First Council Directive 73/239/EEC of 24 July 1973
on the coordination of
laws, regulations and administrative provisions relating to the
taking-up and pursuit of the business of direct insurance other than
life assurance
Official
Journal L 228 , 16/08/1973 P. 0003 - 0019
Finnish special
edition: Chapter 6 Volume 1 P. 0146
Greek special edition ....:
Chapter 06 Volume 1 P. 0157
Swedish special edition: Chapter 6
Volume 1 P. 0146
Spanish special edition: Chapter 06 Volume 1 P.
0143
Portuguese special edition Chapter 06 Volume 1 P. 0143
FIRST
COUNCIL DIRECTIVE of 24 July 1973 on the coordination of laws,
Regulations and administrative provisions relating to the taking-up
and pursuit of the business of direct insurance other than life
assurance (73/239/EEC)
THE COUNCIL OF THE EUROPEAN COMMUNITIES,
Having regard to the Treaty establishing the European Economic
Community, and in particular Article 57 (2) thereof;
Having
regard to the General Programme (1) for the abolition of restrictions
on freedom of establishment, and in particular Title IV C thereof;
Having regard to the proposal from the Commission;
Having
regard to the Opinion of the European Parliament (2);
Having
regard to the Opinion of the Economic and Social Committee (3);
Whereas by virtue of the General Programme the removal of
restrictions on the establishment of agencies and branches is, in the
case of the direct insurance business, dependent on the coordination
of the conditions for the taking-up and pursuit of this business ;
whereas such coodination should be effected in the first place in
respect of direct insurance other than life assurance;
Whereas in
order to facilitate the taking-up and pursuit of the business of
insurance, it is essential to eliminate certain divergencies which
exist between national supervisory legislation ; whereas in order to
achieve this objective, and at the same time ensure adequate
protection for insured and third parties in all the Member States, it
is desirable to coordinate, in particular, the provisions relating to
the financial guarantees required of insurance undertakings;
Whereas
a classification of risks in the different classes of insurance is
necessary in order to determine, in particular, the activities
subject to a compulsory authorization and the amount of the minimum
guarantee fund fixed for the class of insurance concerned;
Whereas
it is desirable to exclude from the application of this Directive
mutual associations which, by virtue of their legal status, fulfil
appropriate conditions as to security and financial guarantees ;
whereas it is further desirable to exclude certain institutions in
several Member States whose business covers a very limited sector
only and is restricted by law to a specified territory or to
specified persons;
Whereas the various laws contain different
rules as to the simultaneous undertaking of health insurance, credit
and suretyship insurance and insurance in respect of recourse against
third parties and legal defence, whether with one another or with
other classes of insurance ; whereas continuance of this divergence
after the abolition of restrictions on the right of establishment in
classes other than life assurance would mean that obstacles to
establishment would continue to exist ; whereas a solution to this
problem must be provided in subsequent coordination to be effected
within a relatively short period of time;
Whereas it is necessary
to extend supervision in each Member State to all the classes of
insurance to which this Directive applies ; whereas such supervision
is not possible unless the undertaking of such classes of insurance
is subject to an official authorization ; whereas it is therefore
necessary to define the conditions for the granting or withdrawal of
such authorization ; whereas provision must be made for a right to
apply to the courts should an authorization be refused or withdrawn;
Whereas it is desirable to bring the classes of insurance known
as transport classes bearing Nos 4, 5, 6, 7 and 12 in Paragraph A of
the Annex, and the credit insurance classes bearing Nos 14 and 15 in
paragraph A of the Annex, under more flexible rules in view of the
continual fluctuations in conditions affecting goods and credit;
Whereas the search for a common method of calculating technical
reserves is at present the subject of studies at Community level ;
whereas it therefore appears to be desirable to reserve the
attainment of coordination in this matter, as well as questions
relating to the determination of categories of investments and the
valuation of assets, for subsequent Directives; (1)OJ No 2,
15.1.1962, p. 36/62. (2)OJ No C 27, 28.3.1968, p. 15. (3)OJ No 158,
18.7.1967, p. 1.
Whereas it is necessary that insurance
undertakings should possess, over and above technical reserves of
sufficient amount to meet their underwriting liabilities, a
supplementary reserve, to be known as the solvency margin, and
represented by free assets, in order to provide against business
fluctuations ; whereas in order to ensure that the requirements
imposed for such purposes are determined according to objective
criteria, whereby undertakings of the same size are placed on an
equal footing as regards competition, it is desirable to provide that
such margin shall be related to the overall volume of business of the
undertaking and be determined by reference to two indices of
security, one based on premiums and the other on claims;
Whereas
it is desirable to require a minimum guarantee fund related to the
size of the risk in the classes undertaken, in order to ensure that
undertakings possess adequate resources when they are set up and that
in the subsequent course of business the solvency margin shall in no
event fall below a minimum of security;
Whereas it is necessary
to make provision for the case where the financial condition of the
undertaking becomes such that it is difficult for it to meet its
underwriting liabilities;
Whereas the coordinated rules
concerning the taking-up and pursuit of the business or direct
insurance within the Community should, in principle, apply to all
undertakings entering the market and, consequently, also to agencies
and branches where the head office of the undertaking is situated
outside the Community ; whereas it is, nevertheless, desirable as
regards the methods of supervision to make special provision with
respect to such agencies or branches in view of the fact that the
assets of the undertakings to which they belong are situated outside
the Community;
Whereas it is, however, desirable to permit the
relaxation of such special conditions, while observing the principle
that such agencies and branches should not obtain more favourable
treatment than undertakings within the Community;
Whereas certain
transitional provisions are required in order, in particular, to
permit small and medium-sized undertakings already in existence to
adapt themselves to the requirements which must be imposed by the
Member States in pursuance of this Directive, subject to the
application of Article 53 of the Treaty;
Whereas it is important
to guarantee the uniform application of coordinated rules and to
provide, in this respect, for close collaboration between the
Commission and the Member States in this field;
HAS ADOPTED THIS
DIRECTIVE:
Title I - General provisions
Article 1
This
Directive concerns the taking-up and pursuit of the self-employed
activity of direct insurance carried on by insurance undertakings
which are established in a Member State or which wish to become
established there in the classes of insurance defined in the Annex to
this Directive.
Article 2
This Directive does not apply
to: 1. The following kinds of insurance: (a) Life assurance, that is
to say, the branch of insurance which comprises, in particular,
assurance on survival to a stipulated age only, assurance on death
only, assurance on survival to a stipulated age or an earlier death,
life assurance with return of premiums, tontines, marriage assurance,
and birth assurance;
(b) Annuities;
(c) Supplementary
insurance carried on by life-assurance undertakings, that is to say,
insurance against personal injury including incapacity for
employment, insurance against death resulting from an accident, and
insurance against disability resulting from an accident or sickness,
where these various kinds of insurance are underwritten in addition
to life assurance;
(d) Insurance forming part of a statutory
system of social security;
(e) The type of insurance existing in
Ireland and the United Kingdom known as "permanent health
insurance not subject to cancellation".
2. The
following operations: (a) Capital redemption operations, as defined
by the law in each Member State;
(b) Operations of provident and
mutual benefit institutions whose benefits vary according to the
resources available and in which the contributions of the members are
determined on a flat-rate basis;
(c) Operations carried out by
organizations not having a legal personality with the purpose of
providing mutual cover for their members without there being any
payment of premiums or constitution of technical reserves;
(d)
Pending further coordination, which shall be implemented within four
years of notification of this Directive, export credit insurance
operations for the account of or with the support of the State.
Article 3
1. This Directive does not apply
to mutual associations in so far as they fulfil all the following
conditions: - the articles of association must contain provisions for
calling up additional contributions or reducing their benefits,
-
their business does not cover liability risks - unless the latter
constitute ancillary cover within the meaning of subparagraph (c) of
the Annex - or credit and suretyship risks,
- the annual
contribution income for the activities covered by this Directive must
not exceed one million units of account,
and
- at least half
of the contribution income from the activities covered by this
Directive must come from persons who are members of the mutual
association.
2. This Directive shall not, moreover, apply
to mutual associations which have concluded with other associations
of this nature an agreement which provides for the full reinsurance
of the insurance policies issued by them or under which the
concessionary undertaking is to meet the liabilities arising under
such policies in the place of the ceding undertaking.
In such a
case the concessionary undertaking shall be subject to the rules of
this Directive.
Article 4
This Directive shall not apply
to the following institutions unless their statutes or the law are
amended as regards capacity:
(a) In Germany
The following
institutions under public law enjoying a monopoly (Monopolanstalten):
1. Badische Gebäudeversicherungsanstalt, Karlsruhe,
2.
Bayerische Landesbrandversicherungsanstalt, Munich,
3. Bayerische
Landestierversicherungsanstalt, Schlachtviehversicherung, Munich,
4.
Braunschweigische Landesbrandversicherungsanstalt, Brunswick,
5.
Hamburger Feuerkasse, Hamburg,
6. Hessische
Brandversicherungsanstalt (Hessische Brandversicherungskammer),
Darmstadt,
7. Hessische Brandversicherungsanstalt, Kassel,
8.
Hohenzollernsche Feuerversicherungsanstalt, Sigmaringen,
9.
Lippische Landesbrandversicherungsanstalt, Detmold,
10.
Nassauische Brandversicherungsanstalt, Wiesbaden,
11.
Oldenburgische Landesbrandkasse, Oldenburg,
12. Ostfriesische
Landschaftliche Brandkasse, Aurich,
13. Feuersozietät
Berlin, Berlin,
14. Württembergische
Gebäudebrandversicherungsanstalt, Stuttgart.
However,
territorial capacity shall not be regarded as modified in the case of
a merger between such institutions which has the effect of
maintaining for the benefit of the new institution the territorial
capacity of the institutions which have merged, nor shall capacity as
to the classes of insurance be regarded as modified if one of these
institutions takes over in respect of the same territory one or more
of the classes of another such institution.
The following
semi-public institutions: 1. Postbeamtenkrankenkasse,
2.
Krankenversorgung der Bundesbahnbeamten;
(b) In France
The following institutions: 1. Caisse départementale des
incendiés des Ardennes,
2. Caisse départementale
des incendiés de la Côte-d'Or,
3. Caisse
départementale des incendiés de la Marne,
4. Caisse
départementale des incendiés de la Meuse,
5. Caisse
départementale des incendiés de la Somme,
6. Caisse
départementale gręle du Gers,
7. Caisse
départementale gręle de l'Hérault;
(c)
In Ireland
Voluntary Health Insurance Board;
(d) In Italy,
The Cassa di Previdenza per l'assicurazione degli sportivi
(Sportass);
(e) In the United Kingdom
The Crown Agents.
Article 5
For the purposes of this Directive: (a)
"Unit of account" means that unit which is defined in
Article 4 of the Statute of the European Investment Bank;
(b)
"Matching assets" means the representation of underwriting
liabilities expressed in a particular currency by assets expressed or
realizable in the same currency;
(c) "Localization of
assets" means the existence of assets, whether movable of
immovable, within a Member State but shall not be construed as
involving a requirement that movable property be deposited or that
immovable property be subjected to restrictive measures such as the
registration of mortgages. Assets represented by claims against
debtors shall be regarded as situated in the Member State where they
are to be liquidated.
Title II - Rules applicable to
undertakings whose head offices are situated within the
Community
Section A : Conditions of admission
Article 6
1.
Each Member State shall make the taking-up of the business of direct
insurance in its territory subject to an official authorization.
2.
Such authorization shall be sought from the competent authority of
the Member State in question by: (a) Any undertaking which
establishes its head office in the territory of such state;
(b)
Any undertaking whose head office is situated in another Member State
and which opens a branch or agency in the territory of the Member
State in question;
(c) Any undertaking which, having received the
authorization required under (a) or (b) above, extends its business
in the territory of such State to other classes;
(d) Any
undertaking which, having obtained in accordance with Article 7 (1)
an authorization for a part of the national territory, extends its
business beyond such part.
3. Member States shall not
make an authorization subject to the lodging of a deposit or the
provision of security.
Article 7
1. An authorization shall
be valid for the entire national territory unless, and in so far as
the national legislation permits, the applicant seeks permission to
carry out his business only in a part of the national territory.
2.
An authorization shall be given for a particular class of insurance.
It shall cover the entire class, unless the applicant desires to
cover only part of the risks pertaining to such class, as listed in
point A of the Annex.
However: (a) It shall be open to any Member
State to grant an authorization for any group of classes indicated in
point B of the Annex, provided that it attaches to such authorization
the appropriate denomination specified therein;
(b) An
authorization given for one class or a group of classes shall also be
valid for the purpose of covering ancillary risks included in another
class if the conditions specified in point C of the Annex are
fulfilled;
(c) Pending further coordination, which must be
implemented within four years of notification of this Directive, the
Federal Republic of Germany may maintain the provision prohibiting
the simultaneous undertaking in its territory of health insurance,
credit and suretyship insurance or insurance in respect of recourse
against third parties and legal defence, either with one another or
with other classes.
Article 8
1. Each Member State
shall require that any undertaking set up in its territory for which
an authorization is sought shall:
(a) Adopt one of the following
forms: - in the case of the Kingdom of Belgium:
"société
anonyme/naamloze vennootschap", "société en
commandite par actions/vennootschap bij wijze van geldschieting op
aandelen", "association d'assurance mutuelle/onderlinge
verzekeringsmaatschappij", "société
coopérative/cooperative vennootschap",
- in the case
of Denmark:
"Aktieselskaber" (joint stock companies),
"gensidige selskaber" (mutuals),
- in the case of the
Federal Republic of Germany:
"Aktiengesellschaft",
"Versicherungsverein auf Gegenseitigkeit",
"Öffentlich-rechtliches
Wettbewerbs-Versicherungsunternehmen",
- in the case of the
French Republic:
"société anonyme",
"société ŕ forme mutuelle", "mutuelle",
"union de mutuelles",
- in the case of the Republic of
Ireland:
"incorporated companies limited by shares or by
guarantee or unlimited",
- in the case of the Italian
Republic:
"societŕ per azioni", "societŕ
cooperativa", "mutua di assicurazione",
- in the
case of the Grand Duchy of Luxembourg:
"société
anonyme", "société en commandite par
actions", "association d'assurances mutuelles",
"société coopérative",
- in the
case of the Kingdom of the Netherlands:
"naamloze
vennootschap", "onderlinge waarborgmaatschappij",
"coöperative vereniging",
- in the case of the
United Kingdom:
"incorporated companies limited by shares or
by guarantee or unlimited", "societies registered under the
Industrial and Provident Societies Acts", "societies
registered under the Friendly Societies Act" Lloyd's
underwriters.
Furthermore, Member States may set up,
where appropriate, undertakings under any form of known public law
provided that such institutions have as their object insurance
operations in conditions equivalent to those undertakings under
private law;
(b) Limit its business activities to the business of
insurance and operations directly arising therefrom to the exclusion
of all other commercial business;
(c) Submit a scheme of
operations in accordance with the provisions of Article 9;
(d)
Possess the minimum guarantee fund provided for in Article 17 (2).
2. An undertaking seeking an authorization to extend its
business to other classes or, in the case referred to in Article 6
(2) (d), to another part of the territory, shall be required to
submit a scheme of operations in accordance with the provisions of
Article 9 as regards such other classes or other part of the
territory.
It shall, furthermore, be required to show proof that
it possesses the solvency margin provided for in Article 16 and, if,
with regard to such other classes, the provisions of Article 17 (2)
require a higher minimum guarantee fund than previously, that it
possesses such minimum.
3. These coordinating measures do not
prevent Member States from applying provisions requiring directors
and managers to have technical qualifications or from requiring the
memorandum or articles of association, general and special policy
conditions, tariffs and any other documents necessary for the normal
exercise of supervision to be approved.
4. The abovementioned
provisions may not require that any application for an authorization
shall be dealt with in the light of the economic requirements of the
market.
Article 9
The scheme of operations referred to in
Article 8 (1) (c) shall contain the following particulars or proof
concerning: (a) The nature of the risks which the undertaking
proposes to cover ; the general and special policy conditions which
it proposes to use;
(b) The tariffs which it is proposed to apply
for each category of business;
(c) The guiding principles as to
reinsurance;
(d) The items constituting the minimum guarantee
fund;
(e) Estimates relating to the expenses of installing the
administrative services and the organization for securing business ;
the financial resources intended to cover them; and in
addition, for the first three financial years:
(f) Estimates relating
to expenses of management other than costs of installation, and in
particular current general expenses and Commissions;
(g)
Estimates relating to premiums or contributions and to claims;
(h)
A forecast balance sheet;
(i) Estimates relating to the financial
resources intended to cover underwriting liabilities and the solvency
margin.
However, the particulars referred to in (a) and
(b) above shall not be required with regard to the risks classified
under Nos 4, 5, 6, 7 and 12 of point A of the Annex, nor shall those
referred to in (b) above be required with regard to risks classified
under Nos 14 and 15 of point A of the Annex. The particulars referred
to in (a) and (b) need not be required in the case of risks
classified under No 11 of the same point.
Article 10
1.
Each Member State shall require that an undertaking having its head
office in the territory of another Member State and seeking an
authorization to open an agency or branch shall:
(a) Submit its
statutes and a list of its directors and managers;
(b) Produce a
certificate issued by the competent authorities of the head office
country, attesting the classes of insurance which the undertaking is
entitled to carry on and that it possesses the minimum guarantee fund
or, if higher, the minimum solvency margin calculated in accordance
with Article 16 (3), and stating the risks which it actually covers
and the financial resources referred to in Article 11 (1) (e);
(c)
Submit a scheme of operations in accordance with Article 11;
(d)
Designate an authorized agent having his permanent residence and
abode in the host country, and possessing sufficient powers to bind
the undertaking in relation to third parties and to represent it in
relations with the authorities and courts of the host country ; if
the agent has a legal personality, it must have its head office in
the host country and it must in its turn designate an individual to
represent it who complies with the above conditions. The designated
agent shall not be refused by the Member State except on grounds
relating to repute or technical qualifications such as apply to
directors of undertakings whose head offices are situated in the
territory of the State in question.
With regard to Lloyd's, in
the event of any litigation in the host country resulting from
underwritten commitments, assured persons must not be more
unfavourably treated than if the litigation had been brought against
businesses of a more conventional type. The authorized agent must,
therefore, possess sufficient powers to enable proceedings to be
instituted against him and must in that capacity be able to bind the
Lloyd's underwriters concerned.
2. Each Member State
shall require that for the purpose of extending the business of the
agency or branch, either to other classes or to other parts of the
national territory in the case provided for in Article 6 (2) (d), the
applicant for the authorization shall submit a scheme of operations
in accordance with Article 11 and comply with the conditions
contained in (1) (b) above.
3. These coordinating measures do not
prevent Member States from enforcing provisions requiring, for all
insurance undertakings, approval of the general and special policy
conditions, tariffs and any other document necessary for the normal
exercise of supervision.
4. The abovementioned provisions may not
require that any application for an authorization shall be examined
in the light of the economic requirements of the market.
Article
11
1. The scheme of operations of the agency or branch referred to
in Article 10 (1) (c) shall contain the following particulars or
proofs concerning:
(a) The nature of the risks which the undertaking
proposes to cover in the host country ; the general and special
policy conditions which it proposes to use;
(b) The tariffs which
the undertaking proposes to apply for each category of business;
(c)
The guiding principles as to reinsurance;
(d) The state of the
solvency margin of the undertaking, referred to in Articles 16 and
17;
(e) Estimates relating to the expenses of installing the
administrative services and the organization for securing business ;
the financial resources intended to cover them;
and in
addition, for the first three financial years:
(f) Estimates relating
to expenses of management;
(g) Estimates relating to premiums or
contributions and to claims in respect of the new business;
(h) A
forecast balance sheet for the agency or branch.
However,
the particulars referred to in (a) and (b) above shall not be
required with regard to the risks classified under Nos 4, 5, 6, 7 and
12 of point A of the Annex, nor shall those referred to in (b) above
be required with regard to the risks classified under Nos 14 and 15
of point A of the Annex. The particulars referred to in (a) and (b)
need not be required in the case of risks classified under No 11 of
the same point.
2. The scheme of operations shall be accompanied
by the balance sheet and profit and loss account of the undertaking
for each of the past three financial years. If, however, it has not
yet been in business for three financial years it shall be required
to furnish them only for the financial years completed.
With
regard to Lloyd's, the publication of the balance sheet and the
profit and loss account shall be replaced by the compulsory
presentation of annual trading accounts covering the insurance
operations, and accompanied by an affidavit certifying that
auditors'certificates have been supplied in respect of each insurer
and showing that the responsibilities incurred as a result of these
operations are wholly covered by the assets. These documents must
allow authorities to form a view of the state of solvency of the
Association.
3. The scheme of operations, together with the
observations of the authorities competent to issue authorizations,
shall be forwarded to the competent authorities of the head office
country. The latter authorities shall communicate their Opinion to
the former within three months from the receipt of the documents ; if
their Opinion has not been communicated upon the expiry of this time,
it shall he deemed to he favourable.
Article 12
Any
decision to refuse an authorization shall be accompanied by the
precise grounds for doing so and notified to the undertaking in
question.
Each Member State shall make provision for a right to
apply to the courts should there be any refusal.
Such provision
shall also be made with regard to cases where to competent
authorities have not dealt with an application for an authorization
upon the expiry of a period of six months from the date of its
receipt.
Section B : Conditions for exercise of business
Article 13
Member States shall collaborate closely with one
another in supervising the financial position of authorized
undertakings.
Article 14
The supervisory authority of the
Member State in whose territory the head office of the undertaking is
situated must verify the state of solvency of the undertaking with
respect to its entire business. The supervisory authorities of the
other Member States shall provide the former with all the information
necessary to enable such verification to be effected.
Article
15
1. Each Member State in whose territory business is carried on
shall require the undertaking to establish sufficient technical
reserves.
The amount of such reserves shall be determined
according to the rules fixed by the State, or, in the absence of such
rules, according to the established practices in such State.
2.
Technical reserves shall be required to be covered by equivalent and
matching assets localized in each country where business is carried
on. Member States may, however, permit relaxations in the rules as to
matching assets and the localization of assets.
Having regard to
its special position, the Grand Duchy of Luxembourg may, pending
coordination of legislation on the winding-up of undertakings, retain
the system of guarantees for technical reserves existing at the time
of entry into force of this Directive.
The regulations of the
country where the business is is carried on shall determine the
nature of such assets and, where appropriate, the extent to which
they may be used for the purpose of covering the technical reserves
and shall also determine the rules for valuing such assets.
3. If
a Member State allows any technical reserves to be covered by claims
against reinsurers, it shall fix the percentage so allowed. In such
case, it may not require the assets representing such claims to be
localized in its territory, notwithstanding the provisions of
paragraph 2.
4. The supervisory authority of the Member State in
whose territory the head office of an undertaking is situated shall
verify that its balance sheet shows in respect of the technical
reserves assets equivalent to the underwriting liabilities assumed in
all the countries where it undertakes business.
Article 16
1.
Each Member State shall require every undertaking whose head office
is situated in its territory to establish an adequate solvency margin
in respect of its entire business.
The solvency margin shall
correspond to the assets of the undertaking, free of all foreseeable
liabilities, less any intangible items. In particular the following
shall be considered: - the paid up share capital or, in the case of a
mutual concern, the effective initial fund,
- one-half of the
share capital or the initial fund which is not yet paid up, once the
paid-up part reaches 25 % of this capital or fund,
- reserves
(statutory reserves and free reserves) not corresponding to
underwriting liabilities,
- any carry-forward of profits,
-
in the case of a mutual or mutual-type association with variable
contributions, any claim which it has against its members by way of a
call for supplementary contribution, within the financial year, up to
one-half of the difference between the maximum contributions and the
contributions actually called in, and subject to an over-riding limit
of 50 % of the margin,
- at the request of, and upon proof being
shown by the undertaking, and with the agreement of the supervisory
authorities of each other Member State where it carries on its
business, any hidden reserves resulting from under-estimation of
assets or over-estimation of liabilities in the balance sheet, in so
far as such hidden reserves are not of an exceptional nature.
Over-estimation of technical reserves shall be determined
in relation to their amount calculated by the undertaking in
conformity to national regulations ; however, pending further
coordination of technical reserves, an amount equivalent to 75 % of
the difference between the amount of the reserve for outstanding
risks calculated at a flat rate by the undertaking by application of
a minimum percentage in relation to premiums and the amount that
would have been obtained by calculating the reserve contract by
contract where the national law gives an option between the two
methods, can be taken into account in the solvency margin up to 20 %.
2. The solvency margin shall be determined on the basis either of
the annual amount of premiums or contributions, or of the average
burden of claims for the past three financial years. In the case,
however, of undertakings which essentially underwrite only one or
more of the risks of storm, hail, frost, the last seven years shall
be taken as the period of reference for the average burden of claims.
3. Subject to the provisions of Article 17, the amount of the
solvency margin shall be equal to the higher of the following two
results:
first result (premium basis): - the premiums or
contributions (inclusive of charges ancillary to premiums or
contributions) due in respect of all direct business in the last
financial year for all financial years, shall be aggregated,
- to
this aggregate there shall be added the amount of premiums accepted
for all reinsurance in the last financial year,
- from this sum
there shall then be deducted the total amount of premiums or
contributions cancelled in the last financial year, as well as the
total amount of taxes and levies pertaining to the premiums or
contributions entering into the aggregate.
The amount so
obtained shall be divided into two portions, the first portion
extending up to 10 million units of account, the second comprising
the excess ; 18 % and 16 % of these portions respectively shall be
calculated and added together.
The first result shall be obtained
by multiplying the sum so calculated by the ratio existing in respect
of the last financial year between the amount of claims remaining to
be borne by the undertaking after deduction of transfers for
reinsurance and the gross amount of claims ; this ratio may in no
case be less than 50 %.
Second result (claims basis): - the
amounts of claims paid in respect of direct business (without any
deduction of claims borne by reinsurers and retrocessionaires) in the
periods specified in (2) shall be aggregated,
- to this aggregate
there shall be added the amount of claims paid in respect of
reinsurances or retrocessions accepted during the same periods,
-
to this sum there shall be added the amount of provisions or reserves
for outstanding claims established at the end of the last financial
year both for direct business and for reinsurance acceptances,
-
from this sum there shall be deducted the amount of claims paid
during the periods specified in (2),
- from the sum then
remaining, there shall be deducted the amount of provisions or
reserves for outstanding claims established at the commencement of
the second financial year preceding the last financial year for which
there are accounts, both for direct business and for reinsurance
acceptances.
One-third, or one-seventh, of the amount so
obtained, according to the period of reference established in (2),
shall be divided into two portions, the first extending up to seven
million units of account and the second comprising the excess ; 26 %
and 23 % of these portions respectively shall be calculated and added
together.
The second result shall be obtained by multiplying the
sum so obtained by the ratio existing in respect of the last
financial year between the amount of claims remaining to be borne by
the business after transfers for reinsurance and the gross amount of
claims ; this ratio may in no case be less than 50 %.
4. The
fractions applicable to the portions referred to in (3) shall each be
reduced to a third in the case of health insurance practised on a
similar technical basis to that of life assurance, if - the premiums
paid are calculated on the basis of sickness tables according to the
mathematical method applied in insurance,
- a reserve is set up
for increasing age,
- an additional premium is collected in order
to set up a safety margin of an appropriate amount,
- the insurer
may only cancel the contract before the end of the third year of
insurance at the latest,
- the contract provides for the
possibility of increasing premiums or reducing payments even for
current contracts.
5. In the case of Lloyd's, the
calculation of the first result in respect of premiums, referred to
in paragraph 3, shall be made on the basis of net premiums, which
shall be multiplied by a flat-rate percentage fixed annually by the
internal auditor. This flat-rate percentage must be calculated on the
basis of the most recent statistical data on Commissions paid.
The
details, together with the relevant calculations shall be sent to the
authorities of the countries where Lloyd's is established.
Article
17
1. One-third of the solvency margin shall constitute the
guarantee fund.
2. (a) The guarantee fund may not, however, be
less than: - 400 000 units of account in the case where all or some
of the risks included in one of the classes listed in point A of the
Annex under Nos 10, 11, 12, 13, 14 and 15 are covered,
- 300 000
units of account in the case where all or some of the risks included
in one of the classes listed in point A of the Annex under Nos 1, 2,
3, 4, 5, 6, 7, 8, and 16 are covered,
- 200 000 units of account
in the case where all or some of the risks included in one of the
classes listed in point A of the Annex under Nos 9 and 17 are
covered;
(b) If the business carried on by the
undertaking covers several classes or several risks, only that class
or risk for which the highest amount is required shall be taken into
account;
(c) Any Member State may provide for a one-fourth
reduction of the minimum guarantee fund in the case of mutual
associations and mutual-type associations.
Article
18
1. Member States shall not prescribe any rules as to the choice
of the assets in excess of those representing the technical reserves
referred to in Article 15.
2. Subject to the provisions of
Article 15 (2), Article 20 (1) and (3) and Article 22 (1) last
subparagraph, Member States shall not restrain the free disposal of
the assets, whether movable or immovable property, forming part of
the assets of authorized businesses.
The Federal Republic of
Germany may, however, pending further coordination of the conditions
for the taking up and pursuit of the business of life assurance
maintain, with respect to health insurance within the meaning of
Article 16 (4), the restrictions imposed on the free disposal of
assets in so far as the free disposal of assets which cover
mathematical reserves is subject to the agreement of a "Treuhänder".
Until further measures of coordination have been taken, the
Kingdom of Denmark may however retain in force its legislation
restricting the free disposal of assets built up by insurance
undertakings to cover pensions payable under compulsory insurance
against industrial accidents.
3. These provisions shall not
preclude any measures which Member States, while observing the rules
prevailing in the country where the business is carried on, as
required under Article 15 (2), and while safeguarding the interests
of the insured, are entitled to take as owners or members or
associates of the undertakings in question.
Article 19
1.
Each Member State shall require every undertaking whose head office
is situated in its territory to produce an annual account covering
all types of operation, of its financial situation and solvency.
2.
Member States shall require undertakings operating in their territory
to render periodically the returns, together with statistical
documents, which are necessary for the purposes of supervision. The
competent supervisory authorities shall furnish each other with the
documents and information necessary for exercising supervision.
Article 20
1. If an undertaking does not comply with the
provisions of Article 15, the supervisory authority of the country
where it carries on its business may prohibit the free disposal of
assets in that country after having informed the supervisory
authorities of the country where the head office is situated of its
intention.
2. For the purposes of restoring the financial
situation of an undertaking whose solvency margin has fallen below
the minimum required under Article 16 (3), the supervisory authority
of the head-office country shall require a plan for the restoration
of a sound financial position to be submitted for its approval.
3.
If the solvency margin falls below the guarantee fund as defined in
Article 17, the supervisory authority of the head-office country
shall require the undertaking to submit a short-term finance scheme
for its approval.
It may also restrict or prohibit the free
disposal of the assets of the undertaking. It shall inform the
authorities of other Member States in whose territories the
undertaking is authorized of any measures and the latter shall, at
the request of the former, take the same measures.
4. The
competent supervisory authorities may further take all measures
necessary to safeguard the interests of the insured in the cases
provided for in (1) and (3).
5. The supervisory authorities of
other Member States in whose territory the undertaking in question
has also been authorized shall collaborate for the purpose of
implementing the provisions referred to in (1) to (4).
Article
21
1. Each Member State shall make it possible for an undertaking
to assign all or part of its portfolio of policies if the assignees
possess the necessary solvency margin, due account being taken of the
assignment.
The supervisory authorities concerned shall consult
each other before approving such assignment.
2. Once approved by
the competent supervisory authority, such assignment shall affect
directly the policy-holders or insured concerned.
Section C :
Withdrawal of authorization
Article 22
1. The authorization
granted by the competent authority of the Member State in whose
territory the head office is situated may be withdrawn by such
authority if the undertaking:
(a) No longer fulfils the conditions of
admission;
(b) Has been unable, within the time allowed, to take
the measures contained in the restoration plan or finance scheme
referred to in Article 20;
(c) Fails seriously in its obligations
under the national regulations.
In the event of the
withdrawal of the authorization, the supervisory authority of the
head-office country shall notify such withdrawal to the supervisory
authorities of other Member States which have issued an authorization
to the undertaking ; they shall, thereupon, also withdraw their
authorizations. The supervisory authority of the head-office country
shall, in conjunction with such other authorities, take all necessary
measures to safeguard the interests of the insured and, in
particular, shall restrict the free disposal of the assets of the
undertaking if such restriction has not been already imposed in
accordance with the provisions of Article 20 (1) and (3),
subparagraph 2.
2. An authorization granted to an agency or
branch of an undertaking whose head office is situated in another
Member State may be withdrawn if the agency or branch:
(a) No longer
fulfils the conditions for admission;
(b) Fails seriously in its
obligations under the regulations of the country where it carries on
its business, with respect in particular to the establishment of
technical reserves as defined in Article 15.
Before
withdrawing the authorization the supervisory authorities of the
country where business is carried on shall consult the supervisory
authority of the country where the head office is situated. If they
deem it necessary to suspend the business of such agency or branch
before consultation is concluded, they shall immediately advise the
supervisory authority of the country where the head office is
situated.
3. Any decision to withdraw an authorization or suspend
business shall be supported by precise reasons and notified to the
undertaking in question.
Each Member State shall make provision
for a right to apply to the courts against such a decision.
Title
III - Rules applicable to agencies or branches established within the
Community and belonging to undertakings whose head offices are
outside the Community
Article 23
1. Each Member State shall
make access to the business referred to in Article 1 by any
undertaking whose head office is outside the Community subject to an
official authorization.
2. A Member State may grant an
authorization if the undertaking fulfils at least the following
conditions:
(a) It is entitled to undertake insurance business under
its national law;
(b) It establishes an agency or branch in the
territory of such Member State;
(c) It undertakes to establish at
the place of management of the agency or branch accounts specific to
the business which it undertakes there, and to keep there all the
records relating to the business transacted;
(d) It designates an
authorized agent, to be approved by the competent authorities;
(e)
It possesses in the country where it carries on its business assets
of an amount equal to at least one-half of the minimum amount
prescribed in Article 17 (2), in respect of the guarantee fund, and
deposits one-fourth of the minimum amount as security;
(f) It
undertakes to keep a margin of solvency in accordance with the
requirements referred to in Article 25;
(g) It submits a scheme
of operations in accordance with the provisions of Article 11 (1) and
(2).
Article 24
Member States shall require
undertakings to establish adequate technical reserves to cover the
underwriting liabilities assumed in their territories. Member States
shall see that the agency or branch covers such technical reserves by
means of assets which are equivalent to such reserves and are, to the
extent fixed by the State in question, matching assets.
The law
of the Member States shall be applicable to the calculation of
technical reserves, the determination of categories of investments,
and the valuation of assets.
The Member State in question shall
require that the assets representing the technical reserves shall be
localized in its territory. Article 15 (3) shall, however, be
applicable.
Article 25
1. Each Member State shall require
for agencies or branches established in its territory a solvency
margin consisting of assets free of all foreseeable liabilities, less
any intangible items. The solvency margin shall be calculated in
accordance with the provisions of Article 16 (3). However, for the
purpose of calculating this margin, account shall be taken only of
the premiums or contributions and claims pertaining to the business
effected by the agency or branch concerned.
2. One-third of the
solvency margin shall constitute the guarantee fund. The guarantee
fund may not be less than one-half of the minimum required under
Article 17 (2). The initial deposit lodged in accordance with Article
23 (2) (e) shall be counted towards such guarantee fund.
3. The
assets representing the solvency margin must be kept within the
country where the business is carried on up to the amount of the
guarantee fund and the excess, within the Community.
Article
26
1. Any undertaking which, having obtained an authorization from
one Member State, obtains an authorization from one or more other
Member States to establish other agencies or branches therein may
apply for one or more of the following advantages:
(a) That the
solvency margin referred to in Article 25 be calculated in relation
to the entire business which it undertakes within the Community ; in
such case, account shall be taken of the premiums or contributions
and claims pertaining to the business effected by all the agencies or
branches established within the Community;
(b) That it be
dispensed from lodging the deposit required under Article 23 (2) (e),
in such States also;
(c) That the assets representing the
guarantee fund be kept in any one of the Member States in which it
carries out business.
2. Should at least two of the
Member States in question approve the application in whole or in
part, the competent authority of the Member State in whose territory
the oldest establishment of the applicant is situated shall verify
the state of solvency of the undertaking with respect to the entire
business carried on by it within the Member States which approve the
application. However, at the request of the undertaking and with the
unanimous approval of the Member States concerned, such verification
may be carried out by the competent authority of another Member
State. The authority carrying out the verification shall obtain from
the other Member States the necessary information regarding the
agencies or branches established in their territories.
3. The
advantages conferred by this Article may be withdrawn upon the
initiative of one or more of the Member States concerned.
Article
27
The provisions of Articles 19 and 20 shall also apply in
relation to agencies and branches of undertakings to which this Title
applies.
As regards the application of Article 20, the
supervisory authority of the oldest establishment or the one that
carries out in its place the verification of the overall solvency of
branches or agencies shall be assimilated to the authority of the
State in which the head office of a Community undertaking is
situated.
Article 28
In the case of a withdrawal of
authorization by the authority referred to in Article 26 (2), this
authority shall notify the authorities of the other Member States
where the undertaking operates and the latter supervisory authorities
shall take the appropriate measures. If the reason for the withdrawal
of the authorization is the inadequacy of the overall state of
solvency as fixed by the Member States which agreed to the request
referred to in Article 26, the Member States which gave their
approval shall also withdraw their authorizations.
Article
29
The Community may, by means of agreements concluded pursuant to
the Treaty with one or more third countries, agree to the application
of provisions different to those provided for in this Title, for the
purpose of ensuring, under conditions of reciprocity, adequate
protection for insured persons in the Member States.
Title IV
- Transitional and other provisions
Article 30
1. Member
States shall allow undertakings referred to in Title II which at the
entry into force of the implementing measures to this Directive
provide insurance in their territories in one or more of the classes
referred to in Article 1 a period of five years, commencing with the
date of notification of this Directive, in order to comply with the
requirements of Articles 16 and 17.
2. Furthermore, Member States
may:
(a) allow any undertakings referred to in (1), which upon the
expiry of the five-year period have not fully established the margin
of solvency, a further period not exceeding two years in which to do
so provided that such undertakings have, in accordance with Article
20, submitted for the approval of the supervisory authority the
measures which they propose to take for such purpose;
(b) exempt
undertakings referred to in (1) whose annual premium or contribution
income upon the expiry of the period of five years falls short of six
times the amount of the minimum guarantee fund required under Article
17 (2) from the requirement to establish such minimum guarantee fund
before the end of the financial year in respect of which the premium
or contribution income is as much as six times such minimum guarantee
fund. After considering the results of the examination provided for
under Article 33, the Council shall unanimously decide, on a proposal
from the Commission, when this exemption is to be abolished by Member
States.
3. Undertakings desiring to extend their
operations within the meaning of Article 8 (2) or Article 10 may not
do so unless they comply immediately with the rules of this
Directive. However, the undertakings referred to in paragraph (2) (b)
which within the national territory extend their business to other
classes of insurance or to other parts of such territory may be
exempted for a period of ten years from the date of notification of
the Directive from the requirement to constitute the minimum
guarantee fund referred to in Article 17 (2).
4. An undertaking
having a structure different from any of those listed in Article 8
may continue, for a period of three years from the notification of
the Directive, to carry on their present business in the legal form
in which they are constituted at the time of such notification.
Undertakings set up in the United Kingdom "by Royal Charter"
or "by private Act" or "by special public Act"
may continue to carry on their business in their present form for an
unlimited period.
Undertakings in Belgium which, in accordance
with their objects, carry on the business of intervention mortgage
loans or savings operations in accordance with No 4 of Article 15 of
the provisions relating to the supervision of private savings banks,
coordinated by the "arręte royal" of 23 June 1967, may
continue to undertake such business for a period of three years from
the date of notification of this Directive.
The Member States in
question shall draw up a list of such undertakings and communicate it
to the other Member States and the Commission.
5. At the request
of undertakings which comply with the requirements of Articles 15, 16
and 17, Member States shall cease to apply restrictive measures such
as those relating to mortgages, deposits and securities established
under present regulations.
Article 31
Member States shall
allow agencies or branches referred to in Title III which, at the
entry into force of the implementing measures to this Directive, are
undertaking one or more classes referred to in Article 1 and do not
extend their business within the meaning of Article 10 (2) a maximum
period of five years, from the date of notification of this
Directive, in order to comply with the conditions of Article 25.
Article 32
During a period which terminates at the time of
the entry into force of an agreement concluded with a third country
pursuant to Article 29 and at the latest upon the expiry of a period
of four years after the notification of the Directive, each Member
State may retain in favour of undertakings of that country
established in its territory the rules applied to them on 1 January
1973 in respect of matching assets and the localization of technical
reserves, provided that notification is given to the other Member
States and the Commission and that the limits of relaxations granted
pursuant to Article 15 (2) in favour of the undertakings of Member
States established in its territory are not exceeded.
Title V
- Final provisions
Article 33
The Commission and the competent
authorities of the Member States shall collaborate closely for the
purpose of facilitating the supervision of direct insurance within
the Community and of examining any difficulties which may arise in
the application of this Directive.
Article 34
1. The
Commission shall submit to the Council, within six years from the
date of notification of this Directive, a report on the effects of
the financial requirements imposed by this Directive on the situation
on the insurance markets of the Member States.
2. The Commission
shall, as and when necessary, submit interim reports to the Council
before the end of the transitional period provided for in Article 30
(1).
Article 35
Member States shall amend their national
provisions to comply with this Directive within 18 months of its
notification and shall forthwith inform the Commission thereof.
The
provisions thus amended shall, subject to Articles 30, 31 and 32, be
applied within 30 months from the date of notification.
Article
36
Upon notification of this Directive, Member States shall ensure
that the texts of the main provisions of a legislative, regulatory or
administrative nature which they adopt in the field covered by this
Directive are communicated to the Commission.
Article 37
The
Annex shall form an integral part of this Directive.
Article
38
This Directive is addressed to the Member States.
Done
at Brussels, 24 July 1973.
For the Council
The President
I.
NRGAARD
ANNEX
A. Classification of risks
according to classes of insurance
1. Accident (including industrial
injury and occupational diseases) - fixed pecuniary benefits
-
benefits in the nature of indemnity
- combinations of the two
-
injury to passengers
2. Sickness - fixed pecuniary
benefits
- benefits in the nature of indemnity
- combinations
of the two
3. Land vehicles (other than railway rolling
stock)
All damage to or loss of - land motor vehicles
- land
vehicles other than motor vehicles
4. Railway rolling
stock
All damage to or loss of railway rolling stock
5.
Aircraft
All damage to or loss of aircraft
6. Ships (sea,
lake and river and canal vessels)
All damage to or loss of -
river and canal vessels
- lake vessels
- sea vessels
7.
Goods in transit (including merchandise, baggage, and all other
goods)
All damage to or loss of goods in transit or baggage,
irrespective of the form of transport
8. Fire and natural forces
All damage to or loss of property (other than property included
in classes 3, 4, 5, 6 and 7) due to - fire
- explosion
-
storm
- natural forces other than storm
- nuclear energy
-
land subsidence
9. Other damage to property
All
damage to or loss of property (other than property included in
classes 3, 4, 5, 6 and 7) due to hail or frost, and any event such as
theft, other than those mentioned under 8
10. Motor vehicle
liability
All liability arising out of the use of motor vehicles
operating on the land (including carrier's liability)
11.
Aircraft liability
All liability arising out of the use of
aircraft (including carrier's liability)
12. Liability for ships
(sea, lake and river and canal vessels)
All liability arising out
of the use of ships, vessels or boats on the sea, lakes, rivers or
canals (including carrier's liability)
13. General liability
All
liability other than those forms mentioned under Nos 10, 11 and 12
14. Credit - insolvency (general)
- export credit
-
instalment credit
- mortgages
- agricultural credit
15.
Suretyship - suretyship (direct)
- suretyship (indirect)
16.
Miscellaneous financial loss - employment risks
- insufficiency
of income (general)
- bad weather
- loss of benefits
-
continuing general expenses
- unforeseen trading expenses
-
loss of market value
- loss of rent or revenue
- indirect
trading losses other than those mentioned above
- other financial
loss (non-trading)
- other forms of financial loss
17.
Legal expenses
Legal expenses and costs of litigation
The
risks included in a class may not be included in any other class
except in the cases referred to in point C.
B. Description of
authorizations granted for more than one class of insurance
Where
the authorization simultaneously covers: (a) Classes Nos 1 and 2, it
shall be named "Accident and Health Insurance";
(b)
Classes Nos 1 (fourth indent), 3, 7 and 10, it shall be named "Motor
Insurance";
(c) Classes Nos 1 (fourth indent), 4, 6, 7 and
12, it shall be named "Marine and Transport Insurance";
(d) Classes Nos 1 (fourth indent), 5, 7 and 11, it shall be named
"Aviation Insurance";
(e) Classes Nos 8 and 9, it shall
be named "Insurance against Fire and other Damage to Property";
(f) Classes Nos 10, 11, 12 and 13, it shall be named "Liability
Insurance";
(g) Classes Nos 14 and 15, it shall be named
"Credit and Suretyship Insurance";
(h) All classes, it
shall be named at the choice of the Member State in question, which
shall notifiy the other Member States and the Commission of its
choice.
C. Ancillary risks
An undertaking obtaining
an authorization for a principal risk belonging to one class or a
group of classes may also insure risks included in another class
without an authorization being necessary for them if they: - are
connected with the principal risk,
- concern the object which is
covered against the principal risk, and
- are covered by the
contract insuring the principal risk.
However, the risks
included in classes 14 and 15 in point A of this Annex may not be
regarded as risks ancillary to other classes.
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