CHAPTER Ins 300 LIFE
INSURANCE
Statutory
Authority: RSA 400-A:15; RSA 410:3-a
PART
Ins 301 LIFE INSURANCE SOLICITATION
Statutory
Authority: RSA 400-A:15, I; RSA 417:4
Ins 301.01 Purpose.
(a)
The purpose of this part is to require insurers to deliver to purchasers
of life insurance, information that will improve the buyer's ability to select
the most appropriate plan of life insurance for the buyer’s needs and improve
the buyer's understanding of the basic features of the policy that has been purchased
or is under consideration.
(b)
This part does not prohibit the use of additional material that is not a
violation of this part or any other New Hampshire statute or rule.
Source. #5657, eff 7-1-93; ss by #7015, INTERIM, eff
7-1-99, EXPIRED: 10-29-99
New. #7450, eff 2-16-01, EXPIRED: 2-16-09
New. #9651, eff 2-5-10; ss by #12423, eff 2-5-18
Ins 301.02 Scope.
(a)
Except as hereafter exempted, this part shall apply to any solicitation,
negotiation, or procurement of life insurance occurring within this state. This part shall apply to any issuer of life
insurance contracts including fraternal benefit societies.
(b)
This part shall not apply to:
(1) Individual and group annuity contracts;
(2) Credit life insurance;
(3) Group life insurance
(except for disclosures relating to preneed funeral contracts or
prearrangements; these disclosure requirements shall extend to the issuance or
delivery of certificates as well as to the master policy); or
(4) Life insurance policies issued in connection
with pension and welfare plans as defined by and which are subject to the
federal Employee Retirement Income Security Act of 1974 (ERISA), 29 U.S.C.
Section 1001 et seq. as amended.
Source. #1900, eff 1-1-82; ss by #4287, eff 7-1-87;
ss by #5657, eff 7-1-93; ss by #7015, INTERIM, eff 7-1-99, EXPIRED: 10-29-99
New. #7450, eff 2-16-01, EXPIRED: 2-5-10
New. #9651, eff 2-5-10; ss by #12423, eff 2-5-18
Ins 301.03 Definitions. For the purposes of this part, the following
definitions shall apply:
(a)
"Buyers’ guide" means a consumer disclosure document provided
to prospective life insurance purchasers.
(b)
“Current scale of nonguaranteed elements” means a formula or other
mechanism that produces values for an illustration as if there is no change in
the basis of those values after the time of illustration.
(c)
"Generic name" means a short title which is descriptive of the
premium and benefit patterns of a policy or a rider.
(d)
“Nonguaranteed elements” means the premiums, credited interest rates
(including any bonus), benefits, values, non-interest based
credits, charges, or elements of formulas used to determine any of these, that
are subject to company discretion and are not guaranteed at issue. An element is considered nonguaranteed if any
of the underlying nonguaranteed elements are used in its calculation.
(e)
“Policy data” means a display or schedule of numerical values, both
guaranteed and nonguaranteed for each policy year, or a series of designated
policy years, of the following information:
(1) Illustrated annual, other periodic, and
terminal dividend;
(2) Premiums;
(3) Death benefits;
(4) Cash surrender values; and
(5) Endowment benefits.
(f) "Policy summary" means a written
statement describing the elements of the policy, including, but not limited to:
(1) A prominently placed title as follows: STATEMENT OF POLICY COST AND BENEFIT INFORMATION;
(2) The name and address of the insurance
producer or, if no producer is involved, a statement of the procedure to be
followed in order to receive responses to inquiries regarding the policy summary;
(3) The full name and home office or
administrative office address of the company in which the life insurance policy
is to be or has been written;
(4) The generic name of the basic policy and each
rider;
(5) The following amounts, where applicable, for
the first 5 policy years and representative policy years thereafter sufficient
to clearly illustrate the premium and benefit patterns, including at least one
age from 60 through 65 and policy maturity:
a. The annual premium for the basic policy;
b. The annual premium for each optional rider;
c. The amount payable upon death at the
beginning of the policy year regardless of the cause of death, other than
suicide or other specifically enumerated exclusions, that is provided by the
basic policy and each optional rider, with benefits provided under the basic
policy and each rider shown separately;
d. The total guaranteed cash surrender values at
the end of the year with values shown separately for the basic policy and each
rider; and
e. Any endowment amounts payable under the
policy that are not included under cash surrender values above;
(6) The effective policy loan annual percentage
interest rate, if the policy contains this provision, specifying whether this
rate is applied in advance or in arrears.
If the policy loan interest rate is adjustable, the policy summary shall
also indicate that the annual percentage rate will be determined by the company
in accordance with the provisions of the policy and the applicable law; and
(7) The date on which the policy summary is
prepared.
(g)
"Preneed funeral contract or prearrangement" means an
agreement by or for an individual before that individual's death relating to
the purchase or provision of specific funeral or cemetery merchandise or
services.
Source. #1900, eff 1-1-82; ss by #4287, eff 7-1-87;
ss by #5657, eff 7-1-93; ss by #7015, INTERIM, eff 7-1-99, EXPIRED: 10-29-99
New. #7450, eff 2-16-01; amd by #7536, eff 8-1-01;
paragraphs (a)-(f) EXPIRED: 2-16-09; paragraph (g) EXPIRED: 8-1-09
New. #9651, eff 2-5-10; ss by #12423, eff 2-5-18
Ins 301.04
Duties of Insurers.
(a)
Requirements applicable generally:
(1) The insurer shall provide a buyer's guide to
all prospective purchasers prior to accepting the applicant's initial premium
or premium deposit. However, if the
policy for which application is made contains an unconditional refund provision
of at least 10 days, the buyer’s guide may be delivered with the policy or prior
to delivery of the policy; and
(2) The insurer shall provide a policy summary to
prospective purchasers where the insurer has identified the policy form as one
that will not be marketed with an illustration.
The policy summary shall show guarantees only. It shall consist of a separate document with
all required information set out in a manner that does not minimize or render
any portion of the summary obscure. Any
amounts that remain level for 2 or more years of the policy may be represented
by a single number if it is clearly indicated what amounts are applicable for
each policy year. Amounts in Ins 301.03(f)(5) shall be listed in total, not on a per
thousand or per unit basis. If more than
one insured is covered under one policy or rider, death benefits shall be
displayed separately for each insured or for each class of insureds if death
benefits do not differ within the class.
Zero amounts shall be displayed as a blank space. Delivery of the policy summary shall be consistent
with the time for delivery of the buyer's guide as specified in (a)(1) above.
(b)
Requirements applicable
to existing policies:
(1) Upon request by the policy owner, the insurer
shall furnish either policy data or an in force
illustration as follows:
a. For policies issued prior to the 2017
effective date of Ins 309, the insurer shall furnish policy
data or, at its option, an in force illustration meeting the requirements of
Ins 309;
b. For policies issued after the 2017 effective
date of Ins 309 that were declared not to be used with
an illustration, the insurer shall furnish policy data, limited to guaranteed
values, if it has chosen not to furnish an in force illustration meeting the
requirements of this rule;
c. If the policy was issued after the 2017
effective date of Ins 309 and declared to be used with
an illustration, an in force illustration shall be provided;
d. Unless otherwise requested, the policy data
shall be provided for 20 consecutive years beginning with the previous policy
anniversary. The statement of policy
data shall include nonguaranteed elements according to the current scale, the
amount of outstanding policy loans, and the current policy loan interest
rate. Policy values shown shall be based
on the current application of nonguaranteed elements in effect at the time of
the request. The insurer may not charge
a fee for the preparation of the statement;
(2)
If a life insurance company changes its method of determining scales of
nonguaranteed elements on existing policies, it shall, no later than when the
first payment is made on the new basis, advise each affected policy owner
residing in this state of this change and of its implication on affected
policies. This requirement shall not
apply to policies for which the amount payable upon death under the basic
policy as of the date when advice would otherwise be required does not exceed
$5,000; and
(3) If the insurer makes a material revision in
the terms and conditions under which it will limit its right to change any
nonguaranteed factor, it shall, no later than the first policy anniversary
following the revision, advise each affected policy owner residing in this
state.
Source. #1900, eff 1-1-82; amd by #2141, eff 1-1-83;
ss by #4287, eff 7-1-87; ss by #5657, eff 7-1-93; ss by #7015, INTERIM, eff
7-1-99, EXPIRED: 10-29-99
New. #7450, eff 2-16-01, EXPIRED: 2-16-09
New. #9651, eff 2-5-10; ss by #12423, eff 2-5-18
Ins 301.05 Preneed Funeral
Contracts or Prearrangements. The
following information shall be adequately disclosed at the time an application
is made, prior to accepting the applicant's initial premium or deposit, for a
preneed funeral contract or prearrangement that is funded or to be funded by a
life insurance policy:
(a)
The fact that a life insurance policy is involved or being used to fund
a prearrangement;
(b)
The nature of the relationship among the soliciting producer or
producers, the provider of the funeral or cemetery merchandise or services, the
administrator, and any other person;
(c) The relationship of the life insurance policy
to the funding of the prearrangement, and the nature and existence of any
guarantees relating to the prearrangement;
(d)
The impact on the prearrangement:
(1) Of any changes in the life insurance policy, including
but not limited to changes in the assignment, beneficiary designation, or use
of the proceeds;
(2) Of any penalties to be
incurred by the policyholder as a result of failure to
make premium payments; and
(3) Of any penalties to be incurred or monies to
be received as a result of cancellation or surrender
of the life insurance policy.
(e)
A list of the merchandise and services which are applied or contracted
for in the prearrangement and all relevant information concerning the price of
the funeral services, including an indication that the purchase price is either
guaranteed at the time of purchase or to be determined at the time of need;
(f)
All relevant information concerning what occurs and whether any
entitlements or obligations arise if there is a difference between the proceeds
of the life insurance policy and the amount actually needed to fund the prearrangement;
(g)
Any penalties or restrictions, including but not limited to geographic
restrictions or the inability of the provider to perform, on the delivery of
merchandise, services, or the prearrangement guarantee; and
(h)
If so, the fact that a sales commission or other form of compensation is
being paid and the identity of the individuals or entities to whom it is paid.
Source. #1900, eff 1-1-82; amd by #2141, eff 1-1-83;
ss by #4287, eff 7-1-87; ss by #5657, eff 7-1-93; ss by #7015, INTERIM, eff
7-1-99, EXPIRED: 10-29-99
New. #7450, eff 2-16-01, EXPIRED: 2-16-09
New. #9651, eff 2-5-10; ss by #12423, eff 2-5-18
Ins 301.06 Solicitation of Life Insurance General
Rules.
(a)
Each insurer shall maintain at its home office or principal office a
complete file containing one copy of each document authorized and used by the
insurer pursuant to this part. The file
shall contain one copy of each authorized form for a period of 5 years
following the date of its last authorized use unless otherwise provided by Ins 301. Insurers
must also comply with RSA 400-B:4 and Ins 2602.
(b)
A producer shall inform the prospective purchaser, prior to commencing a
life insurance sales presentation, that they are acting as a life insurance
producer and inform the prospective purchaser of the full name of the insurance
company which the producer is representing to the buyer. In sales situations in which a producer is
not involved, the insurer shall identify its full name.
(c)
An insurance producer shall not use terms such as “financial planner”,
“investment advisor”, “financial consultant”, or “financial counseling” in such
a way as to imply that they are primarily engaged in an advisory business in
which compensation is unrelated to sales, unless that is actually the case and the producer otherwise complies with RSA 402-J:3 and
RSA 405:44-a. This provision is not
intended to:
(1) Preclude persons who hold
some form of formally recognized financial planning or consultant designation
from using this designation even when they are only selling insurance;
(2) Preclude persons who are members of a
recognized trade or professional association having such terms as part of its
name from citing membership, providing that a person citing membership, if
authorized only to sell insurance products, shall disclose that fact; or
(3) Permit persons to charge an additional fee
for services that are customarily associated with the solicitation, negotiation,
or servicing of policies.
(d)
Any reference to nonguaranteed elements shall include a statement that
the item is not guaranteed and is based on the company's current scale of
nonguaranteed elements using the appropriate special term such as "current
dividend" or "current rate" scale. If a nonguaranteed element would be reduced
by the existence of a policy loan, a statement to that effect shall be included
in any reference to nonguaranteed elements.
A presentation or depiction of a policy issued after the effective date
of 2017 Ins 309 that includes nonguaranteed elements
over a period of years shall be governed by this part. Solicitations pertaining to nonguaranteed
elements shall also comply with Ins 2602.05(o).
Source. #1900, eff 1-1-82; amd by #2141, eff 1-1-83;
ss by #4287, eff 7-1-87; ss by #5657, eff 7-1-93; ss by #7015, INTERIM, eff
7-1-99, EXPIRED: 10-29-99
New. #7450, eff 2-16-01, EXPIRED: 2-16-09
New. #9651, eff 2-5-10; ss by #12423, eff 2-5-18
Ins 301.07 Suitability of Recommendation or Sale. Reasonable inquiry shall be made by insurers
and producers to determine the suitability of any recommendations or sales, and
all replacement of life insurance policies shall comply with Ins
302.
Source. #1900, eff 1-1-82; amd by #2141, eff 1-1-83;
ss by #4287, eff 7-1-87; ss by #5657, eff 7-1-93; ss by #7015, INTERIM, eff
7-1-99, EXPIRED: 10-29-99
New. #7450, eff 2-16-01; amd by renumbering and
deleting paragraph (h) and renumbering paragraphs (l) and (m) as (k) and (l) #7536,
eff 8-1-01 (formerly Ins 301.09); paragraphs (a)-(l)
EXPIRED: 2-16-09
New. #9651, eff 2-5-10; ss by #12423, eff 2-5-18
Ins 301.08 Failure to Comply. Failure of an insurer to provide or deliver a
buyer's guide, an in force illustration, a policy
summary, or policy data as provided in Ins 301.04 shall constitute an omission
which misrepresents the benefits, advantages, conditions, or terms of an
insurance policy.
Source. #9651, eff 2-5-10; ss by #12423, eff 2-5-18
(from Ins 301.07)
Ins 301.09 Life Insurance Buyer's Guide.
(a)
The face page of the Buyer's Guide shall read as follows:
LIFE
INSURANCE BUYER'S GUIDE
This guide can help you when you shop for
life insurance. It discusses how to:
Find a Policy That
Meets Your Needs and Fits Your Budget
Decide
How Much Insurance You Need
Make
Informed Decisions When You Buy a Policy
Prepared by the National Association
of Insurance Commissioners
The National Association of Insurance
Commissioners is an association of state insurance regulatory officials. This association helps the various insurance
departments to coordinate insurance laws for the benefit of all consumers.
This
Guide Does Not Endorse Any Company or Policy
Reprinted
by (Company Name)
(Month
and year of printing)
IMPORTANT
THINGS TO CONSIDER:
(1) Review your own insurance needs and
circumstances. Choose the kind of policy
that
has benefits that
most closely fit your needs. Ask a
producer or company to help you.
(2) Be sure that you can handle premium
payments. Can you afford the initial
premium?
If the premium
increases later and you still need insurance, can you still afford it?
(3) Don't sign an insurance application until you
review it carefully to be sure all the
answers are
complete and accurate.
(4) Don't buy life insurance unless you intend to
stick with your plan. It may be very
costly if you quit during the early years of the policy.
(5) Don't drop one policy and buy another without
a thorough study of the new policy and the one you have now. Replacing your insurance may be costly.
(6) Read your policy carefully. Ask your producer or company about anything
that is not
clear to you.
(7) Review your life insurance program with your
producer or company every few years to keep up with changes in your income and
your needs.
(b)
The remaining text of the Buyer's Guide shall begin on page 2 as
follows:
Buying
Life Insurance
When
you buy life insurance, you want coverage that fits your needs
First, decide how much you need - and
for how long - and what you can afford to pay.
Keep in mind that the major reason you buy life insurance is to cover
the financial effects of unexpected or untimely death. Life insurance can also be one of many ways
you plan for the future.
Next, learn what kinds of policies
will meet your needs and pick the one that best suits you.
Then, choose the combination of policy
premium and benefits that emphasizes protection in case of early death, or
benefits in case of long life, or a combination of both.
It
makes good sense to ask a life insurance producer or company to help you. A producer can help you review your insurance
needs and give you information about the available policies. If one kind of policy doesn't seem to fit
your needs, ask about others.
This
guide provides only basic information.
You can get more facts from a life insurance producer or company or from
your public library.
What
About the Policy You Have Now?
If
you are thinking about dropping a life insurance policy, here are some things
you should consider:
(1) If you decide to replace your policy, don't
cancel your old policy until you have received the new
one. You then have a minimum period to
review your new policy and decide if it is what you wanted.
(2) It may be costly to
replace a policy. Much of what you paid
in the early years of the policy you have now, paid
for the company's cost of selling and issuing the policy. You may pay this type of cost
again if you buy a new policy.
(3) Ask your tax advisor if dropping your policy could
affect your income taxes.
(4) If you are older or your health has changed,
premiums for the new policy will often be higher. You will not be able to buy a new policy if
you are not insurable.
(5) You may have valuable rights and benefits in the
policy you now have that are not in the new one.
(6) If the policy you have now no longer meets your needs,
you may not have to replace it. You
might be able to change your policy or add to it to get the coverage or
benefits you now want.
(7) At least in the beginning, a policy may pay
no benefits for some causes of death covered in the policy you have now.
In
all cases, if you are thinking of buying a new policy, check with the producer
or company that issued you the one you have now. When you bought your old policy, you may have
seen an illustration of the benefits or your policy. Before replacing your policy, ask your
producer or company for an updated illustration. Check to see how the policy has performed and
what you might expect in the future, based on the amounts the company is paying
now.
How
Much Do You Need?
Here are some questions to ask
yourself:
(1) How much
of the family income do I provide? If I
were to die early, how would my survivors, especially my children, get by? Does anyone else depend on me financially,
such as a parent, grandparent, brother or sister?
(2) Do I
have children for whom I'd like to set aside money to finish their education in
the event of my death?
(3) How will my family pay final expenses and repay debts
after my death?
(4) Do I have family members or organizations to whom I
would like to leave money?
(5) Will there be estate taxes to pay after my death?
(6) How will inflation affect future needs?
As
you figure out what you have to meet these needs,
count the life insurance you have now, including any group insurance where you
work or veteran's insurance. Don't
forget Social Security and pension plan survivor's benefits. Add other assets you have:
savings, investments, real estate and personal property. Which assets would your family sell or cash
in to pay expenses after your death?
What
Is the Right Kind of Life Insurance?
All
policies are not the same. Some give
coverage for your lifetime and others cover you for a specific number of
years. Some build up cash values and
others do not. Some policies combine
different kinds of insurance, and others let you change from one kind of
insurance to another. Some policies may
offer other benefits while you are still living. Your choice should be based on your needs and
what you can afford.
There
are two basic types of life insurance: term
insurance and cash value insurance.
Term insurance generally has lower premiums in the early years, but does not build up cash values that you can use in
the future. You may combine cash value
life insurance with term insurance for the period of your greatest need for
life insurance to replace income.
Term
Insurance covers you for a term of one or more years. It pays a death benefit only if you die in
that term. Term insurance generally
offers the largest insurance protection for your premium dollar. It generally does not build up cash value.
You
can renew most term insurance policies for one or more terms even if your
health has changed. Each time you renew
the policy for a new term, premiums may be higher. Ask what the premiums will be if you continue
to renew the policy. Also ask if you
will lose the right to renew the policy at some age. For a higher premium, some companies will
give you the right to keep the policy in force for a guaranteed period at the
same price each year. At the end of that
time you may need to pass a physical examination to
continue coverage, and premiums may increase.
You may be able to
trade many term insurance policies for a cash policy during a conversion
period—even if you are not in good health.
Premiums for the new policy will be higher than you have been paying for
the term insurance.
Cash
Value Life Insurance is a type of insurance where the
premiums charged are higher at the beginning then they would be for the same
amount of term insurance. The part of
the premium that is not used for the cost of insurance is invested by the company
and builds up a cash value that may be used in a variety of ways. You may borrow against a policy's cash value
by taking a policy loan. If you don't
payback the loan and the interest on it, the amount you owe will be subtracted
from the benefits when you die, or from the cash value if you stop paying
premiums and take out the remaining cash value.
You can also use your cash value to keep insurance protection for a
limited time or to buy a reduced amount without having to pay more premiums. You can also use the cash value to increase
your income in retirement or to help pay for needs such as a child's tuition
without canceling the policy. However,
to build up this cash value, you must pay higher premiums in the earlier years
of the policy. Cash value life insurance
may be one of several types: whole life,
universal life and variable life are all types of cash value insurance.
Whole
Life Insurance covers you for as long as you live if
your premiums are paid. You generally
pay the same amount in premiums for as long as you live. When you first take out the policy, premiums
can be several times higher than you would pay initially for the same amount of
term insurance. But they are smaller
than the premiums you would eventually pay if you were to keep renewing a term
policy until your later years.
Some
whole life policies let you pay premiums for a shorter period such as 20 years,
or until age 65. Premiums for these
policies are higher since the premium payments are made during a shorter
period.
Universal
Life Insurance is a kind of flexible policy that lets
you vary your premium payments. You can
also adjust the face amount of your coverage.
Increases may require proof that you qualify for the new death
benefit. The premiums you pay, less
expense charges, go into a policy account that earns interest. Charges are deducted from the account. If your yearly premium payment plus the
interest in your account earns is less than the charges, your account value
will become lower. If it keeps dropping,
eventually your coverage will end. To
prevent that, you may need to start making premium payments, or increase your
premium payments, or lower your death benefits.
Even if there is enough in your account to pay premiums, continuing to
pay premiums yourself means that you build up more cash value.
Variable
Life Insurance is a kind of insurance where the death
benefits and cash values depend on the investment performance of one or more
separate accounts, which may be invested in mutual funds or other investments
allowed under the policy. Be sure to get
the prospectus from the company when buying this kind of policy and STUDY IT
CAREFULLY. You will have higher death
benefits and cash value if the underlying investments do well. Your benefits and cash value will be lower or
may disappear if the investments you choose didn't do as well as you
expected. You may pay an extra premium
for a guaranteed death benefit.
Life
Insurance Illustrations
You
may be thinking of buying a policy where cash values, death benefits, dividends
or premiums may vary based on events or situations the company does not
guarantee, such as interest rates. If
so, you may get an illustration from the producer or company that helps explain
how the policy works. The illustration
will show how the benefits that are not guaranteed will change as interest
rates and other factors change. The
illustration will show you what the company guarantees. It will also show you what could happen in
the future. Remember that nobody knows
what will happen in the future. You should
be ready to adjust your financial plans if the cash value doesn't increase as
quickly as shown in the illustration.
You will be asked to sign a statement that says you understand that some
of the numbers in the illustration are not guaranteed.
Finding
a Good Value in Life Insurance
After you have decided which kind of
life insurance is best for you, compare similar policies from different
companies to find which one is likely to give you the best value for your
money. A simple comparison of the premiums
is not enough. There are other things to
consider. For example:
(1) Do premiums or benefits vary from year to
year?
(2) How much do the benefits build up in the
policy?
(3) What part of the premiums or benefits is not
guaranteed?
(4) What is the effect of interest on money paid
and received at different times on the policy?
(g)
Remember that no one company offers the lowest cost at all ages
for all kinds and amounts of insurance.
You should also consider other factors:
(1) How quickly does the cash value grow? Some policies have low cash values in the
early years that build quickly later on. Other policies have a more level cash value
build-up. A year-by-year display of
values and benefits can be very helpful.
(The producer or company will give you a policy summary or illustration
that will show benefits and
premiums
for selected years.)
(2) Are there special policy features that
particularly suit your needs?
(3) How are nonguaranteed values calculated? For example, interest rates are important in
determining policy returns. In some
companies increases reflect the average interest earnings on all
of that company's policies regardless of when issue. In others, the return for policies issued in a
recent year, or a group of years, reflects the interest earnings on that group
of policies; in this case, amounts paid are likely to change more rapidly when
interest rates change.
Source. #12423, eff 2-5-18 (from Ins
301.08)
Ins 301.10 Waiver or Suspension of Rules.
(a)
The commissioner, upon the commissioner’s own initiative or upon request
by an insurer, shall waive any requirement of this chapter if such waiver does not
contradict the objective or intent of the rule and:
(1) Applying the rule provision would result in a
form that is inaccurate, would cause confusion, or would be misleading to consumers;
(2)
The rule provision is in whole or in part inapplicable to or inconsistent with
the form of policy;
(3) There are specific circumstances unique to
the form such that strict compliance with the rule would be onerous without
promoting the objective or intent of the rule provision; or
(4) Any other similar extenuating circumstances
exist such that application of an alternative standard or procedure better
promotes the objective or intent of the rule provision.
(b)
No requirement prescribed by statute shall be waived unless expressly
authorized by law.
(c)
Any person making a form filing and seeking a waiver shall make a
request in writing.
(d)
A request for a waiver shall specify the basis for the waiver and
proposed alternative, if any.
Source. #12423, eff 2-5-18
PART
Ins 302 LIFE INSURANCE AND ANNUITIES
REPLACEMENT
Statutory
Authority: RSA 400-A:15, I; RSA
402-J:18; RSA 408:52, II
Ins 302.01 Purpose.
(a)
The purpose of this part is:
(1) To regulate the activities of insurers and
producers with respect to the replacement of existing life insurance and
annuities; and
(2) To protect the interests of life insurance
and annuity purchasers by establishing minimum standards of conduct to be
observed in replacement or financed purchase transactions. It will:
a. Assure that purchasers receive information
with which a decision can be made in their own best interest;
b. Reduce the opportunity for misrepresentation
and incomplete disclosure; and
c. Establish penalties for failure to comply
with requirements of this part.
Source. #7537, eff 8-1-01; ss by #9571, eff 10-21-09;
ss by #12375, eff 10-21-17
Ins 302.02 Scope.
(a)
Unless otherwise specifically included, this part shall not apply to
transactions involving:
(1) Credit life insurance;
(2) Group life insurance or group annuities where
there is no direct solicitation of individuals by an insurance[WC1]
producer. Direct solicitation shall not
include any group meeting held by an insurance producer solely for the purpose
of educating or enrolling individuals or, when initiated by an individual
member of the group, assisting with the selection of investment options offered
by a single insurer in connection with enrolling that individual. Group life insurance or group annuity
certificates marketed through direct response solicitation shall be subject to
the provisions of Ins 302.08;
(3) Group life insurance and annuities used to
fund prearranged funeral contracts;
(4) An application to the existing insurer that
issued the existing policy or contract when a contractual change or a
conversion privilege is being exercised; or, when the existing policy or
contract is being replaced by the same insurer pursuant to a program filed with
and approved by the commissioner; or, when a term conversion privilege is
exercised among corporate affiliates;
(5) Proposed life insurance that is to replace
life insurance under a binding or conditional receipt issued by the same company;
(6) Policies or contracts used to fund:
a. An employee pension or welfare benefit plan
that is covered by the Employee Retirement and Income Security Act (ERISA);
b. A plan described by Sections 401(a), 401(k)
or 403(b) of the Internal Revenue Code where the plan, for purposes of
ERISA, is established or maintained by an employer;
c. A governmental or church plan defined in
Section 414, a governmental or church welfare benefit plan, or a deferred
compensation plan of a state or local government or tax
exempt organization under Section 457 of the Internal Revenue Code; or
d. A nonqualified deferred compensation
arrangement established or maintained by an employer or plan sponsor;
(7) Notwithstanding subparagraph (6) above, this
rule shall apply to policies or contracts used to fund any plan or arrangement
that is funded solely by contributions an employee elects to make, whether on a
pre-tax or after-tax basis, and where the insurer has been notified that plan
participants may choose from among 2 or more insurers and there is a direct
solicitation of an individual employee by an insurance producer for the
purchase of a contract or policy. As
used in this subsection, direct solicitation shall not include any group
meeting held by an insurance producer solely for the purpose of educating
individuals about the plan or arrangement or enrolling individuals in the plan
or arrangement or, when initiated by an individual employee, assisting with the
selection of investment options offered by a single insurer in connection with
enrolling that individual employee;
(8) Where new coverage is provided under a life
insurance policy or contract and the cost is borne wholly by the insured’s
employer or by an association of which the insured is a member;
(9) Existing life insurance that is a
non-convertible term life insurance policy that will expire in 5 years or less
and cannot be renewed; or
(10) Structured settlements.
(b)
Registered contracts shall be exempt from the requirements of Ins 302.06(a)(2) and Ins 302.07(a)(1) with respect to the
provision of illustrations or policy summaries; however, premium or contract
contribution amounts and identification of the appropriate prospectus or
offering circular shall be required instead.
Source. #7537, eff 8-1-01; ss by #9571, eff 10-21-09;
ss by #12375, eff 10-21-17
Ins 302.03 Definitions.
(a)
“Direct-response solicitation” means a solicitation through a sponsoring
or endorsing entity or individually solely through mails, telephone, the
Internet, or other mass communication media.
(b)
“Existing insurer” means the insurance company whose policy or contract
is or will be changed or affected in a manner described within the definition
of “replacement”.
(c)
“Existing policy or contract” means an individual life insurance policy
or annuity contract in force, including a policy under a binding or conditional
receipt or a policy or contract that is within an unconditional refund period.
(d)
“Financed purchase” means the purchase of a new policy involving the
actual or intended use of funds obtained by the withdrawal or surrender of, or
by borrowing from values of an existing policy to pay all or part of any
premium due on the new policy. For
purposes of a regulatory review of an individual transaction only, if a
withdrawal, surrender or borrowing involving the policy values of an existing
policy is used to pay premiums on a new policy owned by the same policyholder
and issued by the same company within 4 months before or 13 months after the
effective date of the new policy, it will be deemed prima facie evidence of the
policyholder’s intent to finance the purchase of the new policy with existing
policy values. This prima facie standard
is not intended to increase or decrease the monitoring obligations contained in
Ins 302.05(a)(5).
(e)
“Illustration” means a presentation or depiction that includes
non-guaranteed elements of a policy of life insurance over a period of years as
defined in Ins 309.
(f)
“Policy summary” means:
(1) For policies or contracts other than
universal life policies, means a written statement regarding a policy or
contract which shall contain to the extent applicable, but need not be limited
to, the following information:
a. Current death benefit;
b.
Annual contract premium;
c. Current cash surrender value;
d. Current dividend;
e. Application of current dividend; and
f. Amount of outstanding loan;
(2) For universal life policies, means a written
statement that shall contain at least the following information:
a. The beginning and end date of the current
report period;
b. The policy value at the end of the previous
report period and at the end of the current report period;
c. The total amounts that have been credited or
debited to the policy value during the current report period, identifying each
type, such as interest, mortality, expense, and riders;
d. The current death benefit at the end of the
current report period on each life covered by the policy;
e. The net cash surrender value of the policy as
of the end of the current report period; and
f. The amount of outstanding loans, if any, as
of the end of the current report period.
(g)
“Producer” shall be defined to include agents, brokers, and producers.
(h)
“Replacing insurer” means the insurance company that issues or proposes
to issue a new policy or contract that replaces an existing policy or contract
or is a financed purchase.
(i)
“Registered contract” means a variable annuity contract or variable life
insurance policy subject to the prospectus delivery requirements of the
Securities Act of 1933.
(j)
“Replacement” means a transaction in which a new policy or contract is
to be purchased, and it is known or should be known to the proposed producer,
or to the proposing insurer if there is no producer, that by reason of the
transaction, an existing policy or contract has been or is to be:
(1)
Lapsed, forfeited, surrendered, or
partially surrendered, assigned to the replacing insurer or otherwise terminated;
(2) Converted to reduced paid-up insurance,
continued as extended term insurance, or otherwise reduced in value by the use
of nonforfeiture benefits or other policy values;
(3) Amended so as to effect either a reduction in
benefits or in the term for which coverage would otherwise remain in force or
for which benefits would be paid;
(4) Reissued with any reduction in cash value; or
(5) Used in a financed purchase.
(k)
“Sales material” means a sales illustration and any other written,
printed, or electronically presented information created, or completed or
provided by the company or producer and used in the presentation to the policy
or contract owner related to the policy or contract purchased.
Source. #7537, eff 8-1-01; ss by #9571, eff 10-21-09;
ss by #12375, eff 10-21-17
Ins 302.04 Duties of Producers.
(a)
A producer who initiates an application shall submit to the insurer,
with or as part of the application, a statement signed by both the applicant
and the producer as to whether the applicant has existing policies or
contracts. If the answer is “no,” the
producer’s duties with respect to replacement are complete.
(b)
If the applicant answered “yes” to the question regarding existing
coverage referred to in (a) above, the producer shall present and read to the
applicant not later than at the time of taking the application, a notice
regarding replacements in the form as described in Appendix A or other
substantially similar form approved by the commissioner. However, no approval shall be required when
amendments to the notice are limited to the omission of references not
applicable to the product being sold or replaced. The notice shall be signed by both the
applicant and the producer attesting that the notice has been read aloud by the
producer or that the applicant did not wish the notice to be read aloud (in
which case the producer need not have read the notice aloud) and left with the
applicant.
(c)
The notice shall list all life insurance policies or annuities proposed
to be replaced, properly identified by name of insured, the insurer or
annuitant, and policy or contract number if available; and shall include a
statement as to whether each policy or contract will be replaced or whether a
policy will be used as a source of financing for the new policy or
contract. If a policy or contract number
has not been issued by the existing insurer, alternative identification, such
as an application or receipt number, shall be listed.
(d)
In connection with a replacement transaction the producer shall leave
with the applicant at the time an application for a new policy or contract is
completed the original or a copy of all sales material. With respect to electronically presented
sales material, it shall be provided to the policy or contract owner in printed
form no later than at the time of policy or contract delivery.
(e)
Except as provided in Ins 302.06(c), in connection with a replacement
transaction, the producer shall submit to the insurer, to which an application
for a policy or contract is presented, a copy of each document required by this
section, a statement identifying any preprinted or electronically presented
company approved sales materials used, and copies of any individualized sales
materials, including any illustrations related to the specific policy or
contract purchased.
Source. #7537, eff 8-1-01; ss by #9571, eff 10-21-09;
ss by #12375, eff 10-21-17
Ins 302.05 Duties of Insurers that Use Producers.
(a)
Each insurer shall maintain a system of supervision and control to insure compliance with the requirements of this rule that
shall include at least the following:
(1) Inform its producers of the requirements of
this rule and incorporate the requirements of this rule into all relevant
producer training manuals prepared by the insurer;
(2) Provide to each producer a written statement
of the company’s position with respect to the acceptability of replacements
providing guidance to its producer as to the appropriateness of these transactions;
(3) A system to review the appropriateness of
each replacement transaction that the producer does not indicate is in accord
with paragraph (2) above;
(4) Procedures to confirm that the requirements
of this rule have been met; and
(5) Procedures to detect transactions that are
replacements of existing policies or contracts by the existing insurer, but
that have not been reported as such by the applicant or producer. Compliance with this rule may include, but
shall not be limited to, systematic customer surveys, interviews, confirmation
letters, or programs of internal monitoring.
(b)
Each insurer shall have the capacity to monitor each producer’s life
insurance policy and annuity contract replacements for that insurer, and shall
produce, upon request, and make such records available to the department. The capacity to monitor shall include the
ability to produce records for each producer’s:
(1) Life replacements, including financed
purchases, as a percentage of the producer’s total annual sales for life insurance;
(2) Number of lapses of policies by the producer
as a percentage of the producer’s total annual sales for life insurance;
(3) Annuity contract replacements as a percentage
of the producer’s total annual annuity contract sales;
(4) Number of transactions that are unreported
replacements of existing policies or contracts by the existing insurer detected
by the company’s monitoring system as required by (a)(5) above; and
(5) Replacements, indexed by replacing producer
and existing insurer.
(c)
Each insurer shall require with or as a part of each application for
life insurance or an annuity a signed statement by both the applicant and the
producer as to whether the applicant has existing policies or contracts.
(d)
Each insurer shall require with each application for life insurance or
an annuity that indicates an existing policy or contract a completed notice
regarding replacements as contained in Appendix A.
(e)
When the applicant has existing policies or contracts, each insurer
shall be able to produce copies of any sales material required by Ins 302.04(e), the basic illustration and any supplemental
illustrations related to the specific policy or contract that is purchased, and
the producer’s and applicant’s signed statements with respect to financing and
replacement for at least 5 years after the termination or expiration of the
proposed policy or contract.
(f) Each insurer shall ascertain that the sales
material and illustrations required by Ins 302.04(e)
of this rule meet the requirements of this rule and are complete and accurate
for the proposed policy or contract.
(g)
If an application does not meet the requirements of this rule, notify
the producer and applicant and fulfill the outstanding
requirements.
(h)
Each insurer shall maintain records in paper, photograph, microprocess,
magnetic, mechanical, or electronic media or by any process that accurately
reproduces the actual document.
Source. #7537, eff 8-1-01; ss by #9571, eff 10-21-09;
ss by #12375, eff 10-21-17
Ins 302.06 Duties of Replacing Insurers that Use
Producers.
(a)
Where a replacement is involved in the transaction, the replacing
insurer shall:
(1) Verify that the required forms are received
and are in compliance with this rule;
(2) Notify any other existing insurer that may be
affected by the proposed replacement within 5 business days of receipt of a
completed application indicating replacement or when the replacement is
identified, if not indicated on the application, and mail a copy of the
available illustration or policy summary for the proposed policy or available
disclosure document for the proposed contract within 5 business days of a
request from an existing insurer;
(3) Be able to produce copies of the notification
regarding replacement required in Ins 302.04(b), indexed
by producer, for at least 5 years or until the next regular examination by the
insurance department of a company’s state of domicile, whichever is later; and
(4) Provide to the policy or contract owner
notice of the right to return the policy or contract within 30 days of the
delivery of the contract and receive an unconditional full refund of all
premiums or considerations paid on it, including any policy fees or charges or,
in the case of a variable or market value adjustment policy or contract, a
payment of the cash surrender value provided under the policy or contract plus
the fees and other charges deducted from the gross premiums or considerations
imposed under such policy or contract; such notice may be included in Appendix
A or C.
(b)
In transactions where the replacing insurer and the existing insurer are
the same or subsidiaries or affiliates under common ownership or control,
allow credit for the period of time that has elapsed under the replaced policy’s or contract’s incontestability and suicide period
up to the face amount of the existing policy or contract. With regard to
financed purchases, the credit may be limited to the amount the face amount of
the existing policy is reduced by the use of existing policy values to fund the
new policy or contract.
(c)
If an insurer prohibits the use of sales material other than that
approved by the company, as an alternative to the requirements made of an
insurer pursuant to Ins 302.04(e), the insurer may:
(1) Require with each application a statement
signed by the producer that:
a. Represents that the producer used only
company-approved sales material; and
b. States that copies of all sales material were
left with the applicant in accordance with Ins 302.04(d);
(2) Within 10 days of the issuance of the policy
or contract:
a. Notify the applicant by sending a letter or
by verbal communication with the applicant by a person whose duties are separate
from the marketing area of the insurer, that the producer has represented that
copies of all sales material have been left with the applicant in accordance
with Ins 302.04(d);
b. Provide the applicant with a toll free number to contact company personnel involved in
the compliance function if such is not the case; and
c. Stress the importance of retaining copies of
the sales material for future reference; and
(3) Be able to produce a copy of the letter or
other verification in the policy file for at least 5 years after the
termination or expiration of the policy or contract.
Source. #7537, eff 8-1-01; ss by #9571, eff 10-21-09;
ss by #12375, eff 10-21-17
Ins 302.07 Duties of the Existing Insurer.
(a)
Where a replacement is involved in the transaction, the existing insurer
shall:
(1) Retain and be able to produce all replacement
notifications received, indexed by replacing insurer, for at least 5 years or
until the conclusion of the next regular examination conducted by the insurance
department of its state of domicile, whichever is later;
(2) Send a letter to the policy or contract owner
of the right to receive information regarding the existing policy or contract
values including, if available, an in force
illustration or policy summary if an in force illustration cannot be produced
within 5 business days of receipt of a notice that an existing policy or
contract is being replaced. The
information shall be provided within 5 business days of receipt of the request
from the policy or contract owner; and
(3) Upon receipt of a request to borrow,
surrender or withdraw any policy values, send a notice, advising the policy
owner that the release of policy values may affect the guaranteed elements,
non-guaranteed elements, face amount or surrender value of the policy from
which the values are released. The
notice shall be sent separate from the check if the check is sent to anyone
other than the policy owner. In the case
of consecutive automatic premium loans, the insurer is only required to send
the notice at the time of the first loan.
Source. #7537, eff 8-1-01; ss by #9571, eff 10-21-09;
ss by #12375, eff 10-21-17
Ins 302.08 Duties of Insurers with Respect to Direct
Response Solicitations.
(a)
In the case of an application that is initiated as a
result of a direct response solicitation, the insurer shall require,
with or as part of each completed application for a policy or contract, a
statement asking whether the applicant, by applying for the proposed policy or
contract, intends to replace, discontinue or change an existing policy or
contract. If the applicant indicates a
replacement or change is not intended or if the applicant fails to respond to
the statement, the insurer shall send the applicant, with the policy or
contract, a notice regarding replacement in Appendix B, or other substantially
similar form approved by the commissioner.
(b)
If the insurer has proposed the replacement or if the applicant
indicates a replacement is intended and the insurer continues with the
replacement, the insurer shall:
(1) Provide to applicants or prospective
applicants with the policy or contract a notice, as described in Appendix C, or
other substantially similar form approved by the commissioner. In these instances
the insurer may delete the references to the producer, including the producer’s
signature, and references not applicable to the product being sold or replaced,
without having to obtain approval of the form from the commissioner. The insurer’s obligation to obtain the
applicant’s signature shall be satisfied if it can demonstrate that it has made
a diligent effort to secure a signed copy of the notice referred to in this
paragraph. The requirement to make a
diligent effort shall be deemed satisfied if the insurer includes in the
mailing a self-addressed postage prepaid envelope with instructions for the
return of the signed notice referred to in this section; and
(2) Comply with the requirements of Ins 302.06(a)(2), if the applicant furnishes the names of
the existing insurers, and the requirements of Ins 302.06(a)(3), Ins
302.06(a)(4), and Ins 302.06(b).
Source. #7537, eff 8-1-01; ss by #9571, eff 10-21-09;
ss by #12375, eff 10-21-17
Ins 302.09 Violations and Penalties.
(a)
Any failure to comply with this rule shall be considered a violation of
RSA 417:4. Examples of violations
include:
(1) Any deceptive or misleading information set
forth in sales material;
(2) Failing to ask the applicant in completing
the application the pertinent questions regarding the possibility of financing
or replacement;
(3) The intentional incorrect recording of an answer;
(4) Advising an applicant to respond negatively
to any questions regarding replacement in order to
prevent notice to the existing insurer; or
(5) Advising a policy or contract owner to write
directly to the company in such a way as to attempt to obscure the identity of
the replacing producer or company.
(b)
Policy and contract owners have the right to replace existing life
insurance policies or annuity contracts after indicating in or as a part of
applications for new coverage that replacement is not their intention; however,
patterns of such action by policy or contract owners of the same producer shall
be deemed prima facie evidence of the producer’s knowledge that replacement was
intended in connection with the identified transactions, and these patterns of
action shall be deemed prima facie evidence of the producer’s intent to violate
this rule.
(c)
Where it is determined that the requirements of this rule have not been
met, the replacing insurer shall provide to the policy owner an in force illustration, if available, or policy summary for
the replacement policy or available disclosure document for the replacement
contract and the appropriate notice regarding replacements in Appendix A or C.
(d)
Any violations of these rules shall be subject to the penalties imposed
by RSA 402-J:12 and RSA 417:10 or subject to such suspension or revocation of
certificate of authority or license, or administrative fine not to exceed $2,500
per violation, as may be applicable under Title XXXVII.
Source. #7537, eff 8-1-01; ss by #9571, eff 10-21-09;
ss by #12375, eff 10-21-17
Ins 302.10 Waiver or Suspension of Rules.
(a)
The commissioner, upon the commissioner’s own initiative or upon request
by an insurer, shall waive any requirement of Ins 302
if such waiver does not contradict the objective or intent of the rule and:
(1) Applying the rule provision would cause
confusion or would be misleading to consumers;
(2) The rule provision is in whole or in part
inapplicable to the given circumstances;
(3) There are specific circumstances unique to
the situation such that strict compliance with the
rule would be onerous without promoting the objective or intent of the rule
provision; or
(4) Any other similar extenuating circumstances
exist such that application of an alternative standard or procedure better
promotes the objective or intent of the rule provision.
(b)
No requirement prescribed by statute shall be waived unless expressly
authorized by law.
(c)
Any person or entity seeking a waiver shall make a request in writing.
(d)
A request for a waiver shall specify the basis for the waiver and
proposed alternative, if any.
Source. #12375, eff 10-21-17
APPENDIX A
IMPORTANT NOTICE:
REPLACEMENT OF LIFE INSURANCE OR
ANNUITIES
This
document must be signed by the applicant and the producer, if there is one,
and
a copy left with the applicant.
You
are contemplating the purchase of a life insurance policy or annuity
contract. In some cases
this purchase may involve discontinuing or changing an existing policy or
contract. If so, a replacement is
occurring. Financed purchases are also considered replacements.
A
replacement occurs when a new policy or contract is purchased and, in
connection with the sale, you discontinue making premium payments on the
existing policy or contract, or an existing policy or contract is surrendered,
forfeited, assigned to the replacing insurer, or otherwise terminated or used
in a financed purchase.
A
financed purchase occurs when the purchase of a new life insurance policy
involves the use of funds obtained by the withdrawal or surrender of or by
borrowing some or all of the policy values, including
accumulated dividends, of an existing policy to pay all or part of any premium
or payment due on the new policy. A
financed purchase is a replacement.
You
should carefully consider whether a replacement is in your best interests. You will pay acquisition costs and there may
be surrender costs deducted from your policy or contract. You may be able to make changes to your existing
policy or contract to meet your insurance needs at less cost. A financed purchase will reduce the value of
your existing policy and may reduce the amount paid upon the death of the
insured.
We
want you to understand the effects of replacements before you make your
purchase decision and ask that you answer the following questions and consider
the questions on the back of this form.
1. Are you considering discontinuing making
premium payments, surrendering, forfeiting, assigning to the insurer, or otherwise
terminating your existing policy or contract? ___YES ___NO
2. Are you considering using funds from your
existing policies or contracts to pay premiums due on the new policy or
contract? ___YES ___NO
If
you answered “yes” to either of the above questions, list each existing policy
or contract you are contemplating replacing (include the name of the insurer,
the insured or annuitant, and the policy or contract number if available) and
whether each policy or contract will be replaced or used as a source of
financing:
INSURER
NAME CONTRACT OR INSURED OR REPLACED (R) OR
POLICY # ANNUITANT FINANCING (F)
1.
2.
3.
Make
sure you know the facts. Contact your
existing company or its agent for information about the old policy or
contract. If you request one, an in force illustration, policy summary or available
disclosure documents must be sent to you by the existing insurer. Ask for and retain all sales material used by
the agent in the sales presentation. Be
sure that you are making an informed decision.
The
existing policy or contract is being replaced because
_____________________________________
I
certify that the responses herein are, to the best of my knowledge, accurate:
_________________________________________ ______________________
Applicant’s
Signature and Printed Name Date
_________________________________________ ______________________
Producer’s
Signature and Printed Name Date
I
do not want this notice read aloud to me.____ (Applicants must initial only if
they do not want the notice read aloud.)
A
replacement may not be in your best interest, or your decision could be a good
one. You should make a careful
comparison of the costs and benefits of your existing policy or contract and
the proposed policy or contract. One way
to do this is to ask the company or agent that sold you your existing policy or
contract to provide you with information concerning your existing policy or
contract. This may include an
illustration of how your existing policy or contract is working now and how it
would perform in the future based on certain assumptions. Illustrations should not, however, be used as
a sole basis to compare policies or contracts.
You should discuss the following with your agent to determine whether
replacement or financing your purchase makes sense:
PREMIUMS: Are
they affordable?
Could they change?
You’re older – are
premiums higher for the proposed new policy?
How long will you have
to pay premiums on the new policy? On
the old policy?
POLICY
VALUES: New policies usually take
longer to build cash values and to pay dividends.
Acquisition
costs for the old policy may have been paid, you will incur costs for the new
one.
What surrender
charges do the policies have?
What expense
and sales charges will you pay on the new policy?
Does the new
policy provide more insurance coverage?
INSURABILITY: If your health has changed since you
bought your old policy, the new one could cost you more, or you could be turned
down.
You may need a
medical exam for a new policy.
Claims on most
new policies for up to the first two years can be denied based
on inaccurate
statements.
Suicide
limitations may begin anew on the new coverage.
IF
YOU ARE KEEPING THE OLD POLICY AS WELL AS THE NEW POLICY:
How are premiums for
both policies being paid?
How will the premiums
on your existing policy be affected?
Will a loan be
deducted from death benefits?
What values from the
old policy are being used to pay premiums?
IF
YOU ARE SURRENDERING AN ANNUITY OR INTEREST SENSITIVE LIFE PRODUCT:
Will you pay surrender
charges on your old contract?
What are the interest rate guarantees for the new contract?
Have you compared the
contract charges or other policy expenses?
OTHER
ISSUES TO CONSIDER FOR ALL TRANSACTIONS:
What are the tax
consequences of buying the new policy?
Is this a tax free exchange?
(See your tax advisor.)
Is
there a benefit from favorable “grandfathered” treatment of the old policy
under the federal tax code?
Will
the existing insurer be willing to modify the old policy?
How
does the quality and financial stability of the new company compare with your
existing company?
APPENDIX B
NOTICE REGARDING REPLACEMENT
REPLACING YOUR LIFE INSURANCE
POLICY OR ANNUITY?
Are
you thinking about buying a new life insurance policy or annuity and
discontinuing or changing an existing one?
If you are, your decision could be a good one – or a mistake. You will not know for sure unless you make a
careful comparison of your existing benefits and the proposed policy or
contract’s benefits.
Make
sure you understand the facts. You
should ask the company or agent that sold you your existing policy or contract
to give you information about it.
Hear
both sides before you decide. This way
you can be sure you are making a decision that is in your best interest.
APPENDIX C
IMPORTANT NOTICE:
REPLACEMENT OF LIFE INSURANCE OR
ANNUITIES
You
are contemplating the purchase of a life insurance policy or annuity
contract. In some cases
this purchase may involve discontinuing or changing an existing policy or
contract. If so, a replacement is
occurring. Financed purchases are also considered replacements.
A
replacement occurs when a new policy or contract is purchased and, in
connection with the sale, you discontinue making premium payments on the
existing policy or contract, or an existing policy or contract is surrendered,
forfeited, assigned to the replacing insurer, or otherwise terminated or used
in a financed purchase.
A
financed purchase occurs when the purchase of a new life insurance policy
involves the use of funds obtained by the withdrawal or surrender of or by
borrowing some or all of the policy values, including
accumulated dividends, of an existing policy to pay all or part of any premium
or payment due on the new policy. A
financed purchase is a replacement.
You
should carefully consider whether a replacement is in your best interests. You will pay acquisition costs and there may
be surrender costs deducted from your policy or contract. You may be able to make changes to your
existing policy or contract to meet your insurance needs at less cost. A financed purchase will reduce the value of
your existing policy and may reduce the amount paid upon the death of the
insured.
We
want you to understand the effects of replacements before you make your
purchase decision and ask that you answer the following questions and consider
the questions on the back of this form.
1. Are you considering discontinuing making
premium payments, surrendering, forfeiting, assigning to the insurer, or
otherwise terminating your existing policy or contract? ___YES ___NO
2. Are you considering using funds from your
existing policies or contracts to pay premiums due on the new policy or contract? ___YES ___NO
If
you answered “yes” to either of the above questions, list each existing policy
or contract you are contemplating replacing (include the name of the insurer,
the insured or annuitant, and the policy or contract number if available) and
whether each policy or contract will be replaced or used as a source of
financing:
INSURER
NAME CONTRACT OR INSURED OR REPLACED (R) OR
POLICY # ANNUITANT FINANCING (F)
1.
2.
3.
Make
sure you know the facts. Contact your
existing company or its agent for information about the old policy or
contract. If you request one, an in force illustration, policy summary or available
disclosure documents must be sent to you by the existing insurer. Ask for and retain all sales material used by
the agent in the sales presentation. Be
sure that you are making an informed decision.
I
certify that the responses herein are, to the best of my knowledge, accurate:
_________________________________________ ______________________
Applicant’s
Signature and Printed Name Date
A
replacement may not be in your best interest, or your decision could be a good
one. You should make a careful
comparison of the costs and benefits of your existing policy or contract and
the proposed policy or contract. One way
to do this is to ask the company or agent that sold you your existing policy or
contract to provide you with information concerning your existing policy or
contract. This may include an
illustration of how your existing policy or contract is working now and how it
would perform in the future based on certain assumptions. Illustrations should not, however, be used as
a sole basis to compare policies or contracts.
You should discuss the following with your agent to determine whether
replacement or financing your purchase makes sense:
PREMIUMS: Are
they affordable?
Could they change?
You’re older – are
premiums higher for the proposed new policy?
How long will you have
to pay premiums on the new policy? On
the old policy?
POLICY
VALUES: New policies usually take
longer to build cash values and to pay dividends.
Acquisition
costs for the old policy may have been paid, you will incur costs for the new
one.
What surrender
charges do the policies have?
What expense
and sales charges will you pay on the new policy?
Does the new
policy provide more insurance coverage?
INSURABILITY: If your health has changed since you
bought your old policy, the new one could cost you more, or you could be turned
down.
You may need a
medical exam for a new policy.
Claims
on most new policies for up to the first two years can be denied based on
inaccurate statements.
Suicide
limitations may begin anew on the new coverage.
IF
YOU ARE KEEPING THE OLD POLICY AS WELL AS THE NEW POLICY:
How are premiums for
both policies being paid?
How will the premiums
on your existing policy be affected?
Will a loan be
deducted from death benefits?
What values from the
old policy are being used to pay premiums?
IF
YOU ARE SURRENDERING AN ANNUITY OR INTEREST SENSITIVE LIFE PRODUCT:
Will you pay surrender
charges on your old contract?
What are the interest rate guarantees for the new contract?
Have you compared the
contract charges or other policy expenses?
OTHER
ISSUES TO CONSIDER FOR ALL TRANSACTIONS:
What are the tax consequences of buying the new policy?
Is this a tax free exchange?
(See your tax advisor.)
Is there a benefit
from favorable “grandfathered” treatment of the old policy under the federal
tax code?
Will the existing insurer
be willing to modify the old policy?
How does the quality
and financial stability of the new company compare with your existing company?
PART
Ins 303 DEPOSIT TERM LIFE INSURANCE
Ins 303.01 Purpose. The purpose of this part is to require insurance
companies and agents to disclose certain information to purchasers of deposit
term life insurance products prior to the consummation of the sale in order to guarantee that deposit term life insurance
products are properly sold by the agent and fully explained to the buyer.
Source. #7450, eff 2-16-01
Ins 303.02 Scope.
(a)
This part shall apply to all policies or plans of life insurance defined
in Ins 303.03(a) as deposit term life insurance.
(b)
This part does not prohibit the use of additional material which is not
in violation of this part or any other statute or part.
Source. #1900, eff 1-1-82; ss by #4287, eff 7-1-87;
ss by #5657, eff 7-1-93; ss by #7015, INTERIM, eff 7-1-99, EXPIRED: 10-29-99
New. #7450, eff 2-16-01
Ins 303.03 Definitions.
(a)
"Commissioner" means the insurance commissioner of the state
of
(b)
"Deposit term life insurance" means those policies or plans
which provide that an additional first year premium shall be paid in order that
certain values and options will be available at the end of the initial term
period or upon a specific policy anniversary and which additional first year
premium is typically forfeited, in whole or in part, if the policy terminates
for any reason in its early years other than for death of the insured deposit
term life insurance includes term insurance, modified premium term insurance
and modified premium whole life insurance.
(c)
"Policy" means the entire contract between the insured and the
insurer.
Source. #1900, eff 1-1-82; ss by #4287, eff 7-1-87;
ss by #5657, eff 7-1-93; ss by #7015, INTERIM, eff 7-1-99, EXPIRED: 10-29-99
New. #7450, eff 2-16-01
Ins 303.04 Advertising and Solicitation Requirements.
(a)
No insurer, agent, broker or any such person shall make any statement in
any form in any sales presentation or advertisement for a deposit term life
insurance policy which:
(1) Indicates or implies that the additional
first year premium is or resembles a form of interest-bearing savings or investment;
(2) Indicates or implies that the pure endowment
benefit of any such policy is or resembles a return of the additional first
year premium together with an accumulation of interest;
(3) Describes the additional first year premium
as a deposit; or
(4) Depicts a deposit term policy as a low cost policy or as a policy that will enable the
purchaser to save money unless actual premiums or cost indexes are shown or
presented in conjunction with that statement.
(b)
Any written material presented in conjunction with a sales presentation
or proposal coupling a deposit term life insurance policy with any form of side
investment, including but not limited to deferred annuity contract, retirement
deposit fund rider, and mutual funds, and which shows figures illustrating the
premiums payable, the cash values and the death benefits shall show the figures
for the deposit term life
insurance
policy and the side investment in separate and distinct columns. Where the above figures are shown in separate
and distinct columns, it shall be permissible to include columns combining
these figures.
Source. #1900, eff 1-1-82; ss by #4287, eff 7-1-87;
ss by #5657, eff 7-1-93; ss by #7015, INTERIM, eff 7-1-99, EXPIRED: 10-29-99
New. #7450, eff 2-16-01
Ins 303.05 Disclosure Requirements.
(a)
Prior to taking an application for a deposit term life insurance policy,
the insurer, agent, broker or any other such person shall present to the
applicant a completed Disclosure Statement for Policy with an Additional First
Year Premium, the substance and format of which shall be substantially the same
as that shown in Table 303-1. One copy
of this statement, signed by the agent, shall be left with the applicant for
the applicant’s records. Another copy of
this statement shall be signed by the applicant as an acknowledgement of
receipt and submitted with the application to the insurer.
(b)
The Disclosure Statement for Policy with an Additional First Year
Premium shown in Table 303-1 shall be used with the modified premium whole life
type of deposit term policy on the market at the time this part became
effective. It shall be appropriately
altered to adapt it to other types of deposit term policies.
(c)
Any such adaptation shall:
(1) Comply with the intent and spirit of this
part; and
(2) Include a full disclosure of the following
items:
a. With respect to the additional first year
premium, its amount, forfeiture details, guaranteed values and ultimate disposition;
b. Face amount and premium information for at
least the first 20 years;
c. Representative cash value information for the
first 20 years; and
d. A complete description of each option
existing under the policy at the maturity date of the pure endowment,
typically, the end of the 10th policy year, to include a designation of the
automatic option, if any.
Source. #1900, eff 1-1-82; ss by #4287, eff 7-1-87;
ss by #5657, eff 7-1-93; ss by #7015, INTERIM, eff 7-1-99, EXPIRED: 10-29-99
New. #7450, eff 2-16-01
Ins 303.06 Penalty.
(a)
Failure of an insurer or agent to comply with any of the requirements
contained in Ins 303.04 or Ins 303.05 of this part
shall be a violation of the part, subject to the penalties provided in RSA
400-A:15, subject to the requirements therein, in addition to any other
penalties provided by the laws of this state.
(b)
After appropriate notice and hearing, an administrative fine of $2,500
shall be levied for each finding of violation of RSA 400-A:15, III if the
penalty of suspension or revocation as specified below is not appropriate.
(c)
The insurer or agent may request at hearing a reduced fine or no fine imposed under (b) above through successful
demonstration that:
(1) There is no or minimal damage or costs to
consumers, the State or other insurance entities as a result
of the violation; and
(2) The insurer or agent has not committed
multiple or repeated violations.
(d)
Insurers and agents shall be subject to suspension pursuant to RSA
400-A:15,III if one of the following occurs:
(1) The violation is continuing; or
(2) There is a high probability the violation
will be repeated, based on findings of record; and
(3) Imposition of a penalty other than
suspension, such as a fine, will not be a sufficient deterrent.
(e)
Insurers and agents shall be subject to revocation pursuant to RSA
400-A:15, III if:
(1) The violative act or omission was intentional
or committed in bad faith; or
(2) There was significant damage or cost to
consumers, the State or other insurance entities as a result
of the violation.
(f)
Repeated or multiple violations of this part shall constitute separate
violations subject to penalty.
Table
303-1 Disclosure Statement for Policy
with an
Additional
First Year Premium
You
are invited to determine if your needs for a life insurance program can be
adequately served by the (insert policy description) life policy being
proposed. Note that this policy is
designed to provide individuals with an incentive to maintain the policy in
force for at least 10 full years.
Conversely, it may be said that the policy design includes disincentives
or penalties for individuals who lapse the policy prior to the 10 anniversary.
The
premium payable in the first year is $ ,
and the premium payable in years two through ten is $ .
The
difference between these amounts, $ ,
is the additional first year premium.
The
cash values payable at the end of policy years one through ten under this
policy are:
Policy
Year Cash Value
1 $
_________________
2 $
_________________
3 $
_________________
4 $
_________________
5 $
_________________
6 $
_________________
7 $
_________________
8 $
_________________
9 $
_________________
10 $
_________________
If
you choose to terminate this policy, only the cash value, less any policy
loans, will be paid to you.
*Optional
Benefits Included:
Premium Years Payable
Waiver
of Premium $
_________ __________
Accidental
Death Indemnity $
_________ __________
$
_________ __________
$
_________ __________
$
_________ __________
Policy options at the end of the 10th
policy year are:
(a) Continue in 11th year as whole life policy
(b) Renew MPWL for second ten years
(c) Convert to decreasing term to 100
If
the person insured or policyowner does not elect an option, the terms of the
policy designate option no. ______ above as the automatic option.
The
following is a brief outline of each option listed above:
Option
1. Continue as whole life insurance $
__________ face amount.
Premiums 11th year and thereafter $
__________
Cash values
10th year $
_________
15th year $
_________
20th year $
_________
Age 65 $ _________
Interest adjusted surrender cost
______%
10 years _____ 20 years _____
Disposition of pure endowment _____
Or tenth year cash value __________
Option
2. ** Renew MPWL for another 10 year $ __________
period
for face amount.
* Premiums per year 11th through 20th
year $
_________
** Additional first year
premium 11th year $ _________
only
Ten year
total premiums $ _________
Guaranteed cash value after 10
years $ _________
Interest adjusted surrender
cost _________%
10 years ________ 20 years _________
Disposition of pure endowment
or tenth
year cash value: $ _________
*Includes
rider benefits
**Death
benefit is increased by additional first year premium
Option
3. Convert to decreasing term to
age $
_________
100
for face amount.
* Level premiums $
_________
Additional 11th year premium $
_________
Interest adjusted surrender cost %
10 years _________ 20 years _________
Disposition of pure endowment or tenth
year cash value: $ _________
You
will have ten days from the day the (insert policy description) life policy is
delivered to you to return it for cancellation.
Should you elect to cancel, all premiums paid by you will be returned.
Insurance
Company
(Insert Name)
Address:
Telephone
No.
Agent's
Signature
I
acknowledge that I received a copy of this disclosure statement for policy with
an additional first year premium on the date indicated below.
Applicant's Signature
Date
Source. #1900, eff 1-1-82; ss by #4287, eff 7-1-87;
ss by #5657, eff 7-1-93; ss by #7015, INTERIM, eff 7-1-99, EXPIRED: 10-29-99
New. #7450, eff 2-16-01
PART
Ins 304 FINANCING OF LIFE INSURANCE PREMIUMS
Statutory
Authority RSA 400-A:15, I and RSA 415-B:12
Ins 304.01 Premium Financing Requirements.
(a)
If a note is taken to finance less than the full first year premium, the
balance shall be paid by the applicant at the time the application is taken.
(b)
If a note is taken to finance all or part of the first year's premium,
said note may be sold or otherwise negotiated or transferred by the payee with
recourse only.
(c)
One who becomes a payee of the note, whether that is the premium finance
company, or any affiliate thereof, note purchaser, or any assignee of the note,
shall notify the notemaker, the insured, and all co-makers of the note about
the purchase or transfer of the note. In
providing such notification, the life insurance policy, which is used as
collateral for the note, shall be identified by policy number, named insured,
and life insurance company.
(d)
The giving of a promissory note in connection with the first premium
shall be set out in the application over the applicant's signature, showing the
amount of the note, the true annual rate of interest, and the amount of any
downpayment made to the agent at the time of sale and, if applicable, the fact
that the note becomes due and payable in full upon any default in premium payment.
(e)
Any note may contain an acceleration clause to become operable not less
than 31 days after default in the payment of any renewal premium. The obligation evidenced by a promissory note
may be satisfied in advance of the maturity date without penalty. Where the applicant is an undergraduate
college student, the maturity date of any promissory note payable in one lump
sum at maturity, or the maturity date of any installment type note which
provides for a balloon payment, shall not be less than 90 days after the
anticipated graduation date from college of the applicant.
(f)
Any downpayment shall be paid by the applicant, and any payment or
reimbursement to or for the benefit of the applicant in connection with the
sale, directly or indirectly, shall be presumed to be a rebate or an improper
inducement.
(g)
Any premium financing arrangement shall be fully set forth and described
in the policy or policy rider, and a copy of any promissory note executed by
the insured and any assignment thereof shall be attached to the policy.
(h)
Upon delivery of the policy to the insured, a receipt or acceptance form
shall be executed which recites that:
(1) The policy has been issued as represented;
and
(2)
The insured acknowledges and understands the obligation of the premium financing
arrangement and the financial indebtedness that they have incurred.
(i)
The premium finance company shall request the insured to sign and return
the policy receipt or acceptance form to the company within 14 days of receipt
by the insured. Such receipt or
acceptance form outlined in Ins 304.01(h) shall be
identified by number with the corresponding life insurance policy number and
kept with other policy records of the insured in the company’s principal place
of business.
(j)
The blank receipts or acceptance forms referred to in Ins
304.01(h) shall not be made available to field representatives, agents, or
producers but shall be furnished by the company only in transmittal of the
policy to the writing agent.
(k)
Until the executed policy receipt or acceptance form has been received
and filed with the company, no promissory note executed by the insured shall be
sold or otherwise transferred or assigned, and no commission on such sale shall
be paid to any agent or producer.
(l)
The maximum amount of any such premium financing arrangement which may
be entered into in connection with the purchase of the policy shall be in
accordance with reasonable and sound underwriting practices as determined by
the company.
(m)
Producers and companies shall comply with Ins
302 as to any partial or total replacement of an existing life policy that is
associated with a premium finance arrangement.
(n)
Producers of the company who are licensed by this state to represent the
company as licensed life producers shall not represent, refer to, or hold
themselves out to the public under any special title or as representatives of
any special policy or company division unless otherwise identified as a
licensed producer of the company for which they hold a license.
(o)
In the case of a request being made by an insured expressing a desire to
cancel such a policy and premium financing arrangement, the company, its
agents, and its producers shall cooperate with the insured to work towards a
satisfactory resolution of the matter.
If such matter cannot be resolved in a timely manner, the premium
finance company shall provide a notice to the insured that the insured may
contact the consumer services division of the New Hampshire insurance
department for assistance. Consumer
services may be reached by phone at (800) 852-3416 or by email at
consumerservices@ins.nh.gov.
(p)
If, at the time the receipt or acceptance form is presented with the
policy to the applicant for signature, the applicant decides not to proceed
with the premium finance arrangement, the policy shall be returned to the
company with the applicant’s signed request for release. The policy and note shall then be cancelled and the applicant released from any liability relative
to the application and a refund made of any downpayment.
(q)
If it is determined that the company or producer has violated this part,
or if it is determined that there has been a material misrepresentation of the
contract, then the policy shall be returned to the company with a signed
request for release. The policy and note
shall then be cancelled and the applicant released
from any liability and refund made of any downpayment.
(r)
Any cash value of the life insurance policy shown at the time of
presentation of the premium finance arrangement shall be based upon the face
amount of the policy being offered. For
example, if a $10,000 policy is being sold, the value for this $10,000 policy,
and not the values for a $50,000 or $75,000 policy, shall be given. If a sales presentation was made for an
amount of insurance greater than what the applicant decided to purchase, an
appropriate summary shall be given to the applicant for the correct cash value
of the policy sold not later than the time that the applicant signs the application
for the note.
(s)
Companies shall notify their agents and producers of the requirements
set forth in this part.
Source. #7450, eff 2-16-01, EXPIRED: 2-16-09
New. #12399, eff 9-30-17
Ins 304.02 Exemption. Premium financing plans requiring the
delivery of the prospectus filed with the Securities and Exchange Commission
under the Securities Act of 1933 shall be exempt from the provisions and
requirements of this part.
Source. #1942, eff 2-1-82; ss by #4287, eff 7-1-87;
ss by #5657, eff 7-1-93; ss by #7015, INTERIM, eff 7-1-99, EXPIRED: 10-29-99
New. #7450, eff 2-16-01, EXPIRED: 2-16-09
New. #12399, eff 9-30-17
Ins 304.03 Waiver or Suspension of Rules.
(a) The commissioner, upon the commissioner’s own
initiative or upon request by an insurer, shall waive any requirement of this
part if such waiver does not contradict the objective or intent of the rule
and:
(1) Applying the rule provision
would cause confusion or would be misleading to consumers;
(2) The rule provision is in
whole or in part inapplicable to the given circumstances;
(3) There are specific
circumstances unique to the situation such that strict compliance with the rule
would be onerous without promoting the objective or intent of the rule
provision; or
(4) Any other similar
extenuating circumstances exist such that application of an alternative
standard or procedure better promotes the objective or intent of the rule
provision.
(b) No requirement prescribed by statute shall be
waived unless expressly authorized by law.
(c) Any person or entity seeking a waiver shall
make a request in writing.
(d)
A request for a waiver shall specify the
basis for the waiver and proposed alternative, if any.
Source. #12399, eff 9-30-17
PART
Ins 305 SUITABILITY IN ANNUITY TRANSACTIONS
Statutory
Authority: RSA 400-A:15, I.
Ins 305.01 Purpose.
(a)
The purpose of Ins 305 is to require insurers
to establish a system to supervise recommendations and to set forth standards
and procedures for recommendations to consumers that result in a transaction
involving annuity products so that the insurance needs and financial objectives
of consumers at the time of the transaction are appropriately addressed.
(b)
Nothing herein shall be construed to create or imply a private cause of
action for violation of this rule except as provided in RSA 417:19.
Source. #9374, eff 1-30-09; ss by #10654, eff 1-1-15
Ins 305.02 Applicability and Scope. Ins 305 shall apply to any recommendation to
purchase, exchange
or replace an annuity made to a consumer by an insurance producer, or an
insurer where no producer is involved, that results in the purchase, exchange
or replacement recommended.
Source. #9374, eff 1-30-09; ss by #10654, eff 1-1-15
Ins 305.03 Exemptions. Unless otherwise specifically included, Ins
305 shall not apply to recommendations involving:
(a)
Direct response solicitations where there is no recommendation based on
information collected from the consumer pursuant to this rule;
(b)
Contracts used to fund:
(1) An employee pension or welfare benefit plan
that is covered by the Employee Retirement and Income Security Act (ERISA);
(2) A plan described by Sections 401(a), 401(k),
403(b), 408(k) or 408(p) of the Internal Revenue Code (IRC), as amended, if
established or maintained by an employer;
(3) A government or church plan defined in
Section 414 of the IRC, a government or church welfare benefit plan, or a
deferred compensation plan of a state or local government or tax
exempt organization under Section 457 of the IRC;
(4) A nonqualified deferred compensation
arrangement established or maintained by an employer or plan sponsor;
(5) Settlements of or assumptions of liabilities
associated with personal injury litigation or any dispute or claim resolution
process; or
(6) Formal prepaid funeral contracts.
Source. #9374, eff 1-30-09; ss by #10654, eff 1-1-15
Ins 305.04 Definitions.
(a)
"Annuity" means a fixed annuity, including but not limited to
an indexed annuity, or variable annuity that is individually solicited, whether
the product is classified as an individual or group annuity.
(b)
“Continuing education credit” or “CE credit” means one continuing
education credit as defined in Ins 1303.03.
(c) “Continuing education provider” or “CE
provider” means an individual or entity that is approved to offer continuing
education courses pursuant to Ins 1303.05.
(d) “FINRA” means the Financial Industry
Regulatory Authority or a succeeding agency.
(e)
"Insurer" means a company required to be licensed under the
laws of this state to provide insurance products, including annuities.
(f)
“Insurance producer" means a person required to be licensed under
the laws of this state to sell, solicit or negotiate
insurance, including annuities.
(g)
"Recommendation" means advice provided by an insurance
producer, or an insurer where no producer is involved, to an individual
consumer that results in a purchase, exchange or
replacement of an annuity in accordance with that advice.
(h)
“Replacement” means a transaction in which a new policy or contract is
to be purchased, and it is known or should be known to the proposing producer,
or to the proposing insurer if there is no producer, that by reason of the
transaction, an existing policy or contract has been or is to be:
(1) Lapsed, forfeited, surrendered or partially
surrendered, assigned to the replacing insurer or otherwise terminated;
(2) Converted to reduce paid-up insurance,
continued as extended term insurance, or otherwise reduced in value by the use
of nonforfeiture benefits or other policy values;
(3) Amended so as to effect either a reduction in
benefits or in the term for which coverage would otherwise remain in force or
for which benefits would be paid;
(4) Reissued with any reduction in cash value; or
(5) Used in a financed purchase.
(i) “Suitability
information” means information that is reasonably appropriate to determine the
suitability of a recommendation, including the following:
(1) Age;
(2) Annual income;
(3) Financial situation and needs, including the
financial resources used for the funding of the annuity;
(4) Financial experience;
(5) Financial objectives;
(6) Intended use of the annuity;
(7) Financial time horizon;
(8) Existing assets, including investment and
life insurance holdings;
(9) Liquidity needs;
(10) Liquid net worth;
(11) Risk tolerance; and
(12) Tax status.
Source. #9374, eff 1-30-09; ss by #10654, eff 1-1-15
Ins 305.05 Duties of Insurers and of Insurance Producers.
(a)
In recommending to a consumer the purchase of an annuity or the exchange
of an annuity that results in another insurance transaction or series of
insurance transactions, the insurance producer, or the insurer where no
producer is involved, shall have reasonable grounds for believing that the
recommendation is suitable for the consumer on the basis of the facts disclosed
by the consumer as to his or her investments and other insurance products and
as to his or her financial situation and needs, including the consumer’s suitability information, and that there
is a reasonable basis to believe all of the following:
(1) The consumer has been reasonably informed of
various features of the annuity, such as the potential surrender period and
surrender charge, potential tax penalty if the consumer sells, exchanges,
surrenders or annuitizes the annuity, mortality and expense fees, investment
advisory fees, potential charges for and features of riders, limitations on
interest returns, insurance and investment components and market risk;
(2) The consumer would benefit from certain
features of the annuity, such as tax-deferred growth, annuitization or death or
living benefit;
(3) The particular annuity
as a whole, the underlying subaccounts to which funds are allocated at the time
of purchase or exchange of the annuity, and riders and similar product
enhancements, if any, are suitable, and in the case of an exchange or
replacement, the transaction as a whole is suitable, for the particular
consumer based on his or her suitability information; and
(4) In the case of an exchange or replacement of
an annuity, the exchange or replacement is suitable including taking into
consideration whether:
a. The consumer will incur a surrender charge,
be subject to the commencement of a new surrender period, lose existing
benefits, such as death, living or other contractual benefits, or be subject to
increased fees, investment advisory fees or charges for riders and similar
product enhancements;
b. The consumer
would benefit from product enhancements and improvements; and
c. The consumer has had another annuity exchange
or replacement and, in particular, an exchange or
replacement within the preceding 36 months.
(b)
Prior to the execution of a purchase, exchange or replacement of an
annuity resulting from a recommendation, an insurance producer, or an insurer
where no producer is involved, shall make reasonable efforts to obtain the
consumer’s suitability information.
(c) Except as permitted under paragraph (d), an
insurer shall not issue an annuity recommended to a consumer unless there is a
reasonable basis to believe the annuity is suitable based on the consumer’s
suitability information.
(d)
(1) Except as provided under subparagraph
(d)(2) of this subsection, neither an insurance producer, nor an insurer, shall
have any obligation to a consumer under subsection (a) or (c) related to an
annuity transaction if:
a. No recommendation is made;
b. A recommendation was made and was later found
to have been prepared based on materially inaccurate information provided by
the consumer;
c. A consumer refuses to provide relevant
suitability information and the annuity transaction is not recommended; or
d. A consumer decides to enter
into an annuity transaction that is not based on a recommendation of the
insurer or the insurance producer.
(2) An insurer’s issuance of an annuity subject
to paragraph (1) shall be reasonable under all the circumstances actually known to the insurer at the time the annuity is issued.
(e)
An insurance producer or, where no insurance producer is involved, the
responsible insurer representative, shall at the time of sale:
(1) Make a record of any recommendation subject
to Ins 305.05 (a) of this rule.
(2) Obtain a customer signed statement
documenting a customer’s refusal to provide suitability information, if any;
and
(3) Obtain a customer signed statement
acknowledging that an annuity transaction is not recommended if a customer
decides to enter into an annuity transaction that is
not based on the insurance producer’s or insurer’s recommendation.
(f)
(1) An insurer shall establish a
supervision system that is reasonably designed to achieve the insurer’s and its
insurance producers’ compliance with this rule, including, but not limited to,
the following:
a. The insurer shall maintain reasonable
procedures to inform its insurance producers of the requirements of this rule
and shall incorporate the requirements of this rule into relevant insurance
producer training manuals;
b. The insurer shall establish standards for
insurance producer product training and shall maintain reasonable procedures to
require its insurance producers to comply with the requirements of Ins 305.06 of this rule;
c. The insurer shall provide product-specific
training and training materials which explain all material features of its
annuity products to its insurance producers;
d. The insurer shall maintain procedures for
review of each recommendation prior to issuance of an annuity that are designed
to ensure that there is a reasonable basis to determine that a recommendation
is suitable. Such review procedures may
apply a screening system for the purpose of identifying selected transactions
for additional review and may be accomplished electronically or through other
means including, but not limited to, physical review. Such an electronic system or other system may
be designed to require additional review only of those transactions identified
for additional review by the selection criteria;
e. The insurer shall maintain reasonable
procedures to detect recommendations that are not suitable. This may include, but is not limited to,
confirmation of consumer suitability information, systematic customer surveys,
interviews, confirmation letters and programs of internal monitoring. Nothing in this clause prevents an insurer
from complying with this clause by applying sampling procedures, or by
confirming suitability information after issuance or delivery of the annuity;
and
f. The insurer shall annually provide a report
to senior management, including to the senior manager responsible for audit
functions, which details a review, with appropriate testing, reasonably
designed to determine the effectiveness of the supervision system, the
exceptions found, and corrective action taken or recommended, if any.
(2)
a. Nothing in this paragraph
restricts an insurer from contracting for performance of a function, including
maintenance of procedures, required under subparagraph (f)(1). An insurer is responsible for taking
appropriate corrective action and may be subject to sanctions and penalties
pursuant to Ins 305.07 of this rule regardless of
whether the insurer contracts for performance of a function and regardless of
the insurer’s compliance with subparagraph b. of this paragraph.
b. An insurer’s supervision system under
subparagraph (f)(1) shall include supervision of contractual performance under
this subsection. This includes, but is
not limited to, the following:
1. Monitoring and, as appropriate, conducting
audits to assure that the contracted function is properly performed; and
2. Annually obtaining a certification from a
senior manager who has responsibility for the contracted function that the
manager has a reasonable basis to represent, and does represent, that the
function is properly performed.
(3) An insurer is not required to include in its
system of supervision an insurance producer’s recommendations to consumers of
products other than the annuities offered by the insurer.
(g) An insurance producer shall not dissuade, or
attempt to dissuade, a consumer from:
(1) Truthfully responding to an insurer’s request
for confirmation of suitability information;
(2) Filing a complaint; or
(3) Cooperating with the investigation of a complaint.
(h) (1) Sales made in compliance with FINRA
requirements pertaining to suitability and supervision of annuity transactions shall satisfy the requirements under
this rule. This paragraph applies to
FINRA broker-dealer sales of variable annuities and fixed annuities if the
suitability and supervision is similar to those
applied to variable annuity sales.
However, nothing in this paragraph shall limit the insurance
commissioner's ability to investigate and enforce the provisions of this rule.
(2) For subparagraph (h)(1) to apply, an insurer
shall:
a. Monitor the FINRA member broker-dealer using
information collected in the normal course of an insurer’s business; and
b. Provide to the FINRA member broker-dealer
information and reports that are reasonably appropriate to assist the FINRA
member broker-dealer to maintain its supervision system.
Source. #9374, eff 1-30-09; ss by #10654, eff 1-1-15
Ins
305.06 Insurance Producer Training.
(a)
An insurance producer shall not solicit the sale of an annuity product
unless the insurance producer has adequate knowledge of the product to
recommend the annuity and the insurance producer is in
compliance with the insurer’s standards for product training. An insurance producer may rely on insurer-provided
product-specific training standards and materials to comply with this
paragraph.
(b) (1)
a. An insurance producer who
engages in the sale of annuity products shall complete a one-time 4 credit
training course approved by the insurance department and provided by an
insurance department approved education provider.
b. Insurance producers who hold a life insurance
line of authority on the effective date of this rule and who desire to sell
annuities shall complete the requirements of this subsection within 6 months
after the effective date of this rule.
Individuals who obtain a life insurance line of authority on or after
the effective date of this rule may not engage in the sale of annuities until
the annuity training course required under this subsection has been completed.
(2) The minimum length of the training required
under this subsection shall be sufficient to qualify for at least 4 CE credits, but may be longer.
(3) The training required under this paragraph
shall include information on the following topics:
a. The types of annuities and various
classifications of annuities;
b. Identification of the parties to an annuity;
c. How fixed, variable and indexed annuity
contract provisions affect consumers;
d. The application of income taxation of
qualified and non-qualified annuities;
e. The primary uses of annuities; and
f. Appropriate sales practices, replacement and disclosure requirements.
(4) Providers of courses intended to comply with
this subsection shall cover all topics listed in the prescribed outline and
shall not present any marketing information or provide training on sales
techniques or provide specific information about a particular insurer’s
products. Additional topics may be
offered in conjunction with and in addition to the required outline.
(5) A provider of an annuity training course
intended to comply with this subsection shall register as a CE provider in this
state and comply with the rules and guidelines applicable to insurance producer
continuing education courses as set forth in Part Ins 1303.
(6) Annuity training courses may be conducted and
completed by classroom or self-study methods in accordance with Part Ins 1303.
(7) Providers of annuity training shall comply
with the reporting requirements and shall issue certificates of completion in
accordance with Part Ins 1303.
(8) The satisfaction of the training requirements
of another state that are substantially similar to the
provisions of this subsection shall been deemed to satisfy the training requirements
of this subsection in this state.
(9) An insurer shall verify that an insurance
producer has completed the annuity training course required under this
subsection before allowing the producer to sell an annuity product for that
insurer. An insurer may satisfy its
responsibility under this paragraph by obtaining certificates of completion of
the training course or obtaining reports provided by commissioner-sponsored
database systems or vendors or from a reasonably reliable commercial database vendor
that has a reporting arrangement with approved insurance education providers.
Source. #9374, eff 1-30-09; ss by #10654, eff 1-1-15
Ins 305.07 Compliance Mitigation; Penalties.
(a)
An insurer is responsible for compliance with Ins
305. If a violation occurs, either
because of the action or inaction of the insurer or its insurance producer, the
commissioner may order:
(1) An insurer to take reasonably appropriate
corrective action for any consumer harmed by the insurer's,
or by its insurance producer's, violation of Ins 305;
(2) A general agency, independent agency or the
insurance producer to take reasonably appropriate corrective action for any
consumer harmed by the insurance producer's violation of Ins
305; and
(3) Appropriate penalties and sanctions.
(b) Any applicable penalty under RSA 400-A:15 or
RSA 417 for a violation of Ins 305 may be reduced or eliminated, according to a
schedule adopted by the commissioner, if corrective action for the consumer was
taken promptly after a violation was discovered or the violation was not part
of a pattern or practice.
Source. #9374, eff 1-30-09; ss by #10654, eff 1-1-15
Ins 305.08 Recordkeeping.
(a)
Insurers, general agents, independent agencies
and insurance producers shall maintain or be able to make available to the
commissioner records of the information collected from the consumer and other
information used in making the recommendations that were the basis for
insurance transactions for 5 years after the insurance transaction is completed
by the insurer. An insurer is permitted,
but shall not be required, to maintain documentation on behalf of an insurance
producer.
(b)
Records required to be maintained by this rule may be maintained in
paper, photographic, microprocess, magnetic, mechanical
or electronic media or by any process that accurately reproduces the actual
document.
Source. #10654, eff 1-1-15 (from Ins
305.07)
PART
Ins 306 ANNUITY DISCLOSURE
Statutory
Authority RSA 400-A:15, I; RSA 408:52, II
Ins 306.01 Purpose. The purpose of this part is to provide
standards for the disclosure of certain minimum information about annuity
contracts to protect consumers and foster consumer education. The rule specifies the minimum information
which must be disclosed, the method for disclosing it, and the use and content
of illustrations, if used, in connection with the sale of annuity
contracts. The goal of this rule is to
ensure that purchasers of annuity contracts understand certain basic features
of annuity contracts.
Source. #2143, eff 1-1-83; ss by #4287, eff 7-1-87;
ss by #5657, eff 7-1-93; ss by #7015, INTERIM, eff 7-1-99, EXPIRED: 10-29-99
New. #7450, eff 2-16-01, EXPIRED: 2-16-09
New. #12521, eff 4-28-18
Ins 306.02 Applicability and Scope. This part applies to all group and individual
annuity contracts and certificates, including annuity riders to any life
insurance policy, regardless of the issuer.
This part does not apply to the following:
(a)
Immediate and deferred annuities that do not contain any non-guaranteed
elements.
(b)
(1) Annuities used to fund:
a. An employee pension plan which is covered by
the Employee Retirement Income Security Act (ERISA);
b. A plan described by Sections 401(a), 40l(k)
or 403(b) of the Internal Revenue Code, where the plan, for purposes of ERISA,
is established or maintained by an employer;
c. A governmental or church plan defined in
Section 414 or a deferred compensation plan of a state or local government or a
tax exempt organization under Section 457 of the Internal
Revenue Code; or
d.
A nonqualified deferred compensation arrangement established or maintained by an employer
or plan sponsor; and
(2) Notwithstanding paragraph (b)(1), this part
shall apply to annuities used to fund a plan or arrangement that is funded
solely by contributions an employee elects to make, whether on a pre-tax or
after-tax basis, and where the insurance company has been notified that plan
participants may choose from among 2 or more fixed annuity providers, and there
is a direct solicitation of an individual employee by a producer for the
purchase of an annuity contract. As used
in this section, direct solicitation shall not include any meeting held by a
producer solely for the purpose of educating or enrolling employees in the plan
or arrangement.
(c)
Non-registered variable annuities issued exclusively to an accredited
investor or qualified purchaser, as those terms are defined by the Securities
Act of 1933 (15 U.S.C. Section 77a et seq.), the Investment Company Act of 1940
(15 U.S.C. Section 80a·l et seq.), or the rules promulgated under either of those
acts, and offered for sale and sold in a transaction that is exempt from
registration under the Securities Act of 1933 (15 U.S.C. Section 77a et seq.).
(d) (1) Transactions involving variable annuities and
other registered products in compliance with Securities and Exchange Commission
(SEC) rules and Financial Industry Regulatory Authority (FINRA) rules relating
to disclosures and illustrations, provided that compliance with Ins 306.04
shall be required after the 2018 effective date of this part, unless or until
such time as the SEC has adopted a summary prospectus rule or FINRA has
approved for
use a simplified disclosure form applicable to variable annuities or other
registered products; and
(2) Notwithstanding paragraph (d)(1), the
delivery of the Buyer’s Guide is required in sales of variable annuities and,
when appropriate, in sales of other registered products.
(e)
Structured settlement annuities.
(f)
Charitable gift annuities.
(g)
Funding agreements.
Source. #2143, eff 1-1-83; ss by #4287, eff 7-1-87;
ss by #5657, eff 7-1-93; ss by #7015, INTERIM, eff 7-1-99, EXPIRED: 10-29-99
New. #7450, eff 2-16-01, EXPIRED: 2-16-09
New. #12521, eff 4-28-18
Ins 306.03 Definitions. For the purposes of this part:
(a)
"Buyer's Guide" means the National Association of Insurance
Commissioner's approved Annuity Buyer's Guide, available as referenced in
Appendix B.
(b)
"Charitable gift annuity" means a transfer of cash or other
property by a donor to a charitable organization in return for an annuity
payable over one or 2 lives, under which the actuarial value of the annuity is less than the value of the cash or
other property transferred and the difference in value constitutes a charitable
deduction for federal tax purposes, as defined in RSA 403-E:1, but does not
include a charitable remainder trust or a charitable lead trust or other
similar arrangement where the charitable organization does not issue an annuity
and incur a financial obligation to guarantee annuity payments.
(c)
"Contract owner" means the owner named in the annuity contract
or certificate holder in the case of a group annuity contract.
(d) "Determinable elements"
means elements that are derived from processes or methods that are guaranteed
at issue and not subject to company discretion, but where the values or amounts
cannot be determined until some point after issue. These elements include the
premiums, credited interest rates (including any bonus), benefits, values, non-interest based credits, charges, or elements of formulas
used to determine any of these. These elements may be described as guaranteed
but not determined at issue. An element is considered determinable if it was
calculated from underlying determinable elements only or from both determinable
and guaranteed elements.
(e)
"Funding agreement" means “funding agreement” as defined in
RSA 408-E:2.
(f) "Generic name" means a
short title descriptive of the annuity contract being applied for or
illustrated such as "single premium deferred annuity".
(g)
"Guaranteed elements'' means the premiums, credited interest rates
(including any bonus), benefits, values, non-interest based
credits, charges, or elements of formulas used to determine any of these, that
are guaranteed or have determinable elements at issue. An element is considered
guaranteed if all of the underlying elements that go
into its calculation are guaranteed.
(h) "Illustration" means a
personalized presentation or depiction prepared for and provided to an
individual consumer that includes non-guaranteed elements of an annuity
contract over a period of years.
(i)
"Market Value Adjustment" or "MVA" feature is a
positive or negative adjustment that may be applied to the account value and/or
cash value of the annuity upon withdrawal, surrender, contract annuitization,
or death benefit payment based on either the movement of an external index or
on the company's current guaranteed interest rate being offered on new premiums
or new rates for renewal periods, if that withdrawal, surrender, contract
annuitization, or death benefit payment occurs at a time other than on a
specified guaranteed benefit date.
(j)
"Non-guaranteed elements" means the premiums, credited interest
rates (including any bonus), benefits, values, dividends, non-interest based credits, charges, or elements of formulas
used to determine any of these, that are subject to company discretion and are
not guaranteed at issue. An element is considered non-guaranteed if any of the
underlying non-guaranteed elements are used in its calculation.
(k)
"Registered product" means an annuity contract or life
insurance policy subject to the prospectus delivery requirements of the
Securities Act of 1933.
(l)
''Structured settlement annuity" means a "qualified funding
asset" as defined in section 130(d) of the Internal Revenue Code or an
annuity that would be a qualified funding asset under section 130(d) but for
the fact that it is not owned by an assignee under a qualified assignment.
Source. #2143, eff 1-1-83; ss by #4287, eff 7-1-87;
ss by #5657, eff 7-1-93; ss by #7015, INTERIM, eff 7-1-99, EXPIRED: 10-29-99
New. #7450, eff 2-16-01, EXPIRED: 2-16-09
New. #12521, eff 4-28-18
Ins 306.04 Standards for the Disclosure Document and
Buyer's Guide.
(a) (1) Where the application for an annuity contract
is taken in a face-to-face meeting, the applicant shall, at or before the time
of application, be given both the disclosure document described in Ins 306.04(b) and the Buyer's Guide, if any; or
(2) Where the application for an annuity contract
is taken by means other than in a face-to-face meeting, the applicant shall be
sent both the disclosure document and the Buyer's Guide no later than 5
business days after the completed application is received by the insurer; and:
a. With respect to an application received as a result of a direct solicitation through the mail:
1. Providing a Buyer's Guide in a mailing,
inviting prospective applicants to apply for an annuity contract, shall be
deemed to satisfy the requirement that
the Buyer's Guide
be provided no later than 5 business days after receipt of the application; and
2. Providing a disclosure document in a mailing,
inviting a prospective applicant to apply for an annuity contract, shall be
deemed to satisfy the requirement that the disclosure document be provided no
later than 5 business days after receipt of the application;
b. With respect to an application received via
the Internet:
1. Taking reasonable steps to make the Buyer's
Guide available for viewing and printing on the insurer's website shall be
deemed to satisfy the requirement that the Buyer's Guide be provided no later
than 5 business days after receipt of the application; and
2. Taking reasonable steps to make the
disclosure document available for viewing and printing on the insurer's website
shall be deemed to satisfy the requirement that the disclosure document be
provided no later than 5 business days after receipt of the application;
c. A solicitation for an annuity contract
provided in other than a face-to-face meeting shall include a statement that
the proposed applicant may contact the New Hampshire insurance department for a
free annuity Buyer's Guide, available at https://www.nh.gov/insurance/consumers/annuitieslife.htm.
In lieu of the foregoing statement, an insurer may include a statement that the
prospective applicant may contact the insurer for a free annuity Buyer's Guide;
and
d. Where the Buyer's Guide and disclosure document
are not provided at or
before the time
of application, a free look period of no less than 15 days shall be
provided for the applicant
to return the annuity contract without penalty. This free look shall run
concurrently with any other free look as provided under state law or rule.
(b) Aside
from the foregoing, an insurer, including direct response insurers, shall
provide a disclosure document to any prospective purchaser upon request.
(c)
At a minimum, the following information shall be included in the
disclosure document required to be provided under this regulation:
(1) The generic name of the contract, the company
product name, if different, and form number, and the fact that it is an annuity;
(2) The insurer's legal name, physical address,
website address, and telephone number;
(3) A description of the contract and its
benefits, emphasizing its long-term nature, including
examples
where appropriate, for:
a. The guaranteed and non-guaranteed elements of
the contract, and their limitations, if any, including for fixed indexed
annuities, the elements used to determine the index-based interest, such as the
participation rates, caps, or spread, and an explanation of how they operate;
b. An explanation of the initial crediting rate
or, for fixed indexed annuities, an explanation of how the index-based interest
is determined, specifying any bonus or introduction portion, the duration of
the rate, and the fact that rates may change from time to time and are not guaranteed;
c. Periodic income options, both on a guaranteed
and non-guaranteed basis;
d. Any value reductions caused by withdrawals
from or surrender of the contract;
e. How values in the contract can be accessed;
f. The death benefit, if available, and how it
will be calculated;
g. A summary of the federal tax status of the
contract and any penalties applicable on
withdrawal
of values from the contract; and
h. Impact of any rider, including, but not
limited to, a guaranteed living benefit or long-
term
care rider;
(4) Specific dollar amount or percentage charges
and fees shall be listed with an explanation of how they apply; and
(5) Information about the current guaranteed rate
or indexed crediting rate formula, if applicable, for new contracts that
contains a clear notice that the rate is subject to change.
(d) Insurers shall define terms used
in the disclosure statement in
language that facilitates the understanding by a typical person within the
segment of the public to which the disclosure statement is directed.
(e) The name, age, and sex of the proposed
annuitant and the date on which the disclosure document was prepared.
Source. #2143, eff 1-1-83; ss by #4287, eff 7-1-87;
ss by #5657, eff 7-1-93; ss by #7015, INTERIM, eff 7-1-99, EXPIRED: 10-29-99
New. #7450, eff 2-16-01, EXPIRED: 2-16-09
New. #12521, eff 4-28-18
Ins 306.05 Standards for
Annuity Illustrations.
Please see Appendix I for an example.
(a)
An insurer or producer may elect to provide a consumer an illustration
at any time, provided that the illustration is in compliance
with this section and:
(1) Clearly labeled as an illustration;
(2)
Includes a statement referring consumers to the disclosure document and Buyer's
Guide provided to them at time of purchase for additional information about
their annuity; and
(3) Is prepared by the insurer or third party using software that is authorized by the insurer
prior to its use, provided that the insurer maintains a system of control over
the use of
illustrations.
(b)
An illustration furnished to an applicant for a group annuity contract
or contracts issued to a single applicant on multiple lives may be either an
individual or composite illustration representative of the coverage on the
lives of members of the group or the multiple lives covered.
(c)
The illustration shall not be provided unless accompanied by the disclosure
document referenced in Ins 306.04.
(d)
When using an illustration, the illustration shall not:
(1) Describe non-guaranteed elements in a manner
that is misleading or has the capacity or tendency to mislead;
(2) State or imply that the payment or amount of
non-guaranteed elements is guaranteed; or
(3) Be incomplete.
(e)
Costs and fees of any type shall be individually noted and explained.
(f)
An illustration shall conform to the following requirements:
(1) The illustration shall be labeled with the
date on which it was prepared;
(2)
Each page, including any explanatory notes or pages, shall be numbered and show
its relationship to the total number of pages in the disclosure document (e.g.,
the fourth page of a seven-page disclosure document shall be labeled ''page 4
of 7 pages");
(3)
The assumed dates of premium receipt and benefit payout within a contract year
shall be clearly identified;
(4) If the age of the proposed insured is shown
as a component of the tabular detail, it shall be issue
age plus the numbers of years the contract is assumed to have been in force;
(5) The assumed premium on which the illustrated
benefits and values are based shall be clearly identified, including rider
premium for any benefits being illustrated;
(6) Any charges for riders or other contract
features assessed against the account value or the crediting rate shall be
recognized in the illustrated values and shall be accompanied by a statement
indicating the nature of the rider benefits or the contract features, and
whether or not they are included in the illustration;
(7) Guaranteed death benefits and values
available upon surrender, if any, for the illustrated
contract premium shall be shown and clearly labeled
“guaranteed”;
(8)
The non-guaranteed elements underlying the non-guaranteed illustrated values
shall be no more favorable than current non-guaranteed elements and shall not
include any assumed future improvement of such elements. Additionally,
non-guaranteed elements used in calculating non-guaranteed illustrated values
at any future duration shall reflect any planned changes, including any planned
changes that may occur after expiration of an initial guaranteed or bonus period;
(9) In determining the non-guaranteed illustrated
values for a fixed indexed annuity:
a. The index-based interest rate and account
value shall be calculated for three different scenarios:
1.
One to reflect historical performance of
the index for the most recent 10 calendar years;
2. One to reflect the historical performance of
the index for the continuous period of 10 calendar years out of the last 20
calendar years that would result in the least index value growth (the ''low scenario");
and
3. One to
reflect the historical performance of the index for the continuous period of 10
calendar years out of the last 20 calendar years that would result in the most
index value growth (the "high scenario"); and
b. The following requirements apply:
1. The most recent 10 calendar years and the
last 20 calendar years are defined to end on the prior December 31, except for illustrations prepared during
the first 3 months of the year, for which the end date of the calendar year
period may be the December 31 prior to the last full calendar year;
2. If any index utilized in determination of an
account value has not been in existence for at least 10 calendar years, indexed
returns for that index shall not be illustrated. If the fixed indexed annuity provides an
option to allocate account value to more than one indexed or fixed declared
rate account, and one or more of those indexes has not been in existence for at
least 10 calendar years, the allocation to such indexed account(s) shall be
assumed to be zero;
3. If any index utilized in determination of an
account value has been in existence for at least 10 calendar years but less
than 20 calendar years, the 10 calendar year periods that define the low and
high scenarios shall be chosen from the exact number of years the index has
been in existence;
4. The non-guaranteed element(s), such as caps,
spreads, participation rates or other interest crediting adjustments, used in
calculating the non-guaranteed index-based interest rate shall be no more
favorable than the corresponding current element(s);
5. If a fixed indexed annuity provides an option
to allocate the account value to more than one indexed or fixed declared rate
account:
(i) The allocation used in the illustration shall
be the same for all three scenarios; and
(ii) The 10 calendar year periods resulting in the
least and greatest index growth periods shall be determined independently for
each indexed account option;
6. The geometric mean annual effective rate of
the account value growth over the 10 calendar year
period shall be shown for each scenario;
7. If the most recent 10 calendar year
historical period experience of the index is shorter than the number of years
needed to fulfill the requirement of Ins 306.05(h),
the most recent 10 calendar year historical period experience of the index
shall be used for each subsequent 10 calendar year period beyond the initial
period for the purpose of calculating the account value for the remaining years
of the illustration;
8. A graphical presentation shall also be
included comparing the movement of the account value over the 10 calendar year period for the low scenario, the high
scenario, and the most recent 10 calendar year scenario. The low and high
scenarios:
(i) Need not show surrender values, if different
than account values;
(ii) Shall not extend beyond 10 calendar years,
and therefore are not subject to the requirements of Ins
306.05(h) beyond Ins 306.05(h)(1)a.; and
(iii) May be shown on a separate page; and
9.
The low and high scenarios should reflect the irregular nature of the index
performance and should trigger every type of adjustment to the index-based
interest rate under the contract. The effect of the adjustments should be
clear; for example, additional columns showing how the adjustment applied may
be included. If an adjustment to the
index-based interest rate is not triggered in the illustration, because no
historical values of the index in the required illustration range would have
triggered it, the illustration shall so state;
(10) The guaranteed elements, if any, shall be
shown before corresponding nonguaranteed elements and shall be specifically
referred to on any page of an illustration that shows or describes only the
non-guaranteed elements, e.g., "see page 1 for guaranteed elements";
(11) The account or accumulation value of a
contract, if shown, shall be identified by the name this value is given in the
contract being illustrated and shown in close proximity to the corresponding
value available upon surrender;
(12) The value available upon surrender shall be
identified by the name this value is given in the contract being illustrated
and shall be the amount available to the
contract owner in a lump sum after deduction
of surrender charges, bonus forfeitures, contract loans,
contract loan interest, and application of any market value adjustment, as applicable;
(13) Illustrations may show contract benefits and
values in graphic or chart form in addition to the tabular form;
(14) Any illustration of non-guaranteed elements
shall be accompanied by a statement indicating that:
a. The benefits and values are not guaranteed;
b. The assumptions on which they are based are
subject to change by the insurer; and
c. Actual results may be higher or lower;
(15) Illustrations based on non-guaranteed
credited interest and non-guaranteed annuity income rates shall contain equally
prominent comparisons to guaranteed credited interest and guaranteed annuity
income rates, including any guaranteed and non-guaranteed participation rates,
caps, or spreads for fixed indexed annuities;
(16) The annuity income rate illustrated shall not
be greater than the current annuity income rate unless the contract guarantees
are, in fact, more favorable;
(17) Illustrations shall be concise and easy to read;
(18) Key terms shall be defined and then used
consistently throughout the illustration;
(19) Illustrations shall not depict values beyond
the maximum annuitization age or date;
(20) Annuitization benefits shall be based on
contract values that reflect surrender charges or any other adjustments, if
applicable; and
(21) Illustrations shall show both annuity income
rates per $1000.00 and the dollar amounts of the periodic income payable.
(g)
An annuity illustration shall include a narrative summary that includes
the following, unless provided at the same time in a disclosure document:
(1)
A brief description of any contract features, riders, or options, guaranteed
and/or non-guaranteed, shown in the basic illustration and the impact they may
have on the benefits and values of the contract;
(2) A brief description of any other optional
benefits or features that are selected, but not shown in the illustration, and
the impact they have on the benefits and values of the contract;
(3) Identification and a brief definition of
column headings and key terms used in the illustration;
(4) A statement containing, in substance, the
following:
a. For other than fixed indexed annuities:
“This
illustration assumes the annuity's current non-guaranteed elements will not
change. It is likely that they will change and actual
values will be higher or lower than those in this illustration but will not be
less than the minimum guarantees.
“The
values in this illustration are not guarantees
or even estimates of the amounts you can expect from your annuity. Please
review the entire
Disclosure Document and Buyer's Guide provided with
your Annuity Contract for more detailed information”; or
b. For fixed indexed annuities:
This
illustration assumes the index will repeat historical performance and that the
annuity's current non-guaranteed elements, such as caps, spreads, participation
rates, or other interest crediting adjustments, will not change. It is likely
that the index will not repeat historical performance, the non-guaranteed
elements will change, and actual values will be higher or lower than those in
this illustration but will not be less than the minimum guarantees.
“The
values in this illustration are not guarantees or even estimates of the amounts
you can expect from your annuity. Please review the entire Disclosure Document
and Buyer's Guide provided with your Annuity Contract for more detailed
information”; and
(5) Additional explanations as follows:
a. Minimum guarantees shall be clearly explained;
b. The effect on contract values of contract
surrender prior to maturity shall be explained;
c. Any conditions on the payment of bonuses
shall be explained;
d.
For annuities sold as an IRA, qualified plan, or in another arrangement subject
to the required minimum distribution (RMD) requirements of the Internal Revenue
Code, the effect of RMDs on the contract values shall be explained;
e. For annuities with recurring surrender charge
schedules, a clear and concise
explanation
of what circumstances will cause the surrender charge to recur; and
f. A brief description of the types of annuity
income options available shall be explained,
including:
1. The earliest or only maturity date for
annuitization, as the term is defined in the
contract;
2. For contracts with an optional maturity date,
the periodic income amount for at least one of the annuity income options
available, based on the guaranteed rates in the contract, at the later of age
70 or 10 years after issue, but in no case later than the maximum annuitization
age or date in the contract;
3. For contracts with a fixed maturity date, the
periodic income amount for at least one of the annuity income options
available, based on the guaranteed rates in the contract at the fixed maturity
date; and
4. The periodic income amount based on the
currently available periodic income
rates for the annuity income option in item 2. or item
3., above, if desired.
(h)
Following the narrative summary, an illustration shall include a numeric
summary which shall include at minimum, numeric values at the following
durations:
(1)
First 10 contract years or surrender charge period, if longer than 10 years,
including any renewal surrender charge period(s);
(2) Every tenth contract year, up to the later of
30 years or age 70;
(3) Required annuitization age or required
annuitization date.
(i)
If the annuity contains a market value adjustment, hereafter referred to
as MVA, the following provisions apply to the illustration:
(1) The MVA shall be referred to as such
throughout the illustration;
(2) The narrative shall include an explanation,
in simple terms, of the potential effect of the
MVA
on the value available upon surrender;
(3) The narrative shall include an explanation,
in simple terms, of the potential effect of the
MVA
on the death benefit;
(4) A statement shall be included, containing, in
substance, the following:
“When
you make a withdrawal, the amount you receive may be increased or decreased by
a Market Value Adjustment (MVA). If interest rates on which the MVA is based go
up after you buy your annuity, the MVA likely will decrease the amount you
receive. If interest
rates go down, the MVA will likely increase the amount you receive”;
(5) Illustrations shall describe both the upside
and the downside aspects of the contract features
relating to the market value adjustment;
(6) The illustrative effect of the MVA shall be
shown under at least one positive and one negative scenario. This demonstration
shall appear on a separate page and be clearly labeled that it is information
demonstrating the potential impact of a MVA, as the example in Appendix II shows;
(7) Actual MVA floors and ceilings as listed in
the contract shall be illustrated; and
(8) If the MVA has significant characteristics
not addressed by subparagraphs (1) – (6) above, the effect of such characteristics
shall be shown in the illustration.
(j)
Unless provided at the same time in a disclosure document, a narrative
summary for a fixed indexed annuity illustration shall also include the
following:
(1) An explanation, in simple terms, of the
elements used to determine the index-based interest, including but not limited
to the following elements:
a. The Index(es) which will be used to determine
the index-based interest;
b. The Indexing Method, such as point-to-point,
daily averaging, or monthly averaging;
c. The Index Term, which is the period over
which indexed-based interest is calculated;
d. The Participation Rate, if applicable;
e. The Cap, if applicable; and
f. The Spread, if applicable;
(2) The narrative shall include an explanation,
in simple terms, of how index-based interest is
credited
in the indexed annuity;
(3) The narrative shall include a brief
description of the frequency with which the company can re-set the elements used
to determine the index-based credits, including the participation rate, the
cap, and the spread, if applicable; and
(4) If the product allows the contract holder to
make allocations to declared-rate segment, then the narrative shall include a
brief description of:
a. Any options to make allocations to a
declared-rate segment, both for new premiums and for transfers from the
indexed-based segments; and
b. Differences in guarantees applicable to the
declared-rate segment and the indexed-based segments.
(k)
A numeric summary for a fixed indexed annuity illustration shall
include, at a minimum, the following elements:
(1) The assumed growth rate of the index in
accordance with Ins 306.05(f)(9);
(2) The assumed values for the participation
rate, cap and spread, if applicable; and
(3)
The assumed allocation between indexed-based segments and declared-rate
segments, if applicable, in accordance with Ins
306.05(f)(9).
(l)
If the contract is
issued other than as applied for, a revised illustration conforming to the
contract as issued shall be sent with the contract, except that non-substantive
changes, including but not limited to changes in the amount of expected initial
or additional premiums, any changes in amounts of exchanges pursuant to Section
1035 of the Internal Revenue Code, and rollovers or transfers which do not
alter the key benefits and features of the annuity as applied for, will not
require a revised illustration unless requested by the applicant.
Source. #2143, eff 1-1-83; ss by #4287, eff 7-1-87;
ss by #5657, eff 7-1-93; ss by #7015, INTERIM, eff 7-1-99, EXPIRED: 10-29-99
New. #7450, eff 2-16-01, EXPIRED: 2-16-09
New. #12521, eff 4-28-18
Ins 306.06 Report to Contract Owners. For annuities in the payout period that
include non-guaranteed elements, and for deferred annuities in the accumulation
period, the insurer shall provide each contract owner with a report on the
status of the contract, at least annually, that contains at least the following
information:
(a)
The beginning and the end date of the current report period;
(b)
The accumulation and cash surrender value;
(c)
The total amounts, if any, that have been credited, charged to the
contract value, or paid during the current report period; and
(d)
The amount of outstanding loans, if any, as of the end of the current
report period.
Source. #2143, eff 1-1-83; ss by #4287, eff 7-1-87;
ss by #5657, eff 7-1-93; ss by #7015, INTERIM, eff 7-1-99, EXPIRED: 10-29-99
New. #7450, eff 2-16-01, EXPIRED: 2-16-09
New. #12521, eff 4-28-18
Ins 306.07 Penalties. In addition to any other penalties provided by
RSA 400-A15, III, an insurer or producer that violates a requirement of Ins 306 shall also be subject to the provisions of RSA 417:3
and
4.
Source. #2143, eff 1-1-83; ss by #4287, eff 7-1-87;
ss by #5657, eff 7-1-93; ss by #7015, INTERIM, eff 7-1-99, EXPIRED: 10-29-99
New. #7450, eff 2-16-01, EXPIRED: 2-16-09
New. #12521, eff 4-28-18
Ins 306.08 Waiver or
Suspension of Rules.
(a)
The commissioner, upon the commissioner’s own initiative or upon request
by an insurer, shall waive any requirement of Ins 306
if such waiver does not contradict the objective or intent of the rule and:
(1) Applying the rule provision would cause
confusion or would be misleading to consumers;
(2) The rule provision is in whole or in part
inapplicable to the given circumstances;
(3) There are specific circumstances unique to
the situation such that strict compliance with the rule would be onerous
without promoting the objective or intent of the rule provision; or
(4) Any other similar extenuating circumstances
exist such that application of an alternative standard or procedure better
promotes the objective or intent of the rule provision.
(b)
No requirement prescribed by statute shall be waived unless expressly
authorized by law.
(c)
Any person or entity seeking a waiver shall make a request in writing.
(d)
A request for a waiver shall specify the basis for the waiver and proposed alternative, if any
Source. #2143, eff 1-1-83; ss by #4287, eff 7-1-87;
ss by #5657, eff 7-1-93; ss by #7015, INTERIM, eff 7-1-99, EXPIRED: 10-29-99
New. #7450, eff 2-16-01, EXPIRED: 2-16-09
Source. #12521, eff 4-28-18
PART Ins 307 MORTALITY TABLES FOR USE IN DETERMINING
RESERVE LIABILITIES FOR ANNUITIES
Statutory
Authority: RSA 400-A:15, I; RSA 410:3 -
7
Ins 307.01 Purpose. The purpose of this part is to recognize the
following mortality tables, which are available as referenced in Appendix B,
for use in determining the minimum standard of valuation for annuity and pure
endowment contracts:
(a)
The 1983 Table "a";
(b)
The 1983 Group Annuity Mortality (1983 GAM) Table;
(c)
The Annuity 2000 Mortality Table;
(d) The 2012 Individual Annuity Reserving (2012
IAR) Mortality Table; and
(e)
The 1994 Group Annuity Reserving (1994 GAR) Table.
Source. #3163, eff 12-24-85; ss by #4287, eff 7-1-87;
ss by #5657, eff 7-1-93; ss by #7015, INTERIM, eff 7-1-99, EXPIRED: 10-29-99
New. #7450, eff 2-16-01; ss by #9494, eff 6-29-09;
ss by #12034, eff 12-31-16
Ins 307.02 Scope.
The provisions of this part shall be used by insurers to determine
minimum standards of valuation for annuity and pure endowment contracts,
subject to RSA 410:3.
Source. #3163, eff 12-24-85; ss by #4287, eff 7-1-87;
ss by #5657, eff 7-1-93; ss by #7015, INTERIM, eff 7-1-99, EXPIRED: 10-29-99
New. #7450, eff 2-16-01; ss by #9494, eff 6-29-09;
ss by #12034, eff 12-31-16
Ins 307.03 Definitions.
(a)
“Annuity 2000 Mortality Table” means that mortality table developed by
the Society of Actuaries Committee on Life Insurance Research.
(b)
“Annuity 2012 IAR Mortality Table” means that Generational mortality
table developed by the Society of Actuaries Committee on Life Insurance
Research and containing rates, qx2012+n, derived from a combination of the 2012
IAM Period Table and Projection Scale G2, using the methodology stated in Ins 307.07.
(c)
“Generational Mortality Table” means a mortality table containing a set
of mortality rates that decrease for a given age from one year to the next,
based on a combination of a Period table and a projection scale containing
rates of mortality improvement.
(d)
"1983 Table 'a'" means that mortality table developed by the
Society of Actuaries Committee to Recommend a New Mortality Basis for
Individual Annuity Valuation and adopted as a recognized mortality table for
annuities in June 1982 by the National Association of Insurance Commissioners.
(e) "1983 GAM Table" means that
mortality table developed by the Society of Actuaries Committee on Annuities
and adopted as recognized mortality tables for annuities in December 1983 by
the National Association of Insurance Commissioners.
(f)
“1994 GAR Table” means that mortality table developed by the Society of
Actuaries Group Annuity Valuation Table Task Force.
(g) “Period table” means a table of mortality
rates applicable to a given calendar year known as the Period.
(h)
“Projection Scale G2 (Scale G2)” is a table of annual rates, G2x, of
mortality improvement by age for projecting future mortality rates beyond
calendar year 2012. This table was
developed by the Society of Actuaries Committee on Life Insurance Research and
is available as referenced in Appendix B.
(i)
“2012 Individual Annuity Mortality Period Life (2012 IAM Period) Table”
means the Period table containing loaded mortality rates for calendar year
2012. This table contains rates, qx2012,
developed by the Society of Actuaries Committee on Life Insurance Research and
is available as referenced in Appendix B.
Source. #3163, eff 12-24-85; ss by #4287, eff 7-1-87;
ss by #5657, eff 7-1-93; ss by #7015, INTERIM, eff 7-1-99, EXPIRED: 10-29-99
New. #7450, eff 2-16-01; ss by #9494, eff 6-29-09;
ss by #12034, eff 12-31-16
Ins 307.04 Individual Annuity or Pure Endowment
Contracts.
(a)
Expect as provided in (b) and (c) below, the 1983 Table “a” is recognized and approved as an
individual annuity mortality table for valuation and, at the option of the
company, may be used for purposes of determining the minimum standard of
valuation for any individual annuity or pure endowment contract issued on or
after August 1, 1979, but before December 31, 1985.
(b)
Except as provided in (c) below,
either the 1983 Table “a” or
the Annuity 2000 Mortality Table shall be used for determining the minimum
standard of valuation for any individual annuity or pure endowment contract
issued on or after December 31, 1985 and before July
1, 2000.
(c)
Except as provided in (d) below, the Annuity 2000 Mortality Table shall
be used for determining the minimum standard of valuation for any individual
annuity or pure endowment contract issued on or after July 1, 2000.
(d)
Except as provided in (e) below, the 2012 IAR Mortality Table shall be
used for determining the minimum standard of valuation for any individual
annuity or pure endowment contract issued on or after January 1, 2017.
(e)
The 1983 Table "a" without
projection is to be used for determining the minimum standards of valuation for
any individual annuity or pure endowment contract issued on or after July 1,
2000, solely when the contract is based on life contingencies and is
issued to fund periodic benefits arising from:
(1) Settlements of various forms of claims
pertaining to court settlements or out of court settlements from tort actions;
(2) Settlements involving similar actions such as
workers' compensation claims; or
(3) Settlements of long-term disability claims where
a temporary or life annuity has been used in lieu of continuing disability
payments.
Source. #3163, eff 12-24-85; ss by #4287, eff 7-1-87;
ss by #5657, eff 7-1-93; ss by #7015, INTERIM, eff 7-1-99, EXPIRED: 10-29-99
New. #7450, eff 2-16-01; amd by #7614, eff
12-24-01; ss by #9494, eff 6-29-09; ss by #12034, eff 12-31-16
Ins 307.05 Group Annuity or Pure Endowment Contracts.
(a)
Except as provided in (b) and (c) below, the 1983 GAM Table, the 1983
Table “a” and the 1994 GAR Table are
recognized and approved as group annuity mortality tables for valuation and, at
the option of the company, any one of these tables may be used for purposes of
valuation for any annuity or pure endowment purchased on or after August 1,
1979, but before December 31, 1985, under a group annuity or pure endowment
contract.
(b)
Except as provided in (c) below, either the 1983 GAM Table or the 1994
GAR Table shall be used for
determining the minimum standard of valuation for any annuity or pure endowment
purchased on or after December 31, 1985 and before
July 1, 2000, under a group annuity or pure endowment contract.
(c)
The 1994 GAR Table shall be used for determining the minimum standard of
valuation for any annuity or pure endowment purchased on or after July 1, 2000 under a group annuity or pure endowment contract.
Source. #3163, eff 12-24-85; ss by #4287, eff 7-1-87;
ss by #5657, eff 7-1-93; ss by #7015, INTERIM, eff 7-1-99, EXPIRED: 10-29-99
New. #7450, eff 2-16-01; ss by #9494, eff 6-29-09;
ss by #12034, eff 12-31-16
Ins 307.06 Application of the 1994 GAR Table. In using the 1994 GAR Table, the mortality
rate for a person age x in years (1994 + n) is calculated as follows:
qx 1994+n = qx1994
(1 - AAx) n
where the qx1994
and AAxs are as specified in the 1994 GAR Table.
Source. #9494, eff 6-29-09; ss by #12034, eff 12-31-16
Ins 307.07 Application of the 2012 IAR Mortality
Table. In using the 2012 IAR
Mortality Table, the mortality rate for a person age x in years (2012+n) is
calculated as follows:
qx2012+n =
qx2012(1 - G2x)n
The resulting
qx2012+n shall be rounded to three decimal places per 1,000, e.g., 0.741 deaths
per 1,000. Also, the rounding shall
occur according to the formula above, starting at the 2012 period table
rate.
For example, for a
male age 30, qx2012 = 0.741:
(a)
qx2013 = 0.741 * (1 - 0.010) ^ 1 = 0.73359, which is rounded to 0.734;
and
(b)
qx2014 = 0741 * (1 - 0.010) ^ 2 = 0.7262541, which is rounded to 0.726.
A method leading
to incorrect rounding would be to calculate qx2014 as qx2013 * (1 - 0.010), or
0.734 * 0.99 =
0.727. It is incorrect to use the
already rounded qx2013 to calculate qx2014.
Source. #12034, eff 12-31-16
PART
Ins 308 LIFE AND HEALTH REINSURANCE
AGREEMENTS
Statutory Authority: RSA 400-A:15, I; RSA 405:51; RSA
405:52
Ins
308.01 Preamble.
(a) The New
Hampshire insurance department recognizes that licensed insurers routinely
enter into reinsurance agreements. These agreements
can yield legitimate relief to the ceding insurer. A “ceding insurer” is an insurance company
that passes a part or all of its risks from its
insurance policy portfolio to another insurer (reinsurer).
(b) However,
it is improper for a licensed insurer, in the capacity of a ceding insurer, to
enter into reinsurance agreements for the principal purpose of producing
significant surplus for the ceding insurer, typically on a temporary basis, while not transferring all of
the significant risks inherent in the business being reinsured. In
substance or effect, the expected potential liability to the ceding insurer
remains basically unchanged by the reinsurance transaction, notwithstanding
certain risk elements contained in the reinsurance agreement, such as catastrophic
mortality or extraordinary survival. The terms of such agreements
referred to herein and described in Ins 308.05
violate:
(1) RSA 400-A:36 and RSA 405:47 relating to financial
statements which do not properly reflect the financial condition of the ceding insurer;
(2) RSA
405:47 relating to reinsurance reserve credits, thus resulting in a ceding
insurer improperly reducing liabilities or establishing assets for reinsurance
ceded; and
(3) RSA 400-A:36,
RSA 405:45, RSA 405:47 and Ins 1500 relating to
creating a situation that may be hazardous to policyholders and the people of
this state.
Source. #5480, eff 10-1-92; ss by #6522, eff 6-6-97;
ss by #8239, eff 1-3-05; ss by #10196, eff 1-3-13; ss by #13494, eff 11-22-22
Ins
308.02 Purpose. The purpose of this
rule is to establish requirements for life, accident and health insurers that
cede insurance
to reinsurers to assure that their financial statements properly reflect
their financial condition thereby protecting
policyholders and the public from possible future hazardous financial
conditions.
Source. #5480, eff 10-1-92; ss by #6522, eff 6-6-97;
ss by #8239, eff 1-3-05; ss by #10196, eff 1-3-13 (from Ins
308.01); ss by #13494, eff 11-22-22
Ins
308.03 Scope. This rule shall apply
to all domestic life and accident and health insurers and to all other licensed
life and accident and health insurers that are
not subject to a substantially similar regulation in their domiciliary
state. This rule shall also similarly apply to licensed property and
casualty insurers with respect to their accident and health
business. This rule shall not apply to assumption reinsurance,
yearly renewable term reinsurance or certain nonproportional reinsurance such
as stop loss or catastrophe reinsurance.
Source. #5480, eff 10-1-92; ss by #6522, eff 6-6-97;
ss by #8239, eff 1-3-05; ss by #10196, eff 1-3-13 (from Ins
308.02); ss by #13494, eff 11-22-22
Ins
308.04 Accounting Requirements.
(a) No ceding insurer
subject to this rule shall reduce any liability or establish any asset in any
financial statement whether or not filed with the
insurance department if, by the terms of the reinsurance agreement, in
substance or effect, any of the following conditions exist:
(1) Renewal
expense allowances provided or to be provided to the ceding insurer by the
reinsurer in any accounting period, are not sufficient to cover anticipated
allocable renewal expenses of the ceding insurer on the portion of the business
reinsured, unless a liability is established for the present value of the
shortfall (using assumptions equal to the applicable statutory reserve basis on
the business reinsured). Those expenses include commissions, premium
taxes and direct expenses including, but not limited to, billing, valuation,
claims and maintenance expected by the ceding insurer at the time the business is reinsured;
(2) The
ceding insurer can be deprived of surplus or assets at the reinsurer's option
or automatically upon the occurrence of some event, such as the insolvency of
the ceding insurer, except that termination of the reinsurance agreement by the
reinsurer for nonpayment of reinsurance premiums or other amounts due, such as
modified coinsurance reserve adjustments, interest and adjustments on funds
withheld, and tax reimbursements, shall not be considered to be such a
deprivation of surplus or assets;
(3) The
ceding insurer is required to reimburse the reinsurer for negative experience
under the reinsurance agreement. Negative
experience shall not include (1) offsetting experience refunds against
current and prior years' losses under the agreement or (2) payment by the ceding insurer
of an amount equal to the current and prior years' losses under the agreement
upon voluntary termination of in force reinsurance by the ceding
insurer. Voluntary termination does not include situations where
termination occurs because of unreasonable provisions that allow the reinsurer
to reduce its risk under the agreement. An example of such a
provision is the right of the reinsurer to increase reinsurance premiums or
risk and expense charges to excessive levels forcing the ceding insurer to
prematurely terminate the reinsurance treaty;
(4) The
ceding insurer shall, at specific points in time scheduled in the agreement or otherwise,
terminate or automatically recapture all or part of the reinsurance ceded;
(5) The
reinsurance agreement involves the possible payment by the ceding insurer to
the reinsurer of amounts realized from the reinsured policies other than from
income. For example, it is improper for a ceding insurer to
pay reinsurance premiums, or other fees or charges to a reinsurer that are
greater than the direct premiums collected by the ceding insurer;
(6) The
treaty does not transfer all of the significant risk
inherent in the business being reinsured. The following table
identifies a representative sampling of products or type of business, the risks
that are considered to be significant. For
products not specifically included, the risks determined to be significant
shall be consistent with this table:
Table
308.1 Risk Categories
Risk
categories:
a. Morbidity;
b. Mortality;
c. Lapse
This
is the risk that a policy will voluntarily terminate prior to the recoupment of
a statutory surplus strain experienced at issue of the policy;
d. Credit
Quality (C1)
This
is the risk that invested assets supporting the reinsured business will
decrease in value. The main hazards are that assets will default or
that there will be a decrease in earning power. It excludes market
value declines due to changes in interest rate;
e. Reinvestment
(C3)
This
is the risk that interest rates will fall and funds
reinvested (coupon payments or monies received upon asset maturity or call)
will therefore earn less than expected. If asset durations are less
than liability durations, the mismatch will increase;
f. Disintermediation
(C3)
This
is the risk that interest rates rise and policy loans
and surrenders increase or maturing contracts do not renew at anticipated rates
of renewal. If asset durations are greater than the liability
durations, the mismatch will increase. Policyholders will move their
funds into new products offering higher rates. The company may have
to sell assets at a loss to provide for these withdrawals;
+ - Significant 0
– Insignificant
|
a |
b |
c |
d |
e |
f |
|
|
|
|
|
|
|
Health
Insurance – other than LTC/LTD* |
+ |
0 |
+ |
0 |
0 |
0 |
Health
Insurance – LTC/LTD* |
+ |
0 |
+ |
+ |
+ |
0 |
Immediate
Annuities |
0 |
+ |
0 |
+ |
+ |
0 |
Single
Premium Deferred Annuities |
0 |
0 |
+ |
+ |
+ |
+ |
Flexible
Premium Deferred Annuities |
0 |
0 |
+ |
+ |
+ |
+ |
Guaranteed
Interest Contracts |
0 |
0 |
0 |
+ |
+ |
+ |
Other
Annuity Deposit Business |
0 |
0 |
+ |
+ |
+ |
+ |
Single
Premium Whole Life |
0 |
+ |
+ |
+ |
+ |
+ |
Traditional
Non-Par Permanent |
0 |
+ |
+ |
+ |
+ |
+ |
Traditional
Non-Par Term |
0 |
+ |
+ |
0 |
0 |
0 |
Traditional
Par Permanent |
0 |
+ |
+ |
+ |
+ |
+ |
Traditional
Par Term |
0 |
+ |
+ |
0 |
0 |
0 |
Adjustable
Premium Permanent |
0 |
+ |
+ |
+ |
+ |
+ |
Indeterminate
Premium Permanent |
0 |
+ |
+ |
+ |
+ |
+ |
Universal
Life Flexible Premium |
0 |
+ |
+ |
+ |
+ |
+ |
Universal
Life Fixed Premium |
0 |
+ |
+ |
+ |
+ |
+ |
Universal
Life Fixed Premium dump-in
premiums allowed |
0 |
+ |
+ |
+ |
+ |
+ |
|
*LTC =
Long Term Care Insurance
LTD
= Long Term Disability Insurance
(7) Assets:
a. The
credit quality, reinvestment, or disintermediation risk is significant for the
business reinsured and the ceding insurer does not (other than for the
classes of business excepted in b. below) either
transfer the underlying assets to the reinsurer or legally segregate such
assets in a trust or escrow account or otherwise establish a mechanism
satisfactory to the commissioner that legally segregates, by contract or
contract provision, the underlying assets;
b. Notwithstanding
the requirements of paragraph a. above, the assets supporting the reserves for
the following classes of business and any classes of business that do not have
a significant credit quality, reinvestment
or disintermediation risk may be held by the ceding insurer without segregation of such
assets:
1. Health
Insurance – LTC/LTD
2. Traditional Non-Par Permanent
3. Traditional Par Permanent
4. Adjustable Premium Permanent
5. Indeterminate Premium Permanent
6. Universal
Life Fixed Premium (no dump-in premiums allowed)
c. The
associated formula for determining the reserve interest rate adjustment shall
use a formula that reflects the ceding insurer’s investment
earnings and incorporates all realized and unrealized gains and losses
reflected in the statutory statement. The following is an acceptable
formula:
Rate
= 2 (I + CG)
X
+ Y – I – CG
Where:
I is the net investment income (Exhibit 2, Line 16, Column 7)
CG is
the capital gains less capital losses (Exhibit 4, Line
10, Column 6)
X is
the current year cash and invested assets (Page 2, Line 10A, Column 1) plus
investment income due and accrued (Page 2, Line 16, Column 1) less borrowed
money (Page 3, Line 22, Column 1)
Y is
the same as X but for the prior year
(8) Settlements
are made less frequently than quarterly or payments due from the reinsurer are
not made in cash within 90 days of the settlement date;
(9) The
ceding insurer is required to make representations or warranties not reasonably
related to the business being reinsured;
(10)
The ceding insurer is required to make representations or warranties about
future performance of the business being reinsured; and
(11) The
reinsurance agreement is entered into for the principal purpose of producing
significant surplus aid for the ceding insurer, typically on a temporary basis,
while not transferring all of the significant risks
inherent in the business required and, in substance or effect, the expected
potential liability to the ceding insurer remains basically unchanged.
(b) Notwithstanding (a) above, a ceding insurer subject to this rule may,
with the prior approval of the commissioner, take such reserve credit or
establish such asset as the commissioner may deem consistent with RSA 405:47,
including actuarial interpretations or standards adopted by the department.
(c)
Agreements.
(1) Agreements
entered into after the effective date of this rule
that involve the reinsurance of business along with any subsequent amendments
thereto, shall be filed by the ceding insurer with the commissioner within 30
days from its date of execution. Each filing shall include data
detailing the financial impact of the transaction. The ceding
insurer's actuary who signs the financial statement actuarial opinion with
respect to valuation of reserves shall consider this rule and any applicable
actuarial standards of practice when determining the proper credit in financial
statements filed with this department. The actuary should maintain
adequate documentation and be prepared upon request to describe the actuarial
work performed for inclusion in the financial statements and to demonstrate
that such work conforms to this rule; and
(2) Any
increase in surplus net of federal income tax resulting from arrangements
described in (c)(1) shall be identified separately on the insurer's statutory
financial statement as a surplus item (aggregate write-ins for gains and losses
in surplus in the Capital and Surplus Account, page 4 of the Annual Statement)
and recognition of the surplus increase as income shall be reflected on a net
of tax basis in the "Reinsurance ceded" line, page 4 of the Annual
Statement as earnings emerge from the business reinsured.
For
example, on the last day of calendar year N, company XYZ pays a $20 million
initial commission and expense allowance to company ABC for reinsuring an
existing block of business. Assuming a 34% tax rate, the net
increase in surplus at inception is $13.2 million ($20 million - $6.8 million)
that is reported on the "Aggregate write-ins for gains and losses in
surplus" line in the Capital and Surplus account. $6.8 million
(34% of $20 million) is reported as income on the "Commissions and expense
allowances on reinsurance ceded" line of the Summary of Operations.
At the
end of year N+1 the business has earned $4 million. ABC has paid $.5
million in profit and risk charges in arrears for the year and has received a
$1 million experience refund. Company ABC's annual statement would
report $1.65 million (66% of ($4 million - $1 million - $.5 million) up to a
maximum of $13.2 million) on the "Commissions and expense allowance on
reinsurance ceded" line of the Summary of Operations, and -$1.65 million
on the "Aggregate write-ins for gains and losses in surplus" line of
the Capital and Surplus account. The experience refund would be
reported separately as a miscellaneous income item in the Summary of
Operations.
Source. #5480, eff 10-1-92; ss by #6522, eff 6-6-97;
ss by #8239, eff 1-3-05; ss by #10196, eff 1-3-13 (from Ins
308.03); ss by #13494, eff 11-22-22
Ins 308.05 Written Agreements.
(a)
No reinsurance agreement or amendment to any agreement may be used to
reduce any liability or to establish any asset in any financial statement filed
with the department, unless the agreement, amendment or a binding letter of
intent has been duly executed by both parties no later than the "as of
date" of the financial statement.
(b)
In the case of a letter of intent, a reinsurance agreement or an
amendment to a reinsurance agreement shall be executed within a reasonable period of time, not exceeding 90 days from the execution
date of the letter of intent, in order for credit to be granted for the
reinsurance ceded.
(c)
The reinsurance agreement shall contain provisions that
provide that:
(1) The agreement shall constitute the entire
agreement between the parties with respect to the business being reinsured
thereunder and that there are no understandings between the parties other than
as expressed in the agreement; and
(2) Any change or modification to the agreement
shall be null and void unless made by amendment to the agreement and signed by
both parties.
Source. #5480, eff 10-1-92; ss by #6522, eff 6-6-97;
ss by #8239, eff 1-3-05; ss by #10196, eff 1-3-13 (from Ins
308.04); ss by #13494, eff 11-22-22
Ins 308.06 Existing Agreements. Insurers
subject to this rule shall reduce to zero by December 31, 1998 any reserve
credits or assets established with respect to reinsurance agreements entered
into prior to the effective date of this rule that, under the provisions of
this rule would not be entitled to recognition of the reserve credits or
assets; provided, however, that the reinsurance agreements shall have been in
compliance with laws or rules in existence immediately preceding the effective
date of this rule.
Source. #10196, eff 1-3-13 (from Ins
308.05); ss by #13494, eff 11-22-22
Ins 308.07 Waiver or Suspension of Rules.
(a) The commissioner, upon the commissioner’s own
initiative or upon request by an insurer, shall waive any requirement of this
chapter if such waiver does not contradict the objective or intent of the rule
and:
(1) Applying the rule provision would cause confusion or would be
misleading to consumers;
(2) The rule provision is in whole or in part inapplicable to the
given circumstances;
(3) There are specific circumstances unique to the situation such
that strict compliance with the rule would be onerous without promoting the
objective or intent of the rule provision; or
(4) Any other similar extenuating circumstances exist such that application of
an alternative standard or procedure better promotes the objective or intent of
the rule provision.
(b) No requirement prescribed by statute shall be waived unless expressly
authorized by law.
(c) Any person or entity seeking a waiver shall make a request in writing
to the commissioner.
(d) A request for a waiver shall specify the basis for the waiver and
proposed alternative, if any.
(e) Waivers that are granted shall be in effect for the period
of time requested and approved by the commissioner.
Source. #13494,
eff 11-22-22
PART
Ins 309 LIFE INSURANCE ILLUSTRATIONS
Statutory
Authority: RSA 400-A:15 and RSA 417:4
Ins 309.01 Purpose. The purpose of this part is to provide rules for
life insurance policy illustrations that will protect consumers and foster
consumer education. The part provides
illustration formats, prescribes standards to be followed when illustrations
are used, and specifies the disclosures that are required in connection with
illustrations. The goals of this part
are to ensure that illustrations do not mislead purchasers
of
life insurance and to make illustrations more understandable. Insurers will, as far as possible, eliminate
the use of footnotes and caveats and define terms used in the illustration in
language that would be understood by a typical person within the segment of the
public to which the illustration is directed.
Source. #7195, eff 4-1-00, EXPIRED: 4-1-08
New. #9401, eff 3-9-09; ss by #12097, eff 3-9-17
Ins 309.02 Applicability and Scope.
(a)
This part applies to all group and individual life insurance policies
and certificates except:
(1) Variable life insurance;
(2) Individual and group annuity contracts;
(3) Credit life insurance; or
(4) Life insurance policies with no illustrated
death benefits on any individual exceeding $10,000.
(b)
If an illustration is required to be used in the sale of a policy under
this part, the insurer shall not be required to also provide a policy summary
under Ins 301.
Source. #7195, eff 4-1-00, EXPIRED: 4-1-08
New. #9401, eff 3-9-09; ss by #12097, eff 3-9-17
Ins 309.03 Definitions. For the purposes of this part:
(a)
“Actuarial Standards Board” means the board established by the
(b)
"Contract premium" means the gross premium that is required to
be paid under a fixed premium policy, including the premium for a rider for
which benefits are shown in the illustration.
(c)
“Currently payable scale” means a scale of non-guaranteed elements in
effect for a policy form as of the preparation date of the illustration or
declared to become effective within 95 days.
(d)
“Disciplined current scale” means a scale of non-guaranteed elements
constituting a limit on illustrations currently being illustrated by an insurer
that is reasonably based on actuarial recent historical experience, as
certified annually by an illustration actuary designated by the insurer. Further guidance in determining the
disciplined current scale as contained in the standards established by the
Actuarial Standards Board may be relied upon if the standards:
(1) Are consistent with all provisions of this part;
(2) Limit a disciplined current scale to reflect
only actions that have already been taken or events that have already occurred;
(3) Do not permit a disciplined current scale to
include any projected trends of improvements in experience or any assumed
improvements in experience beyond the illustration date; and
(4) Do not permit assumed expenses to be less
than minimum assumed expenses.
(e)
“Generic name” means a short title descriptive of the policy being
illustrated such as “whole life”, “term life” or “flexible premium adjustable
life”.
(f)
“Guaranteed elements” and "non-guaranteed elements":
(1) "Guaranteed elements" means the
premiums, benefits, values, credits, or charges under a policy of life
insurance that are guaranteed and determined at issue; and
(2)
"Non-guaranteed elements"
means the premiums, benefits, values, credits, or charges under a policy of
life insurance that are not guaranteed or not determined at issue.
(g)
“Illustrated scale” means a scale of non-guaranteed elements currently
being illustrated that is not more favorable to the policy owner than the
lesser of:
(1) The disciplined current scale; or
(2) The currently payable scale.
(h)
“Illustration” means a presentation or depiction that includes
non-guaranteed elements of a policy of life insurance over a period of years
and that is one of the 3 types defined below:
(1) "Basic illustration" means a ledger
or proposal used in the sale of a life insurance policy that shows both
guaranteed and non-guaranteed elements;
(2) "Supplemental illustration" means
an illustration furnished in addition to a basic illustration that meets the
applicable requirements of this part, and that may be presented in a format
differing from the basic illustration, but may only depict a scale of non-guaranteed
elements that is permitted in a basic illustration; or
(3) "In force illustration" means an
illustration furnished at any time after the policy that it depicts has been in
force for one year or more.
(i)
“Illustration actuary” means an actuary meeting the requirements of Ins 309.10, who certifies to illustrations based on the standards of practice promulgated by
the Actuarial Standards Board.
(j)
"Lapse-supported illustration" means an illustration of a
policy form failing the test of self-supporting as defined in this part, under
a modified persistency rate assumption using persistency rates underlying the
disciplined current scale for the first 5 years and 100 percent policy
persistency thereafter.
(k)
“Minimum assumed expenses” means the minimum expenses that may be used
in the calculation of the disciplined current scale for a policy form. The insurer may choose to designate each year
the method of determining assumed expenses for all policy forms from the
following:
(1) Fully allocated expenses;
(2) Marginal expenses; or
(3) A generally recognized expense table based on
fully allocated expenses representing a significant portion of insurance
companies and published by the National Association of Insurance Commissioners
and approved by the commissioner.
(l)
Marginal expenses may be used only if greater than a generally
recognized expense table. If no
generally recognized expense table is approved, fully allocated expenses shall
be used.
(m)
“Non-term group life” means a group policy or individual policies of
life insurance issued to members of an employer group or other permitted group
where:
(1) Every plan of coverage was selected by the
employer or other group representative;
(2) Some portion of the premium is paid by the
group or through payroll deduction; and
(3) Group underwriting or simplified underwriting
is used.
(n)
“Policy owner” means the owner named in the policy or the certificate
holder in the case of a group policy.
(o)
“Premium outlay” means the amount of premium assumed to be paid by the
policy owner or other premium payer out-of-pocket.
(p) "Self-supporting
illustration" means an illustration of a policy form for which it can be
demonstrated that, when using experience assumptions underlying the disciplined
current scale, for all illustrated points in time on or after the 15th policy
anniversary or the 20th policy anniversary for second-or-later-to-die policies,
or upon policy expiration if sooner, the accumulated value of all policy cash
flows equals or exceeds the total policy owner value available. For this purpose, policy owner value will
include cash surrender values and any other illustrated benefit amounts
available at the policy owner's election.
Source. #7195, eff 4-1-00, EXPIRED: 4-1-08
New. #9401, eff 3-9-09; ss by #12097, eff 3-9-17
Ins 309.04 Policies to be Illustrated.
(a)
Each insurer marketing policies to which this part is applicable shall
notify the commissioner whether a policy form is to be marketed with or without
an illustration. For all policy forms
being actively marketed on the effective date of this part, the insurer shall
identify in writing those forms and whether or not an
illustration will be used with them. For
policy forms filed after the effective date of this part, the identification
shall be made at the time of filing. Any
previous identification may be changed by notice to the commissioner.
(b)
If the insurer identifies a policy form as one to be marketed without an
illustration, any use of an illustration for any policy using that form prior
to the first policy anniversary is prohibited.
(c)
If a policy form is identified by the insurer as one to be marketed with
an illustration, a basic illustration prepared and delivered in accordance with
this part is required, except that a basic illustration need not be provided to
individual members of a group or to individuals insured under multiple lives
coverage issued to a single applicant, unless the coverage is marketed to these
individuals. The illustration furnished to
an applicant for a group life insurance policy or policies issued to a single
applicant on multiple lives shall be either an individual or composite
illustration, representative of the coverage on the lives of members of the group
or the multiple lives covered.
(d)
Potential enrollees of non-term group life subject to this part shall be
furnished a quotation with the enrollment materials. The quotation shall show potential policy
values for sample ages and policy years on a guaranteed and non-guaranteed
basis appropriate to the group and the coverage. This quotation shall not be considered an
illustration for purposes of this part, but all information provided shall be
consistent with the illustrated scale. A
basic illustration shall be provided at delivery of the certificate to
enrollees for non-term group life who enroll for more than the minimum premium
necessary to provide pure death benefit protection.
In
addition, the insurer shall make a basic illustration available to any non-term
group life enrollee who requests it.
Source. #7195, eff 4-1-00, EXPIRED: 4-1-08
New. #9401, eff 3-9-09; ss by #12097, eff 3-9-17
Ins 309.05 General Rules and Prohibitions.
(a)
An illustration used in the sale of a life insurance policy shall
satisfy the applicable requirements of this part, be clearly labeled "life
insurance illustration", and contain the following basic information:
(1) Name of insurer;
(2) Name and business address of producer or
insurer’s authorized representative, if any;
(3) Name, age, and sex of proposed insured,
except where a composite illustration is permitted under this part;
(4) Underwriting or rating classification upon
which the illustration is based;
(5) Generic name of policy, the company product
name, if different, and form number;