ARTICLE 48.
Postassessment Insurance Guaranty Association.
§ 58-48-1. Short title.
Statute text
This Article shall be known and may be cited as the "Insurance Guaranty
Association Act."
History
(1971, c. 670, s. 1.)
Annotations
CASE NOTES
Summary Judgment Affirmed. - Defendant's motion for summary judgment was
affirmed where there was no genuine issue of material fact as to whether
defendant had a duty to defend and indemnify plaintiff corporation on the
underlying discrimination actions. Fieldcrest Cannon, Inc. v. Fireman's Fund
Ins. Co., 127 N.C. App. 729, 493 S.E.2d 658 (1997), cert. denied, 348 N.C. 497,
510 S.E.2d 383 (1998).
Applied in City of Greensboro v. Reserve Ins. Co., 70 N.C. App. 651, 321 S.E.2d
232 (1984).
Cited in Newton v. United States Fire Ins. Co., 98 N.C. App. 619, 391 S.E.2d 837
(1990); North Carolina Ins. Guar. Ass'n v. State Farm Mut. Auto. Ins. Co., 115
N.C. App. 666, 446 S.E.2d 364 (1994).
§ 58-48-5. Purpose of Article.
Statute text
The purpose of this Article is to provide a mechanism for the payment of covered
claims under certain insurance policies, to avoid excessive delay in payment,
and to avoid financial loss to claimants or policyholders because of the
insolvency of an insurer, to assist in the detection and prevention of insurer
insolvencies, and to provide an association to assess the cost of such
protection among insurers.
History
(1971, c. 670, s. 1.)
Annotations
CASE NOTES
The determination of whether a particular policy of insurance is one of
indemnity or liability depends upon the intention of the parties as evinced by
the phraseology of the agreement in the policy. City of Greensboro v. Reserve
Ins. Co., 70 N.C. App. 651, 321 S.E.2d 232 (1984).
The fundamental distinction between a policy of indemnity insurance and one of
liability involves when the obligation of the insurer to the insured first
attaches. City of Greensboro v. Reserve Ins. Co., 70 N.C. App. 651, 321 S.E.2d
232 (1984).
The general distinction between indemnity insurance and liability insurance is
that if the policy is one against liability, the coverage thereunder attaches
when the liability attaches, regardless of actual loss at that time; but if the
policy is one of indemnity only, an action against the insurer does not lie
until an actual loss in the discharge of the liability is sustained by the
insured. City of Greensboro v. Reserve Ins. Co., 70 N.C. App. 651, 321 S.E.2d
232 (1984).
Quoted in State ex rel. Ingram v. Reserve Ins. Co., 303 N.C. 623, 281 S.E.2d 16
(1981); Rinehart v. Hartford Cas. Ins. Co., 91 N.C. App. 368, 371 S.E.2d 788
(1988); Bentley v. North Carolina Ins. Guar. Ass'n, 107 N.C. App. 1, 418 S.E.2d
705 (1992); Hales v. North Carolina Ins. Guar. Ass'n, 337 N.C. 329, 445 S.E.2d
590 (1994); North Carolina Ins. Guar. Ass'n v. Century Indem. Co., 115 N.C. App.
175, 444 S.E.2d 464, cert. denied, 337 N.C. 696, 448 S.E.2d 532 (1994).
Stated in North Carolina Reinsurance Facility v. North Carolina Ins. Guar. Ass'n,
67 N.C. App. 359, 313 S.E.2d 253 (1984).
§ 58-48-10. Scope.
Statute text
This Article shall apply to all kinds of direct insurance, but shall not be
applicable to:
(1) Life, annuity, accident and health or disability insurance;
(2) Mortgage guaranty, financial guaranty or other forms of insurance offering
protection against investment risks;
(3) Fidelity or surety bonds, or any other bonding obligations;
(4) Credit insurance, vendors' single interest insurance, collateral protection
insurance, or any similar insurance protecting the interests of a creditor
arising out of a creditor-debtor transaction;
(5) Insurance of warranties or service contracts;
(6) Title insurance;
(7) Ocean marine insurance;
(8) Repealed by Session Laws 1991 (Regular Session, 1992), c. 802, s. 1,
effective January 1, 1993.
(9) Any transaction or combination of transactions between a person (including
affiliates of such person) and an insurer (including affiliates of such insurer)
which involves the transfer of investment or credit risk unaccompanied by
transfer of insurance risk;
(10) Insurance written on a retroactive basis to cover known or unknown losses
which have resulted from an event with respect to which a claim has already been
made, and the claim is known to the insurer at the time the insurance is bound.
History
(1971, c. 670, s. 1; 1989, c. 206, s. 1; 1991 (Reg. Sess., 1992), c. 802, s. 1.)
Annotations
CASE NOTES
Cited in State ex rel. Ingram v. Reserve Ins. Co., 303 N.C. 623, 281 S.E.2d 16
(1981).
§ 58-48-15. Construction.
Statute text
This Article shall be liberally construed to effect the purpose under G.S.
58-48-5 which shall constitute an aid and guide to interpretation.
History
(1971, c. 670, s. 1.)
§ 58-48-20. Definitions.
Statute text
As used in this Article:
(1) "Account" means any one of the three accounts created by G.S. 58-48-25.
(1a) "Affiliate" means a person who directly, or indirectly, through one or more
intermediaries, controls, is controlled by, or is under common control with an
insolvent insurer on December 31 of the year next preceding the date the insurer
becomes an insolvent insurer.
(2) "Association" means the North Carolina Insurance Guaranty Association
created under G.S. 58-48-25.
(2a) "Claimant" means any insured making a first party claim or any person
instituting a liability claim; provided that no person who is an affiliate of
the insolvent insurer may be a claimant.
(3) Repealed by Session Laws 1991, c. 720, s. 6.
(3a) "Control" means the possession, direct or indirect, of the power to direct
or cause the direction of the management and policies of a person, whether
through the ownership of voting securities, by contract other than a commercial
contract for goods or nonmanagement services, or otherwise, unless the power is
the result of an official position with or corporate office held by the person.
Control shall be presumed to exist if any person, directly or indirectly owns,
controls, holds with the power to vote, or holds proxies representing ten
percent (10%) or more of the voting securities of any other person. This
presumption may be rebutted by a showing that control does not exist in fact.
(4) "Covered claim" means an unpaid claim, including one of unearned premiums,
which is in excess of fifty dollars ($50.00) and arises out of and is within the
coverage and not in excess of the applicable limits of an insurance policy to
which this Article applies as issued by an insurer, if such insurer becomes an
insolvent insurer after the effective date of this Article and (i) the claimant
or insured is a resident of this State at the time of the insured event; or (ii)
the property from which the claim arises is permanently located in this State.
"Covered claim" shall not include any amount awarded as punitive or exemplary
damages; sought as a return of premium under any retrospective rating plan; or
due any reinsurer, insurer, insurance pool, or underwriting association, as
subrogation or contribution recoveries or otherwise.
(5) "Insolvent insurer" means (i) an insurer licensed and authorized to transact
insurance in this State either at the time the policy was issued or when the
insured event occurred and (ii) against whom an order of liquidation with a
finding of insolvency has been entered after the effective date of this Article
by a court of competent jurisdiction in the insurer's state of domicile or of
this State under the provisions of Article 30 of this Chapter, and which order
of liquidation has not been stayed or been the subject of a writ of supersedeas
or other comparable order.
(6) "Member insurer" means any person who (i) writes any kind of insurance to
which this Article applies under G.S. 58-48-10, including the exchange of
reciprocal or interinsurance contracts, and (ii) is licensed and authorized to
transact insurance in this State.
(7) "Net direct written premiums" means direct gross premiums written in this
State on insurance policies to which this Article applies, less return premiums
thereon and dividends paid or credited to policyholders on such direct business.
"Net direct written premiums" does not include premiums on contracts between
insurers or reinsurers.
(8) "Person" means any individual, corporation, partnership, association or
voluntary organization.
(9) "Policyholder" means the person to whom an insurance policy to which this
Article applies was issued by an insurer which has become an insolvent insurer.
(10) "Resident" means:
a. An individual domiciled in this State;
b. An individual formerly domiciled in this State at the time the applicable
policy was issued or renewed and the term of the policy had not expired at the
time of the insured event, and who at the time of the insured event had complied
with the laws of the current domicile necessary to allow maintenance in force
and effect of the applicable policy; or
c. In the case of a corporation or other entity that is not a natural person, a
corporation or entity whose principal place of business is located in this State
at the time of the insured event.
History
(1971, c. 670, s. 1; 1985, c. 613, ss. 1-3; 1989, c. 206, s. 2; c. 770, s. 72;
1991, c. 720, s. 6; 1991 (Reg. Sess., 1992), c. 802, s. 2; 1993, c. 452, s. 51.)
Annotations
CASE NOTES
North Carolina Guaranty Association Not Required to Assume Insurer's Obligation
Where Claim Not Covered by Policy. - Where orders entered by bankruptcy court
required adjusters, pursuant to plaintiff's allegations of default by insurer,
to return all vehicles that were subject of lease between plaintiff and rental
company, which necessarily included 300 cars enrolled under residual value
policy issued by insurer, and plaintiff was required to dispose of all vehicles
and apply proceeds to indebtedness of rental company, with company
retaining no rights whatsoever in any vehicles, undeniable effect of relief
afforded to plaintiff in bankruptcy court was to extinguish lease with respect
to the cars that were enrolled under residual value policy. Consequently, by
express terms of residual value policy issued by insurer, plaintiff's claim
pertaining to such vehicles was not covered. Thus North Carolina Guaranty
Association defendant, as a matter of law, was not required under this Article
to assume insurer's obligation. Barclays American/Leasing, Inc. v. North
Carolina Ins. Guar. Ass'n, 99 N.C. App. 290, 392 S.E.2d 772 (1990),
discretionary review denied, 328 N.C. 328, 402 S.E.2d 829 (1991), decided prior
to 1989 amendments.
Association Not Vicariously Liable for Insolvent Insurers' Torts or Unfair
Practices. - The North Carolina Insurance Guaranty Association is not subject to
vicarious liability for the tortious conduct of insolvent insurers. Bentley v.
North Carolina Ins. Guar. Ass'n, 107 N.C. App. 1, 418 S.E.2d 705 (1992).
Since, as a matter of law, defendant Association was not vicariously liable for
the torts or unfair practices of insurer, the trial court did not err in
granting summary judgment for defendant Association on these claims. Bentley v.
North Carolina Ins. Guar. Ass'n, 107 N.C. App. 1, 418 S.E.2d 705 (1992).
Subrogation and Contribution. - Because subrogation and contribution are
contractual or tort based forms of remedies and equitable subrogation is a
judicially imposed remedy grounded in equity, the phrase "or otherwise" as used
in subsection (4) does not encompass the purely equitable remedy. North Carolina
Ins. Guar. Ass'n v. Century Indem. Co., 115 N.C. App. 175, 444 S.E.2d 464, cert.
denied, 337 N.C. 696, 448 S.E.2d 532 (1994).
Punitive Damages. - North Carolina cases permit recovery of punitive damages for
breach of contract only for identifiable torts accompanied by aggravation. The
plain language of this Article both speaks of contracts and precludes recovery
of punitive damages. Bentley v. North Carolina Ins. Guar. Ass'n, 107 N.C. App.
1, 418 S.E.2d 705 (1992).
Under the plain language of this section, punitive damages cannot be recovered
from the North Carolina Insurance Guaranty Association. Bentley v. North
Carolina Ins. Guar. Ass'n, 107 N.C. App. 1, 418 S.E.2d 705 (1992).
Applied in State ex rel. Ingram v. Reserve Ins. Co., 48 N.C. App. 643, 269
S.E.2d 757 (1980).
Quoted in Hales v. North Carolina Ins. Guar. Ass'n, 337 N.C. 329, 445 S.E.2d 590
(1994).
§ 58-48-25. Creation of the Association.
Statute text
There is created a nonprofit, unincorporated legal entity to be known as the
North Carolina Insurance Guaranty Association. All insurers defined as member
insurers in G.S. 58-48-20(6) shall be and remain members of the Association as a
condition of their authority to transact insurance in this State. The
Association shall perform its functions under a plan of operation established
and approved under G.S. 58-48-40 and shall exercise its powers through a board
of directors established under G.S. 58-48-30. For purposes of administration and
assessment, the Association shall be divided into three separate accounts: (i)
the automobile insurance account; (ii) the workers' compensation account; and
(iii) the account for all other insurance to which the Article applies. Each
person becoming a member insurer after October 1, 1985, shall pay to the
Association upon demand a nonrefundable initial membership fee of fifty dollars
($50.00).
History
(1971, c. 670, s. 1; 1985, c. 613, s. 4; 1991 (Reg. Sess., 1992), c. 802, s. 3.)
Annotations
CASE NOTES
Waiver Not Negated by Insolvency of Municipality's Insurance Carrier. - If there
had been a waiver of immunity by the purchase of insurance under § 160A-485 it
would not have been negated by the insolvency of municipality's insurance
carrier, even though by purchasing liability insurance a municipality waives its
immunity only to the extent that it is indemnified by the insurance contract
from tort liability, since in this state behind every licensed liability
insurance company that becomes insolvent is an agency created by this section
that, to some extent and under certain conditions, takes over the insolvent's
obligations to indemnify its insureds by paying legally entitled claimants.
McDonald v. Village of Pinehurst, 91 N.C. App. 633, 372 S.E.2d 733 (1988).
Applied in North Carolina Reinsurance Facility v. North Carolina Ins. Guar.
Ass'n, 67 N.C. App. 359, 313 S.E.2d 253 (1984).
Quoted in Rinehart v. Hartford Cas. Ins. Co., 91 N.C. App. 368, 371 S.E.2d 788
(1988).
Stated in State ex rel. Ingram v. Reserve Ins. Co., 303 N.C. 623, 281 S.E.2d 16
(1981).
§ 58-48-30. Board of directors.
Statute text
(a) The board of directors of the Association shall consist of not less
than five nor more than nine persons serving terms as established in the plan of
operation. One non-voting member of the board shall be a property and casualty
insurance agent authorized to write insurance for a member insurer, and
appointed by the Commissioner; and the remaining members shall be selected by
member insurers subject to the approval of the Commissioner. Vacancies of the
Board shall be filled for the remaining period of the term in the same manner as
initial appointments. If no members are selected within 60 days after June 25,
1971, the Commissioner may appoint the initial members of the board of
directors.
(b) In approving selections to the board, the Commissioner shall consider
among other things whether all member insurers are fairly represented.
(c) Members of the board may be reimbursed from the assets of the
Association for expenses incurred by them as members of the board of directors.
History
(1971, c. 670, s. 1; 1987, c. 864, s. 60.)
§ 58-48-35. Powers and duties of the Association.
Statute text
(a) The Association shall:
(1) Be obligated to the extent of the covered claims existing prior to the
determination of insolvency and arising within 30 days after the determination
of insolvency, or before the policy expiration date if less than 30 days after
the determination, or before the insured replaces the policy or causes its
cancellation, if he does so within 30 days of the determination. This obligation
includes only the amount of each covered claim that is in excess of fifty
dollars ($50.00) and is less than three hundred thousand dollars ($300,000).
However, the Association shall pay the full amount of a covered claim for
benefits under a workers' compensation insurance coverage, and shall pay an
amount not exceeding ten thousand dollars ($10,000) per policy for a covered
claim for the return of unearned premium. The Association has no obligation to
pay a claimant's covered claim, except a claimant's workers' compensation claim,
if:
a. The insured had primary coverage at the time of the loss with a solvent
insurer equal to or in excess of three hundred thousand dollars ($300,000) and
applicable to the claimant's loss; or
b. The insured's coverage is written subject to a self-insured retention equal
to or in excess of three hundred thousand dollars ($300,000).
If the primary coverage or the self-insured retention is less than three hundred
thousand dollars ($300,000), the Association's obligation to the claimant is
reduced by the coverage and the retention. The Association shall pay the full
amount of a covered claim for benefits under a workers' compensation insurance
coverage to a claimant notwithstanding any self-insured retention, but the
Association has the right to recover the amount of the self-insured retention
from the employer.
In no event shall the Association be obligated to a policyholder or claimant in
an amount in excess of the obligation of the insolvent insurer under the policy
from which the claim arises. Notwithstanding any other provision of this
Article, a covered claim shall not include any claim filed with the Association
after the final date set by the court for the filing of claims against the
liquidator or receiver of an insolvent insurer.
(2) Be deemed the insurer to the extent of the Association's obligation on the
covered claims and to such extent shall have all rights, duties, and obligations
of the insolvent insurer as if the insurer had not become insolvent. However,
the Association has the right but not the obligation to defend an insured who is
not a resident of this State at the time of the insured event unless the
property from which the claim arises is permanently located in this State in
which instance the Association does have the obligation to defend the matter in
accordance with policy.
(3) Allocate claims paid and expenses incurred among the two accounts
separately, and assess member insurers separately for each account amounts
necessary to pay the obligation of the Association under subsection (a) above
subsequent to an insolvency, the expenses of handling covered claims subsequent
to an insolvency, the cost of examinations under G.S. 58-48-60 and other
expenses authorized by this Article. The assessments of each member insurer
shall be in the proportion that the net direct written premiums of the member
insurer for the preceding calendar year on the kinds of insurance in the account
bears to the net direct written premiums of all member insurers for the
preceding calendar year on the kinds of insurance in the account; provided, for
purposes of assessment only, premiums otherwise reportable by a servicing
insurer under any plan of operation approved by the Commissioner of Insurance
under Articles 45 or 46 of this Chapter shall not be deemed to be the net direct
written premiums of such servicing insurer or association, but shall be deemed
to be the net direct written premiums of the individual insurers to the extent
provided for in any such plan of operation. Each member insurer shall be
notified of the assessment not later than 30 days before it is due. No member
insurer may be assessed in any year on any account an amount greater than two
percent (2%) of that member insurer's net direct written premiums for the
preceding calendar year on the kinds of insurance in the account. If the maximum
assessment, together with the other assets of the Association in any account,
does not provide in any one year in any account an amount sufficient to make all
necessary payments from that account, the funds available shall be prorated and
the unpaid portion shall be paid as soon thereafter as funds become available.
The Association may exempt or defer, in whole or in part, the assessment of any
member insurer, if the assessment would cause the member insurer's financial
statement to reflect amounts of capital or surplus less than the minimum amounts
required for a license by any jurisdiction in which the member insurer is
authorized to transact insurance. Each member insurer may set off against any
assessment, authorized payments made on covered claims and expenses incurred in
the payment of such claims by the member insurer if they are chargeable to the
account for which the assessment is made.
(4) Investigate claims brought against the Association and adjust, compromise,
settle, and pay covered claims to the extent of the Association's obligation and
deny all other claims and may review settlements, releases and judgments to
which the insolvent insurer or its insureds were parties to determine the extent
to which such settlements, releases and judgments may be properly contested.
(5) Notify such persons as the Commissioner directs under G.S. 58-48-45(b)(1).
(6) Handle claims through its employees or through one or more insurers or other
persons designated as servicing facilities. Designation of a servicing facility
is subject to the approval of the Commissioner, but such designation may be
declined by a member insurer.
(7) Reimburse each servicing facility for obligations of the Association paid by
the facility and for expenses incurred by the facility while handling claims on
behalf of the Association and shall pay the other expenses of the Association
authorized by this Article.
(b) The Association may:
(1) Employ or retain such persons as are necessary to handle claims and perform
other duties of the Association.
(2) Borrow funds necessary to effect the purposes of this Article in accord with
the plan of operation.
(3) Sue or be sued.
(4) Negotiate and become a party to such contracts as are necessary to carry out
the purpose of this Article.
(5) Perform such other acts as are necessary or proper to effectuate the purpose
of this Article.
(6) Refund to the member insurers in proportion to the contribution of each
member insurer to that account that amount by which the assets of the account
exceed the liabilities if, at the end of any calendar year, the board of
directors finds that the assets of the Association in any account exceed the
liabilities of that account as estimated by the board of directors for the
coming year.
History
(1971, c. 670, s. 1; 1977, c. 343; 1979, c. 295, s. 1; 1985, c. 613, ss. 5, 6;
1989, c. 206, s. 3; 1991 (Reg. Sess., 1992), c. 802, s. 4; 1999-132, s. 9.1.)
Annotations
Effect of Amendments. - Session Laws 1999-132, s. 9.1, effective June 4, 1999,
substituted "license" for "certificate of authority" in the next to last
sentence of subdivision (a)(3).
CASE NOTES
The legislature intended that the equivalent of the association have a direct
right to facility proceeds. North Carolina Reinsurance Facility v. North
Carolina Ins. Guar. Ass'n, 67 N.C. App. 359, 313 S.E.2d 253 (1984).
The General Assembly did not intend for the term "subrogation" to encompass
equitable subrogation, particularly in a context in which plaintiff failed to
fulfill its statutory obligation under subdivision (a)(1), based upon its
misreading of the insurance contract. North Carolina Ins. Guar. Ass'n v. Century
Indem. Co., 115 N.C. App. 175, 444 S.E.2d 464, cert. denied, 337 N.C. 696, 448
S.E.2d 532 (1994).
The determination of whether a particular policy of insurance is one of
indemnity or liability depends upon the intention of the parties as evinced by
the phraseology of the agreement in the policy. City of Greensboro v. Reserve
Ins. Co., 70 N.C. App. 651, 321 S.E.2d 232 (1984).
The fundamental distinction between a policy of indemnity insurance and one of
liability involves when the obligation of the insurer to the insured first
attaches. City of Greensboro v. Reserve Ins. Co., 70 N.C. App. 651, 321 S.E.2d
232 (1984).
The general distinction between indemnity insurance and liability insurance is
that if the policy is one against liability, the coverage thereunder attaches
when the liability attaches, regardless of actual loss at that time; but if the
policy is one of indemnity only, an action against the insurer does not lie
until an actual loss in the discharge of the liability is sustained by the
insured. City of Greensboro v. Reserve Ins. Co., 70 N.C. App. 651, 321 S.E.2d
232 (1984).
Police Power of Commissioner. - Where, in order to determine which claims to
pursue and which to abandon, it was necessary for the Commissioner and the
Association to review plaintiff's claim files, the Commissioner seeking custody
of the files was well within the usual scope of police power activity conducted
to protect the general welfare. Eastern Appraisal Servs., Inc. v. State, 118
N.C. App. 692, 457 S.E.2d 312, appeal dismissed, cert. denied, 341 N.C. 648, 462
S.E.2d 509 (1995).
Prejudgment Interest Assessed Against Guaranty Association. - Although North
Carolina allows prejudgment interest to be awarded in a breach of contract
action, whether prejudgment interest may be assessed against an insurance
guaranty association where the insolvent insurer might have been liable for it
is a question not yet encountered by North Carolina courts. City of Greensboro
v. Reserve Ins. Co., 70 N.C. App. 651, 321 S.E.2d 232 (1984).
Association Not Vicariously Liable. - The North Carolina Insurance Guaranty
Association is not subject to vicarious liability for the tortious conduct of
insolvent insurers. Bentley v. North Carolina Ins. Guar. Ass'n, 107 N.C. App. 1,
418 S.E.2d 705 (1992).
Since, as a matter of law, defendant Association was not vicariously liable for
the torts or unfair practices of insurer, the trial court did not err in
granting summary judgment for defendant Association on these claims. Bentley v.
North Carolina Ins. Guar. Ass'n, 107 N.C. App. 1, 418 S.E.2d 705 (1992).
North Carolina Guaranty Association Not Required to Assume Insurer's Obligation
Where Claim Not Covered by Policy. - Where orders entered by bankruptcy court
required adjusters, pursuant to plaintiff's allegations of default by insurer,
to return all vehicles that were subject matter of lease between plaintiff and
rental company, which necessarily included 300 cars enrolled under the residual
value policy issued by insurer, and plaintiff was required to dispose of all
vehicles and apply the proceeds to indebtedness of rental company, with company
retaining no rights whatsoever in any vehicles, undeniable effect of the relief
afforded to plaintiff in bankruptcy court was to extinguish lease with respect
to the cars that were enrolled under residual value policy. Consequently,
by the express terms of the residual value policy issued by insurer, plaintiff's
claim pertaining to such vehicles was not covered. Thus North Carolina Guaranty
Association defendant, as a matter of law, was not required under this Article
to assume insurer's obligation. Barclays American/Leasing, Inc. v. North
Carolina Ins. Guar. Ass'n, 99 N.C. App. 290, 392 S.E.2d 772 (1990) discretionary
review denied, 328 N.C. 328, 402 S.E.2d 829 (1991), decided prior to 1989
amendments.
Defendant's Umbrella Coverage Did Not "Drop Down" to Primary Coverage. - Where
there was no ambiguity as to the term "amount recoverable" or as to the scope of
coverage and the primary insurer's insolvency did not constitute an occurrence
as that term was defined in the policy, defendant's umbrella coverage did not
"drop down" to become primary coverage. North Carolina Ins. Guar. Ass'n v.
Century Indem. Co., 115 N.C. App. 175, 444 S.E.2d 464, cert. denied, 337 N.C.
696, 448 S.E.2d 532 (1994).
Liability Limited for Single Covered Claim. - The Insurance Guaranty
Association's limit of liability was $300,000 for a single covered claim,
notwithstanding that the school board had two separate policies with the
insolvent insurer for primary and excess liability coverage, and this limit was
subject to a $25,000 set-off. North Carolina Ins. Guar. Ass'n v. Burnette, 131
N.C. App. 840, 508 S.E.2d 837 (1998).
Defendant insurer was entitled to be paid by the association an amount up to the
statutory cap, as stated in subdivision (a)(1). North Carolina Ins. Guar. Ass'n
v. Century Indem. Co., 115 N.C. App. 175, 444 S.E.2d 464, cert. denied, 337 N.C.
696, 448 S.E.2d 532 (1994).
Punitive Damages. - North Carolina cases permit recovery of punitive damages for
breach of contract only for identifiable torts accompanied by aggravation. The
plain language of Article 48 both speaks of contracts and precludes recovery of
punitive damages. Bentley v. North Carolina Ins. Guar. Ass'n, 107 N.C. App. 1,
418 S.E.2d 705 (1992).
Applied in Newton v. United States Fire Ins. Co., 98 N.C. App. 619, 391 S.E.2d
837 (1990).
Quoted in Rinehart v. Hartford Cas. Ins. Co., 91 N.C. App. 368, 371 S.E.2d 788
(1988).
Stated in State ex rel. Ingram v. Reserve Ins. Co., 303 N.C. 623, 281 S.E.2d 16
(1981); Hales v. North Carolina Ins. Guar. Ass'n, 111 N.C. App. 892, 433 S.E.2d
468 (1993).
Cited in Hales v. North Carolina Ins. Guar. Ass'n, 337 N.C. 329, 445 S.E.2d 590
(1994).
§ 58-48-40. Plan of operation.
Statute text
(a) The Association shall submit to the Commissioner a plan of operation
and any amendment thereto necessary or suitable to assure the fair, reasonable,
and equitable administration of the Association. The plan of operation and any
amendments thereto shall become effective upon approval in writing by the
Commissioner.
If the Association fails to submit a suitable plan of operation within 90 days
following June 25, 1971, or if at any time thereafter the Association fails to
submit suitable amendments to the plan, the Commissioner shall, after notice and
hearing, adopt and promulgate such reasonable rules as are necessary or
advisable to effectuate the provisions of this Article. Such rules shall
continue in force until modified by the Commissioner or superseded by a plan
submitted by the Association and approved by the Commissioner.
(b) All member insurers shall comply with the plan of operation.
(c) The plan of operation shall:
(1) Establish the procedures whereby all the powers and duties of the
Association under G.S. 58-48-35 will be performed.
(2) Establish procedures for handling assets of the Association.
(3) Establish the amount and method of reimbursing members of the board of
directors under G.S. 58-48-30.
(4) Establish procedures by which claims may be filed with the Association and
establish acceptable forms of proof of covered claims. Notice of claims to the
receiver or liquidator of the insolvent insurer shall be deemed notice to the
Association or its agent and a list of such claims shall be periodically
submitted to the Association or similar organization in another state by the
receiver or liquidator.
(5) Establish regular places and times for meetings of the board of directors.
(6) Establish procedures for records to be kept of all financial transactions of
the Association, its agents, and the board of directors.
(7) Provide that any member insurer aggrieved by any final action or decision of
the Association may appeal to the Commissioner within 30 days after the action
or decision.
(8) Establish the procedures whereby selections for the board of directors will
be submitted to the Commissioner.
(9) Contain additional provisions necessary or proper for the execution of the
powers and duties of the Association.
(d) The plan of operation may provide that any or all powers and duties of
the Association, except those under G.S. 58-48-35(a)(3) and G.S. 58-48-35(b)(2),
are delegated to a corporation, association, or other organization which
performs or will perform functions similar to those of this Association, or its
equivalent, in two or more states. Such a corporation, association or
organization shall be reimbursed as a servicing facility would be reimbursed and
shall be paid for its performance of any other functions of the Association. A
delegation under this subsection shall take effect only with the approval of
both the board of directors and the Commissioner, and may be made only to a
corporation, association, or organization which extends protection not
substantially less favorable and effective than that provided by this Article.
History
(1971, c. 670, s. 1; 1973, c. 1446, s. 2.)
§ 58-48-42. Procedure for appeal to Commissioner from decision of
Association.
Statute text
In any hearing called by the Commissioner for an appeal made pursuant to G.S.
58-48-40(c)(7) no later than 20 days before the hearing the appellant shall file
with the Commissioner or the Commissioner's designated hearing officer and shall
serve on the appellee a written statement of the appellant's case and any
evidence the appellant intends to offer at the hearing. No later than five days
before the hearing, the appellee shall file with the Commissioner or the
Commissioner's designated hearing officer and shall serve on the appellant a
written statement of the appellee's case and any evidence the appellee intends
to offer at the hearing. Each hearing shall be recorded and transcribed. The
cost of the recording and transcribing shall be borne equally by the appellant
and the appellee. However, upon any final adjudication the prevailing party
shall be reimbursed for that party's share of the costs by the other party. Each
party shall, on a date determined by the Commissioner or the Commissioner's
designated hearing officer, but not sooner than 15 days after delivery of the
completed transcript to the party, submit to the Commissioner or the
Commissioner's designated hearing officer and serve on the other party, a
proposed order. The Commissioner or the Commissioner's designated hearing
officer shall then issue an order.
History
(1991, c. 644, s. 31; 1993, c. 504, s. 42.)
§ 58-48-45. Duties and powers of the Commissioner.
Statute text
(a) The Commissioner shall:
(1) Notify the Association of the existence of an insolvent insurer not later
than three days after he receives notice of the determination of the insolvency.
(2) Upon request of the board of directors, provide the Association with a
statement of the net direct written premiums of each member insurer.
(b) The Commissioner may:
(1) Require that the Association notify the insureds of the insolvent insurer
and any other interested parties of the determination of insolvency and of their
rights under this Article. Such notification shall be by mail at their last
known address, where available, but if sufficient information for notification
by mail is not available, notice by publication in a newspaper of general
circulation shall be sufficient.
(2) Suspend or revoke, after notice and hearing, the license to transact
insurance in this State of any member insurer which fails to pay an assessment
when due or fails to comply with the plan of operation. As an alternative, the
Commissioner may levy a fine on any member insurer which fails to pay an
assessment when due. Such fine shall not exceed five percent (5%) of the unpaid
assessment per month, except that no fine shall be less than one hundred dollars
($100.00) per month.
(3) Revoke the designation of any servicing facility if he finds claims are
being handled unsatisfactorily.
(c) Any final action or order of the Commissioner under this Article shall
be subject to judicial review in accordance with the provisions of G.S. 58-2-75.
History
(1971, c. 670, s. 1; 1999-132, s. 9.1.)
Annotations
Effect of Amendments. - Session Laws 1999-132, s. 9.1, effective June 4, 1999,
substituted "license" for "certificate of authority" in subdivision (b)(2).
§ 58-48-50. Effect of paid claims.
Statute text
(a) Any person recovering under this Article shall be deemed to have
assigned his rights under the policy or at law to the Association to the extent
of his recovery from the Association. Every insured or claimant seeking the
protection of this Article shall cooperate with the Association to the same
extent as such person would have been required to cooperate with the insolvent
insurer. The Association shall have no cause of action against the insured of
the insolvent insurer for any sums it has paid out except such causes of action
as the insolvent insurer would have had if such sums had been paid by the
insolvent insurer. In the case of an insolvent insurer operating on a plan with
assessment liability, payments of claims of the Association shall not operate to
reduce the liability of insureds to the receiver, liquidator, or statutory
successor for unpaid assessments.
(a1) The Association shall have the right to recover from the following
persons the amount of any "covered claim" paid on behalf of such person pursuant
to this Article:
(1) Any insured whose net worth on December 31 of the year next preceding the
date the insurer becomes insolvent exceeds fifty million dollars ($50,000,000)
and whose liability obligations to other persons are satisfied in whole or in
part by payments under this Article; or
(2) Any person who is an affiliate of the insolvent insurer and whose liability
obligations to other persons are satisfied in whole or in part by payments made
under this Article.
(b) The receiver, liquidator, or statutory successor of an insolvent
insurer shall be bound by settlements of covered claims by the Association or a
similar organization in another state. The court having jurisdiction shall grant
such claims priority equal to that to which the claimant would have been
entitled in the absence of this Article against the assets of the insolvent
insurer. The expenses of the Association or similar organization in handling
claims shall be accorded the same priority as the liquidator's expenses.
(c) The Association shall periodically file with the receiver or
liquidator of the insolvent insurer statements of the covered claims paid by the
Association and estimates of anticipated claims on the Association which shall
preserve the rights of the Association against the assets of the insolvent
insurer.
History
(1971, c. 670, s. 1; 1989, c. 206, ss. 4, 5.)
Annotations
CASE NOTES
Quoted in State ex rel. Ingram v. Reserve Ins. Co., 303 N.C. 623, 281 S.E.2d 16
(1981).
Stated in North Carolina Reinsurance Facility v. North Carolina Ins. Guar. Ass'n,
67 N.C. App. 359, 313 S.E.2d 253 (1984).
§ 58-48-55. Nonduplication of recovery.
Statute text
(a) Any person having a claim against an insurer under any provision in an
insurance policy other than a policy of an insolvent insurer which is also a
covered claim, shall be required to exhaust first his rights under such policy.
Any amount payable on a covered claim under this Article shall be reduced by the
amount of any recovery under such insurance policy.
(a1) Any person having a claim or legal right of recovery under any
governmental insurance or guaranty program which is also a covered claim shall
be required to exhaust first his right under such program. Any amount payable on
a covered claim under this Article shall be reduced by the amount of any
recovery under such program.
(b) Any person having a claim which may be recovered under more than one
insurance guaranty association or its equivalent shall seek recovery first from
the association of the place of residence of the policyholder except that if it
is a first party claim for damage to property with a permanent location, he
shall seek recovery first from the association of the location of the property,
and if it is a workers' compensation claim, he shall seek recovery first from
the association of the residence of the claimant. Any recovery under this
Article shall be reduced by the amount of recovery from any other insurance
guaranty association or its equivalent.
(c) No claim held by an insurer, reinsurer, insurance pool, or
underwriting association, whether the claim is:
(1) based on an assignment, or
(2) based on rights of subrogation or contribution, or
(3) based on any other grounds,
nor any claim of lien, may be asserted in any legal action against a person
insured under a policy issued by an insolvent insurer except to the extent the
amount of such claim exceeds the obligation of the Association under G.S.
58-48-35(a)(1).
(d) Any person that has liquidated by settlement or judgment a claim
against an insured under a policy issued by an insolvent insurer, which claim is
a covered claim and is also a claim within the coverage of any policy issued by
a solvent insurer, shall be required to exhaust first his rights under such
policy issued by the solvent insurer before execution, levy, or any other
proceedings are commenced to enforce any judgment obtained against or the
settlement with the insured of the insolvent insurer. Any amount so recovered
from a solvent insurer shall be credited against the amount of the judgment or
settlement.
History
(1971, c. 670, s. 1; 1985, c. 613, ss. 7, 8; 1989, c. 206, s. 6; 1991 (Reg. Sess.,
1992), c. 802, s. 5.)
Annotations
CASE NOTES
This statute applies only to claims that are concurrently covered by both a
policy of an insolvent insurer and a policy of a solvent insurer. City of
Greensboro v. Reserve Ins. Co., 70 N.C. App. 651, 321 S.E.2d 232 (1984).
Any liability under the Insurance Guaranty Association Act is reduced by the
amount of "any recovery" under any policy of a solvent insurer. This statute
does not distinguish between primary and secondary coverage or between an
operator's policy and an uninsured motorists provision. Rinehart v. Hartford Cas.
Ins. Co., 91 N.C. App. 368, 371 S.E.2d 788 (1988).
Prejudgment Interest Assessed Against Guaranty Association. - Although North
Carolina allows prejudgment interest to be awarded in a breach of contract
action, whether prejudgment interest may be assessed against an insurance
guaranty association where the insolvent insurer might have been liable for it
is a question not yet encountered by North Carolina courts. City of Greensboro
v. Reserve Ins. Co., 70 N.C. App. 651, 321 S.E.2d 232 (1984).
Cited in Patel v. Stone, 138 N.C. App. 693, 531 S.E.2d 879 (2000).
§ 58-48-60. Prevention of insolvencies.
Statute text
(a) Repealed by Session Laws 1989, c. 206, s. 7.
(b) To aid in the detection and prevention of insurer insolvencies, the
board of directors may, upon majority vote, request that the Commissioner order
an examination of any member insurer which the board in good faith believes may
be in a financial condition hazardous to the policyholders or the public. Within
30 days of the receipt of such request, the Commissioner shall begin such
examination. The examination may be conducted as an NAIC examination or may be
conducted by such persons as the Commissioner designates. The examination report
shall be treated as are other examination reports. In no event shall such
examination report be released to the board of directors prior to its release to
the public, but this shall not preclude the Commissioner from complying with
subsection (c) below. The Commissioner shall notify the board of directors when
the examination is completed. The request for an examination shall be kept on
file by the Commissioner but it shall not be open to public inspection prior to
the release of the examination report to the public.
(c) It shall be the duty of the Commissioner to report to the board of
directors when he has reasonable cause to believe that any member insurer
examined or being examined at the request of the board of directors may be
insolvent or in a financial condition hazardous to the policyholders or the
public.
(d) The board of directors may, upon majority vote, make reports and
recommendations to the Commissioner upon any matter germane to the solvency,
liquidation, rehabilitation or conservation of any member insurer. Such reports
and recommendations shall not be considered public documents.
(e) The board of directors may, upon majority vote, make recommendations
to the Commissioner for the detection and prevention of insurer insolvencies.
(f) The board of directors may, at the conclusion of any domestic insurer
insolvency in which the Association was obligated to pay covered claims, prepare
a report on the history and causes of such insolvency, based on the information
available to the Association, and submit such report to the Commissioner.
History
(1971, c. 670, s. 1; 1989, c. 206, s. 7; 1991, c. 720, s. 27; 1995, c. 360, s.
2(j).)
§ 58-48-65. Examination of the Association.
Statute text
The Association shall be subject to examination and regulation by the
Commissioner. The board of directors shall submit, not later than March 30 of
each year, a financial report for the preceding calendar year in a form approved
by the Commissioner.
History
(1971, c. 670, s. 1.)
§ 58-48-70. Tax exemption.
Statute text
The Association shall be exempt from payment of all fees and all taxes levied by
this State or any of its subdivisions except taxes levied by its subdivisions on
real or personal property.
History
(1971, c. 670, s. 1.)
§ 58-48-75: Repealed by Session Laws 1991, c. 689, s. 299.
§ 58-48-80. Immunity.
Statute text
There shall be no liability on the part of and no cause of action of any nature
shall arise against any member insurer, the Association or its agents or
employees, the board of directors, or the Commissioner or his representatives
for any action taken by them in the performance of their powers and duties under
this Article.
History
(1971, c. 670, s. 1.)
§ 58-48-85. Stay of proceedings; reopening of default judgments.
Statute text
All proceedings in which the insolvent insurer is a party or is obligated to
defend a party in any court in this State shall be stayed automatically for 120
days and such additional time thereafter as may be determined by the court from
the date the insolvency is determined or any ancillary proceedings are initiated
in this State, whichever is later, to permit proper defense by the Association
of all pending causes of action. Any party to any proceeding which is stayed
pursuant to this section shall have the right, upon application and notice, to
seek a vacation or modification of such stay. Any covered claims arising from
any judgment under any decision, verdict or finding based on the default of the
insolvent insurer or its failure to defend an insured, shall, upon application
and notice by the Association be vacated and set aside by the same court in
which such judgment, order, decision, verdict, or finding is entered and the
Association either on its own behalf or on behalf of any insured or an insolvent
insurer, shall be permitted to defend against such claim on the merits. Any
party who has obtained any such judgment or order shall have the right, upon
application and notice, to have the judgment or order restored if within 90 days
following the entry of the judgment or order the Association has not notified
such party and the court that it intends to defend the matter on the merits.
History
(1971, c. 670, s. 1; 1989, c. 206, s. 8.)
§ 58-48-90. Termination; distribution of funds.
Statute text
(a) The Commissioner shall by order terminate the operation of the North
Carolina Insurance Guaranty Association as to any kind of insurance covered by
this Article with respect to which he has found, after hearing, that there is in
effect a statutory or voluntary plan which:
(1) Is a permanent plan which is adequately funded or for which adequate funding
is provided; and
(2) Extends, or will extend to the North Carolina policyholders and residents
protection and benefits with respect to insolvent insurers not substantially
less favorable and effective to such policyholders and residents than the
protection and benefits provided with respect to such kinds of insurance under
this Article.
(b) The Commissioner shall by the same such order authorize discontinuance
of future payments by insurers to the North Carolina Insurance Guaranty
Association with respect to the same kinds of insurance; provided, the
assessments and payments shall continue, as necessary, to liquidate covered
claims of insurers adjudged insolvent prior to said order and the related
expenses not covered by such other plan.
(c) In the event the operation of the North Carolina Insurance Guaranty
Association shall be so terminated as to all kinds of insurance otherwise within
its scope, the Association as soon as possible thereafter shall distribute the
balance of moneys and assets remaining (after discharge of the functions of the
Association with respect to prior insurer insolvencies not covered by such other
plan, together with related expenses) to the insurers which are then writing in
this State policies of the kinds of insurance covered by this Article and which
had made payments to the Association, pro rata upon the basis of the aggregate
of such payments made by the respective insurers during the period of five years
next preceding the date of such order. Upon completion of such distribution with
respect to all of the kinds of insurance covered by this Article, this Article
shall be deemed to have expired.
History
(1971, c. 670, s. 1.)
§ 58-48-95. Use of deposits made by insolvent insurer.
Statute text
(a) Notwithstanding any other provision of this Chapter pertaining to the
use of deposits made by insurance companies for the protection of policyholders,
the Association shall receive, upon its request, from the Commissioner and may
expend, any deposit or deposits made, whether or not required by statute, by an
insolvent insurer to the extent those deposits are needed by the Association
first to pay the covered claims as required by this Article and then to the
extent those deposits are needed to pay all expenses of the Association relating
to the insurer: Provided that the Commissioner may retain and use an amount of
the deposit up to ten thousand dollars ($10,000) to defray administrative costs
to be incurred by the Commissioner in carrying out his powers and duties with
respect to the insolvent insurer, notwithstanding G.S. 58-5-70.
(b) In, however the case of a deposit made by an insolvent domestic
insurer, the Association shall receive, upon its request, from the Commissioner,
the portions of the deposit made for the protection of policyholders having
covered claims. As for the general deposit, those portions shall be in the
proportions that the insolvent domestic insurer's domestic net direct written
premiums for the preceding calendar year on the kinds of insurance in the
account bears to its total net direct written premiums for the preceding
calendar year on the kinds of insurance in the account.
(c) The Association shall account to the Commissioner and the insolvent
insurer for all deposits received from the Commissioner under this section, and
shall repay to the Commissioner a portion of the deposits received, which shall
be equal to the total amount of the claims against the insolvent insurer that
are not covered claims under this Article solely by reason that the amount of
the claim is fifty dollars ($50.00) or less. This repayment does not prejudice
the rights of the Association with regard to the portion of the deposit repaid
to the Commissioner. After the deposits of the insolvent insurer received by the
Association under this section have been expended by the Association for the
purposes set out in this section, the member insurers shall be assessed as
provided by this Article to pay any remaining liabilities of the Association
arising under this Article.
History
(1979, c. 628; 1985, c. 613, s. 10; c. 666, s. 41; 1987, c. 864, s. 6; 1989, c.
206, s. 9; c. 452, s. 5; 1993 (Reg. Sess., 1994), c. 678, s. 23.)
Annotations
Legal Periodicals. - For survey of 1981 administrative law, see 60 N.C.L. Rev.
1165 (1982).
CASE NOTES
This section is to be read in conjunction with former § 58-155.25, which is now
repealed. North Carolina Reinsurance Facility v. North Carolina Ins. Guar. Ass'n,
67 N.C. App. 359, 313 S.E.2d 253 (1984).
Section to Be Applied Retroactively. - This section, the Quick Access Statute,
which requires that deposits made by an insolvent casualty insurer be paid to
the North Carolina Insurance Guaranty Association for use in paying claims
against the insolvent insurer, is to be applied retroactively to deposits made
before the date of its enactment and to the holders of policies issued prior to
that date. State ex rel. Ingram v. Reserve Ins. Co., 48 N.C. App. 643, 269
S.E.2d 757 (1980), modified and aff'd, 303 N.C. 623, 281 S.E.2d 16 (1981).
However, claimants against the deposit of a foreign insurer under § 58-5-70 will
retain their lien rights after payment of the deposit to the Guaranty
Association and may proceed against the Guaranty Association the extent of the
deposit for any claims they have under § 58-5-70 which are not paid by the
Guaranty Association pursuant to this article. State ex rel. Ingram v. Reserve
Ins. Co., 48 N.C. App. 643, 269 S.E.2d 757 (1980), modified and aff'd, 303 N.C.
623, 281 S.E.2d 16 (1981).
When Deposit Funds to Be Permanently Credited to Association. - While the
Guaranty Association has the initial right to use deposit funds to cover
operating expenses incident to the insolvent insurer, all deposit funds must be
paid to claimants pro rata as provided by § 58-5-70, and if all claimants are
satisfied either directly by the Guaranty Association or by the Commissioner of
Insurance (if the claim is under $100.00) and deposit funds remain, then and
only then are such funds to be permanently credited to the Guaranty Association
for its expenses. State ex rel. Ingram v. Reserve Ins. Co., 303 N.C. 623, 281
S.E.2d 16 (1981).
Cited in Barclays American/Leasing, Inc. v. North Carolina Ins. Guar. Ass'n, 99
N.C. App. 290, 392 S.E.2d 772 (1990).
§ 58-48-100. Statute of repose; guardians ad litem; notice.
Statute text
(a) Notwithstanding any other provision of law, a covered claim with
respect to which settlement is not effected with the Association, or suit is not
instituted against the insured of an insolvent insurer or the Association,
within five years after the date of entry of the order by a court of competent
jurisdiction determining the insurer to be insolvent, shall thenceforth be
barred forever as a claim against the Association.
(b) As to any person under a disability described in G.S. 1-17, the
Association may not invoke the bar of the period of repose provided in
subsection (a) of this section unless the Association has petitioned for the
appointment of a guardian ad litem for such person and the disposition of that
petition has become final. If a guardian ad litem is appointed pursuant to this
subsection more than four years after the date of entry of the order by a court
of competent jurisdiction determining the insurer to be insolvent, the period of
repose under subsection (a) of this section shall be extended for such person
one year after the date of the appointment.
(c) Within six months after the Association has been activated as to an
insolvent insurer, the Commissioner may request that the Association submit an
amendment to the plan of operation in accordance with G.S. 58-48-40, which
amendment shall be applicable only to that insolvent insurer and shall prescribe
a fair, reasonable, and equitable procedure for notice to insureds and to the
public.
History
(1985, c. 613, s. 9.)
§ 58-48-105. Transfer of balance of security funds.
Statute text
(a) All moneys received and paid into the Stock Workers' Compensation
Security Fund under former G.S. 97-107, together with all property and
securities acquired by and through the use of moneys belonging to this Fund,
including interest earned upon moneys in this Fund, shall be transferred and
deposited into a new account with the Association created pursuant to G.S.
58-48-115. This account shall be separate and apart from any other accounts
similarly created and from all other Association funds. The Association shall be
the custodian of the account, and shall administer the account in accordance
with the provisions of this Article.
(b) All moneys received and paid into the Mutual Workers' Compensation
Security Fund under former G.S. 97-114, together with all property and
securities acquired by and through the use of moneys belonging to this Fund,
including interest earned upon moneys in this Fund, shall be transferred and
deposited into a new account with the Association created pursuant to G.S.
58-48-120. This account shall be separate and apart from any other accounts
similarly created and from all other Association accounts. The Association shall
be the custodian of the account, and shall administer the account in accordance
with the provisions of this Article.
History
(1991 (Reg. Sess., 1992), c. 802, s. 6.)
§ 58-48-110. Purpose of the accounts.
Statute text
The purpose of the accounts created in the Association pursuant to G.S.
58-48-115 and G.S. 58-48-120 of this Article shall be solely to:
(1) Receive the balance from the accounts created under former G.S. 97-107 and
G.S. 97-114;
(2) Receive assessment moneys from member companies as provided in G.S.
58-48-115(a)(3), 58-48-120(b), and 58-48-120(c);
(3) Receive interest on moneys in the accounts;
(4) Pay stock or mutual carrier claims made against the security funds
established under G.S. 97-107 and G.S. 97-114, but only for claims existing
before January 1, 1993; and
(5) Refund to the contributing stock companies in accordance with G.S. 58-48-115
the excess moneys in the stock fund account as set forth in G.S.
58-48-115(a)(2).
History
(1991 (Reg. Sess., 1992), c. 802, s. 7.)
§ 58-48-115. Creation of Stock Fund Account; maintenance of Stock Fund
Account; and distribution of Stock Fund.
Statute text
(a) The moneys received by the Association pursuant to G.S. 58- 48-105(a)
shall be distributed as follows:
(1) An amount equivalent to one and one-half times the contingent liabilities of
the Stock Workers' Compensation Security Fund created pursuant to former G.S.
97-107 existing on December 31, 1992, shall be deposited in a separate reserve
account to be maintained by the Association which shall be designated as the
"Stock Reserve Account." The amount of the Fund's contingent liabilities and the
amount to be deposited in this Stock Reserve Account shall be determined and
approved by the Department.
(2) The balance of the moneys received from the Stock Workers' Compensation
Security Fund created pursuant to former G.S. 97-107 shall be refunded by the
Association to member insurers that were contributing stock carriers during
calendar year 1989 in accordance with the determination of the Department under
this subdivision. The amount to be refunded to each stock carrier shall be in
proportion to the contributions paid in by each stock carrier. The Department
shall, as nearly as practicable, determine this amount under generally accepted
accounting principles and the determination of the Department shall be final and
not subject to appeal.
(3) Should the balance of the moneys in the Stock Reserve Account be reduced to
less than one and one-half times the contingent liabilities of the account, the
Association shall assess all member insurers that are stock carriers writing
workers' compensation in this State at the time of the assessment in an amount
equivalent to one and one-half times the contingent liabilities of said account.
The assessment under this subdivision shall be made in accordance with the
provisions of G.S. 58-48-35(a)(3).
History
(1991 (Reg. Sess., 1992), c. 802, s. 8.)
§ 58-48-120. Creation of Mutual Fund Account; maintenance of Mutual Fund
Account.
Statute text
(a) The moneys received by the Association pursuant to G.S. 58-48-105(b)
shall be deposited in a separate reserve account to be maintained by the
Association which shall be designated as the Mutual Reserve Account. The amount
in this account shall be equivalent to one and one-half times the contingent
liabilities of the Mutual Workers' Compensation Security Fund created pursuant
to former G.S. 97-114 existing on December 31, 1992. The amount of this Fund's
contingent liabilities and the amount to be deposited into this Mutual Reserve
Account shall be determined and approved by the Department.
(b) If the amount received by the Association from the former Mutual
Workers' Compensation Security Fund created pursuant to G.S. 97-114 and received
by the Association pursuant to G.S. 58-48-105(b) is insufficient to equal one
and one-half times the contingent liabilities of the Fund existing on December
31, 1992, the Association shall, over the five years following January 1, 1993,
assess the member insurers that are mutual carriers writing workers'
compensation insurance in this State at the time of the assessment in the amount
it determines necessary to make up the difference between the money received by
the Association pursuant to G.S. 58-48-105(b) and one and one-half times the
contingent liabilities of the Fund as determined by the Department of Insurance
pursuant to G.S. 58-48-120(a). The assessment under this subsection shall be
made in accordance with the provisions of G.S. 58-48-35(a)(3).
(c) After December 31, 1997, should the balance of the moneys in the
Mutual Reserve Account be reduced to less than one and one-half times the
contingent liabilities of the account, the Association shall assess all member
insurers that are mutual carriers writing workers' compensation insurance in
this State at the time of the assessment in an amount necessary to raise the
account to an amount equivalent to one and one-half times the contingent
liabilities of said account. The assessment under this subsection shall be made
in accordance with the provisions of G.S. 58-48-35(a)(3).
History
(1991 (Reg. Sess., 1992), c. 802, s. 9.)
§ 58-48-125. Payments by the Association.
Statute text
The accounts created in G.S. 58-48-115 and G.S. 58-48-120 shall be used to pay
the claims against insolvent stock workers' compensation insurers and insolvent
mutual workers' compensation insurers, respectively, pursuant to G.S.
58-48-110(4) where the insolvency occurred prior to January 1, 1993. The
expenses of administering these accounts, including loss adjustment expenses,
shall be paid out of the respective accounts.
History
(1991 (Reg. Sess., 1992), c. 802, s. 10; 1993, c. 504, s. 30.)
§ 58-48-130. Termination.
Statute text
The account created in G.S. 58-48-115 shall be dissolved when all liabilities of
the Stock Workers' Compensation Security Fund, under former G.S. 97-107 have
been satisfied. Any excess moneys in the Stock Reserve Account shall be refunded
to the member insurers that were stock workers' compensation carriers during the
preceding calendar year. The amount to be refunded to each stock carrier shall
be in proportion to the assessments paid by each stock carrier. The account
created in G.S. 58-48-120 shall be dissolved when the liabilities of the Mutual
Workers' Compensation Security Fund, under former G.S. 97-114, have been
satisfied. Any excess moneys in the mutual reserve account shall be refunded to
the member insurers that were mutual workers' compensation carriers during the
preceding calendar year. The amount to be refunded to each mutual carrier shall
be in proportion to the assessments paid by each mutual carrier.
History
(1991 (Reg. Sess., 1992), c. 802, s. 11.)