Approval of Arbitration Agreements Departmental Guidelines and Requirements

DATE: March 5, 1998

RE: Approval of Arbitration Agreements Departmental Guidelines and Requirements

This Bulletin is written to advise all insurance companies, health maintenance organizations

or any other corporation filing policies with this state containing arbitration

provisions, certain guidelines and requirements must be complied with before approval

will be granted. The guidelines, which are available from the Department, address

the style of type, notification to the insured, cost of arbitration, location of

the arbitration, rules governing the proceedings and the fact non-binding mediation

be used as a prerequisite to arbitration. Other factors are included in the guidelines

which should be reviewed carefully prior to submitting policies for approval containing

binding arbitration provisions. No binding arbitration provisions will be approved

unless they comply specifically and exactly to the guidelines.

These policy guidelines do not affect any arbitration agreements previously approved.

The policy guidelines only affect the following:

New submissions with arbitration clauses;

Adding arbitration to existing policies;

Any changes or modifications to existing arbitration agreements;

Any modification to a policy which contains arbitration agreements, regardless of

whether the modifications affect arbitration, shall include the policy guidelines.

The notice disclosure shall be implemented within thirty (30) days of receipt of

this bulletin

ses;

Adding arbitration to existing policies;

Any changes or modifications to existing arbitration agreements;

Any modification to a policy which contains arbitration agreements, regardless of

whether the modifications affect arbitration, shall include the policy guidelines.

The notice disclosure shall be implemented within thirty (30) days of receipt of

this bulletin.

Guidelines for Approval of Arbitration Provisions in Insurance Policies

The Department of Insurance will approve the use of pre-dispute arbitration agreements

in connection with life, health and annuity, and property and casualty policy forms

covering residents of Alabama subject to the following requirements:

The terms and conditions of a policy of insurance that requires the binding

arbitration of disputes and prescribes the procedure for arbitration

(hereinafter "the arbitration provision") must be set forth in either the

policy or on a separate endorsement. The arbitration provision must be

displayed in at least 12 point type, capitalized and in bold print.

Whenever the policy contains an arbitration provision, at the time the

application is taken the policy application or a separate disclosure statement

must contain an appropriate disclosure that the policy contains the arbitration

requirement (hereinafter "the arbitration disclosure."). The arbitration

disclosure must be worded in plain English and be unambiguous. It must be

displayed in at least 12 point type, capitalized and in bold print. At the

minimum it must contain the following disclosures if applicable:

The policy includes a binding arbitration agreement.

The arbitration agreement requires that any disagreement related to this policy

must be resolved by arbitration and not in a court of law.

The results of the arbitration are final and binding on the insured and the

insurance company

. At the

minimum it must contain the following disclosures if applicable:

The policy includes a binding arbitration agreement.

The arbitration agreement requires that any disagreement related to this policy

must be resolved by arbitration and not in a court of law.

The results of the arbitration are final and binding on the insured and the

insurance company.

In an arbitration, an arbitrator, who is an independent, neutral party, gives a

decision after hearing the positions of the parties.

When the insured accepts the insurance policy the insured agrees to resolve any

disagreement related to the policy by binding arbitration instead of a trial in

court including a trial by jury.

Arbitration takes the place of resolving disputes by a judge and jury and the

decision of the arbitrator cannot be reviewed in court by a judge and jury.

The policy application or a separate disclosure notice containing these

required disclosures must be signed at the time of the application. Use of the

form contained as Exhibit A to these guidelines will satisfy this requirement.

The arbitration provision in the policy may provide for non-binding mediation

as a prerequisite to arbitration.

The arbitration provision must either set forth or reference the rules that

will govern the arbitration proceedings.

The arbitration provision must clearly state whether or not, and if so, the

extent to which the arbitration award is subject to court review.

The arbitration provision must state that the cost of all arbitration

proceedings shall be borne by the insurer, with the exception of the cost of

representation of the policy applicant/owner

n the arbitration proceedings.

The arbitration provision must clearly state whether or not, and if so, the

extent to which the arbitration award is subject to court review.

The arbitration provision must state that the cost of all arbitration

proceedings shall be borne by the insurer, with the exception of the cost of

representation of the policy applicant/owner. The arbitration provision shall

also clearly indicate that should the arbitrator find that the dispute is

without substantial justification, then the arbitrator shall have the authority

to order that the cost of the arbitration proceedings be borne by the policy

applicant/owner.

The arbitration provision shall require that all arbitration proceedings shall

be conducted in the county of residence of the policy applicant/owner unless

another location is mutually agreed upon by both parties.

The arbitration provision shall require that arbitration proceedings shall

commence within a fixed time after the first notification of one party by the

other as to their election to arbitrate a dispute regarding the policy.

Compliance with arbitration guidelines:

Nothing contained herein shall be deemed to require the amendment of, or

require notice to the policyholder, or to affect the validity of any policies

of insurance, applications or forms containing arbitration provisions the

Department has previously approved.

A policy previously approved which contains an arbitration provision may be

amended to conform the arbitration provision to these guidelines and should be

submitted for approval.

A policy containing an arbitration provision that is amended for any reason

other than to bring it into compliance with these guidelines, must also be

amended to bring it into compliance with these guidelines

an arbitration provision may be

amended to conform the arbitration provision to these guidelines and should be

submitted for approval.

A policy containing an arbitration provision that is amended for any reason

other than to bring it into compliance with these guidelines, must also be

amended to bring it into compliance with these guidelines.

A policy that is being amended to add an arbitration provision must comply with

these guidelines.

Compliance with these guidelines under the circumstances described in (a), (b),

and (c) of this item will be satisfied if the arbitration provision of the

policy conforms to the requirements of Items 1, 4, 5, 6, 7, 8, and 9 of these

guidelines and the "arbitration disclosure" prescribed in Item 2 as set out on

a separate document included with the notice to the policyholder of the

amendment to the policy to add the arbitration provision.

Effective thirty (30) days after you receive this bulletin all future

applications and renewals shall include the required disclosure.

Exhibit A