SB533: Bill Text

SB533,11,3 1. The opinion shall apply to all business in force, including individual and group health insurance plans, in form and substance acceptable to the commissioner as specified by rule.

SB533,11,6 2. The opinion shall be based on standards adopted from time to time by the actuarial standards board established by the American academy of actuaries and on such additional standards as the commissioner may by rule prescribe.

SB533,11,11 3. In the case of an opinion required to be submitted by a foreign or alien compa ny, the commissioner may accept the opinion filed by that company with the insur ance supervisory official of another state if the commissioner determines that the opinion reasonably meets the requirements applicable to a company domiciled in this state.

SB533,11,15 (d) Except for fraud or wilful misconduct, a qualified actuary may not be held liable for damages to any person other than the insurance company or the commis sioner for any act, error, omission, decision or conduct with respect to an opinion re quired under this subsection.

SB533,11,18 (e) The commissioner shall specify by rule any disciplinary action that the com missioner may take against an insurance company or a qualified actuary related to any of the requirements under this subsection.

SB533,11,25 (f) 1. The commissioner shall keep confidential any memorandum in support of, and any other material provided by an insurance company to the commissioner in connection with, an opinion required under this subsection. Any such memoran dum or other material may not be made public and may not be subject to subpoena except for the purpose of defending an action seeking damages from any person on account of an act required under this subsection or required by a rule authorized or required under this subsection.

SB533,12,6 2. The commissioner may release any such memorandum or other material with the written consent of the insurance company, or to the American academy of actuaries upon its request if the memorandum or other material is required for pro fessional disciplinary proceedings and if the request sets forth procedures that are satisfactory to the commissioner for preserving the confidentiality of the memoran dum or other material.

SB533,12,10 3. A memorandum loses its confidentiality if the insurance company cites any portion of the memorandum for marketing purposes or before any governmental agency other than a state insurance department or if the insurance company releases any portion of the memorandum to the news media.

SB533, s. 13 Section 13. 623.06 (5) of the statutes is renumbered 623.06 (5) (a) and amended to read:

SB533,12,18 623.06 (5) (a) In no event shall may a company's aggregate reserves for all life insurance policies, excluding disability and accidental death benefits, issued on or after the effective date of this section, be less than the aggregate reserves calculated in accordance with the method set forth in subs. (3) to (4m) and (7) and the mortality table or tables and rate or rates of interest used in calculating nonforfeiture benefits for such policies.

SB533, s. 14 Section 14. 623.06 (5) (b) of the statutes is created to read:

SB533,12,23 623.06 (5) (b) In no event may a company's aggregate reserves for all policies, contracts and benefits be less than the aggregate reserves determined by a qualified actuary in an opinion under sub. (1m) (b) 1. to be necessary to make adequate provi sion for the company's obligations under the policies and contracts.

SB533, s. 15 Section 15. 623.06 (6) of the statutes is amended to read:

SB533,13,20 623.06 (6) Reserves for all policies and contracts issued prior to the effective date of this section subsection may be calculated, at the option of the company, ac cording to any standards which that produce greater aggregate reserves for all such policies and contracts than the minimum reserves required by the laws in effect im mediately prior to such date. Reserves for any category of policies, contracts or bene fits as established by the commissioner, issued on or after the effective date of this section subsection, may be calculated, at the option of the company, according to any standards which that produce greater aggregate reserves for such category than those calculated according to the minimum standard herein provided, but the rate or rates of interest used for policies and contracts, other than annuity and pure en dowment contracts, shall not be higher than the corresponding rate or rates of inter est used in calculating any nonforfeiture benefits provided for therein. Any such company which that at any time has adopted any standard of valuation producing greater aggregate reserves than those calculated according to the minimum stan dard herein provided may, with the approval of the commissioner, adopt any lower standard of valuation, but not lower than the minimum herein provided. For the pur poses of this subsection, holding any additional reserves that a qualified actuary, in an opinion under sub. (1m) (b) 1., determined to be necessary to make adequate pro vision for the company's obligations under the policies and contracts shall not be con sidered the adoption of a higher standard of valuation.

SB533, s. 16 Section 16. 645.08 (2) of the statutes is amended to read:

SB533,14,7 645.08 (2) Immunity. No civil cause of action may arise against and no civil li ability may be imposed upon the state, commissioner, special deputy commissioner, rehabilitator or liquidator, or their employes or agents, or the insurance security fund under ch. 646 or its agents, employes, directors or contributor insurers, for an act or omission by any of them in the performance of their powers and duties under this chapter or in the performance of their powers and duties relating to regulation of the capital or solvency of an insurer under chs. 600 to 646, including the compulso ry or security surplus requirements under ch. 623. This subsection does not apply to a civil cause of action arising from an act or omission that is criminal under ch. 943, if the. Such a cause of action is not , however, may be barred or limited by common law, sovereign immunity, governmental immunity or otherwise by law.

SB533, s. 17 Section 17. 646.01 (1) (a) 2. i. of the statutes is created to read:

SB533,14,11 646.01 (1) (a) 2. i. Nondomestic insurers that have not obtained a certificate of authority to do business in this state and that are doing business under s. 618.41 or 618.42.

SB533, s. 18 Section 18. 646.31 (2) (a) of the statutes is renumbered 646.31 (2) (a) 1. and amended to read:

SB533,14,16 646.31 (2) (a) 1. The claim of a policyholder, including a ceding assessable do mestic insurer which is organized under ch. 612 and a domestic insurer which is a bona fide policyholder of the insurer in liquidation, or.

SB533,14,20 2. Except for a claim of a beneficiary, assignee or payee under a life or disability insurance policy or annuity contract, the claim of an insured, including a certificate holder, under a policy or annuity who at the time of the insured event or of the liqui dation order was a resident of this state; or.

SB533, s. 19 Section 19. 646.31 (2) (f) of the statutes is created to read:

SB533,14,25 646.31 (2) (f) Beneficiaries, assignees and payees. Except for a claim of a non resident certificate holder under a group policy or contract, a claim made under a life or disability insurance policy or annuity contract by a resident or nonresident benefi ciary, assignee or payee of a person who fulfills all of the following criteria:

SB533,15,2 1. The person is a policyholder of, or a certificate holder under, the life or dis ability insurance policy or annuity contract.

SB533,15,4 2. The person is a resident of this state or could have made a claim under par. (b) 2.

SB533, s. 20 Section 20. 646.51 (6) of the statutes is amended to read:

SB533,15,9 646.51 (6) Appeal and review. Within 10 30 days after receipt of the board sends the statement under sub. (5), an insurer, after paying the assessment under protest, may appeal the assessment to the board or a committee thereof. The decision of the board on the appeal is subject to judicial review.

SB533, s. 21 Section 21. Effective dates. This act takes effect on the day after publica tion, except as follows:

SB533,15,14 (1)  The amendment of sections 601.72 (1) (intro.), (2) and (3) and 601.73 (2) (c) of the statutes and the repeal and recreation of section 601.73 (1) (intro.) of the stat utes takes effect on July 1, 1996.

SB533,15,15 (End)