BILL ANALYSIS                                                                                                                                                                                                    






                      SENATE COMMITTEE ON BANKING, FINANCE,
                                   AND INSURANCE
                           Senator Jackie Speier, Chair


       AB  243 (Vargas)                        Hearing Date: June 29, 2005

       As Amended June 14, 2005
       Fiscal:             Yes
       Urgency:       No

       VOTES:         Asm. Ins. (4/27/05):8-2/ Pass
                 Asm. Floor          (6/01/05):52-24/ Pass

        SUMMARY
        
       Would permit consumers and others with life insurance policies to  
       sell their in-force policies to companies that wish to buy them,  
       rather than merely allowing the policies to lapse or to be  
       surrendered to the insurer
        
       DIGEST
         
       Existing law
         
         1.  Regulates, through the insurance code,  viatical  
           settlements  --the sale of a life insurance policy by a person  
           with a catastrophic or life-threatening condition-to purchasers  
           other than the insurer for anything less than the death  
           benefits of the insurance policy, but does  not  separately  
           define or regulate  life settlements  except insofar as life  
           settlements may be deemed securities, thereby governed by the  
           corporations code, under some circumstances (see #12 and #13,  
           below);

         2.  Does not define catastrophic or life-threatening condition,  
           despite relying on this term of art to identify viatical  
           settlements;

         3.  Permits the purchasers of viatical settlements to collect the  
           death benefit of the policy upon the death of the covered  
           individual;

         4.  Prohibits the purchaser of the policy from paying for loans,  
           cash surrender values or other benefits made by the insurer  
           prior to sale;





                                              AB 243 (Vargas), PageB




         5.  Requires the purchaser of a viatical settlement to obtain a  
           doctor's determination that the seller is of sound mind and  
           under no constraint or undue influence, and a witnessed  
           signature of the seller on an acknowledgement of complete  
           understanding of the settlement and the related death benefits;

         6.  Makes it a misdemeanor to fail to obtain #5;

         7.  Establishes a separate license for viatical settlement sales,  
           requirements for holding and surrendering the license,  
           penalties for violations of the standards of sale, requirements  
           to file a copy of each viatical settlement with the Department  
           of Insurance (DOI), disclosures by sales representatives of  
           alternatives to viatical sales and possible ineligibility for  
           public programs as a result of a settlement, and broad powers  
           of the Insurance Commissioner (IC) to regulate the affairs of  
           viatical settlement companies;

         8.  Defines an insurable interest for purposes of life insurance  
           as "?.an interest based upon a reasonable expectation of  
           pecuniary advantage through the continued life, health or  
           bodily safety of another person and consequent loss by reason  
           of that person's death or disability or a substantial interest  
           engendered by love and affection in the case of individuals  
           closely related by blood or law";

         9.  Establishes that a person has an "unlimited insurable  
           interest" in their own life;

         10.  Further establishes that employers have an insurable  
           interest in their own employees or officers and directors when  
           the death of those persons would cause financial loss to the  
           employer;

         11.  Notwithstanding #10, prohibits issuing life insurance on  
           employees except those that are "exempt" employees pursuant to  
           Labor Code Section 515 (generally non-hourly employees);

         12.  Defines viatical and life settlements as securities but  
           exempts the offer or sale of viatical or life settlements, or  
           fractionalized interests therein, from qualifying as a security  
           if sold to qualified purchasers, including investment pools  
           and, broadly speaking, other types of sophisticated investors;

         13.  Makes the exemption in #12 contingent upon a number of  





                                              AB 243 (Vargas), PageC



           disclosures regarding the offering, including but not limited  
           to the name and address of the issuer, meeting suitability  
           standards for an investor, a description of the issuer's type  
           of business, audit reports, notice of right to rescind the  
           purchase of the security, etc.

         14.  Permits life agents to offer viatical and life settlements  
           exempted under #12 without having to obtain a broker-dealer  
           (securities) license.
            
        This bill

       1.  Would include within the definition of a viatical settlement an  
           agreement with a seller of an insurance policy (viator) to  
           transfer ownership or change the beneficiary designation at a  
           later date regardless of the date that compensation is paid to  
           the viator;

        2.  Would define "catastrophic or life threatening illness" to  
           mean any of the following:

            a.     An illness or condition that can reasonably be expected  
              to result in death in 24 months or less;
            b.     An inability to perform at least two activities of  
              daily living, including eating, toileting, transferring,  
              bathing, dressing and continence;
            c.     Severe cognitive impairment requiring substantial  
              supervision to protect the individual from threats to his or  
              her health and safety;
            d.     A level of disability similar to that described in (c),  
              as determined by the Secretary of Health and Human Services;

        3.  Would establish a detailed body of law to regulate the life  
           settlements industry, including, but not limited to, the  
           following:

            a.     A definition of "advertising," "business of life  
              settlements," "financing entity," and "fraudulent life  
              settlement act" (page 5);

            b.     A prohibition on fraudulent acts that, generally  
              speaking, would define as fraudulent those acts and  
              omissions or material misrepresentations of the transaction  
              of the sale of a life settlement contract to a buyer, and  
              including material misrepresentations of the terms of an  
              application of a life settlement contract, how premiums of  





                                              AB 243 (Vargas), PageD



              the existing policy would be paid, rules regarding changes  
              in ownership, a financing provision, etc.; (pages 5 - 6)

            c.     A prohibition of various actions that would further a  
              fraud or prevent the detection of fraud, such as hiding the  
              assets of a life settlements company or person engaged in  
              the business, destroying or moving records, filing false  
              evidence with the IC or with another jurisdiction,  
              recklessly brokering or otherwise dealing in a life  
              settlement contract, facilitating the change of the state of  
              a viator to avoid being covered by the law of California  
              (pages 6 - 7);

            d.     A definition of a life settlement contract, generally  
              speaking, as a written agreement establishing the terms  
              under which compensation or anything of value will be paid,  
              which compensation or value is less than the expected death  
              benefit of a policy, in return for the seller's assignment,  
              transfer, sale, devise, or bequest of the death benefit or  
              ownership of any portion of the policy, and an agreement to  
              transfer ownership or change the beneficiary at a later  
              date, but not including a viatical settlement (as defined  
              above in "Existing law, #1) (page 7);

            e.     A definition of "life settlement provider" as a   
              person, other than a seller, who enters into or effectuates  
              a life settlement contract, but not including (among others)  
              banks, savings and loans, the act of taking assignment of a  
              policy for a loan, financing entities, special purpose  
              entities, accredited investor or qualified institutional  
              buyers (page 8);

            f.     A definition of "life settlement broker" as, generally  
              speaking, those who earn a commission from providers for  
              negotiating life settlement contracts between sellers and  
              providers (page 7);

            g.     A requirement that a person operating as a life  
              settlement provider first obtain a license as a viatical  
              settlement provider (page 9);

            h.     A prohibition on a person operating as a life  
              settlement broker unless they have been a licensed  
              California life insurance agent for at least one year, and  
              contingent upon the filing a notice with the DOI that they  
              are brokering life settlements, such notice being filed  





                                              AB 243 (Vargas), PageE



              within 30 days  after  they begin to broker such settlements  
              (pages 9 bottom, 10 top);

            i.     A grant of authority to the IC to suspend, revoke or  
              refuse to issue a license to a provider, as specified (page  
              10), to impose similar restrictions on licensing of brokers  
              (page 11), and to further impose penalties of not more than  
              $10,000 for each violation of the law by a provider and not  
              more than $5,000 for each violation by a broker (page 11);

            j.     A requirement that a life settlement provider file  
              specified information as an annual statement to the IC on or  
              before March 1st, and a prohibition on the disclosure of  
              medical information, financial information or the  
              identification of the insured to any person except when the  
              disclosure is necessary in response to an investigation by  
              the IC or as otherwise specified (pages 12 - 13);

            aa.A requirement that the following disclosures be made to the  
              seller by either the provider or broker (pages 13 - 14):

                     i.     Possible alternatives to life settlements;
                     ii.    A statement that the broker represents only  
                      the seller and owes a duty to the seller to act  
                      according to the seller's instructions and in the  
                      best interests of the seller;
                     iii.   Some of the proceeds may be taxable;
                     iv.    Receipt of proceeds may adversely impact the  
                      seller's eligibility for Medicare benefits;
                     v.     The seller has the right to rescind the sale  
                      for either 30 days after the settlement contract  
                      date or 15 days after receipt of proceeds, whichever  
                      comes first, and the seller must notify the provider  
                      and return funds and pay the fees that were  
                      otherwise paid by the provider for the transaction  
                      (right of rescission at lines 38-40 page 13 and  
                      lines 1 - 11 page 14);
                     vi.    Funds will be sent to the seller within three  
                      business days after the insurer acknowledges that  
                      the ownership of the policy has changed;
                     vii.   An explanation of other rights under the  
                      policy of life insurance that may be impacted by the  
                      life settlement;
                     viii.  A health exam may be required for the  
                      settlement;






                                              AB 243 (Vargas), PageF



            bb.A requirement for various other disclosures and mandatory  
              language prior to the sale being made (pages 14 - 15);

            cc.A requirement that a doctor submit a written statement that  
              the seller is of sound mind and under no constraint or undue  
              influence (page 15);

            dd.A requirement that the seller consent to release of medical  
              information if the seller acquired the life insurance within  
              the prior three years (page 16);

            ee.A requirement for witnessed documents of consent to the  
              sale of the life policy, including a requirement that  
              terminal patients state that the condition was diagnosed  
              after the policy was obtained (page 16);

            ff.A prohibition on entering into a life settlement contract  
              within two years of the purchase of the life policy, except  
              as specified (page 18);

            gg.A provision permitting a life settlement provider to resell  
              the contract to another life settlement provider;

            hh.     A provision prohibiting the life settlement company  
              from paying various fees that might be incurred  
              (doctor/lawyer/accountant) by a seller;

            ii.Broad language prohibiting fraudulent acts and granting the  
              IC extensive powers to combat fraudulent acts (pages 19 -  
              23);

            jj.      Language specifying that nothing in the law shall  
              preempt or otherwise limit application of the securities  
              laws to these transactions;

            aaa.Delays operation of Sections 10127.24 and 10127.34 until  
              January 1, 2006, and of all other provisions of the bill  
              until April 1, 2006.

        COMMENTS

         1.   Purpose of the bill  .  To permit life insurance policyholders  
           to sell their policies to someone who is not the original  
           insurer (a.k.a. a life settlement company).  

          2.  Background  . 





                                              AB 243 (Vargas), PageG



        
            Life settlement vs. viatical-what's the difference?  Some would  
           argue that there is no difference because of the mathematics of  
           viatical and life settlements.  This is fair.  Determining the  
           likelihood that someone will die at a future date is the same  
           for both types of settlements.  However, this similarity also  
           misses a major point of distinction.  Viatical settlements, at  
           least historically, have been made with people who are  
           terminally ill.  The fact that these persons are terminal makes  
           them prey for unscrupulous buyers of their life insurance.   
           This has necessitated a great deal of regulatory action. The  
           market for viatical settlements flourished for a period of time  
           and is now, according to supporters of this bill, relatively  
           minimal because of problems with fraud in the viaticals market.  
            

           Life settlements typically involve the sale of life insurance  
           by someone who is between 65 and 70 years of age.  While they  
           may not be in perfect health, there is arguably no urgency to  
           sell the life insurance policy. The seller therefore has more  
           time to shop the market for buyers, and more opportunities to  
           reject inadequate offers or, in extreme cases, to seek legal  
           counsel if the deal sours.  The lack of urgency, arguably, may  
           give sellers many more opportunities to defend their interests  
           in these types of transactions.

           Basic public policy issue.  Despite the length of this bill and  
           the apparent complexity of the topic, one basic public policy  
           question posed by the bill is quite simple:  "Should those who  
           have life insurance policies be able to sell them or assign the  
           benefits, beyond simply allowing the policy to lapse or  
           surrendering the policy to the insurer for its cash surrender  
           value?"  

           Who is the seller?  Discussions of this bill may lead one to  
           believe that sellers will be individuals.  However, it should  
           be noted that companies may also sell life policies that they  
           purchase.  Companies often purchase "key man" life insurance  
           policies on key senior executives who are so important to the  
           ongoing financial health of the company that their death would  
           severely damage the company's capacity to continue.  These  
           policies would also be regulated at time of sale under the  
           provisions of AB 243.  Recent California law bans "janitor  
           insurance" that some companies purchased as a speculative  
           investment on their non-exempt employees (such as janitors and  
           other hourly workers).  





                                              AB 243 (Vargas), PageH




           The state of current law.  In the context of catastrophic or  
           life-threatening disease, California law already permits  
           viatical settlements to exist, and the state regulates them.  
           California does not yet regulate life settlements, except  
           insofar as they are securities, but they already exist.

           The issue of viatical settlements arose, in part, as a result  
           of the AIDS epidemic. Those with life insurance policies and  
           obligations to meet end-of-life care began to sell their death  
           benefits.  As noted above, these sales became fraught with  
           problems of abuse as persons who were desperate for financial  
           options in the midst of crippling disease were victimized.  The  
           value received by sellers, many of whom were in pain or  
           operating under financial duress, was often minimal compared to  
           the death benefits.  Financial benefits of sales were sometimes  
           delayed or denied as severely ill persons struggled to make  
           ends meet, and some died before resolution of disputes with  
           buyers.

           Viatical settlements were first regulated by California in 1990  
           and the law was last amended in 1997.  Various protections were  
           created so that sellers were able to obtain disclosure and  
           guarantees of rescission, as well as remedies through the DOI,  
           such as fraud investigations and licensing actions.  

           In information provided by Coventry First to the committee, the  
           Wall Street Journal of May 26, 2005 noted that "A controversial  
           new life-insurance pitch promises free or low-cost coverage to  
           wealthy people over 70.  The catch:  a complete stranger could  
           benefit from their death.  A financing company lends you or a  
           family trust money so that you can buy a large insurance policy  
           on your life.  The loan lasts for at least two years.  If you  
           die during the loan period, your estate must pay back the loan,  
           plus interest and fees.  What's left goes to your heirs.  If  
           you survive, you can keep the policy and pay back the loan.  Or  
           you can transfer the policy to the lender?.This type of  
           transaction is known as non-recourse premium financing?  
           Critics, including some insurance companies, contend the  
           practice alters the purpose of life insurance by treating it as  
           an investment vehicle for outside speculators."  

           Coventry First also provided the committee with other articles.  
            In a May 31, 2005 article, the Wall Street Journal cited a new  
           report (funded by MassMutual Financial Group) from Deloitte  
           Consulting and the University of Connecticut that found that it  





                                              AB 243 (Vargas), PageI



           is best to simply keep policies so that the wealth of an estate  
           can be maximized.  This same study found, however, that selling  
           a life insurance policy to a life settlement company is often  
           better than surrendering the policy to the insurer for the cash  
           surrender value.  Of 534 life settlement contracts studied in  
           New York, the companies paid, on average, 20% of the face  
           amount of the policy.<1>  In contrast, according to the study,  
           "?..'the intrinsic economic value of the policy'-the estimated  
           future payout minus future premium costs-was an estimated 64%  
           of the policy's face amount."<2>

           According to the Life Settlement Institute, insurers tend to  
           discourage life settlements because 88% of all universal life  
           insurance policies never result in a death claim.<3>  
           
       3.   Support  .  Coventry First is a large life-settlement company.   
           Coventry believes that life settlements permit policyholders to  
           obtain higher payments for unneeded life insurance than would  
           be the case if the policyholder simply surrendered the policy  
           to the insurer and accepted the cash surrender value.  The bill  
           is "based on the Model Viatical Settlements Act developed by  
           the National Association of Insurance Commissioners."  The act  
           regulates both viatical and life settlements under one act.   
           [Staff notes that AB 243 defines life and viatical settlements  
           separately and is therefore a departure from the Model Act,  
           although the sponsors believe that this departure makes the law  
           clearer.] 

        4.       Neutral/Opposition  . The Association of California Life &  
           Health Insurance Companies is neutral on the bill as in print  
           on June 14, 2005.

           The DOI is neutral on this bill if it is amended to deal with  
           substantial shortcomings perceived by the DOI in the current  
           language and approach to public policy problems.  DOI generally  
           supports statutory language in the area of life settlements  
           because it is currently unregulated.  These are excerpts from  
           the DOI's letter.  DOI personnel will be present to elaborate  
           on these excerpts:  

           Our main problems with AB 243 are:  (1) it provides a  
           ----------------------------
       <1> Wall Street Journal, May 31, 2005, Page D2.
       <2> Ibid.
       <3> The Life Settlement Institute is an industry trade group of  
       life settlement providers.  Coventry is a member of the Life  
       Settlement Institute.




                                              AB 243 (Vargas), PageJ



           definition of "catastrophic and life threatening" that is too  
           narrow and eliminates conditions such as AIDS, coronary artery  
           disease requiring surgery and other serious conditions; (2) it  
           exempts third party funding entities from licensure as life  
           settlement providers; (3) it requires a "knowingly" or intent  
           to defraud" standard for fraudulent settlement acts, and  
           contains other enforcement provisions that are inconsistent  
           with the Insurance Code; (4) it allows life producers to  
           transact life settlements without having to obtain a license  
           which is a problem given our experience in the viatical arena;  
           (5) the reporting requirements are too narrow; (6) the  
           disclosure requirements are too narrow; and (7) the proposed  
           legislation provides for something less than an unconditional  
           right of rescission to sellers of a policy.

              DOI then offered amendments to deal with every perceived  
           shortcoming in the bill.  Staff is recommending at least one of  
           those amendments, below, and the DOI will be present to explain  
           all of its suggestions.  

              Regarding a key definition in the bill, the DOI had these  
           comments:

           Replace the definition of "catastrophic or life threatening" to  
           comport with the Department's long-standing interpretation of  
           what constitutes a viatical settlement.  The proposed  
           legislation's definition is too narrow, and creates a standard  
           where one could reasonably question whether or not individuals  
           meeting the criteria have the requisite capacity to engage in a  
           viatical settlement transaction.  Moreover, the industry's  
           proposed definition would prevent the inclusion of many  
           conditions that the Department currently considers  
           "catastrophic or life threatening," the most common of which is  
           AIDS.  

           The DOI continued:  Section 10113.209(a)(3)'s reference to  
           persons with a "terminal or chronic illness" underscores that  
           the effect of AB 243 weakens the Commissioner's current  
           jurisdiction over viatical settlements.   That is, under the  
           Commissioner's existing interpretation of "catastrophic or life  
           threatening," persons with a terminal or serious, chronic  
           illness would typically qualify for a viatical as opposed to a  
           life settlement.  Similarly, Section 10113.208(a)(11) regulates  
           the frequency of contacts where the insured has a life  
                                                                         expectancy of "one year or less."  Such individuals, however,  
           clearly fall within the area of viatical, as opposed to life  





                                              AB 243 (Vargas), PageK



           settlements.  Thus, the Commissioner believes that the effect  
           of these provisions weakens the Department of Insurance's  
           existing jurisdiction to regulate viatical settlements. 

               Other comments about the bill.   Staff received a phone call  
           from a viatical settlements broker who was fervently opposed to  
           the bill, and she stated that others would soon be calling the  
           committee.  Ms. Carol Fiedler (Corte Madera) opposes the bill  
           for many reasons.  First, she believes that the persons who are  
           selling these policies should be referred to a licensed  
           viatical settlements broker, and she believes that life  
           settlements should only be sold by those who hold a viatical  
           settlements license.  Life insurance agents, who could sell  
           policies on behalf of buyers pursuant to the language in the  
           bill, simply don't have the proper training, she believes, to  
           best represent the interests of consumers. 

           Furthermore, they may try to send the policy and confidential  
           medical information to all potential buyers rather than  
           focusing on those most likely to buy.  This means that the  
           confidential information will be spread around many businesses,  
           all with the possibility of privacy violations.  She notes that  
           life agents won't have to even send in the minimal paperwork  
           and fee to notify the DOI of the agent's sales until 30 days  
           after the first sale.  She strongly advises that at least these  
           agents be required to first send in the notice and fee so that  
           they are on record with the DOI in advance of selling to  
           consumers.
           
        5.      No comments from the Department of Corporations  .  Staff has  
           received no formal comments from the Department of Corporations  
           (DOC).  Staff is aware that a letter was sent by the DOC to  
           Coventry in February, and that responses to that letter were  
           only recently received by the DOC.  Staff does not have the  
           responses, but the letter generally was a wide-ranging inquiry  
           based upon the language of the bill at that time.  Since that  
           time, the bill was amended to make clear that nothing in the  
           bill is intended to preempt or limit the application of the  
           California Uniform Securities Act or the authority of the  
           Commissioner of Corporations (Proposed Section 10127.34).  

           Staff is aware that the DOC has few, if any, investigators to  
           conduct investigations into fraud that may occur should the  
           market for life settlements begin to grow in dollar volume.   
           Fraud, if it happens, would likely occur in the sale of  
           interests in life settlement providers or in pools of life  





                                              AB 243 (Vargas), PageL



           settlements that they offer to investors.  At the present time,  
           providers appear to be funded by relatively sophisticated  
           investors, AIG being a noteworthy investor in life settlements  
           originated through Coventry.  However, as the market becomes  
           regulated, supply and demand will fluctuate and at some point  
           an investment in pools of life settlements may become  
           relatively inexpensive.  This would probably result in pool  
           investors who are far less sophisticated than AIG. This would  
           suggest that fraud on investors would increase unless the DOC  
           is actively supervising the market.

        6.       Questions  .  
             
           a.    The Department of Corporations has few, if any,  
             investigators to conduct investigations into fraud that may  
             occur should the market for life settlements investments  
             begin to grow in dollar volume.  

                      i.              Should the bill be amended to create  
                       a requirement that life settlement providers pay a  
                       specified fee to the DOC for purposes of supporting  
                       a small staff of fraud investigators, at least for  
                       a period of time such as the next five years?  It  
                       may be in the interests of providers, as well as  
                       the public and investors, that this regulatory  
                       capacity be established.

           b.   It is difficult for staff to offer informed analysis of  
             the securities implications of this bill without the formal  
             input of the DOC.  Should the bill be amended to require the  
             DOC to promulgate regulations about life settlements? 

           c.    How will an expanding market in life settlements  
             influence the price of life insurance?

           d.    Is there a standard way to compare the offers of various  
             life settlement providers in an "apples-to-apples" fashion to  
             evaluate the relative merits of different offers?  If so,  
             should this standard comparison technique either be required  
             by law within this bill or developed through regulation, in  
             order to ensure that sellers have the best available tools to  
             evaluate offers?

           e.    Should life settlement brokers be required to have  
             separate licenses, as the DOI recommends?  Would this result  
             in sellers only being able to deal with brokers who have a  





                                              AB 243 (Vargas), PageM



             specific interest in getting the policy sold, rather than  
             dealing with brokers who could help a seller identify the  
             broader interest in determining if a sale is even prudent?

       7.        Suggested Amendments  . 

       a.    First, it's important to understand that the bill separates  
             out viatical settlements and life settlements for purposes of  
             regulation.  In the process of doing so, the bill defines the  
             concept of life-threatening and catastrophic illness, a term  
             currently invoked but undefined in California law.   

              California law presently requires that a viatical settlement  
             agreement be accompanied by a doctor's statement that the  
             person who is entering into the settlement is of sound mind  
             (page 4, starting at line 8). This bill defines a person with  
             a life-threatening or catastrophic illness as one who,  among  
             other things  , is a person who has "severe cognitive  
             impairment requiring substantial supervision to protect the  
             individual from threats to his or her health and safety"  
             (page 3, lines 22 - 24).   These two provisions of the bill  
             are logically at-odds with each other and the bill should not  
             be passed without this problem being resolved.  

             Staff is recommending that the DOI's definition of  
             catastrophic or life-threatening illness or condition" be  
             adopted (see "c," below).  It is based upon the DOI's  
             experience in trying to regulate viatical settlements and in  
             trying to assist California consumers or their survivors, and  
             is therefore arguably a more informed standard than the NAIC  
             model that is supported by the proponents of the bill.  At  
             least in staff's judgment, NAIC models tend to be a  
             compromise amongst various state regulators, a form of  
             informed judgment but not one that necessarily reflects the  
             history of California on any given subject.  

             Adopting the DOI's definition would eliminate the current  
             inconsistency in the bill's language.  If the committee  
             chooses  not to adopt  the DOI's definition, then staff  
             recommends that lines 14 - 27 on page 3 be deleted.  One  
             simply cannot seriously argue that a person with severe  
             cognitive impairment requiring substantial supervision is a  
             person who might receive a doctor's note saying that they are  
             mentally competent to enter into a viatical agreement.   

            b.   On page 4 at line 8, strike the term "licensed medical  





                                              AB 243 (Vargas), PageN



             practitioner" and insert "medical doctor licensed pursuant  
             to" and then insert the appropriate code citation for a  
             California-licensed medical doctor.  It would be bad public  
             policy to permit a chiropractor who is a licensed medical  
             practitioner to certify the mental competency of the seller.   
             Staff is recommending this amendment due to past history on  
             this issue.  The mentally-deranged individual who rammed his  
             semi-tractor-trailer truck onto the steps of the California  
             State Capitol was licensed as a truck driver.  Obtaining a  
             license required a physical exam and the exam included a  
             conclusion by the examining physician as to mental  
             competency. The truck driver received his favorable physical  
             examination from an out-of-state chiropractor.

           c.   On page 10 at line 4, strike "after" and insert "before".   
             On page 10 at line 12, after "article." Insert:  "The life  
             and disability insurance agents shall file with the  
             commissioner a declaration that the person's life and  
             disability agent license is valid and in good standing.  If  
             the commissioner determines that the agent's life and  
             disability agent license is invalid or not in good standing,  
             or the agent failed to submit any additional information  
             requested by the commissioner, the commissioner may suspend  
             the agent's ability to transact or to otherwise be involved  
             in life settlements."

             The bill proposes to permit an agent to begin selling life  
             settlements and then to notify the DOI afterwards.   Staff  
             recommends that the agent be required to notify the DOI  
              before  beginning to sell, and the DOI can then determine if  
             the person has a troubled history and take action to prevent  
             an agent with a troubled history from being a life settlement  
             broker.  The language of this proposed amendment is similar  
             to that governing viatical brokers as set forth in Section  
             10113.1 (a) (2), although viatical brokers are also required  
             to hold a specific license as a viatical broker.  Staff's  
             proposed amendment would not result in a separate license  
             being required of life settlement brokers.

           d.   Adopt the DOI's recommended definition of catastrophic or  
             life threatening illness or condition to conform to the DOI's  
             current interpretation of this key term, as well as to  
             account for diseases with evolving treatment possibilities  
             (such as AIDS or some forms of cancer):

             Section 10113.1(a) (3) should be amended to provide the  





                                              AB 243 (Vargas), PageO



             following definition of "catastrophic or life threatening:"
            (a)     an illness or condition that can reasonably be  
               expected to result in death in twenty four (24) months or  
               less;
            (b)     a medical condition that has required or requires  
               extraordinary medical intervention, such as a major organ  
               transplant or continuous artificial life support, without  
               which the insured person would die;
            (c)     any condition that usually requires continuous  
               confinement in a nursing home, convalescent center or other  
               care facility, if the insured person is expected to remain  
               there for the rest of his or her life;
            (d)     a medical condition that in the absence of extensive  
               or extraordinary medical treatment will result in a  
               dramatically limited life span.  Such medical conditions  
               include but are not limited to the following:
                (i)            coronary artery disease resulting in an  
                   acute infarction or requiring surgery
                (ii)      permanent neurological deficit resulting in  
                   acute form of cerebral vascular incident
                (iii)     end-stage renal failure; or
                (iv)      Acquired Immune Deficiency Syndrome.

            e. The bill should be amended to require that a life  
             settlement broker disclose the names of all providers to  
             which a policy was submitted and the offers made, if any, by  
             each provider.  This is consistent with the definition of a  
             life settlement broker that specifically states that the  
             broker operates in the interests of the seller (see page 7 at  
             line 34).  The person operating in the interests of the  
             seller should disclose what are, in effect, all bids for the  
             seller's property.

            f.    The term "financing entity" appears several times in the  
             bill.  It is defined on page 5 starting at line 13.  The DOI  
             indicated misgivings about whether there would be adequate  
             regulation of these entities.  The author should identify  
             which body of law governs  each  of the types of financing  
             entities described on page 5 at line 13 so that committee  
             members can ask the question, "Would that body of law  
             adequately protect an investor in this financing entity who  
             hopes to be involved in life settlements?"   If the answer is  
             "no" then staff recommends that the committee eliminate the  
             named financing entity from the bill.
         
         8.   Prior Legislation  . 





                                              AB 243 (Vargas), PageP



        
            SB 2281, Chapter 1418, Statutes of 1990:  Established the law  
           governing viatical settlements.  

           SB 1837, Chapter 705, Statutes of 2000, Figueroa:  Created  
           exemption for specified types of viatical and life settlements  
           from securities law and placed these transactions under  
           provisions of the insurance code.
             
           AB 226, Chapter 328, Statutes of 2003 (Vargas):  Prohibited the  
           sale of "corporate owned" (a.k.a. "janitor policies"), as  
           specified, in which companies purchased life insurance policies  
           on a broad number of employees and didn't tell them that the  
           policies existed, yet reaped the financial rewards if employees  
           died.
        
       POSITIONS
       
       Support
        
       Coventry First (sponsor)

       Neutral

        The Association of Life & Health Insurance Companies

        Neutral if amended

        Department of Insurance
        
       Oppose
            
       Carol Fiedler, Viatical Settlements Broker, Corte Madera

        No position

        California Department of Corporations

       Consultant:   Brian Perkins  916-651-4102