Senate Bill No. 43–Committee on Commerce and Labor

Prefiled January 27, 1999

(On Behalf of Legislative Committee on Workers’ Compensation)

____________

Referred to Committee on Commerce and Labor

 

SUMMARY—Makes various changes concerning applicability of insurance code to state industrial insurance system and private carriers of industrial insurance. (BDR 53-396)

FISCAL NOTE: Effect on Local Government: No.

Effect on the State or on Industrial Insurance: Yes.

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EXPLANATION – Matter in bolded italics is new; matter between brackets [omitted material] is material to be omitted. Green numbers along left margin indicate location on the printed bill (e.g., 5-15 indicates page 5, line 15).

 

AN ACT relating to industrial insurance; authorizing the commissioner of insurance to suspend the authority of the state industrial insurance system to provide industrial insurance; making certain provisions of the insurance code applicable to the state industrial insurance system; prohibiting the commissioner from applying certain provisions of the insurance code to the state industrial insurance system; exempting certain private carriers of industrial insurance from making an additional deposit of cash or securities with the commissioner of insurance for purposes of transacting industrial insurance in this state; clarifying the regulatory authority of the commissioner of insurance and the administrator of the division of industrial relations of the department of business and industry concerning trade practices of insurers; and providing other matters properly relating thereto.

 

THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:

1-1 Section 1. Chapter 616B of NRS is hereby amended by adding thereto

1-2 a new section to read as follows:

1-3 1. The commissioner shall issue an order suspending the authority of

1-4 the system to provide industrial insurance for 1 year if the commissioner

1-5 finds that the system has intentionally or repeatedly failed to comply with

1-6 the provisions of chapters 616A to 616D, inclusive, or chapter 617 of NRS

1-7 or the regulations of the division.

1-8 2. Before the commissioner issues an order pursuant to subsection 1,

1-9 he must:

2-1 (a) Arrange an informal meeting with the system to discuss and seek

2-2 correction of any conduct that would be grounds for suspension; and

2-3 (b) If the system fails to correct the conduct after the informal meeting,

2-4 give written notice to the system by certified mail or electronic

2-5 transmission that an order will be issued to suspend its authority to

2-6 provide industrial insurance within 10 days after it receives the notice

2-7 unless within that time, the system:

2-8 (1) Corrects the conduct set forth in the notice as the reason for the

2-9 suspension; or

2-10 (2) Submits a written request for a hearing to the commissioner.

2-11 3. If the system requests a hearing:

2-12 (a) The commissioner shall set a date for a hearing within 20 days

2-13 after receiving the system’s written request and shall give the system at

2-14 least 10 business days’ notice of the time and place of the hearing.

2-15 (b) A record of the hearing must be kept but it need not be transcribed

2-16 unless requested by the system. The cost of transcription must be charged

2-17 to the system.

2-18 4. Within 5 days after the hearing, the commissioner shall:

2-19 (a) Affirm or deny his decision to issue an order to suspend the

2-20 authority of the system to provide industrial insurance;

2-21 (b) Notify the system of his decision; and

2-22 (c) If the commissioner affirms his decision, issue an order to suspend

2-23 the authority of the system to provide industrial insurance.

2-24 5. If the system does not comply with the order of the commissioner

2-25 issued pursuant to subsection 4 during the period of suspension, the

2-26 commissioner shall issue another order prohibiting the system from

2-27 issuing new policies until the order has expired as specified in the order

2-28 itself. A copy of the order issued pursuant to this subsection must be sent

2-29 by certified mail or electronic transmission to the system.

2-30 Sec. 2. NRS 616B.197 is hereby amended to read as follows:

2-31 616B.197 1. The system shall comply with [:] and is subject to:

2-32 (a) Those provisions of Title 57 of NRS designated by regulations

2-33 adopted by the commissioner [;] and those provisions of Title 57 of NRS

2-34 made applicable to the system by a specific statute;

2-35 (b) Any orders issued to the system by the commissioner [.

2-36 2. Such] ;

2-37 (c) Those provisions of NRS 683A.090 to 683A.360, inclusive, that

2-38 require an insurer or an authorized insurer to perform certain duties as a

2-39 result of its relationship with an agent, broker or solicitor, including,

2-40 without limitation, NRS 683A.280 and 683A.290; and

2-41 (d) Those provisions of NRS 686A.010 to 686A.280, inclusive, and

2-42 686A.310 that regulate the trade practices of persons or insurers.

3-1 2. The regulations and orders adopted or issued pursuant to subsection

3-2 1 must comply with the provisions of chapters 616A to 617, inclusive, of

3-3 NRS, including, but not limited to, those provisions governing the

3-4 investments and operations of the system.

3-5 3. The commissioner shall not require the system to :

3-6 (a) Obtain a certificate of authority to transact industrial insurance;

3-7 (b) Appoint the commissioner and his successors in office as its

3-8 attorney to receive service of legal process issued against it in this state;

3-9 (c) Except as otherwise provided in subsection 1, make any deposits or

3-10 pay any licensing fees, continuation fees, assessments or taxes required to

3-11 be deposited through the commissioner or paid to the division of insurance

3-12 of the department of business and industry by insurers licensed pursuant to

3-13 Title 57 of NRS [.] ; or

3-14 (d) Register with the commissioner as a member of an insurance

3-15 holding company system.

3-16 4. The system shall pay the costs of any examination of the system

3-17 conducted by the commissioner, as required by NRS 679B.290, upon

3-18 presentation by the commissioner of a reasonably detailed written statement

3-19 of the expenses of the examination.

3-20 5. An agent of the system shall comply with NRS 683A.090 to

3-21 683A.360, inclusive. As used in this subsection, "agent of the system"

3-22 means any person who is associated, directly or indirectly, with the system

3-23 to solicit and enroll policyholders with the system and negotiate contracts

3-24 of industrial insurance issued by the system, and includes, without

3-25 limitation, a person who qualifies as an "agent," "broker" or "solicitor"

3-26 as those terms are defined in chapter 683A of NRS.

3-27 Sec. 3. NRS 679B.130 is hereby amended to read as follows:

3-28 679B.130 1. The commissioner may adopt reasonable regulations for

3-29 the administration of any provision of this code or chapters 616A to 617,

3-30 inclusive, of NRS.

3-31 2. A person who willfully violates any regulation of the commissioner is

3-32 subject to such suspension or revocation of a certificate of authority [or

3-33 license,] , license or other authority to transact insurance, or

3-34 administrative fine in lieu of such suspension or revocation, as may be

3-35 applicable [under] pursuant to this code or chapter 616A, 616B, 616C,

3-36 616D or 617 of NRS for violation of the provision to which the regulation

3-37 relates. No penalty applies to any act done or omitted in good faith in

3-38 conformity with any [such] regulation, notwithstanding that the regulation

3-39 may, after the act or omission, be amended, rescinded or determined by a

3-40 judicial or other authority to be invalid for any reason.

3-41 Sec. 4. NRS 679B.157 is hereby amended to read as follows:

3-42 679B.157 An insurer, employee or representative of an insurer, the

3-43 state industrial insurance system, an employee of the state industrial

4-1 insurance system, an official of an investigative or law enforcement

4-2 agency, employee of the division or the commissioner is not subject to a

4-3 criminal penalty or subject to civil liability for libel, slander or any similar

4-4 cause of action in tort if he, without malice, discloses information on a

4-5 fraudulent claim or suspicious fire.

4-6 Sec. 5. NRS 679B.158 is hereby amended to read as follows:

4-7 679B.158 1. The special investigative account is hereby established in

4-8 the state general fund for use by the commissioner. The commissioner shall

4-9 deposit all money received pursuant to this section with the state treasurer

4-10 for credit to the account. Money remaining in the account at the end of any

4-11 year does not lapse and may be used by the commissioner in any subsequent

4-12 year.

4-13 2. The commissioner shall authorize expenditures from the special

4-14 investigative account to pay the expenses of the program established

4-15 pursuant to NRS 679B.153 and of any unit established in the office of the

4-16 attorney general which investigates and prosecutes insurance fraud.

4-17 3. All of the costs of the program established pursuant to NRS

4-18 679B.153 must be paid by the insurers authorized to transact insurance in

4-19 this state [.] , including the state industrial insurance system. The

4-20 commissioner shall annually determine the total cost and equally divide that

4-21 amount among the insurers. The annual amount so assessed must not exceed

4-22 $500 per authorized insurer. The commissioner may adopt regulations

4-23 regarding the calculation and collection of the assessment.

4-24 Sec. 6. NRS 680A.140 is hereby amended to read as follows:

4-25 680A.140 1. [The] Except as otherwise provided in subsections 4

4-26 and 5, the commissioner shall not authorize an insurer to transact insurance

4-27 in this state, other than an alien insurer or a title insurer, unless it makes and

4-28 thereafter continuously maintains on deposit in this state, through the

4-29 commissioner, cash or securities eligible for such deposit under the laws of

4-30 this state of a fair market value not less than its minimum required capital

4-31 stock , [(] if a stock insurer , [)] or minimum required basic surplus , [(] if a

4-32 mutual or reciprocal insurer , [),] for the protection of the insurer’s

4-33 policyholders or of its policyholders and creditors in the United States of

4-34 America. The commissioner may adopt regulations which allow the use of

4-35 securities as a deposit without delivery of the securities to the

4-36 commissioner.

4-37 2. The commissioner shall not so authorize a title insurer unless it so

4-38 deposits and maintains such cash or securities of fair market value not less

4-39 than its minimum required capital stock as a guaranty fund for the security

4-40 and protection of the holders of, or beneficiaries under, the title insurance

4-41 contracts issued by the insurer.

4-42 3. The commissioner shall not so authorize an alien insurer unless it so

4-43 makes and thereafter continuously maintains such a deposit, representing

5-1 money in excess of all the insurer’s liabilities under insurance contracts in

5-2 force in the United States of America, of a fair market value of not less than

5-3 that required under subsection 1, as to a like foreign insurer. The deposit

5-4 must be held in trust for the protection of all the insurer’s policyholders, or

5-5 policyholders and creditors, in the United States of America.

5-6 4. In lieu of such a deposit made or maintained in this state, the

5-7 commissioner shall accept the certificate in proper form of the public officer

5-8 having general supervision of insurers in any other state to the effect that a

5-9 deposit of like quality and amount, or part thereof, by an insurer is being

5-10 maintained for like purposes in public custody or control pursuant to the

5-11 laws of that state, if the commissioner is satisfied as to the like quality and

5-12 amount of the deposit.

5-13 5. The commissioner shall not require an insurer that is not

5-14 domiciled in this state to make or maintain a deposit of cash or securities

5-15 in this state to qualify for authority to transact industrial insurance in this

5-16 state unless the commissioner determines that the insurer is not

5-17 maintaining in at least one state a deposit that is alike in quality and

5-18 amount to the deposit otherwise required pursuant to subsection 1.

5-19 6. All [such] deposits maintained in this state pursuant to this section

5-20 are subject to the applicable provisions of chapter 682B of NRS.

5-21 Sec. 7. NRS 682B.015 is hereby amended to read as follows:

5-22 682B.015 1. [In] Except as otherwise provided in subsection 5 of

5-23 NRS 680A.140, in addition to the deposits authorized by NRS 682B.010,

5-24 the commissioner may by regulation require as a condition of transacting the

5-25 business of insurance in this state that a special deposit be maintained in this

5-26 state by an authorized insurer who is subject to the provisions of chapter

5-27 680A of NRS or by an eligible insurer who is subject to the provisions of

5-28 chapter 685A of NRS.

5-29 2. A deposit pursuant to this section:

5-30 (a) Must be held for the sole benefit and protection of policyholders

5-31 residing in this state and any risk that is resident, located or to be performed

5-32 in this state that is the subject of insurance; and

5-33 (b) Is subject to the provisions of NRS 682B.030 to 682B.120, inclusive.

5-34 Sec. 8. Chapter 683A of NRS is hereby amended by adding thereto a

5-35 new section to read as follows:

5-36 As used in NRS 683A.090 to 683A.360, inclusive, the terms "authorized

5-37 insurer" and "insurer" include the state industrial insurance system.

5-38 Sec. 9. Chapter 686A of NRS is hereby amended by adding thereto a

5-39 new section to read as follows:

5-40 As used in NRS 686A.010 to 686A.280, inclusive, and 686A.310, the

5-41 terms "insurer" and "person" include the state industrial insurance

5-42 system.

6-1 Sec. 10. NRS 686A.010 is hereby amended to read as follows:

6-2 686A.010 The purpose of NRS 686A.010 to 686A.310, inclusive, and

6-3 section 9 of this act is to regulate trade practices in the business of

6-4 insurance in accordance with the intent of Congress as expressed in the Act

6-5 of Congress approved March 9, 1945, being c. 20, 59 Stat. 33, also

6-6 designated as 15 U.S.C. §§ 1011 to 1015, inclusive, by defining, or

6-7 providing for the determination of, all such practices in this state which

6-8 constitute unfair methods of competition or unfair or deceptive acts or

6-9 practices and by prohibiting the trade practices so defined or determined.

6-10 Sec. 11. NRS 686A.015 is hereby amended to read as follows:

6-11 686A.015 1. Notwithstanding any other provision of law [,] and

6-12 except as otherwise provided in subsection 3, the commissioner has

6-13 exclusive jurisdiction in regulating the subject of trade practices in the

6-14 business of insurance in this state.

6-15 2. The commissioner shall establish a program within the division to

6-16 investigate any act or practice which constitutes an unfair or deceptive trade

6-17 practice in violation of the provisions of NRS 686A.010 to 686A.310,

6-18 inclusive.

6-19 3. The provisions of subsection 1 do not preempt the authority of the

6-20 administrator of the division of industrial relations of the department of

6-21 business and industry to exercise all authority granted to him pursuant to

6-22 the provisions of chapters 616A to 616D, inclusive, and chapter 617 of

6-23 NRS to regulate, audit, impose fines and conduct investigations of

6-24 insurers who provide industrial insurance to ensure the proper provision

6-25 of workers’ compensation to claimants. As used in this subsection,

6-26 "insurers who provide industrial insurance" has the meaning ascribed to

6-27 the term "insurer" in NRS 616A.270.

6-28 Sec. 12. NRS 686A.183 is hereby amended to read as follows:

6-29 686A.183 1. After the hearing provided for in NRS 686A.160, the

6-30 commissioner shall issue his order on hearing pursuant to NRS 679B.360. If

6-31 the commissioner determines that the person charged has engaged in an

6-32 unfair method of competition or an unfair or deceptive act or practice in

6-33 violation of NRS 686A.010 to 686A.310, inclusive, he shall order him to

6-34 cease and desist from engaging in that method of competition, act or

6-35 practice, and may order one or both of the following:

6-36 (a) If the person knew or reasonably should have known that he was in

6-37 violation of NRS 686A.010 to 686A.310, inclusive, payment of an

6-38 administrative fine of not more than $5,000 for each act or violation, except

6-39 that as to licensed agents, brokers, solicitors and adjusters, the

6-40 administrative fine must not exceed $500 for each act or violation.

6-41 (b) Suspension or revocation of the person’s license or the person’s

6-42 authority to transact insurance if he knew or reasonably should have

6-43 known that he was in violation of NRS 686A.010 to 686A.310, inclusive.

7-1 2. Until the expiration of the time allowed for taking an appeal,

7-2 pursuant to NRS 679B.370, if no petition for review has been filed within

7-3 that time, or, if a petition for review has been filed within that time, until the

7-4 official record in the proceeding has been filed with the court, the

7-5 commissioner may, at any time, upon such notice and in such manner as he

7-6 deems proper, modify or set aside, in whole or in part, any order issued by

7-7 him under this section.

7-8 3. After the expiration of the time allowed for taking an appeal, if no

7-9 petition for review has been filed, the commissioner may at any time, after

7-10 notice and opportunity for hearing, reopen and alter, modify or set aside, in

7-11 whole or in part, any order issued by him under this section whenever in his

7-12 opinion conditions of fact or of law have so changed as to require such

7-13 action or if the public interest so requires.

7-14 Sec. 13. NRS 686A.187 is hereby amended to read as follows:

7-15 686A.187 Any person who violates a cease and desist order of the

7-16 commissioner issued under NRS 686A.183, except one issued with respect

7-17 to NRS 686A.170, is subject, in the discretion of the commissioner, after

7-18 notice and hearing and upon order of the commissioner, to one or both of

7-19 the following:

7-20 1. Payment of an administrative fine of not more than $5,000 for each

7-21 and every violation.

7-22 2. Suspension or revocation of [the license.] his license or his authority

7-23 to transact insurance.

7-24 Sec. 14. NRS 686A.260 is hereby amended to read as follows:

7-25 686A.260 The commissioner may revoke or suspend the license or the

7-26 authority to transact insurance of any person domiciled or resident in

7-27 Nevada and licensed , certified or otherwise authorized to transact

7-28 insurance in Nevada as insurer, agent, broker or otherwise, upon a hearing

7-29 and proof that such person, as the result of a hearing before the

7-30 commissioner, director or superintendent of insurance or insurance

7-31 department of another state, or in a judicial proceeding in another state, has

7-32 been found to have violated the insurance laws of that state relating to unfair

7-33 methods of competition or unfair or deceptive acts or practices in the

7-34 conduct of the business of insurance, and as a result thereof either has had

7-35 his license or other authority to transact insurance revoked or suspended

7-36 in that state or has been found guilty of failing to comply with any order,

7-37 decree or judgment issued pursuant to such hearing or judicial proceeding in

7-38 that state.

7-39 Sec. 15. 1. This section and sections 1, 2 and 4 to 14, inclusive, of

7-40 this act become effective on July 1, 1999.

7-41 2. Section 3 of this act becomes effective at 12:01 a.m. on July 1, 1999.

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