Second Amended and Restated Plan of OperationConnecticut Insurance Guaranty Association
Article 2. Board of Directors.
Article 3. Operations.
Article 4. Records and Reports.
Article 5. Membership.
Article 6. Indemnification of Officers, Directors and Others.
Article 7. Conformity to Statute.
Article 1. Plan of Operation.This Plan of Operation (the "Plan") of the Connecticut Insurance Guaranty Association (the "Association") shall become effective upon written approval of the Commissioner of Insurance (the "Commissioner") as provided by the Connecticut Insurance Guaranty Association Act (the "Act"), Chapter 704a Section 38a-842 of the Connecticut Insurance Laws. All section references herein shall be to sections of the Act.
Article 2. Board of Directors.
A. There shall be a Board of Directors (the "Board") in accordance with the provisions of Section 38a-840 of the Act.
1. The Board shall consist of seven member insurers selected by and fairly representative of member insurers and the Commissioner as an Ex-Officio member. In the event the Commissioner shall determine that all member insurers are not fairly represented he or she shall disapprove the membership of the Board and order another selection. In the interim between such disapproval and the subsequent selection, the Commissioner may appoint a temporary Board which fairly represents the member insurers.
2. Each Director shall serve for a period of three years.
3. Upon the selection of the Board, the Association shall notify the Commissioner and request his or her written approval of the Board.
4. The Commissioner shall be ex-officio a member of the Board, and, as such, he or she shall be entitled to have notice of and to attend all meetings of the Board, including those times during which the Board shall meet in Executive Session; but the Commissioner shall have no vote.
5. The Board shall elect a Chairman and such other officers as may seem desirable from among its members, each to serve for a period of one year.
B. Meetings of the Board shall not be closed meetings, except during such times as the Board shall meet in Executive Session; and Board meetings shall be open to members of the public upon invitation by, or with the consent of, either the Board or the Commissioner.
At any meeting of the Board, each member of the Board shall have one vote. A majority of the Board shall constitute a quorum for the transaction of business and the acts of a majority of the Board members present at a meeting at which a quorum is present shall be the acts of the Board; except that an affirmative vote of five Board members shall be required to:
1. approve a contract with a servicing facility,
2. levy an assessment or provide for a refund, or
3. borrow money.
C. An annual meeting of the Board shall be held at the office of the Commissioner in October, unless the Board upon proper notice shall designate some other date or place. At each such meeting the Board shall:
1. Review the Plan and thereafter submit proposed amendments, if any, to the membership for approval or rejection. A majority vote of those voting shall be necessary for approval of amendments.
2. Review each outstanding contract with servicing facilities and make any necessary corrections, improvements or additions.
3. Review operating expenses and covered claims costs and determine whether an assessment, or a refund of a prior assessment, and if so the amount of either, is necessary for the proper administration of the Association. If such assessment or refund is determined to be necessary, the Board shall levy such assessment or make such refund in accordance with Section 38a-841 of the Act. The Board may waive the collection from or refund to a member insurer when the amount thereof is less than $10.00.
4. Review, consider and act on any other matters as it may deem appropriate.
D. The Board shall hold an emergency meeting promptly after receiving notice from the Commissioner of the insolvency of any member insurer. At such a meeting or subsequent meeting the Board shall:
1. Consider whether the insolvency is within the scope of the Act.
2. Consider and decide what method or methods, as permitted under Section 38a-841 of the Act shall be adopted to pay and discharge covered claims of the insolvent insurer for each of the three categories of kinds of insurance as identified in Section 38a-839 of the Act but in no event shall an insolvent insurer be appointed as a servicing facility. If the Board decides to contract with a servicing facility, the Board shall seek to secure the receiver's, liquidator's or statutory successor's participation in such contract to assist the Association in the performance of its legally imposed duties. The Association shall pursue all recoveries permitted to the insolvent insurer.
3. Consider and decide what immediate action, if any, should be taken to assure the proper retention of the records of the insolvent insurer necessary to the prompt and economical handling by the Association of covered claims. In this effort, the Board, or a designated servicing facility, shall take direct physical control of that portion of the insolvent insurer's records deemed by the Board to be necessary for the discharge of its duties imposed by law.
4. Consider and decide what persons, if any, should be hired by the Association to implement and carry out the directives of the Board made pursuant to its statutorily imposed duties.
5. Consider and decide to what extent and in what manner the Board shall review and contest settlements and releases or judgments, orders, decisions, verdicts and findings to which the insolvent insurers or its insureds were parties in accordance with Section 38a-841 of the Act.
6. Consider and decide what assessment, if any, should be levied or whether any refund should be made to member insurers. If such assessment or refund is determined to be necessary, the Board shall levy such assessment or make such refund in accordance with Section 38a-841 of the Act. Notices of assessment to member insurers shall be in sufficient detail as to form a basis for the payment of such assessment by the member insurers. The Board may waive the collection from or refund to a member insurer when the amount thereof is less than $10.00.
7. Take all steps permitted by law, and deemed necessary to protect the Association's rights against the estate of the insolvent insurer.
8. Consider and decide any other matters as it may deem appropriate.
E. The Board may determine a schedule of such other regular meetings as it may deem appropriate. Special meetings of the Board may be called by the Chairman and shall be called at the request of any two Board members. Not less than 5 days written notice shall be given to each Board member of the time and place and purpose or purposes of any such special meeting, except that an emergency meeting may be held upon at least 24 hours oral or written notice provided each member of the Board has reasonable opportunity to attend. Any Board member not present may consent in writing to any specific action taken by the Board. Any action approved by the required number of Board members at such emergency or special meeting, including those consenting in writing, shall be as valid a Board action as though authorized at a regular meeting of the Board. At such emergency or special meeting the Board may consider and decide any matter that it may deem appropriate.
F. Members of the Board may participate in a meeting of the Board through the use of a conference telephone or similar communications equipment, by means of which all persons participating in the meeting are able to hear each other, and the participation by such means shall constitute presence in person at such meeting.
G. Members of the Board shall serve without compensation; but they may be reimbursed for necessary travel expenses incurred in attendance at Board meetings. Such expenses shall be submitted to the Board for approval and subsequent payment.
Article 3. Operations.
A. The official address of the Association shall be the address of the Chairman of the Board unless otherwise determined by the Board.
B. The Board may employ such persons, firms or corporations to perform such administrative functions as are necessary for the Board's performance of the duties imposed on the Association. The Board may use the mailing address of such person, firm or corporation as the official office address of the Association. Such persons, firms or corporations shall keep such records of its activities as may be required by the Board.
C. The Board may open one or more bank accounts for use in Association business. Reasonable delegation of deposit and withdrawal authority to such accounts for Association business may be made consistent with prudent fiscal policy. The Board may borrow money from any person or organization including a member insurer, or from an appointed servicing facility as it may deem appropriate.
D. The Board may levy a non-pro rata assessment to cover the reasonable costs of administration of the Association, such assessment to be credited against any subsequent pro rata assessments.
E. The Board may contract with one or more persons, firms, or corporations to serve as servicing facilities should the Board receive notice from the Commissioner of an insolvency of a member insurer. Such contract terms shall comply with the Act and be subject to the approval of the Commissioner. Such contract terms may include:
1. Terms of payment to the servicing facility.
2. Extent of authority delegated to the servicing facility.
3. Procedures for giving the receiver, liquidator, or statutory successor timely notice, sufficient to protect the Association's right to subrogation against such person of each and every covered claim not otherwise reported to such person.
4. Procedures contemplated for the handling of covered claims as defined in the Act. These procedures shall include the right to request from or offer to any person arbitration of such person's covered claim.
5. Procedures for the printing or preparation of forms necessary for the proper handling of covered claims.
6. Requirement of a bond for faithful performance.
7. Any other provisions deemed appropriate by the Board.
F. In order to effectuate the purpose set forth in Section 38a-846 of the Act, the Board shall develop procedures for discovering and reporting to the Commissioner any member insurer that may be insolvent or in a financial condition hazardous to its policyholders or the public. No such reports shall be considered public documents.
The Board at its annual meeting, or at any other meeting called for this purpose, shall review the Act and related laws and regulations with a view toward making recommendations to the Commissioner for the detection and prevention of insurer insolvencies.
The Association shall develop forms for reporting and shall report the history and cause of each insolvency processed and shall maintain a continuing file of such reports.
Article 4. Records and Reports.
A. A written record of the proceedings of each Board meeting shall be made. The original of this record shall be retained by the Chairman with copies being furnished to each Board member and the Commissioner. Copies of such written record shall be provided to any member insurer, upon request.
B. The Board shall make an annual report to the Commissioner and to the member insurers. Such report shall include a review of the Association's activities and an accounting of its income and disbursements for the past year.
C. After the appointment of a receiver, liquidator or statutory successor and the levy of an assessment by the Association, the Board shall, once every year, appoint certain of the member insurers to serve as an Audit Committee. Such committee shall see to the proper auditing of all the books and records of the Association and shall report its findings to the Board. Such report shall be available to all member insurers, upon request.
Article 5. Membership.
A. Insurers which were admitted as of October 1, 1971 to transact the kinds of insurance covered by the Act in the State of Connecticut shall be members of the Association. Each insurer admitted after October 1, 1971, shall automatically cease to be a member effective on the day following the termination or expiration of its license to transact the kinds of insurance covered by the Act; provided that such insurer shall remain liable for any assessments based on insolvencies occurring prior to the termination of its license.
B. Any member insurer aggrieved by an action or decision of the Association shall appeal to the Board before appealing to the Commissioner. If such member insurer is aggrieved by a final action or decision of the Board or if the Board does not act on such complaint within 30 days, the member insurer may appeal to the Commissioner within 30 days after such action or decision of the Board or the expiration of such 30 days.
Article 6. Indemnification of Officers, Directors and Others.
A. Definitions. For purposes of this Article 6:
1. "Director/officer" means each member of the Board of Directors of the Association, each individual serving as a representative of a member insurer on the Board of Directors of the Association, each employee, officer or agent of the Association, each employee, officer or agent of any association or other entity which performs services, including without limitation claims handling services, on behalf of the Association (in their capacity of performing such services on behalf of the Association only) and each person who is serving or has served at the request of the Association or such other entity as a director, officer, trustee, fiduciary, principal, partner, member of a committee, employee, consultant or agent of any other entity (sometimes referred to in this Article 6 as an "Association Related Entity").
2. "Proceeding" means any action, suit or proceeding, whether civil, criminal, administrative or investigative, and any appeal there from, brought in or before, or threatened to be brought in or before, any court, tribunal, administrative or legislative body or agency, and any claim which could be the subject of a Proceeding.
B. Indemnification. The Association shall indemnify and hold harmless any Director/officer that is a party or is threatened to be made a party to any threatened, pending or completed Proceeding (any such Director/officer being referred to hereinafter as Indemnitee") by reason of the fact that Indemnitee is or was a Director/officer or by reason of any action alleged to have been taken or omitted in any such capacity, whether such service, action or omission takes place before or after the effective date of this Article 6, from and against any and all expenses, including attorneys' fees, judgments, fines, interest and amounts paid in settlement actually and reasonably incurred by indemnitee in connection with the Proceeding if (i) Indemnitee acted in good faith and in a manner Indemnitee reasonably believed to be in or not opposed to the best interests of the Association, and, with respect to any criminal Proceeding, had no reasonable cause to believe Indemnitee's conduct was unlawful, and (ii) such Proceeding is not an action by or in the right of the Association. The termination of any Proceeding by judgment, order, settlement, conviction, or upon a plea of nolo contendere or its equivalent, shall not, of itself, create a presumption that Indemnitee did not act in good faith and in a manner which Indemnitee reasonably believed to be in or not opposed to the best interests of the Association, and, with respect to any criminal Proceedings, had reasonable cause to believe that indemnity's conduct was unlawful.
C. Proceedings by or in the Right of the Association. The Association shall indemnify and hold harmless Indemnitee in the event Indemnitee was or is a party or is threatened to be made a party to any Proceeding by or in the right of the Association to procure a judgment in its favor by reason of the fact that Indemnitee is or was a Director/officer, officer, employee or agent or by reason of any action alleged to have been taken or omitted in any such capacity, whether such service, action or omission takes place before or after the effective date of this Article 6, from and against any and all expenses, including attorneys' fees, actually and reasonably incurred by Indemnitee in connection with the defense or settlement of the Proceeding if Indemnitee acted in good faith and in a manner Indemnitee reasonably believed to be in or not opposed to the best interests of the Association, except that no such indemnification shall be made in respect of any Proceeding as to which Indemnitee shall have been adjudged to be liable for negligence or misconduct in the performance of Indemnitee's duty to the Association unless and only to the extent that the Court in which the Proceeding was brought shall determine upon application that, despite the adjudication of liability but in view of all circumstances of the case, Indemnitee is fairly and reasonably entitled to indemnification for expenses which the court shall deem proper.
D. Successful Defense of Proceedings. To the extent that Indemnitee is successful on the merits or otherwise in defense of any Proceeding, Indemnitee shall be indemnified against any and all expenses, including attorneys' fees, actually and reasonably incurred by Indemnitee in connection therewith.
E. Determination that Indemnification is Available. Any indemnification under Sections B or C of this Article 6, unless ordered by a court, shall be made by the Association only as authorized in the specific case upon a determination that indemnification of Indemnitee is proper in the circumstances because Indemnitee has met the applicable standard of conduct set forth in Sections B and C of this Article 6. This determination shall be made (i) by the Board of Directors of the Association by a majority vote of a quorum consisting of directors who are not parties to the Proceeding and whose representatives on the Board of Directors are not parties to the Proceeding, (ii) by independent legal counsel in a written opinion if such a quorum is not obtainable or, even if obtainable, if such a quorum so directs, or (iii) in the absence of a determination pursuant to clauses (i) or (ii), by the Board of Directors of the Association by a majority vote of a quorum, including directors who are parties to such Proceeding, after providing each member insurer of the Association notice of its intention to make such determination and asking such member insurers to provide the Association with notice of any objections thereto; provided that the determination provided in clause (iii) shall not be effective until sixty (60) days following such Board notice and shall not be effective at all in the event a majority of the member insurers provide notice to the Association within such sixty (60) day period of their objection to such determination.
F. Advances. The Association shall pay sums on account of indemnification, including, without limitation, attorneys fees and related disbursements, in advance of a final disposition of a Proceeding upon receipt of a written undertaking by Indemnitee to repay such sums if it is subsequently determined that Indemnitee is not entitled to indemnification pursuant to this Article 6, which undertaking may be accepted without reference to the financial ability of the Indemnitee to make repayment.
G. Partial Indemnification. If Indemnitee is entitled under any provision of this Article 6 to indemnification by the Association for a portion of the liability or expense of any Proceeding but not, however, for the total amount thereof, the Association shall nevertheless indemnify Indemnitee for the portion of such expense to which Indemnitee is entitled.
H. Allocation of Indemnification Expense. The expense of indemnification provided hereunder shall be assessed against and paid by the member insurers in the proportion that the net direct written premiums of each member insurer for the calendar year preceding such assessment, bears to the net direct written premiums of all member insurers for the calendar year preceding such assessment, except in the case of insurers who shall cease to be a member of the Association, as to which assessments shall be as follows: any insurer which ceases to be a member of the Association shall remain liable for assessments on account of the expense of indemnification with respect to any and all acts and omissions occurring prior to the time such insurer ceases to be a member of the Association, and in the case of such insurers the assessment for indemnification expense shall be in the proportion that the net direct written premiums of the insurer for the calendar year preceding the year in which the act or omission with respect to which indemnification is claimed, bears to the net direct written premiums of all member insurers for the calendar year preceding the year in which the act or omission with respect to which indemnification is claimed.
I. Non-Exclusive. Nothing in this Article 6 shall limit any lawful rights to indemnification existing independently of this Article 6. This Article is intended to operate as a supplement and additional safeguard to, and not in place of, the immunity granted by RSA 404-B: 17 and RSA 404-H:17.
J. Amendment. The provisions of this Article may be amended or repealed by the member insurers, provided however that no amendment or repeal of such provisions shall adversely affect the rights of a person or entity entitled to indemnification under this Article with respect to acts or omissions occurring prior to such amendment or repeal.