BILL REQ. #: Z-0751.1
State of Washington | 63rd Legislature | 2014 Regular Session |
Read first time 01/17/14. Referred to Committee on Business & Financial Services.
AN ACT Relating to the financial solvency of insurance companies; amending RCW 42.56.400, 48.02.065, 48.13.061, 48.18.545, 48.18.547, 48.19.035, 48.38.010, 48.97.005, 48.125.140, 48.155.010, 48.155.015, 42.56.400, and 42.56.400; reenacting and amending RCW 42.56.400; adding new sections to chapter 48.31B RCW; adding a new chapter to Title 48 RCW; creating new sections; repealing RCW 48.31B.005, 48.31B.010, 48.31B.015, 48.31B.020, 48.31B.025, 48.31B.030, 48.31B.035, 48.31B.040, 48.31B.045, 48.31B.050, 48.31B.055, 48.31B.060, 48.31B.065, 48.31B.070, 48.31B.900, 48.31B.901, 48.31B.902, 48.31C.010, 48.31C.020, 48.31C.030, 48.31C.040, 48.31C.050, 48.31C.060, 48.31C.070, 48.31C.080, 48.31C.090, 48.31C.100, 48.31C.110, 48.31C.120, 48.31C.130, 48.31C.140, 48.31C.150, 48.31C.160, 48.31C.900, and 48.31C.901; prescribing penalties; providing effective dates; and providing an expiration date.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:
NEW SECTION. Sec. 1
(1) "Affiliate" means an affiliate of, or person affiliated with,
a specific person, and includes a person that directly, or indirectly
through one or more intermediaries, controls, or is controlled by, or
is under common control with, the person specified.
(2) "Commissioner" means the insurance commissioner, the
commissioner's deputies, or the office of the insurance commissioner,
as appropriate.
(3) "Control" means as follows:
(a) For a for-profit person, "control" (including the terms
"controlling," "controlled by," and "under common control with") means
the possession, direct or indirect, of the power to direct or cause the
direction of the management and policies of a person, whether through
the ownership of voting securities, by contract other than a commercial
contract for goods or nonmanagement services, or otherwise, unless the
power is the result of an official position with or corporate office
held by the person. Control exists if any person, directly or
indirectly, owns, controls, holds with the power to vote, or holds
proxies representing, ten percent or more of the voting securities of
any other person. This may be rebutted by a showing made in the manner
provided by section 5(11) of this act that control does not exist in
fact. The commissioner may determine, after furnishing all persons in
interest notice and opportunity to be heard and making specific
findings of fact to support the determination, that control exists in
fact, notwithstanding the absence of a presumption to that effect;
(b) For a nonprofit corporation organized under chapters 24.03 and
24.06 RCW, control exists if a person, directly or indirectly, owns,
controls, holds with the power to vote, or holds proxies representing
a majority of voting rights of the person or the power to elect or
appoint a majority of the board of directors, trustees, or other
governing body of the person, unless the power is the result of an
official position of, or corporate office held by, the person; and
(c) Control includes either permanent or temporary control.
(4) "Enterprise risk" means any activity, circumstance, event, or
series of events involving one or more affiliates of an insurer that,
if not remedied promptly, is likely to have a material adverse effect
upon the financial condition or liquidity of the insurer or its
insurance holding company system as a whole including, but not limited
to, anything that would cause the insurer's risk-based capital to fall
into company action level as set forth in RCW 48.05.440 or 48.43.310 or
would cause the insurer to be in hazardous financial condition as
defined in WAC 284-16-310.
(5) "Insurance holding company system" means a system that consists
of two or more affiliated persons, one or more of which is an insurer.
(6) "Insurer" includes an insurer authorized under chapter 48.05
RCW, a fraternal mutual insurer or society holding a license under RCW
48.36A.290, a health care service contractor registered under chapter
48.44 RCW, a health maintenance organization registered under chapter
48.46 RCW, and a self-funded multiple employer welfare arrangement
under chapter 48.125 RCW, as well as all persons engaged as, or
purporting to be engaged as insurers, fraternal benefit societies,
health care service contractors, health maintenance organizations, or
self-funded multiple employer welfare arrangements in this state, and
to persons in process of organization to become insurers, fraternal
benefit societies, health care service contractors, health maintenance
organizations, or self-funded multiple employer welfare arrangements,
except that it does not include agencies, authorities, or
instrumentalities of the United States, its possessions and
territories, the Commonwealth of Puerto Rico, the District of Columbia,
or a state or political subdivision of a state.
(7) "Person" means an individual, a corporation, a limited
liability company, a partnership, an association, a joint stock
company, a trust, an unincorporated organization, any similar entity or
any combination of the foregoing acting in concert, but does not
include any joint venture partnership exclusively engaged in owning,
managing, leasing, or developing real or tangible personal property.
(8) "Securityholder" means a securityholder of a specified person
who owns any security of such person, including common stock, preferred
stock, debt obligations, and any other security convertible into or
evidencing the right to acquire any of the foregoing.
(9) "Subsidiary" means a subsidiary of a specified person who is an
affiliate controlled by such person directly or indirectly through one
or more intermediaries.
(10) "Supervisory colleges" means a forum for cooperation and
communication among involved regulators and international supervisors
facilitating the effectiveness of supervision of entities which belong
to an insurance group and supervision of the group as a whole on a
groupwide basis and improving the legal entity supervision of the
entities within the insurance group.
(11) "Voting security" includes any security convertible into or
evidencing a right to acquire a voting security.
NEW SECTION. Sec. 2
(2) If an insurer ceases to control a subsidiary, it shall dispose
of any investment in that subsidiary within three years from the time
of the cessation of control or within such further time as the
commissioner may prescribe, unless at any time after the investment was
made, the investment met the requirements for investment under any
other section of this title, and the insurer notified the commissioner.
NEW SECTION. Sec. 3
(b) For purposes of this section, any controlling person of a
domestic insurer seeking to divest its controlling interest in the
domestic insurer, in any manner, must file with the commissioner, with
a copy to the insurer, notice of its proposed divestiture at least
thirty days prior to the cessation of control. If the statement
referred to in (a) of this subsection is otherwise filed, this
subsection does not apply.
(c) With respect to a transaction subject to this section, the
acquiring person must also file a preacquisition notification with the
commissioner, which must contain the information set forth in section
4(3)(a) of this act. A failure to file the notification may be subject
to penalties specified in section 4(5)(c) of this act.
(d) For purposes of this section a domestic insurer includes any
person controlling a domestic insurer unless the person, as determined
by the commissioner, is either directly or through its affiliates
primarily engaged in business other than the business of insurance.
For the purposes of this section, person does not include any
securities broker holding, in the usual and customary broker's
function, less than twenty percent of the voting securities of an
insurance company or of any person which controls an insurance company.
(2) The statement to be filed with the commissioner must be made
under oath or affirmation and contain the following:
(a) The name and address of each person by whom or on whose behalf
the merger or other acquisition of control referred to in subsection
(1) of this section is to be effected and referred to in this section
as the acquiring party; and
(i) If the person is an individual, his or her principal occupation
and all offices and positions held during the past five years, and any
conviction of crimes other than minor traffic violations during the
past ten years;
(ii) If the person is not an individual, a report of the nature of
its business operations during the past five years or for the lesser
period as the person and any predecessors shall have been in existence;
an informative description of the business intended to be done by the
person and the person's subsidiaries; and a list of all individuals who
are or who have been selected to become directors or executive officers
of the person, or who perform or will perform functions appropriate to
such positions. The list shall include for each individual the
information required by (a)(i) of this subsection;
(b) The source, nature, and amount of the consideration used or to
be used in effecting the merger or other acquisition of control, a
description of any transaction where funds were or are to be obtained
for any such purpose (including any pledge of the insurer's stock, or
the stock of any of its subsidiaries or controlling affiliates), and
the identity of persons furnishing consideration. However, when a
source of consideration is a loan made in the lender's ordinary course
of business, the identity of the lender must remain confidential, if
the person filing the statement so requests;
(c) Fully audited financial information as to the earnings and
financial condition of each acquiring party for the preceding five
fiscal years of each acquiring party (or for such lesser period as the
acquiring party and any predecessors have been in existence), and
similar unaudited information as of a date not earlier than ninety days
prior to the filing of the statement;
(d) Any plans or proposals which each acquiring party may have to
liquidate the insurer, to sell its assets or merge or consolidate it
with any person, or to make any other material change in its business
or corporate structure or management;
(e) The number of shares of any security referred to in subsection
(1) of this section which each acquiring party proposes to acquire, and
the terms of the offer, request, invitation, agreement, or acquisition
referred to in subsection (1) of this section, and a statement as to
the method by which the fairness of the proposal was arrived at;
(f) The amount of each class of any security referred to in
subsection (1) of this section which is beneficially owned or
concerning which there is a right to acquire beneficial ownership by
each acquiring party;
(g) A full description of any contracts, arrangements, or
understandings with respect to any security referred to in subsection
(1) of this section in which any acquiring party is involved, including
but not limited to transfer of any of the securities, joint ventures,
loan or option arrangements, puts or calls, guarantees of loans,
guarantees against loss or guarantees of profits, division of losses or
profits, or the giving or withholding of proxies. The description must
identify the persons with whom the contracts, arrangements, or
understandings have been entered into;
(h) A description of the purchase of any security referred to in
subsection (1) of this section during the twelve calendar months
preceding the filing of the statement by any acquiring party, including
the dates of purchase, names of the purchasers, and consideration paid
or agreed to be paid;
(i) A description of any recommendations to purchase any security
referred to in subsection (1) of this section made during the twelve
calendar months preceding the filing of the statement by any acquiring
party, or by anyone based upon interviews or at the suggestion of the
acquiring party;
(j) Copies of all tender offers for, requests, or invitations for
tenders of, exchange offers for, and agreements to acquire or exchange
any securities referred to in subsection (1) of this section, and, if
distributed, of additional soliciting material relating to them;
(k) The term of any agreement, contract, or understanding made with
or proposed to be made with any broker-dealer as to solicitation of
securities referred to in subsection (1) of this section for tender,
and the amount of any fees, commissions, or other compensation to be
paid to broker-dealers with regard thereto;
(l) An agreement by the person required to file the statement
referred to in subsection (1) of this section that it will provide the
annual report, specified in section 5(12) of this act, for so long as
control exists;
(m) An acknowledgement by the person required to file the statement
referred to in subsection (1) of this section that the person and all
subsidiaries within its control in the insurance holding company system
will provide information to the commissioner upon request as necessary
to evaluate enterprise risk to the insurer;
(n) Such additional information as the commissioner may by rule
prescribe as necessary or appropriate for the protection of
policyholders of the insurer or in the public interest;
(o) If the person required to file the statement referred to in
subsection (1) of this section is a partnership, limited partnership,
syndicate, or other group, information required by (a) through (n) of
this subsection may be required by the commissioner to be given with
respect to each partner of the partnership or limited partnership, each
member of the syndicate or group, and each person who controls the
partner or member. If any partner, member, or person is a corporation
or the person required to file the statement referred to in subsection
(1) of this section is a corporation, the commissioner may require that
the information required by (a) through (n) of this subsection be given
with respect to the corporation, each officer and director of the
corporation, and each person who is directly or indirectly the
beneficial owner of more than ten percent of the outstanding voting
securities of the corporation; and
(p) If any material change occurs in the facts set forth in the
statement filed with the commissioner and sent to the insurer pursuant
to this section, an amendment setting forth the change, together with
copies of all documents and other material relevant to the change, must
be filed with the commissioner and sent to the insurer within two
business days after the person learns of the change.
(3) If any offer, request, invitation, agreement, or acquisition
referred to in subsection (1) of this section is proposed to be made by
means of a registration statement under the securities act of 1933 or
in circumstances requiring the disclosure of similar information under
the securities exchange act of 1934, or under a state law requiring
similar registration or disclosure, the person required to file the
statement referred to in subsection (1) of this section may utilize the
documents in furnishing the information required by that statement.
(4)(a) The commissioner shall approve any merger or other
acquisition of control referred to in subsection (1) of this section
unless, after a public hearing, the commissioner finds that:
(i) After the change of control, the domestic insurer referred to
in subsection (1) of this section would not be able to satisfy the
requirements for the issuance of a license to write the line or lines
of insurance for which it is presently licensed;
(ii) The effect of the merger or other acquisition of control would
be substantially to lessen competition in insurance in this state or
tend to create a monopoly. In applying the competitive standard in
this subsection (4)(a)(ii):
(A) The informational requirements of section 4(3)(a) of this act
and the standards of section 4(4)(b) of this act apply;
(B) The merger or other acquisition may not be disapproved if the
commissioner finds that any of the situations meeting the criteria
provided by section 4(4)(c) of this act exist; and
(C) The commissioner may condition the approval of the merger or
other acquisition on the removal of the basis of disapproval within a
specified period of time;
(iii) The financial condition of any acquiring party is such as
might jeopardize the financial stability of the insurer, or prejudice
the interest of its policyholders;
(iv) The plans or proposals which the acquiring party has to
liquidate the insurer, sell its assets, or consolidate or merge it with
any person, or to make any other material change in its business or
corporate structure or management, are unfair and unreasonable to
policyholders of the insurer and not in the public interest;
(v) The competence, experience, and integrity of those persons who
would control the operation of the insurer are such that it would not
be in the interest of policyholders of the insurer and of the public to
permit the merger or other acquisition of control; or
(vi) The acquisition is likely to be hazardous or prejudicial to
the insurance-buying public.
(b) The commissioner shall approve an exchange or other acquisition
of control referred to in this section within sixty days after he or
she declares the statement filed under this section to be complete and
after holding a public hearing. At the hearing, the person filing the
statement, the insurer, and any person whose significant interest is
determined by the commissioner to be affected may present evidence,
examine and cross-examine witnesses, and offer oral and written
arguments, and in connection therewith may conduct discovery
proceedings in the same manner as is allowed in the superior court of
this state. All discovery proceedings must be concluded not later than
three business days before the commencement of the public hearing.
(c) If the proposed acquisition of control will require the
approval of more than one commissioner, the public hearing referred to
in (b) of this subsection may be held on a consolidated basis upon
request of the person filing the statement referred to in subsection
(1) of this section. Such person shall file the statement referred to
in subsection (1) of this section with the national association of
insurance commissioners within five days of making the request for a
public hearing. A commissioner may opt out of a consolidated hearing,
and shall provide notice to the applicant of the opt-out within ten
days of the receipt of the statement referred to in subsection (1) of
this section. A hearing conducted on a consolidated basis shall be
public and shall be held within the United States before the
commissioners of the states in which the insurers are domiciled. Such
commissioners shall hear and receive evidence. A commissioner may
attend such hearing, in person, or by telecommunication.
(d) In connection with a change of control of a domestic insurer,
any determination by the commissioner that the person acquiring control
of the insurer shall be required to maintain or restore the capital of
the insurer to the level required by the laws and rules of this state
shall be made not later than sixty days after the date of notification
of the change in control submitted pursuant to subsection (1)(a) of
this section.
(e) The commissioner may retain at the acquiring person's expense
any attorneys, actuaries, accountants, and other experts not otherwise
a part of the commissioner's staff as may be reasonably necessary to
assist the commissioner in reviewing the proposed acquisition of
control.
(5) The provisions of this section do not apply to:
(a) Any transaction which is subject to RCW 48.31.010, dealing with
the merger or consolidation of two or more insurers;
(b) Any offer, request, invitation, agreement or acquisition which
the commissioner by order exempts as not having been made or entered
into for the purpose and not having the effect of changing or
influencing the control of a domestic insurer, or as otherwise not
comprehended within the purposes of this section.
(6) The following are violations of this section:
(a) The failure to file any statement, amendment, or other material
required to be filed pursuant to subsection (1) or (2) of this section;
or
(b) The effectuation or any attempt to effectuate an acquisition of
control of, divestiture of, or merger with a domestic insurer unless
the commissioner has given approval.
(7) The courts of this state are hereby vested with jurisdiction
over every person not resident, domiciled, or authorized to do business
in this state who files a statement with the commissioner under this
section, and overall actions involving such person arising out of
violations of this section, and each such person is deemed to have
performed acts equivalent to and constituting an appointment by the
person of the commissioner to be his or her true and lawful attorney
upon whom may be served all lawful process in any action, suit, or
proceeding arising out of violations of this section. Copies of all
lawful process must be served on the commissioner and transmitted by
registered or certified mail by the commissioner to the person at his
or her last known address.
NEW SECTION. Sec. 4
(a) "Acquisition" means any agreement, arrangement, or activity the
consummation of which results in a person acquiring directly or
indirectly the control of another person, and includes but is not
limited to the acquisition of voting securities, the acquisition of
assets, bulk reinsurance, and mergers.
(b) An "involved insurer" includes an insurer which either acquires
or is acquired, is affiliated with an acquirer or acquired, or is the
result of a merger.
(2)(a) Except as exempted in (b) of this subsection, this section
applies to any acquisition in which there is a change in control of an
insurer authorized to do business in this state.
(b) This section does not apply to the following:
(i) A purchase of securities solely for investment purposes so long
as the securities are not used by voting or otherwise to cause or
attempt to cause the substantial lessening of competition in any
insurance market in this state. If a purchase of securities results in
a presumption of control under section 1(3) of this act, it is not
solely for investment purposes unless the commissioner of the insurer's
state of domicile accepts a disclaimer of control or affirmatively
finds that control does not exist and the disclaimer action or
affirmative finding is communicated by the domiciliary commissioner to
the commissioner of this state;
(ii) The acquisition of a person by another person when both
persons are neither directly nor through affiliates primarily engaged
in the business of insurance, if preacquisition notification is filed
with the commissioner in accordance with subsection (3)(a) of this
section thirty days prior to the proposed effective date of the
acquisition. However, such preacquisition notification is not required
for exclusion from this section if the acquisition would otherwise be
excluded from this section by this subsection (2)(b);
(iii) The acquisition of already affiliated persons;
(iv) An acquisition if, as an immediate result of the acquisition:
(A) In no market would the combined market share of the involved
insurers exceed five percent of the total market;
(B) There would be no increase in any market share; or
(C) In no market would the:
(I) Combined market share of the involved insurers exceed twelve
percent of the total market; and
(II) The market share increase by more than two percent of the
total market.
For the purpose of this subsection (2)(b)(iv), a market means
direct written insurance premium in this state for a line of business
as contained in the annual statement required to be filed by insurers
licensed to do business in this state;
(v) An acquisition for which a preacquisition notification would be
required pursuant to this section due solely to the resulting effect on
the ocean marine insurance line of business;
(vi) An acquisition of an insurer whose domiciliary commissioner
affirmatively finds that the insurer is in failing condition; there is
a lack of feasible alternative to improving such condition; the public
benefits of improving the insurer's condition through the acquisition
exceed the public benefits that would arise from not lessening
competition; and the findings are communicated by the domiciliary
commissioner to the commissioner of this state.
(3) An acquisition covered by subsection (2) of this section may be
subject to an order pursuant to subsection (5) of this section unless
the acquiring person files a preacquisition notification and the
waiting period has expired. The acquired person may file a
preacquisition notification.
(a) The preacquisition notification shall be in such form and
contain such information as prescribed by the national association of
insurance commissioners relating to those markets which, under
subsection (2)(b)(iv) of this section, cause the acquisition not to be
exempted from this section. The commissioner may require additional
material and information as necessary to determine whether the proposed
acquisition, if consummated, would violate the competitive standard of
subsection (4) of this section. The required information may include
an opinion of an economist as to the competitive impact of the
acquisition in this state accompanied by a summary of the education and
experience of that economist indicating his or her ability to render an
informed opinion.
(b) The waiting period required begins on the date of receipt by
the commissioner of a preacquisition notification and shall end on the
earlier of the thirtieth day after the date of receipt, or termination
of the waiting period by the commissioner. Prior to the end of the
waiting period, the commissioner on a one-time basis may require the
submission of additional needed information relevant to the proposed
acquisition, in which event the waiting period shall end on the earlier
of the thirtieth day after receipt of the additional information by the
commissioner or termination of the waiting period by the commissioner.
(4)(a) The commissioner may enter an order under subsection (5)(a)
of this section with respect to an acquisition if there is substantial
evidence that the effect of the acquisition may be substantially to
lessen competition in any line of insurance in this state or tend to
create a monopoly or if the insurer fails to file adequate information
in compliance with subsection (3) of this section.
(b) In determining whether a proposed acquisition would violate the
competitive standard of (a) of this subsection, the commissioner shall
consider the following:
(i) Any acquisition covered under subsection (2) of this section
involving two or more insurers competing in the same market is prima
facie evidence of violation of the competitive standards, as follows:
(A) If the market is highly concentrated and the involved insurers
possess the following shares of the market:
Insurer A | Insurer B |
4% | 4% or more |
10% | 2% or more |
15% | 1% or more |
Insurer A | Insurer B |
5% | 5% or more |
10% | 4% or more |
15% | 3% or more |
19% | 1% or more |
NEW SECTION. Sec. 5
(a) This section;
(b) Section 6 (1)(a), (2), and (4) of this act; and
(c) Either section 6(1)(b) of this act or a provision such as the
following: Each registered insurer shall keep current the information
required to be disclosed in its registration statement by reporting all
material changes or additions within fifteen days after the end of the
month in which it learns of each change or addition.
Any insurer which is subject to registration under this section
shall register within fifteen days after it becomes subject to
registration, and annually thereafter by April 30th of each year for
the previous calendar year, unless the commissioner for good cause
shown extends the time for registration, and then within the extended
time. The commissioner may require any insurer authorized to do
business in the state which is a member of an insurance holding company
system, and which is not subject to registration under this section, to
furnish a copy of the registration statement, the summary specified in
subsection (3) of this section or other information filed by the
insurance company with the insurance regulatory authority of its
domiciliary jurisdiction.
(2) Every insurer subject to registration shall file the
registration statement with the commissioner on a form and in a format
prescribed by the national association of insurance commissioners,
which shall contain the following current information:
(a) The capital structure, general financial condition, ownership
and management of the insurer, and any person controlling the insurer;
(b) The identity and relationship of every member of the insurance
holding company system;
(c) The following agreements in force, and transactions currently
outstanding or which have occurred during the last calendar year
between the insurer and its affiliates:
(i) Loans, other investments, or purchases, sales, or exchanges of
securities of the affiliates by the insurer or of the insurer by its
affiliates;
(ii) Purchases, sales, or exchange of assets;
(iii) Transactions not in the ordinary course of business;
(iv) Guarantees or undertakings for the benefit of an affiliate
which result in an actual contingent exposure of the insurer's assets
to liability, other than insurance contracts entered into in the
ordinary course of the insurer's business;
(v) All management agreements, service contracts, and all cost-sharing arrangements;
(vi) Reinsurance agreements;
(vii) Dividends and other distributions to shareholders; and
(viii) Consolidated tax allocation agreements;
(d) Any pledge of the insurer's stock, including stock of any
subsidiary or controlling affiliate, for a loan made to any member of
the insurance holding company system;
(e) If requested by the commissioner, the insurer must include
financial statements of or within an insurance holding company system,
including all affiliates. Financial statements may include but are not
limited to annual audited financial statements filed with the United
States securities and exchange commission pursuant to the securities
act of 1933, as amended, or the securities exchange act of 1934, as
amended. An insurer required to file financial statements pursuant to
this subsection (2)(e) may satisfy the request by providing the
commissioner with the most recently filed parent corporation financial
statements that have been filed with the United States securities and
exchange commission;
(f) Other matters concerning transactions between registered
insurers and any affiliates as may be included from time to time in any
registration forms adopted or approved by the commissioner;
(g) Statements that the insurer's board of directors oversees
corporate governance and internal controls and that the insurer's
officers or senior management have approved, implemented, and continue
to maintain and monitor corporate governance and internal control
procedures; and
(h) Any other information required by the commissioner by rule.
(3) All registration statements shall contain a summary outlining
all items in the current registration statement representing changes
from the prior registration statement.
(4) No information need be disclosed on the registration statement
filed pursuant to subsection (2) of this section if the information is
not material for the purposes of this section. Unless the commissioner
by rule or order provides otherwise; sales, purchases, exchanges,
loans, or extensions of credit, investments, or guarantees involving
one-half of one percent or less of an insurer's admitted assets as of
December 31st next preceding is not material for purposes of this
section.
(5) Subject to section 6(2) of this act, each registered insurer
shall report to the commissioner all dividends and other distributions
to shareholders within five business days following the declaration and
fifteen business days before payment, and shall provide the
commissioner such other information as may be required by rule.
(6) Any person within an insurance holding company system subject
to registration is required to provide complete and accurate
information to an insurer, where the information is reasonably
necessary to enable the insurer to comply with the provisions of this
chapter.
(7) The commissioner shall terminate the registration of any
insurer which demonstrates that it no longer is a member of an
insurance holding company system.
(8) The commissioner may require or allow two or more affiliated
insurers subject to registration to file a consolidated registration
statement.
(9) The commissioner may allow an insurer which is authorized to do
business in this state and which is part of an insurance holding
company system to register on behalf of any affiliated insurer which is
required to register under subsection (1) of this section and to file
all information and material required to be filed under this section.
(10) This section does not apply to any insurer, information, or
transaction if and to the extent that the commissioner by rule or order
exempts the same from this section.
(11) Any person may file with the commissioner a disclaimer of
affiliation with any authorized insurer or a disclaimer may be filed by
the insurer or any member of an insurance holding company system. The
disclaimer shall fully disclose all material relationships and bases
for affiliation between the person and the insurer as well as the basis
for disclaiming the affiliation. A disclaimer of affiliation is deemed
to have been granted unless the commissioner, within thirty days
following receipt of a complete disclaimer, notifies the filing party
the disclaimer is disallowed. In the event of disallowance, the
disclaiming party may request an administrative hearing, which shall be
granted. The disclaiming party is relieved of its duty to register
under this section if approval of the disclaimer has been granted by
the commissioner, or if the disclaimer is deemed to have been approved.
(12) The ultimate controlling person of every insurer subject to
registration shall also file an annual enterprise risk report. The
report must, to the best of the ultimate controlling person's knowledge
and belief, identify the material risks within the insurance holding
company system that could pose enterprise risk to the insurer. The
report must be filed with the lead state commissioner of the insurance
holding company system as determined by the procedures within the
financial analysis handbook adopted by the national association of
insurance commissioners.
(13) The failure to file a registration statement or any summary of
the registration statement or enterprise risk filing required by this
section within the time specified for filing is a violation of this
section.
NEW SECTION. Sec. 6
(i) The terms must be fair and reasonable;
(ii) Agreements for cost-sharing services and management must
include such provisions as required by rule issued by the commissioner;
(iii) Charges or fees for services performed must be reasonable;
(iv) Expenses incurred and payment received must be allocated to
the insurer in conformity with customary insurance accounting practices
consistently applied;
(v) The books, accounts, and records of each party to all such
transactions must be so maintained as to clearly and accurately
disclose the nature and details of the transactions including such
accounting information as is necessary to support the reasonableness of
the charges or fees to the respective parties; and
(vi) The insurer's surplus as regards policyholders following any
dividends or distributions to shareholder affiliates must be reasonable
in relation to the insurer's outstanding liabilities and adequate to
meet its financial needs.
(b) The following transactions involving a domestic insurer and any
person in its insurance holding company system, including amendments or
modifications of affiliate agreements previously filed pursuant to this
section, which are subject to any materiality standards contained in
this subsection, may not be entered into unless the insurer has
notified the commissioner in writing of its intention to enter into the
transaction at least thirty days prior thereto, or such shorter period
as the commissioner may permit, and the commissioner has not
disapproved it within that period. The notice for amendments or
modifications must include the reasons for the change and the financial
impact on the domestic insurer. Informal notice must be reported,
within thirty days after a termination of a previously filed agreement,
to the commissioner for determination of the type of filing required,
if any.
(i) Sales, purchases, exchanges, loans, extensions of credit, or
investments, provided the transactions are equal to or exceed:
(A) With respect to nonlife insurers and not including health care
service contractors and health maintenance organizations, the lesser of
three percent of the insurer's admitted assets or twenty-five percent
of surplus as regards policyholders as of December 31st next preceding;
(B) With respect to life insurers, three percent of the insurer's
admitted assets as of December 31st next preceding;
(C) With respect to health care service contractors and health
maintenance organizations, the lesser of five percent of the insurer's
admitted assets or twenty-five percent of its capital and surplus or
net worth as of December 31st next preceding;
(ii) Loans or extensions of credit to any person who is not an
affiliate, where the insurer makes loans or extensions of credit with
the agreement or understanding that the proceeds of the transactions,
in whole or in substantial part, are to be used to make loans or
extensions of credit to, to purchase assets of, or to make investments
in, any affiliate of the insurer making the loans or extensions of
credit provided the transactions are equal to or exceed:
(A) With respect to nonlife insurers and not including health care
service contractors and health maintenance organizations, the lesser of
three percent of the insurer's admitted assets or twenty-five percent
of surplus as regards policyholders as of December 31st next preceding;
(B) With respect to life insurers, three percent of the insurer's
admitted assets as of December 31st next preceding;
(C) With respect to health care service contractors and health
maintenance organizations, the lesser of five percent of the insurer's
admitted assets or twenty-five percent of its capital and surplus or
net worth as of December 31st next preceding;
(iii) Reinsurance agreements or modifications thereto, including:
(A) All reinsurance pooling agreements;
(B) Agreements in which the reinsurance premium or a change in the
insurer's liabilities, or the projected reinsurance premium or a change
in the insurer's liabilities in any of the next three years, equals or
exceeds five percent of the insurer's surplus as regards policyholders,
as of December 31st next preceding, including those agreements which
may require as consideration the transfer of assets from an insurer to
a nonaffiliate, if an agreement or understanding exists between the
insurer and nonaffiliate that any portion of the assets will be
transferred to one or more affiliates of the insurer;
(iv) All management agreements, service contracts, tax allocation
agreements, guarantees, and all cost-sharing arrangements;
(v) Guarantees when made by a domestic insurer. However, a
guarantee which is quantifiable as to amount is not subject to the
notice requirements of this subsection (1)(b)(v) unless it exceeds the
lesser of one-half of one percent of the insurer's admitted assets or
ten percent of surplus as regards policyholders as of December 31st
next preceding. Further, all guarantees which are not quantifiable as
to amount are subject to the notice requirements of this subsection
(1)(b)(v);
(vi) Direct or indirect acquisitions or investments in a person
that controls the insurer or in an affiliate of the insurer in an
amount which, together with its present holdings in such investments,
exceeds two and one-half percent of the insurer's surplus to
policyholders. Direct or indirect acquisitions or investments in
subsidiaries acquired pursuant to chapter 48.13 RCW, or in
nonsubsidiary insurance affiliates that are subject to this act, are
exempt from this requirement; and
(vii) Any material transactions, specified by rule, which the
commissioner determines may adversely affect the interests of the
insurer's policyholders.
This subsection does not authorize or permit any transactions which, in
the case of an insurer not a member of the same insurance holding
company system, would be otherwise contrary to law.
(c) A domestic insurer may not enter into transactions which are
part of a plan or series of like transactions with persons within the
insurance holding company system if the purpose of those separate
transactions is to avoid the statutory threshold amount and thus avoid
the review that would occur otherwise. If the commissioner determines
that separate transactions were entered into over any twelve-month
period for that purpose, the commissioner may exercise his or her
authority under section 11 of this act.
(d) The commissioner, in reviewing transactions pursuant to (b) of
this subsection, shall consider whether the transactions comply with
the standards set forth in (a) of this subsection and whether they may
adversely affect the interests of policyholders.
(e) The commissioner must be notified within thirty days of any
investment of the domestic insurer in any one corporation if the total
investment in the corporation by the insurance holding company system
exceeds ten percent of the corporation's voting securities.
(2)(a) A domestic insurer shall not pay any extraordinary dividend
or make any other extraordinary distribution to its shareholders until
thirty days after the commissioner has received notice of the
declaration thereof and has not within that period disapproved the
payment, or until the commissioner has approved the payment within the
thirty-day period.
(b) For purposes of this section, an extraordinary dividend or
distribution includes any dividend or distribution of cash or other
property, whose fair market value together with that of other dividends
or distributions made within the preceding twelve months exceeds the
lesser of:
(i) Ten percent of the insurer's surplus as regards policyholders
or net worth as of December 31st next preceding; or
(ii) The net gain from operations of the insurer, if the insurer is
a life insurer, or the net income, if the insurer is not a life
insurer, not including realized capital gains, for the twelve-month
period ending December 31st next preceding, but shall not include pro
rata distributions of any class of the insurer's own securities.
(c) In determining whether a dividend or distribution is
extraordinary, an insurer other than a life insurer may carry forward
net income from the previous two calendar years that has not already
been paid out as dividends. This carry-forward is computed by taking
the net income from the second and third preceding calendar years, not
including realized capital gains, less dividends paid in the second and
immediate preceding calendar years.
(d) An insurer may declare an extraordinary dividend or
distribution which is conditional upon the commissioner's approval, and
the declaration shall confer no rights upon shareholders until (i) the
commissioner has approved the payment of the dividend or distribution
or (ii) the commissioner has not disapproved payment within the thirty-day period referred to in (a) of this subsection.
(3)(a) Notwithstanding the control of a domestic insurer by any
person, the officers and directors of the insurer are not thereby
relieved of any obligation or liability to which they would otherwise
be subject by law, and the insurer must be managed so as to assure its
separate operating identity consistent with this title.
(b) This section does not preclude a domestic insurer from having
or sharing a common management or cooperative or joint use of
personnel, property, or services with one or more other persons under
arrangements meeting the standards of subsection (1)(a) of this
section.
(c) At least one-third of a domestic insurer's directors and at
least one-third of the members of each committee of the insurer's board
of directors must be persons who are not: (i) Officers or employees of
the insurer or of any entity that controls, is controlled by, or is
under common control with the insurer; or (ii) beneficial owners of a
controlling interest in the voting securities of the insurer or of an
entity that controls, is controlled by, or is under common control with
the insurer. A quorum for transacting business at a meeting of the
insurer's board of directors or any committee of the board of directors
must include at least one person with the qualifications described in
(a) of this subsection.
(d) The board of directors of a domestic insurer shall establish
one or more committees comprised solely of directors who are not
officers or employees of the insurer or of any entity controlling,
controlled by, or under common control with the insurer and who are not
beneficial owners of a controlling interest in the voting stock of the
insurer or any such entity. The committee or committees have
responsibility for nominating candidates for director for election by
shareholders or policyholders, evaluating the performance of officers
deemed to be principal officers of the insurer, and recommending to the
board of directors the selection and compensation of the principal
officers.
(e) The provisions of (c) and (d) of this subsection do not apply
to a domestic insurer if the person controlling the insurer has a board
of directors and committees thereof that meet the requirements of (c)
and (d) of this subsection with respect to such controlling entity.
(f) An insurer may make application to the commissioner for a
waiver from the requirements of this subsection, if the insurer's
annual direct written and assumed premium, excluding premiums reinsured
with the federal crop insurance corporation and federal flood program,
is less than three hundred million dollars. An insurer may also make
application to the commissioner for a waiver from the requirements of
this subsection based upon unique circumstances. The commissioner may
consider various factors including, but not limited to, the type of
business entity, volume of business written, availability of qualified
board members, or the ownership or organizational structure of the
entity.
(4) For purposes of this chapter, in determining whether an
insurer's surplus as regards policyholders is reasonable in relation to
the insurer's outstanding liabilities and adequate to meet its
financial needs, the following factors, among others, must be
considered:
(a) The size of the insurer as measured by its assets, capital and
surplus, reserves, premium writings, insurance in force, and other
appropriate criteria;
(b) The extent to which the insurer's business is diversified among
several lines of insurance;
(c) The number and size of risks insured in each line of business;
(d) The extent of the geographical dispersion of the insurer's
insured risks;
(e) The nature and extent of the insurer's reinsurance program;
(f) The quality, diversification, and liquidity of the insurer's
investment portfolio;
(g) The recent past and projected future trend in the size of the
insurer's investment portfolio;
(h) The surplus as regards policyholders maintained by other
comparable insurers;
(i) The adequacy of the insurer's reserves; and
(j) The quality and liquidity of investments in affiliates. The
commissioner may treat any such investment as a disallowed asset for
purposes of determining the adequacy of surplus as regards
policyholders whenever in the judgment of the commissioner the
investment so warrants.
NEW SECTION. Sec. 7
(2)(a) The commissioner may order any insurer registered under
section 5 of this act to produce such records, books, or other
information papers in the possession of the insurer or its affiliates
as are reasonably necessary to determine compliance with this title.
(b) To determine compliance with this title, the commissioner may
order any insurer registered under section 5 of this act to produce
information not in the possession of the insurer if the insurer can
obtain access to such information pursuant to contractual
relationships, statutory obligations, or other method. In the event
the insurer cannot obtain the information requested by the
commissioner, the insurer shall provide the commissioner a detailed
explanation of the reason that the insurer cannot obtain the
information and the identity of the holder of information. Whenever it
appears to the commissioner that the detailed explanation is without
merit, the commissioner may require, after notice and hearing, the
insurer to pay a fine of ten thousand dollars for each day's delay, or
may suspend or revoke the insurer's license. The commissioner shall
pay the fine collected under this section to the state treasurer for
deposit into the general fund.
(3) The commissioner may retain at the registered insurer's expense
such attorneys, actuaries, accountants, and other experts not otherwise
a part of the commissioner's staff as shall be reasonably necessary to
assist in the conduct of the examination under subsection (1) of this
section. Any persons so retained are under the direction and control
of the commissioner and act in a purely advisory capacity.
(4) Notwithstanding the provisions under RCW 48.03.060, each
registered insurer producing for examination records, books, and papers
pursuant to subsection (1) of this section is liable for and must pay
the expense of examination.
(5) In the event the insurer fails to comply with an order, the
commissioner has the power to examine the affiliates to obtain the
information. The commissioner also has the power to issue subpoenas,
to administer oaths, and to examine under oath any person for purposes
of determining compliance with this section. Upon the failure or
refusal of any person to obey a subpoena, the commissioner may petition
a court of competent jurisdiction, and upon proper showing, the court
may enter an order compelling the witness to appear and testify or
produce documentary evidence. Failure to obey the court order is
punishable as contempt of court. Every person is required to attend as
a witness at the place specified in the subpoena, when subpoenaed,
anywhere within the state. He or she is entitled to the same fees and
mileage, if claimed, as a witness as provided in RCW 48.03.070.
NEW SECTION. Sec. 8
(a) Initiating the establishment of a supervisory college;
(b) Clarifying the membership and participation of other
supervisors in the supervisory college;
(c) Clarifying the functions of the supervisory college and the
role of other regulators, including the establishment of a group-wide
supervisor;
(d) Coordinating the ongoing activities of the supervisory college,
including planning meetings, supervisory activities, and processes for
information sharing; and
(e) Establishing a crisis management plan.
(2) Each registered insurer subject to this section is liable for
and must pay the reasonable expenses of the commissioner's
participation in a supervisory college in accordance with subsection
(3) of this section, including reasonable travel expenses. For
purposes of this section, a supervisory college may be convened as
either a temporary or permanent forum for communication and cooperation
between the regulators charged with the supervision of the insurer or
its affiliates, and the commissioner may establish a regular assessment
to the insurer for the payment of these expenses.
(3) In order to assess the business strategy, financial position,
legal and regulatory position, risk exposure, risk management, and
governance processes, and as part of the examination of individual
insurers in accordance with section 7 of this act, the commissioner may
participate in a supervisory college with other regulators charged with
supervision of the insurer or its affiliates, including other state,
federal, and international regulatory agencies. The commissioner may
enter into agreements in accordance with section 9(3) of this act
providing the basis for cooperation between the commissioner and the
other regulatory agencies, and the activities of the supervisory
college. This section does not delegate to the supervisory college the
authority of the commissioner to regulate or supervise the insurer or
its affiliates within its jurisdiction.
NEW SECTION. Sec. 9
(2) Neither the commissioner nor any person who received documents,
materials, or other information while acting under the authority of the
commissioner or with whom such documents, materials, or other
information are shared pursuant to this chapter is permitted or may be
required to testify in any private civil action concerning any
confidential documents, materials, or information subject to subsection
(1) of this section.
(3) In order to assist in the performance of the commissioner's
duties, the commissioner:
(a) May share documents, materials, or other information, including
the confidential and privileged documents, materials, or information
subject to subsection (1) of this section, with other state, federal,
and international regulatory agencies, with the national association of
insurance commissioners and its affiliates and subsidiaries, with the
international association of insurance supervisors and the bank for
international settlements and its affiliates and subsidiaries, and with
state, federal, and international law enforcement authorities,
including members of any supervisory college described in section 8 of
this act, provided the recipient agrees in writing to maintain the
confidentiality and privileged status of the document, material, or
other information, and has verified in writing the legal authority to
maintain confidentiality;
(b) Notwithstanding (a) of this subsection, may only share
confidential and privileged documents, material, or information
reported pursuant to section 5(12) of this act with commissioners of
states having statutes or rules substantially similar to subsection (1)
of this section and who have agreed in writing not to disclose such
information;
(c) May receive documents, materials, or information, including
otherwise confidential and privileged documents, materials or
information from the national association of insurance commissioners
and its affiliates and subsidiaries, the international association of
insurance supervisors and the bank for international settlements and
its affiliates and subsidiaries, and from regulatory and law
enforcement officials of other foreign or domestic jurisdictions, and
shall maintain as confidential or privileged any document, material, or
information received with notice or the understanding that it is
confidential or privileged under the laws of the jurisdiction that is
the source of the document, material, or information; and
(d) Shall enter into written agreements with the national
association of insurance commissioners governing sharing and use of
information provided pursuant to this chapter consistent with this
subsection that shall:
(i) Specify procedures and protocols regarding the confidentiality
and security of information shared with the national association of
insurance commissioners and its affiliates and subsidiaries pursuant to
this chapter, including procedures and protocols for sharing by the
national association of insurance commissioners with other state,
federal, or international regulators including the international
association of insurance supervisors and the bank for international
settlements and its affiliates and subsidiaries;
(ii) Specify that ownership of information shared with the national
association of insurance commissioners and its affiliates and
subsidiaries pursuant to this chapter remains with the commissioner and
the national association of insurance commissioners' use of the
information is subject to the direction of the commissioner;
(iii) Require prompt notice to be given to an insurer whose
confidential information in the possession of the national association
of insurance commissioners pursuant to this chapter is subject to a
request or subpoena to the national association of insurance
commissioners for disclosure or production; and
(iv) Require the national association of insurance commissioners
and its affiliates and subsidiaries to consent to intervention by an
insurer in any judicial or administrative action in which the national
association of insurance commissioners and its affiliates and
subsidiaries may be required to disclose confidential information about
the insurer shared with the national association of insurance
commissioners and its affiliates and subsidiaries pursuant to this
chapter.
(4) The sharing of information by the commissioner pursuant to this
chapter does not constitute a delegation of regulatory authority or
rule making, and the commissioner is solely responsible for the
administration, execution, and enforcement of the provisions of this
chapter.
(5) No waiver of any applicable privilege or claim of
confidentiality in the documents, materials, or information shall occur
as a result of disclosure to the commissioner under this section or as
a result of sharing as authorized in subsection (3) of this section.
(6) Documents, materials, or other information in the possession or
control of the national association of insurance commissioners pursuant
to this chapter are confidential by law and privileged, are not subject
to chapter 42.56 RCW, are not subject to subpoena, and are not subject
to discovery or admissible in evidence in any private civil action.
NEW SECTION. Sec. 10
(2) No security which is the subject of any agreement or
arrangement regarding acquisition, or which is acquired or to be
acquired, in contravention of the provisions of this chapter or of any
rule or order issued by the commissioner may be voted at any
shareholder's meeting, or may be counted for quorum purposes, and any
action of shareholders requiring the affirmative vote of a percentage
of shares may be taken as though the securities were not issued and
outstanding; but no action taken at any such meeting may be invalidated
by the voting of the securities, unless the action would materially
affect control of the insurer or unless the courts of this state have
so ordered. If an insurer or the commissioner has reason to believe
that any security of the insurer has been or is about to be acquired in
contravention of the provisions of this chapter or of any rule or order
issued by the commissioner; the insurer or the commissioner may apply
to the superior court for Thurston county to enjoin any offer, request,
invitation, agreement, or acquisition made in contravention of section
3 of this act or any rule or order issued by the commissioner to enjoin
the voting of any security so acquired, to void any vote of the
security already cast at any meeting of shareholders and for such other
equitable relief as the nature of the case and the interest of the
insurer's policyholders, creditors, and shareholders or the public may
require.
(3) In any case where a person has acquired or is proposing to
acquire any voting securities in violation of this chapter or any rule
or order issued by the commissioner, the commissioner may refer the
matter to the prosecuting attorney of Thurston county or the county in
which the insurer has its principal place of business may, on such
notice as the court deems appropriate, upon the application of the
insurer or the commissioner, seize or sequester any voting securities
of the insurer owned directly or indirectly by the person, and issue
such order as may be appropriate to effectuate the provisions of this
chapter.
(4) For the purposes of this chapter the situs of the ownership of
the securities of domestic insurers is this state.
NEW SECTION. Sec. 11
(2) Every director or officer of an insurance holding company
system who knowingly violates, participates in, or assents to, or who
knowingly shall permit any of the officers or agents of the insurer to
engage in transactions or make investments which have not been properly
reported or submitted pursuant to sections 5(1) and 6(1)(b) or (2) of
this act, or which violate this chapter, shall pay, in their individual
capacity, a fine of not more than ten thousand dollars per violation,
after notice and hearing before the commissioner. In determining the
amount of the fine, the commissioner shall take into account the
appropriateness of the forfeiture with respect to the gravity of the
violation, the history of previous violations, and such other matters
as justice may require.
(3) Whenever it appears to the commissioner that any insurer
subject to this chapter or any director, officer, employee, or agent
thereof has engaged in any transaction or entered into a contract which
is subject to section 6 of this act and which would not have been
approved had the approval been requested, the commissioner may order
the insurer to cease and desist immediately any further activity under
that transaction or contract. After notice and hearing the
commissioner may also order the insurer to void any contracts and
restore the status quo if the action is in the best interest of the
policyholders, creditors, or the public.
(4) Whenever it appears to the commissioner that any insurer or any
director, officer, employee, or agent thereof has committed a willful
violation of this chapter, the commissioner may refer the matter to the
prosecuting attorney of Thurston county or the county in which the
principal office of the insurer is located. Any insurer who willfully
violates this chapter may be fined not more than one million dollars.
Any individual who willfully violates this chapter may be fined in his
or her individual capacity not more than ten thousand dollars, or be
imprisoned for not more than three years or both.
(5) Any officer, director, or employee of an insurance holding
company system who willfully and knowingly subscribes to or makes or
causes to be made any false statements or false reports or false
filings with the intent to deceive the commissioner in the performance
of his or her duties under this chapter, upon conviction shall be
imprisoned for not more than three years or fined not more than ten
thousand dollars or both. Any fines imposed shall be paid by the
officer, director, or employee in his or her individual capacity.
(6) Whenever it appears to the commissioner that any person has
committed a violation of section 3 of this act and which prevents the
full understanding of the enterprise risk to the insurer by affiliates
or by the insurance holding company system, the violation may serve as
an independent basis for disapproving dividends or distributions and
for placing the insurer under an order of supervision in accordance
with RCW 48.31.400.
NEW SECTION. Sec. 12
NEW SECTION. Sec. 13
(2) A distribution is not recoverable if the parent or affiliate
shows that when paid the distribution was lawful and reasonable, and
that the insurer did not know and could not reasonably have known that
the distribution might adversely affect the ability of the insurer to
fulfill its contractual obligations.
(3) Any person who was a parent corporation or holding company or
a person who otherwise controlled the insurer or affiliate at the time
the distributions were paid is liable up to the amount of distributions
or payments under subsection (1) of this section which the person
received. Any person who otherwise controlled the insurer at the time
the distributions were declared is liable up to the amount of
distributions that would have been received if they had been paid
immediately. If two or more persons are liable with respect to the
same distributions, they are jointly and severally liable.
(4) The maximum amount recoverable under this section is the amount
needed in excess of all other available assets of the impaired or
insolvent insurer to pay the contractual obligations of the impaired or
insolvent insurer and to reimburse any guaranty funds.
(5) To the extent that any person liable under subsection (3) of
this section is insolvent or otherwise fails to pay claims due from it,
its parent corporation or holding company or person who otherwise
controlled it at the time the distribution was paid is jointly and
severally liable for any resulting deficiency in the amount recovered
from the parent corporation or holding company or person who otherwise
controlled it.
NEW SECTION. Sec. 14
NEW SECTION. Sec. 15
(2) The filing of an appeal pursuant to this section does not stay
the application of any rule, order, or other action of the commissioner
to the appealing party except as provided in the administrative
procedure act, chapter 34.05 RCW.
(3) Any person aggrieved by any failure of the commissioner to act
or make a determination required by this chapter may petition the
commissioner under the procedure described in the administrative
procedure act, chapter 34.05 RCW.
NEW SECTION. Sec. 16
Sec. 17 RCW 42.56.400 and 2013 c 277 s 5 and 2013 c 65 s 5 are
each reenacted and amended to read as follows:
The following information relating to insurance and financial
institutions is exempt from disclosure under this chapter:
(1) Records maintained by the board of industrial insurance appeals
that are related to appeals of crime victims' compensation claims filed
with the board under RCW 7.68.110;
(2) Information obtained and exempted or withheld from public
inspection by the health care authority under RCW 41.05.026, whether
retained by the authority, transferred to another state purchased
health care program by the authority, or transferred by the authority
to a technical review committee created to facilitate the development,
acquisition, or implementation of state purchased health care under
chapter 41.05 RCW;
(3) The names and individual identification data of either all
owners or all insureds, or both, received by the insurance commissioner
under chapter 48.102 RCW;
(4) Information provided under RCW 48.30A.045 through 48.30A.060;
(5) Information provided under RCW 48.05.510 through 48.05.535,
48.43.200 through 48.43.225, 48.44.530 through 48.44.555, and 48.46.600
through 48.46.625;
(6) Examination reports and information obtained by the department
of financial institutions from banks under RCW 30.04.075, from savings
banks under RCW 32.04.220, from savings and loan associations under RCW
33.04.110, from credit unions under RCW 31.12.565, from check cashers
and sellers under RCW 31.45.030(3), and from securities brokers and
investment advisers under RCW 21.20.100, all of which is confidential
and privileged information;
(7) Information provided to the insurance commissioner under RCW
48.110.040(3);
(8) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.02.065, all of which are confidential and
privileged;
(9) ((Confidential proprietary and trade secret information
provided to the commissioner under RCW 48.31C.020 through 48.31C.050
and 48.31C.070)) Documents, materials, or information obtained by the
insurance commissioner under sections 5(12) and 8 of this act, all of
which are confidential and privileged;
(10) Data filed under RCW 48.140.020, 48.140.030, 48.140.050, and
7.70.140 that, alone or in combination with any other data, may reveal
the identity of a claimant, health care provider, health care facility,
insuring entity, or self-insurer involved in a particular claim or a
collection of claims. For the purposes of this subsection:
(a) "Claimant" has the same meaning as in RCW 48.140.010(2).
(b) "Health care facility" has the same meaning as in RCW
48.140.010(6).
(c) "Health care provider" has the same meaning as in RCW
48.140.010(7).
(d) "Insuring entity" has the same meaning as in RCW 48.140.010(8).
(e) "Self-insurer" has the same meaning as in RCW 48.140.010(11);
(11) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.135.060;
(12) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.37.060;
(13) Confidential and privileged documents obtained or produced by
the insurance commissioner and identified in RCW 48.37.080;
(14) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.37.140;
(15) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.17.595;
(16) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.102.051(1) and 48.102.140 (3) and (7)(a)(ii);
(17) Documents, materials, or information obtained by the insurance
commissioner in the commissioner's capacity as receiver under RCW
48.31.025 and 48.99.017, which are records under the jurisdiction and
control of the receivership court. The commissioner is not required to
search for, log, produce, or otherwise comply with the public records
act for any records that the commissioner obtains under chapters 48.31
and 48.99 RCW in the commissioner's capacity as a receiver, except as
directed by the receivership court;
(18) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.13.151;
(19) Data, information, and documents provided by a carrier
pursuant to section 1, chapter 172, Laws of 2010;
(20) Information in a filing of usage-based insurance about the
usage-based component of the rate pursuant to RCW 48.19.040(5)(b);
(21) Data, information, and documents, other than those described
in RCW 48.02.210(2), that are submitted to the office of the insurance
commissioner by an entity providing health care coverage pursuant to
RCW 28A.400.275 and 48.02.210; ((and))
(22) Data, information, and documents obtained by the insurance
commissioner under RCW 48.29.017; and
(23) Information not subject to public inspection or public
disclosure under RCW 48.43.730(5).
Sec. 18 RCW 42.56.400 and 2013 c 65 s 5 are each amended to read
as follows:
The following information relating to insurance and financial
institutions is exempt from disclosure under this chapter:
(1) Records maintained by the board of industrial insurance appeals
that are related to appeals of crime victims' compensation claims filed
with the board under RCW 7.68.110;
(2) Information obtained and exempted or withheld from public
inspection by the health care authority under RCW 41.05.026, whether
retained by the authority, transferred to another state purchased
health care program by the authority, or transferred by the authority
to a technical review committee created to facilitate the development,
acquisition, or implementation of state purchased health care under
chapter 41.05 RCW;
(3) The names and individual identification data of either all
owners or all insureds, or both, received by the insurance commissioner
under chapter 48.102 RCW;
(4) Information provided under RCW 48.30A.045 through 48.30A.060;
(5) Information provided under RCW 48.05.510 through 48.05.535,
48.43.200 through 48.43.225, 48.44.530 through 48.44.555, and 48.46.600
through 48.46.625;
(6) Examination reports and information obtained by the department
of financial institutions from banks under RCW 30.04.075, from savings
banks under RCW 32.04.220, from savings and loan associations under RCW
33.04.110, from credit unions under RCW 31.12.565, from check cashers
and sellers under RCW 31.45.030(3), and from securities brokers and
investment advisers under RCW 21.20.100, all of which is confidential
and privileged information;
(7) Information provided to the insurance commissioner under RCW
48.110.040(3);
(8) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.02.065, all of which are confidential and
privileged;
(9) ((Confidential proprietary and trade secret information
provided to the commissioner under RCW 48.31C.020 through 48.31C.050
and 48.31C.070)) Documents, materials, or information obtained by the
insurance commissioner under sections 5(12) and 8 of this act, all of
which are confidential and privileged;
(10) Data filed under RCW 48.140.020, 48.140.030, 48.140.050, and
7.70.140 that, alone or in combination with any other data, may reveal
the identity of a claimant, health care provider, health care facility,
insuring entity, or self-insurer involved in a particular claim or a
collection of claims. For the purposes of this subsection:
(a) "Claimant" has the same meaning as in RCW 48.140.010(2).
(b) "Health care facility" has the same meaning as in RCW
48.140.010(6).
(c) "Health care provider" has the same meaning as in RCW
48.140.010(7).
(d) "Insuring entity" has the same meaning as in RCW 48.140.010(8).
(e) "Self-insurer" has the same meaning as in RCW 48.140.010(11);
(11) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.135.060;
(12) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.37.060;
(13) Confidential and privileged documents obtained or produced by
the insurance commissioner and identified in RCW 48.37.080;
(14) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.37.140;
(15) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.17.595;
(16) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.102.051(1) and 48.102.140 (3) and (7)(a)(ii);
(17) Documents, materials, or information obtained by the insurance
commissioner in the commissioner's capacity as receiver under RCW
48.31.025 and 48.99.017, which are records under the jurisdiction and
control of the receivership court. The commissioner is not required to
search for, log, produce, or otherwise comply with the public records
act for any records that the commissioner obtains under chapters 48.31
and 48.99 RCW in the commissioner's capacity as a receiver, except as
directed by the receivership court;
(18) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.13.151;
(19) Data, information, and documents provided by a carrier
pursuant to section 1, chapter 172, Laws of 2010;
(20) Information in a filing of usage-based insurance about the
usage-based component of the rate pursuant to RCW 48.19.040(5)(b);
(21) Data, information, and documents, other than those described
in RCW 48.02.210(2), that are submitted to the office of the insurance
commissioner by an entity providing health care coverage pursuant to
RCW 28A.400.275 and 48.02.210; and
(22) Data, information, and documents obtained by the insurance
commissioner under RCW 48.29.017.
Sec. 19 RCW 48.02.065 and 2007 c 126 s 1 are each amended to read
as follows:
(1) Documents, materials, or other information as described in
either subsection (5) or (6), or both, of this section are confidential
by law and privileged, are not subject to public disclosure under
chapter 42.56 RCW, and are not subject to subpoena directed to the
commissioner or any person who received documents, materials, or other
information while acting under the authority of the commissioner. The
commissioner is authorized to use such documents, materials, or other
information in the furtherance of any regulatory or legal action
brought as a part of the commissioner's official duties. The
confidentiality and privilege created by this section and RCW
42.56.400(((9))) (8) applies only to the commissioner, any person
acting under the authority of the commissioner, the national
association of insurance commissioners and its affiliates and
subsidiaries, regulatory and law enforcement officials of other states
and nations, the federal government, and international authorities.
(2) Neither the commissioner nor any person who received documents,
materials, or other information while acting under the authority of the
commissioner is permitted or required to testify in any private civil
action concerning any confidential and privileged documents, materials,
or information subject to subsection (1) of this section.
(3) The commissioner:
(a) May share documents, materials, or other information, including
the confidential and privileged documents, materials, or information
subject to subsection (1) of this section, with (i) the national
association of insurance commissioners and its affiliates and
subsidiaries, and (ii) regulatory and law enforcement officials of
other states and nations, the federal government, and international
authorities, if the recipient agrees to maintain the confidentiality
and privileged status of the document, material, or other information;
(b) May receive documents, materials, or information, including
otherwise either confidential or privileged, or both, documents,
materials, or information, from (i) the national association of
insurance commissioners and its affiliates and subsidiaries, and (ii)
regulatory and law enforcement officials of other states and nations,
the federal government, and international authorities and shall
maintain as confidential and privileged any document, material, or
information received that is either confidential or privileged, or
both, under the laws of the jurisdiction that is the source of the
document, material, or information; and
(c) May enter into agreements governing the sharing and use of
information consistent with this subsection.
(4) No waiver of an existing privilege or claim of confidentiality
in the documents, materials, or information may occur as a result of
disclosure to the commissioner under this section or as a result of
sharing as authorized in subsection (3) of this section.
(5) Documents, materials, or information, which is either
confidential or privileged, or both, which has been provided to the
commissioner by (a) the national association of insurance commissioners
and its affiliates and subsidiaries, (b) regulatory or law enforcement
officials of other states and nations, the federal government, or
international authorities, or (c) agencies of this state, is
confidential and privileged only if the documents, materials, or
information is protected from disclosure by the applicable laws of the
jurisdiction that is the source of the document, material, or
information.
(6) Working papers, documents, materials, or information produced
by, obtained by, or disclosed to the commissioner or any other person
in the course of a financial or market conduct examination, or in the
course of financial analysis or market conduct desk audit, are not
required to be disclosed by the commissioner unless cited by the
commissioner in connection with an agency action as defined in RCW
34.05.010(3). The commissioner shall notify a party that produced the
documents, materials, or information five business days before
disclosure in connection with an agency action. The notified party may
seek injunctive relief in any Washington state superior court to
prevent disclosure of any documents, materials, or information it
believes is confidential or privileged. In civil actions between
private parties or in criminal actions, disclosure to the commissioner
under this section does not create any privilege or claim of
confidentiality or waive any existing privilege or claim of
confidentiality.
(7)(a) After receipt of a public disclosure request, the
commissioner shall disclose the documents, materials, or information
under subsection (6) of this section that relate to a financial or
market conduct examination undertaken as a result of a proposed change
of control of a nonprofit or mutual health insurer governed in whole or
in part by chapter 48.31B ((or 48.31C)) RCW.
(b) The commissioner is not required to disclose the documents,
materials, or information in (a) of this subsection if:
(i) The documents, materials, or information are otherwise
privileged or exempted from public disclosure; or
(ii) The commissioner finds that the public interest in disclosure
of the documents, materials, or information is outweighed by the public
interest in nondisclosure in that particular instance.
(8) Any person may petition a Washington state superior court to
allow inspection of information exempt from public disclosure under
subsection (6) of this section when the information is connected to
allegations of negligence or malfeasance by the commissioner related to
a financial or market conduct examination. The court shall conduct an
in-camera review after notifying the commissioner and every party that
produced the information. The court may order the commissioner to
allow the petitioner to have access to the information provided the
petitioner maintains the confidentiality of the information. The
petitioner must not disclose the information to any other person,
except upon further order of the court. After conducting a regular
hearing, the court may order that the information can be disclosed
publicly if the court finds that there is a public interest in the
disclosure of the information and the exemption of the information from
public disclosure is clearly unnecessary to protect any individual's
right of privacy or any vital governmental function.
Sec. 20 RCW 48.13.061 and 2011 c 188 s 7 are each amended to read
as follows:
The following classes of investments may be counted for the
purposes specified in RCW 48.13.101, whether they are made directly or
as a participant in a partnership, joint venture, or limited liability
company. Investments in partnerships, joint ventures, and limited
liability companies are authorized investments only pursuant to
subsection (12) of this section:
(1) Cash in the direct possession of the insurer or on deposit with
a financial institution regulated by any federal or state agency of the
United States;
(2) Bonds, debt-like preferred stock, and other evidences of
indebtedness of governmental units in the United States or Canada, or
the instrumentalities of the governmental units, or private business
entities domiciled in the United States or Canada, including asset-backed securities and securities valuation office listed mutual funds;
(3) Loans secured by first mortgages, first trust deeds, or other
first security interests in real property located in the United States
or Canada or secured by insurance against default issued by a
government insurance corporation of the United States or Canada or by
an insurer authorized to do business in this state;
(4) Common stock or equity-like preferred stock or equity interests
in any United States or Canadian business entity, or shares of mutual
funds registered with the securities and exchange commission of the
United States under the investment company act of 1940, other than
securities valuation office listed mutual funds, and, subsidiaries, as
defined in ((RCW 48.31B.005 or 48.31C.010)) section 1(9) of this act,
engaged exclusively in the following businesses:
(a) Acting as an insurance producer, surplus line broker, or title
insurance agent for its parent or for any of its parent's insurer
subsidiaries or affiliates;
(b) Investing, reinvesting, or trading in securities or acting as
a securities broker or dealer for its own account, that of its parent,
any subsidiary of its parent, or any affiliate or subsidiary;
(c) Rendering management, sales, or other related services to any
investment company subject to the federal investment company act of
1940, as amended;
(d) Rendering investment advice;
(e) Rendering services related to the functions involved in the
operation of an insurance business including, but not limited to,
actuarial, loss prevention, safety engineering, data processing,
accounting, claims appraisal, and collection services;
(f) Acting as administrator of employee welfare benefit and pension
plans for governments, government agencies, corporations, or other
organizations or groups;
(g) Ownership and management of assets which the parent could
itself own and manage: PROVIDED, that the aggregate investment by the
insurer and its subsidiaries acquired pursuant to this subsection
(4)(g) shall not exceed the limitations otherwise applicable to such
investments by the parent;
(h) Acting as administrative agent for a government instrumentality
which is performing an insurance function or is responsible for a
health or welfare program;
(i) Financing of insurance premiums;
(j) Any other business activity reasonably ancillary to an
insurance business;
(k) Owning one or more subsidiary;
(i) Insurers, health care service contractors, or health
maintenance organizations to the extent permitted by this chapter;
(ii) Businesses specified in (a) through (k) of this subsection
inclusive; or
(iii) Any combination of such insurers and businesses;
(5) Real property necessary for the convenient transaction of the
insurer's business;
(6) Real property, together with the fixtures, furniture,
furnishings, and equipment pertaining thereto in the United States or
Canada, which produces or after suitable improvement can reasonably be
expected to produce income;
(7) Loans, securities, or other investments of the types described
in subsections (1) through (6) of this section in national association
of insurance commissioners securities valuation office 1 debt rated
countries other than the United States and Canada;
(8) Bonds or other evidences of indebtedness of international
development organizations of which the United States is a member;
(9) Loans upon the security of the insurer's own policies in
amounts that are adequately secured by the policies and that in no case
exceed the surrender values of the policies;
(10) Tangible personal property under contract of sale or lease
under which contractual payments may reasonably be expected to return
the principal of and provide earnings on the investment within its
anticipated useful life;
(11) Other investments the commissioner authorizes by rule; and
(12) Investments not otherwise permitted by this section, and not
specifically prohibited by statute, to the extent of not more than five
percent of the first five hundred million dollars of the insurer's
admitted assets plus ten percent of the insurer's admitted assets
exceeding five hundred million dollars.
Sec. 21 RCW 48.18.545 and 2002 c 360 s 1 are each amended to read
as follows:
(1) For the purposes of this section:
(a) "Adverse action" has the same meaning as defined in the fair
credit reporting act, 15 U.S.C. Sec. 1681 et seq. Adverse actions
include, but are not limited to:
(i) Cancellation, denial, or nonrenewal of personal insurance
coverage;
(ii) Charging a higher insurance premium for personal insurance
than would have been offered if the credit history or insurance score
had been more favorable, whether the charge is by:
(A) Application of a rating rule;
(B) Assignment to a rating tier that does not have the lowest
available rates; or
(C) Placement with an affiliate company that does not offer the
lowest rates available to the consumer within the affiliate group of
insurance companies; or
(iii) Any reduction, adverse, or unfavorable change in the terms of
coverage or amount of any personal insurance due to a consumer's credit
history or insurance score. A reduction, adverse, or unfavorable
change in the terms of coverage occurs when:
(A) Coverage provided to the consumer is not as broad in scope as
coverage requested by the consumer but available to other insureds of
the insurer or any affiliate; or
(B) The consumer is not eligible for benefits such as dividends
that are available through affiliate insurers.
(b) "Affiliate" has the same meaning as defined in ((RCW
48.31B.005(1))) section 1 of this act.
(c) "Consumer" means an individual policyholder or applicant for
insurance.
(d) "Consumer report" has the same meaning as defined in the fair
credit reporting act, 15 U.S.C. Sec. 1681 et seq.
(e) "Credit history" means any written, oral, or other
communication of any information by a consumer reporting agency bearing
on a consumer's creditworthiness, credit standing, or credit capacity
that is used or expected to be used, or collected in whole or in part,
for the purpose of serving as a factor in determining personal
insurance premiums or eligibility for coverage.
(f) "Insurance score" means a number or rating that is derived from
an algorithm, computer application, model, or other process that is
based in whole or in part on credit history.
(g) "Personal insurance" means:
(i) Private passenger automobile coverage;
(ii) Homeowner's coverage, including mobile homeowners,
manufactured homeowners, condominium owners, and renter's coverage;
(iii) Dwelling property coverage;
(iv) Earthquake coverage for a residence or personal property;
(v) Personal liability and theft coverage;
(vi) Personal inland marine coverage; and
(vii) Mechanical breakdown coverage for personal auto or home
appliances.
(h) "Tier" means a category within a single insurer into which
insureds with substantially like insuring, risk or exposure factors,
and expense elements are placed for purposes of determining rate or
premium.
(2) An insurer that takes adverse action against a consumer based
in whole or in part on credit history or insurance score shall provide
written notice to the applicant or named insured. The notice must
state the significant factors of the credit history or insurance score
that resulted in the adverse action. The insurer shall also inform the
consumer that the consumer is entitled to a free copy of their consumer
report under the fair credit reporting act.
(3) An insurer shall not cancel or nonrenew personal insurance
based in whole or in part on a consumer's credit history or insurance
score. An offer of placement with an affiliate insurer does not
constitute cancellation or nonrenewal under this section.
(4) An insurer may use credit history to deny personal insurance
only in combination with other substantive underwriting factors. For
the purposes of this subsection:
(a) "Deny" means an insurer refuses to offer insurance coverage to
a consumer;
(b) An offer of placement with an affiliate insurer does not
constitute denial of coverage; and
(c) An insurer may reject an application when coverage is not bound
or cancel an insurance contract within the first sixty days after the
effective date of the contract.
(5) Insurers shall not deny personal insurance coverage based on:
(a) The absence of credit history or the inability to determine the
consumer's credit history, if the insurer has received accurate and
complete information from the consumer;
(b) The number of credit inquiries;
(c) Credit history or an insurance score based on collection
accounts identified with a medical industry code;
(d) The initial purchase or finance of a vehicle or house that adds
a new loan to the consumer's existing credit history, if evident from
the consumer report; however, an insurer may consider the bill payment
history of any loan, the total number of loans, or both;
(e) The consumer's use of a particular type of credit card, charge
card, or debit card; or
(f) The consumer's total available line of credit; however, an
insurer may consider the total amount of outstanding debt in relation
to the total available line of credit.
(6)(a) If disputed credit history is used to determine eligibility
for coverage and a consumer is placed with an affiliate that charges
higher premiums or offers less favorable policy terms:
(i) The insurer shall reissue or rerate the policy retroactive to
the effective date of the current policy term; and
(ii) The policy, as reissued or rerated, shall provide premiums and
policy terms the consumer would have been eligible for if accurate
credit history had been used to determine eligibility.
(b) This subsection only applies if the consumer resolves the
dispute under the process set forth in the fair credit reporting act
and notifies the insurer in writing that the dispute has been resolved.
(7) The commissioner may adopt rules to implement this section.
(8) This section applies to all personal insurance policies issued
or renewed after January 1, 2003.
Sec. 22 RCW 48.18.547 and 2006 c 8 s 211 are each amended to read
as follows:
(1) For the purposes of this section:
(a) "Affiliate" has the same meaning as in ((RCW 48.31B.005(1)))
section 1 of this act.
(b) "Claim" means a demand for monetary damages by a claimant.
(c) "Claimant" means a person, including a decedent's estate, who
is seeking or has sought monetary damages for injury or death caused by
medical malpractice.
(d) "Tier" has the same meaning as in RCW 48.18.545(1)(h).
(e) "Underwrite" or "underwriting" means the process of selecting,
rejecting, or pricing a risk, and includes each of these activities:
(i) Evaluation, selection, and classification of risk, including
placing a risk with an affiliate insurer that has higher rates and/or
rating plan components that will result in higher premiums;
(ii) Application of classification plans, rates, rating rules, and
rating tiers to an insured risk; and
(iii) Determining eligibility for:
(A) Insurance coverage provisions;
(B) Higher policy limits; or
(C) Premium payment plans.
(2) During each underwriting process, an insurer may consider the
following factors only in combination with other substantive
underwriting factors:
(a) An insured has inquired about the nature or scope of coverage
under a medical malpractice insurance policy;
(b) An insured has notified their insurer about an incident that
may be covered under the terms of their medical malpractice insurance
policy, and that incident does not result in a claim; or
(c) A claim made against an insured was closed by the insurer
without payment. An insurer may consider the effect of multiple claims
if they have a significant effect on the insured's risk profile.
(3) If any underwriting activity related to the insured's risk
profile results in higher premiums as described under subsection
(1)(e)(i) and (ii) of this section or reduced coverage as described
under subsection (1)(e)(iii) of this section, the insurer must provide
written notice to the insured, in clear and simple language, that
describes the significant risk factors which led to the underwriting
action. The commissioner must adopt rules that define the components
of a risk profile that require notice under this subsection.
Sec. 23 RCW 48.19.035 and 2004 c 86 s 1 are each amended to read
as follows:
(1) For the purposes of this section:
(a) "Affiliate" has the same meaning as defined in ((RCW
48.31B.005(1))) section 1 of this act.
(b) "Consumer" means an individual policyholder or applicant for
insurance.
(c) "Credit history" means any written, oral, or other
communication of any information by a consumer reporting agency bearing
on a consumer's creditworthiness, credit standing, or credit capacity
that is used or expected to be used, or collected in whole or in part,
for the purpose of serving as a factor in determining personal
insurance premiums or eligibility for coverage.
(d) "Insurance score" means a number or rating that is derived from
an algorithm, computer application, model, or other process that is
based in whole or in part on credit history.
(e) "Personal insurance" means:
(i) Private passenger automobile coverage;
(ii) Homeowner's coverage, including mobile homeowners,
manufactured homeowners, condominium owners, and renter's coverage;
(iii) Dwelling property coverage;
(iv) Earthquake coverage for a residence or personal property;
(v) Personal liability and theft coverage;
(vi) Personal inland marine coverage; and
(vii) Mechanical breakdown coverage for personal auto or home
appliances.
(2)(a) Credit history shall not be used to determine personal
insurance rates, premiums, or eligibility for coverage unless the
insurance scoring models are filed with the commissioner. Insurance
scoring models include all attributes and factors used in the
calculation of an insurance score. RCW 48.19.040(5) does not apply to
any information filed under this subsection, and the information shall
be withheld from public inspection and kept confidential by the
commissioner. All information filed under this subsection shall be
considered trade secrets under RCW 48.02.120(3). Information filed
under this subsection may be made public by the commissioner for the
sole purpose of enforcement actions taken by the commissioner.
(b) Each insurer that uses credit history or an insurance score to
determine personal insurance rates, premiums, or eligibility for
coverage must file all rates and rating plans for that line of coverage
with the commissioner. This requirement applies equally to a single
insurer and two or more affiliated insurers. RCW 48.19.040(5) applies
to information filed under this subsection except that any eligibility
rules or guidelines shall be withheld from public inspection under RCW
48.02.120(3) from the date that the information is filed and after it
becomes effective.
(3) Insurers shall not use the following types of credit history to
calculate a personal insurance score or determine personal insurance
premiums or rates:
(a) The absence of credit history or the inability to determine the
consumer's credit history, unless the insurer has filed actuarial data
segmented by demographic factors in a manner prescribed by the
commissioner that demonstrates compliance with RCW 48.19.020;
(b) The number of credit inquiries;
(c) Credit history or an insurance score based on collection
accounts identified with a medical industry code;
(d) The initial purchase or finance of a vehicle or house that adds
a new loan to the consumer's existing credit history, if evident from
the consumer report; however, an insurer may consider the bill payment
history of any loan, the total number of loans, or both;
(e) The consumer's use of a particular type of credit card, charge
card, or debit card; or
(f) The consumer's total available line of credit; however, an
insurer may consider the total amount of outstanding debt in relation
to the total available line of credit.
(4) If a consumer is charged higher premiums due to disputed credit
history, the insurer shall rerate the policy retroactive to the
effective date of the current policy term. As rerated, the consumer
shall be charged the same premiums they would have been charged if
accurate credit history was used to calculate an insurance score. This
subsection applies only if the consumer resolves the dispute under the
process set forth in the fair credit reporting act and notifies the
insurer in writing that the dispute has been resolved.
(5) The commissioner may adopt rules to implement this section.
(6) This section applies to all personal insurance policies issued
or renewed on or after June 30, 2003.
Sec. 24 RCW 48.38.010 and 2012 c 211 s 5 are each amended to read
as follows:
The commissioner may grant a certificate of exemption to any
insurer or educational, religious, charitable, or scientific
institution conducting a charitable gift annuity business:
(1) Which is organized and operated exclusively as, or for the
purpose of aiding, an educational, religious, charitable, or scientific
institution which is organized as a nonprofit organization without
profit to any person, firm, partnership, association, corporation, or
other entity;
(2) Which possesses a current tax exempt status under the laws of
the United States;
(3) Which serves such purpose by issuing charitable gift annuity
contracts only for the benefit of such educational, religious,
charitable, or scientific institution;
(4) Which appoints the insurance commissioner as its true and
lawful attorney upon whom may be served lawful process in any action,
suit, or proceeding in any court, which appointment is irrevocable,
binds the insurer or institution or any successor in interest, remains
in effect as long as there is in force in this state any contract made
or issued by the insurer or institution, or any obligation arising
therefrom, and must be processed in accordance with RCW 48.05.200;
(5) Which is fully and legally organized and qualified to do
business and has been actively doing business under the laws of the
state of its domicile for a period of at least three years prior to its
application for a certificate of exemption;
(6) Which has and maintains minimum unrestricted net assets of five
hundred thousand dollars. "Unrestricted net assets" means the excess
of total assets over total liabilities that are neither permanently
restricted nor temporarily restricted by donor-imposed stipulations;
(7) Which files with the insurance commissioner its application for
a certificate of exemption showing:
(a) Its name, location, and organization date;
(b) The kinds of charitable annuities it proposes to offer;
(c) A statement of the financial condition, management, and affairs
of the organization and any affiliate thereof, as that term is defined
in ((RCW 48.31B.005)) section 1 of this act, on a form satisfactory to,
or furnished by the insurance commissioner;
(d) Other documents, stipulations, or information as the insurance
commissioner may reasonably require to evidence compliance with the
provisions of this chapter;
(8) Which subjects itself and any affiliate thereof, as that term
is defined in ((RCW 48.31B.005)) section 1 of this act, to periodic
examinations conducted under chapter 48.03 RCW as may be deemed
necessary by the insurance commissioner;
(9) Which files with the insurance commissioner for the
commissioner's advance approval a copy of any policy or contract form
to be offered or issued to residents of this state. The grounds for
disapproval of the policy or contract form are set forth in RCW
48.18.110; and
(10) Which:
(a) Files with the insurance commissioner annually, within sixty
days of the end of its fiscal year a report of its current financial
condition, management, and affairs, on a form and in a manner
prescribed by the commissioner, as well as such other financial
material as may be requested, including the annual statement or other
such financial materials as may be requested relating to any affiliate,
as that term is defined in ((RCW 48.31B.005)) section 1 of this act;
(b) Attaches to the report of its current financial condition the
statement of a qualified actuary setting forth the actuary's opinion
relating to annuity reserves and other actuarial items for the fiscal
year covered by the report. "Qualified actuary" as used in this
subsection means a member in good standing of the American academy of
actuaries or a person who has otherwise demonstrated actuarial
competence to the satisfaction of the insurance regulatory official of
the domiciliary state; and
(c) On or before March 1st of each year, pays an annual filing fee
of twenty-five dollars plus five dollars for each charitable gift
annuity contract written for residents of this state during its fiscal
year ending on or before December 31st of the previous calendar year.
Sec. 25 RCW 48.97.005 and 2008 c 217 s 75 are each amended to
read as follows:
Unless the context clearly requires otherwise, the definitions in
this section apply throughout this chapter.
(1) "Accredited state" means a state in which the insurance
department or regulatory agency has qualified as meeting the minimum
financial regulatory standards promulgated and established from time to
time by the National Association of Insurance Commissioners.
(2) "Control" or "controlled by" has the meaning ((ascribed in RCW
48.31B.005(2))) as in section 1 of this act.
(3) "Controlled insurer" means a licensed insurer that is
controlled, directly or indirectly, by a broker.
(4) "Controlling producer" means a producer who, directly or
indirectly, controls an insurer.
(5) "Licensed insurer" or "insurer" means a person, firm,
association, or corporation licensed to transact property and casualty
insurance business in this state. The following, among others, are not
licensed insurers for purposes of this chapter:
(a) ((Risk retention groups as defined in the Superfund Amendments
Reauthorization Act of 1986, P.L. 99-499, 100 Stat. 1613 (1986), the
Risk Retention Act, 15 U.S.C. Sec. 3901 et seq. (1982 Supp. 1986), and
chapter 48.92 RCW;)) All residual market pools and joint underwriting
associations; and
(b)
(((c) Captive insurers.)) (b) For the purposes of this chapter,
captive insurers other than risk retention groups as defined in 15
U.S.C. Sec. 3901 et seq. and 42 U.S.C. Sec. 9671 are insurance
companies owned by another organization((,)) whose exclusive purpose is
to insure risks of the parent organization and affiliated companies or,
in the case of groups and associations, insurance organizations owned
by the insureds whose exclusive purpose is to insure risks to member
organizations or group members, or both, and their affiliates.
(6) "Producer" means an insurance broker or brokers or any other
person, firm, association, or corporation when, for compensation,
commission, or other thing of value, the person, firm, association, or
corporation acts or aids in any manner in soliciting, negotiating, or
procuring the making of an insurance contract on behalf of an insured
other than the person, firm, association, or corporation.
Sec. 26 RCW 48.125.140 and 2004 c 260 s 16 are each amended to
read as follows:
(1) The commissioner may make an examination of the operations of
any self-funded multiple employer welfare arrangement as often as he or
she deems necessary in order to carry out the purposes of this chapter.
(2) Every self-funded multiple employer welfare arrangement shall
submit its books and records relating to its operation for financial
condition and market conduct examinations and in every way facilitate
them. For the purpose of examinations, the commissioner may issue
subpoenas, administer oaths, and examine the officers and principals of
the (([self-funded])) self-funded multiple employer welfare
arrangement.
(3) The commissioner may elect to accept and rely on audit reports
made by an independent certified public accountant for the self-funded
multiple employer welfare arrangement in the course of that part of the
commissioner's examination covering the same general subject matter as
the audit. The commissioner may incorporate the audit report in his or
her report of the examination.
(4)(a) The commissioner may also examine any affiliate of the self-funded multiple employer welfare arrangement. An examination of an
affiliate is limited to the activities or operations of the affiliate
that may impact the financial position of the arrangement.
(b) For the purposes of this section, "affiliate" has the same
meaning as defined in ((RCW 48.31C.010)) section 1 of this act.
(5) Whenever an examination is made, all of the provisions of
chapter 48.03 RCW not inconsistent with this chapter shall be
applicable. In lieu of making an examination himself or herself, the
commissioner may, in the case of a foreign self-funded multiple
employer welfare arrangement, accept an examination report of the
applicant by the regulatory official in its state of domicile. In the
case of a domestic self-funded multiple employer welfare arrangement,
the commissioner may accept an examination report of the applicant by
the regulatory official of a state that has already licensed the
arrangement.
Sec. 27 RCW 48.155.010 and 2010 c 27 s 4 are each amended to read
as follows:
The definitions in this section apply throughout this chapter
unless the context clearly requires otherwise.
(1) "Affiliate" means a person that directly, or indirectly through
one or more intermediaries, controls, or is controlled by, or is under
common control with, the person specified.
(2) "Commissioner" means the Washington state insurance
commissioner.
(3)(a) "Control" or "controlled by" or "under common control with"
means the possession, direct or indirect, of the power to direct or
cause the direction of the management and policies of a person, whether
through the ownership of voting securities, by contract other than a
commercial contract for goods or nonmanagement services, or otherwise,
unless the power is the result of an official position with or
corporate office held by the person.
(b) Control exists when any person, directly or indirectly, owns,
controls, holds with the power to vote, or holds proxies representing
ten percent or more of the voting securities of any other person. A
presumption of control may be rebutted by a showing made in the manner
provided by ((RCW 48.31B.005(2) and 48.31B.025(11))) section 1(2) and
5(11) of this act that control does not exist in fact. The
commissioner may determine, after furnishing all persons in interest
notice and opportunity to be heard and making specific findings of fact
to support the determination, that control exists in fact,
notwithstanding the absence of a presumption to that effect.
(4)(a) "Discount plan" means a business arrangement or contract in
which a person or organization, in exchange for fees, dues, charges, or
other consideration, provides or purports to provide discounts to its
members on charges by providers for health care services.
(b) "Discount plan" does not include:
(i) A plan that does not charge a membership or other fee to use
the plan's discount card;
(ii) A patient access program as defined in this chapter;
(iii) A medicare prescription drug plan as defined in this chapter;
or
(iv) A discount plan offered by a health carrier authorized under
chapter 48.20, 48.21, 48.44, or 48.46 RCW.
(5)(a) "Discount plan organization" means a person that, in
exchange for fees, dues, charges, or other consideration, provides or
purports to provide access to discounts to its members on charges by
providers for health care services. "Discount plan organization" also
means a person or organization that contracts with providers, provider
networks, or other discount plan organizations to offer discounts on
health care services to its members. This term also includes all
persons that determine the charge to or other consideration paid by
members.
(b) "Discount plan organization" does not mean:
(i) Pharmacy benefit managers;
(ii) Health care provider networks, when the network's only
involvement in discount plans is contracting with the plan to provide
discounts to the plan's members;
(iii) Marketers who market the discount plans of discount plan
organizations which are licensed under this chapter as long as all
written communications of the marketer in connection with a discount
plan clearly identify the licensed discount plan organization as the
responsible entity; or
(iv) Health carriers, if the discount on health care services is
offered by a health carrier authorized under chapter 48.20, 48.21,
48.44, or 48.46 RCW.
(6) "Health care facility" or "facility" has the same meaning as in
RCW 48.43.005(((15))) (22).
(7) "Health care provider" or "provider" has the same meaning as in
RCW 48.43.005(((16))) (23).
(8) "Health care provider network," "provider network," or
"network" means any network of health care providers, including any
person or entity that negotiates directly or indirectly with a discount
plan organization on behalf of more than one provider to provide health
care services to members.
(9) "Health care services" has the same meaning as in RCW
48.43.005(((17))) (24).
(10) "Health carrier" or "carrier" has the same meaning as in RCW
48.43.005(((18))) (25).
(11) "Marketer" means a person or entity that markets, promotes,
sells, or distributes a discount plan, including a contracted marketing
organization and a private label entity that places its name on and
markets or distributes a discount plan pursuant to a marketing
agreement with a discount plan organization.
(12) "Medicare prescription drug plan" means a plan that provides
a medicare part D prescription drug benefit in accordance with the
requirements of the federal medicare prescription drug improvement and
modernization act of 2003.
(13) "Member" means any individual who pays fees, dues, charges, or
other consideration for the right to receive the benefits of a discount
plan, but does not include any individual who enrolls in a patient
access program.
(14) "Patient access program" means a voluntary program sponsored
by a pharmaceutical manufacturer, or a consortium of pharmaceutical
manufacturers, that provides free or discounted health care products
for no additional consideration directly to low-income or uninsured
individuals either through a discount card or direct shipment.
(15) "Person" means an individual, a corporation, a governmental
entity, a partnership, an association, a joint venture, a joint stock
company, a trust, an unincorporated organization, any similar entity,
or any combination of the persons listed in this subsection.
(16)(a) "Pharmacy benefit manager" means a person that performs
pharmacy benefit management for a covered entity.
(b) For purposes of this subsection, a "covered entity" means an
insurer, a health care service contractor, a health maintenance
organization, or a multiple employer welfare arrangement licensed,
certified, or registered under the provisions of this title. "Covered
entity" also means a health program administered by the state as a
provider of health coverage, a single employer that provides health
coverage to its employees, or a labor union that provides health
coverage to its members as part of a collective bargaining agreement.
Sec. 28 RCW 48.155.015 and 2009 c 175 s 4 are each amended to
read as follows:
(1) This chapter applies to all discount plans and all discount
plan organizations doing business in or from this state or that affect
subjects located wholly or in part or to be performed within this
state, and all persons having to do with this business.
(2) A discount plan organization that is a health carrier, as
defined under RCW 48.43.005, with a license, certificate of authority,
or registration ((under RCW 48.05.030 or chapter 48.31C RCW)):
(a) Is not required to obtain a license under RCW 48.155.020,
except that any of its affiliates that operate as a discount plan
organization in this state must obtain a license under RCW 48.155.020
and comply with all other provisions of this chapter;
(b) Is required to comply with RCW 48.155.060 through 48.155.090
and report, in the form and manner as the commissioner may require, any
of the information described in RCW 48.155.110(2) (b), (c), or (d) that
is not otherwise already reported; and
(c) Is subject to RCW 48.155.130 and 48.155.140.
NEW SECTION. Sec. 29 The following acts or parts of acts are
each repealed:
(1) RCW 48.31B.005 (Definitions) and 1993 c 462 s 2;
(2) RCW 48.31B.010 (Insurer ceases to control subsidiary -- Disposal
of investment) and 1993 c 462 s 3;
(3) RCW 48.31B.015 (Control of insurer -- Acquisition, merger, or
exchange -- Preacquisition notification -- Jurisdiction of courts) and 1993
c 462 s 4;
(4) RCW 48.31B.020 (Acquisition of insurer -- Change in control--Definitions -- Exemptions -- Competition -- Preacquisition notification--Violations -- Penalties) and 1993 c 462 s 5;
(5) RCW 48.31B.025 (Registration with commissioner -- Information
required -- Rule making -- Disclaimer of affiliation -- Failure to file) and
2000 c 214 s 1 & 1993 c 462 s 6;
(6) RCW 48.31B.030 (Insurer subject to registration -- Standards for
transactions within a holding company system -- Extraordinary dividends
or distributions -- Insurer's surplus) and 1993 c 462 s 7;
(7) RCW 48.31B.035 (Examination of insurers -- Commissioner may order
production of information -- Failure to comply -- Costs of examination) and
1993 c 462 s 8;
(8) RCW 48.31B.040 (Rule making) and 1993 c 462 s 9;
(9) RCW 48.31B.045 (Violations of chapter -- Commissioner may seek
superior court order) and 1993 c 462 s 10;
(10) RCW 48.31B.050 (Violations of chapter -- Penalties -- Civil
forfeitures -- Orders -- Referral to prosecuting attorney -- Imprisonment)
and 1993 c 462 s 11;
(11) RCW 48.31B.055 (Violations of chapter -- Impairment of financial
condition -- Commissioner may take possession) and 1993 c 462 s 12;
(12) RCW 48.31B.060 (Order for liquidation or rehabilitation--Recovery of distributions or payments -- Personal liability -- Maximum
amount recoverable) and 1993 c 462 s 13;
(13) RCW 48.31B.065 (Violations of chapter -- Contrary to interests
of policyholders or the public -- Suspension, revocation, or nonrenewal
of license) and 1993 c 462 s 14;
(14) RCW 48.31B.070 (Person aggrieved by actions of commissioner)
and 1993 c 462 s 15;
(15) RCW 48.31B.900 (Short title) and 1993 c 462 s 1;
(16) RCW 48.31B.901 (Severability -- 1993 c 462) and 1993 c 462 s
112;
(17) RCW 48.31B.902 (Implementation -- 1993 c 462) and 1993 c 462 s
106;
(18) RCW 48.31C.010 (Definitions) and 2001 c 179 s 1;
(19) RCW 48.31C.020 (Acquisition of a foreign health carrier--Preacquisition notification -- Review) and 2001 c 179 s 2;
(20) RCW 48.31C.030 (Acquisition of a domestic health carrier--Filing -- Review--Jurisdiction of courts) and 2001 c 179 s 3;
(21) RCW 48.31C.040 (Registration with commissioner -- Information
required -- Rule making -- Disclaimer of affiliation -- Failure to file) and
2001 c 179 s 4;
(22) RCW 48.31C.050 (Health carrier subject to registration--Standards for transactions within a holding company system -- Notice to
commissioner -- Review) and 2001 c 179 s 5;
(23) RCW 48.31C.060 (Extraordinary dividends or distributions--Restrictions -- Definition of distribution) and 2001 c 179 s 6;
(24) RCW 48.31C.070 (Examination of health carriers -- Commissioner
may order production of information -- Failure to comply -- Costs) and 2001
c 179 s 7;
(25) RCW 48.31C.080 (Violations of chapter -- Commissioner may seek
superior court order) and 2001 c 179 s 8;
(26) RCW 48.31C.090 (Violations of chapter -- Penalties -- Civil
forfeitures -- Orders -- Referral to prosecuting attorney -- Imprisonment)
and 2001 c 179 s 9;
(27) RCW 48.31C.100 (Violations of chapter -- Impairment of financial
condition) and 2001 c 179 s 10;
(28) RCW 48.31C.110 (Order for liquidation or rehabilitation--Recovery of distributions or payments -- Liability -- Maximum amount
recoverable) and 2001 c 179 s 11;
(29) RCW 48.31C.120 (Violations of chapter -- Contrary to interests
of subscribers or the public) and 2001 c 179 s 12;
(30) RCW 48.31C.130 (Confidential proprietary and trade secret
information -- Exempt from public disclosure -- Exceptions) and 2001 c 179
s 13;
(31) RCW 48.31C.140 (Person aggrieved by actions of commissioner)
and 2001 c 179 s 15;
(32) RCW 48.31C.150 (Rule making) and 2001 c 179 s 16;
(33) RCW 48.31C.160 (Dual holding company system membership) and
2001 c 179 s 17;
(34) RCW 48.31C.900 (Severability -- 2001 c 179) and 2001 c 179 s 18;
and
(35) RCW 48.31C.901 (Effective date -- 2001 c 179) and 2001 c 179 s
19.
NEW SECTION. Sec. 30
NEW SECTION. Sec. 31
NEW SECTION. Sec. 32 Sections 1 through 16 and 31 of this act
are each added to chapter
NEW SECTION. Sec. 33
(2) The requirements of this chapter apply to all insurers
domiciled in this state unless exempt pursuant to section 38 of this
act.
(3) The legislature finds and declares that the ORSA summary report
contains confidential and sensitive information related to an insurer
or insurance group's identification of risks material and relevant to
the insurer or insurance group filing the report. This information
includes proprietary and trade secret information that has the
potential for harm and competitive disadvantage to the insurer or
insurance group if the information is made public. It is the intent of
this legislature that the ORSA summary report is a confidential
document filed with the commissioner, that the ORSA summary report may
be shared only as stated in this chapter and to assist the commissioner
in the performance of his or her duties, and that in no event may the
ORSA summary report be subject to public disclosure.
NEW SECTION. Sec. 34
(1) "Insurance group" means, for the purposes of conducting an
ORSA, those insurers and affiliates included within an insurance
holding company system as defined in section 1 of this act.
(2) "Insurer" includes an insurer authorized under chapter 48.05
RCW, a fraternal mutual insurer or society holding a license under RCW
48.36A.290, a health care service contractor registered under chapter
48.44 RCW, a health maintenance organization registered under chapter
48.46 RCW, and a self-funded multiple employer welfare arrangement
under chapter 48.125 RCW, as well as all persons engaged as, or
purporting to be engaged as insurers, fraternal benefit societies,
health care service contractors, health maintenance organizations, or
self-funded multiple employer welfare arrangements in this state, and
to persons in process of organization to become insurers, fraternal
benefit societies, health care service contractors, health maintenance
organizations, or self-funded multiple employer welfare arrangements,
except that it does not include agencies, authorities, or
instrumentalities of the United States, its possessions and
territories, the Commonwealth of Puerto Rico, the District of Columbia,
or a state or political subdivision of a state.
(3) "Own risk and solvency assessment" or "ORSA" means a
confidential internal assessment, appropriate to the nature, scale, and
complexity of an insurer or insurance group, conducted by that insurer
or insurance group of the material and relevant risks associated with
the insurer or insurance group's current business plan, and the
sufficiency of capital resources to support those risks.
(4) "ORSA guidance manual" means the own risk and solvency
assessment guidance manual developed and adopted by the national
association of insurance commissioners as of the effective date of this
section. A change in the ORSA guidance manual is effective on January
1st following the calendar year in which the changes are adopted by
rule of the insurance commissioner.
(5) "ORSA summary report" means a confidential high-level ORSA
summary of an insurer or insurance group.
NEW SECTION. Sec. 35
NEW SECTION. Sec. 36
NEW SECTION. Sec. 37
(2) The report shall include a signature of the insurer or
insurance group's chief risk officer or other executive having
responsibility for the oversight of the insurer's enterprise risk
management process attesting to the best of his or her belief and
knowledge that the insurer applies the enterprise risk management
process described in the ORSA summary report and that a copy of the
report has been provided to the insurer's board of directors or the
appropriate governing committee.
(3) An insurer may comply with subsection (1) of this section by
providing the most recent and substantially similar report or reports
provided by the insurer or another member of an insurance group of
which the insurer is a member to the commissioner of another state or
to a supervisor or regulator of a foreign jurisdiction, if that report
provides information that is comparable to the information described in
the ORSA guidance manual. Any such report in a language other than
English must be accompanied by a translation of that report into the
English language.
(4) Beginning in 2015, an insurer which is required to submit an
ORSA summary report to the commissioner shall file its report annually
by June 30th of each year for its current calendar year ORSA. If it is
impractical to furnish the ORSA summary report at the time it is
required to be filed, an insurer must file a written request for
extension with the commissioner at least ten days prior to the due date
of the filing. The request for extension shall state why the filing at
the time is impractical and requesting an extension of time for filing
the report to a specified date. An extension must be granted in
writing.
NEW SECTION. Sec. 38
(a) The insurer has annual direct written and unaffiliated assumed
premium including international direct and assumed premium, but
excluding premium reinsured with the federal crop insurance corporation
and federal flood program, less than five hundred million dollars; and
(b) The insurance group of which the insurer is a member has annual
direct written and unaffiliated assumed premium including international
direct and assumed premium, but excluding premium reinsured with the
federal crop insurance corporation and federal flood program, less than
one billion dollars.
(2) If an insurer qualifies for exemption pursuant to subsection
(1)(a) of this section, but the insurance group of which the insurer is
a member does not qualify for exemption pursuant to subsection (1)(b)
of this section, then the ORSA summary report that may be required
pursuant to section 37 of this act must include every insurer within
the insurance group. This requirement is satisfied by the submission
of more than one ORSA summary report for any combination of insurers,
provided any combination of reports includes every insurer within the
insurance group.
(3) If an insurer does not qualify for exemption pursuant to
subsection (1)(a) of this section, but the insurance group of which the
insurer is a member does qualify for exemption pursuant to subsection
(1)(b) of this section, then the only ORSA summary report that may be
required pursuant to section 37 of this act is the report applicable to
that insurer.
(4) If an insurer does not qualify for exemption pursuant to
subsection (1)(a) of this section, the insurer may apply to the
commissioner for a waiver from the requirements of this chapter based
upon unique circumstances. In deciding whether to grant the insurer's
request for waiver, the commissioner may consider the type and volume
of business written, ownership and organizational structure, and any
other factor the commissioner considers relevant to the insurer or
insurance group of which the insurer is a member. If the insurer is a
part of an insurance group with insurers domiciled in more than one
state, the commissioner shall coordinate with the lead state
commissioner and with the other domiciliary commissioners in
considering whether to grant the insurer's request for a waiver.
(5) Notwithstanding the exemptions stated in this section, the
commissioner may require that an insurer maintain a risk management
framework, conduct an ORSA, and file an ORSA summary report (a) based
on unique circumstances including, but not limited to, the type and
volume of business written, ownership and organizational structure,
federal agency requests, and international supervisor requests; and (b)
if the insurer has risk-based capital at the company action level event
as set forth in RCW 48.05.440 or 48.43.310, meets one or more of the
standards of an insurer deemed to be in hazardous financial condition
as defined in WAC 284-16-310, or otherwise exhibits qualities of a
troubled insurer as determined by the commissioner.
(6) If an insurer that qualifies for exemption pursuant to
subsection (1)(a) of this section subsequently no longer qualifies for
that exemption due to changes in premium reflected in the insurer's
most recent annual statement or in the most recent annual statements of
the insurers within the insurance group of which the insurer is a
member, the insurer has one year following the year the threshold is
exceeded to comply with the requirement of this chapter.
NEW SECTION. Sec. 39
(2) The review of the ORSA summary report, and any additional
requests for information, must be made using similar procedures
currently used in the analysis and examination of multistate or global
insurers and insurance groups.
NEW SECTION. Sec. 40
(2) Neither the commissioner nor any person who received documents,
materials, or other ORSA-related information, through examination or
otherwise, while acting under the authority of the commissioner or with
whom such documents, materials, or other information are shared
pursuant to this chapter, is permitted or required to testify in any
private civil action concerning any confidential documents, materials,
or information subject to subsection (1) of this section.
(3) In order to assist in the performance of the commissioner's
regulatory duties, the commissioner:
(a) May share documents, materials, or other ORSA-related
information, including the confidential and privileged documents,
materials, or information subject to subsection (1) of this section,
including proprietary and trade secret documents and materials with
other state, federal, and international regulatory agencies, including
members of any supervisory college under section 8(3) of this act, with
the national association of insurance commissioners, with the
international association of insurance supervisors and the bank for
international settlements, and with any third-party consultants
designated by the commissioner, provided that the recipient agrees in
writing to maintain the confidentiality and privileged status of the
ORSA-related documents, materials, or other information and has
verified in writing the legal authority to maintain confidentiality;
(b) May receive documents, materials, or ORSA-related information,
including otherwise confidential and privileged documents, materials,
or information, including proprietary and trade secret information or
documents, from regulatory officials of other foreign or domestic
jurisdictions, including members of any supervisory college under
section 8(3) of this act, from the national association of insurance
commissioners, the international association of insurance supervisors
and the bank for international settlements, and must maintain as
confidential or privileged any document, material, or information
received with notice or the understanding that it is confidential or
privileged under the laws of the jurisdiction that is the source of the
document, material, or information;
(c) Shall enter into written agreements with the national
association of insurance commissioners or a third-party consultant
governing sharing and use of information provided pursuant to this
chapter, consistent with this subsection that specifies procedures and
protocols regarding the confidentiality and security of information
shared with the national association of insurance commissioners or
third-party consultant pursuant to this chapter, including procedures
and protocols for sharing by the national association of insurance
commissioners with other state regulators from states in which the
insurance group has domiciled insurers. The agreement must provide
that the recipient agrees in writing to maintain the confidentiality
and privileged status of the ORSA-related documents, materials, or
other information and has verified in writing the legal authority to
maintain confidentiality;
(d) Shall specify that ownership of information shared with the
national association of insurance commissioners or third-party
consultants pursuant to this chapter remains with the commissioner and
the national association of insurance commissioners' or a third-party
consultant's use of the information is subject to the direction of the
commissioner;
(e) Shall prohibit the national association of insurance
commissioners or third-party consultant from storing the information
shared pursuant to this chapter in a permanent database after the
underlying analysis is completed;
(f) Shall require prompt notice to be given to an insurer whose
confidential information in the possession of the national association
of insurance commissioners or a third-party consultant pursuant to this
chapter is subject to a request or subpoena to the national association
of insurance commissioners for disclosure or production;
(g) Shall require the national association of insurance
commissioners and its affiliates and subsidiaries to consent to
intervention by an insurer in any judicial or administrative action in
which the national association of insurance commissioners and its
affiliates and subsidiaries may be required to disclose confidential
information about the insurer shared with the national association of
insurance commissioners and its affiliates and subsidiaries pursuant to
this chapter; and
(h) In the case of an agreement involving a third-party consultant,
shall provide the insurer's written consent.
(4) The sharing of information by the commissioner pursuant to this
chapter shall not constitute a delegation of regulatory authority or
rule making, and the commissioner is solely responsible for the
administration, execution, and enforcement of the provisions of this
chapter.
(5) A waiver of any applicable privilege or claim of
confidentiality in the documents, materials, or information shall not
occur as a result of disclosure to the commissioner under this section
or as a result of sharing as authorized in this chapter.
(6) Documents, materials, or other information in the possession or
control of the national association of insurance commissioners pursuant
to this chapter are confidential by law and privileged, are not
subject to chapter 42.56 RCW, are not subject to subpoena, and are not
subject to discovery or admissible in evidence in any private civil
action.
NEW SECTION. Sec. 41
Sec. 42 RCW 42.56.400 and 2013 c 277 s 5 and 2013 c 65 s 5 are
each reenacted and amended to read as follows:
The following information relating to insurance and financial
institutions is exempt from disclosure under this chapter:
(1) Records maintained by the board of industrial insurance appeals
that are related to appeals of crime victims' compensation claims filed
with the board under RCW 7.68.110;
(2) Information obtained and exempted or withheld from public
inspection by the health care authority under RCW 41.05.026, whether
retained by the authority, transferred to another state purchased
health care program by the authority, or transferred by the authority
to a technical review committee created to facilitate the development,
acquisition, or implementation of state purchased health care under
chapter 41.05 RCW;
(3) The names and individual identification data of either all
owners or all insureds, or both, received by the insurance commissioner
under chapter 48.102 RCW;
(4) Information provided under RCW 48.30A.045 through 48.30A.060;
(5) Information provided under RCW 48.05.510 through 48.05.535,
48.43.200 through 48.43.225, 48.44.530 through 48.44.555, and 48.46.600
through 48.46.625;
(6) Examination reports and information obtained by the department
of financial institutions from banks under RCW 30.04.075, from savings
banks under RCW 32.04.220, from savings and loan associations under RCW
33.04.110, from credit unions under RCW 31.12.565, from check cashers
and sellers under RCW 31.45.030(3), and from securities brokers and
investment advisers under RCW 21.20.100, all of which is confidential
and privileged information;
(7) Information provided to the insurance commissioner under RCW
48.110.040(3);
(8) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.02.065, all of which are confidential and
privileged;
(9) ((Confidential proprietary and trade secret information
provided to the commissioner under RCW 48.31C.020 through 48.31C.050
and 48.31C.070)) Documents, materials, or information obtained by the
insurance commissioner under sections 5(12) and 8 of this act, all of
which are confidential and privileged;
(10) Data filed under RCW 48.140.020, 48.140.030, 48.140.050, and
7.70.140 that, alone or in combination with any other data, may reveal
the identity of a claimant, health care provider, health care facility,
insuring entity, or self-insurer involved in a particular claim or a
collection of claims. For the purposes of this subsection:
(a) "Claimant" has the same meaning as in RCW 48.140.010(2).
(b) "Health care facility" has the same meaning as in RCW
48.140.010(6).
(c) "Health care provider" has the same meaning as in RCW
48.140.010(7).
(d) "Insuring entity" has the same meaning as in RCW 48.140.010(8).
(e) "Self-insurer" has the same meaning as in RCW 48.140.010(11);
(11) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.135.060;
(12) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.37.060;
(13) Confidential and privileged documents obtained or produced by
the insurance commissioner and identified in RCW 48.37.080;
(14) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.37.140;
(15) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.17.595;
(16) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.102.051(1) and 48.102.140 (3) and (7)(a)(ii);
(17) Documents, materials, or information obtained by the insurance
commissioner in the commissioner's capacity as receiver under RCW
48.31.025 and 48.99.017, which are records under the jurisdiction and
control of the receivership court. The commissioner is not required to
search for, log, produce, or otherwise comply with the public records
act for any records that the commissioner obtains under chapters 48.31
and 48.99 RCW in the commissioner's capacity as a receiver, except as
directed by the receivership court;
(18) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.13.151;
(19) Data, information, and documents provided by a carrier
pursuant to section 1, chapter 172, Laws of 2010;
(20) Information in a filing of usage-based insurance about the
usage-based component of the rate pursuant to RCW 48.19.040(5)(b);
(21) Data, information, and documents, other than those described
in RCW 48.02.210(2), that are submitted to the office of the insurance
commissioner by an entity providing health care coverage pursuant to
RCW 28A.400.275 and 48.02.210; ((and))
(22) Data, information, and documents obtained by the insurance
commissioner under RCW 48.29.017; ((and))
(23) Information not subject to public inspection or public
disclosure under RCW 48.43.730(5); and
(24) Documents, materials, or information obtained by the insurance
commissioner under chapter 48.-- RCW (sections 33 through 41 and 46 of
this act).
Sec. 43 RCW 42.56.400 and 2013 c 65 s 5 are each amended to read
as follows:
The following information relating to insurance and financial
institutions is exempt from disclosure under this chapter:
(1) Records maintained by the board of industrial insurance appeals
that are related to appeals of crime victims' compensation claims filed
with the board under RCW 7.68.110;
(2) Information obtained and exempted or withheld from public
inspection by the health care authority under RCW 41.05.026, whether
retained by the authority, transferred to another state purchased
health care program by the authority, or transferred by the authority
to a technical review committee created to facilitate the development,
acquisition, or implementation of state purchased health care under
chapter 41.05 RCW;
(3) The names and individual identification data of either all
owners or all insureds, or both, received by the insurance commissioner
under chapter 48.102 RCW;
(4) Information provided under RCW 48.30A.045 through 48.30A.060;
(5) Information provided under RCW 48.05.510 through 48.05.535,
48.43.200 through 48.43.225, 48.44.530 through 48.44.555, and 48.46.600
through 48.46.625;
(6) Examination reports and information obtained by the department
of financial institutions from banks under RCW 30.04.075, from savings
banks under RCW 32.04.220, from savings and loan associations under RCW
33.04.110, from credit unions under RCW 31.12.565, from check cashers
and sellers under RCW 31.45.030(3), and from securities brokers and
investment advisers under RCW 21.20.100, all of which is confidential
and privileged information;
(7) Information provided to the insurance commissioner under RCW
48.110.040(3);
(8) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.02.065, all of which are confidential and
privileged;
(9) ((Confidential proprietary and trade secret information
provided to the commissioner under RCW 48.31C.020 through 48.31C.050
and 48.31C.070)) Documents, materials, or information obtained by the
insurance commissioner under sections 5(12) and 8 of this act, all of
which are confidential and privileged;
(10) Data filed under RCW 48.140.020, 48.140.030, 48.140.050, and
7.70.140 that, alone or in combination with any other data, may reveal
the identity of a claimant, health care provider, health care facility,
insuring entity, or self-insurer involved in a particular claim or a
collection of claims. For the purposes of this subsection:
(a) "Claimant" has the same meaning as in RCW 48.140.010(2).
(b) "Health care facility" has the same meaning as in RCW
48.140.010(6).
(c) "Health care provider" has the same meaning as in RCW
48.140.010(7).
(d) "Insuring entity" has the same meaning as in RCW 48.140.010(8).
(e) "Self-insurer" has the same meaning as in RCW 48.140.010(11);
(11) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.135.060;
(12) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.37.060;
(13) Confidential and privileged documents obtained or produced by
the insurance commissioner and identified in RCW 48.37.080;
(14) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.37.140;
(15) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.17.595;
(16) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.102.051(1) and 48.102.140 (3) and (7)(a)(ii);
(17) Documents, materials, or information obtained by the insurance
commissioner in the commissioner's capacity as receiver under RCW
48.31.025 and 48.99.017, which are records under the jurisdiction and
control of the receivership court. The commissioner is not required to
search for, log, produce, or otherwise comply with the public records
act for any records that the commissioner obtains under chapters 48.31
and 48.99 RCW in the commissioner's capacity as a receiver, except as
directed by the receivership court;
(18) Documents, materials, or information obtained by the insurance
commissioner under RCW 48.13.151;
(19) Data, information, and documents provided by a carrier
pursuant to section 1, chapter 172, Laws of 2010;
(20) Information in a filing of usage-based insurance about the
usage-based component of the rate pursuant to RCW 48.19.040(5)(b);
(21) Data, information, and documents, other than those described
in RCW 48.02.210(2), that are submitted to the office of the insurance
commissioner by an entity providing health care coverage pursuant to
RCW 28A.400.275 and 48.02.210; ((and))
(22) Data, information, and documents obtained by the insurance
commissioner under RCW 48.29.017; and
(23) Documents, materials, or information obtained by the insurance
commissioner under chapter 48.-- RCW (sections 33 through 41 and 46 of
this act).
NEW SECTION. Sec. 44
NEW SECTION. Sec. 45 Sections 33 through 41 and 46 of this act
constitute a new chapter in Title 48 RCW.
NEW SECTION. Sec. 46
NEW SECTION. Sec. 47
NEW SECTION. Sec. 48 Sections 17 and 42 of this act expire July
1, 2017.