KRS 304.36-080: Powers and duties of association.
Where this section sits in the code
(1) The association shall:
(a) 1. Be obligated to the extent of the covered claims existing:
a. Prior to the order of liquidation and arising within thirty (30) days
after the order of liquidation;
b. Before the policy expiration date if less than thirty (30) days after
the order of liquidation; or
c. Before the insured replaces the policy or on request, effects
cancellation, if the insured does so within thirty (30) days of the
order of liquidation.
2. The obligation shall be satisfied by paying to the claimant an amount as
follows:
a. The full amount of a covered claim for benefits arising from a
workers' compensation insurance policy purchased to satisfy the
requirements of KRS 342.340;
b. An amount not exceeding ten thousand dollars ($10,000) per
policy for a covered claim for the return of unearned premium;
c. An amount not exceeding five hundred thousand dollars
($500,000) per insured event for all covered claims resulting from
that event for benefits arising from a cybersecurity insurance
policy; or
d. An amount not exceeding three hundred thousand dollars
($300,000) per claimant for all other covered claims;
(b) 1. Not be obligated to pay a claimant an amount in excess of the obligation
of the insolvent insurer under the policy or coverage from which the
claim arises.
2. Notwithstanding any other provisions of this subtitle, a covered claim
shall not include:
a. A claim filed with the association after the earlier of:
i. Twelve (12) months after the date of the order of liquidation;
or
ii. The final date set by the court for the filing of claims against
the liquidator or receiver of an insolvent insurer; or
b. Any claim filed with the association or a liquidator for protection
afforded und er the insured's policy for incurred but not reported
losses.
3. Any obligation of the association to defend an insured shall cease upon
the association's payment or tender of an amount equal to the lesser of
the association's covered claim obligation limi t or the applicable policy
limit.
4. Notwithstanding any other provisions of this subtitle, except in the case
of a claim for benefits under workers' compensation coverage, any
obligation of the association to any and all persons shall cease when ten
million dollars ($10,000,000) shall have been paid in the aggregate by
the association and any one (1) or more associations similar to the
association of any other state or states or any property and casualty
security fund that obtains contributions from insurers on a preinsolvency
basis to or on behalf of any insured and its affiliates on covered claims
or allowed claims arising under the policy or policies of any one (1)
insolvent insurer.
5. For purposes of this paragraph, the term "affiliates" means any pers on
who directly or indirectly, through one (1) or more intermediaries,
controls, is controlled by, or is under common control with another
person.
6. If the claimant has a covered claim or allowed claim against the
association or any associations similar to the association or any property
and casualty insurance security fund of another state, under the policy or
policies of any one (1) insolvent insurer, the association may establish a
plan to allocate amounts payable by the association in a manner as the
association in its discretion deems equitable;
(c) 1. Be deemed the insurer to the extent of its obligation on the covered
claims and to that extent shall have all rights, duties, and obligations of
the insolvent insurer as if the insurer had not become ins olvent,
including, but not limited to, the right to pursue and retain salvage and
subrogation recoverable on paid covered claim obligations.
2. In the case of a covered claim involving obligations assumed by an
assuming insurer from a ceding insurer, the association shall:
a. Have the right to recover a deposit, bond, or other assets that may
have been required to be posted by the ceding insurer to the extent
of covered claim payments; and
b. Be subrogated to any rights the ceding insurer's policyholders ma y
have against the ceding insurer;
(d) 1. Assess insurers amounts necessary to pay the obligations of the
association under paragraph (a) of this subsection subsequent to an
insolvency, the expenses of handling covered claims subsequent to an
insolvency, the cost of examinations under KRS 304.36 -130, and other
expenses authorized by this subtitle.
2. The assessments of each member insurer shall be in the proportion that
the net direct written premiums of the member insurer for the calendar
year preceding th e assessment bears to the net direct written premiums
of all member insurers for the calendar year preceding the assessment.
3. Each member insurer shall be notified of the assessment not later than
thirty (30) days before it is due.
4. No member insurer may be assessed in any year an amount greater than
two percent (2%) of that member insurer's net direct written premiums
for the calendar year preceding the assessment.
5. If the maximum assessment, together with the other assets of the
association, does not provide in any one (1) year an amount sufficient to
make all necessary payments, the funds available shall be prorated and
the unpaid portion shall be paid as soon thereafter as funds become
available.
6. The association shall pay claims in any order whi ch it may deem
reasonable including the payment of claims as such are received from
the claimants or in groups or categories of claims.
7. The association may exempt or defer, in whole or in part, the assessment
of any member insurer, if:
a. The assessment would cause the member insurer's financial
statement to reflect amounts of capital or surplus less than the
minimum amounts required for a certificate of authority by any
jurisdiction in which the member insurer is authorized to transact
insurance; and
b. During the period of deferment, no dividends are paid by the
member insurer to shareholders or policyholders.
8. Deferred assessments shall be paid when the payments will not reduce
capital and surplus below required minimums, and the payments shall be
refunded to those companies receiving larger assessments by virtue of
the deferment or at the election of any such c ompany, credited against
future assessments.
9. Each member insurer serving as a servicing facility may set off against
any assessment authorized payments made on covered claims and
expenses incurred in the payment of such claims by such member
insurer;
(e) Investigate claims brought against the association and adjust, compromise,
settle, and pay covered claims to the extent of the association's obligation and
deny all other claims;
(f) Notify such persons as the commissioner directs under KRS 304.36-100(2)(a);
(g) 1. Handle claims through its employees or through one (1) or more
insurers or other persons designated as servicing facilities.
2. Designation of a servicing facility is subject to the approval of the
commissioner, but the designation may be decli ned by a member
insurer;
(h) Reimburse each servicing facility for obligations of the association paid by
the facility and for expenses incurred by the facility while handling claims on
behalf of the association; and
(i) Pay the other expenses of the association authorized by this subtitle.
(2) The association may:
(a) Appear in, defend, and appeal any action on a claim brought against the
association;
(b) Employ or retain such persons as are necessary to handle claims and perform
other duties of the association;
(c) Borrow funds necessary to effect the purposes of this subtitle in accord with
the plan of operation;
(d) Sue or be sued;
(e) Negotiate and become a party to such contracts as are necessary to carry out
the purpose of this subtitle;
(f) Perform such other acts as are necessary or proper to effectuate the purpose of
this subtitle; and
(g) Refund to the member insurers in proportion to the contribution of each
member insurer to the association that amount by which the assets of the
association exceed the liabilities, if, at the end of any calendar year, the board
of directors finds that the assets of the association exceed the liabilities of the
association as estimated by the board of directors for the coming year.
Collected 2026-09-05T20:57:55Z. Source file · JSON