Title 33, Chapter 56, Section 4
( 33-56-4)
(a) For the purposes of this Code section, "regulatory action level
event" means, with respect to any insurer, any of the following
events: (1) The filing of an RBC report by the insurer which 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; (2) The notification by the Commissioner to an insurer of an adjusted RBC report that indicates the event in paragraph (1) of this subsection, provided the insurer does not challenge the adjusted RBC report under Code Section 33-56-7; (3) If, pursuant to Code Section 33-56-7, the insurer challenges an adjusted RBC report that indicates the event in paragraph (1) of this subsection, the notification by the Commissioner to the insurer that the Commissioner has, after a hearing, rejected the insurer's challenge; (4) The failure of the insurer to file an RBC report by the filing
date, unless the insurer has provided an explanation for such
failure which is satisfactory to the Commissioner and has
corrected the failure within ten days after the filing date; (5) The failure of the insurer to submit an RBC plan to the Commissioner within the time period set forth in subsection (c) of Code Section 33-56-3; (6) Notification by the Commissioner to the insurer that: (A) The RBC plan or revised RBC plan submitted by the insurer
is, in the judgment of the Commissioner, unsatisfactory; and (B) Such notification constitutes a regulatory action level event with respect to the insurer, provided the insurer has not challenged the determination under Code Section 33-56-7; (7) If, pursuant to Code Section 33-56-7, the insurer challenges a determination by the Commissioner under paragraph (6) of this subsection, the notification by the Commissioner to the insurer that the Commissioner has, after a hearing, rejected such challenge; (8) 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 such 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, provided the insurer has not challenged the determination under Code Section 33-56-7; or (9) If, pursuant to Code Section 33-56-7, the insurer challenges a determination by the Commissioner under paragraph (8) of this subsection, the notification by the Commissioner to the insurer that the Commissioner has, after a hearing, rejected the challenge. (b) In the event of a regulatory action level event, the Commissioner shall: (1) Require the insurer to prepare and submit an RBC plan or, if
applicable, a revised RBC plan; (2) Perform such examination or analysis as the Commissioner deems
necessary of the assets, liabilities, and operations of the
insurer including a review of its RBC plan or revised RBC plan;
and (3) Subsequent to the examination or analysis described in
paragraph (2) of this subsection, issue an order specifying such
corrective actions as the Commissioner shall determine are
required. (c) In determining corrective actions, the Commissioner may take
into account such factors as are deemed 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
shall be submitted: (1) Within 45 days after the occurrence of the regulatory action
level event; (2) If the insurer challenges an adjusted RBC report pursuant to Code Section 33-56-7 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 (3) If the insurer challenges a revised RBC plan pursuant to Code Section 33-56-7 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. (d) The Commissioner may retain actuaries and investment experts and
other consultants as may be necessary in the judgment of the
Commissioner to review a health organization's RBC plan or revised
RBC plan, examine or analyze the assets, liabilities, and
operations, including contractual relationships, of the health
organization, and formulate the corrective order with respect to the
health organization. The fees, costs, and expenses relating to
consultants shall be borne by the affected health organization or
such other party as directed by the Commissioner. |