Current through Reg. 50, No. 13; March 28, 2025
(a) Definitions
for this section. The following words and terms, when used in this section,
have the following meanings, unless the context clearly indicates otherwise.
(1) Beneficiary--The entity for whose benefit
the trust has been established; the ceding insurer and any successor by
operation of law of the ceding insurer including, without limitation, any
liquidator, receiver, conservator, or supervisor.
(2) Grantor--The entity that has established
a trust for the sole benefit of the beneficiary; the assuming
insurer.
(3) Obligations--The sum
total of trust property as set forth in subsection (b)(11) of this section
which, unless specifically excluded under the reinsurance agreement is:
(A) reinsured losses and allocated loss
expenses paid by the ceding insurer, but not recovered from the assuming
insurer;
(B) reserves for reinsured
losses reported and outstanding;
(C) reserves for reinsured losses incurred
but not reported and corresponding allocated loss expenses;
(D) reserves for unearned premiums;
and
(E) reserves for mortality and
morbidity.
(4) Trustee--A
qualified United States financial institution.
(b) Required conditions in trust agreements.
(1) The agreement must be in the form of a
written trust agreement made and entered into among the beneficiary, the
grantor, and a trustee, which must be a qualified United States financial
institution.
(2) The trust
agreement must create a trust account into which assets must be
deposited.
(3) All assets in the
trust account must be held by the trustee at the trustee's office in the United
States. The written notice described in paragraph (4) of this subsection must
be presentable at the trustee's office in the United States.
(4) The trust agreement must comply with
subparagraphs (A)-(C) of this paragraph.
(A)
The trust agreement must stipulate that the beneficiary will 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 and
the terms of the trust agreement.
(B) No statement or document, other than the
written notice from the beneficiary to the trustee, will be accepted to
withdraw assets; the beneficiary may be required to acknowledge receipt of
withdrawn assets.
(C) The trust
agreement must indicate that it is not subject to any conditions or
qualifications outside of the trust agreement and must not be conditioned on
any other agreements or documents except as provided in paragraph (11) of this
subsection.
(5) The trust
agreement must be established for the sole benefit of the
beneficiary.
(6) The trust
agreement must provide for the trustee to:
(A)
receive assets and hold all assets in safekeeping;
(B) determine that all assets are in such
form that the beneficiary, or the trustee on direction by the beneficiary, may,
whenever necessary, negotiate any such assets, without consent or signature
from the grantor or any other person;
(C) furnish to the grantor and the
beneficiary a statement of all assets in the trust account on its inception and
at intervals no less frequent than the end of each calendar year
quarter;
(D) notify the grantor and
the beneficiary, within 10 days, of any deposits to or withdrawals from the
trust account;
(E) on 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 such assets to the beneficiary; and
(F) allow no substitutions or withdrawals of
assets from the trust account, except on written instructions from the
beneficiary; or the trustee may, without the consent of but with written notice
to the beneficiary, on call or maturity of any trust asset, withdraw such asset
on condition that the proceeds are paid or deposited into the trust
account.
(7) The trust
agreement must provide that at least 30 days prior to termination of the trust
account, written notification of termination must be delivered by the trustee
via certified mail to the beneficiary and TDI.
(8) The trust agreement must specify whether
it is subject to and governed by the laws of either the state in which the
trust is established or the state in which the ceding insurer is domiciled as
specified in the trust agreement.
(9) The trust agreement must prohibit
invasion of the trust corpus in excess of one percent of the corpus per annum
for the purpose of paying compensation to, or reimbursing the expenses of, the
trustee.
(10) The trust agreement
must provide that the trustee will be liable for its own negligence, willful
misconduct, lack of good faith, or breach of fiduciary duty.
(11) When a trust agreement is established in
conjunction with a reinsurance agreement and where it is customary practice to
provide a trust agreement for a specific purpose, such trust agreement must,
notwithstanding any other conditions in this section, provide that the ceding
insurer must undertake to use and apply amounts drawn on the trust account,
without diminution because of the insolvency of the ceding insurer or the
assuming insurer, for the following purposes:
(A) to pay or reimburse such 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;
(B) to make payment to the assuming insurer
of any amounts held in the trust account that exceed 102 percent of the actual
amount required to fund the assuming insurer's obligations under the specific
reinsurance agreement; or
(C) 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 10 days prior to
such termination date, the ceding insurer withdraws amounts equal to such
obligations and deposits such amounts in a separate account, in the name of the
ceding insurer in any qualified United States financial institution apart from
its general assets, in trust for such uses and purposes specified in
subparagraphs (A) and (B) of this paragraph as may remain executory after such
withdrawal and for any period after such termination date.
(12) The reinsurance agreement entered into
in conjunction with such a trust agreement may, but need not, contain the
provisions required by subsection (d)(1)(B) of this section, provided that
these provisions are included in the trust agreement.
(13) The assuming insurer agrees in the trust
agreement to comply with the requirements of Insurance Code §
493.1561.
(c) Permitted conditions in trust agreements.
(1) The trust agreement must provide that the
trustee may resign on delivery of a written notice of resignation, effective
not less than 90 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 90 days after receipt by the trustee and the beneficiary of the notice,
provided that no such resignation or removal will 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.
(2) The trustee must be
given authority to invest any of the funds in the account, provided that no
investment may be made without prior approval of the beneficiary, unless the
trust agreement specifies categories of investments acceptable to the
beneficiary that are consistent with the restrictions in subsection (d)(1)(B)
of this section.
(3) The trust
agreement must provide that, on termination of the trust account, all assets
not previously withdrawn by the beneficiary must, with written approval by the
beneficiary, be delivered over to the grantor.
(4) The trust agreement must require the
assuming insurer, prior to depositing assets with the trustee, to execute
assignments, endorsements in blank, or transfer legal title to the trustee of
all shares, obligations, or any other assets requiring assignments, in order
that the beneficiary, or the trustee on the direction of the beneficiary may,
whenever necessary, negotiate any such assets without consent or signature from
the assuming insurer or any other entity.
(d) Additional conditions applicable to
reinsurance agreements.
(1) A reinsurance
agreement, which is entered into in conjunction with a trust agreement and the
establishment of a trust account, must contain provisions that:
(A) 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 such agreement is to cover;
(B) stipulate that assets deposited in the
trust account must be valued, according to their current fair market value, and
must consist only of, in any combination, cash (United States legal tender),
certificates of deposit (issued by a bank organized under the laws of the
United States, or located in the United States, and payable in United States
legal tender), or investments of the types permitted by Insurance Code §
493.104 provided that
such investments are issued by an institution that is not the parent,
subsidiary, or affiliate of either the grantor or the beneficiary;
(C) require that all settlements of account
between the ceding insurer and the assuming insurer be made in cash or its
equivalent; and
(D) 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 must be utilized and applied by
the ceding insurer or its successors in interest by operation of law, including
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:
(i) 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;
(ii) 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;
(iii) in the event of notice of termination
of the trust, 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 account must include
amounts for policy reserves, claims and losses incurred (including losses
incurred but not reported), loss adjustment expenses, and unearned premiums
reserves; and
(iv) to pay any other
amounts due the ceding insurer under the reinsurance
agreement.
(2)
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 aforementioned trust
account all or any part of the assets contained therein and transfer such
assets to the assuming insurer, provided:
(i)
the assuming insurer must at the time of such withdrawal, replace the withdrawn
assets with other qualified assets having a market value equal to the market
value of the assets withdrawn so as to maintain at all times the deposit in the
required amount; or
(ii) after such
withdrawal and transfer, the market value of the trust account is no less than
102 percent of the required amount; and
(iii) the ceding insurer must be the sole
judge as to the application of this subparagraph, but must not unreasonably or
arbitrarily withhold its approval;
(B) provide for the return of any amount
withdrawn in excess of the actual amounts required for paragraph
(1)(D)(i)-(iii) of this subsection or, in the case of paragraph (1)(D)(iv) of
this subsection, any amounts that are subsequently determined not to be
due;
(C) provide for interest
payments to the assuming insurer, at a rate not in excess of the rate of
interest earned, on the amounts held pursuant to paragraph (1)(D)(iii) of this
subsection; or
(D) permit the award
by any arbitration panel or court of competent jurisdiction of:
(i) interest at a rate different from that
provided in subparagraph (C) of this paragraph;
(ii) court or arbitration costs;
(iii) attorney's fees; and
(iv) any other reasonable expenses.
(e) Reduction
in liability for reinsurance ceded to an unauthorized insurer. 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
TDI in compliance with the provisions of this section when established on or
before the date 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 must be no greater than the
specific obligations under the reinsurance agreement that the trust account was
established to secure.