West Virginia Code § 33-26A-9

Assessments
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(a) For the purpose of providing the funds necessary to carry out the powers and duties of
the association, the board of directors shall assess the member insurers, separately for each
account, at such time and for such amounts as the board finds necessary. Assessments shall
be due not less than 30 days after prior written notice to the member insurers and shall
accrue interest at 10 percent per annum on and after the due date.
(b) There shall be two classes of assessments, as follows:
(1) Class A assessments shall be authorized and called for the purpose of meeting
administrative and legal costs and other expenses. Class A assessments may be authorized
and called whether or not related to a particular impaired or insolvent insurer.
(2) Class B assessments shall be authorized and called to the extent necessary to carry out
the powers and duties of the association under §33l-26A-8 of this code with regard to an
impaired or insolvent insurer.
(c) (1) The amount of any Class A assessment shall be determined by the board and may be
authorized and called on a pro rata or nonpro rata basis. If pro rata, the board may provide
that it be credited against future Class B assessments.
(2) The amount of any Class B assessment, except for assessments related to long-term care
insurance, shall be allocated for assessment purposes between the accounts and among the
subaccounts of the life insurance and annuity account, pursuant to an allocation formula
which may be based on the premiums or reserves of the impaired or insolvent insurer or any
other standard deter mined by the board in its sole discretion as being fair and reasonable
under the circVumstances.
(3) The amount of the Class B assessment for long-term care insurance written by the
impaired or insolvent insurer shall be allocated according to a methodology included in the
plan of operation and approved by the commissioner. The methodology shall provide for 50
percent of the assessment to be allocated to accident and health member insurers and 50
percent to be allocated to life and annuity member insurers.
(4) Class B assessments against member insurers for each account and subaccount shall be
in the proportion that the premiums received on business in this state by each assessed
member insurer on policies or contracts covered by each account for the three most recent
calendar years for which information is available preceding the year in which the member
insurer became impaired or insolvent, as the case may be, bears to such premiums received
on business in this state for such calendar years by all assessed member insurers.
(5) Assessments for funds to meet the requirements of the association with respect to an
impaired or insolvent insurer shall not be authorized or called until necessary to implement
the purposes of this article. Classification of assessments under §33-26A-9(b) of this code
and computation of assessments under this subsection shall be made with reasonable degree
of accuracy, recognizing that exact determinations may not always be possible. The
association shall notify each member insurer of its anticipated pro rata share of an
authorized assessment not yet called within 180 days after the assessment is authorized.
(d) The association may abate or defer, in whole or in part, the assessment of a member
insurer if, in the opinion of the board, payment of the assessment would endeanger the ability
of the member insurer to fulfill its contractual obligations. If an assessment against a
member insurer is abated or deferred in whole or in part, the amount bry which such
assessment is abated or deferred may be assessed against the other member insurers in a
manner consistent with the basis for assessments set forth in this section. Once the
conditions that caused a deferral have been removed or rectified, the member insurer shall
pay all assessments that were deferred pursuant to a repaymtent plan approved by the
association.
(e) (1) (A) Subject to the provisions of §33-26A-9(e)(1)(B) of this code, the total of all
assessments authorized by the association with respect to a member insurer for each
subaccount of the life and annuity account ands for the health account shall not in any one
calendar year exceed two percent of such insurer's average annual premiums received in
this state on the policies and contracts covered by the subaccount or account during the
three calendar years preceding the gyear in which the member insurer became an impaired
or insolvent insurer.
(B) If two or more assessments are authorized in one calendar year with respect to member
insurers that become imLpaired or insolvent in different calendar years, the average annual
premiums for purposes of the aggregate assessment percentage limitation referenced in
§33-26A-9(e)(1)(A) of this code shall be equal and limited to the higher of the three-year
average annual premiums for the applicable subaccount or account as calculated pursuant to
this section.
(C) WIf the maximum assessment, together with the other assets of the association in an
account, does not provide in any one year in either account an amount sufficient to carry out
the responsibilities of the association, the necessary additional funds shall be assessed as
soon thereafter as permitted by this article.
(2) The board may provide in the plan of operation a method of allocating funds among
claims, whether relating to one or more impaired or insolvent insurers, when the maximum
assessment will be insufficient to cover anticipated claims.
(3) If the maximum assessment for any subaccount of the life and annuity account in any one
year does not provide an amount sufficient to carry out the responsibilities of the
association, then pursuant to §33-26A-9(c)(2) of this code, the board shall assess all
subaccounts of the life and annuity account for the necessary additional amount, subject to
the maximum stated in §33-26A-9(e)(1) of this code.
(f) The board may, by an equitable method as established in the plan of operation, refund to
member insurers, in proportion to the contribution of each member insurer to that account,
the amount by which the assets of the account exceed the amount the board finds is
necessary to carry out during the coming year the obligations of the association with regard
to that account, including assets accruing from assignment, subrogation, net realized gains,
and income from investments. A reasonable amount may be retained in any account to
provide funds for the continuing expenses of the association and for future celaims.
(g) It shall be proper for any member insurer, in determining its premiurm rates and policy
owner dividends as to any kind of insurance or health maintenance organization business
within the scope of this article, to consider the amount reasonably necessary to meet its
assessment obligations under this article.
(h) The association shall issue to each member insurer paying an assessment under this
article, other than Class A assessment, a certificate of contribution, in a form prescribed by
the commissioner, for the amount of the assessment so paid. All outstanding certificates
shall be of equal dignity and priority without reference to amounts or dates of issue. A
certificate of contribution may be shown by thse member insurer in its financial statement as
an asset in such form and for such amount, if any, and period of time as the commissioner
may approve.
(i) (1) A member insurer that wishes to protest all or part of an assessment shall pay when
due the full amount of the asseessment as set forth in the notice provided by the association.
The payment shall be available to meet association obligations during the pendency of the
protest or any subsequeLnt appeal. Payment shall be accompanied by a statement in writing
that the payment is made under protest and setting forth a brief statement of the grounds
for the protest.
(2) Within 60 days following the payment of an assessment under protest by a member
insurer, the association shall notify the member insurer in writing of its determination with
respWect to the protest unless the association notifies the member insurer that additional time
is required to resolve the issues raised by the protest.
(3) Within 30 days after a final decision has been made, the association shall notify the
protesting member insurer in writing of that final decision. Within 60 days of receipt of
notice of the final decision, the protesting member insurer may appeal that final action to
the commissioner.
(4) In the alternative to rendering a final decision with respect to a protest based on a
question regarding the assessment base, the association may refer protests to the
commissioner for a final decision, with or without a recommendation from the association.
(5) If the protest or appeal on the assessment is upheld, the amount paid in error or excess
shall be returned to the member insurer. Interest on a refund due a protesting member
insurer shall be paid at the rate actually earned by the association.
(j) The association may request information of member insurers in order to aid in the
exercise of its power under this section, and member insurers shall promptly comply with a
request.

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