Terrorism Risk Insurance Program; TRIA Extension Act Implementation, 50341-50347 [E6-14180]
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counterpart Federal regulations for
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determination made that the Federal
regulation did not impose an unfunded
mandate.
List of Subjects in 30 CFR Part 924
Intergovernmental relations, Surface
mining, Underground mining.
Dated: August 15, 2006.
Brent Wahlquist,
Acting Director, Office of Surface Mining
Reclamation and Enforcement.
For the reasons set out in the
preamble, 30 CFR part 924 is amended
as set forth below:
I
PART 924—MISSISSIPPI
1. The authority citation for part 924
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I
Authority: 30 U.S.C. 1201 et seq.
2. Part 924 is amended by adding
§ 924.20 to read as follows:
I
§ 924.20 Approval of Mississippi
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The Mississippi AMLR plan statutes,
as submitted on April 5, 2006, are
approved. Copies of the approved plan
statutes are available at:
Office of Surface Mining Reclamation
and Enforcement, Birmingham Field
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Mississippi Department of
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[FR Doc. E6–14155 Filed 8–24–06; 8:45 am]
BILLING CODE 4310–05–P
DEPARTMENT OF THE TREASURY
31 CFR Part 50
RIN 1505–AB67
Terrorism Risk Insurance Program;
TRIA Extension Act Implementation
Departmental Offices, Treasury.
Final rule.
AGENCY:
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ACTION:
SUMMARY: The Department of the
Treasury (Treasury) is issuing this rule
in final form as part of its
implementation of amendments made to
Title I of the Terrorism Risk Insurance
Act of 2002 (TRIA or Act) by the
Terrorism Risk Insurance Extension Act
of 2005 (Extension Act). The Act
established a temporary Terrorism Risk
Insurance Program (Program) that was
scheduled to expire on December 31,
2005, under which the Federal
Government shared the risk of insured
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losses from certified acts of terrorism
with commercial property and casualty
insurers. The Extension Act extends the
Program through December 31, 2007,
and makes other changes which are
implemented by this rule. In particular,
the rule addresses changes to the types
of commercial property and casualty
insurance covered by the Act, the
requirements to satisfy the Act’s
mandatory availability (‘‘make
available’’) provision and the operation
of the new ‘‘Program Trigger’’ provision
in section 103(e)(1)(B) of the Act.
Treasury published an interim final rule
and a cross-referenced proposed rule
with a request for comment on May 11,
2006. This final rule finalizes the
proposed rule by adopting the text of
the interim final rule without revision.
DATES: This final rule is effective
September 25, 2006.
FOR FURTHER INFORMATION CONTACT:
Howard Leikin, Deputy Director,
Terrorism Risk Insurance Program, (202)
622–6770 (not a toll-free number).
SUPPLEMENTARY INFORMATION:
I. Background
A. Terrorism Risk Insurance Act of 2002
On November 26, 2002, the President
signed into law the Terrorism Risk
Insurance Act of 2002 (Pub. L. 107–297,
116 Stat. 2322). The Act was effective
immediately. The Act’s purposes are to
address market disruptions, ensure the
continued widespread availability and
affordability of commercial property
and casualty insurance for terrorism
risk, and to allow for a transition period
for the private markets to stabilize and
build capacity while preserving state
insurance regulation and consumer
protections.
Title I of the Act establishes a
temporary federal program of shared
public and private compensation for
insured commercial property and
casualty losses resulting from an act of
terrorism which, as defined by the Act,
is certified by the Secretary of the
Treasury, in concurrence with the
Secretary of State and the Attorney
General. The Act authorizes Treasury to
administer and implement the
Terrorism Risk Insurance Program
(Program), including the issuance of
regulations and procedures.
Each entity that meets the Act’s
definition of insurer (well over 2,000
firms) must participate in the Program.
The amount of federal payment for an
insured loss resulting from an act of
terrorism is determined by insurance
company deductibles and excess loss
sharing with the Federal Government as
specified in the Act and Treasury’s
implementing regulations. An insurer’s
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50341
deductible increases each year of the
Program and in Program Year 5, so does
its share of the losses in excess of the
deductible, thereby reducing the Federal
Government’s share of compensation for
insured losses each year until the
Program expires. An insurer’s
deductible is calculated based on the
value of direct earned premiums
collected over certain prescribed
calendar periods. Once an insurer has
met its individual deductible, the
federal payments cover a percentage of
the insured losses above the deductible,
subject to an industry aggregate limit of
$100 billion.
The Act gives Treasury authority to
recoup federal payments made under
the Program through policyholder
surcharges, up to a maximum annual
limit. The Act reduces the Federal share
of compensation for insured losses that
have been covered under any other
federal program. The Act also contains
provisions designed to manage litigation
arising from or relating to a certified act
of terrorism. Section 107 of the Act
creates an exclusive federal cause of
action, provides for claims
consolidation in federal court, and
contains a prohibition on federal
payments for punitive damages under
the Program. The Act provides the
United States with the right of
subrogation with respect to any
payment or claim paid by the United
States under the Program.
B. Terrorism Risk Insurance Extension
Act of 2005
The Program was originally set to
expire on December 31, 2005. On
December 22, 2005, the President signed
into law the Terrorism Risk Insurance
Extension Act of 2005 (Pub. L. 109–144,
119 Stat. 2660), which extends the
Program through December 31, 2007. In
doing so, the Extension Act adds
Program Year 4 (January 1–December
31, 2006) and Program Year 5 (January
1–December 31, 2007) to the Program. In
addition, the Extension Act made other
significant changes to TRIA that
include:
• A revised definition of ‘‘insurer
deductible’’ that adds new Program
Years 4 and 5 to the definition. The
insurer deductible is set as the value of
an insurer’s direct earned premium for
commercial property and casualty
insurance (as now defined in the Act)
over the immediately preceding
calendar year multiplied by 17.5 percent
for Program Year 4 and by 20 percent for
Program Year 5.
• A revised definition of ‘‘property
and casualty insurance’’ that now
excludes commercial automobile
insurance; burglary and theft insurance;
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surety insurance; professional liability
insurance; and farmowners multiple
peril insurance. Though the definition
excludes professional liability
insurance, it explicitly retains directors
and officers liability insurance.
• Creation of a new Program Trigger
for any certified act of terrorism
occurring after March 31, 2006, that
prohibits payment of Federal
compensation by Treasury unless the
aggregate industry insured losses
resulting from that act of terrorism
exceed $50 million for Program Year 4
and $100 million for Program Year 5.
• A change to the Federal share of
compensation for insured losses.
Subject to the Program Trigger, the
Federal share is 90 percent of that
portion of the amount of insured losses
that exceeds the applicable insurer
deductible in Program Year 4 and
decreases to 85 percent of such amount
in Program Year 5.
• Revisions to the recoupment
provisions. For purposes of recouping
the Federal share of compensation
under the Act, the insurance
marketplace aggregate retention amount
for the two additional years of the
Program is increased from the level in
Program Year 3. For Program Year 4 the
insurance marketplace aggregate
retention amount is established as the
lesser of $25 billion and the aggregate
amount, for all insurers, of insured
losses during Program Year 4. The
insurance marketplace aggregate
retention amount for Program Year 5 is
the lesser of $27.5 billion and the
aggregate amount, for all insurers, of
insured losses during Program Year 5.
• A statutory codification of
Treasury’s litigation management
regulatory requirements in § 50.82 of
title 31 of the Code of Federal
Regulations (as in effect on July 28,
2004), which requires advance approval
by Treasury of proposed settlements of
certain causes of action involving
insured losses under the Program.
C. The Interim Final Rule
The interim final rule was published
in the Federal Register at 71 FR 27564
(May 11, 2006) with a cross-referenced
proposed rule published at 71 FR 27573
that would adopt the text of the interim
final rule as final. References in the
following discussion are to the interim
final rule. The interim final rule
incorporated certain changes to 31 CFR
part 50 required by the amendments to
TRIA in the Extension Act, which
extended the Program by two years, to
December 31, 2007. The changes in the
rules included new insurer deductible
amounts for each of those Program
Years, the extension of mandatory
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availability requirements, the deletion
of certain types of insurance from the
definition of property and casualty
insurance, and a continued safe harbor
for the use of model disclosure forms.
The interim final rule also incorporated
and clarified statutory changes to the
determination of the Federal share of
compensation, taking into account the
new Program Trigger.
This final rule, and the preceding
interim final rule, reflect interim
guidance previously issued by Treasury
in a notice published in the Federal
Register on January 5, 2006 (71 FR 648),
in order to assist insurers,
policyholders, and other interested
parties in complying with immediately
applicable requirements of the
Extension Act. Treasury consulted with
the National Association of Insurance
Commissioners (NAIC) in developing
the interim final rule and has carefully
considered the comments submitted in
finalizing the interim final rule.
II. Summary of Comments and Final
Rule
Treasury received four comments on
the interim final rule.1 Comments were
submitted by a farm mutual insurer, an
insurance company, a farm mutual
reinsurer and an insurance industry
trade association. The comments raised
issues in two areas—farm owners
multiple peril insurance and umbrella
and excess policies. In addition, one
comment commended the Terrorism
Risk Insurance Program for addressing
issues in the earlier interim guidance
that had required clarification. After
review and consideration of the
comments, Treasury is now
promulgating a final rule implementing
the Extension Act changes to TRIA. The
final rule makes no changes to the
interim final rule, but the preamble
provides some clarification in response
to the issues raised in the comments.
The following discussion also
summarizes the provisions of the
interim final, and now final, rule.1
A. Definitions (§ 50.5)
The interim final rule incorporated
revised definitions for insurer
deductible, Program Years, and property
and casualty insurance. The rule also
added definitions for professional
liability insurance and Program Trigger
event.
The revisions to the definitions for
insurer deductible and Program Years
implemented the Extension Act’s
1 We also received one comment from a group of
farm mutual insurers after the close of the comment
period. We note that this comment raised the same
issues contained in one of the four other comments.
These issues were addressed in this final rule.
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addition of Program Years 4 (calendar
year 2006) and 5 (calendar year 2007)
and the percentages to be applied to an
insurer’s direct earned premium for the
immediately preceding calendar year in
computing insurer deductibles for
Program Year 4 (17.5 percent) and
Program Year 5 (20 percent).
Section 102(12) of TRIA was also
amended to exclude additional types of
insurance from the definition of
property and casualty insurance under
the Program. The Act now excludes
from the definition commercial
automobile insurance, burglary and
theft insurance, surety insurance,
professional liability insurance (but not
directors and officers insurance), and
farmowners multiple peril insurance. To
the extent the newly excluded types of
insurance represent specific lines of
business on the NAIC Annual
Statement, Treasury is continuing to
utilize NAIC line of business definitions
in implementing the Act. The newly
excluded types of insurance which may
correspond to lines of business on the
NAIC Annual Statement are: Line 3—
Farmowners Multiple Peril; Line 19.3—
Commercial Auto No-Fault (personal
injury protection); Line 19.4—Other
Commercial Auto Liability; Line 21.2—
Commercial Auto Physical Damage;
Line 26—Burglary and Theft; and Line
24—Surety. In addition, the interim
final rule made clear that these types of
insurance are excluded from the
definition of property casualty
insurance, regardless of how their
premiums may be reported.
The only type of insurance that is
newly excluded from the definition of
property and casualty insurance in the
Act, but is not a specific line of business
on the NAIC Annual Statement, is
professional liability insurance, located
in new section 102(12)(xi). In the
interim final rule, Treasury provided the
following definition of ‘‘professional
liability insurance’’:
Professional liability insurance means
insurance coverage for liability arising
out of the performance of professional
or business duties related to a specific
occupation, with coverage being tailored
to the needs of the specific occupation.
Examples include abstracters,
accountants, insurance adjusters,
architects, engineers, insurance agents
and brokers, lawyers, real estate agents,
stockbrokers and veterinarians. For
purposes of this definition, professional
liability insurance does not include
directors and officers liability insurance.
Insurers are to use this definition in
identifying policies excluded from the
Program, as well as for satisfying the
Act’s ‘‘make available’’ requirement and
determining which policies have
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premiums that should be subtracted
from Line 17—Other Liability on the
NAIC Annual Statement when
computing direct earned premium for
Program purposes.
This definition is derived from the
definition of ‘‘Professional Errors and
Omissions Liability’’ found in the
Uniform Property & Casualty Coding
Matrix currently utilized by the System
for Electronic Rate and Form Filing
(SERFF) sponsored by the NAIC.2
However, this definition is not meant to
limit insurers to the filing code
(17.0019) specified under SERFF for
‘‘Professional Errors and Omissions
Liability’’. Certainly, policies and
coverages that employ the SERFF filing
code will meet the interim final rule
definition of professional liability
insurance. Treasury acknowledges that
many insurers and insurance support
organizations do not utilize the SERFF
mechanism for all their form filings.
Thus, the definition in the interim final
rule was intended to have a broader
application than the SERFF filing
process and should not be viewed as
limited to one particular SERFF filing
code.
Directors and officers liability
insurance, which is sometimes
considered a type of professional
liability insurance, is not included in
the definition of professional liability
insurance. Section 102(12)(A) of the Act
now explicitly includes directors and
officers liability insurance in the
definition of property and casualty
insurance. This change does not
substantively modify the previous
definition of property and casualty
insurance under the Act, but is a
statutory clarification that directors and
officers liability insurance is distinct
from professional liability insurance.
Premium for directors and officers
liability insurance may be already
included in Line 17—Other Liability on
the NAIC Annual Statement, one of the
commercial lines of business listed in
Treasury’s current regulations defining
property and casualty insurance (31
CFR 50.5(n)), if not otherwise excluded.
Treasury recommends that insurers
consult the definition of ‘‘Directors &
Officers Liability’’ found in the Uniform
Property & Casualty Coding Matrix now
being utilized by SERFF if further
guidance is needed on what constitutes
‘‘Directors & Officers Liability’’
insurance.
The Extension Act adds a new section
103(e)(1)(B) to TRIA entitled ‘‘Program
Trigger.’’ This new provision directs the
Secretary not to compensate insurers
2 The Matrix can be found on the NAIC Web site
at https://www.naic.org/industry_home.htm.
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under the Program unless the aggregate
industry insured losses from a certified
act of terrorism exceed certain insured
loss or ‘‘trigger’’ amounts. 3To
implement this provision, the interim
final rule added a new definition for
‘‘Program Trigger event’’. Such an event
is ‘‘a certified act of terrorism that
occurs after March 31, 2006, for which
the aggregate industry insured losses
resulting from such act exceed $50
million with respect to such insured
losses occurring in 2006 and $100
million with respect to such insured
losses occurring in 2007.’’ Unless an act
of terrorism is a Program Trigger event,
insured losses from that act of terrorism
will not be considered in any
determination of or calculation leading
to any Federal share of compensation
under the Act. The Program Trigger is
discussed further in ‘‘E. Federal Share of
Compensation’’ below.
Farmowners Multiple Peril Insurance
The Extension Act revision to TRIA
section 102(12) specifically excludes
‘‘farm owners multiple peril insurance’’,
a particular type of insurance which is
also a specific line of business on the
NAIC Annual Statement, from the
definition of property and casualty
insurance. Prior to the issuance of the
interim final rule, insurers asked
whether monoline farm insurance
coverages are similarly excluded. With
no clear guidance in the legislative
history of the Extension Act on this
issue and, guided by the plain meaning
of the statute, Treasury issued the
interim final rule based on its
interpretation that this exclusion is
applicable only to multiple peril
coverages insuring farm risks. Single
peril or monoline coverages insuring
farm risks generally would continue to
be evaluated based on the line of
business on the NAIC Annual Statement
(or equivalent reporting system) where
the premiums for such coverages are
reported. Thus, if the premiums for such
monoline coverages are usually
reported, or otherwise allocated, to one
of the commercial lines of insurance on
the NAIC Annual Statement (or
equivalent reporting system), unless
otherwise excluded by the Act, the
monoline coverage would be treated as
falling within the definition of property
3 Section 103(e)(1)(B) states: ‘‘In the case of a
certified act of terrorism occuring after March 31,
2006, no compensation shall be paid by the
Secretary under subsection (a), unless the aggregate
industry insured losses resulting from such certified
act of terrorism exceed—(i) $50,000,000, with
respect to such insured losses occurring in Program
Year 4; or (ii) $100,000,000, with respect to such
insured losses occurring in Program Year 5.’’
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50343
and casualty insurance under Treasury’s
regulations.
Aware of some concerns with this
result on the part of some smaller
insurance entities, such as farm and
county mutuals, Treasury specifically
sought comments on the practical
implications of this issue and requested
the articulation of a basis for any
assertion that monoline coverages are
excluded from the Program as part of
the farmowners multiple peril
exclusion.
Three commenters addressed the
treatment of ‘‘farm owners multiple
peril insurance’’ in Treasury’s interim
final rule.
One Texas farm mutual insurer
indicated it believed the monoline fire
policies the insurer issues for farm risks
in Texas ‘‘are residential in nature and
not commercial’’. Texas farm mutuals
generally are precluded from writing
commercial insurance. To the extent a
farm mutual insurer files an NAIC
Annual Statement in Texas (not all farm
mutuals file an NAIC Annual
Statement), the premium for its
monoline fire policies is reported on
Line 1—Fire of the NAIC Annual
Statement (an included line). But the
farm mutual insurer explained that the
‘‘Fire’’ line of business in Texas
includes both personal and commercial
lines. The insurer suggested that ‘‘an
argument can be made’’ that the Texas
Department of Insurance looks upon
farm mutual policies as being
residential policies and not commercial
policies, and that these policies should
not be subject to TRIA simply because
of the line on which they are required
to be reported.
A Midwest reinsurer of county and
town mutuals also raised concerns
about Treasury’s interpretation of the
meaning of ‘‘farm owners multiple
peril’’. The reinsurer noted that ‘‘the
practical implication of Treasury’s
interpretation is that inclusion of
exposures in the Program is made
dependent upon the method by which
premium is reported and not with
regard to the actual exposure being
insured.’’ The reinsurer further
suggested that Treasury’s interpretation
of the Extension Act was inconsistent
with Treasury’s earlier treatment of
commercial property and casualty
insurance 4 that ‘‘was based on the
exposure insured, not on the method of
reporting premium.’’
The third commenter, which reports
all farm policy premium under the farm
owners multiple peril line of its Annual
Statement, even premium for what
might be considered monoline policies,
4 See
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requested confirmation that under the
rules, because of the way its premium
is reported, the policy form it uses
would be considered farm owners
multiple peril insurance.
As noted previously, there is no clear
guidance in the legislative history of the
Extension Act that suggests the meaning
of ‘‘farm owners multiple peril
insurance’’ should be interpreted
broadly to include single peril, or
monoline, farmowners insurance.
Moreover, ‘‘farm owners multiple peril
insurance’’ is a specific line of business
on the NAIC Statement. Since the
inception of the Program, Treasury has
used Statutory Page 14 of the NAIC
Annual Statement as the ‘‘best available
point of reference’’ 5 to define what
constitutes commercial property and
casualty insurance, also applicable as
guidance to insurers that do not report
via Statutory Page 14 to the NAIC.
Treasury’s rules generally define
property and casualty insurance in
terms of specified lines of business on
the NAIC Annual Statement. Insurance
for which premiums are reported on an
excluded line of business is not
included in the Program. Insurance for
which premiums are reported on an
included line of business is included,
unless the particular type of insurance
is otherwise excluded by the Act.
Treasury believes that its earlier
guidance on what constitutes
commercial property and casualty
insurance is consistent with its more
recent interpretation of the Extension
Act meaning of ‘‘farm owners multiple
peril insurance’’. However, the
preamble discussion of this issue in the
interim final rule was fairly brief and we
offer additional discussion below.
Treasury has maintained that
premium reported on the specified
commercial lines on Statutory Page 14
of the NAIC Annual Statement is only
considered to be commercial premium
subject to the Act ‘‘to the extent
coverage provided is for commercial
property and casualty exposures’’ 6 (and
provided it is not otherwise excluded by
the Act). The definition of property and
casualty insurance in § 50.5(n)(1)
provides, in part, that it means
‘‘commercial lines within’’ certain
specified lines of insurance. We have
specifically noted that personal
insurance (insurance primarily designed
for personal, family or household
purposes) that is reported on one of the
specified commercial lines of Statutory
Page 14 should be excluded from an
insurer’s calculation of its direct earned
5 See
6 See
68 FR 41257.
68 FR 9810.
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premium.7 We have likewise applied
this analysis in clarifying what
constitutes commercial property and
casualty insurance coverage for
purposes of paying insured losses and
determining compliance with the ‘‘make
available’’ provision of the Act.
In applying the foregoing to the farm
risks described by the farm mutual
commenters, if the premium for a
monoline policy written by such
insurers is reported on one of the
specified commercial lines of Statutory
Page 14 of the NAIC Annual Statement
(Fire, Allied Lines, etc.), the monoline
coverage as a general rule is subject to
TRIA. However, if the monoline policy
only insures a personal insurance
exposure (residential dwelling), or is
otherwise excluded by the Act, the
policy is not commercial property and
casualty insurance within the meaning
of the Act and is not subject to the Act.
To the extent a monoline policy is a
hybrid policy that insures both personal
and commercial exposures, farm mutual
insurers should look to Treasury’s
treatment of the direct earned premium
for hybrid policies as a guide for how
to treat the hybrid policy for other
purposes under TRIA (determining
claims for insured losses, complying
with the ‘‘make available’’ provision,
etc.).8
Consistent with the Extension Act, the
interim final rule excludes farm owners
multiple peril insurance from the
definition of property and casualty
insurance. In response to the commenter
that raised the question about its policy
form, we note that the interim final rule
does not directly address policy forms
or how various state regulators treat
particular forms for NAIC Annual
Statement reporting purposes. Treasury
assumes that the forms and reporting
practices are appropriate under
applicable state law. Whatever
treatment is afforded particular policies
by insurers in compliance with relevant
state law is generally the guide for how
such policies are treated under
Treasury’s regulations for what
constitutes commercial property and
casualty insurance, unless expressly
excluded by the Act. Farm policies for
which premiums are reported on the
farmowners multiperil line are excluded
from the Program.
Since the concerns of the three
commenters related to ‘‘farm owners
multiple peril insurance’’ are addressed
by applying Treasury’s previous
rulemaking and guidance, no changes
have been made to the definition of
property and casualty insurance in
7 See
8 See
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§ 50.5(d)(1)(ii).
§ 50.5(d).
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section 50.5(n)(2) of the interim final
rule.
B. Interim Guidance Safe Harbors
(§ 50.7)
Section 50.7 of the current regulations
provides that ‘‘[a]n insurer will be
deemed to be in compliance with the
requirements of the Act to the extent the
insurer reasonably relied on Interim
Guidance prior to the effective date of
applicable regulations.’’ The interim
final rule added ‘‘Interim Guidance IV
issued by Treasury on December 29,
2005, and published at 71 FR 648
(January 5, 2006)’’ to the list of
applicable Interim Guidances.
C. Disclosure (§§ 50.12 and 50.17)
The interim final rule incorporated
guidance on compliance with disclosure
requirements and revised safe harbor
language with regard to the use of NAIC
model disclosure forms.
The Extension Act continues, as a
condition for federal payments under
the Act, the existing requirements
contained in section 103(b) to provide
disclosures ‘‘at the time of offer,
purchase, and renewal of the policy’’.
Some insurers faced certain operational
difficulties with regard to policies
processed in the latter part of Program
Year 3 (2005) for issuance or renewal
effective in 2006. In some cases, policies
were issued or renewed in 2006 in a
form that already included coverage for
terrorism risks, whether or not TRIA
was extended. Because TRIA would
have sunset as of December 31, 2005,
disclosures were not provided with
these policies.
The Extension Act made no change to
the requirement that disclosures are
required as a condition for payment of
the Federal share of compensation for
insured losses. However, given the late
date of enactment of the Extension Act,
the interim final rule provided in
section 50.12(e) that ‘‘[i]f an insurer
made available coverage for insured
losses in a new policy or policy renewal
in Program Year 3 for coverage
becoming effective in Program Year 4,
but did not provide a disclosure at the
time of offer, purchase or renewal, then
the insurer must be able to demonstrate
to Treasury’s satisfaction that it has
provided a disclosure as soon as
possible following January 1, 2006.’’
For an insurer to demonstrate to
Treasury’s satisfaction that it has
provided disclosures as soon as possible
following January 1, 2006, Treasury
expects that an insurer will have
provided disclosures by 30 days after
publication of the interim final rule in
the Federal Register (June 10, 2006),
barring unforeseen or unusual
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circumstances. If not completed by that
time, an insurer will be expected, when
submitting a claim for the Federal share
of compensation, to demonstrate why
such disclosures could not be made by
that date and why the insurer should be
deemed to be in compliance with the
Act’s disclosure requirement.
Pursuant to 31 CFR 50.17, insurers
that have used NAIC Model Disclosure
Forms that were in existence on April
18, 2003, were deemed to satisfy the
disclosure requirements of section
103(b)(2) of the Act. Although the
Extension Act made no change to the
requirements for clear and conspicuous
disclosure to policyholders of the
premium charged for insured losses
covered by the Program and of the
Federal share of compensation for
insured losses under the Program,
revisions were made to the Act that
required rewording of the NAIC Model
Disclosure Forms. The NAIC has since
issued revised Model Disclosure Forms,
dated January 26, 2006, which if used
by insurers, will be deemed to satisfy
disclosure requirements of the Act and
Treasury regulations. The interim final
rule continued the safe harbor approach
for use of the most current NAIC Model
Disclosure forms deemed by Treasury to
meet Program requirements. Insurers
may also continue to use other forms to
comply with the disclosure
requirements.
D. Make Available (§§ 50.20 and 50.21)
For Program Year 4 (Calendar 2006)
and Program Year 5 (Calendar 2007)
insurers are required to continue to
‘‘make available’’ coverage for insured
losses as required by TRIA and Treasury
regulations. Amendments to the ‘‘make
available’’ requirement in section 103(c)
of the Act are simply conforming
amendments that continue the
requirement through Program Years 4
and 5. Thus, insurers issuing or
renewing commercial property and
casualty insurance policies in Program
Years 4 and 5 must continue to offer
coverage for insured losses resulting
from an act of terrorism, as required by
section 103(c) of the Act and 31 CFR
50.20 to 50.24, if they wish to have their
insured loss claims eligible for the
Federal share of compensation in the
extended Program Years.
In its Interim Guidance IV published
on January 5, 2006, Treasury addressed
the ‘‘make available’’ requirement with
regard to the transition from Program
Year 3, originally the last year of the
Program, to the extended Program Years
4 and 5. In that issuance, Treasury noted
that the Extension Act made no changes
to the ‘‘make available’’ requirement for
insurers. Treasury provided guidance on
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how insurers could comply with
Program requirements given operational
difficulties arising from the Extension
Act passage late in the year.
In addition Treasury Interim
Guidance IV clarified that no additional
‘‘make available’’ offer is required if
terrorism coverage for the duration of
the policy term was offered for policies
issued or renewed in 2005. It also
explained how an insurer could comply
with ‘‘make available’’ requirements
under the following scenarios where:
(1) A policy’s terrorism coverage
expired on December 31, 2005, but the
remainder of the policy continued in
force in 2006,
(2) A policy did not provide terrorism
coverage after December 31, 2005, but
the policyholder had rejected an offer of
terrorism coverage for the portion of the
policy term prior to December 31, and
(3) A policy renewal or application
was processed in 2005 for coverage
becoming effective in 2006 and the
insurer did not ‘‘make available’’
terrorism coverage for Program Year 4 as
contemplated by the Extension Act.
The interim final rule generally
incorporated this interim guidance into
the TRIA ‘‘make available’’ provisions.
Section 50.21(b) was added to address
the special Program Year 4 requirements
for scenarios (1) and (2) above. For
scenarios (1) and (3), where an insurer
must make an offer of coverage, section
50.21(d) (formerly 50.21(c)) was
amended to provide that the insurer
must be able to demonstrate to
Treasury’s satisfaction that it has
provided an offer of coverage for
insured losses by January 1, 2006, or as
soon as possible following that date. In
demonstrating to Treasury’s satisfaction
that it has provided an offer of coverage
for insured losses as soon as possible
after January 1, 2006, Treasury
considers January 31, 2006, to be the
latest reasonable date for offers of
coverage, barring unforeseen or unusual
circumstances. If not provided by
January 31, 2006, Treasury would
expect an insurer to demonstrate why
the offer could not be made by that date
when submitting a claim for Federal
compensation under the Program.
The interim final rule incorporated
technical amendments to section 50.20
that extend the ‘‘make available’’
requirements into Program Years 4 and
5. Section 50.20(c) also provided that
‘‘property and casualty insurance
coverage for insured losses does not
have to be made available beyond
December 31, 2007 (the last day of
Program Year 5), even if the policy
period of insurance coverage for losses
from events other than acts of terrorism
extends beyond that date’’.
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Umbrella and Excess Policies
In the Supplementary Information
section of the preamble accompanying
the interim final rule, Treasury provided
guidance regarding the ‘‘make
available’’ and disclosure requirements
for excess or umbrella liability policies
in light of the Extension Act’s deletion
of certain types of insurance from the
definition of property and casualty
insurance. The guidance reflected
earlier rulemaking and that as a general
rule, excess or umbrella liability
policies are property and casualty
insurance within the meaning of TRIA.
Section 102(12)(A) of the Act defines
the term ‘‘property and casualty
insurance’’ as meaning commercial lines
of property and casualty insurance
‘‘including excess,’’ unless otherwise
excluded from the definition under
Section 102(12)(B). Premiums for
commercial excess and umbrella
insurance policies are normally reported
on Line 17—Other Liability in the NAIC
Annual Statement.9 Although generally
reported on a line which is included in
the Program, in interim guidance
Treasury advised that excess or
umbrella insurance is commercial
property and casualty insurance only to
the extent it provides coverage above
primary or underlying coverage that is
a type of insurance included in the
Program, and not specifically excluded
from the definition of property and
casualty insurance itself. However,
where the commercial property and
casualty coverage segment of an excess
or umbrella liability policy is merely
incidental to the remaining non-TRIA
coverage under the policy, an insurer
may treat the entire policy as not
providing property and casualty
insurance within the meaning of TRIA
and Treasury’s regulations.10 In such
elections, the TRIA ‘‘make available’’
and disclosure requirements will not
apply and no losses from the
commercial coverage segment of such
policies will be paid by Treasury.
One comment submitted by an
insurance trade organization requested
that Treasury give ‘‘due consideration to
the possibility that property casualty
insurers, in good faith, might have
treated commercial umbrella and excess
insurance policies differently under the
TRIA Extension than the Federal
Register guidance’’. As an example, the
comment states that, ‘‘as premiums from
9 See
68 FR 59725.
31 CFR 50.5(d)(1)(iii): ‘‘For purposes of the
Program, commercial coverage combined with
coverages that otherwise do not meet the definition
of property and casualty insurance is incidental if
less than 25 percent of the total direct premium is
for such coverage.’’
10 See
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these policies are reported on line 17 of
the NAIC annual Statement (a line that
is included within the Federal program),
insurers could have reasonably assumed
that those policies would either be
included entirely in the program or that
the policies would be included unless
there was no possibility of a covered
claim from the underlying policy’’.
Treasury acknowledges that, if an
insurer, prior to the publication of the
interim final rule, relied on the
assumptions in the above example in
carrying out its ‘‘make available’’ and
disclosure obligations (if any) the
insurer would be considered to be
reasonably compliant with Program
requirements. However, in no
circumstance can losses associated with
an underlying coverage that is excluded
from the Program form the basis for a
claim for the Federal share of
compensation.
Commenters asked Treasury to
reconsider the position that ‘‘excess or
umbrella insurance is commercial
property and casualty insurance
included in the Program only to the
extent it provides coverage above
primary or underlying coverage that is
a type of insurance included in the
Program’’. One of these comments
suggests that ‘‘this position makes some
sense within the insurance context of
how umbrella/excess and the
underlying coverage are typically
consistent, [but] one could also make a
case for commercial umbrella/excess
being totally included under TRIA—
even when written over exempted
coverages—if the goal was to make the
provisions of TRIA apply as broadly as
the law will allow and thus encouraging
as much terrorism coverage as possible
in the marketplace’’.
Treasury considered and rejected this
alternative prior to issuing the interim
final rule. After reconsideration based
on the comments, we continue to
believe that the better interpretation of
the statutory authority and intent, given
that the Extension Act restricted the
types of insurance included under the
Program, is as stated in the preamble to
the interim final rule. Therefore, no
change is being made to the final rule.
E. Federal Share of Compensation
(§ 50.50)
The interim final rule added several
provisions to section 50.50 to reflect the
addition of the new Program Trigger
provision to the Act. Under section
103(a) of TRIA, the Secretary is required
to pay the Federal share of
compensation for insured losses in
accordance with section 103(e) of the
Act. The Extension Act amended
subsection (e) to provide, in part, that
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no compensation shall be paid by the
Secretary under subsection (a) unless
the aggregate industry insured losses
from a certified act of terrorism
occurring after March 31, 2006, exceed
certain amounts. This provision was
intended to ensure that there would be
no Federal compensation unless the
aggregate industry losses from an act of
terrorism exceed these amounts.
The interim final rule incorporated a
technical amendment to renumbered
§ 50.50(a) (formerly 50.50(d)) to provide
that the Federal share of compensation
in Program Year 5 shall be ‘‘85 percent
of that portion of the insurer’s aggregate
insured losses that exceed its insurer
deductible during Program Year 5,’’
(subject to any adjustments in § 50.51
and the cap of $100 billion as provided
in section 103(e)(2) of the Act). A new
provision was also added to renumbered
§ 50.50(d) (formerly 50.50(a)) that
reiterates, as a condition for Federal
compensation for insured losses, a basic
insurance principle that, ‘‘[t]he insurer
offered the coverage for insured losses
and the offer was accepted by the
insured prior to the occurrence of the
loss’’.
New § 50.50(b) incorporated the
Program Trigger limitations on the
amount of Federal compensation
payable under the Act. To implement
these limitations, § 50.50(g) stated that
Treasury will determine the amount of
aggregate industry insured losses, and
that if the aggregate industry insured
losses exceed the applicable Program
Trigger amounts, Treasury will publish
notice in the Federal Register that the
act of terrorism is a Program Trigger
event. As noted in the previously issued
Interim Guidance, Treasury also expects
to provide notification through press
releases and postings on the TRIP Web
site.
Section 50.50(c) clarified that in the
provisions dealing with claims
procedures, subpart F, insured losses or
aggregate insured losses for acts of
terrorism after March 31, 2006 will be
limited to those insured losses resulting
from Program Trigger events. This
limitation on insured losses controls
any determinations of, or calculations
leading to, a Federal share of
compensation under the Act including
any adjustments of the Federal share,
and applies to submissions of an insurer
in conjunction with Initial Notices of
Loss and Certifications of Loss and
payments of the Federal share.
The Program Trigger provision also
has a direct bearing on which insured
losses count towards satisfaction of the
insurer deductible. In Program Year 4,
and similarly, in Program Year 5, only
an insurer’s insured losses resulting
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from Program Trigger events in the year
will count towards satisfaction of the
insurer deductible.
F. Determination of Affiliations (§ 50.55)
Section 50.55 provides that for the
purposes of claims procedures and the
determination of the Federal share of
compensation ‘‘an insurer’s affiliates for
any Program Year shall be determined
by the circumstances existing on the
date of occurrence of the act of terrorism
that is the first act of terrorism in a
Program Year to be certified by the
Secretary for that Program Year.’’ The
purpose of this regulation, when
promulgated in 2005, was to clarify the
point in time when insurer affiliations
would be determined in order to
facilitate the calculation of insurer
deductibles and the payments of the
Federal share of compensation for
Program Years in which affiliations
could change over time. Since this has
meaning only if there is a potential
Federal share of compensation, the
interim final rule incorporated an
amendment clarifying that if the first
certified act of terrorism occurs after
March 31, 2006, it must also be a
Program Trigger event to be used for
determining affiliations under the rule.
G. Federal Cause of Action; Approval of
Settlements
The Extension Act added section
107(a)(6) to TRIA, which provides that
procedures and requirements
established by the Secretary under 31
CFR 50.82, as in effect on the date of
issuance of that section in final form
[July 28, 2004], shall apply to any
Federal cause of action described in
section 107(a)(1). This provision was
added to new § 50.85 of the interim final
rule.
Section 50.82 of the regulations
requires insurers to submit to Treasury
for advance approval certain proposed
settlements involving an insured loss,
any part of the payment of which the
insurer intends to submit as part of its
claim for federal payment under the
Program. Thus, Treasury would not
expect insurers to submit any proposed
settlement if the insured losses would
not be eligible for payment, as would be
the case if the losses resulted from a
post-March 31, 2006 certified act that
was not a Program Trigger event.
However, if there is uncertainty whether
or not a certified act will become a
Program Trigger event, an insurer may
wish to err on the side of caution and
submit a proposed settlement for prior
approval in order to preserve any
subsequent eligibility for Federal
compensation for insured losses under
the Program. Otherwise the insured will
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Federal Register / Vol. 71, No. 165 / Friday, August 25, 2006 / Rules and Regulations
Dated: August 9, 2006.
Emil W. Henry, Jr.,
Assistant Secretary of the Treasury.
[FR Doc. E6–14180 Filed 8–24–06; 8:45 am]
be ineligible for later payment if the
Program Trigger is reached.
III. Procedural Requirements
Executive Order 12866, ‘‘Regulatory
Planning and Review’’
BILLING CODE 4811–37–P
This final rule is a significant
regulatory action and has been reviewed
by the Office of Management and
Budget under the terms of Executive
Order 12866.
Regulatory Flexibility Act
Pursuant to the Regulatory Flexibility
Act, 5 U.S.C. 601 et seq., it is hereby
certified that the final rule will not have
a significant economic impact on a
substantial number of small entities.
The final rule implements changes
prescribed or authorized by the
Extension Act. The Act itself requires all
insurers receiving direct earned
premium for any type of property and
casualty insurance, as defined in the
Extension Act, to participate in the
Program. This includes all insurers
regardless of size or sophistication. The
Extension Act also defines property and
casualty insurance to mean commercial
lines of insurance without any reference
to size or scope of the insurer or the
insured. The disclosure and ‘‘make
available’’ requirements are required by
the Act. The rule allows all insurers,
whether large or small, to use existing
systems and business practices to
demonstrate compliance. Treasury is
required to pay the Federal share of
compensation to insurers for insured
losses subject to the new Program
Trigger provisions in the Act. The
requirement that insurers seek advance
approval of certain settlements is now
required by the Act. Any economic
impact associated with the final rule
flows from the Extension Act and not
the final rule. However, the Act and the
Program are intended to provide
benefits to the U.S. economy and all
businesses, including small businesses,
by providing a federal reinsurance
backstop to commercial property and
casualty insurance policyholders and
spreading the risk of insured losses
resulting from an act of terrorism.
Accordingly, a regulatory flexibility
analysis is not required.
List of Subjects in 31 CFR Part 50
Terrorism risk insurance.
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Authority and Issuance
For the reasons set forth above, the
interim final rule revising subparts A, B,
C, F, and I of 31 CFR part 50, which was
published at 71 FR 27564 on May 11,
2006, is adopted as a final rule without
change.
I
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DEPARTMENT OF DEFENSE
Office of the Secretary
[DoD–2006–OS–0182; 0720–AA97]
32 CFR Part 199
TRICARE Program; TRICARE Prime
Remote for Active Duty Family
Members and TRICARE Prime
Enrollment Period
Office of the Secretary, DoD.
Final rule.
AGENCY:
ACTION:
SUMMARY: This final rule implements 10
U.S.C. 1079(p), as added by section
722(b) of the Floyd D. Spence National
Defense Authorization Act for Fiscal
Year 2001. The rule provides coverage
for medical care for active duty family
members who reside with an active duty
member of the Uniformed Services
assigned to remote areas and eligible for
the program known as TRICARE Prime
Remote. Active duty family members
who enroll in TRICARE Prime Remote
for Active Duty Family Members
(TPRADFM) will enjoy benefits
generally comparable to TRICARE Prime
enrollees including access standards,
benefit coverage, and cost-shares.
This final rule also implements
Section 702 of the NDAA for FY 2003,
which establishes circumstances under
which dependents of Reserve
Components and National Guard
members called to active duty in
support of contingency operations may
enroll in TRICARE Prime Remote for
Active Duty Family Members, and
dependents of TRICARE Prime Remote
service members may remain enrolled
when the service member receives
orders for an unaccompanied follow-on
assignment.
Finally, this final rule establishes
circumstances under which eligible
beneficiaries may enroll in TRICARE
Prime for a period of less than 1 year.
DATES: Effective Date: This rule is
effective October 24, 2006.
ADDRESSES: TRICARE Management
Activity (TMA), Program Requirements
Division, 16401 East Centretech
Parkway, Aurora, CO 80011–9066.
FOR FURTHER INFORMATION CONTACT: John
J.M. Leininger, Program Requirements
Division, TMA, (303) 676–3613 for
questions on the TPRADFM portion of
this rule. Ann Fazzini, Medical Benefits
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50347
and Reimbursement Systems, TMA,
(303) 676–3803 for questions on the
TRICARE Prime Enrollment Period
portion of this rule.
SUPPLEMENTARY INFORMATION:
I. Summary of Final Rule Provisions
On October 30, 2000, the Floyd D.
Spence National Defense Authorization
Act (NDAA) for Fiscal Year 2001, Public
Law 106–398 was signed into law. This
final rule implements section 722(b) of
this Act, which amended section 1079
of Title 10, United States Code, by
adding subsection (p). It requires a
TRICARE Prime-like benefit for active
duty family members residing with their
active duty Uniformed Services sponsor
eligible for TRICARE Prime Remote, as
defined by section 1074(c)(3) of Title 10,
United States Code. The reader should
refer to the interim final rule that was
published on February 6, 2002 (67 FR
5477).
This final rule implements Section
702 of the NDAA for FY 2003, which
amended section 1079 of Title 10,
United States Code, by adding
subsection (3) to subsection (p) which
establishes circumstances under which
dependents of Reserve Components and
National Guard members called to
active duty in support of contingency
operations may enroll in TRICARE
Prime Remote for Active Duty Family
Members, and dependents of TRICARE
Prime Remote service members may
remain enrolled when the service
member receives orders for an
unaccompanied follow-on assignment.
The reader should refer to the interim
final rule that was published on July 31,
2003 [68 FR 44882] and was effective
September 29, 2003.
This final rule also establishes
circumstances under which eligible
beneficiaries may enroll in TRICARE
Prime for a period of less than one year.
Enrollment in TRICARE Prime normally
must be for a period of one year. Section
199.17(v), provides for the
establishment of administrative
requirements and procedures to ensure
reasonable implementation and
operation of the TRICARE program.
Under this authority, an exception to
the one-year enrollment requirement
has been provided for Reservists and
members of the National Guard who are
called or ordered to active duty for a
period of 179 days or more. A second
exception has been established for those
beneficiaries who are eligible to enroll
in Prime but have less than one year of
TRICARE eligibility remaining. For
example, the dependents of an active
duty member may enroll in Prime even
though the member has less than one
year of active duty remaining, and the
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Agencies
[Federal Register Volume 71, Number 165 (Friday, August 25, 2006)]
[Rules and Regulations]
[Pages 50341-50347]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E6-14180]
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DEPARTMENT OF THE TREASURY
31 CFR Part 50
RIN 1505-AB67
Terrorism Risk Insurance Program; TRIA Extension Act
Implementation
AGENCY: Departmental Offices, Treasury.
ACTION: Final rule.
-----------------------------------------------------------------------
SUMMARY: The Department of the Treasury (Treasury) is issuing this rule
in final form as part of its implementation of amendments made to Title
I of the Terrorism Risk Insurance Act of 2002 (TRIA or Act) by the
Terrorism Risk Insurance Extension Act of 2005 (Extension Act). The Act
established a temporary Terrorism Risk Insurance Program (Program) that
was scheduled to expire on December 31, 2005, under which the Federal
Government shared the risk of insured losses from certified acts of
terrorism with commercial property and casualty insurers. The Extension
Act extends the Program through December 31, 2007, and makes other
changes which are implemented by this rule. In particular, the rule
addresses changes to the types of commercial property and casualty
insurance covered by the Act, the requirements to satisfy the Act's
mandatory availability (``make available'') provision and the operation
of the new ``Program Trigger'' provision in section 103(e)(1)(B) of the
Act. Treasury published an interim final rule and a cross-referenced
proposed rule with a request for comment on May 11, 2006. This final
rule finalizes the proposed rule by adopting the text of the interim
final rule without revision.
DATES: This final rule is effective September 25, 2006.
FOR FURTHER INFORMATION CONTACT: Howard Leikin, Deputy Director,
Terrorism Risk Insurance Program, (202) 622-6770 (not a toll-free
number).
SUPPLEMENTARY INFORMATION:
I. Background
A. Terrorism Risk Insurance Act of 2002
On November 26, 2002, the President signed into law the Terrorism
Risk Insurance Act of 2002 (Pub. L. 107-297, 116 Stat. 2322). The Act
was effective immediately. The Act's purposes are to address market
disruptions, ensure the continued widespread availability and
affordability of commercial property and casualty insurance for
terrorism risk, and to allow for a transition period for the private
markets to stabilize and build capacity while preserving state
insurance regulation and consumer protections.
Title I of the Act establishes a temporary federal program of
shared public and private compensation for insured commercial property
and casualty losses resulting from an act of terrorism which, as
defined by the Act, is certified by the Secretary of the Treasury, in
concurrence with the Secretary of State and the Attorney General. The
Act authorizes Treasury to administer and implement the Terrorism Risk
Insurance Program (Program), including the issuance of regulations and
procedures.
Each entity that meets the Act's definition of insurer (well over
2,000 firms) must participate in the Program. The amount of federal
payment for an insured loss resulting from an act of terrorism is
determined by insurance company deductibles and excess loss sharing
with the Federal Government as specified in the Act and Treasury's
implementing regulations. An insurer's deductible increases each year
of the Program and in Program Year 5, so does its share of the losses
in excess of the deductible, thereby reducing the Federal Government's
share of compensation for insured losses each year until the Program
expires. An insurer's deductible is calculated based on the value of
direct earned premiums collected over certain prescribed calendar
periods. Once an insurer has met its individual deductible, the federal
payments cover a percentage of the insured losses above the deductible,
subject to an industry aggregate limit of $100 billion.
The Act gives Treasury authority to recoup federal payments made
under the Program through policyholder surcharges, up to a maximum
annual limit. The Act reduces the Federal share of compensation for
insured losses that have been covered under any other federal program.
The Act also contains provisions designed to manage litigation arising
from or relating to a certified act of terrorism. Section 107 of the
Act creates an exclusive federal cause of action, provides for claims
consolidation in federal court, and contains a prohibition on federal
payments for punitive damages under the Program. The Act provides the
United States with the right of subrogation with respect to any payment
or claim paid by the United States under the Program.
B. Terrorism Risk Insurance Extension Act of 2005
The Program was originally set to expire on December 31, 2005. On
December 22, 2005, the President signed into law the Terrorism Risk
Insurance Extension Act of 2005 (Pub. L. 109-144, 119 Stat. 2660),
which extends the Program through December 31, 2007. In doing so, the
Extension Act adds Program Year 4 (January 1-December 31, 2006) and
Program Year 5 (January 1-December 31, 2007) to the Program. In
addition, the Extension Act made other significant changes to TRIA that
include:
A revised definition of ``insurer deductible'' that adds
new Program Years 4 and 5 to the definition. The insurer deductible is
set as the value of an insurer's direct earned premium for commercial
property and casualty insurance (as now defined in the Act) over the
immediately preceding calendar year multiplied by 17.5 percent for
Program Year 4 and by 20 percent for Program Year 5.
A revised definition of ``property and casualty
insurance'' that now excludes commercial automobile insurance; burglary
and theft insurance;
[[Page 50342]]
surety insurance; professional liability insurance; and farmowners
multiple peril insurance. Though the definition excludes professional
liability insurance, it explicitly retains directors and officers
liability insurance.
Creation of a new Program Trigger for any certified act of
terrorism occurring after March 31, 2006, that prohibits payment of
Federal compensation by Treasury unless the aggregate industry insured
losses resulting from that act of terrorism exceed $50 million for
Program Year 4 and $100 million for Program Year 5.
A change to the Federal share of compensation for insured
losses. Subject to the Program Trigger, the Federal share is 90 percent
of that portion of the amount of insured losses that exceeds the
applicable insurer deductible in Program Year 4 and decreases to 85
percent of such amount in Program Year 5.
Revisions to the recoupment provisions. For purposes of
recouping the Federal share of compensation under the Act, the
insurance marketplace aggregate retention amount for the two additional
years of the Program is increased from the level in Program Year 3. For
Program Year 4 the insurance marketplace aggregate retention amount is
established as the lesser of $25 billion and the aggregate amount, for
all insurers, of insured losses during Program Year 4. The insurance
marketplace aggregate retention amount for Program Year 5 is the lesser
of $27.5 billion and the aggregate amount, for all insurers, of insured
losses during Program Year 5.
A statutory codification of Treasury's litigation
management regulatory requirements in Sec. 50.82 of title 31 of the
Code of Federal Regulations (as in effect on July 28, 2004), which
requires advance approval by Treasury of proposed settlements of
certain causes of action involving insured losses under the Program.
C. The Interim Final Rule
The interim final rule was published in the Federal Register at 71
FR 27564 (May 11, 2006) with a cross-referenced proposed rule published
at 71 FR 27573 that would adopt the text of the interim final rule as
final. References in the following discussion are to the interim final
rule. The interim final rule incorporated certain changes to 31 CFR
part 50 required by the amendments to TRIA in the Extension Act, which
extended the Program by two years, to December 31, 2007. The changes in
the rules included new insurer deductible amounts for each of those
Program Years, the extension of mandatory availability requirements,
the deletion of certain types of insurance from the definition of
property and casualty insurance, and a continued safe harbor for the
use of model disclosure forms. The interim final rule also incorporated
and clarified statutory changes to the determination of the Federal
share of compensation, taking into account the new Program Trigger.
This final rule, and the preceding interim final rule, reflect
interim guidance previously issued by Treasury in a notice published in
the Federal Register on January 5, 2006 (71 FR 648), in order to assist
insurers, policyholders, and other interested parties in complying with
immediately applicable requirements of the Extension Act. Treasury
consulted with the National Association of Insurance Commissioners
(NAIC) in developing the interim final rule and has carefully
considered the comments submitted in finalizing the interim final rule.
II. Summary of Comments and Final Rule
Treasury received four comments on the interim final rule.\1\
Comments were submitted by a farm mutual insurer, an insurance company,
a farm mutual reinsurer and an insurance industry trade association.
The comments raised issues in two areas--farm owners multiple peril
insurance and umbrella and excess policies. In addition, one comment
commended the Terrorism Risk Insurance Program for addressing issues in
the earlier interim guidance that had required clarification. After
review and consideration of the comments, Treasury is now promulgating
a final rule implementing the Extension Act changes to TRIA. The final
rule makes no changes to the interim final rule, but the preamble
provides some clarification in response to the issues raised in the
comments. The following discussion also summarizes the provisions of
the interim final, and now final, rule.\1\
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\1\ We also received one comment from a group of farm mutual
insurers after the close of the comment period. We note that this
comment raised the same issues contained in one of the four other
comments. These issues were addressed in this final rule.
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A. Definitions (Sec. 50.5)
The interim final rule incorporated revised definitions for insurer
deductible, Program Years, and property and casualty insurance. The
rule also added definitions for professional liability insurance and
Program Trigger event.
The revisions to the definitions for insurer deductible and Program
Years implemented the Extension Act's addition of Program Years 4
(calendar year 2006) and 5 (calendar year 2007) and the percentages to
be applied to an insurer's direct earned premium for the immediately
preceding calendar year in computing insurer deductibles for Program
Year 4 (17.5 percent) and Program Year 5 (20 percent).
Section 102(12) of TRIA was also amended to exclude additional
types of insurance from the definition of property and casualty
insurance under the Program. The Act now excludes from the definition
commercial automobile insurance, burglary and theft insurance, surety
insurance, professional liability insurance (but not directors and
officers insurance), and farmowners multiple peril insurance. To the
extent the newly excluded types of insurance represent specific lines
of business on the NAIC Annual Statement, Treasury is continuing to
utilize NAIC line of business definitions in implementing the Act. The
newly excluded types of insurance which may correspond to lines of
business on the NAIC Annual Statement are: Line 3--Farmowners Multiple
Peril; Line 19.3--Commercial Auto No-Fault (personal injury
protection); Line 19.4--Other Commercial Auto Liability; Line 21.2--
Commercial Auto Physical Damage; Line 26--Burglary and Theft; and Line
24--Surety. In addition, the interim final rule made clear that these
types of insurance are excluded from the definition of property
casualty insurance, regardless of how their premiums may be reported.
The only type of insurance that is newly excluded from the
definition of property and casualty insurance in the Act, but is not a
specific line of business on the NAIC Annual Statement, is professional
liability insurance, located in new section 102(12)(xi). In the interim
final rule, Treasury provided the following definition of
``professional liability insurance'':
Professional liability insurance means insurance coverage for
liability arising out of the performance of professional or business
duties related to a specific occupation, with coverage being tailored
to the needs of the specific occupation. Examples include abstracters,
accountants, insurance adjusters, architects, engineers, insurance
agents and brokers, lawyers, real estate agents, stockbrokers and
veterinarians. For purposes of this definition, professional liability
insurance does not include directors and officers liability insurance.
Insurers are to use this definition in identifying policies
excluded from the Program, as well as for satisfying the Act's ``make
available'' requirement and determining which policies have
[[Page 50343]]
premiums that should be subtracted from Line 17--Other Liability on the
NAIC Annual Statement when computing direct earned premium for Program
purposes.
This definition is derived from the definition of ``Professional
Errors and Omissions Liability'' found in the Uniform Property &
Casualty Coding Matrix currently utilized by the System for Electronic
Rate and Form Filing (SERFF) sponsored by the NAIC.\2\ However, this
definition is not meant to limit insurers to the filing code (17.0019)
specified under SERFF for ``Professional Errors and Omissions
Liability''. Certainly, policies and coverages that employ the SERFF
filing code will meet the interim final rule definition of professional
liability insurance. Treasury acknowledges that many insurers and
insurance support organizations do not utilize the SERFF mechanism for
all their form filings. Thus, the definition in the interim final rule
was intended to have a broader application than the SERFF filing
process and should not be viewed as limited to one particular SERFF
filing code.
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\2\ The Matrix can be found on the NAIC Web site at https://
www.naic.org/industry_home.htm.
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Directors and officers liability insurance, which is sometimes
considered a type of professional liability insurance, is not included
in the definition of professional liability insurance. Section
102(12)(A) of the Act now explicitly includes directors and officers
liability insurance in the definition of property and casualty
insurance. This change does not substantively modify the previous
definition of property and casualty insurance under the Act, but is a
statutory clarification that directors and officers liability insurance
is distinct from professional liability insurance. Premium for
directors and officers liability insurance may be already included in
Line 17--Other Liability on the NAIC Annual Statement, one of the
commercial lines of business listed in Treasury's current regulations
defining property and casualty insurance (31 CFR 50.5(n)), if not
otherwise excluded. Treasury recommends that insurers consult the
definition of ``Directors & Officers Liability'' found in the Uniform
Property & Casualty Coding Matrix now being utilized by SERFF if
further guidance is needed on what constitutes ``Directors & Officers
Liability'' insurance.
The Extension Act adds a new section 103(e)(1)(B) to TRIA entitled
``Program Trigger.'' This new provision directs the Secretary not to
compensate insurers under the Program unless the aggregate industry
insured losses from a certified act of terrorism exceed certain insured
loss or ``trigger'' amounts.\ 3\To implement this provision, the
interim final rule added a new definition for ``Program Trigger
event''. Such an event is ``a certified act of terrorism that occurs
after March 31, 2006, for which the aggregate industry insured losses
resulting from such act exceed $50 million with respect to such insured
losses occurring in 2006 and $100 million with respect to such insured
losses occurring in 2007.'' Unless an act of terrorism is a Program
Trigger event, insured losses from that act of terrorism will not be
considered in any determination of or calculation leading to any
Federal share of compensation under the Act. The Program Trigger is
discussed further in ``E. Federal Share of Compensation'' below.
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\3\ Section 103(e)(1)(B) states: ``In the case of a certified
act of terrorism occuring after March 31, 2006, no compensation
shall be paid by the Secretary under subsection (a), unless the
aggregate industry insured losses resulting from such certified act
of terrorism exceed--(i) $50,000,000, with respect to such insured
losses occurring in Program Year 4; or (ii) $100,000,000, with
respect to such insured losses occurring in Program Year 5.''
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Farmowners Multiple Peril Insurance
The Extension Act revision to TRIA section 102(12) specifically
excludes ``farm owners multiple peril insurance'', a particular type of
insurance which is also a specific line of business on the NAIC Annual
Statement, from the definition of property and casualty insurance.
Prior to the issuance of the interim final rule, insurers asked whether
monoline farm insurance coverages are similarly excluded. With no clear
guidance in the legislative history of the Extension Act on this issue
and, guided by the plain meaning of the statute, Treasury issued the
interim final rule based on its interpretation that this exclusion is
applicable only to multiple peril coverages insuring farm risks. Single
peril or monoline coverages insuring farm risks generally would
continue to be evaluated based on the line of business on the NAIC
Annual Statement (or equivalent reporting system) where the premiums
for such coverages are reported. Thus, if the premiums for such
monoline coverages are usually reported, or otherwise allocated, to one
of the commercial lines of insurance on the NAIC Annual Statement (or
equivalent reporting system), unless otherwise excluded by the Act, the
monoline coverage would be treated as falling within the definition of
property and casualty insurance under Treasury's regulations.
Aware of some concerns with this result on the part of some smaller
insurance entities, such as farm and county mutuals, Treasury
specifically sought comments on the practical implications of this
issue and requested the articulation of a basis for any assertion that
monoline coverages are excluded from the Program as part of the
farmowners multiple peril exclusion.
Three commenters addressed the treatment of ``farm owners multiple
peril insurance'' in Treasury's interim final rule.
One Texas farm mutual insurer indicated it believed the monoline
fire policies the insurer issues for farm risks in Texas ``are
residential in nature and not commercial''. Texas farm mutuals
generally are precluded from writing commercial insurance. To the
extent a farm mutual insurer files an NAIC Annual Statement in Texas
(not all farm mutuals file an NAIC Annual Statement), the premium for
its monoline fire policies is reported on Line 1--Fire of the NAIC
Annual Statement (an included line). But the farm mutual insurer
explained that the ``Fire'' line of business in Texas includes both
personal and commercial lines. The insurer suggested that ``an argument
can be made'' that the Texas Department of Insurance looks upon farm
mutual policies as being residential policies and not commercial
policies, and that these policies should not be subject to TRIA simply
because of the line on which they are required to be reported.
A Midwest reinsurer of county and town mutuals also raised concerns
about Treasury's interpretation of the meaning of ``farm owners
multiple peril''. The reinsurer noted that ``the practical implication
of Treasury's interpretation is that inclusion of exposures in the
Program is made dependent upon the method by which premium is reported
and not with regard to the actual exposure being insured.'' The
reinsurer further suggested that Treasury's interpretation of the
Extension Act was inconsistent with Treasury's earlier treatment of
commercial property and casualty insurance \4\ that ``was based on the
exposure insured, not on the method of reporting premium.''
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\4\ See 68 FR 9810.
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The third commenter, which reports all farm policy premium under
the farm owners multiple peril line of its Annual Statement, even
premium for what might be considered monoline policies,
[[Page 50344]]
requested confirmation that under the rules, because of the way its
premium is reported, the policy form it uses would be considered farm
owners multiple peril insurance.
As noted previously, there is no clear guidance in the legislative
history of the Extension Act that suggests the meaning of ``farm owners
multiple peril insurance'' should be interpreted broadly to include
single peril, or monoline, farmowners insurance. Moreover, ``farm
owners multiple peril insurance'' is a specific line of business on the
NAIC Statement. Since the inception of the Program, Treasury has used
Statutory Page 14 of the NAIC Annual Statement as the ``best available
point of reference'' \5\ to define what constitutes commercial property
and casualty insurance, also applicable as guidance to insurers that do
not report via Statutory Page 14 to the NAIC. Treasury's rules
generally define property and casualty insurance in terms of specified
lines of business on the NAIC Annual Statement. Insurance for which
premiums are reported on an excluded line of business is not included
in the Program. Insurance for which premiums are reported on an
included line of business is included, unless the particular type of
insurance is otherwise excluded by the Act.
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\5\ See 68 FR 41257.
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Treasury believes that its earlier guidance on what constitutes
commercial property and casualty insurance is consistent with its more
recent interpretation of the Extension Act meaning of ``farm owners
multiple peril insurance''. However, the preamble discussion of this
issue in the interim final rule was fairly brief and we offer
additional discussion below.
Treasury has maintained that premium reported on the specified
commercial lines on Statutory Page 14 of the NAIC Annual Statement is
only considered to be commercial premium subject to the Act ``to the
extent coverage provided is for commercial property and casualty
exposures'' \6\ (and provided it is not otherwise excluded by the Act).
The definition of property and casualty insurance in Sec. 50.5(n)(1)
provides, in part, that it means ``commercial lines within'' certain
specified lines of insurance. We have specifically noted that personal
insurance (insurance primarily designed for personal, family or
household purposes) that is reported on one of the specified commercial
lines of Statutory Page 14 should be excluded from an insurer's
calculation of its direct earned premium.\7\ We have likewise applied
this analysis in clarifying what constitutes commercial property and
casualty insurance coverage for purposes of paying insured losses and
determining compliance with the ``make available'' provision of the
Act.
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\6\ See 68 FR 9810.
\7\ See Sec. 50.5(d)(1)(ii).
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In applying the foregoing to the farm risks described by the farm
mutual commenters, if the premium for a monoline policy written by such
insurers is reported on one of the specified commercial lines of
Statutory Page 14 of the NAIC Annual Statement (Fire, Allied Lines,
etc.), the monoline coverage as a general rule is subject to TRIA.
However, if the monoline policy only insures a personal insurance
exposure (residential dwelling), or is otherwise excluded by the Act,
the policy is not commercial property and casualty insurance within the
meaning of the Act and is not subject to the Act. To the extent a
monoline policy is a hybrid policy that insures both personal and
commercial exposures, farm mutual insurers should look to Treasury's
treatment of the direct earned premium for hybrid policies as a guide
for how to treat the hybrid policy for other purposes under TRIA
(determining claims for insured losses, complying with the ``make
available'' provision, etc.).\8\
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\8\ See Sec. 50.5(d).
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Consistent with the Extension Act, the interim final rule excludes
farm owners multiple peril insurance from the definition of property
and casualty insurance. In response to the commenter that raised the
question about its policy form, we note that the interim final rule
does not directly address policy forms or how various state regulators
treat particular forms for NAIC Annual Statement reporting purposes.
Treasury assumes that the forms and reporting practices are appropriate
under applicable state law. Whatever treatment is afforded particular
policies by insurers in compliance with relevant state law is generally
the guide for how such policies are treated under Treasury's
regulations for what constitutes commercial property and casualty
insurance, unless expressly excluded by the Act. Farm policies for
which premiums are reported on the farmowners multiperil line are
excluded from the Program.
Since the concerns of the three commenters related to ``farm owners
multiple peril insurance'' are addressed by applying Treasury's
previous rulemaking and guidance, no changes have been made to the
definition of property and casualty insurance in section 50.5(n)(2) of
the interim final rule.
B. Interim Guidance Safe Harbors (Sec. 50.7)
Section 50.7 of the current regulations provides that ``[a]n
insurer will be deemed to be in compliance with the requirements of the
Act to the extent the insurer reasonably relied on Interim Guidance
prior to the effective date of applicable regulations.'' The interim
final rule added ``Interim Guidance IV issued by Treasury on December
29, 2005, and published at 71 FR 648 (January 5, 2006)'' to the list of
applicable Interim Guidances.
C. Disclosure (Sec. Sec. 50.12 and 50.17)
The interim final rule incorporated guidance on compliance with
disclosure requirements and revised safe harbor language with regard to
the use of NAIC model disclosure forms.
The Extension Act continues, as a condition for federal payments
under the Act, the existing requirements contained in section 103(b) to
provide disclosures ``at the time of offer, purchase, and renewal of
the policy''. Some insurers faced certain operational difficulties with
regard to policies processed in the latter part of Program Year 3
(2005) for issuance or renewal effective in 2006. In some cases,
policies were issued or renewed in 2006 in a form that already included
coverage for terrorism risks, whether or not TRIA was extended. Because
TRIA would have sunset as of December 31, 2005, disclosures were not
provided with these policies.
The Extension Act made no change to the requirement that
disclosures are required as a condition for payment of the Federal
share of compensation for insured losses. However, given the late date
of enactment of the Extension Act, the interim final rule provided in
section 50.12(e) that ``[i]f an insurer made available coverage for
insured losses in a new policy or policy renewal in Program Year 3 for
coverage becoming effective in Program Year 4, but did not provide a
disclosure at the time of offer, purchase or renewal, then the insurer
must be able to demonstrate to Treasury's satisfaction that it has
provided a disclosure as soon as possible following January 1, 2006.''
For an insurer to demonstrate to Treasury's satisfaction that it
has provided disclosures as soon as possible following January 1, 2006,
Treasury expects that an insurer will have provided disclosures by 30
days after publication of the interim final rule in the Federal
Register (June 10, 2006), barring unforeseen or unusual
[[Page 50345]]
circumstances. If not completed by that time, an insurer will be
expected, when submitting a claim for the Federal share of
compensation, to demonstrate why such disclosures could not be made by
that date and why the insurer should be deemed to be in compliance with
the Act's disclosure requirement.
Pursuant to 31 CFR 50.17, insurers that have used NAIC Model
Disclosure Forms that were in existence on April 18, 2003, were deemed
to satisfy the disclosure requirements of section 103(b)(2) of the Act.
Although the Extension Act made no change to the requirements for clear
and conspicuous disclosure to policyholders of the premium charged for
insured losses covered by the Program and of the Federal share of
compensation for insured losses under the Program, revisions were made
to the Act that required rewording of the NAIC Model Disclosure Forms.
The NAIC has since issued revised Model Disclosure Forms, dated January
26, 2006, which if used by insurers, will be deemed to satisfy
disclosure requirements of the Act and Treasury regulations. The
interim final rule continued the safe harbor approach for use of the
most current NAIC Model Disclosure forms deemed by Treasury to meet
Program requirements. Insurers may also continue to use other forms to
comply with the disclosure requirements.
D. Make Available (Sec. Sec. 50.20 and 50.21)
For Program Year 4 (Calendar 2006) and Program Year 5 (Calendar
2007) insurers are required to continue to ``make available'' coverage
for insured losses as required by TRIA and Treasury regulations.
Amendments to the ``make available'' requirement in section 103(c) of
the Act are simply conforming amendments that continue the requirement
through Program Years 4 and 5. Thus, insurers issuing or renewing
commercial property and casualty insurance policies in Program Years 4
and 5 must continue to offer coverage for insured losses resulting from
an act of terrorism, as required by section 103(c) of the Act and 31
CFR 50.20 to 50.24, if they wish to have their insured loss claims
eligible for the Federal share of compensation in the extended Program
Years.
In its Interim Guidance IV published on January 5, 2006, Treasury
addressed the ``make available'' requirement with regard to the
transition from Program Year 3, originally the last year of the
Program, to the extended Program Years 4 and 5. In that issuance,
Treasury noted that the Extension Act made no changes to the ``make
available'' requirement for insurers. Treasury provided guidance on how
insurers could comply with Program requirements given operational
difficulties arising from the Extension Act passage late in the year.
In addition Treasury Interim Guidance IV clarified that no
additional ``make available'' offer is required if terrorism coverage
for the duration of the policy term was offered for policies issued or
renewed in 2005. It also explained how an insurer could comply with
``make available'' requirements under the following scenarios where:
(1) A policy's terrorism coverage expired on December 31, 2005, but
the remainder of the policy continued in force in 2006,
(2) A policy did not provide terrorism coverage after December 31,
2005, but the policyholder had rejected an offer of terrorism coverage
for the portion of the policy term prior to December 31, and
(3) A policy renewal or application was processed in 2005 for
coverage becoming effective in 2006 and the insurer did not ``make
available'' terrorism coverage for Program Year 4 as contemplated by
the Extension Act.
The interim final rule generally incorporated this interim guidance
into the TRIA ``make available'' provisions. Section 50.21(b) was added
to address the special Program Year 4 requirements for scenarios (1)
and (2) above. For scenarios (1) and (3), where an insurer must make an
offer of coverage, section 50.21(d) (formerly 50.21(c)) was amended to
provide that the insurer must be able to demonstrate to Treasury's
satisfaction that it has provided an offer of coverage for insured
losses by January 1, 2006, or as soon as possible following that date.
In demonstrating to Treasury's satisfaction that it has provided an
offer of coverage for insured losses as soon as possible after January
1, 2006, Treasury considers January 31, 2006, to be the latest
reasonable date for offers of coverage, barring unforeseen or unusual
circumstances. If not provided by January 31, 2006, Treasury would
expect an insurer to demonstrate why the offer could not be made by
that date when submitting a claim for Federal compensation under the
Program.
The interim final rule incorporated technical amendments to section
50.20 that extend the ``make available'' requirements into Program
Years 4 and 5. Section 50.20(c) also provided that ``property and
casualty insurance coverage for insured losses does not have to be made
available beyond December 31, 2007 (the last day of Program Year 5),
even if the policy period of insurance coverage for losses from events
other than acts of terrorism extends beyond that date''.
Umbrella and Excess Policies
In the Supplementary Information section of the preamble
accompanying the interim final rule, Treasury provided guidance
regarding the ``make available'' and disclosure requirements for excess
or umbrella liability policies in light of the Extension Act's deletion
of certain types of insurance from the definition of property and
casualty insurance. The guidance reflected earlier rulemaking and that
as a general rule, excess or umbrella liability policies are property
and casualty insurance within the meaning of TRIA. Section 102(12)(A)
of the Act defines the term ``property and casualty insurance'' as
meaning commercial lines of property and casualty insurance ``including
excess,'' unless otherwise excluded from the definition under Section
102(12)(B). Premiums for commercial excess and umbrella insurance
policies are normally reported on Line 17--Other Liability in the NAIC
Annual Statement.\9\ Although generally reported on a line which is
included in the Program, in interim guidance Treasury advised that
excess or umbrella insurance is commercial property and casualty
insurance only to the extent it provides coverage above primary or
underlying coverage that is a type of insurance included in the
Program, and not specifically excluded from the definition of property
and casualty insurance itself. However, where the commercial property
and casualty coverage segment of an excess or umbrella liability policy
is merely incidental to the remaining non-TRIA coverage under the
policy, an insurer may treat the entire policy as not providing
property and casualty insurance within the meaning of TRIA and
Treasury's regulations.\10\ In such elections, the TRIA ``make
available'' and disclosure requirements will not apply and no losses
from the commercial coverage segment of such policies will be paid by
Treasury.
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\9\ See 68 FR 59725.
\10\ See 31 CFR 50.5(d)(1)(iii): ``For purposes of the Program,
commercial coverage combined with coverages that otherwise do not
meet the definition of property and casualty insurance is incidental
if less than 25 percent of the total direct premium is for such
coverage.''
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One comment submitted by an insurance trade organization requested
that Treasury give ``due consideration to the possibility that property
casualty insurers, in good faith, might have treated commercial
umbrella and excess insurance policies differently under the TRIA
Extension than the Federal Register guidance''. As an example, the
comment states that, ``as premiums from
[[Page 50346]]
these policies are reported on line 17 of the NAIC annual Statement (a
line that is included within the Federal program), insurers could have
reasonably assumed that those policies would either be included
entirely in the program or that the policies would be included unless
there was no possibility of a covered claim from the underlying
policy''.
Treasury acknowledges that, if an insurer, prior to the publication
of the interim final rule, relied on the assumptions in the above
example in carrying out its ``make available'' and disclosure
obligations (if any) the insurer would be considered to be reasonably
compliant with Program requirements. However, in no circumstance can
losses associated with an underlying coverage that is excluded from the
Program form the basis for a claim for the Federal share of
compensation.
Commenters asked Treasury to reconsider the position that ``excess
or umbrella insurance is commercial property and casualty insurance
included in the Program only to the extent it provides coverage above
primary or underlying coverage that is a type of insurance included in
the Program''. One of these comments suggests that ``this position
makes some sense within the insurance context of how umbrella/excess
and the underlying coverage are typically consistent, [but] one could
also make a case for commercial umbrella/excess being totally included
under TRIA--even when written over exempted coverages--if the goal was
to make the provisions of TRIA apply as broadly as the law will allow
and thus encouraging as much terrorism coverage as possible in the
marketplace''.
Treasury considered and rejected this alternative prior to issuing
the interim final rule. After reconsideration based on the comments, we
continue to believe that the better interpretation of the statutory
authority and intent, given that the Extension Act restricted the types
of insurance included under the Program, is as stated in the preamble
to the interim final rule. Therefore, no change is being made to the
final rule.
E. Federal Share of Compensation (Sec. 50.50)
The interim final rule added several provisions to section 50.50 to
reflect the addition of the new Program Trigger provision to the Act.
Under section 103(a) of TRIA, the Secretary is required to pay the
Federal share of compensation for insured losses in accordance with
section 103(e) of the Act. The Extension Act amended subsection (e) to
provide, in part, that no compensation shall be paid by the Secretary
under subsection (a) unless the aggregate industry insured losses from
a certified act of terrorism occurring after March 31, 2006, exceed
certain amounts. This provision was intended to ensure that there would
be no Federal compensation unless the aggregate industry losses from an
act of terrorism exceed these amounts.
The interim final rule incorporated a technical amendment to
renumbered Sec. 50.50(a) (formerly 50.50(d)) to provide that the
Federal share of compensation in Program Year 5 shall be ``85 percent
of that portion of the insurer's aggregate insured losses that exceed
its insurer deductible during Program Year 5,'' (subject to any
adjustments in Sec. 50.51 and the cap of $100 billion as provided in
section 103(e)(2) of the Act). A new provision was also added to
renumbered Sec. 50.50(d) (formerly 50.50(a)) that reiterates, as a
condition for Federal compensation for insured losses, a basic
insurance principle that, ``[t]he insurer offered the coverage for
insured losses and the offer was accepted by the insured prior to the
occurrence of the loss''.
New Sec. 50.50(b) incorporated the Program Trigger limitations on
the amount of Federal compensation payable under the Act. To implement
these limitations, Sec. 50.50(g) stated that Treasury will determine
the amount of aggregate industry insured losses, and that if the
aggregate industry insured losses exceed the applicable Program Trigger
amounts, Treasury will publish notice in the Federal Register that the
act of terrorism is a Program Trigger event. As noted in the previously
issued Interim Guidance, Treasury also expects to provide notification
through press releases and postings on the TRIP Web site.
Section 50.50(c) clarified that in the provisions dealing with
claims procedures, subpart F, insured losses or aggregate insured
losses for acts of terrorism after March 31, 2006 will be limited to
those insured losses resulting from Program Trigger events. This
limitation on insured losses controls any determinations of, or
calculations leading to, a Federal share of compensation under the Act
including any adjustments of the Federal share, and applies to
submissions of an insurer in conjunction with Initial Notices of Loss
and Certifications of Loss and payments of the Federal share.
The Program Trigger provision also has a direct bearing on which
insured losses count towards satisfaction of the insurer deductible. In
Program Year 4, and similarly, in Program Year 5, only an insurer's
insured losses resulting from Program Trigger events in the year will
count towards satisfaction of the insurer deductible.
F. Determination of Affiliations (Sec. 50.55)
Section 50.55 provides that for the purposes of claims procedures
and the determination of the Federal share of compensation ``an
insurer's affiliates for any Program Year shall be determined by the
circumstances existing on the date of occurrence of the act of
terrorism that is the first act of terrorism in a Program Year to be
certified by the Secretary for that Program Year.'' The purpose of this
regulation, when promulgated in 2005, was to clarify the point in time
when insurer affiliations would be determined in order to facilitate
the calculation of insurer deductibles and the payments of the Federal
share of compensation for Program Years in which affiliations could
change over time. Since this has meaning only if there is a potential
Federal share of compensation, the interim final rule incorporated an
amendment clarifying that if the first certified act of terrorism
occurs after March 31, 2006, it must also be a Program Trigger event to
be used for determining affiliations under the rule.
G. Federal Cause of Action; Approval of Settlements
The Extension Act added section 107(a)(6) to TRIA, which provides
that procedures and requirements established by the Secretary under 31
CFR 50.82, as in effect on the date of issuance of that section in
final form [July 28, 2004], shall apply to any Federal cause of action
described in section 107(a)(1). This provision was added to new Sec.
50.85 of the interim final rule.
Section 50.82 of the regulations requires insurers to submit to
Treasury for advance approval certain proposed settlements involving an
insured loss, any part of the payment of which the insurer intends to
submit as part of its claim for federal payment under the Program.
Thus, Treasury would not expect insurers to submit any proposed
settlement if the insured losses would not be eligible for payment, as
would be the case if the losses resulted from a post-March 31, 2006
certified act that was not a Program Trigger event. However, if there
is uncertainty whether or not a certified act will become a Program
Trigger event, an insurer may wish to err on the side of caution and
submit a proposed settlement for prior approval in order to preserve
any subsequent eligibility for Federal compensation for insured losses
under the Program. Otherwise the insured will
[[Page 50347]]
be ineligible for later payment if the Program Trigger is reached.
III. Procedural Requirements
Executive Order 12866, ``Regulatory Planning and Review''
This final rule is a significant regulatory action and has been
reviewed by the Office of Management and Budget under the terms of
Executive Order 12866.
Regulatory Flexibility Act
Pursuant to the Regulatory Flexibility Act, 5 U.S.C. 601 et seq.,
it is hereby certified that the final rule will not have a significant
economic impact on a substantial number of small entities. The final
rule implements changes prescribed or authorized by the Extension Act.
The Act itself requires all insurers receiving direct earned premium
for any type of property and casualty insurance, as defined in the
Extension Act, to participate in the Program. This includes all
insurers regardless of size or sophistication. The Extension Act also
defines property and casualty insurance to mean commercial lines of
insurance without any reference to size or scope of the insurer or the
insured. The disclosure and ``make available'' requirements are
required by the Act. The rule allows all insurers, whether large or
small, to use existing systems and business practices to demonstrate
compliance. Treasury is required to pay the Federal share of
compensation to insurers for insured losses subject to the new Program
Trigger provisions in the Act. The requirement that insurers seek
advance approval of certain settlements is now required by the Act. Any
economic impact associated with the final rule flows from the Extension
Act and not the final rule. However, the Act and the Program are
intended to provide benefits to the U.S. economy and all businesses,
including small businesses, by providing a federal reinsurance backstop
to commercial property and casualty insurance policyholders and
spreading the risk of insured losses resulting from an act of
terrorism. Accordingly, a regulatory flexibility analysis is not
required.
List of Subjects in 31 CFR Part 50
Terrorism risk insurance.
Authority and Issuance
0
For the reasons set forth above, the interim final rule revising
subparts A, B, C, F, and I of 31 CFR part 50, which was published at 71
FR 27564 on May 11, 2006, is adopted as a final rule without change.
Dated: August 9, 2006.
Emil W. Henry, Jr.,
Assistant Secretary of the Treasury.
[FR Doc. E6-14180 Filed 8-24-06; 8:45 am]
BILLING CODE 4811-37-P