Knowledge (XXG)

Insurance regulatory law

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134:. The McCarran-Ferguson Act specifically provides that the regulation of the business of insurance by the state governments is in the public interest. Further, the Act states that no federal law should be construed to invalidate, impair or supersede any law enacted by any state government for the purpose of regulating the business of insurance, unless the federal law specifically relates to the business of insurance. 184:. There was renewed discussion of federal insurance regulation, including new legislation for a dual state and federal system of insurance solvency regulation. However, as more and more states enacted versions of these model reforms into law, the pressure for federal reform of insurance regulation waned. 237:
Creating, drafting, developing, submitting for regulatory approval, negotiating, revising, supplementing and withdrawing various types of insurance products, policies, contracts, forms, rates, fees, schedules and other regulatory filings, including compliance programs required under state and federal
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In the mid 1970s, for example, the concept of an optional federal charter for insurance companies was raised in Congress. With a wave of solvency and capacity issues facing property and casualty insurers, the proposal was to establish an elective federal regulatory scheme that insurers could opt into
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After the McCarran-Ferguson Act, the business of insurance remained substantially regulated by state statutory and administrative laws through the years. Additionally, efforts such as the accreditation standards of the National Association of Insurance Commissioners, and other cooperative endeavors,
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As the various state governments each developed its own set of insurance regulations, insurance companies with multi-state business were hampered by the inconsistency of the dissimilar rules and requirements, as well as localism by the state regulators. These companies and their stakeholders joined a
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Historically, the insurance industry has been regulated almost exclusively by the individual state governments. The first state commissioner of insurance was appointed in New Hampshire in 1851 and the state-based insurance regulatory system grew as quickly as the insurance industry itself. Prior to
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Insurance regulators generally perform "market conduct exams" to determine that insurers are operating in the best interests of consumers. However, these investigations depend on the state, with some states performing them regularly and others performing them in reaction to a noticeable pattern. The
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case focused primarily on the application of federal anti-trust legislation (the Sherman Act) to the insurance industry, some thought the decision opened the floodgates to widespread federal regulation of the insurance industry and signaled the demise of the state-based insurance regulatory system.
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called "rate regulation" and can deny or approve any rate change. The statute typically states that rates shall not be inadequate or excessive, as inadequate rates increase the risk of bankruptcy and excessive rates are regarded as unfair. A similar statute may prohibits "unfair discrimination" in
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The practice of insurance regulatory law requires knowledge and understanding of administrative law, general business and corporate law, contract law, trends and jurisprudence in insurance litigation, legislative developments and a variety of other topics and areas of law. An insurance regulatory
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From 1986 to 1992, there were 276 insurer bankruptcies. In response to the disruption, the National Association of Insurance Commissioners (“NAIC”) adopted several model reforms for state insurance regulation, including risk-based capital requirements, financial regulation accreditation standards,
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and those engaged in the business of insurance. Insurance regulatory law is primarily enforced through regulations, rules and directives by state insurance departments as authorized and directed by statutory law enacted by the state legislatures. However, federal law, court decisions and
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Although rebating, which involves giving back some of the purchase price (or offering some sort of per customer discount) is common in some industries, as of 2009, 48 states and D.C. prohibited it in insurance by adopting a law based upon the NAIC Model Unfair Trade Practices.
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from the traditional state system, somewhat analogous to the dual-charter regulation of banks. Although the optional federal chartering proposal was defeated in the 1970s, it became the precursor for a modern debate over optional federal chartering in the last decade.
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Drafting and submitting National Association of Insurance Commissioners (NAIC) Uniform Certificate of Authority Applications (UCAA) and related documentation with respect to insurance company formation, admission, licensing, expansion, re-domestication and other
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Drafting and submitting other required applications and related documentation with respect to the formation, admission, licensing, expansion, redomestication and other transactions of insurance affiliates, holding companies and other businesses in the insurance
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growing movement for federal insurance regulation – but, considering the lack of any significant federal regulatory framework, this movement may have been more about avoiding regulation rather than actually promoting federal superiority.
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In 1999, Congress passed the Gramm-Leach-Bliley Financial Modernization Act, which sets out certain minimum standards that state insurance laws and regulations were required to meet or else face preemption by federal law.
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Providing general advice and counsel to the officers, directors and management of companies in the insurance industry with respect to issues from day-to-day insurance operations up to board and shareholder/member level
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Representing insurance industry clients before state insurance regulatory and other government agencies with respect to compliance issues, complaint resolution, administrative hearings and other administrative
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The practice of insurance regulatory law involves providing legal services and counseling on a wide variety of administrative, corporate, insurance, transactional and regulatory issues such as the following:
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After the 2008 financial crisis, a model law called the Standard Valuation Model Law was revised to adopt a "principles-based" approach to life insurance reserving, which was adopted by a number of states.
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Negotiating, structuring and executing associated transactions, such as the purchase or sale of blocks of insurance business, or providing compliance services relative to public and private financing;
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The formation, acquisition, sale, merger, restructuring, reorganization and dissolution of insurance companies, their affiliates and other businesses in the insurance industry;
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The Patient Protection and Affordable Care Act, Pub.L 11-148, 124 Stat. 119; the Dodd-Frank Wall Street Reform and Consumer Protection Act, Pub.L 111-203, H.R. 4173.
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The most recent challenges to the state insurance regulatory system are arguably the most significant, as well, showing further erosion of state primacy. Both the
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attorney provides legal services and practical business solutions on a wide variety of administrative, corporate, insurance, transactional and regulatory issues.
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Over the past decade, renewed calls for optional federal regulation of insurance companies have sounded, including the proposed National Insurance Act of 2006.
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Therefore, the fundamental purpose of insurance regulatory law is to protect the public as insurance consumers and policyholders. Functionally, this involves:
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Harrington, Scott (1984-01-01). "The Impact of Rate Regulation on Prices and Underwriting Results in the Property-Liability Insurance Industry: A Survey".
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A Brief Chronicle of Insurance Regulation in the United States, Part I: From De Facto Judicial Regulation to South-Eastern Underwriters Ass'n
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Despite the long history of state-based insurance regulation, federal regulatory influence has been expanding in the past several decades.
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In 1972, the model law Unfair Claims Settlement Act was written, which has since been adopted by most states with various modifications.
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that the issuance of a policy of insurance was not the transaction of commerce, and therefore beyond the scope of federal legislation.
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Uniformity and Efficiency in Insurance Regulation: Consolidation and Outsourcing of Regulatory Activities at the State Level
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In 1869, the United States Supreme Court cemented state-based insurance regulation as the law of the land when it ruled in
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Insurance Regulation in the United States: Regulatory Federalism and the National Association of Insurance Commissioners
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A Brief Chronicle of Insurance Regulation in the United States, Part II: From McCarran-Ferguson to Dodd-Frank
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rates, which is intended to prohibit discrimination which is not based upon a difference in risk.
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In 2018, the majority of states began to require health insurers to submit market conduct data.
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this period, insurance was primarily regulated by corporate charter, state statutory law and
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Licensing and regulating insurance companies and others involved in the insurance industry;
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Morgan Stanley Mortgage Capital, Inc v. Insurance Commissioner of the State of California
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Historically, and continuing to modern day in many states, regulators practice strict
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The United States Congress responded almost immediately: in 1945, Congress passed the
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regulation by the courts in judicial decisions. States coordinate through a nonprofit
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Federal Insurance Regulation Optional Federal Chartering Bills Come to the Big Top
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More than 70 years, later, however, the Supreme Court overturned that decision in
808:"NAIC Moves towards Principles Based Reserving for Life Insurance Martindale.com" 138:
have increased the uniformity of insurance regulation across the various states.
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exams can take years and are usually paid for by the insurance companies.
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Controlling market conduct and preventing unfair trade practices; and
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Insurance is characterized as a business vested or affected with the
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The Practice of Insurance Regulatory Law, Part II: More Specifically
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and an initiative to codify accounting principles into the modern
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See, for example: Louisiana Revised Statutes, Title 22, § 2A(1);
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The Fatal Flaw of Proposals to Federalize Insurance Regulation
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Regulating and standardizing insurance policies and products;
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State Insurance Regulation: History, Purpose and Structure
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administrative adjudications also play an important role.
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Dodd-Frank Wall Street Reform and Consumer Protection Act
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An Overview of the Insurance Industry and Its Regulation
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United States v. South-Eastern Underwriters Association
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United States v. South-Eastern Underwriters Association
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United States v. South-Eastern Underwriters Association
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which were exempt from state regulation was expanded.
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Center for Risk Management & Insurance Regulation
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Regulating other aspects of the insurance industry.
784:"YOU CAN'T GET -- OR GIVE --SOMETHING FOR NOTHING" 600:"The Federal Crime Insurance Program: An Overview" 546:The McCarran–Ferguson Act, 15 U.S.C. §§ 1011-1015. 832:"Florida Revises Insurer Solvency Review Process" 434:National Association of Insurance Commissioners, 859:National Association of Insurance Commissioners 325:National Association of Insurance Commissioners 100:National Association of Insurance Commissioners 356:Insurance Regulatory and Development Authority 879: 8: 478:The Case for Federal Regulation of Insurance 907: 886: 872: 864: 196:Patient Protection and Affordable Care Act 430: 428: 378: 376: 98:of state regulatory agencies called the 372: 330:Insurance Regulatory Information System 157:Early federal laws passed included the 788:Federation of Regulatory Counsel, Inc 718: 716: 714: 361:China Insurance Regulatory Commission 7: 159:National Flood Insurance Act of 1968 493:, 75 U.S. 168, 19 L.Ed. 357 (1868). 925:Accidental death and dismemberment 168:In the 1980s, the ability to form 14: 750:The Journal of Risk and Insurance 385:Insurance Regulatory Law: Defined 1051:Directors and officers liability 85:State-based insurance regulation 341:Insurance in the United Kingdom 182:Statutory Accounting Principles 31:that governs and regulates the 464:Stempel on Insurance Contracts 336:Insurance in other countries: 320:Insurance in the United States 62:Monitoring and preserving the 1: 462:Stempel, Jeffery W. (2007). 1818:Savings and loan association 661:Brown, Elizabeth F. (2008). 1251:Insurance-linked securities 422:, Georgia State University. 150:Expanding federal influence 1901: 940:Total permanent disability 622:Berrington, Craig (2007). 466:, 3rd Ed., Vol. 1, § 2.07. 294:General insurance topics: 25:administrative regulations 1843: 1680:Health insurance coverage 945:Business overhead expense 414:Klein, Robert W. (2008), 1081:Protection and indemnity 836:www.insurancejournal.com 707:. Retrieved 2011-06-02. 705:Insurance Regulatory Law 565:. Retrieved 2011-06-02. 563:Insurance Regulatory Law 512:. Retrieved 2011-06-02. 510:Insurance Regulatory Law 392:. Retrieved 2011-06-02. 390:Insurance Regulatory Law 17:Insurance regulatory law 1538:Explanation of benefits 1010:Variable universal life 449:Randall, Susan (1999). 80:History (United States) 66:of insurance companies; 1675:Health insurance costs 1076:Professional liability 674:Kwon, W. Jean (2007). 524:, 322 U.S. 533 (1944). 346:Insurance in Australia 1531:Out-of-pocket expense 1392:Workers' compensation 1046:Collateral protection 1036:Business interruption 475:Baker, Tobin (2006). 315:US insurance topics: 178:guaranty associations 170:risk retention groups 132:McCarran-Ferguson Act 1883:Insurance regulation 1754:Corpus Juris Civilis 309:History of insurance 1813:Rochdale Principles 1808:Mutual savings bank 1803:Mutual organization 1788:Cooperative banking 1705:Mesopotamian banker 985:Longevity insurance 696:Mayhall, Van, III, 555:Mayhall, Van, III, 502:Mayhall, Van, III, 382:Mayhall, Van, III, 281:Solvency regulation 1565:Insurable interest 1066:Payment protection 967:Payment protection 812:www.martindale.com 729:chicagotribune.com 533:See, for example, 351:Insurance in India 198:(“PPACA”) and the 64:financial solvency 33:insurance industry 1865: 1864: 1710:Code of Hammurabi 1685:Vehicle insurance 1580:Replacement value 1472:Actual cash value 1436:Adverse selection 1426:Actuarial science 1400: 1399: 1332:Kidnap and ransom 1305:Extended warranty 952:Income protection 723:Schencker, Lisa. 491:Paul vs. Virginia 96:trade association 1890: 1823:Social insurance 1778:Friendly society 1670:Health insurance 1498:Short rate table 1246:Catastrophe bond 1147:Lenders mortgage 908: 888: 881: 874: 865: 846: 845: 843: 842: 828: 822: 821: 819: 818: 804: 798: 797: 795: 794: 780: 774: 773: 745: 739: 738: 736: 735: 720: 709: 694: 688: 685: 679: 672: 666: 659: 653: 652: 650: 649: 635: 629: 620: 614: 613: 611: 610: 596: 590: 589: 587: 586: 572: 566: 553: 547: 544: 538: 531: 525: 519: 513: 500: 494: 488: 482: 473: 467: 460: 454: 447: 441: 432: 423: 412: 406: 399: 393: 380: 111:Paul v. Virginia 50:private contract 1900: 1899: 1893: 1892: 1891: 1889: 1888: 1887: 1868: 1867: 1866: 1861: 1839: 1835:Insurance cycle 1798:Fraternal order 1691: 1622: 1616: 1575:Proximate cause 1570:Insurance fraud 1550:General average 1509:Claims adjuster 1451:Risk management 1446:Risk assessment 1410: 1407: 1396: 1362:Prize indemnity 1229: 1177: 1171: 1100: 1061:Over-redemption 1019: 971: 962:National health 903: 897: 892: 855: 850: 849: 840: 838: 830: 829: 825: 816: 814: 806: 805: 801: 792: 790: 782: 781: 777: 747: 746: 742: 733: 731: 722: 721: 712: 695: 691: 686: 682: 673: 669: 660: 656: 647: 645: 637: 636: 632: 621: 617: 608: 606: 598: 597: 593: 584: 582: 574: 573: 569: 554: 550: 545: 541: 532: 528: 520: 516: 501: 497: 489: 485: 474: 470: 461: 457: 448: 444: 433: 426: 413: 409: 400: 396: 381: 374: 369: 335: 314: 292: 283: 274: 261: 259:Rate regulation 249: 208: 152: 144: 87: 82: 46:public interest 42: 19:is the body of 12: 11: 5: 1898: 1897: 1894: 1886: 1885: 1880: 1870: 1869: 1863: 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Index

statutory law
administrative regulations
jurisprudence
insurance industry
public interest
private contract
financial solvency
trade association
National Association of Insurance Commissioners
United States v. South-Eastern Underwriters Association
McCarran-Ferguson Act
National Flood Insurance Act of 1968
risk retention groups
guaranty associations
Statutory Accounting Principles
Patient Protection and Affordable Care Act
Dodd-Frank Wall Street Reform and Consumer Protection Act
price control
Insurance
Insurance law
History of insurance
Insurance in the United States
National Association of Insurance Commissioners
Insurance Regulatory Information System
Insurance in the United Kingdom
Insurance in Australia
Insurance in India
Insurance Regulatory and Development Authority
China Insurance Regulatory Commission

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