BILL ANALYSIS H.B. 1243 By: Smithee (Sibley) Economic Development 05-22-95 Senate Committee Report (Amended) BACKGROUND Currently, Texas domiciled insurers are licensed in other states to conduct the business of insurance. These insurers are primarily regulated by the State of Texas, however, they must comply with the insurance laws of the states in which they operate. Historically, there has been a large disparity in solvency laws from state to state and due to a significant number of insurance company insolvencies on a national basis, the State of Texas has developed a set of minimum solvency standards. PURPOSE As proposed, H.B. 1243 provides requirements for certain insurers and health maintenance organizations concerning financial solvency. RULEMAKING AUTHORITY It is the committee's opinion that rulemaking authority is granted to the commissioner of insurance under SECTION 1 (Art. 1.39(f), Insurance Code) and to the State Board of Insurance under SECTION 2 (Art. 3.10(a), Insurance Code) of this bill. SECTION BY SECTION ANALYSIS SECTION 1. Amends Article 1.39, Insurance Code, by amending Subsection (b) and adding Subsections (e) and (f), as follows: (b) Authorizes an insurer to obtain a loan or an advance of cash, cash equivalents, or other assets that have a readily determinable value and are satisfactory to the commissioner of insurance (commissioner), rather than property. (e) Requires an agreement entered into under Subsection (b) of this article to be submitted to the commissioner for approval as to form and content; provided, however, that the commissioner must give his decision of either approval or disapproval within 30 days after the written filing by the insurer, and his failure to so act within such 30 days shall constitute approval of the transaction. Prohibits an insurer from assuming a subordinated liability until the commissioner has approved the agreement under either Section 4, Article 21.49-1, or this article. Sets forth provisions under which an insurer may not repay principal or pay interest on a subordinated liability assumed under either Section 4, Article 21.49-1, or this article on or after September 1, 1995. Provides that a loan, debenture, revenue bond, or advance agreement issued before September 1, 1995, and any subsequent payment of interest or repayment of principal are governed by the law in effect on the date of issuance. (f) Requires the commissioner to adopt rules as necessary to implement this article. SECTION 2. Amends Article 3.10(1), Insurance Code, to include minimum risk transfer standards, and all or any part of an insurer's risks or liabilities by reinsurance agreements in provisions for which the State Board of Insurance may adopt rules. Requires rules adopted subsequent to September 1, 1995, to apply to reinsurance agreements entered into on or after the effective date of such rules, and to reinsurance agreements that are amended on or after the effective date of such rules. Authorizes a reinsurance agreement to contain a provision that allows the offset of mutual debts and credits between a ceding insurer and the assuming insurer, whether arising out of one or more reinsurance agreements. SECTION 3. Amends Chapter 3B, Insurance Code, by adding Article 3.27-4, as follows: Art. 3.27-4. APPLICATION OF CERTAIN SOLVENCY REQUIREMENTS. Provides that Articles 3.02 and 21.49-8 of this code apply to an insurance company subject to this subchapter. SECTION 4. Amends Article 5.75-1(n), Insurance Code, to make conforming changes. SECTION 5. Amends Section 2, Article 9.47, Insurance Code, to include Article 21.49-8, rather than 3.14, in the provisions that shall apply to and govern certain title insurance companies. SECTION 6. Amends Section 16.24(b), Insurance Code, to delete Articles 1.08 and 21.28-B from the provisions that shall apply to and govern farm mutual insurance companies. Makes a nonsubstantive change. SECTION 7. Amends Section 17.22(a), Insurance Code, to make nonsubstantive and conforming changes. SECTION 8. Amends Section 18.23(b), Insurance Code, to make nonsubstantive and conforming changes. SECTION 9. Amends Section 19.12(b), Insurance Code, to make nonsubstantive and conforming changes. SECTION 10. Amends Section 26(i), Article 20A.26, V.T.I.C. (Texas Health Maintenance Organization Act) to make a conforming change. SECTION 11. Amends Article 21.44, Insurance Code, to provide that Articles 2.20 and 21.49-8 of this code apply to an insurance company subject to this article. SECTION 12. Amends Section 4(c), Article 21.49-1, Insurance Code, to provide that for purposes of this section an extraordinary dividend or distribution includes any dividend or distribution of cash or other property, whose fair market value together with that of other dividends or distributions made within the preceding 12 months exceeds the greater of 10 percent of such insurer's surplus as regards policyholders as of the 31st day of December next preceding, or the net gain from operations of such insurer, if such insurer is a life or title insurer, or the net income, rather than the net investment income, if such insurer is not a life or title insurer, for the 12-month period ending the 31st day of December next preceding. SECTION 13. Amends Chapter 21E, Insurance Code, by adding Article 21.49-8, as follows: Art. 21.49-8. DISCLOSURE OF MATERIAL TRANSACTIONS REPORT Sec. 1. APPLICATION; EXEMPTION. (a) Sets forth domestic insurers and commercially domiciled insurers to which this article applies. (b) Provides that a domestic insurer listed under Subsection (a) of this section that does business only in this state is exempt from the application of this article until the insurer obtains authority to conduct the business of insurance in another state. Sec. 2. REPORT. (a) Sets forth provisions of a report each insurer shall file with the commissioner and applicable conditions. (b) Requires the report required under Subsection (a) of this section to be filed no later than 15 days after the last day of the calendar month in which any of the affected transactions occur. (c) Requires the insurer to file one complete copy of the report with the department. (d) Provides that a report obtained by or disclosed to the commissioner under this article is confidential and is not subject to a subpoena, other than a grand jury subpoena. Prohibits the report from being disclosed by the commissioner, the National Association of Insurance Commissioners, or any other person, except to the insurance department of another state or another authorized governmental agency, without the prior consent of the affected insurer, unless the commissioner determines that the interest of policy holders, shareholders, or the public will be served by the publication of the report. Authorizes the department to disclose a report to the public and to publish all or any part of the report in any manner considered appropriate by the commissioner. Sec. 3. ACQUISITIONS AND DISPOSITIONS OF ASSETS. (a) Provides that an insurer is not required to report an acquisition or disposition of assets under Section 2 of this article if the acquisition or disposition is not material. Sets forth provisions under which an acquisition, or the aggregate of a series of related acquisitions during a 30-day period, or a disposition, or the aggregate of a series of related dispositions during a 30-day period, is material. (b) Provides that an asset acquisition subject to this article includes each purchase, lease, exchange, merger, consolidation, succession, or other acquisition, other than the construction or development of real property by or for the reporting insurer or the acquisition of materials for that purpose. (c) Provides that an asset disposition subject to this article includes each sale, lease, exchange, merger, consolidation, mortgage, hypothecation, assignment, whether for the benefit of creditors or otherwise, abandonment, destruction, or other disposition. (d) Sets forth information that must be disclosed in a report of a material acquisition or disposition of assets. (e) Requires an insurer to report material acquisitions and dispositions on a nonconsolidated basis unless the insurer is part of a consolidated group of insurers that uses a pooling arrangement or a 100 percent reinsurance agreement that affects the solvency and integrity of the insurer's reserves; and ceded substantially all of its direct and assumed business to the pooling arrangement. (f) Sets forth provisions under which an insurer is considered to have ceded substantially all of its direct and assumed business to a pooling arrangement. Sec. 4. NONRENEWALS, CANCELLATIONS, OR REVISIONS OF CEDED INSURANCE. (a) Provides that an insurer is not required to report a nonrenewal, cancellation, or revision of a ceded reinsurance agreement under Section 2 of this article if the nonrenewal, cancellation, or revision is not material. Sets forth provisions under which a nonrenewal, cancellation, or revision is material. (b) Provides that an insurer is not required to report if the insurer's ceded written premium of the total reserve credit taken for business ceded represents, less than 10 percent of direct and assumed written premiums; or 10 percent of the statutory reserve requirement before a cession. (c) Requires an insurer to report without regard to which party initiated the nonrenewal, cancellation, or revision of ceded reinsurance when certain conditions exist. (d) Requires an insurer to file a report if the result of the revision affects more than 10 percent of the cession. (e) Sets forth information to be disclosed in a report of a material nonrenewal, cancellation, or revision of a ceded reinsurance agreement. (f) Requires an insurer to report all material nonrenewals, cancellations, or revisions of ceded reinsurance agreements on a nonconsolidated basis unless the insurer meets certain provisions. (g) Sets forth provisions under which an insurer is considered to have ceded all of its direct and assumed business to a pooling arrangement. SECTION 14. Amends Chapter 21E, Insurance Code, by adding Article 21.72, as follows: Art. 21.72. GENERAL REINSURANCE REQUIREMENTS Sec. 1. (a) Prohibits an insurance company incorporated under the laws of another state or the U.S. and authorized to do business in this state from exposing itself to any loss or hazard on any one risk in an amount that exceeds 10 percent of the company's surplus as regards policyholders unless the excess is reinsured by the company in another solvent insurer. (b) Prohibits an insurance company incorporated under a jurisdiction other than that of this state, another state, or the U.S. and authorized to do business in this state from exposing itself to any loss or hazard on any one risk in an amount that exceeds 10 percent of the company's deposit with the statutory officer in the state through which the company gains admission to the U.S., together with 10 percent of other surplus to policyholders of the company's U.S. branch, unless the excess is reinsured by the company in another solvent insurer. Sec. 2. Authorizes an insurance or reinsurance company authorized to transact insurance or reinsurance in this state to reinsure the whole or any part of an individual risk in another solvent insurer. Sec. 3. Sets forth provisions to which this article does not apply. Sec. 4. Requires any reinsurance required or permitted by this article to comply with Article 5.75-1 of this code. SECTION 15. Amends Section 1, Article 22.18, Insurance Code, to delete the provision that Article 3.62 shall apply to and govern stipulated premium companies. SECTION 16. Amends Section 23.26(b), Insurance Code, to make nonsubstantive and conforming changes. SECTION 17. Amends Article 25.05, Insurance Code, to make conforming changes. SECTION 18. (a) Effective date: September 1, 1995. (b) Requires the commissioner of insurance to adopt rules as required by the Insurance Code, as amended by this Act, not later than December 31, 1995. (c) Provides that Article 21.49-8, Insurance Code, as added by this Act, takes effect only on certification by the commissioner that the National Association of Insurance has provided to the commission, in writing, a total budgetary disclosure as to the use by that association of the funds received by that association from states that are members of the association. Requires the commissioner to issue a finding regarding the certification and to publish the finding in the Texas Register. SECTION 19. Emergency clause.