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PLAN OF OPERATION
PART 1
The Mississippi Residential
Property Insurance Underwriting Association was established by H.B. 1113,
amending Sections 83-38-1 through 83-38-21 of the 2003 session of the
Mississippi Legislature to provide a program to assure an adequate
market for residential fire and extended coverage insurance in all areas of
Mississippi.
SECTION I - PURPOSE OF THE MISSISSIPPI RESIDENTIAL
PROPERTY INSURANCE UNDERWRITING ASSOCIATION
1. To provide an adequate market for residential fire and
extended coverage insurance throughout Mississippi in order to insure its
orderly growth and development.
2. To provide adequate insurance upon property in all areas
which is necessary to enable home owners to obtain financing for the purchase
and improvement of their property.
3. To provide an equitable method whereby every licensed
insurer writing Fire and Extended Coverage in Mississippi is required to meet
its public responsibility.
4. To provide a mandatory Plan to assure an adequate market
for Fire and Extended Coverage throughout Mississippi to fulfill the purposes
provided by the Mississippi Legislature.
SECTION II - DEFINITIONS OF TERMS
1. "Essential property insurance," in all counties
of the state except the coastal area as defined in item 10., means insurance
against direct loss to residential property as provided by a standard fire
policy and extended coverage endorsement thereon, with terms, limits,
deductibles, endorsements and exclusions as approved by the Mississippi
Insurance Commissioner.
"Essential property insurance" in the coastal area
as defined in item 10. means insurance against direct loss to
residential property as provided by a standard fire policy
and extended coverage endorsement thereon, with terms, limits, deductibles,
endorsements and exclusions as approved by the Mississippi Insurance
Commissioner, except for the risks of wind and hail storm, which shall be
excepted from coverage.
The Mississippi Residential Property Insurance Underwriting
Association is not required to insure the risks of wind and hail storm in the
coastal area as defined in item 10.
Essential property insurance coverage shall be limited to
ninety-five percent (95%) of the market value of real and personal property that
is insured by the association, excluding the value of land.
2. "Association" means the Mississippi
Residential Property Insurance Underwriting Association established pursuant
to the provisions of H.B. 1113 of the 2003 Legislature.
3. "Plan of Operation" means the Plan of
Operation of the Association approved or promulgated by the Commissioner
pursuant to the provisions of H.B. 1113 of the 2003 Legislature.
4. "Insurable Property" means residential builder’s
risk and residential real dwelling property at fixed locations throughout the
state or the contents located therein, (but shall not include insurance on
motor vehicles) which property is determined by the Association, after
inspection and pursuant to the criteria specified in the Plan of Operation, to
be in an insurable condition; Exhibit "A".
5. "Rural Area" means all of that area in the
State of Mississippi designated as Fire Protection Class 9 & 10 by the
Mississippi State Rating Bureau.
6. "Net Direct Premiums" means gross direct
premiums excluding reinsurance assumed and ceded, written on property in this
state for residential Fire and Extended Coverage insurance and including Fire
and Extended Coverage components of the Comprehensive Dwelling Policy and
Homeowner Policies, less return premiums on canceled contracts, dividends paid
or credited to policyholders or the unused or unabsorbed portion of premium
deposits excluding premiums on farm property.
7. "Insurer" means any licensed insurance company
authorized to write and engaged in writing property insurance, including the
property insurance components of Multiple Peril Policies, on a direct basis in
this State.
8. "Servicing Insurer" means an insurer who
enters into an agreement with the Association to issue and service policies on
risks referred to it by the Association.
9. "Inspection Bureau" means the Mississippi
State Rating Bureau or other organizations designated by the Association with
the approval of the Commissioner to make inspections as required under this
Plan of Operation and to perform such other duties as may be authorized by the
Association.
10. "Coastal areas" means Hancock, Harrison and
Jackson Counties.
SECTION III - INSPECTIONS AND REPORTS
1. Any person having an insurable interest in
insurable property eligible for coverage in the Mississippi Residential Property
Insurance Underwriting Association may be entitled to apply to the Association
for such coverage and for an inspection of the property by the Inspection
Bureau. Such applications shall be submitted on forms prescribed by the
Association and may be made on behalf of the applicant by a broker or agent
authorized by him, and shall contain a statement as to whether or not there are
any unpaid premiums due from the applicant for insurance on the property. The
term "insurable interest" shall be deemed to include any lawful and
substantial economic interest in the safety or preservation of property from
loss, destruction or pecuniary damage.
2. The manner and scope of the inspection shall be prescribed by the
Association with the approval of the Commissioner.
3. The Inspection Bureau must be provided full access to the building, but
the presence of the owner of a building may not be required for a tenant seeking
insurance.
4. An inspection report shall be made for each property inspected. The report
shall cover pertinent structural and occupancy features as well as the general
condition of the building. A representative photograph of the property may be
taken during the inspection.
5. After the inspection, a copy of the completed inspection report (and any
photograph) indicating the pertinent features of the building, construction,
maintenance, and occupancy, shall be sent within fifteen days to the
Association.
6. All reports of inspections performed by or on behalf of the Association
shall be made available to members of the Association, applicants, agent or
broker, and the Commissioner upon request.
SECTION IV - PROCEDURE AFTER INSPECTION
1. The Association shall, within a reasonable time after receipt of the
inspection report and application, advise the agent or applicant that:
a. the risk is acceptable and coverage will be bound upon receipt by the
Association of the full amount of the premium; or
b. the risk is not accepted but will be acceptable if improvements noted
in the action report are made by the applicant and confirmed by Reinspection;
or
c. the risk is not acceptable for the reasons stated in the action
report.
2. In the event a risk is declined because it fails to meet reasonable
underwriting standards, the Association shall notify the applicant or his
designated representative. Reasonable underwriting standards shall include,
but not be limited to, the following:
a. the amount of insurance requested, together with other insurance, is
within reasonable relationship to the actual cash value of the property
involved;
b. physical condition of the property, such as its construction, heating,
wiring, evidence of previous fires or general deterioration;
c. its present use or housekeeping, such as vacancy, overcrowding,
storage of rubbish or flammable materials;
d. violation of law, public policy, morals, and the character or
integrity of the property owner or occupant.
3. Any one (1) or two (2) family dwelling built in substantial accordance
with the local building code, which is not otherwise rendered uninsurable by
reason of use, occupancy or state of repair shall be an insurable risk within
the meaning of the Plan.
4. A risk shall not be declined for neighborhood, area, location, or
environmental hazards beyond the control of the applicant.
5. In any case where a risk, not accepted because the property does not
meet reasonable underwriting standards, can be improved to meet such
standards, the Association shall promptly advise the applicant what
improvements, noted in the action report, should be made to the property to
make it acceptable. Upon notice to the Association of completion of such
improvements, the Association shall promptly arrange to have the property
reinspected and if, after such reinspection, the property is found insurable,
the Association shall upon receipt of the full amount of the premium designate
a Servicing Insurer to issue a policy.
6. If the inspection of the property reveals the existence of substandard
conditions, charges shall be applied in conformity with rating plans approved
by the Commissioner.
7. If the risk is declined, or if the applicant is notified that coverage
will be written if stated improvements are made, the Association shall advise
the property owner of his right to appeal and the procedure therefor. A copy
of the report of inspection shall be made available to the applicant upon
request.
SECTION V - PLACEMENT OF INSURANCE
1. Upon approval by the Association of an
application for insurance and upon receipt by the Association of the full amount
of the required premium by check, or money order, the Association shall issue a
binding receipt and instruct a Servicing Insurer to issue a policy of Insurance.
2. Any insurer, upon application and approval of the Board of Directors, may
elect to act as a Servicing Insurer by entering into an agreement with the
Association to act in such capacity.
3. On property located in Mississippi, the Association shall undertake
through Servicing Insurers, to place insurance up to the reasonable insurable
value of the property, subject to a maximum of $200,000 on dwellings, not
exceeding two (2) families and $75,000 on contents of these dwellings.
SECTION VI - STANDARD POLICY COVERAGE
1. All policies issued shall be for Essential
Property Insurance on standard policy forms for Fire and Extended Coverage and
shall be issued for a term of one year.
2. Any policy issued pursuant to the provisions of this Plan shall be renewed
if upon application therefor the property meets the definition of
"Insurable Property" and reasonable underwriting standards and if
applicant has an "insurable interest" therein.
SECTION VII - CANCELLATION
1. No policy issued under this Plan of Operation
shall be cancelled by a Servicing Insurer without prior approval of the
Association. Grounds for such cancellation shall be limited to:
a. non-payment of premium; or
b. evidence of incendiarism; or
c. misrepresentation or concealment of any material fact either before or
after loss; or
d. cause which would have been grounds for non-acceptance of the risk under
the Plan of Operation had such cause been known at the time of acceptance; or
e. cause arising subsequent to the inspection which would have been grounds
for non-acceptance of the risk under this Plan of Operation had such cause
existed at the time of acceptance.
2. Notice of cancellation, together with a statement of the reason therefore,
shall be sent to the insured and a copy sent to the Association. Such notice
shall be accompanied by a statement explaining that the insured has a right of
appeal as hereinafter provided.
SECTION VIII - APPEALS
1. Any applicant for insurance and any person
insured under the Plan of Operation or any affected insurer may appeal to the
Board of Directors within fifteen days after final ruling, action or decision of
the Association, the Inspection Bureau or a Servicing Insurer. The Board or an
Appeals Committee designated by the Board shall hear and determine such appeal
within fifteen days after the same is filed. Such determination may be appealed
to the Commissioner within thirty days as provided by Statute.
2. Orders of the Commissioner shall be subject to judicial review as provided
by Statute.
SECTION IX - UNDERWRITING ASSOCIATION
1. The Underwriting Association shall be authorized to
assume reinsurance and to cede reinsurance of eligible risks written by
Servicing Insurers under the Plan. It is also authorized to purchase reinsurance
on behalf of its members, provided such reinsurance is authorized by a majority
of the Directors. The reinsurance so assumed by the Association on behalf of all
insurers shall be one hundred percent (100%) cessions. Servicing Insurers shall
cede to the Association 100% of each risk accepted.
2. Each member of the Association shall participate in the writings,
expenses, profits and losses in the proportion that the net direct premiums of
such member written in the State during the preceding calendar year bear to the
aggregate net direct premiums written in the State by all members of the
Association . The Commissioner shall certify to the Association, after review of
annual statements, other reports, and any other statistics it shall deem
necessary, the aggregate net direct premiums written by all members. However, a
member shall annually receive credit for Essential Property Insurance including
components of CDP and Homeowners policies voluntarily written and its
participation in the writings of the Association shall be reduced in accordance
with the amount of such premium written on a voluntary basis in the state in
Fire Protection Class 9 & 10 and in the coastal counties of Hancock,
Harrison and Jackson. Members participation in the administrative expenses shall
not be reduced accordingly. Each member’s participation in the Association
shall be determined annually in the same manner as the initial determination.
3. Any insurer authorized to write and engaged in writing Essential Property
Insurance after the effective date of this Plan, shall become a member of the
Association. Immediately following such authorization and the determination of
such insurer’s participation in the Association, shall be made as of the date
of such membership in the same manner as for all other members of the
Association.
4. The Board of Directors, acting on behalf of the Association, are
authorized to make assessments upon all insurers as may be deemed necessary.
SECTION X - COMMISSION
1. Commission to the licensed agent or broker
designated by the applicant shall be equal to ten percent (10%) of the premium
collected. Agents or brokers will receive their commission check from the MRPIUA
on a
monthly basis.
2. The unearned portion of canceled liability and on
reductions in premiums, agents’ commission will be adjusted accordingly at the
same rate at which such commissions were originally paid.
3. Commission is not payable on inspection fees.
SECTION XI - ADMINISTRATION
1. This Plan shall be administered by a Board of
Directors (hereinafter referred to as the Board) of the Mississippi Residential
Property Insurance Underwriting Association, subject to the review of the
Commissioner.
2. The Board shall consist of five (5) representatives of members of the
Association elected annually by the insurers of the Association. The Board shall
also include two (2) licensed Mississippi agents.
3. The current MRRUA Board shall serve until such time as the MRPIUA Board is
appointed or elected or reappointed or re-elected. The Board consisting of five
(5) members of the Association and two (2) licensed Mississippi agents shall
prepare and submit a Plan of Operation to the Commissioner for approval.
SECTION XII - ANNUAL AND SPECIAL MEETINGS
1. The annual meeting of the insurers for the
election of the Board and such other business as may be necessary shall be held
in the State of Mississippi at a time and place to be determined by the Board
each year. At any regular or special meeting at which the vote of the insurers
is or may be required on any proposal, voting may be in person or by proxy. Any
vote of the insurers may be taken by mail. A proposal shall become effective
when approved by the majority of the votes cast.
2. As soon as practicable after election to membership of the Board, and
thereafter from time to time as it may elect, an insurer may designate a
qualified representative and an alternate of such representative to serve for it
and shall immediately notify in writing the Manager of the Association of such
designation.
3. Officers - The Board shall elect a Chairman, Vice-Chairman, Secretary -
Treasurer, and Manager.
a. The Chairman shall preside over all meetings of the Board and at all
meetings of the insurers. He shall discharge such other duties as may be
incidental to his office or as shall be required of him by these rules or by
the Board.
b. The Vice-Chairman shall preside at any meeting of the Board in the
absence of the Chairman. In the event of death or incapacity or disability of
the Chairman, the Vice - Chairman shall perform duties of the Chairman until
such office has been filled by the Board.
c. The Secretary - Treasurer shall issue all notices of meetings, record
minutes of all meetings, keep the records of the Board, and discharge such
other duties as may be incidental to his office or as shall be required of him
by these rules or by the Board.
d. The Manager shall discharge such duties as may be incidental to his
office or as shall be required of him by these rules or by the Board.
4. Special Meetings - Special meetings of the Board or of the insurers may be
held upon the call of the Chairman or in the event of their resignation, death
or incapacity, upon the call of the Vice -Chairman. Any five (5) members of the
Board, acting by their designated representatives, may request the Chairman to
call a meeting of the Board or of the insurers at such time and place and for
such purposes as may be set out in writing in such request. Should the Chairman
decline to call such meetings, the same may be called by the five (5) members
making the request. Such special meetings may be held at the principal office of
the Association or at such other place within the State of Mississippi as may be
designated in the call.
5. Notices of Meetings - Notices of all meetings shall be given by the
Secretary - Treasurer to the members of the Board, and in the case of meetings
of the insurers, to the insurers, and shall state the time and place and the
principal purposes therefor, except that no notice of the annual meeting shall
be given to newly - elected insurers in order to legally constitute the meeting,
provided a majority of the designated representatives of the insurers shall be
present at such meeting. Such notices may be given electronically or by mail,
direct to the attention of the designated representatives of the insurers and
shall be sent or mailed at least ten days in advance of the meeting. Any insurer
or the designated representative of any insurer may waive notice of any meeting,
and the presence of such representative at any meeting shall constitute a waiver
of notice as to such insurer.
6. Advance Agenda - The Secretary, after consultation with the Chairman,
shall prepare in advance of each meeting of the Board and each meeting of the
insurers an agenda which, with such supporting data and information as may be
conveniently assembled, shall be forwarded to the members of the Board or their
designated representatives or to the insurers, as the case may be, in advance of
any such meeting.
7. Committees - Subject to the Articles of Agreement, the Chairman of the
Board may appoint or the Board may elect such standing committees or such
temporary or special committees as may be deemed necessary for the transaction
of its business.
8. Ex - Officio Members - The Chairman and Vice Chairman of the Board shall
be ex - officio members of all standing or special committees, with right to
vote.
9. Subject to the approval of the Commissioner the Directors of the
Association may amend the Plan of Operation at anytime.
SECTION XIII - DUTIES OF THE BOARD
1. The Board shall meet as often as may be required to perform the general
duties of the administration of the Plan or on the call of the Commissioner.
Four insurers of the Board shall constitute a quorum.
2. The Board shall be empowered to contract with Servicing Insurers and
provide reimbursement for all costs and expenses incurred by such Servicing
Insurers; to appoint or otherwise contract for the services
of a Manager and an Attorney; to approve expenses; levy assessments
including preliminary assessments; disburse funds and perform all other duties
provided herein or necessary or incidental to the administration of the Plan.
The adoption of substantive changes in pension plans or employee benefit
programs shall be subject to the approval of insurers. Assessments upon each
insurer shall be levied on the basis of its net direct premiums written.
3. The Board shall furnish to the Commissioner a written report of
operation for the preceding fiscal year ending December 31st
annually on or before March 1st in such form and detail as the
Commissioner may determine. A copy of such report shall be made available to
all insurers.
4. Members of the Board shall serve without salary but shall receive per
diem compensation while attending to the business of the Association. They
shall be reimbursed for travel expenses and per diem and travel reimbursement
shall be approved by the Board before payment.
Articles of Agreement
Part II
The purpose of these Articles of
Agreement is to evidence agreement by the Mississippi Residential Property
Insurance Underwriting Association to administer the Plan of Operation in
Compliance with the provisions of House Bill 1113, Laws of 2003, and as amended.
ARTICLE 1
Name
This organization shall be known as the Mississippi
Residential Property Insurance Underwriting Association (hereinafter referred to
as the Association), an unincorporated association.
ARTICLE II
The Program
Annexed hereto and made a part thereof is the Mississippi
Residential Property Insurance Underwriting Association Plan of Operation
(hereinafter referred to as the Plan) as approved by the Commissioner.
ARTICLE III
Object
The objects of the Association shall be: (1) the
administration of the Plan and (2) the assumption and cession of reinsurance on
behalf of member insurers in accordance with the provisions of the Plan.
ARTICLE IV
Membership
1. Membership. Every Insurer, licensed to write and engaged
in writing Property Insurance, as defined in Section II (7) of the Plan, is a
member of the Association and shall be referred to herein as a Member.
2. Termination of Membership. Membership of any Member shall
terminate when such Member is no longer licensed to write Property Insurance in
Mississippi. Any Member whose membership in the Association has been terminated,
nevertheless, continue to be governed by these Articles of Agreement in order to
complete its obligation with regard to any assessments, losses, expenses,
contracts or undertakings under the Plan.
ARTICLE V
Office
The principal office of the Association shall be in the State
of Mississippi.
ARTICLE VI
Administration
This Plan shall be administered by a Board of Directors
(hereinafter referred to as the Board) of the Association in accordance with the
Plan.
ARTICLE VII
Indemnification
1. The Association shall indemnify:
a. each member of a governing committee (or other board
empowered to act in the capacity of a board of directors), each member of any
other committee or any subcommittee, officer and employee of the Association,
and the estate, executor, administrator, heirs, legatees and devisees of any
such person; and
b. every insurer member of the Association, both as a
member and by reason of such insurer having one or more of its personal
representatives or employees serving in any of the capacities or positions
specified in clause (a) herein above; and
c. every officer and employee of the Industry Placement
Facility, and the estate, executor, administrator, heirs, legatees or devisees
of such person; against all judgments including interest, fines, amounts paid
or agreed upon settlement, reasonable costs and expenses including attorneys
fees, and any other liability that may be incurred as a result of any claim,
action, suit or proceeding, whether civil, criminal, administrative, or other,
prosecuted or threatened to be prosecuted, for or on account of any act
performed or omitted or obligation entered into, or done or omitted in good
faith without intent to defraud and within what he reasonably believed to be
the scope of his employment or authority and for a purpose which he reasonably
believed to be in the best interest of and in connection with the
administration, management, conduct or affairs of the Association, committee,
or Industry Placement Facility, and with respect to any criminal actions or
proceedings, in addition, had no reasonable cause to believe that his or its
conduct was unlawful. Provided, however, that if any such claim, action, suit
or proceeding is compromised or settled, it must be done so with the prior and
express approval of the governing committee of the Association.
2. Such indemnification shall not depend upon whether or not
such insurer is a member of the Association, or such person is a member of the
Governing Committee, Industry Placement Facility, or any committee, at the time
such claim action, suit or proceeding is begun, persecuted or threatened; nor on
whether or not the liability to be indemnified was incurred or the act or
omission occurred prior to the adoption of this action.
3. The right of indemnification hereunder shall not be
exclusive of other rights such person or insurer may have a matter of law or
otherwise.
4. In each instance in which a question of indemnification
hereunder arises, determination in the first instance of the right to
indemnification hereunder, and of the time, manner and amount of payment
thereof, shall be made by the Governing Committee. In the event that a majority
of the members of the Governing Committee are seeking indemnification hereunder
as a result of the same occurrence, such determination in the first instance
shall be made by vote of the membership of the Association taken on a weighted
basis as provided in the plan of operations or the enabling legislation. Nothing
in this paragraph is intended to make an adverse determination finally binding
upon the person or insurer seeking indemnity under this Section, or to preclude
any such person or insurer from appealing an adverse determination against him
or it, or from instituting legal proceedings to enforce a right of
indemnification under this Section.
5. The indemnification provided for in this Section shall be
deemed to be an expense of the Association to which all of the members of the
Association shall contribute in the proportion that each member participates
according to law in the writings, expenses, profits and losses of the
Association.
ARTICLE VIII
Insolvency
In the event any Member fails, by reason of insolvency, to
pay its proportion of any expense or of any loss as an assuming reinsurer
incurred by the Association under the Plan, such unpaid loss or expense shall be
paid by the remaining Members, each contributing in the manner provided for by
the distribution of expenses and losses under Section IX (2) of the Plan,
deleting therefrom the proportion of the defaulting member. The Association
shall be subrogated to the rights of the remaining Members in any liquidation
proceeding and shall have full authority on their behalf to exercise such rights
in any action or proceeding. In the event of the insolvency of a Member
Servicing Insurer this reinsurance shall be payable directly to such Member or
to its liquidator, receiver, conservator or statutory successor on the basis of
the liability of such Member without diminution because of the insolvency of
such Member or because the liquidator, receiver, conservator or statutory
successor of such Member has failed to pay all or a portion of any claim, except
(a) where the contract specifically provides another payee of such reinsurance
in the event of the insolvency of the ceding insurer and (b) where the assuming
insurer with the consent of the direct insured or insureds has assumed such
policy obligations of the ceding insurer as direct obligations of the assuming
insurer to the payees under such policies and in substitution for the
obligations of the ceding insurer to such payees. The liquidator, receiver,
conservator or statutory successor of such Member shall give written notice to
the Association of the pendency of a claim against the Member indicating the
policy reinsured which claim would involve a possible liability on the part of
the Association within a reasonable time after such claim is filed in the
conservation of liquidation proceeding or in the receivership, and that during
the pendency of such Claim, the Association may investigate such claim and
interpose, at is own expense, in the proceeding where such claim is to be
adjudicated any defense or defenses that it may deem available to the Member or
its liquidator, receiver, conservator or statutory successor. The expense thus
incurred by the Association shall be chargeable, subject to the approval of the
court, against the insolvent Member as part of the expense of conservation of
liquidation to the extent of a pro-rata share of the benefit which may accrue to
such Member solely as a result of the defense undertaken by the Association.
ARTICLE IX
Amendments
These Articles of Agreement may be amended by the membership
with the approval of the Commissioner. Procedure for Amendment shall be
prescribed in Section XII of the Plan.
ARTICLE X
Effective Date
These Articles of Agreement are subject to approval by the
Commissioner and shall become effective on the date established by the
Commissioner.
ARTICLE XI
Citation of Commissioner
Failure of any Member to comply with these Articles of
Agreement or with any rules prescribed thereunder by the Board or Directors or
to pay any assessment levied within 30 days of notice thereof, shall be grounds
for citation of such Member to the Commissioner.
ARTICLE XII
Appeal to Commissioner
Any applicant or Member aggrieved by any ruling, order,
decision, action or refusal to act on the part of the Association may appeal to
the Commissioner as provided in Section VIII of the Plan.
ARTICLE XIII
Acceptance of Articles of Agreement by Members
The undersigned by causing its corporate name to be hereunto subscribed by
its President or a Vice President, and its corporate seal to be hereto affixed,
attested by its Secretary or Assistant Secretary does hereby ratify the
foregoing Articles of Agreement and declares its unqualified authorization to
the Board of Directors to levy such assessments as are deemed necessary by the
Board to carry out the purposes of the Plan as described and to act as its agent
in assuming and ceding, reinsurance on behalf of the members as authorized by
the Plan, which reinsurance shall have the same effective date as the ceding
Member’s liability. The Member hereby agrees to participate in the Plan and
the Association, including any gains, losses, expenses, obligation or contracts
thereof, and to be bound by decisions of the Board of Directors with respect
thereto.
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