2019 -- H 6184 SUBSTITUTE A AS AMENDED | |
======== | |
LC002568/SUB A/2 | |
======== | |
STATE OF RHODE ISLAND | |
IN GENERAL ASSEMBLY | |
JANUARY SESSION, A.D. 2019 | |
____________ | |
A N A C T | |
RELATING TO INSURANCE -- LIFE INSURANCE POLICIES AND RESERVES | |
| |
Introduced By: Representatives Caldwell, Speakman, Mendez, Vella-Wilkinson, and | |
Date Introduced: June 05, 2019 | |
Referred To: House Health, Education & Welfare | |
It is enacted by the General Assembly as follows: | |
1 | SECTION 1. Chapter 27-4 of the General Laws entitled "Life Insurance Policies and |
2 | Reserves" is hereby amended by adding thereto the following section: |
3 | 27-4-1.1. Denial of applicant based on naloxone prescription. |
4 | (a) No life insurance company organized or doing business within this state shall: |
5 | (1) Deny the application of an individual seeking coverage for any life insurance policy |
6 | pursuant to this chapter solely on the basis that the applicant has a prescription to carry or possess |
7 | the drug naloxone; |
8 | (2) Otherwise discriminate in the offering, issuance, cancellation, amount of coverage, |
9 | price or any other condition of a life insurance policy based solely and without any additional |
10 | actuarial justification upon the fact that an individual has been issued a prescription for naloxone |
11 | or has purchased naloxone. |
12 | (b) Any denial of insurance coverage in violation of the provisions of this section: |
13 | (i) Shall be void; |
14 | (ii) The insurer shall reopen the application and underwriting process for consideration of |
15 | coverage and the life insurance company shall be deemed to have provided coverage to the |
16 | eligible person retroactive to the date of the initial application. |
17 | SECTION 2. Section 27-4.8-1 of the General Laws in Chapter 27-4.8 entitled "Group |
18 | Life Insurance" is hereby amended to read as follows: |
19 | 27-4.8-1. Group life insurance definitions. |
| |
1 | Except as provided in 27-4.8-2, no policy of group life insurance shall be delivered in this |
2 | state unless it conforms to one of the following descriptions: |
3 | (1) A policy issued to an employer, or to the trustees of a fund established by an |
4 | employer, which employer or trustees shall be deemed the policyholder, to insure employees of |
5 | the employer for the benefit of persons other than the employer, subject to the following |
6 | requirements: |
7 | (i) The employees eligible for insurance under the policy shall be all of the employees of |
8 | the employer, or all of any class or classes thereof. The policy may provide that the term |
9 | "employees" shall include the employees of one or more subsidiary corporations, and the |
10 | employees, individual proprietors, and partners of one or more affiliated corporations, |
11 | proprietorships or partnerships if the business of the employer and of the affiliated corporations, |
12 | proprietorships or partnerships is under common control. The policy may provide that the term |
13 | "employees" shall include the individual proprietor or partners if the employer is an individual |
14 | proprietorship or partnership. The policy may provide that the term "employees" may include |
15 | retired employees, former employees and directors of a corporate employer. A policy issued to |
16 | insure the employees of a public body may provide that the term "employees" shall include |
17 | elected or appointed officials. |
18 | (ii) The premium for the policy shall be paid either from the employer's funds or from |
19 | funds contributed by the insured employees, or from both. Except as provided in paragraph (iii), a |
20 | policy on which no part of the premium is to be derived from funds contributed by the insured |
21 | employees shall insure all eligible employees, except those who reject the coverage in writing. |
22 | (iii) An insurer may exclude or limit the coverage on any person as to whom evidence of |
23 | individual insurability is not satisfactory to the insurer; provided, however, that any exclusion or |
24 | limitation shall not be based solely on the fact that the person has a prescription to carry or |
25 | possess the drug naloxone. |
26 | (2) A policy issued to a creditor or its parent holding company or to a trustee or trustees |
27 | or agent designated by two (2) or more creditors, which creditor, holding company, affiliate, |
28 | trustee, trustees or agent shall be deemed the policyholder, to insure debtors of the creditor or |
29 | creditors subject to the following requirements: |
30 | (i) The debtors eligible for insurance under the policy shall be all of the debtors of the |
31 | creditor or creditors, or all of any class or classes thereof. The policy may provide that the term |
32 | "debtors" shall include: |
33 | (A) Borrowers of money or purchasers or lessees of goods, services or property for which |
34 | payment is arranged through a credit transaction; |
| LC002568/SUB A/2 - Page 2 of 7 |
1 | (B) The debtors of one or more subsidiary corporations; and |
2 | (C) The debtors of one or more affiliated corporations, proprietorships or partnerships if |
3 | the business of the policyholder and of the affiliated corporations, proprietorships or partnerships |
4 | is under common control. |
5 | (ii) The premium for the policy shall be paid either from the creditor's finds, or from |
6 | charges collected from the insured debtors, or from both. Except as provided in paragraph (3), a |
7 | policy on which no part of the premium is to be derived from the funds contributed by insured |
8 | debtors specifically for their insurance shall insure all eligible debtors. |
9 | (iii) An insurer may exclude any debtors as to whom evidence of individual insurability is |
10 | not satisfactory to the insurer; provided, however, that any exclusion shall not be based solely on |
11 | the fact that the person has a prescription to carry or possess the drug naloxone. |
12 | (iv) The amount of the insurance on the life of any debtor shall at no time exceed the |
13 | greater of the scheduled or actual amount of unpaid indebtedness to the creditor, except that |
14 | insurance written in connection with open-end credit having a credit limit exceeding ten-thousand |
15 | dollars ($10,000) may be in an amount not exceeding the credit limit. |
16 | (v) The insurance may be payable to the creditor or any successor to the right, title, and |
17 | interest of the creditor. The payment shall reduce or extinguish the unpaid indebtedness of the |
18 | debtor to the extent of the payment and any excess of the insurance shall be payable to the estate |
19 | of the insured. |
20 | (vi) Notwithstanding the provisions of the above subsections, insurance on agricultural |
21 | non-decreasing or level term plan. Insurance on educational credit transaction commitments may |
22 | be written up to the amount of the loan commitment less the amount of any repayments made on |
23 | the loan. |
24 | (3) A policy issued to a labor union, or similar employee organization, which shall be |
25 | deemed to be the policyholder, to insure members of the union or organization for the benefit of |
26 | persons other than the union or organization or any of its officials, representatives or agents, |
27 | subject to the following requirements: |
28 | (i) The members eligible for insurance under the policy shall be all of the members of the |
29 | union or organization, or all of any class or classes thereof. |
30 | (ii) The premium for the policy shall be paid either from funds of the union or |
31 | organization, or from funds contributed by the insured members specifically for their insurance, |
32 | or from both. Except as provided in paragraph (iii), a policy on which no part of the premium is |
33 | to be derived from funds contributed by the insured members specifically for their insurance shall |
34 | insure all eligible members, except those who reject the coverage in writing. |
| LC002568/SUB A/2 - Page 3 of 7 |
1 | (iii) An insurer may exclude or limit the coverage on any persons to whom evidence of |
2 | individual insurability is not satisfactory to the insurer; provided, however, that any exclusion or |
3 | limitation shall not be based solely on the fact that the person has a prescription to carry or |
4 | possess the drug naloxone. |
5 | (4) A policy issued to a trust or to the trustees of a fund established or adopted by two (2) |
6 | or more employers, or by one or more labor unions or similar employee organizations, or by one |
7 | or more employers and one or more labor unions or similar employee organizations, which trust |
8 | or trustees shall be deemed the policyholder, to insure employees of the employers or members of |
9 | the unions or organizations for the benefit of person other than the employers or the unions or |
10 | organizations, subject to the following requirements: |
11 | (i) The persons eligible for insurance shall be all of the employees of the employers or all |
12 | of the members of the unions or organizations, or all of any class or classes thereof. The policy |
13 | may provide that the term "employees" shall include the employees of one or more subsidiary |
14 | corporations, and the employees, individual proprietors, and partners of one or more affiliated |
15 | corporations, proprietorships or partnerships if the business of the employer and of the affiliated |
16 | corporations, proprietorships or partnerships is under common control. The policy may provide |
17 | that the term "employees" shall include the individual proprietor or partners if the employer is an |
18 | individual proprietorship or partnership. The policy may provide that the term "employees" shall |
19 | include retired employees, former employees and directors of a corporate employer. The policy |
20 | may provide that the term "employees" shall include the trustees or their employees, or both, if |
21 | their duties are principally connected with the trusteeship. |
22 | (ii) The premium for the policy shall be paid from funds contributed by the employer or |
23 | employers of the insured persons, or by the union or unions or similar employee organizations, or |
24 | by both, or from funds contributed by the insured persons or from both the insured persons and |
25 | the employers or unions or similar employee organizations. Except as provided in paragraph (iii), |
26 | a policy on which no part of the premium is to be derived from funds contributed by the insured |
27 | persons specifically for their insurance shall insure all eligible persons, except those who reject |
28 | the coverage in writing. |
29 | (iii) An insurer may exclude or limit the coverage on any person as to whom evidence of |
30 | individual insurability is not satisfactory to the insurer; provided, however, that any exclusion or |
31 | limitation shall not be based solely on the fact that the person has a prescription to carry or |
32 | possess the drug naloxone. |
33 | (5) A policy issued to an association or to a trust or to the trustees of a fund established, |
34 | created, or maintained for the benefit of members of one or more associations. The association or |
| LC002568/SUB A/2 - Page 4 of 7 |
1 | associations shall have at the outset a minimum of one hundred (100) persons; shall have been |
2 | organized and maintained in good faith for purposes other than that obtaining insurance; shall |
3 | have been in active existence for at least two (2) years; and shall have a constitution and by-laws |
4 | which provides that: |
5 | (i) The association or associations hold regular meetings not less than annually to further |
6 | purposes of the members, |
7 | (ii) Except for credit unions, the association or associations, collect dues or solicit |
8 | contributions from members, and |
9 | (iii) The members have voting privileges and representation on the governing board and |
10 | committees. The policy shall be subject to the following requirements: |
11 | (A) The policy may insure members of the association or associations, employees thereof |
12 | or employees of members, or one or more of the preceding or all of any class or classes thereof |
13 | for the benefit of persons other than the employee's employer. |
14 | (B) The premium for the policy shall be paid from funds contributed by the association or |
15 | associations, or by employer members, or by both, or from funds contributed by the covered |
16 | persons or from both the covered persons and the association, associations, or employer members. |
17 | (C) Except as provided in paragraph (D), a policy on which no part of the premium is to |
18 | be derived from funds contributed by the covered persons specifically for the insurance shall |
19 | insure all eligible persons, except those who reject the coverage in writing. |
20 | (D) An insurer may exclude or limit the coverage on any person as to whom evidence of |
21 | individual insurability is not satisfactory to the insurer; provided, however, that any exclusion or |
22 | limitation shall not be based solely on the fact that the person has a prescription to carry or |
23 | possess the drug naloxone. |
24 | (6) A policy issued to a credit union or to a trustee or trustees or agent designated by two |
25 | (2) or more credit unions, which credit union, trustee, trustees, or agent shall be deemed |
26 | policyholder, to insure members of the credit union or credit unions for the benefit of persons |
27 | other than the credit union or credit unions, trustee or trustees, or agent or any of their officials, |
28 | subject to the following requirements: |
29 | (i) The members eligible for insurance shall be all of the members of the credit union or |
30 | credit unions, or all of any class or classes thereof. |
31 | (ii) The premium for the policy shall be paid by the policyholder from the credit union's |
32 | funds and, except as provided in paragraph (iii), shall insure all eligible members. |
33 | (iii) An insurer may exclude or limit the coverage on any member as to whom evidence |
34 | of individual insurability is not satisfactory to the insurer; provided, however, that any exclusion |
| LC002568/SUB A/2 - Page 5 of 7 |
1 | or limitation shall not be based solely on the fact that the person has a prescription to carry or |
2 | possess the drug naloxone. |
3 | SECTION 3. This act shall take effect upon passage and shall apply to any application for |
4 | life insurance filed on or after the effective date of this act. |
======== | |
LC002568/SUB A/2 | |
======== | |
| LC002568/SUB A/2 - Page 6 of 7 |
EXPLANATION | |
BY THE LEGISLATIVE COUNCIL | |
OF | |
A N A C T | |
RELATING TO INSURANCE -- LIFE INSURANCE POLICIES AND RESERVES | |
*** | |
1 | This act would prohibit a denial or limitation of coverage or an increase in insurance |
2 | premiums under a life insurance policy based on the fact that an individual has been issued a |
3 | prescription for naloxone or has purchased naloxone. A denial of insurance policy coverage in |
4 | violation of this act would be void as violation of public policy. |
5 | This act would take effect upon passage and shall apply to any application for life |
6 | insurance filed on or after the effective date of this act |
======== | |
LC002568/SUB A/2 | |
======== | |
| LC002568/SUB A/2 - Page 7 of 7 |