Current through Register Vol. 49, No. 9, September, 2024
Section 2.
Scope and
Purposes
A. The purpose of this Rule
is to implement Act 698 of 2019 and to promote the public welfare by creating a
comprehensive legal framework within which Travel Insurance may be sold in this
state.
B. The requirements of this
Rule shall apply to Travel Insurance that covers any resident of this state,
and is sold, solicited, negotiated, or offered in this state, and policies and
certificates that are delivered or issued for delivery in this state. It shall
not apply to Cancellation Fee Waivers or Travel Assistance Services, except as
expressly provided herein.
C. All
other applicable provisions of this state's insurance laws shall continue to
apply to Travel Insurance except that the specific provisions of Act 698 of
2019 shall supersede any general provisions of law that would otherwise be
applicable to Travel Insurance.
Section 3.
Definitions
As used in this Rule
A. "Aggregator Site" means a website that
provides access to information regarding insurance products from more than one
insurer, including product and insurer information, for use in comparison
shopping.
B. "Blanket Travel
Insurance" means a policy of Travel Insurance issued to any Eligible Group
providing coverage for specific classes of persons defined in the policy with
coverage provided to all members of the Eligible Group without a separate
charge to individual members of the Eligible Group.
C. "Cancellation Fee Waiver" means a
contractual agreement between a supplier of travel services and its customer to
waive some or all of the non-refundable cancellation fee provisions of the
supplier's underlying travel contract with or without regard to the reason for
the cancellation or form of reimbursement. A Cancellation Fee Waiver is not
insurance.
D. "Commissioner" means
the commissioner of insurance of this state.
E. Solely for the purposes of Travel
Insurance, "Eligible Group" means two (2) or more persons who are engaged in a
common enterprise, or have an economic, educational, or social affinity or
relationship, including but not limited to any of the following:
(1) Any entity engaged in the business of
providing travel or travel services, including but not limited to: tour
operators, lodging providers, vacation property owners, hotels and resorts,
travel clubs, travel agencies, property managers, cultural exchange programs,
and common carriers or the operator, owner, or lessor of a means of
transportation of passengers, including but not limited to airlines, cruise
lines, railroads, steamship companies, and public bus carriers, wherein with
regard to any particular travel or type of travel or travelers, all members or
customers of the group must have a common exposure to risk attendant to such
travel;
(2) Any college, school, or
other institution of learning, covering students, teachers, employees, or
volunteers;
(3) Any employer
covering any group of employees, volunteers, contractors, board of directors,
dependents, or guests;
(4) Any
sports team, camp, or sponsor thereof, covering participants, members, campers,
employees, officials, supervisors, or volunteers;
(5) Any religious, charitable, recreational,
educational, or civic organization, or branch thereof, covering any group of
members, participants, or volunteers;
(6) Any financial institution or financial
institution vendor, or parent holding company, trustee, or agent of or
designated by one or more financial institutions or financial institution
vendors, including accountholders, credit card holders, debtors, guarantors, or
purchasers;
(7) Any incorporated or
unincorporated association, including labor unions, having a common interest,
constitution and bylaws, and organized and maintained in good faith for
purposes other than obtaining insurance for members or participants of such
association covering its members;
(8) Any trust or the trustees of a fund
established, created or maintained for the benefit of and covering members,
employees or customers, subject to the Commissioner's permitting the use of a
trust and the state's premium tax provisions in Section 5 herein or, of one or
more associations meeting the above requirements of Paragraph (7)
above;
(9) Any entertainment
production company covering any group of participants, volunteers, audience
members, contestants, or workers;
(10) Any volunteer fire department,
ambulance, rescue, police, court, or any first aid, civil defense, or other
such volunteer group;
(11)
Preschools, daycare institutions for children or adults, and senior citizen
clubs;
(12) Any automobile or truck
rental or leasing company covering a group of individuals who may become
renters, lessees, or passengers defined by their travel status on the rented or
leased vehicles. The common carrier, the operator, owner or lessor of a means
of transportation, or the automobile or truck rental or leasing company, is the
policyholder under a policy to which this section applies; or
(13) Any other group where the Commissioner
has determined that the members are engaged in a common enterprise, or have an
economic, educational, or social affinity or relationship, and that issuance of
the policy would not be contrary to the public interest.
F. "Fulfillment Materials" means
documentation sent to the purchaser of a travel protection plan confirming the
purchase and providing the travel protection plan's coverage and assistance
details.
G. "Group Travel
Insurance" means Travel Insurance issued to any Eligible Group.
H. "Limited Lines Travel Insurance Producer"
means a
(1) Licensed managing general
agent,
(2) Licensed insurance
producer, including a limited lines producer, or
(3) Travel Administrator.
I. "Offer and Disseminate" means
providing general information, including a description of the coverage and
price, as well as processing the application and collecting premiums.
J. "Primary Certificate Holder" means an
individual person who elects and purchases Travel Insurance under a Group
Policy.
K. "Primary Policyholder"
means an individual person who elects and purchases individual Travel
Insurance.
L. "Travel
Administrator" means a person who directly or indirectly underwrites, collects
or charges collateral or premiums from, or adjusts or settles claims on
residents of this state, in connection with Travel Insurance, except that a
person shall not be considered a Travel Administrator if that person's only
actions that would otherwise cause it to be considered a Travel Administrator
are among the following:
(1) A person working
for a Travel Administrator to the extent that the person's activities are
subject to the supervision and control of the Travel Administrator;
(2) An insurance producer selling insurance
or engaged in administrative and claims-related activities within the scope of
the producer's license;
(3) A
Travel Retailer offering and disseminating Travel Insurance and registered
under the license of a Limited Lines Travel Insurance Producer in accordance
with this Rule;
(4) An individual
adjusting or settling claims in the normal course of that individual's practice
or employment as an attorney-at-law and who does not collect charges or
premiums in connection with insurance coverage; or
(5) A business entity that is affiliated with
a licensed insurer while acting as a Travel Administrator for the direct and
assumed insurance business of an affiliated insurer.
M. "Travel Assistance Services" means
non-insurance services for which the consumer is not indemnified based on a
fortuitous event, and where providing the service does not result in transfer
or shifting of risk that would constitute the business of insurance. Travel
Assistance Services include, but are not limited to: security advisories;
destination information; vaccination and immunization information services;
travel reservation services; entertainment; activity and event planning;
translation assistance; emergency messaging; international legal and medical
referrals; medical case monitoring; coordination of transportation
arrangements; emergency cash transfer assistance; medical prescription
replacement assistance; passport and travel document replacement assistance;
lost luggage assistance; concierge services; and any other service that is
furnished in connection with planned travel. Travel Assistance Services are not
insurance and not related to insurance.
N. "Travel Insurance" means insurance
coverage for personal risks incident to planned travel, including:
(1) Interruption or cancellation of trip or
event;
(2) Loss of baggage or
personal effects;
(3) Damages to
accommodations or rental vehicles;
(4) Sickness, accident, disability, or death
occurring during travel;
(5)
Emergency evacuation;
(6)
Repatriation of remains; or
(7) Any
other contractual obligations to indemnify or pay a specified amount to the
traveler upon determinable contingencies related to travel as approved by the
Commissioner.
Travel Insurance does not include major medical plans that
provide comprehensive medical protection for travelers with trips lasting
longer than six (6) months, including for example, those working or residing
overseas as an expatriate, or any other product that requires a specific
insurance producer license.
O. "Travel Protection Plans" means plans that
provide one or more of the following: Travel Insurance, Travel Assistance
Services, and Cancellation Fee Waivers.
P. "Travel Retailer" means a business entity
that makes, arranges or offers planned travel and may offer and disseminate
Travel Insurance as a service to its customers on behalf of and under the
direction of a Limited Lines Travel Insurance Producer.
Section 4.
Licensing and
Registration
A. The Commissioner may
issue a Limited Lines Travel Insurance Producer License to an individual or
business entity that has filed with the Commissioner an application for a
Limited Lines Travel Insurance Producer License in a form and manner prescribed
by the Commissioner. Such Limited Lines Travel Insurance Producer shall be
licensed to sell, solicit, or negotiate Travel Insurance through a licensed
insurer. No person may act as a Limited Lines Travel Insurance Producer or
Travel Insurance Retailer unless properly licensed or registered,
respectively.
B. A Travel Retailer
may offer and disseminate Travel Insurance under a Limited Lines Travel
Insurance Producer business entity license only if the following conditions are
met:
(1) The Limited Lines Travel Insurance
Producer or Travel Retailer provides to purchasers of Travel Insurance:
(a) A description of the material terms or
the actual material terms of the insurance coverage;
(b) A description of the process for filing a
claim;
(c) A description of the
review or cancellation process for the Travel Insurance policy; and
(d) The identity and contact information of
the insurer and Limited Lines Travel Insurance Producer.
(2) At the time of licensure, the Limited
Lines Travel Insurance Producer shall establish and maintain a register, on a
form prescribed by the Commissioner, of each Travel Retailer that offers Travel
Insurance on the Limited Lines Travel Insurance Producer's behalf. The register
shall be maintained and updated by the Limited Lines Travel Insurance Producer
and shall include the name, address, and contact information of the Travel
Retailer and an officer or person who directs or controls the Travel Retailer's
operations, and the Travel Retailer's Federal Tax Identification Number. The
Limited Lines Travel Insurance Producer shall submit such register to the state
insurance department upon reasonable request. The Limited Lines Travel
Insurance Producer shall also certify that the Travel Retailer registered
complies with
18
USC §
1033 & 1034 as they existed
January 1, 2019. The grounds for the suspension, revocation, and the penalties
applicable to resident insurance producers under Ark. Code Ann. §
23-64-512,
shall be applicable to Limited Lines Travel Insurance Producers and Travel
Retailers.
(3) The Limited Lines
Travel Insurance Producer has designated one of its employees who is a licensed
individual producer as the person (a "Designated Responsible Producer" or
"DRP") responsible for the compliance with the Travel Insurance laws and
regulations applicable to the Limited Lines Travel Insurance Producer and its
registrants.
(4) The DRP,
president, secretary, treasurer, and any other officer or person who directs or
controls the Limited Lines Travel Insurance Producer's insurance operations
complies with the fingerprinting requirements applicable to insurance producers
in the resident state of the Limited Lines Travel Insurance Producer.
(5) The Limited Lines Travel Insurance
Producer has paid all applicable licensing fees as set forth in applicable
state law.
(6) The Limited Lines
Travel Insurance Producer requires each employee and authorized representative
of the Travel Retailer whose duties include offering and disseminating Travel
Insurance to receive a program of instruction or training, which is subject, at
the discretion of the Commissioner, to review and approval. The training
material shall, at a minimum, contain adequate instructions on the types of
insurance offered, ethical sales practices, and required disclosures to
prospective customers.
C. Any Travel Retailer offering or
disseminating Travel Insurance shall make available to prospective purchasers
brochures or other written materials that have been approved by the travel
insurer. Such materials shall include information which, at a minimum:
(1) Provides the identity and contact
information of the insurer and the Limited Lines Travel Insurance
Producer;
(2) Explains that the
purchase of Travel Insurance is not required in order to purchase any other
product or service from the Travel Retailer; and
(3) Explains that an unlicensed Travel
Retailer is permitted to provide only general information about the insurance
offered by the Travel Retailer, including a description of the coverage and
price, but is not qualified or authorized to answer technical questions about
the terms and conditions of the insurance offered by the Travel Retailer or to
evaluate the adequacy of the customer's existing insurance coverage.
D. A Travel Retailer employee or
authorized representative, who is not licensed as an insurance producer may
not:
(1) Evaluate or interpret the technical
terms, benefits, and conditions of the offered Travel Insurance
coverage;
(2) Evaluate or provide
advice concerning a prospective purchaser's existing insurance coverage;
or
(3) Hold himself or itself out
as a licensed insurer, licensed producer, or insurance expert.
E. Notwithstanding any other
provision in law, a Travel Retailer whose insurance-related activities, and
those of its employees and authorized representatives, are limited to offering
and disseminating Travel Insurance on behalf of and under the direction of a
Limited Lines Travel Insurance Producer meeting the conditions stated in this
Act, is authorized to receive related compensation, upon registration by the
Limited Lines Travel Insurance Producer as described in Subsection B(2)
above.
F. Responsibility: As the
insurer's designee, the Limited Lines Travel Insurance Producer is responsible
for the acts of the Travel Retailer and shall use reasonable means to ensure
compliance by the Travel Retailer with this Rule.
G. Any person licensed in a major line of
authority as an insurance producer is authorized to sell, solicit and negotiate
travel insurance. A property and casualty insurance producer is not required to
become appointed by an insurer in order to sell, solicit, or negotiate travel
insurance.
Section 5.
Premium Tax
A. A travel insurer
shall pay premium tax, as provided in §
26-57-603
on Travel Insurance premiums paid by any of the following:
(1) An individual primary policyholder who is
a resident of this state;
(2) A
primary certificate-holder who is a resident of this state who elects coverage
under a Group Travel Insurance policy; or
(3) A Blanket Travel Insurance policyholder
that is a resident in, or has its principal place of business or the principal
place of business of an affiliate or subsidiary that has purchased Blanket
Travel Insurance in this state for eligible blanket group members, subject to
any apportionment rules which apply to the insurer across multiple taxing
jurisdictions or that permit the insurer to allocate premium on an apportioned
basis in a reasonable and equitable manner in those jurisdictions.
B. A travel insurer shall:
(1) Document the state of residence or
principal place of business of the policyholder or certificate-holder, as
required in Section 5A; and,
(2)
Report as premium only the amount allocable to Travel Insurance and not any
amounts received for Travel Assistance Services or Cancellation Fee
Waivers.
Section
6.
Travel Protection Plans
A. Travel Protection Plans may be offered for
one price for the combined features that the Travel Protection Plan offers in
this state if:
B. The Travel
Protection Plan clearly discloses to the consumer, at or prior to the time of
purchase, that it includes Travel Insurance, Travel Assistance Services, and
Cancellation Fee Waivers as applicable, and provides information and an
opportunity, at or prior to the time of purchase, for the consumer to obtain
additional information regarding the features and pricing of each;
and
C. The Fulfillment Materials:
(1) Describe and delineate the Travel
Insurance, Travel Assistance Services, and Cancellation Fee Waivers in the
Travel Protection Plan, and
(2)
Include the Travel Insurance disclosures and the contact information for
persons providing Travel Assistance Services, and Cancellation Fee Waivers, as
applicable.
Section
7. Sales Practices
A. All
persons offering Travel Insurance to residents of this state are subject to the
Trade Practices Act, Ark. Code Ann. §
23-66-201,
et seq. except as otherwise provided in this Section. In the
event of a conflict between this Rule and other rules regarding the sale and
marketing of Travel Insurance and Travel Protection Plans, the provisions of
this Rule shall control.
B.
Illusory Travel Insurance. Offering or selling a Travel Insurance policy that
could never result in payment of any claims for any insured under the policy is
an unfair trade practice under the Trade Practices Act, Ark. Code Ann. §
23-66-201,
et seq.
C.
Marketing
(1) All documents provided to
consumers prior to the purchase of Travel Insurance, including but not limited
to sales materials, advertising materials, and marketing materials, shall be
consistent with the Travel Insurance policy itself, including but not limited
to, forms, endorsements, policies, rate filings, and certificates of
insurance.
(3) For Travel Insurance
policies or certificates that contain pre-existing condition exclusions,
information and an opportunity to learn more about the pre-existing condition
exclusions shall be provided any time prior to the time of purchase, and in the
coverage's Fulfillment Materials.
(3) The Fulfillment Materials and the
information described in Section 4(B)(l)(a)-(d) shall be provided to a
policyholder or certificate holder as soon as practicable, following the
purchase of a Travel Protection Plan. Unless the insured has either started a
covered trip or filed a claim under the Travel Insurance coverage, a
policyholder or certificate holder may cancel a policy or certificate for a
full refund of the Travel Protection Plan price from the date of purchase of a
Travel Protection Plan until at least:
(a)
Fifteen (15) days after the date of delivery of the Travel Protection Plan's
Fulfillment Materials by postal mail; or
(b) Ten (10) days after the date of delivery
of the Travel Protection Plan's Fulfillment Materials by means other than
postal mail.
For the purposes of this section, "delivery" means handing
Fulfillment Materials to the primary policyholder or primary certificate holder
or sending Fulfillment Materials by postal mail or electronic means to the
primary policyholder or primary certificate holder.
(4) The company shall disclose in
the policy documentation and Fulfillment Materials whether the Travel Insurance
is primary or secondary to other applicable coverage.
(5) Where Travel Insurance is marketed
directly to a consumer through an insurer's website or by others through an
Aggregator Site, it shall not be an unfair trade practice or other violation of
law where an accurate summary or short description of coverage is provided on
the web page, so long as the consumer has access to the full provisions of the
policy through electronic means.
D. Opt out. No person offering, soliciting,
or negotiating Travel Insurance or Travel Protection Plans on an individual or
group basis may do so by using negative option or opt out, which would require
a consumer to take an affirmative action to deselect coverage, such as
unchecking a box on an electronic form, when the consumer purchases a
trip.
E. It shall be an unfair
trade practice to market Blanket Travel Insurance coverage as free.
F. Where a consumer's destination
jurisdiction requires insurance coverage, it shall not be an unfair trade
practice to require that a consumer choose between the following options as a
condition of purchasing a trip or travel package:
(1) Purchasing the coverage required by the
destination jurisdiction through the Travel Retailer or Limited Lines Travel
Insurance Producer supplying the trip or travel package; or
(2) Agreeing to obtain and provide proof of
coverage that meets the destination jurisdiction's requirements prior to
departure.
Section
8.
Travel Administrators
A. Notwithstanding any other provisions of
the insurance laws of this state, no person shall act or represent itself as
Travel Administrator for Travel Insurance in this state unless that person:
(1) Is a licensed property and casualty
insurance producer in this state for activities permitted under that producer
license; or
(2) Holds a valid
managing general agent (MGA) license in this state.
B. A Travel Administrator and its employees
are exempt from the licensing requirements for adjusters under Ark. Code Ann.
§
23-64-201
for Travel Insurance it administers.
C. An insurer is responsible for the acts of
a Travel Administrator administering Travel Insurance underwritten by the
insurer and is responsible for ensuring that the Travel Administrator maintains
all books and records relevant to the insurer to be made available by the
Travel Administrator to the Commissioner upon request.
Section 9.
Policy
A. Notwithstanding any other provision of the
insurance laws of this state, Travel Insurance shall be classified and filed
for purposes of rates and forms under a marine line of insurance, provided,
however, that travel insurance that provides coverage for sickness, accident,
disability, or death occurring during travel, either exclusively, or in
conjunction with related coverages of emergency evacuation or repatriation of
remains, or in conjunction with incidental limited property and casualty
benefits such as baggage or trip cancellation, may be filed by an authorized
insurer under either an accident and health line of insurance or a marine line
of insurance.
B. Travel Insurance
may be in the form of an individual, group, or blanket policy.
C. Eligibility and underwriting standards for
Travel Insurance may be developed and provided based on Travel Protection Plans
designed for individual or identified marketing or distribution channels,
provided those standards also meet the state's underwriting standards for
marine insurance.
Section
10.
Effective Date
A. This rule is effective Nov 20, 2020, or
ten days after is signed by the Commissioner, whichever is later.