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Public Act 100-1118 |
SB1737 Enrolled | LRB100 06758 SMS 16799 b |
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AN ACT concerning regulation.
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Be it enacted by the People of the State of Illinois,
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represented in the General Assembly:
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Section 1. Short title. This Act may be cited as the |
Short-Term, Limited-Duration Health Insurance Coverage Act. |
Section 5. Definitions. In this Act: |
"Department" means the Department of Insurance. |
"Health insurance coverage" has the meaning given to that |
term in the Illinois Health Insurance Portability and |
Accountability Act. |
"Health insurance issuer" has the meaning given to that |
term in the Illinois Health Insurance Portability and |
Accountability Act. |
"Fraud" means an intentional misrepresentation of a |
material fact in connection with the coverage. |
"Short-term, limited-duration health insurance coverage" |
means health insurance coverage provided pursuant to a policy |
with an issuer, regardless of the situs of the delivery of the |
policy, that is less than 365 days after the effective date of |
the policy. |
Section 10. Application; scope; duration of coverage. |
(a) This Act applies to health insurance issuers that offer |
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short-term, limited-duration health insurance coverage to |
individuals in this State and to short-term, limited-duration |
health insurance coverage that is delivered or issued for |
delivery in this State, including coverage issued outside of |
this State that covers individuals in this State. |
(b) A short-term, limited-duration health insurance |
coverage policy may not be issued or delivered to any person |
residing in this State unless the policy, when delivered or |
issued for delivery in this State, complies with the provisions |
of this Act. |
(c) Any short-term, limited-duration health insurance |
coverage policy that is delivered or issued for delivery in |
this State must have an expiration date in the policy that is |
less than 181 days after the effective date and shall not be |
renewable or extendable within a period of 365 days after the |
individual's coverage under the policy ends, either at the |
option of the issuer or the individual. Renewal of a |
short-term, limited-duration health insurance coverage policy |
includes the issuance of a new short-term, limited-duration |
health insurance policy by an issuer to a policyholder within |
60 days after the expiration of a policy previously issued by |
the issuer to the policyholder. |
(d) Any short-term, limited-duration health insurance |
coverage policy that is delivered or issued for delivery in |
this State may not be rescinded before the expiration date in |
the policy, except in cases of nonpayment of premiums, fraud, |
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or as provided in subsection (e). |
(e) Any short-term, limited-duration health insurance |
coverage policy that is delivered or issued for delivery in |
this State shall contain an option for an individual to cancel |
coverage after any 30-day interval during the term of the plan. |
Section 15. Disclosure requirements. |
(a) A health insurance issuer that offers short-term, |
limited-duration health insurance coverage to be delivered or |
issued for delivery in this State shall, in addition to all |
other documents required, including, but not limited to, the |
policy, the certificate, the membership booklet, and a |
description of appeal and external review rights, deliver an |
outline of coverage to an applicant for or an enrollee in |
short-term, limited-duration health insurance coverage |
delivered or issued for delivery in this State. |
(b) Any short-term, limited-duration health insurance |
coverage policy that is delivered or issued for delivery in the |
State shall display prominently in the policy, any application, |
sales, and marketing materials provided in connection with |
enrollment in such coverage, and the outline of coverage for |
such coverage, in at least 14-point, bold type, the following: |
"NOTICE: THE SHORT-TERM, LIMITED-DURATION INSURANCE BENEFITS |
UNDER THIS COVERAGE DO NOT MEET ALL FEDERAL REQUIREMENTS TO |
QUALIFY AS "MINIMUM ESSENTIAL COVERAGE" FOR HEALTH INSURANCE |
UNDER THE AFFORDABLE CARE ACT. THIS PLAN OF COVERAGE DOES NOT |
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INCLUDE ALL ESSENTIAL HEALTH BENEFITS AS REQUIRED BY THE |
AFFORDABLE CARE ACT. PREEXISTING CONDITIONS ARE NOT COVERED |
UNDER THIS PLAN OF COVERAGE. BE SURE TO CHECK YOUR POLICY |
CAREFULLY TO MAKE SURE YOU UNDERSTAND WHAT THE POLICY DOES AND |
DOES NOT COVER. IF THIS COVERAGE EXPIRES OR YOU LOSE |
ELIGIBILITY FOR THIS COVERAGE, YOU MIGHT HAVE TO WAIT UNTIL THE |
NEXT OPEN ENROLLMENT PERIOD TO GET OTHER HEALTH INSURANCE |
COVERAGE. YOU MAY BE ABLE TO GET LONGER TERM INSURANCE THAT |
QUALIFIES AS "MINIMUM ESSENTIAL COVERAGE" FOR HEALTH INSURANCE |
UNDER THE AFFORDABLE CARE ACT NOW AND HELP TO PAY FOR IT AT |
WWW.HEALTHCARE.GOV.". |
(c) Any individual selling a short-term, limited-duration |
health insurance coverage policy in this State in face-to-face |
or telephonic sales interactions must read out loud the |
disclosure in subsection (b) to a prospective purchaser. An |
entity selling a short-term, limited-duration health insurance |
coverage policy in Illinois must display the disclosure in |
subsection (b) on the webpage where a prospective purchaser |
would purchase coverage. |
(d) Nothing in this Section precludes an insurer from |
providing disclosures in addition to those required in |
subsections (b) and (c). Nothing in this Section precludes an |
insurer from providing disclosures intended to clarify those |
required in subsections (b) and (c) if approved by the |
Department. |
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Section 20. Filing and approval. |
(a) Coverage subject to this Act may not be delivered or |
issued for delivery in this State unless the policy evidencing |
such coverage has been filed with and been approved by the |
Department. |
(b) A health insurance issuer who intends to deliver or |
issue for delivery a short-term, limited-duration health |
insurance coverage policy in this State shall file with the |
Department: |
(1) all paperwork required for individual health |
insurance coverage pursuant to 50 Ill. Adm. Code 916; and |
(2) all sales and marketing materials provided in |
connection with enrollment in such coverage for |
informational purposes. |
(c) The Department shall adopt any rules necessary to carry |
out the provisions of this Act. |
Section 90. The Illinois Insurance Code is amended by |
adding Article IIB and Sections 123C-23, 123C-24, 123C-25, |
123C-26, 123C-27, 123C-28, and 462a and by changing Sections |
121-2.08, 123C-1, 123C-2, 123C-3, 123C-9, 123C-11, 123C-12, |
123C-13, 123C-16, 123C-17, 123C-19, 156, 173.1, 456, 457, and |
458 as follows: |
(215 ILCS 5/Art. IIB heading new) |
ARTICLE IIB. DOMESTIC STOCK COMPANY DIVISION |
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(215 ILCS 5/35B-1 new) |
Sec. 35B-1. Short title. This Article may be cited as the |
Domestic Stock Company Division Law. |
(215 ILCS 5/35B-5 new) |
Sec. 35B-5. Purpose. The purpose of this Article is to |
stimulate economic development in the State of Illinois by |
creating and sustaining employment opportunities and |
increasing and sustaining taxable revenue, through improving |
the competitive position of domestic stock companies, |
maintaining the competitiveness of this State as a state of |
domicile for domestic stock companies, and enhancing the |
desirability of this State as a jurisdiction of domicile for |
newly incorporating and existing foreign stock companies. |
(215 ILCS 5/35B-10 new) |
Sec. 35B-10. Definitions. As used in this Article: |
"Assets" means all assets or property, whether real, |
personal or mixed, tangible or intangible, and any right or |
interest therein, including all rights under contracts and |
other agreements. |
"Capital" means the capital stock component of statutory |
surplus, as defined in the National Association of Insurance |
Commissioners Accounting Practices and Procedures Manual, |
version effective January 1, 2001, and subsequent revisions. |
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"Divide" or "division" means the act by operation of law by |
which a domestic stock company divides into 2 or more resulting |
companies in accordance with a plan of division and this |
Article; |
"Dividing company" means a domestic stock company that |
approves a plan of division pursuant to Section 35B-20; |
"Domestic stock company" means a domestic stock company |
transacting or being organized to transact any of the kinds of |
insurance business enumerated in Section 4. |
"Liability" means a liability or obligation of any kind, |
character, or description, whether known or unknown, absolute |
or contingent, accrued or unaccrued, disputed or undisputed, |
liquidated or unliquidated, secured or unsecured, joint or |
several, due or to become due, determined, determinable, or |
otherwise. |
"New company" means a domestic stock company that is |
created by a division occurring on or after the effective date |
of this amendatory Act of the 100th General Assembly. |
"Plan of division" means a plan of division approved by a |
dividing company in accordance Section 35B-20. |
"Policy liability" means a liability as defined in this |
Section arising out of or related to an insurance policy, |
contract of insurance, or reinsurance agreement. |
"Recorder" means the office of the recorder of the county |
where the principal office of a domestic stock company is |
located. |
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"Resulting company" means a domestic stock company created |
by a division or a dividing company that survives a division. |
"Shareholder" means the person in whose name shares are |
registered in the records of a corporation or the beneficial |
owner of shares to the extent of the rights granted by a |
nominee certificate on file with a corporation. |
"Sign" or "signature" includes a manual, facsimile, or |
conformed or electronic signature. |
"Surplus" means total statutory surplus less capital, |
calculated in accordance with the National Association of |
Insurance Commissioners Accounting Practices and Procedures |
Manual, version effective January 1, 2001, and subsequent |
revisions. |
"Transfer" includes an assignment, assumption, conveyance, |
sale, lease, encumbrance, including a mortgage or security |
interest, gift, or transfer by operation of law. |
(215 ILCS 5/35B-15 new) |
Sec. 35B-15. Plan of division. |
(a) A domestic stock company may, in accordance with the |
requirements of this Article, divide into 2 or more resulting |
companies pursuant to a plan of division. |
(b) Each plan of division shall include: |
(1) the name of the domestic stock company seeking to |
divide; |
(2) the name of each resulting company that will be |
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created by the proposed division; |
(3) for each new company that will be created by the |
proposed division, a copy of its: |
(A) proposed articles of incorporation; |
(B) proposed bylaws; and |
(C) the kinds of insurance business enumerated in |
Section 4 that the new company would be authorized to |
conduct; |
(4) the manner of allocating between or among the |
resulting companies: |
(A) the assets of the domestic stock company that |
will not be owned by all of the resulting companies as |
tenants in common pursuant to Section 35B-35; and |
(B) the liabilities of the domestic stock company, |
including policy liabilities, to which not all of the |
resulting companies will become jointly and severally |
liable pursuant to paragraph (3) of subsection (a) of |
Section 35B-40; |
(5) the manner of distributing shares in the new |
companies to the dividing company or its shareholders; |
(6) a reasonable description of the liabilities, |
including policy liabilities, and items of capital, |
surplus, or other assets, in each case, that the domestic |
stock company proposes to allocate to each resulting |
company, including specifying the reinsurance contract, |
reinsurance coverage obligations, and related claims that |
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are applicable to those policies; |
(7) all terms and conditions required by the laws of |
this State or the articles of incorporation and bylaws of |
the domestic stock company; |
(8) evidence demonstrating that the interest of all |
classes of policyholders of the dividing company will be |
properly protected; and |
(9) all other terms and conditions of the division. |
Nothing in this subsection (b) shall expand or reduce the |
allocation and assignment of reinsurance as stated in the |
reinsurance contract. |
(c) If the domestic stock company survives the division, |
the plan of division shall include, in addition to the |
information required by subsection (b): |
(1) all proposed amendments to the dividing company's |
articles of incorporation and bylaws, if any; |
(2) if the dividing company desires to cancel some, but |
less than all, shares in the dividing company, the manner |
in which it will cancel such shares; and |
(3) if the dividing company desires to convert some, |
but less than all, shares in the dividing company into |
shares, securities, obligations, money, other property, |
rights to acquire shares or securities, or any combination |
thereof, a statement disclosing the manner in which it will |
convert the shares. |
(d) If the domestic stock company does not survive the |
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proposed division, the plan of division shall contain, in |
addition to the information required by subsection (b), the |
manner in which the dividing company will cancel or convert |
shares in the dividing company into shares, securities, |
obligations, money, other property, rights to acquire shares or |
securities, or any combination thereof. |
(e) Terms of a plan of division may be made dependent on |
facts objectively ascertainable outside of the plan of |
division. |
(f) A dividing company may amend a plan of division in |
accordance with any procedures set forth in the plan of |
division or, if no such procedures are set forth in the plan of |
division, in any manner determined by the board of directors of |
the dividing company, except that a shareholder that was |
entitled to vote on or consent to approval of the plan of |
division is entitled to vote on or consent to any amendment of |
the plan of division that will change: |
(1) the amount or kind of shares, securities, |
obligations, money, other property, rights to acquire |
shares or securities, or any combination thereof, to be |
received by any of the shareholders of the dividing company |
under the plan of division; |
(2) the articles of incorporation or bylaws of any |
resulting company that will be in effect when the division |
becomes effective, except for changes that do not require |
approval of the shareholders of the resulting company under |
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its articles of incorporation or bylaws; or |
(3) any other terms or conditions of the plan of |
division, if the change would adversely affect the |
shareholders in any material respect. |
(g) A dividing company may abandon a plan of division after |
it has approved the plan of division without any action by the |
shareholders and in accordance with any procedures set forth in |
the plan of division or, if no such procedures are set forth in |
the plan of division, in a manner determined by the board of |
directors of the dividing company. |
(h) A dividing company may abandon a plan of division after |
it has filed a certificate of division with the recorder by |
filing with the recorder, with concurrent copy to the director, |
a certificate of abandonment signed by the dividing company. |
The certificate of abandonment shall be effective on the date |
it is filed with the recorder and the dividing company shall be |
deemed to have abandoned its plan of division on such date. |
(i) A dividing company may not abandon or amend its plan of |
division once the division becomes effective. |
(215 ILCS 5/35B-20 new) |
Sec. 35B-20. Requirements of a plan of division. |
(a) A domestic stock company shall not file a plan of |
division with the Director unless the plan of division has been |
approved in accordance with: |
(1) any applicable provisions of its articles of |
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incorporation and bylaws; and |
(2) all laws of this State governing the internal |
affairs of a domestic stock company that provide for |
approval of a merger. |
(b) If any provision of the articles of incorporation or |
bylaws of a domestic stock company requires that a specific |
number or percentage of board of directors or shareholders |
approve the proposal or adoption of a plan of merger, or |
imposes other special procedures for the proposal or adoption |
of a plan of merger, such domestic stock company shall adhere |
to such provision in proposing or adopting a plan of division. |
If any provision of the articles of incorporation or bylaws of |
a domestic stock company is amended, such amendment shall |
thereafter apply to a division only in accordance with its |
express terms. |
(215 ILCS 5/35B-25 new) |
Sec. 35B-25. Plan of division approval. |
(a) A division shall not become effective until it is |
approved by the Director after reasonable notice and a public |
hearing, if the notice and hearing are deemed by the Director |
to be in the public interest. The Director shall hold a public |
hearing if one is requested by the dividing company. A hearing |
conducted under this Section shall be conducted in accordance |
with Article 10 of the Illinois Administrative Procedure Act. |
(b) The Director shall approve a plan of division unless |
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the Director finds that: |
(1) the interest of any class of policyholder or |
shareholder of the dividing company will not be properly |
protected; |
(2) each new company created by the proposed division, |
except a new company that is a nonsurviving party to a |
merger pursuant to subsection (b) of Section 156, would be |
ineligible to receive a license to do insurance business in |
this State pursuant to Section 5; |
(3) the proposed division violates a provision of the |
Uniform Fraudulent Transfer Act; |
(4) the division is being made for purposes of |
hindering, delaying, or defrauding any policyholders or |
other creditors of the dividing company; |
(5) one or more resulting companies will not be solvent |
upon the consummation of the division; or |
(6) the remaining assets of one or more resulting |
companies will be, upon consummation of a division, |
unreasonably small in relation to the business and |
transactions in which the resulting company was engaged or |
is about to engage. |
(c) In determining whether the standards set forth in |
paragraph (3) of subsection (b) have been satisfied, the |
Director shall only apply the Uniform Fraudulent Transfer Act |
to a dividing company in its capacity as a resulting company |
and shall not apply the Uniform Fraudulent Transfer Act to any |
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dividing company that is not proposed to survive the division. |
(d) In determining whether the standards set forth in |
paragraphs (3), (4), (5), and (6) of subsection (b) have been |
satisfied, the Director may consider all proposed assets of the |
resulting company, including, without limitation, reinsurance |
agreements, parental guarantees, support or keep well |
agreements, or capital maintenance or contingent capital |
agreements, in each case, regardless of whether the same would |
qualify as an admitted asset as defined in Section 3.1. |
(e) In determining whether the standards set forth in |
paragraph (3) of subsection (b) have been satisfied, with |
respect to each resulting company, the Director shall, in |
applying the Uniform Fraudulent Transfer Act, treat: |
(1) the resulting company as a debtor; |
(2) liabilities allocated to the resulting company as |
obligations incurred by a debtor; |
(3) the resulting company as not having received |
reasonably equivalent value in exchange for incurring the |
obligations; and |
(4) assets allocated to the resulting company as |
remaining property. |
(f) All information, documents, materials, and copies |
thereof submitted to, obtained by, or disclosed to the Director |
in connection with a plan of division or in contemplation |
thereof, including any information, documents, materials, or |
copies provided by or on behalf of a domestic stock company in |
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advance of its adoption or submission of a plan of division, |
shall be confidential and shall be subject to the same |
protection and treatment in accordance with Section 131.14d as |
documents and reports disclosed to or filed with the Director |
pursuant to Section 131.14b until such time, if any, as a |
notice of the hearing contemplated by subsection (a) is issued. |
(g) From and after the issuance of a notice of the hearing |
contemplated by subsection (a), all business, financial, and |
actuarial information that the domestic stock company requests |
confidential treatment, other than the plan of division, shall |
continue to be confidential and shall not be available for |
public inspection and shall be subject to the same protection |
and treatment in accordance with Section 131.14d as documents |
and reports disclosed to or filed with the Director pursuant to |
Section 131.14b. |
(h) All expenses incurred by the Director in connection |
with proceedings under this Section, including expenses for the |
services of any attorneys, actuaries, accountants, and other |
experts as may be reasonably necessary to assist the Director |
in reviewing the proposed division, shall be paid by the |
dividing company filing the plan of division. A dividing |
company may allocate expenses described in this subsection in a |
plan of division in the same manner as any other liability. |
(i) If the Director approves a plan of division, the |
Director shall issue an order that shall be accompanied by |
findings of fact and conclusions of law. |
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(j) The conditions in this Section for freeing one or more |
of the resulting companies from the liabilities of the dividing |
company and for allocating some or all of the liabilities of |
the dividing company shall be conclusively deemed to have been |
satisfied if the plan of division has been approved by the |
Director in a final order that is not subject to further |
appeal. |
(215 ILCS 5/35B-30 new) |
Sec. 35B-30. Certificate of division. |
(a) After a plan of division has been adopted and approved, |
an officer or duly authorized representative of the dividing |
company shall sign a certificate of division. |
(b) The certificate of division shall set forth: |
(1) the name of the dividing company; |
(2) a statement disclosing whether the dividing |
company will survive the division; |
(3) the name of each new company that will be created |
by the division; |
(4) the kinds of insurance business enumerated in |
Section 4 that the new company will be authorized to |
conduct; |
(5) the date that the division is to be effective, |
which shall not be more than 90 days after the dividing |
company has filed the certificate of division with the |
recorder, with a concurrent copy to the Director; |
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(6) a statement that the division was approved by the |
Director in accordance with Section 35B-25; |
(6) a statement that the dividing company provided, no |
later than 10 business days after the dividing company |
filed the plan of division with the Director, reasonable |
notice to each reinsurer that is party to a reinsurance |
contract that is applicable to the policies included in the |
plan of division; |
(7) if the dividing company will survive the division, |
an amendment to its articles of incorporation or bylaws |
approved as part of the plan of division; |
(8) for each new company created by the division, its |
articles of incorporation and bylaws, provided that the |
articles of incorporation and bylaws need not state the |
name or address of an incorporator; and |
(9) a reasonable description of the capital, surplus, |
other assets and liabilities, including policy |
liabilities, of the dividing company that are to be |
allocated to each resulting company. |
(c) The articles of incorporation and bylaws of each new |
company must satisfy the requirements of the laws of this |
State, provided that the documents need not be signed or |
include a provision that need not be included in a restatement |
of the document. |
(d) A certificate of division is effective when filed with |
the recorder, with a concurrent copy to the Director, as |
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provided in this Section or on another date specified in the |
plan of division, whichever is later, provided that a |
certificate of division shall become effective not more than 90 |
days after it is filed with the recorder. A division is |
effective when the relevant certificate of division is |
effective. |
(215 ILCS 5/35B-35 new) |
Sec. 35B-35. Effects of division. |
(a) When a division becomes effective pursuant to Section |
35B-30: |
(1) if the dividing company has survived the division: |
(A) it continues to exist; |
(B) its articles of incorporation shall be |
amended, if necessary, as provided in the plan of |
division; and |
(C) its bylaws shall be amended, if necessary, as |
provided in the plan of division; |
(2) if the dividing company has not survived the |
division, its separate existence ceases to exist; |
(3) each new company: |
(A) comes into existence; |
(B) shall hold any capital, surplus, and other |
assets allocated to such new company by the plan of |
division as a successor to the dividing company, |
automatically, by operation of law and not by transfer, |
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whether directly or indirectly; and |
(C) its articles of incorporation, if any, and |
bylaws, if any, shall be effective; |
(4) capital, surplus, and other assets of the dividing |
company: |
(A) that is allocated by the plan of division |
either: |
(i) vests in the applicable new company as |
provided in the plan of division; or |
(ii) remains vested in the dividing company as |
provided in the plan of division; |
(B) that is not allocated by the plan of division |
either: |
(i) remains vested in the dividing company, if |
the dividing company survives the division; or |
(ii) is allocated to and vests equally in the |
resulting companies as tenants in common, if the |
dividing company does not survive the division; or |
(C) otherwise vests as provided in this subsection |
without transfer, reversion, or impairment; |
(5) a resulting company to which a cause of action is |
allocated as provided in paragraph (4) of this subsection |
(a) may be substituted or added in any pending action or |
proceeding to which the dividing company is a party when |
the division becomes effective; |
(6) the liabilities, including policy liabilities, of |
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the dividing company are allocated between or among the |
resulting companies as provided in Section 35B-40 and each |
resulting company to which liabilities are allocated is |
liable only for those liabilities, including policy |
liabilities, so allocated as successors to the dividing |
company, automatically, by operation of law, and not by |
transfer (or, for the avoidance of doubt, assumption), |
whether directly or indirectly; and |
(7) the shares in the dividing company that are to be |
converted or canceled in the division are converted or |
canceled, and the shareholders of those shares are entitled |
only to the rights provided to them under the plan of |
division and any appraisal rights that they may have |
pursuant to Section 35B-45. |
(b) Except as provided in the articles of incorporation or |
bylaws of the dividing company, the division does not give rise |
to any rights that a shareholder, director of a domestic stock |
company, or third party would have upon a dissolution, |
liquidation, or winding up of the dividing company. |
(c) The allocation to a new company of capital, surplus, or |
other assets that is collateral covered by an effective |
financing statement shall not be effective until a new |
financing statement naming the new company as a debtor is |
effective under the Uniform Commercial Code. |
(d) Unless otherwise provided in the plan of division, the |
shares in and any securities of each new company shall be |
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distributed to: |
(1) the dividing company, if it survives the division; |
or |
(2) shareholders of the dividing company that do not |
assert any appraisal rights that they may have pursuant to |
Section 35B-45, pro rata. |
(215 ILCS 5/35B-40 new) |
Sec. 35B-40. Resulting company liabilities. |
(a) Except as otherwise expressly provided in this Section, |
when a division becomes effective, each resulting company is |
responsible, automatically, by operation of law, for: |
(1) individually, the liabilities, including policy |
liabilities, that the resulting company issues, |
undertakes, or incurs in its own name after the division; |
(2) individually, the liabilities, including policy |
liabilities, of the dividing company that are allocated to |
or remain the liability of the resulting company to the |
extent specified in the plan of division; and |
(3) jointly and severally with the other resulting |
companies, the liabilities, including policy liabilities, |
of the dividing company that are not allocated by the plan |
of division. |
(b) Except as otherwise expressly provided in this Section, |
when a division becomes effective, no resulting company is |
responsible for or shall have any liability or obligation in |
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respect of: |
(1) any liabilities, including policy liabilities, |
that another resulting company issues, undertakes, or |
incurs in its own name after the division; or |
(2) any liabilities, including policy liabilities, of |
the dividing company that are allocated to or remain the |
liability of another resulting company in accordance with |
the plan of division. |
(c) If a provision of a debt security, note, or similar |
evidence of indebtedness for money borrowed, whether secured or |
unsecured, indenture or other contract relating to |
indebtedness, or a provision of any other type of contract |
other than an insurance policy, annuity, or reinsurance |
agreement, that was issued, incurred, or executed by the |
domestic stock company before requires the consent of the |
obligee to a merger of the dividing company or treats the |
merger as a default, that provision applies to a division of |
the dividing company as if the division was a merger. |
(d) If a division breaches a contractual obligation of the |
dividing company at the time the division becomes effective, |
all of the resulting companies are liable, jointly and |
severally, for the contractual breach, but the validity and |
effectiveness of the division, including, without limitation, |
the allocation of liabilities in accordance with the plan of |
division, shall not be affected by the contractual breach. |
(e) A direct or indirect allocation of capital, surplus, |
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assets, or liabilities, including policy liabilities, in a |
division shall occur automatically, by operation of law, and |
shall not be treated as a distribution or transfer for any |
purpose with respect to either the dividing company or any of |
the resulting companies. |
(f) Liens, security interests, and other charges on the |
capital, surplus, or other assets of the dividing company are |
not impaired by the division, notwithstanding any otherwise |
enforceable allocation of liabilities, including policy |
liabilities, of the dividing company. |
(g) If the dividing company is bound by a security |
agreement governed by Article 9 of the Uniform Commercial Code |
as enacted in this State or in any other jurisdiction, and the |
security agreement provides that the security interest |
attaches to after-acquired collateral, each resulting company |
is bound by the security agreement. |
(h) An allocation of a policy or other liability does not: |
(1) except as provided in the plan of division and |
specifically approved by the Director, affect the rights |
that a policyholder or creditor has under other law in |
respect of the policy or other liability, except that those |
rights are available only against a resulting company |
responsible for the policy or liability under this Section; |
or |
(2) release or reduce the obligation of a reinsurer, |
surety, or guarantor of the policy or liability. |
|
(215 ILCS 5/35B-45 new) |
Sec. 35B-45. Shareholder rights. If the dividing company |
does not survive the division, an objecting shareholder of a |
dividing company is entitled to appraisal rights and to obtain |
payment of the fair value of that shareholder's shares, in the |
same manner and to the extent provided for pursuant to Section |
167. |
(215 ILCS 5/35B-50 new) |
Sec. 35B-50. Rules. The Director may adopt such rules as |
are necessary or appropriate to carry out this Article.
|
(215 ILCS 5/121-2.08) (from Ch. 73, par. 733-2.08)
|
Sec. 121-2.08.
Transactions in this State involving |
contracts of
insurance independently procured directly from an |
unauthorized insurer by industrial insureds. |
(a) As used in this Section: |
"Exempt commercial purchaser" means exempt commercial |
purchaser as the term is defined in subsection (1) of Section |
445 of this Code. |
"Home state" means home state as the term is defined in |
subsection (1) of Section 445 of this Code. |
"Industrial insured" means an insured:
|
(i) that procures the insurance of any risk or risks of |
the kinds specified in Classes 2 and 3 of Section 4 of this |
|
Code by use of the services of a full-time employee who is |
a qualified risk manager or the services of a regularly and
|
continuously retained consultant who is a qualified risk |
manager;
|
(ii) that procures the insurance directly from an |
unauthorized insurer without the services of an |
intermediary insurance producer; and
|
(iii) that is an exempt commercial purchaser whose home |
state is Illinois.
|
"Insurance producer" means insurance producer as the term |
is defined in Section 500-10 of this Code. |
"Qualified risk manager" means qualified risk manager as |
the term is defined in subsection (1) of Section 445 of this |
Code. |
"Safety-Net Hospital" means an Illinois hospital that |
qualifies as a Safety-Net Hospital under Section 5-5e.1 of the |
Illinois Public Aid Code. |
"Unauthorized insurer" means unauthorized insurer as the |
term is defined in subsection (1) of Section 445 of this Code. |
(b) For contracts of insurance effective January 1, 2015 or |
later, within 90 days after the effective date of each contract |
of insurance issued under this Section, the insured shall file |
a report with the Director by submitting the report to the |
Surplus Line Association of Illinois in writing or in a |
computer readable format and provide information as designated |
by the Surplus Line Association of Illinois. The information in |
|
the report shall be substantially similar to that required for |
surplus line submissions as described in subsection (5) of |
Section 445 of this Code. Where applicable, the report shall |
satisfy, with respect to the subject insurance, the reporting |
requirement of Section 12 of the Fire Investigation Act. |
(c) For contracts of insurance effective January 1, 2015 |
through December 31, 2017 or later , within 30 days after filing |
the report, the insured shall pay to the Director for the use |
and benefit of the State a sum equal to the gross premium of |
the contract of insurance multiplied by the surplus line tax |
rate, as described in paragraph (3) of subsection (a) of |
Section 445 of this Code, and shall pay the fire marshal tax |
that would otherwise be due annually in March for insurance |
subject to tax under Section 12 of the Fire Investigation Act. |
For contracts of insurance effective January 1, 2018 or later, |
within 30 days after filing the report, the insured shall pay |
to the Director for the use and benefit of the State a sum |
equal to 0.5% of the gross premium of the contract of |
insurance, and shall pay the fire marshal tax that would |
otherwise be due annually in March for insurance subject to tax |
under Section 12 of the Fire Investigation Act. For contracts |
of insurance effective January 1, 2015 or later, within 30 days |
after filing the report, the insured shall pay to the Surplus |
Line Association of Illinois a countersigning fee that shall be |
assessed at the same rate charged to members pursuant to |
subsection (4) of Section 445.1 of this Code. |
|
(d) For contracts of insurance effective January 1, 2015 or |
later, the insured shall withhold the amount of the taxes and |
countersignature fee from the amount of premium charged by and |
otherwise payable to the insurer for the insurance. If the |
insured fails to withhold the tax and countersignature fee from |
the premium, then the insured shall be liable for the amounts |
thereof and shall pay the amounts as prescribed in subsection |
(c) of this Section. |
(e) Contracts of insurance with an industrial insured that |
qualifies as a Safety-Net Hospital are not subject to |
subsections (b) through (d) of this Section. |
(Source: P.A. 100-535, eff. 9-22-17.)
|
(215 ILCS 5/123C-1) (from Ch. 73, par. 735C-1)
|
(Section scheduled to be repealed on January 1, 2027)
|
Sec. 123C-1. Definitions. As used in this Article:
|
A. "Affiliate" or "Affiliated company" includes a parent |
entity that controls a captive insurance company and: |
(1) is an affiliate of another entity if the entity |
directly or indirectly, through one or more |
intermediaries, controls, is controlled by, or is under |
common control with the other entity. |
(2) is an affiliate of another entity if the entity is |
an affiliate of and is controlled by the other entity |
directly or indirectly through one or more intermediaries. |
A subsidiary or holding company of an entity is an affiliate of |
|
that entity. shall have
the meaning set forth in subsection (a) |
of Section 131.1 (and, for
purposes of such definition, the |
definitions of "control"
and "person", as set forth in |
subsections (b) and (e) of Section
131.1, respectively, shall |
be applicable).
|
B. "Association" means any entity meeting the requirements
|
set forth in either of the following paragraphs (1), (2) or |
(3):
|
(1) any organized association of individuals, legal
|
representatives, corporations (whether for profit or
not |
for profit), partnerships, trusts, associations, units of |
government
or other organizations, or any combination of |
the foregoing,
that has been in continuous existence for at |
least one
year, the member organizations of which |
collectively:
|
(a) own, control, or hold with power to vote |
(directly
or indirectly) all of the outstanding voting |
securities
of an association captive insurance company |
incorporated
as a stock insurer; or
|
(b) have complete voting control (directly or |
indirectly)
over an association captive insurance |
company organized
as a mutual insurer;
|
(2) any organized association of individuals, legal
|
representatives, corporations (whether for profit or
not |
for profit), partnerships, trusts, associations, units of |
government
or other organizations, or any combination of |
|
the foregoing:
|
(a) whose member organizations are engaged in |
businesses
or activities similar or related with |
respect to the
liability of which such members are |
exposed by virtue
of any related, similar, or common |
business, trade, product,
services, premises, or |
operations; and
|
(b) whose member organizations:
|
(i) directly or indirectly own or control, and
|
hold with power to vote, at least 80% of all of the
|
outstanding voting securities of an association |
captive
insurance company incorporated as a stock |
insurer; or
|
(ii) directly or indirectly have at least 80% |
of
the voting control over an association captive |
insurance
company organized as a mutual insurer; |
or
|
(3) any risk retention group, as defined in subsection |
(11) of Section
123B-2,
domiciled in this State and |
organized under this Article; however, beginning
6 months |
after the effective date of this amendatory Act of 1995, a |
risk
retention group shall no longer qualify as an |
association under this Article.
|
Provided, however, that with respect to each of
the |
associations described in paragraphs (1),
(2) and (3) above, no |
member organization may (i)
own, control, or hold with power to |
|
vote in excess of
25% of the voting securities of an |
association captive
insurance company incorporated as a stock |
insurer, or
(ii) have more than 25% of the voting control of an |
association
captive insurance company organized as a mutual |
insurer.
|
C. "Association captive insurance company" means any
|
company that insures risks of (i) the member organizations
of |
an association, and (ii) their affiliated companies.
|
D. "Captive insurance company" means any pure captive
|
insurance company, association captive insurance company
or |
industrial insured captive insurance company organized
under |
the provisions of this Article.
|
E. "Director" means the Director of the Department of |
Insurance.
|
F. "Industrial insured" means an insured which (together
|
with its affiliates) at the time of its initial procurement
of |
insurance from an industrial insured captive insurance
|
company:
|
(1) has available to it advice with respect to the
|
purchase of insurance through the use of the services
of a |
full-time employee acting as an insurance manager
or buyer |
or the services of a regularly and continuously retained |
qualified
insurance consultant;
and
|
(2) pays aggregate annual premiums in excess of |
$100,000
for insurance on all risks except for life, |
accident
and health; and
|
|
(3) either (i) has at least 25 full-time employees,
or |
(ii) has gross assets in excess of $3,000,000, or
(iii) has |
annual gross revenues in excess of $5,000,000.
|
G. "Industrial insured captive insurance company"
means |
any company that insures risks of industrial insureds
that are |
members of the industrial insured group, and
their affiliated |
companies.
|
H. "Industrial insured group" means any group of industrial
|
insureds that collectively:
|
(1) directly or indirectly (including ownership or |
control through a
company which is wholly owned by such |
group of industrial insureds) own or
control, and hold
with |
power to vote, all of the outstanding voting securities
of |
an industrial insured captive insurance company |
incorporated
as a stock insurer; or
|
(2) directly or indirectly (including control through |
a company which is
wholly owned by such group of industrial |
insureds) have complete voting control
over an industrial |
insured captive insurance company
organized as a mutual |
insurer;
provided, however, that no member organization |
may
(i) own, control, or hold with power to vote in excess
|
of 25% of the voting securities of an industrial insured
|
captive insurance company incorporated as a stock insurer,
|
or (ii) have more than 25% of the voting control of an
|
industrial insured captive insurance company organized
as |
a mutual insurer.
|
|
I. "Member organization" means any individual, legal
|
representative, corporation (whether for profit or not
for |
profit), partnership, association, unit of government, trust |
or other
organization that belongs to an association or an |
industrial
insured group.
|
J. "Parent" means a corporation, partnership, individual |
or other legal entity
that directly or indirectly owns, |
controls, or holds
with power to vote more than 50% of the |
outstanding
voting securities of a company.
|
K. "Personal risk liability" means liability to other
|
persons for (i) damage because of injury to any person,
(ii) |
damage to property, or (iii) other loss or damage,
in each case |
resulting from any personal, familial, or household
|
responsibilities
or activities, but does not include legal |
liability
for damages (including costs of defense, legal costs
|
and fees, and other claims expenses) because of injuries
to |
other persons, damage to their property, or other
damage or |
loss to such other persons resulting from
or arising out of:
|
(i) any business (whether for profit or not for |
profit), trade,
product, services (including professional |
services),
premises, or operations; or
|
(ii) any activity of any state or local government,
or |
any agency or political subdivision thereof.
|
L. "Pure captive insurance company" means any company
that |
insures only risks of its parent or affiliated companies
or |
both.
|
|
M. "Unit of government" includes any state, regional or |
local
government, or any agency or political subdivision |
thereof, or any
district, authority, public educational |
institution or school district,
public corporation or other |
unit of government in this State or any similar
unit of |
government in any other state.
|
N. "Control" means the power to direct, or cause the |
direction of, the management and policies of an entity, other |
than the power that results from an official position with or |
corporate office held in the entity. The power may be possessed |
directly or indirectly by any means, including through the |
ownership of voting securities or by contract, other than a |
commercial contract for goods or non-management services. |
O. "Qualified independent actuary" means a person that is |
either: |
(1) a member in good standing with the Casualty |
Actuarial Society; or |
(2) a member in good standing with the American Academy |
of Actuaries who has been approved as qualified for signing |
casualty loss reserve opinions by the Casualty Practice |
Council of the American Academy of Actuaries. |
P. "Controlled unaffiliated business" means an entity: |
(1) that is not an affiliate; |
(2) that has an existing contractual relationship with |
an affiliate under which the affiliate bears a potential |
financial loss; and |
|
(3) whose risks are managed by a captive insurance |
company under Section 123C-24 of this Code. |
Q. "Operational risk" means any potential financial loss of |
an affiliate, except for a loss arising from an insurance |
policy issued by a captive or insurance affiliate. |
R. "Captive management company" means an entity providing |
administrative services to a captive insurance company. |
S. "Safety-Net Hospital" means an Illinois hospital that |
qualifies as a Safety-Net Hospital under Section 5-5e.1 of the |
Illinois Public Aid Code. |
(Source: P.A. 89-97, eff. 7-7-95; 90-794, eff. 8-14-98 .)
|
(215 ILCS 5/123C-2) (from Ch. 73, par. 735C-2)
|
(Section scheduled to be repealed on January 1, 2027)
|
Sec. 123C-2. Authority of captives; restrictions.
|
A. (Blank). Any captive insurance company, when permitted |
by
its articles of association or charter, may apply to
the |
Director for a certificate of authority to transact
any and all |
insurance in classes 2 and 3 of Section 4
of this Code, except |
that:
|
(1) no pure captive insurance company may insure
any |
risks other than those of its parent and affiliated
|
companies;
|
(2) no association captive insurance company may
|
insure any risks other than those of the member |
organizations
of its association, and their affiliated |
|
companies;
|
(3) no industrial insured captive insurance company
|
may insure any risks other than those of the members
of the |
industrial insured group, and their affiliated
companies; |
and
|
(4) no captive insurance company may provide:
|
(i) personal motor vehicle coverage or homeowner's
|
insurance coverage or any component thereof, or
|
(ii) personal coverage for personal risk |
liability, or
|
(iii) coverage for an employer's liability to its |
employees other than
legal liability under the federal |
Employers' Liability Act
(45 U.S.C. 51 et seq.), |
provided, however, this exclusion does not
preclude |
reinsurance of such employer's liability, or
|
(iv) accident and health insurance as provided in |
clause (a) of Class
2 of Section 4, provided, however, |
this exclusion does not preclude stop-loss
insurance |
or reinsurance of a single employer self-funded |
employee disability
benefit plan or an employee |
welfare plan as described in 29 U.S.C. 1001 et seq.
|
A-5. A captive insurance company may not issue: |
(1) life insurance; |
(2) annuities; |
(3) accident and health insurance for the company's |
parent and affiliates, except to insure employee benefits |
|
that are subject to the federal Employee Retirement Income |
Security Act of 1974 or, to the extent the parent company |
is a college or university, an accident or health plan |
offered to enrolled students of the college or university; |
(4) title insurance; |
(5) mortgage guaranty insurance; |
(6) financial guaranty insurance; |
(7) homeowner's insurance coverage; |
(8) personal automobile insurance; or |
(9) workers' compensation insurance, except to the |
extent allowed in subsection A-10. |
A-10. A captive insurance company is authorized to issue a |
contractual reimbursement policy to: |
(1) the parent company or an affiliated certified |
self-insurer authorized under the Workers' Compensation |
Act or a similar affiliated entity expressly authorized by |
analogous laws of another state; or |
(2) the parent company or an affiliate that is insured |
by a workers' compensation insurance policy with a |
negotiated deductible endorsement. |
B. No captive insurance company shall do any insurance
|
business in this State unless:
|
(1) it first obtains from the Director a certificate
of |
authority authorizing it to do such insurance business
in |
this State; and
|
(2) it appoints a resident registered agent to accept
|
|
service of process and to otherwise act on its behalf
in |
this State.
|
C. No captive insurance company shall adopt a name
that is |
the same as, deceptively similar to, or likely
to be confused |
with or mistaken for, any other existing
business name |
registered in this State.
|
D. Each captive insurance company, or the organizations
|
providing the principal administrative or management
services |
to such captive insurance company, shall maintain
a place of |
business in this State.
|
(Source: P.A. 91-357, eff. 7-29-99 .)
|
(215 ILCS 5/123C-3) (from Ch. 73, par. 735C-3)
|
(Section scheduled to be repealed on January 1, 2027)
|
Sec. 123C-3. Minimum capital and surplus . |
A. The Department may not issue a certificate of authority |
to a captive insurance company unless the company possesses and |
maintains unencumbered capital and surplus in an amount |
determined by the Director after considering: |
(1) the amount of premium written by the captive |
insurance company; |
(2) the characteristics of the assets held by the |
captive insurance company; |
(3) the terms of reinsurance arrangements entered into |
by the captive insurance company; |
(4) the type of business covered in policies issued by |
|
the captive insurance company; |
(5) the underwriting practices and procedures of the |
captive insurance company; and |
(6) any other criteria that has an impact on the |
operations of the captive insurance company determined to |
be significant by the Director. No pure captive insurance |
company, association
captive insurance company |
incorporated as a stock insurer,
or industrial insured |
captive insurance company incorporated
as a stock insurer |
shall be issued a certificate of
authority unless it shall |
possess and thereafter maintain
unimpaired paid-in capital |
of not less than the minimum
capital requirement applicable |
to the class or classes
and clause or clauses of Section 4 |
describing the kind
or kinds of insurance which such |
captive insurance company
is authorized to write, as set |
forth in subsection (1) of Section 13.
|
B. The amount of capital and surplus determined by the |
Director under subsection A of this Section may not be less |
than $250,000 for a pure captive insurance company, $500,000 |
for an industrial insured captive insurance company, and |
$750,000 for an association captive insurance company. Such |
capital may be in the form of (1) all cash
or cash equivalents; |
or (2) cash or cash equivalents
representing at least 20% of |
the requisite capital,
together with an irrevocable letter of |
credit for the
remainder of the requisite capital, which letter |
of
credit must (a) be approved by the Director, (b) be issued |
|
or
unconditionally confirmed by (i) a
bank chartered by this |
State, (ii) a member bank of the
Federal Reserve System or |
(iii) a United States office of a foreign
banking corporation |
that is: (A) licensed under the laws of the United
States or |
any state thereof, (B) regulated, supervised and examined by
|
United States federal or state authorities having regulatory |
authority over
banks and trust companies, and (C) designated by |
the Securities Valuation
Office of the National Association of |
Insurance Commissioners as meeting
its credit standards for |
issuing or confirming letters of credit or, in the
event that |
the Director elects to establish credit standards by rule, in
|
compliance with rules promulgated by the Director establishing |
reasonable
standards of safety and soundness substantially |
equivalent to those of the
Securities Valuation Office of the |
National Association of Insurance
Commissioners, and (c) |
satisfy the requirements of Section 123C-19; or (3)
cash or |
cash equivalents representing at least 33% of the requisite
|
capital, together with irrevocable contractual obligations of
|
the member organizations of the captive insurance
company for |
the payment of the remainder of the requisite
capital in no |
more than 3 equal installments in each of the
3 calendar years |
following the date of the grant of
the certificate of authority |
to the captive insurance
company, which irrevocable |
contractual obligations shall
by contract be subject to |
acceleration (in a manner
acceptable to the Director) by the |
Company at the direction
of the Director and shall be secured |
|
by a letter of
credit or other form of guarantee or security |
acceptable
to the Director.
|
C. The capital and surplus required by subsection A of this |
Section must be in the form of: |
(1) United States currency; |
(2) an irrevocable letter of credit, in a form approved |
by the Director and not secured by a guarantee from an |
affiliate, naming the Director as beneficiary for the |
security of the captive insurance company's policyholders |
and issued by a bank approved by the Director; |
(3) bonds of this State; or |
(4) bonds or other evidences of indebtedness of the |
United States, the principal and interest of which are |
guaranteed by the United States. |
(Source: P.A. 86-632 .)
|
(215 ILCS 5/123C-9) (from Ch. 73, par. 735C-9)
|
(Section scheduled to be repealed on January 1, 2027)
|
Sec. 123C-9. Reports, statements and mandatory reserves.
|
A. Captive insurance companies shall not be required
to |
make any annual report except as provided in this
Article.
|
B. (1) On or before Prior to March 1 of each year, each |
captive
insurance company shall submit to the Director a report
|
of its financial condition, verified by oath of 2
of its |
executive officers and including (i) a balance
sheet reporting |
assets, liabilities, capital and surplus,
(ii) a statement of |
|
gain or loss from operations, (iii)
a statement of changes in |
financial position, (iv) a
statement of changes in capital and |
surplus, and (v)
in the case of industrial insured captive |
insurance
companies, an analysis of loss reserve development,
|
information on risks ceded and assumed under reinsurance
|
agreements, on forms prescribed by the Director, and
a schedule |
of its invested assets on forms prescribed
by the Director , and |
(vi) a statement of actuarial opinion by a qualified |
independent actuary concerning the reasonableness of the |
captive insurance company's loss and loss adjustment expense |
reserves in such form and of such content as specified in the |
National Association of Insurance Commissioners Annual |
Statement Instructions: Property and Casualty .
|
(2) In addition, prior to March 1 of each year, each
|
association captive insurance company shall submit to
the |
Director such additional data or information, which
the |
Director may from time to time require, on a form
specified by |
the Director.
|
(3) On or before June 1 of each year, each captive |
insurance company shall submit to the Director a report of its |
financial condition at last year's end with an independent |
certified public accountant's opinion of the company's |
financial condition. Prior to June 1 of each year, each |
association and industrial
insured captive insurance
company |
shall submit to the Director a report of its
financial |
condition, certified by a recognized firm
of independent public |
|
accountants acceptable to the
Director and including the items |
referred to in items
(i), (ii), (iii) and (iv) of paragraph (1) |
of this subsection B.
|
(4) Unless the Director permits otherwise, the reports
of |
financial condition referred to in paragraphs (1)
and (3) of |
this subsection B are to be prepared in accordance with the |
Accounting
Practices and Procedures Manual adopted by the |
National
Association of Insurance Commissioners. The Director
|
shall have authority to extend the time for filing any
report |
or statement by any company for reasons which
he considers good |
and sufficient.
|
C. In addition, any captive insurance company may be
|
required by the Director, when he considers such action
to be |
necessary and appropriate for the protection of
policyholders, |
creditors, shareholders or claimants,
to file, within 60 days |
after mailing to the company
of a notice that such is required, |
a supplemental summary
statement as of the last day of any |
calendar month occurring
during the 100 days next preceding the |
mailing of such
notice designated by him on forms prescribed |
and furnished
by the Director. No company shall be required to |
file
more than 4 supplemental summary statements during any
|
consecutive 12 month period.
|
D. Every captive insurance company shall, at all times,
|
maintain reserves in an amount estimated in the aggregate
to |
provide for the payment of all losses and claims
incurred, |
whether reported or unreported, which are
unpaid and for which |
|
such company may be liable, and
to provide for the expenses of |
adjustment or settlement
of such losses and claims. The |
aggregate reserves shall
be reduced by reinsurance ceded which |
meets the requirements
of Section 123C-13.
For the purpose of |
such reserves, the company shall keep a complete and
itemized |
record showing all losses and claims on which it has received
|
notice, including all notices received by it of the occurrence |
of any event
which may result in a loss. Such record shall be |
opened in chronological
receipt order, with each notice of loss |
or claim identified by appropriate
number or coding.
|
E. Every captive insurance company shall maintain an
|
unearned premium reserve on all policies in force which
reserve |
shall be charged as a liability. The portions
of the gross |
premiums in force, after deducting reinsurance
qualifying |
under Section 123C-13, which shall be held
as a premium |
reserve, shall never be less in the aggregate
than the |
company's actual liability to all its insureds
for the return |
of gross unearned premiums. In the calculation
of the company's |
actual liability to all its insureds,
the reserve shall be |
computed pursuant to the method
commonly referred to as the |
monthly pro rata method;
provided, however, that the Director |
may require that
such reserve shall be equal to the unearned |
portions
of the gross premiums in force, after deducting |
reinsurance
qualifying under Section 123C-13, in which case the |
reserve shall
be computed on each respective risk from the date |
of
the issuance of the policy.
|
|
E-5. A captive insurance company may make a written |
application to the Director for filing its annual report |
required under this Section on a fiscal year's end. If an |
alternative filing date is granted, the company shall file: |
(1) the annual report, including a statement of |
actuarial opinion by a qualified independent actuary |
concerning the reasonableness of the captive insurance |
company's loss and loss adjustment expense reserves in such |
form and of such content as specified in the National |
Association of Insurance Commissioners Annual Statement |
Instructions: Property and Casualty, no later than the 60th |
day after the date of the company's fiscal year's end; |
(2) the report of its financial condition at last |
year's end with an independent certified public |
accountant's opinion of the company's financial condition; |
and |
(3) its balance sheet, income statement, and statement |
of cash flows, verified by 2 of its executive officers, |
before March 1 of each year to provide sufficient detail to |
support a premium tax return. |
F. The reports required by this Section shall be prepared
|
and filed on a calendar year basis.
|
G. Notwithstanding the requirements of this Section,
a |
captive insurance company may prepare and issue financial
|
statements prepared in accordance with generally accepted
|
accounting principles.
|
|
(Source: P.A. 85-131; 86-1155; 86-1156 .)
|
(215 ILCS 5/123C-11) (from Ch. 73, par. 735C-11)
|
(Section scheduled to be repealed on January 1, 2027)
|
Sec. 123C-11. Grounds and procedures for suspension
or |
revocation of certificate of authority. |
A. The certificate of authority of a captive insurance
|
company to do an insurance business in this State may
be |
suspended or revoked by the Director for any of the
following |
reasons:
|
(1) insolvency or impairment of required capital or |
surplus to policy holders ;
|
(2) failure to meet the requirements of Sections 123C-3 |
or
123C-4;
|
(3) refusal or failure to submit an annual report,
as |
required by Section 123C-9, or any other report or
|
statement required by law or by lawful order of the
|
Director;
|
(4) failure to comply with the provisions of its own
|
charter or bylaws (or, in the case of an industrial
insured |
captive, with the provisions of the investment
policy set |
forth in its plan of operation as approved
from time to |
time by the Director);
|
(5) failure to submit to examination or any legal
|
obligation relative thereto, as required by Section |
123C-10;
|
|
(6) refusal or failure to pay expenses , and charges , |
and taxes
as required by Sections 408 , 409 , 123C-10 , and |
123C-17;
|
(7) use of methods that, although not otherwise |
specifically
prohibited by law, nevertheless render its |
operation
detrimental or its condition unsound with |
respect to
the public or to its policyholders; or
|
(8) failure otherwise to comply with the laws of this
|
State.
|
B. If the Director finds, upon examination, hearing,
or |
other evidence, that any captive insurance company
has |
committed any of the acts specified in subsection A,
he may |
suspend or revoke such certificate of authority
if he deems it |
in the best interest of the public and
the policyholders of |
such captive insurance company,
notwithstanding any other |
provision of this Article.
|
C. The provisions of Articles XIII and XIII 1/2 shall
apply |
to and govern the conservation, rehabilitation,
liquidation |
and dissolution of captive insurance companies.
|
(Source: P.A. 85-131 .)
|
(215 ILCS 5/123C-12) (from Ch. 73, par. 735C-12)
|
(Section scheduled to be repealed on January 1, 2027)
|
Sec. 123C-12. Legal investments. |
A. The provisions of Article VIII and of Sections 131.2
and |
131.3 shall apply to association captive insurance
companies.
|
|
B. No pure captive insurance company or industrial
insured |
captive insurance company shall be subject to
any restrictions |
on allowable investments whatever,
including those limitations |
contained in Articles VIII
and VIII 1/2; provided, however, |
that the Director
may prohibit or limit any investment or type |
of investment
that threatens the solvency or liquidity of any |
such
company; and provided further that an industrial insured
|
captive insurance company must adhere to the investment
policy |
set forth in its plan of operation as approved
from time to |
time by the Director.
|
C. A captive insurance company may make loans to its |
affiliates with the prior approval of the Director. Each loan |
must be evidenced by a note approved by the Director. A captive |
insurance company may not make a loan of the minimum capital |
and surplus funds required by this Article. |
D. The Director may prohibit or limit an investment that |
threatens the solvency or liquidity of a captive insurance |
company. |
(Source: P.A. 85-131 .)
|
(215 ILCS 5/123C-13) (from Ch. 73, par. 735C-13)
|
(Section scheduled to be repealed on January 1, 2027)
|
Sec. 123C-13. Reinsurance.
|
A. Any captive insurance company may provide reinsurance
on |
risks ceded by any other insurer; provided, however,
that the |
risks so assumed are the same as the captive
insurance company |
|
could legally insure on a direct basis. |
The provisions of Section 174.1 shall not apply to
any |
captive insurance company providing reinsurance.
|
B. Subject to the provisions of Article XI, any captive
|
insurance company may cede, and may take credit for
in the |
establishment of reserves, all or any part of
its risks.
|
Furthermore, in addition to Section 173.1, any pure or |
industrial insured
captive insurance company may take credit, |
as either an
asset or a deduction from liability, for |
reinsurance so ceded to the extent:
|
(1) The reinsurer satisfies all of the following (a) |
through (g):
|
(a) the principal business of the reinsurer (other |
than investments
in subsidiaries and other investment |
activities) is to accept reinsurance from
captive |
insurance companies
organized under Article VIIC, of |
which the company accepting the
reinsurance directly |
or indirectly owns, controls, or holds with power to
|
vote more than 80% of the outstanding voting securities |
if organized as a
stock company or more than 80% of the |
voting control if organized as a
mutual company and to |
provide insurance related services;
|
(b) is licensed to transact insurance or |
reinsurance in its jurisdiction of domicile;
|
(c) submits to this State's authority to examine |
its books and
records and agrees to pay the cost |
|
thereof;
|
(d) files annually with the Director a copy of its |
most recent
audited financial statements;
|
(e) maintains a surplus as regards policyholders |
in an amount that
is not less than $20,000,000;
|
(f) files with the Department the following:
|
(i) evidence of its submission to the |
jurisdiction of any court of competent
|
jurisdiction in any state of the United States and |
its agreement to comply with all
requirements |
necessary to give the court jurisdiction and to |
abide by
the final decision of the court or of any |
appellate court in the event of an appeal; and
|
(ii) an instrument designating the Director or |
a designated attorney as its
true and lawful |
attorney upon whom may be served any lawful process |
in any
action, suit, or proceeding instituted by or |
on behalf of the ceding company;
|
(g) has not been the subject of an order of the |
Director entered
after notice and hearing prohibiting |
the reinsurer from utilizing this
paragraph (1); or
|
(2) the taking of credit by the captive insurance |
company has
otherwise received the prior approval of the |
Director.
|
C. A captive insurance company shall provide notice to the |
Director of a reinsurance agreement to which the company |
|
becomes a party not later than the 30th day after the date of |
the execution of the agreement. |
D. A captive insurance company shall provide notice of a |
termination of a previously filed reinsurance agreement to the |
Director not later than the 30th day after the date of |
termination. |
E. Notwithstanding Section 123C-15 of this Code, a captive |
insurance company, with the Director's approval, may accept |
risks from and cede risks to or take credit for reserves on |
risks ceded to: |
(1) a captive reinsurance pool composed only of other |
captive insurance companies holding a certificate of |
authority under this Article or a similar law of another |
jurisdiction; or |
(2) an affiliated captive insurance company holding a |
certificate of authority under this Article or a similar |
law of another jurisdiction. |
(Source: P.A. 87-108 .)
|
(215 ILCS 5/123C-16) (from Ch. 73, par. 735C-16)
|
(Section scheduled to be repealed on January 1, 2027)
|
Sec. 123C-16. Tax.
|
A. Every captive insurance company organized under
the |
provisions of this Article and doing business in
this State |
shall, for the privilege of doing business
in this State, pay |
to the Director for the State treasury
the State tax imposed |
|
under Section 409 to the same
extent and in the same manner as |
a domestic insurance company using a tax form prescribed by the |
Director on or before March 15 of each year .
|
B. Domestic captive insurance companies shall be insurance |
companies
subject to the rules now provided for such companies |
under the Illinois
Income Tax Act.
|
C. A domestic captive insurance company that has engaged |
one or more
administrative or management service organizations |
in order to comply with
subsection D of Section 123C-2 shall be |
deemed to meet the requirements of
Section 409(4)(a) through |
(d) provided that the company and such
organizations when |
viewed collectively as a group:
|
(a) maintain a place of business in this State; and
|
(b) maintain in this State personnel knowledgeable of |
and responsible
for the company's operations, books, |
records, administration and annual
statement; and
|
(c) conduct in this State substantially all of the |
company's
underwriting, policy issuing and servicing |
operations relating to the
company's policyholders and |
certificate holders; and
|
(d) comply with the provisions of Section 133(2) with |
respect to such
domestic captive insurance company's |
books, records, documents, accounts,
vouchers and |
securities.
|
(Source: P.A. 86-632; 86-634 .)
|
|
(215 ILCS 5/123C-17) (from Ch. 73, par. 735C-17)
|
(Section scheduled to be repealed on January 1, 2027)
|
Sec. 123C-17. Fees.
|
A. The Director shall charge, collect, and give proper
|
acquittances for the payment of the following fees and
charges |
with respect to a captive insurance company:
|
1. For filing all documents submitted for the |
incorporation
or organization or certification of a |
captive insurance
company, $2,000 $7,000 .
|
2. For filing requests for approval of changes in
the |
elements of a plan of operations, $200.
|
B. Except as otherwise provided in subsection A of this |
Section and in
Section 123C-10, the provisions of Section 408 |
shall
apply to captive insurance companies.
|
C. Any funds collected from captive insurance companies
|
pursuant to this Section shall be treated in the manner
|
provided in subsection (11) of Section 408.
|
(Source: P.A. 93-32, eff. 7-1-03 .)
|
(215 ILCS 5/123C-19) (from Ch. 73, par. 735C-19)
|
(Section scheduled to be repealed on January 1, 2027)
|
Sec. 123C-19. Letters of credit. |
A. Any letter of credit used to meet the requirements
set |
forth in Sections 123C-3 and 123C-4:
|
(1) (blank); may not be used to provide more than 80% |
of the
amount required in Section 123C-3 and may not be |
|
used
to provide more than 80% of the amount required in |
Section
123C-4;
|
(2) may not be allowed to expire without the prior
|
written approval of the Director and shall provide for
30 |
days' advance written notice to the Director of the
|
proposed expiration of the letter of credit; and
|
(3) must be provided pursuant to arrangements,
|
acceptable to the Director, wherein all funds obtained
by |
the company under the letter of credit are free of
claims |
of any party which may arise on account of the
company's |
resort to the letter of credit.
|
B. If letters of credit are used to provide surplus
in |
excess of the amounts required in Section 123C-4:
|
(1) the aggregate amount of all such letters of credit
|
shall not exceed the policyholder surplus of the company;
|
(2) without the prior written approval of the Director,
|
no such letter of credit may be allowed to expire, in
any |
period of 12 consecutive months ending on the date
of such |
expiration, in an amount greater than the greater
of (a) |
10% of the company's surplus as regards policyholders
as of |
the 31st day of December next preceding, or (b)
the net |
income of the company for the 12 month period
ending the |
31st 31st day of December next preceding. For
purposes of |
this Section, net income includes net realized
capital |
gains in an amount not to exceed 20% of net
unrealized |
capital gains; and
|
|
(3) each such letter of credit shall provide for
30 |
days' advance written notice to the Director of the
|
proposed expiration of the letter of credit.
|
C. (Blank). The Director may require any company to draw |
upon
its letters of credit, in amounts determined by the
|
Director, if the Director determines that such action
is |
necessary for the protection of the interests of
policyholders.
|
D. (Blank). Any company including amounts supported by |
letters
of credit in its capital or surplus shall, prior to
the |
time any person becomes a policyholder, notify such
person of |
the amounts supported by letters of credit
and included in the |
company's capital or surplus.
|
(Source: P.A. 85-131 .)
|
(215 ILCS 5/123C-23 new) |
Sec. 123C-23. Approval of captive reinsurance pools. |
Before determining whether to approve a captive insurance |
company's participation in a captive reinsurance pool under |
Section 123C-13 of this Code, the Director may: |
(1) require the captive insurance company provide to |
the Director evidence that the captive reinsurance pool: |
(a) is composed only of other captive insurance |
companies holding a certificate of authority under |
this Article or a similar law of another jurisdiction; |
and |
(b) will be able to meet the pool's financial |
|
obligations; and |
(2) impose any other limitation or requirement on the |
captive insurance company that is necessary and proper to |
provide adequate security for the captive insurance |
company. |
(215 ILCS 5/123C-24 new) |
Sec. 123C-24. Standards for risk management of controlled |
unaffiliated business. The Director may adopt rules |
establishing standards to ensure that an affiliated company is |
able to exercise control of the risk management function of any |
controlled unaffiliated business to be insured by the captive |
insurance company. |
(215 ILCS 5/123C-25 new) |
Sec. 123C-25. Captive managers. Before providing captive |
management services to a licensed captive insurance company, a |
captive management company shall register with the Director by |
providing the information required on a form adopted by the |
Director. |
(215 ILCS 5/123C-26 new) |
Sec. 123C-26. Dividends. |
A. A captive insurance company shall notify the Director in |
writing when issuing policyholder dividends. |
B. A captive insurance company, with the Director's |
|
approval, may issue dividends or distributions to the holders |
of an equity interest in the captive insurance company. The |
Director shall adopt rules to implement this subsection B. |
(215 ILCS 5/123C-27 new) |
Sec. 123C-27. Rulemaking authority. The Director may adopt |
reasonable rules as necessary to implement the purposes and |
provisions of this Article. |
(215 ILCS 5/123C-28 new) |
Sec. 123C-28. Confidentiality. |
A. Any information filed by an applicant or captive |
insurance company under this Article is confidential and |
privileged for all purposes, including for purposes of the |
Freedom of Information Act, a response to a subpoena, or |
evidence in a civil action. Except as provided by subsections B |
and C of this Section, the information may not be disclosed |
without the prior written consent of the applicant or captive |
insurance company to which the information pertains. |
B. If the recipient of the information described by |
subsection A of this Section has the legal authority to |
maintain the confidential or privileged status of the |
information and verifies that authority in writing, the |
Director or his or her designee may disclose the information to |
any of the following entities functioning in an official |
capacity: |
|
(1) a director of insurance or an insurance department |
of another state; |
(2) an authorized law enforcement official; |
(3) a State's Attorney of this State; |
(4) the Attorney General; |
(5) a grand jury; |
(6) the National Association of Insurance |
Commissioners if the captive insurance company is |
affiliated with an insurance company that is part of an |
insurance holding company system as described in Article |
VIII 1/2 of this Code; |
(7) another state or federal regulator if the applicant |
or captive insurance company to which the information |
relates operates in the entity's jurisdiction; |
(8) an international insurance regulator or analogous |
financial agency if the captive insurance company is |
affiliated with an insurance company that is part of an |
insurance holding company system as described in Article |
VIII 1/2 of this Code and the holding company system |
operates in the entity's jurisdiction; or |
(9) members of a supervisory college described by |
Section 131.20c of this Code, if the captive insurance |
company is affiliated with an insurance company that is |
part of an insurance holding company system as described in |
Article VIII 1/2 of this Code. |
C. The Director may use information described by subsection |
|
A of this Section in the furtherance of a legal or regulatory |
action relating to the administration of this Code.
|
(215 ILCS 5/156) (from Ch. 73, par. 768)
|
Sec. 156. Merger and
consolidation permitted. |
(a) Upon complying with the provisions of this article, any |
domestic
company, except a Lloyds, is hereby authorized and |
empowered to merge or
consolidate with any domestic company or |
with any foreign or alien company,
except a Lloyds if the |
surviving company meets the requirements for
authorization to |
engage in the insurance business in this state and, if
such |
merger or consolidation is authorized by the laws of the state |
or
country under which such foreign or alien company is |
incorporated or
organized. |
(b) The Director may permit the formation of a domestic |
stock company that is established for the sole purpose of |
merging or consolidating with an existing stock company |
simultaneously with the effectiveness of a division authorized |
by this Code. Upon request of the dividing company, the |
Director may waive the requirements of Section 131.8 of this |
Code. Each domestic stock company formed under this subsection |
shall be deemed to exist before a merger and division under |
this Section becomes effective, but solely for the purpose of |
being a party to such merger and division. The Director shall |
not require that such domestic stock company be licensed to |
transact insurance business in this state before such merger |
|
and division. All insurance policies, annuities, or |
reinsurance agreements allocated to such domestic stock |
company shall become the obligation of the domestic stock |
company that survives the merger simultaneously with the |
effectiveness of the merger and division. The plan of merger or |
consolidation shall be deemed to have been authorized and |
approved by such domestic stock company if the dividing company |
authorized and approved such plan. The certificate of merger |
shall state that it was approved by the domestic stock company |
formed under this subsection.
|
(Source: Laws 1967, p. 1760.)
|
(215 ILCS 5/173.1) (from Ch. 73, par. 785.1)
|
Sec. 173.1. Credit allowed a domestic ceding insurer.
|
(1) Except as otherwise provided under Article VIII 1/2 of |
this Code and
related provisions of the Illinois Administrative |
Code, credit for
reinsurance shall be allowed a domestic ceding |
insurer as
either an admitted asset or a deduction from |
liability on account of
reinsurance ceded only when the |
reinsurer meets the requirements of paragraph (A)
subsection |
(1)(A) or (B) or (B-5) or (C) or (C-5) or (D) of this |
subsection (1) .
Credit shall be allowed under paragraph (A), |
subsection (1)(A) or (B) , or (B-5) of this subsection (1) only |
as respects
cessions of those kinds or classes of business in |
which the assuming insurer is
licensed or otherwise permitted |
to write or assume in its state of domicile, or
in the case of a |
|
U.S. branch of an alien assuming insurer, in the state through
|
which it is entered and licensed to transact insurance or |
reinsurance. Credit
shall be allowed under paragraph (B-5) or |
(C) of this subsection (1) (C) of this Section only
if the |
applicable requirements of paragraph (E) of this subsection (1)
|
subsection (1)(E) have been
satisfied.
|
(A) Credit shall be allowed when the reinsurance is |
ceded to an assuming
insurer that is authorized in this |
State
to transact the types of insurance ceded and has at |
least $5,000,000 in
capital and surplus.
|
(B) Credit shall be allowed when the reinsurance is |
ceded to an assuming
insurer that is accredited as a |
reinsurer in this State. An accredited
reinsurer is one |
that:
|
(1) files with the Director evidence of its |
submission to this State's
jurisdiction;
|
(2) submits to this State's authority to examine |
its books and records;
|
(3) is licensed to transact insurance or |
reinsurance in at least one
state, or in the case of a |
U.S. branch of an alien assuming insurer is
entered |
through and licensed to transact insurance or |
reinsurance in at
least one state;
|
(4) files annually with the Director a copy of its |
annual statement
filed with the insurance department |
of its state of domicile and a copy of
its most recent |
|
audited financial statement; and
|
(5) maintains a surplus as regards policyholders |
in an amount that is
not less than $20,000,000 and |
whose accreditation has been approved by the
Director. |
No credit shall be allowed a domestic ceding insurer, |
if the
assuming insurers' accreditation has been |
revoked by the Director after
notice and hearing.
|
(B-5)(1) Credit shall be allowed when the reinsurance |
is ceded to an assuming insurer that is domiciled in, or in |
the case of a U.S. branch of an alien assuming
insurer is |
entered through, a state that employs standards regarding |
credit for reinsurance substantially similar to those |
applicable under this Code and the assuming insurer or U.S. |
branch of an alien assuming insurer: |
(a) maintains a surplus as regards policyholders |
in an amount not less than $20,000,000; and |
(b) submits to the authority of this State to |
examine its books and records. |
(2) The requirement of item (a) of subparagraph (1) of |
paragraph (B-5) of this subsection (1) does not apply to |
reinsurance ceded and assumed pursuant to pooling |
arrangements among insurers in the same holding company |
system. |
(C)(1) Credit shall be allowed when the reinsurance is |
ceded to
an assuming insurer that maintains a trust fund in |
a qualified United
States financial institution, as |
|
defined in paragraph (B) of subsection (3) of this Section |
subsection 3(B) , for the
payment of the valid claims of its |
United States policyholders and ceding
insurers, their |
assigns and successors in interest. The assuming insurer
|
shall report to the Director information substantially the |
same as
that required to be reported on the NAIC annual and |
quarterly financial
statement by authorized
insurers and |
any other financial information that the
Director deems |
necessary to determine the financial condition of the
|
assuming insurer and the sufficiency of the trust
fund. The |
assuming insurer shall provide or make the information |
available to the ceding insurer. The assuming insurer may |
decline to release trade secrets or commercially sensitive |
information that would qualify as exempt from disclosure |
under the Freedom of Information Act. The Director shall |
also make the information publicly available, subject only |
to such reasonable objections as might be raised to a |
request pursuant to the Freedom of Information Act, as |
determined by the Director. The assuming insurer shall |
submit to examination of its books and records by
the |
Director and bear the expense of examination.
|
(2)(a) Credit for reinsurance shall not be granted |
under this subsection
unless the form of the trust and any |
amendments to the trust have been approved
by:
|
(i) the regulatory official of the state where the |
trust is domiciled;
or
|
|
(ii) the regulatory official of another state who, |
pursuant to the
terms of the trust instrument, has |
accepted principal regulatory oversight of
the trust.
|
(b) The form of the trust and any trust amendments also |
shall be filed
with the regulatory official of every state |
in which the ceding insurer
beneficiaries of the trust are |
domiciled. The trust instrument shall provide
that |
contested claims shall be valid and enforceable upon the |
final order of
any court of competent jurisdiction in the |
United States. The trust shall vest
legal title to its |
assets in its trustees for the benefit of the assuming
|
insurer's United States policyholders and ceding insurees |
and their assigns
and
successors in interest. The trust and |
the assuming insurer shall be subject to
examination as |
determined by the Director.
|
(c) The trust shall remain in effect for as long as the |
assuming insurer
has outstanding obligations due under the |
reinsurance agreements subject to the
trust. No later than |
February 28 of each year the trustee of the trust shall
|
report to the
Director in writing the balance of the trust |
and a list of the trust's
investments at the preceding |
year-end and shall certify the date of termination
of
the |
trust, if so planned, or certify that the trust will not |
expire prior to
the next following December 31. |
No later than February 28 of each year, the assuming |
insurer's chief executive officer or chief financial |
|
officer shall certify to the Director that the trust fund |
contains funds in an amount not less than the assuming |
insurer's liabilities (as reported to the assuming insurer |
by its cedent) attributable to reinsurance ceded by U.S. |
ceding insurers, and in addition, a trusteed surplus of no |
less than $20,000,000. In the event that item (a-5) of |
subparagraph (3) of this paragraph (C) applies to the |
trust, the assuming insurer's chief executive officer or |
chief financial officer shall then certify to the Director |
that the trust fund contains funds in an amount not less |
than the assuming insurer's liabilities (as reported to the |
assuming insurer by its cedent) attributable to |
reinsurance ceded by U.S. ceding insurers and, in addition, |
a reduced trusteed surplus of not less than the amount that |
has been authorized by the regulatory authority having |
principal regulatory oversight of the trust. |
(d) No later than February 28 of each year, an assuming |
insurer that maintains a trust fund in accordance with this |
paragraph (C) shall provide or make available, if requested |
by a beneficiary under the trust fund, the following |
information to the assuming insurer's U.S. ceding insurers |
or their assigns and successors in interest: |
(i) a copy of the form of the trust agreement and |
any trust amendments to the trust agreement pertaining |
to the trust fund; |
(ii) a copy of the annual and quarterly financial |
|
information, and its most recent audited financial |
statement provided to the Director by the assuming |
insurer, including any exhibits and schedules thereto; |
(iii) any financial information provided to the |
Director by the assuming insurer that the Director has |
deemed necessary to determine the financial condition |
of the assuming insurer and the sufficiency of the |
trust fund; |
(iv) a copy of any annual and quarterly financial |
information provided to the Director by the trustee of |
the trust fund maintained by the assuming insurer, |
including any exhibits and schedules thereto; |
(v) a copy of the information required to be |
reported by the trustee of the trust to the Director |
under the provisions of this paragraph (C); and |
(vi) a written certification that the trust fund |
consists of funds in trust in an amount not less than |
the assuming insurer's liabilities attributable to |
reinsurance liabilities (as reported to the assuming |
insurer by its cedent) attributable to reinsurance |
ceded by U.S. ceding insurers and, in addition, a |
trusteed surplus of not less than $20,000,000.
|
(3) The following requirements apply to the following |
categories of
assuming insurer:
|
(a) The trust fund for a single assuming insurer |
shall consist of
funds
in trust in an amount not less |
|
than the assuming insurer's liabilities
attributable |
to reinsurance ceded by U.S. ceding insurers, and
in
|
addition, the assuming insurer shall maintain a |
trusteed surplus of not
less than $20,000,000 , except |
as provided in item (a-5) of this subparagraph (3) . |
(a-5) At any time after the assuming insurer has |
permanently discontinued underwriting new business |
secured by the trust for at least 3 full years, the |
Director with principal regulatory oversight of the |
trust may authorize a reduction in the required |
trusteed surplus, but only after a finding, based on an |
assessment of the risk, that the new required surplus |
level is adequate for the protection of U.S. ceding |
insurers, policyholders, and claimants in light of |
reasonably foreseeable adverse loss development. The |
risk
assessment may involve an actuarial review, |
including an independent analysis of reserves and cash |
flows, and shall consider all material risk factors, |
including, when applicable, the lines of business |
involved, the stability of the incurred loss |
estimates, and the effect of the surplus requirements |
on the assuming insurer's liquidity or solvency. The |
minimum required trusteed surplus may not be reduced to |
an amount less than 30% of the assuming insurer's |
liabilities attributable to reinsurance ceded by U.S. |
ceding
insurers covered by the trust.
|
|
(b)(i) In the case of a group including |
incorporated and
individual unincorporated
|
underwriters:
|
(I) for reinsurance ceded under reinsurance |
agreements with an
inception, amendment, or |
renewal date on or after January 1, 1993 August 1, |
1995 , the trust
shall consist of a trusteed account |
in an amount not less than the respective |
underwriters' group's
several liabilities |
attributable to business ceded by U.S. domiciled |
ceding
insurers to any member of the group;
|
(II) for reinsurance ceded under reinsurance |
agreements with an
inception date on or before |
December 31, 1992 July 31, 1995 and not amended or |
renewed after
that date, notwithstanding the other |
provisions of this Act, the trust shall
consist of |
a trusteed account in an amount not less than the |
group's several
insurance and reinsurance |
liabilities attributable to business written in |
the
United States; and
|
(III) in addition to these trusts, the group |
shall maintain in trust
a
trusteed surplus of which |
not less than $100,000,000 shall be held jointly |
for
the benefit of the U.S. domiciled ceding |
insurers of any member of the group
for all years |
of account.
|
|
(ii) The incorporated members of the
group shall |
not be engaged in any business other than underwriting |
as a member
of the group and shall be subject to the |
same level of solvency regulation and
control by the |
group's domiciliary regulator as are the |
unincorporated
members.
|
(iii) Within 90 days after its financial |
statements are due to be
filed
with the group's |
domiciliary regulator, the group shall provide to the |
Director
an annual certification by the group's |
domiciliary regulator of the solvency of
each |
underwriter member, or if a certification is |
unavailable, financial
statements prepared by |
independent public accountants of each underwriter
|
member of the group.
|
(c) In the case of a group of incorporated insurers |
under
common
administration, the group shall:
|
(i) have continuously transacted an insurance |
business
outside the United States for at least 3 |
years immediately before making
application for |
accreditation;
|
(ii) maintain aggregate policyholders' surplus |
of
not less than $10,000,000,000;
|
(iii) maintain a trust in an amount not
less |
than
the group's
several liabilities attributable |
to business ceded by United States
domiciled |
|
ceding
insurers to any member of the group pursuant |
to reinsurance contracts issued in
the name of the |
group;
|
(iv) in addition, maintain a joint trusteed
|
surplus
of which not less than $100,000,000 shall |
be held jointly for the benefit
of the United
|
States ceding insurers of any member of the group |
as additional security for
these liabilities; and
|
(v) within 90 days after its financial |
statements are due to be
filed
with the group's |
domiciliary regulator,
make available to the |
Director an annual certification of each |
underwriter
member's
solvency by the member's |
domiciliary regulator and financial statements of
|
each
underwriter member of the group prepared by |
its independent public
accountant.
|
(C-5) Credit shall be allowed when the reinsurance is |
ceded to an assuming insurer that has been certified by the |
Director as a reinsurer in this State and secures its |
obligations in accordance with the requirements of this |
paragraph (C-5). |
(1) In order to be eligible for certification, the |
assuming insurer shall meet the following |
requirements: |
(a) the assuming insurer must be domiciled and |
licensed to transact insurance or reinsurance in a |
|
qualified jurisdiction, as determined by the |
Director pursuant to subparagraph (3) of this |
paragraph (C-5); |
(b) the assuming insurer must maintain minimum |
capital and surplus, or its equivalent, in an |
amount not less than $250,000,000 or such greater |
amount as determined by the Director pursuant to |
regulation; this requirement may also be satisfied |
by an association, including incorporated and |
individual unincorporated underwriters, having |
minimum capital and surplus equivalents (net of |
liabilities) of at least $250,000,000 and a |
central fund containing a balance of at least |
$250,000,000; |
(c) the assuming insurer must maintain |
financial strength ratings from 2 or more rating |
agencies deemed acceptable by the Director; these |
ratings shall be based on interactive |
communication between the rating agency and the |
assuming insurer and shall not be based solely on |
publicly available information; each certified |
reinsurer shall be rated on a legal entity basis, |
with due consideration being given to the group |
rating where appropriate, except that an |
association, including incorporated and individual |
unincorporated underwriters, that has been |
|
approved to do business as a single certified |
reinsurer may be evaluated on the basis of its |
group rating; these financial strength ratings |
shall be one factor used by the Director in |
determining the rating that is assigned to the |
assuming insurer; acceptable rating agencies |
include the following: |
(i) Standard & Poor's; |
(ii) Moody's Investors Service; |
(iii) Fitch Ratings; |
(iv) A.M. Best Company; or |
(v) any other nationally recognized |
statistical rating organization; |
(d) the assuming insurer must agree to submit |
to the jurisdiction of this State, appoint the |
Director as its agent for service of process in |
this State, and agree to provide security for 100% |
of the assuming insurer's liabilities attributable |
to reinsurance ceded by U.S. ceding insurers if it |
resists enforcement of a final U.S. judgment; and |
(e) the assuming insurer must agree to meet |
applicable information filing requirements as |
determined by the Director, both with respect to an |
initial application for certification and on an |
ongoing basis. |
(2) An association, including incorporated and |
|
individual unincorporated underwriters, may be a |
certified reinsurer. In order to be eligible for |
certification, in addition to satisfying the |
requirements of subparagraph (1) of this paragraph |
(C-5): |
(a) the association shall satisfy its minimum |
capital and surplus requirements through the |
capital and surplus equivalents (net of |
liabilities) of the association and its members, |
which shall include a joint central fund that may |
be applied to any unsatisfied obligation of the |
association or any of its members, in the amounts |
specified in item (b) of subparagraph (1) of this |
paragraph (C-5); |
(b) the incorporated members of the |
association shall not be engaged in any business |
other than underwriting as a member of the |
association and shall be subject to the same level |
of regulation and solvency control by the |
association's domiciliary regulator as are the |
unincorporated members; and |
(c) within 90 days after its financial |
statements are due to be filed with the |
association's domiciliary regulator, the |
association shall provide to the Director an |
annual certification by the association's |
|
domiciliary regulator of the solvency of each |
underwriter member; or if a certification is |
unavailable, financial statements, prepared by |
independent public accountants, of each |
underwriter member of the association. |
(3) The Director shall create and publish a list of |
qualified jurisdictions, under which an assuming |
insurer licensed and domiciled in such jurisdiction
is |
eligible to be considered for certification by the |
Director as a certified reinsurer. |
(a) In order to determine whether the |
domiciliary jurisdiction of a non-U.S. assuming |
insurer is eligible to be recognized as a qualified |
jurisdiction, the Director shall evaluate the |
appropriateness and effectiveness of the |
reinsurance supervisory system of the |
jurisdiction, both initially and on an ongoing |
basis, and consider the rights, benefits, and |
extent of reciprocal recognition afforded by
the |
non-U.S. jurisdiction to reinsurers licensed and |
domiciled in the U.S. A qualified jurisdiction |
must agree in writing to share information and |
cooperate with the Director with respect to all |
certified reinsurers domiciled within that |
jurisdiction. A jurisdiction may not be recognized |
as a qualified jurisdiction if the Director has |
|
determined that the jurisdiction does not |
adequately and promptly enforce final U.S. |
judgments and arbitration awards. The costs and |
expenses associated with the Director's review and |
evaluation of the domiciliary jurisdictions of |
non-U.S. assuming insurers shall be borne by the |
certified reinsurer or reinsurers domiciled in |
such jurisdiction. |
(b) Additional factors to be considered in |
determining whether to recognize a qualified |
jurisdiction include, but are not limited to, the |
following: |
(i) the framework under which the assuming |
insurer is regulated; |
(ii) the structure and authority of the |
domiciliary regulator with regard to solvency |
regulation requirements and financial |
surveillance; |
(iii) the substance of financial and |
operating standards for assuming insurers in |
the domiciliary jurisdiction; |
(iv) the form and substance of financial |
reports required to be filed or made publicly |
available by reinsurers in the domiciliary |
jurisdiction and the accounting principles |
used; |
|
(v) the domiciliary regulator's |
willingness to cooperate with U.S. regulators |
in general and the Director in particular; |
(vi) the history of performance by |
assuming insurers in the domiciliary |
jurisdiction; |
(vii) any documented evidence of |
substantial problems with the enforcement of |
final U.S. judgments in the domiciliary |
jurisdiction; and |
(viii) any relevant international |
standards or guidance with respect to mutual |
recognition of reinsurance supervision adopted |
by the International Association of Insurance |
Supervisors or its successor organization. |
(c) If, upon conducting an evaluation under |
this paragraph with respect to the reinsurance |
supervisory system of any non-U.S. assuming |
insurer, the Director determines that the |
jurisdiction qualifies to be recognized as a |
qualified jurisdiction, the Director shall publish |
notice and evidence of such recognition in an |
appropriate manner. The Director may establish a |
procedure to withdraw recognition of those |
jurisdictions that are no longer qualified. |
(d) The Director shall consider the list of |
|
qualified jurisdictions through the NAIC committee |
process in determining qualified jurisdictions. If |
the Director approves a jurisdiction as qualified |
that does not appear on the list of qualified |
jurisdictions, then the Director shall provide |
thoroughly documented justification in accordance |
with criteria to be developed under regulations. |
(e) U.S. jurisdictions that meet the |
requirement for accreditation under the NAIC |
financial standards and accreditation program |
shall be recognized as qualified jurisdictions. |
(f) If a certified reinsurer's domiciliary |
jurisdiction ceases to be a qualified |
jurisdiction, then the Director may suspend the |
reinsurer's certification indefinitely, in lieu of |
revocation. |
(4) If an applicant for certification has been |
certified as a reinsurer in an NAIC accredited |
jurisdiction, then the Director may defer to that |
jurisdiction's certification and to the rating |
assigned by that jurisdiction if the assuming insurer |
submits a properly executed Form CR-1 and such |
additional information as the Director requires. Such |
assuming insurer shall be considered to be a certified |
reinsurer in this State but only upon the Director's |
assignment of an Illinois rating, which shall be made |
|
based on the requirements of subparagraph (5) of this |
paragraph (C-5). The following shall apply: |
(a) Any change in the certified reinsurer's |
status or rating in the other jurisdiction shall |
apply automatically in Illinois as of the date it |
takes effect in the other jurisdiction. The |
certified reinsurer shall notify the Director of |
any change in its status or rating within 10 days |
after receiving notice of the change. |
(b) The Director may withdraw recognition of |
the other jurisdiction's rating at any time and |
assign a new rating in accordance with |
subparagraph (5) of this paragraph (C-5). |
(c) The Director may withdraw recognition of |
the other jurisdiction's certification at any time |
with written notice to the certified reinsurer. |
Unless the Director suspends or revokes the |
certified reinsurer's certification in accordance |
with item (c) of subparagraph (9) of this paragraph |
(C-5), the certified reinsurer's certification |
shall remain in good standing in Illinois for a |
period of 3 months, which shall be extended if |
additional time is necessary to consider the |
assuming insurer's application for certification |
in Illinois. |
(5) The Director shall assign a rating to each |
|
certified reinsurer pursuant to rules adopted by the |
Department. Factors that shall be considered as part of |
the evaluation process include the following: |
(a) The certified reinsurer's financial |
strength rating from an acceptable rating agency. |
Financial strength ratings shall be classified |
according to the following ratings categories: |
(i) Ratings Category "Secure - 1" |
corresponds to the highest level of rating |
given by a rating agency, including, but not |
limited to, A.M. Best Company rating A++; |
Standard & Poor's rating AAA; Moody's |
Investors Service rating Aaa; and Fitch |
Ratings rating AAA. |
(ii) Ratings Category "Secure - 2" |
corresponds to the second-highest level of |
rating or group of ratings given by a rating |
agency, including, but not limited to, A.M. |
Best Company rating A+;
Standard & Poor's |
rating AA+, AA, or AA-; Moody's Investors |
Service ratings Aa1, Aa2, or Aa3; and Fitch |
Ratings ratings AA+, AA, or AA-. |
(iii) Ratings Category "Secure - 3" |
corresponds to the third-highest level of |
rating or group of ratings given by a rating |
agency, including, but not limited to, A.M. |
|
Best Company rating A; Standard & Poor's |
ratings A+ or A; Moody's Investors Service |
ratings A1 or A2; and Fitch Ratings ratings A+ |
or A. |
(iv) Ratings Category "Secure - 4" |
corresponds to the fourth-highest level of |
rating or group of ratings given by a rating |
agency, including, but not limited to, A.M. |
Best Company rating A-; Standard & Poor's |
rating A-; Moody's Investors Service rating |
A3; and Fitch Ratings rating A-. |
(v) Ratings Category "Secure - 5" |
corresponds to the fifth-highest level of |
rating or group of ratings given by a rating |
agency, including, but not limited to, A.M. |
Best Company ratings B++ or B+; Standard & |
Poor's ratings BBB+, BBB, or BBB-; Moody's |
Investors Service ratings Baa1, Baa2, or Baa3; |
and Fitch Ratings ratings BBB+, BBB, or BBB-. |
(vi) Ratings Category "Vulnerable - 6" |
corresponds to a level of rating given by a |
rating agency, other than those described in |
subitems (i) through (v) of this item (a), |
including, but not limited to, A.M. Best |
Company rating B, B-, C++, C+, C, C-, D, E, or |
F; Standard & Poor's ratings BB+, BB, BB-, B+, |
|
B, B-, CCC, CC, C, D, or R; Moody's Investors |
Service ratings Ba1, Ba2, Ba3, B1, B2, B3, Caa, |
Ca, or C; and Fitch Ratings ratings BB+, BB, |
BB-, B+, B, B-, CCC+, CCC, CCC-, or D. |
A failure to obtain or
maintain at least 2 |
financial strength
ratings
from acceptable rating |
agencies shall result
in loss of eligibility for |
certification. |
(b) The business practices of the certified |
reinsurer in dealing with its ceding insurers, |
including its record of compliance with |
reinsurance contractual terms and obligations. |
(c) For certified reinsurers domiciled in the |
U.S., a review of the most recent applicable NAIC |
Annual Statement Blank, either Schedule F (for |
property and casualty reinsurers) or Schedule S |
(for life and health reinsurers). |
(d) For certified reinsurers not domiciled in |
the U.S., a review annually of Form CR-F (for |
property and casualty reinsurers) or Form CR-S |
(for life and health reinsurers). |
(e) The reputation of the certified reinsurer |
for prompt payment of claims under reinsurance |
agreements, based on an analysis of ceding |
insurers' Schedule F reporting of overdue |
reinsurance recoverables, including the proportion |
|
of obligations that are more than 90 days past due |
or are in dispute, with specific attention given to |
obligations payable to companies that are in |
administrative supervision or receivership. |
(f) Regulatory actions against the certified |
reinsurer. |
(g) The report of the independent auditor on |
the financial statements of the insurance |
enterprise, on the basis described in item (h) of |
this subparagraph (5). |
(h) For certified reinsurers not domiciled in |
the U.S., audited financial statements (audited |
Generally Accepted Accounting Principles (U.S. |
GAAP) basis statement if available, audited |
International Financial Reporting Standards (IFRS) |
basis statements are allowed but must include an |
audited footnote reconciling equity and net income |
to U.S. GAAP basis or, with the permission of the |
Director, audited IFRS basis statements with |
reconciliation to U.S. GAAP basis certified by an |
officer of the company), regulatory filings, and |
actuarial opinion (as filed with the non-U.S. |
jurisdiction supervisor). Upon the initial |
application for certification, the Director shall |
consider the audited financial statements filed |
with its non-U.S. jurisdiction supervisor for the |
|
3 years immediately preceding the date of the |
initial application for certification. |
(i) The liquidation priority of obligations to |
a ceding insurer in the certified reinsurer's |
domiciliary jurisdiction in the context of an |
insolvency proceeding. |
(j) A certified reinsurer's participation in |
any solvent scheme of arrangement, or similar |
procedure, that involves U.S. ceding insurers. The |
Director shall receive prior notice from a |
certified reinsurer that proposes participation by |
the certified reinsurer in a solvent scheme of |
arrangement. |
The maximum rating that a certified reinsurer may
|
be assigned shall correspond to its financial
strength |
rating, which shall be determined
according to |
subitems (i) through (vi) of item
(a) of this |
subparagraph (5). The Director shall use the lowest |
financial
strength rating received from an acceptable |
rating
agency in establishing the maximum rating of a
|
certified reinsurer. |
(6) Based on the analysis conducted under item (e) |
of subparagraph (5) of this paragraph (C-5) of a |
certified reinsurer's reputation for prompt payment of |
claims, the Director may make appropriate adjustments |
in the security the certified reinsurer is required to |
|
post to protect its liabilities to U.S. ceding |
insurers, provided that the Director shall, at a |
minimum, increase the security the certified reinsurer |
is required to post by one rating level under item (a) |
of subparagraph (8) of this paragraph (C-5) if the |
Director finds that: |
(a) more than 15% of the certified reinsurer's |
ceding insurance clients have overdue reinsurance |
recoverables on paid losses of 90 days or more that |
are not in dispute and that exceed $100,000 for |
each cedent; or |
(b) the aggregate amount of reinsurance |
recoverables on paid losses that are not in dispute |
that are overdue by 90 days or more exceeds |
$50,000,000. |
(7) The Director shall post notice on the |
Department's website promptly upon receipt of any |
application for certification, including instructions |
on how members of the public may respond to the |
application. The Director may not take final action on |
the application until at least 30 days after posting |
the notice required by this subparagraph. The Director |
shall publish a list of all certified reinsurers and |
their ratings. |
(8) A certified reinsurer shall secure obligations |
assumed from U.S. ceding insurers under this |
|
subsection (1) at a level consistent with its rating. |
(a) The amount of security required in order |
for full credit to be allowed shall correspond with |
the applicable ratings category: |
Secure - 1: 0%. |
Secure - 2: 10%. |
Secure - 3: 20%. |
Secure - 4: 50%. |
Secure - 5: 75%. |
Vulnerable - 6: 100%. |
(b) Nothing in this subparagraph (8) shall |
prohibit the parties to a reinsurance agreement |
from agreeing to provisions establishing security |
requirements that exceed the minimum security |
requirements established for certified reinsurers |
under this Section. |
(c) In order for a domestic ceding insurer to |
qualify for full financial statement credit for |
reinsurance ceded to a certified reinsurer, the |
certified reinsurer shall maintain security in a |
form acceptable to the Director and consistent |
with the provisions of subsection (2) of this |
Section, or in a multibeneficiary trust in |
accordance with paragraph (C) of this
subsection |
(1), except as otherwise provided in this |
subparagraph (8). |
|
(d) If a certified reinsurer maintains a trust |
to fully secure its obligations subject to |
paragraph (C) of this subsection (1), and chooses |
to secure its obligations incurred as a certified |
reinsurer in the form of a multibeneficiary trust, |
then the certified reinsurer shall maintain |
separate trust accounts for its obligations |
incurred under reinsurance
agreements issued or |
renewed as a certified reinsurer with reduced |
security as permitted by this subsection or |
comparable laws of other U.S. jurisdictions and |
for its obligations subject to paragraph (C) of |
this subsection (1). It shall be a condition to the |
grant of certification under this paragraph (C-5) |
that the certified reinsurer shall have bound |
itself, by the language of the trust and agreement |
with the
Director with principal regulatory |
oversight of each such trust account, to fund, upon |
termination of any such trust account, out of the |
remaining surplus of such trust any deficiency of |
any other such trust account. The certified |
reinsurer shall also provide or make available, if |
requested by a beneficiary under a trust, all the |
information that is required to be provided under |
the requirements of item (d) of subparagraph (2) of |
paragraph (C) of this subsection (1) to the |
|
certified reinsurer's U.S. ceding insurers or |
their assigns and successors in interest. The |
assuming insurer may decline to release trade |
secrets or commercially sensitive information that |
would qualify as exempt from disclosure under the |
Freedom of Information Act. |
(e) The minimum trusteed surplus requirements |
provided in paragraph (C) of this subsection (1) |
are not applicable with respect to a |
multibeneficiary trust maintained by a certified |
reinsurer for the purpose of securing obligations |
incurred under this subsection, except that such |
trust shall maintain a minimum trusteed surplus of |
$10,000,000. |
(f) With respect to obligations incurred by a |
certified reinsurer under this subsection (1), if |
the security is insufficient, then the Director |
may reduce the allowable credit by an amount |
proportionate to the deficiency and may impose |
further reductions in allowable credit upon |
finding that there is a material risk that the |
certified reinsurer's obligations will not be paid |
in full when due. |
(9)(a) In the case of a downgrade by a rating |
agency or other disqualifying circumstance, the |
Director shall by written notice assign a new rating to |
|
the certified reinsurer in accordance with the |
requirements of subparagraph (5) of this paragraph |
(C-5). |
(b) If the rating of a certified reinsurer is |
upgraded by the Director, then the certified reinsurer |
may meet the security requirements applicable to its |
new rating on a prospective basis, but the Director |
shall require the certified reinsurer to post security |
under the previously applicable security requirements |
as to all contracts in force on or before the effective |
date of the upgraded rating. If the rating of a |
certified reinsurer is downgraded by the Director, |
then the Director shall require the certified |
reinsurer to meet the security requirements applicable |
to its new rating for all business it has assumed as a |
certified reinsurer. |
(c) The Director may suspend, revoke, or otherwise |
modify a certified reinsurer's certification at any |
time if the certified reinsurer fails to meet its |
obligations or security requirements under this |
Section or if other financial or operating results of |
the certified reinsurer, or documented significant |
delays in payment by the certified reinsurer, lead the |
Director to reconsider the certified reinsurer's |
ability or willingness to meet its contractual |
obligations. In seeking to suspend, revoke, or |
|
otherwise modify a certified reinsurer's |
certification, the Director shall follow the |
procedures provided in paragraph (G) of this |
subsection (1). |
(d) For purposes of this subsection (1), a |
certified reinsurer whose certification has been |
terminated for any reason shall be treated as a |
certified reinsurer required to secure 100% of its |
obligations. |
(i) As used in this item (d), the term |
"terminated" refers to revocation, suspension, |
voluntary surrender and inactive status. |
(ii) If the Director continues to assign a |
higher rating as permitted by other provisions of |
this Section, then this requirement does not apply |
to a certified reinsurer in inactive status or to a |
reinsurer whose certification has been suspended. |
(e) Upon revocation of the certification of a |
certified reinsurer by the Director, the assuming |
insurer shall be required to post security in |
accordance with subsection (2) of this Section in order |
for the ceding insurer to continue to take credit for |
reinsurance ceded to the assuming insurer. If funds |
continue to be held in trust, then the Director may |
allow additional credit equal to the ceding insurer's |
pro rata share of the funds, discounted to reflect the |
|
risk of uncollectibility and anticipated expenses of |
trust administration. |
(f) Notwithstanding the change of a certified |
reinsurer's rating or revocation of its certification, |
a domestic insurer that has ceded reinsurance to that |
certified reinsurer may not be denied credit for |
reinsurance for a period of 3 months for all |
reinsurance ceded to that certified reinsurer, unless |
the reinsurance is found by the Director to be at high |
risk of uncollectibility. |
(10) A certified reinsurer that ceases to assume |
new business in this State may request to maintain its |
certification in inactive status in order to continue |
to qualify for a reduction in security for its in-force |
business. An inactive certified reinsurer shall |
continue to comply with all applicable requirements of |
this subsection (1), and the Director shall assign a |
rating that takes into account, if relevant, the |
reasons why the reinsurer is not assuming new business. |
(11) Credit for reinsurance under this paragraph |
(C-5)
shall apply only to reinsurance contracts |
entered
into or renewed on or after the effective date |
of
the certification of the assuming insurer. |
(12) The Director shall comply with all reporting |
and notification requirements that may be established |
by the NAIC with respect to certified reinsurers and |
|
qualified jurisdictions.
|
(D) Credit shall be allowed when the reinsurance is |
ceded to an assuming
insurer not meeting the requirements |
of paragraph subsection (1) (A), (B), or (C) of this |
subsection (1)
but only with respect to the insurance of |
risks located in jurisdictions
where that reinsurance is |
required by applicable law or regulation of that
|
jurisdiction.
|
(E) If the assuming insurer is not licensed to transact |
insurance in
this State or an accredited or certified |
reinsurer in this State, the credit permitted
by paragraphs |
(B-5) and subsection (1) (C) of this subsection (1) shall |
not be allowed unless the assuming insurer
agrees in the |
reinsurance agreements:
|
(1) that in the event of the failure of the |
assuming insurer to perform
its obligations under the |
terms of the reinsurance agreement, the assuming
|
insurer, at the request of the ceding insurer, shall |
submit to the
jurisdiction of any court of competent |
jurisdiction in any state of the
United States, will |
comply with all requirements necessary to give the
|
court jurisdiction, and will abide by the final |
decision of the court or of
any appellate court in the |
event of an appeal; and
|
(2) to designate the Director or a designated |
attorney as its true and
lawful attorney upon whom may |
|
be served any lawful process in any action,
suit, or |
proceeding instituted by or on behalf of the ceding |
company.
|
This provision is not intended to conflict with or |
override the
obligation of the parties to a reinsurance |
agreement to arbitrate their
disputes, if an obligation to |
arbitrate is created in the agreement.
|
(F) If the assuming insurer does not meet the |
requirements of paragraph (A) or (B) of this
subsection (1) |
(1)(A) or (B) , the credit permitted by paragraph (C) of |
this subsection (1) (1)(C) shall not
be allowed unless the |
assuming insurer agrees in the trust agreements to the
|
following conditions:
|
(1) Notwithstanding any other provisions in the |
trust instrument, if the
trust fund is inadequate |
because it contains an amount less than the amount
|
required by subparagraph (3) of paragraph (C) |
subsection (C)(3) of this subsection (1) Section or if |
the grantor of the trust
has been declared insolvent or |
placed into receivership, rehabilitation,
liquidation, |
or similar proceedings under the laws of its state or |
country of
domicile, the trustee shall comply with an |
order of the state official with
regulatory oversight |
over the trust or with an order of a court of competent
|
jurisdiction directing the trustee to transfer to the |
state official with
regulatory oversight all of the |
|
assets of the trust fund.
|
(2) The assets shall be distributed by and claims |
shall be filed with
and valued by the state official |
with regulatory oversight in accordance with
the laws |
of the state in which the trust is domiciled that are |
applicable to
the liquidation of domestic insurance |
companies.
|
(3) If the state official with regulatory |
oversight determines that the
assets of the trust fund |
or any part thereof
are not necessary to satisfy the |
claims of the U.S. ceding insurers of the
grantor of |
the trust, the assets or part thereof shall be returned |
by the state
official with regulatory oversight to the |
trustee for distribution in
accordance with the trust |
agreement.
|
(4) The grantor shall waive any rights otherwise |
available to it under
U.S. law that are inconsistent |
with the provision.
|
(G) If an accredited or certified reinsurer ceases to |
meet the requirements for accreditation or certification, |
then the Director may suspend or revoke the reinsurer's |
accreditation or certification. |
(1) The Director must give the reinsurer notice and |
opportunity for hearing. The suspension or revocation |
may not take effect until after the Director's order on |
hearing, unless: |
|
(a) the reinsurer waives its right to hearing; |
(b) the Director's order is based on |
regulatory action by the reinsurer's domiciliary |
jurisdiction or the voluntary surrender or |
termination of the reinsurer's eligibility to |
transact insurance or reinsurance business in its |
domiciliary jurisdiction or in the primary |
certifying state of the reinsurer under |
subparagraph (4) of paragraph (C-5) of this |
subsection (1); or |
(c) the Director finds that an emergency |
requires immediate action and a court of competent |
jurisdiction has not stayed the Director's action. |
(2) While a reinsurer's accreditation or |
certification is suspended, no reinsurance
contract |
issued or renewed after the effective date of the |
suspension qualifies for credit except to the extent |
that the reinsurer's obligations under the contract |
are secured in accordance with subsection (2) of this |
Section. If a reinsurer's accreditation or |
certification is revoked, no credit for reinsurance |
may be granted after the effective date of the |
revocation, except to the extent that the reinsurer's |
obligations under the contract are secured in |
accordance with subsection (2) of this Section. |
(H) The following provisions shall apply concerning |
|
concentration of risk: |
(1) A ceding insurer shall take steps to manage its |
reinsurance recoverable proportionate to its own book |
of business. A domestic ceding insurer shall notify the |
Director within 30 days after reinsurance recoverables |
from any single assuming insurer, or group of |
affiliated assuming insurers, exceeds 50% of the |
domestic ceding insurer's last reported surplus to |
policyholders, or after it is determined that |
reinsurance recoverables from any single assuming |
insurer, or group of affiliated assuming insurers, is |
likely to exceed this limit. The notification shall |
demonstrate that the exposure is safely managed by the |
domestic ceding insurer. |
(2) A ceding insurer shall take steps to diversify |
its reinsurance program. A domestic ceding insurer |
shall notify the Director within 30 days after ceding |
to any single assuming insurer, or group of affiliated |
assuming insurers, more than 20% of the ceding |
insurer's gross written premium in the prior calendar |
year, or after it has determined that the reinsurance |
ceded to any single assuming insurer, or group of |
affiliated assuming insurers, is likely to exceed this |
limit. The notification shall demonstrate that the |
exposure is safely managed by the domestic ceding |
insurer. |
|
(2) Credit for the reinsurance ceded by a
domestic
insurer |
to an assuming insurer not meeting the requirements of |
subsection
(1) of this Section shall be allowed in an amount |
not exceeding the assets or liabilities
carried by
the ceding |
insurer. The credit shall not exceed the amount of funds held
|
by or held in trust for the ceding insurer under a reinsurance |
contract with the assuming insurer
as security for the payment |
of obligations thereunder, if the security is
held in the |
United States subject to withdrawal solely by, and under the
|
exclusive control of, the ceding insurer; or, in the case of a |
trust, held
in a qualified United States financial institution, |
as defined in paragraph (B) of
subsection (3) of this Section |
(3)(B) . This security may be in the form of:
|
(A) Cash.
|
(B) Securities listed by the Securities Valuation |
Office of the National
Association of Insurance |
Commissioners , including those deemed exempt from filing |
as defined by the Purposes and Procedures Manual of the |
Securities Valuation Office that conform to the |
requirements
of Article VIII of this Code that are not |
issued by an affiliate of either
the assuming or ceding |
company.
|
(C) Clean, irrevocable, unconditional, letters of |
credit issued or
confirmed by a qualified United States |
financial institution, as defined in paragraph (A) of
|
subsection (3) of this Section (3)(A) . The letters of |
|
credit shall be effective no
later than December 31 of the |
year for which filing is being
made, and in the possession |
of, or in trust for, the ceding company on or
before the |
filing date of its annual statement. Letters of credit |
meeting
applicable standards of issuer acceptability as of |
the dates of their
issuance (or confirmation) shall, |
notwithstanding the issuing (or
confirming) institution's |
subsequent failure to meet applicable standards
of issuer |
acceptability, continue to be acceptable as security until |
their
expiration, extension, renewal, modification, or |
amendment, whichever first
occurs. |
(D) Any other form of security acceptable to the |
Director.
|
(3)(A) For purposes of paragraph (C) of subsection (2) of |
this Section subsection 2(C) , a "qualified United States
|
financial institution" means an institution that:
|
(1) is organized or, in the case of a U.S. office of a |
foreign
banking organization, licensed under the laws of |
the United States or
any state thereof;
|
(2) is regulated, supervised, and examined by U.S. |
federal or state
authorities having regulatory authority |
over banks and trust companies;
|
(3) has been designated by either the Director or the |
Securities
Valuation Office of the
National Association of |
Insurance Commissioners as meeting such
standards of |
financial condition and standing as are considered |
|
necessary and
appropriate to regulate the quality of |
financial institutions whose letters of
credit will be |
acceptable to the Director; and
|
(4) is not affiliated with the assuming company.
|
(B) A "qualified United States financial institution" |
means, for
purposes of those provisions of this law specifying |
those institutions that
are eligible to act as a fiduciary of a |
trust, an institution that:
|
(1) is organized or, in the case of the U.S. branch or |
agency office of
a foreign banking organization, licensed |
under the laws of the United States or
any state thereof |
and has been granted authority to operate with fiduciary
|
powers;
|
(2) is regulated, supervised, and examined by federal |
or state
authorities having regulatory authority over |
banks and trust companies; and
|
(3) is not affiliated with the assuming company, |
however, if the
subject of the reinsurance contract is |
insurance written pursuant to
Section 155.51 of this Code, |
the financial institution may be affiliated
with the |
assuming company with the prior approval of the Director. |
(C) Except as set forth in subparagraph (11) of paragraph |
(C-5) of subsection (1) of this Section as to cessions by |
certified reinsurers, this amendatory Act of the 100th General |
Assembly shall apply to all cessions after the effective date |
of this amendatory Act of the 100th General Assembly under |
|
reinsurance agreements that have an inception, anniversary, or |
renewal date not less than 6 months after the effective date of |
this amendatory Act of the 100th General Assembly.
|
(D) The Department shall adopt rules implementing the |
provisions of this Article. |
(Source: P.A. 90-381, eff. 8-14-97.)
|
(215 ILCS 5/456) (from Ch. 73, par. 1065.3)
|
Sec. 456. Making of rates. (1) All rates shall be made in |
accordance with the following provisions:
|
(a) Due consideration shall be given to past and |
prospective loss
experience within and outside this state, to |
catastrophe hazards, if
any, to a reasonable margin for profit |
and contingencies,
to dividends, savings or unabsorbed premium |
deposits allowed or returned
by companies to their |
policyholders, members or subscribers, to past and
prospective |
expenses both countrywide and those specially applicable to
|
this state, to underwriting practice and judgment and to all |
other
relevant factors within and outside this state;
|
(b) The systems of expense provisions included in the rates |
for use
by any company or group of companies may differ from |
those of other
companies or groups of companies to reflect the |
requirements of the
operating methods of any such company or |
group with respect to any kind
of insurance, or with respect to |
any subdivision or combination thereof
for which subdivision or |
combination separate expense provisions are
applicable;
|
|
(c) Risks may be grouped by classifications for the |
establishment of
rates and minimum premiums. Classification |
rates may be modified to
produce rates for individual risks in |
accordance with rating plans which
measure variation in hazards |
or expense provisions, or both. Such rating
plans may measure |
any differences among risks that have a probable
effect upon |
losses or expenses;
|
(d) Rates shall not be excessive, inadequate or unfairly
|
discriminatory.
|
A rate in a competitive market is not excessive. A rate in |
a noncompetitive
market is excessive if it is likely to produce |
a long run profit that is
unreasonably high for the insurance |
provided or if expenses are unreasonably
high in relation to |
the services rendered.
|
A rate is not inadequate unless such rate is clearly |
insufficient to sustain
projected losses and expenses in the |
class of business to which it applies
and the use of such rate |
has or, if continued, will have the effect of substantially
|
lessening competition or the tendency to create monopoly in any |
market.
|
Unfair discrimination exists if, after allowing for |
practical limitations,
price differentials fail to reflect |
equitably the differences in expected
losses and expenses. A |
rate is not unfairly discriminatory because different
premiums |
result for policyholders with like exposures but different |
expenses,
or like expenses but different loss exposures, so |
|
long as the rate reflects
the differences with reasonable |
accuracy.
|
(e) The rating plan shall contain a mandatory offer of a |
deductible applicable
only to the medical benefit under the |
Workers' Compensation Act.
Such deductible offer shall be in a |
minimum amount of at least $1,000 per accident.
|
(f) Any rating plan or program shall include a rule |
permitting 2 or more
employers with similar risk |
characteristics, who participate in a loss prevention
program |
or safety group, to pool their premium and loss experience in |
determining
their rate or premium for such participation in the |
program.
|
(2) Except to the extent necessary to meet the provisions |
of
subdivision (d) of subsection (1) of this Section, |
uniformity among
companies in any matters within the scope of |
this Section is neither
required nor prohibited.
|
(Source: P.A. 82-939.)
|
(215 ILCS 5/457) (from Ch. 73, par. 1065.4)
|
Sec. 457. Rate filings. (1) Every Beginning January 1, |
1983, every company
shall prefile file with the Director every |
manual of classifications, every manual
of rules and rates, |
every rating plan and every modification of the foregoing
which |
it intends to use. Such filings shall be made at least not |
later than 30 days before
after they become effective.
A |
company may satisfy its obligation to make such filings by |
|
adopting the
filing of a licensed rating organization of which |
it is a member or subscriber,
filed pursuant to subsection (2) |
of this Section, in total or , with the approval of the |
Director, by notifying
the Director in what respects it intends |
to deviate from such filing. If a company intends to deviate |
from the filing of a licensed rating organization of which it |
is a member, the company shall provide the Director with |
supporting information that specifies the basis for the |
requested deviation and provides justification for the |
deviation. Any
company adopting a pure premium filed by a |
rating organization pursuant to subsection
(2) must file with |
the Director the modification factor it is using for
expenses |
and profit so that the final rates in use by such company can |
be determined.
|
(2) Each Beginning January 1, 1983, each licensed rating |
organization must prefile
file with the Director every manual |
of classification, every manual of rules
and advisory rates, |
every pure premium which has been fully adjusted and
fully |
developed, every rating plan and every modification of any of |
the
foregoing which it intends to recommend for use to its |
members and subscribers,
at least not later than 30 days before |
after such manual, premium, plan or modification
thereof takes |
effect. Every licensed rating organization shall also file
with |
the Director the rate classification system, all rating rules, |
rating
plans, policy forms, underwriting rules or similar |
materials, and each modification
of any of the foregoing which |
|
it requires its members and subscribers to
adhere to not later |
than 30 days before such filings or modifications thereof
are |
to take effect. Every such filing shall state the proposed |
effective
date thereof and shall indicate the character and |
extent of the coverage contemplated.
|
(3) A filing and any supporting information made pursuant |
to this Section
shall be open to public inspection as soon as |
filed after the filing becomes effective .
|
(4) A filing shall not be effective nor used until approved |
by the Director. A filing shall be deemed approved and legally |
effective if the Director fails to disapprove within 30 days |
after the filing. |
(Source: P.A. 82-939.)
|
(215 ILCS 5/458) (from Ch. 73, par. 1065.5)
|
Sec. 458. Disapproval of filings. (1) If within 30 thirty |
days of any filing the Director
finds that such filing does not |
meet the requirements of this Article, he
shall send to the |
company or rating organization which made such filing a
written |
notice of disapproval of such filing, specifying therein in |
what
respects he finds that such filing fails to meet the |
requirements of this
Article and stating when, within a |
reasonable period thereafter, such
filing shall be deemed no |
longer effective . A company or rating organization whose filing |
has been disapproved shall be given a hearing upon a written |
request made within 30 days after the disapproval order. If the |
|
company or rating
organization making the filing shall, prior |
to the expiration of the period
prescribed in the notice, |
request a hearing, such filings shall be
effective until the |
expiration of a reasonable period specified in any
order |
entered thereon. If the rate resulting from such filing be |
unfairly
discriminatory or materially inadequate, and the |
difference
between such rate and the approved rate equals or |
exceeds the cost of
making an adjustment, the Director shall in |
such notice or order direct an
adjustment of the premium to be |
made with the policyholder either by refund
or collection of |
additional premium. If the policyholder does not accept
the |
increased rate, cancellation shall be made on a pro rata basis. |
Any
policy issued pursuant to this subsection shall contain a |
provision that
the premium thereon shall be subject to |
adjustment upon the basis of the
filing finally approved.
|
(2) If at any time subsequent to the applicable review |
period provided
for in subsection (1) of this Section, the |
Director finds that a
filing does not meet the requirements of |
this Article, he shall, after a
hearing held upon not less than |
ten days written notice, specifying the
matters to be |
considered at such hearing, to every company and rating
|
organization which made such filing, issue an order specifying |
in what
respects he finds that such filing fails to meet the |
requirements of this
Article, and stating when, within a |
reasonable period thereafter, such
filings shall be deemed no |
longer effective. Copies of said order shall be
sent to every |
|
such company and rating organization. Said order shall not
|
affect any contract or policy made or issued prior to the |
expiration of the
period set forth in said order.
|
(3) Any person or organization aggrieved with respect to |
any filing
which is in effect may make written application to |
the Director for a
hearing thereon, provided, however, that the |
company or rating organization
that made the filing shall not |
be authorized to proceed under this
subsection. Such |
application shall specify the grounds to be relied upon by
the |
applicant. If the Director shall find that the application is |
made in
good faith, that the applicant would be so aggrieved if |
his grounds are
established, and that such grounds otherwise |
justify holding such a
hearing, he shall, within thirty days |
after receipt of such application,
hold a hearing upon not less |
than ten days written notice to the applicant
and to every |
company and rating organization which made such filing.
|
If, after such hearing, the Director finds that the filing |
does not meet
the requirements of this Article, he shall issue |
an order specifying in
what respects he finds that such filing |
fails to meet the requirements of
this Article, and stating |
when, within a reasonable period thereafter, such
filing shall |
be deemed no longer effective. Copies of said order shall be
|
sent to the applicant and to every such company and rating |
organization.
Said order shall not affect any contract or |
policy made or issued prior to
the expiration of the period set |
forth in said order.
|
|
(4) Whenever an insurer has no legally effective rates as a |
result of the Director's disapproval of rates or other act, the |
Director shall on request of the insurer specify interim rates |
for the insurer that are high enough to protect the interests |
of all parties and may order that a specified portion of the |
premiums be placed in an escrow account approved by him or her. |
When new rates become legally effective, the Director shall |
order the escrowed funds or any overcharge in the interim rates |
to be distributed appropriately, except that refunds to |
policyholders that are de minimis shall not be required. |
(Source: P.A. 82-939.)
|
(215 ILCS 5/462a new) |
Sec. 462a. Premium increase notice. A policy of workers' |
compensation insurance issued, delivered, amended, or renewed |
on or after January 1, 2019 shall remain in full force and |
effect subject to the same terms and conditions, loss cost |
multipliers, and classification of the employer with regard to |
the payment of dividends, unless written notice is mailed or |
delivered by the insurer to the employer, at the address shown |
on the policy, and to the employer's authorized agent or |
broker, indicating the insurer's intention to condition |
renewal upon issuance of a policy that supersedes the policy |
previously issued and that will result in a premium in excess |
of 5% above the rate recommendation filed with the Department, |
exclusive of any premium increase generated as a result of |
|
increased loss costs or increased exposure units or as a result |
of experience rating, contractor credit adjustment program, |
large deductible, retrospective rating, or audit. The notice |
shall be delivered at least 30 days in advance of the |
expiration date of the policy, and shall set forth: (1) the |
amount of the premium increase or, if the amount cannot |
reasonably be determined as of the time the notice is provided, |
a reasonable estimate of the premium increase based upon the |
information available to the insurer at that time; and (2) the |
reason for the increased premium in excess of the rate |
recommendation filed with the Department. Nothing in this |
Section requires the insurer to provide notice when the |
employer, an agent or broker authorized by the employer, or |
another insurer of the employer has delivered written notice |
that the policy has been replaced or is no longer desired.
|
(215 ILCS 5/123C-4 rep.)
|
(215 ILCS 5/460 rep.) |
Section 95. The Illinois Insurance Code is amended by |
repealing Sections 123C-4 and 460.
|
Section 99. Effective date. This Act takes effect upon |
becoming law, except that the provisions changing Sections 456, |
457, and 458 of the Illinois Insurance Code and the provisions |
repealing Section 460 of the Illinois Insurance Code take |
effect February 1, 2019.
|