Senate Bill No. 75–Committee on Commerce and Labor

February 2, 1999

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Referred to Committee on Commerce and Labor

 

SUMMARY—Makes various changes regarding insurance. (BDR 57-336)

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 [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 insurance; providing that a competitive market exists for certain types of insurance unless the commissioner of insurance specifically finds to the contrary; revising the provisions governing the filing and approval of rates of insurers in a competitive market; authorizing the commissioner to require certain insurers to file additional supporting data; providing for the issuance by the commissioner of orders to discontinue a rate; 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. NRS 686B.050 is hereby amended to read as follows:

1-2 686B.050 1. Rates must not be excessive, inadequate or unfairly

1-3 discriminatory, nor may an insurer charge any rate which if continued will

1-4 have or tend to have the effect of destroying competition or creating a

1-5 monopoly.

1-6 2. Competition shall be deemed to exist unless the commissioner

1-7 specifically finds, after a hearing and a review of the structure,

1-8 performance and conduct of the insurers in the market that:

1-9 (a) There is no reasonable degree of competition among the insurers;

1-10 and

1-11 (b) The interaction among the insurers is not competitive.

1-12 A finding by the commissioner pursuant to this subsection that the

1-13 market is not competitive expires 1 year after the date on which the

1-14 finding is issued.

1-15 3. The commissioner may disapprove rates on the ground that the

1-16 rates are excessive only if the commissioner determines that there is not a

2-1 reasonable degree of price competition at the consumer level with respect

2-2 to the class of business to which they apply [.] and that the rates are likely

2-3 to produce a long-run profit that is unreasonably high in relation to the

2-4 riskiness of the class of business, or if the expenses are unreasonably

2-5 high in relation to the services rendered. In determining whether a

2-6 reasonable degree of price competition exists, the commissioner shall

2-7 consider all relevant tests, including:

2-8 (a) The number of insurers actively engaged in the class of business and

2-9 their shares of the market;

2-10 (b) The existence of differentials in rates in that class of business;

2-11 (c) Whether long-run profitability for insurers generally of the class of

2-12 business is unreasonably high in relation to its riskiness;

2-13 (d) Consumers’ knowledge in regard to the market in question; and

2-14 (e) Whether price competition is a result of the market or is
2-15 artificial.

2-16 [If competition does not exist, rates are excessive if they are likely to

2-17 produce a long-run profit that is unreasonably high in relation to the

2-18 riskiness of the class of business, or if expenses are unreasonably high in

2-19 relation to the services rendered.

2-20 3.] 4. Rates are inadequate if they are clearly insufficient, together with

2-21 the income from investments attributable to them, to sustain projected

2-22 losses and expenses in the class of business to which they apply.

2-23 [4.] 5. One rate is unfairly discriminatory in relation to another in the

2-24 same class if it clearly fails to reflect equitably the differences in expected

2-25 losses and expenses. Rates are not unfairly discriminatory because different

2-26 premiums result for policyholders with similar exposure to loss but

2-27 different expense factors, or similar expense factors but different exposure

2-28 to loss, so long as the rates reflect the differences with reasonable accuracy.

2-29 Rates are not unfairly discriminatory if they are averaged broadly among

2-30 persons insured under a group, franchise or blanket policy.

2-31 Sec. 2. NRS 686B.070 is hereby amended to read as follows:

2-32 686B.070 1. Every authorized insurer and every rate service

2-33 organization licensed under NRS 686B.130 which has been designated by

2-34 any insurer for the filing of rates under subsection 2 of NRS 686B.090 shall

2-35 file with the commissioner all:

2-36 [1.] (a) Rates and proposed increases thereto;

2-37 [2.] (b) Forms of policies to which the rates apply;

2-38 [3.] (c) Supplementary rate information; and

2-39 [4.] (d) Changes and amendments thereof,

2-40 made by it for use in this state.

3-1 2. Except as otherwise provided in this section and NRS 686B.110,

3-2 unless the commissioner has determined that the market is not

3-3 competitive, an insurer shall file the information required by subsection

3-4 1 on or before the date on which the changes are to become effective.

3-5 3. In a competitive market, if the commissioner determines that rates

3-6 of an insurer require closer supervision by the commissioner because of

3-7 the financial condition of the insurer or because the insurer has engaged

3-8 in rating practices which are unfairly discriminatory, the commissioner

3-9 may require the insurer to file supporting data pursuant to NRS

3-10 686B.100 or subject the rates to review pursuant to NRS 686B.110.

3-11 4. The commissioner shall review filings made pursuant to this

3-12 section as soon as practicable to:

3-13 (a) Ensure the sufficiency of the financial condition of the insurer;

3-14 and

3-15 (b) Determine if the insurer has engaged in rating practices which are

3-16 unfairly discriminatory.

3-17 5. Rates for title insurance, surety insurance and liability insurance

3-18 for medical malpractice must be approved before the insurer may use the

3-19 rates. If the commissioner does not approve or disapprove a filing

3-20 involving the rates for such insurance within 60 days after the date of the

3-21 filing, the rates shall be deemed to be approved.

3-22 Sec. 3. NRS 686B.100 is hereby amended to read as follows:

3-23 686B.100 1. [By rule, the commissioner may require the filing of

3-24 supporting data as to any or all kinds or lines of insurance or subdivisions

3-25 thereof or classes of risks or combinations thereof as he deems necessary

3-26 for the proper functioning of the process for monitoring and regulating

3-27 rates.] If the commissioner determines that the market is not competitive,

3-28 the commissioner shall require an insurer to file supporting data for its

3-29 rates if the commissioner determines pursuant to NRS 686B.070 that the

3-30 rates of the insurer require closer supervision.

3-31 2. The supporting data must include:

3-32 (a) The experience and judgment of the filer, and, to the extent it wishes

3-33 or the commissioner requires, of other insurers or rate service

3-34 organizations;

3-35 (b) Its interpretation of any statistical data relied upon;

3-36 (c) Descriptions of the actuarial and statistical methods employed in

3-37 setting the rates; and

3-38 (d) Any other relevant matters required by the commissioner.

3-39 [2.] 3. Whenever a filing of a proposed increase in a rate is not

3-40 accompanied by such information as the commissioner has required [under

3-41 subsection 1,] pursuant to this section, he may so inform the insurer and

3-42 the filing shall be deemed to be made when the information is furnished.

4-1 Sec. 4. NRS 686B.110 is hereby amended to read as follows:

4-2 686B.110 1. [The] If the commissioner has determined that:

4-3 (a) Pursuant to NRS 686B.050, the market is not competitive;

4-4 (b) Pursuant to NRS 686B.180, essential insurance coverage is not

4-5 readily available in a voluntary market; or

4-6 (c) Pursuant to NRS 686B.070, the rates of the insurer require closer

4-7 supervision and that the rates are subject to review pursuant to this

4-8 section,

4-9 the commissioner shall consider each proposed increase or decrease in the

4-10 rate of any kind or line of insurance or subdivision thereof filed with him

4-11 pursuant to NRS 686B.070. If the commissioner finds that a proposed

4-12 increase will result in a rate which is not in compliance with NRS

4-13 686B.050, he shall disapprove the proposal. The commissioner shall

4-14 approve or disapprove each proposal no later than 60 days after it is

4-15 determined by him to be complete pursuant to subsection 4. If the

4-16 commissioner fails to approve or disapprove the proposal within that

4-17 period, the proposal shall be deemed approved.

4-18 2. Whenever an insurer has no legally effective rates as a result of the

4-19 commissioner’s disapproval of rates or other act, the commissioner shall on

4-20 request specify interim rates for the insurer that are high enough to protect

4-21 the interests of all parties and may order that a specified portion of the

4-22 premiums be placed in an escrow account approved by him. When new

4-23 rates become legally effective, the commissioner shall order the escrowed

4-24 funds or any overcharge in the interim rates to be distributed appropriately,

4-25 except that refunds to policyholders that are de minimis must not be

4-26 required.

4-27 3. If the commissioner disapproves a proposed rate and an insurer

4-28 requests a hearing to determine the validity of his action, the insurer has the

4-29 burden of showing compliance with the applicable standards for rates

4-30 established in NRS 686B.010 to 686B.1799, inclusive. Any such hearing

4-31 must be held:

4-32 (a) Within 30 days after the request for a hearing has been submitted to

4-33 the commissioner; or

4-34 (b) Within a period agreed upon by the insurer and the commissioner.

4-35 If the hearing is not held within the period specified in paragraph (a) or (b),

4-36 or if the commissioner fails to issue an order concerning the proposed rate

4-37 for which the hearing is held within 45 days after the hearing, the proposed

4-38 rate shall be deemed approved.

4-39 4. The commissioner shall by regulation specify the documents or any

4-40 other information which must be included in a proposal to increase or

4-41 decrease a rate submitted to him pursuant to [subsection 1.] NRS

4-42 686B.070. Each such proposal shall be deemed complete upon its filing

4-43 with the commissioner, unless the commissioner, within 15 business days

5-1 after the proposal is filed with him, determines that the proposal is

5-2 incomplete because the proposal does not comply with the regulations

5-3 adopted by him pursuant to this subsection.

5-4 5. If, in a competitive market, the commissioner finds that a rate no

5-5 longer meets the requirements of this chapter, the commissioner may

5-6 order the discontinuance of the rate. An order for the discontinuance of

5-7 a rate may be issued only after a hearing with at least 10 days’ notice for

5-8 all insurers and rate organizations that would be affected by such an

5-9 order. The order must be in writing and include, without limitation:

5-10 (a) The grounds pursuant to which the order was issued;

5-11 (b) The date on which the order to discontinue the rate becomes

5-12 effective; and

5-13 (c) The date, within a reasonable time after the date on which the

5-14 order becomes effective, on which the order will expire.

5-15 An order for the discontinuance of a rate does not affect any contract or

5-16 policy made or issued before the date on which the order becomes

5-17 effective.

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