Assembly Bill No. 476–Committee on Commerce and Labor
March 11, 1999
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Referred to Committee on Commerce and Labor
SUMMARY—Provides privilege of confidentiality for certain information obtained during audits of insurers to determine compliance with state and federal law. (BDR 57-1292)
FISCAL NOTE: Effect on Local Government: No.
Effect on the State or on Industrial Insurance: No.
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EXPLANATION – Matter in
bolded italics is new; matter between brackets
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
1-1
Section 1. Chapter 679B of NRS is hereby amended by adding1-2
thereto the provisions set forth as sections 2 to 9, inclusive, of this act.1-3
Sec. 2. As used in sections 2 to 9, inclusive, of this act, unless the1-4
context otherwise requires, the words and terms defined in sections 3 and1-5
4 of this act have the meanings ascribed to them in those sections.1-6
Sec. 3. "Insurance compliance audit" means a voluntary, internal1-7
evaluation, review, assessment, audit or investigation conducted by an1-8
insurer or at the request of an insurer to identify or prevent the1-9
noncompliance by the insurer with applicable federal and state laws,1-10
regulations, orders and other professional standards relating to the1-11
transacting of insurance, and to promote compliance by the insurer with1-12
those laws, regulations, orders and other standards.1-13
Sec. 4. "Insurance compliance audit document" means any1-14
document that is prepared as a result of or in connection with an1-15
insurance compliance audit. The term includes, without limitation:2-1
1. Field notes and records of observation, findings, opinions,2-2
suggestions, conclusions, drafts, memoranda, drawings, photographs,2-3
exhibits, information that is generated by a computer or electronically2-4
recorded, telephone records, maps, charts, graphs and surveys which are2-5
collected or developed during the course of an insurance compliance2-6
audit.2-7
2. Reports on the insurance compliance audit that were prepared by2-8
an auditor, regardless of whether the auditor is an employee of the2-9
insurer or an independent contractor, which include, without limitation,2-10
the scope of the audit, the information obtained during the audit, any2-11
conclusions and recommendations of the auditor based on the audit, and2-12
any appendices and exhibits attached to the audit or the report on the2-13
audit.2-14
3. Memoranda and other documents in which any portion of a report2-15
on an insurance compliance audit is analyzed or any potential correction2-16
needed as a result of the insurance compliance audit is discussed.2-17
4. Implementation plans that set forth proposed actions intended to2-18
correct past noncompliance, improve current compliance or prevent2-19
future noncompliance with federal and state laws, regulations, orders2-20
and other professional standards relating to the transacting of insurance.2-21
5. Analytic data that is generated in the course of conducting the2-22
insurance compliance audit.2-23
Sec. 5. 1. An insurance compliance audit document and the2-24
information contained therein shall be deemed to be an absolutely2-25
privileged communication. Except as otherwise provided in sections 2 to2-26
9, inclusive, of this act, an insurance compliance audit document and the2-27
information contained therein that is subject to the privilege of2-28
confidentiality provided by this section is not admissible as evidence in2-29
any action or proceeding.2-30
2. An insurer that is the subject of an insurance compliance audit2-31
document may expressly waive in writing the privilege of confidentiality2-32
relating to the document and the information contained therein.2-33
3. The privilege of confidentiality for insurance compliance audit2-34
documents, and the information contained therein, provided by this2-35
section is in addition to and supplements any other statutory or common2-36
law privilege that otherwise applies to the documents or information.2-37
4. Absent the express written waiver of the privilege of confidentiality2-38
by the insurer for which the insurance compliance audit was conducted,2-39
disclosure of any insurance compliance audit document and any2-40
information contained therein, regardless of whether the disclosure is2-41
voluntary or involuntary, does not constitute a waiver of the privilege.3-1
Sec. 6. 1. An insurer may, in connection with an investigation or3-2
examination conducted pursuant to this Code, voluntarily submit an3-3
insurance compliance audit document to the commissioner, attorney3-4
general or any other person designated to conduct the investigation or3-5
examination. Notwithstanding any specific statute to the contrary, the3-6
privilege of confidentiality of the documents and information contained3-7
therein is not waived or otherwise lost because the insurer voluntarily3-8
submitted the information or documents pursuant to this subsection to3-9
the commissioner, attorney general or other person conducting the3-10
investigation or examination. The provisions of this subsection do not3-11
authorize the commissioner, attorney general or other person conducting3-12
an investigation or examination pursuant to this Code to compel the3-13
insurer to disclose or otherwise provide an insurance compliance audit3-14
document or any information contained therein.3-15
2. An insurance compliance audit document that is voluntarily3-16
submitted pursuant to this section to the commissioner, attorney general3-17
or other person conducting an investigation or examination remains the3-18
property of the insurer that submitted the document.3-19
Sec. 7. 1. In an administrative, a civil or a criminal proceeding,3-20
examination or investigation involving an insurer relating to the3-21
transacting of insurance in this state, the commissioner or attorney3-22
general may request, in writing, that an insurer disclose an insurance3-23
compliance audit document pertaining to the insurer. The request for3-24
disclosure must be sent by certified mail to the insurer.3-25
2. If the insurer refuses to disclose the insurance compliance audit3-26
document on the basis that the document or information contained3-27
therein is a privileged communication, the insurer shall, not later than 303-28
days after the date on which it receives the request for disclosure, file a3-29
petition with a court of competent jurisdiction requesting an in camera3-30
hearing for a determination as to whether the document or information3-31
contained therein is a privileged communication. The petition must3-32
include:3-33
(a) The date on which the insurance compliance audit document was3-34
made;3-35
(b) The identity of the person that conducted the insurance3-36
compliance audit;3-37
(c) The general nature of the activities covered by the insurance3-38
compliance audit; and3-39
(d) An identification of the portions of the insurance compliance audit3-40
document for which the privilege is being asserted.3-41
3. The submission of an insurance compliance audit document by an3-42
insurer to the commissioner or attorney general pursuant to a request for3-43
disclosure shall be deemed to be a waiver of the privilege of4-1
confidentiality for the insurance compliance audit document and the4-2
information contained therein only for the purpose of the specific request4-3
pursuant to which the document was submitted, unless the insurer4-4
expressly waives in writing the privilege of confidentiality for the4-5
insurance compliance audit document and the information contained4-6
therein.4-7
Sec. 8. 1. Upon the filing of a petition with a court of competent4-8
jurisdiction pursuant to section 7 of this act, the court shall schedule an4-9
in camera hearing not later than 45 days after the date on which the4-10
petition was filed.4-11
2. If the insurance compliance audit document was requested for a4-12
civil or administrative proceeding, examination or investigation, the4-13
court may require the disclosure of the document, subject to the4-14
provisions of subsection 4, only if the court finds that:4-15
(a) The purpose for which the privilege is being asserted is fraudulent;4-16
or4-17
(b) The document or information contained therein is not subject to4-18
the privilege.4-19
3. If the insurance compliance audit document was requested for a4-20
criminal proceeding or investigation, the court may require the4-21
disclosure of the document, subject to the provisions of subsection 4, only4-22
if the court finds that:4-23
(a) The purpose for which the privilege is being asserted is fraudulent;4-24
(b) The document or information contained therein is not subject to4-25
the privilege; or4-26
(c) The document contains evidence that is relevant to the commission4-27
of a criminal offense, and:4-28
(1) The commissioner or attorney general, as appropriate, has a4-29
compelling need for the evidence;4-30
(2) The evidence is not otherwise available; and4-31
(3) The commissioner or attorney general, as appropriate, is unable4-32
to obtain the substantial equivalent of the evidence by any other means4-33
without incurring unreasonable delay or cost.4-34
4. The court may only compel the disclosure of those portions of an4-35
insurance compliance audit document that are relevant to the issues of4-36
the underlying proceeding, examination or investigation for which the4-37
disclosure of the document is sought.4-38
5. The insurer and the commissioner or attorney general, as4-39
appropriate, may stipulate whether the privilege of confidentiality may be4-40
asserted for a specific insurance compliance audit document or the4-41
information contained therein, or whether the document or information5-1
may be disclosed. Such a stipulation is limited in scope to the instant5-2
proceeding, examination or investigation and is not applicable to any5-3
other proceeding, examination or investigation, absent specific language5-4
in the stipulation to the contrary.5-5
6. Disclosure of an insurance compliance audit document, or any5-6
information contained therein, pursuant to this section constitutes a5-7
waiver of the privilege of confidentiality only for the specific purpose for5-8
which the document was sought.5-9
7. If the court orders the disclosure of an insurance compliance5-10
audit document or any information contained therein, the insurer may5-11
apply to the court for an order protecting the document or information5-12
from further disclosure.5-13
Sec. 9. The privilege of confidentiality set forth in section 5 of this5-14
act does not apply to:5-15
1. Documents, communications, data, reports or other information5-16
expressly required to be collected, developed, maintained or reported to5-17
the commissioner, the division or any other regulatory agency pursuant5-18
to state or federal law;5-19
2. Information obtained by the commissioner or his designee, the5-20
division or any other regulatory agency through observation or5-21
monitoring of the insurer; or5-22
3. Information obtained from a source that is independent from the5-23
insurance compliance audit.5-24
Sec. 10. NRS 679B.250 is hereby amended to read as follows: 679B.250 1. When the commissioner determines to examine the5-26
affairs of any person, he shall designate one or more examiners and5-27
instruct them as to the scope of the examination. The examiner shall, upon5-28
demand, exhibit his official credentials to the person under examination.5-29
2. The commissioner shall conduct each examination in an5-30
expeditious, fair and impartial manner.5-31
3. Upon any such examination the commissioner, or the examiner if5-32
specifically so authorized in writing by the commissioner, may administer5-33
oaths, and examine under oath any person as to any matter relevant to the5-34
affairs under examination or relevant to the examination.5-35
4.5-36
of this act, each person being examined, its officers, attorneys, employees,5-37
agents and representatives shall make freely available to the commissioner5-38
or his examiners the accounts, records, documents, files, information,5-39
assets and matters of the person examined in his possession or control5-40
relating to the subject of the examination and shall facilitate the5-41
examination.5-42
5. If the commissioner or examiner finds any accounts or records to be5-43
inadequate, or inadequately kept or posted, he may employ experts to6-1
reconstruct, rewrite, post or balance them at the expense of the person6-2
being examined if that person has failed to maintain, complete or correct6-3
the records or accounting after the commissioner or examiner has given6-4
him written notice and a reasonable opportunity to do so.6-5
6. Neither the commissioner nor any examiner may remove any6-6
record, account, document, file or other property of the person being6-7
examined from the offices or place of the person examined except with his6-8
written consent before removal or pursuant to an order of court duly6-9
obtained. This provision does not affect the making and removal of copies6-10
or abstracts of any such record, account, document or file.6-11
7.6-12
this act, any person who refuses without just cause to be examined under6-13
oath or who willfully obstructs or interferes with the examiners in the6-14
exercise of their authority pursuant to this section is guilty of a6-15
misdemeanor.6-16
8. This chapter does not limit the commissioner’s authority:6-17
(a) To terminate or suspend an examination in order to pursue other6-18
legal or regulatory action.6-19
(b) During any hearing or any legal action, to use and, if so ordered by6-20
a court, to make public a final or preliminary report of an examination,6-21
working papers or other documents of an examiner or insurer, or any other6-22
information discovered or developed during the course of an examination.6-23
Such documents must be given their appropriate evidentiary weight and6-24
must not be accepted as prima facie evidence of the facts contained therein.6-25
Sec. 11. This act becomes effective on July 1, 1999.~