BILL ANALYSIS                                                                                                                                                                                                    �






                             SENATE INSURANCE COMMITTEE
                          Senator William W. Monning, Chair


          AB 2578 (Dababneh)            Hearing Date:  June 25, 2014  

          As Amended: June 19, 2014
          Fiscal:             No
          Urgency:       No

          VOTES:              Asm. Floor          (05/15/14)78-0/Pass
                         Asm. Ins.      (05/07/14)     12-0/Pass
                         

           SUMMARY    Would add a condition or loss caused or substantially  
          contributed to by engaging in civil aviation, other than as a  
          fare paying passenger, to the list of allowable exclusions for  
          supplemental or accelerated death benefits in a life insurance  
          policy; would require the insurer to provide the policyholder a  
          report no less than one month after payment of any accelerated  
          death benefits; and would make other technical and clarifying  
          changes. 
          

           DIGEST
            
          Existing law
            
           1.  Provides for "supplemental benefits" to be added to life  
              insurance policies that waive the payment of premium when a  
              policyholder becomes totally disabled;
               
           2.  Defines "accelerated death benefit" as part of a life insurance  
              policy that permits the advance payment of part of the death  
              benefit based on a catastrophic or chronic illness that meets  
              specified requirements;

           3.  Permits insurers to require the opinion of a qualified health  
              care practitioner that the applicant meets the federal  
              definition of a chronically ill individual before paying the  
              accelerated death benefit;

           4.  Requires supplemental or accelerated death benefit life  
              insurance policies to specify any applicable exclusions, and  
              limits those exclusions to those specifically listed in statute,  
              including a condition or loss caused by engaging in war, illegal  




                                             AB 2578 (Dababneh), Page 2




              activity or suicide;

           5.  Allows group life insurance policies to exclude losses arising  
              from war or acts of war, military service, or relating to  
              aviation;

           6.  Requires an insurer to provide the policyholder with a report,  
              at least monthly, of any accelerated death benefits or other  
              benefits paid out during the prior month, and the amount of  
              remaining benefits that can be accelerated, as specified.

           
          Existing Regulations

            1.  Lists allowed exclusions in individual disability insurance  
              policies, including war; service in armed forces; workers'  
              compensation; participation in a riot or insurrection;  
              suicide or attempted suicide; intentionally self-inflicted  
              injury; mental or emotional disorders or functional nervous  
              disorders; pregnancy or childbirth; treatment on or to the  
              teeth or gums except when necessitated by accident;  
              hallucinatory drugs; while a passenger other than a  
              fare-paying passenger in any aircraft or while passenger in  
              a military aircraft or acting as pilot or crew in any  
              aircraft; and others, as specified. (10 CCR Section 2220.8)
           

          This bill

            2.  Would permit an insurer to require, in the case of a claim  
              for a supplemental benefit providing periodic payments  
              contingent upon a continuing catastrophic or chronic  
              condition, that the insured provide written proof of the  
              illness or condition within 90 days of the first period when  
              the insurer is liable to pay benefits;

           3.  Would add a condition or loss caused or substantially  
              contributed to by engaging in civil aviation, other than as  
              a fare paying passenger, to the list of allowable exclusions  
              for supplemental or accelerated death benefits;

           4.  Would specify that if an insured's total disability begins  
              before age 60, the insurer is required to waive all premium  
              payments due only as long as the insured continues to be  
              totally disabled;





                                             AB 2578 (Dababneh), Page 3




           5.  Would clarify that the insurer is to provide a report on  
              accelerated payments made, and other details, including any  
              changes to the policy or certificate and the amount of the  
              remaining benefits that can be accelerated, no later than  
              one month after payment of an accelerated death benefit.


           COMMENTS

          1.  Purpose of the bill   To clean up and make minor fixes to  
              several provisions of legislation passed last year that  
              allows life insurers to offer policies with accelerated  
              benefits in the case of chronic illness or total disability.  


           2.  Background  SB 281 (Ch. 345, Statutes of 2013) was enacted  
              last year to permit life insurers to sell policies that  
              allow policy holders with terminal, catastrophic or chronic  
              illness to access their policy death benefits to pay for  
              current expenses.  The amount of money provided is capped by  
              the dollar value of the policy's death benefit.  Unlike long  
              term care policies, there are no restrictions on the  
              insured's use of the benefit proceeds.
                
              Accelerated death benefits may also allow consumers to take  
              advantage of federal tax law that permits the income from  
              life insurance policies paid based on a chronic illness to  
              receive favorable tax treatment (referred to as "tax  
              qualified" benefits).  Tax qualified benefits must be paid  
              based on a determination by an appropriately licensed health  
              care practitioner that the consumer has a chronic illness  
              with an expected duration of greater than 90 days.  Tax  
              qualified benefits are also subject to limitations on the  
              amount and timing of benefit payments.

              The supplemental benefit policy must specify any applicable  
              exclusions, which are limited to only those specifically  
              enumerated in statute, including a condition of loss caused  
              by engaging in acts of war, illegal activity or suicide.   
              According to the Association of California Life and Health  
              Insurance Companies (ACLHIC), sponsor of SB 281, an  
              exclusion for civil aviation activities, other than as a  
              fare paying passenger, was inadvertently left out of the  
              bill, and is consistent with policy language approved in all  
              states, including California (California Insurance Code  
              Section 10206.5 allows group life insurance policies to  




                                             AB 2578 (Dababneh), Page 4




              exclude losses arising from aviation and Section 10223  
              allows its exclusion from blanket life insurance policies).   
              In addition, this bill clarifies that insurers should only  
              send out reports to insureds after a benefit has been paid.

           3.  Support .  According to the Association of California Life  
              and Health Insurance Companies and the American Council of  
              Life Insurers, AB 2578 addresses a few areas that were  
              unresolved or inadvertently left out of the discussions that  
              created the operative statute last year. The clarifications  
              reflect our ongoing cooperative discussions with CDI  
              regarding nationally recognized policy provisions, as well  
              as other technical issues we all wanted to see clarified in  
              the new law.

           4.  Opposition    None received.
           
          5.  Prior and Related Legislation   

              SB 281 (Calderon, Ch. 345, Statutes of 2013) authorized the  
              sale of life insurance policies with "accelerated death  
              benefits" that allow policy owners to access death benefits  
              when they experience a catastrophic or chronic illness. 

              SB 1449 (Calderon, Ch. 567, Statutes of 2012) streamlined  
              the process for approval of special features for life  
              insurance and annuity products that may provide consumers  
              with much-needed resources during difficult and trying time,  
              including a waiver of premium during periods of disability  
              and a waiver of the surrender charge if the insured suffers  
              specified serious medical conditions, disability, or  
              unemployment.

           

          POSITIONS
          
          Support
          
           Association of California Life and Health Insurance Companies
          American Council of Life Insurers

           
          Oppose
               
          None received




                                             AB 2578 (Dababneh), Page 5





          Consultant:   Erin Ryan (916) 651-4110