XIII. INSURANCE

NOTE: * denotes urgency legislation

Automobile Insurance
Health Insurance
Earthquake Insurance
Miscellaneous

 
Automobile Insurance


SB 49 (Lockyer-D) - Vehicle Insurance

Sets forth legislative findings and declarations relative to the 
need for reforms to prevent insurance fraud, make vehicle 
insurance coverage more affordable, reduce vehicle accident claim 
litigation, and enhance vehicle safety.

Chapter 1109, Statutes of 1996 

Similar legislation was AB 607 (Brulte-R), which died in the 
Senate Insurance Committee; AB 1242 (Bordonaro-R), which died 
in the Senate Judiciary Committee; AB 1752 (Knowles-R), which 
died in the Senate Judiciary Committee; and AB 3216 (Brulte-R), 
which died on the Senate Inactive File.



SB 350 (Peace-D) - Auto Insurance Fraud

Allows the Department of Insurance, the California Highway 
Patrol and local district attorneys to use up to 25% of the auto 
insurance fraud assessment funds received for other types of 
insurance fraud discovered during the course of an auto insurance 
fraud investigation.

(Failed passage on Senate Floor)



SB 968 (Johnston-D) - Auto Insurance:  Good Drivers

Provides that an insurance agent must place a Proposition 103 
"Good Driver" with the lowest price insurance company within a 
group of affiliated companies if the agent is appointed by any one 
of the companies within the group, as specified.

(Died in Assembly Insurance Committee)



SB 1129 (Killea-I) - No-Fault Insurance

Establishes a system of no-fault automobile insurance requiring 
motorists to purchase a policy providing at least $15,000 in first-
party benefits, and prohibits lawsuits for the recovery of non-
economic damages for non-serious damages.  Requires motorists 
to show proof of insurance at the time of vehicle registration.

(Died in Senate Judiciary Committee due to a 29.10 problem)

Similar legislation was SB 1229 (Killea-I), which failed passage in 
Senate Judiciary Committee.



SB 1611 (Johnson-R) - Underinsured Motorist Coverage

Provides for a 1-year notice requirement as a pre-condition for 
making an underinsured motorist claim.

(Failed passage in Senate Judiciary Committee)



SB 1694 (Dills-D) - Auto Insurance:  Premium Reductions

Requires insurance companies to reduce vehicle liability 
insurance premiums for persons who complete a driver 
improvement course.

(Died in Senate Transportation Committee)



SB 1807 (Rosenthal-D) - Auto Insurance

Makes changes  in the law involving agent licensing, fee sharing, 
premium refunds and disclosure with regard to insurance sold in 
connection with the sale of an automobile.

(Died in Senate Insurance Committee)



SB 2046* (Johnson-R) - Auto Insurance Rates

Provides that insurers may use specified rating factors in 
determining auto insurance rates and premiums, so long as the 
resulting rates are not excessive, inadequate or unfairly 
discriminatory.

(Failed passage on Assembly Floor)

Similar legislation was SB 1433* (Peace-D), which died in Senate 
Judiciary Committee, and AB 341* (Knowles-R), which failed 
passage on the Assembly Floor.



AB 650 (Speier-D) - Financial Responsibility

Requires, beginning on January 1, 1997, every application for the 
renewal of registration of a vehicle to be accompanied by proof of 
compliance with the state's financial responsibility laws.  
Requires a driver to show proof of financial responsibility upon 
the demand of a peace officer; authorizes the court impoundment 
of vehicles driven by persons without proof of financial 
responsibility or who provide false evidence of same, as specified; 
and establishes fines, community service requirements, driver's 
license suspensions and related penalties for failure to comply 
with such provisions.  Double-joined with SB 49 (Lockyer-D).

Chapter 1126, Statutes of 1996 



AB 1083 (Archie-Hudson-D) - Insurance:  Unfair Practices

Requires auto insurers to act in good faith toward, and deal fairly 
with, current and prospective policyholders and other persons 
intended to be protected by any policy of motor vehicle insurance.

(Died in Assembly Insurance Committee)



AB 1301 (K. Murray-D) - Financial Responsibility

Allows peace officers issuing notices to appear for other specified 
traffic violations to require the cited driver to provide defined 
evidence of financial responsibility, as specified.  Prescribes 
special penalties for a failure to produce proof or knowingly 
providing false evidence of financial responsibility.  Requires 
dismissal of charges for a person who later shows evidence of 
financial responsibility to the court clerk.

(Died in Assembly Insurance Committee)



AB 2924 (Boland-R) - Proof of Financial Responsibility

Empowers peace officers to demand proof of insurance from 
motorists when conducting an otherwise lawful vehicle stop, and 
allows the imposition of fines for failure to provide the proof.

(Died in Senate Judiciary Committee)



AB 3313 (Brewer-R) - Insurance:  Assigned Risk Plans

Clarifies that coverage for enrollees in the California Automobile 
Assigned Risk Program becomes effective when the application is 
electronically transmitted to the plan's manager.

Chapter 350, Statutes of 1996 

Health Insurance



SB 38* (Lockyer-D) - Omnibus Tax Bill

Among other provisions, provides for the following health 
insurance provisions:  (1) conforms with federal changes in the 
income tax law concerning medical expenses deductions, treating 
long-term care insurance costs and long-term care expenses as a 
medical expense; and (2) conforms with federal law allowing small 
employers and self-employed individuals to create medical 
savings accounts.

Chapter 954, Statutes of 1996 

A similar bill on medical savings accounts was AB 1758 (Knowles-
R), which died in the Senate Appropriations Committee.



SB 371 (Rosenthal-D) - Small Employer Health Insurance

Extends California's small employer health insurance reforms 
(which currently apply to groups with 3 to 50 employees) to 
groups of 2 to 50.  Applies on and after July 1, 1997.

Chapter 360, Statutes of 1996

Similar legislation is AB 8 (Friedman-D), which became Chapter 
359, Statutes of 1996.



SB 381 (Petris-D) - Insurance:  Severe Mental Illness

Authorizes a pilot program under which state or other public 
employee volunteers have state health benefits restructured so 
that coverage for severe mental illness is the same as for other 
major medical conditions of the brain.  Specifies that any added 
cost for the coverage should be paid through an increase in 
employee contributions, adjustment in the benefit package, or 
absorbed by the participating health plans.  Requires the Public 
Employees' Retirement System to compare the relative cost of 
coverage under this pilot with the cost of conventional coverage.

(Died in Assembly Public Employees, Retirement and Social 
Security Committee)



SB 484 (Lewis-R) - Health Care Service Plans:  Medical Savings 
Account

Permits a health care service plan to offer a high-deductible plan 
contract in conjunction with a medical savings account, as 
specified.

(Died on Assembly Floor)

A similar bill, AB 1755 (Knowles-R), also died on the Assembly 
Floor.



SB 579 (Leonard-R) - Health Coverage

Requires health insurance plans and insurers that provide 
maternity coverage to cover in-patient and certain other care for 
the mother and newborn after childbirth, the length of time which 
is to be determined by the treating physician.

(Failed passage on Assembly Floor)



SB 607 (Ayala-D) - Health Insurance:  Diabetes

Requires health insurers to cover management and treatment of 
diabetes, including coverage of comprehensive treatment supplies.

(Died in Senate Appropriations Committee)



SB 661 (Maddy-R) - Health Insurance

Authorizes the Managed Risk Medical Insurance Board (MRMIB) 
to adjust premiums so that subscribers in the Major Risk Medical 
Insurance Program would pay additional subsidy amounts above 
the average program subsidy.  Authorizes MRMIB to increase 
maximum co-payments and deductibles to enable them to provide 
coverage to additional subscribers.

Chapter 792, Statutes of 1996 



SB 686 (Thompson-D) - Health Care Coverage:  Immunizations

Requires health plans and insurers to cover immunizations for 
children consistent with the most current version of the 
Recommended Childhood Immunization Schedule of the United 
States.

Chapter 556, Statutes of 1996 



SB 705 (Peace-D) - Health Care Service Plans:  Regulation

Places responsibility for administration and enforcement of the 
Knox-Keene Health Care Service Plan Act of 1975 with the 
Insurance Commissioner, rather than the Department of 
Corporations.

(Sent to interim study)



SB 789 (Rosenthal-D) - Health Insurance:  Stop-Loss Coverage

Adopts conditions under which stop-loss insurance sold with low 
attachment points must be regulated as health insurance and not 
loss insurance.

(Died in Assembly Health Committee)



SB 849* (Maddy-R) - Health Insurance

Clarifies the schedule for phasing in the small group health 
insurance risk adjustment rating factor that becomes effective 
July 1, 1996.  Requires the California Major Risk Medical 
Insurance Board to provide coverage through participating health 
plans.  Permits the board to contract for the processing of 
applications, the enrollment of subscribers, and activities 
necessary to administer this program.

Chapter 50, Statutes of 1996



SB 1211 (Hughes-D) - Health Coverage:  Continuation

Requires health care service plan contracts and every group policy 
of insurance providing coverage under an employer-sponsored 
plan of 3 to 19 employees to offer continued coverage to 
individuals formerly belonging to an eligible class, subject to 
certain specified requirements and restrictions.

(Died in Assembly Health Committee)



SB 1478 (Solis-D) - Health Care Service Plans

Extends the requirement that health care service plans reimburse 
any uncontested portion of any claim to medical groups and 
independent practice associations no later than 30 working days 
after receipt of the claim by the plan.  Double-joined with SB 1665 
(Thompson-D).

Chapter 711, Statutes of 1996 



SB 1514 (Killea-I) - Health Care Service Plans:  Disclosure Forms

Requires the disclosure form regarding benefits, services and 
terms of the plan contract to contain a notice on the first page 
that conforms with enumerated conditions.

(Died in Senate Rules Committee)



SB 1547 (Peace-D) - Health Insurance:  Disclosure of Substituted 
Care

Revises disclosure requirements for health care service plans and 
disability insurers to fully disclose to enrollees, subscribers and 
insured persons coverage for substitute care, transitional in-
patient care or care provided in skilled nursing facilities, as 
specified.

Chapter 1024, Statutes of 1996 



SB 1559 (Peace-D) - Health Insurance

Enacts the Private Health Care Voluntary Purchasing Alliance 
Act.  Establishes a structure under which the Insurance 
Commissioner would regulate these alliances.

Chapter 916, Statutes of 1996 



SB 1578 (Marks-D) - Health Insurance:  Pharmacy Benefits

Requires health plans and health insurers that impose limitations 
on the supply of prescription drug benefits to impose such supply 
limitations uniformly on all pharmacies authorized to provide 
prescription drug benefits.

(Died in Senate Insurance Committee)



SB 1581 (Rosenthal-D) - Health Insurance

Requires that for every plan contract that provides supplements 
to Medicare benefits, a plan is to include a specified notice 
concerning the availability of counseling by the Health Insurance 
Counseling and Advocacy Program.

Chapter 1113, Statutes of 1996 



SB 1596 (Kopp-I) - Health Care Coverage:  Pharmacists

Allows health care plans and health insurers to pay for or 
reimburse the cost of services provided by pharmacists.

Chapter 527, Statutes of 1996 



SB 1660 (Rosenthal-D) - Health Care Service Plans

Enacts various reforms to make contractual binding arbitration 
procedures and proceedings for the resolution of disputes arising 
out of a health care service plan more fair and cost-efficient for 
consumers.

Chapter 1093, Statutes of 1996 



SB 1665 (Thompson-D) - Telemedicine

Enacts the Telemedicine Development Act of 1996, setting 
standards for the use of telemedicine by health care practitioners 
and insurers, as specified.

Chapter 864, Statutes of 1996 



SB 1670 (Rosenthal-D) - Health Care Service Plans:  Records

Requires medical records of enrollees and peer review records to 
be made available to the Corporations Commissioner, and allows 
the commissioner to levy penalties on health care service plans.

(Sent to interim study)



SB 1721 (Killea-I) - Disability Insurance Policies

Extends the January 1, 1997 sunset date, until January 1, 2001, 
on the exemption from certain regulatory requirements for those 
disability insurance policies that are sold through direct response 
(mail), to people age 65 and over.

Chapter 678, Statutes of 1996 



SB 1732 (Rosenthal-D) - Health Care Service Plans:  Reporting

Requires the Department of Corporations to release a composite 
report for each health care service plan and to place the report on 
the Internet.

Vetoed by the Governor 



SB 1740 (Johnston-D) - Health Insurance Dissemination:  Genetic 
Characteristics

Extends provisions prohibiting the use of genetic information for 
insurance purposes to multiple employer welfare arrangements, 
prohibits health insurance entities from seeking information 
about genetic characteristics for non-therapeutic purposes, and 
revises the definition of genetic characteristics.  Changes the 
deadline for self-funded or partially self-funded multiple employer 
welfare arrangements to file applications for a certificate of 
compliance.

Chapter 532, Statutes of 1996 



SB 1798 (Killea-I) - Health Care Service Plans:  Nonphysician 
Providers

Permits medical groups and independent practice associations, 
contracting with health plans, to contract with licensed 
"nonphysician" providers; permits the nonphysician providers to 
bill the health plan directly for services; and permits these 
providers to be listed in plan directories.

Chapter 533, Statutes of 1996 



SB 1805 (Rosenthal-D) - Health Care Service Plans

Makes violations of existing law protecting health care 
practitioners, physicians or surgeons who advocate for 
appropriate health care on a patient's behalf subject to the 
criminal sentences provided by the Knox-Keene Health Care 
Service Plan Act of 1975.  Makes violations of the Insurance Code 
concerning provisions of AB 3013 (Alby-R) gag clauses in 
providers' contracts.

Chapter 1094, Statutes of 1996 



SB 1866 (Senate Insurance Committee) - Nonprofit Hospital 
Service Plans

Deletes the chapter of the Insurance Code regulating nonprofit 
hospital service plans since no plans currently exist in this state.

Chapter 484, Statutes of 1996 



SB 1875 (Maddy-R) - Health Care Service Plans:  Appeals

Requires that health maintenance organizations report summary 
information on the disposition of grievances or complaints, 
categorizing the information by whether the subscriber is covered 
under Medicare, Medi-Cal, or through private coverage, as 
specified.

Chapter 534, Statutes of 1996 



SB 1936 (Rosenthal-D) - Health Care Service Plans:  Ombudsman

Requires the Department of Corporations to designate an 
ombudsman within the department to perform duties as specified 
by the Commissioner of Corporations.

Chapter 1095, Statutes of 1996 



SB 2012 (Killea-I) - Health Care Service Plans:  Disclosure Forms

Requires health care service plans' disclosure forms to contain 
specific information about benefits and exclusions, and the terms 
and conditions of coverage.

(Failed passage in Assembly Appropriations Committee)



SB 2043* (Rosenthal-D) - Health Care Coverage:  Medicare 
Supplemental Coverage

Allows for an annual open enrollment period for people with 
Medicare supplemental coverage.  Extends the expiration date of 
benefits covered under a Consolidated Omnibus Budget 
Reconciliation Act policy.  Adds provisions of SB 2044 (Rosenthal), 
which was vetoed by the Governor, conforming California law to 
new federal requirements for Medicare supplemental health 
insurance coverage.  Does not contain the veto issue relating to 
premiums that could be charged for pre-standardized policies.

Chapter 1118, Statutes of 1996 



SB 2044* (Senate Insurance Committee) - Health Insurance:  
Medicare

Conforms California law regulating Medicare supplemental 
health insurance (Medigap policies) to the newly-revised 
standards developed by the National Association of Insurance 
Commissioners.

Vetoed by the Governor  - Non-veto items placed into SB 2043* 
(Rosenthal).



SB 2061 (Johnson-R) - Health Care Service Plans

Limits the Department of Corporation's authority to investigate 
health maintenance organizations (HMOs) and, in particular, 
restricts the Department of Corporations' access to confidential 
medical and peer review records maintained by HMOs.

(Sent to interim study)



AB 505 (Villaraigosa-D) - Changes in Health Care

Requires hospitals and providers of health care service plans to 
disclose to the public and the applicable administering state 
agency any plan to restructure the delivery of health care.

(Died in Assembly Health Committee)



AB 810 (Allen-R) - Health Insurance:  Community Colleges

Establishes the Part-Time Community College Faculty Health 
Insurance Program, which allows a district to provide health 
insurance for part-time faculty, as specified.

(Died in Assembly Appropriations Committee)



AB 1136 (Brown-D) - Health Care Service Plans:  Drug 
Substitutes

Provides for the future regulation of pharmaceutical benefits 
provided by specialized health care service plans, and adopts 
disclosure requirements in cases where pharmacists receive 
financial incentives for switching prescribed drugs.

(Died in Conference Committee)



AB 1183 (Isenberg-D) - Health Care Service Plans

Requires the Corporations Commissioner to create a public, 
nonprofit health foundation to receive the assets of any nonprofit 
health care service plan that has converted to for-profit status or 
restructured organizationally.

(Died in Senate Rules Committee)



AB 1360 (Knowles-R) - Health Insurance:  Small Employers

Authorizes a health care service plan or carrier to enter into 
contractual agreements with qualified associations under which 
the associations or their third-party administrators may assume 
responsibility for performing specified administrative services, 
subject to various  restrictions.  Sunsets January 1, 2003.

Chapter 641, Statutes of 1996 



AB 1436 (Burton-D) - Health Coverage:  First Responder Services

Requires all health care plans and disability insurance policies to 
contain a provision requiring reimbursement for initial stabilizing 
medical (responder) services, and places a cap on this 
reimbursement.

Vetoed by the Governor 




AB 1469 (Lee-D) - Health Coverage:  Minority Communities

States legislative intent that any comprehensive health insurance 
program adopted by California address the health concerns of 
ethnic minority communities, as specified.

(Died in Assembly Health Committee)



AB 1663 (Friedman-D) - Health Insurance:  Experimental 
Services

Enacts the Friedman-Knowles Experimental Treatment Act of 
1996.  Requires health maintenance organizations and health 
insurers to establish an external, independent review process to 
examine the plan's coverage decisions for individual enrollees 
with terminal conditions for which standard therapies have not 
been effective, as specified.

Chapter 979, Statutes of 1996 



AB 1759* (Knowles-R) - Income Taxes:  Health Insurance 
Premiums

Provides for a maximum tax credit of $250 for self-employed 
individuals who purchase a health insurance policy during the 
taxable year, as specified.

(Failed passage in Senate Revenue and Taxation Committee)



AB 1805 (Friedman-D) - Primary Care Case Management Plans

Requires the Department of Corporations to review Department 
of Health Services' medical audits of primary care case 
management plans and to hold a public hearing prior to issuing a 
license authorizing a plan to operate as a health care service plan.

(Died on Senate Third Reading File)



AB 1823 (Escutia-D) - Health Care Service Plans

Allows health care service plans to make additional voluntary 
payments of 25 cents for each enrollee for the purpose of 
providing medical education loan repayment assistance.

(Died in Assembly Health Committee)



AB 1829 (Martinez-D) - Health Care Service Plans:  Study

Requires the Department of Corporations to study and report to 
the Legislature regarding the number of full service health care 
service plans that are accredited by the National Committee on 
Quality Assurance.

(Died in Assembly Health Committee)



AB 1841 (Figueroa-D) - Health Coverage:  Maternity Benefits

Requires every health care service plan contract, nonprofit 
hospital service plan contract, and certain disability insurance 
policies issued, amended, delivered or renewed on and after 
January 1, 1997 that provides maternity coverage to include 
coverage for in-patient care and certain other care, the length of 
which is to be determined by the treating physician for the 
mother and the newborn after childbirth, subject to certain 
requirements and exceptions.

(Died in Assembly Health Committee being subjected to Assembly 
Rule 77.2)

Similar legislation was AB 1978 (Figueroa-D), which died in 
Assembly Health Committee.  A clean-up measure to AB 1941 
was to be AB 1839 (Figueroa-D), which died on the Senate 
Inactive File.



AB 1922 (McPherson-R) - Health Care Service Plans

Requires the Corporations Commissioner to adopt regulations 
establishing a uniform credentialing application for use by plans, 
independent practice associations, medical groups and individual 
providers.

(Died in Assembly Health Committee)



AB 1959 (Friedman-D) - Health Care Service Plans

Requires the Corporations Commissioner to conduct and publish 
an annual survey of plans, rating them from best to worst based 
on certain criteria.

(Died in Assembly Health Committee)



AB 1960 (Friedman-D) - Health Care:  Pregnant Women; Children

Enacts the California Family Health Care Plan Act requiring the 
Department of Health Services to establish a comprehensive 
program to provide perinatal services to pregnant women, and 
child health care to children 18 years of age or under, for all 
women and children who are ineligible for the Medi-Cal program 
and who do not have health insurance coverage for all the services 
provided for under the bill.

(Died in Assembly Health Committee)



AB 1967 (Friedman-D) - Health Insurance:  Experimental 
Procedures

Requires health care service plans and insurers to offer an 
independent medical expert review of a decision to deny coverage 
for an experimental treatment.

(Died in Assembly Health Committee)



AB 2067 (Friedman-D) - Health Care Providers:  Retaliation

Prohibits health care and insurance providers from sanctioning 
health care practitioners who advocate on behalf of enrollees.

(Failed passage in Assembly Insurance Committee)



AB 2138 (Campbell-D) - Health Care Service Plans:  Financial 
Statements

Extends, by 60 days, the annual deadline for public entity health 
plans to submit financial audits to the Corporations 
Commissioner.

Chapter 139, Statutes of 1996 



AB 2343 (Richter-R) - Health Care Service Plans:  Task Force

Requires the Governor to convene a task force on health care 
services plans to research and report on specified subjects 
concerning health care service plans, by January 1, 1998.

Chapter 815, Statutes of 1996 



AB 2390 (Escutia-D) - Health Insurance:  Second Opinions

Requires health plans and insurers to provide for a second 
medical opinion, as specified.

(Failed passage in Assembly Health Committee)



AB 2649 (Thompson-D) - Health Care Service Plans:  Provider 
Incentives

Prohibits health care service plans contracts from containing 
incentive plans that act as an inducement to deny, reduce, limit or 
delay specific medically necessary and appropriate services 
covered under the contract.  Double-joined with SB 1547 (Peace-
D).

Chapter 1014, Statutes of 1996 

Similar legislation was SB 1064 (Lewis-R) andAB 2192 (Figueroa-
D), both of which died in the Assembly Health Committee.



AB 2668 (Figueroa-D) - Health Care Service Plans

Requires every full-service health care service plan to file certain 
revenue and expense information annually with the Corporations 
Commissioner, under penalty of perjury.  Requires the 
information to be available to the public and on the Internet.

(Failed passage in Assembly Insurance Committee)



AB 2780 (Speier-D) - Health Care Coverage:  Contraceptive Drugs

Requires health care service plans, nonprofit hospital service plan 
contracts, and certain disability insurance policies to provide 
coverage for a variety of contraceptives.

(Failed passage in Assembly Insurance Committee)



AB 3013 (Alby-R) - Health Care Providers:  Patient Advice:  Gag 
Clauses

Prohibits health plans or their contracting entities from including 
provisions in their contracts that interfere with the ability of 
health care providers to communicate with their patients 
regarding their health care, as specified.

Chapter 1089, Statutes of 1996 

Similar legislation was AB 3226 (Gallegos-D), which failed 
passage in the Assembly Health Committee.



AB 3071 (Granlund-R) - Health Care Service Plans:  Arbitration

Raises the amount in controversy cap from $50,000 to $200,000 
for the use of a single neutral arbitration in binding arbitration of 
disputes with health care providers.

(Died in Senate Judiciary Committee)



AB 3139 (Brown-D) - Health Coverage:  Pharmaceutical Benefit 
Management Companies

Requires health care service plans to disclose their drug switching 
program to enrollees.

(Failed passage in Assembly Health Committee)



AB 3142 (Granlund-R) - Health Coverage:  Preexisting Conditions

Exempts from limitations on the use of preexisting condition 
exclusions, specified disease policies or certificate of hospital 
confinement indemnity health insurance policies.  Provides that 
rejection for policies or certificates of specified diseases or policies 
or certificates of hospital confinement is not to be used to 
determine eligibility for the Major Risk Medical Insurance 
Program.

Chapter 544, Statutes of 1996 



AB 3143 (Granlund-R) - Multiple Employer Welfare 
Arrangements (MEWAs)

Requires Multiple Employer Welfare Arrangements (MEWAs) to 
annually submit their financial statements, and requires the 
Insurance Commission to consider additional factors when 
determining the MEWAs' qualifications.

(Died in Senate Insurance Committee)



AB 3251 (Gallegos-D) - Health Care Service Plans:  Independent 
Medical Opinions

Requires health plans to file with their regulations a written 
policy describing how a plan determines if a second medical 
opinion is medically necessary and appropriate.

Chapter 1091, Statutes of 1996 



AB 3340 (Knowles-R) - Medical Malpractice Insurance

Prohibits health plans and insurers from requiring or offering any 
inducement to a provider of medical services to obtain liability 
insurance for the professional malpractice of health care providers 
unless it is provided by specified insurers.

(Failed passage in Assembly Insurance Committee)



AB 3417 (Friedman-D) - Health Care Coverage:  Preexisting 
Conditions

Prohibits health care service plan contracts and health benefit 
plans from imposing any other waiting periods other than those 
regulated pursuant to law.

(Died in Assembly Insurance Committee)



AB 3424 (Gallegos-D) - Health Care

Enacts the Health Care Consumer Protection Act of 1996, to 
require a health maintenance organization or disability insurer to 
disclose in a separate document its grievance procedures, disclose 
loss ratio data and report complaint data to its regulator.

(Failed passage in Assembly Insurance Committee)



AB 3437* (Bowen-D) - Income Tax:  Medical Care

Increases the tax deduction allowed under the income tax to 100% 
of the amount paid or insured by a self-employed individual for 
insurance which constitutes medical care for the taxpayer and the 
taxpayer's spouse and dependents.

(Failed passage in Assembly Revenue and Taxation Committee)



AB 3454 (Friedman-D) - Health Care Service Plans:  Grievances 
and Complaints

Requires the Corporations Commissioner to establish and 
maintain a separate listing of grievances or complaints referred to 
another governmental agency, including a general description of 
each grievance or complaint that is referred.

(Failed passage in Assembly Insurance Committee)


NOTE:  There are 2 initiatives on the November 1996 ballot 
concerning managed care and health care plans; Proposition 214, 
the Health Care Patient Protection Act of 1996, and Proposition 
216, the Patient Protection Act.

Earthquake Insurance



One of the major issues which was resolved in 1996 was making 
operational the California Earthquake Authority, which was put 
into place by AB 313 of 1995.  The major pieces of legislation in 
the package are:



SB 1993* (Calderon-D) - California Earthquake Authority

Requires a specified disclosure to be provided to an insured of 
earthquake coverage as provided by a policy issued by the 
California Earthquake Authority (CEA).  States CEA is to become 
operational and may issue policies of basic residential earthquake 
as soon as the Insurance Commissioner has certified that (1) the 
Internal Revenue Service has determined CEA to be exempt from 
federal taxation, (2) 70% of insurers have joined CEA, and (3) 
CEA has obtained at least 200% in reinsurance of the total capital 
contribution committed.  Increases the amount of additional living 
expenses that can be paid out by a policy.

Specifies that CEA is to have the same duties to its insureds that 
a private insurer currently has to its insureds.  Clarifies that all 
of CEA rates be established in accordance with Proposition 103.  
Specifies that CEA is subject to the Political Reform Act of 1974.  
Declares CEA to be a public instrumentality of the state.  
Maintains the basic $10.5 billion financial structure of AB 13, but 
increases the time period and the amount of insurer liability for 
payment of losses associated with claims made by CEA.  Increases 
the dollar amount of recapitalization that is provided for in the 
event CEA is to pay claims for an earthquake and is in need of 
being recapitalized.  Policyholders cannot be assessed to 
recapitalize CEA.

Provides for CEA to issue loss assessment policies for individual 
condominium units.  Provides that if legislation is enacted that 
causes CEA to cease operations while debt of the Authority is 
outstanding, participating insurers would be required to impose a 
premium surcharge on earthquake policies to be used by CEA to 
repay debt.  Provides for a $1.3 million loan to the CEA from the 
California Residential Earthquake Recovery Fund, to be repaid 
with interest.

Chapter 967, Statutes of 1996 



AB 2086* (Knowles-R) - California Earthquake Authority

Enacts the Homeowner's Insurance Availability Act of 1996, or 
the Knowles Act.  Revises the membership of the authority's 
advisory panel and, in general, provides for its appointment by 
the Governor, rather than the Insurance Commissioner; and 
provides for 4-year terms.  Provides that there shall be a limited 
civil immunity on account of any act performed or omitted or 
obligation entered into on the part of the authority's governing 
board, advisory panel, or any member of either.  Also revises 
conflict-of-interest provisions relating to the authority.  Provides 
for claims against the authority and indemnification by the 
authority of participating insurers, as specified.  Revises 
provisions relating to initial operating capital to permit certain 
small insurers to make installment payments and to provide for 
associate participating insurers.  Revises provisions relating to 
revenue bonds and to insurer assessments.

Chapter 968, Statutes of 1996 



AB 3232 (Knowles-R) - California Earthquake Authority

Maintains the $3 billion contingent assessment liability of 
insurers participating in the California Earthquake Authority 
(CEA) for a fixed period of 12 years without any "roll-off" or "roll-
up" of that contingent liability.  Establishes criteria for the 
consideration of scientific information assessing the frequency or 
severity of risk of earthquake in setting insurance rates or in 
arriving at the modeling assumption upon which those rates are 
based; as specified.  Requires the CEA to charge equivalent rates 
for equivalent risk.  Requires policyholders to be advised of their 
right to non-renew a CEA policy when CEA policy has been 
surcharged with a policy premium, and that the non-renewal will 
not affect the policyholder's homeowners' insurance.  Requires the 
CEA to stop selling new policies 180 days after Fannie Mae and 
Freddie Mac implement policy to require earthquake insurance.

Chapter 969, Statutes of 1996 



Other Earthquake Insurance Legislation


SB 58 (Lewis-R) - Earthquake Insurance:  Availability

Repeals the mandate to offer earthquake insurance for residential 
property.  Reinstates the mandate in the future if the Insurance 
Commissioner certifies that a federal program has been 
implemented.  Specifies the reasons an insurer may choose to not 
renew a policy.

(Died in Conference Committee)



SB 266 (Rosenthal-D) - Earthquake Insurance

Allows insurers to offer, within the existing statutory mandate 
earthquake insurance, a reduced coverage earthquake insurance 
policy.

(Died in Conference Committee)



SB 424 (Marks-D) - Earthquake Insurance

Specifies that earthquake policy insurers are mandated to offer 
coverage against the risk of loss or damage from the peril of 
earthquake on the primary dwelling, excluding appurtenant 
structures and allows the California FAIR Plan Association to 
provide earthquake property insurance coverage in conjunction 
with the issuance of a policy of basic residential property 
insurance, as specified.

(Died in Conference Committee)



SB 464 (Rosenthal-D) - Earthquake Insurance:  Canceling or 
Nonrenewing

Prevents residential property insurers from canceling or 
nonrenewing more than 5% of their policies in any 1 year, and 
places additional restrictions on nonrenewals and cancellations in 
the event of an emergency declaration by the Governor or the 
President of the United States.  Allows the Insurance 
Commissioner to require an insurer to file a plan for nonrenewals.

(Failed passage in Assembly Insurance Committee)



SB 1114 (Hayden-D) - Earthquake Insurance:  FAIR Plan

Allows the California FAIR Plan to issue a stand-alone 
earthquake insurance policy in satisfaction of an insurer's 
obligation to offer earthquake insurance.

(Died in Senate Insurance Committee)



SB 1327* (Johnston-D) - Insurance Inspection

Prohibits any person from adopting, publishing, or using a 
geographically-based earthquake assessment system or program 
for the purpose of requiring earthquake insurance systems or 
programs, or imposing a fee or other conditions in lieu of 
earthquake insurance, in connection with a loan secured by a 
condominium project or an individual unit of a condominium 
project unless the analytical methods and assumptions of the risk 
assessment have been approved by the Insurance Commissioner.  
Requires the commissioner, in determining whether to approve a 
submission, to consult with and consider the input of the State 
Geologist.  Allows the Department of Insurance to defray the 
actual cost of reviewing earthquake risk assessment methods.  
Requires any costs incurred by the State Geologist or Department 
of Conservation to be reimbursed by the Department of 
Insurance.

Chapter 54, Statutes of 1996 



SB 1623 (Rosenthal-D) - Earthquake Insurance

Establishes a Natural Disaster Catastrophe Fund to provide 
reinsurance protection for insurers against high-end residential 
earthquake losses.

(Died in Senate Insurance Committee)



SB 1857 (Rosenthal-D) - Earthquake Insurance:  Computer 
Models

Provides that no admitted insurer may use a computer-assisted 
model in connection with residential property insurance for 
various earthquake insurance purposes unless the model has been 
approved by the Insurance Commissioner.

(Died in Senate Insurance Committee)



SB 1858 (Rosenthal-D) - FAIR Plan

Prohibits the Insurance Commissioner from restricting access to, 
or placing limits on the growth of, the FAIR Plan, so long as it has 
6% or less of the residential earthquake insurance market.

(Failed passage in Assembly Insurance Committee)



SB 2127 (Rogers-R) - Earthquake Insurance

Deletes from the notice to consumers regarding an offer of 
earthquake insurance the reference to insurance agents' providing 
information regarding how the deductible applies to the policy.

(Failed passage in Senate Insurance Committee)



AB 1627 (K. Murray-D) - Earthquake Insurance:  FAIR Plan

Includes within the definition of "basic property insurance," 
stand-alone policies of basic residential property insurance, as 
specified.

(Died in Senate Insurance Committee)



AB 1754 (Knowles-R) - Earthquake Insurance

Provides that a policy of residential property insurance that does 
not include any of the perils insured in a standard fire policy is 
not to be included in the definition of policy of residential property 
insurance for purposes of earthquake insurance.

Chapter 807, Statutes of 1996 



AB 3237 (Knowles-R) - Earthquake Insurance Coverage

Repeals the requirement that insurers provide policyholders who 
have initially declined an offer of earthquake coverage with a 
written offer of earthquake coverage every other year following 
non-acceptance, and modifies the requirement that insurers notify 
these insureds prior to renewal that the residential policy does 
not provide earthquake coverage.

(Died in Senate Insurance Committee)

Miscellaneous



SB 38*(Lockyer-D) - Omnibus Tax Bill

Among other provisions, exempts from taxes imposed by the Bank 
and Corporation Tax Law an organization established pursuant to 
the Nonprofit Corporation Law, as specified, by 3 or more 
corporations as an arrangement for the pooling of self-insurance 
claims or losses of those corporations.

Chapter 954, Statutes of 1996 

A similar bill, SB 1934* (Mello-D), died in the Assembly 
Appropriations Committee.



SB 268 (Rosenthal-D) - Insurance:  Insolvency

Allows the Insurance Commissioner to resolve long-standing 
claims against insolvent insurers through actuarial estimation, 
subject to approval by the court overseeing the liquidation.

(Died in Assembly Health Committee)



SB 272 (Russell-R) - Insurance:  Agent Liability

Provides that an insurance agent, broker, solicitor, life agent, fire 
and casualty licensee, life licensee, or surplus lines broker has no 
duty to investigate or determine the financial condition of an 
admitted insurer or an insurer that has been placed on the list of 
eligible surplus lines insurers by the Insurance Commissioner.

(Died in Senate Judiciary Committee)



SB 354 (Rogers-R) - Insurance Agents and Brokers

Repeals the sunset on the current continuing education program 
for insurance agents and brokers.  Extends, until January 1, 2001, 
those provisions that provide for state regulation of multiple 
employer welfare arrangements.

Chapter 673, Statutes of 1996 



SB 464 (Rosenthal-D) - Property Insurance

	Limits an insurer's ability to cancel or not renew a homeowner's policy if any claim that affects insurability due to an officially declared disaster is still pending and unresolved against the insurer, and prevents the homeowner from securing 
replacement coverage from another insurer, as specified.

(Failed passage in Assembly Insurance Committee)



SB 876 (Rosenthal-D) - Insurance Agents

Provides for the registration with the Insurance Commissioner of 
any unlicensed insurance adjuster brought in to handle disaster-
related insurance claims, and provides for restricted insurance 
adjuster licenses in circumstances where existing law would only 
allow denial or revocation of a license.  Double-joined with AB 
3351 (Weggeland-R).

Chapter 707, Statutes of 1996 



SB 879 (Senate Insurance Committee) - Insurance:  Disaster 
Revenue Bonds

Allows the Department of Insurance to issue revenue bonds at the 
request of the California Insurance Guarantee Association 
following a catastrophic disaster to help pay the claims of 
insolvent insurers, as specified.

Chapter 793, Statutes of 1996 



SB 925 (Costa-D) - Insurance:  Lodge System:  Death Benefits

Increases the maximum permissible death benefit that can be 
offered a fraternal lodge to its members, from $1,000 to $5,000.

Chapter 391, Statutes of 1996 



SB 1021 (Johnston-D) - Surplus Line Brokers

Provides that any surplus line broker who unlawfully places a 
policy with a nonadmitted insurer be subject to a civil 
administrative penalty of up to $20,000, as determined by the 
Insurance Commissioner.

(Died in Assembly Insurance Committee)



SB 1179 (Rosenthal-D) - Risk-Based Capital

Applies risk-based capital statutory requirements, currently 
applicable only to life and health insurers, to property/casualty 
insurers as well.

Chapter 708, Statutes of 1996 



SB 1217 (Polanco-D) - Insurers:  Community Development 
Investment

Encourages admitted insurers to make community development 
investments designed to promote job creation, small business 
development or microenterprise development in low-income or 
very-low-income communities.  Requires the Insurance 
Commissioner to compile information and to report concerning 
these investments by insurers.

(Died on Senate Inactive File)

Similar legislation is AB 1278 (McDonald-D), AB 1557 (Lee-D) 
and AB 1619 (Tucker-D), all of which died in the Assembly 
Insurance Committee.



SB 1311 (Hughes-D) - Insurance Availability Study

Creates an Insurance Availability Study Commission in the 
Department of Insurance to conduct research concerning the 
availability of insurance.

(Died in Senate Rules Committee)



SB 1323 (Senate Insurance Committee) - Home Protection 
Contracts

Increases minimum net worth requirements and adjusts 
insolvency guidelines for home protection companies.

(Died in Assembly Insurance Committee)



SB 1485 (Lewis-R) - Insurance:  Financial Statements

Amends the California law regarding the allowance of credit for 
liabilities ceded to reinsurers to conform to National Association 
of Insurance Commissioners model regulations.  Establishes an 
accreditation procedure for non-admitted insurers.

Chapter 840, Statutes of 1996 



SB 1496 (Johnson-R) - Insurers:  Tender Officers

Exempts specified transactions involving the acquisition or 
control of an insurer by an affiliated company from specified 
Department of Insurance filing and prior approval requirements.

Chapter 311, Statutes of 1996 



SB 1705 (Lewis-R) - Life Insurers

Changes the distribution priority, in the event of insurer 
insolvency, by moving claims of the United States from Priority 4 
to Priority 6, and by including within Priority 5 claims relating to 
modified guaranteed annuities.

Chapter 167, Statutes of 1996 



SB 1730 (Kopp-I) - Insurers:  Non-Admitted Insurers

Provides that before any non-admitted foreign or alien insurer 
doing business in California may appear, or file or cause to be 
filed any paper, document or pleading in any action, suit or 
proceeding to which it is party, that insurer shall procure a 
certification from the State Board of Equalization that it has 
performed, and is currently in compliance with, the board's 
insurance tax obligation.

(Died in Senate Appropriations Committee)



SB 1739* (Russell-R) - Mutual Insurers:  Conversion

Provides a new procedure to allow a mutual life insurance 
company to "de-mutualize."

Chapter 406, Statutes of 1996 



SB 1815 (Lewis-R) - Insurers:  Investments

Modifies some of the restrictions involved when California-
domiciled insurers seek to make authorized foreign investments.

Chapter 179, Statutes of 1996 



SB 1858 (Rosenthal-D) - Insurance:  FAIR Plan

Requires the FAIR Plan to offer coverage anywhere in this state.

(Failed passage in Assembly Insurance Committee)



SB 1862* (Johnson-R) - Insurance Commissioner:  Reports

Deletes several statutory requirements for reports from insurers 
to the Insurance Commissioner and from the commissioner to the 
Legislature.

Chapter 571, Statutes of 1996 



SB 1863 (Johnson-R) - Mortgage Insurance

Increases the cap on mortgage guaranty insurance coverage from 
a net of 25% of mortgage indebtedness up to 35%, in specified 
circumstances.

Chapter 407, Statutes of 1996 



SB 1906 (Johnston-D) - Insurance:  Surplus Lines

Provides that the Department of Insurance has the statutory 
authority to ensure that syndicates under Lloyd's of London 
maintain adequate trust fund agreements.

Chapter 1034, Statutes of 1996 



SB 1921 (O'Connell-D) - Insurance:  Foreign Investments

Exempts from the investment limits that apply to domestic 
insurers with admitted assets in excess of $500 million, a property 
and casualty insurer that has admitted assets in excess of $500 
million, and foreign investments that do not exceed 4% of its total 
admitted assets.

Chapter 127, Statutes of 1996 



SB 2020 (Hurtt-R) - Insurance Tax Rates

Reduces the insurance tax rate for "non-qualified" retirement 
annuities from 2.35% to 1/2%.

(Died in Senate Revenue and Taxation Committee)

Similar legislation was AB 2033* (Brulte-R), which failed passage 
in Senate Revenue and Taxation Committee.



SB 2032 (Mountjoy-R) - Indemnity

Provides that an additional insured endorsement in a contract 
with a public agency is invalid and unenforceable as to the 
agency's active negligence, as specified.

Chapter 555, Statutes of 1996 



SB 2047 (Leslie-R) - Insurance:  Joint Powers Authority

Permits joint powers authorities to purchase reinsurance to the 
same extent and in the same manner as insurance provided by an 
insurer.

Chapter 181, Statutes of 1996 



SB 2101 (Marks-D) - Property Insurance

Prohibits an insurer from non-renewing a homeowner's policy on 
the basis of any physical condition relating to the property unless 
the insurer has provided the policyholder an opportunity to repair 
or cure the condition, as specified.

(Failed passage in Assembly Insurance Committee)



AB 293 (Hoge-R) - Life and Disability Insurance

Revises the law deeming a life insurance policy received from 6 
months after the insured has paid premiums to 6 months after 
the premiums have been paid.  Makes clarifying and technical 
changes to the cancellation or surrender of insurance policies 
provisions, including the use of the word "surrender," instead of 
"cancellation," and clarification regarding the effective date of 
surrender.

Chapter 686, Statutes of 1996 



AB 328 (Knowles-R) - Insurance:  Surplus Lines

Relaxes the requirements that non-admitted insurers which are 
sued in California courts file a bond before filing an answer to the 
complaint.  Sunsets January 1, 2000.

Chapter 687, Statutes of 1996 



AB 582* (Hoge-R) - Insurance

Provides that insurers are not to agree with each other to violate 
the antitrust or unfair business practice laws.  Clarifies the use of 
advisory manuals approved by the Insurance Commissioner.

Chapter 1002, Statutes of 1996 



AB 606 (Richter-R) - Insurance:  Day Care

Provides homeowners' associations with the power to require 
family day care homes located on their property to maintain and 
pay for liability insurance.  Provides that the family day care 
home can be required to pay for coverage of the homeowners' 
association.

(Failed passage in Senate Health and Human Services 
Committee)



AB 859 (Campbell-D) - Insurance:  Notice of Non-Renewal

Provides that an insurer must attach a premium and loss history 
report for the preceding 3 years to the notice of non-renewal, for 
certain types of commercial insurance, and to the notice of 
workers' compensation policies.

(Failed passage in Assembly Insurance Committee)



AB 1276 (McDonald-D) - Financial Guaranty Insurance

Provides for an association of surety insurers for the purpose of 
apportioning insurance coverage to contractors unable to obtain 
that insurance.

(Died in Assembly Insurance Committee)



AB 1308 (Cunneen-R) - Property Insurance

Places a number of restrictions and requirements on the handling 
of claims for homeowner's insurance following a disaster and 
requirements on insurers at the time of sale of the insurance.

(Died in Assembly Insurance Committee)



AB 1746 (Hauser-D) - Insurance Rate Hearings

Specifies that a rate change application is deemed approved 90 
days, instead of 180 days, after the rate application is received, 
unless disapproval or extraordinary circumstances exist.  
Provides that an application rate change that results in a 
premium decrease is to be deemed approved in 45 days as 
specified.

(Died in Senate Insurance Committee)

A similar bill was AB 2535 (Miller-R), which failed passage on the 
Assembly Floor.



AB 1754 (Knowles-R) - Insurance:  FAIR Plan

Prohibits rates for the FAIR Plan from being excessive, 
inadequate, or unfairly discriminatory.  Requires the rates to be 
actuarially sound so that premiums are adequate to cover 
expected losses, expenses and taxes, and to reflect investment 
income of the plan.  Specifies the factors that the FAIR Plan is to 
consider in adopting rates.

Chapter 807, Statutes of 1996 



AB 2177 (Miller-R) - Insurance:  Limited Liability Companies

Allows limited liability companies to be licensed agents, brokers 
or surplus line brokers, as specified.

Chapter 883, Statutes of 1996 



AB 2262 (Cunneen-R) - Insurance Agents and Brokers

Provides that an obligation of an insurer to furnish any notice to 
its insured required by law may be carried out by an insurer's 
general agent provided, however, that an insurer's delegation of a 
notice obligation to a general agent is not to limit or negate the 
insurer's responsibility or liability if the general agent fails to 
provide the required notice.

Chapter 237, Statutes of 1996 



AB 2538 (Miller-R) - Insurance:  Holding Companies

Amends the California Insurance Holding Company Regulatory 
Act to conform with the National Association of Insurance 
Commissioners' Model Holding Company Act.

Chapter 820, Statutes of 1996 



AB 2692 (Mazzoni-D) - Insurance:  Statements

Expands the scope of investments which are specifically 
authorized to be held as deposits for security for certain 
reinsurance contracts.

Chapter 524, Statutes of 1996 



AB 2697 (Brewer-R) - California Insurance Guarantee Association

Allows the California Insurance Guarantee Association to 
intervene as a party in legal proceedings related to the insolvency 
of a member insurer.

Chapter 252, Statutes of 1996 



AB 2869 (Brewer-R) - Insurance:  Surplus Line Brokers

Allows a surplus line broker to obtain prior authority from a 
nonadmitted insurer to represent it in California for purposes of 
issuing policies to insureds without first obtaining specific 
permission for the particular risk.

Chapter 905, Statutes of 1996 



AB 3137* (Miller-R) - Insurance:  Escheat:  Budget Trailer Bill

Transfers Proposition 103 rebate escheat funds to the Insurance 
Fund in the amount necessary to repay principal and interest on a 
$14 million General Fund loan by June 30, 1998.  States 
legislative intent that this transfer is not intended to constitute 
precedent for future diversion of escheated money.  Limits the 
increase in examination of insurers fee revenue for the 1996-97 
fiscal year to no more than $2 million above the amount estimated 
in the Governor's 1996-97 Budget.

Chapter 187, Statutes of 1996 



AB 3231 (Knowles-R) - Title Insurance

Allows the creation of statistical advisory organizations to allow 
title insurers to compute industry-wide data.  Allows these 
organizations to set and file rates on behalf of title insurers.

(Sent to interim study)



AB 3233 (Knowles-R) - Department of Insurance Support

Establishes a 10% cap on fee increases which the Insurance 
Commissioner, absent legislative approval, may charge to 
insurers, agents and other licensees in order to fund the annual 
appropriation made by the Legislature to support the Department 
of Insurance.  Becomes operative only if AB 3137 (Miller-R) is 
chaptered.

Chapter 349, Statutes of 1996 



AB 3234 (Knowles-R) - Life Insurance

Provides, effective July 1, 1997, for the regulation of life insurance 
policy illustrations by the Insurance Commissioner.  Defines 
"illustration" as a presentation or depiction that includes no 
guaranteed elements of a policy of life insurance over a period of 
years and that is one of 3 specifically defined types.  Requires life 
insurers to provide prospective insureds with a buyer's guide.  
Sunsets January 1, 2000.

Chapter 1106, Statutes of 1996 



AB 3250 (Cunneen-R) - Insurance:  Immunity

Provides an immunity from liability for insurers which report 
suspected fraud to the Department of Insurance or to another 
insurer, where the insurer acts without malice.

(Died in Senate Judiciary Committee)



AB 3287 (Miller-R) - Insurance Policies:  Small Claims Court

Expands the jurisdiction of small claims courts to include 
subrogation actions under an insurance policy, as specified.

(Died in Assembly Judiciary Committee)