MR. PRESIDENT:
The Senate Committee on Insurance and Financial Institutions, to which was referred
House Bill No. 1555, has had the same under consideration and begs leave to report the same
back to the Senate with the recommendation that said bill be AMENDED as follows:
SOURCE: Page 2, line 15; (01)CR155502.2. -->
Page 2, line 15, delete ".".
Page 2, line 15, reset in roman "obtained for the employee".
Page 2, line 16, reset in roman "by the employer.".
Page 4, between lines 29 and 30, begin a new paragraph and insert:
SOURCE: IC 27-1-3-15; (01)CR155502.4. -->
"SECTION 4.
IC 27-1-3-15
, AS AMENDED BY P.L.268-1999,
SECTION 1, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
JULY 1, 2001]: Sec. 15. (a) Except as provided in subsection (g), the
commissioner shall collect the following filing fees:
Document Fee
Articles of incorporation $ 350
Amendment of articles of
incorporation $ 10
Filing of annual statement
and consolidated statement $ 100
Annual renewal of company license
fee $ 50
Withdrawal of certificate
of authority $ 25
Certified statement of condition $ 5
Any other document required to be
forth in
IC 27-1-2-3.
Sec. 2. A person may not disclose any nonpublic personal
information to a non-affiliated third party in violation of Title V of
the Gramm-Leach-Blilely Act of 1999, 15 U.S.C. 6801 et seq.
Sec. 3. The commissioner may adopt rules under
IC 4-22-2
to
implement this chapter. These rules:
(1) must be consistent with; and
(2) may not be more restrictive than;
the standards contained in 15 U.S.C. 6801 et seq.
Sec. 4. This chapter does not create a private right of action
against any person.
SOURCE: IC 27-4-1-4.5; (01)CR155502.7. -->
SECTION 7.
IC 27-4-1-4.5
IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JULY 1, 2001]: Sec. 4.5. The following are
unfair claim settlement practices if the practice is committed
flagrantly and in conscious disregard of this section or if the
practice is committed with a frequency that indicates a general
business practice:
(1) Misrepresenting pertinent facts or insurance policy provisions
relating to coverages at issue.
(2) Failing to acknowledge and act reasonably promptly upon
communications with respect to claims arising under insurance
policies.
(3) Failing to adopt and implement reasonable standards for the
prompt investigation of claims arising under insurance policies.
(4) Refusing to pay claims without conducting a reasonable
investigation based upon all available information.
(5) Failing to affirm or deny coverage of claims within a
reasonable time after proof of loss statements have been
completed.
(6) Not attempting in good faith to effectuate prompt, fair, and
equitable settlements of claims in which liability has become
reasonably clear.
(7) Compelling insureds to institute litigation to recover amounts
due under an insurance policy by offering substantially less than
the amounts ultimately recovered in actions brought by such
insureds.
(8) Attempting to settle a claim for less than the amount to which
a reasonable man individual would have believed he the
individual was entitled by reference to written or printed
advertising material accompanying or made part of an
application.
(9) Attempting to settle claims on the basis of an application
which that was altered without notice to or knowledge or consent
of the insured.
(10) Making claims payments to insureds or beneficiaries not
accompanied by a statement setting forth the coverage under
which the payments are being made.
(11) Making known to insureds or claimants a policy of
appealing from arbitration awards in favor of insureds or
claimants for the purpose of compelling them to accept
settlements or compromises less than the amount awarded in
arbitration.
(12) Delaying the investigation or payment of claims by requiring
an insured, a claimant, or the physician of either to submit a
preliminary claim report and then requiring the subsequent
submission of formal proof of loss forms, both of which
submissions contain substantially the same information.
(13) Failing to promptly settle claims, where liability has become
reasonably clear, under one (1) portion of the insurance policy
coverage in order to influence settlements under other portions
of the insurance policy coverage.
(14) Failing to promptly provide a reasonable explanation of the
basis in the insurance policy in relation to the facts or applicable
law for denial of a claim or for the offer of a compromise
settlement.
(15) In negotiations concerning liability insurance claims,
ascribing a percentage of fault to a person seeking to recover
from an insured party, in spite of an obvious absence of fault on
the part of that person.
(16) The unfair claims settlement practices defined in
IC 27-4-1.5.".
SOURCE: Page 6, line 39; (01)CR155502.6. -->
Page 6, line 39, after "but" delete ".".
Page 7, line 2, after "violation" insert ".".
Page 7, between lines 12 and 13, begin a new paragraph and insert:
SOURCE: IC 27-4-1-19; (01)CR155502.9. -->
"SECTION 9.
IC 27-4-1-19
IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JULY 1, 2001]: Sec. 19. (a) The
commissioner shall, on an annual basis and in a manner determined by
the commissioner, publish figures indicating and produce a report
containing the following information:
(1) The ratio of valid consumer complaints lodged against each
company weighted by the direct premiums earned in Indiana by
each company.
(2) A separate listing of any company determined by the
commissioner to have committed a practice that is designated
an unfair claim settlement practice under section 4.5 of this
chapter if the practice is committed flagrantly and in
conscious disregard of section 4.5 of this chapter or if the
practice is committed with a frequency that indicates a
general business practice.
(3) Any enforcement action taken by the commissioner as a
result of a practice described in subdivision (2).
(b) The commissioner shall provide a copy of the report
required under subsection (a) to the house of representatives and
senate committees of the general assembly that are assigned
responsibility for insurance issues.".
SOURCE: Page 7, line 34; (01)CR155502.7. -->
Page 7, line 34, delete "or "cancelled"".
Page 16, line 11, delete "the grievance is" and insert " the insurer
receives all information reasonably necessary to complete the
review.".
Page 16, line 12, delete "filed.".
Page 20, between lines 32 and 33, begin a new line block indented
and insert:
" (6) The covered individual requesting the external grievance
review.".
Page 37, line 41, delete "commissioner of the Indiana department
of insurance" and insert " insurance commissioner".
and when so amended that said bill do pass.
Committee Vote: Yeas 10, Nays 0.
Paul
CR155502/DI 104 2001