Ala. Admin. Code r. 482-1-055-.18

Current through Register Vol. 43, No. 02, November 27, 2024

Section 482-1-055-.18 - Transactions Subject To Prior Notice - Notice Filing (Form D)

(1) An insurer required to give notice of a proposed transaction pursuant to Section 27-29-5 shall furnish the required information on Form D, hereby made a part of this chapter.

(2) Agreements for cost sharing services and management services shall at a minimum and as applicable:

(a) Identify the person providing services and the nature of such services.

(b) Set forth the methods to allocate costs.

(c) Require timely settlement, not less frequently than on a quarterly basis, and compliance with the requirements in the Accounting Practices and Procedures Manual.

(d) Prohibit advancement of funds by the insurer to the affiliate except to pay for services defined in the agreement.

(e) 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.

(f) Define books and records of the insurer to include all books and records developed or maintained under or related to the agreement.

(g) Specify that all books and records of the insurer are and remain the property of the insurer and are subject to control of the insurer.

(h) 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.

(i) Include standards for termination of the agreement with and without cause.

(j) 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.

(k) Specify that, if the insurer is placed in receivership or seized by the commissioner under Chapter 32:

1. All of the rights of the insurer under the agreement extend to the receiver.

2. All books and records will immediately be made available to the receiver, and shall be turned over to the receiver immediately upon the receiver's request.

(l) Specify that the affiliate has no automatic right to terminate the agreement if the insurer is placed in receivership pursuant to Chapter 32.

(m) Specify that the affiliate will continue to maintain any systems, programs, or other infrastructure notwithstanding a seizure by the commissioner under Chapter 32, and will make them available to the receiver, for so long as the affiliate continues to receive timely payment for services rendered.

Ala. Admin. Code r. 482-1-055-.18

Revised: July 5, 1994; effective July 15, 1994. Filed for codification in the Alabama Administrative Code by the Department of Insurance on June 10, 2003, pursuant to the Code of Ala. 1975, § 27-7-43.

Amended by Alabama Administrative Monthly Volume XXXIII, Issue No. 11, August 31, 2015, eff. 1/1/2016.

Author: Commissioner of Insurance

Statutory Authority:Code of Ala. 1975, §§ 27-2-17, 27-29-8.