The Business of InsuranceReinsurance Intermediaries
Section § 1781.1
This law section establishes the title of the chapter as the Reinsurance Intermediary Act. It serves as a designation for referencing and citing the rules within this particular chapter.
Section § 1781.2
This section defines several important terms related to reinsurance activities in the state. An 'Actuary' is someone qualified to sign opinions on loss reserves and is a member of recognized actuarial organizations. A 'Controlling person' is anyone with the power to manage a reinsurance intermediary. An 'Insurer' refers to any individual or organization licensed as such by the state. A 'Licensed producer' is a licensed agent, broker, or reinsurance intermediary. A 'Qualified United States financial institution' is one regulated by the U.S. meeting certain financial standards to ensure it is suitable for managing letters of credit.
A 'Reinsurance intermediary' can be either a broker, who negotiates reinsurance without binding authority, or a manager, who can bind reinsurance and manage reinsurance operations. Some exceptions apply, such as employees of a reinsurer and certain managers. A 'Reinsurer' is an entity licensed to undertake reinsurance. Finally, a 'Violation' occurs when these parties fail to comply with the regulations set forth in this chapter.
Section § 1781.3
This law outlines the licensing requirements for reinsurance intermediary-brokers and reinsurance intermediary-managers in California. If you want to act as a reinsurance intermediary-broker and you have an office in California, you must be a licensed producer in the state. If you do not have an office in California, you can be licensed either in California or another state with similar regulations, or as a nonresident in California.
For reinsurance intermediary-managers, if you're working with a reinsurer based in California, you need to be a licensed producer in the state. Similarly, if you maintain an office in California, you must also be a licensed producer there. If working in another state for a nondomestic insurer, you must be licensed in either California or a state with similar laws, or as a nonresident in California.
The commissioner has the authority to demand certain financial protections from intermediary-managers, like fidelity bonds and errors and omissions policies. Individuals or businesses applying for a reinsurance intermediary license must meet all requirements, including application and fee submissions. The commissioner can refuse to grant a license if the applicant is deemed untrustworthy or has violated relevant guidelines.
Exemptions apply to licensed attorneys acting in their professional capacity. This law doesn't require a reinsurance intermediary-manager, who is compliant with it, to also comply with certain other California insurance regulations from a previous Senate bill.
Section § 1781.4
This section outlines the required provisions for a written agreement between a reinsurance intermediary-broker and an insurer. It specifies that the insurer has the right to terminate the broker's authority at any time and requires the broker to provide detailed accounts of transactions, including fees and commissions, and remit owed funds within 30 days. Additionally, the broker must hold collected funds in a U.S. bank in a fiduciary capacity, comply with Section 1781.5, adhere to the insurer's standards for insured risks, and disclose any relationships with reinsurers involved in cession or retrocession of risk.
Section § 1781.5
This law requires reinsurance intermediary-brokers to keep detailed records of each reinsurance transaction for at least 10 years after the contract ends. These records must include information such as the type and limits of the contract, coverage period, premiums, and commissions, among others. They must also document communication, proof of placement, and financial records. If they arrange reinsurance directly or through representatives, evidence of risk assumption and delegated authority must be included.
Additionally, insurers have the right to access, copy, and audit these records as needed.
Section § 1781.6
This law states that insurance companies can't hire anyone to act as a reinsurance intermediary-broker unless they are properly licensed. If an insurer wants to work with someone who is also employed by a reinsurance intermediary-broker, the intermediary-broker must be under the insurer's control and meet specific regulations. Additionally, insurance companies must get a financial statement from each intermediary-broker they work with every year to ensure financial transparency.
Section § 1781.7
This section outlines that transactions between a reinsurance intermediary-manager and a reinsurer must involve a written contract approved by the reinsurer's board of directors. The contract must clearly define the responsibilities of each party.
The reinsurer can terminate the contract for cause, and the intermediary-manager must maintain accurate records and remit all funds owed quarterly. Funds held for the reinsurer must be in a separate, insured bank account, especially for reinsurers in financial trouble.
Records must be kept for 10 years and the reinsurer has rights to access them. The intermediary-manager must comply with underwriting standards and report claims timely if given claims settlement authority. Contracts may not be assigned, and interim profits are only shared after proving reserve adequacy.
Additionally, the intermediary-manager must disclose any insurer relationships and provide financial statements and certification annually. The reinsurer should regularly conduct onsite reviews of operations, and the intermediary-manager's actions are considered the reinsurer's actions in the context of the contract.
Section § 1781.8
This law outlines specific actions that a reinsurance intermediary-manager is prohibited from doing. They cannot accept compensation for retrocessions or increase retrocession limits without reducing commitments.
They also cannot bind the reinsurer to reinsurance syndicates, appoint unlicensed producers, or pay claims exceeding set limits without permission. Additionally, they must not collect from or settle with retrocessionaires without approval, nor can they jointly employ anyone with the reinsurer unless under common control. Lastly, they cannot appoint a subreinsurance intermediary-manager.
Section § 1781.9
This law section outlines specific rules for reinsurers when dealing with reinsurance intermediary-managers. First, reinsurers can only hire intermediary-managers who are properly licensed. They must also acquire annual financial statements for these managers, certified by an independent accountant. If intermediary-managers are involved in setting loss reserves, an actuary must provide an opinion on these reserves' adequacy each year, unless the ceding insurer already has a certified opinion. Additionally, only a non-affiliated officer of the reinsurer can have binding authority in reinsurance syndicates. Upon terminating a contract with an intermediary-manager, the reinsurer has 30 days to notify the commissioner. Lastly, reinsurers cannot appoint certain individuals connected to the intermediary-manager to their board, unless under specific governance laws.
Section § 1781.10
This law states that the commissioner can examine reinsurance intermediaries and has access to their records and bank accounts. The commissioner can treat a reinsurance intermediary-manager as if they are the reinsurer for examination purposes.
All documents and information from such examinations are confidential, similar to insurer examinations. The intermediary has to cover the cost of the examination, and their license can be revoked if they don't pay promptly.
Section § 1781.11
If a reinsurance intermediary, insurer, or reinsurer breaks the rules in this chapter, they can face penalties after a formal hearing. They might have to pay up to $5,000 for each violation and risk losing their license or authorization to operate. The Commissioner can also impose additional penalties as the law allows. This section doesn’t change the rights of policyholders, claimants, creditors, or other third parties, nor does it limit the Commissioner's established authority.
Section § 1781.12
This law allows the insurance commissioner to create rules and guidelines to help put this chapter into effect and manage it properly.
Section § 1781.13
Insurance companies and reinsurers in California must follow specific rules outlined in this chapter if they want to continue using reinsurance intermediaries after January 1, 1992.
Section § 1781.14
If you're a reinsurance intermediary, you must provide nonprivileged documents or testimony in court or arbitration if required. However, you can challenge the order regarding the scope of documents or timing. Not complying with these orders can lead to serious consequences according to the law.