What
is the Nebraska Life and Health Insurance Guaranty Association (“Guaranty
Association”)?
What
contracts are covered by the Guaranty Association?.
What
policies or insurance contracts are not covered?.
Does
it matter where I live?.
When
is Guaranty Association coverage determined?.
If
I have a covered policy, is it fully protected?.
What
if I own several annuities with the same insurance company, each
worth $100,000? How much is protected?
My
spouse and I each own an annuity contract worth $75,000 with the
same insurance company. Does
the $100,000 limit apply to us jointly?
How
will I know if my health or life insurance company has failed or is
unable to fulfill its obligations to its policyholders?
How
are the obligations of the Guaranty Association funded?.
What
will happen to my insurance coverage if the Guaranty Association
becomes liable for my policy?
What
if my health coverage is cancelled, and I cannot obtain new health
coverage?.
How
can I find out if my company is licensed in Nebraska, and as a
result, a member of the Guaranty Association?
How
can I obtain information regarding a particular insolvency?.
How
can I reach the Guaranty Association?.
Why
hasn’t my agent or company told me about the Nebraska Guaranty
Association?.
Is
the Guaranty Association backed by the state of Nebraska?.
My
annuity is supposed to pay 10% interest.
Will I be paid the same rate of interest if the company is
liquidated?
What
if I bought my policy in Nebraska, but now live in another state?.
What
is the difference between the receiver of an insolvent insurance
company and the Guaranty Association?
Who
operates the Guaranty Association?.
What
is NOLHGA?.
Am
I covered by the Guaranty Association if my property and casualty
company becomes insolvent?
When
will I receive my policy benefits?.
Should
I continue to pay my premiums if my insurer becomes insolvent?.
Are
variable life insurance policies and variable annuity contracts
covered by the Guaranty Association Act?
The Guaranty Association is a non-profit association created
by Nebraska statute to provide protection to Nebraska residents that
own or are beneficiaries of covered life insurance, health insurance
or annuity contracts. Should
a Nebraska resident hold a covered life or health insurance policy
or individual annuity issued by a Guaranty Association member
insurer that has gone insolvent, the Guaranty Association will
provide limited coverage for specific policies or contracts.
As a general rule, direct non-group life, health or annuity
policies or contracts and supplemental contracts to any of these as
well as certificates under direct group policies and contracts are
covered, except as limited by the Nebraska Life and Health Insurance
Guaranty Association Act (“Act”).
Covered annuity contracts and certificates under group
annuity contracts include allocated funding agreements, structured
settlement annuities and immediate or deferred annuity contracts.
Those policies or contracts that are not covered include, but
are not limited to, policies issued by an insurer not licensed in
the state of Nebraska; health maintenance organization contracts not
controlled by an insurance company licensed by the state of
Nebraska; nonprofit hospital or medical service organization
contracts; policy benefits the insurer does not guarantee (such as
the non-guaranteed portion of a variable life insurance contract) or
for which the policyholder bears the risk; reinsurance contracts;
self insured employer plans; unallocated annuity contracts;
fraternal benefit society contracts.
Certain less commonly known insurance policies and
arrangements not listed here are also not protected. A complete listing of what is not covered by the Guaranty
Association is provided in the Guaranty Association Act,
§44-2703.
Yes. The
Guaranty Association only covers Nebraska residents.
Residency is determined on the date that a member insurer is
declared insolvent. Guaranty
Association coverage is, however, currently provided to residents of
all 50 states, Puerto Rico and the District of Columbia through
other guaranty associations. If
you are a resident of another state, please contact your Department
of Insurance for contact information for the guaranty association in
your state. You may
also want to go to the Helpful Links section to determine if your
particular guaranty association has a website.
Note that guaranty association coverage varies by state.
As a result, coverage provided by the Guaranty Association
Act may not be the same coverage provided by another state’s law.
Guaranty Association coverage is determined as of the date
that a member insurer is placed under an order of liquidation by a
court of competent jurisdiction with a finding of insolvency.
The Guaranty Association Act provides the following
limitations on policy coverage:
*
life insurance death benefit $300,000
* life insurance cash value $100,000
* annuity contract $100,000
* health insurance $500,000
Should an individual own both a life policy and an annuity
contract with an insolvent member insurer, the maximum coverage
provided by the Guaranty Association Act is $300,000.
Should an individual own a health policy and a life policy or
annuity contract with the same member insurer, the maximum liability
of the Guaranty Association is $500,000.
Coverage limits are determined based upon each individual
owner for each member insolvent insurance company.
What if I own several annuities with the same insurance company,
each worth $100,000? How
much is protected?
The total protection per owner per member company is $100,000
for all annuity contracts. As
a result, if an individual owned three annuities with the same
insolvent insurance company, each worth $100,000, the individual
would have total Guaranty Association coverage of $100,000.
No. The $100,000
limit is calculated based on ownership and does not limit the amount
of coverage for a married couple or any individuals jointly.
Because there are two separate owners, each contract would be
covered for its full value of $75,000, and thus the couple in this
example would receive $150,000.
When a court declares an insurance company insolvent, it
appoints a receiver of the insolvent insurance company’s estate.
The appointed receiver generally notifies all existing
policyholders or contract owners of the insurance company’s
insolvency. Notice is
sent to the address on file with the insolvent insurer.
All insurance companies licensed to do business in the state
of Nebraska are required to be members of the Guaranty Association.
When a member insurer becomes insolvent, all other member
insurers writing the same business as the insolvent insurer (life,
annuity or health) are assessed by the Guaranty Association to pay
the Guaranty Association’s obligations for the insolvent insurance
company’s liabilities.
If another financially sound insurance company is willing to
assume the business of the insolvent insurer, the Guaranty
Association may contract with the solvent insurer to assume the
policies. In some
cases, policies that can be cancelled pursuant to the terms of the
policy will be cancelled. If
no insurer is willing to assume the insolvent insurer’s policies,
the Guaranty Association will continue the insurer’s policies
pursuant to the coverage limitations provided by the Guaranty
Association Act or issue replacement policies with the Guaranty
Association pursuant to the provisions of the Guaranty Association
Act.
Nebraska has a comprehensive health insurance pool (“CHIP”)
for residents of Nebraska who cannot obtain insurance due to a
pre-existing medical condition or whose policy includes a
restrictive rider limiting coverage for a condition.
For more information regarding the CHIP program, contact
800-356-3485, ext. 814.
Information regarding whether a company is licensed in the
state of Nebraska can be obtained by contacting the Licensing
Division of the Nebraska Department of Insurance at 402/471-2201.
Additional information regarding active insolvencies can be
found at this website at the Insolvencies page. In addition, the receiver of every insolvent insurer can
provide further information. If
you do not know the contact information for a particular receiver,
contact the Department of Insurance for the state in which the
insolvent insurance company is domiciled.
Please also feel free to contact the Guaranty Association for
further information regarding a particular insolvency.
Contact us at:
Nebraska Life and Health Insurance Guaranty Association
233 South 13th Street
1900 US Bank Building
Lincoln, NE 68508
Telephone: 402/474-6900
Fax: 402/474-5393
Email: Pamela
Epp Olsen, Administrator
Lori S. Busch, Administrative Assistant
Why hasn’t my agent or company told me about the Nebraska
Guaranty Association?
Nebraska state law prohibits advertising the existence of the
Guaranty Association for the purpose of sales, solicitation or
inducement to purchase insurance covered by the Guaranty
Association.
The Guaranty Association is created by Nebraska state
statute. Funding for
the Guaranty Association is not, however, provided by the state of
Nebraska. All funding
of the Guaranty Association is provided by member insurers, i.e.,
insurance companies licensed to do business in the state of
Nebraska.
No. Interest
payments can be reduced pursuant to the terms of the Guaranty
Association Act. Covered
interest rates are based on a discounted market rate.
Coverage by the Guaranty Association is based upon an
individual’s residency at the time that an insurance company is
declared insolvent. As
a result, if you live in another state on the date your insurer is
declared insolvent, you would not be covered by the Guaranty
Association. You may,
however, be protected by the state guaranty association in the state
in which you live at the time the company is declared insolvent.
When a court determines that an insurance company can no
longer fulfill its contractual obligations, it is placed under an
order of liquidation. For
an insurance company, liquidation is similar to bankruptcy.
The court then appoints a receiver to take over the insurer.
As a general rule, this is the Director of the Department of
Insurance in which the insolvent insurer is domiciled, which then
acts through a special deputy receiver.
The receiver takes possession of the assets of the insurer
and administers them under the general supervision of the court.
The receiver also takes title to all of the property,
contracts and records of the insurer.
The Guaranty Association has the responsibility of paying all
covered resident policyholders and covered contract owners pursuant
to the terms of their contracts and the limitations provided by the
Guaranty Association Act. Upon
payment of policyholder liabilities, the Guaranty Association
becomes one of the claimants against the estate of the insolvent
insurance company and is reimbursed for the Guaranty Association’s
statutory liabilities to the extent funds are available from the
insolvent insurance company’s estate assets. To the extent that funds are not available from the estate of
the insolvent insurance company, the Guaranty Association assesses
all member insurance companies to collect the additional funds
necessary to be reimbursed for payment of its statutory liabilities.
The Guaranty Association is governed by a nine-member board
of directors. Any
member insurance company is eligible to be a director of the
Guaranty Association. Members
of the board of directors are selected by member insurers and serve
three-year terms. The
Association is under the direct supervision of the Director of the
Nebraska Department of Insurance.
The board of directors has retained Pamela Epp Olsen of the Cline,
Williams, Wright, Johnson & Oldfather, L.L.P. law firm as
Administrator of the Guaranty Association to administer the daily
operations of the Guaranty Association.
NOLHGA is the National Organization of Life and Health
Insurance Guaranty Associations.
The Guaranty Association is a member of NOLHGA, as are all
other state life and health insurance guaranty associations.
Because most insurance companies are licensed in more than
one state, NOLHGA provides assistance to guaranty association
members to coordinate their actions and to cost effectively fulfill
their statutory obligations to policyholders.
NOLHGA is a voluntary association.
More information is available about NOLHGA at its website.
Policies written by a property and casualty company, such as
automobile, homeowners or workers’ compensation insurance, are not
covered by the Guaranty Association.
They may, however, be covered by the Nebraska Property and
Casualty Guaranty Association, which may be contacted at:
1610 South 70th Street, Suite 100, P.O. Box 57006,
Station C, Lincoln, NE 68505, telephone: (402) 483-2202.
The Guaranty Association uses its best efforts to pay policy
benefits as soon as possible. There
are, however, many variables that the Guaranty Association cannot
control and that may cause a delay in benefit payments.
For example, an insolvent insurer often has a backlog of
claims or inadequate documentation.
In addition, the Guaranty Association must receive
information from outside sources regarding who is insured and what
type of coverage is involved before claims may be paid.
Yes. In order
for a policy to be covered by the Guaranty Association, the policy
must be active and with no lapse in required premiums.
The terms and coverage of
variable insurance products are very diverse and, as a result, it is
difficult to make general statements about Guaranty Association
coverage of variable insurance products without reviewing a specific
policy or contract. The Guaranty Association Act provides that
the Guaranty Association Act shall not apply to any portion of any
policy or contract not guaranteed by the insurer or under which the
risk is borne by the policy or contract holder. In addition,
the Guaranty Association Act does not apply to the portion of a
policy or contract that provides for interest or other changes in
value to be determined by the use of an index or other external
reference stated in the policy or contract that has not been
credited to the policy or contract as of the date Guaranty
Association coverage begins. Therefore, as a general rule, the
Guaranty Association Act covers the portion of a variable life
insurance policy or variable annuity contract that is guaranteed by
the specific contract, subject to Guaranty Association Act coverage
limitations.