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Terms Used In Louisiana Revised Statutes 22:484

  • Commissioner: means the commissioner of insurance of Louisiana or the commissioner, director, or superintendent of insurance in any other state. See Louisiana Revised Statutes 22:482
  • Hazardous financial condition: means that, based on its present or reasonably anticipated financial condition, a risk retention group, although not yet financially impaired or insolvent, is unlikely to be able to:

    (a)  Meet obligations to policyholders with respect to known claims and reasonably anticipated claims. See Louisiana Revised Statutes 22:482

  • Injunction: An order of the court prohibiting (or compelling) the performance of a specific act to prevent irreparable damage or injury.
  • Insurance: means primary insurance, excess insurance, reinsurance, surplus lines insurance, and any other arrangement for shifting and distributing risk which is determined to be insurance under the laws of this state. See Louisiana Revised Statutes 22:482
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Liability: means legal liability for damages including costs of defense, legal costs and fees, and other claims expenses because of injuries to other persons, damage to their property, or other damage or loss to such other persons resulting from, or arising out of:

    (i)  Any business, whether profit or nonprofit, trade, product, services including professional services, premises, or operations. See Louisiana Revised Statutes 22:482

  • person: includes a body of persons, whether incorporated or not. See Louisiana Revised Statutes 1:10
  • Risk retention group: means any corporation or other limited liability association formed under the laws of any state, Bermuda, or the Cayman Islands:

    (a)  Whose primary activity consists of assuming and spreading all, or any portion, of the liability exposure of its group members. See Louisiana Revised Statutes 22:482

  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
  • State: means any state of the United States and the District of Columbia. See Louisiana Revised Statutes 22:482

A.  Law applicable.  Risk retention groups chartered in states other than Louisiana and seeking to do business as a risk retention group in this state shall observe and abide by the laws of this state governing the formation and operation of a risk retention group and the provisions of the federal Risk Retention Amendments of 1986, as amended.  However, if a risk retention group fails to qualify under the provisions of the federal Risk Retention Amendments of 1986, the commissioner may apply any state law that may be preempted by the federal Risk Retention Amendments of 1986, as amended.

B.  Notice of operations and designation of department as agent.  Before offering insurance in this state, a risk retention group shall submit to the department, on a form prescribed by the department:

(1)  A statement identifying the state or states in which the risk retention group is chartered and licensed as a liability insurance company, date of chartering, its principal place of business, its members, and such other information as the commissioner of this state may require to verify that the risk retention group meets the qualifications of La. Rev. Stat. 22:482(12).

(2)  A copy of its plan of operations or a feasibility study and revisions of such plan or study submitted to its state of domicile; except that this Section shall not apply with respect to any line or classification of liability insurance which meets both of the following:

(a)  Was defined in the Product Liability Risk Retention Act of 1981 before the date of the enactment of this Act.

(b)  Was offered before such date of enactment by any risk retention group which has been chartered and operating for not less than three years before such date of enactment.

(3)  A statement of registration which designates the commissioner as its agent for the purpose of receiving service of legal documents or process.

(4)  Payment of the fee as prescribed by La. Rev. Stat. 22:821.

C.  Financial condition.  Any risk retention group doing business in this state shall submit to the commissioner:

(1)  A copy of the group’s financial statement submitted to its state of domicile, which shall be certified by an independent public accountant and contain a statement of opinion on loss and loss adjustment expense reserves made by a member of the American Academy of Actuaries or a qualified loss reserve specialist under criteria established by the National Association of Insurance Commissioners.

(2)  A copy of each examination of the risk retention group as certified by the commissioner or public official conducting the examination.

(3)  A copy of any audit performed with respect to the risk retention group upon request of the commissioner.

(4)  Such information as may be required to verify its continuing qualification as a risk retention group under the provisions of La. Rev. Stat. 22:482.

D.(1)  Taxation.  All premiums paid for coverages within this state to risk-retention groups shall be subject to taxation at the same rate and subject to the same interest, fines, and penalties for nonpayment as that applicable to foreign admitted insurers.  To the extent licensed producers are utilized, they shall report and pay the taxes for the premiums for risks which they have placed with or on behalf of a risk retention group not chartered in this state.  To the extent licensed producers are not utilized or fail to pay the tax, each risk retention group shall pay the tax for risks insured with the state.  Further, each risk retention group shall report all premiums paid to it for risks insured within the state.

(2)  To the extent that licensed producers are compensated by a risk retention group, they shall keep a complete and separate record of all policies procured from each risk retention group.  The record shall be open to examination by the department, as provided in La. Rev. Stat. 22:492.  The records shall include for each policy and type of insurance the following:

(a)  The limit of liability.

(b)  The time period covered.

(c)  The effective date.

(d)  The name of the risk retention group which issued the policy.

(e)  The gross premium charged.

(f)  The amount of return premiums, if any.

E.  Compliance with unfair claims settlement practices law.  Any risk retention group, its agents and representatives, shall comply with the unfair claims settlement practices laws of this state.

F.  Deceptive, false, or fraudulent practices.  Any risk retention group shall comply with the laws of this state regarding deceptive, false, or fraudulent acts or practices.  However, if the commissioner seeks an injunction regarding such conduct, the injunction shall be obtained from a court of competent jurisdiction.

G.  Examination regarding financial condition.  Any risk retention group shall submit to an examination by the commissioner to determine its financial condition if the commissioner of the jurisdiction in which the group is chartered has not initiated an examination or does not initiate an examination within sixty days after notice from the commissioner of this state.  Any such examination shall be coordinated to avoid unjustified repetition and conducted in an expeditious manner and in accordance with the National Association of Insurance Commissioners examiner handbook.

H.  Notice to purchasers.  Any policy issued by a risk retention group shall contain in ten point type on the front page and the declaration page, the following notice:

I.  Prohibited acts regarding solicitation or sale.  The following acts by a risk retention group are hereby prohibited:

(1)  The solicitation or sale of insurance by a risk retention group to any person who is not eligible for membership in such group.

(2)  The solicitation or sale of insurance by, or operation of, a risk retention group that is in a hazardous financial condition or is financially impaired.

J.  Prohibition on ownership by an insurance company.  No risk retention group shall be allowed to do business in this state if an insurance company is directly or indirectly a member or owner of such risk retention group, other than in the case of a risk retention group all of whose members are insurance companies.

K.  Prohibited coverage.  No risk retention group may offer insurance policy coverage prohibited by this Code or declared unlawful by the Louisiana Supreme Court.

L.  Delinquency proceedings.  A risk retention group not chartered in this state and doing business in this state shall comply with a lawful order issued in a voluntary dissolution proceeding or in a delinquency proceeding commenced by a state insurance commissioner if there has been a finding of financial impairment after an examination under the provisions of Subsection G of this Section.

Acts 1987, No. 462, §1, eff. Sept. 1, 1987; Acts 1995, No. 1203, §1, eff. June 29, 1995; Acts 2004, No. 376, §1; Redesignated from La. Rev. Stat. 22:2074 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009; Acts 2009, No. 503, §1.