Insurance
Department

At a Glance
SUSAN F. COGSWELL, Commissioner
Office of the Insurance Commissioner
Established – 1865
Insurance Department Established – 1871
Statutory authority – CGS Title
38a
Mailing address – P.O. Box 816,
Hartford, CT 06142-0816
Central Office – 153 Market Street,
Hartford, CT 06103
Number of employees – 144
Recurring operating expenses –
$20,087,875
Organizational structure –
Administrative Division; Consumer Services Division; Financial Regulation
Division; Legal Division; Licensing Division; Life and Health Division;
Property and Casualty Division.
Mission
It is the mission of the
Insurance Department to protect the consumer by administering and enforcing the
Insurance laws in the most responsive and cost effective manner to ensure the
financial reliability and responsibility of all regulated entities.
Statutory Responsibility
The insurance laws administered by the Insurance
Department are set forth in Title 38a of the Connecticut General Statutes. They are divided into 28 chapters, each
addressing a separate area of insurance regulation and insurance-related
entities and products.
Public Service
In an effort to be more responsive to consumer needs
and to improve overall communication within the Department, during the past
fiscal year, the Insurance Department created the new Consumer Services
Division. The Consumer Services Division
consists of the Consumer Affairs Unit, the Market Conduct Unit and the
Insurance Fraud Unit.
The Consumer Affairs Unit receives, reviews and responds to complaints and inquiries
from Connecticut
residents concerning insurance-related problems. During fiscal year 2005-2006, 5,887 formal
complaints were logged into the Unit’s computer database. As a result of the review of these
complaints, the Unit recovered $3,274,837 for Connecticut consumers in fiscal year
2005-2006. Additionally, the Unit mailed
1,370 informational pamphlets and booklets.
Consumer Affairs also conducted a number of outreach programs designed
to focus on, respond to and educate consumers on insurance matters. During fiscal year 2005-2006, the outreach
programs continued to focus on senior groups, variable Annuity sales to
seniors, small business owners, health fairs and medical providers.
The Fraud Unit
receives complaints alleging fraud committed against insurers and health plans
and, as appropriate, refers such allegations for criminal investigation or for
regulatory or civil action. The Unit
also develops and provides outreach programs and information to aid the public
in recognizing, avoiding and reporting suspected insurance fraud and gathers
data on insurance fraud patterns in the state.
The Market Conduct Unit performs
examinations of insurance companies, health care centers, fraternal benefit
societies, and medical utilization review companies doing business in Connecticut to analyze the treatment of Connecticut policyholders and
claimants. In order to provide
protection to the insurance consumer, the Unit also investigates allegations of
improper conduct against individual licensees and pursues administrative action
when warranted.
The Financial Regulation Division monitors the
financial condition of domestic and foreign companies, health care centers and
fraternal benefit societies authorized to do business in Connecticut.
The analysis and compliance staff accesses financial information
directly from the National Association of Insurance Commissioners’ (NAIC)
database and, in many instances, the field examination staff can electronically
access company data files to perform substantive testing. The Division has a priority-based approach to
analysis and examination that is designed to provide timely identification of
potential solvency concerns, and facilitate earlier regulatory intervention.
Actuarial staff
is currently assigned within the various divisions to ensure that actuarial
input is provided to various department functions and procedures. The actuarial staff participates in the
analysis of the financial statements and other statutorily required
information. Actuaries also conduct
on-site examinations of insurance companies.
The actuaries are responsible for examining the rates filed for all
life, health and property/casualty insurance companies to ensure compliance
with Connecticut
statutory requirements.
The Legal Division directs the receivership
and guaranty fund activities of the Insurance Department, and provides legal
advice and related services to the Commissioner and the six divisions of the
Insurance Department on a broad spectrum of issues that arise in regulating the
insurance industry. The legal staff also
drafts, monitors and analyzes legislation; drafts and promulgates regulations;
and, participates in department hearings involving rates, license enforcement,
and acquisitions of domestic insurance companies.
The Licensing Division is responsible for
licensing professionals to ensure the quality and integrity of individuals and
organizations in Connecticut
which sell insurance products, provide insurance consulting services, and
adjust insurance claims. The Licensing
Division meets this benchmark by developing and maintaining up-to-date
standards and educational programs for all licensees.
The Life and Health Division reviews policy
form and rate filings for all life and health insurance products to ensure
compliance with Connecticut General Statutes and regulations. The Division oversees the external appeals
process and the expedited review process for managed care organizations;
licenses utilization review companies, preferred provider networks, medical
discount plans and viatical settlement companies; and, publishes a managed care
report card. It also publishes lists of
carriers offering Medicare supplement, long-term care, small employer group health,
individual health, and HMO policies. The
Division provides technical assistance to other divisions, agencies and the Legislature, promulgates regulations and takes enforcement
action against carriers regarding non-compliance issues.
The primary responsibility of the Property
Casualty Division is to examine property and casualty insurance rates, rules,
policy forms and underwriting guidelines to ensure that the insurance products
sold in Connecticut by licensed carriers
comply with Connecticut
statutory requirements. This is
accomplished through review, analysis, oversight and approval of insurance
company programs covering home and automobile insurance; business property and
liability; medical, legal and other professional liability; and workers’ compensation
insurance. The Division also oversees
the operation of assigned risk plans for automobile, property and workers’
compensation insurance.
Improvements/Achievements
2005-06
During fiscal year 2005-2006, Consumer Affairs staff
met with members of the University of Connecticut
Health Center, and other interested parties to address medical provider
concerns about the infertility mandate.
A series of meetings were held with the Auto Body Association of
Connecticut and representatives from automobile insurance companies to mediate
ongoing disputes over the way automobile property damage claims are
handled. These meetings resulted in
several changes, including updating the Department’s Arbitration program.
The Consumer
Affairs Unit also completed conversion to a new computer database. The new system improves the ability to
communicate with consumers and reduces the time in bringing complaints to
resolution. The Department is now fully
participating in the National Association of Insurance Commissioners’
Complaints Database System.
Throughout the year, Consumer Affairs representatives
met with staff members from the Office of the Healthcare Advocate and federal
government agencies to coordinate distribution of information regarding those
insurance-related products over which they have jurisdiction, i.e., Medicare
and self-insured plans. The Unit, in
partnership with the U.S. Department of Labor, sponsored a compliance
assistance seminar for insurance and human resource professionals on the Health
Insurance Portability and Accountability Act (HIPAA) and Health Benefit laws.
Consumer
Affairs staff attended training on the new Medicare Part D program. Daily phone activity and outreach assisted
seniors in getting the proper information to make timely and informed decisions
on what coverage would be best for them prior to the May 15, 2006 deadline.
The Consumer Affairs Unit’s medical/social
outreach program educated the medical community on insurance matters, reviewed
complaint files involving medical necessity and represented the Insurance
Department on a number of committees.
The Unit continues to meet with individual insurance companies on a
regular basis to address specific concerns or complaint trends.
During fiscal year 2005-2006, development
of the Department’s new automated “Connecticut Regulatory Information System”
(CRIS) continued. Document imaging is a
central component of this system, and as of the end of the fiscal year, over 13
months of consumer complaint files were totally electronic. Also during this year, development of the web
component of CRIS was begun. This
component will allow (via the Internet):
online submission of complaints, online updating of license records,
online application for licenses, as well as other features. Implementing the system’s web component and
completing the automation of all divisions within the Insurance Department are
the goals for the next fiscal year.
The Financial Regulation Division received
a successful interim accreditation review for the year ending December
2005. A separate unit has been
established within the Financial Regulation Division, solely responsible for
the monitoring and licensing of foreign insurance entities doing business in
the state. The Division completed review
and approval of three mergers or acquisitions of control of Connecticut
domiciled insurers and actively supervised four Connecticut financially distressed domestic
insurers during the year with none going into liquidation.
The Legal Division, during Fiscal Year
2005-2006, promulgated two regulations and assisted Department divisions in 90
administrative enforcement proceedings or stipulated settlements that resulted
in the assessment of $932,371.88 in fines and penalties. The Division also supported 37 insurance rate
hearings and participated in two hearings under the Connecticut Insurance
Holding Act regarding the merger or acquisition of control of a Connecticut domiciled
insurer.
Through passage of Public Act 05-266, An Act Concerning
the Renewal of Insurance Producer Licenses, significant changes have been made
to licensing and renewal procedures for producers. This new legislation requires that individual
producer licenses continue on a biennial basis, however, licenses will expire
on the licensee’s birthday instead of on February 1 in even-numbered
years. The passage of this legislation
will allow for more efficient and organized processing of licenses.
In October 2005, the Life and Health
Division published the annual managed care report card, A Comparison of
Managed Care Organizations in Connecticut.
The Division also surveyed health maintenance organizations for the
Department of Social Services’ report card for Medicare Risk Plans in Connecticut. In 2005, there were 181 requests for external
review, 59 of which reversed or revised the denials of the utilization review
companies. The Division processed
approximately 14,000 rate and form filings, including electronic submissions
through the System for Electronic Rates and Form Filings. In addition, licenses were issued or renewed
to 116 utilization review companies. As
of December 31, 2005, 21 preferred provider networks were licensed.
The Market Conduct Unit opened 37
examinations of Property/Casualty, Life and Health and Utilization Review
companies, and 126 investigations involving individual licensees. These examinations and investigations
resulted in $1,393,013.86 in fines, as well as other actions including
revocations, surrenders, and probations or cancellations of insurance licenses.
The Property and Casualty Division received
over 4,000 insurance program filings of rates, rules and forms in 2005. The Division approved an overall +0.8 percent
rate level change for workers’ compensation insurance for employers in the
voluntary market and an increase of +1.7 percent in the assigned risk plan in
Connecticut. The Division has also been
developing the medical malpractice closed claim database that was required
under Public Act 05-275, An Act Concerning Medical Malpractice. This reporting tool will enable companies to
submit the data to the Division electronically.
The Department also worked with the Department of
Environmental Protection, the Treasurer’s Office, and industry leaders to hold
the first meeting on climate change issues facing the insurance industry. The goal was to share information with Connecticut insurance
executives on the impacts of global climate change, and the business risk and
opportunities this represents to the insurance industry. The meeting focused on climate change as it
relates to underwriting, asset management, business operations, and long-term
shareholder value.
Information Reported as Required by State Statute
As reported by the Financial Regulation Division, as
of July 1, 2005 there were 1,179 insurance companies licensed in Connecticut. Of that total, 119 were domiciled in the
state of Connecticut. The applications of 33 insurers applying for
admissions were reviewed in fiscal year 2005-2006. Of the 33 applications reviewed, 25 were
licensed and eight were rejected and/or withdrawn. In addition, 15 companies ceased to be
licensed through dissolution, merger or voluntary surrender of their
certificates of authority. As of June
30, 2006, 1,189 insurers were authorized to transact business in Connecticut. During fiscal year 2005-2006, 33 on-site
examinations of Connecticut
domiciled insurers were completed. As of
June 30, 2006, there were five examinations in progress.
The following table indicates calendar year
2005 direct premiums written in Connecticut:
Life, Health and Annuities $22,232,211,339
Property and Casualty Lines
6,540,724,030
Health Care Centers
2,527,897,813
Fraternal Benefit Societies
35,033,126
Surplus Lines
517,069,308
Risk Retention Groups
74,756,968
Title 183,493,192
Pools and Associations
163,303,948
Total Premiums
Written $32,274,489,724
In March 2006, the Life and Health Division prepared a
report that was submitted to the Governor and General Assembly regarding the
Commissioner’s responsibility concerning managed care organizations. This report included a summary of quality
assurance plans, potential modifications to the consumer report card, market
conduct activity, a summary of complaints filed with the Department, a summary
of violations, and a summary of issues discussed regarding managed care at
public forums. In June 2006, the
Division reported to the Governor and General Assembly that no managed care
organizations failed to file any data as required by Public Act 97-99 and
Public Act 99-177.
The following
information is provided in accordance with Conn. Gen. Stat. § 38a-13:
During fiscal year 2005-2006, the Insurance
Commissioner served as the receiver of four domestic insurance companies: three property and casualty insurers and one
health care center. In addition, the
Insurance Commissioner served as ancillary receiver of two property and casualty
insurers domiciled in Massachusetts.
The
Connecticut Surety Company -- The
Insurance Commissioner was appointed Rehabilitator of The Connecticut Surety
Company ("CSC”) by the Superior Court on February 6, 2002. CSC was a Connecticut domiciled surety company that
issued commercial and contract surety and fidelity bonds. CSC’s principal offices were in Hartford, Connecticut and
were licensed to transact the business of insurance in Connecticut
and 25 other states and the District
of Columbia. On May 17, 2002, the Superior Court entered an
Order of Liquidation, which declared CSC insolvent and appointed the Insurance
Commissioner Liquidator of CSC. The
Liquidator was directed to take possession of the assets of CSC and to
administer them under the supervision of the Superior Court. All policies and contracts of insurance or
bonds issued by CSC were cancelled by the Liquidation Order. Promptly after the issuance of the
Liquidation Order, the CSC Liquidator mailed notice of the Liquidation Order to
all known creditors of CSC, together with a copy of a proof of claim and
directions to file with the Liquidator any and all claims against CSC on or
before November 15, 2002. On May 16,
2003, the Liquidator filed her First Report with the Superior Court and noted
therein that approximately 1,094 proofs of claim were filed with the Liquidator
and that the CSC balance sheet as of March 31, 2003 showed assets of
$6,152,664.20 and liabilities of $14,675,211.20. CSC and its corporate affiliates operated as
an integrated organization, sharing office space, personnel and cash management
systems. As a result of the management
and shareholders’ abandonment of CSC’s corporate parent, Connecticut Surety
Corporation, and its corporate affiliates, the Liquidator determined that the
affairs of CSC’s affiliated entities should be wound-up as part of the
receivership proceedings of CSC. The CSC
Affiliates consist of the following companies: The Connecticut Surety Company,
Connecticut Surety Corporation, Connecticut Surety Insurance Agency, Inc.,
Funds Management, Inc., Connecticut Surety Insurance Agency of Arizona, Inc.,
Bonds II Surety Group, Inc., and Connecticut Surety Insurance Agency of Nevada,
Inc., (collectively, the “CSC Affiliates”).
On May 29, 2003, the Superior Court granted the Liquidator’s Motion for
Substantive Consolidation of CSC and its affiliates and entered an Order for
Substantive Consolidation, which joined the CSC Affiliates in the pending
liquidation proceedings. The Order for
Substantive Consolidation directed the Liquidator to take possession of the
assets of each of the CSC Affiliates and to administer the assets jointly along
with the assets of CSC under the supervision of the Superior Court. The Liquidator promptly gave notice to
persons interested in the CSC Affiliates of the Order for Substantive
Consolidation and August 29, 2003 deadline for the filing of claims against the
estates of the CSC Affiliates. In
December 2005, the Liquidator made an interim partial distribution of assets to
certain Class 3 claimants holding allowed claims and paid $219,757.32 to
creditors residing in Arizona, Connecticut, Oregon and South Carolina, thereby
paying their claims in full. In
addition, the Liquidator paid an interim partial distribution of 30 percent of
the allowed claim to creditors residing in Alaska,
California, Florida,
Iowa, Louisiana,
Maryland, Missouri,
Nebraska, New Jersey,
New Mexico, Ohio,
Oklahoma, Pennsylvania,
Texas, Vermont,
Washington, and Quebec, Canada. This partial interim distribution totaled
$302,282.18. On January 25, 2006, the
Superior Court granted the Liquidator’s Motion for Disallowance of Late-Filed
Claims. On March 29, 2006, the Superior
Court granted the Liquidator’s Fifth Motion for Allowance of Claims. On June 15, 2006, the Superior Court approved
and accepted the Liquidator’s Fourth Report dated May 15, 2006 detailing the
status of the liquidation proceedings.
As of May 5, 2006, approximately 1,239 proofs of claim of various
classes of claims were filed with the Liquidator. The consolidated balance sheet of CSC and the
CSC Affiliates as of March 31, 2006 shows a deficiency of assets over
liabilities of $15,043,643.73, with total assets of $6,205,686.49 and total
liabilities of $21,249,330.22. On June
29, 2006 the Superior Court granted the Liquidator’s Sixth Motion for
Disallowance of Claims. The Department's
website (http://www.ct.gov/cid)
continues as a source for news and information regarding the liquidation of CSC
and the CSC Affiliates.
Covenant Mutual Insurance Company -- The Insurance Commissioner was appointed
Rehabilitator of Covenant Mutual Insurance Company ("Covenant") on
March 1, 1993. Covenant was a Connecticut domiciled
insurer established in 1831 and was licensed to do business in 31 states. On May 4, 1994, the Superior Court entered an
Order (“Confirmation Order”) confirming a Plan of Rehabilitation of
Covenant. The Confirmation Order, among
other things, (i) confirmed the Covenant Plan of Rehabilitation (“Plan”), (ii)
declared Covenant insolvent as of the date of the Confirmation Order, (iii)
directed that the assets and liabilities comprising Covenant’s estate be
liquidated as provided in the Plan; and, (iv) established a December 31, 1994
Bar Date for the filing of claims against the Covenant estate. On October 5, 2005, the Superior Court
approved the Trustee’s Third Motion for Allowance of Claims. On December 22, 2005, the Trustee filed her
Report with the Superior Court. As
reflected in the Report, the June 30, 2005 balance sheet of the Covenant Mutual
Liquidation Trust shows a deficiency of assets over liabilities of
$9,348,889.21, with total assets of $13,568,258.51 and total liabilities of
$22,917,147.72.
Westbrook
Insurance Company -- On July 17,
1997, the Superior Court appointed the Insurance Commissioner Rehabilitator of
Westbrook Insurance Company (“Westbrook”), a Connecticut
domiciled property and casualty insurance company which had its principal
office in Wallingford, Connecticut.
Westbrook was incorporated in 1994 and licensed only in Connecticut; it
underwrote direct insurance and reinsurance on auto liability and auto physical
damage risks. Westbrook is a wholly
owned subsidiary of Home State Holdings, Inc. (“HSH”) and part of an affiliated
group of property casualty insurance companies (the “Home State Group”)
domiciled in the states of New York, New Jersey, Pennsylvania,
and Georgia. The Rehabilitator determined that it was in
the best interest of policyholders, creditors, and the public to sell
Westbrook’s ongoing business and transfer Westbrook’s claim handling functions
to financially reliable parties.
Accordingly, the Rehabilitator entered into a Policy Acquisition
Agreement and a Reinsurance Agreement dated as of August 15, 1997 with Eagle
Insurance Company (“Eagle”), whereby Eagle assumed all of the obligations of
Westbrook under all direct policies issued by Westbrook for losses with dates
of accidents on and after August 15, 1997.
In order to ensure the continued handling of claims on Westbrook
policies arising out of accidents prior to August 15, 1997, the Rehabilitator
entered into a Claims Service Agreement dated August 15, 1997 with Material
Damage Adjustment Corp. (“MDA”), an affiliate of Eagle. During this period, the Rehabilitator
arranged for Westbrook to transfer to First Security Insurance Company of Hartford performance of
all services it provided to the company as its reinsurer of certain commercial
auto business, including the collection of premium and the adjustment and
payment of claims. On October 26, 1998,
the Superior Court granted the petition of the Rehabilitator and ordered that
Westbrook be placed into liquidation and appointed the Insurance Commissioner
Liquidator of Westbrook. The claim bar
date set by the Court for filing proofs of claim was January 31, 1999. The Receiver filed with the Superior Court
her Seventh Accounting on November 12, 2002.
On August 20, 2002, the Liquidator made a distribution of the estate in
the amount of $1,058,071.10 to claimants whose claims have been previously
allowed by the Court. The amount
distributed to each claimant was equal to 100 percent of the allowed amount of
each claimant’s claim falling within Class 1 through Class 5 and 75 percent of
the allowed amount of any claim 6 claim.
On February 27, 2003, the Superior Court issued an order approving (A)
the Liquidator’s claims report and final distributions to creditors, (B)
establishment of reserves, (C) administrative claim procedures, and (D)
procedures for the retention and/or destruction of records. Pursuant to this Order, Class 6 claimants
receive the remainder of their allowed claims in full, the Class 7 claim is
paid in full and Class 8 claims receive pro rata distributions in accordance
with their allowed amounts, if all preceding classes have been paid in
full. On July 2, 2003, the Liquidator
obtained a release from the United States of America from any liability for
federal claims pursuant to 31 U.S.C. § 3713(b).
On or about November 18, 2003, the Liquidator made a second distribution
to the creditors of Westbrook with unpaid claims in the total amount of
$3,646,486.62 which, together with the amounts distributed in 2002, represented
payment of 100 percent of their allowed claims.
On or about December 14, 2004, the Liquidator made a third distribution
to creditors in the total amount of $525,032.22 representing interest on their
claims filed against the Westbrook estate.
On April 5, 2005, the Liquidator executed a Quitclaim Assignment in
favor of Home State Insurance Company in Liquidation, whereby certain amounts
receivable from Westbrook reinsurers are transferred to Home State
in satisfaction of its claim against Westbrook.
On May 11, 2005, the Superior Court, upon motion of the Liquidator, entered
an Order Approving Closure of the Westbrook Liquidation Proceedings which
approved the dissolution of Westbrook, approving the procedures for remaining
administrative claims, authorizing disposition of unclaimed and withheld funds,
discharging the Liquidator, enjoining actions against Westbrook, the estate and
the Liquidator, closing the liquidation, and authorizing the Liquidator to make
such filings and take such other action as she may deem appropriate to conclude
the liquidation proceeding. In September
2005, the Liquidator filed her report of unclaimed property with the Office of
the State Treasurer in the amount of $90.76. On December 23, 2005, the
Liquidator transferred the residual funds in the Westbrook receivership estate
to the Liquidator of Home State Insurance Company in the amount of
$624,558.14. In May 2006, the Liquidator
filed her 2005 Return of Organizations Exempt from the U.S. Income Tax together with a
Request for Prompt Audit under I.R.S. Revenue Procedure 81-17. In July or August 2006, the Liquidator
expects to file a Certificate of Discharge and Closure of the Westbrook
receivership with the Superior Court.
Suburban
Health Plan, Inc. -- On May 20, 1999,
the Superior Court entered a Stipulated Order of Liquidation declaring Suburban
Health Plan, Inc. (“Suburban”) to be insolvent and appointed the Insurance
Commissioner Liquidator of Suburban.
Suburban was an HMO based in Shelton, Connecticut which served more than 8,000 members, and was
an affiliate of Griffin Hospital in Derby,
Connecticut. On May 12, 2004, the Superior Court entered
an Order approving the Liquidator’s claims report, distributions to creditors,
and other relief that will permit the Liquidator to substantially complete the
administration of the estate. The Order:
allowed approximately 2,400 claims filed by participating providers and
individuals that had paid participating providers; permitted the Liquidator to
make a distribution to those creditors based on the priorities established by
Conn. Gen. Stat. § 38a-944; authorized a compromise of claims with the United
States, which had asserted a claim in connection with a payment it had made to
a provider under Medicare; allowed a claim by the Insurance Department as an
expense of administration; authorized the Liquidator to offer participating
providers an enhanced distribution from the estate if they were willing to
agree to release any claims they might have against enrollees; and entered
injunctions that prohibit participating providers that accept an enhanced
distribution from pursuing any enrollees of Suburban. On September 9, 2004, the Superior Court
approved the Liquidator’s Fifth Accounting and Status Report. On April 20, 2005, the Superior Court entered
an Order disallowing the claim of Greenwich
Hospital. The Liquidator has made final distributions
to all of the creditors of Suburban. On
July 14, 2005, the Superior Court issued an order approving the closure of the
Suburban liquidation proceedings, including the dissolution of Suburban,
distribution to the Connecticut Insurance Department of its allowed
administrative claim, destruction of records, discharge of the Liquidator,
discharging the Liquidator, the issuance of injunctions, and authorizing the
Liquidator to make such filings and take such other action as she may deem
appropriate to conclude the Suburban liquidation proceedings. In November 2005, the Liquidator filed her
2004 Return of Organizations Exempt from the U.S. Income Tax. In December 2005, the Liquidator filed her
report of unclaimed property with the Office of the State Treasurer in the
amount of $93,512.50 and made her final distributions in the Suburban
receivership estate. In May 2006, the
Liquidator filed her 2005 Return of Organizations Exempt from the U.S. Income Tax together with a
Request for Prompt Audit under I.R.S. Revenue Procedure 81-17. In July or August 2006, the Liquidator
expects to file a Certificate of Discharge and Closure of the Suburban
receivership with the Superior Court.
On April 26, 1989, the Insurance Commissioner was
appointed ancillary receiver of American
Mutual Liability Insurance Company ("AMLICO") and American Mutual Insurance Company of
Boston ("AMI"), both domiciled in Massachusetts and placed in
liquidation on March 9, 1989. The
ancillary receiver has distributed assets from the AMLICO and AMI receivership
estates to the Connecticut Insurance Guaranty Association (“CIGA”) in the total
amount of $20,000,000 and $4,000,000, respectively, as early access
distributions for the administrative expenses, claims and claims handling
expenses CIGA had incurred for covered policy obligations in connection with
the AMLICO and AMI insolvencies. By
letter dated September 22, 1989, the United States Department of Justice gave
notice to the Ancillary Receiver that the United States, its departments,
agencies, and instrumentalities assert priority status pursuant to 31 U.S.C. §
3713 with regard to the debts due it from AMI and AMLICO (“the Federal Priority
Statute”). On October 4, 2002, the
Ancillary Receiver filed with the Superior Court her Plan of Liquidation of
Connecticut Assets of AMLICO and AMI (the “Plan”). The Plan provides for the payment of the
expenses of administering the companies’ estates and also provides for the
payment of claims by policyholders that are Connecticut
residents or claims by claimants against policyholders that are Connecticut
residents. The Plan also provides for
the payment of the claims and loss adjustment expenses of the two Connecticut insurance
guaranty associations. The Plan further
provides that after the payment of the foregoing claims and the establishment
of reserves for disputed claims and administrative expenses, all remaining
funds are to be transferred to the Massachusetts
domiciliary receiver. The Superior Court
entered an order approving the Plan on November 21, 2002 and subsequently
entered an order authorizing the payment of certain allowed Class 2 claims
under and pursuant to the Plan. These
claims, totaled $805,225.03 and $142,098.53 for AMLICO and AMI, respectively,
and were paid by the Ancillary Receiver on April 30, 2003. On May 9, 2003, the Ancillary filed with the
Superior Court her Second Motion for Disallowance and Allowance of Claims. On November 5, 2003, the Ancillary Receiver
signed an agreement with the Permanent Receiver and CIGA which establishes a
procedure by which to resolve CIGA’s remaining claims against the AMLICO and
AMI Connecticut ancillary receiverships in order to facilitate the closure of
the receiverships. On January 28, 2004
the Superior Court entered an Order allowing a Class 2 claim in the amount of
$1,600. On January 28, 2005, the Ancillary Receiver and the U.S. Department of
Justice entered into a Release Agreement to withdraw the United States’ 1989
priority claim asserted against all assets of the AMLICO and AMI ancillary
receivership estates with respect to debts that may be owed to the United
States, its departments, agencies, and instrumentalities, thereby permitting
the distribution of ancillary receivership assets to creditors. On March 29, 2005, the Connecticut Ancillary
executed a transfer agreement between her and the Massachusetts Permanent
Receiver of AMLICO and AMI, whereby the Permanent Receiver will be to
indemnify, hold harmless and defend the Ancillary Receiver from all liabilities
and claims, thereby allowing the distribution of the residual assets of AMLICO
and AMI to the Permanent Receiver. On
May 9, 2005, the Ancillary Receiver paid the Connecticut Life and Health
Insurance Guaranty Association $138,996.09 in final settlement of its claims
against the AMLICO and AMI ancillary receivership estates. On May 11, 2005, the Superior Court, upon
motion of the Ancillary Receiver, entered an order enabling closure of the
AMLICO and AMI ancillary receivership proceedings. The Superior Court order approved the
agreement with CIGA and authorized the transfer of $5,737,500 from the AMLICO
ancillary receivership estate and $1,012,500 from the AMI ancillary
receivership estate to the escrow established in the CIGA agreement for the
payment of CIGA’s remaining claims against the ancillary receivership
estates. The order also authorized
disposition of the Ancillary Receiver’s records, authorized the Ancillary to
take other administrative action to close the ancillary receivership estates,
and other requested relief. On December
14, 2005, the Ancillary Receiver transferred the residual funds in the
ancillary receivership estates of AMLICO and AMI to the Massachusetts Permanent Receiver of AMLICO and AMI in the respective
amounts of $15,935,050.96 and $2,812,067.82.
On December 28, 2005, the Ancillary Receiver of AMLICO and AMI
filed a Certificate of Discharge and Closure of Ancillary Receivership
Proceedings with the Superior Court.