General Administrative Regulations, Subpart V-Submission of Policies, Provisions of Policies, Rates of Premium, and Premium Reduction Plans, 9001-9013 [05-3435]
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Federal Register / Vol. 70, No. 36 / Thursday, February 24, 2005 / Proposed Rules
7 CFR Part 400
Agriculture, 1400 Independence
Avenue, Room 6739–S, Washington, DC
20250; telephone number (202) 720–
0191, e-mail address:
lee.ziegler@rma.usda.gov.
RIN 0563–AB95
SUPPLEMENTARY INFORMATION:
General Administrative Regulations,
Subpart V—Submission of Policies,
Provisions of Policies, Rates of
Premium, and Premium Reduction
Plans
Executive Order 12866
DEPARTMENT OF AGRICULTURE
Federal Crop Insurance Corporation
Federal Crop Insurance
Corporation, USDA.
ACTION: Proposed rule with request for
comments.
AGENCY:
The Federal Crop Insurance
Corporation (FCIC) proposes to amend
the General Administrative Regulations
(7 CFR part 400, subpart V—Submission
of Policies, Provisions of Policies, and
Rates of Premium), to include
provisions regarding the necessary
revisions to the Plan of Operations and
administration of the premium
reduction plans authorized under
section 508(e)(3) of the Federal Crop
Insurance Act (Act).
DATES: Written comments and opinions
on this proposed rule will be accepted
until close of business April 25, 2005,
and will be considered when the rule is
to be made final. Comments on the
information collection requirements
must be received on or before April 25,
2005.
ADDRESSES: Interested persons are
invited to submit written comments to
the Director, Reinsurance Services
Division, Risk Management Agency,
United States Department of
Agriculture, 1400 Independence
Avenue, Ag Stop 0805, Washington, DC
20250. Comments titled ‘‘Premium
Reduction Plan’’ may be sent via the
Internet to RMA.PRP@rma.usda.gov, or
the Federal eRulemaking Portal: https://
www.regulations.gov. Follow the online
instructions for submitting comments.
Faxed comments may be faxed to (202)
690–2095, Attn: PRP Rule comments. If
you are planning on submitting by mail,
please be advised to submit your
comments not later than 30 days after
the date of publication of the rule to be
assured of consideration when the rule
is made final. A copy of each response
will be available for public inspection
and copying from 7 a.m. to 4:30 p.m.,
CDT, Monday through Friday except
holidays, at the above address.
FOR FURTHER INFORMATION CONTACT: For
further information, contact Lee Ziegler,
Economist, Reinsurance Services
Division, Risk Management Agency,
United States Department of
SUMMARY:
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This rule has been determined to be
not significant for the purposes of
Executive Order 12866, and, therefore, it
has not been formally reviewed by the
Office of Management and Budget
(OMB).
Independent Review
The Risk Management Agency (RMA)
provided five independent reviewers
with a copy of the Federal Crop
Insurance Act (Act), the current
procedures, the Board of Directors’
Memorandum, the submissions received
from the approved insurance providers
and a series of questions regarding the
premium reduction plans, including: (1)
An estimation of the effects of producer
use of insurance as a risk management
tool; (2) the impact on the delivery
system such as agents, claims
adjustment, approved insurance
providers, and service; (3) the impact on
small, minority and limited resource
farmers; (4) whether phase-in should be
required; (5) cost allocation for complex
plans; (6) the affect of the use of
affiliated entities; and (7) the impact on
agent compensation plans.
In summary, the reviewers stated that
implementation of a premium reduction
plan could result in a modest increase
in participation in the crop insurance
program, although increases in coverage
levels are more likely. Depending on
how the premium reduction plans are
structured, there could be significant
changes in the delivery system through
possible consolidation among agents or
approved insurance providers, fewer
part-time agents, and an increase in
highly knowledgeable agents. The
impact on small producers, limited
resource farmers, women and minority
producers is expected to be small. In
proportion to the complexity of the
premium reduction plans, verification
of costs could have a significant impact
on the workloads of the approved
insurance providers and RMA and
accounting guidelines may have to be
developed that would increase the
workload.
Complete copies of the reports of the
independent reviewers is available to
the public on RMA’s Web site at
https://www.rma.usda.gov. However,
confidential business information has
been redacted from such reports.
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Paperwork Reduction Act of 1995
In accordance with section 3507(j) of
the Paperwork Reduction Act of 1995
(44 U.S.C. 3501), the information
collection and record keeping
requirements included in this rule have
been submitted for approval to OMB.
Please submit written comments to the
Desk Officer for Agriculture, Office of
Information and Regulatory Affairs,
Office of Management and Budget
(OMB), Washington, DC 20503. A
comment to OMB is best assured of
having its full effect if OMB receives it
within 30 days of publication of this
rule.
Comments are being solicited from
the public concerning this proposed
information collection and record
keeping requirements. This outside
input will help:
(1) Evaluate whether the proposed
collection of information is necessary
for the proper performance of the
functions of the agency, including
whether the information has practical
utility;
(2) Evaluate the accuracy of our
estimate of the burden of the proposed
collection of information, including the
validity of the methodology and
assumption used;
(3) Enhance the quality, utility, and
clarity of the information to be
collected; and
(4) Minimize the burden of the
collection of information on those who
are to respond (such as through the use
of appropriate automated, electronic,
mechanical, or other technological
collection techniques or other forms of
information technology, e.g., permitting
electronic submission responses).
Title: General Administrative
Regulation; Submission of Policies,
Provisions of Policies, Rates of
Premium, and Premium Reduction
Plans.
Abstract: FCIC proposes to amend the
General Administrative Regulations (7
CFR part 400, subpart V—Submission of
Policies, Provisions of Policies, and
Rates of Premium), to include
provisions regarding the necessary
procedures that are applicable to revised
Plans of Operations submitted by
approved insurance providers for the
purpose of obtaining approval of
premium reduction plans as authorized
under section 508(e)(3) of the Act.
Purpose: To amend 7 CFR part 400 by
revising subpart V, to include specific
information that must be submitted by
approved insurance providers for the
purpose of obtaining approval of
premium reduction plans. This rule will
have a separate paperwork package
submitted to OMB to ensure that all the
burden hours are accounted for.
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Burden statement: This rule is
necessary to ensure that RMA receives
complete revised Plans of Operations
from approved insurance providers for
the purpose of obtaining approval of
premium reduction plans.
The burden associated with this rule,
with the exception of reading the rule,
is in the modification to the Plans of
Operations. FCIC estimates that
annually 15 people (excluding Federal
employees) will spend 2 hours reading
this document for a total of 30 hours (15
× 2 = 30). FCIC estimates people in 6
positions (financial manager,
accountant, computer programmer,
underwriter, manager, and office
assistant) will respond for a total of 90
respondents (6 positions × 15
submissions = 90). FCIC estimates 180
annual responses (15 × 12 = 180) due to
15 approved insurance providers
submitting revised Plans of Operations
complying with twelve requirements.
To determine approximate annual
burden hours, FCIC estimates 15 entities
will prepare a revised Plan of
Operations and will spend the following
amount of time for each of the twelve
requirements: (a) Identifying the
approved insurance provider, naming
the person who may be contacted for
further information regarding the
revised Plan of Operations, and naming
the person who will be responsible for
administration of the premium
reduction plan—1.25 hours (15
approved insurance providers × 5
minutes = 1.25 hours); (b) preparing a
detailed description of any and all terms
and conditions that affect its
availability—15 hours (15 approved
insurance providers × 1 hour = 15); (c)
preparing a detailed statement as to the
amount of the premium reduction that
is proposed to be offered to each eligible
producer, how it will be calculated, and
how it will be reported to RMA—60
hours (15 approved insurance providers
× 4 hours = 60); (d) preparing a detailed
proposal of how the approved insurance
provider intends to deliver the premium
reduction plan to producers—60 hours
(15 approved insurance providers × 60
hours = 60); (e) preparing a detailed
marketing plan focused solely on how
the premium reduction will be
promoted to small producers, limited
resources farmers as defined in section
1 of the Basic Provisions, 7 CFR, 457.8,
women and minority producers—30
hours (15 approved insurance providers
× 2 hours = 30); (f) preparing a detailed
statement explaining how the approved
insurance provider proposes to revise its
procedures for the delivery, operation or
administration of the Federal crop
insurance program in order to achieve
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the specified efficiency and how the
premium reduction will correspond to
the efficiency—45 hours (15 approved
insurance providers × 3 hours = 45); (g)
revision of applicable expense exhibits
required by the Standard Reinsurance
Agreement, or the applicable regulations
if required by RMA, that are revised to
reflect the implementation of the
premium reduction plan and any
documentation necessary to support the
revisions—240 hours (15 approved
insurance providers × 16 hours = 240);
(h) A statement, based on the applicable
expense exhibits, that summarizes the
A&O costs before implementation of the
efficiency, the cost savings associated
with the efficiency, the administrative
and operating (A&O) costs after
implementation of the efficiency, the
expected A&O subsidy and the
projected total dollar amount of
premium reduction to be provided to
producers—30 hours (15 approved
insurance providers × 2 hours = 30); (i)
a financial reserve plan—60 hours (15
approved insurance providers × 4 hours
= 60); (j) preparing a detailed
description of all profit sharing
arrangements paid by the approved
insurance provider—45 hours (15
approved insurance providers × 3 hours
= 45); (k) certification by approved
insurance providers of the
reasonableness, accuracy, and
completeness of all cost projections
relating to the efficiencies and the total
dollar in premium reduction for the
reinsurance year the premium reduction
plan will be offered = 30 hours (15
approved insurance providers × 2 hours
= 30); (l) certification that a copy of its
marketing strategy under subsection (d)
has been provided to the State
Department of Insurance for all states
where the premium reduction plan will
be offered for its review to determine
whether the licensing of agents and the
conduct of agents in the solicitation and
sale of insurance under the proposed
premium reduction plan is in
accordance with applicable state
insurance laws—15 hours (15 approved
insurance providers × 1 hour = 15).
Estimate of Burden: The public
reporting burden for this collection of
information is estimated to average 42
hours per response.
Respondents: Approved insurance
providers who wish to revise their Plans
of Operations for the purpose of
obtaining approval of a premium
reduction plan.
Estimated Annual Number of
Respondents: 90.
Estimated Annual Number of
Responses Per Respondent: 2.
Estimated Annual Number of
Responses: 180.
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Estimated Total Annual Burden of
Respondents: The total public burden
for this rule is estimated at 7,560 hours.
Record keeping requirements: FCIC
requires records to be kept for three
years, and all records required by FCIC
are retained as part of the normal
business practice. Therefore, FCIC is not
estimating additional burden related to
record keeping.
Government Paperwork Elimination
Act (GPEA) Compliance
In its efforts to comply with GPEA,
FCIC requires all approved insurance
providers delivering the crop insurance
program to make all insurance
documents available electronically and
to permit producers to transact business
electronically. Further, to the maximum
extent practicable, FCIC transacts its
business with approved insurance
providers electronically.
Unfunded Mandates Reform Act of
1995
Title II of the Unfunded Mandates
Reform Act of 1995 (UMRA) establishes
requirements for Federal agencies to
assess the effects of their regulatory
actions on State, local, and tribal
governments and the private sector.
This rule contains no Federal mandates
(under the regulatory provisions of title
II of the UMRA) for State, local, and
tribal governments or the private sector.
Therefore, this rule is not subject to the
requirements of sections 202 and 205 of
UMRA.
Executive Order 13132
It has been determined under section
1(a) of Executive Order 13132,
Federalism, that this rule does not have
sufficient implications to warrant
consultation with the states. The
provisions contained in this rule will
not have a substantial direct effect on
states, on the relationship between the
national government and the states, or
on the distribution of power and
responsibilities among the various
levels of government.
Regulatory Flexibility Act
FCIC certifies that this regulation will
not have a significant economic impact
on a substantial number of small
entities. This action does not increase
the burden on any entity because it
merely clarifies the process to submit
premium reduction plans of insurance
to the FCIC Board of Directors for
approval. The current requirements of
the Standard Reinsurance Agreement
and procedures for premium reduction
plans approved by the Board contain
provisions to ensure that small entities
have access to policies and plans of
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insurance, including premium
reduction plans. The requirement to
apply for a premium reduction plan is
the same for small entities as it is for
large entities. A Regulatory Flexibility
Analysis has not been prepared since
this regulation does not have an impact
on small entities, and, therefore, this
regulation is exempt from the provisions
of the Regulatory Flexibility Act (5
U.S.C. 605).
Federal Assistance Program
This program is listed in the Catalog
of Federal Domestic Assistance under
No. 10.450.
Executive Order 12372
This program is not subject to the
provisions of Executive Order 12372,
which require intergovernmental
consultation with State and local
officials. See the Notice related to 7 CFR
part 3015, subpart V, published at 48 FR
29115, June 24, 1983.
Executive Order 12988
This rule has been reviewed in
accordance with Executive Order 12988
on civil justice reform. The provisions
of this rule will not have a retroactive
effect. The provisions of this rule will
preempt State and local laws to the
extent such State and local laws are
inconsistent herewith, unless otherwise
specified in the rule. The appeals
procedures at 7 CFR 400.169 and 7 CFR
part 24 must be exhausted before any
action against FCIC for judicial review
may be brought.
Environmental Evaluation
This action is not expected to have a
significant economic impact on the
quality of the human environment,
health, and safety. Therefore, neither an
Environmental Assessment nor an
Environmental Impact Statement is
needed.
Background
Under the Act, authority over the
Federal crop insurance program is
provided to FCIC, which is managed by
the Board. However, section 226A of the
Department of Agriculture
Reorganization Act of 1994, gave the
RMA supervision of FCIC and the
administration and oversight over the
programs authorized under the Act. The
Board delegated certain functions to the
Manager of FCIC, which are carried out
through RMA. The Board also retained
certain authorities or requires briefing
by the Manager to the Board prior to the
Manager taking certain actions. For the
purposes of the background
information, FCIC and RMA are
collectively referred to as ‘‘RMA.’’
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In October 1994, Congress amended
the Act to add section 508(e)(3), which
states: ‘‘If an approved insurance
provider determines that the provider
may provide insurance more efficiently
than the expense reimbursement
amount established by the Corporation
[FCIC], the approved insurance provider
may reduce, subject to the approval of
the Corporation [FCIC], the premium
charged the insured by an amount
corresponding to the efficiency. The
approved insurance provider shall
apply to the Corporation [FCIC] for
authority to reduce the premium before
making such a reduction, and the
reduction shall be subject to the rules,
limitations, and procedures established
by the Corporation [FCIC].’’
This means that an approved
insurance provider can apply to RMA
for authority to reduce premiums
payable by producers if the approved
insurance provider is able to provide
insurance more efficiently than the
administrative and operating expense
reimbursement paid by RMA. RMA
administers such reimbursements under
a cooperative financial assistance
agreement between FCIC and the
approved insurance providers known as
the Standard Reinsurance Agreement
(SRA). The SRA contains various
requirements, limitations and
procedures that approved insurance
providers must follow to sell and
service Federal crop insurance to
producers in accordance with Federal
law and regulations and to qualify for
Federal reinsurance, premium subsidy,
and administrative and operating
expense reimbursement under the Act.
Since section 508(e)(3) involves
administrative and operating expense
reimbursement, a term contained in the
SRA, RMA had a choice. The
implementation of this provision could
have been accomplished by simply
incorporating it into the SRA, like any
other term and condition of RMA
reinsurance, or RMA could implement
this provision through an amendment to
the regulations governing the Federal
crop insurance program contained in 7
CFR part 400. Initially, RMA
determined to implement the provision
through the SRA. Effective for the 1997
reinsurance year, the SRA was amended
to add a section III.I., which stated, ‘‘In
the event the Company determines that
it can deliver multiple peril crop
insurance policies more efficiently than
the amount of premium subsidy
attributed to the administrative and
operating expenses paid under this
section, it may apply to FCIC for
authority to reduce the amount of
premium charges to the policyholder by
an amount commensurate with the
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amount of the efficiency.’’ Effective for
the 1998 reinsurance year, the SRA
language was changed slightly to read,
‘‘In the event the Company determines
that it can deliver eligible crop
insurance contracts for less than the
A&O subsidy paid under this section, it
may apply to FCIC for approval to
reduce the amount of producer
premium charged to policyholders by an
amount corresponding to the value of
the efficiency.’’
In 1999, the Federal crop insurance
program was facing numerous issues
regarding rebating, patronage refunds,
and insured-owned and recordcontrolling entities. It became clear that
some parties, in addition to approved
insurance providers, may be directly
affected and concerned about these
issues. Therefore, RMA decided to
solicit comments and address these
concerns through a rulemaking process.
Because of the similarity of premium
reduction plans to rebates, which at the
time were prohibited, RMA decided to
clarify the situation by including some
rules and limitations on premium
reduction plans in this rulemaking
activity. The proposed rule was
published in May 1999.
During the rulemaking process, the
Agricultural Risk Protection Act of 2000
(ARPA) was enacted. Section 103 of
ARPA amended section 508(b)(5) of the
Act and authorized cooperatives and
trade associations to pay the
catastrophic risk protection fee on
behalf of their members in states where
rebating was permitted and in
contiguous states. Section 508(b)(5) of
the Act also authorized cooperatives
and trade associations who received
funds from an approved insurance
provider to pay a portion of the
premium for their members if permitted
by state law. The provisions contained
in section 103 of ARPA were
significantly different than what was
proposed by RMA in its May 1999
proposed rule. RMA determined that the
provisions regarding rebating and
patronage refunds in the proposed rule
were no longer applicable.
RMA determined the issues that
remained from the proposed rule after
enactment of section 103 of ARPA
should be handled administratively.
With respect to the issue of premium
reduction plans, RMA elected to
continue to handle the issue through the
SRA as it had done in the past, since the
SRA requires approved insurance
providers to comply with the
procedures and directives of RMA. RMA
determined it could issue procedures
under the SRA if necessary.
In July 2002, a revised Plan of
Operation for a premium reduction plan
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for the 2003 crop year was received by
the Board from an approved insurance
provider under section 508(h) of the
Act. The approved insurance provider
claimed the authority for the submission
came from section 523(d) of the Act.
Section 523(d) of the Act applies when
approved insurance providers believe
the risk premium charged to producers
is too high and that the premium can
still be actuarially sound if less total
premium is charged. It was not until the
revised Plan of Operations was
reviewed by the Board that it was
discovered the approved insurance
provider was seeking to reduce the
producer paid portion of the premium
because the approved insurance
provider claimed it could deliver the
crop insurance program for less money
than received for the administrative and
operating expense reimbursement. This
meant it would be more appropriate to
consider the revised Plan of Operations
under section 508(e)(3) of the Act than
section 523(d) of the Act.
After reviewing this approved
insurance provider’s revised Plan of
Operations for premium reduction plan,
the Board determined that procedures
were necessary to address certain issues
raised by the revised Plan of Operations
that had not previously been raised
regarding premium reduction plans,
including the issue of an approved
insurance provider that was new to the
crop insurance program and, therefore,
lacked a track record to assess the extent
of any proposed efficiencies. In
December 2002, the Board provided
guidance and conditions for the
development of such approval
procedures to the Manager of FCIC in
Board Memorandum No. 694, Docket
No. CI–PDP–02–1 (Board
Memorandum). Under such guidance,
premium reduction plans are required
to be offered initially in a limited
number of states and expanded over
time as the capacity and ability of the
approved insurance provider to deliver
the plan is determined. Further, the
Manager is required to report the
performance of any premium reduction
plan to the Board at each meeting.
For the 2003 crop year, the approved
insurance provider’s proposed premium
reduction plan reduced producer paid
premium by an amount equal to 3.5
percent of net book premium for all
Federally reinsured plans of insurance
for corn, grain sorghum, soybeans, sugar
beets, and wheat in Iowa, Illinois,
Nebraska, Kansas, Minnesota, Indiana,
and North Dakota. The premium
reduction was based on administrative
efficiencies attained by the approved
insurance provider through sales of the
premium reduction plan over the
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Internet, through their operational and
distribution systems, and certain
reductions in agent commissions. RMA
evaluated the approved insurance
provider’s proposed premium reduction
plan, determined that it met the
conditions imposed by the Board and
approved the plan in January 2003,
effective for the 2003 crop year.
Part of the Board’s guidance required
that the conditions of approval
contained in the Board Memorandum
must apply to all subsequent approved
insurance providers. Consistent with the
Board Memorandum, RMA established
procedures that were reviewed by the
Board and transmitted to the approved
insurance providers through Manager’s
Bulletin MGR–03–008.
Some of the substantive provisions
included in the procedures and Board
Memorandum were the requirement that
there not be a reduction in service to
policyholders; assurance that the
premium reduction plan is not unfairly
discriminatory; requiring detailed
information regarding any efficiency, its
previous costs and the costs to be
incurred after application of the
efficiency; ensuring that a premium
reduction plan will not place an
excessive operational or financial
hardship on the approved insurance
provider; requiring descriptions and
examples of how any premium
reduction will be calculated and
presented to the policyholder; requiring
the determination of the number of
producers affected and the projected
total amount of any reduction; and
requiring that any efficiency be subject
to verification by RMA.
In addition, the procedures included
accounting for startup costs for newly
approved insurance providers; ensuring
the use of licensed agents; requiring
greater detail in the expense
documentation, including certification
from a certified public accountant
regarding the reasonableness, accuracy
and completeness of the accounting
statements; comprehensive reviews by
the approved insurance provider of the
potential impact of the premium
reduction plan and any steps to be taken
to address potential vulnerabilities; and
requiring semi-annual reports by the
approved insurance provider to assist
RMA in monitoring the program.
The approved insurance provider’s
premium reduction plan was reviewed
at the end of the 2003 crop year to
determine whether it met stated
efficiencies. RMA’s analysis found that
it was less than one percent short of
meeting its stated efficiencies on a
dollar basis. The revised Plan of
Operations contained a contingency
plan to allow for a further reduction of
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costs to ensure it attained the
efficiencies claimed. The contingency
was applied and RMA determined that
the approved insurance provider was in
compliance with the procedures, the
Board’s conditions, and section
508(e)(3) of the Act.
For the 2004 crop year, the approved
insurance provider sought expansion of
its premium reduction plan. RMA
evaluated its revised Plan of Operations
for the 2004 crop year under the
procedures and reviewed the revised
Plan of Operations with the Board. To
address potential concerns regarding the
possibility of unfair discrimination, the
Board required the approved insurance
provider make the premium reduction
plan available to producers of all crops
in the states it was approved to offer the
premium reduction plan, not just
selected crops. The Board viewed the
expansion to several more states as
particularly important to test the
premium discount plan in states with
varying crop insurance performance.
Once the approved insurance
provider agreed to this condition, its
previously approved premium
reduction plan was amended and
approved to include all crops in Illinois,
Indiana, Iowa, Kansas, Michigan,
Minnesota, Missouri, Nebraska, North
Dakota, Ohio, South Dakota, Texas, and
Wisconsin. The approved insurance
provider was recently approved to again
offer a premium reduction plan for 2005
under the same terms and conditions as
the 2004 premium reduction plan but
expanded the number of states where it
was offered.
The approved insurance provider’s
premium reduction plan is simple. As
currently approved, the same
efficiencies applied to all states the
approved insurance provider does
business and there is only one level of
premium reduction applicable to all
such states. This made verification of
expense reductions associated with the
efficiency straightforward because all
costs associated with the sale and
service of Federal crop insurance
policies were considered and compared
with the amount the approved
insurance provider claimed was needed
to deliver the program (e.g. 24.5 percent
[2004 A&O] ¥ 3.5 percent = 21.0
percent of the net book premium for all
policies). Further, it would be easy to
determine if practices were unfairly
discriminatory because the approved
insurance provider was required to offer
the discount to all producers who
wanted it. It was also easy to determine
whether the reduction in premium from
the efficiencies corresponded to the
states from which they were derived
since the same efficiencies and same
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reductions applied to all states in which
the approved insurance provider wrote
business.
Over the last few months, RMA has
received additional revised Plans of
Operations for premium reduction plans
for the 2005 crop year from other
approved insurance providers. The
revised Plans of Operations received are
diverse: some offering a premium
reduction for select plans of insurance,
in select states; some at different
premium reduction rates; some under
new and complex organizational
structures; and, finally, some at the
discretion of the approved insurance
provider or agent.
These diverse plans raised issues or
problems that had not been previously
considered by RMA when it developed
its procedures. Requests to offer a
premium reduction plan for only select
plans of insurance, in select states or at
differing premium reduction rates raised
issues regarding the requirement in the
Act that the efficiencies correspond to
the amount of the premium reduction.
Corresponding means that the dollar
amount of savings from the efficiencies
implemented in a state must correspond
to the amount of premium reduction in
that state. Further, it means that if the
premium reduction is only available for
select plans of insurance, the
efficiencies must come from those plans
of insurance. It also means that when
the amount of premium reduction
differs among states, the dollar amount
of efficiency in each state must be
sufficient to cover the premium
reduction in that state. Savings realized
from one state could not be used to
finance a premium reduction in another
state without violating the
corresponding requirement in the Act. A
review of the premium reduction plans
with these options revealed that RMA
could not verify that efficiencies
corresponded with the premium
reductions and that very complex
accounting rules would be required to
allocate costs on a state or insurance
plan basis.
These plans also raised the possibility
that there could be unfair
discrimination. Unfair discrimination
results when producers are denied an
opportunity to participate under the
premium reduction plan based on their
risk of loss or farm size. The ability to
offer premium reduction plans in
certain states or plans of insurance
could result in the approved insurance
provider only offering such plans in
states with good loss history or with
larger than average farm sizes.
Another problem identified with
these premium reduction plans is the
proposal to change the operational
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structure to have one or more entities
associated with the approved insurance
provider offer a premium reduction plan
and another entity not, or allow agents
to decide whether or not they will offer
premium reduction plans and to whom.
Again, this raises the possibility that
approved insurance providers could
divide their book of business between
the two or more entities such that one
entity receives the policies with a good
loss history and the others received the
policies with a bad loss history. Not
only would this be unfair
discrimination, such division could be
used to manipulate gains and losses
under the SRA if it was based on loss
history. Further, some of the potential
organizational structures may have been
in violation of the SRA, such as the use
of two managing general agents.
RMA recognizes that premium
reduction plans may be controversial.
From the beginning, RMA has attempted
to strike a balance between the interests
of producers in having their premiums
reduced through competition in the
marketplace and the need to have a
strong delivery system. RMA has
attempted to address problems and
issues as they have arisen to ensure a
strong, stable program.
Throughout the consideration process
of premium reduction plans, RMA
determined that there were several
principles that must be met in order to
comply with the requirements of section
508(e)(3) of the Act. The first is that the
approved insurance provider must
provide sufficient documentation to
demonstrate that not only can the
approved insurance provider operate
within its administrative and operating
expense reimbursement, but it can also
reduce its costs to a level below the
amount received from RMA for
administrative and operating expense
reimbursement. The second is that the
efficiencies claimed by the approved
insurance provider must be easily
verifiable by RMA through auditing and
monitoring. The third is that the
premium reduction plan must comply
with all requirements of the Act, the
regulations, procedures, and the SRA.
The last principle is that no premium
reduction plan can be unfairly
discriminatory against producers based
on their loss history, size of operation,
or the amount of premium generated
within the program. There have been
concerns expressed that premium
reduction plans may lead to unfair
discrimination against small producers,
limited resource farmers, women and
minority producers. As stated
previously, variations in premium
reductions among states or only offering
premium reduction plans in certain
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states or with certain plans of insurance
could result in unfair discrimination
against such producers. Even if the
premium reduction is the same for all
states and plans of insurance, there is
the possibility that limited resources
farmers could be excluded from the
marketing of premium reduction plans.
RMA has tried to address this issue in
this rule by: (1) Requiring that the
premium reduction plan be provided to
all producers insured by the approved
insurance provider; (2) requiring
approved insurance providers to
provide marketing plans for how they
will reach these producers; (3) denying
approval for premium reduction plans
with inadequate marketing plans; and
(4) allowing for withdrawal of approval
by RMA for failure of the approved
insurance provider to follow the
marketing plan. RMA is expressly
seeking comments on whether these
provisions should be modified or
additional provisions added to ensure
that all producers have access to all
premium reduction plans offered in
their state.
RMA is also considering an
alternative program structure to that
contained in this proposed rule. The
main feature of this alternative is that
any premium reimbursement to the
producer would be based on the actual
cost savings realized by the approved
insurance provider after the application
of the efficiencies; not projected cost
savings. The approved insurance
provider would apply to be able to
provide a reimbursement to producers
based on the intent to implement
specified efficiencies, but the approved
insurance provider would have to
validate the cost savings and receive
approval of the applicable premium
reimbursement from RMA after the end
of the applicable reinsurance year before
the provider could announce and remit
the reimbursement to the producer.
As a result, approved insurance
providers would project what they
intend to save through efficiencies and
estimate the amount of the premium
reimbursement in their revised Plan of
Operations, but they would not be able
to advertise or otherwise represent the
amount of the premium reimbursement
to producers in advance of the sale
because they would not know the final
amount of savings or the approved
reimbursement at the time they
submitted their revised Plan of
Operations. Approved insurance
providers may only be able to refer to
historical reimbursements in accordance
with applicable State laws.
This alternative structure is intended
to avoid the uncertainty resulting from
reliance on cost projections and to
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reduce the chance that an approved
insurance provider will fail to achieve
the represented savings, thereby causing
disruption in the marketplace. Use of
actual costs would preserve program
integrity and the financial stability of
the approved insurance providers.
Under the alternative structure,
approved insurance providers would
not be able to market the plan to
producers based on a guaranteed
amount of premium reimbursement.
The alternative structure would
eliminate the need for approved
insurance providers to build a reserve
into the plan because the premium
reimbursements would be based on
actual verified savings from applied
efficiencies rather than projections that
may not be realized.
Because of the timing of the financial
accounting of the approved insurance
provider, the actual costs and savings
will not be known until months after the
end of the crop year and premium
reimbursements cannot occur until after
such accounting. This means producers
will be required to pay the full amount
of their premium before they receive
any possible reimbursement.
RMA is soliciting comments on this
alternative process to determine if such
a structure should replace the proposed
structure when RMA finalizes the
proposed rule. RMA is particularly
interested in comments that address
issues relating to the benefits of using
actual versus projected costs, impacts
on the workload of the approved
insurance providers and RMA, market
conduct oversight requirements that
may be required, impacts on
competition, the delay in the
reimbursements to producers, whether
such reimbursements create any income
tax issues, or any other substantial
adverse or positive effect of this
approach in contrast to the approach
included in the proposed rule.
An analysis of the existing procedures
and review of the recently submitted
revised Plans of Operations revealed
that revisions to the procedures were
necessary. Following are a summary of
the current procedures and the
proposed changes.
1. Fundamental Program Change
Under the existing procedures,
approved insurance providers could
name the states and crops for which
their premium reduction plan would be
applicable. RMA explored continuation
of this practice but it has identified
significant problems in the
administration of a program that permits
state or other types of variability.
Problems were identified in the
selection of states. Allowing approved
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insurance providers to select states may
result in unfair discrimination because
approved insurance providers could
elect only to offer a premium reduction
plan in states with low risks. In
addition, RMA determined that state
variability would require complex
accounting rules because section
508(e)(3) of the Act requires the
efficiencies to correspond to the
location and amount of premium
reduction. As stated above, this means
that the dollar amount of savings from
the efficiencies implemented in a state
must correspond to the amount of
premium reduction in that state.
Further, the workload on RMA and
approved insurance providers to
identify cost allocations and determine
whether the projected cost savings from
efficiencies are reasonable and
correspond to the premium reductions
in the state would be enormous. This
would be followed by the workload
required to verify that savings in each
state were realized and that premium
reductions paid out did not exceed the
amount of such savings.
RMA considered whether it was
possible to remedy all the problems that
allowing variability by state could
produce and discovered it could not.
Therefore, the proposed rule requires
that approved insurance providers who
submit revised Plans of Operations must
offer the premium reduction plan to all
producers, in all states where the
approved insurance provider does
business, and for all applicable crops,
policies and plans of insurance. The
amount of the premium reduction based
on the percentage of the net book
premium may not have any variations.
For example, variations by state,
coverage level, etc. are not permitted. In
reaching its conclusion, RMA
considered the following principles and
is soliciting comments on its analysis
and whether a premium reduction plan
could be developed that allowed for a
variation of the reduction by state
consistent with these principles.
a. The ability to offer such a reduction
by state must not cause competitive
harm in the marketplace. Premium
reductions plans are intended to create
competition in the marketplace.
However, the procedures governing
such plans cannot be developed in such
a manner as to create a competitive
disadvantage. Therefore, RMA is
striving to develop procedures that
provide a level playing field to the
maximum extent practicable.
The ability to vary the reduction by
state could represent a substantial
advantage for an approved insurance
provider to be able to target reductions
to meet specific market conditions in a
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particular state. As a result, RMA
believes that such an advantage must be
available to all approved insurance
providers, if it is to be available to any.
One cost reduction measure that
appears in nearly all proposed premium
reduction plans received by RMA where
the reduction varies by state is the
varying of agent commission reductions
by state. The focus is on agents’
commissions because they are relatively
easy to administer by the approved
insurance provider and verify by RMA,
and agent compensation constitutes
about seventy percent of the expenses
that are incurred in the delivery of the
crop insurance program. Because the
crop insurance books of business of all
approved insurance providers are
currently divided by state and agent
commissions are reported to RMA by
state, it would be straightforward to
allocate the cost reductions by state.
However, not all approved insurance
providers in the Federal crop insurance
program use independent agents who
are paid on a commission basis. Some
approved insurance providers use
‘‘captive agents’’ that are employees of
the provider who are compensated on a
salary, not a commission, basis and may
be doing business in more than one
state.
RMA believes that it would be very
difficult, if not impossible, for these
approved insurance providers to
allocate their agent compensation costs
in a manner that would clearly show
how such agent compensation
reductions matched the associated
premium reduction on a state by state
basis. If RMA were to allow premium
reductions on a state by state basis, and
such reductions were generated by
reductions in agent compensation,
approved insurance providers with
‘‘captive agents’’ would likely suffer
from a competitive disadvantaged
simply based on how they obtain, and
compensate for, agent services.
b. A premium reduction plan where
the efficiencies and reductions vary by
state must be easy for the approved
insurance provider to administer and
easy for RMA to verify. The purpose
behind section 508(e)(3) of the Act is to
encourage approved insurance
providers to reduce administrative and
operating expenses in order to provide
competitive discounts to producers.
RMA believes it would be directly
against the intent of this provision to
authorize premium reduction plans that
require the application of complex cost
accounting rules to ensure that the
premium reductions correspond to the
efficiencies, as specifically required by
the Act. Other than efficiencies tied to
reductions in agent compensation,
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nearly all of the efficiencies that varied
by state in the premium reduction plans
submitted to RMA for the 2005
reinsurance year involved cost
reductions in general operating costs of
the approved insurance provider, which
are incurred in many states (e.g.
information technology costs, policy
servicing costs, and basic overhead
costs). For example, the approved
insurance provider proposes savings as
a result of the implementation of a new
computer system that would reduce
errors by 20 percent. The computer
system is applicable to all policies in
the approved insurance provider’s book
of crop insurance business. If the
premium reduction plan calls for
different premium reductions in each
state, the approved insurance provider
would have to allocate the dollar
savings associated with the new
software to each state. It is also possible
that such computer software is used in
the approved insurance provider’s other
lines of business, which would require
additional allocations. This type of
allocation would have to be done for
each type of efficiency. Therefore, to
allocate these costs to each state would
require the application of very complex
cost accounting rules. Further, to the
extent these costs represent activities
conducted by salaried employees, as
opposed to independent contractors, the
cost accounting rules become even more
difficult. Salaried employees and some
contract employees, such as loss
adjusters, frequently conduct work in
more than one state. To allocate the
costs among the states would also
require additional complex accounting
rules.
c. Uniform service and preventing
unintended effects on the business
practices of the approved insurance
providers. One of the major principles of
the crop insurance program is that
approved insurance providers must
provide insurance to all eligible
producers and agents are required to
perform certain services for each
producer regardless of the producer’s
size or loss history. By introducing state
variability in savings and premium
reductions, there is a concern that it will
result in variability of service to
producers. For example, based on a
review of the 2005 premium reduction
plans submitted by approved insurance
providers, it was apparent that
reductions in agent compensation was
the easiest way to establish efficiencies
that support state variable premium
reductions. RMA is concerned that
variable reductions in agent
compensation may result in reduced
service to some producers below the
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standards set by RMA in the SRA. The
burden on RMA and the approved
insurance providers to monitor agents’
conduct to ensure that no such
reduction in service occurs could be
considerable and could reduce a
significant portion of the savings
generated by the efficiencies.
Further, there are numerous approved
insurance providers and each has a
unique operational structure and
manner of doing of business. RMA
wants to avoid implementing any rule
that unnecessarily dictates the business
practices of the approved insurance
providers. As stated above, efficiencies
based on the reduction of independent
contractor compensation, such as agent
commissions, are easy to verify and
allocate on a state-by-state basis.
Therefore, state variability provides an
economic incentive to approved
insurance providers to achieve their
efficiencies through reductions in agent
commissions. This conclusion was
confirmed by the independent
reviewers. This incentive could result in
all approved insurance providers being
driven to use commission to
compensate their agents in order to be
competitive.
In addition, as stated above, some
approved insurance providers use
salaried agents instead of independent
contractor agents, likely increasing the
difficulty for such approved insurance
providers to allocate the salaried agents’
compensation among states. RMA
believes that the economic incentive
created by state variability and the need
for easily verifiable and allocable
compensation may drive these approved
insurance providers to change the way
they deliver the program or could result
in competitive disadvantages. The
intent of the premium reduction plan is
not to dictate the manner in which the
approved insurance provider does
business. Decisions on the use of
independent versus salaried agents
should be based on competitive market
forces and service considerations, not a
government regulation intended to
provide a benefit to producers.
2. Revisions of Definitions
Most of the definitions from the
current procedures have been included
in this proposed rule, although some
have been modified to conform to the
SRA. RMA has also revised the
definition of ‘‘compensation’’ to clarify
that compensation includes any
benefits, including those from third
parties, that are guaranteed, even though
the amount may differ year to year,
regardless of the existence of an
underwriting gain for the approved
insurance provider, and to clarify when
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9007
profit sharing arrangements will not be
included as compensation. The
definition of ‘‘efficiency’’ is revised to
clarify that cost savings must be
attributable to operational efficiencies or
a reduction in expenses but such
savings cannot solely result from
reductions in compensation, and that
economies of scale from increased sales
due to the offering of a premium
reduction plan of insurance or projected
reductions in loss adjustment expenses,
unless authorized by RMA, are not
considered an efficiency. A definition of
‘‘procedures’’ is added for clarification.
A definition of ‘‘profit sharing’’ is added
to clarify the difference between
guaranteed benefits, which are
considered compensation, and
contingent benefits based on
underwriting gains. A definition of
‘‘underwriting gain’’ is added to clarify
that such gains include the net gain
payment made to the approved
insurance provider on its whole book of
business under the SRA, less any costs
it pays from such gains, including any
costs related to the delivery of the
program in excess of the amount of
administrative and operating subsidy
received from RMA. The definition of
‘‘unfair discrimination’’ has been
modified to clarify that approved
providers cannot exclude producers
based on the loss history or the size of
the policy.
3. Timing of the Submission of Revised
Plans of Operations
The current procedures require
revised Plans of Operations be filed not
later than 150 days prior to the first
sales closing date where the premium
reduction will be applicable. In this
proposed rule, for the 2006 reinsurance
year, revised Plans of Operations must
be received by RMA not later than 15
days after publication of the final rule
to allow RMA time to consider such
revised Plans of Operations before the
fall sales closing dates. For subsequent
reinsurance years, all revised Plans of
Operations must be received by RMA
not later than April 1 before the start of
the reinsurance year. RMA has elected
to have a single submission window
each reinsurance year to ensure that all
producers have access to the benefits
under any premium reduction plan and
that the timing of the submission of the
revised Plans of Operations does not
create an unfair competitive advantage.
Revised Plans of Operations that are not
timely submitted will be rejected.
Approved insurance providers will have
15 days after the date a revised Plan of
Operation is received by RMA to
withdraw it. If not timely withdrawn,
any approved premium reduction plan
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must be implemented for the
reinsurance year.
4. Confidentiality Requirements
The confidentiality requirements
remain the same but have been
incorporated into a different section.
5. Contents of Revised Plans of
Operations
The current procedures require five
copies and both a hard copy and
electronic version. The provision has
been revised to require an electronic
copy. Both the current and proposed
procedures require the approved
insurance provider to provide the name
of the person responsible for the
administration of the premium
reduction plan, the reinsurance year the
plan will be in effect; a statement of the
amount of the premium reduction to be
offered to producers, how it is
calculated, and reported to RMA; a list
of any and all terms and conditions that
affect its availability; and the projected
total dollar amount of the premium
reduction to be provided to the
producers. The requirements in the
existing procedures to list the proposed
crops and states where the efficiency is
being gained and the estimated number
of producers have been removed from
the proposed rule because such
provisions were rendered moot by the
requirement that the premium reduction
plan be offered in all states for all crops
where the approved insurance provider
does business. The procedures have
been revised to more clearly specify that
existing Expense Exhibits provided with
the Plan of Operations will be used in
determining costs projections to ensure
such reporting is standard among
approved insurance providers and to
ensure that such standards are tied to
the information reported in the SRA.
The procedures are also revised to only
require the approved insurance provider
to certify to the reasonableness,
accuracy, and completeness of the
projected costs relating to the claimed
efficiencies and calculating the dollar
amount of premium reduction provided
since this information is not reported in
the SRA. Revisions have also been made
to the procedures to require the revised
Plan of Operations to include a
marketing plan for small, minority and
limited resource farmers to address
concerns that such producers will not
receive the benefit of the premium
reduction plans. The existing
procedures are further revised to require
the approved insurance provider
include a proposal of how it intends to
deliver the premium reduction plan for
all producers in its revised Plan of
Operations. This plan should include
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whether the approved insurance
provider will use the Internet, captive
agents, affiliates, etc. Further, the
approved insurance provider must
certify that a copy of such strategy is
sent to all State Departments of
Insurance where it does business for a
determination of whether the premium
reduction plan is in conformance with
state laws with respect to the licensing
and conduct of agents and provide all
responses from the states to RMA. The
proposed rule further clarifies the
existing procedures by requiring
approved insurance providers to
demonstrate how the premium
reduction will correspond to the
efficiencies, as required by section
508(e)(3) of the Act. This means the
premium reduction must be provided in
the same state from which the efficiency
is implemented. Further, the amount of
the premium reduction in a state must
be commensurate with the amount of
savings obtained from the efficiencies in
that state. For example, an efficiency
derived in Iowa cannot be used to fund
a premium reduction in Texas. Further,
the approved insurance provider cannot
reduce costs in some states by 5 percent
and in other states by 2.5 percent and
give all producers the same premium
discount. Such proposals would violate
the Act. Further, revisions have been
made to the procedures to require
approved insurance providers to
provide a summary of all profit sharing
arrangements so that RMA can
determine whether such profits should
be considered as compensation and
included as an expense or is solely
based on the underwriting gains of the
approved insurance provider and
excluded. The procedures have also
been revised to require the premium
reduction plan contain a financial
reserve plan that would contain
additional actions to be implemented in
the event that actual cost savings are
insufficient to cover the amount of the
premium reduction, which would
generate additional administrative and
operating savings or provide access to
additional funds equal to 25 percent of
the premium reduction. For example, if
the dollar amount of the proposed
premium reduction is $10 million, the
approved insurance provider must
implement the efficiencies to attain
such dollar amount of premium
reduction as applicable during the
reinsurance year. However, prior to
submitting a revised Plan of Operation,
the approved insurance provider must
also determine what other actions are
necessary to guarantee that it will have
access to an additional $2.5 million (25
percent of $10 million) to cover the
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premium reductions. While the
implementation of such other actions
would not be necessary unless the cost
savings from the original efficiencies
were insufficient to cover the premium
reduction, the ability to obtain the
additional funding must be
demonstrated in the revised Plan of
Operations. Such other actions could
include additional cost cutting
measures, access to additional lines of
credit, guaranteed loans, etc. However,
these other actions, if implemented, will
not be considered when determining the
amount of premium reduction
authorized for subsequent years. The
purpose of such financial reserve plans
is to ensure that any error in projections
does not affect the financial solvency of
the approved insurance provider or
prevent the producer from receiving the
premium reduction specified in the
premium reduction plan.
6. New Approved Insurance Providers
The existing procedures allow certain
costs associated with new approved
insurance providers and with respect to
expansions by existing approved
insurance providers be included in the
A&O costs for the purposes of
determining the efficiency. RMA has
elected to remove the provisions
regarding existing approved insurance
providers because it is impractical to
track those costs associated with normal
expansion and those attributable to the
premium reduction plan. Further, the
Act does not make any distinction
between the types of costs against which
to measure the efficiencies. However, it
is only the new entrants into the crop
insurance business that have the
exceptional costs associated with such
entrance. Existing approved insurance
providers may incur some additional
costs but not nearly to the extent that
new entrants would. Further, some of
these costs associated with expansion
may be captured if the approved
insurance provider can established a
higher expected premium volume for
the year. RMA has clarified that new
entrants are limited to those that have
not participated in the program
previously or are not affiliated with a
managing general agent, another
approved insurance provider, or other
such entity that already has the
infrastructure necessary to deliver crop
insurance. The existing procedures have
also been revised to no longer allow the
new entrant to exclude the startup costs
from its expenses reported under the
premium reduction plan. In the
proposed rule, such startup costs must
be included as expenses but the
approved insurance provider will be
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permitted to spread such costs equally
for up to three reinsurance years.
7. RMA Review Process
The current procedures require RMA
to evaluate the completeness of a
revised Plan of Operations and notify
the approved insurance provider within
30 days. This provision has been
removed because of the administrative
burden it places on RMA to review the
revised Plan of Operations twice and
provide two separate responses. In the
proposed rule, for the 2006 reinsurance
year, RMA will notify approved
insurance providers not later than
September 1, 2005. For all subsequent
reinsurance years, RMA has retained the
provision that requires it to provide a
response to the revised Plan of
Operations not later than 60 days prior
to the first sales closing date but added
a provision that this requirement
applies only if the revised Plan of
Operations was timely submitted and if
the 60 day requirement is not waived by
the approved insurance provider.
8. Standards for Approval
The current procedures require that
the premium reduction plan not result
in the reduction of service to producers
or be harmful to the interest of
producers, not place a financial or
operational hardship on the approved
insurance provider or undermine the
integrity of the crop insurance program.
Further, such procedures require the
approved insurance provider have the
financial and operational capacity and
expertise to deliver the crop insurance
program after implementation of the
premium reduction plan, there be
adequate internal controls, and the
premium reduction plan meet all other
requirements of the Act and the SRA.
These requirements have been retained
in this proposed rule. RMA has added
a provision that clarifies that approved
insurance providers must be able to
demonstrate they are operating under
the A&O subsidy they receive from
RMA, and if such information is based
on projected costs and subsidy, such
amount must be reasonable, before any
revised Plans of Operation can be
approved. RMA has also added
provisions requiring that the efficiencies
come from reductions in A&O costs and
not underwriting gains and that they be
verifiable; that the amount and location
of the premium reductions correspond
to the efficiencies; that there be enough
efficiencies to cover all the premium
reductions; and that training and
oversight not be compromised to ensure
the proper administration of the
premium reduction plan program. RMA
added provisions that the financial
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reserve plan provide a guarantee of
funding. RMA has also modified the
procedures relating to unfair
discrimination to ensure that there is no
such discrimination based on the size of
the farm or premium, the risk of loss, or
against small, minority or limited
resource farmers and that the marketing
plan and delivery system for the
premium reduction be reasonable and,
with respect to the delivery system, in
accordance with state law. RMA has
also added provisions regarding the
process of notification of approval and
the requirement that if approved, the
premium discount plan must be
implemented for the next applicable
sales closing date for the reinsurance
year, unless otherwise determined by
RMA. This requirement is to ensure that
all producers receive equal access to
approved premium reduction plans and
that expectations created by the
submission of a revised Plan of
Operations for a premium reduction are
realized.
9. Disapproval
RMA has revised the existing
procedures, and combined them with
the approval process, to provide the
approved insurance provider with the
right to seek reconsideration of a
disapproval and specify that if a revised
Plan of Operations is disapproved, the
insurance provider cannot submit
another revised Plan of Operations until
the following reinsurance year.
10. Requirements After Approval of a
Premium Reduction Plan
The current procedures specify that
all procedural issues, problems, etc. will
be addressed by the approved insurance
provider; premium reductions must be
implemented in accordance with the
premium reduction plan, the approved
insurance provider is liable for all
mistakes, errors, etc. The current
procedures also required the approved
insurance provider to assist RMA in any
reviews conducted to determine
whether the efficiency is generated and
there is compliance with the premium
reduction plan and to make any changes
required by RMA. These provisions
have been basically retained in the
proposed rule. RMA has added a
requirement that the approved
insurance provider immediately report
in writing all operational and financial
changes that could cause a material
impact upon an approved premium
reduction plan. RMA has revised the
procedures regarding reporting to make
them more detailed to ensure the
information provided is adequate to
review and assess the impact on
program participants, including small
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9009
producers, limited resource farmers,
women and minority producers and on
the crop insurance program. RMA has
also revised the procedures to clarify
that producers will automatically
receive the premium reduction. RMA
has added a requirement that the
approved insurance provider have an
independent certified accountant certify
as to the reasonableness, accuracy, and
completeness of all actual costs relating
to the efficiencies and the total dollar in
premium reduction for the reinsurance
year the premium reduction plan will be
offered, in a format approved by RMA,
not later than April 1 after the close of
the reinsurance year. RMA has also
added provisions requiring that the cost
of such certification be included in the
projected costs used to determine
whether an efficiency has been attained.
RMA has also added provisions making
it clear that approval of a premium
reduction plan is only for one year and
new revised Plan of Operations must be
made for subsequent years. RMA has
also added provisions clarifying that if
RMA discovers that the efficiencies
were insufficient to cover the premium
discount, the efficiencies are not
attained or the premium reduction is
not corresponding to the efficiency, the
amount of premium reduction that can
be approved for the next applicable
reinsurance year will be limited to the
actual amount of savings attained,
excluding any actions taken under the
financial reserve plan. Further, RMA
added provisions specifying that it will
closely monitor the approved insurance
provider’s efforts to market the premium
reduction plan to small producers,
limited resources farmers, women and
minority producers to ensure that no
unfair discrimination takes place and
that if it is discovered, RMA may
withdraw approval of the premium
reduction plan. RMA has also clarified
its provisions regarding when it can
modify or withdraw approval, how such
modification or withdrawal will be
communicated and the effect of such
action for ease of use.
11. New Provisions
Unlike the procedures, RMA has
added provisions that expressly state
the limitations and prohibitions on the
premium reduction plan program in
order to simplify and clarify the
program. Such limitations include a cap
on the amount of premium reduction for
the first two years the premium
reduction plan is offered to allow RMA
to evaluate the effect such plan may
have on the crop insurance program and
ensure that approved insurance
providers are not leaving themselves
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financially vulnerable by cutting their
costs too much.
List of Subjects in 7 CFR Part 400
Administrative practice and
procedure, Crop insurance, Disaster
assistance, Fraud, Penalties, Reporting
and recordkeeping requirements.
Proposed Rule
Accordingly, as set forth in the
preamble, the Federal Crop Insurance
Corporation proposes to amend 7 CFR
part 400 by revising subpart V, effective
for the 2006 and succeeding reinsurance
years, to read as follows:
PART 400—GENERAL
ADMINISTRATIVE REGULATIONS
1. The authority citation for 7 CFR
part 400 continues to read as follows:
Authority: 7 U.S.C. 1506(a), 1506(p),
1508(e)(3).
Subpart V—Submission of Policies,
Provisions of Policies, Rates of
Premium, and Premium Reduction
Plans
2. Revise the heading for Subpart V to
read as set forth above.
3. Amend § 400.700 by adding two
sentences to the end of the section to
read as follows:
§ 400.700
Basis, purpose, applicability.
* * * This subpart also provides
procedures that are applicable to revised
Plan of Operations submitted by
approved insurance providers for the
purpose of obtaining approval for a
premium reduction plan in accordance
with section 508(e)(3) of the Act. The
offering of such premium reduction
plans without RMA’s prior written
approval is prohibited.
§ 400.701
[Amended]
4. Amend § 400.701 by revising the
definition of ‘‘Administrative and
operating (A&O) subsidy’’ and by
adding the definitions of
‘‘Administrative and operating (A&O)
costs’’, ‘‘Agent’’, ‘‘Compensation’’, ‘‘Cost
accounting’’, ‘‘Efficiency’’, ‘‘Managing
general agent’’, ‘‘Premium reduction’’,
‘‘Profit sharing arrangements’’,
‘‘Standard reinsurance agreement’’,
‘‘Third party administrator’’,
‘‘Underwriting gain’’, and ‘‘Unfair
discrimination’’ in alphabetical order to
read as follows:
§ 400.701
Definitions.
*
*
*
*
*
Administrative and operating (A&O)
costs. Costs of the approved insurance
provider and any MGA and TPA that are
related to the delivery, loss adjustment
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and administration of the Federal crop
insurance program.
Administrative and operating (A&O)
subsidy. The subsidy for the
administrative and operating expenses
authorized by the Act (including the
catastrophic risk protection loss
adjustment expense reimbursement) and
paid by FCIC on behalf of the producer
to the Company.
Agent. An individual licensed by the
State in which an eligible crop
insurance contract is sold and serviced
for the reinsurance year, and who is
under contract with the Company, or its
designee, to sell and service such
eligible crop insurance contracts.
*
*
*
*
*
Compensation. Any guaranteed
salary, commission, or any other
guaranteed payment or anything of
value or benefit that has a quantifiable
value that is not contingent on the
existence of an underwriting gain of the
approved insurance provider, including,
but not limited to, the payment of health
or life insurance, deferred compensation
(including qualified and unqualified),
finders fees, retainers, trip or travel
expenses, dues or other membership
fees, the use of vehicles, office space,
equipment, staff or administrative
support paid by the approved insurance
provider either directly or indirectly
through a third party. Profit sharing
arrangements will not be considered
compensation, when:
(1) The payments under such
arrangements are contractually
obligated;
(2) The total amount paid under the
aggregate of all profit sharing
arrangements exceeds the total amount
of the underwriting gain for the
applicable reinsurance year; or
(3) The profit sharing payment is
triggered by anything other than
whether the approved insurance
provider receives an underwriting gain
for its whole book of Federally
reinsured crop insurance business for
the applicable reinsurance year.
*
*
*
*
*
Efficiency. Monetary savings realized
when an approved insurance provider
sells and services its Federal crop
insurance policies for less than the
amount of the A&O subsidy paid by
FCIC, which must result from changes
to the administrative and operating
procedures and expenses that the
approved insurance provider employs
in delivering Federally-reinsured
policies in accordance with the Act, the
SRA, and all applicable regulations,
directives, bulletins and procedures.
Only a portion of the approved
insurance provider’s monetary savings
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can come from a reduction in
compensation, the rest must come from
changes in administrative and operating
procedures. Efficiency does not include
any actual or projected underwriting
gain earned from the SRA, reinsurance
revenues, or the investment returns on
the approved insurance provider’s
reserves. Cost savings attributed to
projected increased sales due to the
offering of a premium reduction plan of
insurance are not considered an
efficiency, nor are proposed reductions
in loss adjustment expenses, unless
such reductions in loss adjustment
expense are a result of implementing
loss adjustment procedures authorized
by RMA.
*
*
*
*
*
Managing general agent (MGA). An
entity that meets the definition of
managing general agent under the laws
of the State in which such entity is
incorporated and in every other state in
which it operates, or in the absence of
such State law or regulation, meets the
definition of a managing general agent
or agency in the National Association of
Insurance Commissioners Managing
General Agents Act, or successor Act.
*
*
*
*
*
Premium reduction. Reduction of the
insured’s premium by the approved
insurance provider in an amount
approved by RMA in accordance with
section 508(e)(3) of the Act, all
applicable regulations, and these
procedures.
Procedures. The applicable
handbooks, manuals, memoranda,
bulletins or other directives issued by
RMA or the Board.
Profit sharing arrangements. An
arrangement to make a payment based
on whether the approved insurance
provider receives an underwriting gain
on the total book of crop insurance
business, except payments made to
commercial reinsurers, or reinsurance
revenues paid to the approved
insurance provider for the reinsurance
year.
*
*
*
*
*
Standard reinsurance agreement
(SRA). The reinsurance agreement
between FCIC and the approved
insurance provider, under which the
approved insurance provider is
authorized to sell and reinsure the
policies for which the premium
reduction is proposed.
*
*
*
*
*
Third party administrator (TPA). A
person or entity that processes claims or
performs other administrative services
and holds licenses, as applicable, in
states in which the approved insurance
provider does business for services
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related to the delivery, loss adjustment
and administration of the Federal crop
insurance program in accordance with a
service contract or an affiliate or any
other type of relationship.
Underwriting gain. For the purposes
of the premium reduction plan, the
amount of gains paid under section
II.B.10. of the SRA less any amounts
paid from such gains, such as payments
to commercial reinsurers, taxes,
licensing fees, payments to parent
companies or subsidiaries, etc., and any
costs incurred by the approved
insurance provider in excess of the A&O
subsidy related to the delivery, loss
adjustment and administration of the
Federal crop insurance program
Unfair discrimination. A premium
reduction plan will be considered
unfairly discriminatory to a producer if
the availability of such premium
reduction plan, or the amount of the
premium reduction, is based on the loss
history of the producer, the amount of
premium earned under the policy, or
precludes in any manner producers in
an approved State from participating in
the program.
*
*
*
*
*
5. Add § 400.714 to read as follows:
§ 400.714 Revised Plans of Operations for
premium reduction plans.
(a) For the 2006 reinsurance year,
revised Plans of Operations must be
received by RMA not later than [date 15
days after the date of publication of the
final rule].
(b) For all subsequent reinsurance
years, revised Plans of Operations must
be received by RMA not later than April
1 before the reinsurance year, or the
date RMA otherwise determines the
Plan of Operations is due.
(c) Any revised Plans of Operations
that is not timely submitted will not be
considered by RMA and any other
revised Plans of Operations submitted
by the approved insurance provider
during the reinsurance year will not be
considered until the next reinsurance
year.
(d) A revised Plan of Operations may
be withdrawn no later than 15 days after
the revised Plan of Operations has been
received by RMA. If a revised Plan of
Operations has not been timely
withdrawn, the approved insurance
provider will be required to implement
an approved premium reduction plan.
(e) Any confidential commercial or
financial information submitted with a
revised Plan of Operations will be
protected from disclosure to the extent
permitted by, and in accordance with, 5
U.S.C. 552(b)(4).
(f) The revised Plans of Operations
under this subsection must be sent to
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the Director, Reinsurance Services
Division (or designee) at an address to
be announced by RMA.
6. Add § 400.715 to read as follows:
§ 400.715
Limitations and prohibitions.
(a) For the first two reinsurance years
after [effective date of the final rule], the
premium reduction plan may not offer
a premium reduction based on an
efficiency less than 1.0 percent nor
greater than 4.0 percent of the net book
premium. For subsequent reinsurance
years, RMA will announce the
minimum and maximum limitation on
the premium reduction, if applicable.
Premium reductions must be offered in
.5 percent increments.
(b) If a premium reduction plan is
offered it must be offered in all states
where the approved insurance provider
is doing business and for all crops,
coverage levels, policies.
(c) The amount of the premium
reduction offered based on the
percentage of the net book premium
may not vary between states, crops,
coverage levels, policies or plans of
insurance, or on any other basis (For
example, if the approved insurance
provider can reduce costs by 2.5
percent, such reduction must be
provided to all policyholders in all
states where the approved insurance
provider is doing business).
7. Add § 400.716 to read as follows:
§ 400.716 Contents of the revised Plans of
Operations for a premium reduction plan.
A revised Plan of Operations must be
submitted electronically, in a manner
determined by RMA. Each revised Plan
of Operations must include the
following:
(a) The name of the approved
insurance provider, the person who may
be contacted for further information
regarding the revised Plan of
Operations, and the person who will be
responsible for administration of the
premium reduction plan;
(b) A detailed description of any and
all terms and conditions that affect its
availability;
(c) A detailed statement as to the
amount of the premium reduction that
is proposed to be offered to each eligible
producer, how it will be calculated, and
how it will be reported to RMA;
(d) A detailed proposal of how the
approved insurance provider intends to
deliver the premium reduction plan to
producers;
(e) A detailed marketing plan focused
solely on how the premium reduction
will be promoted to small producers,
limited resources farmers as defined in
section 1 of the Basic Provisions, 7 CFR
457.8, women and minority producers;
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(f) A detailed statement explaining
how the approved insurance provider
proposes to revise its procedures for the
delivery, operation or administration of
the Federal crop insurance program in
order to achieve the specified efficiency
and how the premium reduction will
correspond to the efficiency;
(g) Applicable Expense Exhibits
required by the SRA, or the applicable
regulations if required by RMA, that are
revived to reflect the implementation of
the premium reduction plan and any
documentation necessary to support the
revisions;
(h) Based on the applicable Expense
Exhibits, a statement that summarizes
the A&O costs before implementation of
the efficiency, the cost savings
associated with the efficiency, the A&O
costs after implementation of the
efficiency (which includes the budgeted
cost of all reports and certifications
required in §§ 400.714–720), the
expected A&O subsidy, and the
projected total dollar amount of
premium reduction to be provided to
producers (This statement must
demonstrate that after the
implementation of the premium
reduction plan, the approved insurance
provider’s A&O costs, including the
budgeted cost of all such reports and
certifications, plus the amount of any
premium reductions will not be greater
than the provider’s A&O subsidy);
(i) A financial reserve plan that:
(1) Is triggered immediately upon
discovery by the approved insurance
provider or RMA that the total dollar
amount of the actual efficiency is not
sufficient to cover the total dollar
amount of the premium reduction
provided to producers;
(2) Consists of actions to be taken by
the approved insurance provider that
would produce cost savings or income
that is at least 25 percent of the
projected total dollar of premium
reduction to be provided to producers
immediately upon discovery under
paragraph (i)(1) of this section;
(j) A detailed description of all profit
sharing arrangements paid by the
approved insurance provider;
(k) A certification, in a format
approved by RMA, by the person
designated by the approved insurance
provider to execute the SRA, of the
reasonableness, accuracy, and
completeness of all cost projections
relating to the efficiencies and the total
dollar in premium reduction for the
reinsurance year the premium reduction
plan will be offered;
(l) A certification from the approved
insurance provider, by the person
designated by the approved insurance
provider to execute the SRA, that it has
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provided a copy of its marketing
strategy under paragraph (d) of this
section to the State Department of
Insurance for all states where the
premium reduction plan will be offered
for its review to determine whether the
licensing of agents and the conduct of
agents in the solicitation and sale of
insurance under the proposed premium
reduction plan is in accordance with
applicable state insurance laws (All
responses from the states must be
provided to RMA not later than 10 days
after receipt of the response by the
approved insurance provider);and
(m) Such other information as deemed
necessary by RMA.
8. Add § 400.717 to read as follows:
§ 400.717 New approved insurance
providers.
There may be instances where a new
approved insurance provider is entering
into the crop insurance program for the
first time and such approved insurance
provider is not affiliated with a MGA,
another approved insurance provider, or
any other entity that possesses the
infrastructure necessary to deliver the
crop insurance program, that is
currently or has previously participated
in the crop insurance program. In such
instances, the one time start-up costs
that are associated with entering the
crop insurance business (e.g., creation of
a claims system, interface with RMA’s
data acceptance system, initial
marketing costs, set up charges) must be
included in the Expense Exhibits
required by the SRA, or the applicable
regulations if required by RMA, but the
costs may be amortized in equal annual
amounts for a period of up to three years
for the purpose of determining the
efficiency on the documents described
in § 400.716, in a manner determined by
RMA.
9. Add § 400.718 to read as follows:
§ 400.718
RMA review.
(a) For the 2006 reinsurance year,
RMA will notify the approved insurance
provider by September 1, 2005, of its
approval or disapproval of the revised
Plan of Operations for a premium
reduction plan; and
(b) For all subsequent reinsurance
years, RMA will notify the approved
insurance provider at least 60 days
before the applicable sales closing date
of its approval or disapproval of the
submitted premium reduction plan,
unless the approved insurance provider
waives this 60 day prior notification
requirement in writing.
10. Add § 400.719 to read as follows:
§ 400.719
Standards for approval.
(a) RMA may approve the revised
Plan of Operations if, in the sole
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determination of RMA, the revised Plan
of Operations demonstrates that the
following criteria are met:
(1) All information required in
§ 400.716 is included in the revised Plan
of Operations, in the format required,
and is reasonable and supported by
documentation;
(2) The approved insurance provider
can demonstrate that its A&O costs, or
projected A&O costs, are less than the
A&O subsidy received, or projected to
be received, from RMA and if based on
projections, such projections are
reasonable;
(3) The approved insurance provider
can reduce A&O costs by a specific
amount through identified efficiencies
in the delivery of the Federal crop
insurance program;
(4) The identified efficiencies must be
measurable in dollar terms and
supported by documentary evidence;
(5) RMA is able to verify the source
and amount of the identified efficiencies
as provided by the approved insurance
provider and all applicable costs and
savings before and after implementation
of the premium reduction plan;
(6) The efficiencies must be sufficient
to cover the dollar amount of the
premium reduction, and correspond to
the location where the premium
reduction is offered;
(7) The efficiency must:
(i) Be derived from activities for
which the A&O subsidy is provided and
not from any expected underwriting
gain; and
(ii) Not be derived from any marketing
or underwriting practices that are
unfairly discriminatory;
(8) The financial reserve plan is
reasonable and provides the necessary
guarantee of funding, as required by
§ 400.716(i);
(9) The marketing plan must be
reasonable and effectively reach small
producers, limited resources farmers as
defined in section 1 of the Basic
Provisions, 7 CFR 457.8, women and
minority producers;
(10) The proposal of how the
approved insurance provider intends to
deliver the premium reduction plan
must be reasonable and not violate
applicable state laws regarding the
licensing and the conduct of agents in
the solicitation and sale of insurance;
(11) The premium reduction plan
must not result in a reduction in the
service to policyholders required by
RMA approved procedures;
(12) The premium reduction plan
must not result in a reduction of
training and supervising of agents, loss
adjusters, or underwriting and quality
assurance personnel required by the
procedures, law, regulation or the SRA;
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(13) There must not be a reduction in
the total delivery system’s ability to
serve all producers, including small
producers, limited resource farmers as
defined in the Basic Provisions, 7 CFR
457.8, women and minority producers,
and producers located in areas with
small volumes of crop insurance
business;
(14) The premium reduction plan
must not adversely impact the financial
and operational capacity and expertise
of the approved insurance provider to
properly deliver the Federal crop
insurance program;
(15) The approved insurance
provider’s resources, procedures, and
internal controls are adequate to make
the premium reduction plan available to
producers in a timely manner and to
protect the integrity of the Federal crop
insurance program, including the
prevention of fraud, waste and abuse;
and
(16) The premium reduction plan
meets all other relevant requirements of
the Act and the SRA.
(b) If the revised Plan of Operations is
approved, the approved insurance
provider:
(1) Will be notified in writing by the
Director of the Reinsurance Services
Division, or a designee or successor; and
(2) Must implement the premium
reduction plan beginning with the next
applicable sales closing date for the
reinsurance year, unless otherwise
determined by RMA, in accordance with
§ 400.720.
(c) If the revised Plan of Operations is
disapproved, the approved insurance
provider:
(1) Will be notified in writing of the
basis for disapproval by the Director of
the Reinsurance Services Division, or a
designee or successor.
(2) May request, in writing,
reconsideration of the decision with the
Deputy Administrator of Insurance
Services, or a designee or successor,
within 30 days of disapproval and such
request must provide a detailed
narrative of the basis for
reconsideration.
(3) May not submit any additional
revised Plans of Operations for a
premium discount plan for the
reinsurance year.
11. Add § 400.720 to read as follows:
§ 400.720 Terms and conditions for
approved premium reduction plans.
The following terms and conditions
apply to all approved insurance
providers whose revised Plans of
Operations are approved:
(a) Approved revised Plans of
Operations for premium reduction will
only be effective for one reinsurance
year.
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(b) The approved insurance provider
must immediately report in writing all
operational and financial changes that
could cause a material adverse impact
upon its approved premium reduction
plan to the Director of the Reinsurance
Services Division, or a designee or
successor.
(c) All procedural issues, questions,
problems or clarifications with respect
to implementation of the premium
reduction plan must be timely
addressed by the approved insurance
provider.
(d) The approved insurance provider
must implement the premium reduction
plan in accordance with the terms and
conditions of approval.
(e) All producers insured by the
approved insurance provider will
automatically receive the premium
reduction contained in the approved
premium reduction plan.
(f) An independent certified public
accountant must certify to the
reasonableness, accuracy, and
completeness of all actual costs relating
to the efficiencies and the total dollar in
premium reduction for the reinsurance
year the premium reduction plan will be
offered, in a format approved by RMA,
not later than April 1 after the annual
settlement for the reinsurance year (The
costs associated with such certification
will be at the approved insurance
provider’s expense and must be
included in the approved insurance
provider’s projected expenses for the
purposes of determining an efficiency);
(g) The approved insurance provider
must provide semi-annual reports, or
more frequently as determined by RMA,
that permit RMA to accurately evaluate
the effectiveness of the premium
reduction plan, in the manner specified
by RMA. At a minimum, each report
must contain:
(1) The number of producers making
initial application for insurance by
State;
(2) The average number of acres
insured under all policies by State
before and after implementation of the
premium reduction plan;
(3) The number of small producers,
limited resources farmers as defined in
section 1 of the Basic Provisions, 7 CFR
457.8, women and minority producers
making application as result of the
implementation of the marketing plan;
(4) The average coverage level
purchased by producers insured by the
approved insurance provider before
implementation of the premium
reduction plan and after;
(5) The number of agents selling and
servicing policies on behalf of the
approved insurance provider by State;
and
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(6) The number, substance, and final
or pending resolution of complaints
from producers regarding the service
received under the premium reduction
plan.
(h) If at any time RMA discovers that
the cost reduction or efficiencies
contained in the premium reduction
plan are not attained, are not sufficient
to cover the dollar amount of premium
reduction, or that the reduction in
premium is not corresponding to the
efficiency, RMA will require that the
amount of efficiency used to determine
the premium reduction for the next
applicable reinsurance year be limited
to the actual cost savings obtained for
the reinsurance year, excluding any
financial reserve plan measures that
may have been used to make up for the
effects of the deficiency.
(i) RMA will closely monitor the
approved insurance provider’s efforts to
market the premium reduction plan to
small producers, limited resources
farmers as defined in section 1 of the
Basic Provisions, 7 CFR 457.8, women
and minority producers to ensure that
no unfair discrimination takes place and
if it is discovered, RMA may withdraw
approval for the premium reduction
plan, in accordance with paragraph (n)
of this section.
(j) The approved insurance provider is
solely liable for all damages caused by
any mistakes, errors,
misrepresentations, or flaws in the
premium reduction plan or its
implementation.
(k) The approved insurance provider
must fully cooperate with RMA in its
periodic review of the operations of the
approved insurance provider for the
purpose of assuring that the efficiencies
are generated, that the projected cost
reductions materialize, that the
premium reduction plan is administered
in the manner presented in the revised
Plan of Operations, that the solvency
and operational capacity of the
approved insurance provider remains
unimpaired, and that the interests of
producers and taxpayers are protected.
(l) The approved insurance provider
may be required by RMA to modify its
implementation of an approved
premium reduction plan to ensure
compliance with 7 CFR 400.714–720,
the Act, regulations, the SRA, and any
applicable policy provisions and
approved procedures, and to protect the
interests of producers and taxpayers,
and the integrity of the program.
(m) At its sole discretion and upon
written notice, RMA may withdraw or
modify its approval of any premium
reduction plan if RMA determines that:
(1) The approved premium reduction
plan, or its implementation, no longer
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satisfies all the terms and conditions in
7 CFR 400.714–720;
(2) There have been instances of
unfair discrimination;
(3) The stated efficiencies have not
been realized or the approved premium
reduction is not provided to all existing
policyholders and producers as required
by subsection (e); or
(4) The integrity of the crop insurance
program is jeopardized in any way, as
determined by RMA, by the premium
reduction plan.
(n) If any condition in paragraph (m)
of this section exists, RMA will notify
the approved insurance provider in
writing:
(1) That approval has been withdrawn
or a modification to the premium
reduction plan is required;
(2) The date such withdrawal is
effective or modifications must be made;
(3) If modified, such modification
must be approved by RMA before
implementation;
(4) The basis for such withdrawal or
modification; and
(5) If approval is withdrawn, the
approved insurance provider must cease
offering the associated premium
reduction effective for the next sales
closing date.
Signed in Washington, DC, on February 17,
2005.
Ross J. Davidson, Jr.,
Manager, Federal Crop Insurance
Corporation.
[FR Doc. 05–3435 Filed 2–23–05; 8:45 am]
BILLING CODE 3410–08–P
FEDERAL ELECTION COMMISSION
11 CFR Part 300
[Notice 2005–6]
Candidate Solicitation at State, District,
and Local Party Fundraising Events
Federal Election Commission.
Notice of proposed rulemaking.
AGENCY:
ACTION:
SUMMARY: The Federal Election
Commission seeks comments on
proposed changes to its rule regarding
appearances by Federal officeholders
and candidates at State, district, and
local party fundraising events under the
Federal Election Campaign Act of 1971,
as amended (‘‘FECA’’ or the ‘‘Act’’). The
current regulation contains an
exemption permitting Federal
officeholders and candidates to speak at
State, district, and local party
fundraising events ‘‘without restriction
or regulation.’’ This regulation was
challenged in Shays v. FEC. The U.S.
District Court for the District of
E:\FR\FM\24FEP1.SGM
24FEP1
Agencies
[Federal Register Volume 70, Number 36 (Thursday, February 24, 2005)]
[Proposed Rules]
[Pages 9001-9013]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-3435]
[[Page 9001]]
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DEPARTMENT OF AGRICULTURE
Federal Crop Insurance Corporation
7 CFR Part 400
RIN 0563-AB95
General Administrative Regulations, Subpart V--Submission of
Policies, Provisions of Policies, Rates of Premium, and Premium
Reduction Plans
AGENCY: Federal Crop Insurance Corporation, USDA.
ACTION: Proposed rule with request for comments.
-----------------------------------------------------------------------
SUMMARY: The Federal Crop Insurance Corporation (FCIC) proposes to
amend the General Administrative Regulations (7 CFR part 400, subpart
V--Submission of Policies, Provisions of Policies, and Rates of
Premium), to include provisions regarding the necessary revisions to
the Plan of Operations and administration of the premium reduction
plans authorized under section 508(e)(3) of the Federal Crop Insurance
Act (Act).
DATES: Written comments and opinions on this proposed rule will be
accepted until close of business April 25, 2005, and will be considered
when the rule is to be made final. Comments on the information
collection requirements must be received on or before April 25, 2005.
ADDRESSES: Interested persons are invited to submit written comments to
the Director, Reinsurance Services Division, Risk Management Agency,
United States Department of Agriculture, 1400 Independence Avenue, Ag
Stop 0805, Washington, DC 20250. Comments titled ``Premium Reduction
Plan'' may be sent via the Internet to RMA.PRP@rma.usda.gov, or the
Federal eRulemaking Portal: https://www.regulations.gov. Follow the
online instructions for submitting comments. Faxed comments may be
faxed to (202) 690-2095, Attn: PRP Rule comments. If you are planning
on submitting by mail, please be advised to submit your comments not
later than 30 days after the date of publication of the rule to be
assured of consideration when the rule is made final. A copy of each
response will be available for public inspection and copying from 7
a.m. to 4:30 p.m., CDT, Monday through Friday except holidays, at the
above address.
FOR FURTHER INFORMATION CONTACT: For further information, contact Lee
Ziegler, Economist, Reinsurance Services Division, Risk Management
Agency, United States Department of Agriculture, 1400 Independence
Avenue, Room 6739-S, Washington, DC 20250; telephone number (202) 720-
0191, e-mail address: lee.ziegler@rma.usda.gov.
SUPPLEMENTARY INFORMATION:
Executive Order 12866
This rule has been determined to be not significant for the
purposes of Executive Order 12866, and, therefore, it has not been
formally reviewed by the Office of Management and Budget (OMB).
Independent Review
The Risk Management Agency (RMA) provided five independent
reviewers with a copy of the Federal Crop Insurance Act (Act), the
current procedures, the Board of Directors' Memorandum, the submissions
received from the approved insurance providers and a series of
questions regarding the premium reduction plans, including: (1) An
estimation of the effects of producer use of insurance as a risk
management tool; (2) the impact on the delivery system such as agents,
claims adjustment, approved insurance providers, and service; (3) the
impact on small, minority and limited resource farmers; (4) whether
phase-in should be required; (5) cost allocation for complex plans; (6)
the affect of the use of affiliated entities; and (7) the impact on
agent compensation plans.
In summary, the reviewers stated that implementation of a premium
reduction plan could result in a modest increase in participation in
the crop insurance program, although increases in coverage levels are
more likely. Depending on how the premium reduction plans are
structured, there could be significant changes in the delivery system
through possible consolidation among agents or approved insurance
providers, fewer part-time agents, and an increase in highly
knowledgeable agents. The impact on small producers, limited resource
farmers, women and minority producers is expected to be small. In
proportion to the complexity of the premium reduction plans,
verification of costs could have a significant impact on the workloads
of the approved insurance providers and RMA and accounting guidelines
may have to be developed that would increase the workload.
Complete copies of the reports of the independent reviewers is
available to the public on RMA's Web site at https://www.rma.usda.gov.
However, confidential business information has been redacted from such
reports.
Paperwork Reduction Act of 1995
In accordance with section 3507(j) of the Paperwork Reduction Act
of 1995 (44 U.S.C. 3501), the information collection and record keeping
requirements included in this rule have been submitted for approval to
OMB. Please submit written comments to the Desk Officer for
Agriculture, Office of Information and Regulatory Affairs, Office of
Management and Budget (OMB), Washington, DC 20503. A comment to OMB is
best assured of having its full effect if OMB receives it within 30
days of publication of this rule.
Comments are being solicited from the public concerning this
proposed information collection and record keeping requirements. This
outside input will help:
(1) Evaluate whether the proposed collection of information is
necessary for the proper performance of the functions of the agency,
including whether the information has practical utility;
(2) Evaluate the accuracy of our estimate of the burden of the
proposed collection of information, including the validity of the
methodology and assumption used;
(3) Enhance the quality, utility, and clarity of the information to
be collected; and
(4) Minimize the burden of the collection of information on those
who are to respond (such as through the use of appropriate automated,
electronic, mechanical, or other technological collection techniques or
other forms of information technology, e.g., permitting electronic
submission responses).
Title: General Administrative Regulation; Submission of Policies,
Provisions of Policies, Rates of Premium, and Premium Reduction Plans.
Abstract: FCIC proposes to amend the General Administrative
Regulations (7 CFR part 400, subpart V--Submission of Policies,
Provisions of Policies, and Rates of Premium), to include provisions
regarding the necessary procedures that are applicable to revised Plans
of Operations submitted by approved insurance providers for the purpose
of obtaining approval of premium reduction plans as authorized under
section 508(e)(3) of the Act.
Purpose: To amend 7 CFR part 400 by revising subpart V, to include
specific information that must be submitted by approved insurance
providers for the purpose of obtaining approval of premium reduction
plans. This rule will have a separate paperwork package submitted to
OMB to ensure that all the burden hours are accounted for.
[[Page 9002]]
Burden statement: This rule is necessary to ensure that RMA
receives complete revised Plans of Operations from approved insurance
providers for the purpose of obtaining approval of premium reduction
plans.
The burden associated with this rule, with the exception of reading
the rule, is in the modification to the Plans of Operations. FCIC
estimates that annually 15 people (excluding Federal employees) will
spend 2 hours reading this document for a total of 30 hours (15 x 2 =
30). FCIC estimates people in 6 positions (financial manager,
accountant, computer programmer, underwriter, manager, and office
assistant) will respond for a total of 90 respondents (6 positions x 15
submissions = 90). FCIC estimates 180 annual responses (15 x 12 = 180)
due to 15 approved insurance providers submitting revised Plans of
Operations complying with twelve requirements. To determine approximate
annual burden hours, FCIC estimates 15 entities will prepare a revised
Plan of Operations and will spend the following amount of time for each
of the twelve requirements: (a) Identifying the approved insurance
provider, naming the person who may be contacted for further
information regarding the revised Plan of Operations, and naming the
person who will be responsible for administration of the premium
reduction plan--1.25 hours (15 approved insurance providers x 5 minutes
= 1.25 hours); (b) preparing a detailed description of any and all
terms and conditions that affect its availability--15 hours (15
approved insurance providers x 1 hour = 15); (c) preparing a detailed
statement as to the amount of the premium reduction that is proposed to
be offered to each eligible producer, how it will be calculated, and
how it will be reported to RMA--60 hours (15 approved insurance
providers x 4 hours = 60); (d) preparing a detailed proposal of how the
approved insurance provider intends to deliver the premium reduction
plan to producers--60 hours (15 approved insurance providers x 60 hours
= 60); (e) preparing a detailed marketing plan focused solely on how
the premium reduction will be promoted to small producers, limited
resources farmers as defined in section 1 of the Basic Provisions, 7
CFR, 457.8, women and minority producers--30 hours (15 approved
insurance providers x 2 hours = 30); (f) preparing a detailed statement
explaining how the approved insurance provider proposes to revise its
procedures for the delivery, operation or administration of the Federal
crop insurance program in order to achieve the specified efficiency and
how the premium reduction will correspond to the efficiency--45 hours
(15 approved insurance providers x 3 hours = 45); (g) revision of
applicable expense exhibits required by the Standard Reinsurance
Agreement, or the applicable regulations if required by RMA, that are
revised to reflect the implementation of the premium reduction plan and
any documentation necessary to support the revisions--240 hours (15
approved insurance providers x 16 hours = 240); (h) A statement, based
on the applicable expense exhibits, that summarizes the A&O costs
before implementation of the efficiency, the cost savings associated
with the efficiency, the administrative and operating (A&O) costs after
implementation of the efficiency, the expected A&O subsidy and the
projected total dollar amount of premium reduction to be provided to
producers--30 hours (15 approved insurance providers x 2 hours = 30);
(i) a financial reserve plan--60 hours (15 approved insurance providers
x 4 hours = 60); (j) preparing a detailed description of all profit
sharing arrangements paid by the approved insurance provider--45 hours
(15 approved insurance providers x 3 hours = 45); (k) certification by
approved insurance providers of the reasonableness, accuracy, and
completeness of all cost projections relating to the efficiencies and
the total dollar in premium reduction for the reinsurance year the
premium reduction plan will be offered = 30 hours (15 approved
insurance providers x 2 hours = 30); (l) certification that a copy of
its marketing strategy under subsection (d) has been provided to the
State Department of Insurance for all states where the premium
reduction plan will be offered for its review to determine whether the
licensing of agents and the conduct of agents in the solicitation and
sale of insurance under the proposed premium reduction plan is in
accordance with applicable state insurance laws--15 hours (15 approved
insurance providers x 1 hour = 15).
Estimate of Burden: The public reporting burden for this collection
of information is estimated to average 42 hours per response.
Respondents: Approved insurance providers who wish to revise their
Plans of Operations for the purpose of obtaining approval of a premium
reduction plan.
Estimated Annual Number of Respondents: 90.
Estimated Annual Number of Responses Per Respondent: 2.
Estimated Annual Number of Responses: 180.
Estimated Total Annual Burden of Respondents: The total public
burden for this rule is estimated at 7,560 hours. Record keeping
requirements: FCIC requires records to be kept for three years, and all
records required by FCIC are retained as part of the normal business
practice. Therefore, FCIC is not estimating additional burden related
to record keeping.
Government Paperwork Elimination Act (GPEA) Compliance
In its efforts to comply with GPEA, FCIC requires all approved
insurance providers delivering the crop insurance program to make all
insurance documents available electronically and to permit producers to
transact business electronically. Further, to the maximum extent
practicable, FCIC transacts its business with approved insurance
providers electronically.
Unfunded Mandates Reform Act of 1995
Title II of the Unfunded Mandates Reform Act of 1995 (UMRA)
establishes requirements for Federal agencies to assess the effects of
their regulatory actions on State, local, and tribal governments and
the private sector. This rule contains no Federal mandates (under the
regulatory provisions of title II of the UMRA) for State, local, and
tribal governments or the private sector. Therefore, this rule is not
subject to the requirements of sections 202 and 205 of UMRA.
Executive Order 13132
It has been determined under section 1(a) of Executive Order 13132,
Federalism, that this rule does not have sufficient implications to
warrant consultation with the states. The provisions contained in this
rule will not have a substantial direct effect on states, on the
relationship between the national government and the states, or on the
distribution of power and responsibilities among the various levels of
government.
Regulatory Flexibility Act
FCIC certifies that this regulation will not have a significant
economic impact on a substantial number of small entities. This action
does not increase the burden on any entity because it merely clarifies
the process to submit premium reduction plans of insurance to the FCIC
Board of Directors for approval. The current requirements of the
Standard Reinsurance Agreement and procedures for premium reduction
plans approved by the Board contain provisions to ensure that small
entities have access to policies and plans of
[[Page 9003]]
insurance, including premium reduction plans. The requirement to apply
for a premium reduction plan is the same for small entities as it is
for large entities. A Regulatory Flexibility Analysis has not been
prepared since this regulation does not have an impact on small
entities, and, therefore, this regulation is exempt from the provisions
of the Regulatory Flexibility Act (5 U.S.C. 605).
Federal Assistance Program
This program is listed in the Catalog of Federal Domestic
Assistance under No. 10.450.
Executive Order 12372
This program is not subject to the provisions of Executive Order
12372, which require intergovernmental consultation with State and
local officials. See the Notice related to 7 CFR part 3015, subpart V,
published at 48 FR 29115, June 24, 1983.
Executive Order 12988
This rule has been reviewed in accordance with Executive Order
12988 on civil justice reform. The provisions of this rule will not
have a retroactive effect. The provisions of this rule will preempt
State and local laws to the extent such State and local laws are
inconsistent herewith, unless otherwise specified in the rule. The
appeals procedures at 7 CFR 400.169 and 7 CFR part 24 must be exhausted
before any action against FCIC for judicial review may be brought.
Environmental Evaluation
This action is not expected to have a significant economic impact
on the quality of the human environment, health, and safety. Therefore,
neither an Environmental Assessment nor an Environmental Impact
Statement is needed.
Background
Under the Act, authority over the Federal crop insurance program is
provided to FCIC, which is managed by the Board. However, section 226A
of the Department of Agriculture Reorganization Act of 1994, gave the
RMA supervision of FCIC and the administration and oversight over the
programs authorized under the Act. The Board delegated certain
functions to the Manager of FCIC, which are carried out through RMA.
The Board also retained certain authorities or requires briefing by the
Manager to the Board prior to the Manager taking certain actions. For
the purposes of the background information, FCIC and RMA are
collectively referred to as ``RMA.''
In October 1994, Congress amended the Act to add section 508(e)(3),
which states: ``If an approved insurance provider determines that the
provider may provide insurance more efficiently than the expense
reimbursement amount established by the Corporation [FCIC], the
approved insurance provider may reduce, subject to the approval of the
Corporation [FCIC], the premium charged the insured by an amount
corresponding to the efficiency. The approved insurance provider shall
apply to the Corporation [FCIC] for authority to reduce the premium
before making such a reduction, and the reduction shall be subject to
the rules, limitations, and procedures established by the Corporation
[FCIC].''
This means that an approved insurance provider can apply to RMA for
authority to reduce premiums payable by producers if the approved
insurance provider is able to provide insurance more efficiently than
the administrative and operating expense reimbursement paid by RMA. RMA
administers such reimbursements under a cooperative financial
assistance agreement between FCIC and the approved insurance providers
known as the Standard Reinsurance Agreement (SRA). The SRA contains
various requirements, limitations and procedures that approved
insurance providers must follow to sell and service Federal crop
insurance to producers in accordance with Federal law and regulations
and to qualify for Federal reinsurance, premium subsidy, and
administrative and operating expense reimbursement under the Act.
Since section 508(e)(3) involves administrative and operating
expense reimbursement, a term contained in the SRA, RMA had a choice.
The implementation of this provision could have been accomplished by
simply incorporating it into the SRA, like any other term and condition
of RMA reinsurance, or RMA could implement this provision through an
amendment to the regulations governing the Federal crop insurance
program contained in 7 CFR part 400. Initially, RMA determined to
implement the provision through the SRA. Effective for the 1997
reinsurance year, the SRA was amended to add a section III.I., which
stated, ``In the event the Company determines that it can deliver
multiple peril crop insurance policies more efficiently than the amount
of premium subsidy attributed to the administrative and operating
expenses paid under this section, it may apply to FCIC for authority to
reduce the amount of premium charges to the policyholder by an amount
commensurate with the amount of the efficiency.'' Effective for the
1998 reinsurance year, the SRA language was changed slightly to read,
``In the event the Company determines that it can deliver eligible crop
insurance contracts for less than the A&O subsidy paid under this
section, it may apply to FCIC for approval to reduce the amount of
producer premium charged to policyholders by an amount corresponding to
the value of the efficiency.''
In 1999, the Federal crop insurance program was facing numerous
issues regarding rebating, patronage refunds, and insured-owned and
record-controlling entities. It became clear that some parties, in
addition to approved insurance providers, may be directly affected and
concerned about these issues. Therefore, RMA decided to solicit
comments and address these concerns through a rulemaking process.
Because of the similarity of premium reduction plans to rebates, which
at the time were prohibited, RMA decided to clarify the situation by
including some rules and limitations on premium reduction plans in this
rulemaking activity. The proposed rule was published in May 1999.
During the rulemaking process, the Agricultural Risk Protection Act
of 2000 (ARPA) was enacted. Section 103 of ARPA amended section
508(b)(5) of the Act and authorized cooperatives and trade associations
to pay the catastrophic risk protection fee on behalf of their members
in states where rebating was permitted and in contiguous states.
Section 508(b)(5) of the Act also authorized cooperatives and trade
associations who received funds from an approved insurance provider to
pay a portion of the premium for their members if permitted by state
law. The provisions contained in section 103 of ARPA were significantly
different than what was proposed by RMA in its May 1999 proposed rule.
RMA determined that the provisions regarding rebating and patronage
refunds in the proposed rule were no longer applicable.
RMA determined the issues that remained from the proposed rule
after enactment of section 103 of ARPA should be handled
administratively. With respect to the issue of premium reduction plans,
RMA elected to continue to handle the issue through the SRA as it had
done in the past, since the SRA requires approved insurance providers
to comply with the procedures and directives of RMA. RMA determined it
could issue procedures under the SRA if necessary.
In July 2002, a revised Plan of Operation for a premium reduction
plan
[[Page 9004]]
for the 2003 crop year was received by the Board from an approved
insurance provider under section 508(h) of the Act. The approved
insurance provider claimed the authority for the submission came from
section 523(d) of the Act. Section 523(d) of the Act applies when
approved insurance providers believe the risk premium charged to
producers is too high and that the premium can still be actuarially
sound if less total premium is charged. It was not until the revised
Plan of Operations was reviewed by the Board that it was discovered the
approved insurance provider was seeking to reduce the producer paid
portion of the premium because the approved insurance provider claimed
it could deliver the crop insurance program for less money than
received for the administrative and operating expense reimbursement.
This meant it would be more appropriate to consider the revised Plan of
Operations under section 508(e)(3) of the Act than section 523(d) of
the Act.
After reviewing this approved insurance provider's revised Plan of
Operations for premium reduction plan, the Board determined that
procedures were necessary to address certain issues raised by the
revised Plan of Operations that had not previously been raised
regarding premium reduction plans, including the issue of an approved
insurance provider that was new to the crop insurance program and,
therefore, lacked a track record to assess the extent of any proposed
efficiencies. In December 2002, the Board provided guidance and
conditions for the development of such approval procedures to the
Manager of FCIC in Board Memorandum No. 694, Docket No. CI-PDP-02-1
(Board Memorandum). Under such guidance, premium reduction plans are
required to be offered initially in a limited number of states and
expanded over time as the capacity and ability of the approved
insurance provider to deliver the plan is determined. Further, the
Manager is required to report the performance of any premium reduction
plan to the Board at each meeting.
For the 2003 crop year, the approved insurance provider's proposed
premium reduction plan reduced producer paid premium by an amount equal
to 3.5 percent of net book premium for all Federally reinsured plans of
insurance for corn, grain sorghum, soybeans, sugar beets, and wheat in
Iowa, Illinois, Nebraska, Kansas, Minnesota, Indiana, and North Dakota.
The premium reduction was based on administrative efficiencies attained
by the approved insurance provider through sales of the premium
reduction plan over the Internet, through their operational and
distribution systems, and certain reductions in agent commissions. RMA
evaluated the approved insurance provider's proposed premium reduction
plan, determined that it met the conditions imposed by the Board and
approved the plan in January 2003, effective for the 2003 crop year.
Part of the Board's guidance required that the conditions of
approval contained in the Board Memorandum must apply to all subsequent
approved insurance providers. Consistent with the Board Memorandum, RMA
established procedures that were reviewed by the Board and transmitted
to the approved insurance providers through Manager's Bulletin MGR-03-
008.
Some of the substantive provisions included in the procedures and
Board Memorandum were the requirement that there not be a reduction in
service to policyholders; assurance that the premium reduction plan is
not unfairly discriminatory; requiring detailed information regarding
any efficiency, its previous costs and the costs to be incurred after
application of the efficiency; ensuring that a premium reduction plan
will not place an excessive operational or financial hardship on the
approved insurance provider; requiring descriptions and examples of how
any premium reduction will be calculated and presented to the
policyholder; requiring the determination of the number of producers
affected and the projected total amount of any reduction; and requiring
that any efficiency be subject to verification by RMA.
In addition, the procedures included accounting for startup costs
for newly approved insurance providers; ensuring the use of licensed
agents; requiring greater detail in the expense documentation,
including certification from a certified public accountant regarding
the reasonableness, accuracy and completeness of the accounting
statements; comprehensive reviews by the approved insurance provider of
the potential impact of the premium reduction plan and any steps to be
taken to address potential vulnerabilities; and requiring semi-annual
reports by the approved insurance provider to assist RMA in monitoring
the program.
The approved insurance provider's premium reduction plan was
reviewed at the end of the 2003 crop year to determine whether it met
stated efficiencies. RMA's analysis found that it was less than one
percent short of meeting its stated efficiencies on a dollar basis. The
revised Plan of Operations contained a contingency plan to allow for a
further reduction of costs to ensure it attained the efficiencies
claimed. The contingency was applied and RMA determined that the
approved insurance provider was in compliance with the procedures, the
Board's conditions, and section 508(e)(3) of the Act.
For the 2004 crop year, the approved insurance provider sought
expansion of its premium reduction plan. RMA evaluated its revised Plan
of Operations for the 2004 crop year under the procedures and reviewed
the revised Plan of Operations with the Board. To address potential
concerns regarding the possibility of unfair discrimination, the Board
required the approved insurance provider make the premium reduction
plan available to producers of all crops in the states it was approved
to offer the premium reduction plan, not just selected crops. The Board
viewed the expansion to several more states as particularly important
to test the premium discount plan in states with varying crop insurance
performance.
Once the approved insurance provider agreed to this condition, its
previously approved premium reduction plan was amended and approved to
include all crops in Illinois, Indiana, Iowa, Kansas, Michigan,
Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, Texas,
and Wisconsin. The approved insurance provider was recently approved to
again offer a premium reduction plan for 2005 under the same terms and
conditions as the 2004 premium reduction plan but expanded the number
of states where it was offered.
The approved insurance provider's premium reduction plan is simple.
As currently approved, the same efficiencies applied to all states the
approved insurance provider does business and there is only one level
of premium reduction applicable to all such states. This made
verification of expense reductions associated with the efficiency
straightforward because all costs associated with the sale and service
of Federal crop insurance policies were considered and compared with
the amount the approved insurance provider claimed was needed to
deliver the program (e.g. 24.5 percent [2004 A&O] - 3.5 percent = 21.0
percent of the net book premium for all policies). Further, it would be
easy to determine if practices were unfairly discriminatory because the
approved insurance provider was required to offer the discount to all
producers who wanted it. It was also easy to determine whether the
reduction in premium from the efficiencies corresponded to the states
from which they were derived since the same efficiencies and same
[[Page 9005]]
reductions applied to all states in which the approved insurance
provider wrote business.
Over the last few months, RMA has received additional revised Plans
of Operations for premium reduction plans for the 2005 crop year from
other approved insurance providers. The revised Plans of Operations
received are diverse: some offering a premium reduction for select
plans of insurance, in select states; some at different premium
reduction rates; some under new and complex organizational structures;
and, finally, some at the discretion of the approved insurance provider
or agent.
These diverse plans raised issues or problems that had not been
previously considered by RMA when it developed its procedures. Requests
to offer a premium reduction plan for only select plans of insurance,
in select states or at differing premium reduction rates raised issues
regarding the requirement in the Act that the efficiencies correspond
to the amount of the premium reduction. Corresponding means that the
dollar amount of savings from the efficiencies implemented in a state
must correspond to the amount of premium reduction in that state.
Further, it means that if the premium reduction is only available for
select plans of insurance, the efficiencies must come from those plans
of insurance. It also means that when the amount of premium reduction
differs among states, the dollar amount of efficiency in each state
must be sufficient to cover the premium reduction in that state.
Savings realized from one state could not be used to finance a premium
reduction in another state without violating the corresponding
requirement in the Act. A review of the premium reduction plans with
these options revealed that RMA could not verify that efficiencies
corresponded with the premium reductions and that very complex
accounting rules would be required to allocate costs on a state or
insurance plan basis.
These plans also raised the possibility that there could be unfair
discrimination. Unfair discrimination results when producers are denied
an opportunity to participate under the premium reduction plan based on
their risk of loss or farm size. The ability to offer premium reduction
plans in certain states or plans of insurance could result in the
approved insurance provider only offering such plans in states with
good loss history or with larger than average farm sizes.
Another problem identified with these premium reduction plans is
the proposal to change the operational structure to have one or more
entities associated with the approved insurance provider offer a
premium reduction plan and another entity not, or allow agents to
decide whether or not they will offer premium reduction plans and to
whom. Again, this raises the possibility that approved insurance
providers could divide their book of business between the two or more
entities such that one entity receives the policies with a good loss
history and the others received the policies with a bad loss history.
Not only would this be unfair discrimination, such division could be
used to manipulate gains and losses under the SRA if it was based on
loss history. Further, some of the potential organizational structures
may have been in violation of the SRA, such as the use of two managing
general agents.
RMA recognizes that premium reduction plans may be controversial.
From the beginning, RMA has attempted to strike a balance between the
interests of producers in having their premiums reduced through
competition in the marketplace and the need to have a strong delivery
system. RMA has attempted to address problems and issues as they have
arisen to ensure a strong, stable program.
Throughout the consideration process of premium reduction plans,
RMA determined that there were several principles that must be met in
order to comply with the requirements of section 508(e)(3) of the Act.
The first is that the approved insurance provider must provide
sufficient documentation to demonstrate that not only can the approved
insurance provider operate within its administrative and operating
expense reimbursement, but it can also reduce its costs to a level
below the amount received from RMA for administrative and operating
expense reimbursement. The second is that the efficiencies claimed by
the approved insurance provider must be easily verifiable by RMA
through auditing and monitoring. The third is that the premium
reduction plan must comply with all requirements of the Act, the
regulations, procedures, and the SRA.
The last principle is that no premium reduction plan can be
unfairly discriminatory against producers based on their loss history,
size of operation, or the amount of premium generated within the
program. There have been concerns expressed that premium reduction
plans may lead to unfair discrimination against small producers,
limited resource farmers, women and minority producers. As stated
previously, variations in premium reductions among states or only
offering premium reduction plans in certain states or with certain
plans of insurance could result in unfair discrimination against such
producers. Even if the premium reduction is the same for all states and
plans of insurance, there is the possibility that limited resources
farmers could be excluded from the marketing of premium reduction
plans.
RMA has tried to address this issue in this rule by: (1) Requiring
that the premium reduction plan be provided to all producers insured by
the approved insurance provider; (2) requiring approved insurance
providers to provide marketing plans for how they will reach these
producers; (3) denying approval for premium reduction plans with
inadequate marketing plans; and (4) allowing for withdrawal of approval
by RMA for failure of the approved insurance provider to follow the
marketing plan. RMA is expressly seeking comments on whether these
provisions should be modified or additional provisions added to ensure
that all producers have access to all premium reduction plans offered
in their state.
RMA is also considering an alternative program structure to that
contained in this proposed rule. The main feature of this alternative
is that any premium reimbursement to the producer would be based on the
actual cost savings realized by the approved insurance provider after
the application of the efficiencies; not projected cost savings. The
approved insurance provider would apply to be able to provide a
reimbursement to producers based on the intent to implement specified
efficiencies, but the approved insurance provider would have to
validate the cost savings and receive approval of the applicable
premium reimbursement from RMA after the end of the applicable
reinsurance year before the provider could announce and remit the
reimbursement to the producer.
As a result, approved insurance providers would project what they
intend to save through efficiencies and estimate the amount of the
premium reimbursement in their revised Plan of Operations, but they
would not be able to advertise or otherwise represent the amount of the
premium reimbursement to producers in advance of the sale because they
would not know the final amount of savings or the approved
reimbursement at the time they submitted their revised Plan of
Operations. Approved insurance providers may only be able to refer to
historical reimbursements in accordance with applicable State laws.
This alternative structure is intended to avoid the uncertainty
resulting from reliance on cost projections and to
[[Page 9006]]
reduce the chance that an approved insurance provider will fail to
achieve the represented savings, thereby causing disruption in the
marketplace. Use of actual costs would preserve program integrity and
the financial stability of the approved insurance providers.
Under the alternative structure, approved insurance providers would
not be able to market the plan to producers based on a guaranteed
amount of premium reimbursement. The alternative structure would
eliminate the need for approved insurance providers to build a reserve
into the plan because the premium reimbursements would be based on
actual verified savings from applied efficiencies rather than
projections that may not be realized.
Because of the timing of the financial accounting of the approved
insurance provider, the actual costs and savings will not be known
until months after the end of the crop year and premium reimbursements
cannot occur until after such accounting. This means producers will be
required to pay the full amount of their premium before they receive
any possible reimbursement.
RMA is soliciting comments on this alternative process to determine
if such a structure should replace the proposed structure when RMA
finalizes the proposed rule. RMA is particularly interested in comments
that address issues relating to the benefits of using actual versus
projected costs, impacts on the workload of the approved insurance
providers and RMA, market conduct oversight requirements that may be
required, impacts on competition, the delay in the reimbursements to
producers, whether such reimbursements create any income tax issues, or
any other substantial adverse or positive effect of this approach in
contrast to the approach included in the proposed rule.
An analysis of the existing procedures and review of the recently
submitted revised Plans of Operations revealed that revisions to the
procedures were necessary. Following are a summary of the current
procedures and the proposed changes.
1. Fundamental Program Change
Under the existing procedures, approved insurance providers could
name the states and crops for which their premium reduction plan would
be applicable. RMA explored continuation of this practice but it has
identified significant problems in the administration of a program that
permits state or other types of variability. Problems were identified
in the selection of states. Allowing approved insurance providers to
select states may result in unfair discrimination because approved
insurance providers could elect only to offer a premium reduction plan
in states with low risks. In addition, RMA determined that state
variability would require complex accounting rules because section
508(e)(3) of the Act requires the efficiencies to correspond to the
location and amount of premium reduction. As stated above, this means
that the dollar amount of savings from the efficiencies implemented in
a state must correspond to the amount of premium reduction in that
state. Further, the workload on RMA and approved insurance providers to
identify cost allocations and determine whether the projected cost
savings from efficiencies are reasonable and correspond to the premium
reductions in the state would be enormous. This would be followed by
the workload required to verify that savings in each state were
realized and that premium reductions paid out did not exceed the amount
of such savings.
RMA considered whether it was possible to remedy all the problems
that allowing variability by state could produce and discovered it
could not. Therefore, the proposed rule requires that approved
insurance providers who submit revised Plans of Operations must offer
the premium reduction plan to all producers, in all states where the
approved insurance provider does business, and for all applicable
crops, policies and plans of insurance. The amount of the premium
reduction based on the percentage of the net book premium may not have
any variations. For example, variations by state, coverage level, etc.
are not permitted. In reaching its conclusion, RMA considered the
following principles and is soliciting comments on its analysis and
whether a premium reduction plan could be developed that allowed for a
variation of the reduction by state consistent with these principles.
a. The ability to offer such a reduction by state must not cause
competitive harm in the marketplace. Premium reductions plans are
intended to create competition in the marketplace. However, the
procedures governing such plans cannot be developed in such a manner as
to create a competitive disadvantage. Therefore, RMA is striving to
develop procedures that provide a level playing field to the maximum
extent practicable.
The ability to vary the reduction by state could represent a
substantial advantage for an approved insurance provider to be able to
target reductions to meet specific market conditions in a particular
state. As a result, RMA believes that such an advantage must be
available to all approved insurance providers, if it is to be available
to any.
One cost reduction measure that appears in nearly all proposed
premium reduction plans received by RMA where the reduction varies by
state is the varying of agent commission reductions by state. The focus
is on agents' commissions because they are relatively easy to
administer by the approved insurance provider and verify by RMA, and
agent compensation constitutes about seventy percent of the expenses
that are incurred in the delivery of the crop insurance program.
Because the crop insurance books of business of all approved insurance
providers are currently divided by state and agent commissions are
reported to RMA by state, it would be straightforward to allocate the
cost reductions by state. However, not all approved insurance providers
in the Federal crop insurance program use independent agents who are
paid on a commission basis. Some approved insurance providers use
``captive agents'' that are employees of the provider who are
compensated on a salary, not a commission, basis and may be doing
business in more than one state.
RMA believes that it would be very difficult, if not impossible,
for these approved insurance providers to allocate their agent
compensation costs in a manner that would clearly show how such agent
compensation reductions matched the associated premium reduction on a
state by state basis. If RMA were to allow premium reductions on a
state by state basis, and such reductions were generated by reductions
in agent compensation, approved insurance providers with ``captive
agents'' would likely suffer from a competitive disadvantaged simply
based on how they obtain, and compensate for, agent services.
b. A premium reduction plan where the efficiencies and reductions
vary by state must be easy for the approved insurance provider to
administer and easy for RMA to verify. The purpose behind section
508(e)(3) of the Act is to encourage approved insurance providers to
reduce administrative and operating expenses in order to provide
competitive discounts to producers. RMA believes it would be directly
against the intent of this provision to authorize premium reduction
plans that require the application of complex cost accounting rules to
ensure that the premium reductions correspond to the efficiencies, as
specifically required by the Act. Other than efficiencies tied to
reductions in agent compensation,
[[Page 9007]]
nearly all of the efficiencies that varied by state in the premium
reduction plans submitted to RMA for the 2005 reinsurance year involved
cost reductions in general operating costs of the approved insurance
provider, which are incurred in many states (e.g. information
technology costs, policy servicing costs, and basic overhead costs).
For example, the approved insurance provider proposes savings as a
result of the implementation of a new computer system that would reduce
errors by 20 percent. The computer system is applicable to all policies
in the approved insurance provider's book of crop insurance business.
If the premium reduction plan calls for different premium reductions in
each state, the approved insurance provider would have to allocate the
dollar savings associated with the new software to each state. It is
also possible that such computer software is used in the approved
insurance provider's other lines of business, which would require
additional allocations. This type of allocation would have to be done
for each type of efficiency. Therefore, to allocate these costs to each
state would require the application of very complex cost accounting
rules. Further, to the extent these costs represent activities
conducted by salaried employees, as opposed to independent contractors,
the cost accounting rules become even more difficult. Salaried
employees and some contract employees, such as loss adjusters,
frequently conduct work in more than one state. To allocate the costs
among the states would also require additional complex accounting
rules.
c. Uniform service and preventing unintended effects on the
business practices of the approved insurance providers. One of the
major principles of the crop insurance program is that approved
insurance providers must provide insurance to all eligible producers
and agents are required to perform certain services for each producer
regardless of the producer's size or loss history. By introducing state
variability in savings and premium reductions, there is a concern that
it will result in variability of service to producers. For example,
based on a review of the 2005 premium reduction plans submitted by
approved insurance providers, it was apparent that reductions in agent
compensation was the easiest way to establish efficiencies that support
state variable premium reductions. RMA is concerned that variable
reductions in agent compensation may result in reduced service to some
producers below the standards set by RMA in the SRA. The burden on RMA
and the approved insurance providers to monitor agents' conduct to
ensure that no such reduction in service occurs could be considerable
and could reduce a significant portion of the savings generated by the
efficiencies.
Further, there are numerous approved insurance providers and each
has a unique operational structure and manner of doing of business. RMA
wants to avoid implementing any rule that unnecessarily dictates the
business practices of the approved insurance providers. As stated
above, efficiencies based on the reduction of independent contractor
compensation, such as agent commissions, are easy to verify and
allocate on a state-by-state basis. Therefore, state variability
provides an economic incentive to approved insurance providers to
achieve their efficiencies through reductions in agent commissions.
This conclusion was confirmed by the independent reviewers. This
incentive could result in all approved insurance providers being driven
to use commission to compensate their agents in order to be
competitive.
In addition, as stated above, some approved insurance providers use
salaried agents instead of independent contractor agents, likely
increasing the difficulty for such approved insurance providers to
allocate the salaried agents' compensation among states. RMA believes
that the economic incentive created by state variability and the need
for easily verifiable and allocable compensation may drive these
approved insurance providers to change the way they deliver the program
or could result in competitive disadvantages. The intent of the premium
reduction plan is not to dictate the manner in which the approved
insurance provider does business. Decisions on the use of independent
versus salaried agents should be based on competitive market forces and
service considerations, not a government regulation intended to provide
a benefit to producers.
2. Revisions of Definitions
Most of the definitions from the current procedures have been
included in this proposed rule, although some have been modified to
conform to the SRA. RMA has also revised the definition of
``compensation'' to clarify that compensation includes any benefits,
including those from third parties, that are guaranteed, even though
the amount may differ year to year, regardless of the existence of an
underwriting gain for the approved insurance provider, and to clarify
when profit sharing arrangements will not be included as compensation.
The definition of ``efficiency'' is revised to clarify that cost
savings must be attributable to operational efficiencies or a reduction
in expenses but such savings cannot solely result from reductions in
compensation, and that economies of scale from increased sales due to
the offering of a premium reduction plan of insurance or projected
reductions in loss adjustment expenses, unless authorized by RMA, are
not considered an efficiency. A definition of ``procedures'' is added
for clarification. A definition of ``profit sharing'' is added to
clarify the difference between guaranteed benefits, which are
considered compensation, and contingent benefits based on underwriting
gains. A definition of ``underwriting gain'' is added to clarify that
such gains include the net gain payment made to the approved insurance
provider on its whole book of business under the SRA, less any costs it
pays from such gains, including any costs related to the delivery of
the program in excess of the amount of administrative and operating
subsidy received from RMA. The definition of ``unfair discrimination''
has been modified to clarify that approved providers cannot exclude
producers based on the loss history or the size of the policy.
3. Timing of the Submission of Revised Plans of Operations
The current procedures require revised Plans of Operations be filed
not later than 150 days prior to the first sales closing date where the
premium reduction will be applicable. In this proposed rule, for the
2006 reinsurance year, revised Plans of Operations must be received by
RMA not later than 15 days after publication of the final rule to allow
RMA time to consider such revised Plans of Operations before the fall
sales closing dates. For subsequent reinsurance years, all revised
Plans of Operations must be received by RMA not later than April 1
before the start of the reinsurance year. RMA has elected to have a
single submission window each reinsurance year to ensure that all
producers have access to the benefits under any premium reduction plan
and that the timing of the submission of the revised Plans of
Operations does not create an unfair competitive advantage. Revised
Plans of Operations that are not timely submitted will be rejected.
Approved insurance providers will have 15 days after the date a revised
Plan of Operation is received by RMA to withdraw it. If not timely
withdrawn, any approved premium reduction plan
[[Page 9008]]
must be implemented for the reinsurance year.
4. Confidentiality Requirements
The confidentiality requirements remain the same but have been
incorporated into a different section.
5. Contents of Revised Plans of Operations
The current procedures require five copies and both a hard copy and
electronic version. The provision has been revised to require an
electronic copy. Both the current and proposed procedures require the
approved insurance provider to provide the name of the person
responsible for the administration of the premium reduction plan, the
reinsurance year the plan will be in effect; a statement of the amount
of the premium reduction to be offered to producers, how it is
calculated, and reported to RMA; a list of any and all terms and
conditions that affect its availability; and the projected total dollar
amount of the premium reduction to be provided to the producers. The
requirements in the existing procedures to list the proposed crops and
states where the efficiency is being gained and the estimated number of
producers have been removed from the proposed rule because such
provisions were rendered moot by the requirement that the premium
reduction plan be offered in all states for all crops where the
approved insurance provider does business. The procedures have been
revised to more clearly specify that existing Expense Exhibits provided
with the Plan of Operations will be used in determining costs
projections to ensure such reporting is standard among approved
insurance providers and to ensure that such standards are tied to the
information reported in the SRA. The procedures are also revised to
only require the approved insurance provider to certify to the
reasonableness, accuracy, and completeness of the projected costs
relating to the claimed efficiencies and calculating the dollar amount
of premium reduction provided since this information is not reported in
the SRA. Revisions have also been made to the procedures to require the
revised Plan of Operations to include a marketing plan for small,
minority and limited resource farmers to address concerns that such
producers will not receive the benefit of the premium reduction plans.
The existing procedures are further revised to require the approved
insurance provider include a proposal of how it intends to deliver the
premium reduction plan for all producers in its revised Plan of
Operations. This plan should include whether the approved insurance
provider will use the Internet, captive agents, affiliates, etc.
Further, the approved insurance provider must certify that a copy of
such strategy is sent to all State Departments of Insurance where it
does business for a determination of whether the premium reduction plan
is in conformance with state laws with respect to the licensing and
conduct of agents and provide all responses from the states to RMA. The
proposed rule further clarifies the existing procedures by requiring
approved insurance providers to demonstrate how the premium reduction
will correspond to the efficiencies, as required by section 508(e)(3)
of the Act. This means the premium reduction must be provided in the
same state from which the efficiency is implemented. Further, the
amount of the premium reduction in a state must be commensurate with
the amount of savings obtained from the efficiencies in that state. For
example, an efficiency derived in Iowa cannot be used to fund a premium
reduction in Texas. Further, the approved insurance provider cannot
reduce costs in some states by 5 percent and in other states by 2.5
percent and give all producers the same premium discount. Such
proposals would violate the Act. Further, revisions have been made to
the procedures to require approved insurance providers to provide a
summary of all profit sharing arrangements so that RMA can determine
whether such profits should be considered as compensation and included
as an expense or is solely based on the underwriting gains of the
approved insurance provider and excluded. The procedures have also been
revised to require the premium reduction plan contain a financial
reserve plan that would contain additional actions to be implemented in
the event that actual cost savings are insufficient to cover the amount
of the premium reduction, which would generate additional
administrative and operating savings or provide access to additional
funds equal to 25 percent of the premium reduction. For example, if the
dollar amount of the proposed premium reduction is $10 million, the
approved insurance provider must implement the efficiencies to attain
such dollar amount of premium reduction as applicable during the
reinsurance year. However, prior to submitting a revised Plan of
Operation, the approved insurance provider must also determine what
other actions are necessary to guarantee that it will have access to an
additional $2.5 million (25 percent of $10 million) to cover the
premium reductions. While the implementation of such other actions
would not be necessary unless the cost savings from the original
efficiencies were insufficient to cover the premium reduction, the
ability to obtain the additional funding must be demonstrated in the
revised Plan of Operations. Such other actions could include additional
cost cutting measures, access to additional lines of credit, guaranteed
loans, etc. However, these other actions, if implemented, will not be
considered when determining the amount of premium reduction authorized
for subsequent years. The purpose of such financial reserve plans is to
ensure that any error in projections does not affect the financial
solvency of the approved insurance provider or prevent the producer
from receiving the premium reduction specified in the premium reduction
plan.
6. New Approved Insurance Providers
The existing procedures allow certain costs associated with new
approved insurance providers and with respect to expansions by existing
approved insurance providers be included in the A&O costs for the
purposes of determining the efficiency. RMA has elected to remove the
provisions regarding existing approved insurance providers because it
is impractical to track those costs associated with normal expansion
and those attributable to the premium reduction plan. Further, the Act
does not make any distinction between the types of costs against which
to measure the efficiencies. However, it is only the new entrants into
the crop insurance business that have the exceptional costs associated
with such entrance. Existing approved insurance providers may incur
some additional costs but not nearly to the extent that new entrants
would. Further, some of these costs associated with expansion may be
captured if the approved insurance provider can established a higher
expected premium volume for the year. RMA has clarified that new
entrants are limited to those that have not participated in the program
previously or are not affiliated with a managing general agent, another
approved insurance provider, or other such entity that already has the
infrastructure necessary to deliver crop insurance. The existing
procedures have also been revised to no longer allow the new entrant to
exclude the startup costs from its expenses reported under the premium
reduction plan. In the proposed rule, such startup costs must be
included as expenses but the approved insurance provider will be
[[Page 9009]]
permitted to spread such costs equally for up to three reinsurance
years.
7. RMA Review Process
The current procedures require RMA to evaluate the completeness of
a revised Plan of Operations and notify the approved insurance provider
within 30 days. This provision has been removed because of the
administrative burden it places on RMA to review the revised Plan of
Operations twice and provide two separate responses. In the proposed
rule, for the 2006 reinsurance year, RMA will notify approved insurance
providers not later than September 1, 2005. For all subsequent
reinsurance years, RMA has retained the provision that requires it to
provide a response to the revised Plan of Operations not later than 60
days prior to the first sales closing date but added a provision that
this requirement applies only if the revised Plan of Operations was
timely submitted and if the 60 day requirement is not waived by the
approved insurance provider.
8. Standards for Approval
The current procedures require that the premium reduction plan not
result in the reduction of service to producers or be harmful to the
interest of producers, not place a financial or operational hardship on
the approved insurance provider or undermine the integrity of the crop
insurance program. Further, such procedures require the approved
insurance provider have the financial and operational capacity and
expertise to deliver the crop insurance program after implementation of
the premium reduction plan, there be adequate internal controls, and
the premium reduction plan meet all other requirements of the Act and
the SRA. These requirements have been retained in this proposed rule.
RMA has added a provision that clarifies that approved insurance
providers must be able to demonstrate they are operating under the A&O
subsidy they receive from RMA, and if such information is based on
projected costs and subsidy, such amount must be reasonable, before any
revised Plans of Operation can be approved. RMA has also added
provisions requiring that the efficiencies come from reductions in A&O
costs and not underwriting gains and that they be verifiable; that the
amount and location of the premium reductions correspond to the
efficiencies; that there be enough efficiencies to cover all the
premium reductions; and that training and oversight not be compromised
to ensure the proper administration of the premium reduction plan
program. RMA added provisions that the financial reserve plan provide a
guarantee of funding. RMA has also modified the procedures relating to
unfair discrimination to ensure that there is no such discrimination
based on the size of the farm or premium, the risk of loss, or against
small, minority or limited resource farmers and that the marketing plan
and delivery system for the premium reduction be reasonable and, with
respect to the delivery system, in accordance with state law. RMA has
also added provisions regarding the process of notification of approval
and the requirement that if approved, the premium discount plan must be
implemented for the next applicable sales closing date for the
reinsurance year, unless otherwise determined by RMA. This requirement
is to ensure that all producers receive equal access to approved
premium reduction plans and that expectations created by the submission
of a revised Plan of Operations for a premium reduction are realized.
9. Disapproval
RMA has revised the existing procedures, and combined them with the
approval process, to provide the approved insurance provider with the
right to seek reconsideration of a disapproval and specify that if a
revised Plan of Operations is disapproved, the insurance provider
cannot submit another revised Plan of Operations until the following
reinsurance year.
10. Requirements After Approval of a Premium Reduction Plan
The current procedures specify that all procedural issues,
problems, etc. will be addressed by the approved insurance provider;
premium reductions must be implemented in accordance with the premium
reduction plan, the approved insurance provider is liable for all
mistakes, errors, etc. The current procedures also required the
approved insurance provider to assist RMA in any reviews conducted to
determine whether the efficiency is generated and there is compliance
with the premium reduction plan and to make any changes required by
RMA. These provisions have been basically retained in the proposed
rule. RMA has added a requirement that the approved insurance provider
immediately report in writing all operational and financial changes
that could cause a material impact upon an approved premium reduction
plan. RMA has revised the procedures regarding reporting to make them
more detailed to ensure the information provided is adequate to review
and assess the impact on program participants, including small
producers, limited resource farmers, women and minority producers and
on the crop insurance program. RMA has also revised the procedures to
clarify that producers will automatically receive the premium
reduction. RMA has added a requirement that the approved insurance
provider have an independent certified accountant certify as to the
reasonableness, accuracy, and completeness of all actual costs relating
to the efficiencies and the total dollar