(215 ILCS 107/1)
Sec. 1.
Short title.
This Act may be cited as the Producer Controlled Insurer Act.
(Source: P.A. 87-1090.)
(215 ILCS 107/5)
Sec. 5.
Definitions.
As used in this Act, the terms defined in the
Sections that follow this Section and precede Section 6 have the meanings
set forth in those Sections.
(Source: P.A. 87-1090.)
(215 ILCS 107/5.05)
Sec. 5.05.
Accredited state.
"Accredited state" means a state in
which the insurance regulatory agency has qualified as meeting the minimum
financial regulatory standards promulgated and established from time to
time by the National Association of Insurance Commissioners.
(Source: P.A. 87-1090.)
(215 ILCS 107/5.10)
Sec. 5.10.
Captive Insurer.
"Captive insurer" is
defined as in Section 123C-1 of the Illinois Insurance Code.
(Source: P.A. 87-1090.)
(215 ILCS 107/5.15)
Sec. 5.15.
Control or controlled.
"Control" or "controlled" has the
meaning ascribed thereto in Article VIII 1/2 of the Illinois Insurance Code.
(Source: P.A. 87-1090.)
(215 ILCS 107/5.20)
Sec. 5.20.
Controlled insurer.
"Controlled insurer" means a licensed
insurer that is controlled directly or indirectly by a producer.
(Source: P.A. 87-1090.)
(215 ILCS 107/5.25)
Sec. 5.25.
Controlling producer.
"Controlling producer" means a
producer that directly or indirectly controls an insurer.
(Source: P.A. 87-1090.)
(215 ILCS 107/5.30)
Sec. 5.30.
Licensed insurer or insurer.
"Licensed insurer" or "insurer"
means any person, firm, association, or corporation duly licensed to transact a
property or casualty insurance business in this State except that, for the
purposes of this Act, the following entities are not licensed insurers:
(Source: P.A. 87-1090.)
(215 ILCS 107/5.35)
Sec. 5.35.
Producer.
"Producer" means any person, firm, association,
or corporation that for compensation, commission, or other thing of value
acts or aids in any manner in soliciting, negotiating, or procuring the
making of any insurance contract on behalf of another.
(Source: P.A. 87-1090.)
(215 ILCS 107/5.40)
Sec. 5.40.
Director.
"Director" means the Director
of the Department of Insurance.
(Source: P.A. 87-1090.)
(215 ILCS 107/10)
Sec. 10. Applicability. This Act applies to licensed insurers
domiciled in this State or domiciled in a state that is not an accredited
state having in effect a substantially similar law. All provisions of
Article VIII 1/2 of the Illinois Insurance Code, to the extent not superseded
by this Act, shall apply to all parties within holding company systems
subject to this Act.
(Source: P.A. 96-1000, eff. 7-2-10.)
(215 ILCS 107/15)
Sec. 15.
Minimum standards.
(a) Controlled insurers and controlling producers must comply with the
provisions of this Section no later than 60 days after the effective date
of this Act.
(b) Except as provided in subsection (c), this Section shall apply if,
in any calendar year, the aggregate of gross written premium on business
placed with a controlled insurer by a controlling producer is equal to or
greater than 5% of the admitted assets of the controlled insurer as
reported in the controlled insurer's annual statement filed as of December
31 of the prior year.
(c) Notwithstanding the provisions of subsection (b), this Section shall
not apply if the following circumstances exist:
(d) A controlled insurer shall not accept business from a controlling
producer and a controlling producer shall not place business with a
controlled insurer unless: (i) there is a written contract between the
controlling producer and the insurer specifying the responsibilities
of each party, (ii) the contract has been approved by the board of directors of
the insurer, and (iii) the contract contains, at a minimum, all of the
following provisions:
(e) Every controlled insurer shall have an audit committee of the board
of directors composed of independent directors. The audit committee shall
meet annually with management, the insurer's independent certified public
accountants, and an independent casualty actuary or other independent loss
reserve specialist acceptable to the Director to review the adequacy of the
insurer's loss reserves.
(f) In addition to any other required loss reserve certification, on
April 1 of each year the controlled insurer shall file with the Director an
opinion of an independent casualty actuary or another independent loss
reserve specialist acceptable to the Director reporting loss ratios for
each line of business written and attesting to the adequacy of loss
reserves established for losses incurred and outstanding as of the end of
the previous year including, but not limited to, losses incurred but not
reported on business placed by the controlling producer. On April 1 of
each year the insurer shall report to the Director (i) the amount of
commissions paid to the controlling producer and the percentage of the net
premiums written that amount represents and (ii) the amount of commissions paid
to noncontrolling producers for placements of the same kinds of insurance
and the percentage of the net premiums written that amount represents.
(Source: P.A. 87-1090.)
(215 ILCS 107/20)
Sec. 20.
Disclosure.
The producer shall deliver written notice to
the prospective insured before the effective date of any policy disclosing
the relationship between the producer and the controlled insurer; except
that if the business is placed through a subproducer who is not a
controlling producer, the controlling producer shall retain in his records
a signed commitment from the subproducer that the subproducer is aware of the
relationship between the controlling producer and the insurer and that the
subproducer has or will notify the insured. The requirements of this Section
apply to all policies written or renewed more than 59 days after the effective
date of this Act.
(Source: P.A. 87-1090.)
(215 ILCS 107/25)
Sec. 25.
Penalties.
(a) If the Director believes that the controlling producer or any other
person has not materially complied with this Act or any regulation or order
promulgated hereunder, after notice and opportunity to be heard, the Director
may order the controlling producer to cease placing business with the
controlled insurer. If it is found that the controlled insurer or any
policyholder thereof has suffered any loss or damage because of the material
noncompliance, the Director may maintain a civil action or intervene in an
action brought by or on behalf of the insurer or policyholder for recovery of
compensatory damages or other appropriate relief. This subsection (a) shall
not be construed to prevent any other person from taking civil action against a
controlling producer.
(b) If an order for liquidation or rehabilitation of the controlled
insurer has been entered under Article XIII of the Illinois Insurance Code
and the receiver appointed under that order believes that the controlling
producer or any other person has not materially complied with this Act or
any regulation or order promulgated hereunder and the insurer suffered any
loss or damage as a result, the receiver may maintain a civil action for
recovery of damages or other appropriate sanctions for the benefit of the
insurer.
(c) Nothing in this Section shall affect the right of the Director to
impose any other penalties authorized under the Illinois Insurance Code.
(d) Nothing in this Section is intended to, or shall in any manner,
alter or affect the rights of policyholder, claimants, creditors, or other
third parties.
(Source: P.A. 87-1090; 88-364.)
(215 ILCS 107/30)
Sec. 30.
Administration of Act.
The Department of Insurance shall
administer this Act and may promulgate reasonable and necessary rules for that
purpose.
(Source: P.A. 87-1090.)
(215 ILCS 107/99)
Sec. 99.
This Act takes effect upon becoming law.
(Source: P.A. 87-1090.)
Structure Illinois Compiled Statutes
215 ILCS 5/ - Illinois Insurance Code.
215 ILCS 93/ - Small Employer Health Insurance Rating Act.
215 ILCS 97/ - Illinois Health Insurance Portability and Accountability Act.
215 ILCS 100/ - Reinsurance Intermediary Act.
215 ILCS 105/ - Comprehensive Health Insurance Plan Act.
215 ILCS 106/ - Childrens Health Insurance Program Act.
215 ILCS 107/ - Producer Controlled Insurer Act.
215 ILCS 109/ - Dental Care Patient Protection Act.
215 ILCS 110/ - Dental Service Plan Act.
215 ILCS 111/ - Uniform Electronic Transactions in Dental Care Billing Act.
215 ILCS 113/ - Employee Leasing Company Act.
215 ILCS 115/ - Employees Dental Freedom of Choice Act.
215 ILCS 120/ - Farm Mutual Insurance Company Act of 1986.
215 ILCS 121/ - Navigator Certification Act.
215 ILCS 122/ - Illinois Health Benefits Exchange Law.
215 ILCS 123/ - Health Care Purchasing Group Act.
215 ILCS 124/ - Network Adequacy and Transparency Act.
215 ILCS 125/ - Health Maintenance Organization Act.
215 ILCS 130/ - Limited Health Service Organization Act.
215 ILCS 132/ - Illinois Long-Term Care Partnership Program Act.
215 ILCS 134/ - Managed Care Reform and Patient Rights Act.
215 ILCS 136/ - Portable Electronics Insurance Act.
215 ILCS 138/ - Uniform Prescription Drug Information Card Act.
215 ILCS 139/ - Uniform Health Care Service Benefits Information Card Act.
215 ILCS 145/ - Property Fire Loss Act.
215 ILCS 150/ - Religious and Charitable Risk Pooling Trust Act.
215 ILCS 152/ - Service Contract Act.
215 ILCS 153/ - Structured Settlement Protection Act.
215 ILCS 155/ - Title Insurance Act.
215 ILCS 156/ - Topical Eye Medication Prescription Act.
215 ILCS 157/ - Use of Credit Information in Personal Insurance Act.
215 ILCS 159/ - Viatical Settlements Act of 2009.
215 ILCS 165/ - Voluntary Health Services Plans Act.
215 ILCS 170/ - Covering ALL KIDS Health Insurance Act.
215 ILCS 175/ - Organ Transplant Medication Notification Act.
215 ILCS 180/ - Health Carrier External Review Act.
215 ILCS 185/ - Unclaimed Life Insurance Benefits Act.
215 ILCS 190/ - Short-Term, Limited-Duration Health Insurance Coverage Act.
215 ILCS 200/ - Prior Authorization Reform Act.
215 ILCS 205/ - Private Primary Residential Flood Insurance Act.
215 ILCS 210/ - Health Insurance Coverage Premium Misalignment Study Act.