BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 2778
                                                                  Page  1

          CONCURRENCE IN SENATE AMENDMENTS
          AB 2778 (Insurance Committee)
          As Amended  June 21, 2010
          Majority vote
           
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          |ASSEMBLY:  |63-0 |(May 28, 2010)  |SENATE: |33-0 |(August 5,     |
          |           |     |                |        |     |2010)          |
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           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;








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             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
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             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.









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          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  



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