BILL ANALYSIS Ó ----------------------------------------------------------------- |SENATE RULES COMMITTEE | AB 387| |Office of Senate Floor Analyses | | |(916) 651-1520 Fax: (916) | | |327-4478 | | ----------------------------------------------------------------- THIRD READING Bill No: AB 387 Author: McCarty (D) Amended: 8/31/15 in Senate Vote: 21 SENATE INSURANCE COMMITTEE: 8-0, 7/8/15 AYES: Roth, Gaines, Berryhill, Glazer, Hall, Hernandez, Liu, Wieckowski NO VOTE RECORDED: Mitchell SENATE APPROPRIATIONS COMMITTEE: 7-0, 8/27/15 AYES: Lara, Bates, Beall, Hill, Leyva, Mendoza, Nielsen ASSEMBLY FLOOR: 78-0, 5/14/15 (Consent) - See last page for vote SUBJECT: Insurance: life and disability policies SOURCE: California Department of Insurance DIGEST: This bill extends the period of time allowed for the Insurance Commissioner (IC) to review disability insurance policies from 30 to 120 days, requires the IC to present recommendations to a multistate regulatory support organization in regards to commissioning a report that compares California insurance standards with those developed by the Interstate Insurance Product Regulation Commission (IIPRC), and authorizes the IC to publish specified documents and information intended to streamline the review process for life and disability insurance forms. ANALYSIS: AB 387 Page 2 Existing law: 1)Establishes standards for life and disability insurance policies. 2)Requires an insurer to file a disability insurance policy with the IC prior to selling the policy. 3)Permits the insurer to sell a policy when either the policy is approved by the IC or 30 days have elapsed since the policy was filed, whichever is sooner. 4)Prohibits the IC from approving a disability policy that contains a provision that is vague or misleading or fails to meet specified standards. 5)Prohibits an insurer from selling a disapproved policy. This bill: 1)Extends the period of time for the IC to review disability insurance policies from 30 to 120 days. 2)Requires the IC to recommend to a multistate regulatory support organization that it commission a study that compares California insurance standards with those developed by the IIPRC. a) Requires that the study be commissioned and paid for by the multistate regulatory support organization and prohibits the use of General or Insurance Fund moneys for the purpose of commissioning the report. b) Requires the IC to submit a report no later than January 1, 2017, to the Senate and Assembly Insurance Committees. c) Repeals the provisions relating to the report on January 1, 2021. 1)Authorizes the IC to publish specified documents and information intended to streamline the review process for life and disability insurance forms. AB 387 Page 3 Background Disability and life insurance policies remain subject to statutory standards. Insurers must submit documents that contain the contractual provisions and other items integral to the transaction such as required disclosures (collectively referred to as "forms") to the IC before issuing policies based on those forms. For some types of insurance, the IC must affirmatively approve the forms before the insurer issues contracts based on those forms. For other types of insurance, the insurer must submit the form but may issue policies after a waiting period without affirmative approval by the IC. In either case, the insurer must stop issuing policies based on that form if the IC subsequently disapproves the form. Insurers must file forms for disability insurance. If the IC notifies the insurer that the form does not comply with required standards, the insurer must fix the form and get approval before issuing policies. If the IC affirmatively approves the form, or 30 days passes without notice, the insurer may issue policies under that form. Traditionally, the statute has been read so that the IC would have discretion to review a policy or not. The California Court of Appeal in the case Ellena v. Department of Insurance (2014) held that the IC has a mandatory duty to review each disability insurance policy. That opinion has created a substantial new workload in the California Department of Insurance's (CDI) policy review process. This bill addresses the additional workload by it extending the review period to 120 days. AB 387 also authorizes CDI to publish on its website information designed to expedite approval of policy forms, including, instructions, guidelines, checklists, and examples of previously approved language. It does not, however, alter or expand CDI's regulatory authority or obligations to comply with the Administrative Procedure Act. Additionally, this bill calls for a comparison of California standards to the uniform standards established by the IIPRC, a multi-state public entity which serves as a central point for the filing and approval of some types of insurance products, including life, disability income, and long-term care insurance. The IIPRC has 44 members representing approximately 70% of the premium nationwide, but not including California, Florida, and AB 387 Page 4 New York. Some industry groups and the Federal Insurance Office recommend that every state join the IIPRC. However, concerns have been raised that joining the IIPRC would undermine California's regulatory authority and result in with fewer consumer protections. This bill requires the IC to recommend to a multistate regulatory support organization, such as the National Association of Insurance Commissioners, that it commission an independent study to compare IIPRC and California standards. FISCAL EFFECT: Appropriation: No Fiscal Com.:YesLocal: No According to the Senate Appropriations Committee: One-time costs of about $400,000 to develop procedures for reviewing disability insurance policies and developing and publishing procedural requirements and guidelines for use by insurance companies when making filings by CDI (Insurance Fund). Unknown costs to prepare a report comparing California insurance standards to those developed by the IIPRC (private funds). This bill requires the report to be commissioned and paid for by a non-state entity and specifically prohibits the use of General Fund or Insurance Fund monies for implementation of that section of the bill (which would indicate that donated funds would also be used for any significant internal costs associated with the report incurred by CDI). SUPPORT: (Verified8/28/15) California Department of Insurance (source) Association of California Life and Health Insurance Companies OPPOSITION: (Verified8/28/15) None received AB 387 Page 5 ARGUMENTS IN SUPPORT: According to the author, this bill codifies an agreement between CDI and the disability insurance industry and clarifies what constitutes "acceptance" of a new disability insurance policy by CDI. CDI explains that providing standards to expedite the policy approval process coupled with increasing the amount of time provided to review and approve policies may help to improve the process and reduce confusion for consumers and industry. ASSEMBLY FLOOR: 78-0, 5/14/15 AYES: Achadjian, Alejo, Travis Allen, Baker, Bigelow, Bloom, Bonilla, Bonta, Brough, Brown, Burke, Calderon, Campos, Chang, Chau, Chávez, Chiu, Chu, Cooley, Cooper, Dababneh, Dahle, Daly, Dodd, Eggman, Frazier, Beth Gaines, Gallagher, Cristina Garcia, Eduardo Garcia, Gatto, Gipson, Gomez, Gonzalez, Gordon, Gray, Grove, Hadley, Harper, Roger Hernández, Holden, Irwin, Jones, Jones-Sawyer, Kim, Lackey, Levine, Lopez, Low, Maienschein, Mathis, Mayes, McCarty, Melendez, Mullin, Nazarian, Obernolte, O'Donnell, Olsen, Patterson, Perea, Quirk, Rendon, Ridley-Thomas, Rodriguez, Salas, Santiago, Steinorth, Mark Stone, Thurmond, Ting, Wagner, Waldron, Weber, Wilk, Williams, Wood, Atkins NO VOTE RECORDED: Linder, Medina Prepared by:Hugh Slayden / INS. / (916) 651-4110 8/30/15 19:42:07 **** END ****