(c) Credit for
reinsurance will be allowed if the reinsurance is ceded from an insurer
domiciled in this state to an assuming insurer meeting the following
conditions.
(1) The assuming insurer must be
licensed to transact reinsurance by, and have its principal office in or be
domiciled in, a reciprocal jurisdiction.
(2) The assuming insurer must have and
maintain on an ongoing basis minimum capital and surplus, or its equivalent,
calculated at least annually as of the preceding December 31 or at the annual
date otherwise statutorily reported to the reciprocal jurisdiction in the
amounts stated in subparagraphs (A) and (B) of this paragraph. Satisfaction of
this requirement must be confirmed as required by paragraph (7) of this
subsection, according to the methodology of the assuming insurer's domiciliary
jurisdiction. The amounts are:
(A) not less
than $250,000,000; or
(B) if the
assuming insurer is an association, including incorporated and individual
unincorporated underwriters:
(i) minimum
capital and surplus equivalents (net of liabilities) or own funds of the
equivalent of at least $250,000,000; and
(ii) a central fund containing a balance of
the equivalent of at least $250,000,000.
(3) The assuming insurer must have and
maintain on an ongoing basis a minimum solvency or capital ratio, as
applicable, as follows:
(A) if the assuming
insurer has its principal office or is domiciled in a reciprocal jurisdiction
described by subsection (b)(1) of this section, the ratio specified in the
applicable covered agreement;
(B)
if the assuming insurer is domiciled in a reciprocal jurisdiction described by
subsection (b)(2) of this section, a risk-based capital ratio of 300% of the
authorized control level, calculated with use of the formula developed by the
NAIC; or
(C) if the assuming
insurer is domiciled in a reciprocal jurisdiction described by subsection
(b)(3) of this section, a solvency or capital ratio that the Commissioner,
after consulting with the reciprocal jurisdiction and considering any
recommendations published through the NAIC committee process, determines to be
an effective measure of solvency.
(4) The assuming insurer must agree to the
following requirements and provide adequate assurance of its agreement by
presenting a properly executed Form RJ-1, adopted by reference in §
7.614 of this title (relating to
Posting of Information, Submissions, and Adoption of Forms by Reference).
(A) The assuming insurer must agree to
provide prompt written notice and explanation to the Commissioner if it fails
to meet the minimum requirements of paragraph (2) or (3) of this subsection, or
if any regulatory action is taken against it for serious noncompliance with
applicable law.
(B) The assuming
insurer must consent in writing to the jurisdiction of this state's courts and
the appointment of the Commissioner as agent for service of process.
(i) The Commissioner may require that the
consent be provided and included in each reinsurance agreement under the
Commissioner's jurisdiction.
(ii)
Nothing in this provision limits or in any way alters the capacity of parties
to a reinsurance agreement to agree to alternative dispute resolution
mechanisms, except to the extent the agreement to an alternative dispute
resolution mechanism is unenforceable under applicable insolvency or
delinquency laws.
(C) The
assuming insurer must agree in writing to pay all final judgments, wherever
enforcement is sought, obtained by a ceding insurer, that have been declared
enforceable in the jurisdiction where the judgment was obtained.
(D) Each reinsurance agreement must require
the assuming insurer to provide security in an amount equal to 100% of the
assuming insurer's liabilities attributable to reinsurance ceded under the
relevant 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.
(E) The assuming
insurer must confirm that it is not presently participating in any solvent
scheme of arrangement involving this state's ceding insurers. The assuming
insurer must agree to notify the ceding insurer and the Commissioner and to
provide 100% security to the ceding insurer consistent with the terms of the
scheme should the assuming insurer enter into a solvent scheme of arrangement.
The security must be in a form consistent with the provisions of Insurance Code
§
493.104, concerning
Credit for Funds Security Reinsurance Obligations, and §493.105, concerning
Acceptability of Certain Letters of Credit, and §
7.609 of this title (relating to
Trust Agreement Requirements) and §
7.610 of this title (relating to
Letter of Credit Requirements). In this section, the term "solvent scheme of
arrangement" means a foreign or alien statutory or regulatory compromise
procedure subject to majority creditor approval and judicial sanction in the
assuming insurer's domiciliary jurisdiction that finally commutes liabilities
of duly noticed class members or creditors of a solvent debtor, or reorganizes
or restructures the debts and obligations of a solvent debtor on a final basis,
and which may be subject to judicial recognition and enforcement by a governing
authority outside the ceding insurer's domiciliary jurisdiction.
(F) The assuming insurer must agree in
writing to comply with paragraph (5) of this subsection.
(5) The assuming insurer or its legal
successor on behalf of itself and any legal predecessors must provide to the
Commissioner, on the Commissioner's request, the following documentation:
(A) for the two years before entering into
the reinsurance agreement and subsequently on an annual basis, the assuming
insurer's annual audited financial statements, including the external audit
report, prepared under the law of the jurisdiction of the assuming insurer's
principal office or domiciliary jurisdiction, as applicable;
(B) for the two years before entering into
the reinsurance agreement, the solvency and financial condition reports or
actuarial opinion, if filed with the assuming insurer's supervisor;
(C) before entering into the reinsurance
agreement and subsequently not more than semiannually, an updated list of all
disputed and overdue reinsurance claims outstanding for 90 days or more,
regarding reinsurance assumed from ceding insurers domiciled in the United
States; and
(D) before entering
into the reinsurance agreement and subsequently not more than semiannually,
information about 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
prompt payment criteria under paragraph (6) of this subsection.
(6) The assuming insurer must
maintain a practice of prompt payment of claims under reinsurance agreements.
The lack of prompt payment is evidenced by any of the following criteria:
(A) more than 15% of the reinsurance
recoverables from the assuming insurer is overdue and in dispute as reported to
the Commissioner;
(B) more than 15%
of the assuming insurer's ceding insurers or reinsurers have undisputed
reinsurance recoverables on paid losses that are overdue by 90 days or more and
exceed for each ceding insurer $100,000, or as otherwise specified in a covered
agreement; or
(C) the undisputed
aggregate amount of reinsurance recoverable on paid losses is overdue by 90
days or more and exceeds $50,000,000, or as otherwise specified in a covered
agreement.
(7) The
assuming insurer's supervisory authority must confirm to the Commissioner
annually that the assuming insurer complies with paragraphs (2) and (3) of this
subsection.
(8) Nothing in this
subsection precludes an assuming insurer from voluntarily providing the
Commissioner with information.