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                                                        PRINTER'S NO. 81

THE GENERAL ASSEMBLY OF PENNSYLVANIA


SENATE BILL

No. 86 Session of 1999


        INTRODUCED BY BELL, BELAN, WHITE, TILGHMAN, KASUNIC, SALVATORE,
           MELLOW, MUSTO, KUKOVICH AND BOSCOLA, JANUARY 8, 1999

        REFERRED TO BANKING AND INSURANCE, JANUARY 8, 1999

                                     AN ACT

     1  Amending the act of April 9, 1929 (P.L.177, No.175), entitled
     2     "An act providing for and reorganizing the conduct of the
     3     executive and administrative work of the Commonwealth by the
     4     Executive Department thereof and the administrative
     5     departments, boards, commissions, and officers thereof,
     6     including the boards of trustees of State Normal Schools, or
     7     Teachers Colleges; abolishing, creating, reorganizing or
     8     authorizing the reorganization of certain administrative
     9     departments, boards, and commissions; defining the powers and
    10     duties of the Governor and other executive and administrative
    11     officers, and of the several administrative departments,
    12     boards, commissions, and officers; fixing the salaries of the
    13     Governor, Lieutenant Governor, and certain other executive
    14     and administrative officers; providing for the appointment of
    15     certain administrative officers, and of all deputies and
    16     other assistants and employes in certain departments, boards,
    17     and commissions; and prescribing the manner in which the
    18     number and compensation of the deputies and all other
    19     assistants and employes of certain departments, boards and
    20     commissions shall be determined," extending the powers and
    21     duties of the Office of Consumer Advocate to matters relating
    22     to insurance; making an appropriation; and making editorial
    23     changes.

    24     The General Assembly of the Commonwealth of Pennsylvania
    25  hereby enacts as follows:
    26     Section 1.  Section 901-A of the act of April 9, 1929
    27  (P.L.177, No.175), known as The Administrative Code of 1929,
    28  added July 9, 1976 (P.L.903, No.161), is amended to read:


     1     Section 901-A.  Definitions.--As used in this article:
     2     "Commission" means the Pennsylvania Public Utility
     3  Commission.
     4     "Consumer" means:
     5     (1)  any person (i) who makes a direct use or is the ultimate
     6  recipient of a product or a service supplied by any person or
     7  public utility subject to the authority of the commission or
     8  (ii) who may be a direct user or ultimate recipient of a product
     9  or service supplied by any person or public utility subject to
    10  the authority of the commission and may be affected in any way
    11  by any action within the authority of the commission. The term
    12  "consumer" includes any "person," "corporation" or "municipal
    13  corporation" as defined in [section 2 of the act of May 28, 1937
    14  (P.L.1053, No.286), known as the "Public Utility Law."] 66
    15  Pa.C.S. § 102 (relating to definitions); or
    16     (2)  any person (i) who has been issued an insurance policy
    17  or insurance contract or (ii) who should have been issued an
    18  insurance policy or insurance contract and may be affected by an
    19  action within the authority of the department.
    20     "Department" means the Insurance Department of the
    21  Commonwealth.
    22     "Insurance policy" or "insurance contract" means a contract
    23  of insurance, indemnity, health care, suretyship, title
    24  insurance, or annuity issued, proposed for issuance or intended
    25  for issuance by a legal entity engaged in the business of
    26  insurance.
    27     "Public utility" means public utility as defined in [section
    28  2(17), act of May 28, 1937 (P.L.1053, No.286), known as the
    29  "Public Utility Law."] 66 Pa.C.S. § 102 (relating to
    30  definitions).
    19990S0086B0081                  - 2 -

     1     Section 2.  Section 902-A of the act, added July 9, 1976
     2  (P.L.903, No.161) and repealed in part October 15, 1980
     3  (P.L.950, No.164), is amended to read:
     4     Section 902-A.  Office of Consumer Advocate.--(a)  There is
     5  hereby established within the [Department of Justice] Office of
     6  Attorney General an Office of Consumer Advocate to represent the
     7  interest of consumers before the Pennsylvania Public Utility
     8  Commission and the Pennsylvania Insurance Department.
     9     (b)  The Consumer Advocate shall be a person who by reason of
    10  training, experience and attainment is qualified to represent
    11  the interest of consumers. Compensation shall be set by the
    12  Executive Board.
    13     (c)  No individual who serves as a Consumer Advocate shall,
    14  while serving in such position, engage in any business,
    15  vocation, other employment, or have other interests,
    16  inconsistent with his official responsibilities, nor shall he
    17  seek or accept employment nor render beneficial services for
    18  compensation with any "person" or "corporation," as defined in
    19  [section 2 of the act of May 28, 1937 (P.L.1053, No.286), known
    20  as the "Public Utility Law,"]66 Pa.C.S. § 102 (relating to
    21  definitions) subject to the authority of the commission, or with
    22  a legal entity engaged in the business of insurance subject to
    23  the authority of the department during the tenure of the
    24  appointment and for a period of two years after the appointment
    25  is served or terminated.
    26     (d)  Any individual who is appointed to the position of
    27  Consumer Advocate shall not seek election nor accept appointment
    28  to any political office during the tenure as Consumer Advocate
    29  and for a period of two years after the appointment is served or
    30  terminated.
    19990S0086B0081                  - 3 -

     1     Section 3.  Section 904-A(a) and (c) of the act, added July
     2  9, 1976 (P.L.903, No.161), are amended to read:
     3     Section 904-A.  Powers and Duties of the Consumer Advocate.--
     4  (a)  In addition to any other authority conferred upon him by
     5  this act, the Consumer Advocate is authorized, and it shall be
     6  his duty, in carrying out his responsibilities under this act,
     7  to represent the interest of consumers as a party, or otherwise
     8  participate for the purpose of representing an interest of
     9  consumers, before the commission or the department in any matter
    10  properly before the commission or the department, and before any
    11  court or agency, initiating proceedings if in his judgment such
    12  may be necessary, in connection with any matter involving
    13  regulation by the commission or the department or the
    14  corresponding regulatory agency of the United States whether on
    15  appeal or otherwise initiated.
    16     * * *
    17     (c)  In addition to any other authority conferred upon him by
    18  this act, the Consumer Advocate is authorized to represent an
    19  interest of consumers which is presented to him for his
    20  consideration upon petition in writing by a substantial number
    21  of persons, (i) who make direct use or are ultimate recipients
    22  of a product or service supplied by a person, corporation, or
    23  municipal corporation subject to regulation by the commission or
    24  (ii) who have been or should have been issued an insurance
    25  policy or contract by a legal entity in the business of
    26  insurance subject to regulation by the department. The Consumer
    27  Advocate shall notify the principal sponsors of any such
    28  petition within a reasonable time after receipt of any such
    29  petition of the action taken or intended to be taken by him with
    30  respect to the interest of consumers presented in such petition.
    19990S0086B0081                  - 4 -

     1  If the Consumer Advocate declines or is unable to represent such
     2  interest, he shall notify such sponsors and shall state his
     3  reasons therefor.
     4     * * *
     5     Section 4.  Section 904-A.1 of the act is repealed.
     6     Section 5.  The act is amended by adding sections to read:
     7     Section 904-A.2.  Appropriation.--Before November 1, the
     8  Office of Consumer Advocate shall estimate the total
     9  expenditures for the Office of Consumer Advocate and submit the
    10  estimate to the Governor in accordance with section 610 of this
    11  act. At the same time the Consumer Advocate submits his estimate
    12  to the Governor, the Consumer Advocate shall also submit that
    13  estimate to the General Assembly. The estimate shall not, with
    14  respect to public utility consumers, exceed five one hundredths
    15  of one per centum (.05%) of the total gross intrastate operating
    16  revenues of all public utilities subject to the jurisdiction of
    17  the commission for the preceding calendar year and, with respect
    18  to insurance consumers, shall not exceed five one hundredths of
    19  one per centum (.05%) of the total gross intrastate operating
    20  revenues of all insurance entities subject to the jurisdiction
    21  of the Insurance Department for the preceding calendar year. The
    22  Consumer Advocate or his designated representatives shall be
    23  afforded an opportunity to appear before the Governor, the
    24  Appropriations Committee of the Senate and the Appropriations
    25  Committee of the House of Representatives regarding his
    26  estimate. If the General Assembly fails to approve the Consumer
    27  Advocate's budget for the purposes of this section by March 30,
    28  the commission shall assess public utilities on the basis of the
    29  last approved allocation and the department shall assess
    30  insurance entities on the basis of the last approved allocation.
    19990S0086B0081                  - 5 -

     1  When the General Assembly approves the proposed budget, the
     2  Consumer Advocate and the commission shall make an adjustment in
     3  the assessments to reflect the approved budget. The Office of
     4  Consumer Advocate shall subtract from the budget finally
     5  approved by the General Assembly any balance of the
     6  appropriation to be carried over into such fiscal year from the
     7  preceding one. The remainder so determined shall constitute the
     8  total assessment, and shall be allocated to, and paid by, public
     9  utilities or insurance entities in the manner hereafter
    10  prescribed.
    11     Section 904-A.3.  Assessment Upon Public Utilities.--(a)  For
    12  each fiscal year the allocation shall be made as follows:
    13     (1)  The Office of Consumer Advocate shall determine for the
    14  preceding calendar year the amount of its expenditures directly
    15  attributable, or in its judgment properly allocable, to its
    16  activities in connection with each group of utilities furnishing
    17  the same kind of service and debit the amount so determined to
    18  the group.
    19     (2)  The Office of Consumer Advocate shall then allocate the
    20  total assessment prescribed by section 904-A.2 to each group in
    21  the proportion which the sum of the debits made to it bears to
    22  the sum of the debits made to all groups. The Office of Consumer
    23  Advocate shall transmit to the commission the result of the
    24  allocation.
    25     (3)  The commission shall thereafter complete the assessment
    26  procedure and collect the assessments as follows: each public
    27  utility within a group shall then be assessed for and shall pay
    28  to the commission the proportion of the amount allocated to its
    29  group as the gross intrastate operating revenues of the public
    30  utility for the preceding calendar year bear to the total gross
    19990S0086B0081                  - 6 -

     1  intrastate operating revenues of its group for that year, but,
     2  for the fiscal year 1997-1998, every public utility shall be
     3  assessed for and shall pay to the commission such proportion of
     4  the total assessment as the gross intrastate operating revenues
     5  of the public utility for the preceding calendar year bear to
     6  the total gross intrastate operating revenues of all public
     7  utilities that are assessed. The commission shall give notice by
     8  registered or certified mail to each public utility of the
     9  amount lawfully charged against it under the provisions of this
    10  section, which amount shall be paid by the public utility within
    11  thirty (30) days of receipt of the notice, unless the commission
    12  specifies on the notices sent to all public utilities an
    13  installment plan of payment, in which case each insurance entity
    14  shall pay each installment on or before the date specified
    15  therefor by the commission. Within fifteen (15) days after
    16  receipt of the notice, the public utility against which the
    17  assessment has been made may file with the commission objections
    18  setting out in detail the grounds upon which the objector
    19  regards the assessment to be excessive, erroneous, unlawful or
    20  invalid. The commission, after notice to the objector, shall
    21  hold a hearing upon the objections. After the hearing, the
    22  commission shall record upon its minutes its findings on the
    23  objections and shall transmit to the objector, by registered or
    24  certified mail, notice of the amount, if any, charged against it
    25  in accordance with the findings, which amount, or any
    26  installment thereof, then due shall be paid by the objector
    27  within ten (10) days after receipt of notice of the findings of
    28  the commission with respect to the objections. If payment
    29  prescribed by this subsection is not made as described in this
    30  subsection, the commission may suspend or revoke certificates of
    19990S0086B0081                  - 7 -

     1  public convenience, certify automobile registrations to the
     2  Secretary of Transportation for suspension or revocation or,
     3  through the Office of Attorney General, may institute an
     4  appropriate action at law for the amount lawfully assessed,
     5  together with additional costs incurred by the commission or the
     6  Office of Attorney General by virtue of the failure to pay.
     7     (b)  It is the intent and purpose of this section that each
     8  public utility shall advance to the Office of Consumer Advocate
     9  its reasonable share of the cost of administering this act. The
    10  Office of Consumer Advocate shall keep records of the costs
    11  incurred in connection with the administration and enforcement
    12  of this act or any other act. The Office of Consumer Advocate
    13  and the commission shall also keep a record of the manner in
    14  which it shall have computed the amount assessed against every
    15  public utility. These records shall be open to inspection by all
    16  interested parties. The determination of costs and assessments
    17  by the Office of Consumer Advocate and the commission, and the
    18  records and data upon which the costs and assessments are made,
    19  shall be considered prima facie correct. In a proceeding
    20  instituted to challenge the reasonableness or correctness of an
    21  assessment under this section, the party challenging the
    22  assessment shall have the burden of proof.
    23     (c)  All assessments, allocated to and paid by public
    24  utilities shall be held in trust solely for the purpose of
    25  defraying the cost of the administration and performance of the
    26  duties of the Office of Consumer Advocate relating to
    27  proceedings before the commission, the corresponding regulatory
    28  agencies of the United States, related judicial proceedings, and
    29  other similar matters within the jurisdiction of the Office of
    30  Consumer Advocate, and shall be earmarked for the use of, and
    19990S0086B0081                  - 8 -

     1  annually appropriated to, the Office of Consumer Advocate for
     2  disbursement solely for that purpose.
     3     Section 904-A.4.  Assessment Upon Insurance Entities.--(a)
     4  For each fiscal year the allocation shall be made as follows:
     5     (1)  The Office of Consumer Advocate shall determine for the
     6  preceding calendar year the amount of its expenditures directly
     7  attributable, or in its judgment properly allocable, to its
     8  activities in connection with each group of insurance entities
     9  furnishing the same kind of service and debit the amount so
    10  determined to such group.
    11     (2)  The Office of Consumer Advocate shall then allocate the
    12  total assessment prescribed by section 904-A.2 to each group in
    13  the proportion which the sum of the debits made to it bears to
    14  the sum of the debits made to all groups. The Office of Consumer
    15  Advocate shall transmit to the department the result of the
    16  allocation.
    17     (3)  The department shall thereafter complete the assessment
    18  procedure and collect the assessments as follows: each insurance
    19  entity within a group shall then be assessed for and shall pay
    20  to the department the proportion of the amount allocated to its
    21  group as the gross intrastate operating revenues of the
    22  insurance entity for the preceding calendar year bear to the
    23  total gross intrastate operating revenues of its group for that
    24  year, but, for the fiscal year 1997-1998, every insurance entity
    25  shall be assessed for and shall pay to the commission such
    26  proportion of the total assessment as the gross intrastate
    27  operating revenues of the insurance entity for the preceding
    28  calendar year bear to the total gross intrastate operating
    29  revenues of all insurance entities that are assessed. The
    30  department shall give notice by registered or certified mail to
    19990S0086B0081                  - 9 -

     1  each insurance entity of the amount lawfully charged against it
     2  under the provisions of this section, which amount shall be paid
     3  by the insurance entity within thirty (30) days of receipt of
     4  the notice, unless the department specifies on the notices sent
     5  to all insurance entities an installment plan of payment, in
     6  which case each insurance entity shall pay each installment on
     7  or before the date specified therefor by the department. Within
     8  fifteen (15) days after receipt of the notice, the insurance
     9  entity against which the assessment has been made may file with
    10  the commission objections setting out in detail the grounds upon
    11  which the objector regards the assessment to be excessive,
    12  erroneous, unlawful or invalid. The department, after notice to
    13  the objector, shall hold a hearing upon the objections. After
    14  the hearing, the department shall record upon its minutes its
    15  findings on the objections and shall transmit to the objector,
    16  by registered or certified mail, notice of the amount, if any,
    17  charged against it in accordance with the findings, which
    18  amount, or any installment thereof, then due shall be paid by
    19  the objector within ten (10) days after receipt of notice of the
    20  findings of the department with respect to the objections. If
    21  payment prescribed by this subsection is not made as described
    22  in this subsection, the department may suspend or revoke the
    23  license or, through the Office of Attorney General, may
    24  institute an appropriate action at law for the amount lawfully
    25  assessed, together with additional costs incurred by the
    26  department or the Office of Attorney General by virtue of the
    27  failure to pay.
    28     (b)  All assessments, allocated to and paid by insurance
    29  entities shall be held in trust solely for the purpose of
    30  defraying the cost of the administration and performance of the
    19990S0086B0081                 - 10 -

     1  duties of the Office of Consumer Advocate relating to
     2  proceedings before the department, the corresponding regulatory
     3  agencies of the United States, related judicial proceedings, and
     4  other similar matters within the jurisdiction of the Office of
     5  Consumer Advocate, and shall be earmarked for the use of, and
     6  annually appropriated to, the Office of Consumer Advocate for
     7  disbursement solely for that purpose.
     8     (c)  It is the intent and purpose of this section that each
     9  insurance entity shall advance to the Office of Consumer
    10  Advocate its reasonable share of the cost of administering this
    11  act. The Office of Consumer Advocate shall keep records of the
    12  costs incurred in connection with the administration and
    13  enforcement of this act or any other act. The Office of Consumer
    14  Advocate and the department shall also keep a record of the
    15  manner in which it shall have computed the amount assessed
    16  against every insurance entity. These records shall be open to
    17  inspection by all interested parties. The determination of costs
    18  and assessments by the Office of Consumer Advocate and the
    19  department, and the records and data upon which the costs and
    20  assessments are made, shall be considered prima facie correct.
    21  In a proceeding instituted to challenge the reasonableness or
    22  correctness of an assessment under this section, the party
    23  challenging the assessment shall have the burden of proof.
    24     Section 904-A.5.  Dispute of Assessments.--(a)  No suit or
    25  proceeding shall be maintained in a court for the purpose of
    26  restraining or delaying the collection or payment of an
    27  assessment made under section 904-A.3 or 904-A.4, but every
    28  public utility and insurance entity against which an assessment
    29  is made shall pay the same as provided. A public utility or
    30  insurance entity making payment may, within two (2) years from
    19990S0086B0081                 - 11 -

     1  the date of payment, sue the Commonwealth in an action at law to
     2  recover the amount paid, or any part thereof, upon the ground
     3  that the assessment was excessive, erroneous, unlawful, or
     4  invalid, in whole or in part, provided objections were filed
     5  with the commission, or the department and payment of the
     6  assessment was made under protest either as to all or part
     7  thereof. In an action for recovery of payments made under this
     8  section, the claimant shall be entitled to raise every relevant
     9  issue of law, but the findings of fact made by the commission,
    10  or the department pursuant to this section, shall be prima facie
    11  evidence of the facts therein stated. Records, books, data,
    12  documents and memoranda relating to the expenses of the Office
    13  of Consumer Advocate shall be admissible in evidence in court
    14  and shall be prima facie evidence of the truth of their
    15  contents. If it is finally determined in an action that all or
    16  any part of the assessment for which payment was made under
    17  protest was excessive, erroneous, unlawful or invalid, the
    18  Office of Consumer Advocate shall make a refund to the claimant
    19  out of the appropriation specified herein as directed by the
    20  court.
    21     (b)  The procedure in this section providing for the
    22  determination of the lawfulness of assessments and the recovery
    23  of payments made pursuant to the assessments shall be exclusive
    24  of all other remedies and procedures.
    25     Section 904-A.6.  Payment to General Fund and Requisitions.--
    26  (a)  All assessments received, collected or recovered under this
    27  act shall be paid by the commission or the department into the
    28  General Fund of the State Treasury through the Department of
    29  Revenue.
    30     (b)  All requisitions upon the annual appropriations shall be
    19990S0086B0081                 - 12 -

     1  signed by the Consumer Advocate or those deputies as he may
     2  designate in writing to the State Treasurer and shall be
     3  presented to the State Treasurer and dealt with by him and the
     4  Treasury Department in the manner prescribed by the act of April
     5  9, 1929 (P.L.343, No.176), known as "The Fiscal Code."
     6     Section 6.  Sections 905-A and 906-A of the act, added July
     7  9, 1976 (P.L.903, No.161), are amended to read:
     8     Section 905-A.  Duties of the Commission and of the
     9  Department.--In dealing with any proposed action which may
    10  substantially affect the interest of consumers, including but
    11  not limited to a proposed change of rates and the adoption of
    12  rules, regulations, guidelines, orders, standards or final
    13  policy decisions, the commission or the department, as
    14  appropriate, shall:
    15     (1)  Notify the Consumer Advocate when notice of the proposed
    16  action is given to the public or at a time fixed by agreement
    17  between the Consumer Advocate and the commission or the
    18  department in a manner to assure the Consumer Advocate
    19  reasonable notice and adequate time to determine whether to
    20  intervene in such matter.
    21     (2)  Consistent with its other statutory responsibilities,
    22  take such action with due consideration to the interest of
    23  consumers.
    24     Section 906-A.  Savings Provision; Construction.--(a)
    25  Nothing contained herein shall in any way limit the right of any
    26  consumer to bring a proceeding before either the commission, the
    27  department or a court.
    28     (b)  Nothing contained herein shall be construed to impair
    29  the statutory authority or responsibility of the commission to
    30  regulate public utilities in the public interest or
    19990S0086B0081                 - 13 -

     1  responsibility of the department to regulate insurance entities
     2  in the public interest.
     3     Section 7.  The sum of $250,000, or as much thereof as may be
     4  necessary, is hereby appropriated from the General Fund to the
     5  Office of Consumer Advocate to begin operations relating to the
     6  Insurance Department. Whatever moneys of this amount are
     7  expended shall be returned to the General Fund from assessments
     8  upon insurance entities.
     9     Section 8.  This act shall take effect in 90 days.














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