BILL ANALYSIS                                                                                                                                                                                                    Ó






                             SENATE INSURANCE COMMITTEE
                           Senator Ronald Calderon, Chair


          SB 1184 (Corbett)             Hearing Date:  April 11, 2012  

          As Amended: April 9, 2012
          Fiscal:             Yes
          Urgency:       No

           SUMMARY   Would prohibit an insurance agent from providing 
          assistance to a senior in obtaining veterans benefits through 
          government programs, unless the agent maintains procedural 
          safeguards designed to ensure that the agent or broker 
          transacting insurance has no direct financial incentive to refer 
          the policyholder or purchaser to any government benefits 
          program. 
           
          DIGEST
            
          Existing law  

             1.   Requires all insurers, brokers, agents, and others 
               engaged in the transaction of insurance to owe to a 
               prospective insured who is 65 years of age or older, a duty 
               of honesty, good faith, and fair dealing.
           
          This bill  

             1.   Would prohibit an insurance broker or agent from 
               participating in, being associated with, or employing any 
               party that participates in, or is associated with, the 
               obtaining of veterans benefits for a senior, unless the 
               insurance agent or broker maintains procedural safeguards 
               designed to ensure that the agent or broker transacting 
               insurance has no direct financial incentive to refer the 
               policyholder or prospective policyholder to any government 
               benefits program.

           COMMENTS

          1.  Purpose of the bill  

              According to the CANHR, to protect veterans from bad acting 
              insurance agents who mislead seniors about the Veterans Aid 
              and Attendance benefits program. 




                                              SB 1184 (Corbett), Page 2





           2.  Background  

              Current federal law prohibits any individual from charging a 
              fee for helping a veteran file an initial application for 
              benefits with the U.S. Department of Veterans Affairs 
              (limited fees may be charged for prosecuting an appeal 
              before the Board of Veterans Appeals).  

              According to CANHR, some aggressive marketers selling 
              insurance products target senior veterans and charge fees to 
              "educate" veterans or help them prepare claims.

              In particular, the CANHR points to the Veterans Aid and 
              Attendance program designed to provide low-wealth veterans 
              with financial support to pay for care and allow the veteran 
              to remain independent.  Eligibility is based, in part, on 
              the applicant's income and net worth.  An agent may advise a 
              senior to "hide" assets in an annuity or trust in order to 
              qualify for these benefits with intent to sell that product.

              By requiring that agents and brokers "maintain procedural 
              safeguards" designed to avoid a conflict of interest, this 
              bill adopts a similar approach and language applied to 
              questionable practices related to reverse mortgages as 
              addressed in AB 793 (Chapter 223, Statutes of 2011) and AB 
              329 (Chapter 236, Statutes of 2009).  

           3.  Summary Arguments in Support  


                a.      CANHR supports this bill because it separates 
                  licensed California insurance agents from profiteers who 
                  are charging aged and disabled veterans to qualify for 
                  the free veterans' benefits.  SB 1184 makes sure 
                  insurers do not deceptively peddle their products if 
                  they are working with other groups or individuals who 
                  are assisting veterans with benefits. 


                b.      AFSCME supports this bill to avoid the confusion 
                  created by agents that cross sell products - assisting 
                  senior veterans with, or referring them to, Aid and 
                  Attendance for a fee and then selling them policies, 
                  such as annuities.  This confuses senior veterans and 
                  conflicts with the spirit of federal law.




                                              SB 1184 (Corbett), Page 3






                c.      Consumer Attorneys of California supports this 
                  bill because it safeguards veterans from bad acting 
                  insurance agents who mislead seniors about the Veterans 
                  Aid and Attendance benefits program and charge a fee for 
                  services that the VA or veterans service organizations 
                  offer for free.

           4.  Summary of Arguments in Opposition    

              None received
           
          5.  Questions  

              a.      What safeguards are anticipated by the bill?

              b.      Should "procedural safeguards" be more precisely 
                  defined?  On the other hand, would more defined terms 
                  also outline loopholes in the protections?

           1.  Suggested Amendments  

              None
           
          2.  Prior and Related Legislation  

               a.     AB 329 (Feuer) (enacted as Chapter 236, Statutes of 
                 2009) enacted the Reverse Mortgage Elder Protection Act 
                 of 2009. 

               b.     SB 180 (Corbett) (enacted as Chapter 79, Statutes of 
                 2011) prohibits a person from charging or receiving an 
                 unreasonable fee to prepare; aid; or advise certain 
                 persons in procuring; maintaining; or securing public 
                 social services, including activities and functions 
                 administered or supervised by the United States 
                 Department of Veterans Affairs or the California 
                 Department of Veterans Affairs, including pension 
                 benefits.
                                                   
               c.     AB 793 (Eng) (enacted Chapter 223, Statutes of 2011) 
                 prohibits an insurance broker or agent from participating 
                 in the origination of a reverse mortgage, unless the 
                 insurance agent or broker maintains procedural safeguards 
                 designed to ensure that the agent or broker transacting 




                                              SB 1184 (Corbett), Page 4




                 insurance has no direct financial incentive to refer the 
                 policyholder or prospective policyholder to a reverse 
                 mortgage lender.
           
          POSITIONS
          
          Support
           
          California  Advocates for  Nursing Home Reform (CANHR)/ Sponsor
          American Federation of State, County and Municipal Employees 
          (AFSCME)
          American Association of Retired Persons (AARP)
          Consumer Attorneys of California 
           
          Oppose
               
          None received

          Consultant:   Hugh Slayden, (916) 651-4773