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R590. Insurance,
Administration.
R590-242. Military Sales Practices. (Effective 11-16-07)
R590-242-1. Authority.
This rule is promulgated pursuant to Subsection 31A-23a-402(8)(a) and
Subsection 31A-2-201(3)(a) wherein the commissioner may make rules to
implement the provisions of Title 31A.
R590-242-2.
Purpose.
(1) The purpose of this rule is to set forth standards to protect active
duty service members of the United States Armed Forces from dishonest and
predatory insurance sales practices.
(2) Nothing herein shall be construed to create or imply a private cause
of action for a violation of this rule.
R590-242-3.
Scope.
This rule shall apply only to the solicitation, negotiation, or sale of
any life insurance product, including annuities, by an insurer or insurance
producer to an active duty service member of the United States Armed Forces.
R590-242-4.
Findings.
The commissioner finds that the acts prohibited by this rule are
misleading, deceptive, unfairly discriminatory, and provide an unfair
inducement.
R590-242-5.
Exemptions.
(1) This rules shall not apply to solicitations, negotiations, or sales
involving:
(a) credit insurance;
(b) group life insurance or group annuities where there is no in-person,
face-to-face solicitation of individuals by an insurance producer or where
the contract or certificate does not include a side fund;
(c) 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;
(d) individual stand-alone health policies, including disability income
policies;
(e) contracts offered by Servicemembers’ Group Life Insurance (SGLI) or
Veterans’ Group Life Insurance (VGLI), as authorized by 38 U.S.C. Section
1965 et seq.;
(f) life insurance contracts offered through or by a non-profit military
association, qualifying under Section 501(c)(23) of the Internal Revenue
Code (IRC), and which are not underwritten by an insurer; or
(g) contracts used to fund:
(i) an employee pension or welfare benefit plan that is covered by the
Employee Retirement and Income Security Act (ERISA);
(ii) a plan described by Sections 401(a), 401(k), 403(b), 408(k), or
408(p) of the IRC, as amended, if established or maintained by an employer;
(iii) 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;
(iv) a nonqualified deferred compensation arrangement established or
maintained by an employer or plan sponsor;
(v) settlements of or assumptions of liabilities associated with personal
injury litigation or any dispute or claim resolution process; or
(vi) prearranged funeral contracts.
(2) Nothing herein shall be construed to nullify the ability of nonprofit
organizations to educate members of the United States Armed Forces in
accordance with Department of Defense DoD Instruction 1344.07 – PERSONAL
COMMERCIAL SOLICITATION ON DOD INSTALLATIONS or successor directive.
(3) For purposes of this rule, general advertisements, direct mail and
internet marketing shall not constitute “solicitation.” Telephone marketing
shall not constitute “solicitation” provided the caller explicitly and
conspicuously discloses that the product concerned is life insurance and
makes no statements that avoid a clear and unequivocal statement that life
insurance is the subject matter of the solicitation. Provided however,
nothing in this subsection shall be construed to exempt an insurer or
insurance producer from this rule in any in-person, face-to-face meeting
established as a result of the “solicitation” exemptions identified in this
subsection.
R590-242-6.
Definitions.
In addition to the definitions of Section 31A-1-301, the following
definitions shall apply for the purposes of this rule:
(1) “Active Duty” means full-time duty in the active military service of
the United States and includes members of the reserve component, National
Guard and Reserve, while serving under published orders for active duty or
full-time training. The term does not include members of the reserve
component who are performing active duty or active duty for training under
military calls or orders specifying periods of less than 31 calendar days.
(2) “Department of Defense (DoD) Personnel” means all active duty service
members and all civilian employees, including nonappropriated fund employees
and special government employees, of the Department of Defense.
(3) “Door to Door” means a solicitation or sales method whereby an
insurance producer proceeds randomly or selectively from household to
household without prior specific appointment.
(4) “General Advertisement” means an advertisement having as its sole
purpose the promotion of the reader’s or viewer’s interest in the concept of
insurance, or the promotion of the insurer or the insurance producer.
(5) “Known” or Knowingly” means, depending on its use herein, the
insurance producer or insurer had actual awareness, or in the exercise of
ordinary care should have known, at the time of the act or practice
complained of, that the person solicited:
(a) is a service member; or
(b) is a service member with a pay grade of E-4 or below.
(6) “Military Installation” means any federally owned, leased, or
operated base, reservation, post, camp, building, or other facility to which
service members are assigned for duty, including barracks, transient
housing, and family quarters.
(7) “MyPay” is a Defense Finance and Accounting Service (DFAS) web-based
system that enables service members to process certain discretionary pay
transactions or provide updates to personal information data elements
without using paper forms.
(8) “Service Member” means any active duty officer, commissioned and
warrant, or enlisted member of the United State Armed Forces.
(9) “Side Fund” means a fund or reserve that is part of or otherwise
attached to a life insurance policy, excluding individually issued
annuities, by rider, endorsement or other mechanism which accumulates
premium or deposits with interest or by other means. The term does not
include:
(a) accumulated value or cash value or secondary guarantees provided by a
universal life policy;
(b) cash values provided by a whole life policy which are subject to
standard nonforfeiture law for life insurance; or
(c) a premium deposit fund which:
(i) contains only premiums paid in advance which accumulate at interest;
(ii) imposes no penalty for withdrawal;
(iii) does not permit funding beyond future required premiums;
(iv) is not marketed or intended as an investment; and
(v) does not carry a commission, either paid or calculated.
(10) “Specific Appointment” means a prearranged appointment agreed upon
by both parties and definite as to place and time.
(11) “United State Armed Forces” means all components of the Army, Navy,
Air Force, Marine Corps, and Coast Guard.
R590-242-7.
Practices Declared False, Misleading, Deceptive or Unfair on a Military
Installation.
(1) The following acts or practices when committed on a military
installation by an insurer or insurance producer with respect to the
in-person, face-to-face solicitation, negotiation, or sale of life insurance
are declared to be false, misleading, deceptive or unfair:
(a) Knowingly soliciting the purchase of any life insurance product
“door to door” or without first establishing a specific appointment for each
meeting with the prospective purchaser.
(b) Soliciting service
members in a group or “mass” audience or in a “captive” audience where
attendance is not voluntary.
(c) Knowingly making
appointments with or soliciting service members
during their normally scheduled duty hours.
(d) Making appointments with or
soliciting service members in
barracks, day rooms, unit areas, or transient
personnel housing or other areas where the installation commander has
prohibited solicitation.
(e) Soliciting the sale of life insurance without first obtaining
permission from the installation commander or the commander’s designee.
(f) Posting unauthorized bulletins, notices or advertisements.
(g) Failing to present DD Form 2885, Personal Commercial Solicitation
Evaluation, to service members solicited or encouraging service members
solicited not to complete or submit a DD Form 2885.
(h) Knowingly accepting an application for life insurance or issuing a
policy of life insurance on the life of an enlisted member of the United
States Armed Forces without first obtaining for the insurer’s files a
completed copy of any required form which confirms that the applicant has
received counseling or fulfilled any other similar requirement for the sale
of life insurance established by regulations, directives or rules of the DoD
or any branch of the Armed Forces.
(2) The following acts or practices when committed on a military
installation by an insurer or insurance producer constitute corrupt
practices, improper influences or inducements and are declared to be false,
misleading, deceptive or unfair:
(a) Using DoD personnel, directly or indirectly, as a representative or
agent in any official or business capacity with or without compensation with
respect to the solicitation or sale of life insurance to service members.
(b) Using an insurance producer to participate in any United States
Armed Forces sponsored education or orientation program.
R590-242-8.
Practices Declared False, Misleading, Deceptive or Unfair Regardless of
Location.
(1) The following acts or practices by an insurer or insurance producer
constitute corrupt practices, improper influences or inducements and are
declared to be false, misleading, deceptive or unfair:
(a) Submitting, processing or assisting in the submission or processing
of any allotment form or similar device used by the United States Armed
Forces to direct a service member’s pay to a third party for the purchase of
life insurance. The foregoing includes, but is not limited to, using or
assisting in using a service member's “MyPay” account or other similar
internet or electronic medium for such purposes. This subsection does not
prohibit assisting a service member by providing insurer or premium
information necessary to complete any allotment form.
(b) Knowingly receiving funds from a service member for the payment of
premium from a depository institution with which the service member has no
formal banking relationship. For purposes of this section, a formal banking
relationship is established when the depository institution:
(i) provides the service member a deposit agreement and periodic
statements and makes the disclosures required by the Truth in Savings Act,
12 U.S.C. Section 4301 et seq. and the rules promulgated thereunder; and
(ii) permits the service member to make deposits and withdrawals
unrelated to the payment or processing of insurance premiums.
(c) Employing any device or method or entering into any agreement
whereby funds received from a service member by allotment for the payment of
insurance premiums are identified on the service member’s Leave and Earnings
Statement or equivalent or successor form as “Savings” or “Checking” and
where the service member has no formal banking relationship as defined in
subsection 7(1)(b).
(d) Entering into any agreement with a depository institution for the
purpose of receiving funds from a service member whereby the depository
institution, with or without compensation, agrees to accept direct deposits
from a service member with whom it has no formal banking relationship.
(e) Using DoD personnel, directly or indirectly, as a representative or
agent in any official or unofficial capacity with or without compensation
with respect to the solicitation or sale of life insurance to service
members who are junior in rank or grade, or to the family members of such
personnel.
(f) Offering or giving anything of value, directly or indirectly, to DoD
personnel to procure their assistance in encouraging, assisting or
facilitating the solicitation, negotiation, or sale of life insurance to
another service member.
(g) Knowingly offering or giving anything of value to a service member
with a pay grade of E-4 or below for his or her attendance to any event
where an application for life insurance is solicited.
(h) Advising a service member with a pay grade of E-4 or below to change
his or her income tax withholding or state of legal residence for the sole
purpose of increasing disposable income to purchase life insurance.
(2) The following acts or practices by an insurer or insurance producer
lead to confusion regarding source, sponsorship, approval or affiliation and
are declared to be false, misleading, deceptive or unfair:
(a) Making any representation, or using any device, title, descriptive
name or identifier that has the tendency or capacity to confuse or mislead a
service member into believing that the insurer, insurance producer or
product offered is affiliated, connected or associated with, endorsed,
sponsored, sanctioned or recommended by the U.S. Government, the United
States Armed Forces, or any state or federal agency or government entity.
(i) Examples of prohibited insurance producer titles include, but are not
limited to, "Battalion Insurance Counselor," "Unit Insurance Advisor,"
"Servicemen's Group Life Insurance Conversion Consultant" or “Veteran’s
Benefits Counselor.”
(ii) Nothing herein shall be construed to prohibit a person from using a
professional designation awarded after the successful completion of a course
of instruction in the business of insurance by an accredited institution of
higher learning.
(iii) Such designations include, but are not limited to, Chartered Life
Underwriter (CLU), Chartered Financial Consultant (ChFC), Certified
Financial Planner (CFP), Master of Science in Financial Services (MSFS), or
Masters of Science Financial Planning (MS).
(b) Soliciting the purchase of any life insurance product through the
use of or in conjunction with any third party organization that promotes the
welfare of or assists members of the United States Armed Forces in a manner
that has the tendency or capacity to confuse or mislead a service member
into believing that either the insurer, insurance producer or insurance
product is affiliated, connected or associated with, endorsed, sponsored,
sanctioned or recommended by the U.S. Government, or the United States Armed
Forces.
(3) The following acts or practices by an insurer or insurance
producer lead to confusion regarding premiums, costs or investment returns
and are declared to be false, misleading, deceptive or unfair:
(a) Using or describing the credited interest rate on a life insurance
policy in a manner that implies that the credited interest rate is a net
return on premium paid.
(b) Excluding individually issued annuities, misrepresenting the
mortality costs of a life insurance product, including stating or implying
that the product "costs nothing" or is "free."
(4) The following acts or practices by an insurer or insurance producer
regarding SGLI or VGLI are declared to be false, misleading, deceptive or
unfair:
(a) Making any representation regarding the availability, suitability,
amount, cost, exclusions or limitations to coverage provided to a service
member or dependents by SGLI or VGLI, which is false, misleading or
deceptive.
(b) Making any representation regarding conversion requirements,
including the costs of coverage, or exclusions or limitations to coverage of
SGLI or VGLI to private insurers, which is false, misleading or deceptive.
(c) Suggesting, recommending or encouraging a service member to cancel
or terminate his or her SGLI policy or issuing a life insurance policy which
replaces an existing SGLI policy unless the replacement shall take effect
upon or after the service member’s separation from the United States Armed
Forces.
(5) The following acts or practices by an insurer and or insurance
producer regarding disclosure are declared to be false, misleading,
deceptive or unfair:
(a) Deploying, using or contracting for any lead generating materials
designed exclusively for use with service members that do not clearly and
conspicuously disclose that the recipient will be contacted by an insurance
producer, if that is the case, for the purpose of soliciting the purchase of
life insurance.
(b) Failing to disclose that a solicitation for the sale of life
insurance will be made when establishing a specific appointment for an
in-person, face-to-face meeting with a prospective purchaser.
(c) Excluding individually issued annuities, failing to clearly and
conspicuously disclose the fact that the product being sold is life
insurance.
(d) Failing to make, at the time of sale or offer to an individual known
to be a service member, the written disclosures required by Section 10 of
the “Military Personnel Financial Services Protection Act,” Pub. L. No.
109-290, p.16.
(e) Excluding individually issued annuities, when the sale is conducted
in-person face-to-face with an individual known to be a service member,
failing to provide the applicant at the time the application is taken:
(i) an explanation of any free look period with instructions on how to
cancel if a policy is issued; and
(ii) either a copy of the application or a written disclosure. The copy
of the application or the written disclosure shall clearly and concisely set
out the type of life insurance, the death benefit applied for and its
expected first year cost. A basic illustration that meets the requirements
of R590-177, Life Insurance Illustrations Rule, shall be deemed sufficient
to meet this requirement for a written disclosure.
(6) The following acts or practices by an insurer or insurance producer
with respect to the sale of certain life insurance products are declared to
be false, misleading, deceptive or unfair:
(a) Excluding individually issued annuities, recommending the purchase
of any life insurance product which includes a side fund to a service member
in pay grades E-4 and below unless the insurer has reasonable grounds for
believing that the life insurance death benefit, standing alone, is
suitable.
(b) Offering for sale or selling a life insurance product which includes
a side fund to a service member in pay grades E-4 and below who is currently
enrolled in SGLI, is presumed unsuitable unless, after the completion of a
needs assessment, the insurer demonstrates that the applicant’s SGLI death
benefit, together with any other military survivor benefits, savings and
investments, survivor income, and other life insurance are insufficient to
meet the applicant’s insurable needs for life insurance.
(i) “Insurable needs” are the risks associated with premature death
taking into consideration the financial obligations and immediate and future
cash needs of the applicant’s estate and survivors or dependents.
(ii) “Other military survivor benefits” include, but are not limited to:
the Death Gratuity, Funeral Reimbursement, Transition Assistance, Survivor
and Dependents’ Educational Assistance, Dependency and Indemnity
Compensation, TRICARE Healthcare benefits, Survivor Housing Benefits and
Allowances, Federal Income Tax Forgiveness, and Social Security Survivor
Benefits.
(c) Excluding individually issued annuities, offering for sale or
selling any life insurance contract which includes a side fund:
(i) unless interest credited accrues from the date of deposit to the
date of withdrawal and permits withdrawals without limit or penalty;
(ii) unless the applicant has been provided with a schedule of effective
rates of return based upon cash flows of the combined product. For this
disclosure, the effective rate of return will consider all premiums and cash
contributions made by the policyholder and all cash accumulations and cash
surrender values available to the policyholder in addition to life insurance
coverage. This schedule will be provided for at least each policy year from
one to ten and for every fifth policy year thereafter ending at age 100,
policy maturity or final expiration; and
(iii) which, by default, diverts or transfers funds accumulated in the
side fund to pay, reduce or offset any premiums due.
(d) Excluding individually issued annuities, offering for sale or selling
any life insurance contract which after considering all policy benefits,
including but not limited to endowment, return of premium or persistency,
does not comply with 31A-22-408, Standard Nonforfeiture Law for Life
Insurance.
(e) Selling any life insurance product to an individual known to be a
service member that excludes coverage if the insured’s death is related to
war, declared or undeclared, or any act related to military service except
for an accidental death coverage which may be excluded.
R590-242-9.
Penalties.
A person found, after a hearing or other regulatory process, to be in
violation of this rule shall be subject to penalties as provided under
Section 31A-2-308.
R590-242-10.
Enforcement Date.
The commissioner will begin enforcing the provisions of this rule on
January 1, 2008.
R590-242-11.
Severability.
If any provision or portion of this rule or its application to any person
or circumstance is for any reason held to be invalid, the remainder of the
rule or the applicability of the provision to other persons or circumstances
shall not be affected.
KEY:
insurance, military sales practices
2007
31A-2-201, 31A-23a-402
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