Chapter 463
2004 -- H 7596
Enacted 07/07/04
A N A C T
RELATING
TO INSURANCE -- INTERSTATE INSURANCE PRODUCT REGULATION COMPACT
Introduced
By: Representatives Schadone, T Brien, Malik, Winfield, and Anguilla
Date
Introduced: February 10, 2004
Referred
To: House Corporations
It
is enacted by the General Assembly as follows:
SECTION
1. Title 27 of the General Laws entitled "Insurance" is hereby
amended by
adding
thereto the following chapter:
CHAPTER
2.5
INTERSTATE
COMPACT ON INSURANCE PRODUCT REGULATIONS
27-2.5-1.
Short title. This chapter may be cited as the "Interstate
Compact."
27-2.5-2.
Compact enacted. – The interstate compact on insurance product
regulation is
hereby
enacted into law and entered into with all other jurisdictions legally joining
therein in
form
substantially as follows:
Interstate
Insurance Product Regulation Compact
ARTICLE
I. PURPOSES
The
purposes of this compact are, through means of joint and cooperative action
among
the
compacting states:
(1)
To promote and protect the interest of consumers of individual and group
annuity, life
insurance,
disability income and long-term care insurance products;
(2)
To develop uniform standards for insurance products covered under the compact;
(3)
To establish a central clearinghouse to receive and provide prompt review of
insurance
products covered under the compact and, in certain cases, advertisements
related
thereto,
submitted by insurers authorized to do business in one or more compacting
states;
(4)
To give appropriate regulatory approval to those product filings and
advertisements
satisfying
the applicable uniform standard;
(5)
To improve coordination of regulatory resources and expertise between state
insurance
departments regarding the setting of uniform standards and review of insurance
products
covered under the compact;
(6)
To create the Interstate insurance product regulation commission; and
(7)
To perform these and such other related functions as may be consistent with the
state
regulation
of the business of insurance.
ARTICLE
II. DEFINITIONS
For
purposes of this compact:
(1)
"Advertisement" means any material designed to create public interest
in a product, or
induce
the public to purchase, increase, modify, reinstate, borrow on, surrender,
replace or retain
a
policy, as more specifically defined in the rules and operating procedures of
the commission.
(2)
"Bylaws" mean those bylaws established by the commission for its
governance, or for
directing
or controlling the commissions' actions or conduct.
(3)
"Compacting state" means any state which has enacted this compact legislation
and
which
has not withdrawn pursuant to Article XIV, Section 1, or been terminated
pursuant to
Article
XIV, Section 2.
(4)
"Commission" means the "Interstate Insurance Product Regulation
Commission"
established
by this compact.
(5)
"Commissioner" means the chief insurance regulatory official of a
state including, but
not
limited to, commissioner, superintendent, director or administrator.
(6)
"Domiciliary state" means the state in which an insurer is
incorporated or organized;
or,
in the case of an alien insurer, its state of entry.
(7)
"Insurer" means any entity licensed by a state to issue contracts of
insurance for any
of
the lines of insurance covered by this act.
(8)
"Member" means the person chosen by a compacting state as its
representative to the
commission,
or his or her designee.
(9)
"Noncompacting state" means any state which is not at the time a
compacting state.
(10)
"Operating procedures" mean procedures promulgated by the commission
implementing
a rule, uniformed standard or a provision of this compact.
(11)
"Product" means the form of a policy or contract, including any
application
endorsement,
or related from which is attached to and made a part of the policy or contract,
and
any
evidence of coverage of certificate, for an individual or group annuity, life
insurance,
disability
income or long-term care insurance product that an insurer is authorized to
issue.
(12)
"Rule" means a statement of general or particular applicability and
future effect
promulgated
by the commission, including a uniform standard developed pursuant to Article
VII
of
this compact, designed to implement, interpret, or prescribe law or policy or
describing the
organization,
procedure, or practice requirements of the commission, which shall have the
force
and
effect of law in the compacting states.
(13)
"State" means any state, district or territory of the United States
of America.
(14)
"Third-party filer" means an entity that submits a product filing to
the commission
on
behalf of an insurer.
(15)
"Uniform standard" means a standard adopted by the commission for a
product line,
pursuant
to Article VII of this compact, and shall include all of the product
requirements in
aggregate;
provided, that each uniform standard shall be construed, whether express or
implied, to
prohibit
the use of any inconsistent, misleading or ambiguous provisions in a product
and the
form
of the product made available to the public shall not be unfair, inequitable or
against public
policy
as determined by the commission.
ARTICLE
III. ESTABLISHMENT OF THE COMMISSION AND VENUE
(1)
The compacting states hereby create and establish a joint public agency known
as the
"Interstate
Insurance Product Regulation Commission." Pursuant to Article IV, the
commission
will
have the power to develop uniform standards for product lines, receive and
provide prompt
review
of products filed therewith, and give approval to those product filings
satisfying applicable
uniform
standards; provided, it is not intended for the commission to be the exclusive
entity for
receipt
and review of insurance product filings. Nothing herein shall prohibit any
insurer from
filing
its product in any state wherein the insurer is licensed to conduct the
business of insurance;
and
any such filing shall be subject to the laws of the state where filed.
(2)
The commission is a body corporate and politic, and an instrumentality of the
compacting
states.
(3)
The commission is a not-for-profit entity, separate and distinct from the
individual
compacting
states.
(4)
The commission is solely responsible for its liabilities except as otherwise
specifically
provided
in this compact.
(5)
Venue is proper and judicial proceedings by or against the commission shall be
brought
solely and exclusively in a court of competent jurisdiction where the principal
office of
the
commission is located.
ARTICLE
IV. POWERS OF THE COMMISSION
The
commission shall have the following powers:
(1)
To promulgate rules, pursuant to Article VII of this compact, which shall have
the
force
and effect of law and shall be binding in the compacting states to the extent
and in the
manner
provided in this compact;
(2)
To exercise its rule-making authority and establish reasonable uniform
standards for
products
covered under the compact, and advertisement related thereto, which shall have
the
force
and effect of law and shall be binding in the compacting states, but only for
those products
filed
with the commission, provided, that a compacting state shall have the right to
opt out of
such
uniform standard pursuant to Article VII, to the extent and in the manner
provided in this
compact
and, provided, further, that any uniform standard established by the commission
for
long-term
care insurance products may provide the same or greater protections for
consumers as,
but
shall not provide less than, those protections set forth in the National Association
of Insurance
Commissioners'
Long-Term Care Insurance Model Act and Long-Term Care Insurance Model
Regulation,
respectively, adopted as of 2001. The commission shall consider whether any
subsequent
amendments to the NAIC Long-Term Care Insurance Model Act or Long-Term Care
Insurance
Model Regulation adopted by the NAIC require amending of the uniform standards
established
by the commission for long-term care insurance products;
(3)
To receive and review in an expeditious manner products filed with the
commission,
and
rate filings for disability income and long-term care insurance products, and
give approval of
those
products and rate filings that satisfy the applicable uniform standard, where
such approval
shall
have the force and effect of law and be binding on the compacting states to the
extent and in
the
manner provided in the compact;
(4)
To receive and review in an expeditious manner advertisement relating to
long-term
care
insurance products for which uniform standards have been adopted by the
commission, and
give
approval to all advertisement that satisfies the applicable uniform standard.
For any product
covered
under this compact, other than long-term care insurance products, the
commission shall
have
the authority to require an insurer to submit all or any part of its
advertisement with respect
to
that product for review or approval prior to use, if the commission determines
that the nature of
the
product is such that an advertisement of the product could have the capacity or
tendency to
mislead
the public. The actions of commission as provided in this section shall have
the force
and
effect of law and shall be binding in the compacting states to the extent and
in the manner
provided
in the compact;
(5)
To exercise its rule-making authority and designate products and advertisement
that
may
be subject to a self-certification process without the need for prior approval
by the
commission;
(6)
to promulgate operating procedures, pursuant to Article VII of the compact,
which
shall
be binding in the compacting states to the extent and in the manner provided in
this
compact;
(7)
To bring and prosecute legal proceedings or actions in its name as the
commission;
provided,
that the standing of any state insurance department to sue or be sued under
applicable
law
shall not be affected;
(8)
To issue subpoenas requiring the attendance and testimony of witnesses and the
production
of evidence;
(9)
To establish and maintain offices;
(10)
To purchase and maintain insurance and bonds;
(11) To borrow, accept or contract for services of personnel, including, but
not limited
to,
employees of a compacting state;
(12)
To hire employees, professionals or specialists, and elect or appoint officers,
and to
fix
their compensation, define their duties and give them appropriate authority to
carry out the
purposes
of the compact, and determine their qualifications; and to establish the
commission's
personnel
policies and programs relating to, among other things, conflicts of interest,
rates of
compensation
and qualifications of personnel;
(13)
To accept any and all appropriate donations and grants of money, equipment,
supplies,
materials, and services, and to receive, utilize and dispose of the same;
provided, that at
all
times the commission shall strive to avoid any appearance of impropriety;
(14)
To lease, purchase, accept appropriate gifts or donations of, or otherwise to
own,
hold,
improve or use, any property, real, personal or mixed; provided, that at all
times the
commission
shall strive to avoid any appearance of impropriety;
(15)
To sell, convey, mortgage, pledge, lease, exchange, abandon or otherwise
dispose of
any
property, real, personal or mixed;
(16)
To remit filing fees to compacting states as may be set forth in the bylaws,
rules or
operating
procedures;
(17)
To enforce compliance by compacting states with rules, uniform standards,
operating
procedures and bylaws;
(18)
To provide for dispute resolution among compacting states;
(19)
To advise compacting states on issues relating to insurers domiciled or doing
business
in noncompacting jurisdictions, consistent with the purposes of the compact;
(20)
To provide advice and training to those personnel in state insurance
departments
responsible
for product review, and to be a resource for state insurance departments;
(21)
To establish a budget and make expenditures;
(22)
To borrow money;
(23)
To appoint committees including advisory committees comprising members, state
insurance
regulators, state legislators or their representatives, insurance industry and
consumer
representatives,
and such other interested persons as may be designated in the bylaws;
(24)
To provide and receive information from, and to cooperate with law enforcement
agencies;
(25)
To adopt and use a corporate seal; and
(26)
To perform such other functions as may be necessary or appropriate to achieve
the
purposes
of this compact consistent with the state regulation of the business of
insurance.
ARTICLE
V. ORGANIZATION OF THE COMMISSION
(1)
Membership, voting and bylaws.
(a)
Each compacting state shall have limited to one member. Each member shall be
qualified
to serve in that capacity pursuant to applicable law of the compacting state.
Any
member
may be removed or suspended from office as provided by the law of the state
from
which
he or she shall be appointed. Any vacancy occurring in the commission shall be
filled in
accordance
with the laws of the compacting state wherein the vacancy exists. Nothing
herein
shall
be construed to affect the manner in which a compacting state determines the
election or
appointment
and qualification of its own commissioner.
(b)
Each member shall be entitled to one vote and shall have an opportunity to
participate
in
the governance of the commission in accordance with the bylaws. Notwithstanding
any
provision
herein to the contrary, no action of the commission with respect to the
promulgation of
a
uniform standard shall be effective unless two-thirds (2/3) of the members vote
in favor thereof.
(c)
The commission shall, by a majority of the members, prescribe bylaws to govern
its
conduct
as may be necessary or appropriate to carry out the purposes, and exercise the
powers, of
the
compact, including, but not limited to:
(i)
establishing the fiscal year of the commission;
(ii)
providing reasonable procedures for appointing and electing members, as well as
holding
meetings, of the management committee;
(iii)
providing reasonable standards and procedures: (i) for the establishment and
meetings
of other committees; and (ii) governing any general or specific delegation of
any
authority
or function of the commission;
(iv)
providing reasonable procedures for calling and conducting meetings of the
commission
that consists of a majority of commission members, ensuring reasonable advance
notice
of each such meeting and providing for the rights of citizens to attend such
meeting with
enumerated
exceptions designed to protect the public's interest, the privacy of
individuals, and
insurers'
proprietary information, including trade secrets. The commission may meet in
camera
only
after a majority of the entire membership votes to close a meeting en toto or
in part. As soon
as
practicable, the commission must make public: (i) a copy of the vote to close
the meeting
revealing
the vote of each member with no proxy votes allowed; and (ii) votes taken
during such
meeting;
(v)
establishing the titles, duties and authority and reasonable procedures for the
election
of
the officers of the commission;
(vi)
providing reasonable standards and procedures for the establishment of the
personnel
policies
and programs of the commission. Notwithstanding any civil service or other
similar laws
of
any compacting state, the bylaws shall exclusively govern the personnel
policies and programs
of
the commission;
(vii)
promulgating a code of ethics to address permissible and prohibited activities
of
commission
members and employees; and
(viii)
providing a mechanism for winding up the operations of the commission and the
equitable
disposition of any surplus funds that may exist after the termination of the
compact after
the
payment and/or reserving of all of its debts and obligations.
(d)
The commission shall publish its bylaws in a convenient form and file a copy
thereof
and
a copy of any amendment thereto, with the appropriate agency or officer in each
of the
compacting
states.
(2)
Management committee, officers and personnel.
(a)
A management committee comprising no more than fourteen (14) members shall be
established
as follows:
(i)
One (1) member from each of the six (6) compacting states with the largest
premium
volume
for individual and group annuities, life, disability income and long-term care
insurance
products,
determined from the records of the NAIC for the prior year;
(ii)
Four (4) members from those compacting states with at least two percent (2%) of
the
market
based on the premium volume described above, other than the six (6) compacting
states
with
the largest premium volume, selected on a rotating basis as provided in the
bylaws, and;
(iii)
Four (4) members from those compacting states with less than two percent (2%)
of
the
market, based on the premium volume described above, with one (1) selected form
each of the
four
(4) zone regions of the NAIC as provided in the bylaws.
(b)
The management committee shall have such authority and duties as may be set
forth
in
the bylaws, including, but not limited to:
(i)
managing the affairs of the commission in a manner consistent with the bylaws
and
purposes
of the commission;
(ii)
establishing and overseeing an organizational structure within, and appropriate
procedures
for, the commission to provide for the creation of uniform standards and other
rules,
receipt
and review of product filings, administrative and technical support functions,
review of
decisions
regarding the disapproval of a product filing, and the review of elections made
by a
compacting
state to opt out of a uniform standard; provided, that a uniform standard shall
not be
submitted
to the compacting states for adoption unless approved by two-thirds (2/3) of
the
members
of the management committee;
(iii)
overseeing the offices of the commission; and
(iv)
planning, implementing, and coordinating communications and activities with
other
state,
federal and local government organizations in order to advance the goals of the
commission.
(c)
The commission shall elect annually officers from the management committee,
with
each
having such authority and duties, as may be specified in the bylaws.
(d)
The management committee may, subject to the approval of the commission,
appoint
or
retain an executive director for such period, upon such terms and conditions
and for such
compensation
as the commission may deem appropriate. The executive director shall serve as
secretary
to the commission, but shall not be a member of the commission. The executive
director
shall hire and supervise such other staff as may be authorized by the
commission.
(3)
Legislative and advisory committees.
(a)
A legislative committee comprising state legislators or their designees shall
be
established
to monitor the operations of, and make recommendations to, the commission,
including
the management committee; provided, that the manner of selection and term of
any
legislative
committee member shall be as set forth in the bylaws. Prior to the adoption by
the
commission
of any uniform standard, revision to the bylaws, annual budget or other
significant
matter
as may be provided in the bylaws, the management committee shall consult with
and
report
to the legislative committee.
(b)
The commission shall establish two (2) advisory committees, one of which shall
comprise
consume representatives independent of the insurance industry, and the other
comprising
insurance industry representatives.
(c)
The commission may establish additional advisory committees as its bylaws may
provide
for the carrying out of its functions.
(4)
Corporate records of the commission.
The
commission shall maintain its corporate books and records in accordance with
the
bylaws.
(5)
Qualified immunity, defense and indemnification.
(a)
The members, officers, executive director, employees and representatives of the
commission
shall be immune from suit and liability, either personally or in their official
capacity,
for
any claim for damage to or loss of property or personal injury or other civil
liability caused by
or
arising out of any actual or alleged act, error or omission that occurred, or
that the person
against
whom the claim is made had a reasonable basis for believing occurred within the
scope of
commission
employment, duties or responsibilities; provided, that nothing in this
paragraph shall
be
construed to protect any such person from suit and/or liability for any damage,
loss, injury or
liability
caused by the intentional or willful and wanton misconduct of that person.
(b)
The commission shall defend any member, officer, executive director, employee
or
representative
of the commission in any civil action seeking to impose liability arising out
of any
actual
or alleged act, error or omission that occurred within the scope of commission
employment,
duties or responsibilities, or that the person against whom the claim is made
had a
reasonable
basis for believing occurred within the scope of commission employment, duties
or
responsibilities;
provided, that nothing herein shall be construed to prohibit that person from
retaining
his or her own counsel; and provided, further, that the actual or alleged act,
error or
omission
did not result form that person's intentional or willful and wanton misconduct.
(c)
The commission shall indemnify and hold harmless any member, officer, executive
director,
employee or representative of the commission for the amount of any settlement
or
judgment
obtained against that person arising out of any actual or alleged act, error or
omission
that
occurred within the scope of commission employment, duties or responsibilities,
or that such
person
had a reasonable basis for believing occurred within the scope of commission
employment,
duties or responsibilities, provided, that the actual or alleged act, error or
omission
did
not result from the intentional or willful and wanton misconduct of that
person.
ARTICLE
VI. MEETINGS AND ACTS OF THE COMMISSION
(1)
The commission shall meet and take such actions as are consistent with the
provisions
of
this compact and the bylaws.
(2)
Each member of the commission shall have the right and power to cast a vote to
which
that compacting state is entitle and to participate in the business and affairs
of the
commission.
A member shall vote in person or by such other means as provided in the bylaws.
The
bylaws may provide for members' participation in meetings by telephone or other
means of
communication.
(3)
The commission shall meet at least once during each calendar year. Additional
meetings
shall be held as set forth in the bylaws.
ARTICLED
VII. RULES AND OPERATING PROCEDURES: RULEMAKING
FUNCTIONS
OF THE COMMISSION AND OPTING OUT OF UNIFORM STANDARDS.
(1)
Rulemaking authority. The commission shall promulgate reasonable rules,
including
uniform
standards, and operating procedures in order to effectively and efficiently
achieve the
purposes
of this compact. Notwithstanding the foregoing, in the event the commission
exercises
its
rulemaking authority in a manner that is beyond the scope of the purposes of
this act, or the
powers
granted hereunder, then such an action by the commission shall be invalid and
have no
force
and effect.
(2)
Rulemaking procedure. Rules and operating procedures shall be made pursuant to
a
rulemaking
process that conforms to the Model State Administrative Procedure Act of 1981
as
amended,
as may be appropriate to the operations of the commission. Before the commission
adopts
a uniform standard, the commission shall give written notice to the relevant
state
legislative
committee(s) in each compacting state responsible for insurance issues of its
intention
to
adopt the uniform standard. The commission in adopting a uniform standard shall
consider
fully
all submitted materials and issue a concise explanation of its decision.
(3)
Effective date and opt out of a uniform standard. A uniform standard shall
become
effective
ninety (90) days after its promulgation by the commission or such later date as
the
commission
may determine; provided, however, that a compacting state may opt out of a
uniform
standard
as provided in this Article. "Opt out" shall be defined as any action
by a compacting
state
to decline to adopt or participate in a promulgated uniform standard. All other
rules and
operating
procedures, and amendments thereto, shall become effective as of the date
specified in
each
rule, operating procedure or amendment.
(4)
Opt out procedure. A compacting state may opt out of a uniform standard, either
by
legislation
or regulation duly promulgated by the insurance department under the Compacting
State's
Administrative Procedure Act. If a compacting state elects to opt out of a
uniform
standard
by regulation, it must: (a) give written notice to the commission no later than
ten (10)
business
days after the uniform standard is promulgated, or at the time the state
becomes a
compacting
state; and (b) find that the uniform standard does not provide reasonable
protections
to
the citizens of the state, given the conditions in the state. The commissioner
shall make
specific
findings of fact and conclusions of law, based on a preponderance of the
evidence,
detailing
the conditions in the state which warrant a departure from the uniform standard
and
determining
that the uniform standard would not reasonably protect the citizens of the
state. The
commissioner
must consider and balance the following factors and find that the conditions in
the
state
and needs of the citizens of the state outweigh: (i) the intent of the
legislature to participate
in,
and the benefits of, an interstate agreement to establish national uniform
consumer protections
for
the products subject to this act; and (ii) the presumption that a uniform
standard adopted by
the
commission provides reasonable protections to consumers of the relevant
product.
Notwithstanding
the foregoing, a compacting state, may, at the time of its enactment of
this
compact, prospectively opt out of all uniform standards involving long-term
care insurance
products
by expressly providing for such opt out in the enacted compact, and such an opt
out shall
not
be treated as a material variance in the offer or acceptance of any state to
participate in this
compact.
Such an opt out shall be effective at the time of enactment of this compact by
the
compacting
state and shall apply to all existing uniform standards involving long-term
care
insurance
products and those subsequently promulgated.
(5)
Effect of opt out. If a compacting state elects to opt out of a uniform
standard, the
uniform
standard shall remain applicable in the compacting state electing to opt out
until such
time
the opt out legislation is enacted into law or the regulation opting out
becomes effective.
Once
the opt out of a uniform standard by a compacting state becomes effective as
provided
under the laws of that state, the uniform standard shall have no further force and
effect
in
that state unless and until the legislation or regulation implementing the opt
out is repealed or
otherwise
becomes ineffective under the laws of the state. If a compacting state opts out
of a
uniform
standard after the uniform standard has been made effective in that state, the
opt out shall
have
the same prospective effect as provided under Article XIV for withdrawals.
(6)
Stay of uniform standard. If a compacting state has formally initiated the
process of
opting
out of a uniform standard by regulation, and while the regulatory opt out is
pending, the
compacting
state may petition the commission, at least fifteen (15) days before the
effective date
of
the uniform standard, to stay the effectiveness of the uniform standard in that
state. The
commission
may grant a stay if it determines the regulatory opt out is being pursued in a
reasonable
manner and there is a likelihood of success. If a stay is granted or extended
by the
commission,
the stay or extension thereof may postpone the effective date by up to ninety
(90)
days,
unless affirmatively extended by the commission; provided, a stay may not be
permitted to
remain
in effect for more than one (1) year unless the compacting state can show
extraordinary
circumstances
which warrant a continuance of the stay, including, but not limited to, the
existence
of
a legal challenge which prevents the compacting state from opting out. A stay
may be
terminated
by the commission upon notice that the rulemaking process has been terminated.
(7)
Not later than thirty (30) days after a rule or operating procedure is
promulgated any
person
may file a petition for judicial review of the rule or operating procedure;
provided, that the
filing
of such a petition shall not stay or otherwise prevent the rule or operating
procedure from
becoming
effective unless the court finds that the petitioner has a substantial
likelihood of
success.
The court shall give deference to the actions of the commission consistent with
applicable
law and shall not find the rule or operating procedure to be unlawful if the
rule or
operating
procedure represents a reasonable exercise of the commission's authority.
ARTICLE
VIII. COMMISSION RECORDS AND ENFORCEMENT
(1)
The commission shall promulgate rules establishing conditions and procedures
for
public
inspection and copying of its information and official records, except such
information and
records
involving the privacy of individuals and insurers' trade secrets. The
commission may
promulgate
additional rules under which it may make available to federal and state
agencies
including
law enforcement agencies, records and information otherwise exempt from
disclosure
and
may enter into agreements with such agencies to receive or exchange information
or records
subject
to nondisclosure and confidentiality provisions.
(2)
Except as to privileged records, data and information, the laws of any
compacting
state
pertaining to confidentiality or nondisclosure shall not relieve any compacting
state
commissioner
of the duty to disclose any relevant records, data or information to the
commission;
provided,
that disclosure to the commission shall not be deemed to waive or otherwise
affect any
confidentiality
requirement; and further provided, that, except as otherwise expressly provided
in
this
act, the commission shall not be subject to the compacting state's laws
pertaining to
confidentiality
and nondisclosure with respect to records, data and information in its
possession.
Confidential
information of the commission shall remain confidential after such information
is
provided
to any commissioner.
(3)
The commission shall monitor compacting states for compliance with duly adopted
bylaws,
rules, including uniform standards, and operating procedures. The commission
shall
notify
any noncomplying compacting state in writing of its noncompliance with
commission
bylaws,
rules or operating procedures. If a noncomplying compacting state fails to
remedy its
noncompliance
within the time specified in the notice of noncompliance, the compacting state
shall
be deemed to be in default as set forth in Article XIV.
(4)
The commissioner of any state in which an insurer is authorized to do business,
or is
conducting
the business of insurance, shall continue to exercise his or her authority to
oversee the
market
regulation of the activities of the insurer in accordance with the provisions
of the state's
law.
The commissioner's enforcement of compliance with the compact is governed by
the state
following
provisions:
(a)
With respect to the commissioner's market regulation of a product or
advertisement
that
is approved or certified to the commission, the content of the product or
advertisement shall
not
constitute a violation of the provisions, standards or requirements of the
compact except upon
a
final order of the commission, issued at the request of a commissioner after
prior notice to the
insurer
and an opportunity for hearing before the commission.
(b)
Before a commissioner may bring an action for violation of any provision,
standard
or
requirement of the compact relating to the content of an advertisement not
approved or
certified
to the commission, the commission, or an authorized commission officer or
employee,
must
authorize the section. However, authorization pursuant to this paragraph does
not require
notice
to the insurer, opportunity for hearing or disclosure of requests for
authorization or records
of
the commission's action on such requests.
ARTICLE
IX. DISPUTE RESOLUTION
The
commission shall attempt, upon the request of a member, to resolve any disputes
or
other
issues that are subject to this compact and which may arise between two (2) or
more
compacting
states, or between compacting states and noncompacting states, and the
commission
shall
promulgate an operating procedure providing for resolution of such disputes.
ARTICLE
X. PRODUCT FILING AND APPROVAL
(1)
Insurers and third-party filers seeking to have a product approved by the
commission
shall
file the product with, and pay applicable filing fees to, the commission.
Nothing in this act
shall
be construed to restrict or otherwise prevent an insurer from filing its
product with the
insurance
department in any state wherein the insurer is licensed to conduct the business
of
insurance,
and such filing shall be subject to the laws of the states where filed.
(2)
The commission shall establish appropriate filing and review processes and
procedures
pursuant to commission rules and operating procedures. Notwithstanding any
provision
herein to the contrary, the commission shall promulgate rules to establish conditions
and
procedures under which the commission will provide public access to product
filing
information.
In establishing such rules, the commission shall consider the interests of the
public
in
having access to such information, as well as protection of personal medical
and financial
information
and trade secrets, that may be contained in a product filing or supporting
information.
(3)
Any product approved by the commission may be sold or otherwise issued in those
compacting
states for which the insurer is legally authorized to do business.
ARTICLE
XI. REVIEW OF COMMISSION DECISIONS REGARDING FILINGS
(1)
Not later than thirty (30) days after the commission has given notice of a
disapproved
product
or advertisement filed with the commission, the insurer or third party filer
whose filing
was
disapproved may appeal the determination to a review panel appointed by the
commission.
The
commission shall promulgate rules to establish procedures for appointing such
review panels
and
provide for notice and hearing. An allegation that the commission, in
disapproving a product
or
advertisement filed with the commission, acted arbitrarily, capriciously, or in
a manner that is
an
abuse of discretion or otherwise not in accordance with the law, is subject to
judicial review in
accordance
with Article III, Section 5.
(2)
The commission shall have authority to monitor review and reconsider products
and
advertisement
subsequent to their filing or approval upon a finding that the product does not
meet
the
relevant uniform standard. Where appropriate, the commission may withdraw or
modify its
approval
after proper notice and hearing, subject to the appeal process in section 1
above.
ARTICLE
XII. FINANCE
(1)
The commission shall pay or provide for the payment of the reasonable expenses
of
its
establishment and organization. To fund the cost of its initial operations, the
commission may
accept
contributions and other forms of funding from the National Association of
Insurance
Commissioners,
compacting states and other sources. Contributions and other forms of funding
from
other sources shall be of such a nature that the independence of the commission
concerning
the
performance of its duties shall not be compromised.
(2)
The commission shall collect a filing fee from each insurer and third party
filer filing
a
product with the commission to cover the cost of the operations and activities
of the
commission
and its staff in a total amount sufficient to cover the commission's annual
budget.
(3)
The commission's budget for a fiscal year shall not be approved until it has
been
subject
to notice and comment as set forth in Article VII of this compact.
(4)
The commission shall be exempt from all taxation in and by the compacting
states.
(5)
The commission shall not pledge the credit of any compacting state, except by
and
with
the appropriate legal authority of that compacting state.
(6)
The commission shall keep complete and accurate accounts of all its internal
receipts,
including
grants and donations, and disbursements of all funds under its control. The
internal
financial
accounts of the commission shall be subject to the accounting procedures
established
under
its bylaws. The financial accounts and reports including the system of internal
controls and
procedures
of the commission shall be audited annually by an independent certified public
accountant.
Upon the determination of the commission, but no less frequently than every
three
(3)
years, the review of the independent auditor shall include a management and
performance
audit
of the commission. The commission shall make an annual report to the governor
and
legislature
of the compacting states, which shall include a report of the independent
audit. The
commission's
internal accounts shall not be confidential and such materials may be shared
with
the
commissioner of any compacting state upon request; provided, however, that any
work papers
related
to any internal or independent audit and any information regarding the privacy
of
individuals
and insurers' proprietary information, including trade secrets, shall remain
confidential.
(7)
No compacting state shall have any claim to or ownership of any property held
by or
vested
in the commission or to any commission funds held pursuant to the provisions of
this
compact.
ARTICLE
XIII. COMPACTING STATES, EFFECTIVE DATE AND AMENDMENT
(1)
Any state is eligible to become a compacting state.
(2)
The compact shall become effective and binding upon legislative enactment of
the
compact
into law by two compacting states; provided, the commission shall become
effective for
purposes
of adopting uniform standards for, reviewing, and giving approval or
disapproval of,
products
filed with the commission that satisfy applicable uniform standards only after
twenty-six
(26)
states are compacting states, or, alternatively, by states representing greater
than forty
percent
(40%) of the premium volume for life insurance, annuity, disability income and
long-term
care
insurance products, based on records of the NAIC for the prior year.
Thereafter, it shall
become
effective and binding as to any other compacting state upon enactment of the
compact
into
law by that state.
(3)
Amendments to the compact may be proposed by the commission for enactment by
the
compacting states. No amendment shall become effective and binding upon the
commission
and
the compacting states unless and until all compacting states enact the
amendment into law.
ARTICLE
XIV. WITHDRAWAL, DEFAULT AND TERMINATION
(1)
Withdrawal;
(a)
Once effective, the compact shall continue in force and remain binding upon
each and
every
compacting state; provided, that a compacting state may withdraw from the
compact
("Withdrawing
State") by enacting a statute specifically repealing the statute which
enacted the
compact
into law.
(b)
The effective date of withdrawal is the effective date of the repealing
statute.
However,
the withdrawal shall not apply to any product filings approved or
self-certified, or any
advertisement
of such products, on the date the repealing statute becomes effective, except
by
mutual
agreement of the commission and the withdrawing state unless the approval is
rescinded
by
the withdrawing state as provided in subsection (e) of the this section.
(c)
The commissioner of the withdrawing state shall immediately notify the
management
committee
in writing upon the introduction of legislation repealing this compact in the
withdrawing
state.
(d)
The commission shall notify the other compacting states of the introduction of
such
legislation
within ten (10) days after its receipt of notice thereof.
(e)
The withdrawing state is responsible for all obligations, duties and
liabilities incurred through
the
effective date of withdrawal, including any obligations, the performance of
which extend
beyond
the effective date of withdrawal, except to the extent those obligations may
have been
released
or relinquished by mutual agreement of the commission and the withdrawing
state. The
commission's
approval of products and advertisement prior to the effect date of withdrawal
shall
continue
to be effective and be given full force and effect in the withdrawing state,
unless
formally
rescinded by the withdrawing state in the same manner as provided by the laws
of the
withdrawing
state for the prospective disapproval of products or advertisement previously
approved
under state law.
(f)
Reinstatement following withdrawal of any compacting state shall occur upon the
effective
date of the withdrawing state reenacting the compact.
(2)
Default. – (a) If the commission determines that any compacting state has at
any time
defaulted
("defaulting state") in the performance of any of its obligations or
responsibilities under
this
compact, the bylaws or duly promulgated rules or operating procedures, then,
after notice and
hearing
as set forth in the bylaws, all rights, privileges and benefits conferred by
this compact on
the
defaulting state shall be suspended from the effective date of default as fixed
by the
commission.
The grounds for default include, but are not limited to, failure of compacting
state
to
perform its obligations or responsibilities, and any other grounds designated
in commission
rules.
The commission shall immediately notify the defaulting state in writing of the
defaulting
state's
suspension pending a cure of the default. The commission shall stipulate the
conditions
and
the time period within which the defaulting state must cure its default. If the
defaulting state
fails
to cure the default within the time period specified by the commission, the
defaulting state
shall
be terminated from the compact and all rights, privileges and benefits
conferred by this
compact
shall be terminated from the effective date of termination.
(b)
Product approvals by the commission or product self-certifications, or any
advertisement
in connection with such product, that are in force on the effective date of
termination
shall remain in force in the defaulting state in the same manner as if the
defaulting
state
had withdrawn voluntarily pursuant to paragraph (1) of the article.
(c)
Reinstatement following termination of any compacting state requires a
reenactment
of
the compact.
(3)
Dissolution of compact. – (a) The compact dissolves effective upon the date of
the
withdrawal
or default of the compacting state which reduces membership in the compact to
one
compacting
state.
(b)
Upon the dissolution of this compact, the compact becomes null and void and
shall be
of
no further force or effect, and the business and affairs of the commission
shall be wound up
and
any surplus funds shall be distributed in accordance with the bylaws.
ARTICLE
XV. SEVERABILITY AND CONSTRUCTION
(1)
The provisions of this compact shall be severable; and if any phrase, clause,
sentence
or
provision is deemed unenforceable, the remaining provisions of the compact
shall be
enforceable.
(2)
The provisions of this compact shall be liberally construed to effectuate it
purposes.
ARTICLE
XVI. BINDING EFFECT OF COMPACT AND OTHER LAWS
(1)
Other laws. – (a) Nothing herein prevents the enforcement of any other law of a
compacting
state, except as provided in paragraph (b) of the article.
(b)
For any product approved or certified to the commission, the rules, uniform
standards
and
any other requirements of the commission shall constitute the exclusive
provisions applicable
to
the content, approval and certification of such products. For advertisement
that is subject to
the
commission's authority, any rule, uniform standard or other requirement of the
commission
which
governs the content of the advertisement shall constitute the exclusive
provision that a
commissioner
may apply to the content of the advertisement. Notwithstanding the foregoing,
no
action
taken by the commission shall abrogate or restrict: (i) the access of any
person to state
courts;
(ii) remedies available under state law related to breach of contract, tort, or
other laws not
specifically
directed to the content of the product; (iii) state law relating to the
construction of
insurance
contracts; or (iv) the authority of the attorney general of the state,
including, but not
limited
to, maintaining any actions or proceedings, as authorized by law.
(c)
All insurance products filed with individual states shall be subject to the
laws of those
states.
(2)
Binding effect on this compact. – (a) All lawful actions of the commission,
including
all
rules and operating procedures promulgated by the commission, are binding upon
the
compacting
states.
(b)
All agreements between the commission and the compacting states are binding in
accordance
with their terms.
(c)
Upon the request of a party to a conflict over the meaning or interpretation of
commission
actions, and upon a majority vote of the compacting states, the commission may
issue
advisory opinions regarding the meaning or interpretation in dispute.
(d)
In the event any provision of this compact exceeds the constitutional limits
imposed
on
the legislature of any compacting state, the obligations, duties, powers or
jurisdiction sought to
be
conferred by that provision upon the commission shall be ineffective as to that
compacting
state,
and those obligations, duties, powers or jurisdiction shall remain in the
compacting state
and
shall be exercised by the agency thereof to which those obligations, duties,
powers or
jurisdiction
are delegated by law in effect at the time this compact becomes effective.
SECTION
2. This act shall take effect upon passage.
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LC00874
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