Reference is to the bill as introduced.
Amend the bill, as and if amended, by striking all after the enacting words and inserting:
/ SECTION 1. Article 1, Chapter 15, Title 40 of the 1976 Code is amended by adding:
      "Section 40-15-390.     
 (A)      All dentists licensed before 
January 1, 2020, must pay a total surcharge fee of one hundred 
fifty dollars to the department for purposes of reducing the 
operating deficit of the South Carolina Medical Malpractice 
Joint Underwriting Association or any successor thereto. This 
surcharge fee is in addition to any initial or renewal license 
fee and payable as either a one-time fee of one hundred fifty 
dollars or in installments payable in consecutive renewal 
cycles, but not more than three consecutive renewal cycles, 
until the total surcharge fee is paid in full. The surcharge fee 
is due at the same time as the payment of the initial or renewal 
license fee. This surcharge fee for dentists licensed before 
January 1, 2020, expires upon payment of the total surcharge fee 
unless extended by the General Assembly. 
      (B)      Failure to pay the 
surcharge fee shall result in a monthly late fee not to exceed 
five percent of the surcharge fee and accrues until the 
surcharge fee is paid in full, but in no event may the fee 
accrue for more than six months. All late fees collected must be 
remitted to the South Carolina Medical Malpractice Joint 
Underwriting Association or any successor thereto and applied to 
the reduction of the operating deficit of the association. No 
action may be taken by the department against the license of any 
dentist for failure to pay surcharge fees. The department shall 
remit all surcharge fee payments and late fee payments in full 
to the board of the association.
      (C)      The department may 
charge a transaction fee for licensees who pay the surcharge fee 
by credit card."
SECTION 2. Article 1, Chapter 47, Title 40 of the 1976 Code is amended by adding:
      "Section 40-47-55.     
 (A)      All medical doctors, surgeons, and 
osteopathic physicians licensed before January 1, 2020, must pay 
a total surcharge fee of three hundred dollars to the department 
for purposes of reducing the operating deficit of the South 
Carolina Medical Malpractice Joint Underwriting Association or 
any successor thereto. This surcharge fee must be in addition to 
any initial or renewal license fee and payable as either a 
one-time fee of three hundred dollars or in installments in 
consecutive renewal cycles, but not more than three consecutive 
renewal cycles, until the total surcharge fee is paid in full.  
The surcharge fee is due at the same time as the payment of the 
initial or renewal license fee. This surcharge fee for medical 
doctors, surgeons, and osteopathic physicians licensed before 
January 1, 2020, expires upon payment of the total surcharge fee 
unless extended by the General Assembly.
      (B)      Failure to pay the 
surcharge fee shall result in a monthly late fee not to exceed 
five percent of the surcharge fee and accrues until the 
surcharge fee is paid in full, but in no event may the fee 
accrue for more than six months. All late fees collected must be 
remitted to the South Carolina Medical Malpractice Joint 
Underwriting Association or any successor thereto and applied to 
the reduction of the operating deficit of the association.  No 
action may be taken by the department against the license of any 
medical doctor, surgeon, or osteopathic physician for failure to 
pay surcharge fees.  The department shall remit all surcharge 
fee payments and late fee payments in full to the board of the 
association.
      (C)      The department may 
charge a transaction fee for licensees who pay the surcharge fee 
by credit card."            
SECTION 3. Article 3, Chapter 79, Title 38 of the 1976 Code is amended to read:
"Article 3
South Carolina Medical Malpractice Liability
Joint Underwriting Association
      
      Section 38-79-110.      As 
used in this article:
      (1)      'Association' means 
any joint underwriting association established by the General 
Assembly in 1987 and managed and operated pursuant to the 
provisions of this article including the South Carolina Joint 
Underwriting Association as provided for in Section 
38-79-300.
      (2)      'Licensed health 
care providers' means physicians and surgeons, nurses, oral 
surgeons, dentists, pharmacists, chiropractors, podiatrists, 
hospitals, nursing homes, or any similar major category of 
licensed health care providers. The term 'licensed health care 
provider' also includes blood centers which collect, process, 
and distribute blood to hospitals and physicians for the care of 
patients if these blood centers as of July 1, 1997, were insured 
with the Joint Underwriting Association.
      (3)      'Medical 
malpractice insurance' means medical professional liability 
insurance or insurance protection against the legal liability of 
the insured and against loss, damage, or expense incident to a 
claim arising out of the death or injury of any person as the 
result of negligence or malpractice in rendering or failing to 
render professional service by any licensed physician, licensed 
health care provider, or hospital.
      (4)      'Net-direct 
premiums' means gross direct premiums written on bodily 
injury liability insurance, other than automobile liability 
insurance, homeowners liability insurance, and farmowners 
liability insurance, including the liability component of 
multiple peril package policies, as medical 
malpractice insurance, medical professional liability insurance, 
hospital professional liability insurance, and any other type of 
professional liability insurance covering risks of licensed 
health care providers and facilities as determined and 
computed by the director or his designee, less return premiums 
or the unused or unabsorbed portions of premium deposits. The 
net direct premium calculation does not include premiums written 
by the association or the South Carolina Patients' Compensation 
Fund established pursuant to the provisions of Article 5 of this 
chapter.
      (5)      'Deficit' 
means all operating losses of the association as reported in the 
association's financial statements. 
      Section 38-79-120.      (1) 
     A joint underwriting association 
(association) is created, consisting of 
containing as members all insurers authorized to write and 
report net-direct written premiums for medical malpractice 
insurance, medical professional liability insurance, hospital 
professional liability insurance, or any other type of 
professional liability insurance in this State covering the 
professional liability risks of licensed health care providers. 
Membership also includes foreign and domestic risk retention 
groups and surplus lines insurers authorized to write and report 
net-direct written premiums for medical malpractice insurance, 
medical professional liability insurance, hospital professional 
liability insurance or any other type of professional liability 
insurance in this State covering the professional liability risk 
of licensed health care providers, and authorized to do business 
in accordance with the provisions of this title. Each insurer, 
risk retention group, or surplus lines insurer described above 
is and must remain a member of the association as a condition of 
the authorization to transact the sale of insurance in this 
State. If the net-direct premiums written by all carriers are 
less than twenty-five million dollars in a given year, then in 
such year the membership of the association must be expanded to 
include all insurers authorized to write within this State, 
on a direct basis, bodily injury liability insurance, other than 
automobile bodily injury liability insurance, homeowners 
liability insurance, and farmowners liability insurance, 
including insurers covering such peril in multiple peril package 
policies. Every such insurer is and must remain a member 
of the association as a condition of its authority to continue 
to transact such kind of insurance in this State. In 
such event, the term 'net-direct premiums' shall include the 
gross direct premiums written on bodily injury liability 
insurance other than automobile liability insurance, homeowners 
liability insurance, and farmowners liability insurance 
including the liability component of multiple peril package 
policies as computed by the director or his designee, less 
return premiums of the unused or unabsorbed portions of premium 
deposits.
      (2)      The purpose of the 
association is to provide medical malpractice 
insurance ensure the availability of medical 
malpractice and other types of liability insurance for health 
care providers on a self-supporting basis to the fullest 
extent possible. The intent of the General Assembly in 
enacting this section is to eliminate the accumulated deficit of 
the association and of the Patients' Compensation Fund and to 
transition the association over time to a market of last resort 
so that it is no longer in competition with the private market. 
Specifically, the General Assembly does not intend that the 
South Carolina Joint Underwriting Association offer rates that 
are competitive to the private market. Rates for policies issued 
by the association must be adequate and established at a level 
that permits the association to operate without accumulating 
additional deficits over time. The General Assembly encourages 
the board, in consultation with the director or his designee, to 
develop a five-year plan to increase rates gradually to achieve 
this legislative intent.
      (3)      The association 
must be called into operation at any time that the department 
finds and declares the existence of an emergency because of the 
unavailability of medical malpractice liability insurance, or 
the unavailability of medical malpractice liability insurance on 
a reasonable basis through normal channels, in respect to all or 
any one or more of the major categories of licensed health care 
providers listed in item (2) of Section 38-79-110.
      Section 38-79-130.      The 
association, pursuant to the provisions of this article and the 
approved plan of operation in respect to medical malpractice 
insurance, has the power on behalf of its members to:
      (1)      issue, or cause to 
be issued, policies of insurance to applicants including 
incidental coverages including, but not limited to, premises or 
operations liability coverage on the premises where services are 
rendered, all subject to limits of liability as specified in the 
plan of operation but not to exceed two hundred 
thousand one million dollars for each claim 
under one policy and six hundred thousand 
three million dollars for all claims under one policy in 
any one year; provided, however, that the association may offer 
policies up to one million dollars for each claim under 
one policy and three million dollars higher limits 
per claim and for all claims under one policy in any one 
year only upon approval of the board of the association and with 
the written concurrence of the Board of Governors of the 
South Carolina Patients' Compensation Fund approval 
of the director; 
      (2)      underwrite medical 
malpractice insurance and to adjust and pay losses with respect 
to it or to appoint service companies to perform those 
functions; and
      (3)      cede and assume 
reinsurance.
      Section 38-79-140.      (1) 
     The association must operate pursuant to a 
plan of operation which shall provide for economic, fair, and 
nondiscriminatory administration and for the prompt and 
efficient provision of medical malpractice insurance and may 
contain other provisions including, but not limited to, 
preliminary assessment of all members for initial expenses 
necessary to commence operations, establishment of necessary 
facilities, management of the association, assessment of the 
members to defray losses and expenses, commissions arrangements, 
reasonable and objective underwriting standards, acceptance and 
cession of reinsurance, appointment of servicing carriers, and 
procedures for determining amounts of insurance to be provided 
by the association.
      (2)      The plan of 
operation shall provide that any profit achieved by the 
association must be added to the reserves of the association or 
returned to the policyholders as a dividend.
      (3)      The plan of 
operation becomes effective and operative no later than thirty 
days after the declaration of any emergency by the 
department.
      (4)      Amendments to the 
plan of operation may be made by the directors of the 
association with the approval of the director or his designee or 
must be made at the direction of the director or his designee 
after due notice and public hearing.
      Section 38-79-150.      Any 
licensed health care provider in a category in which the 
department has declared an emergency exists is entitled to apply 
to the association for coverage. The application may be made on 
behalf of the applicant by a licensed agent or broker authorized 
in writing by the applicant. If the association determines that 
the applicant meets the underwriting standards of the 
association as set forth in the approved plan of operation and 
there is no unpaid, uncontested premium due from the applicant 
for any prior insurance of the same kind, the association, upon 
receipt of the premium, or a portion thereof as prescribed by 
the plan of operation, shall cause to be issued a policy of 
medical malpractice liability insurance for a term of one 
year.
      The rates, rating plans, rating rules, 
rating classifications, territories, and policy forms applicable 
to insurance written by the association and the statistical and 
experience data relating thereto are subject to this article and 
to those provisions of Chapter 73 of this title which are not 
inconsistent with the purposes and provisions of this article.
Section 38-79-160. The director or his designee shall obtain complete statistical data in respect to medical malpractice losses and reparation costs as well as all other costs or expenses which underlie or are related to medical malpractice liability insurance. He shall promulgate any statistical plan he considers necessary for the purpose of gathering data referable to loss and loss adjustment expense experience and other expense experience. When a statistical plan is promulgated all members of the association shall adopt and use it. The director or his designee shall also obtain statistical data in respect to the costs of compensating or rehabilitating victims of medical malpractice without respect to insurance for purposes of studying the feasibility or desirability of alternative medical malpractice compensation systems and estimating the impact of medical malpractice loss and insurance costs upon other compensation and insurance systems such as workers' compensation and accident and health insurance. He may require from any person obtaining insurance through the association loss, claim, or expense data. This information or data is confidential and the physician-patient privilege must be preserved.
Section 38-79-170. In respect to the structuring of rates for medical malpractice liability insurance and the determination of the profit or loss of the association in respect to that insurance, due consideration must be given by the director or his designee to all investment income.
      Section 38-79-180.     
 Within a time that the director or his designee 
directs, the association shall submit, for the approval of the 
director or his designee, an initial filing, in proper form, of 
policy forms, classifications, rates, rating plans, and rating 
rules applicable to medical malpractice liability insurance to 
be written by the association. In the event the director or his 
designee disapproves the initial filing, in whole or in part, 
the association shall amend the filing, in whole or in part, in 
accordance with the direction of the director or his designee. 
If the director or his designee is unable to approve the filing 
or amended filing, within the time specified, he shall 
promulgate the policy forms, classifications, rates, rating 
plans, and rules to be used by the association in making rates 
for and writing the insurance. The association shall 
submit, for the approval of the director or his designee, all 
policy forms, classifications, rates, rating plans, or rules 
applicable to its insurance product offerings to customers in 
this State. Such filings must be submitted for approval to the 
director no less than sixty days prior to their intended 
effective date. The director may extend the time for his review 
by an additional sixty days to allow the department sufficient 
time to evaluate the proposed form, classification, rate, rating 
plan, or rule to be used by the association. Rates must be 
actuarially sound, self supporting, and may not be excessive, 
inadequate, or unfairly discriminatory.
      Section 38-79-190.      (1) 
     The board of directors shall specify whether 
policy forms and the rate structure must be on a 'claims-made' 
or 'occurrence' basis and coverage may be provided by the 
association only on the basis specified by the board of 
directors. The board of directors shall specify the 
'claims-made' basis only if the contract makes provision for 
residual 'occurrence' coverage upon the retirement, death, 
disability, or removal from the State of the insured. Provision 
may be made for a premium charge allocable to any such residual 
'occurrence' coverage and the premium charges for the residual 
coverage must be segregated and separately maintained for such 
purpose which may include the reinsurance of all or a part of 
that portion of the risk.
      (2)      The policy may not 
contain any limitation in relation to the existing law in tort 
as provided by the statute of limitations of the State of South 
Carolina.
      (3)      The policy form 
whether on a 'claims-made' or 'occurrence' basis may not require 
as a condition precedent to settlement or compromise of any 
claim the consent or acquiescence of the insured. However, such 
settlement or compromise may never be held or considered to be 
an admission of fault or wrongdoing by the insured.
      (4)      The premium rate 
charged for either or both 'claims-made' or 'occurrence' 
coverage must be at rates established on an actuarially sound 
basis, including consideration of trends in the frequency and 
severity of losses, and must be calculated to be 
self-supporting.
      Section 38-79-200.      The 
association is authorized to provide a rate increase or 
assessment which is subject to the approval of the director or 
his designee.
      
      Section 38-79-210. Any deficit 
accumulated or sustained by the association in 
any year must be recouped, pursuant to the plan of 
operation and the rating plan then in effect, by one or 
both by one or more of the following 
procedures:
      (1)      An 
assessment upon the policyholders which may not exceed one 
additional annual premium at the then current rate. 
a surcharge fee as provided in Sections 40-15-390 and 
40-47-55;
      (2)      a rate increase 
applicable prospectively approved by the director or his 
designee pursuant to the provisions of Section 38-79-180; 
and
      (3)      an 
assessment against all members of the association according to 
any plan agreed to by the association's board and submitted to 
the director for his approval. The board shall make an annual 
recommendation by July first of each year regarding the need for 
an assessment against the members, the size and scope of such 
assessment, and the percentages to be assessed against each 
member pursuant to this chapter.
      Section 38-79-220.     
 Effective after the initial year of operation, 
rates, rating plans, and rating rules, and any provision for 
recoupment through policyholder assessment or premium rate 
increase, must be based upon the association's loss and expense 
experience and investment income, together with any other 
information based upon such experience and income as the 
director or his designee considers appropriate. The resultant 
premium rates must be on an actuarially sound basis and must be 
calculated to be self-supporting.       
In the event that 
sufficient funds are not available for the sound financial 
operation of the association, pending recoupment as provided in 
Section 38-79-210, all members shall, on a temporary basis, 
contribute to the financial requirements of the association in 
the manner provided for in Section 38-79-230. Any such 
contribution must be reimbursed to the members following 
recoupment as provided in Section 38-79-210. 
Reserved.
      Section 38-79-230.      All 
insurers which are members of the association pursuant to the 
provisions of Section 38-79-120 shall participate in its 
writings, expenses, profits, and losses in the proportion that 
the net direct premiums of each member (excluding that 
portion of premiums attributable to the operation of the 
association) written during the preceding calendar year 
bear to the aggregate net direct premiums written in this State 
by all members of the association. However, no member may 
share in any profits or otherwise financially gain or benefit 
from the operation of the association unless and until the board 
and the director have mutually determined that all deficits of 
the association have been satisfactorily recovered. Each 
insurer's participation in the association must be determined 
annually on the basis of the net direct premiums written during 
the preceding calendar year, as reported in the annual 
statements and other reports filed by the insurer with the 
department or as reported by the insurer in reports or 
financial statements requested by the director to effectuate the 
provisions of this section. The assessment of a member 
insurer, after hearing, may be ordered deferred 
in whole or in part upon application by the insurer if, in the 
opinion of the director or his designee, payment of the 
assessment may render the insurer insolvent or in danger of 
insolvency or otherwise may leave the insurer in a 
condition that further transaction of the insurer's 
business may be hazardous to its policyholders, creditors, 
members, subscribers, stockholders, or the public 
hazardous financial condition or the insurer has been placed 
into administrative supervision or receivership by their 
domestic state's insurance regulator. If payment of an 
assessment against a member insurer is deferred by order of the 
director or his designee in whole or in part, the amount by 
which the assessment is deferred must be assessed against other 
member insurers in the same manner as provided in this section. 
In the order of deferral or in subsequent orders as may 
be necessary When ordering a deferral in whole or in 
part, the director or his designee shall prescribe a plan by 
which the assessment deferred must be repaid to the association 
by the impaired insurer with interest at the six-month treasury 
bill rate adjusted semiannually. Profits, dividends, or other 
funds of the association to which the insurer is otherwise 
entitled may not be distributed to the impaired insurer but must 
be applied toward repayment of any assessment until the 
obligation has been satisfied. The association shall distribute 
the repayments, including interest on them, to the other member 
insurers on the basis on which assessments were made. 
Section 38-79-240. Every member of the Association is bound by the approved plan of operation of the Association, including any amendments made, and by any other rules the board of directors of the Association lawfully prescribes.
      Section 38-79-250.      (1) 
     If the authority of an insurer to 
transact bodily injury liability insurance, other than 
automobile, homeowners, or farmowners, in this State terminates 
for any reason its obligations as a member of the association 
nevertheless continue until all its obligations have been 
fulfilled and the director or his designee has so found and 
certified to the board of directors. If any member 
insurer ceases writing business in this State, voluntarily or 
involuntarily, or by order or authority of the director shall 
continue to be a member of the association until all of its 
obligations have been satisfied and the director has certified 
the satisfaction to the association's board.
      (2)      If a member insurer 
merges into, acquires, or consolidates with another 
insurer authorized to transact such insurance in this 
State or another insurer authorized to transact such insurance 
in this State has reinsured the insurer's entire general 
liability business in this State, both the insurer and its 
successor or assuming reinsurer, as the case may be, are liable 
for the insurer's transacting business subject to 
this article or if any other insurer or entity has reinsured or 
assumed a member insurer's entire liability business in this 
State, the surviving insurer, acquiring insurer, its legal 
successor, or its assuming reinsurer nonetheless remains liable 
for the member insurer's obligations in respect to the 
association.
      (3)      Any unsatisfied net 
liability of any insolvent member of the association must be 
assumed by and apportioned among the remaining members in the 
same manner in which assessments or gain and loss are 
apportioned and the association shall thereupon acquire and have 
all rights and remedies allowed by law in behalf of the 
remaining members against the estate or funds of the insolvent 
insurer for funds due the association.
      (4)      The State is not 
responsible for any costs, expenses, liabilities, judgments, or 
other obligations of the association.
      Section 38-79-260.     
 Until the association is merged with the Patients' 
Compensation Fund on March 31, 2020, the association is 
governed by a board of thirteen directors, all of whom must be 
appointed by the Governor. Each member of the board shall 
serve a term of four years and may be reappointed for up to two 
additional four-year terms. The Governor shall appoint five 
health care providers after consultation with the South Carolina 
Medical Association, and the South Carolina Dental 
Association, and the South Carolina Health 
Alliance; four insurance representatives after 
consultation with the insurance industry; one consumer 
representative who is unaffiliated with the insurance or health 
care industries or the medical or legal professions; and two 
licensed insurance agents or brokers. The professional 
associations listed and the insurance industry may nominate 
qualified individuals to the Governor for his consideration. The 
Governor may also receive nominations for appointments to the 
board from any other individual, group, or association. 
Notices of vacancies on the board must be published in 
newspapers of general statewide circulation. The 
association and the director must publicize all vacancies on the 
board to the general public. The director or his designee 
shall serve as an ex officio member of the board. The board 
shall develop a plan of operation which is subject to the 
approval of the director or his designee as provided in this 
article. The plan of operation shall provide for staggered terms 
of the members of the board. The approved plan of operation of 
the association may make provision for combining insurers under 
common ownership or management into groups for voting, 
assessment, and all other purposes and may provide that not more 
than one of the officers or employees of a group may serve as a 
director at any one time. The board shall elect a chairman and 
other necessary officers for two-year terms. The chairman of 
the board must be elected by the board and be a licensed 
physician or dentist. A vacancy must be filled for the 
unexpired portion of the term only. The Governor may 
receive recommendations from any individual, group, or 
association for any vacancy on the board. The board 
must meet at the call of the chairman or a majority of the 
members of the board, but in any event it must meet at least 
once a year. A board member serving as of the effective date 
of this section may be reappointed by the Governor.    
         
      Section 38-79-280.     
 The association shall file in the office of the 
department annually, by March first, a statement which contains 
information with respect to its transactions, condition, 
operations, and affairs during the preceding year. 
The association shall file a financial statement with the 
department by March first of each year detailing its 
transactions, financial condition, operations, and affairs 
during the previous calendar year. In addition, the director may 
require the association to file quarterly financial statements 
with the department on the fifteenth of May, August, and 
November of each year. The statement shall contain such 
matters and information as are prescribed by the director or his 
designee and must be in the form he directs 
prepared in the format the director prescribes. The 
director or his designee may, at any reasonable 
time, require the association to furnish additional 
information with respect to its transactions, condition, or any 
matter connected therewith considered to be material and of 
assistance in evaluating the scope, operation, and experience of 
the association.
      Section 38-79-290.      The 
director or his designee shall make 
conduct an examination into the financial condition and 
affairs of the association at least annually and shall file a 
report thereon with the department, the Governor, and the 
General Assembly. The expenses of the examination must be paid 
by the association. The director or his designee may accept 
an audit of the association performed by a qualified public 
accounting firm in lieu of conducting his own examination.
      Section 38-79-300.     
 (A)      Effective on March 31, 
2020, the Patients' Compensation Fund provided for in Article 5 
of this chapter shall merge into the Joint Underwriting 
Association created by this article. The surviving entity is the 
Joint Underwriting Association and referred to herein as the 
South Carolina Joint Underwriting Association. The South 
Carolina Joint Underwriting Association shall assume all 
obligations and responsibilities of the Patients' Compensation 
Fund, while retaining all obligations and responsibilities of 
the Joint Underwriting Association.
      (B)     
 Beginning on the effective date of this section, the 
board of the Patients' Compensation Fund shall, with oversight 
of the Department of Insurance, exercise due diligence in 
providing for the orderly and expeditious winding down of the 
Patients' Compensation Fund. All outstanding affairs and 
existing contractual obligations of the Patients' Compensation 
Fund including, but not limited to, all existing property, 
assets, liabilities, claims, member dues, and assessments (or 
potential for assessments) existing on March 31, 2020, shall 
contemporaneously become the responsibility of the South 
Carolina Joint Underwriting Association on that date. After 
March 31, 2020, the Patients' Compensation Fund shall cease to 
exist except as required by law for purposes of winding down its 
affairs.
      (C)      The 
Board of Directors of the South Carolina Joint Underwriting 
Association must:
            (1)   
   be appointed on the effective date of this 
legislation and in no event later than October 2, 2019, and is 
authorized to enter into contracts for the management of the 
South Carolina Joint Underwriting Association in accordance with 
governing law;
            (2)   
   have the right to attend any regular or special 
meeting of the Board of Directors of the Joint Underwriting 
Association or the Board of Governors of the Patients' 
Compensation Fund, but shall have no vote at these meetings;
            (3)   
   replace the existing board of the Joint 
Underwriting Association on March 31, 2020;
            (4)   
   consist of nine members all appointed by the 
Governor, as follows: 
            (a)   
   two members after consultation with the South 
Carolina Medical Association;
            (b)   
   one member, who must be a physician, after 
consultation with the South Carolina Hospital Association;
            (c)   
   three representatives from the insurance 
industry representing member companies of this association;
            (d)   
   two representatives after consultation with the 
South Carolina Dental Association; and
            (e)   
   one insurance agent or broker;
            (5)   
   elect a chairperson who must be drawn from 
subitems (4)(a), (b), or (d) above.  The director or his 
designee must be an ex officio member of the board. 
      (D)      Upon 
consultation with and consent of the director, the board of the 
South Carolina Joint Underwriting Association:
            (1)   
   must select a person or firm for the 
administration and management of the South Carolina Joint 
Underwriting Association using a competitive bidding 
process;
            (2)   
   is responsible for the negotiation of the 
administrator's contract including, without limitation, 
compensation, fees, and the length of the contract; and
            (3)   
   shall have the authority to terminate or retain 
the administrator. 
      (E)      Each 
member of the board of the South Carolina Joint Underwriting 
Association shall serve a term of four years; however, any board 
member may be reappointed for up to two additional four-year 
terms. The professional associations listed and the insurance 
industry may nominate qualified individuals to the Governor for 
his consideration. The Governor also may receive nominations for 
appointments to the board from any other individual, group, or 
association. The South Carolina Joint Underwriting Association 
and director must publicize all board vacancies to the general 
public. The board of the South Carolina Joint Underwriting 
Association shall develop a plan of operation which is subject 
to the approval of the director or his designee as provided in 
this article. The approved plan of operation of the South 
Carolina Joint Underwriting Association may make provisions for 
combining insurers under common ownership or management into 
groups for voting, assessment, and all other purposes and may 
provide that no more than one of the officers or employees of a 
group may serve as a director at any one time. The Board of the 
South Carolina Joint Underwriting Association Board shall elect 
a chairman and other necessary officers for two-year terms.  The 
chairman of the board must be elected by the board and be either 
a licensed physician or dentist. Any vacancy must be filled for 
the unexpired portion of the term only. The Board of the South 
Carolina Joint Underwriting Association Board must meet at the 
call of the chairman or a majority of the members of the board, 
but in any event it must meet at least once a year. Any board 
members of the Joint Underwriting Association or the Patients' 
Compensation Fund serving at the time of this enactment may be 
reappointed by the Governor to the Board of the South Carolina 
Joint Underwriting Association."      
SECTION 4. Article 5, Chapter 79, Title 38 of the 1976 Code is amended by adding:
"Section 38-79-400. This article must be repealed upon the merger of the Patients' Compensation Fund for benefit of licensed health care providers into the South Carolina Joint Underwriting Association as provided for in Section 38-79-300 on March 31, 2020."
SECTION 5. This act takes effect upon approval by the Governor. /
Renumber sections to conform.
Amend title to conform.