April 25, 2007, Introduced by Reps. Young, Cushingberry, Melton, Johnson and Cheeks and referred to the Committee on Insurance.
A bill to amend 1956 PA 218, entitled
"The insurance code of 1956,"
by amending sections 2021, 2105, 2106, 2108, 2109, 2110, 2111,
2114, 2118, 2120, 2127, 2236, 2400, 2406, 2430, 2436, 2438, 2458,
2462, 2472, 2600, 2606, 2608, 2616, 2628, 2630, 2636, 2652, 2654,
2664, 2930, 3020, 3321, and 3340 (MCL 500.2021, 500.2105, 500.2106,
500.2108, 500.2109, 500.2110, 500.2111, 500.2114, 500.2118,
500.2120, 500.2127, 500.2236, 500.2400, 500.2406, 500.2430,
500.2436, 500.2438, 500.2458, 500.2462, 500.2472, 500.2600,
500.2606, 500.2608, 500.2616, 500.2628, 500.2630, 500.2636,
500.2652, 500.2654, 500.2664, 500.2930, 500.3020, 500.3321, and
500.3340), section 2021 as added by 1982 PA 7, sections 2111, 2118,
and 2930 as amended by 2002 PA 492, section 2120 as amended by 1984
PA 350, section 2236 as amended by 2002 PA 664, section 2400 as
amended by 1982 PA 8, section 2406 as amended by 1993 PA 200,
section 2436 as amended by 1982 PA 7, section 2458 as amended by
1988 PA 262, section 3020 as amended by 2006 PA 106, and section
3340 as amended by 1986 PA 10, and by adding sections 2026a, 2094,
2103a, 2106a, 2107a, 2109a, 2109b, 2111c, 2128, 2128a, 2128b,
2128c, 2128d, 2128e, 2128f, and 3105a; and to repeal acts and parts
of acts.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
Sec. 2021. An unfair method of competition and an unfair or
deceptive act or practice in the business of insurance includes
failure
by a rating organization and an insurer which makes its own
rates,
within a reasonable time after
receiving written request
therefor
and upon payment of such a
reasonable charge as it may
make,
to furnish to any an insured affected by a rate made by it,
or
to the insured's authorized representative, of
such insured, all
pertinent
information to such the rate.
Sec. 2026a. (1) It is an unfair method of competition and an
unfair or deceptive act or practice in the business of insurance
for a private passenger nonfleet automobile insurer or the
insurer's agent to solicit, offer, pay, or receive a kickback or
bribe in connection with the process of adjusting, resolving,
denying, or litigating a claim for automotive repair.
(2) An insurer or an insurer's agent who violates this section
is guilty of a felony punishable by imprisonment for not less than
1 year or more than 5 years, or a fine of not more than $50,000.00,
or both, and in addition, the insurer is subject to the certificate
of authority revocation proceedings of this chapter.
Sec. 2094. An individual threatened with injury or injured
directly or indirectly by a private passenger nonfleet automobile
insurer's violation of any provision of this chapter may bring an
action for appropriate injunctive or other equitable relief against
immediate irreparable harm, actual damages sustained by reason of a
violation of this chapter, and, as determined by the court,
interest on the damages from the date of the complaint, taxable
costs, and reasonable attorney's fees. This remedy is in addition
to any other remedy and penalty provisions provided by this
chapter.
Sec. 2103a. As used in this chapter:
(a) "Group automobile insurance" means automobile insurance
covering not less than 25 eligible employees or members, with or
without their eligible dependents, written under a master policy
issued to and endorsed by a governmental corporation, unit, agency,
or department, or to a corporation, partnership, individual
employer, or an association, upon application of an executive
officer or trustee of the association having a constitution or
bylaws, and formed in good faith for purposes other than that of
obtaining insurance.
(b) "Total return rating" means the consideration of total
revenue and available assets of the insurer, including, but not
limited to, investment income, capital and surplus, underwriting
and operating profits, premium revenue, and all other reserves.
Sec.
2105. (1) No A policy of automobile insurance or home
insurance shall not be offered, bound, made, issued, delivered, or
renewed in this state on and after January 1, 1981, except in
conformity
with this chapter. This chapter shall does not apply to
policies of automobile insurance or home insurance offered, bound,
made, issued, delivered or renewed in this state before January 1,
1981.
(2)
This chapter shall does not apply to insurance written on
a
group, franchise, blanket policy, or similar basis which that
offers
home insurance or automobile insurance to all members of the
group, franchise plan, or blanket coverage who are eligible
persons.
Sec. 2106. Except as specifically provided in this chapter,
the
provisions of chapter 24 and chapter 26 shall do not
apply to
automobile insurance and home insurance. An insurer may use rates
for
automobile insurance or home insurance as soon as those rates
are filed. An insurer shall not use rates for automobile insurance
until those rates have been approved by the commissioner. To the
extent
that other provisions of this code act are inconsistent with
the
provisions of this chapter, this chapter shall govern governs
with respect to automobile insurance and home insurance.
Sec. 2106a. To be authorized to write group automobile
insurance in this state, an insurer shall offer the group coverage
to every eligible person in the group in a uniform manner and shall
follow the rate-making, underwriting, and other applicable
provisions of this act.
Sec. 2107a. (1) By not later than 1 year after the effective
date of this section and annually thereafter, each insurer subject
to this chapter shall file base rates for automobile insurance and
shall make filings that conform to this act as amended by the 2007
amendatory act that added this section.
(2) The commissioner shall review a filing submitted under
subsection (1) and shall approve or disapprove the filing within 60
days after its submission.
(3) A filing approved under subsection (2) shall not be
revised for 12 months after the effective date of the filing unless
the revision meets either of the following:
(a) Lowers the price of the coverage.
(b) Is in response to a ruling or decision by the
commissioner, the court, or a hearing officer.
(4) A rule change or other change filed with the commissioner
that results in a change in the cost of coverage is considered a
revision in a rate filing under this section.
(5) If a filing is disapproved under subsection (2), the
insurer, within 30 days of the order of disapproval, shall make a
revised filing with the commissioner. The revised filing is subject
to review under this chapter in the same manner as an original
filing made under this chapter.
Sec.
2108. (1) On Except as
otherwise provided in section
2107a, on the effective date thereof, each insurer shall file with
the commissioner every manual of classification, every manual of
rules and rates, every rating plan, and every modification of a
manual of classification, manual of rules and rates, or a rating
plan
which that it proposes to use for automobile insurance and
home insurance. Each filing shall state the character and extent of
the coverage contemplated. Each insurer subject to this chapter who
maintains rates in any part of this state shall at all times
maintain rates in effect for all eligible persons meeting the
underwriting criteria of the insurer.
(2)
An Except for filings
concerning rates, an insurer may
satisfy
its obligation to make filings under subsection (1) by
becoming a member of, or a subscriber to, a licensed rating
organization
licensed under chapter 24 or chapter 26 which that
makes
those filings, and by filing with the commissioner a copy of
its
authorization of the rating organization to make those filings
on its behalf. Nothing contained in this chapter shall be construed
as requiring any insurer to become a member of or a subscriber to
any rating organization. Insurers may file and use deviations from
filings
made on their behalf, which deviations shall be are subject
to the provisions of this chapter.
(3) Each filing shall be accompanied by a certification by or
on behalf of the insurer that, to the best of its information and
belief, the filing conforms to the requirements of this chapter.
(4) Each filing shall include information that supports the
filing with respect to the requirements of section 2109 or 2109a,
as applicable. The information may include 1 or more of the
following:
(a)
The experience or judgment of the insurer or rating
organization
making the filing.
(b)
The interpretation of the insurer or rating organization
of any statistical data it relies upon.
(c)
The experience of other insurers. or rating organizations.
(d) Any other relevant information.
(5) A filing and any accompanying information shall be open to
public inspection upon filing.
(6) An insurer shall not make, issue, or renew a contract or
policy
except in accordance with filings which that are in effect
for the insurer pursuant to this chapter.
Sec.
2109. (1) All rates for automobile insurance and home
insurance shall be made in accordance with the following
provisions:
(a) Rates shall not be excessive, inadequate, or unfairly
discriminatory. A rate shall not be held to be excessive unless the
rate is unreasonably high for the insurance coverage provided and a
reasonable degree of competition does not exist for the insurance
to which the rate is applicable.
(b) A rate shall not be held to be inadequate unless the rate
is unreasonably low for the insurance coverage provided and the
continued use of the rate endangers the solvency of the insurer; or
unless the rate is unreasonably low for the insurance provided and
the use of the rate has or will have the effect of destroying
competition among insurers, creating a monopoly, or causing a kind
of insurance to be unavailable to a significant number of
applicants who are in good faith entitled to procure that insurance
through ordinary methods.
(c) A rate for a coverage is unfairly discriminatory in
relation to another rate for the same coverage if the differential
between the rates is not reasonably justified by differences in
losses, expenses, or both, or by differences in the uncertainty of
loss, for the individuals or risks to which the rates apply. A
reasonable justification shall be supported by a reasonable
classification system; by sound actuarial principles when
applicable; and by actual and credible loss and expense statistics
or, in the case of new coverages and classifications, by reasonably
anticipated loss and expense experience. A rate is not unfairly
discriminatory because it reflects differences in expenses for
individuals or risks with similar anticipated losses, or because it
reflects differences in losses for individuals or risks with
similar expenses.
(2) A determination concerning the existence of a reasonable
degree of competition with respect to subsection (1)(a) shall take
into account a reasonable spectrum of relevant economic tests,
including the number of insurers actively engaged in writing the
insurance in question, the present availability of such insurance
compared to its availability in comparable past periods, the
underwriting return of that insurance over a period of time
sufficient to assure reliability in relation to the risk associated
with that insurance, and the difficulty encountered by new insurers
in entering the market in order to compete for the writing of that
insurance.
Sec. 2109a. (1) All rates for automobile insurance shall be
reviewed by the commissioner by examining the insurer's report
prepared pursuant to section 2128 and shall be made in accordance
with total return rating and the following provisions:
(a) Rates shall not be excessive, inadequate, or unfairly
discriminatory. A rate shall not be approved by the commissioner
unless it is actuarially justified based upon the information
received pursuant to section 2128.
(b) A rate shall not be held to be inadequate unless the rate,
after consideration of investment income and surplus, is
unreasonably low for the insurance coverage provided and is
insufficient to sustain projected losses and expenses; or unless
the rate is unreasonably low for the insurance provided and the use
of the rate has or will have the effect of destroying competition
among insurers, creating a monopoly, or causing a kind of insurance
to be unavailable to a significant number of applicants who are in
good faith entitled to procure that insurance through ordinary
methods.
(c) A rate for a coverage is unfairly discriminatory in
relation to another rate for the same coverage if the differential
between the rates is not reasonably justified by differences in
losses, expenses, or both, or by differences in the uncertainty of
loss, for the individuals or risks to which the rates apply. A
reasonable justification shall be supported by a reasonable
classification system; by sound actuarial principles when
applicable; and by actual and credible loss and expense statistics
or, in the case of new coverages and classifications, by reasonably
anticipated loss and expense experience. A rate is not unfairly
discriminatory because it reflects differences in expenses for
individuals or risks with similar anticipated losses, or because it
reflects differences in losses for individuals or risks with
similar expenses.
(2) The commissioner shall not approve a rate increase for
automobile insurance unless the commissioner determines that the
data received from the report prepared pursuant to section 2128
justifies a rate increase. The commissioner shall not approve a
rate increase by examining actuarial data from a line other than
the insurer's automobile insurance line or if the insurer fails to
file the data required by section 2128. The commissioner shall not
approve a rate increase if the commissioner finds the insurer's
administrative expenses to be excessive.
(3) Each insurer shall submit annually to the commissioner a
complete breakdown of litigation costs associated with first and
third party automobile insurance claims that have been received or
are in the process of being litigated and of amounts reserved to be
used for those expenses. The commissioner shall not approve a rate
if the administrative costs associated with the litigation of first
party claims exceed 1% of the administrative costs associated with
the litigation of third party claims. Each automobile insurance
insurer's total administrative expenses shall be allocated to each
territory according to the insurer's proportionate share of premium
written in each territory. Each premium charged within each
territory shall contain an equal share of the administrative
expense for the territory. Rates shall be filed and charged under
this section so that each automobile insurance premium includes an
equal share of each insurer's overall administrative expense.
Sec. 2109b. (1) If the commissioner determines that any person
or organization has violated the automobile rate-making or
underwriting provisions of this chapter, the commissioner may issue
a cease and desist order and order the person or organization to
pay a civil fine of not more than $500.00 for each violation and a
civil fine of not more than $5,000.00 for each willful violation. A
default in the payment of a civil fine under this section may be
remedied by any means authorized under the revised judicature act
of 1961, 1961 PA 236, MCL 600.101 to 600.9947. A civil fine
collected pursuant to this subsection shall be used for the
operation of the automobile insurance data collection agency
created in section 2128e.
(2) If the commissioner finds that a violation of the
automobile rate-making or underwriting provisions of this chapter
has occurred and that the violation has resulted in an increase in
automobile insurance premiums or a decrease in benefits, the
commissioner shall order the insurer to return the premium or the
amount of benefits that should have been paid, along with an
interest charge of 12% per annum to be applied from the time the
premium was collected or the benefit was due or would have been due
to the consumer.
(3) The commissioner may suspend the license of an insurer
that fails to comply with the commissioner's order to correct a
violation of this chapter.
Sec. 2110. (1) In developing and evaluating rates pursuant to
the
standards prescribed in section sections
2109 and 2109a, due
consideration shall be given to past and prospective loss
experience
within and outside this state; , to
catastrophe hazards,
if any; to a reasonable margin for underwriting profit and
contingencies; to dividends, savings, or unabsorbed premium
deposits allowed or returned by insurers to their policyholders,
members, or subscribers; to past and prospective expenses, both
countrywide and those specially applicable to this state exclusive
of
assessments under this code act; to assessments under this code
act; to underwriting practice and judgment; and to all other
relevant factors within and outside this state.
(2) The systems of expense provisions included in the rates
for use by any insurer or group of insurers may differ from those
of other insurers or groups of insurers to reflect the requirements
of the operating methods of the insurer or group with respect to
any kind of insurance, or with respect to any subdivision or
combination thereof for which subdivision or combination separate
expense provisions are applicable.
(3) Risks may be grouped by classifications for the
establishment of rates and minimum premiums. The classifications
may measure differences in losses, expenses, or both.
Sec. 2111. (1) Notwithstanding any provision of this act and
this chapter to the contrary, classifications and territorial base
rates
used by any insurer in this state with respect to automobile
insurance
or home insurance and classifications used by any insurer
in this state with respect to automobile insurance shall conform to
the applicable requirements of this section.
(2) Classifications established pursuant to this section for
automobile insurance shall be based only upon 1 or more of the
following factors, which shall be applied by an insurer on a
uniform basis throughout the state:
(a) With respect to all automobile insurance coverages:
(i) Either the age of the driver; the length of driving
experience; or the number of years licensed to operate a motor
vehicle.
(ii) Driver primacy, based upon the proportionate use of each
vehicle insured under the policy by individual drivers insured or
to be insured under the policy.
(iii) Average miles driven weekly, annually, or both.
(iv) Type of use, such as business, farm, or pleasure use.
(v) Vehicle characteristics, features, and options, such as
engine displacement, ability of vehicle and its equipment to
protect passengers from injury and other similar items, including
vehicle make and model.
(vi) Daily or weekly commuting mileage.
(vii) Number of cars insured by the insurer or number of
licensed operators in the household. However, number of licensed
operators shall not be used as an indirect measure of marital
status.
(viii) Amount of insurance.
(b) In addition to the factors prescribed in subdivision (a),
with respect to personal protection insurance coverage:
(i) Earned income.
(ii) Number of dependents of income earners insured under the
policy.
(iii) Coordination of benefits.
(iv) Use of a safety belt.
(v) The waiver of coverage for work loss benefits under
section 3107.
(c) In addition to the factors prescribed in subdivision (a),
with respect to collision and comprehensive coverages:
(i) The anticipated cost of vehicle repairs or replacement,
which may be measured by age, price, cost new, or value of the
insured automobile, and other factors directly relating to that
anticipated cost.
(ii) Vehicle make and model.
(iii) Vehicle design characteristics related to vehicle
damageability.
(iv) Vehicle characteristics relating to automobile theft
prevention devices.
(d) With respect to all automobile insurance coverage other
than comprehensive, successful completion by the individual driver
or drivers insured under the policy of an accident prevention
education course that meets the following criteria:
(i) The course shall include a minimum of 8 hours of classroom
instruction.
(ii) The course shall include, but not be limited to, a review
of all of the following:
(A) The effects of aging on driving behavior.
(B) The shapes, colors, and types of road signs.
(C) The effects of alcohol and medication on driving.
(D) The laws relating to the proper use of a motor vehicle.
(E) Accident prevention measures.
(F) The benefits of safety belts and child restraints.
(G) Major driving hazards.
(H) Interaction with other highway users such as
motorcyclists, bicyclists, and pedestrians.
(3) Each insurer shall establish a secondary or merit rating
plan for automobile insurance, other than comprehensive coverage. A
secondary or merit rating plan required under this subsection shall
provide for premium surcharges for any or all coverages for
automobile insurance, other than comprehensive coverage, based upon
any or all of the following, when that information becomes
available to the insurer:
(a) Substantially at-fault accidents.
(b) Convictions for, determinations of responsibility for
civil infractions for, or findings of responsibility in probate
court for civil infractions for, violations under chapter VI of the
Michigan vehicle code, 1949 PA 300, MCL 257.601 to 257.750.
However,
beginning 90 days after the effective date of this
sentence
May 28, 1996, an insured shall not be merit rated for a
civil infraction under chapter VI of the Michigan vehicle code,
1949 PA 300, MCL 257.601 to 257.750, for a period of time longer
than that which the secretary of state's office carries points for
that infraction on the insured's motor vehicle record.
(4) An insurer shall not establish or maintain rates or rating
classifications for automobile insurance based upon sex or marital
status.
(5) Notwithstanding other provisions of this chapter,
automobile
insurance risks may shall be grouped by territory as
prescribed by the commissioner. The commissioner shall establish
uniform territorial rating to be used by all automobile insurance
insurers doing business in this state. Territorial boundaries shall
be based upon objective criteria, including traffic patterns, and
shall be related to the driving environment including, but not
limited to, density of traffic, regularity of traffic flow, traffic
route size, and types of roadway. A territory shall not include
less than 1 county and may include more than 1 county. An insurer
shall not charge a territorial base rate for an automobile
insurance policy unless the territorial rating scheme used by the
insurer has been approved by the commissioner. An insurer shall
establish 1 actuarially sound base rate for each prescribed
territory, which base rate shall be approved by the commissioner
pursuant to this chapter.
(6) This section shall not be construed as limiting insurers
or rating organizations from establishing and maintaining
statistical reporting territories. This section shall not be
construed to prohibit an insurer from establishing or maintaining,
for automobile insurance, a premium discount plan for senior
citizens in this state who are 65 years of age or older, if the
plan is uniformly applied by the insurer throughout this state. If
an insurer has not established and maintained a premium discount
plan for senior citizens, the insurer shall offer reduced premium
rates to senior citizens in this state who are 65 years of age or
older and who drive less than 3,000 miles per year, regardless of
statistical data.
(7) Classifications established pursuant to this section for
home insurance other than inland marine insurance provided by
policy floaters or endorsements shall be based only upon 1 or more
of the following factors:
(a) Amount and types of coverage.
(b) Security and safety devices, including locks, smoke
detectors, and similar, related devices.
(c) Repairable structural defects reasonably related to risk.
(d) Fire protection class.
(e) Construction of structure, based on structure size,
building material components, and number of units.
(f) Loss experience of the insured, based upon prior claims
attributable to factors under the control of the insured that have
been paid by an insurer. An insured's failure, after written notice
from the insurer, to correct a physical condition that presents a
risk of repeated loss shall be considered a factor under the
control of the insured for purposes of this subdivision.
(g) Use of smoking materials within the structure.
(h) Distance of the structure from a fire hydrant.
(i) Availability of law enforcement or crime prevention
services.
(8) Notwithstanding other provisions of this chapter, home
insurance risks may be grouped by territory.
(9) An insurer may utilize factors in addition to those
specified in this section, if the commissioner finds, after a
hearing held pursuant to the administrative procedures act of 1969,
1969 PA 306, MCL 24.201 to 24.328, that the factors would encourage
innovation, would encourage insureds to minimize the risks of loss
from hazards insured against, and would be consistent with the
purposes of this chapter.
Sec. 2111c. (1) By not later than 1 year after the effective
date of this section, each automobile insurance insurer shall file
base rates for automobile insurance that conform to this act as
amended by the 2007 amendatory act that added this section and, for
each uniform territory, reflect a reduction that is at least an
overall 20% reduction from the aggregate rates previously charged
in the territory by the 10 automobile insurance insurers having the
greatest market share in the state based on rates in effect as of
May 1, 2006. The commissioner shall require a rate reduction to
this level unless the insurer, after conforming fully with all of
the provisions of this act, can demonstrate that a different rate
level is actuarially essential pursuant to section 2109a.
(2) By not later than 1 year after the effective date of this
section, each automobile insurance insurer who did not write
automobile insurance in this state on May 1, 2006 shall file base
rates for automobile insurance that do not exceed the weighted
average of the base rates filed on May 1, 2006 by the 10 largest
automobile insurance insurers by market share.
(3) Assessments for the Michigan catastrophic claims
association, automobile theft prevention authority, and the
Michigan automobile insurance placement facility shall not be
considered in achieving the reduction required by subsections (1)
and (2).
Sec.
2114. (1) A person or organization aggrieved with respect
to
any filing which that is in effect and which that affects
the
person
or organization may make written application to the
commissioner for a hearing on the filing. However, the insurer or
rating
organization which that made the filing shall not be
authorized to proceed under this subsection. The application shall
specify the grounds to be relied upon by the applicant. If the
commissioner finds that the application is made in good faith, that
the applicant would be so aggrieved if the grounds specified are
established, or that the grounds specified otherwise justify
holding a hearing, the commissioner, not more than 30 days after
receipt of the application, shall hold a hearing in accordance with
Act
No. 306 of the Public Acts of 1969, as amended the
administrative procedures act of 1969, 1969 PA 306, MCL 24.201 to
24.328, upon not less than 10 days' written notice to the
applicant,
the insurer, and the rating organization which that made
the filing.
(2) If after hearing initiated under subsection (1) or upon
the
commissioner's own motion pursuant to Act No. 306 of the Public
Acts
of 1969, as amended the
administrative procedures act of 1969,
1969 PA 306, MCL 24.201 to 24.328, the commissioner finds that a
filing
does not meet the requirements of sections 2109, and 2109a,
or 2111, as applicable, the commissioner shall issue an order
stating the specific reasons for that finding. The order shall
state when, within a reasonable time after issuance of the order,
the filing shall be considered no longer effective. A copy of the
order shall be sent to the applicant, if any, and to each insurer
and rating organization subject to the order. The order shall not
affect a contract or policy made or issued before the date the
filing becomes ineffective, as indicated in the commissioner's
order.
Sec. 2118. (1) As a condition of maintaining its certificate
of authority, an insurer shall not refuse to insure, refuse to
continue to insure, or limit coverage available to an eligible
person for automobile insurance, except in accordance with
underwriting rules established pursuant to this section and
sections 2119 and 2120.
(2) The underwriting rules that an insurer may establish for
automobile insurance shall be based only on the following:
(a) Criteria identical to the standards set forth in section
2103(1).
(b) The insurance eligibility point accumulation in excess of
the amounts established by section 2103(1) of a member of the
household of the eligible person insured or to be insured, if the
member of the household usually accounts for 10% or more of the use
of a vehicle insured or to be insured. For purposes of this
subdivision, a person who is the principal driver for 1 automobile
insurance policy shall be rebuttably presumed not to usually
account for more than 10% of the use of other vehicles of the
household not insured under the policy of that person.
(c) With respect to a vehicle insured or to be insured,
substantial modifications from the vehicle's original manufactured
state for purposes of increasing the speed or acceleration
capabilities of the vehicle.
(d)
Failure by the person to provide proof that insurance
required
by section 3101 was maintained in force with respect to
any
vehicle which was both owned by the person and driven or moved
by
the person or by a member of the household of the person during
the
6-month period immediately preceding application. Such proof
shall
take the form of a certification by the person on a form
provided
by the insurer that the vehicle was not driven or moved
without
maintaining the insurance required by section 3101 during
the
6-month period immediately preceding application.
(d) (e)
Type of vehicle insured or to be
insured, based on 1
of the following, without regard to the age of the vehicle:
(i) The vehicle is of limited production or of custom
manufacture.
(ii) The insurer does not have a rate lawfully in effect for
the type of vehicle.
(iii) The vehicle represents exposure to extraordinary expense
for repair or replacement under comprehensive or collision
coverage.
(e) (f)
Use of a vehicle insured or to be
insured for
transportation of passengers for hire, for rental purposes, or for
commercial purposes. Rules under this subdivision shall not be
based on the use of a vehicle for volunteer or charitable purposes
or for which reimbursement for normal operating expenses is
received.
(f) (g)
Payment of a minimum deposit at the
time of
application or renewal, not to exceed the smallest deposit required
under an extended payment or premium finance plan customarily used
by the insurer.
(g) (h)
For purposes of requiring
comprehensive deductibles of
not more than $150.00, or of refusing to insure if the person
refuses to accept a required deductible, the claim experience of
the person with respect to comprehensive coverage.
(h) (i)
Total abstinence from the
consumption of alcoholic
beverages
except when if such beverages are consumed as part of a
religious ceremony. However, an insurer shall not utilize an
underwriting rule based on this subdivision unless the insurer has
been authorized to transact automobile insurance in this state
prior to January 1, 1981, and has consistently utilized such an
underwriting rule as part of the insurer's automobile insurance
underwriting since being authorized to transact automobile
insurance in this state.
(i) (j)
One or more incidents involving a
threat, harassment,
or physical assault by the insured or applicant for insurance on an
insurer employee, agent, or agent employee while acting within the
scope of his or her employment so long as a report of the incident
was filed with an appropriate law enforcement agency.
Sec. 2120. (1) Affiliated insurers may establish underwriting
rules so that each affiliate will provide automobile insurance only
to certain eligible persons. This subsection shall apply only if an
eligible person can obtain automobile insurance from 1 of the
affiliates. The underwriting rules shall be in compliance with this
section ,
section and sections 2118 , and section
2119.
(2) An insurer may establish separate rating plans so that
certain eligible persons are provided automobile insurance under 1
rating plan and other eligible persons are provided automobile
insurance under another rating plan. This subsection shall apply
only if all eligible persons can obtain automobile insurance under
a rating plan of the insurer. Underwriting rules consistent with
this
section , section and sections 2118 , and section 2119 shall
be established to define the rating plan applicable to each
eligible person.
(3) Underwriting rules under this section shall be based only
on the following:
(a) With respect to a vehicle insured or to be insured,
substantial modifications from the vehicle's original manufactured
state for purposes of increasing the speed or acceleration
capabilities of the vehicle.
(b)
Failure of the person to provide proof that insurance
required
by section 3101 was maintained in force with respect to
any
vehicle owned and operated by the person or by a member of the
household
of the person during the 6-month period immediately
preceding
application or renewal of the policy. Such proof shall
take
the form of a certification by the person that the required
insurance
was maintained in force for the 6-month period with
respect
to such vehicle.
(b) (c)
For purposes of insuring persons
who have refused a
deductible
lawfully required under section 2118(2)(h) 2118(2)(g),
the claim experience of the person with respect to comprehensive
coverage.
(d) Refusal of the person to pay a minimum deposit required
under
section 2118(2)(g) 2118(2)(f).
(e) A person's insurance eligibility point accumulation under
section 2103(1)(h), or the total insurance eligibility point
accumulation of all persons who account for 10% or more of the use
of 1 or more vehicles insured or to be insured under the policy.
(f) The type of vehicle insured or to be insured as provided
in
section 2118(2)(e) 2118(2)(d).
Sec. 2127. The commissioner may by rule prospectively require
insurers, rating organizations, and advisory organizations to
collect
and report data only to the extent necessary to monitor and
evaluate the automobile and home insurance markets in this state.
The commissioner shall authorize the use of sampling techniques in
each instance where sampling is practicable and consistent with the
purposes for which the data are to be collected and reported. Rules
promulgated under this section are in addition to, and do not
replace, the reporting requirements in section 2128.
Sec. 2128. On or before April 1 of each year, each insurer who
issues automobile insurance in this state shall file with the
commissioner and with the automobile insurance data collection
agency created in section 2128e on forms prescribed by the
automobile insurance data collection agency, the following
automobile insurance data, by territory, for the prior calendar
year:
(a) With respect to personal protection insurance coverage:
(i) The number of claims for personal protection insurance
benefits for which payment is made.
(ii) The number of claims for personal protection insurance
benefits that are closed without payment.
(iii) The number of claims for personal protection insurance
benefits that involve some form of litigation and are closed
without payment.
(iv) The number of claims for personal protection insurance
benefits that involve litigation and for which payment is made
after litigation commences, including the length of time between
the filing of the claim and the first payment.
(v) The amount of interest charges paid on claims for personal
protection insurance benefits and the number of cases for which
interest charges have been paid.
(vi) The litigation costs for claims for personal protection
insurance benefits.
(vii) The number of cases going to verdict and the amount of
the verdict in those cases where an award is made.
(viii) The number of verdicts of no cause of action.
(ix) The number of cases where attorney fees are paid, the
total amount of attorney fees paid, and the amount of attorney fees
paid for each case where fees were paid.
(b) With respect to property protection insurance coverage:
(i) The number of third party automobile bodily injury tort
claims closed by payment to the claimant before the commencement of
litigation and a breakdown of how many of these claims were death
threshold claims, serious impairment of body function threshold
claims, and permanent serious disfigurement threshold claims.
(ii) The number of third party automobile bodily injury tort
claim lawsuits filed, and a breakdown of how many were filed for
death threshold claims, serious impairment of body function
threshold claims, and permanent serious disfigurement threshold
claims.
(iii) The number of third party automobile bodily injury tort
claims closed by payment to the claimant after the commencement of
litigation and a breakdown of how many of these claims were death
threshold claims, serious impairment of body function threshold
claims, and permanent serious disfigurement threshold claims.
(iv) The dollar amount paid to claimants to settle third party
automobile bodily injury tort claims before and after litigation
had been commenced and a breakdown of the dollar amounts paid for
death threshold claims, serious impairment of body function
threshold claims, and permanent serious disfigurement threshold
claims.
(v) The number and dollar amount paid or reserved for all
bodily injury claims set up or opened, indicating the number and
dollar amount of reserves for claims remaining open at the end of
the reporting period.
Sec. 2128a. Each automobile insurance insurer writing
automobile insurance in this state shall file annually on or before
April 1 with the commissioner a certified audit of the insurer's
books and records prepared by an independent certified public
accountant.
Sec. 2128b. (1) On or before January 15, 2009 and every 2
years thereafter, the commissioner shall issue a preliminary report
detailing the state of competition or availability in the
automobile insurance market on a statewide basis and delineating
specific classifications, kinds or types of insurance, if any,
where competition or availability does not exist and shall hold a
public hearing on the report. The report shall be based on relevant
economic tests, including, but not limited to, those in subsection
(3). The findings in the report shall not be based on any single
measure of competition, but appropriate weight shall be given to
all measures of competition. The report shall include a
certification of whether or not competition or availability exists.
A person who disagrees with the report and findings of the
commissioner may request a contested hearing pursuant to the
administrative procedures act of 1969, 1969 PA 306, MCL 24.201 to
24.328, not later than 60 days after issuance of the preliminary
report.
(2) On or before August 1, 2009 and every 2 years thereafter,
the commissioner shall issue a final report that shall include a
final certification of whether or not a reasonable degree of
competition or availability exists in the automobile insurance
market on a statewide basis and if competition or availability does
not exist, a plan to create competition or availability. The final
report and certification shall be supported by substantial
evidence.
(3) For purposes of determining whether competition or
availability exists in the automobile insurance market, all of the
following shall be considered by the commissione
(a) The extent to which any insurer controls the automobile
insurance market or any portion of that market. With respect to
competition on a statewide basis, an insurer shall not be
considered to control the automobile insurance market unless it has
more than a 15% market share.
(b) Whether the total number of insurers writing automobile
insurance in this state is sufficient to provide multiple options
and adequate service to individuals.
(c) The disparity among automobile insurance rates and
classifications to the extent that such classifications result in
rate differentials.
(d) The availability of automobile insurance to individuals in
all geographic areas of the state.
(e) The residual market share.
(f) The overall rate level.
(g) Any other factors the commissioner considers relevant.
(4) A plan to create competition or availability shall only
relate to those geographic areas, classifications, or kinds or
types of risks where competition or availability has been certified
not to exist. The plan may include methods designed to create
competition or availability as the commissioner considers
necessary, and may provide for the commissioner to do 1 or more of
the following:
(a) Authorize, by order, joint underwriting activities in a
manner specified in the commissioner's order.
(b) Modify the rate approval process in a manner to increase
competition or availability while at the same time providing for
reasonably timely rate approvals. Modifications under this
subdivision shall not affect the requirements of sections 2106 and
2107a.
(c) Order excess profits regulation. Excess profits regulation
authorized by this subdivision shall be based upon rules
promulgated pursuant to the administrative procedures act of 1969,
1969 PA 306, MCL 24.201 to 24.328. Excess profits shall include
both underwriting profits and all after-tax investment or
investment profit or loss from unearned premiums and loss reserves
attributable to automobile insurance. The commissioner, pursuant to
excess profits regulation, may establish forms for the reporting of
financial data by the insurer.
(d) Establish and require automobile insurance rates, by
order, that insurers shall use as a condition of maintaining their
certificate of authority. The order setting the rates shall take
effect not less than 90 days or more than 150 days after the order
is issued.
(e) Establish and implement a plan to assist in informing
consumers of how to obtain automobile insurance at the most
favorable rates and how to obtain benefits for which they are
eligible. The plan may include the use of toll-free telephone
numbers for use by automobile insurance consumers and may provide
for the distribution of information to local units of government.
(5) The reports and certifications required under subsections
(1) and (2) shall be forwarded to the governor, the clerk of the
house, the secretary of the senate, and all the members of the
house of representatives and senate standing committees on
insurance issues.
Sec. 2128c. (1) Each insurer writing 7% or more of the
automobile insurance in this state shall geographically market
automobile insurance proportionate to the number of registered
vehicles in each area of the state. Beginning 1 year after the
effective date of this section, each insurer writing 7% or more of
the automobile insurance in this state shall submit annually to the
commissioner a marketing plan indicating the number of agents that
market for the insurer and the location of their offices. The
commissioner shall determine the adequacy of each insurer's
marketing plan and approve or disapprove the plan within 30 days
after the commissioner's receipt of the plan.
(2) If the commissioner, after reviewing an automobile
insurer's marketing plan, finds the plan is not in compliance with
subsection (1), the commissioner shall notify the insurer in
writing of the insurer's failure to comply with the law, shall
recommend revisions to the insurer's plan, and shall require that a
revised plan be resubmitted within 30 days. The commissioner shall
approve or disapprove an insurer's revisions to the plan within 30
days after the commissioner's receipt of the revised plan.
(3) If the commissioner finds that an automobile insurance
insurer has willfully violated the provisions of this section, the
commissioner may suspend or revoke the insurer's license to do
business and may order the insurer to pay a civil fine of not more
than $10,000.00 for each violation.
(4) If the commissioner finds that an automobile insurance
insurer has failed to file a marketing plan complying with this
section, has failed to revise a plan pursuant to the commissioner's
finding, or has consistently failed to submit an acceptable
marketing plan, the commissioner may suspend or revoke the
insurer's license to do business and may order the insurer to pay a
civil fine of not more than $2,000.00 for each occurrence.
(5) The commissioner shall notify each automobile insurance
insurer licensed in this state of the marketing plan filing
requirement.
Sec. 2128d. (1) If the commissioner finds, after a hearing
held pursuant to the administrative procedures act of 1969, 1969 PA
306, MCL 24.201 to 24.328, that access to a reasonably competitive
and convenient automobile insurance market in this state is lacking
for certain consumers, the commissioner may order the Michigan
automobile insurance placement facility to develop a market access
plan, subject to the commissioner's approval, to assure that those
consumers have reasonable and convenient access to the Michigan
automobile insurance placement facility and competitive insurance
markets in this state.
(2) If a market access plan under subsection (1) is not
submitted within 30 days after the date of the commissioner's
order, or if the plan does not meet the commissioner's approval,
the commissioner shall develop a market access plan and order its
implementation by the Michigan automobile insurance placement
facility until such time that a plan established by the Michigan
automobile insurance placement facility is approved by the
commissioner.
Sec. 2128e. (1) There is created an automobile insurance data
collection agency to administer the automobile insurance data
collection requirements of this act. The governing board of the
automobile insurance data collection agency shall be composed of
the commissioner and 8 members appointed by the commissioner as
follows:
(a) Two persons who represent a private automobile insurance
insurer not holding more than 15% of the state's overall market
share at the time its representative serves on the board.
(b) Two persons who represent the general public of this
state.
(c) One person who is a licensed medical professional in this
state and who does not own any portion of an automobile insurance
insurer or manage directly or indirectly an automobile insurance
insurer's affairs.
(d) One person who is a licensed attorney in this state, who
does not own any portion of an automobile insurance insurer or
manage directly or indirectly an automobile insurance insurer's
affairs, and who has at least 5 years of experience in automobile
accident related litigation.
(e) One person who is an independent insurance agent.
(f) One person who has at least 10 years of data processing
experience in a combination of hardware acquisition and software
development.
(2) A member of the governing board of the automobile
insurance data collection agency shall serve for a term of 2 years.
(3) The automobile insurance data collection agency, under the
direction and control of the commissioner and subject to the
commissioner's approval, shall have the following duties:
(a) Prescribe rate filing forms and data collection forms and
establish uniform data reporting requirements necessary to satisfy
the provisions of this chapter.
(b) Analyze reported data, analyze automobile insurance
insurers' rate-making data, and report these findings to the
commissioner, and collect and analyze other pertinent data at the
commissioner's request.
(c) Prepare reports on automobile insurance as requested by
the commissioner.
(d) Establish uniform classification symbols or other uniform
designations for use by automobile insurance insurers to establish
risk associated with each type of vehicle to be insured.
(e) In a uniform manner, gather all data necessary to
accomplish total return rate-making. Information shall be gathered
that enables the commissioner to assess an insurer's actual loss
experience, level of profit, interest income, method for assessing
anticipated losses, particular application of loss trend factors,
pure premium, frequency of losses based on the number of vehicles
insured, and the loss costs and frequency of losses associated with
the component parts of each aspect of coverage, including, but not
limited to, medical, wage-loss, replacement services, survivors
benefits, death benefit, collision coverage, comprehensive coverage
with theft reported as a separate component, bodily injury or
liability coverage reported by policy limits, property protection,
and all other benefits being marketed by the insurer.
(f) Gather detailed data about insurers' administrative
expenses and their relationship to the premium charged, including
costs for each type of litigation associated with automobile
insurance claims resolution, salaries, fringe benefits,
commissions, and costs associated with overhead and other fixed
costs.
(g) Require each insurer to list the items that are used to
compose a base rate and require each insurer to explain the
applications of base rates.
(h) Establish forms to enable the collection of data
sufficient to permit the commissioner to determine that all aspects
of automobile insurance rate-making are actuarially sound and that
automobile insurance rates are not excessive or discriminatory.
(i) Require the reporting of all automobile insurance claims
costs and the frequency of each type of loss and provide the
commissioner with this data.
(j) Collect all automobile insurance rate-making data and
evaluate this data by determining its actuarial soundness and by
making comparisons based on statewide uniform rating territories as
established by this act.
(k) Ensure that all necessary data are collected and analyzed
in a manner that complies with the provisions of this chapter.
(l) Subject to the approval of the commissioner, designate 1
advisory organization for the purpose of implementing its data
collection plan and the compilation of rate-making and other
financial data from automobile insurance insurers. The designated
advisory organization shall report its findings to the automobile
insurance data collection agency, which shall report to the
commissioner.
(m) Report to the commissioner any known violation of this
act.
(n) Complete any other task required to satisfy the provisions
of this act as requested by the commissioner.
(4) The commissioner shall make recommendations to the
legislature annually regarding the adequacy of statutory
underwriting and rate-making provisions based upon the information
gathered and analyzed by the automobile insurance data collection
agency and any other information that the commissioner considers
appropriate.
Sec. 2128f. (1) On or before April 1, 2008, and on or before
each April 1 thereafter, each insurer engaged in writing insurance
coverages that provide the security required by section 3101(1)
within this state, as a condition of its authority to transact
insurance in this state, shall pay to the automobile insurance data
collection agency an assessment equal to $1.00 multiplied by the
insurer's total earned car years of insurance providing the
security required by section 3101(1) written in this state during
the immediately preceding calendar year.
(2) Money received pursuant to subsection (1), and all other
money received by the automobile insurance data collection agency,
shall be segregated and placed in a fund to be known as the data
collection fund. The data collection fund shall be administered by
the automobile insurance data collection agency.
(3) Money in the data collection fund shall be used to pay the
costs of administration of the automobile insurance data collection
agency and shall not be considered state money.
Sec. 2236. (1) A basic insurance policy form or annuity
contract form shall not be issued or delivered to any person in
this state, and an insurance or annuity application form if a
written application is required and is to be made a part of the
policy or contract, a printed rider or indorsement form or form of
renewal certificate, and a group certificate in connection with the
policy or contract, shall not be issued or delivered to a person in
this
state, until a copy of the form is filed with the insurance
bureau
and approved by the commissioner as
conforming with the
requirements of this act and not inconsistent with the law. Failure
of the commissioner to act within 30 days after submittal
constitutes approval. All such forms, except policies of disability
insurance as defined in section 3400, shall be plainly printed with
type size not less than 8-point unless the commissioner determines
that portions of such a form printed with type less than 8-point is
not deceptive or misleading.
(2)
An Except for filings
concerning rates, an insurer may
satisfy its obligations to make form filings by becoming a member
of, or a subscriber to, a rating organization, licensed under
section
2436 or 2630, which makes such form
filings and by filing
with the commissioner a copy of its authorization of the rating
organization to make the filings on its behalf. Every member of or
subscriber to a rating organization shall adhere to the form
filings made on its behalf by the organization except that an
insurer may file with the commissioner a substitute form, and
thereafter if a subsequent form filing by the rating organization
affects the use of the substitute form, the insurer shall review
its use and notify the commissioner whether to withdraw its
substitute form.
(3) Beginning January 1, 1992, the commissioner shall not
approve a form filed pursuant to this section providing for or
relating to an insurance policy or an annuity contract for
personal, family, or household purposes if the form fails to obtain
the readability score or meet the other requirements of this
subsection, as applicable:
(a) The readability score for a form for which approval is
required by this section shall not be less than 45, as determined
by the method provided in subdivisions (b) and (c).
(b) The readability score for a form shall be determined as
follows:
(i) For a form containing not more than 10,000 words, the
entire form shall be analyzed. For a form containing more than
10,000 words, not less than two 200-word samples per page shall be
analyzed instead of the entire form. The samples shall be separated
by at least 20 printed lines.
(ii) Count the number of words and sentences in the form or
samples and divide the total number of words by the total number of
sentences. Multiply this quotient by a factor of 1.015.
(iii) Count the total number of syllables in the form or samples
and divide the total number of syllables by the total number of
words. Multiply this quotient by a factor of 84.6. As used in this
subparagraph, "syllable" means a unit of spoken language consisting
of 1 or more letters of a word as indicated by an accepted
dictionary. If the dictionary shows 2 or more equally acceptable
pronunciations of a word, the pronunciation containing fewer
syllables may be used.
(iv) Add the figures obtained in subparagraphs (ii) and (iii) and
subtract this sum from 206.835. The figure obtained equals the
readability score for the form.
(c) For the purposes of subdivision (b)(ii) and (iii), the
following procedures shall be used:
(i) A contraction, hyphenated word, or numbers and letters when
separated by spaces shall be counted as 1 word.
(ii) A unit of words ending with a period, semicolon, or colon,
but excluding headings and captions, shall be counted as 1
sentence.
(d) In determining the readability score, the method provided
in subdivisions (b) and (c):
(i) Shall be applied to an insurance policy form or an annuity
contract, together with a rider or indorsement form usually
associated with such an insurance policy form or annuity contract.
(ii) Shall not be applied to words or phrases that are defined
in an insurance policy form, an annuity contract, or riders,
indorsements, or group certificates pursuant to an insurance policy
form or annuity contract.
(iii) Shall not be applied to language specifically agreed upon
through collective bargaining or required by a collective
bargaining agreement.
(iv) Shall not be applied to language that is prescribed by
state or federal statute or by rules or regulations promulgated
pursuant to a state or federal statute.
(e) Each form for which approval is required by this section
shall contain both of the following:
(i) Topical captions.
(ii) An identification of exclusions.
(f) Each insurance policy and annuity contract that has more
than 3,000 words printed on not more than 3 pages of text or that
has more than 3 pages of text regardless of the number of words
shall contain a table of contents. This subdivision does not apply
to indorsements.
(g) Each rider or indorsement form that changes coverage shall
do all of the following:
(i) Contain a properly descriptive title.
(ii) Reproduce either the entire paragraph or the provision as
changed.
(iii) Be accompanied by an explanation of the change.
(h) If a computer system approved by the commissioner
calculates the readability score of a form as being in compliance
with this subsection, the form is considered in compliance with the
readability score requirements of this subsection.
(4) After January 1, 1992, any change or addition to a policy
or annuity contract form for personal, family, or household
purposes, whether by indorsement, rider, or otherwise, or a change
or addition to a rider or indorsement form to such policy or
annuity contract form, which policy or annuity contract form has
not been previously approved under subsection (3), shall be
submitted for approval pursuant to subsection (3).
(5) Upon written notice to the insurer, the commissioner may
disapprove, withdraw approval or prohibit the issuance,
advertising, or delivery of any form to any person in this state if
it violates any provisions of this act, or contains inconsistent,
ambiguous, or misleading clauses, or contains exceptions and
conditions that unreasonably or deceptively affect the risk
purported to be assumed in the general coverage of the policy. The
notice shall specify the objectionable provisions or conditions and
state the reasons for the commissioner's decision. If the form is
legally in use by the insurer in this state, the notice shall give
the effective date of the commissioner's disapproval, which shall
not
be less than 30 days subsequent to after the mailing or
delivery of the notice to the insurer. If the form is not legally
in use, then disapproval shall be effective immediately.
(6) If a form is disapproved or approval is withdrawn under
the provisions of this act, the insurer is entitled upon demand to
a hearing before the commissioner or a deputy commissioner within
30 days after the notice of disapproval or of withdrawal of
approval. After the hearing, the commissioner shall make findings
of fact and law, and either affirm, modify, or withdraw his or her
original order or decision.
(7) Any issuance, use, or delivery by an insurer of any form
without the prior approval of the commissioner as required by
subsection (1) or after withdrawal of approval as provided by
subsection (5) constitutes a separate violation for which the
commissioner may order the imposition of a civil penalty of $25.00
for each offense, but not to exceed the maximum penalty of $500.00
for any 1 series of offenses relating to any 1 basic policy form,
which penalty may be recovered by the attorney general as provided
in section 230.
(8) The filing requirements of this section do not apply to
any of the following:
(a) Insurance against loss of or damage to:
(i) Imports, exports, or domestic shipments.
(ii) Bridges, tunnels, or other instrumentalities of
transportation and communication.
(iii) Aircraft and attached equipment.
(iv) Vessels and watercraft under construction or owned by or
used in a business or having a straight-line hull length of more
than 24 feet.
(b) Insurance against loss resulting from liability, other
than worker's compensation or employers' liability arising out of
the ownership, maintenance, or use of:
(i) Imports, exports, or domestic shipments.
(ii) Aircraft and attached equipment.
(iii) Vessels and watercraft under construction or owned by or
used in a business or having a straight-line hull length of more
than 24 feet.
(c) Surety bonds other than fidelity bonds.
(d) Policies, riders, indorsements, or forms of unique
character designed for and used with relation to insurance upon a
particular subject, or that relate to the manner of distribution of
benefits or to the reservation of rights and benefits under life or
disability insurance policies and are used at the request of the
individual policyholder, contract holder, or certificate holder.
Beginning September 1, 1968, the commissioner by order may exempt
from the filing requirements of this section and sections 2242,
3606, and 4430 for so long as he or she considers proper any
insurance document or form, except that portion of the document or
form that establishes a relationship between group disability
insurance and personal protection insurance benefits subject to
exclusions or deductibles pursuant to section 3109a, as specified
in the order to which this section practicably may not be applied,
or the filing and approval of which are considered unnecessary for
the protection of the public. Insurance documents or forms
providing medical payments or income replacement benefits, except
that portion of the document or form that establishes a
relationship between group disability insurance and personal
protection insurance benefits subject to exclusions or deductibles
pursuant to section 3109a, exempt by order of the commissioner from
the filing requirements of this section and sections 2242 and 3606
are considered approved by the commissioner for purposes of section
3430.
(e) Insurance that meets both of the following:
(i) Is sold to an exempt commercial policyholder.
(ii) Contains a prominent disclaimer that states "This policy
is exempt from the filing requirements of section 2236 of the
insurance code of 1956, 1956 PA 218, MCL 500.2236." or words that
are substantially similar.
(9) As used in this section and sections 2401 and 2601,
"exempt commercial policyholder" means an insured that purchases
the insurance for other than personal, family, or household
purposes.
(10) Every order made by the commissioner under the provisions
of this section is subject to court review as provided in section
244.
Sec.
2400. (1) Except with respect to worker's compensation
insurance,
the The purpose of this chapter is to promote the public
welfare by regulating insurance rates to the end that they shall
not be excessive, inadequate, or unfairly discriminatory, and to
authorize
and regulate cooperative action
among insurers in rate-
making
and in other matters within the scope of the insurance code
this
act. Nothing in this chapter is
intended (1) to prohibit or
discourage
reasonable competition. , or (2) to prohibit, or
encourage
except to the extent necessary to accomplish the
aforementioned
purpose, uniformity in insurance rates, rating
systems,
rating plans, or practices.
(2)
With respect to worker's compensation insurance, the The
purposes
of this chapter are also
include the following:
(a)
To protect Protecting policyholders and the public against
the adverse effects of excessive, inadequate, or unfairly
discriminatory rates.
(b)
To promote Promoting price competition among insurers
writing
worker's compensation insurance so
as to encourage rates
which
that will result in the lowest possible rates consistent
with
the
benefits established in the
worker's disability compensation
act
of 1969, Act No. 317 of the Public Acts of 1969, as amended,
being
sections 418.101 to 418.941 of the Michigan Compiled Laws,
provided and with maintaining the solvency of insurers.
(c)
To provide Providing regulatory controls and other
activity in the absence of competition.
(d)
To improve Improving the availability, fairness, and
reliability
of worker's compensation insurance.
(2) Antitrust provisions in this chapter are not exclusive and
other provisions provided by law may apply.
(3) This chapter shall be liberally interpreted to carry into
effect the provisions of this section.
Sec. 2406. (1) Except for worker's compensation insurance,
every
each insurer shall file with the commissioner every
manual of
classification, every manual of rules and rates, every rating plan,
and every modification of any of the foregoing that it proposes to
use.
Every such In its filing,
each insurer shall state the
proposed
effective date thereof of
the filing and shall indicate
the character and extent of the coverage contemplated. If a filing
is not accompanied by the information upon which the insurer
supports the filing, and the commissioner does not have sufficient
information to determine whether the filing meets the requirements
of this chapter, the commissioner shall within 10 days of the
filing give written notice to the insurer to furnish the
information
upon which it that supports the filing. The information
furnished in support of a filing may include the experience or
judgment
of the insurer or rating organization making the filing,
its interpretation of any statistical data it relies upon, the
experience
of other insurers, or rating organizations, or any other
relevant factors. A filing and any supporting information shall be
open to public inspection after the filing becomes effective.
(2) Except for worker's compensation insurance and for filings
concerning rates, an insurer may satisfy its obligation to make
such
filings by becoming a member of, or
a subscriber to, a
licensed
rating organization that makes such filings, and by filing
with the commissioner a copy of its authorization of the rating
organization
to make such filings on its behalf. Nothing contained
in this chapter shall be construed as requiring any insurer to
become a member of or a subscriber to any rating organization.
(3) For worker's compensation insurance in this state the
insurer shall file with the commissioner all rates and rating
systems.
Every insurer that insures worker's compensation in this
state
on the effective date of this subsection shall file the rates
not
later than the effective date of this subsection.
(4)
Except as provided in subsection (3) and as otherwise
provided in this subsection, the rates and rating systems for
worker's compensation insurance shall be filed not later than the
date the rates and rating systems are to be effective. However, if
the insurer providing worker's compensation insurance is controlled
by
a nonprofit health care corporation formed pursuant to operating
under
the nonprofit health care corporation
reform act, Act No. 350
of
the Public Acts of 1980, being sections 550.1101 to 550.1704 of
the
Michigan Compiled Laws 1980
PA 350, MCL 550.1101 to 550.1704,
the rates and rating systems that it proposes to use shall be filed
with the commissioner not less than 45 days before the effective
date of the filing. These filings shall be considered to meet the
requirements of this chapter unless and until the commissioner
disapproves a filing pursuant to section 2418 or 2420.
(5) Each filing under subsections (3) and (4) shall be
accompanied by a certification by the insurer that, to the best of
its information and belief, the filing conforms to the requirements
of this chapter.
(6) As a condition of maintaining its certificate of
authority, an insurer shall not do any of the following:
(a) Have any rates filed on its behalf in this state by a
rating organization.
(b) Share information with any other insurer or rating
organization concerning establishing rates or rating systems.
(c) Agree with any other insurer or rating organization to
adhere to or use any rate, rating plan, rating schedule, rating
rule, or underwriting rule in this state.
(d) Make available to any other insurer or rating organization
information on actuarial projections, trending factors, profits, or
expenses except loss adjustment expenses.
Sec. 2430. (1) In lieu of the filing requirements of this
chapter
and as an alternative method of filing, any an insurer
or
rating
organization may file with the
commissioner any a manual of
classification,
rules or rates, any a rating plan, and every
modification
of any of the foregoing which that
it proposes to use,
the filing to indicate the character and extent of the coverage
contemplated. In lieu of the filing requirements of this chapter
and as an alternative method of filing, a rating organization may
file with the commissioner for an insurer a manual of
classification, rules, and every modification of any of the
foregoing, the filing to indicate the character and extent of the
coverage
contemplated. Every such filing
under this section shall
state
the effective date thereof of
the filing, shall take effect
on
said that date, shall not be subject to any waiting period
requirements,
and shall be deemed considered
to meet the
requirements
of section 2403 (1) (d) (rate standards) 2403(1)(d). A
filing and any supporting information shall be open to public
inspection, if the filing is not disapproved.
(2)
At any time within 15 30 days from and after the date of
any
such a filing
under subsection (1), the commissioner
may give
written
notice to the insurer or rating organization making such
the filing or on whose behalf the filing was made, specifying in
what
respect and to what extent he contends such the commissioner
finds that the filing fails to comply with the requirements of
section 2403(1)(d) and fixing a date for hearing not less than 10
days
from the date of the mailing of such the notice.
At such the
hearing, the factors specified in section 2406(1) shall be
considered. If the commissioner after hearing finds that the filing
does
not comply with the provisions of this chapter, he the
commissioner
may issue his an order
determining wherein in
what
respect
and to what extent such the filing
is deemed to be improper
and
fixing a date, thereafter, within a reasonable time, after
which
such the filing shall no longer be effective. Any An order
of
disapproval under this section must be entered within 30 days of
the date of the filing affected.
(3)
In the event that no If a notice of hearing shall be is
not
issued within 15 30 days
from the date of any such a
filing
under
subsection (1), the filing shall be deemed
considered to be
approved.
If such the filing shall be is
disapproved, the insuring
provisions
of any a contract or policy issued prior to before the
time
the order becomes effective shall not be affected. But
However,
if the commissioner disapproves such
a filing as not being
in
compliance with section 2403 (1) (d) (rate standards), he
2403(1)(d), the commissioner may order an adjustment of the premium
to be made with the policyholder either by refund or collection of
additional premium, if the amount is substantial and equals or
exceeds
the cost of making the adjustment. The
(4)
At any time, the commissioner may thereafter
review any
such
a filing in the manner provided in sections 2418 and
2420. ,
but
if so reviewed, no However,
if the commissioner disapproves a
filing pursuant to that review beyond the thirtieth day after the
date of filing, the commissioner shall not order an adjustment of
premium. may
be ordered. Sections 2406 (2) (filing may be made by
rating
organization), 2408 (1) (commissioner shall review filing as
soon
as reasonably possible), and 2412 (insurer must adhere to
filing)
shall be
(5) Sections 2406(2), 2408(1), and 2412 are applicable to
filings made under this section.
Sec. 2436. (1) A corporation, an association, a partnership,
or an individual, whether located within or outside this state, may
make
application to apply with the commissioner for a license as a
rating
organization to make rates and insurance contract forms for
the
kinds of insurance or subdivisions thereof of insurance, except
for worker's compensation insurance, as are specified in its
application. and
The corporation, association,
partnership, or
individual shall file with the application all of the following:
(a) A copy of its constitution, its articles of agreement or
association,
or its certificate of incorporation
, and of its
bylaws and rules governing the conduct of its business.
(b) A list of its members and subscribers.
(c) The name and address of a resident of this state upon whom
notices or orders of the commissioner or process affecting the
rating organization may be served.
(d) A statement of its qualifications as a rating
organization.
(2) If the commissioner finds that the applicant is competent,
trustworthy, and otherwise qualified to act as a rating
organization and that its constitution, articles of agreement or
association,
or certificate of incorporation , and
its bylaws and
rules governing the conduct of its business conform to the
requirements
of law, he or she the
commissioner shall issue a
license
specifying the kinds of insurance or subdivisions thereof
of insurance for which the applicant is authorized to act as a
rating
organization. Every application shall be granted or denied
in
whole or in part by the The commissioner, within 60 days of the
date
of its filing, with the commissioner shall grant or deny the
application in whole or in part.
(3)
The fee for the a license shall be under this section is
$25.00,
which shall be fee is in lieu of all other fees, licenses,
or
taxes imposed by the state or any political subdivision of the
this state.
(4) Licenses issued pursuant to this section shall remain in
force for 3 years from date of issuance unless suspended or revoked
by the commissioner, after hearing upon notice, pursuant to section
2478,
in the event if the rating organization ceases to meet the
requirements of this section.
(5)
Every A rating organization shall notify the commissioner
promptly
of every a change in any of the following:
(a) Its constitution, its articles of agreement or
association,
or its certificate of incorporation
, and its bylaws
and rules governing the conduct of its business.
(b) Its list of members and subscribers.
(c) The name and address of the resident of this state
designated by it upon whom notices or orders of the commissioner or
process affecting the rating organization may be served.
Sec. 2438. (1) Subject to reasonable rules and regulations
which
have been approved by the
commissioner, as reasonable, each a
rating
organization shall permit any an
insurer, not a member, to
be
a subscriber to its rating services for any kind of insurance or
subdivision
thereof of insurance for which it is authorized
licensed to act as a rating organization. Notice of proposed
changes
in such the rules and regulations shall be given to
subscribers.
Each rating organization shall furnish its rating
services without discrimination to its members and subscribers.
(2)
The At the request of a
subscriber or insurer, the
reasonableness
of any a rule or regulation in its application to
subscribers , or the refusal of any a rating
organization to admit
an
insurer as a subscriber , shall ,
at the request of any
subscriber
or any such insurer, be reviewed by
the commissioner at
a
hearing held upon at least 10 days' written notice to such the
rating
organization and to such the
requesting subscriber or
insurer.
If the commissioner finds that such the rule or regulation
is
unreasonable in its application to subscribers, he the
commissioner
shall order that such the rule
or regulation shall is
not
be applicable to subscribers.
(3) If the rating organization fails to grant or reject an
insurer's application for subscribership within 30 days after it
was made, the insurer may request a review by the commissioner as
if the application had been rejected. If the commissioner finds
that the insurer has been refused admittance to the rating
organization
as a subscriber without justification, he the
commissioner shall order the rating organization to admit the
insurer
as a subscriber. If he the
commissioner finds that the
action
of the rating organization was justified, he the
commissioner
shall make an order affirming
its action affirmed.
Sec.
2458. Every rating organization and every Each insurer,
which
makes its own rates shall, within a
reasonable time after
receiving
written request therefor for
the information and upon
payment
of such a reasonable charge, as it may make, shall
furnish
to
any an insured affected by a rate made by it the insurer, or to
the
insured's authorized representative, of
the insured, all
pertinent
information as to the rate. Every rating organization and
every
Each insurer which makes its own rates shall
provide within
this
state reasonable means whereby any for a person aggrieved by
the
application of its the
insurer's rating system may to be
heard,
in person or by his or her authorized representative, on his or her
written request to review the manner in which the rating system has
been applied in connection with the insurance afforded to him or
her.
If the rating organization or insurer fails to grant or reject
the request within 30 days after it is made, the applicant may
proceed in the same manner as if his or her application had been
rejected.
Any A party affected by the action of the rating
organization
or insurer on the request
may appeal, within 30 days
after
written notice of the action, appeal to the commissioner,
who, after a hearing held upon not less than 10 days' written
notice
to the appellant and to the rating organization or insurer,
may affirm or reverse the action. A person who requests a hearing
before the commissioner pursuant to this section may be represented
at the hearing by an attorney. A person, other than an individual,
that requests a hearing before the commissioner pursuant to this
section may also be represented by an officer or employee of that
person. An individual who requests a hearing before the
commissioner pursuant to this section may also be represented by a
relative of the individual.
Sec.
2462. (1) Every A group, association, or other
organization of insurers, whether located within or outside this
state,
which assists insurers which make their own filings or
rating
organizations in rate making, by
the collection and
furnishing
of loss or expense statistics, or by the submission of
recommendations,
but which does not make filings
under this
chapter, shall be known as an advisory organization.
(2)
Every Each advisory organization shall file with the
commissioner all of the following:
(a) A copy of its constitution, its articles of agreement or
association, or
its certificate of incorporation and of its bylaws,
rules, and
regulations governing its activities.
,
(b)
A list of its members. ,
(c) The name and address of a resident of this state upon whom
notices
or orders of the commissioner or process issued at his the
commissioner's
direction may be served. ,
and
(d)
An agreement that the commissioner may examine such the
advisory
organization in accordance with pursuant
to the provisions
of section 2468.
(3) If, after a hearing, the commissioner finds that the
furnishing
of such information or assistance involves any act or
practice
which that is unfair or unreasonable or otherwise
inconsistent
with the provisions of this chapter, he the
commissioner may issue a written order specifying in what respects
such
the act or practice is unfair or unreasonable or
otherwise
inconsistent with the provisions of this chapter, and requiring the
discontinuance
of such the act or practice.
(4)
No An insurer which makes its own filings nor any
rating
organization
shall not support
its filings by statistics or adopt
rate
making recommendations, furnished
to it by an advisory
organization
which that has not complied with this section or with
an
order of the commissioner involving such the statistics or
recommendations
issued under subsection (3). of
this section. If
the
commissioner finds such the
insurer or rating organization to
be
is in violation of this subsection, he
the commissioner may
issue
an order requiring the discontinuance of such the violation.
Sec. 2472. (1) The commissioner shall promulgate reasonable
rules and statistical plans, reasonably adapted to each of the
rating
systems on file with him, which the
commissioner. The
commissioner
may be modified modify the rules and plans from time
to
time. and which Each insurer shall be
used thereafter use the
rules
and plans after promulgation to the
extent applicable to its
the
insurer's particular rating system or
systems, by each insurer
in the recording and reporting of its loss and countrywide expense
experience, in order that the experience of all insurers may be
made
available at least annually in such the form and detail as
may
be
that is necessary to aid him the commissioner in determining
whether rating systems comply with the standards set forth in
section
2403. Such The rules and plans may also provide for the
recording
and reporting of expense experience items which that are
specially
specifically applicable to this state and are not
susceptible of determination by a prorating of countrywide expense
experience.
In promulgating such rules and plans under this
section, the commissioner shall give due consideration to the
rating
systems on file with him the
commissioner and, in order that
such
the rules and plans may be as uniform as is practicable
among
the several states, to the rules and to the form of the plans used
for
such rating systems in other states. No An insurer
shall not be
required to record or report its loss experience on a
classification basis that is inconsistent with the rating system
filed
by it. and no An insurer shall not be
required to record or
report its loss or expense experience on any basis or statistical
plan that differs from that which is regularly employed and
maintained
in the usual course of such the
insurer's business, or
to any rating organization or agency of which it is not a member or
subscriber. The commissioner may designate 1 or more rating
organizations
or other agencies to assist him in the gathering such
of
and making compilations of experience and
making compilations
thereof,
and such under this section. The
commissioner shall make
compilations
shall be made of experience under
this section
available, subject to reasonable rules promulgated by the
commissioner, to insurers and rating organizations.
(2) Reasonable rules and plans may be promulgated by the
commissioner for the interchange of data necessary for the
application of rating plans.
(3) In order to further uniform administration of rate
regulatory
laws, the commissioner and every each insurer and rating
organization
may exchange information and
experience data with
insurance
supervisory officials , insurers and rating organizations
in
other states and may consult with them with respect to rate
making
and the application of rating
systems. In addition, each
insurer and each rating organization may exchange historical loss
data.
Sec. 2600. (1) The purpose of this chapter is to promote the
public welfare by regulating insurance rates to the end that they
shall not be excessive, inadequate, or unfairly discriminatory, and
to
authorize and regulate cooperative action among insurers in rate
making
and in other matters within the scope of the insurance code
this
act. Nothing in this chapter is
intended (1) to prohibit or
discourage
reasonable competition. , or (2) to prohibit, or
encourage
except to the extent necessary to accomplish the
aforementioned
purpose, uniformity in insurance rates, rating
systems,
rating plans or practices.
(2) Conformity with this chapter shall not be deemed
to be
considered a violation of section 2075. (compacts
to restrain
competition
prohibited). Antitrust
provisions are not exclusive and
other provisions provided by law may apply.
(3) This chapter shall be liberally interpreted to carry into
effect the provisions of this section.
Sec.
2606. (1) Every Each insurer shall file with the
commissioner,
except as to inland marine risks which that by
general custom of the business are not written according to manual
rates or rating plans, every manual, minimum, class rate, rating
schedule or rating plan, and every other rating rule, and every
modification
of any of the foregoing which that
it proposes to use.
Every
such In its filing,
each insurer shall state the proposed
effective
date thereof of the filing, and shall indicate the
character and extent of the coverage contemplated.
(2)
When If a filing is not accompanied by the information
upon
which the insurer supports such the
filing, and the
commissioner does not have sufficient information to determine
whether
such the filing meets the requirements of this chapter, he
the
commissioner shall require such the insurer
to furnish the
information
upon which it supports such the
filing and in such
event
the waiting period shall commence
as of the date such the
information is furnished. The information furnished in support of a
filing
may include (a) the experience or judgment of the insurer or
rating
organization making the filing, (b)
its interpretation of
any
statistical data it relies upon, (c) the experience of other
insurers, or
rating organizations, or (d) any other relevant
factors.
(3) A filing and any supporting information shall be open to
public inspection after the filing becomes effective.
(4)
Specific inland marine rates on risks specially rated,
made
by a rating organization, shall be filed with the
commissioner.
(4) (5)
An Except for filings
concerning rates, an insurer may
satisfy
its obligation to make such filings by becoming a member
of,
or a subscriber to, a licensed rating organization which that
makes
such filings, and by filing with the commissioner a copy of
its
authorization of the rating organization to make such filings
on its behalf. Nothing contained in this chapter shall be construed
as requiring any insurer to become a member of or a subscriber to
any rating organization.
(5) As a condition of maintaining its certificate of
authority, an insurer shall not do any of the following:
(a) Have any rates filed on its behalf in this state by a
rating organization.
(b) Share information with any other insurer or rating
organization concerning establishing rates or rating systems.
(c) Agree with any other insurer or rating organization to
adhere to or use any rate, rating plan, rating schedule, rating
rule, or underwriting rule in this state.
(d) Make available to any other insurer or rating organization
information on actuarial projections, trending factors, profits, or
expenses except loss adjustment expenses.
Sec. 2608. (1) The commissioner shall review filings as soon
as reasonably possible after they have been made in order to
determine
whether if they meet the requirements of this chapter.
(2)
Subject to the exception specified in subsection (3) of
this
section, each Each filing shall be on file for a waiting
period of 15 days before it becomes effective, which period may be
extended by the commissioner for an additional period not to exceed
15
days if he the
commissioner gives written notice
within such the
waiting
period to the insurer or rating organization which that
made
the filing that he the
commissioner needs such the additional
time
for the consideration of such the
filing. Upon written
application
by such the insurer or rating organization, the
commissioner
may authorize a filing which he that
the commissioner
has reviewed to become effective before the expiration of the
waiting
period or any extension thereof of
the waiting period. A
filing
shall be deemed considered
to meet the requirements of this
chapter unless disapproved by the commissioner within the waiting
period
or any extension thereof of
the waiting period.
(3)
Specific inland marine rates on risks specially rated by a
rating
organization shall become effective when filed and shall be
deemed
to meet the requirements of this chapter until such time as
the
commissioner reviews the filing and so long thereafter as the
filing
remains in effect.
Sec.
2616. (1) If within the waiting period or any extension
thereof
of the waiting period as provided in section 2608(2), the
commissioner finds that a filing does not meet the requirements of
this
chapter, he the
commissioner shall send to the insurer
or
rating
organization which that made such the filing, written
notice
of
disapproval of such the filing specifying therein in what
respects
he respect the commissioner finds such the filing fails to
meet
the requirements of this chapter and stating that such the
filing shall not become effective.
(2)
If within 30 days after a specific inland marine rate on a
risk
specially rated by a rating organization, subject to section
2608
(3) has become effective, the commissioner finds that such
filing
does not meet the requirements of this chapter, he shall
send
to the rating organization which made such filing written
notice
of disapproval of such filing specifying therein in what
respects
he finds that such filing fails to meet the requirements
of
this chapter and stating when, within a reasonable period
thereafter,
such filing shall be deemed no longer effective. Said
disapproval
shall not affect any contract made or issued prior to
the
expiration of the period set forth in said notice.
Sec. 2628. (1) In lieu of the filing requirements of this
chapter
and as an alternative method of filing, any an insurer
or
rating
organization may file with the
commissioner any a manual of
classification,
rules or rates, any a rating plan, and every
modification
of any of the foregoing which that
it proposes to use,
the filing to indicate the character and extent of the coverage
contemplated. In lieu of the filing requirements of this chapter
and as an alternative method of filing, a rating organization may
file with the commissioner for an insurer a manual of
classification, rules, and every modification of any of the
foregoing, the filing to indicate the character and extent of the
coverage
contemplated. Every such filing
under this section shall
state
the effective date thereof of
the filing, shall take effect
on
said that date, shall not be subject to any waiting period
requirements,
and shall be deemed considered
to meet the
requirements
of subdivision (d) of subsection (1) of section 2603
(rate
standards) section 2603(1)(d). A filing and any supporting
information shall be open to public inspection, if the filing is
not disapproved.
(2)
At any time within 15 30 days from and after the date of
any
such a filing
under subsection (1), the commissioner
may give
written
notice to the insurer or rating organization making such
the filing or on whose behalf the filing is made, specifying in
what
respect and to what extent he contends such the commissioner
finds that the filing fails to comply with the requirements of
subdivision
(d) of subsection (1) of section 2603 section
2603(1)(d) and fixing a date for hearing not less than 10 days from
the
date of the mailing of such the notice.
At such the hearing the
factors
specified in subsection (2) of section 2606 section 2606(2)
shall be considered. If the commissioner after hearing finds that
the
filing does not comply with the provisions of this chapter, he
the
commissioner may issue his an order
determining wherein in
what
respect
and to what extent such the filing
is deemed to be improper
and
fixing a date, thereafter, within a reasonable time, after
which
such the filing shall no longer be effective. Any An order
of
disapproval under this section must be entered within 30 days of
the date of the filing affected.
(3)
In the event that no If a notice of hearing shall be is
not
issued within 15 30 days
from the date of any such a
filing
under
subsection (1), the filing shall be deemed
considered to be
approved.
If such the filing shall be is disapproved,
the insuring
provisions
of any a contract or policy issued prior to before the
time
the order becomes effective shall not be affected. But
However,
if the commissioner disapproves such
a filing as not being
in
compliance with subdivision (d) of subsection (1) of section
2603
(rate standards), he section
2603(1)(d), the commissioner may
order an adjustment of the premium to be made with the policyholder
either by refund or collection of additional premium, if the amount
is substantial and equals or exceeds the cost of making the
adjustment. The
(4) At
any time, the commissioner may thereafter
review any
such
a filing in the manner provided in sections 2618 and
2620. ,
but
if so reviewed, no However,
if the commissioner disapproves a
filing pursuant to that review beyond the thirtieth day after the
date of filing, the commissioner shall not order an adjustment of
premium. may
be ordered. Subsection (5) of section 2606 (filing may
be
made by rating organization), subsection (1) of section 2608
(commissioner
shall review filing as soon as reasonably possible),
and
2612 (insurer must adhere to filing) shall be
(5) Sections 2606(4), 2608(1), and 2612 are applicable to
filings made under this section.
Sec. 2630. (1) A corporation, an unincorporated association, a
partnership, or an individual, whether located within or outside
this
state, may make application to apply
with the commissioner for
license
as a rating organization to make rates and insurance
contract
forms for such the kinds of insurance, or subdivision or
of insurance, or class of risk, or a part or combination thereof as
are
specified in its application. and The
corporation, association,
partnership,
or individual shall file therewith with the
application all of the following:
(a) A copy of its constitution, its articles of agreement or
association, or
its certificate of incorporation , and of
its
bylaws and rules governing the conduct of its business.
(b) A list of its members and subscribers.
(c) The name and address of a resident of this state upon whom
notices
or orders of the commissioner or process affecting such the
rating organization may be served.
(d) A statement of its qualifications as a rating
organization.
(2) If the commissioner finds that the applicant is competent,
trustworthy, and otherwise qualified to act as a rating
organization and that its constitution, articles of agreement or
association, or
certificate of incorporation , and
its bylaws and
rules governing the conduct of its business conform to the
requirements
of law, he the
commissioner shall issue a license
specifying
the kinds of insurance, or subdivision or of insurance,
or class of risk, or part or combination thereof for which the
applicant
is authorized to act as a rating organization. Every such
application
shall be granted or denied in whole or in part by the
The
commissioner,
within 60 days of the date of its filing, with
him
shall grant or deny the
application in whole or in part.
(3) Licenses issued pursuant to this section shall remain in
effect for 3 years unless sooner suspended or revoked by the
commissioner.
(4)
The fee for the a license shall be under this section is
$25.00.
(5)
Licenses A license issued pursuant to this section may be
suspended or revoked by the commissioner, after hearing upon
notice,
in the event if the rating organization ceases to meet the
requirements of this section.
(6)
Every A rating organization shall notify the commissioner
promptly
of every a change in any
of the following:
(a) its Its constitution, its
articles of agreement or
association,
or its certificate of incorporation
, and its bylaws
and
rules governing the conduct of its business. ,
(b) its Its list of members and
subscribers. and
(c) the The name and address of the
resident of this state
designated by it upon whom notices or orders of the commissioner or
process
affecting such the rating organization may be served.
Sec. 2636. (1) Subject to reasonable rules and regulations
which
have been approved by the
commissioner, as reasonable, each a
rating
organization shall permit any an
insurer, not a member, to
be
a subscriber to its rating services for any kind of insurance,
subdivision of insurance, or class of risk, or a part or
combination thereof for which it is authorized to act as a rating
organization.
Notice of proposed changes in such the rules and
regulations shall be given to subscribers. Each rating organization
shall
furnish its rating services without discrimination to its
members and subscribers.
(2)
The At the request of a
subscriber or insurer, the
reasonableness
of any a rule or regulation in its application to
subscribers , or the refusal of any a rating
organization to admit
an
insurer as a subscriber , shall ,
at the request of any
subscriber
or any such insurer, be reviewed by
the commissioner at
a
hearing held upon at least 10 days' written notice to such the
rating
organization and to such the
requesting subscriber or
insurer.
If the commissioner finds that such the rule or regulation
is
unreasonable in its application to subscribers, he the
commissioner
shall order that such the rule
or regulation shall is
not
be applicable to subscribers.
(3) If the rating organization fails to grant or reject an
insurer's application for subscribership within 30 days after it
was made, the insurer may request a review by the commissioner as
if the application had been rejected. If the commissioner finds
that the insurer has been refused admittance to the rating
organization
as a subscriber without justification, he the
commissioner shall order the rating organization to admit the
insurer
as a subscriber. If he the
commissioner finds that the
action
of the rating organization was justified, he the
commissioner
shall make an order affirming
its action affirmed.
Sec.
2652. Every rating organization and every insurer which
makes
its own rates shall Each
insurer, within a reasonable time
after
receiving written request therefor for the information and
upon
payment of such a reasonable charge, as it may make, shall
furnish
to any an insured affected by a rate made by it the
insurer, or to the insured's
authorized representative, of
such
insured,
all pertinent information as to
such rate. Every rating
organization
and every insurer which makes its own rates Each
insurer shall provide within this state reasonable means whereby
any
for a person aggrieved by the application of its the insurer's
rating
system may to be heard, in person or by his or her
authorized representative, on his or her written request to review
the
manner in which such the rating system has been applied in
connection
with the insurance afforded him
or her. If the rating
organization
or insurer fails to grant or reject
such the request
within 30 days after it is made, the applicant may proceed in the
same
manner as if his or her application had been rejected. Any A
party
affected by the action of such rating organization or such
the insurer on such the request
may appeal, within 30 days after
written
notice of such the action, appeal to the commissioner, who,
after a hearing held upon not less than 10 days' written notice to
the
appellant and to such rating organization or the insurer,
may
affirm
or reverse such the action.
Sec.
2654. (1) Every A group, association, or other
organization of insurers, whether located within or outside this
state,
which assists insurers which make their own filings or
rating
organizations in rate making, by
the collection and
furnishing
of loss or expense statistics, or by the submission of
recommendations,
but which does not make filings
under this
chapter, shall be known as an advisory organization.
(2)
Every Each advisory organization shall file with the
commissioner all of the following:
(a) A copy of its constitution, its articles of agreement or
association, or
its certificate of incorporation and of its bylaws,
rules, and
regulations governing its activities.
,
(b)
A list of its members. ,
(c) The name and address of a resident of this state upon whom
notices
or orders of the commissioner or process issued at his the
commissioner's
direction may be served. ,
and
(d)
An agreement that the commissioner may examine such the
advisory
organization in accordance with pursuant
to the provisions
of section 2662.
(3) If, after a hearing, the commissioner finds that the
furnishing
of such information or assistance involves any act or
practice
which that is unfair or unreasonable or otherwise
inconsistent
with the provisions of this chapter, he the
commissioner may issue a written order specifying in what respects
such
the act or practice is unfair or unreasonable or
otherwise
inconsistent with the provisions of this chapter, and requiring the
discontinuance
of such the act or practice.
(4)
No An insurer which makes its own filings nor any
rating
organization
shall not support
its filings by statistics or adopt
rate
making recommendations, furnished
to it by an advisory
organization
which that has not complied with this section or with
an
order of the commissioner involving such the statistics or
recommendations
issued under subsection (3). of
this section. If
the
commissioner finds such the
insurer or rating organization to
be
is in violation of this subsection, he
the commissioner may
issue
an order requiring the discontinuance of such the violation.
Sec. 2664. (1) The commissioner shall promulgate reasonable
rules and statistical plans, reasonably adapted to each of the
rating
systems on file with him, which may be modified from time to
time
and which shall be used thereafter by each the commissioner.
The commissioner may modify the rules and plans from time to time.
Each insurer shall use the rules and plans after promulgation to
the extent applicable to the insurer's particular rating system or
systems in the recording and reporting of its loss and countrywide
expense experience, in order that the experience of all insurers
may
be made available at least annually in such the form
and detail
as
may be that is necessary to aid him the commissioner in
determining whether rating systems comply with the standards set
forth
in section 2603. Such The rules and plans may also provide
for
the recording and reporting of expense experience items which
that
are specially specifically applicable to this state and are
not susceptible of determination by a prorating of countrywide
expense
experience. In promulgating such rules and plans under this
section, the commissioner shall give due consideration to the
rating
systems on file with him the
commissioner and, in order that
such
the rules and plans may be as uniform as is practicable
among
the several states, to the rules and to the form of the plans used
for
such rating systems in other states. No An insurer
shall not be
required to record or report its loss experience on a
classification basis that is inconsistent with the rating system
filed by it. The commissioner may designate 1 or more rating
organizations
or other agencies to assist him in the gathering such
of
and making compilations of experience and
making compilations
thereof,
and such under this section.
The commissioner shall make
compilations
shall be made of
experience under this section
available, subject to reasonable rules promulgated by the
commissioner, to insurers and rating organizations.
(2) Reasonable rules and plans may be promulgated by the
commissioner for the interchange of data necessary for the
application of rating plans.
(3) In order to further uniform administration of rate
regulatory
laws, the commissioner and every each insurer and rating
organization
may exchange information and
experience data with
insurance
supervisory officials , insurers and rating organizations
in
other states and may consult with them with respect to rate
making
and the application of rating
systems. In addition, each
insurer and each rating organization may exchange historical loss
data.
Sec.
2930. (1) The premium for basic property insurance of any
risk
by the pool shall be equal to the rate for identical insurance
established
by a licensed rating organization for identical
insurance
within this state plus a uniform surcharge approved by
the
commissioner.
(2)
The pool shall establish rates for
any basic property
insurance. that
is without rates established by a licensed rating
organization
or that the pool, with the approval of the
commissioner,
determines should be otherwise rated in order to
better
effectuate the purposes of this chapter. The pool shall file
with the commissioner for his or her approval each rate and each
policy form to be issued by it. The pool, acting as agent for
participating members, shall file policy forms for basic property
insurance to be issued by participating members under the
provisions of this chapter. Rates and policy forms shall be filed
in accordance with this chapter as the commissioner designates.
Sec. 3020. (1) A policy of casualty insurance, except worker's
compensation and mortgage guaranty insurance, including all classes
of motor vehicle coverage, shall not be issued or delivered in this
state by an insurer authorized to do business in this state for
which a premium or advance assessment is charged, unless the policy
contains the following provisions:
(a) That the policy may be canceled at any time at the request
of the insured, in which case the insurer shall refund the excess
of paid premium or assessment above the pro rata rates for the
expired time, except as otherwise provided in subsections (2), (3),
and (4).
(b) Except as otherwise provided in subdivision (d), that the
policy may be canceled at any time by the insurer by mailing to the
insured at the insured's address last known to the insurer or an
authorized agent of the insurer, with postage fully prepaid, a not
less than 10 days' written notice of cancellation with or without
tender of the excess of paid premium or assessment above the pro
rata premium for the expired time.
(c) That the minimum earned premium on any policy canceled
pursuant to this subsection, other than automobile insurance as
defined in section 2102(2)(a) and (b), shall not be less than the
pro rata premium for the expired time or $25.00, whichever is
greater.
(d) That an insurer may refuse to renew a malpractice
insurance policy only by mailing to the insured at the insured's
address last known to the insurer or an authorized agent of the
insurer, with postage fully prepaid, a not less than 60 days'
written notice of refusal to renew. As used in this subdivision,
"malpractice insurance" means malpractice insurance as described in
section 624(1)(h).
(2) An insurer may file a rule with the commissioner providing
for a minimum retention of premium for automobile insurance as
defined in section 2102(2)(a) and (b). The rule shall describe the
circumstances under which the retention is applied and shall set
forth the amount to be retained, which is subject to the approval
of the commissioner. The rule shall include, but need not be
limited to, the following provisions:
(a) That a minimum retention shall be applied only when the
amount exceeds the amount that would have been retained had the
policy been canceled on a pro rata basis.
(b) That a minimum retention does not apply to renewal
policies.
(c) That a minimum retention does not apply when a policy is
canceled for the following reasons:
(i) The insured is no longer required to maintain security
pursuant to section 3101(1).
(ii) The insured has replaced the automobile insurance policy
being canceled with an automobile insurance policy from another
insurer and provides proof of the replacement coverage to the
canceling insurer.
(3) Notwithstanding subsection (1), an insurer may issue a
noncancelable, nonrefundable, 6-month prepaid automobile insurance
policy in order for an insured to meet the registration
requirements of section 227a of the Michigan vehicle code, 1949 PA
300, MCL 257.227a.
(4) An insurer may provide for a short rate premium for
insurance on a motorcycle, watercraft, off-road vehicle, or
snowmobile. As used in this subsection:
(a) "Motorcycle" means that term as defined in section 3101.
(b) "Off-road vehicle" means an ORV as defined in section
81101 of the natural resources and environmental protection act,
1994 PA 451, MCL 324.81101.
(c) "Snowmobile" means that term as defined in section 82101
of the natural resources and environmental protection act, 1994 PA
451, MCL 324.82101.
(d) "Watercraft" means that term as defined in section 80301
of the natural resources and environmental protection act, 1994 PA
451, MCL 324.80301.
(5) Cancellation shall not be effective until after the notice
as
prescribed in this section is has
expired, and the cancellation
shall be without prejudice to any claim originating before the
cancellation. The mailing of notice is prima facie proof of notice.
Delivery of written notice is equivalent to mailing.
(6) A notice of cancellation, including a cancellation notice
under section 3224, shall be accompanied by a statement that the
insured shall not operate or permit the operation of the vehicle to
which notice of cancellation is applicable, or operate any other
vehicle, unless the vehicle is insured as required by law.
(7) An insurer who wishes to provide for a short rate premium
under subsection (4) shall file with the commissioner pursuant to
chapter 24 or 26 a rule establishing a short rate premium. The rule
shall describe the circumstances under which the short rate is
applied and shall set forth the amount or percentage to be
retained.
Sec. 3105a. An insurer liable to pay personal protection
insurance benefits under this chapter has a duty to deal fairly and
in good faith with its insured, any person entitled to receive
personal protection insurance benefits under a policy issued to its
insured, or any person entitled to receive personal protection
insurance benefits from the insurer under the provisions of this
chapter. The duty imposed by this section is considered to involve
matters of mental concern and solicitude. A breach of the duty to
deal fairly and in good faith subjects the insurer to liability in
tort for any damages proximately arising therefrom and for punitive
damages.
Sec. 3321. The facility shall provide the following, with
respect to all automobiles not included in section 3320:
(a) Only the insurance required by law or required by the
commissioner. of
insurance. The commissioner may only require
insurance
for which a rate has been filed by an insurance rating
organization
or insurer, and
which rate is in effect and which the
commissioner finds, after a public hearing, to be reasonable,
necessary, and in the public interest. The temporary provision of
insurance may be required pending the public hearing if the
commissioner determines it necessary to do so.
(b) The equitable distribution of applicants to participating
members in accordance with the participation ratios defined in
section 3303.
Sec. 3340. (1) As agent for participating members, the
facility shall file with the commissioner every manual of
classification, every manual of rules and rates, every rating plan
and every modification of a manual of classification, manual of
rules and rates, or rating plan proposed for use for private
passenger nonfleet automobile insurance placed through the
facility. The facility may incorporate by reference in its filings
other material on file with the commissioner. The classifications,
rules, and
rates and any amendments thereof shall be to the
classifications, rules, and rates are subject to prior written
approval by the commissioner. Except as provided in this chapter,
rates filed by the facility for private passenger nonfleet
automobile insurance shall be in accordance with chapter 21 and
rates by the facility for all other automobile insurance shall be
filed in accordance with chapter 24.
(2) Every participating member designated to act on behalf of
the
facility shall be is authorized to use the rates and rules
approved by the commissioner for use by the facility on business
placed through the facility and shall not use other rates for
automobile insurance placed through the facility.
(3) Laws relating to rating organizations or advisory
organizations
shall not do apply to functions provided for under
this section.
(4) Private passenger nonfleet automobile rates for the
facility shall comply with the following requirements:
(a)
The territories for the facility shall be defined as those
of
the principal rating organization for the voluntary market.
(a) (b)
The base rates for the facility
shall be derived from
the
weighted average of the base rates currently charged in each
facility
territory by the 5 largest insurer
groups, determined by
voluntary net direct automobile insurance car years written in the
state for the calendar year ending December 31 of the second prior
year as reported to the statistical agent.
(c)
The base rates as determined in subdivision (b) in each
facility
territory shall be modified as follows:
(i) One hundred percent of the weighted average in
each
territory
in the highest rated territory or territories in the
state
within a single political subdivision.
(ii) From 105% to 125% of the weighted average for all
other
facility
territories, with the highest rated such territories
receiving
the lowest surcharge and increasing to the highest
surcharge
in the lowest rated facility territories in 5 percentage
point
increments. In no event, however, shall any such rate exceed
the
rate established in subdivision (i).
(b) (d)
The facility shall adjust its rates
at least once each
year or whenever changes in private competitive insurance market
rate levels would produce a change in excess of 5% in the facility
rate. for
any facility territory. However, changes shall not be
made more often than quarterly.
(c) (e)
In the event that If underwriting losses and
administrative expenses resulting from the operation of the
facility at rates established pursuant to this subsection would
exceed an amount equal to 5% of the net direct private passenger
nonfleet
automobile premiums for this state, the levels specified
in
subdivision (c)(i) and (ii) shall
be proportionately increased in
an amount to produce underwriting losses and administrative
expenses that do not exceed 5%.
Enacting section 1. Sections 122, 2107, 2131, 2446, and 2640
of the insurance code of 1956, 1956 PA 218, MCL 500.122, 500.2107,
500.2131, 500.2446, and 500.2640, are repealed.
Enacting section 2. (1) The legislature finds that there
exists in this state an emergency for a significant number of
citizens who are obligated under law to purchase automobile
insurance that has become unaffordable and unavailable. A
substantial number of urban registered vehicles are now without
automobile insurance coverage. While a vehicle is often a necessity
for employment and other essential daily activities, citizens who
drive automobiles without insurance coverage violate criminal law
regardless of the fact that for a substantial number of those
citizens it is impossible to obtain automobile insurance due to the
unaffordability and the unequal availability of that insurance. The
affordability and equal availability of automobile insurance is
essential to the preservation of the state's interest in providing
that its citizens obtain automobile insurance coverage under the
state's compulsory automobile insurance laws. In many areas of the
state, insurers are charging in a subjective and discriminatory
manner unreasonable amounts for coverage. In addition, the
automobile insurance market structure has not resulted in promoting
reasonable competition among insurers, and this has further
contributed to the unaffordability and unavailability of automobile
insurance.
(2) It is the purpose of this amendatory act to preserve the
state's interest in providing its citizens with automobile
insurance coverage by relieving the emergency condition of
unaffordable and unequally available automobile insurance; to
provide more stringent regulation of automobile insurance rate-
making and underwriting and to eliminate and prevent arbitrary and
discriminatory practices in automobile insurance marketing, rate-
making, and underwriting; to monitor the level of competition in
the automobile insurance market and to enable corrective measures
when necessary to create a healthy, competitive market for
automobile insurance; to examine loss prevention systems, controls,
and costs; to ensure that automobile insurance prices reflect the
actual costs of claims and reasonable expenses; and to eliminate
injustices that have resulted from the compulsory automobile
insurance system.