BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 389
                                                                  Page  1

          CONCURRENCE IN SENATE AMENDMENTS
          AB 389 (Saldana)
          As Amended  June 15, 2009
          Majority vote
           
           ----------------------------------------------------------------- 
          |ASSEMBLY:  |77-0 |(May 21, 2009)  |SENATE: |34-0 |(July 9, 2009) |
           ----------------------------------------------------------------- 
            
           Original Committee Reference:   INS.

          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.  

           The Senate amendment  requires the actuaries who are employees of  
          the California Department of Insurance (CDI) and who review rate  
          applications regarding long-term care insurance to be members in  
          good standing of the American Society of Actuaries.
           
          EXISTING LAW  :

          1)Requires the Insurance Commissioner (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%, 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 five 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 five years of experience in  
            long-term care insurance industry pricing.
           
          AS PASSED BY THE ASSEMBLY  , this bill:

          1)Provided that for individual long-term care insurance policies  








                                                                  AB 389
                                                                  Page  2

            issued before January 1, 2003, and for which rate revisions  
            are filed on or after January 1, 2010, benefits would be  
            deemed reasonable in relation to the premium if the premium  
            rate schedules have a lifetime expected loss ratio of at least  
            60% of the premium scale in effect on December 31, 2009, plus  
            70% 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)Provided, however, that for rate revisions filed on or after  
            January 1, 2010, the IC could approve an application for a  
            rate revision based on less than a 70% loss ratio, but not  
            less than a 60% 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)Required all actuaries who are employees of the 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 five years experience in long-term  
            care insurance pricing or who meet the professional  
            requirements to issue a statement of actuarial opinion on  
            health insurance rates.

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

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

           FISCAL EFFECT  :  According to the Senate Appropriations  
          Committee, pursuant to Senate Rule 28.8, negligible state costs.

           COMMENTS  :   

          1)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,








                                                                  AB 389
                                                                  Page  3


             b)   Provide flexibility to CDI to use its own qualified  
               actuaries in addition to contracted outside professionals  
               to review long-term care rates.

          2)Prior to 2002, 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,  
            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.


           Analysis Prepared by  :    Manny Hernandez / INS. / (916) 319-2086

                                                              FN:  0001668