BILL ANALYSIS Ó ------------------------------------------------------------ |SENATE RULES COMMITTEE | SB 1184| |Office of Senate Floor Analyses | | |1020 N Street, Suite 524 | | |(916) 651-1520 Fax: (916) | | |327-4478 | | ------------------------------------------------------------ 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 CONTINUED SB 1184 Page 2 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 CONTINUED SB 1184 Page 3 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 CONTINUED SB 1184 Page 4 **** END **** CONTINUED