(1) 

Terms Used In Utah Code 31A-27a-510

  • Affiliate: is a s defined in Section 31A-1-301. See Utah Code 31A-27a-102
  • Contract: A legal written agreement that becomes binding when signed.
  • Delinquency proceeding: means a:
(a) proceeding instituted against an insurer for the purpose of rehabilitating or liquidating the insurer; and
(b) summary proceeding under Section 31A-27a-201. See Utah Code 31A-27a-102
  • Disability: means a physiological or psychological condition that partially or totally limits an individual's ability to:
    (a) perform the duties of:
    (i) that individual's occupation; or
    (ii) an occupation for which the individual is reasonably suited by education, training, or experience; or
    (b) perform two or more of the following basic activities of daily living:
    (i) eating;
    (ii) toileting;
    (iii) transferring;
    (iv) bathing; or
    (v) dressing. See Utah Code 31A-1-301
  • Filed: means that a filing is:
    (i) submitted to the department as required by and in accordance with applicable statute, rule, or filing order;
    (ii) received by the department within the time period provided in applicable statute, rule, or filing order; and
    (iii) accompanied by the appropriate fee in accordance with:
    (A) Section 31A-3-103; or
    (B) rule. See Utah Code 31A-1-301
  • Insured: means a person to whom or for whose benefit an insurer makes a promise in an insurance policy and includes:
    (i) a policyholder;
    (ii) a subscriber;
    (iii) a member; and
    (iv) a beneficiary. See Utah Code 31A-1-301
  • insurer: means a person who:
    (a) is doing, has done, purports to do, or is licensed to do the business of insurance;
    (b) is or has been subject to the authority of, or to rehabilitation, liquidation, reorganization, supervision, or conservation by an insurance commissioner; or
    (c) is included under Section 31A-27a-104. See Utah Code 31A-27a-102
  • Member: means a person having membership rights in an insurance corporation. See Utah Code 31A-1-301
  • Mutual: means a mutual insurance corporation. See Utah Code 31A-1-301
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Person: includes :
    (a) an individual;
    (b) a partnership;
    (c) a corporation;
    (d) an incorporated or unincorporated association;
    (e) a joint stock company;
    (f) a trust;
    (g) a limited liability company;
    (h) a reciprocal;
    (i) a syndicate; or
    (j) another similar entity or combination of entities acting in concert. See Utah Code 31A-1-301
  • Proceeding: includes an action or special statutory proceeding. See Utah Code 31A-1-301
  • receiver: means the commissioner or the commissioner's designee, including a rehabilitator, liquidator, or ancillary receiver. See Utah Code 31A-27a-102
  • receivership: means a rehabilitation, liquidation, or ancillary receivership. See Utah Code 31A-27a-102
  • Reinsurance: means a transaction or contract under which an assuming insurer agrees to indemnify a ceding insurer against all, or a part, of a loss that the ceding insurer may sustain under the one or more policies that the ceding insurer issues or will issue. See Utah Code 31A-27a-102
  • Reinsurer: means a person licensed in this state as an insurer with the authority to assume reinsurance. See Utah Code 31A-1-301
  • (a)  A mutual debt or mutual credit shall be set off and the balance only allowed or paid:

    (i)  whether arising out of one or more contracts between the insurer and another person in connection with an action or proceeding under this chapter; and

    (ii)  except as provided in Subsection (2) and Sections 31A-27a-513 and 31A-27a-514.

    (b)  An obligation arising out of the termination of a life, disability income, or long-term care reinsurance contract pursuant to Section 31A-27a-513 may be set off against other debts and credits arising out of a contract between the insurer and the reinsurer.
  • (2) 

    (a)  A setoff is not allowed after the commencement of a delinquency proceeding under this chapter in favor of any person if:

    (i)  the claim against the insurer is disallowed;

    (ii)  the claim against the insurer is purchased by or transferred to the person:

    (A)  on or after the day on which the receivership petition is filed; or

    (B)  within 120 days preceding the day on which the receivership petition is filed;

    (iii)  the obligation of the insurer is owed to an affiliate or entity other than the person, absent written assignment of the obligation made more than 120 days before the day on which the petition for receivership is filed;

    (iv)  the obligation of the person is owed to an affiliate or entity other than the insurer, absent written assignment of the obligation made more than 120 days before the day on which the petition for receivership is filed;

    (v)  the obligation of the person is:

    (A)  to pay:

    (I)  an assessment levied against a member or subscriber of the insurer; or

    (II)  a balance upon a subscription to the capital stock of the insurer; or

    (B)  in any other way in the nature of a capital contribution;

    (vi)  an obligation between the person and the insurer arises out of a transaction by which either the person or the insurer:

    (A)  assumes a risk or obligation from the other party; and

    (B)  then cedes back to that party substantially the same risk or obligation;

    (vii)  the obligation of the person arises out of an avoidance action taken by the receiver; or

    (viii)  the obligation of the insured is for the payment of earned premiums or retrospectively rated earned premiums in accordance with Section 31A-27a-514.

    (b)  Notwithstanding Subsection (2)(a)(vi), the receiver may permit a setoff if, in the receiver’s discretion, a setoff is appropriate because of specific circumstances relating to a transaction.

    (3)  The receiver may avoid pursuant to Sections 31A-27a-504, 31A-27a-506, and 31A-27a-507 and subject to defenses under those sections, a setoff that occurs before the commencement of the delinquency proceeding under this chapter if the setoff would otherwise be disallowed pursuant to Subsection (2).

    Enacted by Chapter 309, 2007 General Session