BILL ANALYSIS AB 2778 Page 1 CONCURRENCE IN SENATE AMENDMENTS AB 2778 (Insurance Committee) As Amended June 21, 2010 Majority vote ----------------------------------------------------------------- |ASSEMBLY: |63-0 |(May 28, 2010) |SENATE: |33-0 |(August 5, | | | | | | |2010) | ----------------------------------------------------------------- Original Committee Reference: INS. SUMMARY : Authorizes the Director of the Employment Development Department (EDD) to approve a single voluntary plan of disability insurance for multiple small employers. The Senate amendments : 1)Clarify that the voluntary plan of disability insurance will be in effect for a period of not less than one year and, thereafter, continuously unless the EDD Director finds that the small-business-third-party administrator (SBTPA), the employer, or a majority of the employees working for that employer and covered by the plan have provided EDD with a written notice of their decision to withdraw from the plan. 2)Sunset the bill on December 31, 2104. 3)Remove two legislative findings from the bill. EXISTING LAW : 1)Allows an employer, and a majority of the employees of an employer, to apply to the Director of the Employment Development Department (EDD) for approval of a voluntary plan for the payment of disability insurance (DI) benefits to the employees. 2)Requires the Director of EDD to approve a voluntary plan when he or she finds, among other things, that the following conditions exist: a) The rights afforded to the covered employees are greater than those provided for employees covered by State Disability Insurance (SDI) benefits and Paid Family leave; AB 2778 Page 2 b) The plan has been made available to the employees; c) A majority of the employees and the employer have consented to the plan; and, d) The plan will not result in a substantial selection of risks adverse to the state Disability Fund. 3)Provides that disability benefits payable to employees are the liability of an approved voluntary plan. AS PASSED BY THE ASSEMBLY , this bill: 1)Authorized the EDD Director to approve a single voluntary plan for all of the clients of a "small-business-third-party administrator" (hereafter SBTPA), and the clients' employees, provided all of the following criteria were met: a) The plan is administered by the SBTPA; b) The plan establishes a master trust account in a federally insured national bank that is administered by the SBTPA, but requires each individual employer that is a client of the SBTPA to have a subtrust account that reflects that client's employees' specific plan contributions and is not commingled with any other funds; c) If a plan does not provide for the assumption by an admitted disability insurer of the liability of the employer to pay the disability benefits, the EDD Director shall not approve it unless the employer files with the Director the bond of an admitted surety insurer, deposit of securities approved by the Director, or deposit of an irrevocable letter of credit. These financial securities shall be in the amount determined by the Director and in accord with existing law; d) The rights afforded to the covered employees are greater than those provided for employees covered by SDI benefits and Paid Family Leave; e) The plan has been available to all of the employees of the employer in this state, and a majority of the employees have consented to the plan; and, AB 2778 Page 3 f) The approval of the plan will not result in a substantial selection of risks adverse to the Disability Fund. 2)Defined a "small-business-third-party administrator," or SBTPA, as an applicant that the EDD Director finds meets all of the following criteria: a) The SBTPA administers voluntary disability plans on behalf of its clients pursuant to a written agreement in a form and manner approved by the EDD Director; b) The SBTPA has at least 1,000 California domiciled clients, 80% of whom have fewer than 20 employees; c) The SBTPA processes payroll for its California domiciled clients; and, d) The SBTPA offers workers' compensation insurance to its California domiciled clients through an affiliated California domiciled insurance company. 3)Declared the intent of the Legislature in enacting the financial security requirements noted in 2) c) above, that in the event of the insolvency of an employer-client of the SBTPA, or of the SBTPA, the disability claims against the subaccount of any employer-client arising prior to the date of the insolvency shall be satisfied by first accessing the security of the SBTPA, which may include additional financial security required by the EDD Director, rather than satisfying the claims from the state Disability Fund. 4)Sunset on December 31, 2015. FISCAL EFFECT : The Senate Appropriations Committee determined this bill to have insignificant costs pursuant to Senate Rule 28.8. COMMENTS : 1)The purpose of this bill is to authorize voluntary plans of disability insurance in which a third party administrator may serve numerous small employers and provide enhanced disability insurance benefits to their employees. AB 2778 Page 4 2)Presently in California, state mandated disability insurance can be made available to employees in two ways. First, employers may cover their employees with SDI benefits which are funded by employee contributions and administered by EDD. Second, employers can establish a "voluntary plan" as an alternative to SDI if it offers better benefits. Voluntary plans of disability insurance are also funded by employee contributions. EDD has the authority to approve new voluntary plans of disability insurance, and has ongoing oversight responsibility. Voluntary disability plans are a mechanism for obtaining superior benefits to employees injured as a result of non-occupational reasons for the same or lower premium than collected for SDI. At the present time, the employers who make primary use of the voluntary disability plans are large employers. This is due in part to the various administrative steps and financial security requirements that must be met prior to gaining approval from EDD. 3)One company, Applied Underwriters, Inc., a Berkshire Hathaway Inc. company, has found that that there is no mechanism for submitting a single application for 1,600 nearly identical voluntary disability plans. This company also notes that EDD processes an average of 400 voluntary plan applications each year, and that their submittal of these plans would constitute a 400 percent increase in application volume. Additionally, after the approval period, EDD would be tasked with overseeing 1,600 separate voluntary plans. Applied Underwriters states that allowing one application to cover multiple small employers allows small employers to provide superior disability insurance benefits to their employees, in a manner similar to that provided by larger employers. This bill does not substantially alter existing law with regard to regulatory oversight and the financial security protections. Analysis Prepared by : Manny Hernandez / INS. / (916) 319-2086 FN: 0005634