Section 710. (a) If the commissioner finds after a hearing that a
rate is not in compliance with section 704 or that a rate had been set in
violation of section 713, the commissioner shall order that its use be
discontinued for any policy issued or renewed after a date specified in the
order, and the order may prospectively provide for premium adjustment of any
policy then in force. Except as provided in subsection (b), the order shall be
issued within thirty (30) days after the close of the hearing or within a
reasonable time extension as fixed by the commissioner. The order shall expire
one (1) year after its effective date unless rescinded earlier by the
commissioner.
(b) (1) Pending a hearing, the commissioner may order the suspension
prospectively of a rate filed by an insurer and re-impose the last previous rate
in effect if the commissioner has reasonable cause to believe that: (i) an
insurer is in violation of section 704; (ii) unless the order of suspension is
issued, certain insured’s will suffer irreparable harm; (iii) the hardship
insured’s will suffer absent the order of suspension outweighs any hardship the
insurer would suffer if the order of suspension were to issue; and (iv) the
order of suspension will cause no substantial harm to the public.
(2) In the event the commissioner suspends a rate under this subsection, the
commissioner must, unless waived by the insurer, hold a hearing within fifteen
(15) working days after issuing the order suspending the rate. In addition, the
commissioner must make a determination and issue the order as to whether or not
the rate should be disapproved within fifteen (15) working days after the close
of the hearing.
(c) (l) At any hearing to determine compliance with section 704, pursuant to
subsection (a), the commissioner may first determine whether a reasonable degree
of competition exists within the market and shall give a ruling to that effect.
All insurers operating within such market shall have the burden of establishing
that a reasonable degree of competition exists
within that market. The commissioner shall consider all relevant factors in
determining the competitiveness of the market, including: (i) the number of
insurers actively engaged in providing coverage; (ii) market shares; (iii)
changes in market shares; and (iv) ease of entry.
(2) If the commissioner determines that a reasonable degree of competition
does not exist in the marker, any insurer designated by the commissioner shall
have the burden of justifying its rate in such market.
(3) All determinations made by the commissioner shall be on the basis of
findings of fact and conclusions of law.
(4) If the commissioner disapproves a rate, the disapproval shall take
effect not less than fifteen (15) days after his order and the last previous
rate in effect for the insurer shall be re-imposed for a period of one (1) year
unless the commissioner approves a rate under subsection (d) or (e). (d) Within
one (1) year after the effective date of a disapproval order, no rate adopted to
replace one disapproved under such order may be used until it has been filed
with the commissioner and not disapproved within thirty (30) days thereafter.
(e) Whenever an insurer has no legally effective rates as a result of the
commissioner's disapproval of rates! The commissioner shall, on the insurer's
request, specify interim rates for the insurer that are high enough to protect
the interests of all parties and may order that a specified portion of the
premiums be placed in a special reserve established by the insurer. When new
rates become legally effective, the commissioner shall order the specially
reserved funds or any overcharge in the interim rates to be distributed
appropriately to the insured’s or insurer, as the case may be, except that
refunds to policyholders that are minimal may not be required.
(710 added July 2, 1993, P.L.190, No.44)