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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>361492</law_id><section_number>38.2-1603</section_number><catch_line>Definitions</catch_line><edition url="https://vacode.org/2026/" slug="2026" current="TRUE" last_updated="2026-08-02">2026</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="88" identifier="38.2">Insurance</unit><unit label="chapter" level="2" order_by="16" 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:</p><p>&#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>.</p><p>&#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>.</p><p>&#x201C;<span class="dictionary">Association</span>&#x201D; means the Virginia Property and Casualty <span class="dictionary">Insurance</span> 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>.</p><p>&#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>.</p><p>&#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>.</p><p>&#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 <span class="dictionary">insurance</span> 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, <span class="dictionary">insurance</span> 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, <span class="dictionary">insurance</span> 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>.</p><p>&#x201C;<span class="dictionary">Insolvent insurer</span>&#x201D; means an insurer that is (i) licensed to transact the business of <span class="dictionary">insurance</span> 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>.</p><p>&#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>.</p><p>&#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>
