(1)(a) A
person shall not commit a fraudulent life settlement act.
(b) A person shall not knowingly and intentionally interfere
with the enforcement of this chapter or investigations of
suspected or actual violations of this chapter.
(c) A person in the business of life settlements shall not
knowingly or intentionally permit any person convicted of a
felony involving dishonesty or breach of trust to participate in
the business of life settlements.
(2)(a) Life settlement contracts and applications for life
settlement contracts, regardless of the form of transmission,
shall contain the following statement or a substantially similar
statement:
"Any person who knowingly presents false information in an
application for insurance or life settlement contract is guilty
of a crime and may be subject to fines and confinement in
prison."
(b) The lack of a statement as required in (a) of this
subsection does not constitute a defense in any prosecution for a
fraudulent life settlement act.
(3)(a) Any person engaged in the business of life
settlements having knowledge or a reasonable belief that a
fraudulent life settlement act is being, will be, or has been
committed shall provide to the commissioner the information
required by, and in a manner prescribed by, the commissioner.
(b) Any other person having knowledge or a reasonable belief
that a fraudulent life settlement act is being, will be, or has
been committed may provide to the commissioner the information
required by, and in a manner prescribed by, the commissioner.
(4)(a) Civil liability shall not be imposed on and no cause
of action shall arise from a person's furnishing information
concerning suspected, anticipated, or completed fraudulent life
settlement acts or suspected or completed fraudulent insurance
acts, if the information is provided to or received from:
(i) The commissioner or the commissioner's employees,
agents, or representatives;
(ii) Federal, state, or local law enforcement or regulatory
officials or their employees, agents, or representatives;
(iii) A person involved in the prevention and detection of
fraudulent life settlement acts or that person's agents,
employees, or representatives;
(iv) Any regulatory body or their employees, agents, or
representatives, overseeing life insurance, life settlements,
securities, or investment fraud;
(v) The life insurer that issued the life insurance policy
covering the life of the insured; or
(vi) Either a broker or provider, or both and any agents,
employees, or representatives.
(b) Subsection (4)(a) of this section shall not apply to
statements made with actual malice. In an action brought against
a person for filing a report or furnishing other information
concerning a fraudulent life settlement act or a fraudulent
insurance act, the party bringing the action shall plead
specifically any allegation that (a) of this subsection does not
apply because the person filing the report or furnishing the
information did so with actual malice.
(c) A person identified in (a) of this subsection shall be
entitled to an award of attorneys' fees and costs if he or she is
the prevailing party in a civil cause of action for libel,
slander, or any other relevant tort arising out of activities in
carrying out the provisions of this chapter and the party
bringing the action was not substantially justified in doing so.
For purposes of this section a proceeding is "substantially
justified" if it had a reasonable basis in law or fact at the
time that it was initiated.
(d) This section does not abrogate or modify common law or
statutory privileges or immunities enjoyed by a person described
in (a) of this subsection.
(5)(a) The documents and evidence provided pursuant to
subsection (4) of this section or obtained by the commissioner in
an investigation of suspected or actual fraudulent life
settlement acts shall be privileged and confidential and shall
not be a public record and shall not be subject to discovery or
subpoena in a civil or criminal action.
(b) Subsection (5)(a) of this section does not prohibit
release by the commissioner of documents and evidence obtained in
an investigation of suspected or actual fraudulent life
settlement acts:
(i) In administrative or judicial proceedings to enforce
laws administered by the commissioner;
(ii) To federal, state, or local law enforcement or
regulatory agencies, to an organization established for the
purpose of detecting and preventing fraudulent life settlement
acts, or to the national association of insurance commissioners;
or
(iii) At the discretion of the commissioner, to a person in
the business of life settlements that is aggrieved by a
fraudulent life settlement act.
(c) Release of documents and evidence under (b) of this
subsection does not abrogate or modify the privilege granted in
(a) of this subsection.
(6) This chapter does not:
(a) Preempt the authority or relieve the duty of other law
enforcement or regulatory agencies to investigate, examine, and
prosecute suspected violations of law;
(b) Preempt, supersede, or limit any provision of chapter 21.20 RCW or any rule, order, or notice issued thereunder;
(c) Prevent or prohibit a person from disclosing voluntarily
information concerning life settlement fraud to a law enforcement
or regulatory agency other than the commissioner; or
(d) Limit the powers granted elsewhere by the laws of this
state to the commissioner or an insurance fraud unit to
investigate and examine possible violations of law and to take
appropriate action against wrongdoers.
(7)(a) Providers and brokers shall have in place antifraud
initiatives reasonably calculated to detect, prosecute, and
prevent fraudulent life settlement acts. At the discretion of
the commissioner, the commissioner may order, or either a broker
or provider, or both may request and the commissioner may grant,
such modifications of the following required initiatives as
necessary to ensure an effective antifraud program. The
modifications may be more or less restrictive than the required
initiatives so long as the modifications may reasonably be
expected to accomplish the purpose of this section. Antifraud
initiatives shall include:
(i) Fraud investigators, who may be provider or broker
employees or independent contractors; and
(ii) An antifraud plan, which shall be submitted to the
commissioner. The antifraud plan shall include, but not be
limited to:
(A) A description of the procedures for detecting and
investigating possible fraudulent life settlement acts and
procedures for resolving material inconsistencies between medical
records and insurance applications;
(B) A description of the procedures for reporting possible
fraudulent life settlement acts to the commissioner;
(C) A description of the plan for antifraud education and
training of underwriters and other personnel; and
(D) A description or chart outlining the organizational
arrangement of the antifraud personnel who are responsible for
the investigation and reporting of possible fraudulent life
settlement acts and investigating unresolved material
inconsistencies between medical records and insurance
applications.
(b) Antifraud plans submitted to the commissioner shall be
privileged and confidential and shall not be a public record and
shall not be subject to discovery or subpoena in a civil or
criminal action.
[2009 c 104 § 17.]