A N A C T
RELATING TO INSURANCE
Introduced By: Senators Bates, Hunter, Celona, Walaska and Tassoni
It is enacted by the General Assembly as follows:
SECTION 1. Chapter 27-2.3 of the General Laws entitled "Single License Procedure Act" is hereby repealed in its entirety.
CHAPTER 2.3
Single License Procedure Act
27-2.3-1. Purpose and scope -- (a) This chapter governs the qualifications and procedures for the licensing of insurance producers and shall be called the "Single License Procedure Act." This chapter simplifies and organizes statutory language to improve efficiency and reduce costs associated with issuing and renewing insurance producer licenses. This chapter modifies the present agent, broker, and solicitor licensing system and implements a single "producer" licensing system. This chapter does not apply to excesses and surplus lines agents or brokers licensed pursuant to section 27-3-38.
(b) Whenever the words "agent", "solicitor", or "broker" and their plural construct are used in the context of a licensee pursuant to chapter 3 of title 27 of the general laws and occur in this chapter, any general law, public law, act, or resolution of the general assembly, or department regulation, those words shall mean insurance producer, except for those provisions of law and regulation which govern excess and surplus lines agents or brokers licensed pursuant to section 27-3-38.
27-2.3-2. Definitions -- The following definitions apply to this chapter:
(1) "Commissioner of insurance" means the director of the department of business regulation.
(2) "Department" means the department of business regulation.
(3) "Firm" means any corporation, association, partnership or other legal entity.
(4) "Individual" means any private or natural person but shall not include a partnership, corporation, or association.
(5) "Insurance producer" means a person who solicits, negotiates, effects, procures, delivers, renews, continues or binds policies of insurance or who offers advice, counsel, opinion, or service for risks residing, located, or to be performed in this state. The term "insurance producer" does not include an excess or surplus lines agent or broker licensed pursuant to section 27-3-38.
(6) "License" means a document issued by the department of business regulation authorizing a person to act as an insurance producer for a class or classes of insurance specified in the document. The license itself does not create any authority, actual, apparent, or inherent, in the holder to represent or commit an insurance carrier.
(7) "Nonresident" means any person who is not a resident of Rhode Island as defined in subdivision (9).
(8) "Person" means any natural person, corporation, association, partnership, or other legal entity.
(9) "Resident" means a person who either resides in Rhode Island or maintains an office in Rhode Island where the business of producing insurance is transacted and opts to designate Rhode Island as the residence for the purpose of licensure.
27-2.3-3. License required -- (a) No person shall act as or hold oneself out to be an insurance producer for any class or classes of insurance unless duly licensed for that class or classes in accordance with this chapter.
(b) No person shall, for a fee, engage in the business of offering any advice, counsel, opinion, or service with respect to the benefits, advantages, or disadvantages under any policy of insurance that could be issued in Rhode Island, unless that person is:
(1) Engaged or employed as an attorney licensed to practice law in Rhode Island;
(2) A licensed insurance producer offering advice concerning a class or classes of insurance for which the insurance producer is licensed;
(3) A trust officer of a bank performing duties incidental to the officer's position;
(4) An actuary or a certified public accountant engaged or employed in a consulting capacity, performing duties incidental to that position; or
(5) A licensed public adjuster acting within the scope of any applicable license.
(c) Any person who violates this section by operating without a license shall be guilty of a misdemeanor and fined not exceeding one thousand dollars ($1,000) or imprisoned for a term not exceeding one year, or both. The matter shall be referred to the department of the attorney general.
27-2.3-4. Application for examination -- (a) An individual applying for an insurance producer license shall pass a written examination unless exempt pursuant to section 27-2.3-8. The examination shall test the knowledge of the individual concerning the class or classes of insurance for which the application is made, the duties and responsibilities of an insurance producer, and the insurance laws, rules, and regulations of this state. Examinations required by this section shall be developed and conducted under rules and regulations prescribed by the department of business regulation.
(b) The department of business regulation may make arrangements, including contracting with an outside testing service, for administering examinations and collecting a reasonable nonrefundable fee.
(c) Each individual applying for an examination shall remit a reasonable nonrefundable fee as prescribed by the department of business regulation pursuant to rule and regulation.
(d) An individual who fails to appear for the examination as scheduled or fails to pass the examination must reapply for an examination and remit all required fees and forms before being rescheduled for another examination.
27-2.3-5. Application for license -- (a) An individual applying for an insurance producer license shall apply on a form specified by the department of business regulation and declare under penalty of refusal, suspension, or revocation of the license that the statements made in the application are true, correct, and complete to the best of the individual's knowledge and belief. Before approving the application, the department of business regulation shall find that the individual:
(1) Is at least eighteen (18) years of age;
(2) Has not committed any act which is a ground for denial, suspension, or revocation as set forth in section 27-2.3-12;
(3) Has completed a pre-licensing course of study for each class of insurance for which an insurance producer license has been requested, which course of study shall be established in accordance with the insurance laws and rules and regulations prescribed by the department of business regulation;
(4) Has paid the fees set forth in this chapter; and
(5) Has successfully passed the examinations for the class or classes of insurance for which the individual has requested an insurance producer license.
(b) A firm applying for an insurance producer license shall make an application on a form specified by the department of business regulation. An officer who has obtained an insurance producer license shall be responsible to declare under penalty of refusal, suspension, or revocation of the license that the statements made in the application are true, correct, and complete to the best of the officer's knowledge. Before approving the application, the department of business regulation shall find that:
(1) Each officer, director, and/or member of the firm who is acting as an insurance producer for the firm has obtained an insurance producer license from the state of Rhode Island for the same class or classes of insurance;
(2) The firm has paid the fees set forth in this chapter;
(3) The firm has disclosed to the department of business regulation the names of all officers and directors and whether or not they are licensed as insurance producers or by the state of Rhode Island;
(4) The firm has designated an officer who has obtained an insurance producer license to be responsible for the firm's compliance with the insurance laws, rules, and regulations of this state; and
(5) The department of business regulation may require the applicant to provide any documents reasonably necessary to verify the information contained in the application.
27-2.3-6. License -- (a) Persons who have met the requirements of sections 27-2.3-4 and 27-2.3-5 shall be issued an insurance producer license.
(b) Each insurance producer license shall remain in effect unless revoked or suspended as long as the fees set forth in section 27-2.3-17 are paid when due and all applicable education requirements prescribed in the insurance laws and the rules and regulations prescribed by the department of business regulation have been met by the holder of the insurance producer license.
(c) An individual insurance producer whose license lapses because of failure to pay annual fees may, within twelve (12) months from the due date of the unpaid annual fee, make application for the same license without the necessity of passing a written examination; provided, however, that the annual fee, in that event, shall be in an amount which is double the then current annual fee. The individual must also meet the continuing education requirements set forth in chapter 3.2 of this title for the period during which the license lapsed.
(d) The license shall contain the licensee's name, address, personal identification number, the date of issuance, the class or classes of insurance covered, conditions of expiration and termination, and any other information the department of business regulation deems necessary or desirable.
(e) All insurance producer licensees shall provide the department of business regulation with written notification of any change of business mailing and/or residence address within thirty (30) days of any change.
(f) All companies contracting with insurance producers must provide the department of business regulation with a written report of their contracted insurance producers for the calendar year of January 1 to December 31. This report, along with any fees due, shall be provided on or before March 1 of the following year.
(g) The department of business regulation is hereby authorized to provide to the national association of insurance commissioners, upon the development of a centralized reporting and license verification bureau, agency, or department within the national association of insurance commissioners, any information contained in the application for an insurance producer license or in any license issued by the department of business regulation.
27-2.3-7. Nonresident licensing -- (a) A nonresident may apply for an insurance producer license if:
(1) The nonresident is in compliance with the requirements of section 27-2.3-5, except that completion of a prelicensing course of study shall not apply to nonresidents; and
(2) The nonresident's state of residence issues similar licenses to a person residing in this state, without completion of a prelicensing course of study, for the same class or classes of insurance for which that person is licensed in this state.
(b) A nonresident may be licensed without written examination if the insurance department in any state in which the nonresident holds a license to produce insurance certifies that the nonresident applicant has passed a written examination for the class or classes of insurance applied for or was licensed to produce insurance prior to the time a written examination was required by that state, and that the license is currently in good standing.
(c) A nonresident shall file with the department of business regulation the required forms appointing the commissioner of insurance and successors in office as the nonresident's agent upon whom all lawful process in any legal proceeding against the nonresident may be served in the state, and by acceptance of the license agrees that any lawful process has the same legal force and validity as personal service of process upon the nonresident. The commissioner of insurance shall, within three (3) working days after receiving process, forward a copy of the process by registered or certified mail to the nonresident at the nonresident's address of record.
(d) Whenever, by the laws or regulations of any other state, there is imposed any limitation of rights and privileges, conditions precedent, or any other requirements upon residents of this state who are nonresident insurance producer licensees of that other state which are in addition to, or in excess of, those imposed on nonresidents under this chapter, the department shall have the authority to impose the same or similar requirements on licensed insurance producers who are residents of that other state.
(e) A nonresident individual insurance producer who must meet continuing education requirements in the individual's state of residence is exempt from the continuing education requirements by the department of business regulation for resident insurance producers, if the requirements in the individual's state of residence, as determined by the department of business regulation, are substantially similar to this state's requirements.
27-2.3-8. Exemption from examination -- An individual who files with the department of business regulation a current letter of clearance within one hundred eighty (180) days of the cancellation of the individual's insurance producer license in a former state of residence certifying that the individual has passed an examination and held an insurance license in good standing in the individual's prior state of licensure shall only be required to take and pass the state law portion of this state's examination. For any class or classes of insurance for which the applicant has applied for licensure and which are not covered under the license or licenses held in the other state, the applicant shall be required to pass an examination pertaining to this state's laws, rules, and regulations.
27-2.3-9. Assumed names -- Insurance producers desiring to use an assumed name in the state of Rhode Island are required to register the name or names with the department of business regulation prior to the use of the assumed name or names.
27-2.3-10. Exceptions to licensing requirements -- No license as an insurance producer shall be required of the following:
(1) Any regularly salaried officer or employee of any domestic or foreign insurance company who is engaged solely in the performance of usual and customary executive, administrative, or clerical duties and which duties do not include the direct solicitation of insurance;
(2) Salaried employees in the office of an insurance producer who devote their full time to clerical and administrative services, including but not limited to the incidental taking of insurance applications and receipt of premiums in the office of their employer, as long as those employees do not receive any commissions on the applications and their compensation is not varied by the volume of applications or premiums taken or received;
(3) Persons who secure and furnish information for the purpose of enrolling individuals for group or blanket life insurance, accident and health insurance, or annuities, or who issue contracts or certificates under those plans, or who otherwise assist in administering those plans, provided that any compensation paid for services is not based upon the amount of premium generated by the enrollment or the number of individuals enrolled;
(4) Employers or their officers or employees, or the trustees of any employee trust plan, to the extent that the employers, officers, employees, or trustees are engaged in the administration or operation of any program of employee benefits for their own employees or the employees of their subsidiaries or affiliates, which program involves the use of insurance issued by an insurance company, as long as the employers, officers, employees, or trustees are not in any manner compensated, directly or indirectly, by the company issuing the contracts;
(5) Employees of insurance companies or organizations employed by insurance companies who are engaging in the inspection, rating, or classification of risks, or in the supervision of the training of insurance producers and who are not individually engaged in the solicitation or negotiation of policies or contracts for insurance; or
(6) Rental car companies and their employees principally engaged in the rental of motor vehicles and which offer in connection with and incidental to the rental of those motor vehicles various optional insurance coverage during the term of the rental agreement which shall be no more than forty-five (45) days.
27-2.3-11. Temporary licenses -- (a) The department may issue a temporary insurance producer's license without requiring an examination and without compliance with the educational or experience requirements of this title as follows:
(1) To the executor or administrator of the estate of a deceased person who at the time of that person's death was a licensed insurance producer under this chapter;
(2) To a surviving next of kin of a deceased person, if no administrator or executor has been appointed and qualified, but any license issued under this subsection shall be revoked upon issuance of a license to an executor or administrator under subdivision (a)(1);
(3) To the surviving member or members of a firm upon the death of a member who was a licensed insurance producer; and
(4) To the designee of a licensed insurance producer upon entering active service in the armed forces of the United States of America.
(b) To obtain a temporary license, the person desiring the license shall file a written application with the department of business regulation. The application shall be in a form prescribed by the department of business regulation.
(c) A temporary license or temporary licenses shall authorize the person or persons named therein to conduct the business of the deceased individual insurance producer, or, if applicable, the firm insurance producer during the term in which the temporary license or licenses are in force, to collect premiums due and payable to the estate or to the firm, and to perform the other acts as an insurance producer as are incidental to the continuance of the insurance business of the deceased insurance producer or the firm insurance producer as the case may be.
(d) A temporary license or licenses may be issued for a term not exceeding ninety (90) days from the death of the deceased insurance producer or entrance into the armed forces of the United States of America. The department of business regulation may in its discretion renew the license or licenses for an additional term or terms of ninety (90) days each, not exceeding, in the aggregate, fifteen (15) months.
(e) A person eligible for a temporary insurance producer's license may be licensed only as an agent of the insurer or insurers which the deceased insurance producer, or firm, as the case may be, was licensed to represent at the time of death. The department of business regulation is authorized to waive this provision if the original insurer or insurers are no longer issuing policies of insurance in the state of Rhode Island.
27-2.3-12. Licenses -- Denial -- Nonrenewal -- Suspension or revocation -- (a) Any license issued under this chapter may be suspended, revoked, or nonrenewed, and any application for a license may be denied, if the department of business regulation finds that the licensee or applicant has:
(1) Made any materially untrue statement in the license application;
(2) Violated any law relating to the production of insurance, or violated any rule, regulation, subpoena, or order of the department or of an insurance commissioner of any state relating to the production of insurance;
(3) Obtained or attempted to obtain any license through misrepresentation or fraud;
(4) Improperly withheld, misappropriated, or converted to the person's own use any moneys belonging to policyholders, insurers, beneficiaries, or others received in the course of producing insurance;
(5) Intentionally or negligently misrepresented the terms of any actual or proposed insurance contract;
(6) Been convicted of a felony;
(7) Been determined to have violated the laws of this state relating to unfair trade practice or fraud;
(8) In the conduct of providing insurance while holding an insurance producer license, used fraudulent, coercive, or dishonest practices, or has been shown to be incompetent, untrustworthy, financially irresponsible, or a hazard to the public;
(9) Had an insurance producer license nonrenewed, suspended, or revoked in any other state, province, district, or territory;
(10) Forged another's name to an application for insurance;
(11) Cheated on an examination for an insurance license; or
(12) Knowingly accepted insurance business from an individual who is required to be licensed but is not licensed.
(b) In the event that the action by the department of business regulation is to nonrenew or to deny an application for a license, the department of business regulation shall promptly notify the applicant or licensee and advise, in writing, the applicant or licensee of the reason for the denial or nonrenewal of the license. The applicant or licensee may make written demand upon the commissioner of insurance within thirty (30) days for a hearing to review the action of the department of business regulation. The hearing shall be conducted in accordance with regulations of the department of business regulation for hearings pursuant to chapter 35 of title 42. The hearing officer may affirm, revoke, or modify the decision of the department of business regulation.
(c) The license of a firm may be suspended, revoked, nonrenewed, or denied if the department of business regulation finds after an evidentiary hearing conducted in accord with the regulations of the department of business regulation pursuant to chapter 35 of title 42, that an individual insurance producer licensee's violation of this section was known or should have been known by one or more of the partners, officers, directors, or managers acting on behalf of the firm and the violation was not reported to the department of business regulation in a timely manner or corrective action taken in a timely manner in relation thereto.
(d) The commissioner of insurance shall have the authority to impose an administrative fine upon any person or firm that the department of business regulation found to have violated this chapter, in addition to or in lieu of any applicable denial, suspension, or revocation of a license. The administrative fine may be imposed only upon the conclusion of an evidentiary hearing as provided in subsection (b) or (c).
(e) In the event that a license is terminated because the licensee obtained or attempted to obtain the license through misrepresentation or fraud, improperly withheld, misappropriated, or converted to the licensee's own use moneys belonging to others received in the course of producing insurance, or forged another's name to an application for insurance, the department of business regulation shall refer the matter to the department of the attorney general.
27-2.3-13. Representatives of fraternal benefit societies -- Representatives of fraternal benefit societies who solicit and negotiate insurance policies shall be deemed insurance producers and subject to the same licensing requirements as insurance producers; provided, that no insurance producer license shall be required of:
(1) Any officer, employee, or secretary of any society, or of any subordinate lodge or branch thereof, who devotes substantially all of that person's time to activities other than the solicitation or negotiation of insurance contracts and who receives no commission or other compensation directly dependent upon the number or amount of contracts solicited or negotiated; or
(2) Any agent or representative of a society who devotes, or intends to devote, less than fifty percent (50%) of that person's time to the solicitation and procurement of insurance contracts for the society. Any person who in the preceding calendar year has solicited and procured life insurance in excess of fifty thousand dollars ($50,000) face amount, or, in the case of any other kind or kinds of insurance which the society may write, on more than twenty-five (25) individuals, and who has received or will receive a commission or other compensation therefore, shall be presumed to be devoting or intended to devote, fifty percent (50%) or more of that person's time to the solicitation or procurement of insurance contracts for the society.
27-2.3-14. Commissions -- Payments -- Acceptance -- No insurance company or insurance producer shall pay, directly or indirectly, any commission, service fee, brokerage, or other valuable consideration to any person for services as an insurance producer unless the person performing the service held a valid license regarding the class or classes of insurance as to which the service was rendered at the time the service was performed. No person, other than a person properly licensed in accordance with this chapter at the time the person performs services as an insurance producer, shall accept any commissions, service fee, brokerage, or other valuable consideration for the services. Acceptance of the consideration shall constitute operating without a license. This section shall not prevent payment or receipt of renewal or other deferred commissions to or by any person entitled thereto under this chapter.
27-2.3-15. Controlled business -- (a) No insurance producer license shall be granted or extended to any person if the license is used or if intended for use for the purpose of writing controlled business.
(b) "Controlled business" means insurance procured or to be procured by or through the person upon:
(1) The person's own life, person, property, or risks, or those of the person's spouse; or
(2) The life, person, property or risks of the person's employer or the person's own business.
(c) A license shall be deemed to have been, or intended to be, used for the purpose of writing controlled business if, during any twelve (12) month period, the aggregate amount of premiums on controlled business exceeds or would exceed the aggregate amount of premiums on all other insurance business of the applicant or licensee.
27-2.3-16. Notification of termination -- (a) If a domestic or foreign insurance company should reasonably believe that any licensed insurance producer from whom it has accepted an application for insurance has committed or is engaged in any act or omission stated in section 27-2.3-12, the insurance company shall so notify the department and shall provide, upon request of the department, all relevant information, documents, records, or other data in its possession pertaining to the act or omission which may be used by the department.
(b) The disclosure of any information, documents, records, or statements provided pursuant to this section shall be privileged and there shall be no liability on the part of, nor shall a cause of action of any nature arise against, the department, the insurance company, or any authorized representative of either for its compliance with this section.
27-2.3-17. Fees -- Fees required by this chapter are as follows:
(1) Initial producer license: $50.00.
(2) Annual producer renewal: $50.00.
(3) Annual company contract fee: $25.00.
(4) The commissioner of insurance may, by rule and regulation, specify fees for letters of certification, clearance letters, duplicate licenses, and any other fees for services and documents that are reasonably determined by the commissioner of insurance.
27-2.3-18. Severability -- If any provisions of this chapter, or the application of any provision to any person or circumstances, shall be held invalid, the remainder of the chapter, and the application of the provision to persons or circumstances other than those to which it is held invalid, shall not be affected thereby.
27-2.3-19. Persons exempt because of prior licensure -- Any solicitor, broker, or agent licensed pursuant to chapter 3 of title 27 on December 31, 1993, shall be granted a producer license without being required to take and pass an examination or satisfy the prelicensing requirements contained in this title upon his or her application on a form prescribed by the department and payment of the fee prescribed by this chapter. The person shall be subject to all other provisions of this chapter.
27-2.3-20. Regulations -- The commissioner of insurance may adopt reasonable rules and regulations for the implementation and administration of the provisions of this chapter.
27-2.3-21. Bond required of insurance producers -- (a) After January 1, 1995, each insurance producer who brokers insurance shall maintain in force while licensed a bond filed with the general treasurer in favor of the people of the state of Rhode Island executed by an authorized surety company and payable to any party injured under the terms of the bond. The bond shall be continuous in form and in the amount of five thousand dollars ($5,000) or one percent (1%) of the premiums brokered in the previous calendar year, whichever is greater, but not to exceed twenty-five thousand dollars ($25,000) total aggregate liability. The bond shall be conditioned upon full accounting and due payment to the person or company entitled thereto, of funds coming into the insurance producer's possession as an incident to insurance transactions under his license.
(b) Authorized insurance producers of a licensed firm may meet the requirements of this section with a bond in the name of the licensed firm, continuous in form and in the amounts set forth in subsection (a).
(c) The bond shall remain in force and effect until the surety is released from liability by the director or until the bond is cancelled by the surety. The surety may cancel the bond and be released from further liability thereunder upon thirty (30) days' written notice in advance to the director. The cancellation shall not affect any liability incurred or accrued thereunder before the termination of the thirty (30) day period. Upon receipt of any notice of cancellation, the director shall immediately notify the licensee.
(d) A license shall automatically terminate upon there being no bond in force, or if the producer acts without a bond which is required pursuant to this section, and the license shall be returned by its lawful custodian to the director for cancellation.
(e) For the purposes of this section, "brokering of insurance" shall mean placing business through another insurance producer or insurance producer firm, insurance company or underwriting association rather than directly with an insurance company for which the insurance producer is contracted.
27-2.3-22. Errors and omissions insurance required of insurance producers -- (a) Except as otherwise specifically provided below, all holders of insurance producers licenses by the insurance division of the state of Rhode Island department of business regulation shall, as a condition of retaining the license, carry and maintain errors and omissions insurance covering all business activities contemplated. Authorized insurance producers of a licensed firm may meet the requirements of this section with a policy in the name of the licensed firm insuring each licensee employed by or associated with the firm. Insurance producers who are employee-agents, independent contractor exclusive agents or captive agents of an insurer may also meet the requirements of this section, (i) if the insurer has in its name an errors and omissions policy insuring each producer, or (ii) if the insurer agrees in writing to assume responsibility for all errors and omissions claims against this producer, whether directly or in combination with all group errors and omissions coverage otherwise obtained by the insurer. This policy or coverage must comply with the terms and conditions to be determined by the department of business regulation under section 27-2.3-22(b).
(b) The insurance division of the department of business regulation shall determine the terms and conditions of coverage mandated under this section, including, but not limited to, the minimum limits of coverage, the permissible deductible, and permissible exemptions. The department of business regulation shall seek the assistance of insurance agents associations located in Rhode Island and insurers licensed to write business policies in Rhode Island as to the terms and conditions of coverage.
(c) The errors and omissions insurance requirement mandated by this section shall become effective January 1, 1995.
SECTION 2. Sections 27-3-36, 27-3-45, 27-3-49 and 27-3-50 of the General Laws in Chapter 27-3 entitled "Agents, Brokers, and Solicitors" are hereby repealed.
27-3-36. Fiduciary capacity of insurance producers -- Misappropriation as theft -- That portion of all premiums or moneys which a licensed insurance producer, hereinafter referred to as a licensee, collects from a policyholder and which is to be paid to an insurance company, its agents, or his or her employer because of the assumption of liability through the issuance of insurance contracts, or which the licensee collects from an insurance company or its agents and which is to be paid to a policyholder or claimant under any contract of insurance, shall be held by the licensee in a fiduciary capacity and shall not be misappropriated or converted to the licensee's own use or illegally withheld by the licensee. Any licensee who converts or misappropriates these funds shall be held guilty of theft and punishable for theft as provided by law. Nothing herein contained shall be deemed to require any licensee to maintain separate bank accounts or deposits for these funds if and so long as the funds so held are reasonably ascertainable from the books of account and records of the licensee.
27-3-45. Revocation or modification of insurance producer's contract -- Procedures -- (a) No company shall cancel the authority of any independent insurance producer for fire or casualty insurance, or both, if the insurance producer is not an employee of the company, and no company shall modify a contract with that insurance producer unless the company gives written notice of its intent to cancel that insurance producer or its intent to modify the contract at least one hundred eighty (180) days before the proposed effective date of any cancellation or at least one hundred eighty (180) days before the proposed effective date of any modification. No company shall allow the license of that insurance producer to expire unless the company gives written notice of its intent to do so at least one hundred eighty (180) days before the proposed effective date of expiration because of cancellation. Except as otherwise provided herein, any insurance producer receiving notice of cancellation, modification, or expiration may, within sixty (60) days after receipt thereof, make a written demand for reference to three (3) referees of the question as to whether or not the cancellation, modification, or expiration will so affect the renewal, continuation, or replacement of any policies placed with the company through the efforts of the insurance producer, or the services needed by any policyholder doing business with the company as a result of the efforts of the insurance producer, as to justify renewal or continuation of any policies then in effect having been placed with the company by that insurance producer. In the event the referees find that the cancellation, modification, or expiration will so affect the renewal, continuation, or replacement of any policies placed with the company through the efforts of the insurance producer, or the services needed by any policyholders doing business with the company as a result of the efforts of the insurance producer, then the referees shall order continuance or renewal of any policies expiring within a period of twelve (12) months of the issuance of the notice, at a rate of compensation to the insurance producer equal to that as provided in the agreement expiring or being so cancelled or modified, for one additional policy period equal in length to the most recent policy period of the expiring policy, but in no event for more than one year. However, the referees shall not order continuance or renewal of any policies if they find that the reason for the cancellation or expiration of the agreement by the company was legitimately based upon one of the following grounds:
(1) The insurance producer was convicted of a dishonest act related to his or her occupation as an insurance agent;
(2) The insurance producer's license to engage as an insurance producer was revoked; or
(3) The company surrendered its license to do business in the state.
(b) An insurance producer making a written demand for a reference shall accompany the written demand with the names and addresses of three (3) persons, whereupon the company shall, within fifteen (15) days, notify the insurance producer of its choice of one of the persons to act as one of the referees and at the same time submit the names and addresses of three (3) persons to the insurance producer, who shall, within fifteen (15) days after receiving these names, notify the company in writing of his or her choice of one of the persons to act as a second referee. At the same time the insurance producer shall notify the commissioner, the notice to be on a form prescribed by the commissioner, that both the company and insurance producer have chosen referees. Within ten (10) days of the receipt of this notice the commissioner shall appoint a person to serve as third referee, and shall notify that person, the insurance producer, and the company in writing of this appointment. Each person nominated or appointed as a referee shall be a disinterested person, shall be a resident of the state, and shall be willing to act as a referee. Within ten (10) working days of the appointment of the third referee, who shall serve as chairperson, the three (3) referees shall meet, hear evidence, and reduce their decisions to writing and sign it, and shall deliver a copy thereof to the insurance producer, to the company, and to the commissioner. In the event any company receiving a written demand for a reference fails to comply with the provisions of this subsection, then the insurance producer shall have the authority to renew or continue any policies placed with that company through the efforts of the insurance producer expiring within a period of thirteen (13) months from the date of the notice of cancellation, modification, or expiration of the agreement, at a rate of compensation to the insurance producer equal to that as provided in the agreement expiring or being so cancelled or modified, for one additional policy period equal in length to the most recent policy period of the expiring policy, but in no event for more than one year.
(c) Any insurance company and any insurance producer may by written contract agree to modify the provisions of subsections (a) and (b), other than the requirement of a one hundred eighty (180) day notice in the event of cancellation or a one hundred eighty (180) day notice in the event of modification of a contract or of intent to allow the expiration of a license, by provisions presented to and approved by the commissioner which he or she finds after due hearing and investigation will adequately protect both the right of the policyholder to a continuance of insurance and the services of any insurance producer of his or her own choosing and the right of the insurance producer to fair compensation for the insurance placed with a company as a result of the insurance producer's efforts. The commissioner may make reasonable rules of general application regarding these modified provisions.
(d) The decision of the referees may provide for the renewal or continuance of any or all policies expiring within a period of twelve (12) months of the issuance of any notice, at a rate of compensation to the insurance producer equal to that as provided in the agreement expiring or being so cancelled or modified, for one additional policy period equal in length to the most recent policy period of the expiring policy, but in no event for more than one year. The decision of the referees may also provide for the continuance of previous contractual provisions, if the referees, or a majority of them, find that the decision will best protect the right of a policyholder to a continuance of insurance and the services of an insurance producer of his or her own choosing and the right of any insurance producer to compensation for the insurance placed with a company as a result of his or her efforts, giving due consideration to the possibility the affected insurance producer has of obtaining similar coverage for policyholders affected from other companies at reasonable compensation. The decisions rendered in accordance with the provisions of this section providing for reference shall be binding on all companies and insurance producer affected thereby. If a decision orders the renewal or continuance of any policies, policyholders and the affected insurance producer shall be entitled in all respects to the same services and practices as were in effect prior to reference insofar as amounts and types of coverage, credit terms, commissions paid to the insurance producer, and insurance producer services are also continued.
(e) All policies expiring within twelve (12) months of the notice may be renewed for the policy periods as provided above, but no insurance producer or company relying on this section shall again refer the same issue to referees. Where other provisions of the general laws require notice to policyholders before nonrenewal of any coverages, the company shall, at the request of the insurance producer who is unable to replace any policy which has been renewed for one or more policy periods in accordance with this section, comply with those provisions of law.
(f) An insurance producer initiating reference under this section and the company receiving written demand shall each be liable for the payment of the reasonable charges and expenses of his or her nominee for referee and one half (1/2) of the compensation for the reasonable charges and expenses of the third referee. The third referee shall upon the execution of the decision furnish the insurance producer and the company with a written statement specifying in detail his or her charges for compensation and expenses. The insurance producer or the company, if aggrieved by these charges, may petition the commissioner for review. The petition shall set forth with particularity the specific item or charges in dispute. The commissioner shall, within ten (10) days of receipt of the petition, notify the interested parties of the date established for a hearing on the petition and, after the hearing, the commissioner shall approve or disapprove the charges in whole or in part; his or her findings and decisions shall be final and conclusive.
27-3-49. Insurance producer's liability for illegal contracts -- An insurance producer shall be personally liable on all contracts of insurance unlawfully made by or through him or her, directly or indirectly, for or in behalf of any company not authorized or approved to do business in this state. The department of business regulation shall promulgate rules and regulations for implementing a certification program to allow insurance producers to determine which insurance companies are authorized or approved to do business in this state.
27-3-50. Examinations -- The director of business regulation or the director's designee may, whenever the director may see fit, make an examination of the financial condition and/or market conduct of every person licensed pursuant to this chapter and chapter 2.3. The expenses of examinations under this section shall be assessed against the licensee being examined and remitted to and for the use of the insurance division of the department of business regulation. The total cost of the examinations shall be the same amount as provided for in section 27-13-1. The assessment shall be in addition to any taxes and fees otherwise payable to the state. In instances where the examination is performed by outside consultants, the expenses shall be borne by the licensee so examined.
SECTION 3. Title 27 of the General Laws entitled "Insurance" is hereby amended by adding thereto the following chapter:
CHAPTER 2.4
PRODUCER LICENSING ACT
27-2.4-1. Purpose and scope. -- (a) This chapter governs the qualifications and procedures for the licensing of insurance producers. It simplifies and organizes some statutory language to improve efficiency, permits the use of new technology and reduces costs associated with issuing and renewing insurance licenses. This chapter does not apply to excess and surplus lines agents and brokers licensed pursuant to section 27-3-38 except as provided in sections 27-2.4-10 and 27-2.4-17 of this chapter.
(b) Whenever the words "agent", "solicitor", or "broker" and their plural construct are used in the context of a licensee pursuant to chapter 3 of title 27 and occur in this chapter, any general law, public law, act or resolution of the general assembly or department of business regulation, those words shall mean insurance producer, except for those provisions of law and regulation which govern excess and surplus lines agents or brokers licensed pursuant to R.I. General Laws section 27-3-38.
27-2.4-2. Definitions. - The following definitions apply to this chapter:
(1) "Business entity" means a corporation, association, partnership, limited liability company, limited liability partnership, or other legal entity;
(2) "Insurance commissioner" means the director of the department of business regulation or his or her designee;
(3) "Department" means the department of business regulation;
(4) "Home state" means any state or territory of the United States, or the District of Columbia in which an insurance producer maintains his or her principal place of residence or principal place of business and is licensed to act as an insurance producer;
(5) "Insurance" means any of the lines of authority set forth in title 27;
(6) "Insurance producer" means a person required to be licensed under the laws of this state to sell, solicit or negotiate insurance;
(7) "Insurer" means: (i) any person, reciprocal exchange, interinsurer, Lloyds insurer, fraternal benefit society, and any other legal entity engaged in the business of insurance, including insurance producers; (ii) notwithstanding sections 27-19-2, 27-20-2, 27-20.1-2, 27-20.2-2, 27-20.3-2, and 27-41-22, all of whom shall be engaged in the business of insurance for the purpose of this chapter, nonprofit hospital and/or medical service corporation, a nonprofit dental service corporation, a nonprofit optometric service corporation, a nonprofit legal service corporation, a health maintenance organization as defined in chapter 41 of title 27 or as defined in chapter 62 of title 42, or any other entity providing a plan of health benefits subject to state insurance regulation; and (iii) an organization that for consideration assumes certain risks for an insured. Insurer organizations may include corporations, stock companies, mutual companies, risk retention groups, reciprocals, captives, Lloyds associations, and government residual plans.
(8) "License" means a document issued by this state's insurance commissioner authorizing a person to act as an insurance producer for the lines of authority specified in the document. The license itself does not create any authority, actual, apparent or inherent, in the holder to represent or commit an insurance carrier;
(9) "Limited line credit insurance" includes credit life, credit disability, credit property, credit unemployment, involuntary unemployment, mortgage life, mortgage guaranty, mortgage disability, guaranteed automobile protection (gap) insurance, and any other form of insurance offered in connection with an extension of credit that is limited to partially or wholly extinguishing that credit obligation that the insurance commissioner determines should be designated a form of limited line credit insurance;
(10) "Limited line credit insurance producer" means a person who sells, solicits or negotiates one or more forms of limited line credit insurance coverage to individuals through a master, corporate, group or individual policy;
(11) "Limited lines insurance" means those lines of insurance that the insurance commissioner deems necessary to recognize for purposes of complying with subsection 27-2.4-10(e);
(12) " Limited lines producer" means a person authorized by the insurance commissioner to sell, solicit or negotiate limited lines insurance;
(13) " NAIC" means National Association of Insurance Commissioners;
(14) "Negotiate" means the act of conferring directly with or offering advice directly to a purchaser or prospective purchaser of a particular contract of insurance concerning any of the substantive benefits, terms or conditions of the contract, provided that the person engaged in that act either sells insurance or obtains insurance from insurers for purchasers;
(15) "Person" means an individual or a business entity;
(16) "Resident" means a person who either resides in Rhode Island or maintains an office in Rhode Island where the business of producing insurance is transacted and designates Rhode Island as the residence for purposes of licensure;
(17) "Sell" means to exchange a contract of insurance by any means, for money or its equivalent, on behalf of an insurance company;
(18) " Solicit" means attempting to sell insurance or asking or urging a person to apply for a particular kind of insurance from a particular company;
(19) "Terminate" means the cancellation of the relationship between an insurance producer and the insurer or the termination of an insurance producer's authority to transact insurance;
(20) "Uniform business entity application" means the current version of the NAIC uniform business entity application for resident and nonresident business entities;
(21) "Uniform application" means the current version of the NAIC uniform application for resident and nonresident insurance producer licensing.
27-2.4-3. License required. - A person shall not sell, solicit or negotiate insurance in this state for any class or classes of insurance unless the person is licensed for that line of authority in accordance with this chapter.
27-2.4-4. Fees. - (a) Fees required by this chapter are as follows:
(1) Initial insurance producer license; $50.00
(2) Annual insurance producer renewal; $50.00
(3) Annual company contract fee. $25.00
(b) The insurance commissioner may by rule or regulation, specify fees for letters of certification, clearance letters, duplicate licenses, and any other fees for service and documents that are reasonably determined by the insurance commissioner.
27-2.4-5. Exceptions to licensing. -- (a) Nothing in this chapter shall be construed to require an insurer to obtain an insurance producer license. In this section, the term "Insurer" does not include an insurer's officers, directors, employees, subsidiaries or affiliates.
(b) A license as an insurance producer shall not be required of the following:
(1) An officer, director or employee of an insurer or of an insurance producer, provided that the officer, director or employee does not receive any commission or fees on policies written or sold to insure risks residing, located or to be performed in this state; and:
(i) The officer, director or employee's activities are executive, administrative, managerial, clerical or a combination of these, and are only indirectly related to the sale, solicitation or negotiation of insurance; or
(ii) The officer, director or employee's function relates to underwriting, loss control, inspection or the processing, adjusting, investigating or settling of a claim on a contract of insurance; or
(2) The officer, director or employee is acting in the capacity of a special agent or agency supervisor assisting insurance producers where the person's activities are limited to providing technical advice and assistance to licensed insurance producers and do not include the sale, solicitation or negotiation of insurance;
(3) A person who secures and furnishes information for the purpose of group life insurance, group property and casualty insurance, group annuities, group or blanket accident and health insurance; or for the purpose of enrolling individuals under plans; issuing certificates under plans or otherwise assisting in administering plans; or performs administrative services related to mass marketed property and casualty insurance; where no commission or fee is paid to the person for the service;
(4) An employer or association or its officers, directors, employees, or the trustees of an employee trust plan, to the extent that the employers, officers, employees, director or trustees are engaged in the administration or operation of a program of employee benefits for the employer's or association's own employees or the employees of its subsidiaries or affiliates, which program involves the use of insurance issued by an insurer, as long as the employers, associations, officers, directors, employees or trustees are not in any manner compensated, directly or indirectly, by the company issuing the contracts;
(5) Employees of insurers or organizations employed by insurers who are engaging in the inspection, rating or classification of risks, or in the supervision of the training of insurance producers and who are not individually engaged in the sale, solicitation or negotiation of insurance;
(6) A person whose activities in this state are limited to advertising without the intent to solicit insurance in this state through communications in printed publications or other forms of electronic mass media whose distribution is not limited to residents of the state, provided that the person does not sell, solicit or negotiate insurance that would insure risks residing, located or to be performed in this state;
(7) A person who is not a resident of this state who sells, solicits or negotiates a contract of insurance for commercial property and casualty risks to an insured with risks located in more than one state insured under that contract, provided that that person is otherwise licensed as an insurance producer to sell, solicit or negotiate that insurance in the state where the insured maintains its principal place of business and the contract of insurance insurers risks located in that state;
(8) A salaried full-time employee who counsels or advises his or her employer relative to the insurance interests of the employer or of the subsidiaries or business affiliates of the employer provided that the employee does not sell or solicit insurance or receive a commission;
(9) A person engaged or employed as an attorney licensed to practice law in Rhode Island and provided those persons do not otherwise sell, solicit or negotiate insurance;
(10) An actuary or a certified public accountant engaged or employed in a consulting capacity performing duties incidental to that position and provided those persons do not otherwise sell, solicit or negotiate insurance; or
(11) A licensed public adjuster acting within the scope of an applicable license and provided those persons do not otherwise sell, solicit or negotiate insurance.
27-2.4-6. Order to cease unlicensed activities. -- (a) If the department has reason to believe that any person, firm, or corporation or association is conducting any activities requiring licensure under this chapter without obtaining a license, or who after the denial, suspension or revocation of a license conducts any activities requiring licensure under this chapter, the department may issue its order to that person, firm, corporation or association commanding them to appear before the department at a hearing after issuance of that order to show cause why the department should not issue an order to that person to cease and desist from the violations of the provisions of this chapter. The order to show cause may be served on any person, firm, corporation or association named in the order in the same manner that summons in a civil action may be served, or by mailing a copy of the order, certified mail, return receipt requested, to that person at any address at which he or she has done business or at which he or she lives. If upon that hearing the department is satisfied that the person is in fact violating any provision of this chapter, then the department may order that person, in writing to cease and desist from that violation. All hearings shall be governed in accordance with the administrative procedures act, chapter 35 of title 42. If that person fails to comply with an order of the department after being afforded a hearing, the superior court in the county where the insurance transaction took place has jurisdiction upon complaint of the department to restrain and enjoin that person from violating this chapter.
(b) Any person who violates this section by operating without a license shall be guilty of a misdemeanor and fined an amount not exceeding one thousand dollars ($1,000) or imprisoned for a term not exceeding one (1) year, or both. The matter shall be referred to the Department of Attorney General.
27-2.4-7. Application for examination. -- (a) A resident individual applying for an insurance producer license shall pass a written examination unless exempt pursuant to section 27-2.4-11. The examination shall test the knowledge of the individual concerning the lines of authority for which application is made, the duties and responsibilities of an insurance producer and the insurance laws and regulations of this state. Examinations required by this section shall be developed and conducted under rules and regulations prescribed by the insurance commissioner.
(b) The insurance commissioner may make arrangements, including contracting with an outside testing service, for administering examinations and collecting a nonrefundable fee.
(c) Each individual applying for an examination shall remit a nonrefundable fee as prescribed by the department pursuant to rule and regulation.
(d) An individual who fails to appear for the examination as scheduled or fails to pass the examination, shall reapply for an examination and remit all required fees and forms before being rescheduled for another examination.
27-2.4-8. Application for license. -- (a) A person applying for a resident insurance producer license shall make application to the insurance commissioner on the uniform application and declare under penalty of refusal, suspension or revocation of the license that the statements made in the application are true, correct and complete to the best of the individual's knowledge and belief. Before approving the application, the insurance commissioner shall find that the individual:
(1) is at least eighteen (18) years of age;
(2) has not committed any act that is a ground for denial, suspension or revocation set forth in section 27-2.4-14;
(3) has completed a prelicensing course of study for the lines of authority for which the person has applied;
(4) has paid the fees set forth in section 27-2.4-4; and
(5) has successfully passed the examinations for the lines of authority for which the person has applied.
(b) A business entity acting as an insurance producer is required to obtain an insurance producer License. Application shall be made using the Uniform Business Entity Application. Before approving the application, the insurance commissioner shall find that:
(1) the business entity has paid the fees set forth in this chapter; and
(2) the business entity has designated a licensed insurance producer responsible for the business entity's compliance with the insurance laws, rules and regulations of this state.
(c) The insurance commissioner may require any documents reasonably necessary to verify the information contained in an application.
(d) Each insurer that sells, solicits or negotiates any form of limited line credit insurance shall provide to each individual whose duties will include selling soliciting or negotiating limited line credit insurance a program of instruction that may be approved by the insurance commissioner.
27-2.4-9. License. -- (a) Unless denied licensure pursuant to section 27-2.4-14, persons who have met the requirements of sections 27-2.4-7 and 27-2.4-8 shall be issued an insurance producer license. An insurance producer may receive qualification for a license in one or more of the following lines of authority:
(1) Life-insurance coverage on human lives including benefits of endowment and annuities, and may include benefits in the event of death or dismemberment by accident and benefits for disability income;
(2) Accident and health or sickness-insurance coverage for sickness, bodily injury or accidental death and may include benefits for disability income;
(3) Property-insurance coverage for the direct or consequential loss or damage to property of every kind;
(4) Casualty-insurance coverage against legal liability, including that for death, injury or disability or damage to real or personal property;
(5) Variable life and variable annuity products insurance coverage provided under variable life insurance contracts and variable annuities;
(6) Personal lines-property and casualty insurance coverage sold to individuals and families for primary noncommercial purposes;
(7) Credit-limited line credit insurance;
(8) Any other line of insurance permitted under state laws or regulations.
(b) An insurance producer license shall remain in effect unless revoked or suspended as long as the fee set forth in section 27-2.4-4 is paid and education requirements for resident individual insurance producers are met by the license renewal due date.
(c) An individual insurance producer who allows his or her license to expire may, within twelve (12) months from the due date of the renewal fee, reinstate the same license without the necessity of passing a written examination. However, a penalty in the amount of double the unpaid renewal fee shall be required for any renewal fee received after the due date.
(d) A licensed insurance producer who is unable to comply with license renewal procedures due to military service or some other extenuating circumstance (e.g., a long term medical disability) may request a waiver of those procedures. The insurance producer may also request a waiver of any examination requirement or any other fine or sanction imposed for failure to comply with renewal procedures.
(e) The license shall contain the insurance producer's name, address, personal identification number, and the date of issuance, the lines of authority, the expiration date and any other information the insurance commissioner deems necessary.
(f) Insurance producers shall inform the insurance commissioner by any means acceptable to the insurance commissioner of a change in legal name or address within thirty (30) days of the change. Failure to timely inform the insurance commissioner of a change in legal name or address may result in a penalty to be determined by the insurance commissioner.
(g) In order to assist in the performance of the insurance commissioner's duties, the insurance commissioner may contract with nongovernment entities, including the NAIC or any affiliates or subsidiaries which the NAIC oversees, to perform any ministerial functions, including the collection of fees, related to insurance producer licensing that the insurance commissioner and the nongovernmental entity may deem appropriate.
27-2.4-10. Nonresident licensing. -- (a) Unless denied licensure pursuant to section 27-2.4-14, a nonresident person shall receive a nonresident insurance producer license if:
(1) The person is currently licensed as a resident and in good standing in his or her home state;
(2) The person has submitted the proper request for licensure and has paid the fees required by section 27-2.4-4;
(3) The person has submitted or transmitted to the insurance commissioner the application for licensure that the person submitted to his or her home state, or in lieu of the same, a completed uniform application; and
(4) The person's home state awards nonresident insurance producer licenses to residents of this state on the same basis.
(b) The insurance commissioner may verify the insurance producer's licensing status through the producer database maintained by the NAIC, its affiliates or subsidiaries.
(c) A nonresident insurance producer who moves from one state to another state or a resident insurance producer who moves from this state to another state shall file a change of address and provide certification from the new resident state within thirty (30) days of the change of legal residence. No fee or license application is required.
(d) Notwithstanding any other provision of this act, a person licensed as a surplus lines broker in his or her home state shall receive a nonresident surplus lines broker license pursuant to subsection (a) of this section. Except as to subsection (a), nothing in this section otherwise amends or supersedes any provision of section 27-3-1 et. seq.
(e) Notwithstanding any other provision of this chapter a person licensed as a limited line credit insurance or other type of limited lines insurance producer in his or her home state shall receive a nonresident limited lines insurance producer license, pursuant to subsection (a) of this section, granting the same scope of authority as granted under the license issued by the insurance producer's home state. For purposes of this section, limited line insurance is any authority granted by the home state which restricts the authority of the insurance producer to less than the total authority prescribed in associated major lines pursuant to subsection 27-2.4-9(a)(1) through (8).
27-2.4-11. Exemption from examination. -- (a) An individual who applies for an insurance producer license in this state who was previously licensed for the same lines of authority in another state shall not be required to complete any prelicensing education or examination, but shall be required to certify knowledge of Rhode Island law applicable to insurance producers. This exemption is only available if the person is currently licensed in that state or if the application is received within ninety (90) days of the cancellation of the applicant's previous license and if the prior state issues a certification that, at the time of cancellation, the applicant was in good standing in that state or the state's producer database records, maintained by the NAIC, its affiliates or subsidiaries, indicate that the insurance producer is or was licensed in good standing for the line of authority requested.
(b) A person licensed as an insurance producer in another state who moves to this state shall make application within ninety (90) days of establishing legal residence to become a resident insurance producer pursuant to section 27-2.4-8. No prelicensing education or examination shall be required of that person to obtain any line of authority previously held in the prior state except where the insurance commissioner determines otherwise by regulation.
27-2.4-12. Assumed names. -- An insurance producer doing business under any name other than the insurance producer's legal name is required to notify the insurance commissioner prior to using the assumed name.
27-2.4-13. Temporary licenses. -- (a) The insurance commissioner may issue a temporary insurance producer license for a period not to exceed one hundred eighty (180) days without requiring an examination if the insurance commissioner deems that the temporary license is necessary for the servicing of an insurance business in the following cases:
(1) To the surviving spouse or court-appointed personal representative of a licensed insurance producer who dies or becomes mentally or physically disabled to allow adequate time for the sale of the insurance business owned by the insurance producer or for the recovery or return of the insurance producer to the business or to provide for the training and licensing of new personnel to operate the insurance producer's business; or
(2) To a member or employee of a business entity licensed as an insurance producer, upon the death or disability of an individual designated in the business entity application or the license; or
(3) To the designee of a licensed insurance producer entering active service in the armed forces of the United States of America; or
(4) In any other circumstance where the insurance commissioner deems that the public interest will best be served by the issuance of this license.
(b) The insurance commissioner may by order limit the authority of any temporary insurance producer in any way deemed necessary to protect insureds and the public. The insurance commissioner may require the temporary insurance producer to have a suitable sponsor who is a licensed insurance producer or insurer and who assumes responsibility for all acts of the temporary insurance producer and may impose other similar requirements designed to protect insureds and the public. The insurance commissioner may by order revoke a temporary license if the interest of insureds or the public are endangered. A temporary license may not continue after the owner or the personal representative disposes of the business.
27-2.4-14. Licenses - Denial - Nonrenewal - Suspension or revocation. -- (a) The insurance commissioner may place on probation, suspend, revoke or refuse to issue or renew an insurance producer's license or may levy an administrative penalty in accordance with subsection 27-2.4-6(b) or any combination of actions, for any one or more of the following causes:
(1) Providing incorrect, misleading, incomplete or materially untrue information in the license application;
(2) Violating any insurance laws, or violating any regulation, subpoena or order of the insurance commissioner or of another state's insurance commissioner;
(3) Obtaining or attempting to obtain a license through misrepresentation or fraud;
(4) Improperly withholding, misappropriating or converting any monies or properties received in the course of doing insurance business;
(5) Intentionally misrepresenting the terms of an actual or proposed insurance contract or application for insurance;
(6) Having been convicted of a felony;
(7) Having admitted or been found to have committed any insurance unfair trade practice or fraud;
(8) Using fraudulent, coercive, or dishonest practices or demonstrating incompetence, untrustworthiness or financial irresponsibility in this state or elsewhere;
(9) Having an insurance producer license, or its equivalent, denied, suspended or revoked in any other state, province, district or territory or administrative action under this section;
(10) Forging another's name to an application for insurance or to any document related to an insurance transaction;
(11) Cheating on an examination for an insurance license;
(12) Knowingly accepting insurance business from an individual who is not licensed;
(13) Failing to comply with an administrative or court order imposing a child support obligation; or
(14) Failing to pay state income tax or comply with any administrative or court order directing payment of state income tax.
(b) In the event that the action by the insurance commissioner is to nonrenew or to deny an application for a license, the insurance commissioner shall notify the applicant or insurance producer and advise, in writing, the applicant or insurance producer of the reason for the denial or nonrenewal of the applicant's or insurance producer's license. The applicant or insurance producer may make written demand upon the insurance commissioner within thirty (30) days for a hearing before the insurance commissioner to determine the reasonableness of the insurance commissioner's action. The hearing shall be conducted pursuant to the administrative procedures act, chapter 35 of title 42.
(c) The license of a business entity may be suspended, revoked or refused if the insurance commissioner finds, after hearing, that an individual insurance producer's violation was known or should have been known by one or more of the partners, officers or managers acting on behalf of the partnership or corporation and the violation was neither reported to the insurance commissioner nor corrective action taken by the business entity in a timely manner.
(d) In addition to or in lieu of any applicable denial, suspension or revocation of a license, a person may, after hearing, be subject to an administrative fine in accordance with to section 42-14-16.
(e) The insurance commissioner shall retain the authority to enforce the provisions of and impose any penalty or remedy authorized by this chapter and title 27 against any person who is under investigation for or charged with a violation of this chapter or title 27 even if the person's license or registration has been surrendered or has lapsed by operation of the law.
27-2.4-15. Commissions. -- (a) No insurer or insurance producer shall pay, directly or indirectly, any commission, service fee, brokerage, or other valuable consideration to any person for services as an insurance producer unless the person performing the service held a valid license regarding the class or classes of insurance as to which the service was rendered at the time the service was performed. No person, other than a person properly licensed in accordance with this chapter at the time the person performs services as an insurance producer, shall accept any commissions, service fee, brokerage, or other valuable consideration for the services. Acceptance of the consideration shall constitute operating without a license. This section shall not prevent payment or receipt of renewal or other deferred commissions to or by any person entitled thereto under this chapter.
(b) No person shall accept a commission, service fee, brokerage or other valuable consideration for selling, soliciting or negotiating insurance in this state if that person is required to be licensed under this chapter and is not so licensed.
(c) Renewal or other deferred commissions may be paid to a person for selling, soliciting or negotiating insurance in this state if the person was required to be licensed under this chapter at the time of the sale, solicitation or negotiation and was so licensed at that time.
(d) An insurer or insurance producer may pay or assign commissions, service fees, brokerages or other valuable consideration to an insurance agency or to persons who do not sell, solicit or negotiate insurance in this state, unless the payment would violate this chapter or any of the provisions of title 19 or title 27 of these general laws.
27-2.4-16. Notification to insurance commission of termination. -- (a) Termination for cause. An insurer or authorized representative of the insurer that terminates the employment, contract or other insurance business relationship with an insurance producer shall notify the insurance commissioner within thirty (30) days following the effective date of the termination, using a format prescribed by the insurance commissioner, if the reason for termination is one of the reasons set forth in section 27-2.4-14 or the insurer has knowledge the insurance producer was found by a court, government body, or self-regulatory organization authorized by law to have engaged in any of the activities in section 27-2.4-14. Upon the written request of the insurance commissioner, the insurer shall provide additional information, documents, records or other data pertaining to the termination or activity of the insurance producer.
(b) Termination without cause. An insurer or authorized representative of the insurer that terminates the employment, or contract with an insurance producer for any reason not set forth in section 27-2.4-14, shall notify the insurance commissioner within thirty (30) days following the effective date of the termination, using a format prescribed by the insurance commissioner. Upon written request of the insurance commissioner, the insurer shall provide additional information, documents, records or other data pertaining to the termination.
(c) Ongoing notification requirement. The insurer or the authorized representative of the insurer shall promptly notify the insurance commissioner in a format acceptable to the insurance commissioner if, upon further review or investigation, the insurer discovers additional information that would have been reportable to the insurance commissioner in accordance with subsection (a) had the insurer then known of its existence.
(d) Copy of notification to be provided to the insurance producer.
(1) Within fifteen (15) days after making the notification required by subsections 27-2.4-16 (a), (b) and (c), the insurer shall mail a copy of the notification to the insurance producer at his or her last known address. If the insurance producer is terminated for cause for any of the reasons listed in section 27-2.4-14, the insurer shall provide a copy of the notification to the insurance producer at his or her last known address by certified mail, return receipt requested, postage prepaid or by overnight delivery using a nationally recognized carrier.
(2) Within thirty (30) days after the insurance producer has received the original or additional notification, the insurance producer may file written comments concerning the substance of the notification with the insurance commissioner. The insurance producer shall, by the same means, simultaneously send a copy of the comments to the reporting insurer, and the comments shall become a part of the insurance commissioner's file and accompany every copy of a report distributed or disclosed for any reason about the insurance producer as permitted under subsection 27-2.4-16(f).
(e) Immunities.
(1) In the absence of actual malice, an insurer, the authorized representative of the insurer, an insurance producer, the insurance commissioner, or an organization of which the insurance commissioner is a member and that compiles the information and makes it available to other insurance commissioners or regulatory or law enforcement agencies shall not be subject to civil liability, except as provided herein, and a civil cause of action of any nature shall not arise against these entities or their respective agents or employees, except as provided herein, as a result of any statement or information required by or provided pursuant to this section or any information relating to any statement that may be requested in writing by the insurance commissioner, from an insurer or insurance producer; or a statement by a terminating Insurer or insurance producer to an Insurer or insurance producer limited solely and exclusively to whether a termination for cause under subsection 27-2.4-16(a) was reported to the insurance commissioner, provided that the propriety of any termination for cause under subsection (a) is certified in writing by an officer or authorized representative of the Insurer or insurance producer terminating the relationship.
(2) In any action brought against a person that may have immunity under this chapter for making any statement required by this section or providing any information relating to any statement that may be requested by the insurance commissioner, the party bringing the action shall plead specifically in any allegation that subsection 27-2.4-16(e)(1) does not apply because the person making the statement or providing the information did so with actual malice.
(3) This chapter shall not abrogate or modify any existing statutory or common law privileges or immunities.
(f) Confidentiality.
(1) Any documents, materials or other information in the control or possession of the department that is furnished by an insurer, insurance producer or an employee or agent thereof acting on behalf of the insurer or insurance producer, or obtained by the insurance commissioner in an investigation pursuant to this section shall be confidential by law and privileged, shall not be subject to chapter 2 of title 38, shall not be subject to subpoena, and shall not be subject to discovery or admissible in evidence in any private civil action. However, the insurance commissioner is authorized to use the documents, materials or other information in the furtherance of any regulatory or legal action brought as a part of the insurance commissioner's duties.
(2) Neither the insurance commissioner nor any person who received documents, materials or other information while acting under the authority of the insurance commissioner shall be permitted or required to testify in any private civil action concerning any confidential documents, materials, or information subject to this chapter.
(3) In order to assist in the performance of the insurance commissioner's duties under this chapter, the insurance commissioner:
(i) may share documents, materials or other information, including the confidential and privileged documents, materials or information subject to this chapter, with other state, federal, and international regulatory agencies, with the NAIC, its affiliates or subsidiaries, and with state, federal, and international law enforcement authorities, provided that the recipient agrees to maintain the confidentiality and privileged status of the document, material or other information;
(ii) may receive documents, materials or information, including otherwise confidential and privileged documents, materials or information, from the NAIC, its affiliates or subsidiaries and from regulatory and law enforcement officials of other foreign or domestic jurisdictions, and shall maintain as confidential or privileged any document, material or information received with notice or the understanding that it is confidential or privileged under the laws of the jurisdiction that is the source of the document, material or information;
(iii) may enter into agreements governing sharing and use of information consistent with this subsection;
(iv) no waiver of any applicable privilege or claim of confidentiality in the documents, materials, or information shall occur as a result of disclosure to the commissioner under this section or as a result of sharing as authorized in this chapter;
(v) nothing in this chapter shall prohibit the insurance commissioner from releasing final, adjudicated actions including for cause terminations that are open to public inspection pursuant to chapter 2 of title 38 to a database or other clearinghouse service maintained by the NAIC, its affiliates or subsidiaries; and
(vi) if the department releases to an unauthorized third party any documents, materials or other information provided to the department pursuant to this section, then the department shall be subject to a fine not to exceed one thousand dollars ($1,000) after a hearing on such violation brought in the Superior Court.
(g) Penalties for Failing to Report. An insurer, the authorized representative of the insurer, or insurance producer that fails to report as required under the provisions of this section or that is found to have reported with actual malice by a court of competent jurisdiction may, after notice and hearing, have its license or certificate of authority suspended or revoked and may be fined in accordance with section 42-14-16.
27-2.4-17. Reciprocity - - (a) The insurance commissioner shall only assess fees for an insurance producer license or related service to a person not residing in this state based on section 27-2.4-4.
(b) A nonresident insurance producer's satisfaction of his or her home state's continuing education requirements for licensed insurance producers shall constitute satisfaction of this state's continuing education requirements if the nonresident insurance producer's home state recognizes the satisfaction of its continuing education requirements imposed upon insurance producers from this state on the same basis.
27-2.4-18 - Reporting of Actions. - - (a) An insurance producer shall report to the insurance commissioner any administrative action taken against the insurance producer in another jurisdiction or by another governmental agency in this state within thirty (30) days of the final disposition of the matter. This report shall include a copy of the order, consent to order or other relevant legal documents.
(b) Within thirty (30) days of the initial pre-hearing date, an insurance producer shall report to the insurance commissioner any criminal prosecution of the insurance producer taken in any jurisdiction. The report shall include a copy of the initial complaint filed, the order resulting from the hearing and any other relevant legal documents.
27-2.4-19. - Fiduciary capacity of insurance producers - Misappropriation as theft. -- That portion of all premiums or moneys which a licensed insurance producer collects from a policyholder and which is to be paid to an insurance company, its agents, or his or her employer because of the assumption of liability through the issuance of insurance contracts, or which the insurance producer collects from an insurance company or its agents and which is to be paid to a policyholder or claimant under any contract of insurance, shall be held by the insurance producer in a fiduciary capacity and shall not be misappropriated or converted to the insurance producer's own use or illegally withheld by the insurance producer. Any insurance producer who converts or misappropriates these funds shall be held guilty of theft and punishable for theft as provided by law. Nothing herein contained shall be deemed to require any insurance producer to maintain separate bank accounts or deposits for these funds if and so long as the funds so held are reasonably ascertainable from the books of account and records of the insurance producer.
27-2.4-20. - Revocation or modification of insurance producer's contract. - Procedures. -- (a) No company shall cancel the authority of an insurance producer, if the insurance producer is not an employee of the company, and no company shall modify a contract with that insurance producer unless the company gives written notice of its intent to cancel that insurance producer or its intent to modify the contract at least one hundred eighty (180) days before the proposed effective date of any cancellation or at least one hundred eighty (180) days before the proposed effective date of any modification. No company shall allow the license of that insurance producer to expire unless the company gives written notice of its intent to do so at least one hundred eighty (180) days before the proposed effective date of expiration because of cancellation. Except as otherwise provided herein, any insurance producer receiving notice of cancellation, modification, or expiration may, within sixty (60) days after receipt thereof, make a written demand for reference to three (3) referees of the question as to whether or not the cancellation, modification, or expiration will so affect the renewal, continuation, or replacement of any policies placed with the company through the efforts of the insurance producer, or the services needed by any policyholder doing business with the company as a result of the efforts of the insurance producer, as to justify renewal or continuation of any policies then in effect having been placed with the company by that insurance producer. In the event the referees find that the cancellation, modification, or expiration will so affect the renewal, continuation, or replacement of any policies placed with the company through the efforts of the insurance producer, or the services needed by any policyholders doing business with the company as a result of the efforts of the insurance producer, then the referees shall order continuance or renewal of any policies expiring within a period of twelve (12) months of the issuance of the notice, at a rate of compensation to the insurance producer equal to that as provided in the agreement expiring or being so cancelled or modified, for one additional policy period equal in length to the most recent policy period of the expiring policy, but in no event for more than one year. However, the referees shall not order continuance or renewal of any policies if they find that the reason for the cancellation or expiration of the agreement by the company was legitimately based upon one of the following grounds:
(1) The insurance producer was convicted of a dishonest act related to his or her occupation as an insurance agent;
(2) The insurance producer's license to engage as an insurance producer was revoked; or
(3) The company surrendered its license to do business in the state.
(b) An insurance producer making a written demand for a reference shall accompany the written demand with the names and addresses of three (3) persons, whereupon the company shall, within fifteen (15) days, notify the insurance producer of its choice of one of the persons to act as one of the referees and at the same time submit the names and addresses of three (3) persons to the insurance producer, who shall, within fifteen (15) days after receiving these names, notify the company in writing of his her choice of one of the persons to act as a second referee. At the same time the insurance producer shall notify the commissioner, the notice to be on a form prescribed by the commissioner, that both the company and insurance producer have chosen referees. Within ten (10) days of the receipt of this notice the commissioner shall appoint a person to serve as third referee, and shall notify that person, the insurance producer, and the company in writing of this appointment. Each person nominated or appointed as a referee shall be a disinterested person, shall be a resident of the state, and shall be willing to act as a referee. Within ten (10) working days of the appointment of the third referee, who shall serve as chairperson, the three (3) referees shall meet, hear evidence, and reduce their decisions to writing and sign it, and shall deliver a copy thereof to the insurance producer, to the company, and to the commissioner. In the event any company receiving a written demand for a reference fails to comply with the provisions of this subsection, then the insurance producer shall have the authority to renew or continue any policies placed with that company through the efforts of the insurance producer expiring within a period of thirteen (13) months from the date of the notice of cancellation, modification, or expiration of the agreement, at a rate of compensation to the insurance producer equal to that as provided in the agreement expiring or being so cancelled or modified, for one additional policy period equal in length to the most recent policy period of the expiring policy, but in no event for more than one year.
(c) Any insurance company and any insurance producer may by written contract agree to modify the provisions of subsections 27-2.4-20(a) and (b) other than the requirement of a one hundred eighty (180) day notice in the event of cancellation or a one hundred eighty (180) day notice in the event of modification of a contract or of intent to allow the expiration of a license, by provisions presented to and approved by the commissioner which he or she finds after due hearing and investigation will adequately protect both the right of the policyholder to a continuance of insurance and the services of any insurance producer of his or her own choosing and the right of the insurance producer to fair compensation for the insurance placed with a company as a result of the insurance producer's efforts. The commissioner may make reasonable rules of general application regarding these modified provisions.
(d) The decision of the referees may provide for the renewal or continuance of any or all policies expiring within a period of twelve (12) months of the issuance of any notice, at a rate of compensation to the insurance producer equal to that as provided in the agreement expiring or being so cancelled or modified, for one additional policy period equal in length to the most recent policy period of the expiring policy, but in no event for more than one year. The decision of the referees may also provide for the continuance of previous contractual provisions, if the referees, or a majority of them, find that the decision will best protect the right of a policyholder to a continuance of insurance and the services of an insurance producer of his or her own choosing and the right of any insurance producer to compensation for the insurance placed with a company as a result of his or her efforts, giving due consideration to the possibility the affected insurance producer has of obtaining similar coverage for policyholders affected from other companies at reasonable compensation. The decisions rendered in accordance with the provisions of this section providing for reference shall be binding on all companies and insurance producer affected thereby. If a decision orders the renewal or continuance of any policies, policyholders and the affected insurance producer shall be entitled in all respects to the same services and practices as were in effect prior to reference insofar as amounts and types of coverage, credit terms, commissions paid to the insurance producer, and insurance producer services are also continued.
(e) All policies expiring within twelve (12) months of the notice may be renewed for the policy periods as provided above, but no insurance producer or company relying on this section shall again refer the same issue to referees. Where other provisions of the general laws require notice to policyholders before nonrenewal of any coverages, the company shall, at the request of the insurance producer who is unable to replace any policy which has been renewed for one or more policy periods in accordance with this section, comply with those provisions of law.
(f) An insurance producer initiating reference under this section and the company receiving written demand shall each be liable for the payment of the reasonable charges and expenses of his or her nominee for referee and one-half (1/2) of the compensation for the reasonable charges and expenses of the third referee. The third referee shall upon the execution of the decision furnish the insurance producer and the company with a written statement specifying in detail his or her charges for compensation and expenses. The insurance producer or the company, if aggrieved by these charges, may petition the commissioner for review. The petition shall set forth with particularity the specific item or charges in dispute. The commissioner shall, within ten (10) days of receipt of the petition, notify the interested parties of the date established for a hearing on the petition and, after the hearing, the commissioner shall approve or disapprove the charges in whole or in part, his or her findings and decisions shall be final and conclusive.
27-2.4-21 - Regulations - The insurance commissioner may, in accordance with Rhode Island law, promulgate reasonable regulations as are necessary or proper to carry out the purposes of this chapter.
27-2.4-22 Severability. - If any provisions of this chapter, or the application of a provision to any person or circumstances, shall be held invalid, the remainder of the chapter, and the application of the provision to persons or circumstances other than those to which it is held invalid, shall not be affected.
SECTION 4. This act shall take effect on January 1, 2002.