Code of Maine Rules
02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
031 - BUREAU OF INSURANCE
Chapter 180 - INSURANCE HOLDING COMPANY SYSTEM MODEL RULE WITH REPORTING FORMS AND INSTRUCTIONS
Section 031-180-18 - Transactions Subject to Prior Notice - Notice Filing (Form D)
Universal Citation: 02 ME Code Rules ยง 031-180-18
Current through 2024-38, September 18, 2024
A. An insurer required to give notice of a proposed transaction pursuant to Subsection 9 of the Act shall furnish the required information on Form D, hereby made a part of this rule.
B. Agreements for cost-sharing services and management services shall at a minimum, as applicable:
(1) Identify the person providing services
and the nature of such services;
(2) Set forth the methods to allocate
costs;
(3) Require timely
settlement, not less frequently than quarterly, and compliance with the
requirements in the NAIC Accounting Practices and Procedures
Manual;
(4) Prohibit
advancement of funds by the insurer to the affiliate except to pay for services
defined in the agreement;
(5) State
that the insurer shall maintain oversight for functions provided to the insurer
by the affiliate and that the insurer shall monitor services at least annually
for quality assurance;
(6) Define
records and data of the insurer to include all records and data developed or
maintained under or related to the agreement for the benefit of the insurer, in
whatever form maintained, including, but not limited to, claims and claim
files, policyholder lists, application files, litigation files, premium
records, rate books, underwriting manuals, personnel records, financial
records, or similar records within the possession, custody, or control of the
affiliate;
(7) Specify that all
records and data of the insurer are and remain the property of the insurer and:
(a) Are subject to control of the
insurer;
(b) Must be identifiable;
and
(c) Must be segregated from all
other persons' records and data or be readily capable of segregation at no
additional cost to the insurer;
(8) State that all funds and invested assets
of the insurer are the exclusive property of the insurer, held for the benefit
of the insurer, and are subject to the control of the insurer;
(9) Include standards for termination of the
agreement with and without cause;
(10) Include provisions for indemnification
of the insurer in the event of gross negligence or willful misconduct on the
part of the affiliate providing the services or any actions by the affiliate
that violate provisions of the agreement required by Paragraphs (11) through
(15) of this subsection;
(11)
Specify that, if the insurer is placed in supervision, seizure,
conservatorship, or receivership pursuant to Chapter 57 of the
Insurance Code:
(a) All of
the rights of the insurer under the agreement extend to the receiver or
Superintendent;
(b) All records and
data of the insurer shall be identifiable and segregated from all other
persons' records and data or readily capable of segregation at no additional
cost to the receiver or the Superintendent;
(c) A complete set of records and data of the
insurer shall immediately be made available to the receiver or the
Superintendent, shall be made available in a usable format, shall be turned
over to the receiver or Superintendent immediately upon the receiver's or the
Superintendent's request, and the cost to transfer data to the receiver or the
Superintendent shall be fair and reasonable; and
(d) The affiliate will make available all
employees essential to the operations of the insurer and the services
associated therewith for the immediate continued performance of the essential
services ordered or directed by the receiver or the Superintendent;
(12) Specify that the affiliate
has no automatic right to terminate the agreement if the insurer is placed into
supervision, seizure, conservatorship, or receivership pursuant to Chapter 57
of the Insurance Code;
(13) Specify a minimum period of time after
termination of the agreement, during which the affiliate will continue to
provide the essential services if the insurer is placed into supervision,
seizure, conservatorship or receivership pursuant to Chapter 57 of the
Insurance Code, as ordered or directed by the receiver or the
Superintendent. Performance of the essential services must continue to be
provided without regard to pre-receivership unpaid fees, so long as the
affiliate continues to receive timely payment for post-receivership services
rendered, and unless released by the receiver, Superintendent, or supervising
court;
(14) Specify that the
affiliate shall continue to maintain any systems, programs, or other
infrastructure, notwithstanding supervision, seizure, conservatorship, or
receivership pursuant to Chapter 57 of the Insurance Code, and
shall make them available to the receiver or Superintendent as ordered or
directed by the receiver or Superintendent, for so long as the affiliate
continues to receive timely payment for post-receivership services rendered,
and unless released by the receiver, Superintendent, or supervising court;
and
(15) Specify that if the
insurer is placed into supervision, seizure, conservatorship or receivership
pursuant to Chapter 57 of the Insurance Code, and portions of
the insurer's policies or contracts are eligible for coverage by one or more
guaranty associations, the affiliate's commitments under Paragraphs (11)
through (14) shall extend to those guaranty associations, in furtherance of the
cooperation between the receiver and the affected guaranty associations and
subject to the receiver's authority over the insurer.
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