PR RICO LEG Ins Plan Administrators


On Jun. 30, PR RICO LEG passed bill to govern third party compliance.


  • PR RICO LEG passed bill PC 0303 to formalize regulation and registration of third-party administrators (TPAs) conducting business on behalf of insurers and operating in PR.
  • Amend PR RICO INS Act 77 (1957), Insurance Code of Puerto Rico, add Chapter 54.
  • Add article 7,010 subsection (gg) - (license fee) to make TPA registration fee $2500.
  • Applies to all insurance types, e.g., banking and lending, health, property, casualty.
  • Key Bill Provisions
  • Current law, Act 77, lacks precise rules to regulate hiring of third-party administrators.
  • NAIC developed model legislation re oversight of TPAs operating in multiple domiciles.
  • PC 0303 uses NAIC model to update the Act, provide for registration, licensing, record-keeping, advertising, policies of disclosure, claims and premiums collection by TPAs.
  • Require foreign TPAs to annually file declaration that their home State license is active.
  • Goal is to enhance oversight of TPAs as insurers outsource more processes to TPAs.
  • Legislative History
  • On Jan. 25, 2021, bill was introduced in House; on Oct. 26, 2021, bill passed in House.
  • On Nov. 1, 2021, bill introduced in the Senate; on Jun. 24, 2024, bill passed Senate.
  • On Jun. 30, 2024, bill was enrolled by both House and Senate chambers of the body.
  • Effectiveness
  • Law takes effect ninety (90) days after its approval.
  • Aug. 2024 PR RICO LEG Bill Approval
  • On Aug. 26, 2024, PR RICO LEG reported PC 0303 approved, assigned Law 16-2004.
  • Law 16-2004 provisions will become effective on Nov. 24, 2024.
  • Document dated Aug. 26, received from PR RICO LEG Sep. 4, summarized Sep. 6.

Regulators PR RICO LEG
Entity Types IB; Ins
Reference Law 169-2004, Bill PC0303, 8/26/2024; Bill, PC0303, 6/30/2024; Citation: PR RICO INS Act 77;
Functions Claims/Accelerated Benefits; Financial; Legal; Operations; Registration/Licensing; Reinsurance; Resolution
Countries United States of America
Category
State
Products Insurance; Insurance-Casualty; Insurance-Health; Insurance-Life; Insurance-Property
Regions Am
Rule Type Final
Rule Date 6/30/2024
Effective Date 11/24/2024
Rule Id 218540
Linked to N/A
Reg. Last Update 8/26/2024
Report Section US Insurance

Last substantive update on 09/06/2024