Brief Description: Distributing the insurance commissioner's examination reports.

Sponsors: Representative Kirby; by request of Insurance Commissioner.

Hearing Date: 1/15/08

Staff: Jon Hedegard (786-7127).

Background:

Examinations by the Insurance Commissioner
Under the Insurance Code, the Insurance Commissioner is authorized to examine the financial affairs, transactions, accounts, records, documents, assets, and business practices of regulated entities (these entities include insurers, health care service contractors, health maintenance organizations, and other persons or corporations involved in the business of insurance).

Financial examinations- The Insurance Commissioner is authorized to examine the financial affairs, transactions, accounts, records, documents, and assets of regulated entities (these entities include insurers, health care service contractors, health maintenance organizations, and other persons or corporations involved in the business of insurance) at least every five years. In conducting an examination, the Insurance Commissioner must be given access to accounts, records, documents, and files relating to the subject of the examination.

Market analyses and market conduct examinations - The Insurance Commissioner may also undertake a market analyses or a market conduct examinations. In 2007, the Legislature passed ESSB 5717 which established a new statutory framework for market analyses and market conduct examinations. In a market analysis, staff for the Office or the Insurance Commissioner (OIC) collect and use information to develop a baseline understanding of the market and determine if a regulated entity is deviating from the norm or engaging in a practice that may be detrimental to consumers. A market analysis may lead to some sort of action to remedy a practice of a regulated entity. It may also lead to a more thorough market conduct review of a regulated entity. Market conduct actions must focus on general business practices and compliance activities instead of infrequent or unintentional random errors. The Insurance Commissioner may determine that the market conduct action has not sufficiently addressed the business practices of a regulated entity and decide to have a market conduct examination. In conducting a marker conduct examination, the Insurance Commissioner must be given access to accounts, records, documents, and files relating to the subject of the examination.

Examination Reports
Within 60 days after completing an examination, the Insurance Commissioner must make a full
certified written report containing facts, conclusions, and recommendations. A copy of the
report is provided to the examined entity not less than 10 days and not more than 30 days
prior to the filing of the report for public inspection. If the examined entity requests in writing
within this time period, the Insurance Commissioner must hold a hearing to consider
objections to the report as proposed, and must not file the report until after the hearing and
after any necessary modifications in the report have been made. Within 30 days of this time
period, the Insurance Commissioner must consider the report, together with any written
submissions or rebuttals and any relevant portions of the examiner's workpapers and enter an
order that may be appealed. The order may:

• Adopt the examination report as filed or modified. This may include a requirement to cure any violations;
• Reject the examination report and direct the examiners to reopen the examination, obtain more information, and file a new examination report; or
• Call for an investigatory hearing for the purpose of obtaining more information.

Examination Report Confidentiality
After adopting an examination report, the Insurance Commissioner must continue to hold the
content of the examination report as private and confidential information for a period of five
days except that the order may be disclosed to the examined entity. After that time, the Insurance
Commissioner may open the report for public inspection so long as no court of competent
jurisdiction has stayed its publication. The Insurance Commissioner may withhold from
public inspection any examination or investigation report for so long as he or she deems it
advisable

Summary of Bill:

The Insurance Commissioner may provide copies of financial examination reports to an examined entity by certifiable electronic means instead sending the report by certified mail to the entity.

The Insurance Commissioner may provide copies of financial examination reports by certifiable electronic means to the personal electronic mail (e-mail) account of a director of an examined entity instead of sending the report by certified mail to the director's residence.   

The Insurance Commissioner may provide copies of the order adopting, rejecting or calling for an investigatory hearing regarding a market conduct examination reports to an examined entity by certifiable electronic means instead sending the order by certified mail to the entity.

The Insurance Commissioner may provide copies of the order adopting, rejecting or calling for an investigatory hearing regarding a market conduct examination reports by certifiable electronic means to the personal e-mail account of a director of an examined entity instead of sending the report by certified mail to the director's residence.
         
A grammatical change is also made for statutory consistency.

Appropriation: None.

Fiscal Note: Not requested.

Effective Date: The bill takes effect 90 days after adjournment of session in which bill is passed.