Senate Bill No. 252–Committee on Commerce and Labor
CHAPTER..........
AN ACT relating to insurance; revising the Nevada Life and Health Insurance Guaranty Association Act to incorporate changes made in the model act; prohibiting certain acts; providing a penalty; and providing other matters properly relating thereto.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. NRS 681A.230 is hereby amended to read as follows:
681A.230 1. Credit must be allowed as an asset or as a deduction
from liability to any ceding insurer for reinsurance lawfully ceded to an
assuming insurer qualified therefor pursuant to NRS 681A.110, 681A.150,
681A.160, 681A.170, 681A.180 or 681A.190, but no such credit may be
allowed unless the contract for reinsurance provides in substance that, in
the event of the insolvency of the ceding insurer, the reinsurance is payable
pursuant to a contract reinsured by the assuming insurer on the basis of
reported claims allowed in any liquidation proceedings, subject to court
approval, without diminution because of the insolvency of the ceding
insurer. [Such] Except as otherwise provided in section 14 of this act,
those payments must be made directly to the ceding insurer or to its
domiciliary liquidator unless:
(a) The contract of reinsurance or other written contract specifically
designates another payee of the payments in the event of the insolvency of
the ceding insurer; or
(b) The assuming insurer, with the consent of the persons directly
insured, has assumed the obligations from the policies issued by the ceding
insurer as direct obligations of the assuming insurer, and in substitution for
the obligations of the ceding insurer, to the payees under those policies.
2. The domiciliary liquidator of an insolvent ceding insurer shall give
written notice to the assuming insurer of the pendency of any claim against
the ceding insurer on any contract reinsured within a reasonable time after
such a claim is filed in the liquidation proceeding. During the pendency of
the claim, the assuming insurer may investigate the claim and, at its own
expense, interpose in the proceeding in which the claim is to be adjudicated
any defense that the assuming insurer deems available to the ceding insurer
or its liquidator.
Sec. 2. Chapter 686C of NRS is hereby amended by adding thereto
the provisions set forth as sections 2.5 to 20, inclusive, of this act.
Sec. 2.5 “Annuity” includes an agreement for allocated funding, a
structured settlement annuity and an immediate or deferred annuity.
Sec. 3. “Authorized assessment” or “authorized” as used in the
context of assessments means or describes an assessment authorized by a
resolution of the board of directors of the association to be imposed
immediately or later on member insurers in a specified amount.
Sec. 4. “Benefit plan” means a benefit plan for a specific employee,
union or association of natural persons.
Sec. 5. “Called assessment” or “called” as used in the context of
assessments means or describes an authorized assessment required by a
notice mailed by the association to member insurers to be paid within the
time set forth in the notice.
Sec. 6. “Extra-contractual claim” includes a claim relating to bad
faith in the payment of claims and a claim for punitive or exemplary
damages or for costs and attorney’s fees.
Sec. 7. “Owner” of a policy or contract means the person who is
identified as the legal owner under the terms of the policy or contract or
who is otherwise vested with legal title to the policy or contract through a
valid assignment completed in accordance with the terms of the policy or
contract and properly recorded as the owner on the books of the issuer.
Sec. 8. “Person” includes a government, governmental agency or
political subdivision of a government.
Sec. 9. 1. “Principal place of business” of an organization means
the single state in which the natural persons who establish policy for the
direction, control and coordination of the operations of the organization
as a whole primarily perform that function, determined by the
association in its reasonable judgment by considering:
(a) The state in which the primary executive and administrative
headquarters of the organization is located;
(b) The state in which the principal office of the chief executive
officer of the organization is located;
(c) The state in which the board of directors, or similar governing
authority, of the organization conducts the majority of its meetings;
(d) The state in which the executive or managerial committee of the
board of directors, or similar governing authority, of the organization
conducts the majority of its meetings; and
(e) The state from which the management of the overall operations of
the organization is directed.
2. “Principal place of business” of the sponsor of a benefit plan
means the principal place of business of the association, committee, joint
board of trustees or similar group of representatives of the parties who
establish or maintain the plan or, if that cannot be ascertained, of the
employer or the employee organization that has the largest investment in
the plan, except that in either case if more than half of the participants of
the plan are employed in one state, it means that state. In the case of a
benefit plan sponsored by affiliated companies comprising a consolidated
corporation, it means the state in which the holding company or
controlling affiliate has its principal place of business as determined by
using the factors set forth in subsection 1.
Sec. 10. “State” means a state of the United States, the District of
Columbia, Puerto Rico, the United States Virgin Islands or any territory
or insular possession subject to the jurisdiction of the United States.
Sec. 11. “Structured settlement annuity” means an annuity
purchased to fund periodic payments to a plaintiff or other claimant in
payment for or with respect to personal injury suffered by him.
Sec. 12. Premiums due for coverage after entry of an order of
liquidation of an insolvent insurer belong to and are payable at the
direction of the association, and the association is liable for unearned
premiums due to owners of policies or contracts arising after the entry of
such an order.
Sec. 13. A deposit in this state, held pursuant to law or required by
the commissioner for the benefit of creditors, including owners of
policies, not turned over to the domiciliary receiver upon the entry of a
final order of liquidation or order approving a plan of rehabilitation of
an insurer domiciled in this state or a reciprocal state pursuant to NRS
696B.290 or 696B.300 must be promptly paid to the association. The
association is entitled to retain a portion of an amount so paid to it that is
equal to the percentage determined by dividing the aggregate amount of
policy owners’ claims related to that insolvency for which the association
has provided statutory benefits by the aggregate amount of all policy
owners’ claims in this state related to that insolvency, and shall remit the
remainder to the domiciliary receiver. The amount so remitted is a
distribution of the assets of the insurer for the purposes of chapter 696B
of NRS.
Sec. 14. 1. As used in this section, “coverage date” means the date
on which the association becomes liable for the obligations of a member
insurer.
2. At any time after the coverage date, the association may elect to
succeed to the rights and obligations of the member insurer which accrue
on or after the coverage date and relate to contracts covered, in whole or
in part, by the association under any one or more agreements for
indemnity reinsurance entered into by the member insurer as ceding
insurer and selected by the association. However, the association may not
exercise its right of election with respect to an agreement for reinsurance
if the receiver, rehabilitator or liquidator of the member insurer has
previously expressly disaffirmed the agreement. The election must be
effected by a notice to the receiver, rehabilitator or liquidator and the
affected reinsurers. If the association makes such an election:
(a) The association is responsible for all unpaid premiums due under
each agreement for periods both before and after the coverage date, and
for the performance of all other obligations to be performed after the
coverage date, in each case which relates to a contract covered in whole
or in part by the association. The association may charge a contract
covered in part by it, through reasonable methods of allocation, for the
costs of reinsurance in excess of the obligations of the association.
(b) The association is entitled to any amount payable by the reinsurer
under each agreement with respect to losses or events that occur in
periods after the coverage date and relate to contracts covered in whole
or in part by the association, but upon receipt of any such amount, the
association is obligated to pay, to the beneficiary under the contract on
account of which the amount was paid, that portion of the amount
received by the association that exceeds the benefits paid by the
association on account of the contract less the retention by the impaired
or insolvent member insurer applicable to the loss or event.
(c) The association and each reinsurer shall, within 30 days after the
election, calculate the net balance due to or from the association under
each agreement as of the date of the election, giving full credit for all
items paid by the member insurer or its receiver, rehabilitator or
liquidator, or the reinsurer, between the coverage date and the date of the
election. The association or the reinsurer shall pay the net balance
within 5 days after the completion of the calculation. If a receiver,
rehabilitator or liquidator has received any amount due the association
pursuant to paragraph (b), the recipient shall remit the amount to the
association as promptly as practicable.
(d) The reinsurer may not terminate an agreement for reinsurance
insofar as it relates to contracts covered by the association in whole or in
part, or set off any unpaid premium due for a period before the coverage
date against the amount due the association, if the association, within 60
days after the election, pays the premiums due for periods both before
and after the coverage date which relate to such contracts.
3. If the association transfers its obligation to another insurer, and
the association and the other insurer so agree, the other insurer succeeds
to the rights and obligations of the association under subsection 2
effective as of the agreed date, whether or not the association has made
the election described in subsection 2, except that:
(a) An agreement for indemnity reinsurance automatically terminates
as to new reinsurance unless the reinsurer and the other insurer agree to
the contrary;
(b) The obligation of the association to the beneficiary under
paragraph (b) of subsection 2 ceases on the date of the transfer to the
other insurer; and
(c) This subsection does not apply if the association has previously
expressly determined in writing that it will not exercise its right of
election under subsection 2.
4. The provisions of this section supersede an affected agreement for
reinsurance which provides for or requires payment of proceeds of
reinsurance, on account of a loss or event that occurs after the coverage
date, to the receiver, rehabilitator or liquidator of the insolvent member
insurer. The receiver, rehabilitator or liquidator remains entitled to any
amounts payable by the reinsurer under the agreement with respect to
losses or events that occur before the coverage date, subject to any
applicable setoff.
5. Except as otherwise expressly provided, this section does not alter
or modify the terms or conditions of any agreement of the insolvent
insurer for reinsurance, abrogate or limit any right of a reinsurer to
rescind an agreement for reinsurance, or give an owner or beneficiary of
a policy an independent cause of action against a reinsurer under an
agreement for indemnity reinsurance that is not otherwise set forth in the
agreement.
Sec. 15. 1. The board of directors of the association may exercise
reasonable business judgment to determine the means by which the
association is to provide the benefits of this chapter in an economical and
efficient manner.
2. Where the association has arranged or offered to provide the
benefits of this chapter to a covered person under a plan or arrangement
that satisfies the obligations of the association under this chapter, the
covered person is not entitled to benefits from the association in addition
to or other than those provided under the plan or arrangement.
Sec. 16. Venue in an action against the association arising under
this chapter lies in Washoe County. No appeal bond may be required of
the association in an appeal that relates to a cause of action arising
under this chapter.
Sec. 17. In carrying out its duties in connection with guaranteeing,
assuming or reinsuring a policy or contract under NRS 686C.150 and
686C.152, the association, subject to the approval of the court in the
insolvent or impaired insurer’s state which has jurisdiction over the
conservation, rehabilitation or liquidation of the insurer, may issue
substitute coverage for a policy or contract that provides an interest rate,
crediting rate or similar factor determined by use of an index or other
external reference stated in the policy or contract employed in
calculating returns or changes in value by issuing an alternative policy
or contract if:
1. In lieu of the index or other external reference stated in the
original policy or contract, the alternative policy or contract provides for
a fixed interest rate, payment of dividends guaranteed as to minimum
amount, or a different method of calculating interest or changes in
value;
2. There is no requirement for evidence of insurability, waiting
period or other exclusion that would not have applied under the replaced
policy or contract; and
3. The alternative policy or contract is substantially similar to the
replaced policy or contract in all other material terms.
Sec. 18. 1. A member insurer that wishes to protest all or part of
an assessment shall pay the full amount of the assessment when due, as
set forth in the notice from the association. The payment may be used to
meet obligations of the association during the pendency of the
assessment and any subsequent appeal. Payment must be accompanied
by a statement in writing that the payment is made under protest and
setting forth briefly the grounds for the protest.
2. Within 60 days after the payment of an assessment under protest,
the association shall notify the member insurer in writing of the
determination of the association with respect to the protest, unless the
association notifies the member insurer that additional time is required
to resolve the issues raised by the protest.
3. Within 30 days after a final decision is made, the association shall
notify the protesting member insurer in writing of the final decision.
Within 60 days after receipt of that notice, the protesting member insurer
may appeal the decision to the commissioner.
4. As an alternative to making a final decision with respect to a
protest concerning the basis of assessment, the association may refer the
protest to the commissioner for a final decision, with or without a
recommendation from the association.
5. If a protest or appeal is upheld, the amount paid in error or excess
must be returned to the member insurer. Interest must be paid on the
refund at the rate actually earned by the association.
Sec. 19. The association may request information from member
insurers to aid in the exercise of its powers under this chapter, and each
member shall promptly comply with such a request.
Sec. 20. It is unlawful for an insurer, agent or affiliate of an
insurer, or other person to make, publish, circulate or place before the
public, or cause any other person to do so, in any publication, notice,
circular, letter or poster, or over any radio or television station, any
advertisement or statement, written or oral, which uses the existence of
the association for the sale, solicitation or inducement to purchase any
form of insurance covered by the association. This section does not apply
to the association or any other person that does not sell or solicit
insurance.
Sec. 21. NRS 686C.020 is hereby amended to read as follows:
686C.020 The purpose of this chapter is to protect , within certain
limits, the persons specified in [subsection] subsections 1 and 2 of NRS
686C.030 against failure in the performance of contractual obligations
under life and health insurance policies[, annuities and contracts] and
contracts, and annuities, specified in subsection [2] 4 of NRS 686C.030
because of the impairment or insolvency of [the] a member insurer issuing
such policies or contracts.
Sec. 22. NRS 686C.030 is hereby amended to read as follows:
686C.030 1. This chapter provides coverage for the policies or
contracts described in subsection [2] 4 to persons who are:
(a) Owners of or certificate holders under such policies or contracts,
other than structured settlement annuities, and who:
(1) Are residents of this state; or
(2) Are not residents, but only if:
(I) The [insurers which] insurer that issued the policies or
contracts [are] is domiciled in this state;
(II) [Those insurers did not hold at the time the policies or
contracts were issued a license or certificate of authority in the states in
which those persons reside;
(III)] The states in which the [nonresident] persons reside have
associations [for protection against impaired or insolvent insurers] similar
to the association created by this chapter; and
[(IV) Those]
(III) The persons are not eligible for coverage by [those] an
association in another state because the insurer was not authorized in the
other state at the time specified in that state’s law governing guaranty
associations; and
(b) Beneficiaries, assignees or payees of the persons covered under
paragraph (a), wherever they reside, except for nonresident certificate
holders under group policies or contracts.
2. For structured settlement annuities, except as otherwise provided
in subsection 3, this chapter provides coverage to a payee under the
annuity, or beneficiary of a payee if the payee is deceased, if the payee or
beneficiary:
(a) Is a resident of this state, regardless of the residence of the owner
of the annuity; or
(b) Is not a resident of this state, but:
(1) The owner of the annuity is a resident of this state, or the issuer
of the annuity is domiciled in this state and the state in which the owner
resides has an association similar to the association created by this
chapter; and
(2) Neither the payee or beneficiary nor the owner of the annuity is
eligible for coverage by the association of the state in which the payee,
beneficiary or owner resides.
3. This chapter does not provide coverage for a payee or beneficiary
of a structured settlement annuity if the owner of the annuity is a
resident of this state and the payee or beneficiary is afforded any
coverage by the association of another state. In determining the
application of the provisions of this chapter to a situation where a person
could be covered by the association of more than one state, this chapter
must be construed in conjunction with the laws of other states to result in
coverage by only one association.
4. This chapter provides coverage to the persons described in
[subsection] subsections 1 and 2 for direct, nongroup life, health and
supplemental policies or contracts, and annuities, and certificates under
direct group policies and contracts, and annuities, [issued by member
insurers,] except as limited by this chapter.
Sec. 23. NRS 686C.035 is hereby amended to read as follows:
686C.035 1. This chapter does not provide coverage for:
(a) [Any] A portion of a policy or contract not guaranteed by the
insurer, or under which the risk is borne by the [holder] owner of the
policy or contract.
(b) [Any] A policy or contract of reinsurance unless assumption
certificates have been issued pursuant to that policy or contract.
(c) [Any] A portion of a policy or contract to the extent that the rate of
interest on which it is based [:] , or the interest rate, crediting rate or
similar factor determined by the use of an index or other external
reference stated in the policy or contract employed in calculating returns
or changes in value:
(1) [When averaged] Averaged over the period of 4 years before the
date on which the association becomes obligated with respect to the policy
or contract, [or averaged for the period since the policy or contract was
issued if it was issued less than 4 years before the association became
obligated,] exceeds the rate of interest determined by subtracting 2
percentage points from Moody’s Corporate Bond Yield Average averaged
for the same period[;] , or for the period between the date of issuance of
the policy or contract and the date the association became obligated,
whichever period is less; and
(2) On or after the date on which the association becomes obligated
with respect to the policy or contract, exceeds the rate of interest
determined by subtracting 3 percentage points from [the most recent]
Moody’s Corporate Bond Yield Average[.
(d) Any] as most recently available.
(d) A portion of a policy or contract issued to a plan or program of an
employer, association or other person to provide life, health or annuity
benefits to its employees, members or other persons to the extent that the
plan or program is self-funded or uninsured, including, but not limited to,
benefits payable by an employer, association or other person under:
(1) A multiple employer welfare arrangement [as defined] described
in 29 U.S.C. [§ 1002;] § 1144;
(2) A minimum-premium group insurance plan;
(3) A stop-loss group insurance plan; or
(4) A contract for administrative services only.
(e) [Any] A portion of a policy or contract to the extent that it provides
for dividends, credits for experience, voting rights or the payment of any
fee or allowance to any person, including the [holder] owner of a policy or
contract, for services or administration connected with the policy or
contract.
(f) [Any] A policy or contract issued in this state by a member insurer at
a time when the member insurer was not authorized to issue the policy or
contract in this state.
(g) A portion of a policy or contract to the extent that the assessments
required by NRS 686C.230 [for] with respect to the policy or contract are
preempted by federal law.
(h) An obligation that does not arise under the express written terms of
[a] the policy or contract issued by the insurer[.
(i)] , including:
(1) Claims based on marketing materials;
(2) Claims based on side letters or other documents that were issued
by the insurer without satisfying applicable requirements for filing or
approval of policy forms;
(3) Misrepresentations of or regarding policy benefits;
(4) Extra-contractual claims; or
(5) A claim for penalties or consequential or incidental damages.
(i) A contractual agreement that establishes the member insurer’s
obligation to provide a guarantee based on accounting at book value for
participants in a defined-contribution benefit plan by reference to a
portfolio of assets owned by the benefit plan or its trustee, which in each
case is not an affiliate of the member insurer.
(j) A portion of a policy or contract to the extent that it provides for
interest or other changes in value which are determined by the use of an
index or other external reference stated in the policy or contract, but
which have not been credited to the policy or contract, or as to which the
rights of the owner of the policy or contract are subject to forfeiture,
determined on the date the member insurer becomes an impaired or
insolvent insurer, whichever occurs first. If the interest or changes in
value of a policy or contract are credited less frequently than annually,
for the purpose of determining the values that have been credited and are
not subject to forfeiture, the interest or change in value determined by
using procedures stated in the policy or contract must be credited as if
the contractual date for crediting interest or changing values was the
date of the impairment or insolvency of the insured member, whichever
occurs first and is not subject to forfeiture.
(k) An unallocated annuity contract.
2. As used in this section, “Moody’s Corporate Bond Yield Average”
means the monthly average for corporate bonds published by Moody’s
Investors Service, Inc., or any successor average.
Sec. 24. NRS 686C.040 is hereby amended to read as follows:
686C.040 As used in this chapter, unless the context otherwise
requires, the words and terms defined in NRS 686C.045 to 686C.125,
inclusive, and sections 2.5 to 11, inclusive, of this act have the meanings
ascribed to them in those sections.
Sec. 25. NRS 686C.070 is hereby amended to read as follows:
686C.070 “Contractual obligation” means any obligation under a
policy or contract or a certificate under a group policy or contract, or
portion thereof, for which coverage is provided under NRS 686C.030 . [,
and includes unearned premiums.]
Sec. 26. NRS 686C.090 is hereby amended to read as follows:
686C.090 “Impaired insurer” means an insurer which is not an
insolvent insurer and[:
1. Is] is placed under an order of rehabilitation or conservation by a
court of competent jurisdiction . [; or
2. Is determined by the commissioner to be unable or potentially
unable to fulfill its contractual obligations.]
Sec. 27. NRS 686C.100 is hereby amended to read as follows:
686C.100 “Member insurer” means [any] an insurer which is licensed
or holds a certificate of authority to transact in this state any kind of
insurance for which coverage is provided in this chapter and includes [any]
an insurer whose license or certificate of authority [to transact such
insurance] in this state has been suspended, revoked, not renewed or
voluntarily withdrawn. The term does not include:
1. A [nonprofit] hospital or medical organization[;] , whether or not
for profit;
2. A health maintenance organization;
3. A fraternal benefit society;
4. A mandatory state pooling plan;
5. A mutual assessment company or [any entity] other person that
operates on the basis of assessments;
6. An insurance exchange; [or
7. Any other similar entity.]
7. An organization that is authorized only to issue charitable gift
annuities under NRS 688A.281 to 688A.285, inclusive; or
8. An organization similar to any of those listed in subsections 1 to 7,
inclusive.
Sec. 27.5 NRS 686C.110 is hereby amended to read as follows:
686C.110 “Premiums” means amounts received in any calendar year
on covered policies or contracts less premiums, considerations and deposits
returned thereon, and less dividends and credits for experience thereon.
The term does not include [any] :
1. Any amounts received for policies or contracts or for the portions of
policies or contracts for which coverage is not provided under NRS
686C.030 except that the assessable premium is not reduced on account of
paragraph (c) of subsection 1 of NRS 686C.035 relating to limitations on
interest and subsection 2 or paragraph (b) of subsection 1 of NRS
686C.210 relating to limitations with respect to any one life.
2. Premiums for an unallocated annuity contract.
3. Premiums that exceed $5,000,000 for several nongroup policies of
life insurance owned by one owner, regardless of:
(a) Whether the owner is a natural person, firm, corporation or other
person;
(b) Whether any person insured under the policies is an officer,
manager, employee or other person; or
(c) The number of policies or contracts held by the owner.
Sec. 28. NRS 686C.120 is hereby amended to read as follows:
686C.120 “Resident” means any person to whom a contractual
obligation is owed and who resides in this state [at the time] on the date of
entry of a court order that determines a member insurer [is determined] to
be impaired or insolvent [and to whom contractual obligations are owed.] ,
whichever determination is first made. A person may be a resident of but
one state, which in the case of a person other than a natural person is its
principal place of business. A citizen of the United States who is a resident
of a foreign country or of a territory or insular possession subject to the
jurisdiction of the United States which does not have an association
similar to the association created by this chapter shall be deemed to be a
resident of the state of domicile of the insurer that issued the policy or
contract.
Sec. 29. NRS 686C.125 is hereby amended to read as follows:
686C.125 “Supplemental contract” means [an] a written agreement for
the distribution of proceeds from a [contract or policy.] life or health
insurance policy or an annuity.
Sec. 30. NRS 686C.128 is hereby amended to read as follows:
686C.128 1. The association shall prepare, and submit to the
commissioner for approval, a summary document describing the general
purposes[, exclusions] and current limitations of this chapter. [No insurer
may] After the expiration of 60 days after the approval of the summary
document by the commissioner, an insurer may not deliver a policy or
contract [described in NRS 686C.030 to an intended holder] to the owner
of the policy or contract unless the summary document is delivered to the
[intended holder before or] owner at the time of delivery of the policy or
contract. The document must also be available upon request by [a
policyholder.] the owner of a policy. The distribution, delivery, contents or
interpretation of this document [do not mean] does not guarantee that the
policy or the contract or [the holder thereof would be] its owner is covered
in the event of the impairment or insolvency of a member insurer. The
descriptive document must be revised by the association as amendments to
this chapter may require. Failure to receive this document does not give the
[holder] owner of a policy or contract, or an insured, any greater rights
than those stated in this chapter.
2. The document prepared pursuant to subsection 1 must contain a
clear and conspicuous disclaimer on its face. The commissioner shall
establish the form and content of the disclaimer. The disclaimer must:
(a) State the name and address of the association and of the division;
(b) Prominently warn the owner of the policy or contract [holder] that
the association may not cover the policy or, if coverage is available, it will
be subject to substantial limitations and exclusions and conditioned on
continued residence in this state;
(c) State the types of policies for which guaranty funds will provide
coverage;
(d) State that the insurer and its agents are prohibited by law from using
the existence of the association for the purpose of sales, solicitation or
inducement to purchase any form of insurance;
[(d) Emphasize]
(e) State that the [holder] owner of a policy or contract should not rely
on coverage under the association when selecting an insurer; [and
(e)] (f) Explain the rights and procedures for filing a complaint to
allege a violation of any provision of this chapter; and
(g) Provide other information as directed by the commissioner[.] ,
including sources of information about the financial condition of
insurers, if the information is not proprietary and is subject to disclosure
under the law of the state in which the insurer is domiciled.
3. A member insurer shall retain evidence of compliance with
subsection 1 while the policy or contract for which the notice is given
remains in effect.
Sec. 31. NRS 686C.130 is hereby amended to read as follows:
686C.130 1. There is hereby created a nonprofit[, unincorporated,]
legal entity to be known as the Nevada Life and Health Insurance Guaranty
Association. All member insurers shall be and remain members of the
association as a condition of their authority to transact insurance in this
state. The association shall perform its functions under the plan of
operation established and approved pursuant to NRS 686C.290 and shall
exercise its powers through a board of directors established pursuant to
NRS 686C.140.
2. For purposes of administration and assessment, the association shall
maintain two accounts:
(a) The account for health insurance; and
(b) The account for life insurance and annuities, which consists of:
(1) The subaccount for life insurance; and
(2) The subaccount for annuities[.] , including annuities owned by a
governmental retirement plan, or its trustees, established under section
401, 403(b) or 457 of the Internal Revenue Code, 26 U.S.C. §§ 401,
403(b) and 457.
3. The association is under the immediate supervision of the
commissioner and is subject to the applicable provisions of the Nevada
Insurance Code. Meetings or records of the association may be opened to
the public by majority vote of the board of directors.
Sec. 32. NRS 686C.140 is hereby amended to read as follows:
686C.140 1. The board of directors of the association [shall consist]
consists of not less than five nor more than nine members, serving terms as
established in the plan of operation. The members of the board [shall] who
represent insurers must be selected by member insurers subject to the
approval of the commissioner. Two public representatives must be
appointed to the board by the commissioner. A public representative may
not be an officer, director or employee of an insurer or engaged in the
business of insurance. Vacancies on the board [shall] must be filled for
the remaining period of the term [in the manner described in the plan of
operation.] by majority vote of the members of the board, subject to the
approval of the commissioner, for members who represent insurers, and
by the commissioner for public representatives. To select the initial board
of directors, and initially organize the association, the commissioner shall
give notice to all member insurers of the time and place of the
organizational meeting. In determining voting rights at the organizational
meeting each member insurer [shall be] is entitled to one vote in person or
by proxy. If the board of directors is not selected within 60 days after
notice of the organizational meeting, the commissioner may appoint the
initial members[.] to represent insurers in addition to the public
representatives.
2. In approving selections or in appointing members to the board, the
commissioner shall consider, among other things, whether all member
insurers are fairly represented.
3. Members of the board may be reimbursed from the assets of the
association for expenses incurred by them as members of the board of
directors but members of the board [shall] may not otherwise be
compensated by the association for their services.
Sec. 33. NRS 686C.150 is hereby amended to read as follows:
686C.150 If a [domestic] member insurer is an impaired insurer, the
association may, subject to any conditions it may impose which do not
impair the contractual obligations of the impaired insurer [,] and which are
approved by the commissioner : [, and, except in cases of court-ordered
conservation or rehabilitation, are approved by the impaired insurer:]
1. Guarantee, assume or reinsure, or cause to be guaranteed, assumed
or reinsured, any or all of the covered policies or contracts of the impaired
insurer.
2. Provide such money, pledges, loans, notes, guarantees or other
means as are proper to effectuate subsection 1, and assure payment of the
contractual obligations of the impaired insurer pending action under
subsection 1.
[3. Lend money to the impaired insurer.]
Sec. 34. NRS 686C.152 is hereby amended to read as follows:
686C.152 If a member insurer is an insolvent insurer, the association
shall:
1. Guarantee, assume or reinsure, or cause to be guaranteed, assumed
or reinsured, the policies or contracts of the insolvent insurer; or
2. Ensure payment of the contractual obligations of the insolvent
insurer and:
(a) Provide such money, pledges, loans, notes, guarantees or other
means as are reasonably necessary to discharge [such] its duties; or
(b) [With respect only to life and health insurance policies, provide]
Provide benefits and coverages in accordance with NRS 686C.153 and
686C.154.
Sec. 35. NRS 686C.153 is hereby amended to read as follows:
686C.153 When proceeding pursuant to paragraph (b) of subsection [1
of NRS 686C.151 or paragraph (b) of subsection] 2 of NRS 686C.152, the
association shall [, with] :
1. With respect to life and health insurance policies [only:
1. Ensure] and annuities, ensure payment of benefits for premiums
identical to the premiums and benefits, except for terms of conversion and
renewability, which would have been payable under policies or contracts
of the insolvent insurer, for claims incurred with respect to:
(a) A group policy or contract, not later than the earlier of the next
renewal date under the policy or contract or 45 days, but in no event less
than 30 days, after the date when the association becomes obligated with
respect to that policy[.
(b) An individual policy,] or contract.
(b) A nongroup policy, contract or annuity, not later than the earlier of
the next renewal date, if any, under the policy , contract or annuity or 1
year, but in no event less than 30 days, after the date when the association
becomes obligated with respect to that policy[.] , contract or annuity.
2. Make diligent efforts to provide all known insureds or
[policyholders] owners with respect to group policies or contracts, or
annuitants with respect to annuities, 30 days’ notice of termination of the
benefits provided[.
3. Make] pursuant to subsection 1.
3. With respect to nongroup life and health insurance policies and
annuities, make available substitute coverage on an individual basis, in
accordance with the provisions of subsection 4, to each known insured
[under an individual policy,] or annuitant, or owner if other than the
insured[,] or annuitant, and to each natural person formerly insured , or
formerly an annuitant, under a group policy who is not eligible for
replacement group coverage, if the insured or annuitant had a right under
law [to convert coverage under] or the terminated policy or annuity to
convert coverage to individual coverage or to continue an individual policy
or annuity in force until a specified age or for a specified period, during
which the insurer had no right unilaterally to make changes in any
provision of the policy or annuity or had a right only to make changes in
premium by class.
4. In providing the substitute coverage required under subsection 3, the
association may offer to reissue the terminated coverage or to issue an
alternative policy that must be offered without requiring evidence of
insurability or a waiting period or exclusion that would not have applied
under the terminated policy, and may reinsure any alternative or reinsured
policy.
Sec. 36. NRS 686C.154 is hereby amended to read as follows:
686C.154 1. Alternative policies adopted by the association are
subject to the approval of the commissioner[.] and the court in the
insolvent or impaired insurer’s state which has jurisdiction over the
conservation, rehabilitation or liquidation of the insurer. The association
may adopt alternative policies of various types for future issuance without
regard to any particular impairment or insolvency.
2. An alternative policy must contain at least the minimum statutory
provisions required in this state and provide benefits that are not
unreasonable in relation to the premium charged. The association shall set
the premium in accordance with a table of rates which it shall adopt. The
premium must reflect the amount of insurance to be provided and the age
and class of risk of each insured, but must not reflect any changes in the
health of the insured after the original policy was last underwritten.
3. An alternative policy issued by the association must provide
coverage of a type similar to that of the policy issued by the impaired or
insolvent insurer, as determined by the association.
4. If the association elects to reissue terminated coverage at a rate of
premium different from that charged under the terminated policy, the
premium must be set by the association in accordance with the amount of
insurance provided and the age and class of risk, subject to approval by the
commissioner [or by a court of competent jurisdiction.] and the court
described in subsection 1.
Sec. 37. NRS 686C.155 is hereby amended to read as follows:
686C.155 When proceeding pursuant to paragraph (b) of subsection [1
of NRS 686C.151 or paragraph (b) of subsection] 2 of NRS 686C.152 with
respect to any policy or contract carrying guaranteed minimum interest
rates, the association shall ensure the payment or crediting of a rate of
interest consistent with paragraph (c) of subsection 1 of NRS 686C.035.
Sec. 38. NRS 686C.160 is hereby amended to read as follows:
686C.160 In carrying out its responsibilities under NRS [686C.151
and] 686C.152, the association may, subject to approval by [the court, or
by the commissioner if there is no judicial proceeding:] a court of this
state:
1. Impose permanent liens on policies and contracts in connection with
any guarantee, assumption or reinsurance if the association finds that the
amounts which can be assessed under this chapter are less than the amounts
needed to [assure] ensure full and prompt performance of the association’s
duties or that the economic or financial conditions as they affect member
insurers are sufficiently adverse that the imposition of such permanent liens
is in the public interest.
2. Impose temporary moratoriums or liens on payments of cash values
and policy loans or any right to withdraw money held in conjunction with
policies or contracts, in addition to any contractual provisions for deferral
of paying cash value or lending against the policy. In addition, in the event
of a temporary moratorium or charge imposed by the court in the
insolvent or impaired insurer’s state which has jurisdiction over the
conservation, rehabilitation or liquidation of the insurer on such
payment or lending, or on any other right to withdraw money held in
conjunction with policies or contracts, the association may defer such
payment, lending or withdrawal for the period of the moratorium or
charge, except for claims covered by the association to be paid in
accordance with a procedure for cases of hardship established by the
liquidator or rehabilitator and approved by the court.
Sec. 39. NRS 686C.170 is hereby amended to read as follows:
686C.170 The association is not liable under NRS [686C.151 or
686C.152 for any covered policy of a foreign or alien insurer] 686C.152
where a guaranty is provided to residents of this state by the laws of the
domiciliary state or jurisdiction of the impaired or insolvent insurer [.]
other than this state.
Sec. 40. NRS 686C.180 is hereby amended to read as follows:
686C.180 The association may render assistance and advice to the
commissioner upon his request, concerning rehabilitation, payment of
claims, continuation of coverage or the performance of other contractual
obligations of [any impaired] an impaired or insolvent insurer.
Sec. 41. NRS 686C.190 is hereby amended to read as follows:
686C.190 The association has standing:
1. To appear or intervene before [any] a court or agency in this state
which has jurisdiction over an impaired or insolvent insurer concerning
which the association is or may become obligated under this chapter[.] or
over any person or property against whom or which the association may
have rights through subrogation or otherwise. Its standing extends to all
matters germane to the powers and duties of the association, including [but
not limited to] proposals for reinsuring , modifying or guaranteeing the
[covered] policies or contracts of the impaired or insolvent insurer and the
determination of the [covered] policies or contracts and contractual
obligations.
2. To appear or intervene before a court or agency in another state
which has jurisdiction over an impaired or insolvent insurer for which the
association is or may become obligated, or over [a third party] any person
or property against whom or which the association may have rights
through subrogation [of the insurer’s policyholders.] or otherwise.
Sec. 42. NRS 686C.200 is hereby amended to read as follows:
686C.200 1. [Any] A person receiving benefits under this chapter
shall be deemed to have assigned his rights under, and any causes of action
against any person for losses arising under, resulting from or otherwise
relating to, the covered policy or contract to the association to the extent of
the benefits received because of this chapter , whether the benefits are
payments of or on account of contractual obligations, continuation of
coverage or provision of substitute or alternative coverages. The
association may require an assignment to it of those rights and causes of
action by any payee, owner of a policy or contract , [owner,] beneficiary,
insured or annuitant as a condition precedent to the receipt of any rights or
benefits conferred by this chapter upon that person.
2. The rights of the association to subrogation under this subsection
have the same priority against the assets of the impaired or insolvent
insurer as that possessed by the person entitled to receive benefits under
this chapter.
3. In addition to the rights provided under subsections 1 and 2, the
association has all rights of subrogation at common law and any other
equitable or legal remedy which would have been available to the impaired
or insolvent insurer or the [holder] owner, beneficiary or payee of a policy
or contract[,] with respect to the policy or contract[.] , including, in the
case of a structured settlement annuity, any rights of the owner,
beneficiary or payee of the annuity, to the extent of benefits received
under this chapter, against a person originally or by succession
responsible for the losses arising from the personal injury relating to the
annuity or payment for it, except any such person responsible solely by
reason of serving as an assignee under section 130 of the Internal
Revenue Code, 26 U.S.C. § 130.
4. If the provisions of subsections 1, 2 and 3 are invalid or ineffective
with respect to any person or any claim for any reason, the amount
payable to the association with respect to the related covered obligations
is reduced by the amount realized by any other person with respect to the
person or claim which is attributable to the policies or portions thereof
covered by the association.
5. If the association has provided benefits with respect to a covered
obligation and a person recovers amounts as to which the association has
rights under subsections 1 to 4, inclusive, he shall pay to the association
the portion of the recovery attributable to the policies or portions thereof
covered by the association.
Sec. 43. NRS 686C.210 is hereby amended to read as follows:
686C.210 1. [Unless further limited by subsection 2, the liability of
the association for benefits under this chapter is limited to] The benefits
that the association may become obligated to cover may not exceed the
lesser of:
(a) The contractual obligations for which the insurer is liable or would
have been liable if it were not an impaired or insolvent insurer; [or]
(b) With respect to [any] one life, regardless of the number of policies
or contracts:
(1) Three hundred thousand dollars in death benefits from life
insurance, but not more than $100,000 in net cash for surrender and
withdrawal for life insurance; or
(2) [One hundred thousand dollars in benefits from health insurance,
including any net cash for surrender and withdrawal; and
(3)] One hundred thousand dollars in the present value of benefits
from annuities, including net cash for surrender and withdrawal[.
2. The association is not liable to expend more than $300,000 in the
aggregate with] ;
(c) With respect to health insurance for any one natural person:
(1) One hundred thousand dollars for coverages other than
disability insurance, basic hospital, medical and surgical insurance or
major medical insurance, including any net cash for surrender or
withdrawal;
(2) Three hundred thousand dollars for disability insurance; or
(3) Five hundred thousand dollars for basic hospital, medical and
surgical insurance or major medical insurance; or
(d) With respect to each payee of a structured settlement annuity, or
beneficiary or beneficiaries of the payee if deceased, $100,000 in present
value of benefits from the annuity in the aggregate, including any net
cash for surrender or withdrawal.
2. In no event is the association obligated to cover more than:
(a) With respect to any one life or person under [subparagraphs (1), (2)
and (3) of paragraph] paragraphs (b) and (c) of subsection 1[.] :
(1) An aggregate of $300,000 in benefits, excluding benefits for
basic hospital, medical and surgical insurance or major medical
insurance; or
(2) An aggregate of $500,000 in benefits, including benefits for
basic hospital, medical and surgical insurance or major medical
insurance.
(b) With respect to one owner of several nongroup policies of life
insurance, whether the owner is a natural person or an organization and
whether the persons insured are officers, managers, employees or other
persons, more than $5,000,000 in benefits, regardless of the number of
policies and contracts held by the owner.
3. The limitations set forth in this section are limitations on the
benefits for which the association is obligated before taking into account
its rights to subrogation or assignment or the extent to which those
benefits could be provided out of the assets of the impaired or insolvent
insurer attributable to covered policies. The cost of the association’s
obligations under this chapter may be met by the use of assets
attributable to covered policies, or reimbursed to the association
pursuant to its rights to subrogation or assignment.
4. In performing its obligation to provide coverage under NRS
686C.150 and 686C.152, the association need not guarantee, assume,
reinsure or perform, or cause to be guaranteed, assumed, reinsured or
performed, the contractual obligations of the impaired or insolvent
insurer under a covered policy or contract which do not materially affect
the economic value or economic benefits of the covered policy or
contract.
Sec. 44. NRS 686C.220 is hereby amended to read as follows:
686C.220 The association may:
1. Enter into such contracts as are necessary or proper to carry out the
provisions and purposes of this chapter.
2. Sue or be sued, including the taking of any legal action necessary or
proper for recovery of any unpaid assessments under NRS 686C.230 or to
settle claims or potential claims against it.
3. Borrow money to effect the purposes of this chapter. Any notes or
other evidence of indebtedness of the association not in default are legal
investments for domestic insurers and may be carried as admitted assets.
4. Employ or retain such persons as are necessary or appropriate to
handle the financial transactions of the association, and to perform such
other functions as become necessary or proper under this chapter.
5. [Negotiate and contract with any liquidator, rehabilitator,
conservator or ancillary receiver to carry out the powers and duties of the
association.
6.] Take such legal action as may be necessary or appropriate to avoid
or recover payment of improper claims.
[7.] 6. Exercise, for the purposes of this chapter and to the extent
approved by the commissioner, the powers of a domestic life or health
insurer, but in no case may the association issue insurance policies or
annuities other than those issued to perform [the] its contractual obligations
[of the impaired insurer] under this chapter.
[8.] 7. Join an organization of one or more other state associations
having similar purposes, to further the purposes and administer the powers
and duties of the association.
8. Organize itself as a corporation or in other legal form permitted by
the laws of this state.
9. Request information from a person seeking coverage from the
association to aid the association in determining its obligations under
this chapter with respect to him, and the person shall promptly comply
with the request.
10. Take other necessary or appropriate action to perform its duties
and discharge its obligations under this chapter or to exercise its power
under this chapter.
Sec. 45. NRS 686C.230 is hereby amended to read as follows:
686C.230 1. To provide the money necessary to carry out the powers
and duties of the association, the board of directors shall assess the
member insurers, separately for each account, at such times and for such
amounts as the board finds necessary. An assessment is due upon at least
30 days’ written notice to the member insurer and accrues interest after it is
due at the rate provided in NRS 99.040.
2. There are two classes of assessments, as follows:
(a) Assessments in Class A must be [made] authorized and called for
the purpose of meeting administrative and legal costs and other expenses .
[, including those of examinations conducted pursuant to NRS 686C.310.]
An assessment in Class A need not be related to a particular impaired or
insolvent insurer.
(b) Assessments in Class B must be [made] authorized and called to the
extent necessary to carry out the powers and duties of the association under
NRS 686C.150 to 686C.220, inclusive, with regard to an impaired or
insolvent insurer.
Sec. 46. NRS 686C.240 is hereby amended to read as follows:
686C.240 1. The board of directors shall determine the amount of
each assessment in Class A and may, but need not, prorate it. If an
assessment is prorated, the board may provide that any surplus be credited
against future assessments in Class B. An assessment which is not prorated
must not exceed [$300] $150 for each member insurer for any one calendar
year.
2. The board may allocate any assessment in Class B among the
accounts according to the premiums or reserves of the impaired or
insolvent insurer or any other standard which it considers fair and
reasonable under the circumstances.
3. Assessments in Class B against member insurers for each account
and subaccount must be in the proportion that the premiums received on
business in this state by each assessed member insurer on policies or
contracts covered by each account or subaccount for the 3 most recent
calendar years for which information is available preceding the year in
which the insurer became impaired or insolvent bears to premiums
received on business in this state for those calendar years by all assessed
member insurers.
4. Assessments for money to meet the requirements of the association
with respect to an impaired or insolvent insurer must not be [made]
authorized or called until necessary to carry out the purposes of this
chapter. Classification of assessments under subsection 2 of NRS
686C.230 and computation of assessments under this section must be made
with a reasonable degree of accuracy, recognizing that exact
determinations may not always be possible. The association shall notify
each member insurer of its anticipated prorated share of an assessment
authorized but not yet called within 180 days after it is authorized.
Sec. 47. NRS 686C.250 is hereby amended to read as follows:
686C.250 1. The association may abate or defer, in whole or in part,
the assessment of a member insurer if, in the opinion of the board[,] of
directors, payment of the assessment would endanger the ability of the
member insurer to fulfill its contractual obligations. If an assessment
against a member insurer is abated or deferred in whole or in part, the
amount by which that assessment is abated or deferred may be assessed
against the other member insurers in a manner consistent with the basis for
assessments set forth in this section. As soon as the conditions that caused
a deferral have been removed or rectified, the member insurer shall pay
all assessments that were deferred pursuant to a plan of repayment
approved by the association.
2. [The] Except as otherwise provided in subsection 3, the total of all
assessments [upon] authorized by the association with respect to a
member insurer for:
(a) The account for life insurance and annuities and each of its
subaccounts; and
(b) The account for health insurance,
respectively must not in any 1 calendar year exceed 2 percent of the
insurer’s average annual premiums received in this state on the policies
and contracts covered by the subaccount or account during the 3 calendar
years preceding the year in which the [impairment or insolvency is
determined.] insurer became impaired or insolvent.
3. If two or more assessments are authorized in 1 calendar year with
respect to insurers that became impaired or insolvent in different
calendar years, the average annual premiums received for the purposes
of the limitation provided in subsection 2 are equal and limited to the
higher of the 3-year annual premiums for the applicable account or
subaccount as calculated pursuant to this section.
4. If the maximum assessment, together with the other assets of the
association in [either] an account, does not provide in any 1 year in either
account an amount sufficient to carry out the responsibilities of the
association, the necessary additional money must be assessed as soon
thereafter as permitted by this chapter.
[4. If an assessment of 1 percent for either]
5. If the maximum assessment for a subaccount of the account for life
insurance and annuities in any 1 year does not provide an amount sufficient
to carry out the responsibilities of the association, then pursuant to
subsection 3 of NRS 686C.240, the board shall assess [both subaccounts]
the other subaccount for the necessary additional amount, subject to the
maximum stated in subsection 2.
[5.] 6. The board may provide in the plan of operation a method of
allocating funds among claims, whether relating to one or more impaired or
insolvent insurers, when the maximum assessment is insufficient to cover
anticipated claims.
Sec. 48. NRS 686C.260 is hereby amended to read as follows:
686C.260 The board of directors may, by an equitable method as
established in the plan of operation, refund to member insurers, in
proportion to the contribution of each insurer to that account, the amount
by which the assets of the account exceed the amount the board finds is
necessary to carry out during the coming year the obligations of the
association with regard to that account, including assets accruing from
assignment, subrogation, net realized gains and income from investments.
A reasonable amount may be retained in any account to provide funds for
the continuing expenses of the association and for future [losses.] claims.
Sec. 49. NRS 686C.280 is hereby amended to read as follows:
686C.280 1. The association shall issue to each insurer paying an
assessment under this chapter , other than an assessment in Class A, a
certificate of contribution, in a form prescribed by the commissioner, for
the amount of the assessment so paid. All outstanding certificates are of
equal dignity and priority without reference to [the] amounts or dates of
issue. A member insurer may show a certificate of contribution as an asset
in its financial statement in such form, for such amount, if any, and for
such period as the commissioner may approve.
2. A member insurer may offset against its liability for premium tax to
this state, accrued with respect to business transacted in a calendar year, an
amount equal to 20 percent of the amount certified pursuant to subsection 1
in each of the 5 calendar years following the year in which the assessment
was paid. If an insurer ceases to transact business, it may offset all
uncredited assessments against its liability for premium tax for the year in
which it so ceases.
3. Any sum acquired by refund from the association pursuant to NRS
686C.260 which previously had been written off by the contributing
insurer and offset against premium taxes as provided in subsection 2 must
be paid to the department of taxation and deposited by it with the state
treasurer for credit to the state general fund. The association shall notify
the commissioner and the department of taxation of each refund made.
Sec. 50. NRS 686C.290 is hereby amended to read as follows:
686C.290 1. The association shall submit to the commissioner a plan
of operation and any amendments thereto necessary or suitable to [assure]
ensure the fair, reasonable and equitable administration of the association.
The plan of operation and any amendments thereto become effective upon
approval in writing by the commissioner, or 30 days after submission if he
has not disapproved them. All member insurers shall comply with the plan
of operation.
2. If at any time the association fails to submit suitable amendments to
the plan, the commissioner shall adopt , after notice and hearing, such
reasonable regulations as are necessary or advisable to effectuate the
provisions of this chapter. The regulations continue in force until modified
by the commissioner or superseded by a plan submitted by the association
and approved by the commissioner.
3. [The] In addition to satisfying the other requirements of this
chapter, the plan of operation must:
(a) Establish procedures for handling the assets of the association.
(b) Establish the amount and method of reimbursing members of the
board of directors under NRS 686C.140.
(c) Establish regular places and times for meetings of the board.
(d) Establish procedures for records to be kept of all financial
transactions of the association, its agents and the board.
(e) Establish the procedures whereby selections for the board will be
made and submitted to the commissioner.
(f) Establish any additional procedures for assessments under NRS
686C.230 to 686C.270, inclusive.
(g) Contain additional provisions necessary or proper for the execution
of the powers and duties of the association.
4. The plan of operation may provide that any or all powers and duties
of the association, except those under subsection 3 of NRS 686C.220 and
NRS 686C.230 to 686C.280, inclusive, are delegated to a corporation,
association or other organization which performs or will perform functions
similar to those of this association , or its equivalent , in two or more states.
Such an organization must be reimbursed for any payments made on
behalf of the association and paid for its performance of any function of
the association. A delegation under this subsection takes effect only with
the approval of the board of directors and the commissioner, and may be
made only to an organization that extends protection not substantially
less favorable and effective than that provided by this chapter.
Sec. 51. NRS 686C.300 is hereby amended to read as follows:
686C.300 1. [The commissioner shall:
(a) Notify the board of the existence of an impaired insurer not later
than 3 days after a determination of impairment is made or he receives
notice of impairment.
(b) Upon] In addition to the duties and powers otherwise provided in
this chapter, the commissioner :
(a) Shall, upon request of the board[,] of directors, provide the
association with a statement of the premiums in this and any other
appropriate states for each member insurer.
[(c) When]
(b) Shall, when an impairment is declared and the amount of the
impairment is determined, serve a demand upon the impaired insurer to
make good the impairment within a reasonable time. Notice to the insurer
is notice to its stockholders, if any. The failure of the insurer to comply
with such demand promptly does not excuse the association from the
performance of its powers and duties under this chapter.
(c) Must, in any liquidation or rehabilitation involving a domestic
insurer, be appointed as the liquidator or rehabilitator.
2. The commissioner may suspend or revoke, after notice and hearing,
the certificate of authority to transact insurance in this state of any member
insurer which fails to pay an assessment when due or fails to comply with
the plan of operation. As an alternative the commissioner may levy a
forfeiture on any member insurer which fails to pay an assessment when
due. [Such forfeiture shall] The forfeiture may not exceed 5 percent of the
unpaid assessment per month, but no forfeiture may be less than $100 per
month.
3. [Any] A final action of the board of directors or the association may
be appealed to the commissioner by any member insurer if [such] the
appeal is taken within [30] 60 days after the insurer receives notice of the
final action . [being appealed. If a member insurer appeals from an
assessment, it shall pay the amount assessed to the association and that
amount is available to meet the obligations of the association during the
pendency of the appeal. If the assessment is annulled or reduced on appeal,
the amount paid, or the excess, must be refunded by the association to the
insurer. Any] A final action or order of the commissioner is subject to
judicial review in a court of competent jurisdiction[.] pursuant to the
procedure provided in chapter 233B of NRS for contested cases.
4. The liquidator, rehabilitator or conservator of any impaired insurer
may notify all interested persons of the effect of this chapter.
Sec. 52. NRS 686C.303 is hereby amended to read as follows:
686C.303 If the association fails to act within a reasonable time [to
carry out its duties pursuant to] with respect to an insolvent insurer, as
provided in NRS 686C.150 to 686C.155, inclusive, the commissioner may
exercise the powers and perform the duties of the association under this
chapter with respect to the insolvent insurer . [involved.]
Sec. 53. NRS 686C.306 is hereby amended to read as follows:
686C.306 1. The commissioner shall notify the commissioners of
insurance of all the other states[, the territories of the United States, and
the District of Columbia when] within 30 days after he takes any of the
following actions against a member insurer:
(a) Revokes a member insurer’s license;
(b) Suspends a member insurer’s license; or
(c) Makes any formal order that a member insurer is to restrict its
premium writing, obtain additional contributions to surplus, withdraw from
the state, reinsure all or any part of its business, or increase capital, surplus,
or any other account for the security of [policyholders] the owners of its
policies or its creditors.
[This notice must be mailed to all commissioners within 30 days after the
action is taken.]
2. The commissioner shall report to the board of directors when he has
taken any of the actions set forth in subsection 1, or has received a report
from any other commissioner indicating that any such action has been
taken in another state. The report to the board must contain all significant
details of the action taken or the report received from another
commissioner.
3. The commissioner shall report to the board of directors when he
has reasonable cause to believe from an examination of a member
insurer, whether completed or in process, that the insurer may be
impaired or insolvent.
4. The commissioner shall furnish to the board the ratios of the
“insurance regulatory information system” developed by the National
Association of Insurance Commissioners and [reports of examinations and]
listings of companies not included in those ratios, and the board may use
the information contained therein in carrying out its duties and
responsibilities under this chapter. Such reports and the information
contained therein must be kept confidential by the board until such time as
made public by the commissioner or other lawful authority.
[4. The board shall, at the conclusion of any insolvency of an insurer
in which the association was obligated to pay covered claims, prepare a
report to the commissioner containing such information as it may have in
its possession bearing on the history and causes of the insolvency. The
board shall cooperate with the boards of directors of guaranty associations
in other states in preparing a report on the history and causes of insolvency
of a particular insurer, and may adopt by reference any report prepared by
one or more other associations.]
Sec. 54. NRS 686C.310 is hereby amended to read as follows:
686C.310 [To aid in the detection and prevention of the impairment or
insolvency of insurers:]
1. The board [shall,] of directors may, upon majority vote, notify the
commissioner of any information indicating any member insurer may be
impaired or insolvent. [The commissioner shall report to the board when he
has reasonable cause to believe from any examination, whether or not
completed, that any member insurer may be impaired or insolvent.
2. The board may, upon majority vote, request that the commissioner
order an examination of any member insurer which the board in good faith
believes may be impaired or insolvent. The commissioner shall begin the
examination within 30 days after receiving the request. The examination
may be conducted by the National Association of Insurance
Commissioners or by such persons as the commissioner designates. The
cost of the examination must be paid by the association and the report
treated as are other reports of examinations. The report must not be
released to the board before its release to the public, but this does not
excuse the commissioner from his obligation to comply with subsection 1.
The commissioner shall notify the board when the examination is
completed. The request for an examination must be kept on file by the
commissioner but it is not open to public inspection before the release of
the report of the examination to the public and may be released at that time
only if the examination discloses that the examined insurer is impaired or
insolvent.
3.] 2. The board may, upon majority vote, make reports and
recommendations to the commissioner upon any matter germane to the
solvency, liquidation, rehabilitation or conservation of any member insurer
or germane to the solvency of any person seeking admission to transact
insurance in this state. These reports and recommendations are not open to
public inspection.
[4.] 3. The commissioner may seek the advice and recommendations
of the board concerning any matter affecting his duties and responsibilities
regarding the financial condition of member insurers and of persons
seeking admission to transact insurance in this state.
[5.] 4. The board may, upon majority vote, make recommendations to
the commissioner for the detection and prevention of the insolvency of
insurers.
Sec. 55. NRS 686C.330 is hereby amended to read as follows:
686C.330 1. This chapter does not reduce the liability for unpaid
assessments of the insureds of an impaired insurer operating under a plan
with liability for assessments.
2. Records must be kept of all [negotiations and meetings in which the
association or its representatives are involved] meetings of the board of
directors to discuss the activities of the association in carrying out its
powers and duties under NRS 686C.150 to 686C.220, inclusive. [Records
of such negotiations or meetings must be made public upon a majority vote
of the board, upon] The records of the association with respect to an
impaired or insolvent insurer may not be disclosed before the termination
of a proceeding for liquidation, rehabilitation or conservation involving the
impaired or insolvent insurer[, upon] or the termination of the impairment
or insolvency of the insurer, [or] except upon the order of a court of
competent jurisdiction. This subsection does not limit the duty of the
association to render a report of its activities under NRS 686C.350.
3. For the purpose of carrying out its obligations under this chapter, the
association shall be deemed to be a creditor of the impaired or insolvent
insurer to the extent of assets attributable to covered policies reduced by
any amounts to which the association is entitled as subrogee pursuant to
NRS 686C.200. Assets of the impaired or insolvent insurer attributable to
covered policies must be used to continue all covered policies and pay all
contractual obligations of the impaired or insolvent insurer as required by
this chapter. Assets attributable to covered policies, as used in this
subsection, are that proportion of the assets which the reserves that should
have been established for covered policies bear to the reserves that should
have been established for all policies of insurance written by the impaired
or insolvent insurer.
4. As a creditor of the impaired or insolvent insurer under subsection
3 and consistent with NRS 696B.415, the association and other similar
associations are entitled to receive a disbursement out of the marshaled
assets, from time to time as the assets become available to reimburse it, as
a credit against contractual obligations under this chapter. If the
liquidator has not, within 120 days after a final determination of
insolvency of an insurer by the court in the insolvent or impaired
insurer’s state which has jurisdiction over the conservation,
rehabilitation or liquidation of the insurer, made an application to the
court for the approval of a proposal to disburse assets out of marshaled
assets to guaranty associations having obligations because of the
insolvency, the association is entitled to make application to the court for
approval of its own proposal to disburse those assets.
5. Before the termination of any proceeding for liquidation,
rehabilitation or conservation, the court may take into consideration the
contributions of the respective parties, including the association, the
shareholders and [policyholders] owners of policies and contracts of the
impaired or insolvent insurer, and any other party with a bona fide interest,
in making an equitable distribution of the ownership of the impaired or
insolvent insurer. In making such a determination, consideration must be
given to the welfare of the [policyholders of] owners of policies issued by
the continuing or successor insurer. No distribution to stockholders, if any,
of an impaired or insolvent insurer may be made until [and unless] the total
amount of valid claims of the association, with interest thereon, for money
expended in exercising its powers and performing its duties under NRS
686C.150 to 686C.155, inclusive, with respect to that insurer have been
fully recovered by the association.
Sec. 56. NRS 686C.350 is hereby amended to read as follows:
686C.350 The association is subject to examination and regulation by
the commissioner. The board of directors shall submit to the
commissioner, not later than 120 days after the end of its fiscal year, a
financial report in a form approved by the commissioner and a report of its
activities during the preceding fiscal year. Upon the request of a member
insurer, the association shall provide the insurer with a copy of the
report.
Sec. 56.5. The amendatory provisions of this act:
1. Apply to the powers and duties of the Nevada Life and Health
Insurance Guaranty Association relating to any member insurer that
becomes an impaired or insolvent insurer on or after January 1, 2002;
2. Do not require the Nevada Life and Health Insurance Guaranty
Association to recalculate the assessment bases for any year before
January 1, 2002, and any assessments based on any such year must be
authorized on the basis of the premium data previously collected from or
reported by member insurers relating to those years; and
3. Must not be construed to affect any interpretation of any provision
of chapter 686C of NRS that was in effect before January 1, 2002.
Sec. 57. NRS 686C.151, 686C.320, 686C.336 and 686C.345 are
hereby repealed.
Sec. 58. This act becomes effective on January 1, 2002.
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