Oregon Chapter 748
Chapter 748 — Fraternal Benefit SocietiesDownload Full 2005 Oregon Revised Statutes (coming soon!)
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Chapter 748 —
Fraternal Benefit Societies
2007 EDITION
FRATERNAL BENEFIT SOCIETIES
INSURANCE
GENERAL PROVISIONS
748.103 Definitions
748.106 Description
of fraternal benefit society
748.109 Conditions
constituting “operating on a lodge system”
748.112 Conditions
constituting “representative form of government”
SOCIETIES GENERALLY
748.121 Purposes,
operation and powers
748.123 Membership;
eligibility; admission process; privileges
ORGANIZATIONAL AND ADMINISTRATIVE PROVISIONS
748.130 Principal
office; publications; annual statement synopsis; complaints
748.133 Formation
748.136 Officers,
governors, directors; exemption from liability; indemnification; insurance
748.139 Waiver
of provisions by subordinate body
748.142 Amendment
of society laws
748.144 Creation
and operation of other organizations and entities
748.148 Consolidation
and merger
LICENSING AND REINSURANCE
748.171 Certificate
of authority
748.174 Certificate
of authority for foreign or alien society
748.177 Authorization
as mutual life insurance company
748.181 Insurance
producers; licensing
748.184 Reinsurance
BENEFITS, BENEFICIARIES AND CONTRACTS
GENERALLY
748.201 Benefits
748.204 Beneficiaries
748.207 Benefits
exempt from execution
748.211 Benefit
contract; certificate
GROUP BENEFITS
748.306 Authority
for group benefit certificates
748.309 Group
membership; lodges
748.312 Membership
in lodges organized under ORS 748.309
748.316 Payments
for group benefits
748.319 Group
certificates issued by foreign or alien society or by domestic society in
foreign or alien jurisdiction
748.322 Continuation
of membership in society after cancellation, discontinuance or nonrenewal of
group certificate
FINANCIAL PROVISIONS
748.401 Value
of benefit and amount of options
748.403 Standards
of valuation for certificates
748.406 Financial
statement; filing; fee; valuation
748.409 Assets
of society; variable contracts
748.412 Investment
of funds
748.414 Funds
exempt from certain taxes
ENFORCEMENT
748.501 Examination
748.503 Investigation
of society; notice of deficiencies; action by Attorney General; hearing
748.506 Investigation
of foreign or alien society; notice of deficiencies; revocation or suspension
of authority
748.509 Validity
of petition for injunction
EXEMPTIONS; RELATION TO OTHER LAW
748.601 Exemptions
from chapter
748.603 Relationship
to other insurance laws
748.605 Insurance
against risk of loss under less than fully insured employee health benefit plan
PENALTIES
748.990 Penalties
748.010 [Amended by 1955 c.465 §7; 1967 c.359 §108; renumbered 731.562]
748.020 [Amended by 1955 c.465 §8; repealed by 1967
c.359 §704]
748.030 [Repealed by 1967 c.359 §704]
748.040 [Amended by 1955 c.465 §9; repealed by 1967
c.359 §704]
748.045 [1955 c.465 §4; repealed by 1967 c.359 §704]
748.050 [Repealed by 1955 c.465 §12]
748.055 [1955 c.465 §6; repealed by 1967 c.359 §704]
748.060 [Repealed by 1967 c.359 §704]
748.070 [Amended by 1955 c.465 §10; repealed by 1967
c.359 §704]
748.075 [1955 c.465 §3; repealed by 1967 c.359 §704]
748.080 [Repealed by 1955 c.465 §12]
748.084 [1955 c.465 §2; 1967 c.359 §94; renumbered
731.438]
748.086 [1955 c.465 §5; 1967 c.359 §572; renumbered
746.055]
748.090 [Amended by 1955 c.465 §11; repealed by 1967
c.359 §704]
GENERAL PROVISIONS
748.103
Definitions. As used in this
chapter:
(1) “Benefit contract” means the agreement
for provision of benefits authorized by ORS 748.201, as that agreement is
described in ORS 748.211 (1).
(2) “Benefit member” means an adult member
who is designated by the laws or rules of the society to be a benefit member
under a benefit contract.
(3) “Certificate” means the document
issued as written evidence of the benefit contract.
(4) “Impaired” means either:
(a) For a society that does not write variable
contracts, whenever its assets are less than its total liabilities; or
(b) For a society that does write variable
contracts, whenever its assets are less than its total liabilities, plus the
required surplus for a mutual life insurer to write such contracts.
(5) “Laws” means the society’s articles of
incorporation, constitution and bylaws, however designated.
(6) “Lodge” means subordinate member units
of the society, known as camps, courts, councils, branches or by any other
designation.
(7) “Premiums” means premiums, rates, dues
or other required contributions by whatever name known, which are payable under
the certificate.
(8) “Rules” means all rules, regulations
or resolutions adopted by the supreme governing body or board of directors
which are intended to have general application to the members of the society.
(9) “Society” means fraternal benefit
society, unless otherwise indicated. [1987 c.490 §2]
748.105 [Formerly 740.010; repealed by 1987 c.490 §58]
748.106
Description of fraternal benefit society. Any corporation, society, order, supreme lodge or voluntary
association, without capital stock, conducted solely for the benefit of its
members and their beneficiaries and not-for-profit, operated on a lodge system
with ritualistic form of work, having a representative form of government and
which provides benefits in accordance with this chapter is hereby declared to
be a fraternal benefit society. [1987 c.490 §3]
748.109
Conditions constituting “operating on a lodge system.” (1) A society is operating on the lodge
system if it has a supreme governing body and subordinate lodges into which
members are elected, initiated or admitted in accordance with its laws, rules
and ritual. Subordinate lodges shall be required by the laws of the society to
hold regular meetings at least once each month in furtherance of the purposes
of the society.
(2) A society may, at its option, organize
and operate lodges for children under the minimum age for adult membership.
Membership and initiation in local lodges shall not be required of the
children, nor shall the children have a voice or vote in the management of the
society. [1987 c.490 §4]
748.110 [Formerly 740.020; repealed by 1987 c.490 §58]
748.112
Conditions constituting “representative form of government.” A society has a representative form of
government when:
(1) It has a supreme governing body
constituted as:
(a) An assembly composed of delegates
elected directly by the members or at intermediate assemblies or conventions of
members or their representatives, together with other delegates as may be
prescribed in the society’s laws. A society may provide for election of
delegates by mail. The elected delegates shall constitute a majority in number
and shall not have less than two-thirds of the votes and not less than the
number of votes required to amend the society’s laws. The assembly shall be
elected and shall meet at least once every four years and shall elect a board
of directors to conduct the business of the society between meetings of the
assembly. Vacancies on the board of directors between elections may be filled
in the manner prescribed by the society’s laws; or
(b) A board composed of persons elected by
the members, either directly or by their representatives in intermediate
assemblies, and any other persons prescribed in the society’s laws. A society
may provide for election of the board by mail. Each term of a board member may
not exceed four years. Vacancies on the board between elections may be filled
in the manner prescribed by the society’s laws. Those persons elected to the
board shall constitute a majority in number and not less than the number of
votes required to amend the society’s laws. A person filling the unexpired term
of an elected board member shall be considered to be an elected member. The
board shall meet at least quarterly to conduct the business of the society;
(2) The officers of the society are
elected either by the supreme governing body or by the board of directors;
(3) Only benefit members are eligible for
election to the supreme governing body and the board of directors; and
(4) Each voting member has one vote. No
vote may be cast by proxy. [1987 c.490 §5]
748.115 [Formerly 740.030; repealed by 1987 c.490 §58]
748.120 [1967 c.359 §601; repealed by 1987 c.490 §58]
SOCIETIES
GENERALLY
748.121
Purposes, operation and powers.
(1) The purposes of a society, as specified in subsection (2) of this section,
may be carried out directly by the society, or indirectly through subsidiary
corporations or affiliated organizations.
(2) A society shall operate for the
benefit of members and their beneficiaries by:
(a) Providing benefits as specified in ORS
748.201; and
(b) Operating for one or more social,
intellectual, educational, charitable, benevolent, moral, fraternal, patriotic
or religious purposes for the benefit of its members, which may also be
extended to others.
(3) Every society shall have the power to
adopt laws and rules for the government of the society, the admission of its
members and the management of its affairs. It shall have the power to change,
alter, add to or amend such laws and rules and shall have such other powers as
are necessary and incidental to carrying into effect the objects and purposes
of the society. [1987 c.490 §6]
748.123
Membership; eligibility; admission process; privileges. (1) A society shall specify in its laws or
rules:
(a) Eligibility standards for each and
every class of membership, provided that, if benefits are provided on the lives
of children, the minimum age for adult membership shall be set at not less than
15 years of age and not greater than 21 years of age;
(b) The process for admission to
membership for each membership class; and
(c) The rights and privileges of each
membership class, provided that only benefit members shall have the right to
vote on the management of the insurance affairs of the society.
(2) A society may also admit social
members who shall have no voice or vote in the management of the insurance
affairs of the society.
(3) Membership rights in the society are
personal to the member and are not assignable. [1987 c.490 §7]
748.125 [1987 c.490 §42; 1989 c.413 §18; repealed by
1991 c.182 §20]
ORGANIZATIONAL
AND ADMINISTRATIVE PROVISIONS
748.130
Principal office; publications; annual statement synopsis; complaints. (1) The principal office of any domestic
society shall be located in this state. The meetings of its supreme governing
body may be held in any state, district, province or territory in which the
society has at least one lodge or in any other location as determined by the
supreme governing body, and all business transacted at the meetings shall be as
valid in all respects as if the meetings were held in this state. The minutes
of the proceedings of the supreme governing body and of the board of directors
shall be in English.
(2) A society may provide in its laws for
an official publication in which any notice, report or statement required by
law to be given to members, including notice of election, may be published. The
required notices, reports or statements shall be printed conspicuously in the
publication. If the records of a society show that two or more members have the
same mailing address, an official publication mailed to one member is deemed to
be mailed to all members at the same address unless a member requests a
separate copy.
(3) Not later than June 1 of each year, a
synopsis of the society’s annual statement providing an explanation of the
facts concerning the condition of the society thereby disclosed shall be
printed and mailed to each benefit member of the society or, in lieu thereof,
the synopsis may be published in the society’s official publication.
(4) A society may provide in its laws or
rules for grievance or complaint procedures for members. [1987 c.490 §8]
748.133
Formation. A domestic
society organized on or after January 1, 1988, shall be formed as follows:
(1) Seven or more citizens of the
(a) The proposed corporate name of the
society, which shall not so closely resemble the name of any society or
insurance company as to be misleading or confusing;
(b) The purposes for which it is being
formed and the mode in which its corporate powers are to be exercised. The
purposes shall not include more liberal powers than are granted by this chapter;
(c) The names and residences of the
incorporators and the names, residences and official titles of all the
officers, trustees, directors or other persons who are to have and exercise the
general control of the management of the affairs and funds of the society until
their successors are elected by the supreme governing body; and
(d) A plan for the election of officers,
trustees and directors by the supreme governing body. The election shall be
held not later than one year from the date of issuance of the permanent
certificate of authority.
(2) The articles of incorporation, duly
certified copies of the society’s bylaws and rules, copies of all proposed
forms of certificates, applications therefor and circulars to be issued by the
society and a bond conditioned upon the return to applicants of the advanced
payments if the organization is not completed within one year shall be filed
with the Director of the Department of Consumer and Business Services, who may
require such further information as the director deems necessary. The bond with
sureties approved by the director shall be in an amount, not less than $300,000
nor more than $1,500,000 as required by the director. All documents filed are
to be in English. If the purposes of the society conform to the requirements of
this chapter and all provisions of the law have been complied with, the
director shall so certify, retain and file the articles of incorporation and
furnish the incorporators a preliminary certificate of authority authorizing
the society to solicit members as provided in this chapter.
(3) No preliminary certificate of
authority granted under the provisions of this section shall be valid after one
year from its date or after any further period, not exceeding one year, as may
be authorized by the director upon cause shown, unless the 500 applicants
required have been secured and the organization has been completed as provided
in this chapter. The articles of incorporation and all other proceedings
thereunder shall become null and void in one year from the date of the
preliminary certificate of authority, or at the expiration of the extended
period, unless the society has completed its organization and received a
certificate of authority to do business as provided in this chapter.
(4) Upon receipt of a preliminary
certificate of authority from the director, the society may solicit members for
the purpose of completing its organization, shall collect from each applicant
the amount of not less than one regular monthly premium in accordance with its
tables of rates and shall issue to each applicant a receipt for the amount
collected. No society shall incur any liability other than for the return of
the advance premium, nor issue any certificate, nor pay, allow or offer or
promise to pay or allow, any benefit to any person until:
(a) Actual bona fide applications for
benefits have been secured on not less than 500 applicants, and any necessary
evidence of insurability has been furnished to and approved by the society;
(b) At least 10 lodges have been
established into which the 500 applicants have been admitted;
(c) There has been submitted to the
director, under oath of the president or secretary, or corresponding officer of
the society, a list of such applicants, giving their names, addresses, date
each was admitted, name and number of the lodge of which each applicant is a
member, amount of benefits to be granted and premiums therefor; and
(d) It has been shown to the director, by
sworn statement of the treasurer, or corresponding officer of such society,
that at least 500 applicants have each paid in cash at least one regular
monthly premium as herein provided, which premiums in the aggregate amount to
at least $150,000. The advance premiums shall be held in trust during the
period of organization and if the society has not qualified for a certificate
of authority within one year, as provided in this chapter, the premiums shall
be returned to the applicants.
(5) The director may make any examination
and require any further information that the director deems advisable. Upon
presentation of satisfactory evidence that the society has complied with all
the provisions of law, the director shall issue to the society a certificate of
authority to that effect and that the society is authorized to transact
business pursuant to the provisions of this chapter. The certificate of
authority shall be prima facie evidence of the existence of the society at the
date of the certificate. The director shall cause a record of the certificate
of authority to be made. A certified copy of the record may be given in
evidence with like effect as the original certificate of authority.
(6) An incorporated society authorized to
transact business in this state at the time this chapter becomes effective
shall not be required to reincorporate. [1987 c.490 §9]
748.135 [Formerly 740.090; repealed by 1987 c.490 §58]
748.136
Officers, governors, directors; exemption from liability; indemnification;
insurance. (1) The officers
and members of the supreme governing body or any subordinate body of a society
shall not be personally liable for any benefits provided by a society.
(2) Any person may be indemnified and
reimbursed by any society for expenses reasonably incurred by, and liabilities
imposed upon, the person in connection with or arising out of any action, suit
or proceeding, whether civil, criminal, administrative or investigative, or
threat of any action, suit or proceeding, in which the person may be involved
by reason of the fact that the person is or was a director, officer, employee
or agent of the society or of any firm, corporation or organization which the
person served in any capacity at the request of the society. Except as provided
in subsection (3) of this section, a person shall not be indemnified or
reimbursed:
(a) In relation to any matter in such
action, suit or proceeding as to which the person shall finally be adjudged
guilty of breach of a duty as a director, officer, employee or agent of the
society; or
(b) In relation to any matter in such
action, suit or proceeding, or threat of such action, suit or proceeding, which
has been made the subject of a compromise settlement.
(3) A person described in subsection (2)
of this section may be indemnified if:
(a) The person acted in good faith for a
purpose the person reasonably believed to be in or not opposed to the best
interests of the society; and
(b) In a criminal action or proceeding,
the person had no reasonable cause to believe that the conduct of the person
was unlawful.
(4) The determination whether the conduct
of the person met the standard required in order to justify indemnification and
reimbursement in relation to any matter described in subsection (2) of this
section may be made only by the supreme governing body or board of directors by
a majority vote of a quorum consisting of persons who were not parties to the
action, suit or proceeding, or by a court of competent jurisdiction. The
termination of any action, suit or proceeding by judgment, order, settlement,
conviction or upon a plea of no contest, as to the person shall not in itself
create a conclusive presumption that the person did not meet the standard of
conduct required in order to justify indemnification and reimbursement. The
right of indemnification and reimbursement described in this section shall not
be exclusive of other rights to which the person may be entitled as a matter of
law and shall inure to the benefit of the person’s heirs, executors and
administrators.
(5) A society shall have power to purchase
and maintain insurance on behalf of any person who is or was a director,
officer, employee or agent of the society, or who is or was serving at the
request of the society as a director, officer, employee or agent of any other
firm, corporation or organization against any liability asserted against the
person and incurred by the person in any such capacity or arising out of the
person’s status as such, whether or not the society would have the power to
indemnify the person against liability under this section. [1987 c.490 §10]
748.139
Waiver of provisions by subordinate body. The laws of the society may provide that no subordinate body, nor any
of its subordinate officers or members shall have the power or authority to
waive any of the provisions of the laws of the society. This provision shall be
binding on the society and every member and beneficiary of a member. [1987
c.490 §11]
748.140 [Formerly 740.100; repealed by 1987 c.490 §58]
748.142
Amendment of society laws.
(1) A domestic society may amend its laws in accordance with the provisions
thereof by action of its supreme governing body at any regular or special
meeting thereof or, if its laws so provide, by referendum. The referendum may
be held in accordance with the provisions of its laws by the vote of the voting
members of the society, by the vote of delegates or representatives of voting
members or by the vote of local lodges. A society may provide for voting by
mail. No amendment submitted for adoption by referendum shall be adopted
unless, within six months from the date of submission, a majority of the
members voting have signified their consent to the amendment by one of the
methods specified in this chapter.
(2) No amendment to the laws of any
domestic society shall take effect unless approved by the Director of the Department
of Consumer and Business Services. The director shall approve the amendment if
the director finds that it has been duly adopted and is not inconsistent with
any requirement of the laws of this state or with the character, objects and
purposes of the society. Unless the director shall disapprove any such
amendment within 60 days after the filing, the amendment shall be considered
approved. The approval or disapproval of the director shall be in writing and
mailed to the secretary or corresponding officer of the society at its
principal office. In case the director disapproves the amendment, the reasons
shall be stated in the written notice.
(3) Within 90 days from the approval by
the director, all such amendments, or a synopsis thereof, shall be furnished to
all members of the society either by mail or by publication in full in the
official publication of the society. The affidavit of any officer of the
society or of anyone authorized by it to mail any amendments, or synopses
thereof, stating facts which show that the amendments have been duly addressed
and mailed, shall be prima facie evidence that the amendments, or synopsis
thereof, have been furnished to the addressee.
(4) Every foreign or alien society
authorized to do business in this state shall file with the director a duly
certified copy of all amendments of, or additions to, its laws within 90 days
after the enactment of the amendments.
(5) Printed copies of the laws as amended,
certified by the secretary or corresponding officer of the society, shall be
prima facie evidence of the legal adoption thereof. [1987 c.490 §12]
748.144
Creation and operation of other organizations and entities. (1) A society may create, maintain and
operate, or may establish organizations to operate, not-for-profit institutions
to further the purposes permitted by ORS 748.121 (2)(b). Such institutions may
furnish services free or at a reasonable charge. Any real or personal property
owned, held or leased by the society for this purpose shall be reported in every
annual statement.
(2) No society shall own or operate
funeral homes or undertaking establishments. [1987 c.490 §13]
748.145 [Formerly 740.110; repealed by 1987 c.490 §58]
748.148
Consolidation and merger.
(1) A domestic society may consolidate or merge with any other society by
complying with the provisions of this section. It shall file with the Director
of the Department of Consumer and Business Services:
(a) A certified copy of the written
contract containing in full the terms and conditions of the consolidation or
merger;
(b) A sworn statement by the president and
secretary or corresponding officers of each society showing the financial
condition of the society on a date fixed by the director but not earlier than
December 31, next preceding the date of the contract;
(c) A certificate of the officers, duly
verified by their respective oaths, that the consolidation or merger has been
approved by a two-thirds vote of the supreme governing body of each society,
the vote being conducted at a regular or special meeting of each body, or, if
the society’s laws so permit, by mail; and
(d) Evidence that at least 60 days prior
to the action of the supreme governing body of each society, the text of the
contract has been furnished to all members of each society either by mail or by
publication in full in the official publication of each society.
(2) If the director finds that the
contract is in conformity with the provisions of this section, that the
financial statements are correct and that the consolidation or merger is just
and equitable to the members of each society, the director shall approve the
contract and issue a certificate to that effect. Upon approval, the contract
shall be in full force and effect unless any society which is a party to the contract
is incorporated under the laws of any other state or territory. In such event
the consolidation or merger shall not become effective unless and until it has
been approved as provided by the laws of such state or territory and a
certificate of approval filed with the director of this state or, if the laws
of such state or territory contain no such provision, then the consolidation or
merger shall not become effective unless and until it has been approved by the
director of insurance of such state or territory and a certificate of approval
filed with the director of this state.
(3) Upon the consolidation or merger
becoming effective as provided in this chapter, all the rights, franchises and
interests of the consolidated or merged societies in and to every species of
property, real, personal or mixed, and things in action thereunto belonging
shall be vested in the society resulting from or remaining after the
consolidation or merger without any other instrument, except that conveyances
of real property may be evidenced by proper deeds, and the title to any real
estate or interest therein, vested under the laws of this state in any of the
societies consolidated or merged, shall not revert or be in any way impaired by
reason of the consolidation or merger, but shall vest absolutely in the society
resulting from or remaining after consolidation or merger.
(4) The affidavit of any officer of the
society or of anyone authorized by it to mail any notice or document, stating
that the notice or document has been duly addressed and mailed, shall be prima
facie evidence that the notice or document has been furnished the addressees. [1987
c.490 §15]
748.150 [Formerly 740.120; repealed by 1987 c.490 §58]
748.155 [Formerly 740.140; repealed by 1987 c.490 §58]
748.160 [Formerly 740.510; repealed by 1987 c.490 §58]
748.165 [Formerly 740.510; repealed by 1987 c.490 §58]
748.170 [1967 c.359 §609; repealed by 1987 c.490 §58]
LICENSING AND
REINSURANCE
748.171
Certificate of authority.
(1) A fraternal benefit society must obtain and maintain a certificate of
authority in the manner provided for insurers in the Insurance Code.
(2) A certified copy or duplicate of the
certificate of authority shall be prima facie evidence that the holder thereof
is a fraternal benefit society within the meaning of this chapter. [1987 c.490 §28;
1989 c.413 §19; 1991 c.182 §10]
748.174
Certificate of authority for foreign or alien society. No foreign or alien society shall transact
business in this state without a certificate of authority issued by the
Director of the Department of Consumer and Business Services. Any foreign or
alien society desiring admission to this state shall comply substantially with
the requirements and limitations of this chapter applicable to domestic societies.
Any foreign or alien society may be authorized to transact business in this
state upon a showing that its assets are invested in accordance with the
provisions of this chapter and upon filing with the director:
(1) A duly certified copy of its articles of
incorporation;
(2) A copy of its bylaws, certified by its
secretary or corresponding officer;
(3) A power of attorney to the director as
required by the director;
(4) A statement of its business under oath
of its president and secretary or corresponding officers in a form prescribed
by the director, duly verified by an examination made by the supervising
insurance official of its home state or other state, territory, province or
country, satisfactory to the director;
(5) Certification from the proper official
of its home state, territory, province or country that the society is legally
incorporated and licensed to transact business in the state, territory,
province or country;
(6) Copies of its certificate forms; and
(7) Such other information as the director
may deem necessary. [1987 c.490 §30; 1991 c.182 §11]
748.175 [1967 c.359 §610; repealed by 1987 c.490 §58]
748.177
Authorization as mutual life insurance company. Any domestic fraternal benefit society may
be converted and authorized as a mutual life insurance company by compliance
with all the requirements of the insurance laws of this state for mutual life
insurance companies. A plan of conversion shall be prepared in writing by the
board of directors setting forth in full the terms and conditions of
conversion. The affirmative vote of two-thirds of all members of the supreme
governing body at a regular or special meeting shall be necessary for the
approval of the plan, or if the society is organized under the direct election
method pursuant to ORS 748.112 (1)(a), the plan of conversion shall be
submitted by mail to the benefit members. The affirmative vote of two-thirds of
the benefit members voting thereon shall be necessary for the approval of the
plan. No conversion shall take effect unless approved by the Director of the
Department of Consumer and Business Services who may give approval if the
director finds that the proposed change is in conformity with the requirements
of law and not prejudicial to the certificate holders of the society. [1987
c.490 §16; 1991 c.182 §12]
748.181
Insurance producers; licensing.
Insurance producers of societies shall be licensed in accordance with the
provisions of ORS chapter 744 regulating the licensing, revocation, suspension
or termination of license of resident and nonresident insurance producers. [1987
c.490 §34; 1989 c.701 §75; 2003 c.364 §168]
748.184
Reinsurance. (1) A domestic
society may, by a reinsurance agreement, cede any individual risk or risks in
whole or in part to an insurer, other than another fraternal benefit society,
having the power to make reinsurance and authorized to do business in this
state, or if not authorized, one which is approved by the Director of the
Department of Consumer and Business Services, but no society may reinsure
substantially all of its insurance in force without the written permission of
the director. The society may take credit for the reserves on such ceded risks
to the extent reinsured, but no credit shall be allowed as an admitted asset or
as a deduction from liability, to a ceding society for reinsurance made, ceded,
renewed or otherwise becoming effective after January 1, 1988, unless the
reinsurance is payable by the assuming insurer on the basis of the liability of
the ceding society under the contract or contracts reinsured without diminution
because of the insolvency of the ceding society.
(2) Notwithstanding the limitation in
subsection (1) of this section, a society may reinsure the risks of another
society in a consolidation or merger approved by the director under ORS
748.148. [1987 c.490 §14]
748.185 [Formerly 740.160; repealed by 1987 c.490 §58]
748.190 [1967 c.359 §612; repealed by 1987 c.490 §58]
BENEFITS,
BENEFICIARIES AND CONTRACTS GENERALLY
748.201
Benefits. (1) A society may
provide in any form the following contractual benefits:
(a) Death benefits;
(b) Endowment benefits;
(c) Annuity benefits;
(d) Temporary or permanent disability
benefits;
(e) Hospital, medical or nursing benefits;
(f) Monument or tombstone benefits to the
memory of deceased members; and
(g) Such other benefits as authorized for
life insurers and which are not inconsistent with this chapter, upon
determination by the Director of the Department of Consumer and Business
Services that the society is in compliance with all the requirements for a
mutual life insurer to write such benefits.
(2) A society shall specify in its rules
those persons who may be issued, or covered by, the contractual benefits in
subsection (1) of this section, consistent with providing benefits to members
and their dependents. A society may provide benefits on the lives of children
under the minimum age for adult membership upon application of an adult person.
[1987 c.490 §17]
748.204
Beneficiaries. (1) The owner
of a benefit contract shall have the right at all times to change the
beneficiary or beneficiaries in accordance with the laws or rules of the
society unless the owner waives this right by specifically requesting in
writing that the beneficiary designation be irrevocable. A society may, through
its laws or rules, limit the scope of beneficiary designations and shall
provide that no revocable beneficiary shall have or obtain any vested interest
in the proceeds of any certificate until the certificate has become due and
payable in conformity with the provisions of the benefit contract.
(2) A society may make provision for the
payment of funeral benefits to the extent of the portion of any payment under a
certificate as might reasonably appear to be due to any person equitably entitled
thereto by reason of having incurred expense occasioned by the burial of the
member, provided the portion paid shall not exceed $1,000.
(3) If, at the death of any person insured
under a benefit contract, there is no lawful beneficiary to whom the proceeds
shall be payable, the amount of the benefit, except to the extent that funeral
benefits may be paid as provided in this chapter, shall be payable to the
personal representative of the deceased insured, provided that if the owner of
the certificate is other than the insured the proceeds shall be payable to that
owner. [1987 c.490 §18]
748.205 [1967 c.359 §613; repealed by 1987 c.490 §58]
748.207
Benefits exempt from execution.
No money or other benefit, charity, relief or aid to be paid, provided or
rendered by any society, shall be liable to attachment, garnishment or other
process, or to be seized, taken, appropriated or applied by any legal or
equitable process or operation of law to pay any debt or liability of a member
or beneficiary, or any other person who may have a right thereunder, either
before or after payment by the society. [1987 c.490 §19]
748.210 [1967 c.359 §614; repealed by 1987 c.490 §58]
748.211
Benefit contract; certificate.
(1) Every society authorized to do business in this state shall issue to each
owner of a benefit contract a certificate specifying the amount of benefits
provided. The certificate, together with any riders or indorsements attached to
it, the laws of the society, the application for membership, the application
for insurance and declaration of insurability, if any, signed by the applicant,
and all amendments to each, shall constitute the benefit contract, as of the
date of issuance, between the society and the owner, and the certificate shall
so state. The laws of the society need not be stated in full in the
certificate, except as provided in this section. A copy of the application for
insurance and declaration of insurability, if any, shall be indorsed upon or
attached to the certificate. All statements on the application shall be
representations and not warranties. Any waiver of this provision shall be void.
(2) Any changes, additions or amendments
to the laws of the society duly made or enacted subsequent to the issuance of
the certificate, shall bind the owner and the beneficiaries, and shall govern
and control the benefit contract in all respects the same as though the
changes, additions or amendments had been made prior to and were in force at
the time of the application for insurance, except that no change, addition or
amendment shall destroy or diminish benefits which the society contracted to
give the owner as of the date of issuance.
(3) Any person upon whose life a benefit
contract is issued prior to attaining the age of majority shall be bound by the
terms of the application and certificate and by all the laws and rules of the
society to the same extent as though the age of majority had been attained at
the time of application.
(4) A society shall provide in its laws
that if its reserves as to all or any class of certificates become impaired,
its board of directors or corresponding body may require that there be paid by
the owner to the society the amount of the owner’s equitable proportion of the
deficiency as ascertained by its board, and that if the payment is not made:
(a) It shall stand as an indebtedness
against the certificate and draw interest not to exceed the rate specified for
certificate loans under the certificates; or
(b) In lieu of or in combination with
paragraph (a) of this subsection, the owner may accept a proportionate
reduction in benefits under the certificate.
(5) The society may specify the manner of
the election of the alternatives specified in subsection (4) of this section
and which alternative is to be presumed if no election is made.
(6) Copies of any of the documents
mentioned in this section, certified by the secretary or corresponding officer
of the society, shall be received in evidence of the terms and conditions of
the documents.
(7) No certificate shall be delivered or
issued for delivery in this state unless a copy of the form has been filed with
and approved by the Director of the Department of Consumer and Business
Services, and is subject to withdrawal of approval, in the manner provided for
like policies issued by life and health insurers in this state. Every life,
accident, health or disability insurance certificate and every annuity
certificate issued on or after one year from January 1, 1988, shall meet the
standard contract provision requirements not inconsistent with this chapter for
like policies issued by life and health insurers in this state, except that a
society may provide for a grace period for payment of premiums of one full
month in its certificates. The certificates shall also contain a provision
stating the amount of premiums which are payable under the certificate and a
provision reciting or setting forth the substance of any sections of the
society’s laws or rules in force at the time of issuance of the certificate
which, if violated, shall result in the termination or reduction of benefits
payable under the certificate. In addition, except for contracts issued on a
variable basis as authorized by ORS 748.409, the certificate shall contain a
provision stating the substance of the society’s laws required under
subsections (4) and (5) of this section. If the laws of the society provide for
expulsion or suspension of a member, the certificate shall also contain a
provision that any member so expelled or suspended, except for nonpayment of a
premium or within the contestable period for material misrepresentation in the
application for membership or insurance, shall have the privilege of
maintaining the certificate in force by continuing payment of the required
premium.
(8) Benefit contracts issued on the lives
of persons below the society’s minimum age for adult membership may provide for
transfer of control or ownership to the insured at an age specified in the
certificate. A society may require approval of an application for membership in
order to effect this transfer, and may provide in all other respects for the
regulation, government and control of the certificates and all rights,
obligations and liabilities incident thereto and connected therewith. Ownership
rights prior to the transfer shall be specified in the certificate.
(9) A society may specify the terms and
conditions on which benefit contracts may be assigned. [1987 c.490 §20; 1991
c.182 §13]
748.215 [1967 c.359 §615; repealed by 1987 c.490 §58]
748.216 [Formerly 740.740; repealed by 1969 c.336 §21]
748.220 [1967 c.359 §616; repealed by 1987 c.490 §58]
748.225 [Formerly 740.640; repealed by 1987 c.490 §58]
748.230 [Formerly 740.200; repealed by 1987 c.490 §58]
748.235 [Formerly 740.650; repealed by 1987 c.490 §58]
748.240 [Formerly 740.660; repealed by 1987 c.490 §58]
748.305 [1967 c.359 §621; repealed by 1987 c.490 §58]
GROUP
BENEFITS
748.306
Authority for group benefit certificates. A fraternal benefit society may provide in its laws, in addition to
other benefits provided, for the issuance of group benefit certificates if on
the date when it enters upon business it has admitted assets which are greater
than the sum of its accrued liabilities and reserves under all of its
certificates when valued according to standards required for certificates
issued after June 8, 1967. [1987 c.490 §36]
748.309
Group membership; lodges.
(1) Group benefit certificates may provide for the payment of benefits in the
event of the death, or death and disability, of:
(a) Persons engaged in a common enterprise
or employment.
(b) The employees of any employer.
(2) Group certificates may be issued with
or without medical examination and without limitation as to age.
(3) The society shall organize the persons
or employees into a lodge or lodges with officers selected in the same manner
as officers of other lodges and subject to the provisions of the laws of the
society.
(4) Not less than 50 persons may be
admitted to membership under one group without medical examination. [1987 c.490
§37]
748.310 [1967 c.359 §622; repealed by 1987 c.490 §58]
748.312
Membership in lodges organized under ORS 748.309. If provided in the laws of the society,
other persons may become members of a lodge organized under ORS 748.309
subsequent to its organization and may be initiated into and hold membership in
the lodge. Individual benefit certificates may be issued to them. The lodges
shall in all other respects be subject to the laws of the society. [1987 c.490 §40]
748.315 [1967 c.359 §623; repealed by 1987 c.490 §58]
748.316
Payments for group benefits.
(1) The monthly or other payments to be made to the society on or for any group
benefit certificate may be made by the employer, or by the employer and
employees jointly, or as provided in the contract.
(2) When the payments are made by the
employer and the employees jointly and the benefits under the group certificate
are offered to all eligible employees of the employer, not less than 75 percent
of the employees must be included under the group certificate. [1987 c.490 §38]
748.319
Group certificates issued by foreign or alien society or by domestic society in
foreign or alien jurisdiction.
(1) A group certificate, when issued in this state by any foreign or alien
society, may contain, when issued, any provision required by the laws of the
state or country under which the society is organized.
(2) Group certificates issued in other
states or countries by a domestic society may contain any provision required by
the laws of the other state or country. [1987 c.490 §39]
748.320 [1967 c.359 §624; repealed by 1987 c.490 §58]
748.322
Continuation of membership in society after cancellation, discontinuance or
nonrenewal of group certificate. If any group certificate is canceled, discontinued or not renewed, or
if any individual member of a group ceases to be a member of the group, the
members of the group or any individual member who ceases to be a member of the
group may be permitted to continue membership in the society for the same
amount of protection at the required rate of monthly or other payment and in
all other respects as provided in the laws of the society. [1987 c.490 §41]
748.325 [1967 c.359 §625; repealed by 1987 c.490 §58]
748.330 [1967 c.359 §626; repealed by 1987 c.490 §58]
748.335 [1967 c.359 §627; repealed by 1987 c.490 §58]
748.340 [1967 c.359 §628; repealed by 1987 c.490 §58]
748.345 [1967 c.359 §629; repealed by 1987 c.490 §58]
748.350 [1967 c.359 §630; repealed by 1987 c.490 §58]
748.355 [1967 c.359 §631; repealed by 1987 c.490 §58]
748.360 [1967 c.359 §632; repealed by 1987 c.490 §58]
748.365 [1967 c.359 §633; repealed by 1987 c.490 §58]
748.370 [1967 c.359 §634; repealed by 1987 c.490 §58]
748.375 [1967 c.359 §635; repealed by 1987 c.490 §58]
748.380 [1967 c.359 §636; repealed by 1987 c.490 §58]
FINANCIAL
PROVISIONS
748.401
Value of benefit and amount of options. (1) For certificates issued prior to January 1, 1989, the value of
every paid-up nonforfeiture benefit and the amount of any cash surrender value,
loan or other option granted shall comply with the provisions of law applicable
immediately prior to January 1, 1988.
(2) For certificates issued on or after
January 1, 1989, for which reserves are computed on the Commissioner’s 1941
Standard Ordinary Mortality Table, the Commissioner’s 1941 Standard Industrial
Table, the Commissioner’s 1958 Standard Ordinary Mortality Table, the
Commissioner’s 1980 Standard Mortality Table or any more recent table made
applicable to life insurers, every paid-up nonforfeiture benefit and the amount
of any cash surrender value, loan or other option granted may not be less than
the corresponding amount ascertained in accordance with the laws of this state
applicable to life insurers issuing policies containing like benefits based upon
the tables. [1987 c.490 §21; 2005 c.22 §498]
748.403
Standards of valuation for certificates. (1) Standards of valuation for certificates issued prior to January 1,
1989, shall be those provided by the laws applicable immediately prior to
January 1, 1988.
(2) The minimum standards of valuation for
certificates issued on or after January 1, 1989, shall be based on the
following tables:
(a) For certificates of life insurance,
the Commissioner’s 1941 Standard Ordinary Mortality Table, the Commissioner’s
1941 Standard Industrial Mortality Table, the Commissioner’s 1958 Standard
Ordinary Mortality Table, the Commissioner’s 1980 Standard Ordinary Mortality
Table or any more recent table made applicable to life insurers; or
(b) For annuity and pure endowment
certificates, for total and permanent disability benefits, for accidental death
benefits and for noncancelable accident and health benefits, the tables that
are authorized for use by life insurers in this state.
(3) The tables referred to in subsection
(2) of this section shall be under valuation methods and standards, including
interest assumptions, in accordance with the laws of this state applicable to
life insurers issuing policies containing like benefits.
(4) The Director of the Department of Consumer
and Business Services may accept other standards for valuation if the director
finds that the reserves produced will not be less in the aggregate than
reserves computed in accordance with the minimum valuation standard prescribed
in subsection (2) of this section. The director may vary the standards of
mortality applicable to all benefit contracts on substandard lives or other
extra hazardous lives by any society authorized to do business in this state.
(5) Any society, with the consent of the
director of insurance of the state of domicile of the society and under
conditions the director may impose, may establish and maintain reserves on its
certificates in excess of the reserves required, but the contractual rights of
any benefit member shall not be affected. [1987 c.490 §26; 2005 c.22 §499]
748.405 [Formerly 740.810; repealed by 1987 c.490 §58]
748.406
Financial statement; filing; fee; valuation. (1) Every society transacting business in this state shall annually
file with the Director of the Department of Consumer and Business Services on
or before March 1, unless the time has been extended by the director, a true
statement of its financial condition, transactions and affairs for the
preceding calendar year and shall pay the applicable fee established by the
director. The statement shall be in general form and context as approved by the
National Association of Insurance Commissioners for fraternal benefit societies
and as supplemented by additional information required by the director.
(2) As part of the annual statement
required by subsection (1) of this section, on or before March 1, each society
shall file with the director a valuation of its certificates in force on
December 31 last preceding. The director may extend the time for filing the valuation
for not more than two calendar months. The valuation shall be done in
accordance with the standards specified in ORS 748.403. The valuation and
underlying data shall be certified by a qualified actuary or, at the expense of
the society, verified by the actuary of the department of insurance of the
state of domicile of the society. [1987 c.490 §27; 1991 c.182 §14]
748.409
Assets of society; variable contracts. (1) All assets shall be held, invested and disbursed for the use and
benefit of the society and no member or beneficiary shall have or acquire
individual rights or become entitled to any apportionment on the surrender of
any part, except as provided in the benefit contract.
(2) A society may create, maintain,
invest, disburse and apply any special fund or funds necessary to carry out any
purpose permitted by the laws of the society.
(3) Pursuant to resolution of its supreme
governing body a society may:
(a) Establish and operate one or more
separate accounts and issue contracts on a variable basis, subject to all the
provisions of law regulating life insurers establishing accounts and issuing
contracts;
(b) To the extent the society deems it
necessary in order to comply with any applicable federal or state laws, adopt
special procedures for the conduct of the business and affairs of a separate
account;
(c) For persons having beneficial interest
therein, provide special voting and other rights, including without limitation
special rights and procedures relating to investment policy, investment
advisory services, selection of certified public accounts and selection of a
committee to manage the business and affairs of the account; and
(d) Issue contracts on a variable basis to
which ORS 748.211 (2) and (4) shall not apply. [1987 c.490 §23]
748.410 [Formerly 740.820; repealed by 1987 c.490 §58]
748.412
Investment of funds. A
society shall invest its funds only in investments that are authorized by the
laws of this state for the investment of assets of life insurers and subject to
the limitations thereon. Any foreign or alien society permitted or seeking to
do business in this state which invests its funds in accordance with the laws
of the state, district, territory, country or province in which it is
incorporated, shall be held to meet the requirements of this section for the
investment of funds. [1987 c.490 §22]
748.414
Funds exempt from certain taxes. Every society organized or licensed under this chapter is hereby
declared to be a charitable and benevolent institution, and all of its funds
shall be exempt from all and every state, county, district, municipal and
school tax, other than taxes on real estate and office equipment. [1987 c.490 §24]
748.415 [Formerly 740.840; repealed by 1987 c.490 §58]
748.420 [Formerly 740.850; repealed by 1987 c.490 §58]
748.425 [Formerly 740.860; repealed by 1987 c.490 §58]
748.430 [1967 c.359 §642; repealed by 1987 c.490 §58]
ENFORCEMENT
748.501
Examination. (1) The
Director of the Department of Consumer and Business Services, or any person the
director may appoint, may examine any domestic, foreign or alien society
transacting or applying for admission to transact business in this state in the
same manner as authorized for examination of domestic, foreign or alien
insurers. Requirements of notice and an opportunity to respond before findings
are made public as provided in the laws regulating insurers shall also be
applicable to the examination of societies.
(2) The expense of each examination and of
each valuation, including compensation and actual expense of examiners, shall
be paid by the society examined or whose certificates are valued, upon
statements furnished by the director. [1987 c.490 §29]
748.503
Investigation of society; notice of deficiencies; action by Attorney General;
hearing. (1) The Director of
the Department of Consumer and Business Services shall notify the society of
any deficiency or deficiencies, and state in writing the reasons for
dissatisfaction, when the director, upon investigation, finds that a domestic
society:
(a) Has exceeded its powers;
(b) Has failed to comply with any
provisions of this chapter;
(c) Is not fulfilling its contracts in
good faith;
(d) Has a membership of less than 400
after an existence of one year or more;
(e) Is conducting business fraudulently or
in a manner hazardous to its members, creditors, the public or the business; or
(f) Has become impaired.
(2) The director shall at once issue a
written notice to the society requiring that the deficiency or deficiencies be
corrected. After notice, the society shall have 30 days in which to comply with
the director’s request for correction, and if the society fails to comply, the
director shall notify the society of findings of noncompliance and require the
society to show cause on a date named why it should not be enjoined from
carrying on any business until the violation complained of has been corrected,
or why an action in quo warranto should not be commenced against the society.
(3) If on the date named the society does
not present good and sufficient reasons why it should not be enjoined or why
the action should not be commenced, the director may present the facts relating
thereto to the Attorney General who shall, if the Attorney General deems the
circumstances warrant, commence an action to enjoin the society from
transacting business or an action in quo warranto.
(4) The court shall notify the officers of
the society of a hearing. If after a full hearing it appears that the society
should be enjoined or liquidated or a receiver appointed, the court shall enter
the necessary order. No society so enjoined shall have the authority to do
business until:
(a) The director finds that the violation
complained of has been corrected;
(b) The costs of the action have been paid
by the society if the court finds that the society was in default as charged;
(c) The court has dissolved its
injunction; and
(d) The director has reinstated the
certificate of authority.
(5) If the court orders the society
liquidated, it shall be enjoined from carrying on any further business, and the
receiver of the society shall proceed at once to take possession of the books,
papers, money and other assets of the society and, under the direction of the
court, proceed at once to close the affairs of the society and to distribute
its funds to those entitled to them.
(6) No action under this section shall be
recognized in any court of this state unless the action is brought by the
Attorney General on request of the director. Whenever a receiver is to be
appointed for a domestic society, the court shall appoint the director as the
receiver.
(7) The provisions of this section
relating to hearing by the director, action by the Attorney General at the
request of the director, hearing by the court, injunction and receivership
shall be applicable to a society which voluntarily determines to discontinue
business. [1987 c.490 §31]
748.505 [1967 c.359 §643; repealed by 1987 c.490 §58]
748.506
Investigation of foreign or alien society; notice of deficiencies; revocation or
suspension of authority. (1)
The Director of the Department of Consumer and Business Services shall notify
the society of any deficiency or deficiencies, and state in writing the reasons
for dissatisfaction, when the director, upon investigation, finds that a
foreign or alien society transacting or applying to transact business in this
state:
(a) Has exceeded its powers;
(b) Has failed to comply with any of the
provisions of this chapter;
(c) Is not fulfilling its contracts in
good faith; or
(d) Is conducting its business
fraudulently or in a manner hazardous to its members, creditors or the public.
(2) The director shall at once issue a
written notice to the society requiring that the deficiency or deficiencies be
corrected. After notice, the society shall have 30 days in which to comply with
the director’s request for correction, and if the society fails to comply, the
director shall notify the society of findings of noncompliance and require the
society to show cause on a date named why its certificate of authority should
not be suspended, revoked or refused. If on the named date the society does not
present good and sufficient reason why its certificate of authority should not
be suspended, revoked or refused, the director may suspend or refuse the
certificate of authority until satisfactory evidence is furnished to the
director that the suspension or refusal should be withdrawn or the director may
revoke the certificate of authority of the society.
(3) Nothing contained in this section
shall be taken or construed as preventing any foreign or alien society from
continuing in good faith all contracts made in this state during the time the
foreign or alien society was legally authorized to transact business as
provided in this chapter. [1987 c.490 §32; 1991 c.182 §15]
748.509
Validity of petition for injunction. No application or petition for injunction against any domestic,
foreign or alien society, or lodge thereof, shall be recognized in any court of
this state unless made by the Attorney General upon request of the Director of
the Department of Consumer and Business Services. [1987 c.490 §33]
748.510 [1967 c.359 §644; repealed by 1987 c.490 §58]
748.515 [1967 c.359 §645; repealed by 1987 c.490 §58]
748.520 [1967 c.359 §646; 1981 c.609 §22; repealed
by 1987 c.490 §58]
748.525 [1967 c.359 §647; repealed by 1987 c.490 §58]
748.530 [1967 c.359 §648; 1975 c.324 §1; repealed by
1987 c.490 §58]
748.535 [1967 c.359 §649; repealed by 1987 c.490 §58]
748.540 [1967 c.359 §650; repealed by 1987 c.490 §58]
748.545 [Formerly 740.080; repealed by 1987 c.490 §58]
748.550 [1967 c.359 §652; repealed by 1987 c.490 §58]
748.555 [1967 c.359 §653; 1971 c.231 §40; 1973 c.515
§4; 1973 c.613 §3a; 1975 c.338 §3; 1975 c.689 §3; 1979 c.708 §10; 1981 c.649 §21;
1987 c.411 §11; 1987 c.739 §4; 1987 c.838 §15; repealed by 1987 c.490 §58]
EXEMPTIONS;
RELATION TO OTHER LAW
748.601
Exemptions from chapter. (1)
Except as provided in subsection (2) of this section, nothing contained in this
chapter shall be so construed as to affect or apply to:
(a) Grand or subordinate lodges of orders,
societies or associations doing business in this state that provide benefits
exclusively through local or subordinate lodges;
(b) Orders, societies or associations that
admit to membership only persons engaged in one or more crafts or hazardous
occupations, in the same or similar lines of business, insuring only their own
members and their families, and the ladies’ societies or ladies’ auxiliaries to
such orders, societies or associations;
(c) Domestic societies that limit their
membership to employees of a particular city or town, designated firm, business
house or corporation that provide for a death benefit of not more than $400 or
disability benefits of not more than $350 to any person in any one year, or
both; or
(d) Domestic societies or associations of
a purely religious, charitable or benevolent description, that provide for a
death benefit of not more than $400 or for disability benefits of not more than
$350 to any one person in any one year, or both.
(2) No society or association described in
subsection (1)(c) or (d) of this section that provides for death or disability
benefits for which benefit certificates are issued, and no society or
association included in subsection (1)(d) of this section that has more than
1,000 members, shall be exempted from the provisions of this chapter. Any
society or association described in this subsection shall comply with all
requirements of this chapter.
(3) No order, society or association that,
by the provisions of this section, is exempt from the requirements of this
chapter, except an order, society or association described in subsection (1)(b)
of this section, shall give or allow, or promise to give or allow to any person
any compensation for procuring new members.
(4) Every society that provides for
benefits in case of death or disability resulting solely from accident, and
that does not obligate itself to pay natural death or sick benefits, shall have
all of the privileges and be subject to all the applicable provisions and
regulations of this chapter except that the provisions relating to medical
examination, valuations of benefit certificates and incontestability, shall not
apply to the society.
(5) The Director of the Department of
Consumer and Business Services may require from any society or association, by
examination or otherwise, any information enabling the commissioner to
determine whether the society or association is exempt from the provisions of
this chapter.
(6) Societies exempted under the
provisions of this section are also exempt from all other provisions of the
insurance laws of this state except as provided in ORS 731.042. [1987 c.490 §44;
1991 c.182 §16; 2003 c.802 §176]
748.603
Relationship to other insurance laws. (1) Societies are governed by this chapter and are exempt from all
other provisions of the insurance laws of this state unless expressly
designated therein, or unless specifically made applicable by this chapter.
(2) ORS 705.137, 705.139, 731.004 to
731.026, 731.036 to 731.136, 731.146 to 731.156, 731.162, 731.166, 731.170,
731.216 to 731.268, 731.296, 731.324, 731.328, 731.354, 731.356, 731.358,
731.378, 731.380, 731.381, 731.382, 731.385, 731.386, 731.390, 731.394,
731.396, 731.398, 731.402, 731.406, 731.410, 731.422 to 731.434, 731.446 to
731.454, 731.488, 731.504, 731.508, 731.509, 731.510, 731.511, 731.512,
731.592, 731.594, 731.730, 731.731, 731.735, 731.737, 731.750, 731.804, 731.844
to 731.992, 732.245, 732.250, 732.320, 732.325, 733.010 to 733.050, 733.080,
733.140 to 733.210, 733.220, 733.510, 733.652 to 733.658, 733.730 to 733.750,
735.600 to 735.650, 742.001, 742.003, 742.005, 742.007, 742.009, 742.013 to
742.021, 742.028, 742.038, 742.041, 742.046, 742.051, 742.150 to 742.162 and
744.700 to 744.740 and ORS chapters 734, 743 and 743A apply to fraternal
benefit societies to the extent not inconsistent with the express provisions of
this chapter.
(3) For the purposes of this subsection
and subsection (2) of this section, fraternal benefit societies shall be deemed
insurers, and benefit certificates issued by fraternal benefit societies shall
be deemed policies.
(4) Every society authorized to do
business in this state shall be subject to the provisions of ORS chapter 746
relating to unfair trade practices. However, nothing in ORS chapter 746 shall
be construed as applying to or affecting the right of any society to determine
its eligibility requirements for membership, or be construed as applying to or
affecting the offering of benefits exclusively to members or persons eligible
for membership in the society by a subsidiary corporation or affiliated
organization of the society. [1987 c.490 §§25,35,45; 1987 c.739 §4a; 1987 c.838
§15a; 1989 c.255 §12; 1989 c.474 §3; 1989 c.1022 §10; 1991 c.182 §17; 1991 c.401
§32; 1991 c.673 §7; 1991 c.812 §23; 1993 c.447 §117; 1995 c.30 §12; 1995 c.638 §8;
1999 c.633 §6; 2001 c.377 §19; 2003 c.802 §177; 2007 c.71 §243]
748.605
Insurance against risk of loss under less than fully insured employee health
benefit plan. Insurance
issued or delivered by a fraternal benefit society against the risk of economic
loss assumed under a less than fully insured employee health benefit plan is
subject to ORS 742.065. Such insurance is subject to ORS 748.603 but is
otherwise not subject to the provisions of ORS chapter 748. [1993 c.649 §4]
PENALTIES
748.990
Penalties. (1) Any person
who willfully makes a false or fraudulent statement in or relating to an
application for membership, or for the purpose of obtaining money from or a
benefit in any society, shall upon conviction be fined not less than $100 nor
more than $500, imprisoned in the county jail for not less than 30 days nor
more than one year, or both.
(2) Any person who willfully makes a false
or fraudulent statement in any verified report or declaration under oath
required or authorized by this chapter, or of any material fact or thing
contained in a sworn statement concerning the death or disability of an insured
for the purpose of procuring payment of a benefit named in the certificate,
shall be guilty of perjury and shall be subject to the penalties prescribed by
law.
(3) Any person who solicits membership
for, or in any manner assists in procuring membership in, any society not
licensed to do business in this state commits a Class C violation.
(4) Any person guilty of a willful
violation of, or neglect or refusal to comply with, the provisions of this
chapter for which a penalty is not otherwise prescribed, commits a Class C
violation. [1987 c.490 §43; 1999 c.1051 §222]
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