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R590.
Insurance, Administration.
R590-154. Unfair Marketing
Practices Rule. (Effective 8-7-02)
R590-154-1. Authority.
This
rule is adopted pursuant to Subsection 31A-2-201(3) in which the
commissioner is empowered to adopt rules to implement the provisions of
the Utah Insurance Code and Subsection 31A-23-302(8), which provides that
the commissioner may find certain practices to be misleading, deceptive,
unfairly discriminatory, provide an unfair inducement, or unreasonably
restrain competition, and to prohibit them by rule.
R590-154-2.
Purpose and Scope.
The
purpose of this rule is to provide guidance to all licensees regarding
unfair marketing practices.
R590-154-3.
Definitions.
A.
“Agency” means
1. A
person other than an individual, including a sole proprietorship by which
a natural person does business under an assumed name; and 2. An insurance
organization licensed or required to be licensed under Section
31A-23-212(3).
B.
“Barter” means the sale of an insurance or annuity contract for
anything of value other than cash or other negotiable instruments.
C.
“Producer” means a
person licensed or required to be licensed under the laws of this state to
sell, solicit, or negotiate insurance.
With regards to the selling, soliciting, or negotiating of an
insurance product to an insurance customer or an insured:
1. “Producer for the insurer” means a producer who is
compensated directly or indirectly by an insurer for selling, soliciting,
or negotiating any product of that insurer.
2. “Producer for the insured” means a producer who is
compensated directly and only by an insurance customer or an insured and
receives no compensation directly or indirectly from an insurer for
selling, soliciting, or negotiating any product of that insurer to that
insurance customer or insured.
R590-154-4.
Findings.
The commissioner finds that
each of the practices prohibited in this rule constitute misleading,
deceptive or unfairly discriminatory practices or provide an unfair
inducement or unreasonably restrain competition, except as specifically
allowed in this rule.
R590-154-5.
Producer, Limited Lines Producer or Consultant Agency Name.
A.
An insurance producer, limited lines producer or consultant agency
licensed under the laws of this state shall not use any name that is:
(1)
misleading or deceptive;
(2)
likely to be mistaken for another licensee already in business; or
(3)
implies association or connection with any other organization where actual
bona fide association or connection does not exist.
B. A producer, limited line producer or consultant agency licensee
shall comply with either of the following:
1. The
agency shall include words such as "insurance agency” or
“insurance consultant" or other similar words in the agency’s
name.
(a) Other
similar words such as "insurance services", "insurance
benefits", "insurance counselors", or "insurance
advisors" may also be used.
(b)
"Insurance consulting," "insurance consultants" or
similar words shall only be used if the agency is licensed as a
consultant.
2.
The agency shall state that the licensee is an insurance agency in any
letterhead, business cards, advertising, slogan, emblem, or other
promotional material used or distributed by the agency in the State of
Utah
R590-154-6.
Individual Licensee Name.
A. An
individual shall be licensed using the individual's full legal name -
first name or initial, middle name or initial, last name, suffix, jr/sr/II/III/etc.
B. An
individual may file with the department a preferred name or nickname to
use in combination with the individual's full legal name.
R590-154-7.
Sale, Solicitation, or Negotiation of Insurance.
A.
An individual licensee and a producer, limited line producer or consultant
agency licensee shall not mislead or deceive a person or organization
through oral contact or through any letterhead, business cards,
advertising, slogan, emblem, or other promotional material used or
distributed in Utah by:
1. failing to
disclose that the licensee is an individual insurance licensee or a
producer, limited line producer or consultant agency licensee in every
oral or written contact; or
2. using or
implying license classifications not held by the individual licensee or
natural persons designated to the producer, limited line producer or
consultant agency licensee; or
3. using a
name other than the exact name appearing on the producer, limited line
producer or consultant agency license; or
4. using a name
other than the individual licensee’s full legal name exactly as filed
with the department; or
5. using an
individual's preferred name or nickname when the preferred name or
nickname has not been filed with the department; and
B. the use of an
initial letter, rather than the full first or middle name is not a
violation of this section.
C. An individual
may only use the name of a producer, limited line producer or consultant
agency that has its own separate agency license if the individual licensee
is designated to act under that agency’s license.
D. An individual
may not sell, solicit, or negotiate insurance as a producer, limited line
producer or consultant agency unless the individual has a separate
producer, limited line producer or consultant agency license and the
individual is designated to act under the agency’s license.
R590-154-8.
Claiming or Representing Department Approval.
A. A licensee may not
represent, either directly or indirectly, that the Utah Insurance
Department, the insurance commissioner, or any employee of the department,
has approved, reviewed, endorsed, or in any way favorably passed upon any
marketing program, insurance product, insurance company, practice or act.
B. A licensee may report the
fact of the filing of any form, financial report, or other document with
the Insurance Department, or of licensure, examination or other action
involving the department, or the commissioner but may not misrepresent
their effect or import.
R590-154-9.
Bartering for Insurance.
Any licensee bartering for the
sale of insurance or an annuity contract shall fully document the receipt
of goods, services or other thing of value, establishing the value of the
thing received and how the value was established, from whom received, the
date received, and the premium cost of the insurance or annuity contract
bartered for, and shall retain said documentation for three years
following the expiration of the policy period or bartering transaction,
whichever is longer. Any
licensee bartering for the sale of an insurance or annuity contract shall
disclose at the time of application to the insurer said bartering
arrangement.
R590-154-10.
Prohibited Insurance Sales Tie-Ins.
Multi-level marketing programs,
investment programs, memberships, or other similar programs, designed or
represented to produce or provide funds to pay all or any part of the cost
of insurance constitutes an illegal inducement.
This does not preclude the provision of insurance through a bona
fide employee benefits program.
R590-154-11.
Inducements, Gifts and Merchandise Given in Connection With
Solicitation or Sale of Insurance.
A.
A licensee may not give or offer to give any prizes, goods, wares,
merchandise or item of value as an inducement to enter into any insurance
or annuity contract or as an inducement to receive a quote, submit an
application or in connection with any other solicitation for the sale of
an insurance or annuity contract. However,
anything with an acquisition cost of $3.00 or less shall not be considered
an inducement.
B.
Subsection A of this section does not prohibit the giving of
promotional gifts or merchandise that is generally available to the public
and not given in a manner to constitute an inducement to receive a quote
or other solicitation or to purchase any insurance or annuity contract,
nor does it prohibit insurers from providing sales incentives to
producers.
C.
This section does not prohibit the usual kinds of social courtesies
as long as they are not related to a particular transaction as stated in
Subsection 31A-23-302(2)(a). If the receiving of the social courtesy is dependant on
obtaining a quote, submitting an application or purchasing a policy or
contract, it is related to a particular transaction.
D.
This section does not apply to title insurers or agents. Rule
R590-153 is the applicable rule for the marketing of title insurance.
R590-154-12.
Commission Contributions.
A
licensee shall not give or offer to give a premium reduction by means of
commission contribution back to the insurer for any purpose, including
competition, unless the reduction is for expense savings and is justified
by a reasonable standard and with reasonable accuracy.
The insurer's underwriting files must document the savings in order
to enable the commissioner to verify compliance.
This documentation must demonstrate legitimate expense savings
realized by the insurer and its agent.
R590-154-13.
Prohibited Financing Arrangements.
A
licensee may not obtain or arrange for third party financing of premium
without the knowledge and consent of the insured.
R590-154-14.
Acting as An Individual or Agency Licensee in Other Jurisdictions.
An
individual or agency licensee licensed in the State of Utah under a
resident license, may not sell, solicit, or negotiate insurance in another
jurisdiction unless licensed or permitted by law to do so in that
jurisdiction.
R590-154-15.
Use of Comparative Information.
A.
Every insurer marketing insurance in the State of Utah shall
establish written marketing procedures to assure that any comparison of
insurance contracts, annuities or insurance companies by its producers
will be fair and accurate.
B. A licensee may not
use any published rating information regarding an insurer in connection
with the marketing of any insurance contract or annuity unless that person
also provides at the same time an explanation of what the rating means as
defined by the rating service.
R590-154-16.
Disclosure of Insurer in Group Insurance.
Every certificate of insurance
or booklet describing coverage of a group insurance policy shall
prominently state on the cover of the certificate or booklet the name of
the actual insurer.
R590-154-17.
Enforcement Date
The commissioner will begin
enforcing the revised provisions of this rule 45 days from the rule’s
effective date.
R590-154-18.
Severability.
If any provision of this rule
or the application thereof to any person or circumstance is for any reason
held to be invalid, the remainder of the rule and the application of such
provision to other persons or circumstance shall not be affected thereby.
KEY:
insurance
2002
Notice of Continuation June 10, 1998
31A-2-201
31A-23-302
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