(1) A
person, wherever located, shall not act as a provider with an
owner who is a resident of this state or if there is more than
one owner on a single policy and one of the owners is a resident
of this state, without first having obtained a license from the
commissioner.
(2) An application for a provider license shall be made to
the commissioner by the applicant on a form prescribed by the
commissioner, and the application shall be accompanied by a
licensing fee in the amount of two hundred fifty dollars, which
shall be deposited to the insurance commissioner's regulatory
account under RCW 48.02.190.
(3) All provider licenses shall continue in force until
suspended, revoked, or not renewed. A license shall be subject
to renewal annually on the first day of July upon application of
the provider and payment of a renewal fee of two hundred fifty
dollars, which shall be deposited to the insurance commissioner's
regulatory account under RCW 48.02.190. If not so renewed, the
license shall automatically expire on the renewal date.
(a) If the renewal fee is not received by the commissioner
prior to the expiration date, the provider shall pay to the
commissioner in addition to the renewal fee, a surcharge as
follows:
(i) For the first thirty days or part thereof delinquency
the surcharge is fifty percent of the renewal fee;
(ii) For the next thirty days or part thereof delinquency
the surcharge is one hundred percent of the renewal fee;
(b) If the renewal fee is not received by the commissioner
after sixty days but prior to twelve months after the expiration
date the payment of the renewal fee shall be for reinstatement of
the license and the provider shall pay to the commissioner the
renewal fee and a surcharge of two hundred percent.
(4) Subsection (3)(a) and (b) of this section does not
exempt any person from any penalty provided by law for
transacting a life settlement business without a valid and
subsisting license.
(5) The applicant shall provide such information as the
commissioner may require on forms prescribed by the commissioner.
The commissioner has the authority, at any time, to require such
an applicant to fully disclose the identity of its stockholders,
partners, officers, and employees, and the commissioner may, in
the exercise of the commissioner's sole discretion, refuse to
issue such a license in the name of any person if not satisfied
that any officer, employee, stockholder, or partner thereof who
may materially influence the applicant's conduct meets the
standards of this chapter.
(6) A license issued to a partnership, corporation, or other
entity authorizes all members, officers, and designated employees
to act as a licensee under the license, if those persons are
named in the application and any supplements to the application.
(7) Upon the filing of an application for a provider's
license and the payment of the license fee, the commissioner
shall make an investigation of each applicant and may issue a
license if the commissioner finds that the applicant:
(a) Has provided a detailed plan of operation;
(b) Is competent and trustworthy and intends to transact its
business in good faith;
(c) Has a good business reputation and has had experience,
training, or education so as to be qualified in the business for
which the license is applied;
(d)(i) Has demonstrated evidence of financial responsibility
in a form and in an amount prescribed by the commissioner by
rule.
(ii) The commissioner may ask for evidence of financial
responsibility at any time the commissioner deems necessary;
(e) If the applicant is a legal entity, is formed or
organized pursuant to the laws of this state, is a foreign legal
entity authorized to transact business in this state, or provides
a certificate of good standing from the state of its domicile;
and
(f) Has provided to the commissioner an antifraud plan that
meets the requirements of RCW 48.102.140 and includes:
(i) A description of the procedures for detecting and
investigating possible fraudulent acts and procedures for
resolving material inconsistencies between medical records and
insurance applications;
(ii) A description of the procedures for reporting
fraudulent insurance acts to the commissioner;
(iii) A description of the plan for antifraud education and
training of its underwriters and other personnel; and
(iv) A written description or chart outlining the
arrangement of the antifraud personnel who are responsible for
the investigation and reporting of possible fraudulent insurance
acts and investigating unresolved material inconsistencies
between medical records and insurance applications.
(8)(a) A nonresident provider shall appoint the commissioner
as its attorney to receive service of, and upon whom shall be
served, all legal process issued against it in this state upon
causes of action arising within this state. Service upon the
commissioner as attorney shall constitute service upon the
provider. Service of legal process against the provider can be
had only by service upon the commissioner.
(b) With the appointment the provider shall designate the
person to whom the commissioner shall forward legal process so
served upon him or her. The provider may change the person by
filing a new designation.
(c) The appointment of the commissioner as attorney shall be
irrevocable, shall bind any successor in interest or to the
assets or liabilities of the provider, and shall remain in effect
as long as there is in this state any contract made by the
provider or liabilities or duties arising therefrom.
(d) Duplicate copies of legal process against a provider for
whom the commissioner is attorney shall be served upon him or her
either by a person competent to serve summons, or by registered
mail. At the time of service the plaintiff shall pay to the
commissioner ten dollars, taxable as costs in the action.
(e) The commissioner shall immediately send one of the
copies of the process, by registered mail with return receipt
requested, to the person designated for the purpose by the
provider in its most recent designation filed with the
commissioner.
(f) The commissioner shall keep a record of the day and hour
of service upon him or her of all legal process. Proceedings
shall not be had against the provider, and the provider shall not
be required to appear, plead, or answer until the expiration of
forty days after the date of service upon the commissioner.
(9) A provider may not use any person to perform the
functions of a broker unless the person is authorized to act as a
broker under this chapter.
(10) A provider shall provide to the commissioner new or
revised information about officers, stockholders, partners,
directors, members, or designated employees within thirty days of
the change.
[2009 c 104 § 3.]