Montana Code 33-2-1905. Regulatory action level event
33-2-1905. Regulatory action level event. (1) “Regulatory action level event” means, with respect to any insurer, any of the following events:
Terms Used In Montana Code 33-2-1905
- Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
- Corrective order: means an order issued by the commissioner specifying corrective actions that the commissioner has determined are required. See Montana Code 33-2-1902
- Insurer: includes life or other disability insurers, property and casualty insurers, and health organizations. See Montana Code 33-2-1902
- Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
- RBC instructions: means the RBC report, including risk-based capital instructions adopted by the NAIC, as the RBC instructions may be amended by the NAIC from time to time in accordance with the procedures adopted by the NAIC. See Montana Code 33-2-1902
- RBC plan: means a comprehensive financial plan containing the elements specified in 33-2-1904(2). See Montana Code 33-2-1902
- RBC report: means the report required in 33-2-1903. See Montana Code 33-2-1902
- regulatory action level RBC: means , except for the state fund as provided in subsection (12)(d)(ii), the product of 1. See Montana Code 33-2-1902
- Total adjusted capital: means the sum of:
(a)an insurer's statutory capital and surplus; and
(b)other items, if any, as the RBC instructions may provide. See Montana Code 33-2-1902
(a)the filing of an RBC report by the insurer that indicates that the insurer’s total adjusted capital is greater than or equal to its authorized control level RBC but less than its regulatory action level RBC;
(b)the notification by the commissioner to an insurer of an adjusted RBC report that indicates the event in subsection (1)(a) if the insurer does not challenge the adjusted RBC report under 33-2-1908 or the commissioner rejects the insurer’s challenge;
(c)the failure of the insurer to file an RBC report by the filing date, unless the insurer has provided an explanation for the failure that is satisfactory to the commissioner and has cured the failure within 10 days after the filing date;
(d)the failure of the insurer to submit an RBC plan to the commissioner within the time period set forth in 33-2-1904(3);
(e)notification by the commissioner to the insurer that:
(i)the RBC plan or revised RBC plan submitted by the insurer is unsatisfactory in the judgment of the commissioner; and
(ii)the notification constitutes a regulatory action level event with respect to the insurer if the insurer has not challenged the determination under 33-2-1908;
(f)if, pursuant to 33-2-1908, the insurer challenges a determination by the commissioner, the notification by the commissioner to the insurer that the commissioner has, after a hearing, rejected the challenge;
(g)notification by the commissioner to the insurer that the insurer has failed to adhere to its RBC plan or revised RBC plan, but only if the failure has a substantial adverse effect on the ability of the insurer to eliminate the company action level event in accordance with its RBC plan or revised RBC plan and the commissioner has so stated in the notification and if the insurer has not challenged the determination under 33-2-1908 or the commissioner has not rejected the insurer’s challenge.
(2)In the event of a regulatory action level event, the commissioner shall:
(a)require the insurer to prepare and submit an RBC plan or, if applicable, a revised RBC plan;
(b)perform an examination or analysis as the commissioner considers necessary of the assets, liabilities, and operations of the insurer including a review of its RBC plan or revised RBC plan; and
(c)subsequent to the examination or analysis, issue a corrective order specifying corrective actions that the commissioner determines are required.
(3)In determining corrective actions, the commissioner may take into account factors considered relevant with respect to the insurer based upon the commissioner’s examination or analysis of the assets, liabilities, and operations of the insurer, including but not limited to the results of any sensitivity tests undertaken pursuant to the RBC instructions. The RBC plan or revised RBC plan must be submitted:
(a)within 45 days after the occurrence of the regulatory action level event;
(b)if the insurer challenges an adjusted RBC report pursuant to 33-2-1908 and the challenge is not frivolous in the judgment of the commissioner, within 45 days after the notification to the insurer that the commissioner has, after a hearing, rejected the insurer’s challenge; or
(c)if the insurer challenges a revised RBC plan pursuant to 33-2-1908 and the challenge is not frivolous in the judgment of the commissioner, within 45 days after the notification to the insurer that the commissioner has, after a hearing, rejected the insurer’s challenge.
(4)The commissioner may retain actuaries and investment experts and other consultants that may be necessary in the judgment of the commissioner to review the insurer’s RBC plan or revised RBC plan, to examine or analyze the assets, liabilities, and operations of the insurer, and to formulate the corrective order with respect to the insurer. The fees, costs, and expenses relating to consultants must be borne by the affected insurer or such other party as directed by the commissioner.