Sen. William R. Haine

Filed: 5/3/2011

 

 


 

 


 
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1
AMENDMENT TO HOUSE BILL 1870

2    AMENDMENT NO. ______. Amend House Bill 1870 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The Illinois Insurance Code is amended by
5changing Sections 245.21, 531.03, 531.05, 531.07, 531.08,
6531.09, and 531.14 as follows:
 
7    (215 ILCS 5/245.21)  (from Ch. 73, par. 857.21)
8    Sec. 245.21. Establishment of separate accounts by
9domestic companies organized to do a life, annuity, or accident
10and health insurance business. A domestic company, including
11for the purposes of this Article all domestic fraternal benefit
12societies, may, for authorized classes of insurance, establish
13one or more separate accounts, and may allocate thereto amounts
14(including without limitation proceeds applied under optional
15modes of settlement or under dividend options) to provide for
16life, annuity, or accident and health insurance (and benefits

 

 

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1incidental thereto), payable in fixed or variable amounts or
2both, subject to the following:
3    (1) The income, gains and losses, realized or unrealized,
4from assets allocated to a separate account must be credited to
5or charged against the account, without regard to other income,
6gains or losses of the company.
7    (2) Except as may be provided with respect to reserves for
8guaranteed benefits and funds referred to in paragraph (3) of
9this Section (i) amounts allocated to any separate account and
10accumulations thereon may be invested and reinvested without
11regard to any requirements or limitations of Part 2 or Part 3
12of Article VIII of this Code and (ii) the investments in any
13separate account or accounts may not be taken into account in
14applying the investment limitations otherwise applicable to
15the investments of the company.
16    (3) Except with the approval of the Director and under the
17conditions as to investments and other matters as the Director
18may prescribe, that must recognize the guaranteed nature of the
19benefits provided, reserves for (i) benefits guaranteed as to
20dollar amount and duration and (ii) funds guaranteed as to
21principal amount or stated rate of interest may not be
22maintained in a separate account.
23    (4) Unless otherwise approved by the Director, assets
24allocated to a separate account must be valued at their market
25value on the date of valuation, or if there is no readily
26available market, then as provided in the contract or the rules

 

 

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1or other written agreement applicable to the separate account.
2Unless otherwise approved by the Director, the portion, if any,
3of the assets of the separate account equal to the company's
4reserve liability with regard to the guaranteed benefits and
5funds referred to in paragraph (3) of this Section must be
6valued in accordance with the rules otherwise applicable to the
7company's assets.
8    (5) Amounts allocated to a separate account under this
9Article are owned by the company, and the company may not be,
10nor hold itself out to be, a trustee with respect to those
11amounts. To the extent provided under the applicable contract,
12that portion of the The assets of any separate account equal to
13the reserves and other contract liabilities with respect to the
14account may not be charged with liabilities arising out of any
15other business the company may conduct.
16    (6) No sale, exchange or other transfer of assets may be
17made by a company between any of its separate accounts or
18between any other investment account and one or more of its
19separate accounts unless, in case of a transfer into a separate
20account, the transfer is made solely to establish the account
21or to support the operation of the contracts with respect to
22the separate account to which the transfer is made, and unless
23the transfer, whether into or from a separate account, is made
24(i) by a transfer of cash, or (ii) by a transfer of securities
25having a readily determinable market value, if the transfer of
26securities is approved by the Director. The Director may

 

 

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1approve other transfers among those accounts if, in his or her
2opinion, the transfers would not be inequitable.
3    (7) To the extent a company considers it necessary to
4comply with any applicable federal or state laws, the company,
5with respect to any separate account, including without
6limitation any separate account which is a management
7investment company or a unit investment trust, may provide for
8persons having an interest therein appropriate voting and other
9rights and special procedures for the conduct of the business
10of the account, including without limitation special rights and
11procedures relating to investment policy, investment advisory
12services, selection of independent public accountants, and the
13selection of a committee, the members of which need not be
14otherwise affiliated with the company, to manage the business
15of the account.
16(Source: P.A. 90-381, eff. 8-14-97; 90-418, eff. 8-15-97;
1790-655, eff. 7-30-98.)".
 
18    (215 ILCS 5/531.03)  (from Ch. 73, par. 1065.80-3)
19    Sec. 531.03. Coverage and limitations.
20    (1) This Article shall provide coverage for the policies
21and contracts specified in paragraph (2) of this Section:
22        (a) to persons who, regardless of where they reside
23    (except for non-resident certificate holders under group
24    policies or contracts), are the beneficiaries, assignees
25    or payees of the persons covered under subparagraph (1)(b),

 

 

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1    and
2        (b) to persons who are owners of or certificate holders
3    under the policies or contracts (other than unallocated
4    annuity contracts and structured settlement annuities) and
5    in each case who:
6            (i) are residents; or
7            (ii) are not residents, but only under all of the
8        following conditions:
9                (A) the insurer that issued the policies or
10            contracts is domiciled in this State;
11                (B) the states in which the persons reside have
12            associations similar to the Association created by
13            this Article;
14                (C) the persons are not eligible for coverage
15            by an association in any other state due to the
16            fact that the insurer was not licensed in that
17            state at the time specified in that state's
18            guaranty association law.
19        (c) For unallocated annuity contracts specified in
20    subsection (2), paragraphs (a) and (b) of this subsection
21    (1) shall not apply and this Article shall (except as
22    provided in paragraphs (e) and (f) of this subsection)
23    provide coverage to:
24            (i) persons who are the owners of the unallocated
25        annuity contracts if the contracts are issued to or in
26        connection with a specific benefit plan whose plan

 

 

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1        sponsor has its principal place of business in this
2        State; and
3            (ii) persons who are owners of unallocated annuity
4        contracts issued to or in connection with government
5        lotteries if the owners are residents.
6        (d) For structured settlement annuities specified in
7    subsection (2), paragraphs (a) and (b) of this subsection
8    (1) shall not apply and this Article shall (except as
9    provided in paragraphs (e) and (f) of this subsection)
10    provide coverage to a person who is a payee under a
11    structured settlement annuity (or beneficiary of a payee if
12    the payee is deceased), if the payee:
13            (i) is a resident, regardless of where the contract
14        owner resides; or
15            (ii) is not a resident, but only under both of the
16        following conditions:
17                (A) with regard to residency:
18                    (I) the contract owner of the structured
19                settlement annuity is a resident; or
20                    (II) the contract owner of the structured
21                settlement annuity is not a resident but the
22                insurer that issued the structured settlement
23                annuity is domiciled in this State and the
24                state in which the contract owner resides has
25                an association similar to the Association
26                created by this Article; and

 

 

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1                (B) neither the payee or beneficiary nor the
2            contract owner is eligible for coverage by the
3            association of the state in which the payee or
4            contract owner resides.
5        (e) This Article shall not provide coverage to:
6            (i) a person who is a payee or beneficiary of a
7        contract owner resident of this State if the payee or
8        beneficiary is afforded any coverage by the
9        association of another state; or
10            (ii) a person covered under paragraph (c) of this
11        subsection (1), if any coverage is provided by the
12        association of another state to that person.
13        (f) This Article is intended to provide coverage to a
14    person who is a resident of this State and, in special
15    circumstances, to a nonresident. In order to avoid
16    duplicate coverage, if a person who would otherwise receive
17    coverage under this Article is provided coverage under the
18    laws of any other state, then the person shall not be
19    provided coverage under this Article. In determining the
20    application of the provisions of this paragraph in
21    situations where a person could be covered by the
22    association of more than one state, whether as an owner,
23    payee, beneficiary, or assignee, this Article shall be
24    construed in conjunction with other state laws to result in
25    coverage by only one association.
26    (2)(a) This Article shall provide coverage to the persons

 

 

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1specified in paragraph (l) of this Section for direct, (i)
2nongroup life, health, annuity and supplemental policies, or
3contracts, (ii) for certificates under direct group policies or
4contracts, (iii) for unallocated annuity contracts and (iv) for
5contracts to furnish health care services and subscription
6certificates for medical or health care services issued by
7persons licensed to transact insurance business in this State
8under the Illinois Insurance Code. Annuity contracts and
9certificates under group annuity contracts include but are not
10limited to guaranteed investment contracts, deposit
11administration contracts, unallocated funding agreements,
12allocated funding agreements, structured settlement
13agreements, lottery contracts and any immediate or deferred
14annuity contracts.
15    (b) This Article shall not provide coverage for:
16        (i) that portion of a policy or contract not guaranteed
17    by the insurer, or under which the risk is borne by the
18    policy or contract owner;
19        (ii) any such policy or contract or part thereof
20    assumed by the impaired or insolvent insurer under a
21    contract of reinsurance, other than reinsurance for which
22    assumption certificates have been issued;
23        (iii) any portion of a policy or contract to the extent
24    that the rate of interest on which it is based or the
25    interest rate, crediting rate, or similar factor is
26    determined by use of an index or other external reference

 

 

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1    stated in the policy or contract employed in calculating
2    returns or changes in value:
3            (A) averaged over the period of 4 years prior to
4        the date on which the member insurer becomes an
5        impaired or insolvent insurer under this Article,
6        whichever is earlier, exceeds the rate of interest
7        determined by subtracting 2 percentage points from
8        Moody's Corporate Bond Yield Average averaged for that
9        same 4-year period or for such lesser period if the
10        policy or contract was issued less than 4 years before
11        the member insurer becomes an impaired or insolvent
12        insurer under this Article, whichever is earlier; and
13            (B) on and after the date on which the member
14        insurer becomes an impaired or insolvent insurer under
15        this Article, whichever is earlier, exceeds the rate of
16        interest determined by subtracting 3 percentage points
17        from Moody's Corporate Bond Yield Average as most
18        recently available;
19        (iv) any unallocated annuity contract issued to or in
20    connection with a benefit plan protected under the federal
21    Pension Benefit Guaranty Corporation, regardless of
22    whether the federal Pension Benefit Guaranty Corporation
23    has yet become liable to make any payments with respect to
24    the benefit plan;
25        (v) any portion of any unallocated annuity contract
26    which is not issued to or in connection with a specific

 

 

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1    employee, union or association of natural persons benefit
2    plan or a government lottery;
3        (vi) an obligation that does not arise under the
4    express written terms of the policy or contract issued by
5    the insurer to the contract owner or policy owner,
6    including without limitation:
7            (A) a claim based on marketing materials;
8            (B) a claim based on side letters, riders, or other
9        documents that were issued by the insurer without
10        meeting applicable policy form filing or approval
11        requirements;
12            (C) a misrepresentation of or regarding policy
13        benefits;
14            (D) an extra-contractual claim; or
15            (E) a claim for penalties or consequential or
16        incidental damages;
17        (vii) any stop-loss insurance, as defined in clause (b)
18    of Class 1 or clause (a) of Class 2 of Section 4, and
19    further defined in subsection (d) of Section 352;
20        (viii) any policy or contract providing any hospital,
21    medical, prescription drug, or other health care benefits
22    pursuant to Part C or Part D of Subchapter XVIII, Chapter 7
23    of Title 42 of the United States Code (commonly known as
24    Medicare Part C & D) or any regulations issued pursuant
25    thereto;
26        (ix) any portion of a policy or contract to the extent

 

 

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1    that the assessments required by Section 531.09 of this
2    Code with respect to the policy or contract are preempted
3    or otherwise not permitted by federal or State law;
4        (x) any portion of a policy or contract issued to a
5    plan or program of an employer, association, or other
6    person to provide life, health, or annuity benefits to its
7    employees, members, or others to the extent that the plan
8    or program is self-funded or uninsured, including, but not
9    limited to, benefits payable by an employer, association,
10    or other person under:
11            (A) a multiple employer welfare arrangement as
12        defined in 29 U.S.C. Section 1002 29 U.S.C. Section
13        1144;
14            (B) a minimum premium group insurance plan;
15            (C) a stop-loss group insurance plan; or
16            (D) an administrative services only contract;
17        (xi) any portion of a policy or contract to the extent
18    that it provides for:
19            (A) dividends or experience rating credits;
20            (B) voting rights; or
21            (C) payment of any fees or allowances to any
22        person, including the policy or contract owner, in
23        connection with the service to or administration of the
24        policy or contract;
25        (xii) any policy or contract issued in this State by a
26    member insurer at a time when it was not licensed or did

 

 

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1    not have a certificate of authority to issue the policy or
2    contract in this State;
3        (xiii) any contractual agreement that establishes the
4    member insurer's obligations to provide a book value
5    accounting guaranty for defined contribution benefit plan
6    participants by reference to a portfolio of assets that is
7    owned by the benefit plan or its trustee, which in each
8    case is not an affiliate of the member insurer;
9        (xiv) any portion of a policy or contract to the extent
10    that it provides for interest or other changes in value to
11    be determined by the use of an index or other external
12    reference stated in the policy or contract, but which have
13    not been credited to the policy or contract, or as to which
14    the policy or contract owner's rights are subject to
15    forfeiture, as of the date the member insurer becomes an
16    impaired or insolvent insurer under this Code, whichever is
17    earlier. If a policy's or contract's interest or changes in
18    value are credited less frequently than annually, then for
19    purposes of determining the values that have been credited
20    and are not subject to forfeiture under this Section, the
21    interest or change in value determined by using the
22    procedures defined in the policy or contract will be
23    credited as if the contractual date of crediting interest
24    or changing values was the date of impairment or
25    insolvency, whichever is earlier, and will not be subject
26    to forfeiture; or

 

 

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1        (xv) that portion or part of a variable life insurance
2    or variable annuity contract not guaranteed by an insurer.
3    (3) The benefits for which the Association may become
4liable shall in no event exceed the lesser of:
5        (a) the contractual obligations for which the insurer
6    is liable or would have been liable if it were not an
7    impaired or insolvent insurer, or
8        (b)(i) with respect to any one life, regardless of the
9    number of policies or contracts:
10            (A) $300,000 in life insurance death benefits, but
11        not more than $100,000 in net cash surrender and net
12        cash withdrawal values for life insurance;
13            (B) in health insurance benefits:
14                (I) $100,000 for coverages not defined as
15            disability insurance or basic hospital, medical,
16            and surgical insurance or major medical insurance
17            or long-term care insurance, including any net
18            cash surrender and net cash withdrawal values;
19                (II) $300,000 for disability insurance and
20            $300,000 for long-term care insurance as defined
21            in Section 351A-1 of this Code; and
22                (III) $500,000 for basic hospital medical and
23            surgical insurance or major medical insurance;
24            (C) $250,000 in the present value of annuity
25        benefits, including net cash surrender and net cash
26        withdrawal values;

 

 

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1        (ii) with respect to each individual participating in a
2    governmental retirement benefit plan established under
3    Sections 401, 403(b), or 457 of the U.S. Internal Revenue
4    Code covered by an unallocated annuity contract or the
5    beneficiaries of each such individual if deceased, in the
6    aggregate, $250,000 in present value annuity benefits,
7    including net cash surrender and net cash withdrawal
8    values;
9        (iii) with respect to each payee of a structured
10    settlement annuity or beneficiary or beneficiaries of the
11    payee if deceased, $250,000 in present value annuity
12    benefits, in the aggregate, including net cash surrender
13    and net cash withdrawal values, if any; or
14        (iv) with respect to either (1) one contract owner
15    provided coverage under subparagraph (ii) of paragraph (c)
16    of subsection (1) of this Section or (2) one plan sponsor
17    whose plans own directly or in trust one or more
18    unallocated annuity contracts not included in subparagraph
19    (ii) of paragraph (b) of this subsection, $5,000,000 in
20    benefits, irrespective of the number of contracts with
21    respect to the contract owner or plan sponsor. However, in
22    the case where one or more unallocated annuity contracts
23    are covered contracts under this Article and are owned by a
24    trust or other entity for the benefit of 2 or more plan
25    sponsors, coverage shall be afforded by the Association if
26    the largest interest in the trust or entity owning the

 

 

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1    contract or contracts is held by a plan sponsor whose
2    principal place of business is in this State. In no event
3    shall the Association be obligated to cover more than
4    $5,000,000 in benefits with respect to all these
5    unallocated contracts.
6    (3.1) Notwithstanding the provisions of subsection (3), in
7In no event shall the Association be obligated to cover more
8than (1) an aggregate of $300,000 in benefits with respect to
9any one life under subparagraphs (i), (ii), and (iii) of this
10paragraph (b) of subsection (3) except with respect to benefits
11for basic hospital, medical, and surgical insurance and major
12medical insurance under item (B) of subparagraph (i) of this
13paragraph (b) of subsection (3), in which case the aggregate
14liability of the Association shall not exceed $500,000 with
15respect to any one individual or (2) with respect to one owner
16of multiple nongroup policies of life insurance, whether the
17policy owner is an individual, firm, corporation, or other
18person and whether the persons insured are officers, managers,
19employees, or other persons, $5,000,000 in benefits,
20regardless of the number of policies and contracts held by the
21owner.
22    (3.2) The limitations set forth in subsections (3) and
23(3.1) this subsection are limitations on the benefits for which
24the Association is obligated before taking into account either
25its subrogation and assignment rights or the extent to which
26those benefits could be provided out of the assets of the

 

 

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1impaired or insolvent insurer attributable to covered
2policies. The costs of the Association's obligations under this
3Article may be met by the use of assets attributable to covered
4policies or reimbursed to the Association pursuant to its
5subrogation and assignment rights.
6    (4) In performing its obligations to provide coverage under
7Section 531.08 of this Code, the Association shall not be
8required to guarantee, assume, reinsure, or perform or cause to
9be guaranteed, assumed, reinsured, or performed the
10contractual obligations of the insolvent or impaired insurer
11under a covered policy or contract that do not materially
12affect the economic values or economic benefits of the covered
13policy or contract.
14(Source: P.A. 96-1450, eff. 8-20-10.)
 
15    (215 ILCS 5/531.05)  (from Ch. 73, par. 1065.80-5)
16    Sec. 531.05. Definitions. As used in this Act:
17    "Account" means either of the 2 3 accounts created under
18Section 531.06.
19    "Association" means the Illinois Life and Health Insurance
20Guaranty Association created under Section 531.06.
21    "Authorized assessment" or the term "authorized" when used
22in the context of assessments means a resolution by the Board
23of Directors has been passed whereby an assessment shall be
24called immediately or in the future from member insurers for a
25specified amount. An assessment is authorized when the

 

 

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1resolution is passed.
2    "Benefit plan" means a specific employee, union, or
3association of natural persons benefit plan.
4    "Called assessment" or the term "called" when used in the
5context of assessments means that a notice has been issued by
6the Association to member insurers requiring that an authorized
7assessment be paid within the time frame set forth within the
8notice. An authorized assessment becomes a called assessment
9when notice is mailed by the Association to member insurers.
10    "Director" means the Director of Insurance of this State.
11    "Contractual obligation" means any obligation under a
12policy or contract or certificate under a group policy or
13contract, or portion thereof for which coverage is provided
14under Section 531.03.
15    "Covered person" means any person who is entitled to the
16protection of the Association as described in Section 531.02.
17    "Covered policy" means any policy or contract within the
18scope of this Article under Section 531.03.
19    "Extra-contractual claims" shall include, for example,
20claims relating to bad faith in the payment of claims, punitive
21or exemplary damages, or attorneys' fees and costs.
22    "Impaired insurer" means (A) a member insurer which, after
23the effective date of this amendatory Act of the 96th General
24Assembly, is not an insolvent insurer, and is placed under an
25order of rehabilitation or conservation by a court of competent
26jurisdiction or (B) a member insurer deemed by the Director

 

 

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1after the effective date of this amendatory Act of the 96th
2General Assembly to be potentially unable to fulfill its
3contractual obligations and not an insolvent insurer.
4    "Insolvent insurer" means a member insurer that, after the
5effective date of this amendatory Act of the 96th General
6Assembly, is placed under a final order of liquidation by a
7court of competent jurisdiction with a finding of insolvency.
8    "Member insurer" means an insurer licensed or holding a
9certificate of authority to transact in this State any kind of
10insurance for which coverage is provided under Section 531.03
11of this Code and includes an insurer whose license or
12certificate of authority in this State may have been suspended,
13revoked, not renewed, or voluntarily withdrawn or whose
14certificate of authority may have been suspended pursuant to
15Section 119 of this Code, but does not include:
16        (1) a hospital or medical service organization,
17    whether profit or nonprofit;
18        (2) a health maintenance organization;
19        (3) any burial society organized under Article XIX of
20    this Code, any fraternal benefit society organized under
21    Article XVII of this Code, any mutual benefit association
22    organized under Article XVIII of this Code, and any foreign
23    fraternal benefit society licensed under Article VI of this
24    Code or a fraternal benefit society;
25        (4) a mandatory State pooling plan;
26        (5) a mutual assessment company or other person that

 

 

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1    operates on an assessment basis;
2        (6) an insurance exchange;
3        (7) an organization that is permitted to issue
4    charitable gift annuities pursuant to Section 121-2.10 of
5    this Code;
6        (8) any health services plan corporation established
7    pursuant to the Voluntary Health Services Plans Act;
8        (9) any dental service plan corporation established
9    pursuant to the Dental Service Plan Act; or
10        (10) an entity similar to any of the above.
11    "Moody's Corporate Bond Yield Average" means the Monthly
12Average Corporates as published by Moody's Investors Service,
13Inc., or any successor thereto.
14    "Owner" of a policy or contract and "policy owner" and
15"contract owner" mean the person who is identified as the legal
16owner under the terms of the policy or contract or who is
17otherwise vested with legal title to the policy or contract
18through a valid assignment completed in accordance with the
19terms of the policy or contract and properly recorded as the
20owner on the books of the insurer. The terms owner, contract
21owner, and policy owner do not include persons with a mere
22beneficial interest in a policy or contract.
23    "Person" means an individual, corporation, limited
24liability company, partnership, association, governmental body
25or entity, or voluntary organization.
26    "Plan sponsor" means:

 

 

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1        (1) the employer in the case of a benefit plan
2    established or maintained by a single employer;
3        (2) the employee organization in the case of a benefit
4    plan established or maintained by an employee
5    organization; or
6        (3) in a case of a benefit plan established or
7    maintained by 2 or more employers or jointly by one or more
8    employers and one or more employee organizations, the
9    association, committee, joint board of trustees, or other
10    similar group of representatives of the parties who
11    establish or maintain the benefit plan.
12    "Premiums" mean amounts or considerations, by whatever
13name called, received on covered policies or contracts less
14returned premiums, considerations, and deposits and less
15dividends and experience credits.
16    "Premiums" does not include:
17        (A) amounts or considerations received for policies or
18    contracts or for the portions of policies or contracts for
19    which coverage is not provided under Section 531.03 of this
20    Code except that assessable premium shall not be reduced on
21    account of the provisions of subparagraph (iii) of
22    paragraph (b) of subsection (2) (a) of Section 531.03 of
23    this Code relating to interest limitations and the
24    provisions of paragraph (b) of subsection (3), subsection
25    (3.1), or subsection (3.2) of Section 531.03 relating to
26    limitations with respect to one individual, one

 

 

09700HB1870sam001- 21 -LRB097 08603 RPM 54856 a

1    participant, and one contract owner;
2        (B) premiums in excess of $5,000,000 on an unallocated
3    annuity contract not issued under a governmental
4    retirement benefit plan (or its trustee) established under
5    Section 401, 403(b) or 457 of the United States Internal
6    Revenue Code; or
7        (C) with respect to multiple nongroup policies of life
8    insurance owned by one owner, whether the policy owner is
9    an individual, firm, corporation, or other person, and
10    whether the persons insured are officers, managers,
11    employees, or other persons, premiums in excess of
12    $5,000,000 with respect to these policies or contracts,
13    regardless of the number of policies or contracts held by
14    the owner.
15    "Principal place of business" of a plan sponsor or a person
16other than a natural person means the single state in which the
17natural persons who establish policy for the direction,
18control, and coordination of the operations of the entity as a
19whole primarily exercise that function, determined by the
20Association in its reasonable judgment by considering the
21following factors:
22        (A) the state in which the primary executive and
23    administrative headquarters of the entity is located;
24        (B) the state in which the principal office of the
25    chief executive officer of the entity is located;
26        (C) the state in which the board of directors (or

 

 

09700HB1870sam001- 22 -LRB097 08603 RPM 54856 a

1    similar governing person or persons) of the entity conducts
2    the majority of its meetings;
3        (D) the state in which the executive or management
4    committee of the board of directors (or similar governing
5    person or persons) of the entity conducts the majority of
6    its meetings;
7        (E) the state from which the management of the overall
8    operations of the entity is directed; and
9        (F) in the case of a benefit plan sponsored by
10    affiliated companies comprising a consolidated
11    corporation, the state in which the holding company or
12    controlling affiliate has its principal place of business
13    as determined using the above factors.
14    However, in the case of a plan sponsor, if more than 50% of
15the participants in the benefit plan are employed in a single
16state, that state shall be deemed to be the principal place of
17business of the plan sponsor.
18    The principal place of business of a plan sponsor of a
19benefit plan described in paragraph (3) of the definition of
20"plan sponsor" this Section shall be deemed to be the principal
21place of business of the association, committee, joint board of
22trustees, or other similar group of representatives of the
23parties who establish or maintain the benefit plan that, in
24lieu of a specific or clear designation of a principal place of
25business, shall be deemed to be the principal place of business
26of the employer or employee organization that has the largest

 

 

09700HB1870sam001- 23 -LRB097 08603 RPM 54856 a

1investment in the benefit plan in question.
2    "Receivership court" means the court in the insolvent or
3impaired insurer's state having jurisdiction over the
4conservation, rehabilitation, or liquidation of the insurer.
5    "Resident" means a person to whom a contractual obligation
6is owed and who resides in this State on the date of entry of a
7court order that determines a member insurer to be an impaired
8insurer or a court order that determines a member insurer to be
9an insolvent insurer. A person may be a resident of only one
10state, which in the case of a person other than a natural
11person shall be its principal place of business. Citizens of
12the United States that are either (i) residents of foreign
13countries or (ii) residents of United States possessions,
14territories, or protectorates that do not have an association
15similar to the Association created by this Article, shall be
16deemed residents of the state of domicile of the insurer that
17issued the policies or contracts.
18    "Structured settlement annuity" means an annuity purchased
19in order to fund periodic payments for a plaintiff or other
20claimant in payment for or with respect to personal injury
21suffered by the plaintiff or other claimant.
22    "State" means a state, the District of Columbia, Puerto
23Rico, and a United States possession, territory, or
24protectorate.
25    "Supplemental contract" means a written agreement entered
26into for the distribution of proceeds under a life, health, or

 

 

09700HB1870sam001- 24 -LRB097 08603 RPM 54856 a

1annuity policy or a life, health, or annuity contract.
2    "Unallocated annuity contract" means any annuity contract
3or group annuity certificate which is not issued to and owned
4by an individual, except to the extent of any annuity benefits
5guaranteed to an individual by an insurer under such contract
6or certificate.
7(Source: P.A. 96-1450, eff. 8-20-10.)
 
8    (215 ILCS 5/531.07)  (from Ch. 73, par. 1065.80-7)
9    Sec. 531.07. Board of Directors.) The board of directors
10of the Association consists of not less than 7 nor more than 11
11members serving terms as established in the plan of operation.
12The insurer members insurers of the board are to be selected by
13member insurers subject to the approval of the Director. In
14addition, 2 persons who must be public representatives may be
15appointed by the Director to the board of directors. A public
16representative may not be an officer, director, or employee of
17an insurance company or any person engaged in the business of
18insurance. Vacancies on the board must be filled for the
19remaining period of the term in the manner described in the
20plan of operation.
21    In approving selections or in appointing members to the
22board, the Director must consider, whether all member insurers
23are fairly represented.
24    Members of the board may be reimbursed from the assets of
25the Association for expenses incurred by them as members of the

 

 

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1board of directors but members of the board may not otherwise
2be compensated by the Association for their services.
3(Source: P.A. 96-1450, eff. 8-20-10.)
 
4    (215 ILCS 5/531.08)  (from Ch. 73, par. 1065.80-8)
5    Sec. 531.08. Powers and duties of the Association.
6    (a) In addition to the powers and duties enumerated in
7other Sections of this Article:
8        (1) If a member insurer is an impaired insurer, then
9    the Association may, in its discretion and subject to any
10    conditions imposed by the Association that do not impair
11    the contractual obligations of the impaired insurer and
12    that are approved by the Director:
13            (a) (A) guarantee, assume, or reinsure or cause to
14        be guaranteed, assumed, or reinsured, any or all of the
15        policies or contracts of the impaired insurer; or
16            (b) (B) provide such money, pledges, loans, notes,
17        guarantees, or other means as are proper to effectuate
18        paragraph (a) (A) and assure payment of the contractual
19        obligations of the impaired insurer pending action
20        under paragraph (a) (A).
21        (2) If a member insurer is an insolvent insurer, then
22    the Association shall, in its discretion, either:
23            (a) (A) guaranty, assume, or reinsure or cause to
24        be guaranteed, assumed, or reinsured the policies or
25        contracts of the insolvent insurer or assure payment of

 

 

09700HB1870sam001- 26 -LRB097 08603 RPM 54856 a

1        the contractual obligations of the insolvent insurer
2        and provide money, pledges, loans, notes, guarantees,
3        or other means reasonably necessary to discharge the
4        Association's duties; or
5            (b) (B) provide benefits and coverages in
6        accordance with the following provisions:
7                (i) with respect to life and health insurance
8            policies and annuities, assure ensure payment of
9            benefits for premiums identical to the premiums
10            and benefits (except for terms of conversion and
11            renewability) that would have been payable under
12            the policies or contracts of the insolvent insurer
13            for claims incurred:
14                    (A) (a) with respect to group policies and
15                contracts, not later than the earlier of the
16                next renewal date under those policies or
17                contracts or 45 days, but in no event less than
18                30 days, after the date on which the
19                Association becomes obligated with respect to
20                the policies and contracts;
21                    (B) (b) with respect to nongroup policies,
22                contracts, and annuities not later than the
23                earlier of the next renewal date (if any) under
24                the policies or contracts or one year, but in
25                no event less than 30 days, from the date on
26                which the Association becomes obligated with

 

 

09700HB1870sam001- 27 -LRB097 08603 RPM 54856 a

1                respect to the policies or contracts;
2                (ii) make diligent efforts to provide all
3            known insureds or annuitants (for nongroup
4            policies and contracts), or group policy owners
5            with respect to group policies and contracts, 30
6            days notice of the termination (pursuant to
7            subparagraph (i) of this paragraph (b) (B)) of the
8            benefits provided;
9                (iii) with respect to nongroup life and health
10            insurance policies and annuities covered by the
11            Association, make available to each known insured
12            or annuitant, or owner if other than the insured or
13            annuitant, and with respect to an individual
14            formerly insured or formerly an annuitant under a
15            group policy who is not eligible for replacement
16            group coverage, make available substitute coverage
17            on an individual basis in accordance with the
18            provisions of paragraph (iv) (3), if the insureds
19            or annuitants had a right under law or the
20            terminated policy or annuity to convert coverage
21            to individual coverage or to continue an
22            individual policy or annuity in force until a
23            specified age or for a specified time, during which
24            the insurer had no right unilaterally to make
25            changes in any provision of the policy or annuity
26            or had a right only to make changes in premium by

 

 

09700HB1870sam001- 28 -LRB097 08603 RPM 54856 a

1            class.
2                 (iv) (b) In providing the substitute coverage
3            required under subparagraph (iii), of paragraph
4            (B) of item (2) of subsection (a) of this Section,
5            the Association may offer either to reissue the
6            terminated coverage or to issue an alternative
7            policy.
8                 Alternative or reissued policies shall be
9            offered without requiring evidence of
10            insurability, and shall not provide for any
11            waiting period or exclusion that would not have
12            applied under the terminated policy.
13                 The Association may reinsure any alternative
14            or reissued policy.
15                 Alternative policies adopted by the
16            Association shall be subject to the approval of the
17            Director. The Association may adopt alternative
18            policies of various types for future insurance
19            without regard to any particular impairment or
20            insolvency.
21                 (v) Alternative policies shall contain at
22            least the minimum statutory provisions required in
23            this State and provide benefits that shall not be
24            unreasonable in relation to the premium charged.
25            The Association shall set the premium in
26            accordance with a table of rates which it shall

 

 

09700HB1870sam001- 29 -LRB097 08603 RPM 54856 a

1            adopt. The premium shall reflect the amount of
2            insurance to be provided and the age and class of
3            risk of each insured, but shall not reflect any
4            changes in the health of the insured after the
5            original policy was last underwritten.
6                 Any alternative policy issued by the
7            Association shall provide coverage of a type
8            similar to that of the policy issued by the
9            impaired or insolvent insurer, as determined by
10            the Association.
11                 (vi) (c) If the Association elects to reissue
12            terminated coverage at a premium rate different
13            from that charged under the terminated policy, the
14            premium shall be set by the Association in
15            accordance with the amount of insurance provided
16            and the age and class of risk, subject to approval
17            of the Director or by a court of competent
18            jurisdiction.
19                 (vii) (d) The Association's obligations with
20            respect to coverage under any policy of the
21            impaired or insolvent insurer or under any
22            reissued or alternative policy shall cease on the
23            date such coverage or policy is replaced by another
24            similar policy by the policyholder, the insured,
25            or the Association.
26                 (viii) (e) When proceeding under this Section

 

 

09700HB1870sam001- 30 -LRB097 08603 RPM 54856 a

1            with respect to any policy or contract carrying
2            guaranteed minimum interest rates, the Association
3            shall assure the payment or crediting of a rate of
4            interest consistent with subparagraph
5            (2)(b)(iii)(B) of Section 531.03.
6         (3) (f) Nonpayment of premiums thirty-one days after
7    the date required under the terms of any guaranteed,
8    assumed, alternative or reissued policy or contract or
9    substitute coverage shall terminate the Association's
10    obligations under such policy or coverage under this Act
11    with respect to such policy or coverage, except with
12    respect to any claims incurred or any net cash surrender
13    value which may be due in accordance with the provisions of
14    this Act.
15         (4) (g) Premiums due for coverage after entry of an
16    order of liquidation of an insolvent insurer shall belong
17    to and be payable at the direction of the Association, and
18    the Association shall be liable for unearned premiums due
19    to policy or contract owners arising after the entry of
20    such order.
21        (5) (h) In carrying out its duties under paragraph (2)
22    of subsection (a) of this Section, the Association may:
23            (a) (1) subject to approval by a court in this
24        State, impose permanent policy or contract liens in
25        connection with a guarantee, assumption, or
26        reinsurance agreement if the Association finds that

 

 

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1        the amounts which can be assessed under this Article
2        are less than the amounts needed to assure full and
3        prompt performance of the Association's duties under
4        this Article or that the economic or financial
5        conditions as they affect member insurers are
6        sufficiently adverse to render the imposition of such
7        permanent policy or contract liens to be in the public
8        interest; or
9            (b) (2) subject to approval by a court in this
10        State, impose temporary moratoriums or liens on
11        payments of cash values and policy loans or any other
12        right to withdraw funds held in conjunction with
13        policies or contracts in addition to any contractual
14        provisions for deferral of cash or policy loan value.
15        In addition, in the event of a temporary moratorium or
16        moratorium charge imposed by the receivership court on
17        payment of cash values or policy loans or on any other
18        right to withdraw funds held in conjunction with
19        policies or contracts, out of the assets of the
20        impaired or insolvent insurer, the Association may
21        defer the payment of cash values, policy loans, or
22        other rights by the Association for the period of the
23        moratorium or moratorium charge imposed by the
24        receivership court, except for claims covered by the
25        Association to be paid in accordance with a hardship
26        procedure established by the liquidator or

 

 

09700HB1870sam001- 32 -LRB097 08603 RPM 54856 a

1        rehabilitator and approved by the receivership court.
2        (6) (i) There shall be no liability on the part of and
3    no cause of action shall arise against the Association or
4    against any transferee from the Association in connection
5    with the transfer by reinsurance or otherwise of all or any
6    part of an impaired or insolvent insurer's business by
7    reason of any action taken or any failure to take any
8    action by the impaired or insolvent insurer at any time.
9        (7) (j) If the Association fails to act within a
10    reasonable period of time as provided in subsection (2) of
11    this Section with respect to an insolvent insurer, the
12    Director shall have the powers and duties of the
13    Association under this Act with regard to such insolvent
14    insurers.
15        (8) (k) The Association or its designated
16    representatives may render assistance and advice to the
17    Director, upon his request, concerning rehabilitation,
18    payment of claims, continuations of coverage, or the
19    performance of other contractual obligations of any
20    impaired or insolvent insurer.
21        (9) (l) The Association shall have standing to appear
22    or intervene before a court or agency in this State with
23    jurisdiction over an impaired or insolvent insurer
24    concerning which the Association is or may become obligated
25    under this Article or with jurisdiction over any person or
26    property against which the Association may have rights

 

 

09700HB1870sam001- 33 -LRB097 08603 RPM 54856 a

1    through subrogation or otherwise. Standing shall extend to
2    all matters germane to the powers and duties of the
3    Association, including, but not limited to, proposals for
4    reinsuring, modifying, or guaranteeing the policies or
5    contracts of the impaired or insolvent insurer and the
6    determination of the policies or contracts and contractual
7    obligations. The Association shall also have the right to
8    appear or intervene before a court or agency in another
9    state with jurisdiction over an impaired or insolvent
10    insurer for which the Association is or may become
11    obligated or with jurisdiction over any person or property
12    against whom the Association may have rights through
13    subrogation or otherwise.
14        (10)(a) (m)(1) A person receiving benefits under this
15    Article shall be deemed to have assigned the rights under
16    and any causes of action against any person for losses
17    arising under, resulting from, or otherwise relating to the
18    covered policy or contract to the Association to the extent
19    of the benefits received because of this Article, whether
20    the benefits are payments of or on account of contractual
21    obligations, continuation of coverage, or provision of
22    substitute or alternative coverages. The Association may
23    require an assignment to it of such rights and cause of
24    action by any payee, policy, or contract owner,
25    beneficiary, insured, or annuitant as a condition
26    precedent to the receipt of any right or benefits conferred

 

 

09700HB1870sam001- 34 -LRB097 08603 RPM 54856 a

1    by this Article upon the person.
2        (b) (2) The subrogation rights of the Association under
3    this subsection have the same priority against the assets
4    of the impaired or insolvent insurer as that possessed by
5    the person entitled to receive benefits under this Article.
6        (c) (3) In addition to paragraphs (a) (1) and (b) (2),
7    the Association shall have all common law rights of
8    subrogation and any other equitable or legal remedy that
9    would have been available to the impaired or insolvent
10    insurer or owner, beneficiary, or payee of a policy or
11    contract with respect to the policy or contracts, including
12    without limitation, in the case of a structured settlement
13    annuity, any rights of the owner, beneficiary, or payee of
14    the annuity to the extent of benefits received pursuant to
15    this Article, against a person originally or by succession
16    responsible for the losses arising from the personal injury
17    relating to the annuity or payment therefor, excepting any
18    such person responsible solely by reason of serving as an
19    assignee in respect of a qualified assignment under
20    Internal Revenue Code Section 130.
21        (d) (4) If the preceding provisions of this subsection
22    (10) (l) are invalid or ineffective with respect to any
23    person or claim for any reason, then the amount payable by
24    the Association with respect to the related covered
25    obligations shall be reduced by the amount realized by any
26    other person with respect to the person or claim that is

 

 

09700HB1870sam001- 35 -LRB097 08603 RPM 54856 a

1    attributable to the policies, or portion thereof, covered
2    by the Association.
3        (e) (5) If the Association has provided benefits with
4    respect to a covered obligation and a person recovers
5    amounts as to which the Association has rights as described
6    in the preceding paragraphs of this subsection (10), then
7    the person shall pay to the Association the portion of the
8    recovery attributable to the policies, or portion thereof,
9    covered by the Association.
10        (11) (n) The Association may:
11            (a) (1) Enter into such contracts as are necessary
12        or proper to carry out the provisions and purposes of
13        this Article. ;
14            (b) (2) Sue or be sued, including taking any legal
15        actions necessary or proper for recovery of any unpaid
16        assessments under Section 531.09. The Association
17        shall not be liable for punitive or exemplary damages. ;
18            (c) (3) Borrow money to effect the purposes of this
19        Article. Any notes or other evidence of indebtedness of
20        the Association not in default are legal investments
21        for domestic insurers and may be carried as admitted
22        assets.
23            (d) (4) Employ or retain such persons as are
24        necessary to handle the financial transactions of the
25        Association, and to perform such other functions as
26        become necessary or proper under this Article.

 

 

09700HB1870sam001- 36 -LRB097 08603 RPM 54856 a

1            (e) (5) Negotiate and contract with any
2        liquidator, rehabilitator, conservator, or ancillary
3        receiver to carry out the powers and duties of the
4        Association.
5            (f) (6) Take such legal action as may be necessary
6        to avoid payment of improper claims.
7            (g) (7) Exercise, for the purposes of this Article
8        and to the extent approved by the Director, the powers
9        of a domestic life or health insurer, but in no case
10        may the Association issue insurance policies or
11        annuity contracts other than those issued to perform
12        the contractual obligations of the impaired or
13        insolvent insurer.
14            (h) (8) Exercise all the rights of the Director
15        under Section 193(4) of this Code with respect to
16        covered policies after the association becomes
17        obligated by statute.
18            (i) (9) Request information from a person seeking
19        coverage from the Association in order to aid the
20        Association in determining its obligations under this
21        Article with respect to the person, and the person
22        shall promptly comply with the request.
23            (j) (10) Take other necessary or appropriate
24        action to discharge its duties and obligations under
25        this Article or to exercise its powers under this
26        Article.

 

 

09700HB1870sam001- 37 -LRB097 08603 RPM 54856 a

1         (12) (o) With respect to covered policies for which
2    the Association becomes obligated after an entry of an
3    order of liquidation or rehabilitation, the Association
4    may elect to succeed to the rights of the insolvent insurer
5    arising after the date of the order of liquidation or
6    rehabilitation under any contract of reinsurance to which
7    the insolvent insurer was a party, to the extent that such
8    contract provides coverage for losses occurring after the
9    date of the order of liquidation or rehabilitation. As a
10    condition to making this election, the Association must pay
11    all unpaid premiums due under the contract for coverage
12    relating to periods before and after the date of the order
13    of liquidation or rehabilitation.
14        (13) (p) A deposit in this State, held pursuant to law
15    or required by the Director for the benefit of creditors,
16    including policy owners, not turned over to the domiciliary
17    liquidator upon the entry of a final order of liquidation
18    or order approving a rehabilitation plan of an insurer
19    domiciled in this State or in a reciprocal state, pursuant
20    to Article XIII 1/2 of this Code, shall be promptly paid to
21    the Association. The Association shall be entitled to
22    retain a portion of any amount so paid to it equal to the
23    percentage determined by dividing the aggregate amount of
24    policy owners' claims related to that insolvency for which
25    the Association has provided statutory benefits by the
26    aggregate amount of all policy owners' claims in this State

 

 

09700HB1870sam001- 38 -LRB097 08603 RPM 54856 a

1    related to that insolvency and shall remit to the
2    domiciliary receiver the amount so paid to the Association
3    less the amount retained pursuant to this subsection (13).
4    Any amount so paid to the Association and retained by it
5    shall be treated as a distribution of estate assets
6    pursuant to applicable State receivership law dealing with
7    early access disbursements.
8        (14) (q) The Board of Directors of the Association
9    shall have discretion and may exercise reasonable business
10    judgment to determine the means by which the Association is
11    to provide the benefits of this Article in an economical
12    and efficient manner.
13        (15) (r) Where the Association has arranged or offered
14    to provide the benefits of this Article to a covered person
15    under a plan or arrangement that fulfills the Association's
16    obligations under this Article, the person shall not be
17    entitled to benefits from the Association in addition to or
18    other than those provided under the plan or arrangement.
19        (16) (s) Venue in a suit against the Association
20    arising under the Article shall be in Cook County. The
21    Association shall not be required to give any appeal bond
22    in an appeal that relates to a cause of action arising
23    under this Article.
24        (17) (t) The Association may join an organization of
25    one or more other State associations of similar purposes to
26    further the purposes and administer the powers and duties

 

 

09700HB1870sam001- 39 -LRB097 08603 RPM 54856 a

1    of the Association.
2        (18) (u) In carrying out its duties in connection with
3    guaranteeing, assuming, or reinsuring policies or
4    contracts under subsections (1) or (2), the Association
5    may, subject to approval of the receivership court, issue
6    substitute coverage for a policy or contract that provides
7    an interest rate, crediting rate, or similar factor
8    determined by use of an index or other external reference
9    stated in the policy or contract employed in calculating
10    returns or changes in value by issuing an alternative
11    policy or contract in accordance with the following
12    provisions:
13            (a) (1) in lieu of the index or other external
14        reference provided for in the original policy or
15        contract, the alternative policy or contract provides
16        for (i) a fixed interest rate, or (ii) payment of
17        dividends with minimum guarantees, or (iii) a
18        different method for calculating interest or changes
19        in value;
20            (b) (2) there is no requirement for evidence of
21        insurability, waiting period, or other exclusion that
22        would not have applied under the replaced policy or
23        contract; and
24            (c) (3) the alternative policy or contract is
25        substantially similar to the replaced policy or
26        contract in all other material terms.

 

 

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1(Source: P.A. 96-1450, eff. 8-20-10; revised 9-16-10.)
 
2    (215 ILCS 5/531.09)  (from Ch. 73, par. 1065.80-9)
3    Sec. 531.09. Assessments.
4    (1) For the purpose of providing the funds necessary to
5carry out the powers and duties of the Association, the board
6of directors shall assess the member insurers, separately for
7each account, at such times and for such amounts as the board
8finds necessary. Assessments shall be due not less than 30 days
9after written notice to the member insurers and shall accrue
10interest from the due date at such adjusted rate as is
11established under Section 6621 of Chapter 26 of the United
12States Code and such interest shall be compounded daily.
13    (2) There shall be 2 classes of assessments, as follows:
14        (a) Class A assessments shall be made for the purpose
15    of meeting administrative costs and other general expenses
16    and examinations conducted under the authority of the
17    Director under subsection (5) of Section 531.12.
18        (b) Class B assessments shall be made to the extent
19    necessary to carry out the powers and duties of the
20    Association under Section 531.08 with regard to an impaired
21    or insolvent domestic insurer or insolvent foreign or alien
22    insurers.
23    (3)(a) The amount of any Class A assessment shall be
24determined at the discretion of the board of directors and such
25assessments shall be authorized and called on a non-pro rata

 

 

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1basis. The amount of any Class B assessment shall be allocated
2for assessment purposes among the accounts and subaccounts
3pursuant to an allocation formula which may be based on the
4premiums or reserves of the impaired or insolvent insurer or
5any other standard deemed by the board in its sole discretion
6as being fair and reasonable under the circumstances.
7    (b) Class B assessments against member insurers for each
8account and subaccount shall be in the proportion that the
9premiums received on business in this State by each assessed
10member insurer on policies or contracts covered by each account
11or subaccount for the three most recent calendar years for
12which information is available preceding the year in which the
13insurer became impaired or insolvent, as the case may be, bears
14to such premiums received on business in this State for such
15calendar years by all assessed member insurers.
16    (c) Assessments for funds to meet the requirements of the
17Association with respect to an impaired or insolvent insurer
18shall not be made until necessary to implement the purposes of
19this Article. Classification of assessments under subsection
20(2) and computations of assessments under this subsection shall
21be made with a reasonable degree of accuracy, recognizing that
22exact determinations may not always be possible.
23    (4) The Association may abate or defer, in whole or in
24part, the assessment of a member insurer if, in the opinion of
25the board, payment of the assessment would endanger the ability
26of the member insurer to fulfill its contractual obligations.

 

 

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1In the event an assessment against a member insurer is abated
2or deferred in whole or in part the amount by which the
3assessment is abated or deferred may be assessed against the
4other member insurers in a manner consistent with the basis for
5assessments set forth in this Section. Once the conditions that
6caused a deferral have been removed or rectified, the member
7insurer shall pay all assessments that were deferred pursuant
8to a repayment plan approved by the Association.
9    (5) (a) (i) Subject to the provisions of subparagraph (ii)
10of this paragraph, the total of all assessments authorized by
11the Association with respect to a member insurer for each
12subaccount of the life insurance and annuity account and for
13the health account shall not in one calendar year exceed 2% of
14that member insurer's average annual premiums received in this
15State on the policies and contracts covered by the subaccount
16or account during the 3 calendar years preceding the year in
17which the insurer became an impaired or insolvent insurer.
18    (ii) If 2 or more assessments are authorized in one
19calendar year with respect to insurers that become impaired or
20insolvent in different calendar years, the average annual
21premiums for purposes of the aggregate assessment percentage
22limitation referenced in subparagraph (a) of this paragraph
23shall be equal and limited to the higher of the 3-year average
24annual premiums for the applicable subaccount or account as
25calculated pursuant to this Section.
26    (iii) If the maximum assessment, together with the other

 

 

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1assets of the Association in an account, does not provide in
2one year in either account an amount sufficient to carry out
3the responsibilities of the Association, the necessary
4additional funds shall be assessed as soon thereafter as
5permitted by this Article.
6    (b) The board may provide in the plan of operation a method
7of allocating funds among claims, whether relating to one or
8more impaired or insolvent insurers, when the maximum
9assessment will be insufficient to cover anticipated claims.
10    (c) If the maximum assessment for a subaccount of the life
11insurance and annuity account in one year does not provide an
12amount sufficient to carry out the responsibilities of the
13Association, then pursuant to paragraph (b) of subsection (3),
14the board shall assess the other subaccounts of the life and
15annuity account for the necessary additional amount, subject to
16the maximum stated in paragraph (a) of this subsection.
17    (6) The board may, by an equitable method as established in
18the plan of operation, refund to member insurers, in proportion
19to the contribution of each insurer to that account, the amount
20by which the assets of the account exceed the amount the board
21finds is necessary to carry out during the coming year the
22obligations of the Association with regard to that account,
23including assets accruing from net realized gains and income
24from investments. A reasonable amount may be retained in any
25account to provide funds for the continuing expenses of the
26Association and for future losses.

 

 

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1    (7) An assessment is deemed to occur on the date upon which
2the board votes such assessment. The board may defer calling
3the payment of the assessment or may call for payment in one or
4more installments.
5    (8) It is proper for any member insurer, in determining its
6premium rates and policyowner dividends as to any kind of
7insurance within the scope of this Article, to consider the
8amount reasonably necessary to meet its assessment obligations
9under this Article.
10    (9) The Association must issue to each insurer paying a
11Class B assessment under this Article a certificate of
12contribution, in a form acceptable to the Director, for the
13amount of the assessment so paid. All outstanding certificates
14are of equal dignity and priority without reference to amounts
15or dates of issue. A certificate of contribution may be shown
16by the insurer in its financial statement as an asset in such
17form and for such amount, if any, and period of time as the
18Director may approve, provided the insurer shall in any event
19at its option have the right to show a certificate of
20contribution as an admitted asset at percentages of the
21original face amount for calendar years as follows:
22    100% for the calendar year after the year of issuance;
23    80% for the second calendar year after the year of
24issuance;
25    60% for the third calendar year after the year of issuance;
26    40% for the fourth calendar year after the year of

 

 

09700HB1870sam001- 45 -LRB097 08603 RPM 54856 a

1issuance;
2    20% for the fifth calendar year after the year of issuance.
3    (10) The Association may request information of member
4insurers in order to aid in the exercise of its power under
5this Section and member insurers shall promptly comply with a
6request.
7(Source: P.A. 95-86, eff. 9-25-07 (changed from 1-1-08 by P.A.
895-632); 96-1450, eff. 8-20-10.)
 
9    (215 ILCS 5/531.14)  (from Ch. 73, par. 1065.80-14)
10    Sec. 531.14. Miscellaneous Provisions.
11    (1) Nothing in this Article may be construed to reduce the
12liability for unpaid assessments of the insured of an impaired
13or insolvent insurer operating under a plan with assessment
14liability.
15    (2) Records must be kept of all negotiations and meetings
16in which the Association or its representatives are involved to
17discuss the activities of the Association in carrying out its
18powers and duties under Section 531.08. Records of such
19negotiations or meetings may be made public only upon the
20termination of a liquidation, rehabilitation, or conservation
21proceeding involving the impaired or insolvent insurer, upon
22the termination of the impairment or insolvency of the insurer,
23or upon the order of a court of competent jurisdiction. Nothing
24in this paragraph (2) limits the duty of the Association to
25render a report of its activities under Section 531.15.

 

 

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1    (3) For the purpose of carrying out its obligations under
2this Article, the Association is deemed to be a creditor of the
3impaired or insolvent insurer to the extent of assets
4attributable to covered policies reduced by any amounts to
5which the Association is entitled as subrogee (under paragraph
6(8) of Section 531.08). All assets of the impaired or insolvent
7insurer attributable to covered policies must be used to
8continue all covered policies and pay all contractual
9obligations of the impaired insurer as required by this
10Article. "Assets attributable to covered policies", as used in
11this paragraph (3), is that proportion of the assets which the
12reserves that should have been established for such policies
13bear to the reserve that should have been established for all
14policies of insurance written by the impaired or insolvent
15insurer.
16    (4) (a) Prior to the termination of any liquidation,
17rehabilitation, or conservation proceeding, the court may take
18into consideration the contributions of the respective
19parties, including the Association, the shareholders and
20policyowners of the impaired or insolvent insurer, and any
21other party with a bona fide interest, in making an equitable
22distribution of the ownership rights of such impaired or
23insolvent insurer. In such a determination, consideration must
24be given to the welfare of the policyholders of the continuing
25or successor insurer.
26    (b) No distribution to stockholders, if any, of an impaired

 

 

09700HB1870sam001- 47 -LRB097 08603 RPM 54856 a

1or insolvent insurer may be made until and unless the total
2amount of valid claims of the Association for funds expended,
3with interest, in carrying out its powers and duties under
4Section 531.08, with respect to such insurer have been fully
5recovered by the Association.
6    (5) (a) If an order for liquidation or rehabilitation of an
7insurer domiciled in this State has been entered, the receiver
8appointed under such order has a right to recover on behalf of
9the insurer, from any affiliate that controlled it, the amount
10of distributions, other than stock dividends paid by the
11insurer on its capital stock, made at any time during the 5
12years preceding the petition for liquidation or rehabilitation
13subject to the limitations of paragraphs (b) to (d).
14    (b) No such dividend is recoverable if the insurer shows
15that when paid the distribution was lawful and reasonable, and
16that the insurer did not know and could not reasonably have
17known that the distribution might adversely affect the ability
18of the insurer to fulfill its contractual obligations.
19    (c) Any person who as an affiliate that controlled the
20insurer at the time the distributions were paid is liable up to
21the amount of distributions he received. Any person who was an
22affiliate that controlled the insurer at the time the
23distributions were declared, is liable up to the amount of
24distributions he would have received if they had been paid
25immediately. If 2 persons are liable with respect to the same
26distributions, they are jointly and severally liable.

 

 

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1    (d) The maximum amount recoverable under subsection (5) of
2this Section is the amount needed in excess of all other
3available assets of the insolvent insurer to pay the
4contractual obligations of the insolvent insurer.
5    (e) If any person liable under paragraph (c) of subsection
6(5) of this Section is insolvent, all its affiliates that
7controlled it at the time the dividend was paid are jointly and
8severally liable for any resulting deficiency in the amount
9recovered from the insolvent affiliate.
10    (6) As a creditor of the impaired or insolvent insurer as
11established in subsection (3) of this Section and consistent
12with subsection (2) of Section 205 of this Code, the
13Association and other similar associations shall be entitled to
14receive a disbursement of assets out of the marshaled assets,
15from time to time as the assets become available to reimburse
16it, as a credit against contractual obligations under this
17Article. If the liquidator has not, within 120 days after a
18final determination of insolvency of an insurer by the
19receivership court, made an application to the court for the
20approval of a proposal to disburse assets out of marshaled
21assets to guaranty associations having obligations because of
22the insolvency, then the Association shall be entitled to make
23application to the receivership court for approval of its own
24proposal to disburse these assets.
25(Source: P.A. 96-1450, eff. 8-20-10.)
 

 

 

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1    Section 10. The Health Maintenance Organization Act is
2amended by changing Section 6-14 as follows:
 
3    (215 ILCS 125/6-14)  (from Ch. 111 1/2, par. 1418.14)
4    Sec. 6-14. Miscellaneous Provisions. (1) Records must be
5kept of all negotiations and meetings in which the Association
6or its representatives are involved to discuss the activities
7of the Association in carrying out its powers and duties under
8Section 6-8. Records of such negotiations or meetings may be
9made public only upon the termination of a liquidation,
10rehabilitation, or conservation proceeding involving the
11impaired or insolvent organization, upon the termination of the
12impairment or insolvency of the organization, or upon the order
13of a court of competent jurisdiction. Nothing in this
14subsection (1) limits the duty of the Association to submit a
15report of its activities under Section 6-15.
16    (2) For the purpose of carrying out its obligations under
17this Article, the Association is deemed to be a creditor of the
18impaired or insolvent organization to the extent of assets
19attributable to covered health care plan certificates reduced
20by any amounts to which the Association is entitled as subrogee
21(under subsection (7) of Section 6-8). All assets of the
22impaired or insolvent organization attributable to covered
23health care plan certificates must be used to continue all
24covered health care plan certificates and pay all contractual
25obligations of the impaired organization as required by this

 

 

09700HB1870sam001- 50 -LRB097 08603 RPM 54856 a

1Article. "Assets attributable to covered health care plan
2certificates", as used in this subsection (2), is that
3proportion of the assets which the reserves that should have
4been established for such health care plan certificates bear to
5the reserve that should have been established for all health
6care plan certificates of the impaired or insolvent
7organization.
8    (3) (a) Prior to the termination of any liquidation,
9rehabilitation, or conservation proceeding, the court may take
10into consideration the contributions of the respective
11parties, including the Association, the shareholders of the
12impaired or insolvent organization, and any other party with a
13bona fide interest, in making an equitable distribution of the
14ownership rights of such impaired or insolvent organization. In
15such a determination, consideration must be given to the
16welfare of the enrollees of the continuing or successor
17organization.
18    (b) No distribution to stockholders, if any, of an impaired
19or insolvent organization may be made until and unless the
20total amount of valid claims of the Association for funds
21expended in carrying out its powers and duties under Section
226-8, with interest, with respect to such organization have been
23fully recovered by the Association.
24    (4) (a) If an order for liquidation or rehabilitation of an
25organization domiciled in this State has been entered, the
26receiver appointed under such order has a right to recover on

 

 

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1behalf of the organization, from any affiliate that controlled
2it, the amount of distributions, other than stock dividends
3paid by the organization on its capital stock, made at any time
4during the 5 years preceding the petition for liquidation or
5rehabilitation subject to the limitations of paragraphs (b) to
6(d).
7    (b) No such distribution is recoverable if the organization
8shows that when paid the distribution was lawful and
9reasonable, and that the organization did not know and could
10not reasonably have known that the distribution might adversely
11affect the ability of the organization to fulfill its
12contractual obligations.
13    (c) Any person who was an affiliate that controlled the
14organization at the time the distributions were paid is liable
15up to the amount of distributions he received. Any person who
16was an affiliate that controlled the organization at the time
17the distributions were declared, is liable up to the amount of
18distributions he would have received if they had been paid
19immediately. If 2 persons are liable with respect to the same
20distributions, they are jointly and severally liable.
21    (d) The maximum amount recoverable under subsection (4) of
22this Section is the amount needed in excess of all other
23available assets of the insolvent organization to pay the
24contractual obligations of the insolvent organization.
25    (e) If any person liable under paragraph (c) of subsection
26(4) of this Section is insolvent, all its affiliates that

 

 

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1controlled it at the time the distribution was paid are jointly
2and severally liable for any resulting deficiency in the amount
3recovered from the insolvent affiliate.
4(Source: P.A. 86-620.)".