BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 389
                                                                  Page  1

          Date of Hearing:   April 22, 2009

                           ASSEMBLY COMMITTEE ON INSURANCE
                                   Joe Coto, Chair
                    AB 389 (Saldana) - As Amended:  April 15, 2009
           
          SUBJECT  :   Long-term care insurance

           SUMMARY  :   Modifies the "reasonable" expected loss ratio of  
          previously issued long-term care insurance policies if the  
          insurer files a rate revision after January 1, 2010    
          Specifically,  this bill  :

          1)Provides that for individual long-term care insurance policies  
            issued before January 1, 2003, and for which rate revisions  
            are filed on or after January 1, 2010, benefits shall be  
            deemed reasonable in relation to the premium if the premium  
            rate schedules have a lifetime expected loss ratio of at least  
            60 percent of the premium scale in effect on December 31,  
            2009, plus 70 percent of premium increases filed on or after  
            January 1, 2010, calculated in a manner that provides for  
            adequate reserving of the long-term care insurance risk.

          2)Provides, however, that for rate revisions filed on or after  
            January 1, 2010, the Insurance Commissioner (IC) may approve  
            an application for a rate revision based on less than a 70  
            percent loss ratio for the portion attributable to the rate  
            increase if an insurer can demonstrate that the rates are  
            necessary to protect the financial condition of the insurer,  
            including further reductions in capital and surplus.

          3)Requires all actuaries who are employees of the California  
            Department of Insurance (CDI) and who review rate applications  
            submitted by insurers selling long-term care insurance to be  
            members of the American Academy of Actuaries, with at least 5  
            years experience in long-term care insurance pricing or who  
            meet the professional requirements to issue a "prescribed  
            statement of actuarial opinion."

          4)Provides that if CDI does not have sufficient employees who  
            are actuaries meeting the requirements specified in #3, the IC  
            may contract with independent actuaries who shall be members  
            of the American Academy of Actuaries with at least 5 years of  
            experience in long-term care insurance industry pricing.









                                                                  AB 389
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          5)Requires the costs of reviews by independent actuaries under  
            contract to CDI to be charged to the insurer.

           EXISTING LAW  :

          1)Requires the IC to regulate the sale of long-term care  
            insurance.

          2)Specifies that benefits under individual long-term care  
            insurance policies issued prior to January 1, 2003, shall be  
            deemed reasonable in relation to premiums if the expected loss  
            ratio is at least 60 percent, calculated in a manner providing  
            for adequate reserving of the long-term care insurance risk.

          3)Requires all actuaries used by the IC to review rate  
            applications submitted by insurers selling long-term care  
            insurance to be members of the American Academy of Actuaries  
            with at least 5 years of experience in long-term care  
            insurance industry pricing.

          4)Requires the IC to contract with actuaries to review all rate  
            applications submitted by insurers if CDI does not have  
            actuaries on staff with at least 5 years of experience in  
            long-term care insurance industry pricing.

           FISCAL EFFECT  :   Undetermined.

           COMMENTS  :   

           1)Purpose.   According the author, the purposes of this bill are  
            to:

             a)   allow the CDI to monitor the rate increases of older  
               long-term care policies and assure that adequate premium  
               dollars are going to benefits rather than the insurance  
               company, and 
             b)   provide flexibility to CDI to use its own qualified  
               actuaries in addition to contracted outside professionals  
               to review long-term care rates.

           2)Background information.   The following information is provided  
            by the author:

            Prior to 2002, many long-term care policies were under-priced,  
            resulting in an influx of policyholders but inadequate funds  








                                                                  AB 389
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            to assure long-term solvency for the insurers.  The  
            Legislature addressed that problem in 2002 for new policies,  
            but the law leaves open the possibility that insurers could  
            impose rate increases for existing older policies that keep  
            too much of each premium dollar in the increase for the  
            insurer's expenses, rather than for benefits to policyholders.

            Current law assures that only qualified actuaries can review  
            rate applications submitted by long-term care insurers.   
            However, due to an oversight, the statute can prohibit CDI  
            actuaries who are qualified to review rates from playing any  
            role.  This adds both time and expense to approving new rates.  
             In addition, while it is normal practice to bill long-term  
            care insurers for the hours spent reviewing rates, the statute  
            is not clear about this authority, which is standard in most  
            other lines of insurance.

           3)Amendment to consider.   The bill proposes, in connection with  
            rate revisions on older policies filed after January 1, 2010,  
            to allow the IC to approve an application for a rate revision  
            based on less than 70 percent loss ratio for the portion  
            attributable to the rate increase if the insurer can  
            demonstrate that the rates are necessary to protect the  
            financial condition of the insurer.  Should a minimum standard  
            be added to the proposed new authority, so that the IC cannot  
            approve a rate revision that is less than a specified loss  
            ratio?  The minimum standard in existing law is 60 percent.

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          California Department of Insurance (Sponsor)
          Peace Officers Research Association of California (PORAC)
           
          Opposition 
           
          None received.
           
          Analysis Prepared by  :    Manny Hernandez / INS. / (916) 319-2086