Citations Affected: IC 2-5; IC 5-10; IC 27-1; IC 27-2; IC 27-4;
IC 27-7; IC 27-8; IC 27-13; IC 34-30; noncode.
Synopsis: Various insurance matters. Authorizes the insurance
commissioner to adopt rules providing for the accrual and quarterly
billing of insurance filing fees. Adds a chapter to the Indiana insurance
law concerning licensing of insurance producers. Adds a chapter to the
Indiana insurance law concerning privacy of nonpublic personal
financial information. Specifies that the premium charged for the
issuance of a title insurance policy in Indiana in a real estate transaction
in which title insurance is issued in at least 1 other state where title
insurance premiums are computed based on filed rates may not be less
than the average of the title insurance rates charged for title insurance
in the other states where rates are filed. Provides that a violation is an
unfair method of competition and unfair and deceptive act and practice
in the business of insurance. Provides for the Office of Medicaid Policy
and Planning to apply for a demonstration waiver to provide coverage
to individuals with severe, chronic disease. Requires the health finance
advisory committee to review issues related to the Indiana
comprehensive health insurance association (ICHIA) and report to the
health finance commission. Repeals the law concerning ICHIA
effective January 1, 2004. Makes conforming amendments.
Effective: Upon passage; July 1, 2001; January 1, 2002; January 1,
2004.
A BILL FOR AN ACT to amend the Indiana Code concerning
insurance.
SECTION 1. IC 2-5-23-2.5 IS ADDED TO THE INDIANA CODE
AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE
JANUARY 1, 2004]: Sec. 2.5. As used in this chapter, "health care
facility" means an institution providing health care services that is
licensed in Indiana, including institutions primarily engaged in
providing services for health maintenance organizations or for the
diagnosis or treatment of human disease, pain, injury, deformity,
or physical condition. The term includes a general hospital, a
special hospital, a mental hospital, a public health center, a
diagnostic center, a treatment center, a rehabilitation center, an
extended care facility, a skilled nursing home, a nursing home, an
intermediate care facility, a tuberculosis hospital, a chronic disease
hospital, a maternity hospital, an outpatient clinic, a home health
care agency, a bioanalytical laboratory, or a central services
facility servicing one (1) or more such institutions.
SECTION 2. IC 2-5-23-8 IS AMENDED TO READ AS FOLLOWS
[EFFECTIVE JANUARY 1, 2004]: Sec. 8. Beginning May 1, 1997,
The health policy advisory committee is established. At the request of
the chairman, the health policy advisory committee shall provide
information and otherwise assist the commission to perform the duties
of the commission under this chapter. The health policy advisory
committee members are ex officio and may not vote. The health policy
advisory committee members shall be appointed from the general
public and must include one (1) individual who represents each of the
following:
(1) The interests of public hospitals.
(2) The interests of community mental health centers.
(3) The interests of community health centers.
(4) The interests of the long term care industry.
(5) The interests of health care professionals licensed under
IC 25, but not licensed under IC 25-22.5.
(6) The interests of rural hospitals. An individual appointed under
this subdivision must be licensed under IC 25-22.5.
(7) The interests of health maintenance organizations (as defined
in IC 27-13-1-19).
(8) The interests of for-profit health care facilities (as defined in
IC 27-8-10-1(l)).
(9) (8) A statewide consumer organization.
(10) (9) A statewide senior citizen organization.
(11) (10) A statewide organization representing people with
disabilities.
(12) (11) Organized labor.
(13) (12) The interests of businesses that purchase health
insurance policies.
(14) (13) The interests of businesses that provide employee
welfare benefit plans (as defined in 29 U.S.C. 1002) that are
self-funded.
(15) (14) A minority community.
(16) (15) The uninsured. An individual appointed under this
subdivision must be and must have been chronically uninsured.
(17) (16) An individual who is not associated with any
organization, business, or profession represented in this
subsection other than as a consumer.
SECTION 3. IC 5-10-8-8.1, AS AMENDED BY P.L.233-1999,
SECTION 4, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
JANUARY 1, 2004]: Sec. 8.1. (a) This section applies only to the state
and former legislators, instead of section 8 of this chapter.
(b) As used in this section, "legislator" means a member of the
general assembly.
if all of the following apply:
(1) The deceased legislator would have been eligible to
participate in the group health insurance program under this
section had the legislator retired on the day of the legislator's
death.
(2) The surviving spouse files a written request for insurance
coverage with the employer.
(3) The surviving spouse pays an amount equal to the employer's
and employee's premium for the group health insurance for an
active employee.
(h) The eligibility of the surviving spouse of a legislator to purchase
group health insurance under subsection (g) ends on the earliest of the
following:
(1) When the employer terminates the health insurance program.
(2) The date of the spouse's remarriage.
(3) When the spouse becomes eligible for Medicare coverage as
prescribed by 42 U.S.C. 1395 et seq.
SECTION 4. IC 27-1-3-15, AS AMENDED BY P.L.268-1999,
SECTION 1, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
JULY 1, 2001]: Sec. 15. (a) Except as provided in subsection (g), the
commissioner shall collect the following filing fees:
Document Fee
Articles of incorporation $ 350
Amendment of articles of
incorporation $ 10
Filing of annual statement
and consolidated statement $ 100
Annual renewal of company license
fee $ 50
Withdrawal of certificate
of authority $ 25
Certified statement of condition $ 5
Any other document required to be
filed by this article $ 25
(b) The commissioner shall collect a fee of ten dollars ($10) each
time process is served on the commissioner under this title.
(c) The commissioner shall collect the following fees for copying
and certifying the copy of any filed document relating to a domestic or
foreign corporation:
Per page for copying As determined by
the commissioner but not to exceed actual cost
For the certificate $10
sickness insurance;
(B) enrolling individuals under plans;
(C) issuing certificates under plans or otherwise assisting
in administering plans; or
(D) performing administrative services related to mass
marketed property and casualty insurance;
where no commission is paid to the person for the service.
(3) A person identified in clauses (A) through (C) who is not
in any manner compensated, directly or indirectly, by a
company issuing a contract, to the extent that the person is
engaged in the administration or operation of a program of
employee benefits for the employer's or association's
employees, or for the employees of a subsidiary or affiliate of
the employer or association, that involves the use of insurance
issued by an insurer:
(A) An employer or association.
(B) An officer, director, or employee of an employer or
association.
(C) The trustees of an employee trust plan.
(4) An:
(A) employee of an insurer; or
(B) organization employed by insurers;
that is engaged in the inspection, rating, or classification of
risks, or in the supervision of the training of insurance
producers, and that is not individually engaged in the sale,
solicitation, or negotiation of insurance.
(5) A person whose activities in Indiana are limited to
advertising, without the intent to solicit insurance in Indiana,
through communications in printed publications or other
forms of electronic mass media whose distribution is not
limited to residents of Indiana, provided that the person does
not sell, solicit, or negotiate insurance that would insure risks
residing, located, or to be performed in Indiana.
(6) A person who is not a resident of Indiana and who sells,
solicits, or negotiates a contract of insurance for commercial
property and casualty risks to an insured with risks located in
more than one state insured under that contract, provided
that:
(A) the person is otherwise licensed as an insurance
producer to sell, solicit, or negotiate the insurance in the
state where the insured maintains its principal place of
business; and
application are true, correct, and complete to the best of the
individual's knowledge and belief.
(b) Before approving an application submitted under subsection
(a), the commissioner must find that the individual meets the
following requirements:
(1) Is at least eighteen (18) years of age.
(2) Has not committed any act that is a ground for denial,
suspension, or revocation under section 12 of this chapter.
(3) Has completed, if required by the commissioner, a
certified prelicensing course of study for the lines of authority
for which the individual has applied.
(4) Has paid the nonrefundable fee set forth in section 32 of
this chapter.
(5) Has successfully passed the examinations for the lines of
authority for which the person has applied.
(c) An applicant for a resident insurance producer license must
file with the commissioner on a form prescribed by the
commissioner a certification of completion certifying that the
applicant has completed an insurance producer program of study
certified by the commissioner under IC 27-1-15.7-5 not more than
six (6) months before the application for the license is received by
the commissioner. This subsection applies only to licensees seeking
qualification in the lines of insurance described in sections 7(a)(1)
through 7(a)(6) of this chapter.
(d) A business entity, before acting as an insurance producer, is
required to obtain an insurance producer license. The application
submitted by a business entity under this subsection must be made
using the uniform business entity application. Before approving the
application, the commissioner must find that the business entity
has:
(1) paid the fees required under section 32 of this chapter; and
(2) designated an individual licensed producer responsible for
the business entity's compliance with the insurance laws and
administrative rules of Indiana.
(e) The commissioner may require any documents reasonably
necessary to verify the information contained in an application
submitted under this subsection.
(f) An insurer that sells, solicits, or negotiates any form of
limited line credit insurance shall provide a program of instruction
approved by the commissioner to each individual whose duties will
include selling, soliciting, or negotiating limited line credit
insurance.
license expired;
may, not more than twelve (12) months after the expiration date of
the license, reinstate the same license without the necessity of
passing a written examination. A penalty in the amount of three (3)
times the unpaid renewal fee shall be required for any renewal fee
received after the expiration date of the license. However, the
department of insurance may waive the penalty if the renewal fee
is received not more than thirty (30) days after the expiration date
of the license.
(f) A licensed insurance producer who is unable to comply with
license renewal procedures due to military service or some other
extenuating circumstance may request a waiver of the license
renewal procedures. The producer may also request a waiver of
any examination requirement or any other fine or sanction
imposed for failure to comply with the license renewal procedures.
(g) An insurance producer license shall contain the licensee's
name, address, personal identification number, date of issuance,
lines of authority, expiration date, and any other information the
commissioner considers necessary.
(h) A licensee shall inform the commissioner of a change of
address not more than thirty (30) days after the change by any
means acceptable to the commissioner. The failure of a licensee to
timely inform the commissioner of a change in legal name or
address shall result in a penalty under section 12 of this chapter.
(i) To assist in the performance of the commissioner's duties, the
commissioner may contract with non-governmental entities,
including the National Association of Insurance Commissioners
(NAIC), or any affiliates or subsidiaries that the NAIC oversees, to
perform ministerial functions, including the collection of fees
related to producer licensing, that the commissioner and the
non-governmental entity consider appropriate.
(j) The commissioner may participate, in whole or in part, with
the NAIC or any affiliate or subsidiary of the NAIC in a
centralized insurance producer license registry through which
insurance producer licenses are centrally or simultaneously
effected for states that require an insurance producer license and
participate in the centralized insurance producer license registry.
If the commissioner determines that participation in the
centralized insurance producer license registry is in the public
interest, the commissioner may adopt rules under IC 4-22-2
specifying uniform standards and procedures that are necessary
for participation in the registry, including standards and
procedures for centralized license fee collection.
Sec. 8. (a) Unless denied licensure under section 12 of this
chapter, a nonresident person shall receive a nonresident producer
license if:
(1) the person is currently licensed as a resident and in good
standing in the person's home state;
(2) the person has submitted the proper request for licensure
and has paid the fees required under section 32 of this
chapter;
(3) the person has submitted or transmitted to the
commissioner:
(A) the application for licensure that the person submitted
to the person's home state; or
(B) a completed uniform application; and
(4) the person's home state awards non-resident producer
licenses to residents of Indiana on the same basis as
non-resident producer licenses are awarded to residents of
other states under this chapter.
(b) The commissioner may verify a producer's licensing status
through the Producer Database maintained by the National
Association of Insurance Commissioners and its affiliates or
subsidiaries.
(c) A:
(1) person who holds an Indiana nonresident producer's
license and moves from one state to another state; or
(2) a resident producer who moves from Indiana to
another state;
shall file a change of address with the Indiana department of
insurance and provide certification from the new resident state not
more than thirty (30) days after the change of legal residence. No
fee or license application is required under this subsection.
(d) Notwithstanding any other provision of this chapter, a
person licensed as a surplus lines producer in the person's home
state shall receive a nonresident surplus lines producer license
under subsection (a). Except as provided in subsection (a), nothing
in this section otherwise amends or supercedes IC 27-1-15.8, as
added by this act.
(e) Notwithstanding any other provision of this chapter, a
person who is not a resident of Indiana and who is licensed as a
limited lines credit insurance producer or another type of limited
lines producer in the person's home state shall, upon application,
receive a nonresident limited lines producer license under
subsection (a) granting the same scope of authority as is granted
under the license issued by the person's home state.
Sec. 9. (a) An individual who applies for an insurance producer
license in Indiana and who was previously licensed for the same
lines of authority in another state is not required to complete any
prelicensing education or examination. However, the exemption
provided by this subsection is available only if:
(1) the individual is currently licensed in the other state; or
(2) the application is received within ninety (90) days after the
cancellation of the applicant's previous license and:
(A) the other state issues a certification that, at the time of
cancellation, the applicant was in good standing in that
state; or
(B) the state's Producer Database records that are
maintained by the National Association of Insurance
Commissioners, its affiliates, or its subsidiaries, indicate
that the producer is or was licensed in good standing for
the line of authority requested.
(b) If a person is licensed as an insurance producer in another
state and moves to Indiana, the person, to be authorized to act as
an insurance producer in Indiana, must make application to
become a resident licensee under section 6 of this chapter within
ninety (90) days after establishing legal residence in Indiana.
However, the person is not required to take prelicensing education
or examination to obtain a license for any line of authority for
which the person held a license in the other state unless the
commissioner determines otherwise by rule.
(c) An individual who:
(1) has attained the designation of chartered life underwriter,
certified financial planner, or chartered financial consultant;
and
(2) applies for an insurance producer license in Indiana
requesting qualification under sections:
(A) 7(a)(1);
(B) 7(a)(2); or
(C) 7(a)(5);
of this chapter;
is not required to complete prelicensing education, and is required
to take only the portion of the examination required under section
5(b) of this chapter that pertains to Indiana laws and rules.
(d) An individual who has:
(1) attained the designation of chartered property and
casualty underwriter, certified insurance counselor, or
accredited advisor in insurance; and
(2) applies for an insurance producer license in Indiana
requesting qualification under sections:
(A) 7(a)(3);
(B) 7(a)(4); or
(C) 7(a)(6);
of this chapter;
is not required to complete prelicensing education, and is required
to take only the portion of the examination required under section
5(b) of this chapter that pertains to Indiana laws and rules.
Sec. 10. Before an insurance producer may do business in
Indiana under any name other than the producer's legal name, the
insurance producer shall notify the commissioner of the proposed
use of the assumed name.
Sec. 11. (a) If the commissioner considers the issuance of a
temporary license necessary for the servicing of an insurance
business, the commissioner, without requiring an examination, may
issue a temporary insurance producer license for a period of not
more than one hundred eighty (180) days to any of the following:
(1) To the surviving spouse or court-appointed personal
representative of a licensed individual insurance producer
who dies or becomes mentally or physically disabled:
(A) to allow adequate time for the sale of the insurance
business owned by the producer;
(B) to provide for the servicing of the insurance business
until the recovery or return of the producer to the
business; or
(C) to provide for the training and licensing of new
personnel to operate the producer's business.
(2) To a member or employee of a business entity licensed as
an insurance producer, upon the death or disability of an
individual designated in the business entity application or the
license.
(3) To the designee of a licensed individual insurance
producer entering active service in the armed forces of the
United States of America.
(4) To an individual in any other circumstance where the
commissioner considers the public interest to be best served
by the issuance to the individual of a temporary insurance
producer license.
(b) The commissioner may by order limit the authority of a
temporary licensee in any way considered necessary to protect
insureds and the public. The commissioner may require the
temporary licensee to have a suitable sponsor who is a licensed
producer or insurer and who assumes responsibility for all acts of
the temporary licensee and may impose other, similar
requirements designed to protect insureds and the public.
(c) The commissioner may by order revoke a temporary
insurance producer license if the interest of insureds or the public
are endangered. A temporary insurance producer license issued
under subsection (a)(1)(A) expires at the time the owner or the
personal representative disposes of the business.
Sec. 12. (a) For purposes of this section, "permanently revoke"
means that:
(1) the producer's license shall never be reinstated; and
(2) the former licensee, after the license revocation, is not
eligible to submit an application for a license to the
department.
(b) The commissioner may levy a civil penalty, place an
insurance producer on probation, suspend an insurance producer's
license, revoke an insurance producer's license for a period of
years, permanently revoke an insurance producer's license, or
refuse to issue or renew an insurance producer license, or take any
combination of these actions, for any of the following causes:
(1) Providing incorrect, misleading, incomplete, or materially
untrue information in a license application.
(2) Violating:
(A) an insurance law;
(B) a regulation;
(C) a subpoena of an insurance commissioner; or
(D) an order of an insurance commissioner;
of Indiana or of another state.
(3) Obtaining or attempting to obtain a license through
misrepresentation or fraud.
(4) Improperly withholding, misappropriating, or converting
any monies or properties received in the course of doing
insurance business.
(5) Intentionally misrepresenting the terms of an actual or
proposed insurance contract or application for insurance.
(6) Having been convicted of a felony.
(7) Admitting to having committed or being found to have
committed any unfair trade practice or fraud in the business
of insurance.
demand, and shall be conducted under IC 4-21.5.
(e) The license of a business entity may be suspended, revoked,
or refused if the commissioner finds, after hearing, that a violation
of an individual licensee acting on behalf of the partnership or
corporation was known or should have been known by one or more
of the partners, officers, or managers of the partnership or
corporation and:
(1) the violation was not reported to the commissioner; and
(2) no corrective action was taken.
(f) In addition to or in lieu of any applicable denial, suspension,
or revocation of a license under subsection (b), a person may, after
a hearing, be subject to the imposition by the commissioner under
subsection (b) of a civil penalty of not less than fifty dollars ($50)
and not more than ten thousand dollars ($10,000). A penalty
imposed under this subsection may be enforced in the same
manner as a civil judgement.
(g) A licensed insurance producer or limited lines producer
shall, not more than ten (10) days after the producer receives a
request in a registered or certified letter from the commissioner,
furnish the commissioner with a full and complete report listing
each insurer with which the licensee has held an appointment
during the year preceding the request.
(h) If a licensee fails to provide the report requested under
subsection (g) not more than ten (10) days after the licensee
receives the request, the commissioner may, in the commissioner's
sole discretion, without a hearing, and in addition to any other
sanctions allowed by law, suspend any insurance license held by the
licensee pending receipt of the appointment report.
(i) The commissioner shall promptly notify all appointing
insurers and the licensee regarding any suspension, revocation, or
termination of a license by the commissioner under this section.
(j) The commissioner may not grant, renew, continue, or permit
to continue any license if the commissioner finds that the license is
being used or will be used by the applicant or licensee for the
purpose of writing controlled business. As used in this subsection,
"controlled business" means:
(1) insurance written on the interests of:
(A) the applicant or licensee;
(B) the applicant's or licensee's immediate family; or
(C) the applicant's or licensee's employer; or
(2) insurance covering:
(A) the applicant or licensee;
appointed under IC 23-2-1-15 when an administrative action or
civil proceeding is filed under this section and when an order is
issued under this section denying, suspending, or revoking a
license.
Sec. 13. (a) An insurance company or insurance producer shall
not pay a commission, service fee, brokerage fee, or other valuable
consideration to a person for selling, soliciting, or negotiating
insurance in Indiana if the person is required to be licensed under
this chapter and is not licensed.
(b) A person shall not accept a commission, service fee,
brokerage fee, or other valuable consideration for selling,
soliciting, or negotiating insurance in Indiana if the person is
required to be licensed under this chapter and is not licensed.
(c) Renewal commissions or other deferred commissions may be
paid to a person for selling, soliciting, or negotiating insurance in
Indiana if the person was required to be licensed under this
chapter and was licensed at the time of the sale, solicitation, or
negotiation.
(d) An insurer or insurance producer may pay or assign
commissions, service fees, brokerage fees, or other valuable
consideration to an insurance agency or to a person who does not
sell, solicit, or negotiate insurance in Indiana, unless the payment
would violate IC 27-1-20-30.
Sec. 14. An insurance producer shall not act as an agent of an
insurer unless the insurance producer becomes an appointed
producer of the insurer. An insurance producer who is not acting
as an agent of an insurer is not required to become appointed.
Sec. 15. (a) An insurer or authorized representative of an
insurer that terminates the appointment, employment, contract, or
other insurance business relationship with a producer shall notify
the commissioner not more than thirty (30) days after the effective
date of the termination using a format prescribed by the
commissioner, if:
(1) the reason for termination is described in section 12 of this
chapter; or
(2) the insurer has knowledge that the producer was found by
a court, a government body, or a self-regulatory organization
authorized by law to have engaged in any of the activities
described in section 12 of this chapter.
Upon the written request of the insurance commissioner, the
insurer shall provide additional information, documents, records,
and other data pertaining to the termination or activity of the
producer.
(b) If an insurer discovers, upon further review or investigation,
additional information that would have been reportable to the
commissioner under subsection (a) had the insurer known of the
existence of the additional information, the insurer or an
authorized representative of the insurer shall promptly notify the
commissioner of the additional information in a format acceptable
to the commissioner.
(c) A copy of the notification of termination of a producer that
must be provided to the commissioner under this section shall also
be provided to the producer as follows:
(1) Not more than fifteen (15) days after making the
notification required under subsection (a) or (b), the insurer
shall mail a copy of the notification to the producer at the
producer's last known address. If the producer is terminated
for cause for any of the reasons described in section 12 of this
chapter, the insurer shall provide a copy of the notification to
the producer at the producer's last known address by certified
mail, return receipt requested, postage prepaid, or by
overnight delivery using a nationally recognized carrier.
(2) Not more than thirty (30) days after the producer has
received the original or additional notification, the producer
may file written comments concerning the substance of the
notification with the commissioner. The producer shall, by the
same means used by the producer to file the written comments
with the commissioner, simultaneously send a copy of the
comments to the reporting insurer, and the comments shall
become a part of the commissioner's file and accompany
every copy of a report distributed or disclosed for any reason
about the producer as permitted under subsection (e).
(d) Immunities under this section are as follows:
(1) In the absence of actual malice, an insurer, an authorized
representative of an insurer, a producer, the commissioner,
and an organization of which the commissioner is a member
and that compiles information and makes it available to other
insurance commissioners or regulatory or law enforcement
agencies are immune from civil liability, and a civil cause of
action of any nature shall not arise against these entities or
their respective agents or employees, as a result of:
(A) a statement or information required by or provided
under this section or any information relating to a
statement that may be requested in writing by the
commissioner from an insurer or producer; or
(B) a statement by a terminating insurer to a producer or
by a producer to a terminating insurer;
limited solely and exclusively to whether a termination for
cause referred to in subsection (a) was reported to the
commissioner, provided that the propriety of any termination
for cause referred to in subsection (a) is certified in writing by
an officer or authorized representative of the insurer or
producer terminating the relationship.
(2) In any action brought against a person that may have
immunity under subdivision (1) for:
(A) making a statement required under this section; or
(B) providing information relating to a statement that may
be requested by the commissioner;
the party bringing the action must plead specifically in any
allegation that subdivision (1) does not apply because the
person making the statement or providing the information did
so with actual malice.
(3) Existing statutory or common law privileges or immunities
are not abrogated or modified by subdivision (1) or (2).
(e) Confidentiality under this section is as follows:
(1) Documents, materials, and other forms of information in
the control or possession of the department that are:
(A) furnished by:
(i) an insurer or producer; or
(ii) an employee or agent of an insurer acting on behalf
of the insurer or producer; or
(B) obtained by the commissioner in an investigation under
this section;
are confidential by law and privileged, are not subject to
public inspection and copying under IC 5-14-3-3, are not
subject to subpoena, and are not subject to discovery or
admissible in evidence in any private civil action. However,
the commissioner is authorized to use the documents,
materials, or other information in the furtherance of any
regulatory or legal action brought as a part of the
commissioner's duties.
(2) Neither the commissioner nor any person who receives
confidential documents, materials, or other information
described in subdivision (1) while acting under the authority
of the commissioner may be permitted or required to testify
in any private civil action concerning the confidential
documents, materials, or information described in subdivision
(1).
(3) To assist in the performance of the commissioner's duties
under this chapter, the commissioner may:
(A) share documents, materials, and other information,
including the confidential and privileged documents,
materials, and information described in subdivision (1),
with:
(i) other state, federal, and international regulatory
agencies;
(ii) the National Association of Insurance
Commissioners, its affiliates or subsidiaries; and
(iii) state, federal, and international law enforcement
authorities;
provided that the recipient agrees to maintain the
confidentiality and privileged status of the documents,
materials, or other information;
(B) receive documents, materials, and information,
including otherwise confidential and privileged documents,
materials, and information, from:
(i) the National Association of Insurance Commissioners,
its affiliates or subsidiaries; and
(ii) regulatory and law enforcement officials of other
foreign or domestic jurisdictions;
and shall maintain as confidential or privileged any
document, material, or information received with notice or
the understanding that it is confidential or privileged
under the laws of the jurisdiction that is the source of the
document, material, or information; and
(C) enter into agreements governing sharing and use of
information consistent with this subsection.
(4) Disclosure of documents, materials, and information:
(A) to the commissioner; or
(B) by the commissioner;
under this section does not result in a waiver of any applicable
privilege or claim of confidentiality in the documents,
materials, or information.
(5) This chapter does not prohibit the commissioner from
releasing final, adjudicated actions, including for cause
terminations that are open to public inspection under IC 5-14,
to a database or other clearinghouse service maintained by
the National Association of Insurance Commissioners or by its
affiliates or subsidiaries.
(f) If an insurer, an authorized representative of an insurer, or
a producer fails to report as required under this section or is found
to have reported falsely with actual malice by a court of competent
jurisdiction, the commissioner may, after notice and hearing,
suspend or revoke the license or certificate of authority of the
insurer, authorized representative, or producer, and may fine the
insurer, authorized representative, or producer under IC 27-4-1-6.
Sec. 16. (a) The commissioner shall waive any requirements,
except the requirements imposed by section 8 of this chapter, for
a nonresident license applicant with a valid license from the
applicant's home state if the applicant's home state awards
nonresident licenses to residents of Indiana on the same basis.
(b) A nonresident producer's satisfaction of the nonresident
producer's home state's continuing education requirements for
licensed insurance producers also satisfies Indiana's continuing
education requirements if the non-resident producer's home state
recognizes the satisfaction of the non-resident producer's home
state's continuing education requirements imposed upon producers
from Indiana on the same basis.
Sec. 17. (a) A producer shall report to the commissioner any
administrative action taken against the producer in another
jurisdiction or by another governmental agency in Indiana not
more than thirty (30) days after the final disposition of the matter.
The report shall include a copy of the order, consent to order, or
other relevant legal documents.
(b) Not more than thirty (30) days after an initial pretrial
hearing date, a producer shall report to the commissioner any
criminal prosecution of the producer initiated in any jurisdiction.
The report shall include a copy of the initial complaint filed, the
order resulting from the hearing, and any other relevant legal
documents.
Sec. 18. The commissioner may issue a limited lines producer's
license to the following without examination:
(1) A person who is a ticket-selling producer of a common
carrier and who will act only with reference to the issuance of
insurance on personal effects carried as baggage, in
connection with the transportation provided by such common
carrier.
(2) A person who will only negotiate or solicit limited travel
accident insurance in transportation terminals.
(3) A limited line credit insurance producer.
insurance producer, for a fee, acts as a consultant for that policy
unless:
(1) the insurance producer provides to the insured a written
agreement in accordance with section 23(c) of this chapter;
and
(2) the insurance producer discloses to the insured the
following information prior to the sale, solicitation,
negotiation, or renewal of any policy:
(A) The fact that the insurance producer will receive
compensation for the sale of the policy.
(B) The method of compensation.
(b) The requirements of this subsection are in addition to the
requirements set forth in subsection (a). A risk manager described
in IC 27-1-22-2.5(b)(2) shall, before providing risk management
services to an exempt commercial policyholder (as defined in
IC 27-1-22-2.5), disclose in writing to the exempt commercial
policyholder whether the risk manager will receive or expects to
receive any commission, fee, or other consideration from an
insurer in connection with the purchase of a commercial insurance
policy by the exempt commercial policyholder. However, if the risk
manager charges the exempt commercial policyholder a fee for
risk management services, the risk manager shall disclose in
writing to the exempt commercial policyholder the specific amount
of any commission, fee, or other consideration that the risk
manager may receive from an insurer in connection with the
purchase of the policy. The risk manager shall, before providing
the risk management services, obtain from the exempt commercial
policyholder a written acknowledgment of the disclosures made by
the risk manager to the exempt commercial policyholder under this
subsection.
Sec. 23. (a) An individual or corporation shall not engage in the
business of an insurance consultant until a consultant license has
been issued to the individual or corporation by the commissioner.
However, a consultant license is not required for the following:
(1) An attorney licensed to practice law in Indiana acting in
the attorney's professional capacity.
(2) A duly licensed insurance producer or surplus lines
producer.
(3) A trust officer of a bank acting in the normal course of the
trust officer's employment.
(4) An actuary or a certified public accountant who provides
information, recommendations, advice, or services in the
actuary's or certified public accountant's professional
capacity.
(b) An application for a license to act as an insurance consultant
shall be made to the commissioner on forms prescribed by the
commissioner. An applicant may limit the scope of the applicant's
consulting services by stating the limitation in the application. The
areas of allowable consulting services are:
(1) Class 1, consulting regarding the kinds of insurance
specified in IC 27-1-5-1, Class 1; and
(2) Class 2 and Class 3, consulting regarding the kinds of
insurance specified in IC 27-1-5-1, Class 2 and Class 3.
Within a reasonable time after receipt of a properly completed
application form, the commissioner shall hold a written
examination for the applicant that is limited to the type of
consulting services designated by the applicant, and may conduct
investigations and propound interrogatories concerning the
applicant's qualifications, residence, business affiliations, and any
other matter that the commissioner considers necessary or
advisable in order to determine compliance with this chapter or for
the protection of the public.
(c) For purposes of this subsection, "consultant's fee" does not
include a late fee charged under section 24 of this chapter or fees
otherwise allowed by law. A consultant shall provide consultant
services as outlined in a written agreement. The agreement must
be signed by the person receiving services, and a copy of the
agreement must be provided to the person receiving services before
any services are performed. The agreement must outline the nature
of the work to be performed by the consultant and the method of
compensation of the consultant. The signed agreement must be
retained by the consultant for not less than two (2) years after
completion of the services. A copy of the agreement shall be made
available to the commissioner. In the absence of an agreement on
the consultant's fee, the consultant shall not be entitled to recover
a fee in any action at law or in equity.
(d) An individual or corporation shall not concurrently hold a
consultant license and an insurance producer's license, surplus
lines producer's license, or limited lines producer's license at any
time.
(e) A licensed consultant shall not:
(1) employ;
(2) be employed by;
(3) be in partnership with; or
the insurance producer must provide written notice to the
commercial insured stating that a fee will be charged and
setting forth the:
(A) amount of the fee; or
(B) basis for calculating the fee.
(2) The amount of a fee and the basis for calculating a fee may
not vary among commercial insureds.
(3) Any fee that is charged must be identified separately from
premium and itemized in any bill provided to the commercial
insured.
(c) A licensed insurance producer may charge a commercial
insured a reasonable fee for services that are provided at the
request of the commercial insured in connection with a policy that
provides coverage described in subsection (a) and for which the
insurance producer does not receive a commission or other
compensation, subject to the following requirements:
(1) Before providing services, the insurance producer must
provide to the commercial insured a written description of the
services to be provided and the fee for the services.
(2) Any fee that is charged must be identified separately from
premium and itemized in any bill provided to the commercial
insured.
(d) A licensed insurance producer who acts as a consultant and
provides services described in this section shall comply with the
requirements of this section and section 23 of this chapter.
(e) A licensed insurance producer may charge a late fee for
agency billed accounts or policies that are more than thirty (30)
days delinquent. A late fee may not exceed one and three quarters
percent (1.75%) per month of the amount due on the due date.
Sec. 25. An individual who performed the functions of a person
representing a fraternal benefit society before July 1, 1977, is not
required to take an examination, but is entitled to have an
insurance producer's license issued to the individual, subject to
IC 27-1-15.7 and the requirements of this chapter.
Sec. 26. A person who performed the functions of a limited lines
producer negotiating or soliciting the type of insurance described
in IC 27-1-5-1, Class 2(j) before July 1, 1977, is not required to take
an examination, but is entitled to have an insurance producer's
license issued to the individual, subject to IC 27-1-15.7 and the
requirements of this chapter.
Sec. 27. A person who held a valid solicitor's license on July 1,
1977, is subject to the same rights and responsibilities under a
solicitor's license as the rights and responsibilities that were in
effect before enactment of this chapter.
Sec. 28. (a) Upon receiving an order of a court issued under
IC 31-14-12-7 or IC 31-16-12-10 (or IC 31-1-11.5-13(m) or
IC 31-6-6.1-16(m) before their repeal), the commissioner shall:
(1) suspend a license issued under this chapter to the person
who is the subject of the order; and
(2) promptly mail a notice to the last known address of the
person who is the subject of the order, stating the following:
(A) That the person's license is suspended beginning five
(5) business days after the date the notice is mailed, and
that the suspension will terminate not earlier than ten (10)
business days after the commissioner receives an order
allowing reinstatement from the court that issued the
suspension order.
(B) That the person has the right to petition for
reinstatement of a license issued under this chapter to the
court that issued the order for suspension.
(b) The commissioner shall not reinstate a license suspended
under subsection (a) until the commissioner receives an order
allowing reinstatement from the court that issued the order for
suspension.
Sec. 29. (a) Upon receiving an order from the bureau (Title IV-D
agency) under IC 12-17-2-34(i), the commissioner shall send to the
person who is the subject of the order a notice that does the
following:
(1) States that the person is delinquent and is subject to an
order placing the person on probationary status.
(2) Explains that unless the person contacts the bureau and:
(A) pays the person's child support arrearage in full;
(B) requests the activation of an income withholding order
under IC 31-16-15-2, and establishes a payment plan with
the bureau to pay the arrearage; or
(C) requests a hearing under IC 12-17-2-35;
within twenty (20) days after the date the notice is mailed, the
commissioner shall place the person on probationary status
with respect to a license issued to the person under this
chapter.
(3) Explains that the person may contest the bureau's
determination that the person is delinquent and subject to an
order placing the person on probationary status by making
written application to the bureau within twenty (20) days
after the date the notice is mailed.
(4) Explains that the only basis for contesting the bureau's
determination that the person is delinquent and subject to an
order placing the person on probationary status is a mistake
of fact.
(5) Explains the procedures to:
(A) pay the person's child support arrearage in full;
(B) establish a payment plan with the bureau to pay the
arrearage;
(C) request the activation of an income withholding order
under IC 31-16-15-2; and
(D) request a hearing under IC 12-17-2-35.
(6) Explains that the probation will terminate ten (10)
business days after the commissioner receives a notice from
the bureau that the person has:
(A) paid the person's child support arrearage in full; or
(B) established a payment plan with the bureau to pay the
arrearage and requested the activation of an income
withholding order under IC 31-16-15-2.
(b) Upon receiving an order from the bureau (Title IV-D
agency) under IC 12-17-2-36(d), the commissioner shall send a
notice to the person who is the subject of the order stating the
following:
(1) That a license issued to the person under this chapter has
been placed on probationary status, beginning five (5)
business days after the date the notice was mailed, and that
the probation will terminate ten (10) business days after the
commissioner receives a notice from the bureau that the
person has:
(A) paid the person's child support arrearage in full; or
(B) established a payment plan with the bureau to pay the
arrearage and requested the activation of an income
withholding order under IC 31-16-15-2.
(2) That if the commissioner is advised by the bureau that the
person whose license has been placed on probationary status
has failed to:
(A) pay the person's child support arrearage in full; or
(B) establish a payment plan with the bureau to pay the
arrearage and request the activation of an income
withholding order under IC 31-16-15-2;
within twenty (20) days after the date the notice is mailed, the
commissioner shall suspend the person's license.
of the insured or annuitant. A beneficiary designation, ownership
designation, or collateral assignment made in violation of this
section is void.
Sec. 32. (a) The department shall adopt rules under IC 4-22-2 to
set fees for licensure under this chapter, IC 27-1-15.7, and
IC 27-1-15.8.
(b) Insurance producer and limited lines producer license
renewal fees are due every four (4) years. The fee charged by the
department every four (4) years for a:
(1) resident license is forty dollars ($40); and
(2) nonresident license is ninety dollars ($90).
(c) Consultant renewal fees are due every twenty-four (24)
months.
(d) Surplus lines producer renewal fees are due annually.
(e) The commissioner may issue a duplicate license for any
license issued under this chapter. The fee charged by the
commissioner for the issuance of a duplicate:
(1) insurance producer license;
(2) surplus lines producer license;
(3) limited lines producer license; or
(4) consultant license;
may not exceed ten dollars ($10).
Sec. 33. Except as otherwise provided in section 32 of this
chapter, the commissioner may adopt rules under IC 4-22-2 to
carry out the purposes of this chapter.
Sec. 34. All hearings held under this chapter are governed by
IC 4-21.5-3. The commissioner may appoint members of the
commissioner's staff to act as hearing officers for purposes of
hearings held under this chapter.
SECTION 6. IC 27-2-20 IS ADDED TO THE INDIANA CODE AS
A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE UPON
PASSAGE]:
Chapter 20. Privacy of Consumer Information
Sec. 1. (a) This chapter applies to nonpublic personal financial
information regarding individuals who:
(1) obtain; or
(2) are claimants or beneficiaries of;
products or services primarily for personal, family, or household
purposes from licensees of the department of insurance.
(b) This chapter does not apply to information regarding
companies or regarding individuals who obtain products or
services for business, commercial, or agricultural purposes.
Sec. 2. The following definitions apply throughout this chapter:
(1) "Affiliate" means a company that controls, is controlled
by, or is under common control with, another company.
(2) "Clear and conspicuous" means that a notice is reasonably
understandable and designed to call attention to the nature
and significance of the information in the notice. The
following are examples:
(A) A licensee makes the licensee's notice reasonably
understandable if the licensee does the following:
(i) Presents the information in the notice in clear, concise
sentences, paragraphs, and sections.
(ii) Uses short explanatory sentences or bullet lists
whenever possible.
(iii) Uses definite, concrete, everyday words and active
voice whenever possible.
(iv) Avoids multiple negatives.
(v) Avoids legal and highly technical business
terminology whenever possible.
(vi) Avoids explanations that are imprecise and readily
subject to different interpretations.
(B) A licensee designs the licensee's notice to call attention
to the nature and significance of the information in the
notice if the licensee does the following:
(i) Uses a plain-language heading to call attention to the
notice.
(ii) Uses a typeface and type size that are easy to read.
(iii) Provides wide margins and ample line spacing.
(iv) Uses boldface or italics for key words.
(v) In a form that combines the licensee's notice with
other information, uses distinctive type size, style, and
graphic devices, such as shading or sidebars.
(C) If a licensee provides a notice on a Web page, the
licensee designs the licensee's notice to call attention to the
nature and significance of the information in the notice if
the licensee uses text or visual cues to encourage scrolling
down the page if necessary to view the entire notice and
ensure that other elements on the Web site, such as text,
graphics, hyperlinks, or sound, do not distract attention
from the notice, and the licensee does either of the
following:
(i) Places the notice on a screen that consumers
frequently access, such as a page on which transactions
are conducted.
(ii) Places a link on a screen that consumers frequently
access, such as a page on which transactions are
conducted, that connects directly to the notice and is
labeled appropriately to convey the importance, nature,
and relevance of the notice.
(3) "Collect" means to obtain information that a licensee
organizes or can retrieve by the name of an individual or by
identifying number, symbol, or other identifying particular
assigned to the individual, regardless of the source of the
underlying information.
(4) "Commissioner" means the commissioner of the Indiana
department of insurance.
(5) "Company" means a corporation, limited liability
company, business trust, general or limited partnership,
association, sole proprietorship, or similar organization.
(6) "Consumer" means an individual who seeks to obtain,
obtains, or has obtained an insurance product or service from
a licensee that is to be used primarily for personal, family, or
household purposes, and about whom the licensee has
nonpublic personal information, or the individual's legal
representative, including the following:
(A) An individual provides nonpublic personal information
to a licensee in connection with obtaining or seeking to
obtain financial, investment or economic advisory services
relating to an insurance product or service is a consumer
regardless of whether the licensee establishes an ongoing
advisory relationship.
(B) An applicant for insurance prior to the inception of
insurance coverage is a licensee's consumer.
(C) An individual who is a consumer of another financial
institution is not a licensee's consumer solely because the
licensee is acting as an agent for, or provides processing or
other services to, that financial institution.
(D) An individual is a licensee's consumer if the individual
is:
(i) a beneficiary of a life insurance policy underwritten
by the licensee;
(ii) a claimant under an insurance policy issued by the
licensee;
(iii) an insured or an annuitant under an insurance
policy or an annuity, respectively, issued by the licensee;
or
(iv) a mortgagor of a mortgage covered under a
mortgage insurance policy;
and the licensee discloses nonpublic personal financial
information about the individual to a nonaffiliated third
party other than as permitted under sections 12, 13, and 14
of this chapter.
(E) If the licensee provides the initial, annual, and revised
notices under sections 3, 4, and 7 of this chapter to the plan
sponsor, group, or blanket insurance policyholder or group
annuity contractholder, and if the licensee does not disclose
to a nonaffiliated third party nonpublic personal financial
information about the individual other than as permitted
under sections 12, 13, and 14 of this chapter, an individual
is not the consumer of the licensee solely because the
individual is:
(i) a participant or a beneficiary of an employee benefit
plan that the licensee administers or sponsors or for
which the licensee acts as a trustee, insurer, or fiduciary;
(ii) covered under a group or blanket insurance policy or
group annuity contract issued by the licensee; or
(iii) a beneficiary in a workers' compensation plan.
(F) The individuals described in clause (E)(i) through
(E)(iii) are consumers of a licensee if the licensee does not
meet all the conditions of this subdivision. In no event shall
the individuals, solely by virtue of the status described in
clause (E)(i) through (E)(iii), be considered to be
customers.
(G) An individual is not a licensee's consumer solely
because the individual is a beneficiary of a trust for which
the licensee is a trustee.
(H) An individual is not a licensee's consumer solely
because the individual has designated the licensee as
trustee for a trust.
(7) "Consumer reporting agency" has the meaning set forth
in section 603(f) of the federal Fair Credit Reporting Act (15
U.S.C. 1681a(f)).
(8) "Control" means any of the following:
(A) Ownership, control, or power to vote twenty-five
percent (25%) or more of the outstanding shares of any
class of voting security of a company, directly or indirectly,
or acting through one (1) or more other persons.
rule, communication at the direction of a state or federal
authority, or promotional materials.
(vii) The individual is an insured or an annuitant under
an insurance policy or annuity, respectively, but is not
the policyholder or owner of the insurance policy or
annuity.
(viii) For the purposes of this chapter, the individual's
last known address, according to the licensee's records,
is considered invalid. An address of record is considered
invalid if mail sent to that address by the licensee has
been returned by the postal authorities as undeliverable
and if subsequent attempts by the licensee to obtain a
current valid address for the individual have been
unsuccessful.
(11) "Financial institution" means an institution the business
of which is engaging in activities that are financial in nature
or incidental to financial activities as described in section 4(k)
of the Bank Holding Company Act of 1956, 12 U.S.C. 1843(k).
The term does not include the following:
(A) A person or entity with respect to any financial activity
that is subject to the jurisdiction of the Commodity
Futures Trading Commission under the Commodity
Exchange Act, 7 U.S.C. 1 et seq.
(B) The Federal Agricultural Mortgage Corporation or
any entity charged and operating under the Farm Credit
Act of 1971, 12 U.S.C. 2001 et seq.
(C) Institutions chartered by Congress specifically to
engage in securitizations, secondary market sales
(including sales of servicing rights), or similar transactions
related to a transaction of a consumer, as long as the
institutions do not sell or transfer nonpublic personal
information to a nonaffiliated third party.
(12) "Financial product or service" means a product or
service that a financial holding company could offer by
engaging in an activity that is financial in nature or incidental
to such a financial activity under section 4(k) of the Bank
Holding Company Act of 1956, 12 U.S.C. 1843(k). "Financial
service" includes a financial institution's evaluation or
brokerage of information that the financial institution collects
in connection with a request or an application from a
consumer for a financial product or service.
(13) "Health information" means any information or data,
except age or gender, whether oral or recorded in any form or
medium, created by or derived from a health care provider or
a consumer that relates to any of the following:
(A) The past, present, or future physical, mental, or
behavioral health or condition of an individual.
(B) The provision of health care to an individual.
(C) Payment for the provision of health care to an
individual.
(14) "Insurance product or service" means any product or
service that is offered by a licensee under the insurance laws
of Indiana. "Insurance service" includes a licensee's
evaluation, brokerage, or distribution of information that the
licensee collects in connection with a request or an application
from a consumer for an insurance product or service.
(15) "Licensee" means licensed insurers, health maintenance
organizations, agents, producers, and other persons licensed
or required to be licensed, or authorized or required to be
authorized, or registered or required to be registered under
IC 27. The following requirements apply:
(A) A licensee is not subject to the notice and opt out
requirements for nonpublic personal financial information
set forth in section 1 of this chapter, this section, and
sections 3 through 15 of this chapter if the licensee is an
employee, agent, or other representative of another
licensee and:
(i) the other licensee otherwise complies with, and
provides the notices required under this chapter; and
(ii) the licensee does not disclose any nonpublic personal
information to any person other than the principal or
affiliates of the principal in a manner permitted under
this chapter.
(B) A licensee includes an unauthorized insurer that
accepts business placed through a licensed surplus lines
broker in Indiana, but only with regard to the surplus lines
placements placed under IC 27-1-15.5-5. A surplus lines
broker or surplus lines insurer is considered to be in
compliance with the notice and opt out requirements for
nonpublic personal financial information set forth in
section 1 of this chapter, this section, and sections 3
through 15 of this chapter if the surplus lines agent or
insurer:
(i) does not disclose nonpublic personal information of a
consumer or a customer to a nonaffiliated third party for
any purpose, including joint servicing or marketing
under section 12 of this chapter, except as permitted
under section 13 or 14 of this chapter; and
(ii) delivers a notice to the consumer at the time a
customer relationship is established on which the
following is printed in 16 point type:
that is derived without using any personally identifiable
financial information that is not publicly available.
(D) A list of the names and addresses of individuals that
contains only publicly available information, is not derived
in whole or in part using personally identifiable financial
information that is not publicly available, and is not
disclosed in a manner that indicates that any of the
individuals on the list is a consumer of a financial
institution.
(18) "Nonpublic personal information" means nonpublic
personal financial information.
(19) "Personally identifiable financial information" means
information provided by a consumer to a licensee to obtain an
insurance product or service from the licensee, information
about a consumer resulting from a transaction involving an
insurance product or service between a licensee and a
consumer, or information a licensee otherwise obtains about
a consumer in connection with providing an insurance
product or service to the consumer, including the following:
(A) Information a consumer provides to a licensee on an
application to obtain an insurance product or service.
(B) Account balance information and payment history.
(C) The fact that an individual is or has been a customer of
the licensee or has obtained an insurance product or
service from the licensee.
(D) Information about the licensee's consumer if it is
disclosed in a manner that indicates that the individual is
or has been a consumer of the licensee.
(E) Information that a consumer provides to a licensee or
that the licensee or an agent of the licensee otherwise
obtains in connection with collecting on a loan or servicing
a loan.
(F) Information the licensee collects through an Internet
cookie (an information-collecting device from a Web
server).
(G) Information from a consumer report.
The term does not include health information, a list of names
and addresses of customers of an entity that is not a financial
institution, or information that does not identify a consumer,
including aggregate information or blind data that does not
contain personal identifiers, such as account numbers, names
or addresses.
period to the customer on a consistent basis.
(2) A licensee provides a notice annually if the licensee defines
the twelve (12) consecutive month period as a calendar year
and provides the annual notice to the customer once in each
calendar year following the calendar year in which the
licensee provided the initial notice.
(b) A licensee is not required to provide an annual notice to a
former customer. As used in this section, "former customer"
means an individual with whom a licensee no longer has a
continuing relationship and includes the following:
(1) The individual is not a current policyholder of an
insurance product or no longer obtains insurance services
with or through the licensee.
(2) The individual's policy is lapsed, expired, or otherwise
inactive or dormant under the licensee's business practices,
and the licensee has not communicated with the customer
about the relationship for a period of twelve (12) consecutive
months, other than to provide annual privacy notices,
material required by law or rule, or promotional materials.
(3) An individual if the individual's last known address
according to the licensee's records is considered invalid. An
address of record is considered invalid if mail sent to that
address by the licensee has been returned by the postal
authorities as undeliverable and if subsequent attempts by the
licensee to obtain a current valid address for the individual
have been unsuccessful.
(4) In the case of providing real estate settlement services, at
the time the customer completes execution of all documents
related to the real estate closing, payment for the services has
been received, or the licensee has completed all of the
licensee's responsibilities with respect to the settlement,
including filing documents on the public record, whichever is
later.
(c) When a licensee is required under this section to deliver an
annual privacy notice, the licensee shall deliver the notice as
specified under section 8 of this chapter.
Sec. 5. (a) The initial, annual, and revised privacy notices that
a licensee provides under sections 3, 4, and
7 of this chapter must
include each of the following items of information, in addition to
any other information that the licensee provides, that applies to the
licensee and to the consumers to whom the licensee sends the
licensee's privacy notice:
disclosures to other affiliated or nonaffiliated third parties, as
applicable, as permitted by law.
(c) The following are examples of compliance with this section:
(1) A licensee satisfies the requirement to categorize the
nonpublic personal financial information that the licensee
collects if the licensee categorizes the information according
to the source of the information, as applicable information:
(A) from the consumer;
(B) about the consumer's transactions with the licensee or
its affiliates;
(C) about the consumer's transactions with nonaffiliated
third parties; and
(D) from a consumer reporting agency.
(2) A licensee satisfies the requirement to categorize
nonpublic personal financial information the licensee discloses
if the licensee categorizes the information according to source,
as described in subdivision (1), as applicable, and provides
examples to illustrate the types of information in each
category. The examples include the following:
(A) Information from the consumer, including application
information, such as assets and income and identifying
information, such as name, address, and Social Security
number.
(B) Transaction information, such as information about
balances, payment history, and parties to the transaction.
(C) Information from consumer reports, such as a
consumer's creditworthiness and credit history.
(3) A licensee does not adequately categorize the information
that the licensee discloses if the licensee uses only general
terms, such as transaction information about the consumer.
If a licensee reserves the right to disclose all of the nonpublic
personal financial information about consumers that the
licensee collects, the licensee may simply state that fact
without describing the categories or examples of nonpublic
personal information that the licensee discloses.
(4) A licensee satisfies the requirement to categorize the
affiliates and nonaffiliated third parties to which the licensee
discloses nonpublic personal financial information about
consumers if the licensee identifies the types of businesses in
which they engage.
(A) Types of businesses may be described by general terms
only if the licensee uses a few illustrative examples of
significant lines of business.
(B) A licensee also may categorize the affiliates and
nonaffiliated third parties to which the licensee discloses
nonpublic personal financial information about consumers
using more detailed categories.
(5) If a licensee discloses nonpublic personal financial
information under the exception in section 12 of this chapter
to a nonaffiliated third party to market products or services
that the licensee offers alone or jointly with another financial
institution, the licensee satisfies the disclosure requirement of
subsection (a)(5) if the licensee:
(A) lists the categories of nonpublic personal financial
information that the licensee discloses, using the same
categories and examples the licensee used to meet the
requirements of subsection (a)(2), as applicable; and
(B) states whether the third party is a:
(i) service provider that performs marketing services on
the licensee's behalf or on behalf of the licensee and
another financial institution; or
(ii) financial institution with whom the licensee has a
joint marketing agreement.
(6) If a licensee does not disclose, and does not reserve the
right to disclose, nonpublic personal financial information
about customers or former customers to affiliates or
nonaffiliated third parties, except as authorized under
sections 13 and 14 of this chapter, the licensee may state that
fact, in addition to the information that the licensee shall
provide under subsections (a)(1), (a)(8), (a)(9), and (b).
(7) A licensee describes the licensee's policies and practices
with respect to protecting the confidentiality and security of
nonpublic personal financial information if the licensee does
both of the following:
(A) Describes in general terms who is authorized to have
access to the information.
(B) States whether the licensee has security practices and
procedures in place to ensure the confidentiality of the
information in accordance with the licensee's policy. The
licensee is not required to describe technical information
about the safeguards that the licensee uses.
(d) A licensee may satisfy the initial notice requirements of
sections 3(a)(2) and 6(d) of this chapter
for a consumer who is not
a customer by providing a short form initial notice at the same
time that the licensee delivers an opt out notice as required under
section 6 of this chapter. A short form notice must:
(1) be clear and conspicuous;
(2) state that the licensee's privacy notice is available upon
request; and
(3) explain a reasonable means by which the consumer may
obtain the notice.
(e) A licensee shall deliver the licensee's short form initial notice
as specified under section 8 of this chapter. The licensee is not
required to deliver the licensee's privacy notice with the licensee's
short form initial notice. The licensee may provide the consumer
a reasonable means to obtain the licensee's privacy notice. If a
consumer who receives the licensee's short form notice requests the
licensee's privacy notice, the licensee shall deliver the licensee's
privacy notice as specified under section 8 of this chapter.
(f) A licensee provides a reasonable means by which a consumer
may obtain a copy of the licensee's privacy notice if the licensee
does either of the following:
(1) Provides a toll free telephone number that the consumer
may call to request the notice.
(2) For a consumer who conducts business in person at the
licensee's office, maintains copies of the notice on hand that
the licensee provides to the consumer immediately upon
request.
(g) A licensee's notice may include the following:
(1) Categories of nonpublic personal financial information
that the licensee reserves the right to disclose in the future,
but does not currently disclose.
(2) Categories of affiliates or nonaffiliated third parties to
whom the licensee reserves the right in the future to disclose,
but to whom the license does not currently disclose, nonpublic
financial information.
Sec. 6. (a) If a licensee is required to provide an opt out notice
under section 9(a) of this chapter, the licensee shall provide a clear
and conspicuous notice to each of the licensee's consumers that
accurately explains the right to opt out under section 9(a) of this
chapter. The notice shall state all of the following:
(1) The licensee discloses or reserves the right to disclose
nonpublic personal financial information about its consumer
to a nonaffiliated third party.
(2) The consumer has the right to opt out of that disclosure.
(3) A reasonable means by which the consumer may exercise
the opt out right.
(b) The following are examples of compliance with subsection
(a):
(1) A licensee provides adequate notice that a consumer can
opt out of the disclosure of nonpublic personal financial
information to a nonaffiliated third party if the licensee does
all of the following:
(A) Identifies all of the categories of nonpublic personal
financial information that the licensee discloses or reserves
the right to disclose, and all of the categories of
nonaffiliated third parties to which the licensee discloses
the information, as described in section 5(a)(2) and 5(a)(3)
of this chapter.
(B) States that the consumer can opt out of the disclosure
of the information.
(C) Identifies the insurance products or services that the
consumer obtains from the licensee, either singly or jointly,
to which the opt out direction would apply.
(2) A licensee provides a reasonable means to exercise an opt
out right if the licensee does any of the following:
(A) Designates check-off boxes in a prominent position on
the relevant forms with the opt out notice.
(B) Includes a reply form together with the opt out notice.
(C) Provides an electronic means to opt out, such as a form
that can be sent via electronic mail or a process at the
licensee's Web site, if the consumer agrees to the electronic
delivery of information.
(D) Provides a toll free telephone number that consumers
may call to opt out.
(3) A licensee does not provide a reasonable means of opting
out if the only means of opting out:
(A) is for the consumer to write the consumer's own letter
to exercise that opt out right; or
(B) as described in any notice subsequent to the initial
notice, is to use a check-off box that the licensee provided
with the initial notice, but did not include with the
subsequent notice.
(4) A licensee may require each consumer to opt out through
a specific means as long as the means is reasonable for the
consumer.
(c) A licensee may provide an opt out notice together with or on
the same written or electronic form as the initial notice that the
licensee provides in under section 3 of this chapter.
(d) If a licensee provides an opt out notice later than required
for the initial notice under section 3 of this chapter, the licensee
shall include a copy of the initial notice with the opt out notice in
writing or, if the consumer agrees, electronically.
(e) The following apply to joint relationships:
(1) If two (2) or more consumers jointly obtain an insurance
product or service from a licensee, the licensee may provide
a single opt out notice. The licensee's opt out notice shall
explain how the licensee will treat an opt out direction by a
joint consumer.
(2) Any of the joint consumers may exercise the right to opt
out. The licensee may either:
(A) treat an opt out direction by a joint consumer as
applying to all of the associated joint consumers; or
(B) permit each joint consumer to opt out separately.
(3) If a licensee permits each joint consumer to opt out
separately, the licensee shall permit one (1) of the joint
consumers to opt out on behalf of all of the joint consumers.
(4) A licensee may not require all joint consumers to opt out
before the licensee implements any opt out direction.
(f) A licensee shall comply with a consumer's opt out direction
as soon as reasonably practicable after the direction is received by
the licensee.
(g) A consumer may exercise the right to opt out at any time.
(h) A consumer's direction to opt out under this section is
effective until the consumer revokes the direction in writing or, if
the consumer agrees, electronically. When a consumer relationship
terminates, the customer's opt out direction continues to apply to
the nonpublic personal financial information that the licensee
collected during or related to that relationship. If the individual
subsequently establishes a new customer relationship with the
licensee, the opt out direction that applied to the former
relationship does not apply to the new relationship.
(i) When a licensee is required to deliver an opt out notice under
this section, the licensee shall deliver the notice as specified under
section 8 of this chapter.
Sec. 7. (a) Except as otherwise authorized in this chapter, a
licensee shall not, directly or through an affiliate, disclose any
nonpublic personal financial information about a consumer to a
nonaffiliated third party other than as described in the initial
notice that the licensee provided to the consumer under section 3
of this chapter unless the:
(1) licensee has provided to the consumer a clear and
conspicuous revised notice that accurately describes the
licensee's policies and practices;
(2) licensee has provided to the consumer a new opt out
notice;
(3) licensee has given the consumer a reasonable opportunity,
before the licensee discloses the information to the
nonaffiliated third party, to opt out of the disclosure; and
(4) consumer does not opt out.
(b) Except as otherwise permitted under sections 12 through 14
of this chapter, a licensee shall provide a revised notice before the
licensee does any of the following:
(1) Discloses a new category of nonpublic personal financial
information to any nonaffiliated third party.
(2) Discloses nonpublic personal financial information to a
new category of nonaffiliated third party.
(3) Discloses nonpublic personal financial information
regarding a former customer to a nonaffiliated third party, if
the former customer has not had the opportunity to exercise
an opt out right regarding the disclosure.
(c) A revised notice is not required if the licensee discloses
nonpublic personal financial information to a new nonaffiliated
third party that the licensee adequately described in the licensee's
prior notice.
(d) When a licensee is required to deliver a revised privacy
notice under this section, the licensee shall deliver the notice as
specified under section 8 of this chapter.
Sec. 8. (a) A licensee shall provide notices required under this
chapter so that each consumer can reasonably be expected to
receive actual notice in writing or, if the consumer agrees,
electronically.
(b) A licensee may reasonably expect that a consumer will
receive actual notice if the licensee does any of the following:
(1) Hand delivers a printed copy of the notice to the consumer.
(2) Mails a printed copy of the notice to the last known
address of the consumer separately, or in a policy, billing, or
other written communication.
(3) For a consumer who conducts transactions electronically,
posts the notice on the electronic site and requires the
consumer to acknowledge receipt of the notice as a necessary
step to obtaining a particular insurance product or service.
obtains an insurance product or service electronically and
agrees to receive the notice at the Web site.
(g) A licensee may provide a joint notice from the licensee and
one (1) or more of the licensee's affiliates or other financial
institutions, as identified in the notice, as long as the notice is
accurate with respect to the licensee and the other institutions. A
licensee also may provide a notice on behalf of another financial
institution.
(h) If two (2) or more consumers jointly obtain an insurance
product or service from a licensee, the licensee may satisfy the
initial, annual, and revised notice requirements of sections 3(a),
4(a), and 7(a) of this chapter, by providing one (1) notice to the
consumers jointly.
Sec. 9. (a) Except as otherwise authorized in this chapter, a
licensee may not, directly or through an affiliate, disclose any
nonpublic personal financial information about a consumer to a
nonaffiliated third party unless the:
(1) licensee has provided to the consumer an initial notice as
required under section 3 of this chapter;
(2) licensee has provided to the consumer an opt out notice as
required under section 6 of this chapter;
(3) licensee has given the consumer a reasonable opportunity,
before the licensee discloses the information to the
nonaffiliated third party, to opt out of the disclosure; and
(4) consumer does not opt out.
(b) Opt out means a direction by the consumer that the licensee
not disclose nonpublic personal financial information about the
consumer to a nonaffiliated third party, other than as permitted
under sections 12 through 14 of this chapter.
(c) A licensee provides a consumer with a reasonable
opportunity to opt out if the licensee does any of the following:
(1) Mails the notices required under subsection (a) to the
consumer and allows the consumer to opt out by mailing a
form, calling a toll free telephone number or any other
reasonable means within thirty (30) days from the date the
licensee mailed the notices.
(2) If a customer opens an on-line account with the licensee
and agrees to receive the notices required under subsection (a)
electronically, allows the customer to opt out by any
reasonable means within thirty (30) days after the date that
the customer acknowledges receipt of the notices in
conjunction with opening the account.
licensee may disclose the information; and
(3) any other person, if the disclosure would be lawful if made
directly to that person by the financial institution from which
the licensee received the information.
(c) If a licensee discloses nonpublic personal financial
information to a nonaffiliated third party under an exception
under section 13 or 14 of this chapter, the third party may disclose
and use the information only as follows:
(1) The third party may disclose the information to the
licensee's affiliates.
(2) The third party may disclose the information to the third
party's affiliates, but the third party's affiliates may, in turn,
disclose and use the information only to the extent that the
third party may disclose and use the information.
(3) The third party may disclose and use the information
under an exception under section 13 or 14 of this chapter in
the ordinary course of business to carry out the activity
covered by the exception under which the third party received
the information.
(d) If a licensee discloses nonpublic personal financial
information to a nonaffiliated third party other than under an
exception under section 13 or 14 of this chapter, the third party
may disclose the information only to:
(1) the licensee's affiliates;
(2) the third party's affiliates, but the third party's affiliates,
in turn, may disclose the information only to the extent the
third party can disclose the information; and
(3) any other person, if the disclosure would be lawful if the
licensee made the disclosure directly to the person.
Sec. 11. (a) A licensee shall not, directly or through an affiliate,
disclose, other than to a consumer reporting agency, a policy
number or similar form of access number or access code for a
consumer's policy or transaction account to any nonaffiliated third
party for use in telemarketing, direct mail marketing, or other
marketing through electronic mail to the consumer.
(b) Subsection (a) does not apply if a licensee discloses a policy
number or similar form of access number or access code to any of
the following:
(1) The licensee's service provider solely in order to perform
marketing for the licensee's own products or services, as long
as the service provider is not authorized to directly initiate
charges to the account.
utilization review activities.
(vii) Participating in research projects.
(viii) As otherwise required or specifically permitted by
federal or state law.
(ix) In connection with the authorization, settlement,
billing, processing, clearing, transferring, reconciling, or
collection of amounts charged, debited, or otherwise paid
using a debit, credit, or other payment card, check, or
account number, or by other payment means.
(x) In connection with the transfer of receivables,
accounts, or interests in the receivables or accounts.
(xi) In connection with the audit of debit, credit, or other
payment information.
Sec. 14. (a) The requirements for initial notice to consumers
under section 3(a)(2) of this chapter, the opt out under sections 6
and 9 of this chapter, and service providers and joint marketing
under section 12 of this chapter do not apply when a licensee
discloses nonpublic personal financial information as follows:
(1) With the consent or at the direction of the consumer,
provided that the consumer has not revoked the consent or
direction;
(2) In any of the following situations:
(A) To protect the confidentiality or security of a licensee's
records pertaining to the consumer, service, product, or
transaction.
(B) To protect against or prevent actual or potential fraud
or unauthorized transactions.
(C) For required institutional risk control or for resolving
consumer disputes or inquiries.
(D) To persons holding a legal or beneficial interest
relating to the consumer.
(E) To persons acting in a fiduciary or representative
capacity on behalf of the consumer.
(3) To provide information to:
(A) insurance rate advisory organizations;
(B) guaranty funds or agencies;
(C) agencies that are rating a licensee;
(D) persons who are assessing the licensee's compliance
with industry standards; and
(E) the licensee's attorneys, accountants, and auditors.
(4) To the extent specifically permitted or required under
other provisions of law and in accordance with the federal
Right to Privacy Act of 1978 (12 U.S.C. 3401 et seq.), to law
enforcement agencies, including the Federal Reserve Board,
Office of the Comptroller of the Currency, Federal Deposit
Insurance Corporation, Office of Thrift Supervision, National
Credit Union Administration, the Securities and Exchange
Commission, the Secretary of the Treasury, with respect to 31
U.S.C. Chapter 53, Subchapter II (Records and Reports on
Monetary Instruments and Transactions) and 12 U.S.C.
Chapter 21 (Financial Recordkeeping), a state insurance
authority, and the Federal Trade Commission, self-regulatory
organization or for an investigation on a matter related to
public safety.
(5) To a consumer reporting agency in accordance with the
federal Fair Credit Reporting Act (15 U.S.C. 1681 et seq.) or
from a consumer report reported by a consumer reporting
agency.
(6) In connection with a proposed or actual sale, merger,
transfer, or exchange of all or a portion of a business or
operating unit if the disclosure of nonpublic personal financial
information concerns solely consumers of the business or unit.
(7) To comply with or respond to any of the following:
(A) Federal, state, or local laws, rules, and other applicable
legal requirements.
(B) Properly authorized civil, criminal, or regulatory
investigation, or subpoena, or summons by federal, state,
or local authorities.
(C) Judicial process or governmental regulatory
authorities having jurisdiction over a licensee for
examination, compliance, or other purposes as authorized
by law.
(8) For purposes related to the replacement of a group benefit
plan, a group health plan, a group welfare plan, or a workers'
compensation plan.
(b) A consumer may revoke consent by subsequently exercising
the right to opt out of future disclosures of nonpublic personal
information as permitted under
section 6(g) of this chapter.
Sec. 15. This chapter shall not be construed to modify, limit, or
supersede the operation of the federal Fair Credit Reporting Act,
15 U.S.C. 1681 et seq., and no inference shall be drawn on the basis
of the provisions of this chapter regarding whether information is
transaction or experience information under Section 603 of the
Fair Credit Reporting Act.
statement or any pamphlet, circular, article, or literature which is
false, or maliciously critical of or derogatory to the financial
condition of an insurer, and which is calculated to injure any
person engaged in the business of insurance.
(4) Entering into any agreement to commit, or individually or by
a concerted action committing any act of boycott, coercion, or
intimidation resulting or tending to result in unreasonable
restraint of, or a monopoly in, the business of insurance.
(5) Filing with any supervisory or other public official, or making,
publishing, disseminating, circulating, or delivering to any person,
or placing before the public, or causing directly or indirectly, to
be made, published, disseminated, circulated, delivered to any
person, or placed before the public, any false statement of
financial condition of an insurer with intent to deceive. Making
any false entry in any book, report, or statement of any insurer
with intent to deceive any agent or examiner lawfully appointed
to examine into its condition or into any of its affairs, or any
public official to which such insurer is required by law to report,
or which has authority by law to examine into its condition or into
any of its affairs, or, with like intent, willfully omitting to make a
true entry of any material fact pertaining to the business of such
insurer in any book, report, or statement of such insurer.
(6) Issuing or delivering or permitting agents, officers, or
employees to issue or deliver, agency company stock or other
capital stock, or benefit certificates or shares in any common law
corporation, or securities or any special or advisory board
contracts or other contracts of any kind promising returns and
profits as an inducement to insurance.
(7) Making or permitting any of the following:
(A) Unfair discrimination between individuals of the same
class and equal expectation of life in the rates or assessments
charged for any contract of life insurance or of life annuity or
in the dividends or other benefits payable thereon, or in any
other of the terms and conditions of such contract; however, in
determining the class, consideration may be given to the
nature of the risk, plan of insurance, the actual or expected
expense of conducting the business, or any other relevant
factor.
(B) Unfair discrimination between individuals of the same
class involving essentially the same hazards in the amount of
premium, policy fees, assessments, or rates charged or made
for any policy or contract of accident or health insurance or in
the benefits payable thereunder, or in any of the terms or
conditions of such contract, or in any other manner whatever;
however, in determining the class, consideration may be given
to the nature of the risk, the plan of insurance, the actual or
expected expense of conducting the business, or any other
relevant factor.
(C) Excessive or inadequate charges for premiums, policy
fees, assessments, or rates, or making or permitting any unfair
discrimination between persons of the same class involving
essentially the same hazards, in the amount of premiums,
policy fees, assessments, or rates charged or made for:
(i) policies or contracts of reinsurance or joint reinsurance,
or abstract and title insurance;
(ii) policies or contracts of insurance against loss or damage
to aircraft, or against liability arising out of the ownership,
maintenance, or use of any aircraft, or of vessels or craft,
their cargoes, marine builders' risks, marine protection and
indemnity, or other risks commonly insured under marine,
as distinguished from inland marine, insurance; or
(iii) policies or contracts of any other kind or kinds of
insurance whatsoever.
However, nothing contained in clause (C) shall be construed to
apply to any of the kinds of insurance referred to in clauses (A)
and (B) nor to reinsurance in relation to such kinds of insurance.
Nothing in clause (A), (B), or (C) shall be construed as making or
permitting any excessive, inadequate, or unfairly discriminatory
charge or rate or any charge or rate determined by the department
or commissioner to meet the requirements of any other insurance
rate regulatory law of this state.
(8) Except as otherwise expressly provided by law, knowingly
permitting or offering to make or making any contract or policy
of insurance of any kind or kinds whatsoever, including but not in
limitation, life annuities, or agreement as to such contract or
policy other than as plainly expressed in such contract or policy
issued thereon, or paying or allowing, or giving or offering to pay,
allow, or give, directly or indirectly, as inducement to such
insurance, or annuity, any rebate of premiums payable on the
contract, or any special favor or advantage in the dividends,
savings, or other benefits thereon, or any valuable consideration
or inducement whatever not specified in the contract or policy; or
giving, or selling, or purchasing or offering to give, sell, or
purchase as inducement to such insurance or annuity or in
connection therewith, any stocks, bonds, or other securities of any
insurance company or other corporation, association, limited
liability company, or partnership, or any dividends, savings, or
profits accrued thereon, or anything of value whatsoever not
specified in the contract. Nothing in this subdivision and
subdivision (7) shall be construed as including within the
definition of discrimination or rebates any of the following
practices:
(A) Paying bonuses to policyholders or otherwise abating their
premiums in whole or in part out of surplus accumulated from
nonparticipating insurance, so long as any such bonuses or
abatement of premiums are fair and equitable to policyholders
and for the best interests of the company and its policyholders.
(B) In the case of life insurance policies issued on the
industrial debit plan, making allowance to policyholders who
have continuously for a specified period made premium
payments directly to an office of the insurer in an amount
which fairly represents the saving in collection expense.
(C) Readjustment of the rate of premium for a group insurance
policy based on the loss or expense experience thereunder, at
the end of the first year or of any subsequent year of insurance
thereunder, which may be made retroactive only for such
policy year.
(D) Paying by an insurer or agent thereof duly licensed as such
under the laws of this state of money, commission, or
brokerage, or giving or allowing by an insurer or such licensed
agent thereof anything of value, for or on account of the
solicitation or negotiation of policies or other contracts of any
kind or kinds, to a broker, agent, or solicitor duly licensed
under the laws of this state, but such broker, agent, or solicitor
receiving such consideration shall not pay, give, or allow
credit for such consideration as received in whole or in part,
directly or indirectly, to the insured by way of rebate.
(9) Requiring, as a condition precedent to loaning money upon the
security of a mortgage upon real property, that the owner of the
property to whom the money is to be loaned negotiate any policy
of insurance covering such real property through a particular
insurance agent or broker or brokers. However, this subdivision
shall not prevent the exercise by any lender of its or his right to
approve or disapprove of the insurance company selected by the
borrower to underwrite the insurance.
(10) Entering into any contract, combination in the form of a trust
or otherwise, or conspiracy in restraint of commerce in the
business of insurance.
(11) Monopolizing or attempting to monopolize or combining or
conspiring with any other person or persons to monopolize any
part of commerce in the business of insurance. However,
participation as a member, director, or officer in the activities of
any nonprofit organization of agents or other workers in the
insurance business shall not be interpreted, in itself, to constitute
a combination in restraint of trade or as combining to create a
monopoly as provided in this subdivision and subdivision (10).
The enumeration in this chapter of specific unfair methods of
competition and unfair or deceptive acts and practices in the
business of insurance is not exclusive or restrictive or intended to
limit the powers of the commissioner or department or of any
court of review under section 8 of this chapter.
(12) Requiring as a condition precedent to the sale of real or
personal property under any contract of sale, conditional sales
contract, or other similar instrument or upon the security of a
chattel mortgage, that the buyer of such property negotiate any
policy of insurance covering such property through a particular
insurance company, agent, or broker or brokers. However, this
subdivision shall not prevent the exercise by any seller of such
property or the one making a loan thereon, of his, her, or its right
to approve or disapprove of the insurance company selected by
the buyer to underwrite the insurance.
(13) Issuing, offering, or participating in a plan to issue or offer,
any policy or certificate of insurance of any kind or character as
an inducement to the purchase of any property, real, personal, or
mixed, or services of any kind, where a charge to the insured is
not made for and on account of such policy or certificate of
insurance. However, this subdivision shall not apply to any of the
following:
(A) Insurance issued to credit unions or members of credit
unions in connection with the purchase of shares in such credit
unions.
(B) Insurance employed as a means of guaranteeing the
performance of goods and designed to benefit the purchasers
or users of such goods.
(C) Title insurance.
(D) Insurance written in connection with an indebtedness and
intended as a means of repaying such indebtedness in the
event of the death or disability of the insured.
and is placed under a final order of liquidation, rehabilitation, or
conservation by a court.
"Member insurer" means any person that is licensed or holds a
certificate of authority to transact in Indiana any kind of insurance for
which coverage is provided under this chapter. The term includes any
insurer whose license or certificate of authority to transact such
insurance in Indiana may have been suspended, revoked, not renewed,
or voluntarily withdrawn but does not include the following:
(1) A medical and hospital service organization.
(2) A health maintenance organization under IC 27-13.
(3) A fraternal benefit society under IC 27-11.
(4) The Indiana Comprehensive Health Insurance Association or
any other A mandatory state pooling plan or arrangement.
(5) An assessment company or any other person that operates an
assessment plan (as defined in IC 27-1-2-3(y)).
(6) An interinsurance exchange authorized by IC 27-6-6.
(7) A prepaid limited health service organization or a limited
service health maintenance organization under IC 27-13-34.
(8) A special service health care delivery plan under IC 27-8-7.
(9) (8) A farmer's mutual insurance company under IC 27-5.
(10) (9) Any person similar to any person described in
subdivisions (1) through (9). (8).
"Premiums" means direct gross insurance premiums and annuity
considerations received on covered policies, less return premiums and
considerations, and dividends paid or credited to policyholders on
direct business. It does not include premiums and considerations on
contracts between insurers and reinsurers. For purposes of assessments
made under section 6 of this chapter, "premiums" for covered policies
shall not be reduced on account of any limitation on benefits for which
the association is obligated under section 5(l) of this chapter. However,
"premiums" for assessment purposes does not include that portion of
any premium exceeding five million dollars ($5,000,000) for any one
(1) unallocated annuity contract.
"Person" means any natural person, corporation, limited liability
company, partnership, association, voluntary organization, trust,
governmental organization or entity, or other business organization or
entity.
"Resident" means any person who resides in Indiana at the time the
association becomes obligated for an impaired or insolvent insurer.
Persons other than natural persons are considered to reside in the state
where their principal place of business is located.
"Unallocated annuity contract" means an annuity contract or group
annuity certificate that is not issued to and held by a natural person
(excluding a natural person acting as a trustee), except to the extent of
any annuity benefits guaranteed to a natural person by an insurer under
the contract or certificate. For the purposes of section 1.5 of this
chapter, an unallocated annuity contract shall not be considered a group
covered policy.
(b) For purposes of this chapter, a policy, contract, or certificate is
considered to be held by the person identified on the policy, contract,
or certificate as the holder or owner of the policy, contract, or
certificate.
SECTION 11. IC 27-8-15-28 IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JANUARY 1, 2004]: Sec. 28. (a) As used
in this section, "health insurance plan" means coverage provided under
any of the following:
(1) A hospital or medical expense incurred policy or certificate.
(2) A hospital or medical service plan contract.
(3) A health maintenance organization subscriber contract.
(4) Medicare or Medicaid.
(5) An employer based health insurance arrangement.
(6) An individual health insurance policy.
(7) A policy issued by the Indiana comprehensive health
insurance association under IC 27-8-10.
(8) (7) An employee welfare benefit plan (as defined in 29 U.S.C.
1002) that is self-funded.
(9) (8) A conversion policy issued under section 31 or 31.1 of this
chapter.
(b) Except as provided in section 29 of this chapter, a small
employer insurer shall waive the exclusion period described in section
27 of this chapter applicable to a preexisting condition or the limitation
period with respect to a particular service in a health insurance plan for
the time an eligible employee or a dependent of an eligible employee
was previously covered by a health insurance plan if the following
conditions are met:
(1) The eligible employee or a dependent of the eligible employee
was previously covered by a health insurance plan that provided
benefits with respect to the particular service.
(2) Coverage under the health insurance plan was continuous to
a date not more than sixty-three (63) days before the effective
date of enrollment by:
(A) the eligible employee; or
(B) a dependent of the eligible employee.
(c) In determining whether an eligible employee or a dependent of
the eligible employee meets the requirements of subsection (b)(2), a
waiting period imposed by a small employer insurer or small employer
before new coverage may become effective must be excluded from the
calculation.
(d) This section does not preclude the application of any waiting
period applicable to all new enrollees under a plan.
SECTION 12. IC 34-30-12-1, AS AMENDED BY P.L.1-1999,
SECTION 73, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
JANUARY 1, 2004]: Sec. 1. (a) This section does not apply to services
rendered by a health care provider (as defined in IC 34-18-2-14 or
IC 27-12-2-14 before its repeal) to a patient in a health care facility (as
defined in IC 27-8-10-1 IC 2-5-23-2.5).
(b) Except as provided in subsection (c), a person who comes upon
the scene of an emergency or accident or is summoned to the scene of
an emergency or accident and, in good faith, gratuitously renders
emergency care at the scene of the emergency or accident is immune
from civil liability for any personal injury that results from:
(1) any act or omission by the person in rendering the emergency
care; or
(2) any act or failure to act to provide or arrange for further
medical treatment or care for the injured person;
except for acts or omissions amounting to gross negligence or willful
or wanton misconduct.
(c) This subsection applies to a person to whom IC 16-31-6.5
applies. A person who gratuitously renders emergency care involving
the use of an automatic external defibrillator is immune from liability
for any act or omission not amounting to gross negligence or willful or
wanton misconduct if the person fulfills the requirements set forth in
IC 16-31-6.5.
(d) This subsection applies to an individual, business, or
organization to which IC 16-31-6.5 applies. An individual, business, or
organization that allows a person who is an expected user to use an
automatic external defibrillator of the individual, business, or
organization to in good faith gratuitously render emergency care is
immune from civil liability for any damages resulting from an act or
omission not amounting to gross negligence or willful or wanton
misconduct by the user or for acquiring or providing the automatic
external defibrillator to the user for the purpose of rendering the
emergency care if the individual, business, or organization and the user
fulfill the requirements set forth in IC 16-31-6.5.
SECTION 13. [EFFECTIVE JULY 1, 2001] (a) As used in this
SECTION, "waiver" means a Section 1115 demonstration waiver
under the federal Social Security Act (42 U.S.C. 1315).
(b) The office of Medicaid policy and planning may apply to the
United States Department of Health and Human Services for
approval of a waiver to provide coverage to individuals with severe
chronic diseases.
(c) If a provision under this SECTION differs from the
requirements of a waiver, the office of Medicaid policy and
planning shall submit a waiver request in a manner that complies
with the requirements of the waiver. However, after the waiver is
approved, the office shall apply not more than one hundred twenty
(120) days after the waiver is approved for an amendment to the
approved waiver that contains the provisions of this SECTION
that were not included in the approved waiver.
(d) The office of Medicaid policy and planning may not
implement a waiver until the office files an affidavit with the
governor attesting that a federal waiver applied for under this
SECTION is in effect. The office shall file the affidavit under this
subsection not more than five (5) days after the office is notified
that a waiver is approved.
(e) If the office or Medicaid policy and planning receives a
waiver under this SECTION from the United States Department
of Health and Human services and the governor receives the
affidavit filed under subsection (d), the office shall implement the
waiver not more than sixty (60) days after the governor receives
the affidavit.
(f) The office of Medicaid policy and planning may adopt rules
under IC 4-22-2 that are necessary to implement this SECTION.
(g) This SECTION expires July 1, 2004.
SECTION 14. [EFFECTIVE JULY 1, 2001] (a) As used in this
SECTION, "commission" refers to the health finance commission
established under IC 2-5-23.
(b) As used in this SECTION, "association" refers to the
Indiana comprehensive health insurance association established
under IC 27-8-10-2.1.
(c) As used in this SECTION, "association policy" has the
meaning set forth in IC 27-8-10-1.
(d) The health finance advisory committee created under
IC 2-5-23-6 shall review the following issues and make
recommendations to the commission not later than May 1, 2002:
(1) The current program used by the association to provide
coverage for health care services provided to individuals who
are covered under an association policy.
(2) Potential sources of funding coverage of association
policies and administrative expenses.
(3) Current criteria for determining eligibility and
methodology for establishing premiums.
(4) A plan for administration of the association program by
an existing state agency with review by the commission or
another legislative body not less than every two (2) years.
(5) Potential transfer of individuals who are covered under an
association policy to private insurance coverage.
(e) The commission shall make recommendations concerning the
issues specified in subsection (d) to the legislative council not later
than November 1, 2002.
(f) This SECTION expires December 1, 2002.
SECTION 15. [EFFECTIVE UPON PASSAGE]: (a) A licensee
shall, not later than July 1, 2001, provide an initial notice, as
required under IC 27-2-20-3, as added by this act, of this chapter,
to consumers who are the licensee's customers on July 1, 2001.
(b) Until July 1, 2002, a contract entered into before July 1,
2000, by a licensee with a nonaffiliated third party to perform
services for the licensee or functions on behalf of the licensee is
considered to be in compliance with the requirements of
IC 27-2-20-12(a), as added by this act, regardless of whether the
contract includes a requirement that the third party maintain the
confidentiality of nonpublic personal information.
(c) This SECTION expires July 1, 2005.
SECTION 16. [EFFECTIVE JANUARY 1, 2002] (a) After
December 31, 2001:
(1) any reference in the Indiana Code to an insurance agent
shall be treated as a reference to an insurance producer (as
defined in
IC 27-1-15.6-2
(7), as added by this act);
(2) any reference in the Indiana Code to a surplus lines
insurance agent shall be treated as a reference to a surplus
lines producer (as defined in
IC 27-1-15.6-2
(17), as added by
this act); and
(3) any reference in the Indiana Code to a limited insurance
representative shall be treated as a reference to a limited lines
producer (as defined in
IC 27-1-15.6-2
(12), as added by this
act).
(b) This SECTION expires June 30, 2005.
SECTION 17. THE FOLLOWING ARE REPEALED [EFFECTIVE
JANUARY 1, 2004]: IC 27-8-10; IC 27-13-16-4; IC 34-30-2-116.