reglab/statecodes huggingface dataset:
2023 Iowa Code › Title XIII - COMMERCE › Chapter 514J - EXTERNAL REVIEW OF HEALTH CARE COVERAGE DECISIONS › Section 514J.105 - Request for external review.

514J.105 Request for external review.
A covered person or the covered person’s authorized representative may make a request for an external review of a final adverse determination. Except for a request for an expedited external review, all requests for external review shall be made in writing to the commissioner. The commissioner may prescribe by rule the form and content of external review requests.
2011 Acts, ch 101, §5
2023 Iowa Code › Title XIII - COMMERCE › Chapter 514J - EXTERNAL REVIEW OF HEALTH CARE COVERAGE DECISIONS › Section 514J.106 - Exhaustion of internal grievance process — exceptions — expedited external review request.

514J.106 Exhaustion of internal grievance process — exceptions — expedited external review request.
1. Except as otherwise provided in this section, a request for an external review shall not be made until the covered person or the covered person’s authorized representative has exhausted the health carrier’s internal grievance process and received a final adverse determination.
2. A covered person or the covered person’s authorized representative shall be considered to have exhausted the health carrier’s internal grievance process if the covered person or the covered person’s authorized representative has filed a grievance involving an adverse determination and, except to the extent the covered person or the covered person’s authorized representative requested or agreed to a delay, has not received a written decision on the grievance from the health carrier within thirty days following the date the covered person or the covered person’s authorized representative filed the grievance with the health carrier.
3. A covered person or the covered person’s authorized representative may file a request for an expedited external review of an adverse determination without exhausting the health carrier’s internal grievance process under either of the following circumstances:
a. The covered person has a medical condition pursuant to which the time frame for completion of an internal review of the grievance involving an adverse determination would seriously jeopardize the life or health of the covered person or would jeopardize the covered person’s ability to regain maximum function as provided in section 514J.108.
b. The adverse determination involves a denial of coverage based on a determination that the recommended or requested health care service or treatment is experimental or investigational and the covered person’s treating physician certifies in writing that the recommended or requested health care service or treatment that is the subject of the adverse determination would be significantly less effective if not promptly initiated as provided in section 514J.109.
4. A request for an external review of an adverse determination may be made before the covered person or the covered person’s authorized representative has exhausted the health carrier’s internal grievance procedures whenever the health carrier agrees to waive the exhaustion requirement. If the requirement to exhaust the health carrier’s internal grievance procedures is waived, the covered person or the covered person’s authorized representative may file a request with the commissioner in writing for a standard external review.
2011 Acts, ch 101, §6
Referred to in §514J.107, 514J.109
2023 Iowa Code › Title XIII - COMMERCE › Chapter 514J - EXTERNAL REVIEW OF HEALTH CARE COVERAGE DECISIONS › Section 514J.111 - Approval of independent review organizations.

514J.111 Approval of independent review organizations.
1. The commissioner shall approve applications submitted by independent review organizations to conduct external reviews under this chapter. The commissioner may retain an outside expert to perform reviews of such applications.
2. In order to be eligible for approval by the commissioner to conduct external reviews, an independent review organization shall meet all of the following requirements:
a. Be accredited by a nationally recognized private accrediting entity that the commissioner determines has independent review organization accreditation standards that are equivalent to or exceed the minimum qualifications for independent review organizations established in this chapter.
b. Submit an application in a form and format as directed by the commissioner.
c. Meet the minimum qualifications contained in section 514J.112.
3. The commissioner may approve independent review organizations that are not accredited by a nationally recognized private accrediting entity if there are no acceptable nationally recognized private accrediting entities providing independent review organization accreditation.
4. The commissioner shall develop an application form for initially approving and for reapproving independent review organizations to conduct external reviews.
5. The commissioner may charge an initial application fee and a renewal fee as specified by rule.
6. The approval of an independent review organization to conduct external reviews by the commissioner pursuant to this chapter is effective for two years, unless the commissioner determines that the independent review organization is not satisfying the minimum qualifications of this chapter. If the commissioner determines that an independent review organization has lost its accreditation or no longer satisfies the minimum requirements established under this chapter, the commissioner shall terminate approval of the independent review organization to conduct external reviews and remove the independent review organization from the list of independent review organizations approved to conduct external reviews that is maintained by the commissioner.
7. The commissioner shall maintain a list of currently approved independent review organizations.
2011 Acts, ch 101, §11
2023 Iowa Code › Title XIII - COMMERCE › Chapter 514J - EXTERNAL REVIEW OF HEALTH CARE COVERAGE DECISIONS › Section 514J.113 - Immunity for independent review organizations.

514J.113 Immunity for independent review organizations.
An independent review organization, a clinical reviewer working on behalf of an independent review organization, or an employee, agent, or contractor of an independent review organization shall not be liable in damages to any person for any opinions rendered or acts or omissions performed within the scope of the duties of the organization, the clinical reviewer, or an employee, agent, or contractor of the organization under this chapter during, or upon completion of, an external review conducted pursuant to this chapter, unless the opinion was rendered or the act or omission was performed in bad faith or involved gross negligence.
2011 Acts, ch 101, §13
2023 Iowa Code › Title XIII - COMMERCE › Chapter 514J - EXTERNAL REVIEW OF HEALTH CARE COVERAGE DECISIONS › Section 514J.114 - External review reporting requirements.

514J.114 External review reporting requirements.
1. a. An independent review organization assigned to conduct an external review shall maintain written records in the aggregate by state and by health carrier of all requests for external review for which it conducted an external review during a calendar year.
b. Each independent review organization required to maintain written records pursuant to this section shall submit to the commissioner, upon request, a report in the format specified by the commissioner. The report shall include in the aggregate by state and by health carrier all of the following:
(1) The total number of requests for external review assigned to the independent review organization.
(2) The average length of time for resolution of each request for external review assigned to the independent review organization.
(3) A summary of the types of coverages or cases for which an external review was requested, in the format required by the commissioner by rule.
(4) Any other information required by the commissioner.
c. The independent review organization shall retain the written records for at least three years.
2. a. Each health carrier shall maintain written records in the aggregate by state and by type of health benefit plan offered by the health carrier of all requests for external review that the health carrier receives notice of from the commissioner pursuant to this chapter.
b. Each health carrier required to maintain written records of requests for external review pursuant to this subsection shall submit to the commissioner, upon request, a report in the format specified by the commissioner. The report shall include in the aggregate by state and by type of health benefit plan offered all of the following:
(1) The total number of requests for external review of the health carrier’s adverse determinations and final adverse determinations.
(2) Of the total number of requests for external review, the number of requests determined eligible for external review.
(3) The number of requests for external review resolved and, of those resolved, the number resolved upholding the adverse determination or final adverse determination of the health carrier and the number resolved reversing the adverse determination or final adverse determination of the health carrier.
(4) The number of external reviews that were terminated as the result of a reconsideration by the health carrier of its adverse determination or final adverse determination after the receipt of additional information from the covered person or the covered person’s authorized representative.
(5) Any other information the commissioner may request or require.
c. The health carrier shall retain the written records for at least three years.
2011 Acts, ch 101, §14
2023 Iowa Code › Title XIII - COMMERCE › Chapter 514J - EXTERNAL REVIEW OF HEALTH CARE COVERAGE DECISIONS › Section 514J.115 - Expenses of external review.

514J.115 Expenses of external review.
The health carrier against which a request for a standard external review or an expedited external review is filed shall pay the costs of retaining an independent review organization to conduct the external review.
2011 Acts, ch 101, §15
2023 Iowa Code › Title XIII - COMMERCE › Chapter 514J - EXTERNAL REVIEW OF HEALTH CARE COVERAGE DECISIONS › Section 514J.116 - Disclosure requirements.

514J.116 Disclosure requirements.
1. Each health carrier shall include a description of the external review procedures contained in this chapter in or attached to any policy, certificate, membership booklet, outline of coverage, or other evidence of coverage that is provided to a covered person. The description shall be in a format prescribed by the commissioner by rule.
2. The description required by subsection 1 shall include a statement that informs the covered person of the right of the covered person to file a request for an external review of an adverse determination or final adverse determination of the health carrier with the commissioner. The statement shall explain that external review is available when the adverse determination or final adverse determination involves an issue of medical necessity, appropriateness, health care setting, level of care, or effectiveness. The statement shall include the telephone number and address of the commissioner. The statement shall also inform the covered person that when filing a request for external review, the covered person will be required to authorize the release of any medical records of the covered person that may be required to be reviewed for the purpose of reaching a decision on the request for external review.
2011 Acts, ch 101, §16
Referred to in §514J.104, 514J.120
2023 Iowa Code › Title XIII - COMMERCE › Chapter 514J - EXTERNAL REVIEW OF HEALTH CARE COVERAGE DECISIONS › Section 514J.118 - Severability.

514J.118 Severability.
If any provision of this chapter, or the application of the provision to any person or circumstance is held invalid, the remainder of the chapter, and the application of the provision to persons or circumstances other than those to which it is held invalid, shall not be affected.
2011 Acts, ch 101, §18
2023 Iowa Code › Title XIII - COMMERCE › Chapter 514J - EXTERNAL REVIEW OF HEALTH CARE COVERAGE DECISIONS › Section 514J.120 - Applicability.

514J.120 Applicability.
1. This chapter applies to all requests for external review filed on or after July 1, 2011.
2. Section 514J.116 applies to all health benefit plans delivered, issued for delivery, continued, or renewed in this state on or after July 1, 2011.
2011 Acts, ch 101, §20
2023 Iowa Code › Title XIII - COMMERCE › Chapter 514K - HEALTH CARE PLAN INFORMATION › Section 514K.1 - Health care plan disclosures — information to enrollees.

514K.1 Health care plan disclosures — information to enrollees.
1. A health maintenance organization or an insurer using a preferred provider arrangement shall provide to each of its enrollees at the time of enrollment, and shall make available to each prospective enrollee upon request, written information as required by rules adopted by the commissioner. The information required by rule shall include but not be limited to all of the following:
a. A description of the plan’s benefits and exclusions.
b. Enrollee cost-sharing requirements.
c. A list of participating providers.
d. Disclosure of the existence of any drug formularies used and, upon request, information about the specific drugs included in the formulary.
e. An explanation for accessing emergency care services.
f. Any policies addressing investigational or experimental treatments.
g. The methodologies used to compensate providers.
h. Performance measures as determined by the commissioner and the director.
i. Information on how to access internal and external grievance procedures.
2. The commissioner shall annually publish a consumer guide providing a comparison by plan on performance measures, network composition, and other key information to enable consumers to better understand plan differences.
99 Acts, ch 41, §21; 2017 Acts, ch 148, §95, 96
2023 Iowa Code › Title XIII - COMMERCE › Chapter 514K - HEALTH CARE PLAN INFORMATION › Section 514K.2 - Health carrier disclosures — public internet sites.

514K.2 Health carrier disclosures — public internet sites.
1. A carrier that provides small group health coverage pursuant to chapter 513B or individual health coverage pursuant to chapter 513C and that offers for sale a policy, contract, or plan that covers the essential health benefits required pursuant to section 1302 of the federal Patient Protection and Affordable Care Act, Pub. L. No. 111-148, and its implementing regulations, shall provide to each of its enrollees at the time of enrollment, and shall make available to prospective enrollees and enrollees, insurance producers licensed under chapter 522B, and the general public, on the carrier’s internet site, all of the following information in a clear and understandable form for use in comparing policies, contracts, and plans, and coverage and premiums:
a. Any items or services, including prescription drugs, that have a coinsurance requirement where the cost-sharing required depends on the cost of the item or service.
b. The specific prescription drugs available on the carrier’s formulary, the specific prescription drugs covered when furnished by a physician or clinic, and any clinical prerequisites or prior authorization requirements for coverage of the drugs.
c. How medications will specifically be included in or excluded from the deductible, including a description of all out-of-pocket costs that may not apply to the deductible for a prescription drug.
2. A carrier that provides a summary of benefits and coverage to its enrollees in accordance with
26 C.F.R. §54.9815-2715
,
29 C.F.R. §2590.715-2715
, and
45 C.F.R. §147.200
is deemed to be in compliance with this section unless the commissioner of insurance determines that these federal regulations, or the successors to any of these federal regulations, fail to require the information required pursuant to this section in a clear and understandable form.
2016 Acts, ch 1122, §6, 14
Section is applicable to health insurance policies, contracts, or plans that are delivered, issued for delivery, continued, or renewed on or after January 1, 2017;
2016 Acts, ch 1122, §14
2023 Iowa Code › Title XIII - COMMERCE › Chapter 514L - UNIFORM PRESCRIPTION DRUG INFORMATION CARD › Section 514L.1 - Definitions.

514L.1 Definitions.
As used in this chapter, unless the context otherwise requires:
1. “Guide” means the most recent national council for prescription drug programs pharmacy identification card implementation guide, or its successor.
2. “Prescription drug” means prescription drug as defined in section 155A.3 and includes a device as defined in section 155A.3.
3. “Provider of third-party payment or prepayment of prescription drug expenses” or “provider” means a provider of an individual or group policy of accident or health insurance or an individual or group hospital or health care service contract issued pursuant to chapter 509, 514, or 514A, a provider of a plan established pursuant to chapter 509A for public employees, a provider of an individual or group health maintenance organization contract issued and regulated under chapter 514B, a provider of a preferred provider contract issued pursuant to chapter 514F, a provider of a self-insured multiple employer welfare arrangement, and any other entity providing health insurance or health benefits which provide for payment or prepayment of prescription drug expenses coverage subject to state insurance regulation.
2001 Acts, ch 77, §1; 2017 Acts, ch 148, §97
2023 Iowa Code › Title XIII - COMMERCE › Chapter 514L - UNIFORM PRESCRIPTION DRUG INFORMATION CARD › Section 514L.3 - Application — enforcement.

514L.3 Application — enforcement.
1. A health insurance or health benefits policy or contract issued and delivered, amended, or renewed on or after July 1, 2003, shall comply with this chapter.
2. The commissioner of insurance shall enforce this chapter and shall adopt rules necessary to implement this chapter.
2001 Acts, ch 77, §3
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.1 - Applicability.

515.1 Applicability.
Corporations formed for the purpose of insurance, other than life insurance, shall be governed by the provisions of chapter 490, chapter 491, or chapter 504, except as modified by the provisions of this chapter. The provisions of this chapter relative to insurance companies shall apply to all such companies, partnerships, associations, or individuals, except those associations governed by the provisions of chapter 518 or 518A, companies governed by the provisions of chapter 508 or 514, societies governed by the provisions of chapter 512B, and organizations governed by the provisions of chapter 514B, whether incorporated or not.
[C73, §1122; C97, §1684; C24, 27, 31, 35, 39, §8896; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.1]
85 Acts, ch 239, §5; 89 Acts, ch 288, §192; 2004 Acts, ch 1049, §191; 2004 Acts, ch 1175, §393; 2008 Acts, ch 1074, §3
Referred to in §515.10
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.2 - Articles — approval — bylaws.

515.2 Articles — approval — bylaws.
The articles of incorporation, and any subsequent amendments, of an organization shall be filed with and approved by the commissioner of insurance before filing with the secretary of state. An organization shall file with the commissioner bylaws and subsequent amendments to the bylaws within thirty days of adoption of the bylaws and amendments.
[C73, §1122; C97, §1685; C24, 27, 31, 35, 39, §8897; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.2]
2000 Acts, ch 1023, §27; 2009 Acts, ch 145, §22
Referred to in §515.10
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.3 - Certificate — recording.

515.3 Certificate — recording.
If the commissioner of insurance approves them, the commissioner shall so certify, and the articles with the certificates of approval shall be recorded in the office of the secretary of state as articles of other corporations are, who shall endorse thereon the secretary of state’s certificate thereof, as is required in case of other corporations for pecuniary profit.
[C73, §1123; C97, §1686; C24, 27, 31, 35, 39, §8898; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.3]
Recording, §491.5
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.4 - Name.

515.4 Name.
If the commissioner of insurance finds the name of the company to be so similar to one already appropriated by a corporation of the same character as to be likely to mislead the public or to cause inconvenience, the commissioner shall refuse the commissioner’s certificate to the company’s articles on that ground.
[C73, §1122; C97, §1687; C24, 27, 31, 35, 39, §8899; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.4]
2021 Acts, ch 76, §127
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.5 - Filing with commissioner.

515.5 Filing with commissioner.
The articles, when thus certified by the secretary of state as recorded in the secretary of state’s office, or a copy thereof certified by the secretary of state as such, shall be filed in the office of the commissioner of insurance and remain therein.
[C73, §1123; C97, §1688; C24, 27, 31, 35, 39, §8900; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.5]
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.7 - Stock and mutual plan distinguished.

515.7 Stock and mutual plan distinguished.
No company shall be organized to do business upon both stock and mutual plans; nor shall a company organized as a stock company do business upon the plan of a mutual company; nor shall a company organized upon the mutual plan do business or take risks upon the stock plan.
[C73, §1159; C97, §1690; C24, 27, 31, 35, 39, §8902; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.7]
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.8 - Paid-up capital and surplus required.

515.8 Paid-up capital and surplus required.
1. An insurance company other than a life insurance company shall not be incorporated to transact business upon the stock plan with less than five million dollars of capital and surplus, the entire amount of which shall be fully paid up in cash and invested as provided by law. An insurance company other than a life insurance company shall not increase its capital stock unless the amount of the increase is fully paid up in cash. An insurance company authorized to do business in Iowa that undergoes a change of control as defined under chapter 521A shall maintain the minimum capital and surplus requirements mandated by this section.
2. Notwithstanding subsection 1, an insurance company, other than a life insurance company, authorized to transact business under this chapter shall comply with the minimum capital requirements of this section or chapter 521E, whichever is greater.
[C73, §1124; C97, §1691; S13, §1783-e; C24, 27, 31, 35, 39, §8903; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.8]
90 Acts, ch 1234, §33; 95 Acts, ch 185, §19; 96 Acts, ch 1046, §3; 98 Acts, ch 1057, §9
Referred to in §511.23, 515C.2
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.9 - Reduction of capital or shares.

515.9 Reduction of capital or shares.
Any insurance company, other than life, may, upon the vote of a majority of its shares of stock represented at a meeting legally called for that purpose, reduce its capital stock and the number of shares thereof or the par value of the shares thereof, provided that the total amount of capital shall not be reduced to an amount less than the minimum required by law, but no part of its assets and property shall be distributed to its stockholders without the consent of the insurance commissioner.
[C27, 31, 35, §8903-b1; C39, §8903.1; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.9]
Referred to in §511.23
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.10 - Subscriptions of stock — applications.

515.10 Subscriptions of stock — applications.
After compliance by the incorporators with sections 515.1 and 515.2, the secretary of state shall certify the articles of incorporation to the commissioner of insurance. When the commissioner of insurance is satisfied that all provisions of law in relation to the promotion and organization of the corporation, including sections 506.4 through 506.6, have been complied with, the commissioner shall issue a certificate to that effect. The corporation may then open books for subscriptions to the stock of stock companies or, if a mutual company, take applications and receive premiums for insurance at such times and places as it may find convenient. The corporation may keep such books open until the full amount required is subscribed or taken, or the time granted therefor has expired, or until an order is issued by the commissioner of insurance to desist for failure to comply with the provisions of law in reference thereto.
[C73, §1125; C97, §1694; C24, 27, 31, 35, 39, §8917; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.25]
2007 Acts, ch 152, §2
CS2007, §515.10
2020 Acts, ch 1063, §286
Referred to in §511.23
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.11A - Transfer of stock.

515.11A Transfer of stock.
Transfers of stock made by any stockholder or the stockholder’s legal representative shall be subject to the provisions of chapters 491 and 492 relative to transfer of shares, and to such restrictions as the directors shall establish in their bylaws, except as hereinafter provided.
2008 Acts, ch 1074, §4
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.12 - Mutual companies — conditions.

515.12 Mutual companies — conditions.
No mutual company shall issue policies or transact any business of insurance unless it shall hold a certificate of authority from the commissioner of insurance authorizing the transaction of such business, which certificate of authority shall not be issued until and unless the company shall comply with the following conditions:
1. It shall hold bona fide applications for insurance upon which it shall issue simultaneously, or it shall have in force, at least two hundred policies issued to at least two hundred members for the same kind of insurance upon not less than two hundred separate risks, each within the maximum single risk described herein; provided that not more than one hundred members shall be required for employer’s liability and workers’ compensation insurance.
2. The maximum single risk shall not exceed twenty percent of the admitted assets, or three times the average risk, or one percent of the insurance in force, whichever is the greater, any reinsurance taking effect simultaneously with the policy being deducted in determining such maximum single risk.
3. It shall have collected a premium upon each application, which premium shall be held in cash or securities in which insurance companies are authorized to invest, which shall be equal, in case of fire insurance, to not less than twice the maximum single risk assumed subject to one fire nor less than ten thousand dollars; and in any other kind of insurance, to not less than five times the maximum single risk assumed; and, in case of employer’s liability and workers’ compensation insurance, to not less than fifty thousand dollars.
4. For the purpose of transacting employer’s liability and workers’ compensation insurance, the applications shall cover not less than one thousand five hundred employees, each such employee being considered a separate risk for determining the maximum single risk.
5. a. The mutual company shall have in cash or in securities in which insurance companies are authorized to invest, surplus in an amount not less than five million dollars. The surplus so required may be advanced in accordance with section 515.19. A mutual company authorized to do business in Iowa that undergoes a change of control as defined under chapter 521A shall maintain the minimum surplus requirements mandated by this section.
b. However, the surplus requirements do not apply to a company which establishes and maintains a guaranty fund as provided by section 515.20.
[C73, §1124; C97, §1692; C24, 27, 31, 35, 39, §8906; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.12]
90 Acts, ch 1234, §36; 95 Acts, ch 185, §21; 2012 Acts, ch 1023, §157
Referred to in §515.12A, 515.13
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.13 - Reservation.

515.13 Reservation.
None of the provisions of section 515.12, subsection 5, shall apply to any company heretofore organized and approved by the commissioner of insurance, but which had not completed its organization on May 28, 1937, nor shall section 515.12, subsection 5, apply to any company already licensed to issue policies.
[C39, §8906.1; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.13]
2013 Acts, ch 30, §126
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.14 - Membership in mutuals.

515.14 Membership in mutuals.
Any public or private corporation, board, or association in this state, or elsewhere, may make applications, enter into agreements for and hold policies in any such mutual insurance company. Any officer, stockholder, trustee, or local representative of any such corporation, board, association, or estate may be recognized as acting for, or on its behalf for the purpose of such membership, but shall not be personally liable upon such contract of insurance by reason of acting in such representative capacity. The right of any corporation organized under the laws of this state to participate as a member of any such mutual insurance company is hereby declared to be incidental to the purpose for which such corporation is organized and as much granted as the rights and powers expressly conferred.
[C73, §1124; C97, §1693; C24, 27, 31, 35, 39, §8907; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.14]
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.15 - Voting power.

515.15 Voting power.
Every policyholder of such mutual company shall be a member of the company and shall be entitled to one vote, and such member may vote in person or by proxy as may be provided in the bylaws.
[C24, 27, 31, 35, 39, §8908; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.15]
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.16 - Maximum premium.

515.16 Maximum premium.
The maximum premium payable by any member of a mutual company shall be expressed in the policy and in the application for the insurance. Such maximum may be a cash premium and an additional contingent premium not less than the cash premium, or may be solely a cash premium, which premium may be made payable in installments or regular assessments. No policy shall be issued for a cash premium without an additional contingent premium unless the company has a surplus which is not less in amount than the capital stock required, at the time of the organization of such mutual insurance company, of domestic stock insurance companies writing the same kind of insurance; but said surplus shall not be less than one hundred thousand dollars.
[C24, 27, 31, 35, 39, §8909; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.16]
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.17 - Unearned premiums.

515.17 Unearned premiums.
Such mutual company shall maintain unearned premium and other reserves separately for each kind of insurance, upon the same basis as that required of domestic insurance companies transacting the same kind of insurance; provided that any reserve for losses or claims based upon the premium income shall be computed upon the net premium income, after deducting any so-called dividend or premium returned or credited to the member.
[C24, 27, 31, 35, 39, §8910; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.17]
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.18 - Assessments.

515.18 Assessments.
Any such mutual company not possessed of assets at least equal to the unearned premium reserve and other liabilities shall make an assessment upon its members liable to assessment to provide for such deficiency, such assessment to be against each member in proportion to such liability as expressed in the member’s policy; provided the commissioner may by written order, relieve the company from an assessment or other proceedings to restore such assets during the time fixed in such order.
[C24, 27, 31, 35, 39, §8911; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.18]
Referred to in §515.20
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.19 - Advancement of funds.

515.19 Advancement of funds.
Any director, officer, or member of any such mutual company, or any other person, may advance to such company, any sum or sums of money necessary for the purpose of its business, or to enable it to comply with any of the requirements of the law, and such moneys and such interest thereon as may have been agreed upon, not exceeding the maximum statutory rate of interest, shall not be a liability or claim against the company or any of its assets, except as provided in this chapter, and upon approval of the commissioner of insurance may be repaid, but only out of the surplus earnings of such company. No commission or promotion expenses shall be paid in connection with the advance of any such money to the company. The amount of such advance shall be reported in each annual statement.
[C24, 27, 31, 35, 39, §8912; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.19]
2013 Acts, ch 90, §156; 2020 Acts, ch 1063, §287
Referred to in §515.12, 515.20
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.21 - Additional policy provisions.

515.21 Additional policy provisions.
Such mutual company may insert in any form of policy prescribed by the law of this state any additional provisions or conditions required by its plan of insurance if not inconsistent or in conflict with any law of this state.
[C24, 27, 31, 35, 39, §8913; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.21]
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.23 - Prohibited loans.

515.23 Prohibited loans.
Capital, surplus, funds, or other assets, or any part of any or all of the foregoing, shall not be directly or indirectly loaned to an officer, director, stockholder, or employee of a company or to a relative of an officer or director of a company.
[S13, §1783-e; C24, 27, 31, 35, 39, §8905; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.11]
88 Acts, ch 1112, §401; 90 Acts, ch 1234, §35; 2015 Acts, ch 128, §50 – 52
C2016, §515.23
Referred to in §511.23
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.24 - Tax — computation.

515.24 Tax — computation.
For the purpose of determining the basis of any tax upon the gross amount of premiums, or gross receipts from premiums, assessments, fees, and promissory obligations, now or hereafter imposed upon any fire or casualty insurance company under any law of this state, such gross amount or gross receipts shall consist of the gross written premiums or receipts for direct insurance, without including or deducting any amounts received or paid for reinsurance except that any company reinsuring windstorm or hail risks written by county mutual insurance associations shall be required to pay as a tax the applicable percent provided in section 432.1, calculated upon the gross amount of reinsurance premiums received upon such risks, but with such other deductions as provided by law, and in addition deducting any so-called dividend or return of savings or gains to policyholders; provided that as to any deposits or deposit premiums received by any such company, the taxable premiums shall be the portion of such deposits or deposit premiums earned during the year with such deductions therefrom as provided by law.
[C24, 27, 31, 35, 39, §8916; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.24]
2002 Acts, ch 1119, §181; 2006 Acts, ch 1117, §66; 2017 Acts, ch 54, §60
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.25 - Remote participation in shareholders’, members’, or policyholders’ meetings.

515.25 Remote participation in shareholders’, members’, or policyholders’ meetings.
1. Shareholders of any class or series of shares, members, or policyholders may participate in any meeting of shareholders, members, or policyholders by means of remote communication to the extent the board of directors authorizes such participation for such class or series. Participation as a shareholder, member, or policyholder by means of remote communication shall be subject to such guidelines and procedures as the board of directors adopts, and shall be in conformity with subsection 2.
2. Shareholders, members, or policyholders participating in a shareholders’, members’, or policyholders’ meeting by means of remote communication shall be deemed present and may vote at such a meeting if the company has implemented reasonable measures to do all of the following:
a. Verify that each person participating remotely as a shareholder is a shareholder, that each person participating remotely as a member is a member, or that each person participating remotely as a policyholder is a policyholder.
b. Provide such shareholders, members, or policyholders a reasonable opportunity to participate in the meeting and to vote on matters submitted to the shareholders, members, or policyholders, including an opportunity to communicate, and to read or hear the proceedings of the meeting, substantially concurrently with such proceedings.
3. Unless the bylaws require the meeting of shareholders, members, or policyholders to be held at a place, the board of directors may determine that any meeting of shareholders, members, or policyholders shall not be held at any place and shall instead be held solely by means of remote communication, but only if the company implements the measures specified in subsection 2.
2021 Acts, ch 165, §233, 248
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.26 - Directors.

515.26 Directors.
The affairs of a company organized as provided by this chapter shall be managed by a number of directors of not less than five nor more than twenty-one.
[C73, §1126; C97, §1695; C24, 27, 31, 35, 39, §8918; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.26]
91 Acts, ch 213, §25; 99 Acts, ch 165, §12; 2013 Acts, ch 124, §16
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.27 - Election.

515.27 Election.
The annual meetings for the election of directors shall be held at such time as the articles of incorporation or bylaws of the company provide; but if for any cause no election is held, or there is a failure to elect at any annual meeting, then a special meeting for that purpose shall be held on the call of a majority of the directors, or of those persons holding a majority of the stock, or of a majority of policyholders if a mutual company, by giving thirty days’ notice thereof in some newspaper of general circulation in the county in which the principal office of the company is located.
[C73, §1127; C97, §1696; C24, 27, 31, 35, 39, §8919; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.27]
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.28 - Term of office.

515.28 Term of office.
The directors chosen at any such annual or special meeting shall continue in office until the next annual meeting, and until their successors are elected and have accepted.
[C73, §1127; C97, §1696; C24, 27, 31, 35, 39, §8920; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.28]
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.29 - Classification of directors.

515.29 Classification of directors.
A company may in its articles of incorporation provide that the board of directors be divided into classes holding for a term of not to exceed five years and providing for the election of the members of one class at each annual meeting.
[C24, 27, 31, 35, 39, §8921; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.29]
96 Acts, ch 1045, §4
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.30 - Election of officers.

515.30 Election of officers.
The directors shall elect a president, a secretary, and such other officers as may be necessary for transacting the business of the company.
[C73, §1128, 1129; C97, §1697, 1698; C24, 27, 31, 35, 39, §8922, 8923; C46, 50, 54, 58, 62, 66, 71, 73, 75, §515.30, 515.31; C77, 79, 81, §515.30]
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.31 - Filling of vacancies.

515.31 Filling of vacancies.
The directors shall have authority to fill vacancies occurring on the board of directors, and shall fill vacancies of officers occurring between regular elections.
[C73, §1128; C97, §1697; C24, 27, 31, 35, 39, §8922; C46, 50, 54, 58, 62, 66, 71, 73, 75, §515.30; C77, 79, 81, §515.31]
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.32 - Bylaws.

515.32 Bylaws.
The company may adopt such bylaws and regulations not inconsistent with law as shall appear to it to be necessary for the regulation and conduct of the business.
[C73, §1129; C97, §1698; C24, 27, 31, 35, 39, §8924; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.32]
2019 Acts, ch 59, §187
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.33 - Record and inspection.

515.33 Record and inspection.
The directors shall keep full and correct entries of their transactions, which shall at all times be open to the inspection of the stockholders if a stock company, or policyholders if a mutual company, and to the inspection of persons invested by law with the right thereof.
[C73, §1129; C97, §1698; C24, 27, 31, 35, 39, §8925; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.33]
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.36 - Financial statements — mutual companies.

515.36 Financial statements — mutual companies.
After complying with the requirements of the preceding sections of this chapter, the company shall file with the commissioner of insurance a satisfactory detailed statement showing the financial condition of the company, including all transactions had during its organization, together with a record of all moneys received and disbursed, a list of the stockholders, the amount of stock purchased by each, and the price paid. The incorporators or officers of such mutual company shall file the statement under oath required of stock companies.
[C73, §1131; C97, §1700; C24, 27, 31, 35, 39, §8928, 8929; C46, 50, 54, 58, 62, 66, §515.36, 515.37; C71, 73, 75, 77, 79, 81, §515.36]
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.37 - Subsidiary companies.

515.37 Subsidiary companies.
Any insurance company incorporated in this state may organize, or acquire by purchase, in whole or in part, subsidiary insurance and investment companies in which it owns not less than fifty-one percent of the common stock, and, subject to the approval of the insurance commissioner and provided that no company invest an amount in excess of thirty percent of its capital and surplus in the stock of such subsidiary companies, may:
1. Invest funds from surplus for each purpose.
2. Make loans to such subsidiaries.
3. Permit all or part of its officers and directors to serve as officers or directors of any such subsidiary companies.
[C71, 73, 75, 77, 79, 81, §515.37]
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.38 - Examination — certificate of compliance.

515.38 Examination — certificate of compliance.
Such commissioner may appoint in writing some disinterested person to make an examination and if it shall be found that the capital or assets required under this chapter of the company named, according to the nature of the business proposed to be transacted by such company, have been paid in, and are now possessed by it in money or such stock, bonds, and mortgages as are required by the preceding sections of this chapter, the commissioner shall so certify; but if the examination is made by another than the commissioner, the certificate shall be by that person, and under that person’s oath.
[C73, §1131; C97, §1700; C24, 27, 31, 35, 39, §8930; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.38]
2020 Acts, ch 1063, §288
Referred to in §515.41
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.39 - Ownership of assets — oath.

515.39 Ownership of assets — oath.
The incorporators or officers of any such company, or proposed company, shall be required to state to the commissioner of insurance under oath that the capital or assets exhibited to the person making the examination are actually and in good faith the property of the company examined, and free and clear of any lien or claim on the part of any other person.
[C73, §1131; C97, §1700; C24, 27, 31, 35, 39, §8931; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.39]
Referred to in §515.41
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.40 - Form of certificate.

515.40 Form of certificate.
The certificate of examination of a mutual company shall be to the effect that it has received and has in its actual possession:
1. The cash premiums.
2. Actual contracts of insurance upon property, belonging to the signers thereof, and upon which the insurance applied for can properly be issued.
3. Other securities, as the case may be, to the extent and value required under this chapter.
[C97, §1700; C24, 27, 31, 35, 39, §8932; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.40]
2020 Acts, ch 1063, §289
Referred to in §515.41
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.41 - Certificate of authority.

515.41 Certificate of authority.
The certificate and statements contemplated in sections 515.38 through 515.40 shall be filed in the division and the commissioner of insurance shall deliver to the company a copy of the report of the examination, in the event one is made, together with the commissioner’s written permission for the company to commence the business proposed in its articles of incorporation, which permission shall be the company’s authority to commence business and issue policies.
[C73, §1131; C97, §1700; C24, 27, 31, 35, 39, §8933; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.41]
2021 Acts, ch 80, §325
2023 Iowa Code › Title XIII - COMMERCE › Chapter 515 - INSURANCE OTHER THAN LIFE › Section 515.42 - Tenure of certificate — renewal — evidence.

515.42 Tenure of certificate — renewal — evidence.
A certificate of authority shall expire on the first day of June next succeeding its issue, and shall be renewed annually so long as such company shall transact business in accordance with the requirements of law; a copy of which certificate, when certified to by the commissioner of insurance, shall be admissible in evidence for or against a company with the same effect as the original. A company shall submit annually, on or before March 1, a completed application for renewal of its certificate of authority. A company that fails to timely file an application for renewal shall pay an administrative penalty of five hundred dollars to the treasurer of state for deposit as provided in section 505.7.
[C73, §1131; C97, §1700; C24, 27, 31, 35, 39, §8934; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §515.42]
88 Acts, ch 1112, §107; 2006 Acts, ch 1117, §67; 2009 Acts, ch 181, §76