BILL ANALYSIS Ó SENATE INSURANCE COMMITTEE Senator Ronald Calderon, Chair AB 584 (Perea) Hearing Date: June 26, 2013 As Amended:April 15, 2013 Fiscal: Yes Urgency: No VOTES: Asm. Floor(05/09/13)75-0/Pass Asm. Appr. (05/01/13)17-0/Pass Asm. Ins. (04/10/13)13-0/Pass SUMMARY: Would require insurers with annual premiums greater than $500 million and insurance groups with annual premiums greater than $1 billion to maintain a comprehensive risk management framework to identify, assess, and manage material and relevant risks. Would also require the qualifying insurer or insurance group to file an Own Risk and Solvency Assessment (ORSA) report annually with the Insurance Commissioner detailing the risks identified and the sufficiency of its capital to support the risks. DIGEST Existing law 1. Regulates the business of insurance, including, but not limited to, requiring that each domestic, foreign, and alien insurer doing business in this state annually, on or before the first day of March of each year, file with the National Association of Insurance Commissioners (NAIC) a copy of its annual statement convention blank, along with any additional filings as prescribed by the Insurance Commissioner for the preceding year. 2. Requires state and local agencies to make their records available for public inspection and to make copies available upon request and payment of a fee unless the records are exempt from disclosure. (California Public Records Act, Government Code §§ 6250 et seq.) AB 584 (Perea), Page 2 This bill 1. Would find and declare that the reports required by this bill contain sensitive, proprietary, and trade secret information that shall not be subject to public disclosure. 2. Would define "insurance group" as insurers and affiliated companies within an insurance holding company system. 3. Would exempt insurers that are agencies, authorities, or instrumentalities of the United States government, state governments, or political subdivisions of a state government. 4. Would define an ORSA as: A. A confidential internal assessment of the material and relevant risks associated with an insurer's business plan, and B. A determination of whether the insurer has sufficient capital to support those risks. 1. Would define "ORSA Guidance Manual" as the current version of the Own Risk and Solvency Assessment Guidance Manual developed and adopted by the National Association of Insurance Commissioners (NAIC) and as amended from time to time. 2. Would define "ORSA Summary Report" as a confidential high-level summary of an insurer's or insurance group's ORSA. 3. Would require insurers to conduct an ORSA at least annually or when there are significant changes to the risk profile of the insurer or group. AB 584 (Perea), Page 3 4. Would require the insurer to submit an ORSA Summary Report on request by the commissioner or a regulator of another jurisdiction as provided. 5. Would require the chief risk officer to attest that the ORSA Summary Report accurately describes the risk management process and that a copy of the report has been provided to the insurer's board of directors. 6. Would exempt insurers from the bill if the insurer has less than $500 million per year in premium and is part of an insurance group with less than $1 billion per year in premium. 7. Would require an insurer with less than $500 million per year in premium that is part of an insurance group with more than $1 billion per year in premium to include an ORSA report for every insurer in the group. 8. Would require an insurer with more than $500 million per year in premium that is part of a group with less than $1 billion per year in premium to file an ORSA report only for the insurer. 9. Would permit an insurer to request the Commissioner to grant a waiver from complying with ORSA based upon unique circumstances. 10. Would permit the Commissioner to require any insurer to comply with ORSA based on unique circumstances that include the type and volume of business written, ownership and organizational structure, federal agency requests, and requests from international regulators. 11. Would permit the Commissioner to require any insurer that fails to meet risk based capital requirements or otherwise exhibits qualities of a troubled insurer to maintain a risk AB 584 (Perea), Page 4 management framework, conduct an ORSA, and submit an ORSA summary report. 12. Would require the ORSA summary report submitted to the Commissioner to be prepared consistent with the guidelines issued by NAIC. 13. Would provide that the ORSA summary report and any related documentation held by the Commissioner contains proprietary information and those materials are confidential and are not: A. Subject to disclosure through the California Public Records Act; B. Subject to subpoena; C. Subject to discovery in any civil proceeding; and D. Admissible in any civil proceeding. 1. Would permit the Commissioner to use the ORSA summary report and any related documentation in a regulatory or legal proceeding related to the Commissioner's official duties. 2. Would require the Commissioner to obtain consent from the insurer before making the ORSA summary report and any related materials public. 3. Would permit the Commissioner to share the ORSA summary report and related documents with other state, federal, and international regulatory agencies and the NAIC if the recipient agrees to maintain the confidentiality of the documents. AB 584 (Perea), Page 5 4. Would permit the Commissioner to receive confidential ORSA documents from other regulatory agencies and permits the Commissioner to agree to preserve the confidentiality of those documents. 5. Would require the Commissioner to enter into a written agreement with any consultant to the NAIC prior to sharing any ORSA related documents and requires that agreement to contain specific provisions. 6. Would require insurers that fail to submit their ORSA summary report to the Commissioner in a timely manner to pay a late filing fee. 7. Would provide that the bill takes effect on January 1, 2015. COMMENTS 1. Purpose of the bill . According to the sponsor, the California Department of Insurance (CDI), the near collapse of the American International Group (AIG) during the 2008 economic crisis revealed the need for insurers and insurance groups to better evaluate their risks. In response, the NAIC adopted the ORSA model law to establish regulatory oversight needed to assess an insurer's or insurance group's ability to weather severe economic stress. 2. Background A. NAIC Accreditation. Accreditation is given to a state insurance department once it has demonstrated it has met and continues to meet an assortment of legal, financial and organizational standards established by the NAIC. Accreditation allows for inter-state regulatory cooperation and reduces regulatory redundancies. For instance, if a company is domiciled in an accredited state, the other states in which that company is licensed and/or writes business may be assured that, because of its accredited status, the domiciliary state is adequately monitoring the financial AB 584 (Perea), Page 6 solvency of that company. Other state insurance regulators may accept the examination report prepared by another accredited insurance department in lieu of performing its own financial examination avoiding duplicative regulatory costs. Uniformity and cooperation allows insurers to operate efficiently in multiple states. It is anticipated that adoption of the ORSA model law will become a requirement for state insurance departments to retain NAIC accreditation. B. Own Risk and Solvency Assessment (ORSA). According to the NAIC, an ORSA will require insurers to analyze all reasonably foreseeable and relevant material risks (including credit, operational, and liquidity risks, as well as others) that could have an impact on an insurer's ability to meet its policyholder obligations. Insurers and insurance groups would be required to articulate their own judgment about risk management and the adequacy of their capital position. ORSA is intended to encourage management to anticipate potential capital needs and take early action if necessary. ORSA is proposed as a continuous process and as a fundamental part of the risk management system for an insurer. C. ORSA Guidance Manual and Summary Report. The ORSA Guidance Manual provides information for insurers on performing its ORSA and documenting risk policies and procedures. The manual is deliberately nonprescriptive and allows each insurer to decide how to conduct the ORSA. Results and contents of an ORSA report will vary from company to company. The ORSA Summary Report should demonstrate that each entity's capital is sufficient to cover the risks inherent in the entity's business plan by describing the insurer's (i) risk management framework; (ii) assessment of risk exposure (include detail showing the insurers' process for assessing risks in both normal and stressed environments; and (iii) group risk capital and prospective solvency demonstrating that current and future capital is sufficient to support the identified risks. If the insurer does not have the necessary capital to AB 584 (Perea), Page 7 meet its current or projected risk capital requirement, then the report should also include a description of the management actions it has taken (or will take) to remediate any capital adequacy concerns. AB 584 (Perea), Page 8 3. Arguments in Support A. CDI argues that this bill protects insurance consumers by helping to make sure insurers and insurance groups do not collapse like big banks in 2008. The bill establishes enhanced risk management requirements and provides the commissioner access to information to better understand the risks to which an insurer or insurance group is exposed. B. The Association of California Insurance Companies notes that this this bill maintains important confidentiality protections related to sensitive commercial information that insurers will be required to report. C. America's Health Insurance Plan notes that adoption of this NAIC Model Act is expected to become a requirement for NAIC accreditation. 1. Arguments in Opposition None received. 2. Suggested Amendments On page 4, line 4, prior amendments struck the "(a)", but subdivision (c) refers to "subdivision (a)." Committee staff recommends amendments that return the "(a)". 3. Prior and Related Legislation SB 1448 (Calderon), Chapter 282, Statutes of 2012, adopted revisions to the NAIC Insurance Holding Company System Regulatory Act and required the ultimate controlling person of every insurance holding company system to file an annual enterprise risk report identifying potential enterprise risks to the insurer. AB 584 (Perea), Page 9 POSITIONS Support Department of Insurance (Sponsor) America's Health Insurance Plan Association of California Insurance Companies Pacific Compensation Insurance Company Opposition None received. Consultant: Hugh Slayden, (916) 651-4773