Untitled Texas Attorney General Opinion

The Attorney General of Texas JIM MATTOX Auj:Ist13, 1984 Attorney General Supreme Court Building Mr. Lyndon L. Olson, Jr. Opinion NO. JM-187 P. 0. BOX 12548 Chairman Austin. TX. 78711. 2548 State Board of Insurance Re: Reconsideration of JM-88: 512l475.2501 1110 San Jacinto Boulevard Whether the Insurance Code Telex 910/874-1387 Telecopier 512l475.0286 Austin, Texas 78786 per se prohibits certain finan- cial arrangements between a life insurance company and its sub- 714 Jackson. Suite 700 sidiary which is compensated on Dallas, TX. 752024508 a percentage of annual premiums 2141742.8944 written 4824 Alberta A”.%, Suite 160 Dear Mr. Olson: El Paso, TX. 79905.2793 915/533-3464 You have reque!;teda reconsideration of ~~-88 regarding whether all financing arrangements between a parent life insurance company and hW Texas. Suite 700 an affiliate which are based on a fee computed on a percentage of .mston, TX. 77002.3111 annual premiums written are per se prohibited by article 3.68, or ?13/2234666 whether they are su>ject to the fair and reasonable test set out in article 1.29 and article 21.49-1, section 4, of the Texas Insurance Code. You have no': raised any question about the reasoning of JM-88 606 Broadway, Suite 312 Lubbock, TX. 79401-3479 that article 3.68 applies to arrangements between foreign corporations 8061747-5233 regarding out of si:ate business, and we reaffirm the conclusion of JR-88 as to that matter. However, upon reconsideration, we withdraw those portions of the reasoning and conclusions of JM-88 which hold 4309 N. Tenth. Suite S that any arrangement by which a life insurance company pays a fee k&Allen, TX. iS501-15S5 512f682.4547 based on the number of policies sold, to a subsidiary having the same president and secretary as the parent company per se violates article 3.68 of the Texas lr,suranceCode. 200 Main Plaza. Suite 400 San Antonio, TX. 782052797 512,225-4191 The question addressed by JM-88 asked whether a life insurance company was permitix!dto compensate another corporation with officers in common for the provision of certain services, when such An Equal Opportunity/ compensation was bar,edon a percentage of net premiums received by the Affirmative Action Employer insurance company from non-Texas business. You advised that it was the long-standing construction of your agency that article 3.68 prohibited certain "officers" of a life insurance company from receiving any com)+?nsation based on a percentage of the business produced by their cx~mpapany. Our attention was called to a letter dated MY 29. 1926, fron an assistant attorney general regarding article 4745. V.T.C.S., whL:h was later transferred unchanged to article 3.68 of the Insurance Code. See Attorney General Letter Opinion Book 281 (1926). page 106. - p. 816 Mr. Lyndon L. Olson, Jr. - :?.ige 2 (m-187) The only other applic;;tionwhich we found of article 3.68, also in its prior codification 8s article 4745, is contained in Attorney General Opinion O-5913 (19!,[). Neither of those opinions dealt with the meaning of the prohibic:orylanguage in the statute as applied to the situation at issue in y','lr request. No legislative history .?rovidesguidance as to the mesning of the statutory language which wa,3 originally section 7 of a 1909 enactment, other than the 1909 title, which indicates that the statute was one "making it unlawful to pay :ertain persons for procuring insurance." (Emphasis added). Acts 190 3, 31st Leg., 2d C.S., ch. 25, at 448. Nor does the subject matter of the remainder of that act give any further indication as to its purpose. Hence, we must ascertain the meaning and intention of the legislature from the language of article 3.68 as it has existed unchanged fcr over seven decades. -See 53 Tex. Jur. 2d Statutes 5130 (1964). The language in ques:ion prohibits the payment to certain "officers" of "any commissi~~:~ dr other compensation" if payment is (1) contingent upon the writing l)rprocuring of s policy of insurance in such company; or (2) [ccntingent upon] procuring an application therefor by x person whon.eoever;or (3) contingent upon the payment of x renewal premium; or (,i)[contingent] upon the assumption of 9 life insurance risk by suC1 company. Excluded from this prohibition of payment resulting from the listed actions are agents and solicitors. We think this exclusion is significant and is indicative of the objective of this seatute. An insurance agent is routinely compensated by commissions '>,%sed on his rates. Article 3.68 obviously prohibits payments to certstn specified non-sales personnel -- i.e. "president, vice president, secretary, treasurer, actuary, medical director . . . or . . . any officer of the company" -- for the types of activities listed above, all of which constitute discrete steps in the sale of life insurance .?,,licies. We think these references to specific steps 1~ the process of life insurance sales clarify the meaning of the use of the otherwise ambiguous word "any" in thl:enumeration of each action. See Black's Law Dictionary 86 (5th ed. 1379). The nature and context ofhis list indicate that the prohibition is directed at particular, individual transactions and was intentiazdto prevent only conflicts of interest between those persons who I'l'oduceapplications for insurance business in order to receive commissions therein, and those persons who have the responsibility to appruJz the applications for insurance on behalf of such companies and ther&,:rbind them on the policy. Indeed, two other Insul:anceCode provisions adopted in 1971 and otherwise unnecessary or :onflicting support this result. Both article 1.29, a broad conflict of interest statute, and article 21.49-1. a comprehensive l,egulatory scheme for insurance holding company systems test the Ill'oprietyof transactions within insurance holding company systems by standards of fairness, reasonableness, and p. a17 Mr. Lyndon L. Olson, Jr. - Page 3 (JM-187) other equitable bases. For example, section l(c)(S) of article 1.29 allows: (A) Any tranciactions within an insurance holding company r%:%tem by insurers with their holding companies, subsidiaries or affiliates that are not prohibitetlby law, that meet the test of being fair and pr#,:,er,and that are regulated by other statutes; ;nld (B) other transactions or arrangements not pxohibited by law that meet the test of being fa:.?.and proper as prescribed by rules and regulat:ionsadopted by the State Board of Insurance. Likewise, section 4. subsections (a)(l), (a)(2), and (d)(Z)(iii) of article 21.49-1 establishes that such transactions as "rendering of services on a regular or systematic basis" are governed by standards including "fair and equit%,Le" terms and "reasonable" charges and fees. Neither statute prohL)its, per se, payments to the subsidiary service corporation based on the amount of annual net premiums issued, this being a measure of thr value of work done by the affiliate for the parent company. We see no basis for concluding that article 3.68 ever prohibited payments such as those at ir;ruehere. Transactions such as those you have inquired about which are based on the volume of business transacted are not prohibited by article 3.68. SUMMARY A life insurance!company may base its payment to a wholly own1~11subsidiary corporation, for services rendered by the affiliate corporation, on the net premiums received by the parent life insurance company rrithoutviolating article 3.68, so long as the arrangement is consistent with article 1.29 and z,rticle 21.49-1, section 4, of the Insurance Code. JIM MATTOX Attorney General of Texas TOM GREEN First Assistant Attorney General p. ala Mr. Lyndon L. Olson, Jr. - 'hge 4 ~(JM-187) DAVID R. RICHARDS Executive Assistant Attorrq General Prepared by Colin J. Carl Assistant Attorney General APPROVED: OPINION COMMITTEE Rick Gilpin, Chairman David Brooks Colin Carl Susan Garrison Henry Robinson Nancy Sutton Bruce Youngblood p. 819