BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                      



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          |SENATE RULES COMMITTEE            |                  SB 1184|
          |Office of Senate Floor Analyses   |                         |
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                                 THIRD READING


          Bill No:  SB 1184
          Author:   Corbett (D), et al.
          Amended:  4/17/12/12
          Vote:     21

           
           SENATE INSURANCE COMMITTEE  :  8-0, 4/11/12
          AYES:  Calderon, Gaines, Anderson, Corbett, Correa, Lieu, 
            Lowenthal, Wyland
          NO VOTE RECORDED:  Price

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8


           SUBJECT  :    Senior insurance:  veterans benefits

           SOURCE  :     California Advocates for Nursing Home Reform


           DIGEST  :    This bill prohibits 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. 

           ANALYSIS  :    Existing law 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 prohibits an insurance broker or agent from 
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          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.

           Background
           
          Existing 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 the California Advocates for Nursing Reform 
          (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 (Eng), Chapter 223, Statutes of 2011, 
          and AB 329 (Feuer), Chapter 236, Statutes of 2009.  

           Prior and Related Legislation
           
          AB 329 (Feuer), Chapter 236, Statutes of 2009, enacted the 
          Reverse Mortgage Elder Protection Act of 2009. 

          SB 180 (Corbett), Chapter 79, Statutes of 2011, prohibits a 

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          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.

          AB 793 (Eng), 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 insurance has 
          no direct financial incentive to refer the policyholder or 
          prospective policyholder to a reverse mortgage lender.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes   
          Local:  No

           SUPPORT  :   (Verified  4/30/12)

          California Advocates for Nursing Home Reform (source) 
          Insurance Commissioner Dave Jones
          American Association of Retired Persons
          American Federation of State, County and Municipal 
          Employees
          American Legion, Department of California
          AMVETS, Department of California
          California Association of County Veterans Officers
          Consumer Attorneys of California 
          Vietnam Veterans, California State Council

           ARGUMENTS IN SUPPORT  :    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.  This bill makes 
          sure insurers do not deceptively peddle their products if 
          they are working with other groups or individuals who are 
          assisting veterans with benefits. 


          JJA:nl  4/30/12   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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