Section 2320. Enforcement and penalties; where prior approval is not required  


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  • (a) The superintendent may as often as he deems  it  expedient  examine  any  insurer  or rate service organization to ascertain whether
      its rating and underwriting practices are in accordance with  law.  Rate
      service organizations which make or file rates, whether or not advisory,
      shall  be  examined  at  least  once in every five years pursuant to the
      provisions of this chapter applicable to the  examination  of  insurers.
      Filed  reports  on examinations shall be available for public inspection
      at the department.
        (b) (1) If the superintendent determines after a hearing that any rate
      used by an insurer does not comply with  the  applicable  provisions  of
      this article, he shall order that the rate be disapproved, and the order
      may include provision for premium adjustment. The order may also require
      that,  for  such  period  of  time  as the superintendent may determine,
      subsequent rate filings of the insurer  subject  to  subsection  (a)  of
      section two thousand three hundred five of this article shall not become
      effective  unless the filings are made in accordance with the provisions
      of subsection (b) of such section.
        (2) The superintendent may, upon fifteen days prior written notice:
        (A) order the suspension, prospectively, of a rate used by an  insurer
      and reimpose the last previous rate in effect; or
        (B)  order the suspension, prospectively, of a rate used by an insurer
      and determine an adjusted rate that  complies  with  the  standards  set
      forth in this article.
      In  any  such event, the insurer may within that same fifteen day period
      make a written request for a hearing, in which event the  superintendent
      may  establish  an  interim rate by reimposing the last previous rate in
      effect or determining an adjusted rate pursuant to subparagraphs (A) and
      (B), respectively, of this paragraph. This  interim  rate  shall  remain
      effective  pending  the close of the hearing, which shall be held within
      fifteen days of the insurer's request. Within  fifteen  days  after  the
      close  of  the hearing, the superintendent shall determine the rate that
      complies with the standards set forth in this  article  based  upon  the
      hearing record, and the rate so determined shall apply prospectively for
      a period not to exceed one year.
        (3)  At  any  such  hearing,  the  insurer  shall  have  the burden of
      justifying  the  rate  in  question.  All  such  determinations  of  the
      superintendent   shall   be  on  the  basis  of  findings  of  fact  and
      conclusions.   Nothing   in   this   subsection   shall   preclude   the
      superintendent from determining that the last previous rate in effect or
      the rate filed by the insurer or rate service organization complies with
      the  standards  set  forth  in  this article. Nothing in this subsection
      shall preclude the insurer or a rate service organization from making or
      modifying any rate filing at any time.
        (c) If the superintendent, after notice and hearing,  finds  that  any
      insurer,  rate  service  organization  or  other person has violated the
      applicable provisions of this article, he shall order the payment  of  a
      penalty.  The issuance, procurement or negotiation of a single policy of
      insurance shall be deemed a separate offense. A penalty  not  to  exceed
      one  thousand  dollars  may  be imposed for each such offense. A further
      penalty not to exceed two thousand five hundred dollars may  be  imposed
      for  each  offense  in  which  the superintendent finds that there was a
      knowing  violation,  provided  that  a  minumum  penalty  of  at   least
      twenty-five  thousand  dollars shall be imposed regardless of the number
      of such knowing offenses.
        (d) This  section  shall  be  applicable  to  kinds  of  insurance  or
      insurance  activities the rates for which, pursuant to subsection (a) of
      section two thousand three hundred  five,  section  two  thousand  three
    
      hundred twenty-eight or section two thousand three hundred forty-four of
      this article, are not subject to prior approval.
        * NB Expires July 1, 2011