2022 -- H 7752 SUBSTITUTE A  | |
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LC004832/SUB A  | |
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STATE OF RHODE ISLAND  | |
IN GENERAL ASSEMBLY  | |
JANUARY SESSION, A.D. 2022  | |
____________  | |
A N A C T  | |
RELATING TO INSURANCE -- SURPLUS LINES INSURANCE  | |
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Introduced By: Representative Joseph J. Solomon  | |
Date Introduced: March 02, 2022  | |
Referred To: House Corporations  | |
(Dept. of Business Regulation)  | |
It is enacted by the General Assembly as follows:  | |
1  | SECTION 1. Section 27-3-38 of the General Laws in Chapter 27-3 entitled "Surplus Lines  | 
2  | Insurance" is hereby amended to read as follows:  | 
3  | 27-3-38. Surplus line brokers -- License -- Affidavit of inability to obtain insurance --  | 
4  | Reports and records -- Premium tax -- Notice to purchasers.  | 
5  | (a) The insurance commissioner may issue a surplus line broker's license to any person  | 
6  | authorizing the licensee to procure, subject to the restrictions provided in this section, policies of  | 
7  | insurance, except life and health and accident, except as allowed under § 27-3-38.3, from eligible  | 
8  | surplus lines insurers. Residents of this state must hold a property and casualty insurance producer  | 
9  | license to qualify for a surplus lines broker license. This license may be denied, suspended, or  | 
10  | revoked by the insurance commissioner whenever, in the commissioner's judgment, any of the  | 
11  | bases under § 27-2.4-14 exist. Before any license is issued by the insurance commissioner and  | 
12  | before each renewal of a license, there shall be filed in his or her office a written application by the  | 
13  | person desiring the license in the form, and containing any information, that the insurance  | 
14  | commissioner may prescribe. For the purposes of carrying out the provisions of the Nonadmitted  | 
15  | and Reinsurance Reform Act of 2010, the commissioner is authorized to utilize the national  | 
16  | insurance producer database of the National Association of Insurance Commissioners (NAIC), or  | 
17  | any other equivalent uniform national database, for the licensure of a person as a surplus lines  | 
18  | producer and for renewal of such license. For insureds whose home state is this state, a person shall  | 
19  | not procure a contract of surplus lines insurance with a nonadmitted insurer unless the person  | 
  | |
1  | possesses a current surplus lines insurance license issued by the commissioner.  | 
2  | (b) A Rhode Island resident business entity acting as a surplus line broker may elect to  | 
3  | obtain a surplus line broker license. Application shall be made using the uniform business entity  | 
4  | application. Prior to approving the application, the commissioner shall find both of the following:  | 
5  | (1) The business entity has paid the appropriate fees.  | 
6  | (2) The business entity has designated a licensed surplus line broker responsible for the  | 
7  | business entity's compliance with the insurance laws and rules of this state.  | 
8  | (c) When any policy of insurance is procured under the authority of that license, there shall  | 
9  | be executed, both by the licensee and by the insured, affidavits setting forth facts showing that the  | 
10  | insured, or a licensed Rhode Island producer, were unable, after diligent effort, to procure from no  | 
11  | less than three (3) admitted insurers the full amount of insurance required to protect the property  | 
12  | owned or controlled by the insured or the risks insured. Provided, however, the aforementioned  | 
13  | affidavit shall not be required when insuring the following interest: amusement parks and devices,  | 
14  | environmental improvement and/or remediation sites, vacant property or property under  | 
15  | renovation, demolition operations, event cancellation due to weather, railroad liability,  | 
16  | discontinued products, fireworks and pyrotechnics, warehouseman's legal liability, excess property  | 
17  | coverage, private flood, and contingent liability. In addition, no such affidavit is required for  | 
18  | exempt commercial purchasers as defined by the Nonadmitted and Reinsurance Reform Act of  | 
19  | 2010. For purposes of this section, residual market mechanisms shall not be considered authorized  | 
20  | insurers. Prior to renewing, continuing, or extending any policy, the licensed surplus line broker  | 
21  | must confirm that the insurer is on the insurance commissioner's list of approval surplus line  | 
22  | insurers in this state.  | 
23  | (d) The licensee shall keep a complete and separate record of all policies procured from  | 
24  | approved surplus lines insurers under the license and these records shall be open to the examination  | 
25  | of both the insurance commissioner and tax administrator at all reasonable times and shall show  | 
26  | the exact amount of each kind of insurance permitted under this section which has been procured  | 
27  | for each insured; the gross premiums charged by the insurers for each kind of insurance permitted  | 
28  | under this section which were returned to each insured; the name of the insurer or insurers which  | 
29  | issued each of these policies; the effective dates of these policies; and the terms for which these  | 
30  | policies were issued. The licensee shall file a yearly report with the insurance commissioner on a  | 
31  | form prescribed by the insurance commissioner showing the business procured under the surplus  | 
32  | line license for the preceding calendar year, and the report shall be due annually on or before April  | 
33  | 1.  | 
34  | (e) Every person, firm, or corporation licensed pursuant to the provisions of this section  | 
  | LC004832/SUB A - Page 2 of 32  | 
1  | shall file with the insurance commissioner, at the time of the insurance producer license renewal,  | 
2  | sufficient information, as determined by the insurance commissioner, whether a licensee or a person  | 
3  | acting on the licensee's behalf, has paid to the tax administrator, for all policies procured by the  | 
4  | licensee pursuant to the license during the next preceding calendar year, a tax, computed at the rate  | 
5  | of four percent (4%) on the gross premiums charged the insured by the insurers, less the amount of  | 
6  | premiums returned to the insured. The tax administrator shall provide to the insurance  | 
7  | commissioner, upon request, information needed to determine compliance with this subsection.  | 
8  | The content and nature of the information to be disclosed shall be determined and approved by the  | 
9  | tax administrator, shall be the minimum necessary to determine compliance, and shall be kept  | 
10  | confidential by the insurance commissioner.  | 
11  | (f) Every application form for insurance from a surplus lines insurer, every affidavit form  | 
12  | executed by the insured, and every policy (on its front and declaration pages) issued by the surplus  | 
13  | lines insurer, shall contain in ten-point (10) type the following notice:  | 
14  | NOTICE  | 
15  | THIS INSURANCE CONTRACT HAS BEEN PLACED WITH AN INSURER NOT  | 
16  | LICENSED TO DO BUSINESS IN THE STATE OF RHODE ISLAND BUT APPROVED AS A  | 
17  | SURPLUS LINES INSURER. THE INSURER IS NOT A MEMBER OF THE RHODE ISLAND  | 
18  | INSURERS INSOLVENCY FUND. SHOULD THE INSURER BECOME INSOLVENT, THE  | 
19  | PROTECTION AND BENEFITS OF THE RHODE ISLAND INSURERS INSOLVENCY FUND  | 
20  | ARE NOT AVAILABLE.  | 
21  | SECTION 2. Section 27-4.4-4 of the General Laws in Chapter 27-4.4 entitled "The  | 
22  | Standard Nonforfeiture Law for Individual Deferred Annuities" is hereby amended to read as  | 
23  | follows:  | 
24  | 27-4.4-4. Minimum values.  | 
25  | (a) The minimum values as specified in §§ 27-4.4-5 -- 27-4.4-8 and 27-4.4-10 of any paid-  | 
26  | up annuity, cash surrender, or death benefits available under an annuity contract shall be based  | 
27  | upon minimum nonforfeiture amounts as defined in this section.  | 
28  | (b) The minimum nonforfeiture amount at any time at or prior to the commencement of  | 
29  | any annuity payments shall be equal to an accumulation up to that time at rates of interest as  | 
30  | provided in subsection (d) of this section, the net considerations as defined in this section paid prior  | 
31  | to that time, decreased by the sum of:  | 
32  | (1) Any prior withdrawals from or partial surrenders of the contract accumulated at rates  | 
33  | of interest as provided in subsection (d) of this section; and  | 
34  | (2) The amount of any indebtedness to the company on the contract, including interest due  | 
  | LC004832/SUB A - Page 3 of 32  | 
1  | and accrued;  | 
2  | (3) An annual contract charge of fifty dollars ($50.00), accumulated at rates of interest as  | 
3  | provided in subsection (d) of this section; and  | 
4  | (4) Any premium tax paid by the company for the contract, accumulated at rates of interest  | 
5  | as provided in subsection (d) of this section.  | 
6  | (c) The net considerations for a given contract year used to define the minimum  | 
7  | nonforfeiture amount shall be an amount equal to eighty-seven and one-half percent (87.5%) of the  | 
8  | gross considerations credited to the contract during that contract year.  | 
9  | (d) The interest rate used in determining minimum nonforfeiture amounts shall be an  | 
10  | annual rate of interest determined as the lesser of three percent (3%) per annum and the following,  | 
11  | which shall be specified in the contract if the interest rate will be reset:  | 
12  | (1) The five (5) year Constant Maturity Treasury Rate reported by the Federal Reserve as  | 
13  | of a date, or average over a period, rounded to the nearest one twentieth of one percent (1/20%),  | 
14  | specified in the contract no longer than fifteen (15) months prior to the contract issue date or  | 
15  | redetermination date under subdivision (4) of this subsection;  | 
16  | (2) Reduced by one hundred twenty-five (125) basis points;  | 
17  | (3) Where the resulting interest rate is not less than one percent (1%) fifteen (15) basis  | 
18  | points (0.15%); and  | 
19  | (4) The interest rate shall apply for an initial period and may be redetermined for additional  | 
20  | periods. The redetermination date, basis and period, if any, shall be stated in the contract. The basis  | 
21  | is the date or average over a specified period that produces the value of the five (5) year Constant  | 
22  | Maturity Treasury Rate to be used at each redetermination date.  | 
23  | (e) During the period or term that a contract provides substantive participation in an equity  | 
24  | indexed benefit, it may increase the reduction described in subsection (d)(2) of this section above  | 
25  | by up to an additional one hundred (100) basis points to reflect the value of the equity index benefit.  | 
26  | The present value at the contract issue date, and at each redetermination date thereafter, of the  | 
27  | additional reduction shall not exceed the market value of the benefit. The commissioner of  | 
28  | insurance may require a demonstration that the present value of the reduction does not exceed the  | 
29  | market value of the benefit. Lacking such a demonstration that is acceptable to the commissioner,  | 
30  | the commissioner may disallow or limit the additional reduction.  | 
31  | (f) The commissioner of insurance may adopt rules to implement the provisions of  | 
32  | subsection (e) of this section and to provide for further adjustments to the calculation of minimum  | 
33  | nonforfeiture amounts for contracts that provide substantive participation in an equity index benefit  | 
34  | and for other contracts that the commissioner determines adjustments are justified.  | 
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1  | SECTION 3. Section 27-7.1-11.1 of the General Laws in Chapter 27-7.1 entitled "Workers'  | 
2  | Compensation Insurance" is hereby amended to read as follows:  | 
3  | 27-7.1-11.1. Challenge and review of application of rating system.  | 
4  | (a) An advisory organization and every insurer subject to this chapter which makes its own  | 
5  | rate shall provide within this state reasonable means where any person aggrieved by the application  | 
6  | of its rating system may upon that person's written request be heard in person or by the person's  | 
7  | authorized representative representative's written request to review the manner in which the rating  | 
8  | system has been applied in connection with the insurance afforded the aggrieved person.  | 
9  | (b) Any party affected by the action of an advisory organization or the insurer may, within  | 
10  | thirty (30) days after written notice of that action, make application, in writing, for an appeal to the  | 
11  | director, setting forth the basis for the appeal and the grounds to be relied upon by the applicant. If  | 
12  | the advisory organization or insurer fails to grant or reject the request within thirty (30) days after  | 
13  | it is made, the applicant may proceed in the same manner as if the application has been rejected.  | 
14  | (c) The director shall review the application and, if the director finds that the application is  | 
15  | made in good faith and that it sets forth on its face grounds which reasonably justify holding a  | 
16  | hearing, the director shall conduct a hearing held not less than ten (10) days after written notice to  | 
17  | the applicant and to an advisory organization or insurer. The director, after a hearing, shall affirm  | 
18  | or reverse the action of an advisory organization or insurer.  | 
19  | (d) If, after a hearing held under this section, it is determined that the rates charged by an  | 
20  | insurer are in excess of the appropriate rate, the overcharge shall be refunded to the insured.  | 
21  | SECTION 4. Section 27-29-4 of the General Laws in Chapter 27-29 entitled "Unfair  | 
22  | Competition and Practices" is hereby amended to read as follows:  | 
23  | 27-29-4. Unfair methods of competition and unfair or deceptive acts or practices  | 
24  | defined.  | 
25  | The following are defined as unfair methods of competition and unfair and deceptive acts  | 
26  | or practices in the business of insurance:  | 
27  | (1) Misrepresentations and false advertising of policies or contracts. Making, issuing,  | 
28  | circulating, or causing to be made, issued, or circulated, any estimate, illustration, circular, or  | 
29  | statement, sales presentation, omission, or comparison misrepresenting the terms of any policy  | 
30  | issued or to be issued or the benefits, conditions, or advantages promised by any policy or the  | 
31  | dividends or share of the surplus to be received on any policy, or making any false or misleading  | 
32  | statement as to the dividends or share of surplus previously paid on any policy, or making any  | 
33  | misleading representation or any misrepresentation as to the financial condition of any insurer, or  | 
34  | as to the legal reserve system upon which any life insurer operates, or using any name or title of  | 
  | LC004832/SUB A - Page 5 of 32  | 
1  | any policy or class of policies misrepresenting the true nature of that policy or class of policies, or  | 
2  | making any misrepresentation to any policyholder insured in any company including any  | 
3  | intentional misquote of a premium rate, for the purpose of inducing or tending to induce the  | 
4  | policyholder to lapse, forfeit, or surrender his or her insurance, or misrepresenting for the purpose  | 
5  | of effecting a pledge or assignment of or effecting a loan against any policy, or misrepresenting  | 
6  | any policy as being share or stock;  | 
7  | (2) False information and advertising generally. Making, publishing, disseminating,  | 
8  | circulating, or placing before the public or causing, directly or indirectly, to be made, published,  | 
9  | disseminated, circulated, or placed before the public in a newspaper, magazine, or other  | 
10  | publication, or in the form of a notice, circular, pamphlet, letter, or poster, or over any radio or  | 
11  | television station, or in any other way, an advertisement, announcement, or statement containing  | 
12  | any assertion, representation, or statement with respect to the business of insurance or with respect  | 
13  | to any person in the conduct of his or her insurance business that is untrue, deceptive, or misleading;  | 
14  | (3) Defamation. Making, publishing, disseminating, or circulating, directly or indirectly,  | 
15  | or aiding, abetting, or encouraging the making, publishing, disseminating, or circulating of any oral  | 
16  | or written statement or any pamphlet, circular, article of literature that is false or maliciously critical  | 
17  | of or derogatory to the financial condition of an insurer, and that is calculated to injure any person  | 
18  | engaged in the business of insurance;  | 
19  | (4) Boycott, coercion, and intimidation. Entering into any agreement to commit, or by any  | 
20  | concerted action committing, any act of boycott, coercion, or intimidation resulting in or tending  | 
21  | to result in unreasonable restraint of, or monopoly in, the business of insurance;  | 
22  | (5)(i) False financial statements. Knowingly filing with any supervisory or other public  | 
23  | official, or knowingly making, publishing, disseminating, circulating, or delivering to any person,  | 
24  | or placing before the public or causing directly or indirectly, to be made, published, disseminated,  | 
25  | circulated, delivered to any person, or placed before the public any false material statement of  | 
26  | financial condition of an insurer; or  | 
27  | (ii) Knowingly making any false entry of a material fact in any book, report, or statement  | 
28  | of any insurer or knowingly omitting to make a true entry of any material fact pertaining to the  | 
29  | business of the insurer in any book, report, or statement of the insurer;  | 
30  | (6) Stock operations and advisory board contracts. Issuing or delivering or permitting  | 
31  | agents, officers, or employees to issue or deliver agency company stock or other capital stock, or  | 
32  | benefit certificates or shares in any common law corporation, or securities of any special or advisory  | 
33  | board contracts or other contracts of any kind promising returns and profits as an inducement to  | 
34  | insurance;  | 
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1  | (7)(i) Unfair discrimination. Making or permitting any unfair discrimination between  | 
2  | individuals of the same class and equal expectation of life in the rates charged for any policy of life  | 
3  | insurance or of life annuity or in the dividends or other benefits payable on any such policy or life  | 
4  | annuity, or in any other of the terms and conditions of the policy;  | 
5  | (ii) Making or permitting any unfair discrimination between individuals of the same class  | 
6  | and of essentially the same hazard in the amount of premium, policy fees, or rates charged for any  | 
7  | policy or contract of accident or health insurance or in the benefits payable under any policy or  | 
8  | contract, or in any of the terms or conditions of that policy, or in any other manner;  | 
9  | (iii) Making or permitting any unfair discrimination between individuals or risks of the  | 
10  | same class and of essentially the same hazards by refusing to issue, refusing to renew, canceling,  | 
11  | or limiting the amount of insurance coverage on a property or casualty risk because of the  | 
12  | geographic location of the risk, unless:  | 
13  | (A) The refusal, cancellation, or limitation is for a business purpose that is not a pretext for  | 
14  | unfair discrimination; or  | 
15  | (B) The refusal, cancellation, or limitation is required by law or regulation;  | 
16  | (iv) Making or permitting any unfair discrimination between individuals or risks of the  | 
17  | same class and of essentially the same hazards by refusing to issue, refusing to renew, canceling,  | 
18  | or limiting the amount of insurance coverage on a residential property risk, or the personal property  | 
19  | contained in the residential property risk, because of the age of the residential property, unless:  | 
20  | (A) The refusal, cancellation, or limitation is for a business purpose that is not a pretext for  | 
21  | unfair discrimination; or  | 
22  | (B) The refusal, cancellation, or limitation is required by law or regulation;  | 
23  | (v) Refusing to insure, refusing to continue to insure, or limiting the amount of coverage  | 
24  | available to an individual because of the sex or marital status of the individual; nothing in this  | 
25  | subsection shall prohibit an insurer from taking marital status into account for the purpose of  | 
26  | defining persons eligible for dependent benefits;  | 
27  | (vi) To terminate, or to modify coverage, or to refuse to issue or refuse to renew any  | 
28  | property or casualty policy solely because the applicant or insured or any employee of either is  | 
29  | mentally or physically impaired; provided, that this subsection shall not apply to accident and health  | 
30  | insurance sold by a casualty insurer and, provided that this subsection shall not be interpreted to  | 
31  | modify any other provision of law relating to the termination, modification, issuance or renewal of  | 
32  | any insurance policy or contract; or  | 
33  | (vii) Making or permitting any unfair discrimination by treating persons in a domestic  | 
34  | partnership as defined in § 27-29-2, differently than persons in a marriage for the purposes of  | 
  | LC004832/SUB A - Page 7 of 32  | 
1  | premiums, policy fees, or rates charged for policies of casualty, fire, homeowners, accident and  | 
2  | sickness, marine, or automobile insurance;  | 
3  | (8)(i) Rebates. Except as otherwise expressly provided by law, knowingly permitting or  | 
4  | offering to make or making any policy or agreement as to the policy other than as plainly expressed  | 
5  | in the policy issued on it, or paying or allowing or giving or offering to pay, allow, or give, directly  | 
6  | or indirectly, as inducement to the policy, any rebate of premiums payable on the policy, or any  | 
7  | special favor or advantage in the dividends or other benefits on the policy, or any valuable  | 
8  | consideration or inducement not specified in the policy, or giving, selling, or purchasing or offering  | 
9  | to give, sell, or purchase as inducement to the policy, or in connection with the policy, any stocks,  | 
10  | bonds, or other securities of any insurance company or other corporation, association, or  | 
11  | partnership, or any dividends or profits accrued on the security, or anything of value not specified  | 
12  | in the policy;  | 
13  | (ii) Nothing in subdivision (7) of this section or paragraph (i) of this subdivision shall be  | 
14  | construed as including within the definition of discrimination or rebates any of the following  | 
15  | practices:  | 
16  | (A) In the case of any contract of life insurance policies or life annuity, annuities paying  | 
17  | bonuses to policyholders or abating their premiums in whole or in part out of surplus accumulated  | 
18  | from nonparticipating insurance; provided, that any bonuses or abatement of premiums shall be fair  | 
19  | and equitable to policyholders and for the best interests of the company and its policyholders;  | 
20  | (B) In the case of life insurance policies issued on the industrial debit plan, making  | 
21  | allowance to policyholders who have continuously for a specified period made premium payments  | 
22  | directly to an office of the insurer in an amount that fairly represents the saving in collection  | 
23  | expenses; and  | 
24  | (C) Readjustment of the rate of premium for a group insurance policy based on the loss or  | 
25  | expense experience under it, at the end of the first or any subsequent policy year of insurance under  | 
26  | the policy, which may be made retroactive only for the policy year;  | 
27  | (D) Engaging in an arrangement that would not violate § 106 of the Bank Holding  | 
28  | Company Act Amendments of 1972 (12 U.S.C. 1972), as interpreted by the Board of Governors of  | 
29  | the Federal Reserve System, or § 5(q) of the Home Owners' Loan Act, 12 U.S.C. 1464(q);  | 
30  | (E) The offer or provision by insurers or producers, by or through employees, affiliates or  | 
31  | third-party representatives, of value-added products or services at no or reduced cost when such  | 
32  | products or services are not specified in the policy of insurance if the product or service:  | 
33  | (I) Relates to the insurance coverage; and  | 
34  | (II) Is primarily designed to satisfy one or more of the following:  | 
  | LC004832/SUB A - Page 8 of 32  | 
1  | (aa) Provide loss mitigation or loss control;  | 
2  | (bb) Reduce claim costs or claim settlement costs;  | 
3  | (cc) Provide education about liability risks or risk of loss to persons or property;  | 
4  | (dd) Monitor or assess risk, identify sources of risk, or develop strategies for eliminating  | 
5  | or reducing risk;  | 
6  | (ee) Enhance health;  | 
7  | (ff) Enhance financial wellness through items such as education or financial planning  | 
8  | services;  | 
9  | (gg) Provide post-loss services;  | 
10  | (hh) Incent behavioral changes to improve the health or reduce the risk of death or disability  | 
11  | of a customer (defined for purposes of this subsection as policyholder, potential policyholder,  | 
12  | certificate holder, potential certificate holder, insured, potential insured or applicant); or  | 
13  | (ii) Assist in the administration of the employee or retiree benefit insurance coverage.  | 
14  | (III) The cost to the insurer or producer offering the product or service to any given  | 
15  | customer must be reasonable in comparison to that customer's premiums or insurance coverage for  | 
16  | the policy class.  | 
17  | (IV) If the insurer or producer is providing the product or service offered, the insurer or  | 
18  | producer must ensure that the customer is provided with contact information to assist the customer  | 
19  | with questions regarding the product or service.  | 
20  | (V) The commissioner may adopt regulations when implementing the permitted practices  | 
21  | set forth in this statute to ensure consumer protection. Such regulations, consistent with applicable  | 
22  | law, may address, among other issues, consumer data protections and privacy, consumer disclosure  | 
23  | and unfair discrimination.  | 
24  | (VI) The availability of the value-added product or service must be based on documented  | 
25  | objective criteria and offered in a manner that is not unfairly discriminatory. The documented  | 
26  | criteria must be maintained by the insurer or producer and produced upon request by the  | 
27  | department.  | 
28  | (VII) If an insurer or producer does not have sufficient evidence, but has a good-faith belief  | 
29  | that the product or service meets the criteria in subsection 8(ii)(E)(II) of this section, the insurer or  | 
30  | producer may provide the product or service in a manner that is not unfairly discriminatory as part  | 
31  | of a pilot or testing program for no more than one year. An insurer or producer must notify the  | 
32  | department of such a pilot or testing program offered to consumers in this state prior to launching  | 
33  | and may proceed with the program unless the department objects within twenty-one days of notice.  | 
34  | (F)(I) Offering or giving non-cash gifts, items, or services, including meals to or charitable  | 
  | LC004832/SUB A - Page 9 of 32  | 
1  | donations on behalf of a customer, in connection with the marketing, sale, purchase, or retention of  | 
2  | contracts of insurance, as long as the cost does not exceed an amount determined to be reasonable  | 
3  | by the commissioner per policy year per term. The offer must be made in a manner that is not  | 
4  | unfairly discriminatory. The customer may not be required to purchase, continue to purchase or  | 
5  | renew a policy in exchange for the gift, item or service.  | 
6  | (II) Offering or giving non-cash gifts, items, or services including meals to or charitable  | 
7  | donations on behalf of a customer, to commercial or institutional customers in connection with the  | 
8  | marketing, sale, purchase, or retention of contracts of insurance, as long as the cost is reasonable  | 
9  | in comparison to the premium or proposed premium and the cost of the gift or service is not  | 
10  | included in any amounts charged to another person or entity. The offer must be made in a manner  | 
11  | that is not unfairly discriminatory. The customer may not be required to purchase, continue to  | 
12  | purchase or renew a policy in exchange for the gift, item or service.  | 
13  | (III) Conducting raffles or drawings to the extent permitted by state law, as long as there is  | 
14  | no financial cost to entrants to participate, the drawing or raffle does not obligate participants to  | 
15  | purchase insurance, the prizes are not valued in excess of a reasonable amount determined by the  | 
16  | commissioner and the drawing or raffle is open to the public. The raffle or drawing must be offered  | 
17  | in a manner that is not unfairly discriminatory. The customer may not be required to purchase,  | 
18  | continue to purchase or renew a policy in exchange for the gift, item or service.  | 
19  | (iii) An insurer, producer or representative of either may not offer or provide insurance as  | 
20  | an inducement to the purchase of another policy or otherwise use the words "free", "no cost" or  | 
21  | words of similar import, in an advertisement.  | 
22  | (9)(i) Free choice of insurance producer or insurer. When any person, firm, or corporation  | 
23  | engaged in the business of lending money on the security of real or personal property, or in the  | 
24  | business of negotiating, purchasing, selling, or holding loans on the security of real property, or in  | 
25  | the business of building, selling, or financing the sale or purchase of real property, or any trustee,  | 
26  | director, officer, agent, or other employee of that person, firm, or corporation, requires that property  | 
27  | insurance be procured for the property, the borrower, debtor, or purchaser shall have free choice of  | 
28  | insurance producer and insurer through or by which the insurance is to be placed or written, subject  | 
29  | only to the right of the builder, creditor, lender, or seller:  | 
30  | (A) To require evidence, to be produced at a reasonable time prior to commencement or  | 
31  | renewal of risk, that the insurance providing reasonable coverage has been obtained in an amount  | 
32  | equal to the amount required by the builder, creditor, lender, or seller;  | 
33  | (B) To require insurance in an insurer authorized to do business and having a licensed  | 
34  | resident insurance producer agent in this state; and  | 
  | LC004832/SUB A - Page 10 of 32  | 
1  | (C) To refuse to accept insurance in a particular insurer on reasonable grounds related to  | 
2  | solvency;  | 
3  | (ii) When any contractor or subcontractor is required to procure a surety bond or policy of  | 
4  | insurance with respect to any building or construction contract that is about to be, or that has been  | 
5  | bid or entered into, the contractor or subcontractor shall have free choice of insurance producer and  | 
6  | insurer through or by which the surety bond or insurance is to be written; provided, that the owner  | 
7  | or contractor shall have the right: (A) To require evidence, to be produced at a reasonable time  | 
8  | prior to commencement or renewal of risk, that the insurance providing reasonable coverage has  | 
9  | been obtained in an amount equal to the amount required by the builder, creditor, lender, or seller;  | 
10  | (B) To require insurance in an insurer authorized to do business and having a licensed resident  | 
11  | insurance producer in this state; and (C) To refuse to accept insurance in a particular insurer on  | 
12  | reasonable grounds related to solvency; provided, that the owner or contractor shall have the right  | 
13  | to approve the form, sufficiency, or manner of execution of the surety bond or policy or insurance  | 
14  | furnished by the insurance company or insurance producer selected by the contractor or  | 
15  | subcontractor;  | 
16  | (iii) No person who lends money or extends credit may:  | 
17  | (A) Solicit insurance for the protection of real property after a person indicates interest in  | 
18  | securing a first mortgage credit extension until that person has received a commitment in writing  | 
19  | from the lender as to a loan or credit extension;  | 
20  | (B) Unreasonably reject a policy furnished by the borrower for the protection of the  | 
21  | property securing the creditor lien. A rejection shall not be deemed unreasonable if it is based on  | 
22  | reasonable standards, uniformly applied, relating to the extent of coverage required and the  | 
23  | financial soundness and the services of an insurer. The standards shall not discriminate against any  | 
24  | particular type of insurer, nor shall the standards call for rejection of a policy because it contains  | 
25  | coverage in addition to that required in the credit transaction;  | 
26  | (C) Require that any borrower, mortgagor, purchaser, insurer, or insurance producer pay a  | 
27  | separate charge, in connection with the handling of any policy required as security for a loan on  | 
28  | real estate, or pay a separate charge to substitute the policy of one insurer for that of another. This  | 
29  | subsection does not include the interest that may be charged on premium loans or premium  | 
30  | advancements in accordance with the terms of the loan or credit document;  | 
31  | (D) Use or disclose, without the prior written consent of the borrower, mortgagor, or  | 
32  | purchaser taken at a time other than the making of the loan or extension of credit, information  | 
33  | relative to a policy that is required by the credit transaction, for the purpose of replacing the  | 
34  | insurance; or  | 
  | LC004832/SUB A - Page 11 of 32  | 
1  | (E) Require any procedures or conditions of duly licensed insurance producers or insurers  | 
2  | not customarily required of those insurance producers or insurers affiliated or in any way connected  | 
3  | with the person who lends money or extends credit;  | 
4  | (iv) Every person who lends money or extends credit and who solicits insurance on real  | 
5  | and personal property subject to paragraph (iii) of this subdivision shall explain to the borrower in  | 
6  | writing that the insurance related to the credit extension may be purchased from an insurer or  | 
7  | insurance producer of the borrower's choice, subject only to the lender's right to reject a given  | 
8  | insurer or insurance producer as provided in paragraph (iii)(B) of this subdivision. Compliance  | 
9  | with disclosures as to insurance required by truth-in-lending laws or comparable state laws shall be  | 
10  | compliance with this subsection;  | 
11  | (v) This requirement for a commitment shall not apply in cases where the premium for the  | 
12  | required insurance is to be financed as part of the loan or extension of credit involving personal  | 
13  | property transactions;  | 
14  | (vi) The commissioner shall have the power to examine and investigate those insurance-  | 
15  | related activities of any person or insurer that the commissioner believes may be in violation of this  | 
16  | section. Any affected person may submit to the commissioner a complaint or material pertinent to  | 
17  | the enforcement of this section;  | 
18  | (vii) Nothing in this section shall prevent a person who lends money or extends credit from  | 
19  | placing insurance on real or personal property in the event the mortgagor, borrower, or purchaser  | 
20  | has failed to provide required insurance in accordance with the terms of the loan or credit document;  | 
21  | (viii) Nothing contained in this section shall apply to credit life or credit accident and health  | 
22  | insurance.  | 
23  | (10) Notice of free choice of insurance producer or insurer. Every debtor, borrower, or  | 
24  | purchaser of property with respect to which insurance of any kind on the property is required in  | 
25  | connection with a debt or loan secured by the property or in connection with the sale of the property,  | 
26  | shall be informed in writing by the builder, creditor, lender, or seller, of his or her right of free  | 
27  | choice in the selection of the insurance producer and insurer through or by which the insurance is  | 
28  | to be placed. There shall be no interference, either directly or indirectly, with the borrower's,  | 
29  | debtor's, or purchaser's free choice of an insurance producer and of an insurer that complies with  | 
30  | the requirements of this section, and the builder, creditor, lender, seller, owner, or contractor shall  | 
31  | not refuse the policy tendered by the borrower, debtor, purchaser, contractor, or subcontractor.  | 
32  | Upon notice of any refusal of the tendered policy, the insurance commissioner shall order the  | 
33  | builder, creditor, lender, seller, owner, or contractor to accept the tendered policy, if the  | 
34  | commissioner determines that the refusal is not in accordance with the requirements of this section.  | 
  | LC004832/SUB A - Page 12 of 32  | 
1  | Failure to comply with an order of the insurance commissioner shall be deemed a violation of this  | 
2  | section;  | 
3  | (11) Using insurance information to detriment of another. Whenever the instrument  | 
4  | requires that the purchaser, mortgagor, or borrower furnish insurance of any kind on real property  | 
5  | being conveyed or is collateral security to a loan, the mortgagee, vendor, or lender shall refrain  | 
6  | from disclosing or using any and all insurance information to his or her or its own advantage and  | 
7  | to the detriment of either the borrower, purchaser, mortgagor, insurance company, or agency  | 
8  | complying with the requirements relating to insurance;  | 
9  | (12) Prohibited group enrollments. No insurer shall offer more than one group policy of  | 
10  | insurance through any person unless that person is licensed, at a minimum, as an insurance  | 
11  | producer. This prohibition shall not apply to employer-employee relationships, or to any of these  | 
12  | enrollments;  | 
13  | (13) Failure to maintain complaint handling procedures. No insurer shall fail to maintain a  | 
14  | complete record of all the complaints it received since the date of its last examination pursuant to  | 
15  | the general laws providing for examination of insurers. This record shall indicate the total number  | 
16  | of complaints, their classification by line of insurance, the nature of each complaint, the disposition  | 
17  | of each complaint, and the time it took to process each complaint. For the purposes of this  | 
18  | subsection, "complaint" means any written communication primarily expressing a grievance;  | 
19  | (14) Misrepresentation in insurance applications. Making false or fraudulent statements or  | 
20  | representations on or relative to an application for a policy, for the purpose of obtaining a fee,  | 
21  | commission, money, or other benefit from any insurers, insurance producer, or individual person;  | 
22  | (15) Requiring that repairs be made to an automobile at a specified auto body repair shop  | 
23  | or interfering with the insured's or claimant's free choice of repair facility. The insured or claimant  | 
24  | shall be promptly informed by the insurer of his or her free choice in the selection of an auto body  | 
25  | repair shop. Once the insured or claimant has advised the insurer that an auto body repair shop has  | 
26  | been selected, the insurer may not recommend that a different auto body repair shop be selected to  | 
27  | repair the automobile. An auto body repair shop may file a complaint with the department of  | 
28  | business regulation alleging a violation of this subsection (15). Whenever the department of  | 
29  | business regulation has reason to believe that an insurer has violated this subsection (15), the  | 
30  | department shall conduct an investigation and may convene a hearing. A complaint filed by an auto  | 
31  | body repair shop must be accompanied by a statement written and signed by the insured or claimant  | 
32  | setting forth the factual basis of the complaint, and the insured or claimant must voluntarily appear  | 
33  | and testify at any administrative proceedings on the complaint; and  | 
34  | (16) Requiring that motor vehicle glass repair be made at a specified motor vehicle glass  | 
  | LC004832/SUB A - Page 13 of 32  | 
1  | repair shop or interfering with the insured's or claimant's free choice of a licensed repair facility.  | 
2  | The insured or claimant shall be promptly informed by the insurer of his or her free choice in the  | 
3  | selection of a licensed motor vehicle glass repair shop. The insurer shall not require a person to use  | 
4  | or employ unfair or deceptive acts or practices, threaten, coerce, or intimidate to induce a person to  | 
5  | use or select a particular licensed motor vehicle glass repair shop to provide motor vehicle glass  | 
6  | repair services. An insurer shall not knowingly contract with, refer motor vehicle glass repair  | 
7  | services to, or otherwise negotiate with an unlicensed motor vehicle glass repair shop, as defined  | 
8  | in chapter 38.5 of title 5. Once the insured or claimant has advised the insurer that a motor vehicle  | 
9  | glass repair shop has been selected, the insurer may not recommend that a different motor vehicle  | 
10  | glass repair shop be selected to repair the motor vehicle glass, and an insurer shall not assign or  | 
11  | dispatch the repair work or forward a related policy or policyholder's contact or repair scheduling  | 
12  | information to a different licensed motor vehicle glass repair shop without the knowledge and  | 
13  | consent of the insured. An insured may at any point in time elect to change the insured's choice of  | 
14  | licensed motor vehicle glass repair shop. However, an insurer authorized to conduct business in the  | 
15  | state may provide directly, or through other means, including electronic transmissions, specific,  | 
16  | truthful, and non-deceptive information regarding the features and benefits available to the insured  | 
17  | under the policy to assist the insured in selecting a licensed motor vehicle glass repair shop or  | 
18  | scheduling a licensed motor vehicle glass repair shop to perform motor vehicle glass repair, or enter  | 
19  | into any preferred provider agreements and/or participate in direct repair programs or direct repair  | 
20  | networks with licensed motor vehicle glass repair shops. A motor vehicle glass repair shop may  | 
21  | file a complaint with the department of business regulation alleging a violation of this subsection  | 
22  | (16). Whenever the department of business regulation has reason to believe that an insurer has  | 
23  | violated this subsection (16), the department shall conduct an investigation and may convene a  | 
24  | hearing. A complaint filed by a motor vehicle glass repair shop must be accompanied by a statement  | 
25  | written and signed by the insured or claimant setting forth the factual basis of the complaint, and  | 
26  | the insured or claimant must voluntarily appear and testify at any administrative proceedings on  | 
27  | the complaint.  | 
28  | SECTION 5. Section 27-34.2-6 of the General Laws in Chapter 27-34.2 entitled "Long  | 
29  | Term Care Insurance" is hereby amended to read as follows:  | 
30  | 27-34.2-6. Disclosure and performance standards for long-term care insurance.  | 
31  | (a) The director may adopt regulations that establish:  | 
32  | (1) Standards for full and fair disclosure setting forth the manner, content, and required  | 
33  | disclosures for the sale of long term care insurance policies, terms of renewability, initial and  | 
34  | subsequent conditions of eligibility, nonduplication of coverage provisions, coverage of  | 
  | LC004832/SUB A - Page 14 of 32  | 
1  | dependents, preexisting conditions, termination of insurance, continuation or conversion,  | 
2  | probationary periods, limitations, exceptions, reductions, elimination periods, requirements for  | 
3  | replacement, recurrent conditions, and definitions of terms; and  | 
4  | (2) Reasonable rules and regulations that are necessary, proper, or advisable to the  | 
5  | administration of this chapter including the procedure for the filing or submission of policies  | 
6  | subject to this chapter. This provision may not abridge any other authority granted the director by  | 
7  | law.  | 
8  | (b) No long term care insurance policy may:  | 
9  | (1) Be cancelled, nonrenewed, or terminated on the grounds of the age or the deterioration  | 
10  | of the mental or physical health of the insured individual or certificate holder; or  | 
11  | (2) Contain a provision establishing a new waiting period in the event existing coverage is  | 
12  | converted to or replaced by a new or other form within the same company, except with respect to  | 
13  | an increase in benefits voluntarily selected by the insured individual or group policyholder; or  | 
14  | (3) Provide coverage for skilled nursing care only or provide more coverage for skilled  | 
15  | care in a facility than coverage for lower levels of care.  | 
16  | (c) A long term care policy must provide:  | 
17  | (1) Home health care benefits that are at least fifty percent (50%) of those provided for care  | 
18  | in a nursing facility. The evaluation of the amount of coverage shall be based on aggregate days of  | 
19  | care covered for home health care when compared to days of care covered for nursing home care;  | 
20  | and  | 
21  | (2) Home health care benefits which meet the National Association of Insurance  | 
22  | Commissioners' minimum standards for home health care benefits in long term care insurance  | 
23  | policies.  | 
24  | (d)(1) No long term care insurance policy or certificate other than a policy or certificate  | 
25  | issued to a group as defined in § 27-34.2-4(4)(i) shall use a definition of "preexisting condition"  | 
26  | which is more restrictive than the following: "preexisting condition" means a condition for which  | 
27  | medical advice or treatment was recommended by, or received from a provider of health care  | 
28  | services, within six (6) months preceding the effective date of coverage of an insured person;  | 
29  | (2) No long term care insurance policy or certificate other than a policy or certificate issued  | 
30  | to a group as defined in § 27-34.2-4(4)(i) may exclude coverage for a loss or confinement which is  | 
31  | the result of a preexisting condition, unless the loss or confinement begins within six (6) months  | 
32  | following the effective date of coverage of an insured person;  | 
33  | (3) The director may extend the limitation periods set forth in subdivisions § 27-34.2-6(d)  | 
34  | (1) and (d)(2) of this subsection as to specific age group categories in specific policy forms upon  | 
  | LC004832/SUB A - Page 15 of 32  | 
1  | findings that the extension is in the best interest of the public;  | 
2  | (4) The definition of "preexisting condition" does not prohibit an insurer from using an  | 
3  | application form designed to elicit the complete health history of an applicant, and, on the basis of  | 
4  | the answers on that application, from underwriting in accordance with that insurer's established  | 
5  | underwriting standards. Unless otherwise provided in the policy or certificate, a preexisting  | 
6  | condition, regardless of whether it is disclosed on the application, need not be covered until the  | 
7  | waiting period described in subdivision § 27-34.2-6(d)(2) of this subsection expires. No long term  | 
8  | care insurance policy or certificate may exclude or use waivers or riders of any kind to exclude,  | 
9  | limit or reduce coverage or benefits for specifically named or described preexisting diseases or  | 
10  | physical conditions beyond the waiting period described in subdivision § 27-34.2-6(d)(2) of this  | 
11  | subsection, unless the waiver or rider has been specifically approved by the director as set forth in  | 
12  | § 27-34.2-8. This shall not permit exclusion or limitation of benefits on the basis of Alzheimer's  | 
13  | disease, other dementias, or organic brain disorders.  | 
14  | (e)(1) No long term care insurance policy may be delivered or issued for delivery in this  | 
15  | state if the policy:  | 
16  | (i) Conditions eligibility for any benefits on a prior hospitalization or institutionalization  | 
17  | requirement; or  | 
18  | (ii) Conditions eligibility for benefits provided in an institutional care setting on the receipt  | 
19  | of a higher level of institutional care.  | 
20  | (iii) Conditions eligibility for any benefits other than waiver of premium, post-  | 
21  | confinement, post-acute care or recuperative benefits on a prior institutionalization requirement.  | 
22  | (2)(i) A long-term care insurance policy containing post-confinement, post-acute care or  | 
23  | recuperative benefits shall clearly label in a separate paragraph of the policy or certificate entitled  | 
24  | "Limitations or Conditions on Eligibility for Benefits" such limitations or conditions, including any  | 
25  | required number of days of confinement or rider shall not condition eligibility for non-institutional  | 
26  | benefits on the prior or continuing receipt of skilled care services.  | 
27  | (ii) A long-term care insurance policy or rider that conditions eligibility of noninstitutional  | 
28  | benefits on the prior receipt of institutional care shall not require a prior institutional stay of more  | 
29  | than thirty (30) days.  | 
30  | (3) No long-term insurance policy or rider that provides benefits only following  | 
31  | institutionalization shall condition such benefits upon admission to a facility for the same or related  | 
32  | conditions within a period of less than thirty (30) days after discharge from the institution.  | 
33  | (f) The commissioner may adopt regulations establishing loss ratio standards for long term  | 
34  | care insurance policies provided that a specific reference to long term care insurance policies is  | 
  | LC004832/SUB A - Page 16 of 32  | 
1  | contained in the regulation.  | 
2  | (g) Right to return -- Free look. Long term care insurance applicants shall have the right to  | 
3  | return the policy or certificate within thirty (30) days of its delivery and to have the premium  | 
4  | refunded if, after examination of the policy or certificate, the applicant is not satisfied for any  | 
5  | reason. Long term care insurance policies and certificates shall have a notice prominently printed  | 
6  | on the first page or attached to the policy or certificate stating in substance that the applicant shall  | 
7  | have the right to return the policy or certificate within thirty (30) days of its delivery and to have  | 
8  | the premium refunded if, after examination of the policy or certificate other than a certificate issued  | 
9  | pursuant to a policy issued to a group defined in § 27-34.2-4(4)(i), the applicant is not satisfied for  | 
10  | any reason. This subsection shall also apply to denials of applications and any refund must be made  | 
11  | within thirty (30) days of the return or denial.  | 
12  | (g)(1) Long-term care insurance applicants shall have the right to return the policy,  | 
13  | certificate or rider to the company or an agent/insurance producer of the company within thirty (30)  | 
14  | days of its receipt and to have the premium refunded if, after examination of the policy, certificate  | 
15  | or rider, the applicant is not satisfied for any reason.  | 
16  | (2) Long-term care insurance policies, certificates and riders shall have a notice  | 
17  | prominently printed on the first page or attached thereto including specific instructions to  | 
18  | accomplish a return. This requirement shall not apply to certificates issued pursuant to a policy  | 
19  | issued to a group defined in § 27-34.2-4. The following free look statement or language  | 
20  | substantially similar shall be included:  | 
21  | "You have thirty (30) days from the day you receive this policy, certificate or rider to  | 
22  | review it and return it to the company if you decide not to keep it. You do not have to tell the  | 
23  | company why you are returning it. If you decide not to keep it, simply return it to the company at  | 
24  | its administration office. Or you may return it to the agent/insurance producer that you bought it  | 
25  | from. You must return it within thirty (30) days of the day you first received it. The company will  | 
26  | refund the full amount of any premium paid within thirty (30) days after it receives the returned  | 
27  | policy, certificate or rider. The premium refund will be sent directly to the person who paid it. The  | 
28  | returned policy, certificate or rider will be void as if it had never been issued."  | 
29  | (h)(1) An outline of coverage shall be delivered to a prospective applicant for long term  | 
30  | care insurance at the time of initial solicitation through means which prominently direct the  | 
31  | attention of the recipient to the document and its purpose;  | 
32  | (2) The commissioner shall prescribe a standard format, including style, arrangement, and  | 
33  | overall appearance, and the content of an outline of coverage;  | 
34  | (3) In the case of insurance producer solicitations, an insurance producer must deliver the  | 
  | LC004832/SUB A - Page 17 of 32  | 
1  | outline of coverage prior to the presentation of an application or enrollment form;  | 
2  | (4) In the case of direct response solicitations, the outline of coverage must be presented in  | 
3  | conjunction with any application or enrollment form;  | 
4  | (5) In the case of a policy issued to a group defined in subdivision § 27-34.2-4(4)(i) of this  | 
5  | act chapter, an outline of coverage shall not be required to be delivered, provided that the  | 
6  | information described in subdivision §§ 27-34.2-6(6)(i) -- subdivision through 27-34.2-6(6)(vi) is  | 
7  | contained in other materials relating to enrollment. Upon request, these other materials shall be  | 
8  | made available to the commissioner.  | 
9  | (6) The outline of coverage shall include:  | 
10  | (i) A description of the principal benefits and coverage provided in the policy;  | 
11  | (ii) A description of the eligibility triggers for benefits and how those triggers are met;  | 
12  | (ii)(iii) A statement of the principal exclusions, reductions, and limitations contained in the  | 
13  | policy;  | 
14  | (iii)(iv) A statement of the terms under which the policy or certificate, or both, may be  | 
15  | continued in force or discontinued, including any reservation in the policy of a right to change  | 
16  | premiums. Continuation or conversion provisions of group coverage shall be specifically described;  | 
17  | (iv)(v) A statement that the outline of coverage is only a summary, not a contract of  | 
18  | insurance, and that the policy or group master policy contains governing contractual provisions;  | 
19  | (v)(vi) A description of the terms under which the policy or certificate may be returned and  | 
20  | the premium refunded; and  | 
21  | (vi)(vii) A brief description of the relationship of cost of care and benefits.; and .  | 
22  | (vii)(viii) A statement that discloses to the policyholder or certificate holder whether the  | 
23  | policy is intended to be a federally tax-qualified long-term care insurance contract under §  | 
24  | 7702B(b) of the Internal Revenue Code of 1986, as amended, et seq.  | 
25  | (i) A certificate issued pursuant to a group long term care insurance policy which policy is  | 
26  | delivered or issued for delivery in this state shall include:  | 
27  | (1) A description of the principal benefits and coverage provided in the policy;  | 
28  | (2) A statement of the principal exclusions, reductions, and limitations contained in the  | 
29  | policy; and  | 
30  | (3) A statement that the group master policy determines governing contractual provisions.  | 
31  | (4)(j) If an application for a long-term care insurance contract or certificate is approved,  | 
32  | the issuer shall deliver the contract or certificate of insurance to the applicant no later than thirty  | 
33  | (30) days after the date of approval.  | 
34  | (j)(k) At the time of policy delivery, a policy summary shall be delivered for an individual  | 
  | LC004832/SUB A - Page 18 of 32  | 
1  | life insurance or annuity policy which provides long term care benefits within the policy or by rider.  | 
2  | In the case of direct response solicitations, the insurer shall deliver the policy summary upon the  | 
3  | applicant's request, but regardless of request shall make the delivery no later than at the time of  | 
4  | policy delivery. In addition to complying with all applicable requirements, the summary shall also  | 
5  | include:  | 
6  | (1) An explanation of how the long term care benefit interacts with other components of  | 
7  | the policy, including deductions from death benefits;  | 
8  | (2) An illustration of the amount of benefits, the length of benefits, and the guaranteed  | 
9  | lifetime benefits, including a statement that any long-term care inflation projection option required  | 
10  | by § 27-34.2-13, is not available under the policy for each covered person;  | 
11  | (3) Any exclusions, reductions, and limitations on benefits of long term care benefits; and  | 
12  | (4) A statement that any long-term care inflation protection option required by 230-RICR-  | 
13  | 20-35-1 is not available under this policy. If inflation protection was not required to be offered, or  | 
14  | if inflation protection was required to be offered but was rejected, a statement that inflation  | 
15  | protection is not available under this policy that proves long-term care benefits, and an explanation  | 
16  | of other options available under the policy, if any, to increase the funds available to pay for the  | 
17  | long-term care benefits.  | 
18  | (4)(5) If applicable to the policy type, the summary shall also include:  | 
19  | (i) A disclosure of the effects of exercising other rights under the policy;  | 
20  | (ii) A disclosure of guarantees related to long term care costs of insurance charges A  | 
21  | disclosure of guarantees, fees or other costs related to long-term care costs of insurance charges in  | 
22  | the base policy and any riders; and  | 
23  | (iii) Current and projected periodic and maximum lifetime benefits.  | 
24  | (5)(6) The provisions of the policy summary listed above may be incorporated into a basic  | 
25  | illustration or into the life insurance policy summary which is required to be delivered in  | 
26  | accordance with chapter 4 of this title and the rules and regulations promulgated under § 27-4-23.  | 
27  | (k)(l) Any time a long term benefit, funded through a life insurance vehicle by the  | 
28  | acceleration of the death benefit, is in benefit payment status, a monthly report shall be provided to  | 
29  | the policyholder. The report shall include:  | 
30  | (1) Any long term care benefits paid out during the month;  | 
31  | (2) Any costs or changes that apply or will apply to the policy or any riders;  | 
32  | (2)(3) An explanation of any changes in the policy, e.g. death benefits or cash values, due  | 
33  | to long term care benefits being paid out; and  | 
34  | (3)(4) The amount of long term care benefits existing or remaining.  | 
  | LC004832/SUB A - Page 19 of 32  | 
1  | (l)(m) Any policy or rider advertised, marketed, or offered as long term care or nursing  | 
2  | home insurance shall comply with the provisions of this chapter.  | 
3  | (m)(n) If a claim under a long-term care insurance contract is denied, the issuer shall, within  | 
4  | sixty (60) days of the date of a written request by the policyholder or certificate holder, or a  | 
5  | representative thereof:  | 
6  | (1) Provide a written explanation of the reasons for the denial; and  | 
7  | (2) Make available all information directly related to the denial.  | 
8  | (o) Any policy, certificate or rider advertised, marketed or offered as long-term care or  | 
9  | nursing home insurance, as defined in § 27-34.2-4, shall comply with the provisions of this chapter.  | 
10  | SECTION 6. Section 27-65-1 of the General Laws in Chapter 27-65 entitled "Commercial  | 
11  | Special Risks" is hereby amended to read as follows:  | 
12  | 27-65-1. Commercial special risks.  | 
13  | (a) Commercial special risks. Notwithstanding any other provisions of this title to the  | 
14  | contrary and except as limited in subsection (b) of this section, insurers shall not be required to file  | 
15  | with, nor to receive approval from, the insurance division of the department of business regulation  | 
16  | for policy forms or rates used in the insurance of commercial special risks located in this state.  | 
17  | Commercial special risks are defined as:  | 
18  | (1) Risks written as commercial lines insurance, defined as insurance issued for purposes  | 
19  | other than for personal, family or household and that are written on an excess or umbrella basis;  | 
20  | (2) Those risks, or portions of them, written as commercial lines insurance, defined as  | 
21  | insurance issued for purposes other than for personal, family or household and that are not rated  | 
22  | according to manuals, rating plans, or schedules including "A" rates;  | 
23  | (3) Risks written as commercial lines insurance that employ or retain the services of a "risk  | 
24  | manager" and that also meet any one of the following criteria:  | 
25  | (i) Net worth over ten million dollars ($10,000,000);  | 
26  | (ii) Net revenue/sales of over five million dollars ($5,000,000);  | 
27  | (iii) More than twenty-five (25) employees per individual company or fifty (50) employees  | 
28  | per holding company in the aggregate;  | 
29  | (iv) Aggregates premiums of over thirty thousand dollars ($30,000), excluding group life,  | 
30  | group health, workers' compensation and professional liability (including, but not limited to, errors  | 
31  | and omissions and directors and officers liability);  | 
32  | (v) Is a not for profit or public entity with an annual budget or assets of at least twenty-five  | 
33  | million dollars ($25,000,000); or  | 
34  | (vi) Is a municipality with a population of over twenty thousand (20,000);  | 
  | LC004832/SUB A - Page 20 of 32  | 
1  | (4) Specifically designated commercial special risks including:  | 
2  | (i) All risks classified as highly protected risks.  | 
3  | "Highly protected risk" means a fire resistive building that meets the highest standards of  | 
4  | fire safety according to insurance company underwriting requirements;  | 
5  | (ii) All commercial insurance aviation risks;  | 
6  | (iii) All credit property insurance risks that are defined as "insurance of personal property  | 
7  | of a commercial debtor against loss, with the creditor as sole beneficiary" or "insurance of personal  | 
8  | property of a commercial debtor, with the creditor as primary beneficiary and the debtor as  | 
9  | beneficiary of proceeds not paid to the creditor." For the purposes of this definition, "personal  | 
10  | property" means furniture, fixtures, furnishings, appliances, and equipment designed for use in a  | 
11  | business trade or profession and not used by a debtor for personal or household use;  | 
12  | (iv) All boiler and machinery and equipment breakdown risks;  | 
13  | (v) All inland marine risks written as commercial lines insurance defined as insurance  | 
14  | issued for purposes other than for personal, family, or household;  | 
15  | (vi) All fidelity and surety risks;  | 
16  | (vii) All crime and burglary and theft risks; and  | 
17  | (viii) All directors and officers, fiduciary liability, employment practices liability, kidnap  | 
18  | and ransom and management liability risks.  | 
19  | (b) Notwithstanding subsection (a) of this section, the following lines of business shall  | 
20  | remain subject to all filing and approval requirements contained in this title even if written for risks  | 
21  | which qualify as commercial special risks:  | 
22  | (1) Life insurance;  | 
23  | (2) Annuities;  | 
24  | (3) Accident and health insurance;  | 
25  | (4) Automobile insurance that is mandated by statute;  | 
26  | (5) Workers' compensation and employers' liability insurance; and  | 
27  | (6) Issuance through residual market mechanisms.  | 
28  | (c) Any insurer that provides coverage to a commercial special risk shall disclose to the  | 
29  | insured that forms used and rates charges are exempt from filing and approval requirements by this  | 
30  | subsection. Records of all such disclosures shall be maintained by the insurer.  | 
31  | (d) Brokers for exempt commercial policyholders as defined in subdivision (a)(3) of this  | 
32  | section shall be exempt from the due diligence requirements of § 27-3-38(b).  | 
33  | (e) Notwithstanding any other provisions of this title, the requirements of § 27-5-2 shall  | 
34  | not apply to any policy insuring one or more commercial special risks located in this state.  | 
  | LC004832/SUB A - Page 21 of 32  | 
1  | SECTION 7. Title 27 of the General Laws entitled "INSURANCE" is hereby amended by  | 
2  | adding thereto the following chapter:  | 
3  | CHAPTER 6.1  | 
4  | LENDER PLACED INSURANCE  | 
5  | 27-6.1-1. Purpose.  | 
6  | The purpose of this chapter is to:  | 
7  | (1) Promote the public welfare by regulating lender-placed insurance on real property.  | 
8  | (2) Create a legal framework within which lender-placed insurance on real property may  | 
9  | be written in this state.  | 
10  | (3) Help maintain the separation between lenders/servicers and insurers/insurance  | 
11  | producers.  | 
12  | (4) Minimize the possibilities of unfair competitive practices in the sale, placement,  | 
13  | solicitation and negotiation of lender-placed insurance.  | 
14  | 27-6.1-2 Scope.  | 
15  | (a) This chapter applies to insurers and insurance producers engaged in any transaction  | 
16  | involving lender-placed insurance as defined in this chapter.  | 
17  | (b) All lender-placed insurance written in connection with mortgaged real property,  | 
18  | including manufactured and mobile homes, is subject to the provisions of this chapter, except:  | 
19  | (1) Transactions involving extensions of credit primarily for business, commercial or  | 
20  | agricultural purposes.  | 
21  | (2) Insurance offered by the lender or servicer and elected by the mortgagor at the  | 
22  | mortgagor's option.  | 
23  | (3) Insurance purchased by a lender or servicer on real estate owned property.  | 
24  | (4) Insurance for which no specific charge is made to the mortgagor or the mortgagor's  | 
25  | account.  | 
26  | 27-6.1-3. Definitions.  | 
27  | As used in this chapter:  | 
28  | (1) "Affiliate" means a person that directly, or indirectly through one or more  | 
29  | intermediaries, controls or is controlled by, or is under common control with, the person specified.  | 
30  | (2) "Commissioner" shall have the meaning established in § 42-14-5.  | 
31  | (3) "Individual lender-placed insurance" means coverage for individual real property  | 
32  | evidenced by a certificate of coverage under a master lender-placed insurance policy or a lender-  | 
33  | placed insurance policy for individual real property.  | 
34  | (4) "Insurance producer" means a person or entity (or its affiliates) required to be licensed  | 
  | LC004832/SUB A - Page 22 of 32  | 
1  | under the laws of this state to sell, solicit or negotiate insurance.  | 
2  | (5) "Insurer" means an insurance company, association or exchange authorized to issue  | 
3  | lender-placed insurance in this state (or its affiliates).  | 
4  | (6) "Investor" means a person or entity (and its affiliates) holding a beneficial interest in  | 
5  | loans secured by real property.  | 
6  | (7) "Lapse" means the moment in time in which a mortgagor has failed to secure or  | 
7  | maintain valid and/or sufficient insurance upon mortgaged real property as required by a mortgage  | 
8  | agreement.  | 
9  | (8) "Lender" means a person or entity (and its affiliates) making loans secured by an  | 
10  | interest in real property.  | 
11  | (9) "Lender-placed insurance" means insurance obtained by a lender or servicer when a  | 
12  | mortgagor does not maintain valid and/or sufficient insurance upon mortgaged real property as  | 
13  | required by the terms of the mortgage agreement. It may be purchased unilaterally by the lender or  | 
14  | servicer, who is the named insured, subsequent to the date of the credit transaction, providing  | 
15  | coverage against loss, expense or damage to collateralized property as a result of fire, theft, collision  | 
16  | or other risks of loss that would either impair a lender, servicer or investor's interest or adversely  | 
17  | affect the value of collateral covered by limited dual interest insurance. It is purchased according  | 
18  | to the terms of the mortgage agreement as a result of the mortgagor's failure to provide evidence of  | 
19  | required insurance.  | 
20  | (10) "Loss ratio" means the ratio of incurred losses to earned premium.  | 
21  | (11) "Master lender-placed insurance policy" means a group policy issued to a lender or  | 
22  | servicer providing coverage for all loans in the lender or servicer's loan portfolio as needed.  | 
23  | (12) "Mortgage agreement" means the written document that sets forth an obligation or a  | 
24  | liability of any kind secured by a lien on real property and due from, owing or incurred by a  | 
25  | mortgagor to a lender on account of a mortgage loan, including the security agreement, deed of  | 
26  | trust and any other document of similar effect, and any other documents incorporated by reference.  | 
27  | (13) "Mortgage loan" means a loan, advance, guarantee or other extension of credit from a  | 
28  | lender to a mortgagor.  | 
29  | (14) "Mortgage transaction" means a transaction by the terms of which the repayment of  | 
30  | money loaned or payment of real property sold is to be made at a future date or dates.  | 
31  | (15) "Mortgagee" means the person who holds mortgaged real property as security for  | 
32  | repayment of a mortgage agreement.  | 
33  | (16) "Mortgagor" means the person who is obligated on a mortgage loan pursuant to a  | 
34  | mortgage agreement.  | 
  | LC004832/SUB A - Page 23 of 32  | 
1  | (17) "Person" means an individual or entity.  | 
2  | (18) "Real estate owned property" means property owned or held by a lender or servicer  | 
3  | following foreclosure under the related mortgage agreement or the acceptance of a deed in lieu of  | 
4  | foreclosure.  | 
5  | (19) "Replacement cost value (RCV)" is the estimated cost to replace covered property at  | 
6  | the time of loss or damage without deduction for depreciation. RCV is not market value, but it is  | 
7  | instead the cost to replace covered property to its pre-loss condition.  | 
8  | (20) "Servicer" means a person or entity (and its affiliates) contractually obligated to  | 
9  | service one or more mortgage loans for a lender or investor. The term "servicer" includes entities  | 
10  | involved in subservicing arrangements.  | 
11  | 27-6.1-4. Term of Insurance Policy.  | 
12  | (a) Lender-placed insurance shall become effective no earlier than the date of lapse of  | 
13  | insurance upon mortgaged real property subject to the terms of a mortgage agreement and/or any  | 
14  | other state or federal law requiring the same.  | 
15  | (b) Individual lender-placed insurance shall terminate on the earliest of the following dates:  | 
16  | (1) The date the insurance that is acceptable under the mortgage agreement becomes  | 
17  | effective, subject to the mortgagor providing sufficient evidence of such acceptable insurance.  | 
18  | (2) The date the applicable real property no longer serves as collateral for a mortgage loan  | 
19  | pursuant to a mortgage agreement.  | 
20  | (3) Such other date as specified by the individual policy or certificate of insurance.  | 
21  | (4) Such other date as specified by the lender or servicer.  | 
22  | (5) The termination date of the policy.  | 
23  | (c) An insurance charge shall not be made to a mortgagor for lender-placed insurance for  | 
24  | a term longer than the scheduled term of the lender-placed insurance, nor may an insurance charge  | 
25  | be made to the mortgagor for lender-placed insurance before the effective date of the lender-placed  | 
26  | insurance.  | 
27  | 27-6.1-5. Calculation of coverage and payment of premiums.  | 
28  | (a) Any lender-placed insurance coverage, and subsequent calculation of premium, should  | 
29  | be based upon the replacement cost value of the property as best determined as follows:  | 
30  | (1) The dwelling coverage amount set forth in the most recent evidence of insurance  | 
31  | coverage provided by the mortgagee ("last known coverage amount" or "LKCA"), if known to the  | 
32  | lender or servicer.  | 
33  | (2) The insurer shall inquire of the insured, at least once ,as to the LKCA; and if it is not  | 
34  | able to obtain the LKCA from the insured or in another manner, the insurer may proceed as set  | 
  | LC004832/SUB A - Page 24 of 32  | 
1  | forth below.  | 
2  | (3) If the LKCA is unknown, the replacement cost of the property serving as collateral as  | 
3  | calculated by the insurer, unless the use of replacement cost for this purpose is prohibited by other  | 
4  | state or federal law.  | 
5  | (4) If the LKCA is unknown and the replacement cost is not available or its use is  | 
6  | prohibited, the unpaid principal balance of the mortgage loan.  | 
7  | (b) In the event of a covered loss, any replacement cost coverage provided by an insurer in  | 
8  | excess of the unpaid principal balance of the mortgage loan shall be paid to the mortgagor.  | 
9  | (c) An insurer shall not write lender-placed insurance for which the premium rate differs  | 
10  | from that determined by the schedules of the insurer on file with the commissioner as of the  | 
11  | effective date of any such policy.  | 
12  | 27-6.1-6. Prohibited Practices.  | 
13  | (a) An insurer or insurance producer shall not issue lender-placed insurance on mortgaged  | 
14  | property that the insurer or insurance producer or an affiliate of the insurer or insurance producer  | 
15  | owns, performs the servicing for, or owns the servicing right to the mortgaged property.  | 
16  | (b) An insurer or insurance producer shall not compensate a lender, insurer, investor or  | 
17  | servicer (including through the payment of commissions) on lender-placed property insurance  | 
18  | policies issued by the insurer.  | 
19  | (c) An insurer or insurance producer shall not share lender-placed insurance premium or  | 
20  | risk with the lender, investor or servicer that obtained the lender-placed insurance.  | 
21  | (d) An insurer or insurance producer shall not offer contingent commissions, profit sharing,  | 
22  | or other payments dependent on profitability or loss ratios to any person affiliated with a servicer  | 
23  | or the insurer in connection with lender-placed insurance.  | 
24  | (e) An insurer shall not provide free or below-cost outsourced services to lenders, investors  | 
25  | or servicers, and an insurer will not outsource its own functions to lenders, insurance producers,  | 
26  | investors or servicers on an above-cost basis.  | 
27  | (f) An insurer or insurance producer shall not make any payments, including, but not  | 
28  | limited to, the payment of expenses to a lender, insurer, investor or servicer for the purpose of  | 
29  | securing lender-placed insurance business or related outsourced services.  | 
30  | 27-6.1-7. Non-circumvention.  | 
31  | Nothing in this chapter shall be construed to allow an insurance producer or an insurer  | 
32  | solely underwriting lender-placed insurance to circumvent the requirements set forth within this  | 
33  | chapter. Any such part of any requirements, limitations or exclusions provided herein apply in any  | 
34  | part to any insurer or insurance producer involved in lender-placed insurance.  | 
  | LC004832/SUB A - Page 25 of 32  | 
1  | 27-6.1-8. Evidence of Coverage.  | 
2  | (a) Lender-placed insurance shall be set forth in an individual policy or certificate of  | 
3  | insurance. A copy of the individual policy, certificate of insurance, or other evidence of insurance  | 
4  | coverage shall be mailed, first class mailed, or delivered in person to the last known address of the  | 
5  | mortgagor or delivered in accordance with chapter 27 of title 42. Notwithstanding any other  | 
6  | statutory or regulatory required information, the individual policy or certificate of insurance  | 
7  | coverage shall include the following information:  | 
8  | (1) The address and identification of the insured property;  | 
9  | (2) The coverage amount or amounts if multiple coverages are provided;  | 
10  | (3) The effective date of the coverage;  | 
11  | (4) The term of coverage;  | 
12  | (5) The premium charge for the coverage;  | 
13  | (6) Contact information for filing a claim; and  | 
14  | (7) A complete description of the coverage provided.  | 
15  | 27-6.1-9. Filing, Approval and Withdrawal of Forms and Rates.  | 
16  | (a) All policy forms and certificates of insurance to be delivered or issued for delivery in  | 
17  | this state and the schedules of premium rates pertaining thereto shall be filed with the  | 
18  | commissioner.  | 
19  | (b) The commissioner shall review the rates to determine whether the rates are excessive,  | 
20  | inadequate or unfairly discriminatory. This analysis shall include a determination as to whether  | 
21  | expenses included by the insurer in the rate are appropriate.  | 
22  | (c) All insurers shall re-file lender-placed property insurance rates at least once every four  | 
23  | (4) years.  | 
24  | (d) All insurers writing lender-placed insurance shall have separate rates for lender placed  | 
25  | insurance and voluntary insurance obtained by a mortgage servicer on real estate owned property.  | 
26  | (e) Upon the introduction of a new lender-placed insurance program, the insurer shall  | 
27  | reference its experience in existing programs in the associated filings. Nothing in this chapter shall  | 
28  | limit an insurer's discretion, as actuarially appropriate, to distinguish different terms, conditions,  | 
29  | exclusions, eligibility criteria or other unique or different characteristics. Moreover, an insurer may,  | 
30  | where actuarially acceptable, rely upon models or, in the case of flood filings where applicable  | 
31  | experience is not credible, on Federal Emergency Management Agency (FEMA) National Flood  | 
32  | Insurance Program (NFIP) data.  | 
33  | (f) No later than April 1 of each year, each insurer with at least one hundred thousand  | 
34  | dollars ($100,000) in direct written premium for lender-placed insurance in this state during the  | 
  | LC004832/SUB A - Page 26 of 32  | 
1  | prior calendar year shall report to the commissioner the following information for the prior calendar  | 
2  | year. This report shall be separately produced for each lender-placed program and presented on  | 
3  | both an individual-jurisdiction and countrywide basis containing the following information:  | 
4  | (1) Actual loss ratio;  | 
5  | (2) Earned premium;  | 
6  | (3) Any aggregate schedule rating debit/credit to earned premium;  | 
7  | (4) Itemized expenses;  | 
8  | (5) Paid losses; and  | 
9  | (6) Loss reserves, including case reserves and reserves for incurred but not reported losses.  | 
10  | (g) Except in the case of lender-placed flood insurance, to which this paragraph does not  | 
11  | apply, if an insurer experiences an annual loss ratio of less than thirty-five percent (35%) in any  | 
12  | lender placed program for two (2) consecutive years, it shall submit a rate filing (either adjusting  | 
13  | its rates or supporting their continuance) to the commissioner no more than ninety (90) days after  | 
14  | the submission of the data required pursuant to subsection (f) of this section.  | 
15  | (h) Except as specifically set forth in this section, rate and form filing requirements shall  | 
16  | be subject to the insurance laws of this state.  | 
17  | 27-6.1-10. Enforcement and judicial review.  | 
18  | The commissioner shall have all rights and powers to enforce the provisions of this chapter  | 
19  | as provided by § 42-14-16 of the general laws of this state. All proceedings, including judicial  | 
20  | review, shall be conducted in accordance with the administrative procedures act chapter 35 of title  | 
21  | 42 of the general laws. Any penalties shall be assessed in accordance with § 42-14-16.  | 
22  | 27-6.1-11. Regulatory authority.  | 
23  | The commissioner may, after notice and hearing, promulgate reasonable regulations and  | 
24  | orders to carry out and effectuate the provisions of this chapter.  | 
25  | 27-6.1-12. Severability provisions.  | 
26  | If any provision of this chapter, or the application of the provision to any person or  | 
27  | circumstance, is for any reason held to be invalid, the remainder of the chapter and the application  | 
28  | of such provision to other persons or circumstances shall not be affected thereby.  | 
29  | SECTION 8. Section 27-3-39 of the General Laws in Chapter 27-3 entitled "Surplus Lines  | 
30  | Insurance" is hereby repealed.  | 
31  | 27-3-39. Surplus line broker's bond.  | 
32  | (a) No license to act as a resident surplus line broker in this state shall be issued until a  | 
33  | certificate of the general treasurer is deposited with the insurance commissioner on a blank  | 
34  | furnished by the insurance commissioner, stating that the licensee has filed with the general  | 
  | LC004832/SUB A - Page 27 of 32  | 
1  | treasurer a bond in the penal sum of twenty-five thousand dollars ($25,000) executed by the licensee  | 
2  | as principal and by a surety company authorized to transact business in this state as surety, and  | 
3  | conditioned upon the licensee faithfully complying with all of the requirements of § 27-3-38.  | 
4  | (b) Any bond required by this section shall be continuous while the principal is licensed to  | 
5  | act as a surplus line broker in this state; provided, that before the bond may be cancelled, the  | 
6  | insurance commissioner must have been notified in writing by the surety of the proposed  | 
7  | cancellation at least thirty (30) days prior to the date cancellation is to become effective; and,  | 
8  | provided, that in the event of cancellation, any license covered by the bond shall be suspended by  | 
9  | the insurance commissioner pending the substitution of a similar bond for the cancelled bond. The  | 
10  | surety shall be released from further liability under any bond covering a license revoked,  | 
11  | terminated, or expired as to any acts committed after the date that license is revoked, terminated,  | 
12  | or expired. The aggregate liability of the surety for any and all claims or recoveries that arise under  | 
13  | any bond shall in no event exceed the amount of the penal sum of the bond. The commissioner may  | 
14  | promulgate standards and procedures for collecting under bonds issued pursuant to this section.  | 
15  | (c) Authorized surplus line agents or brokers of a licensed firm may meet the requirements  | 
16  | of this section with a bond in the name of the licensed firm, continuous in form and in the amounts  | 
17  | set forth in subsection (a).  | 
18  | SECTION 9. Section 27-4-6 of the General Laws in Chapter 27-4 entitled "Life Insurance  | 
19  | Policies and Reserves" is hereby repealed.  | 
20  | 27-4-6. Terms to be stated in policy -- Rebates prohibited.  | 
21  | (a) No life insurance corporation doing business in this state, nor any insurance producer  | 
22  | of the corporation, shall permit, offer, or make any contract of insurance or agreement as to any  | 
23  | contract other than as plainly expressed in the policy issued on the contract or agreement; nor shall  | 
24  | any company or any officer, insurance producer, or representative of the company or producer pay,  | 
25  | allow, or give, or offer to pay, allow, or give, directly or indirectly, as inducement to any person to  | 
26  | insure, or give, sell, or purchase, or offer to give, sell, or purchase as an inducement or in connection  | 
27  | with any insurance, any stocks, bonds, or other securities of any insurance company or other  | 
28  | corporation, association, or partnership, or any dividends or profits accruing on the securities, or  | 
29  | any valuable consideration or inducement of any kind not specified in the policy, nor shall any  | 
30  | person knowingly receive as an inducement any rebate of premium, or any special favor or  | 
31  | advantage in the dividends or other benefits, or any paid employment or contract for services of  | 
32  | any kind, or any valuable consideration or inducement of any kind, not specified in the policy.  | 
33  | (b) Nothing in this section shall be construed to forbid a company transacting industrial  | 
34  | insurance on a weekly payment plan from returning to policyholders who have made premium  | 
  | LC004832/SUB A - Page 28 of 32  | 
1  | payments for a period of at least one year, directly to the company at its home or district offices, a  | 
2  | percentage of the premium which the company would have paid for the weekly collection of the  | 
3  | premiums.  | 
4  | SECTION 10. Section 27-6-46 of the General Laws in Chapter 27-6 entitled "Fire and  | 
5  | Marine Insurance Rating" is hereby repealed.  | 
6  | 27-6-46. Terms to be stated in policy -- Rebates prohibited.  | 
7  | No insurer, or any officer, insurance producer, or representative of an insurer, shall make  | 
8  | any contract for insurance, on property on risks located within this state, or against any liability,  | 
9  | casualty, accident, or hazard that may arise or occur in this state, or any agreement as to that  | 
10  | contract, other than as plainly expressed in the policy issued or to be issued on the agreement or  | 
11  | contract; or shall any insurer, or officer, insurance producer, or representative of an insurer, directly  | 
12  | or indirectly, in any manner, pay or allow or offer to pay or allow to the insured named in the policy  | 
13  | or to any employee of the insured as an inducement to that insurance, or after the insurance shall  | 
14  | have been effected, any rebate from the premium which is specified in the policy or any special  | 
15  | favor or advantage in the dividends or other benefit to accrue on the policy; or any valuable  | 
16  | consideration or inducement not specified in the policy or contract of insurance, or give, sell, or  | 
17  | purchase, as an inducement to that insurance, or in connection with that insurance, any stock, bonds,  | 
18  | or other securities of any insurance or other corporation or association, or any dividends or profits  | 
19  | accrued on the securities, or anything of value not specified in the policy, or shall any insurance  | 
20  | producer or his or her representatives, or any other person, directly or indirectly, either by sharing  | 
21  | commissions or in any manner pay or allow or offer to pay or allow to the insured named in the  | 
22  | policy, or to any employee of the insured, as an inducement to that insurance, or after the insurance  | 
23  | shall have been effected, any rebate from the premium which is specified in the policy, or shall any  | 
24  | insured, or party, or applicant for insurance, his or her or its employee, agent, or representative  | 
25  | knowingly receive or accept, or agree to accept, or agree to receive or accept, directly or indirectly,  | 
26  | any rebate of premium or any part of the premium or all or any part of any commission on the  | 
27  | premium, or any favor or advantage, or share in any benefit to accrue under any contract of  | 
28  | insurance, or any valuable consideration or inducement, other than what is specified in the policy;  | 
29  | provided, that nothing in this section shall prevent any insurer from the distribution of surplus,  | 
30  | dividends, savings, or the unused or unabsorbed portion of premiums and premium deposits to  | 
31  | participating policyholders, or shall this section prevent any insurer, or its insurance producer, from  | 
32  | paying commissions to a licensed insurance producer who shall have negotiated for the insurance,  | 
33  | or shall it prevent any licensed insurance producer from sharing or dividing a commission earned  | 
34  | or received by the insurance producer with any other licensed insurance producers who shall have  | 
  | LC004832/SUB A - Page 29 of 32  | 
1  | aided the insurance producer in respect to the insurance for the negotiation of which that  | 
2  | commission shall have been earned or paid; but no insurer or agent, or broker shall pay or allow  | 
3  | commissions or brokerage to any person acting as an insurance producer in this state who is  | 
4  | required by law to be licensed but is not licensed. Sections 27-8-7 -- 27-8-10 shall not apply to the  | 
5  | kinds of insurance subject to the provisions of this chapter.  | 
6  | SECTION 11. Section 27-9-44 of the General Laws in Chapter 27-9 entitled "Casualty  | 
7  | Insurance Rating" is hereby repealed.  | 
8  | 27-9-44. Terms to be stated in policy -- Rebates prohibited.  | 
9  | No insurer, or any officer, insurance producer, or their representative, shall make any  | 
10  | contract for insurance, on property or risks located within this state, or against any liability,  | 
11  | casualty, accident, or hazard that may arise or occur in this state, or any agreements as to any  | 
12  | contract, other than as plainly expressed in the policy issued or to be issued on the agreement or  | 
13  | contract; nor shall any insurer, or officer, insurance producer, or their representative, directly or  | 
14  | indirectly, in any manner, pay or allow or offer to pay or allow to the insured named in the policy  | 
15  | or to any employee of the insured as an inducement to the insurance, or after the insurance shall  | 
16  | have been effected, any rebate from the premium which is specified in the policy or any special  | 
17  | favor or advantage in the dividends or other benefit to accrue on the policy, or any valuable  | 
18  | consideration or inducement, not specified in the policy or contract of insurance, or give, sell, or  | 
19  | purchase, as an inducement to the insurance, or in connection with the insurance, any stock, bonds,  | 
20  | or other securities of any insurance or other corporation or association, or any dividends or profits  | 
21  | accrued on the stock, bonds, or securities, or anything of value, not specified in the policy, nor shall  | 
22  | any insurance producer or representative, or any other person, directly or indirectly, either by  | 
23  | sharing commissions or in any manner, pay or allow or offer to pay or allow to the insured named  | 
24  | in the policy, or to any employee of the insured, as an inducement to the insurance, or after the  | 
25  | insurance shall have been effected, any rebate from the premium which is specified in the policy,  | 
26  | nor shall any insured, or party, or applicant for insurance, his, her or its employee, agent, or  | 
27  | representative, knowingly receive or accept, or agree to accept, or agree to receive or accept,  | 
28  | directly or indirectly, any rebate of a premium or any part of the premium or all or any part of any  | 
29  | commission on the premium, or any favor or advantage, or share in any benefit to accrue under any  | 
30  | contract of insurance, or any valuable consideration or inducement, other than what is specified in  | 
31  | the policy; provided, that nothing in this section shall prevent any insurer from the distribution of  | 
32  | surplus, dividends, savings, or the unused or unabsorbed portion of premiums and premium  | 
33  | deposits to participating policyholders, nor shall this section prevent any insurer, or its agent, from  | 
34  | paying commissions to a licensed insurance producer who shall have negotiated for the insurance,  | 
  | LC004832/SUB A - Page 30 of 32  | 
1  | nor shall it prevent any licensed insurance producer from sharing or dividing a commission earned  | 
2  | or received by the insurance producer with any other licensed insurance producer who shall have  | 
3  | aided the insurance producer in respect to the insurance for the negotiation of which the commission  | 
4  | shall have been earned or paid; but no insurer, or insurance producer shall pay or allow  | 
5  | commissions or brokerage to any person acting as an insurance producer in this state who is  | 
6  | required by law to be licensed but is not licensed. As used in this section, the word "insurance"  | 
7  | includes suretyship and the word "policy" includes bond. Sections 27-8-7 -- 27-8-10 shall not apply  | 
8  | to the kinds of insurance subject to the provisions of this chapter.  | 
9  | SECTION 12. This act shall take effect upon passage.  | 
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LC004832/SUB A  | |
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  | LC004832/SUB A - Page 31 of 32  | 
EXPLANATION  | |
BY THE LEGISLATIVE COUNCIL  | |
OF  | |
A N A C T  | |
RELATING TO INSURANCE -- SURPLUS LINES INSURANCE  | |
***  | |
1  | This act would clarify and update various insurance statutes including surplus lines  | 
2  | licensing; would eliminate the need for an "in person" hearing defaulting to the administrative  | 
3  | procedures act; would reduce the standard non forfeiture interest rate on a go forward basis; would  | 
4  | update the rebating laws; update and clarify the long term care insurance statute; would add  | 
5  | additional lines of insurance to the commercial special risks statute; and would add a new chapter  | 
6  | addressing lender placed insurance.  | 
7  | This act would take effect upon passage.  | 
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LC004832/SUB A  | |
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  | LC004832/SUB A - Page 32 of 32  |