HOUSE BILL NO. 215
AN ACT TO AMEND TITLE 18, DELAWARE CODE TO ADOPT STANDARDS FOR RISK RETENTION GROUPS.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF DELAWARE:
Section 1. Amend Title 18 Delaware Code, by adding thereto a new chapter to read as follows:
"Chapter 80. Risk Retention Act. §8001. Purpose.
The purpose of this Chapter is to regulate the formation and/or operation of risk retention groups and purchasing groups in this State formed pursuant to the provisions of the federal Liability Risk Retention Act of 1986 ("RRA 1986"), to the extent permitted by such law.
As used in this Chapter:
(1) "Commissioner" means the insurance commissioner of Delaware or
the commissioner, director or superintendent of insurance in any other state;
(2) "Completed operations liability" means liability arising out of
the installation, maintenance, or repair of any product at a site which is not owned or controlled by:
a. any person who performs that work; or
b. any person who hires an independent contractor to perform that work; but shall include liability for activities which are
completed or abandoned before the date of the occurrence giving rise to the liability;
(3) "Domicile", for purposes of determining the state in which a
purchasing group is domiciled, means:
a. for a corporation, the state in which the purchasing group is incorporated; and
a. for an unincorporated entity, the state of its principal place of business;
(4) "Hazardous financial condition" means that, based on its present or reasonably anticipated financial condition, a risk retention group, although not yet financially impaired or insolvent, is unlikely to be able:
a. to meet obligations to policy holders with respect to known claims and reasonably anticipated claims; or
b. to pay other obligations in the normal course of business;
(5) "Insurance" means primary insurance, excess insurance,
reinsurance, surplus lines insurance, and any other arrangement for shifting and distributing risk which is determined to be insurance under the laws of this State;
a. means legal liability for damages (including costs of defense, legal costs and fees, and other claims expenses) because of injuries to other persons, damage to their property, or other damage or loss to such other persons resulting from or arising out of:
1. any business (whether profit or nonprofit, trade, product, services (including professional services), premises, or operations; or
1. any activity of any state or local government, or any agency or political subdivision thereof; and
b. does not include personal risk liability and an employer's
liability with respect to its employees other than legal liability under the Federal Employers' Liability Act (45 U.S.C. 51 et seq.);
(7) "Personal risk liability" means liability for damages because of injury to any person, damage to property, or other loss or damage resulting from any personal, familial, or household responsibilities or activities, rather than from responsibilities or activities referred to in subparagraph of this section;
(8) "Plan of operation or a feasibility study" means an analysis
which presents the expected activities and results of a risk retention group including, at a minimum;
a. information sufficient to verify that its members are engaged in businesses or activities similar or related with respect to the liability to which such members are exposed by virtue of any related, similar or common business, trade, product, services, premises or operations;
b. for each state in which it intends to operate, the coverages, deductibles, coverage limits, rates, and rating classification systems for each line of insurance the group intends to offer;
a. historical and expected loss experience of the proposed
members and national experience of similar exposures to the extent that this experience is reasonably available;
b. pro forma financial statements and projections;
a. appropriate opinions by a qualified, independent casualty
actuary, including a determination of minimum premium or
participation levels required to commence operations and to prevent a hazardous financial condition;
a. identification of management, underwriting and claims
procedures, marketing methods, managerial oversight methods, investment policies and reinsurance agreements;
b. identification of each state in which the risk retention group has obtained, or sought to obtain, a charter and license, and a description of its status in each such state; and
c. such other matters as may be prescribed by the commissioner of the state in which the risk retention group is chartered for liability insurance companies authorized by the insurance laws of that state;
(9) "Product liability" means liability for damages because of any personal injury, death, emotional harm, consequential economic damage, or property damage (including damages resulting from the loss of use of property) arising out of the manufacture, design, importation, distribution, packaging, labeling, lease, or sale of a product, but does not include the liability of any person for those damages if the product involved was in the possession of such a person when the incident giving rise to the claim occurred;
(10) "Purchasing group" means any group which:
b. purchases such insurance only for its group members and only to cover their similar or related liability exposure, as described in Paragraph (3);
a. is composed of members whose businesses or activities are
similar or related with respect to the liability to which members are exposed by virtue of any related, similar or common business, trade, product, services, premises or operations; and
b. is domiciled in any State;
(11) "Risk retention group" means any corporation or other limited liability association:
a. whose primary activity consists of assuming and spreading all, or any portion, of the liability exposure of its group members;
b. which is organized for the primary purpose of conducting the activity described under Paragraph (1);
1. is chartered and licensed as a liability insurance company and authorized to engage in the business of insurance under the laws of any state; or
1. before January 1, 1985, was chartered or licensed and authorized to engage in the business of insurance under the laws of Bermuda or the Cayman Islands and, before such date, had certified to the insurance commissioner of at least one state that it satisfied the capitalization requirements of such state, except that any such group shall be considered to be a risk retention group only if it has been engaged in business continuously since such date and only for the purpose of continuing to provide insurance to cover product liability or completed operations liability (as such terms were defined in the Product Liability Risk Retention Act of 1981 before the date of the enactment of the Liability Risk Retention Act of 1986);
d. which does not exclude any person from membership in the group solely to provide for members of such a group a competitive advantage over such a person;
(1) has as its owners only persons who comprise the membership of the risk retention group and who are provided insurance by such group; or
(1) has as its sole owner an organization which has as:
(i) its members only persons who comprise the membership of the risk retention group; and
(ii) its owners only persons who comprise the membership of the risk retention group and who are provided insurance by such group;
f. whose members are engaged in businesses or activities similar or related with respect to the liability of which such members are exposed by virtue of any related, similar or common business trade, product, services, premises or operations;
g. whose activities do not include the provision of insurance
(1) liability insurance for assuming and spreading all or any portion of the liability of its group members; and
(2) reinsurance with respect to the liability of any other risk retention group (or any members of such other group) which is engaged in businesses or activities so that such group or member meets the requirement described in Paragraph 6 from membership in the risk retention group which provides such reinsurance; and
h. the name of which includes the phrase "Risk Retention Group";
(12) "State" means any State of the United States or the District of Columbia.
§8003. Risk Retention Groups Chartered in this State.
a. A risk retention group shall, pursuant to the provisions of this Chapter, be chartered and licensed to write only liability insurance pursuant to this Chapter and, except as provided elsewhere in this Chapter, must comply with all of the laws, rules, regulations and requirements applicable to such insurers chartered and licensed in this State and with §8004 of this Chapter to the extent such requirements are not a limitation on laws, rules, regulations or requirements of this State.
b. Before it may offer insurance in any State, each risk retention group shall also submit for approval to the insurance commissioner of this State a plan of operation or feasibility study. The risk
retention group shall submit an appropriate revision in the event of any subsequent material change in any item of the plan of operation or feasibility study, within ten days of any such change. The group
shall not offer any additional kinds of liability insurance, in this state or in any other state, until a revision of such plan or study is approved by the commissioner.
a. At the time of filing its application for charter, the risk
retention group shall provide to the commissioner in summary form the following information: the identity of the initial members of the group, the identity of those individuals who organized the group or who will provide administrative services or otherwise influence or control the activities of the group, the amount and nature of initial capitalization, the coverages to be afforded, and the states in which the group intends to operate. Upon receipt of this information, the commissioner shall forward such information to the National Association of Insurance Commissioners. Providing notification to the National Association of Insurance Commissioners is in addition to and shall not be sufficient to satisfy the requirements of §8004 or any other sections of this Chapter.
§8004. Risk Retention Groups Not Chartered in this State.
Risk retention groups chartered licensed in states other than this
State and seeking to do business as a risk retention group in this State shall comply with the laws of this State as follows:
(1) Notice of Operations and Designation of Commissioner as Agent.
a. Before offering insurance in this State, a risk retention
group shall submit to the commissioner:
(1) a statement identifying the state or states in which the risk retention group is chartered and licensed as a liability insurance company, charter date, its principal place of business, and such other information, including formation on its membership, as the commissioner of this state may require to verify that the risk retention group is qualified under Section 8002(11) of this Chapter;
(2) a copy of its plan of operations or feasibility study and revisions of such plan or study submitted to the state in which the risk retention group is chartered and licensed; provided, however, that the provision relating to the
submission of a plan of operation or feasibility study shall not apply with respect to any line or classification of liability insurance which:
(i) was defined in the Product Liability Risk Retention Act of 1981 before October 27, 1986; and
(ii) was offered before such date by any risk retention group which had been chartered and operating for not less than three years before such date; and
b. The risk retention group shall submit a copy of any revision to its plan of operation or feasibility study required by Subsection 8003B of this Chapter at the same time that such revision is submitted to the commissioner of its chartering state.
c. a statement of registration, for which a filing fee shall be determined by the commissioner, which designates the commissioner as its agent for the purpose of receiving service of legal documents or process.
(2) Financial Condition. Any risk retention group doing business in this state shall submit to the commissioner:
a. a copy of the group's financial statement submitted to the state in which the risk retention group is chartered and licensed which shall be certified by an independent public accountant and contain a statement of opinion on loss and loss adjustment expense reserves made by a member of the American Academy of Actuaries or a qualified loss reserve specialist (under criteria established by the National Association of Insurance Commissioners);
b. a copy of each examination of the risk retention group as certified by the commissioner or public official conducting the examination;
c. upon request by the commissioner, a copy of any information or document pertaining to any outside audit performed with respect to the risk retention group; and
d. such information as may be required to verify its continuing qualification as a risk retention group under Subsection 8002K.
a. Each risk retention group shall be liable for the payment of premium taxes and taxes on premiums of direct business for risks resident or located within this state, and shall report to the commissioner the net premiums written for risks resident or located within this state. Such risk retention group shall be
subject to taxation, and any applicable fines and penalties related thereto, on the same basis as a foreign admitted insurer.
a. To the extent licensed agents or brokers are utilized pursuant to Section 8012 of this Chapter, they shall report to the commissioner the premiums for direct business for risks resident or located within this State which such licensees have placed with or on behalf of a risk retention group not chartered in this State.
a. To the extent that insurance agents or brokers are
utilized pursuant to Section 12 of this Chapter, such agent or broker shall keep a complete and separate record of all policies procured from each such risk retention group, which record shall be open to examination by the commissioner, as otherwise provided in this title. These records shill, for each policy and each kind of insurance provided thereunder, include the following:
1. the limit of liability;
2. the time period covered;
3. the effective date;
4. the name of the risk retention group which issued the policy;
5. the gross premium charged; and
6. the amount of return premiums, if any.
(4) Compliance with Unfair Claims Settlement Practices Law.
Any risk retention group, its agents and representatives shall comply with the Unfair Claims Settlement Practices Act of this State.
(5) Deceptive, False, or Fraudulent Practices.
Any risk retention group shall comply with the laws of this State regarding deceptive, false or fraudulent acts or practices. However, if the commissioner seeks an injunction regarding such conduct, the injunction must be obtained from a court of competent jurisdiction.
(6) Examination Regarding Financial Condition.
Any risk retention group must submit to an examination by the commissioner to determine its financial condition if the commissioner of the jurisdiction in which the group is chartered and licensed has not initiated an examination or does not initiate an examination within sixty days after a request by the commissioner of this State. Any such examination shall be coordinated to avoid unjustified repetition and conducted in an expeditious manner and in accordance with NAIC's Examiner Handbook.
(7) Notice to Purchasers.
Every application form for insurance from a risk retention group, and every policy (on its front and declaration pages) issued by a risk retention group, shall contain in ten point type the following notice:
This policy is issued by your risk retention group. Your risk retention group may not be subject to all of the insurance laws and regulations of your State. State insurance insolvency guaranty funds are not available for your risk retention group.
(8) Prohibited Acts Regarding Solicitation or Sale. The following acts by a risk retention group are hereby prohibited:
a. The solicitation or sale of insurance by a risk retention group to any person who is not eligible for membership in such group; and
b. The solicitation or sale of insurance by, or operation of, a risk retention group that is in hazardous financial condition or financially impaired.
9. Prohibition on Ownership by an Insurance Company.
No risk retention group shall be allowed to do business in this State if an insurance company is directly or indirectly a member or owner of such risk retention group, other than in the case of a risk retention group all of whose members are insurance companies.
10. Prohibited Coverage.
The terms of any insurance policy issued by any risk retention group shall not provide, or be construed to provide, coverage prohibited generally by statute of this state or declared unlawful by the highest court of this state whose law applies to such policy.
11. Delinquency Proceedings.
A risk retention group not chartered in this State and doing business in this State shall comply with a lawful order issued in a voluntary dissolution proceeding or in a delinquency proceeding commenced by a state insurance commissioner if there has been a
finding of financial impairment after an examination under Subsection 8004F of this Chapter.
A risk retention group that violates any provision of this Chapter will be subject to fines and penalties including revocation of its right to do business in this State, applicable to licensed insurers generally.
1. Operation Prior to Enactment of this Chapter.
In addition to complying with the requirements of this Section, any risk retention group operating in this State prior to enactment of this Chapter shall, within thirty days after the effective date of this Chapter, comply with the provision of Paragraph (1)a of this Section.
§8005 Compulsory Associations.
a. No risk retention group shall be required or permitted to join or contribute financially to any insurance retention group, or its insureds or claimants against its insureds, receive any benefit from any such fund for claims arising under the insurance policies issued by such risk retention group.
a. When a purchasing group obtains insurance covering its members'
risks from an insurer not authorized in this state or a risk retention group, no such risks, wherever resident or located, shall be covered by any insurance guaranty fund or similar mechanism in this state.
a. When a purchasing group obtains insurance covering its members'
risks from an authorized insurer, only risks resident or located in this state shall be covered by the state guaranty fund subject to Chapter 42.
§8006. Countersignatures not Required.
A policy of insurance issued to a risk retention group or any member of that group shall not be required to be countersigned as otherwise provided in Chapter 17 of the Insurance Code.
§8007. Purchasing Groups - Exemption from Certain Laws.
A purchasing group and its insurer or insurers shall be subject to all applicable laws of this State, except that a purchasing group and its insurer or insurers shall be exempt, in regard to liability insurance for the purchasing group, from any law that would:
(1) prohibit the establishment of a purchasing group;
(2) make it unlawful for an insurer to provide or offer to provide insurance on a basis providing, to a purchasing group or its members, advantages based on their loss and expense experience not afforded to other persons with respect to rates, policy forms, coverages or other matters;
(1) prohibit a purchasing group or its members from purchasing
insurance on a group basis described in Subsection B of this Section;
(2) prohibit a purchasing group from obtaining insurance on a group basis because the group has not been in existence for a minimum period of time or because any member has not belonged to the group for a minimum period of time;
(3) require that a purchasing group must have a minimum number of members, common ownership or affiliation, or certain legal form;
(4) require that a certain percentage of a purchasing group must obtain insurance on a group basis;
(7) otherwise discriminate against a purchasing group or any of its members; or
(8) require that any insurance policy issued to a purchasing group or any of its members be countersigned by an insurance agent or broker residing in this State.
§8008. Notice and Registration Requirements of Purchasing Groups.
a. A purchasing group which intends to do business in this State shall, prior to doing business, furnish notice to the commissioner which shall:
(1) identify the state in which the group is domiciled;
(2) identify all other states in which the group intends to do business;
(3) specify the lines and classifications of liability insurance which the purchasing group intends to purchase;
(4) identify the insurance company or companies from which the group intends to purchase its insurance and the domicile of such company;
(5) specify the method by which, and the person or persons, if any, through whom insurance will be offered to its members whose risks are resident or located in this state;
(6) identify the principal place of business of the group; and
(7) provide such other information as may be required by the commissioner to verify that the purchasing group is qualified under Section 8002(10) of this Chapter.
b. A purchasing group shall, within ten days, notify the commissioner of any changes in any of the items set forth in Subsection (a) of this section.
c. The purchasing group shall register with and designate the
commissioner as its agent solely for the purpose of receiving service of legal documents or process, for which a filing fee shall be determined by the commissioner, except that such requirements shall not apply in the case of purchasing group which only purchases insurance that was authorized under the federal Products Liability Risk Retention Act of 1981, and:
(1) which in any state of the United States:
a. was domiciled before April 1, 1986; and
b. is domiciled on and after October 27, 1986;
a. before October 27, 1986 purchased insurance from an
insurance carrier licensed in any state; and
b. since October 27, 1986 purchased its insurance from an
insurance carrier licensed in any state; or
(3) which was a purchasing group under the requirements of the Product Liability Risk Retention Act of 1981 before October 27, 1986.
d. Each purchasing group that is required to give notice pursuant to Subsection A of this Section shall also furnish such information as may be required by the commissioner to:
(1) verify that the entity qualifies as a purchasing group;
(2) determine where the purchasing group is located; and
(3) determine appropriate tax treatment.
e. Any purchasing group which was doing business in this state prior to the enactment of this Chapter shall, within thirty days after the effective date of this Chapter, furnish notice to the commissioner pursuant to the provisions of Subsection (a) of this section and furnish such information as may be required pursuant to Subsections (b) and (c) of this section.
§8009 Restrictions on Insurance Purchased by Purchasing Groups.
a. A purchasing group may not purchase insurance from a risk retention group that is not chartered in a state or from an insurer not admitted in the state in which the purchasing group is located, unless the purchase if effected through a licensed agent or broker acting pursuant to the surplus lines laws and regulations of such state.
b. A purchasing group which obtains liability insurance from an insurer not admitted in this state or a risk retention group shall inform each of the members of such group which have a risk resident or located in this state that such risk is not protected by an insurance insolvency guaranty fund in this state, and that such risk retention group or such insurer may not be subject to all insurance laws and regulations of this state.
c. No purchasing group may purchase insurance providing for a
deductible or self-insured retention applicable to the group as a whole; however, coverage may provide for a deductible or self-insured retention applicable to individual members.
d. Purchases of insurance by purchasing groups are subject to the same standards regarding aggregate limits which are applicable to all purchases of group insurance.
§8010. Purchasing Group Taxation.
Premium taxes and taxes on premiums paid for coverage of risks resident or located in this state by a purchasing group or any members of the purchasing groups shall be:
(1) imposed at the same rate and subject to the same interest, fines and penalties as that applicable to premium taxes and taxes on premiums paid for similar coverage from a similar insurance source by other insureds; and
(2) paid first by such insurance source, and if not by such source by the agent or broker for the purchasing group, and if not by such agent or broker then by the purchasing group, and if not by such purchasing group then by each of its members.
§8011. Administrative and Procedural Authority Regarding Risk Retention
Groups and Purchasing Groups.
The commissioner is authorized to make use of any of the powers established under the Insurance Code of this State to enforce the laws of this State not specifically preempted by the Risk Retention Act of 1986 including the commissioner's administrative authority to investigate, issue subpoena, conduct depositions and hearings, issue orders, impose penalties and seek injunctive relief. With regard to any investigation, administrative proceedings, or litigation, the commissioner can rely on the procedural laws of this state. The injunctive authority of the commissioner, in regard to risk retention groups, is restricted by the requirement that any injunction be issued by a court of competent jurisdiction.
§8012. Duty of Agents or Brokers to Obtain License.
a. No person, firm, association or corporation act or aid in any manner in soliciting, negotiating or procurine liability insurance in this state from a risk retention group unless such person, firm,
association or corporation is licensed as an insurance agent or broker in accordance with Chapter 17.
b. Purchasing groups.
(1) No person, firm, association or corporation shall act or aid in any manner in soliciting, negotiating or procuring liability insurance in this state for a purchasing group from an authorized insurer or a risk retention group chartered in a state unless such person, firm, association or corporation is licensed as an insurance agent or broker in accordance with Chapter 17.
(2) No person, firm, association or corporation shall act or aid in any manner in soliciting, negotiating or procuring liability insurance coverage in this state for any member of a purchasing group under a purchasing group's policy unless such person, firm,
association or corporation is licensed as an insurance agent or broker in accordance with Chapter 17.
(3) No person, firm, association or corporation shall act or aid in any manner in soliciting, negotiating or procuring liability insurance from an insurer not authorized to do business in this state on behalf of a purchasing group located in this state unless such person, firm, association or corporation is licensed as a surplus lines agent or excess line broker in accordance with Chapter 17.
c. For purposes of acting as an agent or broker for a risk retention group or purchasing group pursuant to subsections A and B of this section, the requirement of residence in this state shall not apply.
d. Every person, firm association or corporation licensed pursuant to the provisions of Chapter 17, on business placed with risk retention groups or written through a purchasing group, shall inform each prospective insured of the provisions of the notice required by paragraph (7) of §8004 of this Chapter in the case of a risk retention group and Subsection (c) of §8009 of this Chapter in the case of a purchasing group.
§8013. Binding Effect of Orders Issued in U.S. District Court.
An order issued by any district court of the United States enjoining a risk retention group from soliciting or selling insurance, or operating in any state (or in all states or in any territory or possession of the United States) upon a finding that such a group is in hazardous financial or financially impaired condition shall be enforceable in the courts of the state.
§8014. Rules and Regulations.
The Commissioner may establish and from time to time amend such rules relating to risk retention groups as may be necessary or desirable to carry out the provisions of the Chapter."
Section 2. Severability.
If any clause, sentence, paragraph, section or part of this act or the application thereof to any person or circumstances, shall, for any reason, be adjudged by any court of competent jurisdiction to be invalid, such judgement shall not affect, impair or invalidate the remainder of this Chapter, and the application thereof to other persons or circumstance, but shall be confined in its operation to the clause, sentence, paragraph, section or part thereof directly involved in the controversy in which such judgment shall have been rendered and to the person or circumstances involved.
Section 3. This Act shall become effective upon its adoption.
Approved June 25, 1991.