National Flood Insurance Program (NFIP); Assistance to Private Sector Property Insurers, Notice of FY 2021 Arrangement, 17339-17345 [2020-06394]
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[FR Doc. 2020–06411 Filed 3–26–20; 8:45 am]
BILLING CODE 9110–12–P
DEPARTMENT OF HOMELAND
SECURITY
Federal Emergency Management
Agency
[Docket ID FEMA–2020–0003]
National Flood Insurance Program
(NFIP); Assistance to Private Sector
Property Insurers, Notice of FY 2021
Arrangement
Federal Emergency
Management Agency, DHS.
ACTION: Notice.
AGENCY:
The Federal Emergency
Management Agency announces the
Fiscal Year 2021 Financial Assistance/
Subsidy Arrangement for private
property insurers interested in
participating in the National Flood
Insurance Program’s Write Your Own
Program.
SUMMARY:
Interested insurers must submit
intent to subscribe or re-subscribe to the
Arrangement by June 25, 2020.
FOR FURTHER INFORMATION CONTACT:
Sarah Devaney-Ice, Branch Chief,
Federal Insurance and Mitigation
Administration, FEMA, 400 C St. SW,
Washington, DC 20472 (mail); (202)
320–5577 (phone); or sarah.devaneyice@fema.dhs.gov (email).
SUPPLEMENTARY INFORMATION:
DATES:
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I. Background
The National Flood Insurance Act of
1968 (NFIA), as amended (42 U.S.C.
4001 et seq.), authorizes the
Administrator of the Federal Emergency
Management Agency (FEMA) to
establish and carry out a National Flood
Insurance Program (NFIP) to enable
interested persons to purchase
insurance against loss resulting from
physical damage to or loss of real or
personal property arising from flood in
the United States. See 42 U.S.C. 4011(a).
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City Hall, 326 Missouri Avenue, Alma, KS 66401.
City Hall, 521 Main Street, Alta Vista, KS 66834.
City Hall, 110 South Main Street, Eskridge, KS 66423.
City Hall, 274 West Oak Street, Harveyville, KS 66431.
City Hall, 518 Rock Island Road, McFarland, KS 66501.
Wabaunsee County Courthouse, 215 Kansas Avenue, Alma, KS
66401.
Wabaunsee County Courthouse, 215 Kansas Avenue, Alma, KS
66401.
Under the NFIA, FEMA has the
authority to undertake arrangements to
carry out the NFIP through the facilities
of the Federal Government, utilizing, for
the purposes of providing flood
insurance coverage, insurance
companies and other insurers, insurance
agents and brokers, and insurance
adjustment organizations as fiscal agents
of the United States. See 42 U.S.C. 4071.
To this end, FEMA may ‘‘enter into any
contracts, agreements, or other
appropriate arrangements’’ with private
insurance companies to utilize their
facilities and services in administering
the NFIP on such terms and conditions
as may be agreed upon. See 42 U.S.C.
4081(a).
Pursuant to this authority, FEMA
enters into a standard Financial
Assistance/Subsidy Arrangement
(Arrangement) with private sector
property insurers, also known as Write
Your Own (WYO) companies, to sell
NFIP flood insurance policies under
their own names and adjust and pay
claims arising under the Standard Flood
Insurance Policy (SFIP). Each
Arrangement entered into by a WYO
company must be in the form and
substance of the standard Arrangement,
a copy of which is published in the
Federal Register annually, at least 6
months prior to becoming effective. See
44 CFR 62.23(a).
II. Notice of Availability
Insurers interested in participating in
the WYO Program for Fiscal Year 2021
must contact Sarah Devaney-Ice at
sarah.devaney-ice@fema.dhs.gov by
June 25, 2020.
Prior participation in the WYO
Program does not guarantee that FEMA
will approve continued participation.
FEMA will evaluate requests to
participate in light of publicly available
information, industry performance data,
and other criteria listed in 44 CFR 62.24
and the FY 2021 Arrangement, copied
below. FEMA encourages private
insurance companies to supplement this
information with customer satisfaction
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surveys, industry awards or recognition,
or other objective performance data. In
addition, private insurance companies
should work with their vendors and
subcontractors involved in servicing
and delivering their insurance lines to
ensure FEMA receives the information
necessary to effectively evaluate the
criteria set forth in its regulations.
FEMA will send a copy of the offer for
the FY 2021 Arrangement, together with
related materials and submission
instructions, to all private insurance
companies successfully evaluated by the
NFIP. If FEMA, after conducting its
evaluation, chooses not to renew a
Company’s participation, FEMA, at its
option, may require the continued
performance of all or selected elements
of the FY 2020 Arrangement for a period
required for orderly transfer or cessation
of the business and settlement of
accounts, not to exceed 18 months. See
FY 2020 Arrangement, Article V.C. All
evaluations, whether successful or
unsuccessful, will inform both an
overall assessment of the WYO Program
and any potential changes FEMA may
consider regarding the Arrangement in
future fiscal years.
Any private insurance company with
questions may contact FEMA at: Sarah
Devaney-Ice, Federal Insurance and
Mitigation Administration, FEMA, 400
C St. SW, Washington, DC 20472 (mail);
(202) 320–5577 (phone); or
sarah.devaney-ice@fema.dhs.gov
(email).
III. Fiscal Year 2021 Arrangement
Pursuant to 44 CFR 62.23(a), FEMA
must publish the Arrangement at least
six months prior to the Arrangement
becoming effective. The FY 2021
Arrangement provided below is
substantially similar to the previous
year’s Arrangement, but includes the
following substantive changes:
1. Moved Article V (Commencement
and Termination) to Article II to
improve organizational clarity, and
renumbered following articles.
2. In Article II.C, WYO companies
will be required to notify FEMA of their
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intent to not re-subscribe to the
Arrangement within 30 calendar days of
their decision. In the FY2020
Arrangement, such notification must be
made ‘‘promptly’’.
3. Added Article II.G, which allows
FEMA to extend the FY2021
Arrangement through December 31,
2022, but not to exceed 6 months
following the publication of the FY2022
Arrangement.
4. Added new requirement in Article
III.A.2 (Claims Processing) requiring
that all independent adjusters used by
WYO companies must either have a
valid Flood Control Number or
participate in the Flood Adjuster
Capacity Program, and that WYO
companies must cooperate with
reinspections.
5. Updated Article III.A.3 to reflect
terminology and procedural changes
associated with the transition of the
NFIP system of record to Pivot.
6. In Article III.A.4, added
requirement to include Private Flood
Insurance Separation Plan, Privacy
Protection Plan, and Technology Plan in
the Operations Plan submitted by WYO
companies.
7. Added Article III.I (Subrogation) to
confirm a WYO company’s obligation to
pursue subrogation claims or to refer
such claims to FEMA.
8. Amended Article IV.D.3 (Oversight
of Litigation), previously titled
‘‘Limitation on Litigation Costs,’’ to
reflect updated litigation oversight
procedures provided in the National
Flood Insurance Program Litigation
Manual.
9. Removed previous Article VI
(Information and Annual Statements)
and moved paragraph (A) to Article III.J
and paragraph (B) to Article VI.D.
10. Added paragraph to Article XII
(Access to Books and Records),
providing that FEMA will protect
confidential or proprietary information
submitted by WYO companies from
disclosure to the extent allowed by law.
The Fiscal Year 2021 Arrangement
reads as follows:
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Financial Assistance/Subsidy
Arrangement
Article I. Findings, Purposes, and
Authority
Whereas, the Congress in its ‘‘Finding
and Declaration of Purpose’’ in the
National Flood Insurance Act of 1968,
Public Law 90–448, Title XIII, as
amended, (‘‘the Act’’ or ‘‘Act’’)
recognized the benefit of having the
National Flood Insurance Program (the
‘‘Program’’ or ‘‘NFIP’’) ‘‘carried out to
the maximum extent practicable by the
private insurance industry’’ (Section
1302 of the Act [42 U.S.C. 4001]); and
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Whereas, the Federal Emergency
Management Agency (‘‘FEMA’’), which
operates the Program through its Federal
Insurance and Mitigation
Administration (‘‘FIMA’’), recognizes
this Arrangement as coming under the
provisions of Sections 1340 and 1345 of
the Act (42 U.S.C. 4071 and 4081,
respectively); and
Whereas, the goal of FEMA is to
develop a program with the insurance
industry where the risk-bearing role for
the industry will evolve as intended by
the Congress (Section 1304 of the Act
[42 U.S.C. 4011]); and
Whereas, Section 205 of the BunningBereuter-Blumenauer Flood Insurance
Reform Act of 2004, Public Law 108–
264, as implemented by 44 CFR 62.20,
permits Program policyholders to
appeal the denial of a claim, completely
or in part, to FEMA; and
Whereas, the NFIP is a program
administered by FEMA, all participants
of this Arrangement, and other entities
operating on their behalf, shall align
themselves toward the common purpose
of helping survivors and their
communities recover from floods by
effectively delivering customer-focused
flood insurance products and
information; and
Whereas, the insurer (hereinafter the
‘‘Company’’) under this Arrangement
must charge rates established by FEMA;
and
Whereas, FEMA has promulgated
regulations and guidance implementing
the Act and the Write Your Own (WYO)
Program whereby participating private
insurance companies act in a fiduciary
capacity utilizing Federal funds to sell
and administer the Standard Flood
Insurance Policies, and has extensively
regulated the participating companies’
activities when selling or administering
the Standard Flood Insurance Policies;
and
Whereas, any litigation resulting from,
related to, or arising from the
Company’s compliance with the written
standards, procedures, and guidance
issued by FEMA arises under the Act or
regulations, and legal issues thereunder
raise a Federal question; and
Whereas, through this Arrangement,
the United States Treasury will back all
flood policy claim payments by the
Company; and
Whereas, FEMA developed this
Arrangement to enable any interested
qualified insurer to write flood
insurance under its own name; and
Whereas, insured survivors recover
faster and more fully than uninsured
survivors, and FEMA is committed to
developing a culture of preparedness
and closing the insurance gap across the
nation; and
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Whereas, one of the primary
objectives of the Program is to provide
coverage to the maximum number of
buildings at risk and because the
insurance industry has marketing access
through its existing facilities not
directly available to FEMA, FEMA
concludes that coverage will be
extended to those who would not
otherwise be insured under the
Program; and
Whereas, flood insurance policies
issued subject to this Arrangement must
be only that insurance written by the
Company in its own name under
prescribed policy conditions and
pursuant to this Arrangement, the Act,
and any guidance issued by FEMA; and
Whereas, over time, the Program is
designed to increase industry
participation and, accordingly, reduce
or eliminate Government as the
principal vehicle for delivering flood
insurance to the public; and
Whereas, the sole parties under this
Arrangement are the Company and
FEMA.
Now, therefore, the parties hereto
mutually undertake the following:
Article II. Commencement and
Termination
A. The effective period of this
Arrangement begins on October 1, 2020
and terminates no earlier than
September 30, 2021, subject to
extension pursuant to Articles II.C and
II.G. FEMA may provide financial
assistance only for policy applications
and endorsements accepted by the
Company during this period pursuant to
the Program’s effective date,
underwriting, and eligibility rules.
B. Pursuant to 44 CFR 62.23(a), FEMA
will publish the Arrangement and the
terms for subscription or re-subscription
for Fiscal Year 2022 in the Federal
Register no later than April 1, 2021.
Upon such publication, the Company
must notify FEMA of its intent to resubscribe or not re-subscribe to the
WYO Program for the following term
within ninety (90) calendar days.
C. In addition to the requirements of
Article II.B, in order to assure
uninterrupted service to policyholders,
the Company must notify FEMA within
thirty (30) days of when the Company
elects not to re-subscribe to the WYO
Program during the term of this
Arrangement. If so notified, or if FEMA
chooses not to renew the Company’s
participation, FEMA, at its option, may
require the continued performance of all
or selected elements of this
Arrangement for the period required for
orderly transfer or cessation of business
and settlement of accounts, not to
exceed eighteen (18) months after the
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end of this Arrangement (September 30,
2021), and may either require transfer of
activities to FEMA under Article II.C.1
or allow transfer of activities to another
WYO company under Article II.C.2:
1. FEMA may require the Company to
transfer all activities under this
Arrangement to FEMA. Within thirty
(30) calendar days of FEMA’s election of
this option, the Company must deliver
to FEMA the following:
a. A plan for the orderly transfer to
FEMA of any continuing responsibilities
in administering the policies issued by
the Company under the Program
including provisions for coordination
assistance.
b. All data received, produced, and
maintained through the life of the
Company’s participation in the Program,
including certain data, as determined by
FEMA, in a standard format and
medium.
c. All claims and policy files,
including those pertaining to receipts
and disbursements that have occurred
during the life of each policy. In the
event of a transfer of the services
provided, the Company must provide
FEMA with a report showing, on a
policy basis, any amounts due from or
payable to insureds, agents, brokers, and
others as of the transition date.
d. All funds in its possession with
respect to any policies transferred to
FEMA for administration and the
unearned expenses retained by the
Company.
e. A point of contact within the
Company responsible for addressing
issues that may arise from the
Company’s previous participation under
the WYO Program.
2. FEMA may allow the Company to
transfer all activities under this
Arrangement to one or more other WYO
companies. Prior to commencing such
transfer, the Company must submit, and
FEMA must approve, a formal request.
Such request must include the
following:
a. An assurance of uninterrupted
service to policyholders.
b. A detailed transfer plan providing
for either: (1) The renewal of the
Company’s NFIP policies by one or
more other WYO companies; or (2) the
transfer of the Company’s NFIP policies
to one or more other WYO companies.
c. A description of who the
responsible party will be for liabilities
relating to losses incurred by the
Company in this or preceding
Arrangement years.
d. A point of contact within the
Company responsible for addressing
issues that may arise from the
Company’s previous participation under
the WYO Program.
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D. Cancellation by FEMA.
1. FEMA may cancel financial
assistance under this Arrangement in its
entirety upon thirty (30) days written
notice to the Company by certified mail
stating one or more of the following
reasons for such cancellation:
a. Fraud or misrepresentation by the
Company subsequent to the inception of
the Arrangement; or
b. Nonpayment to FEMA of any
amount due; or
c. Material failure to comply with the
requirements of this Arrangement or
with the written standards, procedures,
or guidance issued by FEMA relating to
the NFIP and applicable to the
Company.
2. If FEMA cancels this Arrangement
pursuant to Article II.D.1, FEMA may
require the transfer of administrative
responsibilities and the transfer of data
and records as provided in Article
II.C.1.a-d. If transfer is required, the
Company must remit to FEMA the
unearned expenses retained by the
Company. In such event, FEMA will
assume all obligations and liabilities
owed to policyholders under such
policies, arising before and after the date
of transfer.
3. As an alternative to the transfer of
the policies to FEMA pursuant to
Article II.D.2, FEMA will consider a
proposal, if it is made by the Company,
for the assumption of responsibilities by
another WYO company as provided in
Article II.C.2.
E. In the event that the Company is
unable or otherwise fails to carry out its
obligations under this Arrangement by
reason of any order or directive duly
issued by the Department of Insurance
of any jurisdiction to which the
Company is subject, the Company
agrees to transfer, and FEMA will
accept, any and all WYO policies issued
by the Company and in force as of the
date of such inability or failure to
perform. In such event FEMA will
assume all obligations and liabilities
within the scope of the Arrangement
owed to policyholders arising before
and after the date of transfer, and the
Company will immediately transfer to
FEMA all needed records and data and
all funds in its possession with respect
to all such policies transferred and the
unearned expenses retained by the
Company. As an alternative to the
transfer of the policies to FEMA, FEMA
will consider a proposal, if it is made by
the Company, for the assumption of
responsibilities by another WYO
company as provided by Article II.C.2.
F. In the event the Act is amended,
repealed, expires, or if FEMA is
otherwise without authority to continue
the Program, FEMA may cancel
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17341
financial assistance under this
Arrangement for any new or renewal
business, but the Arrangement will
continue for policies in force that shall
be allowed to run their term under the
Arrangement.
G. If FEMA does not publish the
Fiscal Year 2022 Arrangement in the
Federal Register on or before April 1,
2021, then FEMA may require the
continued performance of all or selected
elements of this Arrangement through
December 31, 2022, but such extension
may not exceed the expiration of the six
(6) month period following publication
of the Fiscal Year 2022 Arrangement in
the Federal Register.
Article III. Undertakings of the
Company
A. Responsibilities of the Company.
1. Policy Issuance and Maintenance.
The Company must meet all
requirements of the Financial Control
Plan and any guidance issued by FEMA.
The Company is responsible for the
following:
a. Compliance with the Community
Eligibility/Rating Criteria.
b. Making Policyholder Eligibility
Determinations.
c. Policy Issuances.
d. Policy Endorsements.
e. Policy Cancellations.
f. Policy Correspondence.
g. Payment of Agents’ Commissions.
h. Fund Management, including the
receipt, recording, disbursement, and
timely deposit of NFIP funds.
2. Claims Processing.
a. In general. The Company must
process all claims consistent with the
Standard Flood Insurance Policy,
Financial Control Plan, other guidance
adopted by FEMA, and as much as
possible, with the Company’s standard
business practices for its non-NFIP
policies.
b. Adjuster registration. The Company
may not use an independent adjuster to
adjust a claim unless the independent
adjuster either:
i. Holds a valid Flood Control Number
issued by FEMA; or
ii. Participates in the Flood Adjuster
Capacity Program.
c. Claim reinspections. The Company
must cooperate with any claim
reinspection by FEMA.
3. Reports. The Company must certify
its business under the WYO Program
through monthly financial reports in
accordance with the requirements of the
Pivot Use Procedures. The Company
must follow the Financial Control Plan
and the WYO Accounting Procedures
Manual. FEMA will validate and audit,
in detail, these data and compare the
results against Company reports.
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4. Operations Plan. Within ninety (90)
days of the commencement of this
Arrangement, the Company must submit
a written Operations Plan to FEMA
describing its efforts to perform under
this Arrangement. The plan must
include the following:
a. Private Flood Insurance Separation
Plan. If applicable, a description of the
Company’s policies, procedures, and
practices separating their NFIP flood
insurance lines of business from their
non-NFIP flood insurance lines of
business, including its implementation
of Article III.E.
b. Marketing Plan. A marketing plan
describing the Company’s forecasted
growth, efforts to achieve that growth,
and ability to comply with any
marketing guidelines provided by
FEMA.
c. Distribution Plan. A description of
the Company’s NFIP flood insurance
distribution network, including
anticipated numbers of agents, efforts to
train those agents, and an average rate
of commissions paid to producers by
state.
d. Catastrophic Claims Handling Plan.
A catastrophic claims handling plan
describing how the Company will
respond and maintain service standards
in catastrophic flood events.
e. Business Continuity Plan. A
business continuity plan identifying
threats and risks facing the Company’s
NFIP-related operations and how the
Company will maintain operations in
the event of a disaster affecting its
operational capabilities.
f. Privacy Protection Plan. A privacy
protection plan that describes the
Company’s standards for using and
maintaining personally identifiable
information.
g. Technology Plan. A technology
plan describing any planned technology
updates or refreshes in support of the
NFIP and the Company’s security
update schedule.
B. Time Standards. WYO companies
must meet the time standard provided
below. Time will be measured from the
date of receipt through the date sent out.
In addition to the standards set forth
below, all functions performed by the
Company must be in accordance with
the highest reasonably attainable quality
standards generally utilized in the
insurance and data processing field.
Continual failure to meet these
requirements may result in limitations
on the company’s authority to write new
business or the removal of the Company
from the WYO Program. Applicable
time standards are:
1. Application Processing—fifteen
(15) business days (Note: if the policy
cannot be sent out due to insufficient or
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erroneous information or insufficient
funds, the Company must send a request
for correction or added moneys within
ten business (10) days).
2. Renewal processing—seven (7)
business days.
3. Endorsement processing—fifteen
(15) business days.
4. Cancellation processing—fifteen
(15) business days.
5. File examination—seven (7)
business days.
6. Claims draft processing—seven (7)
business days from completion of file
examination.
7. Claims adjustment—forty-five (45)
business days average from the receipt
of Notice of Loss (or equivalent) through
completion of examination.
8. Upload transactions to PIVOT—one
(1) business day.
C. Policy Issuance.
1. The flood insurance subject to this
Arrangement must be only that
insurance written by the Company in its
own name pursuant to the Act.
2. The Company must issue policies
under the regulations prescribed by
FEMA, in accordance with the Act, on
a form approved by FEMA.
3. The Company must issue all
policies in consideration of such
premiums and upon such terms and
conditions and in such states or areas or
subdivisions thereof as may be
designated by FEMA and only where
the Company is licensed by State law to
engage in the property insurance
business.
D. Lapse of Authority or
Appropriation. FEMA may require the
Company to discontinue issuing
policies subject to this Arrangement
immediately in the event Congressional
authorization or appropriation for the
NFIP is withdrawn.
E. Separation of Finances and Other
Lines of Flood Insurance.
1. The Company must separate
Federal flood insurance funds from all
other Company accounts, at a bank or
banks of its choosing for the collection,
retention and disbursement of Federal
funds relating to its obligation under
this Arrangement, less the Company’s
expenses as set forth in Article IV, and
the operation of the Letter of Credit
established pursuant to Article V. The
Company must remit all funds not
required to meet current expenditures to
the United States Treasury, in
accordance with the provisions of the
WYO Accounting Procedures Manual.
2. Other Flood Insurance. If the
Company also offers flood insurance
outside of the NFIP in any geographic
area in which Program authorizes the
purchase of flood insurance, the
Company must:
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a. Ensure that all public
communications (whether written,
recorded, electronic, or other) regarding
non-NFIP flood insurance lines would
not lead a reasonable person to believe
that the NFIP, FEMA, or the Federal
Government in any way endorses,
sponsors, oversees, regulates, or
otherwise has any connection with the
non-NFIP flood insurance line. The
Company may assure compliance with
this requirement by prominently
including in such communications the
following statement: ‘‘This insurance
product is not affiliated with the
National Flood Insurance Program.’’
b. Ensure that data related to this
Arrangement are not used to further or
support the Company’s non-NFIP flood
insurance lines.
F. Claims. The Company must
investigate, adjust, settle, and defend all
claims or losses arising from policies
issued under this Arrangement.
Payment of flood insurance claims by
the Company bind FEMA, subject to
appeal.
G. Compliance with Agency
Standards and Guidelines.
1. The Company must comply with
the Act, regulations, written standards,
procedures, and guidance issued by
FEMA relating to the NFIP and
applicable to the Company, including,
but not limited to the following:
a. Financial Control Plan.
b. Pivot Use Procedures.
c. Flood Insurance Manual.
d. Claims Manual.
e. National Flood Insurance Program
Litigation Manual.
f. WYO Accounting Procedures
Manual.
g. WYO Bulletins.
2. The Company must market flood
insurance policies in a manner
consistent with marketing guidelines
established by FEMA.
3. FEMA may require the Company to
collect customer service information to
monitor and improve their program
delivery.
4. The Company must notify its agents
of the requirement to comply with State
regulations regarding flood insurance
agent education, notify agents of flood
insurance training opportunities, and
assist FEMA in periodic assessment of
agent training needs.
H. Compliance with Appeals Process.
1. FEMA will notify the Company
when a policyholder files an appeal.
After notification, the Company must
provide FEMA the following
information:
a. All records created or maintained
pursuant to this Arrangement requested
by FEMA; and
b. A comprehensive claim file
synopsis that includes a summary of the
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appeal issues, the Company’s position
on each issue, and any additional
relevant information. If, in the process
of writing the synopsis, the Company
determines that it can address the issue
raised by the policyholder on appeal
without further direction, it must notify
FEMA. The Company will then work
directly with the policyholder to
achieve resolution and update FEMA
upon completion. The Company may
have a claims examiner review the file
who is independent from the original
decision and who possesses the
authority to overturn the original
decision if the facts support it.
2. The Company must cooperate with
FEMA throughout the appeal process
until final resolution. This includes
adhering to any written appeals
guidance issued by FEMA.
3. Resolution of Appeals. FEMA will
close an appeal when:
a. FEMA upholds the denial by the
Company;
b. FEMA overturns the denial by the
Company and all necessary actions that
follow are completed;
c. The Company independently
resolves the issue raised by the
policyholder without further direction;
d. The policyholder voluntarily
withdraws the appeal; or
e. The policyholder files litigation.
4. Processing of Additional Payments
from Appeal. The Company must follow
established NFIP adjusting practices and
claim handling procedures for appeals
that result in additional payment to a
policyholder when FEMA does not
explicitly direct such payment during
the review of the appeal.
5. Time Standards.
a. Provide FEMA with requested files
pursuant to Article III.H.1.a—ten (10)
business days after request.
b. Provide FEMA with comprehensive
claim file synopsis pursuant to Article
III.H.1.b—ten (10) business days after
request.
c. Responding to inquiries from
FEMA regarding an appeal—ten (10)
business days after inquiry.
d. Inform FEMA of any litigation filed
by a policyholder with a current
appeal—within ten (10) business days of
notice.
I. Subrogation.
1. In general. Consistent with Federal
law and guidance, the Company must
use its customary business practices
when pursuing subrogation.
2. Referral to FEMA. Pursuant to 44
CFR 62.23(i)(8), in lieu of the Company
pursuing a subrogation claim, WYO
companies may refer such claims to
FEMA.
3. Notification. No more than ten (10)
calendar days after either the Company
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identifies a possible subrogation claim
or FEMA notifies the Company of a
possible subrogation claim, the
Company must notify FEMA of its
intent to pursue the claim or refer the
claim to FEMA.
4. Cooperation. Pursuant to 44 CFR
62.23(i)(11), the Company must extend
reasonable cooperation to FEMA’s
Office of the Chief Counsel on matters
related to subrogation.
J. Access to Records. The Company
must furnish to FEMA such summaries
and analysis of information including
claim file information and property
address, location, and/or site
information in its records as may be
necessary to carry out the purposes of
the Act, in such form as FEMA, in
cooperation with the Company, will
prescribe.
Article IV. Loss Costs, Expenses,
Expense Reimbursement, and Premium
Refunds
A. The Company is liable for
operating, administrative, and
production expenses, including any
State premium taxes, dividends, agents’
commissions or any other expense of
whatever nature incurred by the
Company in the performance of its
obligations under this Arrangement but
excluding other taxes or fees, such as
municipal or county premium taxes,
surcharges on flood insurance premium,
and guaranty fund assessments.
B. Payment for Selling and Servicing
Policies.
1. Operating and Administrative
Expenses. The Company may withhold,
as operating and administrative
expenses, other than agents’ or brokers’
commissions, an amount from the
Company’s written premium on the
policies covered by this Arrangement in
reimbursement of all of the Company’s
marketing, operating, and
administrative expenses, except for
allocated and unallocated loss
adjustment expenses described in
Article IV.C. This amount will equal the
sum of the average industry expenses
ratios for ‘‘Other Acq.’’, ‘‘Gen. Exp.’’ and
‘‘Taxes’’ calculated by aggregating
premiums and expense amounts for
each of five property coverages using
direct premium and expense
information to derive weighted average
expense ratios. For this purpose, FEMA
will use data for the property/casualty
industry published, as of March 15 of
the prior Arrangement year, in Part III
of the Insurance Expense Exhibit in
A.M. Best Company’s Aggregates and
Averages for the following five property
coverages: Fire, Allied Lines,
Farmowners Multiple Peril,
Homeowners Multiple Peril, and
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17343
Commercial Multiple Peril (non-liability
portion).
2. Agent Compensation. The
Company may retain fifteen (15) percent
of the Company’s written premium on
the policies covered by this
Arrangement as the commission
allowance to meet the commissions or
salaries of insurance agents, brokers, or
other entities producing qualified flood
insurance applications and other related
expenses.
3. Growth Bonus. FEMA may increase
the amount of expense allowance
retained by the Company depending on
the extent to which the Company meets
the marketing goals for the Arrangement
year contained in marketing guidelines
established pursuant to Article III.G.2.
The total growth bonuses paid to
companies pursuant to this
Arrangement may not exceed two (2)
percent of the aggregate net written
premium collected by all WYO
companies. FEMA will pay the
Company the amount of any increase
after the end of the Arrangement year.
4. Reimbursement for Services of a
National Rating Organization. The
Company, with the consent of FEMA as
to terms and costs, may use the services
of a national rating organization,
licensed under state law, to help us
undertake and carry out such studies
and investigations on a community or
individual risk basis, and to determine
equitable and accurate estimates of
flood insurance risk premium rates as
authorized under the Act, as amended.
FEMA will reimburse the Company for
the charges or fees for such services
under the provisions of the WYO
Accounting Procedures Manual.
C. FEMA will reimburse Loss
Adjustment Expenses as follows:
1. FEMA will reimburse unallocated
loss adjustment expenses to the
Company pursuant to a ‘‘ULAE
Schedule’’ coordinated with the
Company and provided by FEMA.
2. FEMA will reimburse allocated loss
adjustment expenses to the Company
pursuant to a ‘‘Fee Schedule’’
coordinated with the Company and
provided by FEMA. To ensure the
availability of qualified insurance
adjusters during catastrophic flood
events, FEMA may, in its sole
discretion, temporarily authorize the
use of an alternative Fee Schedule with
increased amounts during the term of
this Arrangement for losses incurred
during a time frame and geographic area
established by FEMA.
3. FEMA will reimburse special
allocated loss expenses to the Company
in accordance with guidelines issued by
FEMA.
D. Loss Payments.
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1. The Company must make loss
payments for flood insurance policies
from federal funds retained in the bank
account(s) established under Article
III.E.1 and, if such funds are depleted,
from Federal funds derived by drawing
against the Letter of Credit established
pursuant to Article V.
2. Loss payments include payments
because of litigation that arises under
the scope of this Arrangement, and the
Authorities set forth herein. All such
loss payments and related expenses
must meet the documentation
requirements of the Financial Control
Plan and of this Arrangement, and the
Company must comply with the
litigation documentation and
notification requirements established by
FEMA. Failure to meet these
requirements may result in FEMA’s
decision not to provide reimbursement.
3. Oversight of Litigation.
a. The Company must conduct
litigation arising out of the Company’s
participation in the NFIP in accordance
with the National Flood Insurance
Program Litigation Manual.
b. FEMA will not reimburse the
Company for any award or judgment for
damages and any costs to defend
litigation that is either:
1. Grounded in actions by the
Company that are significantly outside
the scope of this Arrangement; or
2. Involves issues of agent negligence.
E. Refunds. The Company must make
premium refunds required by FEMA to
applicants and policyholders from
Federal flood insurance funds referred
to in Article II.E.1, and, if such funds
are depleted, from funds derived by
drawing against the Letter of Credit
established pursuant to Article V. The
Company may not refund any premium
to applicants or policyholders in any
manner other than as specified by
FEMA since flood insurance premiums
are funds of the Federal Government.
Article V. Undertakings of the
Government
A. FEMA must establish Letter(s) of
Credit against which the Company may
withdraw funds daily, if needed,
pursuant to prescribed procedures
implemented by FEMA. FEMA will
increase the amounts of the
authorizations as necessary to meet the
obligations of the Company under
Article IV.C–E. The Company may only
request funds when net premium
income has been depleted. The timing
and amount of cash advances must be
as close as is administratively feasible to
the actual disbursements by the
recipient organization for allowable
Letter of Credit expenses. Request for
payment on Letters of Credit may not
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16:28 Mar 26, 2020
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ordinarily be drawn more frequently
than daily. This Letter of Credit may be
drawn by the Company for any of the
following reasons:
1. Payment of claims, as described in
Article IV.D;
2. Refunds to applicants and
policyholders for insurance premium
overpayment, or if the application for
insurance is rejected or when
cancellation or endorsement of a policy
results in a premium refund, as
described in Article IV.E; and
3. Allocated and unallocated loss
adjustment expenses, as described in
Article IV.C.
B. FEMA must provide technical
assistance to the Company as follows:
1. NFIP policy and history.
2. Clarification of underwriting,
coverage, and claims handling.
3. Other assistance as needed.
C. FEMA must provide the Company
with a copy of all formal written appeal
decisions conducted in accordance with
Section 205 of the Bunning-BereuterBlumenauer Flood Insurance Reform
Act of 2004, Public Law 108–264 and 44
CFR 62.20.
D. Prior to the end of the Arrangement
period, FEMA may provide the
Company a statistical summary of their
performance during the signed
Arrangement period. This summary will
detail the Company’s performance
individually, as well as compare the
Company’s performance to the aggregate
performance of all WYO companies and
the NFIP Direct Servicing Agent.
Article VI. Cash Management and
Accounting
A. FEMA must make available to the
Company during the entire term of this
Arrangement the Letter of Credit
provided for in Article V drawn on a
repository bank within the Federal
Reserve System. This Letter of Credit
may be drawn by the Company for
reimbursement of its expenses as set
forth in Article V. A that exceed net
written premiums collected by the
Company from the effective date of this
Arrangement or continuation period to
the date of the draw. In the event that
adequate Letter of Credit funding is not
available to meet current Company
obligations for flood policy claim
payments issued, FEMA must direct the
Company to immediately suspend the
issuance of loss payments until such
time as adequate funds are available.
The Company is not required to pay
claims from their own funds in the
event of such suspension.
B. The Company must remit all funds,
including interest, not required to meet
current expenditures to the United
States Treasury, in accordance with the
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provisions of the WYO Accounting
Procedures Manual or procedures
approved in writing by FEMA.
C. In the event the Company elects
not to participate in the Program in this
or any subsequent fiscal year, or is
otherwise unable or not permitted to
participate, the Company and FEMA
must make a provisional settlement of
all amounts due or owing within three
(3) months of the expiration or
termination of this Arrangement. This
settlement must include net premiums
collected, funds drawn on the Letter of
Credit, and reserves for outstanding
claims. The Company and FEMA agree
to make a final settlement, subject to
audit, of accounts for all obligations
arising from this Arrangement within
eighteen (18) months of its expiration or
termination, except for contingent
liabilities that must be listed by the
Company. At the time of final
settlement, the balance, if any, due
FEMA or the Company must be remitted
by the other immediately and the
operating year under this Arrangement
must be closed.
D. Upon FEMA’s request, the
Company must provide FEMA with a
true and correct copy of the Company’s
Fire and Casualty Annual Statement,
and Insurance Expense Exhibit or
amendments thereof as filed with the
State Insurance Authority of the
Company’s domiciliary State.
Article VII. Arbitration
If any misunderstanding or dispute
arises between the Company and FEMA
with reference to any factual issue
under any provisions of this
Arrangement or with respect to FEMA’s
nonrenewal of the Company’s
participation, other than as to legal
liability under or interpretation of the
Standard Flood Insurance Policy, such
misunderstanding or dispute may be
submitted to arbitration for a
determination that will be binding upon
approval by FEMA. The Company and
FEMA may agree on and appoint an
arbitrator who will investigate the
subject of the misunderstanding or
dispute and make a determination. If the
Company and FEMA cannot agree on
the appointment of an arbitrator, then
two arbitrators will be appointed, one to
be chosen by the Company and one by
FEMA.
The two arbitrators so chosen, if they
are unable to reach an agreement, must
select a third arbitrator who must act as
umpire, and such umpire’s
determination will become final only
upon approval by FEMA. The Company
and FEMA shall bear in equal shares all
expenses of the arbitration. Findings,
proposed awards, and determinations
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resulting from arbitration proceedings
carried out under this section, upon
objection by FEMA or the Company,
shall be inadmissible as evidence in any
subsequent proceedings in any court of
competent jurisdiction.
This Article shall indefinitely succeed
the term of this Arrangement.
Article VIII. Errors and Omissions
A. In the event of negligence by the
Company that has not resulted in
litigation but has resulted in a claim
against the Company, FEMA will not
consider reimbursement of the
Company for costs incurred due to that
negligence unless the Company takes all
reasonable actions to rectify the
negligence and to mitigate any such
costs as soon as possible after discovery
of the negligence. The Company may
choose not to seek reimbursement from
FEMA.
B. If the Company has made a claim
payment to an insured without
including a mortgagee (or trustee) of
which the Company had actual notice
prior to making payment, and
subsequently determines that the
mortgagee (or trustee) is also entitled to
any part of said claim payment, any
additional payment may not be paid by
the Company from any portion of the
premium and any funds derived from
any Federal letter of credit deposited in
the bank account described in Article
III.E.1. In addition, the Company agrees
to hold the Federal Government
harmless against any claim asserted
against the Federal Government by any
such mortgagee (or trustee), as described
in the preceding sentence, by reason of
any claim payment made to any insured
under the circumstances described
above.
khammond on DSKJM1Z7X2PROD with NOTICES
Article IX. Officials Not To Benefit
No Member or Delegate to Congress,
or Resident Commissioner, may be
admitted to any share or part of this
Arrangement, or to any benefit that may
arise therefrom; but this provision may
not be construed to extend to this
Arrangement if made with a corporation
for its general benefit.
Article X. Offset
At the settlement of accounts, the
Company and FEMA have, and may
exercise, the right to offset any balance
or balances, whether on account of
premiums, commissions, losses, loss
adjustment expenses, salvage, or
otherwise due one party to the other, its
successors or assigns, hereunder or
under any other Arrangements
heretofore or hereafter entered into
between the Company and FEMA. This
right of offset shall not be affected or
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diminished because of insolvency of the
Company.
All debts or credits of the same class,
whether liquidated or unliquidated, in
favor of or against either party to this
Arrangement on the date of entry, or any
order of conservation, receivership, or
liquidation, shall be deemed to be
mutual debts and credits and shall be
offset with the balance only to be
allowed or paid. No offset shall be
allowed where a conservator, receiver,
or liquidator has been appointed and
where an obligation was purchased by
or transferred to a party hereunder to be
used as an offset.
Although a claim on the part of either
party against the other may be
unliquidated or undetermined in
amount on the date of the entry of the
order, such claim will be regarded as
being in existence as of the date of such
order and any credits or claims of the
same class then in existence and held by
the other party may be offset against it.
Article XI. Equal Opportunity
The Company shall not discriminate
against any applicant for insurance
because of race, color, religion, sex, age,
handicap, marital status, or national
origin.
Article XII. Access to Books and
Records
A. FEMA, the Department of
Homeland Security, and the
Comptroller General of the United
States, or their duly authorized
representatives, for the purpose of
investigation, audit, and examination
shall have access to any books,
documents, papers and records of the
Company that are pertinent to this
Arrangement. The Company shall keep
records that fully disclose all matters
pertinent to this Arrangement, including
premiums and claims paid or payable
under policies issued pursuant to this
Arrangement. Records of accounts and
records relating to financial assistance
shall be retained and available for three
(3) years after final settlement of
accounts, and to financial assistance,
three (3) years after final adjustment of
such claims. FEMA shall have access to
policyholder and claim records at all
times for purposes of the review,
defense, examination, adjustment, or
investigation of any claim under a flood
insurance policy subject to this
Arrangement.
FEMA, to the extent permitted by law
and regulation, will safeguard and treat
information submitted or made
available by the Company pursuant to
this Arrangement as confidential where
the information has been marked
‘‘confidential’’ by the Company and the
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17345
Company customarily keeps such
information private or closely-held. To
the extent permitted by law and
regulation, FEMA will not release such
information to the public pursuant to a
Freedom of Information Act (FOIA)
request, 5 U.S.C. 552, without prior
notification to the Company. FEMA may
transfer documents provided by the
Company to any department or agency
within the Executive Branch or to either
house of Congress if the information
relates to matters within the
organization’s jurisdiction. FEMA may
also release the information submitted
pursuant to a judicial order from a court
of competent jurisdiction.
Article XIII. Compliance With Act and
Regulations
This Arrangement and all policies of
insurance issued pursuant thereto are
subject to Federal law and regulations.
Article XIV. Relationship Between the
Parties and the Insured
Inasmuch as the Federal Government
is a guarantor hereunder, the primary
relationship between the Company and
the Federal Government is one of a
fiduciary nature, that is, to assure that
any taxpayer funds are accounted for
and appropriately expended. The
Company is a fiscal agent of the Federal
Government, but is not a general agent
of the Federal Government. The
Company is solely responsible for its
obligations to its insured under any
policy issued pursuant hereto, such that
the Federal Government is not a proper
party to any lawsuit arising out of such
policies.
Authority: 42 U.S.C. 4071, 4081; 44 CFR
62.23.
David I. Maurstad,
Deputy Associate Administrator for Insurance
and Mitigation, Federal Emergency
Management Agency.
[FR Doc. 2020–06394 Filed 3–26–20; 8:45 am]
BILLING CODE 9111–52–P
DEPARTMENT OF HOMELAND
SECURITY
Federal Emergency Management
Agency
[Docket ID FEMA–2020–0002]
Final Flood Hazard Determinations
Federal Emergency
Management Agency, DHS.
ACTION: Notice.
AGENCY:
Flood hazard determinations,
which may include additions or
modifications of Base Flood Elevations
(BFEs), base flood depths, Special Flood
SUMMARY:
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[Federal Register Volume 85, Number 60 (Friday, March 27, 2020)]
[Notices]
[Pages 17339-17345]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-06394]
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DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
[Docket ID FEMA-2020-0003]
National Flood Insurance Program (NFIP); Assistance to Private
Sector Property Insurers, Notice of FY 2021 Arrangement
AGENCY: Federal Emergency Management Agency, DHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Federal Emergency Management Agency announces the Fiscal
Year 2021 Financial Assistance/Subsidy Arrangement for private property
insurers interested in participating in the National Flood Insurance
Program's Write Your Own Program.
DATES: Interested insurers must submit intent to subscribe or re-
subscribe to the Arrangement by June 25, 2020.
FOR FURTHER INFORMATION CONTACT: Sarah Devaney-Ice, Branch Chief,
Federal Insurance and Mitigation Administration, FEMA, 400 C St. SW,
Washington, DC 20472 (mail); (202) 320-5577 (phone); or [email protected] (email).
SUPPLEMENTARY INFORMATION:
I. Background
The National Flood Insurance Act of 1968 (NFIA), as amended (42
U.S.C. 4001 et seq.), authorizes the Administrator of the Federal
Emergency Management Agency (FEMA) to establish and carry out a
National Flood Insurance Program (NFIP) to enable interested persons to
purchase insurance against loss resulting from physical damage to or
loss of real or personal property arising from flood in the United
States. See 42 U.S.C. 4011(a). Under the NFIA, FEMA has the authority
to undertake arrangements to carry out the NFIP through the facilities
of the Federal Government, utilizing, for the purposes of providing
flood insurance coverage, insurance companies and other insurers,
insurance agents and brokers, and insurance adjustment organizations as
fiscal agents of the United States. See 42 U.S.C. 4071. To this end,
FEMA may ``enter into any contracts, agreements, or other appropriate
arrangements'' with private insurance companies to utilize their
facilities and services in administering the NFIP on such terms and
conditions as may be agreed upon. See 42 U.S.C. 4081(a).
Pursuant to this authority, FEMA enters into a standard Financial
Assistance/Subsidy Arrangement (Arrangement) with private sector
property insurers, also known as Write Your Own (WYO) companies, to
sell NFIP flood insurance policies under their own names and adjust and
pay claims arising under the Standard Flood Insurance Policy (SFIP).
Each Arrangement entered into by a WYO company must be in the form and
substance of the standard Arrangement, a copy of which is published in
the Federal Register annually, at least 6 months prior to becoming
effective. See 44 CFR 62.23(a).
II. Notice of Availability
Insurers interested in participating in the WYO Program for Fiscal
Year 2021 must contact Sarah Devaney-Ice at [email protected] by June 25, 2020.
Prior participation in the WYO Program does not guarantee that FEMA
will approve continued participation. FEMA will evaluate requests to
participate in light of publicly available information, industry
performance data, and other criteria listed in 44 CFR 62.24 and the FY
2021 Arrangement, copied below. FEMA encourages private insurance
companies to supplement this information with customer satisfaction
surveys, industry awards or recognition, or other objective performance
data. In addition, private insurance companies should work with their
vendors and subcontractors involved in servicing and delivering their
insurance lines to ensure FEMA receives the information necessary to
effectively evaluate the criteria set forth in its regulations.
FEMA will send a copy of the offer for the FY 2021 Arrangement,
together with related materials and submission instructions, to all
private insurance companies successfully evaluated by the NFIP. If
FEMA, after conducting its evaluation, chooses not to renew a Company's
participation, FEMA, at its option, may require the continued
performance of all or selected elements of the FY 2020 Arrangement for
a period required for orderly transfer or cessation of the business and
settlement of accounts, not to exceed 18 months. See FY 2020
Arrangement, Article V.C. All evaluations, whether successful or
unsuccessful, will inform both an overall assessment of the WYO Program
and any potential changes FEMA may consider regarding the Arrangement
in future fiscal years.
Any private insurance company with questions may contact FEMA at:
Sarah Devaney-Ice, Federal Insurance and Mitigation Administration,
FEMA, 400 C St. SW, Washington, DC 20472 (mail); (202) 320-5577
(phone); or [email protected] (email).
III. Fiscal Year 2021 Arrangement
Pursuant to 44 CFR 62.23(a), FEMA must publish the Arrangement at
least six months prior to the Arrangement becoming effective. The FY
2021 Arrangement provided below is substantially similar to the
previous year's Arrangement, but includes the following substantive
changes:
1. Moved Article V (Commencement and Termination) to Article II to
improve organizational clarity, and renumbered following articles.
2. In Article II.C, WYO companies will be required to notify FEMA
of their
[[Page 17340]]
intent to not re-subscribe to the Arrangement within 30 calendar days
of their decision. In the FY2020 Arrangement, such notification must be
made ``promptly''.
3. Added Article II.G, which allows FEMA to extend the FY2021
Arrangement through December 31, 2022, but not to exceed 6 months
following the publication of the FY2022 Arrangement.
4. Added new requirement in Article III.A.2 (Claims Processing)
requiring that all independent adjusters used by WYO companies must
either have a valid Flood Control Number or participate in the Flood
Adjuster Capacity Program, and that WYO companies must cooperate with
reinspections.
5. Updated Article III.A.3 to reflect terminology and procedural
changes associated with the transition of the NFIP system of record to
Pivot.
6. In Article III.A.4, added requirement to include Private Flood
Insurance Separation Plan, Privacy Protection Plan, and Technology Plan
in the Operations Plan submitted by WYO companies.
7. Added Article III.I (Subrogation) to confirm a WYO company's
obligation to pursue subrogation claims or to refer such claims to
FEMA.
8. Amended Article IV.D.3 (Oversight of Litigation), previously
titled ``Limitation on Litigation Costs,'' to reflect updated
litigation oversight procedures provided in the National Flood
Insurance Program Litigation Manual.
9. Removed previous Article VI (Information and Annual Statements)
and moved paragraph (A) to Article III.J and paragraph (B) to Article
VI.D.
10. Added paragraph to Article XII (Access to Books and Records),
providing that FEMA will protect confidential or proprietary
information submitted by WYO companies from disclosure to the extent
allowed by law.
The Fiscal Year 2021 Arrangement reads as follows:
Financial Assistance/Subsidy Arrangement
Article I. Findings, Purposes, and Authority
Whereas, the Congress in its ``Finding and Declaration of Purpose''
in the National Flood Insurance Act of 1968, Public Law 90-448, Title
XIII, as amended, (``the Act'' or ``Act'') recognized the benefit of
having the National Flood Insurance Program (the ``Program'' or
``NFIP'') ``carried out to the maximum extent practicable by the
private insurance industry'' (Section 1302 of the Act [42 U.S.C.
4001]); and
Whereas, the Federal Emergency Management Agency (``FEMA''), which
operates the Program through its Federal Insurance and Mitigation
Administration (``FIMA''), recognizes this Arrangement as coming under
the provisions of Sections 1340 and 1345 of the Act (42 U.S.C. 4071 and
4081, respectively); and
Whereas, the goal of FEMA is to develop a program with the
insurance industry where the risk-bearing role for the industry will
evolve as intended by the Congress (Section 1304 of the Act [42 U.S.C.
4011]); and
Whereas, Section 205 of the Bunning-Bereuter-Blumenauer Flood
Insurance Reform Act of 2004, Public Law 108-264, as implemented by 44
CFR 62.20, permits Program policyholders to appeal the denial of a
claim, completely or in part, to FEMA; and
Whereas, the NFIP is a program administered by FEMA, all
participants of this Arrangement, and other entities operating on their
behalf, shall align themselves toward the common purpose of helping
survivors and their communities recover from floods by effectively
delivering customer-focused flood insurance products and information;
and
Whereas, the insurer (hereinafter the ``Company'') under this
Arrangement must charge rates established by FEMA; and
Whereas, FEMA has promulgated regulations and guidance implementing
the Act and the Write Your Own (WYO) Program whereby participating
private insurance companies act in a fiduciary capacity utilizing
Federal funds to sell and administer the Standard Flood Insurance
Policies, and has extensively regulated the participating companies'
activities when selling or administering the Standard Flood Insurance
Policies; and
Whereas, any litigation resulting from, related to, or arising from
the Company's compliance with the written standards, procedures, and
guidance issued by FEMA arises under the Act or regulations, and legal
issues thereunder raise a Federal question; and
Whereas, through this Arrangement, the United States Treasury will
back all flood policy claim payments by the Company; and
Whereas, FEMA developed this Arrangement to enable any interested
qualified insurer to write flood insurance under its own name; and
Whereas, insured survivors recover faster and more fully than
uninsured survivors, and FEMA is committed to developing a culture of
preparedness and closing the insurance gap across the nation; and
Whereas, one of the primary objectives of the Program is to provide
coverage to the maximum number of buildings at risk and because the
insurance industry has marketing access through its existing facilities
not directly available to FEMA, FEMA concludes that coverage will be
extended to those who would not otherwise be insured under the Program;
and
Whereas, flood insurance policies issued subject to this
Arrangement must be only that insurance written by the Company in its
own name under prescribed policy conditions and pursuant to this
Arrangement, the Act, and any guidance issued by FEMA; and
Whereas, over time, the Program is designed to increase industry
participation and, accordingly, reduce or eliminate Government as the
principal vehicle for delivering flood insurance to the public; and
Whereas, the sole parties under this Arrangement are the Company
and FEMA.
Now, therefore, the parties hereto mutually undertake the
following:
Article II. Commencement and Termination
A. The effective period of this Arrangement begins on October 1,
2020 and terminates no earlier than September 30, 2021, subject to
extension pursuant to Articles II.C and II.G. FEMA may provide
financial assistance only for policy applications and endorsements
accepted by the Company during this period pursuant to the Program's
effective date, underwriting, and eligibility rules.
B. Pursuant to 44 CFR 62.23(a), FEMA will publish the Arrangement
and the terms for subscription or re-subscription for Fiscal Year 2022
in the Federal Register no later than April 1, 2021. Upon such
publication, the Company must notify FEMA of its intent to re-subscribe
or not re-subscribe to the WYO Program for the following term within
ninety (90) calendar days.
C. In addition to the requirements of Article II.B, in order to
assure uninterrupted service to policyholders, the Company must notify
FEMA within thirty (30) days of when the Company elects not to re-
subscribe to the WYO Program during the term of this Arrangement. If so
notified, or if FEMA chooses not to renew the Company's participation,
FEMA, at its option, may require the continued performance of all or
selected elements of this Arrangement for the period required for
orderly transfer or cessation of business and settlement of accounts,
not to exceed eighteen (18) months after the
[[Page 17341]]
end of this Arrangement (September 30, 2021), and may either require
transfer of activities to FEMA under Article II.C.1 or allow transfer
of activities to another WYO company under Article II.C.2:
1. FEMA may require the Company to transfer all activities under
this Arrangement to FEMA. Within thirty (30) calendar days of FEMA's
election of this option, the Company must deliver to FEMA the
following:
a. A plan for the orderly transfer to FEMA of any continuing
responsibilities in administering the policies issued by the Company
under the Program including provisions for coordination assistance.
b. All data received, produced, and maintained through the life of
the Company's participation in the Program, including certain data, as
determined by FEMA, in a standard format and medium.
c. All claims and policy files, including those pertaining to
receipts and disbursements that have occurred during the life of each
policy. In the event of a transfer of the services provided, the
Company must provide FEMA with a report showing, on a policy basis, any
amounts due from or payable to insureds, agents, brokers, and others as
of the transition date.
d. All funds in its possession with respect to any policies
transferred to FEMA for administration and the unearned expenses
retained by the Company.
e. A point of contact within the Company responsible for addressing
issues that may arise from the Company's previous participation under
the WYO Program.
2. FEMA may allow the Company to transfer all activities under this
Arrangement to one or more other WYO companies. Prior to commencing
such transfer, the Company must submit, and FEMA must approve, a formal
request. Such request must include the following:
a. An assurance of uninterrupted service to policyholders.
b. A detailed transfer plan providing for either: (1) The renewal
of the Company's NFIP policies by one or more other WYO companies; or
(2) the transfer of the Company's NFIP policies to one or more other
WYO companies.
c. A description of who the responsible party will be for
liabilities relating to losses incurred by the Company in this or
preceding Arrangement years.
d. A point of contact within the Company responsible for addressing
issues that may arise from the Company's previous participation under
the WYO Program.
D. Cancellation by FEMA.
1. FEMA may cancel financial assistance under this Arrangement in
its entirety upon thirty (30) days written notice to the Company by
certified mail stating one or more of the following reasons for such
cancellation:
a. Fraud or misrepresentation by the Company subsequent to the
inception of the Arrangement; or
b. Nonpayment to FEMA of any amount due; or
c. Material failure to comply with the requirements of this
Arrangement or with the written standards, procedures, or guidance
issued by FEMA relating to the NFIP and applicable to the Company.
2. If FEMA cancels this Arrangement pursuant to Article II.D.1,
FEMA may require the transfer of administrative responsibilities and
the transfer of data and records as provided in Article II.C.1.a-d. If
transfer is required, the Company must remit to FEMA the unearned
expenses retained by the Company. In such event, FEMA will assume all
obligations and liabilities owed to policyholders under such policies,
arising before and after the date of transfer.
3. As an alternative to the transfer of the policies to FEMA
pursuant to Article II.D.2, FEMA will consider a proposal, if it is
made by the Company, for the assumption of responsibilities by another
WYO company as provided in Article II.C.2.
E. In the event that the Company is unable or otherwise fails to
carry out its obligations under this Arrangement by reason of any order
or directive duly issued by the Department of Insurance of any
jurisdiction to which the Company is subject, the Company agrees to
transfer, and FEMA will accept, any and all WYO policies issued by the
Company and in force as of the date of such inability or failure to
perform. In such event FEMA will assume all obligations and liabilities
within the scope of the Arrangement owed to policyholders arising
before and after the date of transfer, and the Company will immediately
transfer to FEMA all needed records and data and all funds in its
possession with respect to all such policies transferred and the
unearned expenses retained by the Company. As an alternative to the
transfer of the policies to FEMA, FEMA will consider a proposal, if it
is made by the Company, for the assumption of responsibilities by
another WYO company as provided by Article II.C.2.
F. In the event the Act is amended, repealed, expires, or if FEMA
is otherwise without authority to continue the Program, FEMA may cancel
financial assistance under this Arrangement for any new or renewal
business, but the Arrangement will continue for policies in force that
shall be allowed to run their term under the Arrangement.
G. If FEMA does not publish the Fiscal Year 2022 Arrangement in the
Federal Register on or before April 1, 2021, then FEMA may require the
continued performance of all or selected elements of this Arrangement
through December 31, 2022, but such extension may not exceed the
expiration of the six (6) month period following publication of the
Fiscal Year 2022 Arrangement in the Federal Register.
Article III. Undertakings of the Company
A. Responsibilities of the Company.
1. Policy Issuance and Maintenance. The Company must meet all
requirements of the Financial Control Plan and any guidance issued by
FEMA. The Company is responsible for the following:
a. Compliance with the Community Eligibility/Rating Criteria.
b. Making Policyholder Eligibility Determinations.
c. Policy Issuances.
d. Policy Endorsements.
e. Policy Cancellations.
f. Policy Correspondence.
g. Payment of Agents' Commissions.
h. Fund Management, including the receipt, recording, disbursement,
and timely deposit of NFIP funds.
2. Claims Processing.
a. In general. The Company must process all claims consistent with
the Standard Flood Insurance Policy, Financial Control Plan, other
guidance adopted by FEMA, and as much as possible, with the Company's
standard business practices for its non-NFIP policies.
b. Adjuster registration. The Company may not use an independent
adjuster to adjust a claim unless the independent adjuster either:
i. Holds a valid Flood Control Number issued by FEMA; or
ii. Participates in the Flood Adjuster Capacity Program.
c. Claim reinspections. The Company must cooperate with any claim
reinspection by FEMA.
3. Reports. The Company must certify its business under the WYO
Program through monthly financial reports in accordance with the
requirements of the Pivot Use Procedures. The Company must follow the
Financial Control Plan and the WYO Accounting Procedures Manual. FEMA
will validate and audit, in detail, these data and compare the results
against Company reports.
[[Page 17342]]
4. Operations Plan. Within ninety (90) days of the commencement of
this Arrangement, the Company must submit a written Operations Plan to
FEMA describing its efforts to perform under this Arrangement. The plan
must include the following:
a. Private Flood Insurance Separation Plan. If applicable, a
description of the Company's policies, procedures, and practices
separating their NFIP flood insurance lines of business from their non-
NFIP flood insurance lines of business, including its implementation of
Article III.E.
b. Marketing Plan. A marketing plan describing the Company's
forecasted growth, efforts to achieve that growth, and ability to
comply with any marketing guidelines provided by FEMA.
c. Distribution Plan. A description of the Company's NFIP flood
insurance distribution network, including anticipated numbers of
agents, efforts to train those agents, and an average rate of
commissions paid to producers by state.
d. Catastrophic Claims Handling Plan. A catastrophic claims
handling plan describing how the Company will respond and maintain
service standards in catastrophic flood events.
e. Business Continuity Plan. A business continuity plan identifying
threats and risks facing the Company's NFIP-related operations and how
the Company will maintain operations in the event of a disaster
affecting its operational capabilities.
f. Privacy Protection Plan. A privacy protection plan that
describes the Company's standards for using and maintaining personally
identifiable information.
g. Technology Plan. A technology plan describing any planned
technology updates or refreshes in support of the NFIP and the
Company's security update schedule.
B. Time Standards. WYO companies must meet the time standard
provided below. Time will be measured from the date of receipt through
the date sent out. In addition to the standards set forth below, all
functions performed by the Company must be in accordance with the
highest reasonably attainable quality standards generally utilized in
the insurance and data processing field. Continual failure to meet
these requirements may result in limitations on the company's authority
to write new business or the removal of the Company from the WYO
Program. Applicable time standards are:
1. Application Processing--fifteen (15) business days (Note: if the
policy cannot be sent out due to insufficient or erroneous information
or insufficient funds, the Company must send a request for correction
or added moneys within ten business (10) days).
2. Renewal processing--seven (7) business days.
3. Endorsement processing--fifteen (15) business days.
4. Cancellation processing--fifteen (15) business days.
5. File examination--seven (7) business days.
6. Claims draft processing--seven (7) business days from completion
of file examination.
7. Claims adjustment--forty-five (45) business days average from
the receipt of Notice of Loss (or equivalent) through completion of
examination.
8. Upload transactions to PIVOT--one (1) business day.
C. Policy Issuance.
1. The flood insurance subject to this Arrangement must be only
that insurance written by the Company in its own name pursuant to the
Act.
2. The Company must issue policies under the regulations prescribed
by FEMA, in accordance with the Act, on a form approved by FEMA.
3. The Company must issue all policies in consideration of such
premiums and upon such terms and conditions and in such states or areas
or subdivisions thereof as may be designated by FEMA and only where the
Company is licensed by State law to engage in the property insurance
business.
D. Lapse of Authority or Appropriation. FEMA may require the
Company to discontinue issuing policies subject to this Arrangement
immediately in the event Congressional authorization or appropriation
for the NFIP is withdrawn.
E. Separation of Finances and Other Lines of Flood Insurance.
1. The Company must separate Federal flood insurance funds from all
other Company accounts, at a bank or banks of its choosing for the
collection, retention and disbursement of Federal funds relating to its
obligation under this Arrangement, less the Company's expenses as set
forth in Article IV, and the operation of the Letter of Credit
established pursuant to Article V. The Company must remit all funds not
required to meet current expenditures to the United States Treasury, in
accordance with the provisions of the WYO Accounting Procedures Manual.
2. Other Flood Insurance. If the Company also offers flood
insurance outside of the NFIP in any geographic area in which Program
authorizes the purchase of flood insurance, the Company must:
a. Ensure that all public communications (whether written,
recorded, electronic, or other) regarding non-NFIP flood insurance
lines would not lead a reasonable person to believe that the NFIP,
FEMA, or the Federal Government in any way endorses, sponsors,
oversees, regulates, or otherwise has any connection with the non-NFIP
flood insurance line. The Company may assure compliance with this
requirement by prominently including in such communications the
following statement: ``This insurance product is not affiliated with
the National Flood Insurance Program.''
b. Ensure that data related to this Arrangement are not used to
further or support the Company's non-NFIP flood insurance lines.
F. Claims. The Company must investigate, adjust, settle, and defend
all claims or losses arising from policies issued under this
Arrangement. Payment of flood insurance claims by the Company bind
FEMA, subject to appeal.
G. Compliance with Agency Standards and Guidelines.
1. The Company must comply with the Act, regulations, written
standards, procedures, and guidance issued by FEMA relating to the NFIP
and applicable to the Company, including, but not limited to the
following:
a. Financial Control Plan.
b. Pivot Use Procedures.
c. Flood Insurance Manual.
d. Claims Manual.
e. National Flood Insurance Program Litigation Manual.
f. WYO Accounting Procedures Manual.
g. WYO Bulletins.
2. The Company must market flood insurance policies in a manner
consistent with marketing guidelines established by FEMA.
3. FEMA may require the Company to collect customer service
information to monitor and improve their program delivery.
4. The Company must notify its agents of the requirement to comply
with State regulations regarding flood insurance agent education,
notify agents of flood insurance training opportunities, and assist
FEMA in periodic assessment of agent training needs.
H. Compliance with Appeals Process.
1. FEMA will notify the Company when a policyholder files an
appeal. After notification, the Company must provide FEMA the following
information:
a. All records created or maintained pursuant to this Arrangement
requested by FEMA; and
b. A comprehensive claim file synopsis that includes a summary of
the
[[Page 17343]]
appeal issues, the Company's position on each issue, and any additional
relevant information. If, in the process of writing the synopsis, the
Company determines that it can address the issue raised by the
policyholder on appeal without further direction, it must notify FEMA.
The Company will then work directly with the policyholder to achieve
resolution and update FEMA upon completion. The Company may have a
claims examiner review the file who is independent from the original
decision and who possesses the authority to overturn the original
decision if the facts support it.
2. The Company must cooperate with FEMA throughout the appeal
process until final resolution. This includes adhering to any written
appeals guidance issued by FEMA.
3. Resolution of Appeals. FEMA will close an appeal when:
a. FEMA upholds the denial by the Company;
b. FEMA overturns the denial by the Company and all necessary
actions that follow are completed;
c. The Company independently resolves the issue raised by the
policyholder without further direction;
d. The policyholder voluntarily withdraws the appeal; or
e. The policyholder files litigation.
4. Processing of Additional Payments from Appeal. The Company must
follow established NFIP adjusting practices and claim handling
procedures for appeals that result in additional payment to a
policyholder when FEMA does not explicitly direct such payment during
the review of the appeal.
5. Time Standards.
a. Provide FEMA with requested files pursuant to Article
III.H.1.a--ten (10) business days after request.
b. Provide FEMA with comprehensive claim file synopsis pursuant to
Article III.H.1.b--ten (10) business days after request.
c. Responding to inquiries from FEMA regarding an appeal--ten (10)
business days after inquiry.
d. Inform FEMA of any litigation filed by a policyholder with a
current appeal--within ten (10) business days of notice.
I. Subrogation.
1. In general. Consistent with Federal law and guidance, the
Company must use its customary business practices when pursuing
subrogation.
2. Referral to FEMA. Pursuant to 44 CFR 62.23(i)(8), in lieu of the
Company pursuing a subrogation claim, WYO companies may refer such
claims to FEMA.
3. Notification. No more than ten (10) calendar days after either
the Company identifies a possible subrogation claim or FEMA notifies
the Company of a possible subrogation claim, the Company must notify
FEMA of its intent to pursue the claim or refer the claim to FEMA.
4. Cooperation. Pursuant to 44 CFR 62.23(i)(11), the Company must
extend reasonable cooperation to FEMA's Office of the Chief Counsel on
matters related to subrogation.
J. Access to Records. The Company must furnish to FEMA such
summaries and analysis of information including claim file information
and property address, location, and/or site information in its records
as may be necessary to carry out the purposes of the Act, in such form
as FEMA, in cooperation with the Company, will prescribe.
Article IV. Loss Costs, Expenses, Expense Reimbursement, and Premium
Refunds
A. The Company is liable for operating, administrative, and
production expenses, including any State premium taxes, dividends,
agents' commissions or any other expense of whatever nature incurred by
the Company in the performance of its obligations under this
Arrangement but excluding other taxes or fees, such as municipal or
county premium taxes, surcharges on flood insurance premium, and
guaranty fund assessments.
B. Payment for Selling and Servicing Policies.
1. Operating and Administrative Expenses. The Company may withhold,
as operating and administrative expenses, other than agents' or
brokers' commissions, an amount from the Company's written premium on
the policies covered by this Arrangement in reimbursement of all of the
Company's marketing, operating, and administrative expenses, except for
allocated and unallocated loss adjustment expenses described in Article
IV.C. This amount will equal the sum of the average industry expenses
ratios for ``Other Acq.'', ``Gen. Exp.'' and ``Taxes'' calculated by
aggregating premiums and expense amounts for each of five property
coverages using direct premium and expense information to derive
weighted average expense ratios. For this purpose, FEMA will use data
for the property/casualty industry published, as of March 15 of the
prior Arrangement year, in Part III of the Insurance Expense Exhibit in
A.M. Best Company's Aggregates and Averages for the following five
property coverages: Fire, Allied Lines, Farmowners Multiple Peril,
Homeowners Multiple Peril, and Commercial Multiple Peril (non-liability
portion).
2. Agent Compensation. The Company may retain fifteen (15) percent
of the Company's written premium on the policies covered by this
Arrangement as the commission allowance to meet the commissions or
salaries of insurance agents, brokers, or other entities producing
qualified flood insurance applications and other related expenses.
3. Growth Bonus. FEMA may increase the amount of expense allowance
retained by the Company depending on the extent to which the Company
meets the marketing goals for the Arrangement year contained in
marketing guidelines established pursuant to Article III.G.2. The total
growth bonuses paid to companies pursuant to this Arrangement may not
exceed two (2) percent of the aggregate net written premium collected
by all WYO companies. FEMA will pay the Company the amount of any
increase after the end of the Arrangement year.
4. Reimbursement for Services of a National Rating Organization.
The Company, with the consent of FEMA as to terms and costs, may use
the services of a national rating organization, licensed under state
law, to help us undertake and carry out such studies and investigations
on a community or individual risk basis, and to determine equitable and
accurate estimates of flood insurance risk premium rates as authorized
under the Act, as amended. FEMA will reimburse the Company for the
charges or fees for such services under the provisions of the WYO
Accounting Procedures Manual.
C. FEMA will reimburse Loss Adjustment Expenses as follows:
1. FEMA will reimburse unallocated loss adjustment expenses to the
Company pursuant to a ``ULAE Schedule'' coordinated with the Company
and provided by FEMA.
2. FEMA will reimburse allocated loss adjustment expenses to the
Company pursuant to a ``Fee Schedule'' coordinated with the Company and
provided by FEMA. To ensure the availability of qualified insurance
adjusters during catastrophic flood events, FEMA may, in its sole
discretion, temporarily authorize the use of an alternative Fee
Schedule with increased amounts during the term of this Arrangement for
losses incurred during a time frame and geographic area established by
FEMA.
3. FEMA will reimburse special allocated loss expenses to the
Company in accordance with guidelines issued by FEMA.
D. Loss Payments.
[[Page 17344]]
1. The Company must make loss payments for flood insurance policies
from federal funds retained in the bank account(s) established under
Article III.E.1 and, if such funds are depleted, from Federal funds
derived by drawing against the Letter of Credit established pursuant to
Article V.
2. Loss payments include payments because of litigation that arises
under the scope of this Arrangement, and the Authorities set forth
herein. All such loss payments and related expenses must meet the
documentation requirements of the Financial Control Plan and of this
Arrangement, and the Company must comply with the litigation
documentation and notification requirements established by FEMA.
Failure to meet these requirements may result in FEMA's decision not to
provide reimbursement.
3. Oversight of Litigation.
a. The Company must conduct litigation arising out of the Company's
participation in the NFIP in accordance with the National Flood
Insurance Program Litigation Manual.
b. FEMA will not reimburse the Company for any award or judgment
for damages and any costs to defend litigation that is either:
1. Grounded in actions by the Company that are significantly
outside the scope of this Arrangement; or
2. Involves issues of agent negligence.
E. Refunds. The Company must make premium refunds required by FEMA
to applicants and policyholders from Federal flood insurance funds
referred to in Article II.E.1, and, if such funds are depleted, from
funds derived by drawing against the Letter of Credit established
pursuant to Article V. The Company may not refund any premium to
applicants or policyholders in any manner other than as specified by
FEMA since flood insurance premiums are funds of the Federal
Government.
Article V. Undertakings of the Government
A. FEMA must establish Letter(s) of Credit against which the
Company may withdraw funds daily, if needed, pursuant to prescribed
procedures implemented by FEMA. FEMA will increase the amounts of the
authorizations as necessary to meet the obligations of the Company
under Article IV.C-E. The Company may only request funds when net
premium income has been depleted. The timing and amount of cash
advances must be as close as is administratively feasible to the actual
disbursements by the recipient organization for allowable Letter of
Credit expenses. Request for payment on Letters of Credit may not
ordinarily be drawn more frequently than daily. This Letter of Credit
may be drawn by the Company for any of the following reasons:
1. Payment of claims, as described in Article IV.D;
2. Refunds to applicants and policyholders for insurance premium
overpayment, or if the application for insurance is rejected or when
cancellation or endorsement of a policy results in a premium refund, as
described in Article IV.E; and
3. Allocated and unallocated loss adjustment expenses, as described
in Article IV.C.
B. FEMA must provide technical assistance to the Company as
follows:
1. NFIP policy and history.
2. Clarification of underwriting, coverage, and claims handling.
3. Other assistance as needed.
C. FEMA must provide the Company with a copy of all formal written
appeal decisions conducted in accordance with Section 205 of the
Bunning-Bereuter-Blumenauer Flood Insurance Reform Act of 2004, Public
Law 108-264 and 44 CFR 62.20.
D. Prior to the end of the Arrangement period, FEMA may provide the
Company a statistical summary of their performance during the signed
Arrangement period. This summary will detail the Company's performance
individually, as well as compare the Company's performance to the
aggregate performance of all WYO companies and the NFIP Direct
Servicing Agent.
Article VI. Cash Management and Accounting
A. FEMA must make available to the Company during the entire term
of this Arrangement the Letter of Credit provided for in Article V
drawn on a repository bank within the Federal Reserve System. This
Letter of Credit may be drawn by the Company for reimbursement of its
expenses as set forth in Article V. A that exceed net written premiums
collected by the Company from the effective date of this Arrangement or
continuation period to the date of the draw. In the event that adequate
Letter of Credit funding is not available to meet current Company
obligations for flood policy claim payments issued, FEMA must direct
the Company to immediately suspend the issuance of loss payments until
such time as adequate funds are available. The Company is not required
to pay claims from their own funds in the event of such suspension.
B. The Company must remit all funds, including interest, not
required to meet current expenditures to the United States Treasury, in
accordance with the provisions of the WYO Accounting Procedures Manual
or procedures approved in writing by FEMA.
C. In the event the Company elects not to participate in the
Program in this or any subsequent fiscal year, or is otherwise unable
or not permitted to participate, the Company and FEMA must make a
provisional settlement of all amounts due or owing within three (3)
months of the expiration or termination of this Arrangement. This
settlement must include net premiums collected, funds drawn on the
Letter of Credit, and reserves for outstanding claims. The Company and
FEMA agree to make a final settlement, subject to audit, of accounts
for all obligations arising from this Arrangement within eighteen (18)
months of its expiration or termination, except for contingent
liabilities that must be listed by the Company. At the time of final
settlement, the balance, if any, due FEMA or the Company must be
remitted by the other immediately and the operating year under this
Arrangement must be closed.
D. Upon FEMA's request, the Company must provide FEMA with a true
and correct copy of the Company's Fire and Casualty Annual Statement,
and Insurance Expense Exhibit or amendments thereof as filed with the
State Insurance Authority of the Company's domiciliary State.
Article VII. Arbitration
If any misunderstanding or dispute arises between the Company and
FEMA with reference to any factual issue under any provisions of this
Arrangement or with respect to FEMA's nonrenewal of the Company's
participation, other than as to legal liability under or interpretation
of the Standard Flood Insurance Policy, such misunderstanding or
dispute may be submitted to arbitration for a determination that will
be binding upon approval by FEMA. The Company and FEMA may agree on and
appoint an arbitrator who will investigate the subject of the
misunderstanding or dispute and make a determination. If the Company
and FEMA cannot agree on the appointment of an arbitrator, then two
arbitrators will be appointed, one to be chosen by the Company and one
by FEMA.
The two arbitrators so chosen, if they are unable to reach an
agreement, must select a third arbitrator who must act as umpire, and
such umpire's determination will become final only upon approval by
FEMA. The Company and FEMA shall bear in equal shares all expenses of
the arbitration. Findings, proposed awards, and determinations
[[Page 17345]]
resulting from arbitration proceedings carried out under this section,
upon objection by FEMA or the Company, shall be inadmissible as
evidence in any subsequent proceedings in any court of competent
jurisdiction.
This Article shall indefinitely succeed the term of this
Arrangement.
Article VIII. Errors and Omissions
A. In the event of negligence by the Company that has not resulted
in litigation but has resulted in a claim against the Company, FEMA
will not consider reimbursement of the Company for costs incurred due
to that negligence unless the Company takes all reasonable actions to
rectify the negligence and to mitigate any such costs as soon as
possible after discovery of the negligence. The Company may choose not
to seek reimbursement from FEMA.
B. If the Company has made a claim payment to an insured without
including a mortgagee (or trustee) of which the Company had actual
notice prior to making payment, and subsequently determines that the
mortgagee (or trustee) is also entitled to any part of said claim
payment, any additional payment may not be paid by the Company from any
portion of the premium and any funds derived from any Federal letter of
credit deposited in the bank account described in Article III.E.1. In
addition, the Company agrees to hold the Federal Government harmless
against any claim asserted against the Federal Government by any such
mortgagee (or trustee), as described in the preceding sentence, by
reason of any claim payment made to any insured under the circumstances
described above.
Article IX. Officials Not To Benefit
No Member or Delegate to Congress, or Resident Commissioner, may be
admitted to any share or part of this Arrangement, or to any benefit
that may arise therefrom; but this provision may not be construed to
extend to this Arrangement if made with a corporation for its general
benefit.
Article X. Offset
At the settlement of accounts, the Company and FEMA have, and may
exercise, the right to offset any balance or balances, whether on
account of premiums, commissions, losses, loss adjustment expenses,
salvage, or otherwise due one party to the other, its successors or
assigns, hereunder or under any other Arrangements heretofore or
hereafter entered into between the Company and FEMA. This right of
offset shall not be affected or diminished because of insolvency of the
Company.
All debts or credits of the same class, whether liquidated or
unliquidated, in favor of or against either party to this Arrangement
on the date of entry, or any order of conservation, receivership, or
liquidation, shall be deemed to be mutual debts and credits and shall
be offset with the balance only to be allowed or paid. No offset shall
be allowed where a conservator, receiver, or liquidator has been
appointed and where an obligation was purchased by or transferred to a
party hereunder to be used as an offset.
Although a claim on the part of either party against the other may
be unliquidated or undetermined in amount on the date of the entry of
the order, such claim will be regarded as being in existence as of the
date of such order and any credits or claims of the same class then in
existence and held by the other party may be offset against it.
Article XI. Equal Opportunity
The Company shall not discriminate against any applicant for
insurance because of race, color, religion, sex, age, handicap, marital
status, or national origin.
Article XII. Access to Books and Records
A. FEMA, the Department of Homeland Security, and the Comptroller
General of the United States, or their duly authorized representatives,
for the purpose of investigation, audit, and examination shall have
access to any books, documents, papers and records of the Company that
are pertinent to this Arrangement. The Company shall keep records that
fully disclose all matters pertinent to this Arrangement, including
premiums and claims paid or payable under policies issued pursuant to
this Arrangement. Records of accounts and records relating to financial
assistance shall be retained and available for three (3) years after
final settlement of accounts, and to financial assistance, three (3)
years after final adjustment of such claims. FEMA shall have access to
policyholder and claim records at all times for purposes of the review,
defense, examination, adjustment, or investigation of any claim under a
flood insurance policy subject to this Arrangement.
FEMA, to the extent permitted by law and regulation, will safeguard
and treat information submitted or made available by the Company
pursuant to this Arrangement as confidential where the information has
been marked ``confidential'' by the Company and the Company customarily
keeps such information private or closely-held. To the extent permitted
by law and regulation, FEMA will not release such information to the
public pursuant to a Freedom of Information Act (FOIA) request, 5
U.S.C. 552, without prior notification to the Company. FEMA may
transfer documents provided by the Company to any department or agency
within the Executive Branch or to either house of Congress if the
information relates to matters within the organization's jurisdiction.
FEMA may also release the information submitted pursuant to a judicial
order from a court of competent jurisdiction.
Article XIII. Compliance With Act and Regulations
This Arrangement and all policies of insurance issued pursuant
thereto are subject to Federal law and regulations.
Article XIV. Relationship Between the Parties and the Insured
Inasmuch as the Federal Government is a guarantor hereunder, the
primary relationship between the Company and the Federal Government is
one of a fiduciary nature, that is, to assure that any taxpayer funds
are accounted for and appropriately expended. The Company is a fiscal
agent of the Federal Government, but is not a general agent of the
Federal Government. The Company is solely responsible for its
obligations to its insured under any policy issued pursuant hereto,
such that the Federal Government is not a proper party to any lawsuit
arising out of such policies.
Authority: 42 U.S.C. 4071, 4081; 44 CFR 62.23.
David I. Maurstad,
Deputy Associate Administrator for Insurance and Mitigation, Federal
Emergency Management Agency.
[FR Doc. 2020-06394 Filed 3-26-20; 8:45 am]
BILLING CODE 9111-52-P