Bill Text: MI HB5823 | 2013-2014 | 97th Legislature | Introduced

NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Insurance; insurers; procedures for own risk and solvency assessment; provide for. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding ch. 17. TIE BAR WITH: HB 5792'14

Spectrum: Partisan Bill (Republican 1-0)

Status: (Introduced - Dead) 2014-12-18 - Laid Over One Day Under The Rules [HB5823 Detail]

Download: Michigan-2013-HB5823-Introduced.html

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOUSE BILL No. 5823

 

September 17, 2014, Introduced by Rep. Lund and referred to the Committee on Insurance.

 

     A bill to amend 1956 PA 218, entitled

 

"The insurance code of 1956,"

 

(MCL 500.100 to 500.8302) by adding chapter 17.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

CHAPTER 17

 

RISK MANAGEMENT AND OWN RISK AND SOLVENCY ASSESSMENT

 

     Sec. 1701. As used in this chapter:

 

     (a) "Insurance group" means, for the purpose of conducting an

 

ORSA, insurers and affiliates included within an insurance holding

 

company system.

 

     (b) "Insurer" means that term as defined in section 106.

 

Insurer also includes a fraternal benefit society as that term is

 

defined in section 8164. Insurer does not include agencies,

 


authorities, or instrumentalities of the United States, its

 

possessions and territories, the commonwealth of Puerto Rico, the

 

District of Columbia, or a state or political subdivision of a

 

state.

 

     (c) "Own risk and solvency assessment" or "ORSA" means a

 

confidential internal assessment, appropriate to the nature, scale,

 

and complexity of an insurer or insurance group, conducted by that

 

insurer or insurance group, of the material and relevant risks

 

associated with the insurer or insurance group's current business

 

plan, and the sufficiency of capital resources to support those

 

risks.

 

     (d) "ORSA guidance manual" means the own risk and solvency

 

assessment guidance manual as adopted and prescribed by the

 

director. A change in the ORSA guidance manual is effective on the

 

January 1 following the calendar year in which the changes have

 

been adopted and prescribed by the director.

 

     (e) "ORSA summary report" means a confidential high-level

 

summary of an insurer or insurance group's ORSA.

 

     Sec. 1703. An insurer shall maintain a risk management

 

framework to assist the insurer with identifying, assessing,

 

monitoring, managing, and reporting on its material and relevant

 

risks. This requirement may be satisfied if the insurance group of

 

which the insurer is a member maintains a risk management framework

 

applicable to the operations of the insurer.

 

     Sec. 1705. Subject to section 1709, an insurer, or the

 

insurance group of which the insurer is a member, shall regularly

 

conduct an ORSA consistent with a process comparable to the ORSA

 


guidance manual. The ORSA shall be conducted no less than annually

 

but also at any time when there are significant changes to the risk

 

profile of the insurer or the insurance group of which the insurer

 

is a member.

 

     Sec. 1707. (1) Upon the director's request, and no more than

 

once each year, an insurer shall submit to the director an ORSA

 

summary report, or any combination of reports that together contain

 

the information as described in the ORSA guidance manual,

 

applicable to the insurer, the insurance group of which it is a

 

member, or both. Notwithstanding any request from the director, if

 

the insurer is a member of an insurance group, the insurer shall

 

submit a report required by this subsection if the director is the

 

lead state regulator of the insurance group as determined by the

 

procedures within the national association of insurance

 

commissioners financial analysis handbook as adopted by the

 

director.

 

     (2) A report required under subsection (1) must include a

 

signature of the insurer or insurance group's chief risk officer or

 

other executive having responsibility for the oversight of the

 

insurer's enterprise risk management process attesting to the best

 

of his or her belief and knowledge that the insurer applies the

 

enterprise risk management process described in the ORSA summary

 

report and that a copy of the report has been provided to the

 

insurer's board of directors or appropriate committee of the

 

insurer's board of directors.

 

     (3) An insurer may comply with subsection (1) by providing the

 

most recent and substantially similar report provided by the

 


insurer or another member of an insurance group of which the

 

insurer is a member to a commissioner of another state or to a

 

supervisor or regulator of a foreign jurisdiction, if that report

 

provides information that is comparable to the information

 

prescribed by the ORSA guidance manual. A report in a language

 

other than English must be accompanied by a translation of that

 

report into the English language.

 

     Sec. 1709. (1) Except as otherwise provided in subsection (5),

 

an insurer is exempt from the requirements of this chapter, if both

 

of the following apply:

 

     (a) The insurer has annual direct written and unaffiliated

 

assumed premium, including international direct and assumed premium

 

but excluding premiums reinsured with the federal crop insurance

 

corporation and federal flood program, less than $500,000,000.00.

 

     (b) The insurance group of which the insurer is a member has

 

annual direct written and unaffiliated assumed premium, including

 

international direct and assumed premium but excluding premiums

 

reinsured with the federal crop insurance corporation and federal

 

flood program, less than $1,000,000,000.00.

 

     (2) If an insurer qualifies for exemption under subsection

 

(1)(a) but the insurance group of which the insurer is a member

 

does not qualify for exemption under subsection (1)(b), the ORSA

 

summary report that may be required under section 1707 must include

 

every insurer within the insurance group. This requirement may be

 

satisfied by the submission of more than 1 ORSA summary report for

 

any combination of insurers if the combination of reports includes

 

every insurer within the insurance group.

 


     (3) If an insurer does not qualify for exemption under

 

subsection (1)(a) but the insurance group of which it is a member

 

qualifies for exemption under subsection (1)(b), the only ORSA

 

summary report that may be required under section 1707 is the

 

report applicable to the insurer.

 

     (4) Subject to subsection (5), an insurer that does not

 

qualify for exemption under subsection (1) may apply to the

 

director for a waiver from the requirements of this chapter based

 

upon unique circumstances. In deciding whether to grant the

 

insurer's request for a waiver, the director may consider the type

 

and volume of business written, ownership and organizational

 

structure, and any other factor the director considers relevant to

 

the insurer or insurance group of which the insurer is a member. If

 

the insurer is part of an insurance group with insurers domiciled

 

in more than 1 state, the director shall coordinate with the lead

 

state commissioner and with the other domiciliary commissioners in

 

considering whether to grant the insurer’s request for a waiver.

 

     (5) Notwithstanding the exemption provided in subsection (1),

 

the director may require 1 or more of the following:

 

     (a) The director may require that an insurer maintain a risk

 

management framework, conduct an ORSA, and file an ORSA summary

 

report based on unique circumstances including, but not limited to,

 

the type and volume of business written, ownership and

 

organizational structure, federal agency requests, and

 

international supervisor requests.

 

     (b) The director may require that an insurer maintain a risk

 

management framework, conduct an ORSA, and file an ORSA summary

 


report if the director determines 1 or more of the following:

 

     (i) The insurer has risk-based capital for a company action

 

level event.

 

     (ii) The insurer meets 1 or more of the conditions described in

 

section 436.

 

     (iii) The operation of the insurer is hazardous to

 

policyholders, creditors, or the public under section 436a.

 

     (iv) The insurer exhibits qualities of a troubled insurer.

 

     (6) If an insurer that qualifies for an exemption under

 

subsection (1) subsequently no longer qualifies for that exemption

 

because of an increase in premium as reflected in the insurer's

 

most recent annual statement or in the most recent annual

 

statements of the insurers within the insurance group of which the

 

insurer is a member, the insurer has 1 year following the year the

 

premium exceeded the limitation provided in subsection (1) to

 

comply with this chapter.

 

     Sec. 1711. (1) Subject to subsection (2), an insurer shall

 

prepare an ORSA summary report under section 1707 consistent with

 

the ORSA guidance manual prescribed by the director. The insurer

 

shall maintain and make available to the director documentation and

 

supporting information relating to the ORSA summary report.

 

     (2) The director shall review an ORSA summary report and any

 

additional requests for information using similar procedures used

 

in the analysis and examination of multistate or global insurers

 

and insurance groups.

 

     Sec. 1713. (1) Documents, materials, or other information,

 

including the ORSA summary report, in the possession or control of

 


the director that are obtained by, created by, or disclosed to the

 

director or any other person under this chapter are considered

 

proprietary and to contain trade secrets. The documents, materials,

 

or other information are confidential and privileged, are not

 

subject to disclosure under the freedom of information act, 1976 PA

 

442, MCL 15.231 to 15.246, are not subject to subpoena, and are not

 

subject to discovery or admissible in evidence in a private civil

 

action. However, the director may use the documents, materials, or

 

other information in the furtherance of any regulatory or legal

 

action brought as a part of the director’s official duties. The

 

director shall not otherwise make the documents, materials, or

 

other information public without the prior written consent of the

 

insurer to which it pertains.

 

     (2) The director or any person who received documents,

 

materials, or other ORSA-related information, through examination

 

or otherwise, while acting under the authority of the director or

 

with whom the documents, materials, or other information are shared

 

under this act shall not testify in a private civil action

 

concerning confidential documents, materials, or information

 

described in subsection (1).

 

     (3) The director may do all of the following:

 

     (a) Except as otherwise provided in this subdivision, on

 

request, share documents, materials, or other ORSA-related

 

information, including the confidential and privileged documents,

 

materials, or information described in subsection (1), including

 

proprietary and trade secret documents and materials with other

 

state, federal, and international financial regulatory agencies,

 


including members of a supervisory college described in chapter 13,

 

with the NAIC and with any third-party consultants designated by

 

the director. The director shall not share documents, materials, or

 

other ORSA-related information described in this subdivision unless

 

the recipient agrees in writing to maintain the confidentiality and

 

privileged status of the ORSA-related documents, materials, or

 

other information and has verified in writing the legal authority

 

to maintain confidentiality.

 

     (b) Subject to this subdivision, receive documents, materials,

 

or other ORSA-related information, including otherwise confidential

 

and privileged documents, materials, or information, including

 

proprietary and trade-secret information or documents, from

 

regulatory officials of other foreign or domestic jurisdictions,

 

including members of a supervisory college described in chapter 13,

 

and from the NAIC. The director shall maintain as confidential or

 

privileged any documents, materials, or information received with

 

notice or the understanding that it is confidential or privileged

 

under the laws of the jurisdiction that is the source of the

 

document, material, or information.

 

     (4) The director shall enter into a written agreement with the

 

NAIC or a third-party consultant governing sharing and use of

 

information provided under this chapter. The written agreement must

 

do all of the following:

 

     (a) Specify procedures and protocols regarding the

 

confidentiality and security of information shared with the NAIC or

 

a third-party consultant under this chapter, including procedures

 

and protocols for sharing by the NAIC with other state regulators

 


from states in which the insurance group has domiciled insurers.

 

     (b) Contain a statement that the recipient agrees in writing

 

to maintain the confidentiality and privileged status of the ORSA-

 

related documents, materials, or other information and has verified

 

in writing the legal authority to maintain confidentiality.

 

     (c) Specify that the director owns the information shared with

 

the NAIC or a third-party consultant under this chapter and that

 

the NAIC's or third-party consultant's use of the information is

 

subject to the direction of the director.

 

     (d) Prohibit the NAIC or third-party consultant from storing

 

the information shared under this chapter in a permanent database

 

after the underlying analysis is completed.

 

     (e) Require prompt notice to be given to an insurer whose

 

confidential information in the possession of the NAIC or third-

 

party consultant under this chapter is subject to a request or

 

subpoena to the NAIC or third-party consultant for disclosure or

 

production.

 

     (f) Require the NAIC or third-party consultant to consent to

 

intervention by an insurer in any judicial or administrative action

 

in which the NAIC or third-party consultant may be required to

 

disclose confidential information about the insurer shared with the

 

NAIC or third-party consultant under this chapter.

 

     (g) For an agreement involving a third-party consultant,

 

provide for the insurer's written consent.

 

     (5) The sharing of information and documents by the director

 

under this chapter is not a delegation of regulatory authority or

 

rule-making, and the director is solely responsible for the

 


administration, execution, and enforcement of this chapter.

 

     (6) The disclosure or sharing of documents, proprietary and

 

trade-secret materials, or other ORSA-related information to the

 

director or other person under this chapter is not a waiver of an

 

applicable privilege or claim of confidentiality.

 

     (7) Documents, materials, or other information in the

 

possession or control of the NAIC or third-party consultants under

 

this chapter are confidential and privileged, are not subject to

 

disclosure under the freedom of information act, 1976 PA 442, MCL

 

15.231 to 15.246, are not subject to subpoena, and are not subject

 

to discovery or admissible in evidence in a private civil action.

 

     Sec. 1715. An insurer that does not, without just cause,

 

timely file an ORSA summary report as required in this chapter

 

shall pay a penalty of $1,000.00 for each day's delay, to be

 

recovered by the director and paid into the general fund. The

 

maximum penalty under this section is $75,000.00. The director may

 

reduce the penalty if the insurer demonstrates to the director that

 

the penalty would cause a financial hardship to the insurer.

 

     Enacting section 1. This amendatory act does not take effect

 

unless House Bill No. 5792 of the 97th Legislature is enacted into

 

law.

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