Senate Bill No. 328

(By Senators Helmick and Ross)

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[Introduced February 8, 1996;

referred to the Committee on Banking and Insurance.]

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A BILL to amend and reenact section fifteen-b, article four, chapter thirty-three of the code of West Virginia, one thousand nine hundred thirty-one, as amended, relating to insurance; insurance commissioner; life reinsurance agreements; and reduction of liability.

Be it enacted by the Legislature of West Virginia:
That section fifteen-b, article four, chapter thirty-three of the code of West Virginia, one thousand nine hundred thirty- one, as amended, be amended and reenacted to read as follows:
ARTICLE 4. GENERAL PROVISIONS.
§33-4-15b.Life reinsurance agreements; reduction of liability; requirements.

(a) This section applies to all domestic life insurers and , accident and sickness insurers, and property and casualty insurers with respect to their accident and sickness business. This section also applies to all other licensed life insurers, accident and sickness insurers, and property and casualty insurers with respect to their accident and sickness business who are not subject to a substantially similar law or regulation in their domiciliary state.
(b) A life An insurer subject to this article section shall not, for reinsurance ceded, reduce any liability or establish any asset in any financial statement filed with the department commissioner if, by the terms of the reinsurance agreement, in substance or effect, any of the following conditions exist:
(1) The primary effect of the reinsurance agreement is to transfer deficiency reserves or excess interest reserves to the books of the reinsurer for a "risk charge" and the agreement does not provide for significant participation by the reinsurer in one or more of the following risks: Mortality, morbidity, investment or surrender benefit;
(2) The reserve credit taken by the ceding insurer is not in compliance with this chapter, including actuarial interpretations or standards adopted by the department commissioner;
(3) The reserve credit taken by the ceding insurer is greater than the underlying reserve of the ceding company supporting the policy obligation transferred under the reinsurance agreement;
(4) The ceding insurer is required to reimburse the reinsurer for negative experience under the reinsurance agreement: Provided, That neither offsetting experience refunds against current and prior years' losses nor payment by the ceding insurer of an amount equal to current and prior years' losses upon voluntary termination of in-force reinsurance by that ceding insurer shall be considered such a reimbursement to the reinsurer for negative experience;
(5) The ceding insurer can be deprived of surplus at the reinsurer's option or automatically upon the occurrence of some event, such as the insolvency of the ceding insurer: Provided, That termination of the reinsurance agreement by the reinsurer for nonpayment of reinsurance premiums shall not be considered to be such a deprivation of surplus;
(6) The ceding insurer shall, at specific points in time scheduled in the agreement, terminate or automatically recapture all or part of the reinsurance ceded;
(7) No cash payment is due from the reinsurer, throughout the lifetime of the reinsurance agreement, with all settlements prior to the termination date of the agreement made only in a "reinsurance account," and no funds in such account are available for the payment of benefits; or
(8) The reinsurance agreement involves the possible payment by the ceding insurer to the reinsurer of amounts other than from income reasonably expected from the reinsured policies; or
(9) Any other conditions specified by rules promulgated by the commissioner pursuant to chapter twenty-nine-a of this code.
(c) Notwithstanding the provisions of subsection (b) of this section, a life an insurer subject to this article may, with the prior approval of the commissioner, take such reserve credit as the commissioner may deem consistent with this chapter, including actuarial interpretations or standards adopted by the commissioner.
(d) A reinsurance agreement or amendment to any agreement shall not be used to reduce any liability or to establish any asset in any financial statement filed with the commissioner, unless the agreement, amendment or a letter of intent has been duly executed by both parties no later than the "as of date" of the financial statement.
(e) In the case of a letter of intent, a reinsurance agreement or an amendment to a reinsurance agreement shall be executed within a reasonable period of time, not exceeding ninety days from the execution date of the letter of intent, in order for credit to be granted for the reinsurance ceded.
(f) Life Insurers subject to this article section may continue to reduce liabilities or establish assets in financial statements filed with the commissioner for reinsurance ceded under types of reinsurance agreements described in subsection (b) of this section: Provided, That:
(1) The agreements were executed and in force prior to the effective date of this article section;
(2) No new business is ceded under the agreements after the effective date of this article section;
(3) The reduction of the liability or the asset established for the reinsurance ceded is reduced to zero by the thirty-first day of December, one thousand nine hundred ninety-four, or such later date approved by the commissioner as a result of an application made by the ceding insurer prior to the thirty-first day of December, one thousand nine hundred ninety-two;
(4) The reduction of the liability or the establishment of the asset is otherwise permissible under all other applicable provisions of this chapter, including actuarial interpretations or standards adopted by the commissioner; and
(5) The department commissioner is notified, within ninety days after the effective date of this section, of the existence of such reinsurance agreements and all corresponding credits taken in the ceding insurer's annual statement for the year one thousand nine hundred ninety-one.
(g) The commissioner shall promulgate a rule pursuant to chapter twenty-nine-a of this code for the implementation and administration of this section on or before the first day of July, one thousand nine hundred and ninety-six.




NOTE:The purpose of this bill is to allow the Insurance Commissioner to apply existing standards that apply to life reinsurance agreements or contracts to reinsurance agreements or contracts dealing with accident and sickness insurance. These standards will apply to reinsurance agreements or contracts utilized by both life insurers writing accident and sickness insurance and property and casualty insurers writing accident and sickness insurance. The bill requires the commissioner to promulgate a rule for the implementation and administration of this code section.

Strike-throughs indicate language that would be stricken from the present law, and underscoring indicates new language that would be added.