(1)
The association shall:
(a)(i) For other than covered claims involving the longshore
and harbor workers' compensation act, be obligated to the extent
of the covered claims existing prior to the order of liquidation
and arising within thirty days after the order of liquidation, or
before the policy expiration date if less than thirty days after
the order of liquidation, or before the insured replaces the
policy or on request effects cancellation, if he or she does so
within thirty days of the order of liquidation, but such an
obligation includes only that amount of each covered claim which
is in excess of one hundred dollars and is less than three
hundred thousand dollars. In no event shall the association be
obligated to a policyholder or claimant in an amount in excess of
the face amount of the policy from which the claim arises.
(ii) For covered claims involving longshore and harbor
workers' compensation act insurance, be obligated to the extent
of covered claims for insolvencies occurring after April 20,
2005. This obligation is for the statutory obligations
established under the longshore and harbor workers' compensation
act. However, the insured employer shall reimburse the
association for any deductibles that are owed as part of the
insured's obligations.
(b) Be deemed the insurer to the extent of its obligation on
the covered claims and to such extent shall have all rights,
duties, and obligations of the insolvent insurer as if the
insurer had not become insolvent.
(c)(i) Allocate claims paid and expenses incurred among the
three accounts enumerated in RCW 48.32.040 separately, and assess
member insurers separately for each account amounts necessary to
pay the obligations of the association under (a) of this
subsection subsequent to an insolvency, the expenses of handling
covered claims subsequent to an insolvency, the cost of
examinations under RCW 48.32.110, and other expenses authorized
by this chapter. Except as provided for in this subsection for
member insurers who write longshore and harbor workers'
compensation act insurance, the assessments of each member
insurer shall be in the proportion that the net direct written
premiums of the member insurer for the calendar year preceding
the assessment on the kinds of insurance in the account bears to
the net direct written premiums of all member insurers for the
calendar year preceding the assessment on the kinds of insurance
in the account. Each member insurer shall be notified of the
assessment not later than thirty days before it is due. No
member insurer may be assessed in any year on any account an
amount greater than two percent of that member insurer's net
direct written premiums for the calendar year preceding the
assessment on the kinds of insurance in the account. If the
maximum assessment, together with the other assets of the
association in any account, does not provide in any one year in
any account an amount sufficient to make all necessary payments
from that account, the funds available may be prorated and the
unpaid portion shall be paid as soon thereafter as funds become
available. The association shall pay claims in any order which
it may deem reasonable, including the payment of claims in the
order such claims are received from claimants or in groups or
categories of claims, or otherwise. The association may exempt
or defer, in whole or in part, the assessment of any member
insurer, if the assessment would cause the member insurer's
financial statement to reflect amounts of capital or surplus less
than the minimum amounts required for a certificate of authority
by any jurisdiction in which the member insurer is authorized to
transact insurance. Each member insurer serving as a servicing
facility may set off against any assessment, authorized payments
made on covered claims and expenses incurred in the payment of
such claims by such member insurer if they are chargeable to the
account for which the assessment is made.
(ii) For member insurers who write longshore and harbor
workers' compensation act insurance, (c)(i) of this subsection
applies except as modified by the following:
(A) Beginning July 1, 2005, and prior to an insolvency, each
member insurer who writes longshore and harbor workers'
compensation act insurance in this state, whether on a primary or
excess coverage basis, shall be assessed at a rate to be
determined by the association, but not more than an annual rate
of three percent of the net direct written premium for the
calendar year preceding the assessment on this kind of insurance.
Insurer assessments prior to an insolvency shall continue until a
fund is established that equals four percent of the aggregate net
direct premium for the calendar year preceding the assessment on
all insurers authorized to write this kind of insurance;
(B) Subsequent to an insolvency, each member insurer who
writes longshore and harbor workers' compensation act insurance
in this state, whether on a primary or excess coverage basis,
shall be assessed at a rate to be determined by the association,
but not more than an annual rate of three percent of the net
direct written premium for the calendar year preceding the
assessment on this kind of insurance. Insurer assessments
subsequent to an insolvency shall continue until a fund is
established that the association deems sufficient to meet all
claim and loan obligations of the fund, provided that the net
fund balance may not at any time exceed four percent of the
aggregate net direct premium for the calendar year preceding the
assessment on all insurers authorized to write this kind of
insurance; and
(C) If any insurer fails to provide its net direct written
premium data in an accurate and timely manner upon request by the
association, the association may, at its discretion, substitute
that insurer's direct written premiums for workers' compensation
reported or reportable in its statutory annual statement page
fourteen data for the state of Washington.
(d) Investigate claims brought against the association and
adjust, compromise, settle, and pay covered claims to the extent
of the association's obligation and deny all other claims.
(e) Notify such persons as the commissioner directs under
RCW 48.32.080(2)(a).
(f) Handle claims through its employees or through one or
more insurers or other persons designated as servicing
facilities. Designation of a servicing facility is subject to
the approval of the commissioner, but such designation may be
declined by a member insurer.
(g) Reimburse each servicing facility for obligations of the
association paid by the facility and for expenses incurred by the
facility while handling claims on behalf of the association and
shall pay the other expenses of the association authorized by
this chapter.
(2) The association may:
(a) Appear in, defend, and appeal any action on a claim
brought against the association.
(b) Employ or retain such persons as are necessary to handle
claims and perform other duties of the association.
(c) Borrow funds necessary to effect the purposes of this
chapter in accord with the plan of operation. If such a loan is
related to the account for longshore and harbor workers'
compensation act insurance, the association may seek such a loan
from the Washington longshore and harbor workers' compensation
act insurance assigned risk plan under RCW 48.22.070 or from
other interested parties.
(d) Sue or be sued.
(e) Negotiate and become a party to such contracts as are
necessary to carry out the purpose of this chapter.
(f) Perform such other acts as are necessary or proper to
effectuate the purpose of this chapter.
(g) Refund to the member insurers in proportion to the
contribution of each member insurer to that account that amount
by which the assets of the account exceed the liabilities, if, at
the end of any calendar year, the board of directors finds that
the assets of the association in any account exceed the
liabilities of that account as estimated by the board of
directors for the coming year.
(3) The association shall not access any funds from the
automobile insurance account or the account for all other
insurance to which this chapter applies to cover the cost of
claims or administration arising under the account for longshore
and harbor workers' compensation act insurance.
[2005 c 100 § 6; 1975-'76 2nd ex.s. c 109 § 6; 1971 ex.s. c 265 § 6.]