Chapter Ins 51

Chapter Ins 51

CAPITAL REQUIREMENTS FOR INSURERS

Subchapter I — Risk Based Capital Requirement for Insurers

Ins 51.01   Definitions.

Ins 51.05   Risk based capital reports.

Ins 51.15   Company action event.

Ins 51.20   Regulatory action level event.

Ins 51.30   Authorized control level event.

Ins 51.40   Mandatory control level.

Ins 51.50   Hearings.

Ins 51.55   Confidentiality; prohibition on announcements, prohibition on use in ratemaking.

Ins 51.60   Supplemental provisions; exemptions.

Ins 51.65   Foreign insurers.

Subchapter II — Permanent Capital, Compulsory Surplus and Security Surplus

Ins 51.75   Applicability.

Ins 51.80   Capital, compulsory and security surplus.

subch. I of ch. Ins 51 Subchapter I — Risk Based Capital Requirement for Insurers

Ins 51.01 Ins 51.01 Definitions. In this subchapter:

Ins 51.01(1) (1) “Adjusted risk based capital report” means a risk based capital report which has been adjusted by the commissioner in accordance with s. Ins 51.05 (6).

Ins 51.01(2) (2) “Authorized control level event” means any of the following events:

Ins 51.01(2)(a) (a) The filing of a risk based capital report by the insurer which indicates that the insurer’s total adjusted capital is greater than or equal to its mandatory control level risk based capital but less than its authorized control level risk based capital.

Ins 51.01(2)(b) (b) The notification by the commissioner to the insurer of an adjusted risk based capital report that indicates the event in par. (a), if the insurer does not challenge the adjusted risk based capital report under s. Ins 51.50.

Ins 51.01(2)(c) (c) If, under s. Ins 51.50, the insurer challenges an adjusted risk based capital report that indicates the event in par. (a), notification by the commissioner to the insurer that the commissioner has, after a hearing, rejected the insurer’s challenge.

Ins 51.01(2)(d) (d) The failure of the insurer to respond, in a manner satisfactory to the commissioner, to a corrective order, if the insurer has not challenged the corrective order under s. Ins 51.50.

Ins 51.01(2)(e) (e) If the insurer has challenged a corrective order under s. Ins 51.50 and the commissioner has, after a hearing, rejected the challenge or modified the corrective order, the failure of the insurer to respond, in a manner satisfactory to the commissioner, to the corrective order subsequent to rejection or modification by the commissioner.

Ins 51.01(3) (3) “Authorized control level risk based capital” means the number determined under the risk-based capital formula in accordance with the risk based capital instructions.

Ins 51.01(4) (4) “Company action level event” means any of the following events:

Ins 51.01(4)(a) (a) The filing of a risk based capital report by an insurer which indicates one of the following:

Ins 51.01(4)(a)1. 1. The insurer’s total adjusted capital is greater than or equal to its regulatory action level risk based capital but less than its company action level risk based capital.

Ins 51.01(4)(a)2. 2. If a life or health insurer that completes the life annual statement for the reporting year, the insurer has total adjusted capital which is greater than or equal to its company action level risk based capital but less than the product of its authorized control level risk based capital and 3.0 and has a negative trend.

Ins 51.01(4)(a)3. 3. If a health insurer that completes the health annual statement for the reporting year, the insurer has total adjusted capital which is greater than or equal to its company action level risk based capital but less than the product of its authorized control level risk based capital and 3.0 and has a negative trend.

Ins 51.01(4)(a)4. 4. If a property and casualty insurer, the insurer has total adjusted capital which is greater than or equal to its company action level risk based capital but less than the product of its authorized control level risk based capital and 3.0 and has a negative trend.

Ins 51.01(4)(b) (b) The notification by the commissioner to the insurer of an adjusted risk based capital report that indicates an event in par. (a), if the insurer does not challenge the adjusted risk based capital report under s. Ins 51.50.

Ins 51.01(4)(c) (c) If, under s. Ins 51.50, an insurer challenges an adjusted risk based capital report that indicates the event in par. (a), the notification by the commissioner to the insurer that the commissioner has, after a hearing, rejected the insurer’s challenge.

Ins 51.01(5) (5) “Company action level risk based capital” means, with respect to any insurer, the product of 2.0 and its authorized control level risk based capital.

Ins 51.01(6) (6) “Corrective order” means an order issued by the commissioner specifying corrective actions which the commissioner has determined are required.

Ins 51.01(7) (7) “Domestic insurer” means an insurer organized under the laws of this state.

Ins 51.01(8) (8) “Foreign insurer” means any insurer which is licensed to do business in this state that is not a domestic insurer.

Ins 51.01(8m) (8m) “Health maintenance organization insurer” has the meaning given in s. 600.03 (23c), Stats.

Ins 51.01(9) (9) “Insurer” means:

Ins 51.01(9)(a) (a) An insurer as defined under s. 600.03 (27), Stats., except, unless otherwise required by the commissioner under par. (b), it does not include any of the following:

Ins 51.01(9)(a)1. 1. A town mutual insurer organized under ch. 612, Stats.

Ins 51.01(9)(a)2. 2. An insurer governed by ch. 616, Stats.

Ins 51.01(9)(a)3. 3. A service insurance corporation as defined under s. 600.03 (41m), Stats., but only until the date on which the commissioner makes a determination that risk based capital reporting forms and instructions for service insurance corporations have been developed and adopted by the NAIC.

Ins 51.01(9)(a)4. 4. An insurance plan administered by the office or a board attached to the office or a plan established under ch. 619, Stats.

Ins 51.01(9)(a)5. 5. Monoline mortgage guaranty insurers, financial guaranty insurers and title insurers.

Ins 51.01(9)(b) (b) One or more persons otherwise excepted from the definition of insurer under par. (a) if the commissioner finds that compliance with this subchapter will improve the efficiency and effectiveness of the office’s solvency monitoring and the commissioner requires the person to comply as an insurer under this subchapter.

Ins 51.01(10) (10) “Life or health insurer” means any insurer licensed to write life, annuity or health insurance or 2 or more of those lines. A “life or health insurer” includes a fraternal insurer but does not include a health maintenance organization insurer as defined in s. 600.03 (23c), Stats., or an insurer writing only limited service health organization business as defined in s. 609.01 (3), Stats.

Ins 51.01(11) (11) “Mandatory control level event” means any of the following events:

Ins 51.01(11)(a) (a) The filing of a risk based capital report which indicates that the insurer’s total adjusted capital is less than its mandatory control level risk based capital.

Ins 51.01(11)(b) (b) Notification by the commissioner to the insurer of an adjusted risk based capital report that indicates the event in par. (a), if the insurer does not challenge the adjusted risk based capital report under s. Ins 51.50.

Ins 51.01(11)(c) (c) If, pursuant to s. Ins 51.50, the insurer challenges an adjusted risk based capital report that indicates the event in par. (a), notification by the commissioner to the insurer that the commissioner has, after a hearing, rejected the insurer’s challenge.

Ins 51.01(12) (12) “Mandatory control level risk based capital” means the product of .70 and the authorized control level risk based capital.

Ins 51.01(13) (13) “NAIC” means the national association of insurance commissioners.

Ins 51.01(14) (14) “Negative trend” means an adverse trend test result, as determined in accordance with the trend test calculation included in the risk based capital instructions.

Ins 51.01(15) (15) “Property and casualty insurer” means any insurer licensed to sell property or casualty insurance.

Ins 51.01(16) (16) “Regulatory action level event” means any of the following events:

Ins 51.01(16)(a) (a) The filing of a risk based capital report by an insurer which indicates that the insurer’s total adjusted capital is greater than or equal to its authorized control level risk based capital but less than its regulatory action level risk based capital.

Ins 51.01(16)(b) (b) The notification by the commissioner to an insurer of an adjusted risk based capital report that indicates the event in par. (a), if the insurer does not challenge the adjusted risk based capital report under s. Ins 51.50.

Ins 51.01(16)(c) (c) If, pursuant to s. Ins 51.50, the insurer challenges an adjusted risk based capital report that indicates the event in par. (a), the notification by the commissioner to the insurer that the commissioner has, after a hearing, rejected the insurer’s challenge.

Ins 51.01(16)(d) (d) The failure of the insurer to file a risk based capital report by the March 1, unless the insurer has provided an explanation for such failure which is satisfactory to the commissioner and has cured the failure within ten days after March 1.

Ins 51.01(16)(e) (e) The failure of the insurer to submit a risk based capital plan to the commissioner within the time period set forth in s. Ins 51.15 (2).

Ins 51.01(16)(f) (f) Notification by the commissioner to the insurer of all of the following:

Ins 51.01(16)(f)1. 1. The risk based capital plan or revised risk based capital plan submitted by the insurer is, in the judgment of the commissioner, unsatisfactory.

Ins 51.01(16)(f)2. 2. Such notification constitutes a regulatory action level event with respect to the insurer, provided the insurer has not challenged the determination under s. Ins 51.50.

Ins 51.01(16)(g) (g) If, under s. Ins 51.50, the insurer challenges a determination by the commissioner under par. (f), the notification by the commissioner to the insurer that the commissioner has, after a hearing, rejected such challenge.

Ins 51.01(16)(h) (h) Notification by the commissioner to the insurer that the insurer has failed to adhere to its risk based capital plan or revised risk based capital plan, but only if such failure has a substantial adverse effect on the ability of the insurer to eliminate the company action level event in accordance with its risk based capital plan or revised risk based capital plan and the commissioner has so stated in the notification, provided the insurer has not challenged the determination under s. Ins 51.50.

Ins 51.01(16)(i) (i) If, under s. Ins 51.50, the insurer challenges a determination by the commissioner under par. (h), the notification by the commissioner to the insurer that the commissioner has, after a hearing, rejected the challenge.

Ins 51.01(17) (17) “Regulatory action level risk based capital” means, with respect to any insurer, the product of 1.5 and its authorized control level risk based capital.

Ins 51.01(18) (18) “Revised risk based capital plan” means a risk based capital plan prepared by an insurer with or without the commissioner’s recommendation after the original plan is rejected by the commissioner.

Ins 51.01(19) (19) “Risk based capital instructions” means the risk based capital report including risk based capital instructions adopted by the NAIC, as of September 1, 1996, and, if approved in writing by the commissioner, the risk based capital report and instructions as amended by the NAIC from time to time in accordance with the procedures adopted by the NAIC.

Ins 51.01(20) (20) “Risk based capital level” means an insurer’s company action level risk based capital, regulatory action level risk based capital, authorized control level risk based capital, or mandatory control level risk based capital.

Ins 51.01(21) (21) “Risk based capital plan” means a comprehensive financial plan containing the elements specified in s. Ins 51.15 (1).

Ins 51.01(22) (22) “Risk based capital report” means the report required under s. Ins 51.05.