in a manner consistent with the
requirements of its former State charter.
(d) Amendment of Charter.--The Director may, under such regulations
as the Director may prescribe, provide for the amendment of charters
issued to national insurers.
SEC. 302. U.S. BRANCHES OF NON-U.S. INSURERS.
(a) Authorization of Entry of Non-U.S. Insurer.--A non-U.S. insurer
may use this section as a port of entry to transact insurance in the
United States through a U.S. branch by qualifying the U.S. branch as a
national insurer licensed by the Director to do business under this Act
under such regulations as the Director may prescribe.
(b) Trust Account.--
(1) Establishment.--The Director shall not license the U.S.
branch until the non-U.S. insurer establishes a trust account,
pursuant to a deed of trust that meets the requirements of this
subsection.
(2) Trusteed assets.--The trusteed assets of a U.S. branch
shall be held pursuant to a deed of trust with a U.S. bank that
meets such requirements as the Director may prescribe, in trust
for the exclusive benefit, security and protection of the
policyholders, or policyholders and creditors, of the U.S.
branch in the United States maintained as long as there is
outstanding any liability of the U.S. branch arising out of its
insurance transactions in the United States.
(3) Trusteed surplus.--The trusteed surplus of a U.S.
branch shall be subject to the same solvency standards required
of national insurers, including the risk-based capital
standards under section 337.
(4) Certified statements.--The Director may from time to
time require a U.S. branch to file a statement, in such form as
the Director may prescribe, certified by the trustee.
(c) Applicability of Laws.--Except as otherwise provided, a U.S.
branch established under this section shall be subject to all laws
applicable to a national insurer and shall be treated as a national
insurer for all purposes of this Act, including subtitle D of this
title.
SEC. 303. FEDERAL LICENSING OF NATIONAL INSURERS.
(a) In General.--Notwithstanding any provision of State law, a
national insurer may underwrite and sell in any State any line of
insurance for which it holds a Federal license. A national insurer may
not underwrite or sell any line of insurance for which it does not hold
a Federal license.
(b) Issuance of Federal Licenses.--The Director may, under such
regulations as the Director may prescribe--
(1) provide for licensing of national insurers to
underwrite and sell lines of insurance; and
(2) issue to national insurers Federal licenses specifying
the lines of insurance they may underwrite and sell.
(c) Duration.--A Federal license issued by the Director pursuant to
this section shall remain in effect until surrendered by the national
insurer or until revoked or suspended by the Director in accordance
with the provisions of this Act.
(d) Reinsurance.--
(1) Limitation.--A national insurer may reinsure only the
lines of insurance that it is licensed to underwrite and sell
under its Federal license or which it is otherwise permitted to
reinsure by the terms of its Federal license.
(2) Authority to sell only reinsurance.--A national insurer
may confine its business to reinsurance.
(e) National Treatment Required.--
(1) Fair treatment of subsidiaries and branches.--Except as
provided in section 302, the Director may not impose any
condition to the granting of a Federal license under this
section to a national insurer or the supervision of a national
insurer granted a Federal license under this section solely
because the national insurer is a subsidiary of a non-U.S.
person, is partially owned by a non-U.S. person, or is a U.S.
branch of a non-U.S. insurer.
(2) Permissible conditions.--Notwithstanding paragraph (1),
the Director may impose conditions to the granting of a Federal
license or the supervision of a national i
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nsurer that are
different from those imposed on other national insurers if--
(A) the conditions attached are imposed on the
legal form in which the national insurer chooses to
operate; or
(B) the Director makes a written finding that the
conditions are related to the protection of
policyholders and are the minimum necessary to achieve
the purposes of this Act.
SEC. 304. CORPORATE GOVERNANCE.
(a) In General.--With respect to corporate governance procedures, a
national insurer shall comply with applicable provisions of this Act
and applicable regulations issued by the Director under this Act.
(b) Other Procedures.--To the extent not inconsistent with
provisions of this Act or regulations issued by the Director under this
Act, a national insurer shall adhere to corporate governance procedures
of the relevant State law of either the State in which its main office
is located or the State in which its holding company is incorporated,
except that the Director may determine that any provision of such State
law is discriminatory as applied to national insurers (in which event a
national insurer shall not be obligated to follow such a provision of
the relevant State law and may follow such other provision of law as
the Director deems appropriate). A national insurer shall designate in
its bylaws the body of relevant State law selected for its corporate
governance procedures.
SEC. 305. MAIN OFFICE.
(a) In General.--The charter of a national insurer shall specify
the State in which its main office is located. Subject to the approval
of the Director, a national insurer may designate any office at which
it conducts insurance operations as its main office.
(b) Change in Main Office.--With the approval of the Director, a
national insurer may change the designation of its main office,
including to another existing office of the national insurer.
(c) Citizenship.--A national insurer shall, for purposes of
jurisdiction, be deemed a citizen of the State in which its main office
is located and of the State in which it has its principal place of
business.
SEC. 306. CONVERSION OF STATE INSURER TO NATIONAL INSURER.
(a) In General.--Notwithstanding any other provision of law, a
State insurer may, with the approval of the Director, convert into a
national insurer, and in doing so an insurer may retain a corporate
form permitted by section 301(a) or change directly to another
corporate form that is so permitted.
(b) Conversion Procedures.--
(1) Authority.--The Director may, under such regulations as
the Director may prescribe, provide for the conversion of State
insurers into national insurers and the issuance of charters to
such converted insurers. Any such conversion shall be carried
out solely in accordance with such regulations as the Director
may prescribe.
(2) Terms.-- The regulations issued by the Director under
this section shall--
(A) be consistent with the regulations issued by
the Director under section 301;
(B) in the case of a change of form effected at the
time of a conversion of a State insurer into a national
insurer, shall be consistent with the provisions of
section 382 and any regulations issued by the Director
thereunder and shall require compliance with State laws
and procedures regarding the demutualization of State
insurers; and
(C) prohibit any conversion that, in the
determination of the Director, would substantially
prejudice the interests of policyholders and
shareholders of the State insurer.
(c) Effect of Conversion.--Upon conversion from a State insurer to
a national insurer in accordance with this section and the regulations
issued by the Director hereunder, a national insurer shall be subject
to the provisions of this Act and to examination and regulation under
this Act to the same extent as other national insurers incorporated
pursuant to this Act, and such national insurer shall be deemed to be a
continuation of the corporate existence of the State insurer and shall,
by operation of law and without further action, hold and be subject to
all rights, privileges, liabilities, property interests, and other
interests and obligations that the State insurer held or was subject to
immediately prior to the conversion, except that the national insurer
shall not be subject to any requirement applicable to the State insurer
to maintain deposits with State insurance regulatory authorities, shall
not hold any State license to underwrite and sell insurance that was
held by the State insurer, and shall obtain, in accordance with section
303 and the regulations issued by the Director thereunder, a Federal
license for all lines of insurance that it underwrites and sells.
(d) Special Authority.--The Director may, in the Director's
discretion and subject to such conditions as the Director may
prescribe, permit a national insurer resulting from the conversion of a
State life insurer, upon such conversion, to retain for up to 5 years
such assets, liabilities, and powers and authorities of the State
insurer that do not conform to the legal requirements otherwise
applicable to national insurers as the Director deems appropriate.
SEC. 307. CONVERSION OF NATIONAL INSURER TO STATE INSURER.
(a) In General.--Subject to subsection (b) and such notification
procedures as the Director may prescribe by regulation, a national
insurer may convert into a State insurer, as permitted by the relevant
provisions of applicable State law. Nothing in this section or in the
conversion of a national insurer into a State insurer shall operate to
abrogate any rights, privileges, liabilities, property interests, or
other interests or obligations that such insurer held or was subject to
immediately prior to the conversion.
(b) Limitation.--The Director shall not permit any conversion of a
national insurer into a State insurer that, in the determination of the
Director, would substantially prejudice the interests of policyholders
and shareholders of the national insurer.
Subtitle B--Powers
SEC. 321. POWERS OF NATIONAL INSURERS.
Upon issuance of its charter, a national insurer shall have the
power, subject to the provisions of this Act and in accordance with
such regulations as the Director may prescribe--
(1) to have a corporate seal, which may be altered at will,
and to use it, or a facsimile of it, impressing or affixing it
or in any other manner reproducing it;
(2) to have perpetual succession until such time as it is
liquidated, dissolved, merged or otherwise wound up in
accordance with applicable law and regulation;
(3) to sue or be sued, complain and defend, and otherwise
litigate in any court and participate, as a party or otherwise,
in any judicial, administrative, arbitral or other proceeding,
in its corporate name;
(4) to make contracts and guarantees, incur liabilities,
borrow money, issue notes, bonds, and other obligations (which
may be convertible into or include the option to purchase other
securities of the national insurer), and secure any of its
obligations by mortgage or pledge of any of its property,
franchises or income;
(5) to purchase, receive, subscribe for or otherwise
acquire, own, hold, vote, improve, employ, use, and otherwise
deal in and with real and personal property or other assets, or
any interest therein, and to sell, convey, mortgage, lease,
exchange, transfer or otherwise dispose of, or mortgage or
pledge, all or any of its property and assets, or any intere
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st
therein;
(6) to lend money, invest and reinvest its funds and
receive and hold real and personal property as security for
repayment;
(7) to be a promoter, partner, member, associate or manager
of any partnership, joint venture, trust or other entity;
(8) to participate with others in any corporation,
partnership, limited partnership, joint venture, or other
association of any kind, or in any transaction, undertaking, or
arrangement which the participating national insurer would have
power to conduct by itself, whether or not such participation
involves sharing or delegation of control with or to others;
(9) to elect or appoint directors, officers, employees, and
agents of the national insurer, define their duties, fix their
compensation and lend them money and credit;
(10) to pay pensions and establish pension plans, pension
trusts, profit sharing plans, share bonus plans, share option
plans, and other benefit or incentive plans for any or all
current or former directors, officers, employees, and agents of
the national insurer, its subsidiaries, or its affiliates;
(11) to provide insurance for its benefit on the life of
any of its directors, officers, or employees, or on the life of
any shareholder for the purpose of acquiring at such
shareholder's death shares of its stock owned by such
shareholder;
(12) to adopt, amend and repeal bylaws;
(13) to engage in the underwriting and sale of insurance;
to establish and maintain one or more separate accounts and to
allocate amounts to such accounts (including, without
limitation, proceeds applied under optional modes of settlement
or under dividend options) to provide for insurance; to
establish and maintain one or more protected cells in
connection with an insurance securitization and attribute to
such cells insurance and reinsurance obligations with respect
to its general account, obligations relating to the insurance
securitization and assets to fund such obligations; to hold and
accumulate funds pursuant to funding agreements; to provide
investment advice and investment management services; to engage
in all other insurance operations; and to exercise all such
incidental powers as shall be necessary to carry on insurance
operations;
(14) to provide benefits or payments to directors,
officers, and employees of the national insurer, its
subsidiaries, or its affiliates, and to their estates,
families, dependents, or beneficiaries, in recognition of the
past services of the directors, officers, and employees to the
national insurer, its subsidiaries, or its affiliates;
(15) to make donations and otherwise devote its resources
for the public welfare or for charitable, scientific,
educational, humanitarian, philanthropic, or religious
purposes;
(16) to be a promoter, partner, member, associate, or
manager of any business entity;
(17) to do all such other things necessary or convenient to
further its activities and affairs; and
(18) to exercise the powers granted by this Act in any
State and in any foreign jurisdiction.
SEC. 322. SEPARATE ACCOUNTS.
Amounts allocated by a national life insurer to a separate account
shall be owned by the national life insurer, the assets therein shall
be the property of the national life insurer, and no national insurer
by reason of such account shall be or hold itself out to be a trustee.
If and to the extent so provided in the applicable agreements, the
assets in a separate account shall not be chargeable with liabilities
arising out of any other business of the national insurer.
SEC. 323. PROTECTED CELLS.
(a) Establishment of Protected Cells.--A national insurer may
establish one or more protected cells with the approval of the
Director. The Director shall by regulation adopt standards for
protected cells established by national insurers.
(b) Protected Cell Assets.--Amounts attributed to a protected cell,
including assets transferred to a protected cell account, are owned by
the national insurer and the national insurer may not be, nor hold
itself out to be, a trustee with respect to those protected cell assets
of that protected cell account. The assets of a protected cell may not
be charged with liabilities arising out of any other business the
national insurer may conduct.
(c) Security Interests Permitted.--A national insurer may allow for
a security interest to attach to protected cell assets or a protected
cell account when in favor of a creditor of the protected cell and
otherwise allowed under applicable law.
(d) Reach of Creditors and Other Claimants.--
(1) Claims to certain protected cells assets.--Protected
cell assets shall only be available to the creditors of a
national insurer that are creditors in respect to that
protected cell, and such creditors shall have recourse only to
the protected cell assets attributable to that protected cell.
(2) No recourse to other protected cell assets.--Creditors
with respect to a protected cell shall have no recourse against
the protected cell assets of other protected cells or the
general account assets of the national insurer.
(3) Treatment of protected cells.--The establishment of a
protected cell by a national insurer shall not, in and of
itself, constitute or be deemed to be a fraudulent conveyance,
an intent by the national insurer to defraud creditors, or the
carrying out of business by a national insurer for any other
fraudulent purpose.
(e) Effect on State Law.--No State may, by law, regulation, order,
interpretation or otherwise, require licensing or otherwise regulate in
any manner--
(1) an investor in an insurance securitization, solely by
reason of its investment, as an insurer, reinsurer or other
person transacting insurance; or
(2) an underwriter or selling agent (or its partners,
directors, officers, members, managers, employees, agents,
representatives, and advisors) in an insurance securitization
as an insurance or reinsurance agent, broker, producer,
intermediary, advisor, consultant or similar capacity by virtue
of its activities in connection with the insurance
securitization.
Subtitle C--Financial Regulation
SEC. 331. ACCOUNTING PRINCIPLES AND AUDITING STANDARDS.
(a) Regulations.--
(1) In general.--The Director shall, by regulation, specify
the accounting principles and auditing standards to be followed
by a national insurer in preparing financial statements to be
filed with the Director pursuant to section 202(b)(1).
(2) Initial regulations.--The initial regulations under
paragraph (1) shall be promulgated on or before the transition
commencement date and shall require that--
(A) except as provided in section 333, national
insurers shall follow statutory accounting practices as
promulgated by the NAIC in its Accounting Practices and
Procedures Manual; and
(B) audited financial statements shall be in
accordance with guidance prescribed by the NAIC in its
Model Regulation Requiring Annual Audited Financial Reports;
each as in effect as of January 1, 2001, and as amended by the
NAIC and in effect thereafter from time to time prior to the
transition termination date, except that the Director may by
regulation specify that any such amendment by
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the NAIC shall,
in whole or in part, be inapplicable to national insurers.
(3) Amendment of naic standards.--The accounting principles
and auditing standards for national insurers in effect on the
transition termination date pursuant to paragraph (2) may
thereafter be amended by regulations promulgated pursuant to
paragraph (1).
(b) Study and Hearings.--The Director shall conduct a study and
hold hearings prior to the transition termination date and shall
determine whether modification of the accounting principles and
auditing standards for national insurers established pursuant to
subsection (a) would be consistent with the public interest and the
protection of policyholders.
SEC. 332. INVESTMENTS.
(a) In General.--
(1) Investments.--A national insurer may loan or invest its
funds, and may buy, sell, hold title to, possess, occupy,
pledge, convey, manage, protect, insure and deal with its
investments, property and other assets. Such investments shall
be of sufficient value, liquidity, and diversity to ensure the
national insurer's ability to meet its outstanding obligations
based on reasonable assumptions as to its business.
(2) Subsidiaries.--A national insurer may invest in, or
otherwise acquire, subsidiaries engaged or organized to engage
in any business lawful under the laws of the jurisdictions in
which such subsidiaries are organized.
(b) Investment Policy.--In acquiring, investing, exchanging,
holding, selling, and managing investments, a national insurer shall
establish and follow a written investment policy that shall be reviewed
and approved by the national insurer's board of directors at least
annually. The content and format of a national insurer's investment
policy shall be at the national insurer's discretion, but shall include
written guidelines appropriate to the national insurer's business as to
the following issues:
(1) The general investment policy of the national insurer,
with guidelines and specifications intended to assure that its
investments are appropriate for the business conducted by the
national insurer, its liquidity needs and its capital and
surplus.
(2) Goals and objectives regarding the composition of
classes of investments, including maximum internal limits.
(3) Requirements for periodic evaluation of the investment
portfolio as to its risk and reward characteristics, and for
adoption and oversight of implementation of procedures and
controls covering all aspects of the investment function.
(c) Standard of Care.--In reviewing and approving the investment
policy established pursuant to subsection (b), the directors of a
national insurer shall perform their duties in good faith and with that
degree of care that an ordinarily prudent individual in a like position
would use under similar circumstances. Among the factors that the board
of directors may consider are the following:
(1) The national insurer's business.
(2) General economic conditions.
(3) The possible effect of inflation or deflation.
(4) The expected tax consequences of investment decisions
or strategies.
(5) The fairness and reasonableness of the terms of an
investment considering its probable risk and reward
characteristics and relationship to the investment portfolio as
a whole.
(6) The extent of the diversification of the national
insurer's investments among--
(A) individual investments;
(B) classes of investments;
(C) industry concentrations; and
(D) geographic areas.
(7) The quality and liquidity of investments in affiliates.
(8) The investment exposure to--
(A) liquidity risk;
(B) credit and default risk;
(C) systemic (market) risk;
(D) interest rate risk;
(E) call, prepayment, and extension risk;
(F) currency risk; and
(G) foreign sovereign risk.
(9) The amount of the national insurer's assets, capital
and surplus, premium writings, and insurance in force.
(10) The amount and adequacy of the national insurer's
reported and unreported liabilities.
(11) The relationship of the expected cash flows of the
national insurer's assets and liabilities, and the risk of
adverse changes in the national insurer's assets and
liabilities.
(12) The adequacy of the national insurer's capital and
surplus to support the risks and liabilities of the national
insurer.
(13) The amount of investments made in the communities
where the national life insurer sells insurance policies or has
offices.
(d) Internal Controls.--A national insurer shall establish and
implement internal controls and procedures to ensure compliance with
its investment policy. In this respect, an evaluation and monitoring
process shall occur periodically for assessing the effectiveness of
such controls and procedures. Additionally, the national insurer shall
assess management's success in meeting the stated objectives within the
investment policy.
(e) Minimum Financial Security Benchmark.--
(1) Establishment.--The Director shall by regulation or
order establish what portion of the surplus of an individual
national insurer or any category of national insurers shall
constitute a minimum financial security benchmark that will
provide reasonable security against contingencies affecting a
national insurer's financial position that are not fully
covered by reserves or by reinsurance.
(2) Minimum.--Any such minimum financial security benchmark
shall be not less than the authorized control level risk-based
capital (or, absent an authorized control level risk-based
capital, another comparable risk-based capital level
established by the Director) applicable to the national insurer
as established under section 337 less any asset valuation
reserve and voluntary investment reserves that may be required.
(3) Failure to comply.--Notwithstanding the provisions of
subsection (c), if a national insurer fails to meet the minimum
financial security benchmark applicable to it, the national
insurer shall be subject to such investment standards as the
Director shall establish by regulation or order.
SEC. 333. ASSET VALUATION AND RATING.
The Director shall establish such standards and means to recognize
risk factors appropriate to the valuation and rating of assets held by
a national insurer for purposes pertinent to the supervision of
national insurers other than risk-based capital. The initial standards
and means shall be promulgated on or before the transition commencement
date.
SEC. 334. VALUATION OF LIABILITIES.
(a) Regulations.--The Director shall, by regulation, establish
standards for the valuation of insurer obligations and liabilities for
national insurers. The regulations may prescribe valuation requirements
for particular types of insurance policies and, for other types of
insurance policies, shall require that reserves be established based on
a valuation performed by a qualified actuary in accordance with
generally accepted actuarial principles.
(b) Regulations During Transition Period.--The initial regulations
under subsection (a) shall be promulgated on or before the transition
commencement date and shall provide that the standards be based on
relevant NAIC model laws, regulations, and guidelines in the form
adopted by the NAIC, including the Standard Valuation Law, Valuation of
Lif
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e Insurance Policies Model Regulation, Universal Life Insurance
Model Regulation, Variable Life Insurance Model Regulation, Health
Insurance Reserves Model Regulation, and NAIC actuarial guidelines
applicable to insurance policies that may be underwritten and sold by
national insurers, each as in effect as of January 1, 2001, and as
amended by the NAIC and in effect thereafter from time to time prior to
the transition termination date, except that the Director may by
regulation specify that any such amendment by the NAIC shall, in whole
or in part, be inapplicable to national insurers.
(c) Regulations After Transition Period.--The standards for the
valuation of insurer obligations and liabilities for national insurers
in effect on the transition termination date pursuant to subsection (b)
may thereafter be amended by regulations promulgated pursuant to
subsection (a).
SEC. 335. CONTINUING AND ALTERNATE BENEFITS.
(a) Regulations.--The Director shall, by regulation, establish
standards applicable to national life insurers for the determination of
continuing and alternate benefits available at the election of the
policyholder or upon insurance policy termination that are reflective
of the accumulated remaining value in the insurance policy.
(b) Regulations During Transition Period.--The initial regulations
under subsection (a) shall be promulgated on or before the transition
commencement date and shall provide that the standards be based on
relevant NAIC model laws, regulations, and guidelines in the form
adopted by the NAIC, including the Standard Nonforfeiture Law for Life
Insurance, Variable Life Insurance Model Regulation, Standard
Nonforfeiture Law for Individual Deferred Annuities, Long-Term Care
Insurance Model Act, Long-Term Care Insurance Model Regulation, and
NAIC actuarial guidelines applicable to insurance policies that may be
underwritten and sold by national insurers, each as in effect as of
January 1, 2001, and as amended by the NAIC and in effect thereafter
from time to time prior to the transition termination date, except that
the Director may by regulation specify that any such amendment by the
NAIC shall, in whole or in part, be inapplicable to national insurers.
(c) Regulations After Transition Period.--The standards applicable
to national life insurers for the determination of continuing and
alternate benefits in effect on the transition termination date
pursuant to subsection (b) may thereafter be amended by regulations
promulgated pursuant to subsection (a).
SEC. 336. ACTUARIAL OPINION.
The Director shall, by regulation, require each national insurer to
file an annual written opinion from a qualified actuary on the adequacy
of the national insurer's assets to meet its reasonably expected
obligations and liabilities. The opinion shall be based on analysis
consistent with the nature of the national insurer's obligations and
liabilities.
SEC. 337. RISK-BASED CAPITAL STANDARDS.
(a) Regulations.--
(1) Establishment.--The Director shall, by regulation,
establish risk-based capital standards for national insurers
that recognize risk factors appropriate to the business of
national insurers and remedies for failure to meet such
standards.
(2) Regulations during transition period.--The initial
regulations under paragraph (1) shall be promulgated on or
before the transition commencement date and shall provide that
the standards be based on NAIC risk-based capital calculations
and remedies in the form adopted by the NAIC, each as in effect
as of January 1, 2001, and as amended by the NAIC and in effect
thereafter from time to time prior to the transition
termination date, except that the Director may by regulation
specify that any such amendment by the NAIC shall, in whole or
in part, be inapplicable to national insurers.
(3) Regulations after transition period.--The risk-based
capital standards for national insurers and the remedies for
failure to meet such standards in effect on the transition
termination date pursuant to paragraph (2) may thereafter be
amended by regulations promulgated pursuant to paragraph (1).
(b) Disclosure.--Except as may be required or permitted under the
regulations promulgated pursuant to subsection (a), a national insurer
shall not disclose its risk-based capital ratio to the general public
for any purpose.
SEC. 338. DIVIDENDS TO SHAREHOLDERS.
(a) Shareholder Dividends Permitted.--A national insurer may
declare and pay dividends or make other distributions in cash or its
bonds or its property on its outstanding shares, except when the
national insurer is insolvent or would thereby be made insolvent, or
when the declaration, payment or distribution would be contrary to any
restrictions contained in its charter or any order issued by the
Director.
(b) Source of Shareholder Dividends.--Dividends may be declared or
paid and other distributions may be made out of surplus only, so that
the assets of the national insurer remaining after such declaration,
payment, or distribution shall at least equal the amount of its
capital.
Subtitle D--Reinsurance
SEC. 351. DEFINITIONS.
For purposes of this subtitle:
(1) Federally qualified reinsurer.--The term ``federally
qualified reinsurer'' means a State chartered reinsurer or a
reinsurer chartered in a foreign jurisdiction that holds a
license issued by the Director pursuant to section 356.
(2) Federal reinsurer.--The term ``Federal reinsurer''
means a reinsurer that--
(A) is a national insurer that holds a Federal
license under this title;
(B) is a federally qualified reinsurer; or
(C) maintains a trust fund pursuant to section
352(b).
(3) Qualified financial institution.--The term ``qualified
financial institution'' means an institution that is organized
or licensed under the laws of the United States or any State
and that is regulated, supervised, and examined by United
States Federal or State authorities having regulatory authority
over banks and trust companies. Such term includes a foreign
branch of a qualified United States financial institution and
any other foreign institution as determined by the Director,
consistent with the purposes of this subtitle.
(4) Reinsurer.--The term ``reinsurer'' means an insurer
that is in or proposes to enter the business of providing
wholesale insurance risk management and related financial
management products and services to insurers or other entities
that are in the business of providing insurance risk management
and related financial management products and services in
wholesale and retail markets.
(5) Risk transfer product.--The term ``risk transfer
product'' means any agreement between or among parties in which
a party contractually assumes a specified financial uncertainty
from another party, for consideration.
SEC. 352. RESERVE CREDIT.
(a) In General.--Credit for reinsurance shall be allowed under this
Act solely under the provisions of this subtitle to a national insurer,
federally qualified reinsurer, and a State insurer that cedes any risk
to a Federal reinsurer.
(b) Trust Funds.--
(1) Required actions.--If the assuming insurer secures all
its liabilities attributable to reinsurance ceded by State
insurers and U.S. branches entered through a State or
established pursuant to section 302 with a trust, the assuming
insurer shall--
(A) file annually with the Director a copy of its
most recent audited financial statement and a copy of
its annual financial statemen
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t in substantially similar
format as those required to be filed by a national
insurer under this Act;
(B) file with the Director evidence of its
submission to the jurisdiction of the Director;
(C) submit to examination of its books and records
and bear the expense of the examination;
(D) file with the Director the form of the trust
and any trust amendments;
(E) deposit in the trust such reasonable amount in
excess of its liabilities for risks resident or located
in the United States, net of reinsurance, as shall be
determined in rules to be promulgated by the Director;
and
(F) comply with such other regulations as the
Director may issue.
(2) Amounts.--Such a trust may be funded only with--
(A) cash;
(B) securities qualifying as admitted assets of a
national insurer;
(C) clean, irrevocable, unconditional letters of
credit, issued or confirmed by a qualified financial
institution, effective no later than December 31 of the
year for which the filing is being made, and in trust
for the ceding insurer on or before the filing date of
its annual financial statement; except that letters of
credit issued or confirmed by institutions that
subsequently fail to meet applicable standards shall
continue to be acceptable as security under this
subsection until the earliest of their expiration,
extension, renewal, modification, or amendment; or
(D) any other form of security acceptable to the
Director.
(c) Other Asset or Reduction From Liability.--In addition to the
reserve credit permitted under subsections (a) and (b), a national
insurer and a federally qualified reinsurer may establish an asset or
reduce its liabilities, in an amount not exceeding its liabilities, for
reinsurance ceded and secured in accordance with this subsection. The
reduction shall be in the amount of funds held by or on behalf of the
ceding insurer, including funds 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 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 financial
institution. This security may be in the form only of--
(1) cash;
(2) securities qualifying as admitted assets of a national
insurer;
(3) clean, irrevocable, unconditional letters of credit,
issued or confirmed by a qualified financial institution,
effective no later than December 31 of the year for which the
filing is being made, and in the possession of, or in trust
for, the ceding insurer on or before the filing date of its
annual financial statement; except that letters of credit
issued or confirmed by institutions that subsequently fail to
meet applicable standards shall continue to be acceptable as
security under this subsection until the earliest of their
expiration, extension, renewal, modification, or amendment; or
(4) any other form of security acceptable to the Director.
(d) Required Reinsurance.--Notwithstanding other provisions of this
section or any regulation promulgated pursuant to this section, credit
shall be allowed for reinsurance ceded to government-owned or
controlled insurers or reinsurers or to pools or to guaranty
associations or to residual market mechanisms, as may be required under
applicable law or regulation in any jurisdiction, unless the Director
determines otherwise, after notice and hearing.
SEC. 353. RISK TRANSFER REGULATION.
The Director shall issue regulations that--
(1) allow a ceding insurer to establish an asset or to
reduce its liability for reinsurance of risk, whether the risk
is mortality, morbidity, lapse, credit, investment, timing, or
expense and whether such risks are proportional or
nonproportional;
(2) provides that a Federal reinsurer may assume any risk
described in paragraph (1) from any regulated financial entity,
as long as those risks originated in one or more financial
undertakings by the entity; and
(3) implements the purposes of this subtitle so that
functionally equivalent risk-spreading financial arrangements
should be treated similarly.
SEC. 354. INTERNATIONAL STANDARDS; HOST COUNTRY RESERVES.
(a) International Standards and Reciprocity.--The Director shall
have the responsibility, and shall take such actions as may be
necessary, to--
(1) improve the United States reinsurers' ability to
compete internationally;
(2) promote the development, by the transition termination
date, of international accounting standards for reinsurance and
functionally equivalent risk-transfer products;
(3) work toward international mutual recognition on a
bilateral or multilateral basis; and
(4) ensure that Federal regulation of reinsurers imposes no
substantial competitive disadvantage on United States
operations of reinsurers.
(b) Host Country Reserves.--By the transition termination date, the
Director shall, by regulation, establish valuation rules that allow
Federal reinsurers to use the reserving rules of the country where the
reinsured risk originates for any such non-United States risks to the
extent the Director deems necessary or appropriate to protect the
Federal reinsurer's solvency. Such regulations may require segregation
of assets and liabilities for any such reinsured non-United States
risks.
SEC. 355. REINSURANCE CONTRACT TERMS.
The Director shall adopt regulations governing the provisions of
reinsurance contracts that will be required in order for an insurer
ceding insurance risk to the reinsurer to establish an asset or to
reduce a liability.
SEC. 356. LICENSING OF FEDERALLY QUALIFIED REINSURERS.
(a) In General.--The Director may license reinsurers to provide
reinsurance for insurance and prescribe, by regulation, the standards
and procedures for granting licenses under this Act to entities to
provide reinsurance for insurance. Such standards shall give due
consideration to the public interest in providing secure and sufficient
reinsurance capacity in the United States and to the need for promoting
effective, fair competition.
(b) Determination and Finding.--Upon submission of an application,
the Director shall examine the information submitted and conduct such
further examination and investigation, as the Director finds necessary,
to determine whether the applicant satisfies the standards for a
license to provide reinsurance under this section. Upon conclusion of
the examination and investigation, the Director shall publish the
findings and determination of the examination. Upon a determination
that the applicant has satisfied the applicable requirements of this
section, the Director shall issue the license.
(c) Annual Reports.--The Director shall require each reinsurer that
holds a license to provide reinsurance under this section to submit an
annual report of its financial condition and an annual report on the
condition of any trust fund regulated under this subtitle in a form
prescribed by the Director.
SEC. 357. TRANSITION.
(a) Congressional Intent.--The Congress intends to ensure the
protection of the American insurance-purchasing public and the fair and
reciprocal national treatment for regulated entities.
(b) Transition.--For the period of t
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he transition under subsection
(c) of this section, the Director may not, pursuant to section 356,
license any entity that is not a State insurer.
(c) Period of Transition.--
(1) In general.--The period of transition under this
subsection shall be the period that--
(A) is determined by the Director in consultation
with the United States Trade Representative;
(B) ends no earlier than the transition termination
date; and
(C) is terminated on a country-by-country basis,
depending on the determination pursuant to subparagraph
(A).
(2) Termination.--Notwithstanding paragraph (1), the
transition period shall not be terminated with respect to any
country unless the United States Trade Representative advises
that such country has a mutual recognition agreement with the
United States.
SEC. 358. APPLICABILITY OF OTHER SUBTITLES AND LAWS.
(a) In General.--No State law, regulation, or practice relating to
any matter addressed in this subtitle or in regulations implementing
any provisions of this subtitle shall apply, directly or indirectly,
to--
(1) any Federal reinsurer; or
(2) any State insurer purchasing a risk transfer product
from a Federal reinsurer.
(b) Inapplicability of Subtitle E.--A Federal reinsurer shall be
exempt from subtitle E of this title with respect to its reinsurance
operations.
(c) Applicability of Other Laws.--No provision of law of any State,
political subdivision, or agency thereof, or franchising authority, and
no provision of any franchise granted by such authority, which is
inconsistent with or more restrictive than, any provision of this
subtitle shall apply to--
(1) any Federal reinsurer; or
(2) any State insurer purchasing a risk transfer product
from a Federal reinsurer.
Subtitle E--Insurance Business
SEC. 361. PRODUCT REGULATION.
(a) Definition of Policy.--For purposes of this section, the term
``policy'' means a policy, contract, certificate, or evidence of
insurance, or an annuity contract, and a rider or endorsement thereto,
but does not include a funding agreement or a reinsurance contract and
does not include an agreement, special rider or endorsement relating
only to the manner of distributing benefits or to the reservation of
rights and benefits used at the request of the individual policyholder.
(b) Standards.--The Director shall, by regulation, establish
standards for policies as to policy provisions. The standards may
include general requirements as to policy provisions generally and
requirements as to particular classes of policies. All policies when
written by a national insurer shall comply with the applicable
standards then in effect.
(c) Product Filings.--No national insurer may issue a policy until
the form of the policy has been filed with and approved by the
Director. Pursuant to regulations promulgated by the Director, any
filing of a policy form shall be accompanied by a certificate of an
officer of the national insurer as to compliance of the policy form for
the standards applicable to the policy form.
(d) Interpretive Rulings.--
(1) Procedures.--The Director shall by regulation establish
procedures by which national insurers may obtain interpretive
rulings from the Office regarding the interpretation and
application of the standards established pursuant to this
section.
(2) Confidentiality.--Neither the request by a national
insurer for an interpretative ruling nor the complete text of
the interpretative ruling of the Office shall be made available
to the public.
(3) Summaries.--Notwithstanding paragraph (2), the Director
shall make summaries of interpretive opinions public, without
the name of the national insurer or other identifying
information, promptly after issuance of the opinions or after
such delay as the Director may determine at the request of the
national insurer.
(e) State Regulation of Rates.--Notwithstanding any other provision
of this Act or any other law, each national insurer and each insurance
policy issued by a national insurer shall be subject to State laws,
rules, regulations, orders, and actions that regulate the rates for
insurance.
SEC. 362. UNDERWRITING STANDARDS FOR LIFE INSURERS.
A national life insurer may classify or underwrite risks, except
that any decision to--
(1) refuse to insure or to continue to insure,
(2) limit the amount, extent or kind of coverage, or
(3) charge a different rate for the same coverage,
shall be--
(A) based on sound actuarial principles; or
(B) related to actual or reasonably anticipated experience.
SEC. 363. GROUP, BLANKET, AND FRANCHISE INSURANCE.
(a) Authority.--A national insurer may--
(1) underwrite and sell group, blanket, and franchise
policies for insurance; and
(2) extend group, blanket, or franchise policies for
insurance to insure the dependents of employees or members, or
any class or classes thereof.
(b) Regulation.--The Director shall, by regulation, establish
standards for kinds and qualifications of permissible groups for group
and franchise policies for insurance.
(c) Permissible Groups.--The regulations issued under subsection
(b) shall provide that the permissible groups shall include the
following groups:
(1) Employees, including retired employees, former
employees, and officers, and directors of an employer.
(2) Union members.
(3) Creditors or vendors insuring debtors or purchasers.
(4) Holders of a credit card, charge card, or payment card
that can be used to buy goods or services issued by a bank,
retailer, or other issuer.
(5) Depositors, account holders, or members of a bank,
savings and loan association, credit union, mutual fund, money
market fund, stockbroker, or other similar financial
institution regulated under State or Federal law.
(6) Multiple employers trusts insuring employees or union
members.
(7) Employer trade associations insuring employees.
(8) Professional or trade association members.
(9) Association members.
(10) A group for which there is a common enterprise or
economic or social affinity or relationship.
(11) A group of individuals or businesses located in
underserved communities.
(12) Any other group as the Director may provide.
SEC. 364. INSURABLE INTERESTS UNDER LIFE INSURANCE POLICIES.
(a) Definitions and Exceptions.--
(1) Definitions.--For purposes of subsections (c)(4),
(d)(1)(D), (d)(1)(E), and (d)(1)(F) of this section, the term
``employee'' shall include--
(A) any and all directors, officers, partners,
employees, retired employees, or the dependents of such
persons; and
(B) any former employee not included in
subparagraph (A), but only for the purpose of replacing
existing life insurance with new life insurance in an
amount not exceeding the insurance being replaced.
(2) Exceptions.--This section shall not apply to--
(A) an annuity contract;
(B) a funding agreement; or
(C) any other life insurance policy the Director by
regulation excepts from the requirements of this
section.
(b) Insurable Interest Required; Violation.--
(1) Requirement.--No person shall procure or cause to be
procured any life insurance policy written by a national life
insurer
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upon the person of another individual unless such
person has, at the time when such life insurance policy is
made, an insurable interest in the individual insured, or
unless the benefits under such life insurance policy are
payable to the individual insured or his or her personal
representatives, or to a person having, at the time when such
life insurance policy is made, an insurable interest in the
individual insured, except that an insurable interest need not
exist at the time loss occurs under the life insurance policy.
(2) Violation.--If the beneficiary, assignee or other payee
under any life insurance policy made in violation of this
subsection receives from the national life insurer any benefits
thereunder accruing upon the death, disablement, or injury of
the individual insured, the individual insured or his executor
or administrator may maintain an action to recover such
benefits from the person receiving them.
(c) Definition of Insurable Interest.--
(1) In general.--For purposes of this section, the term
``insurable interest'' means an interest based upon a
reasonable expectation of pecuniary advantage through the
continued life, health, or bodily safety of another individual
and consequent loss by reason of such individual's death or
disability or a substantial interest engendered by love and
affection in the case of individuals closely related by blood
or by law.
(2) Insurable interest of self.--An individual has an
unlimited insurable interest in his or her own life, health,
and bodily safety and may lawfully take out an insurance policy
on his own life, health, or bodily safety and have the
insurance policy made payable to whomsoever such individual
pleases, regardless of whether the beneficiary designated has
an insurable interest.
(3) Insurable interest of party to contract for sale of a
business interest.--A party to a contract or option for the
purchase or sale, including a redemption, of an interest in a
business proprietorship, partnership or firm, or of shares of
stock of a business entity or of an interest in these shares,
has an insurable interest in the life, body and health of each
individual party to that contract or option, and for the
purposes of that contract or option only, in addition to any
insurable interest that may otherwise exist as to that
individual.
(4) Insurable interest of a business entity or trust
established by a business entity.--
(A) Business entity.--A business entity has an
insurable interest in the life or physical or mental
ability of any of its employees or the employees of any
of its affiliates or any other person whose death or physical or mental
disability might cause financial loss to the business entity; or,
pursuant to any contractual arrangement with any shareholder concerning
the reacquisition of shares owned by him or her at the time of his or
her death or disability, on the life or physical or mental ability of
that shareholder for the purpose of carrying out such contractual
arrangement; or, pursuant to any contract obligating the business
entity as part of compensation arrangements or pursuant to a contract
obligating the business entity as guarantor or surety, on the life of
the principal obligor.
(B) Trust.--
(i) The trustee of a trust established by a
business entity substantially for the benefit
of the business entity has the same insurable
interest in the life or physical or mental
ability of any person as does the business
entity.
(ii) The trustee of a trust established by
a business entity providing life, health,
disability, retirement, or similar benefits to
some or all of the employees of the business
entity or its affiliates in which such business
entity has an insurable interest or the
beneficiaries of such employees, and acting in
a fiduciary capacity with respect to such
employees or their beneficiaries, has the same
insurable interest in the life of such
employees as does the business entity.
(C) Conveyance.--The insurable interest of a
business entity or trustee which has been established
pursuant to subparagraph (B) shall be conveyed
automatically to another business entity or to the
trustee of a trust established by such other business
entity for its sole benefit which has acquired by
purchase, merger, or otherwise all or part of the first
business entity's business. A business entity or the
trustee of a trust established pursuant to subparagraph
(B) may exchange any insurance policy issued to itself
or to another business entity or the trustee of a trust
established pursuant to subparagraph (B) from which the
exchanging business entity has acquired by purchase,
merger, or otherwise all or part of such other business
entity's business for a new insurance policy issued to
itself without establishing a new insurable interest at
the time of such exchange.
(5) Charitable institutions.--A charitable institution as
defined under section 501(c)(3), 501(c)(6), 501(c)(8), or
501(c)(9) of the Internal Revenue Code of 1986 shall have an
insurable interest in the life of any donor.
(d) Application and Consent of Insured.--
(1) Required consent.--No life insurance policy upon an
individual, except a group insurance policy, shall be made or
effectuated unless at the time of the making of the life
insurance policy the individual insured, being of competent
legal capacity to contract, applies for an insurance policy or
consents in writing to the contract, except in the following
cases:
(A) A spouse may effectuate life insurance upon the
other spouse.
(B) Any person having an insurable interest in the
life of a minor or any person upon whom a minor is
dependent for support and maintenance may effectuate
life insurance upon the life of or pertaining to the
minor.
(C) An application for a family life insurance
policy may be signed by either parent, by a stepparent,
or by husband or wife.
(D) A business entity may effectuate life insurance
upon its employees in whom it has an insurable
interest.
(E) A trustee of a trust established by a business
entity providing life, health, disability, retirement,
or similar benefits may effectuate life insurance upon
employees for whom such benefits are to be provided.
For purposes of this subparagraph, any employee of a
group of business entities consisting of a parent
business entity and its directly or indirectly owned
subsidiaries shall be considered to be an employee of
each business entity within the group.
(F) A business entity described in subpar
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agraph (D)
or the trustee of a trust established by such business
entity as contemplated by subparagraph (E) may exchange
any life insurance policy which was sold to itself on
the life of an employee or retiree of the business
entity, or which was sold to another business entity or
the trustee of a trust established by such other
business entity as contemplated by subparagraph (E) on
the life of an employee or retiree of such other
business entity, and the exchanging business entity has
acquired by purchase, merger, or otherwise all or part
of such other business entity's business for a new life
insurance policy on such individual's life sold to the
exchanging business entity.
(2) Liability.--A national life insurer shall be entitled
to rely upon all statements, declarations, and representations
made by an applicant for insurance relative to the insurable
interest which such applicant has in the insured. No national
life insurer shall incur any legal liability except as set
forth in the insurance policy, by virtue of any untrue
statements, declarations, or representations so relied upon in
good faith by the national life insurer.
(e) Conditions for New Insurance Exceeding Insurance Being
Replaced.--Notwithstanding the provisions of subsections (c)(4),
(d)(1)(D), (d)(1)(E), or (d)(1)(F), any new life insurance may exceed
the life insurance being replaced only--
(1) when an entity has an insurable interest pursuant to
subsection (c)(4) and the authority to effectuate life
insurance pursuant to the provisions of subsection (d)(1)(D),
(d)(1)(E), or (d)(1)(F); and
(2)(A) to the extent application of the cash surrender
value from the old life insurance as a premium under the new
life insurance policy requires a larger amount of insurance to
qualify as life insurance or to be not treated as a modified
endowment contract for Federal income tax purposes;
(B) to otherwise comply with applicable Federal law; or
(C) when, upon cessation of premium payments, a former
employee or trustee elects under the life insurance policy to
use the cash value available under the life insurance policy to
restructure the term, face amount, or investment options under
the life insurance policy, even though such restructuring may
result in an increase in the amount of the insurance.
(f) Insurance Policy Transfers or Assignments.--If a life insurance
policy has been issued in compliance with this section, no transfer or
assignment of such insurance policy or any interest thereunder shall be
invalid by reason of a lack of insurable interest of the transferee or
assignee in the life of the insured or the payment of premiums
thereafter by the transferee or assignee.
(g) Effect of State Law.--No State may, by law, regulation, order,
interpretation or otherwise, impose any standard, relating to any
matter addressed in this section, on national life insurers or persons
who purchase insurance from national life insurers.
SEC. 365. LAW APPLICABLE TO LIFE INSURANCE POLICIES OR OTHER PRODUCTS
OF NATIONAL LIFE INSURERS.
(a) In General.--Subject to any applicable Federal law, the
provisions of any life insurance policy or other product of a national
life insurer shall be interpreted in accordance with the law of the
jurisdiction, if any, specified by the parties in the life insurance
policy or other product, so long as the parties have specified the law
of--
(1) the jurisdiction in which the national life insurer has
its main office;
(2) the jurisdiction in which the national life insurer has
its principal place of business; or
(3) the jurisdiction in which the life insurance policy or
other product is delivered.
(b) Default Law.--Subject to any applicable Federal law, if the
parties to a life insurance policy or other product of a national life
insurer have not specified, as provided in subsection (a), the
jurisdiction whose law shall govern the provisions of the insurance
policy or other product, such provisions shall be interpreted in
accordance with the law of the jurisdiction in which the life insurance
policy or other product is delivered.
(c) Regulations.--Subsection (b) shall be subject to such choice of
law rules and standards as the Director may establish by regulation.
Subtitle F--Market Conduct
SEC. 371. PURPOSES AND REGULATIONS.
(a) Purpose.--The purposes of this subtitle is to ensure
appropriate Federal regulation of sales and marketing practices of
national insurers and State licensed insurance producers selling the
products of national insurers to prevent--
(1) unfair methods of competition and unfair and deceptive
acts and practices in the advertising, solicitation, sale,
issuance, distribution, and administration of insurance
policies and other products of national insurers;
(2) unfair claims practices related to insurance
underwritten and sold by such insurers and producers;
(3) discrimination in the underwriting of insurance by such
insurers and producers; and
(4) insurance fraud.
(b) Rulemaking Authority.--The Director shall promulgate such rules
and regulations, applicable to national insurers and State insurance
producers that sell products of national insurers, as the Director
deems necessary to carry out the purposes of this subtitle.
(c) Annual Examinations.--The Director shall conduct annual
examinations of the market conduct of national insurers and State
insurance producers that sell products of national insurers.
(d) Safe Harbor.--An immaterial clerical error or mathematical
error made in connection with the advertising, solicitation, sale,
issuance, distribution, or administration of insurance policies and
other products of national insurers and State insurance producers that
sell products of national insurers shall not constitute a violation of
this subtitle.
SEC. 372. UNFAIR OR DECEPTIVE PRACTICES.
(a) General Prohibition.--No person shall engage in any act or
practice in or affecting the advertising, solicitation, sale, issuance,
distribution, or administration of insurance or other products of
national insurers, including such products sold by State insurance
producers, if such act or practice--
(1) constitutes an unfair or deceptive act or practice in
or affecting the advertising, solicitation, sale, issuance,
distribution, or administration of insurance or other products
of national insurers; and
(2)(A) is committed flagrantly and in conscious disregard
of this subtitle or any regulations promulgated under this
subtitle; or
(B) has been committed with such frequency as to indicate a
general business practice to engage in such conduct.
(b) Unfair or Deceptive Acts or Practices Defined.--For purposes of
this subtitle, the following acts or practices constitute unfair or
deceptive acts or practices in or affecting the advertising,
solicitation, sale, issuance, distribution, or administration of
insurance or other products of national insurers, including such
products sold by State insurance producers:
(1) Misrepresentations and false advertising of insurance
or annuity contracts.--Making, issuing, circulating, or causing
to be made, issued or circulated, any estimate, illustration,
circular or statement, sales presentation or comparison that--
(A) misrepresents the benefits, advantages,
conditions or terms of any insurance or annuity
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contract issued by a national insurer;
(B) misrepresents the dividends to be received on
any insurance or annuity contract issued by a national
insurer;
(C) makes a false or misleading statement as to the
dividends previously paid on any insurance or annuity
contract issued by a national insurer;
(D) is misleading or is a misrepresentation as to
the financial condition of any national insurer, or as
to the reserves required for a national insurer;
(E) uses any name or title of any insurance or
annuity contract issued by a national insurer that
misrepresents the true nature of such insurance or
annuity contract;
(F) is a misrepresentation, including any
intentional misquote of a premium rate, for the purpose
of inducing or intending to induce the purchase, lapse,
forfeiture, exchange, conversion or surrender of any
insurance or annuity contract issued by a national
insurer;
(G) is a misrepresentation for the purpose of
effecting a pledge or assignment of or effecting a loan
against any insurance or annuity contract issued by a
national insurer; or
(H) misrepresents any insurance policy issued by a
national insurer as stock.
(2) False, deceptive, or misleading advertising.--Making,
publishing, disseminating, circulating, or placing before the
public, directly or indirectly, in a newspaper, magazine or
other publication, or in the form of a notice, circular,
pamphlet, letter or poster, or over the Internet or any radio
or television station, or in any other way, any advertisement,
announcement, or statement that contains any assertion or
representation with respect to any national insurer or State
insurance producer selling products of a national insurer which
is untrue, deceptive, or misleading.
(3) Defamation.--Making, publishing, disseminating, or
circulating, directly or indirectly, or aiding, abetting, or
encouraging the making, publishing, disseminating, or
circulating of any oral or written statement or any pamphlet,
circular, pamphlet, letter, or poster, which is false or
maliciously critical of the financial condition of a national
insurer or State insurance producer selling products of a
national insurer, and which is calculated to injure such
insurer or producer.
(4) False statements.--Filing with the Director, or any
other public official, or making, publishing, disseminating,
circulating, or delivering to any person, or causing, directly
or indirectly, to be made, published, disseminated, circulated, or
delivered to any person, or placed before the public, any material
statement as to the financial condition of a national insurer or State
insurance producer selling products of a national insurer that is
false.
(5) Twisting.--Making, issuing, or causing to be made or
issued an oral or written statement that misrepresents or makes
incomplete comparisons about the terms, conditions or benefits
contained in an insurance or annuity contract issued by a
national insurer, including such contracts sold by State
insurance producers, for the purpose of inducing or attempting
to or intending to induce the policyholder to forfeit,
surrender, retain, exchange, or convert an insurance or annuity
contract or allow an insurance or annuity contract to lapse.
(6) Other acts and practices.--Engaging in any other act or
practice that the Director determines, by regulation or order,
to be an unfair or deceptive act or practice in or affecting
the advertising, solicitation, sale, issuance, distribution, or
administration of insurance and other products of national
insurers, including such products sold by State insurance
producers.
(c) Tie-In Transactions.--
(1) Real or personal property transaction.--No person
engaged in the business of financing the purchase of real or
personal property, lending money on the security thereof, or
servicing a mortgage thereon, and none of its trustees,
directors, officers, agents, or other employees, shall require,
as a condition precedent to financing any such purchase or
making any such loan or renewing or extending any such loan or
mortgage or performing any other act in connection therewith,
that the person, firm or corporation for whom the transaction
is undertaken negotiate any policy of insurance or renewal
thereof covering such property through a particular insurance
company, agent, or broker.
(2) Right to approve insurance company; non-
discrimination.--This section shall not prevent the exercise of
any right to approve or disapprove the insurer selected to
underwrite the insurance, except that in exercising such right,
whether pursuant to this section or any other law, no person
engaged in any such financing, lending or servicing business
and none of its trustees, directors, officers, agents, or other
employees shall--
(A) discriminate against an insurance company which
issues a policy of insurance that is non-assessable as
to any designated mortgages or any secured creditor
designated as a loss payee because of the insurer's
type of organization; or
(B) refuse to accept an insurance policy because it
was not negotiated through a particular insurance
company, agent, or broker.
(3) No fee to change insurance companies.--No person
engaged in any such financing, lending, or servicing business,
and none of its trustees, directors, officers, agents, or other
employees shall, in connection with compliance with a covenant
to insure, require that the person, firm, or corporation for
whom the purchase of the property is financed or to whom a
mortgage loan is made or who owns the property shall pay a fee
or other charges as a condition to accepting, during the
unexpired term of a policy then held, another policy of
insurance in substitution therefore.
(4) Banking services.--A depository institution (as such
term is defined in section 3 of the Federal Deposit Insurance
Act (12 U.S.C. 1813)) engaged, directly or indirectly, in the
sale of insurance products shall comply with the anti-coercion,
disclosure, and other consumer protections provided for in
section 47 of the Federal Deposit Insurance Act (12 U.S.C.
1831x).
SEC. 373. REPLACEMENT OF LIFE INSURANCE POLICIES.
(a) In General.--Any replacement of individual life insurance
policies or individual annuity contracts of a national insurer by an
agent or representative of such insurer shall conform to standards set
forth in regulations promulgated by the Director.
(b) Regulations.--The regulation required by subsection (a) shall
(1) specify what constitutes replacement and the disclosure
and notification required in order to replace a policy or
contract;
(2) require notification to the national insurer whose
policies or contracts are intended to be replaced;
(3) require the timely exchange of illustrative and cost
information necessary for completion of a comparison of the
proposed and replaced coverag
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e; and
(4) provide for a period following issuance of the
replacement policies or contracts during which the policyholder
or contract owner may reinstate the replaced policies or
contracts.
SEC. 374. UNFAIR DISCRIMINATION, UNFAIR CLAIMS SETTLEMENT PRACTICES,
AND UNLAWFUL INDUCEMENTS.
(a) Unfair Discrimination.--In underwriting insurance, no national
insurer shall commit any of the following acts:
(1) Rates, dividends and other benefits associated with
life insurance and annuities.--Engage in or allow any unfair
discrimination between individuals of the same class and equal
expectation of life in the rates charged for any life insurance
or annuity contract issued by such national insurer or in the
dividends or other benefits payable thereon, or in any other
terms and conditions of such insurance or annuity contract.
(2) Rates and benefits associated with accident and health
insurance.--Engage in or allow any unfair discrimination
between individuals or risks of the same class and of
essentially the same hazard in the rates charged for any
accident or health insurance issued by a national insurer or in
the benefits payable thereunder, or in any of the terms or
conditions of such insurance, or in any other manner.
(3) Geographic location of property or casualty risk; age
of property.--Engage in or allow unfair discrimination between
individuals or risks of the same class and essentially the same
hazard by refusing to insure, refusing to renew, canceling, or
limiting the amount of insurance coverage--
(A) on a property or casualty risk solely because
of the geographic location of the risk; or
(B) on the residential property risk, or the
personal property contained therein solely because of
the age of the residential property;
except that it is not unfairly discriminatory if such action is
based on sound actuarial principles or related to actual or
reasonably anticipated experience.
(4) Termination of agent or broker.--Refuse to appoint, or
terminate the appointment of, an agent or broker solely because
such agent or broker submitted applications for property or
casualty risks located in a particular geographical area.
(5) Sex, martial status, race, religion or national
origin.--Refuse to insure, refuse to continue to insure, or
limit the amount of coverage available to, an individual
because of the sex, marital status, race, religion or national
origin of the individual; except that nothing in this paragraph
shall prohibit a national insurer from taking marital status
into account for the purpose of defining persons eligible for
dependent benefits.
(6) Mental or physical impairment.--Terminate or modify
coverage under, or refuse to issue or refuse to renew, any
insurance, or charge a different rate for the same coverage,
solely because the applicant or insured or any employee of
either is mentally or physically impaired; except that--
(A) this paragraph shall not apply to accident and
health insurance sold by a national insurer that is
chartered to issue property and casualty insurance;
(B) this paragraph shall not preclude any such
action that is based on sound actuarial principles or
is related to actual or reasonable anticipated
experience, in which case the national insurer shall,
subject to the limitations under section 375(a), notify
the insured or applicant of the right to receive, or
designate a medical professional to receive, the
specific reason or reasons for such refusal, limitation
or differential; and
(C) this paragraph shall not be interpreted to
modify any other provision of law related to the
termination, modification, issuance, or renewal of, or
rates charged with respect to, any contract issued by a
national insurer.
(7) Refusal by another insurer.--Refuse to insure solely
because another national insurer or State insurer has refused
to write an insurance or annuity contract, or has canceled or
has refused to renew an existing insurance or annuity contract
in which that person was the named insured. Nothing in this
paragraph shall prevent the termination of an excess insurance
contract on the account of the failure of the insured to
maintain any required underlying insurance.
(b) Unfair Claims Settlement Practices.--No national insurer shall
engage in any of the following unfair claims settlement practices if
such practice is committed without just cause and with such frequency
as to indicate a general practice:
(1) Knowingly misrepresent material facts or provisions
that relate to the claim or coverage at issue.
(2) Refuse to pay a claim for an arbitrary or capricious
reason based on all available information.
(3) Attempt to settle a claim based on an application that
is altered without notice to, or the knowledge or consent of,
the insured.
(4) Fail to include with each claim paid to an insured or
beneficiary a statement of the coverage under which payment is
being made.
(5) Fail to settle a claim promptly whenever liability is
reasonably clear under one part of an insurance or annuity
contract, in order to influence settlements under other parts
of the contract.
(6) Fail to provide promptly on request a reasonable
explanation of the basis for a denial of a claim.
(7) Engage in any other practice that the Director
determines, pursuant to a rule or order, to be an unfair claims
settlement practice.
(c) Unlawful Inducements.--
(1) In general.--No national insurer, nor anyone acting on
behalf of a national insurer, nor any State insurance producer,
shall pay, allow, or give, or offer to pay, allow, or give,
directly or indirectly, as an inducement to any person to
insure, or shall give, sell, or purchase, or offer to give,
sell, or purchase, as such inducement, or interdependent with
any insurance policy or annuity contract, any stocks, bonds, or
other securities, or any dividends or profits accruing or to
accrue thereon, any rebate of premium, or any other valuable
consideration or inducement whatever having a nominal value in
excess of $20, not specified in such policy or contract.
(2) Affiliates of corporate insureds.--Within the meaning
of paragraph (1), the sharing of a commission with the insured
shall be deemed to include any case in which an insurance agent
or broker which is an affiliate of any corporate insured,
received commissions for the negotiation or procurement of any
policy or contract of insurance for the insured.
(3) Dividends permitted.--This subsection shall not
prohibit any national insurer from equitably distributing to
its policyholders, at any time during the term or at the
termination of the contract of insurance, dividends payable
from such insurer's surplus, nor prohibit any national insurer
or insurance agent from paying commissions to a licensed
insurance broker for negotiating a policy or contract of
insurance, nor prohibit any licensed insurance broker from
sharing or dividing a commis
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sion earned or received by him with
any other licensed insurance broker or brokers who shall have
aided him in respect to the insurance for the negotiation of
which the commission has been earned or paid.
(4) Temporary contracts permitted.--This subsection shall
not prohibit the making of temporary contracts of insurance,
either by temporary binders or other memoranda, if the premium
applicable to the insurance shall be due and shall be paid for
the time during which the insurance is in force by virtue of
the temporary contract.
SEC. 375. HIV WRITTEN INFORMED CONSENT, DISCRIMINATION AGAINST ABUSE
VICTIMS, AND HOLOCAUST VICTIMS CLAIMS.
(a) HIV Written Informed Consent.--
(1) In general.--No national insurer or its designee shall
request or require an individual proposed for insurance
coverage to be the subject of an HIV related test without
receiving the written informed consent of such individual prior
to such testing and without providing general information about
AIDS and the transmission of HIV infection.
(2) Written consent.--Written informed consent to an HIV
related test shall consist of a written authorization that is
dated and includes at least the following:
(A) A general description of the test.
(B) A statement of the purpose of the test.
(C) A statement that a positive test result is an
indication that the individual may develop AIDS and may
wish to consider further independent testing.
(D) A statement that the individual may identify on
the authorization form the person to whom the specific
test results may be disclosed in the event of an
adverse underwriting decision, which person may be the
individual or a physician or other designee at the
discretion of the individual proposed for insurance.
(E) The signature of the applicant or individual
proposed for insurance, or if such individual lacks
capacity to consent, the signature of such other person
authorized to consent for such individual.
(3) Notice to individual.--In the event that a national
insurer's adverse underwriting decision is based in whole or in
part on the result of an HIV related test, the national insurer
shall notify the individual of the adverse underwriting
decision and ask the individual to elect in writing, unless the
individual has already done so, whether to have the specific
HIV related test results disclosed directly to the individual
or to such other person as the individual may designate.
(4) Definitions.--For purposes of this subsection:
(A) Adverse underwriting decision.--The term
``adverse underwriting decision'' means--
(i) a declination of insurance coverage as
applied for; or
(ii) an offer to issue insurance coverage
at a higher than standard rate.
(B) AIDS.--The term ``AIDS'' means acquired immune
deficiency syndrome, as may be defined from time to
time by the Centers for Disease Control of the United
States Public Health Service.
(C) HIV infection.--The term ``HIV infection''
means infection with the human immunodeficiency virus
or any other related virus identified as a probable
causative agent of AIDS.
(D) HIV related test.--The term ``HIV related
test'' means any laboratory test or series of tests for
any virus, antibody, antigen, or etiologic agent
whatsoever thought to cause or to indicate the presence
of AIDS.
(5) Authority of director.--Nothing in this subsection
shall be construed to create, impair, alter, limit, modify,
enlarge, abrogate, or restrict the specific authority of the
Director to allow or prohibit the use of HIV related tests or
the consideration of HIV related test results for insurance
coverage purposes.
(b) Discrimination Based on Being a Victim of Abuse.--
(1) In general.--It is unfairly discriminatory on the part
of a national insurer to--
(A) deny, refuse to issue, renew or reissue,
cancel, or otherwise terminate, restrict, or exclude
insurance coverage on or add a premium differential to
a policy for an applicant or insured on the basis of
the applicant's or insured's abuse status; or
(B) exclude, limit, or deny benefits on a life
insurance policy on the basis of an insured's abuse
status except as otherwise permitted or required by
law;
except that the prohibitions contained in this paragraph shall
not preclude a national insurer from taking any of the actions
described in this paragraph so long as the national insurer
relies on underwriting criteria reasonably related to the
physical or mental condition of a person, their property or
claim history and the decision was based on sound underwriting
and actuarial principles reasonably related to actual or
anticipated loss experience. In such case the selection
criteria permitted must be based on such principles. The
national insurer shall notify the insured or applicant of its
specific reason or reasons for such decision.
(2) Disclosure of confidential abuse information.--When a
national insurer, agency, or agent has confidential abuse
information in its possession, the disclosure or transfer of
such information by a person employed by or contracting with a
national insurer, agency, or agent for any purpose or to any
person is unfairly discriminatory, except--
(A) to the subject of abuse or an individual
specifically designated in writing by the subject of
abuse;
(B) to a health care provider for the direct
provision of health care services;
(C) to a licensed physician identified and
designated by the subject of abuse;
(D) when ordered by the Director or a court of
competent jurisdiction or otherwise required by law;
(E) when necessary for a valid business purpose to
transfer information that includes confidential abuse
information that cannot reasonably be segregated
without undue hardship; confidential abuse information
may be disclosed only if the recipient has executed a
written agreement to be bound by the prohibitions of
this subsection in all respects and to be subject to
the enforcement of this subsection by a court of
competent jurisdiction for the benefit of the applicant
or the insured, and only to--
(i) a reinsurer that seeks to indemnify or
indemnifies all or any part of a policy
covering a subject of abuse and that cannot
underwrite or satisfy its obligations under the
reinsurance agreement without that disclosure;
(ii) a party to a proposed or consummated
sale, transfer, merger, or consolidation of all
or part of the business of th
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e national
insurer, agency, or agent;
(iii) medical or claims personnel
(including affiliates of the national insurer,
agency, or agent) contracting with the national
insurer, agency, or agent, only where necessary
to process an application or perform the duties
of such national insurer, agency, or agent
under the policy or to protect the safety or
privacy of a subject of abuse; or
(iv) with respect to address and telephone
number, to entities with whom the national
insurer, agency, or agent transacts business
when the business cannot be transacted without
the address and telephone number;
(F) to an attorney who needs the information to
represent the national insurer, agency, or agent
effectively, Provided, That the national insurer,
agency, or agent notifies the attorney of its
obligations under this subsection and requests that the
attorney exercise due diligence to protect the
confidential abuse information consistent with the attorney's
obligation to represent the national insurer, agency, or agent;
(G) to the policyholder or assignee, in the course
of delivery of the policy, if the policy contains
information about abuse status; or
(H) to any other entities deemed appropriate by the
Director.
(3) Requests prohibited.--It is unfairly discriminatory on
the part of a national insurer to request information about
acts of abuse or abuse status, or make use of that information,
however obtained.
(4) Exceptions.--Nothing in this subsection shall--
(A) preclude a subject of abuse from obtaining his
or her insurance records;
(B) prohibit a national insurer, agency, or agent
from declining to issue a life insurance policy if the
applicant or prospective owner of the policy is or
would be designated as a beneficiary of the policy, and
if--
(i) the applicant or prospective owner of
the policy lacks an insurable interest in the
insured;
(ii) the applicant or prospective owner of
the policy is known, on the basis of medical,
police, or court records, to have committed an
act of abuse against the proposed insured; or
(iii) the insurance or prospective insured
is a subject of abuse, and that person, or a
person who has assumed the care of that person
if a minor or incapacitated, has objected to
the issuance of the policy on the ground that
the policy would be issued to or for the direct
or indirect benefit of the abuser; or
(C) prohibit a national insurer, agency, or agent
from asking about a medical condition or from using
medical information to underwrite or to carry out its
duties under the policy, even if the medical
information is related to a medical condition that the
national insurer, agency, or agent knows or has reason
to know is abuse-related, to the extent otherwise
permitted under this subsection and other applicable
law.
(5) Actions taken in good faith.--A national insurer,
agency, or agent shall not be held civilly or criminally liable
for the death of or injury to an insured resulting from any
action taken in a good faith effort to comply with the
requirements of this subsection; except that this paragraph
does not prevent an action to investigate or enforce a
violation of this subsection or to assert any other claims
authorized by law.
(6) Definitions.--For purposes of this subsection:
(A) Abuse.--The term ``abuse'' means an act that--
(i) would constitute a crime in the State
in which the insured or applicant resides,
including acts constituting disorderly conduct,
harassment, menacing, reckless endangerment,
kidnapping, assault, attempted assault, or
attempted murder;
(ii) has resulted (or multiple acts that
have resulted) in actual physical or emotional
injury or have created a substantial risk of
physical or emotional harm to such person or
such person's child; and
(iii) is alleged (or multiple acts that are
alleged) to have been committed by a family or
household member.
(B) Confidential abuse information.--The term
``confidential abuse information'' means information
that clearly indicates that the insured or applicant is
a subject of abuse.
(c) Holocaust Victims' Claims.--Any national insurer in receipt of
a claim against it arising from an occurrence during the period between
January 1, 1929, and December 31, 1945, from an individual that such
national insurer knows, or reasonably should have known, is a Holocaust
victim shall--
(1) diligently and expeditiously investigate such claim;
(2) allow claimants to provide alternative documentation
which does not meet the usual standards of proof required by an
insurer to substantiate the particular claim, subject to
standards established for such documentation as prescribed by
regulations promulgated by the Director; and
(3) attempt to resolve, settle and, if appropriate, make
payments on claims irrespective of any statute of limitations
or notice requirements imposed by any law or such insurance
policy issued to or covering the life of a Holocaust victim,
provided that the claim is submitted to the insurer within 10
years from the effective date of this Act.
SEC. 376. MINIMUM NATIONAL STANDARDS.
(a) Applicability to Insurers.--The provisions of this subtitle and
any regulations implementing this subtitle shall apply to each
insurance company (other than a national insurer) doing business in the
United States to the same extent as a national insurer, and shall be
enforceable against each such company by the appropriate State
insurance regulator of the State that would otherwise have jurisdiction
over the transaction or activity that is alleged to constitute a
violation of this subtitle. Each such insurance company shall be
subject to the same penalties and sanctions that the Director may
impose against a national insurer for violations of this subtitle.
(b) Enforcement of More Protective State Laws.--Nothing in this
section shall be construed to diminish the authority of any State
insurance regulator to enforce a State statute, order, or regulation
that provides greater protection to the policyholder, applicant, or
claimant alleging a violation of this subtitle.
Subtitle G--Acquisitions of Control, Mergers, Bulk Transfers, and
Domestication
SEC. 381. ACQUISITION OF CONTROL.
(a) Director Approval Required.--
(1) In general.--No person o
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ther than the issuer shall make
a tender offer for or a request or invitation for tenders of,
or enter into any agreement to exchange securities for, or
acquire, in the open market or otherwise, any voting security
of a national insurer if, after the consummation thereof, such
person would, directly or indirectly (or by conversion or by
exercise of any right to acquire) be in control of the national
insurer, and no person shall enter into an agreement to merge
with or otherwise to acquire control of a national insurer or
any person controlling a national insurer unless, at the time
the offer, request or invitation is made or the agreement is
entered into, or prior to the acquisition of the securities if
no offer or agreement is involved--
(A) such person has filed with the Director and has
sent to the national insurer, a statement, the form and
content of which is prescribed in accordance with
subsection (b); and
(B) the offer, request, invitation, agreement, or
acquisition has been approved by the Director.
(2) Conditional offers.--Nothing in paragraph (1) shall
prohibit a person from making an offer, request, or invitation
or entering into an agreement to acquire control of a national
insurer, the completion of which is conditioned upon obtaining
the approval of the Director as required in paragraph (1).
(3) Definitions.--For purposes of this section:
(A) National insurer.--The term ``national
insurer'' includes any person controlling a national
insurer.
(B) Person.--The term ``person'' does not include
any securities broker holding, in the usual and
customary broker's function, less than 20 percent of
the voting securities of a national insurer or of any
person which controls a national insurer.
(b) Content of Statement.--The Director shall, by regulation,
prescribe the form and content of the statement to be filed pursuant to
subsection (a).
(c) Approval by Director.--The Director shall approve any merger or
other acquisition of control referred to in subsection (a) unless the
Director finds that--
(1) after the acquisition of control, the national insurer
referred to in subsection (a) would not be able to satisfy the
requirements for the issuance of a Federal license to write the
line or lines of insurance for which it is presently licensed;
(2) the financial condition of any acquiring person is such
as might jeopardize the financial stability of the national
insurer, or be hazardous to policyholders of the national
insurer;
(3) the plans or proposals which the acquiring person has
to liquidate the national insurer, sell its assets, or
consolidate or merge it with any person, or to make any other
material change in its business or corporate structure or
management, are unfair and unreasonable to policyholders of the
national insurer and not in the public interest;
(4) the competence, experience, and integrity of those
persons who would control the operation of the national insurer
are such that it would not be in the interest of policyholders
of the national insurer and of the public to permit the merger
or other acquisition of control; or
(5) the acquisition is likely to be hazardous to the
insurance-buying public.
(d) Disclaimer of Control.--The Director may determine upon
application that any person does not or will not upon the taking of
some proposed action control another person. Such determination shall
be made within 30 days of the filing of the application or such further
period as the Director may prescribe. The filing of the application in
good faith by any person shall relieve the applicant from any
obligation or liability imposed by this section with respect to the
subject of the application until the Director has acted upon the
application. The Director may prospectively revoke or modify the
Director's determination, after notice and opportunity to be heard,
whenever in the Director's judgment revocation or modification is
consistent with this section.
(e) Hearing Permitted.--The Director may, in the sole discretion of
the Director, hold a hearing on a merger or other acquisition of
control that is the subject to this section and for which a statement
has been filed under subsection (a)(1)(A). The hearing shall be subject
to the procedures contained in section 205(g), except that the hearing
shall be held in such location as the Director may, in the sole
discretion of the Director, specify.
(f) Exemptions.--The provisions of this section shall not apply
to--
(1) any offer, request, invitation, agreement, or
acquisition that the Director by order shall exempt as not
having been made or entered into for the purpose and not having
the effect of changing or influencing the control of a national
insurer, or as otherwise not comprehended within the purposes
of this section; and
(2) a merger, consolidation, or acquisition subject to
section 382.
(g) Voting of Securities.--
(1) In general.--No security which is the subject of any
agreement or arrangement regarding acquisition, or which is
acquired or to be acquired, in contravention of the provisions
of this section or of any regulation or order issued by the
Director hereunder may be voted at any shareholder's meeting,
or may be counted for quorum purposes, and any action of
shareholders requiring the affirmative vote of a percentage of
shares may be taken as though the securities were not issued
and outstanding; but no action taken at any such meeting shall
be invalidated by the voting of the securities, unless the
action would affect control of the national insurer or unless ordered
by a court.
(2) Injunction.--If a national insurer or the Director has
reason to believe that any security of the national insurer has
been or is about to be acquired in contravention of the
provisions of this section or of any regulation or order issued
by the Director hereunder, the national insurer or the Director
may apply to the United States district court for the judicial
district in which the main office of the national insurer is
located or the United States District Court for the District of
Columbia to enjoin any offer, request, invitation, agreement,
or acquisition made in contravention of this section or any
regulation or order issued by the Director thereunder to enjoin
the voting of any security so acquired, to void any vote of the
security already cast at any meeting of shareholders and for
such other equitable relief as the nature of the case and the
interest of the national insurer's policyholders, creditors,
and shareholders or the public may require.
(h) Sequestration of Voting Securities.--
(1) In general.--In any case where a person has acquired or
is proposing to acquire any voting securities in violation of
this section or any regulation or order issued by the Director
hereunder, the United States district court for the judicial
district in which the main office of the national insurer is
located or the United States District Court for the District of
Columbia may, on such notice as the court deems appropriate,
upon the application of the national insurer or the Director,
seize or sequester any voting securities of
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the national
insurer owned directly or indirectly by the person, and issue
such order as may be appropriate to effectuate the provisions
of this section.
(2) Situs of ownership.--Notwithstanding any other
provisions of law, for the purposes of this section, the situs
of the ownership of the securities of national insurers shall
be deemed to be the State in which the main office of the
national insurer is located.
(i) Conflict With Other Federal Laws.--This section shall be
construed and interpreted so as not to conflict with or supersede the
provisions of any other Federal law or regulation governing the
regulation of holding companies, including financial holding companies
as created under section 2 of the Bank Holding Company of 1956.
(j) No Delegation Permitted.--The Director may not delegate to any
insurance self-regulatory organization any authority conferred under
this section with respect to any merger or other acquisition of control
of a national insurer.
SEC. 382. MERGERS, CONSOLIDATIONS, AND ACQUISITIONS.
(a) National Insurer Resulting.--
(1) In general.--A national insurer may, with the approval
of the Director, merge or consolidate into, or acquire all or
substantially all the assets of and/or assume all or
substantially all the liabilities of, another national insurer
or a State insurer in a transaction in which a national insurer
is the resulting insurer or the acquiring and/or assuming
insurer and may do so without regard to whether the insurers
involved in the transaction are stock form, mutual form, or
fraternal form.
(2) Merger, consolidation, and acquisition procedures.--The
Director may, by regulation, provide for--
(A) the merger or consolidation of a national
insurer with another national insurer or a State
insurer in a transaction in which a national insurer is
the resulting insurer; and
(B) the acquisition and/or assumption by a national
insurer of all or substantially all the assets and/or
all or substantially all the liabilities of another
national insurer or a State insurer in a transaction in
which the national insurer is the acquiring and/or
assuming insurer.
Any such merger or consolidation, or acquisition and/or
assumption, shall be carried out solely in accordance with such
regulations as the Director may prescribe; except that in the
case of a transaction involving the demutualization of a State
insurer, State laws, regulations, and orders shall govern the
demutualization process.
(3) Effect of merger or consolidation.--Upon the merger or
consolidation of a national insurer with another national
insurer or a State insurer in accordance with this section and
regulations issued by the Director hereunder--
(A) the corporate existence of each of the merging
or consolidating insurers shall be merged or
consolidated into the resulting insurer, and the
resulting insurer shall be deemed to be the same
corporation as each insurer participating in the merger
or consolidation; and
(B) the resulting insurer shall, by operation of
law and without further action, hold and be subject to
all rights, privileges, liabilities, property
interests, and other interests and obligations that
each insurer participating in the merger or
consolidation held or was subject to immediately prior
to the merger or consolidation, except that the
resulting insurer shall not hold, following the merger
or consolidation, any State license to underwrite and
sell insurance that was held by a State insurer
participating in the merger or consolidation and the
resulting insurer shall obtain, in accordance with
section 303 and the regulations issued by the Director
thereunder, a Federal license for all lines of
insurance that it underwrites and sells (except in the
case of those lines of insurance for which a national
insurer participating in the merger or consolidation
held a Federal license immediately prior to the merger
or consolidation).
(4) Special authority.--The Director may, in the Director's
discretion and subject to such conditions as the Director may
prescribe, permit a national insurer resulting from a merger or
consolidation under this section to retain upon such merger or
consolidation such assets, liabilities, and powers and
authorities of any other national insurer or any State insurer
participating in the merger or consolidation that do not
conform to the legal requirements applicable to national
insurers as the Director deems appropriate.
(b) State Insurer Resulting.--Subject to such notification
procedures as the Director may prescribe by regulation, a State insurer
may merge or consolidate with, or acquire assets of and/or assume
liabilities of, a national insurer in a transaction in which a State
insurer is the resulting insurer, as permitted by the relevant
provisions of applicable State law. Nothing in this subsection or in a
transaction pursuant to this subsection shall operate to abrogate any
rights, privileges, liabilities, property interests, or other interests
or obligations that the national insurer held or was subject to
immediately prior to the transaction.
(c) Effect of Assumption of Liabilities.--If liabilities of a
national insurer are assumed by another national insurer or a State
insurer in accordance with the provisions of this Act, such national
insurer shall be released from all liabilities so assumed upon their
assumption by the other national insurer or a State insurer.
(d) No Delegation Permitted.--The Director may not delegate to any
insurance self-regulatory organization any authority conferred under
this section with respect to any merger, consolidation, acquisition of
assets, or assumption of liabilities involving a national insurer.
(e) Coordination.--This section shall not apply to any bulk
transfer (as defined in section 383(a)) that is subject to approval of
the Director in accordance with subsection (b) of such section.
SEC. 383. BULK TRANSFERS.
(a) Definitions.--For purposes of this section:
(1) Assuming insurer.--The term ``assuming insurer'' means
the insurer that purchases or otherwise acquires existing
insurance policies from another insurer by bulk transfer.
(2) Bulk transfer.--The term ``bulk transfer'' means the
transfer by an insurer to another insurer of existing insurance
policies constituting all or substantially all of one or more
of its lines of business. Such term does not include--
(A) any sale in which the transferring insurer
retains direct or indirect control of the assets
supporting the transferred insurance policies;
(B) any transaction effected by an agreement under
which the transferring insurer continues to remain
directly liable to the policyholders under the
insurance policies;
(C) the substitution of one insurer for another
upon the expiration of insurance coverage pursuant to
statutory or contractual requirements and the issuance
of a new policy of insurance by that insurer;
(D) the t
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ransfer of policies of insurance pursuant
to merger or consolidation of 2 or more insurers to the
extent that those transactions are regulated by
statute;
(E) any transaction effected by an insurer subject
to a judicial order of receivership, liquidation, or
rehabilitation;
(F) any transaction to which the National Insurance
Guaranty Corporation or a State insurance guaranty
association is a party; or
(G) any transfer of liabilities from one insurer to
another under a single group insurance policy upon the
request of the group policyholder.
(3) Permitted national insurer.--The term ``permitted
national insurer'' means--
(A) a State insurer that is converting to a
national insurer under section 306; or
(B) a national insurer that is being newly
chartered under section 301 and licensed under section
303.
(4) Transferred insurance policies.--The term ``transferred
insurance policies'' means the insurance policies that are
subject to the bulk transfer.
(5) Transferring insurer.--The term ``transferring
insurer'' means the insurer in privity of contract with the
policyholders under the existing insurance policies that are
subject to the bulk transfer.
(b) Bulk Transfers Authorized.--The following bulk transfers are
authorized:
(1) A State insurer as the transferring insurer and a
permitted national insurer as the assuming insurer.
(2) A permitted national insurer as the transferring
insurer and a State insurer as the assuming insurer.
(3) A national insurer as the transferring insurer and a
national insurer as the assuming insurer.
(4) A State insurer as the transferring insurer and a
national insurer that is not a permitted national insurer as
the assuming insurer.
(5) A national insurer that is not a permitted national
insurer as the transferring insurer and a State insurer as the
assuming insurer.
(c) Director Approval.--
(1) Requirement.--A national insurer, before effecting a
bulk transfer as either the transferring insurer or the
assuming insurer as authorized under subsection (b)(1), (b)(2),
(b)(3), or (b)(5) of this section, shall obtain the prior
approval of the Director in accordance with such regulations as
the Director may prescribe.
(2) Standard.--The Director shall approve a bulk transfer
under paragraph (1), after notice and a hearing, unless the
Director finds that the bulk transfer is likely to be hazardous
to policyholders of transferred insurance policies,
policyholders of the transferring insurer, or policyholders of
the assuming insurer.
(d) Policyholder Consent.--
(1) Transfer without consent.--Notwithstanding any other
provision of law, a national insurer may, following the
Director's approval required by subsection (c), effect a bulk
transfer as either the transferring insurer or the assuming
insurer as authorized under subsection (b)(1) or (b)(2) without
obtaining policyholder consent to the bulk transfer.
(2) Consent required.--Notwithstanding any other provision
of law, a national insurer may, following the Director's
approval required by subsection (c), effect a bulk transfer as
either the transferring insurer or the assuming insurer as
authorized under subsection (b)(3) by complying with
requirements the Director shall prescribe by regulation
specifying whether policyholder consent to such a bulk transfer
is required and, if policyholder consent is required, the form
in which such consent is required to be given.
(3) Authority to require consent.--In addition to any
policyholder consent required by any other applicable provision
of law, the Director may by regulation prescribe whether
policyholder consent is required for a bulk transfer authorized
under subsection (b)(5) and, if policyholder consent is
required, the form in which such consent is required to be
given.
(e) Release From Liability.--Upon the effectiveness of a bulk
transfer under this section, the transferring insurer shall be released
from its obligations under the transferred insurance policies.
(f) State Law.--
(1) Consent requirements prohibited.--Except as provided in
paragraph (2), no State may, by law, regulation,
interpretation, or otherwise require a national insurer, a
permitted national insurer, or a State insurer to obtain
policyholder consent to a bulk transfer or to submit the bulk
transfer to State review or action (including approval and
nondisapproval) or prevent or significantly interfere with a
bulk transfer effected pursuant to this section.
(2) Permissible state action.--Paragraph (1) does not
prevent any State from--
(A) collecting, reviewing, and taking action
(including approval or disapproval) on applications and
other documents or reports concerning a proposed bulk
transfer permitted under--
(i) subsection (b)(2), (b)(4), or (b)(5) to
which a State insurer (other than a permitted
national insurer) domiciled in that State is a
party; or
(ii) subsection (b)(4) or (b)(5) to which a
State insurer (other than a permitted national
insurer), other than a State insurer domiciled
in that State, is a party,
if the review or action meets the standards set forth
in paragraph (2); or
(B) requiring policyholder consent of a proposed
bulk transfer permitted under subsection (b)(4) or
(b)(5).
(3) Standards.--The standards applicable to paragraph
(1)(A) are that the review or action--
(A) is based on standards no more onerous than
those imposed by the Director and occurs within a
reasonable time frame that advances the purposes of
this section;
(B) is made in close consultation and cooperation
with the Director and is without bias or discrimination
toward either the transferring insurer or the assuming
insurer; and
(C) serves a legitimate State interest and does not
frustrate the proposed bulk transfer.
(4) Failure to meet standards.--If the Director finds that
any State review or action under paragraph (2)(A) fails to meet
any of the standards set forth in paragraph (3)(A), (3)(B), or
(3)(C), the Director may give notice to the applicable State of
the reasons for such failure whereupon such State review or
action shall be deemed to fail to meet the standards of
paragraph (3).
(g) Differential Treatment Prohibited.--No State may, by law,
regulation, interpretation, or otherwise, treat a national insurer, a
permitted national insurer, or a State insurer entering into a bulk
transfer agreement with a national insurer, a permitted national
insurer, or a State insurer, or any affiliate or subsidiary thereof,
differently than any other insurer operating in that State.
(h) Delegation Prohibited.--The Director may not delegate to any
insurance self-regulatory organization any au
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thority conferred under
this section with respect to any bulk transfer involving a national
insurer.
SEC. 384. DOMESTICATION OF U.S. BRANCH OF A NON-U.S. INSURER.
(a) Domestication Permitted.--Notwithstanding any other provision
of law, upon compliance with the provisions of this section and the
Directors regulations hereunder, any non-U.S. insurer having its U.S.
branch entered through a State or established pursuant to section 302
and owning beneficially, directly or indirectly, all outstanding shares
of a national insurer, may, subject to prior written approval of the
Director, domesticate its U.S. branch by agreeing in writing with such
national insurer to the acquisition of the business and assets, and the
assumption of all liabilities, of the U.S. branch, by the national
insurer for no consideration except such assumption.
(b) Approval by Director.--If satisfied that the domestication is
in accordance with the provisions of this section and that the
interests of policyholders and creditors of the U.S. branch are not
materially adversely affected, the Director may approve such
domestication and authorize its consummation in compliance with the
provisions of subsection (c).
(c) Consummation of Domestication Agreement; Release of Deposits;
Withdrawal of Trusteed Assets.--
(1) Consummation of domestication agreement.--Upon the
filing with the Director of a certified copy of the instrument
of transfer and assumption--
(A) the domestication of the U.S. branch shall be
effective;
(B) all rights, franchises and interests of such
U.S. branch in and to every species of property, real,
personal and mixed, and things in action thereunto
belonging, shall be deemed transferred to and vested in
the acquiring national insurer and it shall be deemed
to have assumed all liabilities of such U.S. branch;
and
(C) all deposits of the U.S. branch held by State
officers or other State regulatory agencies pursuant to
State laws shall be released, and the non-U.S. insurer
and the U.S. branch shall be released from all
liabilities so assumed.
(2) Release of deposits.--Contemporaneously with the
consummation of the domestication of a U.S. branch established
under this section, the Director shall transfer to the account
of the acquiring national insurer the securities deposited by
such U.S. branch in compliance with the provisions of this Act,
and the Director shall consent that the trustee of the trusteed
assets deposited by such U.S. branch in compliance with the
provisions of this Act shall withdraw from the trust and
transfer and deliver to the acquiring national insurer all
assets held by such trustee.
(3) Withdrawal of trusteed assets.--Contemporaneously with
the consummation of the domestication of a U.S. branch
established under State law, the trustee of any trusteed assets
deposited by such U.S. branch in compliance with applicable
State law shall, with the consent of the Director, withdraw the
trusteed assets from the trust and transfer and deliver to the
acquiring national insurer all assets held by such trustee. No
State may, by statute, regulation, order, interpretation, or
otherwise prevent, significantly interfere with, or have the
authority to review, approve, or disapprove the withdrawal of
trusteed assets or other deposits of a U.S. branch established
under State law that is domesticating pursuant to this section,
Provided, That such withdrawal is being made contemporaneously
with or subsequent to the consummation of a domestication of
the U.S. branch pursuant to this section.
(d) Prohibition of Delegation.--The Director may not delegate to
any insurance self-regulatory organization any authority under this
section with respect to the domestication of a U.S. branch of a non-
U.S. insurer.
Subtitle H--Health Insurance
SEC. 391. RECOMMENDATIONS FOR HEALTH INSURANCE.
Not later than 3 years after the date of the enactment of this Act,
the Director shall submit a report to the Congress--
(1) making recommendations on whether national insurers
should be authorized to underwrite health insurance; and
(2) including proposed legislation to authorize such
underwriting.
TITLE IV--STATE TAXATION
SEC. 401. STATE TAXATION.
(a) In General.--Except as provided in subsection (b), a national
insurer shall be subject to all taxes, including insurance retaliatory
taxes, imposed under the authority of any State legislation to the same
extent and in the same manner as an insurer chartered in the State
where the national insurer is considered domiciled pursuant to
subsection (c).
(b) Exception.--No State shall have power to impose its insurance
retaliatory tax on any national insurer unless, for any tax purpose for
which State of domicile is relevant, every national insurer is treated
by such State as domiciled in the State designated by each national
insurer in accordance with subsection (c) and unless the insurance
retaliatory tax is imposed on insurers chartered by the State to the
same extent and in the same manner.
(c) Designation of Domicile.--For purposes of this section, a
national insurer may designate one of the following States as its State
of domicile, by filing such designation in writing with the Director:
(1) The State in which is located the national insurer's
principal place of business in the United States.
(2) In the case of an insurer that has converted from being
a State insurer to being a national insurer under this Act, the
State in which such insurer was domiciled immediately prior to
such conversion.
If a national insurer makes no designation of a State of domicile
pursuant to this subsection, it shall be deemed to have designated as
its State of domicile that State in which is located its principal
place of business in the United States.
(d) Change in Domicile.--With the approval of the Director, a
national insurer may change its State of domicile to any other State
meeting the requirements of subsection (c).
(e) Status of National Insurer.--For purposes of State taxation, a
national insurer shall not be considered to be a department, agency, or
instrumentality of the Federal Government, nor, except as provided in
this section, shall a national insurer be exempt from any State tax or
subject to a lesser burden of any State tax, solely by reason of its
status as a national insurer under this Act.
TITLE V--TREATMENT OF MCCARRAN-FERGUSON ACT
SEC. 501. REPEAL OF ANTITRUST EXEMPTION FOR BUSINESS OF INSURANCE.
The antitrust laws of the United States shall apply to national
insurers, State insurers, and all reinsurers doing business in the
United States (regardless of the domicile of such reinsurers), to the
same extent as other business are subject to such laws, except that the
antitrust laws shall not apply to--
(1) the sharing of historical loss data among insurers,
Provided, That this paragraph shall not be construed to permit
the sharing of trending data; and
(2) the activities of insurers required to participate in
State mandatory residual market mechanisms designed to make
insurance available to those unable to obtain insurance in the
voluntary market and to the activities of insurers required to
participate in a worker's compensation administration
mechanism.
TITLE VI--HOLDING COMPANIES
SEC. 601. DEFINITIONS.
For purposes of this title:
(1) Affiliate.--Th
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e term ``affiliate'' means any person
that controls, is controlled by, or is under common control
with another person.
(2) Extraordinary dividend or distribution.--Except as may
otherwise be specified by the Director by regulation, the term
``extraordinary dividend or distribution'' means a dividend or
distribution of cash or other property by a national insurer,
whose fair market value together with that of other dividends
or distributions made within the preceding 12 months exceeds
the greater of--
(A) 10 percent of the national insurer's surplus as
regards policyholders as of the next preceding December
31; or
(B) the net income of the national insurer for the
12-month period ending the December 31 next preceding,
but does not include pro rata distributions of any
class of the national insurer's own securities.
(3) Insurance holding company system.--The term ``insurance
holding company system'' means two or more affiliated persons,
one or more of which is a national insurer.
(4) Subsidiary.--The term ``subsidiary'' means, with
respect to a person, an affiliate controlled, directly or
indirectly, by such person.
SEC. 602. REGISTRATION.
(a) Registration.--Each national insurer that is a member of an
insurance holding company system shall register with the Director.
(b) Registration Statement.--The Director shall, by regulation,
prescribe--
(1) the form and content of the registration statement to
be filed pursuant to subsection (a); and
(2) the time by which the registration statement is
required to be filed with the Director.
(c) Information of National Insurers.--Any person within an
insurance holding company system subject to registration under
subsection (a) shall be required to provide complete and accurate
information to a national insurer, in any case in which the information
is reasonably necessary to enable the insurer to comply with the
provisions of this title.
(d) Termination of Registration.--The Director shall terminate the
registration of any national insurer that demonstrates that it no
longer is a member of an insurance holding company system.
(e) Exemptions.--The provisions of this section shall not apply to
any national insurer, information, or transaction if and to the extent
that the Director by regulation or order provides for such
inapplicability.
(f) Disclaimer.--Any person may file with the Director a disclaimer
of affiliation with any national insurer or a disclaimer may be filed
by the national insurer or any member of an insurance holding company
system. The disclaimer shall fully disclose all material relationships
and bases for affiliation between the person and the national insurer
as well as the basis for disclaiming the affiliation. After a
disclaimer has been filed, the national insurer shall be relieved of
any duty to register or report under this section which may arise out
of the national insurer's relationship with the person unless and until
the Director disallows the disclaimer. The Director shall disallow a
disclaimer only after furnishing all parties in interest with notice
and opportunity to be heard and after making specific findings of fact
to support the disallowance.
SEC. 603. STANDARDS AND MANAGEMENT OF NATIONAL INSURER WITHIN AN
INSURANCE HOLDING COMPANY SYSTEM.
(a) Transactions Within Insurance Holding Company System.--
(1) Standards.--Transactions within an insurance holding
company system to which a national insurer subject to
registration is a party shall be subject to the following
standards:
(A) The terms shall be fair, reasonable and at
least as favorable to the national insurer as those
that would be offered to, or would apply to, a non-
affiliate.
(B) Charges or fees for services performed shall be
reasonable and at least as favorable to the national
insurer as those that would be offered to, or would
apply to, a non-affiliate.
(C) Expenses incurred and payment received shall be
allocated to the national insurer in conformity with
customary insurance accounting practices consistently
applied.
(D) The books, accounts and records of each party
to all such transactions shall be so maintained as to
clearly and accurately disclose the nature and details
of the transactions, including such accounting
information as is necessary to support the
reasonableness of the charges or fees to the parties.
(E) The national insurer's surplus as regards
policyholders following any dividends or distributions
to shareholders shall be reasonable in relation to the national
insurer's outstanding liabilities and adequate to meet its financial
needs.
(2) Authority to require approval in advance of
transactions.--The Director may, by regulation, prescribe
certain transactions involving a national insurer and any
person in its insurance holding company system that may not be
entered into unless the national insurer has notified the
Director in writing of its intention to enter into the
transaction and the Director either has approved or not
disapproved the transaction within a specified time period.
(3) Review by director.--The Director, in reviewing any
transactions for which notice is required pursuant to paragraph
(2), shall consider whether the transactions comply with the
standards set forth in paragraph (1) and whether they may
adversely affect the interests of policyholders.
(b) Extraordinary Dividends.--
(1) Notice of declaration.--No national insurer that is a
member of an insurance holding company system shall pay any
extraordinary dividend or distribution to its shareholders
until 30 days after the Director has received notice of the
declaration in a form prescribed by the Director.
(2) Conditional declaration.--A national insurer that is a
member of an insurance holding company system may declare an
extraordinary dividend or distribution which is conditional
upon the Director's approval, and the declaration shall confer
no rights upon shareholders until--
(A) the Director has approved the payment of the
dividend or distribution; or
(B) the Director has not disapproved payment within
the 30-day period referred to in paragraph (1).
SEC. 604. CONFLICT WITH OTHER FEDERAL LAWS.
This title shall be construed and interpreted so as not to conflict
with or supersede the provisions of any other Federal law or regulation
governing the regulation of holding companies, including financial
holding companies as created under Section 2 of the Bank Holding
Company Act of 1956 (12 U.S.C. 1841).
TITLE VII--RELATIONSHIPS WITH STATE LAW
SEC. 701. DEFINITIONS.
For purposes of this title:
(1) Covered party.--The term ``covered party'' means a
national insurer, including any officer, director, or employee
of such national insurer.
(2) State law.--The term ``State law'' means any law, rule,
regulation, interpretation, or order adopted by a State
legislature or promulgated by a State regulatory or enforcement
agency, and any provision of a State constitution.
SEC. 702. GENERAL PROHIBITION.
No State may prevent or interfere with the ability of a covered
party
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to engage in any activity authorized under this Act.
SEC. 703. STATE LICENSE NOT REQUIRED.
No covered person shall be required to obtain any State license or
similar authorization in order to engage in any State in any business
or activity authorized by this Act.
SEC. 704. STATE INSURANCE LAW.
Except as otherwise provided in this Act, no State law that relates
to the formation, chartering, supervision, regulation, or business
practices of an insurer, or any other matter related to the business of
insurance, including issuance or revocation of a license to conduct the
business of insurance, regulation of solvency and financial condition,
mergers and acquisitions, any policy form and endorsement, marketing
and sales practice, underwriting, damage appraisal and claims
adjustment, any claims handling and settlement practice, and unfair
insurance trade practices and market conduct activity (including any
requirement related to nonrenewal, cancellation, and change in policy
terms, including rates) shall apply to a covered party, except to the
extent consistent with the provisions of this Act.
SEC. 705. PROHIBITION OF DISCRIMINATION.
(a) In General.--Any State law that is not preempted by section 704
may not discriminate against a covered party or a State-licensed
insurance producer selling a product of a national insurer or be
applied to a covered party in a manner different than it is applied to
a State insurer, State-licensed agency, affiliate of any such insurer
or agency, or any officer, director, employee, or agent of such
insurer, agency, or affiliate.
(b) State Insurers.--No State may discriminate against a State
insurer that is affiliated with a national insurer on the basis of that
affiliation.
SEC. 706. PERMISSIBLE STATE REGULATION.
The following State laws are not preempted by subsection 704 or any
other provision of this Act, and the following activities of a covered
party shall be subject to State regulation, to the extent applicable:
Provided, That such laws shall be subject to the antidiscrimination
standard set forth in section 705:
(1) Residual market insurance programs.--Any State law that
requires participation in an assigned risk plan, mandatory
joint underwriting association, or any other mandatory residual
market mechanism designed to make insurance available to those
unable to obtain it in the voluntary market: Provided, That
this paragraph shall not apply to any State law governing
participation in any voluntary joint underwriting association
or similar arrangement: Provided further, That the Director may
review any State law regulating any activity described in this
subsection and may preempt such law if the Director determines
it to be inconsistent with any provision or purpose of this
Act.
(2) Taxes.--Any State law that imposes liability for State
and local taxes and assessments on insurers, including premium
taxes, retaliatory taxes, tax credits, deductions, and offsets
related thereto, as provided in section 401.
(3) Corporate governance.--Except to the extent
inconsistent with any provision or purpose of this Act, any
State governing insurance company incorporation, organization,
corporate governance, voting rights, and related matters.
(4) Reparation requirements.--Any State law that prescribes
the requirements of the reparations that every insurer must
provide if it underwrites and sells policies of a particular
type in a State.
(5) Advisory organizations.--Any State law that mandates
the participation of insurers in an advisory or statistical
organization: Provided, That such participation does not
require a national insurer to use any particular rate, rating
element, price, or form.
(6) Workers' compensation.--Any State law that regulates
participation in a workers' compensation administration
mechanism, provided such participation is not inconsistent with
any provision of this Act.
(7) Rate regulation.--Any State law that regulates
insurance rates.
(8) Conversion to stock form.--Any State law that regulates
the conversion of a mutual State insurer to an insurer in stock
form.
(9) Insurance producer licensing.--Any State law that
regulates the licensing of insurance producers.
SEC. 707. SALES ACTIVITIES BY STATE-LICENSED INSURANCE PRODUCERS.
No State may--
(1) prevent a State-licensed insurance producer from
selling, soliciting, or negotiating an insurance policy or
annuity contract issued by a national insurer;
(2) impose any condition on a State-licensed producer that
significantly interferes with the ability of selling,
soliciting, or negotiating an insurance policy or annuity
contract issued by a national insurer; or
(3) discriminate, in any manner, against a State-licensed
producer because it sells, solicits, or negotiates an insurance
policy or annuity contract issued by a national insurer.
TITLE VIII--CONFORMING AMENDMENTS AND OTHER PROVISIONS
SEC. 801. FEDERAL COURT JURISDICTION.
(a) In General.--Chapter 85 of title 28, United States Code, is
amended by adding at the end the following new section:
``Sec. 1369. National insurer as party
``The district courts shall have original jurisdiction of any civil
action--
``(1) commenced by the United States, or by direction of
any officers thereof, against any national insurer;
``(2) to wind up the affairs of a national insurer; and
``(3) to enjoin the Director of the Office of National
Insurers of the Department of the Treasury, or any receiver
acting under the direction of the Director, as provided in the
Insurance Industry Modernization and Consumer Protection
Act.''.
(b) Clerical Amendment.--The table of sections for chapter 85 of
title 18, United States Code, is amended by adding at the end the
following new item:
``1369. National insurer as party.''.
SEC. 802. FEDERAL COURT VENUE.
In General.--Chapter 87 of title 28, United States Code, is amended
by adding at the end the following new section:
``Sec. 1414. National insurer action against Director of National
Insurers.
``Any civil action by a national insurer to enjoin the Director of
National Insurers of the Department of the Treasury, under the
provisions of any Act of Congress relating to such insurers, may be
prosecuted in the judicial district where such insurer is located.''.
(b) Clerical Amendment.--The table of sections for chapter 87 of
title 18, United States Code, is amended by adding at the end the
following new item:
``1414. National insurer action against Director of National
Insurers.''.
SEC. 803. JUDICIAL REVIEW.
Except as otherwise expressly provided in this Act, any party
aggrieved by an order or other agency action (as such terms are defined
in section 551 of title 5, United States Code) of the Director under
this Act may obtain a review of such order or other action in the
United States Court of Appeals within any circuit wherein such party
has its main office, or in the Court of Appeals for the District of
Columbia, by filing in the court, within 30 days after the entry of the
Director's order, a petition praying that the order or other action of
the Director be set aside, modified or terminated. A copy of such
petition shall be forthwith transmitted to the Director by the clerk of
the court, and thereupon the Director shall file in the court the
record made before the Director, as provided in section 2112 of title
28, United States Code. Upon the filing of such petition, the court
shall have jurisdiction to affirm, set aside, modify, or terminate the
orde
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r or other action of the Director and to require the Director to
take such action with regard to the matter under review as the court
deems proper. Review of such proceedings shall be had as provided in
chapter 7 of title 5, United States Code. The judgment and decree of
the court shall be final, except that the same shall be subject to
review by the Supreme Court upon certiorari, as provided in section
1254 of title 28, United States Code.
SEC. 804. AMENDMENT TO FREEDOM OF INFORMATION ACT.
Section 552(b)(8) of title 5, United States Code, is amended by
inserting ``(including national insurers, as such term is defined in
section 101 of the Insurance Industry Modernization and Consumer
Protection Act)'' after ``financial institutions''.
SEC. 805. AMENDMENTS TO INTERNAL REVENUE CODE OF 1986.
(a) 5-Year Moratorium on Federal Tax Law Changes Applicable Solely
to National Insurers.--For a period of 5 calendar years beginning on
January 1 of the first full calendar year beginning on or after
transition commencement date--
(1) an insurer that has converted from being a State
insurer into a national insurer under this Act shall compute
its liability for all Federal income and excise taxes under the
Internal Revenue Code of 1986 and the Treasury Regulations
promulgated thereunder as if such insurance company had
continued to prepare and file an annual statement in accordance
with the requirements of the NAIC and of the State in which
such insurer was domiciled immediately prior to such
conversion; and
(2) all parties to any contract, including any insurance,
annuity, health, and other contracts, written by a national
insurer, shall be treated for all purposes of the Internal
Revenue Code, and for purposes of all Treasury regulations
promulgated thereunder, as if such contract were an insurance,
annuity, health, or other contract under the applicable law of
the State in which such national insurer was domiciled
immediately prior to such conversion.
For purposes of this section, any national insurer that was not
domiciled in any State immediately before it was issued a charter as a
national insurer shall be deemed to have been domiciled in the State
designated by such national insurer pursuant to section 401 of this
Act.
(b) Conforming Amendments.--For purposes of computing the tax
liability of a national insurer following the 5-year period described
in subsection (a) of this section, the Internal Revenue Code of 1986 is
amended as follows:
(1) Section 264(f)(3) is amended by inserting ``or, in the
case of a national insurer, by the Director of the Office of
National Insurers of the Department of the Treasury'' after
``National Association of Insurance Commissioners''.
(2) Section 807(d)(2)(C) is amended by inserting ``or, in
the case of a national insurer, such standard tables for
mortality and morbidity prescribed by the Director of the
Office of National Insurers of the Department of the
Treasury,'' after ``mortality and morbidity''.
(3) Section 807(d)(3)(A) is amended by inserting ``or, in
the case of a national insurer, such reserve method prescribed
by the Director of the Office of National Insurers of the
Department of the Treasury''--
(A) in clause (i), after ``covered by the CVRM'';
(B) in clause (ii), after ``covered by the CARVM'';
and
(C) in clause (iv)(I), after ``National Association
of Insurance Commissioners''.
(4) Sections 807(d)(3)(A)(iv)(II), 809(g)(4) and 811(a) are
amended by inserting ``or, in the case of a national insurer,
by the Director of the Office of National Insurers of the
Department of the Treasury'' after ``National Association of
Insurance Commissioners'' each place such term appears.
(5) Section 807(d)(4)(B)(i) is amended by inserting ``or,
in the case of a national insurer, such rate determined by the
Director of the Office of National Insurers of the Department
of the Treasury'' after ``at least 26 States''.
(6) Section 816(b)(3)(B) is amended by inserting ``or, in
the case of a national insurer, by the Director of the Office
of National Insurers of the Department of the Treasury'' after
``State insurance commissioner''.
(7) Sections 817(d)(1) and 817A(d)(1) are amended by
inserting ``or, in the case of a national insurer, by law or
regulation of the United States'' after ``State law or
regulation'' each place such term appears.
(8) Section 818 is amended by adding at the end the
following new subsection:
``(h) Definitions Relating to National Insurers.--For purposes of
this title:
``(1) National insurer.--The term `national insurer' means
any insurer chartered under the Insurance Industry
Modernization and Consumer Protection Act.
``(2) National life insurer.--The term `national life
insurer' means any national insurer that is a life insurance
company within the meaning of section 816(a).''.
(9) Section 846(f)(3) is amended by inserting ``or, in the
case of a national insurer, the annual statement approved by
the Director of the Office of National Insurers which the
taxpayer is required to file with the Director of the Office of
National Insurers of the Department of the Treasury'' after
``authorities of a State''.
(10) Section 7702(c)(3)(B)(i) shall be amended by inserting
``or, in the case of a national insurer, in such standard
tables prescribed by the Director of National Insurers of the
Department of the Treasury'' after ``in section 807(d)(5))''.
(11) Section 7702B(g)(4)(B)(ii) is amended by inserting
``or, in the case of a national insurer, by the Director of
National Insurers of the Department of the Treasury'' after
``appropriate State regulatory agency''.
(12) Section 9832(b)(2) is amended by inserting ``or, in
the case of a national insurer, which is licensed to engage in
the business of insurance by the United States and which is
subject to regulation by the Director of the Office of National
Insurers of the Department of the Treasury and to regulations
promulgated under the authority of such Director'' after ``the
enactment of this section)''.
(c) Definition of Applicable Law.--In the case of any national
insurer, for purposes of sections 7702(a) and (h) of the Internal
Revenue Code of 1986, the term ``applicable law'' shall include the law
of the United States, or, in the case of a national insurer that has
converted from a State insurer into a national insurer, any State law
under which any policy was written by such national insurer either
before or after such national insurer was converted from a State
insurer into a national insurer.
SEC. 806. AMENDMENTS TO FEDERAL SECURITIES LAWS.
(a) Amendments to Securities Act of 1933.--
(1) Section 2(a)(13) of the Securities Act of 1933 (15
U.S.C. 77b(a)(13)) is amended by inserting ``the Director of
the Office of National Insurers of the Department of the
Treasury or'' after ``subject to supervision by''.
(2) Section 3(a)(8) of the Securities Act of 1933 (15
U.S.C. 77c(a)(8)) is amended by inserting ``the Director of the
Office of National Insurers of the Department of the Treasury
or'' after ``subject to the supervision of''.
(3) Section 4(5)(A)(ii) of the Securities Act of 1933 (15
U.S.C. 77d(5)(A)(ii)) is amended by inserting ``the Director of
the Office of National Insurers of
2000
the Department of the
Treasury or'' after ``subject to the supervision of''.
(b) Amendments to Securities Exchange Act of 1934.--Section 17(i)
of the Securities Exchange Act of 1934 (15 U.S.C. 78q(i)) is amended--
(1) in paragraph (3)(C)(iii), by inserting ``or by the
Director of the Office of National Insurers of the Department
of the Treasury'' before the period at the end; and
(2) in paragraph (4)--
(A) in subparagraph (A), by striking ``and'' after
the semicolon;
(B) in subparagraph (B), by striking the period at
the end and inserting ``; and''; and
(C) by adding at the end the following new
subparagraph:
``(C) the Director of the Office of National
Insurers of the Department of the Treasury with regard
to all interpretations of, and the enforcement of, the
Insurance Industry Modernization and Consumer
Protection Act relating to the activities, conduct, and
operations of national insurers and federally licensed
insurance producers.''.
(c) Amendments to Investment Company Act of 1940.--
(1) Section 2(a)(17) of the Investment Company Act of 1940
(15 U.S.C. 80a-2(a)(17)) is amended by inserting ``the Director
of the Office of National Insurers of the Department of the
Treasury or'' after ``subject to supervision by''.
(2) The last sentence of section 12(g) of the Investment
Company Act of 1940 (15 U.S.C. 80a-12(g)) is amended--
(A) by inserting ``the Director of the Office of
National Insurers of the Department of the Treasury
or'' after ``affect or derogate from the powers of'';
and
(B) by inserting ``Federal or'' after ``affect the
right under''.
(3) Section 26(f)(2)(B) of the Investment Company Act of
1940 (15 U.S.C. 80a-14(f)(2)(B)) is amended--
(A) in clause (ii), by inserting ``or, in the case
of a national insurer chartered under the Insurance
Industry Modernization and Consumer Protection Act,
files with the Director of the Office of National
Insurers of the Department of the Treasury,'' after the
first comma; and
(B) in clause (iii), by inserting ``or, in the case
of a national insurer chartered under the Insurance
Industry Modernization and Consumer Protection Act, the
Director of the Office of National Insurers of the
Department of the Treasury'' before the period at the
end.
SEC. 807. AMENDMENTS TO EMPLOYEE RETIREMENT INCOME SECURITY ACT OF
1974.
The Employee Retirement Income Security Act of 1974 is amended as
follows:
(1) Section 401(b)(2)(A) (29 U.S.C. 1101(b)(2)(A)) is
amended by inserting ``or licensed as a national insurer''
before the period at the end.
(2) The first sentence of section 733(b)(2) (29 U.S.C.
1191b(b)(2)) is amended by inserting ``or which is licensed as
a national insurer and which is subject to the authority of the
Director of the Office of National Insurers of the Department
of the Treasury'' before the period.
SEC. 608. AMENDMENTS TO GRAMM-LEACH-BLILEY ACT.
(a) Interagency Consultation.--Section 307 of the Gramm-Leach-
Bliley Act (15 U.S.C. 6716) is amended by adding at the end the
following new subsection:
``(g) Office of National Insurers.--
``(1) Regulators.--For purposes of this section, the terms
`State insurance regulator', `State insurance regulators', and
`insurance regulator of any State' shall include the Office of
National Insurers of the Department of the Treasury.
``(2) Provision of information.--The provision of
information or material by the Office of National Insurers of
the Department of the Treasury to a Federal banking agency (as
such term is defined in section 3 of the Federal Deposit
Insurance Act) shall not constitute a waiver of, or otherwise
affect, any privilege or other form of legal protection or
exemption from public disclosure to which such information or
material is otherwise subject.''.
(b) Privacy.--The Gramm-Leach-Bliley Act is amended as follows:
(1) Section 504 (15 U.S.C. 6804(a)) is amended--
(A) in paragraph (1), by inserting ``the Director
of the Office of National Insurers of the Department of
the Treasury,'' after ``The Federal banking agencies'';
and
(B) in paragraph (3), by inserting ``, except that,
in the case of the Director of the Office of National
Insurers of the Department of the Treasury, such
regulations shall be issued in final form not later
than 12 months after the date of the enactment of the
Insurance Industry Modernization and Consumer
Protection Act'' before the period at the end.
(3) Section 505 (15 U.S.C. 6805) is amended--
(A) in subsection (a)--
(i) in paragraph (6) by inserting ``(other
than a person subject to the jurisdiction of
the Office of National Insurers of the
Department of the Treasury under paragraph (8)
of this subsection)'' after ``providing
insurance''; and
(ii) by adding at the end the following new
paragraph:
``(8) Under section 204 of the Insurance Industry
Modernization and Consumer Protection Act, by the Director of
the Office of National Insurers of the Department of the
Treasury with respect to any national insurer, any subsidiaries
of such an entity, and any federally licensed insurance
producer.''; and
(B) in subsection (b)(2), by striking ``and (7)''
and inserting ``(7), and (8)''.
(3) Section 509 (15 U.S.C. 6809(2)) is amended--
(A) by redesignating subparagraphs (E) and (F) as
subparagraphs (F) and (G), respectively; and
(B) by inserting after subparagraph (D) the
following new subparagraph:
``(E) the Director of the Office of National
Insurers of the Department of the Treasury;''.
(4) Section 521(e) (15 U.S.C. 6821(e)) is amended by
inserting ``or Federal'' after ``such institution under
State''.
(5) Section 522(b)(1) (15 U.S.C. 6822(b)(1)) is amended--
(A) in subparagraph (A), by striking ``and'' after
the semicolon at the end;
(B) in subparagraph (B), by striking the period at
the end and inserting ``; and''; and
(C) by adding at the end the following new
subparagraph:
``(C) section 205 of the Insurance Industry
Modernization and Consumer Protection Act, by the
Director of the Office of National Insurers of the
Department of the Treasury with respect to any national
insurer and any federally licensed insurance
producer.''.
(6) Section 525 (15 U.S.C. 6825) is amended by inserting
``the Director of the Office of National Insurers of the
Department of the Treasury,'' after ``National Credit Union
Administration,''.
(c) Other Conforming Amendments.--The Gramm-Leach-Bliley A
2000
ct is
amended as follows:
(1) Section 104(b) (15 U.S.C. 6701(b)) is amended by
inserting ``, or as required by the Director of the Office of
National Insurers of the Department of the Treasury in
accordance with the Insurance Industry Modernization and
Consumer Protection Act'' before the period at the end.
(2) Section 301 (15 U.S.C. 6711) is amended by inserting
``; except that the insurance activities of a national insurer
and a federally licensed insurance producer shall be
functionally regulated by the Office of National Insurers of
the Department of the Treasury'' before the period at the end.
(3) Section 311 (15 U.S.C. 6731) is amended by adding at
the end the following new sentence: ``This subtitle shall not
apply to a national insurer in mutual form that is reorganizing
into a mutual holding company.''.
SEC. 809. AMENDMENT TO ACT OF OCTOBER 28, 1974.
Section 111 of the Act of Public Law 93-495 (12 U.S.C. 250) is
amended by inserting ``the Director of the Office of National Insurers
of the Department of the Treasury,'' after ``the Director of the Office
of Thrift Supervision,''.
SEC. 810. AMENDMENTS TO FEDERAL DEPOSIT INSURANCE ACT.
The Federal Deposit Insurance Act is amended as follows:
(1) The section heading for section 45 (12 U.S.C. 1831v) is
amended by inserting ``, director of office of national
insurers'' after ``state insurance regulator''.
(2) Section 47(g)(1) (12 U.S.C. 1831x(g)(1) is amended--
(A) in subparagraph (A), by striking ``or'' after
the semicolon;
(B) in subparagraph (B), by striking the period at
the end and inserting ``; or''; and
(C) by adding at the end the following new
subparagraph:
``(C) any authority of the Director of the Office
of National Insurers of the Department of the Treasury
under the Insurance Industry Modernization and Consumer
Protection Act.''.
SEC. 811. AMENDMENTS TO BANK HOLDING COMPANY ACT OF 1956.
The Bank Holding Company Act of 1956 is amended as follows:
(1) Section 4(k)(4)(I)(iii) (12 U.S.C. 1843(k)(4)(I)(iii))
is amended by inserting ``or Federal'' after ``relevant
State''; and
(2) Section 5 (12 U.S.C. 1844) is amended--
(A) in subsection (c)--
(i) in paragraph (2)(E)(iii), by inserting
``or by or on behalf of the Director of the
Office of National Insurers of the Department
of the Treasury'' before the semicolon;
(ii) in paragraph (3)(A)(ii)(I), by
inserting ``or the Office of National Insurers
of the Department of the Treasury'' after
``Securities and Exchange Commission'';
(iii) in paragraph (4)(B), by inserting
``or the Director of the Office of National
Insurers of the Department of the Treasury''
after ``a State insurance authority''; and
(iv) in paragraph (5)(B)(iv), by inserting
``or by the Director of the Office of National
Insurers of the Department of the Treasury''
before the semicolon; and
(B) in subsection (g)--
(i) in the subsection heading, by inserting
``, Director of the Office of National
Insurers,'' after ``State Insurance
Regulator''.
(ii) in paragraph (1)(B), by inserting ``or
the Director of the Office of National Insurers
of the Department of the Treasury'' after
``State insurance authority'';
(iii) in paragraph (2)--
(I) in the paragraph heading, by
inserting ``, Director of the Office of
National Insurers,'' after ``State
Insurance Authority''; and
(II) by inserting ``or the Director
of the Office of National Insurers of
the Department of the Treasury'' after
``the Board shall promptly notify the
State insurance authority''; and
(iv) in paragraph (3), by inserting ``, the
Director of the Office of National Insurers of
the Department of the Treasury,'' after ``State
insurance authority''.
SEC. 812. AMENDMENTS TO TITLE 18, UNITED STATES CODE.
(a) Section 1033.--Section 1033(b) of title 18, United States Code,
is amended--
(1) in paragraph (1)--
(A) by inserting ``removes, conceals, alters,
destroys,'' after ``willfully embezzles, abstracts,
purloins,''; and
(B) by inserting ``assets,'' after ``moneys, funds,
premiums, credits,''; and
(2) in paragraph (2)--
(A) in the first sentence, by inserting ``removal,
concealment, alteration, destruction,'' after
``embezzlement, abstraction, purloining,''; and
(B) in the second sentence by inserting ``removed,
concealed, altered, destroyed,'' after ``embezzled,
abstracted, purloined,''.
(b) Insurance Fraud.--
(1) In general.--Chapter 47 of title 18, United States
Code, is amended by adding at the end the following new
section:
``Sec. 1037. Insurance fraud.
``(a) Whoever--
``(1) commits a fraudulent insurance act; or
``(2) knowingly and intentionally interferes with the
enforcement of the provisions of section 206 of the Insurance
Industry Modernization and Consumer Protection Act or
investigations of suspected or actual violations of such
section,
shall be punished as provided in subsection (b).
``(b)(1) Except as provided in paragraph (2), the punishment for an
offense under subsection (a) is a fine as provided under this title or
imprisonment for not more than 10 years, or both.
``(2) If the person committing an offense under subsection (a) is a
national insurer, insurer-affiliated party or a federally licensed
insurance producer, punishment for an offense under subsection (a) is--
``(A) a fine, the maximum of which is the greater of--
``(i) $1,000,000 per violation, or
``(ii) a fine as provided under this title;
``(B) imprisonment for not more than 10 years; or
``(C) both a fine under subparagraph (A) and imprisonment
under subparagraph (B).
``(3) If the fraudulent insurance act involved an amount or value
not exceeding $5,000, whoever violates subsection (a) shall be fined as
provided in this title or imprisoned not more than one year, or both.
``(4) The punishment under this subsection shall be in addition to
any other penalties under the Insurance Industry Modernization and
Consumer Protection Act.
``(c)(1) Any individual who has been convicted of any criminal
felony involving dishonesty or breach of trust, and who participates in
insurance operations, shall be fined as provided in this title or
imprisoned not more than 5 years, or both.
``(2) Any insurance person who is engaged in insurance operations
who knowingly and intentionally permits the participation described in
paragraph (1
2000
) shall be fined as provided in this title or imprisoned no
more than 5 years, or both.
``(3) A person described in paragraphs (1) or (2) may participate
in insurance operations or permit such participation, as the case may
be, if such person has the written consent of the Director.
``(d) As used in this section:
``(1) The terms `Director', `federally licensed insurance
producer', `insurance operations', `insurance policy',
`insurance producer', `insurer-affiliated party', `national
insurer', `person', and `policy of insurance' shall have the
meanings given such terms in section 102 of the Insurance
Industry Modernization and Consumer Protection Act.
``(2) The term `fraudulent insurance act' means an act or
omission committed by a person who, knowingly and with intent
to defraud, commits, or conceals any material information
concerning, one or more of the following:
``(A) Presenting, causing to be presented or
preparing with knowledge or belief that it will be
presented to or by a national insurer or an insurance
producer acting with respect to a policy of insurance
written by a national insurer, false information as
part of, in support of or concerning a fact material to
one or more of the following:
``(i) An application for a new or renewal
of an insurance policy or reinsurance contract.
``(ii) The rating of a national insurer
that writes an insurance policy or enters into
a reinsurance contract.
``(iii) A claim for payment or benefit
pursuant to an insurance policy or reinsurance
contract.
``(iv) Premiums paid on an insurance policy
or reinsurance contract.
``(v) Payments made in accordance with the
terms of an insurance policy or reinsurance
contract.
``(vi) A document filed with the Director.
``(vii) The financial condition of a
national insurer.
``(viii) The formation, acquisition,
merger, consolidation, dissolution or
withdrawal from one or more lines of insurance
or reinsurance by a national insurer.
``(ix) The issuance of evidence of
insurance, whether in writing, electronic form
or otherwise.
``(x) The reinstatement of an insurance
policy.
``(B) Solicitation or acceptance of new or renewal
insurance risks on behalf of a national insurer or
other persons engaged in insurance operations by a
person who knows or should know that the national
insurer or other person responsible for the risk is
insolvent at the time of the transaction.
``(C) Removal, concealment, alteration or
destruction of the records of a national insurer or
other person engaged in insurance operations.
``(D) Transaction of insurance operations in
violation of laws requiring a license therefore under
the Insurance Industry Modernization and Consumer
Protection Act.
``(E) Attempting to commit, aiding or abetting in
the commission of, or conspiracy to commit the acts or
omissions specified in, this paragraph.
``(3) The term `insurance person' means officers,
directors, agents, or employees of national insurers, or other
persons authorized to act on behalf of national insurers.''.
(2) Clerical amendment.--The table of sections for chapter
47 of title 18, United States Code, is amended by adding at the
end the following new item:
``1037. Insurance fraud.''.
SEC. 813. AMENDMENTS TO AMERICANS WITH DISABILITIES ACT OF 1990.
Section 501(c) of the Americans With Disabilities Act of 1990 (42
U.S.C. 12201(c)) is amended--
(1) in paragraph (1), by inserting ``or Federal'' before
``law'';
(2) in paragraph (2), by inserting ``or Federal'' before
``law''; and
(3) in paragraph (3), by inserting ``or Federal'' before
``laws''.
TITLE IX--RECEIVERSHIP
Subtitle A--Definitions
SEC. 901. DEFINITIONS.
For purposes of this title:
(1) Alien representative.--The term ``alien
representative'' means a trustee, receiver, liquidator,
provisional liquidator, administrator or other representative
of a non-U.S. insurer in receivership or equivalent proceedings
in a foreign country who has been appointed judicially or
pursuant to statute.
(2) Association.--The term ``association'' means an
insurance guaranty fund or association or any similar entity
created under the laws of the relevant State.
(3) Contingent claim.--The term ``contingent claim'' means
a claim for which the insurer's obligation to pay has not yet
been established.
(4) Corporation.--The term ``corporation'' means the
National Life Insurance Guaranty Corporation established
pursuant to Title X or the National Property and Casualty
Insurance Guaranty Corporation established pursuant to such
title (as the case may be).
(5) Creditor.--The term ``creditor'' means a person having
a claim against the insurer, whether matured or unmatured,
liquidated or unliquidated, secured or unsecured, absolute, fixed, or
contingent.
(6) Court.--The term ``court'' means the court described in
section 903(a).
(7) Estate.--The term ``estate'' means the assets and
liabilities of any insurer in receivership.
(8) Fair consideration.--The term ``fair consideration'' is
given for property or an obligation--
(A) when in exchange for the property or
obligation, as a fair equivalent of the property or
obligation and in good faith, property is conveyed or
services are rendered or an obligation is incurred or
an antecedent debt is satisfied; or
(B) when the property or obligation is received in
good faith to secure a present advance or antecedent
debt in an amount not disproportionately small as
compared to the value of the property or obligation
obtained.
(9) General assets.--The term ``general assets'' means all
property, real, personal, or otherwise, not specifically
mortgaged, pledged, deposited, or otherwise encumbered for the
security or benefit of specified persons or a limited class or
classes of persons, and as to such specifically encumbered
property the term includes all such property or its proceeds in
excess of the amount necessary to discharge the sum or sums
secured thereby. Assets held in trust and assets held on
deposit for the security or benefit of all policyholders, or
all policyholders and creditors in the United States shall be
deemed general assets.
(10) Guaranty association.--The term ``guaranty
association'' means either corporation or any association.
(11) Insolvency.--The terms ``insolvency'' and
``insolvent'' mean--
(A) for a
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national insurer issuing only assessable
policies--
(i) the inability to pay an obligation
within 30 days after it becomes payable; or
(ii) the inability to pay an obligation for
an assessment 30 days following the date
specified in the first assessment notice issued
after the date of loss; and
(B) for a national insurer, other than a national
insurer under paragraph (1), the inability of an
insurer to pay its obligations when they are due or
when admitted assets do not exceed liabilities plus the
greater of either of the following--
(i) any capital and surplus required by law
for its organization; or
(ii) the total par or stated value of its
authorized and issued capital stock.
For purposes of this paragraph, the term ``liabilities'' shall
include reserves required by statute or by rule or specific
requirements imposed by the Director upon an insurer.
(12) Insurer.--The term ``insurer'' includes a State
insurer, a national insurer, and all other entities subject to
this title under section 910.
(13) Multiple beneficiary trust.--The term ``multiple
beneficiary trust'' means a trust established pursuant to this
Act for the benefit of more than one beneficiary except trusts
established by a U.S. branch.
(14) Netting agreement.--The term ``netting agreement''
means a contract or agreement (including terms and conditions
incorporated by reference therein), including a master
agreement (which master agreement, together with all schedules,
confirmations, definitions and addenda thereto and transactions
under any thereof, shall be treated as one netting agreement),
that documents one or more transactions between the parties for
or involving one or more qualified financial contracts and that
provides for the netting of qualified financial contracts or
present or future payment obligations or payment entitlements
thereunder (including liquidation or close-out values relating
to such obligations or entitlements) among the parties to the
netting agreement.
(15) Party in interest.--The term ``party in interest''
means the Director, an insurer, policyholder, third-party
claimant, creditor, equity security holder, the corporation,
any affected guaranty association, a State commissioner or
other principal regulatory official in a State in which the
insurer was doing business, an advisory committee appointed
under this title, an insurer that ceded to or assumed business
from the insurer, and any person, including any indenture
trustee, with a financial or regulatory interest in the
receivership proceeding.
(16) Plan.--The term ``plan'' means a plan provided in
subtitle H.
(17) Qualified financial contract.--The term ``qualified
financial contract'' means a commodity contract, forward
contract, repurchase agreement, securities contract, swap
agreement and any similar agreement that the Director
determines by regulation, or order to be a qualified financial
contract for the purposes of this title. For purposes of this
subsection:
(A) The term ``commodity contract'' means--
(i) a contract for the purchase or sale of
a commodity for future delivery on, or subject
to the rules of, a board of trade designated as
a contract market by the Commodity Futures
Trading Commission under the Commodity Exchange
Act (7 U.S.C. 1 et seq.) or board of trade
outside the United States;
(ii) an agreement that is subject to
regulation under section 19 of the Commodity
Exchange Act (7 U.S.C. 23) and that is commonly
known to the commodities trade as a margin
account, margin contract, leverage account or
leverage contract; or
(iii) an agreement or transaction that is
subject to regulation under section 4c(b) of
the Commodity Exchange Act (7 U.S.C. 6c(b)) and
that is commonly known to the commodities trade
as a commodity option.
(B) The term ``forward contract'' means a contract
(other than a commodity contract) for the purchase,
sale, or transfer of any commodity, as defined in
section 1 of the Commodity Exchange Act (7 U.S.C. 1),
or any similar good, article, service, right or
interest that is presently or in the future becomes the
subject of dealing in the forward contract trade, or
product or byproduct thereof, with a maturity date more
than 2 days after the date the contract is entered
into, including, but not limited to, a repurchase
transaction, reverse repurchase transaction,
consignment, lease, swap, hedge transaction, deposit,
loan, option, allocated transaction, unallocated
transaction or any combination of these or option on
any of them.
(C) The term ``repurchase agreement'' (which also
applies to a reverse repurchase agreement) means an
agreement, including related terms, that provides for
the transfer of certificates of deposit, eligible
bankers' acceptances, or securities that are direct
obligations of, or that are fully guaranteed as to
principal and interest by, the United States or any
agency of the United States against the transfer of funds by the
transferee of such certificates of deposit, eligible bankers'
acceptances, or securities with a simultaneous agreement by the
transferee to transfer to the transferor certificates of deposit,
eligible bankers' acceptances or securities as described above, at a
date certain not later than 1 year after the transfers or on demand,
against the transfer of funds. For the purposes of this definition, the
items that may be subject to an agreement include mortgage-related
securities, a mortgage loan, and an interest in a mortgage loan, and
shall not include any participation in a commercial mortgage loan,
unless the Director determines by regulation, resolution or order to
include the participation within the meaning of the term.
(D) The term ``securities contract'' means a
contract for the purchase, sale or loan of a security,
including an option for the repurchase or sale of a
security, certificate of deposit, or group or index of
securities (including an interest therein or based on
the value thereof), or an option entered into on a
national securities exchange relating to foreign
currencies, or the guarantee of any settlement of cash
or securities by or to a securities clearing agency.
For the purposes of this paragraph (4), the term
``security'' includes a mortgage loan, mortgage-related
securities, and an interest in any mortgage loan or
mortgage-related security.
(E) The term
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``swap agreement'' means an agreement,
including the terms and conditions incorporated by
reference in an agreement, that is a rate swap
agreement, basis swap, commodity swap, forward rate
agreement, interest rate future, interest rate option,
forward foreign exchange agreement, spot foreign
exchange agreement, rate cap agreement, rate floor
agreement, rate collar agreement, currency swap
agreement, cross-currency rate swap agreement, currency
future, or currency option or any other similar
agreement, and includes any combination of agreements
and an option to enter into an agreement.
(18) Receiver.--The term ``receiver'' means receiver,
liquidator, rehabilitator, or conservator as the context
requires.
(19) Receivership proceeding.--The term ``receivership
proceeding'' means any liquidation, rehabilitation or
conservation as the context requires.
(20) Secured claim.--The term ``secured claim'' means a
claim secured by mortgage, trust deed, pledge, deposit as
security, escrow, or otherwise, but not including a special
deposit claim or claim against general assets. The term also
includes claims that have become liens upon specific assets by
reason of judicial process.
(21) Separate account.--The term ``separate account'' means
an account authorized under section 321 and established in
accordance with the terms of a written agreement or a contract
on a variable basis.
(22) Single beneficiary trust.--The term ``single
beneficiary trust'' means a trust established pursuant to this
title for the benefit of a single beneficiary.
(23) Special deposit claim.--The term ``special deposit
claim'' means a claim secured by a deposit made pursuant to a
statute for the security or benefit of a limited class or
classes of persons, but not including a class secured by
general assets.
(24) Transfer.--The term ``transfer'' means every mode,
direct or indirect, absolute or conditional, voluntary or
involuntary, of disposing of or parting with property or with
an interest in property, including retention of title as a
security interest and foreclosure of an insurer's equity of
redemption.
(25) Unliquidated claim.--The term ``unliquidated claim''
means a claim for which the amount of the claim has not been
determined.
(26) Unmatured claim.--The term ``unmatured claim'' means a
claim for which payment is not yet due.
SEC. 902. CONSTRUCTION.
Except as provided at section 914, this title shall not be
interpreted to limit the powers granted the Director by laws or
regulations other than this title.
Subtitle B--The Court
SEC. 903. JURISDICTION.
(a) In General.--A receivership proceeding under this title shall
be filed in the United States district court, or the United States
court of any territory, within the jurisdiction of which the main
office of the national insurer is located.
(b) Exclusive Jurisdiction.--The court shall, as of the
commencement of a receivership proceeding under this title, have
exclusive jurisdiction of all property of the national insurer,
wherever located.
(c) Arbitration.--Except as provided at section 914, and except as
to claims filed against the estate pursuant to section 964, nothing in
this title shall deprive a party in interest of any contractual right
to pursue arbitration of any dispute under any law.
(d) Persons Subject to Personal Jurisdiction.--In addition to
grounds otherwise provided by law, the following persons are subject to
the personal jurisdiction of the court:
(1) Current and former insurance producers of the national
insurer.
(2) Policyholders and reinsurers of the national insurer.
(3) Current and former officers, directors, managers,
trustees, organizers, promoters and persons in control of the
national insurer.
(4) Any third party administrator for a national insurer
and any person (such as a data processing firm) that maintains
information for a national insurer.
(e) Associations.--The foregoing provisions of this section
notwithstanding, the provisions of this title do not confer
jurisdiction on the court to resolve coverage disputes between guaranty
associations and those asserting claims against them resulting from the
initiation of a receivership proceeding under this title, except to the
extent that the guaranty association has otherwise expressly consented
pursuant to a plan of rehabilitation or liquidation that resolves its
obligations to covered policyholders.
(f) Determination.--The determination of any dispute with respect
to the statutory obligations of any guaranty association by a court or
administrative agency shall be binding and conclusive as to the parties
in a receivership proceeding initiated in the court, including, without
limitation, the policyholders of the national insurer.
SEC. 904. POWERS.
(a) In General.--The court may issue any order, process or
judgment, including such injunctions or other orders as are necessary
or appropriate to carry out the provisions of this title or an approved
plan.
(b) Enforcement.--No provision of this title providing for the
raising of an issue by a party in interest shall be construed to
preclude the court from, sua sponte, taking any action or making any
determination necessary or appropriate to enforce or implement court
orders or to prevent an abuse of process.
SEC. 905. APPEALS.
(a) In General.--Appeal from orders of the court may be taken--
(1) as of right, by any of the following parties in
interest who have appeared and participated in the hearing on
the matter in question--
(A) by the Director or the national insurer from
any order of rehabilitation or liquidation or finding
of insolvency, or any order refusing rehabilitation,
liquidation, or a finding of insolvency;
(B) by the receiver or any such party from any
order approving or refusing to approve a plan;
(C) by the receiver, the claimant or any reinsurer
from any order allowing or disallowing a claim;
(D) by the person asserting any interest in an
asset from any order finally determining such interest;
or
(E) by a guaranty association from any order which
may substantially affect its rights; or
(2) by leave of court, by any interested party whose
substantial rights may be affected, from any order of the
court, upon a showing that such rights are not amenable to
protection by any appeal as of right; or
(3) by the receiver, from any order substantially affecting
the operations of the receivership which is not otherwise
appealable; provided, however, that leave shall be sought in
the first instance from the court.
(b) Procedure.--Any appeal from the entry or refusal of an order of
receivership must be taken within 5 days of its entry. No request for
reconsideration, review or appeal, and no posting of a bond shall
dissolve or stay such order. Appeals from such orders shall be
expedited by the court of appeals for the circuit in which the court is
located.
(c) Procedure Same as Civil Appeals.--Except as specifically
provided in this section and section 906, the procedure on appeal of an
order entered under this title shall be as for other civil appeals.
SEC. 906. APPEAL PENDENCY PLANS.
(a) Plan Required.--Within 5 days after
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the filing of a notice of
appeal of an order of liquidation, the liquidator shall present for the
court's approval a plan for the continued performance of the defendant
national insurer's insurance policy claims obligations, including the
duty to defend insureds under liability insurance policies, during the
pendency of an appeal.
(b) Content of Plan.--Such plan may provide for the continued
performance and payment of insurance policy claims obligations in the
normal course of events, notwithstanding the grounds alleged in support
of the order of liquidation, including the ground of insolvency. In the
event the defendant national insurer's financial condition will not, in
the judgment of the liquidator, support the full performance of all
insurance policy claims obligations during the appeal pendency period,
the plan may prefer the claims of certain policyholders and claimants
over creditors and parties in interest as well as other policyholders
and claimants (1) if the liquidator finds that such preference is in
the interests of policyholders and other creditors as a whole or that
such preference is necessary to prevent hardship to particular
policyholders and claimants; and (2) if the liquidator finds that such
preference is fair and equitable considering the relative circumstances
of such policyholders and claimants. The court shall examine the plan
submitted by the liquidator and if it finds the plan is in the best
interests of the parties and that the liquidator's findings are
supported by substantial evidence, it shall approve the plan. No action
shall lie against the liquidator or any of his deputies, agents,
clerks, assistants or attorneys by any party based on preference in an
appeal pendency plan approved by the court.
(c) Guaranty Association Obligations.--The appeal pendency plan
shall not supersede or affect the obligations of the National Life
Insurance Guaranty Corporation or the National Property and Casualty
Insurance Guaranty Corporation under title X or any association which
under relevant State law is required to pay covered claims obligations
during the appeal pendency period.
Subtitle C--General Provisions
SEC. 907. DUTY TO PROVIDE INFORMATION TO CORPORATION, STATE
COMMISSIONERS, AND ASSOCIATIONS.
(a) In General.--The receiver shall provide affected State
commissioners with relevant receivership information, including reports
and analysis of financial condition and the status of development of a
plan when requested.
(b) Kind of Information.--The receiver shall provide the affected
guaranty association with all information necessary to carry out
statutory obligations, including without limitation, any information
reasonably necessary or appropriate to evaluate and participate in the
development of the plan.
(c) Listing of Policyholders.--The receiver shall also permit a
State commissioner, and a guaranty association to obtain a listing of
relevant policyholders and certificate holders, including current
addresses and summary insurance policy information, provided that the
requestor agrees to maintain the confidentiality of the records and
that the records will be used only for regulatory, or guaranty
association purposes.
(d) Restriction on Access and Disclosure.--In the event the
receiver believes that certain information is sensitive or that
disclosure might cause a diminution in recovery, the receiver may apply
to the court for a protective order imposing additional restrictions on
access and disclosure.
(e) Other Disclosure Permitted.--Except as otherwise provided in
section 931, nothing contained in this title shall preclude or prohibit
disclosure or discussion of information or documents relevant to
proceedings hereunder between and among the national insurer, the
receiver, guaranty associations and State commissioners. No such
disclosure or discussion shall compromise the privilege or confidential
nature of such information or documents.
SEC. 908. COOPERATION OF OFFICERS, OWNERS, AND EMPLOYEES.
(a) In General.--
(1) An officer, manager, director, trustee, owner,
employee, or agent of a national insurer, or any other persons
with authority over or in charge of any segment of the national
insurer's affairs, shall cooperate with the receiver in a
proceeding under this title.
(2) For purposes of this section:
(A) The term ``person'' includes a person who
exercises control directly or indirectly over
activities of the national insurer through a holding
company or other affiliate of the national insurer.
(B) The term ``to cooperate'' includes--
(i) to reply promptly in writing to any
inquiry from the receiver requesting such a
reply; and
(ii) to make available to the receiver
books, accounts, documents, and other records,
information, or property of, or pertaining to,
the national insurer and in his or her
possession, custody, or control.
(b) No Interference.--No person shall obstruct or interfere with
the receiver in the conduct of a receivership proceeding.
(c) Other Rights.--This section shall not be construed to abridge
otherwise existing legal rights, including the right to resist a
petition for receivership proceedings or requests for other orders.
SEC. 909. RIGHT TO APPEAR AND BE HEARD.
(a) Party in Interest.--A party in interest may raise and may
appear and be heard on any issue in a receivership proceeding under
this title, without reimbursement of attorneys' fees or expenses unless
such reimbursement is expressly authorized elsewhere by the laws of the
United States. This subsection shall not affect any right of a
reinsurer under a reinsurance contract to recover reasonable fees and
expenses to which it is entitled in connection with the interposing of
defenses to a claim against the national insurer.
(b) Guaranty Association.--Any guaranty association which is or may
become liable to act as a result of the entry of an order of
receivership shall have standing to intervene as of right or otherwise
appear and participate in a receivership proceeding under this title.
Exercise by any guaranty association of the standing rights conferred
under this subsection shall not constitute a submission to the general
jurisdiction of the court.
Subtitle D--Administration
SEC. 910. ENTITIES SUBJECT TO THIS TITLE.
The receivership proceedings authorized by this title may be
initiated against--
(1) any national insurer; and
(2) any person, if not an insurer, including--
(A) insurance producers, managing general agents,
premium finance companies, insurance holding companies
and all other non risk bearing entities engaged in any
aspect of the business of insurance, whether or not
such entities are licensed to engage in the business of
insurance under this Act, if such person is an
affiliate of the national insurer against which a
receivership proceeding has been or is being filed
under this title; and
(B) any other entity which is made subject to this
title by statute.
SEC. 911. COMMENCEMENT OF RECEIVERSHIP.
(a) Who May Institute Proceeding.--Only the Director may institute
a receivership proceeding under this title by filing a petition with
the court.
(b) Subject of Proceeding.--The Director may initiate a
receivership proceeding against--
(1) a national insurer;
(2) a United States branch established pursuant to this
Act; or
(3) any other entity under the provisions of section 910:
Provided, That as to an
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y non-U.S. insurer that holds a Federal
license but does not hold a charter issued pursuant to this Act
or is not domiciled in any State, such receivership proceeding
shall be only as to assets and records of such entity in the
United States.
(c) Content of Petition.--Any petition filed under this title shall
state the grounds upon which the relief is sought and the relief
requested and may request entry of such injunctive orders as may be
appropriate.
(d) No Delegation Permitted.--The Director may not delegate to any
insurance self-regulatory organization any authority under this section
with respect to instituting a receivership proceeding.
SEC. 912. GROUNDS FOR ENTRY OF A REHABILITATION OR LIQUIDATION ORDER.
(a) In General.--Upon the filing of a petition, the court shall
forthwith issue an order of rehabilitation or liquidation if the
national insurer consents thereto, if the national insurer fails to
contest such petition or if the court finds--
(1) the national insurer is in such condition that the
further transaction of business would be hazardous, financially
or otherwise, to its policyholders, its creditors, or the
public;
(2) there is reasonable cause to believe that there has
been embezzlement from the national insurer, wrongful
sequestration or diversion of the national insurer's assets,
forgery or fraud affecting the national insurer, or other
illegal conduct in, by, or with respect to the national insurer
that, if established, would endanger assets in an amount
threatening the national insurer's solvency;
(3) the national insurer has failed to remove a person who
in fact has executive authority with the national insurer,
whether an officer, manager, general agent, employee, or other
person, if the person has been found after notice and hearing
by the Director to be dishonest or untrustworthy in a way
affecting the national insurer's business;
(4) control of the national insurer, whether by stock
ownership or otherwise, and whether direct or indirect, is in a
person found after notice and hearing by the Director to be
untrustworthy;
(5) a person who in fact has executive authority with the
national insurer, whether an officer, manager, general agent,
director or trustee, employee, or other person, has refused to
be examined under oath by the Director concerning the person's
affairs and after reasonable notice of the fact, the national
insurer has failed promptly and effectively to terminate the
employment and status of the person and all of his or her
influence on management;
(6) after demand by the Director, the national insurer has
failed to promptly make available for examination its property,
books, accounts, documents, or other records, or those of a
subsidiary or company within the control of the national
insurer, or those of a person having executive authority with
the company and pertaining to the company;
(7) without first obtaining the Director's written consent,
the national insurer has transferred, or attempted to transfer,
in a manner contrary to law, substantially its entire property
or business, or has entered into a transaction the effect of
which is to merge, consolidate, or reinsure substantially its
entire property or business in or with the property or business
of any other person;
(8) the national insurer has concealed, removed, altered,
destroyed or failed to establish and maintain books, records,
documents, accounts, vouchers and other pertinent material
adequate for the determination of its financial condition by
examination or has failed to properly administer claims and to
maintain claims records which are adequate for the
determination of its outstanding claims liability;
(9) the national insurer or its property has been or is the
subject of an application for the appointment of a receiver,
trustee, custodian, conservator, or sequestrator or similar
fiduciary of the national insurer or its property otherwise
than as authorized under this title, and the appointment has
been made or is imminent;
(10) within the previous 5 years, the national insurer has
willfully and continuously violated its charter or articles of
incorporation, its bylaws, this Act, or a valid order of the
Director;
(11) the national insurer has failed to pay a judgment
entered against it by a court with personal jurisdiction over
the national insurer within 60 days of the date the judgment
becomes final;
(12) the national insurer has failed to file its annual
report or other financial report required by this Act within
the time allowed by law and, after written demand by the Director, has
failed to give immediately an adequate explanation;
(13) the national insurer is found, after examination, to
be in a condition so that it could not presently meet the
requirements for chartering, incorporation (if applicable) and
licensing to underwrite and sell insurance under this Act; or
(14) the national insurer is insolvent.
(b) Administration of Reinsurance Trust.--In addition to the
grounds stated in subsection (a) of this section, if the Director or a
court of competent jurisdiction has ordered a trustee to turn over to
the Director, assets held in trust pursuant to subsection (b) of
section 322 requiring security in the form of trusteed assets for
reinsurance ceded to a non federally-qualified reinsurer, the court may
direct the establishment of a receivership for the purpose of
administering said assets; provided, however that any such trust assets
shall be administered in accordance with section 922.
SEC. 913. SERVICE OF SUMMONS AND RETURN.
(a) In General.--Except with respect to a proceeding pursuant to
section 925, upon the filing of a petition, a summons shall forthwith
issue, returnable in 3 days after its date, and a copy of the summons
together with the petition in any receivership proceeding under this
title shall be served upon the national insurer named in such petition
by delivering the same to its president, vice president, secretary,
treasurer, director, or to its managing agent, or if the national
insurer lacks any of the aforesaid officers, or if they cannot be found
within the United States, to the officer performing corresponding
functions under another name. Upon request of the Director, the court
shall appoint a special process server.
(b) Service.--When it is satisfactorily proved by the report of an
examiner of the Director made in accordance with the provisions of this
title, or by affidavit of anyone familiar with the facts, that the
officers, directors, trustees or managing agents or members of any
national insurer named in said petition upon whom service is required
to be made as above provided, have departed from the United States or
keep themselves concealed therein, or if such of the persons residing
in the United States and upon whom service is required to be made as
above provided have resigned from their offices, or that service cannot
be made immediately by the exercise of reasonable diligence, such
service may be had by the mailing of a copy of the petition and summons
to the last known address of the national insurer, or by publication in
such form and in such manner as the court shall order.
SEC. 914. AUTOMATIC STAY.
(a) In General.--Except as provided in subsections (c) and (d) of
this section or as otherwise provided in this title, the commencement
of a receivership proceeding under this title operates as a stay,
applicable to al
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l entities, of--
(1) the commencement or continuation, including the
issuance or employment of process, of a judicial,
administrative, or other action or proceeding against the
national insurer, including an arbitration proceedings, that
was or could have been commenced before the commencement of the
receivership proceeding under this title, or to recover a claim
against the national insurer that arose before the commencement
of the receivership proceeding under this title;
(2) the enforcement, against the national insurer or
against property of the national insurer, of a judgment
obtained before the commencement of the receivership proceeding
under this title;
(3) any act to obtain possession of property of the
national insurer or of property from the national insurer or to
exercise control over property or records of the national
insurer;
(4) any act to create, perfect, or enforce any lien against
property of the national insurer;
(5) any act to collect, assess, or recover a claim against
the national insurer that arose before the commencement of a
receivership proceeding under this title; and
(6) the commencement or continuation of an action or
proceeding against a reinsurer of the national insurer, by the
holder of a claim against the national insurer, seeking
reinsurance recoveries which are contractually due to the
national insurer.
(b) Other Stay.--Except as provided in subsections (c) and (d) of
this section or as otherwise provided in this title, the commencement
of a receivership proceeding under this title operates as a stay,
applicable to all entities, of the commencement or continuation,
including the issuance or employment of process, of a judicial,
administrative or other action or proceeding, including, without
limitation, the enforcement of any judgment against any insured that
was or could have been commenced before the commencement of the
receivership proceeding under this title or to recover a claim against
any insured that arose before or after the commencement of the
receivership proceedings under this title and for which the national
insurer is or may be liable under a policy of insurance or is obligated
to defend a party. The stay provided by this subsection shall terminate
90 days after appointment of the receiver unless extended by order of
the court, for good cause shown, after notice to any affected parties
and such hearing as the court determines is appropriate; provided,
however, that any applicable statute of limitation with respect to any
claim against an insured shall be tolled during the period of the stay
provided by this subsection and any extensions.
(c) Exceptions.--The commencement of a receivership proceeding
under this title does not operate as a stay of--
(1) criminal actions;
(2) any act to perfect, or to maintain or continue the
perfection of, an interest in property to the extent such act
is accomplished within any relation back period under
applicable law;
(3) setoff as permitted by section 958;
(4) termination of reinsurance contracts covering policies
of insurance as provided under subsection (f) of section 962;
(5) pursuit and enforcement of nonmonetary governmental
claims, judgments and proceedings;
(6) enforcement of a lessor's rights under a lease that
expired prior to the filing of the receivership proceeding;
(7) presentment of a negotiable instrument and the giving
of notice of and protesting dishonor of such an instrument;
(8) enforcement of rights against single beneficiary
trusts;
(9) termination, liquidation and netting of obligations
under qualified financial contracts as provided at section 959;
(10) discharge by a guaranty associations of statutory
responsibilities or the pursuit of claims against a guaranty
associations to the extent permitted by law other than this
title; or
(11) any--
(A) audit by a governmental unit to determine tax
liability;
(B) issuance to the national insurer by a
governmental unit of a notice of tax deficiency;
(C) demand for tax returns; or
(D) making of an assessment for any tax and
issuance of a notice and demand for payment of such an
assessment.
(d) Conservation Order.--In the event the Director seeks an order
of conservation under section 925, the provisions of subsections (a)
and (b) shall be applicable only to those entities with actual notice
or knowledge of the initiation of the receivership proceeding until
such time as the record of the receivership proceeding is made public
under section 926.
(e) Length of Stay.--Except as provided in subsection (g)--
(1) the stay of an act against property of the national
insurer under subsection (a) continues until such property is
no longer property of the receivership estate; and
(2) the stay of any other act under subsection (a)
continues until the earliest of--
(A) the time the receivership proceeding is closed;
or
(B) the time the receivership proceeding is
dismissed.
(f) Other Exceptions.--Notwithstanding the provisions of subsection
(a)--
(1) claims against the national insurer that arose before
the commencement of the receivership proceeding under this
title may be asserted as a counterclaim in any judicial,
administrative or other action or proceeding initiated by or on
behalf of the receiver against the holder of such claims; and
(2) a party against whom a judicial, administrative or
other action or proceeding is initiated by or on behalf of the
receiver may assert and enforce any contractual right the party
may have to require arbitration of any dispute under any law.
(g) Relief From Stay.--On request of a party in interest and after
notice and such hearing as the court determines appropriate, the court
may grant relief from the stay in effect pursuant to subsection (a),
such as by terminating, annulling, modifying, or conditioning such
stay--
(1) for cause; or
(2) with respect to a stay of an action against property
under subsection (a) if--
(A) the national insurer does not have an equity in
such property; and
(B) such property is not necessary to an effective
plan.
(h) Burden of Proof.--In any hearing under subsection (g), the
party seeking relief from the stay shall have the burden of proof on
each issue which must be established by clear and convincing evidence.
(i) Damages for Willful Violation of Stay.--The estate of a
national insurer which is injured by any willful violation of a stay
provided by this section shall be entitled to actual damages, including
costs and attorneys' fees, and, in appropriate circumstances, the court
may impose additional sanctions.
(j) Other.--No statute of limitations or defense of laches shall
run with respect to any action by or against a national insurer between
the filing of a petition for conservation, rehabilitation or
liquidation against a national insurer and the order granting or
denying that petition. Any action against the national insurer that
might have been commenced when the petition was filed may be commenced
for at least 60 days after an order is denied.
SEC. 915. ANSWER AND HEARING.
(a) Answer.--The respondent national insurer shall file its answer
to the Director's petition within 10 days after service of the summ
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ons,
exclusive of the day of service. On timely motion of the respondent,
the court shall extend the time for answering for a period not to
exceed an additional 10 days.
(b) Hearing.--The court, on the return day of the summons as
originally fixed or extended hereunder, shall set the cause for hearing
within 20 days from the return day or the extended return day.
(c) No Other Motions and Pleadings.--Except as provided in section
927, no motions or other pleadings, whether to dissolve, modify or
continue any injunction or otherwise, shall be filed by, or permitted
on behalf of the respondent prior to the filing of an answer to the
complaint.
(d) Document To Be Received by Court.--The court shall receive as
self-authenticated any of the following when offered by the Director--
(1) certified copies of the financial statements made by
the national insurer; and
(2) certified copies of examination reports of the national
insurer made by or on behalf of the Director.
(e) Prima Facie Evidence.--At any hearing, the verified petition
and any exhibits filed therewith shall be received as prima facie
evidence of the facts therein contained.
(f) Entering Judgment.--The court shall enter judgment within 15
days after the conclusion of the evidence.
SEC. 916. NOTICE OF ENTRY OF ORDER OF REHABILITATION OR LIQUIDATION.
Unless the court otherwise directs, the receiver shall give or
cause to be given notice of the order of rehabilitation or liquidation
as soon as possible by--
(1) first-class mail to the State commissioner of each
jurisdiction in which the national insurer is doing business;
(2) first-class mail to each guaranty association which is
or may become obligated as a result of the receivership
proceeding;
(3) first-class mail to all known insurance producers and
reinsurers of the national insurer at their last known address
as indicated by the records of the national insurer;
(4) first-class mail to all persons known or reasonably
expected to have claims against the national insurer including
all policyholders, at their last known address as indicated by
the records of the national insurer; and
(5) publication in a newspaper of general circulation in
the county in which the national insurer has its principal
place of business and in other locations as the receiver
considers appropriate.
SEC. 917. CONTENTS OF NOTICE OF RECEIVERSHIP.
The notice of the entry of an order of rehabilitation or
liquidation shall--
(1) contain a statement that the national insurer has been
placed in rehabilitation or liquidation;
(2) advise that an automatic stay is in effect together
with a reference to section 914 and a statement that certain
acts against the national insurer and its assets are stayed as
well as a description of any additional injunctive relief of
general application ordered by the court;
(3) state whether and to what extent the national insurer's
insurance policies continue in effect;
(4) include the deadline for filing claims if one has been
established;
(5) state the date, time and location of the initial status
hearing established pursuant to section 918; and
(6) include such other information as the receiver or the
court deems appropriate.
SEC. 918. INITIAL STATUS HEARING.
An initial status hearing shall be held within 120 days of the
entry of an order of rehabilitation or liquidation. The receiver shall
discuss the condition of the estate and may be questioned by parties in
interest or their representatives concerning the matters discussed. The
hearing shall be conducted informally under the supervision of the
court.
SEC. 919. DISMISSAL OF RECEIVERSHIP PROCEEDING.
(a) In General.--Except as provided in subsection (c), until all
payments of or on account of the national insurer's contractual
obligations by all guaranty associations and interest thereon and all
reasonable expenses incurred by them in connection therewith are repaid
to the guaranty associations or a plan of repayment by the national
insurer is approved by the guaranty associations, an national insurer
that is subject to any receivership proceeding shall not--
(1) be released from a receivership proceeding;
(2) be permitted to solicit or accept new business or
request or accept the restoration of a suspended or revoked
license or certificate of authority; or
(3) be returned to the control of its shareholders or
management.
(b) Following Conservation Order.--If the Director, having obtained
an ex parte order of conservation, fails to file a motion in the
receivership proceeding requesting entry of an order of rehabilitation
or liquidation after having had a reasonable opportunity to do so, the
receivership proceeding shall on motion of a party in interest or on
the court's own motion, be dismissed and vacated.
(c) Exception.--A receivership proceeding may be dismissed without
complying with the requirements of subsection (a) if the court, on
motion of the receiver, determines that the receivership estate has no
assets or the estate's assets are insufficient to cover the costs of
administering the receivership.
(d) Dissolution.--In the event a receivership proceeding is
dismissed pursuant to subsection (c), the national insurer shall be
dissolved as of entry of the order of dismissal.
SEC. 920. RECEIVERSHIP PROCEEDINGS FOR NON-U.S. INSURERS.
The court, after notice and hearing, may dismiss or suspend a
receivership proceeding against a non-U.S. insurer under this title at
any time, taking into consideration the following interests of insured
claimants, creditors and the public:
(1) Whether the order requested, and any governing
legislation upon which it is based, is consistent with the
objectives of this title.
(2) The effect the order requested would have or could
reasonably be expected to have on the ability of the liquidator
to use assets of non-U.S. insurer's estate under the
liquidation order to transfer insurance policy obligations to a
solvent assuming insurer.
(3) Any agreements with a receiver or State commissioner or
like official of another State in which the non-U.S. insurer
was doing business, or of the country under the laws of which
the non-U.S. insurer is domiciled, relating to the receivership
or dissolution of the non-U.S. insurer.
(4) The adequacy of information available to the court upon
which to make a determination.
(5) The costs that could reasonably be expected to be
incurred as a result of the order.
SEC. 921. TRUSTEED ASSETS OF A UNITED STATES BRANCH OF A NON-U.S.
INSURER.
(a) Motion To Transfer.-- Any person having an interest in the
trusteed assets of the United States branch established pursuant to
section 302 and subject to a receivership proceeding under this title,
may, by motion, seek an order directing that all or part of the
trusteed assets of such non-U.S. insurer be transferred to such person.
(b) Action on Motion.--After providing notice and hearing, the
court may grant, deny, or suspend a motion made pursuant to subsection
(a) on terms and conditions, or make such other order, as the court
considers appropriate, considering the following:
(1) The factors set forth in section 920.
(2) Whether the order requested is consistent with the
terms, conditions and objectives of the trust agreement or
agreements.
SEC. 922. TRUST FUND CLAIMS.
(a) Motion by Alien Representative.--An alien representative having
an interest in the trusteed assets of a non-U.S. insurer secured by a
multiple beneficiary
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trust may, by motion, seek an order directing that
all or part of such trusteed assets of such insurer be transferred to
such person.
(b) Conditions for Relief.--Notwithstanding section 920, the court
shall not grant relief under this section unless the Director has
determined that--
(1) the assets of such a trust exceed the amount necessary
to satisfy the claims of United States beneficiaries of the
trust; or
(2) United States beneficiaries of the trust will receive a
greater percentage of their claim if the trust fund assets are
returned to the grantor's country of domicile and a receiver
has been appointed for the grantor in that domicile.
(c) Multiple Beneficiary Trust.--Claims against the assets of a
multiple beneficiary trust shall be filed and allowed and shall receive
distribution of assets in accordance with the laws of the State in
which the trust is organized that are applicable to the receivership of
national insurers.
SEC. 923. LIMITED APPEARANCE.
(a) In General.--An alien representative may seek dismissal or
suspension of a receivership proceeding under section 920.
(b) Appearance Limited.--An appearance in a court by an alien
representative in connection with a motion or request under section
920, 921, or 922 does not submit such alien representative to the
jurisdiction of the court for any other purpose, but the court may
condition any order under such sections on compliance by such alien
representative with the orders of the court.
SEC. 924. ADVISORY COMMITTEES.
The court, on motion of the receiver or for good cause shown, may
appoint one or more advisory committees of policyholders, claimants or
other creditors. Any advisory committee shall serve without
compensation and without reimbursement of expenses.
SEC. 925. EX PARTE ORDERS OF CONSERVATION AND SEIZURE.
(a) In General.--At the time the Director initiates a receivership
proceeding under this title, he or she may request entry of an ex parte
conservation order by verified petition alleging--
(1) that there exist grounds for entry of an order of
rehabilitation or liquidation; and
(2) that the interests of policyholders, creditors, or the
public will be endangered by delay.
(b) No Notice of Hearing.--The court shall issue the ex parte
conservation order immediately without prior notice or a hearing.
(c) Service on National Insurer.--Upon issuance of an ex parte
conservation order, the order, together with a copy of the verified
petition and a summons, shall be promptly served on the national
insurer as provided in section 913. The conservator may also serve the
order upon persons transacting business with the national insurer or
dealing with its assets and such others as may be necessary to obtain
compliance therewith. All persons served with the order and all persons
having actual knowledge thereof shall be bound by it.
(d) Content of Order.--At the request of the Director, any order
entered pursuant to this section shall--
(1) appoint the Director as conservator;
(2) direct the conservator to take possession and control
of all or a part of the property, books, accounts, documents,
and other records of a national insurer, and of the premises
occupied by the national insurer for the transaction of its
business;
(3) direct any officer or director or other person or
entity that possesses or controls any documents or recorded
information of any nature, including books, claims files, records, and
papers of the national insurer or of any affiliate of the national
insurer that relate to the national insurer's assets, liabilities,
financial affairs or business, shall immediately disclose and, on
request of the conservator, turn over such documents and recorded
information to the conservator;
(4) enjoin the national insurer and its officers, managers,
agents, and employees from disposing of its property and from
transacting business except with the conservator's written
consent;
(5) contain such other relief as the Director considers
necessary; and
(6) specify the duration of the order, which shall be such
time as the court considers necessary for the conservator to
ascertain the condition of the national insurer.
(e) Modification of Order.--On motion of the national insurer, the
conservator or in its own discretion, the court may at any time modify
such order on such notice and after such hearing, if any, as the court
determines to be appropriate.
(f) Hearings.--Upon entry of an order under this section, the
conservator may hold hearings, subpoena witnesses to compel their
attendance, administer oaths, examine persons under oath, and compel
persons to subscribe to his or her testimony after it has been
correctly reduced to writing; and in connection with these powers may
require the production of books, papers, records, or other documents
that he or she considers relevant to the performance of his or her
duties.
(g) No Anticipatory Breach.--Entry of an order under this section
shall not constitute an anticipatory breach of any contract to which
the national insurer is a party.
(h) Law Enforcement Officer Assistance.--On request of the
conservator, those law enforcement officers with authority to process
orders of the court shall provide the conservator such assistance as is
required to carry out the terms of the order entered under this
section.
SEC. 926. CONFIDENTIALITY OF HEARINGS.
In all proceedings and judicial review of proceedings under section
925, all records of the national insurer, other documents, department
of insurance files, and court records and papers, so far as they are a
part of the record of the proceedings under this subtitle, are
confidential and shall be held by the clerk of the court in a
confidential file except as is necessary to obtain compliance
therewith, unless the court, after hearing arguments from the parties
in chambers, orders otherwise or the insurer requests that the matter
be made public. Unless privileged or confidential under law other than
this title, all such records shall become public upon filing of a
petition for rehabilitation or liquidation under this title.
SEC. 927. MODIFICATION OF ORDERS.
A national insurer against which an order of conservation has been
entered under section 925 may move for modification of the order at any
time prior to the entry of an order of rehabilitation or liquidation
under this title. The court shall hear such motion not more than 15
days after it is filed. A hearing under this section may be held
privately in chambers and shall be held privately in chambers if so
requested by the national insurer proceeded against.
SEC. 928. AUTHORITY TO OPERATE AND RESTRUCTURE INSURER'S BUSINESS.
If the court has entered an order of rehabilitation, the
rehabilitator--
(1) may take such action as he or she considers necessary
or appropriate to reform and revitalize the national insurer,
subject to any specific limitations of this title;
(2) may operate the business of the national insurer,
including the retention or dismissal of the national insurer's
employees; and
(3) shall propose a plan.
SEC. 929. CONVERSION TO LIQUIDATION.
(a) Grounds for Conversion.--If, in the exercise of administrative
discretion, the Director determines that further attempts to
rehabilitate a national insurer would--
(1) substantially increase the risk of loss to creditors,
policyholders, other parties in interest or the public,
(2) be futile, or
(3) not be in the best interests of creditors,
policyholders, other parties in interest or the public, the
Director may petition the court for an order of liquidation and
finding of insolvency under section 930.
(b) Other Groun
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ds for Conversion.--If the rehabilitator suspends
payment of all or substantially all direct insurance policy obligations
for a period of 6 months at any time after the entry of an order for
relief and has not filed a plan within that time, unless the court, for
good cause shown, extends such period, the Director shall request that
the court enter a final order of liquidation with a finding of
insolvency.
SEC. 930. ORDER OF LIQUIDATION.
(a) Liquidator's Duties.--If the court has entered an order of
liquidation, the liquidator shall--
(1) marshal the assets of the national insurer; and
(2) propose a plan.
(b) Director Request for Final Order.--The Director, as part of an
initial petition filed under this title, or the receiver, by motion
filed in a pending receivership proceeding, may request that the court
enter a final order of liquidation with a finding of insolvency.
SEC. 931. CONTINUATION OF COVERAGE.
(a) General Rule.--Notwithstanding any insurance policy language or
any other statute, all reinsurance contracts by which the national
insurer has reinsured the insurance obligations of another person are
canceled upon entry of an order of liquidation. All policies of
insurance (other than reinsurance contracts), surety bonds or surety
undertakings, other than life, disability income or long-term care
insurance or annuities, in effect at the time of issuance of an order
of liquidation shall continue in force as provided in this section
until the earliest of--
(1) 30 days from the date of entry of the liquidation
order;
(2) the expiration of the insurance policy;
(3) the date when the insured has replaced the insurance
coverage with equivalent insurance in another national insurer
or State-insurer or otherwise terminated the insurance policy;
(4) the date the liquidator has effected a transfer of the
insurance policy obligation; or
(5) the date proposed by the liquidator and approved by the
court to cancel coverage.
(b) Termination of Coverages.--An order of liquidation shall
terminate coverages at the time provided under subsection (a) for
purposes of any other statute.
(c) Policies of Insurance Covered by Guaranty Associations.--
Notwithstanding subsections (a) and (b), policies of life insurance or
annuities covered by a guaranty association and any portion of policies
of life insurance or annuities covered by a guaranty association shall
continue in force to the extent necessary to permit the guaranty
association to discharge its statutory obligations.
(d) Policies of Insurance Not Covered by Guaranty Associations.--
Policies of life insurance or annuities not covered by a guaranty
association, and any portion of policies of life insurance or annuities
not covered by a guaranty association, shall terminate as under
subsections (a) and (b), except to the extent that the liquidator
proposes and the court approves the continuation of such contracts or
coverage. Those policies of insurance that are not cancelable or
nonrenewable by the insolvent national insurer pursuant to their terms,
and that are not covered in whole or in part under subtitle A of title
X may be continued in force pursuant to a plan approved by the court
under section 979.
(e) Surety.--The cancellation of any bond or surety undertaking
shall not release any cosurety or guarantor.
(f) Reinsurance Contracts.--Reinsurance contracts by which the
insurer has reinsured obligations arising under policies of insurance
shall continue or terminate as provided in section 962.
Subtitle E--Office of the Receiver
SEC. 932. APPOINTMENT OF RECEIVER.
An order of conservation, rehabilitation or liquidation shall
appoint the Director and his or her successors in office as receiver.
SEC. 933. TITLE TO AND POSSESSION OF ASSETS AND RECORDS.
(a) In General.--Upon entry of an order of rehabilitation or
liquidation, the rehabilitator or liquidator shall be vested with title
to all of the property, books, accounts, documents and other records of
the national insurer, wherever located.
(b) Timing.--To the extent reasonable, and in the receiver's sole
discretion, the receiver may immediately take possession and control of
all of the property, books, accounts, documents and other records of
the national insurer and of the premises occupied by the national
insurer for transaction of its business.
SEC. 934. IMMUNITY AND INDEMNIFICATION OF THE RECEIVER AND EMPLOYEES.
(a) Persons Protected.--For the purposes of this section, the
persons entitled to protection under this section are--
(1) all receivers responsible for the conduct of a
receivership proceeding under this title including present and
former receivers; and
(2) their employees, meaning all present and former special
deputies and assistant special deputies appointed by the
Director and all persons whom the Director, special deputies,
or assistant special deputies have employed to assist in a
receivership proceeding under this title. Attorneys,
accountants, auditors, actuaries, investment bankers, financial
advisors, other consultants and any other persons or firms who
are retained by the receiver as independent contractors and
their employees shall not be considered employees of the
receiver for purposes of this section.
(b) Immunity.--The receiver and his or her employees shall have
official immunity and shall be immune from suit and liability, both
personally and in their official capacities, for any claim for damage
to or loss of property or personal injury or other civil liability
caused by or resulting from any alleged act, error or omission of the
receiver or any employee arising out of or by reason of their duties or
employment; provided that nothing in this provision shall be construed
to hold the receiver or any employee immune from suit and/or liability
for any damage, loss, injury or liability caused by the intentional or
willful and wanton misconduct of the receiver or any employee.
(c) Indemnification.--If any legal action is commenced against the
receiver or any employee, whether against him or her personally or in
his or her official capacity, alleging property damage, property loss,
personal injury or other civil liability caused by or resulting from
any alleged act, error or omission of the receiver or any employee
arising out of or by reason of their duties or employment, the receiver
and any employee shall be indemnified from the assets of the national
insurer for all expenses, attorneys' fees, judgments, settlements,
decrees or amounts due and owing or paid in satisfaction of or incurred
in the defense of such legal action unless it is determined upon a
final adjudication on the merits that the alleged act, error or
omission of the receiver or employee giving rise to the claim did not
arise out of or by reason of his or her duties or employment, or was
caused by intentional or willful and wanton misconduct.
(d) Advancement of Attorneys' Fees.--Attorneys' fees and any and
all related expenses incurred in defending a legal action for which
immunity or indemnity is available under this section shall be paid
from the assets of the national insurer, as they are incurred, in
advance of the final disposition of such action upon receipt of an
undertaking by or on behalf of the receiver or employee to repay the
attorneys' fees and expenses if it shall ultimately be determined upon
a final adjudication on the merits that the receiver or employee is not
entitled to immunity or indemnity under this section.
(e) Administration Expense.--Any indemnification for expense
payments, judgments, settlements, decrees, attorneys' fees, surety bond
premiums or other amounts paid or to be paid from the national
insurer's assets pursuant to this section shall be an administrative
expense of the national insurer.
(f) Segregat
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ion of Funds Generally Required.--In the event of any
actual or threatened litigation against a receiver or any employee for
which immunity or indemnity may be available under this section, a
reasonable amount of funds which in the judgment of the Director may be
needed to provide immunity or indemnity shall be segregated and
reserved from the assets of the national insurer as security for the
payment of indemnity until such time as all applicable statutes of
limitation shall have run and all actual or threatened actions against
the receiver or any employee have been completely and finally resolved,
and all obligations of the national insurer and the Director under this
section shall have been satisfied.
(g) Surety Bond in Lieu of Segregation of Funds.--In lieu of
segregation and reserving of funds, the Director may, in his or her
discretion, obtain a surety bond or make other arrangements which will
enable the Director to fully secure the payment of all obligations
under this section.
(h) Settlement.--If any legal action against an employee for which
indemnity may be available under this section is settled prior to final
adjudication on the merits, the national insurer shall pay the
settlement amount on behalf of the employee, or indemnify the employee
for the settlement amount, unless the Director determines--
(1) that the claim did not arise out of or by reason of the
employee's duties or employment; or
(2) that the claim was caused by the intentional or willful
and wanton misconduct of the employee.
(i) Approval of Settlement.--In any legal action in which the
receiver is a defendant, that portion of any settlement relating to the
alleged title, error or omission of the receiver shall be subject to
the approval of the court. The court shall not approve that portion of
the settlement if it determines--
(1) that the claim did not arise out of or by reason of the
receiver's duties or employment; or
(2) that the claim was caused by the intentional or willful
and wanton misconduct of the receiver.
(j) No Deprivation of Rights.--Nothing contained or implied in this
section shall operate, or be construed or applied to deprive the
receiver or any employee of any immunity, indemnity, benefits of law,
rights or any defense otherwise available.
(k) Other General Rules.--
(1) Subsection (b) shall apply to any suit based in whole
or in part on any alleged act, error or omission which takes
place on or after the effective date of this title.
(2) No legal action shall lie against the receiver or any
employee based in whole or in part on any alleged act, error or
omission which took place prior to the effective date of this
title, unless suit is filed and valid service of process is
obtained within 12 months after the effective date of this
title.
(3) Subsections (c) through (i) shall apply to any suit
which is pending on or filed after the effective date of this
title without regard to when the alleged act, error or omission
took place.
SEC. 935. EMPLOYMENT OF PROFESSIONAL PERSONS.
The receiver may--
(1) appoint 1 or more qualified persons to serve as deputy
receiver which persons shall have all the powers and
responsibilities of the receiver granted under this title and
shall serve at the pleasure of the receiver;
(2) employ and fix the compensation of employees and
agents;
(3) retain attorneys, actuaries, accountants, appraisers,
consultants, and such other personnel as he or she considers
necessary to assist in the receivership; and
(4) subject to the requirements of section 945, fix the
compensation of those whom he or she appoints or retains under
subsection (a) or (b) of this section.
SEC. 936. POWERS OF REHABILITATORS AND LIQUIDATORS.
(a) In General.--The rehabilitator or liquidator shall have all the
powers of the directors, officers and managers of the national insurer,
whose authority shall be suspended, except as they are redelegated by
the rehabilitator or liquidator.
(b) Other Specific Powers.--In addition to those powers otherwise
provided by this title, the rehabilitator or liquidator shall have the
power to--
(1) use, sell or lease property of the national insurer;
(2) after notice and a hearing, borrow money on the
security of the national insurer's assets, borrow money without
security, and execute and deliver all documents necessary to
that transaction for the purpose of facilitating the
liquidation;
(3) collect all debts and money due and claims belonging to
the national insurer, wherever located;
(4) institute and pursue legal actions and continue any
pending action, in any jurisdiction;
(5) suspend, limit or permit insurance policy withdrawals
in connection with policies of insurance;
(6) do other acts as are necessary or expedient to collect,
marshal, or protect the assets or property, including the power
to sell, compound, compromise, or assign debts for purposes of
collection upon such terms and conditions as he or she
considers best and that are consistent with this title;
(7) enter into contracts necessary to carry out the order
of rehabilitation or liquidation;
(8) hold hearings, subpoena witnesses to compel their
attendance, to administer oaths, examine a person under oath,
and compel a person to subscribe to his or her testimony after
it has been correctly reduced to writing; and, in connection
with these powers, require the production of books, papers,
records, or other documents that he or she considers relevant
to the inquiry; and
(9) exercise all powers now held or hereafter conferred
upon receivers by the laws of this State not inconsistent with
the provisions of this title.
(c) Order of Dissolution.--The liquidator may petition the court
for an order dissolving the corporate existence of a national insurer
or a U.S. branch established pursuant to section 302 of this Act at any
time after entry of the order of liquidation.
(d) Construction.--The enumeration in this section of the powers
and authority of the rehabilitator or liquidator shall not be construed
as a limitation upon him or her, and it shall not exclude in any manner
his or her right to do other acts not specifically enumerated in this
section or otherwise provided for if necessary or appropriate for the
accomplishment of or in aid of the purpose of rehabilitation or
liquidation.
SEC. 937. ADVANCES TO THE RECEIVER.
If the property of the national insurer does not contain sufficient
cash or liquid assets to defray the costs incurred, the Director may
advance the incurred costs out of an appropriation for the Office.
Amounts advanced for expenses of administration shall be repaid to the
Director for the use of the Office out of the first available money of
the national insurer with priority over all other costs of
administration.
SEC. 938. EXECUTORY CONTRACTS.
(a) Power To Assume or Reject.--The rehabilitator or liquidator,
subject to the court's approval, may assume or reject any executory
contract or unexpired lease of the national insurer.
(b) Exceptions.--This section shall not apply to an insurance
policy or reinsurance contract.
(c) No Anticipatory Breach.--Neither the filing of a petition under
this title nor the entry of an order of rehabilitation or liquidation
shall constitute an anticipatory breach of any contract or lease of the
national insurer.
(d) Contract or Lease in Default.--If there has been a default in
an executory contract or unexpired lease of the national insurer, the
receiver may not assume such contract
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or lease unless, at the time of
the assumption of such contract or lease, the receiver--
(1) cures or provides adequate assurance that the receiver
will promptly cure such default; and
(2) provides adequate assurance of future performance under
such contract or lease.
(e) Exceptions.--Subsection (d) does not apply to a default that is
a breach of a provision relating to--
(1) the insolvency or financial condition of the national
insurer at any time before the closing of the receivership
proceeding;
(2) the commencement of a receivership proceeding under
this title;
(3) the appointment of or taking possession by a receiver
in a case under this title or a custodian before such
commencement; or
(4) the satisfaction of any penalty rate or provision
relating to a default arising from any failure of the insurer
to perform nonmonetary obligations under the executory contract
or unexpired lease.
SEC. 939. ABANDONMENT OF PROPERTY AND RECORDS.
The receiver may, at any time, abandon any property or records that
are burdensome to the estate or that are of inconsequential value and
benefit to the receivership estate.
SEC. 940. EXTENSION OF TIME.
(a) In General.--The rehabilitator or liquidator may institute any
action or proceeding on behalf of the estate of the national insurer
while any statute of limitation is tolled pursuant to this section.
Unless an applicable limitation period has expired before a successful
petition for rehabilitation or liquidation was filed, any applicable
statute of limitation is tolled for 2 years. Tolling of the running of
any applicable statute of limitation shall begin with the entry of an
order of rehabilitation or liquidation. The tolling shall be in
addition to any other applicable tolling provision.
(b) Other Actions.--For actions not covered by subsection (a),
where any unexpired time period is fixed, by any agreement or in any
proceeding, for doing any title for the benefit of the estate, the
rehabilitator or liquidator shall have 180 days or such longer period
as the court may allow for good cause shown, from the entry of the
order of rehabilitation or liquidation to perform the title.
SEC. 941. PERIODIC REPORTS.
(a) Reports by Rehabilitator or Liquidator.--A rehabilitator or
liquidator shall file periodic reports with the court containing such
information as is reasonably available and at such intervals as the
court specifies, including--
(1) cash receipts and disbursements for the period; and
(2) a balance sheet which includes known and estimated
assets and liabilities of the estate.
(b) Reports by Conservator.--A conservator shall file with the
court a report reflecting the national insurer's--
(1) cash receipts and disbursements for the period; and
(2) such other information, reasonably available to the
conservator, as the court specifies.
(c) Exceptions.--The reports required by subsections (a) and (b)
need not be filed more than once for each calendar year if the national
insurer's cash and invested assets are less than $250,000.
SEC. 942. DOCUMENT DEPOSITORY.
(a) Document Depository Required.--The rehabilitator or liquidator
shall maintain, during the pendency of the receivership proceedings, a
document depository containing--
(1) copies of the petitions and orders establishing the
receivership proceeding, and any amendments thereto;
(2) copies of all reports filed by the receiver with the
court or the Director;
(3) copies of all other filings made in the court;
(4) copies of all evidentiary material submitted to the
court;
(5) transcripts of any hearings or trials in the court
which are obtained by the receiver; and
(6) an index of all items contained in the depository.
(b) Documents Under Seal.--Any filing or evidentiary submission
made in the court under seal shall not be maintained in the depository,
subject to the contrary order of the court, but an index of such
filings and submissions, identifying such material with reasonable
specificity, but preserving the confidentiality of the contents of such
material, shall be maintained in the depository.
(c) Provisions of Documents by Other Parties.--Any party other than
the receiver who files pleadings or documents in the court, or presents
evidentiary materials there, shall forthwith furnish the receiver with
copies thereof, in addition to service copies, for inclusion in the
depository.
(d) Other.--Nothing in this section shall preclude the receiver
from including additional nonprivileged and nonconfidential items in
the document depository.
(e) Documents Public.--Except as otherwise ordered by the court,
all records contained in the depository are public. The receiver shall
make available the materials contained in the depository, during
regular business hours at the principal office of the receiver or such
other location as the receiver shall specify, and shall provide copies
of depository materials at reasonable cost.
SEC. 943. AUDIT OF RECEIVERSHIP RECORDS.
(a) In General.--The pendency of any receivership proceeding under
this title shall in no way affect the power and authority of the
Director to conduct any examination provided for in section 202(a) in
connection with the business, conduct or affairs of a national insurer.
(b) Audit Required.--An annual audit of any national insurer which
is in rehabilitation or liquidation pursuant to this title and which
has assets of more than $500,000 shall be performed by an independent
outside certified public accountant. The cost of this audit shall be
paid by the receiver as an expense of administration.
SEC. 944. GENERAL SERVICE LIST.
(a) Service List To Be Maintained.--The receiver shall maintain a
general service list for each receivership proceeding. It shall be the
responsibility of the person listed to inform the receiver, in writing,
of any changes in his or her address, or to request that his or her
name be deleted from the general service list. Any person shall be
placed on the general service list upon written request to the
receiver.
(b) Continuation Request Forms.--The receiver may require that
listed persons return continuation request forms which the receiver may
serve upon them at intervals, but not more frequently than every 12
months. Any person who fails to return the continuation request may be
purged from the service list.
(c) No Standing Conferred.--Inclusion on the general service list
does not confer standing in the receivership proceeding to raise,
appear or be heard on any issue.
SEC. 945. ROUTINE MATTERS.
(a) Notice of Filing by Receiver.--Notice of the filing of any
routine matter in the court shall be provided by the receiver by
depositing a copy of the item filed in the depository, including the
same in the index and sending notice by U.S. mail on the same date that
the copy was deposited in the depository to those persons on the
general service list and to any other person known to the receiver to
be directly affected, that the matter has been filed and the date of
its filing and the date that it was deposited in the depository.
(b) Objections.--Any party in interest may object to any routine
matter by filing a motion with the court and serving a copy thereof on
the receiver not later than 30 days after the copy of the filing was
deposited in the depository. If no objection has been received during
such time, no court approval of the matter is required. If an objection
has been filed within the prescribed time, the court shall set the
matter for hearing and, after hearing, enter such orders concerning the
matter as it finds appropriate.
(c) Routine Matters Defined.--For the purpose of the application of
this section, the following matters are routine matters, unless the
court oth
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erwise orders:
(1) Periodic reports of the receiver, as required by
section 941.
(2) The establishment of a basis of compensation of deputy
receivers, attorneys, actuaries, accountants, appraisers,
consultants, and such other personnel as the receiver retains.
(3) The disposition of property or choices in action of the
estate the value of which does not exceed the lesser of
$250,000 or 10 percent of the last reported total asset value of the
estate.
SEC. 946. MATTERS REQUIRING PRIOR COURT APPROVAL.
(a) Notice of Filing by Receiver.--Except as hereinafter set out,
notice of the filing of any nonroutine matter shall be provided by the
receiver by depositing a copy of the item filed in the depository,
including the same in the index and sending notice to those persons on
the general service list and any other person known to the receiver to
be directly affected that the matter has been filed, the date of its
filing, the deadline for the filing of objections, and the date on
which the receiver will present the matter for hearing by the court.
(b) Additional Notice Required.--In addition to the notice called
for in subsection (a), the following matters require additional notice:
(1) Notice of the filing of a plan, or of any amendment to
such a plan shall be furnished to all known parties in
interest.
(2) Notice of the entry of an order of liquidation or
finding of insolvency, other than as part of the initial order
of receivership, shall be provided to all persons entitled to
notice under section 916.
(3) Notice of the proposed allowance or disallowance of the
claims of any policyholder or other creditor shall be provided
pursuant to section 947.
(c) Notice of Closure.--Notice of the proposed closure of the
estate or final distribution shall be sufficient if mailed to all
persons having allowed claims which have not been paid in full, all
claimants whose claims have not been adjudicated, all shareholders of
the national insurer, if any, and all guaranty associations interested
in the estate, and the general service list.
(d) Objections.--Any party in interest may object to any action
proposed to be taken by the court in connection with a nonroutine
matter by filing a statement showing that he or she has an interest in
the matter and setting out the grounds of the objection not later than
30 days after the sending of notice under subsection (a), or such other
period as the court shall direct for good cause shown.
(e) Hearing; Order.--Upon the presentation of any nonroutine
matter, the court may determine any preliminary issues, and shall set
the matter for hearing. Upon hearing the receiver and any party in
interest who has filed a timely objection, the court may issue such
orders concerning the matter as it finds appropriate.
(f) Nonroutine Matter Defined.--Any action proposed to be taken by
the receiver and which requires court approval and which is not defined
as a routine matter, is a nonroutine matter, including, without
limitation, the following:
(1) The disposition of any asset or chose in action
(including the settlement of any suit or tort claim of the
estate) which is property of the estate and which exceeds in
value the lesser of $250,000 or 10 percent of the last reported
total asset value of the estate.
(2) The allowance of any claim or disallowance of a claim.
(3) Borrowing or lending of any sum, except for debts
incurred in the ordinary course of the operations of the
receivership and not exceeding $50,000 per obligee.
(4) Conversion of a rehabilitation into a liquidation, or
the issuance of a finding of insolvency or the imposition of a
deadline for the filing of claims at any time after the entry
of an order of rehabilitation or liquidation.
(5) The adoption of any plan.
(g) Other Court Powers.--After notice and a hearing, the court may
designate additional categories of routine and nonroutine matters, and
may, for good cause shown, provide alternate notice, or require the
service of additional notice of any specific matter.
SEC. 947. NOTICE OF PROPOSED CLAIMS DISPOSITION.
Except as otherwise ordered by the court, notice of the proposed
allowance or disallowance of any claim is sufficient if the receiver
serves--
(1) each policyholder under whose insurance policy the
claim arises, any third party directly interested in the
insurance policy, each guaranty association which is or may be
responsible for the claim or any portion thereof, and any
reinsurer which is or would be liable to the receiver in
respect of the claim if it were allowed, with a description of
the claim proposed to be allowed or denied, the rationale for
such allowance or denial, and the procedures for objecting; and
(2) notice of the filing of the motion on those on the
general service list.
Subtitle F--The Estate
SEC. 948. TURNOVER OF PROPERTY TO RECEIVER.
(a) In General.--Except as provided in subsections (c) and (d), any
person or entity in possession, custody, or control of property of the
national insurer shall deliver such property to the receiver.
(b) Payment to Rehabilitator or Liquidator.--Any person or entity
that owes a debt that is property of the national insurer and that is
matured, payable on demand, or payable on order, shall pay such debt
to, or on the order of, the receiver, except to the extent that such
debt may be offset under section 958.
(c) Disclosure by Attorneys, Accountants, etc.--Subject to any
applicable privilege, and unless the court orders otherwise, any
attorney, accountant, agent, management company, data processing
company, or affiliate of the national insurer or entity that possesses
or controls any documents or recorded information of any nature,
including books, claims files, records, and papers of the national
insurer or of any affiliate of the national insurer that relate to the
national insurer's assets, liabilities, financial affairs, or business,
immediately shall disclose and, on request of the receiver, turn over
such documents and recorded information, or if the court shall so
order, copies thereof, to the receiver.
(d) Prohibitions.--As of the date of the order directing
rehabilitation or liquidation, no possessory lien held by any attorney,
including common law retaining liens, may be asserted or enforced
against the receiver or the national insurer as a basis for withholding
files or otherwise. Further, no attorney shall be granted secured
status, security or payment for his or her claim against the national
insurer in exchange for the release of files or the extinguishment of
any such lien.
SEC. 949. TURNOVER OF PREMIUMS OWED.
(a) In General.--Unless otherwise instructed by the receiver in
writing, an insurance producer, premium finance company, or any other
person, other than the national insurer, who is responsible for the
payment of premium who has possession or control of such premium shall
immediately turn over to the receiver, and be obligated to pay any
unpaid earned premium due the national insurer, whether collected or
uncollected, and any collected, unearned premium and any part of an
unearned premium representing commission on or before the date of the
entry of a conservation, liquidation, or rehabilitation order. Credits,
setoffs, or both, shall not be allowed to an insurance producer or
premium finance company for an amount advanced to the national insurer
by the insurance producer or premium finance company on behalf of, but
in the absence of a payment by, the insured.
(b) Unpaid Earned Premiums.--An insured shall be obligated to pay
to the receiver any unpaid earned premium and any retrospectively rated
premium due the national insurer.
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(c) Penalties.--Upon satisfactory evidence of a violation of
subsection (a), the Director may impose a civil penalty of no more than
$1,000 for each and every act in violation of this section by each
offending party.
(d) Notice and Hearing.--Before the Director takes action under
subsection (c), the Director shall give written notice to the person,
national insurer, guaranty association, or exchange accused of
violating the law, stating specifically the nature of the alleged
violation and fixing a time and place, at least 10 days thereafter, for
a hearing on the matter. After the hearing, or upon failure of the
accused to appear at the hearing, the Director shall upon finding a
violation, impose the penalties under subsection (c) at its his or her
discretion.
SEC. 950. LIMITATION ON AVOIDING POWERS.
An action or proceeding under section 951, 952, 953, 955, or 956
may not be commenced after the earlier of--
(1) 5 years after the entry of the initial order of
rehabilitation or liquidation under this title; or
(2) the time the receivership proceeding is closed or
dismissed.
SEC. 951. RECEIVER AS LIEN CREDITOR AND AS SUCCESSOR TO CERTAIN
CREDITORS, PURCHASERS AND FIDUCIARIES.
(a) In General.--The receiver may avoid any transfer of or lien
upon the property of, or obligation incurred by, a national insurer
that the national insurer or a policyholder, creditor, member, or
shareholder of the national insurer may have avoided without regard to
any knowledge of the receiver, the Director, the national insurer or
any policyholder, creditor, member, or shareholder of the national
insurer and whether or not such a creditor, member, or shareholder
exists.
(b) Receiver Deemed Creditor.--The receiver shall be deemed a
creditor without knowledge for purposes of pursuing claims under the
Uniform Fraudulent Transfer Act.
SEC. 952. PREFERENCES.
(a) Preference Defined.--A preference is a transfer of any property
of a national insurer or of an interest in property of a national
insurer--
(1) to or for the benefit of a creditor;
(2) for or on account of an antecedent debt;
(3) made or suffered within the 2 years preceding the
filing of a successful petition for rehabilitation or
liquidation under this title; and
(4) that enables such creditor to receive more than such
creditor would receive if--
(A) the national insurer was liquidated under this
title;
(B) the transfer had not been made; and
(C) such creditor received payment of such debt to
the extent provided by this title.
(b) Preference May Be Avoided.--Any preference may be avoided by
the receiver if--
(1) the national insurer was insolvent at the time of the
transfer; and
(2)(A) the transfer was made within 120 days before the
filing of the petition;
(B) the creditor receiving it or benefited thereby or his
agent acting with reference thereto had, at the time when the
transfer was made, reasonable cause to believe that the
national insurer was insolvent or was about to become
insolvent; or
(C) the creditor receiving or benefiting from the transfer
was--
(i) an officer or director of the national insurer;
(ii) an employee, attorney or other person who was,
in fact, in a position to effect a level of control or
influence over the actions of the national insurer
comparable to that of an officer, whether or not the
person held such a position; or
(iii) any shareholder owning or controlling
directly or indirectly more than 10 percent of any
class of any equity security issued by the national
insurer, or any other person, firm, corporation,
association or aggregation of persons with whom the
national insurer did not deal at arm's length.
(c) Exceptions.--The receiver may not avoid a transfer under this
section--
(1) to the extent that such transfer was--
(A) intended by the national insurer and the
creditor to or for whose benefit such transfer was made
to be a contemporaneous exchange for new value given to
the national insurer; and
(B) in fact a substantially contemporaneous
exchange;
(2) to the extent that such transfer was in payment of a
debt incurred by the national insurer in the ordinary course of
business or financial affairs of the national insurer and the
transferee and such transfer was--
(A) made in the ordinary course of business or
financial affairs of the national insurer and the
transferee; or
(B) made according to ordinary business terms;
(3) that creates a security interest in property acquired
by the national insurer--
(A) to the extent such security interest secures
new value that was--
(i) given at or after the signing of a
security agreement that contains a description
of such property as collateral;
(ii) given by or on behalf of the secured
party under such agreement;
(iii) given to enable the national insurer
to acquire such property;
(iv) in fact, used by the national insurer
to acquire such property; and
(B) that is perfected on or before 21 days or any
other period expressly allowed by law, whichever is
less, after the national insurer receives possession of
such property;
(4) to or for the benefit of a creditor, to the extent
that, after such transfer, such creditor gave new value to or
for the benefit of the national insurer--
(A) not secured by an otherwise unavoidable
security interest; and
(B) on account of which new value the national
insurer did not make an otherwise unavoidable transfer
to or for the benefit of such creditor; and
(5) that creates a perfected security interest in a
receivable or its proceeds, except to the extent that the
aggregate of all such transfers to the transferee caused a
reduction, as of the date of the filing of the petition and to
the prejudice of other creditors holding unsecured claims, of
any amount by which the debt secured by such security interest
exceeded the value of all security interests for such debt on
the later of--
(A)(i) with respect to a transfer to which
subsection (b)(1) applies, 120 days before the date of
the filing of the petition; or
(ii) with respect to a transfer to which subsection
(b)(2) or (b)(3) applies, 1 year before the date of the
filing of the petition; or
(B) the date on which new value was first given
under the security agreement creating such security
interest.
(d) Voidable Lien Dissolved by Furnishing Bond.--If a lien which is
voidable under this section has been dissolved by the furnishing of a
bond or other obligation, the surety on which has been indemnified
directly or indirectly by the transfer or the creation of a lien upon
the national insurer's property before the filing of a successful
petition for rehabilitation or liquidation, then that indemnifying
tr
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ansfer or lien shall also be considered voidable.
(e) Liability of Surety.--The liability of the surety under a
releasing bond or other like obligation shall be discharged to the
extent of the value of the indemnifying property recovered or the
indemnifying lien to the extent of the amount paid to the liquidator.
(f) Other Rules.--For the purposes of this section--
(1) a transfer of property other than real property shall
be deemed to be made or suffered when it becomes so far
perfected that no subsequent lien obtainable by legal or
equitable proceedings on a simple contract could become
superior to the rights of the transferee;
(2) a transfer of real property shall be deemed to be made
or suffered when it becomes so far perfected that no subsequent
bona fide purchaser from the national insurer could obtain
rights superior to the rights of the transferee;
(3) a transfer which creates an equitable lien shall not be
deemed to be perfected if there are available means by which a
legal lien could be created;
(4) a transfer not perfected prior to the filing of a
petition for liquidation shall be deemed to be made immediately
before the filing of the successful petition; and
(5) the provisions of this subsection apply whether or not
there are or were creditors who might have obtained liens or
persons who might have become bona fide purchasers.
(g) Burden of Proof.--For the purposes of this section, the
receiver has the burden of proving the avoidability of a transfer under
subsection (b), and the person against whom recovery or avoidance is
sought has the burden of proving the non-avoidability of a transfer
under subsection (c). The national insurer is presumed to have been
insolvent on and during the 120 day period immediately preceding the
date of the commencement of the rehabilitation or liquidation
proceeding.
(h) New Value Defined.--For the purposes of this section, the term
``new value'' means money or money's worth in goods, services or new
credit, or release by a transferee of property previously transferred
to such transferee in a transaction that is neither void nor voidable
by the receiver under any applicable law, including proceeds of such
property, but does not include an obligation substituted for an
existing obligation.
SEC. 953. FRAUDULENT TRANSFERS AND OBLIGATIONS.
(a) Power To Avoid.--The rehabilitator or liquidator may avoid any
transfer of an interest of the national insurer in property, or any
obligation incurred by the national insurer, that was made or incurred
on or within 1 year before the date of the filing of the petition for
proceedings under this title, if the national insurer voluntarily or
involuntarily--
(1) made such transfer or incurred such obligation with
actual intent to hinder, delay, or defraud any person to which
it was or became indebted on or after the date that such
transfer was made or such obligation was incurred; or
(2)(A) received less than a reasonably equivalent value in
exchange for such transfer or obligation; and
(B)(i) was insolvent on the date that such transfer
was made or such obligation was incurred, or became
insolvent as a result of such transfer or obligation;
(ii) was engaged in business or a transaction, or
was about to engage in business or a transaction, for
which any property remaining with the insurer was an
unreasonably small capital; or
(iii) intended to incur, or believed that it would
incur, debts that would be beyond its ability to pay as
such debts matured.
(b) Permitted Liens.--Except to the extent that a transfer or
obligation voidable under this section is voidable under section 951 or
952, a transferee or obligee of such a transfer or obligation that
takes for value and in good faith has a lien on or may retain any
interest transferred or may enforce any obligation incurred, as the
case may be, to the extent that such transferee or obligee gave value
to the national insurer in exchange for such transfer or obligation. a
transfer is made when such transfer is so perfected that a bona fide
purchaser from the national insurer against whom applicable law permits
such transfer to be perfected cannot acquire an interest in the
property transferred that is superior to the interest in such property
of the transferee, but if such transfer is not so perfected before the
commencement of the receivership proceeding, such transfer is made
immediately before the date of the filing of the petition.
(c) Value Defined.--For purposes of this section, the term
``value'' means property, or satisfaction or securing of a present or
antecedent debt of the national insurer.
(d) Reinsurance Subject to Avoidance.--A transaction with a
reinsurer of the national insurer is subject to avoidance under this
section if--
(1) the transaction released the reinsurer, in whole or in
part, from its obligation to pay to the national insurer the
reinsurer's originally specified share of those losses which
had occurred prior to the time of the transaction but which had
not been paid by the national insurer unless the reinsurer
gives a present fair equivalent value for the release; and
(2) any part of the transaction was effected within 1 year
prior to the filing of the petition under this title.
(e) Avoided Reinsurance.--In the event a reinsurance transaction is
avoided under subsection (d)--
(1) the receiver shall tender to the reinsurer the value of
any consideration transferred to the national insurer in
connection with such transaction less the amount of matured and
liquidated liabilities owing by the reinsurer to the estate;
and
(2) the parties shall be returned to their relative
positions prior to the implementation of the transaction
avoided.
SEC. 954. TRANSFER OF NATIONAL INSURER'S PROPERTY TO GOOD FAITH
PURCHASER.
(a) In General.--After a petition for receivership has been filed,
a transfer of the national insurer's real property made to a person
acting in good faith shall be valid against the receiver if made for a
present fair equivalent value, or if not made for a present fair
equivalent value, then to the extent of the present consideration
actually paid for the property for which amount the transferee shall
have a lien on the transferred property. Constructive notice of the
commencement of a receivership proceeding shall be given upon the
recording of a copy of the petition initiating a receivership
proceeding with the register of deeds in the county where any real
property in question is located. The exercise by a court of the United
States or any State of jurisdiction to authorize or effect a judicial
sale of real property of the insurer within any county in any State
shall not be impaired by the pendency of such a proceeding unless the
copy is recorded in the county prior to the consummation of the
judicial sale.
(b) Other Rules.--After a petition for receivership has been filed
and before either the receiver takes possession of the national
insurer's property or an order of receivership is granted--
(1) a transfer of the national insurer's property, other
than real property, made to a person acting in good faith shall
be valid against the receiver if made for a present fair
equivalent value, or if not made for a present fair equivalent
value, then to the extent of the present consideration actually
paid for the property for which amount the transferee shall
have a lien on the transferred property;
(2) a person indebted to the national
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insurer or holding
property of the national insurer, if acting in good faith, may
pay all or part of the indebtedness or deliver all or part of
the property to the national insurer or upon his or her order,
with the same effect as if the petition were not pending;
(3) a person having actual knowledge of the pending
receivership shall be considered not to act in good faith; and
(4) a person asserting the validity of a transfer under
this section shall have the burden of proof. Except as
elsewhere provided in this section, no transfer by or on behalf
of the national insurer after the date of the petition for
receivership proceeding by a person other than the receiver
shall be valid against the receiver.
(c) Currency or Negotiable Instruments.--Nothing in this title
shall impair the negotiability of currency or negotiable instruments.
SEC. 955. RECOUPMENT FROM AFFILIATES.
If an order of liquidation or rehabilitation is entered under this
title, the receiver shall have a right to recover from any affiliate
that controlled the national insurer the amount of distributions, other
than shareholder dividends paid by the national insurer on its capital
stock, made at any time during the 5 years preceding the petition for
liquidation or rehabilitation subject to the following limitations:
(1) A distribution shall not be recoverable under this
section if the recipient or other beneficiary of distribution
shows that when paid the distribution was lawful and
reasonable, and that the national insurer did not know and
could not reasonably have known that the distribution would
adversely affect the ability of the national insurer to fulfill
its contractual obligations.
(2) A person who was an affiliate that controlled the
national insurer at the time the distributions were paid shall
be liable up to the amount of distributions he or she received,
and a person who was an affiliate that controlled the national
insurer at the time the distributions were declared shall be
liable up to the amount of distributions he or she would have
received if they had been paid immediately; Provided, That--
(A) if two or more persons are liable with respect
to the same distributions, they shall be jointly and
severally liable; and
(B) if a person liable under this subdivision is
insolvent, all controlling affiliates at the time the
distribution was paid shall be jointly and severally
liable for any resulting deficiency in the amount
recovered from the insolvent affiliate.
(3) The maximum amount recoverable under this subsection
shall be the amount needed in excess of all other available
assets of the national insurer to pay its contractual
obligations.
SEC. 956. LIABILITY OF TRANSFEREE OF AN AVOIDED TRANSFER.
(a) In General.--Except as otherwise provided in this section, to
the extent that a transfer is avoided under section 951, 952, 953, or
955, the receiver may recover, for the benefit of the estate, the
property transferred, or if the court so orders, the value of such
property, from--
(1) the initial transferee of such transfer or the entity
for whose benefit such transfer was made; or
(2) any immediate or mediate transferee of such initial
transferee.
(b) Participation by Officer, Director or Control Person.--An
officer, director or other person in control of the national insurer
who knowingly participates in making a transfer voidable under section
951, 952, 953, or 955, if such person knew or should have known the
national insurer was or was about to become insolvent at the time of
the transfer, shall be personally liable to the receiver for the amount
of the transfer. If the transfer was made within 120 days before the
date of filing of a successful petition under this title then it shall
be presumed that such person knew or should have known the insurer was
or was about to become insolvent.
(c) Exceptions.--The receiver may not recover under subsection
(a)(2) from--
(1) a transferee who or that takes for value, including
satisfaction or securing of a present or antecedent debt, in
good faith, and without knowledge of the voidability of the
transfer avoided; or
(2) any immediate or mediate good faith transferee of such
transferee.
(d) Other Exceptions.--A transfer that is voidable only under
subsection (b)(3) of section 952 may not be recovered under this
section from a transferee that is not--
(1) an officer or director of the national insurer;
(2) an employee, attorney or other person who was, in fact,
in a position to effect a level of control or influence over
the actions of the national insurer comparable to that of an
officer, whether or not the person held such a position; or
(3) any shareholder owning or controlling directly or
indirectly more than 10 percent of any class of any equity
security issued by the national insurer, or any other person,
firm, corporation, association, or aggregation of persons with
whom the national insurer did not deal at arm's length.
(e) Value of Lien.--
(1) A good faith transferee from whom the receiver may
recover under subsection (a) has a lien on the property
received to secure the lesser of--
(A) the cost, to such transferee, of any
improvement made after the transfer, less the amount
of any profit realized by or accruing to such transferee from such
property; and
(B) any increase in the value of such property as a
result of such improvement, of the property
transferred.
(2) For purposes of this subsection, the term
``improvement'' includes--
(A) physical additions or changes to the property
transferred;
(B) repairs to such property;
(C) payment of any tax on such property;
(D) payment of any debt secured by a lien on such
property that is superior or equal to the rights of the
receiver; and
(E) preservation of such property.
(f) Timing of Action.--An action or proceeding under this section
may not be commenced after the earlier of--
(1) 1 year after the avoidance of the transfer on account
of which recovery under this section is sought; or
(2) the time the receivership proceeding is closed or
dismissed.
SEC. 957. AUTOMATIC PRESERVATION OF AVOIDED TRANSFER.
Any transfer avoided under section 951, 952, 953, 955, or section
956 is preserved for the benefit of the receivership but only with
respect to property of the national insurer.
SEC. 958. SETOFF.
(a) Setoff Permitted.--Mutual debts or mutual credits whether
arising out of one or more contracts between a national insurer that is
subject to a receivership proceeding under this title and another
person shall be set off and the balance only shall be allowed or paid
except as provided in subsection (b) of this section and in section 949
and subsection (b)(4) of section 962. Obligations arising out of the
termination of reinsurance contracts pursuant to section 962 may be set
off against other debts and credits arising out of contracts between
the national insurer and the reinsurer.
(b) Exceptions.--No setoff shall be allowed in favor of any person
when--
(1) the obligation of the national insurer to the person
would not at the date of the filing of a petition for
receivership entitle the person to share as a cl
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aimant in the
assets of the national insurer;
(2) the obligation of the national insurer to the person
was purchased by or transferred to the person with a view to
its being used as a setoff;
(3) the obligation of the national insurer is owed to an
affiliate of such person or any other entity or association
other than the person;
(4) the obligation of the person is owed to an affiliate of
the national insurer or any other entity or association other
than the national insurer;
(5) the obligation of the person is to pay an assessment
levied against the members or subscribers of the national
insurer, is to pay a balance upon a subscription to the capital
stock of the national insurer, or is in any other way in the
nature of a capital contribution; or
(6) the obligations between the person and the national
insurer arise out of transactions by which either the person or
the national insurer has assumed risks and obligations from the
other party and then has ceded back to that party substantially
the same risks and obligations.
Notwithstanding the provisions of this subsection, the receiver may
permit setoffs if in his or her discretion a setoff is appropriate
because of specific circumstances relating to a transaction.
SEC. 959. QUALIFIED FINANCIAL CONTRACTS.
(a) No Stay.--Notwithstanding any other provision of this title,
including any other provision of this title permitting the modification
of contracts, or other law of a State, no person shall be stayed or
prohibited from exercising--
(1) any contractual right to terminate, liquidate or close
out any netting agreement or qualified financial contract with
a national insurer because of--
(A) the insolvency, financial condition or default
of the national insurer at any time, provided that such
right is enforceable under applicable law other than
this title; or
(B) the commencement of a receivership proceeding
under this title;
(2) any right under a pledge, security, collateral or
guarantee agreement or any other similar security arrangement
or credit support document relating to a netting agreement or
qualified financial contract; or
(3) subject to any provision of section 958, any right to
set off or net out any termination value, payment amount, or
other transfer obligation arising under or in connection with a
netting agreement or qualified financial contract where the
counterparty or its guarantor is organized under the laws of
the United States or a State or foreign jurisdiction approved
by the Director as eligible for netting.
(b) Settlement on Termination of Netting Agreement.--Upon
termination of a netting agreement, the net or settlement amount, if
any, owed by a non-defaulting party to a national insurer against which
an application or petition has been filed under this title shall be
transferred to or on the order of the receiver for such national
insurer, even if the national insurer is the defaulting party,
notwithstanding any provision in the netting agreement that may provide
that the non-defaulting party is not required to pay any net or
settlement amount due to the defaulting party upon termination. Any
limited two-way payment provision in a netting agreement with a
national insurer that has defaulted shall be deemed to be a full two-
way payment provision as against the defaulting national insurer. Any
such property or amount shall, except to the extent it is subject to
one or more secondary liens or encumbrances, be a general asset of the
national insurer.
(c) Transfer Netting Agreement or Qualified Financial Contract.--In
making any transfer of a netting agreement or qualified financial
contract of a national insurer concerning which a receivership
proceeding is pending under this title, the receiver shall either--
(1) transfer to one party (other than a national insurer
subject to a proceeding under this title) all netting
agreements and qualified financial contracts between a
counterparty or any affiliate of such counterparty and the
insurer that is the subject of the proceeding, including--
(A) all rights and obligations of each party under
each such netting agreement and qualified financial
contract; and
(B) all property, including any guarantees or
credit support documents, securing any claims of each
party under each such netting agreement and qualified
financial contract; or
(2) transfer none of the netting agreements, qualified
financial contracts, rights, obligations or property referred
to in paragraph (1) (with respect to such counterparty and any
affiliate of such counterparty).
(d) Transfer; Notice.--
(1) If a receiver for a national insurer makes any transfer
of one or more netting agreements, then the receiver shall use
its best efforts to notify any person who is party to the
netting agreements of the transfer by 12:00 noon (the
receiver's local time) on the business day following the
transfer.
(2) For purposes of this subsection, the term ``business
day'' means any day other than a Saturday, Sunday, or any day
on which either the New York Stock Exchange or the Federal
Reserve Bank of New York is closed.
(e) Prereceivership Transfers.--Notwithstanding any other provision
of this title, a receiver may not avoid any transfer of money or other
property arising under or in connection with a netting agreement (or
any pledge, security, collateral or guarantee agreement or any other
similar security arrangement or credit support document relating to a
netting agreement) that is made before the commencement of a
receivership proceeding under this title. However, a transfer may be
avoided under section 953 if the transfer was made with actual intent
to hinder, delay or defraud the national insurer, a receiver appointed
for the insurer or existing or future creditors.
(f) Netting Agreement To Be Taken as a Whole.--
(1) In exercising any of its powers under this title to
reject or repudiate a netting agreement, the receiver must take
such action with respect to each netting agreement and all
transactions entered into in connection therewith, in its
entirety. Notwithstanding any other provision of this title,
any claim of a counterparty against the estate arising from the
receiver's rejection or repudiation of a netting agreement that
has not been previously assumed by the receiver shall be
determined and shall be allowed or disallowed as if such claim
had arisen before the date of the filing of the petition under
this title, provided that no such claim shall be allowed to
have a priority greater than the claim of a general creditor.
The amount of the claim shall be the contractual direct
compensatory damages determined as of the date of the rejection
or repudiation of the netting agreement.
(2) For purposes of this subsection, the term ``contractual
direct compensatory damages'' does not include punitive or
exemplary damages, damages for lost profit or lost opportunity
or damages for pain and suffering, but does include normal and
reasonable costs of cover or other reasonable measures of
damages utilized in the derivatives market for the contract and
agreement claims.
(g) Contractual Right Defined.--For purposes of this section, the
term ``contractual right'' includes any ri
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ght, whether or not evidenced
in writing, arising under statutory or common law, a rule or bylaw of a
national securities exchange, national securities clearing organization
or securities clearing agency, a rule or bylaw, or a resolution of the
governing body, of a contract market or its clearing organization, or
under law merchant.
(h) No Application to Affiliates.--This section shall not apply to
persons who are affiliates of the national insurer that is the subject
of the receivership proceeding.
(i) Application to the General Account, Separate Accounts, and
Protected Cells.--All rights of counterparties under this title shall
apply to netting agreements entered into on behalf of--
(1) the general account;
(2) separate accounts if the assets of each separate
account are available only to counterparties to netting
agreements entered into on behalf of that separate account; or
(3) protected cells if the assets of each protected cell
are available only to counterparties to netting agreements
entered into on behalf of that protected cell.
SEC. 960. RECOVERY FROM REINSURERS.
Except as provided in section 961, the amount recoverable by the
receiver from reinsurers shall not be reduced as a result of the filing
of a proceeding under this title, regardless of any provision in the
reinsurance contract or other agreement.
SEC. 961. CUT-THROUGH PROVISIONS.
If a reinsurance contract or other written agreement is entered
into prior to the receivership proceeding and is not otherwise
prohibited by law and expressly provides for another payee of such
reinsurance in the event of the insolvency of the ceding national
insurer, any payment made or due to such third party under such
contract or other written agreement shall be a reduction to the amount
due the receiver. Except as provided in this section, payment made
directly to an insured or other payee shall not diminish the
reinsurer's obligation to the national insurer's estate.
SEC. 962. LIFE REINSURANCE.
(a) Continuation of Reinsurance Contracts Prior to Liquidation.--
Contracts reinsuring policies of insurance issued by a company that has
not been placed in liquidation pursuant to this Act shall be continued
or terminated pursuant to the terms and conditions of each reinsurance
contract.
(b) Continuation of Reinsurance Contracts Reinsuring Covered
Policies.--Reinsurance contracts on policies of insurance that are
covered policies (as such term is defined in section 1001) that have
been ceded by an insolvent insurer (as such term is defined in section
1001) subject to this title shall be assumed by affected guaranty
associations unless the receiver shall have terminated such contract or
contracts pursuant to their terms prior to the order of liquidation (in
this section referred to as the ``coverage date''). From and after the
coverage date, the guaranty association is deemed to have assumed the
rights and obligations of the reinsurance contracts, subject only to
its right to terminate pursuant to subsection (f) of this section. The
following paragraphs (1) through (4) shall apply to reinsurance
contracts so assumed until terminated under subsection (f) of this
subsection:
(1) The guaranty association shall be responsible for all
unpaid premiums due under the reinsurance contracts (for
periods both before and after the coverage date), and shall be
responsible for the performance of all other obligations to be
performed after the coverage date, in each case which relates
to policies of insurance covered (in whole or in part) under
Title X or XI. The guaranty association may charge policies of
insurance covered in part by the guaranty association, through
reasonable allocation methods, the costs for reinsurance in
excess of the obligations of the guaranty association.
(2) The guaranty association shall be entitled to any
amounts payable by the reinsurer under the reinsurance
contracts with respect to losses or events that occur in
periods after the coverage date and that relate to policies of
insurance covered (in whole or in part) under subtitle A of
title X, provided that, upon receipt of any such amounts, the
guaranty association shall be obliged to pay to the beneficiary
under the insurance policy on account of which the amounts were
paid a portion of the amount equal to the excess of (A) the
amount received by the guaranty association, over (B) the
benefits paid by the guaranty association on account of the
insurance policy less the retention of the impaired or
insolvent member insurer (as such terms are defined in
paragraphs (11) and (12) of section 1001) applicable to the
loss or event.
(3) Within 30 days following the coverage date, the
guaranty association and each reinsurer under reinsurance
contracts assumed by the guaranty association (in this section
referred to as the ``indemnity reinsurer'') shall calculate the
net balance due to or from the guaranty association under each
such reinsurance contract as of the coverage date, which
calculation shall give full credit to all items paid by either
the company or its receiver) or the indemnity reinsurer prior
to the coverage date. Either the guaranty association or
indemnity reinsurer shall pay the net balance due the other
within 5 days of the completion of the aforementioned calculation. If
the receiver has received any amounts due the guaranty association
pursuant to paragraph (2), the receiver shall remit the same to the
guaranty association as promptly as practicable.
(4) If the guaranty association, within 60 days of the
coverage date, pays the premiums due for periods both before
and after the coverage date that relate to policies of
insurance covered by the guaranty association (in whole or in
part), the reinsurer shall not be entitled to terminate the
reinsurance contracts for failure to pay premium (insofar as
the reinsurance contracts relate to policies of insurance
covered by the guaranty association (in whole or in part)) and
shall not be entitled to set off any unpaid premium due for
periods prior to the coverage date against amounts due the
guaranty association.
(c) Continuation of Reinsurance Contracts Reinsuring Policies of
Insurance Not Covered Under Subtitle A of Title X Subsequent to an
Order of Liquidation.--When, pursuant to court approval under
subsection (c) of section 931, or pursuant to a plan approved by the
court under section 979, a receiver continues policies of insurance in
force following an order of liquidation, and such policies of insurance
are not covered in whole or in part under subtitle A of title X, the
reinsurance on such policies of insurance shall also be continued in
force by the receiver pursuant to the terms and conditions of the
reinsurance contract, subject only to the receiver's right to terminate
pursuant to subsection (f) of this section. Payment of premiums on such
contracts shall be chargeable against the estate as a Class 1
administrative expense under subsection (b) of section 975. Amounts
paid by the reinsurer on account of losses on the policies of insurance
shall be to the estate of the insolvent insurer unless the court shall,
in the interest of equity, order otherwise. Reinsurance contracts
covering policies of insurance that are not continued or transferred
pursuant to this section shall terminate pursuant to subsection (f) of
this section.
(d) Transfer of Reinsurance Contracts.--When policies of insurance,
or other obligations covered by subtitle A of title X, are transferred
to an assuming insurer, and other policy obligations are transferred by
the receiver to an assuming insurer, reinsurance
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on such policies of
insurance may also be transferred by the guaranty association or the
receiver, subject to the following:
(1) Unless the reinsurer and assuming insurer agree
otherwise, the reinsurance contract transferred shall not cover
any new policies of insurance in addition to those transferred.
(2) The obligation described in subsection (b)(2) shall no
longer apply.
(3) Notice shall be given in writing by the transferring
party to the affected reinsurer not less than 30 days prior to
the effective date of the transfer.
(e) Supersede State Law.--The provisions of this section shall
supersede the provisions of any law of any State or of any affected
reinsurance contracts that provide for or require any payment of
reinsurance proceeds, on account of losses or events that occur in
periods after the coverage date, to the receiver of the insolvent
insurer. The receiver or guaranty association, as the case may be,
shall remain entitled to any amounts payable by the reinsurer under the
reinsurance contracts with respect to losses or events that occur in
periods prior to the coverage date (subject to the provisions of this
Act, including applicable setoff provisions).
(f) Termination of Reinsurance Contracts.--At any time within one
year after the date of entry of the order of liquidation, the guaranty
association may elect to terminate those reinsurance contracts covering
obligations of the national insurer that relate to policies of
insurance protected (in whole or in part) under subtitle A of title X,
and the receiver may elect to terminate those reinsurance contracts
covering obligations of the national insurer that relate to policies of
insurance not protected under subtitle A of title X. The election shall
be effected by a written notice to any affected reinsurer. Whenever
such an election is made, or whenever this Act otherwise requires a
reinsurance contract to be terminated, the following procedures shall
apply:
(1) Either the reinsurer or whichever of the receiver or
guaranty association that has the right to make such election
to terminate shall, upon written notice to the other party to
the reinsurance contract no later than 30 days after the
receipt by the reinsurer of notice of termination, commence a
mandatory negotiation and arbitration procedure in accordance
with this subsection.
(2) Each party shall appoint an actuary to determine an
estimated sum due as a result of the termination of the
reinsurance contract calculated in a way expected to make the
parties economically indifferent as to whether the reinsurance
contract continues or terminates. The Director shall develop
guidelines for calculating the estimated sum and in connection
therewith shall consult the American Academy of Actuaries. Such
guidelines shall take into account the present value of future
cash flows expected under the reinsurance contract and be based
on a gross premium valuation of net liability using current
assumptions that reflect post-insolvency experience
expectations (without provision for adverse deviation), net of
any amounts payable and receivable, and with a market value
adjustment to reflect premature sale of assets to fund the
settlement.
(3) Within 90 days of the written notice pursuant to
paragraph (1), each party shall provide the other party with
its estimate of the sum due as a result of the termination of
the reinsurance contract, together with all relevant documents
and other information supporting the estimate. The parties
shall make a good faith effort to reach agreement on the sum
due.
(4) If the parties are unable to reach agreement within 90
days following the submission of materials required in
paragraph (3), either party may initiate arbitration
proceedings as provided in the reinsurance contract. In the
event that the reinsurance contract does not contain an
arbitration clause, either party may initiate arbitration
pursuant to this paragraph by providing the other party with a
written demand for arbitration. The arbitration shall be
conducted pursuant to the procedures contained in the following
subparagraphs (A) through (E):
(A) Venue for the arbitration shall be within the
district of the court's jurisdiction or such other
location as may be agreed to by the parties.
(B) Within 30 days of the responding party's
receipt of the arbitration demand, each party shall
appoint an arbitrator who is a disinterested active or
former officer or executive of a life insurance or
reinsurance company, or other professional with no less
than 10 years experience in or serving the life
insurance or reinsurance industry. The two arbitrators
shall appoint an independent, impartial, disinterested
umpire who is an active or former officer or executive
of a life insurance or reinsurance company. If the
arbitrators are unable to agree on an umpire, each
arbitrator shall provide the other with the names of
three qualified individuals, each arbitrator shall
strike two names from the other's list and the umpire
shall be chosen by drawing lots from the remaining
individuals.
(C) Within 60 days following the appointment of the
umpire, the parties shall, unless otherwise ordered by
the panel, submit to the arbitration panel their
estimates of the sum due as a result of the termination
of the reinsurance contract, together with all relevant
documents and other information supporting the
estimate.
(D) The time periods set forth in this paragraph
may be extended upon mutual agreement of the parties.
(E) The panel shall have all powers necessary to
conduct the arbitration proceedings in a fair and
appropriate manner, including the power to request
additional information from the parties, authorize
discovery, hold hearings and hear testimony. The panel
also may, if it deems necessary, appoint independent
actuarial experts, the expense of which shall be shared
equally between the parties.
(F) Any arbitration panel considering the matters
set forth in this section shall issue a written award
specifying a net settlement amount due from one party
or the other as a result of the termination of the
reinsurance contract. The court shall confirm that
award absent proof of statutory grounds for vacating or
modifying arbitration awards under the Federal
Arbitration Act.
(G) If the net settlement amount agreed or awarded
pursuant to this section is payable by the reinsurer,
the reinsurer shall pay the amount due to either the
estate or to the guaranty association, whichever is
entitled thereto, subject to any applicable set-off
under section 958. If the net settlement amount agreed
or awarded pursuant to this section is payable by the
national insurer, the reinsurer shall be entitled to
file a claim against the estate for that amount, which
claim shall be paid pursuant to the priorities
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established in section 974. If the net settlement
amount is due the reinsurer on reinsurance contracts
for which the guaranty association had been paying
premiums and collecting recoveries from the reinsurer,
it shall be paid to the reinsurer by the guaranty
association.
(g) Reinsurance Contracts Not Altered or Modified.--Except as
otherwise expressly provided in this section, nothing herein shall
alter or modify the terms and conditions of any reinsurance contract.
Nothing herein shall abrogate or limit any rights of any reinsurer to
claim that it is entitled to rescind a reinsurance contract. Nothing
herein shall give a policyholder or beneficiary an independent cause of
action against an indemnity reinsurer that is not otherwise set forth
in the reinsurance contract.
Subtitle G--Creditors and Claims
SEC. 963. RIGHTS AND LIABILITIES OF CREDITORS FIXED UPON LIQUIDATION.
The rights and liabilities of the national insurer and of its
creditors, policyholders, shareholders, or members and all other
persons interested in its assets, shall be fixed as of the date of the
entry of the order of liquidation unless otherwise provided in this Act
or by order of the court.
SEC. 964. CLAIMS FILING; LATE FILING.
(a) Filing Proofs of Claims.--To the extent required, proof of all
claims shall be filed with the receiver in the form required by section
965 on or before the last day established by the court, which date
shall not be later than 18 months after entry of the order of
liquidation unless the court, for good cause shown, extends such time,
and except that proofs of claim for cash surrender values or other
investment values in life, disability income or long-term care
insurance or annuities need not be filed unless the receiver expressly
so requires.
(b) List of Persons Who Have Not Filed.--Upon the rehabilitation or
liquidation of any national insurer which has issued insurance policies
insuring the lives of persons, the Director shall, within a reasonable
time after the last day set for the filing of claims, make a list of
the persons who have not filed proofs of claim and whose rights have
not been reinsured, to whom it appears from the books of the national
insurer, there are amounts owing on such insurance policies and the
Director shall set opposite the name of each person such amount so
owing to such person. The Director shall incur no personal liability by
reason of any mistake in such list. Each person whose name shall appear
upon said list shall be deemed to have duly filed prior to the last day
set for filing of claims a proof of claim for the amount set opposite
his or her name on said list.
(c) Late Filing.--The receiver shall permit a claimant making a
late filing to share in distributions, including a ratable share of
distributions previously made, whether past or future, as if the claim
were not late-filed, to the extent that the payment will not prejudice
the orderly administration of the receivership, under the following
circumstances:
(1) The existence of the claim was not known to the
claimant and the claimant filed the claim as promptly as
reasonably possible after learning of it.
(2) The claim is filed pursuant to subsection (b) of
section 974.
(3) The valuation under section 968 of security held by a
secured creditor shows a deficiency, and the claim is filed
within 30 days after the valuation.
(d) Late Claims by Guaranty Associations and by Reinsurers.--The
receiver shall permit guaranty associations, and those reinsurers whose
reinsurance contracts are terminated pursuant to section 962, to file
claims late and to receive a ratable share of distributions previously
made as if such claims were not late.
(e) Other Late Claims.--Notwithstanding the foregoing, the receiver
may consider and allow a late-filed claim which is not covered by
subsection (c) of this section and permit it to receive distributions
as if it had not been filed late, to the extent such treatment will not
prejudice the orderly administration of the receivership. The late-
filing claimant shall receive distributions in the same percentage as
other claimants in class 6, pursuant to subsection (g) of section 975.
SEC. 965. PROOF OF CLAIM.
(a) Content of Proof of Claim.--A proof of claim shall consist of a
statement signed by or on behalf of the claimant that includes all of
the following that are applicable--
(1) the particulars of the claim, including any
consideration given for it;
(2) the identity and amount of any security for the claim;
(3) the payments made on the debt, if any;
(4) that the sum claimed is justly owing and that there is
no set off, counterclaim, or defense to the claim;
(5) any right of priority of payment or other specific
right asserted by the claimants;
(6) the name and address of the claimant and the attorney
who represents him or her, if any; and
(7) the claimant's social security or Federal employer
identification number.
(b) Form Permitted.--The receiver may require that a prescribed
form be used and may require that other information and documents be
included.
(c) Supplementary Information or Evidence.--The receiver may
request the claimant to present information or evidence supplementary
to that required under subsection (a) at any time and may take
testimony under oath, require production of affidavits or depositions,
or otherwise obtain additional information or evidence.
(d) Single Omnibus Proof of Claim by Guaranty Association.--Any
guaranty association shall be permitted to file a single omnibus proof
of claim for all claims of the guaranty association in connection with
the payment of claims of the insolvent national insurer. The omnibus
proof of claim may be periodically updated by the guaranty association
and the guaranty association may be required to submit a reasonable
amount of documentation in support of the claim.
SEC. 966. ALLOWANCE OF CLAIMS.
(a) Claims Review.--The receiver shall review all claims duly filed
in the receivership proceeding and shall further investigate as he or
she considers necessary. Consistent with the provisions of this title,
the receiver may compound, compromise or in any other manner negotiate
the amount for which claims will be recommended to the court unless the
receiver is required by law to accept claims as settled by a person or
organization, including a guaranty association, subject to any
statutory or contractual rights of the affected reinsurers to
participate in the claims allowance process.
(b) Contingent or Unliquidated Claims.--Except as provided in
section 967, a contingent or unliquidated claim may not be allowed
unless such claim becomes absolute on or before the date established by
the court.
(c) Unmatured Claims.--A claim that is unmatured as of the date
established by the court may be allowed as if it were mature, except it
shall be discounted at the higher of the legal rate of interest
accruing on judgments or the rate of interest available on United
States Treasury securities of approximately the same maturity.
(d) Judgment or Order Against an Insured or National Insurer.--A
judgment or order against an insured or the national insurer entered
after the date of the filing of a successful petition for
rehabilitation or liquidation and a judgment or order against an
insured or the national insurer entered at any time by default or by
collusion need not be considered as evidence of liability or of the
quantum of damages. A judgment or order against an insured or the
national insurer entered within 120 days before the filing of the
petition need not be considered as evidence of liability or of the
quantum of damages.
(e) Employment Contract Claims.--Claims under employment contracts
by directors, pr
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incipal officers or persons in fact performing similar
functions or having similar powers are limited to payment for services
rendered prior to any order of rehabilitation or liquidation.
(f) Claims Arising From Transferred Policies.--No claim based on
breach of any policy of insurance shall be allowed against a reinsurer
where such policy has been transferred to a new assuming insurer.
(g) Total Liability.--The total liability of the national insurer
to all claimants arising out of the same act or policy shall be no
greater than its total liability would be were the national insurer not
in rehabilitation or liquidation.
(h) Small Claims Disallowed.--Claims equal to or less than $50
shall be disallowed.
SEC. 967. ALLOWANCE OF CONTINGENT AND UNLIQUIDATED CLAIMS.
(a) In General.--A reported claim of an insured or third party may
be allowed, regardless of the fact that it was contingent or
unliquidated as of the date established under section 964, if any
contingency is removed in accordance with subsection (b) of this
section and the value of the claim is determined in accordance with
subsection (c) of this section.
(b) Contingent Claim.--A contingent claim may be allowed--
(1) if the claimant has presented proof of the insurer's
obligation to pay reasonably satisfactory to the receiver; or
(2)(A) the claim was based upon a cause of action against
an insured of the national insurer;
(B) it may be reasonably inferred from proof presented upon
the claim that the claimant would be able to obtain a judgment;
and
(C) the person has furnished suitable proof, unless the
court for good cause shown shall otherwise direct, that no
further valid claims can be made against the national insurer
arising out of the cause of action other than those already
presented.
(c) Unliquidated Claim.--
(1) An unliquidated claim may be allowed if--
(A) its amount has been determined; or
(B) its amount remains undetermined, the valuation
of the unliquidated claim may be made by estimate
whenever the receiver determines that either
liquidation of the claim would unduly delay the
administration of the receivership proceeding or that
the administrative expense of processing and
adjudicating the claim or group of claims of a similar
type would be unduly excessive when compared with the
assets that are estimated to be available for
distribution with respect to the claim.
(2) Any estimate shall be based on an accepted method of
valuing claims with reasonable certainty, such as actuarial
evaluation.
SEC. 968. RESERVE FOR THIRD PARTY CLAIMS AGAINST INSURED.
(a) Third Party Filers.--If a third party asserts a cause of action
against an insured, the third party may file a claim, which claim may
be allowed as provided in section 966.
(b) Filing by Insured.--Whether or not the third party files a
claim, the insured may file a claim on his or her behalf. The receiver,
in his or her discretion, may elect to evaluate such claim under
section 967(c) or subsection (c) of this section.
(c) Elimination of Claim.--The receiver may estimate the amount of
an insured's reported claim after consideration of the probably outcome
of any pending action against the insured on which the claim is based,
the probable damages recoverable in the action and the probable costs
and expenses of defense. Upon the receiver's petition and after
approval by the court, the receiver shall set aside funds equal to the
dividend which would be payable on the claim as estimated, pending the
outcome of litigation and negotiation between the insured and the third
party. The receiver may reconsider the amount withheld under this
subsection on the basis of additional information and petition the
court as he or she deems appropriate. After notice and a hearing, the
court may amend its allowance as appropriate. As claims against the
insured are settled or barred, the claim of the insured shall be
allowed and there shall be paid from the amount reserved the same
percentage dividend as was paid on other claims of the same priority,
based on the lesser of--
(1) the amount actually due from the insured on the basis
of a judgment or by agreement with the third party, plus the
reasonable costs and expense of defense; or
(2) the amount of the estimate approved by the court and
for which provision was made in accordance with this
subsection.
After all claims are settled or barred, any sum remaining from the
amount withheld shall revert to the undistributed assets of the
national insurer.
(d) Multiple Claims.--If several claims founded upon one policy are
filed, whether by third parties or as claims by the insured under this
section, and the aggregate allowed of the claims exceeds the aggregate
policy limits, the policy limits shall be apportioned ratably among the
allowed claims. If any insured's claim is subsequently reduced under
subsection (c), the amount thus freed shall be apportioned ratably
among the claims which have been reduced under this subsection.
(e) Exception.--No claim may be allowed under this section to the
extent it is covered by any guaranty association.
SEC. 969. ALLOWANCE OF SECURED CLAIMS.
(a) Determination of Value of Security.--The value of security held
by a secured creditor shall be determined--
(1) by converting the same into money according to the
terms of the agreement pursuant to which the security was
delivered to the creditors; or
(2) by agreement, arbitration, compromise, or litigation
between the creditor and the receiver.
(b) Procedure.--The determination shall be under the court's
supervision and control with due regard for the receiver's
recommendation. The amount determined shall be credited upon the
secured claim and any deficiency shall be treated as an unsecured
claim. If the claimant surrenders his or her security to the receiver,
the entire claim shall be allowed as if unsecured.
SEC. 970. PRELIMINARY NOTICE OF CLAIMS DETERMINATION.
(a) In General.--Except as otherwise provided in this title, after
consideration of claims in accordance with sections 966, 967, 968, and
969 the receiver shall provide notice of his or her preliminary
determination and of the right to object to the claimant or the
claimant's representative and to any reinsurer which is or would be
liable to the receiver in respect of the claim if it were allowed.
Notice shall be sent by first class mail to the intended recipient's
last known address, according to the receiver's records, and shall
include a description of the claim proposed to be allowed or denied,
the rationale for such allowance or denial, and the procedures for
submitting objections to the receiver.
(b) Filing of Objections.--Within 60 days from the mailing of the
notice, the claimant or the reinsurer may file written objections with
the receiver. Any claimant or reinsurer who fails to object on a timely
basis may not further object to that claim determination.
(c) Submission of Unresolved Objection to Court.--Whenever an
objection is filed with the receiver and the matter is not resolved by
the parties, the receiver shall submit the claim with his or her final
determination to the court in accordance with section 973.
SEC. 971. CLAIMS OF CO-DEBTORS.
(a) In General.--If a creditor, whose claim against an insurer is
secured in whole or in part by the undertaking of another person, fails
to prove and file that claim, the other person may do so in the
creditor's name and shall be subrogated to the rights of the creditor,
whether the claim has been filed by the creditor or by the other person
in the creditor's name, to the extent that he or she discharge
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s the
undertaking. In the absence of an agreement with the creditor to the
contrary, the other person shall not be entitled to any distribution
until the amount paid to the creditor on the undertaking plus the
distributions paid on the claim from the insurer's estate to the
creditor equals the amount of the entire claim of the creditor. Any
excess received by the creditor shall be held by him or her in trust
for the other person.
(b) Definitions.--For purposes of this section, the term ``other
person'' is not intended to apply to a guaranty association.
SEC. 972. APPROVAL OF AGREED CLAIMS.
(a) In General.--Claims with respect to which no objection is filed
on a timely basis under 970 shall be treated as agreed claims under
this section.
(b) Unresolved Disputes.--Unresolved disputes shall be determined
in accordance with section 973 or as otherwise provided in this Act.
(c) Report of Agreed Claims.--As soon as practicable, the receiver
shall file with the court a report of the agreed claims against the
national insurer with his or her recommendation. The report shall
include the name and address of each claimant and the amount of the
claim finally recommended, if any. If the national insurer has issued
annuities or life insurance policies, the receiver shall report the
persons, according to the records of the national insurer, to whom
amounts are owed as cash surrender values or other investment value and
the amounts owed.
(d) Notice.--Notice of the proposed allowance or disallowance of
any claim under this section shall be given as provided at section 947.
(e) Court Action.--The court may, not sooner than 14 days from the
date notice was mailed pursuant to subsection (d), approve, disapprove
or modify the receiver's claim report.
SEC. 973. DENIAL OF A CLAIM.
(a) Notice of Denied Claim.--If the receiver denies a claim in
whole or in part, he or she shall provide notice of the final
determination and hearing as provided at section 947, by first class
mail at the last known address, according to the receiver's records.
(b) Hearing.--A hearing shall be held with respect to the claim
determination, not sooner than 14 days from the date notice was mailed
pursuant to subsection (a) of this section.
SEC. 974. CLAIM BY CREDITOR IN RECEIPT OF VOIDABLE TRANSFER.
(a) In General.--The court shall disallow the claim of any entity
from which property is recoverable under section 956 or that is the
transferee of a transfer voidable under section 951, 952, 953, or
section 955, or a similar provision of the laws of the United States
other than under this title, unless such entity or transferee has paid
the amount, or turned over any such property, for which such entity or
transferee is liable under said sections. If the avoidance is effected
by a proceeding in which a final judgment has been entered, the claim
shall not be allowed unless the money is paid or the property is
delivered to the receiver within 30 days from the date of the entering
of the final judgment, unless the court allows further time for an
appeal or other continuation of the proceeding.
(b) Excused Late Filing.--A claim arising by reason of the recovery
of property under section 949 or section 956, whether voluntary or
involuntary, may be filed as an excused late filing under subsection
(c) of section 964 if filed within 30 days from the date of the
avoidance or within the further time allowed by the court.
SEC. 975. PRIORITY OF DISTRIBUTION.
(a) In General.--The priority of distribution from the national
insurer's general assets shall be in accordance with the order in which
each class of claims is set forth in this section. Every claim in each
class shall be paid in full or adequate funds retained for their
payment before the members of the next class receive payment. Except as
provided in subsection (b)(7) of this section, section 937, and
subsection (e) of section 978, subclasses shall not be established
within a class.
(b) Class 1.--Class 1 claims shall be the costs and expenses of
administration, including the following:
(1) The actual and necessary costs of preserving or
recovering the national insurer's assets.
(2) Reasonable compensation for all services rendered by or
to the receiver.
(3) Any necessary filing fees.
(4) The fees and mileage payable to witnesses.
(5) The reasonable expenses of a guaranty association,
including overhead, salaries and other general administrative
expenses, allocable to such receivership, to include
administrative and claims handling expenses and expenses in
connection with arrangements for ongoing coverage, other than
expenses incurred in the performance of duties relating to the
detection and prevention of insolvencies.
(6) Amounts described in the second sentence of subsection
(c) of section 962.
(7) Unsecured loan and other credit obligations incurred by
the receiver. Any such obligation shall have priority over all
other costs of administration.
(c) Class 2.--Class 2 claims shall be as follows:
(1) All claims under insurance policies, including claims
under nonassessable policies for unearned premium; all other
claims of a guaranty association not included in Class 1 or
Class 5; and in the case of a guaranty association covering
life, disability income or long-term care insurance or
annuities, all claims as a creditor of the impaired or
insolvent national insurer for all payments of and liabilities
incurred on behalf of covered claims or covered obligations of
the national insurer and for the funds needed to reinsure those
obligations with a solvent insurer.
(2) If it is provided by written agreement, statute or rule
that the assets in a separate account are not chargeable with
the liabilities arising out of any other business of the
national insurer, that part of a claim that includes a separate
account shall be satisfied out of the assets in the separate
account equal to the reserves maintained in the separate
account under the separate account agreement. The remainder of
the claim shall be treated as a Class 2 claim to the extent
that reserves therefore have been established in the national
insurer's general account pursuant to statute, rule or the
separate account agreement.
(3) A claim involving liabilities and other obligations of
a protected cell established pursuant to section 323 shall be
satisfied solely out of the assets in the protected cell. The
remainder of the claim shall be deemed to be zero for purposes
of this title.
(4) Notwithstanding the foregoing, the following claims
shall be excluded from Class 2 priority:
(A) Obligations of the insolvent national insurer
arising out of reinsurance contracts issued by the
national insurer.
(B) Obligations incurred after the expiration date
of the insurance policy or after the insurance policy
has been replaced by the insured or canceled at the
insured's request or after the insurance policy has
been canceled as provided in this title.
Notwithstanding this subsection, unearned premium
claims on insurance policies, other than reinsurance
contracts issued by the insurer, shall not be excluded.
(C) Any claim which is in excess of any applicable
limits provided in the insurance policy issued by the
insolvent national insurer.
(D) Any amount accrued as punitive or exemplary
damages unless expressly covered under the terms of the
insurance policy.
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(E) Tort claims of any kind against the national
insurer and claims against the national insurer for bad
faith or wrongful settlement practices.
(d) Class 3.--Class 3 claims shall be debts due to employees for
services performed to the extent that they do not exceed $1,000 and
represent payment for services performed within 1 year before the
filing of the petition for receivership proceeding. Officers and
directors are not entitled to the benefit of this priority. This
priority is in lieu of any other similar priority that may be
authorized by law as to wages or compensation of employees.
(e) Class 4.--Class 4 shall be claims of general creditors not
included in Classes 1 through 3, including claims under reinsurance
contracts issued by the insurer, claims by reinsurers for amounts due
under reinsurance contracts terminated pursuant to subsection (f) of
section 962 and claims of guaranty associations for assessments not
paid by the national insurer.
(f) Class 5.--Class 5 claims shall be claims of the Federal
Government and any State or local government not included in Class 2.
Claims, including those of the Federal Government, or of any State or
local governmental body for a penalty or forfeiture, are allowed in
this class only to the extent of the pecuniary loss sustained from the
act, transaction, or proceeding out of which the penalty or forfeiture
arose, with reasonable and actual costs incurred. The remainder of the
claims shall be postponed to the class of claims under subsection (i).
(g) Class 6.--Class 6 claims shall be late filed claims which would
otherwise be classified in Classes 2 through 5.
(h) Class 7.--Class 7 claims shall be surplus, capital or
contribution notes, or similar obligations, and premium refunds on
assessable policies.
(i) Class 8.--Class 8 claims shall be the claims of shareholders or
other owners.
SEC. 976. LIQUIDATOR'S PROPOSAL FOR EARLY ACCESS DISBURSEMENTS.
(a) In General.--Within 120 days of a final order of liquidation
the liquidator shall make application to the court for approval of a
proposal to make early access disbursements out of marshaled assets, to
any guaranty association having obligations because of the insolvency
of a national insurer.
(b) Content of Proposal.--The proposal shall at least include
provisions for--
(1) reserving amounts for the payment of expenses of
administration and the payment of claims of secured creditors,
to the extent of the value of the security held, and claims
falling within the priorities established in Class 1 and, to
the extent not within guaranty association coverage, Class 2 of
section 975;
(2) initial disbursement of the assets marshaled to date,
which shall be as soon as practicable and in any case not later
than 120 days after approval of the early access plan, and
subsequent disbursement of assets which shall be at least
annually;
(3) equitable allocation of disbursements to each of the
guaranty associations entitled thereto;
(4) the securing by the liquidator from each of the
guaranty associations entitled to disbursements pursuant to
this section of an agreement to return to the liquidator such
assets, together with investment income actually earned on
assets previously disbursed, as may be required to pay claims
of secured creditors and claims falling within the priorities
established in section 975 accordance with such priorities, and
no bond shall be required of the guaranty association;
(5) a full report to be made by each guaranty association
to the liquidator accounting for all assets so disbursed to the
guaranty association, all disbursements made therefrom, any
interest earned by the guaranty association on the assets and
any other matter as the court may direct;
(6) disbursements to guaranty associations in sums as large
as possible, subject to the limitations set forth in subsection
(b)(1); if the liquidator determines that there are
insufficient assets to disburse at the time of any required
disbursement, the liquidator shall make application to the
court, with notice to the affected guaranty associations
pursuant to subsection (b) of section 916 for approval of the
determination not to disburse, stating the reasons therefore;
(7) the liquidator's proposal shall provide for
disbursements to the guaranty associations in amounts estimated
at least equal to the sum of--
(A) claim payments and allocated loss adjustment
expenses of the guaranty association; and
(B) reserves as established by the guaranty
association for reported unpaid claims and allocated
loss adjustment expenses; amounts used for (A) and (B)
above shall be those reported to the liquidator by the
guaranty association in its most recent financial
report to the liquidator; the liquidator's proposal
shall further provide that if the assets available for
disbursement from time to time do not equal or exceed
the amount of claim payments made or to be made by the
guaranty association then disbursements shall be in the
amount of available assets; the liquidator shall
liquidate the assets of the national insurer in an
expeditious manner, but is not required to make forced
or quick sales that would result in obtaining less than
market value for assets; unless otherwise provided for
by the court, the reserves of the insolvent national
insurer as reflected in its records on the date of the
order of liquidation shall be used for purposes of
determining the pro rata allocations of initial
disbursements among eligible guaranty associations; and
(8) the liquidator may not offset the amount to be
disbursed to any guaranty association by the amount of any
``special deposit'' or any other statutory deposit or asset of
the insolvent national insurer unless such deposit has been
forwarded to the association.
(c) Guaranty Association Method.--Nothing in this section shall
affect the method in which life insurance guaranty associations or
property casualty associations compute their coverage obligations.
Subtitle H--The Plan
SEC. 977. WHO MAY FILE A PLAN.
(a) In General.--Except as otherwise provided in this section, only
the receiver may file a plan within 1 year after the earlier of the
date of the order of rehabilitation or liquidation under this title.
(b) Other Permitted Plan Filers.--Any party in interest may file a
plan only if--
(1) the receiver has not filed a plan within 1 year after
the earlier of the date of the order of rehabilitation or
liquidation under this title; or
(2) the receiver has not filed a plan that has been
approved by the court, within 18 months after the earlier of
the date of the order of rehabilitation or liquidation under
this title.
(c) Reduction or Increase in Time Periods.--On request of a party
in interest made within the respective periods specified in subsections
(b)(1) and (b)(2) and after such notice as the court deems appropriate,
the court may for cause reduce or increase the time periods of either
subsection.
(d) Plan Objections or Modifications.--Once a plan has been filed,
any party in interest may object to the plan or propose modifications
to it.
SEC. 978. CONTENTS OF A PLAN.
(a) Required Plan Provisions.--A plan shall--
(1) except
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as provided at subsection (e), provide the same
treatment for each claim or interest of a particular class,
unless the holder of a particular claim or interest agrees to a
less favorable treatment of such particular claim or interest;
(2) provide adequate means for the plan's implementation;
(3) contain adequate information concerning the financial
condition of the national insurer and the operation and effect
of the plan, in sufficient detail as far as is reasonably
practicable in light of the nature and history of the national
insurer, the condition of the national insurer's books and
records and the nature of the plan. Alternatively, the plan
itself may identify the sources of such information as
contained in the document depository established pursuant to
section 942;
(4) provide for the transfer of books, records, documents
and other information relevant to the duties and obligations
covered by the plan;
(5) provide for the notice to parties in interest of the
provisions of the plan and an opportunity to be heard;
(6) provide for the termination of the receivership
proceedings and discharge of the receiver, if appropriate; and
(7) provide for the continuation of policies of insurance
(subject to the terms of the policies, including any
restructured provisions effected under subsection (d) of this
section) not protected (in whole or in part) under subtitle A
of title X, and for reinsurance contracts on such policies of
insurance, that are not terminable by the insurer under the
terms of the policies of insurance or by the receiver pursuant
to subsection (f) of section 962.
(b) Permitted Plan Provisions.--A plan may include any other
provisions not inconsistent with the provisions of this title,
including--
(1) payment of a dividend pursuant to section 981;
(2) assumption or reinsurance of all or a portion of the
national insurer's remaining liabilities by, and transfer of
assets to, an insurer or other entity;
(3) to the extent appropriate, provide for application of
the market conduct standards contained in subtitle F of title
III to any entity administering claims on behalf of the
receiver or assuming direct liabilities of the national
insurer;
(4) contracting with a State guaranty association or any
other qualified entity to perform the administration of claims
covered and/or not covered by guaranty associations;
(5) a provision for annual independent financial and
performance audits of any entity administering claims on behalf
of the receiver which is not otherwise subject to examination
pursuant to section 202(a); and
(6) termination of the national insurer's liabilities as of
a date certain.
(c) Liquidation Order; Liquidating Trust Permitted.--If the court
has entered an order of liquidation pursuant to this title, any plan
may include provisions which--
(1) establish a liquidating trust pursuant to section 982;
(2) establish one or more reinsurance recoverable trusts
pursuant to section 986; or
(3) require mandatory negotiation and arbitration
procedures pursuant to section 985.
(d) Insurers of Life, Disability Income, or Long-Term Care
Insurance or Annuities.--If the national insurer has provided life,
disability income, or long-term care insurance or annuities, the plan
may modify and restructure insurance policies or provide substitute
policies of insurance, subject to the limitations imposed under
subsection (b)(2) of section 1009.
(e) Certain Classified Claims.--As to claims which are classified
under subsections (c), (e), or (f) of section 975, a plan may designate
and separately treat one or more separate sub-classes consisting only
of those claims within such classes that are for or reduced to de
minimis amounts. A de minimis amount shall be any amount equal to or
less than a maximum de minimis amount approved by the court as being
reasonable and necessary for administrative convenience.
SEC. 979. COURT APPROVAL OF PLAN.
(a) Conditions of Approval.--After notice and a hearing, the court
shall approve a plan only if it finds that--
(1) the plan complies with the applicable provisions of
this title; and
(2) with respect to each class of claims, each claimant of
such class will receive or retain under the plan on account of
such claim property of a value, as of the effective date of the
plan, that is not less than the amount that such claimant would
receive or retain if the insurer were liquidated within a time
period that is reasonable.
(b) Insurers of Life, Disability Income, or Long-Term Care
Insurance or Annuities; Consent by Guaranty Associations.--
Notwithstanding any other provision of this subtitle, if the plan
proposes to restructure or substitute life, disability income, or long-
term care insurance policies or annuity contracts, the court may not
approve the plan unless each guaranty association whose obligations are
affected in any way by such modification or restructuring or
substitution has given its written consent thereto. In the event that
obligations under the policies or contracts are reinsured by one or
more reinsurance contracts, those reinsurance contracts may either
remain in force with the consent of the reinsurer or be terminated
pursuant to subsection (f) of section 962.
SEC. 980. EFFECT OF COURT APPROVAL OF PLAN.
(a) In General.--Upon its entry, the provisions of a plan and the
order approving it bind the national insurer, any entity acquiring
property under the plan, all policyholders, creditors, and equity
holders of the national insurer.
(b) Status of Property Dealt With by Plan.--Except as provided in
the plan or in the order approving the plan, after court approval of a
plan, the property dealt with by the plan shall be free and clear of
all claims and interests of creditors and equity holders of the
national insurer.
SEC. 981. PARTIAL AND FINAL DISTRIBUTIONS OR DIVIDENDS.
(a) In General.--Pursuant to a plan, a receiver may declare and pay
a partial or final distribution or dividend to claimants whose claims
have been allowed as provided in this title, or fixed as provided in
subsection (c) of this section.
(b) Basis for Distribution of Dividend.--In determining the
percentage of distributions or dividends to be paid on such claims, the
receiver may consider the estimated value of the assets (including
estimated reinsurance recoverables and the estimated value of the
insurer's liabilities) and the estimated value of the national
insurer's liabilities (including estimated liabilities for unpaid
losses and loss expenses and for incurred but not reported losses and
loss expenses).
(c) Estimations.--The estimation authorized pursuant to this
section may be used for purposes of fixing a creditor's claim in the
estate and for determining the percentage of a partial or final
distribution or dividend.
(d) Claims of Reinsurers; Incurred But Not Reported Losses.--
Nothing in this section or any other section of this title, shall be
construed as authorizing the receiver, or any other entity, to compel
payment from a reinsurer on the basis of estimated incurred but not
reported losses or loss expenses, except with respect to claims allowed
pursuant to section 967. The obligation of reinsurers to make payments
to the national insurer shall be determined on the basis of reported
claims that have been allowed pursuant to subtitle G.
SEC. 982. TRANSFER OF ASSETS AND LIABILITIES TO LIQUIDATING TRUST.
(a) If there has been an order of liquidation entered in the
receivership proceeding then, pursuant to a plan, a receiver may
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establish one or more liquidating trusts. In the case of a liquidating
trust established in connection with a plan for a national insurer that
issues property and casualty insurance: Some or all of the national
insurer's assets and liabilities may be transferred to such trust.
(b) For purposes of this section:
(1) A future claim under this section is one which is
incurred but not reported to the national insurer as of the
date the liquidating trust is established pursuant to this
section.
(2) A future claimant under this section is a person who
has, or may have, a future claim against the national insurer.
(c) The receiver may declare and pay distributions or dividends as
provided in section 981 while reserving for the benefit of future
claimants a similar percentage dividend to be paid on future claims in
accordance with subsection (d) of this section.
(d) Future claimants may share in the proceeds of the liquidating
trust only when, and to the extent, that any future claim is allowed
pursuant to subtitle G.
(e) The receiver may petition the court for the appointment of a
future claim representative who shall have the power to represent the
interests of those who may assert future claims against the national
insurer. Notwithstanding this subsection, a future claimant may elect
to represent his, her or its own interests and may opt out of being
represented by the future claims representative.
(f) The liquidator may terminate liquidation proceedings and/or
dispose of property free and clear of the obligation to future
claimants or any other individual or entity as long as such property
was disposed of in accordance with this section and other applicable
provisions of a plan authorized by section 978.
SEC. 983. COLLATERALIZATION OF CASE RESERVES AND INCURRED BUT NOT
REPORTED LOSSES.
(a) Upon the entry of a receivership order, and continuing
thereafter, reinsurers that are required to collateralize their
obligations to the national insurer pursuant to contract or law shall
be required to maintain such collateralization in accordance with the
terms of the applicable law or contract.
(b) Any dispute concerning the appropriate amount of collateral
shall be determined in accordance with the procedure established in
section 985(b).
SEC. 984. COMMUTATIONS.
(a) The receiver may, in his or her discretion, enter into a
voluntary commutation and release of all obligations arising from
reinsurance agreements entered into by the national insurer, subject to
the approval of the court.
(b) Nothing in this section, or any other provision of this Act,
shall be construed to override or impair any provision in a reinsurance
agreement which establishes a commercially reasonable and actuarially
sound method for valuing and commuting the obligations of the parties
to the reinsurance agreement; provided, however, that such commutation
provision shall not be effective if it is demonstrated to the court
that at the time such provision was entered into, the parties had
reasonable cause to believe that the national insurer was insolvent or
was about to become insolvent. Any such contractual commutation
provision entered into within one year of the liquidation order of the
national insurer shall be rebuttably presumed to have been entered into
with reasonable cause to believe that the national insurer was
insolvent or about to become insolvent.
SEC. 985. MANDATORY NEGOTIATION AND ARBITRATION.
(a)(1) The receiver may apply to the court, with notice to the
other party to the reinsurance agreement, for an order requiring the
parties to submit to a mandatory negotiation and arbitration procedure
in accordance with subsection (b), if--
(A) the ratio of the national insurer's actuarially
estimated casualty losses to the sum of (i) reported claims on
casualty losses allowed by the court and (ii) actuarially
estimated casualty losses, is 25 percent or less; or
(B) the reinsurer's total adjusted capital is at or below
200 percent of its authorized control level for risk-based
capital purposes.
(2) For purposes of this subsection--
(A) the term ``casualty losses'' means the national
insurer's aggregate losses arising out of insurance contracts
in the following lines: Farm owners Multiperil, Homeowners
Multiperil, Commercial Multiperil, Medical Malpractice,
Workers' Compensation, Other Liability, Products Liability,
Auto Liability, Aircraft (all peril) and International (of the
foregoing lines); and
(B) the term ``actuarially estimated casualty losses''
means actuarially estimated incurred but not reported casualty
losses and estimated case reserves for claims not yet allowed
by the court.
(b)(1) Within 90 days of the court's order pursuant to subsection
(a) of this section, or from the date that either party to a
reinsurance agreement demands arbitration pursuant to section 983(b),
each party shall provide the other party with an estimate of the
liabilities between the parties and all relevant documents and other
information supporting the estimate, including but not limited to:
underlying premium, commission and loss data; estimated incurred but
not reported losses; projected ultimate payout; net present value and
the discount factor proposed.
(2) If the parties are unable to reach agreement within 90 days
following the submission of materials required in paragraph (1) of this
subsection, either party may initiate the arbitration procedure set
forth in paragraph (3) of this subsection by providing the other party
with a demand for arbitration. A copy of the demand shall be promptly
provided to the court by the liquidator.
(3) Venue for the arbitration shall be within the district of the
court's jurisdiction or such other location as may be agreed to by the
parties.
(A) Within 30 days of the responding party's receipt of the
arbitration demand, each party shall appoint an arbitrator who
is a disinterested active or inactive officer, executive or
other professional with no less than 10 years' experience in or
serving the insurance or reinsurance industry. The two
arbitrators shall appoint an independent, impartial,
disinterested umpire who is an active or inactive officer or
executive of an insurance or reinsurance company. If the
arbitrators are unable to agree on an umpire, each arbitrator
shall provide the other with the names of three qualified
individuals, each arbitrator shall strike two names from the
other's list and the umpire shall be chosen by drawing lots
from the two remaining individuals.
(B) Within 60 days following the appointment of the umpire,
the parties shall, unless otherwise ordered by the panel,
submit to the arbitration panel their estimates of the
liabilities between the parties and other documents and
information relevant to the determination of the parties'
rights and obligations under the reinsurance agreements,
including but not limited to: underlying premium, commission
and loss data; estimated incurred but not reported losses;
projected ultimate payout; net present value and the discount
factor proposed.
(C) The arbitration panel shall issue an award with respect
to the parties' obligations and the court shall confirm such
award absent proof of statutory grounds for vacating or
modifying arbitration awards under the Federal Arbitration Act.
(D) The time periods set forth in this subsection may be
extended upon mutual agreement of the parties.
(c) Within 30 days of the issuance of the award pursuant to a
receiver's application under subsection (a)(1) of this section in an
arbitration commenced pursuant to section
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983(b) over the appropriate
amount of collateral, either the reinsurer shall post additional
collateral or the national insurer shall release collateral, as
necessary to bring the actual amount of the collateral to the amount
provided for in the arbitration panel's award.
(d) Within 30 days of issuance of the award entered pursuant to a
receiver's application under subsection (a)(1) of this section, the
reinsurer shall give notice to the receiver that it--
(1) opts to voluntarily commute its liabilities to the
insurer for the amount of the award in return for a full and
complete release of all liabilities between the parties,
whether past, present or future; or
(2) opts not to commute its liabilities to the insurer, in
which case the reinsurer shall establish a reinsurance
recoverable trust in the amount of 102 percent of the award.
The trust shall be established and maintained in accordance
with section 986. The reinsurer shall pay the costs and fees
associated with establishing and maintaining the trust.
(e) If the reinsurer notifies the receiver that it opts to commute
its liabilities pursuant to subsection (d)(1), the receiver shall have
30 days to--
(1) accept the reinsurer's offer and tender to the
reinsurer a proposed commutation and release agreement
providing for a full and complete release of all liabilities
between the parties, whether past, present or future; or
(2) reject the reinsurer's offer in exchange for the
reinsurer's establishment of a reinsurance recoverable trust.
If the reinsurer's offer to commute is rejected by the receiver
in accordance with this paragraph, the national insurer shall
share equally in the costs and fees associated with
establishing and maintaining the trust and the receiver shall
not initiate procedures pursuant to this section for a period
of 5 years from the date of the receiver's notification
pursuant to this subsection, provided that the receiver and
reinsurer may still initiate procedures pursuant to section
986(e).
SEC. 986. REINSURANCE RECOVERABLE TRUST PROVISIONS.
(a) As used in this section--
(1) the term ``beneficiary'' means the domiciliary
insurance commissioner, as receiver of the insurer for whose
sole benefit a reinsurance recoverable trust is established;
(2) the term ``grantor'' means the reinsurer who has
established a reinsurance recoverable trust for the sole
benefit of the beneficiary;
(3) the term ``qualified United States financial
institution'' means an institution that--
(A) is organized, or in the case of a United States
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; and
(B) is regulated, supervised and examined by
Federal or State authorities having regulatory
authority over banks and trust companies; and
(4) the term ``reinsurance recoverable trust'' means a
trust established pursuant to section 985.
(b) The trust agreement governing a reinsurance recoverable trust
shall--
(1) be entered into between the beneficiary, the grantor
and a trustee, which shall be a qualified United States
financial institution;
(2) create a trust account into which assets shall be
deposited in accordance with section 985; all assets in the
trust account shall be held by the trustee at the trustee's
office in the United States;
(3) provide that the beneficiary shall have the right to
withdraw assets from the trust, only--
(A) if the claim was a reported claim allowed by
the court pursuant to subtitle G;
(B) where the beneficiary has notified the grantor,
in writing, of the court's allowance of the claim;
(C) if and to the extent that the amount to be
withdrawn exceeds any setoff, permitted by section 958,
due to the grantor;
(D) where 60 days has expired during which the
grantor has failed to either pay the claim or file
notice of a written dispute with respect to the claim
in accordance with the terms of the reinsurance
agreement; or
(E) if the beneficiary has complied with any
different or other terms and conditions mutually agreed
to by the beneficiary and the grantor in the trust
agreement;
(4) require the trustee to--
(A) receive assets and hold all assets in a safe
place;
(B) determine that all assets are in such form that
the beneficiary, or the trustee upon direction by the
beneficiary, may whenever necessary negotiate any such
assets, without consent or signature from the grantor
or any other person or entity;
(C) furnish to the grantor and the beneficiary a
statement of all assets in the trust account upon its
inception and at intervals no less frequent than the
end of each calendar quarter;
(D) notify the grantor and the beneficiary within
10 days, of any deposits to or withdrawals from the
trust account;
(5) be made subject to and governed by the laws of this
state;
(6) prohibit the invasion of the trust corpus for the
purpose of paying compensation to, or reimbursing the expenses
of, the trustee;
(7) provide that the trustee shall be liable for its
negligence, willful misconduct or lack of good faith;
(8) provide that the trustee may resign upon delivery of a
written notice of resignation, effective not less than 90 days
after the beneficiary and grantor receive the notice and that
the trustee may be removed by the grantor by delivery to the
trustee and the beneficiary or a written notice of removal,
effective not less than 90 days after the trustee and the
beneficiary receive the notice, Provided, That no such
resignation or removal shall be effective until a successor
trustee has been duly appointed and approved by the beneficiary
and the grantor and all assets in the trust have been duly
transferred to the new trustee;
(9) provide that the grantor shall have the full and
unqualified right to vote any shares of stock in the trust
account; subject to other provisions of this section, any
interest or dividends paid on shares of stock or other
obligations in the trust account, shall remain in the trust;
(10) specify categories of investments reasonably
acceptable to the beneficiary and authorize the trustee to
invest funds and to accept substitutions, by the grantor, that
the trustee determines are at least equal in market value to
the assets withdrawn, Provided, That no investment or
substitution shall be made without prior approval from the
beneficiary, which shall not be unreasonably or arbitrarily
withheld;
(11) provide that the beneficiary may at any time designate
a party to which all or part of the trust assets are to be
transferred; transfer may be conditioned upon the trustee
receiving, prior to or simultaneously, other specified assets;
(12) specify the types of
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assets that may be included in
the trust account which shall consist only of cash in United
States dollars, certificates of deposit issued by a United
States bank and payable in United States dollars, and
investments permitted by this State's Insurance Act or any
combination of the above, Provided, That investments in or
issued by any entity controlling, controlled by, or under
common control with either the grantor or the beneficiary of
the trust shall not exceed five percent of total investments;
assets deposited in the trust account shall be valued according
to their current fair market value;
(13) give the grantor the right to seek approval from the
beneficiary, which shall not be unreasonably or arbitrarily
withheld, to withdraw from the trust account all or any part of
the trust assets and transfer those assets to the grantor,
Provided, That--
(A) the grantor shall, at the time of withdrawal,
replace the withdrawn assets with other qualified
assets so as to maintain at all times the deposit in
the required amount; or
(B) after withdrawal and transfer, the market value
of the trust account is no less than 102 percent of the
award made pursuant to section 985(b)(3)(c);
(14) provide for the return of any amount withdrawn in
excess of the actual amounts required for payment of reported
allowed claims under paragraph (3), and for interest payments
at a rate not in excess of the prime rate of interest on the
excess amounts withdrawn; and
(15) provide for termination of the reinsurance recoverable
trust in accordance with subsection (f).
(c) Nothing in this section shall be construed as altering the
rights or obligations of the parties pursuant to contractual and
statutory provisions providing for notice and the determination of
claims.
(d) The grantor shall, prior to depositing assets with the trustee,
execute assignments or endorsements in blank, or transfer legal title
to the trustee of all shares, obligations or any other assets requiring
assignments, in order that the beneficiary, or the trustee upon the
direction of the beneficiary, may whenever necessary negotiate these
assets without consent or signature from the grantor or any other
entity.
(e) Either party may request that an arbitration panel review the
amount held in a reinsurance recoverable trust. The court may order
such review upon a demonstration that the amount in trust is either
twenty five percent or more deficient or 25 percent or more in excess
of the reinsurer's liabilities to the national insurer. Upon such a
demonstration, parties shall reinitiate the procedures established in
section 985(b).
(f) A reinsurance recoverable trust shall terminate upon the
earlier of--
(1) the court approval of a voluntary commutation between
the grantor and the beneficiary pursuant to section 985;
(2) the mutual agreement of the grantor and the
beneficiary; or
(3) a finding by the court that the grantor has discharged
its liabilities to the beneficiary.
Upon termination of the trust account, all assets not previously
withdrawn by the beneficiary, pursuant to paragraph (b)(3), shall, with
written approval of the beneficiary, be delivered over to the grantor.
SEC. 987. LIQUIDATING TRUST PROVISIONS.
(a) As used in this section--
(1) the terms ``beneficiary'' and ``beneficiaries'' mean
the creditors of the insurer for whose sole benefit the
liquidating trust is established;
(2) the term ``grantor'' means the domiciliary insurance
commissioner, as receiver of the insurer, or his or her
designee;
(3) the term ``qualified U.S. financial institution'' has
the same meaning given such term in section 986; and
(4) the term ``liquidating trust'' means a trust
established pursuant to section 986.
(b) A liquidating trust shall be established by the grantor for the
benefit of the beneficiaries, subject to approval of the court.
(c) A trust agreement governing a liquidating trust shall be
entered into between the grantor and the trustee, which shall be a
qualified United States financial institution.
(d) Assets and liabilities of the national insurer may be
transferred to the Liquidating Trust in accordance with section 982 and
shall be held by the trustee at the trustee's office in the United
States.
(e) The trust agreement entered into pursuant to subsection (b)
shall--
(1) identify the beneficiaries of the trust;
(2) enumerate the authority and duties of the trust;
(3) specify the types of assets and categories of
investments that may be held in the trust account;
(4) provide that the trustee shall be liable for its
negligence, willful misconduct or lack of good faith;
(5) be made subject to and governed by the laws of this
State;
(6) provide for the compensation of the trustee and the
expense of establishing and maintaining the trust account;
(7) provide for the distribution of trust assets to
beneficiaries of the trust; and
(8) provide for termination of the trust and distribution
of any remaining assets in the trust account--
(A) after payments have been made to all
beneficiaries,
(B) when insufficient assets exist to warrant
maintaining the trust, or
(C) when the amount of assets in the trust to be
distributed make it impractical or uneconomic to
distribute to beneficiaries.
(f) The trustee shall furnish to the grantor a statement of all
assets in the trust account upon its inception and at intervals no less
frequent than the end of each calendar quarter.
Subtitle I--Post Plan
SEC. 988. UNCLAIMED AND UNDISTRIBUTED FUNDS.
(a) In General.--Distributions or dividends remaining unclaimed or
unpaid in the receiver's possession for 6 months after the final order
of distribution shall be handled as other unclaimed funds and shall be
paid by the custodian thereof without interest to the person entitled
thereto or his or her legal representative or shall be presumed
abandoned and handled pursuant to the provisions of relevant State law
governing disposition of unclaimed property.
(b) Closed Estate Fund Trust Account.--Subject to the approval of
the court, after the completion of all post closure activities for
which moneys were reserved, any remaining reserved assets as well as
any other assets in the hands of the receiver, that may not be
practicably or economically distributed to claimants, shall be
deposited into a segregated account to be known as the closed estates
fund trust account. The Director may use moneys held in this account
for paying the administrative expenses of insurers subject to this
title that lack sufficient assets to allow the Director to perform his
or her duties and obligations under this title. An annual audit of the
closed estate fund trust account shall be performed in accordance with
section 943 regardless of its balance.
SEC. 989. TERMINATION OF RECEIVERSHIP PROCEEDINGS AND DISCHARGE OF
RECEIVER.
(a) Petition To Close Estate.--When all assets justifying the
expense of collection and distribution have been marshaled and
distributed under this title, the receiver shall petition the court to
terminate the liquidation proceedings and to close the estate. The
court may grant such other relief as may be appropriate, including a
full discharge of all liability and responsibility of the receiver or a
reservation of assets for administrative expenses incurred in the
closi
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ng of the estate. The receiver may recommend to the court and the
court shall direct which records should be retained for what periods of
time and which should be destroyed.
(b) Dissolution.--If the dissolution of the insurer's corporate
existence has not previously been ordered, it shall be effected by
operation of law upon the discharge of the receiver, absent a contrary
provision in the plan approved by the court.
SEC. 990. PETITION TO REOPEN PROCEEDINGS.
The Director or other party in interest may petition the court at
any time to reopen the proceedings for good cause, including the
discovery of additional assets. If the court is satisfied that there is
good cause for reopening, it shall so order.
TITLE X--INSOLVENCY PROTECTION
Subtitle A--Life Insurance
SEC. 1001. DEFINITIONS.
For purposes of this subtitle:
(1) Account.--The term ``account'' means either of the two
accounts referred to in section 1007.
(2) Association.--The term ``association'' means the State
life insolvency guaranty association created under the laws of
the relevant State.
(3) Authorized assessment.--The terms ``authorized
assessment'' and ``authorized'', when used in the context of
assessments, mean the Director has issued an order authorizing
the corporation to call an assessment immediately or in the
future from member insurers for a specified amount. An
assessment is authorized when the order is issued.
(4) Benefit plan.--The term ``benefit plan'' means a
specific employee, union or association of natural persons
benefit plan.
(5) Called assessment.--The terms ``called assessment'' and
``called'', when used in the context of assessments, mean that
a notice has been issued by the corporation to member insurers
requiring that an authorized assessment be paid within the
time frame set forth within the notice. An authorized assessment
becomes a called assessment when notice is mailed by the corporation to
member insurers.
(6) State commissioner.--The term ``State commissioner''
means the chief insurance regulatory official of a State.
(7) Contractual obligation.--The term ``contractual
obligation'' means an obligation under a policy or certificate
under a group policy, or portion thereof for which coverage is
provided under section 1006.
(8) Covered person.--The term ``covered person'' means a
person for whom coverage is provided under section 1006.
(9) Covered policy.--The term ``covered policy'' means a
policy or portion of a policy for which coverage is provided
under section 1006.
(10) Extra-Contractual claims.--The term ``extra-
contractual claims'' includes claims relating to bad faith in
the payment of claims, punitive or exemplary damages or
attorneys' fees and costs.
(11) Impaired insurer.--The term ``impaired insurer'' means
a member insurer which is not an insolvent insurer, and is
placed under an order of rehabilitation or conservation by a
court of competent jurisdiction.
(12) Insolvent insurer.--The term ``insolvent insurer''
means a member insurer which is placed under an order of
liquidation by a court of competent jurisdiction with a finding
of insolvency.
(13) Member insurer.--
(A) The term ``member insurer'' means--
(i) a State life insurance company licensed
or holding a certificate of authority to
transact in a nonqualifying State any kind of
insurance for which coverage is provided under
section 1006, including a State insurer whose
license or certificate of authority in that
State may have been suspended, revoked, not
renewed or voluntarily withdrawn; and
(ii) a national insurer that is a life
insurance company and holds a Federal license
to issue the kinds of insurance for which
coverage is provided under section 1006,
including a company whose license may have been
revoked, suspended, restricted or voluntarily
surrendered.
(B) Such term does not include--
(i) a non-life insurance company, other
than an insurer licensed to transact only
health insurance;
(ii) a hospital or medical service
organization, whether profit or nonprofit;
(iii) a health maintenance organization;
(iv) a fraternal benefit society;
(v) a mandatory State pooling plan;
(vi) a mutual assessment company or other
person that operates on an assessment basis;
(vii) an insurance exchange; or
(viii) an entity similar to any of the
above.
(14) Moody's corporate bond yield average.--The term
``Moody's corporate bond yield average'' means the Monthly
Average Corporates as published by Moody's Investors Service,
Inc., or any successor thereto.
(15) Nonqualifying state.--The term ``nonqualifying State''
means a State that is not a qualified State as defined in
section 1003.
(16) Policy.--The term ``policy'' means a policy or
contract.
(17) Policyowner.--The term ``policyowner'' means, with
respect to a policy the person who is identified as the legal
owner under the terms of the policy or who is otherwise vested
with legal title to the policy through an assignment, absolute
on its face, completed in accordance with the terms of the
policy and properly recorded as the policyowner on the books of
the insurer. Such term does not include a person with a mere
beneficial interest in a policy or a person to which a policy
is assigned for collateral security purposes.
(18) Premiums.--The term ``premiums'' means amounts or
considerations (by whatever name called) received on covered
policies less returned premiums, considerations and deposits
and less dividends and experience credits. Such term does not
include amounts or considerations received for policies or for
the portions of policies for which coverage is not provided
under subsection (b) of section 1006 except that assessable
premium shall not be reduced on account of subsection (b)(2)(C)
of section 1006, relating to interest limitations, and
subsection (e)(1)(B) of section 1006, relating to limitations
with respect to one individual, one participant and one
policyowner. Such term does not include--
(A) premiums on an unallocated annuity contract, or
(B) with respect to multiple non-group policies of
life insurance owned by one policyowner, whether the
policyowner is an individual, firm, corporation or
other person, and whether the persons insured are
officers, managers, employees or other persons,
premiums in excess of $5,000,000 with respect to these
policies, regardless of the number of policies held by
the policyowner.
(19) Receivership court.--In the case of a State insurer,
the term ``receivership court'' means the court having
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jurisdiction over the conservation, rehabilitation or
liquidation of the insurer. In the case of a national insurer,
such term means the United States district court or other
United States court having jurisdiction over the receivership
proceedings involving the national insurer.
(20) Resident.--The term ``resident'' means a person to
whom a contractual obligation is owed and who resides in a
nonqualified State on the date of entry of a court order that
determines a member insurer to be an impaired insurer or a
court order that determines a member insurer to be an insolvent
insurer, whichever occurs first. A person may be a resident of
only one State, which in the case of a person other than a
natural person shall be its principal place of business.
Citizens of the United States that are either (1) residents of
foreign countries, or (2) residents of United States
possessions, territories or protectorates that do not have an
association similar to qualified State associations shall be
deemed residents of the nonqualifying State, in the case of
national insurers, and the State of domicile of other insolvent
insurers, that issued the policies.
(21) Structured settlement annuity.--The term ``structured
settlement annuity'' means an annuity purchased in order to
fund periodic payments for a plaintiff or other claimant in
payment for or with respect to personal injury suffered by the
plaintiff or other claimant.
(22) State.--The term ``State'' means a State, the District
of Columbia and Puerto Rico.
(23) State insurance company and state life insurance
company.--The terms ``State insurance company'' and ``State
life insurance company'' mean a State-chartered insurance
company that underwrites and sells life insurance, health
insurance, disability income insurance, long-term care
insurance, annuity contracts, or funding agreements;
(24) Supplemental contract.--The term ``supplemental
contract'' means a written agreement entered into for the
distribution of proceeds under a life or annuity policy.
(25) Unallocated annuity contract.--The term ``unallocated
annuity contract'' means an annuity contract or group annuity
certificate which is not issued to and owned by an individual,
except to the extent of any annuity benefits guaranteed to an
individual by an insurer under the contract or certificate.
SEC. 1002. NATIONAL INSURER PARTICIPATION IN QUALIFIED STATE
ASSOCIATIONS.
(a) Qualified State Association Membership.--A national insurer
holding a Federal license to issue life insurance or annuities must, as
a condition of its authority to transact business, become and continue
as a member of a qualified State's association in each State in which
the national insurer is doing business.
(b) Definition of Doing Business.--A national insurer is doing
business in a State for purposes of this subtitle if it has any
policies on the life or lives of residents of the State, collects
premiums from a policyowner resident in the State, or has current
obligations to policyowners or beneficiaries of policies in that State.
SEC. 1003. QUALIFIED STATE DEFINED.
(a) Qualified State Defined.--For purposes of this title, the term
``qualified State'' means a State which has established an
association--
(1) that provides protection for covered persons in the
event of insolvency of any national insurer or State insurer
doing business in the State that meets or exceeds the standards
set forth in sections 1006, 1008, and 1010; and
(2) which has been determined by the Director to comply
with the standards set forth in sections 1006, 1008, 1009
(including the definitions of ``impaired insurer'' and
``insolvent insurer'' in section 1001), and 1010, and such
determination has not been revoked.
(b) Deemed Compliance.--An association shall be deemed in
compliance with and the requirements of subsection (a) until 3 years
after the effective date of this Act, following which date an
association must meet those requirements. An association that is
determined by the Director not to meet the standards required in
subsection (a) at any time on or after 3 years following the effective
date of this Act shall be preempted by this subtitle. The Director may,
for good cause, extend this 3-year period for not more than 6 months as
to any association. The Director shall notify an association's board of
directors and the relevant State's State commissioner that the
association's qualification under subsection (a) has been revoked for
the reasons stated, effective 90 days following the date of such
notification.
SEC. 1004. TRANSITION RULES WHEN ASSOCIATION PREEMPTED.
In the event an association's qualification is revoked under
section 1003 following a date on which a member insurer of that
association has been determined to be insolvent, for insolvencies
occurring on or before the date on which the standard benefits of this
title apply, and prior to a termination of receivership proceedings--
(1) the Director shall develop a plan, in consultation with
the association and the relevant State's State commissioner, to
provide appropriate benefits and coverage to covered persons,
and assessments appropriate to the line of insurance affected,
which plan may include benefits and coverage provided in whole
or in part by the corporation;
(2) such plan shall incorporate appropriate adjustments in
the event payments for benefits have been made under the
association's coverage, including the adjustment of benefits
transferred to, and assumption of liabilities by, succeeding
insurance companies; and
(3) appropriate supplemental assessments, if necessary, may
be made pursuant to section 1010, by the corporation as the
Director finds necessary to effect the change in benefits
provided under this title.
SEC. 1005. ESTABLISHMENT OF THE NATIONAL LIFE INSURANCE GUARANTY
CORPORATION; PROTECTION FOR RESIDENTS IN PREEMPTED
STATES.
(a) Establishment of the Corporation.--There is established the
National Life Insurance Guaranty Corporation. The corporation shall be
a nonprofit corporation and shall have succession until dissolved by
Act of the Congress. The corporation--
(1) shall not be an agency or instrumentality of the United
States Government; and
(2) except as otherwise provided in this subtitle, shall be
subject to, and have all the powers conferred upon a nonprofit
corporation by, the District of Columbia Nonprofit Corporation
Act (section 29-301.01 et seq., D.C. Official Code).
(b) Membership in the Corporation.--The membership of the
corporation shall consist of all member insurers.
(c) Corporate Governance.--
(1) Board of directors.--The board of directors of the
corporation shall be the governing body of the corporation and
shall be vested with all powers necessary for the management
and administration of the affairs of the corporation and the
promotion of its purposes as authorized by this Act. The
board's authority shall be specified in the bylaws of the
corporation.
(2) Initial board.--The initial board of the corporation
shall be elected by the membership of the corporation, provided
that if the membership fails to elect the initial board of the
corporation within 3 years of the effective date of this Act,
then the initial board shall be appointed by the Director.
Membership on the board shall be fairly repre
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sentative of
member insurers of differing size and lines of business
written.
(3) Bylaws.--The Director shall prescribe the initial
bylaws and rules governing the corporation which shall set
forth the composition of the board, the term of board members,
filling of board vacancies, board compensation, election of
officers and procedures to call board meetings, and all matters
necessary for the governance of the corporation not addressed
by the District of Columbia Nonprofit Corporation Act.
(4) Amendments to bylaws and rules.--Amendments to the
bylaws and rules of the corporation following the establishment
of the initial bylaws and rules as provided in paragraph (3)
shall be adopted by the board of the corporation following the
approval thereof by the Director.
(d) Relationship of Corporation to the Federal Government.--
(1) The corporation shall be subject to supervision and
oversight of the Director.
(2) The obligations of the corporation shall not be backed,
directly or indirectly, by the full faith and credit of the
United States. The corporation shall receive no financial
assistance from or have any authority to borrow from the United
States.
(3) Funds held by or due to the corporation shall not be
included in the budget of the United States, nor may the United
States borrow or pledge such funds.
(e) Corporation To Provide Protection in Preempted States.--The
corporation shall provide the protections under this subtitle for
covered persons, as set forth in section 1006, in any State in which
the operations and activities of the association have been preempted
pursuant to section 1003.
(f) Contracting With Person To Administer Benefits.--The
corporation may, with the approval of the Director, contract with
another person to administer the benefits to be provided by the
corporation under this subtitle.
(g) Funding of Benefits.--Funds for the provision of covered
benefits by the corporation shall be in accordance with the formulas
and procedures, and subject to the limitations of, section 1010.
Premiums and other considerations for purposes of such assessments
shall include all nationwide premiums of national insurers on the
covered lines of business.
SEC. 1006. PROTECTIONS AGAINST INSOLVENCY: COVERAGE AND LIMITATIONS.
(a) Covered Persons.--This subtitle shall provide coverage for the
policies specified in subsection (d)--
(1) to persons who, regardless of where they reside (except
for certificate holders under group policies who are not
residents of a nonqualifying State), are the beneficiaries,
assignees or payees of the persons covered under paragraph (2);
(2) to persons who are owners of or certificate holders
under the policies (other than unallocated annuity contracts,
and structured settlement annuities) and in each case who--
(A) are residents of a nonqualifying State, or
(B) are not residents, but only if--
(i) the insurer that issued the policies is
domiciled in a nonqualifying State; and
(ii) the persons are not eligible for
coverage by an association in any other State
due to the fact that the insurer was not
licensed in the State at the time specified in
the State's association law; and
(3) for structured settlement annuities specified in
subsection (b), paragraphs (1) and (2) shall not apply, and
this title shall (except as provided in paragraphs (5) and (6))
provide coverage to a person who is a payee under a structured
settlement annuity (or beneficiary of a payee if the payee is
deceased), if the payee--
(A) is a resident of a nonqualifying State,
regardless of where the policyowner resides, or
(B) is not a resident of a nonqualifying State, but
only if--
(i)(I) the policyowner of the structured
settlement annuity is a resident of a
nonqualifying State, or
(II) the policyowner of the structured
settlement annuity is not a resident of a
nonqualifying State, but--
(aa) the insurer that issued the
structured settlement annuity is
domiciled in a nonqualifying State; and
(bb) the State in which the
policyowner resides has an association;
and
(ii) neither the payee (nor beneficiary)
nor the policyowner is eligible for coverage by
the association of the State in which the payee
or policyowner resides.
(b) This subtitle shall not provide coverage to a person who is a
payee (or beneficiary) of a policyowner resident of a nonqualifying
State, if the payee (or beneficiary) is afforded any coverage by a
qualified State's association.
(c) This subtitle is intended to provide coverage to persons who
are residents of a nonqualifying State and, in special circumstances,
to persons not resident in a nonqualifying State. In order to avoid
duplicate coverage, if a person who would otherwise receive coverage
under this title is provided coverage under the laws of any State other
than the nonqualifying State, the person shall not be provided coverage
under this title. In determining the application of the provisions of
this subsection in situations where a person could be covered by the
association of more than one qualifying or nonqualifying State, whether
as a policyowner, payee, beneficiary or assignee, this title shall be
construed in conjunction with the laws of such States to result in
coverage by only one association.
(d) Policies Covered.--
(1) In general.--This subtitle shall provide coverage to
the persons specified in subsection (a) for direct, non-group
life or annuity policies and supplemental contracts to any of
these and for certificates under direct group policies, except
as limited by this title. Annuity contracts and certificates
under group annuity policies include allocated agreements,
structured settlement annuities, and any immediate or deferred
annuity policies.
(2) Policies not covered.--This subtitle shall not provide
coverage for--
(A) a portion of a policy not guaranteed by the
insurer, or under which the risk is borne by the
policyowner;
(B) a reinsurance contract, unless assumption
certificates have been issued pursuant to the
reinsurance contract;
(C) a portion of a policy to the extent that the
rate of interest on which it is based, or the interest
rate, crediting rate or similar factor determined by
use of an index or other external reference stated in
the policy employed in calculating returns or changes
in value--
(i) averaged over the period of 4 years
prior to the date on which the Director becomes
obligated under this title with respect to the
policy, exceeds a rate of interest determined
by subtracting 2 percentage points from Moody's
Corporate Bond Yield Average averaged for that
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same 4-year period or for such lesser period if
the policy was issued less than 4 years before
the member insurer becomes an impaired or
insolvent insurer under this subtitle; and
(ii) on and after the date on which the
Director becomes obligated with respect to the
policy, exceeds the rate of interest determined
by subtracting 3 percentage points from Moody's
Corporate Bond Yield Average as most recently
available;
(D) a portion of a policy issued to a plan or
program of an employer, membership association or other
person to provide life or annuity benefits to its
employees, members or others, to the extent that the
plan or program is self-funded or uninsured, including
but not limited to benefits payable by an employer,
membership association or other person under--
(i) a multiple employer welfare arrangement
as defined in section 514 of the Employee
Retirement Income Security Act of 1974 (29
U.S.C. 1144);
(ii) a minimum premium group insurance
plan;
(iii) a stop-loss group insurance plan; or
(iv) an administrative services only
contract;
(E) a portion of a policy to the extent that it
provides for--
(i) dividends or experience rating credits;
(ii) voting rights; or
(iii) payment of any fees or allowances to
any person, including the policyowner, in
connection with the service to or
administration of the policy;
(F) a policy issued in a nonqualified State by an
insurer (other than a national insurer) at a time when
it was not licensed or did not have a certificate of
authority to issue the policy in the nonqualified
State;
(G) a portion of a policy to the extent that the
assessments required by section 1010 with respect to
the policy are preempted by Federal or State law;
(H) an obligation that does not arise under the
express written terms of the policy issued by the
insurer to the policyowner, including without
limitation--
(i) claims based on marketing materials;
(ii) claims based on side letters, riders
or other documents that were issued by the
insurer without meeting applicable policy form
filing or approval requirements;
(iii) misrepresentations of or regarding
policy benefits;
(iv) extra-contractual claims; or
(v) a claim for penalties or consequential
or incidental damages;
(I) a contractual agreement that establishes an
insurer's obligations to provide a book value
accounting guaranty for defined contribution benefit
plan participants by reference to a portfolio of assets
that is owned by the benefit plan or its trustee, which
in each case is not an affiliate of the insurer;
(J) a portion of a policy to the extent it provides
for interest or other changes in value to be determined
by the use of an index or other external reference
stated in the policy, but which have not been credited
to the policy or as to which the policyowner's rights
are subject to forfeiture, as of the date the member
insurer becomes an impaired or insolvent insurer under
this title, whichever is earlier. If a policy's
interest or changes in value are credited less
frequently than annually, then for purposes of
determining the values that have been credited and are
not subject to forfeiture under subsection (b)(2)(C) of
section 1005, the interest or change in value
determined by using the procedures defined in the
policy will be credited as if the contractual date of
crediting interest or changing values was the date of
impairment or insolvency, whichever is earlier, and
will not be subject to forfeiture;
(K) activities, assets, liabilities or obligations
of a protected cell established pursuant to section
323;
(L) a funding agreement; and
(M) an unallocated annuity contract.
(e) Coverage Limitations.--
(1) In general.--The benefits provided under this subtitle
shall in no event exceed the lesser of--
(A) the contractual obligations for which the
insurer is liable or would have been liable if it were
not an impaired or insolvent insurer, or
(B) with respect to one life, regardless of the
number of policies--
(i) $300,000 in life insurance death
benefits, but not more than $100,000 in net
cash surrender and net cash withdrawal values
for life insurance;
(ii) $100,000 in the present value of
annuity benefits, including net cash surrender
and net cash withdrawal values;
(iii) with respect to each payee of a
structured settlement annuity (or beneficiary
or beneficiaries of the payee if deceased),
$100,000 in present value annuity benefits, in
the aggregate, including net cash surrender and
net cash withdrawal values, if any.
(2) Limitation.--In no event shall benefits exceed--
(A) an aggregate of $300,000 in benefits with
respect to any one life under paragraph (1)(B)(i), or
(B) with respect to one policyowner of multiple
non-group policies of life insurance, whether the
policyowner is an individual, firm, corporation or
other person, and whether the persons insured are
officers, managers, employees or other persons, more
than $5,000,000 in benefits, regardless of the number
of policies held by the policyowner.
(3) Other considerations.--The limitations set forth in
this subsection are limitations on benefits under this subtitle
before taking into account either the subrogation and
assignment rights or the extent to which those benefits could
be provided out of the assets of the impaired or insolvent
insurer attributable to covered policies. The obligations for
benefits under this subtitle may be met by the use of assets
attributable to covered policies or reimbursed to the
corporation pursuant to the subrogation and assignment rights
in subsection (i) of section 1009.
(f) Other Exclusions.--The corporation shall not be required to
guarantee, assume, reinsure or perform, or cause to be guaranteed,
assumed,
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reinsured or performed, the contractual obligations of the
insolvent or impaired insurer under a covered policy that do not
materially affect the economic values or economic benefits of the
covered policy.
SEC. 1007. ACCOUNTS FOR ADMINISTRATION AND ASSESSMENTS.
For purposes of administration and assessment, the corporation
shall establish the following accounts:
(1) A life insurance account.
(2) An annuity account.
SEC. 1008. BOARD OF DIRECTORS.
The board of directors of a qualifying State's association shall
provide for representation of insurers on a basis that does not
unfairly discriminate against national insurers or against insurers
domiciled in other jurisdictions, and shall be fairly representative of
insurers of differing sizes and lines of insurance written. State
commissioners shall be member insurers and may be represented by
officers at the discretion of the member insurer.
SEC. 1009. POWERS AND DUTIES OF THE CORPORATION.
(a) Impaired Insurer.--Subject to the coverage limitations set
forth in section 1006, if a member insurer is an impaired insurer, the
corporation may, in its discretion, and subject to any conditions
imposed by the corporation that do not impair the contractual
obligations of the impaired insurer and that are approved by the
Director, meet its obligation under subsection (e) of section 1005 by
doing taking one of the following actions:
(1) Guarantee, assume or reinsure, or cause to be
guaranteed, assumed, or reinsured, any or all of the policies
of the impaired insurer.
(2) Provide such monies, pledges, loans, notes, guarantees
or other means as are proper to effectuate paragraph (1) and
assure payment of the contractual obligations of the impaired
insurer pending action under paragraph (1).
(b) Insolvent Insurer.--Subject to the coverage limitations set
forth in section 1006, if a member insurer is an insolvent insurer, the
corporation shall, in its discretion, meet its obligation under
subsection (e) of section 1005 by taking one of the actions under the
following two paragraphs:
(1)(A)(i) Guaranty, assume or reinsure, or cause to be
guaranteed, assumed or reinsured, the policies of the insolvent
insurer; or
(ii) assure payment of the contractual obligations of the
insolvent insurer; and
(B) provide monies, pledges, loans, notes, guarantees, or
other means reasonably necessary to discharge the duties
imposed by this section; or
(2) Provide benefits and coverages in accordance with the
following provisions:
(A) With respect to life insurance policies and
annuities, assure payment of benefits for premiums
identical to the premiums and benefits (except for
terms of conversion and renewability) that would have
been payable under the policies of the insolvent
insurer, for claims incurred--
(i) with respect to group policies, not
later than the earlier of the next renewal date
under those policies or 45 days, but in no
event less than 30 days, after the date on
which the corporation becomes obligated under
this section with respect to the policies;
(ii) with respect to non-group policies,
not later than the earlier of the next renewal
date (if any) under the policies or 1 year, but
in no event less than 30 days, from the date on
which the corporation becomes obligated under
this section with respect to the policies.
(B) Make diligent efforts to provide all known
insureds or annuitants (for non-group policies), or
group policyowners with respect to group policies, 30
days notice of the termination (pursuant to
subparagraph (A)) of the benefits provided.
(C) With respect to non-group policies covered by
this title, make available to each known insured or
annuitant, or policyowner if other than the insured or
annuitant, and with respect to an individual formerly
insured or formerly an annuitant under a group policy
who is not eligible for replacement group coverage,
make available substitute coverage on an individual
basis in accordance with the provisions of subparagraph
(D), if the insureds or annuitants had a right under
law or the terminated policy or annuity to convert
coverage to individual coverage or to continue an
individual policy or annuity in force until a specified
age or for a specified time, during which the insurer
had no right unilaterally to make changes in any
provision of the policy or had a right only to make
changes in premium by class.
(D)(i) In providing the substitute coverage
required under subparagraph (C), the corporation may
offer either to reissue the terminated coverage or to
issue an alternative policy.
(ii) Alternative or reissued policies shall be
offered without requiring evidence of insurability, and
shall not provide for any waiting period or exclusion
that would not have applied under the terminated
policy.
(iii) The corporation may reinsure any alternative
or reissued policy.
(E)(i) Alternative policies adopted by the
corporation shall be subject to the approval of the
Director and the receivership court. The corporation
may adopt alternative policies of various types for
future issuance without regard to any particular
impairment or insolvency.
(ii) Alternative policies shall contain at least
the minimum statutory provisions required in the
nonqualifying State if the insolvent insurer is not a
national insurer; in the case of an insolvent national
insurer such policies shall comply, with the provisions
of this Act and provide benefits that shall not be
unreasonable in relation to the premium charged. The
corporation shall set the premium in accordance with a
table of rates that it shall adopt. The premium shall
reflect the amount of insurance to be provided and the
age and class of risk of each insured, but shall not
reflect any changes in the health of the insured after
the original policy was last underwritten.
(iii) Any alternative policy issued by the
corporation shall provide coverage of a type similar to
that of the policy issued by the impaired or insolvent
insurer, as determined by the corporation.
(F) If the corporation elects to reissue terminated
coverage at a premium rate different from that charged
under the terminated policy, the premium shall be set by the
corporation in accordance with the amount of insurance provided and the
age and class of risk, subject to approval of the nonqualifying State
commissioner in the case of a State insurer, and the Director in the
case of a national insurer, and the receivership court.
(G) Benefits under this subtitle with respect to
coverage under any policy of the impai
2000
red or insolvent
insurer or under any reissued or alternative policy
shall cease on the date the coverage or policy is
replaced by another similar policy by the policyowner,
the insured or the corporation.
(H) When proceeding under this paragraph with
respect to a policy carrying guaranteed minimum
interest rates, the corporation shall assure the
payment or crediting of a rate of interest consistent
with subsection (d)(2)(C) of section 1006.
(c) Nonpayment of Premiums.--Nonpayment of premiums within 31 days
after the date required under the terms of any guaranteed, assumed,
alternative or reissued policy or substitute coverage shall terminate
benefits under this subtitle with respect to the policy, except with
respect to any claims incurred or any net cash surrender value which
may be due in accordance with the provisions of this title.
(d) Premiums Due After Entry of Order.--Premiums due for coverage
after entry of an order of liquidation of an insolvent insurer shall
belong to and be payable at the direction of the corporation, and the
corporation shall be liable for unearned premiums due to policyowners
arising after the entry of the order.
(e) Powers of the Corporation.--In carrying out its duties under
subsection (b), the corporation may--
(1) subject to approval by the Director, impose permanent
policy liens in connection with a guarantee, assumption or
reinsurance contract, if the corporation finds that the amounts
which can be assessed under this subtitle are less than the
amounts needed to assure full and prompt performance of the
protections provided under this subtitle, or that the economic
or financial conditions as they affect the insurance industry
are sufficiently adverse to render the imposition of such
permanent policy liens, in the public interest; and
(2) subject to approval by the Director, impose temporary
moratoriums or liens on payments of cash values and policy
loans, or any other right to withdraw funds held in conjunction
with policies, in addition to any contractual provisions for
deferral of cash or policy loan value. In addition, in the
event of a temporary moratorium or moratorium charge imposed by
the receivership court on payment of cash values or policy
loans, or on any other right to withdraw funds held in
conjunction with policies, out of the assets of the impaired or
insolvent insurer, the corporation may defer the payment of
cash values, policy loans or other rights by the corporation
for the period of the moratorium or moratorium charge imposed
by the receivership court, except for claims covered by this
title to be paid in accordance with a hardship procedure
established by the liquidator or rehabilitator and approved by
the receivership court.
(f) Deposits.--A deposit in the nonqualifying State, held pursuant
to State law or required by the State commissioner of the nonqualifying
State for the benefit of creditors, including policyowners, not turned
over to the domiciliary liquidator upon the entry of a final order of
liquidation or order approving a rehabilitation plan of an insurer
domiciled in the nonqualifying State or in a reciprocal State, pursuant
to applicable State law governing receivership of State insurers, shall
be promptly paid to the corporation. The corporation shall be entitled
to retain a portion of any amount so paid to it equal to the percentage
determined by dividing the aggregate amount of policyowners claims
related to that insolvency for which the corporation has provided
statutory benefits by the aggregate amount of all policyowners' claims
in nonqualifying State related to that insolvency and shall remit to
the domiciliary receiver the amount so paid to the corporation and
retained pursuant to this subsection. Any amount so paid to the
corporation less the amount retained by it shall be treated as a
distribution of estate assets pursuant to applicable State law
governing receivership of State insurers of the State of domicile of
the impaired or insolvent insurer.
(g) Advice to State Commissioner.--The corporation may render
assistance and advice to the State commissioner in a nonqualifying
State, upon the State commissioner's request, concerning
rehabilitation, payment of claims, continuance of coverage, or the
performance of other contractual obligations of an impaired or
insolvent insurer.
(h) Standing.--The corporation shall have standing to appear or
intervene before a court or agency in the State, or United States
district court, with jurisdiction over an impaired or insolvent insurer
concerning which benefits under this subtitle are to be provided, or
with jurisdiction over any person or property against which the
corporation may have rights through subrogation or otherwise. Standing
shall extend to all matters germane to the powers and duties under this
subtitle, including, but not limited to, proposals for reinsuring,
modifying or guaranteeing the policies of the impaired or insolvent
insurer and the determination of the policies and contractual
obligations.
(i) Subrogation.--
(1) Persons receiving benefits under this subtitle shall be
deemed to have assigned their rights under, and any causes of
action against any person for losses arising under, resulting
from or otherwise relating to, their covered policies to the
corporation to the extent of the benefits received because of
this subtitle, whether the benefits are payments of or on
account of contractual obligations, continuation of coverage or
provision of substitute or alternative coverages. The
corporation shall also have the right to require an assignment
to it of such rights and causes of action by any payee,
policyowner, beneficiary, insured or annuitant as a condition
precedent to the receipt of any right or benefits conferred by
this subtitle upon the person.
(2) The subrogation rights of the corporation provided
under the law of a nonqualifying State shall be accorded the
same priority against the assets of the impaired or insolvent
insurer as that possessed by the person entitled to receive
benefits under this subtitle.
(3) In addition to paragraphs (1) and (2), the corporation
shall have all common law rights of subrogation and any other
equitable or legal remedy that would have been available to the
impaired or insolvent insurer or policyowner, beneficiary or
payee of a policy with respect to the policy (including without
limitation, in the case of a structured settlement annuity, any
rights of the policyowner, beneficiary or payee of the annuity,
to the extent of benefits received pursuant to this subtitle,
against a person originally or by succession responsible for
the losses arising from the personal injury relating to the
annuity or payment therefore), excepting any such person
responsible solely by reason of serving as an assignee in
respect of a qualified assignment under section 130 of the
Internal Revenue Code of 1986.
(4) If the preceding provisions of this subsection are
invalid or ineffective with respect to any person or claim for
any reason, the amount payable under this subtitle with respect
to the related benefits under this subtitle shall be reduced by
the amount realized by any other person with respect to the
person or claim that is attributable to the policies (or
portion thereof) protected by this subtitle.
(5) If benefits have been provided under this subtitle
2000
with
respect to a covered obligation and a person recovers amounts
as to which the corporation has rights as described in the
preceding paragraphs, the person shall pay to the corporation
the portion of the recovery attributable to the policies (or
portion thereof) covered by this subtitle.
(j) Other Corporation Powers.--In addition to the rights and powers
provided elsewhere in this subtitle, the corporation may--
(1) enter into such contracts as are necessary or proper to
carry out the provisions and purposes of this subtitle;
(2) sue or be sued, including taking any legal actions
necessary or proper to recover any unpaid assessments under
section 1010 and to settle claims or potential claims against
it;
(3) borrow money to effect the purposes of this subtitle;
any notes or other evidence of indebtedness of the Corporation
not in default shall be legal investments for Companies and may
be carried as admitted assets;
(4) employ or retain such persons as are necessary or
appropriate to handle the financial transactions of the
corporation, and to perform such other functions as become
necessary or proper under this subtitle;
(5) take such legal action as may be necessary or
appropriate to avoid or recover payment of improper claims;
(6) exercise, for the purposes of this subtitle and to the
extent approved by the Director, the powers of a national
insurer, except that the corporation may not issue insurance
policies or annuity contracts other than those issued to
provide the protections under this subtitle;
(7) request information from a person seeking protection
under this subtitle in order to aid the corporation in
determining its obligations under this subtitle with respect to
the person, and the person shall promptly comply with the
request;
(8) become a member of an association of associations; and
(9) take other necessary or appropriate action to discharge
its duties and obligations under this subtitle or to exercise
its powers under this subtitle.
(k) Judgment.--The corporation shall have discretion and may
exercise reasonable business judgment to determine the means by which
the benefits and protections of this subtitle will be provided in an
economical and efficient manner.
(l) Other Benefits.--Where the corporation has arranged or offered
to provide the benefits of this subtitle to a covered person under a
plan or arrangement that fulfills obligations to provide the
protections under this subtitle, the person shall not be entitled to
benefits under this subtitle in addition to or other than those
provided under the plan or arrangement.
(m) Venue.--Venue in a suit against the corporation arising under
this subtitle shall be in the United States district court for the
District of Columbia.
SEC. 1010. ASSESSMENTS.
(a) In General.--For the purpose of providing the funds necessary
to provide the protections and benefits under this subtitle, the
corporation shall be authorized to assess the member insurers
separately for each account, at such time and for such amounts as the
board of the corporation finds necessary. Assessments shall be due not
less than 30 days after prior written notice to the member insurers and
shall accrue interest at a rate of interest specified by law on and
after the due date.
(b) Classes of Assessment.--There shall be 2 classes of
assessments, as follows:
(1) Class A assessments shall be authorized and called for
the purpose of meeting administrative and legal costs and other
expenses. Class A assessments may be authorized and called
whether or not related to a particular impaired or insolvent
insurer. The board of the corporation may authorize the
corporation to make a Class A assessment only against national
insurers, and against national insurers and other member
insurers in nonqualifying States, to meet its administrative
and legal costs and other expenses pursuant to operating rules
established by the board.
(2) Class B assessments shall be authorized and called to
the extent necessary to provide the protection and benefits
under this subtitle with regard to an impaired or an insolvent
insurer.
(c) Assessment Amounts.--
(1) The amount of a Class A assessment shall be determined
by the board of the corporation and may be authorized and
called on a pro rata or non-pro rata basis. If pro rata, the
board of the corporation may provide that it be credited
against future Class B assessments. The total of all non-pro
rata assessments shall not exceed $150 per assessed member
insurer in any one calendar year. The amount of a Class B
assessment shall be allocated for assessment purposes among the
accounts or subaccounts pursuant to an allocation formula which
may be based on the premiums or reserves of the impaired or
insolvent insurer or any other standard deemed by the board as
being fair and reasonable under the circumstances.
(2) Class B assessments against member insurers for each
account and subaccount shall be in the proportion that the
premiums received on business in the nonqualifying State by
each assessed member insurer on policies covered by each
account or subaccount for the 3 most recent calendar years for
which information is available preceding the year in which the
insurer became insolvent (or, in the case of an assessment with
respect to an impaired insurer, the 3 most recent calendar
years for which information is available preceding the year in
which the insurer became impaired) bears to premiums received
on business in the nonqualifying State for those calendar years
by all assessed member insurers.
(3) Assessments for funds to meet the requirements of the
corporation with respect to an impaired or insolvent insurer
shall not be authorized or called until necessary to implement
the purposes of this title. Classification of assessments under
subsection (b) and computation of assessments under this
subsection shall be made with a reasonable degree of accuracy,
recognizing that exact determinations may not always be
possible. The corporation shall notify each member insurer of
its anticipated pro rata share of an authorized assessment not
yet called within 180 days after the assessment is authorized.
(d) Abated or Deferred Assessments.--The board of the corporation
may abate or defer, in whole or in part, the assessment of a member
insurer if, in the opinion of the board, payment of the assessment
would endanger the ability of the member insurer to fulfill its
contractual obligations. In the event an assessment against a member
insurer is abated, or deferred in whole or in part, the amount by which
the assessment is abated or deferred may be assessed against the other
member insurers, in a manner consistent with the basis for assessments
set forth in this section. Once the conditions that caused a deferral
have been removed or rectified, the member insurer shall pay all
assessments that were deferred pursuant to a repayment plan approved by
the board of the corporation.
(e) Maximum Assessment.--
(1) Amount.--
(A) Subject to the provisions of subparagraph (B),
the total of all assessments authorized by the
corporation with respect to a member insurer for each
of the life insurance and annuity accounts shall not in
one calendar year exceed 2 percent of that
2000
member
insurer's average annual premiums received in the
nonqualifying State on the policies covered by the
account during the 3 calendar years preceding the year
in which the insurer became an impaired or insolvent
insurer.
(B) If 2 or more assessments are authorized in one
calendar year with respect to insurers that become
impaired or insolvent in different calendar years, the
average annual premiums for purposes of the aggregate
assessment percentage limitation referenced in
subparagraph (A) shall be equal and limited to the
higher of the 3-year average annual premiums for the
applicable subaccount or account as calculated pursuant
to this section.
(C) If the maximum assessment, together with other
assets held in an account or subaccount, does not
provide in 1 year in either account or subaccount an
amount sufficient to carry out the responsibilities
under this title, the necessary additional funds shall
be assessed as soon thereafter as permitted by this
subtitle.
(2) The board of the corporation may provide by operating
rules a method of allocating funds among claims, whether
relating to one or more impaired or insolvent insurers, when
the maximum assessment will be insufficient to cover
anticipated claims.
(3) If the maximum assessment for a subaccount of the life
and annuity account in 1 year does not provide an amount
sufficient to provide the protection and benefits of this
subtitle, then pursuant to subsection (c)(2), the other
subaccounts of the life and annuity account may be accessed by
the corporation for the necessary additional amount, subject to
the maximum stated in paragraph (1).
(f) Refunds.--The board of the corporation may, by an equitable
method as established by operating rules, refund to member insurers, in
proportion to the contribution of each insurer to that account or
subaccount, the amount by which the assets of the account exceed the
amount the board finds is necessary to carry out during the coming year
the obligations of this subtitle with regard to that account or
subaccount, including assets accruing from assignment, subrogation, net
realized gains and income from investments. A reasonable amount may be
retained in any account to provide funds for the continuing expenses of
the corporation, and for future claims.
(g) Rates and Dividends.--It shall be proper under this subtitle
for any national insurer, in determining its premium rates and
policyowner dividends as to any kind of insurance within the scope of
this title, to consider the amount reasonably necessary to meet its
assessment obligations under this subtitle.
(h) Certificates of Contribution.--The corporation shall issue to
each insurer paying an assessment under this subtitle, other than a
Class A assessment, a certificate of contribution, in a form prescribed
by the Director, for the amount of the assessment so paid. All
outstanding certificates shall be of equal dignity and priority without
reference to amounts or dates of issue. A certificate of contribution
may be shown by a national insurer in its financial statement as an
asset in such form and for such amount, if any, and period of time as
the Director may approve.
(i) Assessment Protests.--
(1) A member insurer that wishes to protest all or part of
an assessment shall pay when due the full amount of the
assessment as set forth in the notice provided by the
corporation. The payment shall be available to meet obligations
under this subtitle during the pendency of the protest or any
subsequent appeal. Payment shall be accompanied by a statement
in writing that the payment is made under protest and setting
forth a brief statement of the grounds for the protest.
(2) Within 60 days following the payment of an assessment
under protest by a member insurer, the corporation shall notify
the member insurer in writing of its determination with respect
to the protest unless the corporation notifies the member
insurer that additional time is required to resolve the issues
raised by the protest.
(3) Within 30 days after a final decision has been made,
the corporation shall notify the protesting member insurer in
writing of that final decision. Within 60 days of receipt of
notice of the final decision, the protesting member insurer may
appeal that final action to the Director.
(4) In the alternative to rendering a final decision with
respect to a protest based on a question regarding the
assessment base, the corporation may refer protests to the
Director for a final decision, with or without a recommendation
from the corporation.
(5) If the protest or appeal on the assessment is upheld,
the amount paid in error or excess shall be returned to the
member insurer. Interest on a refund due a protesting member
shall be paid at the rate actually earned by the corporation.
(j) Information Requests.--The corporation may request information
of member insurers in order to aid in carrying out its duties under
this section and member insurers shall promptly comply with a request.
SEC. 1011. APPEAL BY NATIONAL INSURER OF ASSESSMENTS.
A national insurer that has paid an assessment to a qualified
State's association shall comply with the procedures in that State for
protesting the assessment. In the event of an adverse determination by
the State commissioner in that State the national insurer may appeal to
the Director.
SEC. 1012. DUTIES AND POWERS OF DIRECTOR.
(a) Director's Duties and Powers.--In addition to the duties and
powers enumerated elsewhere in this subtitle, the Director--
(1) shall provide the corporation upon request with a
statement of the premiums in nonqualifying States for each
member insurer;
(2) shall, when an impairment of a national insurer is
declared and the amount of the impairment is determined, serve
a demand upon the impaired insurer to make good the impairment
within a reasonable time; notice to the impaired insurer shall
constitute notice to its shareholders, if any; and
(3) may either--
(A) suspend or revoke, after notice and hearing, a
Federal license of a national insurer; or
(B) levy a forfeiture in an amount not to exceed 5
percent of the unpaid assessment per month, but no
forfeiture shall be less than $100 per month--
(i) on a national insurer or other member
insurer that fails to pay an assessment to the
corporation when due or fails to otherwise
comply with the requirements of this subtitle;
or
(ii) on a national insurer that fails to
pay an assessment to a qualified State's
association or otherwise comply with its plan
of operation.
(b) Appeal by National Insurer.--A national insurer may appeal a
final action of the board of directors of the association in a
qualifying State to the Director if the appeal is taken within 60 days
of its receipt of notice of the final action being appealed.
(c) Notification of Interested Persons.--The liquidator,
rehabilitator or conservator of an impaired insurer may notify all
interested persons of the effect of this subtitle.
SEC. 1013.
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COOPERATION BETWEEN DIRECTOR AND STATE COMMISSIONERS.
(a) Notice to State Commissioners.--The Director shall notify the
State commissioner in each State in which a national insurer is doing
business within 30 days of taking any of the following actions against
a national insurer--
(1) revocation or suspension of the national insurer's
authority to transact insurance;
(2) the entry of a formal order that the national insurer
restrict its premium writing, obtain additional contributions
to surplus, reinsure all or any part of its business, or
increase capital, surplus, or any other account for the
security of policyowners or creditors; or
(3) the Director has reasonable cause to believe from an
examination, whether completed or in process, of any national
insurer that such national insurer may be an impaired or
insolvent insurer.
(b) Notice to Director.--Each State commissioner shall notify the
Director when any action listed in subsection (a)(1) is taken or
condition is believed to exist with respect to a State insurer that is
a member insurer.
(c) Report to Associations.--The Director shall also report to the
boards of directors of the appropriate associations when the Director
has taken any of the actions set forth in subsection (a). Any report to
the boards of directors shall contain all significant details of the
action taken and may be provided with the cooperation of the
corporation.
(d) Obligations of the Corporation.--The corporation may make
reports and recommendations to the Director, as appropriate, upon any
matter germane to the solvency, liquidation, rehabilitation or
conservation of any member insurer. The reports and recommendations
shall not be considered public documents. The corporation shall also
provide such information and advice as requested by the Director when
providing protection and benefits under this subtitle in a
nonqualifying State.
(e) Notice by the Corporation.--The corporation may notify the
Director of any information indicating a member insurer in a
nonqualifying State may be an impaired or insolvent insurer.
SEC. 1014. PROHIBITED DISCRIMINATION IN TAX TREATMENT.--
No State law may discriminate between national insurers and other
insurers with respect to deductions or offsets of assessments against
premium, franchise or income tax liability to the State, and any State
law that does so shall not be effective.
SEC. 1015. MISCELLANEOUS PROVISIONS.
(a) No Reduction in Liability.--This subtitle shall not be
construed to reduce the liability for unpaid assessments of the
insureds of an impaired or insolvent insurer operating under a plan
with assessment liability.
(b) Corporation as Creditor.--
(1) For the purpose of providing the protections and
benefits required under this subtitle, the corporation shall be
deemed to be a creditor of an impaired or insolvent national
insurer to the extent of assets attributable to covered
policies reduced by any amounts to which the corporation is
entitled as subrogee pursuant to subsection (i) of section
1009. Assets of the impaired or insolvent insurer attributable
to covered policies shall be used to continue all covered
policies and pay all contractual obligations of the impaired or
insolvent insurer as required by this subtitle.
(2) For purposes of this subsection, the term ``assets
attributable to covered policies'' are that proportion of the
assets which the reserves that should have been established for
such policies bear to the reserves that should have been
established for all policies of insurance written by the
impaired or insolvent insurer.
(c) Disbursements Payable to the Corporation.--As a creditor of the
impaired or insolvent insurer as established in subsection (b) of this
section and consistent with section 975, the corporation shall be
entitled to receive a disbursement of assets out of the marshaled
assets, from time to time, as the assets become available to reimburse
it, as a credit against contractual obligations required to be covered
under this subtitle. If the liquidator has not, within 120 days of a
final determination of insolvency of an insurer by the receivership
court, made an application to the court for the approval of a proposal
to disburse assets out of marshaled assets to State associations having
obligations because of the insolvency, then the corporation shall be
entitled to make application to the receivership court for approval of
its own proposal to disburse these assets.
(d) Termination; Shareholder Distributions.--
(1) Prior to the termination of any liquidation,
rehabilitation or conservation proceeding, the court may take
into consideration the contributions of the respective parties,
including the corporation, the shareholders, and policyowners
of the insolvent insurer, and any other party with a bona fide
interest, in making an equitable distribution of the ownership
rights of the insolvent national insurer. In such a
determination, consideration shall be given to the welfare of
the policyowners of the continuing or successor insurer.
(2) No distribution to shareholders, if any, of an impaired
or insolvent insurer shall be made until and unless the total
amount of valid claims of the Director and the corporation when
acting under this subtitle, with interest thereon for funds
expended in carrying out their powers and duties with respect
to the insurer, have been fully recovered by the Director or
the corporation, as applicable.
SEC. 1016. EXAMINATION OF THE CORPORATION; ANNUAL REPORT.
The corporation shall be subject to examination and regulation by
the Director. The corporation shall submit to the Director each year,
not later than 120 days after the end of its fiscal year, a financial
report in a form approved by the Director and a report of its
activities during the preceding fiscal year, as they relate to the
duties and functions carried out under this subtitle.
SEC. 1017. IMMUNITY.
There shall be no liability on the part of and no cause of action
of any nature shall arise against any member insurer or its agents or
employees, the corporation or its agents or employees, members of the
board of directors, or the Director or the Director's representatives,
for any action or omission by them in the performance of their powers
and duties under this subtitle.
SEC. 1018. STAY OF PROCEEDINGS; REOPENING DEFAULT JUDGMENTS.
All proceedings in which an insolvent national insurer is a party
in any Federal or State court shall be stayed 60 days from the date an
order of liquidation, rehabilitation or conservation is final to permit
proper legal action by the associations, or by the corporation when
acting under the provisions of this title, on any matters germane to
their powers or duties. As to judgment under any decision, order,
verdict or finding based on default an association, or the corporation,
may apply to have such judgment set aside by the same court that made
such judgment and shall be permitted to defend against such suit on the
merits.
SEC. 1019. PROHIBITED ADVERTISEMENT OF STATE ASSOCIATION OR THE
CORPORATION IN INSURANCE SALES; NOTICE TO POLICYOWNERS.
(a) In General.--No person, including a national insurer or other
insurance producer or affiliate of a national insurer or other insurer
shall make, publish, disseminate, circulate or place before the public,
or cause directly or indirectly, to be made, published, disseminated,
circulated or placed before the public, in any newspaper, magazine or
other publication, or in the form of a notice, circular, pamphlet,
letter or poster, or over any radio station or television station, or
in any other way, any advertisement, announcemen
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t or statement, written
or oral, which uses the existence of an association, or the
corporation, for the purpose of sales, solicitation or inducement to
purchase any form of insurance covered by the association or the
corporation. However, such prohibition does not apply to an association
or any other entity which does not sell or solicit insurance.
(b) Disclaimer.--A national insurer may not deliver a policy to a
policyowner unless a summary document describing the general purposes
and current limitations of the appropriate association, or the
corporation, and complying with subsection (c), is delivered to the
policyowner at the time of delivery of the policy. The document shall
also be available upon request by a policyowner. The distribution,
delivery or contents or interpretation of this document does not
guarantee that either the policy or the policyowner is covered in the
event of the impairment or insolvency of a member insurer. Failure to
receive this document does not give the policyowner, certificate
holder, or insured any greater rights than those stated in this title.
The summary document required of a national insurer under this
subsection shall be in lieu of any similar document required by any
State.
(c) Form of Disclaimer.--The form and content of the disclaimer
required by subsection (b) shall be as prescribed by the State
commissioner in the State in which the policy is delivered or issued
for delivery, in the case of a qualified State, or the Director, in the
case of a nonqualified State. The disclaimer may also include a
provision that the national insurer, other insurer and insurance
producers are prohibited from using the existence of the association
and the corporation for the purpose of sales, solicitation or
inducement to purchase any form of insurance.
Subtitle B--Property and Casualty Insurance
SEC. 1020. DEFINITIONS.
For purposes of this subtitle:
(1) Account.--The term ``account'' means either of the
three accounts referred to in section 1027.
(2) Association.--The term ``association'' means the State
property and casualty insurance guaranty association created
under the laws of the relevant State.
(3) Claimant.--The term ``claimant'' means any insured
making a first party claim or any person instituting a
liability claim, provided that no person who is an affiliate of
the insolvent insurer may be a claimant.
(4) Covered claim.--
(A) In general.--The term ``covered claim'' means
an unpaid claim, including one for unearned premiums,
submitted by a claimant, which arises out of and is
within the coverage and is subject to the applicable
limits of an insurance policy to which this subtitle
applies issued by a member insurer, if the member
insurer becomes an insolvent insurer after the
effective date of this subtitle and--
(i) the claimant or insured is a resident
of a nonqualifying State at the time of the
insured event, provided that for entities other
than an individual, the residence of a
claimant, insured or policyholder is the State
in which its principal place of business is
located at the time of the insured event; or
(ii) the claim is a first party claim for
damage to property with a permanent location in
a nonqualifying State.
(B) Exclusions.--Such term shall not include--
(i) any amount awarded as punitive or
exemplary damages;
(ii) any amount sought as a return of
premium under any retrospective rating plan;
(iii) any amount due any reinsurer,
insurer, insurance pool or underwriting
association as subrogation recoveries,
reinsurance recoveries, contribution,
indemnification or otherwise; no claim for any
amount due any reinsurer, insurer, insurance
pool or underwriting association may be
asserted against a person insured under a
policy issued by an insolvent insurer other
than to the extent the claim exceeds the
corporation's obligation limitations set forth
in section 1025;
(iv) any first party claims by an insured
whose net worth exceeds $25,000,000 on December
31 of the year prior to the year in which the
member insurer becomes an insolvent insurer;
provided that an insured's net worth on that
date shall be deemed to include the aggregate
net worth of the insured and all of its
subsidiaries as calculated on a consolidated
basis; or
(v) any first party claims by an insured
which is an affiliate of the insolvent insurer.
(5) Insolvent insurer.--The term ``insolvent insurer''
means a member insurer which is placed under an order of
liquidation by a court of competent jurisdiction with a finding
of insolvency.
(6) Member insurer.--
(A) The term ``member insurer'' means any person
who--
(i) writes any kind of insurance to which
this subtitle applies, including the exchange
of reciprocal or inter-insurance contracts; and
(ii) is a State insurer licensed or holding
a certificate of authority to transact in a
nonqualifying State any kind of insurance for
which coverage is provided under section 1025,
including a State insurer whose license or
certificate of authority in that State may have
been suspended, revoked, not renewed or
voluntarily withdrawn; or
(iii) is a national insurer that holds a
Federal license under this Act to issue the
kinds of insurance for which coverage is
provided under section 1025.
(B) A State insurer or national insurer shall cease
to be a member insurer effective on the day following
the termination or expiration of its license to
transact the kinds of insurance to which this subtitle applies;
provided, however, that such State insurer or national insurer shall
remain liable as a member insurer for any and all obligations,
including obligations for assessments levied prior to the termination
or expiration of the State insurer's or national insurer's license and
assessments levied after the termination or expiration, with respect to
such State insurer or national insurer that becomes an insolvent
insurer prior to the termination or expiration of the State insurer's
or national insurer's license.
(7) Net direct written premiums.--The term ``net direct
written premiums'' means direct gross premiums less return
premiums written in a nonqualifying State to which this
subtitle applies and dividends paid or credited to
policyholders on that direct business. Such term does not
include premiums on contracts between insurers or reinsurers.
(8) Non-qualifying
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state.--The term ``nonqualifying State''
means a State that is not a qualified State as defined in
section 1022.
(9) Receivership court.--In the case of a State insurer,
the term ``receivership court'' means the court having
jurisdiction over the conservation, rehabilitation or
liquidation of the insurer. In the case of a national insurer
holding a Federal license under this Act, such term means the
United States district court or other United States court
having jurisdiction over the receivership proceedings involving
such national insurer.
(10) State commissioner.--The term ``State commissioner''
means the chief insurance regulatory official of a State.
SEC. 1021. NATIONAL INSURER PARTICIPATION IN QUALIFIED STATE
ASSOCIATIONS.
(a) Qualified State Association Membership.--A national insurer
holding a Federal license to issue property and casualty insurance
must, as a condition of its authority to transact business, become and
continue as a member of a qualified State's association in each State
in which the national insurer is doing business.
(b) Definition of Doing Business.--A national insurer is doing
business in a State for purposes of this subtitle if it has any
policies on property with a permanent location in the State, collects
premiums from a policyowner resident in the State, or has current
obligations to policyowners or beneficiaries of policies in that State.
SEC. 1022. QUALIFIED STATE DEFINED.
(a) Qualified State Defined.--For purposes of this subtitle, the
term ``qualified State'' means a State which has established an
association--
(1) that provides protection for covered claims in the
event of insolvency of any national insurer or State insurer
doing business in the State that meets or exceeds the standards
set forth in sections 1025, 1026, and 1027; and
(2) which has been determined by the Director to comply
with the standards set forth in sections 1025, 1026, and 1027,
and such determination has not been revoked.
(b) Deemed Compliance.--An association shall be deemed in
compliance with the requirements of subsection (a) until 3 years after
the effective date of this Act, following which date an association
must meet those requirements. An association that is determined by the
Director not to meet the standards required in subsection (a) at any
time on or after 3 years following the effective date of this Act shall
be preempted by this subtitle. The Director may, for good cause, extend
this 3-year period for not more than 6 months as to any association.
The Director shall notify an association's board of directors and the
relevant State's State commissioner that the association's
qualification under subsection (a) has been revoked for the reasons
stated, effective 90 days following the date of such notification.
SEC. 1023. TRANSITION RULES WHEN ASSOCIATION PREEMPTED.
In the event an association's qualification is revoked under
section 1022 following a date on which a member insurer of that
association has been determined to be insolvent, for insolvencies
occurring on or before the date on which the standard benefits of this
title apply, and prior to a termination of receivership proceedings--
(1) the Director shall develop a plan, in consultation with
the association and the relevant State's State commissioner, to
provide appropriate coverage to covered claims, and assessments
appropriate to the line of insurance affected, which plan may
include coverage provided in whole or in part by the
corporation;
(2) such plan shall incorporate appropriate adjustments in
the event payments for claims have been made under the
association's coverage, including the adjustment of claims
transferred to, and assumption of liabilities by, succeeding
insurance companies; and
(3) appropriate supplemental assessments, if necessary, may
be made pursuant to section 1027, by the corporation as the
Director finds necessary to effect the change in benefits
provided under this subtitle.
SEC. 1024. ESTABLISHMENT OF THE NATIONAL PROPERTY AND CASUALTY
INSURANCE GUARANTY CORPORATION; PROTECTION FOR RESIDENTS
IN PREEMPTED STATES.
(a) Establishment of the Corporation.--There is established the
National Property and Casualty Insurance Guaranty Corporation. The
corporation shall be a nonprofit corporation and shall have succession
until dissolved by Act of the Congress. The corporation--
(1) shall not be an agency or instrumentality of the United
States Government; and
(2) except as otherwise provided in this subtitle, shall be
subject to, and have all the powers conferred upon a nonprofit
corporation by, the District of Columbia Nonprofit Corporation
Act (section 29-301.01 et seq., D.C. Official Code).
(b) Membership in the Corporation.--The membership of the
corporation shall consist of all member insurers.
(c) Corporate Governance.--
(1) Board of directors.--The board of directors of the
corporation shall be the governing body of the corporation and
shall be vested with all powers necessary for the management
and administration of the affairs of the corporation and the
promotion of its purposes as authorized by this Act. The
board's authority shall be specified in the bylaws of the
corporation.
(2) Initial board.--The initial board of the corporation
shall be elected by the membership of the corporation, provided
that if the membership fails to elect the initial board of the
corporation within 3 years of the effective date of this Act,
then the initial board shall be appointed by the Director.
Membership on the board shall be fairly representative of
member insurers of differing size and lines of business
written.
(3) Bylaws and rules.--The Director shall prescribe the
initial bylaws and rules governing the corporation which shall
set forth the composition of the board, the term of board
members, filling of board vacancies, board compensation,
election of officers and procedures to call board meetings, and
all matters necessary for the governance of the corporation not
addressed by the District of Columbia Nonprofit Corporation
Act.
(4) Amendments to bylaws and rules.--Amendments to the
bylaws and rules of the corporation following the establishment
of the initial bylaws and rules as provided in paragraph (3)
shall be adopted by the board of the corporation following the
approval thereof by the Director.
(d) Relationship of Corporation to the Federal Government.--
(1) The corporation shall be subject to supervision and
oversight of the Director.
(2) The obligations of the corporation shall not be backed,
directly or indirectly, by the full faith and credit of the
United States. The corporation shall receive no financial
assistance from or have any authority to borrow from the United
States.
(3) Funds held by or due to the corporation shall not be
included in the budget of the United States, nor may the United
States borrow or pledge such funds.
(e) Corporation To Provide Protection in Preempted States.--The
corporation shall provide the protections under this subtitle for
covered claims in any State in which the operations and activities of
the association have been preempted pursuant to section 1022.
(f) Contracting With Person To Administer Benefits.--The
corporation may, with the approval of the Director, contract with
another person to administer the claims submitted to the corpora
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tion
under this subtitle.
(g) Funding of Claims.--Funds for the provision of covered claims
by the corporation shall be in accordance with the formulas and
procedures, and subject to the limitations of, section 1027. Premiums
and other considerations for purposes of such assessments shall include
all nationwide premiums of national insurers on the covered lines of
business.
SEC. 1025. PROTECTIONS AGAINST INSOLVENCY; COVERAGE AND LIMITATIONS.
(a) Covered Claims.--This subtitle shall provide coverage for
covered claims on policies specified in subsection (b)--
(1) existing prior to the order of liquidation,
(2) arising within thirty (30) days after the order of
liquidation,
(3) arising before the policy expiration date if less than
thirty (30) days after the order or liquidation, or
(4) arising before the insured replaces the policy or
causes its cancellation, if the insured does so within thirty
(30) days of the order of liquidation.
(b) Policies Covered.--
(1) Scope.--This subtitle shall provide coverage to the
claims specified in subsection (a) for all kinds of direct
insurance, other than--
(A) life, annuity or disability insurance;
(B) mortgage guaranty, financial guaranty or other
forms of insurance offering protection against
investment risks;
(C) fidelity or surety bonds, or any other bonding
obligations;
(D) credit insurance, vendors' single interest
insurance, or collateral protection insurance or any
similar insurance protecting the interests of a
creditor arising out of a creditor-debtor transaction;
(E) insurance of warranties or service contracts
including insurance that provides for the repair,
replacement or service of goods or property,
indemnification for repair, replacement or service for
the operational or structural failure of the goods or
property due to a defect in materials, workmanship or
normal wear and tear, or provides reimbursement for the
liability incurred by the issuer of agreements or
service contracts that provide such benefits;
(F) title insurance;
(G) ocean marine insurance;
(H) any transaction or combination of transactions
between a person (including affiliates of such person)
and an insurer (including affiliates of such insurer)
which involves the transfer of investment or credit
risk unaccompanied by transfer of insurance risk; or
(I) any insurance provided by or guaranteed by
government.
(2) Definitions.--For purposes of this subsection:
(A) The term ``financial guaranty insurance''
includes--
(i) failure of any obligor or obligors on
any debt instrument or other monetary
obligation, including common or preferred
stock, to pay when due the principal, interest,
dividend or purchase price of such instrument
or obligation, whether failure is the result of
a financial default or insolvency and whether
or not the obligation is incurred directly or
as guarantor by, or on behalf of, another obligor which has also
defaulted;
(ii) changes in the level of interest rates
whether short-term or long-term, or in the
difference between interest rates existing in
various markets;
(iii) changes in the rate of exchange of
currency, or from the inconvertibility of one
currency into another for any reason; and
(iv) changes in the value of specific
assets or commodities, or price levels in
general.
(B) The term ``credit insurance'' means insurance
on accounts receivable.
(C) The term ``ocean marine insurance'' means any
form of insurance, regardless of the name, label or
marketing designation of the insurance policy, which
insures against maritime perils or risks and other
related perils or risks, which are usually insured
against by traditional marine insurance, such as hull
and machinery, marine builders risk, and marine
protection and indemnity. Perils and risk insured
against include without limitation loss, damage,
expense or legal liability of the insured for loss,
damage or expense arising out of or incident to
ownership, operation, chartering, maintenance, use,
repair or construction of any vessel, craft or
instrumentality in use in ocean or inland waterways for
commercial purposes, including liability of the insured
for personal liability of the insured for personal
injury, illness or death or for loss of damage to the
property of the insured or another person.
(c) Coverage Limitations.--
(1) In general.--The obligation to a claimant under this
subtitle shall be satisfied by paying to the claimant--
(A) the full amount of a covered claim for the
benefits under a workers' compensation insurance
coverage; and
(B) an amount not exceeding $10,000 per policy for
a covered claim for the return of unearned premiums;
(2) Other Limitations.--In no event shall a claimant be
entitled to an amount in excess of the obligation of the
insolvent insurer under the policy or coverage from which the
claim arises. Notwithstanding any other provisions of this
subtitle, a covered claim shall not include a claim filed after
the final date set by the receivership court for the filing of
claims against the liquidator or receiver of an insolvent
insurer.
SEC. 1026. BOARD OF DIRECTORS.
The board of directors of a qualifying State's association shall
provide for representation of insurers on a basis that does not
unfairly discriminate against national insurers or against insurers
domiciled in other jurisdictions, and shall be fairly representative of
insurers of differing sizes and lines of insurance written. State
commissioners shall be member insurers and may be represented by
officers at the discretion of the member insurer.
SEC. 1027. POWERS AND DUTIES OF THE CORPORATION.
(a) For purposes of administration and assessment, the corporation
shall establish three separate accounts as follows:
(1) A workers' compensation insurance account.
(2) An automobile insurance account.
(3) An account for all other insurance to which this
subtitle applies.
(b)(1) The corporation shall be deemed the national insurer to the
extent of its obligation on covered claims and to that extent shall
have all rights, duties and obligations of the insolvent insurer as if
the national insurer had not become insolvent, including but not
limited to the right to pursue and retain salvage and subrogation
recoverable on covered claims obligations to the extent paid by the
corporation.
(2) The corporation shall allocate claims paid and expenses
incurred among the 3 accounts separately, and assess member insurers
separately for each ac
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count, amounts necessary to pay the obligations
of the association under section 1025(c) subsequent to an insolvency,
the expenses of handling covered claims subsequent to an insolvency,
and other expenses authorized by this Act, as follows:
(A) Proportion.--The assessments of each member insurer
shall be in the proportion that the net direct written premiums
of the member insurer for the calendar year preceding the
assessment on the kinds of insurance in the account bears to
the net direct written premiums of all member insurers for the
calendar year preceding the assessment on the kinds of
insurance in the account.
(B) Notification.--Each member insurer shall be notified of
the assessment not later than thirty (30) days before it is
due.
(C) Limitation.--A member insurer may not be assessed in
any one year on any account an amount greater than two percent
(2%) of that member insurer's net direct written premiums for
the calendar year preceding the assessment on the kinds of
insurance in the account. If the maximum assessment, together
with the other assets of the corporation in any account, does
not provide in any one year in any account an amount sufficient
to make all necessary payments from that account, the funds
available shall be pro-rated and the unpaid portion shall be
paid as soon thereafter as funds become available.
(D) Payment of claims.--The corporation shall pay claims in
any order which it deems reasonable, including the payment of
claims as they are received from the claimants or in groups or
categories of claims.
(E) Exemption; deferral.--The corporation may exempt or
defer, in whole or in part, the assessment of a member insurer,
if the assessment would cause the member insurer's financial
statement to reflect amounts of capital or surplus less than
the minimum amounts required for a certificate of authority by
a jurisdiction in which the member insurer is authorized to
transact insurance. However, during the period of deferment no
dividends shall be paid to shareholders or policyholders.
Deferred assessments shall be paid when the payment will not
reduce capital or surplus below required minimums.
(F) Refund.--Payments shall be refunded to those member
insurers receiving larger assessments by virtue of such
deferment, or at the election of the member insurer, credited
against future assessments.
(G) Set off.--A member insurer may set off against any
assessment, authorized payments made on covered claims and
expenses incurred in the payment of claims by the member
insurer if they are chargeable to the account for which the
assessment is made.
(3) The corporation shall investigate claims brought against the
corporation and adjust, compromise, settle and pay covered claims to
the extent of the corporation's obligation and deny all other claims.
The corporation may review settlements, releases and judgments to which
the insolvent insurer or its insureds were parties to determine the
extent to which the settlements, releases and judgments may be properly
contested. The corporation shall have the right to appoint or
substitute and to direct legal counsel retained under liability
insurance policies for the defense of covered claims.
(4) The corporation shall notify claimants in this State as deemed
necessary by the Director, to the extent records are available to the
corporation.
(5) The corporation shall handle claims through its employees or
through one or more insurers or through one or more insurers or other
persons designated as servicing facilities. Designation of a servicing
facility is subject to the approval of the Director, but the
designation may be declined by a member insurer.
(6) The corporation shall reimburse each servicing facility for
obligations of the corporation paid by the facility and for expenses
incurred by the facility while handling claims on behalf of the
corporation and shall pay the other expenses of the corporation
authorized by this Act.
(b) Other Powers.--The corporation may:
(1) Employ or retain persons necessary to handle claims and
perform other duties of the corporation.
(2) Borrow funds necessary to affect the purposes of this
Act in accordance with the plan of operation.
(3) Sue or be sued.
(4) Negotiate and become a party to contracts necessary to
carry out the purpose of this Act.
(5) Perform other acts necessary or proper to effectuate
the purpose of this Act.
(6) Refund to member insurers in proportion to the
contribution of each member insurer to the corporation that
amount by which the assets of the corporation exceed the
liabilities, if at the end of any calendar year, the board of
directors finds that the assets of the corporation exceed the
liabilities of the corporation as estimated by the board of
directors for the coming year.
SEC. 1028. DUTIES AND POWERS OF DIRECTOR.
(a) Director's Duties and Powers.--The Director shall--
(1) notify the corporation of the existence of an insolvent
insurer not later than three days after the Director receives
notice of the determination of the insolvency. The corporation
shall be entitled to a copy of a complaint seeking an order of
liquidation with a finding of insolvency against a member
insurer at the same time that the complaint is filed with a
court of competent jurisdiction; and
(2) provide the corporation with a statement of the net
direct written premiums of each member insurer upon request of
the board of directors.
(b) Additionally Duties and Powers.--The Director may--
(1) suspend or revoke, after notice and hearing, the
Federal license of a national insurer that fails to pay an
assessment when due; or
(2) levy a fine on a member insurer that fails to pay an
assessment, not to exceed five percent of the unpaid assessment
per month, except that a fine shall not be less than $100 per
month.
(c) Judicial Review.--A final action or order of the Director under
this subtitle shall be subject to judicial review under the terms of
section 803.
SEC. 1029. EFFECT OF PAID CLAIMS.
(a) In General.--A person recovering under this subtitle shall be
deemed to have assigned any rights under the policy to the corporation
to the extent of his or her recovery from the corporation. Every
insured or claimant seeking the protection of this subtitle shall
cooperate with the corporation to the same extent as the person would
have been required to cooperate with the insolvent insurer. The
corporation shall have no cause of action against the insured of the
insolvent insurer for sums it has paid out except causes of action the
insolvent insurer would have had if the sums had been paid by the
insolvent insurer and except as provided in subsection (b). In the case
of an insolvent insurer subject to assessment liability, the payments
of claims of the corporation shall not operate to reduce the liability
of the insureds to the receiver, liquidator, or statutory successor for
unpaid assessments.
(b) Right To Recover.--The corporation shall have the right to
recover from the following persons the amount of any covered claim paid
on behalf of the person pursuant to this subtitle--
(1) an insured whose net worth on December 31 of the year
immediately preceding the date the member insurer becomes an
insolvent insurer exceeds $50 million and whose liability
obligations to other persons are satisfied in whole or in part
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by payments made under this subtitle; and
(2) any person who is an affiliate of the insolvent insurer
and whose liability obligations to other persons are satisfied
in whose or in part by payments made under this subtitle.
(c) Corporation as Claimant.--The corporation shall be recognized
as a claimant in the liquidation of an insolvent insurer for amounts
paid by the corporation on covered claims as determined under this
subtitle and shall receive dividends and other distributions at the
priority established by section 975, or applicable state law. The
receiver, liquidator or statutory successor of an insolvent insurer
shall be bound by determinations of covered claim eligibility under
this subtitle and by settlement of claims made by the corporation to
the extent such determinations or settlements satisfy obligations of
the corporation. The receiver shall not be bound in any way by such
determinations or settlements to the extent there remains a claim
against the insolvent insurer. The receivership court shall grant the
claims priority equal to that which the claimant would have been
entitled against the assets of the insolvent insurer in the absence of
this subtitle.
(d) Filings.--The corporation shall periodically file with the
receiver or liquidator of the insolvent insurer statements of the
covered claims paid by the corporation and estimates of anticipated
claims on the corporation which shall preserve the rights of the
corporation against the assets of the insolvent insurer.
SEC. 1030. EXHAUSTION OF OTHER COVERAGE.
(a) In General.--Any person having a claim against an insolvent
insurer, whether or not the insurer is a member insurer, under any
provision in an insurance policy other than a policy of an insolvent
insurer which is also a covered claim, shall be required to exhaust
first his or her rights under the policy. An amount payable on a
covered claim under this subtitle shall be reduced by the amount of
recovery under the insurance policy.
(b) Multiple Associations.--A person having a claim which may be
recovered from more than one association in a qualifying or
nonqualifying State, or from one or more such associations and the
corporation, shall seek recovery first from the association of the
place of residence of the insured (or, if the insured resides in a
nonqualifying State, from the corporation), except that if it is a
first party claim for damages to property with a permanent location,
the person shall seek recovery first from the association of the
location of the property. If it is a workers' compensation claim, the
person shall seek recovery first from the association of the residence
of the claimant (or, if the claimant resides in a nonqualifying State,
from the corporation). A recovery under this subtitle shall be reduced
by the amount of recovery from another association.
SEC. 1031. COOPERATION BETWEEN DIRECTOR AND STATE COMMISSIONERS.
(a) Notice to State Commissioners.--The Director shall notify the
State commissioner in each State in which a national insurer is doing
business within 30 days of taking any of the following actions against
a national insurer--
(1) revocation or suspension of the national insurer's
authority to transact insurance;
(2) the entry of a formal order that the national insurer
restrict its premium writing, obtain additional contributions
to surplus, reinsure all or any part of its business, or
increase capital, surplus, or any other account for the
security of policyowners or creditors; or
(3) the Director has reasonable cause to believe from an
examination, whether completed or in process, of any national
insurer that such national insurer may be an insolvent insurer.
(b) Notice to Director.--Each State commissioner shall notify the
Director when any action listed in subsection (a)(1) is taken or
condition is believed to exist with respect to a State insurer that is
a member insurer.
(c) Report to Associations.--The Director shall also report to the
boards of directors of the appropriate associations when the Director
has taken any of the actions set forth in subsection (a). Any report to
the boards of directors shall contain all significant details of the
action taken and may be provided with the cooperation of the
corporation.
(d) Obligations of the Corporation.--The corporation may make
reports and recommendations to the Director, as appropriate, upon any
matter germane to the solvency, liquidation, rehabilitation or
conservation of any member insurer. The reports and recommendations
shall not be considered public documents. The corporation shall also
provide such information and advice as requested by the Director when
providing protection and benefits under this title in a nonqualifying
State.
(e) Notice by the Corporation.--The corporation may notify the
Director of any information indicating a member insurer in a
nonqualifying State may be an insolvent insurer.
SEC. 1032. PROHIBITED DISCRIMINATION IN TAX TREATMENT.
No State law may discriminate between national insurers and other
insurers with respect to deductions or offsets of assessments against
premium, franchise or income tax liability to the State, and any State
law that does so shall not be effective.
SEC. 1033. EXAMINATION OF THE CORPORATION; ANNUAL REPORT.
The corporation shall be subject to examination and regulation by
the Director. The corporation shall submit to the Director each year,
not later than 120 days after the end of its fiscal year, a financial
report in a form approved by the Director and a report of its
activities during the preceding fiscal year, as they relate to the
duties and functions carried out under this subtitle.
SEC. 1034. IMMUNITY.
There shall be no liability on the part of and no cause of action
of any nature shall arise against any member insurer or its agents or
employees, the corporation or its agents or employees, members of the
board of directors, or the Director or the Director's representatives,
for any action or omission by them in the performance of their powers
and duties under this subtitle.
SEC. 1035. STAY OF PROCEEDINGS.
(a) Stay.--All proceedings in which an insolvent insurer is a party
in any Federal or State court shall, subject to waiver by the
corporation in specific cases involving covered claims, be stayed for
six (6) months and additional time that may be determined by the court
from the date the insolvency is determined or an ancillary proceeding
is instituted, whichever is later, to permit proper defense by the
corporation of all pending causes of action. As to covered claims
arising from a judgment under decision, verdict or finding based on the
default of an insolvent insurer or its failure to defend an insured,
the corporation, either on its own behalf or on behalf on an insured,
may apply to have the judgment, order, decision, verdict or finding set
aside by the same court or administrator that made the judgment, order,
decision, verdict or finding and shall be permitted to defend the claim
on the merits.
(b) Records.--The liquidator, receiver or statutory successor of an
insolvent insurer covered by this subtitle shall permit access by the
corporation or its authorized representative to the insolvent insurer's
records which are necessary for the corporation in carrying out its
functions under this subtitle with regard to covered claims. The
liquidator, receiver, or statutory successor shall provide the
corporation or its representative with copies of those records upon the
request of the corporation and at the expense of the corporation.
TITLE XI--EFFECTIVE DATE
SEC. 1101. EFFECTIVE DATE.
Except as otherwise specifically provided in this Act, this Act
shall take effect upon the expiration of the 12-month period beginning
on the date of the enactment of this Act.
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