BILL ANALYSIS                                                                                                                                                                                                    �



                                                                            



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                                       CONSENT


          Bill No:  AB 2578
          Author:   Dababneh (D)
          Amended:  6/19/14 in Senate
          Vote:     21

           
           SENATE INSURANCE COMMITTEE  :  10-0, 6/25/14
          AYES:  Monning, Corbett, Correa, DeSaulnier, Lieu, Mitchell,  
            Nielsen, Roth, Torres, Vidak
          NO VOTE RECORDED:  Gaines

           ASSEMBLY FLOOR  :  78-0, 5/15/14 (Consent) - See last page for  
            vote


           SUBJECT  :    Insurance:  accelerated death benefit

           SOURCE  :     Association of California Life and Health Insurance  
          Companies


           DIGEST  :    This bill adds 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; requires the insurer to provide the  
          policyholder a report no less than one month after payment of  
          any accelerated death benefits; and makes other technical and  
          clarifying changes.

           ANALYSIS  :    

          Existing law:
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          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 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.

          7. Existing regulations allow 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. 

          This bill:

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          1. Permits 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.

          2. Adds 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.

          3. Specifies 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.

          4. Clarifies 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. 

           Background
           
          SB 281 (Calderon, Chapter 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  

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          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, 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 exclude losses arising from aviation and  
          Section 10223 allows its exclusion from blanket life insurance  
          policies).  

           
          Prior/Related Legislation  
           
          SB 281 (Calderon, Chapter 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, Chapter 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.

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

           SUPPORT  :   (Verified  7/1/14)

          Association of California Life and Health Insurance Companies  
          (source)
          American Council of Life Insurers


           ARGUMENTS IN SUPPORT  :    According to the Association of  
          California Life and Health Insurance Companies the sponsor of  

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          this bill, this 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 Department of Insurance  
          regarding nationally recognized policy provisions, as well as  
          other technical issues we all wanted to see clarified in the new  
          law.


           ASSEMBLY FLOOR  :  78-0, 5/15/14
          AYES:  Achadjian, Alejo, Allen, Ammiano, Bigelow, Bloom,  
            Bocanegra, Bonilla, Bonta, Bradford, Brown, Buchanan, Ian  
            Calderon, Campos, Chau, Ch�vez, Chesbro, Conway, Cooley,  
            Dababneh, Dahle, Daly, Dickinson, Donnelly, Eggman, Fong, Fox,  
            Frazier, Beth Gaines, Garcia, Gatto, Gomez, Gonzalez, Gordon,  
            Gorell, Gray, Grove, Hagman, Hall, Harkey, Roger Hern�ndez,  
            Holden, Jones, Jones-Sawyer, Levine, Linder, Logue, Lowenthal,  
            Maienschein, Medina, Melendez, Mullin, Muratsuchi, Nazarian,  
            Nestande, Olsen, Pan, Patterson, Perea, John A. P�rez, V.  
            Manuel P�rez, Quirk, Quirk-Silva, Rendon, Ridley-Thomas,  
            Rodriguez, Salas, Skinner, Stone, Ting, Wagner, Waldron,  
            Weber, Wieckowski, Wilk, Williams, Yamada, Atkins
          NO VOTE RECORDED:  Mansoor, Vacancy


          AL:d  7/2/14   Senate Floor Analyses 

                           SUPPORT/OPPOSITION:  SEE ABOVE

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