本条中使用的术语:
(a)CA 保险 Code § 1067.04(a) “账户”指根据第1067.05条设立的两个账户中的任何一个。
(b)CA 保险 Code § 1067.04(b) “协会”指根据第1067.05条设立的加州人寿和健康保险保障协会。
(c)CA 保险 Code § 1067.04(c) “授权评估”指董事会决议授权的、立即或将来向成员保险公司征收的特定金额的评估。“授权”一词在评估语境中使用时,指经董事会决议授权。当该决议通过时,评估即被授权。
(d)CA 保险 Code § 1067.04(d) “福利计划”指特定的雇员、工会或自然人协会的福利计划。
(e)CA 保险 Code § 1067.04(e) “要求评估”指协会已向成员保险公司发出通知,要求在通知规定的时间内支付授权评估的评估。“要求”一词在评估语境中使用时,指通过通知要求成员保险公司支付。当协会向成员保险公司邮寄通知时,授权评估即成为要求评估。
(f)CA 保险 Code § 1067.04(f) “专员”指保险专员。
(g)CA 保险 Code § 1067.04(g) “合同义务”指根据保单或合同,或团体保单或合同下的凭证,或其部分,根据第1067.02条提供保障的任何义务。
(h)CA 保险 Code § 1067.04(h) “受保保单”指根据第1067.02条提供保障的保单或合同,或保单或合同的一部分。
(i)CA 保险 Code § 1067.04(i) “合同外索赔”应包括,例如,与恶意支付索赔、惩罚性或惩戒性损害赔偿,或律师费和诉讼费相关的索赔。
(j)CA 保险 Code § 1067.04(j) “受损保险公司”指在本条生效日期之后,并非破产保险公司,但被有管辖权的法院置于复原或保全令下的成员保险公司。
(k)CA 保险 Code § 1067.04(k) “破产保险公司”指在1990年10月1日之后,被有管辖权的法院以破产裁定置于清算令下的成员保险公司。
(l)CA 保险 Code § 1067.04(l) “成员保险公司”指在本州获许可或持有授权证书经营根据第1067.02条提供保障的任何种类保险的任何保险公司,并包括其在本州的执照或授权证书可能已被暂停、撤销、未续期或自愿撤回的任何保险公司,但不包括以下任何一项:
(1)CA 保险 Code § 1067.04(l)(1) 医院或医疗服务机构,无论营利性或非营利性。
(2)CA 保险 Code § 1067.04(l)(2) 健康维护组织。
(3)CA 保险 Code § 1067.04(l)(3) 兄弟互助会。
(4)CA 保险 Code § 1067.04(l)(4) 强制性州共保计划。
(5)CA 保险 Code § 1067.04(l)(5) 互助评估公司或其他以评估为基础运营的个人。
(6)CA 保险 Code § 1067.04(l)(6) 保险交易所。
(7)CA 保险 Code § 1067.04(l)(7) 证书或执照仅限于发行慈善赠与年金的组织。
(8)CA 保险 Code § 1067.04(l)(8) 根据第11520条持有授权证书的赠与和年金协会。
(9)CA 保险 Code § 1067.04(l)(9) 类似于上述任何一项的实体。
(m)CA 保险 Code § 1067.04(m) “穆迪公司债券收益率平均值”指由穆迪投资者服务公司(Moody’s Investors Service, Inc.)或其任何继承者发布的月度公司债券平均值。
(n)CA 保险 Code § 1067.04(n) 保单或合同的“所有人”以及“保单所有人”和“合同所有人”指根据保单或合同条款被认定为合法所有人,或通过根据保单或合同条款完成的有效转让并正确记录为保险公司账簿上的所有人而获得保单或合同合法所有权的人。所有人、合同所有人、保单所有人等术语不包括仅对保单或合同拥有受益权益的人。
(o)CA 保险 Code § 1067.04(o) “个人”指个体、公司、有限责任公司、合伙企业、协会、政府机构或实体,或志愿组织。
(p)CA 保险 Code § 1067.04(p) “计划发起人”指以下任何一项:
(1)CA 保险 Code § 1067.04(p)(1) 在由单一雇主设立或维持的福利计划中,指该雇主。
(2)CA 保险 Code § 1067.04(p)(2) 在由雇员组织设立或维持的福利计划中,指该雇员组织。
(3)CA 保险 Code § 1067.04(p)(3) 在由两个或多个雇主设立或维持的福利计划,或由一个或多个雇主与一个或多个雇员组织共同设立或维持的福利计划中,指设立或维持该福利计划的各方代表组成的协会、委员会、联合理事会或其他类似团体。
(q)Copy CA 保险 Code § 1067.04(q)
(1)Copy CA 保险 Code § 1067.04(q)(1) “Premiums” means amounts or considerations, by whatever name called, received on covered policies or contracts less returned premiums, considerations, and deposits and less dividends and experience credits.
(2)CA 保险 Code § 1067.04(q)(2) “Premiums” does not include amounts or considerations received for policies or contracts or for the portions of policies or contracts for which coverage is not provided under subdivision (b) of Section 1067.02, except that assessable premium shall not be
reduced on account of subparagraph (C) of paragraph (2) of subdivision (b) of Section 1067.02 relating to interest limitations and paragraph (2) of subdivision (c) of Section 1067.02 relating to limitations with respect to one individual, one participant, and one contract owner.
(3)CA 保险 Code § 1067.04(q)(3) “Premiums” does not include any of the following:
(A)CA 保险 Code § 1067.04(q)(3)(A) Premiums on an unallocated annuity contract.
(B)CA 保险 Code § 1067.04(q)(3)(B) With respect to multiple nongroup policies of life insurance owned by one owner, whether the policy owner is an individual, firm, corporation, or other person, and whether the persons insured are officers, managers, employees, or other persons, premiums in excess of five million dollars ($5,000,000) with respect to these policies or contracts, regardless of the number of policies or contracts held by the owner.
(r)Copy CA 保险 Code § 1067.04(r)
(1)Copy CA 保险 Code § 1067.04(r)(1) “Principal place of business” of a plan sponsor or a person other than a natural person means the single state in which the natural persons who establish policy for the direction, control, and coordination of the operations of the entity as a whole primarily exercise that function, determined by the association in its reasonable judgment by considering all the following factors:
(A)CA 保险 Code § 1067.04(r)(1)(A) The state in which the primary executive and administrative headquarters of the entity are located.
(B)CA 保险 Code § 1067.04(r)(1)(B) The state in which the principal office of the chief executive officer of the entity is located.
(C)CA 保险 Code § 1067.04(r)(1)(C) The state in which the board of directors, or similar governing persons, of the entity conducts the majority of its meetings.
(D)CA 保险 Code § 1067.04(r)(1)(D) The state in which the executive or management committee of the board of directors, or similar governing persons, of the entity conducts the majority of its meetings.
(E)CA 保险 Code § 1067.04(r)(1)(E) The state from which the management of the overall operations of the entity is directed.
(F)CA 保险 Code § 1067.04(r)(1)(F) In the case of a benefit plan sponsored by affiliated companies comprising a consolidated corporation, the state in which the holding company or controlling affiliate has its principal place of business as determined using the above factors. However, in the case of a plan sponsor, if more than 50 percent of the participants in the benefit plan are employed in a single state, that state shall be deemed to be the principal place of business of the plan sponsor.
(2)CA 保险 Code § 1067.04(r)(2) The principal place of
business of a plan sponsor of a benefit plan shall be deemed to be the principal place of business of the association, committee, joint board of trustees, or other similar group of representatives of the parties who establish or maintain the benefit plan that, in lieu of a specific or clear designation of a principal place of business, shall be deemed to be the principal place of business of the employer or employee organization that has the largest investment in the benefit plan in question.
(s)CA 保险 Code § 1067.04(s) “Receivership court” means the court in the insolvent or impaired insurer’s state having jurisdiction over the conservation, rehabilitation, or liquidation of the insurer.
(t)CA 保险 Code § 1067.04(t) “Resident” means a person to whom a contractual obligation is owed and who resides in this state on the date of entry of a court order that determines a member insurer to be an impaired insurer or a court order that
determines a member insurer to be an insolvent insurer. A person may be a resident of only one state, which in the case of a person other than a natural person shall be its principal place of business. Citizens of the United States who are either residents of foreign countries, or residents of United States’ possessions, territories, or protectorates that do not have an association similar to the association created by this article shall be deemed residents of the state of domicile of the insurer that issued the policies or contracts.
(u)CA 保险 Code § 1067.04(u) “State” means a state, the District of Columbia, Puerto Rico, and a United States possession, territory, or protectorate.
(v)CA 保险 Code § 1067.04(v) “Structured settlement annuity” means an annuity purchased in order to fund periodic payments for a plaintiff or other claimant in payment for, or with respect to, personal injury suffered by the plaintiff or other
claimant.
(w)CA 保险 Code § 1067.04(w) “补充合同”指为分配根据人寿、健康或年金保单或人寿、健康或年金合同产生的收益而订立的书面协议。
(x)CA 保险 Code § 1067.04(x) “未分配年金合同”指未向个人发行且非个人所有的年金合同或团体年金凭证,但保险人根据该合同或凭证向个人保证的任何年金利益除外。