SENATE BILL No. 886

 

 

March 20, 2014, Introduced by Senators MOOLENAAR, HILDENBRAND, SCHUITMAKER, GREGORY, WARREN, NOFS, MARLEAU, KAHN, MEEKHOF and KOWALL and referred to the Committee on Appropriations.

 

 

 

     A bill to regulate the offer and sale of life interests and

 

long-term leases in independent living units, nursing homes,

 

retirement homes, homes for the aged, and adult foster care

 

facilities; to prohibit fraudulent practices in relation to the

 

offer and sale of those life interests and long-term leases; to

 

provide for the powers and duties of certain state governmental

 

agencies; to provide for penalties and remedies; to prescribe civil

 

sanctions; and to repeal acts and parts of acts.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 1. This act shall be known and may be cited as the

 

"continuing care community disclosure act".

 


     Sec. 3. As used in this act:

 

     (a) "Administrator" means a person that performs

 

administrative or operational functions within or in connection

 

with the continuing care community.

 

     (b) "Advertisement or marketing communication" means any

 

disclosure statement, prospectus, pamphlet, circular, form letter,

 

written or electronic advertisement, social media or other sales

 

literature or advertising communication, including a written,

 

printed, or pictorial communication, or a communication by means of

 

a recorded telephone message or message spoken on the radio,

 

television, or similar communications media, intended for

 

distribution or transmission to prospective members in connection

 

with an offer or sale of a continuing care agreement.

 

     (c) "Amortized component of an entrance fee" means that

 

component of an entrance fee amortized at the rate of 1-1/2% per

 

month, to reflect the cost of continuing care as provided in an

 

amortization schedule prepared by the continuing care community,

 

unless, in case of death, the amortization schedule provides for a

 

different amortization.

 

     (d) "Change in fees" means a change in either the amount or

 

type of fees for continuing care, including entrance fees and

 

monthly service fees, except for any change in fees mandated by a

 

state or federal referral assistance program.

 

     (e) "Continuing care" means providing or arranging for the

 

provision of some or all of the following services:

 

     (i) A living unit.

 

     (ii) Meals.

 


     (iii) Assisted living or personal care service.

 

     (iv) Skilled nursing.

 

     (v) Rehabilitative services.

 

     (vi) Medical care.

 

     (vii) Social activities.

 

     (viii) Supervision.

 

     (ix) All-inclusive care for the elderly.

 

     (x) Continuing care at home.

 

     (f) "Continuing care agreement" means a written agreement,

 

including a long-term lease or an agreement conferring a life

 

interest, between a member and a continuing care community for

 

continuing care upon payment of an entrance fee.

 

     (g) "Continuing care at home" means, upon payment of an

 

entrance fee and subject to the terms and conditions of a

 

continuing care agreement, providing or arranging for the provision

 

of all of the following at the member's home other than a living

 

unit:

 

     (i) Continuing care.

 

     (ii) Access to comprehensive services, including, but not

 

limited to, care coordination, home assessments, and assistance

 

with activities of daily living.

 

     (iii) Services with a higher level of care when required by the

 

health condition of the member, as determined by the continuing

 

care community in consultation with the member or the member's

 

representative.

 

     (h) "Continuing care community" means a retirement community

 

in which a person undertakes to provide or arrange for continuing

 


care and which is 1 or more of the following:

 

     (i) An adult foster care facility.

 

     (ii) A home for the aged.

 

     (iii) An independent living unit.

 

     (iv) A nursing home.

 

     (v) A home care services agency.

 

     (vi) A hospice.

 

     (vii) A place that undertakes to provide care to a member for

 

more than 1 year.

 

     Sec. 5. As used in this act:

 

     (a) "Department" means the department of licensing and

 

regulatory affairs.

 

     (b) "Entrance fee" means money paid in a lump sum or

 

installments or property transferred pursuant to a continuing care

 

agreement before initiation of continuing care for 1 or more

 

individuals and that confers the right to the continuing care.

 

     (c) "Executive officer" means an individual holding executive

 

power in an organization and generally responsible for the day-to-

 

day operations of the organization, such as a chief executive

 

officer, chief financial officer, or chief operating officer.

 

     (d) "Initiation of continuing care" means the commencement of

 

a member's right to possess a living unit in a continuing care

 

community or the commencement of the actual provision of continuing

 

care, whichever occurs first.

 

     (e) "Life interest" means the right, upon payment of an

 

entrance fee, to receive continuing care for life.

 

     (f) "Living unit" means a physical space within a continuing

 


care community set aside for the exclusive use or control of 1 or

 

more specific members.

 

     (g) "Long-term lease" means an agreement between a member and

 

a continuing care community whereby the member upon payment of an

 

entrance fee has the right to occupy a space for more than 1 year

 

but not for the life of the member.

 

     Sec. 7. As used in this act:

 

     (a) "Member" means an individual who enters into a continuing

 

care agreement with a continuing care community.

 

     (b) "Monthly service fee" means a monthly charge to a member

 

for continuing care and not as rent or a daily prorated portion

 

thereof.

 

     (c) "Nonrefundable portion of the entrance fee" means the

 

amortized component of an entrance fee and any other component of

 

an entrance fee that is not refundable upon death of the member

 

under the terms and conditions of a continuing care agreement.

 

     (d) "Offer of a continuing care agreement" includes an attempt

 

to offer to sell, or a solicitation of an offer to enter into, a

 

continuing care agreement.

 

     (e) "Order" means a consent, authorization, approval,

 

prohibition, or requirement applicable to a specific case issued by

 

the department.

 

     Sec. 9. As used in this act:

 

     (a) "Person" means an individual, partnership, corporation,

 

association, governmental entity, or other legal entity.

 

     (b) "Publish" means to publicly issue or circulate by

 

newspaper, mail, radio, television, or electronic means or

 


otherwise to disseminate to the public.

 

     (c) "Refundable portion of an entrance fee" means the

 

component of an entrance fee that is non-amortized and is

 

refundable to the member or his or her estate under the terms and

 

conditions of the continuing care agreement.

 

     (d) "Reportable change", subject to subdivision (e), means any

 

of the following:

 

     (i) Any change in the tax status of the registrant.

 

     (ii) Termination of the registrant's sponsorship, or a portion

 

thereof, by a religious, nonprofit, or proprietary organization or

 

group, or the establishment of any new sponsorship for the

 

registrant.

 

     (iii) Denial, suspension, or revocation of any license,

 

certification, or registration held by the registrant for that

 

continuing care community and required by state or federal law.

 

     (iv) The entry of any cease and desist order, other order

 

similar in nature, or a temporary or permanent injunction by a

 

court of competent jurisdiction that restricts the registrant from

 

offering continuing care agreements to prospective members or

 

restricts the registrant from operating in any material respect in

 

compliance with the most recent registration.

 

     (v) Any substantive amendments or changes in the disclosure

 

statement, continuing care agreement, or the rules and regulations

 

of the continuing care community.

 

     (vi) Any significant alteration in the care, amenities, or

 

services indicated in the disclosure statement required under

 

section 19(1)(c) or 25(2)(b) or continuing care agreement.

 


     (vii) A 10% or greater change in monthly service fees.

 

     (viii) A variation of 10% or more between the actual amount of

 

any of the following items and the amount forecast in the

 

continuing care community's most recent pro forma financial plan

 

filed under section 19 or 25:

 

     (A) Total assets.

 

     (B) Total liabilities.

 

     (C) Equity.

 

     (D) Fund balance or deficit.

 

     (E) Long-term debt.

 

     (F) Total revenue.

 

     (G) Total expenses.

 

     (H) Cash flow.

 

     (ix) A violation of any debt covenant applicable to the

 

applicant or registered continuing care community that is not cured

 

within 30 days after discovery by the applicant or continuing care

 

community.

 

     (e) "Reportable change" does not include a change in the value

 

of an interest rate swap not related to the termination of the

 

interest rate swap.

 

     Sec. 11. As used in this act:

 

     (a) "Sale of a continuing care agreement" means the execution

 

of a continuing care agreement.

 

     (b) "Sales agent" means any individual who represents a

 

continuing care community in effecting or attempting to effect the

 

offer or sale of a continuing care agreement.

 

     (c) "Sell a continuing care agreement" means to secure the

 


sale of a continuing care agreement.

 

     (d) "State" means a state of the United States, the District

 

of Columbia, the Commonwealth of Puerto Rico, the United States

 

Virgin Islands, or any territory or insular possession subject to

 

the jurisdiction of the United States.

 

     Sec. 13. (1) A continuing care community may be organized and

 

operated by either a for-profit or nonprofit entity. The entity's

 

purposes shall be limited to ownership, organization, and operation

 

of the continuing care community.

 

     (2) A continuing care community registered or seeking

 

registration under this act shall have and continuously maintain in

 

this state a registered office and a resident agent. If the entity

 

that owns and operates the continuing care community is not a

 

domestic entity, that entity shall procure and continuously

 

maintain a certificate of authority to conduct affairs in this

 

state.

 

     (3) Each continuing care community shall elect or appoint at

 

least 1 member, along with an alternate, to serve in an advisory

 

capacity to its governing body. The member shall be notified in

 

advance of and invited to attend all meetings of the governing

 

body. The member shall not have a vote unless the governing body

 

grants such voting rights. The continuing care community is

 

responsible for expenses incurred by the member representative in

 

fulfilling his or her duties under this section.

 

     Sec. 15. (1) Subject to subsections (3) and (4), a continuing

 

care community shall not offer to enter into or enter into a

 

continuing care agreement unless the continuing care community is

 


registered or exempt from registration under this act.

 

     (2) Subject to subsections (3) and (4), this act applies to

 

all written or oral arrangements between a continuing care

 

community and a member or prospective member in connection with the

 

offer or the sale of a continuing care agreement.

 

     (3) An offer or sale of a continuing care agreement is subject

 

to this act if any of the following apply:

 

     (a) Subject to subsection (4), the offer is made or accepted

 

in this state.

 

     (b) The continuing care community is or will be operated in

 

this state.

 

     (c) The offer originates from this state and is received at

 

the place to which the offer is directed.

 

     (d) The offer is directed by the offeror to this state and is

 

received in this state.

 

     (4) An offer of a continuing care agreement shall not be

 

considered to be made in this state solely because of 1 or more of

 

the following circumstances:

 

     (a) Circulation in this state, by or on behalf of a publisher,

 

of a bona fide newspaper, electronic media, or other publication of

 

general, regular, and paid circulation that has had more than 2/3

 

of its circulation outside this state during the past 12 months.

 

     (b) Reception in this state of a radio or television program

 

originating outside this state.

 

     Sec. 17. (1) The department, by rule or order, may exempt from

 

registration requirements of this act, in whole or in part, a

 

transaction, person, or industry in accordance with this section.

 


     (2) In determining whether an exemption shall be issued, the

 

department shall consider all of the following:

 

     (a) Whether information that would be required to be disclosed

 

in a registration is material in determining whether the continuing

 

care community has a reasonable chance of success.

 

     (b) Whether the exemption is in the public interest.

 

     (3) To obtain an exemption from registration, an entity shall

 

submit to the department a letter requesting an exemption, together

 

with accompanying documentation that does all of the following:

 

     (a) Demonstrates the entity grants each member the right to

 

cancel a continuing care agreement without cause upon 30 days'

 

notice and to receive a full refund of the entire entrance fee paid

 

with no reduction for sale expenses or for the cost of

 

refurbishing.

 

     (b) Demonstrates the entity has no long-term debt, excluding

 

member refund obligations, has adequate reserves for refund and

 

maintenance, and has the ability to meet current obligations and

 

debt service requirements.

 

     (c) Addresses each section or subsection of this act and each

 

rule, if any, that is requested to be waived and each transaction,

 

person, or industry requested to be exempted.

 

     (4) An entity exempted from registration, in whole or in part,

 

shall notify the department, in writing, within 30 days after the

 

occurrence of any reportable change affecting the basis for the

 

exemption.

 

     (5) An entity that is exempted from the registration

 

requirements of this act remains subject to requirements for

 


financial statements as otherwise required under sections 19 and 25

 

and sales and occupancy reports as otherwise required under section

 

49.

 

     (6) A continuing care community that is licensed in whole or

 

part under article 17 of the public health code, 1978 PA 368,

 

333.20101 to 333.22260, or the adult foster care facility licensing

 

act, 1979 PA 218, MCL 400.701 to 400.737, is exempt from any rules

 

promulgated under article 17 of the public health code, 1978 PA

 

368, 333.20101 to 333.22260, or the adult foster care facility

 

licensing act, 1979 PA 218, MCL 400.701 to 400.737, that would

 

interfere with a continuing care community's ongoing delivery of

 

continuing care to a member or the unencumbered movement of a

 

member between areas of a continuing care community subject to

 

different licensure categories.

 

     (7) The relationship between a continuing care community and a

 

current or prospective member is not subject to laws regulating the

 

relationship between a landlord and a current or prospective

 

tenant.

 

     Sec. 19. (1) A continuing care community seeking initial

 

registration under this act shall submit the following information

 

to the department:

 

     (a) An initial registration application on a form prescribed

 

by the department, signed and verified by an individual authorized

 

to act on behalf of the continuing care community.

 

     (b) The organizing documents of the applicant entity, and all

 

amendments thereto, authorizing the entity to conduct business in

 

this state and a copy of the most recent annual report, if required

 


under state law.

 

     (c) A disclosure statement that complies with section 37.

 

     (d) A copy of each form of continuing care agreement for the

 

continuing care community, which shall comply with section 39, and

 

all exhibits or addenda to each form of continuing care agreement.

 

     (e) A copy of any rules, policies, and procedures of the

 

applicant entity required for compliance with this act.

 

     (f) A statement, on a form prescribed by the department, of

 

whether any of the following apply to any executive officer or

 

director identified in the application for registration:

 

     (i) Has been convicted of a felony or been held liable or

 

enjoined in a civil action by final judgment if the felony or civil

 

action involved fraud, embezzlement, fraudulent conversion, or

 

misappropriation of property.

 

     (ii) Is subject to an injunctive or restrictive order or

 

federal or state administrative order relating to business activity

 

or health care as a result of an action brought by a public agency

 

or department, including, without limitation, actions affecting a

 

license to operate a continuing care community, foster care

 

facility, nursing home, retirement home, or home for the aged.

 

The statement shall, if applicable, specify the court or agency,

 

any penalty imposed or damages assessed, and the date of conviction

 

or judgment or the date, nature, and issuer of the order.

 

     (g) The social security numbers of the executive officers of

 

the continuing care community, for purposes of a detailed

 

background check. The department may obtain a credit report on any

 

executive officer. Information under this subdivision must be

 


submitted as a physical copy and is exempt from disclosure under

 

the freedom of information act, 1976 PA 442, MCL 15.231 to 15.246.

 

     (h) An executed irrevocable consent to service of process

 

consistent with section 61, on a form prescribed by the department,

 

unless the applicant entity is organized under the laws of this

 

state.

 

     (i) Financial statements that comply with section 41.

 

     (j) Unless waived by the department, a statement of the use of

 

proceeds of entrance fees to be collected by the continuing care

 

community.

 

     (k) A pro forma financial plan that complies with section 43.

 

     (l) A feasibility study, unless waived in the reasonable

 

discretion of the department. The feasibility study shall be made

 

available for review upon the request of a member or prospective

 

member. The department may require the feasibility study to include

 

1 or more of the following:

 

     (i) A statement of the purpose of the continuing care community

 

and the need for the proposed services.

 

     (ii) Documentation of the financial resources to be made

 

available for the continuing care community.

 

     (iii) A plan demonstrating the financial feasibility of the

 

proposed continuing care community, including future funding

 

sources.

 

     (iv) An actuarial forecast that has been reviewed by a

 

qualified actuary.

 

     (v) A study demonstrating the proposed market for the

 

continuing care community.

 


     (vi) A detailed statement of the continuing care services to be

 

offered.

 

     (m) For a continuing care community seeking to offer

 

continuing care at home, both of the following:

 

     (i) A detailed business plan on how the needs and requirements

 

of the members receiving continuing care at home will be met.

 

     (ii) Agreements showing how and under what circumstances future

 

specialized care, including assisted living, dementia care, and

 

skilled nursing, will be provided when appropriate.

 

     (n) The name and address of the registered office and resident

 

agent required under section 13(2).

 

     (o) Other material information as may reasonably be required

 

by the department.

 

     (p) Other material information as the applicant wishes to

 

include.

 

     (q) The initial registration application fee prescribed by

 

section 31.

 

     (2) An application may request and the department may order

 

that 2 or more retirement communities be registered as a single

 

continuing care community.

 

     (3) The department may consider the opinions, appraisals, and

 

reports of engineers, appraisers, or other experts presented by an

 

applicant or an interested party on a question of fact concerning

 

or affecting the continuing care agreements proposed to be offered

 

and sold.

 

     Sec. 21. (1) If information required under section 19(1)(o) is

 

not furnished by the applicant, or the department considers

 


information submitted under section 19(1)(o) to be unreliable or

 

substantially incomplete, the department may investigate any

 

matters concerning the missing or unreliable information. The

 

applicant shall pay the actual cost of the investigation as

 

determined in the reasonable discretion of the department. The

 

payment shall be deposited in the state treasury to the credit of

 

the department.

 

     (2) Effective 60 days after the department receives a

 

registration application, the application shall be considered to be

 

administratively complete unless the department proceeds as

 

provided in subsection (3).

 

     (3) If, before the expiration of the 60-day period under

 

subsection (2), the department notifies the applicant that the

 

application is not administratively complete, specifying the

 

information necessary to make the application administratively

 

complete, or notifies the applicant that the fee required to

 

accompany the application has not been paid, specifying the amount

 

due, the running of the 60-day period under subsection (2) is

 

tolled until the applicant submits to the department the specified

 

information or fee amount due.

 

     (4) Not more than 180 days after the expiration of the 60-day

 

period under subsections (2) and (3), the department shall enter an

 

order registering the continuing care community or denying the

 

registration and submit a copy of the order to the applicant. If

 

the department denies registration, the order shall specifically

 

describe the deficiencies in the registration application or

 

instances of noncompliance by the applicant with the requirements

 


of this act.

 

     (5) If an order approving or denying registration is not

 

timely entered under subsection (4), the continuing care community

 

shall be considered to be registered by order of the department

 

unless the applicant has consented in writing to a waiver of

 

automatic registration.

 

     Sec. 23. (1) The fact that an application for registration has

 

been filed or approved does not constitute any of the following:

 

     (a) Approval of or a finding regarding the accuracy of any

 

information in or accompanying the registration application.

 

     (b) A recommendation, approval, or other finding by the

 

department concerning the merits or qualifications of a person,

 

life interest, long-term lease, transaction, or continuing care

 

community.

 

     (2) A person shall not make or cause to be made to a

 

prospective member a representation inconsistent with this section.

 

     Sec. 25. (1) A continuing care community registered under this

 

act shall submit an application for registration renewal within 120

 

days after each fiscal year-end unless waived in the reasonable

 

discretion of the department.

 

     (2) A registration renewal application shall be in the form

 

and content prescribed by the department, which shall include at a

 

minimum all of the following:

 

     (a) A registration renewal application form, as prescribed by

 

the department, which shall be signed and verified by the

 

administrator.

 

     (b) The materials described in section 19(1)(b), (c), (d),

 


(e), (f), (i), (k), (n), (o), and (p). The disclosure statement and

 

each form of continuing care agreement for the continuing care

 

community, including all exhibits or addenda, shall be in a format

 

that identifies revisions to the last documents approved by the

 

department.

 

     (c) The materials described in section 19(1)(g), but only to

 

the extent that an executive officer was not previously in that

 

position when the last application, whether an initial or renewal

 

application, was filed.

 

     (d) Unless waived in the reasonable discretion of the

 

department, a feasibility study that complies with requirements

 

under section 19, if any of the following apply:

 

     (i) The applicant proposes the construction of a number of new

 

living units equal to or greater than 25% of the number of existing

 

living units in the continuing care community.

 

     (ii) The applicant proposes new or additional long-term debt

 

for the construction of new living units and a feasibility study is

 

required by the lender for the long-term debt issue.

 

     (e) The registration renewal application fee prescribed by

 

section 31.

 

     Sec. 27. (1) Subject to subsection (2), an application for

 

renewal of a registration shall be processed in the same manner as

 

an initial registration application under section 21.

 

     (2) If, within 60 days after receiving notice from the

 

department under section 21(3), an applicant fails to complete the

 

application or pay the required fee, the department may deny the

 

registration renewal application.

 


     (3) If an applicant files a renewal application under section

 

25, the current registration continues in effect until a new

 

registration renewal order is issued or denied or the department

 

revokes the registration.

 

     (4) If an application for registration renewal is not filed

 

120 days after the continuing care community's fiscal year-end and

 

an extension has not been approved by the department, the

 

department may issue an order requiring the continuing care

 

community to submit an application under section 19 or an order

 

under section 67 revoking the continuing care community's

 

registration.

 

     Sec. 29. (1) The department may extend the term of an existing

 

registration for a continuing care community for not more than 3

 

fiscal years if the department determines that all of the following

 

requirements are met:

 

     (a) The continuing care community was registered under the act

 

during the immediately preceding 5 fiscal years.

 

     (b) The continuing care community meets all of the following

 

financial requirements:

 

     (i) Has not committed a material default in the payment of

 

principal or interest on its indebtedness during the immediately

 

preceding 3 years.

 

     (ii) Has had income or revenues in excess of its expenses in

 

each of the immediately preceding 3 years.

 

     (iii) Has a ratio of current assets to current liabilities of

 

not less than 1:1.

 

     (iv) Has reserves or funds designated for the payment of its

 


indebtedness in an amount equal to or greater than 1 year's debt

 

service.

 

     (c) The continuing care community or any person with joint and

 

several liability is not the subject of any action under sections

 

55 to 63.

 

     (2) Waiver of an application for registration under subsection

 

(1) does not relieve a registered continuing care community from

 

the obligation to submit an amended registration if required under

 

section 27 or the fees required in section 31.

 

     (3) Notwithstanding the waiver of an application for

 

registration renewal under subsection (1), the registrant shall

 

submit, within 120 days after each fiscal year, financial

 

statements for that fiscal year that comply with section 41. The

 

registrant also shall comply with section 49(2).

 

     Sec. 31. (1) The department shall charge and collect the fees

 

required under this act. Fees and charges collected shall be

 

transmitted to the state treasurer as they are received,

 

accompanied by a statement of those fees and charges and shall be

 

credited to the general fund.

 

     (2) The fee for filing an application for initial registration

 

of the offer or sale of continuing care agreements or continuing

 

care at home agreements is $250.00. If an application for

 

registration is withdrawn before the effective date of registration

 

or a stop order is issued before that date, the department shall

 

retain the following:

 

     (a) A fee of $25.00 if the initial review has not been

 

commenced.

 


     (b) The full application fee if the review has commenced.

 

     (3) The fee for filing an application for registration renewal

 

is $100.00.

 

     Sec. 33. (1) A registrant shall notify the department promptly

 

in writing within 45 days of any reportable change with respect to

 

the continuing care community measured semiannually.

 

     (2) A registrant shall submit to the department an application

 

to amend a registration to address reportable changes or to address

 

any proposed revisions to the disclosure statement required under

 

section 19(1)(c) or 25(2)(b) or any form of continuing care

 

agreement previously approved by the department. The disclosure

 

statement and each form of continuing care agreement for the

 

continuing care community, including all exhibits or addenda, shall

 

be in a format that identifies revisions to the last documents

 

approved by the department. If required by the department, the

 

application to amend an application shall include a pro forma

 

financial plan that complies with section 43. The amended

 

registration shall be signed and verified by the administrator and

 

is subject to review and approval by the department within 30 days

 

after its submission. The department may require the production of

 

other financial information reasonably necessary for the purposes

 

of this act.

 

     (3) An amendment to an application filed after the effective

 

date of the registration and approved by the department takes

 

effect on the date determined by the department, having due regard

 

for the public interest and the protection of prospective members.

 

     Sec. 35. (1) A continuing care community shall deliver to a

 


prospective member and all continuing care agreements pertinent to

 

the continuing care sought by the prospective member and the

 

disclosure statement most recently approved by the department under

 

section 21, 27, or 33. The delivery shall be by a method considered

 

acceptable by the continuing care community and the prospective

 

member and shall occur by the earlier of the following:

 

     (a) The continuing care community's acceptance of a

 

nonrefundable application fee from the prospective member, unless

 

all of the following apply:

 

     (i) The application fee does not exceed $500.00.

 

     (ii) The availability of a disclosure statement is disclosed in

 

writing to the prospective member.

 

     (iii) A disclosure statement is made available to the

 

prospective member upon request.

 

     (b) The prospective member's payment of at least 10% of the

 

total entrance fee to reserve a unit.

 

     (2) Upon execution of the continuing care agreement and

 

payment of the full entrance fee amount, the continuing care

 

community shall provide the member with a physical copy of the

 

disclosure statement and executed continuing care agreement.

 

     (3) A continuing care community shall make a feasibility study

 

required under section 19 available for review by a member or

 

prospective member upon request.

 

     Sec. 37. (1) Subject to subsection (3), a disclosure statement

 

required under this act shall include at a minimum the following,

 

unless waived by the department in the reasonable exercise of

 

discretion:

 


     (a) The name and address of the continuing care community and

 

its affiliated parent or subsidiary business entity or partnership.

 

     (b) Information concerning organization of the legal entity of

 

the continuing care community as prescribed by the department.

 

     (c) A statement of whether or not the continuing care

 

community or an affiliate, parent, or subsidiary is a religious,

 

nonprofit, or proprietary organization. If the continuing care

 

community uses a name designating or inferring a religious

 

affiliation, a statement explaining the relationship with the

 

religious organization or group or a statement that there is no

 

relationship shall be included.

 

     (d) Information concerning the identity and experience of

 

persons affiliated with the continuing care community as the

 

department shall prescribe.

 

     (e) Whether the continuing care community participates in

 

medicare or medicaid programs, or both.

 

     (f) If the department has waived the submission of audited

 

financial statements pursuant to section 41, a statement that an

 

individual who purchases membership in a continuing care community

 

during that period is entitled to damages or rescission under the

 

same terms as provided in section 81 if, upon the availability of

 

audited financial statements or any other valid basis, the

 

department finds in the reasonable exercise of its discretion that

 

material adverse financial conditions existed as of the date of the

 

financial statements which were not disclosed.

 

     (g) A statement that registration does not constitute approval

 

of or a finding regarding the accuracy of any information in or

 


accompanying the registration application.

 

     (h) A statement of all fees required of members, including a

 

statement of the entrance fee, any monthly services fees and other

 

fees or charges that may be assessed to a member or prospective

 

member by the continuing care community.

 

     (i) A statement that if a member dies before occupying the

 

continuing care community, or through illness, injury, or

 

incapacity would be precluded from being a resident under the terms

 

of the lease, the continuing care agreement is automatically

 

canceled and the member or a legal representative of the member

 

shall receive a full refund of all money paid to the continuing

 

care community. Those costs incurred by the continuing care

 

community at the request of the member and set forth in writing in

 

a separate addendum are not required to be refunded.

 

     (j) A statement that monthly service fees and other fees

 

assessed to a member are subject to increase by the continuing care

 

community based on the reasonable cost of operations including the

 

provision of care and services, and that the continuing care

 

community shall give advance notice of not less than 60 days to

 

each member before a change or increase in fees becomes effective.

 

     (k) A statement that members may be charged assessments and a

 

statement of the method used to allocate any assessment.

 

     (l) A statement that the continuing care agreement is subject

 

and subordinate to any mortgages on the property or any other

 

creditors with a preferred status.

 

     (m) A statement as to whether entrance fees are subject to an

 

escrow or other arrangement under section 43, including a

 


description of any applicable arrangement.

 

     (n) A statement of the proposed application of the proceeds of

 

the entrance fee by the continuing care community.

 

     (o) A statement of the location and description of any

 

physical property that is essential for and used or proposed to be

 

used for the provision of continuing care.

 

     (p) A statement describing the continuing care services

 

provided and the extent to which medical care is furnished.

 

     (q) A statement describing the health and financial conditions

 

required for a member to qualify for or to remain in the continuing

 

care community, including temporary or permanent transfer of the

 

member from his or her original living unit to a different type of

 

living unit or different level of care or services, and whether a

 

temporary or permanent transfer may result in termination of the

 

continuing care agreement.

 

     (r) A statement that a member may rescind without penalty a

 

continuing care agreement within 7 days after executing the

 

agreement and that the entrance fee or the portion of the entrance

 

fee paid by the member shall be held by the continuing care

 

community for the benefit of the member in a separate escrow

 

account during that 7-day rescission period. A member shall not be

 

required to initiate continuing care before the expiration of the

 

7-day rescission period. Death of a member within the 7-day

 

rescission period automatically terminates the continuing care

 

agreement, and the continuing care community shall within 30 days

 

refund any entrance fee or portion of an entrance fee paid.

 

     (s) A statement that following the 7-day rescission period

 


under subdivision (r), termination of a continuing care agreement,

 

whether by the member or, as provided in subdivision (u), as a

 

result of a member's death, will result in a refund of the entrance

 

fee within 30 days after the fulfillment of the conditions for a

 

refund set forth in the continuing care agreement. If the

 

continuing care agreement is for continuing care at home, the

 

refund shall be paid within 60 days after termination.

 

     (t) A statement that the refundable portion of the entrance

 

fee is equal to the total entrance fee paid less all of the

 

following:

 

     (i) The nonrefundable portion of the entrance fee.

 

     (ii) A sales cost in conjunction with the continuing care

 

agreement, not to exceed 8% of the entrance fee.

 

     (iii) A refurbishing fee that is the greater of 4% of the

 

entrance fee or the actual costs of refurbishing the living unit if

 

actual costs are known at the time of the refund and if an itemized

 

list of actual costs is provided to the member.

 

     (u) A statement that upon the death of a member, the

 

continuing care agreement shall terminate as follows:

 

     (i) As of the date that all possessions of the deceased member

 

are removed from the unit if the deceased member was the sole

 

occupant.

 

     (ii) Immediately if the deceased member occupied a living unit

 

with another member. Any refundable portion of the second person's

 

entrance fee shall be refunded within 60 days after the death of

 

the first member, but the continuing care agreement shall remain in

 

effect for the living member.

 


     (v) A detailed description of how the entrance fee refund is

 

affected if a member moves from his or her original living unit to

 

a different living unit.

 

     (w) A statement as to whether the continuing care agreement

 

terminates so that a refund of the entrance fee is due if a member

 

permanently or temporarily transfers to a different level of care

 

within the continuing care community.

 

     (x) A statement setting forth the conditions upon which a

 

member may reoccupy the member's living unit after termination of

 

the continuing care agreement.

 

     (y) A statement of the fees that will be charged if a member

 

of the continuing care community marries, the terms and conditions

 

as to membership in the continuing care community by the new spouse

 

of a member or in the event of the divorce of a member, and the

 

consequences if the new spouse does not meet the requirements for

 

membership.

 

     (z) A statement describing the circumstances under which a

 

person will be permitted to remain a member of the continuing care

 

community in the event of possible financial difficulties of the

 

member. The disclosure statement shall also specify whether, if

 

financial assistance is provided to the member either through a

 

charitable fund, spend down of the entrance fee otherwise required

 

for continued membership, reduction of monthly service fees or

 

other fees assessed under the continuing care agreement or under

 

some other arrangement, the financial assistance will either:

 

     (i) Be offset from the entrance fee refund due to the member or

 

the member's estate upon termination of the continuing care

 


agreement and upon removal of all possessions of the member or

 

deceased member from the unit.

 

     (ii) Vest in the continuing care community in the form of a

 

claim for repayment of such financial assistance against the member

 

or the member's estate.

 

     (aa) Other material information as required by the department.

 

     (bb) Other material information that the applicant or

 

registrant wishes to include.

 

     (cc) The following items must be included in the beginning of

 

the disclosure statement in all capital letters and in

 

substantially the following language:

 

     (i) "You may cancel the purchase and receive a full refund

 

within 7 days after either making a deposit and receiving a copy of

 

the disclosure statement or executing the continuing care

 

agreement. You are not required to move into the continuing care

 

community before the expiration of this 7-day period.".

 

     (ii) "The purchase of a life interest or long-term lease is an

 

investment that may involve a high degree of risk, and you should

 

seek advice from an attorney or other financial advisor who is

 

independent of the continuing care community.".

 

     (iii) "This disclosure statement is required by law to contain

 

all material facts regarding the offering it makes. No person is

 

authorized to make any promises in connection with this offering

 

other than those contained in this disclosure statement.".

 

     (iv) "The department of insurance and financial services (DIFS)

 

has not passed upon the accuracy of this disclosure statement or

 

approved or disapproved of the offering described herein. Any

 


representation to the contrary is unlawful and should be reported

 

to the department.".

 

     (v) "If you enter into a life interest or long-term lease

 

during the period when financial statements submitted by the

 

continuing care community to the department of insurance and

 

financial services are unaudited, you are entitled to damages or

 

rescission if the department finds in the reasonable exercise of

 

its discretion that material adverse conditions existed at the date

 

of the financial statements and were not disclosed.".

 

     (vi) "More complete information is on file with DIFS and is

 

available free of charge at the offices of the continuing care

 

community.".

 

     (2) Subject to subsection (3), a disclosure statement shall be

 

set forth in not less than 12-point type. The department may

 

prescribe the format of a disclosure statement or require a

 

registrant or applicant to set forth in its disclosure statement

 

potential adverse information in a position and in a type size

 

specified by the department.

 

     (3) The department may accept, in place of the disclosure

 

statement that meets the requirements set forth in subsections (1)

 

and (2), a disclosure statement form required by a federal

 

government agency or a government agency of another state that the

 

department has determined by rule or order to meet the requirements

 

of this section.

 

     Sec. 39. A continuing care agreement shall meet all of the

 

following requirements:

 

     (a) Specify in reasonable detail the rights, privileges,

 


liabilities, and obligations of each party to the continuing care

 

agreement with respect to the statements required in the disclosure

 

statement under section 37(1)(h) to (bb).

 

     (b) Specify whether a continuing care agreement may be

 

terminated due to a material breach by either party and if so, what

 

constitutes a material breach.

 

     (c) Specify that the continuing care community may provide

 

access to an adequate alternative facility that will provide care

 

for the member, in place of or in mitigation of any damages.

 

     (d) Specify that the continuing care community will not

 

terminate a member without 30 days' written notice unless the

 

continuing care community provides access to an adequate

 

alternative facility.

 

     (e) Each continuing care agreement shall be set forth in not

 

less than 12-point type. The department may prescribe the format of

 

a continuing care agreement or require a continuing care community

 

to set forth in a continuing care agreement potential adverse

 

information in designated positions and in a type size specified by

 

the department.

 

     Sec. 41. (1) Financial statements under section 17, 19, or 25

 

shall meet all of the following requirements:

 

     (a) Be submitted with a statement of any adverse material

 

changes in the financial condition of the entity from the date of

 

the financial statement.

 

     (b) Be an attachment to, and integral part of, the disclosure

 

statement.

 

     (c) Subject to subdivision (d), be of form and content

 


required by the department.

 

     (d) Not be consolidated financial statements except under

 

circumstances prescribed by the department. Requirements imposed by

 

the department under subdivision (c) or this subdivision shall be

 

consistent with generally accepted accounting principles or other

 

nationally recognized accounting standards applicable to the

 

applicant.

 

     (e) Be submitted within 120 days after the fiscal year-end.

 

     (f) Be audited and prepared by an independent certified public

 

accountant in accordance with generally accepted auditing

 

standards, subject to all of the following:

 

     (i) Unaudited financial statements may be submitted if the

 

applicant has not been in existence for 1 complete fiscal year.

 

     (ii) The department may waive this requirement if it is not

 

necessary for the protection of the public. The department may

 

impose conditions and restrictions on the waiver that it considers

 

appropriate.

 

     (iii) Unaudited financial statements shall be accompanied by the

 

following written disclosure, or a substantially equivalent

 

statement, immediately adjacent thereto, in all capital letters and

 

at least 14-point type:

 

     "These financial statements are prepared without audit. A

 

certified public accountant has not examined the financial

 

statements and accordingly has expressed no opinion on them.".

 

     (iv) If the audited financial statements are more than 120 days

 

old, they shall be submitted with current unaudited financial

 

statements.

 


     (2) Audited financial statements filed with the department

 

shall include a consent of the certified public accounting firm,

 

signed and dated at or near the effective date of the registration

 

order, approving the use of its name and its opinion in the

 

disclosure statements required under section 19(1)(c) or 25(2)(b)

 

and registration application. In the case of a substantial delay in

 

effectiveness or an adverse material change in the filing, the

 

department may require an updated consent.

 

     (3) If the independent certified public accountant engaged as

 

the principal accountant to audit the continuing care community's

 

financial statements was not the principal accountant for the

 

continuing care community's most recently filed audited financial

 

statements, or a legal successor thereto, then all of the following

 

apply:

 

     (a) The continuing care community shall furnish the department

 

with a statement of the date when the current independent

 

accounting firm was engaged and whether, in the 78 weeks preceding

 

the engagement, there were any disagreements with the former

 

principal accounting firm in a matter of accounting principles or

 

practices, financial statement disclosure, or accounting procedure

 

which, if not resolved to the satisfaction of the former accounting

 

firm, would have required a reference, in the accounting firm's

 

opinion, to the subject matter of the disagreement.

 

     (b) The continuing care community shall request the former

 

accounting firm to furnish the continuing care community with a

 

letter stating whether it agrees with the statement of the

 

continuing care community under subdivision (a) and, if not,

 


stating why it does not agree. The letter shall be furnished by the

 

continuing care community to the department.

 

     (4) If an entity owns multiple continuing care communities or

 

if the organization has 1 or more affiliates, the department may

 

require additional financial information for each continuing care

 

community or affiliate but shall not require any audited financial

 

statements other than the consolidated financial statements of the

 

entity.

 

     (5) The department may require a continuing care community to

 

deposit with an escrow agent acceptable to the department an amount

 

the department considers necessary for the continuing care

 

community to fulfill its obligations or may require the continuing

 

care community to furnish a surety bond or guaranty as approved by

 

the department if both of the following apply:

 

     (a) One or more of the following apply:

 

     (i) The department determines in the reasonable exercise of its

 

discretion that the financial condition of the continuing care

 

community may materially jeopardize the care of current or

 

prospective members.

 

     (ii) The department determines that the continuing care

 

community is insolvent.

 

     (iii) The department determines that the continuing care

 

community is in jeopardy of becoming insolvent.

 

     (b) That the requirement is necessary and appropriate to

 

protect current or prospective members.

 

     Sec. 43. (1) A pro forma financial plan shall include a

 

financial forecast for a period of 3 years on the same basis that

 


the financial statements are presented, including the following:

 

     (a) A balance sheet.

 

     (b) A statement of changes and activities or statement of

 

operations.

 

     (c) A statement of cash flow.

 

     (d) Expected cash proceeds from sales of continuing care

 

agreements based on projected occupancy and attrition rates.

 

     (e) Expected cash proceeds from monthly service fees,

 

donations, interest, and entrance fees.

 

     (f) Amount of reserves expected to be provided for capital

 

replacement, improvements, maintenance, refunds, and other

 

expenses.

 

     (g) A statement of assumptions and principles used to make the

 

forecast.

 

     (2) The department may require a continuing care community to

 

deposit entrance fees with an escrow agent pursuant to section 45

 

or to establish an alternative financial arrangement pursuant to

 

section 47 as approved by the department and as necessary and

 

appropriate to protect current or prospective members.

 

     Sec. 45. (1) If a member pays funds to a continuing care

 

community before occupancy, the funds shall be held in a trust

 

account unless this requirement is waived or modified by the

 

department. Any interest or other income from the investment of the

 

funds held in the trust account shall accrue to the benefit of the

 

member. The department may, by rule or order, determine the

 

conditions of the trust account. Funds placed with a continuing

 

care community for continuing care at home are not subject to the

 


requirements of this subsection.

 

     (2) The department may require a deposit with an escrow agent

 

acceptable to the department of an amount the department considers

 

necessary for the continuing care community to fulfill its

 

obligations if both of the following apply:

 

     (a) The department finds 1 or more of the following:

 

     (i) The financial condition of the continuing care community

 

may materially jeopardize the care of members.

 

     (ii) The continuing care community is insolvent or in jeopardy

 

of becoming insolvent.

 

     (iii) The continuing care community is not meeting its pro forma

 

financial plan.

 

     (b) The department determines the escrow to be necessary and

 

appropriate to protect prospective members.

 

     (3) In addition to an escrow imposed by the department under

 

subsection (2), the department may summarily order the temporary

 

suspension of a continuing care community's approval to offer

 

continuing care agreements pending a hearing under section 67. The

 

department may direct the escrow agent to return all the escrowed

 

funds to the members if any of the following apply:

 

     (a) The department finds that any condition of an escrow

 

agreement has not been satisfied or that any provision of this act

 

or rules promulgated under this act has not been complied with.

 

     (b) The registration or exemption of the continuing care

 

community is revoked.

 

     (4) An escrow agreement required under this section shall

 

comply with all of the following:

 


     (a) Be executed by the escrow agent and continuing care

 

community.

 

     (b) State that its purpose is to protect the members, that the

 

escrow is for the benefit of each member in the amount paid by each

 

member, and that all funds subject to the escrow shall be

 

deposited, held, or guaranteed under the arrangement to remain the

 

property of the respective members for whose account the proceeds

 

were deposited and not subject to any liens or charges by the

 

escrow agent or to judgments, garnishments, or creditor's claims

 

against the continuing care community until the funds are released

 

pursuant to this section.

 

     (c) State that the department is authorized to inspect the

 

records of the escrow agent relating to the escrow account.

 

     (d) State that, upon order of the department or a court of

 

competent jurisdiction, the escrow agent shall release and pay over

 

the funds, or a portion thereof, to the continuing care community

 

or member as ordered.

 

     (e) Include on its face an acknowledgment executed by the

 

department indicating approval of the form and content of the

 

escrow agreement. The acknowledgment does not make the department a

 

party to the escrow agreement.

 

     (5) An escrow account under this section shall comply with all

 

of the following:

 

     (a) Checks shall be made payable to the depository approved by

 

the department.

 

     (b) The account shall be established with an escrow agent

 

acceptable to the department and the funds shall be kept and

 


maintained in an account separate and apart from any depository

 

account of the continuing care community.

 

     (c) All proceeds deposited in escrow remain the property of

 

the respective members for whose account the proceeds were

 

deposited and are not subject to a lien or charge by the escrow

 

agent or to a judgment, garnishment, or creditor's claim against

 

the continuing care community until the funds are released to the

 

continuing care community as provided in this section.

 

     (d) If required by the department, a quarterly statement

 

indicating the status of the escrow account shall be furnished by

 

the escrow agent to the department.

 

     (6) After submission of a request for release of funds

 

pursuant to subsection (7), the department may approve release to

 

the continuing care community of funds held in escrow pursuant to

 

subsection (2). However, the continuing care community shall not

 

change the methodology for calculating a release of funds except as

 

approved by the department. Funds shall be released in the

 

following amounts:

 

     (a) An amount up to 75% of the funds as a result of occupancy

 

of at least 75% of living units in the continuing care community.

 

The continuing care community may request release of an additional

 

5% of the funds in proportion to each 5-percentage-point increase

 

in occupancy. Upon achieving 90% occupancy of living units, the

 

continuing care community may request and the department may

 

authorize release of all the funds. For purposes of this

 

subsection, occupancy shall be measured by the total number of

 

living units of the entire continuing care community designated for

 


occupancy under continuing care agreements.

 

     (b) An amount equal to 1-1/2% per month of the total entrance

 

fees escrowed that are fully amortized and earned by the continuing

 

care community, with amortization beginning as of the date of

 

occupancy of a living unit by the member. Upon achieving 90%

 

occupancy of living units, the continuing care community may

 

request and the department may approve release of all funds subject

 

to the escrow arrangement.

 

     (7) A request for release of escrow funds or for the

 

discontinuance or modification of an escrow arrangement shall be

 

submitted by the administrator and shall include the following

 

documentation, unless the documentation was previously provided in

 

the most recent registration application or unless waived or

 

modified, in whole or in part, by the department in the reasonable

 

exercise of its discretion:

 

     (a) The methodology under subsection (6) for calculating the

 

amount of funds to be released and supporting documentation.

 

     (b) A statement by the continuing care community that the

 

funds were placed in escrow as required by an order of the

 

department imposing the escrow arrangement and pursuant to the

 

terms and conditions of the escrow agreement.

 

     (c) A statement by the continuing care community that it has

 

satisfied all obligations for release of funds from escrow.

 

     (d) If required by the department, a statement by the escrow

 

agent, signed by an appropriate officer, setting forth the

 

aggregate amount of escrowed funds placed with the escrow agent.

 

     (e) The name of each member and the amount held in escrow for

 


the account of the member.

 

     (f) A pro forma financial plan.

 

     (g) Documentation evidencing availability of adequate

 

resources to fund the continuing care community's capital

 

expenditures, debt service, refund of entrance fees, operating

 

costs, continuing care community maintenance, and other costs and

 

expenses projected for not less than 3 years.

 

     (h) Audited financial statements for the continuing care

 

community's most recent 4 fiscal years and financial statements for

 

any portion of the current fiscal year ending within 120 days after

 

the date of filing.

 

     (i) Commitments for construction and permanent loan financing

 

together with a copy of an adequate construction bond.

 

     (j) Irrevocable lines or letters of credit, other irrevocable

 

instruments of credit, confirmations of deposits of proceeds of

 

sales of securities, leases, or evidences of any other valid

 

commitments or income.

 

     (k) Assumptions and the basis of schedules for attrition

 

rates, occupancy rates, refund of entrance fees, debt service,

 

operating expenses, and operating income.

 

     (l) A commitment to notify the department promptly in writing

 

of a material change in the information submitted under this

 

subsection.

 

     (8) An order issued by the department approving the release of

 

escrow funds, in whole or in part, or for modification or

 

discontinuance of an escrow arrangement imposed pursuant to

 

subsection (2), shall include authorization for the escrow agent to

 


release to the continuing care community those amounts of the

 

escrowed funds applicable to a specified member as stated in the

 

order.

 

     Sec. 47. (1) In lieu of an escrow arrangement imposed pursuant

 

to section 45(2), the department may approve an alternative

 

financial arrangement that separates or secures a designated amount

 

of funds of the continuing care community for the benefit of

 

members of the continuing care community or provides for the

 

payment of funds on behalf of members through a surety bond,

 

irrevocable letter of credit, trust account, guarantee, or other

 

acceptable financing method or arrangement approved by the

 

department. Documentation establishing an alternative financial

 

arrangement shall be approved by the department and shall name the

 

department as a party or third party beneficiary of the alternative

 

financial arrangement to act on behalf of the members of the

 

continuing care community.

 

     (2) An alternative financial arrangement approved pursuant to

 

this section shall comply with all of the following requirements:

 

     (a) Be established pursuant to 1 or more written agreements

 

approved by the department between the continuing care community

 

and a reputable financial institution, escrow agent, surety,

 

lender, guarantor, or other entity, which may include an affiliate

 

of the continuing care community, authorized to transact business

 

in this state.

 

     (b) State that the purpose of the arrangement is to protect

 

members of the continuing care community from the inability of the

 

continuing care community to refund entrance fees when due.

 


     (c) Be in an amount that is at least equal to the total

 

entrance fees that would be collected for the continuing care

 

community and that allows the continuing care community to fulfill

 

its obligations to members consistent with the purpose for

 

imposition of the arrangement.

 

     (d) Require that all proceeds deposited, held, or guaranteed

 

under the arrangement remain the property of the respective members

 

for whose account the proceeds were deposited and are not subject

 

to any liens or charges by the escrow agent or to judgments,

 

garnishments, or creditor's claims against the continuing care

 

community until the proceeds are released pursuant to this section.

 

     (e) Provide that, upon order of the department or a court of

 

competent jurisdiction, the appropriate amount of funds described

 

in this section shall be released and paid to the continuing care

 

community or member as ordered.

 

     (f) Require that quarterly balance statements be provided to

 

the department directly from the escrow agent, financial

 

institution, or other entity with custody of the funds and

 

authorize the department to inspect the records pertinent to the

 

arrangement.

 

     (g) Comply with such other terms or conditions imposed by the

 

department by rule or order.

 

     (3) The department shall take into consideration the amount of

 

the entrance fees and other fees to be charged in addition to the

 

number of continuing care agreements to be offered, granted, or

 

sold in determining the initial amount of the alternative financial

 

arrangement and shall amend the amount of the alternative financial

 


arrangement, as the public interest requires, using the same

 

factors.

 

     (4) If a continuing care community fails to complete its

 

obligations under a continuing care agreement, the financial

 

institution that is a party to the alternative financial

 

arrangement with the continuing care community shall, upon order of

 

the department, pay funds to the department or its designee for the

 

benefit of all members.

 

     (5) If an instrument comprising an alternative financial

 

arrangement expires or is canceled and the continuing care

 

community is still under an obligation to provide certain items

 

under the continuing care agreement, the continuing care community,

 

at its option, may either post a surety bond or guaranty or have an

 

escrow of entrance and other fees imposed by the department. Until

 

a surety bond or guaranty acceptable to the department is purchased

 

or escrow is imposed, the continuing care community shall not enter

 

into any additional continuing care agreements. An alternative

 

financial arrangement approved under this section may be released

 

in whole or in part by order of the department, subject to the

 

requirements for release of escrow funds pursuant to section 45.

 

     Sec. 49. (1) A registered continuing care community shall

 

prepare and maintain for not less than 6 years all of the following

 

records:

 

     (a) Accounts and records of each day's sales of memberships in

 

the continuing care community, receipts of cash, and other debits

 

and credits.

 

     (b) Copies of contracts, including continuing care agreements,

 


management contracts for any material component of operations,

 

contracts for construction of buildings or other structures used to

 

provide continuing care, and contracts with affiliated persons

 

related to any material component of operations.

 

     (c) Records of compensation paid to persons, directly or

 

indirectly, in connection with the offer or sale of continuing care

 

agreements. These records shall include all the following

 

information:

 

     (i) The persons to whom payments are made.

 

     (ii) The date and amount of each payment.

 

     (iii) The reason for each payment.

 

     (iv) The transaction from which each payment arose.

 

     (d) Member records of all of the following:

 

     (i) Each member's name, address, and age.

 

     (ii) The total amount paid to date by each member and the dates

 

on which the payments were made.

 

     (iii) The aggregate amount to be paid by each member.

 

     (iv) The terms of payment.

 

     (e) Complaint records of all of the following:

 

     (i) Each written complaint by a member alleging violations of

 

this act or rules promulgated under this act.

 

     (ii) The date of the complaint.

 

     (iii) Any action taken by the continuing care community in

 

response to the complaint.

 

     (2) Not more than 30 days after the end of each fiscal year

 

quarter, or such later date as may be authorized by the department,

 

a registered continuing care community shall submit the following

 


to the department, unless waived by the department:

 

     (a) A quarterly report setting forth the continuing care

 

community's sales executed by new members and the proceeds derived

 

from the collection of entrance fees from such members.

 

     (b) A quarterly occupancy report stating the percentage of

 

occupancy of living units in a continuing care community, the

 

number of occupants who have continuing care agreements, and the

 

number of members who have died or moved out of the continuing care

 

community since the last occupancy report was submitted.

 

     (3) If required by the department in the reasonable exercise

 

of its discretion, a registered continuing care community shall

 

submit to the department a report that compares any increases in

 

monthly service fees to the annual consumer price index - all urban

 

consumers, over 5 preceding calendar years. This report shall be

 

submitted no later than February 1 following the end of each 5-year

 

period. The first 5-year period begins January 1 after the

 

effective date of this act.

 

     (4) The records required by this section are subject to

 

reasonable examination by a representative of the department,

 

within or outside of this state.

 

     Sec. 51. (1) A person shall not distribute or transmit an

 

advertisement or marketing communication unless a true copy of the

 

advertisement or marketing communication has been submitted to and

 

approved by the department or unless an advertising waiver has been

 

approved by the department.

 

     (2) The department shall approve or reject in writing any

 

advertisement or marketing communication proposed to be used by a

 


continuing care community within 10 days after the date it is

 

received. If a written approval or rejection is not issued by the

 

department with respect to an advertisement or marketing

 

communication within 10 days after the date of receipt, the

 

advertisement or marketing communication shall be considered

 

approved unless the continuing care community has consented in

 

writing to a delay or the advertising or marketing communication

 

contains any of the following information:

 

     (a) An entrance fee.

 

     (b) A monthly service fee.

 

     (c) A disclosure statement as required under section 19(1)(c)

 

or 25(2)(b).

 

     (d) A continuing care agreement.

 

     (3) To obtain an advertising waiver, a continuing care

 

community shall submit to the department a written request that

 

includes the reasons why the waiver should be approved. The

 

department shall grant or deny a waiver request in writing within

 

30 days after receipt. If the waiver is granted, the waiver shall

 

specify its expiration date, if any.

 

     (4) This act does not impose liability, civil or criminal,

 

upon a person regularly engaged in the business of publishing a

 

bona fide newspaper or operating a radio or television station, and

 

acting solely in the person's official capacity, who publishes an

 

advertisement or marketing communication in good faith and without

 

knowledge that the advertisement or marketing communication

 

constitutes a violation of this act.

 

     (5) A continuing care community shall maintain advertising or

 


marketing communications for not less than 3 years in physical copy

 

or electronic format and make these records available to the

 

department upon written request.

 

     Sec. 53. (1) A sales agent shall not do any of the following:

 

     (a) Offer or sell a continuing care agreement unless the

 

continuing care community is registered or exempt from registration

 

under this act.

 

     (b) Engage in the offer or sale of life interests or long-term

 

leases for more than 1 principal.

 

     (c) Execute sales contracts of life interests or long-term

 

leases or collect funds pertaining to such sales contracts unless

 

the sales agent has written authorization from the continuing care

 

community.

 

     (2) A person shall not act as a sales agent if the person has

 

done any of the following:

 

     (a) Employed, in connection with the purchase or sale of a

 

life interest or long-term lease, a device, scheme, or artifice to

 

defraud.

 

     (b) Violated this act or a rule promulgated or order issued

 

under this act.

 

     (c) Engaged in unfair, unconscionable, or deceptive business

 

practices. Such practices include recommending the purchase of a

 

life interest or long-term lease without reasonable grounds to

 

believe that the recommendation is suitable for the individual on

 

the basis of information furnished by the individual after such

 

reasonable inquiry as may be necessary under the circumstances.

 

     (d) Been convicted of a misdemeanor involving deceit and has

 


not been convicted of any felony.

 

     (e) Been the subject of an administrative order of a state or

 

federal agency relating to, or been permanently or temporarily

 

enjoined by a court of competent jurisdiction from engaging in or

 

continuing, any conduct or practice involving any aspect of the

 

securities, franchise, real estate, banking, or insurance business.

 

     (f) Been the subject of an order of a state, federal, or self-

 

regulatory agency denying, suspending, or revoking registration as

 

a broker-dealer, agent, investment adviser, or franchise agent or

 

any other similar registration.

 

     (3) The department may, by order and in the reasonable

 

exercise of its discretion, waive any of the criteria specified in

 

subsection (1) or (2) and allow a person to participate in the

 

offer or sale of a life interest or long-term lease as a sales

 

agent.

 

     Sec. 55. (1) A person shall not, in connection with the offer

 

or sale of a continuing care agreement, directly or indirectly do

 

any of the following:

 

     (a) Employ a device, scheme, or artifice to defraud.

 

     (b) Engage in an act, practice, or course of business which

 

operates or would operate as a fraud or deceit.

 

     (c) Make an untrue statement of a material fact or fail to

 

state a material fact necessary in order to make the statements

 

made not misleading, in the light of the circumstances under which

 

they are made, including an untrue statement of a material fact or

 

failure to state a material fact in any application, notice, or

 

report filed with the department under this act.

 


     (d) Fail to notify the department of a reportable change as

 

required by section 33.

 

     (e) Publish any advertisement or marketing communication that

 

contains false, fraudulent, misleading, or deceptive information.

 

     (2) Each of the following practices constitutes a false,

 

fraudulent, misleading, or deceptive advertising or marketing

 

communication for purposes of subsection (1)(e):

 

     (a) A statement or inference that the purchase of a membership

 

in a continuing care community is a safe investment.

 

     (b) A statement or inference that a continuing care community

 

is affiliated with a religious, nonprofit, or proprietary

 

organization if it is not so affiliated.

 

     (c) A material misrepresentation of services, care, or

 

amenities, provided or to be provided by a continuing care

 

community.

 

     Sec. 57. If a member becomes mentally or physically

 

incapacitated and is unable to handle his or her own personal or

 

financial affairs, the continuing care community may petition a

 

court of competent jurisdiction to appoint an independent

 

conservator or guardian. If the court approves the petition as well

 

as the costs associated with the petition, the continuing care

 

community may charge these costs to the member.

 

     Sec. 59. (1) A dispute, claim, or grievance arising between a

 

member or a member's estate and a continuing care community shall

 

upon written consent of the parties be submitted to arbitration.

 

The arbitrator's decision is final and binding. The arbitration is

 

subject to the rules of the American arbitration association in

 


effect at the time of the dispute, claim, or grievance.

 

     (2) A condition, stipulation, or provision purporting to bind

 

a member to waive compliance with any provision of this act or a

 

rule promulgated or order issued under this act is void.

 

     Sec. 61. (1) An applicant for registration under this act,

 

other than a domestic corporation, shall file with the department,

 

in a form prescribed by the department, an irrevocable consent

 

appointing the department to be its attorney to receive service of

 

lawful process in a noncriminal action or proceeding against it or

 

its successor, executor, or administrator that arises under this

 

act or a rule promulgated or order issued under this act after the

 

consent has been filed. After the filing of the consent, process

 

received by the department has the same force and validity as if

 

served personally on the person filing consent.

 

     (2) Service under subsection (1) may be made by leaving a copy

 

of the process in the office of the department but it is not

 

effective unless all of the following requirements are met:

 

     (a) The plaintiff, who may be the department in an action or

 

proceeding instituted by it, immediately sends notice of the

 

service and a copy of the process by certified mail to the

 

defendant or respondent at its last address on file with the

 

department.

 

     (b) The plaintiff's affidavit of compliance is filed in the

 

action, on or before the return day of the process, if any, or

 

within such further time as the court may allow.

 

     (3) When a person, including a nonresident of this state,

 

engages in conduct prohibited or made actionable by this act or a

 


rule promulgated or order issued under this act, whether or not a

 

consent to service of process has been filed and personal

 

jurisdiction can otherwise be obtained in this state, that conduct

 

shall be considered equivalent to the appointment of the department

 

to be the attorney to receive service of a lawful process in a

 

civil action or proceeding against the person or a successor,

 

executor, or administrator arising out of that conduct and which is

 

brought under this act or a rule promulgated or order issued under

 

this act, with the same force and validity as if served on the

 

person personally.

 

     (4) Service under subsection (3) may be made by leaving a copy

 

of the process in the office of the department, but it is not

 

effective unless all of the following requirements are met:

 

     (a) The plaintiff, which may be the department in an action or

 

proceeding instituted by it, immediately sends notice of the

 

service and a copy of the process by certified mail to the

 

defendant or respondent at its last known address or takes other

 

steps that are reasonably calculated to give actual notice.

 

     (b) The plaintiff's affidavit of compliance with this section

 

is filed in the case on or before the return day of the process, if

 

any, or within such further time as the court allows.

 

     Sec. 63. (1) The department may conduct investigations within

 

or outside this state to determine if any of the following apply:

 

     (a) An offering of a continuing care agreement under this act

 

poses or may pose an unreasonable risk as described in subsection

 

(3).

 

     (b) A person has violated or is about to violate this act or a

 


rule promulgated or order issued under this act.

 

     (2) The department may require or permit a person to file a

 

written statement under oath or otherwise as to all the facts and

 

circumstances concerning the matter to be investigated under

 

subsection (1). If the person fails to reply with all required

 

information to a written request from the department within 15 days

 

after receipt of the letter, the department may issue a cease and

 

desist order.

 

     (3) The department may determine that an offering creates an

 

unreasonable risk to prospective or current members under this act

 

if any of the following apply:

 

     (a) The officers or directors of a continuing care community

 

have received, or will receive, unreasonable compensation. The

 

following compensation is reasonable:

 

     (i) Compensation specifically approved by an appropriate state

 

or federal agency.

 

     (ii) Compensation which corresponds to compensation received by

 

those performing the same or similar tasks in continuing care

 

communities of a comparable size or situation and proportionate to

 

the amount of services provided.

 

     (b) Management companies, consultants, or their affiliates

 

have received, or will receive, unreasonable compensation with

 

respect to the offering. Compensation is reasonable if specifically

 

approved by an appropriate state or federal agency, or if the

 

compensation corresponds to that received by individuals performing

 

the same or similar services in relation to continuing care

 

communities of a comparable size or situation. A representation by

 


the continuing care community that the compensation is reasonable

 

creates a rebuttable presumption that the compensation is

 

reasonable.

 

     (c) The offering provides for compensation to officers,

 

directors, or persons affiliated with them for goods or services

 

other than in the normal course of employment with the continuing

 

care community, unless appropriate steps have been taken by the

 

continuing care community to ensure that the goods or services are

 

necessary, that the amount paid for the goods or services does not

 

exceed that which the continuing care community would have paid to

 

obtain the goods or services from independent parties, and that the

 

officers, directors, or persons affiliated with them were

 

previously engaged in the business of rendering these goods or

 

services as an ordinary and ongoing business independent of the

 

continuing care community's business. A representation by the

 

continuing care community that the compensation paid is reasonable

 

creates a rebuttable presumption that the compensation is

 

reasonable.

 

     (d) Monthly service fees or assessments are not used for the

 

purpose designated.

 

     (e) With respect to an offering by a continuing care community

 

seeking registration or exemption, the offering fails to provide

 

for adequate reserves or other adequate revenue sources for

 

operations, repairs, and renovations.

 

     (f) With respect to a continuing care community making an

 

offering, the continuing care community has been in operation less

 

than 1 year or is in the development stage at the time of

 


registration and has failed to achieve reservations for 75% of the

 

living units at the date of first occupancy, unless the department

 

finds that the financial condition of the continuing care community

 

or the escrow arrangements established in connection with the

 

offering are such as to outweigh any special risk.

 

     (4) For the purpose of an investigation or proceeding under

 

this act, the department may administer oaths and affirmations and

 

receive evidence. To subpoena witnesses or require the production

 

of books, papers, or other documents or records, the department

 

must obtain an order of the circuit court by a showing that there

 

is good cause to believe that a violation has taken place or is

 

about to take place. However, in a contested case, the department

 

itself may issue subpoenas and is subject to section 73 of the

 

administrative procedures act of 1969, 1969 PA 306, MCL 24.273.

 

     Sec. 65. (1) A court or the department may by order authorize

 

a registrant to suspend repayment of an entrance fee for not more

 

than 180 days, upon a showing by the registrant that payment would

 

jeopardize the care of members in the continuing care community.

 

The order may be extended upon a showing of substantial progress in

 

resolving the financial difficulties of the continuing care

 

community.

 

     (2) To obtain an order from the department allowing the

 

temporary suspension of repayment of an entrance fee pursuant to

 

subsection (1), a continuing care community shall submit to the

 

department a letter requesting a temporary suspension order. The

 

letter shall contain all of the following information:

 

     (a) The name of the facility involved and its affiliates, if

 


any.

 

     (b) The particular facts relied upon as a basis for the

 

suspension request.

 

     (c) The time during which the facility desires the suspension

 

to be effective.

 

     (d) Financial statements dated not more than 45 days before

 

the date of the request.

 

     (e) Other information required by the department.

 

     (3) The department may hold a public hearing to determine

 

whether the suspension should be granted.

 

     Sec. 67. (1) The department may issue an order denying,

 

suspending, or revoking a registration if it finds that the order

 

is in the public interest and finds 1 or more of the following:

 

     (a) The application for registration or the registration

 

statement in effect is incomplete in a material respect or contains

 

a statement that was, in the light of the circumstances under which

 

it was made, false or misleading with respect to a material fact.

 

     (b) The registrant or applicant, or its agent or employee, has

 

violated this act or a rule promulgated or order issued under this

 

act.

 

     (c) The offer and sale of a continuing care agreement is not

 

fair, just, and equitable or has worked or tended to work a fraud

 

or imposition or would so operate, or the terms of the offering

 

would create an unreasonable risk to members as defined by rules.

 

     (d) The registrant's or applicant's method of business

 

includes or would include activities that are illegal where

 

performed.

 


     (e) A person identified in the application is described in

 

section 19(1)(f)(i) or (ii) as a result of an act or omission

 

involving the illegal offering of a continuing care agreement,

 

franchise, or security and the department determines that the

 

involvement of the person in the sale of leases or management of

 

the continuing care community creates an unreasonable risk to

 

members.

 

     (f) The applicant is the subject of a permanent or temporary

 

injunction entered under a federal or state act, and the injunction

 

is applicable to the offer and sale of a continuing care agreement.

 

     (g) The registrant or applicant has failed to pay the proper

 

fee required by, or fine imposed under, this act.

 

     (h) The applicant has failed to submit an application for

 

renewal of a registration as required under section 25.

 

     (2) Before issuing an order under subsection (1), the

 

department shall notify the registrant or applicant by registered

 

or certified mail. The notice shall include the proposed order, the

 

reasons for the proposed order, and a statement that, if a hearing

 

is requested in writing within 15 days after issuance of the notice

 

of intent, a hearing will be conducted on the matter within 45 days

 

after the receipt of the request, unless the registrant or

 

applicant consents to a later date. If a hearing is not timely

 

requested by the continuing care community and is not ordered by

 

the department, the department shall issue an order under

 

subsection (1). The order shall remain in effect until it is

 

modified or vacated by the department. If a hearing is timely

 

requested or ordered, the department, after notice and an

 


evidentiary hearing pursuant to the administrative procedures act

 

of 1969, 1969 PA 306, MCL 24.201 to 24.328, may enter an order

 

under subsection (1), or find that a violation has not occurred.

 

     (3) The department may vacate or modify an order under this

 

section if it finds that the conditions on which it was based have

 

changed or that it is otherwise in the public interest to do so.

 

     Sec. 69. (1) Subject to subsection (2), if the department

 

determines that a person has engaged, is engaging, or is about to

 

engage in an act, practice, or course of business constituting a

 

violation of this act or a rule promulgated or order issued under

 

this act, or that a person has materially aided, is materially

 

aiding, or is about to materially aid an act, practice, or course

 

of business constituting such a violation, the department may issue

 

an order directing the person to cease and desist from engaging in

 

the act, practice, or course of business or to take other action

 

necessary as appropriate to comply with this act.

 

     (2) Before issuing an order under subsection (1), the

 

department shall notify the person. The notice shall include the

 

proposed order, the reasons for the proposed order, and a statement

 

that, if a hearing is requested in writing within 15 days after

 

issuance of the notice of intent, a hearing will be conducted on

 

the matter within 45 days after receipt of the request, unless the

 

person consents to a later date. If a hearing is not timely

 

requested, the department shall issue an order under subsection

 

(1). If a hearing is timely requested, the department, after notice

 

and an evidentiary hearing pursuant to the administrative

 

procedures act of 1969, 1969 PA 306, MCL 24.201 to 24.328, may

 


enter a cease and desist order or find that a violation has not

 

occurred.

 

     (3) A continuing care community, its agent, an entity

 

purporting to operate as a continuing care community under this act

 

or its agent who knowingly authorizes, directs, or aids in

 

violation of a final cease and desist order, or who knowingly fails

 

to comply with the terms of a final cease and desist order, and may

 

be fined not more than $10,000.00. Each violation constitutes a

 

separate offense.

 

     Sec. 71. If it appears to the department that a person has

 

engaged or is about to engage in an act or practice constituting a

 

violation of this act or a rule promulgated or order issued under

 

this act, the attorney general may bring an action in the name of

 

the people in the circuit court to enjoin the acts or practices or

 

to enforce compliance with this act or the rule or order. Upon a

 

proper showing, a preliminary or permanent injunction, restraining

 

order, or writ of mandamus shall be granted and a receiver or

 

conservator may be appointed for the defendant or the defendant's

 

assets. The court shall not require the department to post a bond.

 

     Sec. 73. If the director of the department finds that a person

 

violated this act or a rule promulgated or order issued under this

 

act, after an opportunity for an evidentiary hearing under the

 

administrative procedures act of 1969, 1969 PA 306, MCL 24.201 to

 

24.328, the director may order the person to pay a civil fine of

 

not less than $1,000.00 or more than $50,000.00. The director may

 

also order the respondent to pay the costs of the investigation.

 

     Sec. 75. (1) A person who offers or sells a continuing care

 


agreement in violation of section 15 or 55 or an order issued under

 

section 67 is liable to the person executing the continuing care

 

agreement for all of the following:

 

     (a) Damages.

 

     (b) Repayment of all fees paid to the continuing care

 

community or entity purporting to operate as a continuing care

 

community under this act less, in the case of a continuing care

 

community, the reasonable cost of continuing care provided by the

 

continuing care community until discovery or until the violation

 

should reasonably have been discovered.

 

     (c) 6% interest on the amounts under subdivisions (a) and (b).

 

     (d) Reasonable attorney fees.

 

     (e) Court costs.

 

     (2) A person may not file or maintain an action under this

 

section if, before filing the action, the person received an offer

 

of rescission approved by the department to refund the entrance fee

 

together with interest at 6% per year from the date of purchase

 

less the reasonable cost of continuing care provided until

 

discovery, and the member failed to accept the offer within 30 days

 

after its receipt. When a continuing care community makes written

 

offer of rescission, the continuing care community shall file a

 

copy with the department. The rescission offer shall recite the

 

provisions of this section.

 

     Sec. 77. Except as explicitly provided in this act, civil

 

liability in favor of a private party does not arise against a

 

person by implication from or as a result of the violation of this

 

act or a rule promulgated or order issued under this act. This act

 


does not limit liability that may exist under any other statute or

 

under common law.

 

     Sec. 79. A person who directly controls a person who violates

 

this act, a partner in a firm that violates this act, a principal

 

executive officer or paid director or trustee of a corporation that

 

violates this act, a person occupying a similar status as an

 

executive officer or director performing similar functions, or an

 

employee of a person who violates this act who materially aids in

 

the act or transaction constituting the violation is also liable

 

jointly and severally with and to the same extent as the person who

 

violates this act, unless the person did not have knowledge of or

 

reasonable grounds to believe in the existence of the facts

 

constituting the violation.

 

     Sec. 81. An action shall not be maintained to enforce a

 

liability created under this act unless brought before the

 

expiration of 3 years after the date of the act or transaction

 

constituting the violation.

 

     Sec. 83. Pursuant to the administrative procedures act of

 

1969, 1969 PA 306, MCL 24.201 to 24.328, the department may

 

promulgate rules to implement this act.

 

     Sec. 85. (1) Applications, reports, and other papers and

 

documents filed by applicants or registrants or experts or

 

appraisers with the department under this act are subject to

 

disclosure under the freedom of information act, 1976 PA 442, MCL

 

15.231 to 15.246. However, pro forma financial statements,

 

marketing plans, feasibility studies, and social security numbers

 

are exempt from disclosure. In addition, a continuing care

 


community may request, and the department may grant, subject to

 

section 13 of the freedom of information act, 1976 PA 442, MCL

 

15.243, confidentiality as to any other document received under

 

this act.

 

     (2) Subject to subsection (1) the department or its examiners,

 

investigators, assistance, clerks, or deputies shall not disclose

 

information filed with or obtained by them under this act except

 

among themselves or when necessary or appropriate in a proceeding

 

or investigation under this act or to other federal or state

 

regulatory agencies. However, to aid in the enforcement of this act

 

or in the prescribing of rules and forms under this act, the

 

department may publish information concerning a violation of this

 

act or a rule promulgated or order issued under this act.

 

     (3) The department shall take reasonable steps to protect the

 

confidentiality of social security numbers provided to the

 

department under this act.

 

     Sec. 87. A life interest or long-term lease agreement entered

 

into under the former 1976 PA 440 is not invalidated by the repeal

 

of that act and the adoption of this act.

 

     Enacting section 1. The living care disclosure act, 1976 PA

 

440, MCL 554.801 to 554.844, is repealed.

 

     Enacting section 2. This act takes effect 90 days after the

 

date this act is enacted into law.