(2011)

96 Op. Att'y Gen. 3
CourtMaryland Attorney General Reports
DecidedMarch 14, 2011
StatusPublished

This text of 96 Op. Att'y Gen. 3 ((2011)) is published on Counsel Stack Legal Research, covering Maryland Attorney General Reports primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
(2011), 96 Op. Att'y Gen. 3 (Md. 2011).

Opinion

Dear Thomas Phelan

You have asked for our opinion on two questions concerning the Injured Workers' Insurance Fund ("IWIF"). Specifically, you ask:

1. Who owns IWIF's reserves and surplus?

2. Does the State have any claim to IWIF's reserves, surplus, or other assets?

For the reasons set forth below, it is our opinion that:

1. The reserves and surplus that the Insurance Article requires IWIF to maintain with respect to its policies are held in trust for the employers who are IWIF's policyholders and the employees who are entitled to benefits under IWIF's policies. If the General Assembly chose to terminate IWIF's existence, it would need to make arrangements to preserve such funds for those purposes.

2. To the extent that IWIF has assets in excess of the reserves and surplus required by the Insurance Article, upon IWIF's termination, those assets would belong to the State, which created IWIF. The statute governing IWIF provides for the General Assembly to direct the disposition of those assets or for the assets to be distributed "as justice requires."

I
Background

A. State Workers' Compensation System

Like the laws of other states, Maryland law requires employers to have workers' compensation insurance to compensate employees *Page 4 for workplace injuries. Annotated Code of Maryland, Labor Employment Article ("LE"), § 9-402. Many employers purchase workers' compensation insurance from insurers, while other employers self-insure. The Workers' Compensation Commission adjudicates employees' entitlement to benefits and oversees the workers' compensation system. As part of that system, the Legislature has created several entities to ensure that employers can obtain the necessary insurance and that benefits are paid even when employers fail to arrange for insurance.1

B. IWIF — the Agency

IWIF was created by statute to provide insurance for employers who would otherwise be unable to obtain coverage. See R. P. Gilbert R. L. Humphreys, Maryland Workers' CompensationHandbook (3d ed. 2007) at pp. 2-18. Since its inception, IWIF has been an agency or instrumentality of the State. Central CollectionUnit v. DLD Assoc. Limited Partnership,112 Md. App. 502, 510, 685 A.2d 873 (1996). It was established in 1914 as part of the State Industrial Accident Commission, a predecessor to the Workers' Compensation Commission.2 Chapter 800, § 16, Laws of Maryland 1914. It was made a separate agency in 1941, later incorporated into the Department of Personnel, and still later made an independent agency. See Chapters 584, 585, Laws of Maryland 1987; Chapter 98, Laws of Maryland 1970; Chapter 504, Laws of Maryland 1941.

IWIF is governed by a board, which is appointed by the Governor with the advice and consent of the Senate. LE § 10-110. Although the Legislature has exempted IWIF generally from laws affecting State agencies, it has explicitly made the agency and its employees subject to specified laws governing State agencies and employees.See LE § 10-107(b). Among those laws are the Public Information Act, the Public Ethics Law, and the State whistleblower law.Id. *Page 5

IWIF's operations are limited to the realm of workers' compensation insurance. LE § 10-106(b)(4). IWIF is to function in a manner similar to a private workers' compensation insurer. LE § 10-106(a). While it is to operate as a competitive insurer in the marketplace, it must also guarantee the availability of workers' compensation insurance in Maryland and serve as the insurer of last resort. LE § 10-106(b)(1)-(3). In addition to providing insurance, IWIF administers claims for certain employers who choose to self-insure. See LE § 10-105(b). As a workers' compensation insurer, IWIF is subject to oversight by the Workers' Compensation Commission. See LE § 9-309(e) (approval of policy forms); LE § 9-316(a)(3), (c) (Commission assessment). IWIF is also a member of Property and Casualty Insurance Guaranty Corporation, a State-created entity that backstops claims against insurers that become insolvent. LE § 10-107(c); see also Annotated Code of Maryland, Insurance Article, § 9-301 et seq.

IWIF is also subject to regulation by the Maryland Insurance Administration ("MIA") in much the same manner as a private workers' compensation insurer. LE § 10-105(a). It is exempted from provisions specifically directed to stock and mutual insurers, the premium tax, and insurance rate making. Id. It is subject to examination by the MIA, which must determine, at least once every five years, whether IWIF's rates are actuarially sound. LE § 10-125. IWIF is also to file a report each year with the Governor about its operations, its financial condition, and market trends. LE § 10-126(a). In addition, on an annual basis, it is to provide the Governor with a copy of each policy form it uses, a schedule of its rates, its provisions for payment of claims, and other information, all in a format similar to that used by insurance rating organizations. LE § 10-126(b).

C. IWIF — the Fund

The agency administers a fund that finances the insurance coverage it was created to provide. LE § 10-117 et seq. The statute governing IWIF refers to "the Fund" to mean both the agency and the moneys that the agency oversees. For purposes of this opinion, we will use the term "IWIF" to refer to the agency and the term "Fund" to refer to the moneys that the agency administers.

The Fund consists of premiums received for insurance policies, income from invested funds, interest from deposited funds, and proceeds of any debt collections. LE § 10-118(a). IWIF is to use *Page 6 these moneys to pay the expenses of the agency and any losses incurred on its policies. LE § 10-118(c). It is to keep reserves and surplus in accordance with the Insurance Article. LE § 10-121. The statute provides that, if IWIF's enabling legislation is repealed, the moneys that are in the Fund are to be distributed as directed by the General Assembly or, failing specific direction, "as justice requires, with due regard for existing obligations for compensation." LE § 10-127.

II
Analysis
You first ask who owns IWIF's reserves and surplus.

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Bluebook (online)
96 Op. Att'y Gen. 3, Counsel Stack Legal Research, https://law.counselstack.com/opinion/2011-mdag-2011.