Section 11401.5 Of Chapter 10a. Firemen's, Policemen's,or Peace Officers’ Benefit And Relief Associations From California Insurance Code >> Division 2. >> Part 2. >> Chapter 10a.
11401.5
. (a) (1) Each association that holds a certificate of
authority pursuant to this chapter and that issues long-term
disability or long-term care policies or contracts shall submit to
the commissioner the opinion of a qualified actuary as to whether the
reserves and related actuarial items that support the policies or
contracts issued pursuant to this chapter, including policies and
contracts issued by entities established by these associations that
provide benefits described in this chapter, are expected to be
adequate to satisfy contractual provisions, are based on reasonable
assumptions, and are based on actuarial standards of practice
published by the American Academy of Actuaries and the Actuarial
Standards Board. An association that holds a certificate of authority
pursuant to this chapter shall file its opinion no later than July
1, 2016. The opinion shall have been completed no earlier than
December 31, 2013.
(2) An association is considered to have issued a long-term care
or disability policy or contract if it self-funds all or part of the
resulting obligation. An association that markets long-term policies
or contracts issued by an insurer that is admitted by the department
to offer insurance products in the state is exempt from this
reporting requirement.
(3) An association seeking a certificate of authority pursuant to
this chapter shall file an opinion, to the extent feasible, that
establishes that it would have adequate resources to provide benefits
described in this chapter as required to satisfy its proposed
contractual obligations.
(b) The opinion required by subdivision (a) shall include
supporting memoranda from the same qualified actuary as to whether
the reserves and related actuarial items held in support of the
policies and contracts, when considered in light of the assets held
by the association with respect to the reserves and related actuarial
items, including, but not limited to, the investment earnings on the
assets and the considerations anticipated to be received and
retained under the policies and contracts, and shall make adequate
provision for the association's obligations under the policies and
contracts, including, but not limited to, the benefits and any
administrative and operating expenses associated with the policies
and contracts.
(c) The opinion required by subdivision (a) shall be governed by
the following provisions:
(1) It shall include supporting memoranda consistent with
actuarial standards of practice published by the American Academy of
Actuaries and the Actuarial Standards Board.
(2) If the association fails to provide an opinion and supporting
memoranda to the commissioner that meets the requirements of this
section, the commissioner shall notify the association of the
deficiencies in the filing, and shall make a specific request that
identifies the issues that should be addressed in an amended filing.
The requests shall be consistent with actuarial standards of practice
published by the American Academy of Actuaries and the Actuarial
Standards Board.
(d) If the commissioner determines, after a review of the filings
from the associations, that the laws governing these associations are
inadequate to protect the interests of the members of the
associations, he or she shall, on or before July 1, 2017, develop and
deliver recommendations to the Assembly Committee on Insurance and
the Senate Committee on Insurance regarding changes in the law
necessary to protect the interests of members of the associations.
(e) Documents, materials, or other information, including the
opinion with supporting memoranda, submitted pursuant to this section
that are in the possession or control of the Department of Insurance
and that are obtained by, created by, or disclosed to the
commissioner or any other person pursuant to this section, are
recognized by this state as being proprietary and to contain trade
secrets. Those documents, materials, or other information shall be
confidential by law and privileged, shall not be subject to
disclosure by the commissioner pursuant to the California Public
Records Act (Chapter 3.5 (commencing with Section 6250) of Division 7
of Title 1 of the Government Code), and shall not be subject to
subpoena or discovery from the commissioner or admissible into
evidence, in a private civil action if obtained from the
commissioner. The commissioner shall not otherwise make those
documents, materials, or other information public without the prior
written consent of the association.
(f) This section shall remain in effect only until December 31,
2018, and as of that date is repealed, unless a later enacted
statute, that is enacted before December 31, 2018, deletes or extends
that date.