S. 1694 2
RIGHTS OF THE PUBLIC AND WHO POSSESSES THE KNOWLEDGE AND EXPERIENCE
NECESSARY TO PRACTICE EFFECTIVELY IN INSURANCE PROCEEDINGS.
(B) A PERSON IS NOT ELIGIBLE FOR APPOINTMENT AS ADVOCATE IF THE PERSON
OR THE PERSON'S SPOUSE:
(I) IS EMPLOYED BY OR PARTICIPATES IN THE MANAGEMENT OF A BUSINESS
ENTITY OR OTHER ORGANIZATION REGULATED BY THE INSURANCE DEPARTMENT OR
RECEIVING FUNDS FROM THE DEPARTMENT;
(II) OWNS OR CONTROLS, DIRECTLY OR INDIRECTLY, MORE THAN TEN PERCENT
INTEREST IN A BUSINESS ENTITY OR OTHER ORGANIZATION REGULATED BY THE
INSURANCE DEPARTMENT OR RECEIVING FUNDS FROM THE INSURANCE DEPARTMENT OR
THE OFFICE;
(III) USES OR RECEIVES A SUBSTANTIAL AMOUNT OF TANGIBLE GOODS,
SERVICES, OR FUNDS FROM THE INSURANCE DEPARTMENT OR THE OFFICE, OTHER
THAN COMPENSATION OR REIMBURSEMENT AUTHORIZED BY LAW FOR THE INSURANCE
DEPARTMENT OR OFFICE MEMBERSHIP, ATTENDANCE OR EXPENSES.
3. THE ADVOCATE SHALL SERVE FOR A TERM OF TWO YEARS EXPIRING ON FEBRU-
ARY FIRST OF EACH ODD-NUMBERED YEAR.
4. IT IS A GROUND FOR REMOVAL FROM OFFICE IF THE ADVOCATE:
(A) DOES NOT HAVE AT THE TIME OF APPOINTMENT THE QUALIFICATIONS
REQUIRED BY THIS SECTION;
(B) DOES NOT MAINTAIN DURING SERVICE AS ADVOCATE THE QUALIFICATIONS
REQUIRED BY THIS SECTION;
(C) VIOLATES A PROHIBITION ESTABLISHED BY THIS SECTION; OR
(D) CANNOT DISCHARGE THE ADVOCATE'S DUTIES FOR A SUBSTANTIAL PART OF
THE TERM FOR WHICH THE ADVOCATE IS APPOINTED BECAUSE OF ILLNESS OR DISA-
BILITY.
5. THE VALIDITY OF AN ACTION OF THE OFFICE IS NOT AFFECTED BY THE FACT
THAT IT IS TAKEN WHEN A GROUND FOR REMOVAL OF THE ADVOCATE EXISTS.
6. (A) A PERSON MAY NOT SERVE AS THE ADVOCATE OR ACT AS THE GENERAL
COUNSEL FOR THE OFFICE OF ADVOCATE IF THE PERSON IS REQUIRED TO REGISTER
AS A LOBBYIST PURSUANT TO ARTICLE ONE-A OF THE LEGISLATIVE LAW.
(B) A PERSON SERVING AS THE ADVOCATE MAY NOT, FOR A PERIOD OF TWO
YEARS AFTER THE DATE THE PERSON CEASES TO BE AN ADVOCATE, REPRESENT ANY
PERSON IN A PROCEEDING BEFORE THE SUPERINTENDENT OF INSURANCE OR THE
INSURANCE DEPARTMENT OR RECEIVE COMPENSATION FOR SERVICES RENDERED ON
BEHALF OF ANY PERSON REGARDING A CASE BEFORE THE SUPERINTENDENT OF
INSURANCE OR THE INSURANCE DEPARTMENT.
(C) AN OFFICER, EMPLOYEE OR PAID CONSULTANT OF A TRADE ASSOCIATION IN
THE FIELD OF INSURANCE MAY NOT SERVE AS THE ADVOCATE OR BE AN EMPLOYEE
OF THE OFFICE.
(D) A PERSON WHO IS THE SPOUSE OF AN OFFICER, MANAGER, OR PAID
CONSULTANT OF A TRADE ASSOCIATION IN THE FIELD OF INSURANCE MAY NOT
SERVE AS THE ADVOCATE AND MAY NOT BE AN OFFICE EMPLOYEE.
(E) FOR THE PURPOSES OF THIS SECTION, A TRADE ASSOCIATION IS A NONPRO-
FIT, COOPERATIVE, AND VOLUNTARILY JOINED ASSOCIATION OF BUSINESS OR
PROFESSIONAL COMPETITORS DESIGNED TO ASSIST ITS MEMBERS AND ITS INDUSTRY
OR PROFESSION IN DEALING WITH MUTUAL BUSINESS OR PROFESSIONAL PROBLEMS
AND IN PROMOTING THEIR COMMON INTEREST.
S 947. POWERS AND DUTIES. 1. THE ADVOCATE, AS EXECUTIVE DIRECTOR OF
THE OFFICE, SHALL BE CHARGED WITH THE RESPONSIBILITY OF ADMINISTERING,
ENFORCING AND CARRYING OUT THE PROVISIONS OF THIS ARTICLE, INCLUDING
PREPARATION OF A BUDGET FOR THE OFFICE, EMPLOYING ALL NECESSARY PROFES-
SIONAL, TECHNICAL, AND OTHER EMPLOYEES TO CARRY OUT PROVISIONS OF THIS
ARTICLE, APPROVAL OF EXPENDITURES FOR PROFESSIONAL SERVICES, TRAVEL, PER
DIEM, AND OTHER ACTUAL AND NECESSARY EXPENSES INCURRED IN ADMINISTERING
THE OFFICE. EXPENSES FOR THE OFFICE SHALL BE PAID FROM THE ASSESSMENT
S. 1694 3
IMPOSED IN SECTION NINE THOUSAND ONE HUNDRED TEN OF THE INSURANCE LAW.
THE COMPENSATION OF EMPLOYEES OF THE OFFICE SHALL BE FIXED BY THE ADVO-
CATE WITHIN THE APPROPRIATION PROVIDED THEREFOR.
2. THE OFFICE SHALL FILE ANNUALLY WITH THE GOVERNOR AND THE PRESIDING
OFFICER OF EACH HOUSE OF THE LEGISLATURE A COMPLETE AND DETAILED WRITTEN
REPORT ACCOUNTING FOR ALL FUNDS RECEIVED AND DISBURSED BY THE OFFICE
DURING THE PRECEDING FISCAL YEAR. THE ANNUAL REPORT MUST BE IN THE FORM
AND REPORTED AS PART OF THE EXECUTIVE BUDGET.
3. ALL MONEY PAID TO THE OFFICE UNDER THIS ARTICLE SHALL BE DEPOSITED
IN THE STATE TREASURY.
4. THE OFFICE MAY ASSESS THE IMPACT OF INSURANCE RATES, RULES, AND
REGULATIONS ON NONBUSINESS AUTOMOBILE INSURANCE CONSUMERS IN NEW YORK
STATE AND, IN ITS OWN NAME, MAY ADVOCATE ON BEHALF OF POSITIONS THAT ARE
MOST ADVANTAGEOUS TO A SUBSTANTIAL NUMBER OF INSURANCE CONSUMERS AS
DETERMINED BY THE ADVOCATE.
5. THE ADVOCATE:
(A) MAY APPEAR OR INTERVENE AS A MATTER OF RIGHT BEFORE THE SUPER-
INTENDENT OF INSURANCE OR INSURANCE DEPARTMENT AS A PARTY OR OTHERWISE
ON BEHALF OF INSURANCE CONSUMERS AS A CLASS IN MATTERS INVOLVING RATES,
RULES, AND REGULATIONS AFFECTING NONBUSINESS AUTOMOBILE INSURANCE;
(B) MAY INITIATE OR INTERVENE AS A MATTER OF RIGHT OR OTHERWISE APPEAR
IN ANY JUDICIAL PROCEEDING INVOLVING OR ARISING OUT OF ANY ACTION TAKEN
BY AN ADMINISTRATIVE AGENCY IN A PROCEEDING IN WHICH THE ADVOCATE PREVI-
OUSLY APPEARED UNDER THE AUTHORITY GRANTED BY THIS ARTICLE;
(C) IS ENTITLED TO ACCESS ANY RECORDS OF THE DEPARTMENT THAT ARE
AVAILABLE TO ANY PARTY IN A PROCEEDING BEFORE THE SUPERINTENDENT OF
INSURANCE OR INSURANCE DEPARTMENT UNDER THE AUTHORITY GRANTED BY THIS
ARTICLE;
(D) IS ENTITLED TO OBTAIN DISCOVERY OF ANY NON-PRIVILEGED MATTER THAT
IS RELEVANT TO THE SUBJECT MATTER INVOLVED IN A PROCEEDING OR SUBMISSION
BEFORE THE SUPERINTENDENT OF INSURANCE OR INSURANCE DEPARTMENT AS
AUTHORIZED BY THIS ARTICLE;
(E) MAY RECOMMEND LEGISLATION TO THE LEGISLATURE THAT, IN THE JUDGMENT
OF THE ADVOCATE, WOULD AFFECT POSITIVELY THE INTERESTS OF NONBUSINESS
AUTOMOBILE INSURANCE CONSUMERS;
(F) MAY APPEAR OR INTERVENE AS A MATTER OF RIGHT AS A PARTY OR OTHER-
WISE ON BEHALF OF NONBUSINESS AUTOMOBILE INSURANCE CONSUMERS AS A CLASS
IN ALL PROCEEDINGS IN WHICH THE ADVOCATE DETERMINES THAT SUCH CONSUMERS
NEED REPRESENTATION, EXCEPT THAT THE ADVOCATE MAY NOT INTERVENE IN ANY
ENFORCEMENT OR PARENS PATRIAE PROCEEDING BROUGHT BY THE ATTORNEY GENER-
AL.
6. (A) THE OFFICE SHALL PREPARE INFORMATION OF PUBLIC INTEREST
DESCRIBING THE FUNCTIONS OF THE OFFICE. THE OFFICE SHALL MAKE THE INFOR-
MATION AVAILABLE TO THE PUBLIC, LAWMAKERS AND APPROPRIATE STATE AGEN-
CIES.
(B) THE OFFICE SHALL PREPARE AND MAINTAIN A WRITTEN PLAN THAT
DESCRIBES HOW EACH PERSON WHO DOES NOT SPEAK ENGLISH CAN BE PROVIDED
REASONABLE ACCESS TO THE OFFICE'S PROGRAMS.
(C) THE OFFICE SHALL PREPARE AND DISTRIBUTE PUBLIC EDUCATION MATERIALS
FOR CONSUMERS, LEGISLATORS AND REGULATORS.
(D) THE OFFICE MAY PARTICIPATE IN TRADE ASSOCIATIONS.
S 3. Subsection (d) of section 2321 of the insurance law is amended to
read as follows:
(d) Proceedings pursuant to subsections (b) and (c) [hereof] OF THIS
SECTION may be instituted upon the initiative of the superintendent or
upon written application to the superintendent by any aggrieved person
S. 1694 4
or organization, other than a rate service organization, for a hearing,
if the superintendent finds that the application is made in good faith
and that the grounds otherwise justify holding such a hearing WHICH
SHALL BE HELD WITHIN FIFTEEN DAYS OF THE REQUEST; PROVIDED, HOWEVER,
THAT THE SUPERINTENDENT SHALL HOLD SUCH A HEARING WITHIN FIFTEEN DAYS OF
AN APPLICATION THEREFOR FROM THE INSURANCE CONSUMER ADVOCATE ESTABLISHED
UNDER ARTICLE FORTY-FOUR-A OF THE EXECUTIVE LAW. IN THE CASE OF A DENIAL
OF AN APPLICATION FOR A HEARING FILED BY ANY AGGRIEVED PERSON OR ANY
OTHER ORGANIZATION, THE SUPERINTENDENT SHALL PROVIDE THE REASONS THERE-
FOR IN WRITING TO THE APPLICANT WITHIN FIFTEEN DAYS OF SUCH DENIAL.
S 4. Subsection (c) of section 2305 of the insurance law is amended to
read as follows:
(c) Rates filed with the superintendent shall be accompanied by the
information upon which the insurer supports the rate as set forth in
subsection (b) of section two thousand three hundred four of this arti-
cle. WITH RESPECT TO RATES FILED FOR NONBUSINESS AUTOMOBILE POLICIES,
SUCH FILINGS SHALL INCLUDE ALL STATISTICAL DATA RELIED UPON TO SUPPORT
THE FILING AND SUCH OTHER INFORMATION AS THE SUPERINTENDENT SHALL
REQUIRE. SUCH FILINGS AND SUPPORTING INFORMATION SHALL CONFORM WITH
STANDARDS OF UNIFORMITY WHICH THE SUPERINTENDENT SHALL PRESCRIBE BY
REGULATION ON OR BEFORE JANUARY FIRST, TWO THOUSAND NINE.
S 5. Section 89-d of the state finance law, as amended by chapter 170
of the laws of 1994, is amended to read as follows:
S 89-d. Motor vehicle theft and insurance fraud prevention fund. 1.
There is hereby established in the custody of the comptroller, a special
fund to be known as the "motor vehicle theft and insurance fraud
prevention fund".
2. Such fund shall consist of all moneys received by the state pursu-
ant to subsection (f) of section nine thousand one hundred ten of the
insurance law including any moneys received by the state pursuant to
subsection (e) of section nine thousand one hundred ten of the insurance
law that are [transfered] TRANSFERRED to the fund and all other grants,
bequests or other moneys appropriated, credited or transferred thereto
from any other fund or source pursuant to law.
3. Moneys in the motor vehicle theft and insurance fraud prevention
fund shall be kept separate and apart and shall not be commingled with
any other moneys in the custody of the comptroller and shall only be
expended herein and in such amounts as approved by the division of the
budget.
4. [The] EXCEPT AS PROVIDED IN THIS SUBDIVISION, THE moneys received
by such fund shall be expended pursuant to appropriation only to fund
provider agencies which have been awarded grants by the motor vehicle
theft and insurance fraud prevention board established pursuant to
section eight hundred forty-six-l of the executive law. All moneys
expended pursuant to this subdivision shall be for the reimbursement of
costs incurred by provider agencies; PROVIDED, HOWEVER THAT NO LESS THAN
ONE MILLION TWO HUNDRED THOUSAND DOLLARS SHALL BE USED FOR THE PURPOSES
OF CREATING, ADMINISTERING AND OPERATING THE OFFICE OF INSURANCE CONSUM-
ER ADVOCATE CREATED PURSUANT TO ARTICLE FORTY-FOUR-A OF THE EXECUTIVE
LAW.
S 6. Section 2329 of the insurance law, as amended by chapter 136 of
the laws of 2008, is amended to read as follows:
S 2329. Motor vehicle insurance rates; excess profits. (A) In accord-
ance with regulations prescribed by the superintendent, each insurer
issuing policies which are subject to article fifty-one of this chapter,
including policies of motor vehicle personal injury liability insurance
S. 1694 5
or policies of motor vehicle property damage liability insurance or
insurance for loss or damage to a motor vehicle, shall establish a fair,
practicable, and nondiscriminatory plan for refunding or otherwise cred-
iting to those purchasing such policies their share of the insurer's
excess profit, if any, on such policies. An excess profit shall be a
profit beyond a percentage rate of return on net worth attributable to
such policies, computed in accordance with the regulation required by
section two thousand three hundred twenty-three of this article, and
determined by the superintendent to be so far above a reasonable average
profit as to amount to an excess profit, taking into consideration the
fact that losses or profits below a reasonable average profit will not
be recouped from such policyholders. Each plan shall apply to policy
periods for the periods January first, nineteen hundred seventy-four
through August second, two thousand one, and the effective date of the
property/casualty insurance availability act through June thirtieth, two
thousand [eleven] NINE. In prescribing such regulations the superinten-
dent may limit the duration of such plans, waive any requirement for
refund or credit which he or she determines to be de minimis or imprac-
ticable, adopt forms of returns which shall be made to him or her in
order to establish the amount of any refund or credit due, establish
periods and times for the determination and distribution of refunds and
credits, and shall provide that insurers receive appropriate credit
against any refunds or credits required by any such plan for policyhold-
er dividends and for return premiums which may be due under rate credit
or retrospective rating plans based on experience.
(B)(1) ON OR BEFORE NOVEMBER FIRST, TWO THOUSAND TEN, AND ANNUALLY
THEREAFTER, THE SUPERINTENDENT SHALL COMPLETE A RECALCULATION OF THE
POINTS FOR REASONABLE RATE OF RETURN AND EXCESS PROFITS ESTABLISHED
UNDER THE REGULATIONS PROMULGATED PURSUANT TO THIS SECTION, USING THE
MOST RECENT SIX YEAR PERIOD FOR WHICH DATA IS AVAILABLE. IF SUCH RECAL-
CULATION RESULTS IN A CHANGE IN SUCH POINTS, THE SUPERINTENDENT SHALL
IMMEDIATELY ADOPT SUCH POINTS IN REGULATION, AND, IF, UNDER SUCH RECAL-
CULATION, EXCESS PROFITS HAVE BEEN REALIZED, SHALL IMMEDIATELY ACTIVATE
PLANS FOR REFUNDING OR OTHERWISE CREDITING TO THOSE PURCHASING SUCH
POLICIES THEIR SHARE OF INSURERS' EXCESS PROFIT, IN ACCORDANCE WITH THE
REGULATIONS PROMULGATED HEREUNDER.
(2) ON OR BEFORE DECEMBER FIRST, TWO THOUSAND TEN, AND ANNUALLY THERE-
AFTER, THE SUPERINTENDENT SHALL HOLD A PUBLIC HEARING ON THE RESULTS OF
SUCH RECALCULATION AND ANY ACTIONS INSTITUTED PURSUANT TO THIS SECTION
AS A RESULT OF SUCH RECALCULATION. ON OR BEFORE JANUARY FIRST, TWO THOU-
SAND ELEVEN, AND ANNUALLY THEREAFTER, THE SUPERINTENDENT SHALL SEND A
TRANSCRIPT OF THE HEARING TO THE LEGISLATURE AND A REPORT ON THE RESULTS
OF SUCH RECALCULATION AND ANY ACTIONS INSTITUTED AS REQUIRED BY THIS
SECTION.
(3) ON OR BEFORE OCTOBER FIRST, TWO THOUSAND TEN, THE SUPERINTENDENT
SHALL ISSUE A REQUEST FOR PROPOSALS TO CONDUCT AN INDEPENDENT AUDIT AND
EVALUATION, WITH RESPECT TO NONBUSINESS AUTOMOBILE INSURANCE, OF INSURER
COMPLIANCE WITH AND THE SUPERINTENDENT'S IMPLEMENTATION AND ENFORCEMENT
OF THE PROVISIONS OF THIS SECTION. THE SUPERINTENDENT SHALL PROVIDE THE
CHAIRS OF THE ASSEMBLY AND SENATE COMMITTEES ON INSURANCE WITH THE
RESPONSES TO THE REQUEST FOR PROPOSALS, AND SHALL CONSULT WITH SUCH
CHAIRS ON THE SELECTION OF THE FIRM TO CONDUCT THE AUDIT.
SUCH AUDIT SHALL BE COMPLETED AND A REPORT SUBMITTED BY NOVEMBER
FIRST, TWO THOUSAND ELEVEN TO THE SUPERINTENDENT AND THE LEGISLATURE.
THE SCOPE OF THE AUDIT SHALL INCLUDE, BUT NOT BE LIMITED TO:
S. 1694 6
(I) AN IDENTIFICATION AND EVALUATION OF EVENTS AND CONDITIONS INFLU-
ENCING INSURER PROFITS, INCLUDING, BUT NOT LIMITED TO: THE BUSINESS
CLIMATE AND CHANGES IN ECONOMIC CONDITIONS, INCLUDING INTEREST RATES;
(II) AN ASSESSMENT OF THE APPROPRIATENESS OF THE METHODOLOGY FOR
SELECTING A REASONABLE RATE OF RETURN AND EXCESS PROFIT THRESHOLD UNDER
SUCH REGULATION;
(III) AN ASSESSMENT OF THE FEASIBILITY OF USING INDIVIDUAL INSURER
RESULTS RATHER THAN AGGREGATE INDUSTRY DATA FOR TESTING PROFITABILITY;
(IV) AN ASSESSMENT OF THE FEASIBILITY OF AVERAGING DATA OVER LESS THAN
A SIX YEAR PERIOD FOR MEASURING EXCESS PROFITS;
(V) AN ASSESSMENT OF THE DEPARTMENT'S ACTIVITIES WITH RESPECT TO
RECALCULATING THE POINTS FOR REASONABLE RATE OF RETURN AND EXCESS
PROFITS;
(VI) A RECALCULATION OF THE POINTS FOR REASONABLE RATE OF RETURN AND
EXCESS PROFITS USING THE MOST RECENT SIX YEAR PERIOD FOR WHICH DATA IS
AVAILABLE; AND
(VII) AN IDENTIFICATION AND EVALUATION OF OTHER STATES' EXCESS PROFITS
LAWS, REGULATIONS, IMPLEMENTATION OF SUCH LAWS AND REGULATIONS, AND
METHODOLOGIES FOR CALCULATING POINTS FOR REASONABLE RATE OF RETURN.
THE REPORT SHALL INCLUDE, BUT NOT BE LIMITED TO: RECOMMENDATIONS FOR
CHANGES TO THE LAW, REGULATIONS AND IMPLEMENTATION AND ENFORCEMENT OF
SUCH PROVISIONS BASED ON THE FINDINGS OF SUCH AUDIT AND EVALUATION.
WITHIN THREE MONTHS OF THE RECEIPT OF SUCH REPORT, THE SUPERINTENDENT
SHALL HOLD A PUBLIC HEARING WITH REGARD TO THE DEPARTMENT'S RESPONSE TO
THE FINDINGS AND RECOMMENDATIONS OF THE REPORT.
S 7. This act shall take effect immediately, provided, however, that
the amendments made to section 89-d of the state finance law by section
five of this act shall not affect the expiration of such section and
shall be deemed to expire therewith; provided, further, that this act
shall apply to insurance contracts issued or renewed on or after such
effective date, and shall apply at the next required policy period,
commencing on or after such date, to any insurance contract written
prior to the effective date of this act.