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| PRIOR PRINTER'S NOS. 1592, 2035 | PRINTER'S NO. 2187 |
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| THE GENERAL ASSEMBLY OF PENNSYLVANIA |
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| SENATE BILL |
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| INTRODUCED BY WARD, D. WHITE, VANCE, TARTAGLIONE, WAUGH, ORIE, PICCOLA, BROWNE, STACK, EARLL AND MENSCH, JANUARY 8, 2010 |
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| SENATOR CORMAN, APPROPRIATIONS, RE-REPORTED AS AMENDED, SEPTEMBER 20, 2010 |
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| AN ACT |
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1 | Amending the act of May 17, 1921 (P.L.682, No.284), entitled "An |
2 | act relating to insurance; amending, revising, and |
3 | consolidating the law providing for the incorporation of |
4 | insurance companies, and the regulation, supervision, and |
5 | protection of home and foreign insurance companies, Lloyds |
6 | associations, reciprocal and inter-insurance exchanges, and |
7 | fire insurance rating bureaus, and the regulation and |
8 | supervision of insurance carried by such companies, |
9 | associations, and exchanges, including insurance carried by |
10 | the State Workmen's Insurance Fund; providing penalties; and |
11 | repealing existing laws," further providing for immunity from |
12 | liability; and making a related repeal. |
13 | The General Assembly of the Commonwealth of Pennsylvania |
14 | hereby enacts as follows: |
15 | Section 1. Section 349.1 of the act of May 17, 1921 |
16 | (P.L.682, No.284), known as The Insurance Company Law of 1921, |
17 | added June 11, 1986 (P.L.226, No.64) is amended to read: |
18 | Section 349.1. Immunity from Liability.--(a) In the absence |
19 | of fraud or bad faith, no individual, person or his employes or | <-- |
20 | agents shall be subject to civil liability and no civil cause of |
21 | action shall arise against any of them for any of the following: |
22 | (1) Information relating to suspected fraudulent insurance |
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1 | acts or persons suspected of engaging in such acts furnished by |
2 | them to or received from Federal, State or local law enforcement |
3 | officials, their agents and employes and designees. |
4 | (2) Information relating to suspected fraudulent insurance |
5 | acts or persons suspected of engaging in such acts furnished by |
6 | them to or received from other persons subject to the provisions |
7 | of this act. |
8 | (3) Information furnished by them [in reports to the |
9 | Insurance Department,] or received from a Federal, State or |
10 | local agency, the National Association of Insurance |
11 | Commissioners or another organization established to detect and |
12 | prevent fraudulent insurance acts, their agents, employes or |
13 | designees or a recognized comprehensive database system approved |
14 | by the Insurance Department. |
15 | (a.1) In the absence of fraud or bad faith, the immunity |
16 | granted in subsection (a) shall also apply to persons identified |
17 | as designated employes of insurers, self-insurers or insurance |
18 | licensees whose responsibilities include the investigation and |
19 | disposition of claims relating to suspected fraudulent insurance |
20 | acts when sharing information on such acts or persons suspected |
21 | of engaging in such acts with other designated employes of the |
22 | same or other insurers, self-insurers or insurance licensees |
23 | whose responsibilities include the investigation or disposition |
24 | of claims relating to suspected fraudulent insurance acts. |
25 | (b) [The Insurance Commissioner and employes of the |
26 | Insurance Department] State agencies and their employes and |
27 | designees, in the absence of fraud or bad faith, shall not be |
28 | subject to civil liability for sharing information identified in |
29 | subsection (a). No civil cause of action shall arise against any |
30 | of them by virtue of the publication of a report or bulletin |
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1 | related to the official activities of the [Insurance Department] |
2 | State agency. |
3 | (c) Nothing in this section is intended to abrogate or |
4 | modify a common law or statutory immunity heretofore enjoyed by |
5 | any person. |
6 | (d) As used in this section the following words and phrases |
7 | shall have the meanings given to them in this subsection: |
8 | "Absence of bad faith" means without serious doubt that the |
9 | information furnished or received, or the report or bulletin |
10 | published, is not true. |
11 | "Absence of fraud" means without knowledge that the |
12 | information furnished or received, or the report or bulletin |
13 | published, is not true. |
14 | "Fraudulent insurance act" means an act committed by a person |
15 | who, knowingly and with intent to defraud, presents, causes to |
16 | be presented or prepares with knowledge or belief that it will |
17 | be presented to or by an insurer, purported insurer or broker, |
18 | or an agent of an insurer, purported insurer or broker, [a |
19 | written statement] information as part or in support of an |
20 | application for the issuance or rating of an insurance policy |
21 | for commercial or personal insurance, or a claim for payment or |
22 | other benefit pursuant to an insurance policy for commercial or |
23 | personal insurance which he knows to contain materially false |
24 | information concerning a fact material to the statement or claim |
25 | or to conceal, for the purpose of misleading, information |
26 | concerning a fact material to the statement or claim. |
27 | "Insurer" means an insurance company, association, exchange, | <-- |
28 | interinsurance exchange, health maintenance organization, |
29 | preferred provider organization, professional health services |
30 | plan corporation subject to 40 Pa.C.S. Ch. 63 (relating to |
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1 | professional health services plan corporations), a hospital plan |
2 | corporation subject to 40 Pa.C.S. Ch. 61 (relating to hospital |
3 | plan corporations), fraternal benefit society, beneficial |
4 | association, Lloyd's insurer or health plan corporation. |
5 | Section 2. Repeals are as follows: |
6 | (1) The General Assembly declares that the repeal under |
7 | paragraph (2) is necessary to effectuate the provisions of |
8 | this act. |
9 | (2) Section 3(c) of the act of July 2, 1980 (P.L.340, |
10 | No.85), known as the Arson Reporting Immunity Act, is |
11 | repealed. |
12 | Section 3. This act shall take effect in 60 days. |
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