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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>81301</law_id><section_number>38.2-1603</section_number><catch_line>Definitions</catch_line><edition url="https://vacode.org/2025/" slug="2025" current="TRUE" last_updated="">2025</edition><referred_to_by><reference>38.2-1509</reference><reference>38.2-1604</reference></referred_to_by><structure><unit label="title" level="1" order_by="1" identifier="38.2">Insurance</unit><unit label="chapter" level="2" order_by="1" identifier="16">Virginia Property and Casualty Insurance Guaranty Association</unit><unit label="article" level="3" order_by="1" identifier="1">Establishment and Operation of the Association</unit></structure><text>
						<section><p>As used in this chapter:
		&#x201C;<span class="dictionary">Account</span>&#x201D; means any one of the three <span class="dictionary">accounts</span> created by &#xA7;&#xA0;<a class="law" title="Association created; members; divided into three accounts" href="/38.2-1604/">38.2-1604</a>.
		&#x201C;<span class="dictionary">Affiliate</span>&#x201D; means a <span class="dictionary">person</span> who directly, or indirectly, through one or more intermediaries, <span class="dictionary">controls</span>, is controlled by, or is under common <span class="dictionary">control</span> with an <span class="dictionary">insolvent insurer</span> on December 31 of the year next preceding the date the insurer becomes an <span class="dictionary">insolvent insurer</span>.
		&#x201C;<span class="dictionary">Association</span>&#x201D; means the Virginia Property and Casualty Insurance Guaranty <span class="dictionary">Association</span> created under &#xA7;&#xA0;<a class="law" title="Association created; members; divided into three accounts" href="/38.2-1604/">38.2-1604</a>.
		&#x201C;<span class="dictionary">Claimant</span>&#x201D; means any insured making a first <span class="dictionary">party</span> claim or any <span class="dictionary">person</span> instituting a liability claim; provided that no <span class="dictionary">person</span> who is an <span class="dictionary">affiliate</span> of the <span class="dictionary">insolvent insurer</span> may be a <span class="dictionary">claimant</span>.
		&#x201C;<span class="dictionary">Control</span>&#x201D; means the <span class="dictionary">possession</span>, direct or indirect, of the power to direct or cause the direction of the management and policies of a <span class="dictionary">person</span>, whether through the ownership of voting securities, by <span class="dictionary">contract</span> other than a commercial <span class="dictionary">contract</span> for goods or nonmanagement services, or otherwise, unless the power is the result of an official position with or corporate office held by the <span class="dictionary">person</span>. <span class="dictionary">Control</span> shall be presumed to exist if any <span class="dictionary">person</span>, directly or indirectly, owns, <span class="dictionary">controls</span>, holds with the power to vote, or holds proxies representing, 10 percent or more of the voting securities of any other <span class="dictionary">person</span>. This <span class="dictionary">presumption</span> may be rebutted by a showing that <span class="dictionary">control</span> does not exist in <span class="dictionary">fact</span>.
		&#x201C;<span class="dictionary">Covered claim</span>&#x201D; means an unpaid claim, including one for unearned premiums, submitted by a <span class="dictionary">claimant</span>, that (i) arises out of and is within the coverage and is subject to the applicable limits of a policy covered by this chapter and issued by an insurer who has been declared to be an <span class="dictionary">insolvent insurer</span> or (ii) arises out of and is within the coverage and is subject to the applicable limits of a policy that would not be excluded from the coverage of this chapter under the provisions of &#xA7;&#xA0;<a class="law" title="Application" href="/38.2-1601/">38.2-1601</a> if it were a policy of direct insurance and that has been assumed as a direct obligation by an insurer who has been declared to be an <span class="dictionary">insolvent insurer</span>, where such obligation is assumed through a merger or acquisition, or pursuant to an acquisition of <span class="dictionary">assets</span> and assumption of liabilities, an assumption under the provisions of subsection B or C of &#xA7;&#xA0;<a class="law" title="Reinsurance" href="/38.2-136/">38.2-136</a> or a substantially similar <span class="dictionary">law</span> of another <span class="dictionary">jurisdiction</span>, or any other novation agreement. The <span class="dictionary">claimant</span> or insured shall be a resident of the Commonwealth at the time of the insured loss, provided that for entities other than an individual, the residence of a <span class="dictionary">claimant</span> or insured is the <span class="dictionary">state</span> in which its principal place of business is located at the time of the insured loss or the property from which the claim arises shall be permanently located in the Commonwealth. &#x201C;<span class="dictionary">Covered claim</span>&#x201D; shall not include any amount awarded as punitive <span class="dictionary">damages</span> or sought as a return of premium under any retrospective rating plan; any amount due any reinsurer, insurer, insurance pool, or underwriting <span class="dictionary">association</span> as subrogation recoveries, reinsurance recoveries, contribution, indemnification, or otherwise; any amount due under any policy originally issued by a surplus lines carrier or risk retention group; any obligation assumed by an <span class="dictionary">insolvent insurer</span> after the commencement of any delinquency proceeding, as defined in Chapter 15 (&#xA7;&#xA0;<a class="law" title="Scope of chapter" href="/38.2-1500/">38.2-1500</a> et seq.), involving the <span class="dictionary">insolvent insurer</span> or the original insurer, unless it would have been a &#x201C;<span class="dictionary">covered claim</span>&#x201D; absent such assumption; or any obligation assumed by an <span class="dictionary">insolvent insurer</span> in a transaction in which the original insurer remains separately liable. An obligation owing under a <span class="dictionary">contract</span> of reinsurance shall not be deemed a direct obligation for the purposes of this definition unless it shall have been assumed pursuant to the provisions of subsection B or C of &#xA7;&#xA0;<a class="law" title="Reinsurance" href="/38.2-136/">38.2-136</a> or a substantially similar <span class="dictionary">law</span> of another <span class="dictionary">jurisdiction</span>. No claim for any amount due any reinsurer, insurer, insurance pool, or underwriting <span class="dictionary">association</span> may be asserted against a <span class="dictionary">person</span> insured under a policy issued by an <span class="dictionary">insolvent insurer</span> other than to the extent the claim exceeds the <span class="dictionary">association</span> obligation limitations set forth in &#xA7;&#xA0;<a class="law" title="Duties and powers of Association" href="/38.2-1606/">38.2-1606</a>.
		&#x201C;<span class="dictionary">Insolvent insurer</span>&#x201D; means an insurer that is (i) licensed to transact the business of insurance in the Commonwealth either at the time the policy was issued, when the obligation with respect to the <span class="dictionary">covered claim</span> was assumed, or when the insured loss occurred and (ii) against whom an <span class="dictionary">order</span> of <span class="dictionary">liquidation</span> with a <span class="dictionary">finding</span> of insolvency has been entered after July 1, 1987, by a <span class="dictionary">court</span> of competent <span class="dictionary">jurisdiction</span> in the insurer&#x2019;s <span class="dictionary">state</span> of domicile or of the Commonwealth under the provisions of Chapter 15 (&#xA7;&#xA0;<a class="law" title="Scope of chapter" href="/38.2-1500/">38.2-1500</a> et seq.), and which <span class="dictionary">order</span> of <span class="dictionary">liquidation</span> has not been stayed or been the subject of a <span class="dictionary">writ</span> of supersedeas or other comparable <span class="dictionary">order</span>.
		&#x201C;<span class="dictionary">Member insurer</span>&#x201D; means any <span class="dictionary">person</span> who (i) writes any class of insurance to which this chapter applies under &#xA7;&#xA0;<a class="law" title="Application" href="/38.2-1601/">38.2-1601</a>, including reciprocal <span class="dictionary">insurance contracts</span>, and (ii) is licensed to transact the business of insurance in the Commonwealth but shall not include <span class="dictionary">persons</span> listed in subdivision 9 of &#xA7;&#xA0;<a class="law" title="Application" href="/38.2-1601/">38.2-1601</a>.
		&#x201C;<span class="dictionary">Net direct written premiums</span>&#x201D; means direct gross premiums written in the Commonwealth on <span class="dictionary">insurance policies</span> applicable to this chapter, less return premiums and dividends paid or credited to policyholders on direct business. &#x201C;<span class="dictionary">Net direct written premiums</span>&#x201D; does not include premiums on contracts between <span class="dictionary">insurers</span> or reinsurers.</p></section></text><history>1970, c. 766, &#xA7; 38.1-760; 1986, c. 562; 1987, c. 529; 1998, c. 230; 2004, c. 285; 2015, c. 710.</history><metadata></metadata></law>
