New York Codes, Rules and Regulations
Title 11 - INSURANCE
Chapter IV - Financial Condition Of Insurer and Reports to Superintendent
Subchapter A - Rules of General Application
Part 80 - Controlled insurers
Subpart 80-2 - Minimum Standards For Producer-controlled Insurers And Controlling Producers; Disclosure Requirements For Certain Other Producers
Section 80-2.2 - Minimum standards
Universal Citation: 11 NY Comp Codes Rules and Regs ยง 80-2.2
Current through Register Vol. 46, No. 39, September 25, 2024
(a) Applicability of section.
(1) The provisions
of this section shall apply if, in any calendar year, the aggregate amount of
gross written premium on insurance business placed with a controlled insurer by
a controlling producer is equal to or greater than five percent of the admitted
assets of the controlled insurer, as reported in the controlled insurer's
quarterly statement filed as of September 30 of the prior year.
(2) Notwithstanding paragraph (1) of this
subdivision, the provisions of this section shall not apply if:
(i) The controlling producer:
(a) places insurance only with the controlled
insurer, a member of the controlled insurer's holding company system, or the
controlled insurer's parent, affiliate, or subsidiary, and receives no
compensation from any such person which is based upon the amount of premiums
written; and
(b) accepts insurance
placements only from a subproducer that is not an affiliate of the controlling
producer nor a member of the same holding company system, and does not accept
insurance placements directly from insureds; and
(ii) The controlled insurer, except for
insurance business written through a residual market facility such as the New
York Automobile Insurance Plan, accepts insurance business only from a
controlling producer, a producer controlled by the controlled insurer, or a
producer that is a subsidiary of the controlled insurer.
(b) Written contract.
(1) A controlled insurer shall not accept
business from a controlling producer and a controlling producer shall not place
business with a controlled insurer except pursuant to a written contract in
accordance with the provisions of this subdivision.
(2) The contract, or any amendment to a
contract, shall be submitted to the superintendent within 15 days after it has
been signed; except that, for a domestic controlled insurer subject to article
15 of the Insurance Law, the contract shall not be entered into unless it is
submitted to the superintendent by the insurer at least 30 days prior to
entering into the contract, and the superintendent has not disapproved it
within the 30 days.
(3) The
contract shall be signed by an authorized officer of the insurer.
(4) The contract shall specify the
responsibilities of each party and, except to the extent that any of the
following provisions places the controlling producer or the controlled insurer
in violation of the laws of any other state, contain, at a minimum, provisions
that:
(i) the controlled insurer may
terminate the contract for cause, upon written notice to the controlling
producer. The controlled insurer shall suspend the authority of the controlling
producer to write business during the pendency of any dispute regarding the
cause for the termination;
(ii) the
controlling producer shall render accounts to the controlled insurer detailing
all material transactions, including information necessary to support all
commissions, charges and other fees received by, or owing to, the controlling
producer;
(iii) the controlling
producer shall remit all funds due under the terms of the contract to the
controlled insurer on at least a monthly basis except that premiums collected
from the insured shall be remitted within 90 days of the effective date of the
policy or installment due date;
(iv) all funds collected for the controlled
insurer's account shall be held by the controlling producer in a fiduciary
capacity, in one or more appropriately identified bank accounts, in accordance
with the provisions of the Insurance Law, and Part 20 (Regulation No. 20) or
Part 32 (Regulation No. 98) of this Title, as applicable. However, funds of a
controlling producer not required to be licensed in this State shall be
maintained in compliance with the requirements of the controlling producer's
domiciliary jurisdiction;
(v) the
controlling producer shall maintain separately identifiable records of business
written for the controlled insurer;
(vi) the contract shall not be assigned in
whole or in part by the controlling producer;
(vii) the controlled insurer shall provide
the controlling producer with its underwriting standards, rules and procedures,
manuals setting forth the rates to be charged, and the conditions for the
acceptance or rejection of risks. The controlling producer shall adhere to the
standards, rules, procedures, rates, and conditions. The standards, rules,
procedures, rates, and conditions shall be the same as those applicable to
comparable business placed with the controlled insurer by a producer other than
the controlling producer;
(viii)
set forth the rates and terms of the controlling producer's commissions,
charges or other fees and the purposes for those charges or fees. The rates of
the commissions, charges and other fees shall be no greater than those
applicable to comparable business placed with the controlled insurer by
producers other than controlling producers providing the same types of services
for the insurer. For purposes of this subparagraph and subparagraph (vii) of
this paragraph, examples of comparable business include the same lines of
insurance, same kinds of insurance, similar policy limits, similar type of
risk, and similar quality of business;
(ix) if the contract provides that the
controlling producer, on insurance business placed with the insurer, is to be
compensated contingent upon the insurer's profits on that business, then such
compensation shall not be determined and paid until at least five years after
the premiums on liability insurance are earned and at least one year after the
premiums are earned on any other insurance. In no event shall the commissions
be paid until the adequacy of the controlled insurer's reserves on remaining
claims has been independently verified pursuant to paragraph (c)(1) of this
section;
(x) establish a limit on
the controlling producer's writings in relation to the controlled insurer's
surplus and total writings. The insurer may establish a different limit for
each line or sub-line of business. The controlled insurer shall notify the
controlling producer when the applicable limit is approached and shall not
accept business from the controlling producer if the limit is reached. The
controlling producer shall not place business with the controlled insurer if it
has been notified by the controlled insurer that the limit has been reached;
and
(xi) the controlling producer
may negotiate but shall not bind reinsurance on behalf of the controlled
insurer on business the controlling producer places with the controlled
insurer.
(c) Reporting requirements. The controlled insurer shall annually, on or before April 1, provide to the superintendent:
(1) In
addition to the loss reserve opinion required to be filed with the annual
statement pursuant to section
307 of the
Insurance Law, an opinion by an independent casualty actuary, who shall be a
member of the American Academy of Actuaries and in active practice, or by any
other independent loss reserve specialist acceptable to the superintendent. The
opinion shall report on the adequacy of loss and loss adjustment expense
reserves established by the controlled insurer as of the preceding December 31,
for each line of insurance on the annual statement for which any business was
placed by a controlling producer; and
(2) A report, consisting of the following:
(i)
(i)
(a) the amount of premiums on insurance
business placed with the controlled insurer by the controlling
producer;
(b) the amount of
commissions, charges or other fees paid by the controlled insurer to the
controlling producer during the previous calendar year; and
(c) the amounts owed to the controlling
producer on the business by line of insurance on the annual statement;
and
(ii) the percentage
that the amounts specified in subparagraph (i) of this paragraph represent of
the controlled insurer's net premiums written for each such line of
insurance.
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