HB-5701, As Passed House, June 6, 2012

 

 

 

 

 

 

 

 

 

 

 

SUBSTITUTE FOR

 

HOUSE BILL NO. 5701

 

(As amended June 6, 2012)

 

 

 

 

 

 

 

 

 

     [A bill to amend 1956 PA 218, entitled

 

"The insurance code of 1956,"

 

by amending the title, the heading of chapter 61, and sections

 

3301, 3330, 4501, 6101, 6105, 6110, and 6111 (MCL 500.3301,

 

500.3330, 500.4501, 500.6101, 500.6105, 500.6110, and

 

500.6111), the title as amended by 2002 PA 304, section 4501 as

 

amended by 2012 PA 39, sections 6101, 6105, and 6110 as added

 

by 1992 PA 174, and section 6111 as amended by 2004 PA 316, and by

 

adding sections 6104, 6104a, 6104b, 6107a, and 6108; and to repeal acts

 

and parts of acts.]

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

                                TITLE

 

     An act to revise, consolidate, and classify the laws relating

 

to the insurance and surety business; to regulate the incorporation

 


or formation of domestic insurance and surety companies and

 

associations and the admission of foreign and alien companies and

 

associations; to provide their rights, powers, and immunities and

 

to prescribe the conditions on which companies and associations

 

organized, existing, or authorized under this act may exercise

 

their powers; to provide the rights, powers, and immunities and to

 

prescribe the conditions on which other persons, firms,

 

corporations, associations, risk retention groups, and purchasing

 

groups engaged in an insurance or surety business may exercise

 

their powers; to provide for the imposition of a privilege fee on

 

domestic insurance companies and associations and the state

 

accident fund; to provide for the imposition of a tax on the

 

business of foreign and alien companies and associations; to

 

provide for the imposition of a tax on risk retention groups and

 

purchasing groups; to provide for the imposition of a tax on the

 

business of surplus line agents; to provide for the imposition of

 

regulatory fees on certain insurers; to provide for assessment fees

 

on certain health maintenance organizations; to modify tort

 

liability arising out of certain accidents; to provide for limited

 

actions with respect to that modified tort liability and to

 

prescribe certain procedures for maintaining those actions; to

 

require security for losses arising out of certain accidents; to

 

provide for the continued availability and affordability of

 

automobile insurance and homeowners insurance in this state and to

 

facilitate the purchase of that insurance by all residents of this

 

state at fair and reasonable rates; to provide for certain

 

reporting with respect to insurance and with respect to certain

 


claims against uninsured or self-insured persons; to prescribe

 

duties for certain state departments and officers with respect to

 

that reporting; to provide for certain assessments; to establish

 

and continue certain state insurance funds; to modify and clarify

 

the status, rights, powers, duties, and operations of the nonprofit

 

malpractice insurance fund; to provide for the departmental

 

supervision and regulation of the insurance and surety business

 

within this state; to provide for regulation over worker's

 

compensation self-insurers; to provide for the conservation,

 

rehabilitation, or liquidation of unsound or insolvent insurers; to

 

provide for the protection of policyholders, claimants, and

 

creditors of unsound or insolvent insurers; to provide for

 

associations of insurers to protect policyholders and claimants in

 

the event of insurer insolvencies; to prescribe educational

 

requirements for insurance agents and solicitors; to provide for

 

the regulation of multiple employer welfare arrangements; to create

 

an automobile insurance fraud and theft prevention authority to

 

reduce insurance fraud and the number of automobile thefts in this

 

state; to prescribe the powers and duties of the automobile

 

insurance fraud and theft prevention authority; to provide certain

 

powers and duties upon certain officials, departments, and

 

authorities of this state; to provide for an appropriation; to

 

repeal acts and parts of acts; and to provide penalties for the

 

violation of this act.

 

     Sec. 3301. (1) Every insurer authorized to write automobile

 

insurance in this state shall participate in an organization for

 

the purpose of doing all of the following:

 


     (a) Providing the guarantee that automobile insurance coverage

 

will be available to any person who is unable to procure that

 

insurance through ordinary methods.

 

     (b) Preserving to the public the benefits of price competition

 

by encouraging maximum use of the normal private insurance system.

 

     (c) Providing funding for the Michigan automobile insurance

 

fraud and theft prevention authority.

 

     (2) The organization created under this chapter shall be

 

called the "Michigan automobile insurance placement facility".

 

     Sec. 3330. (1) The board of governors shall have all power to

 

direct the operation of the facility, including, at a minimum, all

 

of the following:

 

     (a) To sue and be sued in the name of the facility. A judgment

 

against the facility shall not create any liabilities in the

 

individual participating members of the facility.

 

     (b) To delegate ministerial duties, to hire a manager, to hire

 

legal counsel, and to contract for goods and services from others.

 

     (c) To assess participating members on the basis of

 

participation ratios pursuant to section 3303 to cover anticipated

 

costs of operation and administration of the facility, to provide

 

for equitable servicing fees, and to share losses, profits, and

 

expenses pursuant to the plan of operation.

 

     (d) To impose limitations on cancellation or nonrenewal by

 

participating members of facility-placed business, in addition to

 

the limitations imposed by chapters 21 and 32.

 

     (e) To provide for a limited number of participating members

 

to receive equitable distribution of applicants; or to provide for

 


House Bill No. 5701 (H-2) as amended June 6, 2012

a limited number of participating members to service applicants in

 

a plan of sharing of losses in accordance with the subsection

 

3320(1)(c) and the plan operation.

 

     (f) To provide for standards of performance of service for the

 

participating members designated pursuant to subdivision (e).

 

     (g) To adopt a plan of operation and any amendments to the

 

plan, not inconsistent with this chapter, necessary to assure the

 

fair, reasonable, equitable, and nondiscriminatory manner of

 

administering the facility, including compliance with chapter 21,

 

and to provide for such other matters as are necessary or advisable

 

to implement this chapter, including matters necessary to comply

 

with the requirements of chapter 21.

 

     (h) [until december 31, 2017, To] annually assess participating

members and self-insurers

 

an aggregate amount not to exceed $21,000,000.00 to cover

 

anticipated costs of operation and administration of the Michigan

 

automobile insurance fraud and theft prevention authority.

 

     (2) The board of governors shall institute or cause to be

 

instituted by the facility or on its behalf an automatic data

 

processing system for recording and compiling data relative to

 

individuals insured through the facility. An automatic data

 

processing system established under this subsection shall, to the

 

greatest extent possible, be made compatible with the automatic

 

data processing system maintained by the secretary of state, to

 

provide for the identification and review of individuals insured

 

through the facility.

 

     (3) On or before January 1, 2013, the board of governors shall

 

amend the plan of operation to establish appropriate procedures

 


necessary to make assessments for and to carry out the

 

administrative duties and functions of the Michigan automobile

 

insurance fraud and theft prevention authority as provided in

 

chapter 61.

 

     Sec. 4501. As used in this chapter:

 

     (a) "Authorized agency" means the department of state police;

 

a city, village, or township police department; a county sheriff's

 

department; a United States criminal investigative department or

 

agency; the prosecuting authority of a city, village, township,

 

county, or state or of the United States; the office of financial

 

and insurance regulation; the Michigan automobile insurance fraud

 

and theft prevention authority; or the department of state.

 

     (b) "Financial loss" includes, but is not limited to, loss of

 

earnings, out-of-pocket and other expenses, repair and replacement

 

costs, investigative costs, and claims payments.

 

     (c) "Insurance policy" or "policy" means an insurance policy,

 

benefit contract of a self-funded plan, health maintenance

 

organization contract, nonprofit dental care corporation

 

certificate, or health care corporation certificate.

 

     (d) "Insurer" means a property-casualty insurer, life insurer,

 

third party administrator, self-funded plan, health insurer, health

 

maintenance organization, nonprofit dental care corporation, health

 

care corporation, reinsurer, or any other entity regulated by the

 

insurance laws of this state and providing any form of insurance.

 

     (e) "Michigan automobile insurance fraud and theft prevention

 

authority" means the Michigan automobile insurance fraud and theft

 

prevention authority created under section 6104.

 


     (f) (e) "Organization" means an organization or internal

 

department of an insurer established to detect and prevent

 

insurance fraud.

 

     (g) (f) "Person" includes an individual, insurer, company,

 

association, organization, Lloyds, society, reciprocal or inter-

 

insurance exchange, partnership, syndicate, business trust,

 

corporation, and any other legal entity.

 

     (h) (g) "Practitioner" means a licensee of this state

 

authorized to practice medicine and surgery, psychology,

 

chiropractic, or law, any other licensee of the state, or an

 

unlicensed health care provider whose services are compensated,

 

directly or indirectly, by insurance proceeds, or a licensee

 

similarly licensed in other states and nations, or the practitioner

 

of any nonmedical treatment rendered in accordance with a

 

recognized religious method of healing.

 

     (i) (h) "Runner", "capper", or "steerer" means a person who

 

receives a pecuniary or other benefit from a practitioner, whether

 

directly or indirectly, for procuring or attempting to procure a

 

client, patient, or customer at the direction or request of, or in

 

cooperation with, a practitioner whose intent is to obtain benefits

 

under a contract of insurance or to assert a claim against an

 

insured or an insurer for providing services to the client,

 

patient, or customer. Runner, capper, or steerer does not include a

 

practitioner who procures clients, patients, or customers through

 

the use of public media.

 

     (j) (i) "Statement" includes, but is not limited to, any

 

notice statement, proof of loss, bill of lading, receipt for

 


payment, invoice, account, estimate of property damages, bill for

 

services, claim form, diagnosis, prescription, hospital or doctor

 

record, X-rays, test result, or other evidence of loss, injury, or

 

expense.

 

CHAPTER 61

 

AUTOMOBILE INSURANCE FRAUD AND THEFT PREVENTION AUTHORITY

 

     Sec. 6101. As used in this chapter:

 

     (a) "Authority" means the automobile theft prevention

 

authority Michigan automobile insurance fraud and theft prevention

 

authority.

 

     (b) "Automobile insurance fraud" means a fraudulent insurance

 

act as described in section 4503 that is committed in connection

 

with an application for or a policy of automobile insurance.

 

     (c) (b) "Board" means the board of directors of the Michigan

 

automobile insurance fraud and theft prevention authority.

 

     (c) "Economic automobile theft" means automobile theft

 

perpetrated for financial gain.

 

     (d) "Car years" means net direct private passenger and

 

commercial nonfleet vehicle years of insurance providing the

 

security required by section 3101(1) written in this state for the

 

calendar year ending the December 31 of the second prior year as

 

reported to the statistical agent of each insurer.

 

     (e) "Facility" means the Michigan automobile insurance

 

placement facility created under chapter 33.

 

     Sec. 6104. (1) Beginning January 1, 2013, the Michigan

 

automobile insurance fraud and theft prevention authority is

 

created within the facility. The facility shall provide staff for

 


the authority and shall carry out the administrative duties and

 

functions as directed by the board of directors.

 

     (2) The Michigan automobile insurance fraud and theft

 

prevention authority is not a state agency, and the money of the

 

authority is not state money. A record of the authority is exempt

 

from disclosure under section 13 of the freedom of information act,

 

1976 PA 442, MCL 15.243.

 

     (3) The Michigan automobile insurance fraud and theft

 

prevention authority shall do all of the following:

 

     (a) Provide financial support to state or local law

 

enforcement agencies for programs designed to reduce the incidence

 

of automobile insurance fraud and theft.

 

     (b) Provide financial support to state or local prosecutorial

 

agencies for programs designed to reduce the incidence of

 

automobile insurance fraud and theft.

 

     (4) The Michigan automobile insurance fraud and theft

 

prevention authority may provide financial support to law

 

enforcement, prosecutorial, insurance, education, or training

 

associations for programs designed to reduce the incidence of

 

automobile insurance fraud and theft.

 

     (5) The purposes, powers, and duties of the Michigan

 

automobile insurance fraud and theft prevention authority shall be

 

vested in and exercised by a board of directors. The board of

 

directors shall consist of 15 members as follows:

 

     (a) Nine members who represent automobile insurers in this

 

state subject to the following:

 

     (i) At least 2 members who represent insurer groups with

 


350,000 or more car years.

 

     (ii) At least 2 members who represent insurer groups with less

 

than 350,000 but 100,000 or more car years.

 

     (iii) At least 1 member who represents insurer groups with less

 

than 100,000 car years.

 

     (b) The commissioner or his or her designee.

 

     (c) The attorney general or his or her designee.

 

     (d) Two members who represent law enforcement agencies in this

 

state.

 

     (e) One member who represents prosecuting attorneys in this

 

state.

 

     (f) One member who represents the general public.

 

     (6) The insurer members on the board under subsection (5)

 

shall be elected by automobile insurers doing business in this

 

state from a list of nominees proposed by the board of governors of

 

the facility. In preparing the list of nominees for the insurer

 

members, the board of governors of the facility shall solicit

 

nominations from automobile insurers doing business in this state.

 

     (7) The law enforcement members on the board under subsection

 

(5) shall be appointed by the governor with the advice and consent

 

of the senate. In appointing the law enforcement members, the

 

governor shall comply with all of the following:

 

     (a) He or she shall solicit input from various law enforcement

 

associations in this state.

 

     (b) He or she shall not appoint a member who represents the

 

same type of law enforcement agency as the other member who

 

represents law enforcement agencies on the board.

 


House Bill No. 5701 (H-2) as amended June 6, 2012

     (c) He or she shall not appoint a member representing the same

 

law enforcement agency to the board for more than 2 consecutive

 

terms.

 

     (8) The prosecuting attorney member on the board under

 

subsection (5) shall be appointed by the governor with the advice

 

and consent of the senate. In appointing the prosecuting attorney

 

member, the governor shall solicit input from various prosecuting

 

attorney associations in this state.

 

     (9) The public member on the board under subsection (5) shall

 

be appointed by the governor with the advice and consent of the

 

senate. The public member shall be a resident of this state and

 

shall not be employed by or under contract with any state or local

 

unit of government or any insurer.

 

     (10) Except as otherwise provided in this subsection, members

 

of the board shall serve for a term of 4 years and until their

 

successors are appointed and qualified. For the members first

 

elected or appointed under this section, 3 insurer members and 1

 

law enforcement member shall serve for a term of 2 years; 3 insurer

 

members, the prosecuting attorney member, and the general public

 

member shall serve for a term of 3 years; and 3 insurer members and

 

1 law enforcement member shall serve for a term of 4 years.

     [(11) THE BOARD IS DISSOLVED ON JANUARY 1, 2018.]

     Sec. 6104a. (1) Members of the board shall serve without

 

compensation for their membership on the board, except that members

 

of the board shall receive reasonable reimbursement for necessary

 

travel and expenses.

 

     (2) A majority of the members of the board shall constitute a

 

quorum for the transaction of business at a meeting, or the

 


exercise of a power or function of the authority, notwithstanding

 

the existence of 1 or more vacancies. Notwithstanding any other

 

provision of law, action may be taken by the authority at a meeting

 

upon a vote of the majority of its members present in person or

 

through the use of amplified telephonic equipment, if authorized by

 

the bylaws or plan of operation of the board. The authority shall

 

meet at the call of the chair or as may be provided in the bylaws

 

of the authority. Meetings of the authority may be held anywhere

 

within the state of Michigan.

 

     (3) The board shall adopt a plan of operation by a majority

 

vote of the board. Vacancies on the board shall be filled in

 

accordance with the plan of operation.

 

     (4) The board shall conduct its business at meetings that are

 

held in this state, open to the public, and held in a place that is

 

available to the general public. However, the board may establish

 

reasonable rules to minimize disruption of a meeting of the board.

 

At least 10 days but not more than 60 days before a meeting, the

 

board shall provide public notice of the meeting at the board's

 

principal office and on a publicly accessible internet website. The

 

board shall include in the public notice of its meeting the address

 

where minutes of the board may be inspected by the public. The

 

board may meet in a closed session for any of the following

 

purposes:

 

     (a) To consider the hiring, dismissal, suspension, or

 

disciplining of officers or employees of the authority.

 

     (b) To consult with its attorney.

 

     (c) To comply with state or federal law, rules, or regulations

 


House Bill No. 5701 (H-2) as amended June 6, 2012

regarding privacy or confidentiality.

 

`    (5) The board shall display information concerning the

 

authority's operations and activities, including, but not limited

 

to, the annual financial report required under section 6110, on a

 

publicly accessible internet website.

 

     (6) The board shall keep minutes of each board meeting. The

 

board shall make the minutes open to public inspection and

 

available at the address designated on the public notice of its

 

meetings. The board shall make copies of the minutes available to

 

the public at the reasonable estimated cost for printing and

 

copying. The board shall include all of the following in the

 

minutes:

 

     (a) The date, time, and place of the meeting.

 

     (b) The names of board members who are present and board

 

members who are absent.

 

     (c) Board decisions made during any portion of the meeting

 

that was open to the public.

 

     (d) All roll call votes taken at the meeting.

 

     Sec. 6104b. [(1)] On or before January 1, 2013, the department of

 

state police shall transfer all assets of the automobile theft

 

prevention authority to the facility for the benefit of the

Michigan automobile insurance fraud and theft prevention authority.

     [(2) On or before December 31, 2017, the authority shall transfer all assets of the authority to the department of state police for the benefit of the automobile theft prevention authority.

     (3) After December 31, 2017, the automobile theft prevention authority board of directors shall reinstate and operate the automobile theft prevention authority in the same manner that it was operated before January 1, 2013.

     (4) On January 1, 2018, the Michigan automobile insurance fraud and theft prevention authority, as housed in the facility, is dissolved.]

     Sec. 6105. The authority board shall have the powers necessary

or convenient to carry out and effectuate the purposes and

provisions of this chapter and the purposes of the authority and

the powers delegated by other laws its duties under this act,

 

including, but not limited to, the power to do the following:

 


     (a) Sue and be sued ; to have a seal and alter the same at

 

pleasure; to have perpetual succession; to make, execute, and

 

deliver contracts, conveyances, and other instruments necessary or

 

convenient to the exercise of its powers; and to make and amend

 

bylaws in the name of the authority.

 

     (b) Solicit and accept gifts, grants, loans, funds collected

 

and placed in the automobile theft prevention fund, and other aids

 

from any person or the federal, state, or a local government or any

 

agency thereof.

 

     (c) Make grants and investments.

 

     (d) Procure insurance against any loss in connection with its

 

property, assets, or activities.

 

     (e) Invest any money held in reserve or sinking funds, or any

 

money not required for immediate use or disbursement, at its

 

discretion and to name and use depositories for its money.

 

     (f) Contract for goods and services and engage personnel as is

 

necessary. , including the services of private consultants,

 

managers, counsel, auditors, and others for rendering professional,

 

management, and technical assistance and advice, payable out of any

 

money of the fund legally available for this purpose.

 

     (g) Indemnify and procure insurance indemnifying any member of

 

the board from personal loss or accountability from liability

 

resulting from a member's action or inaction as a member of the

 

board.

 

     (h) Do all other things necessary or convenient to achieve the

 

objectives and purposes of the authority, this chapter, or other

 

laws Perform other acts not specifically enumerated in this section

 


 House Bill No. 5701 (H-2) as amended June 6, 2012

that are necessary or proper to accomplish the purposes of the

 

authority and that are not inconsistent with this section or the

 

plan of operation.

 

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House Bill No. 5701 (H-2) as amended June 6, 2012

                                                                 

 

                                                                 

 

                 

 

                                                      

 

                                                                  

 

                            

 

                                                          

 

                                                                 

 

     

 

                                                         

 

                                                                

 

     

 

                                                             

 

                                                                

 

                                        

 

                                                                 

 

                                                               

 

                                                                  

 

                           

 

                                                             

 

                                                            

 

                                                            

 

         

 

                                                               

 

                       

 

                                                               

 

                                                                

 


House Bill No. 5701 (H-2) as amended June 6, 2012

                                                                  

 

                                    

     Sec. 6107a. (1) Section 6107 does not apply from January 1, 2013 to December 31, 2017.

     (2) Before April 1 of 2013, 2014, 2015, 2016, and 2017, each insurer and each self-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 facility, for deposit into the account of the authority, an assessment determined by the facility as provided in the plan of operation. The assessment to each insurer and self-insurer shall be based on the ratio of its car years written to the statewide total car years for all insurers and self-insurers.

     (3) Money received pursuant to subsection (1), and all other money received by the authority, shall be segregated from other money of the facility, if applicable, and shall only be expended as directed by the board.

     (4) From the money received annually under subsection (1), the board shall not reduce the amount of money available to provide financial support for programs designed to reduce the incidence of automobile theft below $6,000,000.00.

(5) AN INSURER SHALL NOT INCREASE THE PREMIUMS CHARGED TO ITS INSUREDS SO AS TO RECOUP PAYMENTS TO THE FACILITY UNDER SUBSECTION (1) UNTIL AFTER THE FIRST REPORTS HAVE BEEN FILED UNDER SECTIONS 6110 AND 6111.]

     Sec. 6108. (1) Each insurer authorized to transact automobile

insurance in this state, as a condition of its authority to

transact insurance in this state, shall report automobile insurance

fraud data to the authority using the format and procedures set

forth by the board.

     (2) The department of state police shall cooperate with the

authority and shall provide available motor vehicle fraud and theft

statistics to the authority upon request.

     Sec. 6110. (1) The authority shall develop and implement a

plan of operation.

     (2) The plan of operation shall include an assessment of the

scope of the problem of automobile theft, including particular

areas of the state where the problem is greatest; an analysis of

various methods of combating the problem of automobile theft and

economic automobile theft; a plan for providing financial support

to combat automobile theft and economic automobile theft; and an

estimate of the funds required to implement the plan.

     (3) The authority shall report annually on or before February

1 to the governor and the legislature on its activities in the

preceding year.Beginning January 1 of the year after the effective

date of the amendatory act that added section 6104, the authority

shall prepare and publish an annual financial report and an annual

 

report to the legislature on its efforts to prevent automobile

 

insurance fraud and cost savings that have resulted from its

 

efforts.

 


House Bill No. 5701 (H-2) as amended June 6, 2012

     Sec. 6111. By July 1 of every odd even numbered year, the

 

automobile theft prevention authority shall prepare a report that

 

details the theft of automobiles and automobile insurance fraud

 

occurring in this state for the previous 2 years, assesses the

 

impact of the thefts and fraud on rates charged for automobile

 

insurance, summarizes prevention programs, and outlines allocations

 

made by the authority. The director of the department of state

 

police, members of the board, insurers, and the commissioner shall

 

cooperate in the development of the report as requested by the

 

automobile theft prevention authority and shall make available

 

records and statistics concerning automobile thefts, including the

 

number of automobile thefts, number of prosecutions and convictions

 

involving automobile thefts, and automobile theft recidivism, and

 

automobile insurance fraud, including the number of instances of

 

suspected and confirmed insurance fraud, number of prosecutions and

 

convictions involving automobile insurance fraud, and automobile

 

insurance fraud recidivism. The automobile theft prevention

 

authority shall evaluate the impact automobile theft and automobile

 

insurance fraud has on the citizens of this state and the costs

 

incurred by the citizens through insurance, police enforcement,

 

prosecution, and incarceration due to automobile thefts and

 

automobile insurance fraud. The report required by this section

 

shall be submitted to the senate and house of representatives

 

standing committees on insurance issues and the commissioner.

 

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House Bill No. 5701 (H-2) as amended June 6, 2012

     Enacting section [1]. The title and sections 4501, 6101, 6105,

 

[     ] 6110, and 6111 of the insurance code of 1956, 1956 PA 218,

 

MCL 500.4501, 500.6101, 500.6105, [         ] 500.6110, and 500.6111,

 

as amended by this amendatory act, and sections 6104a[, 6107a,] and 6108

of

 

the insurance code of 1956, 1956 PA 218, as added by this

 

amendatory act, take effect January 1, 2013.