§ 36-5107. Contract - Minimum provisions.

Transactions between an RM and the reinsurer the RM represents in such capacity shall be entered into only pursuant to a written contract, specifying the responsibilities of each party, which shall be approved by the board of directors of the reinsurer.  At least thirty (30) days before such insurer assumes or cedes business through such producer, a true copy of the approved contract shall be filed with the Commissioner for approval.  The contract shall, at a minimum, contain provisions that:

1.  The reinsurer may terminate the contract for cause upon written notice to the RM.  The reinsurer may suspend the authority of the RM to assume or cede business during the pendency of any dispute regarding the cause for termination;

2.  The RM shall render accounts to the reinsurer accurately detailing all material transactions, including information necessary to support all commissions, charges and other fees received by, or owing to the RM, and remit all funds due under the contract to the reinsurer on not less than a monthly basis;

3.  All funds collected for the account of the reinsurer shall be held by the RM in a fiduciary capacity in a bank which is a qualified U.S. financial institution.  The RM may retain no more than three (3) months estimated claims payments and allocated loss adjustment expenses.  The RM shall maintain a separate bank account for each reinsurer that the RM represents;

4.  For at least ten (10) years after expiration of each contract of reinsurance transacted by the RM, the RM shall keep a complete record for each transaction showing:

a.the type of contract, limits, underwriting restrictions, classes or risks and territory,

b.period of coverage, including effective and expiration dates, cancellation provisions and notice required of cancellation, and disposition of outstanding reserves on covered risks,

c.reporting and settlement requirements of balances,

d.rate used to compute the reinsurance premium,

e.names and addresses of reinsurers,

f.rates of all reinsurance commissions, including the commissions on any retrocessions handled by the RM,

g.related correspondence and memoranda,

h.proof of placement,

i.details regarding retrocessions handled by the RM, as permitted by Section 30 of this act, including the identity of retrocessionaires and percentage of each contract assumed or ceded,

j.financial records, including but not limited to, premium and loss accounts, and

k.if the RM places a reinsurance contract on behalf of a ceding insurer:

(1)directly from any assuming reinsurer, written evidence that the assuming reinsurer has agreed to assume the risk, or

(2)if placed through a representative of the assuming reinsurer, other than an employee, written evidence that such reinsurer has delegated binding authority to the representative;

5.  The reinsurer shall have access and the right to copy all accounts and records maintained by the RM related to its business in a form usable by the reinsurer;

6.  The contract shall not be assigned in whole or in part by the RM;

7.  The RM shall comply with the written underwriting and rating standards established by the insurer for the acceptance, rejection, or cession of all risks;

8.  Set forth the rates, terms, and purposes of commissions, charges, and other fees which the RM may levy against the reinsurer;

9.  If the contract permits the RM to settle claims on behalf of the reinsurer:

a.all claims shall be reported to the reinsurer in a timely manner,

b.a copy of the claim file shall be sent to the reinsurer at the request of the reinsurer as soon as it becomes known that the claim:

(1)has the potential to exceed the lesser of an amount determined by the Commissioner or the limit set by the reinsurer,

(2)involves a coverage dispute,

(3)may exceed the claims settlement authority of the RM,

(4)is open for more than six (6) months, or

(5)is closed by payment of the lesser of an amount set by the Commissioner or an amount set by the reinsurer,

c.all claim files shall be the joint property of the reinsurer and RM.  However, upon an order of liquidation of the reinsurer such files shall become the sole property of the reinsurer or its estate.  The RM shall have reasonable access to and the right to copy the files on a timely basis,

d.any settlement authority granted to the RM may be terminated for cause upon the written notice by the reinsurer to the RM or upon the termination of the contract.  The reinsurer may suspend the settlement authority during the pendency of the dispute regarding the cause of termination;

10.  If the contract provides for a sharing of interim profits by the RM, the interim profits shall not be paid until one (1) year after the end of each underwriting period for property business and five (5) years after the end of each underwriting period for casualty business and not until the adequacy of reserves on remaining claims has been verified pursuant to the provisions of the Reinsurance Intermediary Act;

11.  The RM annually shall provide the reinsurer with a statement of the financial condition of the RM prepared by an independent certified accountant;

12.  The reinsurer shall periodically, at least semi-annually, conduct an on-site review of the underwriting and claims processing operations of the RM;

13.  The RM shall disclose to the reinsurer any relationship it has with any insurer prior to ceding or assuming any business with such insurer pursuant to this contract; and

14.  The acts of the RM shall be deemed to be the acts of the reinsurer on whose behalf the RM is acting.

Added by Laws 1992, c. 178, § 28, eff. Sept. 1, 1992.