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To amend sections 1751.38, 3901.021, 3901.19, | 1 |
3901.22, 3901.51, 3901.62, 3903.81, 3905.012, | 2 |
3905.03, 3905.06, 3905.09, 3905.11, 3905.12, | 3 |
3905.13, 3905.14, 3905.181, 3905.24, 3905.25, | 4 |
3905.26, 3905.27, 3905.28, 3905.29, 3905.30, | 5 |
3905.31, 3905.34, 3905.36, 3905.41, 3905.47, | 6 |
3905.482, 3905.483, 3905.484, 3905.486, 3905.49, | 7 |
3905.491, 3905.492, 3905.50, 3905.52, 3905.72, | 8 |
3905.85, 3905.861, 3905.89, 3905.94, 3905.99, | 9 |
3907.19, 3909.06, 3911.011, 3923.121, 3929.30, | 10 |
3931.101, 3931.11, 3933.04, 3953.21, 3953.23, | 11 |
3957.14, 3960.03, and 3960.11; to amend, for the | 12 |
purpose of adopting new section numbers as | 13 |
indicated in parentheses, sections 3905.012 | 14 |
(3905.16), 3905.03 (3905.10), 3905.06 (3905.29), | 15 |
3905.09 (3901.78), 3905.11 (3901.781), 3905.12 | 16 |
(3901.782), 3905.13 (3901.783), 3905.14 (3901.784), | 17 |
3905.181 (3905.182), 3905.24 (3901.74), 3905.25 | 18 |
(3901.75), 3905.26 (3905.40), 3905.27 (3905.41), | 19 |
3905.28 (3901.76), 3905.29 (3901.77), 3905.41 | 20 |
(3901.86), 3905.47 (3905.49), 3905.49 (3905.14), | 21 |
3905.491 (3905.15), 3905.492 (3905.24), and 3905.52 | 22 |
(3905.401); to enact new sections 3905.01, 3905.02, | 23 |
3905.03, 3905.04, 3905.06, 3905.07, 3905.08, | 24 |
3905.09, 3905.11, 3905.12, 3905.18, 3905.181, | 25 |
3905.20, 3905.21, 3905.22, 3905.26, and 3905.28 and | 26 |
sections 3901.211, 3905.041, 3905.05, 3905.061, | 27 |
3905.071, 3905.072, 3905.081, 3905.201, 3905.211, | 28 |
and 3905.212; and to repeal sections 3905.01, | 29 |
3905.011, 3905.013, 3905.02, 3905.04, 3905.07, | 30 |
3905.08, 3905.15, 3905.16, 3905.17, 3905.18, | 31 |
3905.19, 3905.20, 3905.21, 3905.22, 3905.23, | 32 |
3905.40, 3905.48, 3905.51, and 3905.54 of the | 33 |
Revised Code to adopt the Insurance Producer's | 34 |
Licensing Act and to prohibit certain unfair trade | 35 |
practices by persons that lend money or extend | 36 |
credit. | 37 |
Section 1. That sections 1751.38, 3901.021, 3901.19, 3901.22, | 38 |
3901.51, 3901.62, 3903.81, 3905.012, 3905.03, 3905.06, 3905.09, | 39 |
3905.11, 3905.12, 3905.13, 3905.14, 3905.181, 3905.24, 3905.25, | 40 |
3905.26, 3905.27, 3905.28, 3905.29, 3905.30, 3905.31, 3905.34, | 41 |
3905.36, 3905.41, 3905.47, 3905.482, 3905.483, 3905.484, 3905.486, | 42 |
3905.49, 3905.491, 3905.492, 3905.50, 3905.52, 3905.72, 3905.85, | 43 |
3905.861, 3905.89, 3905.94, 3905.99, 3907.19, 3909.06, 3911.011, | 44 |
3923.121, 3929.30, 3931.101, 3931.11, 3933.04, 3953.21, 3953.23, | 45 |
3957.14, 3960.03, and 3960.11 be amended; sections 3905.012 | 46 |
(3905.16), 3905.03 (3905.10), 3905.06 (3905.29), 3905.09 | 47 |
(3901.78), 3905.11 (3901.781), 3905.12 (3901.782), 3905.13 | 48 |
(3901.783), 3905.14 (3901.784), 3905.181 (3905.182), 3905.24 | 49 |
(3901.74), 3905.25 (3901.75), 3905.26 (3905.40), 3905.27 | 50 |
(3905.41), 3905.28 (3901.76), 3905.29 (3901.77), 3905.41 | 51 |
(3901.86), 3905.47 (3905.49), 3905.49 (3905.14), 3905.491 | 52 |
(3905.15), 3905.492 (3905.24), and 3905.52 (3905.401) be amended | 53 |
for the purpose of adopting new section numbers as indicated in | 54 |
parentheses; and new sections 3905.01, 3905.02, 3905.03, 3905.04, | 55 |
3905.06, 3905.07, 3905.08, 3905.09, 3905.11, 3905.12, 3905.18, | 56 |
3905.181, 3905.20, 3905.21, 3905.22, 3905.26, and 3905.28 and | 57 |
sections 3901.211, 3905.041, 3905.05, 3905.061, 3905.071, | 58 |
3905.072, 3905.081, 3905.201, 3905.211, and 3905.212 of the | 59 |
Revised Code be enacted to read as follows: | 60 |
Sec. 1751.38. (A) As used in this section, "agent" means a | 61 |
person appointed by a health insuring corporation to engage in the | 62 |
solicitation or enrollment of subscribers or enrollees. | 63 |
(B) Agents of health insuring corporations shall be licensed | 64 |
65 | |
accordance with Chapter 3905. of the Revised Code. | 66 |
(C)
| 67 |
68 | |
69 | |
70 | |
apply to health insuring corporations and the agents of health | 71 |
insuring corporations in the same manner in which these sections | 72 |
apply to insurers and agents of insurers. | 73 |
Sec. 3901.021. Three-fourths of all appointment and other | 74 |
fees collected under
| 75 |
76 | |
division
(A)(6) of
section
| 77 |
shall be paid into the state treasury to the credit of the | 78 |
department of insurance operating fund, which is hereby created. | 79 |
The remaining one-fourth shall be credited to the general revenue | 80 |
fund. All operating expenses of the department of insurance | 81 |
except those expenses defined under section 3901.07 of the Revised | 82 |
Code shall be paid from the department of insurance operating | 83 |
fund. | 84 |
Sec. 3901.19. As used in sections 3901.19 to 3901.26 of the | 85 |
Revised Code: | 86 |
(A) "Person" means any individual, corporation, association, | 87 |
partnership, reciprocal exchange, inter-insurer, fraternal benefit | 88 |
society, title guarantee and trust company, health insuring | 89 |
corporation, and any other legal entity. | 90 |
(B) "Residents" includes any individual, partnership, or | 91 |
corporation. | 92 |
(C) "Maternity benefits" means those benefits calculated to | 93 |
indemnify the insured for hospital and medical expenses fairly and | 94 |
reasonably associated with a pregnancy and childbirth. | 95 |
(D) "Insurance" includes, but is not limited to, any policy | 96 |
or contract offered, issued, sold, or marketed by an insurer, | 97 |
corporation, association, organization, or entity regulated by the | 98 |
superintendent of insurance or doing business in this state. | 99 |
Nothing in any other section of the Revised Code shall be | 100 |
construed to exclude single premium deferred annuities from the | 101 |
regulation of the superintendent under sections 3901.19 to 3901.26 | 102 |
of the Revised Code. | 103 |
(E) "Affiliate" means any entity that controls, is | 104 |
controlled by, or is under common control with, another entity. | 105 |
(F) "Customer" means an individual who purchases, applies to | 106 |
purchase, or is solicited to obtain insurance products primarily | 107 |
for personal, family, or household purposes. | 108 |
(G) "Depository institution" means any bank, savings bank, | 109 |
savings and loan association, or credit union that is subject to | 110 |
regulation or supervision by the United States or any state. | 111 |
"Depository institution" does not include an insurer. | 112 |
Sec. 3901.211. (A) No person that lends money or extends | 113 |
credit shall do any of the following: | 114 |
(1) Unreasonably reject an insurance policy required in | 115 |
connection with a loan or extension of credit. For purposes of | 116 |
division (A)(1) of this section, a rejection shall be considered | 117 |
unreasonable if either of the following applies: | 118 |
(a) The rejection is based solely on the fact that the | 119 |
policy was issued or underwritten by a person not associated with | 120 |
the person making the loan or extending the credit or an affiliate | 121 |
of that person. | 122 |
(b) The rejection is not based on reasonable and uniformly | 123 |
applied standards relating to the extent of coverage required and | 124 |
the financial soundness and services of an insurer, which | 125 |
standards do not discriminate against any particular type of | 126 |
insurer or require the disapproval of a policy because it contains | 127 |
coverage in addition to that required in connection with the | 128 |
credit transaction. | 129 |
(2) Require a debtor, insurer, insurance agent, or surplus | 130 |
line broker to pay a separate charge in connection with the | 131 |
handling of insurance required in connection with a loan, | 132 |
extension of credit, or other banking product, unless the charge | 133 |
is also required when the person lending the money or extending | 134 |
the credit, or an affiliate of that person, is the licensed | 135 |
insurance agent or surplus line broker. Division (A)(2) of this | 136 |
section does not apply to the interest that may be charged on | 137 |
policy loans or advancements in accordance with the terms of the | 138 |
insurance policy. | 139 |
(3) Use any advertisement or other insurance promotional | 140 |
material that would cause a reasonable person to mistakenly | 141 |
believe either of the following: | 142 |
(a) That the federal or state government is responsible | 143 |
for the insurance sales activities of, or stands behind the credit | 144 |
of, the person making the loan or extending the credit or that | 145 |
person's affiliate; | 146 |
(b) That the federal or state government guarantees any | 147 |
returns on insurance products or is a source of payment on any | 148 |
insurance obligation of, or sold by, the person making the loan or | 149 |
extending the credit or that person's affiliate. | 150 |
(4) Pay or receive commissions or other valuable | 151 |
consideration except in accordance with Chapter 3905. of the | 152 |
Revised Code. However, nothing in division (A)(4) of this section | 153 |
prohibits the payment of compensation to a person not licensed | 154 |
under that chapter for the referral of a customer, if all of the | 155 |
following apply: | 156 |
(a) The compensation is not based on the purchase of | 157 |
insurance by the customer. | 158 |
(b) The compensation is a one-time, nominal fee of a fixed | 159 |
dollar amount for each referral. | 160 |
(c) The referral does not include a discussion of specific | 161 |
insurance policy terms and conditions. | 162 |
(5) As a condition of lending money, extending | 163 |
credit, offering any product or service equivalent to an extension | 164 |
of credit, leasing or selling property of any kind, or furnishing | 165 |
any service in connection with or fixing or varying the | 166 |
consideration for any such activity, require that the customer | 167 |
obtain insurance from a particular company, insurance agent, | 168 |
depository institution, solicitor, broker, or any other person. | 169 |
However, nothing in division (A)(5) of this section prohibits the | 170 |
person or the person's affiliate from doing either of the | 171 |
following: | 172 |
(a) Informing a customer that insurance is required in | 173 |
order to obtain a loan or credit approval, that the loan or credit | 174 |
approval is contingent upon the procurement by the customer of | 175 |
acceptable insurance, or that insurance is available from a | 176 |
particular company, insurance agent, depository institution, | 177 |
solicitor, broker, or other person; | 178 |
(b) If the person is a depository institution or an | 179 |
affiliate of a depository institution, engaging in any activity | 180 |
that does not violate section 106 of the "Bank Holding Company Act | 181 |
Amendments of 1970," 84 Stat. 1760, 12 U.S.C.A. 1971 to 1978, as | 182 |
interpreted by the board of governors of the federal reserve | 183 |
system. | 184 |
(6)(a) If an application for a loan or extension of credit | 185 |
is pending, offer, sell, or require insurance in connection with | 186 |
the loan or extension of credit, unless both of the following | 187 |
occur: | 188 |
(i) A written disclosure is given to the customer | 189 |
indicating that the customer's choice of an insurer or agent will | 190 |
not affect the credit decision or credit terms in any way, except | 191 |
that reasonable standards concerning the creditworthiness of the | 192 |
insurer and the scope of coverage chosen may apply. | 193 |
(ii) A written acknowledgment of the disclosure described | 194 |
in division (A)(6)(a)(i) of this section is obtained from the | 195 |
customer at or prior to the time of the initial purchase of the | 196 |
insurance policy. | 197 |
(b) Division (A)(6)(a) of this section does not apply to the | 198 |
offering or sale of limited line credit insurance as defined in | 199 |
section 3905.01 of the Revised Code. | 200 |
(7) If the person is a depository institution, sell an | 201 |
insurance policy in connection with a loan or extension of credit, | 202 |
unless both of the following occur: | 203 |
(a) A clear and conspicuous disclosure is given in | 204 |
writing, where practicable, to the customer prior to the sale, | 205 |
which disclosure states that the policy is not a deposit, that it | 206 |
is not insured by the federal deposit insurance corporation or any | 207 |
other federal government agency, that it is not guaranteed by the | 208 |
depository institution or, if appropriate, by its affiliate or any | 209 |
person soliciting or selling insurance on its premises, and, if | 210 |
appropriate, that it involves investment risk, including the | 211 |
potential loss of principal. | 212 |
(b) A written acknowledgment of the disclosure described in | 213 |
division (A)(7)(a) of this section is obtained from the customer | 214 |
at or prior to the time of the initial purchase of the insurance | 215 |
policy. | 216 |
(8) Fail to complete credit and insurance transactions | 217 |
through separate documents when the customer purchases insurance | 218 |
from the person making the loan or extending the credit, from an | 219 |
affiliate of that person, or from any person soliciting the | 220 |
purchase of or selling insurance on the premises of the person | 221 |
making the loan or extending the credit. Division (A)(8) of this | 222 |
section does not apply to the purchase or sale of credit or flood | 223 |
insurance. | 224 |
(9) Include the expense of insurance premiums, other than | 225 |
credit insurance premiums, title insurance premiums, or flood | 226 |
insurance premiums, in the primary credit transaction without the | 227 |
express written consent of the customer; | 228 |
(10) If the person is a depository institution, solicit or | 229 |
sell insurance unless the person's insurance sales activities are, | 230 |
to the extent practicable, physically segregated from areas in | 231 |
which retail deposits are routinely accepted. | 232 |
(B)(1) The written disclosures and acknowledgements | 233 |
required under division (A) of this section may, upon consent of | 234 |
the customer, be provided electronically. If provided | 235 |
electronically, the disclosures shall be made in a format that | 236 |
enables the customer to retain and reproduce the disclosure. | 237 |
(2) If a purchase of insurance is made by telephone, the | 238 |
disclosures and acknowledgements required under division (A) of | 239 |
this section may be given orally, if all of the following | 240 |
requirements are met: | 241 |
(a) The disclosures are mailed, or provided in electronic | 242 |
form, to the customer within three business days after the sale of | 243 |
the insurance policy. | 244 |
(b) Sufficient documentation showing that oral | 245 |
acknowledgement was given by the customer is maintained. | 246 |
(c) A reasonable effort is made to obtain written | 247 |
acknowledgment from the customer. | 248 |
(C) Except as specifically provided under division (A) of | 249 |
this section, nothing in this section prevents or restricts a | 250 |
depository institution or its affiliate from engaging directly or | 251 |
indirectly, either by itself or in conjunction with an affiliate | 252 |
or any other person, in any activity authorized under state or | 253 |
federal law. | 254 |
(D)(1) A violation of division (A) of this section is an | 255 |
unfair and deceptive act or practice in the business of insurance | 256 |
under sections 3901.19 to 3901.26 of the Revised Code. | 257 |
(2) Any person subject to this section shall, upon | 258 |
reasonable notice, make available to the superintendent all books | 259 |
and records relating to insurance transactions. | 260 |
Sec. 3901.22. (A) The superintendent of insurance may | 261 |
conduct hearings to determine whether violations of section | 262 |
3901.20 of the Revised Code have occurred. Any person aggrieved | 263 |
with respect to any act that the person believes to be an unfair | 264 |
or deceptive act or practice in the business of insurance, as | 265 |
defined in section 3901.21 or 3901.211 of the Revised Code or in | 266 |
any rule of
the superintendent
| 267 |
application to the superintendent for a hearing to determine if | 268 |
there has been a violation of section 3901.20 of the Revised Code. | 269 |
The application shall specify the grounds to be relied upon by the | 270 |
applicant. If the superintendent finds that the application is | 271 |
made in good faith, that the applicant would be so aggrieved if | 272 |
273 | |
otherwise
justify holding such a hearing,
| 274 |
shall hold a hearing to determine whether the act specified in the | 275 |
application is a violation of section 3901.20 of the Revised Code. | 276 |
Notice of any hearing held under the authority of this section, | 277 |
the conduct of the hearing, the orders issued pursuant to it, the | 278 |
review of the orders and all other matters relating to the holding | 279 |
of the hearing shall be governed by Chapter 119. of the Revised | 280 |
Code. | 281 |
(B) Upon good cause shown, the superintendent shall permit | 282 |
any person to intervene, appear, and be heard at the hearing, | 283 |
either in person or by counsel. | 284 |
(C) The superintendent shall send a copy of the order to | 285 |
those persons intervening in the hearing. | 286 |
(D) If the superintendent,by written order, finds
| 287 |
288 | |
Revised Code,
| 289 |
that person to cease and desist from engaging in the violation. In | 290 |
addition, the superintendent may impose any or all of the | 291 |
following administrative remedies upon the person: | 292 |
(1)
| 293 |
person's license to engage in the business of insurance; | 294 |
(2)
| 295 |
or insurance agency not employ the person or permit the person to | 296 |
serve as a director, consultant, or in any other capacity for such | 297 |
time as the superintendent determines would serve the public | 298 |
interest. No application for termination of such an order for an | 299 |
indefinite time shall be filed within two years of its effective | 300 |
date | 301 |
(3)
| 302 |
any
payments
received by
| 303 |
violation; | 304 |
(4) If the superintendent issues an order pursuant to | 305 |
division (D)(3) of this section,
| 306 |
307 |
If the superintendent does not issue orders pursuant to | 308 |
divisions (D)(3) and (4) of this section,
| 309 |
shall expressly state in the cease-and-desist order
| 310 |
reasons for not issuing such orders. | 311 |
(5)
| 312 |
the state treasury for credit to the department's operating fund | 313 |
an amount, not in excess of one hundred thousand dollars, equal to | 314 |
one-half of the expenses reasonably incurred by the superintendent | 315 |
to retain attorneys, actuaries, accountants, and other experts not | 316 |
otherwise a part of the superintendent's staff to assist directly | 317 |
in the conduct of any investigations and hearings conducted with | 318 |
respect to violations committed by
| 319 |
(E) If the superintendent has reasonable cause to believe | 320 |
that an order issued pursuant to division (D) of this section has | 321 |
been violated in whole or in part,
| 322 |
unless such order is stayed by a court of competent jurisdiction, | 323 |
request the attorney general to commence and prosecute any | 324 |
appropriate action or proceeding in the name of the state against | 325 |
326 |
Such action may include, but need not be limited to, the | 327 |
commencement of a class action under Civil Rule 23 on behalf of | 328 |
policyholders, subscribers, applicants for policies or contracts, | 329 |
or other insurance consumers for damages caused by or unjust | 330 |
enrichment received as a result of the violation. | 331 |
(F) In addition to any penalties imposed pursuant to this | 332 |
chapter, the court may, in an action brought pursuant to division | 333 |
(E) of this section, impose any of the following: | 334 |
(1) For each act or practice found to be in violation of | 335 |
section 3901.20 of the Revised Code, a civil penalty of not more | 336 |
than three thousand five hundred dollars for each violation but | 337 |
not to exceed an aggregate penalty of thirty-five thousand dollars | 338 |
in any six-month period, provided that a series of similar acts or | 339 |
practices prohibited by section 3901.20 of the Revised Code and | 340 |
committed by the same person but not in separate insurance sales | 341 |
transactions shall be considered a single violation; | 342 |
(2) For each violation of a cease and desist order issued by | 343 |
the superintendent pursuant to this section, a civil penalty of | 344 |
not more than ten thousand dollars; | 345 |
(3) In addition to any other appropriate relief, the court | 346 |
may order any or all of the remedies specified in division (D) of | 347 |
this section. | 348 |
(G) The superintendent, under a settlement agreement to | 349 |
which a person has consented in writing for the purpose of | 350 |
assuring the person's correction of a series of offenses and | 351 |
future compliance with the laws of this state relating to the | 352 |
business of insurance, may impose a single penalty in whatever | 353 |
amount the parties determine to be justified under the | 354 |
circumstances. | 355 |
(H) A court of common pleas, in a civil action commenced by | 356 |
the attorney general on behalf of the superintendent under Civil | 357 |
Rule 65, may grant a temporary restraining order, preliminary | 358 |
injunction, or permanent injunction to restrain or prevent a | 359 |
violation or threatened violation of any provision of section | 360 |
3901.20 of the Revised Code, if the court finds that the defendant | 361 |
has violated, is violating, or is threatening to violate such | 362 |
provision, that immediate and irreparable injury, loss, or damage | 363 |
will result if such relief is not granted, and that no adequate | 364 |
remedy at law exists to prevent such irreparable injury, loss, or | 365 |
damage. | 366 |
(I) If the superintendent's position in initiating a matter | 367 |
in controversy pursuant to this section and section 3901.221 of | 368 |
the Revised Code was not substantially justified, upon motion of | 369 |
the person who prevailed in the hearing or in the appropriate | 370 |
court, if an adjudication order was appealed or a civil action was | 371 |
commenced, the superintendent or the court shall order the | 372 |
department of insurance to pay such person an amount, not in | 373 |
excess of one hundred thousand dollars, equal to one-half of the | 374 |
expenses reasonably incurred by
| 375 |
the related proceedings. An award pursuant to this division may | 376 |
be reduced or denied if special circumstances make an award unjust | 377 |
or if
| 378 |
unreasonably protracted the final resolution of the matter in | 379 |
controversy. If the department does not pay such award or no such | 380 |
funds are available, the award shall be treated as if it were a | 381 |
judgment under Chapter 2743. of the Revised Code and be payable in | 382 |
accordance with the procedures specified in section 2743.19 of the | 383 |
Revised Code, except that interest shall not be paid in relation | 384 |
to the award. | 385 |
Sec. 3901.51. As used in sections 3901.51 to 3901.55 of the | 386 |
Revised Code: | 387 |
(A) "Clearing corporation" has the same meaning as in | 388 |
section 1308.01 of the Revised Code, except that with respect to | 389 |
securities issued by institutions organized or existing under the | 390 |
laws of any foreign country or securities used to meet the deposit | 391 |
requirements pursuant to the laws of a foreign country as a | 392 |
condition of doing business in that country, "clearing | 393 |
corporation" includes a corporation that is organized or existing | 394 |
under the laws of any foreign country and is legally qualified | 395 |
under those laws to effect transactions in securities by | 396 |
computerized book-entry. | 397 |
(B) "Direct participant" means a bank, trust company, or | 398 |
other entity that maintains an account in its name in a clearing | 399 |
corporation and through which an insurance company participates in | 400 |
a clearing corporation. | 401 |
(C) "Federal reserve book-entry system" means the | 402 |
computerized systems sponsored by the United States department of | 403 |
the treasury and agencies and instrumentalities of the United | 404 |
States for holding and transferring securities of the United | 405 |
States government and agencies and instrumentalities in federal | 406 |
reserve banks through banks that are members of the federal | 407 |
reserve system or that otherwise have access to these computerized | 408 |
systems. | 409 |
(D) "Member bank" means a national or state bank or a trust | 410 |
company that is a member of the federal reserve system and through | 411 |
which an insurance company participates in the federal reserve | 412 |
book-entry system. | 413 |
(E) "Provisions of the insurance laws of this state" means | 414 |
provisions of Title XXXIX of the Revised Code related to the | 415 |
deposit of securities for the benefit and security of | 416 |
policyholders, and includes, but is not limited to, sections | 417 |
3901.18,
3901.74, 3901.75, 3901.86, 3903.73,
| 418 |
419 | |
3919.13, 3919.36, 3919.37, 3919.41, 3925.07, 3927.02, 3927.06, | 420 |
3929.01, 3929.07, 3929.08, 3929.09, 3929.10, 3929.11, 3941.30, | 421 |
3941.31, 3941.32, 3941.33, 3941.34, 3941.42, 3953.06, 3953.11, and | 422 |
3957.03 of the Revised Code. | 423 |
(F) "Securities" has the same meaning as in section 1308.01 | 424 |
of the Revised Code. | 425 |
Sec. 3901.62. (A) Except as provided in sections 3901.63 | 426 |
and 3901.64 of the Revised Code, a domestic ceding insurer that is | 427 |
authorized to do any insurance business in this state may take | 428 |
credit for any reinsurance ceded as either an asset or a reduction | 429 |
of liability only if one of the following applies: | 430 |
(1) The reinsurance is ceded to an assuming insurer that is | 431 |
authorized to do any insurance or reinsurance business in this | 432 |
state. | 433 |
(2) The reinsurance is ceded to an assuming insurer that is | 434 |
not authorized to do any insurance or reinsurance business in this | 435 |
state, provided the reinsurance is ceded to a reinsurance pool or | 436 |
other risk-sharing entity in which participation is required by | 437 |
law, rule, or regulation of the jurisdiction in which the pool or | 438 |
entity is located. | 439 |
(3) The reinsurance is ceded to an assuming insurer that | 440 |
maintains a trust fund in a qualified United States financial | 441 |
institution, as defined in division (B)(2) of section 3901.63 of | 442 |
the Revised Code, for the payment of the valid claims of its | 443 |
United States policyholders and ceding insurers, and their assigns | 444 |
and successors in interest. | 445 |
(B) A trust maintained by an assuming insurer under division | 446 |
(A)(3) of this section shall meet the following requirements: | 447 |
(1) In the case of a single assuming insurer, the trust | 448 |
shall consist of a trusteed account representing the assuming | 449 |
insurer's liabilities attributable to business underwritten in the | 450 |
United States. A trusteed surplus of not less than twenty million | 451 |
dollars shall be maintained by the assuming insurer. | 452 |
(2) In the case of a group of assuming insurers, including | 453 |
incorporated and individual unincorporated underwriters, the trust | 454 |
shall consist of a trusteed account representing the group's | 455 |
liabilities attributable to business written in the United States. | 456 |
A trusteed surplus shall be maintained by the group, of which | 457 |
surplus one hundred million dollars shall be held jointly for the | 458 |
benefit of the United States ceding insurers of any member of the | 459 |
group. The following requirements apply to the group of assuming | 460 |
insurers: | 461 |
(a) The incorporated members of the group shall not engage | 462 |
in any business other than underwriting as a member of the group, | 463 |
and shall be subject to the same level of solvency regulation and | 464 |
control by the group's domiciliary regulator as are the | 465 |
unincorporated members. | 466 |
(b) The group shall make available to the superintendent of | 467 |
insurance an annual certification of the solvency of each | 468 |
underwriter in the group. The certification shall be provided by | 469 |
the group's domiciliary regulator and its independent public | 470 |
accountants. | 471 |
(3) In the case of a group of incorporated insurers under | 472 |
common administration with aggregate policyholders' surplus of ten | 473 |
billion dollars that has continuously transacted an insurance | 474 |
business outside the United States for at least three years | 475 |
immediately prior to assuming reinsurance, the trust shall be in | 476 |
an amount equal to the group's several liabilities attributable to | 477 |
business ceded by United States ceding insurers to any member of | 478 |
the group pursuant to reinsurance contracts issued in the name of | 479 |
the group. A joint trusteed surplus shall be maintained by the | 480 |
group, of which surplus one hundred million dollars shall be held | 481 |
jointly for the benefit of United States ceding insurers of any | 482 |
member of the group as additional security for any such | 483 |
liabilities. The following requirements apply to the group of | 484 |
incorporated insurers: | 485 |
(a) The group shall comply with all filing requirements | 486 |
contained in this section. | 487 |
(b) The books and records of the group shall be subject to | 488 |
examination by the superintendent in the same manner as the books | 489 |
and records of insurers are subject to examination by the | 490 |
superintendent in accordance with section 3901.07 of the Revised | 491 |
Code. The group shall bear the expenses of these examinations in | 492 |
the manner provided by that section. | 493 |
(c) Each member of the group shall make available to the | 494 |
superintendent an annual certification of the member's solvency by | 495 |
the member's domiciliary regulator and an independent public | 496 |
accountant. | 497 |
(C) A trust maintained by an assuming insurer under division | 498 |
(A)(3) of this section shall remain in effect for as long as the | 499 |
assuming insurer has outstanding obligations due under the | 500 |
reinsurance agreements subject to the trust. The trust shall be | 501 |
in a form approved by the superintendent and shall include the | 502 |
following: | 503 |
(1) The trust instrument shall provide that contested claims | 504 |
are valid and enforceable upon the final order of any court of | 505 |
competent jurisdiction in the United States. | 506 |
(2) The trust shall vest legal title to its assets in the | 507 |
trustees of the trust for its United States policyholders and | 508 |
ceding insurers, and their assigns and successors in interest. | 509 |
(3) The trust, and the assuming insurer maintaining the | 510 |
trust, shall allow the superintendent to conduct examinations in | 511 |
the same manner as the superintendent conducts examinations of | 512 |
insurers under section 3901.07 of the Revised Code. | 513 |
(D) No later than the last day of February of each year, the | 514 |
trustees of a trust maintained by an assuming insurer under | 515 |
division (A)(3) of this section shall provide the superintendent | 516 |
with a written report setting forth the balance of the trust and | 517 |
listing the trust's investments as of the preceding thirty-first | 518 |
day of December. The trustees shall certify the date of the | 519 |
termination of the trust, if termination of the trust is planned, | 520 |
or shall certify that the trust does not expire prior to the | 521 |
following thirty-first day of December. | 522 |
(E) To enable the superintendent to determine the | 523 |
sufficiency of a trust maintained by an assuming insurer under | 524 |
division (A)(3) of this section, the assuming insurer shall | 525 |
annually report information on the trust to the superintendent | 526 |
that is substantially the same as that information licensed | 527 |
insurers are required to report under sections 3907.19, 3909.06, | 528 |
and 3929.30 of the Revised Code on forms adopted under section | 529 |
530 |
(F) An assuming insurer shall file a written instrument | 531 |
appointing an attorney as its agent in this state upon whom all | 532 |
service of process may be served. Service of process upon this | 533 |
agent shall bring the assuming insurer within the jurisdiction of | 534 |
the courts of this state as if served upon an agent pursuant to | 535 |
section 3927.03 of the Revised Code. | 536 |
| 537 |
business in this state decides to discontinue its business, the | 538 |
superintendent of insurance upon the
application of
| 539 |
company or association shall give notice, at its expense, of such | 540 |
intention at least once a week for six weeks in a newspaper | 541 |
published
and of general circulation in the county in which
| 542 |
the company or its general agency is located. After such | 543 |
publication, the superintendent shall deliver
to
| 544 |
or association its securities held by
| 545 |
546 | |
and papers, and on an examination made by
| 547 |
superintendent or by some competent, disinterested person | 548 |
appointed by
| 549 |
president or principal officer and the secretary or actuary of | 550 |
551 | |
due upon any contract or agreement made with any citizen or | 552 |
resident of the United States are paid and extinguished. The | 553 |
superintendent may deliver to
| 554 |
its assigns any portion of
| 555 |
that an equal proportion of the debts and liabilities due or to | 556 |
become due upon any such contract or agreement have been | 557 |
satisfied, if the amount of
securities retained by
| 558 |
superintendent is not less than twice the amount of the remaining | 559 |
liabilities. | 560 |
| 561 |
corporation other than life, which company or corporation has made | 562 |
a deposit with the superintendent of insurance, intends to | 563 |
discontinue its business in this state, the superintendent, upon | 564 |
the
application of
| 565 |
notice at its expense of such intention at least once a week for | 566 |
six weeks in three newspapers of general circulation in the state. | 567 |
After such publication, the superintendent shall deliver to | 568 |
569 | |
superintendent, if
| 570 |
affidavits of the principal officers of the company, and on an | 571 |
examination made by
| 572 |
disinterested person appointed by
| 573 |
superintendent deems it necessary, that all liabilities and | 574 |
obligations which
| 575 |
been paid and extinguished. The superintendent may deliver to | 576 |
577 | |
of
| 578 |
of
| 579 |
the amount of securities
retained by
| 580 |
less than twice the amount of the remaining liabilities and | 581 |
obligations. | 582 |
| 583 |
means the stocks, bonds, debentures, and other assets subject from | 584 |
time to time to valuation by the committee on valuation of | 585 |
securities of the national association of insurance commissioners. | 586 |
For the purpose of enabling the superintendent of insurance | 587 |
to secure the analyses, reports, and information developed by the | 588 |
committee on valuation of securities of the national association | 589 |
of insurance commissioners and to pay for such information by | 590 |
cooperating with other states in defraying the expenses of
| 591 |
the committee in the investigation, analysis, and valuation of | 592 |
securities and the determination of amortizability of bonds owned | 593 |
by life insurance companies for the purpose of furnishing to the | 594 |
several states on a uniform basis the information needed in the | 595 |
supervision of insurance companies licensed to transact business | 596 |
in the several states, there is hereby created in the state | 597 |
treasury the security valuation expense fund. | 598 |
The superintendent may collect and disburse, in cooperation | 599 |
with supervisory officials of other states, the moneys obtained | 600 |
through assessments as provided in this section. All moneys which | 601 |
are paid into the fund shall be used only for the purpose of this | 602 |
section. | 603 |
The superintendent may contract with the committee to make | 604 |
available to the department of insurance the analyses, reports, | 605 |
and information developed by the committee and, after taking into | 606 |
consideration similar payments
| 607 |
states,
may make payment to
| 608 |
authorized by this section, on account of the expenses of the | 609 |
committee, from the fund. | 610 |
The superintendent shall periodically obtain from the | 611 |
committee a verified budget estimate of the receipts and of the | 612 |
expenses to be incurred by the committee for a stated period, not | 613 |
exceeding one year, with appropriate explanations of the estimates | 614 |
therein contained. | 615 |
If the superintendent is satisfied as to the reasonableness | 616 |
of
| 617 |
the portion of the
moneys required by
| 618 |
be assessed as
provided in this section, by deducting from
| 619 |
the budget estimate or from the sum of two hundred fifty thousand | 620 |
dollars, whichever is less, any amounts received or receivable by | 621 |
the committee from states with laws that do not substantially | 622 |
conform to the method of assessment provided in this section and | 623 |
applying to the
remainder the proportion
| 624 |
investments in securities of domestic life insurers bear to the | 625 |
total investments in securities of life insurers domiciled in this | 626 |
and other states with laws that authorize and require assessments | 627 |
on substantially the same basis as provided in this section. The | 628 |
superintendent shall thereafter, as soon as convenient, by notice | 629 |
stating the method of computation thereof, assess the amount to be | 630 |
paid on account of such expenses, pro rata upon all domestic life | 631 |
insurers in the proportion
| 632 |
securities of each domestic life insurer bear to the total | 633 |
investments in securities of all domestic life insurers. The | 634 |
total investments in securities of any life insurer for purposes | 635 |
of this section shall be the total admitted value of the | 636 |
securities reported as such in its annual statement last filed | 637 |
prior to such assessment with the department or with the | 638 |
supervisory officials of its state of domicile. Upon receipt of | 639 |
640 | |
thirty days thereafter pay the amount of the assessment to the | 641 |
superintendent, who shall deposit the amount in the state treasury | 642 |
to the credit of the fund. The superintendent shall make such | 643 |
disbursements from the fund in amounts and at the times determined | 644 |
by the superintendent under
| 645 |
the committee. | 646 |
The superintendent shall require annually, and at such other | 647 |
times as
| 648 |
advisable, a duly certified audit of receipts and disbursements | 649 |
and statement of assets and liabilities, showing the details of | 650 |
the financial operations of the committee. | 651 |
| 652 |
shall adopt the forms, instructions, and manuals prescribed by the | 653 |
national association of insurance commissioners, for the | 654 |
preparation and filing of statutory financial statements and other | 655 |
financial information. However, the superintendent may by rule | 656 |
adopt modifications to
| 657 |
and manuals as
| 658 |
(B) For circumstances not addressed by the forms, | 659 |
instructions, and manuals prescribed by the national association | 660 |
of insurance commissioners, the superintendent may determine | 661 |
accounting practices and methods for purposes of preparing | 662 |
statutory financial statements and other financial information. | 663 |
(C) The superintendent shall furnish each domestic insurance | 664 |
company a printed copy of the forms for the filing of statutory | 665 |
financial statements and other financial information required to | 666 |
be made by it. | 667 |
| 668 |
statements, or as soon thereafter as practicable, the | 669 |
superintendent of insurance shall issue to each insurance company | 670 |
or association authorized to do business in this state a | 671 |
certificate that it has complied with the laws of this state. Such | 672 |
certificate of compliance shall also contain a statement of the | 673 |
amounts of the paid-up capital stock, assets, liabilities, income, | 674 |
and expenditures of the company or association for the preceding | 675 |
year, as shown by its annual statement for that year. The | 676 |
superintendent shall issue to each newly-applying company or | 677 |
association
| 678 |
authorized to do business in this state, a certificate that it has | 679 |
complied with the laws of this state, which certificate shall | 680 |
contain a statement of the amounts of its paid-up capital stock, | 681 |
assets, liabilities, income, and expenditures as shown by a | 682 |
financial statement submitted by it, under the oath of its | 683 |
officers. | 684 |
| 685 |
making its report to the superintendent of insurance as required | 686 |
by section
| 687 |
company and association not incorporated under the laws of this | 688 |
state shall publish its certificate of compliance in every county | 689 |
where it has an agency, in a newspaper published and of general | 690 |
circulation in such county. | 691 |
No newspaper shall be deemed a newspaper of general | 692 |
circulation unless it has been established for at least one year, | 693 |
is printed in the English language, and has a circulation in the | 694 |
county in which it is published as follows: | 695 |
(A) In a county having at the last preceding federal census | 696 |
a population of not more than thirty thousand, a circulation of | 697 |
six hundred; | 698 |
(B) In a county having a population of over thirty thousand | 699 |
and not more than fifty thousand, a circulation of eight hundred; | 700 |
(C) In a county having a population of over fifty thousand | 701 |
and not more than one hundred thousand, a circulation of twelve | 702 |
hundred; | 703 |
(D) In a county having a population of over one hundred | 704 |
thousand and not more than one hundred fifty thousand, a | 705 |
circulation of two thousand; | 706 |
(E) In counties having a population of more than one hundred | 707 |
fifty thousand, a circulation of three thousand. | 708 |
Before publication of any certificate of compliance, the | 709 |
manager, editor, or proprietor of a newspaper shall certify under | 710 |
oath on a prepared blank, furnished
| 711 |
proprietor on application by the
superintendent
| 712 |
information prescribed in this section for determining whether it | 713 |
is a newspaper of general circulation, and if such affidavit shows | 714 |
that the newspaper is one of general circulation, the | 715 |
superintendent shall deliver to
| 716 |
proprietor a certificate that such newspaper is one of general | 717 |
circulation. | 718 |
| 719 |
of each year, each insurance company and association doing | 720 |
business in this state, which company or association is not | 721 |
incorporated under the laws thereof, shall file with the | 722 |
superintendent of insurance, upon blanks prepared and upon | 723 |
application furnished by
| 724 |
writing under oath of its president and secretary showing the | 725 |
counties in which publication of its certificate of authority to | 726 |
do business was made, the counties in which it had agencies at the | 727 |
time of such publication, and the names of the newspapers in which | 728 |
the publication was made, with a copy of the certificate so | 729 |
published attached thereto. | 730 |
| 731 |
association mentioned in section
| 732 |
Code fails to comply with the laws relating to the publication of | 733 |
the certificate mentioned in
| 734 |
of insurance shall suspend its authority to do business in any | 735 |
county
| 736 |
until
| 737 |
the publication has not been made in any county through mistake or | 738 |
oversight, such authority shall not be suspended in the county if | 739 |
740 | |
superintendent. | 741 |
| 742 |
compliance in a newspaper shall not be approved by the | 743 |
superintendent of insurance unless prior to
| 744 |
745 | |
published and of general circulation in the county, but if | 746 |
publication has been made in any
such newspaper without
| 747 |
certification and a report filed as required by
section
| 748 |
3901.782 of the Revised Code, and
| 749 |
superintendent is procured within the time
| 750 |
designates, publication in
| 751 |
The superintendent shall keep a book in which shall be recorded | 752 |
the names of the newspapers so certified as newspapers of general | 753 |
circulation, which book shall be open to inspection, and every | 754 |
such certificate of circulation shall remain in force until | 755 |
revoked, provided that the superintendent may demand further | 756 |
certificates as to the circulation of any such newspaper. | 757 |
| 758 |
district, territory, or nation impose any taxes, fines, penalties, | 759 |
license fees, deposits of money, securities, or other obligations | 760 |
or prohibitions on insurance companies of this state doing | 761 |
business in
| 762 |
upon their agents therein, the same obligations and prohibitions | 763 |
shall
be imposed upon insurance companies of
| 764 |
district, or nation doing business in this state and upon their | 765 |
agents. | 766 |
When the laws of any other state, district, territory, or | 767 |
nation impose a requirement for countersignature and payment of a | 768 |
fee or commission upon agents of this state for placing any | 769 |
coverage in that state, district, territory, or nation, then the | 770 |
same requirements of countersignature and fee or commission shall | 771 |
be imposed upon agents of that state, district, territory, or | 772 |
nation for placing any coverage in this state. | 773 |
(B) Beginning on
| 774 |
1, 1993, twenty per cent of the amount that is collected under | 775 |
division (A) of this section from foreign insurance companies that | 776 |
sell fire insurance to residents of this state shall be paid into | 777 |
the state fire marshal's fund created under section 3737.71 of the | 778 |
Revised Code. The director of commerce, with the approval of the | 779 |
director of budget and management, may increase the percentage | 780 |
described in this division so that it will yield an amount that | 781 |
the director of commerce determines necessary to assist in the | 782 |
maintenance and administration of the office of the fire marshal | 783 |
and in defraying the costs of operating the Ohio fire academy | 784 |
established by section 3737.33 of the Revised Code. | 785 |
Sec. 3903.81. As used in sections 3903.81 to 3903.93 of the | 786 |
Revised Code: | 787 |
(A) "Adjusted RBC report" means an RBC report that has been | 788 |
adjusted by the superintendent of insurance in accordance with | 789 |
division (C) of section 3903.82 of the Revised Code. | 790 |
(B) "Authorized control level RBC" means the number | 791 |
determined under the risk-based capital formula in accordance with | 792 |
the RBC instructions. | 793 |
(C) "Company action level RBC" means the product of 2.0 and | 794 |
an insurer's authorized control level RBC. | 795 |
(D) "Corrective order" means an order issued by the | 796 |
superintendent of insurance in accordance with division (B)(3) of | 797 |
section 3903.84 of the Revised Code specifying corrective actions | 798 |
that the superintendent has determined are required. | 799 |
(E) "Domestic insurer" means any insurance company organized | 800 |
under Chapter 3907. or 3925. of the Revised Code. | 801 |
(F) "Foreign insurer" means any insurance company licensed | 802 |
under section 3909.01 or 3927.01 of the Revised Code. | 803 |
(G) "Life or health insurer" means any insurance company | 804 |
licensed under section 3907.08 or 3909.01 of the Revised Code, or | 805 |
a company possessing a certificate of authority pursuant to | 806 |
section 3929.01 of the Revised Code that writes only accident and | 807 |
health insurance. | 808 |
(H) "Mandatory control level RBC" means the product of .70 | 809 |
and an insurer's authorized control level RBC. | 810 |
(I) "NAIC" means the national association of insurance | 811 |
commissioners. | 812 |
(J) "Negative trend" means a negative trend over a period of | 813 |
time for a life or health insurer as determined in accordance with | 814 |
the trend test calculation included in the RBC instructions. | 815 |
(K) "Property and casualty insurer" means any insurance | 816 |
company that has a certificate of authority pursuant to section | 817 |
3929.01 of the Revised Code. "Property and casualty insurer" does | 818 |
not include monoline mortgage guarantee insurers, financial | 819 |
guarantee insurers, or title insurers. | 820 |
(L) "RBC" means risk based capital. | 821 |
(M) "RBC | 822 |
risk-based capital instructions, as adopted by the NAIC and as | 823 |
amended by the NAIC from time to time in accordance with the | 824 |
procedures adopted by the NAIC. However, no NAIC amendment to the | 825 |
RBC instructions shall become effective until the superintendent | 826 |
has adopted by rule the RBC instructions as so amended. "RBC | 827 |
instructions" shall also include any modifications adopted by the | 828 |
superintendent, as the superintendent considers to be necessary. | 829 |
(N) "RBC level" means an insurer's company action level RBC, | 830 |
regulatory action level RBC, authorized control level RBC, or | 831 |
mandatory control level RBC. | 832 |
(O) "RBC plan" means a comprehensive financial plan | 833 |
containing the elements specified in division (B) of section | 834 |
3903.83 of the Revised Code. | 835 |
(P) "Revised RBC plan" means an RBC plan rejected by the | 836 |
superintendent of insurance and then revised by an insurer with or | 837 |
without incorporating the superintendent of insurance's | 838 |
recommendation. | 839 |
(Q) "RBC report" means the report required by section | 840 |
3903.82 of the Revised Code. | 841 |
(R) "Regulatory action level RBC" means the product of 1.5 | 842 |
and an insurer's authorized control level RBC. | 843 |
(S) "Total adjusted capital" means the sum of both of the | 844 |
following: | 845 |
(1) An insurer's statutory capital and surplus as determined | 846 |
in accordance with the statutory accounting applicable to the | 847 |
annual statements prepared on a form adopted
under section
| 848 |
3901.77 of the Revised Code, as required to be filed by sections | 849 |
3907.19, 3909.06, and 3929.30 of the Revised Code; | 850 |
(2) Such other items, if any, as the RBC instructions may | 851 |
provide. | 852 |
Sec. 3905.01. As used in this chapter: | 853 |
(A) "Business entity" means a corporation, association, | 854 |
partnership, limited liability company, limited liability | 855 |
partnership, or other legal entity. | 856 |
(B) "Home state" means the state or territory of the United | 857 |
States, including the District of Columbia, in which an insurance | 858 |
agent maintains the insurance agent's principal place of residence | 859 |
or principal place of business and is licensed to act as an | 860 |
insurance agent. | 861 |
(C) "Insurance" means any of the lines of authority set | 862 |
forth in Chapter 1739., 1751., or 1761. or Title XXXIX of the | 863 |
Revised Code, or as additionally determined by the superintendent | 864 |
of insurance. | 865 |
(D) "Insurance agent" or "agent" means any person that, in | 866 |
order to sell, solicit, or negotiate insurance, is required to be | 867 |
licensed under the laws of this state, including limited lines | 868 |
insurance agents and surplus line brokers. | 869 |
(E) "Insurer" has the same meaning as in section 3901.32 of | 870 |
the Revised Code. | 871 |
(F) "License" means the authority issued by the | 872 |
superintendent to a person to act as an insurance agent for the | 873 |
lines of authority specified, but that does not create any actual, | 874 |
apparent, or inherent authority in the person to represent or | 875 |
commit an insurer. | 876 |
(G) "Limited line credit insurance" means credit life, | 877 |
credit disability, credit property, credit unemployment, | 878 |
involuntary unemployment, mortgage life, mortgage guaranty, | 879 |
mortgage disability, guaranteed automobile protection insurance, | 880 |
or any other form of insurance offered in connection with an | 881 |
extension of credit that is limited to partially or wholly | 882 |
extinguishing that credit obligation and that is designated by the | 883 |
superintendent as limited line credit insurance. | 884 |
(H) "Limited line credit insurance agent" means a person | 885 |
that sells, solicits, or negotiates one or more forms of limited | 886 |
line credit insurance to individuals through a master, corporate, | 887 |
group, or individual policy. | 888 |
(I) "Limited lines insurance" means those lines of | 889 |
authority set forth in division (B)(7) to (10) of section 3905.06 | 890 |
of the Revised Code or in rules adopted by the superintendent, or | 891 |
any lines of authority the superintendent considers necessary to | 892 |
recognize for purposes of complying with division (B) of section | 893 |
3905.072 of the Revised Code. | 894 |
(J) "Limited lines insurance agent" means a person | 895 |
authorized by the superintendent to sell, solicit, or negotiate | 896 |
limited lines insurance. | 897 |
(K) "NAIC" means the national association of insurance | 898 |
commissioners. | 899 |
(L) "Negotiate" means to confer directly with, or offer | 900 |
advice directly to, a purchaser or prospective purchaser of a | 901 |
particular contract of insurance with respect to the substantive | 902 |
benefits, terms, or conditions of the contract, provided the | 903 |
person that is conferring or offering advice either sells | 904 |
insurance or obtains insurance from insurers for purchasers. | 905 |
(M) "Person" means an individual or a business entity. | 906 |
(N) "Sell" means to exchange a contract of insurance by any | 907 |
means, for money or its equivalent, on behalf of an insurer. | 908 |
(O) "Solicit" means to attempt to sell insurance, or to ask | 909 |
or urge a person to apply for a particular kind of insurance from | 910 |
a particular insurer. | 911 |
(P) "Superintendent" or "superintendent of insurance" means | 912 |
the superintendent of insurance of this state. | 913 |
(Q) "Terminate" means to cancel the relationship between an | 914 |
insurance agent and the insurer or to terminate an insurance | 915 |
agent's authority to transact insurance. | 916 |
(R) "Uniform application" means the NAIC uniform application | 917 |
for resident and nonresident agent licensing, as amended by the | 918 |
NAIC from time to time. | 919 |
(S) "Uniform business entity application" means the NAIC | 920 |
uniform business entity application for resident and nonresident | 921 |
business entities, as amended by the NAIC from time to time. | 922 |
Sec. 3905.02. No person shall sell, solicit, or negotiate | 923 |
insurance in this state unless the person is licensed for that | 924 |
line of authority in accordance with this chapter. | 925 |
Sec. 3905.03. (A) Section 3905.02 of the Revised Code does | 926 |
not apply to any of the following: | 927 |
(1) Any insurer. For purposes of this division, "insurer" | 928 |
does not include an insurer's officers, directors, employees, | 929 |
subsidiaries, or affiliates. | 930 |
(2) Any officer, director, or employee of an insurer or of | 931 |
an insurance agent, provided the officer, director, or employee | 932 |
does not receive any commission on policies written or sold to | 933 |
insure risks residing, located, or to be performed in this state | 934 |
and any of the following applies: | 935 |
(a) The activities of the officer, director, or employee | 936 |
are executive, administrative, managerial, clerical, or any | 937 |
combination thereof, and are only indirectly related to the sale, | 938 |
solicitation, or negotiation of insurance. | 939 |
(b) The function of the officer, director, or employee | 940 |
relates to underwriting, loss control, inspection, or the | 941 |
processing, adjusting, investigation, or settling of a claim on a | 942 |
contract of insurance. | 943 |
(c) The officer, director, or employee is acting in the | 944 |
capacity of a special agent or agency supervisor, provided the | 945 |
activities of the officer, director, or employee are limited to | 946 |
providing technical advice and assistance to licensed insurance | 947 |
agents and do not include the sale, solicitation, or negotiation | 948 |
of insurance. | 949 |
(3) Any person who secures and furnishes information for | 950 |
purposes of group life insurance, group property and casualty | 951 |
insurance, group annuities, or group or blanket accident and | 952 |
health insurance, or for purposes of enrolling individuals under | 953 |
plans, issuing certificates under plans, or otherwise assisting in | 954 |
administering plans, or who performs administrative services | 955 |
related to mass marketed property and casualty insurance, provided | 956 |
that no commission is paid to the person for any of the services | 957 |
described in this division; | 958 |
(4) Any employer or association, any officer, director, or | 959 |
employee of an employer or association, or any trustee of an | 960 |
employee trust plan, to the extent that any such person is engaged | 961 |
in the administration or operation of an employee benefits program | 962 |
for the employer's or association's own employees or for the | 963 |
employees of its subsidiaries or affiliates, if both of the | 964 |
following apply: | 965 |
(a) The employee benefits program involves the use of | 966 |
insurance contracts issued by an insurer. | 967 |
(b) The employer, association, officer, director, employee, | 968 |
or trustee is not in any manner compensated, either directly or | 969 |
indirectly, by the insurer issuing the insurance contracts. | 970 |
(5) Any employee of an insurer or of an organization | 971 |
employed by an insurer, if the employee is engaged in the | 972 |
inspection, rating, or classification of risks or in the | 973 |
supervision of the training of insurance agents, and is not | 974 |
individually engaged in the sale, solicitation, or negotiation of | 975 |
insurance; | 976 |
(6) Any person whose activities in this state are limited | 977 |
to advertising through communications in printed publications or | 978 |
in the electronic mass media, the distribution of which is not | 979 |
limited to residents of this state, if the person does not sell, | 980 |
solicit, or negotiate insurance covering risks residing, located, | 981 |
or to be performed in this state; | 982 |
(7) Any person who is not a resident of this state and | 983 |
who sells, solicits, or negotiates a contract of insurance | 984 |
covering commercial property and casualty risks located in more | 985 |
than one state, if the person is licensed as an insurance agent to | 986 |
sell, solicit, or negotiate that insurance contract in the state | 987 |
where the insured maintains its principal place of business and | 988 |
the contract insures risks located in that state; | 989 |
(8) Any salaried full-time employee who counsels or advises | 990 |
the employee's employer with respect to the insurance interests of | 991 |
the employer or of the employer's subsidiaries or business | 992 |
affiliates, if the employee does not sell or solicit insurance or | 993 |
receive a commission; | 994 |
(9) Any employee of an insurer or of an insurance agent who, | 995 |
at the direction of the insurer or agent, performs any of the | 996 |
following activities: | 997 |
(a) The acceptance of premiums other than the initial | 998 |
premium; | 999 |
(b) The gathering of information, such as names, | 1000 |
addresses, expiration dates of current insurance, and names of | 1001 |
current insurers; | 1002 |
(c) The setting of appointments for insurance agents, | 1003 |
provided that the individual setting the appointment does not | 1004 |
communicate any information about insurance; | 1005 |
(d) The servicing of existing insurance policies issued by | 1006 |
or through the employee's employer, provided the servicing is not | 1007 |
part of a solicitation; | 1008 |
(e) The performance of clerical or ministerial duties. | 1009 |
(10) Any employee of a creditor with respect to limited line | 1010 |
credit insurance products, as long as the employee of the creditor | 1011 |
is not paid by, and does not receive a fee, commission, or any | 1012 |
other form of compensation from, an insurance agent or insurance | 1013 |
company. | 1014 |
(B) The superintendent of insurance may adopt rules in | 1015 |
accordance with Chapter 119. of the Revised Code to set forth the | 1016 |
specific acts the performance of which either require or do not | 1017 |
require licensure as an insurance agent. | 1018 |
Sec. 3905.04. (A) Except as otherwise provided in section | 1019 |
3905.041 of the Revised Code, a resident individual applying for | 1020 |
an insurance agent license for any of the lines of authority | 1021 |
described in division (B) of this section shall take a written | 1022 |
examination. The examination shall test the knowledge of the | 1023 |
individual with respect to the lines of authority for which | 1024 |
application is made, the duties and responsibilities of an | 1025 |
insurance agent, and the insurance laws of this state. Before | 1026 |
admission to the examination, each individual shall pay the | 1027 |
nonrefundable fee required under division (D) of section 3905.40 | 1028 |
of the Revised Code. | 1029 |
(B) The examination described in division (A) of this | 1030 |
section shall be required for the following lines of authority: | 1031 |
(1) Any of the lines of authority set forth in divisions | 1032 |
(B)(1) to (6) of section 3905.06 of the Revised Code; | 1033 |
(2) Title insurance; | 1034 |
(3) Surety bail bonds as provided in sections 3905.83 to | 1035 |
3905.95 of the Revised Code; | 1036 |
(4) Any other line of authority designated by the | 1037 |
superintendent of insurance. | 1038 |
(C) An individual shall not be permitted to take the | 1039 |
examination described in division (A) of this section unless one | 1040 |
or both of the following apply: | 1041 |
(1) The individual has earned a bachelor's or associate's | 1042 |
degree in insurance from an accredited institution. | 1043 |
(2) The individual has completed, for each line of | 1044 |
authority for which the individual has applied, twenty hours of | 1045 |
study in a program of insurance education approved by the | 1046 |
superintendent, in consultation with the insurance agent education | 1047 |
advisory council, under criteria established by the | 1048 |
superintendent. Division (C)(2) of this section does not apply | 1049 |
with respect to title insurance or any other line of authority | 1050 |
designated by the superintendent. | 1051 |
(D) An individual who fails to appear for an examination as | 1052 |
scheduled, or fails to pass an examination, may reapply for the | 1053 |
examination if the individual pays the required fee and submits | 1054 |
any necessary forms prior to being rescheduled for the | 1055 |
examination. | 1056 |
(E)(1) The superintendent may, in accordance with Chapter | 1057 |
119. of the Revised Code, adopt any rule necessary for the | 1058 |
implementation of this section. | 1059 |
(2) The superintendent may make any necessary arrangements, | 1060 |
including contracting with an outside testing service, for the | 1061 |
administration of the examinations and the collection of the fees | 1062 |
required by this section. | 1063 |
Sec. 3905.041. (A)(1) An individual who applies for a | 1064 |
resident insurance agent license in this state within ninety days | 1065 |
after establishing a principal place of residence or principal | 1066 |
place of business in this state shall not be required under | 1067 |
section 3905.04 of the Revised Code to complete a program of | 1068 |
insurance education or to pass a written examination if either of | 1069 |
the following applies: | 1070 |
(a) The individual is currently licensed in another state | 1071 |
and is in good standing for the line or lines of authority | 1072 |
requested. | 1073 |
(b) The individual was previously licensed in another state, | 1074 |
the individual's application for a resident insurance agent | 1075 |
license in this state is received within ninety days after the | 1076 |
cancellation of the individual's previous license, and, at the | 1077 |
time of license cancellation, the individual was in good standing | 1078 |
for the line or lines of authority requested. | 1079 |
(2) To determine an applicant's licensure and standing | 1080 |
status in another state, the superintendent of insurance may | 1081 |
utilize the producer database maintained by the NAIC or its | 1082 |
affiliates or subsidiaries. If that information is not available | 1083 |
on the producer database, the superintendent may require a | 1084 |
certification letter from the prior home state. | 1085 |
(B) An individual who applies for a temporary insurance agent | 1086 |
license in this state shall not be required under section 3905.04 | 1087 |
of the Revised Code to complete any prelicensing education or to | 1088 |
pass a written examination. | 1089 |
(C) The superintendent may exempt any limited lines | 1090 |
insurance from the examination requirement of section 3905.04 of | 1091 |
the Revised Code. | 1092 |
Sec. 3905.05. (A) A natural person shall apply for a | 1093 |
resident insurance agent license by submitting to the | 1094 |
superintendent of insurance the uniform application or any other | 1095 |
application prescribed by the superintendent, any additional | 1096 |
information required by the superintendent, and a declaration made | 1097 |
under penalty of refusal, suspension, or revocation of the | 1098 |
license, that the statements made in the application are true, | 1099 |
correct, and complete to the best of the applicant's knowledge and | 1100 |
belief. | 1101 |
The applicant shall also request a criminal records check | 1102 |
conducted by the superintendent of the bureau of criminal | 1103 |
identification and investigation in accordance with section | 1104 |
109.572 of the Revised Code, and direct that the bureau's written | 1105 |
response to that request be transmitted to the superintendent of | 1106 |
insurance, or to the superintendent's designee, as specified on | 1107 |
the form prescribed pursuant to that section. The superintendent | 1108 |
of insurance, in the superintendent's discretion, may designate | 1109 |
other governmental agencies or other sources to conduct the | 1110 |
criminal records check. If the superintendent of insurance or the | 1111 |
superintendent's designee fails to receive a response to a | 1112 |
requested criminal records check, or if the applicant fails to | 1113 |
request the criminal records check, the superintendent may refuse | 1114 |
to issue a license under this section. The applicant shall pay | 1115 |
any fee required for conducting the criminal records check. | 1116 |
(B) A business entity acting as an insurance agent shall | 1117 |
apply for a resident insurance agent license by submitting to the | 1118 |
superintendent of insurance the uniform business entity | 1119 |
application or any other application prescribed by the | 1120 |
superintendent. | 1121 |
(C) The superintendent may require an applicant to submit | 1122 |
any document reasonably necessary to verify the information | 1123 |
contained in an application. | 1124 |
Sec. 3905.06. (A)(1) The superintendent of insurance shall | 1125 |
issue a resident insurance agent license to an individual | 1126 |
applicant whose home state is Ohio, if the superintendent finds | 1127 |
all of the following: | 1128 |
(a) The applicant is at least eighteen years of age. | 1129 |
(b) The applicant has not committed any act that is a | 1130 |
ground for the denial, suspension, or revocation of a license | 1131 |
under section 3905.14 of the Revised Code. | 1132 |
(c) If required under section 3905.04 of the Revised Code, | 1133 |
the applicant has completed a program of insurance education for | 1134 |
each line of authority for which the applicant has applied. | 1135 |
(d) If required under section 3905.04 of the Revised Code, | 1136 |
the applicant has passed an examination for each line of authority | 1137 |
for which the applicant has applied. | 1138 |
(e) The applicant is of good reputation and character, is | 1139 |
honest and trustworthy, and is otherwise suitable to be licensed. | 1140 |
(2) The superintendent shall issue a resident insurance | 1141 |
agent license to a business entity applicant if the superintendent | 1142 |
finds all of the following: | 1143 |
(a) The applicant either is domiciled in Ohio or maintains | 1144 |
its principal place of business in Ohio. | 1145 |
(b) The applicant has designated a licensed insurance agent | 1146 |
who will be responsible for the applicant's compliance with the | 1147 |
insurance laws of this state. | 1148 |
(c) The applicant has not committed any act that is a | 1149 |
ground for the denial, suspension, or revocation of a license | 1150 |
under section 3905.14 of the Revised Code. | 1151 |
(B) An insurance agent license issued pursuant to division | 1152 |
(A) of this section shall state the licensee's name, the license | 1153 |
number, the date of issuance, the date the license expires, the | 1154 |
line or lines of authority for which the licensee is qualified, | 1155 |
and any other information the superintendent deems necessary. | 1156 |
A licensee may be qualified for any of the following lines | 1157 |
of authority: | 1158 |
(1) Life, which is insurance coverage on human lives, | 1159 |
including benefits of endowment and annuities, and may include | 1160 |
benefits in the event of death or dismemberment by accident and | 1161 |
benefits for disability income; | 1162 |
(2) Accident and health, which is insurance coverage for | 1163 |
sickness, bodily injury, or accidental death, and may include | 1164 |
benefits for disability income; | 1165 |
(3) Property, which is insurance coverage for the direct or | 1166 |
consequential loss or damage to property of any kind; | 1167 |
(4) Casualty, which is insurance coverage against legal | 1168 |
liability, including coverage for death, injury, or disability or | 1169 |
damage to real or personal property; | 1170 |
(5) Variable life and variable annuity products, which is | 1171 |
insurance coverage provided under variable life insurance | 1172 |
contracts and variable annuities; | 1173 |
(6) Personal lines, which is property and casualty | 1174 |
insurance coverage sold to individuals and families for | 1175 |
noncommercial purposes; | 1176 |
(7) Credit, which is limited line credit insurance; | 1177 |
(8) Title, which is insurance coverage against loss or | 1178 |
damage suffered by reason of liens against, encumbrances upon, | 1179 |
defects in, or the unmarketability of, real property; | 1180 |
(9) Surety bail bond, which is the authority set forth in | 1181 |
sections 3905.83 to 3905.95 of the Revised Code; | 1182 |
(10) Any other line of authority designated by the | 1183 |
superintendent. | 1184 |
(C) A resident insurance agent license shall be perpetual | 1185 |
unless surrendered by the licensee or suspended or revoked by the | 1186 |
superintendent. | 1187 |
Sec. 3905.061. (A) If a person licensed as an insurance | 1188 |
agent under section 3905.06 of the Revised Code changes the | 1189 |
person's address within the state, the person shall, within thirty | 1190 |
days after making that change, file a change of address with the | 1191 |
superintendent of insurance. | 1192 |
(B)(1) If a person licensed as an insurance agent under | 1193 |
section 3905.06 of the Revised Code changes the person's state of | 1194 |
residence, the person shall, within thirty days after making that | 1195 |
change, file a change of address with the superintendent and | 1196 |
provide the superintendent with certification from the new state | 1197 |
of residence. | 1198 |
(2) If an insurance agent complies with division (B)(1) of | 1199 |
this section, the agent's license shall be changed to that of a | 1200 |
nonresident license and no fee or license application shall be | 1201 |
required. | 1202 |
Sec. 3905.07. (A) The superintendent of insurance shall | 1203 |
issue a nonresident insurance agent license to an applicant that | 1204 |
is a nonresident person if the superintendent finds all of the | 1205 |
following: | 1206 |
(1) The applicant is currently licensed as a resident and | 1207 |
is in good standing in the applicant's home state. | 1208 |
(2) The applicant has submitted the request for licensure | 1209 |
prescribed by the superintendent. | 1210 |
(3) The applicant has submitted or has had transmitted to | 1211 |
the superintendent the application for licensure that the | 1212 |
applicant submitted to the applicant's home state or a completed | 1213 |
uniform application or uniform business entity application, as | 1214 |
applicable. | 1215 |
(4) The applicant has not committed any act that is a ground | 1216 |
for the denial, suspension, or revocation of a license under | 1217 |
section 3905.14 of the Revised Code. | 1218 |
(5) The applicant is of good reputation and character, is | 1219 |
honest and trustworthy, and is otherwise suitable to be licensed. | 1220 |
(6) The applicant's home state issues nonresident insurance | 1221 |
agent licenses to residents of this state on the same basis as set | 1222 |
forth in division (A) of this section. | 1223 |
(B) To determine an applicant's licensure and standing status | 1224 |
in another state, the superintendent may utilize the producer | 1225 |
database maintained by the NAIC or its affiliates or subsidiaries. | 1226 |
If that information is not available on the producer database, the | 1227 |
superintendent may require a certification letter from the prior | 1228 |
home state. | 1229 |
(C) A nonresident insurance agent license shall be perpetual | 1230 |
unless surrendered by the licensee or suspended or revoked by the | 1231 |
superintendent. | 1232 |
Sec. 3905.071. (A)(1) If a nonresident person licensed as a | 1233 |
nonresident insurance agent under section 3905.07 of the Revised | 1234 |
Code changes the person's address within the person's state of | 1235 |
residence, the person shall, within thirty days after making that | 1236 |
change, file a change of address with the superintendent of | 1237 |
insurance. | 1238 |
(2) If a nonresident person licensed as a nonresident | 1239 |
insurance agent under section 3905.07 of the Revised Code changes | 1240 |
the person's state of residence or the state in which the person's | 1241 |
principal place of business is located, the person shall, within | 1242 |
thirty days after making that change, file a change of address | 1243 |
with the superintendent and provide the superintendent with | 1244 |
certification from the new state of residence or the new state in | 1245 |
which the principal place of business is located. | 1246 |
(B) If a nonresident insurance agent complies with division | 1247 |
(A) of this section, no fee or license application shall be | 1248 |
required. | 1249 |
Sec. 3905.072. Notwithstanding any other provision of this | 1250 |
chapter, the superintendent of insurance shall issue to a | 1251 |
nonresident person licensed as a limited line credit insurance | 1252 |
agent or other type of limited lines insurance agent in the | 1253 |
person's home state a nonresident limited lines insurance agent | 1254 |
license in accordance with division (A) of section 3905.07 of the | 1255 |
Revised Code, with the same scope of authority as the person has | 1256 |
under the license issued by the person's home state. However, the | 1257 |
recognition of a limited lines authority under this section shall | 1258 |
not create any new line of authority. | 1259 |
For purposes of this section, "limited lines insurance" | 1260 |
means any authority granted by the home state that is less than | 1261 |
the total authority provided in the associated major lines set | 1262 |
forth in divisions (B)(1) to (6) of section 3905.06 of the Revised | 1263 |
Code. | 1264 |
Sec. 3905.08. (A) The superintendent of insurance shall | 1265 |
waive all requirements under this chapter for a nonresident | 1266 |
insurance agent license, except the requirements set forth in | 1267 |
sections 3905.07 to 3905.072 of the Revised Code, for every | 1268 |
applicant that is currently licensed as a resident agent and is in | 1269 |
good standing in the applicant's home state, if the applicant's | 1270 |
home state awards nonresident agent licenses to residents of this | 1271 |
state on the same basis. | 1272 |
(B) A nonresident insurance agent's satisfaction of the | 1273 |
continuing education requirements for insurance agents of the | 1274 |
agent's home state shall constitute satisfaction of the continuing | 1275 |
education requirements for insurance agents of this state as set | 1276 |
forth in section 3905.481 of the Revised Code. | 1277 |
Sec. 3905.081. Notwithstanding any other provision of this | 1278 |
chapter, the superintendent of insurance may waive any licensing | 1279 |
requirement for nonresident persons that the superintendent | 1280 |
determines is in violation of the reciprocity requirements set | 1281 |
forth in section 321 of the "Financial Services Modernization Act | 1282 |
of 1999," 113 Stat. 1338, 15 U.S.C.A. 6751. | 1283 |
Sec. 3905.09. (A) The superintendent of insurance may | 1284 |
issue a temporary insurance agent license to any of the following | 1285 |
persons, if the superintendent determines that the license is | 1286 |
necessary for the servicing of insurance business: | 1287 |
(1) The surviving spouse or court-appointed personal | 1288 |
representative of a licensed insurance agent who dies or becomes | 1289 |
mentally or physically disabled, to allow adequate time for the | 1290 |
sale of the insurance business owned by the agent or for the | 1291 |
recovery or return of the agent to the business, or to provide | 1292 |
for the training and licensing of new personnel to operate the | 1293 |
agent's business; | 1294 |
(2) A member or employee of a business entity licensed as | 1295 |
an insurance agent, upon the death or disability of the sole or | 1296 |
remaining licensed insurance agent; | 1297 |
(3) The designee of a licensed insurance agent entering | 1298 |
active service in the United States armed forces; | 1299 |
(4) Any other person if the superintendent determines that | 1300 |
the public interest will best be served by the issuance of the | 1301 |
license. | 1302 |
(B) A temporary license issued under division (A) of this | 1303 |
section shall remain in force for a period not to exceed one | 1304 |
hundred eighty days. However, a temporary license may not | 1305 |
continue in force under any of the circumstances described in | 1306 |
division (A) of this section after the owner of the business or | 1307 |
the owner's personal representative disposes of the business. | 1308 |
(C) The superintendent may, by order, limit the authority of | 1309 |
any temporary license in any way deemed necessary to protect | 1310 |
insureds and the public. The superintendent may also, by order, | 1311 |
rescind a temporary license if the interests of insureds or the | 1312 |
public are endangered. | 1313 |
(D) A temporary licensee shall be sponsored by a licensed | 1314 |
insurance agent or insurer, which sponsor shall be responsible for | 1315 |
all acts of the licensee. The superintendent may impose any other | 1316 |
requirement on temporary licensees that the superintendent | 1317 |
considers necessary to protect insureds and the public. | 1318 |
(E) Chapter 119. of the Revised Code shall not apply to the | 1319 |
issuance, restriction, or rescission of a temporary license under | 1320 |
this section. | 1321 |
| 1322 |
or title agent
| 1323 |
1324 | |
represent one or more insurance corporations within this state, | 1325 |
may appoint as many solicitors as the agent desires to represent | 1326 |
the agent and the agent's agency, but the solicitors shall not | 1327 |
represent themselves, by advertisement or otherwise, as agents of | 1328 |
insurance companies for which their employer may be the authorized | 1329 |
agent, and the solicitors shall in all instances represent | 1330 |
themselves only as solicitors for the agent. | 1331 |
| 1332 |
appointment, a solicitor
| 1333 |
1334 | |
1335 | |
1336 | |
1337 | |
1338 | |
1339 |
| 1340 |
1341 |
| 1342 |
| 1343 |
1344 | |
1345 |
| 1346 |
property,
casualty, personal, or title agent under
| 1347 |
1348 | |
chapter and
| 1349 |
contracts of insurance the solicitor proposes to solicit. | 1350 |
| 1351 |
1352 | |
1353 | |
1354 | |
1355 |
| 1356 |
1357 | |
1358 |
| 1359 |
1360 | |
1361 | |
1362 | |
1363 | |
1364 | |
1365 | |
1366 |
(B)
| 1367 |
1368 | |
1369 | |
1370 | |
1371 |
| 1372 |
1373 | |
1374 | |
1375 | |
solicit only those lines of insurance for which both the solicitor | 1376 |
and the appointing agent are licensed. No solicitor shall be | 1377 |
appointed by more than one agent. | 1378 |
Unless the solicitor's license is revoked or suspended by the | 1379 |
superintendent of insurance, such appointment may, in the | 1380 |
discretion of the superintendent, and at the request of the agent | 1381 |
who employs the solicitor and the payment of the required fee, be | 1382 |
continued past the thirtieth day of June next after its issue and | 1383 |
after the thirtieth day of June each succeeding year. Each agent | 1384 |
shall certify to the superintendent, before the thirtieth day of | 1385 |
June each year, the names and addresses of the solicitors the | 1386 |
agent has employed during the preceding year, indicating those for | 1387 |
whom the agent wishes appointments to be continued. | 1388 |
The agent giving written notice shall pay to the | 1389 |
superintendent a fee of twenty dollars for every such appointment | 1390 |
and for each continuance thereof. The issuance of a solicitor's | 1391 |
appointment shall be limited to a natural person. | 1392 |
Sec. 3905.11. An insurance agent that intends to do | 1393 |
business in this state under any name other than the agent's legal | 1394 |
name shall notify the superintendent of insurance prior to using | 1395 |
the assumed name. | 1396 |
Sec. 3905.12. (A) The superintendent of insurance may | 1397 |
adopt rules in accordance with Chapter 119. of the Revised Code to | 1398 |
do the following: | 1399 |
(1) Establish procedures for the issuance and renewal of | 1400 |
insurance agent licenses; | 1401 |
(2) Provide for the issuance of limited authority licenses, | 1402 |
and establish any prelicensing education, examination, or | 1403 |
continuing education requirements the superintendent considers | 1404 |
appropriate for such a license. | 1405 |
(B) To assist the superintendent in carrying out the | 1406 |
superintendent's duties under this chapter, the superintendent may | 1407 |
contract with any nongovernmental entity, including the NAIC and | 1408 |
its affiliates or subsidiaries, to perform any ministerial | 1409 |
function related to insurance agent licensing, including the | 1410 |
collection of fees, that the superintendent and the entity | 1411 |
consider appropriate. | 1412 |
| 1413 |
3905.14 to 3905.16 of the Revised Code: | 1414 |
(1) " | 1415 |
1416 | |
insurance agent, surety bail bond agent, and surplus line broker. | 1417 |
(2) "Refusal to issue or renew" means the decision of the | 1418 |
superintendent of insurance not to process either the initial | 1419 |
application for a license as an agent or the renewal of such a | 1420 |
license. | 1421 |
(3) "Revocation" means the permanent termination of all | 1422 |
authority to hold any license as an agent in this state. | 1423 |
(4) "Surrender for cause" means the voluntary termination of | 1424 |
all authority to hold any license as an agent in this state, in | 1425 |
lieu of a revocation or suspension order. | 1426 |
(5) "Suspension" means the termination of all authority to | 1427 |
hold any license as an agent in this state, for either a specified | 1428 |
period of time or an indefinite period of time and under any terms | 1429 |
or conditions determined by the superintendent. | 1430 |
(B) The superintendent may suspend, revoke, or refuse to | 1431 |
issue
or renew any license
| 1432 |
1433 | |
1434 | |
sanction or sanctions authorized under this chapter, for one or | 1435 |
more of the following reasons: | 1436 |
(1)
| 1437 |
1438 | |
misleading, incomplete, or
| 1439 |
untrue
| 1440 |
appointment application; | 1441 |
(2) Violating or failing to comply with any insurance law, | 1442 |
rule, subpoena, consent agreement, or order of the superintendent | 1443 |
or of the insurance authority of another state; | 1444 |
(3)
| 1445 |
license through misrepresentation or fraud; | 1446 |
(4) Improperly withholding, misappropriating, or | 1447 |
converting
| 1448 |
1449 | |
1450 | |
in the
course of
| 1451 |
| 1452 |
1453 | |
1454 | |
1455 | |
1456 | |
1457 |
(5)
| 1458 |
1459 | |
proposed insurance
| 1460 |
insurance; | 1461 |
(6)
| 1462 |
(7)
| 1463 |
involves the misuse or theft of money or property belonging to | 1464 |
another, fraud, forgery, dishonest acts, or breach of a fiduciary | 1465 |
duty,
| 1466 |
business of insurance, securities, or financial services, or that | 1467 |
involves moral turpitude; | 1468 |
(8)
| 1469 |
been found to have committed, any insurance unfair trade act or | 1470 |
practice
| 1471 |
1472 |
(9) Using fraudulent, coercive, or dishonest practices, or | 1473 |
demonstrating incompetence, untrustworthiness, or financial | 1474 |
irresponsibility, in the conduct of business in this state or | 1475 |
elsewhere; | 1476 |
(10) Having an insurance agent license, or its equivalent, | 1477 |
denied, suspended, or revoked in any other state, province, | 1478 |
district, or territory; | 1479 |
| 1480 |
an application for insurance or any document related to or used in | 1481 |
an insurance transaction; | 1482 |
| 1483 |
1484 | |
1485 | |
other reference material to complete an examination for an | 1486 |
insurance agent license; | 1487 |
| 1488 |
individual who is not licensed; | 1489 |
(14) Failing to comply with an administrative or court | 1490 |
order imposing a child support obligation; | 1491 |
(15) Failing to comply with any administrative or court | 1492 |
order directing payment of state income tax; | 1493 |
(16) Failing to timely submit an application for | 1494 |
insurance. For purposes of division (B)(16) of this section, a | 1495 |
submission is considered timely if it occurs within the time | 1496 |
period expressly provided for by the insurer, or within seven days | 1497 |
after the insurance agent accepts a premium or an order to bind | 1498 |
coverage from a policyholder or applicant for insurance, whichever | 1499 |
is later. | 1500 |
(17) Failing to disclose to an applicant for insurance or | 1501 |
policyholder upon accepting a premium or an order to bind coverage | 1502 |
from the applicant or policyholder, that the person has not been | 1503 |
appointed
| 1504 |
1505 |
| 1506 |
revoked as a result of a mishandling of funds or breach of | 1507 |
fiduciary responsibilities or having been subject to a cease and | 1508 |
desist order or permanent injunction for unlicensed activities; | 1509 |
| 1510 |
for
insurance to designate the
| 1511 |
1512 | |
the beneficiary of a policy or
annuity sold
by the
| 1513 |
insurance agent, unless the
| 1514 |
of
the
| 1515 |
| 1516 |
department
of insurance within
| 1517 |
after receipt of any written inquiry from the department, unless a | 1518 |
reasonable extension of time has been requested of, and granted | 1519 |
by, the superintendent; | 1520 |
| 1521 |
1522 | |
1523 |
| 1524 |
other than the insurer expressly chosen by the applicant for | 1525 |
insurance or policyholder without the consent of the applicant or | 1526 |
policyholder or absent extenuating circumstances; | 1527 |
| 1528 |
1529 |
| 1530 |
insurance of the identity of the insurer or insurers, or the | 1531 |
identity of any
other insurance
agent | 1532 |
1533 | |
continuing the insurance for the policyholder or applicant, upon | 1534 |
the binding of the coverage; | 1535 |
| 1536 |
1537 | |
to report an individual licensee's violation to the department | 1538 |
when the violation was known or should have been known by one or | 1539 |
more of the partners, officers, managers, or members of the | 1540 |
1541 | |
entity; | 1542 |
| 1543 |
the business of insurance when the person knew or should have | 1544 |
known that the document contained the forged signature of another | 1545 |
person; | 1546 |
| 1547 |
using in any way a professional designation that has not been | 1548 |
conferred upon the person by the appropriate accrediting | 1549 |
organization; | 1550 |
| 1551 |
to be made to or in the name of an insured without that person's | 1552 |
knowledge and written authorization; | 1553 |
| 1554 |
1555 | |
1556 | |
1557 |
| 1558 |
1559 |
| 1560 |
1561 | |
1562 | |
1563 | |
1564 |
(27) Using paper, software, or any other materials of or | 1565 |
provided by an insurer after the insurer has terminated the | 1566 |
authority of the licensee, if the use of such materials would | 1567 |
cause a reasonable person to believe that the licensee was acting | 1568 |
on behalf of or otherwise representing the insurer; | 1569 |
(28)
| 1570 |
1571 | |
1572 |
| 1573 |
either directly or indirectly, any insurance policy when the | 1574 |
person is not authorized under this chapter to engage in such | 1575 |
activity; | 1576 |
| 1577 |
service that offers benefits similar to insurance but is not | 1578 |
regulated by the superintendent, without fully disclosing to the | 1579 |
prospective purchaser that the product or service is not insurance | 1580 |
and is not regulated by the superintendent; | 1581 |
| 1582 |
manner.
For purposes of division
(B) | 1583 |
rebuttable presumption exists that a refund obligation is not | 1584 |
fulfilled in a timely manner unless it is fulfilled within one of | 1585 |
the following time periods: | 1586 |
(a) Thirty days after the date the policyholder, applicant, | 1587 |
or insurer takes or requests action resulting in a refund; | 1588 |
(b) Thirty days after the date of the insurer's refund | 1589 |
check, if the agent is expected to issue a portion of the total | 1590 |
refund; | 1591 |
(c) Forty-five days after the date of the agent's statement | 1592 |
of account on which the refund first appears. | 1593 |
| 1594 |
policyholder or applicant consented to the delay or agreed to | 1595 |
permit the agent to apply the refund to amounts due for other | 1596 |
coverages. | 1597 |
(31) With respect to a surety bail bond agent license, | 1598 |
rebating or offering to rebate, or unlawfully dividing or offering | 1599 |
to divide, any commission; | 1600 |
(32) Using a license for the principal purpose of | 1601 |
procuring, receiving, or forwarding applications for insurance of | 1602 |
any kind, other than life, or soliciting, placing, or effecting | 1603 |
such insurance directly or indirectly upon or in connection with | 1604 |
the property of the licensee or that of relatives, employers, | 1605 |
employees, or that for which they or the licensee is an agent, | 1606 |
custodian, vendor, bailee, trustee, or payee; | 1607 |
(33) In the case of an insurance agent that is a business | 1608 |
entity, using a life license for the principal purpose of | 1609 |
soliciting or placing insurance on the lives of the business | 1610 |
entity's officers, employees, or shareholders, or on the lives of | 1611 |
relatives of such officers, employees, or shareholders, or on the | 1612 |
lives of persons for whom they, their relatives, or the business | 1613 |
entity is agent, custodian, vendor, bailee, trustee, or payee; | 1614 |
(34) Offering within this state, in person or by | 1615 |
advertisement, poster, letter, circular, or otherwise, to sell, | 1616 |
procure, or obtain policies, contracts, agreements, or | 1617 |
applications for life insurance or annuities providing fixed, | 1618 |
variable, or fixed and variable benefits, or contractual payments, | 1619 |
or any form of sickness and accident insurance, for or on behalf | 1620 |
of any life insurance corporation, association, or organization, | 1621 |
or mutual protective or mutual benefit association or | 1622 |
organization, not authorized to transact business in this state, | 1623 |
or for or on behalf of any spurious, fictitious, nonexistent, | 1624 |
dissolved, inactive, liquidated or liquidating, or bankrupt life | 1625 |
insurance corporation, association, or organization, or mutual | 1626 |
protective or mutual benefit association or organization. | 1627 |
(C) Before denying, revoking, suspending, or refusing to | 1628 |
issue any license or imposing any penalty under this
section
| 1629 |
1630 | |
provide the licensee or applicant with notice and an opportunity | 1631 |
for hearing as provided in Chapter 119. of the Revised Code, | 1632 |
except as follows: | 1633 |
(1)(a) Any notice of opportunity for hearing, the hearing | 1634 |
officer's findings and recommendations, or the superintendent's | 1635 |
order shall be served by certified mail at the last known address | 1636 |
of the licensee or applicant. Service shall be evidenced by | 1637 |
return receipt signed by any person. | 1638 |
For purposes of this section, the "last known address" is the | 1639 |
residential address that appears in the licensing records of the | 1640 |
department
| 1641 |
(b) If the certified mail envelope is returned with an | 1642 |
endorsement showing that service was refused, or that the envelope | 1643 |
was unclaimed, the notice and all subsequent notices required by | 1644 |
Chapter 119. of the Revised Code may be served by ordinary mail to | 1645 |
the last known address of the licensee or applicant. The mailing | 1646 |
shall be evidenced by a certificate of mailing. Service is deemed | 1647 |
complete as of the date of such certificate provided that the | 1648 |
ordinary mail envelope is not returned by the postal authorities | 1649 |
with an endorsement showing failure of delivery. The time period | 1650 |
in which to request a hearing, as provided in Chapter 119. of the | 1651 |
Revised Code, begins to run on the date of mailing. | 1652 |
(c) If service by ordinary mail fails, the superintendent | 1653 |
may cause a summary of the substantive provisions of the notice to | 1654 |
be published once a week for three consecutive weeks in a | 1655 |
newspaper of general circulation in the county where the last | 1656 |
known place of residence or business of the party is located. The | 1657 |
notice is considered served on the date of the third publication. | 1658 |
(d) Any notice required to be served under Chapter 119. of | 1659 |
the Revised Code shall also be served upon the party's attorney by | 1660 |
ordinary mail if the attorney has entered an appearance in the | 1661 |
matter. | 1662 |
(e) The superintendent may, at any time, perfect service on | 1663 |
a party by personal delivery of the notice by an employee of the | 1664 |
department. | 1665 |
(f) Notices regarding the scheduling of hearings and all | 1666 |
other matters not described in division (C)(1)(a) of this section | 1667 |
shall be sent by ordinary mail to the party and to the party's | 1668 |
attorney. | 1669 |
(2) Any subpoena for the appearance of a witness or the | 1670 |
production of documents or other evidence at a hearing, or for the | 1671 |
purpose of taking testimony for use at a hearing, shall be served | 1672 |
by certified mail, return receipt requested, by an attorney or by | 1673 |
an employee of the department designated by the superintendent. | 1674 |
Such subpoenas shall be enforced in the manner provided in section | 1675 |
119.09 of the Revised Code. Nothing in this section shall be | 1676 |
construed as limiting the superintendent's other statutory powers | 1677 |
to issue subpoenas. | 1678 |
(D) If the superintendent determines that a violation | 1679 |
described in this section has occurred, the
superintendent may
| 1680 |
1681 |
(1) Assess a civil
| 1682 |
exceeding twenty-five thousand dollars per violation; | 1683 |
(2) Assess administrative costs to cover the expenses | 1684 |
incurred by the department in the administrative action, including | 1685 |
costs incurred in the investigation and hearing processes. Any | 1686 |
costs collected shall be paid into the state treasury to the | 1687 |
credit of the department of insurance operating fund created in | 1688 |
section 3901.021 of the Revised Code. | 1689 |
(3) Suspend all of the person's licenses for all lines of | 1690 |
insurance for either a specified period of time or an indefinite | 1691 |
period of time and under such terms and conditions as the | 1692 |
superintendent may determine; | 1693 |
(4) Permanently revoke all of the person's licenses for all | 1694 |
lines of insurance; | 1695 |
(5) Refuse to issue a license; | 1696 |
(6) Refuse to renew a license; | 1697 |
(7) Prohibit the person from being employed in any capacity | 1698 |
in the business of insurance and from having any financial | 1699 |
interest in any insurance agency, company, surety bail bond | 1700 |
business, or third-party administrator in this state. The | 1701 |
superintendent may, in the superintendent's discretion, determine | 1702 |
the nature, conditions, and duration of such restrictions. | 1703 |
(8) Order corrective actions in lieu of or in addition to | 1704 |
the other penalties listed in division (D) of this section. Such | 1705 |
an
order may provide for the suspension of civil
| 1706 |
penalties, license revocation, license suspension, or refusal to | 1707 |
issue or renew a license if the licensee complies with the terms | 1708 |
and conditions of the corrective action order. | 1709 |
(9) Accept a surrender for cause offered by the licensee, | 1710 |
which shall be for at least five years and shall prohibit the | 1711 |
licensee from seeking any license authorized under this chapter | 1712 |
during that time period. A surrender for cause shall be in lieu | 1713 |
of revocation or suspension and may
| 1714 |
action order as provided in division (D)(8) of this section. | 1715 |
(E) The superintendent may consider the following factors in | 1716 |
denying a license, imposing suspensions, revocations, fines, or | 1717 |
other penalties, and issuing orders under this section: | 1718 |
(1) Whether the person acted in good faith; | 1719 |
(2) Whether the person made restitution for any pecuniary | 1720 |
losses suffered by other persons as a result of the person's | 1721 |
actions; | 1722 |
(3) The actual harm or potential for harm to others; | 1723 |
(4) The degree of trust placed in the person by, and the | 1724 |
vulnerability of, persons who were or could have been adversely | 1725 |
affected by the person's actions; | 1726 |
(5) Whether the person was the subject of any previous | 1727 |
administrative actions by the superintendent; | 1728 |
(6) The number of individuals adversely affected by the | 1729 |
person's acts or omissions; | 1730 |
(7) Whether the person voluntarily reported the violation, | 1731 |
and the extent of the person's cooperation and acceptance of | 1732 |
responsibility; | 1733 |
(8) Whether the person obstructed or impeded, or attempted | 1734 |
to obstruct or impede, the superintendent's investigation; | 1735 |
(9) The person's efforts to conceal the misconduct; | 1736 |
(10) Remedial efforts to prevent future violations; | 1737 |
(11) If the person was convicted of a criminal offense, the | 1738 |
nature of the offense, whether the conviction was based on acts or | 1739 |
omissions taken under any professional license, whether the | 1740 |
offense involved the breach of a fiduciary duty, the amount of | 1741 |
time that has passed, and the person's activities subsequent to | 1742 |
the conviction; | 1743 |
(12) Such other factors as the superintendent determines to | 1744 |
be appropriate under the circumstances. | 1745 |
(F)(1) A violation described in division (B)(1), (2), (3), | 1746 |
(4), (5), (6), (7), (8), (9), (10), (11), (12), (13), (14), (15), | 1747 |
(17),
(18),
(19),
| 1748 |
(28), (29), (30),
(31),
| 1749 |
a class A offense for which the superintendent may impose any | 1750 |
penalty set forth in division (D) of this section. | 1751 |
(2) A violation described in division
(B) | 1752 |
1753 | |
3905.061, 3905.071, or 3905.22 of the Revised Code, is a class B | 1754 |
offense for which the superintendent may impose any penalty set | 1755 |
forth in division (D)(1), (2), (8), or (9) of this section. | 1756 |
(G) If a violation described in this section has caused, is | 1757 |
causing, or is about to cause substantial and material harm, the | 1758 |
superintendent may issue an order requiring that person to cease | 1759 |
and desist from engaging in the violation. Notice of the order | 1760 |
shall be mailed by certified mail, return receipt requested, or | 1761 |
served in any other manner provided for in this section, | 1762 |
immediately after its issuance to the person subject to the order | 1763 |
and to all persons known to be involved in the violation. The | 1764 |
superintendent may thereafter publicize or otherwise make known to | 1765 |
all interested parties that the order has been issued. | 1766 |
The notice shall specify the particular act, omission, | 1767 |
practice, or transaction that is subject to the cease-and-desist | 1768 |
order and shall set a date, not more than fifteen days after the | 1769 |
date of the order, for a hearing on the continuation or revocation | 1770 |
of the order. The person shall comply with the order immediately | 1771 |
upon receipt of notice of the order. | 1772 |
The superintendent may, upon the application of a party and | 1773 |
for good cause shown, continue the hearing. Chapter 119. of the | 1774 |
Revised Code applies to such hearings to the extent that that | 1775 |
chapter does not conflict with the procedures set forth in this | 1776 |
section. The superintendent shall, within fifteen days after | 1777 |
objections are submitted to the hearing officer's report and | 1778 |
recommendation, issue a final order either confirming or revoking | 1779 |
the cease-and-desist order. The final order may be appealed as | 1780 |
provided under section 119.12 of the Revised Code. | 1781 |
The remedy under this division is cumulative and concurrent | 1782 |
with the other remedies available under this section. | 1783 |
(H) If the superintendent has reasonable cause to believe | 1784 |
that an order issued under this section has been violated in whole | 1785 |
or in part, the superintendent may request the attorney general to | 1786 |
commence and prosecute any appropriate action or proceeding in the | 1787 |
name of the state against such person. | 1788 |
The court may, in an action brought pursuant to this | 1789 |
division, impose any of the following: | 1790 |
(1) For each violation, a civil penalty of not more than | 1791 |
twenty-five thousand dollars; | 1792 |
(2) Injunctive relief; | 1793 |
(3) Restitution; | 1794 |
(4) Any other appropriate relief. | 1795 |
(I) With respect to a surety bail bond agent license: | 1796 |
(1) Upon the suspension or revocation of a license, or the | 1797 |
eligibility of a surety bail bond agent to hold a license, the | 1798 |
superintendent likewise may suspend or revoke the license or | 1799 |
eligibility of any surety bail bond agent who is employed by or | 1800 |
associated with that agent and who knowingly was a party to the | 1801 |
act that resulted in the suspension or revocation. | 1802 |
(2) The superintendent may revoke a license as a surety bail | 1803 |
bond agent if the licensee is adjudged bankrupt. | 1804 |
(J)
| 1805 |
1806 |
| 1807 |
imply a
private cause of
action against an
agent | 1808 |
insurer. | 1809 |
| 1810 |
person whose license was denied, suspended, revoked, or | 1811 |
surrendered for cause under section
| 1812 |
Code, the superintendent of insurance shall hold a hearing to | 1813 |
determine whether the
administrative action imposing
| 1814 |
denial, suspension, revocation, or surrender should be modified, | 1815 |
provided that all of the following conditions are met: | 1816 |
(1) At least five years have elapsed since the date of the | 1817 |
administrative action sought to be modified; | 1818 |
(2) At least two years have elapsed since any previous | 1819 |
request for a modification was made under this section; | 1820 |
(3) The burden of proof is on the person requesting the | 1821 |
modification. | 1822 |
(B) The modification of an order issued or consent agreement | 1823 |
entered into under
section
| 1824 |
at the discretion of the superintendent. The superintendent may | 1825 |
modify such an order or agreement if the superintendent finds all | 1826 |
of the following: | 1827 |
(1) At least five years have elapsed since the date of the | 1828 |
administrative action; | 1829 |
(2) The person is of good business repute and is suitable to | 1830 |
be an insurance agent; | 1831 |
(3) The person has made restitution for all pecuniary losses | 1832 |
suffered by any person as a result of the conduct that gave rise | 1833 |
to the administrative action; | 1834 |
(4) The person has not been convicted of any felony or of | 1835 |
any misdemeanor described in division
(B)(7) of section
| 1836 |
3905.14 of the Revised Code unless the conviction was the subject | 1837 |
of a previous administrative action by the superintendent; | 1838 |
(5) The circumstances surrounding the previous violation are | 1839 |
such that it is unlikely the person would commit such offenses in | 1840 |
the future; | 1841 |
(6) The person's character has been rehabilitated. | 1842 |
(C) The issuance of any license pursuant to a modification | 1843 |
under this section shall be conditioned upon the successful | 1844 |
completion of all prelicensing education and examination | 1845 |
requirements. | 1846 |
| 1847 |
division (A)(2) of this section, any person licensed as an agent | 1848 |
under
| 1849 |
1850 | |
chapter may at any time surrender any or all licenses held by the | 1851 |
person. | 1852 |
(2) No agent shall surrender the agent's licenses if the | 1853 |
superintendent of insurance is investigating any allegation of | 1854 |
wrongdoing by the agent or has initiated proceedings under Chapter | 1855 |
119. of the Revised Code and notice of an opportunity for a | 1856 |
hearing has been issued to the agent, and any attempt to so | 1857 |
surrender is invalid. | 1858 |
(B) | 1859 |
1860 | |
1861 | |
1862 | |
1863 | |
1864 |
| 1865 |
1866 | |
1867 | |
1868 |
| 1869 |
suspended, all appointments held by the agent are void. If a new | 1870 |
license is issued to that person or if that person's previous | 1871 |
license is reinstated, any appointment of the person to represent | 1872 |
an insurer
| 1873 |
requirements of this chapter. | 1874 |
| 1875 |
1876 | |
engaged in the business of insurance in any capacity for which an | 1877 |
agent's license is required may apply to the superintendent for | 1878 |
inactive status. The superintendent may grant such status only if | 1879 |
the superintendent is satisfied that the person is not engaged in | 1880 |
and does not intend to engage in any of the activities set forth | 1881 |
in
section
| 1882 |
agent's license. | 1883 |
(2) A person who has been granted inactive status is exempt | 1884 |
from any continuing education requirements imposed under this | 1885 |
chapter. | 1886 |
(3) The superintendent may adopt rules in accordance with | 1887 |
Chapter 119. of the Revised Code to establish procedures for | 1888 |
applying for inactive status, criteria used to determine | 1889 |
eligibility for such status, and standards and procedures for | 1890 |
transferring from inactive to active status. | 1891 |
| 1892 |
or take any other disciplinary action authorized by this chapter, | 1893 |
regardless of whether the person is appointed or otherwise | 1894 |
authorized to represent an insurer or agent. | 1895 |
Sec. 3905.18. (A) Neither an insurer nor an insurance | 1896 |
agent shall pay a commission, service fee, brokerage fee, or other | 1897 |
type of consideration to a person for selling, soliciting, or | 1898 |
negotiating insurance in this state, if the person is required to | 1899 |
be licensed by the superintendent of insurance under this chapter | 1900 |
but is not so licensed. However, renewal or other deferred | 1901 |
commissions may be paid to such a person for selling, soliciting, | 1902 |
or negotiating insurance in this state if the person was required | 1903 |
to be licensed under this chapter at the time of the sale, | 1904 |
solicitation, or negotiation and was so licensed at that time. | 1905 |
(B) An insurer shall not pay a commission, service fee, | 1906 |
brokerage fee, or other type of consideration to an insurance | 1907 |
agent for selling, soliciting, or negotiating insurance in this | 1908 |
state, if the insurance agent is required to be appointed by the | 1909 |
insurer but is not so appointed. | 1910 |
(C) An insurer or insurance agent may pay or assign a | 1911 |
commission, service fee, brokerage fee, or other type of | 1912 |
consideration to an insurance agency or to any person who does not | 1913 |
sell, solicit, or negotiate insurance in this state, unless the | 1914 |
payment or assignment is prohibited by section 3911.20, 3933.01, | 1915 |
or 3999.22 of the Revised Code. | 1916 |
Sec. 3905.181. A person shall not accept a commission, | 1917 |
service fee, brokerage fee, or other type of consideration for | 1918 |
selling, soliciting, or negotiating insurance in this state if | 1919 |
that person is required to be licensed under this chapter and is | 1920 |
not so licensed. | 1921 |
| 1922 |
insurance
under
| 1923 |
although also licensed to sell securities under section 1707.32 of | 1924 |
the Revised Code, shall sell, or receive any compensation in | 1925 |
regard to the sale of, any shares of capital stock of any life | 1926 |
insurance company
or agency for
which
| 1927 |
appointed to sell life
insurance, or of
any
issuer
| 1928 |
or controls more than one fourth of the shares of any of such | 1929 |
companies, or any rights or options to acquire any of such shares. | 1930 |
This section does not prohibit the sale of shares of any | 1931 |
investment company registered under the "Investment Company Act of | 1932 |
1940," 54 Stat. 789, 15 U.S.C.A. 80a-l, as amended, or any | 1933 |
policies, annuities, or other contracts described in section | 1934 |
3907.15 of the Revised Code. | 1935 |
Sec. 3905.20. (A) An insurance agent shall not act as an | 1936 |
agent of an insurer unless the insurance agent is appointed as an | 1937 |
agent of the insurer. An insurance agent who does not act as an | 1938 |
agent of an insurer shall not be required to be appointed as an | 1939 |
agent of the insurer. | 1940 |
For purposes of this division, an insurance agent acts as an | 1941 |
agent of an insurer when the insurance agent sells, solicits, or | 1942 |
negotiates any product of the insurer and is compensated directly | 1943 |
by the insurer. | 1944 |
(B)(1) To appoint an insurance agent as its agent, an | 1945 |
insurer shall file a notice of appointment with the superintendent | 1946 |
of insurance no later than thirty days after the date the agency | 1947 |
contract is executed or the first insurance application is | 1948 |
submitted, whichever is earlier. The notice of appointment shall | 1949 |
be provided in the manner prescribed by the superintendent. | 1950 |
Each insurer shall pay to the superintendent a fee of | 1951 |
twenty dollars for every such appointment when issued and for each | 1952 |
continuance thereafter. Such an appointment, unless canceled by | 1953 |
the insurer, may be continued in force past the thirtieth day of | 1954 |
June next after its issue and after the thirtieth day of June of | 1955 |
each succeeding year, unless a different date is determined by the | 1956 |
superintendent. | 1957 |
(2) By appointing an insurance agent, an insurer certifies | 1958 |
to the superintendent that the person is competent, financially | 1959 |
responsible, and suitable to represent the insurer. | 1960 |
(3) While an appointment remains in force, an insurer shall | 1961 |
be bound by the acts of the person named in the appointment within | 1962 |
that person's actual and apparent authority as its agent. | 1963 |
(C) The superintendent may, in accordance with Chapter 119. | 1964 |
of the Revised Code, adopt rules to establish appointment | 1965 |
procedures, including cancellations and renewals, to clarify the | 1966 |
circumstances that require an appointment, and to provide for the | 1967 |
appointment of insurance agents to some or all of the insurers | 1968 |
within an insurer's holding company system or group. | 1969 |
Sec. 3905.201. (A) Each insurer that sells, solicits, or | 1970 |
negotiates any form of limited line credit insurance shall provide | 1971 |
a program of instruction to each insurance agent whose duties will | 1972 |
include selling, soliciting, or negotiating limited line credit | 1973 |
insurance. The program of instruction shall be provided to the | 1974 |
insurance agent prior to the agent's appointment by the insurer. | 1975 |
(B) The superintendent may require prior review and approval | 1976 |
of any program of instruction provided under division (A) of this | 1977 |
section. | 1978 |
Sec. 3905.21. (A) An insurer or authorized representative | 1979 |
of an insurer that terminates the appointment, employment, | 1980 |
contract, or other insurance business relationship with an | 1981 |
insurance agent shall notify the superintendent of insurance, in | 1982 |
the manner prescribed by the superintendent, within thirty days | 1983 |
after the effective date of the termination. The insurer shall | 1984 |
provide any additional information, documents, records, or other | 1985 |
data relating to the termination or activity of the insurance | 1986 |
agent that the superintendent requests in writing. | 1987 |
(B) If the termination of an insurance agent is for any of | 1988 |
the reasons set forth in division (B) of section 3905.14 of the | 1989 |
Revised Code, the insurer or authorized representative of the | 1990 |
insurer shall promptly notify the superintendent, in the manner | 1991 |
prescribed by the superintendent, of any additional information | 1992 |
the insurer discovers upon further review or investigation, which | 1993 |
information would have been provided to the superintendent in | 1994 |
accordance with division (A) of this section had the insurer known | 1995 |
of its existence. | 1996 |
(C)(1) An insurer, within fifteen days after notifying the | 1997 |
superintendent in accordance with division (A) or (B) of this | 1998 |
section, shall mail a copy of the notification to the insurance | 1999 |
agent at the agent's last known address. If the insurance agent | 2000 |
was terminated for any of the reasons set forth in division (B) of | 2001 |
section 3905.14 of the Revised Code, the notification shall be | 2002 |
sent by certified mail, return receipt requested, postage prepaid, | 2003 |
or by overnight delivery using a nationally recognized carrier. | 2004 |
(2) An insurance agent, within thirty days after receiving | 2005 |
a copy of a notification pursuant to division (C)(1) of this | 2006 |
section, may file written comments concerning the substance of the | 2007 |
notification with the superintendent. If an insurance agent files | 2008 |
such comments with the superintendent, the agent shall, at the | 2009 |
same time, provide a copy of the comments to the insurer. Comments | 2010 |
filed with the superintendent shall become part of the | 2011 |
superintendent's file on the insurance agent and shall accompany | 2012 |
every copy of any report distributed or disclosed for any reason | 2013 |
about the agent. | 2014 |
Sec. 3905.211. (A) In the absence of actual malice, an | 2015 |
insurer, the authorized representative of an insurer, an insurance | 2016 |
agent, the superintendent of insurance, or any organization of | 2017 |
which the superintendent is a member, which organization compiles | 2018 |
the information provided pursuant to section 3905.21 of the | 2019 |
Revised Code and makes it available to other insurance | 2020 |
commissioners or to regulatory or law enforcement agencies, is | 2021 |
immune from any civil liability that otherwise might be incurred | 2022 |
or imposed as a result of either of the following: | 2023 |
(1) Any statement required by section 3905.21 of the | 2024 |
Revised Code or any information relating to any such statement, | 2025 |
which information may be requested in writing by the | 2026 |
superintendent; | 2027 |
(2) Any statement of an insurer that has terminated an | 2028 |
insurance agent to an insurer or agent, or any statement of an | 2029 |
insurance agent to an insurer or agent, which statement is limited | 2030 |
solely to whether a termination for any of the reasons set forth | 2031 |
in division (B) of section 3905.14 of the Revised Code was | 2032 |
reported to the superintendent, provided the propriety of any such | 2033 |
termination is certified in writing by an officer or authorized | 2034 |
representative of the insurer or agent terminating the | 2035 |
relationship. | 2036 |
(B) In any action brought against a person that may have | 2037 |
immunity under division (A) of this section for making any | 2038 |
statement required by section 3905.21 of the Revised Code or | 2039 |
providing any information relating to any such statement, which | 2040 |
information may have been requested in writing by the | 2041 |
superintendent, the party bringing the action shall plead | 2042 |
specifically in any allegation that division (A) of this section | 2043 |
does not apply because the person making the statement or | 2044 |
providing the information did so with malice. | 2045 |
(C) Nothing in this section shall abrogate or modify any | 2046 |
statutory or common law privilege or immunity that otherwise | 2047 |
applies. | 2048 |
Sec. 3905.212. The superintendent of insurance may, in | 2049 |
accordance with Chapter 119. of the Revised Code, suspend or | 2050 |
revoke the certificate of authority or license of any person that | 2051 |
fails to comply with section 3905.21 of the Revised Code or that | 2052 |
has been found by a court of competent jurisdiction to have made | 2053 |
the statements or provided the information required under that | 2054 |
section with actual malice. Any such person is also subject to | 2055 |
the civil penalty authorized under section 3905.14 of the Revised | 2056 |
Code. | 2057 |
Sec. 3905.22. (A) An insurance agent shall provide notice | 2058 |
to the superintendent of insurance of any administrative action | 2059 |
taken against the agent in another jurisdiction or by another | 2060 |
governmental agency having professional, occupational, or | 2061 |
financial licensing authority within thirty days after the final | 2062 |
disposition of the matter. The notice shall include a copy of the | 2063 |
order, consent to order, or any other relevant legal document. | 2064 |
(B) An insurance agent shall provide notice to the | 2065 |
superintendent of any criminal prosecution of the agent by any | 2066 |
jurisdiction, other than misdemeanor traffic citations, within | 2067 |
thirty days after the initial pretrial hearing date. The notice | 2068 |
shall include a copy of the initial complaint that was filed, the | 2069 |
order that resulted from the hearing, and any other relevant legal | 2070 |
documents. | 2071 |
| 2072 |
information obtained by the superintendent of insurance or the | 2073 |
superintendent's deputies, examiners, assistants, or other | 2074 |
employees, or agents relating to an investigation of an applicant | 2075 |
for licensure under this chapter, or of an agent, solicitor, | 2076 |
broker, or other person licensed or appointed under this chapter | 2077 |
or Chapter 3951., 3957., or 3959. of the Revised Code, are | 2078 |
confidential and are not public records as defined in section | 2079 |
149.43 of
the Revised Code
until the applicant
| 2080 |
appointee is provided notice and opportunity for hearing pursuant | 2081 |
to Chapter 119. of the Revised Code with respect to such records | 2082 |
or information. If no administrative action is initiated with | 2083 |
respect to a particular matter about which the superintendent | 2084 |
obtained records or other information as part of an investigation, | 2085 |
all such records and information relating to that matter shall | 2086 |
remain confidential for three years after the file on the matter | 2087 |
is closed. | 2088 |
(2) Division (A)(1) of this section applies only to | 2089 |
investigations that could result in administrative action under | 2090 |
Title XVII or XXXIX or Chapter 119. of the Revised Code. | 2091 |
(B) The records and other information described in division | 2092 |
(A) of this section shall remain confidential for all purposes | 2093 |
except when it is appropriate for the superintendent and the | 2094 |
superintendent's deputies, examiners, assistants, or other | 2095 |
employees, or agents to take official action regarding the affairs | 2096 |
of the applicant
| 2097 |
actual or potential criminal proceedings. | 2098 |
(C) Employees or agents of the department of insurance shall | 2099 |
not be required by any court in this state to testify in a civil | 2100 |
action, if such testimony concerns any matter related to records | 2101 |
or any other information considered confidential under this | 2102 |
section of which they have knowledge. | 2103 |
(D) This section does not apply to any complaint or action | 2104 |
2105 | |
(33)
of section
| 2106 |
Sec. 3905.26. (A) The superintendent of insurance may | 2107 |
participate, in whole or in part, with the NAIC or any of its | 2108 |
affiliates or subsidiaries, in a centralized agent license | 2109 |
registry in which insurance agent licenses and appointments are | 2110 |
centrally or simultaneously effected for all states that require | 2111 |
an insurance agent license and that participate in the registry. | 2112 |
(B) The superintendent may adopt rules in accordance with | 2113 |
Chapter 119. of the Revised Code to adopt any uniform standard or | 2114 |
procedure necessary for participation in the centralized agent | 2115 |
license registry. Such rules may provide for the central | 2116 |
collection of all fees for licenses or appointments processed | 2117 |
through the registry. | 2118 |
Sec. 3905.28. The superintendent of insurance may adopt | 2119 |
rules in accordance with Chapter 119. of the Revised Code to carry | 2120 |
out the purposes of sections 3905.01 to 3905.28 of the Revised | 2121 |
Code. | 2122 |
| 2123 |
the Revised Code do not apply to associations organized and | 2124 |
operating under sections 3939.01 to 3939.09 of the Revised Code. | 2125 |
Sec. 3905.30. The superintendent of insurance may issue a | 2126 |
surplus line broker's license to any natural person who is a | 2127 |
resident
of this or any other state or
| 2128 |
2129 | |
business entity that is organized under the laws of this or any | 2130 |
other state
| 2131 |
2132 | |
2133 | |
license, a person must have both a property license and a casualty | 2134 |
license. A surplus line broker's license permits the person named | 2135 |
in the license to negotiate for and obtain insurance, other than | 2136 |
life insurance, on property or persons in this state in insurers | 2137 |
not authorized to transact business in this state. Each such | 2138 |
license expires on the thirty-first day of January next after the | 2139 |
year in which it is issued, and may be then renewed. | 2140 |
Sec. 3905.31. No person not licensed under section 3905.30 | 2141 |
of the Revised Code shall take or receive any application for such | 2142 |
insurance upon property or persons in this state, or receive or | 2143 |
collect a premium or any part thereof for any unauthorized | 2144 |
insurance company, or attempt or assist in any such act, or | 2145 |
perform any act in this state concerning any policy or contract of | 2146 |
insurance of any unauthorized insurance company provided that any | 2147 |
duly licensed
| 2148 |
place business with an agent licensed under section 3905.30 of the | 2149 |
Revised Code and may accept compensation therefor, if such | 2150 |
insurance is written in conformity with the insurance laws of this | 2151 |
state. This section does not apply to those engaged in the act of | 2152 |
adjusting claims or losses in connection with any policy of | 2153 |
insurance written under the provisions of sections 3905.30 to | 2154 |
3905.35 | 2155 |
Sec. 3905.34. Each person licensed under section 3905.30 of | 2156 |
the Revised Code shall keep a separate account of the business | 2157 |
done under the
person's license.
| 2158 |
before the
| 2159 |
surplus line broker shall
file
| 2160 |
superintendent of insurance the portion of that account that | 2161 |
details business done during the preceding calendar year. The | 2162 |
account must show the amount of such insurance, the name of the | 2163 |
insured, a brief description of the type of insurance, the | 2164 |
location of the property, the gross premium charged, the name of | 2165 |
the insurer, the date of the policy and term thereof, and a report | 2166 |
in the same detail of all such policies canceled and the gross | 2167 |
return premiums thereon. | 2168 |
Sec. 3905.36. Every insured association, company, | 2169 |
corporation, or other person that enters, directly or indirectly, | 2170 |
into any agreements with any insurance company, association, | 2171 |
individual, firm, underwriter, or Lloyd, not authorized to do | 2172 |
business in this state, whereby the insured shall procure, | 2173 |
continue, or renew contracts of insurance covering subjects of | 2174 |
insurance resident, located, or to be performed within this state, | 2175 |
with such unauthorized insurance company, association, individual, | 2176 |
firm, underwriter, or Lloyd, for which insurance there is a gross | 2177 |
premium, membership fee, assessment, dues, or other consideration | 2178 |
charged
or collected, shall annually, on or before the
| 2179 |
thirty-first day
of
| 2180 |
insurance a statement under oath showing the name and address of | 2181 |
the insured, name and address of the insurer, subject of the | 2182 |
insurance, general description of the coverage, and amount of | 2183 |
gross premium, fee, assessment, dues, or other consideration for | 2184 |
such insurance for the preceding twelve-month period and shall at | 2185 |
the same time pay to the treasurer of state a tax of five per cent | 2186 |
of such gross premium, fee, assessment, dues, or other | 2187 |
consideration, after a deduction for return premium, if any, as | 2188 |
calculated on a form prescribed by the treasurer of state. All | 2189 |
taxes collected under this section by the treasurer of state shall | 2190 |
be paid into the general revenue fund. If the tax is not paid | 2191 |
when due, the tax shall be increased by a penalty of twenty-five | 2192 |
per cent. An interest charge computed as set forth in section | 2193 |
5725.221 of the Revised Code shall be made on the entire sum of | 2194 |
the tax plus penalty, which interest shall be computed from the | 2195 |
date the tax is due until it is paid. For purposes of this | 2196 |
section, payment is considered made when it is received by the | 2197 |
treasurer of state, irrespective of any United States postal | 2198 |
service marking or other stamp or mark indicating the date on | 2199 |
which the payment may have been mailed. This section does not | 2200 |
apply to: | 2201 |
(A) Insurance obtained pursuant to sections 3905.30 to | 2202 |
3905.35 of the Revised Code; | 2203 |
(B) Transactions in this state involving a policy solicited, | 2204 |
written, and delivered outside this state covering only subjects | 2205 |
of insurance not resident, located, or to be performed in this | 2206 |
state at the time of issuance, provided such transactions are | 2207 |
subsequent to the issuance of the policy; | 2208 |
(C) Attorneys-at-law acting on behalf of their clients in | 2209 |
the adjustment of claims or losses; | 2210 |
(D) Any insurance company underwriter issuing contracts of | 2211 |
insurance to employer insureds or contracts of insurance issued to | 2212 |
an employer insured. For purposes of this section an "employer | 2213 |
insured" is an insured: | 2214 |
(1) Who procures the insurance of any risk or risks by use | 2215 |
of the services of a full-time employee acting as an insurance | 2216 |
manager or buyer or the services of a regularly and continuously | 2217 |
qualified insurance consultant. As used in division (D)(1) of | 2218 |
this section, a "regularly and continuously qualified insurance | 2219 |
consultant" does not include any person licensed under Chapter | 2220 |
3905. of the Revised Code. | 2221 |
(2) Whose aggregate annual premiums for insurance on all | 2222 |
risks total at least twenty-five thousand dollars; and | 2223 |
(3) Who has at least twenty-five full-time employees. | 2224 |
Each person licensed under section 3905.30 of the Revised | 2225 |
Code shall pay to the treasurer of state, on or before the | 2226 |
thirty-first day of January of each year, five per cent of the | 2227 |
balance of the gross premiums charged for insurance placed or | 2228 |
procured under the license after a deduction for return premiums, | 2229 |
as reported on a form prescribed by the treasurer of state. The | 2230 |
tax shall be collected from the insured by the surplus line broker | 2231 |
who placed or procured the policy of insurance at the time the | 2232 |
policy is delivered to the insured. No license issued under | 2233 |
section 3905.30 of the Revised Code shall be renewed until payment | 2234 |
is made. If the tax is not paid when due, the tax shall be | 2235 |
increased by a penalty of twenty-five per cent. An interest | 2236 |
charge computed as set forth in section 5725.221 of the Revised | 2237 |
Code shall be made on the entire sum of the tax plus penalty, | 2238 |
which interest shall be computed from the date the tax is due | 2239 |
until it is paid. For purposes of this section, payment is | 2240 |
considered made when it is received by the treasurer of state, | 2241 |
irrespective of any United States postal service marking or other | 2242 |
stamp or mark indicating the date on which the payment may have | 2243 |
been mailed. | 2244 |
| 2245 |
superintendent of insurance the following fees: | 2246 |
(A) Each insurance company doing business in this state | 2247 |
shall pay: | 2248 |
(1) For filing a copy of its charter or deed of settlement, | 2249 |
two hundred fifty dollars; | 2250 |
(2) For filing each statement, twenty-five dollars; | 2251 |
(3) For each certificate of authority or license, and | 2252 |
certified copy thereof, five dollars; | 2253 |
(4) For each copy of a paper filed in
| 2254 |
superintendent's office, twenty cents per page; | 2255 |
(5) For issuing certificates of deposits or certified copies | 2256 |
thereof, five dollars for the first certificate or copy and one | 2257 |
dollar for each additional certificate or copy; | 2258 |
(6) For issuing certificates of compliance or certified | 2259 |
copies thereof, twenty dollars; | 2260 |
(7) For affixing the seal of office and certifying | 2261 |
documents, other than those enumerated herein, two dollars. | 2262 |
(B) Each life insurance company doing business in this state | 2263 |
shall pay for annual valuation of its policies, one cent on every | 2264 |
one thousand dollars of insurance. | 2265 |
(C) Each foreign insurance company doing business in this | 2266 |
state shall pay for making and forwarding annually, semiannually, | 2267 |
and quarterly the interest checks and coupons accruing upon bonds | 2268 |
and securities deposited, fifty dollars each year on each one | 2269 |
hundred thousand dollars deposited. | 2270 |
(D) Each
| 2271 |
insurance
agent | 2272 |
dollars before admission to any examination required by the | 2273 |
superintendent
| 2274 |
appointing insurance company
| 2275 |
(E) Each domestic mutual life insurance company shall pay | 2276 |
for verifying that any amendment to its articles of incorporation | 2277 |
was regularly adopted, two hundred fifty dollars with each | 2278 |
application for verification. Any such amendment shall be | 2279 |
considered to have been regularly adopted when approved by the | 2280 |
affirmative vote of two-thirds of the policyholders present in | 2281 |
person or by proxy at any annual meeting of policyholders or at a | 2282 |
special meeting of policyholders called for that purpose. | 2283 |
| 2284 |
division (B) of section
| 2285 |
not apply to reinsurance ceded to affiliated companies. | 2286 |
| 2287 |
open an account in the name of each insurance company authorized | 2288 |
to do business in this state and in the name of any authorized | 2289 |
insurance agent, and charge the accounts with all fees incurred by | 2290 |
such companies or
agents in accordance with
sections
| 2291 |
2292 | |
3931.03 of the Revised Code, and other statutes imposing fees. The | 2293 |
statutory fee for each service requested shall be charged against | 2294 |
the proper
account
| 2295 |
service. | 2296 |
Not later than the tenth day of each calendar month the | 2297 |
superintendent shall render an itemized statement to each company | 2298 |
or agent whose account has been charged during the month next | 2299 |
preceding, showing the amount of all fees charged during that | 2300 |
month and demanding that payment thereof be made not later than | 2301 |
the first day of the month next following. | 2302 |
The failure of any insurance company within that time to pay | 2303 |
the amount of such fees in accordance with the monthly statement, | 2304 |
or, if the statement or account is found to be incorrect, in | 2305 |
accordance with a corrected monthly statement rendered by the | 2306 |
superintendent, is grounds for the revocation of its certificate | 2307 |
of authority to do business in this state. In the event of such | 2308 |
an order of revocation, the superintendent
shall
| 2309 |
immediately cause a notice thereof to be published once in at | 2310 |
least one newspaper at the seat of the government and also, if a | 2311 |
domestic company, once in at least one newspaper published in the | 2312 |
county where its home office is located, or, if a foreign or alien | 2313 |
company, once in at least one newspaper published in a county of | 2314 |
this state where an agency of the company is located. After the | 2315 |
publication of the notice, no agent of the company shall procure | 2316 |
applications for insurance or issue policies. | 2317 |
In the event of the failure of any agent within the time | 2318 |
fixed to pay the amount of fees charged against the agent's | 2319 |
account in accordance with the monthly statement rendered by the | 2320 |
superintendent, the agent's license may be revoked in the manner | 2321 |
provided by
| 2322 |
Revised Code. | 2323 |
Sec. 3905.482. (A) The superintendent of insurance shall | 2324 |
suspend the agent's license of any person who fails to meet the | 2325 |
requirements of section 3905.481 of the Revised Code and has not | 2326 |
been granted under division (B) of this section an extension of | 2327 |
time within which to complete the requirements. The suspension | 2328 |
shall become effective upon sixty days' written notice to the | 2329 |
person. The notice shall be sent by ordinary mail to the person's | 2330 |
residential address on the licensing records of the department of | 2331 |
insurance. During this sixty-day period, the person may provide | 2332 |
proof of compliance with the requirements of section 3905.481 of | 2333 |
the Revised Code. If the person fails to demonstrate such | 2334 |
compliance in a manner and form acceptable to the superintendent, | 2335 |
the superintendent shall suspend the person's license. The | 2336 |
suspension shall continue until the person demonstrates to the | 2337 |
satisfaction of the superintendent that the person has complied | 2338 |
with the requirements of section 3905.481 of the Revised Code and | 2339 |
all other provisions of this chapter. However, the superintendent | 2340 |
2341 | |
such
compliance within
| 2342 |
the immediately preceding twenty-four-month compliance period and | 2343 |
has not been granted under division (B) of this section an | 2344 |
extension
of time within which to
complete the requirements.
| 2345 |
2346 | |
2347 | |
2348 | |
2349 |
(B) If a person cannot meet the requirements of section | 2350 |
3905.481 of the Revised Code due to a disability or inactivity due | 2351 |
to special circumstances, the superintendent may grant the person | 2352 |
a reasonable extension of time to enable the person to comply with | 2353 |
the requirements of section 3905.481 of the Revised Code for the | 2354 |
period of the disability or inactivity. The superintendent may | 2355 |
revoke the license if the person fails to demonstrate such | 2356 |
compliance within that time period. | 2357 |
(C) Before revoking
| 2358 |
this section, the superintendent shall provide the licensee notice | 2359 |
and an opportunity for a hearing in accordance with Chapter 119. | 2360 |
of the Revised Code. Any person whose license has been revoked | 2361 |
under this section and who desires to hold a license as an | 2362 |
insurance agent under this chapter shall apply for a new insurance | 2363 |
agent's license in accordance with the requirements of this | 2364 |
chapter. | 2365 |
(D) The superintendent may adopt rules in accordance with | 2366 |
Chapter 119. of the Revised Code relative to the manner and form | 2367 |
of demonstrating compliance with the requirements of section | 2368 |
3905.481 of the Revised Code that is acceptable to the | 2369 |
superintendent for purposes of this section. | 2370 |
Sec. 3905.483. (A) There is hereby created the insurance | 2371 |
agent education advisory council to advise the superintendent of | 2372 |
insurance in carrying out the duties imposed under sections | 2373 |
2374 |
(B) The council shall be composed of the superintendent, or | 2375 |
the superintendent's designee, and eleven members appointed by the | 2376 |
superintendent, as follows: | 2377 |
(1) One representative of the association of Ohio life | 2378 |
insurance companies; | 2379 |
(2) One representative of the independent insurance agents | 2380 |
of Ohio; | 2381 |
(3) One representative of the Ohio association of health | 2382 |
underwriters; | 2383 |
(4) One representative of the Ohio association of life | 2384 |
underwriters; | 2385 |
(5) One representative of the Ohio insurance institute; | 2386 |
(6) One representative of the professional insurance agents | 2387 |
association of Ohio; | 2388 |
(7) Two insurance agents each of whom has been licensed | 2389 |
continuously during the five-year period immediately preceding the | 2390 |
agent's appointment; | 2391 |
(8) One representative of an insurance company admitted to | 2392 |
transact business in this state; | 2393 |
(9) Two representatives of consumers, one of whom shall be | 2394 |
at least sixty years of age. | 2395 |
(C) Of the initial appointments made by the superintendent, | 2396 |
three shall be for terms ending December 31, 1994, four shall be | 2397 |
for terms ending December 31, 1995, and four shall be for terms | 2398 |
ending December 31, 1996. Thereafter, terms of office shall be | 2399 |
for three years, each term ending on the thirty-first day of | 2400 |
December of the third year. | 2401 |
(D) Each member shall hold office from the date of | 2402 |
appointment until the end of the term for which the member was | 2403 |
appointed. Any member appointed to fill a vacancy occurring prior | 2404 |
to the expiration of the term for which the member's predecessor | 2405 |
was appointed shall hold office for the remainder of such term. | 2406 |
Any member shall continue in office subsequent to the expiration | 2407 |
date of the member's term until the member's successor takes | 2408 |
office, or until a period of sixty days has elapsed, whichever | 2409 |
occurs first. A vacancy shall be filled in the same manner as the | 2410 |
original appointment. | 2411 |
(E) Initial appointments to the council shall be made no | 2412 |
later than thirty days after April 16, 1993. | 2413 |
(F) Any member is eligible for reappointment. The | 2414 |
superintendent, after notice and opportunity for a hearing, may | 2415 |
remove for cause any member the superintendent appoints. | 2416 |
(G) The superintendent or the superintendent's designee | 2417 |
shall serve as chairperson of the council. Meetings shall be held | 2418 |
upon the call of the chairperson and as may be provided by | 2419 |
procedures adopted by the superintendent. Seven members of the | 2420 |
council constitute a quorum. | 2421 |
(H) Each member shall receive mileage and necessary and | 2422 |
actual expenses while engaged in the business of the council. | 2423 |
Sec. 3905.484. (A) The superintendent of insurance, in | 2424 |
consultation with the insurance agent education advisory council, | 2425 |
shall establish criteria for any course or program of study that | 2426 |
is offered in this state under
section 3905.04 or sections
| 2427 |
3905.481 to 3905.486 of the Revised Code. | 2428 |
(B) No course or program of study shall be offered in this | 2429 |
state under
section 3905.04 or sections
| 2430 |
3905.486 of the Revised Code unless it is approved by the | 2431 |
superintendent in consultation with the council. | 2432 |
(C) A course or program of study offered in this state under | 2433 |
section 3905.04 or
sections
| 2434 |
Revised Code shall be developed or sponsored only by one of the | 2435 |
following: | 2436 |
(1) An insurance company admitted to transact business in | 2437 |
this state; | 2438 |
(2) An accredited college or university; | 2439 |
(3) An insurance trade association; | 2440 |
(4) An independent program of instruction that is approved | 2441 |
by the superintendent in consultation with the council; | 2442 |
(5) Any institution as defined in section 1713.01 of the | 2443 |
Revised Code that holds a certificate of authorization issued by | 2444 |
the Ohio board of regents under Chapter 1713. of the Revised Code | 2445 |
or is exempt under that chapter from the requirements for a | 2446 |
certificate of authorization. | 2447 |
(D) Any person who teaches any approved course or program of | 2448 |
study qualifies for the same number of classroom hours as would be | 2449 |
granted to any person who takes and successfully completes that | 2450 |
course or program. | 2451 |
Sec. 3905.486. The superintendent of insurance shall adopt | 2452 |
rules in accordance with Chapter 119. of the Revised Code to carry | 2453 |
out the purposes of
sections
| 2454 |
3905.486 of the Revised Code. In adopting any rules, the | 2455 |
superintendent shall consider any recommendations made by the | 2456 |
insurance agent education advisory council. | 2457 |
| 2458 |
section 3905.50 of the Revised Code, "independent insurance agent" | 2459 |
means an insurance agent who is neither employed nor controlled | 2460 |
solely by an insurer, whose agency contract with an insurer | 2461 |
provides that upon termination of the contract, the ownership of | 2462 |
the property rights of all expiration information vests in the | 2463 |
agent or
| 2464 |
contract with an insurer permits the agent to represent | 2465 |
concurrently other
insurers of
| 2466 |
(B) No agent other than an independent insurance agent shall | 2467 |
represent
| 2468 |
an independent insurance agent or agency. | 2469 |
Sec. 3905.50. (A)(1) Except as provided in division (A)(2) | 2470 |
or (3) of this section, this section applies to every contract of | 2471 |
agency between a property and casualty insurance company and an | 2472 |
independent insurance agent, as defined in division (A) of section | 2473 |
2474 | |
not less than two years. | 2475 |
(2) This section does not apply to a contract of exclusive | 2476 |
employment by, or an exclusive agency contract with, a single | 2477 |
insurer or group of insurers under common ownership or control. | 2478 |
(3) This section does not apply to an agent whose license | 2479 |
has been suspended or revoked by the superintendent of insurance, | 2480 |
an agent who has demonstrated gross incompetence, or an agent | 2481 |
whose contract has been terminated for insolvency, abandonment, | 2482 |
gross or willful misconduct, or failure to pay to the insurer, in | 2483 |
accordance with the agency contract, moneys due to the insurer | 2484 |
upon written demand of the insurer. | 2485 |
(B) No insurer shall terminate an independent insurance | 2486 |
agent contract of agency except by mutual agreement of the parties | 2487 |
or upon one hundred eighty days' written notice to the independent | 2488 |
insurance agent. | 2489 |
(1) Such notice shall include specific reasons for the | 2490 |
termination of the agent. | 2491 |
(2) Such notice shall be sent by certified mail, return | 2492 |
receipt requested, to the last known address of the agency. | 2493 |
(C) During the one hundred eighty day notice period, an | 2494 |
independent insurance agent shall not write or bind any new | 2495 |
policies on behalf of an insurer without written approval from the | 2496 |
insurer. However, during such period, an independent insurance | 2497 |
agent, subject to the current underwriting rules, guidelines, | 2498 |
commission rates, and practices of the insurer, may renew or | 2499 |
effect any necessary changes or endorsements of outstanding | 2500 |
policies of insurance that are in force prior to the date of | 2501 |
receipt of the notice of termination. | 2502 |
(D) None of the following constitutes an acceptable reason | 2503 |
for the termination of a contract of agency: | 2504 |
(1) Claims experience of the agent in a single year; | 2505 |
(2) Claims experience due to
| 2506 |
nature covered by a policy; | 2507 |
(3) Claims experience under uninsured and underinsured | 2508 |
motorist coverages. | 2509 |
(E) An agent aggrieved by the conduct of an insurer in its | 2510 |
breach or termination of a contract of agency may file with the | 2511 |
superintendent a request that the superintendent review the action | 2512 |
to determine whether it is in accord with this section and the | 2513 |
lawful provisions of the contract of agency and send a copy of the | 2514 |
request to the insurer at the address of the office issuing the | 2515 |
notice of termination. Upon receipt of such a request, an insurer | 2516 |
shall promptly provide the independent insurance agent and | 2517 |
superintendent with documentation in support of the insurer's | 2518 |
stated reason for termination. | 2519 |
(F) The superintendent shall promptly investigate the | 2520 |
allegation. If the superintendent has reasonable cause to believe | 2521 |
that this section or the lawful provisions of the contract of | 2522 |
agency have been violated,
| 2523 |
thirty days of receipt of a request for review, conduct an | 2524 |
adjudication hearing subject to Chapter 119. of the Revised Code, | 2525 |
held upon not less than ten days' written notice to the agent and | 2526 |
the insurer. Pending a final order in the adjudication hearing, | 2527 |
the superintendent may take such interim action as necessary to | 2528 |
protect the parties or the public. During the pendency of the | 2529 |
proceeding before the superintendent, the contract of agency | 2530 |
subject to the proceeding continues in force
and
| 2531 |
(C) of this section applies. The superintendent shall, within | 2532 |
thirty days following such hearing, issue an order approving or | 2533 |
disapproving the action of the insurer. All final orders and | 2534 |
decisions of the superintendent are subject to judicial review as | 2535 |
provided in Chapter 119. of the Revised Code. | 2536 |
(G) An insurer shall not cancel or nonrenew any policy of | 2537 |
insurance written through an agent upon the sole ground of the | 2538 |
termination of the agency until the expiration of the policy term | 2539 |
or the twelve-month period following the effective date of the | 2540 |
termination of the contract of agency, whichever is earlier. | 2541 |
However, during such period, an independent insurance agent may, | 2542 |
subject to the current underwriting rules, guidelines, commission | 2543 |
rates, and practices of the insurer, effect any necessary changes | 2544 |
or endorsements to outstanding policies of insurance that are in | 2545 |
force prior to the date of termination. | 2546 |
This section does not abridge, restrict, or supersede the | 2547 |
rights of an agent to the ownership of expirations provided for in | 2548 |
any contract with an insurer. | 2549 |
(H) Any information or documentation provided to an agent or | 2550 |
the superintendent by an insurer under this section is | 2551 |
confidential and shall be used by the superintendent only in the | 2552 |
exercise of the proper functions authorized by this section. No | 2553 |
insurer is liable for furnishing information or documentation in | 2554 |
compliance with this section if the insurer acts without malice | 2555 |
and in the reasonable belief that such information or | 2556 |
documentation is warranted by this section. | 2557 |
Sec. 3905.72. (A)(1) No person shall act as a managing | 2558 |
general agent representing an insurer licensed in this state with | 2559 |
respect to risks located in this state unless the person is | 2560 |
licensed as a managing general agent pursuant to division (C) or | 2561 |
(D) of this section. | 2562 |
(2) No person shall act as a managing general agent | 2563 |
representing an insurer organized under the laws of this state | 2564 |
with respect to risks located outside this state unless the person | 2565 |
is licensed as a managing general agent pursuant to division (C) | 2566 |
of this section. | 2567 |
(B) Every person that seeks to act as a managing general | 2568 |
agent as described in division (A) of this section shall apply to | 2569 |
the superintendent of insurance for a license.
| 2570 |
otherwise provided in division (D) of this section, the | 2571 |
application shall be in writing on a form provided by the | 2572 |
superintendent and shall be sworn or affirmed before a notary | 2573 |
public or other person empowered to administer oaths. The | 2574 |
application shall be kept on file by the superintendent and shall | 2575 |
include all of the following: | 2576 |
(1) The name and principal business address of the | 2577 |
applicant; | 2578 |
(2) If the applicant is an individual,
| 2579 |
current occupation; | 2580 |
(3) If the applicant is an individual,
| 2581 |
occupation or occupations during the five-year period prior to | 2582 |
applying for the license to act as a managing general agent; | 2583 |
(4) A copy of the contract between the applicant and the | 2584 |
insurer as required by, and in compliance with, section 3905.73 of | 2585 |
the Revised Code; | 2586 |
(5) A copy of a certified resolution of the board of | 2587 |
directors of the insurer on whose behalf the applicant will act, | 2588 |
appointing the applicant as a managing general agent and agent of | 2589 |
the insurer, specifying the duties the applicant is expected to | 2590 |
perform on behalf of the insurer and the lines of insurance the | 2591 |
applicant will manage, and authorizing the insurer to enter into a | 2592 |
contract with the applicant as required by section 3905.73 of the | 2593 |
Revised Code; | 2594 |
(6) A statement that the applicant submits to the | 2595 |
jurisdiction of the superintendent and the courts of this state; | 2596 |
(7) Any other information required by the superintendent. | 2597 |
(C) The superintendent shall issue to a resident of this | 2598 |
state or
| 2599 |
state a license to act as a managing general agent representing an | 2600 |
insurer licensed to do business in this state with respect to | 2601 |
risks located in this state or a license to act as a managing | 2602 |
general agent representing an insurer organized under the laws of | 2603 |
this state with respect to risks located outside this state, and | 2604 |
shall renew such a license, if the superintendent is satisfied | 2605 |
that all of the following conditions are met: | 2606 |
(1) The applicant is a suitable person and intends to hold | 2607 |
2608 |
(2) The applicant is honest, trustworthy, and understands | 2609 |
the duties and obligations of a managing general agent. | 2610 |
(3) The applicant has filed a completed application that | 2611 |
complies with division (B) of this section. | 2612 |
(4) The applicant has paid a fee in the amount of twenty | 2613 |
dollars. | 2614 |
(5) The applicant maintains a bond in the amount of not less | 2615 |
than fifty thousand dollars for the protection of the insurer. | 2616 |
(6) The applicant maintains an errors and omissions policy | 2617 |
of insurance. | 2618 |
(7) The applicant is not, and has never been, under an order | 2619 |
of suspension or revocation under section 3905.77 of the Revised | 2620 |
Code or under any other law of this state, or any other state, | 2621 |
relating to insurance, and is otherwise in compliance with | 2622 |
sections 3905.71 to 3905.79 of the Revised Code and all other laws | 2623 |
of this state relating to insurance. | 2624 |
(D) If the applicant is a resident of another state or a | 2625 |
business entity organized under the laws of another state, the | 2626 |
applicant shall submit a request for licensure, along with a fee | 2627 |
of twenty dollars, to the superintendent. The superintendent shall | 2628 |
issue a license to act as a managing general agent if the request | 2629 |
for licensure includes proof that the applicant is licensed and in | 2630 |
good standing as a managing general agent in the applicant's home | 2631 |
state and either a copy of the application for licensure the | 2632 |
applicant submitted to the applicant's home state or the | 2633 |
application described in division (B) of this section. | 2634 |
If the applicant's home state does not license managing | 2635 |
general agents under provisions similar to those in sections | 2636 |
3905.71 to 3905.79 of the Revised Code, or if the applicant's home | 2637 |
state does not grant licenses to residents of this state on the | 2638 |
same reciprocal basis, the applicant shall comply with divisions | 2639 |
(B) and (C) of this section. | 2640 |
(E) Unless suspended or revoked by an order of the | 2641 |
superintendent pursuant to section 3905.77 of the Revised Code and | 2642 |
except as provided in division
| 2643 |
issued or renewed pursuant to division (C) or (D) of this section | 2644 |
shall expire on the last day of February next after its issuance | 2645 |
or renewal. | 2646 |
| 2647 |
terminated by the insurer, the license of the managing general | 2648 |
agent shall expire on the date of the termination. | 2649 |
| 2650 |
standard renewal procedure specified in Chapter 4745. of the | 2651 |
Revised Code. | 2652 |
| 2653 |
2654 | |
the credit of the department of insurance operating fund. | 2655 |
Sec. 3905.85. (A) An applicant for a license as a surety | 2656 |
bail bond agent shall submit an application for the license in a | 2657 |
manner prescribed by the superintendent of insurance. The | 2658 |
application shall be accompanied by a one hundred fifty dollar fee | 2659 |
and a statement that gives the applicant's name, age, residence, | 2660 |
present occupation, occupation for the five years next preceding | 2661 |
the date of the application, and such other information as the | 2662 |
superintendent may require. | 2663 |
The applicant shall also request a criminal records check | 2664 |
conducted by the superintendent of the bureau of criminal | 2665 |
identification and investigation in accordance with section | 2666 |
109.572 of the Revised Code, and direct that the bureau's written | 2667 |
response to that request be transmitted to the superintendent of | 2668 |
insurance, or to the superintendent's designee, as specified on | 2669 |
the form prescribed pursuant to that section. The superintendent | 2670 |
of insurance, in the superintendent's discretion, may designate | 2671 |
other governmental agencies or other sources to conduct the | 2672 |
criminal records check. If the superintendent of insurance or the | 2673 |
superintendent's designee fails
to receive
| 2674 |
to
| 2675 |
or if the applicant fails to request the criminal records check, | 2676 |
the superintendent may refuse to issue a license under this | 2677 |
section. The applicant shall pay any fee
required
| 2678 |
for conducting the criminal records check. | 2679 |
An applicant for a license shall submit to an examination as | 2680 |
to the qualifications set forth in division (B) of this section. | 2681 |
(B) The superintendent of insurance shall issue to an | 2682 |
applicant a license that states in substance that the person is | 2683 |
authorized to do the business of a surety bail bond agent, if the | 2684 |
superintendent is satisfied that all of the following apply: | 2685 |
(1) If the applicant is a natural person, the applicant is | 2686 |
eighteen years of age or older. | 2687 |
(2) The applicant is a person of high character and | 2688 |
integrity. | 2689 |
(3) The applicant has successfully completed the educational | 2690 |
requirements set forth in
section
| 2691 |
Code and passed the examination required by that section. | 2692 |
(C) A surety bail bond agent license issued pursuant to this | 2693 |
section authorizes the holder, when appointed by an insurer, to | 2694 |
execute or countersign bail bonds in connection with judicial | 2695 |
proceedings and to receive money or other things of value for | 2696 |
those services. However, the holder shall not execute or deliver | 2697 |
a bond during the first one hundred eighty days after the license | 2698 |
is initially issued. This restriction does not apply with respect | 2699 |
to license renewals. | 2700 |
(D) The superintendent of insurance may suspend or revoke a | 2701 |
surety bail bond agent's license as provided in section 3905.482 | 2702 |
of the Revised Code, and may suspend, revoke, or refuse to issue | 2703 |
or renew such a license as provided in section
| 2704 |
the Revised Code. | 2705 |
If the superintendent refuses to issue such a license based | 2706 |
in
whole or in part upon the
| 2707 |
criminal records check requested pursuant to division (A) of this | 2708 |
section, the superintendent shall send a copy of the response that | 2709 |
2710 | |
superintendent's designee, to the applicant at the applicant's | 2711 |
home address upon the applicant's submission of a written request | 2712 |
to the superintendent. | 2713 |
(E) Any person licensed as a surety bail bond agent may | 2714 |
surrender the person's license in accordance with section
| 2715 |
3905.16 of the Revised Code. | 2716 |
(F) Unless revoked or suspended by the superintendent of | 2717 |
insurance or surrendered by the surety bail bond agent, such a | 2718 |
license may, in the discretion of the superintendent and the | 2719 |
payment of a one
hundred fifty dollar fee, be
| 2720 |
reviewed effective the
| 2721 |
its issue and after the
| 2722 |
succeeding year. | 2723 |
(G) The superintendent of insurance may prescribe the forms | 2724 |
to be used as evidence of the issuance of a license under this | 2725 |
section. The superintendent shall require each licensee to | 2726 |
acquire, from a source designated by the superintendent, a wallet | 2727 |
identification card that includes the licensee's photograph and | 2728 |
any other information required by the superintendent. The | 2729 |
licensee shall keep the wallet identification card on the | 2730 |
licensee's person while engaging in the bail bond business. | 2731 |
(H)(1) The superintendent of insurance shall not issue or | 2732 |
renew
the license of a
| 2733 |
2734 | |
or any other
state unless
the
| 2735 |
2736 | |
this state under the applicable provisions of Title XVII of the | 2737 |
Revised Code. | 2738 |
(2) The failure of a
| 2739 |
2740 | |
secretary of state or to maintain a valid appointment of statutory | 2741 |
agent is grounds for suspending, revoking, or refusing to renew | 2742 |
its license. | 2743 |
(3) By applying for a surety bail bond agent license under | 2744 |
this
section, an individual | 2745 |
2746 | |
the courts of this state. | 2747 |
(I) A surety bail bond agent licensed pursuant to this | 2748 |
section is an officer of the court. | 2749 |
(J) Any fee collected under this section shall be paid into | 2750 |
the state treasury to the credit of the department of insurance | 2751 |
operating fund created by section 3901.021 of the Revised Code. | 2752 |
Sec. 3905.861. An insurer that appoints a surety bail bond | 2753 |
agent who is a
member
of
| 2754 |
2755 | |
other surety bail
bond
agents who are members of the
same
| 2756 |
2757 | |
entity be appointed to represent that insurer. | 2758 |
Sec. 3905.89. Each person licensed under sections 3905.83 to | 2759 |
3905.95 of the Revised Code shall notify in writing the | 2760 |
appropriate insurer or managing general agent, and the clerk of | 2761 |
the court of common pleas of the county in which the licensee | 2762 |
resides, within thirty days after a change in the licensee's | 2763 |
principal business address or telephone number. | 2764 |
This notification requirement is in addition to the | 2765 |
notification
requirements set forth in
| 2766 |
provisions of
| 2767 |
Sec. 3905.94. If the superintendent of insurance, in | 2768 |
accordance
with section
| 2769 |
suspends or revokes a person's license as a surety bail bond | 2770 |
agent, the person, during the period of suspension or revocation, | 2771 |
shall not be employed by any surety bail bond agent, have any | 2772 |
ownership interest in any business involving bail bonds, or have | 2773 |
any financial interest of any type in any bail bond business. | 2774 |
Sec. 3905.99. (A) Whoever violates
| 2775 |
2776 | |
fined not less than twenty-five nor more than five hundred dollars | 2777 |
or imprisoned not more than six months, or both. | 2778 |
(B) Whoever violates section 3905.31 or 3905.33 of the | 2779 |
Revised Code shall be fined not less than twenty-five nor more | 2780 |
than five hundred dollars or imprisoned not more than one year, or | 2781 |
both. | 2782 |
(C) Whoever violates section 3905.37 or 3905.43 of the | 2783 |
Revised Code shall be fined not less than one hundred nor more | 2784 |
than five hundred dollars. | 2785 |
(D) Whoever violates section
| 2786 |
of section 3905.92, or division (A) of section 3905.931 of the | 2787 |
Revised Code is guilty of a misdemeanor of the first degree. | 2788 |
(E) Whoever violates section 3905.84 of the Revised Code is | 2789 |
guilty of a misdemeanor of the first degree on a first or second | 2790 |
offense and of a felony of the third degree on each subsequent | 2791 |
offense. | 2792 |
Sec. 3907.19. The president or vice-president, and the | 2793 |
secretary or actuary, or a majority of the directors of each | 2794 |
insurance company organized under the laws of this state, annually | 2795 |
on the first day of January, or within sixty days thereafter, | 2796 |
shall prepare under oath and deposit in the office of the | 2797 |
superintendent of insurance, a statement showing the condition of | 2798 |
the company on the thirty-first day of the December next | 2799 |
preceding. The statement shall be submitted on the forms adopted | 2800 |
by the superintendent pursuant to section
| 2801 |
Revised Code, and shall exhibit the following items: | 2802 |
(A) The number of policies issued during the year; | 2803 |
(B) The amount of insurance effected by such policies; | 2804 |
(C) The amount of premiums received during the year; | 2805 |
(D) The amount of interest and all other receipts, | 2806 |
specifying the items; | 2807 |
(E) The amount paid to policyholders of the company for | 2808 |
losses during the year; | 2809 |
(F) The amount of all other expenditures and disbursements | 2810 |
of the company, specifying such items as the superintendent calls | 2811 |
for; | 2812 |
(G) The amount of losses unpaid; | 2813 |
(H) The whole number of policies in force; | 2814 |
(I) The amount insured by such policies; | 2815 |
(J) The amount of reserve on all policies in force, | 2816 |
calculated by the American Experience Table of Mortality, with | 2817 |
interest at four per cent annually, or calculated by any other | 2818 |
higher standard that the company has adopted, and the unearned | 2819 |
premium on all personal accident and sickness insurance in force; | 2820 |
(K) The amount of capital stock, specifying amount paid and | 2821 |
unpaid; | 2822 |
(L) The amount of dividends unpaid and the amount of all | 2823 |
other liabilities; | 2824 |
(M) A detailed statement of all the assets of the company, | 2825 |
and the manner of their investment; | 2826 |
(N) An exhibit of the policy obligations of the company, | 2827 |
which shall include: | 2828 |
(1) In the first annual statement, a schedule showing the | 2829 |
number, date, age when insured, amount insured, term of policy, | 2830 |
term of premium, and amount of premium, of all policies issued, | 2831 |
schedules of all policies canceled, revived, changed, reduced, or | 2832 |
increased and a schedule of reinsurances in other companies; | 2833 |
(2) In every succeeding annual statement, a schedule of the | 2834 |
items listed in division (N)(1) of this section as to all policies | 2835 |
issued during the year, and similar schedules of policies | 2836 |
canceled, revived, changed, reduced, or increased during the year, | 2837 |
together with schedules of reinsurances in other companies and | 2838 |
schedules of additions to policies, and a list of all other | 2839 |
obligations of the company requiring valuation. | 2840 |
An exhibit of the policy obligations of the company may be | 2841 |
required more often than once a year. | 2842 |
Sec. 3909.06. Every life insurance company organized by act | 2843 |
of congress or under the laws of another state of the United | 2844 |
States doing business in this state, annually shall file a | 2845 |
statement of its condition and affairs in the office of the | 2846 |
superintendent of insurance, and such statement shall be filed on | 2847 |
the forms adopted by the superintendent pursuant to section | 2848 |
2849 |
Sec. 3911.011. (A) No policy, annuity, or other contract | 2850 |
providing variable or fixed and variable benefits or contractual | 2851 |
payments shall be delivered or issued for delivery in this state | 2852 |
except by a life insurance company, organized under the laws of | 2853 |
this state, or a company, partnership, or association, organized | 2854 |
or incorporated, by an act of congress, or under the laws of this | 2855 |
or any other state of the United States, or any foreign | 2856 |
government, and transacting the business of life insurance in this | 2857 |
state. No such company, partnership or association shall deliver | 2858 |
or issue for delivery in this state any such policy, annuity, or | 2859 |
contract until the superintendent of insurance has determined that | 2860 |
its condition and methods of operation in connection with the | 2861 |
issuance of
| 2862 |
render its operation hazardous to the public or to the holders of | 2863 |
its policies, annuities, and other contracts in this state. In | 2864 |
making such determination, the superintendent shall consider the | 2865 |
history, reputation, and financial condition
of
| 2866 |
partnership, or association, and the character, responsibility, | 2867 |
and general fitness of its officers, directors, partners, or | 2868 |
associates. In making such determination with respect to a | 2869 |
company, partnership, or association not organized under the laws | 2870 |
of this state, the superintendent shall also consider whether the | 2871 |
laws and regulations of its domicile provide a degree of | 2872 |
protection to the public and the holders of its policies, | 2873 |
annuities, and other contracts substantially equal to that | 2874 |
provided by this section and any rules adopted by the | 2875 |
superintendent pursuant to division (C) of this section. If any | 2876 |
such company is a subsidiary of, or affiliated through management | 2877 |
or ownership with, a life insurance company authorized to do | 2878 |
business in this state, the superintendent may consider the | 2879 |
requirements of this division to have been satisfied if either | 2880 |
such company or its parent or affiliated company meets such | 2881 |
requirements. | 2882 |
(B) No policy, annuity, or other contract described in | 2883 |
division (A) of this section and no certificate, application, | 2884 |
endorsement, or rider to be used in connection with any such | 2885 |
policy, annuity, or other contract shall be delivered, or issued | 2886 |
for delivery, in this state until a copy thereof has been filed | 2887 |
with the superintendent. The superintendent shall, within thirty | 2888 |
days after the filing of any such form, disapprove the same
| 2889 |
2890 | |
are unjust, unfair, inequitable, misleading, or deceptive, | 2891 |
encourage misrepresentation of the coverage, or are contrary to | 2892 |
the
insurance laws of this state or any rule adopted by
| 2893 |
superintendent pursuant to division (C) of this section. When the | 2894 |
superintendent notifies a company, partnership, or association | 2895 |
that a form has been disapproved, it shall be unlawful thereafter | 2896 |
for
| 2897 |
2898 | |
specify the reason for
| 2899 |
hearing will be granted in twenty days after request in writing. | 2900 |
No such policy, contract, certificate, application, endorsement, | 2901 |
or rider shall be issued or used until the expiration of thirty | 2902 |
days after it has been so filed, unless the superintendent gives | 2903 |
written approval thereto. The superintendent may, at any time | 2904 |
after a hearing held not less than twenty days after written | 2905 |
notice to the insurer, withdraw
| 2906 |
on any ground set forth in this division. The written notice of | 2907 |
such hearing shall state the reason for the proposed withdrawal. | 2908 |
The company, partnership, or
association shall not issue
| 2909 |
form or use it after the
effective date of
| 2910 |
Any order or formal determination of the superintendent under this | 2911 |
division shall be subject to judicial review as provided in | 2912 |
section 119.12 of the Revised Code. | 2913 |
(C) The superintendent shall have the sole and exclusive | 2914 |
power and authority to regulate the sale, delivery, and issuance | 2915 |
for delivery in this state of policies, annuities, and other | 2916 |
contracts described in division (A) of this section and, subject | 2917 |
to
| 2918 |
Revised Code, to adopt, amend, and rescind rules necessary to | 2919 |
discharge
| 2920 |
superintendent's power and authority under
| 2921 |
section 3907.15 of the Revised Code and this section, including, | 2922 |
but not limited to, the adoption of a definition of a subsidiary | 2923 |
or affiliated corporation under section 3907.15 of the Revised | 2924 |
Code. | 2925 |
(D) Except for Chapter 3915. and except as otherwise | 2926 |
provided in sections
| 2927 |
Code, all pertinent provisions of Title XXXIX of the Revised Code | 2928 |
apply to all policies, annuities, and other contracts providing | 2929 |
variable or fixed and variable benefits or contractual payments | 2930 |
and all separate accounts established in connection therewith. The | 2931 |
reserve liability for such policies, annuities, and contracts | 2932 |
shall be established in accordance with actuarial procedures that | 2933 |
recognize the variable nature of the benefits and guarantees | 2934 |
provided. | 2935 |
Chapter 1707. of the Revised Code does not apply to any | 2936 |
policy, annuity, or other contract providing fixed, variable, or | 2937 |
fixed and variable benefits or contractual payments,
| 2938 |
issued by any company, partnership, or association authorized to | 2939 |
transact the business of life insurance in this state. | 2940 |
Sec. 3923.121. (A) As used in this section: | 2941 |
(1) "Association" means a voluntary unincorporated | 2942 |
association of insurers formed for the sole purpose of enabling | 2943 |
cooperative action to provide sickness and accident insurance in | 2944 |
accordance with this section. | 2945 |
(2) "Insurer" means any insurance company authorized to do | 2946 |
the business of sickness and accident insurance in this state. | 2947 |
(3) "Insured" means a person covered under a group policy | 2948 |
issued pursuant to this section. | 2949 |
(B) Any insurer may join with one or more other insurers, in | 2950 |
an association, to offer, sell, and issue to a policyholder | 2951 |
selected by the association a policy of group insurance against | 2952 |
major financial loss from sickness and accident covering residents | 2953 |
of this state who are sixty-five years of age or older and the | 2954 |
spouses of such residents. The insurance shall be offered, | 2955 |
issued, and administered in the name of the association. | 2956 |
Membership in the association shall be open to any insurer and | 2957 |
each insurer which participates shall be liable for a specified | 2958 |
percentage of the risks. The policy may be executed on behalf of | 2959 |
the association by a duly authorized person and need not be | 2960 |
countersigned by an agent. | 2961 |
(C) The persons eligible for coverage under the policy shall | 2962 |
be all residents of this state who are sixty-five years of age or | 2963 |
older and their spouses, subject to reasonable underwriting | 2964 |
restrictions to be set forth in the plan of the association. The | 2965 |
policy may provide basic hospital and surgical coverage, basic | 2966 |
medical coverage, major medical coverage, and any combination of | 2967 |
these; provided that it shall not be required as a condition for | 2968 |
obtaining major medical coverage that any basic coverage be taken. | 2969 |
(D) The association shall file with the superintendent of | 2970 |
insurance any policy, contract, certificate, or other evidence of | 2971 |
insurance, application, or other forms pertaining to such | 2972 |
insurance together with the premium rates to be charged therefor. | 2973 |
The superintendent may approve, disapprove, and withdraw approval | 2974 |
of the forms in accordance with section 3923.02 of the Revised | 2975 |
Code, or the premium rates if by reasonable assumptions such rates | 2976 |
are excessive in relation to the benefits provided. In | 2977 |
determining whether such rates by reasonable assumptions are | 2978 |
excessive in relation to the benefits provided the superintendent | 2979 |
shall give due consideration to past and prospective claim | 2980 |
experience, within and outside this state, and to fluctuations in | 2981 |
such claim experience, to a reasonable risk charge, to | 2982 |
contribution to surplus and contingency funds, to past and | 2983 |
prospective expenses, both within and outside this state, and to | 2984 |
all other relevant factors within and outside this state, | 2985 |
including any differing operating methods of the insurers joining | 2986 |
in the issuance of the policy. In reviewing the forms the | 2987 |
superintendent shall not be bound by the requirements of sections | 2988 |
3923.04 to 3923.07 of the Revised Code with respect to standard | 2989 |
provisions to be included in sickness and accident policies or | 2990 |
forms. | 2991 |
(E) The association may enroll eligible persons for coverage | 2992 |
under the policy through any insurance agent licensed to sell | 2993 |
sickness and accident insurance pursuant to Chapter 3905. of the | 2994 |
Revised Code or section
| 2995 |
the Revised Code. | 2996 |
(F) The association shall file annually with the | 2997 |
superintendent on such date and in such form as the superintendent | 2998 |
may prescribe, a financial summary of its operations. | 2999 |
(G) The association may sue and be sued in its associate | 3000 |
name and for such purposes only shall be treated as a domestic | 3001 |
corporation. Service of process against the association made upon | 3002 |
a managing agent, any member thereof, or any agent authorized by | 3003 |
appointment to receive service of process, shall have the same | 3004 |
force and effect as if the service had been made upon all members | 3005 |
of the association. | 3006 |
(H) Under any policy issued as provided in this section, the | 3007 |
policyholder, or such person as the policyholder shall designate, | 3008 |
shall alone be a member of each domestic mutual insurance company | 3009 |
joining in the issue of the policy and shall be entitled to one | 3010 |
vote by virtue of such policy at the meetings of each such mutual | 3011 |
insurance company. Notice of the annual meetings of each such | 3012 |
mutual insurance company may be given by written notice to the | 3013 |
policyholder or as otherwise prescribed in the policy. | 3014 |
Sec. 3929.30. The president or the vice-president and the | 3015 |
secretary of each insurance company organized under the laws of | 3016 |
this or any other state and doing business in this state, | 3017 |
annually, on the first day of January or within sixty days | 3018 |
thereafter, shall prepare, under oath, and deposit in the office | 3019 |
of the superintendent of insurance a statement of the condition of | 3020 |
such company on the next preceding thirty-first day of December. | 3021 |
The statement shall be submitted on the forms adopted by the | 3022 |
superintendent pursuant to section
| 3023 |
Code, and shall exhibit the following facts and items: | 3024 |
(A) The amount of the capital stock of the company, | 3025 |
specifying the amount paid and unpaid; | 3026 |
(B) A detailed statement of all the assets of the company | 3027 |
and the manner of their investment. | 3028 |
(C) The liabilities of the company, specifying: | 3029 |
(1) The amount of losses due and unpaid; | 3030 |
(2) The amount of claims for losses resisted by the company; | 3031 |
(3) The amount of losses incurred during the year, including | 3032 |
those claimed and not due, and those reported to the company upon | 3033 |
which no action has been taken; | 3034 |
(4) The amount of dividends declared, due, and unpaid; | 3035 |
(5) The amount of dividends, either cash or scrip, declared | 3036 |
but not due; | 3037 |
(6) The amount of money borrowed and the security given for | 3038 |
its payment; | 3039 |
(7) The amount required for reinsurance, being a pro rata of | 3040 |
all premiums, received and receivable, on unexpired risks and | 3041 |
policies, provided that as to fire insurance business, a company | 3042 |
may, at its option, maintain a sum equal to fifty per cent of the | 3043 |
whole amount of premiums received and receivable on unexpired | 3044 |
risks and policies running one year and less from the date of the | 3045 |
policy. In the case of marine insurance, premiums on trip risks | 3046 |
not terminated shall be deemed unearned, and the superintendent | 3047 |
may require a reserve to be carried thereon equal to one hundred | 3048 |
per cent of the premiums on trip risks written during the month | 3049 |
ended as of the date of statement. | 3050 |
(8) The amount of all other existing claims against the | 3051 |
company; | 3052 |
(9) A statement, approved by the superintendent, from a | 3053 |
member of the American academy of actuaries certifying that the | 3054 |
loss and loss adjustment reserves established for medical | 3055 |
malpractice business, as reported in the statutory annual | 3056 |
statement, are computed in accordance with accepted loss reserving | 3057 |
standards and are fairly stated in accordance with sound loss | 3058 |
reserving principles. | 3059 |
(D) The income of the company during the preceding year, | 3060 |
specifying: | 3061 |
(1) The amount of cash premiums received; | 3062 |
(2) The amount of notes or contingent assets received for | 3063 |
premiums; | 3064 |
(3) The amount of interest money received; | 3065 |
(4) The amount of income received from other sources. | 3066 |
(E) The expenditure during the preceding year, specifying: | 3067 |
(1) The amount of losses paid during the year, stating how | 3068 |
much of them accrued prior, and how much accrued subsequent, to | 3069 |
the date of the preceding statement, and the amount at which | 3070 |
losses were estimated in each preceding statement; | 3071 |
(2) The amount of dividends paid during the year; | 3072 |
(3) The amount of expenses paid during the year, including | 3073 |
commissions and fees to agents and officers of the company; | 3074 |
(4) The amount paid for taxes; | 3075 |
(5) The amount of all payments and expenditures; | 3076 |
(6) The amount of scrip dividend declared. | 3077 |
Sec. 3931.101. The provisions of
| 3078 |
Chapter 3905. of the Revised Code, relating to the appointment, | 3079 |
licensing, qualification and regulation of insurance agents, | 3080 |
brokers, and solicitors shall apply to all persons authorized to | 3081 |
solicit powers of attorney or applications for contracts of | 3082 |
indemnity for any reciprocal exchange, insurance exchange or | 3083 |
attorney in fact as provided for in Chapter 3931. of the Revised | 3084 |
Code, except a traveling full time salaried non-commission | 3085 |
employee of an attorney whose duties as such employee are | 3086 |
primarily the performance of inspection underwriting, loss | 3087 |
prevention engineering and claim services shall be exempt from | 3088 |
this section and shall be regulated solely by section 3931.11 of | 3089 |
the Revised Code. | 3090 |
Sec. 3931.11. Every attorney shall certify to the | 3091 |
superintendent of insurance the names and addresses of the | 3092 |
attorney's traveling full time salaried non-commission employees, | 3093 |
primarily engaged in performing underwriting, loss prevention | 3094 |
engineering and claim services, authorized by the attorney to | 3095 |
solicit powers of attorney or applications for contracts of | 3096 |
indemnity specified in section 3931.01 of the Revised Code. The | 3097 |
authority of such persons shall continue until the first day of | 3098 |
the next April, unless it is cancelled by the attorney and the | 3099 |
certificate of such cancellation is filed with the superintendent, | 3100 |
or unless the license of the attorney or authority of such person | 3101 |
is revoked or suspended by the superintendent. Expiring | 3102 |
certificates of authority of such persons may be renewed in like | 3103 |
manner to continue until the first day of the next April. The | 3104 |
superintendent shall record the names and addresses of such | 3105 |
persons so that their names may conveniently be inspected and | 3106 |
shall thereupon certify and deliver to the attorney a list of the | 3107 |
names of all persons so recorded. | 3108 |
If the superintendent finds that any such person has | 3109 |
willfully violated, or failed to comply with, sections 3931.01 to | 3110 |
3931.12 of the Revised Code, or has been convicted of a felony in | 3111 |
the United States, or in this or any state, or has been guilty of | 3112 |
any act or acts
| 3113 |
3114 | |
statutory grounds for the revocation
of
| 3115 |
the superintendent may refuse or revoke the authority of the | 3116 |
person and cancel the person's name on the superintendent's | 3117 |
records, and the superintendent shall thereupon notify the person | 3118 |
and the attorney of the revocation. Thereafter the person shall | 3119 |
not act as representative of any attorney until a new certificate | 3120 |
of authority by the attorney thereafter appointing the person is | 3121 |
filed with and approved by the superintendent. | 3122 |
No such person shall act for any attorney in placing | 3123 |
insurance or making such contracts of indemnity, unless the | 3124 |
attorney has the license required by section 3931.10 of the | 3125 |
Revised Code, nor unless the unexpired, unrevoked, and unsuspended | 3126 |
certificate of
| 3127 |
superintendent. Any such person shall be individually liable on | 3128 |
any contract of indemnity made, issued, or accepted through that | 3129 |
person as representing any attorney who is not licensed by the | 3130 |
superintendent to make such contracts of indemnity. | 3131 |
Sec. 3933.04. No person, firm, or corporation engaged in | 3132 |
selling real or personal property,
| 3133 |
3134 | |
3135 | |
3136 | |
employee of any such person, firm, or corporation, shall require, | 3137 |
as a condition precedent to the sale
| 3138 |
such property,
| 3139 |
3140 | |
3141 | |
3142 | |
corporation purchasing
| 3143 |
3144 | |
3145 | |
3146 | |
covering
| 3147 |
agent, solicitor, or broker. This section does not prevent the | 3148 |
exercise by any person, firm, or corporation of its right to | 3149 |
designate minimum standards as to the company, the terms and | 3150 |
provisions of the policy, and the adequacy of the coverage with | 3151 |
respect to insurance on property pledged or
mortgaged to
| 3152 |
person, firm, or corporation. | 3153 |
The superintendent of insurance shall, in accordance with | 3154 |
3155 | |
Code, revoke the insurance license of any person, appointee, | 3156 |
agent, solicitor,
or broker
| 3157 |
Sec. 3953.21. (A) Every title insurance company authorized | 3158 |
to transact business within this state shall certify annually to | 3159 |
the superintendent of insurance the names of all title insurance | 3160 |
agents representing it in this state in accordance with section | 3161 |
3162 |
(B) No bank, trust company, bank and trust company, or other | 3163 |
lending institution, mortgage service, brokerage, mortgage | 3164 |
guaranty company, escrow company, real estate company or any | 3165 |
subsidiaries thereof or any individuals so engaged shall be | 3166 |
permitted to act as an agent for a title insurance company. | 3167 |
Sec. 3953.23. (A) Every title insurance agent shall keep | 3168 |
books of account and record and vouchers pertaining to the | 3169 |
business of title insurance in such manner that the title | 3170 |
insurance company may readily ascertain from time to time whether | 3171 |
the agent has complied with this chapter. | 3172 |
(B) A title insurance agent may engage in the business of | 3173 |
handling escrows of real property transactions directly connected | 3174 |
with the business of title insurance, provided that the agent | 3175 |
shall maintain a separate record of all receipts and disbursements | 3176 |
of escrow funds and shall not commingle any such funds with the | 3177 |
agent's own funds or with funds held by the agent in any other | 3178 |
capacity; and if at any time the superintendent of insurance | 3179 |
determines that an agent has failed to comply with any of the | 3180 |
provisions of this section, the superintendent may revoke the | 3181 |
license of the
agent
pursuant
to section
| 3182 |
Revised Code, subject to review as provided for in Chapter 119. of | 3183 |
the Revised Code. All agents shall be covered by a fidelity bond | 3184 |
in an amount and with a company satisfactory to the principal. | 3185 |
Sec. 3957.14. (A) No person shall, except for the renewal | 3186 |
of an existing home service contract, procure, receive, or forward | 3187 |
applications for home service contracts unless the person
is
| 3188 |
3189 |
(1) A real estate licensee as licensed by the real estate | 3190 |
division of the department of commerce of this state; | 3191 |
(2) An organization or franchisor or licensor of such a real | 3192 |
estate licensee; | 3193 |
(3) A licensed insurance agent for casualty, property, or | 3194 |
personal lines; | 3195 |
(4) Any other person to whom the superintendent of insurance | 3196 |
has issued a license to perform such services. The superintendent | 3197 |
shall not issue such a license unless the person has paid a fee of | 3198 |
twenty dollars and has been determined by the superintendent to be | 3199 |
qualified. The superintendent shall issue such a license only if | 3200 |
the person successfully passes a written examination prescribed by | 3201 |
the superintendent. | 3202 |
(B) No home warranty company or person acting on behalf of | 3203 |
such a company under division (A) of this section shall pay to any | 3204 |
person who is acting as the agent, representative, attorney, or | 3205 |
employee of the owner or prospective owner of residential property | 3206 |
with respect to which a home service contract is to be issued, any | 3207 |
commission or any other consideration, either directly or | 3208 |
indirectly, as an inducement or compensation for the issuance, | 3209 |
purchase, or acquisition of a home service contract. A home | 3210 |
warranty company may reimburse such persons for expenses actually | 3211 |
incurred in the issuance, sale, advertising, or processing of home | 3212 |
service contracts or in performing an inspection of residential | 3213 |
property with respect to which a home service contract is issued. | 3214 |
No commission shall be paid to any person except a person | 3215 |
authorized to receive such a commission under this section. In | 3216 |
the event a commission is paid, no rebates shall be permitted and | 3217 |
the prohibitions of section 3933.01 of the Revised Code apply. | 3218 |
Sec. 3960.03. All of the following apply to risk retention | 3219 |
groups chartered and licensed in states other than this state, | 3220 |
that seek to do business as a risk retention group in this state: | 3221 |
(A) No risk retention group shall offer insurance in this | 3222 |
state unless it has submitted to the superintendent of insurance, | 3223 |
in a form satisfactory to the superintendent, all of the | 3224 |
following: | 3225 |
(1) A statement identifying the state or states in which it | 3226 |
is chartered and licensed as a liability insurance company, the | 3227 |
date of chartering, its principal place of business, and any other | 3228 |
information, including but not limited to, information on its | 3229 |
membership, that the superintendent may require to verify that it | 3230 |
is qualified under division (J) of section 3960.01 of the Revised | 3231 |
Code; | 3232 |
(2) A copy of its plan of operation or a feasibility study | 3233 |
and revisions of the plan or study submitted to the state in which | 3234 |
the risk retention group is chartered and licensed. Division | 3235 |
(A)(2) of this section does not apply to any line or | 3236 |
classification of liability insurance that was defined in the | 3237 |
federal "Product Liability Risk Retention Act of 1981," 95 Stat. | 3238 |
949, 15 U.S.C.A. 3901, as amended, before October 27, 1986, and | 3239 |
was offered before that date by any risk retention group that had | 3240 |
been chartered and operating for not less than three years before | 3241 |
that date. The risk retention group shall submit a copy of any | 3242 |
revision to its plan of operation or feasibility study required by | 3243 |
division (A)(2) of section 3960.02 of the Revised Code at the same | 3244 |
time that the revision is submitted to the
| 3245 |
commissioner of
| 3246 |
(3) A statement of registration, for which a filing fee | 3247 |
shall be determined by the superintendent, that submits it to the | 3248 |
jurisdiction of the superintendent and the courts of this state. | 3249 |
The fee shall be paid into the state treasury to the credit of the | 3250 |
department of insurance operating fund pursuant to section | 3251 |
3901.021 of the Revised Code. | 3252 |
(B) A risk retention group doing business in this state | 3253 |
shall submit to the superintendent all of the following: | 3254 |
(1) A copy of its financial statement submitted to the state | 3255 |
in which the risk retention group is chartered and domiciled, | 3256 |
which shall be certified by an independent public accountant and | 3257 |
contain a statement of opinion on loss and loss adjustment expense | 3258 |
reserves made by a member of the American academy of actuaries or | 3259 |
a qualified loss reserve specialist under criteria established by | 3260 |
the national association of insurance commissioners; | 3261 |
(2) A copy of each examination of the group as certified by | 3262 |
the commissioner or public official conducting the examination; | 3263 |
(3) Upon request by the superintendent, a copy of any | 3264 |
information or document pertaining to any outside audit performed | 3265 |
with respect to the group; | 3266 |
(4) Any information that may be required to verify, to the | 3267 |
superintendent's satisfaction, its continuing qualification as a | 3268 |
risk retention group under division (J) of section 3960.01 of the | 3269 |
Revised Code. | 3270 |
(C)(1) Agents or brokers for the risk retention group shall | 3271 |
report to the superintendent the premiums for direct business for | 3272 |
risks resident or located within this state that they have placed | 3273 |
with or on behalf of a risk retention group not chartered in this | 3274 |
state. | 3275 |
(2) The agent or broker shall keep a complete and separate | 3276 |
record of all policies procured from each risk retention group, | 3277 |
which record shall be open to examination by the superintendent. | 3278 |
These records shall, for each policy and each kind of insurance | 3279 |
provided, include the following: | 3280 |
(a) The limit of liability; | 3281 |
(b) The time period covered; | 3282 |
(c) The effective date; | 3283 |
(d) The name of the risk retention group that issued the | 3284 |
policy; | 3285 |
(e) The gross premium charged; | 3286 |
(f) The amount of return premiums. | 3287 |
(D) Every risk retention group that is not chartered in this | 3288 |
state shall do both of the following: | 3289 |
(1) On or before the
| 3290 |
pay to the treasurer of state five per cent of all premiums, fees, | 3291 |
assessments, dues, or other consideration for the preceding | 3292 |
one-year period for risks resident or located in this state, as | 3293 |
calculated on a form prescribed by the treasurer of state. If | 3294 |
such tax is not paid when due, the tax shall be increased by a | 3295 |
penalty of twenty-five per cent. An interest charge computed as | 3296 |
set forth in section 5725.221 of the Revised Code shall be made on | 3297 |
the entire sum of the tax plus penalty, which interest shall be | 3298 |
computed from the date the tax is due until it is paid. All taxes | 3299 |
collected under this section shall be paid into the general | 3300 |
revenue fund. For purposes of division (D)(1) of this section, | 3301 |
payment is considered made when it is received by the treasurer of | 3302 |
state, irrespective of any United States postal service marking or | 3303 |
other stamp or mark indicating the date on which the payment may | 3304 |
have been mailed. | 3305 |
(2)
| 3306 |
thirty-first day of
| 3307 |
the superintendent, on a form prescribed by the superintendent, | 3308 |
showing the name and address of the insured, name and address of | 3309 |
the insurer, subject of the insurance, general description of the | 3310 |
coverage, the amount of gross premium, fee, assessment, dues, or | 3311 |
other consideration for the insurance, after a deduction for | 3312 |
return premium, if any, and any other information the | 3313 |
superintendent requires. | 3314 |
(E) The superintendent may examine the financial condition | 3315 |
of a risk retention group if the commissioner of insurance in the | 3316 |
state in which it is chartered and licensed has not initiated an | 3317 |
examination or does not initiate an examination within sixty days | 3318 |
after the superintendent has requested an examination. The | 3319 |
examination shall be conducted in an expeditious manner and in | 3320 |
accordance with the national association of insurance | 3321 |
commissioners' examiner handbook. | 3322 |
(F) The superintendent may issue any order appropriate in | 3323 |
voluntary dissolution proceedings or commence delinquency | 3324 |
proceedings against a risk retention group not chartered in this | 3325 |
state that does business in this state if the superintendent | 3326 |
finds, after an examination of the group under division (E) of | 3327 |
this section, that its financial condition is impaired. A risk | 3328 |
retention group that violates any provision of this chapter is | 3329 |
subject to fines and penalties, including revocation of its right | 3330 |
to do business in this state, applicable to licensed insurers | 3331 |
generally. In addition to complying with the requirements of this | 3332 |
section, any risk retention group operating in this state prior to | 3333 |
enactment of this section shall comply with division (A)(1) of | 3334 |
this section within thirty days after October 26, 1989. | 3335 |
Sec. 3960.11. (A) No person shall act or aid in any manner | 3336 |
in soliciting, negotiating, or procuring liability insurance in | 3337 |
this state from a risk retention group unless the person is | 3338 |
licensed as an insurance agent or broker in accordance with | 3339 |
3340 |
(B) No person shall act or aid in any manner in soliciting, | 3341 |
negotiating, or procuring liability insurance in this state for a | 3342 |
purchasing group from an authorized insurer or a risk retention | 3343 |
group chartered in a state unless the person is licensed as an | 3344 |
insurance
agent
or broker in accordance with
| 3345 |
3346 |
(C) No person shall act or aid in any manner in soliciting, | 3347 |
negotiating, or procuring liability insurance coverage in this | 3348 |
state for any member of a purchasing group under a purchasing | 3349 |
group's policy unless the person is licensed as an insurance agent | 3350 |
or broker in accordance with
| 3351 |
3905. of the Revised Code. | 3352 |
(D) No person shall act or aid in any manner in soliciting, | 3353 |
negotiating, or procuring liability insurance from an insurer not | 3354 |
authorized to do business in this state on behalf of a purchasing | 3355 |
group located in this state unless the person is licensed as a | 3356 |
surplus line broker in accordance with section 3905.30 of the | 3357 |
Revised Code. | 3358 |
Section 2. That existing sections 1751.38, 3901.021, 3901.19, | 3359 |
3901.22, 3901.51, 3901.62, 3903.81, 3905.012, 3905.03, 3905.06, | 3360 |
3905.09, 3905.11, 3905.12, 3905.13, 3905.14, 3905.181, 3905.24, | 3361 |
3905.25, 3905.26, 3905.27, 3905.28, 3905.29, 3905.30, 3905.31, | 3362 |
3905.34, 3905.36, 3905.41, 3905.47, 3905.482, 3905.483, | 3363 |
3905.484, 3905.486, 3905.49, 3905.491, 3905.492, 3905.50, 3905.52, | 3364 |
3905.72, 3905.85, 3905.861, 3905.89, 3905.94, 3905.99, 3907.19, | 3365 |
3909.06, 3911.011, 3923.121, 3929.30, 3931.101, 3931.11, 3933.04, | 3366 |
3953.21, 3953.23, 3957.14, 3960.03, and 3960.11 and sections | 3367 |
3905.01, 3905.011, 3905.013, 3905.02, 3905.04, 3905.07, 3905.08, | 3368 |
3905.15, 3905.16, 3905.17, 3905.18, 3905.19, 3905.20, 3905.21, | 3369 |
3905.22, 3905.23, 3905.40, 3905.48, 3905.51, and 3905.54 of the | 3370 |
Revised Code are hereby repealed. | 3371 |
Section 3. Sections 1 and 2 of this act shall take effect six | 3372 |
months after the effective date of this act. | 3373 |
Section 4. Sections 3905.34, 3905.36, and 3960.03 of the | 3374 |
Revised Code, as amended by this act, shall first apply to the | 3375 |
filing or reporting period that begins January 1, 2003, and | 3376 |
concludes December 31, 2003. For those persons that, on the | 3377 |
effective date of this act, are subject to a quarterly filing | 3378 |
requirement, the last quarterly filing period shall conclude | 3379 |
December 31, 2002. For those persons that, on the effective date | 3380 |
of this act, are subject to an annual reporting period that | 3381 |
concludes July 1, 2002, that reporting period shall be extended | 3382 |
for six months and shall conclude December 31, 2002. | 3383 |