Bill Text: IL SB0682 | 2017-2018 | 100th General Assembly | Introduced
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Amends the Illinois Insurance Code. In the Article concerning the Illinois Life and Health Insurance Guaranty Association, makes changes to the organization of provisions concerning coverage and limitations and powers and duties of the Association. Makes changes in the provisions concerning definitions; the Board of Directors of the Association; assessments; and miscellaneous provisions. In a provision concerning duties of the Director of Insurance as liquidator, provides that upon the entry of an order directing liquidation of a company, the Director may, subject to a provision of the Insurance Code that allows the Association to exercise all the rights of the Director with respect to covered policies after the Association becomes obligated by statute or a provision of the Health Maintenance Organization Act, cede or reinsure all or so much as may be necessary of the in-force business to another company using assets of the liquidated company to pay therefor in preference to satisfying other obligations or creditors. Effective immediately.
Spectrum: Partisan Bill (Democrat 7-0)
Status: (Passed) 2018-08-22 - Public Act . . . . . . . . . 100-1023 [SB0682 Detail]
Download: Illinois-2017-SB0682-Introduced.html
Bill Title: Amends the Illinois Insurance Code. In the Article concerning the Illinois Life and Health Insurance Guaranty Association, makes changes to the organization of provisions concerning coverage and limitations and powers and duties of the Association. Makes changes in the provisions concerning definitions; the Board of Directors of the Association; assessments; and miscellaneous provisions. In a provision concerning duties of the Director of Insurance as liquidator, provides that upon the entry of an order directing liquidation of a company, the Director may, subject to a provision of the Insurance Code that allows the Association to exercise all the rights of the Director with respect to covered policies after the Association becomes obligated by statute or a provision of the Health Maintenance Organization Act, cede or reinsure all or so much as may be necessary of the in-force business to another company using assets of the liquidated company to pay therefor in preference to satisfying other obligations or creditors. Effective immediately.
Spectrum: Partisan Bill (Democrat 7-0)
Status: (Passed) 2018-08-22 - Public Act . . . . . . . . . 100-1023 [SB0682 Detail]
Download: Illinois-2017-SB0682-Introduced.html
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1 | AN ACT concerning regulation.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The Illinois Insurance Code is amended by | |||||||||||||||||||||||||||||||||
5 | changing Sections 193, 531.03, 531.05, 531.07, 531.08, 531.09, | |||||||||||||||||||||||||||||||||
6 | 531.10, and 531.14 as follows:
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7 | (215 ILCS 5/193) (from Ch. 73, par. 805)
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8 | Sec. 193. Duties of
Director as liquidator; sales; | |||||||||||||||||||||||||||||||||
9 | reinsurance. | |||||||||||||||||||||||||||||||||
10 | (1) Upon the entry of an order directing liquidation, the | |||||||||||||||||||||||||||||||||
11 | Director shall
immediately proceed to liquidate the property, | |||||||||||||||||||||||||||||||||
12 | business, and affairs of the
company. The Director is hereby | |||||||||||||||||||||||||||||||||
13 | authorized to deal with the
property, business, and affairs of
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14 | the company in his name as Director, or, if the court shall so | |||||||||||||||||||||||||||||||||
15 | order, in
the name of the company.
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16 | (2) The Director may, subject to the approval of the court, | |||||||||||||||||||||||||||||||||
17 | sell
or otherwise
dispose of the real and personal property, or | |||||||||||||||||||||||||||||||||
18 | any part thereof, and sell or
compromise all debts or claims | |||||||||||||||||||||||||||||||||
19 | owing to
the
company, except that
whenever the value of any | |||||||||||||||||||||||||||||||||
20 | real or personal property or the amount of any debt
owing to | |||||||||||||||||||||||||||||||||
21 | the
company does not exceed $25,000, the Director may sell, | |||||||||||||||||||||||||||||||||
22 | dispose
of,
compromise, or compound the
same upon such terms as | |||||||||||||||||||||||||||||||||
23 | the Director deems to
be in the best interest of the company
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1 | without obtaining approval of the court.
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2 | (3) The Director may bring any action, claim, suit, or | ||||||
3 | proceeding
against any director or officer of the company or | ||||||
4 | against any other person
with respect to that person's dealings | ||||||
5 | with the company including, but not
limited to, prosecuting any | ||||||
6 | action, claim, suit, or proceeding on behalf of the
creditors, | ||||||
7 | members, policyholders, or shareholders of
the company. | ||||||
8 | Nothing in this subsection shall be construed to affect the
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9 | standing of the Illinois Insurance Guaranty Fund, the Illinois | ||||||
10 | Life and Health
Insurance Guaranty Association, or the Illinois | ||||||
11 | Health Maintenance Organization
Guaranty Association to sue or | ||||||
12 | be sued under applicable law.
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13 | (4) In order to preserve so far as possible the rights and | ||||||
14 | interests of
the policyholders of the company whose contracts | ||||||
15 | were cancelled by the
liquidation order and of such other | ||||||
16 | creditors as may be possible, the
Director may solicit a | ||||||
17 | contract or contracts whereby a solvent company or
companies | ||||||
18 | will agree to assume in whole, or in part, or upon a modified
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19 | basis, the liabilities owing to said former policyholders or | ||||||
20 | creditors. The
Director may, subject to paragraph (h) of | ||||||
21 | subsection (11) of Section 531.08 531.08(h) of this Code or | ||||||
22 | Section 6-8 of
the Health Maintenance Organization Act, cede or | ||||||
23 | reinsure
all or so much as may be necessary of the
in-force | ||||||
24 | business to another company using assets of the liquidated | ||||||
25 | company
to pay therefor in preference to satisfying other | ||||||
26 | obligations or creditors.
The Director may assign any rights or |
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1 | interests of the company to receive
reinsurance proceeds for | ||||||
2 | losses to the Illinois Life and Health Insurance
Guaranty | ||||||
3 | Association, the Illinois Health Maintenance Organization | ||||||
4 | Guaranty
Association or any similar organization in any other | ||||||
5 | state. If,
after a full hearing upon a petition filed by the | ||||||
6 | Director, the court
shall find that the Director endeavored to | ||||||
7 | obtain the best contract for the
benefit of said parties in | ||||||
8 | interest, and if the said Director shall report
to the court | ||||||
9 | that he is ready and willing to enter into a contract and
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10 | submit a copy thereof to the court, the court shall examine the | ||||||
11 | procedure
and acts of the Director, and if the court shall find | ||||||
12 | that the best
possible contract in the interests of said | ||||||
13 | parties has been obtained and
that it is best for the interests | ||||||
14 | of said parties that said contract be
entered into, the court | ||||||
15 | shall by written order approve the acts of the
Director and | ||||||
16 | authorize him to execute said contract.
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17 | (5) In recognition of the rights of policyholders whose | ||||||
18 | "claims
made" contracts were cancelled by the liquidation | ||||||
19 | order, he may, in his
discretion, permit such policyholders to | ||||||
20 | purchase an extended discovery
period which is subject to the | ||||||
21 | limitations in this Article. The
policyholder shall pay to the | ||||||
22 | liquidator a premium which is appropriate for
the rights | ||||||
23 | purchased as determined by the liquidator and approved by the
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24 | court. No extended discovery period purchased before or after | ||||||
25 | the entry of
the liquidation order shall extend the time to | ||||||
26 | file claims as set by the
court pursuant to Section 208 of this |
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1 | Code. Claims accruing by virtue of
such extended discovery | ||||||
2 | period shall be treated as any other claim under
Article XXXIV | ||||||
3 | of this Code, and shall be subject to the limitations,
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4 | exclusions and conditions in the Illinois Insurance Guaranty | ||||||
5 | Fund Act and
in the laws governing similar organizations in | ||||||
6 | other states.
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7 | (6) The Director is authorized to cancel policies, bonds, | ||||||
8 | and contracts of
insurance subject to court approval.
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9 | (7) All persons, companies, and entities shall immediately | ||||||
10 | turn over to
the Director all unearned premium that has been | ||||||
11 | collected by or on behalf of
the company and all earned premium | ||||||
12 | owing the company unless otherwise directed
in writing by the | ||||||
13 | Director or by court order. Within 30 days of the date of a
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14 | written request of
the Director, those persons, companies, and | ||||||
15 | entities shall
submit affidavits verifying amounts collected | ||||||
16 | by, on behalf
of, or due and owing the company and further | ||||||
17 | shall provide copies of all
premium fund trust account | ||||||
18 | information and such other applicable documentation
as | ||||||
19 | requested by the Director. Nothing in this subsection shall be | ||||||
20 | construed to
affect the rights of (i) the Illinois Life and | ||||||
21 | Health Insurance Guaranty
Association to collect premium under | ||||||
22 | subsection (4) item (6) of Section 531.08 of this Code or
(ii) | ||||||
23 | the Illinois Health Maintenance Organization Guaranty | ||||||
24 | Association to
collect premium under item (11) of Section 6-8 | ||||||
25 | of the Health Maintenance
Organization Act.
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26 | (8) The amount recoverable by the Director from a reinsurer |
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1 | shall not be
reduced or diminished as a result of the entry of | ||||||
2 | an order of liquidation
notwithstanding any provision in the | ||||||
3 | reinsurance contract or other such
agreement. Payment made by a | ||||||
4 | reinsurer to or on behalf of an insured of the
company shall | ||||||
5 | not diminish the reinsurer's obligation to the company except
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6 | when the reinsurance agreement lawfully provides for payment to | ||||||
7 | or on behalf of
the company's insured by the reinsurer. All | ||||||
8 | reinsurance contracts to which the
company is a party, which do
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9 | not contain the provisions required with respect to the | ||||||
10 | obligation of a
reinsurer in the event of insolvency of the | ||||||
11 | reinsured to obtain credit for
reinsurance or pursuant to other | ||||||
12 | applicable statutes, shall contain or be
construed to contain | ||||||
13 | all of the following provisions:
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14 | (a) Upon the entry of an order of liquidation and | ||||||
15 | notwithstanding the
Director's failure to pay all or a | ||||||
16 | portion of a claim, the reinsurance
obligation shall be due | ||||||
17 | and owing to the Director on the
basis of claims allowed in | ||||||
18 | the liquidation proceeding. The reinsurer
shall submit the | ||||||
19 | amounts due and owing directly to the company as ceding
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20 | insurer or to the Director.
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21 | (b) The Director shall give written notice or arrange | ||||||
22 | for the giving of
written notice to reinsurers or their | ||||||
23 | agents of the pendency of a claim against
the
company | ||||||
24 | indicating the policy or bond reinsured within a reasonable | ||||||
25 | time after
the claim is filed. The reinsurer may interpose, | ||||||
26 | at its own expense, in the
proceeding where the claim is to |
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1 | be adjudicated, any defenses that it may deem
available to | ||||||
2 | the company or the Director.
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3 | (Source: P.A. 88-297; 89-206, eff. 7-21-95.)
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4 | (215 ILCS 5/531.03) (from Ch. 73, par. 1065.80-3)
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5 | Sec. 531.03. Coverage and limitations.
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6 | (1) This Article shall provide
coverage for the policies | ||||||
7 | and contracts specified in paragraph (2) of this
Section:
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8 | (a) to persons who, regardless of where they reside | ||||||
9 | (except for
non-resident certificate holders under group | ||||||
10 | policies or contracts), are the
beneficiaries, assignees | ||||||
11 | or payees of the persons covered under subparagraph
(1)(b), | ||||||
12 | and
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13 | (b) to persons who are owners of or certificate holders | ||||||
14 | under the policies or contracts (other than unallocated | ||||||
15 | annuity contracts and structured settlement annuities) and | ||||||
16 | in each case who: | ||||||
17 | (i) are residents; or | ||||||
18 | (ii) are not residents, but only under all of the | ||||||
19 | following conditions: | ||||||
20 | (A) the insurer that issued the policies or | ||||||
21 | contracts is domiciled in this State; | ||||||
22 | (B) the states in which the persons reside have | ||||||
23 | associations similar to the Association created by | ||||||
24 | this Article; | ||||||
25 | (C) the persons are not eligible for coverage |
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1 | by an association in any other state due to the | ||||||
2 | fact that the insurer was not licensed in that | ||||||
3 | state at the time specified in that state's | ||||||
4 | guaranty association law. | ||||||
5 | (c) For unallocated annuity contracts specified in | ||||||
6 | subsection (2), paragraphs (a) and (b) of this subsection | ||||||
7 | (1) shall not apply and this Article shall (except as | ||||||
8 | provided in paragraphs (e) and (f) of this subsection) | ||||||
9 | provide coverage to: | ||||||
10 | (i) persons who are the owners of the unallocated | ||||||
11 | annuity contracts if the contracts are issued to or in | ||||||
12 | connection with a specific benefit plan whose plan | ||||||
13 | sponsor has its principal place of business in this | ||||||
14 | State; and | ||||||
15 | (ii) persons who are owners of unallocated annuity | ||||||
16 | contracts issued to or in connection with government | ||||||
17 | lotteries if the owners are residents. | ||||||
18 | (d) For structured settlement annuities specified in | ||||||
19 | subsection (2), paragraphs (a) and (b) of this subsection | ||||||
20 | (1) shall not apply and this Article shall (except as | ||||||
21 | provided in paragraphs (e) and (f) of this subsection) | ||||||
22 | provide coverage to a person who is a payee under a | ||||||
23 | structured settlement annuity (or beneficiary of a payee if | ||||||
24 | the payee is deceased), if the payee: | ||||||
25 | (i) is a resident, regardless of where the contract | ||||||
26 | owner resides; or |
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1 | (ii) is not a resident, but only under both of the | ||||||
2 | following conditions: | ||||||
3 | (A) with regard to residency: | ||||||
4 | (I) the contract owner of the structured | ||||||
5 | settlement annuity is a resident; or | ||||||
6 | (II) the contract owner of the structured | ||||||
7 | settlement annuity is not a resident but the | ||||||
8 | insurer that issued the structured settlement | ||||||
9 | annuity is domiciled in this State and the | ||||||
10 | state in which the contract owner resides has | ||||||
11 | an association similar to the Association | ||||||
12 | created by this Article; and | ||||||
13 | (B) neither the payee or beneficiary nor the | ||||||
14 | contract owner is eligible for coverage by the | ||||||
15 | association of the state in which the payee or | ||||||
16 | contract owner resides. | ||||||
17 | (e) This Article shall not provide coverage to: | ||||||
18 | (i) a person who is a payee or beneficiary of a | ||||||
19 | contract owner resident of this State if the payee or | ||||||
20 | beneficiary is afforded any coverage by the | ||||||
21 | association of another state; or | ||||||
22 | (ii) a person covered under paragraph (c) of this | ||||||
23 | subsection (1), if any coverage is provided by the | ||||||
24 | association of another state to that person. | ||||||
25 | (f) This Article is intended to provide coverage to a | ||||||
26 | person who is a resident of this State and, in special |
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1 | circumstances, to a nonresident. In order to avoid | ||||||
2 | duplicate coverage, if a person who would otherwise receive | ||||||
3 | coverage under this Article is provided coverage under the | ||||||
4 | laws of any other state, then the person shall not be | ||||||
5 | provided coverage under this Article. In determining the | ||||||
6 | application of the provisions of this paragraph in | ||||||
7 | situations where a person could be covered by the | ||||||
8 | association of more than one state, whether as an owner, | ||||||
9 | payee, beneficiary, or assignee, this Article shall be | ||||||
10 | construed in conjunction with other state laws to result in | ||||||
11 | coverage by only one association.
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12 | (2)(a) This Article shall provide coverage to the persons
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13 | specified in paragraph (1) of this Section for direct, (i)
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14 | nongroup life, health, annuity and
supplemental policies, or | ||||||
15 | contracts, (ii) for
certificates under direct group policies or | ||||||
16 | contracts, (iii) for unallocated
annuity contracts and (iv) for | ||||||
17 | contracts to furnish
health care services and subscription | ||||||
18 | certificates for medical or health
care services issued by | ||||||
19 | persons licensed to transact insurance business
in this State | ||||||
20 | under the Illinois Insurance Code.
Annuity contracts and | ||||||
21 | certificates under group annuity contracts include
but are not | ||||||
22 | limited to guaranteed investment contracts, deposit
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23 | administration contracts, unallocated funding agreements, | ||||||
24 | allocated funding
agreements, structured settlement | ||||||
25 | agreements, lottery contracts
and any immediate or deferred | ||||||
26 | annuity contracts.
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1 | (b) This Article shall not provide coverage for:
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2 | (i) that portion of a policy or contract not guaranteed | ||||||
3 | by the insurer, or under which the risk is borne by the | ||||||
4 | policy or contract owner;
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5 | (ii) any such policy or contract or part thereof | ||||||
6 | assumed by the impaired
or insolvent insurer under a | ||||||
7 | contract of reinsurance, other than reinsurance
for which | ||||||
8 | assumption certificates have been issued;
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9 | (iii) any portion of a policy or contract to the extent | ||||||
10 | that the rate of interest on which it is based or the | ||||||
11 | interest rate, crediting rate, or similar factor is | ||||||
12 | determined by use of an index or other external reference | ||||||
13 | stated in the policy or contract employed in calculating | ||||||
14 | returns or changes in value:
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15 | (A) averaged over the period of 4 years prior to | ||||||
16 | the date on which the member insurer becomes an | ||||||
17 | impaired or insolvent insurer under this Article, | ||||||
18 | whichever is earlier, exceeds the rate of interest | ||||||
19 | determined by subtracting 2 percentage points from | ||||||
20 | Moody's Corporate Bond Yield Average averaged for that | ||||||
21 | same 4-year period or for such lesser period if the | ||||||
22 | policy or contract was issued less than 4 years before | ||||||
23 | the member insurer becomes an impaired or insolvent | ||||||
24 | insurer under this Article, whichever is earlier; and
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25 | (B) on and after the date on which the member | ||||||
26 | insurer becomes an impaired or insolvent insurer under |
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1 | this Article, whichever is earlier, exceeds the rate of | ||||||
2 | interest determined by subtracting 3 percentage points | ||||||
3 | from Moody's Corporate Bond Yield Average as most | ||||||
4 | recently available;
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5 | (iv) any unallocated annuity contract issued to or in | ||||||
6 | connection with a benefit plan protected under the federal | ||||||
7 | Pension Benefit Guaranty Corporation, regardless of | ||||||
8 | whether the federal Pension Benefit Guaranty Corporation | ||||||
9 | has yet become liable to make any payments with respect to | ||||||
10 | the benefit plan;
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11 | (v) any portion of any unallocated annuity contract | ||||||
12 | which is not issued
to or in connection with a specific | ||||||
13 | employee, union or association of
natural persons benefit | ||||||
14 | plan or a government lottery;
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15 | (vi) an obligation that does not arise under the | ||||||
16 | express written terms of the policy or contract issued by | ||||||
17 | the insurer to the contract owner or policy owner, | ||||||
18 | including without limitation: | ||||||
19 | (A) a claim based on marketing materials; | ||||||
20 | (B) a claim based on side letters, riders, or other | ||||||
21 | documents that were issued by the insurer without | ||||||
22 | meeting applicable policy form filing or approval | ||||||
23 | requirements; | ||||||
24 | (C) a misrepresentation of or regarding policy | ||||||
25 | benefits; | ||||||
26 | (D) an extra-contractual claim; or |
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1 | (E) a claim for penalties or consequential or | ||||||
2 | incidental damages;
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3 | (vii) any stop-loss insurance, as defined in clause (b) | ||||||
4 | of Class 1 or
clause (a) of Class 2 of Section 4, and | ||||||
5 | further defined in subsection (d) of
Section 352;
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6 | (viii) any policy or contract providing any hospital, | ||||||
7 | medical, prescription drug, or other health care benefits | ||||||
8 | pursuant to Part C or Part D of Subchapter XVIII, Chapter 7 | ||||||
9 | of Title 42 of the United States Code (commonly known as | ||||||
10 | Medicare Part C & D) or any regulations issued pursuant | ||||||
11 | thereto; | ||||||
12 | (ix) any portion of a policy or contract to the extent | ||||||
13 | that the assessments required by Section 531.09 of this | ||||||
14 | Code with respect to the policy or contract are preempted | ||||||
15 | or otherwise not permitted by federal or State law; | ||||||
16 | (x) any portion of a policy or contract issued to a | ||||||
17 | plan or program of an employer, association, or other | ||||||
18 | person to provide life, health, or annuity benefits to its | ||||||
19 | employees, members, or others to the extent that the plan | ||||||
20 | or program is self-funded or uninsured, including, but not | ||||||
21 | limited to, benefits payable by an employer, association, | ||||||
22 | or other person under: | ||||||
23 | (A) a multiple employer welfare arrangement as | ||||||
24 | defined in 29 U.S.C. Section 1002 29 U.S.C. Section | ||||||
25 | 1144 ; | ||||||
26 | (B) a minimum premium group insurance plan; |
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1 | (C) a stop-loss group insurance plan; or | ||||||
2 | (D) an administrative services only contract; | ||||||
3 | (xi) any portion of a policy or contract to the extent | ||||||
4 | that it provides for: | ||||||
5 | (A) dividends or experience rating credits; | ||||||
6 | (B) voting rights; or | ||||||
7 | (C) payment of any fees or allowances to any | ||||||
8 | person, including the policy or contract owner, in | ||||||
9 | connection with the service to or administration of the | ||||||
10 | policy or contract; | ||||||
11 | (xii) any policy or contract issued in this State by a | ||||||
12 | member insurer at a time when it was not licensed or did | ||||||
13 | not have a certificate of authority to issue the policy or | ||||||
14 | contract in this State; | ||||||
15 | (xiii) any contractual agreement that establishes the | ||||||
16 | member insurer's obligations to provide a book value | ||||||
17 | accounting guaranty for defined contribution benefit plan | ||||||
18 | participants by reference to a portfolio of assets that is | ||||||
19 | owned by the benefit plan or its trustee, which in each | ||||||
20 | case is not an affiliate of the member insurer; | ||||||
21 | (xiv) any portion of a policy or contract to the extent | ||||||
22 | that it provides for interest or other changes in value to | ||||||
23 | be determined by the use of an index or other external | ||||||
24 | reference stated in the policy or contract, but which have | ||||||
25 | not been credited to the policy or contract, or as to which | ||||||
26 | the policy or contract owner's rights are subject to |
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1 | forfeiture, as of the date the member insurer becomes an | ||||||
2 | impaired or insolvent insurer under this Code, whichever is | ||||||
3 | earlier. If a policy's or contract's interest or changes in | ||||||
4 | value are credited less frequently than annually, then for | ||||||
5 | purposes of determining the values that have been credited | ||||||
6 | and are not subject to forfeiture under this Section, the | ||||||
7 | interest or change in value determined by using the | ||||||
8 | procedures defined in the policy or contract will be | ||||||
9 | credited as if the contractual date of crediting interest | ||||||
10 | or changing values was the date of impairment or | ||||||
11 | insolvency, whichever is earlier, and will not be subject | ||||||
12 | to forfeiture; or
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13 | (xv) that portion or part of a variable life insurance | ||||||
14 | or
variable
annuity
contract not guaranteed by an insurer.
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15 | (3) The benefits for which the Association may become | ||||||
16 | liable shall in
no event exceed the lesser of:
| ||||||
17 | (a) the contractual obligations for which the insurer | ||||||
18 | is liable or would
have been liable if it were not an | ||||||
19 | impaired or insolvent insurer, or
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20 | (b)(i) with respect to any one life, regardless of the | ||||||
21 | number of policies
or
contracts:
| ||||||
22 | (A) $300,000 in life insurance death benefits, but | ||||||
23 | not more than
$100,000 in net cash surrender and net | ||||||
24 | cash withdrawal values for life
insurance;
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25 | (B) in health insurance benefits: | ||||||
26 | (I) $100,000 for coverages not defined as |
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1 | disability insurance or basic hospital, medical, | ||||||
2 | and surgical insurance or major medical insurance | ||||||
3 | or long-term care insurance, including any net | ||||||
4 | cash surrender and net cash withdrawal values; | ||||||
5 | (II) $300,000 for disability insurance and | ||||||
6 | $300,000 for long-term care insurance as defined | ||||||
7 | in Section 351A-1 of this Code ; and | ||||||
8 | (III) $500,000 for basic hospital medical and | ||||||
9 | surgical insurance or major medical insurance;
| ||||||
10 | (C) $250,000 in the present value of annuity | ||||||
11 | benefits, including net cash surrender and net cash | ||||||
12 | withdrawal values; | ||||||
13 | (ii) with respect to each individual participating in a | ||||||
14 | governmental retirement benefit plan established under | ||||||
15 | Sections 401, 403(b), or 457 of the U.S. Internal Revenue | ||||||
16 | Code covered by an unallocated annuity contract or the | ||||||
17 | beneficiaries of each such individual if deceased, in the | ||||||
18 | aggregate, $250,000 in present value annuity benefits, | ||||||
19 | including net cash surrender and net cash withdrawal | ||||||
20 | values; | ||||||
21 | (iii) with respect to each payee of a structured | ||||||
22 | settlement annuity or beneficiary or beneficiaries of the | ||||||
23 | payee if deceased, $250,000 in present value annuity | ||||||
24 | benefits, in the aggregate, including net cash surrender | ||||||
25 | and net cash withdrawal values, if any; or | ||||||
26 | (iv) with respect to either (1) one contract owner |
| |||||||
| |||||||
1 | provided coverage under subparagraph (ii) of paragraph (c) | ||||||
2 | of subsection (1) of this Section or (2) one plan sponsor | ||||||
3 | whose plans own directly or in trust one or more | ||||||
4 | unallocated annuity contracts not included in subparagraph | ||||||
5 | (ii) of paragraph (b) of this subsection, $5,000,000 in | ||||||
6 | benefits, irrespective of the number of contracts with | ||||||
7 | respect to the contract owner or plan sponsor. However, in | ||||||
8 | the case where one or more unallocated annuity contracts | ||||||
9 | are covered contracts under this Article and are owned by a | ||||||
10 | trust or other entity for the benefit of 2 or more plan | ||||||
11 | sponsors, coverage shall be afforded by the Association if | ||||||
12 | the largest interest in the trust or entity owning the | ||||||
13 | contract or contracts is held by a plan sponsor whose | ||||||
14 | principal place of business is in this State. In no event | ||||||
15 | shall the Association be obligated to cover more than | ||||||
16 | $5,000,000 in benefits with respect to all these | ||||||
17 | unallocated contracts. | ||||||
18 | (3.1) Notwithstanding the provisions of subsection (3), in | ||||||
19 | In no event shall the Association be obligated to cover more | ||||||
20 | than (1) an aggregate of $300,000 in benefits with respect to | ||||||
21 | any one life under subparagraphs (i), (ii), and (iii) of this | ||||||
22 | paragraph (b) of subsection (3) except with respect to benefits | ||||||
23 | for basic hospital, medical, and surgical insurance and major | ||||||
24 | medical insurance under item (B) of subparagraph (i) of this | ||||||
25 | paragraph (b) of subsection (3) , in which case the aggregate | ||||||
26 | liability of the Association shall not exceed $500,000 with |
| |||||||
| |||||||
1 | respect to any one individual or (2) with respect to one owner | ||||||
2 | of multiple nongroup policies of life insurance, whether the | ||||||
3 | policy owner is an individual, firm, corporation, or other | ||||||
4 | person and whether the persons insured are officers, managers, | ||||||
5 | employees, or other persons, $5,000,000 in benefits, | ||||||
6 | regardless of the number of policies and contracts held by the | ||||||
7 | owner. | ||||||
8 | (3.2) The limitations set forth in subsections (3) and | ||||||
9 | (3.1) this subsection are limitations on the benefits for which | ||||||
10 | the Association is obligated before taking into account either | ||||||
11 | its subrogation and assignment rights or the extent to which | ||||||
12 | those benefits could be provided out of the assets of the | ||||||
13 | impaired or insolvent insurer attributable to covered | ||||||
14 | policies. The costs of the Association's obligations under this | ||||||
15 | Article may be met by the use of assets attributable to covered | ||||||
16 | policies or reimbursed to the Association pursuant to its | ||||||
17 | subrogation and assignment rights.
| ||||||
18 | (4) In performing its obligations to provide coverage under | ||||||
19 | Section 531.08 of this Code, the Association shall not be | ||||||
20 | required to guarantee, assume, reinsure, or perform or cause to | ||||||
21 | be guaranteed, assumed, reinsured, or performed the | ||||||
22 | contractual obligations of the insolvent or impaired insurer | ||||||
23 | under a covered policy or contract that do not materially | ||||||
24 | affect the economic values or economic benefits of the covered | ||||||
25 | policy or contract. | ||||||
26 | (Source: P.A. 96-1450, eff. 8-20-10 .)
|
| |||||||
| |||||||
1 | (215 ILCS 5/531.05) (from Ch. 73, par. 1065.80-5)
| ||||||
2 | Sec. 531.05. Definitions. As used in this Act:
| ||||||
3 | "Account" means either of the 2 3 accounts created under | ||||||
4 | Section
531.06.
| ||||||
5 | "Association" means the Illinois Life and Health Insurance
| ||||||
6 | Guaranty Association created under Section 531.06.
| ||||||
7 | "Authorized assessment" or the term "authorized" when used | ||||||
8 | in the context of assessments means a resolution by the Board | ||||||
9 | of Directors has been passed whereby an assessment shall be | ||||||
10 | called immediately or in the future from member insurers for a | ||||||
11 | specified amount. An assessment is authorized when the | ||||||
12 | resolution is passed. | ||||||
13 | "Benefit plan" means a specific employee, union, or | ||||||
14 | association of natural persons benefit plan. | ||||||
15 | "Called assessment" or the term "called" when used in the | ||||||
16 | context of assessments means that a notice has been issued by | ||||||
17 | the Association to member insurers requiring that an authorized | ||||||
18 | assessment be paid within the time frame set forth within the | ||||||
19 | notice. An authorized assessment becomes a called assessment | ||||||
20 | when notice is mailed by the Association to member insurers. | ||||||
21 | "Director" means the Director of Insurance of this State.
| ||||||
22 | "Contractual obligation" means any obligation under a | ||||||
23 | policy or
contract or certificate under a group policy or | ||||||
24 | contract, or portion
thereof for which coverage is provided | ||||||
25 | under Section 531.03.
|
| |||||||
| |||||||
1 | "Covered person" means any person who is entitled to the
| ||||||
2 | protection of the Association as described in Section 531.02.
| ||||||
3 | "Covered policy" means any policy or contract within the | ||||||
4 | scope
of this Article under Section 531.03.
| ||||||
5 | "Extra-contractual claims" shall include , for example, | ||||||
6 | claims relating to bad faith in the payment of claims, punitive | ||||||
7 | or exemplary damages, or attorneys' fees and costs. | ||||||
8 | "Impaired insurer" means (A) a member insurer which, after | ||||||
9 | the effective date of this amendatory Act of the 96th General | ||||||
10 | Assembly, is not an insolvent insurer, and is placed under an | ||||||
11 | order of rehabilitation or conservation by a court of competent | ||||||
12 | jurisdiction or (B) a member insurer deemed by the Director | ||||||
13 | after the effective date of this amendatory Act of the 96th | ||||||
14 | General Assembly to be potentially unable to fulfill its | ||||||
15 | contractual obligations and not an insolvent insurer.
| ||||||
16 | "Insolvent insurer" means a member insurer that, after the | ||||||
17 | effective date of this amendatory Act of the 96th General | ||||||
18 | Assembly, is placed under a final order of liquidation by a | ||||||
19 | court of competent jurisdiction with a finding of insolvency.
| ||||||
20 | "Member insurer" means an insurer licensed or holding a | ||||||
21 | certificate of authority to transact in this State any kind of | ||||||
22 | insurance for which coverage is provided under Section 531.03 | ||||||
23 | of this Code and includes an insurer whose license or | ||||||
24 | certificate of authority in this State may have been suspended, | ||||||
25 | revoked, not renewed, or voluntarily withdrawn or whose | ||||||
26 | certificate of authority may have been suspended pursuant to |
| |||||||
| |||||||
1 | Section 119 of this Code, but does not include: | ||||||
2 | (1) a hospital or medical service organization, | ||||||
3 | whether profit or nonprofit; | ||||||
4 | (2) a health maintenance organization; | ||||||
5 | (3) any burial society organized under Article XIX of | ||||||
6 | this Code, any fraternal benefit society organized under | ||||||
7 | Article XVII of this Code, any mutual benefit association | ||||||
8 | organized under Article XVIII of this Code, and any foreign | ||||||
9 | fraternal benefit society licensed under Article VI of this | ||||||
10 | Code or
a fraternal benefit society ; | ||||||
11 | (4) a mandatory State pooling plan; | ||||||
12 | (5) a mutual assessment company or other person that | ||||||
13 | operates on an assessment basis; | ||||||
14 | (6) an insurance exchange; | ||||||
15 | (7) an organization that is permitted to issue | ||||||
16 | charitable gift annuities pursuant to Section 121-2.10 of | ||||||
17 | this Code; | ||||||
18 | (8) any health services plan corporation established | ||||||
19 | pursuant to the Voluntary Health Services Plans Act; | ||||||
20 | (9) any dental service plan corporation established | ||||||
21 | pursuant to the Dental Service Plan Act; or | ||||||
22 | (10) an entity similar to any of the above.
| ||||||
23 | "Moody's Corporate Bond Yield Average" means the Monthly | ||||||
24 | Average
Corporates as published by Moody's Investors Service, | ||||||
25 | Inc., or any successor
thereto. | ||||||
26 | "Owner" of a policy or contract and "policy owner" and |
| |||||||
| |||||||
1 | "contract owner" mean the person who is identified as the legal | ||||||
2 | owner under the terms of the policy or contract or who is | ||||||
3 | otherwise vested with legal title to the policy or contract | ||||||
4 | through a valid assignment completed in accordance with the | ||||||
5 | terms of the policy or contract and properly recorded as the | ||||||
6 | owner on the books of the insurer. The terms owner, contract | ||||||
7 | owner, and policy owner do not include persons with a mere | ||||||
8 | beneficial interest in a policy or contract. | ||||||
9 | "Person" means an individual, corporation, limited | ||||||
10 | liability company, partnership, association, governmental body | ||||||
11 | or entity, or voluntary organization. | ||||||
12 | "Plan sponsor" means: | ||||||
13 | (1) the employer in the case of a benefit plan | ||||||
14 | established or maintained by a single employer; | ||||||
15 | (2) the employee organization in the case of a benefit | ||||||
16 | plan established or maintained by an employee | ||||||
17 | organization; or | ||||||
18 | (3) in a case of a benefit plan established or | ||||||
19 | maintained by 2 or more employers or jointly by one or more | ||||||
20 | employers and one or more employee organizations, the | ||||||
21 | association, committee, joint board of trustees, or other | ||||||
22 | similar group of representatives of the parties who | ||||||
23 | establish or maintain the benefit plan. | ||||||
24 | "Premiums" mean amounts or considerations, by whatever | ||||||
25 | name called, received on covered policies or contracts less | ||||||
26 | returned premiums, considerations, and deposits and less |
| |||||||
| |||||||
1 | dividends and experience credits. | ||||||
2 | "Premiums" does not include: | ||||||
3 | (A) amounts or considerations received for policies or | ||||||
4 | contracts or for the portions of policies or contracts for | ||||||
5 | which coverage is not provided under Section 531.03 of this | ||||||
6 | Code except that assessable premium shall not be reduced on | ||||||
7 | account of the provisions of subparagraph (iii) of | ||||||
8 | paragraph (b) of subsection (2) (a) of Section 531.03 of | ||||||
9 | this Code relating to interest limitations and the | ||||||
10 | provisions of paragraph (b) of subsection (3) , subsection | ||||||
11 | (3.1), or subsection (3.2) of Section 531.03 relating to | ||||||
12 | limitations with respect to one individual, one | ||||||
13 | participant, and one contract owner; | ||||||
14 | (B) premiums in excess of $5,000,000 on an unallocated | ||||||
15 | annuity contract not issued under a governmental | ||||||
16 | retirement benefit plan (or its trustee) established under | ||||||
17 | Section 401, 403(b) or 457 of the United States Internal | ||||||
18 | Revenue Code; or | ||||||
19 | (C) with respect to multiple nongroup policies of life | ||||||
20 | insurance owned by one owner, whether the policy owner is | ||||||
21 | an individual, firm, corporation, or other person, and | ||||||
22 | whether the persons insured are officers, managers, | ||||||
23 | employees, or other persons, premiums in excess of | ||||||
24 | $5,000,000 with respect to these policies or contracts, | ||||||
25 | regardless of the number of policies or contracts held by | ||||||
26 | the owner.
|
| |||||||
| |||||||
1 | "Principal place of business" of a plan sponsor or a person | ||||||
2 | other than a natural person means the single state in which the | ||||||
3 | natural persons who establish policy for the direction, | ||||||
4 | control, and coordination of the operations of the entity as a | ||||||
5 | whole primarily exercise that function, determined by the | ||||||
6 | Association in its reasonable judgment by considering the | ||||||
7 | following factors: | ||||||
8 | (A) the state in which the primary executive and | ||||||
9 | administrative headquarters of the entity is located; | ||||||
10 | (B) the state in which the principal office of the | ||||||
11 | chief executive officer of the entity is located; | ||||||
12 | (C) the state in which the board of directors (or | ||||||
13 | similar governing person or persons) of the entity conducts | ||||||
14 | the majority of its meetings; | ||||||
15 | (D) the state in which the executive or management | ||||||
16 | committee of the board of directors (or similar governing | ||||||
17 | person or persons) of the entity conducts the majority of | ||||||
18 | its meetings; | ||||||
19 | (E) the state from which the management of the overall | ||||||
20 | operations of the entity is directed; and | ||||||
21 | (F) in the case of a benefit plan sponsored by | ||||||
22 | affiliated companies comprising a consolidated | ||||||
23 | corporation, the state in which the holding company or | ||||||
24 | controlling affiliate has its principal place of business | ||||||
25 | as determined using the above factors. | ||||||
26 | However, in the case of a plan sponsor, if more than 50% of |
| |||||||
| |||||||
1 | the participants in the benefit plan are employed in a single | ||||||
2 | state, that state shall be deemed to be the principal place of | ||||||
3 | business of the plan sponsor. | ||||||
4 | The principal place of business of a plan sponsor of a | ||||||
5 | benefit plan described in paragraph (3) of the definition of | ||||||
6 | "plan sponsor" this Section shall be deemed to be the principal | ||||||
7 | place of business of the association, committee, joint board of | ||||||
8 | trustees, or other similar group of representatives of the | ||||||
9 | parties who establish or maintain the benefit plan that, in | ||||||
10 | lieu of a specific or clear designation of a principal place of | ||||||
11 | business, shall be deemed to be the principal place of business | ||||||
12 | of the employer or employee organization that has the largest | ||||||
13 | investment in the benefit plan in question. | ||||||
14 | "Receivership court" means the court in the insolvent or | ||||||
15 | impaired insurer's state having jurisdiction over the | ||||||
16 | conservation, rehabilitation, or liquidation of the insurer. | ||||||
17 | "Resident" means a person to whom a contractual obligation | ||||||
18 | is owed and who resides in this State on the date of entry of a | ||||||
19 | court order that determines a member insurer to be an impaired | ||||||
20 | insurer or a court order that determines a member insurer to be | ||||||
21 | an insolvent insurer. A person may be a resident of only one | ||||||
22 | state, which in the case of a person other than a natural | ||||||
23 | person shall be its principal place of business. Citizens of | ||||||
24 | the United States that are either (i) residents of foreign | ||||||
25 | countries or (ii) residents of United States possessions, | ||||||
26 | territories, or protectorates that do not have an association |
| |||||||
| |||||||
1 | similar to the Association created by this Article, shall be | ||||||
2 | deemed residents of the state of domicile of the insurer that | ||||||
3 | issued the policies or contracts.
| ||||||
4 | "Structured settlement annuity" means an annuity purchased | ||||||
5 | in order to fund periodic payments for a plaintiff or other | ||||||
6 | claimant in payment for or with respect to personal injury | ||||||
7 | suffered by the plaintiff or other claimant. | ||||||
8 | "State" means a state, the District of Columbia, Puerto | ||||||
9 | Rico, and a United States possession, territory, or | ||||||
10 | protectorate. | ||||||
11 | "Supplemental contract" means a written agreement entered | ||||||
12 | into for the distribution of proceeds under a life, health, or | ||||||
13 | annuity policy or a life, health, or annuity contract.
| ||||||
14 | "Unallocated annuity contract" means any annuity contract | ||||||
15 | or group
annuity certificate which is not issued to and owned | ||||||
16 | by an individual,
except to the extent of any annuity benefits | ||||||
17 | guaranteed to an individual by
an insurer under such contract | ||||||
18 | or certificate.
| ||||||
19 | (Source: P.A. 96-1450, eff. 8-20-10.)
| ||||||
20 | (215 ILCS 5/531.07) (from Ch. 73, par. 1065.80-7)
| ||||||
21 | Sec. 531.07. Board of Directors. ) The board of directors | ||||||
22 | of the
Association consists of not less than 7 nor more than 11 | ||||||
23 | members serving
terms as established in the plan of operation. | ||||||
24 | The insurer members insurers of the board
are to be selected by | ||||||
25 | member insurers subject to the approval of the
Director. In |
| |||||||
| |||||||
1 | addition, 2 persons who must be public representatives may be | ||||||
2 | appointed by the Director to the board of directors. A public | ||||||
3 | representative may not be an officer, director, or employee of | ||||||
4 | an insurance company or any person engaged in the business of | ||||||
5 | insurance. Vacancies on the board must be filled for the | ||||||
6 | remaining period
of the term in the manner described in the | ||||||
7 | plan of operation.
| ||||||
8 | In approving selections or in appointing members to the | ||||||
9 | board, the
Director must consider, whether all member insurers | ||||||
10 | are
fairly represented.
| ||||||
11 | Members of the board may be reimbursed from the assets of | ||||||
12 | the Association
for expenses incurred by them as members of the | ||||||
13 | board of directors but
members of the board may not otherwise | ||||||
14 | be compensated by the Association for
their services.
| ||||||
15 | (Source: P.A. 96-1450, eff. 8-20-10.)
| ||||||
16 | (215 ILCS 5/531.08) (from Ch. 73, par. 1065.80-8)
| ||||||
17 | Sec. 531.08. Powers and duties of the Association. | ||||||
18 | (a) In addition to
the powers and duties enumerated in | ||||||
19 | other Sections of this Article:
| ||||||
20 | (1) If a member insurer is an impaired insurer, then | ||||||
21 | the Association may, in its discretion and subject to any | ||||||
22 | conditions imposed by the Association that do not impair | ||||||
23 | the contractual obligations of the impaired insurer and | ||||||
24 | that are approved by the Director: | ||||||
25 | (a) (A) guarantee, assume, or reinsure or cause to |
| |||||||
| |||||||
1 | be guaranteed, assumed, or reinsured, any or all of the | ||||||
2 | policies or contracts of the impaired insurer; or | ||||||
3 | (b) (B) provide such money, pledges, loans, notes, | ||||||
4 | guarantees, or other means as are proper to effectuate | ||||||
5 | paragraph (a) (A) and assure payment of the contractual | ||||||
6 | obligations of the impaired insurer pending action | ||||||
7 | under paragraph (a) (A) . | ||||||
8 | (2) If a member insurer is an insolvent insurer, then | ||||||
9 | the Association shall, in its discretion, either: | ||||||
10 | (a) (A) guaranty, assume, or reinsure or cause to | ||||||
11 | be guaranteed, assumed, or reinsured the policies or | ||||||
12 | contracts of the insolvent insurer or assure payment of | ||||||
13 | the contractual obligations of the insolvent insurer | ||||||
14 | and provide money, pledges, loans, notes, guarantees, | ||||||
15 | or other means reasonably necessary to discharge the | ||||||
16 | Association's duties; or | ||||||
17 | (b) (B) provide benefits and coverages in | ||||||
18 | accordance with the following provisions: | ||||||
19 | (i) with respect to life and health insurance | ||||||
20 | policies and annuities, ensure payment of benefits | ||||||
21 | for premiums identical to the premiums and | ||||||
22 | benefits (except for terms of conversion and | ||||||
23 | renewability) that would have been payable under | ||||||
24 | the policies or contracts of the insolvent insurer | ||||||
25 | for claims incurred: | ||||||
26 | (A) (a) with respect to group policies and |
| |||||||
| |||||||
1 | contracts, not later than the earlier of the | ||||||
2 | next renewal date under those policies or | ||||||
3 | contracts or 45 days, but in no event less than | ||||||
4 | 30 days, after the date on which the | ||||||
5 | Association becomes obligated with respect to | ||||||
6 | the policies and contracts; | ||||||
7 | (B) (b) with respect to nongroup policies, | ||||||
8 | contracts, and annuities not later than the | ||||||
9 | earlier of the next renewal date (if any) under | ||||||
10 | the policies or contracts or one year, but in | ||||||
11 | no event less than 30 days, from the date on | ||||||
12 | which the Association becomes obligated with | ||||||
13 | respect to the policies or contracts; | ||||||
14 | (ii) make diligent efforts to provide all | ||||||
15 | known insureds or annuitants (for nongroup | ||||||
16 | policies and contracts), or group policy owners | ||||||
17 | with respect to group policies and contracts, 30 | ||||||
18 | days notice of the termination (pursuant to | ||||||
19 | subparagraph (i) of this paragraph (b) (B) ) of the | ||||||
20 | benefits provided; | ||||||
21 | (iii) with respect to nongroup life and health | ||||||
22 | insurance policies and annuities covered by the | ||||||
23 | Association, make available to each known insured | ||||||
24 | or annuitant, or owner if other than the insured or | ||||||
25 | annuitant, and with respect to an individual | ||||||
26 | formerly insured or formerly an annuitant under a |
| |||||||
| |||||||
1 | group policy who is not eligible for replacement | ||||||
2 | group coverage, make available substitute coverage | ||||||
3 | on an individual basis in accordance with the | ||||||
4 | provisions of subparagraph (iv) paragraph (3) , if | ||||||
5 | the insureds or annuitants had a right under law or | ||||||
6 | the terminated policy or annuity to convert | ||||||
7 | coverage to individual coverage or to continue an | ||||||
8 | individual policy or annuity in force until a | ||||||
9 | specified age or for a specified time, during which | ||||||
10 | the insurer had no right unilaterally to make | ||||||
11 | changes in any provision of the policy or annuity | ||||||
12 | or had a right only to make changes in premium by | ||||||
13 | class.
| ||||||
14 |
(iv) (b) In providing the substitute coverage | ||||||
15 | required under subparagraph (iii) of this | ||||||
16 | subsection (2), of paragraph (B) of item (2) of | ||||||
17 | subsection (a)
of this Section, the Association | ||||||
18 | may offer either to reissue the
terminated | ||||||
19 | coverage or to issue an alternative policy.
| ||||||
20 |
Alternative or reissued policies shall be | ||||||
21 | offered without requiring
evidence of | ||||||
22 | insurability, and shall not provide for any | ||||||
23 | waiting period or
exclusion that would not have | ||||||
24 | applied under the terminated policy.
| ||||||
25 |
The Association may reinsure any alternative | ||||||
26 | or reissued policy.
|
| |||||||
| |||||||
1 |
Alternative policies adopted by the | ||||||
2 | Association shall be subject
to the approval of the | ||||||
3 | Director. The Association may adopt alternative
| ||||||
4 | policies of various types for future insurance | ||||||
5 | without regard to any
particular impairment or | ||||||
6 | insolvency.
| ||||||
7 |
(v) Alternative policies shall contain at | ||||||
8 | least the minimum statutory
provisions required in | ||||||
9 | this State and provide benefits that shall not be
| ||||||
10 | unreasonable in relation to the premium charged. | ||||||
11 | The
Association shall set the premium in | ||||||
12 | accordance with a table of rates which
it shall | ||||||
13 | adopt. The premium shall reflect the amount of | ||||||
14 | insurance to be
provided and the age and class of | ||||||
15 | risk of each insured, but shall not
reflect any | ||||||
16 | changes in the health of the insured after the | ||||||
17 | original policy
was last underwritten.
| ||||||
18 |
Any alternative policy issued by the | ||||||
19 | Association shall provide
coverage of a type | ||||||
20 | similar to that of the policy issued by the | ||||||
21 | impaired or
insolvent insurer, as determined by | ||||||
22 | the Association.
| ||||||
23 |
(vi) (c) If the Association elects to reissue | ||||||
24 | terminated coverage at a
premium rate different | ||||||
25 | from that charged under the terminated policy, the
| ||||||
26 | premium shall be set by the Association in |
| |||||||
| |||||||
1 | accordance with the amount of
insurance provided | ||||||
2 | and the age and class of risk, subject to approval | ||||||
3 | of
the Director or by a court of competent | ||||||
4 | jurisdiction.
| ||||||
5 |
(vii) (d) The Association's obligations with | ||||||
6 | respect to coverage under any
policy of the | ||||||
7 | impaired or insolvent insurer or under any | ||||||
8 | reissued or
alternative policy shall cease on the | ||||||
9 | date such coverage or policy is
replaced by another | ||||||
10 | similar policy by the policyholder, the insured, | ||||||
11 | or the
Association.
| ||||||
12 |
(viii) (e) When proceeding under this Section | ||||||
13 | with
respect to any policy or contract carrying | ||||||
14 | guaranteed minimum interest
rates, the Association | ||||||
15 | shall assure the payment or crediting of a rate of
| ||||||
16 | interest consistent with subparagraph | ||||||
17 | (2)(b)(iii) (B) of Section 531.03.
| ||||||
18 |
(3) (f) Nonpayment of premiums thirty-one days after | ||||||
19 | the date required under
the terms of any guaranteed, | ||||||
20 | assumed, alternative or reissued policy or
contract or | ||||||
21 | substitute coverage shall terminate the Association's
| ||||||
22 | obligations under such policy or coverage under this Act | ||||||
23 | with respect to
such policy or coverage, except with | ||||||
24 | respect to any claims incurred or any
net cash surrender | ||||||
25 | value which may be due in accordance with the provisions of
| ||||||
26 | this Act.
|
| |||||||
| |||||||
1 |
(4) (g) Premiums due for coverage after entry of an | ||||||
2 | order of liquidation of
an insolvent insurer shall belong | ||||||
3 | to and be payable at the direction of the
Association,
and | ||||||
4 | the Association shall be liable for unearned premiums due | ||||||
5 | to policy or
contract owners arising after the entry of | ||||||
6 | such order.
| ||||||
7 | (5) (h) In carrying out its duties under subsection | ||||||
8 | paragraph (2) of subsection (a) of this Section, the | ||||||
9 | Association may: | ||||||
10 | (a) (1) subject to approval by a court in this | ||||||
11 | State , impose permanent policy or contract liens in | ||||||
12 | connection with a guarantee, assumption, or | ||||||
13 | reinsurance agreement if the Association finds that | ||||||
14 | the amounts which can be assessed under this Article | ||||||
15 | are less than the amounts needed to assure full and | ||||||
16 | prompt performance of the Association's duties under | ||||||
17 | this Article or that the economic or financial | ||||||
18 | conditions as they affect member insurers are | ||||||
19 | sufficiently adverse to render the imposition of such | ||||||
20 | permanent policy or contract liens to be in the public | ||||||
21 | interest; or | ||||||
22 | (b) (2) subject to approval by a court in this | ||||||
23 | State , impose temporary moratoriums or liens on | ||||||
24 | payments of cash values and policy loans or any other | ||||||
25 | right to withdraw funds held in conjunction with | ||||||
26 | policies or contracts in addition to any contractual |
| |||||||
| |||||||
1 | provisions for deferral of cash or policy loan value. | ||||||
2 | In addition, in the event of a temporary moratorium or | ||||||
3 | moratorium charge imposed by the receivership court on | ||||||
4 | payment of cash values or policy loans or on any other | ||||||
5 | right to withdraw funds held in conjunction with | ||||||
6 | policies or contracts, out of the assets of the | ||||||
7 | impaired or insolvent insurer, the Association may | ||||||
8 | defer the payment of cash values, policy loans, or | ||||||
9 | other rights by the Association for the period of the | ||||||
10 | moratorium or moratorium charge imposed by the | ||||||
11 | receivership court, except for claims covered by the | ||||||
12 | Association to be paid in accordance with a hardship | ||||||
13 | procedure established by the liquidator or | ||||||
14 | rehabilitator and approved by the receivership court.
| ||||||
15 |
(6) (i) There shall be no liability on the part of and | ||||||
16 | no cause of action
shall arise against the Association or | ||||||
17 | against any transferee from the
Association in connection | ||||||
18 | with the transfer by reinsurance or otherwise of
all or any | ||||||
19 | part of an impaired or insolvent insurer's business by | ||||||
20 | reason of
any action taken or any failure to take any | ||||||
21 | action by the impaired or
insolvent insurer at any time.
| ||||||
22 |
(7) (j) If the Association fails to act within a | ||||||
23 | reasonable period of
time as provided in subsection (2) of | ||||||
24 | this Section with respect to an
insolvent insurer, the
| ||||||
25 | Director shall have the powers and duties of the | ||||||
26 | Association under this
Act with regard to such insolvent |
| |||||||
| |||||||
1 | insurers.
| ||||||
2 |
(8) (k) The Association or its designated | ||||||
3 | representatives
may render assistance and advice to the
| ||||||
4 | Director, upon his request, concerning rehabilitation, | ||||||
5 | payment of
claims, continuations of coverage, or the | ||||||
6 | performance of other
contractual obligations of any | ||||||
7 | impaired or insolvent insurer.
| ||||||
8 |
(9) (l) The Association shall have standing to appear | ||||||
9 | or intervene before a court or agency in this State with | ||||||
10 | jurisdiction over an impaired or insolvent insurer | ||||||
11 | concerning which the Association is or may become obligated | ||||||
12 | under this Article or with jurisdiction over any person or | ||||||
13 | property against which the Association may have rights | ||||||
14 | through subrogation or otherwise. Standing shall extend to | ||||||
15 | all matters germane to the powers and duties of the | ||||||
16 | Association, including, but not limited to, proposals for | ||||||
17 | reinsuring, modifying, or guaranteeing the policies or | ||||||
18 | contracts of the impaired or insolvent insurer and the | ||||||
19 | determination of the policies or contracts and contractual | ||||||
20 | obligations. The Association shall also have the right to | ||||||
21 | appear or intervene before a court or agency in another | ||||||
22 | state with jurisdiction over an impaired or insolvent | ||||||
23 | insurer for which the Association is or may become | ||||||
24 | obligated or with jurisdiction over any person or property | ||||||
25 | against whom the Association may have rights through | ||||||
26 | subrogation or otherwise.
|
| |||||||
| |||||||
1 |
(10)(a) (m)(1) A person receiving benefits under this | ||||||
2 | Article shall be deemed to have assigned the rights under | ||||||
3 | and any causes of action against any person for losses | ||||||
4 | arising under, resulting from, or otherwise relating to the | ||||||
5 | covered policy or contract to the Association to the extent | ||||||
6 | of the benefits received because of this Article, whether | ||||||
7 | the benefits are payments of or on account of contractual | ||||||
8 | obligations, continuation of coverage, or provision of | ||||||
9 | substitute or alternative coverages. The Association may | ||||||
10 | require an assignment to it of such rights and cause of | ||||||
11 | action by any payee, policy, or contract owner, | ||||||
12 | beneficiary, insured, or annuitant as a condition | ||||||
13 | precedent to the receipt of any right or benefits conferred | ||||||
14 | by this Article upon the person.
| ||||||
15 |
(b) (2) The subrogation rights of the Association | ||||||
16 | under this subsection
have the same priority against the | ||||||
17 | assets of the impaired or insolvent insurer as
that | ||||||
18 | possessed by the person entitled to receive benefits under | ||||||
19 | this
Article. | ||||||
20 | (c) (3) In addition to paragraphs (a) (1) and (b) (2) , | ||||||
21 | the Association shall have all common law rights of | ||||||
22 | subrogation and any other equitable or legal remedy that | ||||||
23 | would have been available to the impaired or insolvent | ||||||
24 | insurer or owner, beneficiary, or payee of a policy or | ||||||
25 | contract with respect to the policy or contracts, including | ||||||
26 | without limitation, in the case of a structured settlement |
| |||||||
| |||||||
1 | annuity, any rights of the owner, beneficiary, or payee of | ||||||
2 | the annuity to the extent of benefits received pursuant to | ||||||
3 | this Article, against a person originally or by succession | ||||||
4 | responsible for the losses arising from the personal injury | ||||||
5 | relating to the annuity or payment therefor, excepting any | ||||||
6 | such person responsible solely by reason of serving as an | ||||||
7 | assignee in respect of a qualified assignment under | ||||||
8 | Internal Revenue Code Section 130. | ||||||
9 | (d) (4) If the preceding provisions of this subsection | ||||||
10 | (10) (l) are invalid or ineffective with respect to any | ||||||
11 | person or claim for any reason, then the amount payable by | ||||||
12 | the Association with respect to the related covered | ||||||
13 | obligations shall be reduced by the amount realized by any | ||||||
14 | other person with respect to the person or claim that is | ||||||
15 | attributable to the policies, or portion thereof, covered | ||||||
16 | by the Association. | ||||||
17 | (e) (5) If the Association has provided benefits with | ||||||
18 | respect to a covered obligation and a person recovers | ||||||
19 | amounts as to which the Association has rights as described | ||||||
20 | in the preceding paragraphs of this subsection (10), then | ||||||
21 | the person shall pay to the Association the portion of the | ||||||
22 | recovery attributable to the policies, or portion thereof, | ||||||
23 | covered by the Association.
| ||||||
24 |
(11) (n) The Association may:
| ||||||
25 |
(a) (1) Enter into such contracts as are necessary | ||||||
26 | or proper to carry
out the provisions and purposes of |
| |||||||
| |||||||
1 | this Article.
| ||||||
2 |
(b) (2) Sue or be sued, including taking any legal | ||||||
3 | actions necessary or
proper for recovery of any unpaid | ||||||
4 | assessments under Section 531.09. The
Association | ||||||
5 | shall not be liable for punitive or exemplary damages.
| ||||||
6 |
(c) (3) Borrow money to effect the purposes of | ||||||
7 | this Article. Any notes
or other evidence of | ||||||
8 | indebtedness of the Association not in default are
| ||||||
9 | legal investments for domestic insurers and may be | ||||||
10 | carried as admitted
assets.
| ||||||
11 |
(d) (4) Employ or retain such persons as are | ||||||
12 | necessary to handle the
financial transactions of the | ||||||
13 | Association, and to perform such other
functions as | ||||||
14 | become necessary or proper under this Article.
| ||||||
15 |
(e) (5) Negotiate and contract with any | ||||||
16 | liquidator, rehabilitator,
conservator, or ancillary | ||||||
17 | receiver to carry out the powers and duties of
the | ||||||
18 | Association.
| ||||||
19 |
(f) (6) Take such legal action as may be necessary | ||||||
20 | to avoid payment of
improper claims.
| ||||||
21 |
(g) (7) Exercise, for the purposes of this Article | ||||||
22 | and to the extent
approved by the Director, the powers | ||||||
23 | of a domestic life or health
insurer, but in no case | ||||||
24 | may the Association issue insurance policies or
| ||||||
25 | annuity contracts other than those issued to perform | ||||||
26 | the contractual
obligations of the impaired or |
| |||||||
| |||||||
1 | insolvent insurer.
| ||||||
2 |
(h) (8) Exercise all the rights of the Director | ||||||
3 | under Section 193(4) of
this Code with respect to | ||||||
4 | covered policies after the association becomes
| ||||||
5 | obligated by statute.
| ||||||
6 | (i) (9) Request information from a person seeking | ||||||
7 | coverage from the Association in order to aid the | ||||||
8 | Association in determining its obligations under this | ||||||
9 | Article with respect to the person, and the person | ||||||
10 | shall promptly comply with the request. | ||||||
11 | (j) (10) Take other necessary or appropriate | ||||||
12 | action to discharge its duties and obligations under | ||||||
13 | this Article or to exercise its powers under this | ||||||
14 | Article. | ||||||
15 |
(12) (o) With respect to covered policies for which | ||||||
16 | the Association becomes
obligated after an entry of an | ||||||
17 | order of liquidation or rehabilitation,
the Association | ||||||
18 | may
elect to succeed to the rights of the insolvent insurer | ||||||
19 | arising after the
date of the order of liquidation or | ||||||
20 | rehabilitation under any contract
of reinsurance to which
| ||||||
21 | the insolvent insurer was a party, to the extent that such | ||||||
22 | contract
provides coverage for losses occurring after the | ||||||
23 | date of the order of
liquidation or rehabilitation. As a | ||||||
24 | condition to making this election,
the Association must pay | ||||||
25 | all unpaid premiums due under the contract for
coverage | ||||||
26 | relating to periods before and after the date of the order |
| |||||||
| |||||||
1 | of
liquidation or rehabilitation.
| ||||||
2 | (13) (p) A deposit in this State, held pursuant to law | ||||||
3 | or required by the Director for the benefit of creditors, | ||||||
4 | including policy owners, not turned over to the domiciliary | ||||||
5 | liquidator upon the entry of a final order of liquidation | ||||||
6 | or order approving a rehabilitation plan of an insurer | ||||||
7 | domiciled in this State or in a reciprocal state, pursuant | ||||||
8 | to Article XIII 1/2 of this Code, shall be promptly paid to | ||||||
9 | the Association. The Association shall be entitled to | ||||||
10 | retain a portion of any amount so paid to it equal to the | ||||||
11 | percentage determined by dividing the aggregate amount of | ||||||
12 | policy owners' claims related to that insolvency for which | ||||||
13 | the Association has provided statutory benefits by the | ||||||
14 | aggregate amount of all policy owners' claims in this State | ||||||
15 | related to that insolvency and shall remit to the | ||||||
16 | domiciliary receiver the amount so paid to the Association | ||||||
17 | less the amount retained pursuant to this subsection (13) . | ||||||
18 | Any amount so paid to the Association and retained by it | ||||||
19 | shall be treated as a distribution of estate assets | ||||||
20 | pursuant to applicable State receivership law dealing with | ||||||
21 | early access disbursements. | ||||||
22 | (14) (q) The Board of Directors of the Association | ||||||
23 | shall have discretion and may exercise reasonable business | ||||||
24 | judgment to determine the means by which the Association is | ||||||
25 | to provide the benefits of this Article in an economical | ||||||
26 | and efficient manner. |
| |||||||
| |||||||
1 | (15) (r) Where the Association has arranged or offered | ||||||
2 | to provide the benefits of this Article to a covered person | ||||||
3 | under a plan or arrangement that fulfills the Association's | ||||||
4 | obligations under this Article, the person shall not be | ||||||
5 | entitled to benefits from the Association in addition to or | ||||||
6 | other than those provided under the plan or arrangement. | ||||||
7 | (16) (s) Venue in a suit against the Association | ||||||
8 | arising under the Article shall be in Cook County. The | ||||||
9 | Association shall not be required to give any appeal bond | ||||||
10 | in an appeal that relates to a cause of action arising | ||||||
11 | under this Article. | ||||||
12 | (17) (t) The Association may join an organization of | ||||||
13 | one or more other State associations of similar purposes to | ||||||
14 | further the purposes and administer the powers and duties | ||||||
15 | of the Association. | ||||||
16 | (18) (u) In carrying out its duties in connection with | ||||||
17 | guaranteeing, assuming, or reinsuring policies or | ||||||
18 | contracts under subsections (1) or (2), the Association | ||||||
19 | may, subject to approval of the receivership court, issue | ||||||
20 | substitute coverage for a policy or contract that provides | ||||||
21 | an interest rate, crediting rate, or similar factor | ||||||
22 | determined by use of an index or other external reference | ||||||
23 | stated in the policy or contract employed in calculating | ||||||
24 | returns or changes in value by issuing an alternative | ||||||
25 | policy or contract in accordance with the following | ||||||
26 | provisions: |
| |||||||
| |||||||
1 | (a) (1) in lieu of the index or other external | ||||||
2 | reference provided for in the original policy or | ||||||
3 | contract, the alternative policy or contract provides | ||||||
4 | for (i) a fixed interest rate, or (ii) payment of | ||||||
5 | dividends with minimum guarantees, or (iii) a | ||||||
6 | different method for calculating interest or changes | ||||||
7 | in value; | ||||||
8 | (b) (2) there is no requirement for evidence of | ||||||
9 | insurability, waiting period, or other exclusion that | ||||||
10 | would not have applied under the replaced policy or | ||||||
11 | contract; and | ||||||
12 | (c) (3) the alternative policy or contract is | ||||||
13 | substantially similar to the replaced policy or | ||||||
14 | contract in all other material terms. | ||||||
15 | (Source: P.A. 96-1450, eff. 8-20-10; 97-333, eff. 8-12-11.)
| ||||||
16 | (215 ILCS 5/531.09) (from Ch. 73, par. 1065.80-9)
| ||||||
17 | Sec. 531.09. Assessments. | ||||||
18 | (1) For the purpose of providing the funds
necessary to | ||||||
19 | carry out the powers and duties of the Association, the board
| ||||||
20 | of directors shall assess the member insurers, separately for | ||||||
21 | each account, at such
times and for such amounts as the board | ||||||
22 | finds necessary. Assessments shall
be due not less than 30 days | ||||||
23 | after written notice to the member insurers
and shall accrue | ||||||
24 | interest from the due date at such adjusted rate as is
| ||||||
25 | established under Section 6621 of Chapter 26 of the United |
| |||||||
| |||||||
1 | States Code and
such interest shall be compounded daily.
| ||||||
2 | (2) There shall be 2 classes of assessments, as follows:
| ||||||
3 | (a) Class A assessments shall be made for the purpose | ||||||
4 | of meeting administrative
costs and other general expenses | ||||||
5 | and examinations conducted under the authority
of the | ||||||
6 | Director under subsection (5) of Section 531.12.
| ||||||
7 | (b) Class B assessments shall be made to the extent | ||||||
8 | necessary to carry
out the powers and duties of the | ||||||
9 | Association under Section 531.08 with regard
to an impaired | ||||||
10 | or insolvent domestic insurer or insolvent foreign or alien | ||||||
11 | insurers.
| ||||||
12 | (3)(a) The amount of any Class A assessment shall be | ||||||
13 | determined at the discretion of the board of directors and such | ||||||
14 | assessments shall be authorized and called on a non-pro rata | ||||||
15 | basis. The amount of any Class B
assessment shall be allocated | ||||||
16 | for assessment
purposes among the accounts
and subaccounts | ||||||
17 | pursuant to an allocation formula which may be based on
the | ||||||
18 | premiums or reserves of the impaired or insolvent insurer or | ||||||
19 | any other
standard deemed by the board in its sole discretion | ||||||
20 | as being fair and
reasonable under the circumstances.
| ||||||
21 | (b) Class B assessments against member insurers for each | ||||||
22 | account and
subaccount shall
be in the proportion that the | ||||||
23 | premiums received on business in this State
by each assessed | ||||||
24 | member insurer on policies or contracts covered by
each account | ||||||
25 | or subaccount for the three most recent calendar years
for | ||||||
26 | which information is available preceding the year in which the |
| |||||||
| |||||||
1 | insurer
became impaired or insolvent, as the case may be, bears | ||||||
2 | to such premiums
received on business in this State for such | ||||||
3 | calendar years by all assessed
member insurers.
| ||||||
4 | (c) Assessments for funds to meet the requirements of the | ||||||
5 | Association
with respect to an impaired or insolvent insurer | ||||||
6 | shall not be made until
necessary to implement the purposes of | ||||||
7 | this Article. Classification
of assessments
under subsection | ||||||
8 | (2) and computations of assessments under this subsection
shall | ||||||
9 | be made with a reasonable degree of accuracy, recognizing that | ||||||
10 | exact
determinations may not always be possible.
| ||||||
11 | (4) The Association may abate or defer, in whole or in | ||||||
12 | part, the assessment of a member insurer if, in the opinion of | ||||||
13 | the board, payment of the assessment would endanger the ability | ||||||
14 | of the member insurer to fulfill its contractual obligations. | ||||||
15 | In the event an assessment against a member insurer is abated | ||||||
16 | or deferred in whole or in part the amount by which the | ||||||
17 | assessment is abated or deferred may be assessed against the | ||||||
18 | other member insurers in a manner consistent with the basis for | ||||||
19 | assessments set forth in this Section. Once the conditions that | ||||||
20 | caused a deferral have been removed or rectified, the member | ||||||
21 | insurer shall pay all assessments that were deferred pursuant | ||||||
22 | to a repayment plan approved by the Association. | ||||||
23 | (5) (a) (i) Subject to the provisions of subparagraph (ii) | ||||||
24 | of this paragraph, the total of all assessments authorized by | ||||||
25 | the Association with respect to a member insurer for each | ||||||
26 | subaccount of the life insurance and annuity account and for |
| |||||||
| |||||||
1 | the health account shall not in one calendar year exceed 2% of | ||||||
2 | that member insurer's average annual premiums received in this | ||||||
3 | State on the policies and contracts covered by the subaccount | ||||||
4 | or account during the 3 calendar years preceding the year in | ||||||
5 | which the insurer became an impaired or insolvent insurer. | ||||||
6 | (ii) If 2 or more assessments are authorized in one | ||||||
7 | calendar year with respect to insurers that become impaired or | ||||||
8 | insolvent in different calendar years, the average annual | ||||||
9 | premiums for purposes of the aggregate assessment percentage | ||||||
10 | limitation referenced in subparagraph (a) of this paragraph | ||||||
11 | shall be equal and limited to the higher of the 3-year average | ||||||
12 | annual premiums for the applicable subaccount or account as | ||||||
13 | calculated pursuant to this Section. | ||||||
14 | (iii) If the maximum assessment, together with the other | ||||||
15 | assets of the Association in an account, does not provide in | ||||||
16 | one year in either account an amount sufficient to carry out | ||||||
17 | the responsibilities of the Association, the necessary | ||||||
18 | additional funds shall be assessed as soon thereafter as | ||||||
19 | permitted by this Article. | ||||||
20 | (b) The board may provide in the plan of operation a method | ||||||
21 | of allocating funds among claims, whether relating to one or | ||||||
22 | more impaired or insolvent insurers, when the maximum | ||||||
23 | assessment will be insufficient to cover anticipated claims. | ||||||
24 | (c) If the maximum assessment for a subaccount of the life | ||||||
25 | insurance and annuity account in one year does not provide an | ||||||
26 | amount sufficient to carry out the responsibilities of the |
| |||||||
| |||||||
1 | Association, then pursuant to paragraph (b) of subsection (3), | ||||||
2 | the board shall assess the other subaccounts of the life and | ||||||
3 | annuity account for the necessary additional amount, subject to | ||||||
4 | the maximum stated in paragraph (a) of this subsection.
| ||||||
5 | (6) The board may, by an equitable method as established in | ||||||
6 | the
plan of operation, refund to member insurers, in proportion | ||||||
7 | to the contribution
of each insurer to that account, the amount | ||||||
8 | by which the assets of the account
exceed the amount the board | ||||||
9 | finds is necessary to carry out during the coming
year the | ||||||
10 | obligations of the Association with regard to that account, | ||||||
11 | including
assets accruing from net realized gains and income | ||||||
12 | from investments. A
reasonable amount may be retained in any | ||||||
13 | account to provide funds for the
continuing expenses of the | ||||||
14 | Association and for future losses.
| ||||||
15 | (7) An assessment is deemed to occur on the date upon which | ||||||
16 | the board
votes such assessment. The board may defer calling | ||||||
17 | the payment of the
assessment or may call for payment in one or | ||||||
18 | more installments.
| ||||||
19 | (8) It is proper for any member insurer, in determining its | ||||||
20 | premium
rates and policyowner dividends as to any kind of | ||||||
21 | insurance within the scope of
this Article, to consider the | ||||||
22 | amount reasonably necessary to meet its assessment
obligations | ||||||
23 | under this Article.
| ||||||
24 | (9) The Association must issue to each insurer paying a
| ||||||
25 | Class B assessment
under this Article a certificate of | ||||||
26 | contribution,
in a form acceptable to the
Director, for the |
| |||||||
| |||||||
1 | amount of the assessment so paid. All outstanding certificates
| ||||||
2 | are of equal
dignity and priority without reference to amounts | ||||||
3 | or dates of issue. A certificate
of contribution may be shown | ||||||
4 | by the insurer in its financial statement as an asset
in such | ||||||
5 | form and for such amount, if any, and period of time as the | ||||||
6 | Director
may approve, provided the insurer shall in any event | ||||||
7 | at its option have
the right to show a certificate of | ||||||
8 | contribution as an admitted asset at
percentages of the | ||||||
9 | original face amount for calendar years as follows:
| ||||||
10 | 100% for the calendar year after the year of issuance;
| ||||||
11 | 80% for the second calendar year after the year of | ||||||
12 | issuance;
| ||||||
13 | 60% for the third calendar year after the year of issuance;
| ||||||
14 | 40% for the fourth calendar year after the year of | ||||||
15 | issuance;
| ||||||
16 | 20% for the fifth calendar year after the year of issuance.
| ||||||
17 | (10) The Association may request information of member | ||||||
18 | insurers in order to aid in the exercise of its power under | ||||||
19 | this Section and member insurers shall promptly comply with a | ||||||
20 | request. | ||||||
21 | (Source: P.A. 95-86, eff. 9-25-07 (changed from 1-1-08 by P.A. | ||||||
22 | 95-632); 96-1450, eff. 8-20-10.)
| ||||||
23 | (215 ILCS 5/531.10) (from Ch. 73, par. 1065.80-10)
| ||||||
24 | Sec. 531.10. Plan of Operation. ) | ||||||
25 | (1)(a) The Association must
submit to the Director a plan |
| |||||||
| |||||||
1 | of operation and any amendments thereto necessary
or suitable | ||||||
2 | to assure the fair, reasonable, and equitable administration of | ||||||
3 | the
Association. The plan of operation and any amendments | ||||||
4 | thereto become effective
upon approval in writing by the | ||||||
5 | Director.
| ||||||
6 | (b) If the Association fails to submit a suitable plan of | ||||||
7 | operation
within 180 days following the effective date of this | ||||||
8 | Article or if at any time
thereafter the Association fails to | ||||||
9 | submit suitable amendments to the plan, the
Director may, after | ||||||
10 | notice and hearing, adopt and promulgate such reasonable
rules | ||||||
11 | as are necessary or advisable to effectuate the provisions of | ||||||
12 | this Article.
Such rules are in force until modified by the | ||||||
13 | Director or superseded by a plan
submitted by the Association | ||||||
14 | and approved by the Director.
| ||||||
15 | (2) All member insurers must comply with the plan of | ||||||
16 | operation.
| ||||||
17 | (3) The plan of operation must, in addition to requirements | ||||||
18 | enumerated
elsewhere in this Article:
| ||||||
19 | (a) Establish procedures for handling the assets of the | ||||||
20 | Association;
| ||||||
21 | (b) Establish the amount and method of reimbursing | ||||||
22 | members of the
board of directors under Section 531.07;
| ||||||
23 | (c) Establish regular places and times for meetings of | ||||||
24 | the board
of directors;
| ||||||
25 | (d) Establish procedures for records to be kept of all | ||||||
26 | financial
transactions of the Association, its agents, and |
| |||||||
| |||||||
1 | the board of directors;
| ||||||
2 | (e) Establish the procedures whereby selections for | ||||||
3 | the board
of directors will be made and submitted to the | ||||||
4 | Director;
| ||||||
5 | (f) Establish any additional procedures for | ||||||
6 | assessments under
Section 531.09; and
| ||||||
7 | (g) Contain additional provisions necessary or proper | ||||||
8 | for the execution
of the powers and duties of the | ||||||
9 | Association.
| ||||||
10 | (4) The plan of operation shall establish a procedure for | ||||||
11 | protest by
any member insurer of assessments made by the | ||||||
12 | Association pursuant to
Section 531.09. Such procedures shall | ||||||
13 | require that:
| ||||||
14 | (a) a member insurer that wishes to protest all or part | ||||||
15 | of an assessment shall pay when due the full amount of the | ||||||
16 | assessment as set forth in the notice provided by the | ||||||
17 | Association. The payment shall be available to meet | ||||||
18 | Association obligations during the pendency of the protest | ||||||
19 | or any subsequent appeal. Payment shall be accompanied by a | ||||||
20 | statement in writing that the payment is made under protest | ||||||
21 | and setting forth a brief statement of the grounds for the | ||||||
22 | protest;
| ||||||
23 | (b) within 30 days following the payment of an | ||||||
24 | assessment under
protest by any protesting member insurer, | ||||||
25 | the Association must notify the
member insurer in writing | ||||||
26 | of its determination with respect to the protest
unless the |
| |||||||
| |||||||
1 | Association notifies the member that additional time is | ||||||
2 | required
to resolve the issues raised by the protest;
| ||||||
3 | (c) in the event the Association determines that the | ||||||
4 | protesting member
insurer is entitled to a refund, such | ||||||
5 | refund shall be made within 30
days following the date upon | ||||||
6 | which the Association makes its determination;
| ||||||
7 | (d) the decision of the Association with respect to a | ||||||
8 | protest may be
appealed to the Director pursuant to Section | ||||||
9 | 531.11(3);
| ||||||
10 | (e) in the alternative to rendering a decision with | ||||||
11 | respect to any
protest based on a question regarding the | ||||||
12 | assessment base, the Association
may refer such protests to | ||||||
13 | the Director for final decision, with or without
a | ||||||
14 | recommendation from the Association; and
| ||||||
15 | (f) interest on any refund due a protesting member | ||||||
16 | insurer shall be paid
at the rate actually earned by the | ||||||
17 | Association.
| ||||||
18 | (5) The plan of operation may provide that any or all | ||||||
19 | powers and duties
of the Association, except those under | ||||||
20 | paragraph (c) of subsection (11) (10)
of Section 531.08 and | ||||||
21 | Section 531.09 are delegated to a corporation,
association or | ||||||
22 | other organization which performs or will perform functions
| ||||||
23 | similar to those of this Association, or its equivalent, in 2 | ||||||
24 | or more states.
Such a corporation, association or organization | ||||||
25 | shall be reimbursed for any
payments made on behalf of the | ||||||
26 | Association and shall be paid for its
performance of any |
| |||||||
| |||||||
1 | function of the Association. A delegation under this
subsection | ||||||
2 | shall take effect only with the approval of both the Board of
| ||||||
3 | Directors and the Director, and may be made only to a | ||||||
4 | corporation, association
or organization which extends | ||||||
5 | protection not substantially less favorable and
effective than | ||||||
6 | that provided by this Act.
| ||||||
7 | (Source: P.A. 96-1450, eff. 8-20-10.)
| ||||||
8 | (215 ILCS 5/531.14) (from Ch. 73, par. 1065.80-14)
| ||||||
9 | Sec. 531.14. Miscellaneous Provisions. | ||||||
10 | (1) Nothing in this
Article may be construed to reduce the | ||||||
11 | liability for unpaid assessments of the insured
of an impaired | ||||||
12 | or insolvent insurer operating under a plan with assessment | ||||||
13 | liability.
| ||||||
14 | (2) Records must be kept of all negotiations and meetings | ||||||
15 | in which
the Association or its representatives are involved to | ||||||
16 | discuss the activities of the
Association in carrying out its | ||||||
17 | powers and duties under Section 531.08. Records of such
| ||||||
18 | negotiations or meetings may be made public only upon the | ||||||
19 | termination of a
liquidation, rehabilitation, or conservation | ||||||
20 | proceeding involving the impaired
or insolvent insurer, upon | ||||||
21 | the termination of the impairment or insolvency
of the insurer, | ||||||
22 | or upon the order
of a court of competent jurisdiction. Nothing | ||||||
23 | in this paragraph (2) limits the
duty of the Association to | ||||||
24 | render a report of its activities under Section
531.15.
| ||||||
25 | (3) For the purpose of carrying out its obligations under |
| |||||||
| |||||||
1 | this Article,
the Association is deemed to be a creditor of the | ||||||
2 | impaired or insolvent
insurer to the extent of assets | ||||||
3 | attributable to covered policies reduced by any
amounts to | ||||||
4 | which the Association is entitled as subrogee (under subsection | ||||||
5 | (10) paragraph (8)
of Section 531.08). All assets of the | ||||||
6 | impaired or insolvent insurer
attributable to covered policies | ||||||
7 | must be used to continue all covered policies
and pay all | ||||||
8 | contractual obligations of the impaired insurer as required by | ||||||
9 | this
Article. "Assets attributable to covered policies", as | ||||||
10 | used in this paragraph
(3), is that proportion of the
assets | ||||||
11 | which the reserves that should have been established
for such | ||||||
12 | policies bear to the reserve that should have been
established | ||||||
13 | for all policies of
insurance written by the impaired or | ||||||
14 | insolvent insurer.
| ||||||
15 | (4) (a) Prior to the termination of any liquidation, | ||||||
16 | rehabilitation,
or conservation proceeding, the court may take | ||||||
17 | into consideration the contributions
of the respective | ||||||
18 | parties, including the Association, the shareholders and
| ||||||
19 | policyowners of the impaired or insolvent insurer, and any | ||||||
20 | other party with
a bona fide interest,
in making an equitable | ||||||
21 | distribution of the ownership rights of such impaired
or | ||||||
22 | insolvent
insurer. In such a determination, consideration must | ||||||
23 | be given to the welfare of the
policyholders of the continuing | ||||||
24 | or successor insurer.
| ||||||
25 | (b) No distribution to stockholders, if any, of an impaired | ||||||
26 | or insolvent insurer
may be made until and unless the total
|
| |||||||
| |||||||
1 | amount of valid claims of the Association for funds expended | ||||||
2 | with interest in carrying
out its powers and duties under | ||||||
3 | Section 531.08, with respect to such insurer
have been fully | ||||||
4 | recovered by the Association.
| ||||||
5 | (5) (a) If an order for liquidation or rehabilitation of
an | ||||||
6 | insurer
domiciled in this State has been entered, the receiver | ||||||
7 | appointed under such
order has a right to recover on behalf of | ||||||
8 | the insurer, from any affiliate that
controlled it, the amount | ||||||
9 | of distributions, other than stock dividends paid by
the | ||||||
10 | insurer on its capital stock, made at any time during the 5 | ||||||
11 | years preceding
the petition for liquidation or rehabilitation | ||||||
12 | subject to the limitations of
paragraphs (b) to (d).
| ||||||
13 | (b) No such dividend is recoverable if the insurer shows | ||||||
14 | that when
paid the distribution was lawful and reasonable, and | ||||||
15 | that the insurer did not
know and could not reasonably have | ||||||
16 | known that the distribution might adversely affect
the ability | ||||||
17 | of the insurer to fulfill its contractual obligations.
| ||||||
18 | (c) Any person who as an affiliate that controlled the | ||||||
19 | insurer at
the time the distributions were paid is liable up to | ||||||
20 | the amount of distributions
he received. Any person who was an | ||||||
21 | affiliate that controlled the insurer at the
time the | ||||||
22 | distributions were declared, is liable up to the amount of | ||||||
23 | distributions
he would have received if they had been paid | ||||||
24 | immediately. If 2 persons are
liable with respect to the same | ||||||
25 | distributions, they are jointly and severally liable.
| ||||||
26 | (d) The maximum amount recoverable under subsection (5) of |
| |||||||
| |||||||
1 | this Section is
the amount needed in excess of all other | ||||||
2 | available assets of the insolvent insurer
to pay the | ||||||
3 | contractual obligations of the insolvent insurer.
| ||||||
4 | (e) If any person liable under paragraph (c) of subsection | ||||||
5 | (5) of this
Section is insolvent, all its
affiliates that | ||||||
6 | controlled it at the time the dividend was paid are jointly and
| ||||||
7 | severally liable for any resulting deficiency in the amount | ||||||
8 | recovered from
the insolvent affiliate.
| ||||||
9 | (6) As a creditor of the impaired or insolvent insurer as | ||||||
10 | established in subsection (3) of this Section and consistent | ||||||
11 | with subsection (2) of Section 205 of this Code, the | ||||||
12 | Association and other similar associations shall be entitled to | ||||||
13 | receive a disbursement of assets out of the marshaled assets, | ||||||
14 | from time to time as the assets become available to reimburse | ||||||
15 | it, as a credit against contractual obligations under this | ||||||
16 | Article. If the liquidator has not, within 120 days after a | ||||||
17 | final determination of insolvency of an insurer by the | ||||||
18 | receivership court, made an application to the court for the | ||||||
19 | approval of a proposal to disburse assets out of marshaled | ||||||
20 | assets to guaranty associations having obligations because of | ||||||
21 | the insolvency, then the Association shall be entitled to make | ||||||
22 | application to the receivership court for approval of its own | ||||||
23 | proposal to disburse these assets. | ||||||
24 | (Source: P.A. 96-1450, eff. 8-20-10.)
| ||||||
25 | Section 99. Effective date. This Act takes effect upon | ||||||
26 | becoming law.
|