BILL ANALYSIS Ó SB 696 Page 1 Date of Hearing: August 19, 2015 ASSEMBLY COMMITTEE ON APPROPRIATIONS Jimmy Gomez, Chair SB 696 (Roth) - As Amended July 16, 2015 ----------------------------------------------------------------- |Policy |Insurance |Vote:|13 - 0 | |Committee: | | | | | | | | | | | | | | |-------------+-------------------------------+-----+-------------| | |Judiciary | |10 - 0 | | | | | | | | | | | |-------------+-------------------------------+-----+-------------| | | | | | | | | | | | | | | | ----------------------------------------------------------------- Urgency: No State Mandated Local Program: NoReimbursable: No SUMMARY: This bill conforms California law to a national model law by permitting insurers to use a new methodology, known as principle based reserving (PBR), for determining the amount of required reserves for certain life insurance policies. Specifically, this bill: SB 696 Page 2 1)Stipulates PBR takes effect on January 1 of the year following the first July 1 after PBR is adopted by a specified minimum number of states which must also represent 75% of nationwide premiums for life, health, and accident insurance policies. 2)Provides that PBR only applies to policies issued on or after its effective date. 3)Requires all life insurers to annually submit an actuarial analysis of the company's reserves based on the Valuation Manual (VM) adopted by the National Association of Insurance Commissioners (NAIC). Requires companies to provide an annual certification of the effectiveness of internal controls for PBR valuation and related data to the commissioner. 4)Provides that if the VM does not address a specific product or does so in a manner in conflict with California law, the insurer must comply with the minimum reserve requirements established by the Insurance Code or by rules issued by the commissioner. 5)Defines the PBR-related information that is confidential. 6)Permits the commissioner to develop regulations regarding the actuaries engaged by the commissioner and provides that the initial regulations may be adopted as emergency regulations. 7)Permits the commissioner to hire staff, as well as a subject matter expert who is exempt from civil service to lead the implementation of PBR. Permits the commissioner to set the salary for the exempt position without approval of the Department of Human Resources. SB 696 Page 3 8)Permits the commissioner to assess life insurers for the cost of implementing PBR. The initial assessment for each life insurer varies based on the dollar value of life insurance premiums collect by each insurer, and can be modified if there is a change to the VM that necessitates a change to the assessment. 9)Permits the commissioner to conduct an actuarial examination, at the insurer's expense, of a life insurer's reserves and reserve methodology. 10)Provides that the bill becomes operative on the date the commissioner certifies adequate funding has been appropriated and sufficient staff and resources required to enforce PBR are in place. 11)Makes numerous technical and clarifying changes to the Insurance Code, and specifies other substantive provisions related to PBR. FISCAL EFFECT: 1)Costs to the California Department of Insurance of $550,000 in fiscal year (FY) 2015-16, $1.9 million in FY 2016-17 and $1.4 million in FY 2017-18 and ongoing to review and approve all participating companies' detailed modeling and analysis justifying their reserve estimates (Insurance Fund). SB 696 Page 4 2)Projected revenues of $1.2 million annually, based on an assessment schedule included in the bill for a special assessment on insurers to support PBR-related regulatory activities (Insurance Fund). COMMENTS: 1)Purpose. This bill would apply PBR, a dynamic reserving method for new life insurance policies based on a model law adopted by the NAIC. PBR is intended to more precisely determine the reserve requirements according to the individual characteristics of each product. This bill is co-sponsored by CDI and the Association of California Life and Health Insurance Companies. 2)Background. Existing law requires life insurers to establish reserves for life insurance policies according to statutory formulas that incorporate uniform mortality and interest rate assumptions. It also requires reserves to be funded with high quality assets, generally low-risk bonds. PBR is a sophisticated methodology developed by the NAIC. This new method replaces the current formulaic approach to determining reserves with an approach that more closely reflects the risks of highly complex products. The improved calculation is expected to "right-size reserves," reducing reserves that are too high for some products and increasing reserves that are too low for other products. SB 696 Page 5 The NAIC attempts to standardize many aspects of insurance industry regulation, and often requires standards to be adopted by a number of states before implementation. When at least 42 states (a supermajority), representing 75% of total U.S. premium, adopt PBR as a standard, it will be implemented over approximately three years and only for new business. As of August 4, 2015, 36 states have adopted the revised model laws. 3)Comment: Special Assessment and Triggers. This bill authorizes CDI to collect an annual assessment from participating companies, based on their premium dollar volume, to offset the cost additional oversight duties required of CDI pursuant to the bill. The assessment is projected to result in slightly less ongoing revenue that CDI projects the bill will cost. Implementation of PBR in the state, according to this bill, only occurs when two trigger conditions are met before implementation. The first is the adoption of PBR by a sufficient number of states, which will trigger near-nationwide simultaneous adoption. California does not control this; however, given adoption by 29 states and pending legislation in others, it appears highly likely that over the next 2 years, a sufficient number of states will have adopted PBR rules, which would meet the first trigger condition. The second condition embedded in the bill is a provision stating the act shall become operative on the date the commissioner certifies resources are available and sufficient for carrying out the prescribed regulatory duties, prior to implementation. PBR should benefit the insurance industry and consumers from, in most cases, lessening reserve requirements. Given it is a more complicated methodology, however, CDI must have expert staffing and infrastructure in place prior to SB 696 Page 6 implementation in order to ensure success and mitigate risk. Although this appears to be a reasonable condition, staff notes it may appear resources are being appropriated prematurely, if the first condition is not yet met. But if reasonable assurances exist that the first condition will be met, it also seems reasonable to appropriate funds and begin preparation for this complex new initiative prior to the first condition being met. On the other hand, California must adopt PBR before the first trigger is met (due to its size, inaction by California precludes nationwide adoption). Thus, the language could create a legal and budgetary chicken-and-egg scenario where PBR is not operative until the commissioner certifies resources are available, but resources are not appropriated until there is an assurance PBR is operative. It is unclear what NAIC considers "adoption"-is it enough that the law conditionally adopts it? If the intent is that the assessment and the build-up of resources should not be contingent on whether PBR is operative nationwide, staff suggests this be clarified. Budget language related to an appropriation could include an additional trigger if there are concerns about the first condition being met at the time an appropriation is considered. Finally, regardless of the above suggestion, the assessment on insurers is among the provisions of the bill that is contingent on certification of adequate resources being in place. If the intent is to allow the assessment to fund the build-up of staff resources,the committee may wish to consider a technical correction to specify the assessment be allowable prior to the commissioner's certification that resources are available. Analysis Prepared by:Lisa Murawski / APPR. / (916) 319-2081 SB 696 Page 7