February 1996 - #1
In This Issue:

Boozell proposing NAIC constitutional amendment
New audit & reporting requirements for local government joint self-insurance pools
Cook County sales tax impacts auto insurance settlements
The redlining solution -- as simple as a phone call away?
Department rules review
Financial exam reports adopted and filed
Industry survey on domestic violence
Rates lowered for IL work comp insurance pool
Producer regulatory action Hearings
Company action
Correction

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Boozell proposing NAIC constitutional amendment

Illinois Director Mark Boozell is seeking support from the nation's insurance commissioners to amend Article IX (1) (a) -- Executive Committee Structure and Composition -- of the NAIC Constitution. His proposal was submitted during the January 1996 Commissioners Conference in Kansas City, Missouri. The Illinois Director serves as Secretary of the NAIC Midwest zone.

The NAIC Executive Committee is currently made up of the three national officers, the immediate past president, the twelve zone officers and, "all other past presidents who have continuously remained members of the NAIC since completing their terms in the office of NAIC president." Boozell's proposal would delete "all other past presidents . . ." beginning in January of 1997.

Boozell's interest in parliamentary procedure prompted him to review the Association's constitution and question the appropriateness of the provision. Proponents believe it provides the Executive Committee with the expertise and institutional knowledge of past leadership, and while Boozell does not dispute that sentiment, he disagrees with the prospect of a lifetime vote on the Executive Committee.

"Organizations most definitely benefit from the experience and ideas of veteran members," Boozell says, "but after checking with a number of other national groups, I've yet to find one that extends a lifetime vote to its former leadership." Those surveyed are the National Association of Insurance Brokers, the American Bankers Association, the American Trial Lawyers Association, the National Association of Life Underwriters, the Reinsurance Association of America, the Alliance of American Insurers, the American Heart Association, the American -Red Cross, the American Bar Association, the American Cancer Society, the United Way of America, and the American Lung Association.

"The amendment would not deprive the NAIC of experienced voices. Every commissioner has the right to appear before the Executive Committee and express his or her opinion and concerns. I am not suggesting that past presidents be shut out of the discussion or debate process; only that they not be allowed a permanent vote. And those who do want to retain their vote always have the option to run for an office in their own zones."

Boozell notes two other interesting by-products of the current provision: the Executive Committee has an unknown and unlimited number of members; and as such, it becomes nearly impossible to maintain equal zone representation.

A constitutional change requires an affirmative vote of two thirds of the NAIC membership. The amendment will most likely come before the Plenary Session during the Spring National Meeting in March.

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New audit & reporting requirements for local government joint self-insurance pools

by Cynthia Stephenson

Under a recently approved amendment to state law, local governments that self-insure through joint insurance pools authorized by Section 6 of the Intergovernmental Cooperation Act (5 ILCS 220/6) are required to provide annual audited financial reports to the Director of the Department of Insurance. This provision was adopted in House Bill 2331 (P.A. 89-97, effective July 7, 1995). The law authorizes the Director to promulgate rules for the annual audit and report and to establish a due date for the initial annual audited financial report.

The Department of Insurance has drafted a proposed rule establishing audit and reporting requirements applicable to these joint self-insurance pools. The rule is expected to become effective on January 1, 1997, and will require filing of reports for fiscal years ending on or after that date. The pools will have 150 days after the end of their fiscal year to file the required reports.

Under the proposed rule, audited financial statements must be prepared in accordance with generally accepted accounting principles. A report of an independent certified public accountant will be required, as will an independent actuarial opinion regarding the sufficiency of loss and loss adjustment expense reserves. The report must also contain a balance sheet, statement of gain or loss from operations, statement of cash flows, statement of changes in surplus funds, and notes to the financial statements.

To facilitate enforcement of the rule, each pool will be required to register with the Department within 60 days of the effective date of the rule and annually on March 1st thereafter. The registration will provide essential information such as the name and address of participating entities, as well as basic information about the person responsible for conducting the affairs of the pool.

This rule is scheduled for publication in March. Requests for copies should be directed to the Secretary of State's Index Department at (217) 782-8570. Those with questions regarding the substance of the rule may call Cynthia Stephenson at (217) 782-1785 or Etta Mae Credi at (217) 782-1757.


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Cook County sales tax impacts auto insurance settlements

In its quest to generate more revenue, Cook County has started collecting a three-year-old vehicular sales tax effective December 1, 1995. The tax adds 0.75 percent to the cost of all new or used vehicles (including motorcycles, boats and airplanes) registered in Cook County, regardless of where the item was purchased.

Insurance companies operating in Illinois should be mindful of this tax when settling auto insurance claims. The Department's Improper Claims Practices Rule 9.19 requires insurers to pay the applicable sales tax on first party collision and comprehensive claims. Companies must now add the Cook County tax, as well.

The only insurance companies that might be exempt from this requirement are those that write a stated value policy. If the addition of the Cook County tax to the claims payment would exceed the policy limit, the policyholder would not be entitled to reimbursement for the sales tax. However, if the company opts to replace a vehicle, the sales tax would be included in the settlement.

Questions on this issue should be referred to Dale Emerson in the Department's Springfield office at (217) 785-5044.


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The redlining solution -- as simple as a phone call away?

by Pamela Donnewald, CPCU

Could the answer to all of our redlining problems be as simple as a phone call away? Perhaps not entirely, but your phone call could go a long way toward solving some of the urban insurance issues faced by the insurance industry in recent years.

For the past three years, the Department of Insurance has worked with various industry and consumer groups to develop viable solutions to perceived insurance availability and affordability problems in Illinois. Because regulators, industry and consumer groups have worked together, the products that have been developed encompass the needs of all concerned.

To all of the companies, producers and consumer groups who have worked diligently on these projects, we extend our thanks. For those who have not yet become involved, but wish to become a part of the solution, we urge you to read on.

Insuring Urban America: Perceptions vs. Realities is a three-hour program developed by the Department and insurance company and producer representatives specifically to help companies, producers and other industry groups become more aware of and sensitive to consumer perceptions about urban insurance issues. The panel discussion covers the history and various definitions of redlining and focuses heavily on generally used underwriting practices that consumers perceive either discriminate or result in disparate impact.

Who Should Attend: The program is aimed solely at insurance industry professionals. It can be presented to one insurance company's personnel, an agents' association meeting, CPCU Society meeting or any other insurance related audience.

Cost: The panelists are industry volunteers and are not paid for their participation. There usually is no or little cost involved.

How to Find Out More: To learn more about the program or to schedule a presentation for your company or industry group, contact Pamela Donnewald at (217) 785-5987.

Homeowners Insurance for Home Purchase Counselors and Homeowners is a comprehensive consumer education course developed by the Department, insurance industry representatives, and the University of Illinois Cooperative Extension Service representing consumers. Many consumer counseling organizations will be using this program (or the National Insurance Task Force version of it) to teach consumers about homeowners insurance.

Counseling groups are always in need of qualified insurance professionals to assist them with the insurance portions of their programs. Taking advantage of these opportunities will help you develop successful partnerships with consumers and community based organizations.

Who Should Request a Copy: The eleven-part course is designed as a training tool for home purchase counselors and community-based consumer organizations. However, producers, CPCUs, or others who teach consumer groups about homeowners insurance will find the information useful. Non-insurance- industry groups that work with homeowners (e.g., realtor associations or lending institutions) may also find the information helpful in training their members.

Cost: The training materials are free. However, limited printing funds preclude us from providing multiple copies to other than not-for profit groups. The material may be duplicated as long as you include the proper acknowledgments when reproducing it.

How to Obtain a Copy: Contact Susie Smith at (217) 785-1258. Please contact us, too, if you know of groups in your community that could benefit from the course.

Pathways to Partnership: Sharing the Journey to Neighborhood Change is a guide developed by the National Insurance Task Force. This book helps insurers and community-based organizations understand the importance and benefits of becoming partners to solve urban insurance issues. It explains how to form partnerships, how to measure the success of partnerships and gives examples of successful partnerships already in place in many U.S. cities.

Who Should Request a Copy: Insurers, producers, community-based organizations, consumer groups and anyone interested in learning how to form partnerships should request a copy.

Cost: The Pathways guide is free. However, limited printing funds preclude us from providing more than one copy. The material may be duplicated as long as you include the proper acknowledgments when reproducing it.

How to Obtain a Copy: Contact Pamela Donnewald at (217) 785-5987.

Our efforts to address redlining problems over the past few years have been enlightening for all of us. Regulators, as well as many of the insurance companies and consumer groups with whom we've formed partnerships, have learned a great deal. Although it will take some time to change attitudes and eliminate redlining allegations, we firmly believe the long-term solution to urban insurance problems is education of consumers and the insurance industry.

The materials and programs outlined above are a positive step in that direction. With the Pathways guide to help you form partnerships and the consumer education guide to give you an immediate idea of what you can do to get started, you are well on your way to becoming one of the many in our industry working to erase the negative perceptions surrounding the redlining issue and to improve the overall image of the industry.

Is the solution to urban insurance issues just a phone call away? The answer to that question is really up to you.


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Department rules review

The full text of Department rules is printed in the Illinois Register published weekly by the Illinois Secretary of State's Index Department, 111 E. Monroe St., Springfield, IL 62756. Subscriptions are available from that source for an annual fee of $290. Issue numbers and a Department contact person are listed below after each rule summary.

Copies of rules are also available upon written request to the Department of Insurance at a $1 per page charge. Adopted rules are codified in Title 50 of the Illinois Administrative Code.

Rule 951 (Credit Life and Credit Accident and Health Insurance) was amended on December 19, 1995, to adjust rates for these lines of insurance. Section 951.60(b) requires the Department to triennially review and adjust credit life rates. Based on meetings with industry and a review of the entire credit life insurance market in Illinois, the Department determined that an adjustment was in order and reduced prima facie credit life rates by 6 percent. (Vol. 19, #52; Gerald Lucht)

Rule 2007 (Minimum Standards of Individual Accident and Health Insurance) was amended on December 5, 1995, to make minor housekeeping changes and to add language to Section 2007.70 concerning specified disease limitations for skin cancer. In addition, the Department is allowing for specific exclusions not previously included in the rule. (Vol. 19, #50; Cindy Colonius)

Rule 2011 (Transitional Requirements for Conversion of Medicare Supplement Insurance Benefits and Premiums to Conform to Medicare Program Revisions) was repealed effective November 6, 1995. Rule 2011 was initially promulgated to ease the transition into the Medicare requirements under Rule 2008. Since Rule 2008 is now in place, Rule 2011 is no longer needed. (Vol. 19, #46; Denise Fuchs)

Rule 6602 (Cost Containment Form and Data Reporting Requirements) was amended on November 7, 1995, to expedite the Department's handling of data and to reduce errors and the number of refilings. (Vol. 19, #46; Bruce Hrabak)


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Financial exam reports adopted and filed

Standard Mutual Insurance Company -- 11/03/95
First Assurance Company -- 11/07/95
Millers Mutual Insurance Association -- 11/08/95
Assumption Mutual Insurance Company -- 11/15/95
Alliance General Insurance Company -- 11/30/95
Amex Assurance Company -- 11/30/95
Bond Safeguard Insurance Company -- 11/30/95
Zurich Life Insurance Company of America -- 12/07/95
Allstate Indemnity Company -- 12/12/95
Allstate Property & Casualty Insurance Company -- 12/12/95
Northbrook Indemnity Company -- 12/12/95
Northbrook National Insurance company -- 12/12/95
Northbrook Property & Casualty Insurance Company -- 12/18/95


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Industry survey on domestic violence

Increased public attention to insurer underwriting practices with respect to domestic violence and abuse issues has prompted the Department of Insurance to survey all life and accident and health insurers doing business in Illinois.

Feedback from the survey will allow the Department to better assess whether Illinois insurers consider domestic violence and abuse in underwriting both new and renewal policies for life, health and disability income coverage. The survey will also solicit information about underwriting practices in situations where a person's underlying health condition may have been caused or adversely affected by domestic violence or abuse.


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Rates lowered for IL work comp insurance pool

Insurance Director Mark Boozell has approved a rate decrease that will lower the overall cost of insurance purchased through the Illinois Workers Compensation Assigned Risk Plan by an average 13.6 percent. The new rates which took effect on January 1, 1996, for both new and renewal business, are expected to reduce premiums by $30 million.

The Assigned Risk Plan serves hard to place risks, and accounts for about 11 percent of the total Illinois workers compensation insurance market. The National Council on Compensation Insurance (NCCI) filed the rate request on behalf of the Plan's approximately 300 member companies.


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Producer regulatory action

Revocation of Licensing Authority

William E. Douglas
9826 Sayer, Apt 17
Chicago Ridge, IL
Effective  11/30/95

Cornell L. Fitch
4410 W. Flossmoor Road
Country Club Hills, IL
Effective  11/29/95

Jubilee Associates, Inc.
8280 Janes Ave, Suite 24A
Woodridge, IL
Effective  12/20/95

Chyonne McKay
2476 Meadowdale Ln, Apt 202
Woodridge, IL
Effective  12/20/95

Lawrence C. McKay
2476 Meadow Ln, Apt 202
Woodridge, IL
Effective  12/20/95

Timothy J. Koeller
1608 W. Morgan Trail
McHenry, IL
Effective  11/13/95

Janie B. Morgan
16565 S. Paulina
Markham, IL
Effective  12/20/95

Robert Edward Wills
1608 W. Morgan Trail
McHenry, IL
Effective  11/13/95
Voluntary Revocation

Roderick J. Bolden
7308 S. Eberhart
Chicago, IL
Effective  11/16/95

Ralph F. Carbone
6550 S. Richmond St
Clarendon Hills, IL
Effective  11/16/95

Chicago Taxi Insurance Services, Inc.
1227 S. Michigan Ave
Chicago, IL
Effective  12/15/95

Michael D. Christy
PO Box 404
Sullivan, IL
Effective  12/15/95

Minnie S. Donovan
2800 St. Mary's
Hannibal, MO
Effective  12/15/95

John W. McBride
1412 W. Downer Place
Aurora, IL
Effective  11/21/95

John E. Moutrey, Jr.
1212 S. Michigan Ave, #2908
Chicago, IL
Effective  12/15/95

Terry A. Shaikh
1199 S. Barrington Rd
Barrington, IL
Effective  12/15/95

Mark Tellez
4344 W. 26th
Chicago, IL
Effective  12/8/95

Tellez Realty/Insurance Corp.
4344 W. 26th
Chicago, IL
Effective  12/8/95


Denial of Request for License

Elliott Brenghause
31708 North Highway 83
Grayslake, IL
Effective  11/16/95

William R. Fowler, Jr.
110 Abingdon Ave
Kenilworth, IL
Effective  11/13/95

Fouad H. Haleem
5933 S. Albany Ave
Chicago, IL
Effective  11/29/95


Stipulation and Consent Order - Civil Forfeiture Paid

Ronald G. Baxter
PO Box 138-418
4229 N. Wolcot, 2nd Floor
Chicago, IL
Effective  7/28/95

Susan E. Chang
707 S. Chris
Mt. Prospect, IL
Effective  11/21/95

Ronald S. Gallo
1712 Smokey Court
Naperville, IL
Effective  10/24/95

Richard W. Hoffman
2001 N. 74th Court
Elmwood Park, IL
Effective  11/16/95

John F. Leydon
2018 N. Oakland, #202
Milwaukee, WI
Effective  10/27/95

John Michael McCarthy
960 Bristol Trail Rd
Lake Zurich, IL
Effective  11/3/95

James D. Schlater
PO Box 96, 68 Deer Chase
Collinsville, IL
Effective  10/30/95

Kevin P. Schmitt
101 Welton Court
East Peoria, IL
Effective  10/24/95

James A. Stewart
522 Pear
Mt. Carmel, IL
Effective  9/26/95

Nathan R. Sutton, II
5687 Broadway Rd
Groveland, IL
Effective  10/24/95

Stipulation and Consent Order - Civil Forfeiture Paid

Rick Sutton Insurance Agency, Inc.
PO Box 2507
East Peoria, IL
Effective  10/24/95

Sandra L. Sutton
5687 Broadway Rd
Groveland, IL
Effective  10/24/95

Robert L. Tisinai
4735 N. Octavia Ave
Harwood Heights, IL
Effective  11/27/95

Other Department Actions

Joseph Raymond Bayer, Jr.
PO Box 403
Alton, IL
Suspension effective  11/30/95

Russell William Johnson, Jr.
8439 W. Catherine, #321
Chicago, IL
Suspension effective  11/21/95 to 12/5/95

Jeffrey B. Wolf
2184 Mallard Ln
Hanover Park, IL
Nonrenewal effective  11/9/95
Cancellation Due to Dishonored Check

Emanuel Beals
2007 Georgetown Ln
Waukegan, IL
Effective  10/28/95

Burrell Burns
9238 S. Pleasant
Chicago, IL
Effective 11/19/95

Beverly R. Cole
1302 S. Morris, Lot 23
Bloomington, IL
Effective 10/12/95

Richard Collingbourne, Jr.
470 W. Spring St, PO Box 194
South Elgin, IL
Effective  11/7/95

Lelia M. Collins
606 Preston Dr, #220
Bolingbrook, IL
Effective  10/1/95

Lisa D. Cox
1630 Moonglow Rd
Centralia, IL
Effective  10/24/95

Tony S. Crawford
5418 W. Monroe
Chicago, IL
Effective  9/14/95

Jeffery A. Fabish
1110 Henkle Dr
Pawnee, IL
Effective  11/22/95

Michael J. Gapinski
860 Foxworth Blvd, Apt 206
Lombard, IL
Effective  10/18/95

William Gardner
853 Sanders Rd, Apt 299
Northbrook, IL
Effective  11/21/95

Cancellation Due to Dishonored Check

Joann Joshua
6857 Wabash, 2nd Floor
Chicago, IL
Effective  12/1/95

Murat H. Kaya
8917 N. Kormar
Skokie, IL
Effective  11/14/95

David F. Onesto
PO Box 475
Palos Park, IL
Effective  10/24/95

Chad A. Wallace
RR 1, Box 146
Ashland, IL
Effective  11/22/95


Other Dishonored Checks

Pamela E. Beers
704 W. 4th St
Johnston City, IL

Darrett Brown
221 Diane Ln
Bolingbrook, IL

Jeffery S. Burgner
1416 S. Yale
O'Fallon, IL

Jerry Dello
1749 Gold Rd, Apt 342
Mt. Prospect, IL

Rosalba Diaz
6940 S. Talman Ave
Chicago, IL

Adamantios Frangiadakis
9022 N. Cumberland Ave
Niles, IL

Peter E. Jimenez
4623 North Chest St
Chicago, IL

Nancy A. Obernberger
2740 S. Lombard
Berwyn, IL

Patricia A. Patrick-Hess
405 1/2 Morgan St
Elgin, IL

Daniel P. Wachs
1807 N. Hermitage, 1st Fl
Chicago, IL


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Hearings

Scheduled Hearings:

Charles and Patricia Crawford
dba John's Drive-In
State Farm Fire & Casualty Co.
Cancellation; 1/12/96
Hearing No. 3400

Terrence Michael Harty
American Manufacturers Ins. Co.
Cancellation; 1/17/96
Hearing No. 3398

Insurance Company of the Prairie States
Certificate of authority revocation; 1/17/96
Hearing No. 3392

Daniel and Janet Ring
Prudential Property & Casualty Ins. Co.
Nonrenewal; 1/23/96
Hearing No. 3399

Dragan Djordjevic
Cease and Desist Order; 1/30/96
Hearing No. 3373

Fred W. Klokonos
Illinois Farmers Insurance Company
Cancellation; 1/30/96
Hearing No. 3401

Angelo Barra
Illinois Farmers Insurance Company
Cancellation; 2/7/96
Hearing No. 3403

GWYA, Inc.
Angel Resch
License revocation; 2/16/96
Hearing No. 3404

Kathleen M. Konieczny
Konieczny Insurance Agency
License revocation; 3/15/96
Hearing No. 3397
Matters Settled without Hearing:

Trenchless Construction Inc.
Hearing dismissed; 12/6/95
Hearing No. 3346

American Health Care Providers, Inc.
Hearing dismissed; 12/12/95
Hearing No. 3368

Henry & Gwendolyn Hayes
State Farm General Insurance Company
Hearing dismissed; 12/13/95
Hearing No. 3393
Completed Hearings:

Federal Kemper Life Assurance Co. and
Kemper Investors Life Insurance Co.
by Conseco, Inc., Conseco Partnership
Management, Inc., Conseco Capital
Partners II, L.P. and CCP II Holding Corp.
Form A approved except as to any dividends
referenced by Form A application; 8/28/95
Hearing No. 3301

William E. Douglas
Licensing authority revoked; 11/30/95
Hearing No. 3379

Michael Agone
Auto Club Family Insurance Co.
Nonrenewal effective; 12/14/95
Hearing No. 3389

Concklin Ins. Agency, Inc.
Illinois Automobile Insurance Plan
Request to overturn Auto Plan's decision to
amend Rule 114E of Plan is denied; 12/14/95
Hearing No. 3360

Elfreeda Hughes
American Family Mutual Ins. Co.
Nonrenewal effective; 12/14/95
Hearing No. 3395

Roman W. Ko
State Farm Fire & Casualty Co.
Nonrenewal effective; 12/14/95
Hearing No. 3386

Amalgamated Life & Health Ins. Co.
Fine assessed for late filing; 12/22/95
Hearing No. 3372

George Bernth
State Farm Mutual Automobile Ins. Co.
Nonrenewal effective; 12/22/95
Hearing No. 3390

Hilda Ozinga
State Farm Fire & Casualty Co.
Nonrenewal effective; 12/22/95
Hearing No. 3394

Protest of Denial of Guaranty Fund Claims
Petitioner request to over-turn decision
of HMO Guaranty Association denied; 12/22/95
Hearing No. 3356

Jeffrey Scott Zalay
Order of Revocation rescinded; 12/24/95
Hearing No. 3348

Association Underwriters of America Agency, Inc.;
Jord C. Hauge, President
Cease and Desist Order; 12/29/95
Hearing 3402

Spiros J. Arvanitis
State Farm Mutual Automobile Ins. Co.
Cancellation effective; 1/4/96
Hearing No. 3381


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Company Action

             New Companies

North Pointe Insurance Company of Illinois, Chicago, was granted
a certificate of authority effective 1/4/96 to write all property
and casualty lines.

                          Terminations

     The following insurance companies are no longer doing
business in Illinois:

Kentucky Central Insurance Company, KY, was merged with and into
Kentucky National Insurance Company which is not licensed in
Illinois, effective 11/3/95.

Foresters Indemnity Company, Ontario, Canada, cancelled its
Illinois certificate of authority, effective 12/31/95.

Sierra General Life Insurance Company, NV, filed a Plan of
Liquidation and Dissolution with Nevada; the Illinois certificate
of authority was cancelled, effective 11/20/95.


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Correction

 Correction

Please note the following correction to the article entitled
"Changes ahead for producer continuing education," which appeared
in our December 1995 issue:

     Page 1, column 3, line 1 should have read
     "require provider reporting within 10 days."

We apologize for the error.


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