Current through all regulations passed and filed through September 16, 2024
(A) Purpose
The purpose of this rule is to set out procedural requirements
which the superintendent deems necessary to carry out the provisions of
sections
3901.61
to 3901.65 of the Revised
Code, credit for reinsurance ceded. The information and procedures set out in
this rule are necessary for the protection of ceding insurers domiciled in this
state.
(B) Authority
This rule is promulgated pursuant to the authority vested in
the superintendent under sections
3901.041
and
3901.65 of the Revised
Code.
(C) Credit for
reinsurance when reinsurer licensed in this state
Pursuant to division (A)(1) of section
3901.62
of the Revised Code the superintendent shall allow credit for reinsurance ceded
by a domestic insurer to assuming insurers which were licensed in this state as
of the date of the ceding insurer's statutory financial statement.
(D) Credit for reinsurance when a
reinsurer is accredited in this state
(1)
Pursuant to division (A)(2) of section
3901.62
of the Revised Code the superintendent shall allow credit for reinsurance ceded
by a domestic insurer to an assuming insurer that is accredited as a reinsurer
in this state as of the date on which statutory financial statement credit for
reinsurance is claimed. An accredited reinsurer must:
(a) File a properly executed form AR-1
(attached as an appendix to this rule) as evidence of its submission to this
state's jurisdiction and to this state's authority to examine its books and
records;
(b) File with the
superintendent a certified copy of a certificate of authority or other
acceptable evidence that it is licensed to transact insurance or reinsurance in
at least one state, or, in the case of a United States branch of an alien
assuming insurer, is entered through and licensed to transact insurance or
reinsurance in at least one state;
(c) File annually with the superintendent a
copy of its annual statement filed with the insurance department of its state
of domicile or, in the case of an alien assuming insurer, with the state
through which it is entered and in which it is licensed to transact insurance
or reinsurance, and a copy of its most recent audited financial statement;
and
(d) Maintain a surplus as
regards policyholders in an amount not less than twenty million dollars, or
obtain the affirmative approval of the superintendent upon a finding that it
has adequate financial capacity to meet its reinsurance obligations and is
otherwise qualified to assume reinsurance from domestic insurers.
(2) If the superintendent
determines that the assuming insurer has failed to meet or maintain any of
these qualifications, the superintendent may upon written notice and
opportunity for hearing, suspend or revoke the accreditation. Credit shall not
be allowed a domestic ceding insurer under this
paragraph if
the assuming insurer's accreditation has been revoked by the superintendent, or
if the reinsurance was ceded while the assuming insurer's accreditation was
under suspension by the superintendent.
(E) Credit for reinsurance when reinsurers
maintain trust funds
(1) Pursuant to division
(A)(4) of section
3901.62
of the Revised Code, the superintendent shall allow credit for reinsurance
ceded by a domestic insurer to an assuming insurer which, as of the date of the
ceding insurer's statutory financial statement maintains a trust fund in an
amount prescribed below in a qualified United States financial institution as
defined in division (B)(2) of section
3901.63
of the Revised Code, for the payment of the valid claims of its United States
policyholders and ceding insurers, their assigns and successors in interest.
The assuming insurer shall report annually to the superintendent substantially
the same information as that required to be reported on the national
association of insurance commissioners (NAIC) annual statement form by licensed
insurers, to enable the superintendent to determine the sufficiency of the
trust fund.
(2) The following
requirements apply to the following categories of assuming insurer:
(a) The trust fund for a single assuming
insurer shall consist of funds in trust in an amount not less than the assuming
insurer's liabilities attributable to business written in the United States,
and in addition, a trusteed surplus of not less than twenty million dollars
except as provided in paragraph (E)(2)(b) of this rule.
(b) At any time after the assuming insurer
has permanently discontinued underwriting new business secured by the trust for
at least three full years, the superintendent with principal regulatory
oversight of the trust may authorize a reduction in the required trusteed
surplus, but only after a finding, based on an assessment of the risk, that the
new required surplus level is adequate for the protection of United States
ceding insurers, policyholders and claimants in light of reasonably foreseeable
adverse loss development. The risk assessment may involve an actuarial review,
including an independent analysis of reserves and cash flows, and shall
consider all material risk factors, including when applicable the lines of
business involved, the stability of the incurred loss estimates and the effect
of the surplus requirements on the assuming insurer's liquidity or solvency.
The minimum required trusteed surplus may not be reduced to an amount less than
thirty per cent of the assuming insurer's liabilities attributable to
reinsurance ceded by United States ceding insurers covered by the
trust.
(c) The trust fund for a
group of individual unincorporated under writers shall consist of funds in
trust in an amount not less than the group's aggregate liabilities attributable
to business written in the United States and, in addition, the group shall
maintain a trusteed surplus of which one hundred million dollars shall be held
jointly for the benefit of the United States ceding insurers of any member of
the group. The group shall make available to the superintendent annual
certifications by the group's domiciliary regulator and its independent public
accountants of the solvency of each under writer member of the group.
(d) The trust fund for a group of
incorporated insurers under common administration, whose members possess
aggregate policyholders surplus of ten billion dollars (calculated and reported
in substantially the same manner as prescribed by the annual statement
instructions and "Accounting Practices and Procedures Manual" of the NAIC) and
which has continuously transacted an insurance business outside the United
States for at least three years immediately prior to assuming reinsurance shall
consist of funds in trust in an amount not less than the assuming insurers'
liabilities attributable to business ceded by United States ceding insurers to
any members of the group pursuant to reinsurance contracts issued in the name
of such group and, in addition, the group shall maintain a joint trusteed
surplus of which one hundred million dollars shall be held jointly for the
benefit of United States ceding insurers of any member of the group. The group
shall file a properly executed form AR-1 as evidence of the submission to this
state's authority to examine the books and records of any of its members and
shall certify that any member examined will bear the expense of any such
examination. The group shall make available to the superintendent annual
certifications by the members' domiciliary regulators and their independent
public accountants of the solvency of each member of the group.
(e) The incorporated members of the group
shall not be engaged in any business other than underwriting as a member of the
group and shall be subject to the same level of regulation and solvency control
by the group's domiciliary regulator as are the unincorporated members. The
group shall, within ninety days after its financial statements are due to be
filed with the group's domiciliary regulator, provide to the superintendent:
(i) An annual certification by the group's
domiciliary regulator of the solvency of each underwriter member of the group;
or
(ii) If a certification is
unavailable, a financial statement, prepared by independent public accountants,
of each underwriter member of the group.
(3) The trust shall be established in a form
approved by the superintendent and complying with division (C) of section
3901.62
of the Revised Code. The trust instrument shall provide that:
(a) Contested claims shall be valid and
enforceable out of funds in trust to the extent remaining unsatisfied thirty
days after entry of the final order of any court of competent jurisdiction in
the United States.
(b) Legal title
to the assets of the trust shall be vested in the trustee for the benefit of
the grantor's United States policyholders and ceding insurers, their assigns
and successors in interest.
(c) The
trust shall be subject to examination as determined by the
superintendent.
(d) The trust shall
remain in effect for as long as the assuming insurer, or any member or former
member of a group of insurers, shall have outstanding obligations under
reinsurance agreements subject to the trust.
(e) No later than February twenty-eighth of
each year the trustees of the trust shall report to the superintendent in
writing setting forth the balance in the trust and listing the trust's
investments at the preceding year end, and shall certify the date of
termination of the trust, if so planned, or certify that the trust shall not
expire prior to the next following December thirty-first.
(f) No amendment to the trust shall be
effective unless reviewed and approved in advance by the
superintendent.
(F) Credit for reinsurance for a certified
reinsurer
(1) Pursuant to division (A)(5) of
section
3901.62
of the Revised Code, the superintendent shall allow credit for reinsurance
ceded by a domestic insurer to an assuming insurer that has been certified as a
reinsurer in this state at all times for which statutory financial statement
credit for reinsurance is claimed under this paragraph. The
credit allowed shall be based upon the security held by or on behalf of the
ceding insurer in accordance with a rating assigned to the certified reinsurer
by the superintendent. The security shall be in a form consistent with the
provisions of division (A)(5) of section
3901.62
or section
3901.63
of the Revised Code and paragraph
(J), (K) or (L) of this rule. The
amount of security required in order for full credit to be allowed shall
correspond with the following requirements:
(a)
Ratings |
Security required |
Secure - 1 |
0% |
Secure - 2 |
10 % |
Secure - 3 |
20% |
Secure - 4 |
50% |
Secure - 5 |
75% |
Vulnerable - 6 |
100% |
(b)
Affiliated reinsurance transactions shall receive the same opportunity for
reduced security requirements as all other reinsurance transactions.
(c) The superintendent shall require the
certified reinsurer to post one hundred per cent, for the benefit of the ceding
insurer or its estate, security upon the entry of an order of rehabilitation,
liquidation or conservation against the ceding insurer.
(d) In order to facilitate the prompt payment
of claims, a certified reinsurer with a rating of secure 1, secure 2 or secure
3 shall not be required to post security for catastrophe recoverables for a
period of one year from the date of the first instance of a liability reserve
entry by the ceding company as a result of a loss from a catastrophic
occurrence as recognized by the superintendent. The one year deferral period is
contingent upon the certified reinsurer continuing to pay claims in a timely
manner.
Reinsurance recoverables for only the following lines of
business as reported on the NAIC annual financial statement related
specifically to the catastrophic occurrence will be included in the
deferral:
(i) Line 1: Fire
(ii) Line 2: Allied lines
(iii) Line 3: Farmowners multiple
peril
(iv) Line 4: Homeowners
multiple peril
(v) Line 5:
Commercial multiple peril
(vi) Line
9: Inland marine
(vii) Line 12:
Earthquake
(viii) Line 21: Auto
physical damage
(e)
Credit for reinsurance under this
paragraph shall apply only to reinsurance
contracts entered into or renewed on or after the effective date of the
certification of the assuming insurer. Any reinsurance contract entered into
prior to the effective date of the certification of the assuming insurer that
is subsequently amended after the effective date of the certification of the
assuming insurer, or a new reinsurance contract, covering any risk for which
collateral was provided previously, shall only be subject to this
paragraph with respect to losses incurred and reserves
reported from and after the effective date of the amendment or new
contract.
(f) Nothing in this
paragraph shall prohibit the parties to a reinsurance
agreement from agreeing to provisions establishing security requirements that
exceed the minimum security requirements established for certified reinsurers
under this paragraph.
(2) Certification procedure
(a) The superintendent shall post notice on
the insurance department's website promptly upon receipt of any application for
certification, including instructions on how members of the public may respond
to the application. The superintendent may not take final action on the
application until at least thirty days after posting the notice required by
this paragraph.
(b) The
superintendent shall issue written notice to an assuming insurer that has made
application and been approved as a certified reinsurer.
Included in such
notice shall be the rating assigned the certified reinsurer in accordance with
paragraph (F)(1) of this rule. The superintendent shall publish a list of all
certified reinsurers and their ratings .
(c) In order to be eligible for
certification, the assuming insurer shall meet the following requirements:
(i) The assuming insurer must be domiciled
and licensed to transact insurance or reinsurance in a qualified jurisdiction,
as determined by the superintendent pursuant to paragraph (F)(3) of this
rule.
(ii) The assuming insurer
must maintain capital and surplus, or its equivalent, of no less than two
hundred fifty million dollars calculated in accordance with paragraph
(F)(2)(d)(viii) of this rule. This requirement may also be satisfied by an
association including incorporated and individual unincorporated underwriters
having minimum capital and surplus equivalents (net of liabilities) of at least
two hundred fifty million dollars and a central fund containing a balance of at
least two hundred fifty million dollars.
(iii) The assuming insurer must maintain
financial strength ratings from two or more rating agencies deemed acceptable
by the superintendent. These ratings shall be based on interactive
communication between the rating agency and the assuming insurer and shall not
be based solely on publicly available information. These financial strength
ratings will be one factor used by the superintendent in determining the rating
that is assigned to the assuming insurer. Acceptable rating agencies include
the following:
(a) "Standard &
Poor's";
(b) "Moody's Investors
Service";
(c) "Fitch
Ratings";
(d) "A.M. Best Company";
(e)
"Kroll Bond
Rating Agency";
(f)
"Demotech, Inc. - Financial Stability Ratings";
or
(g) Any other nationally recognized statistical rating
organization.
(iv) The
certified reinsurer must comply with any other requirements reasonably imposed
by the superintendent.
(d) Each certified reinsurer shall be rated
on a legal entity basis, with due consideration being given to the group rating
where appropriate, except that an association including incorporated and
individual unincorporated underwriters that has been approved to do business as
a single certified reinsurer may be evaluated on the basis of its group rating.
Factors that may be considered as part of the evaluation process include, but
are not limited, to the following:
(i) The
certified reinsurer's financial strength rating from an acceptable rating
agency. The maximum rating that a certified reinsurer may be assigned will
correspond to its financial strength rating as outlined in the table below. The
superintendent shall use the lowest financial strength rating received from an
approved rating agency in establishing the maximum rating of a certified
reinsurer. A failure to obtain or maintain at least two financial strength
ratings from acceptable rating agencies will result in loss of eligibility for
certification;
Ratings |
Best |
S&P |
Moody's |
Fitch |
Secure - 1 |
A++ |
AAA |
Aaa |
AAA |
Secure - 2 |
A+ |
AA+, AA, AA- |
Aa1, Aa2, Aa3 |
AA+, AA, AA- |
Secure - 3 |
A |
A+, A |
A1, A2 |
A+, A |
Secure - 4 |
A- |
A- |
A3 |
A- |
Secure - 5 |
B++, B+ |
BBB+, BBB, BBB- |
Baa1, Baa2, Baa3 |
BBB+, BBB, BBB- |
Vulnerable - 6 |
B, B-c++, C+, C, C-, D, E, F |
BB+, BB, BB-, B+, B, B-, CCC, CC, C, D,
R |
Ba1, Ba2, Ba3, B1, B2, B3, Caa, Ca, C |
BB+, BB, BB-, B+, B, B-, CCC +, CC, CCC-,
DD |
(ii)
The business practices of the certified reinsurer in dealing with its ceding
insurers, including its record of compliance with reinsurance contractual terms
and obligations;
(iii) For
certified reinsurers domiciled in the United States, a review of the most
recent applicable NAIC annual statement blank, either schedule F (for
property/casualty reinsurers) or schedule S (for life and health
reinsurers);
(iv) For certified
reinsurers not domiciled in the United States, a review annually of form CR-F
(for property/casualty reinsurers) or form CR-S (for life and health
reinsurers) (attached as appendix to this rule);
(v) The reputation of the certified reinsurer
for prompt payment of claims under reinsurance agreements, based on an analysis
of ceding insurers' schedule F reporting of overdue reinsurance recoverables,
including the proportion of obligations that are more than ninety days past due
or are in dispute, with specific attention given to obligations payable to
companies that are in administrative supervision or receivership;
(vi) Regulatory actions against the certified
reinsurer;
(vii) The report of the
independent auditor on the financial statements of the insurance enterprise, on
the basis described in paragraph (F)(2) (d)(viii) of this rule;
(viii) For certified reinsurers not domiciled
in the United States, audited financial statements,
regulatory filings, and actuarial opinion (as filed with the non-United States
jurisdiction supervisor, with a translation into
English). Upon the initial application for certification, the
superintendent will consider audited financial statements for the last
two
years filed with its non-United States jurisdiction supervisor;
(ix) The liquidation priority of obligations
to a ceding insurer in the certified reinsurer's domiciliary jurisdiction in
the context of an insolvency proceeding;
(x) A certified reinsurer's participation in
any solvent scheme of arrangement, or similar procedure, which involves United
States ceding insurers. The superintendent shall receive prior notice from a
certified reinsurer that proposes participation by the certified reinsurer in a
solvent scheme of arrangement; and
(xi) Any other information deemed relevant by
the superintendent.
(e)
Based on the analysis conducted under paragraph (F)(2)(d)(v) of this rule, of a
certified reinsurer's reputation for prompt payment of claims, the
superintendent may make appropriate adjustments in the security the certified
reinsurer is required to post to protect its liabilities to United States
ceding insurers, provided that the superintendent shall, at a minimum, increase
the security the certified reinsurer is required to post by one rating level
under paragraph (F)(2)(d)(i) of this rule if the superintendent finds that:
(i) More than fifteen per cent of the
certified reinsurer's ceding insurance clients have overdue reinsurance
recoverables on paid losses of ninety days or more which are not in dispute and
which exceed one hundred thousand dollars for each cedent; or
(ii) The aggregate amount of reinsurance
recoverables on paid losses which are not in dispute that are overdue by ninety
days or more exceeds fifty million dollars.
(f) The assuming insurer must submit a
properly executed form CR-1 (attached as an appendix to this rule) as evidence
of its submission to the jurisdiction of this state, appointment of the
superintendent as an agent for service of process in this state, and agreement
to provide security for one hundred per cent of the assuming insurer's
liabilities attributable to reinsurance ceded by United States ceding insurers
if it resists enforcement of a final United States judgment. The superintendent
shall not certify any assuming insurer that is domiciled in a jurisdiction that
the superintendent has determined does not adequately and promptly enforce
final United States judgments or arbitration awards.
(g) The certified reinsurer must agree to
meet applicable information filing requirements as determined by the
superintendent, both with respect to an initial application for certification
and on an on-going basis. The applicable information filing requirements are,
as follows:
(i) Notification within ten days
of any regulatory actions taken against the certified reinsurer, any change in
the provisions of its domiciliary license or any change in rating by an
approved rating agency, including a statement describing such changes and the
reasons therefore;
(ii) Annually,
form CR-F or CR-S, as applicable;
(iii) Annually, the report of the independent
auditor on the financial statements of the insurance enterprise, on the basis
described in paragraph (F)(2)(g)(iv) of this rule;
(iv) Annually, the
most recent audited financial statements ,
regulatory filings, and actuarial opinion (as filed with the certified
reinsurer's supervisor, with a translation into
English). Upon the initial certification, audited financial statements
for the last
two years filed with the certified reinsurer's
supervisor;
(v) At least annually,
an updated list of all disputed and overdue reinsurance claims regarding
reinsurance assumed from United States domestic ceding insurers;
(vi) A certification from the certified
reinsurer's domestic regulator that the certified reinsurer is in good standing
and maintains capital in excess of the jurisdiction's highest regulatory action
level; and
(vii) Any other
information that the superintendent may reasonably require.
(h) Change in rating or revocation
of certification
(i) In the case of a
downgrade by a rating agency or other disqualifying circumstance, the
superintendent shall upon written notice assign a new rating to the certified
reinsurer in accordance with the requirements of paragraph (F)(2)(d)(i) of this
rule.
(ii) The superintendent shall
have the authority to suspend, revoke, or otherwise modify a certified
reinsurer's certification at any time if the certified reinsurer fails to meet
its obligations or security requirements under this paragraph, or
if other financial or operating results of the certified reinsurer, or
documented significant delays in payment by the certified reinsurer, lead the
superintendent to reconsider the certified reinsurer's ability or willingness
to meet its contractual obligations.
(iii) If the rating of a certified reinsurer
is upgraded by the superintendent, the certified reinsurer may meet the
security requirements applicable to its new rating on a prospective basis, but
the superintendent shall require the certified reinsurer to post security under
the previously applicable security requirements as to all contracts in force on
or before the effective date of the upgraded rating. If the rating of a
certified reinsurer is downgraded by the superintendent, the superintendent
shall require the certified reinsurer to meet the security requirements
applicable to its new rating for all business it has assumed as a certified
reinsurer.
(iv) Upon revocation of
the certification of a certified reinsurer by the superintendent, the assuming
insurer shall be required to post security in accordance with paragraph
(I) of
this rule in order for the ceding insurer to continue to take credit for
reinsurance ceded to the assuming insurer. If funds continue to be held in
trust in accordance with paragraph (E) of this rule, the superintendent may
allow additional credit equal to the ceding insurer's pro rata share of such
funds, discounted to reflect the risk of uncollectibility and anticipated
expenses of trust administration. Notwithstanding the change of a certified
reinsurer's rating or revocation of its certification, a domestic insurer that
has ceded reinsurance to that certified reinsurer may not be denied credit for
reinsurance for a period of three months for all reinsurance ceded to that
certified reinsurer, unless the reinsurance is found by the superintendent to
be at high risk of uncollectibility.
(3) Qualified jurisdictions
(a) If, upon conducting an evaluation under
this paragraph with respect to the reinsurance supervisory system of any
non-United States assuming insurer, the superintendent determines that the
jurisdiction qualifies to be recognized as a qualified jurisdiction, the
superintendent shall publish notice and evidence of such recognition in an
appropriate manner. The superintendent may establish a procedure to withdraw
recognition of those jurisdictions that are no longer qualified.
(b) In order to determine whether the
domiciliary jurisdiction of a nonUnited States assuming insurer is eligible to
be recognized as a qualified jurisdiction, the superintendent shall evaluate
the reinsurance supervisory system of the non-United States jurisdiction, both
initially and on an ongoing basis, and consider the rights, benefits and the
extent of reciprocal recognition afforded by the non-United States jurisdiction
to reinsurers licensed and domiciled in the United States. The superintendent
shall determine the appropriate approach for evaluating the qualifications of
such jurisdictions, and create and publish a list of jurisdictions whose
reinsurers may be approved by the superintendent as eligible for certification.
A qualified jurisdiction must agree to share information and cooperate with the
superintendent with respect to all certified reinsurers domiciled within that
jurisdiction. Additional factors to be considered in determining whether to
recognize a qualified jurisdiction, in the discretion of the superintendent,
include but are not limited to the following:
(i) The framework under which the assuming
insurer is regulated.
(ii) The
structure and authority of the domiciliary regulator with regard to solvency
regulation requirements and financial surveillance.
(iii) The substance of financial and
operating standards for assuming insurers in the domiciliary
jurisdiction.
(iv) The form and
substance of financial reports required to be filed or made publicly available
by reinsurers in the domiciliary jurisdiction and the accounting principles
used.
(v) The domiciliary
regulator's willingness to cooperate with United States regulators in general
and the superintendent in particular.
(vi) The history of performance by assuming
insurers in the domiciliary jurisdiction.
(vii) Any documented evidence of substantial
problems with the enforcement of final United States judgments in the
domiciliary jurisdiction. A jurisdiction will not be considered to be a
qualified jurisdiction if the superintendent has determined that it does not
adequately and promptly enforce final United States judgments or arbitration
awards.
(viii) Any relevant
international standards or guidance with respect to mutual recognition of
reinsurance supervision adopted by the "International Association of Insurance
Supervisors" or successor organization.
(ix) Any other matters deemed relevant by the
superintendent.
(c) If
the NAIC publishes a list of qualified jurisdictions, the superintendent shall
consider the list in determining qualified jurisdictions. If the superintendent
approves a jurisdiction as qualified that does not appear on the list of
qualified jurisdictions, the superintendent shall document compliance with the
criteria provided under paragraphs (F)(3)(b)(i) to (F) (3)(b)(vii) of this
rule. Such documentation is a public record.
(d) United States jurisdictions that meet the
requirements for accreditation under the NAIC financial standards and
accreditation program shall be recognized as qualified jurisdictions.
(4) Recognition of certification
issued by an NAIC accredited jurisdiction
(a)
If an applicant for certification has been certified as a reinsurer in an NAIC
accredited jurisdiction, the superintendent has the discretion to defer to that
jurisdiction's certification, and to defer to the rating assigned by that
jurisdiction, if the assuming insurer submits a properly executed form CR-1 and
such additional information as the superintendent requires. The assuming
insurer shall be considered to be a certified reinsurer in this
state.
(b) Any change in the
certified reinsurer's status or rating in the other jurisdiction shall apply
automatically in this state as of the date it takes effect in the other
jurisdiction. The certified reinsurer shall notify the superintendent of any
change in its status or rating within ten days after receiving notice of the
change.
(c) The superintendent may
withdraw recognition of the other jurisdiction's rating at any time and assign
a new rating in accordance with paragraph (F)(2)(h) of this rule.
(d) The superintendent may withdraw
recognition of the other jurisdiction's certification at any time, with written
notice to the certified reinsurer. Unless the superintendent suspends or
revokes the certified reinsurer's certification, the certified reinsurer's
certification shall remain in good standing in this state for a period of three
months, which shall be extended if additional time is necessary to consider the
assuming insurer's application for certification in this state.
(5) Mandatory funding clause. In
addition to the clauses required under paragraph (M) of this rule, reinsurance contracts
entered into or renewed under this paragraph shall include a proper funding
clause, which requires the certified reinsurer to provide and maintain security
in an amount sufficient to avoid the imposition of any financial statement
penalty on the ceding insurer under this
paragraph for
reinsurance ceded to the certified reinsurer.
(6) The superintendent shall comply with all
reporting and notification requirements that may be established by the NAIC
with respect to certified reinsurers and qualified jurisdictions.
(G)
Credit
for reinsurance for a reciprocal jurisdiction
(1)
Pursuant to
division (A)(6) of section
3901.62
of the Revised Code, the superintendent shall allow credit for reinsurance
ceded by a domestic insurer to an assuming insurer that is licensed to write
reinsurance by, and has its head office or is domiciled in, a reciprocal
jurisdiction, and which meets the other requirements of this
rule.
(2)
A "Reciprocal Jurisdiction" is a jurisdiction, as
designated by the superintendent pursuant to paragraph (G)(4) of this rule,
that meets one of the following:
(a)
A non-U.S. jurisdiction that is subject to an in-force
covered agreement with the United States, each within its legal authority, or,
in the case of a covered agreement between the United States and the European
Union, is a member state of the European Union. For purposes of this paragraph,
a "covered agreement" is an agreement entered into pursuant to the Dodd-Frank
Wall Street Reform and Consumer Protection Act,
31 U.S.C. sections
313 and
314, that is
currently in effect or in a period of provisional application and addresses the
elimination, under specified conditions, of collateral requirements as a
condition for entering into any reinsurance agreement with a ceding insurer
domiciled in this state or for allowing the ceding insurer to recognize credit
for reinsurance;
(b)
A U.S. jurisdiction that meets the requirements for
accreditation under the NAIC financial standards and accreditation program;
or
(c)
A qualified jurisdiction, as determined by the
superintendent pursuant to division (D)(3) of section
3901.62
of the Revised Code and paragraph (F) (3) of this rule, which is not otherwise
described in paragraph (G)(2)(a) or (G)(2)(b) of this rule and which the
superintendent determines meets all of the following additional
requirements:
(i)
Provides that an insurer which has its head office or
is domiciled in such qualified jurisdiction shall receive credit for
reinsurance ceded to a U.S. domiciled assuming insurer in the same manner as
credit for reinsurance is received for reinsurance assumed by insurers
domiciled in such qualified jurisdiction;
(ii)
Does not require
a U.S. domiciled assuming insurer to establish or maintain a local presence as
a condition for entering into a reinsurance agreement with any ceding insurer
subject to regulation by the non-U.S. jurisdiction or as a condition to allow
the ceding insurer to recognize credit for such reinsurance;
(iii)
Recognizes the
U.S. state regulatory approach to group supervision and group capital, by
providing written confirmation by a competent regulatory authority, in such
qualified jurisdiction, that insurers and insurance groups that are domiciled
or maintain their headquarters in this state or another jurisdiction accredited
by the NAIC shall be subject only to worldwide prudential insurance group
supervision including worldwide group governance, solvency and capital, and
reporting, as applicable, by the superintendent or the superintendent of the
domiciliary state and will not be subject to group supervision at the level of
the worldwide parent undertaking of the insurance or reinsurance group by the
qualified jurisdiction; and
(iv)
Provides written
confirmation by a competent regulatory authority in such qualified jurisdiction
that information regarding insurers and their parent, subsidiary, or affiliated
entities, if applicable, shall be provided to the superintendent in accordance
with a memorandum of understanding or similar document between the
superintendent and such qualified jurisdiction, including but not limited to
the "International Association of Insurance Supervisors Multilateral Memorandum
of Understanding" or other multilateral memoranda of understanding coordinated
by the NAIC.
(3)
Credit shall be
allowed when the reinsurance is ceded from an insurer domiciled in this state
to an assuming insurer meeting each of the conditions set forth
as follows:
(a)
The assuming
insurer must be licensed to transact reinsurance by, and have its head office
or be domiciled in, a reciprocal jurisdiction.
(b)
The assuming
insurer must have and maintain on an ongoing basis minimum capital and surplus,
or its equivalent, calculated on at least an annual basis as of the preceding
December thirty-one or at the annual date otherwise statutorily reported to the
reciprocal jurisdiction, and confirmed as set forth in paragraph (G)(3)(g) of
this rule according to the methodology of its domiciliary jurisdiction, in the
following amounts:
(i)
No less than two hundred fifty million dollars;
or
(ii)
If the assuming insurer is an association, including
incorporated and individual unincorporated underwriters:
(a)
Minimum capital
and surplus equivalents (net of liabilities) or own funds of the equivalent of
at least two hundred fifty million dollars; and
(b)
A central fund
containing a balance of the equivalent of at least two hundred fifty million
dollars.
(c)
The assuming
insurer must have and maintain on an ongoing basis a minimum solvency or
capital ratio, as applicable, as follows:
(i)
If the assuming
insurer has its head office or is domiciled in a reciprocal jurisdiction as
defined in paragraph (G)(2)(a) of this rule, the ratio specified in the
applicable covered agreement;
(ii)
If the assuming
insurer is domiciled in a reciprocal jurisdiction as defined in paragraph
(G)(2)(b) of this rule, a risk-based capital (RBC) ratio of three hundred per
cent of the authorized control level, calculated in accordance with the formula
developed by the NAIC; or
(iii)
If the assuming
insurer is domiciled in a reciprocal jurisdiction as defined in paragraph
(G)(2)(c) of this rule, after consultation with the reciprocal jurisdiction and
considering any recommendations published through the NAIC committee process,
such solvency or capital ratio as the superintendent determines to be an
effective measure of solvency.
(d)
The assuming
insurer must agree to and provide adequate assurance, in the form of a properly
executed form RJ-1 (attached as appendix to this rule), of its agreement to the
following:
(i)
The assuming insurer must agree to provide prompt written
notice and explanation to the superintendent if it falls below the minimum
requirements set forth in paragraph (G)(3)(b) or (G)(3)(c) of this rule, or if
any regulatory action is taken against it for serious noncompliance with
applicable law.
(ii)
The assuming insurer must consent in writing to the
jurisdiction of the courts of this state and to the appointment of the
superintendent as agent for service of process.
(a)
The
superintendent may also require that such consent be provided and included in
each reinsurance agreement under the superintendent's
jurisdiction.
(b)
Nothing in this provision shall limit or in any way
alter the capacity of parties to a reinsurance agreement to agree to
alternative dispute resolution mechanisms, except to the extent such agreements
are unenforceable under applicable insolvency or delinquency
laws.
(iii)
The assuming insurer must consent in writing to pay all
final judgments, wherever enforcement is sought, obtained by a ceding insurer,
that have been declared enforceable in the territory where the judgment was
obtained.
(iv)
Each reinsurance agreement must include a provision
requiring the assuming insurer to division (D) of section
3901.62
and section
3901.63
of the Revised Code and provide security in an amount equal to one hundred per
cent of the assuming insurer's liabilities attributable to reinsurance ceded
pursuant to that agreement if the assuming insurer resists enforcement of a
final judgment that is enforceable under the law of the jurisdiction in which
it was obtained or a properly enforceable arbitration award, whether obtained
by the ceding insurer or by its legal successor on behalf of its estate, if
applicable.
(v)
The assuming insurer must confirm that it is not
presently participating in any solvent scheme of arrangement, which involves
this state's ceding insurers, and agrees to notify the ceding insurer and the
superintendent and to provide one hundred per cent security to the ceding
insurer consistent with the terms of the scheme, should the assuming insurer
enter into such a solvent scheme of arrangement. Such security shall be in a
form consistent with the provisions of paragraph (J), (K) or (L) of this rule.
For purposes of this rule, the term "solvent scheme of arrangement" means a
foreign or alien statutory or regulatory compromise procedure subject to
requisite majority creditor approval and judicial sanction in the assuming
insurer's home jurisdiction either to finally commute liabilities of duly
noticed classed members or creditors of a solvent debtor, or to reorganize or
restructure the debts and obligations of a solvent debtor on a final basis, and
which may be subject to judicial recognition and enforcement of the arrangement
by a governing authority outside the ceding insurer's home
jurisdiction.
(vi)
The assuming insurer must agree in writing to meet the
applicable information filing requirements as set forth in paragraph (G)(3)(e)
of this rule.
(e)
The assuming insurer or its legal successor must
provide, if requested by the superintendent, on behalf of itself and any legal
predecessors, the following documentation to the superintendent:
(i)
For the two years
preceding entry into the reinsurance agreement and on an annual basis
thereafter, the assuming insurer's annual audited financial statements, in
accordance with the applicable law of the jurisdiction of its head office or
domiciliary jurisdiction, as applicable, including the external audit
report;
(ii)
For the two years preceding entry into the reinsurance
agreement, the solvency and financial condition report or actuarial opinion, if
filed with the assuming insurer's supervisor;
(iii)
Prior to entry
into the reinsurance agreement and not more than semi-annually thereafter, an
updated list of all disputed and overdue reinsurance claims outstanding for
ninety days or more, regarding reinsurance assumed from ceding insurers
domiciled in the United States; and
(iv)
Prior to entry
into the reinsurance agreement and not more than semiannually thereafter,
information regarding the assuming insurer's assumed reinsurance by ceding
insurer, ceded reinsurance by the assuming insurer, and reinsurance recoverable
on paid and unpaid losses by the assuming insurer to allow for the evaluation
of the criteria set forth in paragraph (G)(3)(f) of this rule.
(f)
The
assuming insurer must maintain a practice of prompt payment of claims under
reinsurance agreements. The lack of prompt payment will be evidenced if any of
the following criteria is met:
(i)
More than fifteen per cent of the reinsurance
recoverables from the assuming insurer are overdue and in dispute as reported
to the superintendent;
(ii)
More than fifteen per cent of the assuming insurer's
ceding insurers or reinsurers have overdue reinsurance recoverable on paid
losses of ninety days or more which are not in dispute and which exceed for
each ceding insurer one hundred thousand dollars, or as otherwise specified in
a covered agreement; or
(iii)
The aggregate amount of reinsurance recoverable on paid
losses which are not in dispute, but are overdue by ninety days or more,
exceeds fifty million dollars, or as otherwise specified in a covered
agreement.
(g)
The assuming insurer's supervisory authority must
confirm to the superintendent on an annual basis that the assuming insurer
complies with the requirements set forth in paragraphs (G)(3)(b) and (G)(3)(c)
of this rule.
(h)
Nothing in this provision precludes an assuming insurer
from providing the superintendent with information on a voluntary
basis.
(4)
The superintendent shall timely create and publish a
list of reciprocal jurisdictions.
(a)
A list of reciprocal jurisdictions is published through
the NAIC committee process. The superintendent's list shall include any
reciprocal jurisdiction as defined under paragraphs (G)(2)(a) and (G)(2)(b) of
this rule, and shall consider any other reciprocal jurisdiction included on the
NAIC list. The superintendent may approve a jurisdiction that does not appear
on the NAIC list of reciprocal jurisdictions as provided by applicable law,
rule, regulation, or in accordance with criteria published through the NAIC
committee process.
(b)
The superintendent may remove a jurisdiction from the
list of reciprocal jurisdictions upon a determination that the jurisdiction no
longer meets one or more of the requirements of a reciprocal jurisdiction, as
provided by applicable law, rule, regulation, or in accordance with a process
published through the NAIC committee process, except that the superintendent
shall not remove from the list a reciprocal jurisdiction as defined under
paragraphs (G)(2)(a) and (G)(2)(b) of this rule. Upon removal of a reciprocal
jurisdiction from this list credit for reinsurance ceded to an assuming insurer
domiciled in that jurisdiction shall be allowed, if otherwise allowed pursuant
to section
3901.62
or
3901.63
of the Revised Code or this rule.
(5)
The
superintendent shall timely create and publish a list of assuming insurers that
have satisfied the conditions set forth in this paragraph and to which cessions
shall be granted credit in accordance with this paragraph.
(a)
If a NAIC
accredited jurisdiction has determined that the conditions set forth in
paragraph (G)(3) of this rule have been met, the superintendent has the
discretion to defer to that jurisdiction's determination, and add such assuming
insurer to the list of assuming insurers to which cessions shall be granted
credit in accordance with this paragraph. The superintendent may accept
financial documentation filed with another NAIC accredited jurisdiction or with
the NAIC in satisfaction of the requirements of paragraph (G)(3) of this
rule.
(b)
When requesting that the superintendent defer to
another NAIC accredited jurisdiction's determination, an assuming insurer must
submit a properly executed form RJ-1 and additional information as the
superintendent may require. A state that has received such a request will
notify other states through the NAIC committee process and provide relevant
information with respect to the determination of eligibility.
(6)
If the
superintendent determines that an assuming insurer no longer meets one or more
of the requirements under this paragraph, the superintendent may revoke or
suspend the eligibility of the assuming insurer for recognition under this
paragraph.
(a)
While an assuming insurer's eligibility is suspended, no
reinsurance agreement issued, amended or renewed after the effective date of
the suspension qualifies for credit except to the extent that the assuming
insurer's obligations under the contract are secured in accordance with
paragraph (I) of this rule.
(b)
If an assuming
insurer's eligibility is revoked, no credit for reinsurance may be granted
after the effective date of the revocation with respect to any reinsurance
agreements entered into by the assuming insurer, including reinsurance
agreements entered into prior to the date of revocation, except to the extent
that the assuming insurer's obligations under the contract are secured in a
form acceptable to the superintendent and consistent with the provisions of
paragraph (I) of this rule.
(7)
Before denying
statement credit or imposing a requirement to post security with respect to
paragraph (G)(6) of this rule or adopting any similar requirement that will
have substantially the same regulatory impact as security, the superintendent
shall:
(a)
Communicate with the ceding insurer, the assuming insurer,
and the assuming insurer's supervisory authority that the assuming insurer no
longer satisfies one of the conditions listed in paragraph (G)(3) of this
rule;
(b)
Provide the assuming insurer with thirty days from the
initial communication to submit a plan to remedy the defect, and ninety days
from the initial communication to remedy the defect, except in exceptional
circumstances in which a shorter period is necessary for policyholder and other
consumer protection;
(c)
After the expiration of ninety days or less, as set out
in paragraph (G)(7)(b) of this rule, if the superintendent determines that no
or insufficient action was taken by the assuming insurer, the superintendent
may impose any of the requirements as set out in paragraph (G)(7) of this rule;
and
(d)
Provide a written explanation to the assuming insurer
of any of the requirements set out in paragraph (G)(7) of this
rule.
(8)
If subject to a legal process of rehabilitation,
liquidation or conservation, as applicable, the ceding insurer, or its
representative, may seek and, if determined appropriate by the court in which
the proceedings are pending, may obtain an order requiring that the assuming
insurer post security for all outstanding liabilities.
(H) Credit for reinsurance required by law
Pursuant to division (A)(3) of section
3901.62
of the Revised Code, the superintendent shall allow credit for reinsurance
ceded by a domestic insurer to an assuming insurer not meeting the requirements
of division (A)(1), (A)(2), (A) (4),
(A)(5), or
(A)(6) of section
3901.62
of the Revised Code, but only with respect to the insurance of risks located in
jurisdictions where such reinsurance is required by the applicable law, rule, or regulation of that jurisdiction. As used in
this paragraph, "jurisdiction" means any state, district or
territory of the United States and any lawful national government.
(I) Reduction from liability for reinsurance ceded to
an unauthorized assuming insurer
Pursuant to section
3901.63
of the Revised Code, the superintendent shall allow a reduction from liability
for reinsurance ceded by a domestic insurer to an assuming insurer not meeting
the requirements of division (A) of section
3901.62
of the Revised Code in an amount not exceeding the liabilities carried by the
ceding insurer. Such reduction shall be in the amount of funds held by or on
behalf of the ceding insurer, including funds held in trust for the exclusive
benefit of the ceding insurer, under a reinsurance contract with such assuming
insurer as security for the payment of obligations thereunder. Such security
must be held in the United States subject to withdrawal solely by, and under
the exclusive control of, the ceding insurer or, in the case of a trust, held
in a qualified United States financial institution as defined in division
(B)(2) of section
3901.63
of the Revised Code. This security may be in the form of any of the
following.
(1) Cash.
(2) Securities listed by the securities
valuation office of the national association of insurance commissioners,
including those deemed exempt from filing as defined by the "Purposes and
Procedures Manual of the Securities Valuation Office," and qualifying
as admitted assets.
(3) Clean,
irrevocable, unconditional and "evergreen" letters of credit issued or
confirmed by a qualified United States institution, as defined in division (C)
(3) of section
3901.63
of the Revised Code, effective no later than December thirty-first of the year
for which filing is being made, and in the possession of the ceding insurer on
or before the filing date of its annual statement. Letters of credit meeting
applicable standards of issuer acceptability as of the dates of their issuance
(or confirmation) shall, notwithstanding the issuing (or confirming)
institution's subsequent failure to meet applicable standards of issuer
acceptability, continue to be acceptable as security until their expiration,
extension, renewal, modification or amendment, whichever first
occurs.
(4) Any other form of
security acceptable to the superintendent.
An admitted asset or a reduction from liability for reinsurance
ceded to an unauthorized assuming insurer pursuant to paragraph
(I) of
this rule shall be allowed only when the requirements of paragraph
(J), (K), or (L) of this rule are met.
(J) Trust agreements
qualified under paragraph
(I) of this rule
(1) As used in this paragraph:
(a) "Beneficiary" means the entity for whose
sole benefit the trust has been established and any successor of the
beneficiary by operation of law. If a court of law appoints a successor in
interest to the named beneficiary, then the named beneficiary includes and is
limited to the court appointed domiciliary receiver (including conservator,
rehabilitator or liquidator).
(b)
"Grantor" means the entity that has established a trust for the sole benefit of
the beneficiary. When established in conjunction with a reinsurance agreement,
the grantor is the unlicensed, unaccredited assuming insurer.
(c) "Obligations", as used in paragraph
(J)(2)(k) of this rule, means:
(i) Reinsured losses and allocated loss
expenses paid by the ceding company, but not recovered from the assuming
insurer;
(ii) Reserves for
reinsured losses reported and outstanding;
(iii) Reserves for reinsured losses incurred
but not reported; and
(iv) Reserves
for allocated reinsured loss expenses and unearned premiums.
(2) Required
conditions.
(a) The trust agreement shall be
entered into between the beneficiary, the grantor and a trustee which shall be
a qualified United States financial institution as defined in division (B)(2)
of section
3901.63
of the Revised Code.
(b) The trust
agreement shall create a trust account into which assets shall be
deposited.
(c) All assets in the
trust account shall be held by the trustee at the trustee's office in the
United States, except that a bank may apply for the superintendent's permission
to use a foreign branch office of such bank as trustee for trust agreements
established pursuant to this paragraph. If the superintendent approves the use of
such foreign branch office as trustee, then its use must be approved by the
beneficiary in writing and the trust agreement must provide that the written
notice described in paragraph
(J)(2)(d)(i) of this rule must also be
presentable, as a matter of legal right, at the trustee's principal office in
the United States.
(d) The trust
agreement shall provide that:
(i) The
beneficiary shall have the right to withdraw assets from the trust account at
any time, without notice to the grantor, subject only to written notice from
the beneficiary to the trustee;
(ii) No other statement or document is
required to be presented in order to withdraw assets, except that the
beneficiary may be required to acknowledge receipt of withdrawn
assets;
(iii) It is not subject to
any conditions or qualifications outside of the trust agreement; and
(iv) It shall not contain references to any
other agreements or documents except as provided for under paragraph
(J)(2)(k) of this rule.
(e) The trust agreement shall be established
for the sole benefit of the beneficiary.
(f) The trust agreement shall require the
trustee to:
(i) Receive assets and hold all
assets in a safe place;
(ii)
Determine that all assets are in such form that the beneficiary, or the trustee
upon direction by the beneficiary, may whenever necessary negotiate any such
assets, without consent or signature from the grantor or any other person or
entity;
(iii) Furnish to the
grantor and the beneficiary a statement of all assets in the trust account upon
its inception and at intervals no less frequent than the end of each calendar
quarter;
(iv) Notify the grantor
and the beneficiary within ten days, of any deposits to or withdrawals from the
trust account;
(v) Upon written
demand of the beneficiary, immediately take any and all steps necessary to
transfer absolutely and unequivocally all right, title and interest in the
assets held in the trust account to the beneficiary and deliver physical
custody of the assets to the beneficiary; and
(vi) Allow no substitutions or withdrawals of
assets from the trust account, except on written instructions from the
beneficiary, except that the trustee may, without the consent of but with
notice to the beneficiary, upon call or maturity of any trust asset, withdraw
such asset upon condition that the proceeds are paid into the trust
account.
(g) The trust
agreement shall provide that at least thirty days, but not more than forty-five
days, prior to termination of the trust account, written notification of
termination shall be delivered by the trustee to the beneficiary.
(h) The trust agreement shall be made subject
to and governed by the laws of the state in which the trust is
established.
(i) The trust
agreement shall prohibit invasion of the trust corpus for the purpose of paying
compensation to, or reimbursing the expense of, the trustee.
(j) The trust agreement shall provide that
the trustee shall be liable for its own negligence, willful misconduct or lack
of good faith.
(k) Notwithstanding
other provisions of this regulation, when a trust agreement is established in
conjunction with a reinsurance agreement covering risks other than life,
annuities and accident and health, where it is customary practice to provide a
trust agreement for a specific purpose, such a trust agreement may,
notwithstanding any other conditions in this regulation, provide that the
ceding insurer shall undertake to use and apply amounts drawn upon the trust
account, without diminution because of the insolvency of the ceding insurer or
the assuming insurer, for the following purposes:
(i) To pay or reimburse the ceding insurer
for the assuming insurer's share under the specific reinsurance agreement
regarding any losses and allocated loss expenses paid by the ceding insurer,
but not recovered from the assuming insurer, or for unearned premiums due to
the ceding insurer if not otherwise paid by the assuming insurer;
(ii) To make payment to the assuming insurer
of any amounts held in the trust account that exceed one hundred two per cent
of the actual amount required to fund the assuming insurer's obligations under
the specific reinsurance agreement; or
(iii) Where the ceding insurer has received
notification of termination of the trust account and where the assuming
insurer's entire obligations under the specific reinsurance agreement remain
unliquidated and undischarged ten days prior to the termination date, to
withdraw amounts equal to the obligations and deposit those amounts in a
separate account, in the name of the ceding insurer in any qualified United
States financial institution as defined in division (B)(2) of section
3901.63
of the Revised Code apart from its general assets, in trust for such uses and
purposes specified in paragraphs
(J)(2)(k)(i) and
(J)
(2)(k)(ii) of this rule as may remain executory after such withdrawal and
for any period after the termination date.
(l) The reinsurance agreement entered into in
conjunction with the trust agreement may, but need not, contain the provisions
required by paragraph
(J)(4)(a)(i) of this rule, so long as these
required conditions are included in the trust agreement.
(m) Either the reinsurance agreement or the
trust agreement must stipulate that assets deposited in the trust account shall
be valued according to their current fair market value and shall consist only
of cash in United States dollars, certificates of deposit issued by a United
States bank and payable in United States dollars, and investments permitted by
the insurance code or any combination of the above, provided investments in or
issued by an entity controlling, controlled by or under common control with
either the grantor or the beneficiary of the trust shall not exceed five per
cent of total investments. The agreement may further specify the types of
investments to be deposited. If the reinsurance agreement covers life,
annuities or accident and health risks, then the provisions required by this
paragraph must be included in the reinsurance agreement.
(3) Permitted conditions.
(a) The trust agreement may provide that the
trustee may resign upon delivery of a written notice of resignation, effective
not less than ninety days after receipt by the beneficiary and grantor of the
notice and that the trustee may be removed by the grantor by delivery to the
trustee and the beneficiary of a written notice of removal, effective not less
than ninety days after receipt by the trustee and the beneficiary of the
notice, provided that no such resignation or removal shall be effective until a
successor trustee has been duly appointed and approved by the beneficiary and
the grantor and all assets in the trust have been duly transferred to the new
trustee.
(b) The grantor may have
the full and unqualified right to vote any shares of stock in the trust account
and to receive from time to time payments of any dividends or interest upon any
shares of stock or obligations included in the trust account. Any such interest
or dividends shall be either forwarded promptly upon receipt to the grantor or
deposited in a separate account established in the grantor's name.
(c) The trustee may be given authority to
invest, and accept substitutions of, any funds in the account, provided that no
investment or substitution shall be made without prior approval of the
beneficiary, unless the trust agreement specifies categories of investments
acceptable to the beneficiary and authorizes the trustee to invest funds and to
accept substitutions which the trustee determines are at least equal in market
value to the assets withdrawn and that are consistent with the restrictions in
paragraph
(J)(4)(a)(ii) of this rule.
(d) The trust agreement may provide that the
beneficiary may at any time designate a party to which all or part of the trust
assets are to be transferred. Such transfer may be conditioned upon the trustee
receiving, prior to or simultaneously, other specified assets.
(e) The trust agreement may provide that,
upon termination of the trust account, all assets not previously withdrawn by
the beneficiary shall, with written approval by the beneficiary, be delivered
over to the grantor.
(4)
Additional conditions applicable to reinsurance agreements.
(a) A reinsurance agreement, which is entered
into in conjunction with a trust agreement and the establishment of a trust
account, may contain provisions that:
(i)
Require the assuming insurer to enter into a trust agreement and to establish a
trust account for the benefit of the ceding insurer, and specifying what the
agreement is to cover;
(ii) Require
the assuming insurer, prior to depositing assets with the trustee to execute
assignments or endorsements in blank or to transfer legal title to the trustee
of all shares, obligations or any other assets requiring assignments, in order
that the ceding insurer, or the trustee upon the direction of the ceding
insurer, may whenever necessary negotiate these assets without consent or
signature from the assuming insurer or any other entity;
(iii) Require that all settlements of account
between the ceding insurer and the assuming insurer be made in cash or its
equivalent; and
(iv) Stipulate that
the assuming insurer and the ceding insurer agree that the assets in the trust
account, established pursuant to the provisions of the reinsurance agreement,
may be withdrawn by the ceding insurer at any time, notwithstanding any other
provisions in the reinsurance agreement, and shall be utilized and applied by
the ceding insurer or its successors in interest by operation of law, including
without limitation any liquidator, rehabilitator, receiver or conservator of
such company, without diminution because of insolvency on the part of the
ceding insurer or the assuming insurer, only for the following purposes:
(a) To reimburse the ceding insurer for the
assuming insurer's share of premiums returned to the owners of policies
reinsured under the reinsurance agreement because of cancellations of such
policies;
(b) To reimburse the
ceding insurer for the assuming insurer's share of surrenders and benefits or
losses paid by the ceding insurer pursuant to the provisions of the policies
reinsured under the reinsurance agreement;
(c) To fund an account with the ceding
insurer in an amount at least equal to the deduction, for reinsurance ceded,
from the ceding insurer liabilities for policies ceded under the agreement. The
account shall include, but not be limited to, amounts for policy reserves,
claims and losses incurred (including losses incurred but not reported), loss
adjustment expenses and unearned premium reserves; and
(d) To pay any other amounts the ceding
insurer claims are due under the reinsurance agreement.
(v) The reinsurance agreement may also
contain provisions that:
(a) Give the assuming
insurer the right to seek approval from the ceding insurer to withdraw from the
trust account all or any part of the trust assets and transfer those assets to
the assuming insurer, provided:
(i) The
assuming insurer shall, at the time of withdrawal, replace the withdrawn assets
with other qualified assets having a market value equal to the current fair
market value of the assets withdrawn so as to maintain at all times the deposit
in the required amount, or
(ii)
After withdrawal and transfer, the current fair market value of the trust
account is no less than one hundred two per cent of the required amount.
The ceding insurer shall not unreasonably or arbitrarily
withhold its approval.
(b) Provide for:
(i) The return of any amount withdrawn in
excess of the actual amounts required for paragraph
(J)(4)(a)
(iv) of this rule, or in the case of paragraph
(J)(4)(a)(iv)(d) of this rule, any amounts that are
subsequently determined not to be due; and
(ii) Interest payments, at a rate not in
excess of the prime rate of interest, on the amounts held pursuant to paragraph
(J)(4)(a)(iv)(c) of this rule.
(c) Permit the award by any arbitration panel
or court of competent jurisdiction of:
(i)
Interest at a rate different from that provided in paragraph
(J)(4)(b)(ii) of this rule,
(ii) Court of arbitration costs,
(iii) Attorney's fees, and
(iv) Any other reasonable expenses.
(b)
Financial reporting. A trust agreement may be used to reduce any liability for
reinsurance ceded to an unauthorized assuming insurer in financial statements
required to be filed with this department in compliance with the provisions of
this regulation when established on or before the date of filing of the
financial statement of the ceding insurer. Further, the reduction for the
existence of an acceptable trust account may be up to the current fair market
value of acceptable assets available to be withdrawn from the trust account at
that time, but such reduction shall be no greater than the specific obligations
under the reinsurance agreement that the trust account was established to
secure.
(c) Existing agreements.
Notwithstanding the effective date of this regulation, any trust agreement or
underlying reinsurance agreement in existence prior to December 31, 1997 will
continue to be acceptable until December 31, 1998, at which time the agreements
will have to be in full compliance with this regulation for the trust agreement
to be acceptable.
(d) The failure
of any trust agreement to specifically identify the beneficiary as defined in
paragraph
(J)(1)(a) of this rule shall not be construed to
affect any actions or rights which the superintendent may take or possess
pursuant to the provisions of the laws of this state.
(K) Letter of credit
qualified under paragraph
(I) of this rule
(1) The letter of credit must be clean,
irrevocable and unconditional and issued or confirmed by a qualified United
States financial institution as defined in division (B)(2) of section
3901.63
of the Revised Code. The letter of credit shall contain an issue date and date
of expiration and shall stipulate that the beneficiary need only draw a sight
draft under the letter of credit and present it to obtain funds and that no
other document need be presented. The letter of credit shall also indicate that
it is not subject to any condition or qualifications outside of the letter of
credit. In addition, the letter of credit itself shall not contain reference to
any other agreements, documents or entities, except as provided in paragraph
(K)(9)(a) of this rule. As used in this paragraph,
"beneficiary" means the domestic insurer for whose benefit the letter of credit
has been established and any successor of the beneficiary by operation of law.
If a court of law appoints a successor in interest to the named beneficiary,
then the named beneficiary includes and is limited to the court appointed
domiciliary receiver (including conservator, rehabilitator or
liquidator).
(2) The heading of the
letter of credit may include a boxed section which contains the name of the
applicant and other appropriate notations to provide a reference for the letter
of credit. The boxed section shall be clearly marked to indicate that such
information is for internal identification purposes only.
(3) The letter of credit shall contain a
statement to the effect that the obligation of the qualified United States
financial institution under the letter of credit is in no way contingent upon
reimbursement with respect thereto.
(4) The term of the letter of credit shall be
for at least one year and shall contain an "evergreen clause" which prevents
the expiration of the letter of credit without due notice from the issuer. The
"evergreen clause" shall provide for a period of no less than thirty days'
notice prior to expiry date or nonrenewal.
(5) The letter of credit shall state whether
it is subject to and governed by the laws of this state or the "Uniform Customs
and Practice for Documentary Credits of the International Chamber of Commerce
Publication 600 (UCP 600) or International Standby Practices of the
International Chamber of Commerce Publication 590 (ISP98)," and all drafts
drawn thereunder shall be presentable at an office in the United States of a
qualified United States financial institution.
(6) If the letter of credit is made subject
to the "Uniform Customs and Practice for Documentary Credits of the
International Chamber of Commerce (Publication 600)," then the letter of credit
shall specifically address and make provision for an extension of time to draw
against the letter of credit in the event that one or more of the occurrences
specified in "Article 19 of Publication 600 occur."
(7) The letter of credit shall be issued or
confirmed by a qualified United States financial institution authorized to
issue letters of credit, pursuant to division (B) (2) of section
3901.63
of the Revised Code.
(8) If the
letter of credit is issued by a financial institution authorized to issue
letters of credit, other than a qualified United States financial institution
as described in paragraph
(K)(7) of this rule, then the following
additional requirements shall be met:
(a) The
issuing financial institution shall formally designate the confirming qualified
United States financial institution as its agent for the receipt and payment of
the drafts, and
(b) The "evergreen
clause" shall provide for thirty days' notice prior to expiry date for
nonrenewal.
(9)
Reinsurance agreement provisions.
(a) The
reinsurance agreement in conjunction with which the letter of credit is
obtained may contain provisions which:
(i)
Require the assuming insurer to provide letters of credit to the ceding insurer
and specify what they are to cover.
(ii) Stipulate that the assuming insurer and
ceding insurer agree that the letter of credit provided by the assuming insurer
pursuant to the provisions of the reinsurance agreement may be drawn upon at
any time, notwithstanding any other provisions in the agreement, and shall be
utilized by the ceding insurer or its successors in interest only for one or
more of the following reasons:
(a) To
reimburse the ceding insurer for the assuming insurer's share of premiums
returned to the owners of policies reinsured under the reinsurance agreement on
account of cancellations of such policies;
(b) To reimburse the ceding insurer for the
assuming insurer's share of surrenders and benefits or losses paid by the
ceding insurer under the terms and provisions of the policies reinsured under
the reinsurance agreement;
(c) To
fund an account with the ceding insurer in an amount at least equal to the
deduction, for reinsurance ceded, from the ceding insurer's liabilities for
policies ceded under the agreement (such amount shall include, but not be
limited to, amounts for policy reserves, claims and losses incurred and
unearned premium reserves); and
(d)
To pay any other amounts the ceding insurer claims are due under the
reinsurance agreement.
(iii) All of the foregoing provisions of
paragraph
(K)(9) of this rule should be applied without
diminution because of insolvency on the part of the ceding insurer or assuming
insurer.
(b) Nothing
contained in paragraph
(K)(9) of this rule shall preclude the ceding
insurer and assuming insurer from providing for:
(i) An interest payment, at a rate not in
excess of the prime rate of interest, on the amounts held pursuant to paragraph
(K)(9)(a)(ii) of this rule and/or
(ii) The return of any amounts drawn down on
the letters of credit in excess of the actual amounts required for the above
or, in the case of paragraph
(K)(9)(a)(ii)(c) of this rule, any amounts that are
subsequently determined not to be due.
(c) When a letter of credit is obtained in
conjunction with a reinsurance agreement covering risks other than life,
annuities and health, where it is customary practice to provide a letter of
credit for a specific purpose, then the reinsurance agreement may, in lieu of
paragraph (K)(9)(a)(ii) of this rule, require that the parties
enter into a "Trust Agreement" which may be incorporated into the reinsurance
agreement or be a separate document.
(10) A letter of credit may not be used to
reduce any liability for reinsurance ceded to an unauthorized assuming insurer
in financial statements required to be filed with this department unless an
acceptable letter of credit with the filing ceding insurer as beneficiary has
been issued on or before the date of filing of the financial statement.
Further, the reduction for the letter of credit may be up to the amount
available under the letter of credit but no greater than the specific
obligation under the reinsurance agreement which the letter of credit was
intended to secure.
(L) Other security
A ceding insurer may take credit for unencumbered funds
withheld by the ceding insurer in the United States subject to withdrawal
solely by the ceding insurer and under its exclusive control.
(M)
Reinsurance contract
Credit will not be granted to a ceding insurer for reinsurance
effected with assuming reinsurers meeting the requirements of this rule after
the effective date of this rule unless the reinsurance agreement:
(1) Includes a proper insolvency clause
pursuant to divisions (A)(1) and (A)(2) of section
3901.64
of the Revised Code; and
(2)
Includes a provision whereby the assuming insurer, if an unauthorized assuming
insurer, has submitted to the jurisdiction of an alternate dispute resolution
panel or court of competent jurisdiction within the United States, has agreed
to comply with all requirements necessary to give such court or panel
jurisdiction, has designated an agent upon whom service of process may be
effected, and has agreed to abide by the final decision of such court or
panel.
(N) Contracts affected
All new and renewal reinsurance transactions entered into after
December 31, 1997 shall conform to the requirements of sections
3901.61
to 3901.65 of the Revised Code
and this rule if credit is to be given to the ceding insurer for such
reinsurance.
(O) Severability
If any paragraph, term or provision of this rule is adjudged
invalid for any reason, the judgment shall not affect, impair or invalidate any
other paragraph, term or provision of this rule, but the remaining paragraphs,
terms and provisions shall be and continue in full force and effect.
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Appendix
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Appendix
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Appendix
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Appendix
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Appendix