reglab/housing_qa huggingface dataset:
IA Code § 510.8 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510 - MANAGING GENERAL AGENTS AND THIRD-PARTY ADMINISTRATORS|Section 510.8 - Penalties and liabilities.

510.8 Penalties and liabilities.   1. If the commissioner finds, after a hearing conducted in accordance with chapter 17A, that any person has violated one or more provisions of this chapter, the commissioner may do one or more of the following:   a. For each separate violation, order the imposition of an administrative penalty of not more than ten thousand dollars.   b. Order the revocation or suspension of the producer’s license.   c. Bring a civil suit seeking reimbursement by the managing general agent of the insurer, the rehabilitator, or the liquidator of the insurer for any losses incurred by the insurer caused by a violation of this chapter committed by the managing general agent.   2. The decision, determination, or order of the commissioner pursuant to subsection 1 is subject to judicial review pursuant to chapter 17A.   3. This section does not affect the right of the commissioner to impose any other penalties provided for under this subtitle.   4. This chapter is not intended to and shall not in any manner limit or restrict the rights of policyholders, claimants, and auditors.  91 Acts, ch 26, §7; 91 Acts, ch 213, §8  Referred to in §510.10
IA Code § 510.9 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510 - MANAGING GENERAL AGENTS AND THIRD-PARTY ADMINISTRATORS|Section 510.9 - Rules.

510.9 Rules.   The commissioner may adopt rules, pursuant to chapter 17A, as necessary or convenient for the implementation and administration of this chapter.  91 Acts, ch 26, §8  Referred to in §510.10
IA Code § 510.10 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510 - MANAGING GENERAL AGENTS AND THIRD-PARTY ADMINISTRATORS|Section 510.10 - Exemption.

510.10 Exemption.   A managing general agent who complies with sections 510.1A through 510.9 for a block of business, shall not also be required to comply with sections 510.20 and 510.21 with regard to the same block of business.  91 Acts, ch 26, §9; 91 Acts, ch 258, §57
IA Code § 510.11 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510 - MANAGING GENERAL AGENTS AND THIRD-PARTY ADMINISTRATORS|Section 510.11 - Definitions.

510.11 Definitions.   1. “Life or health insurance” includes but is not limited to the following:   a. Individual or group accident and sickness insurance providing coverage on an expense-incurred basis.   b. An individual or group hospital or medical service contract issued pursuant to chapter 509, 514, or 514A.   c. An individual or group health maintenance organization contract regulated under chapter 514B.   d. An individual or group Medicare supplemental policy.   e. A long-term care policy.   f. An individual or group life insurance policy or annuity issued pursuant to chapter 508, 508A, or 509A.   2. “Third-party administrator” means a person who collects charges or premiums from, or who adjusts or settles claims on, residents of this state in connection with life or health insurance coverage or annuities other than any of the following:   a. A union or association on behalf of its members.   b. An insurance company which is either licensed in this state or acting as an insurer with respect to a policy lawfully issued and delivered by it in and pursuant to the laws of a state in which the insurer was authorized to do insurance business.   c. An entity licensed under chapter 514, including its sales representatives licensed in this state when engaged in the performance of their duties as sales representatives.   d. A life or health agent or broker licensed in this state, whose activities are limited exclusively to the sale of insurance.   e. A creditor on behalf of its debtors with respect to insurance covering a debt between the creditor and its debtors.   f. A trust, its trustees, agents, and employees acting under the trust, established in conformity with 29 U.S.C. §186.   g. A trust exempt from taxation under section 501(a) of the Internal Revenue Code, its trustees, and employees acting under the trust.   h. A custodian, its agents, and employees acting pursuant to a custodial account which meets the requirements of section 401(f) of the Internal Revenue Code.   i. A bank, credit union, or other financial institution which is subject to supervision or examination by federal or state banking authorities.   j. A credit card-issuing company which advances for and collects premiums or charges from its credit card holders who have authorized it to do so, if the company does not adjust or settle claims.   k. A person who adjusts or settles claims in the normal course of the person’s practice or employment as an attorney, and who does not collect charges or premiums in connection with life or health insurance coverage or annuities.  89 Acts, ch 227, §4; 2006 Acts, ch 1117, §38  Referred to in §509A.15, 510.12, 729.6
IA Code § 510.12 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510 - MANAGING GENERAL AGENTS AND THIRD-PARTY ADMINISTRATORS|Section 510.12 - Written agreement necessary.

510.12 Written agreement necessary.   A person shall not act as a third-party administrator without a written agreement between the third-party administrator and the insurer, and the written agreement shall be retained as part of the official records of both the insurer and the third-party administrator for the duration of the agreement plus five years. The written agreement shall contain provisions which include the requirements of sections 510.11 through 510.16, except insofar as those requirements do not apply to the functions performed by the third-party administrator.   When a policy is issued to a trustee, a copy of the trust agreement and any amendments to the trust agreement shall be furnished to the insurer by the third-party administrator and shall be retained as part of the official records of both the insurer and the third-party administrator for the duration of the policy plus five years.  89 Acts, ch 227, §5; 2006 Acts, ch 1117, §39  Referred to in §510.13, 510.14, 510.21
IA Code § 510.13 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510 - MANAGING GENERAL AGENTS AND THIRD-PARTY ADMINISTRATORS|Section 510.13 - Payment to third-party administrator.

510.13 Payment to third-party administrator.   If an insurer uses the services of a third-party administrator under the terms of a written contract as required in section 510.12, payment to the third-party administrator of any premiums or charges for insurance by or on behalf of the insured shall be deemed to have been received by the insurer, and the payment of return premiums or claims by the insurer to the third-party administrator shall not be deemed payment to the insured or claimant until the payments are received by the insured or claimant. This section does not limit any right of the insurer against the third-party administrator resulting from the third-party administrator’s failure to make payments to the insurer, insureds, or claimants.  89 Acts, ch 227, §6; 2006 Acts, ch 1117, §40  Referred to in §510.12, 510.21
IA Code § 510.14 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510 - MANAGING GENERAL AGENTS AND THIRD-PARTY ADMINISTRATORS|Section 510.14 - Maintenance of information.

510.14 Maintenance of information.   A third-party administrator shall maintain at its principal administrative office for the duration of the written agreement referred to in section 510.12 plus five years, adequate books and records of all transactions between it, insurers, and insured persons. The third-party administrator’s books and records shall be maintained in accordance with prudent standards of insurance recordkeeping. The commissioner shall have access to such books and records for the purpose of examination, audit, and inspection. Trade secrets contained in a third-party administrator’s books and records, including but not limited to the identity and addresses of policyholders and certificate holders, shall be confidential, except the commissioner may use trade secret information in any proceeding instituted against the third-party administrator. The insurer retains the right to continuing access to the third-party administrator’s books and records sufficient to permit the insurer to fulfill all of its contractual obligations to insured persons, subject to any restrictions in the written agreement between the insurer and third-party administrator on the proprietary rights of the parties in the third-party administrator’s books and records.  89 Acts, ch 227, §7; 2006 Acts, ch 1117, §41  Referred to in §510.12, 510.21
IA Code § 510.15 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510 - MANAGING GENERAL AGENTS AND THIRD-PARTY ADMINISTRATORS|Section 510.15 - Approval of advertising.

510.15 Approval of advertising.   A third-party administrator may use only such advertising pertaining to the business underwritten by an insurer as has been approved by the insurer in advance of its use.  89 Acts, ch 227, §8; 2006 Acts, ch 1117, §42  Referred to in §510.12, 510.21
IA Code § 510.16 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510 - MANAGING GENERAL AGENTS AND THIRD-PARTY ADMINISTRATORS|Section 510.16 - Underwriting provision.

510.16 Underwriting provision.   The agreement shall provide for the underwriting or other standards pertaining to the business underwritten by the insurer.  89 Acts, ch 227, §9  Referred to in §510.12, 510.21
IA Code § 510.17 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510 - MANAGING GENERAL AGENTS AND THIRD-PARTY ADMINISTRATORS|Section 510.17 - Premium collection.

510.17 Premium collection.   1. All insurance charges or premiums collected by a third-party administrator on behalf of or for an insurer, and return premiums received from the insurer, shall be held by the third-party administrator in a fiduciary capacity. Such funds shall be immediately remitted to the person or persons entitled to them, or shall be deposited promptly in a fiduciary bank account established and maintained by the third-party administrator. If charges or premiums so deposited have been collected on behalf of or for more than one insurer, the third-party administrator shall cause the bank in which the fiduciary account is maintained to keep records clearly recording the deposits in and withdrawals from the account on behalf of or for each insurer. The third-party administrator shall promptly obtain and keep copies of all such records and, upon request of an insurer, shall furnish the insurer with copies of the records pertaining to deposits and withdrawals on behalf of or for that insurer.   2. The third-party administrator shall not pay a claim by withdrawal from the fiduciary account. Withdrawals from the fiduciary account shall be made, as provided in the written agreement between the third-party administrator and the insurer, for any of the following:   a. Remittance to an insurer entitled thereto.   b. Deposit in an account maintained in the name of the insurer.   c. Transfer to and deposit in a claims-paying account, with claims to be paid as provided in section 510.18.   d. Payment to a group policyholder for remittance to the insurer entitled thereto.   e. Payment to the third-party administrator of its commission, fees, or charges.   f. Remittance of return premiums to the persons entitled thereto.  89 Acts, ch 227, §10; 2006 Acts, ch 1117, §43  Referred to in §510.21
IA Code § 510.18 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510 - MANAGING GENERAL AGENTS AND THIRD-PARTY ADMINISTRATORS|Section 510.18 - Payment of claims.

510.18 Payment of claims.   A claim paid by the third-party administrator from funds collected on behalf of the insurer shall be paid only on a draft, check, or by electronic funds transfer as authorized by the insurer.  89 Acts, ch 227, §11; 96 Acts, ch 1122, §1; 2006 Acts, ch 1117, §44  Referred to in §510.17, 510.21
IA Code § 510.19 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510 - MANAGING GENERAL AGENTS AND THIRD-PARTY ADMINISTRATORS|Section 510.19 - Claim adjustment and settlement.

510.19 Claim adjustment and settlement.   The compensation paid to a third-party administrator shall not be contingent on claim experience on policies for which the third-party administrator adjusts or settles claims. This section does not prevent the compensation of a third-party administrator from being based on premiums or charges collected or number of claims paid or processed.  89 Acts, ch 227, §12; 2006 Acts, ch 1117, §45  Referred to in §510.21
IA Code § 510.20 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510 - MANAGING GENERAL AGENTS AND THIRD-PARTY ADMINISTRATORS|Section 510.20 - Notification required.

510.20 Notification required.   When the services of a third-party administrator are used, the third-party administrator shall provide a written notice, approved by the insurer, to insured individuals, advising them of the identity of and relationship among the third-party administrator, the policyholder, and the insurer. When a third-party administrator collects funds, it shall identify and state separately in writing to the person paying to the third-party administrator any charge or premium for insurance coverage the amount of any such charge or premium specified by the insurer for such insurance coverage.  89 Acts, ch 227, §13; 2006 Acts, ch 1117, §46  Referred to in §510.10, 510.21
IA Code § 510.21 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510 - MANAGING GENERAL AGENTS AND THIRD-PARTY ADMINISTRATORS|Section 510.21 - Certificate of registration required.

510.21 Certificate of registration required.   A person shall not act as or represent oneself to be a third-party administrator in this state, other than an adjuster licensed in this state for the kinds of business for which the person is acting as a third-party administrator, unless the person holds a current certificate of registration as a third-party administrator issued by the commissioner of insurance. A certificate of registration as a third-party administrator is renewable every three years. Failure to hold a certificate subjects the third-party administrator to the sanctions set out in section 507B.7. The certificate shall be issued by the commissioner to a third-party administrator unless the commissioner, after due notice and hearing, determines that the third-party administrator is not competent, trustworthy, financially responsible, or of good personal and business reputation, or has had a previous application for an insurance license denied for cause within the preceding five years.   An application for registration shall be accompanied by a filing fee of one hundred dollars. After notice and hearing, the commissioner may impose any or all of the sanctions set out in section 507B.7, upon finding that either the third-party administrator violated any of the requirements of sections 510.12 through 510.20 and this section, or the third-party administrator is not competent, trustworthy, financially responsible, or of good personal and business reputation.  89 Acts, ch 227, §14; 2006 Acts, ch 1117, §47; 2007 Acts, ch 152, §56; 2008 Acts, ch 1074, §2  Referred to in §509A.15, 510.10, 510.22
IA Code § 510.22 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510 - MANAGING GENERAL AGENTS AND THIRD-PARTY ADMINISTRATORS|Section 510.22 - Waiving of requirements.

510.22 Waiving of requirements.   The commissioner may waive the requirements of section 510.21 for any person or class of persons. The factors taken into account in granting a waiver shall include, but are not limited to whether:   1. The person acting as a third-party administrator is primarily in a business other than that of a third-party administrator.   2. The financial strength and history of the organization indicates stability in its continuity of doing business.   3. The regular duties being performed as a third-party administrator are such that the covered persons are not likely to be injured by a waiver of such requirements.  89 Acts, ch 227, §15; 2006 Acts, ch 1117, §48
IA Code § 510.23 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510 - MANAGING GENERAL AGENTS AND THIRD-PARTY ADMINISTRATORS|Section 510.23 - Unfair competition or unfair and deceptive acts or practices prohibited.

510.23 Unfair competition or unfair and deceptive acts or practices prohibited.   A third-party administrator is subject to chapter 507B relating to unfair insurance trade practices.  93 Acts, ch 88, §12; 2006 Acts, ch 1117, §49
IA Code § 510A.1 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510A - BUSINESS PRODUCER CONTROLLED PROPERTY AND CASUALTY INSURERS|Section 510A.1 - Short title.

510A.1 Short title.   This chapter shall be known and may be cited as the “Business Producer Controlled Property and Casualty Insurer Act.”  91 Acts, ch 26, §10; 92 Acts, ch 1117, §35
IA Code § 510A.2 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510A - BUSINESS PRODUCER CONTROLLED PROPERTY AND CASUALTY INSURERS|Section 510A.2 - Definitions.

510A.2 Definitions.   As used in this chapter unless the context otherwise requires:   1. “Accredited state” means a state in which the insurance department or regulatory agency has qualified as meeting the minimum financial regulatory standards promulgated and established by the national association of insurance commissioners.   2. “Control” or “controlled” has the meaning ascribed in section 521A.1, subsection 3.   3. “Controlled insurer” means a licensed insurer that is controlled, directly or indirectly, by an insurance producer.   4. “Controlling producer” means an insurance producer who, directly or indirectly, controls an insurer.   5. “Independent casualty actuary” means a casualty actuary who is a member of the American academy of actuaries and who is not an employee, principal, the direct or indirect owner of, affiliated with, or in any way controlled by the insurer or insurance producer.   6. “Insurance producer” means a person required to be licensed under the laws of this state to sell, solicit, or negotiate insurance.   7. “Licensed insurer” or “insurer” means any person duly licensed to transact a property and casualty insurance business in this state. The following are not licensed property and casualty insurers for the purposes of this chapter:   a. All risk retention groups as defined in the Superfund Amendments Reauthorization Act of 1986, Pub. L. No. 99-499, 100 Stat. 1613 (1986) and the Risk Retention Act, 15 U.S.C. §3901 et seq. (1982 & Supp. 1986), or chapter 515E.   b. All residual market pools and joint underwriting authorities or associations.   c. All captive insurers. For the purposes of this chapter, captive insurers are insurance companies owned by another organization whose exclusive purpose is to insure risks of the parent organization and affiliated companies or, in the case of groups and associations, insurance organizations owned by the insureds whose exclusive purpose is to insure risks of any group and association members and any affiliates.  91 Acts, ch 26, §11; 92 Acts, ch 1117, §36; 2003 Acts, ch 91, §13 – 15  Referred to in §510.6, 510A.3
IA Code § 510A.3 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510A - BUSINESS PRODUCER CONTROLLED PROPERTY AND CASUALTY INSURERS|Section 510A.3 - Applicability.

510A.3 Applicability.   This chapter applies to licensed insurers as defined in section 510A.2, either domiciled in this state or domiciled in a state that is not an accredited state and having a substantially similar law. All provisions of the insurance holding company Act, to the extent those provisions are not superseded by this chapter, continue to apply to all persons associated with holding companies subject to this chapter.  91 Acts, ch 26, §12; 92 Acts, ch 1117, §37
IA Code § 510A.5 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510A - BUSINESS PRODUCER CONTROLLED PROPERTY AND CASUALTY INSURERS|Section 510A.5 - Disclosure.

510A.5 Disclosure.   The insurance producer, prior to the effective date of the policy, shall deliver written notice to the prospective insured disclosing the relationship between the insurance producer and the controlled insurer; except that, if the business is placed through a subproducer who is not a controlling producer, the controlling producer shall retain in the producer’s records a signed commitment from the subproducer that the subproducer is aware of the relationship between the insurer and the insurance producer and that the subproducer has notified or will notify the insured.  92 Acts, ch 1117, §39; 2003 Acts, ch 91, §19
IA Code § 510A.6 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510A - BUSINESS PRODUCER CONTROLLED PROPERTY AND CASUALTY INSURERS|Section 510A.6 - Penalties.

510A.6 Penalties.   1. If the commissioner believes that a controlling producer or any other person subject to this chapter has not materially complied with this chapter, or any rule adopted or order issued pursuant to this chapter, after notice and opportunity to be heard, the commissioner may order the controlling producer to cease placing business with the controlled insurer. Additionally, if the commissioner finds that because of such noncompliance the controlled insurer or any policyholder of the controlled insurer has suffered any loss or damage, the commissioner may maintain a civil action or intervene in an action brought by or on behalf of the insurer or policyholder for recovery of compensatory damages for the benefit of the insurer or policyholder, or for other appropriate relief.   2. If an order for liquidation or rehabilitation of the controlled insurer has been entered pursuant to chapter 507C, and the receiver appointed under that order believes that the controlling producer or any other person has not materially complied with this chapter, or any rule adopted or order issued pursuant to this chapter, and that the insurer suffered any loss or damage as a result of the noncompliance, the receiver may maintain a civil action for recovery of damages or other appropriate sanctions for the benefit of the insurer.   3. This section shall not be construed to affect or limit the right of the commissioner to impose any other penalties, as appropriate, which the commissioner is authorized to impose.   4. This section shall not be construed to affect or limit the rights of policyholders, claimants, creditors, or other third parties.  93 Acts, ch 88, §13
IA Code § 510B.2 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510B - REGULATION OF PHARMACY BENEFITS MANAGERS|Section 510B.2 - Certification as a third-party administrator required.

510B.2 Certification as a third-party administrator required.   A pharmacy benefits manager doing business in this state shall obtain a certificate as a third-party administrator under chapter 510, and the provisions relating to a third-party administrator pursuant to chapter 510 shall apply to a pharmacy benefits manager.  2007 Acts, ch 193, §2, 9