Illinois General Assembly - Full Text of HB0499
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Full Text of HB0499  94th General Assembly

HB0499 94TH GENERAL ASSEMBLY


 


 
94TH GENERAL ASSEMBLY
State of Illinois
2005 and 2006
HB0499

 

Introduced 1/27/2005, by Rep. Mr. Frank J. Mautino

 

SYNOPSIS AS INTRODUCED:
 
New Act

    Creates the Interstate Insurance Product Regulation Compact. Provides for the promotion and protection of the interests of consumers of individual and group annuity, life insurance, disability income, and long-term care insurance products. Creates the Interstate Insurance Product Regulation Commission to develop uniform standards for insurance products covered under the Compact, to establish a central clearing house to receive and provide prompt review of insurance products covered under the Compact, to provide appropriate regulatory approval, and to improve coordination of regulatory resources and expertise between state insurance departments. Effective immediately.


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A BILL FOR

 

HB0499 LRB094 03548 LJB 33551 b

1     AN ACT concerning insurance.
 
2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
 
4     Section 1. Short title. This Act may be cited as the
5 Interstate Insurance Product Regulation Compact.
 
6     Section 5. Agreement. Pursuant to terms and conditions of
7 this Act, the State of Illinois seeks to join with other States
8 and establish the Interstate Insurance Product Regulation
9 Compact, and thus become a member of the Interstate Insurance
10 Product Regulation Commission. The representative of this
11 State to the Commission shall be the Secretary of Financial and
12 Professional Regulation.
 
13     Section 10. Ratification. The State of Illinois ratifies,
14 approves, and adopts the following interstate compact:
 
15
Article I. PURPOSES
16     The purposes of this Compact are, through means of joint
17 and cooperative action among the Compacting States:
18         1. To promote and protect the interest of consumers of
19     individual and group annuity, life insurance, disability
20     income and long-term care insurance products;
21         2. To develop uniform standards for insurance products
22     covered under the Compact;
23         3. To establish a central clearinghouse to receive and
24     provide prompt review of insurance products covered under
25     the Compact and, in certain cases, advertisements related
26     thereto, submitted by insurers authorized to do business in
27     one or more Compacting States;
28         4. To give appropriate regulatory approval to those
29     product filings and advertisements satisfying the
30     applicable uniform standard;

 

 

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1         5. To improve coordination of regulatory resources and
2     expertise between state insurance departments regarding
3     the setting of uniform standards and review of insurance
4     products covered under the Compact;
5         6. To create the Interstate Insurance Product
6     Regulation Commission; and
7         7. To perform these and such other related functions as
8     may be consistent with the state regulation of the business
9     of insurance.
 
10
Article II. DEFINITIONS
11     For purposes of this Compact:
12         1. "Advertisement" means any material designed to
13     create public interest in a Product, or induce the public
14     to purchase, increase, modify, reinstate, borrow on,
15     surrender, replace or retain a policy, as more specifically
16     defined in the Rules and Operating Procedures of the
17     Commission.
18         2. "Bylaws" mean those bylaws established by the
19     Commission for its governance, or for directing or
20     controlling the Commission's actions or conduct.
21         3. "Compacting State" means any State which has enacted
22     this Compact legislation and which has not withdrawn
23     pursuant to Article XIV, Section 1, or been terminated
24     pursuant to Article XIV, Section 2.
25         4. "Commission" means the "Interstate Insurance
26     Product Regulation Commission" established by this
27     Compact.
28         5. "Commissioner" means the chief insurance regulatory
29     official of a State including, but not limited to
30     commissioner, superintendent, director or administrator.
31         6. "Domiciliary State" means the state in which an
32     Insurer is incorporated or organized; or, in the case of an
33     alien Insurer, its state of entry.
34         7. "Insurer" means any entity licensed by a State to
35     issue contracts of insurance for any of the lines of

 

 

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1     insurance covered by this Act.
2         8. "Member" means the person chosen by a Compacting
3     State as its representative to the Commission, or his or
4     her designee.
5         9. "Non-compacting State" means any State which is not
6     at the time a Compacting State.
7         10. "Operating Procedures" mean procedures promulgated
8     by the Commission implementing a Rule, Uniform Standard or
9     a provision of this Compact.
10         11. "Product" means the form of a policy or contract,
11     including any application, endorsement, or related form
12     which is attached to and made a part of the policy or
13     contract, and any evidence of coverage or certificate, for
14     an individual or group annuity, life insurance, disability
15     income or long-term care insurance product that an Insurer
16     is authorized to issue.
17         12. "Rule" means a statement of general or particular
18     applicability and future effect promulgated by the
19     Commission, including a Uniform Standard developed
20     pursuant to Article VII of this Compact, designed to
21     implement, interpret, or prescribe law or policy or
22     describing the organization, procedure, or practice
23     requirements of the Commission, which shall have the force
24     and effect of law in the Compacting States.
25         13. "State" means any state, district or territory of
26     the United States of America.
27         14. "Third-Party Filer" means an entity that submits a
28     Product filing to the Commission on behalf of an Insurer.
29         15. "Uniform Standard" means a standard adopted by the
30     Commission for a Product line, pursuant to Article VII of
31     this Compact, and shall include all of the Product
32     requirements in aggregate; provided, that each Uniform
33     Standard shall be construed, whether express or implied, to
34     prohibit the use of any inconsistent, misleading or
35     ambiguous provisions in a Product and the form of the
36     Product made available to the public shall not be unfair,

 

 

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1     inequitable or against public policy as determined by the
2     Commission.
 
3
Article III. ESTABLISHMENT OF THE COMMISSION AND VENUE
4     1. The Compacting States hereby create and establish a
5 joint public agency known as the "Interstate Insurance Product
6 Regulation Commission." Pursuant to Article IV, the Commission
7 will have the power to develop Uniform Standards for Product
8 lines, receive and provide prompt review of Products filed
9 therewith, and give approval to those Product filings
10 satisfying applicable Uniform Standards; provided, it is not
11 intended for the Commission to be the exclusive entity for
12 receipt and review of insurance product filings. Nothing herein
13 shall prohibit any Insurer from filing its product in any State
14 wherein the Insurer is licensed to conduct the business of
15 insurance; and any such filing shall be subject to the laws of
16 the State where filed.
17     2. The Commission is a body corporate and politic, and an
18 instrumentality of the Compacting States.
19     3. The Commission is solely responsible for its liabilities
20 except as otherwise specifically provided in this Compact.
21     4. Venue is proper and judicial proceedings by or against
22 the Commission shall be brought solely and exclusively in a
23 Court of competent jurisdiction where the principal office of
24 the Commission is located.
 
25
Article IV. POWERS OF THE COMMISSION
26     The Commission shall have the following powers:
27         1. To promulgate Rules, pursuant to Article VII of this
28     Compact, which shall have the force and effect of law and
29     shall be binding in the Compacting States to the extent and
30     in the manner provided in this Compact;
31         2. To exercise its rule-making authority and establish
32     reasonable Uniform Standards for Products covered under
33     the Compact, and Advertisement related thereto, which
34     shall have the force and effect of law and shall be binding

 

 

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1     in the Compacting States, but only for those Products filed
2     with the Commission, provided, that a Compacting State
3     shall have the right to opt out of such Uniform Standard
4     pursuant to Article VII, to the extent and in the manner
5     provided in this Compact, and, provided further, that any
6     Uniform Standard established by the Commission for
7     long-term care insurance products may provide the same or
8     greater protections for consumers as, but shall not provide
9     less than, those protections set forth in the National
10     Association of Insurance Commissioners' Long-Term Care
11     Insurance Model Act and Long-Term Care Insurance Model
12     Regulation, respectively, adopted as of 2001. The
13     Commission shall consider whether any subsequent
14     amendments to the NAIC Long-Term Care Insurance Model Act
15     or Long-Term Care Insurance Model Regulation adopted by the
16     NAIC require amending of the Uniform Standards established
17     by the Commission for long-term care insurance products;
18         3. To receive and review in an expeditious manner
19     Products filed with the Commission, and rate filings for
20     disability income and long-term care insurance Products,
21     and give approval of those Products and rate filings that
22     satisfy the applicable Uniform Standard, where such
23     approval shall have the force and effect of law and be
24     binding on the Compacting States to the extent and in the
25     manner provided in the Compact;
26         4. To receive and review in an expeditious manner
27     Advertisement relating to long-term care insurance
28     products for which Uniform Standards have been adopted by
29     the Commission, and give approval to all Advertisement that
30     satisfies the applicable Uniform Standard. For any product
31     covered under this Compact, other than long-term care
32     insurance products, the Commission shall have the
33     authority to require an insurer to submit all or any part
34     of its Advertisement with respect to that product for
35     review or approval prior to use, if the Commission
36     determines that the nature of the product is such that an

 

 

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1     Advertisement of the product could have the capacity or
2     tendency to mislead the public. The actions of Commission
3     as provided in this section shall have the force and effect
4     of law and shall be binding in the Compacting States to the
5     extent and in the manner provided in the Compact;
6         5. To exercise its rule-making authority and designate
7     Products and Advertisement that may be subject to a
8     self-certification process without the need for prior
9     approval by the Commission.
10         6. To promulgate Operating Procedures, pursuant to
11     Article VII of this Compact, which shall be binding in the
12     Compacting States to the extent and in the manner provided
13     in this Compact;
14         7. To bring and prosecute legal proceedings or actions
15     in its name as the Commission; provided, that the standing
16     of any state insurance department to sue or be sued under
17     applicable law shall not be affected;
18         8. To issue subpoenas requiring the attendance and
19     testimony of witnesses and the production of evidence;
20         9. To establish and maintain offices;
21         10. To purchase and maintain insurance and bonds;
22         11. To borrow, accept or contract for services of
23     personnel, including, but not limited to, employees of a
24     Compacting State;
25         12. To hire employees, professionals or specialists,
26     and elect or appoint officers, and to fix their
27     compensation, define their duties and give them
28     appropriate authority to carry out the purposes of the
29     Compact, and determine their qualifications; and to
30     establish the Commission's personnel policies and programs
31     relating to, among other things, conflicts of interest,
32     rates of compensation and qualifications of personnel;
33         13. To accept any and all appropriate donations and
34     grants of money, equipment, supplies, materials and
35     services, and to receive, utilize and dispose of the same;
36     provided that at all times the Commission shall strive to

 

 

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1     avoid any appearance of impropriety;
2         14. To lease, purchase, accept appropriate gifts or
3     donations of, or otherwise to own, hold, improve or use,
4     any property, real, personal or mixed; provided that at all
5     times the Commission shall strive to avoid any appearance
6     of impropriety;
7         15. To sell, convey, mortgage, pledge, lease,
8     exchange, abandon or otherwise dispose of any property,
9     real, personal or mixed;
10         16. To remit filing fees to Compacting States as may be
11     set forth in the Bylaws, Rules or Operating Procedures;
12         17. To enforce compliance by Compacting States with
13     Rules, Uniform Standards, Operating Procedures and Bylaws;
14         18. To provide for dispute resolution among Compacting
15     States;
16         19. To advise Compacting States on issues relating to
17     Insurers domiciled or doing business in Non-compacting
18     jurisdictions, consistent with the purposes of this
19     Compact;
20         20. To provide advice and training to those personnel
21     in state insurance departments responsible for product
22     review, and to be a resource for state insurance
23     departments;
24         21. To establish a budget and make expenditures;
25         22. To borrow money;
26         23. To appoint committees, including advisory
27     committees comprising Members, state insurance regulators,
28     state legislators or their representatives, insurance
29     industry and consumer representatives, and such other
30     interested persons as may be designated in the Bylaws;
31         24. To provide and receive information from, and to
32     cooperate with law enforcement agencies;
33         25. To adopt and use a corporate seal; and
34         26. To perform such other functions as may be necessary
35     or appropriate to achieve the purposes of this Compact
36     consistent with the state regulation of the business of

 

 

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1     insurance.
 
2
Article V. ORGANIZATION OF THE COMMISSION
3     1. Membership, Voting and Bylaws.
4     a. Each Compacting State shall have and be limited to one
5 Member. Each Member shall be qualified to serve in that
6 capacity pursuant to applicable law of the Compacting State.
7 Any Member may be removed or suspended from office as provided
8 by the law of the State from which he or she shall be
9 appointed. Any vacancy occurring in the Commission shall be
10 filled in accordance with the laws of the Compacting State
11 wherein the vacancy exists. Nothing herein shall be construed
12 to affect the manner in which a Compacting State determines the
13 election or appointment and qualification of its own
14 Commissioner.
15     b. Each Member shall be entitled to one vote and shall have
16 an opportunity to participate in the governance of the
17 Commission in accordance with the Bylaws. Notwithstanding any
18 provision herein to the contrary, no action of the Commission
19 with respect to the promulgation of a Uniform Standard shall be
20 effective unless two-thirds (2/3) of the Members vote in favor
21 thereof.
22     c. The Commission shall, by a majority of the Members,
23 prescribe Bylaws to govern its conduct as may be necessary or
24 appropriate to carry out the purposes, and exercise the powers,
25 of the Compact, including, but not limited to:
26             i. establishing the fiscal year of the Commission;
27             ii. providing reasonable procedures for appointing
28         and electing members, as well as holding meetings, of
29         the Management Committee;
30             iii. providing reasonable standards and
31         procedures: (i) for the establishment and meetings of
32         other committees, and (ii) governing any general or
33         specific delegation of any authority or function of the
34         Commission;
35             iv. providing reasonable procedures for calling

 

 

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1         and conducting meetings of the Commission that
2         consists of a majority of Commission members, ensuring
3         reasonable advance notice of each such meeting, and
4         providing for the right of citizens to attend each such
5         meeting with enumerated exceptions designed to protect
6         the public's interest, the privacy of individuals, and
7         insurers' proprietary information, including trade
8         secrets. The Commission may meet in camera only after a
9         majority of the entire membership votes to close a
10         meeting en toto or in part. As soon as practicable, the
11         Commission must make public (i) a copy of the vote to
12         close the meeting revealing the vote of each Member
13         with no proxy votes allowed, and (ii) votes taken
14         during such meeting;
15             v. establishing the titles, duties and authority
16         and reasonable procedures for the election of the
17         officers of the Commission;
18             vi. providing reasonable standards and procedures
19         for the establishment of the personnel policies and
20         programs of the Commission. Notwithstanding any civil
21         service or other similar laws of any Compacting State,
22         the Bylaws shall exclusively govern the personnel
23         policies and programs of the Commission;
24              vii. promulgating a code of ethics to address
25         permissible and prohibited activities of commission
26         members and employees; and
27             viii. providing a mechanism for winding up the
28         operations of the Commission and the equitable
29         disposition of any surplus funds that may exist after
30         the termination of the Compact after the payment and/or
31         reserving of all of its debts and obligations.
32     d. The Commission shall publish its bylaws in a convenient
33 form and file a copy thereof and a copy of any amendment
34 thereto, with the appropriate agency or officer in each of the
35 Compacting States.
36     2. Management Committee, Officers and Personnel.

 

 

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1     a. A Management Committee comprising no more than fourteen
2 (14) members shall be established as follows:
3             (i) One (1) member from each of the six (6)
4         Compacting States with the largest premium volume for
5         individual and group annuities, life, disability
6         income and long-term care insurance products,
7         determined from the records of the NAIC for the prior
8         year;
9             (ii) Four (4) members from those Compacting States
10         with at least two percent (2%) of the market based on
11         the premium volume described above, other than the six
12         (6) Compacting States with the largest premium volume,
13         selected on a rotating basis as provided in the Bylaws,
14         and;
15             (iii) Four (4) members from those Compacting
16         States with less than two percent (2%) of the market,
17         based on the premium volume described above, with one
18         (1) selected from each of the four (4) zone regions of
19         the NAIC as provided in the Bylaws.
20     b. The Management Committee shall have such authority and
21 duties as may be set forth in the Bylaws, including but not
22 limited to:
23             i. managing the affairs of the Commission in a
24         manner consistent with the Bylaws and purposes of the
25         Commission;
26             ii. establishing and overseeing an organizational
27         structure within, and appropriate procedures for, the
28         Commission to provide for the creation of Uniform
29         Standards and other Rules, receipt and review of
30         product filings, administrative and technical support
31         functions, review of decisions regarding the
32         disapproval of a product filing, and the review of
33         elections made by a Compacting State to opt out of a
34         Uniform Standard; provided that a Uniform Standard
35         shall not be submitted to the Compacting States for
36         adoption unless approved by two-thirds (2/3) of the

 

 

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1         members of the Management Committee;
2             iii. overseeing the offices of the Commission; and
3             iv. planning, implementing, and coordinating
4         communications and activities with other state,
5         federal and local government organizations in order to
6         advance the goals of the Commission.
7     c. The Commission shall elect annually officers from the
8 Management Committee, with each having such authority and
9 duties, as may be specified in the Bylaws.
10     d. The Management Committee may, subject to the approval of
11 the Commission, appoint or retain an executive director for
12 such period, upon such terms and conditions and for such
13 compensation as the Commission may deem appropriate. The
14 executive director shall serve as secretary to the Commission,
15 but shall not be a Member of the Commission. The executive
16 director shall hire and supervise such other staff as may be
17 authorized by the Commission.
18     3. Legislative and Advisory Committees.
19     a. A legislative committee comprising state legislators or
20 their designees shall be established to monitor the operations
21 of, and make recommendations to, the Commission, including the
22 Management Committee; provided that the manner of selection and
23 term of any legislative committee member shall be as set forth
24 in the Bylaws. Prior to the adoption by the Commission of any
25 Uniform Standard, revision to the Bylaws, annual budget or
26 other significant matter as may be provided in the Bylaws, the
27 Management Committee shall consult with and report to the
28 legislative committee.
29     b. The Commission shall establish two (2) advisory
30 committees, one of which shall comprise consumer
31 representatives independent of the insurance industry, and the
32 other comprising insurance industry representatives.
33     c. The Commission may establish additional advisory
34 committees as its Bylaws may provide for the carrying out of
35 its functions.
36     4. Corporate Records of the Commission The Commission shall

 

 

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1 maintain its corporate books and records in accordance with the
2 Bylaws.
3     5. Qualified Immunity, Defense and Indemnification.
4     a. The Members, officers, executive director, employees
5 and representatives of the Commission shall be immune from suit
6 and liability, either personally or in their official capacity,
7 for any claim for damage to or loss of property or personal
8 injury or other civil liability caused by or arising out of any
9 actual or alleged act, error or omission that occurred, or that
10 the person against whom the claim is made had a reasonable
11 basis for believing occurred within the scope of Commission
12 employment, duties or responsibilities; provided, that nothing
13 in this paragraph shall be construed to protect any such person
14 from suit and/or liability for any damage, loss, injury or
15 liability caused by the intentional or willful and wanton
16 misconduct of that person.
17     b. The Commission shall defend any Member, officer,
18 executive director, employee or representative of the
19 Commission in any civil action seeking to impose liability
20 arising out of any actual or alleged act, error or omission
21 that occurred within the scope of Commission employment, duties
22 or responsibilities, or that the person against whom the claim
23 is made had a reasonable basis for believing occurred within
24 the scope of Commission employment, duties or
25 responsibilities; provided, that nothing herein shall be
26 construed to prohibit that person from retaining his or her own
27 counsel; and provided further, that the actual or alleged act,
28 error or omission did not result from that person's intentional
29 or willful and wanton misconduct.
30     c. The Commission shall indemnify and hold harmless any
31 Member, officer, executive director, employee or
32 representative of the Commission for the amount of any
33 settlement or judgment obtained against that person arising out
34 of any actual or alleged act, error or omission that occurred
35 within the scope of Commission employment, duties or
36 responsibilities, or that such person had a reasonable basis

 

 

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1 for believing occurred within the scope of Commission
2 employment, duties or responsibilities, provided, that the
3 actual or alleged act, error or omission did not result from
4 the intentional or willful and wanton misconduct of that
5 person.
 
6
Article VI. MEETINGS AND ACTS OF THE COMMISSION
7     1. The Commission shall meet and take such actions as are
8 consistent with the provisions of this Compact and the Bylaws.
9     2. Each Member of the Commission shall have the right and
10 power to cast a vote to which that Compacting State is entitled
11 and to participate in the business and affairs of the
12 Commission. A Member shall vote in person or by such other
13 means as provided in the Bylaws. The Bylaws may provide for
14 Members' participation in meetings by telephone or other means
15 of communication.
16     3. The Commission shall meet at least once during each
17 calendar year. Additional meetings shall be held as set forth
18 in the Bylaws.
 
19
Article VII. RULES & OPERATING PROCEDURES: RULEMAKING
20 FUNCTIONS OF THE COMMISSION AND OPTING OUT OF UNIFORM STANDARDS
21     1. Rulemaking Authority. The Commission shall promulgate
22 reasonable Rules, including Uniform Standards, and Operating
23 Procedures in order to effectively and efficiently achieve the
24 purposes of this Compact. Notwithstanding the foregoing, in the
25 event the Commission exercises its rulemaking authority in a
26 manner that is beyond the scope of the purposes of this Act, or
27 the powers granted hereunder, then such an action by the
28 Commission shall be invalid and have no force and effect.
29     2. Rulemaking Procedure. Rules and Operating Procedures
30 shall be made pursuant to a rulemaking process that conforms to
31 the Model State Administrative Procedure Act of 1981 as
32 amended, as may be appropriate to the operations of the
33 Commission. Before the Commission adopts a Uniform Standard,
34 the Commission shall give written notice to the relevant state

 

 

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1 legislative committee(s) in each Compacting State responsible
2 for insurance issues of its intention to adopt the Uniform
3 Standard. The Commission in adopting a Uniform Standard shall
4 consider fully all submitted materials and issue a concise
5 explanation of its decision.
6     3. Effective Date and Opt Out of a Uniform Standard. A
7 Uniform Standard shall become effective ninety (90) days after
8 its promulgation by the Commission or such later date as the
9 Commission may determine; provided, however, that a Compacting
10 State may opt out of a Uniform Standard as provided in this
11 Article. "Opt out" shall be defined as any action by a
12 Compacting State to decline to adopt or participate in a
13 promulgated Uniform Standard. All other Rules and Operating
14 Procedures, and amendments thereto, shall become effective as
15 of the date specified in each Rule, Operating Procedure or
16 amendment.
17     4. Opt Out Procedure. A Compacting State may opt out of a
18 Uniform Standard, either by legislation or regulation duly
19 promulgated by the Insurance Department under the Compacting
20 State's Administrative Procedure Act. If a Compacting State
21 elects to opt out of a Uniform Standard by regulation, it must
22 (a) give written notice to the Commission no later than ten
23 (10) business days after the Uniform Standard is promulgated,
24 or at the time the State becomes a Compacting State and (b)
25 find that the Uniform Standard does not provide reasonable
26 protections to the citizens of the State, given the conditions
27 in the State. The Commissioner shall make specific findings of
28 fact and conclusions of law, based on a preponderance of the
29 evidence, detailing the conditions in the State which warrant a
30 departure from the Uniform Standard and determining that the
31 Uniform Standard would not reasonably protect the citizens of
32 the State. The Commissioner must consider and balance the
33 following factors and find that the conditions in the State and
34 needs of the citizens of the State outweigh: (i) the intent of
35 the legislature to participate in, and the benefits of, an
36 interstate agreement to establish national uniform consumer

 

 

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1 protections for the Products subject to this Act; and (ii) the
2 presumption that a Uniform Standard adopted by the Commission
3 provides reasonable protections to consumers of the relevant
4 Product.
5     Notwithstanding the foregoing, a Compacting State may, at
6 the time of its enactment of this Compact, prospectively opt
7 out of all Uniform Standards involving long-term care insurance
8 products by expressly providing for such opt out in the enacted
9 Compact, and such an opt out shall not be treated as a material
10 variance in the offer or acceptance of any State to participate
11 in this Compact. Such an opt out shall be effective at the time
12 of enactment of this Compact by the Compacting State and shall
13 apply to all existing Uniform Standards involving long-term
14 care insurance products and those subsequently promulgated.
15     5. Effect of Opt Out. If a Compacting State elects to opt
16 out of a Uniform Standard, the Uniform Standard shall remain
17 applicable in the Compacting State electing to opt out until
18 such time the opt out legislation is enacted into law or the
19 regulation opting out becomes effective.
20     Once the opt out of a Uniform Standard by a Compacting
21 State becomes effective as provided under the laws of that
22 State, the Uniform Standard shall have no further force and
23 effect in that State unless and until the legislation or
24 regulation implementing the opt out is repealed or otherwise
25 becomes ineffective under the laws of the State. If a
26 Compacting State opts out of a Uniform Standard after the
27 Uniform Standard has been made effective in that State, the opt
28 out shall have the same prospective effect as provided under
29 Article XIV for withdrawals.
30     6. Stay of Uniform Standard. If a Compacting State has
31 formally initiated the process of opting out of a Uniform
32 Standard by regulation, and while the regulatory opt out is
33 pending, the Compacting State may petition the Commission, at
34 least fifteen (15) days before the effective date of the
35 Uniform Standard, to stay the effectiveness of the Uniform
36 Standard in that State. The Commission may grant a stay if it

 

 

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1 determines the regulatory opt out is being pursued in a
2 reasonable manner and there is a likelihood of success. If a
3 stay is granted or extended by the Commission, the stay or
4 extension thereof may postpone the effective date by up to
5 ninety (90) days, unless affirmatively extended by the
6 Commission; provided, a stay may not be permitted to remain in
7 effect for more than one (1) year unless the Compacting State
8 can show extraordinary circumstances which warrant a
9 continuance of the stay, including, but not limited to, the
10 existence of a legal challenge which prevents the Compacting
11 State from opting out. A stay may be terminated by the
12 Commission upon notice that the rulemaking process has been
13 terminated.
14     7. Not later than thirty (30) days after a Rule or
15 Operating Procedure is promulgated, any person may file a
16 petition for judicial review of the Rule or Operating
17 Procedure; provided, that the filing of such a petition shall
18 not stay or otherwise prevent the Rule or Operating Procedure
19 from becoming effective unless the court finds that the
20 petitioner has a substantial likelihood of success. The court
21 shall give deference to the actions of the Commission
22 consistent with applicable law and shall not find the Rule or
23 Operating Procedure to be unlawful if the Rule or Operating
24 Procedure represents a reasonable exercise of the Commission's
25 authority.
 
26
Article VIII. COMMISSION RECORDS AND ENFORCEMENT
27     1. The Commission shall promulgate Rules establishing
28 conditions and procedures for public inspection and copying of
29 its information and official records, except such information
30 and records involving the privacy of individuals and insurers'
31 trade secrets. The Commission may promulgate additional Rules
32 under which it may make available to federal and state
33 agencies, including law enforcement agencies, records and
34 information otherwise exempt from disclosure, and may enter
35 into agreements with such agencies to receive or exchange

 

 

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1 information or records subject to nondisclosure and
2 confidentiality provisions.
3     2. Except as to privileged records, data and information,
4 the laws of any Compacting State pertaining to confidentiality
5 or nondisclosure shall not relieve any Compacting State
6 Commissioner of the duty to disclose any relevant records, data
7 or information to the Commission; provided, that disclosure to
8 the Commission shall not be deemed to waive or otherwise affect
9 any confidentiality requirement; and further provided, that,
10 except as otherwise expressly provided in this Act, the
11 Commission shall not be subject to the Compacting State's laws
12 pertaining to confidentiality and nondisclosure with respect
13 to records, data and information in its possession.
14 Confidential information of the Commission shall remain
15 confidential after such information is provided to any
16 Commissioner.
17     3. The Commission shall monitor Compacting States for
18 compliance with duly adopted Bylaws, Rules, including Uniform
19 Standards, and Operating Procedures. The Commission shall
20 notify any non-complying Compacting State in writing of its
21 noncompliance with Commission Bylaws, Rules or Operating
22 Procedures. If a non-complying Compacting State fails to remedy
23 its noncompliance within the time specified in the notice of
24 noncompliance, the Compacting State shall be deemed to be in
25 default as set forth in Article XIV.
26     4. The Commissioner of any State in which an Insurer is
27 authorized to do business, or is conducting the business of
28 insurance, shall continue to exercise his or her authority to
29 oversee the market regulation of the activities of the Insurer
30 in accordance with the provisions of the State's law. The
31 Commissioner's enforcement of compliance with the Compact is
32 governed by the following provisions:
33     a. With respect to the Commissioner's market regulation of
34 a Product or Advertisement that is approved or certified to the
35 Commission, the content of the Product or Advertisement shall
36 not constitute a violation of the provisions, standards or

 

 

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1 requirements of the Compact except upon a final order of the
2 Commission, issued at the request of a Commissioner after prior
3 notice to the Insurer and an opportunity for hearing before the
4 Commission.
5     b. Before a Commissioner may bring an action for violation
6 of any provision, standard or requirement of the Compact
7 relating to the content of an Advertisement not approved or
8 certified to the Commission, the Commission, or an authorized
9 Commission officer or employee, must authorize the action.
10 However, authorization pursuant to this Paragraph does not
11 require notice to the Insurer, opportunity for hearing or
12 disclosure of requests for authorization or records of the
13 Commission's action on such requests.
 
14
Article IX. DISPUTE RESOLUTION
15     The Commission shall attempt, upon the request of a Member,
16 to resolve any disputes or other issues that are subject to
17 this Compact and which may arise between two or more Compacting
18 States, or between Compacting States and Non-compacting
19 States, and the Commission shall promulgate an Operating
20 Procedure providing for resolution of such disputes.
 
21
Article X. PRODUCT FILING AND APPROVAL
22     1. Insurers and Third-Party Filers seeking to have a
23 Product approved by the Commission shall file the Product with,
24 and pay applicable filing fees to, the Commission. Nothing in
25 this Act shall be construed to restrict or otherwise prevent an
26 insurer from filing its Product with the insurance department
27 in any State wherein the insurer is licensed to conduct the
28 business of insurance, and such filing shall be subject to the
29 laws of the States where filed.
30     2. The Commission shall establish appropriate filing and
31 review processes and procedures pursuant to Commission Rules
32 and Operating Procedures. Notwithstanding any provision herein
33 to the contrary, the Commission shall promulgate Rules to
34 establish conditions and procedures under which the Commission

 

 

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1 will provide public access to Product filing information. In
2 establishing such Rules, the Commission shall consider the
3 interests of the public in having access to such information,
4 as well as protection of personal medical and financial
5 information and trade secrets, that may be contained in a
6 Product filing or supporting information.
7     3. Any Product approved by the Commission may be sold or
8 otherwise issued in those Compacting States for which the
9 Insurer is legally authorized to do business.
 
10
Article XI. REVIEW OF COMMISSION DECISIONS REGARDING FILINGS
11     1. Not later than thirty (30) days after the Commission has
12 given notice of a disapproved Product or Advertisement filed
13 with the Commission, the Insurer or Third Party Filer whose
14 filing was disapproved may appeal the determination to a review
15 panel appointed by the Commission. The Commission shall
16 promulgate Rules to establish procedures for appointing such
17 review panels and provide for notice and hearing. An allegation
18 that the Commission, in disapproving a Product or Advertisement
19 filed with the Commission, acted arbitrarily, capriciously, or
20 in a manner that is an abuse of discretion or otherwise not in
21 accordance with the law, is subject to judicial review in
22 accordance with Article III, section 5.
23     2. The Commission shall have authority to monitor, review
24 and reconsider Products and Advertisement subsequent to their
25 filing or approval upon a finding that the product does not
26 meet the relevant Uniform Standard. Where appropriate, the
27 Commission may withdraw or modify its approval after proper
28 notice and hearing, subject to the appeal process in section 1
29 above.
 
30
Article XII. FINANCE
31     1. The Commission shall pay or provide for the payment of
32 the reasonable expenses of its establishment and organization.
33 To fund the cost of its initial operations, the Commission may
34 accept contributions and other forms of funding from the

 

 

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1 National Association of Insurance Commissioners, Compacting
2 States and other sources. Contributions and other forms of
3 funding from other sources shall be of such a nature that the
4 independence of the Commission concerning the performance of
5 its duties shall not be compromised.
6     2. The Commission shall collect a filing fee from each
7 Insurer and Third Party Filer filing a product with the
8 Commission to cover the cost of the operations and activities
9 of the Commission and its staff in a total amount sufficient to
10 cover the Commission's annual budget.
11     3. The Commission's budget for a fiscal year shall not be
12 approved until it has been subject to notice and comment as set
13 forth in Article VII of this Compact.
14     4. The Commission shall be exempt from all taxation in and
15 by the Compacting States.
16     5. The Commission shall not pledge the credit of any
17 Compacting State, except by and with the appropriate legal
18 authority of that Compacting State.
19     6. The Commission shall keep complete and accurate accounts
20 of all its internal receipts, including grants and donations,
21 and disbursements of all funds under its control. The internal
22 financial accounts of the Commission shall be subject to the
23 accounting procedures established under its Bylaws. The
24 financial accounts and reports including the system of internal
25 controls and procedures of the Commission shall be audited
26 annually by an independent certified public accountant. Upon
27 the determination of the Commission, but no less frequently
28 than every three (3) years, the review of the independent
29 auditor shall include a management and performance audit of the
30 Commission. The Commission shall make an Annual Report to the
31 Governor and legislature of the Compacting States, which shall
32 include a report of the independent audit. The Commission's
33 internal accounts shall not be confidential and such materials
34 may be shared with the Commissioner of any Compacting State
35 upon request, provided, however, that any work papers related
36 to any internal or independent audit and any information

 

 

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1 regarding the privacy of individuals and insurers' proprietary
2 information, including trade secrets, shall remain
3 confidential.
4     7. No Compacting State shall have any claim to or ownership
5 of any property held by or vested in the Commission or to any
6 Commission funds held pursuant to the provisions of this
7 Compact.
 
8
Article XIII. COMPACTING STATES, EFFECTIVE DATE AND AMENDMENT
9     1. Any State is eligible to become a Compacting State.
10     2. The Compact shall become effective and binding upon
11 legislative enactment of the Compact into law by two Compacting
12 States; provided, the Commission shall become effective for
13 purposes of adopting Uniform Standards for, reviewing, and
14 giving approval or disapproval of, Products filed with the
15 Commission that satisfy applicable Uniform Standards only
16 after twenty-six (26) States are Compacting States or,
17 alternatively, by States representing greater than forty
18 percent (40%) of the premium volume for life insurance,
19 annuity, disability income and long-term care insurance
20 products, based on records of the NAIC for the prior year.
21 Thereafter, it shall become effective and binding as to any
22 other Compacting State upon enactment of the Compact into law
23 by that State.
24     3. Amendments to the Compact may be proposed by the
25 Commission for enactment by the Compacting States. No amendment
26 shall become effective and binding upon the Commission and the
27 Compacting States unless and until all Compacting States enact
28 the amendment into law.
 
29
Article XIV. WITHDRAWAL, DEFAULT AND TERMINATION
30     1. Withdrawal.
31     a. Once effective, the Compact shall continue in force and
32 remain binding upon each and every Compacting State; provided,
33 that a Compacting State may withdraw from the Compact
34 ("Withdrawing State") by enacting a statute specifically

 

 

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1 repealing the statute which enacted the Compact into law.
2     b. The effective date of withdrawal is the effective date
3 of the repealing statute. However, the withdrawal shall not
4 apply to any product filings approved or self-certified, or any
5 Advertisement of such products, on the date the repealing
6 statute becomes effective, except by mutual agreement of the
7 Commission and the Withdrawing State unless the approval is
8 rescinded by the Withdrawing State as provided in subsection e.
9 of this section.
10     c. The Commissioner of the Withdrawing State shall
11 immediately notify the Management Committee in writing upon the
12 introduction of legislation repealing this Compact in the
13 Withdrawing State.
14     d. The Commission shall notify the other Compacting States
15 of the introduction of such legislation within ten (10) days
16 after its receipt of notice thereof.
17     e. The Withdrawing State is responsible for all
18 obligations, duties and liabilities incurred through the
19 effective date of withdrawal, including any obligations, the
20 performance of which extend beyond the effective date of
21 withdrawal, except to the extent those obligations may have
22 been released or relinquished by mutual agreement of the
23 Commission and the Withdrawing State. The Commission's
24 approval of Products and Advertisement prior to the effective
25 date of withdrawal shall continue to be effective and be given
26 full force and effect in the Withdrawing State, unless formally
27 rescinded by the Withdrawing State in the same manner as
28 provided by the laws of the Withdrawing State for the
29 prospective disapproval of products or advertisement
30 previously approved under state law.
31     f. Reinstatement following withdrawal of any Compacting
32 State shall occur upon the effective date of the Withdrawing
33 State reenacting the Compact.
34     2. Default.
35     a. If the Commission determines that any Compacting State
36 has at any time defaulted ("Defaulting State") in the

 

 

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1 performance of any of its obligations or responsibilities under
2 this Compact, the Bylaws or duly promulgated Rules or Operating
3 Procedures, then, after notice and hearing as set forth in the
4 Bylaws, all rights, privileges and benefits conferred by this
5 Compact on the Defaulting State shall be suspended from the
6 effective date of default as fixed by the Commission. The
7 grounds for default include, but are not limited to, failure of
8 a Compacting State to perform its obligations or
9 responsibilities, and any other grounds designated in
10 Commission Rules. The Commission shall immediately notify the
11 Defaulting State in writing of the Defaulting State's
12 suspension pending a cure of the default. The Commission shall
13 stipulate the conditions and the time period within which the
14 Defaulting State must cure its default. If the Defaulting State
15 fails to cure the default within the time period specified by
16 the Commission, the Defaulting State shall be terminated from
17 the Compact and all rights, privileges and benefits conferred
18 by this Compact shall be terminated from the effective date of
19 termination.
20     b. Product approvals by the Commission or product
21 self-certifications, or any Advertisement in connection with
22 such product, that are in force on the effective date of
23 termination shall remain in force in the Defaulting State in
24 the same manner as if the Defaulting State had withdrawn
25 voluntarily pursuant to paragraph 1 of this Article.
26     c. Reinstatement following termination of any Compacting
27 State requires a reenactment of the Compact.
28     3. Dissolution of Compact.
29     a. The Compact dissolves effective upon the date of the
30 withdrawal or default of the Compacting State which reduces
31 membership in the Compact to one Compacting State.
32     b. Upon the dissolution of this Compact, the Compact
33 becomes null and void and shall be of no further force or
34 effect, and the business and affairs of the Commission shall be
35 wound up and any surplus funds shall be distributed in
36 accordance with the Bylaws.
 

 

 

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1
Article XV. SEVERABILITY AND CONSTRUCTION
2     1. The provisions of this Compact shall be severable; and
3 if any phrase, clause, sentence or provision is deemed
4 unenforceable, the remaining provisions of the Compact shall be
5 enforceable.
6     2. The provisions of this Compact shall be liberally
7 construed to effectuate its purposes.
 
8
Article XVI. BINDING EFFECT OF COMPACT AND OTHER LAWS
9     1. Other Laws.
10     a. Nothing herein prevents the enforcement of any other law
11 of a Compacting State, except as provided in paragraph b of
12 this Article.
13     b. For any Product approved or certified to the Commission,
14 the Rules, Uniform Standards and any other requirements of the
15 Commission shall constitute the exclusive provisions
16 applicable to the content, approval and certification of such
17 Products. For Advertisement that is subject to the Commission's
18 authority, any Rule, Uniform Standard or other requirement of
19 the Commission which governs the content of the Advertisement
20 shall constitute the exclusive provision that a Commissioner
21 may apply to the content of the Advertisement. Notwithstanding
22 the foregoing, no action taken by the Commission shall abrogate
23 or restrict: (i) the access of any person to state courts; (ii)
24 remedies available under state law related to breach of
25 contract, tort, or other laws not specifically directed to the
26 content of the Product; (iii) state law relating to the
27 construction of insurance contracts; or (iv) the authority of
28 the attorney general of the state, including but not limited to
29 maintaining any actions or proceedings, as authorized by law.
30     c. All insurance products filed with individual States
31 shall be subject to the laws of those States.
32     2. Binding Effect of this Compact.
33     a. All lawful actions of the Commission, including all
34 Rules and Operating Procedures promulgated by the Commission,

 

 

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1 are binding upon the Compacting States.
2     b. All agreements between the Commission and the Compacting
3 States are binding in accordance with their terms.
4     c. Upon the request of a party to a conflict over the
5 meaning or interpretation of Commission actions, and upon a
6 majority vote of the Compacting States, the Commission may
7 issue advisory opinions regarding the meaning or
8 interpretation in dispute.
9     d. In the event any provision of this Compact exceeds the
10 constitutional limits imposed on the legislature of any
11 Compacting State, the obligations, duties, powers or
12 jurisdiction sought to be conferred by that provision upon the
13 Commission shall be ineffective as to that Compacting State,
14 and those obligations, duties, powers or jurisdiction shall
15 remain in the Compacting State and shall be exercised by the
16 agency thereof to which those obligations, duties, powers or
17 jurisdiction are delegated by law in effect at the time this
18 Compact becomes effective.
 
19     Section 99. Effective date. This Act takes effect upon
20 becoming law.