CHAPTER 19
SENATE BILL No. 15
An Act concerning the Kansas life and health
insurance guaranty association act; relating
to coverage of the Kansas public employees
deferred compensation plan; amending
K.S.A. 40-3003 and 40-3008 and repealing the
existing sections.
Be it enacted by the Legislature of the State of Kansas:
Section 1. K.S.A. 40-3003 is hereby amended to read as
follows:
40-3003. (a) This act shall provide coverage, for the policies and
contracts
specified in subsection (b), for:
(1) Persons who, regardless of where they reside, except for
nonres-
ident certificate holders under group policies or contracts, are
the ben-
eficiaries, assignees or payees of the persons covered under
paragraph
(2); and
(2) persons who are owners of or certificate holders under
such pol-
icies or contracts, and who:
(A) Are residents;
(B) are not residents, but only with respect to an annuity
contract
awarded pursuant to K.S.A. 1993 Supp. 60-3407 or
60-3409 or, and
amendments thereto, an annuity contract for future economic
loss pro-
cured pursuant to a settlement agreement in a medical malpractice
lia-
bility action, as defined by K.S.A. 1993 Supp.
60-3401, and amendments
thereto, or fixed-return accounts of the Kansas public employees
deferred
compensation plan under K.S.A. 75-5521 through 75-5529a, and
amend-
ments thereto; or
(C) are not residents, but only under all of the following
conditions:
(i) The insurers which issued such policies or contracts are
domiciled
in this state;
(ii) such insurers never had a license or certificate of
authority in the
states in which such persons reside;
(iii) such states have associations similar to the association
created by
this act; and
(iv) such persons are not eligible for coverage by such
associations.
(b) This act shall provide coverage to the persons specified
in sub-
section (a) for direct, nongroup life, health, annuity and
supplemental
policies or contracts, unallocated annuity contracts covering
individuals
participating in a governmental deferred compensation plan
established
under section 457 of the U.S. internal revenue code pursuant to
K.S.A.
75-5521 through 75-5529a, and amendments thereto, whether or not
a
resident, or the beneficiaries of each such individual if
deceased, direct,
nongroup life, health, annuity and supplemental policies or
contracts, and
for certificates under direct group policies and contracts issued
by mem-
ber insurers, except as limited by this act.
Sec. 2. K.S.A. 40-3008 is hereby amended to read as
follows: 40-
3008. (a) If a member insurer is an impaired domestic insurer, the
as-
sociation may, in its discretion and subject to any conditions
imposed by
the association that do not impair the contractual obligations of
the im-
paired insurer, that are approved by the commissioner and that are,
ex-
cept in cases of court-ordered conservation or rehabilitation, also
ap-
proved by the impaired insurer:
(1) Guarantee, assume or reinsure, or cause to be guaranteed,
as-
sumed or reinsured, any or all of the policies or contracts of the
impaired
insurer;
(2) provide such moneys, pledges, notes, guarantees or other
means
as are proper to effectuate the provisions of paragraph (1) of this
subsec-
tion and assure payment of the contractual obligations of the
impaired
insurer pending action under paragraph (1); or
(3) lend money to the impaired insurer.
(b) (1) If a member insurer is an impaired insurer,
whether domes-
tic, foreign or alien, and the insurer is not paying claims timely,
then
subject to the preconditions specified in paragraph (2) of this
subsection,
the association shall, in its discretion, either: (A) Take any of
the actions
specified in subsection (a), subject to the conditions therein;
or
(B) provide substitute benefits in lieu of the contractual
obligations
of the impaired insurer solely for health claims, periodic annuity
benefit
payments, death benefits, supplemental benefits and cash
withdrawals for
policy or contract owners who petition therefor under claims of
emer-
gency or hardship in accordance with standards proposed by the
associ-
ation and approved by the commissioner.
(2) The association shall be subject to the requirements of
paragraph
(1) of this subsection only if: (A) The laws of the impaired
insurer's state
of domicile provide that: (i) The delinquency proceeding shall not
be
dismissed;
(ii) neither the impaired insurer nor its assets shall be
returned to the
control of its shareholders or private management; and
(iii) it shall not be permitted to solicit or accept new
business or have
any suspended or revoked license restored; and until all payments
of or
on account of the impaired insurer's contractual obligations by all
guar-
anty associations, along with all expenses thereof and interest on
all such
payments and expenses, shall have been repaid to the guaranty
associa-
tions or a plan of repayment by the impaired insurer shall have
been
approved by the guaranty associations; and
(B) (i) with respect to the impaired insurer who is a
domestic insurer,
it has been placed under an order of rehabilitation by a court of
com-
petent jurisdiction in this state; or
(ii) with respect to the impaired insurer who is a foreign or
alien
insurer: (aa) It has been prohibited from soliciting or accepting
new busi-
ness in this state;
(bb) its certificate of authority has been suspended or
revoked in this
state; and
(cc) a petition for rehabilitation or liquidation has been
filed in a court
of competent jurisdiction in its state of domicile by the
commissioner of
the state.
(c) If a member insurer is an insolvent insurer, the
association shall,
in its discretion, either: (1) (A) Guarantee, assume or
reinsure, or cause
to be guaranteed, assumed or reinsured, the policies or contracts
of the
insolvent insurer;
(B) assure payment of the contractual obligations of the
insolvent
insurer; and
(C) provide such moneys, pledges, guarantees or other means as
are
reasonably necessary to discharge such duties; or
(2) with respect only to life and health policies, provide
benefits and
coverages in accordance with subsection (d).
(d) When proceeding under subsection (b)(1)(B) or (c)(2), the
asso-
ciation shall, with respect only to life and health insurance
policies: (1)
Assure payment of benefits for premiums identical to the premiums
and
benefits, except for terms of conversion and renewability, that
would have
been payable under the policies of the insolvent insurer, for
claims in-
curred: (A) With respect to group policies, not later than the
earlier of
the next renewal date under such policies or contracts or 45 days,
but in
no event less than 30 days, after the date on which the association
be-
comes obligated with respect to such policies;
(B) with respect to individual policies, not later than the
earlier of
the next renewal date, if any, under such policies or one year, but
in no
event less than 30 days, from the date on which the association
becomes
obligated with respect to such policies;
(2) make diligent efforts to provide all known insureds or
group pol-
icyholders with respect to group policies 30 days' notice of the
termination
of the benefits provided; and
(3) with respect to individual policies, make available to
each known
insured, or owner if other than the insured, and with respect to an
indi-
vidual formerly insured under a group policy who is not eligible
for re-
placement group coverage, make available substitute coverage on an
in-
dividual basis in accordance with the provisions of paragraph (4)
of this
subsection, if the insureds had a right under law or the terminated
policy
to convert coverage to individual coverage or to continue an
individual
policy in force until a specified age or for a specified time,
during which
the insurer had no right unilaterally to make changes in any
provision of
the policy or had a right only to make changes in premium by
class;
(4) (A) in providing the substitute coverage required
under para-
graph (3) of this subsection, the association may offer either to
reissue
the terminated coverage or to issue an alternative policy;
(B) alternative or reissued policies shall be offered without
requiring
evidence of insurability, and shall not provide for any waiting
period or
exclusion that would not have applied under the terminated policy;
and
(C) the association may reinsure any alternative or reissued
policy;
(5) (A) alternative policies adopted by the association
shall be subject
to the approval of the commissioner. The association may adopt
alter-
native policies of various types for future issuance without regard
to any
particular impairment or insolvency;
(B) alternative policies shall contain at least the minimum
statutory
provisions required in this state and provide benefits that shall
not be
unreasonable in relation to the premiums charged. The association
shall
set the premiums in accordance with a table of rates which it shall
adopt.
The premiums shall reflect the amount of insurance to be provided
and
the age and class of risk of each insured, but shall not reflect
any changes
in the health of the insured after the original policy was last
underwritten;
(C) any alternative policy issued by the association shall
provide cov-
erage of a type similar to that of the policy issued by the
impaired or
insolvent insurer, as determined by the association;
(6) if the association elects to reissue the insured's
terminated cov-
erage at a premium rate different from that charged under the
terminated
policy, the premium shall be set by the association in accordance
with
the amount of insurance provided and the age and class of risk,
subject
to approval by the commissioner and by a court of competent
jurisdiction;
(7) the association's obligations with respect to coverage
under any
policy of the impaired or insolvent insurer or under any reissued
or al-
ternative policy shall cease on the date such coverage or policy is
replaced
by another similar policy by the policyholder, the insured or the
associ-
ation.
(e) When proceeding under subsection (b)(1)(B) or (c) with
respect
to any policy or contract carrying guaranteed minimum interest
rates, the
association shall assure the payment or crediting of a rate of
interest
consistent with subsection (n)(3).
(f) Nonpayment of premiums within 31 days after the date
required
under the terms of any guaranteed, assumed, alternative or reissued
pol-
icy or contract or substitute coverage shall terminate the
association's
obligations under such policy or coverage under this act with
respect to
such policy or coverage, except with respect to any claims incurred
or any
net cash surrender value which may be due in accordance with the
pro-
visions of this act.
(g) Premiums due after entry of an order of liquidation of an
insolvent
insurer shall belong to and be payable at the direction of the
association,
and the association shall be liable for unearned premiums due to
policy
or contract owners arising after the entry of such order.
(h) The protection provided by this act shall not apply where
any
guaranty protection is provided to residents of this state by the
laws of
the domiciliary state or jurisdiction of the impaired or insolvent
insurer
other than this state.
(i) In carrying out its duties under subsections (b) and (c),
the asso-
ciation may, subject to approval by the court: (1) Impose permanent
pol-
icy or contract liens in connection with any guarantee, assumption
or
reinsurance agreement, if the association finds that the amounts
which
can be assessed under this act are less than the amounts needed to
assure
full and prompt performance of the association's duties under this
act, or
that the economic or financial conditions as they affect member
insurers
are sufficiently adverse to render the imposition of such permanent
policy
or contract liens to be in the public interest; and
(2) impose temporary moratoriums or liens on payments of cash
val-
ues and policy loans, or any other right to withdraw funds held in
con-
junction with policies or contracts, in addition to any contractual
provi-
sions for deferral of cash or policy loan value.
(j) If the association fails to act within a reasonable period
of time as
provided in subsections (b)(1)(B), (c) and (d) of this section, the
com-
missioner shall have the powers and duties of the association under
this
act with respect to impaired or insolvent insurers.
(k) The association may render assistance and advice to the
commis-
sioner, upon request, concerning rehabilitation, payment of claims,
con-
tinuance of coverage or the performance of other contractual
obligations
of any impaired or insolvent insurer.
(l) The association shall have standing to appear before any
court in
this state with jurisdiction over an impaired or insolvent insurer
concern-
ing which the association is or may become obligated under this
act. Such
standing shall extend to all matters germane to the powers and
duties of
the association, including, but not limited to, proposals for
reinsuring or
guaranteeing the covered policies of the impaired insurer and the
deter-
mination of the covered policies or contracts and contractual
obligations.
The association shall also have the right to appear or intervene
before a
court in another state with jurisdiction over an impaired or
insolvent in-
surer for which the association is or may become obligated or with
juris-
diction over a third party against whom the association may have
rights
through subrogation of the insurer's policyholders.
(m) (1) Any person receiving benefits under this act
shall be deemed
to have assigned the rights under any cause of action relating to
the cov-
ered policy or contract to the association to the extent of the
benefits
received because of this act, whether the benefits are payments of
or on
account of contractual obligations, continuation of coverage or
provision
of substitute or alternative coverages. The association may require
an
assignment to it of such rights and cause of action by any payee,
policy
or contract owner, beneficiary, insured or annuitant as a condition
prec-
edent to the receipt of any right or benefits conferred by this act
upon
such person.
(2) The subrogation rights of the association under this
subsection
shall have the same priority against the assets of the impaired or
insolvent
insurer as that possessed by the person entitled to receive
benefits under
this act.
(3) In addition to paragraphs (1) and (2), the association
shall have
all common-law rights of subrogation and any other equitable or
legal
remedy which would have been available to the impaired or
insolvent
insurer or holder of a policy or contract with respect to such
policy or
contracts.
(n) The contractual obligations of the impaired or insolvent
insurer
for which the association becomes, or may become, liable shall be
as great
as but no greater than the contractual obligations of the impaired
or in-
solvent insurer would have been in the absence of an impairment
or
insolvency unless such obligations are reduced as permitted by
subsection
(e) but the association shall not provide coverage for: (1) Any
portion of
a policy or contract not guaranteed by the insurer, or under which
the
risk is borne by the policy or contract holder;
(2) any policy or contract of reinsurance, unless assumption
certifi-
cates have been issued;
(3) any portion of a policy or contract to the extent that the
rate of
interest on which it is based: (A) Averaged over the period of four
years
prior to the date on which the association becomes obligated with
respect
to such policy or contract, exceeds a rate of interest determined
by sub-
tracting two percentage points from Moody's corporate bond yield
aver-
age averaged for that same four-year period or for such lesser
period if
the policy or contract was issued less than four years before the
association
became obligated; and
(B) on and after the date on which the association becomes
obligated
with respect to such policy or contract, exceeds the rate of
interest de-
termined by subtracting three percentage points from Moody's
corporate
bond yield average as most recently available;
(4) any plan or program of an employer, association or similar
entity
to provide life, health or annuity benefits to its employees or
members
to the extent that such plan or program is self-funded or
uninsured, in-
cluding but not limited, to benefits payable by an employer,
association
or similar entity under: (A) A multiple employer welfare
arrangement as
defined in section 514 of the employee retirement income security
act of
1974, as amended;
(B) a minimum premium group insurance plan;
(C) a stop-loss group insurance plan; or
(D) an administrative services only contract;
(5) any portion of a policy or contract to the extent that it
provides
dividends or experience rating credits, or provides that any fees
or allow-
ances be paid to any person, including the policy or contract
holder, in
connection with the service to or administration of such policy or
contract;
(6) any policy or contract issued in this state by a member
insurer at
a time when it was not licensed or did not have a certificate of
authority
to issue such policy or contract in this state; and
(7) any unallocated annuity contract, except as provided in
subsection
(b) of K.S.A. 40-3003 and amendments thereto.
(o) The benefits for which the association may become liable
shall in
no event exceed the lesser of: (1) The contractual obligations for
which
the insurer is liable or would have been liable if it were not an
impaired
or insolvent insurer; or
(2) with respect to any one life, regardless of the number of
policies
or contracts: (A) $300,000 in life insurance death benefits, but
not more
than $100,000 in net cash surrender and net cash withdrawal values
for
life insurance;
(B) $100,000 in health insurance benefits, including any net
cash sur-
render and net cash withdrawal values; or
(C) $100,000 in the present value of annuity benefits,
including net
cash surrender and net cash withdrawal values;
(D) In no event shall the association be liable to expend more
than
$300,000 in the aggregate with respect to any one life as provided
in
paragraph (A), (B) or (C) of this subsection.
(E) Any increased limits of liability of the guaranty
association by this
act shall not apply to an impaired or insolvent insurer for which
the guar-
anty association becomes liable prior to July 1, 1993.
The provisions of subsection (o) shall not apply to annuity
contracts for
future economic loss procured pursuant to a judgment or
settlement
agreement in a medical malpractice liability action.
(p) The association may: (1) Enter into such contracts as are
necessary
or proper to carry out the provisions and purposes of this act;
(2) sue or be sued, including taking any legal actions
necessary or
proper to recover any unpaid assessments under K.S.A. 40-3009
and
amendments thereto, and to settle claims or potential claims
against it;
(3) borrow money to effect the purposes of this act. Any notes
or
other evidence of indebtedness of the association not in default
shall be
legal investments for domestic insurers and may be carried as
admitted
assets;
(4) employ or retain such persons as are necessary to handle
the fi-
nancial transactions of the association, and to perform such other
func-
tions as become necessary or proper under this act;
(5) take such legal action as may be necessary to avoid
payment of
improper claims; or
(6) exercise, for the purposes of this act and to the extent
approved
by the commissioner, the powers of a domestic life or health
insurer, but
in no case may the association issue insurance policies or annuity
contracts
other than those issued to perform its obligations under this
act.
(q) The association may join an organization of one or more
other
state associations of similar purposes to further the purposes and
admin-
ister the powers and duties of the association.
Sec. 3. K.S.A. 40-3003 and 40-3008 are hereby
repealed.
Sec. 4. This act shall take effect and be in force from
and after its
publication in the statute book.
Approved February 25, 1998