§ 12:1855 — Agreement to pool liabilities; initial financial requirements

§1855. Agreement to pool liabilities; initial financial requirements
A.(1) Any arrangement authorized pursuant to this Chapter shall not be deemed to
be an insurer or insurance and shall not be subject to the Louisiana Insurance Code unless
specifically referenced in this Chapter. The members of the arrangement shall not be insurers
or be subject to the Louisiana Insurance Code.
(2) An agreement to pool liabilities pursuant to this Chapter shall be set forth in an
indemnity agreement signed by the members and fund representatives acknowledging and
agreeing to the assumption of the liabilities as set forth in this Chapter.
(3) The arrangement shall not be considered a member insurer of the Louisiana
Insurance Guaranty Association, nor shall the Louisiana Insurance Guaranty Association be
liable for any claim, or increments of any claim, made against the arrangement.
(4) The arrangement may include establishment of a trust fund and shall be for the
purpose of serving as the group self-insurance fund for participating Louisiana churches and
nonprofit religious organizations, and such arrangement shall be governed by a board of
trustees.
(5)(a) The arrangement shall be domiciled in this state. All books, records,
documents, accounts, and vouchers of the arrangement shall be kept in a manner that its
financial condition, affairs, and operations can be ascertained so that financial statements
filed with the department are readily verified and determined whether to be in compliance.
Any or all books, records, documents, original indemnity agreements, accounts, and vouchers
may be photographed or reproduced on film. Any photographs, microphotographs, optical
imaging, or film reproductions of any original books, records, documents, original indemnity
agreements, accounts, and vouchers shall for all purposes, including but not limited to
admission into evidence in any court or adjudicatory proceeding, be considered the same as
the originals, and a transcript, exemplification, or certified copy of any photograph,
microphotograph, optical imaging, or film reproduction shall be deemed to be a transcript,
exemplification, or certified original. Any original considered reproduced may thereafter be
disposed of or destroyed, as provided for in Subparagraph (b) of this Paragraph, provided
provisions are made for preserving and examining the reproduction.
(b) Except as otherwise provided in Subparagraph (a) of this Paragraph, original
books, records, documents, accounts, and vouchers, or reproductions thereof, shall be
preserved and kept in this state for the purpose of examination and until the authority to
destroy or otherwise dispose of the records is secured from the department. All original
records or certified reproductions shall be maintained for the period commencing on the first
day following the last period examined by the department through the subsequent
examination period, or five years, whichever is longer, except that any original or certified
reproduction in which the member agrees to or acknowledges the members' solidary liability
for liabilities of the fund shall be permanently maintained.
(6)(a) In order to maintain financial stability in the fund, the department shall, at
times that necessitate, require two or more members of the fund to maintain a minimum
combined net worth of one million dollars and a current assets to current liabilities ratio of
at least one-to-one.
(b) After the fund has been operating for three years and has a total surplus of three
million dollars, the department may waive the requirements of Subparagraph (a) of this
Paragraph.
(7)(a) To maintain the financial stability of the fund, the fund shall assess each
member an amount which equals to a certain percentage of the premium dollars owed by the
member, and the percentage paid shall be known as a reserve payment. The percentage
amount to be paid by all members shall be approved by the department.
(b) All reserve payments shall be deposited into a separate account known as the
reserve account and shall be maintained at all times while the fund is in operation. No
payment may be paid out of the reserve account unless approved by the department.
B.(1) The fund shall submit to the department an application, on an application form
prescribed and furnished by the department, for authority to act as a group self-insurance
fund for property coverage. Each application shall include evidence of the fund's inception,
which establishes financial strength and liquidity of the members to pay claims promptly and
support the financial ability of the fund to satisfy its obligations upon the establishment of
the fund, including all of the following:
(a) Financial statements, dated not less than one year prior to the application, audited
by an independent certified public accountant, showing at the inception of the fund a
combined net worth of those members of not less than the amount required by Subsection
A of this Section. In lieu of an audited financial statement, the department may require that
the fund submit necessary financial documents in a form and manner approved by the
department to verify the combined net worth of those members or principals as required in
Subsection A of this Section.
(b) Current financial documents of all other members dated not less than one year
prior to the application.
(c) Schedules of the entire membership showing the following items:
(i) The ratio of current assets to current liabilities of all members combined to be
greater than one-to-one.
(ii) The working capital of all members combined to be of an amount establishing
the financial strength and liquidity of the members to pay claims promptly.
(iii) The net worth of all members combined to be not less than the amount required
by Subsection A of this Section.
(d) Other financial information and documents as required by the department.
(2) The application shall be in writing, on a form provided by the department, and
shall comply with all of the following:
(a) Applications shall be submitted to the department at least ninety days prior to the
effective date of the establishment of a fund. Any application submitted with fewer than
ninety days remaining before the desired effective date, or which does not contain answers
to all questions, or which is not sworn to and subscribed before a notary public, or which
does not contain all required documents, statements, reports, and required information, may
be returned without review by the department.
(b) All applications shall be accompanied by the following items:
(i) The properly completed indemnity agreement in a form acceptable to the
department pursuant to Paragraph (A)(2) of this Section.
(ii) Security as required by this Chapter.
(iii) Copies of acceptable excess insurance or reinsurance, as required by this
Chapter. All excess insurance or reinsurance shall be approved by the department prior to
use.
(iv) A bond covering each third-party administrator as provided by this Chapter. If
the fund employs its own administrator, the fund shall be required to purchase a bond, errors
and omissions insurance, directors' and officers' liability insurance, or other security
approved by the department for the administration of the fund.
(v) A certification from a designated depository attesting to the amount of monies
on hand.
(vi) Copies of fund bylaws and any trust agreement or other governance documents.
(vii) Individual application of each member of the fund applying for membership in
the fund on the effective date of the fund and copies of each member's executed indemnity
agreements.
(viii) Evidence of financial strength and liquidity of the members dated as of the date
of the filing of the application to satisfy the financial strength and liquidity requirements of
this Chapter.
(ix) Proof that the fund shall have the minimum annual earned normal premium
required by this Chapter.
(x) The current annual report or financial statement of any casualty insurance
company providing excess or reinsurance coverage for the fund meeting the requirements of
this Chapter, if the statement is not already on file with the department.
(xi) The name, address, and telephone number of each attorney representing the fund,
each qualified actuary for the fund, and each certified public accountant who will be auditing
the annual financial statements of the fund, as well as evidence of appointment of each by
the fund.
(xii) The domicile address in this state where the books and records of the fund will
be maintained, and the state from which the fund will be administered.
(xiii) Proof of advance payment to the fund by each initial member of the fund of not
less than twenty-five percent of that member's first year estimated annually earned normal
premiums.
(xiv) A feasibility study or other analysis prepared by a qualified actuary utilizing
actual loss history of the initial members of the fund.
(xv) Pro forma financial statements projecting the first three years of operations of
the fund based upon a feasibility study or other analysis prepared by a qualified actuary. The
pro forma financial statements shall include a pro forma balance sheet, income statement,
and statement of cash flow, each of which shall be prepared in accordance with generally
accepted accounting principles.
(xvi) A copy of the fund's premium billing policy indicating whether the premium
payments to the fund are to be paid by members annually, monthly, quarterly, or any
combination thereof.

Legislative History

Acts 2023, No. 259, §§1, 3A, eff. June 12, 2023.