BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                   AB 389|
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                                 THIRD READING


          Bill No:  AB 389
          Author:   Saldana (D)
          Amended:  6/15/09 in Senate
          Vote:     21

           
           SENATE BANKING, FINANCE, AND INS. COMM  :  11-0, 6/22/09
          AYES:  Calderon, Correa, Cox, Florez, Harman, Kehoe, Liu,  
            Lowenthal, Padilla, Runner, Wolk
          NO VOTE RECORDED:  Cogdill

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8 

           ASSEMBLY FLOOR  :  77-0, 5/21/09 (Consent) - See last page  
            for vote


           SUBJECT  :    Long-term care insurance

           SOURCE  :     Department of Insurance


           DIGEST  :    This bill modifies California long-term care  
          insurance rate oversight law to allow the California  
          Department of Insurance (CDI) to monitor the rate increases  
          of older long-term care policies and to assure that  
          adequate premium dollars are going to benefits rather than  
          the insurance company.  Furthermore, this bill would  
          provide flexibility to CDI to use its own qualified  
          actuaries in addition to contracted outside professionals  
          to review long-term care rates. 

           ANALYSIS :    Existing law:
                                                           CONTINUED





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          1.Makes the sale of long term care insurance subject to  
            Department of Insurance oversight.

          2.Benefits in relation to premiums paid is subject to  
            regulation and for individual long-term care insurance  
            policies issued prior to January 1, 2003, benefits are  
            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 Department to review  
            long term care rate applications to be members of the  
            American Academy of Actuaries with at least five years of  
            experience in long-term care insurance industry pricing.

          4.If the Department does not have sufficient actuaries on  
            staff with at least five years of experience in long-term  
            care insurance industry pricing, the Department is  
            required to contract with actuaries to review all rate  
            applications submitted by insurers.

          This bill:

          1.Provides for individual long-term care insurance policies  
            issued before new premium rate schedules are approved,  
            and for which rate revisions are filed on or after  
            January 1, 2010, benefits by the policy shall be deemed  
            reasonable by the Department of Insurance 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 that of 70  
            percent of the premium increases filed on and after  
            January 1, 2010, calculated in a manner for adequate  
            reserving.

          2.Authorizes, notwithstanding the specific rate authority  
            provided above, The Insurance Commissioner, for rate  
            revisions filed on or after January 1, 2010, is  
            authorized to approve a rate change application based on  
            less than a 70 percent loss ratio, but not less than a 60  
            percent loss ratio, for the part attributable to the rate  
            increase, if an insurer can demonstrate that the rates  







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            are necessary to protect the financial condition of the  
            insurer, including further reductions in capital and  
            surplus.

          3.Clarifies the authority of the Department to retain  
            outside actuarial consultants and makes minor technical  
            changes to other provisions of law

           Background
           
          The California Department of Insurance states:

               As the baby-boomer generation ages, the number of  
               elderly Americans and the demand for services and  
               long-term care is increasing.  As a result, long-term  
               care insurance, with more than eight million  
               customers, has a particular appeal to Californians  
               reaching retirement age. 

               Prior to 2002, too many long-term care policies were  
               under priced, resulting in an influx of policyholders  
               but inadequate funds to assure long-term solvency for  
               the insurers.  The Legislature addressed that problem  
               in 2002 for new policies in particular, 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  
               the policyholder.

               In addition, 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.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    
          Local:  No







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           SUPPORT  :   (Verified  6/29/09)

          Department of Insurance (source) 
          Peace Officers Research Association of California

           ARGUMENTS IN SUPPORT  :    According to the Department of  
          Insurance, this bill will allow it 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.  This bill provides flexibility to  
          the Department to use its own qualified actuaries in  
          addition to contracted outside professionals to review  
          long-term care rates.  Finally, it makes other  
          non-substantive technical changes the baby-boomer  
          generation ages, the number of elderly Americans and the  
          demand for services and long-term care are increasing.  As  
          a result, long-term care insurance, with more than eight  
          million customers, has a particular appeal to Californians  
          reaching retirement age.


           ASSEMBLY FLOOR  : 
          AYES:  Adams, Ammiano, Anderson, Arambula, Beall, Bill  
            Berryhill, Tom Berryhill, Blakeslee, Block, Blumenfield,  
            Brownley, Buchanan, Caballero, Charles Calderon, Carter,  
            Chesbro, Conway, Cook, Coto, Davis, De La Torre, De Leon,  
            DeVore, Duvall, Emmerson, Eng, Evans, Feuer, Fletcher,  
            Fong, Fuller, Furutani, Gaines, Galgiani, Garrick,  
            Gilmore, Hagman, Hall, Harkey, Hayashi, Hernandez, Hill,  
            Huber, Huffman, Jeffries, Jones, Knight, Krekorian, Lieu,  
            Logue, Bonnie Lowenthal, Ma, Mendoza, Miller, Monning,  
            Nestande, Niello, Nielsen, John A. Perez, V. Manuel  
            Perez, Portantino, Price, Ruskin, Salas, Silva, Skinner,  
            Smyth, Solorio, Audra Strickland, Swanson, Torlakson,  
            Torres, Torrico, Tran, Villines, Yamada, Bass
          NO VOTE RECORDED:  Fuentes, Nava, Saldana


          JA:nl  6/30/09   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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