Bill Title: Amends the Illinois Insurance Code. Provides that any contract with a third party to provide claim services for a property and casualty company must contain specified language that provides that upon liquidation or rehabilitation of the insurer, the files and related data become the sole property of the estate with the administrator having reasonable access and right to copy files; provides that the requirement shall apply to all contracts entered into after the effective date, and any existing contracts shall have one year to comply with the requirement. In provisions concerning the distribution of general assets of a company's estate that is undergoing liquidation, rehabilitation, or conservation proceedings: Prioritizes costs and expenses of administration, including the reasonable expenses of certain funds and associations, but excluding certain other expenses, and the expenses expressly approved or ratified by the Director of Insurance as liquidator or rehabilitator, including specified costs and expenses, over all other claims. Provides that claims of obligees under surety bonds and undertakings, claims by principals under surety bonds and surety undertakings for wrongful dissipation of collateral by the insurer or its agents, and claims incurred during certain extensions of coverage are granted the same priority level as claims by policyholders, beneficiaries, and insureds, under insurance policies, annuity contracts, and funding agreements. Provides that these changes apply to all pending and future liquidation, rehabilitation, or conservation proceedings. Makes other changes. Effective immediately.
Spectrum: Partisan Bill (Democrat 3-0)
Status: (Passed) 2017-08-25 - Public Act . . . . . . . . . 100-0410
[SB0683 Detail]Download: Illinois-2017-SB0683-Chaptered.html
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Public Act 100-0410
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SB0683 Enrolled | LRB100 06876 SMS 16925 b |
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AN ACT concerning regulation.
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Be it enacted by the People of the State of Illinois, |
represented in the General Assembly:
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Section 5. The Illinois Insurance Code is amended by adding |
Section 141b and by changing Sections 205 and 545 as follows:
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(215 ILCS 5/141b new) |
Sec. 141b. Third party access to files. Any contract with a |
third party ("administrator") to provide claim services for a |
property and casualty company must contain the following |
provisions: |
(1) Upon liquidation or rehabilitation of the insurer, |
the files and any data related thereto become the sole |
property of the estate. The administrator shall have |
reasonable access and right to copy files at the |
administrator's expense. |
(2) In the event electronic files are used, the |
administrator must keep all data in such a format that it |
is easily separated from other data maintained by the |
administrator and timely transferred to the liquidator |
upon the entry of an order or liquidation. "Timely |
transferred", in this context, means the claim file data |
must be transferred to the liquidator within 10 days after |
the entry of an order of liquidation. |
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The provisions of this Section shall apply to all contracts |
entered into after the effective date of this amendatory Act of |
the 100th General Assembly, and any existing contracts shall |
have one year to come into compliance with this Section.
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(215 ILCS 5/205) (from Ch. 73, par. 817)
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Sec. 205. Priority of distribution of general assets.
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(1) The priorities of distribution of general assets from |
the
company's estate is to be as follows:
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(a) The costs and expenses of administration , |
including, but not limited to, the following: |
(i) The reasonable expenses of the Illinois |
Insurance Guaranty Fund, the Illinois Life and Health |
Insurance Guaranty Association, and the Illinois |
Health Maintenance Organization Guaranty Association |
and of any similar organization in any other state, |
including overhead, salaries, and other general |
administrative expenses allocable to the receivership |
(administrative and claims handling expenses and |
expenses in connection with arrangements for ongoing |
coverage), but excluding expenses incurred in the |
performance of duties under Section 547 or similar |
duties under the statute governing a similar |
organization in another state. For property and |
casualty insurance guaranty associations that guaranty |
certain obligations of any member company as defined by |
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Section 534.5, expenses shall include, but not be |
limited to, loss adjustment expenses, which shall |
include adjusting and other expenses and defense and |
cost containment expenses. The expenses of such |
property and casualty guaranty associations, including |
the Illinois Insurance Guaranty Fund, shall be |
reimbursed as prescribed by Section 545, but shall be |
subordinate to all other costs and expenses of |
administration, including the expenses reimbursed |
pursuant to subparagraph (ii) of this paragraph (a). |
(ii) The expenses expressly approved or ratified |
by the Director as liquidator or rehabilitator, |
including, but not limited to, the following: |
(1) the actual and necessary costs of |
preserving or recovering the property of the |
insurer; |
(2) reasonable compensation for all services |
rendered on behalf of the administrative |
supervisor or receiver; |
(3) any necessary filing fees; |
(4) the fees and mileage payable to witnesses; |
(5) unsecured loans obtained by the receiver; |
and |
(6) expenses approved by the conservator or |
rehabilitator of the insurer, if any, incurred in the |
course of the conservation or rehabilitation that are |
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unpaid at the time of the entry of the order of |
liquidation. |
Any unsecured loan falling under item (5) of |
subparagraph (ii) of this paragraph (a) shall have priority |
over all other costs and expenses of administration, unless |
the lender agrees otherwise. Absent agreement to the |
contrary, all other costs and expenses of administration |
shall be shared on a pro-rata basis, except for the |
expenses of property and casualty guaranty associations, |
which shall have a lower priority pursuant to subparagraph |
(i) of this paragraph (a). , including the expenses of
the |
Illinois Insurance Guaranty Fund, the Illinois Life and |
Health Insurance
Guaranty Association, the Illinois Health |
Maintenance Organization Guaranty
Association and of any |
similar organization in any other state
as prescribed in |
subsection (c) of Section 545.
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(b) Secured
claims,
including claims for taxes and |
debts due the federal or any state or local
government, |
that are secured by liens perfected prior to the
filing of |
the
complaint.
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(c) Claims for wages actually owing to employees for |
services rendered
within
3 months prior to the date of the |
filing of the complaint, not exceeding $1,000
to each |
employee unless there are claims due the federal government |
under
paragraph (f), then the claims for wages shall have a |
priority of
distribution immediately following that of |
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federal claims under paragraph (f)
and immediately |
preceding claims of general creditors under paragraph (g).
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(d) Claims by policyholders, beneficiaries, and |
insureds, under
insurance policies, annuity contracts, and |
funding agreements,
liability
claims against insureds |
covered under insurance policies and insurance
contracts |
issued by the company, claims of obligees (and, subject to |
the discretion of the
receiver, completion contractors) |
under surety bonds and surety undertakings (not to include |
bail bonds, mortgage or financial guaranty, or other forms |
of insurance offering protection against
investment risk), |
claims by principals under surety bonds and surety |
undertakings for wrongful
dissipation of collateral by the |
insurer or its agents, and claims incurred during any |
extension of
coverage provided under subsection (5) of |
Section 193, and claims of the Illinois Insurance
Guaranty |
Fund, the Illinois Life and Health Insurance Guaranty |
Association,
the Illinois Health Maintenance Organization |
Guaranty Association , and any
similar organization in |
another state
as prescribed in Section 545. For purposes of |
this Section, "funding
agreement" means an agreement |
whereby an insurer authorized to write business
under Class |
1 of Section 4 of this Code may accept and accumulate funds |
and
make one or more payments at future dates in amounts |
that are not based upon
mortality or morbidity |
contingencies.
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(e) Claims by policyholders, beneficiaries, and |
insureds, the
allowed
values of which were determined by |
estimation under paragraph (b) of subsection
(4) of Section |
209.
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(f) Any other claims due the federal government.
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(g) All other claims of general creditors not falling |
within
any
other
priority under this Section including |
claims for taxes and debts due any state
or local |
government which are not secured
claims and claims for
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attorneys' fees incurred by the company in contesting its |
conservation,
rehabilitation, or liquidation.
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(h) Claims of guaranty fund certificate holders,
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guaranty
capital
shareholders, capital note holders, and |
surplus note holders.
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(i) Proprietary claims of shareholders, members, or |
other
owners.
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Every claim under a written agreement, statute, or rule |
providing that the
assets in a separate account are not |
chargeable with the liabilities arising
out of any other |
business of the insurer shall be satisfied out of the funded
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assets in the separate account equal to, but not to exceed, the |
reserves
maintained in the separate account under the separate |
account agreement, and to
the extent, if any, the claim is not |
fully discharged thereby, the remainder
of the claim shall be |
treated as a priority level (d) claim under paragraph
(d) of |
this subsection to the extent that reserves have been |
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established in the
insurer's general account pursuant to |
statute, rule, or the separate account
agreement.
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For purposes of this provision, "separate account |
policies, contracts, or
agreements" means any policies, |
contracts, or agreements that provide for
separate accounts as |
contemplated by Section 245.21.
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To the extent that any assets of an insurer, other than |
those assets properly
allocated to and maintained in a separate |
account, have been used to fund or
pay any expenses, taxes, or |
policyholder benefits that are attributable to a
separate |
account policy, contract, or agreement that should have been |
paid by a
separate account prior to the commencement of |
receivership proceedings, then
upon the commencement of |
receivership proceedings, the separate accounts
that benefited |
from this payment or funding shall first be used to repay or
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reimburse the company's general assets or account for any |
unreimbursed net sums
due at the commencement of receivership |
proceedings prior to the application of
the separate account |
assets to the satisfaction of liabilities or the
corresponding |
separate account policies, contracts, and agreements.
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To the extent, if any, reserves or assets maintained in the |
separate account
are in excess of the amounts needed to satisfy |
claims under the separate
account contracts, the excess shall |
be treated as part of the general assets of
the insurer's |
estate.
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(2) Within 120 days after the issuance of an Order of |
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Liquidation with a
finding of insolvency against a domestic |
company, the Director shall make
application to the court |
requesting authority to disburse funds to the
Illinois |
Insurance Guaranty Fund, the Illinois Life and Health Insurance
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Guaranty Association, the Illinois Health Maintenance |
Organization Guaranty
Association , and similar organizations |
in other states from time to time out
of the company's |
marshaled assets as funds
become available in amounts equal to |
disbursements made by the
Illinois Insurance Guaranty Fund, the |
Illinois Life and Health Insurance
Guaranty Association, the |
Illinois Health Maintenance Organization Guaranty
Association , |
and similar organizations in other states
for covered claims |
obligations on the presentation of evidence that such
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disbursements have been made by the Illinois Insurance
Guaranty |
Fund, the Illinois Life and Health Insurance Guaranty
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Association, the Illinois Health Maintenance Organization |
Guaranty Association ,
and similar organizations in other |
states.
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The Director shall establish procedures for the ratable |
allocation and
distribution of disbursements to the Illinois |
Insurance Guaranty Fund,
the Illinois Life and Health Insurance |
Guaranty Association, the Illinois
Health Maintenance |
Organization Guaranty Association , and
similar organizations |
in other states. In determining the amounts available
for |
disbursement, the Director shall reserve sufficient assets for |
the
payment of the expenses of administration described in |
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paragraph (1)(a)
of this Section. All funds available for |
disbursement after the establishment
of the prescribed reserve |
shall be promptly distributed. As a condition
to receipt of |
funds in reimbursement of covered claims obligations,
the |
Director shall secure from the Illinois Insurance Guaranty |
Fund,
the Illinois Life and Health Insurance Guaranty |
Association, the Illinois
Health Maintenance Organization |
Guaranty Association , and
each similar organization in other |
states, an agreement to return to the
Director on demand funds |
previously received as may be required to pay claims
of secured |
creditors and claims falling within the priorities established
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in paragraphs (a), (b), (c), and (d) of subsection (1) of
this |
Section in accordance
with such priorities.
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(3) The changes made in this Section by this amendatory Act |
of the 100th General Assembly apply to all liquidation,
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rehabilitation, or conservation proceedings that are pending |
on the effective date of this amendatory
Act of the 100th |
General Assembly and to all future liquidation, |
rehabilitation, or conservation proceedings. |
(4) The provisions of this Section are severable under |
Section 1.31 of
the Statute on Statutes.
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(Source: P.A. 92-65, eff. 7-12-01; 92-875, eff. 1-3-03.)
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(215 ILCS 5/545) (from Ch. 73, par. 1065.95)
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Sec. 545. Effect of paid claims.
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(a) Every insured or claimant seeking the
protection of |
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this Article shall cooperate with the Fund to the same
extent |
as such person would have been required to cooperate with the
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insolvent company. The Fund shall have all the rights, duties |
and
obligations under the policy to the extent of the covered |
claim payment,
provided the Fund shall have no cause of action |
against the
insured of the insolvent company for any sums it |
has paid out except
such causes of action as the insolvent |
company would have had if such
sums had been paid by the |
insolvent company and except as provided in
paragraph (d) of |
this Section.
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(b) The Fund and any similar organization in another state |
shall be
recognized as claimants in the liquidation of an |
insolvent company for any
amounts paid by them on covered |
claims obligations as determined under this
Article or similar |
laws in other states and shall receive dividends at the
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priority set forth in paragraph (d) of subsection (1) of |
Section
205 of this
Code; provided that if, at the time that |
the liquidator Liquidator issues a cut-off notice to the Fund |
in anticipation of closing the estate, a reserve has been |
established by the Fund, or any similar organization in another |
state, for the amount of their future administrative expenses |
and loss development associated with unpaid reported pending |
claims, these reserves will be deemed to have been paid as of |
the date of the notice and payment shall be made accordingly.
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The liquidator of an insolvent company shall be bound by
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determinations of covered claim eligibility under the Act and |
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by settlements
of claims made by
the Fund or a similar |
organization in
another state on the receipt of certification |
of such payments, to the extent
those
determinations or |
settlements satisfy obligations of the Fund, but the receiver
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shall not be bound in any way by those determinations or |
settlements to the
extent that there remains a claim in the |
estate for amounts in excess of the
payments by the Fund.
In |
submitting their claim for covered claim payments the Fund and |
any
similar organization in another state shall not be subject |
to the
requirements of Sections 208 and 209 of this Code and |
shall not be affected
by the failure of the person receiving a |
covered claim payment to file a proof
of claim.
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(c) The expenses of the Fund and of any similar
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organization in any other state, other than expenses incurred |
in the
performance of
duties under Section 547 or similar |
duties under the
statute governing a similar organization in |
another state, shall
be accorded the same priority over all |
claims
against the estate, except as provided for in paragraph |
(a) of subsection (1) of
Section 205 of this Code as
the |
liquidator's expenses . The liquidator shall make prompt |
reimbursement
to the Fund and any similar organization for such |
expense payments.
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(d) The Fund has the right to recover from the following |
persons the amount
of any covered claims and allocated claims |
expenses which the Fund paid or
incurred on behalf of such |
person in satisfaction, in whole or in part, of
liability |
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obligations of such person to any other person:
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(i) any insured whose net worth on December 31 of the |
year next
preceding the date the company becomes an |
insolvent company exceeds
$25,000,000; provided that an |
insured's net worth on such date shall be deemed
to include |
the aggregate net worth of the insured and all of its |
affiliates
as calculated on a consolidated basis.
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(ii) any insured who is an affiliate of the insolvent |
company.
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(Source: P.A. 96-1450, eff. 8-20-10.)
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Section 99. Effective date. This Act takes effect upon |
becoming law.
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