General RegulationsManaging General Agents
Section § 769.80
Section § 769.81
This section defines key terms related to the insurance industry in California. An 'Actuary' is a professional member of recognized actuarial societies who is qualified to assess insurance risks and reserves. An 'Insurer' refers to any licensed entity operating as an insurer in California. 'Managing General Agent' or MGA describes entities or individuals managing a significant portion of an insurer's business, negotiating reinsurance contracts, or handling claims above a certain amount. However, employees of insurers, certain managers, or agents with defined roles and conditions are not considered MGAs. 'Underwrite' means having the authority to accept or reject insurance risks for an insurer.
Section § 769.82
This law states that a producer, who wants to operate as a Managing General Agent (MGA) for risks in California, must be licensed as either a property broker-agent and casualty broker-agent, or a life agent. The same licensing requirement applies to producers representing insurers based in California for risks located outside the state.
The insurance commissioner has the authority to require a fidelity bond. This bond acts as a form of financial protection for the insurer. Additionally, the commissioner can demand that the MGA holds an errors and omissions insurance policy. If this type of insurance isn't available at a reasonable price, the requirement can be temporarily lifted by the commissioner.
Section § 769.83
This law is about how insurance producers, in the role of a Managing General Agent (MGA), must work with insurers. They need a written contract that clearly outlines the responsibilities of each party. This contract can be terminated by the insurer for a valid cause. The MGA has to provide monthly transactions and funds reports to the insurer. Any funds collected must be kept secure in a bank, and the MGA can only keep a limited amount to cover estimated claims for three months.
The MGA must keep detailed records, which both the insurer and the insurance commissioner can access. The contract cannot be assigned by the MGA, and strict underwriting and claim settlement procedures must be followed. Policies can be canceled by insurers according to these rules.
If the MGA is allowed to handle claims, they must report these promptly to the insurer under certain conditions, and claim file ownership is shared unless the insurer is liquidated. Profits can't be shared prematurely if determined by the MGA's loss reserve decisions. MGAs cannot bind reinsurance, commit insurers to syndicates, appoint unauthorized agents, settle large claims without insurer approval, or make certain other binding decisions without approval.
Section § 769.84
This law section outlines several requirements that insurers need to follow when working with Managing General Agents (MGAs). First, insurers must keep an independent financial examination of each MGA they do business with. Then, they have to obtain an actuary's opinion annually if an MGA sets up loss reserves, to ensure these reserves are adequate. Insurers must regularly, at least twice a year, conduct onsite reviews of the MGA’s underwriting and claims operations. Additionally, only an officer not affiliated with the MGA can have authority over reinsurance contracts. Insurers must notify the commissioner in writing within 30 days if they enter into or end a contract with an MGA, and provide details on the MGA's responsibilities. Insurers also need to check quarterly if any of their producers have become MGAs, and notify both the producer and commissioner if so. Lastly, insurers cannot appoint any officer or director of an MGA to their own board except under specific exceptions.
Section § 769.85
This law says that whatever actions an MGA takes legally count as actions of the insurance company they represent. Additionally, MGAs can be inspected and reviewed as though they are the insurance company themselves.
Section § 769.86
If someone breaks the rules of this insurance article, the commissioner can take action after a formal hearing. This can include fines up to $25,000 for each violation, or suspension/revocation of their license. Such hearings will follow established government procedures and involve selected administrative law judges. The commissioner's decisions can be reviewed in court. Additionally, this section doesn't limit other penalties the commissioner might enforce or affect policyholders' and others' rights.
Section § 769.87
The commissioner is allowed to create rules and regulations to help put this law into practice and manage it effectively.