Code of Maine Rules
02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
031 - BUREAU OF INSURANCE
Chapter 235 - ANNUAL AUDITED FINANCIAL REPORTS
Section 031-235-6 - Qualifications of Independent Certified Public Accountant

Current through 2024-38, September 18, 2024

A. Except as otherwise provided in this Rule, the Superintendent shall recognize an independent certified public accountant as qualified as long as he or she conforms to the standards of his or her profession, as contained in the Code of Professional Ethics of the American Institute of Certified Public Accountants and the rules of the Maine Board of Accountancy, or similar code; and as long as the accountant is in good standing with the American Institute of Certified Public Accountants and in all states in which the accountant is licensed to practice, and if applicable with the Public Company Accounting Oversight Board, or, for a Canadian or British company, is a chartered accountant in good standing.

B. The Superintendent shall not recognize a person or firm as a qualified independent certified public accountant if the person or firm:

(1) Is out of compliance with the requirements of Subsection A of this Section; or

(2) Has either directly or indirectly entered into any agreement of indemnity or release from liability with respect to the audit of the insurer, including any arrangement where the intent or effect is to shift or limit in any manner the potential liability of the person or firm for failure to adhere to applicable auditing or professional standards. Indemnification agreements are not permitted even if the liabilities to be indemnified result in part from knowing or other misrepresentations made by the insurer or its representatives. This Paragraph does not prohibit the purchase of appropriate professional liability insurance from a carrier unaffiliated with the insurer, nor does it prohibit the accountant from pursuing an action for contribution or other legal recourse against the insurer.

C. An insurer may enter into an agreement with a qualified independent certified public accountant to have disputes relating to an audit resolved by mediation or arbitration. However, in the event of a delinquency proceeding commenced against the insurer under 24-A M.R.S.A. Chapter 57, the mediation or arbitration provisions shall operate at the option of the statutory successor.

D. No accounting firm partner or other individual serving as the lead partner or audit manager with primary responsibility for rendering a report may act in that capacity for the same insurer or one or more of its insurance subsidiaries or affiliates for more than five consecutive years. Following a period of service, the individual shall be disqualified from acting in that or a similar capacity for the same company or its insurance subsidiaries or affiliates for a period of five years.

(1) An insurer may make application to the Superintendent, at least thirty (30) days before the end of the calendar year, for relief from the requirements of this Subsection on the basis of unusual circumstances. The Superintendent may consider the following factors in determining whether the relief should be granted:
(a) The number of partners in the firm, the expertise of the partners, and the number of insurance clients of the firm;

(b) The premium volume of the insurer; and

(c) The number of jurisdictions in which the insurer transacts business.

(2) An insurer granted relief under Paragraph (1) shall file a copy of the Superintendent's approval with the NAIC, in an electronic format acceptable to the NAIC, and shall make such additional filings as may be required by any state in which the insurer is licensed.

E. The Superintendent shall not recognize an individual as a qualified independent certified public accountant, nor accept an annual audited financial report prepared in whole or in part by an individual, if he or she:

(1) Has been convicted of fraud, bribery, a violation of the Racketeer Influenced and Corrupt Organizations Act, 18 U.S.C. §§ 1961 to 1968, or any dishonest conduct or practices under federal or state law;

(2) Has been found to have violated the insurance laws of this state with respect to any previous reports submitted under this Rule; or

(3) Has demonstrated a pattern or practice of failing to detect or disclose material information in previous reports filed under the provisions of this Rule.

F. The Superintendent shall not recognize an individual or firm as a qualified independent certified public accountant, nor accept an annual audited financial report prepared in whole or in part by an individual or firm, if the individual or firm provides to the insurer, contemporaneously with the audit, any services that would impair the accountant's independence from the insurer by causing the accountant to function in the role of management, to have the authority to audit the accountant's own work, or to serve in an advocacy role for the insurer.

(1) The following non-audit services violate this Subsection, unless authorized by the Superintendent pursuant to Paragraph 2:
(a) Bookkeeping or other services related to the accounting records or financial statements of the insurer;

(b) Financial information systems design and implementation;

(c) Appraisal or valuation services, fairness opinions, or contribution-in-kind reports;

(d) Actuarially-oriented advisory services involving the determination of amounts recorded in the financial statements. The accountant may assist an insurer in understanding the methods, assumptions, and inputs used in the determination of amounts recorded in the financial statement only if it is reasonable to conclude that the services provided will not be subject to audit procedures during an audit of the insurer's financial statements. An accountant's actuary may also issue an actuarial opinion or certification on an insurer's reserves if the following conditions have been met:
(i) Neither the accountant nor the accountant's actuary has performed any management functions or made any management decisions;

(ii) The insurer has competent personnel (or engages a third party actuary) to estimate the reserves for which management takes responsibility; and

(iii) The accountant's actuary tests the reasonableness of the reserves after the insurer's management has determined the amount of the reserves;

(e) Internal audit outsourcing services;

(f) Management functions or human resources;

(g) Broker or dealer, investment adviser, or investment banking services;

(h) Legal services or expert services unrelated to the audit; or

(i) Any other services that the Superintendent determines are impermissible.

(2) The Superintendent may exempt an insurer from the prohibitions of Paragraph 1 for any calendar year in which the insurer has direct written and assumed premiums of less than $100,000,000 and files a written request with the Superintendent, at least 30 days before the end of the calendar year, explaining the nature of the non-audit services to be provided and demonstrating to the satisfaction of the Superintendent that strict compliance with the required separation of functions would impose an unreasonable financial or organizational hardship upon the insurer, and that the services to be provided will not compromise the integrity of the audit.

(3) A qualified independent certified public accountant who performs the audit may engage in non-audit services that are not described in Paragraph 1, including tax services, only if the insurer is a SOX-Compliant Insurer as defined in Section 16 or if the activity is approved in advance by the Audit Committee in accordance with Subsection H. The Audit Committee may delegate the approval authority to one or more designated members of the Audit Committee if the decisions of any member to whom this authority is delegated are presented to the full Audit Committee for review at each of its scheduled meetings.

(4) The Superintendent shall consider the analogous provisions of Securities and Exchange Commission Final Rule No. 33-8183, Strengthening the Commission's Requirements Regarding Auditor Independence (adopted January 28, 2003), when evaluating whether an accountant is performing services that would impair the accountant's independence. The SEC Rule may be found online at http://www.sec.gov/rules/final/33-8183.htm.

G. If the Superintendent determines that an accountant is not qualified, the insurer shall replace the accountant with another whose relationship with the insurer is qualified within the meaning of this Rule. If the insurer contests the Superintendent's determination, the Superintendent shall hold an adjudicatory hearing pursuant to 24-A M.R.S.A. §229.

H. All auditing services and non-audit services provided to an insurer by the qualified independent certified public accountant of the insurer must be preapproved by the Audit Committee, except for non-audit services satisfying all of the following criteria:

(1) The aggregate amount of all non-audit services provided to the insurer constitutes not more than five percent (5%) of the total amount of fees paid by the insurer to its qualified independent certified public accountant during the fiscal year in which the non-audit services are provided;

(2) The services were not recognized by the insurer at the time of the engagement to be non-audit services; and

(3) The services are promptly brought to the attention of the Audit Committee and approved prior to the completion of the audit by the Audit Committee or by one or more members of the Audit Committee who are the members of the board of directors to whom authority to grant such approvals has been delegated by the Audit Committee.

I. The Superintendent shall not recognize an independent certified public accountant as qualified for a particular insurer if a member of the board, president, chief executive officer, controller, chief financial officer, chief accounting officer, or any person serving in an equivalent position for that insurer, was employed by the independent certified public accountant and participated in the audit of that insurer during the one-year period preceding the date that the most current statutory opinion is due as a partner or senior manager. An insurer may make application to the Superintendent for relief from the requirements of this Subsection on the basis of unusual circumstances. An insurer granted relief shall file a copy of the Superintendent's approval with the NAIC, in an electronic format acceptable to the NAIC, and shall make such additional filings as may be required by any state in which the insurer is licensed.

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