19 MAC Pt. 1, R. 20.19
Transactions Subject to Prior Notice - Notice Filing (Form D)
Cite as 19 Miss. Admin. Code Pt. 1, R. 20.19
Transactions Subject to Prior Notice - Notice Filing (Form D)
A. An insurer required to give notice of a proposed transaction pursuant to Section 83-6-21
of the Act shall furnish the required information on Form D, hereby made a part of this
regulation.
B. Agreements for cost sharing services and management services shall at a minimum and
as applicable:
1.
Identify the person providing services and the nature of such services;
2.
Set forth the methods to allocate costs;
3.
Require timely settlement, not less frequently than on a quarterly basis, and
compliance with the requirements in the Accounting Practices and Procedures
Manual.
4.
Prohibit advancement of funds by the insurer to the affiliate except to pay for
services defined in the agreement;
5.
State that the insurer will maintain oversight for functions provided to the
insurer by the affiliate and that the insurer will monitor services annually for
quality assurance;
6.
Define records and data of the insurer to include all records and data developed
or maintained under or related to the agreement that are otherwise the property
of the insurer, in whatever form maintained, including, but not limited to,
claims and claim files, policyholder lists, application files, litigation files,
premium records, rate books, underwriting manuals, personnel records,
financial records or similar records within the possession, custody or control of
the affiliate;
7.
Specify that all records and data of the insurer are and remain the property of
the insurer and
i. Are subject to control of the insurer;
ii. Are identifiable, and
iii. Are segregated from all other persons’ records and data or are readily
capable of segregation at no additional cost to the insurer;
8.
State that all funds and invested assets of the insurer are the exclusive property
of the insurer, held for the benefit of the insurer and are subject to the control
of the insurer;
9.
Include standards for termination of the agreement with and without cause;
10.
Include provisions for indemnification of the insurer in the event of gross
negligence or willful misconduct on the part of the affiliate providing the
services and for any actions by the affiliate that violate provisions of the
agreement required in Rules 20.19(B)(11); 20.19(B)(12); 20.19(B)(13);
20.19(B)(14) and 20.19(B)(15) of this regulation;
11.
Specify that, if the insurer is placed in supervision, seizure, conservatorship or
receivership pursuant to the Insurer Rehabilitation and Liquidation Act,
Section 83-34-1, et seq.
i. All of the rights of the insurer under the agreement extend to the receiver
or commissioner to the extent permitted by law;
ii. All records and data of the insurer shall be identifiable and segregated
from all other persons’ records and data or readily capable of segregation
at no additional cost to the receiver or the commissioner;
iii. A complete set of records and data of the insurer will immediately be
made available to the receiver or the commissioner, shall be made
available in a usable format and shall be turned over to the receiver or
commissioner immediately upon the receiver or the commissioner’s
request; and the cost to transfer data to the receiver or the commissioner
shall be fair and reasonable; and,
iv. The affiliated person(s) will make available all employees essential to the
operations of the insurer and the services associated therewith for the
immediate continued performance of the essential services ordered or
directed by the receiver or commissioner;
12.
Specify that the affiliate has no automatic right to terminate the agreement if
the insurer is placed into supervision, seizure, conservatorship or receivership
pursuant to the Insurer Rehabilitation and Liquidation Act, Section 83-34-1, et
seq.; and,
13.
Specify that the affiliate will continue to maintain any systems, programs, or
other infrastructure, notwithstanding supervision, seizure, conservatorship or
receivership pursuant to the Insurer Rehabilitation and Liquidation Act,
Sections 83-34-1, et seq., as ordered or directed by the receiver or
commissioner. Performance of the essential services will continue to be
provided without regard to pre-receivership unpaid fees, so long as the affiliate
continues to receive timely payment for post-receivership services rendered,
and unless released by the receiver, commissioner or supervising court;
14.
Specify that the affiliate will continue to maintain any systems, programs or
other infrastructure, notwithstanding supervision, seizure, conservatorship or
receivership pursuant to the Insurer Rehabilitation and Liquidation Act,
Sections 83-34-1, et seq., and will make them available to the receiver or
commissioner as ordered or directed by the receiver or commissioner for so
long as the affiliate continues to receive timely payment for post-receivership
services rendered, and unless released by the receiver, commissioner or
supervising court; and
15.
Specify that, in furtherance of the cooperation between the receiver and the
affected guaranty association(s) and subject to the receiver’s authority over the
insurer, if the insurer is placed into supervision, seizure, conservatorship or
receivership pursuant to the Insurer Rehabilitation and Liquidation Act,
Sections 83-34-1, et seq., and portions of the insurer’s policies or contracts are
eligible for coverage by one or more guaranty associations, the affiliate's
commitments under Rules 20.19(B)(11), 20.19(B)(12), 20.19(B)(13) and
20.19(B)(14) of this regulation will extend to such guaranty association(s).