LBD14718-01-6
S. 7168 2
state legislators who represent and support the National Conference of
Insurance Legislators (NCOIL). The state-run insurance marketplace has
benefited from the work of the NAIC, which establishes uniform state
laws, regulations and guidance. This framework provides the basis for an
insurance regulatory environment that is largely consistent among the
states, which supports the goals of a state-run regulatory system. It
provides states with a uniform structure for overseeing the state-run
insurance system, which benefits the entire insurance marketplace. In
2013, the Federal Insurance Office of the United States Treasury issued
a mandated study entitled "How to Modernize and Improve the System of
Insurance Regulation in the United States." That study recognized the
efforts of the NAIC by concluding support for the implementation of
several uniform state laws and regulations established by the NAIC,
including a recommendation that all non-participating states should join
the Interstate Insurance Product Regulation Compact (IIPRC). In 1989-90,
the NAIC adopted certain financial regulation standards that form the
basis for a formal accreditation program that relies on state certif-
ication by other regulators (i.e., peer review) and that requires risk-
focused financial surveillance, including on-site examinations, as well
as implementation of certain solvency-related model laws, rules and
guidelines. The New York Department of Financial Services is one of the
jurisdictions currently accredited by this NAIC program.
The legislature therefore finds that it is in the interest of this
state to implement into New York law several provisions of NAIC Model
Laws or Regulations, some of which are or may be necessary for New York
to maintain their NAIC accreditation, and others of which serve to
further the public policy interest for insurance regulation in the State
of New York.
S 3. This act enacts into law major components of legislation which
are necessary to implement the "insurance uniformity and accreditation
act". Each component is wholly contained within a Part identified as
Parts A through E. The effective date for each particular provision
contained within such Part is set forth in the last section of such
Part. Any provision in any section contained within a Part, including
the effective date of the Part, which makes a reference to section "of
this act", when used in connection with that particular component, shall
be deemed to mean and refer to the corresponding section of the Part in
which it is found. Section five of this act sets forth the general
effective date of this act.
PART A
Section 1. Legislative findings and intent. An interstate compact is a
contract between the states that allows them to cooperate on multi-state
or national issues while still retaining state control. Interstate
compacts are specifically mentioned in the U.S. Constitution and have
been historically used to address border disputes and water rights. The
use of interstate compacts has expanded significantly in recent decades
to cover tax, motor vehicle licensing, environmental, emergency manage-
ment and other issues. Over 200 interstate compacts currently exist, and
on average every state belongs to at least 25 compacts. The Interstate
Insurance Product Regulation Compact, which to date has been adopted by
44 member states, representing approximately two-thirds of the premium
volume in the nation, created the Interstate Insurance Product Regu-
lation Commission (IIPRC). The IIPRC provides the States with a vehicle
to (1) develop uniform national product standards that will afford a
S. 7168 3
high level of protection to consumers of life insurance, annuities,
disability income and long-term care insurance products; (2) establish a
central point of filing for these insurance products; and (3) thoroughly
review product filings and make regulatory decisions according to the
uniform product standards. The IIPRC is an important modernization
initiative that benefits state insurance regulators, consumers, and the
insurance industry. The Compact enhances the efficiency and effective-
ness of the way insurance products are filed, reviewed, and approved
allowing insurance customers to have faster access to competitive insur-
ance products in an ever-changing global marketplace. The Compact
promotes uniformity through application of uniform product standards
embedded with strong consumer protections. The state of New York seeks
to join with other states as a member of the Interstate Insurance Prod-
uct Regulation Compact and Commission.
S 2. The insurance law is amended by adding a new article 82 to read
as follows:
ARTICLE 82
INTERSTATE INSURANCE PRODUCT REGULATION COMPACT
SECTION 8201. SHORT TITLE.
8202. PURPOSE.
8203. DEFINITIONS.
8204. ESTABLISHMENT OF THE COMMISSION AND VENUE.
8205. POWERS OF THE COMMISSION.
8206. ORGANIZATION OF THE COMMISSION.
8207. MEETINGS AND ACTS OF THE COMMISSION.
8208. RULES AND OPERATING PROCEDURES; RULE MAKING FUNCTIONS OF
THE COMMISSION AND OPTING OUT OF UNIFORM STANDARDS.
8209. COMMISSION RECORDS AND ENFORCEMENT.
8210. DISPUTE RESOLUTION.
8211. PRODUCT FILING AND APPROVAL.
8212. REVIEW OF COMMISSION DECISIONS REGARDING FILINGS.
8213. FINANCE.
8214. COMPACTING STATES, EFFECTIVE DATE AND AMENDMENT.
8215. WITHDRAWAL, DEFAULT AND TERMINATION.
8216. SEVERABILITY AND CONSTRUCTION.
8217. BINDING EFFECT OF COMPACT AND OTHER LAWS.
S 8201. SHORT TITLE. THIS ARTICLE SHALL BE KNOWN AND MAY BE CITED AS
THE "INTERSTATE INSURANCE PRODUCT REGULATION COMPACT".
S 8202. PURPOSE. THE PURPOSES OF THIS COMPACT ARE, THROUGH MEANS OF
JOINT AND COOPERATIVE ACTION AMONG THE COMPACTING STATES:
(A) TO PROMOTE AND PROTECT THE INTEREST OF CONSUMERS OF INDIVIDUAL AND
GROUP ANNUITY, LIFE INSURANCE, DISABILITY INCOME AND LONG-TERM CARE
INSURANCE PRODUCTS;
(B) TO DEVELOP UNIFORM STANDARDS FOR PRODUCTS COVERED UNDER THE
COMPACT;
(C) TO ESTABLISH A CENTRAL CLEARINGHOUSE TO RECEIVE AND PROVIDE PROMPT
REVIEW OF 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;
(D) TO GIVE APPROPRIATE REGULATORY APPROVAL TO THOSE PRODUCT FILINGS
AND ADVERTISEMENTS SATISFYING THE APPLICABLE UNIFORM STANDARD;
(E) 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;
S. 7168 4
(F) TO CREATE THE INTERSTATE INSURANCE PRODUCT REGULATION COMMISSION;
AND
(G) TO PERFORM SUCH OTHER RELATED FUNCTIONS AS MAY BE CONSISTENT WITH
THE STATE REGULATION OF THE BUSINESS OF INSURANCE.
S 8203. DEFINITIONS. AS USED IN THIS ARTICLE:
(A) "ADVERTISEMENT" MEANS ANY MATERIAL DESIGNED TO CREATE PUBLIC
INTEREST IN A PRODUCT, OR INDUCE THE PUBLIC TO PURCHASE, INCREASE, MODI-
FY, REINSTATE, BORROW ON, SURRENDER, REPLACE OR RETAIN A POLICY, AS MORE
SPECIFICALLY DEFINED IN THE RULES AND OPERATING PROCEDURES OF THE
COMMISSION.
(B) "BY-LAWS" MEAN THOSE BY-LAWS ESTABLISHED BY THE COMMISSION FOR ITS
GOVERNANCE OR FOR DIRECTING OR CONTROLLING THE COMMISSION'S ACTIONS OR
CONDUCT.
(C) "COMPACTING STATE" MEANS ANY STATE WHICH HAS ENACTED THIS COMPACT
LEGISLATION AND WHICH HAS NOT WITHDRAWN OR BEEN TERMINATED PURSUANT TO
SECTION EIGHT THOUSAND TWO HUNDRED FIFTEEN OF THIS ARTICLE.
(D) "COMMISSION" MEANS THE "INTERSTATE INSURANCE PRODUCT REGULATION
COMMISSION" ESTABLISHED BY THE COMPACT.
(E) "COMMISSIONER" MEANS THE CHIEF INSURANCE REGULATORY OFFICIAL OF A
STATE INCLUDING, BUT NOT LIMITED TO COMMISSIONER, SUPERINTENDENT, DIREC-
TOR OR ADMINISTRATOR.
(F) "DOMICILIARY STATE" MEANS THE STATE IN WHICH AN INSURER IS INCOR-
PORATED OR ORGANIZED OR, IN THE CASE OF AN ALIEN INSURER, ITS STATE OF
ENTRY.
(G) "INSURER" MEANS ANY ENTITY LICENSED BY A STATE TO ISSUE CONTRACTS
OF INSURANCE FOR ANY OF THE LINES OF INSURANCE COVERED BY THIS ARTICLE.
(H) "MEMBER" MEANS THE PERSON, OR HIS OR HER DESIGNEE, CHOSEN BY A
COMPACTING STATE FOR SERVICE ON THE COMMISSION.
(I) "NON-COMPACTING STATE" MEANS ANY STATE WHICH IS NOT AT THE TIME A
COMPACTING STATE.
(J) "OPERATING PROCEDURES" MEAN PROCEDURES PROMULGATED BY THE COMMIS-
SION IMPLEMENTING A RULE, UNIFORM STANDARD OR A PROVISION OF THIS
COMPACT.
(K) "PRODUCT" MEANS THE FORM OF THE CONTRACT, POLICY APPLICATION,
ENDORSEMENTS, CERTIFICATE FORMS, EVIDENCE OF COVERAGE FORMS AND RELATED
FORMS FOR AN INDIVIDUAL OR GROUP ANNUITY, LIFE INSURANCE, DISABILITY
INCOME OR LONG-TERM CARE INSURANCE PRODUCT, WHICH AN INSURER IS AUTHOR-
IZED TO ISSUE.
(L) "RULE" MEANS A STATEMENT OF GENERAL OR PARTICULAR APPLICABILITY
AND FUTURE EFFECT PROMULGATED BY THE COMMISSION, INCLUDING A UNIFORM
STANDARD DEVELOPED PURSUANT TO SECTION EIGHT THOUSAND TWO HUNDRED EIGHT
OF THIS ARTICLE, DESIGNED TO IMPLEMENT, INTERPRET, OR PRESCRIBE LAW OR
POLICY OR DESCRIBING THE ORGANIZATION, PROCEDURE, OR PRACTICE REQUIRE-
MENTS OF THE COMMISSION, WHICH SHALL HAVE THE FORCE AND EFFECT OF LAW IN
THE COMPACTING STATES.
(M) "STATE" MEANS ANY STATE, DISTRICT OR TERRITORY OF THE UNITED
STATES OF AMERICA.
(N) "THIRD-PARTY FILER" MEANS AN ENTITY THAT SUBMITS A PRODUCT FILING
TO THE COMMISSION ON BEHALF OF AN INSURER.
(O) "UNIFORM STANDARD" MEANS A STANDARD ADOPTED BY THE COMMISSION FOR
A PRODUCT LINE, PURSUANT TO SECTION EIGHT THOUSAND TWO HUNDRED EIGHT OF
THIS ARTICLE AND SHALL INCLUDE ALL OF THE PRODUCT REQUIREMENTS IN AGGRE-
GATE; 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 SUCH PRODUCT MADE
S. 7168 5
AVAILABLE TO THE PUBLIC SHALL NOT BE UNFAIR, INEQUITABLE OR AGAINST
PUBLIC POLICY AS DETERMINED BY THE COMMISSION.
S 8204. ESTABLISHMENT OF THE COMMISSION AND VENUE. (A) THE COMPACTING
STATES HEREBY ESTABLISH A JOINT PUBLIC AGENCY KNOWN AS THE "INTERSTATE
INSURANCE PRODUCT REGULATION COMMISSION". PURSUANT TO SECTION EIGHT
THOUSAND TWO HUNDRED EIGHT OF THIS ARTICLE, THE COMMISSION SHALL 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,
HOWEVER, THAT IT IS NOT INTENDED FOR THE COMMISSION TO BE THE EXCLUSIVE
ENTITY FOR RECEIPT AND REVIEW OF INSURANCE PRODUCT FILINGS. NOTHING IN
THIS SECTION SHALL PROHIBIT ANY INSURER FROM FILING ITS PRODUCT IN ANY
STATE WHEREIN SUCH INSURER IS LICENSED TO CONDUCT THE BUSINESS OF INSUR-
ANCE AND SUCH FILING SHALL BE SUBJECT TO THE LAWS OF THE STATE WHERE
FILED.
(B) THE COMMISSION IS A BODY CORPORATE AND POLITIC, AND AN INSTRUMEN-
TALITY OF THE COMPACTING STATES.
(C) THE COMMISSION IS A NOT-FOR-PROFIT ENTITY, SEPARATE AND DISTINCT
FROM THE INDIVIDUAL COMPACTING STATES.
(D) THE COMMISSION IS SOLELY RESPONSIBLE FOR ITS LIABILITIES UNLESS
OTHERWISE SPECIFICALLY PROVIDED IN THIS COMPACT, EXCEPT THAT, IN NO
EVENT SHALL THE OBLIGATIONS OF THE COMMISSION BE THE DEBT OF THE STATE
OF NEW YORK NOR SHALL ANY REVENUES OR PROPERTY OF THE STATE OF NEW YORK
BE LIABLE THEREFOR.
(E) VENUE IN PROPER AND JUDICIAL PROCEEDINGS BY OR AGAINST THE COMMIS-
SION SHALL BE BROUGHT SOLELY AND EXCLUSIVELY IN A COURT OF COMPETENT
JURISDICTION WHERE THE PRINCIPAL OFFICE OF THE COMMISSION IS LOCATED.
S 8205. POWERS OF THE COMMISSION. (A) THE COMMISSION SHALL HAVE THE
FOLLOWING POWERS:
(1) TO PROMULGATE RULES, PURSUANT TO SECTION EIGHT THOUSAND TWO
HUNDRED EIGHT OF THIS ARTICLE, 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 ARTICLE;
(2) TO EXERCISE ITS RULE MAKING AUTHORITY AND ESTABLISH REASONABLE
UNIFORM STANDARDS FOR PRODUCTS COVERED UNDER THE COMPACT, AND ADVERTISE-
MENT RELATED THERETO, WHICH SHALL HAVE THE FORCE AND EFFECT OF LAW AND
SHALL BE BINDING IN THE COMPACTING STATES, BUT ONLY FOR SUCH PRODUCTS
FILED WITH THE COMMISSION; PROVIDED, HOWEVER, THAT A COMPACTING STATE
SHALL HAVE THE RIGHT TO OPT OUT OF SUCH UNIFORM STANDARD PURSUANT TO
SECTION EIGHT THOUSAND TWO HUNDRED EIGHT OF THIS ARTICLE TO THE EXTENT
AND IN THE MANNER PROVIDED IN THIS ARTICLE, AND PROVIDED FURTHER THAT
ANY UNIFORM STANDARD ESTABLISHED BY THE COMMISSIONER 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' (HEREIN-
AFTER REFERRED TO AS THE "NAIC") 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 INSURANCE
PRODUCTS;
(3) TO RECEIVE AND REVIEW IN AN EXPEDITIOUS MANNER PRODUCTS FILED WITH
THE COMMISSION, INCLUDING 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
S. 7168 6
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 STAND-
ARDS HAVE BEEN ADOPTED BY THE COMMISSION, AND GIVE APPROVAL OF SUCH
ADVERTISEMENT THAT SATISFIES THE APPLICABLE UNIFORM STANDARD. FOR ANY
PRODUCT COVERED UNDER THIS ARTICLE, 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 THE 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 RULE MAKING AUTHORITY AND DESIGNATE PRODUCTS AND
ADVERTISEMENT THAT MAY BE SUBJECT TO A SELF-CERTIFICATION PROCESS WITH-
OUT THE NEED FOR PRIOR APPROVAL BY THE COMMISSION;
(6) TO PROMULGATE OPERATING PROCEDURES, PURSUANT TO SECTION EIGHT
THOUSAND TWO HUNDRED EIGHT OF THIS ARTICLE, WHICH SHALL BE BINDING IN
THE COMPACTING STATES TO THE EXTENT AND IN THE MANNER PROVIDED IN THE
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, INCLUD-
ING, BUT NOT LIMITED TO, EMPLOYEES OF A COMPACTING STATE;
(12) TO HIRE EMPLOYEES 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 QUALIFICA-
TIONS; AND TO ESTABLISH THE COMMISSION'S PERSONNEL POLICIES AND PROGRAMS
RELATING TO, AMONG OTHER THINGS, CONFLICTS OF INTEREST, RATES OF COMPEN-
SATION 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 BY-LAWS, RULES OR OPERATING PROCEDURES;
(17) TO ENFORCE COMPLIANCE BY COMPACTING STATES WITH RULES, UNIFORM
STANDARDS, OPERATING PROCEDURES AND BY-LAWS;
(18) TO PROVIDE FOR DISPUTE RESOLUTION AMONG COMPACTING STATES;
(19) TO ADVISE COMPACTING STATES ON ISSUES RELATING TO INSURERS DOMI-
CILED OR DOING BUSINESS IN NON-COMPACTING JURISDICTIONS, CONSISTENT WITH
THE PURPOSES OF THE COMPACT;
S. 7168 7
(20) TO PROVIDE ADVICE AND TRAINING TO THOSE PERSONNEL IN STATE INSUR-
ANCE 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 REPRE-
SENTATIVES, INSURANCE INDUSTRY AND CONSUMER REPRESENTATIVES, AND SUCH
OTHER INTERESTED PERSONS AS MAY BE DESIGNATED IN THE BY-LAWS;
(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 APPROPRI-
ATE TO ACHIEVE THE PURPOSES OF THIS COMPACT CONSISTENT WITH THE STATE
REGULATION OF THE BUSINESS OF INSURANCE.
(B) ALL DONATIONS, GRANTS OF MONEY, EQUIPMENT, SUPPLIES, MATERIALS OR
SERVICES, PURCHASES, GIFTS, DONATIONS, CONVEYANCES, MORTGAGES, PLEDGES,
LEASES AND EXCHANGES, AS AUTHORIZED BY SUBSECTION (A) OF THIS SECTION,
RECEIVED BY OR ON BEHALF OF THE COMMISSION SHALL BE LIMITED TO THE
DIRECT FUNDING OF THE LAWFUL AND AUTHORIZED OPERATIONS OF THE COMMIS-
SION.
S 8206. ORGANIZATION OF THE COMMISSION. (A) EACH COMPACTING STATE
SHALL HAVE AND BE LIMITED TO ONE MEMBER. THE SUPERINTENDENT, OR HIS OR
HER DESIGNATED REPRESENTATIVE, SHALL BE NEW YORK'S MEMBER OF SUCH
COMMISSION. EACH MEMBER SHALL BE QUALIFIED TO SERVE IN SUCH 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 SUCH 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 SUPERINTENDENT.
(B) EACH MEMBER SHALL BE ENTITLED TO ONE VOTE AND SHALL HAVE AN OPPOR-
TUNITY TO PARTICIPATE IN THE GOVERNANCE OF THE COMMISSION IN ACCORDANCE
WITH THE BY-LAWS. NOTWITHSTANDING ANY PROVISION OF THIS ARTICLE TO THE
CONTRARY, NO ACTION OF THE COMMISSION WITH RESPECT TO THE PROMULGATION
OF A UNIFORM STANDARD SHALL BE EFFECTIVE UNLESS TWO-THIRDS OF THE
MEMBERS VOTE IN FAVOR THEREOF.
(C) THE COMMISSION SHALL, BY A MAJORITY OF THE MEMBERS, PRESCRIBE
BY-LAWS TO GOVERN ITS CONDUCT AS MAY BE NECESSARY OR APPROPRIATE TO
CARRY OUT THE PURPOSES, AND EXERCISE THE POWERS, OF THE COMPACT, INCLUD-
ING, BUT NOT LIMITED TO:
(1) ESTABLISHING THE FISCAL YEAR OF THE COMMISSION;
(2) PROVIDING REASONABLE PROCEDURES FOR HOLDING MEETINGS OF THE
MANAGEMENT COMMITTEE;
(3) PROVIDING REASONABLE STANDARDS AND PROCEDURES FOR THE ESTABLISH-
MENT OF OTHER COMMITTEES, AND GOVERNING ANY GENERAL OR SPECIFIC DELEG-
ATION OF ANY AUTHORITY OR FUNCTION OF THE COMMISSION;
(4) PROVIDING REASONABLE PROCEDURES FOR CALLING AND CONDUCTING MEET-
INGS OF THE COMMISSION THAT CONSIST OF A MAJORITY OF COMMISSION MEMBERS,
ENSURING REASONABLE ADVANCE NOTICE OF EACH SUCH MEETING, AND PROVIDING
FOR THE RIGHT OF CITIZENS TO ATTEND EACH 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 IN TOTO OR IN PART. AS SOON
S. 7168 8
AS PRACTICABLE, THE COMMISSION MUST MAKE PUBLIC A COPY OF THE VOTE TO
CLOSE THE MEETING REVEALING THE VOTE OF EACH MEMBER WITH NO PROXY VOTES
ALLOWED, AND VOTES TAKEN DURING SUCH MEETING;
(5) ESTABLISHING THE TITLES, DUTIES AND AUTHORITY AND REASONABLE
PROCEDURES FOR THE ELECTION OF THE OFFICERS OF THE COMMISSION;
(6) PROVIDING REASONABLE STANDARDS AND PROCEDURES FOR THE ESTABLISH-
MENT OF THE PERSONNEL POLICIES AND PROGRAMS OF THE COMMISSION. NOTWITH-
STANDING ANY CIVIL SERVICE OR OTHER SIMILAR LAWS OF ANY COMPACTING
STATE, THE BY-LAWS SHALL EXCLUSIVELY GOVERN THE PERSONNEL POLICIES AND
PROGRAMS OF THE COMMISSION;
(7) PROMULGATING A CODE OF ETHICS TO ADDRESS PERMISSIBLE AND PROHIBIT-
ED ACTIVITIES OF COMMISSION MEMBERS AND EMPLOYEES; AND
(8) PROVIDING A MECHANISM FOR WINDING UP THE OPERATIONS OF THE COMMIS-
SION 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 BY-LAWS IN A CONVENIENT FORM AND
FILE A COPY THEREOF AND A COPY OF ANY AMENDMENT THERETO, WITH THE APPRO-
PRIATE AGENCY OR OFFICER IN EACH OF THE COMPACTING STATES.
(E) A MANAGEMENT COMMITTEE COMPRISING NO MORE THAN FOURTEEN MEMBERS
SHALL BE ESTABLISHED AS FOLLOWS:
(1) ONE MEMBER FROM EACH OF THE SIX 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 AS OF DECEMBER THIRTY-FIRST OF THE PRIOR YEAR;
(2) FOUR MEMBERS FROM THOSE COMPACTING STATES WITH AT LEAST TWO
PERCENT OF THE MARKET BASED ON THE PREMIUM VOLUME DESCRIBED IN PARAGRAPH
ONE OF THIS SUBSECTION, OTHER THAN SIX COMPACTING STATES WITH THE LARG-
EST PREMIUM VOLUME, SELECTED ON A ROTATING BASIS AS PROVIDED IN THE
BY-LAWS; AND
(3) FOUR MEMBERS FROM THOSE COMPACTING STATES WITH LESS THAN TWO
PERCENT OF THE MARKET, BASED ON THE PREMIUM VOLUME DESCRIBED IN PARA-
GRAPH ONE OF THIS SUBSECTION, WITH ONE SELECTED FROM EACH OF THE FOUR
ZONE REGIONS OF THE NAIC AS PROVIDED IN THE BY-LAWS.
(F) THE MANAGEMENT COMMITTEE SHALL HAVE SUCH AUTHORITY AND DUTIES AS
MAY BE SET FORTH IN THE BY-LAWS, INCLUDING BUT NOT LIMITED TO:
(1) MANAGING THE AFFAIRS OF THE COMMISSION IN A MANNER CONSISTENT WITH
THE BY-LAWS AND PURPOSES OF THE COMMISSION;
(2) 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 OF THE
MEMBERS OF THE MANAGEMENT COMMITTEE;
(3) OVERSEEING THE OFFICES OF THE COMMISSION; AND
(4) PLANNING, IMPLEMENTING, AND COORDINATING COMMUNICATIONS AND ACTIV-
ITIES WITH OTHER STATE, FEDERAL AND LOCAL GOVERNMENT ORGANIZATIONS IN
ORDER TO ADVANCE THE GOALS OF THE COMMISSION.
(G) THE COMMISSION SHALL ELECT ANNUALLY OFFICERS FROM THE MANAGEMENT
COMMITTEE, WITH EACH HAVING SUCH AUTHORITY AND DUTIES, AS MAY BE SPECI-
FIED IN THE BY-LAWS.
(H) THE MANAGEMENT COMMITTEE MAY, SUBJECT TO THE APPROVAL OF THE
COMMISSION, APPOINT OR RETAIN AN EXECUTIVE DIRECTOR FOR SUCH PERIOD,
S. 7168 9
UPON SUCH TERMS AND CONDITIONS AND FOR SUCH COMPENSATION AS THE COMMIS-
SION MAY DEEM APPROPRIATE. THE EXECUTIVE DIRECTOR SHALL SERVE AS SECRE-
TARY 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.
(I) A LEGISLATIVE COMMITTEE COMPRISING STATE LEGISLATORS OR THEIR
DESIGNEES SHALL BE ESTABLISHED TO MONITOR THE OPERATIONS OF, AND MAKE
RECOMMENDATIONS TO, THE COMMISSION; PROVIDED THAT THE MANNER OF
SELECTION AND TERM OF ANY LEGISLATIVE COMMITTEE MEMBER SHALL BE AS SET
FORTH IN THE BY-LAWS. PRIOR TO THE ADOPTION BY THE COMMISSION OF ANY
UNIFORM STANDARD, REVISION TO THE BY-LAWS, ANNUAL BUDGET OR OTHER
SIGNIFICANT MATTER AS MAY BE PROVIDED IN THE BY-LAWS, THE MANAGEMENT
COMMITTEE SHALL CONSULT WITH AND REPORT TO THE LEGISLATIVE COMMITTEE.
(J) THE COMMISSION SHALL ESTABLISH TWO ADVISORY COMMITTEES, ONE OF
WHICH SHALL COMPRISE CONSUMER REPRESENTATIVES INDEPENDENT OF THE INSUR-
ANCE INDUSTRY AND THE OTHER COMPRISING INSURANCE INDUSTRY REPRESEN-
TATIVES.
(K) THE COMMISSION MAY ESTABLISH ADDITIONAL ADVISORY COMMITTEES AS ITS
BY-LAWS MAY PROVIDE FOR THE CARRYING OUT OF ITS FUNCTIONS.
(L) THE COMMISSION SHALL MAINTAIN ITS CORPORATE BOOKS AND RECORDS IN
ACCORDANCE WITH THE BY-LAWS.
(M) THE MEMBERS, OFFICERS, EXECUTIVE DIRECTOR, EMPLOYEES AND REPRESEN-
TATIVES OF THE COMMISSION SHALL BE IMMUNE FROM SUIT AND LIABILITY,
EITHER PERSONALLY OR IN THEIR OFFICIAL CAPACITY, FOR ANY ACTION TAKEN
REASONABLY AND IN GOOD FAITH WHICH RESULTS IN A 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 SUCH PERSON HAD A REASONABLE BASIS FOR BELIEVING
OCCURRED WITHIN THE SCOPE OF COMMISSION EMPLOYMENT, DUTIES OR RESPONSI-
BILITIES; PROVIDED, THAT NOTHING IN THIS SECTION 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.
(N) THE COMMISSION SHALL DEFEND ANY MEMBER, OFFICER, EXECUTIVE DIREC-
TOR, 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 EMPLOY-
MENT, DUTIES OR RESPONSIBILITIES, OR THAT THE DEFENDANT HAD A REASONABLE
BASIS FOR BELIEVING OCCURRED WITHIN THE SCOPE OF COMMISSION EMPLOYMENT,
DUTIES OR RESPONSIBILITIES; PROVIDED, THAT NOTHING IN THIS SECTION SHALL
BE CONSTRUED TO PROHIBIT THAT PERSON FROM RETAINING HIS OR HER OWN COUN-
SEL; AND PROVIDED FURTHER, THAT THE ACTUAL OR ALLEGED ACT, ERROR OR
OMISSION DID NOT RESULT FROM THAT PERSON'S INTENTIONAL OR WILLFUL AND
WANTON MISCONDUCT.
(O) THE COMMISSION SHALL INDEMNIFY AND HOLD HARMLESS ANY MEMBER, OFFI-
CER, EXECUTIVE DIRECTOR, EMPLOYEE OR REPRESENTATIVE OF THE COMMISSION
FOR THE AMOUNT OF ANY SETTLEMENT OR JUDGMENT OBTAINED AGAINST SUCH
PERSONS ARISING OUT OF ANY ACTUAL OR ALLEGED ACT, ERROR OR OMISSION THAT
OCCURRED WITHIN THE SCOPE OF COMMISSION EMPLOYMENT, DUTIES OR RESPONSI-
BILITIES, OR THAT SUCH PERSON HAD A REASONABLE BASIS FOR BELIEVING
OCCURRED WITHIN THE SCOPE OF COMMISSION EMPLOYMENT, DUTIES OR RESPONSI-
BILITIES, PROVIDED, THAT THE ACTUAL OR ALLEGED ACT, ERROR OR OMISSION
DID NOT RESULT FROM THE INTENTIONAL OR WILLFUL AND WANTON MISCONDUCT OF
ANY SUCH PERSON.
S. 7168 10
S 8207. MEETINGS AND ACTS OF THE COMMISSION. (A) THE COMMISSION SHALL
MEET AND TAKE SUCH ACTIONS AS ARE CONSISTENT WITH THE PROVISIONS OF THIS
COMPACT AND THE BY-LAWS.
(B) EACH MEMBER OF THE COMMISSION SHALL HAVE THE RIGHT AND POWER TO
CAST A VOTE TO WHICH THAT COMPACTING STATE IS ENTITLED AND TO PARTIC-
IPATE IN THE BUSINESS AND AFFAIRS OF THE COMMISSION. A MEMBER SHALL VOTE
IN PERSON OR BY SUCH OTHER MEANS AS PROVIDED IN THE BY-LAWS. THE BY-LAWS
MAY PROVIDE FOR MEMBERS' PARTICIPATION IN MEETINGS BY TELEPHONE OR OTHER
MEANS OF COMMUNICATION.
(C) THE COMMISSION SHALL MEET AT LEAST ONCE DURING EACH CALENDAR YEAR.
ADDITIONAL MEETINGS SHALL BE HELD AS SET FORTH IN THE BY-LAWS.
S 8208. RULES AND OPERATING PROCEDURES; RULE MAKING FUNCTIONS OF THE
COMMISSION AND OPTING OUT OF UNIFORM STANDARDS. (A) THE COMMISSION SHALL
PROMULGATE REASONABLE RULES, INCLUDING UNIFORM STANDARDS AND OPERATING
PROCEDURES, IN ORDER TO EFFECTIVELY AND EFFICIENTLY ACHIEVE THE PURPOSES
OF THE COMPACT. NOTWITHSTANDING THE FOREGOING, IN THE EVENT THE COMMIS-
SION EXERCISES ITS RULE MAKING AUTHORITY IN A MANNER THAT IS BEYOND THE
SCOPE OF THE PURPOSES OF THIS ARTICLE, OR THE POWERS GRANTED IN THIS
SECTION, THEN SUCH ACTION BY THE COMMISSION SHALL BE INVALID AND HAVE NO
FORCE AND EFFECT.
(B) RULES AND OPERATING PROCEDURES SHALL BE MADE PURSUANT TO A RULE
MAKING PROCESS THAT CONFORMS TO THE 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 COMMIS-
SION SHALL GIVE WRITTEN NOTICE TO THE RELEVANT STATE LEGISLATIVE COMMIT-
TEE IN EACH COMPACTING STATE RESPONSIBLE FOR INSURANCE ISSUES OF ITS
INTENTION TO ADOPT SUCH UNIFORM STANDARD. THE COMMISSION IN ADOPTING A
UNIFORM STANDARD SHALL CONSIDER FULLY ALL SUBMITTED MATERIALS AND ISSUE
A CONCISE EXPLANATION OF ITS DECISION.
(C) A UNIFORM STANDARD SHALL BECOME EFFECTIVE NINETY 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 PROCE-
DURES, AND AMENDMENTS THERETO, SHALL BECOME EFFECTIVE AS OF THE DATE
SPECIFIED IN EACH RULE, OPERATING PROCEDURE OR AMENDMENT.
(D) A COMPACTING STATE MAY OPT OUT OF A UNIFORM STANDARD, EITHER BY
LEGISLATION OR REGULATION DULY PROMULGATED BY THE SUPERINTENDENT UNDER
THE STATE ADMINISTRATIVE PROCEDURE ACT. IF A COMPACTING STATE ELECTS TO
OPT OUT OF A UNIFORM STANDARD BY REGULATION, IT MUST GIVE WRITTEN NOTICE
TO THE COMMISSION NO LATER THAN TEN BUSINESS DAYS AFTER THE UNIFORM
STANDARD IS PROMULGATED OR AT THE TIME THE STATE BECOMES A COMPACTING
STATE, AND FIND THAT THE UNIFORM STANDARD DOES NOT PROVIDE REASONABLE
PROTECTIONS TO THE CITIZENS OF THE STATE GIVEN THE CONDITIONS IN THE
STATE. THE SUPERINTENDENT 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 SUPERINTENDENT MUST CONSIDER AND
BALANCE THE FOLLOWING FACTORS AND FIND THAT THE CONDITIONS IN THE STATE
AND NEEDS OF THE CITIZENS OF THE STATE OUTWEIGH:
(1) 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 ARTICLE; AND
S. 7168 11
(2) 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 THE COMPACT, PROSPECTIVELY OPT OUT OF ALL UNIFORM STAN-
DARDS INVOLVING THE LONG-TERM CARE INSURANCE PRODUCTS BY EXPRESSLY
PROVIDING FOR SUCH OPT OUT IN THE ENACTED COMPACT, AND SUCH OPT OUT
SHALL NOT BE TREATED AS A MATERIAL VARIANCE IN THE OFFER OR ACCEPTANCE
OF ANY STATE TO PARTICIPATE IN THE COMPACT. SUCH AN OPT OUT SHALL BE
EFFECTIVE AT THE TIME OF ENACTMENT OF THE COMPACT BY THE COMPACTING
STATE AND SHALL APPLY TO ALL EXISTING UNIFORM STANDARDS INVOLVING LONG-
TERM CARE INSURANCE PRODUCTS AND THOSE SUBSEQUENTLY PROMULGATED.
(E) IF A COMPACTING STATE ELECTS TO OPT OUT OF A UNIFORM STANDARD, THE
UNIFORM STANDARD SHALL REMAIN APPLICABLE IN THE COMPACTING STATE ELECT-
ING TO OPT OUT UNTIL SUCH TIME THE OPT OUT LEGISLATION IS ENACTED INTO
LAW OR THE REGULATION IS PROMULGATED.
(F) 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 STAND-
ARD HAS BEEN MADE EFFECTIVE IN THAT STATE, THE OPT OUT SHALL HAVE THE
SAME PROSPECTIVE EFFECT AS PROVIDED UNDER SECTION EIGHT THOUSAND TWO
HUNDRED FIFTEEN OF THIS ARTICLE FOR WITHDRAWALS.
(G) 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 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 DAYS,
UNLESS AFFIRMATIVELY EXTENDED BY THE COMMISSION; PROVIDED HOWEVER, A
STAY MAY NOT BE PERMITTED TO REMAIN IN EFFECT FOR MORE THAN ONE 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 RULE MAKING PROCESS HAS BEEN TERMINATED.
(H) NOT LATER THAN THIRTY 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, HOWEVER, 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 PETI-
TIONER 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.
S 8209. COMMISSION RECORDS AND ENFORCEMENT. (A) 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, INCLUD-
S. 7168 12
ING 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.
(B) 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 HOWEVER, THAT DISCLOSURE TO THE COMMISSION SHALL NOT BE DEEMED
TO WAIVE OR OTHERWISE AFFECT ANY CONFIDENTIALITY REQUIREMENT; AND
PROVIDED FURTHER THAT, EXCEPT AS OTHERWISE EXPRESSLY PROVIDED IN THIS
ARTICLE, THE COMMISSION SHALL NOT BE SUBJECT TO THE LAWS OF ANY COMPACT-
ING STATE PERTAINING TO CONFIDENTIALITY AND NONDISCLOSURE WITH RESPECT
TO RECORDS, DATA AND INFORMATION IN ITS POSSESSION. CONFIDENTIAL INFOR-
MATION OF THE COMMISSION SHALL REMAIN CONFIDENTIAL AFTER SUCH INFORMA-
TION IS PROVIDED TO ANY COMMISSIONER.
(C) THE COMMISSION SHALL MONITOR COMPACTING STATES FOR COMPLIANCE WITH
DULY ADOPTED BY-LAWS, RULES, INCLUDING UNIFORM STANDARDS, AND OPERATING
PROCEDURES. THE COMMISSION SHALL NOTIFY SUCH NONCOMPLYING COMPACTING
STATE IN WRITING OF ITS NONCOMPLIANCE WITH COMMISSION BY-LAWS, RULES OR
OPERATING PROCEDURES. IF THE NONCOMPLYING COMPACTING STATE FAILS TO
REMEDY SUCH NONCOMPLIANCE WITHIN THE TIME SPECIFIED IN THE NOTICE OF
NONCOMPLIANCE, THE COMPACTING STATE SHALL BE DEEMED TO BE IN DEFAULT AS
SET FORTH IN SECTION EIGHT THOUSAND TWO HUNDRED FIFTEEN OF THIS ARTICLE.
(D) 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 FOLLOWING PROVISIONS:
(1) WITH RESPECT TO THE COMMISSIONER'S MARKET REGULATION OF A PRODUCT
OR ADVERTISEMENT THAT IS APPROVED OR CERTIFIED BY 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.
(2) 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 BY THE COMMISSION,
THE COMMISSION OR AN AUTHORIZED COMMISSION OFFICER OR EMPLOYEE, MUST
AUTHORIZE THE ACTION. 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.
S 8210. 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 OR MORE COMPACT-
ING STATES, OR BETWEEN COMPACTING STATES AND NON-COMPACTING STATES, AND
THE COMMISSION SHALL PROMULGATE AN OPERATING PROCEDURE PROVIDING FOR
RESOLUTION OF SUCH DISPUTES.
S 8211. PRODUCT FILING AND APPROVAL. (A) INSURERS AND THIRD-PARTY
FILERS SEEKING TO HAVE A PRODUCT APPROVED BY THE COMMISSION SHALL FILE
SUCH PRODUCT WITH, AND PAY APPLICABLE FILING FEES TO, THE COMMISSION.
NOTHING IN THIS ARTICLE SHALL BE CONSTRUED TO RESTRICT OR OTHERWISE
PREVENT AN INSURER FROM FILING ITS PRODUCT WITH THE INSURANCE DEPARTMENT
S. 7168 13
IN ANY STATE WHEREIN SUCH INSURER IS LICENSED TO CONDUCT THE BUSINESS OF
INSURANCE, AND SUCH FILING SHALL BE SUBJECT TO THE LAWS OF THE STATES
WHERE FILED.
(B) THE COMMISSION SHALL ESTABLISH APPROPRIATE FILING AND REVIEW PROC-
ESSES AND PROCEDURES PURSUANT TO COMMISSION RULES AND OPERATING PROCE-
DURES. NOTWITHSTANDING ANY PROVISION IN THIS SECTION TO THE CONTRARY,
THE COMMISSION SHALL PROMULGATE RULES TO ESTABLISH CONDITIONS AND PROCE-
DURES 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 INFORMA-
TION, AS WELL AS PROTECTION OF PERSONAL MEDICAL AND FINANCIAL INFORMA-
TION AND TRADE SECRETS, THAT MAY BE CONTAINED IN A PRODUCT FILING OR
SUPPORTING INFORMATION.
(C) ANY PRODUCT APPROVED BY THE COMMISSION MAY BE SOLD OR OTHERWISE
ISSUED IN THOSE COMPACTING STATES IN WHICH THE INSURER IS LEGALLY
AUTHORIZED TO DO BUSINESS.
S 8212. REVIEW OF COMMISSION DECISIONS REGARDING FILINGS. (A) NOT
LATER THAN THIRTY DAYS AFTER THE COMMISSION HAS GIVEN NOTICE OF A DISAP-
PROVED PRODUCT OR ADVERTISEMENT FILED WITH THE COMMISSION, THE INSURER
OR THIRD PARTY FILER WHOSE FILING WAS DISAPPROVED MAY APPEAL THE DETER-
MINATION TO A REVIEW PANEL APPOINTED BY THE COMMISSION. THE COMMISSION
SHALL PROMULGATE RULES TO ESTABLISH PROCEDURES FOR APPOINTING SUCH
REVIEW PANEL 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 LAW, IS SUBJECT
TO JUDICIAL REVIEW IN ACCORDANCE WITH SUBSECTION (E) OF SECTION EIGHT
THOUSAND TWO HUNDRED FOUR OF THIS ARTICLE.
(B) THE COMMISSION SHALL HAVE AUTHORITY TO MONITOR, REVIEW AND RECON-
SIDER PRODUCTS AND ADVERTISEMENT SUBSEQUENT TO THEIR FILING OR APPROVAL
UPON A FINDING THAT THE PRODUCT DOES NOT MEET THE RELEVANT UNIFORM STAN-
DARD. WHERE APPROPRIATE, THE COMMISSION MAY WITHDRAW OR MODIFY ITS
APPROVAL AFTER PROPER NOTICE AND HEARING, SUBJECT TO THE APPEAL PROCESS
SET FORTH IN SUBSECTION (A) OF THIS SECTION.
S 8213. FINANCE. (A) THE COMMISSION SHALL PAY OR PROVIDE FOR THE
PAYMENT OF THE REASONABLE EXPENSES OF ITS ESTABLISHMENT AND ORGANIZA-
TION. TO FUND THE COST OF ITS INITIAL OPERATIONS, THE COMMISSION MAY
ACCEPT CONTRIBUTIONS AND OTHER FORMS OF FUNDING FROM THE NAIC, COMPACT-
ING 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.
(B) 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.
(C) 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 SECTION
EIGHT THOUSAND TWO HUNDRED EIGHT OF THIS ARTICLE.
(D) THE COMMISSION SHALL BE EXEMPT FROM ALL TAXATION IN AND BY THE
COMPACTING STATES.
(E) THE COMMISSION SHALL NOT PLEDGE THE CREDIT OF ANY COMPACTING
STATE, EXCEPT BY AND WITH THE APPROPRIATE LEGAL AUTHORITY OF THAT
COMPACTING STATE.
(F) THE COMMISSION SHALL KEEP COMPLETE AND ACCURATE ACCOUNTS OF ALL
ITS INTERNAL RECEIPTS, INCLUDING GRANTS AND DONATIONS AND DISBURSEMENTS
S. 7168 14
OF ALL FUNDS UNDER ITS CONTROL. THE INTERNAL FINANCIAL ACCOUNTS OF THE
COMMISSION SHALL BE SUBJECT TO THE ACCOUNTING PROCEDURES ESTABLISHED
UNDER ITS BY-LAWS. 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
YEARS, THE REVIEW OF SUCH 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 SUCH 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 INDE-
PENDENT AUDIT AND ANY INFORMATION REGARDING THE PRIVACY OF INDIVIDUALS
AND INSURERS' PROPRIETARY INFORMATION, INCLUDING TRADE SECRETS, SHALL
REMAIN CONFIDENTIAL.
(G) 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.
S 8214. COMPACTING STATES, EFFECTIVE DATE AND AMENDMENT. (A) ANY STATE
IS ELIGIBLE TO BECOME A COMPACTING STATE.
(B) THE COMPACT SHALL BECOME EFFECTIVE AND BINDING UPON LEGISLATIVE
ENACTMENT OF THE COMPACT INTO LAW BY TWO COMPACTING STATES; PROVIDED
HOWEVER, THAT THE COMMISSION SHALL BECOME EFFECTIVE FOR PURPOSES OF
ADOPTING UNIFORM STANDARDS FOR REVIEWING, AND GIVING APPROVAL OR DISAP-
PROVAL OF, PRODUCTS FILED WITH THE COMMISSION THAT SATISFY APPLICABLE
UNIFORM STANDARDS ONLY AFTER TWENTY-SIX STATES ARE COMPACTING STATES OR,
ALTERNATIVELY, BY STATES REPRESENTING GREATER THAN FORTY PERCENT 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.
(C) 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.
S 8215. WITHDRAWAL, DEFAULT AND TERMINATION. (A)(1) 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 SPECIF-
ICALLY REPEALING THE STATUTE WHICH ENACTED THE COMPACT INTO LAW.
(2) THE EFFECTIVE DATE OF WITHDRAWAL IS THE EFFECTIVE DATE OF THE
REPEALING STATUTE. HOWEVER, THE WITHDRAWAL SHALL NOT APPLY TO ANY PROD-
UCT 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 PARAGRAPH
FIVE OF THIS SUBSECTION.
(3) 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.
(4) THE COMMISSION SHALL NOTIFY THE OTHER COMPACTING STATES OF THE
INTRODUCTION OF SUCH LEGISLATION WITHIN TEN DAYS AFTER ITS RECEIPT OF
NOTICE THEREOF.
(5) THE WITHDRAWING STATE IS RESPONSIBLE FOR ALL OBLIGATIONS, DUTIES
AND LIABILITIES INCURRED THROUGH THE EFFECTIVE DATE OF WITHDRAWAL,
S. 7168 15
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 EFFECTIVE 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 PROSPEC-
TIVE DISAPPROVAL OF PRODUCTS OR ADVERTISEMENT PREVIOUSLY APPROVED UNDER
STATE LAW.
(6) REINSTATEMENT FOLLOWING WITHDRAWAL OF ANY COMPACTING STATE SHALL
OCCUR UPON THE EFFECTIVE DATE OF THE WITHDRAWING STATE'S LEGISLATION
REENACTING THE COMPACT.
(B) (1) 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 BY-LAWS OR DULY
PROMULGATED RULES OR OPERATING PROCEDURES, THEN, AFTER NOTICE AND HEAR-
ING AS SET FORTH IN THE BY-LAWS, ALL RIGHTS, PRIVILEGES AND BENEFITS
CONFERRED BY THE 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 A 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 SUSPEN-
SION 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 THE COMPACT SHALL BE TERMINATED FROM THE EFFECTIVE
DATE OF TERMINATION.
(2) PRODUCT APPROVALS BY THE COMMISSION OR PRODUCT SELF-CERTIFICA-
TIONS, 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 WITH-
DRAWN VOLUNTARILY UNDER THIS SECTION.
(3) REINSTATEMENT FOLLOWING TERMINATION OF ANY COMPACTING STATE
REQUIRES A REENACTMENT OF THE COMPACT BY THAT STATE.
(C)(1) 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.
(2) UPON THE DISSOLUTION OF THE 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 BY-LAWS.
S 8216. SEVERABILITY AND CONSTRUCTION. (A) THE PROVISIONS OF THE
COMPACT SHALL BE SEVERABLE; AND IF ANY PHRASE, CLAUSE, SENTENCE OR
PROVISION IS DEEMED UNENFORCEABLE, THE REMAINING PROVISIONS OF THE
COMPACT SHALL BE ENFORCEABLE.
(B) THE PROVISIONS OF THE COMPACT SHALL BE LIBERALLY CONSTRUED TO
EFFECTUATE ITS PURPOSES.
S 8217. BINDING EFFECT OF COMPACT AND OTHER LAWS. (A) NOTHING IN THIS
SECTION PREVENTS THE ENFORCEMENT OF ANY OTHER LAW OF A COMPACTING STATE,
EXCEPT AS PROVIDED IN SUBSECTION (B) OF THIS SECTION.
(B) FOR ANY PRODUCT APPROVED OR CERTIFIED TO THE COMMISSION, THE
RULES, UNIFORM STANDARDS AND ANY OTHER REQUIREMENTS OF THE COMMISSION
S. 7168 16
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 COMMIS-
SIONER MAY APPLY TO THE CONTENT OF THE ADVERTISEMENT. NOTWITHSTANDING
THE FOREGOING, NO ACTION TAKEN BY THE COMMISSION SHALL ABROGATE OR
RESTRICT:
(1) THE ACCESS OF ANY PERSON TO STATE COURTS;
(2) REMEDIES AVAILABLE UNDER STATE LAW RELATED TO BREACH OF CONTRACT,
TORT OR OTHER LAWS NOT SPECIFICALLY DIRECTED TO THE CONTENT OF THE PROD-
UCT;
(3) STATE LAW RELATING TO THE CONSTRUCTION OF INSURANCE CONTRACTS; OR
(4) 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.
(D) ALL LAWFUL ACTIONS OF THE COMMISSION, INCLUDING ALL RULES AND
OPERATING PROCEDURES PROMULGATED BY THE COMMISSION, ARE BINDING UPON THE
COMPACTING STATES.
(E) ALL AGREEMENTS BETWEEN THE COMMISSION AND THE COMPACTING STATES
ARE BINDING IN ACCORDANCE WITH THEIR TERMS.
(F) 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 DISPUTED MEANING OR INTERPRETATION.
(G) IN THE EVENT ANY PROVISION OF THIS ARTICLE EXCEEDS THE CONSTITU-
TIONAL 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 SUCH
COMPACTING STATE, AND SUCH OBLIGATIONS, DUTIES, POWERS OR JURISDICTION
SHALL REMAIN IN THE COMPACTING STATE AND SHALL BE EXERCISED BY THE AGEN-
CY THEREOF TO WHICH SUCH OBLIGATIONS, DUTIES, POWERS OR JURISDICTION ARE
DELEGATED BY LAW IN EFFECT AT THE TIME THE COMPACT BECOMES EFFECTIVE.
S 3. This act shall take effect on the one hundred eightieth day after
it shall have become a law.
PART B
Section 1. Subsection (a) of section 4217 of the insurance law, para-
graphs 1 and 4 as amended by chapter 22 of the laws of 1994, is amended
to read as follows:
(a) (1) FOR THE PURPOSES OF THIS SECTION THE FOLLOWING DEFINITIONS
SHALL APPLY ON OR AFTER THE OPERATIVE DATE OF THE VALUATION MANUAL:
(A) THE TERM "ACCIDENT AND HEALTH INSURANCE" MEANS CONTRACTS THAT
INCORPORATE MORBIDITY RISK AND PROVIDE PROTECTION AGAINST ECONOMIC LOSS
RESULTING FROM ACCIDENT, SICKNESS, OR MEDICAL CONDITIONS AND AS MAY BE
SPECIFIED IN THE VALUATION MANUAL.
(B) THE TERM "APPOINTED ACTUARY" MEANS A QUALIFIED ACTUARY WHO IS
APPOINTED IN ACCORDANCE WITH THE VALUATION MANUAL TO PREPARE THE ACTUAR-
IAL OPINION REQUIRED IN PARAGRAPH TWO OF SUBSECTION (E) OF THIS SECTION.
(C) THE TERM "COMPANY" MEANS AN ENTITY, WHICH (I) HAS WRITTEN, ISSUED,
OR REINSURED LIFE INSURANCE CONTRACTS, ACCIDENT AND HEALTH INSURANCE
CONTRACTS, OR DEPOSIT-TYPE CONTRACTS IN THIS STATE AND HAS AT LEAST ONE
SUCH POLICY IN FORCE OR ON CLAIM OR (II) HAS WRITTEN, ISSUED, OR REIN-
S. 7168 17
SURED LIFE INSURANCE CONTRACTS, ACCIDENT AND HEALTH INSURANCE CONTRACTS,
OR DEPOSIT-TYPE CONTRACTS IN ANY STATE AND IS REQUIRED TO HOLD A CERTIF-
ICATE OF AUTHORITY TO WRITE LIFE INSURANCE, ACCIDENT AND HEALTH INSUR-
ANCE, OR DEPOSIT-TYPE CONTRACTS IN THIS STATE.
(D) THE TERM "DEPOSIT-TYPE CONTRACT" MEANS CONTRACTS THAT DO NOT
INCORPORATE MORTALITY OR MORBIDITY RISKS AND AS MAY BE SPECIFIED IN THE
VALUATION MANUAL.
(E) THE TERM "LIFE INSURANCE" MEANS CONTRACTS THAT INCORPORATE MORTAL-
ITY RISK, INCLUDING ANNUITY AND PURE ENDOWMENT CONTRACTS, AND AS MAY BE
SPECIFIED IN THE VALUATION MANUAL.
(F) THE TERM "NAIC" MEANS THE NATIONAL ASSOCIATION OF INSURANCE
COMMISSIONERS.
(G) THE TERM "POLICYHOLDER BEHAVIOR" MEANS ANY ACTION A POLICYHOLDER,
CONTRACT HOLDER OR ANY OTHER PERSON WITH THE RIGHT TO ELECT OPTIONS,
SUCH AS A CERTIFICATE HOLDER, MAY TAKE UNDER A POLICY OR CONTRACT
SUBJECT TO THIS ACT INCLUDING, BUT NOT LIMITED TO, LAPSE, WITHDRAWAL,
TRANSFER, DEPOSIT, PREMIUM PAYMENT, LOAN, ANNUITIZATION, OR BENEFIT
ELECTIONS PRESCRIBED BY THE POLICY OR CONTRACT BUT EXCLUDING EVENTS OF
MORTALITY OR MORBIDITY THAT RESULT IN BENEFITS PRESCRIBED IN THEIR
ESSENTIAL ASPECTS BY THE TERMS OF THE POLICY OR CONTRACT.
(H) THE TERM "PRINCIPLE-BASED VALUATION" MEANS A RESERVE VALUATION
THAT USES ONE OR MORE METHODS OR ONE OR MORE ASSUMPTIONS DETERMINED BY
THE INSURER AND IS REQUIRED TO COMPLY WITH SUBSECTION (H) OF THIS
SECTION AS SPECIFIED IN THE VALUATION MANUAL.
(I) THE TERM "QUALIFIED ACTUARY" MEANS AN INDIVIDUAL WHO IS QUALIFIED
TO SIGN THE APPLICABLE STATEMENT OF ACTUARIAL OPINION IN ACCORDANCE WITH
THE AMERICAN ACADEMY OF ACTUARIES QUALIFICATION STANDARDS FOR ACTUARIES
SIGNING SUCH STATEMENTS AND WHO MEETS THE REQUIREMENTS SPECIFIED IN THE
VALUATION MANUAL.
(J) THE TERM "TAIL RISK" MEANS A RISK THAT OCCURS EITHER WHERE THE
FREQUENCY OF LOW PROBABILITY EVENTS IS HIGHER THAN EXPECTED UNDER A
NORMAL PROBABILITY DISTRIBUTION OR WHERE THERE ARE OBSERVED EVENTS OF
VERY SIGNIFICANT SIZE OR MAGNITUDE.
(K) THE TERM "VALUATION MANUAL" MEANS THE MANUAL OF VALUATION
INSTRUCTIONS ADOPTED BY THE NAIC AS SPECIFIED IN THIS SECTION OR AS
SUBSEQUENTLY AMENDED.
(2)(A) FOR POLICIES AND CONTRACTS ISSUED PRIOR TO THE OPERATIVE DATE
OF THE VALUATION MANUAL:
(I) The superintendent shall annually value, or cause to be valued,
the reserve liabilities (hereinafter called reserves) for all outstand-
ing insurance policies and contracts of every life insurance company
doing business in this state ISSUED ON OR AFTER THE EFFECTIVE DATE OF
SECTION FOUR THOUSAND TWO HUNDRED TWENTY-ONE OF THIS ARTICLE AND PRIOR
TO THE OPERATIVE DATE OF THE VALUATION MANUAL, except that, in the case
of an alien company, such valuation shall be limited to its United
States business[, and may certify the amount of any such reserves, spec-
ifying the mortality table or tables, rate or rates of interest and
methods (net level premium method or other) used in the calculation of
such reserves]. In calculating such reserves, the superintendent may use
group methods and approximate averages for fractions of a year or other-
wise.
[(2)] (II) In lieu of the valuation of the reserves herein required of
any foreign or alien company, the superintendent may accept any valu-
ation made, or caused to be made, by the insurance supervisory official
of any state or other jurisdiction when such valuation complies with the
minimum standard [herein] provided [and if the official of such state or
S. 7168 18
jurisdiction accepts as sufficient and valid for all legal purposes the
certificate of valuation of the superintendent when such certificate
states the valuation to have been made in a specified manner according
to which the aggregate reserves would be at least as large as if they
had been computed in the manner prescribed by the law of that state or
jurisdiction] IN THIS SECTION.
(III) THE PROVISIONS SET FORTH IN SUBSECTIONS (C), (D) AND (F) OF THIS
SECTION AND SECTION FOUR THOUSAND TWO HUNDRED EIGHTEEN OF THIS ARTICLE
SHALL APPLY TO ALL POLICIES AND CONTRACTS, AS APPROPRIATE, SUBJECT TO
THIS SECTION, ISSUED ON OR AFTER THE EFFECTIVE DATE OF SECTION FOUR
THOUSAND TWO HUNDRED TWENTY-ONE OF THIS ARTICLE AND PRIOR TO THE OPERA-
TIVE DATE OF THE VALUATION MANUAL, AND THE PROVISIONS SET FORTH IN
SUBSECTIONS (G) AND (H) OF THIS SECTION SHALL NOT APPLY TO ANY SUCH
POLICIES AND CONTRACTS.
(IV) THE MINIMUM STANDARD FOR THE VALUATION OF POLICIES AND CONTRACTS
ISSUED PRIOR TO THE EFFECTIVE DATE OF SECTION FOUR THOUSAND TWO HUNDRED
TWENTY-ONE OF THIS ARTICLE SHALL BE THAT PROVIDED IN SUBSECTION (B) OF
THIS SECTION.
(B) FOR POLICIES AND CONTRACTS ISSUED ON OR AFTER THE OPERATIVE DATE
OF THE VALUATION MANUAL:
(I) THE SUPERINTENDENT SHALL ANNUALLY VALUE OR CAUSE TO BE VALUED THE
RESERVE LIABILITIES (HEREINAFTER CALLED RESERVES) FOR ALL ITS OUTSTAND-
ING LIFE INSURANCE CONTRACTS, ANNUITY AND PURE ENDOWMENT CONTRACTS,
ACCIDENT AND HEALTH CONTRACTS, AND DEPOSIT-TYPE CONTRACTS OF EVERY
COMPANY ISSUED ON OR AFTER THE OPERATIVE DATE OF THE VALUATION MANUAL.
IN LIEU OF THE VALUATION OF THE RESERVES REQUIRED OF A FOREIGN OR ALIEN
COMPANY, THE SUPERINTENDENT MAY ACCEPT A VALUATION MADE, OR CAUSED TO BE
MADE, BY THE INSURANCE SUPERVISORY OFFICIAL OF ANY STATE OR OTHER JURIS-
DICTION WHEN THE VALUATION COMPLIES WITH THE MINIMUM STANDARD PROVIDED
IN THIS SECTION.
(II) THE PROVISIONS SET FORTH IN SUBSECTIONS (G) AND (H) OF THIS
SECTION SHALL APPLY TO ALL POLICIES AND CONTRACTS ISSUED ON OR AFTER THE
OPERATIVE DATE OF THE VALUATION MANUAL.
(3) (A) The superintendent may, in his discretion, vary the standards
of mortality applicable to policies of insurance on substandard lives
and other extra-hazardous lives issued by any life insurance company
doing business in this state.
(B) He may also, in his discretion, vary the standards of interest and
mortality applicable to contracts issued by an alien insurer in coun-
tries other than the United States, if such alien insurer maintains the
trusteed surplus prescribed by section one thousand three hundred twelve
of this chapter.
(4) (A) Any life insurance company doing business in this state which
has adopted as a basis for the valuation of its insurance policies and
contracts standards producing greater reserves in the aggregate than the
minimum standards herein prescribed may continue to use such higher
standards as a basis of valuation.
(B) After January first, nineteen hundred forty, any life insurance
company doing business in this state may, subject to the provisions of
paragraph eight of subsection (c) of this section, adopt as the basis
for the valuation of its insurance policies and contracts standards
producing greater reserves in the aggregate than the minimum standards
herein prescribed; and any such company which shall have at any time
adopted such higher standards of valuation may, with the approval of the
superintendent, adopt lower standards of valuation, but in no case lower
than the minimum standards herein prescribed, provided, however, that,
S. 7168 19
for the purposes of this paragraph, the holding of additional reserves
determined by [a] THE qualified OR APPOINTED actuary to be necessary to
render the opinion required by subsection (e) of this section shall not
be deemed to be the adoption of a higher standard of valuation.
(C) The superintendent may approve any such change if he finds that
the proposed standards are for the best interests of the holders of the
policies and contracts and annuitants of such company.
(D) Nothing contained herein shall be deemed to affect the contractual
rights or obligations of the holder of any such policy or contract.
S 2. The opening paragraph and subparagraph (A) of paragraph 2 of
subsection (c) of section 4217 of the insurance law, the opening para-
graph as amended by chapter 365 of the laws of 1986, are amended to read
as follows:
Except as [otherwise] provided in paragraphs three, four and ten of
this subsection, the minimum standard for the valuation of all such
policies and contracts shall be the commissioners reserve valuation
method defined in paragraph six of this subsection and in section four
thousand two hundred eighteen of this article, three percent interest
for all life insurance policies issued prior to January first, nineteen
hundred sixty-six and for all individual annuity and pure endowment
contracts issued prior to January first, nineteen hundred sixty, or
three and one-half percent interest for all life insurance policies
issued on or after January first, nineteen hundred sixty-six and prior
to June thirteenth, nineteen hundred seventy-four and for all individual
annuity and pure endowment contracts issued on or after January first,
nineteen hundred sixty, and prior to the operative date of paragraph
three of this subsection, or four percent interest for all life insur-
ance policies issued on or after June thirteenth, nineteen hundred
seventy-four and prior to January first, nineteen hundred seventy-nine,
or four and one-half percent interest for all life insurance policies,
issued on or after January first, nineteen hundred seventy-nine, or five
percent interest for all annuities purchased or to be purchased under
group annuity contracts, and the following tables:
(A) For [all] ordinary policies of life insurance issued on the stand-
ard basis, excluding any disability and accidental death benefits in
such policies, the Commissioners 1941 Standard Ordinary Mortality Table
for such policies issued prior to the operative date of subsection (h)
of section four thousand two hundred twenty-one of this article, the
Commissioners 1958 Standard Ordinary Mortality Table for such policies
issued on or after such operative date and prior to the operative date
of subsection (k) of such section; provided that for any category of
such policies issued on female risks all modified net premiums and pres-
ent values may be calculated according to an age not more than six years
younger than the actual age of the insured, and for such policies issued
on or after the operative date of such subsection, and, at the option of
the company, for such policies not providing for nonforfeiture benefits
which are issued on or after nineteen hundred eighty-one and prior to
the operative date of such subsection, (i) the Commissioners 1980 Stand-
ard Ordinary Mortality Table, or (ii) at the election of the company for
any one or more specified plans of life insurance, the Commissioners
1980 Standard Ordinary Mortality Table with Ten-Year Select Mortality
Factors, or (iii) any ordinary mortality table, adopted after nineteen
hundred eighty by the National Association of Insurance Commissioners,
that is approved by the superintendent for use in determining the mini-
mum standard of valuation for such policies, or (iv) any other ordinary
mortality table, or any modification of any of the foregoing tables,
S. 7168 20
approved by the superintendent for any specified class or classes of
risks.
S 3. The opening paragraph and subparagraphs (C) and (D) of paragraph
3 of subsection (c) of section 4217 of the insurance law are amended to
read as follows:
Except as provided in paragraph four hereof, the minimum standard [for
the] OF valuation [of all] FOR individual annuity and pure endowment
contracts issued on or after the operative date of this paragraph, as
defined herein, and for [all] annuities and pure endowments purchased or
to be purchased on or after the operative date under group annuity and
pure endowment contracts, shall be the commissioners reserve valuation
method defined in paragraph six hereof and the following tables and
interest rates:
(C) For [all] annuities and pure endowments purchased or to be
purchased prior to January first, nineteen hundred seventy-seven under
group annuity and pure endowment contracts, excluding any disability and
accidental death benefits purchased under such contracts,--the 1971
Group Annuity Mortality Table, or any modification of this table
approved by the superintendent, and six percent interest, or such higher
rate or rates of interest for any of such annuities and pure endowments
as may be approved from time to time by the superintendent.
(D) For [all] annuities and pure endowments purchased or to be
purchased on or after January first, nineteen hundred seventy-seven
under group annuity and pure endowment contracts, excluding any disabil-
ity and accidental death benefits purchased under such contracts--the
1971 Group Annuity Mortality Table, or any group annuity mortality
table, adopted after nineteen hundred eighty by the National Association
of Insurance Commissioners, that is approved by the superintendent for
use in determining the minimum standard of valuation for such annuities
and pure endowments, or any other group annuity mortality table, or any
modification of any of the foregoing tables, approved by the superinten-
dent, and seven and one-half percent interest, or such higher rate or
rates of interest for any such annuities and pure endowments as may be
approved from time to time by the superintendent.
S 4. Subparagraph (A) of paragraph 4 of subsection (c) of section 4217
of the insurance law is amended to read as follows:
(A) The interest rates used in determining the minimum standard for
the valuation of:
(i) [all] life insurance policies issued in a particular calendar
year, on or after January first, nineteen hundred eighty-two,
(ii) [all] individual annuity and pure endowment contracts issued in a
particular calendar year on or after January first, nineteen hundred
eighty-two, and, at the option of the company, [all] annuities purchased
in a particular calendar year on or after such date under individual
deferred annuity contracts issued prior thereto,
(iii) [all] annuities and pure endowments purchased in a particular
calendar year on or after January first, nineteen hundred eighty-two
under group annuity and pure endowment contracts, and
(iv) the net increase, if any, in a particular calendar year after
January first, nineteen hundred eighty-two, in amounts held under guar-
anteed interest contracts,
shall be the calendar year statutory valuation interest rates as defined
in this subsection, or such higher rate or rates of interest for any of
such policies, contracts or annuities as may be approved from time to
time by the superintendent.
S. 7168 21
S 5. The opening paragraph of subparagraph (A) of paragraph 6 of
subsection (c) of section 4217 of the insurance law is amended to read
as follows:
Except as otherwise provided in section four thousand two hundred
eighteen of this article, reserves according to the commissioners
reserve valuation method for the life insurance and endowment benefits
of policies providing for a uniform amount of insurance and requiring
the payment of uniform premiums shall be the excess, if any, of the
present value, at the date of valuation, of such future guaranteed bene-
fits provided for by such policies, over the then present value of any
future modified net premiums therefor. The modified net premiums for any
such policy shall be such uniform percentage of the respective contract
premiums for [such] THE benefits SUCH that the present value, at the
date of issue of the policy, of all [such] modified net premiums shall
be equal to the sum of the then present value of [such] THE benefits
provided for by the policy and the excess of item (i) over item (ii), as
follows:
S 6. Subsections (d) and (e) of section 4217 of the insurance law, as
added by chapter 22 of the laws of 1994, are amended to read as follows:
(d) [The] FOR INDIVIDUAL AND GROUP ACCIDENT AND HEALTH INSURANCE POLI-
CIES ISSUED PRIOR TO THE OPERATIVE DATE OF THE VALUATION MANUAL, THE
company shall maintain reserves [for all individual and group accident
and health insurance policies] which [reserves] shall reflect a sound
value placed on its liabilities under such policies and shall be not
less than the reserves required by regulations which the superintendent
shall promulgate. FOR ACCIDENT AND HEALTH INSURANCE POLICIES ISSUED ON
OR AFTER THE OPERATIVE DATE OF THE VALUATION MANUAL, THE STANDARD
PRESCRIBED IN THE VALUATION MANUAL IS THE MINIMUM STANDARD OF VALUATION
REQUIRED UNDER SUBPARAGRAPH (B) OF PARAGRAPH TWO OF SUBSECTION (A) OF
THIS SECTION.
(e) Actuarial opinion of reserves.
(1) ACTUARIAL OPINION PRIOR TO THE OPERATIVE DATE OF THE VALUATION
MANUAL.
(A) General. Every life insurance company doing business in this state
shall annually submit the opinion of a qualified actuary as to whether
the reserves and related actuarial items held in support of the policies
and contracts specified by the superintendent by regulation are computed
appropriately, are based on assumptions which satisfy contractual
provisions, are consistent with prior reported amounts and comply with
applicable laws of this state. The superintendent by regulation shall
define the specifics of this opinion and add any other items deemed to
be necessary to its scope.
[(2) (A)] (B) (I) Actuarial analysis of reserves and assets supporting
such reserves. Every life insurance company, except as exempted by or
pursuant to regulation, shall also annually include in the opinion
required by SUBPARAGRAPH (A) OF paragraph one of this subsection, an
opinion of the same qualified actuary as to whether the reserves and
related actuarial items held in support of the policies and contracts
specified by the superintendent by regulation, when considered in light
of the assets held by the company with respect to the reserves and
related actuarial items, including but not limited to the investment
earnings on the assets and the considerations anticipated to be received
and retained under the policies and contracts, make adequate provision
for the company's obligations under the policies and contracts, includ-
ing but not limited to the benefits under and expenses associated with
the policies and contracts.
S. 7168 22
[(B)] (II) The superintendent may provide by regulation for a transi-
tion period for establishing any additional reserves which the qualified
actuary may deem necessary in order to render the opinion required by
this paragraph.
[(3)] (C) Requirement for actuarial memorandum. [(A)] (I) Except as
exempted by or pursuant to regulation, a memorandum, in form and
substance acceptable to the superintendent as specified by regulation,
shall be prepared to support each actuarial opinion submitted pursuant
to ITEM (I) OF subparagraph [(A)] (B) of THIS paragraph [two of this
subsection]. Each company required to prepare such memorandum shall
submit such memorandum to the superintendent as part of its submission
of the opinion of the qualified actuary pursuant to such ITEM (I) OF
subparagraph [(A)] (B), except as otherwise provided in ITEM (II) OF
THIS subparagraph [(B) of this paragraph] and except that if a foreign
or alien company has submitted a memorandum in support of an opinion of
a qualified actuary for the prior year to the commissioner of a state
accredited by the National Association of Insurance Commissioners and if
that memorandum was in form and substance acceptable to the commissioner
and was in support of an opinion of a qualified actuary that was
required by laws or regulations of that state to meet standards adopted
from time to time by the Actuarial Standards Board and such additional
standards as the superintendent has prescribed, the foreign or alien
company need submit the memorandum required by this subparagraph only at
the request of the superintendent or as the superintendent may by regu-
lation require.
[(B)] (II) In lieu of preparing a memorandum as required by ITEM (I)
OF THIS subparagraph [(A) of this paragraph], a company may increase its
reserves in the manner provided by the superintendent by regulation. If
a company that has not so increased its reserves fails to file a
supporting memorandum as required by ITEM (I) OF THIS subparagraph [(A)
of this paragraph] or fails to provide a supporting memorandum at the
request of the superintendent within a period specified by regulation or
the superintendent determines that the supporting memorandum provided by
the company fails to meet the standards prescribed by the regulations
[or is otherwise unacceptable to the superintendent], the superintendent
may engage a qualified actuary at the expense of the company to review
the opinion and the basis for the opinion and prepare such supporting
memorandum as is required by the superintendent.
[(4)] (D) Requirement for all opinions. Every opinion shall be
governed by the following provisions:
[(A)] (I) The opinion shall be submitted with the annual statement
reflecting the valuation of such reserve liabilities for each year
ending on or after December thirty-first, nineteen hundred ninety-four.
[(B)] (II) The opinion shall apply to all business in force including
individual and group health insurance plans, in form and substance
acceptable to the superintendent as specified by regulation.
[(C)] (III) The opinion shall be based on standards adopted from time
to time by the Actuarial Standards Board and on such additional stand-
ards as the superintendent may by regulation prescribe.
[(D)] (IV) In the case of an opinion required to be submitted by a
foreign or alien company, the superintendent may accept the opinion
submitted by that company to the commissioner of a state accredited by
the National Association of Insurance Commissioners if the superinten-
dent determines that the opinion reasonably meets the requirements
applicable to a company domiciled in this state.
S. 7168 23
[(E)] (V) For the purposes of this subsection, "qualified actuary"
means a member in good standing of the American Academy of Actuaries who
meets the requirements prescribed by the superintendent by regulation.
[(F)] (VI) Except in cases of fraud, willful misconduct or gross
negligence, the qualified actuary shall not be liable for damages to any
person (other than the insurance company or the superintendent) for any
act, error, omission, decision or conduct with respect to the actuary's
opinion and memorandum. The provisions of this subparagraph shall not
operate to remove, condition or limit any rights, remedies or actions at
law or equity which the insurance company or the superintendent may have
or take against or with respect to the qualified actuary.
[(G)] (VII) Disciplinary action by the superintendent against the
company or the qualified actuary shall be defined in regulations by the
superintendent.
[(H)] (VIII) Non-public information (meaning information not otherwise
available from public documents or records) contained in any memorandum
in support of the opinion, or in any other material provided by the
company to the superintendent in connection therewith, shall at the
written request of the company be kept confidential by the superinten-
dent and shall not be made public, other than for the purpose of enabl-
ing any person to defend against an action seeking damages from such
person by reason of any action required by this section or by regu-
lations promulgated hereunder; provided, however, that such non-public
information may otherwise be released by the superintendent [(i)] (I)
with the written consent of the company or [(ii)] (II) for the purpose
of professional disciplinary proceedings conducted by the superintendent
or by any professional body, provided that steps deemed appropriate by
the superintendent are taken to preserve the confidentiality of such
non-public information. Notwithstanding the foregoing, the superinten-
dent shall release the non-public information to persons making demand
therefor in a criminal proceeding pursuant to lawful subpoena, warrant
or court order or in response to a subpoena from a grand jury served
upon the superintendent. Any such request by the company for confiden-
tiality shall designate with reasonable specificity the portion of such
memorandum or other material with respect to which confidentiality is
requested pursuant to this subparagraph. Once such memorandum or other
material, or any portion thereof containing matters with respect to
which confidentiality has been requested, is cited by the company in its
marketing or is cited before any governmental agency (other than a state
insurance department) or is released by the company to the news media,
all portions of such memorandum or other material shall be no longer
confidential.
(2) ACTUARIAL OPINION OF RESERVES AFTER THE OPERATIVE DATE OF THE
VALUATION MANUAL.
(A) GENERAL. EVERY COMPANY WITH OUTSTANDING LIFE INSURANCE CONTRACTS,
ACCIDENT AND HEALTH INSURANCE CONTRACTS OR DEPOSIT-TYPE CONTRACTS IN
THIS STATE AND SUBJECT TO REGULATION BY THE SUPERINTENDENT SHALL ANNUAL-
LY SUBMIT THE OPINION OF THE APPOINTED ACTUARY AS TO WHETHER THE
RESERVES AND RELATED ACTUARIAL ITEMS HELD IN SUPPORT OF THE POLICIES AND
CONTRACTS ARE COMPUTED APPROPRIATELY, ARE BASED ON ASSUMPTIONS THAT
SATISFY CONTRACTUAL PROVISIONS, ARE CONSISTENT WITH PRIOR REPORTED
AMOUNTS AND COMPLY WITH APPLICABLE LAWS OF THIS STATE. THE VALUATION
MANUAL WILL PRESCRIBE THE SPECIFICS OF THIS OPINION INCLUDING ANY ITEMS
DEEMED TO BE NECESSARY TO ITS SCOPE.
(B) ACTUARIAL ANALYSIS OF RESERVES AND ASSETS SUPPORTING RESERVES.
EVERY COMPANY WITH OUTSTANDING LIFE INSURANCE CONTRACTS, ACCIDENT AND
S. 7168 24
HEALTH INSURANCE CONTRACTS OR DEPOSIT-TYPE CONTRACTS IN THIS STATE AND
SUBJECT TO REGULATION BY THE SUPERINTENDENT, EXCEPT AS EXEMPTED IN THE
VALUATION MANUAL, SHALL ALSO ANNUALLY INCLUDE IN THE OPINION REQUIRED BY
SUBPARAGRAPH (A) OF THIS PARAGRAPH, AN OPINION OF THE SAME APPOINTED
ACTUARY AS TO WHETHER THE RESERVES AND RELATED ACTUARIAL ITEMS HELD IN
SUPPORT OF THE POLICIES AND CONTRACTS SPECIFIED IN THE VALUATION MANUAL,
WHEN CONSIDERED IN LIGHT OF THE ASSETS HELD BY THE COMPANY WITH RESPECT
TO THE RESERVES AND RELATED ACTUARIAL ITEMS, INCLUDING BUT NOT LIMITED
TO THE INVESTMENT EARNINGS ON THE ASSETS AND THE CONSIDERATIONS ANTIC-
IPATED TO BE RECEIVED AND RETAINED UNDER THE POLICIES AND CONTRACTS,
MAKE ADEQUATE PROVISION FOR THE COMPANY'S OBLIGATIONS UNDER THE POLICIES
AND CONTRACTS, INCLUDING BUT NOT LIMITED TO THE BENEFITS UNDER AND
EXPENSES ASSOCIATED WITH THE POLICIES AND CONTRACTS.
(C) REQUIREMENTS FOR OPINION SUBJECT TO SUBPARAGRAPH (B) OF THIS PARA-
GRAPH. EACH OPINION REQUIRED BY SUBPARAGRAPH (B) OF THIS PARAGRAPH SHALL
BE GOVERNED BY THE FOLLOWING PROVISIONS:
(I) A MEMORANDUM, IN FORM AND SUBSTANCE AS SPECIFIED IN THE VALUATION
MANUAL, SHALL BE PREPARED TO SUPPORT EACH ACTUARIAL OPINION.
(II) IF THE INSURANCE COMPANY FAILS TO PROVIDE A SUPPORTING MEMORANDUM
AT THE REQUEST OF THE SUPERINTENDENT WITHIN A PERIOD SPECIFIED IN THE
VALUATION MANUAL OR THE SUPERINTENDENT DETERMINES THAT THE SUPPORTING
MEMORANDUM PROVIDED BY THE INSURANCE COMPANY FAILS TO MEET THE STANDARDS
PRESCRIBED BY THE VALUATION MANUAL, THE SUPERINTENDENT MAY ENGAGE A
QUALIFIED ACTUARY AT THE EXPENSE OF THE COMPANY TO REVIEW THE OPINION
AND THE BASIS FOR THE OPINION AND PREPARE THE SUPPORTING MEMORANDUM
REQUIRED BY THE SUPERINTENDENT.
(D) REQUIREMENTS FOR ALL OPINIONS SUBJECT TO THIS PARAGRAPH. EVERY
OPINION SHALL BE GOVERNED BY THE FOLLOWING PROVISIONS:
(I) THE OPINION SHALL BE IN FORM AND SUBSTANCE AS SPECIFIED IN THE
VALUATION MANUAL.
(II) THE OPINION SHALL BE SUBMITTED WITH THE ANNUAL STATEMENT REFLECT-
ING THE VALUATION OF SUCH RESERVE LIABILITIES FOR EACH YEAR ENDING ON OR
AFTER THE OPERATIVE DATE OF THE VALUATION MANUAL.
(III) THE OPINION SHALL APPLY TO ALL POLICIES AND CONTRACTS SUBJECT TO
SUBPARAGRAPH (B) OF THIS PARAGRAPH, PLUS OTHER ACTUARIAL LIABILITIES AS
MAY BE SPECIFIED IN THE VALUATION MANUAL.
(IV) THE OPINION SHALL BE BASED ON STANDARDS ADOPTED FROM TIME TO TIME
BY THE ACTUARIAL STANDARDS BOARD OR ITS SUCCESSOR, AND ON SUCH ADDI-
TIONAL STANDARDS AS MAY BE PRESCRIBED IN THE VALUATION MANUAL.
(V) IN THE CASE OF AN OPINION REQUIRED TO BE SUBMITTED BY A FOREIGN OR
ALIEN COMPANY, THE SUPERINTENDENT MAY ACCEPT THE OPINION FILED BY THAT
COMPANY WITH THE INSURANCE SUPERVISORY OFFICIAL OF ANOTHER STATE IF THE
SUPERINTENDENT DETERMINES THAT THE OPINION REASONABLY MEETS THE REQUIRE-
MENTS APPLICABLE TO A COMPANY DOMICILED IN THIS STATE.
(VI) EXCEPT IN CASES OF FRAUD OR WILLFUL MISCONDUCT, THE APPOINTED
ACTUARY SHALL NOT BE LIABLE FOR DAMAGES TO ANY PERSON (OTHER THAN THE
INSURANCE COMPANY AND THE SUPERINTENDENT) FOR ANY ACT, ERROR, OMISSION,
DECISION OR CONDUCT WITH RESPECT TO THE APPOINTED ACTUARY'S OPINION.
(VII) DISCIPLINARY ACTION BY THE SUPERINTENDENT AGAINST THE COMPANY OR
THE APPOINTED ACTUARY SHALL BE DEFINED IN REGULATIONS BY THE SUPERINTEN-
DENT.
S 7. Paragraph 5 of subsection (f) of section 4217 of the insurance
law, as added by chapter 22 of the laws of 1994, is amended to read as
follows:
(5) For purposes of this subsection, the aggregate minimum standard
required by this section for the valuation of any insurance policies or
S. 7168 25
contracts shall be deemed to include such additional reserves as the
qualified actuary deems necessary, taking into account any transition
rules provided by regulation pursuant to ITEM (II) OF subparagraph (B)
of paragraph [two] ONE of subsection (e) of this section, in order to
render the opinion required by subsection (e) of this section and such
additional reserves as may be necessary to comply with regulations
promulgated by the superintendent pursuant to this section.
S 8. Section 4217 of the insurance law is amended by adding five new
subsections (g), (h), (i), (j) and (k) to read as follows:
(G) VALUATION MANUAL FOR POLICIES ISSUED ON OR AFTER THE OPERATIVE
DATE OF THE VALUATION MANUAL.
(1) FOR POLICIES ISSUED ON OR AFTER THE OPERATIVE DATE OF THE VALU-
ATION MANUAL, THE STANDARD PRESCRIBED IN THE VALUATION MANUAL IS THE
MINIMUM STANDARD OF VALUATION REQUIRED UNDER SUBPARAGRAPH (B) OF PARA-
GRAPH TWO OF SUBSECTION (A) OF THIS SECTION, EXCEPT AS PROVIDED UNDER
PARAGRAPH FIVE OF THIS SUBSECTION.
(2) THE OPERATIVE DATE OF THE VALUATION MANUAL IS JANUARY FIRST OF THE
FIRST CALENDAR YEAR FOLLOWING THE FIRST JULY FIRST AS OF WHICH ALL OF
THE FOLLOWING HAVE OCCURRED:
(A) THE VALUATION MANUAL HAS BEEN ADOPTED BY THE NAIC BY AN AFFIRMA-
TIVE VOTE OF AT LEAST FORTY-TWO MEMBERS, OR THREE-FOURTHS OF THE MEMBERS
VOTING, WHICHEVER IS GREATER.
(B) THE STANDARD VALUATION LAW, AS AMENDED BY THE NAIC IN TWO THOUSAND
NINE, OR LEGISLATION INCLUDING SUBSTANTIALLY SIMILAR TERMS AND
PROVISIONS, HAS BEEN ENACTED BY STATES REPRESENTING GREATER THAN SEVEN-
TY-FIVE PERCENT OF THE DIRECT PREMIUMS WRITTEN AS REPORTED IN THE
FOLLOWING ANNUAL STATEMENTS SUBMITTED FOR TWO THOUSAND EIGHT: LIFE,
ACCIDENT AND HEALTH ANNUAL STATEMENTS; HEALTH ANNUAL STATEMENTS; OR
FRATERNAL ANNUAL STATEMENTS.
(C) THE STANDARD VALUATION LAW, AS AMENDED BY THE NAIC IN TWO THOUSAND
NINE, OR LEGISLATION INCLUDING SUBSTANTIALLY SIMILAR TERMS AND
PROVISIONS, HAS BEEN ENACTED BY AT LEAST FORTY-TWO OF THE FOLLOWING
FIFTY-FIVE JURISDICTIONS: THE FIFTY STATES OF THE UNITED STATES, AMERI-
CAN SAMOA, THE AMERICAN VIRGIN ISLANDS, THE DISTRICT OF COLUMBIA, GUAM,
AND PUERTO RICO.
(3) UNLESS A CHANGE IN THE VALUATION MANUAL SPECIFIES A LATER EFFEC-
TIVE DATE, CHANGES TO THE VALUATION MANUAL SHALL BE EFFECTIVE ON JANUARY
FIRST FOLLOWING THE DATE WHEN THE CHANGE TO THE VALUATION MANUAL HAS
BEEN ADOPTED BY THE NAIC BY AN AFFIRMATIVE VOTE REPRESENTING:
(A) AT LEAST THREE-FOURTHS OF THE MEMBERS OF THE NAIC VOTING, BUT NOT
LESS THAN A MAJORITY OF THE TOTAL MEMBERSHIP, AND
(B) MEMBERS OF THE NAIC REPRESENTING JURISDICTIONS TOTALING GREATER
THAN SEVENTY-FIVE PERCENT OF THE DIRECT PREMIUMS WRITTEN AS REPORTED IN
THE FOLLOWING ANNUAL STATEMENTS MOST RECENTLY AVAILABLE PRIOR TO THE
VOTE IN SUBPARAGRAPH (A) OF THIS PARAGRAPH: LIFE, ACCIDENT AND HEALTH
ANNUAL STATEMENTS, HEALTH ANNUAL STATEMENTS, OR FRATERNAL ANNUAL STATE-
MENTS.
(4) THE VALUATION MANUAL MUST SPECIFY ALL OF THE FOLLOWING:
(A) MINIMUM VALUATION STANDARDS FOR AND DEFINITIONS OF THE POLICIES OR
CONTRACTS SUBJECT TO SUBPARAGRAPH (B) OF PARAGRAPH TWO OF SUBSECTION (A)
OF THIS SECTION. SUCH MINIMUM VALUATION STANDARDS SHALL BE:
(I) THE COMMISSIONERS RESERVE VALUATION METHOD FOR LIFE INSURANCE
CONTRACTS, OTHER THAN ANNUITY CONTRACTS, SUBJECT TO SUBPARAGRAPH (B) OF
PARAGRAPH TWO OF SUBSECTION (A) OF THIS SECTION;
S. 7168 26
(II) THE COMMISSIONERS ANNUITY RESERVE VALUATION METHOD FOR ANNUITY
CONTRACTS SUBJECT TO SUBPARAGRAPH (B) OF PARAGRAPH TWO OF SUBSECTION (A)
OF THIS SECTION; AND
(III) MINIMUM RESERVES FOR ALL OTHER POLICIES OR CONTRACTS SUBJECT TO
SUBPARAGRAPH (B) OF PARAGRAPH TWO OF SUBSECTION (A) OF THIS SECTION.
(B) WHICH POLICIES OR CONTRACTS OR TYPES OF POLICIES OR CONTRACTS ARE
SUBJECT TO THE REQUIREMENTS OF A PRINCIPLE-BASED VALUATION IN PARAGRAPH
ONE OF SUBSECTION (H) OF THIS SECTION AND THE MINIMUM VALUATION STAND-
ARDS CONSISTENT WITH THOSE REQUIREMENTS;
(C) FOR POLICIES AND CONTRACTS SUBJECT TO A PRINCIPLE-BASED VALUATION
UNDER SUBSECTION (H) OF THIS SECTION:
(I) REQUIREMENTS FOR THE FORMAT OF REPORTS TO THE SUPERINTENDENT UNDER
SUBPARAGRAPH (C) OF PARAGRAPH TWO OF SUBSECTION (H) OF THIS SECTION AND
WHICH SHALL INCLUDE INFORMATION NECESSARY TO DETERMINE IF THE VALUATION
IS APPROPRIATE AND IN COMPLIANCE WITH THIS SECTION;
(II) ASSUMPTIONS SHALL BE PRESCRIBED FOR RISKS OVER WHICH THE COMPANY
DOES NOT HAVE SIGNIFICANT CONTROL OR INFLUENCE.
(III) PROCEDURES FOR CORPORATE GOVERNANCE AND OVERSIGHT OF THE ACTUAR-
IAL FUNCTION, AND A PROCESS FOR APPROPRIATE WAIVER OR MODIFICATION OF
SUCH PROCEDURES.
(D) FOR POLICIES NOT SUBJECT TO A PRINCIPLE-BASED VALUATION UNDER
SUBSECTION (H) OF THIS SECTION THE MINIMUM VALUATION STANDARD SHALL
EITHER:
(I) BE CONSISTENT WITH THE MINIMUM STANDARD OF VALUATION PRIOR TO THE
OPERATIVE DATE OF THE VALUATION MANUAL; OR
(II) DEVELOP RESERVES THAT QUANTIFY THE BENEFITS AND GUARANTEES, AND
THE FUNDING, ASSOCIATED WITH THE CONTRACTS AND THEIR RISKS AT A LEVEL OF
CONSERVATISM THAT REFLECTS CONDITIONS THAT INCLUDE UNFAVORABLE EVENTS
THAT HAVE A REASONABLE PROBABILITY OF OCCURRING.
(E) OTHER REQUIREMENTS, INCLUDING, BUT NOT LIMITED TO, THOSE RELATING
TO RESERVE METHODS, MODELS FOR MEASURING RISK, GENERATION OF ECONOMIC
SCENARIOS, ASSUMPTIONS, MARGINS, USE OF COMPANY EXPERIENCE, RISK MEAS-
UREMENT, DISCLOSURE, CERTIFICATIONS, REPORTS, ACTUARIAL OPINIONS AND
MEMORANDUMS, TRANSITION RULES AND INTERNAL CONTROLS; AND
(F) THE DATA AND FORM OF THE DATA REQUIRED UNDER SUBSECTION (I) OF
THIS SECTION, WITH WHOM THE DATA MUST BE SUBMITTED, AND MAY SPECIFY
OTHER REQUIREMENTS INCLUDING DATA ANALYSES AND REPORTING OF ANALYSES.
(5) IN THE ABSENCE OF A SPECIFIC VALUATION, THE COMPANY SHALL, WITH
RESPECT TO SUCH REQUIREMENTS, COMPLY WITH MINIMUM VALUATION STANDARDS
PRESCRIBED BY THE SUPERINTENDENT BY REGULATION.
(6) THE SUPERINTENDENT MAY ENGAGE A QUALIFIED ACTUARY, AT THE EXPENSE
OF THE COMPANY, TO PERFORM AN ACTUARIAL EXAMINATION OF THE COMPANY AND
OPINE ON THE APPROPRIATENESS OF ANY RESERVE ASSUMPTION OR METHOD USED BY
THE COMPANY, OR TO REVIEW AND OPINE ON A COMPANY'S COMPLIANCE WITH ANY
REQUIREMENT SET FORTH IN THIS SECTION. THE SUPERINTENDENT MAY RELY UPON
THE OPINION, REGARDING PROVISIONS CONTAINED WITHIN THIS SECTION, OF A
QUALIFIED ACTUARY ENGAGED BY THE COMMISSIONER OF ANOTHER STATE, DISTRICT
OR TERRITORY OF THE UNITED STATES. AS USED IN THIS PARAGRAPH, THE TERM
"ENGAGE" INCLUDES EMPLOYMENT AND CONTRACTING.
(H) REQUIREMENTS OF A PRINCIPLE-BASED VALUATION.
(1) A COMPANY MUST ESTABLISH RESERVES USING A PRINCIPLE-BASED VALU-
ATION THAT MEETS THE FOLLOWING CONDITIONS FOR POLICIES OR CONTRACTS AS
SPECIFIED IN THE VALUATION MANUAL:
(A) QUANTIFY THE BENEFITS AND GUARANTEES, AND THE FUNDING, ASSOCIATED
WITH THE CONTRACTS AND THEIR RISKS AT A LEVEL OF CONSERVATISM THAT
REFLECTS CONDITIONS THAT INCLUDE UNFAVORABLE EVENTS THAT HAVE A REASON-
S. 7168 27
ABLE PROBABILITY OF OCCURRING DURING THE LIFETIME OF THE CONTRACTS. FOR
POLICIES OR CONTRACTS WITH SIGNIFICANT TAIL RISK, REFLECT CONDITIONS
APPROPRIATELY ADVERSE TO QUANTIFY THE TAIL RISK.
(B) INCORPORATE ASSUMPTIONS, RISK ANALYSIS METHODS AND FINANCIAL
MODELS AND MANAGEMENT TECHNIQUES THAT ARE CONSISTENT WITH, BUT NOT
NECESSARILY IDENTICAL TO, THOSE UTILIZED WITHIN THE COMPANY'S OVERALL
RISK ASSESSMENT PROCESS, WHILE RECOGNIZING POTENTIAL DIFFERENCES IN
FINANCIAL REPORTING STRUCTURES AND ANY PRESCRIBED ASSUMPTIONS OR METH-
ODS.
(C) INCORPORATE ASSUMPTIONS THAT ARE DERIVED IN ONE OF THE FOLLOWING
MANNERS:
(I) THE ASSUMPTION IS PRESCRIBED IN THE VALUATION MANUAL.
(II) FOR ASSUMPTIONS THAT ARE NOT PRESCRIBED, THE ASSUMPTIONS SHALL:
(I) BE ESTABLISHED UTILIZING THE COMPANY'S AVAILABLE EXPERIENCE, TO
THE EXTENT IT IS RELEVANT AND STATISTICALLY CREDIBLE; OR
(II) TO THE EXTENT THAT COMPANY EXPERIENCE IS NOT AVAILABLE, RELEVANT,
OR STATISTICALLY CREDIBLE, BE ESTABLISHED UTILIZING OTHER RELEVANT,
STATISTICALLY CREDIBLE EXPERIENCE.
(D) PROVIDE MARGINS FOR UNCERTAINTY INCLUDING ADVERSE DEVIATION AND
ESTIMATION ERROR, SUCH THAT THE GREATER THE UNCERTAINTY THE LARGER THE
MARGIN AND RESULTING RESERVE.
(2) A COMPANY USING A PRINCIPLE-BASED VALUATION FOR ONE OR MORE POLI-
CIES OR CONTRACTS SUBJECT TO THIS SECTION AS SPECIFIED IN THE VALUATION
MANUAL SHALL:
(A) ESTABLISH PROCEDURES FOR CORPORATE GOVERNANCE AND OVERSIGHT OF THE
ACTUARIAL VALUATION FUNCTION CONSISTENT WITH THOSE DESCRIBED IN THE
VALUATION MANUAL.
(B) PROVIDE TO THE SUPERINTENDENT AND THE BOARD OF DIRECTORS AN ANNUAL
CERTIFICATION OF THE EFFECTIVENESS OF THE INTERNAL CONTROLS WITH RESPECT
TO THE PRINCIPLE-BASED VALUATION. SUCH CONTROLS SHALL BE DESIGNED TO
ASSURE THAT ALL MATERIAL RISKS INHERENT IN THE LIABILITIES AND ASSOCI-
ATED ASSETS SUBJECT TO SUCH VALUATION ARE INCLUDED IN THE VALUATION, AND
THAT VALUATIONS ARE MADE IN ACCORDANCE WITH THE VALUATION MANUAL. THE
CERTIFICATION SHALL BE BASED ON THE CONTROLS IN PLACE AS OF THE END OF
THE PRECEDING CALENDAR YEAR.
(C) DEVELOP, AND FILE WITH THE SUPERINTENDENT UPON REQUEST, A PRINCI-
PLE-BASED VALUATION REPORT THAT COMPLIES WITH STANDARDS PRESCRIBED IN
THE VALUATION MANUAL.
(3) A PRINCIPLE-BASED VALUATION MAY INCLUDE A PRESCRIBED FORMULAIC
RESERVE COMPONENT.
(I) EXPERIENCE REPORTING FOR POLICIES IN FORCE ON OR AFTER THE OPERA-
TIVE DATE OF THE VALUATION MANUAL.
A COMPANY SHALL SUBMIT MORTALITY, MORBIDITY, POLICYHOLDER BEHAVIOR, OR
EXPENSE EXPERIENCE AND OTHER DATA AS PRESCRIBED IN THE VALUATION MANUAL.
(J) CONFIDENTIALITY.
(1) FOR PURPOSES OF THIS SUBSECTION, "CONFIDENTIAL INFORMATION" SHALL
MEAN:
(A) A MEMORANDUM IN SUPPORT OF AN OPINION SUBMITTED UNDER SUBSECTION
(E) OF THIS SECTION AND ANY OTHER DOCUMENTS, MATERIALS AND OTHER INFOR-
MATION, INCLUDING, BUT NOT LIMITED TO, ALL WORKING PAPERS, AND COPIES
THEREOF, CREATED, PRODUCED OR OBTAINED BY OR DISCLOSED TO THE SUPER-
INTENDENT OR ANY OTHER PERSON IN CONNECTION WITH SUCH MEMORANDUM;
(B) ALL DOCUMENTS, MATERIALS AND OTHER INFORMATION, INCLUDING, BUT NOT
LIMITED TO, ALL WORKING PAPERS, AND COPIES THEREOF, CREATED, PRODUCED OR
OBTAINED BY OR DISCLOSED TO THE SUPERINTENDENT OR ANY OTHER PERSON IN
THE COURSE OF AN EXAMINATION MADE UNDER PARAGRAPH SIX OF SUBSECTION (G)
S. 7168 28
OF THIS SECTION; PROVIDED, HOWEVER, THAT IF AN EXAMINATION REPORT OR
OTHER MATERIAL PREPARED IN CONNECTION WITH AN EXAMINATION MADE UNDER
SECTION THREE HUNDRED NINE OF THIS CHAPTER IS NOT HELD AS PRIVATE AND
CONFIDENTIAL INFORMATION UNDER SECTION THREE HUNDRED NINE OF THIS CHAP-
TER, AN EXAMINATION REPORT OR OTHER MATERIAL PREPARED IN CONNECTION WITH
AN EXAMINATION MADE UNDER PARAGRAPH SIX OF SUBSECTION (G) OF THIS
SECTION SHALL NOT BE "CONFIDENTIAL INFORMATION" TO THE SAME EXTENT AS IF
SUCH EXAMINATION REPORT OR OTHER MATERIAL HAD BEEN PREPARED UNDER
SECTION THREE HUNDRED NINE OF THIS CHAPTER;
(C) ANY REPORTS, DOCUMENTS, MATERIALS AND OTHER INFORMATION DEVELOPED
BY A COMPANY IN SUPPORT OF, OR IN CONNECTION WITH, AN ANNUAL CERTIF-
ICATION BY THE COMPANY UNDER SUBPARAGRAPH (B) OF PARAGRAPH TWO OF
SUBSECTION (H) OF THIS SECTION EVALUATING THE EFFECTIVENESS OF THE
COMPANY'S INTERNAL CONTROLS WITH RESPECT TO A PRINCIPLE-BASED VALUATION
AND ANY OTHER DOCUMENTS, MATERIALS AND OTHER INFORMATION, INCLUDING, BUT
NOT LIMITED TO, ALL WORKING PAPERS, AND COPIES THEREOF, CREATED,
PRODUCED OR OBTAINED BY OR DISCLOSED TO THE SUPERINTENDENT OR ANY OTHER
PERSON IN CONNECTION WITH SUCH REPORTS, DOCUMENTS, MATERIALS AND OTHER
INFORMATION;
(D) ANY PRINCIPLE-BASED VALUATION REPORT DEVELOPED UNDER SUBPARAGRAPH
(C) OF PARAGRAPH TWO OF SUBSECTION (H) OF THIS SECTION AND ANY OTHER
DOCUMENTS, MATERIALS AND OTHER INFORMATION, INCLUDING, BUT NOT LIMITED
TO, ALL WORKING PAPERS, AND COPIES THEREOF, CREATED, PRODUCED OR
OBTAINED BY OR DISCLOSED TO THE SUPERINTENDENT OR ANY OTHER PERSON IN
CONNECTION WITH SUCH REPORT; AND
(E) ANY DOCUMENTS, MATERIALS, DATA AND OTHER INFORMATION SUBMITTED BY
A COMPANY UNDER SUBSECTION (I) OF THIS SECTION (COLLECTIVELY, "EXPERI-
ENCE DATA") AND ANY OTHER DOCUMENTS, MATERIALS, DATA AND OTHER INFORMA-
TION, INCLUDING, BUT NOT LIMITED TO, ALL WORKING PAPERS, AND COPIES
THEREOF, CREATED OR PRODUCED IN CONNECTION WITH SUCH EXPERIENCE DATA, IN
EACH CASE THAT INCLUDE ANY POTENTIALLY COMPANY-IDENTIFYING OR PERSONALLY
IDENTIFIABLE INFORMATION, THAT IS PROVIDED TO OR OBTAINED BY THE SUPER-
INTENDENT (TOGETHER WITH ANY "EXPERIENCE DATA", THE "EXPERIENCE MATERI-
ALS") AND ANY OTHER DOCUMENTS, MATERIALS, DATA AND OTHER INFORMATION,
INCLUDING, BUT NOT LIMITED TO, ALL WORKING PAPERS, AND COPIES THEREOF,
CREATED, PRODUCED OR OBTAINED BY OR DISCLOSED TO THE SUPERINTENDENT OR
ANY OTHER PERSON IN CONNECTION WITH SUCH EXPERIENCE MATERIALS.
(2) PRIVILEGE FOR, AND CONFIDENTIALITY OF, CONFIDENTIAL INFORMATION.
(A) EXCEPT AS PROVIDED IN THIS SUBSECTION, A COMPANY'S CONFIDENTIAL
INFORMATION IS CONFIDENTIAL BY LAW AND PRIVILEGED, AND SHALL NOT BE
SUBJECT TO ARTICLE SIX OF THE PUBLIC OFFICERS LAW, SHALL NOT BE SUBJECT
TO SUBPOENA AND SHALL NOT BE SUBJECT TO DISCOVERY OR ADMISSIBLE IN
EVIDENCE IN ANY PRIVATE CIVIL ACTION; PROVIDED, HOWEVER, THAT THE SUPER-
INTENDENT IS AUTHORIZED TO USE THE CONFIDENTIAL INFORMATION IN THE
FURTHERANCE OF ANY REGULATORY OR LEGAL ACTION BROUGHT AGAINST THE COMPA-
NY AS A PART OF THE SUPERINTENDENT'S OFFICIAL DUTIES.
(B) NEITHER THE SUPERINTENDENT NOR ANY PERSON WHO RECEIVED CONFIDEN-
TIAL INFORMATION WHILE ACTING UNDER THE AUTHORITY OF THE SUPERINTENDENT
SHALL BE PERMITTED OR REQUIRED TO TESTIFY IN ANY PRIVATE CIVIL ACTION
CONCERNING ANY CONFIDENTIAL INFORMATION.
(C) IN ORDER TO ASSIST IN THE PERFORMANCE OF THE SUPERINTENDENT'S
DUTIES, THE SUPERINTENDENT MAY SHARE CONFIDENTIAL INFORMATION (I) WITH
OTHER STATE, FEDERAL AND INTERNATIONAL REGULATORY AGENCIES AND WITH THE
NAIC AND ITS AFFILIATES AND SUBSIDIARIES AND (II) IN THE CASE OF CONFI-
DENTIAL INFORMATION SPECIFIED IN SUBPARAGRAPHS (A) AND (D) OF PARAGRAPH
ONE OF THIS SUBSECTION ONLY, WITH THE ACTUARIAL BOARD FOR COUNSELING AND
S. 7168 29
DISCIPLINE OR ITS SUCCESSOR UPON REQUEST STATING THAT THE CONFIDENTIAL
INFORMATION IS REQUIRED FOR THE PURPOSE OF PROFESSIONAL DISCIPLINARY
PROCEEDINGS AND WITH STATE, FEDERAL AND INTERNATIONAL LAW ENFORCEMENT
OFFICIALS; IN THE CASE OF ITEMS (I) AND (II) OF THIS SUBPARAGRAPH,
PROVIDED THAT SUCH RECIPIENT AGREES, AND HAS THE LEGAL AUTHORITY TO
AGREE, TO MAINTAIN THE CONFIDENTIALITY AND PRIVILEGED STATUS OF SUCH
DOCUMENTS, MATERIALS, DATA AND OTHER INFORMATION IN THE SAME MANNER AND
TO THE SAME EXTENT AS REQUIRED FOR THE SUPERINTENDENT.
(D) THE SUPERINTENDENT MAY RECEIVE DOCUMENTS, MATERIALS, DATA AND
OTHER INFORMATION, INCLUDING OTHERWISE CONFIDENTIAL AND PRIVILEGED DOCU-
MENTS, MATERIALS, DATA OR INFORMATION, FROM THE NAIC AND ITS AFFILIATES
AND SUBSIDIARIES, FROM REGULATORY OR LAW ENFORCEMENT OFFICIALS OF OTHER
FOREIGN OR DOMESTIC JURISDICTIONS AND FROM THE ACTUARIAL BOARD FOR COUN-
SELING AND DISCIPLINE OR ITS SUCCESSOR AND SHALL MAINTAIN AS CONFIDEN-
TIAL OR PRIVILEGED ANY DOCUMENT, MATERIAL, DATA OR OTHER 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 OTHER INFORMATION.
(E) THE SUPERINTENDENT MAY ENTER INTO AGREEMENTS GOVERNING SHARING AND
USE OF INFORMATION CONSISTENT WITH THIS PARAGRAPH.
(F) NO WAIVER OF ANY APPLICABLE PRIVILEGE OR CLAIM OF CONFIDENTIALITY
IN THE CONFIDENTIAL INFORMATION SHALL OCCUR AS A RESULT OF DISCLOSURE TO
THE SUPERINTENDENT UNDER THIS SECTION OR AS A RESULT OF SHARING AS
AUTHORIZED IN SUBPARAGRAPH (C) OF THIS PARAGRAPH.
(G) A PRIVILEGE ESTABLISHED UNDER THE LAW OF ANY STATE OR JURISDICTION
THAT IS SUBSTANTIALLY SIMILAR TO THE PRIVILEGE ESTABLISHED UNDER THIS
PARAGRAPH SHALL BE AVAILABLE AND ENFORCED IN ANY PROCEEDING IN, AND IN
ANY COURT OF, THIS STATE.
(H) IN THIS SUBSECTION, THE TERMS "REGULATORY AGENCY," "LAW ENFORCE-
MENT AGENCY" AND THE "NAIC" INCLUDE, BUT ARE NOT LIMITED TO, THEIR
EMPLOYEES, AGENTS, CONSULTANTS AND CONTRACTORS.
(3) NOTWITHSTANDING PARAGRAPH TWO OF THIS SUBSECTION, ANY CONFIDENTIAL
INFORMATION SPECIFIED IN SUBPARAGRAPHS (A) AND (D) OF PARAGRAPH ONE OF
THIS SUBSECTION:
(A) MAY BE SUBJECT TO SUBPOENA FOR THE PURPOSE OF DEFENDING AN ACTION
SEEKING DAMAGES FROM THE QUALIFIED OR APPOINTED ACTUARY SUBMITTING THE
RELATED MEMORANDUM IN SUPPORT OF AN OPINION SUBMITTED UNDER SUBSECTION
(E) OF THIS SECTION OR FROM THE APPOINTED ACTUARY SUBMITTING THE PRINCI-
PLE-BASED VALUATION REPORT DEVELOPED UNDER SUBPARAGRAPH (C) OF PARAGRAPH
TWO OF SUBSECTION (H) OF THIS SECTION BY REASON OF AN ACTION REQUIRED BY
THIS SECTION OR BY REGULATIONS PROMULGATED HEREUNDER;
(B) MAY OTHERWISE BE RELEASED BY THE SUPERINTENDENT WITH THE WRITTEN
CONSENT OF THE COMPANY; AND
(C) ONCE ANY PORTION OF A MEMORANDUM IN SUPPORT OF AN OPINION SUBMIT-
TED UNDER SUBSECTION (E) OF THIS SECTION OR A PRINCIPLE-BASED VALUATION
REPORT DEVELOPED UNDER SUBPARAGRAPH (C) OF PARAGRAPH TWO OF SUBSECTION
(H) OF THIS SECTION IS CITED BY THE COMPANY IN ITS MARKETING OR IS
PUBLICLY VOLUNTEERED TO OR BEFORE A GOVERNMENTAL AGENCY OTHER THAN A
STATE INSURANCE DEPARTMENT OR IS RELEASED BY THE COMPANY TO THE NEWS
MEDIA, ALL PORTIONS OF SUCH MEMORANDUM OR REPORT SHALL NO LONGER BE
CONFIDENTIAL.
(K) SINGLE STATE EXEMPTION.
(1) THE SUPERINTENDENT MAY EXEMPT SPECIFIC PRODUCT FORMS OR PRODUCT
LINES OF A DOMESTIC COMPANY THAT IS LICENSED AND DOING BUSINESS ONLY IN
NEW YORK FROM THE REQUIREMENTS OF SUBSECTION (G) OF THIS SECTION
PROVIDED:
S. 7168 30
(A) THE SUPERINTENDENT HAS ISSUED AN EXEMPTION IN WRITING TO THE
COMPANY AND HAS NOT SUBSEQUENTLY REVOKED THE EXEMPTION IN WRITING; AND
(B) THE COMPANY COMPUTES RESERVES USING ASSUMPTIONS AND METHODS USED
PRIOR TO THE OPERATIVE DATE OF THE VALUATION MANUAL IN ADDITION TO ANY
REQUIREMENTS ESTABLISHED BY THE SUPERINTENDENT AND PROMULGATED BY REGU-
LATION.
(2) FOR ANY COMPANY GRANTED AN EXEMPTION UNDER THIS SUBSECTION,
SUBSECTIONS (C), (D), (E) AND (F) OF THIS SECTION AND SECTION FOUR THOU-
SAND TWO HUNDRED EIGHTEEN OF THIS ARTICLE SHALL BE APPLICABLE. WITH
RESPECT TO ANY COMPANY APPLYING FOR THIS EXEMPTION, ANY REFERENCE TO
SUBSECTION (G) FOUND IN SUBSECTIONS (C), (D), (E) AND (F) OF THIS
SECTION AND SECTION FOUR THOUSAND TWO HUNDRED EIGHTEEN OF THIS ARTICLE
SHALL NOT BE APPLICABLE.
S 9. Paragraph 1 of subsection (a) of section 4218 of the insurance
law is amended to read as follows:
(1) When the actual premium or consideration charged for life insur-
ance under any life insurance policy, issued by any [life insurance]
company doing business in this state, is less than the modified net
premium calculated on the basis of the commissioners reserve valuation
method as defined in paragraph six of subsection (c) of section four
thousand two hundred seventeen of this article and using the rate of
interest and mortality tables contained in the minimum valuation stand-
ards in paragraphs two and four of such subsection, or in the case of
future renewals under a renewable term insurance policy issued prior to
the operative date of subsection (k) of section four thousand two
hundred twenty-one of this article, the Modern CSO Mortality Table
published in the Transactions of the Society of Actuaries, Vol. XXVII
(1975), the minimum reserve required for such policy shall be the great-
er of either the reserve calculated according to the mortality table,
rate of interest, and method actually used for such policy, or the
reserve calculated by the commissioners reserve valuation method as
defined in paragraph six of subsection (c) of section four thousand two
hundred seventeen of this article and using the mortality table and rate
of interest prescribed in this section for calculating the commissioners
reserve valuation method modified net premium and replacing such modi-
fied net premium by the actual premium charged for the policy in each
contract year for which such modified net premium exceeds the actual
premium.
S 10. Paragraph 1, item (vi) of subparagraph (B) of paragraph 9 and
paragraph 10 of subsection (k) of section 4221 of the insurance law,
paragraph 10 as amended by chapter 302 of the laws of 1987, are amended
to read as follows:
(1) This subsection shall apply to all policies issued on or after the
operative date as defined in this subsection. THE TERM "OPERATIVE DATE
OF THE VALUATION MANUAL", AS USED IN THIS SUBSECTION, MEANS JANUARY
FIRST OF THE FIRST CALENDAR YEAR THAT THE VALUATION MANUAL AS DEFINED IN
SECTION FOUR THOUSAND TWO HUNDRED SEVENTEEN OF THIS ARTICLE IS EFFEC-
TIVE.
(vi) [Any] (I) FOR POLICIES ISSUED PRIOR TO THE OPERATIVE DATE OF THE
VALUATION MANUAL, ANY COMMISSIONERS STANDARD ordinary mortality tables,
adopted after nineteen hundred eighty by the National Association of
Insurance Commissioners (or any modifications thereof for any specified
class or classes of risks), that are approved by the superintendent for
use in determining the minimum nonforfeiture standard may be substituted
for the Commissioners 1980 Standard Ordinary Mortality Table with or
S. 7168 31
without Ten-Year Select Mortality Factors or for the Commissioners 1980
Extended Term Insurance Table.
(II) FOR POLICIES ISSUED ON OR AFTER THE OPERATIVE DATE OF THE VALU-
ATION MANUAL, THE VALUATION MANUAL SHALL PROVIDE THE COMMISSIONERS STAN-
DARD MORTALITY TABLE FOR USE IN DETERMINING THE MINIMUM NONFORFEITURE
STANDARD THAT MAY BE SUBSTITUTED FOR THE COMMISSIONERS 1980 STANDARD
ORDINARY MORTALITY TABLE (OR ANY MODIFICATIONS THEREOF FOR ANY SPECIFIED
CLASS OR CLASSES OF RISKS) WITH OR WITHOUT TEN-YEAR SELECT MORTALITY
FACTORS OR FOR THE COMMISSIONERS 1980 EXTENDED TERM INSURANCE TABLE. IF
THE SUPERINTENDENT APPROVES BY REGULATION ANY COMMISSIONERS STANDARD
ORDINARY MORTALITY TABLE ADOPTED BY THE NATIONAL ASSOCIATION OF INSUR-
ANCE COMMISSIONERS (OR ANY MODIFICATIONS THEREOF FOR ANY SPECIFIED CLASS
OR CLASSES OF RISKS) FOR USE IN DETERMINING THE MINIMUM NONFORFEITURE
STANDARD FOR POLICIES ISSUED ON OR AFTER THE OPERATIVE DATE OF THE VALU-
ATION MANUAL THEN THAT MINIMUM NONFORFEITURE STANDARD SUPERSEDES THE
MINIMUM NONFORFEITURE STANDARD PROVIDED BY THE VALUATION MANUAL.
(10) The NONFORFEITURE INTEREST RATE IS DEFINED BELOW:
(A) FOR POLICIES ISSUED PRIOR TO THE OPERATIVE DATE OF THE VALUATION
MANUAL, THE nonforfeiture interest rate per annum for any policy issued
in a particular calendar year shall be equal to one hundred and twenty-
five percent of the calendar year statutory valuation interest rate for
such policy as defined in section four thousand two hundred seventeen of
this article rounded to the nearer one quarter of one percent, PROVIDED,
HOWEVER, THAT THE NONFORFEITURE INTEREST RATE SHALL NOT BE LESS THAN
FOUR PERCENT. THE NONFORFEITURE INTEREST RATE SHALL BE computed, with
respect to a single premium life insurance policy of the kind referred
to in item (vi) of subparagraph (B) of paragraph four of subsection (c)
of such section, on a year of issue basis by using a reference interest
rate defined for such policy in subparagraph (F) of such paragraph for
the year immediately preceding the year of issue on the assumption that
the company has submitted an opinion and memorandum, in form and
substance satisfactory to the superintendent, of a qualified actuary
with respect to such single premium life insurance policies in accord-
ance with item (vi) of subparagraph (B) of such paragraph.
(B) FOR POLICIES ISSUED ON AND AFTER THE OPERATIVE DATE OF THE VALU-
ATION MANUAL THE NONFORFEITURE INTEREST RATE PER ANNUM FOR ANY POLICY
ISSUED IN A PARTICULAR CALENDAR YEAR SHALL BE PROVIDED BY THE VALUATION
MANUAL.
S 11. Item (iv) of subparagraph (A) of paragraph 3 of subsection (n-1)
of section 4221 of the insurance law, as added by chapter 365 of the
laws of 1986, is amended to read as follows:
(iv) A policy meeting the requirements of this subparagraph if issued
before the operative date of subsection (k) of this section may not
impose mortality charges in excess of those based on the commissioners
1958 standard ordinary mortality table in the case of a standard
medically underwritten insured or the commissioners 1958 extended term
insurance table in the case of any other standard insured, and if issued
on or after such operative date may not impose mortality charges in
excess of those based on the commissioners 1980 standard ordinary
mortality table in the case of a standard medically underwritten insured
or the commissioners 1980 extended term insurance table in the case of
any other standard insured. At the option of the company, maximum charg-
es based on the commissioners 1980 standard ordinary mortality table may
be computed using ten-year select mortality factors. Maximum charges may
also be based on any other table (or modification thereof for the speci-
fied class of risk) PROVIDED BY THE VALUATION MANUAL OR approved by the
S. 7168 32
superintendent pursuant to item (vi) of subparagraph (B) of paragraph
nine of subsection (k) of this section. For insurance issued on a
substandard basis, such charges may be based on appropriate modifica-
tions of such tables.
S 12. This act shall take effect immediately.
PART C
Section 1. Section 7120 of the insurance law, as amended by chapter 48
of the laws of 2009, is amended to read as follows:
S 7120. Redomestication of [foreign] insurance companies. (a) Defi-
nitions. In this section:
(1) "Redomestication" means the transfer to this state of the corpo-
rate domicile of an authorized foreign company OR THE TRANSFER FROM THIS
STATE OF THE CORPORATE DOMICILE OF A DOMESTIC COMPANY, as provided for
in this section.
(2) "Transferring company" means any authorized [foreign] company
seeking redomestication.
(b) A transferring company TRANSFERRING TO THIS STATE shall:
(1) file with the superintendent a certificate in such form as
prescribed by the superintendent signed by the insurance supervisory
official of the state where such transferring company is domiciled
approving the proposed redomestication and confirming that upon redomes-
tication the transferring company shall no longer be subject as a domes-
tic company to the requirements of its current state of domicile;
(2) comply with the applicable requirements of this chapter regarding
the organization and licensing of a domestic company of the same type;
(3) demonstrate to the satisfaction of the superintendent that upon
redomestication, the transferring company will be in compliance with the
requirements of this chapter and any regulations promulgated thereunder
applicable to a domestic company of the same type;
(4) submit to the superintendent all documents and filings necessary
to comply with paragraphs two and three of this subsection; and
(5) submit new policy forms to the superintendent for use after redo-
mestication, if so ordered by the superintendent, or use existing policy
forms with appropriate endorsements if allowed by, and under such condi-
tions as approved by, the superintendent.
(c) A TRANSFERRING COMPANY TRANSFERRING FROM THIS STATE:
(1) UPON THE APPROVAL OF THE SUPERINTENDENT, TRANSFER ITS DOMICILE TO
ANY OTHER STATE IN WHICH IT IS ADMITTED TO TRANSACT THE BUSINESS OF
INSURANCE, AND UPON SUCH A TRANSFER IT SHALL CEASE TO BE A DOMESTIC
COMPANY, AND SHALL BE AUTHORIZED IN THIS STATE, IF QUALIFIED, AS A
FOREIGN INSURER. THE SUPERINTENDENT SHALL APPROVE THE TRANSFER UNLESS HE
OR SHE DETERMINES THE TRANSFER IS NOT IN THE INTEREST OF THE POLICYHOLD-
ERS OF THIS STATE; AND
(2) MAY CONTINUE ISSUING POLICY FORMS APPROVED BEFORE REDOMESTICATION
PURSUANT TO SECTION THREE THOUSAND TWO HUNDRED ONE OF THIS CHAPTER WITH
SUCH ENDORSEMENT, IF ANY, AS THE SUPERINTENDENT DETERMINES IS NEEDED TO
REFLECT THE REDOMESTICATION.
(D) After the transferring company has complied with the provisions of
this section, the superintendent may, in accordance with section one
thousand one hundred two of this chapter issue a new license to the
transferring company to reflect the change in its state of corporate
domicile. The duration of its license shall be governed by section one
thousand one hundred three of this chapter. Upon issuance of such new
license the redomestication shall become effective and the transferring
S. 7168 33
company shall be a domestic company OR A FOREIGN COMPANY, AS
APPROPRIATE.
[(d)] (E) Simultaneous with the redomestication taking effect:
(1) all materials and documents that were submitted to the superinten-
dent by the transferring company pursuant to the requirements of this
section shall be filed in the office of the superintendent SUBJECT TO
SUBSECTION (H) OF THIS SECTION; and
(2) FOR A TRANSFERRING COMPANY TRANSFERRING TO THIS STATE, the super-
intendent shall, in accordance with section one thousand two hundred one
or other applicable provisions of this chapter issue to the company a
certified copy of its new declaration and charter and a certificate of
incorporation. The new charter of the company may provide for the
continuation of the corporate existence of the transferring company and
in such case the original date of incorporation of the transferring
company shall be the date of incorporation of the new domestic company.
[(e)] (F) All outstanding insurance policies and contracts shall
remain in full force and effect with no change and need not be endorsed
as to the new name of the company, if any, or its new location unless
ordered by the superintendent.
[(f)] (G) All agents' appointments and licenses, rates, and other
items that the superintendent allows, existing at the time of redomesti-
cation, shall continue in full force and effect in accordance with
applicable provisions of this chapter.
(H) THE SUPERINTENDENT SHALL KEEP THE CONTENTS OF ANY REPORT OR INFOR-
MATION THE SUPERINTENDENT REQUIRES PURSUANT TO THIS SECTION, AND THAT IS
NOT OTHERWISE REQUIRED TO BE SET FORTH IN A PUBLICLY AVAILABLE REPORT OR
FILING, CONFIDENTIAL IN ACCORDANCE WITH THE PROVISIONS OF SUBSECTION (C)
OF SECTION ONE THOUSAND FIVE HUNDRED FOUR OF THIS CHAPTER.
S 2. This act shall take effect immediately.
PART D
Section 1. The section heading and subsections (a), (b) and (c) of
section 2123 of the insurance law, subsection (a) as amended by section
37-a of part D of chapter 56 of the laws of 2013, subsections (b) and
(c) as amended by chapter 540 of the laws of 1996, are amended to read
as follows:
Misrepresentations[,] AND misleading statements [and incomplete
comparisons].
(a) (1) No agent or representative of any insurer or health mainte-
nance organization authorized to transact life, accident or health
insurance or health maintenance organization business in this state,
insurance broker, person who has received a grant from and has been
certified by the health benefit exchange established pursuant to section
1311 of the Affordable Care Act, 42 U.S.C. S 18031, to act as a naviga-
tor, including any person employed by a certified navigator, or other
person, firm, association or corporation, shall issue or circulate or
cause or permit to be issued or circulated, any illustration, circular,
statement or memorandum misrepresenting the terms, benefits or advan-
tages of any policy or contract of life, accident or health insurance,
any annuity contract or any health maintenance organization contract,
delivered or issued for delivery or to be delivered or issued for deliv-
ery, in this state, or shall make any misleading estimate as to the
dividends or share of surplus or additional amounts to be received in
the future on such policy or contract, or shall make any false or
misleading statement as to the dividends or share of surplus or addi-
S. 7168 34
tional amounts previously paid by any such insurer or health maintenance
organization on similar policies or contracts, or shall make any
misleading representation, or any misrepresentation, as to the financial
condition of any such insurer or health maintenance organization, or as
to the legal reserve system upon which such insurer or health mainte-
nance organization operates.
(2) No such person, firm, association or corporation shall make to any
person or persons any incomplete [comparison] OR MISLEADING REPRESEN-
TATION of any such policies or contracts of any insurer, insurers, or
health maintenance organization, for the purpose of inducing, or tending
to induce, such person or persons to lapse, forfeit or surrender any
insurance policy or health maintenance organization contract.
(3) Any replacement of individual life insurance policies or individ-
ual annuity contracts of an insurer by an agent, representative of the
same or different insurer or broker shall conform to standards promul-
gated by regulation by the superintendent. Such regulation shall BE
CONSISTENT, TO THE GREATEST EXTENT PRACTICABLE AND IN THE PUBLIC INTER-
EST, WITH THE REPLACEMENTS REGULATION ADOPTED BY THE NATIONAL ASSOCI-
ATION OF INSURANCE COMMISSIONERS, AS AMENDED FROM TIME TO TIME, AND
SHALL ALSO:
(A) specify what constitutes the replacement of a life insurance poli-
cy or annuity contract and the proper disclosure and notification proce-
dures to replace a policy or contract;
(B) require notification of the proposed replacement to the insurer
whose policies or contracts are intended to be replaced; AND
(C) [require the timely exchange of illustrative and cost information
required by section three thousand two hundred nine of this chapter and
necessary for completion of a comparison of the proposed and replaced
coverage; and
(D)] provide for a sixty-day period following issuance of the replace-
ment policies or contracts during which the policy or contract owner may
return the policies or contracts and reinstate the replaced policies or
contracts.
(b) [Any comparison of the policies or contracts of any such insurer,
insurers or health maintenance organization shall be deemed to be an
incomplete comparison if it does not conform to all the requirements for
comparisons established by regulation.
(c)] In the determination, judicial or otherwise, of the incomplete-
ness or misleading character of any such [comparison] REPRESENTATION, it
shall not be presumed that the insured knew or knows of any of the
provisions, terms or benefits contained in any insurance policy or
health maintenance organization contract.
S 2. The section heading and subsections (a), (b) and (c) of section
4226 of the insurance law, paragraph 6 of subsection (a) as added by
chapter 616 of the laws of 1997, are amended to read as follows:
Misrepresentations[,] AND misleading statements [and incomplete
comparisons] by insurers. (a) No insurer authorized to do in this state
the business of life, or accident and health insurance, or to make annu-
ity contracts shall:
(1) issue or circulate, or cause or permit to be issued or circulated
on its behalf, any illustration, circular, statement or memorandum
misrepresenting the terms, benefits or advantages of any of its policies
or contracts;
(2) make any estimate of the dividends or share of surplus or addi-
tional amounts to be received on such policies or contracts;
S. 7168 35
(3) make any false or misleading statement of the dividends or share
of surplus or additional amounts paid by any such insurer on similar
policies or contracts;
(4) make any misleading representation, or any misrepresentation of
the financial condition of any such insurer or of the legal reserve
system upon which it operates; [or]
(5) make or deliver to any person or persons any incomplete [compar-
ison of] OR MISLEADING REPRESENTATION REGARDING any such policies or
contracts for the purpose of inducing, or tending to induce, such person
or persons to lapse, forfeit or surrender any insurance policy or
contract[.]; OR
(6) replace the individual life insurance policies or individual annu-
ity contracts of an insurer by the same or different insurer without
conforming to the standards promulgated by regulation by the superinten-
dent. Such regulation shall BE CONSISTENT, TO THE GREATEST EXTENT PRAC-
TICABLE AND IN THE PUBLIC INTEREST, WITH THE REPLACEMENTS REGULATION
ADOPTED BY THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS, AS
AMENDED FROM TIME TO TIME, AND SHALL ALSO:
(A) specify what constitutes the replacement of a life insurance poli-
cy or annuity contract and the proper disclosure and notification proce-
dures to replace a policy or contract;
(B) require notification of the proposed replacement to the insurer
whose policies or contracts are intended to be replaced; AND
(C) [require the timely exchange of illustrative and cost information
required by section three thousand two hundred nine of this chapter and
necessary for completion of a comparison of the proposed and replaced
coverage; and
(D)] provide for a sixty-day period following issuance of the replace-
ment policies or contracts during which the policy or contract owner may
return the policies or contracts and reinstate the replaced policies or
contracts.
(b) [Any comparison of the policies or contracts of any such insurer
or insurers shall be deemed to be an incomplete comparison if it does
not conform to all the requirements for comparisons established by the
superintendent by regulation.
(c)] In any determination, judicial or otherwise, of the incomplete-
ness or misleading character of any such [comparison or of] represen-
tation, it shall not be presumed that the insured knew or knows of any
of the provisions or benefits contained in any insurance policy or
contract.
S 3. This act shall take effect on the one hundred eightieth day after
it shall have become a law.
PART E
Section 1. Subsection (a) of section 110 of the insurance law, as
amended by chapter 238 of the laws of 2013, is amended to read as
follows:
(a) In order to assist in the performance of the superintendent's
duties under this chapter, the superintendent:
(1) may share documents, materials or other information, including
confidential and privileged documents, materials or information with
other state, federal, and international regulatory agencies, with the
National Association of Insurance Commissioners, its affiliates or
subsidiaries, and with state, federal, and international law enforcement
authorities, including members of any supervisory college described in
S. 7168 36
section three hundred two of this chapter, provided that the recipient
has the authority and agrees to maintain the confidentiality and privi-
leged status of the document, material or other information; provided,
however, that this paragraph shall not be construed as limiting access
to records pursuant to article six of the public officers law;
(2) may receive documents, materials or information, including other-
wise confidential and privileged documents, materials or information,
from the National Association of Insurance Commissioners, its affiliates
or subsidiaries and from regulatory and law enforcement officials of
other foreign or domestic jurisdictions, including members of any super-
visory college described in section three hundred two of this chapter,
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; and
(3) [may] (A) SHALL enter into WRITTEN agreements governing sharing
and use of documents, materials or information consistent with this
subsection[.]; AND
(B) RELATING TO THE REPORTS REQUIRED PURSUANT TO SECTIONS ONE THOUSAND
FIVE HUNDRED THREE, ONE THOUSAND SIX HUNDRED FOUR AND ONE THOUSAND SEVEN
HUNDRED SEVENTEEN OF THIS CHAPTER AND IN FURTHERANCE OF THIS SUBSECTION:
(I) SPECIFY PROCEDURES AND PROTOCOLS REGARDING THE CONFIDENTIALITY AND
SECURITY OF INFORMATION SHARED WITH THE NATIONAL ASSOCIATION OF INSUR-
ANCE COMMISSIONERS OR A THIRD-PARTY CONSULTANT DESIGNATED BY THAT ORGAN-
IZATION, THE SUPERINTENDENT OR ANOTHER STATE, FEDERAL OR INTERNATIONAL
REGULATOR AGENCY, INCLUDING PROCEDURES OR PROTOCOLS FOR SHARING BY THE
ASSOCIATION OR SUCH THIRD-PARTY CONSULTANT WITH OTHER STATE REGULATORS
FROM STATES IN WHICH THE INSURANCE GROUP HAS DOMICILED INSURERS, AND
ENTER INTO A WRITTEN AGREEMENT WHICH SHALL PROVIDE THAT THE RECIPIENT
MAINTAIN THE CONFIDENTIALITY AND PRIVILEGED STATUS OF THE ORSA-RELATED
DOCUMENTS, MATERIALS OR OTHER INFORMATION AND HAS VERIFIED IN WRITING
THE LEGAL AUTHORITY TO MAINTAIN CONFIDENTIALITY; (II) SPECIFY THAT
OWNERSHIP OF INFORMATION SHARED WITH THE NATIONAL ASSOCIATION OF INSUR-
ANCE COMMISSIONERS OR SUCH THIRD-PARTY CONSULTANT REMAINS WITH THE
SUPERINTENDENT AND THE ASSOCIATION'S OR SUCH THIRD-PARTY CONSULTANT'S
USE OF THE INFORMATION IS SUBJECT TO THE DIRECTION OF THE SUPERINTEN-
DENT; (III) PROHIBIT THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS
OR SUCH THIRD-PARTY CONSULTANT FROM STORING THE INFORMATION SHARED
PURSUANT TO THIS SUBSECTION IN A PERMANENT DATABASE AFTER THE UNDERLYING
ANALYSIS IS COMPLETED; (IV) REQUIRE PROMPT NOTICE TO BE GIVEN TO AN
INSURER WHOSE CONFIDENTIAL INFORMATION IN THE POSSESSION OF THE NATIONAL
ASSOCIATION OF INSURANCE COMMISSIONERS OR SUCH THIRD-PARTY CONSULTANT IS
SUBJECT TO A REQUEST OR SUBPOENA TO THE ASSOCIATION OR SUCH THIRD-PARTY
CONSULTANT FOR DISCLOSURE OR PRODUCTION; AND (V) REQUIRE THE NATIONAL
ASSOCIATION OF INSURANCE COMMISSIONERS OR SUCH THIRD-PARTY CONSULTANT TO
CONSENT TO INTERVENTION BY AN INSURER IN ANY JUDICIAL OR ADMINISTRATIVE
ACTION IN WHICH SUCH ASSOCIATION OR SUCH THIRD-PARTY CONSULTANT MAY BE
REQUIRED TO DISCLOSE CONFIDENTIAL INFORMATION ABOUT THE INSURER SHARED
WITH THE ASSOCIATION OR SUCH THIRD-PARTY CONSULTANT.
S 2. Subsection (a) of section 1501 of the insurance law is amended by
adding three new paragraphs 8, 9, and 10 to read as follows:
(8) "OWN RISK AND SOLVENCY ASSESSMENT" OR "ORSA" SHALL MEAN A CONFI-
DENTIAL INTERNAL ASSESSMENT, APPROPRIATE TO THE NATURE, SCALE AND
COMPLEXITY OF AN INSURER OR INSURANCE GROUP, CONDUCTED BY THAT INSURER
OR INSURANCE GROUP OF THE MATERIAL AND RELEVANT RISKS ASSOCIATED WITH
S. 7168 37
THE INSURER OR INSURANCE GROUP'S CURRENT BUSINESS PLAN, AND THE SUFFI-
CIENCY OF CAPITAL RESOURCES TO SUPPORT THOSE RISKS.
(9) "ORSA GUIDANCE MANUAL" SHALL MEAN THE CURRENT VERSION OF THE OWN
RISK AND SOLVENCY ASSESSMENT GUIDANCE MANUAL DEVELOPED AND ADOPTED BY
THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS (NAIC) AND AS
AMENDED FROM TIME TO TIME. A CHANGE IN THE ORSA GUIDANCE MANUAL SHALL BE
EFFECTIVE ON THE FIRST OF JANUARY FOLLOWING THE CALENDAR YEAR IN WHICH
THE CHANGES HAVE BEEN ADOPTED BY THE NAIC.
(10) "ORSA SUMMARY REPORT" SHALL MEAN A CONFIDENTIAL HIGH-LEVEL SUMMA-
RY OF AN INSURER OR INSURANCE GROUP'S ORSA.
S 3. Section 1503 of the insurance law is amended by adding two new
subsections (c) and (d) to read as follows:
(C)(1) AN INSURER, OR THE INSURANCE GROUP OF WHICH THE INSURER IS A
MEMBER, SHALL REGULARLY CONDUCT AN ORSA CONSISTENT WITH A PROCESS COMPA-
RABLE TO THE ORSA GUIDANCE MANUAL. THE ORSA SHALL BE CONDUCTED NO LESS
THAN ANNUALLY BUT ALSO AT ANY TIME WHEN THERE ARE SIGNIFICANT CHANGES TO
THE RISK PROFILE OF THE INSURER OR THE INSURANCE GROUP OF WHICH THE
INSURER IS A MEMBER.
(2) UPON THE REQUEST OF THE SUPERINTENDENT, AND NO MORE THAN ONCE EACH
YEAR, AN AUTHORIZED DOMESTIC INSURER SHALL SUBMIT TO THE SUPERINTENDENT
AN ORSA SUMMARY REPORT OR ANY COMBINATION OF REPORTS THAT TOGETHER
CONTAIN THE INFORMATION DESCRIBED IN THE ORSA GUIDANCE MANUAL, APPLICA-
BLE TO THE INSURER AND/OR THE INSURANCE GROUP OF WHICH IT IS A MEMBER.
NOTWITHSTANDING ANY REQUEST FROM THE SUPERINTENDENT, IF THE INSURER IS A
MEMBER OF AN INSURANCE GROUP, THE INSURER SHALL SUBMIT THE REPORT(S)
REQUIRED BY THIS SUBSECTION IF THE SUPERINTENDENT IS THE LEAD STATE
COMMISSIONER OF THE INSURANCE GROUP, AS DETERMINED BY THE PROCEDURES
WITHIN THE FINANCIAL ANALYSIS HANDBOOK ADOPTED BY THE NATIONAL ASSOCI-
ATION OF INSURANCE COMMISSIONERS.
(3) THE REPORT(S) SHALL INCLUDE A SIGNATURE OF THE INSURER OR INSUR-
ANCE GROUP'S CHIEF RISK OFFICER OR OTHER EXECUTIVE HAVING RESPONSIBILITY
FOR THE OVERSIGHT OF THE INSURER'S ENTERPRISE RISK MANAGEMENT PROCESS
ATTESTING TO THE BEST OF HIS/HER BELIEF AND KNOWLEDGE THAT THE INSURER
APPLIES THE ENTERPRISE RISK MANAGEMENT PROCESS DESCRIBED IN THE ORSA
SUMMARY REPORT AND THAT A COPY OF THE REPORT HAS BEEN PROVIDED TO THE
INSURER'S BOARD OF DIRECTORS OR THE APPROPRIATE COMMITTEE THEREOF.
(4) AN INSURER MAY COMPLY WITH PARAGRAPH ONE OF THIS SUBSECTION BY
PROVIDING THE MOST RECENT AND SUBSTANTIALLY SIMILAR REPORT(S) PROVIDED
BY THE INSURER OR ANOTHER MEMBER OF AN INSURANCE GROUP OF WHICH THE
INSURER IS A MEMBER TO THE COMMISSIONER OF ANOTHER STATE OR TO A SUPER-
VISOR OR REGULATOR OF A FOREIGN JURISDICTION, IF THAT REPORT PROVIDES
INFORMATION THAT IS COMPARABLE TO THE INFORMATION DESCRIBED IN THE ORSA
GUIDANCE MANUAL. ANY SUCH REPORT IN A LANGUAGE OTHER THAN ENGLISH MUST
BE ACCOMPANIED BY A TRANSLATION OF THAT REPORT INTO THE ENGLISH
LANGUAGE.
(D) THE SUPERINTENDENT MAY PROMULGATE ANY REGULATION NECESSARY TO
ACCOMPLISH THE REQUIREMENTS OF SUBSECTIONS (B) AND (C) OF THIS SECTION,
INCLUDING ANY EXEMPTIONS DETERMINED AS APPROPRIATE BY THE SUPERINTEN-
DENT.
S 4. Subsection (c) of section 1504 of the insurance law, as amended
by chapter 238 of the laws of 2013, is amended to read as follows:
(c) [The] (1) EXCEPT AS PROVIDED IN PARAGRAPH TWO OF THIS SUBSECTION,
THE superintendent shall keep the contents of each report made pursuant
to this article and any information obtained in connection therewith
confidential and shall not make the same public without the prior writ-
ten consent of the controlled insurer to which it pertains unless the
S. 7168 38
superintendent after notice and an opportunity to be heard, shall deter-
mine that the interests of policyholders, shareholders or the public
will be served by the publication thereof. In any action or proceeding
by the superintendent against the person examined or any other person
within the same holding company system a report of such examination
published by the superintendent shall be admissible as evidence of the
facts stated therein.
(2)(A) DOCUMENTS, MATERIALS OR OTHER INFORMATION RELATING TO AN ENTER-
PRISE RISK MANAGEMENT REPORT OR ORSA SUMMARY REPORT REQUIRED PURSUANT TO
THIS ARTICLE AND IN THE POSSESSION OR CONTROL OF THE SUPERINTENDENT THAT
ARE OBTAINED BY, CREATED BY OR DISCLOSED TO THE SUPERINTENDENT OR ANY
OTHER PERSON UNDER THIS ARTICLE, IS RECOGNIZED BY THIS STATE AS BEING
PROPRIETARY AND TO CONTAIN TRADE SECRETS. ALL SUCH DOCUMENTS, MATERIALS
OR OTHER INFORMATION SHALL BE CONFIDENTIAL BY LAW AND PRIVILEGED, SHALL
NOT BE SUBJECT TO SECTION EIGHTY-SEVEN OF THE PUBLIC OFFICERS LAW, SHALL
NOT BE SUBJECT TO SUBPOENA, AND SHALL NOT BE SUBJECT TO DISCOVERY OR
ADMISSIBLE IN EVIDENCE IN ANY PRIVATE CIVIL ACTION. HOWEVER, THE SUPER-
INTENDENT IS AUTHORIZED TO USE THE DOCUMENTS, MATERIALS OR OTHER INFOR-
MATION IN THE FURTHERANCE OF ANY REGULATORY OR LEGAL ACTION BROUGHT AS A
PART OF THE SUPERINTENDENT'S OFFICIAL DUTIES. THE SUPERINTENDENT SHALL
NOT OTHERWISE MAKE THE DOCUMENTS, MATERIALS OR OTHER INFORMATION PUBLIC
WITHOUT THE PRIOR WRITTEN CONSENT OF THE INSURER.
(B) NEITHER THE SUPERINTENDENT, NOR ANY PERSON WHO RECEIVED DOCUMENTS,
MATERIALS OR OTHER ORSA-RELATED INFORMATION, THROUGH EXAMINATION OR
OTHERWISE, WHILE ACTING UNDER THE AUTHORITY OF THE SUPERINTENDENT OR
WITH WHOM SUCH DOCUMENTS, MATERIALS OR OTHER INFORMATION ARE SHARED
PURSUANT TO THIS ARTICLE SHALL BE PERMITTED OR REQUIRED TO TESTIFY IN
ANY PRIVATE CIVIL ACTION CONCERNING ANY CONFIDENTIAL DOCUMENTS, MATERI-
ALS, OR INFORMATION SUBJECT TO SUBPARAGRAPH (A) OF THIS PARAGRAPH.
S 5. Subsection (b) of section 1604 of the insurance law, as added by
chapter 238 of the laws of 2013, is amended to read as follows:
(b)(1) An authorized domestic insurer, other than a domestic insurer
required to register as a controlled insurer pursuant to section one
thousand five hundred three of this chapter, shall adopt a formal enter-
prise risk management function and shall file an enterprise risk report
with the superintendent by April thirtieth of each year. The report
shall, to the best of the insurer's knowledge and belief, identify the
material risks within any subsidiary that could pose enterprise risk to
the insurer.
(2) (A) AN AUTHORIZED DOMESTIC INSURER, OTHER THAN A DOMESTIC INSURER
REQUIRED TO REGISTER AS A CONTROLLED INSURER PURSUANT TO SECTION ONE
THOUSAND FIVE HUNDRED THREE OF THIS CHAPTER, SHALL REGULARLY CONDUCT AN
ORSA CONSISTENT WITH A PROCESS COMPARABLE TO THE ORSA GUIDANCE MANUAL.
THE ORSA SHALL BE CONDUCTED NO LESS THAN ANNUALLY BUT ALSO AT ANY TIME
WHEN THERE ARE SIGNIFICANT CHANGES TO THE RISK PROFILE OF THE INSURER OR
THE INSURANCE GROUP OF WHICH THE INSURER IS A MEMBER.
(B) UPON THE REQUEST OF THE SUPERINTENDENT, AND NO MORE THAN ONCE EACH
YEAR, AN AUTHORIZED DOMESTIC INSURER, OTHER THAN A DOMESTIC INSURER
REQUIRED TO REGISTER AS A CONTROLLED INSURER PURSUANT TO SECTION ONE
THOUSAND FIVE HUNDRED THREE OF THIS CHAPTER, SHALL SUBMIT TO THE SUPER-
INTENDENT AN ORSA SUMMARY REPORT OR ANY COMBINATION OF REPORTS THAT
TOGETHER CONTAIN THE INFORMATION DESCRIBED IN THE ORSA GUIDANCE MANUAL,
APPLICABLE TO THE INSURER AND/OR THE INSURANCE GROUP OF WHICH IT IS A
MEMBER. NOTWITHSTANDING ANY REQUEST FROM THE SUPERINTENDENT, IF THE
INSURER IS A MEMBER OF AN INSURANCE GROUP, THE INSURER SHALL SUBMIT THE
REPORT(S) REQUIRED BY THIS SUBSECTION IF THE SUPERINTENDENT IS THE LEAD
S. 7168 39
STATE COMMISSIONER OF THE INSURANCE GROUP, AS DETERMINED BY THE PROCE-
DURES WITHIN THE FINANCIAL ANALYSIS HANDBOOK ADOPTED BY THE NATIONAL
ASSOCIATION OF INSURANCE COMMISSIONERS.
(C) THE REPORT(S) SHALL INCLUDE A SIGNATURE OF THE INSURER OR INSUR-
ANCE GROUP'S CHIEF RISK OFFICER OR OTHER EXECUTIVE HAVING RESPONSIBILITY
FOR THE OVERSIGHT OF THE INSURER'S ENTERPRISE RISK MANAGEMENT PROCESS
ATTESTING TO THE BEST OF HIS/HER BELIEF AND KNOWLEDGE THAT THE INSURER
APPLIES THE ENTERPRISE RISK MANAGEMENT PROCESS DESCRIBED IN THE ORSA
SUMMARY REPORT AND THAT A COPY OF THE REPORT HAS BEEN PROVIDED TO THE
INSURER'S BOARD OF DIRECTORS OR THE APPROPRIATE COMMITTEE THEREOF.
(D) AN INSURER MAY COMPLY WITH SUBPARAGRAPH (B) OF THIS PARAGRAPH BY
PROVIDING THE MOST RECENT AND SUBSTANTIALLY SIMILAR REPORT(S) PROVIDED
BY THE INSURER OR ANOTHER MEMBER OF AN INSURANCE GROUP OF WHICH THE
INSURER IS A MEMBER TO THE COMMISSIONER OF ANOTHER STATE OR TO A SUPER-
VISOR OR REGULATOR OF A FOREIGN JURISDICTION, IF THAT REPORT PROVIDES
INFORMATION THAT IS COMPARABLE TO THE INFORMATION DESCRIBED IN THE ORSA
GUIDANCE MANUAL. ANY SUCH REPORT IN A LANGUAGE OTHER THAN ENGLISH MUST
BE ACCOMPANIED BY A TRANSLATION OF THAT REPORT INTO THE ENGLISH
LANGUAGE.
(3)(A) DOCUMENTS, MATERIALS OR OTHER INFORMATION RELATING TO AN ENTER-
PRISE RISK MANAGEMENT REPORT OR ORSA SUMMARY REPORT REQUIRED PURSUANT TO
THIS ARTICLE AND IN THE POSSESSION OR CONTROL OF THE SUPERINTENDENT THAT
ARE OBTAINED BY, CREATED BY OR DISCLOSED TO THE SUPERINTENDENT OR ANY
OTHER PERSON UNDER THIS ARTICLE, IS RECOGNIZED BY THIS STATE AS BEING
PROPRIETARY AND TO CONTAIN TRADE SECRETS. ALL SUCH DOCUMENTS, MATERIALS
OR OTHER INFORMATION SHALL BE CONFIDENTIAL BY LAW AND PRIVILEGED, SHALL
NOT BE SUBJECT TO SECTION EIGHTY-SEVEN OF THE PUBLIC OFFICERS LAW, SHALL
NOT BE SUBJECT TO SUBPOENA, AND SHALL NOT BE SUBJECT TO DISCOVERY OR
ADMISSIBLE IN EVIDENCE IN ANY PRIVATE CIVIL ACTION. HOWEVER, THE SUPER-
INTENDENT IS AUTHORIZED TO USE THE DOCUMENTS, MATERIALS OR OTHER INFOR-
MATION IN THE FURTHERANCE OF ANY REGULATORY OR LEGAL ACTION BROUGHT AS A
PART OF THE SUPERINTENDENT'S OFFICIAL DUTIES. THE SUPERINTENDENT SHALL
NOT OTHERWISE MAKE THE DOCUMENTS, MATERIALS OR OTHER INFORMATION PUBLIC
WITHOUT THE PRIOR WRITTEN CONSENT OF THE INSURER.
(B) NEITHER THE SUPERINTENDENT, NOR ANY PERSON WHO RECEIVED DOCUMENTS,
MATERIALS OR OTHER ORSA-RELATED INFORMATION, THROUGH EXAMINATION OR
OTHERWISE, WHILE ACTING UNDER THE AUTHORITY OF THE SUPERINTENDENT OR
WITH WHOM SUCH DOCUMENTS, MATERIALS OR OTHER INFORMATION ARE SHARED
PURSUANT TO THIS ARTICLE SHALL BE PERMITTED OR REQUIRED TO TESTIFY IN
ANY PRIVATE CIVIL ACTION CONCERNING ANY CONFIDENTIAL DOCUMENTS, MATERI-
ALS, OR INFORMATION SUBJECT TO SUBPARAGRAPH (A) OF THIS PARAGRAPH.
(4) THE SUPERINTENDENT MAY PROMULGATE ANY REGULATION NECESSARY TO
ACCOMPLISH THE REQUIREMENTS OF THIS SUBSECTION, INCLUDING ANY EXEMPTIONS
DETERMINED AS APPROPRIATE BY THE SUPERINTENDENT.
(5)(A) For the purposes of this article, "enterprise risk" means any
activity, circumstance, event, or series of events involving one or more
subsidiaries of an insurer that, if not remedied promptly, is likely to
have a material adverse effect upon the financial condition or liquidity
of the insurer, including anything that would cause the insurer's risk-
based capital to fall into company action level as set forth in section
one thousand three hundred twenty-four of this chapter, or that would
cause further transaction of business to be hazardous to the insurer's
policyholders or creditors or the public.
(B) FOR THE PURPOSES OF THIS ARTICLE, THE TERMS "OWN RISK AND SOLVENCY
ASSESSMENT" OR "ORSA," "ORSA GUIDANCE MANUAL" AND "ORSA SUMMARY REPORT"
S. 7168 40
SHALL HAVE THE SAME MEANING AS PROVIDED IN SECTION FIFTEEN HUNDRED ONE
OF THIS CHAPTER.
S 6. Section 1702 of the insurance law is amended by adding a new
subsection (g) to read as follows:
(G) "OWN RISK AND SOLVENCY ASSESSMENT" OR "ORSA," "ORSA GUIDANCE MANU-
AL" AND "ORSA SUMMARY REPORT" SHALL HAVE THE SAME MEANING AS PROVIDED IN
SECTION ONE THOUSAND FIVE HUNDRED ONE OF THIS CHAPTER.
S 7. Section 1709 of the insurance law, as amended by chapter 381 of
the laws of 1986, is amended to read as follows:
S 1709. Confidentiality of information reports. [The] (A) EXCEPT AS
PROVIDED IN SUBSECTION (B) OF THIS SECTION, THE contents of each infor-
mation report filed hereunder and information pertaining thereto shall
be kept confidential, shall not be subject to subpoena and shall not be
made public unless, after notice and opportunity to be heard, the super-
intendent determines that the interests of policyholders, subscribers,
stockholders or the public will be served by the publication thereof.
The provisions of this section shall not be applicable to any informa-
tion report filed hereunder and any information pertaining thereto, if
the parent corporation is a corporation subject to article forty-three
of this chapter.
(B)(1) DOCUMENTS, MATERIALS OR OTHER INFORMATION RELATING TO AN ENTER-
PRISE RISK MANAGEMENT REPORT OR ORSA SUMMARY REPORT REQUIRED PURSUANT TO
THIS ARTICLE AND IN THE POSSESSION OR CONTROL OF THE SUPERINTENDENT THAT
ARE OBTAINED BY, CREATED BY OR DISCLOSED TO THE SUPERINTENDENT OR ANY
OTHER PERSON UNDER THIS ARTICLE, IS RECOGNIZED BY THIS STATE AS BEING
PROPRIETARY AND TO CONTAIN TRADE SECRETS. ALL SUCH DOCUMENTS, MATERIALS
OR OTHER INFORMATION SHALL BE CONFIDENTIAL BY LAW AND PRIVILEGED, SHALL
NOT BE SUBJECT TO SECTION EIGHTY-SEVEN OF THE PUBLIC OFFICERS LAW, SHALL
NOT BE SUBJECT TO SUBPOENA, AND SHALL NOT BE SUBJECT TO DISCOVERY OR
ADMISSIBLE IN EVIDENCE IN ANY PRIVATE CIVIL ACTION. HOWEVER, THE SUPER-
INTENDENT IS AUTHORIZED TO USE THE DOCUMENTS, MATERIALS OR OTHER INFOR-
MATION IN THE FURTHERANCE OF ANY REGULATORY OR LEGAL ACTION BROUGHT AS A
PART OF THE SUPERINTENDENT'S OFFICIAL DUTIES. THE SUPERINTENDENT SHALL
NOT OTHERWISE MAKE THE DOCUMENTS, MATERIALS OR OTHER INFORMATION PUBLIC
WITHOUT THE PRIOR WRITTEN CONSENT OF THE INSURER.
(2) NEITHER THE SUPERINTENDENT, NOR ANY PERSON WHO RECEIVED DOCUMENTS,
MATERIALS OR OTHER ORSA-RELATED INFORMATION, THROUGH EXAMINATION OR
OTHERWISE, WHILE ACTING UNDER THE AUTHORITY OF THE SUPERINTENDENT OR
WITH WHOM SUCH DOCUMENTS, MATERIALS OR OTHER INFORMATION ARE SHARED
PURSUANT TO THIS ARTICLE SHALL BE PERMITTED OR REQUIRED TO TESTIFY IN
ANY PRIVATE CIVIL ACTION CONCERNING ANY CONFIDENTIAL DOCUMENTS, MATERI-
ALS, OR INFORMATION SUBJECT TO PARAGRAPH ONE OF THIS SECTION.
S 8. Section 1717 of the insurance law is amended by adding two new
subsections (c) and (d) to read as follows:
(C)(1) AN AUTHORIZED DOMESTIC INSURER, OTHER THAN A DOMESTIC INSURER
REQUIRED TO REGISTER AS A CONTROLLED INSURER PURSUANT TO SECTION ONE
THOUSAND FIVE HUNDRED THREE OF THIS CHAPTER, SHALL REGULARLY CONDUCT AN
ORSA CONSISTENT WITH A PROCESS COMPARABLE TO THE ORSA GUIDANCE MANUAL.
THE ORSA SHALL BE CONDUCTED NO LESS THAN ANNUALLY BUT ALSO AT ANY TIME
WHEN THERE ARE SIGNIFICANT CHANGES TO THE RISK PROFILE OF THE INSURER OR
THE INSURANCE GROUP OF WHICH THE INSURER IS A MEMBER.
(2) UPON THE REQUEST OF THE SUPERINTENDENT, AND NO MORE THAN ONCE EACH
YEAR, AN AUTHORIZED DOMESTIC INSURER, OTHER THAN A DOMESTIC INSURER
REQUIRED TO REGISTER AS A CONTROLLED INSURER PURSUANT TO SECTION ONE
THOUSAND FIVE HUNDRED THREE OF THIS CHAPTER, SHALL SUBMIT TO THE SUPER-
INTENDENT AN ORSA SUMMARY REPORT OR ANY COMBINATION OF REPORTS THAT
S. 7168 41
TOGETHER CONTAIN THE INFORMATION DESCRIBED IN THE ORSA GUIDANCE MANUAL,
APPLICABLE TO THE INSURER AND/OR THE INSURANCE GROUP OF WHICH IT IS A
MEMBER. NOTWITHSTANDING ANY REQUEST FROM THE SUPERINTENDENT, IF THE
INSURER IS A MEMBER OF AN INSURANCE GROUP, THE INSURER SHALL SUBMIT THE
REPORT(S) REQUIRED BY THIS SUBSECTION IF THE SUPERINTENDENT IS THE LEAD
STATE COMMISSIONER OF THE INSURANCE GROUP, AS DETERMINED BY THE PROCE-
DURES WITHIN THE FINANCIAL ANALYSIS HANDBOOK ADOPTED BY THE NATIONAL
ASSOCIATION OF INSURANCE COMMISSIONERS.
(3) THE REPORT(S) SHALL INCLUDE A SIGNATURE OF THE INSURER OR INSUR-
ANCE GROUP'S CHIEF RISK OFFICER OR OTHER EXECUTIVE HAVING RESPONSIBILITY
FOR THE OVERSIGHT OF THE INSURER'S ENTERPRISE RISK MANAGEMENT PROCESS
ATTESTING TO THE BEST OF HIS/HER BELIEF AND KNOWLEDGE THAT THE INSURER
APPLIES THE ENTERPRISE RISK MANAGEMENT PROCESS DESCRIBED IN THE ORSA
SUMMARY REPORT AND THAT A COPY OF THE REPORT HAS BEEN PROVIDED TO THE
INSURER'S BOARD OF DIRECTORS OR THE APPROPRIATE COMMITTEE THEREOF.
(4) AN INSURER MAY COMPLY WITH PARAGRAPH TWO OF THIS SUBSECTION BY
PROVIDING THE MOST RECENT AND SUBSTANTIALLY SIMILAR REPORT(S) PROVIDED
BY THE INSURER OR ANOTHER MEMBER OF AN INSURANCE GROUP OF WHICH THE
INSURER IS A MEMBER TO THE COMMISSIONER OF ANOTHER STATE OR TO A SUPER-
VISOR OR REGULATOR OF A FOREIGN JURISDICTION, IF THAT REPORT PROVIDES
INFORMATION THAT IS COMPARABLE TO THE INFORMATION DESCRIBED IN THE ORSA
GUIDANCE MANUAL. ANY SUCH REPORT IN A LANGUAGE OTHER THAN ENGLISH MUST
BE ACCOMPANIED BY A TRANSLATION OF THAT REPORT INTO THE ENGLISH
LANGUAGE.
(D) THE SUPERINTENDENT MAY PROMULGATE ANY REGULATION NECESSARY TO
ACCOMPLISH THE REQUIREMENTS OF SUBSECTIONS (B) AND (C) OF THIS SECTION,
INCLUDING ANY EXEMPTIONS DETERMINED AS APPROPRIATE BY THE SUPERINTEN-
DENT.
S 9. This act shall take effect immediately.
S 4. Severability clause. If any clause, sentence, paragraph, subdivi-
sion, section or part of this act shall be adjudged by a court of compe-
tent jurisdiction to be invalid, such judgment shall not affect, impair
or invalidate the remainder thereof, but shall be confined in its opera-
tion to the clause, sentence, paragraph, subdivision, section or part
thereof directly involved in the controversy in which such judgment
shall have been rendered. It is hereby declared to be the intent of the
legislature that this act would have been enacted even if such invalid
provisions had not been included herein.
S 5. This act shall take effect immediately provided, however, that
the applicable effective date of Parts A through E of this act shall be
as specifically set forth in the last section of such Parts.