26.1-03.1 Risk-Based Capital Reports
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adjusted by the commissioner in accordance with subsection 3 of section
26.1-03.1-02.2."Corrective order" means an order issued by the commissioner specifying corrective
actions that the commissioner has determined are required.3."Domestic insurer" means any insurance company domiciled in this state, except a
county mutual insurance company.4."Foreign insurer" means any insurance company that is licensed to do business in
this state under chapter 26.1-11 but is not domiciled in this state.5."Life or health insurer" means any licensed life or health insurance company or a
licensed property and casualty insurer writing only accident and health insurance.6."Negative trend" means, with respect to a life or health insurer, negative trend over a
period of time, as determined in accordance with the trend test calculation included
in the risk-based capital instructions.7."Risk-based capital instructions" means the risk-based report, including risk-based
capital instructions adopted by the national association of insurance commissioners,
as such risk-based capital instructions may be amended by the national association
of insurance commissioners from time to time in accordance with the procedures
adopted by the national association of insurance commissioners.8."Risk-based capital level" means an insurer's company action level risk-based
capital, regulatory action level risk-based capital, authorized control level risk-based
capital, or mandatory control level risk-based capital and:a."Authorized control level risk-based capital" means the number determined
under the risk-based capital formula in accordance with the risk-based capital
instructions.b."Company action level risk-based capital" means, with respect to any insurer,
the product of two and its authorized control level risk-based capital.c."Mandatory control level risk-based capital" means the product of seventy
hundredths and the authorized control level risk-based capital.d."Regulatory action level risk-based capital" means the product of one and
one-half and its authorized control level risk-based capital.9."Risk-based capital plan" means a comprehensive financial plan containing the
elements specified in subsection 2 of section 26.1-03.1-03.If the commissionerrejects the risk-based capital plan, and it is revised by the insurer, with or without the
commissioner's recommendation, the plan must be called the "revised risk-based
capital plan".10."Risk-based capital report" means the report required in section 26.1-03.1-02.11."Total adjusted capital" means the sum of:Page No. 1a.An insurer's statutory capital and surplus as determined in accordance with
statutory accounting applicable to the annual statements required to be filed
under section 26.1-03-07; andb.Such other items, if any, as the risk-based capital instructions may provide.26.1-03.1-02. Risk-based capital reports.1.On or prior to each March first, every domestic insurer shall prepare and submit to
the commissioner a report of its risk-based capital levels as of the end of the
calendar year just ended, in a form and containing any information required by the
risk-based capital instructions.In addition, every domestic insurer shall file itsrisk-based capital report:a.With the national association of insurance commissioners in accordance with
the risk-based capital instructions; andb.With the insurance commissioner in any state in which the insurer is authorized
to do business, if the insurance commissioner has notified the insurer of its
request in writing, in which case the insurer shall file its risk-based capital report
not later than the later of:(1)Fifteen days from the receipt of notice to file its risk-based capital report
with that state; or(2)The filing date.2.A life and health insurer's risk-based capital must be determined in accordance with
the formula set forth in the risk-based capital instructions. The formula must take
into account, and may adjust for the covariance between:a.The risk with respect to the insurer's assets;b.The risk of adverse insurance experience with respect to the insurer's liabilities
and obligations;c.The interest rate risk with respect to the insurer's business; andd.All other business risks and any other relevant risks as are set forth in the
risk-based capital instructions;determined in each case by applying the factors in the manner set forth in the
risk-based capital instructions.3.A property and casualty insurer's risk-based capital must be determined in
accordance with the formula set forth in the risk-based capital instructions.Theformula must take into account, and may adjust for the covariance between:a.Asset risk;b.Credit risk;c.Underwriting risk; andd.All other business risks and any other relevant risks as are set forth in the
risk-based instructions;determined in each case by applying the factors in the manner set forth in the
risk-based capital instructions.Page No. 24.An excess of capital over the amount produced by the risk-based capital
requirements contained in this chapter and the formulas, schedules, and instructions
referenced in this chapter is desirable in the business of insurance. Accordingly,
insurers should seek to maintain capital above the risk-based capital levels required
by this chapter. Additional capital is used and is useful in the insurance business
and helps to secure an insurer against various risks inherent in, or affecting, the
business of insurance and not accounted for or only partially measured by the
risk-based capital requirements contained in this chapter.5.If a domestic insurer files a risk-based capital report that in the judgment of the
commissioner is inaccurate, then the commissioner shall adjust the risk-based
capital report to correct the inaccuracy and notify the insurer of the adjustment. The
notice must contain a statement of the reason for the adjustment. A risk-based
capital report so adjusted is referred to as an adjusted risk-based capital report.26.1-03.1-03. Company action level event.1."Company action level event" means any of the following events:a.The filing of a risk-based capital report by an insurer which indicates that:(1)The insurer's total adjusted capital is greater than or equal to its
regulatory action level risk-based capital but less than its company action
level risk-based capital; or(2)If a life or health insurer, the insurer has total adjusted capital that is
greater than or equal to its company action level risk-based capital but
less than the product of its authorized control level risk-based capital and
two and one-half and has a negative trend;b.The notification by the commissioner to the insurer of an adjusted risk-based
capital report that indicates an event in subdivision a, provided the insurer does
not challenge the adjusted risk-based capital report under section 26.1-03.1-07;
orc.If, under section 26.1-03.1-07, an insurer challenges an adjusted risk-based
capital report that indicates the event in subdivision a, the notification by the
commissioner to the insurer that the commissioner, after a hearing, has
rejected the insurer's challenge.2.In the event of a company action level event, the insurer shall prepare and submit to
the commissioner a risk-based capital plan that must:a.Identify the conditions that contribute to the company action level event;b.Contain proposals of corrective actions that the insurer intends to take and
would be expected to result in the elimination of the company action level
event;c.Provide projections of the insurer's financial results in the current year and at
least the four succeeding years, both in the absence of proposed corrective
actions and giving effect to the proposed corrective actions, including
projections of statutory operating income, net income, capital, or surplus. The
projections for both new and renewal business may include separate
projections for each major line of business and separately identify each
significant income, expense, and benefit component;d.Identify the key assumptions impacting the insurer's projections and the
sensitivity of the projections to the assumptions; andPage No. 3e.Identify the quality of, and problems associated with, the insurer's business,
including its assets, anticipated business growth and associated surplus strain,
extraordinary exposure to risk, mix of business, and use of reinsurance, if any,
in each case.3.The risk-based capital plan must be submitted:a.Within forty-five days of the company action level event; orb.If the insurer challenges an adjusted risk-based capital report under section
26.1-03.1-07, within forty-five days after notification to the insurer that, after a
hearing, the commissioner has rejected the insurer's challenge.4.Within sixty days after the submission by an insurer of a risk-based capital plan to
the commissioner, the commissioner shall notify the insurer whether the risk-based
capital plan may be implemented or is, in the judgment of the commissioner,
unsatisfactory.If the commissioner determines the risk-based capital plan isunsatisfactory, the notification to the insurer must set forth the reasons for the
determination, and may set forth proposed revisions that will render the risk-based
capital plan satisfactory, in the judgment of the commissioner.Upon notificationfrom the commissioner, the insurer shall prepare a revised risk-based capital plan,
which may incorporate by reference any revisions proposed by the commissioner,
and shall submit the revised risk-based capital plan to the commissioner:a.Within forty-five days after the notification from the commissioner; orb.If the insurer challenges the notification from the commissioner under section
26.1-03.1-07, within forty-five days after a notification to the insurer that, after a
hearing, the commissioner has rejected the insurer's challenge.5.In the event of a notification by the commissioner to an insurer that the insurer's
risk-based capital plan or revised risk-based capital plan is unsatisfactory, subject to
the insurer's right to a hearing under section 26.1-03.1-07, the commissioner may
specify in the notification that the notification constitutes a regulatory action level
event.6.Every domestic insurer that files a risk-based capital plan or revised risk-based
capital plan with the commissioner shall file a copy of the risk-based capital plan or
revised risk-based capital plan with the insurance commissioner in any state in
which the insurer is authorized to do business if:a.The state has a risk-based capital provision substantially similar to subsection 1
of section 26.1-03.1-08; andb.The insurance commissioner of that state has notified the insurer of its request
for the filing in writing, in which case the insurer shall file a copy of the
risk-based capital plan or revised risk-based capital plan in that state no later
than the later of:(1)Fifteen days after the receipt of notice to file a copy of its risk-based
capital plan or revised risk-based capital plan with the state; or(2)The date on which the risk-based capital plan or revised risk-based
capital plan is filed under subsections 3 and 4.26.1-03.1-04. Regulatory action level event.1."Regulatory action level event" means, with respect to any insurer, any of the
following events:Page No. 4a.The filing of a risk-based capital report by the insurer that indicates that the
insurer's total adjusted capital is greater than or equal to its authorized control
level risk-based capital but less than its regulatory action level risk-based
capital;b.The notification by the commissioner to an insurer of an adjusted risk-based
capital report that indicates the event in subdivision a, provided the insurer does
not challenge the adjusted risk-based capital report under section 26.1-03.1-07;c.If, under section 26.1-03.1-07, the insurer challenges an adjusted risk-based
capital report that indicates the event in subdivision a, the notification by the
commissioner to the insurer that the commissioner, after a hearing, has
rejected the insurer's challenge;d.The failure of the insurer to file a risk-based capital report by the filing date,
unless the insurer has provided an explanation for the failure that is satisfactory
to the commissioner and has cured the failure within ten days after the filing
date;e.The failure of the insurer to submit a risk-based capital plan to the
commissioner within the time period set forth in subsection 3 of section
26.1-03.1-03;f.Notification by the commissioner to the insurer that:(1)The risk-based capital plan or revised risk-based capital plan submitted
by the insurer, in the judgment of the commissioner, is unsatisfactory;
and(2)The notification constitutes a regulatory action level event with respect to
the insurer, provided the insurer has not challenged the determination
under section 26.1-03.1-07;g.If, under section 26.1-03.1-07, the insurer challenges a determination by the
commissioner under subdivision f, the notification by the commissioner to the
insurer that, after a hearing, the commissioner has rejected the challenge;h.Notification by the commissioner to the insurer that the insurer has failed to
adhere to its risk-based capital plan or revised risk-based capital plan, but only
if the failure has a substantial adverse effect on the ability of the insurer to
eliminate the company action level event in accordance with its risk-based
capital plan or revised risk-based capital plan and the commissioner has so
stated in the notification, provided the insurer has not challenged the
determination under section 26.1-03.1-07; ori.If, under section 26.1-03.1-07, the insurer challenges a determination by the
commissioner under subdivision h, the notification by the commissioner to the
insurer that, after a hearing, the commissioner has rejected the challenge.2.In the event of a regulatory action level event the commissioner shall:a.Require the insurer to prepare and submit a risk-based capital plan or, if
applicable, a revised risk-based capital plan;b.Perform such examination or analysis of the assets, liabilities, and operations of
the insurer, including a review of its risk-based capital plan or revised
risk-based capital plan, as the commissioner deems necessary; andPage No. 5c.Subsequent to the examination or analysis, issue an order specifying the
corrective actions as the commissioner determines are required in a corrective
order.3.In determining corrective actions, the commissioner may take into account any
factors deemed relevant with respect to the insurer based upon the commissioner's
examination or analysis of the assets, liabilities, and operations of the insurer,
including the results of any sensitivity tests undertaken pursuant to the risk-based
capital instructions. The risk-based capital plan or revised risk-based capital plan
must be submitted:a.Within forty-five days after the occurrence of the regulatory action level event;b.If the insurer challenges an adjusted risk-based capital report under section
26.1-03.1-07 and the challenge is not judged to be frivolous by the
commissioner, within forty-five days after the notification to the insurer that,
after a hearing, the commissioner has rejected the insurer's challenge; orc.If the insurer challenges a revised risk-based capital plan under section
26.1-03.1-07 and the challenge is not judged to be frivolous by the
commissioner, within forty-five days after the notification to the insurer that,
after a hearing, the commissioner has rejected the insurer's challenge.4.The commissioner may retain actuaries and investment experts and other
consultants as the commissioner judges to be necessary to review the insurer's
risk-based capital plan or revised risk-based capital plan, examine or analyze the
assets, liabilities, and operations of the insurer and formulate the corrective order
with respect to the insurer. The fees, costs, and expenses relating to consultants
must be borne by the affected insurer or such other party as directed by the
commissioner.26.1-03.1-05. Authorized control level event.1."Authorized control level event" means any of the following events:a.The filing of a risk-based capital report by the insurer that indicates that the
insurer's total adjusted capital is greater than or equal to its mandatory control
level risk-based capital but less than its authorized control level risk-based
capital;b.The notification by the commissioner to the insurer of an adjusted risk-based
capital report that indicates the event in subdivision a, provided the insurer does
not challenge the adjusted risk-based capital report under section 26.1-03.1-07;c.If, under section 26.1-03.1-07, the insurer challenges an adjusted risk-based
capital report that indicates the event in subdivision a, notification by the
commissioner to the insurer that, after a hearing, the commissioner has
rejected the insurer's challenge;d.The failure of the insurer to respond, in a manner satisfactory to the
commissioner, to a corrective order provided the insurer has not challenged the
corrective order under section 26.1-03.1-07; ore.If the insurer has challenged a corrective order under section 26.1-03.1-07 and,
after a hearing, the commissioner has rejected the challenge or modified the
corrective order, the failure of the insurer to respond, in a manner satisfactory
to the commissioner, to the corrective order subsequent to rejection or
modification by the commissioner.Page No. 62.In the event of an authorized control level event with respect to an insurer, the
commissioner shall:a.Take such actions as are required under section 26.1-03.1-04 regarding an
insurer with respect to which a regulatory action level event has occurred; orb.Take necessary action to cause the insurer to be placed under regulatory
control under chapter 26.1-06.1 if the commissioner deems it to be in the best
interests of the policyholders, creditors of the insurer, and the public. If the
commissioner takes such actions, the authorized control level event must be
deemed sufficient grounds for the commissioner to take action under chapter
26.1-06.1, and the commissioner has the rights, powers, and duties with
respect to the insurer in chapter 26.1-06.1. If the commissioner takes action
under this subdivision pursuant to an adjusted risk-based capital report, the
insurer is entitled to any protection afforded to insurers under chapter 26.1-06.1
pertaining to summary proceedings.26.1-03.1-06. Mandatory control level event.1."Mandatory control level event" means any of the following events:a.The filing of a risk-based capital report that indicates that the insurer's total
adjusted capital is less than its mandatory control level risk-based capital;b.Notification by the commissioner to the insurer of an adjusted risk-based capital
report that indicates the event in subdivision a, provided the insurer does not
challenge the adjusted risk-based capital report under section 26.1-03.1-07; orc.If, under section 26.1-03.1-07, the insurer challenges an adjusted risk-based
capital report that indicates the event in subdivision a, notification by the
commissioner to the insurer that, after a hearing, the commissioner has
rejected the insurer's challenge.2.In the event of a mandatory control level event:a.With respect to a life insurer, the commissioner shall take actions as are
necessary to place the insurer under regulatory control under chapter
26.1-06.1. In that event, the mandatory control level event must be deemed
sufficient grounds for the commissioner to take action under chapter 26.1-06.1,
and the commissioner has the rights, powers, and duties in chapter 26.1-06.1
with respect to the insurer. If the commissioner takes action pursuant to an
adjusted risk-based capital report, the insurer is entitled to the protection of
chapter 26.1-06.1 pertaining to summary proceedings. Notwithstanding any of
the foregoing, the commissioner may forego action for up to ninety days after
the mandatory control level event if the commissioner finds there is a
reasonable expectation that the mandatory control level event may be
eliminated within the ninety-day period.b.With respect to a property and casualty insurer, the commissioner may take
such actions as are necessary to place the insurer under regulatory control
under chapter 26.1-06.1, or, in the case of an insurer that is not writing
business and that is running off its existing business, may allow the insurer to
continue its runoff under the supervision of the commissioner. In either event,
the mandatory control level event must be deemed sufficient grounds for the
commissioner to take action under chapter 26.1-06.1 and the commissioner
has the rights, powers, and duties in chapter 26.1-06.1 with respect to the
insurer. If the commissioner takes action pursuant to an adjusted risk-based
capital report, the insurer is entitled to the protection of chapter 26.1-06.1
pertaining to summary proceedings. Notwithstanding any of the foregoing, thePage No. 7commissioner may forego action for up to ninety days after the mandatory
control level event if the commissioner finds there is a reasonable expectation
that the mandatory control level events may be eliminated within the ninety-day
period.26.1-03.1-07. Hearings. Upon:1.Notification to an insurer by the commissioner of an adjusted risk-based capital
report;2.Notification to an insurer by the commissioner that:a.The insurer's risk-based capital plan or revised risk-based capital plan is
unsatisfactory; andb.Such notification constitutes a regulatory action level event with respect to the
insurer;3.Notification to any insurer by the commissioner that the insurer has failed to adhere
to its risk-based capital plan or revised risk-based capital plan and that the failure
has a substantial adverse effect on the ability of the insurer to eliminate the company
action level event with respect to the insurer in accordance with its risk-based capital
plan or revised risk-based capital plan; or4.Notification to an insurer by the commissioner of a corrective order with respect to
the insurer;the insurer is entitled to a confidential departmental hearing, on a record, at which the insurer
may challenge any determination or action by the commissioner. The insurer shall notify the
commissioner of its request for a hearing within five days after the notification by the
commissioner under subsection 1, 2, 3, or 4. Upon receipt of the insurer's request for a hearing,
the commissioner must set a date for the hearing, which date must be no less than ten nor more
than thirty days after the date of the insurer's request.26.1-03.1-08. Confidentiality - Prohibition on announcements - Prohibition on usein ratemaking.1.All risk-based capital reports, to the extent the information therein is not required to
be set forth in a publicly available annual statement schedule, and risk-based capital
plans, including the results or report of any examination or analysis of an insurer
performed under this chapter and any corrective order issued by the commissioner
pursuant to examination or analysis, with respect to any domestic insurer or foreign
insurer that are filed with the commissioner constitute information that might be
damaging to the insurer if made available to its competitors, and therefore must be
kept confidential by the commissioner. This information may not be made public or
be subject to subpoena, other than by the commissioner and then only for the
purpose of enforcement actions taken by the commissioner under this chapter or
any other provision of the insurance laws of this state.2.It is the judgment of the legislative assembly that the comparison of an insurer's total
adjusted capital to any of its risk-based capital levels is a regulatory tool that may
indicate the need for possible corrective action with respect to the insurer, and is not
intended as a means to rank insurers generally. Therefore, except as otherwise
required under this chapter, the making, publishing, disseminating, circulating, or
placing before the public, or causing, directly or indirectly, to be made, published,
disseminated, circulated, or placed before the public, in a newspaper, magazine, or
other publication, or in the form of a notice, circular, pamphlet, letter, or poster, or
over any radio or television station, or in any other way, an advertisement,
announcement, or statement containing an assertion, representation, or statementPage No. 8with regard to the risk-based capital levels of any insurer, or of any component
derived in the calculation, by any insurer, insurance producer, or other person
engaged in any manner in the insurance business would be misleading and is
prohibited.However, if any materially false statement with respect to thecomparison regarding an insurer's total adjusted capital to its risk-based capital
levels, or any of them, or an inappropriate comparison of any other amount to the
insurer's risk-based capital levels is published in any written publication and the
insurer is able to demonstrate to the commissioner with substantial proof the falsity
of the statement, or the inappropriateness, as the case may be, then the insurer may
publish an announcement in a written publication if the sole purpose of the
announcement is to rebut the materially false statement.3.It is the further judgment of the legislative assembly that the risk-based capital
instructions, risk-based capital reports, adjusted risk-based capital reports,
risk-based capital plans, and revised risk-based capital plans are intended solely for
use by the commissioner in monitoring the solvency of insurers and the need for
possible corrective action with respect to insurers and may not be used by the
commissioner for ratemaking nor considered or introduced as evidence in any rate
proceeding nor used by the commissioner to calculate or derive any elements of an
appropriate premium level or rate of return for any line of insurance that an insurer or
any affiliate is authorized to write.26.1-03.1-09. Supplemental provisions - Rules - Exemption.1.This chapter is supplemental to any other laws of this state, and does not preclude
or limit any other powers or duties of the commissioner under these laws, including
chapters 26.1-06.1 and 26.1-06.2.2.The commissioner may adopt rules necessary for the implementation of this
chapter.3.The commissioner may exempt from the application of this chapter any domestic
property and casualty insurer that:a.Writes direct business only in this state;b.Writes direct annual premiums less than an amount determined by the
commissioner; andc.Assumes no reinsurance in excess of five percent of direct premium written.26.1-03.1-10. Foreign insurers.1.Upon the written request of the commissioner, any foreign insurer shall submit to the
commissioner a risk-based capital report as of the end of the calendar year just
ended, the later of:a.The date a risk-based capital report would be required to be filed by a domestic
insurer under this chapter; orb.Fifteen days after the request is received by the foreign insurer.At the written request of the commissioner, any foreign insurer shall promptly submit
to the commissioner a copy of any risk-based capital plan that is filed with the
insurance commissioner of another state.2.In the event of a company action level event, regulatory action level event, or
authorized control level event, with respect to any foreign insurer as determined
under the risk-based capital statute applicable in the state of domicile of the insurer,Page No. 9or, if no risk-based capital provision is in force in that state, under the provisions of
this chapter, if the insurance commissioner of the state of domicile of the foreign
insurer fails to require the foreign insurer to file a risk-based capital plan in the
manner specified under that state's risk-based capital statute, or, if no risk-based
capital provision is in force in the state, the commissioner may require the foreign
insurer to file a risk-based capital plan with the commissioner under section
26.1-03.1-03. In such event, the failure of the foreign insurer to file a risk-based
capital plan with the commissioner is grounds to order the insurer to cease and
desist from writing new insurance business in this state.3.In the event of a mandatory control level event with respect to any foreign insurer, if
no domiciliary receiver has been appointed with respect to the foreign insurer under
the rehabilitation and liquidation statute applicable in the state of domicile of the
foreign insurer, the commissioner may make application to the district court
permitted under section 26.1-06.1-04 with respect to the liquidation of property of
foreign insurers found in this state, and the occurrence of the mandatory control
level event is adequate grounds for the application.26.1-03.1-11. Immunity. There is no liability on the part of, and no cause of action mayarise against, the commissioner or the insurance department or its employees or agents for any
action taken by them in the performance of their powers and duties under this chapter.26.1-03.1-12. Notices. All notices by the commissioner to an insurer that may result inregulatory action hereunder are effective upon dispatch if transmitted by registered mail, or in the
case of any other transmission is effective upon the insurer's receipt of the notice.26.1-03.1-13. Phasein provision.1.For risk-based capital reports required to be filed by life insurers with respect to
1993, the following requirements apply in lieu of the provisions of sections
26.1-03.1-03, 26.1-03.1-04, 26.1-03.1-05, and 26.1-03.1-06:a.In the event of a company action level event with respect to a domestic insurer,
the commissioner may take no regulatory action hereunder.b.In the event of a regulatory action level event under subdivision a, b, or c of
subsection 1 of section 26.1-03.1-04, the commissioner shall take the actions
required under section 26.1-03.1-03.c.In the event of a regulatory action level event under subdivision d, e, f, g, h, or i
of subsection 1 of section 26.1-03.1-04 or an authorized control level event, the
commissioner shall take the actions required under section 26.1-03.1-04 with
respect to the insurer.d.In the event of a mandatory control level event with respect to an insurer, the
commissioner shall take the actions required under section 26.1-03.1-05 with
respect to the insurer.2.For risk-based capital reports required to be filed by property and casualty insurers
with respect to 1994, the following requirements apply in lieu of the provisions of
sections 26.1-03.1-03, 26.1-03.1-04, 26.1-03.1-05, and 26.1-03.1-06:a.In the event of a company action level event with respect to a domestic insurer,
the commissioner shall take no regulatory action hereunder.b.In the event of a regulatory action level event under subdivision a, b, or c of
subsection 1 of section 26.1-03.1-04, the commissioner shall take the actions
required under section 26.1-03.1-03.Page No. 10c.In the event of a regulatory action level event under subdivision d, e, f, g, h, or i
of subsection 1 of section 26.1-03.1-04 or an authorized control level event, the
commissioner shall take the action required under section 26.1-03.1-05 with
respect to the insurer.Page No. 11Document Outlinechapter 26.1-03.1 risk-based capital reports