HOUSE BILL No. 5634

 

February 2, 2006, Introduced by Reps. Hood, Condino, Bieda, Farrah, Anderson, Wojno, Adamini, Leland, Hune, Lipsey, Gaffney, Emmons, Mortimer and Sheen and referred to the Committee on Insurance.

 

     A bill to amend 1956 PA 218, entitled

 

"The insurance code of 1956,"

 

by amending sections 1001, 1007, 1010, 1015, and 1125 (MCL

 

500.1001, 500.1007, 500.1010, 500.1015, and 500.1125), sections

 

1001, 1007, 1010, and 1015 as added by 1992 PA 182 and section 1125

 

as amended by 2000 PA 283.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 1001. As used in this chapter:

 

     (a) "Audited financial report" means the report required in

 

section 1005 and furnished pursuant to section 1007.

 

     (b) "Indemnification" means an agreement of indemnity or a

 

release from liability where the intent or effect is to shift or

 

limit in any manner the potential liability of the person or firm

 

for failure to adhere to applicable auditing or professional

 


standards, whether or not resulting in part from knowing of other

 

misrepresentations made by the insurer or its representatives.

 

     (c)  (b)  "Independent public accountant" means an independent

 

certified public accountant or accounting firm in good standing

 

with the American institute of certified public accountants and in

 

good standing in all states in which they are licensed to practice.

 

For Canadian and British companies, "independent public accountant"

 

means a Canadian-chartered or British-chartered accountant.

 

     Sec. 1007. (1) The annual audited financial report shall

 

report the insurer's financial condition as of the end of the most

 

recent calendar year and the results of its operations, cash flows,

 

and changes in capital and surplus for the year then ended in

 

conformity with accounting practices prescribed, or otherwise

 

permitted, by the commissioner and shall include all of the

 

following:

 

     (a) The report of an independent public accountant.

 

     (b) A balance sheet reporting admitted assets, liabilities,

 

capital, and surplus.

 

     (c) A statement of gain or loss from operations.

 

     (d) A statement of cash flows.

 

     (e) A statement of changes in capital and surplus.

 

     (f) Notes to financial statements. These notes shall be those

 

required by the commissioner's annual statement instructions and

 

any other notes required by generally accepted accounting

 

principles and shall include both of the following:

 

     (i) A  accounting practices prescribed. The notes shall include

 

a reconciliation of differences, if any, between the audited

 


financial statements and the annual statement filed pursuant to

 

section 438 with a written description of the nature of these

 

differences.

 

     (ii) A summary of ownership and relationships of the insurer

 

and all affiliated companies, including a disclosure of all

 

significant intercompany transactions and balances.

 

     (2) The financial statements included in the 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 the commissioner, may be rounded to the

 

nearest thousand dollars, may combine insignificant amounts, and,

 

except for the first year the insurer is required to file an

 

audited financial report, shall be comparative, presenting the

 

amounts as of December 31 of the current year and the amounts as of

 

the immediately preceding December 31.

 

     (3) The independent public accountant shall conduct the

 

examination in accordance with generally accepted auditing

 

standards. Consideration shall be given, as the independent public

 

accountant considers necessary, to the procedures illustrated in

 

the "Financial Conditions Examiners Handbook" prepared by the

 

national association of insurance commissioners.

 

     Sec. 1010. (1) The commissioner shall not recognize a person

 

or firm as an independent public accountant unless that person or

 

firm  is  meets both of the following:

 

     (a) Is in good standing with the American institute of

 

certified public accountants and in good standing in all states in

 

which the independent public accountant is licensed to practice,

 


or, for a Canadian or British company, unless that person or firm

 

is a chartered accountant.

 

     (b) Has not either directly or indirectly entered into an

 

indemnification agreement, whether an agreement of indemnity or

 

release from liability, with respect to the insurer's audit.

 

     (2) Except as otherwise provided, a certified public

 

accountant shall be recognized as independent as long as he or she

 

conforms to the standards of his or her profession, as contained in

 

the code of professional ethics of the American institute of

 

certified public accountants, its rules and regulations, and this

 

state's board of accountancy's code of ethics and rules of

 

professional conduct.

 

     (3) An independent certified public accountant may enter into

 

an agreement with an insurer to have disputes relating to an audit

 

resolved by mediation or arbitration. However, if a delinquency

 

proceeding is commenced against the insurer under chapter 81, the

 

mediation or arbitration provision shall operate at the option of

 

the statutory successor.

 

     (4)  (3)  An individual independent public accountant or a

 

partner or other person responsible for rendering a report by an

 

independent public accounting firm retained to conduct an annual

 

audit under this chapter shall not act in that capacity for the

 

same insurer for more than 7 consecutive years. Following such a 7-

 

year period of service, the individual independent public

 

accountant or partner or other responsible person for the

 

accounting firm shall not conduct an annual audit under this

 

chapter for the same insurer or its insurance subsidiaries or

 


affiliates for a period of 2 years. An insurer may apply for relief

 

from the commissioner from this rotation requirement on the basis

 

of unusual circumstances. The commissioner may consider the

 

following factors in determining if relief should be granted:

 

     (a) Number of partners, expertise of the partners, or the

 

number of insurance clients in the independent public accounting

 

firm.

 

     (b) The insurer's premium volume.

 

     (c) Number of jurisdictions in which the insurer transacts

 

business.

 

     (5)  (4)  The commissioner shall not recognize as a qualified

 

independent public accountant, or accept an annual audited

 

financial report, prepared in whole or in part by an individual who

 

has done any of the following:

 

     (a) Been convicted of fraud, bribery, a violation of chapter

 

96 of title 18 of the United States Code, 18  U.S.C.  USC 1961 to

 

1968, or any dishonest conduct or practices under federal or state

 

law.

 

     (b) Been found to have violated the insurance laws of this

 

state with respect to any previous reports submitted under this

 

chapter.

 

     (c) Has failed to detect or disclose material information in 1

 

or more previous reports filed under this chapter.

 

     (6)  (5)  The commissioner may hold a public hearing pursuant

 

to the administrative procedures act of 1969,  Act No. 306 of the

 

Public Acts of 1969, being sections 24.201 to 24.328 of the

 

Michigan Compiled Laws  1969 PA 306, MCL 24.201 to 24.328, to

 


determine whether a certified public accountant is qualified. After

 

considering the evidence presented, the commissioner may rule that

 

the accountant is not qualified for purposes of expressing his or

 

her opinion on the financial statements in the annual audited

 

financial report made pursuant to this chapter and may require the

 

insurer to replace the accountant with another whose relationship

 

with the insurer is qualified within the meaning of this chapter.

 

     Sec. 1015. (1) An insurer required to furnish the annual

 

audited financial report shall require the independent public

 

accountant to report in writing within 5 business days to the board

 

of directors or its audit committee any determination by that

 

independent public accountant that the insurer has materially

 

misstated its financial condition as reported to the commissioner

 

as of the balance sheet date currently under examination or that

 

the insurer does not meet the requirements of section 408 or 410 as

 

of that date. The insurer shall furnish a copy of this report to

 

the commissioner within 5 business days of receipt of the report

 

and shall provide the independent public accountant making the

 

report with evidence of the report being furnished to the

 

commissioner. If the independent public accountant fails to receive

 

the evidence within the required 5-business day period, the

 

independent public accountant shall furnish a copy of its report to

 

the commissioner within the next 5 business days.

 

     (2) An independent public accountant is not liable to any

 

person for a statement or report made in connection with this

 

section if the statement or report is made in good faith in

 

compliance with subsection (1).

 


     (3) If after the date of the audited financial report filed

 

pursuant to this chapter the accountant becomes aware of facts that

 

might have affected his or her report, the accountant shall take

 

action as prescribed by the professional standards of the American

 

institute of certified public accountants.

 

     Sec. 1125. (1) Neither a reinsurance agreement nor any

 

amendment to that agreement shall be used to reduce any liability

 

or to establish any asset in any financial statement filed with the

 

commissioner unless the agreement, amendment, or a binding letter

 

of intent has been duly executed by the appropriate party no later

 

than the filing date of the financial statement.

 

     (2)  For a  A letter of intent, a reinsurance agreement, or an

 

amendment to a reinsurance agreement shall be executed within a

 

reasonable period of time in order for credit to be granted for the

 

reinsurance ceded. As used in this subsection, "reasonable period

 

of time" means that period of time as provided by the national

 

association of insurance commissioners accounting practices and

 

procedures manual and as approved by the commissioner.

 

     (3) Except for facultative certificates duly executed by a

 

property and casualty reinsurer or its duly appointed agent, a

 

reinsurance agreement shall contain  in substance a provision that  

 

both of the following:

 

     (a) That the agreement constitutes the entire agreement

 

between the parties with respect to the business being reinsured

 

thereunder and that there are no understandings between the parties

 

other than as expressed in the agreement.

 

     (b) That any change or modification to the agreement is null

 


and void unless made by amendment to the agreement and signed by

 

both parties.

 

     (4) A ceding insurer shall not be allowed credit for

 

reinsurance ceded as either an asset or a reduction from liability

 

on account of reinsurance ceded, unless the reinsurance contract

 

provides, in substance, that if the ceding insurer becomes

 

insolvent, the reinsurance shall be payable pursuant to the terms

 

of the reinsurance contract by the assuming insurer on the basis of

 

reported claims allowed by the liquidation court, except as

 

provided in subsection (6), without diminution because of the

 

insolvency of the ceding insurer. The payments shall be made

 

directly to the ceding insurer or its domiciliary liquidator unless

 

the reinsurance contract requires or an endorsement signed by the

 

reinsurer to the policies reinsured requires the reinsurer to make

 

payment to the payees under the policies reinsured if the ceding

 

insurer becomes insolvent.

 

     (5) The reinsurance agreement may provide that the domiciliary

 

liquidator of an insolvent ceding insurer shall give written notice

 

to the assuming insurer of the pendency of a claim against the

 

ceding insurer on the contract reinsured within a reasonable time

 

after the claim is filed in the liquidation proceeding.

 

     (6) If a life and health insurance guaranty association or its

 

designated successor life or health insurer has assumed policy

 

obligations as direct obligations of the insolvent ceding insurer

 

and has succeeded to the rights of the insolvent insurer under the

 

contract of reinsurance, then the reinsurer's liability shall

 

continue under the contract of reinsurance and shall be payable

 


pursuant to the direction of the guaranty association or its

 

designated successor. As a condition to succeeding to the insolvent

 

insurer's rights under the contract, the guaranty association or

 

successor life or health insurer shall be responsible for premiums

 

payable under the reinsurance contract for periods after the date

 

of liquidation.