Chapter 6. Surplus Line Brokers of California Insurance Code >> Division 1. >> Part 2. >> Chapter 6.
(a) (1) A home state insured, as defined in subdivision (f)
of Section 1760.1, may negotiate and effect insurance to protect
himself, herself, or itself against loss, damage, or liability with
any nonadmitted insurer.
(2) An issuer of an insurance policy that meets all of the
requirements of paragraph (2) of subdivision (e) of Section 43601 of
the Public Resources Code shall be eligible to provide the insurance
described in that subdivision. An issuer of an insurance policy
pursuant to this section shall not be required to be a California
admitted insurer, nor be required to provide the insurance through a
surplus line broker.
(b) Every home state insured that effects insurance governed by
this chapter shall pay the tax imposed by Part 7.5 (commencing with
Section 13201) of Division 2 of the Revenue and Taxation Code.
(c) This section shall remain in effect only until January 1,
2018, and as of that date is repealed, unless a later enacted
statute, that is enacted before January 1, 2018, deletes or extends
that date.
(a) A home state insured, as defined in subdivision (f) of
Section 1760.1, may negotiate and effect insurance to protect
himself, herself, or itself against loss, damage, or liability with
any nonadmitted insurer.
(b) Every home state insured that effects insurance governed by
this chapter shall pay the tax imposed by Part 7.5 (commencing with
Section 13201) of Division 2 of the Revenue and Taxation Code.
(c) This section shall become operative on January 1, 2018.
For the purposes of this chapter, the following terms have
the following definitions:
(a) "Certified" means an originally signed or sealed statement,
dated not more than 60 days before submission, made by a public
official or other person, attached to a copy of a document, that
attests that the copy is a true copy of the original, and that the
original is in the custody of the person making the statement.
(b) "Commercial insured" means any person purchasing commercial
insurance that, at the time of placement, meets all of the following
requirements:
(1) The person employs or retains a qualified risk manager to
negotiate insurance coverage.
(2) The person has paid aggregate nationwide commercial property
and casualty insurance premiums in excess of one hundred thousand
dollars ($100,000) in the immediately preceding 12 months.
(3) (A) The person meets at least one of the following criteria:
(i) The person possesses a net worth in excess of twenty million
dollars ($20,000,000), as that amount is adjusted pursuant to
subparagraph (B).
(ii) The person generates annual revenues in excess of fifty
million dollars ($50,000,000), as that amount is adjusted pursuant to
subparagraph (B).
(iii) The person employs more than 500 full-time or full-time
equivalent employees per individual insured or is a member of an
affiliated group employing more than 1,000 employees in the
aggregate.
(iv) The person is a not-for-profit organization or public entity
generating annual budgeted expenditures of at least thirty million
dollars ($30,000,000), as that amount is adjusted pursuant to
subparagraph (B).
(v) The person is a municipality with a population in excess of
50,000 persons.
(B) Effective on January 1, 2015, and each fifth January 1
occurring thereafter, the dollar amounts in subparagraph (A) shall be
adjusted to reflect the percentage change for that five-year period
in the Consumer Price Index for All Urban Consumers published by the
Bureau of Labor Statistics of the United States Department of Labor.
The commissioner shall issue a bulletin to all surplus line brokers
advising of any adjustments and may adopt the calculations of the
NAIC or other entity in doing so.
(c) "Domiciliary jurisdiction" means the state, nation, or
subdivision thereof under the laws of which an insurer is
incorporated or otherwise organized.
(d) "Domiciliary state of the syndicate's trust" means the state
in which the syndicate's trust fund is principally maintained and
administered for the benefit of the syndicate's policyholders in the
United States.
(e) "Home state" means, except as provided in paragraphs (2) to
(4), inclusive, any of the following, with respect to an insured or
applicant:
(1) (A) The state in which the insured maintains its principal
place of business or, in the case of an individual, the individual's
principal residence.
(B) If 100 percent of the insured risk is located outside the
state referred to in subparagraph (A), the state to which the
greatest percentage of the insured's taxable premium for that
insurance contract is allocated.
(2) "Principal place of business" means, with respect to
subparagraph (A) of paragraph (1) determining the home state of the
insured, (A) the state where the insured maintains its headquarters
and where the insured's high-level officers direct, control, and
coordinate the business activities; or (B) if the insured's
high-level officers direct, control, and coordinate the business
activities in more than one state, the state in which the greatest
percentage of the insured's taxable premium for that insurance
contract is allocated; or (C) if the insured maintains its
headquarters or the insured's high-level officers direct, control,
and coordinate the business activities outside any state, the state
to which the greatest percentage of the insured's taxable premium for
that insurance contract is allocated.
(3) "Principal residence" means, with respect to determining the
home state of the insured, (A) the state where the insured resides
for the greatest number of days during a calendar year; or (B) if the
insured's principal residence is located outside any state, the
state to which the greatest percentage of the insured's taxable
premium for that insurance contract is allocated.
(4) Affiliated groups. If more than one insured from an affiliated
group are named insureds on a single nonadmitted insurance contract,
the term "home state" means the home state, as determined pursuant
to subparagraph (A) of paragraph (1), of the member of the affiliated
group that has the largest percentage of premium attributed to it
under such insurance contract.
(f) "Home state insured" or "home state insured applicant" means a
person whose home state is California and who has received a
certificate or evidence of coverage as set forth in Section 1764 or a
policy as issued by an eligible surplus line insurer, or a person
who is an applicant therefor.
(g) "IID" means the International Insurers Department of the
National Association of Insurance Commissioners.
(h) "Insurer" means, unless the context indicates otherwise,
"nonadmitted" insurers that are either "foreign" or "alien" insurers,
as those terms are defined in Sections 25, 27, and 1580, and
syndicates whose members consist of individual incorporated insurers
who are not engaged in any business other than underwriting as a
member of the group and individual unincorporated insurers, provided
all the members are subject to the same level of solvency regulation
and control by the group's domiciliary regulator. The term "insurer"
includes all nonadmitted insurers selling insurance to or through
purchasing groups as defined in the federal Liability Risk Retention
Act of 1986 (15 U.S.C. Sec. 3901 et seq.) and the California Risk
Retention Act of 1991 (Chapter 1.5 (commencing with Section 125) of
Part 1), except insurers that are risk retention groups as defined by
those acts.
(i) "ISI" means Insurance Solvency International.
(j) "Licensee" means a surplus line broker as defined in Section
47.
(k) "Multistate risk" means a risk covered by a nonadmitted
insurer with insured exposures in more than one state.
(l) "NAIC" means the National Association of Insurance
Commissioners or its successor organization.
(m) "Nonadmitted insurance" means any property and casualty
insurance permitted to be placed directly or through a surplus line
broker with a nonadmitted insurer eligible to accept such insurance.
(n) "Nonadmitted insurer" means an insurer not licensed or
admitted to engage in the business of insurance in this state in
conformity with Section 700; but does not include a risk retention
group, as that term is defined in Sections 130(k) and 2(a)(4) of the
federal Liability Risk Retention Act of 1986 (15 U.S.C. Sec. 3901(a)
(4)).
(o) "Qualified risk manager" means, with respect to a policyholder
of commercial insurance, a person who meets all of the following
requirements:
(1) The person is an employee of, or third-party consultant
retained by, the commercial policyholder.
(2) The person provides skilled services in loss prevention, loss
reduction, or risk and insurance coverage analysis, and purchase of
insurance.
(3) The person has any of the following:
(A) A bachelor's degree or higher degree from an accredited
college or university in risk management, business administration,
finance, economics, or any other field determined by the commissioner
to demonstrate minimum competence in risk management and satisfies
either of the following:
(i) Has three years of experience in risk financing, claims
administration, loss prevention, risk and insurance analysis, or
purchasing commercial lines of insurance.
(ii) Has one of the following:
(I) A designation as a Chartered Property and Casualty Underwriter
(CPCU) issued by the American Institute for CPCU and Insurance
Institute of America.
(II) A designation as an Associate in Risk Management (ARM) issued
by the American Institute for CPCU and Insurance Institute of
America.
(III) A designation as Certified Risk Manager (CRM) issued by the
National Alliance for Insurance Education and Research.
(IV) A designation as a RIMS Fellow (RF) issued by the Global Risk
Management Institute.
(V) Any other designation, certification, or license determined by
the commissioner to demonstrate minimum competency in risk
management.
(B) At least seven years of experience in risk financing, claims
administration, loss prevention, risk and insurance coverage
analysis, or purchasing commercial lines of insurance, and has any
one of the designations specified in subclauses (I) to (V),
inclusive, of clause (ii) of subparagraph (A).
(C) At least 10 years of experience in risk financing, claims
administration, loss prevention, risk and insurance coverage
analysis, or purchasing commercial lines of insurance.
(D) A graduate degree from an accredited college or university in
risk management, business administration, finance, economics, or any
other field determined by the commissioner to demonstrate minimum
competence in risk management.
(p) "State" means any state of the United States, the District of
Columbia, the Commonwealth of Puerto Rico, Guam, the Northern Mariana
Islands, the Virgin Islands, and American Samoa.
(q) "Verified" means a document or copy accompanied by an
originally signed statement, dated not more than 60 days before
submission, from a responsible executive or official who has
authority to provide the statement and knowledge whereof he or she
speaks, attesting either under oath before a notary public, or under
the penalty of perjury under California law, that the assertions made
in the document are true.
The surplus line broker shall be responsible for
determining whether an applicant for nonadmitted insurance is a
California home state insured. A surplus line broker who reasonably
relies on information provided in good faith by the applicant,
whether directly or through the producer, shall be deemed to be in
compliance with this requirement.
(a) The provisions of this chapter limiting the insurance
that may be placed with nonadmitted insurers and requiring any report
thereof shall not apply to:
(1) Reinsurance of the liability of an admitted insurer.
(2) Insurance against perils of navigation, transit, or
transportation upon hulls, freights or disbursements, or other
shipowner interests; upon goods, wares, merchandise, and all other
personal property and interests therein, in the course of exportation
from or importation into any country, or transportation coastwise,
including transportation by land or water from point of origin to
final destination and including war risks; and marine builder's
risks, drydocks, and marine railways, including insurance of ship
repairer's liability, and protection and indemnity insurance, but
excluding insurance covering bridges or tunnels.
(3) Aircraft or spacecraft insurance.
(4) Insurance on property or operations of railroads engaged in
interstate commerce.
(b) The insurance specified in paragraphs (2), (3), and (4) of
subdivision (a) may be placed with a nonadmitted insurer for a home
state insured only by and through a special lines' surplus line
broker. The license of a special lines' surplus line broker shall be
applied for and procured and shall be subject to the same fees for
filing on issuance in the same manner as the license of a surplus
line broker, except that in lieu of the bond required by Section
1765, there shall be delivered to the commissioner a bond in the
form, amounts, and conditions specified in Sections 1663 and 1665 for
an insurance broker and only one fee shall be collected from one
person for both licenses. The licensee in respect to the business
shall be subject to all the provisions of this chapter except
Sections 1761, 1763, 1765.1, 1765.2, and 1775.5.
(c) The commissioner may address to any licensed special lines'
surplus line broker a written request for full and complete
information respecting the financial stability, reputation, and
integrity of any nonadmitted insurer with whom the licensee has dealt
or proposes to deal in the transaction of insurance specified in
paragraph (2), (3), or (4) of subdivision (a). The licensee so
addressed shall promptly furnish in written or printed form so much
of the information requested as he or she can produce together with a
signed statement identifying the same and giving reasons for
omissions, if any. After due examination of the information and
accompanying statement, the commissioner may, if he or she believes
it to be in the public interest, order in writing the licensee to
place no further insurance business for home state insureds with that
nonadmitted insurer on behalf of any person. Any placement with that
nonadmitted insurer made by a licensee after receipt of the order is
a violation of this chapter. The commissioner may issue an order if
he or she finds that a nonadmitted insurer with whom the licensee has
dealt or proposes to deal in the transaction of insurance is in an
unsound financial condition, is disreputable, or is lacking in
integrity. The order shall also include notice of a hearing to be
held at a time and place fixed therein, which shall be not less than
20 nor more than 30 days from service of the order upon the licensee.
(d) The commissioner may, in respect to business written or placed
under the provisions of this section, require information and
reports thereof that the commissioner considers necessary,
convenient, or advisable.
(e) Each placing of insurance in violation of this chapter is a
misdemeanor.
(f) The commissioner may revoke, suspend, or deny any license
granted pursuant to this code in accordance with the procedure
provided in Article 13 (commencing with Section 1737) of Chapter 5,
or any certificate of authority granted pursuant to this code in
accordance with the procedure provided in Section 704 whenever the
commissioner finds that the licensee or holder of the certificate has
committed a violation of this section.
(g) The premium for insurance placed by or through a special lines'
surplus line broker pursuant to this section shall not be subject to
the tax imposed upon the broker based upon gross premiums paid for
insurance placed under authority conferred by the license.
(h) Special lines' surplus line brokers may advertise and solicit
in conformity with Section 1773, except that they are not subject to
the limitation that any nonadmitted insurer's name appearing in the
advertisements or solicitations must be eligible under Section
1765.1.
For purposes of Section 1760.5, "spacecraft" means
missiles, satellites, staffed and unstaffed space vehicles, any
objects intended for launch, or objects launched or assembled in
outer space, including, but not limited to, the space shuttle and any
transportation, communication, information, or other system intended
to be employed in outer space, together with related equipment,
devices, components, and parts.
In addition to the authority granted by Section 1760.5, the
commissioner has the discretion to direct special lines' surplus
line brokers to not place further business for a home state insured
with an insurer whose eligibility has been withdrawn pursuant to
Section 1765.1.
(a) Except as provided in Sections 1760 and 1760.5, and
paragraphs (1) and (2) of subdivision (b), a person within this state
shall not transact any insurance for a home state insured with
nonadmitted insurers, except by and through a surplus line broker
licensed under this chapter and upon the terms and conditions
prescribed in this chapter.
(b) (1) An insurer domiciled in California may have common
directors with an affiliated nonadmitted insurer provided these
common directors do not constitute the majority of the voting
authority of the nonadmitted insurer and do not perform any
management functions for the nonadmitted insurer in California.
(2) An insurer domiciled in California may perform the following
administrative services on behalf of an affiliated nonadmitted
insurer that has qualified as an eligible surplus line insurer
pursuant to Section 1765.1:
(A) Computer operations that are unrelated to the underwriting
process, which may include such activities as development and
maintenance of application software, databases, and servers,
procurement of information technology and services, network
operations, and Internet Web site development and support.
(B) Clerical and administrative staffing support, provided that
this staff shall not have any contact or interaction with
policyholders of the nonadmitted insurer.
(C) Human resources, provided that any decisions relating to the
hiring, firing, disciplinary actions, or compensation of any
employee, officer, or both, of the nonadmitted insurer shall be made
directly by the nonadmitted insurer.
(D) Claims adjusting, as described in Section 14021, except that
all claims notices, claims-related decisions, including those
relating to setting reserves and claims acceptance, claim payments,
and settlements shall be made directly by the affiliated nonadmitted
insurer.
(E) Managing investments such as buying, maintaining, and selling
financial investment instruments, except that decisions relating to
investment goals, risk assumptions such as capital preservation and
protection of investment principal, determining liquidity needs, and
diversification ratios shall be made by the affiliated nonadmitted
insurer.
(3) Nothing in this section permits the nonadmitted insurer to
conduct any activity through its affiliate that constitutes the
transaction of insurance or a violation of Section 700 or 703.
For purposes of Sections 1764, 1764.1, and 1764.3, the term
"certificate" means a surplus line broker certificate as defined in
Section 48.
(a) A surplus line broker may solicit and place insurance for
a home state insured, other than as excepted in Section 1761, with
nonadmitted insurers only if that insurance cannot be procured from
insurers admitted for the particular class or classes of insurance
and that actually write the particular type of insurance in this
state. Each surplus line broker shall be responsible to ensure that a
diligent search is made among insurers that are admitted to transact
and are actually writing the particular type of insurance in this
state before procuring the insurance for a home state insured from a
nonadmitted insurer. Each surplus line broker shall file with the
commissioner or his or her designee, within 60 days of placing any
insurance for a home state insured with a nonadmitted insurer, a
written report that shall be kept confidential, regarding the
insurance. This report shall include the name and address of the
insured, verification that the insured is a home state insured, the
identity of the insurer or insurers, a description of the subject and
location of the risk, the amount of premium charged for the
insurance, a copy of the declarations page of the policy or a copy of
the surplus line broker's certificate or binder evidencing the
placement of insurance, and other pertinent information that the
commissioner may reasonably require. In addition, each surplus line
broker shall file a standardized form to be prescribed by the
commissioner setting forth the diligent efforts to place the coverage
with admitted insurers and the results of these efforts. The form
shall be signed by a person licensed under this code who has made the
diligent search required by this section or who supervised an
unlicensed person or persons who actually conducted the search. The
insurance shall not be placed with a nonadmitted insurer for the
purpose of procuring a rate lower than the lowest rate that will be
accepted by any admitted insurer except as provided by subdivision
(c). The commissioner may make and publish reasonable rules and
regulations, consistent with this chapter, in respect to transactions
governed thereby and the basis or bases for his or her
determinations hereunder.
(b) It shall be prima facie evidence that a diligent search among
admitted insurers has been made if the standardized form filed as
required by subdivision (a) establishes that three admitted insurers
that actually write the particular type of insurance in this state
have declined the risk, or that fewer than three admitted insurers
actually write the particular type of insurance. The commissioner, or
his or her designee, may review the form for the accuracy of the
information provided on it, including, but not limited to, whether
the listed insurers actually write that type of insurance, and
whether the three insurers declined the risk. The commissioner may
take disciplinary action against the person signing the form for any
misrepresentation made in the form due to the negligence of or the
result of an intentional act by that person or the person or persons
who actually conducted the search. Those actions may include any
action authorized to be taken against a licensed person by this code.
Nothing in this subdivision shall preclude the commissioner or his
or her designee from directing the surplus line broker to conduct a
further or additional search among admitted insurers for similar
placements in the future.
(c) It shall be conclusively presumed that insurance is placed in
violation of this section if the insurance is actually placed with a
nonadmitted insurer at a lower rate of premium or lower premium than
the lowest rate of premium or the lowest premium that could be
obtained from an admitted insurer unless, at the time the insurance
attaches, there is filed with the commissioner a statement describing
the insurance, specifying the rate and the nearest procurable rates
from admitted insurers. The statement shall include an explanation of
the reasons that the insurance must be placed with a nonadmitted
insurer even though it is available from an admitted insurer. Unless
the commissioner, or his or her designee, within five days after that
filing notifies the filing broker that in his or her opinion the
placing of the insurance constitutes a violation of this section, the
broker may thereafter maintain in effect that insurance. If within
that five-day period the commissioner notifies the surplus line
broker that the insurance is in violation of this section and orders
the broker to effect termination of that insurance within 10 days
from the notice, and the broker fails or refuses to effect that
termination, that failure or refusal is a violation of this section.
(d) Statements filed under this section are not subject to public
inspection unless the commissioner determines that the public
interest or the welfare of the filing broker requires that any
statement be made public.
(e) For purposes of this section, "type of insurance" means the
hazard or combination of hazards covered by a contract of insurance.
(f) Notwithstanding subdivision (a), this section shall not apply
to insurance issued or delivered in this state to a home state
insured by a nonadmitted Mexican insurer by and through a surplus
line broker affording coverage exclusively in the Republic of Mexico
on property located temporarily or permanently in, or operations
conducted temporarily or permanently within, the Republic of Mexico.
(g) This section does not apply to the extension of coverage by a
nonadmitted insurer, of or for the same risks, and to the same
insured under an existing surplus lines policy. Such an extension may
not exceed 90 days in the aggregate during any 12-month period. The
extension may not include a change in coverage, terms, and
conditions, or limits. Any additional premium charged for the
extension shall be determined pro rata, based on the same rate of
premium as the existing surplus lines policy.
(h) (1) The diligent search requirement set forth in subdivision
(a) shall not apply to a commercial insured as defined in subdivision
(b) of Section 1760.1 when both of the following occur:
(A) The surplus line broker procuring or placing the surplus line
insurance has disclosed in writing to the commercial insured that
surplus insurance may or may not be available from the admitted
market that may provide greater protection with more regulatory
oversight.
(B) The commercial insured has subsequently requested in writing
that the surplus line broker procure or place surplus insurance from
a nonadmitted insurer.
(2) The surplus line broker shall be responsible to ensure that
the applicant is a commercial insured. A surplus line broker who
reasonably relies on information provided in good faith by the
applicant, whether directly or through a producer, shall be deemed to
be in compliance with this requirement.
(a) The commissioner may by order declare permissible for
placement for a home state insured with a nonadmitted insurer and
exempt from all requirements of Section 1763 except the filing of a
confidential written report, any type of insurance coverage or risk
for which he or she finds, after a public hearing, that there is not
a reasonable or adequate market among admitted insurers. The
commissioner or his or her designee shall maintain an export list
showing all those exempt coverages and risks. A public hearing shall
be held annually or more often at the commissioner's discretion and
reasonable notice of a hearing shall be given to all interested
parties including surplus line brokers, admitted insurers, trade
associations representing admitted insurers, agents and brokers, and
consumer groups. The hearing shall not be required to be conducted in
accordance with Chapter 5 (commencing with Section 11500) of Part 1
of Division 3 of Title 2 of the Government Code. Any such order by
the commissioner shall continue in effect until terminated by the
commissioner. Where the commissioner receives written comments or
testimony or otherwise determines, prior to a hearing, that a type of
insurance on the export list is more available, in the admitted
market, the commissioner may remove the type of insurance from the
list. The permissibility of any type of insurance to remain on the
list is subject to an annual affirmative finding by the commissioner,
however, when written comment or testimony is received prior to a
hearing, the permissibility of that type of insurance to remain on
the export list shall be reviewed at the next hearing and that type
of insurance may not remain on the export list without an affirmative
decision by the commissioner or his or her designee that there is
not a reasonable or adequate market among admitted insurers. The
commissioner or his or her designee shall notify all surplus line
brokers of any removal. For purposes of this section, the
commissioner shall not be authorized to include on the export list as
permissible for placement with a nonadmitted insurer, automobile or
motor vehicle liability insurance, insurance on residential property,
as defined under Section 10087, or any insurance written by the
California FAIR plan.
(b) The surplus line advisory organization authorized by Chapter
6.1 (commencing with Section 1780.50) shall pay the costs for a
maximum of two public hearings per year held by the commissioner or
his or her designee pursuant to this section.
(c) Except for the removal of a type of insurance from the export
list pursuant to subdivision (a), nothing in this section shall
authorize the commissioner to declare any type of insurance
impermissible for exportation.
(a) A licensed surplus line broker may originate surplus
lines business, or may accept that business from any other
originating licensee duly licensed for the type or types of insurance
involved, and may compensate those licensees therefor.
(b) For any information involved in any insurance transaction
described in subdivision (a), or involved in the eligibility of the
risk for placement with a surplus line broker, the originating
licensee shall use due care and diligence in the collection,
preparation, and transmission of the information to the surplus line
broker.
In addition to the requirements of Section 1763, no surplus
line broker shall solicit from, or place with, any nonadmitted
insurer, any insurance covering private passenger automobiles if that
insurance contains in whole or in part the limits of coverage
provided under the California Automobile Assigned Risk Plan unless
the surplus line broker, producing agent, broker, or insured has
first submitted to the California Automobile Assigned Risk Plan a
properly completed and executed application in accordance with the
requirements of the plan for the coverage provided by the plan and
the plan itself has determined that the application is ineligible for
the limits of coverage applied for and so notifies the surplus line
broker or insured in writing.
For purposes of this section, a private passenger automobile
includes motorcycles, but does not include a fleet of five or more
automobiles rated for business use and used in a business.
(a) A licensed surplus line broker may issue evidence of
insurance for a home state insured, including binders, covernotes,
and certificates evidencing the placement of insurance with an
eligible nonadmitted insurer, and with prior written authority, may
issue policies of the insurer.
(b) Certificates may be issued pursuant to subdivision (a) or (b)
of Section 1764.2. The certificates shall be in the name of the
surplus line broker and not in the name of the nonadmitted insurer,
shall be signed by the surplus line broker, and shall contain all of
the matters specified in Insurance Code Section 381.
(c) Policies may only be issued pursuant to subdivision (a) of
Section 1764.2. The policies shall contain all of the matters
specified in Section 381 and shall be countersigned by the surplus
line broker.
(a) (1) Every nonadmitted insurer, in the case of insurance
to be purchased by a home state insured pursuant to Section 1760,
and surplus line broker, in the case of any insurance with a
nonadmitted carrier for a home state insured to be transacted by the
surplus line broker, shall be responsible to ensure that, at the time
of accepting an application for an insurance policy, other than a
renewal of that policy, issued by a nonadmitted insurer, the
signature of the applicant on the disclosure statement set forth in
subdivision (b) is obtained. In fulfillment of this responsibility,
the nonadmitted insurer and the surplus line broker may rely, if it
is reasonable under all the circumstances to do so, on the disclosure
statement received from a licensee involved in the transaction as
prima facie evidence that the disclosure statement and appropriate
signature from the applicant have been obtained. The surplus line
broker shall maintain a copy of the signed disclosure statement in
his or her records for a period of at least five years. These records
shall be made available to the commissioner and the insured upon
request. This disclosure shall be signed by the applicant, and is not
subject to a limited power of attorney agreement between the
applicant and an agent or broker or a surplus line broker. The
disclosure statement shall be in boldface 16-point type on a
freestanding document. In addition, every policy issued by a
nonadmitted insurer and every certificate evidencing the placement of
insurance shall contain, or have affixed to it by the insurer or
surplus line broker, the disclosure statement set forth in
subdivision (b) in boldface 16-point type on the front page of the
policy.
(2) In a case in which the applicant has not received and
completed the signed disclosure form required by this section, he or
she may cancel the insurance so placed. The cancellation shall be on
a pro rata basis as to premium, and the applicant shall be entitled
to the return of any broker's fees charged for the placement.
(b) The following notice shall be provided to home state insureds
and home state insured applicants for insurance as provided by
subdivision (a), and shall be printed in English and in the language
principally used by the surplus line broker and nonadmitted insurer
to advertise, solicit, or negotiate the sale and purchase of surplus
line insurance. The surplus line broker and nonadmitted insurer shall
use the appropriate bracketed language for application and issued
policy disclosures:
"NOTICE:
1. THE INSURANCE POLICY THAT YOU [HAVE PURCHASED] [ARE APPLYING TO
PURCHASE] IS BEING ISSUED BY AN INSURER THAT IS NOT LICENSED BY THE
STATE OF CALIFORNIA. THESE COMPANIES ARE CALLED "NONADMITTED" OR
"SURPLUS LINE" INSURERS.
2. THE INSURER IS NOT SUBJECT TO THE FINANCIAL SOLVENCY REGULATION
AND ENFORCEMENT THAT APPLY TO CALIFORNIA LICENSED INSURERS.
3. THE INSURER DOES NOT PARTICIPATE IN ANY OF THE INSURANCE
GUARANTEE FUNDS CREATED BY CALIFORNIA LAW. THEREFORE, THESE FUNDS
WILL NOT PAY YOUR CLAIMS OR PROTECT YOUR ASSETS IF THE INSURER
BECOMES INSOLVENT AND IS UNABLE TO MAKE PAYMENTS AS PROMISED.
4. THE INSURER SHOULD BE LICENSED EITHER AS A FOREIGN INSURER IN
ANOTHER STATE IN THE UNITED STATES OR AS A NON-UNITED STATES (ALIEN)
INSURER. YOU SHOULD ASK QUESTIONS OF YOUR INSURANCE AGENT, BROKER, OR
"SURPLUS LINE" BROKER OR CONTACT THE CALIFORNIA DEPARTMENT OF
INSURANCE AT THE FOLLOWING TOLL-FREE TELEPHONE NUMBER ____. ASK
WHETHER OR NOT THE INSURER IS LICENSED AS A FOREIGN OR NON-UNITED
STATES (ALIEN) INSURER AND FOR ADDITIONAL INFORMATION ABOUT THE
INSURER. YOU MAY ALSO CONTACT THE NAIC'S INTERNET WEB SITE AT
WWW.NAIC.ORG.
5. FOREIGN INSURERS SHOULD BE LICENSED BY A STATE IN THE UNITED
STATES AND YOU MAY CONTACT THAT STATE'S DEPARTMENT OF INSURANCE TO
OBTAIN MORE INFORMATION ABOUT THAT INSURER.
6. FOR NON-UNITED STATES (ALIEN) INSURERS, THE INSURER SHOULD BE
LICENSED BY A COUNTRY OUTSIDE OF THE UNITED STATES AND SHOULD BE ON
THE NAIC'S INTERNATIONAL INSURERS DEPARTMENT (IID) LISTING OF
APPROVED NONADMITTED NON-UNITED STATES INSURERS. ASK YOUR AGENT,
BROKER, OR "SURPLUS LINE" BROKER TO OBTAIN MORE INFORMATION ABOUT
THAT INSURER.
7. CALIFORNIA MAINTAINS A LIST OF APPROVED SURPLUS LINE INSURERS.
ASK YOUR AGENT OR BROKER IF THE INSURER IS ON THAT LIST, OR VIEW THAT
LIST AT THE INTERNET WEB SITE OF THE CALIFORNIA DEPARTMENT OF
INSURANCE: WWW.INSURANCE.CA.GOV.
8. IF YOU, AS THE APPLICANT, REQUIRED THAT THE INSURANCE POLICY
YOU HAVE PURCHASED BE BOUND IMMEDIATELY, EITHER BECAUSE EXISTING
COVERAGE WAS GOING TO LAPSE WITHIN TWO BUSINESS DAYS OR BECAUSE YOU
WERE REQUIRED TO HAVE COVERAGE WITHIN TWO BUSINESS DAYS, AND YOU DID
NOT RECEIVE THIS DISCLOSURE FORM AND A REQUEST FOR YOUR SIGNATURE
UNTIL AFTER COVERAGE BECAME EFFECTIVE, YOU HAVE THE RIGHT TO CANCEL
THIS POLICY WITHIN FIVE DAYS OF RECEIVING THIS DISCLOSURE. IF YOU
CANCEL COVERAGE, THE PREMIUM WILL BE PRORATED AND ANY BROKER'S FEE
CHARGED FOR THIS INSURANCE WILL BE RETURNED TO YOU."
(c) When a contract is issued to an industrial insured, neither
the nonadmitted insurer nor the surplus line broker is required to
provide the notice required in this section except on the
confirmation of insurance, the certificate of placement, or the
policy, whichever is first provided to the insured, nor is the
insurer or surplus line broker required to obtain the insured's
signature. The producer shall ensure that the notice affixed to the
confirmation of insurance, certificate of placement, or the policy is
provided to the insured. The producer shall insert the current
toll-free telephone number of the Department of Insurance as provided
in paragraph 4 of the notice.
(1) An industrial insured is an insured that does both of the
following:
(A) Employs at least 25 employees on average during the prior 12
months.
(B) Has aggregate annual premiums for insurance for all risks
other than workers' compensation and health coverage totaling no less
than twenty-five thousand dollars ($25,000) or obtains insurance
through the services of a full-time employee acting as an insurance
manager or a continuously retained insurance consultant. A
"continuously retained insurance consultant" does not include: (i) an
agent or broker through whom the insurance is being placed, (ii) a
subagent or subproducer involved in the transaction, or (iii) an
agent or broker that is a business organization employing or
contracting with a person mentioned in clauses (i) and (ii).
(2) The surplus line broker shall be responsible for ensuring that
the applicant is an industrial insured. A surplus line broker who
reasonably relies on information provided in good faith by the
applicant, whether directly or through the producer, shall be deemed
to be in compliance with this requirement.
(d) For purposes of compliance with the requirement of subdivision
(a) that the signature of the applicant be obtained, the following
shall apply:
(1) If the insurance transaction is not conducted at an in-person,
face-to-face meeting, the applicant's signature on the disclosure
form may be transmitted by the applicant to the agent or broker via
facsimile or comparable electronic transmittal.
(2) In the case of commercial lines coverage, or personal
insurance coverage subject to Section 675 and any umbrella coverage
associated therewith, where an applicant requires that insurance
coverage be bound immediately, either because existing coverage will
lapse within two business days of the time the insurance is bound or
because the applicant is required to have coverage in place within
two business days, and the applicant cannot meet in person with the
agent or broker to sign the disclosure form, the agent or broker may
obtain the signature of the applicant within five days of binding
coverage, provided that the applicant may cancel the insurance so
placed within five days of receiving the disclosure form from the
agent or broker. The cancellation shall be on a pro rata basis, and
the applicant shall be entitled to the rescission or return of any
broker's fees charged for the placement. When a policy is canceled,
the broker shall inform the applicant that the broker's fee must be
returned and that the premium must be prorated.
(e) Notwithstanding subdivision (a), this section shall not apply
to insurance issued or delivered in this state by a nonadmitted
Mexican insurer by and through a surplus line broker affording
coverage exclusively in the Republic of Mexico on property located
temporarily or permanently in, or operations conducted temporarily or
permanently within, the Republic of Mexico.
(f) This section shall remain in effect only until January 1,
2017, and as of that date is repealed, unless a later enacted
statute, that is enacted before January 1, 2017, deletes or extends
that date.
(a) (1) Every nonadmitted insurer, in the case of insurance
to be purchased by a home state insured pursuant to Section 1760,
and surplus line broker, in the case of any insurance with a
nonadmitted carrier for a home state insured to be transacted by the
surplus line broker, shall be responsible to ensure that, at the time
of accepting an application for an insurance policy, other than a
renewal of that policy, issued by a nonadmitted insurer, the
signature of the applicant on the disclosure statement set forth in
subdivision (b) is obtained. In fulfillment of this responsibility,
the nonadmitted insurer and the surplus line broker may rely, if it
is reasonable under all the circumstances to do so, on the disclosure
statement received from a licensee involved in the transaction as
prima facie evidence that the disclosure statement and appropriate
signature from the applicant have been obtained. The surplus line
broker shall maintain a copy of the signed disclosure statement in
his or her records for a period of at least five years. These records
shall be made available to the commissioner and the insured upon
request. This disclosure shall be signed by the applicant, and is not
subject to a limited power of attorney agreement between the
applicant and an agent or broker or a surplus line broker. The
disclosure statement shall be in boldface 16-point type on a
freestanding document. In addition, every policy issued by a
nonadmitted insurer and every certificate evidencing the placement of
insurance shall contain, or have affixed to it by the insurer or
surplus line broker, the disclosure statement set forth in
subdivision (b) in boldface 16-point type on the front page of the
policy.
(2) In a case in which the applicant has not received and
completed the signed disclosure form required by this section, he or
she may cancel the insurance so placed. The cancellation shall be on
a pro rata basis as to premium, and the applicant shall be entitled
to the return of any broker's fees charged for the placement.
(b) The following notice shall be provided to home state insureds
and home state insured applicants for insurance as provided by
subdivision (a), and shall be printed in English and in the language
principally used by the surplus line broker and nonadmitted insurer
to advertise, solicit, or negotiate the sale and purchase of surplus
line insurance. The surplus line broker and nonadmitted insurer shall
use the appropriate bracketed language for application and issued
policy disclosures:
"NOTICE:
1. THE INSURANCE POLICY THAT YOU [HAVE PURCHASED] [ARE APPLYING TO
PURCHASE] IS BEING ISSUED BY AN INSURER THAT IS NOT LICENSED BY THE
STATE OF CALIFORNIA. THESE COMPANIES ARE CALLED "NONADMITTED" OR
"SURPLUS LINE" INSURERS.
2. THE INSURER IS NOT SUBJECT TO THE FINANCIAL SOLVENCY REGULATION
AND ENFORCEMENT THAT APPLY TO CALIFORNIA LICENSED INSURERS.
3. THE INSURER DOES NOT PARTICIPATE IN ANY OF THE INSURANCE
GUARANTEE FUNDS CREATED BY CALIFORNIA LAW. THEREFORE, THESE FUNDS
WILL NOT PAY YOUR CLAIMS OR PROTECT YOUR ASSETS IF THE INSURER
BECOMES INSOLVENT AND IS UNABLE TO MAKE PAYMENTS AS PROMISED.
4. THE INSURER SHOULD BE LICENSED EITHER AS A FOREIGN INSURER IN
ANOTHER STATE IN THE UNITED STATES OR AS A NON-UNITED STATES (ALIEN)
INSURER. YOU SHOULD ASK QUESTIONS OF YOUR INSURANCE AGENT, BROKER, OR
"SURPLUS LINE" BROKER OR CONTACT THE CALIFORNIA DEPARTMENT OF
INSURANCE AT THE FOLLOWING TOLL-FREE TELEPHONE NUMBER ____ OR
INTERNET WEB SITE WWW.INSURANCE.CA.GOV. ASK WHETHER OR NOT THE
INSURER IS LICENSED AS A FOREIGN OR NON-UNITED STATES (ALIEN) INSURER
AND FOR ADDITIONAL INFORMATION ABOUT THE INSURER. YOU MAY ALSO
CONTACT THE NAIC'S INTERNET WEB SITE AT WWW.NAIC.ORG.
5. FOREIGN INSURERS SHOULD BE LICENSED BY A STATE IN THE UNITED
STATES AND YOU MAY CONTACT THAT STATE'S DEPARTMENT OF INSURANCE TO
OBTAIN MORE INFORMATION ABOUT THAT INSURER.
6. FOR NON-UNITED STATES (ALIEN) INSURERS, THE INSURER SHOULD BE
LICENSED BY A COUNTRY OUTSIDE OF THE UNITED STATES AND SHOULD BE ON
THE NAIC'S INTERNATIONAL INSURERS DEPARTMENT (IID) LISTING OF
APPROVED NONADMITTED NON-UNITED STATES INSURERS. ASK YOUR AGENT,
BROKER, OR "SURPLUS LINE" BROKER TO OBTAIN MORE INFORMATION ABOUT
THAT INSURER.
7. CALIFORNIA MAINTAINS A LIST OF APPROVED SURPLUS LINE INSURERS.
ASK YOUR AGENT OR BROKER IF THE INSURER IS ON THAT LIST, OR VIEW THAT
LIST AT THE INTERNET WEB SITE OF THE CALIFORNIA DEPARTMENT OF
INSURANCE: WWW.INSURANCE.CA.GOV.
8. IF YOU, AS THE APPLICANT, REQUIRED THAT THE INSURANCE POLICY
YOU HAVE PURCHASED BE BOUND IMMEDIATELY, EITHER BECAUSE EXISTING
COVERAGE WAS GOING TO LAPSE WITHIN TWO BUSINESS DAYS OR BECAUSE YOU
WERE REQUIRED TO HAVE COVERAGE WITHIN TWO BUSINESS DAYS, AND YOU DID
NOT RECEIVE THIS DISCLOSURE FORM AND A REQUEST FOR YOUR SIGNATURE
UNTIL AFTER COVERAGE BECAME EFFECTIVE, YOU HAVE THE RIGHT TO CANCEL
THIS POLICY WITHIN FIVE DAYS OF RECEIVING THIS DISCLOSURE. IF YOU
CANCEL COVERAGE, THE PREMIUM WILL BE PRORATED AND ANY BROKER'S FEE
CHARGED FOR THIS INSURANCE WILL BE RETURNED TO YOU."
(c) When a contract is issued to an industrial insured, neither
the nonadmitted insurer nor the surplus line broker is required to
provide the notice required in this section except on the
confirmation of insurance, the certificate of placement, or the
policy, whichever is first provided to the insured, nor is the
insurer or surplus line broker required to obtain the insured's
signature. The producer shall ensure that the notice affixed to the
confirmation of insurance, certificate of placement, or the policy is
provided to the insured. The producer shall insert the current
toll-free telephone number of the Department of Insurance as provided
in paragraph 4 of the notice.
(1) An industrial insured is an insured that does both of the
following:
(A) Employs at least 25 employees on average during the prior 12
months.
(B) Has aggregate annual premiums for insurance for all risks
other than workers' compensation and health coverage totaling no less
than twenty-five thousand dollars ($25,000) or obtains insurance
through the services of a full-time employee acting as an insurance
manager or a continuously retained insurance consultant. A
"continuously retained insurance consultant" does not include: (i) an
agent or broker through whom the insurance is being placed, (ii) a
subagent or subproducer involved in the transaction, or (iii) an
agent or broker that is a business organization employing or
contracting with a person mentioned in clauses (i) and (ii).
(2) The surplus line broker shall be responsible for ensuring that
the applicant is an industrial insured. A surplus line broker who
reasonably relies on information provided in good faith by the
applicant, whether directly or through the producer, shall be deemed
to be in compliance with this requirement.
(d) For purposes of compliance with the requirement of subdivision
(a) that the signature of the applicant be obtained, the following
shall apply:
(1) If the insurance transaction is not conducted at an in-person,
face-to-face meeting, the applicant's signature on the disclosure
form may be transmitted by the applicant to the agent or broker via
facsimile or comparable electronic transmittal.
(2) In the case of commercial lines coverage, or personal
insurance coverage subject to Section 675 and any umbrella coverage
associated therewith, where an applicant requires that insurance
coverage be bound immediately, either because existing coverage will
lapse within two business days of the time the insurance is bound or
because the applicant is required to have coverage in place within
two business days, and the applicant cannot meet in person with the
agent or broker to sign the disclosure form, the agent or broker may
obtain the signature of the applicant within five days of binding
coverage, provided that the applicant may cancel the insurance so
placed within five days of receiving the disclosure form from the
agent or broker. The cancellation shall be on a pro rata basis, and
the applicant shall be entitled to the rescission or return of any
broker's fees charged for the placement. When a policy is canceled,
the broker shall inform the applicant that the broker's fee must be
returned and that the premium must be prorated.
(e) Notwithstanding subdivision (a), this section shall not apply
to insurance issued or delivered in this state by a nonadmitted
Mexican insurer by and through a surplus line broker affording
coverage exclusively in the Republic of Mexico on property located
temporarily or permanently in, or operations conducted temporarily or
permanently within, the Republic of Mexico.
(f) This section shall become operative on January 1, 2017.
No surplus line broker shall issue any evidence of
insurance or cause or purport to cause any risk to be insured by a
nonadmitted insurer or advise any home state insured or home state
insured applicant for insurance that coverage has been or will be
obtained from a nonadmitted insurer unless:
(a) The broker has prior written authority from the nonadmitted
insurer to cause the risk to be insured;
(b) The broker has received advice in the ordinary course of
business that the coverage has been obtained; or
(c) A policy of insurance covering the insured for the risk has
actually been issued by the nonadmitted insurer and delivered to the
insured or his or her representative.
If the surplus line broker acts in reliance on advice
received in accordance with subdivision (b) of Section 1764.2, the
broker shall deliver the policy to the home state insured or his or
her representative, and, if the delivery is not made within 30 days
after the date of the issuance of the certificate or upon which the
risk has been bound or the home state insured or the home state
insured applicant has been advised that coverage has been or will be
obtained, he or she shall deliver to the insured either of the
following:
(a) A photostatic copy of evidence that the insurance has been
bound.
(b) If the nonadmitted insurer is located outside the United
States, a cover note, placing slip, or similar document evidencing
coverage issued or certified to by any broker located outside the
United States who actually placed that insurance with the nonadmitted
insurer.
The prior written authority, policy of insurance or copy of
evidence that insurance has been bound referred to in Section
1764.2, shall contain authentication by all persons assuming any risk
of loss, and, if there is more than one such person, both it and any
document issued or certified by the placing broker pursuant to
subdivision (b) of Section 1764.3 , shall contain a specification of
whether their obligation is joint or several, and if the latter, the
proportion of the obligation assumed by each person.
If insurance results from a transaction in which any
provision of Sections 1764.2 to 1764.4 is violated, such insurance is
subject to cancellation by the insured or by order of the
commissioner. Such cancellation shall be without penalty to the
insured.
Any person who willfully violates Section 1760.5, 1761,
1763, 1764, 1764.1, 1764.2, 1764.3, 1764.4, 1765.1, 1765.2, 1767, or
1780 is guilty of a public offense and punishable by imprisonment
pursuant to subdivision (h) of Section 1170 of the Penal Code, or in
a county jail for not exceeding one year or by fine not exceeding ten
thousand dollars ($10,000), or by both.
(a) A license under this chapter shall be applied for and
renewed by the filing with the commissioner of a written application
therefor, in accordance with Section 1652.
(b) Subject to subdivision (f), the commissioner shall issue a
license authorizing any applicant who is trustworthy and competent to
transact an insurance brokerage business in a manner as to safeguard
the interest of the insured, to act as a surplus line broker from
the date of the license until the expiration date specified in
Section 1630.
(c) An applicant for a surplus line broker's license shall, as
part of the application and a condition of the issuance of the
license, file a bond to the people of the State of California in the
sum of fifty thousand dollars ($50,000), conditioned that the
licensee will fully and faithfully comply with the requirements of
this chapter, and all applicable provisions of this code. The bond
shall be subject to Sections 1662 and 1663. A surplus line broker
bond is not required for an individual licensed as a surplus line
broker who transacts only on behalf of a licensed surplus line broker
organization.
(d) The filing fee for a license to act as a surplus line broker
shall be one thousand dollars ($1,000) every two years, or for any
initial fractional license year. For an individual licensed as a
surplus line broker who only transacts on behalf of a surplus line
broker organization, the filing fee shall be five hundred dollars
($500) every two years, or for any initial fractional license year.
Every applicant for a business entity license, as provided in
subdivision (a) of Section 1765.2, shall provide the names of all
persons who may exercise the power and perform the duties under the
license. Whenever an organization licensed as a surplus line broker
desires to change, remove, or add to the natural person or persons
who are to transact insurance under authority of its license, it
shall immediately file an application or notice with the commissioner
for an endorsement changing its license accordingly, on a form
prescribed by the commissioner. The fee for adding or removing from
any surplus line broker's license issued to an organization the name
of any natural person, named thereon, shall be twenty-four dollars
($24). The commissioner shall require that the qualifying examination
provided by subdivision (a) of Section 1676 be taken by any natural
person named by the organization to exercise its agency or brokerage
powers who would be required to take and pass the qualifying
examination. That natural person or persons and the organization are
in all other respects subject to the provisions of this chapter and
the insurance laws.
(e) The department is authorized to collect additional license
fees resulting from the increases in license fees provided by Chapter
29 of the Statutes of 2008 and shall credit any overpayment
resulting from reductions in license fees provided by that act.
(f) A business entity licensed under this chapter shall provide
two hours of appropriate training to its employees who solicit,
negotiate, or effect insurance coverage placed by a nonadmitted
insurer. The training shall be given to each eligible employee every
five years. The surplus line advisory organization authorized
pursuant to Chapter 6.1 (commencing with Section 1780.50) shall
develop the curriculum for the training.
(g) The license shall be renewed in accordance with, and subject
to, Sections 1717, 1718, 1719, and 1720.
(h) The commissioner may deny, suspend, or revoke any license
applied for or granted pursuant to this chapter on all or any one of
the grounds and in accordance with the procedures provided in Article
6 (commencing with Section 1666) and Article 13 (commencing with
Section 1737) of Chapter 5, whenever the commissioner finds that the
applicant or licensee has committed a violation of any provision of
this code.
No surplus line broker shall place any coverage with a
nonadmitted insurer for a home state insured unless the insurer is
domiciled in the Republic of Mexico and the placement covers only
liability arising out of the ownership, maintenance, or use of a
motor vehicle, aircraft, or boat in the Republic of Mexico, or, at
the time of placement, the nonadmitted insurer meets the requirements
of either subdivision (a) or (b):
(a) If the insurer is domiciled in one of the states of the United
States or its territories as defined in subdivision (o) of Section
1760.1:
(1) Is licensed to write the type of insurance in its domiciliary
jurisdiction; and
(2) (A) Has capital and surplus that together total forty-five
million dollars ($45,000,000).
(B) The requirements of subparagraph (A) may be satisfied by an
insurer possessing less than forty-five million dollars ($45,000,000)
upon an affirmative finding of acceptability by the commissioner.
The finding shall be based upon factors such as quality of
management, capital and surplus of any parent company, company
underwriting profit and investment income trends, market
availability, and company record and reputation within the industry.
The commissioner is prohibited from making an affirmative finding of
acceptability when the foreign insurer's capital and surplus is less
than four million five hundred thousand dollars ($4,500,000); or
(C) If a foreign insurer that was listed as an eligible surplus
line insurer as of January 1, 2011, and did not have the forty-five
million dollars ($45,000,000) of capital and surplus as of January 1,
2011, that insurer shall have at least thirty million dollars
($30,000,000) of capital and surplus as of December 31, 2011, and at
least forty-five million dollars ($45,000,000) of capital and surplus
as of December 31, 2013.
(b) If the insurer is not domiciled in one of the states of the
United States or its territories as defined in subdivision (o) of
Section 1760.1, the insurer is listed on the Quarterly Listing of
Alien Insurers maintained by the NAIC International Insurers
Department (IID) and is licensed as an insurer in its domiciliary
jurisdiction.
(c) If at any time the commissioner determines that an insurer is
no longer eligible pursuant to subdivision (a) or (b), the
commissioner may issue an order without prior notice and hearing. At
the time an order is issued pursuant to this subdivision to an
insurer, the commissioner shall notify all surplus line brokers of
the order.
(d) The commissioner may require, at least annually, the
submission of records and statements as are reasonably necessary to
ensure that the requirements of this section are maintained.
(e) The commissioner shall establish by regulation a schedule of
fees to cover costs of administering and enforcing this chapter.
(f) (1) Insurance may be placed on a limited basis with insurers
not eligible pursuant to this section if all of the following
conditions are met:
(A) The use of multiple insurers is necessary to obtain coverage
for 100 percent of the risk.
(B) At least 80 percent of the risk is placed with admitted
insurers or insurers that are eligible nonadmitted insurers.
(C) The placing surplus line broker submits to the commissioner,
or his or her designee, copies of all documentation relied upon by
the surplus line broker to make the broker's determination that the
financial stability, reputation, and integrity of the ineligible
insurer or insurers, are adequate to safeguard the interest of the
insured under the policy. This documentation, and any other
documentation regarding the ineligible insurer requested by the
commissioner, shall be submitted no more than 30 days after the
insurance is placed with the unlisted insurer for the initial
placement by that broker with the particular ineligible insurer, and
annually thereafter for as long as the broker continues to make
placements with the ineligible insurer pursuant to this paragraph.
(D) The insured has aggregate annual premiums for all risks other
than workers' compensation or health coverage totaling no less than
one hundred thousand dollars ($100,000).
(2) Insurance may not be placed pursuant to paragraph (1) if any
of the following applies:
(A) The ineligible insurer has for any reason been objected to by
the commissioner pursuant to this section or has become ineligible.
(B) The insurance includes coverage for employer-sponsored
medical, surgical, hospital, or other health or medical expense
benefits payable to the employee by the insurer.
(C) The insurance is mandatory under the laws of the federal
government, this state, or any political subdivision thereof, and
includes any portion of limits of coverage mandated by those laws.
(D) The insured is a multiple employer welfare arrangement, as
defined in Section 1002(40)(A) of Title 29 of the United States Code,
or any other arrangement among two or more employers that are not
under common ownership or control, which is established or maintained
for the primary purpose of providing insurance benefits to the
employees of two or more employers.
(E) Ineligible insurers represent a disproportionate portion of
the lower layers of the coverage.
(3) Nothing in this section is intended to alter any duties of a
surplus line broker pursuant to subdivision (b) of Section 1765 or
other laws of this state to safeguard the interests of the insured
under the policy in recommending or placing insurance with a
nonadmitted insurer.
(4) Placements authorized by this subdivision are intended to
provide sophisticated insurance purchasers with a means to obtain
necessary commercial insurance coverage from nonadmitted insurers
that are not eligible in situations where it is not commercially
possible to fully obtain that coverage from either admitted or
eligible insurers. This subdivision shall not be deemed to permit
surplus line brokers to place with nonadmitted insurers common
commercial or personal line coverages for insureds that can be placed
with insurers that are admitted or eligible pursuant to this
section, whether the insured is an individual insured, or a group
created primarily for the purpose of purchasing insurance.
(g) With respect to a nonadmitted insurer that is listed as an
eligible surplus line insurer as of July 21, 2011, pursuant to the
former Section 1765.1 as it read prior to July 21, 2011, this section
shall not be effective until the subsequent expiration of the
policies of that insurer in effect on July 21, 2011. Nothing in the
bill that amended this section during the 2011 portion of the 2011-12
Regular Session is intended to repeal or imply there is not
authority to adopt, or to have adopted, or to continue in force, any
regulation, or part thereof, with respect to surplus line insurance,
which is not clearly inconsistent with it.
A surplus line broker may place any coverage with a
California-approved nonadmitted insurer if the insurer is domiciled
in the Republic of Mexico and the placement covers only liability
arising out of the ownership, maintenance, or use of a motor vehicle,
aircraft, or boat in the Republic of Mexico, or if, at the time of
placement, the nonadmitted insurer meets the following requirements:
(a) (1) Has established its financial stability, reputation, and
integrity, for the class of insurance the broker proposes to place,
by satisfactory evidence submitted to the commissioner through a
surplus line broker.
(2) Meets one of the following requirements with respect to its
financial stability:
(A) Has capital and surplus that together total at least
forty-five million dollars ($45,000,000). "Capital" shall be as
defined in Section 36. "Surplus" shall be defined as assets exceeding
the sum of liabilities for losses reported, expenses, taxes, and all
other indebtedness and reinsurance of outstanding risks as provided
by law and paid-in capital in the case of an insurer issuing or
having outstanding shares of capital stock. The type of assets to be
used in calculating capital and surplus shall be as follows: at least
twenty-five million dollars ($25,000,000) shall be in the form of
cash, or securities of the same character and quality as specified in
Sections 1170 to 1182, inclusive, or in readily marketable
securities listed on regulated United States' national or principal
regional securities exchanges. The remaining assets shall be in the
form just described or in the form of investments of substantially
the same character and quality as described in Sections 1190 to 1202,
inclusive. In calculating capital and surplus under this section,
the term "same character and quality" shall permit, but not require,
the commissioner to approve assets maintained in accordance with the
laws of another state or country. The commissioner shall be guided by
the limitations, restrictions, or other requirements of this code or
the National Association of Insurance Commissioners' Accounting
Practices and Procedures Manual in determining whether assets
substantially similar to those described in Sections 1190 to 1202,
inclusive, qualify. The commissioner shall retain the discretion to
disapprove or disallow an asset that is not of a sound quality, or
that he or she deems to create an unacceptable risk of loss to the
insurer or to policyholders. Letters of credit shall not qualify as
assets in the calculation of surplus. If capital and surplus together
total less than forty-five million dollars ($45,000,000), the
commissioner has affirmatively found that the capital and surplus are
adequate to protect California policyholders. The commissioner shall
consider, on determining whether to make this finding, factors such
as quality of management, the capital and surplus of a parent
company, the underwriting profit and investment income trends, and
the record of claims payment and claims handling practices of the
nonadmitted insurer.
(B) In the case of an "Insurance Exchange" created and authorized
under the laws of individual states, maintains capital and surplus of
not less than fifty million dollars ($50,000,000) in the aggregate.
"Capital" shall be as defined in Section 36. "Surplus" shall be
defined as assets exceeding the sum of liabilities for losses
reported, expenses, taxes, and all other indebtedness and reinsurance
of outstanding risks as provided by law and paid-in capital in the
case of an insurer issuing or having outstanding shares of capital
stock. The type of assets to be used in calculating capital and
surplus shall be as follows: at least twenty-five million dollars
($25,000,000) shall be in the form of cash, or securities of the same
character and quality as specified in Sections 1170 to 1182,
inclusive, or in readily marketable securities listed on regulated
United States' national or principal regional securities exchanges.
The remaining assets shall be in the form just described or in the
form of investments of substantially the same character and quality
as described in Sections 1190 to 1202, inclusive. In calculating
capital and surplus under this section, the term "same character and
quality" shall permit, but not require, the commissioner to approve
assets maintained in accordance with the laws of another state or
country. The commissioner shall be guided by the limitations,
restrictions, or other requirements of this code or the National
Association of Insurance Commissioners' Accounting Practices and
Procedures Manual in determining whether assets substantially similar
to those described in Sections 1190 to 1202, inclusive, qualify. The
commissioner shall retain the discretion to disapprove or disallow
an asset that is not of a sound quality, or that he or she deems to
create an unacceptable risk of loss to the insurer or to
policyholders. Letters of credit shall not qualify as assets in the
calculation of surplus. Each individual syndicate seeking to accept
surplus line placements of risks resident, located, or to be
performed in this state shall maintain minimum capital and surplus of
not less than six million four hundred thousand dollars
($6,400,000). Each individual syndicate shall increase the capital
and surplus required by this paragraph by one million dollars
($1,000,000) each year until it attains a capital and surplus of
forty-five million dollars ($45,000,000).
(C) In the case of a syndicate that is part of a group consisting
of incorporated individual insurers, or a combination of both
incorporated and unincorporated insurers, that at all times maintains
a trust fund of not less than one hundred million dollars
($100,000,000) in a qualified United States financial institution as
security to the full amount thereof for the United States surplus
line policyholders and beneficiaries of direct policies of the group,
including all policyholders and beneficiaries of direct policies of
the syndicate, and the full balance in the trust fund is available to
satisfy the liabilities of each member of the group of those
syndicates, incorporated individual insurers or other unincorporated
insurers, without regard to their individual contributions to that
trust fund, and the trust complies with the terms of and conditions
specified in paragraph (1) of subdivision (b), the syndicate is
excepted from the capital and surplus requirements of subparagraph
(A). The incorporated members of the group shall not be engaged in
any business other than underwriting as a member of the group and
shall be subject to the same level of solvency regulation and control
by the group's domiciliary regulator as are the unincorporated
members.
(b) (1) In addition, to be approved as a surplus line insurer, an
insurer not domiciled in one of the United States or its territories
shall have in force in the United States an irrevocable trust account
in a qualified United States financial institution, for the
protection of United States policyholders, of not less than five
million four hundred thousand dollars ($5,400,000) and consisting of
cash, securities acceptable to the commissioner that are authorized
pursuant to Sections 1170 to 1182, inclusive, readily marketable
securities acceptable to the commissioner that are listed on a
regulated United States national or principal regional security
exchange, or clean and irrevocable letters of credit acceptable to
the commissioner and issued by a qualified United States financial
institution. The trust agreement shall be in a form acceptable to the
commissioner. The funds in the trust account may be included in any
calculation of capital and surplus, except letters of credit, which
shall not be included in the calculation.
(2) In the case of a syndicate seeking approval under subparagraph
(C) of paragraph (2) of subdivision (a), the syndicate shall, in
addition to the requirements of that subparagraph, at a minimum,
maintain in the United States a trust account in an amount
satisfactory to the commissioner that is not less than the amount
required by the domiciliary state of the syndicate's trust. The trust
account shall comply with the terms and conditions specified in
paragraph (1).
(3) In the case of a group of incorporated insurers under common
administration that maintains a trust fund of not less than one
hundred million dollars ($100,000,000) in a qualified United States
financial institution for the payment of claims of its United States
policyholders, their assigns, or successors in interest and that
complies with the terms and conditions of paragraph (1) that has
continuously transacted an insurance business outside the United
States for at least three years, that is in good standing with its
domiciliary regulator, whose individual insurer members maintain
standards and a financial condition reasonably comparable to admitted
insurers, that submits to this state's authority to examine its
books and bears the expense of examination, and that has an aggregate
policyholder surplus of ten billion dollars ($10,000,000,000), the
group is excepted from the capital and surplus requirements of
subdivision (a).
(c) Unless available from the NAIC or other public source, has
caused to be provided to the commissioner the following documents:
(1) The financial documents as specified below, each showing the
insurer's condition as of a date not more than 12 months prior to
submission:
(A) A copy of an annual statement, prepared in the form prescribed
by the NAIC. For an alien insurer, in lieu of an annual statement, a
licensee may submit a form as set forth by regulation and as
prepared by the insurer, and, if listed by the IID, a copy of the
complete information as required in the application for listing by
the IID.
(B) A copy of an audited financial report on the insurer's
condition that meets the standards of subparagraph (D) for foreign
insurers or subparagraph (E) for alien insurers.
(C) If the insurer is an alien:
(i) A certified copy of the trust agreement referenced in
subdivision (b).
(ii) A verified copy of the most recent quarterly statement or
list of the assets in the trust.
(D) Financial reports filed pursuant to this section by foreign
insurers shall conform to the following standards:
(i) Financial documents shall be certified.
(ii) An audited financial report shall constitute a supplement to
the insurer's annual statement, as required by the annual statement
instructions issued by the NAIC.
(iii) An audited financial report shall be prepared by an
independent certified public accountant or accounting firm in good
standing with the American Institute of Certified Public Accountants
and in all states where licensed to practice; and be prepared in
conformity with statutory accounting practices prescribed, or
otherwise permitted, by the insurance regulator of the insurer's
domiciliary jurisdiction.
(iv) An audited financial report shall include information on the
insurer's financial position as of the end of the most recent
calendar year, and the results of its operations, cashflows, and
changes in capital and surplus for the year then ended.
(v) An audited financial report shall be prepared in a form and
using language and groupings substantially the same as the relevant
sections of the insurer's annual statement filed with its domiciliary
jurisdiction, and presenting comparatively the amounts as of
December 31 of the most recent calendar year and the amounts as of
December 31 of the preceding year.
(E) Financial reports filed pursuant to this section by alien
insurers shall conform to the following standards:
(i) Except as provided in clause (ii) of subparagraph (C),
financial documents should be certified. If certification of a
financial document is not available, the document shall be verified.
(ii) Financial documents should be expressed in United States
dollars, but may be expressed in another currency, if the exchange
rate for the other currency as of the date of the document is also
provided.
(iii) The responses provided pursuant to subparagraph (A) on the
form submitted in lieu of an annual statement should follow the most
recent Insurance Solvency International Guide to Alien Reporting
Format, "Standard Definitions of Accounting Items." Responses that do
not agree with a standard definition shall be fully explained in the
form.
(iv) An audited financial report shall be prepared by an
independent licensed auditor in the insurer's domiciliary
jurisdiction or in any state.
(v) An audited financial report shall be prepared in accord with
either (I) Generally Accepted Auditing Standards that prescribe
Generally Accepted Accounting Principles, or (II) International
Accounting Standards as published and revised from time to time by
the International Auditing Guidelines published by the International
Auditing Practice Committee of the International Federation of
Accountants, and shall include financial statement notes and a
summary of significant accounting practices.
(F) The commissioner may accept, in lieu of a document described
above, a certified or verified financial or regulatory document,
statement, or report if the commissioner finds that it possesses
reliability and financial detail substantially equal to or greater
than the document for which it is proposed to be a substitute.
(G) If one of the financial documents required to be submitted
under subparagraphs (A) and (B) is dated within 12 months of
submission, but the other document is not so dated, the licensee may
use the outdated document if it is accompanied by a supplement. The
supplement must meet the same requirements that apply to the
supplemented document and must update the outdated document to a date
within the prescribed time period, preferably to the same date as
the nonsupplemented document.
(2) A certified copy of the insurer's license issued by its
domiciliary jurisdiction, plus a certification of good standing,
certificate of compliance, or other equivalent certificate, from
either that jurisdiction or, if the jurisdiction does not issue those
certificates, from a state where it is licensed.
(3) Information on the insurer's agent in California for service
of process, including the agent's full name and address. The agent's
address must include a street address where the agent can be reached
during normal business hours.
(4) The complete street address, mailing address, and telephone
number of the insurer's principal place of business.
(5) A certified or verified explanation, report, or other
statement from the insurance regulatory office or official of the
insurer's domiciliary jurisdiction concerning the insurer's record
regarding market conduct and consumer complaints, or, if that
information cannot be obtained from that jurisdiction, then any other
information that the licensee can procure to demonstrate a good
reputation for payment of claims and treatment of policyholders.
(6) A verified statement, from the insurer or licensee, on whether
the insurer or an affiliated entity is currently known to be the
subject of an order or proceeding regarding conservation,
liquidation, or other receivership; or regarding revocation or
suspension of a license to transact insurance in any jurisdiction; or
otherwise seeking to stop the insurer from transacting insurance in
any jurisdiction. The statement shall identify the proceeding by
date, jurisdiction, and relief or sanction sought, and shall attach a
copy of the relevant order.
(7) A certified copy of the most recent report of examination or
an explanation if the report is not available.
(8) A list of all California surplus line brokers authorized by
the insurer to issue policies on its behalf, and any additions to or
deletions from that list.
(d) (1) Has provided additional information or documentation
required by the commissioner that is relevant to the financial
stability, reputation, and integrity of the nonadmitted insurer. In
making a determination concerning financial stability, reputation,
and integrity of the nonadmitted insurer, the commissioner shall
consider any analyses, findings, or conclusions made by the NAIC in
its review of the insurer for purposes of inclusion on or exclusion
from the list of authorized nonadmitted insurers maintained by the
NAIC. The commissioner may, but shall not be required to, rely on,
adopt, or otherwise accept any analyses, findings, or conclusions of
the NAIC, as the commissioner deems appropriate. In the case of a
syndicate seeking eligibility under subparagraph (C) of paragraph (2)
of subdivision (a), the commissioner may, but shall not be required
to, rely on, adopt, or otherwise accept any analyses, findings, or
conclusions of a state, as the commissioner deems appropriate, as
long as that state, in its method of regulation and review, meets the
requirements of paragraph (2).
(2) The regulatory body of the state shall regularly receive and
review the following: (A) an audited financial statement of the
syndicate, prepared by a certified or chartered public accountant;
(B) an opinion of a qualified actuary with regard to the syndicate's
aggregate reserves for payment of losses or claims and payment of
expenses of adjustment or settlement of losses or claims; (C) a
certification from the qualified United States financial institution
that acts as the syndicate's trustee, respecting the existence and
value of the syndicate's trust fund; and (D) information concerning
the syndicate's or its manager's operating history, business plan,
ownership and control, experience, and ability, together with any
other pertinent factors, and any information indicating that the
syndicate or its manager make reasonably prompt payment of claims in
this state or elsewhere. The regulatory body of the state shall have
the authority, either by law or through the operation of a valid and
enforceable agreement, to review the syndicate's assets and
liabilities and audit the syndicate's trust account, and shall
exercise that authority with a frequency and in a manner satisfactory
to the commissioner.
(e) Has established that:
(1) All documents required by subdivisions (c) and (d) have been
filed. Each of the documents appear after review to be complete,
clear, comprehensible, unambiguous, accurate, and consistent.
(2) The documents affirm that the insurer is not subject in any
jurisdiction to an order or proceeding that:
(A) Seeks to stop it from transacting insurance.
(B) Relates to conservation, liquidation, or other receivership.
(C) Relates to revocation or suspension of its license.
(3) The documents affirm that the insurer has actively transacted
insurance for the three years immediately preceding the filing made
under this section, unless an exemption is granted. As used in this
paragraph, "insurer" does not include a syndicate of underwriting
entities. The commissioner may grant an exemption if the licensee has
applied for exemption and demonstrates either of the following:
(A) The insurer meets the condition for any exception set forth in
subdivision (a), (b), or (c) of Section 716.
(B) If the insurer has been actively transacting insurance for at
least 12 months, and the licensee demonstrates that the exemption is
warranted because the insurer's current financial strength, operating
history, business plan, ownership and control, management
experience, and ability, together with any other pertinent factors,
make three years of active insurance transaction unnecessary to
establish sufficient reputation.
(4) The documents confirm that the insurer holds a license to
issue insurance policies, other than reinsurance, to residents of the
jurisdiction that granted the license unless an exemption is
granted. The commissioner may grant an exemption if the licensee has
applied for an exemption and demonstrates that the exemption is
warranted because the insurer proposes to issue in California only
commercial coverage, and is wholly owned and actually controlled by
substantial and knowledgeable business enterprises that are its
policyholders and that effectively govern the insurer's destiny in
furtherance of their own business objectives.
(5) The information filed pursuant to paragraph (5) of subdivision
(c) or otherwise filed with or available to the commissioner,
including reports received from California policyholders, shall
indicate that the insurer makes reasonably prompt payment of claims
in this state or elsewhere.
(6) The information available to the commissioner shall not
indicate that the insurer offers in California a licensee products or
rates that violate any provision of this code.
(f) Has been placed on the list of approved surplus line insurers
by the commissioner. The commissioner shall establish a list of all
surplus line insurers that have met the requirements of subdivisions
(a) to (e), inclusive, and shall publish a master list at least
semiannually. An insurer receiving approval as an approved surplus
line insurer shall be added by addendum to the list at the time of
approval, and shall be incorporated into the master list at the next
date of publication. If an insurer appears on the most recent list,
it shall be presumed that the insurer is an approved surplus line
insurer, unless the commissioner or his or her designee has mailed or
causes to be mailed notice to all surplus line brokers that the
commissioner has withdrawn the insurer's approval. Upon receipt of
notice, the surplus line broker shall no longer advertise that the
insurer is approved. Nothing in this subdivision shall limit the
commissioner's discretion to withdraw an insurer's approval.
(g) (1) Except as provided by paragraph (2), whenever the
commissioner has reasonable cause to believe, and determines after a
public hearing, that an insurer on the list established pursuant to
subdivision (f), (A) is in an unsound financial condition, (B) does
not meet the approval requirements under subdivisions (a) to (e),
inclusive, (C) has violated the laws of this state, or (D) without
justification, or with a frequency so as to indicate a general
business practice, delays the payment of just claims, the
commissioner may issue an order removing the insurer from the list.
Notice of hearing shall be served upon the insurer or its agent for
service of process stating the time and place of the hearing and the
conduct, condition, or ground upon which the commissioner would make
his or her order. The hearing shall occur not less than 20 days, nor
more than 30 days, after notice is served upon the insurer or its
agent for service of process.
(2) If the commissioner determines that an insurer's immediate
removal from the list is necessary to protect the public or a home
state insured or home state insured applicant of the insurer, or, in
the case of an application by an insurer to be placed on the list
that is being denied by the commissioner, the commissioner may issue
an order pursuant to paragraph (1) without prior notice and hearing.
At the time an order is served pursuant to this paragraph to an
insurer on the list, the commissioner shall also issue and serve upon
the insurer a statement of the reasons that immediate removal is
necessary. An order issued pursuant to this paragraph shall include a
notice stating the time and place of a hearing on the order, which
shall be not less than 20 days, nor more than 30 days, after the
notice is served.
(3) Notwithstanding paragraphs (1) and (2), in a case where the
commissioner is basing a decision to remove an insurer from the list,
or deny an application to be placed on the list, on the failure of
the insurer or applicant to comply with, meet, or maintain any of the
objective criteria established by this section, or by regulation
adopted pursuant to this section, the commissioner may specify this
fact in the order, and no hearing shall be required to be held on the
order.
(4) Notwithstanding paragraphs (1) and (2), the commissioner may,
without prior notice or hearing, remove from the list established
pursuant to subdivision (f) an insurer that has failed or refused to
timely provide documents required by this section, or regulations
adopted to implement this section. In the case of removal pursuant to
this paragraph, the commissioner shall notify all surplus line
brokers of the action.
(h) In addition to other statements or reports required by this
chapter, the commissioner may also address to a licensee a written
request for full and complete information respecting the financial
stability, reputation, and integrity of a nonadmitted insurer with
whom the licensee has dealt or proposes to deal in the transaction of
insurance business with a home state insured. The licensee so
addressed shall promptly furnish in written or printed form so much
of the information requested as he or she can produce, together with
a signed statement identifying the same and giving reasons for
omissions, if any. After due examination of the information and
accompanying statement, the commissioner may, if he or she believes
it to be in the public interest, advise the licensee in writing that
the insurer does not qualify as an approved insurer. Any placement in
the nonadmitted insurer made by a licensee after receipt of that
advisement shall be accompanied by a copy of the advisement. The
commissioner may issue an advisement when documents submitted
pursuant to subdivisions (c) and (d) do not meet the criteria of
subdivisions (a) to (e), inclusive, or when the commissioner obtains
documents on an insurer and the insurer does not meet the criteria of
subdivisions (a) to (e), inclusive, and shall be authorized to not
include or remove that insurer from the List of Approved Surplus Line
Insurers.
(i) The commissioner shall require, at least annually, the
submission of records and statements reasonably necessary to ensure
that the requirements of this section are maintained.
(j) The commissioner shall establish, by regulation, a schedule of
fees to cover costs of administering and enforcing this chapter.
(a) A license under this chapter may be issued to an
individual or any legal business entity. If issued to a business
entity or individual that maintains more than one surplus line office
from which it transacts that business with California residents, it
shall name the natural person or persons located at each such surplus
line office maintained by the licensee who is or are responsible for
the proper discharge at each office of all duties placed upon the
licensee acting as a surplus line broker and each of these natural
persons are required to be licensed as a surplus line broker. Each
natural person shall meet all of the requirements for the license.
(b) Every application for a license filed by a corporation shall
contain the names and addresses of all stockholders owning 10 percent
or more of the corporation's stock, and of all officers and
directors of the corporation. Every licensed corporation shall file a
written notice with the commissioner of all changes, except address
changes, of its stockholders who own 10 percent or more of the
corporation's stock and of all officers and directors of the
corporation.
Any natural person applying for a license to act as a
surplus line broker shall prove his or her competency by showing he
or she holds an existing license to act as a property broker-agent
and casualty broker-agent, which requires passing the qualifying
examination for that insurance broker's license. Any natural person
who is not a resident of California may prove his or her competency
by showing that he or she holds an existing license for property and
casualty in his or her resident state.
If an applicant for any license under this chapter, within
one year from the date of the receipt by the commissioner of the
application, whether or not the filing is complete, neither fully
qualifies for and receives that license on a permanent basis, nor is
denied its issue, such application is automatically denied without
prejudice to the filing of a new application for the license.
A payment of premium to a surplus line broker acting for a
person other than himself or herself in negotiating, continuing, or
renewing any policy of insurance under this chapter shall be deemed
to be payment to the insurer, notwithstanding any conditions or
stipulations in the policy or contract. Nothing in this section shall
be deemed to relieve a surplus line broker or special lines' surplus
line broker of any obligation owed to a home state insured or home
state insured applicant.
A resident surplus line broker at all times shall maintain in
good faith an office in this state and if he or she maintains more
than one surplus line office in this state, he or she shall designate
one of them as his or her principal surplus line office in this
state and shall notify the commissioner of that designation. He or
she shall report to the commissioner the addresses of all surplus
line offices maintained by him or her in this state and any change in
location of any of those offices. A nonresident surplus line broker
at all times shall maintain in good faith an office in the state or
territory of the United States in which he or she is licensed as a
resident surplus line broker, and if he or she maintains more than
one surplus line office in that state, he or she shall designate one
of them as his or her principal surplus line office in that state and
shall notify the commissioner of the designation. A resident
licensee shall report to the commissioner the addresses of all
surplus line offices maintained in this state and any change in
location of any of those offices. Nonresident licensees shall report
to the commissioner the addresses of all surplus line offices
maintained in the state or territory of the United States in which
the resident surplus line license is maintained and any change in
location of any of those offices.
A resident surplus line broker shall keep in this state
complete records of the business transacted by him or her for
California home state insureds with nonadmitted insurers under his or
her license as a surplus line broker including all of the following
documentation for each policy:
(a) Verification that the insured is a California home state
insured.
(b) Verification that the commercial insured or industrial insured
qualifies for the provisions of this code.
(c) Whether or not it is a single state policy or multistate
policy.
(d) Where allocation of premium to the states is required, data
necessary to make that allocation. A nonresident surplus line broker
shall keep in the state where he or she is licensed as a resident
surplus line broker complete records of the business transacted by
him or her for California home state insureds with nonadmitted
insurers under his or her California nonresident surplus line broker
license, including subdivisions (a) to (d), inclusive. The
commissioner may waive or modify any of the foregoing requirements by
issuance of a notice published on the department's Internet Web
site.
Whenever required so to do by the commissioner, such surplus
line broker shall furnish to the commissioner a list of the admitted
insurers from which the entire amount of insurance desired was not
obtainable.
The commissioner, whenever he deems necessary, may examine
the books and accounts of any surplus line broker for the purpose of
determining whether or not the broker is conducting his business in
accordance with the provisions of this chapter. For the purpose of
making such examination such broker shall allow the commissioner free
access at all times to all the broker's books and papers, and the
commissioner shall thoroughly inspect and examine all of the broker's
affairs.
The costs and expenses of all examinations by the
commissioner shall be paid as prescribed in Section 736.
(a) A surplus line insurer may be sued upon any cause of
action arising in this state under any surplus line insurance
contract made by it, or any evidence of insurance issued or delivered
by the surplus line broker, pursuant to the procedure set forth in
Sections 1610 to 1620, inclusive. Any policy or evidence of insurance
issued by the surplus line insurer or the surplus line broker shall
contain a provision stating the substance of this section, and
designating the person to whom the commissioner shall mail process.
(b) Every surplus line insurer assuming a surplus line insurance
shall be deemed thereby to have subjected itself to this chapter.
(c) The remedies provided by this section shall be in addition to
any other methods provided by law for service of process.
Surplus line brokers may advertise and solicit using print,
electronic media, direct mail, and all other advertising or marketing
media. These advertisements and solicitations may include a
description of nonadmitted insurance products available through the
surplus line broker, and may include the name of any nonadmitted
insurer, provided that all of the following apply: (a) the insurer is
authorized to accept placements from the surplus line broker
pursuant to Section 1765.1, (b) a nonadmitted insurer's name is not
used in connection with any nonadmitted insurance product of that
insurer, (c) the unlicensed status of the insurer or of the insurance
products is disclosed in type of a size no smaller than any
telephone number, address, or fax number appearing in the
advertisement or solicitation, and (d) the advertisement or
solicitation does not contain any assertion, representation, or
statement with respect to the business of insurance, or with respect
to any person in the conduct of his or her insurance business, that
is untrue, deceptive, or misleading, and that is known, or that by
the exercise of reasonable care should be known, to be untrue,
deceptive, or misleading. If the insurance is available from an
eligible nonadmitted insurer that is a member of a group of insurers,
advertisements and solicitations in accordance with this section may
include the name of the group. A surplus line broker's
advertisements and solicitations shall not include any information
about a nonadmitted insurer's premiums or rates.
(a) (1) On or before the first day of March of each year the
surplus line broker, placing business for a home state insured, shall
file with the commissioner a sworn statement of all business
transacted under his or her surplus line license during the last
preceding calendar year. The statement shall contain an account of
the business done by the surplus line broker placing business for a
home state insured for the prior year, and shall include (A) the
total amount of gross premium, (B) the total gross premium for single
state risks where 100 percent of the premium is attributable to
risks in California, and (C) for multistate risks, the percentage of
gross premium allocated to California and each other state. The
commissioner may waive or modify any of the foregoing requirements by
issuance of a notice published on the department's Internet Web
site.
(2) On or before the first day of March of each year, the home
state insured that directly procures insurance pursuant to Section
1760 shall file with the commissioner a sworn statement of all
business done during the last preceding calendar year. That statement
shall contain an account of the insurance directly procured by the
home state insured pursuant to Section 1760 for the prior year, and
shall include (A) the total amount of premium, (B) the total premium
for single state risks where 100 percent of the premium is
attributable to risks in California, and (C) for multistate risks,
the percentage of premium allocated to California and each other
state. The commissioner may waive or modify any of the foregoing
requirements by issuance of a notice published on the department's
Internet Web site.
(b) For purposes of this chapter, "business done" or "business
transacted" means all insurance business conducted by the surplus
line broker for a home state insured or directly procured by the home
state insured. If two or more persons licensed as surplus line
brokers are involved in placing a policy, only the one who is
responsible for filing the confidential written report pursuant to
subdivision (a) of Section 1763, shall be considered transacting
business for tax purposes and then only one licensed surplus line
broker shall include the policy in his or her sworn statement. The
surplus line broker who is required to include the policy in his or
her own statement is either (1) the one who is responsible for
negotiating, effecting the placement, remitting the premium to the
nonadmitted insurer or its representatives, and filing the
confidential written report pursuant to subdivision (a) of Section
1763, or (2) the one surplus line broker who is delegated the
responsibility for the filing of the confidential written report
pursuant to subdivision (a) of Section 1763 pursuant to a written
agreement that is (A) by and among the surplus line brokers
referenced in paragraph (1) and this paragraph involved in the
transaction, (B) signed by the surplus line brokers referenced in
paragraph (1) and this paragraph involved in the transaction, and (C)
provides by its terms that the agreement shall be made available to
the commissioner or his or her designee, upon request.
(c) The date on which the surplus line broker transacting a policy
prepares a bill or invoice for payment of all or part of the
premiums due, shall be considered the date on which that business was
done or transacted, subject to subdivision (d). This date shall be
shown on the face of the bill or invoice and shall be referred to as
the "invoice date."
(d) (1) The invoice date shall be no more than 60 days after the
policy effective date and no more than 60 days after the insurance
was placed with a nonadmitted insurer, except as provided in
paragraph (2).
(2) For purposes of this chapter, the amount of gross premium to
be reported, if premiums are billed and payable in installments,
shall be the amount of the installment premium, provided the amount
and due date of each installment, or the basis for determining each
installment, is identifiable in the policy or an endorsement, and
either of the following conditions is satisfied:
(A) Installments under the policy are not billed more frequently
than once per month.
(B) If more than one installment is billed in any month, the
commissioner determines, in his or her discretion, that the
installment billing method used does not unduly burden the
commissioner's ability to accurately determine the amount of premium
paid by the insured.
(3) If a new or renewal policy has an effective date between
January 1, 2011, to July 20, 2011, inclusive, and is placed on or
before July 20, 2011, then the policy shall be considered to be
business done by the surplus line broker as of the effective date. If
a new or renewal policy has an effective date between January 1,
2011, to July 20, 2011, inclusive, then the policy shall be
considered to be business done by the home state insured who directly
procures policies as of the effective date. Cancellations or
endorsements shall be business done on the same date as the policy
that is being canceled or endorsed, if that policy effective date is
on or before July 20, 2011. Installment premiums, as referenced in
paragraph (2), shall be business done on the date of the most recent
invoice issued on or before July 20, 2011, that included premium tax
charges. This paragraph is enacted to address the July 21, 2011,
effective date of the federal Dodd-Frank Wall Street Reform and
Consumer Protection Act (P.L. 111-203), and shall remain in effect
only until October 18, 2012.
All such reports and statements shall be made on blanks
furnished to the surplus line broker by the commissioner on
application therefor.
(a) Each calendar year, every surplus line broker whose
annual tax for the preceding calendar year was twenty thousand
dollars ($20,000) or more shall make monthly installment payments on
account of the annual tax on business done during the current
calendar year imposed by Section 1775.5.
(b) Notwithstanding any other law, the commissioner may relieve a
surplus line broker of his or her obligation to make monthly payments
if the broker establishes to the satisfaction of the commissioner
that either the broker has ceased to transact business in this state,
or his or her annual tax for the current year will be less than
twenty thousand dollars ($20,000).
On or before February 1 of each year, the commissioner
shall post on the department's Internet Web site the installment
payment forms prescribed by the commissioner to accompany surplus
line tax remittances if monthly installment payments are required by
Section 1775.1. Failure to secure those forms shall not relieve any
broker from making or paying monthly installment payments.
Each surplus line broker required to make monthly
installment payments shall remit them on or before the first day of
the third calendar month following the end of the accounting month in
which the business was done. The annual payment under Section 1775.5
shall be in lieu of an installment payment under this section for
the accounting month of December. Remittances for those payments
shall be made payable to the commissioner and shall be made by
electronic fund transfer in accordance with Section 1775.8 or
delivered to the office of the commissioner, accompanied by an
installment payment form prescribed by the commissioner if remittance
by electronic fund transfer is not mandatory under Section 1775.8.
(a) The amount of the payment shall be 3 percent of the
gross premiums charged less return premiums upon business done by the
surplus line broker during the calendar month ending two calendar
months immediately preceding the due date of the payment, as
specified in Section 1775.3, excluding gross premiums and return
premiums paid by him or her upon business governed by the provisions
of Section 1760.5. If during any calendar month those return premiums
upon business done by a surplus line broker exceed the gross
premiums upon the business done by him or her in that calendar month,
then no payment shall be payable by him or her in respect to that
calendar month, and he or she may carry forward that excess to the
next succeeding calendar month or months and apply it in reduction of
the taxable premiums on business done by him or her in that
succeeding calendar month or months. Even though no payment shall be
payable by the broker, he or she shall file a return showing that his
or her return premiums exceeded his or her gross premiums.
(b) In determining the applicability of subdivision (a) of Section
1775.1 to a surplus line broker who has acquired the business of
another surplus line broker, the amount of tax liability of the
acquired broker for the immediately preceding calendar year shall be
added to the amount of the tax liability of the acquiring broker for
the immediately preceding calendar year.
(c) All amounts paid, other than penalties and interest, shall be
allowed as a credit on the annual tax imposed by Section 1775.5.
(d) If the total amount of monthly installment payments for any
calendar year exceeds the amount of annual tax for that year, the
excess shall be treated as an overpayment of annual tax and be
allowed as a credit or refund.
(e) A penalty of 10 percent of the amount of the monthly payment
due shall be levied upon and paid by any surplus line broker who
fails to make the necessary payment within the time required, plus
interest at the rate of 1 percent per calendar month or fraction
thereof from the due date of the payment until the date payment is
received by the commissioner, but not for any period after the due
date of the annual tax. The penalty and interest shall be applied as
prescribed in Section 12636.5 of the Revenue and Taxation Code. The
commissioner may remit the penalty in a case where he or she finds,
as a result of examination or otherwise, that the failure of, or
delay in, payment arose out of excusable mistake or excusable
inadvertence.
(f) For any part of a payment required that was not made within
the time required by law, when the nonpayment or late payment was due
to fraud on the part of the taxpayer, a penalty of 25 percent of the
amount unpaid shall be added thereto, in addition to all other
penalties otherwise imposed.
(g) The commissioner, upon a showing of good cause, may extend for
not to exceed 10 days the time for making a monthly payment. The
extension may be granted at any time, provided that a request
therefor is filed with the commissioner within or prior to the period
for which the extension may be granted. Any surplus line broker to
whom an extension is granted shall, in addition to the monthly
payment, pay interest at the rate of 1 percent per month, or fraction
thereof, from the due date until the annual tax due date.
(a) Every surplus line broker shall annually, on or before
the first day of March of each year, pay to the Insurance
Commissioner for the use of the State of California a tax of 3
percent of the gross premiums charged less return premiums upon
business done by him or her under the authority of his or her license
during the preceding calendar year, excluding any portions of
premiums upon business done involving the risk finance portion of any
blended finite risk product used in the financing element of state
or federal Superfund environmental settlements involving remediation
of soil or groundwater contamination or by the provisions of Section
1760.5. If during any calendar year 3 percent of the return premiums
upon business done by a surplus line broker exceed 3 percent of the
gross premiums upon that business done by him or her in that year,
then he or she may either carry forward that excess to the next
succeeding year and apply it as a credit against 3 percent of gross
premiums on the business done by him or her in the succeeding year,
or he or she may elect to receive, and thereupon be paid a refund
equal to the amount of taxes theretofore paid by him or her on that
excess of return premiums paid over gross premiums received.
(b) For the purpose of determining that tax, the total premium
charged for all that nonadmitted insurance placed in a single
transaction with one underwriter or group of underwriters, whether in
one or more policies, shall be the entire premium charged on all
nonadmitted insurance for the California home state insured. This
provision shall not apply to interstate motor transit operations
conducted between this and other states. With respect to those
operations surplus line tax shall be payable on the entire premium
charged on all nonadmitted insurance, less the following:
(1) The portion of the premium as is determined, as herein
provided, to have been charged for operations in other states taxing
the premium on operations in those states of an insured maintaining
its headquarters office in this state.
(2) The premium for any operations outside of this state of an
insured who maintains a headquarters operating office outside of this
state and a branch office in this state.
(c) (1) A penalty of 10 percent of the amount of the payment due
pursuant to this section shall be levied upon and paid by any surplus
line broker who fails to make the necessary payment within the time
required, plus interest at the rate of 1 percent per calendar month
or fraction thereof, from March 1, the due date of the annual tax,
until the date the payment is received by the commissioner. The
penalty and interest shall be applied as prescribed in Section
12636.5 of the Revenue and Taxation Code. The commissioner, upon a
showing of good cause, may extend for a period not to exceed 30 days,
the time for filing a tax return or paying any amount required to be
paid with the return. The extension may be granted at any time,
provided that a request therefor is filed with the commissioner
within, or prior to, the period for which the extension may be
granted.
(2) Any surplus line broker to whom an extension is granted shall,
in addition to the tax, pay interest at the rate of 1 percent per
month or fraction thereof from March 1, until the date of payment.
The commissioner may remit the penalty in a case where the
commissioner finds, as a result of examination or otherwise, that the
failure of or delay in payment arose out of excusable mistake or
excusable inadvertence.
(d) For any part of a payment required by this section or by
Section 1775.4 which was not made within the time required by law,
when the nonpayment or late payment was due to fraud on the part of
the broker, a penalty of 25 percent of the amount unpaid shall be
added thereto, in addition to all other penalties otherwise imposed.
(e) For the purposes of this section, these terms shall have the
following meanings:
(1) "Blended finite risk product" means a contractual arrangement
combining risk finance with traditional risk transfer, where a
distinct portion of the program cost represents the funding of a
known, existing, nonfortuitous future cost, obligation,
responsibility, or liability at its discounted net present value, and
another portion of the program cost represents risk transfer for
losses that have yet to occur related to the cost, obligation,
responsibility, or liability that is the subject of the program.
(2) "Risk financing" means that portion of any blended finite risk
product that represents the funding of a known, existing,
nonfortuitous future cost, obligation, responsibility, or liability.
(3) "Risk finance" or "financing element" means a method of
funding for a known future cost over a long time horizon in
current-value dollars using the principle of net present value
discounting.
All tax moneys received by the commissioner pursuant to
this chapter shall be transmitted to the State Treasurer to be
deposited in the State Treasury to the credit of the Insurance Tax
Fund. Upon transmitting moneys to the State Treasurer, the
commissioner shall furnish the Controller with a record of the amount
transmitted and the surplus line brokers from whom the moneys have
been received.
The money in the Insurance Tax Fund received from the
commissioner pursuant to Section 1775.6 is hereby appropriated as
follows:
(a) To pay the refunds authorized by this chapter.
(b) The balance of the money in the fund shall, on order of the
Controller, be transferred to the State General Fund.
(a) On and after January 1, 1994, and before January 1,
1995, every surplus line broker whose annual taxes for business done
in calendar year 1992 or whose quarterly taxes for business done in
calendar year 1993 exceed fifty thousand dollars ($50,000) shall make
payment by electronic funds transfer. On and after January 1, 1995,
every surplus line broker whose annual taxes for business done in
calendar year 1993 or in any calendar year thereafter exceed twenty
thousand dollars ($20,000) shall make payment by electronic funds
transfer. The surplus line broker shall choose one of the acceptable
methods described in Section 45 for completing the electronic funds
transfer.
(b) Payment is deemed complete on the date the electronic funds
transfer is initiated, if settlement to the state's demand account
occurs on or before the banking day following the date the transfer
is initiated. If settlement to the state's demand account does not
occur on or before the banking day following the date the transfer is
initiated, payment is deemed to occur on the date settlement occurs.
(c) (1) Any surplus line broker required to remit taxes by
electronic funds transfer pursuant to this section who remits those
taxes by means other than an appropriate electronic funds transfer,
shall be assessed a penalty in an amount equal to 10 percent of the
taxes due at the time of the payment.
(2) If the department finds that a surplus line broker's failure
to make payment by an appropriate electronic funds transfer in
accordance with subdivision (a) is due to reasonable cause or
circumstances beyond the surplus line broker's control, and occurred
notwithstanding the exercise of ordinary care and in the absence of
willful neglect, that surplus line broker shall be relieved of the
penalty provided in paragraph (1).
(3) Any surplus line broker seeking to be relieved of the penalty
provided in paragraph (1) shall file with the department a statement
under penalty of perjury setting forth the facts upon which the claim
for relief is based.
(a) If the commissioner determines that the amount of tax
reported by the surplus line broker is less than the tax disclosed by
the commissioner's examination, the commissioner shall permit the
surplus line broker to provide additional information demonstrating
that the surplus line broker owes a lesser amount. If within 60 days,
or such additional time as the commissioner deems appropriate, the
commissioner and the surplus line broker cannot agree on the amount
owed, the commissioner shall propose in writing to the State Board of
Equalization a deficiency assessment for the difference pursuant to
subdivision (b) of Section 12422 of the Revenue and Taxation Code.
(b) Section 12636.5, Article 3 (commencing with Section 12421) and
Article 4 (commencing with Section 12491) of Chapter 4 of, and
Article 1 (commencing with Section 12951) and Article 2 (commencing
with Section 12977) of Chapter 7 of, Part 7 of Division 2 of the
Revenue and Taxation Code shall apply to surplus line brokers, except
where inconsistent with the provisions of this chapter, in which
case this chapter shall govern.
Any surplus line broker who willfully fails or refuses to
report to the commissioner any insurance on subject matter located
within this state placed under his or her name with nonadmitted
insurers, or who, by willful omission from the records required to be
maintained by him or her for that purpose, attempts to evade the
payment of taxes on any such insurance, is, in addition to being
required to pay the tax, together with a penalty equal in amount to
the tax, guilty of a misdemeanor.
It is a misdemeanor for any surplus line broker or special lines'
surplus line broker to accept or pay directly or indirectly any
consideration or remuneration for or in connection with the placing
of insurance that, if done by a person within this state, is governed
by the provisions of this chapter, when the placing was not done by
a person licensed therefor pursuant to this chapter.
It is a misdemeanor for any agent or broker to solicit, negotiate,
or effect any insurance governed by the provisions of this chapter
in nonadmitted insurers, except by and through a surplus line broker
or special lines' surplus line broker licensed pursuant to this
chapter. Except in the case of insurance specified in subdivision (b)
of Section 1760.5, it is a misdemeanor for any surplus line broker
or special lines' surplus line broker to accept, place, pay, or
permit the payment of commission or other remuneration on insurance
placed by him or her under authority of his or her license to any
person other than one holding a license to act as an insurance agent,
insurance broker, surplus line broker, or special lines' surplus
line broker, except that the business may be accepted by such surplus
line broker or special lines' surplus line broker directly from an
insured or other person who would likewise be entitled to place the
business directly with an admitted insurer without the solicitation,
negotiation, or effecting thereof by an insurance agent or broker.
The commissioner may deny, suspend, or revoke any license issued
pursuant to this code if he or she finds after notice and hearing in
accordance with the procedure provided in Article 13 (commencing with
Section 1737) of Chapter 5 that the licensee has violated any
provisions of this section.
The permission granted in this chapter to place any insurance in a
nonadmitted insurer shall not be deemed or construed to authorize
any insurer to do business in this state.
Placement activities of a licensed surplus line broker in
accordance with this chapter, including, but not limited to, policy
issuance, shall not be deemed or construed to be business done by the
insurer in this state.
When a surplus line broker's license is revoked for any
reason other than the insufficiency of his sureties, a new license
shall not be issued to him within one year after such revocation and
until all indebtedness of the broker on former business has been paid
to the commissioner.
Every California home state insured for whom insurance has
been effected with nonadmitted insurers shall, upon request in
writing by the commissioner, produce for the commissioner's
examination all policies, contracts, and other documents evidencing
that insurance, and shall disclose to the commissioner the amount of
the gross premiums paid or agreed to be paid for that insurance. For
refusal to obey that request, the insured shall forfeit to the State
of California the sum of one thousand dollars ($1,000) for each
refusal.
A licensee or applicant for a license under this chapter
shall notify the commissioner, in writing, of any change in the
address from which he intends to conduct his business.