House Bill hb1337

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    Florida House of Representatives - 2001                HB 1337

        By Representatives Fields, Bendross-Mindingall, Wilson,
    Brutus, Peterman, Harper, Siplin and Holloway





  1                      A bill to be entitled

  2         An act relating to investments by insurers and

  3         health maintenance organizations; amending s.

  4         625.012, F.S.; including derivative instruments

  5         within a definition of assets; amending s.

  6         625.305, F.S.; revising limitations on certain

  7         investments for purposes of diversification;

  8         amending s. 625.324, F.S.; authorizing insurers

  9         to invest in certain additional stocks;

10         creating ss. 625.336 and 641.195, F.S.;

11         providing for investments by insurers and

12         health maintenance organizations in financial

13         derivative instruments; providing requirements

14         and limitations; amending s. 641.35, F.S.;

15         including derivative instruments within a

16         definition of assets; including certain notes

17         and accounts receivable within certain assets

18         for certain purposes; increasing allowable

19         investments by health maintenance organizations

20         in certain corporate stocks; clarifying and

21         revising special consent investments; providing

22         limitations; authorizing certain health

23         maintenance organizations to elect regulation

24         under alternative provisions of law for

25         determing certain practices; providing election

26         requirements; providing an effective date.

27

28  Be It Enacted by the Legislature of the State of Florida:

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  1         Section 1.  Subsection (12) of section 625.012, Florida

  2  Statutes, is renumbered as subsection (13) and a new

  3  subsection (12) is added to said section to read:

  4         625.012  "Assets" defined.--In any determination of the

  5  financial condition of an insurer, there shall be allowed as

  6  "assets" only such assets as are owned by the insurer and

  7  which consist of:

  8         (12)  Derivative instruments used for hedging, income

  9  enhancement, or replication of other investment instruments,

10  provided the derivative instruments are not contributing to

11  financial leverage or speculation. For purposes of this

12  chapter, "hedging" means investing in an asset to reduce

13  overall risk, "income enhancement" means using an existing

14  asset to modestly increase return without increasing risk, and

15  "replication" means combining two or more assets to duplicate

16  the characteristics of the desired asset.

17         Section 2.  Paragraph (a) of subsection (2) of section

18  625.305, Florida Statutes, is amended to read:

19         625.305  Diversification.--

20         (2)  Investments eligible under subsection (1), except

21  investments acquired pursuant to s. 625.331, are subject to

22  the following limitations:

23         (a)  The cost of investments made by insurers in stock

24  authorized by s. 625.324 shall not exceed 30 15 percent of the

25  insurer's admitted assets; the cost of such investment in

26  common stocks shall not exceed 20 10 percent of the insurer's

27  admitted assets; and the cost of such investment in stock of

28  any one corporation, excluding diversified investment

29  companies or common trust funds, shall not exceed 3 percent of

30  the insurer's admitted assets. Notwithstanding any other

31  provision in this chapter, the cost basis or market value, if

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  1  lower, of all stock investment shall be used for the purpose

  2  of determining the asset value against which such percentage

  3  limitations are to be applied.

  4         Section 3.  Section 625.324, Florida Statutes, is

  5  amended to read:

  6         625.324  Corporate stocks.--An insurer may invest in

  7  stocks, common or preferred, of any corporation created or

  8  existing under the laws of the United States or of any state

  9  or Canada or any province thereof.  An insurer may invest in

10  stocks, common or preferred, of any corporation created or

11  existing under the laws of any foreign country other than

12  Canada if such stocks are listed and traded on a national

13  securities exchange in the United States, listed and traded on

14  foreign securities exchanges, or traded in foreign

15  over-the-counter markets subject to a governing authority

16  authorized for such purposes in the foreign country, or, in

17  the alternative, if such investment in stocks of any

18  corporation created or existing under the laws of any foreign

19  country are first approved by the department.  Nothing in this

20  section shall apply to qualifying investments made by an

21  insurer in a foreign country under authority of s. 625.326.

22         Section 4.  Section 625.336, Florida Statutes, is

23  created to read:

24         625.336  Financial derivative instruments.--An insurer

25  may invest any of its funds in derivative instruments, as

26  defined in the National Association of Insurance Commissioners

27  Derivative Instruments Model Regulation adopted in October

28  1997, subject to the following requirements:

29         (1)  A derivative transaction is an investment by an

30  insurer in a derivative instrument and is limited to options,

31  warrants, or futures.

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  1         (2)  Before engaging in a derivative transaction, an

  2  insurer shall establish written guidelines that shall be used

  3  for effecting and maintaining the transactions. The guidelines

  4  shall:

  5         (a)  Address investment or, if applicable, underwriting

  6  objectives, and risk constraints, including, but not limited

  7  to, credit risk limits.

  8         (b)  Address permissible transactions and the

  9  relationship of those transactions to its operations,

10  including, but not limited to, a precise identification of the

11  risks being hedged by a derivative transaction.

12         (c)  Require compliance with internal control

13  procedures.

14         (3)  An insurer shall have a system for determining

15  whether a derivative instrument used for hedging has been

16  effective.

17         (4)  An insurer shall have a credit risk management

18  system for over-the-counter derivative transactions that

19  measures credit risk exposure using the counterparty exposure

20  amount. A counterparty is a business entity other than an

21  exchange or clearing house.

22         (5)  An insurer's board of directors shall, in

23  accordance with relevant state rules:

24         (a)  Approve the guidelines required by subsection (1)

25  and the systems required by subsections (2) and (3).

26         (b)  Determine whether the insurer has adequate

27  professional personnel, technical expertise, and systems to

28  implement investment practices involving derivative

29  instruments.

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  1         (6)  An insurer shall maintain documentation and

  2  records relating to each derivative transaction, including,

  3  but not limited to:

  4         (a)  The purposes of the transactions.

  5         (b)  The assets or liabilities to which the transaction

  6  relates.

  7         (c)  The specific derivative instrument used in the

  8  transaction.

  9         (d)  For over-the-counter derivative transactions, the

10  name of the counterparty and the counterparty exposure amount.

11         (e)  For exchange traded derivative instruments, the

12  name of the exchange and the name of the firm that handled the

13  trade.

14         (7)  Each derivative instrument shall be:

15         (a)  Traded on a qualified exchange;

16         (b)  Entered into with, or guaranteed by, a business;

17         (c)  Issued or written by or entered into with the

18  issuer of the underlying interest on which the derivative

19  instrument is based; or

20         (d)  Entered into with a qualified foreign exchange.

21         Section 5.  Section 641.195, Florida Statutes, is

22  created to read:

23         641.195  Financial derivative instruments.--A health

24  maintenance organization may invest any of its funds in

25  derivative instruments, as defined in the National Association

26  of Insurance Commissioners Derivative Instruments Model

27  Regulation adopted in October 1997, subject to the following

28  requirements:

29         (1)  A derivative transaction is an investment by a

30  health maintenance organization in a derivative instrument and

31  is limited to options, warrants, or futures.

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  1         (2)  Before engaging in a derivative transaction, a

  2  health maintenance organization shall establish written

  3  guidelines that shall be used for effecting and maintaining

  4  the transactions. The guidelines shall:

  5         (a)  Address investment or, if applicable, underwriting

  6  objectives, and risk constraints, including, but not limited

  7  to, credit risk limits.

  8         (b)  Address permissible transactions and the

  9  relationship of those transactions to its operations,

10  including, but not limited to, a precise identification of the

11  risks being hedged by a derivative transaction.

12         (c)  Require compliance with internal control

13  procedures.

14         (3)  A health maintenance organization shall have a

15  system for determining whether a derivative instrument used

16  for hedging has been effective.

17         (4)  A health maintenance organization shall have a

18  credit risk management system for over-the-counter derivative

19  transactions that measures credit risk exposure using the

20  counterparty exposure amount. A counterparty is a business

21  entity other than an exchange or clearing house.

22         (5)  A health maintenance organization's board of

23  directors shall, in accordance with relevant state rules:

24         (a)  Approve the guidelines required by subsection (1)

25  and the systems required by subsections (2) and (3).

26         (b)  Determine whether the health maintenance

27  organization has adequate professional personnel, technical

28  expertise, and systems to implement investment practices

29  involving derivative instruments.

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  1         (6)  A health maintenance organization shall maintain

  2  documentation and records relating to each derivative

  3  transaction, including, but not limited to:

  4         (a)  The purposes of the transactions.

  5         (b)  The assets or liabilities to which the transaction

  6  relates.

  7         (c)  The specific derivative instrument used in the

  8  transaction.

  9         (d)  For over-the-counter derivative transactions, the

10  name of the counterparty and the counterparty exposure amount.

11         (e)  For exchange traded derivative instruments, the

12  name of the exchange and the name of the firm that handled the

13  trade.

14         (7)  Each derivative instrument shall be:

15         (a)  Traded on a qualified exchange;

16         (b)  Entered into with, or guaranteed by, a business;

17         (c)  Issued or written by or entered into with the

18  issuer of the underlying interest on which the derivative

19  instrument is based; or

20         (d)  Entered into with a qualified foreign exchange.

21         Section 6.  Paragraph (h) is added to subsection (1) of

22  section 641.35, Florida Statutes, paragraph (b) of subsection

23  (2) and subsections (14) and (15) are amended, and subsection

24  (19) is added to said section, to read:

25         641.35  Assets, liabilities, and investments.--

26         (1)  ASSETS.--In any determination of the financial

27  condition of a health maintenance organization, there shall be

28  allowed as "assets" only those assets that are owned by the

29  health maintenance organization and which assets consist of:

30         (h)  Derivative instruments used for hedging, income

31  enhancement, or replication of other investment instruments,

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  1  provided the derivative instruments are not contributing to

  2  financial leverage or speculation. For purposes of this

  3  chapter, "hedging" means investing in an asset to reduce

  4  overall risk, "income enhancement" means using an existing

  5  asset to modestly increase return without increasing risk, and

  6  "replication" means combining two or more assets to duplicate

  7  the characteristics of the desired asset.

  8

  9  The department, upon determining that a health maintenance

10  organization's asset has not been evaluated according to

11  applicable law or that it does not qualify as an asset, shall

12  require the health maintenance organization to properly

13  reevaluate the asset or replace the asset with an asset

14  suitable to the department within 30 days of receipt of

15  written notification by the department of this determination,

16  if the removal of the asset from the organization's assets

17  would impair the organization's solvency.

18         (2)  ASSETS NOT ALLOWED.--In addition to assets

19  impliedly excluded by the provisions of subsection (1), the

20  following assets expressly shall not be allowed as assets in

21  any determination of the financial condition of a health

22  maintenance organization:

23         (b)  Any note or account receivable from or advances to

24  officers, directors, or controlling stockholders, whether

25  secured or not, and advances to employees, agents, or other

26  persons on personal security only, unless such note or account

27  receivable is payable by the controlling stockholder or entity

28  to the health maintenance organization and is secured by

29  assets that are allowable as admitted assets under this

30  section.

31         (14)  SPECIAL LIMITATION INVESTMENTS.--

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  1         (a)  After satisfying the requirements of this part,

  2  any funds of the health maintenance organization may be

  3  invested in the following investments, subject to a cost

  4  limitation of 10 percent of its admitted assets in each

  5  category of investment:

  6         1.  Anticipation obligations of political subdivisions

  7  of a state.--Anticipation obligations of any political

  8  subdivision of any state of the United States, including, but

  9  not limited to, bond anticipation notes, tax anticipation

10  notes, preliminary loan anticipation notes, revenue

11  anticipation notes, and construction anticipation notes, for

12  the payment of money within 12 months from the issuance of the

13  obligation, on the following conditions:

14         a.  The anticipation notes are a direct obligation of

15  the issuer under conditions set forth in subsection (9).

16         b.  The political subdivision is not in default in the

17  payment of the principal or interest on any of its direct

18  general obligations or any obligation guaranteed by such

19  political subdivision.

20         c.  The anticipated funds are specifically pledged to

21  secure the obligations.

22         2.  Revenue obligations of state or municipal public

23  utilities.--Obligations of any state of the United States, a

24  political subdivision thereof, or a public instrumentality of

25  any one or more of the foregoing for the payment of money, on

26  the following conditions:

27         a.  The obligations are payable from revenues or

28  earnings of a public utility of such state, political

29  subdivision, or public instrumentality which are specifically

30  pledged therefor.

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  1         b.  The law under which the obligations are issued

  2  requires that such rates for service shall be charged and

  3  collected at all times so as to produce sufficient revenue or

  4  earning, together with any other revenues or moneys pledged,

  5  to pay all operating and maintenance charges of the public

  6  utility and all principal and interest on such charges.

  7         c.  No prior or parity obligations payable from the

  8  revenues or earnings of that public utility are in default at

  9  the date of such investment.

10         3.  Other revenue obligations.--Obligations of any

11  state of the United States, a political subdivision thereof,

12  or a public instrumentality of any of the foregoing for the

13  payment of money, on the following conditions:

14         a.  The obligations are payable from revenues or

15  earnings, excluding revenues or earnings from public

16  utilities, specifically pledged therefor by such state,

17  political subdivision, or public instrumentality.

18         b.  No prior or parity obligation of the same issuer

19  payable from revenues or earnings from the same source has

20  been in default as to principal or interest during the 5 years

21  next preceding the date of the investment, but the issuer need

22  not have been in existence for that period, and obligations

23  acquired under this paragraph may be newly issued.

24         4.  Corporate stocks.--Stocks, common or preferred, of

25  any corporation created or existing under the laws of the

26  United States or any state thereof.  The organization may

27  invest in stocks, common or preferred, of any corporation

28  created or existing under the laws of any foreign country if

29  such stocks are listed and traded on a national securities

30  exchange in the United States or, in the alternative, if such

31  investment in stocks of any corporation created or existing

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  1  under the laws of any foreign country are first approved by

  2  the department. Investment in common stock of any one

  3  corporation shall not exceed 3 percent of the health

  4  maintenance organization's admitted assets.

  5         (b)  After satisfying the requirements of this part,

  6  any funds of the health maintenance organization may be

  7  invested, subject to a cost limitation of 20 percent of

  8  admitted assets, in stocks, common or preferred, of any

  9  corporation created or existing under the laws of the United

10  States or any state thereof.  The health maintenance

11  organization may invest in stocks, common or preferred, of any

12  corporation created or existing under the laws of any foreign

13  country if such stocks are listed and traded on a national

14  securities exchange in the United States, listed and traded on

15  foreign securities exchanges, or traded in foreign

16  over-the-counter markets subject to a governing authority

17  authorized for such purposes in the foreign country, or, in

18  the alternative, if such investment in stocks of any

19  corporation created or existing under the laws of any foreign

20  country are first approved by the department. Investment in

21  common stock of any one corporation, excluding diversified

22  investment companies or common trust funds, shall not exceed 3

23  percent of the health maintenance organization's admitted

24  assets.

25         (c)(b)  After satisfying the requirements of this part,

26  the health maintenance organization may invest its funds and

27  accumulations in the following investments, subject to a cost

28  limitation of 5 percent of admitted assets in each category of

29  investment:

30         1.  Obligations of the International Bank for

31  Reconstruction and Development.--Obligations issued or

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  1  guaranteed by the International Bank for Reconstruction and

  2  Development.

  3         2.  Obligations of the Inter-American Development

  4  Bank.--Obligations issued or guaranteed by the Inter-American

  5  Development Bank.

  6         3.  Obligations of the Asian Development

  7  Bank.--Obligations issued or guaranteed by the Asian

  8  Development Bank.

  9         4.  Obligations of the State of Israel.--Direct

10  obligations of the State of Israel for the payment of money,

11  or obligations for the payment of money which are guaranteed

12  as to the payment of principal and interest by the State of

13  Israel, on the condition that the State of Israel shall not be

14  in default in the payment of principal or interest on any of

15  its direct, general obligations on the date of such

16  investment.

17         5.  Obligations of the African Development

18  Bank.--Obligations issued or guaranteed by the African

19  Development Bank.

20         6.  Obligations of the Government of Canada or any

21  province thereof.--Obligations issued or guaranteed by the

22  Government of Canada or any province thereof.

23         7.  Obligations of the International Finance

24  Corporation.--Obligations issued or guaranteed by the

25  International Finance Corporation.

26         (15)  SPECIAL CONSENT INVESTMENT.--Any investment of

27  the health maintenance organization's funds not enumerated in

28  this part requires the prior approval of the department.

29         (a)  After satisfying the requirements of this part,

30  any funds of a health maintenance organization in excess of

31  its statutorily required reserves and surplus may be invested:

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  1         1.  Without limitation in any investments otherwise

  2  authorized by this part; or

  3         2.  In such other investments not specifically

  4  authorized by this part provided such investments do not

  5  exceed the lesser 5 percent of the health maintenance

  6  organization's admitted assets or 25 percent of the amount by

  7  which a health maintenance organization's surplus exceeds its

  8  statutorily required minimum surplus. A health maintenance

  9  organization may exceed the limitations of this subparagraph

10  only with the prior written approval of the department.

11         (b)  Nothing in this subsection authorizes a health

12  maintenance organization to:

13         1.  Invest any funds in excess of the amount by which

14  its actual surplus exceeds its statutorily required minimum

15  surplus; or

16         2.  Make any investment prohibited by this code.

17         (19)  Notwithstanding any other provision of law, a

18  health maintenance organization, which reports surplus on its

19  most recently filed annual report that is equal to or in

20  excess of the greater of $3 million, 20 percent of total

21  liabilities, or 4 percent of annualized premium, may elect to

22  be regulated under parts I and II of chapter 625, instead of

23  chapter 641, for determining assets, liabilities, and

24  investment practices. A health maintenance organization shall

25  notify the department of an intent to make such election 90

26  days prior to the end of the calendar year and the election

27  shall take effect on the first day of the next calendar year.

28         Section 7.  This act shall take effect upon becoming a

29  law and shall operate retroactively to January 1, 2001.

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  1            *****************************************

  2                          HOUSE SUMMARY

  3
      Revises and clarifies authorized investments by insurers
  4    and health maintenance organizations to authorize
      investments in derivative instruments and in corporate
  5    stocks listed and traded on foreign securities exchanges
      or traded in foreign over-the-counter markets subject to
  6    a governing authority authorized for such purposes in the
      foreign country, clarify and revise special consent
  7    investments by health maintenance organizations, and
      authorize health maintenance organizations to elect
  8    regulation under alternative provisions of law for
      determining assets, liabilities, and investment
  9    practices. See bill for details.

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