PRINTER'S NO. 3991
No. 2637 Session of 2006
INTRODUCED BY DeLUCA, BEYER, CALTAGIRONE, DeWEESE, FRANKEL, GRUCELA, JAMES, JOSEPHS, LaGROTTA, MELIO, MUNDY, PALLONE, PARKER, SHAPIRO, SIPTROTH, SOLOBAY, STABACK AND YOUNGBLOOD, APRIL 27, 2006
REFERRED TO COMMITTEE ON INSURANCE, APRIL 27, 2006
AN ACT 1 Providing for the regulation of service contracts and for the 2 powers and duties of the Insurance Commissioner. 3 TABLE OF CONTENTS 4 Section 1. Short title. 5 Section 2. Legislative intent. 6 Section 3. Definitions. 7 Section 4. Exemptions. 8 Section 5. Limited exemption. 9 Section 6. Requirements. 10 Section 7. Reimbursement insurance policies. 11 Section 8. Required disclosures for service contracts. 12 Section 9. Prohibitions. 13 Section 10. Recordkeeping. 14 Section 11. Cancellation of reimbursement insurance policy. 15 Section 12. Obligation of reimbursement insurance policy 16 insurers. 17 Section 13. Enforcement provisions.
1 Section 14. Severability. 2 Section 15. Effective date. 3 The General Assembly of the Commonwealth of Pennsylvania 4 hereby enacts as follows: 5 Section 1. Short title. 6 This act shall be known and may be cited as the Services 7 Contracts Act. 8 Section 2. Legislative intent. 9 The purpose of this act is to create a legal framework within 10 which specific service contracts may be sold and are regulated 11 in this Commonwealth. This act declares that service contracts, 12 as defined, are not insurance and are not otherwise subject to 13 provisions regarding the sale of insurance. It adds significant 14 consumer protections and eliminates unnecessary administration. 15 Section 3. Definitions. 16 The following words and phrases when used in this act shall 17 have the meanings given to them in this section unless the 18 context clearly indicates otherwise: 19 "Administrator." The person who is responsible for the 20 administration of service contracts or the service contracts 21 plan or who is responsible for any submission required by this 22 act. 23 "Commissioner." The Insurance Commissioner of the 24 Commonwealth. 25 "Consumer." A natural person who buys other than for 26 purposes of resale any tangible personal property that is 27 distributed in commerce and that is normally used for personal, 28 family or household purposes and not for business or research 29 purposes. 30 "Maintenance agreement." A contract of limited duration that 20060H2637B3991 - 2 -
1 provides for scheduled maintenance only and does not provide for 2 repair or replacement. 3 "Motor vehicle manufacturer." A person or entity that: 4 (1) manufactures or produces motor vehicles and sells 5 motor vehicles under its own name or label; 6 (2) is a wholly owned subsidiary of the person who 7 manufactures or produces motor vehicles; 8 (3) is a corporation which owns 100% of the person who 9 manufactures or produces motor vehicles; 10 (4) does not manufacture or produce motor vehicles but 11 sells motor vehicles under the trade name or label of another 12 person who manufactures or produces motor vehicles; 13 (5) manufactures or produces motor vehicles and sells 14 such motor vehicles under the trade name or label of another 15 person who manufactures or produces motor vehicles; or 16 (6) does not manufacture or produce motor vehicles but, 17 pursuant to a written contract, licenses the use of its trade 18 name or label to another person who manufactures or produces 19 motor vehicles that sells motor vehicles under the licensor's 20 trade name or label. 21 "Nonoriginal manufacturer's parts." Replacement parts not 22 made for or by the original manufacturer of the property, 23 commonly referred to as after-market parts. 24 "Person." An individual, partnership, corporation, 25 incorporated or unincorporated association, joint stock company, 26 reciprocal, syndicate or any similar entity or combination of 27 entities acting in concert. 28 "Premium." The consideration paid to an insurer for a 29 reimbursement insurance policy. 30 "Provider." A person who is contractually obligated to the 20060H2637B3991 - 3 -
1 service contractholder under the terms of the service contract. 2 "Provider fee." The consideration paid for a service 3 contract. 4 "Reimbursement insurance policy." A policy of insurance 5 issued to a provider to either provide reimbursement to the 6 provider under the terms of the insured service contracts issued 7 or sold by the provider or, in the event of the provider's 8 nonperformance, to pay on behalf of the provider all covered 9 contractual obligations incurred by the provider under the terms 10 of the insured service contracts issued or sold by the provider. 11 "Service contract." A contract or agreement for a separately 12 stated consideration for a specific duration to perform the 13 repair, replacement or maintenance of property or 14 indemnification for repair, replacement or maintenance, for the 15 operational or structural failure of any motor vehicle, 16 residential or other property due to a defect in materials, 17 workmanship, inherent defect or normal wear and tear, with or 18 without additional provisions for incidental payment of 19 indemnity under limited circumstances, including, but not 20 limited to, towing, rental and emergency road service and road 21 hazard protection. Service contracts may provide for the repair, 22 replacement or maintenance of property for damage resulting from 23 power surges or interruption and accidental damage from 24 handling. Service contracts are not insurance in this 25 Commonwealth or otherwise regulated under provisions regarding 26 the sale of insurance. 27 "Service contractholder" or "contractholder." A person who 28 is the purchaser or holder of a service contract. 29 "Warranty." An agreement between the manufacturer, importer 30 or seller of property or services and the consumer. The 20060H2637B3991 - 4 -
1 agreement is made solely by the manufacturer, importer or seller 2 of property or services without consideration and is not 3 negotiated or separated from the sale of the product and is 4 incidental to the sale of the product. The agreements guarantee 5 indemnity for defective parts, mechanical or electrical 6 breakdown, labor or other remedial measures, such as repair or 7 replacement of the property or repetition of services. 8 Section 4. Exemptions. 9 The following agreements are exempt from this act: 10 (1) Warranties. 11 (2) Maintenance agreements. 12 (3) Warranties, service contracts or maintenance 13 agreements offered by public utilities on their transmission 14 devices to the extent they are regulated by the Pennsylvania 15 Public Utility Commission. 16 (4) Service contracts sold or offered for sale to 17 persons other than consumers. 18 (5) Service contracts on tangible property where the 19 tangible property for which the service contract is sold has 20 a purchase price of $100 or less, exclusive of sales tax. 21 Section 5. Limited exemption. 22 Motor vehicle manufacturer's service contracts on the motor 23 vehicle manufacturer's products need only comply with sections 24 6(f), 8(a), (d), (e), (f), (g), (h), (i), (j), (k) and (l), 9 25 and 12, as applicable. 26 Section 6. Requirements. 27 (a) Issuance or sale of service contracts.--Service 28 contracts shall not be issued, sold or offered for sale in this 29 Commonwealth unless the provider has: 30 (1) Provided a receipt for or other written evidence of 20060H2637B3991 - 5 -
1 the purchase of the service contract to the contractholder. 2 (2) Provided a copy of the service contract to the 3 service contractholder within a reasonable period of time 4 from the date of purchase. 5 (b) Administrator.--A provider may, but is not required to, 6 appoint an administrator or other designee to be responsible for 7 any or all of the administration of service contracts and 8 compliance with this act. 9 (c) Registration of providers.--Each provider of service 10 contracts sold in this Commonwealth shall file a registration 11 with the commissioner consisting of the provider's full name, 12 full corporate address, telephone number and contact person and 13 any designated person located in this Commonwealth for service 14 of process. Each provider shall pay to the commissioner a fee in 15 the amount of $600 upon initial registration and every two years 16 thereafter. The registration need only be updated by written 17 notification to the commissioner if material changes occur in 18 the registration on file. 19 (d) Provider's performance of obligations.--In order to 20 assure the faithful performance of a provider's obligations to 21 its contractholders, each provider shall be responsible for 22 complying with the requirements of one of the following three 23 requirements: 24 (1) Ensure all service contracts under a reimbursement 25 insurance policy issued by an insurer licensed, registered or 26 otherwise authorized to do business in this Commonwealth and 27 either: 28 (i) at the time the policy is filed with the 29 commissioner, and continuously thereafter, 30 (A) maintain surplus as to policyholders and 20060H2637B3991 - 6 -
1 paid-in capital of at least $15,000,000; and 2 (B) annually file copies of the insurer's 3 financial statements, its annual statement to the 4 National Association of Insurance Commissioners and 5 the actuarial certification required by and filed in 6 the insurer's state of domicile; or 7 (ii) at the time the policy is filed with the 8 commissioner, and continuously thereafter, 9 (A) maintain surplus as to policyholders and 10 paid-in capital of less than $15,000,000 but at least 11 equal to $10,000,000; 12 (B) demonstrate to the satisfaction of the 13 commissioner that the company maintains a ratio of 14 net written premiums, wherever written, to surplus as 15 to policyholders and paid-in capital of not greater 16 than 3 to 1; and 17 (C) annually file copies of the insurer's 18 audited financial statements, its annual statement to 19 the National Association of Insurance Commissioners 20 and actuarial certification required by and filed in 21 the insurer's state of domicile. 22 (2) (i) Maintain a funded reserve account for its 23 obligations under its contracts issued and outstanding in 24 this Commonwealth. The reserves shall not be less than 25 40% of gross consideration received, less claims paid, on 26 the sale of the service contract for all in-force 27 contracts. The reserve account shall be subject to 28 examination and review by the commissioner. 29 (ii) Place in trust with the commissioner a 30 financial security deposit, having a value of not less 20060H2637B3991 - 7 -
1 than 5% of the gross consideration received, less claims 2 paid, on the sale of the service contract for all service 3 contracts issued and in force, but not less than $25,000, 4 consisting of one of the following: 5 (A) A surety bond issued by an authorized 6 surety. 7 (B) Securities of the type eligible for deposit 8 by authorized insurers in this Commonwealth. 9 (C) Cash. 10 (D) A letter of credit issued by a qualified 11 financial institution. 12 (E) Another form of security prescribed by 13 regulations issued by the commissioner. 14 (3) (i) Maintain or, together with its parent company 15 maintain, a net worth or stockholders' equity of 16 $100,000,000. 17 (ii) Upon request, provide the commissioner with a 18 copy of the provider's or the provider's parent company's 19 most recent Form 10-K or Form 20-F filed with the 20 Securities and Exchange Commission (SEC) within the last 21 calendar year or, if the company does not file with the 22 SEC, a copy of the company's financial statements which 23 shows a net worth of the provider or its parent company 24 of at least $100,000,000. If the provider's parent 25 company's Form 10-K, Form 20-F or financial statements 26 are filed to meet the provider's financial stability 27 requirement, then the parent company shall agree to 28 guarantee the obligations of the provider relating to 29 service contracts sold by the provider in this 30 Commonwealth. 20060H2637B3991 - 8 -
1 (e) Financial security requirements.--Except for the 2 requirements specified in section 6(c) and (d), no other 3 financial security requirements shall be required by the 4 commissioner for service contract providers. 5 (f) Return of service contract.--Service contracts shall 6 require the provider to permit the service contractholder to 7 return the service contract within 20 days of the date the 8 service contract was mailed to the service contractholder or 9 within ten days of delivery if the service contract is delivered 10 to the service contractholder at the time of sale or within a 11 longer time period permitted under the service contract. Upon 12 return of the service contract to the provider within the 13 applicable time period, if no claim has been made under the 14 service contract prior to its return to the provider, the 15 service contract is void and the provider shall refund to the 16 service contractholder, or credit the account of the service 17 contractholder, the full purchase price of the service contract. 18 The right to void the service contract provided in this 19 subsection is not transferable and shall apply only to the 20 original service contract purchaser and only if no claim has 21 been made prior to its return to the provider. A 10% penalty per 22 month shall be added to a refund that is not paid or credited 23 within 45 days after return of the service contract to the 24 provider. 25 (g) Premium taxes.-- 26 (1) Provider fees collected on service contracts shall 27 not be subject to premium taxes. 28 (2) Premiums for reimbursement insurance policies shall 29 be subject to applicable taxes. 30 (h) Licensing requirement exemption.--Except for the 20060H2637B3991 - 9 -
1 registration requirements in section 6(c), providers and related 2 service contract sellers, administrators and other persons 3 marketing, selling or offering to sell service contracts are 4 exempt from any licensing requirements of this Commonwealth. 5 (i) Exemption from insurance law.--The marketing, sale, 6 offering for sale, issuance, making, proposing to make and 7 administration of service contracts by providers and related 8 service contract sellers, administrators and other persons shall 9 be exempt from all other provisions of the laws pertaining to 10 insurance in this Commonwealth. 11 Section 7. Reimbursement insurance policies. 12 (a) Requirements.--Reimbursement insurance policies insuring 13 service contracts issued, sold or offered for sale in this 14 Commonwealth shall state that the insurer that issued the 15 reimbursement insurance policy shall either reimburse or pay on 16 behalf of the provider any covered sums the provider is legally 17 obligated to pay or, in the event of the provider's 18 nonperformance, shall provide the service which the provider is 19 legally obligated to perform according to the provider's 20 contractual obligations under the service contracts issued or 21 sold by the provider. 22 (b) Direct reimbursement.--In the event covered service is 23 not provided by the service contract provider within 60 days of 24 proof of loss by the service contractholder, the contractholder 25 is entitled to apply directly to the reimbursement insurance 26 company. 27 Section 8. Required disclosures for service contracts. 28 (a) Writing of contracts.--Service contracts marketed, sold, 29 offered for sale, issued, made, proposed to be made or 30 administered in this Commonwealth shall be written, printed or 20060H2637B3991 - 10 -
1 typed in clear, understandable language that is easy to read and 2 shall disclose the requirements set forth in this section, as 3 applicable. 4 (b) Insured service contracts.--All service contracts shall 5 state the name and address of the insurer. Service contracts 6 insured under a reimbursement insurance policy pursuant to 7 section 6(d)(1) shall contain a statement in substantially the 8 following form: Obligations of the provider under this service 9 contract are insured under a service contract reimbursement 10 insurance policy. 11 (c) Uninsured service contracts.--Service contracts not 12 insured under a reimbursement insurance policy pursuant to 13 section 6(d)(1) shall contain a statement in substantially the 14 following form: Obligations of the provider under this service 15 contract are backed by the full faith and credit of the 16 provider. 17 (d) Name and address.--Service contracts shall state the 18 name and address of the provider and shall identify any 19 administrator if different from the provider, the service 20 contract seller and the service contractholder to the extent 21 that the name of the service contractholder has been furnished 22 by the service contractholder. The identities of such parties 23 are not required to be preprinted on the service contract and 24 may be added to the service contract at the time of sale. 25 (e) Total purchase price and terms.--Service contracts shall 26 state the total purchase price and the terms under which a 27 service contract is sold. The purchase price is not required to 28 be preprinted on the service contract and may be negotiated at 29 the time of sale with the service contractholder. 30 (f) Deductible amounts.--Service contracts shall state the 20060H2637B3991 - 11 -
1 existence of any deductible amount, if applicable. 2 (g) Identification of merchandise and services.--Service 3 contracts shall specify the merchandise and services to be 4 provided and any limitations, exceptions or exclusions. 5 (h) Automobile service contracts.--Service contracts 6 covering automobiles shall state whether the use of the 7 nonoriginal manufacturer's parts is allowed. 8 (i) Transferability.--Service contracts shall state any 9 restrictions governing the transferability of the service 10 contract, if applicable. 11 (j) Cancellation.--Service contracts shall state the terms, 12 restrictions or conditions governing cancellation of the service 13 contract prior to the termination or expiration date of the 14 service contract by either the provider or the service 15 contractholder. The provider of the service contract shall mail 16 a written notice to the contractholder at the last known address 17 of the service contractholder contained in the records of the 18 provider at least 20 days prior to cancellation by the provider. 19 Prior notice is not required if the reason for cancellation is 20 nonpayment of the provider fee, a material misrepresentation by 21 the service contractholder to the provider or a substantial 22 breach of duties by the service contractholder relating to the 23 covered product or its use. The notice shall state the effective 24 date of the cancellation and the reason for the cancellation. 25 (k) Obligations and duties.--Service contracts shall set 26 forth all the obligations and duties of the service 27 contractholder, such as the duty to protect against any further 28 damage and any requirements to follow the owner's manual. 29 (l) Consequential damages.--Service contracts shall state 30 whether or not the service contract provides for or excludes 20060H2637B3991 - 12 -
1 consequential damages, if applicable. Service contracts shall 2 also state whether the agreement accounts for preexisting 3 conditions. Service contracts may, but are not required to, 4 cover damage resulting from rust, corrosion or damage caused by 5 a noncovered part or system. 6 (m) Approval of repair work.--If prior approval of repair 7 work is required, a service contract shall state the procedure 8 for obtaining prior approval and for making a claim, including a 9 toll-free telephone number for claim service and a procedure for 10 obtaining emergency repairs performed outside normal business 11 hours. 12 Section 9. Prohibitions. 13 (a) Descriptions.--A provider shall not use in its name the 14 words "insurance," "casualty," "surety," "mutual" or any other 15 words descriptive of the insurance, casualty or surety business; 16 or a name deceptively similar to the name or description of any 17 insurance or surety corporation or to the name of any other 18 provider. The word "guaranty" or similar word may be used by a 19 provider. This section shall not apply to a company that was 20 using any of the prohibited language in its name prior to the 21 effective date of this act. However, a company using the 22 prohibited language in its name shall include in its service 23 contracts a statement in substantially the following form: This 24 agreement is not an insurance contract. 25 (b) False or misleading statements.--A provider or its 26 representative shall not in its service contracts or literature 27 make, permit or cause to be made any false or misleading 28 statement or deliberately omit any material statement that would 29 be considered misleading if omitted. 30 (c) Purchase not required.--A person, such as a bank, 20060H2637B3991 - 13 -
1 savings and loan association, lending institution, manufacturer 2 or seller of any product, shall not require the purchase of a 3 service contract as a condition of a loan or a condition for the 4 sale of any property. 5 Section 10. Recordkeeping. 6 (a) Books and records.--The provider shall keep accurate 7 accounts, books and records concerning transactions regulated 8 under this act. 9 (b) Requirements.--The provider's accounts, books and 10 records shall include the following: 11 (1) Copies of each type of service contract sold. 12 (2) The name and address of each service contractholder 13 to the extent that the name and address have been furnished 14 by the service contractholder. 15 (3) A list of the locations where service contracts are 16 marketed, sold or offered for sale. 17 (4) Written claims files which shall contain at least 18 the dates and description of claims related to the service 19 contracts. 20 (c) Retaining records.--Except as provided in subsection 21 (d), the provider shall retain all records required to be 22 maintained by this section for at least two years after the 23 specified period of coverage has expired. 24 (d) Recordkeeping technology.--The records required under 25 this act may be, but are not required to be, maintained on a 26 computer disk or other recordkeeping technology. If the records 27 are maintained in other than hard copy, the records shall be 28 capable of duplication to legible hard copy at the request of 29 the commissioner. 30 (e) Providers discontinuing business.--A provider 20060H2637B3991 - 14 -
1 discontinuing business in this Commonwealth shall maintain its 2 records until it furnishes the commissioner satisfactory proof 3 that it has discharged all obligations to contractholders in 4 this Commonwealth. 5 Section 11. Cancellation of reimbursement insurance policy. 6 As applicable, an insurer that issued a reimbursement 7 insurance policy shall not terminate the policy until a notice 8 of termination in accordance with 40 Pa.C.S. § 6124(c) (relating 9 to rates and contracts) has been mailed or delivered to the 10 commissioner. The termination of a reimbursement insurance 11 policy shall not reduce the issuer's responsibility for service 12 contracts issued by providers prior to the date of the 13 termination. 14 Section 12. Obligation of reimbursement insurance policy 15 insurers. 16 (a) Payment of provider fees.--Insurers issuing 17 reimbursement insurance to providers are deemed to have received 18 the premiums for such insurance upon the payment of provider 19 fees by consumers for service contracts issued by such insured 20 providers. 21 (b) Indemnification and subrogation.--This act shall not 22 prevent or limit the right of an insurer which issued a 23 reimbursement insurance policy to seek indemnification or 24 subrogation against a provider if the issuer pays or is 25 obligated to pay the service contractholder sums that the 26 provider was obligated to pay pursuant to the provisions of the 27 service contract. 28 Section 13. Enforcement provisions. 29 (a) Examination.--The commissioner may conduct examinations 30 of providers, administrators, insurers or other persons to 20060H2637B3991 - 15 -
1 enforce the provisions of this act and protect service 2 contractholders in this Commonwealth. Upon request of the 3 commissioner, the provider shall make all accounts, books and 4 records concerning service contracts sold by the provider 5 available to the commissioner which are necessary to enable the 6 commissioner to reasonably determine compliance or noncompliance 7 with this act. 8 (b) Commissioner.--The commissioner may take action which is 9 necessary or appropriate to enforce the provisions of this act 10 and the commissioner's regulations and orders and to protect 11 service contractholders in this Commonwealth. 12 (c) Cease and desist orders.--If a provider has violated 13 this act or the commissioner's regulations or orders, the 14 commissioner may issue an order directed to that provider to 15 cease and desist from committing violations of this act or the 16 commissioner's regulations or orders, may issue an order 17 prohibiting a service contract provider from selling or offering 18 for sale service contracts in violation of this act or may issue 19 an order imposing a civil penalty on that provider, or any 20 combination of the foregoing, as applicable. 21 (d) Aggrieved persons.--A person aggrieved by an order 22 issued under this section may request a hearing before the 23 commissioner. The hearing request shall be filed with the 24 commissioner within 20 days of the date the commissioner's order 25 is effective. 26 (e) Order pending hearing outcome.--If a hearing is 27 requested under subsection (d), an order issued by the 28 commissioner under this section shall be suspended from the 29 original effective date of the order until completion of the 30 hearing and final decision of the commissioner. 20060H2637B3991 - 16 -
1 (f) Justification of order.--At the hearing, the burden 2 shall be on the commissioner to show why the order issued 3 pursuant to this section is justified. The procedural provisions 4 of the act of May 17, 1921 (P.L.682, No.284), known as The 5 Insurance Company Law of 1921, shall apply to a hearing 6 requested under this section. 7 (g) Actions initiated by commissioner.--The commissioner may 8 bring an action in any court of competent jurisdiction for an 9 injunction or other appropriate relief to enjoin threatened or 10 existing violations of this act or of the commissioner's orders 11 or regulations. An action filed under this subsection may also 12 seek restitution on behalf of persons aggrieved by a violation 13 of this act or orders or regulations of the commissioner. 14 (h) Penalty.--A person who is found to have violated this 15 act or orders or regulations of the commissioner may be assessed 16 a civil penalty in an amount determined by the commissioner of 17 not more than $1,000 per violation and no more than $25,000 in 18 the aggregate for all violations of a similar nature. For 19 purposes of this section, violations shall be of a similar 20 nature if the violation consists of the same or similar course 21 of conduct, action or practice, irrespective of the number of 22 times the act, conduct or practice which is determined to be a 23 violation of this act occurred. 24 Section 14. Severability. 25 The provisions of this act are severable. If any provision of 26 this act or its application to any person or circumstance is 27 held invalid, the invalidity shall not affect other provisions 28 or applications of this act which can be given effect without 29 the invalid provision or application. 30 Section 15. Effective date. 20060H2637B3991 - 17 -
1 This act shall take effect in 60 days. D18L12JKL/20060H2637B3991 - 18 -