Effective - 28 Aug 2007
376.302. Mortgage interests, may be acquired, when — other real estate interests. — 1. (1) Subject to the limitations of section 376.297, an insurer may acquire directly or indirectly through limited partnership interests and general partnership interests not otherwise prohibited by subsection 4 of section 376.294, joint ventures, stock of an investment subsidiary or membership interests in a limited liability company, trust certificates, or other similar instruments or obligations secured by mortgages on real estate situated within a domestic jurisdiction, but a mortgage loan which is secured by other than a first lien shall not be acquired under this subdivision unless the insurer is the holder of the first lien. The obligations held by the insurer and any obligations with an equal lien priority shall not at the time of acquisition of the obligation exceed:
(a) Ninety percent of the fair market value of the real estate if the mortgage loan is secured by a purchase money mortgage or like security received by the insurer upon disposition of the real estate;
(b) Eighty percent of the fair market value of the real estate if the mortgage requires immediate scheduled payment in periodic installments of principal and interest and has an amortization period of thirty years or less and periodic payments not less than annually. Each periodic payment shall be sufficient to assure that at all times:
a. The outstanding principal balance of the mortgage loan is not greater than the outstanding principal balance that would be outstanding under a mortgage loan with the same original principal balance and interest rate; and
b. There are equal payments of principal and interest with the same frequency over the same amortization period.
Mortgage loans permitted under this subsection are permitted notwithstanding the fact that they provide for a payment of the principal balance prior to the end of the period of the amortization of the loan. For residential mortgage loans, the eighty percent limitation may be increased to ninety-seven percent if acceptable private mortgage insurance has been obtained; or
(c) Seventy-five percent of the fair market value of the real estate for mortgage loans that do not meet the requirements of paragraph (a) or (b) of this subdivision.
(2) For purposes of subdivision (1) of this subsection, the amount of an obligation required to be included in the calculation of the loan-to-value ratio may be reduced to the extent the obligation is insured by the Federal Housing Administration or guaranteed by the Administrator of Veterans' Affairs, or their successor.
(3) Subject to the limitations of section 376.297, an insurer may acquire directly or indirectly through limited partnership interests and general partnership interests not otherwise prohibited by subsection 4 of section 376.294, joint ventures, stock of an investment subsidiary or membership interests in a limited liability company, trust certificates, or other similar instruments or obligations secured by a second mortgage on real estate situated within a domestic jurisdiction other than as authorized in subdivision (1) of this subsection. The obligation held by the insurer shall be the sole second lien priority obligation and shall not at the time of acquisition of the obligation exceed seventy percent of the amount by which the fair market value of the real estate exceeds the amount outstanding under the first mortgage.
(4) A mortgage loan that is held by an insurer under subdivision (6) of subsection 1 of section 376.293 or acquired under this section and is restructured in a manner that meets the requirements of a restructured mortgage loan in accordance with the NAIC Accounting Practices and Procedures Manual or its successor publication shall continue to qualify as a mortgage loan.
(5) Subject to the limitations of section 376.297, credit lease transactions that do not qualify for investment under section 376.298 with the following characteristics shall be exempt from the provisions of subdivision (1) of this subsection:
(a) The loan amortizes over the initial fixed lease term at least in an amount sufficient so that the loan balance at the end of the lease term does not exceed the original appraised value of the real estate;
(b) The lease payments cover or exceed the total debt service over the life of the loan;
(c) A tenant or its affiliated entity whose rated credit instruments have a SVO "1" or "2" designation or a comparable rating from a nationally recognized statistical rating organization recognized by the SVO has a full faith and credit obligation to make the lease payments;
(d) The insurer holds or is the beneficial holder of a first lien mortgage on the real estate;
(e) The expenses of the real estate are passed through to the tenant, excluding exterior structural, parking and heating, ventilation and air conditioning replacement expenses, unless annual escrow contributions from cash flows derived from the lease payments cover the expense shortfall; and
(f) There is a perfected assignment of the rents due under the lease to or for the benefit of the insurer.
2. (1) An insurer may acquire, manage, and dispose of real estate situated in a domestic jurisdiction directly or indirectly through limited partnership interests and general partnership interests not otherwise prohibited by subsection 4 of section 376.294, joint ventures, stock of an investment subsidiary or membership interests in a limited liability company, trust certificates, or other similar instruments. The real estate shall be income producing or intended for improvement or development for investment purposes under an existing program in which case the real estate shall be deemed to be income producing.
(2) The real estate may be subject to mortgages, liens, or other encumbrances, and the amount of which shall, to the extent that the obligations secured by the mortgages, liens, or encumbrances are without recourse to the insurer, be deducted from the amount of the investment of the insurer in the real estate for purposes of determining compliance with subdivisions (2) and (3) of subsection 4 of this section.
3. An insurer may acquire, manage, and dispose of real estate for the convenient accommodation of the insurer's (which may include its affiliates) business operations, including home office, branch office, and field office operations. Such real estate acquired may:
(1) Include excess space for rent to others if the excess space at its fair market value would otherwise be a permitted investment under subsection 2 of this section and is so qualified by the insurer; or
(2) Be subject to one or more mortgage, lien, or other encumbrance, and the amount of which shall, to the extent that the obligations secured by the mortgages, liens, or encumbrances are without recourse to the insurer, be deducted from the amount of the investment of the insurer in the real estate for purposes of determining compliance with subsection 4 of this section.
For purposes of this subsection, business operations shall not include that portion of real estate used for the direct provision of health care services by an accident and health insurer for its insureds. An insurer may acquire real estate used for these purposes under subsection 2 of this section.
4. An insurer may not acquire an investment:
(1) Under subsection 1 of this section, if as a result of, and after giving effect to the investment, the aggregate amount of all investments then held by the insurer under subsection 1 of this section would not exceed:
(a) One percent of its admitted assets in mortgage loans covering any one secured location;
(b) One-fourth of one percent of its admitted assets in construction loans covering any one secured location; or
(c) Two percent of its admitted assets in construction loans in the aggregate;
(2) Under subsection 2 of this section if as a result of and after giving effect to the investment and any outstanding guarantees made by the insurer in connection with the investment the aggregate amount of investments then held by the insurer under subsection 2 of this section plus the guarantees then outstanding would exceed:
(a) One percent of its admitted assets in one parcel or group of contiguous parcels of real estate, except that this limitation shall not apply to that portion of real estate used for the direct provision of health care services by an accident and health insurer for its insureds, such as hospitals, medical clinics, medical professional buildings, or other health facilities for the purposes of providing health services; or
(b) Fifteen percent of its admitted assets in the aggregate but not more than five percent of its admitted assets in real estate to be improved or developed;
(3) Under subsection 1 or 2 of this section if as a result of and after giving effect to the investment and any guarantees made by the insurer in connection with the investment the aggregate amount of all investments then held by the insurer under subsections 1 and 2 of this section plus the guarantees then outstanding would exceed forty-five percent of its admitted assets. However, an insurer may exceed this limitation by no more than thirty percent of its admitted assets if:
(a) This increased amount is invested only in residential mortgage loans;
(b) The insurer has no more than ten percent of its admitted assets invested in mortgage loans other than residential mortgage loans;
(c) The loan-to-value ratio of each residential mortgage loan does not exceed sixty percent at the time the mortgage loan is qualified under this increased authority and the fair market value is supported by an appraisal no more than two years old prepared by an independent appraiser;
(d) A single mortgage loan qualified under this increased authority does not exceed one-half of one percent of its admitted assets;
(e) The insurer files with the director and receives approval from the director for a plan that is designed to result in a portfolio of residential mortgage loans that is geographically diversified; and
(f) The insurer agrees to file annually with the director records that demonstrate that its portfolio of residential mortgage loans is geographically diversified in accordance with the plan.
The limitations of section 376.297 shall not apply to an insurer's acquisition of real estate under subsection 3 of this section. An insurer shall not acquire real estate under subsection 3 of this section if as a result of and after giving effect to the acquisition the aggregate amount of real estate then held by the insurer under subsection 3 of this section would exceed ten percent of its admitted assets. With the permission of the director, additional amounts of real estate may be acquired under subsection 3 of this section.
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(L. 2007 S.B. 66)
Structure Missouri Revised Statutes
Title XXIV - Business and Financial Institutions
Chapter 376 - Life, Health and Accident Insurance
Section 376.005 - Definitions.
Section 376.010 - Who may form company — purposes.
Section 376.020 - Various companies defined.
Section 376.050 - Declaration of corporators.
Section 376.060 - Stock companies — content of charter.
Section 376.070 - To be submitted to attorney general.
Section 376.080 - Director to examine, when.
Section 376.090 - To furnish certificate of deposit, when.
Section 376.100 - Mutual companies — contents of charter.
Section 376.110 - To be submitted to attorney general.
Section 376.120 - Director to examine and certify, when.
Section 376.130 - To furnish certificate of deposit, when.
Section 376.145 - Officers of stock company to continue as officers of mutual.
Section 376.147 - Meetings of board of mutual, notice — executive committee of board, powers.
Section 376.150 - Stock and mutual companies — content of charter.
Section 376.160 - Formation of stock and mutual companies.
Section 376.170 - Special deposits for registered policies and annuity bonds.
Section 376.190 - Additional deposits required.
Section 376.200 - Definition of net value.
Section 376.210 - Excess deposits.
Section 376.220 - May use realty to secure notes and bonds.
Section 376.230 - Changing of securities on deposit.
Section 376.240 - Deposits to be held in trust by director.
Section 376.250 - Deposits to be kept separate.
Section 376.260 - Fees collected by director of revenue.
Section 376.270 - Director may proceed against depositary companies.
Section 376.280 - Capital necessary to do business — how invested.
Section 376.290 - Deposit and transfer of securities.
Section 376.291 - Applicability and inapplicability.
Section 376.292 - Definitions.
Section 376.293 - Permissible investments — written plan for investments required.
Section 376.294 - Prohibited acts.
Section 376.295 - Additional prohibited acts — authorized actions.
Section 376.296 - Value of investments, how calculated.
Section 376.297 - Investment subsidiaries not permitted, when.
Section 376.298 - Acquisition of rate credit instruments, when.
Section 376.300 - Equity interests permitted, when.
Section 376.301 - Tangible personal property interests permitted, when.
Section 376.302 - Mortgage interests, may be acquired, when — other real estate interests.
Section 376.303 - Lending and repurchase, permitted when.
Section 376.304 - Acquisition of foreign investments, when.
Section 376.305 - Rulemaking authority.
Section 376.306 - Cash surrender value, life insurer may lend to policyholder, when.
Section 376.307 - Limits on acquisition of certain investments.
Section 376.308 - Secondary mortgage market act, not to preempt health insurer, when.
Section 376.310 - Investment of surplus and reserve funds by foreign companies.
Section 376.325 - Any willing provider provision — definitions.
Section 376.330 - Securities may be changed.
Section 376.350 - Reports to director.
Section 376.360 - Distribution of surplus funds to participating policyholders — method.
Section 376.365 - Standard valuation law — definitions.
Section 376.370 - Director to value reserves, methods.
Section 376.379 - Medication synchronization services, offer of coverage required.
Section 376.381 - Health insurance products, department duties.
Section 376.386 - Prescription drugs, one co-payment for dosage prescribed.
Section 376.387 - Pharmacy benefits manager, limitations and restrictions — enforcement.
Section 376.390 - Reserve liability for group insurance — how computed.
Section 376.391 - Co-payments for chiropractic services, cap.
Section 376.392 - Prescription drug formularies, enrollees to be notified of changes to, when.
Section 376.393 - Pharmacy benefits manager, license required — definitions — complaints, procedure.
Section 376.395 - Definitions for group health conversion policy requirements.
Section 376.398 - Application to all group policies — effective, when.
Section 376.401 - Conversion rights — retirees — dependents of insured.
Section 376.404 - Specific requirement requests of policyholder may be met by alteration.
Section 376.407 - Advance practice nurse, claims for service to be reimbursed, when.
Section 376.410 - Insurance companies to maintain reserves — exemptions.
Section 376.421 - Group health insurance, authorized categories.
Section 376.425 - Student accident policies, may not limit surgical benefits, when.
Section 376.426 - Group health policies, required provisions.
Section 376.428 - Federal COBRA provisions to apply to group health insurance policies.
Section 376.432 - Group-type basis, defined.
Section 376.434 - Carrier liable for claims incurred during grace period, when — exceptions.
Section 376.435 - Claim information to be reported, when — covered lives defined.
Section 376.442 - Rules and regulations, procedure.
Section 376.450 - Citation of law — definitions (Missouri HIPAA).
Section 376.451 - Standards prohibiting discrimination.
Section 376.453 - Premium — only cafeteria plans required, when.
Section 376.480 - Domestic companies may assume risks of foreign companies — duties of director.
Section 376.500 - Discriminations, rebates and favors prohibited — contracts to conform to policy.
Section 376.510 - Penalty for violation of section 376.500.
Section 376.540 - Policy, to whom payable.
Section 376.570 - Foreign executor or administrator.
Section 376.580 - Misrepresentation.
Section 376.600 - Penalty for violating section 376.590.
Section 376.610 - Defense in case of suits.
Section 376.620 - Suicide, effect on liability — refund of premiums, when.
Section 376.630 - Life insurance policies not to be forfeited or become invalid, when.
Section 376.640 - Paid-up policy may be demanded, when.
Section 376.650 - Rules of payment on commuted policy.
Section 376.660 - Foregoing provisions inapplicable, when.
Section 376.670 - Provisions which shall be contained in life insurance policies, exceptions.
Section 376.671 - Provisions which shall be contained in annuity contracts — inapplicability date.
Section 376.673 - Life insurance policies, regulations relative to.
Section 376.674 - Life insurance policies, no cash surrender value, regulations relative to.
Section 376.679 - Life insurance company may reinsure for risks involving aircraft, limitation.
Section 376.680 - Assignment of incidents of ownership, group life policy, effect of.
Section 376.691 - Group life policies, eligible groups authorized for issue — premiums, how paid.
Section 376.693 - Special group life policies, requirements — director's approval.
Section 376.697 - Required provisions for group life policies.
Section 376.700 - Purpose — use of additional material.
Section 376.702 - Application of law — exceptions.
Section 376.704 - Definitions.
Section 376.706 - Delivery of guide and summary required, when.
Section 376.708 - Required presentations and statements — company to maintain file.
Section 376.710 - Effect of omission.
Section 376.712 - Effective date.
Section 376.714 - Contents and form of buyer's guide.
Section 376.715 - Citation of law, purpose.
Section 376.718 - Definitions.
Section 376.720 - Association, created — accounts — director to supervise.
Section 376.722 - Board of directors, established, members, how selected — expense reimbursement.
Section 376.726 - Nonpayment of premiums, effect of.
Section 376.728 - Law not applicable, when.
Section 376.730 - Liens, association may impose, when.
Section 376.734 - Additional powers of association.
Section 376.735 - Assessments against members, when due, classes — amounts, how determined.
Section 376.738 - Certificate of contribution, when issued.
Section 376.740 - Plan of operation, required, approval of director — provisions of plan.
Section 376.742 - Director, powers and duties.
Section 376.743 - Board of directors, powers.
Section 376.745 - Assessments, offset against tax liability, when, how.
Section 376.747 - Distribution of member insurer assets upon liquidation, priority of association.
Section 376.748 - Liquidation, recovery of distributions, when, exceptions, limitations.
Section 376.752 - Member insurer's deposit with director, exemption from, amount.
Section 376.754 - Stay of proceedings, insolvent insurer, when.
Section 376.755 - Advertising, use of guaranty association prohibited.
Section 376.758 - Law inapplicable to insolvent insurers on effective date of law.
Section 376.770 - Title of law.
Section 376.773 - Definitions.
Section 376.775 - Matters required in policies.
Section 376.780 - Limits on provisions, effect of conflict of policy with law.
Section 376.783 - Insured bound only if copy of application attached to policy.
Section 376.785 - What does not constitute waiver of defenses.
Section 376.787 - Effect of age limit provision.
Section 376.789 - Definition of actual charge and actual fee.
Section 376.790 - Limits on applicability of law.
Section 376.791 - Portion of section 376.777 not applicable to individual health insurance coverage.
Section 376.810 - Definitions for policy requirements for chemical dependency.
Section 376.818 - Eligibility for Medicaid may not be considered by insurers.
Section 376.819 - MO HealthNet division to have right to payment for health care services provided.
Section 376.823 - Prohibition on kickbacks not applicable for rebates for certain chronic illnesses.
Section 376.850 - Law, how cited.
Section 376.854 - Definitions.
Section 376.859 - Medicare supplement law applicable to what policies — policies not included.
Section 376.869 - Standards for policies, minimum, director to adopt.
Section 376.874 - Requirements of policy, return to policyholders.
Section 376.882 - Cancellation of policy, refund required — notification.
Section 376.884 - Advertisement to be reviewed by director.
Section 376.886 - Regulations, requirements — rules, procedure.
Section 376.889 - Violations, penalty.
Section 376.890 - Invalidity of any section regulating Medicare supplement not to affect others.
Section 376.891 - Definitions.
Section 376.900 - Definitions.
Section 376.905 - Administration by department, powers, duties — fees.
Section 376.910 - Certificate of authority required.
Section 376.920 - Annual statement, form, contents.
Section 376.925 - Seven-day rescission period, all money or property to be refunded.
Section 376.930 - Insured to be furnished application for certificate and annual statement, when.
Section 376.940 - Escrow account for entrance fees required, released when.
Section 376.945 - Escrow account, amount required — principal, how released, investment.
Section 376.950 - Board of directors, one member to be resident of facility.
Section 376.960 - Definitions.
Section 376.965 - Board members not civilly liable for performance of duties, exception.
Section 376.982 - Rulemaking procedure.
Section 376.989 - No liability, criminal or civil, for participation in pool by members.
Section 376.1000 - Multiple employer self-insured health plan, defined.
Section 376.1007 - Plan to file copy of bylaws, coverage and agreements with director.
Section 376.1010 - Excess stop-loss coverage maintained by plan.
Section 376.1015 - Department not to grant approval, when.
Section 376.1017 - Plan to establish loss reserves — plan to establish surplus account, amount.
Section 376.1020 - Plan to maintain principal place of business in Missouri, exception.
Section 376.1025 - Director may adopt rules.
Section 376.1027 - Plan in unsound condition, powers of director.
Section 376.1032 - Plan considered insurer, when.
Section 376.1035 - Chapter 376 applicable to plan.
Section 376.1037 - Plan subject to premium taxes.
Section 376.1042 - Marketing by agent, agency or broker violation of law.
Section 376.1045 - Injunctive relief, director may seek, when — procedures.
Section 376.1065 - Official notification communications, contracting entity requirements.
Section 376.1075 - Definitions.
Section 376.1077 - Administrator to have agreement with insurer, form, contents — termination, how.
Section 376.1080 - Payments of premiums and claims deemed paid, when.
Section 376.1083 - Advertising restrictions for administrator.
Section 376.1090 - Materials delivered to administrator for insured to be promptly delivered.
Section 376.1093 - Annual report filed with director, when — contents — filing fee, amount.
Section 376.1094 - Certificate of authority, suspension or revocation, grounds — civil action, when.
Section 376.1095 - Rules and regulations, promulgation.
Section 376.1100 - Law, how cited — definitions.
Section 376.1115 - Coverage outline to be delivered to applicants, when, content.
Section 376.1121 - Denial of claim, long-term care insurance, duties of issuer.
Section 376.1130 - Rulemaking authority.
Section 376.1190 - Health care mandates — review by oversight division — actuarial analysis.
Section 376.1215 - Immunizations, mandated coverage, exceptions, rulemaking.
Section 376.1220 - Insurance coverage for newborn hearing screenings mandated.
Section 376.1226 - Fee schedule for services not covered under health benefit plans — definitions.
Section 376.1230 - Chiropractic care coverage, rates, terms, conditions, limits, and exclusions.
Section 376.1232 - Insurers to offer coverage for prosthetics.
Section 376.1237 - Refills for prescription eye drops, required, when — definitions.
Section 376.1250 - Cancer screening, health insurance coverage required, when, types.
Section 376.1290 - Coverage for lead testing.
Section 376.1300 - Reorganization of a domestic mutual life insurance company, authority.
Section 376.1305 - Formation of holding company, application — shareholder approval.
Section 376.1307 - Issuance of shares.
Section 376.1312 - Nonapplicability of certain provisions of insurance holding companies law.
Section 376.1315 - Incorporation of mutual holding company, authority, approval.
Section 376.1350 - Definitions.
Section 376.1353 - Utilization review activities monitored.
Section 376.1356 - Utilization review entity monitored, when.
Section 376.1359 - Written utilization program implemented, filed with the director.
Section 376.1363 - Utilization review decisions, procedures.
Section 376.1365 - Reconsideration of an adverse determination, when.
Section 376.1367 - Emergency services benefit determination, coverage required, when.
Section 376.1369 - Certification of compliance, when.
Section 376.1375 - Registry of grievances maintained, procedures — definitions.
Section 376.1378 - Grievances and certificate of compliance filed with the director, when.
Section 376.1385 - Second-level review procedures.
Section 376.1387 - Appeals of grievances determined by the director.
Section 376.1389 - Expedited grievance review procedure.
Section 376.1399 - Rules, effective, when — rules invalid and void, when.
Section 376.1400 - Explanation of benefits, standardized information used, contents, when.
Section 376.1403 - Referrals, standardized information used, content, when.
Section 376.1500 - Definitions.
Section 376.1502 - Requirements for transaction of business.
Section 376.1504 - Registration requirements — term of registration — renewal.
Section 376.1506 - Violations, penalty.
Section 376.1508 - Processing fee — cancellation of membership, effect of.
Section 376.1510 - Prohibited acts.
Section 376.1512 - Required disclosures.
Section 376.1514 - Written agreement required, contents.
Section 376.1518 - Net worth to be maintained, amount.
Section 376.1520 - Notice of changes.
Section 376.1522 - List of providers to be maintained on website.
Section 376.1524 - Advertising and marketing materials, approval in writing required.
Section 376.1528 - Rulemaking authority.
Section 376.1530 - Denial and refusal to issue registrations, when.
Section 376.1532 - Violations, penalties.
Section 376.1550 - Mental health coverage, requirements — definitions — exclusions.
Section 376.1575 - Definitions.
Section 376.1590 - Status as living organ donor not sole factor for insurance coverage.
Section 376.1900 - Definitions — reimbursement for telehealth services, when.
Section 376.2000 - Citation of law — definitions.
Section 376.2002 - Navigators, license required — permitted acts — prohibited acts — exemptions.
Section 376.2004 - Application procedure.
Section 376.2006 - Term of licensure — renewal — continuing education.
Section 376.2008 - Consultation with licensed insurance producer, navigator to advise, when.
Section 376.2011 - Violations, administrative orders, civil actions — penalty.
Section 376.2012 - Navigators duty to report, when.
Section 376.2014 - Applicability — severability — rulemaking authority.
Section 376.2020 - Contracts prohibiting disclosure of certain payments and costs are unenforceable.
Section 376.2030 - Definitions.
Section 376.2036 - Enforcement — applicability to health insurance plans, when.
Section 376.2050 - Citation of act.
Section 376.2051 - Definitions.
Section 376.2053 - Exemption from requirements, when.
Section 376.2080 - Funding agreement defined — authority to issue — rulemaking authority.